Handwashing Related Literature

There are grave consequences when people do not wash their hands or wash them improperly. It is known that hands are the main media for contaminants getting to people, whether the infections are airborne, oral or tactile. Infectious diseases that are commonly spread through hand to hand contact include the common cold, and several gastrointestinal disorders such as diarrhoea (WaterAid, 2006). Human hands usually harbour microorganisms both as part of a person’snormal microbial flora as well as transient microbes acquired from the environment (Lindberg et al, 2004).According to Kartha (200! ), many people consider handwashing a waste of time. However, they are unaware that hands are hosts to many bacteria and viruses that can cause infectious diseases. Every human being comes in contact with germs and bacteria in their daily life. These harmful microorganisms are present all around – on door knobs, faucets, light switches, tables, and railings. People touch these things during the day while doing their routine work without much thought, and then touch their face, eyes, nose, and sometimes eat food too.Through these acts, the microorganisms get into the body, causing several diseases. People, who are careless at washing hands, risk catching flu, or cold, or any gastrointestinal illness (Kartha, 2001). Mayo Clinic (2009) also asserted that as people touch one another, surfaces and objects throughout the day, they accumulate germs on their hands. In turn, they can infect themselves with these germs by touching their eyes, nose or mouth. Hands serve as vectors transmitting pathogens to foodstuffs and drinks and to the mouths of susceptible hosts (Huttly, 1997).Many food borne diseases and pathogenic microorganisms are spread by contaminated hands. If pathogens from human faeces enter a person’s mouth, they will cause diarrhoea. School going children are exposed to greater risks of diarrhoeal disease by consuming contaminated water and food (Dasg upta, 2005). Students in schools or colleges are more likely to take meal and water without washing hands and may be exposed to risk of infection (Tambekar et al, 2007). If proper treatment is not given, this can prove fatal, particularly to children (WHO, 2006).In Ghana, funeral celebrations are very important social functions at which hundreds of people gather. From experience, one important activity during such gatherings is handshaking. Indeed, it is considered offensive and disrespectful for cultural values when one does not proffer his hand for shaking. It is however unfortunate that when people are served snacks and food during such occasions, handwashing facilities are not made available. People therefore eat with unwashed hands.The advent of some serious gastrointestinal illnesses (for example, cholera) had been traced to such gatherings. Handwashing defined Handwashing is defined as the act of cleansing the hands with water or other liquid, with or without the inclusion of soap or other detergent, for the purpose of removing soil or microorganisms (Biology-online, 2011; Medconditions, 2011). 2. 6. 1 Attitudes of handwashing Handwashing has been an age old practice globally. It is carried out for varied reasons, including religious, cultural, health and moral reasons.Attitudes towards handwashing are very important. They go a long way to determine the practice of handwashing and its effect on health. In a study by Hoque et al (1995), 90 women from randomly selected households in rural Bangladesh were observed washing their hands after defaecation. Thirty-eight percent of the women used mud, 2% used ash, 19% used soap, and 41% used water only without a rubbing agent. A total of 44% of women washed both hands, while 56% washed only their left hands.About 78% of the women dried or wiped their hand on their clothes and the rest let them air dry. According to SHEWA-B (2007), in Bangladesh (and in some regions of the sub-continent), observations on handwash ing practices identified that handwashing with water alone before food preparation and eating was quite common (47 – 76%), but washing hands with soap or ash was observed =2% of the time. Washing of both hands with soap or ash was more common after defaecation (17 – 18 %), after cleaning a child’s anus (22 – 24%) or after handling cow dung (12 – 20%).Findings also showed that availability of handwashing materials such as soap, ash or mud at the site of handwashing was low, with approximately 30%, and =1% of households having the specified material. Water availability was high. Hand drying was observed to take place before preparing food, after defaecation, after eating and before serving food. A high proportion of females did not dry their hands after handwashing. A staggering one out of three Americans skips handwashing after going to the bathroom.Only 30% of people who have coughed or sneezed into their hands wash their hands afterwards. Kids are even worse. In a survey of junior high and high school boys and girls, only 58% of girls and 48% of boys washed up after using the rest room (Wisegeek. com, 2011). Worldwide rates of handwashing with soap are very low. While many wash their hands with water, only a small percent use soap at critical times. In Ghana, for example, the rates for handwashing with soap after defaecation is 3% and after cleaning up a child is also 3% each (PPPHW, 2010). 2. 6. Economic considerations Efforts to modify human behaviour are complex. People can only expect to be successful if there is an understanding of what motivates, facilitates, and hinders adequate handwashing behaviour (Curtis et al, 1997; O’Boyle et al, 2001). Curtis et al (2001) noted that modern methods of promoting handwashing can be effective and cost-effective on a large scale. Studies suggest that soap is widely available, even in poor households in developing countries, although it is mostly used for bathing and washing c lothes (Borghi et al, 2002).In rural India and Bangladesh, soap is often considered a beautifying agent or for the physical feeling of cleanliness which it gives, rather than being associated with the removal of microorganisms or health benefits (Hoque and Briend, 1991; Hoque et al, 1995). In low income communities, soil, mud or ash may be used as a zero cost alternative to soap for handwashing (Zeitlyn and Islam, 1991). Hoque et al (1995) again reported that altogether, 81% of non-soap users stated that they might use soap, but were unable to afford it. Critical times for handwashingA defensive strategy is important when trying to avoid infecting oneself with an illness lying in wait (Wisegeek. com, 2011). According to Mayo Clinic (2009), frequent handwashing is one of the best ways to avoid getting sick and spreading illness. Although it is impossible to keep hands germ-free, washing hands frequently can help limit the transfer of bacteria, viruses and other microbes. It is possib le that people do not wash their hands as often as they should. Handwashing prevents both diarrhoea and respiratory infections effectively whendone properly and at critical times.The critical times must be observed and conscious efforts made to clean hands at such times. A number of sources (Mayo Clinic, 2009; ASH, 2011, All Family Resources, 1999 and CDC, 2010) agree on a number of critical times when hands must be washed. The critical times include: ? Before preparing food; ? Before eating; ? Before treating wounds or giving medicine; ? Before touching a sick or injured person; ? Before inserting or removing contact lenses; ? After preparing food, especially raw meat or poultry; ? After using the toilet/bathroom; ? After changing a diaper; After touching an animal, or animal toys, leashes or waste; ? After blowing your nose, coughing or sneezing into your hands; ? After touching a sick or injured person; ?After handling garbage or something that could be contaminated, such as a cl eaning cloth or soiled shoes; ? Whenever hands look dirty. Some include also washing hands after handling money (ASH, 2011), before going home, immediately one gets home, on arrival at the workplace (All Family Resources, 1999), after combing hair (USDA, 2011) and after smoking (Earth’s kids, 2011). . 