The Role that Trade Unions Play Iin Reducing Discrimination in the Research Paper

The Role that Trade Unions Play Iin Reducing Discrimination in the Workplace - Research Paper Example A trade union or a labor union is an organization of employees who work in a collective manner to attain specific common goals like the protection of the integrity of trade, the achievement of higher pay packages and other ancillary employment benefits like retirement benefits, medical and health benefits, ensuring safety standards, improved working conditions, bargaining regarding the working hours and increasing the number of labours that are assigned for a particular work completion. The trade unions perform a leadership role through which its bargains with the employer groups on the behalf of the employees, who are the union members to protect the interests of the employee groups, prevent any kind of employment exploitation and negotiate the work terms and labor contracts. Several real-life organizational examples are provided in order to support the arguments presented in the paper. Common terms inherently associated with trade unions like collective bargaining, equality and diversity issues, gender discrimination, racial discrimination etc. are also explained with an aim to develop a better understanding of the propositions established in the essay. The essay is concluded by highlighting the findings and providing an opinion regarding the contribution of the trade unions to the reduction of discriminatory practices in various types of organizations. The system of trade unions started at the beginning of the 19th century when trade association was formed as labor unions by the skilled male labors with the aim of protecting their employment terms and conditions.  Ã‚  

Innovations In The Business World Research Paper

Innovations In The Business World - Research Paper Example The higher the scope of coverage especially in scale, the better it is for the firm, because there is a tendency for it to establish a remarkable level of monopoly, at some point. This means that there is a great chance for that firm to dominate in the industry and achieve the highest possible market share. This will mean some remarkable implications. It is about continuing the business and generating higher profit as possible. There are many methods or strategies used today to achieve these possibilities (Porter, 1998).  An example of a company acquiring more companies from time to time is Google. Google is a search brand (Haig, 2011), but this cannot be made possible without its strategic employment of merger and acquisition. This company has been doing merger and acquisition since 2001, and recently at the early part of this year, it has already acquired at least three companies particularly for its business for internet security, home automation and timely application for Android. Eventually, these newly acquired companies are used or integrated with Google+ and other Google’s relevant line of online businesses.  Acquiring these companies eventu ally help Google improve its covered market and its services in ensuring wonderful experience and high value for its target users. This leads the possibility for Google to become a search brand, which allows it to generate a higher competitive advantage over the other companies in its industry. As a result, the other brands in line with Google’s industry are not remarkably known in the market, and if they are known at some point, Google is still holding a competitive advantage over them due to its wider scope of market coverage as one end result of its merger and acquisition strategy.  Merger and acquisition have been a common trend today in the business world.  

Housing & Development Board Analysis Essay Example for Free

Housing Development Board Analysis Essay This is the highest rate of increase this year compared to the 0. 1-per cent drop in the first quarter and the 0. 4-per cent increase in the second quarter. It was also higher than the flash estimate of 0. 5 per cent released earlier this month. Meanwhile, resale prices of Housing Development Board (HDB) flats in Singapore hit a record high. HDBs Resale Price Index (RPI) rose from 194 in the second quarter of this year to 197. 9 in the third quarter. This represents an increase of two per cent over the previous quarter, the same as that of the flash estimate released on October 1. – Evidence for an increase demand for resale flats  But with a bumper crop of 27,000 Build-to-Order flats being rolled out this year, analysts said the resale market may be showing signs of moderating. Growth for the first three-quarters of this year is 3. 9 per cent. This is lower than the annual RPI growth of 14. 1 per cent in 2010, and 10. 7 per cent last year. Donald Han, special advisor at HSR Property Consultants, said: Buyers who are able to wait for the product to be completed in 24 to 36 months are getting better value proposition in terms of cheaper prices, and perhaps better amenities compared to one whos buying a resale flat. The volume of resale transactions also fell for the first time in 12 months. Resale transactions also fell by about six per cent from 7,011 cases in second quarter to 6,560 cases in the third. – Number of buyers dropped The last fall in resale transactions was in the third quarter of last year when transactions fell from 6,581 in the second quarter, to 5,903 in the third. Analysts said that this might not be because buyers are staying away, but because there is a short supply of resale flats in the market. – Reason for the decrease in the demand (Isnt this is for supply? The number of sellers in market. ) They added that this has pushed the median cash-over-valuation (COV) up by S$4,000 to S$5,000 compared to the last quarter. According to real estate firm Propnex, COVs hovered between S$25,000 and $28,000 in the first two quarters, before rising to $30,000 in Q3. This means a 20 per cent increase quarter-on-quarter. Chris Koh, director of Chris International, said: Regardless of whether there are BTO flats, if private property prices are too high, many are unable to afford private property. So they turn to a resale market to buy a flat instead. So you still see a strong demand from those not eligible to buy brand new flats, those who cant afford private property and have to buy a resale flat. Reason for the increase in the demand. (Price of related good) Theres one more group, I call them the downgraders. They have cashed out their private property, thats why they dont mind paying a premium for some of these resale flats. In the rental market, subletting transactions rose by about four per cent. The number of cases increased from 6,891 in the second quarter to 7,142 cases in the third quarter. The total number of HDB flats approved for subletting also rose to 42,920 units in the third quarter, compared to 41,814 units in the second. Mr Han said: In the last five years, prices have not gone south. In fact, prices have grown by 92 to 93 per cent since five years ago So, a lot of the able sellers are keeping it for hopefully higher capital returns for the next 12 months. (supply) If you look into a rental proposition, HDB rental flats if you look at average four-room or five-room, youre looking at roughly about S$2,000 to S$2,500 per month. It provides a very good fertile ground support for tenants out in the market looking for cheap accommodation. The yield coming from HDB apartments is fairly attractive as well, compared to other classes of residential property. Were looking at yields of 4. 5 to five per cent, compared to private properties which would be about 2. 5 to about 3. 5 per cent. Mr Koh added: Im not sure if theres a co-relation, but I wont deny that if prices of resale flats are too high, some would not be able to afford it. So the next best option will be to rent and wait for prices to come down. - Reason for decrease in demand when price rise. (Taste and preference? ) The HDB said it introduced a new e-service on Monday to enable the public to search for the market rentals of entire HDB flats rented out by owners. It is hoped that this will allow better transparency in the subletting market, and help potential tenants and flat owners make informed decisions.

Full Kinetic Chain Manipulative Therapy on the Knee

Full Kinetic Chain Manipulative Therapy on the Knee The relative effectiveness of full kinetic chain manipulative therapy and full kinetic chain rehabilitation in the treatment of osteoarthritis of the knee. Brief Synopsis of the Research Therefore in this study we aim to establish the effect of the KFC manipulative therapy alone, FKC rehabilitation alone and the combination of the two interventions on osteoarthritis of the knee. This will be done by means of a quantitative randomised comparative clinical trial. 60 patients will have been diagnosed with osteoarthritis of the knee according to the inclusion and exclusion criteria, and will be randomly divided into 3 groups. The first group will receive 6 treatments using FKC manipulative therapy alone, the second will receive 6 treatments using FKC rehabilitation alone, and the third group will receive 6 treatments using FKC manipulative therapy combined with FKC rehabilitation. Subjective (Beck Depression Inventory, McMaster Overall Therapy Effectiveness Tool, Western Ontario and McMaster Universities Osteoarthritis Index and Berg Balance Scale) and objective (Inclinometer) measures will be taken at baseline, 1 week and 1 month follow up. These results will be recorded and the data analysed using SPSS statistical package at a 95% confidence interval. Section B: To be typed in Arial 12-point font in one and half line spacing (expand sections to fit contents, but keep within the specified maximum lengths) 1. Field of Research and Provisional Title The relative effectiveness of full kinetic chain manipulative therapy and rehabilitation in the treatment of osteoarthritis of the knee. 2. Context of the Research 1. Osteoarthritis is a very common condition, affects 9.6% of men and 18% of women aged >60 years worldwide (Woolf and Pfleger, 2003). 2. Although multi-factorial, falls cause nearly two-thirds of all non-intentional injury related deaths in older adults (Hawk et al., 2006). One of the causative factors is loss of hip and knee proprioception secondary to increased joint degeneration, thus by addressing these problems with the rehabilitation and/or adjustment there may be a decreased risk of fall. 3. There is research to suggest that applying manipulative therapy and rehabilitation to the full kinetic chain yields greater benefits for KOA patients than at home rehabilitation alone (Deyle et al., 2005), however this combination of treatments has never been compared against full kinetic chain manipulative therapy alone. 4. KOA stiffness, pain and dysfunction was shown by Deyle et al., (2000) and Deyle et al., (2005) to improve better when adding manipulative therapy to a rehabilitation program as compared to placebo and exercise alone, respectively. 3. Research Problem and Aims Aim: The relative effectiveness of full kinetic chain manipulative therapy and rehabilitation in the treatment of osteoarthritis of the knee. Objectives: i) To determine whether manipulative therapy alone is effective in the short term treatment of KOA in terms of subjective and objective measurements. ii) To determine whether manipulative therapy alone is effective in the intermediate term treatment of KOA in terms of subjective and objective measurements. iii) To determine whether rehabilitation alone is effective in the short term treatment of KOA in terms of subjective and objective measurements. iv) To determine whether rehabilitation alone is effective in the intermediate term treatment of KOA in terms of subjective and objective measurements. v) To determine whether manipulative therapy combined with rehabilitation is effective in the short term treatment of KOA in terms of subjective and objective measurements. vi) To determine whether manipulative therapy combined with rehabilitation is effective in the intermediate term treatment of KOA in terms of subjective and objective measurements. vii) To compare short term results and intermediate results, respectively. viii) To determine whether manipulative therapy combined with rehabilitation is effective in decreasing the risk of fall according to the Berg Balance Scale. ix) To determine whether rehabilitation alone is effective in decreasing the risk of fall according to the Berg Balance Scale. x) To determine which treatment method is more effective in decreasing the risk of fall according to the Berg Balance Scale. 4. Literature review Osteoarthritis is a chronic degenerative disorder with a complex aetiology (Felson, 2000). It is characterized by focal loss of articular cartilage within synovial joints, associated with hypertrophy of bone (osteophytes and subchondral bone sclerosis) and thickening of the capsule, resulting in alterations in biomechanical properties (Woolf and Pfleger, 2003). It is a very common joint disorder, affecting mostly those above the age of 60 and can occur in any joint but is most common in the hip; knee; and the joints of the hand, foot, and spine (Symmons, Mathers and Pfleger, 2003). As many as 40% of people over the age of 65 suffering symptoms associated with knee or hip OA (Zhang et al., 2008), resulting in OA becoming the fourth leading cause of disability in the years 2000 (Symmons, Mathers and Pfleger, 2003). Although no cure exists, a number of treatment options exist to provide symptomatic relief as well as improvement of joint function. Amongst these are non-pharmacological in terventions, such as rehabilitation, manual therapies, acupuncture and electromodalities, as well as pharmacological measures such as oral medication and intra-articular injections. In severe cases, where nonsurgical interventions have failed, more invasive approaches may be needed (Scher and Pillinger, 2007). McCarthy (2004) compared the effectiveness of an at home exercise program on its own or when supplemented with a class-based exercise program. There was found to be a greater improvement in WOMAC score in the class-based exercise