6. 4 Process of handwashing Though people know the importance of handwashing, not many know how to do it properly. Handwashing does not mean just running water over your palms. It has to be done very carefully and in detail (Kartha, 2001). Mayo Clinic (2009) suggests the following steps: ? Wet hands with (running) water; ?Apply cleansing agent; ? Lather well; ? Rub hands vigorously for at least 10 to 20 seconds, remembering to scrub all surfaces, including the backs of hands, wrists, between fingers and under fingernails; ? Rinse well; Dry hands with a clean or disposable towel or dryer. The above steps have been advocated by several sources as well. These include ASH (2011); Al l Family Resources (1999); CDC (2010); Kartha (2001); Wisegeek. com (2011) and Gavin (2011). 2. 6. 5 Correct length of time Equally important is the length of time that hands are to be washed. The key is to lather up hands and rub vigorously for at least 15 to 20 seconds. Some suggest singing ‘Happy Birthday’ or the ABCs to keep a child washing hands for the correct amount of time (Wisegeek. com, 2011).Earth’s Kids (2011) suggested that children sing a fun song while washing hands to mark the time of 15 – 20 seconds, so that they know how long they wash. Gavin ((2011) said to use soap and lather up for 20 seconds. Mayo Clinic (2009) noted that wet, soapy hands should be rubbed together outside the stream of running water for at least 20 seconds. CDC (2010) suggested scrubbing hands for 20 seconds, and while singing ‘Happy Birthday’ twice to get to 20 seconds. PPPHW (2008) also suggested singing any local fun song that would make up to 20 secon ds while hands are being rubbed together after applying cleansing agent.According to ASH (2011), hands must be rubbed together for at least 10 seconds while singing ‘Happy Birthday’ once for a perfect length of time. Rub hands vigorously until a soapy lather appears and continue for at least 15 seconds (All Family Resources, 1999). Mohave County Information Technology (2001) also recommends rubbing hands briskly for at least 20 seconds. From the foregone discussions it can be seen that rubbing hands together vigorously for anytime between 10 to 20 seconds or more should be adequate for pathogen reduction on the hands. Quantity of water needed for rinsing handsAccessible and plentiful water has been shown to encourage better hygiene, particularly handwashing (Curtis and Cairncross, 2000). Also, interventions to improve water quality at the source along with treatment of household water and safe storage systems have been shown to reduce diarrhoea incidence by as much as 4 7% (WHO, 2008). Hoque et al (1995), in a study, observed that as many as 74% of the 90 women rinsed their hands with 0. 7 litre of water or less. They however recommend that rinsing with 2 litres of clean water was protective, although such volumes may be difficult tosustain in the absence of on-plot access to water.Since pathogens removed during handrubbing have to be rinsed away, there must be a reasonable flow of water (Standard Operating Procedures, 1997). Mayo Clinic (2009) suggested the use of running water for rinsing hands. Water scarcity has an impact on hygiene practices such as handwashing. It could lead to person-to-person transmission due to inadequate personal and domestic hygiene. Water scarcity can therefore result in faecal-oral, skin and eye infections (Cairncross, 2011). Temperature of waterContrary to popular belief, scientific studies by Michaels et al (2002), and Laestadius and Dimberg (2005), have shown that using warm water has no effect on reducing the micro bial load on hands. Hot water that is comfortable for washing hands is not hot enough to kill bacteria. Microorganisms proliferate much faster at body temperature (37 degrees C). However, warm, soapy water is more effective than cold, soapy water at removing the natural oils which hold soils and bacteria (US Food and Drugs Administration, 2006). All Family Resources (1999) indicated that warm water should always be used for handwashing.ASH (2011), Kartha (2001), Wisegeek. com (2011) and Gavin (2011) also suggested the use of warm water for handwashing. CDC (2010) said that clean running water that was warm or cold could be used. The temperature of water has not been shown to be important in handwashing (Standard Operating Procedures, 1997). Efficacy of cleansing agents in microbial reduction Esrey et al (1991) have suggested that reducing the rate of pathogen ingestion causes the incidence of severe infections to begin to fall before that of mild ones. The reduction in the severity of infection is the ultimate purpose of handwashing.Therefore microbial reduction on hands would reduce the ingestion of pathogens since the hands have been proved to be the main transport route for gastrointestinal diseases, respiratory tract infections, skin infections (eg. impetigo) as well as eye infections (eg. conjunctivitis). This makes the agent employed in handwashing a necessary factor. Water only Pure water has a pH of seven, which makes it neutral. It is also known as a universal solvent. A number of studies (Cairncross, 1993; Ghosh et al, 1995; Khan, 1982; Oo et al, 2000) suggested that handwashing with water only provides little or no benefit.The application of water alone is inefficient for cleaning skin because water is often unable to remove fats, oils and proteins, which are components of organic soil (Standard Operating Procedure, 1997). Kalanke (Mali) (2011) noted that handwashing with water alone does not remove many germs. Hoque and Briend (1991), on the contra ry, showed that whilst less effective than when using a rubbing agent such as soap, mud or ash, some reductions in contamination were found when washing with water alone.Data on the effectiveness of handwashing with soap-based formulations, compared with water alone, in the removal of bacteria and viruses (Ansari et al, 1989; Mbithi et al, 1993) suggest that, in most (but not all) cases, liquid soap-based formulations were more effective than water only. However, the authors concluded