group (20.6%) than the at home group (8.8%). These relatively modest effects may be owed to inability of exercise to address a number of factors that prevent patients from maximising results from their exercise program. Fitzgerald (2005) identified quadriceps inhibition or activation failure, obesity, passive knee laxity, knee misalignment, fear or physical activity and self-efficacy as examples of such factors. The necessity for additional interventions to address these factors therefore becomes apparent. Tucker et al. (2003) compared the relative effectiveness of knee joint manipulation versus a non-steroidal anti-inflammatory drug (NSAID), and found manipulation to be just as effective as NSAIDs in the treatment on KOA. Fish et al., (2008) had similar results when comparing the effectiveness of knee joint mobilisation against Topical Capsaicin Cream. Capsaicin has been previously demonstrated superior to placebo in many painful disorders including knee and general osteoarthritis. Pollard, Ward, Hoskins and Hardy (2008) applied a manipulative therapy protocol, consisting of soft tissue mobilisation and an impulse thrust to the symptomatic knee joint complex. This was found to have a statistically significant improvement in knee pain, mobility, crepitus and function when compared to the control group (interferential current set at zero). Pollard et al. (2008) also noted that knee treatment had a significant improvement in hip movement of those in the intervention group compared to the control group. This may be owing to the effect that treatment to a single joint may have on the full kinetic chain (hereafter FKC). A number of studies have been conducted on various joints of the full kinetic chain of the lower extremity to determine their effect on the knee. Cliborne et al., (2004) aimed to determine the short-term effect of hip mobilization on pain and range of motion (ROM) measurement in patient with knee osteoarthritis (OA). It was demonstrated that the presence of hip pain and pain on squatting, restricted hip flexion and/or a positive scouring test predicts a better knee OA outcome. Currier et al., (2007) suggest that pain over the hip, groin or anterior thigh; limitations in passive knee flexion and internal rotation of the hip; as well as pain with hip distraction predicts a favourable short-term response to hip mobilizations. In fact it was found that, based on the presence of one variable, the probability of a successful response was 92% at 48-hour follow-up, which increased to 97% if 2 variables were present. Iverson et al., (2008) suggest that the strongest predictor of whether adjus ting the lumbopelvic spine will decrease knee pain (in patellofemoral pain syndrome) is if there is a side-to-side difference in hip internal rotation greater than 14 °. The presence of this variable increased the likelihood of a successful outcome from 45% to 80%. These studies collectively show that correcting the various dysfunctions within the kinetic chain will have a favourable effect on knee joint dysfunction. However, there has yet to be a study that seeks to improve knee osteoarthritis by treating all indicated joints in the full kinetic chain. Few studies have looked at what effect combining manipulation and rehabilitation would have in the treatment of KOA. Deyle et al., (2000) applied manual therapy to the knee as well as to the lumber spine, hip and ankle as required. Additionally patients where given to knee exercise program to perform in the clinic on treatment days and at home. WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) scores are used to detect changes in the patients perception of function and quality of life, specifically related to the disease process. In this study, there was a 55.8% improvement in the treatment group as compared to a 14.6% improvement in those patients receiving placebo (subtherapeutic ultrasound), thus proving the effectiveness of combining manipulation and rehabilitation. Using similar methodologies, Deyle et al., (2005) compared an at home versus in clinic physical therapy program. Those being treated in clinic received supervised exercise, manual therapy to the F KC and a home exercise program, while a second group received at home exercise only. Significant improvements where seen in both groups, however the clinic treatment group had an improvement in WOMAC scores of 52% and only a 26% improvement was seen in the home exercise group. The author attributed this difference between groups to the application of manual therapy to the full kinetic chain. However, the clinic group performed the exercises under supervision and where corrected where necessary while the home group were largely unsupervised and may have performed the exercises incorrectly as a result, thus decreasing the benefit such exercises would have. One should therefore not consider the difference in group performance to be solely due to the addition of manual therapy. To date there is no study which compares the effect of manual therapy alone versus the above mentioned treatment combinations. Therefore there is a need for a study to determine whether FKC manual therapy combined with a standardised rehabilitation program is more effective than either intervention alone in the treatment of osteoarthritis of the knee. 5. Research Methodology Design type: Quantitative comparative clinical trial conducted at the Durban University of Technology Chiropractic Day Clinic (hereafter DUT CDC). Advertising: [Appendix A] Old age homes and retirement villages throughout the greater Durban region will be approached, as well as advertisements placed on notice boards of DUT, community halls, shopping centres and places of worship. Sampling procedure: A sample size of 60 (n=60) will be selected by means of convenience sampling (Brink, 2006). Those individuals responding to the advertisements will be screened and accepted based on the inclusion and exclusion criteria. Telephonic