that the differences were not statistically significant. Ash Hoque and Briend (1991) indicated that the use of alternative rubbing agents (mud or ash) provided the same benefits as soap.Again, Hoque et al (1995) also found that the use of ash and soap all achieved the same level of cleanliness. Ash, however, is considered less pleasant on the hands compared with soap or soil (Hoque and Briend, 1991). Despite the positive lifesaving potential of handwashing with soap (ash), proper handwashing is not bei ng practiced regularly by children in schools and homes (WASH United, 2010). Citrus lime fruit Scientifically known as Citrus aurantifolia, there are two natural groups of the citrus lime fruit – acid (sour) limes, and acidless (sweet) limes.The ‘West Indian’ lime, also called Mexican and Key lime is round, small-fruited, moderately seedy and highly polyembryonic; it has a thin, smooth rind, greenish flesh and a citric acid content ranging from 7% to 8%. It is usually grown as a seedling, as no satisfactory rootstock is known, but in Ghana it is grown on Rough lemon stock (Samson, 1986). Soap A number of studies indicate that washing hands with soap is the critical component of the handwashing behaviour (Cairncross, 1993; Ghosh et al, 1997; Khan, 1982; Oo et al, 2000). Kartha (2001) noted that the most essential thing required to wash hands is soap.Again, studies have shown that hands can carry faeces to surfaces, to foods, and to future hosts, and handwashing wi th soap is effective in removing pathogens (Han et a. , 1986; Kaltenthaler et al, 1991; Ansari et al, 1991). Improvements in access to safe water and adequate sanitation, along with the promotion of good hygiene practices (particularly handwashing with soap), can help prevent diarrhoea (Black et al, 2003). PPPHW (2011) affirmed that promoted on a wide enough scale, handwashing with soap can be thought of as a ‘do- it-yourself’ vaccine. Choice of soapDebate has been ongoing about the best type of soap to be used in handwashing. A study by Aiello (2007) indicated that plain soaps are as effective as consumer-grade antibacterial soaps in preventing illness and removing bacteria from the hands. Mayo Clinic (2009) admonished people to keep in mind that antibacterial soap is no more effective at killing germs than is regular soap. Using antibacterial soap may even lead to the development of bacteria that are resistant to the products’ antimicrobial agents – maki ng it harder to kill these germs in the future.Commenting on favoured features for soap, women in Ghana cited a range of attributes – smell, cost, texture and durability, and its capacity to be used for multiple purposes. For the women, the most important attribute was the smell of the soap, andthe most popular scents were mild lime and lemon. Concerning cost, cheaper soaps were preferred, although women were sometimes willing to pay more if the soap was larger or they thought it would last longer. Commenting on texture / durability, associated with cost, women preferred harder bar soaps or liquid varieties as they thought they lasted longer.So strong was the preference for hard soaps that many stored soap in cool or sunny or airy places to harden them before use. Some women thought liquid soap more economical since only a peanut size was adequate for each hand wash. Many women preferred laundry bar soap because it could be used as a multipurpose soap such as for laundering, bathing and washing dishes at the same time (PPPHW, 2010). The act of handrubbing It has been suggested by Hoque et al, (1995) that the key component of the handwashing process is the mechanical rubbing of the hands.They noted that the trend towards better results from handwashing with both hands, increased frequency of rubbing and an increased volume of rinsing water all support the prime importance of scrubbing / frictional motion and consequent washing out of loose bacteria with water. Although results of studies carried out suggest that the use of a rubbing agent is important, the authors suggested that the nature of the rubbing agent is a less important factor. Soap, they indicated, was more effective than soil and ash because soap users tend to rub their hands more and use more water to rinse away the soapy feeling on them.CDC (2011) advised people to rub hands together vigorously to make a lather and to continue scrubbing for 20 seconds because it takes that long for the soap and scrubbing action to dislodge and remove stubborn germs. Beneficial effects of handwashing Handwashing has been regarded as a key infection-control practice since Semmelweis suggested its introduction in health care settings (Semmelweis, 1847 in Koo, 2008). The handwashing behaviour has been shown to cut the number of child deaths from diarrhoea (the second leading cause of child deaths) by almost half and from pneumonia (the leading cause of child deaths) by one-quarter (WHO, 2008).The strong causal relationship between hand hygiene and gastro-intestinal disease risk has also been demonstrated by meta-analysis of community based interventions. Curtis and Cairncross (2003) estimated a reduction of 42 – 47% in diarrhoeal diseases associated with handwashing. Fewtrell et al (2005) showed a 44% reduction in diarrhoeal illness associated with handwashing. In a study, Aiello et al (2008) estimated that handwashing with soap combined with education could produce a 39% reduction in gastrointestinal illness. All the three meta-analyses were carried out using data from studies conducted in both developed and developing countries.In a review of hand hygiene studies involving respiratory tract infections, Rabie and Curtis (2006) reported that hand hygiene (handwashing, education and waterless hand sanitizers) can reduce the risk of respiratory infections by 16%. Aiello et al. (2008) also estimated that the reduction in respiratory illness associated with the pooled effects of hand hygiene (handwashing with soap, use of alcohol handrubs) was 21%. A study conducted by Luby et al (2005) reported the impact of handwashing with soap on pneumonia in children under five, in squatter settlements in Karachi, Pakistan.The results indicated a 50% reduction in pneumonia in the intervention compared with the control group. Luby et al noted that a link between handwashingand the prevention of pneumonia in developing countries is plausible on the basis that, in developing co untries it is known that viruses cause pneumonia. Another study found that children under 15 years living in households that received handwashing promotion and soap had half the diarrhoeal rates of children living in control neighbourhoods (Luby et al, 2004).Because handwashing can prevent the transmission of a variety of pathogens, it may be more effective than any single vaccine. Handwashing can also prevent skin infections (eg. impetigo), eye infections (eg. conjunctivitis), intestinal worms, Severe Acute Respiratory Syndrome (SARS), and Avian Flu. It benefits the health of people living with HIV/AIDS. Handwashing is effective in preventing the spread of disease even in overcrowded, highly contaminated slum environments (PPPHW, 2008).

Agree or Disagree with Dissections

Why Do We Dissect ? The art of dissection allows for people to gain knowledge about the organisms around them in a very unique way. Dissection involves the cutting open and examination of animals or plants. Some of the earliest dissections date back to the third century where they were performed by Greek physicians. They used dissections as a means of gaining a broader understanding of their own species. Today dissections are an essential part of life. Dissections are popularly used in autopsies to determine means of death and by students to gain a better understanding of animal and human body. I personally think dissections are the best way to learn about our own bodies through examining other animals. This is because of homology or similarities between certain animals and humans. I’ve experienced homology in frog dissections. The internal structure of the frog was similar to the internal structure of the human body. Dissections were performed live and virtually. The live dissection of the frog allowed me to gain a true understanding of the organ systems compared to a virtual dissection done on the computer. I believe live dissections are better, they allowed me to learn more about the specimen by providing a better sense of the size and structure of the specimen. Through a live dissection I also gained lab experience in using dissection tools, safety procedures and equipment. When preparing for a lab practical a live dissection is more sufficient than a virtual dissection. It is easier to identify internal structures when you’ve examined them up close In conclusion dissections are one of the best means of gaining knowledge about the body and internal structure of a specimen. They allow for humans to discover homology between them and other animals such as frogs. Dissections can be performed live or virtually and to me live dissections are supreme because they allow for a more in depth and hands on examination. Thus leading to a better understanding of the specimen. | |

Decomposition Lab 5

Lab 5 DECOMPOSITION (Nov 2, 2011) Introduction: Decomposition is the breakdown of organic material into its smaller molecules and elements. (This term is generally considered as a biotic process but one may find it also used to describe an abiotic process, e. g. , due to weathering. ) The decomposing organisms may use the release of elements for nutrients and by breaking apart the carbon-carbon bonds in organic matter this can release energy for them. These smaller molecules and nutrient elements may also become available for use by the primary producers (i. e. , plants and phototropic microorganisms). Decomposition is an important step in the food chain and contributes to the nutrient cycling within an ecosystem. Most of the organic matter in an ecosystem ultimately passes through the decomposer subsystem. Decomposition of organic matter is a major ecosystem process involving an array of different organisms. The catabolism (breakdown of molecules into smaller units) of the organic compounds is mostly accomplished by bacteria and fungi. However if one considers decomposition as the disappearance or breakdown of organic litter then the soil fauna (invertebrates such as the springtails, mites, isopods, etc) must be included in this array of soil biota that contributes to the decomposition of organic matter. Wood decomposition is also influenced by the fungal species that break it down. Some of these species form brown rot (where only cellulose and hemicellulose are broken down leaving lignin which is brown), while others form white rot where all three are broken down). The majority of fungi are white rotters, but brown rot fungi are ecologically important because they form long-lived nurse logs. Decomposition rates vary due to abiotic factors such as moisture level, temperature, and soil type. The rates also vary depending on the amount of initial breakdown caused by the prior consumers in the food chain. The more broken down the organic matter (greater surface area exposed), the faster is the final decomposition. There are a variety of methods to determine decomposition rates. For example, 1) weight loss (a change in organic matter mass over time) – such as using litter bags or core sampling; 2) organic tissue or component substrate changes (e. g. , weight or concentration changes of cellulose or lignin); 3) microbial populations (fingerprinting the microbial populations present and their changes) and/or their activity (e. g. CO2 evolution using alkali traps [eg, soda lime, sodium hydroxide] or detection of CO2 in gaseous samples [e. g. , InfraRed Gas Analyzer-IRGA, gas chromatography-GC]. Objectives 1. Determine CO2 evolution as an indicator of decomposition and microbial populations from the hardwood, conifer and garden soils using a static soda lime trap. 2. Determine the effects of isopods on decomposition of vine maple leaves 3. Examine differences between brown and white rot in wood  decay 4. Solve a problem set using conifer needle mass loss data from litterbags. . Soil CO2 evolution using the Soda Lime technique (a static-chamber method)   CO2 evolution will be determined from the soil surface beneath conifer trees (Douglas-fir and cedar), deciduous hardwood trees adjacent to Winkenwerder Hall, and a nearby garden soil on campus using the static trap soda lime technique. Soda lime gains weight when exposed to CO2. The main components of soda lime are  : †¢ Calcium hydroxide – Ca(OH)2 (about 75%) †¢ Water – H2O (about 20%) †¢ Sodium hydroxide – NaOH (about 3%) Potassium hydroxide – KOH (about 1%) The method is based on the adsorption of CO2 by soda lime that is measured by a weight gain. The following absorption reactions occur: 2NaOH+CO2[pic]Na2CO3+H2O Ca(OH)2+CO2[pic]CaCO3+H2O Procedure: 1. Obtain soda lime 2. Dry the soda lime in a clean beaker at 105 C in a drying oven to remove adsorbed moistur e (212 Bloedel) 3. When dry (probably overnight or until it stops losing weight), weigh out approximately 10 g into a soil can (record to at least the nearest 0. 001g). 4. A plastic container (16 cm diam) is used as a chamber to trap CO2 evolving from the soil. 5. At the field sites place the soil can with soda lime on the soil and then place the plastic container upside down over it and push its edges into the soil to form a seal around the beaker to trap CO2 from the soil respiration. 6. Also place a control (blank) sample of soda lime in a soil can in the field also under a plastic container, but one that has a bottom on it (aluminium foil) so that it does not allow CO2 evolving from the soil to be adsorbed. This control (blank) is treated as all other samples except that it is not exposed to soil CO2 evolution. 7. Incubate for 24 hr (leave in situ so that CO2 evolution has been subjected to abiotic/biotic fluctuations occurring over the diurnal period). 8. After 24hr remove the soda lime from under the can and put the top on the soil can to keep CO2 exchanges from occurring. 9. Dry the soil can of soda lime (uncovered) in the drying oven at 105 C (overnight sufficient) and then reweigh. 10. Three replicate samples are used for the conifer, hardwood and garden soils as well one blank at each site. 11. At each site record pH and temperature in the upper 5 cm of mineral soil. Make general observations about the amount of roots you see at each site Calculation: The difference in weights before and after incubation is an estimate of the grams of carbon dioxide evolved from the soil. Multiply this weight by a correction factor* of 1. 69 (due to 1 mole of water generated by each mole of CO2 absorbed by the lime) (Grogan 1998). The units are g CO2 per ‘container area’ per 24hr. This is converted to g CO2 m-2 hr-1. S = (Wsl x 1. 69) / (Ac x T) where, S is CO2 evolution (g CO2 m-2 h-1), Wsl is the soda lime weight gain, 1. 69 is the C absorption rate of soda-lime, Ac is the chamber area (m2), and T is the sampling time in hours. Do the same calculation for the control (blank) and subtract that value from the sample calculation to derive the correct CO2 evolution from the soil. In Excel conduct an Analysis of Variance (ANOVA) to determine if there are significant differences (P