interview: Patients are required to contact the DUT CDC telephonically to determine whether they meet the requirements of the study. This will be determined by asking the patient the following questions; * Are you between the ages of 38 and 80? * Have you had knee pain for longer than 1 year? * Do you have a history of trauma or surgery to the lumbar spine or lower limb? * Are you able to stand and walk on your own, with minimal need and/or without significant dependence on canes and walkers? * Do you suffer from a chronic medical condition that would require you to take regular medication? * Would you be prepared to have radiographs taken of your lower limb? If the patient meets the criteria for the study, a consultation will be made, at which they will be presented with a letter of information and informed consent form [Appendix B], which they will be required to sign. The following inclusion and exclusion criteria will be assess using a case history [Appendix C]; physical exam [Appendix D]; lumbar and pelvis [Appendix E]; hip [Appendix F]; knee[Appendix G] and; ankle and foot [Appendix H] regional examinations. Inclusion Criteria: A. Criteria, as developed by Altman (1991), requires a minimum of one of the first three clinical criteria below (#1, 2 or 3) for diagnosis of KOA (sensitivity 89 % and specificity 88%). 1. Knee pain and crepitus with active motion and morning stiffness ≠¤ 30 min (with age 38 ≠¤ 80 years of age). 2. Knee pain and crepitus with active motion and morning stiffness >30 minutes and bony enlargement (with age 38 ≠¤ 80 years of age). 3. Knee pain and no crepitus and bony enlargement (with age 38 ≠¤ 80 years of age). B. The following 4 criteria are all required: 4. Knee pain of ≠¥ 1 year duration and able to stand and walk without severe varus/valgus deformity and/or severe instability (Kellgren and Lawrence, 1957). 5. Diagnosis of concurrent subluxation/or joint dysfunction (S/JD) complex: a. Diagnosis of S/JD will be supported throughout using the PART(S) system. 6. A patient must have a score of ≠¥720 mm (≠¥30%) on the WOMAC scale to be included (Tubach et al., 2005). 7. No history of meniscal or other knee surgery in the past 6 months (Pollard et al., 2008). 8. A diary will be kept to monitor whether medication consumption is increased, decreased or stays the same. Exclusion Criteria: 1. Significant visual disorders, severe vestibular disorders, neurological and peripheral sensory disorders which may be a contra-indication to exercise 2. History of knee or hip joint replacement, severe varus or valgus deformity, instability, fracture and severe osteoporosis, Rheumatoid arthritis, or frank avascular necrosis with or without moderate or severe deformity, 3. History of significant lumbar herniated disc injury with sequela, 4. Severe balance and proprioception problems (i.e. inability to stand with and/or without marked spinal or hip deformity) 5. Symptoms of moderate to severe osteoarthritis in both knees and/or hips: Note: both knees can be treated if there is KOA or joint dysfunction in the opposite knee and otherwise no other severe complications as noted above. However, only data collected from the worst knee will be used for the purpose of the study. 6. Long term chronicity combined with multiple treatment failure especially multiple failure with previous physical treatment (≠¥ 3), with and/or long term severe pain, and/or a severely complicated or complex disorder (such as multiple co-morbidities combined with KOA such as a mix of: knee, hip and lumbosacral OA, and/or cardiovascular and/or auto-immune disease), or a severely disabled and/or a patient with severe and decreased functional ability and/or a severe clinical depression, may lead on a case by case basis, to exclusion. A basic guide for #6 to be used on a case by case basis: I. Pain: The patient gives a history that can be interpreted as having stayed constantly or chronically at a high level of an estimated verbal analogue score (VAS) of ≠¥ 7 or WOMAC score of 1680-1920mm (70-80%) (out of a maximum worst score of 2400mm) for 3 to 5 years or longer. II. Complicated or complex: 3 or more disorders at one time in the same patient (with KOA) as listed from #1-5 above. III. Severely disabled: dependent on a cane, brace or walker 75 to 100% of the time when ambulating; severe cardiovascular disease; severe instability in the knee or other joints or possibly less than, or markedly less than half the normal ROM. IV. Clinically depressed: determined by history and use the Beck Depression Inventory (BDI). The BDI has been validated for measuring depression in clinical and nonclinical settings (Beck et al., 1961). Radiological analysis: Although diagnosis of KOA will be made primarily through clinical examination, knee x-rays will be taken on patients who qualify and consent to participate in the clinical trial. The purpose is to determine the grade of osteoarthritic change (according to the Kellgren-Lawrence scale (reference)), to confirm suspicions of contra-indications to treatment, or to rule out a pathology outside of OA. Additionally, the subjects history and physical examination may indicate the need for lumbosacral/pelvic, hip, ankle and/or foot x-rays (see exclusion criteria below). Procedure: Time Baseline 2 weeks 4 weeks 6 weeks 1 week F/U 1 month F/U # Rx 2 2 2 Outcome measurement WOMAC ROM BBS BDI WOMAC OTE ROM BBS BDI WOMAC OTE ROM BBS BDI Once accepted into the study, patients will be randomly allocated into 3 (three) groups using a randomised allocation chart (reference). Interventions: Group A will be treated with only manipulative therapy of the FKC. Group B will be treated with only rehabilitation of the FKC. Group C will be treated with manipulative therapy combined with rehabilitation of the FKC. Manipulative therapy: [Appendix I] FKC manipulative therapy (manipulative therapy to the knee, and any indicated axial or appendicular joint dysfunction, such as to the spine, hip, ankle, and