Deming & Quality Term Paper Example | Topics and Well Written Essays - 2000 words

Deming & Quality - Term Paper Example Gitlow &Gitlow (1987), points out that in determining customers’ needs, it is important that the future be brought into the equation, because such needs can change, and companies should be well prepared for it. The need for the prototypes to fit certain specifications, are also worth considering, especially with regards to the suppliers of the raw materials (Gitlow & Gitlow 1987). According to Gitlow & Gitlow (1987), the extent to which a firm and its suppliers are able to surpass the design specifications and meet the customers need, is really what quality conformance is all about. However the quality of performance can only be determined through research and sales, and service call analysis to determine how well the firm’s goods and services are doing in the market place (Gitlow & Gitlow 1987). Feedback from the quality of performance surveys, may lead to changes in design and in redesigning, thereby facilitate the continuity of the quality cycle. The 14 point method of Deming incorporates the use of statistical tools, and significant changes in the corporate culture of organizations intent on achieving a quality program, according to Gitlow & Gitlow (1987); it provides a framework for action as well as giving management bases from which they can formulate plans for which they may even lack the necessary experience. Organization leaders who embrace the 14 point system of quality have to back up that strategy with a commitment to change in their thinking and behavior patterns. The 14 Points entails, according to Gitlow & Gitlow (1987), A motivated worker is one that is doing his or her job willingly and well. However, for this to happen, managers must provide both intrinsic and extrinsic forms to their workers. Most of our behaviors according to Jung, are evaluated or judged on some criterion of quality and excellence of performance, and some of the incentive for the dedicated pursuit of achievement comes from social

How Managers Can Use Motivational Theories to Improve Performance Research Paper

How Managers Can Use Motivational Theories to Improve Performance - Research Paper Example In the case when the production staff is not provided with the motivation to produce end products, to be able to fulfill the demand, the manager would be in serious trouble and it may contribute to majorly drastic consequences. If the efficiency of an organization is to be promoted there has to be provision of motivation. The case can be such that the business division has the very products and resources. However, merely a combination of superior products and resources cannot lead to the best consequences: there is a need for motivation as well if a company aims to be successful (Strategic Direction 22). Simply training the employees and delegating them to work does not ensure loyalty and dedication on their part. Employees have to be motivated in order to attain this. Motivation affects work performance to a great degree, thus it holds a great significance for any organization. As clichà ©d as it may sound employees are an organization’s greatest asset and without motivated workers a company cannot be efficient. A company can only go as far as its workers would lead it, as they are the ones who drive it. An organisation is simply a group of individuals who work together for a general reason. Actua lly they make up the company. No matter how effective the organisation’s technology or devices are, their employees remain as the most valuable asset. Therefore, it is necessary that they are provided with motivation so as to encourage them to perform better and better, which would lead to the company’s increased productivity. Several of the business managers of today do not know how effective motivation can be on the efficiency of their company. Therefore, they are required to learn its importance and to recognize the ways through which they can positively motivate their employees at the workplace. The size of the company is

Evidence Based Nursing Essay Example | Topics and Well Written Essays - 1000 words

Evidence Based Nursing - Essay Example Additionally, the nurses seek to undertake a self completed survey, which implies that the mothers will only be questioned and the nurses will document the results of the survey in wait for the final findings. This raises the ethics components since, the nurse is exposed to becoming judgmental on their subjects given the scope of the research. Question 1b In order to protect the human subjects’ rights of this study population, the IRB must assess various components including the right to self-determination. In this regard, the IRB must assess whether the employers of the nurses clearly and in articulate writing, informed the nurses about whether the participation in this particular research in a condition for employment and thereby expose any relevant risks associated with the study. As such the IRB must analyze the risks to benefit ratio of the study and document whether the eminent risks and/or benefits are clearly described. Further, with the minimal risk guidance level, th e IRB must prove whether the prevailing risks are greater than the minimal risk and the available measure of mitigating the risks. Additionally, the IRB must assess the subjects’ vulnerability in the study and how the researchers have handled the informed consent component. This will involve the IRB in investigating whether the nurses’ selection of the subjects is appropriate and whether the burden of participation is likely to fall on those who will actually benefit from the findings of the research. In this regard, the IRB might question the hospitalized mothers’ involvement in the survey while the focus of the survey is to address child abuse. It is imperative that abuse to children involve parents subjecting their children to unlawful conditions and/or treatment. Therefore the involvement of the parents in the survey will instantly raise the question of subjects’ vulnerability. The other components that IRB will have to assess in this study includes w hether the subjects are given incentives, issues to do with extra safeguards and privacy and confidentiality components of the survey (Beyae & Slattery, 2006). Question 1c The unique ethical concerns of this study could stem from the fact that nurses are obliged to observe confidentiality and privacy in serving the interest of their clients, however, the study seeks to expose the nurses to violate that obligation. When the nurses will question the mothers of hospitalized children within the given age bracket and record the results as sources for the survey, then the privacy of the clients will be violated. Question 1d As a prerequisite condition for allowing the study, the IRB member will seek clarification on the underlying components of study including the specific ways that the nurses have planned to address the eminent ethical issues concerning the privacy and the right to informed consent so as to ensure that the survey achieves the stated objectives without subjecting the stud y subject’s, who could be vulnerable to undue pressure as the IRB provisions demand. Question 1e As a matter of principle, the nurses will conduct the survey within the scope of the IRB provisions and thus remain vigilant in ensuring informed consent and privacy and confidentiality of the subjects are adhered to. In this regard, the nurses will remain advocates of the subjects in the sense that they will make sure the subjects’ confidentiality since they will apply procedures that are in

Roles of Psychiatric Nurses in Mental Health Nursing Essay

Roles of Psychiatric Nurses in Mental Health Nursing - Essay Example At the same time, some contemporary cultures are more tolerant, and their beliefs suggest that family and community members are keys to the care and treatment of the mentally ill. The impact of longstanding beliefs and values on care provision: Mental health nurses are from the population, and before being mental health nurses, they were lay people. Therefore, it is very likely that the beliefs and values about mental health deeply ingrained in societies would be carried forward in the nurses, unless they acquire mental health literacy. It is ironical that while amongst the nurses, the importance of health literacy in terms of physical health is well recognised, even among them, the area of mental health literacy is comparatively ignored. Prejudice, stereotyping, and stigma of the healthcare professionals in the psychological health field has influenced care traditionally, mainly because of the fact that those are difficult to change, and if this occurs in the mental health nurses, would influence the care outcome. When nurses understand different cultures as they relate to individual feelings and motivations, they will be better equipped to adapt mental health care to the backgrounds and lifestyles of their clients. It is a matter of growing concern and an important issue in delivery of mental health care in the Australian Healthcare System. According to the DHS (1998) one of the roles of the psychiatric nurse is to have an awareness of stigma and the ability to challenge their beliefs, thoughts, attitudes, and bias about mental disorder. It is required by the standards of practice to implement this changing "attitude" of the nurses into practice to eliminate discrimination in practice, and therefore, "Reflecting on practice, feelings and beliefs and the consequences of these for individuals/groups is an important professional benchmark" (ANMC, 2006). Nursing care of people with psychiatric illnesses and emotional problems very frequently are more complex because of cultural differences between the nurses' and patients' backgrounds and cultural heritages. It is important for nurses to understand clearly the thinking and perspectives of other cultures and groups, especially to which their clients belong. Because treating mental disorders is intertwined with peoples' attitudes about themselves, their beliefs, values, and ways of interacting with their families and communities, it is crucial that psychiatric nurses be culturally competent in their practice. The awareness about these factors leads to knowledge and alteration of beliefs about mental disorders in nurses, and this alteration would aid the recognition, better management, and efficient prevention of these disorders. This awareness has several components including the ability to recognise specific disorders or different types of psychological distress, knowledge and beliefs about risk factors and causes, knowledge and beliefs about interventions, and attitudes that facilitate recognition and offer help. Poor knowledge about mental illness and negative attitude towards patients suffering from mental illness is widespread among the mental health workers including nurses. Educational interventions can reduce stigma, and as noted earlier, stigmatizing opinions are not related to knowledge. Mental health

Literature - I stand here ironing Essay Example | Topics and Well Written Essays - 1000 words

Literature - I stand here ironing - Essay Example As mother goes back to fetch her past life, we as readers get a glimpse of Emily’s childhood. There are few intrusions that bring her back to the present like "I put the iron down" (p. 12); "Ronnie is calling. He is wet and I change him" (p. 17); "She is coming.† (p. 19). But this journey of recollection ends on a positive note, â€Å"At the end she comes to understand that shed done the best she could, given the circumstances—but this simple insight, and her journey toward it, are quietly devastating.† (Disher, 2001: 91) Emily is a nineteen year old in the present. She is confident woman and has found the art of self-expression through mime. But occasionally she can behave erratically and her sense of self-worth gets dented. That is when she wants to be assured of her beauty and her attractiveness. Emily would insist on being told, "over and over how beautiful she had been--and would be, I would tell her--and was now, to the seeing eye. But the seeing eyes were few or non-existent. Including mine" (p. 10). That was when her alienation, her isolation and her mother’s helplessness and guilt became obvious and grew more intense: "the unsureness, the having to be conscious of words before you speak, the constant caring--what are they thinking of me? . . ." (p. 17). But Emily has found self-worth, expression and confidence as a skilled performer of pantomime. As happy as her mother is of her achievement, it cannot acquit her completely. She is still haunted by her own past, by her pained alienation from a daughter for few months, and by Emily’s failure to adjust in the new family. Emily’s counselor insists she ‘needs help’ but her mother acknowledges Emily’s skill as a mime artist and knows that she has found an inner strength through this art. The counselor is possibly worried about Emily’s alienation and isolation. Her mother goes

Segmentation and Target Market Coursework Example | Topics and Well Written Essays - 1250 words

Segmentation and Target Market - Coursework Example The process is guided by several factors including behavioral, demographic, psychographic, and geographic factors (Reid & Bojanic, 2010). Apple has used behavioral segmentation with impressive effectiveness. It refers to the division of the market based on the actions of consumers. In addition, the process involves an evaluation of the consumer information available to the organization (Rollins & Perri, 2014). The release of new iPhone models is informed by the knowledge that consumers will be attracted by the possibility of upgrading their mobile phones. In addition, the iPod was released to meet the need for a portable and convenient device that can allow users to listen to music on the go. The need to create a platform from which users can access music led to the creation of the iTunes store. Apple has created a culture of brand switching due to the disruptive technology that they have consistently pioneered. Consequently, it has enabled it to create a perception as an innovative company, something that most consumers find attractive. The organization understands consumer behavior. Although consumers are willing to acquire new technologies, they also value the existing ones. As a result, they need products that integrate the two technologies. In addition, it has features that support the integration of features of other organizations. For example, it has made it possible for consumers to access Microsoft Exchange e-mail. Consumers are attracted to technologies that enable them to retain the features they had before. It is evident that the organization considers demographic factors as it develops its products. Firstly, products such as the iPhone have so many features that make it suitable for people of all ages from children to adults. Children can play the games that are available in its App store. Teenagers can listen to a lot of music from the iTunes store. In addition, the