foot) for KOA has been hypothesized as superior to localised manipulative therapy (Deyle et al., 2005). Treatment will focus on carefully restoring knee flexion and extension by lesser grades of mobilization as recommended by Deyle et al., (2005) and Fish et al., (2008), and patellar mobilization as per Pollard et al., (2008), along with careful high velocity low amplitude axial elongation of the knee joint as per Fish et al., (2008). Additionally, manipulative therapy will be applied where needed to the full kinetic chain using other diversified techniques, such as HVLA manipulation or mobilization as outlined in Shafer and Faye (1990), and/or Peterson and Bergman (2002). Also, the hip technique, as outlined by Hoeksma et al., (2004) and the use of HVLA knee manipulation methods from Tucker et al., (2005) will also be utilized when indicated. The particular joint dysfunction also known as the subluxation complex or manipulable lesion will be chosen based upon findings in the regional examinations. Rehabilitation: [Appendix J] Rehabilitative therapy will include exercises, focused soft tissue treatment and stretch to the knee and elsewhere along the full kinetic chain where needed based upon functional assessment (Deyle et al., 2005). Also included in rehabilitation will be patient advice, education and home exercise recommendations for managing their KOA. The rehabilitation protocol will be standardised across groups B and C, with minor case by case variations. Intervention frequency: All patient will receive: 6 treatments in the first three (3) weeks (2x treatments/week). Training in a rehabilitation program, to be completed daily. Regular telephonic communication (every 1-2 weeks) following the completion of the 6th treatment. All groups will be required to return to the clinic no more than one (1) week after the 6th treatment and at the one (1) month follow up to have readings taken. Measurement Tools: All data will be collected previsit 1, no more than 1 week after 6th treatment and at 1 month follow up, with the exception of OTE which will not be collected at previsit 1. Subjective data will b obtained by means of; Beck Depression Inventory [Appendix K] The McMaster Overall Therapy Effectiveness (OTE) Tool [Appendix L] will be used to assess patient satisfaction and general improvement. o The OTE is a valid and reliable questionnaire that allows the patient to classify the change in their health status: whether their KOA symptoms, or overall quality of life has improved, remained the same, or worsened since the last visit (Chan et al., 2006) The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [Appendix M] detects change in function and quality of life in patients suffering from KOA using multiple questions with the visual analogy scale (VAS). o The WOMAC is valid and reliable for KOA, and has a long history of being broadly and frequently utilized to assess knee and hip OA, thus allowing comparison to a large number of studies and trials (Bellamy et al., 1988). Berg Balance Scale (BBS) questionnaire [Appendix N] is a predictor of fall risk and will be delivered if the one legged standing test is failed (Hawk et al., 2006)). KOA patients who are +ve for the Berg Balance Scale (BBS) will be monitored as a subgroup (with a + OLST and BBS) at all clinic assessments Objective data will be obtained by means of: Inclinometer [Appendix O] readings for knee flexion and extension only to evaluate the patients range of motion (ROM) (reference). Statistics: The latest version of SPSS will be used to analyse the data. 6. Plan of Research Activities Provide a summarised work plan for each year of the project giving information for each research activity per year, under the following headings: Activity Timeframes (target dates for the duration of the project) 7. Structure of Dissertation / Thesis Chapters 1. Introduction 2. Review of the related literature 3. Subjects and methods 4. Results 5. Discussion 6. Recommendations and conclusions 7. References 8. Potential Outputs  § Provide details on envisaged measurable outputs (e.g. publications, patents, students, etc.);  § Expected national and/or international acclaim for the research and contribution of research outputs to building the knowledge base;  § Exploitability of outputs, e.g. applicability to community development, improved products, processes, services in SA, region and/or continent;  § Expected effects of research results. 9. Key References Brink, H. 2006. Fundamentals of research methodologies for health care professional. 2nd edition. Juta and co. Cape Town. Cliborne, A., Wainner, R., Rhon, D., Judd, C., Fee, T., Matekel, R., and Whiteman, J. 2004. Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization. Journal of Orthopaedic Sports Physical Therapy, November; 34(11): 676-685. Currier, L., Froehlich, P., Carow, S., McAndrew, R., Cliborne, A, Boyles, R., Mansfield, L., and Wainner, R. 2007. Development of a clinical prediction rule to identify patients with knee pain and clinical evidence of knee osteoarthritis who demonstrate a favourable short-term response to hip mobilization. Physical Therapy, September; 87(9): 1106-1119. Deyle, G., Allison, S., Matekel, R., Ryder, M., Stang, J., Gohdes,D., Hutton, J., Henderson, N., and Garber, M. 2005. Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee: A Randomised Comparison of Supervised Clinical Exercise and Manual Therapy Procedures versus a Home Exercise Program. Physical Therapy, 85(12): 1301-1317. Deyle, G., Henderson, N., Matekel, R., Ryder, M., Garber, M., and Allison, S. 2000. Effectiveness of Manual Physical Therapies and Exercise in Osteoarthritis of the Knee. Annals of Internal Medicine, 132(3): 173-181. Felson, D. 2000.Osteoarthritis: New Insights Part 2: Treatment Approaches. In: National Iinstitute of Health Conference, Annals of Internal Medicine; 133: 726-737. Hawk, C., Hyland, J.K., Rupert, R., Colonvega, M. and Hall, S. 2006. Assessment of balance and risk for falls in a sample of community-dwelling adults aged 65 and older. Chiropractic and Osteopathy, 14(3). Haynes, S. and Gemmell, H. 2007. Topical treatments for osteoarthritis of the knee. Clinical Chiropractic; 10: 126-138. Iverson. C., Sutlive, T., Crowell, M., Morrell, R., Perkins, M., Garber, M., Moore, J., and Wainner, R. 2008. Lumbopelvic manipulation for the treatment of patients with patellofemoral pain syndrome: development of a clinical prediction rule. Journal of Orthopaedic Sports Physical Therapy, June; 38(6): 297-312. McCarthy, C., Mills, P., Pullen, R., Roberts, C., Silman, A., and Oldman, J. 2004. Supplementing a home exercise programme with a class-based exercise programme is more effective than home exercise alone in the treatment of knee osteoarthritis. Rheumatology; 43: 880-886. Pollard, H., Ward, G., Hoskins, W. and Hardy, K. 2008. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. Journal of the Canadian Chiropractic Association, December; 52(4): 229-242. Symmons D, Mathers C, Pfleger B. 2003. Global burden of osteoarthritis in the year 2000 [online]. Geneva: World Health Organization. Available at: URL: http://www3.who.int/whosis/menu.cfm?path=evidence,burden,burden_gbd2000docslanguage=english Tucker, M., Brantingham, J., Myburg, C. 2003. Relative effectiveness of a non-steroidal anti-inflammatory medication (Meloxicam) versus manipulation in the treatment of osteo-arthritis of the knee. European Journal of Chiropractic, 50: 163-183. Woolf, A.D. and Pfleger, B. 2003. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization, 81 (9). Zhang, W., Moskowitz, R. W., Nuki, G., Abramson, S., Altman, R. D., Arden, N., Bierma-Zeinstra, S., Brandt, K. D., Croft, P., Doherty, M., Dougados, M., Hochberg, M., Hunter, D. J., Kwoh, K., Lohmander, L. S. and Tugwell, P. 2008. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage, 16:137-162. Appendix L The McMaster Overall Therapy Effectiveness (OTE) Tool (for general improvement and patient satisfaction) Patient No.â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’ Visit No. Page No. . Overall Treatment Evaluation KOA We would like to find out if there are any changes in the way you have been feeling since treatment started: after 6 treatments, and also at the 1st week and 1st month follow ups. Since treatment started, has there been any change in your ACTIVITY LIMITATION, SYMPTOMS AND/OR FEELINGS related to your knee osteoarthritis? Please indicate if there has been any change by checking ONE of the three boxes below (Better/About the same/Worse): Better About the Same Worse ⇓ ⇓ If you have checked ABOUT THE SAME, ⇓ Please stop here. ⇓ If you have checked the box If you have checked the box BETTER: WORSE: How much BETTER would you say How much WORSE would you say your ACTIVITY LIMITATION, your ACTIVITY LIMITATION, SYMPTOMS AND/OR FEELINGS SYMPTOMS AND/OR FEELINGS have been since treatment started? Have been since treatment started? Please choose ONE of the options Please choose ONE of the options below: below: Almost the same, hardly better at all Almost the same, hardly worse at all A little better A little worse Somewhat better Somewhat worse Moderately better Moderately worse A good deal better A good deal worse A great deal better A great deal worse A very great deal better A very great deal worse Patient No.â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’â‚ ¬Ã…’ Visit No. Page No. . Overall Treatment Effect CHF, continued Answer the following question whether or not you answered BETTER or WORSE and what your response was. Note if you have improved, the change will be important since you likely will be able to carry out your responsibilities with greater ease and comfort compared to before the study. If on the other hand you are worse, then you will have more difficulty carrying out your responsibilities; this will also be important for you as you have more difficulty with your activities. Is this change (BETTER/WORSE) important to you in carrying out your daily activities? Not important Slightly important Somewhat important Moderately important Important Very important Extremely important THANKS FOR YOUR COOPERATION! Description of scales and how they will be assessed: * Pages one and two are graded separately. * Page one is graded on a 15 point scale. Scored from +7 to -7 * If the answer to the first question is Better then you have a + integer * If the answer to the first question is About the Same the score is 0 * If the answer to the first question is Worse then you have a integer * With a + or integer, the answers below the better or worse response are numbered sequentially from top to bottom. Almost the same, hardly better is a 1 and A very great deal better is a 7. * Page two is graded on a 7 point scale. Scored from 1 to 7 * The answers are numbered sequentially from top to bottom. Not important is a 1 and Extremely important is a 7 Later we will dichotomize the scores on page one between scores > 1 (improved) and Appendix M The WOMAC Western Ontario and McMaster Universities osteoarthritis index KNEE OSTEOARTHRITIS Name:_________________________________________________ Date:___/___/______DOB:___/___/_____ In Sections A, B and C questions will be asked in the following format and you should give your answers by putting a straight vertical (up-and-down) mark on the horizontal line. Note: 1. If make a straight vertical (up-and-down) mark on the line, at the left-hand end of the line, i.e. NO PAIN EXTREME PAIN Then you are indicating that you have no pain. Note: 2. If make a straight vertical (up-and-down) mark on the line, at the Right-hand end of the line, i.e. NO PAIN EXTREME PAIN Then you are indicating that you have extreme pain. 3. Please Note: a) that the further to the right-hand end you place your straight vertical (up-and-down) mark on the line, the more pain you are experiencing b) that the further to the left-hand end you place your straight vertical (up-and-down) mark on the line, the less pain you are experiencing c) Please do not place your straight vertical (up-and-down) mark on the line outside the markers. You will be asked to indicate on this type of scale the amount of pain, s