Quantitative Methods Research Paper Example | Topics and Well Written Essays - 2500 words

Quantitative Methods - Research Paper Example The importance of the co integration concept in the economic literature is due to the possibility of linking. The linking is due to the information about long run equilibrium of LTK and LOBC. The statistical evidence of short run dynamics in observed series helps in estimating the integration between the values. The each element of a vector of time series need to have a unit root. If there exists a linear combination, then it is stationary. A non parametric approach can be proposed to study the co integrated system. A discrete time p variate integrated process of order d with drift can be defined by square of Yt. Yt is the integration of values from Y1 to Yt. In 2001 the IMF board meeting held in 2001 paved the way for long awaiting IMF loans that have exceeded the limit of US$16 billion. These will have supplementary facilities also. The financial markets have been swarmed with a flow of good news and the application of banking reacpitalisation and the international cojuncture will be variables that divert the direction of the markets. The redemption of USD61 billion of domestic by treasury and the borrowing of USD 46.5 billion has initiated the availability of investments for the industries. The treasury aimed to reduce the total debt stock to Gross national product ration to 86.9 percent in 2002. The previous one is 94.7 percent. This indicates the increase of GNP and a chance of increase of productivity and share prices. It is believed that the longer dated T-bills and other higher real returns around 20 percent annualized comparison to shorter dated issues depend on O/N repo. This was based on inflation estimates and the moderate inflation resulted in increase of share prices and productivity. Though there is an intensive agenda the daily volume of equities in Istanbul stock exchange fluctuated around USD 400 million. This is due to the jitters over the political disputes that can effect the economy. As 2001 is a dismal year of performance the bench mark index of ISE eased down in January. This is due to the new letter intent coupled with the December inflation. This was posted lower than expected. The result of decreasing of USD in 2001 did not interfere in the business much. The harmonization bill, the expectation of US attack on Iraq, the banking recapitalization scheme, acceleration of the privatization process and other various laws passed by the parliament are indicators that made the business grow. This resulted in ISE 100 index inclined by 5.3 percent in terms of dollar. The USD 16 billion and the IMF credit facilities resulted in structural and infrastructure reforms and resulted in private bank recapitalization scheme being most significant of all the milestones. The rehabilitation of the state banking system and the segregation of the ailing private banks from the system reinforced the private banks and made robust step in banking reforms. The asset management companies were established and the hurdles intimidating the foreign and domestic investors were eliminated. The harmonization of privatization by EU has generated USD 1.5 billion in 2002.

Management Assignment Example | Topics and Well Written Essays - 750 words - 3

Management - Assignment Example Through evaluation, the company is able to come up with strategies for dealing with the changing environment. Owing to the fact that technology is rising at a fast rate, it is important for organizations to come up with methodologies for incorporating beneficial technology into their system (Dyro, 2004). This will help an organization make adjustments in areas that need improvement. Evaluation helps in monitoring and checking the operations of an organization. This helps to identify whether a company is getting the fullest outcome from its input. This will assist a company change the strategies for delivering more results to the clients (Mittenthal, 2002). Companies should not overstress SWOT appraisal since an organization may concentrate too much on its strengths and forget about the weaknesses. SWOT is an appreciable tool for reflecting how the company is performing but it is not overtly beneficial in proffering a competitive advantage. This is because SWOT may emphasize only on t he advantages and positive sides of a company (Daft 2009). 2 Evaluation should not be done on specific employees and staff. These people are considered as the most significant body of any organization. This is because the employees provide the labor force that is needed in accomplishing the company’s objectives. ... Setting of levelheaded goals is a crucial factor for a company’s success; this can be achieved by involving the employees in decision making of these goals. Goals set by the managerial can be unrealistic to employees; this because managers will set high goals inorder for the company to realize more output. This eventually lowers the morale of the employee’s hence poor performance. When employees are involved in setting of the company’s goal, realistic goals are addressed hence motivating them, and this results in good performance (Daft and Marcic, 2010). For a company to conduct superior evaluation, it should consider the employees as their priority. Employees are the most significant body in an organization, hence the company should be very careful not to lower the morale of the workers when they are conducting their evaluations. This can be achieved through involving them in decision making of the companies goals because realistic goals will be addressed. In th e evaluation process, the company should reward the employees who do a superior job. This will help boost their morale hence working aggressively to achieve the goals of he company. An efficient evaluation process should not only consider the company’s well being, but it should also consider the well being of employees. The salaries and wages should be reasonable, this will avoid oppressing and under paying the employees. The company’s evaluation should show the employees that they care for them. This can be through the company’s effort to educate potential employees on their talents and capabilities. This will ensure that the skills of the employees are improved, hence working to