Cyrano De Bergerac :: Cyrano De Bergerac Essays

Cyrano de Bergerac   Ã‚  Ã‚  Ã‚  Ã‚  Every generation has its own heroes that display what they believe to be idealcharacteristics. While each is different in their own way, many of these role models share similarqualities. Most tend to have courage, strength, compassion, or another respected trait, but this isnot necessarily why they win the adoration of their followers. Cyrano de Bergerac is a perfect and ideal “chevalier servant';, or to put it in simple terms, a perfect example of how many protagonistswin our allegiance because his sensibilities will not be denied. Mainly because he lives life to thefullest, and because he is a victim of his surroundings.If there ever was a figure in this book who would be the ideal “chevalier servant';, it isCyrano. When lovers admit, “I’d die for you';, it is usually taken as a figure of speech. Cyranoactually crossed over enemy lines every day simply to mail love letters. He also confessed toRoxane, “My mother made it clear that s he didn’t find me pleasant to look at. I had no sisters.Later, I dreaded the thought of seeing mockery in the eyes of a mistress. Thanks to you, I’ve atleast had a woman’s friendship, a gracious presence to soften the harsh loneliness of my life.';When he then admits, “My heart always timidly hides its self behind my mind';, the reader can instantly relate to this dilemma but it is the fact that Cyrano is able to overcome it, then thatmakes him the ideal “chevalier servant';.Not only is Cyrano filled with emotion, but he also goes out of his way to live life to the fullest. Cyrano’s introduction to the reader definitely leaves a lasting impression. Not only does he banish an actor from the theater for performing poorly, but he proceeds to recite poetry while dueling with another member of the audience. Every moment of Cyrano’s life is filled with action like this. When he was informed that one hundred men were going to try and kill his frien d, Ligniere, he was trilled with the idea of fighting all these men at once, and, of course, he succeeded. How could anyone not love this man who takes “Carpe Diem'; to its most extreme form? Also, Cyrano is a victim of his surroundings. This may be the one characteristic that completely wins over the reader. Cyrano’s most obvious flaw is his grotesque nose, but this would not be so awful if the people around him didn’t care.

The Federal Court System :: essays research papers

The Federal Court System Chapter 18 Sections 3 and 4 I.  Ã‚  Ã‚  Ã‚  Ã‚  The Supreme Court A.  Ã‚  Ã‚  Ã‚  Ã‚  The supreme court of the United States is the only court specifically created in the constitution a.  Ã‚  Ã‚  Ã‚  Ã‚  Chief Justice of the United States b.  Ã‚  Ã‚  Ã‚  Ã‚  Eight associate justices II.  Ã‚  Ã‚  Ã‚  Ã‚  Judicial Review A.  Ã‚  Ã‚  Ã‚  Ã‚  1st asserted its power of judicial review in the classic case of Marbury vs. Madison in 1803 a.  Ã‚  Ã‚  Ã‚  Ã‚  aftermath of the stormy election of 1800 b.  Ã‚  Ã‚  Ã‚  Ã‚  Provision of the Judicial Act of 1789, in which congress had created the federal court system. Law gave the Supreme Court the right to hear such suits in its original jurisdiction (not on appeal from a lower court). 1.  Ã‚  Ã‚  Ã‚  Ã‚  Court Refused Request B.  Ã‚  Ã‚  Ã‚  Ã‚  Marshall’s powerful opinion a.  Ã‚  Ã‚  Ã‚  Ã‚  The constitution is, by its own terms, the supreme law of the land b.  Ã‚  Ã‚  Ã‚  Ã‚  All legislative enactments, and all other actions of the government, are subordinate to and cannot be allowed to conflict with the supreme law c.  Ã‚  Ã‚  Ã‚  Ã‚  Judges are sworn to enforce the provisions of the Constitution and therefore must refuse to enforce any governmental action they find to be in conflict with it III.  Ã‚  Ã‚  Ã‚  Ã‚  Jurisdiction A.  Ã‚  Ã‚  Ã‚  Ã‚  Original and appellate jurisdiction a.  Ã‚  Ã‚  Ã‚  Ã‚  from lower federal courts and from the highest State courts b.  Ã‚  Ã‚  Ã‚  Ã‚  Article III, Section 2 of the Constitution spells out two classes of cases that may be heard by the High Court in its original jurisdiction 1.  Ã‚  Ã‚  Ã‚  Ã‚  those to which a State is a party 2.  Ã‚  Ã‚  Ã‚  Ã‚  those affecting ambassadors, other public ministers, and councils B.  Ã‚  Ã‚  Ã‚  Ã‚  Congress can implement the constitutional provision A.  Ã‚  Ã‚  Ã‚  Ã‚  The Court shall have the original and exclusive jurisdiction over 1.  Ã‚  Ã‚  Ã‚  Ã‚  all controversies between two or more States 2.  Ã‚  Ã‚  Ã‚  Ã‚  all cases brought against ambassadors or other public ministers, but not consuls IV.  Ã‚  Ã‚  Ã‚  Ã‚  How cases Reach the Court A.  Ã‚  Ã‚  Ã‚  Ã‚  6,000 cases are now appealed to the Supreme Court each year. Of these, the Court accepts only a few hundred for decision. 1.  Ã‚  Ã‚  Ã‚  Ã‚  Chosen according to â€Å"the rule of four†: at least four of its nine justices must agree that a case should be put on the Court’s docket. B.  Ã‚  Ã‚  Ã‚  Ã‚  Most cases reach the supreme Court by writ of certiorari 1.  Ã‚  Ã‚  Ã‚  Ã‚  an order by the Court directing a lower court to send up the record in a given case for review 2.  Ã‚  Ã‚  Ã‚  Ã‚  Either party can petition the Court to issue a writ 3.  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Cert† is granted in only a limited number of instances – typically, only when a petition raises some important constitutional question or a serious problem of statutory interpretation. 4.  Ã‚  Ã‚  Ã‚  Ã‚  When certiorari is denied, the decision of the lower court stands in that particular case. a.  Ã‚  Ã‚  Ã‚  Ã‚  All the denial means is that, for whatever reason, four or more justices could not agree that the Supreme Court should accept that case for review C.  Ã‚  Ã‚  Ã‚  Ã‚  Few cases do reach the Court in yet another way, by certificate.

Abortion Restrictions And Abortion Rates: Has State Abortion Policy Been Successful? Essay

Termination of a pregnancy before its due date, by use of medical methods is referred to as abortion. The aim of abortion is to prevent the baby from being born. There are various reasons that might trigger a person to terminate a pregnancy. First, the health of the mother may be at risk as a result of the pregnancy. Secondly, the mother may not be in a position to take care of the unborn child due to various reasons such as economic situation, security or other person reasons. Over the years, abortion has been tagged illegal and immoral especially by contemporary religions. Abortion is not wrong provided the person doing it has enough reasons to warrant that course of action. First, the liberation of women from gender bondage allows them to enjoy autonomous capability to make decisions concerning their lives. In the past male dominated era, women were not allowed to make vital decisions such as end pregnancies. However, women should now be allowed to carry out abortion because they possess the reproductive control over their wombs (Berlatsky 45). A woman has a right to determine her own future and decide whether it is safe to have children or not. Furthermore, women can now contribute to the economic, political and social life of a nation, making them also capable of controlling their own choices reproductive wise. The notion of determining the outcome of a woman’s fate in regard to either having a baby or not, is mandatory to gender discrimination (Berlatsky 30). Women now have the right to choose the course of their lives and consequently, have the right to choose whether to have children or not. Secondly, abortions prevent fatalities that could occur in case of complication with the pregnancy, illness of the mother or infants with noticeable abnormalities. Technology now can determine the health of the baby before he or she is born. In addition, some women may develop complications that may risk the life of either the mother or the child during the pregnancy period, or at birth. Since these problems are determined early, abortions can be the safest solution to avoid either risking the lives of the child and mother, or delivering a baby with visible abnormalities. According to Pritchard, some disorders are fatal enough to end the life of the baby shortly after birth (43). Once determined, it is imperative to end the pregnancy in order to avoid further suffering of both the child and the mother. Also, ending the pregnancy of such a child helps the family to save of medical expenses and avoid emotions trauma that could have affected them if the child would have been born. Some of the disorders that can be determined early are Down syndrome and anencephaly. Third, modern abortion techniques and equipment prevent complications and deaths that may occur during illegal abortions. Oakley noted that preventing abortion from taking place does not actually work (473). Illegalizing abortion encourages illegal and unsafe abortion practices that may cause unimaginable damage both physically and emotionally. According to Pritchard (43), desperate women induce abortions remotely without the help of professional practitioners. According to the study by Oakley, illegal abortions cause more than 70000 deaths globally annually. In another study, Oakley found out that use of modern equipment to carry out abortions reduces the risk of mortality (475). In addition, he found out that women are more at risk while giving birth than while carrying out an abortion. Moreover, Berlatsky (49) noted that pregnant related complications are higher during child birth than they are during abortion. In this, it is evident that abortion deaths occur only when the people in question do not perform the procedure using modern equipments. So, allowing abortion to be practiced legally will enable women to avoid side effects of abortion related complications such as cancer, mental health issues and infertility. In conclusion, it is imperative to note that there are various reasons that might trigger a person to terminate a pregnancy. A person can terminate their pregnancy due to personal reasons, or the health of the mother may be at risk as a result of the pregnancy. First, women should now be allowed to carry out abortion because they possess the reproductive control over their wombs. A woman has a right to determine her own future and decide whether it is safe to have children or not. Moreover, women can now contribute to the economic, political and social life of a nation, making them also capable of controlling their own choices. Secondly, technology now can determine the health of the baby before he or she is born. Additionally, some women may develop complications that may risk the life of either the mother or the child during the pregnancy period, or at birth. However, abortions prevent fatalities that could occur in case of complication with the pregnancy, illness of the mother or infants with noticeable abnormalities. Finally, modern abortion techniques and equipment prevent complications and deaths that may occur during illegal abortions. References Berlatsky, Noah. Abortion. Detroit, MI: Greenhaven Press, 2011. Oakley, Maureen Rand. â€Å"Abortion Restrictions And Abortion Rates: Has State Abortion Policy Been Successful?† Politics & Policy: 472-87. Pritchard, A., and S. K. Parsons. â€Å"The Effects of State Abortion Policies on States’ Abortion Rates.† State and Local Government Review: 43-52. Source document