Proposed HR Program for CompuLearn Essay Example for Free

Proposed HR Program for CompuLearn Essay CompuLearn is a private sector provider of IT-based teaching and learning programmes in business and management based in the UK, with corporate headquarters in Preston, Lancashire and with trading centers in Mumbai, Nairobia and Dubai. Its current global market is focused in the Middle East, Asia, Africa, with 200 education centers in 30 countries. CompuLearn partners with UK universities which validates its programs so that   students are able to qualify in the University programs leading to academic degrees. Its current manpower complement numbers 50 employees mostly based in the corporate office in Preston, Lancashire doing the following functions: Program Development, Customer Service, HR, Marketing, Finance, Sales, IT, Quality Assurance. CompuLearn has embarked on a mission to be market leader in e-learning delivery of University validated programs and foremost learning company in the world. It is on an expanded growth program and it adopted a new strategy to extend to 500 education centers in 60 countries over a span of 3 years. The role of HR is very critical in this new strategy, which is to attract top IT experts. It could be a relatively easy task if not for the following: 1. There is a high turn over in the IT industry in UK and new employees leave after only one month for a new job that offers better pay. 2. CompuLearn has a limited training system in place. Its strategy is to recruit highly trained staff instead of training them in house. The allocated budget for training is almost used up and was used to train the Sales team. 3. Employees have limited management skills as they are mostly technical staff whose training is not in the soft skills development. 4. The company does not have a Performance Appraisal System in place. 5. The staff at the corporate headquarters do not have a comfortable relationship with the staff of the UK universities largely due to complaints of attitude. 6. The HR Director’s strength is in micro-managing and does not have expertise in long-term management plans for the company employees. The Limitations and Constraints Faced by the Company The HR Department will play a very strategic role in supporting the growth of CompuLearn. Among other things, it needs to address the following limitations and constraints faced by the company, whether internally caused or faced by the industry in general: 1. The high turn over rate in the IT industry in UK 2. The lack of a professional or well-developed training and development program for employees 3. The employees’ limited skills in management, customer service and other soft skills 4. The lack of a well-placed Performance Appraisal System 5. The not-so-friendly attitude of the academic staff of the Universities towards the company employees at the corporate headquarters 6. The limited knowledge and skills of the HR Director in long-term planning for the management of the employees Recommendations The HR strategies recommended are based on the following assumptions: 1. Budget The company is working on a limited budget, which is just around 30% of the  annual budget of 25,000 Euros. 2. Lead Department The HR Department will take the lead in implementing the strategies. The HR Director shall formally appoint the section heads to serve as lead persons in implementing the strategies in their respective sections. The HR Director has the free hand in creating working committees to participate in the entire process from planning to implementation. The process will be participatory and with some amount of consultation from the employees. 3. Timetable The strategies are proposed for implementation on a focused basis within the first year (Year 1 Month 1 to Month 12). Beginning Year 2 (Month 13) the focus of the activities will be on monitoring, evaluation, and implementation of improvements. 4. HR Management Perspective/Model Available literature identify different HR Management models that attempt to explain the various strategies adopted by different companies. General classifications fall under the â€Å"soft† and â€Å"hard† models, based on the definitions of employees considered as either â€Å"human† or â€Å"resource†. The hard versions consider employees as resource and adopt a rational approach to managing them, aligning their HR strategies with the strategies of the business. The soft version, on the other hand, considers employees as human and adopts strategies to train and develop them (Bratton and Gold, p. 5). The recommendations adopted in this case will be based more on the soft version of human resource management. Focus will be more on training and development as well as in developing commitment from employees. A limited form of the hard version will however allow the HR to link the strategies with the overall corporate strategy of the company. In analyzing the challenge faced by CompuLearn, a simplistic framework was designed around the following questions, based on the limitations/constraints faced by the company and to become the basis for the strategies: 1. On the high turn-over rate in the IT industry How can CompuLearn keep its employees from leaving the company after short- term engagement only? Or how can the company motivate its employees to stay longer? 2. On the lack of a professional training and development program Should the company train in-house or continue to hire experts from outside? 3. On the employees’ limited skills in management, customer service, and other soft skills. How can the employees learn the soft skills and apply them at work? 4. On the lack of a well-placed Performance Appraisal System Is there a need to formulate or adopt a Performance Appraisal System? 5. On the not-so-friendly attitude of the academic staff of the Universities towards the company employees at the corporate headquarters How can there be a more cordial relationship between the two parties? How can the company make the employees appreciate the importance of having good relations with the University staff? Can this be done through training or should the company replace those who transact with the University staff with other company employees, either through job rotation or job enrichment? 7. On the limited knowledge and skills of the HR Director in long-term planning for the management of the employees. Should the HR Director undertake refresher courses in management? Or should the company hire a new HR person who has the skills in long term planning to assist the HR Director? Below is a presentation of the proposed HR strategies and programs, in matrix form,   that can be implemented under the leadership of the HR Director. They are composed of both short term and long term strategies. The short-term strategies are those that can be immediately implemented, within the first six months from the time the recommendations will be adopted. The long term strategies are those that can be adopted over a longer period and on a continuing basis like the periodic reviews of policies and developing a system whereby improvements can take place every so often whenever warranted. It will be observed that most of the strategies will be newly introduced to the company and it can be expected that certain difficulties will be met. This will include among other things, resistance to the changes to be introduced, the difficulty of the HR Department to implement them for lack of the appropriate knowledge and skills, and with some â€Å"difficult† employees. This is all part of the process of the HR accepting the initial resistance  to the changes. The HR should be firm and consistent but at the same time adopting an attitude of openness and willingness to see through the improvements. Education and training are two important components of an empowered workforce. The saying that a company is only as good as its weakest employee is very much applicable here. Each employee is responsible for knowing about his company and performing according to the expectations set at the time of his engagement. However, it is the job of HR to find the employees who have the potential to learn more and continuously give them the opportunities to develop their knowledge and skills.

Psoas Major Muscle Anatomy Health And Social Care Essay

Psoas Major Muscle Anatomy Health And Social Care Essay Psoas major muscle had been known for a long time as a hip flexor. The name Ilipsoas used in many literatures to express that both Iliacus and Psoas major have same action as a primary hip flexors. However, development in the knowledge of psoas major morphology and geometry changes this belief. Although the detailed spinal attachment of Psoas major is relatively complex; there is a common belief that psoas major essentially arises from transverse processes, body and intervertebral discs of all lumbar spines and body of 12th thoracic vertebrae (Standring 2004). McGill et al. (1988) considered Psoas major the largest muscle in Cross Sectional Area (CSA) at the level of lower vertebral spines. Anatomical and biomechanical studies in the 1980s and 1990s showed a lot of controversy about action of Psoas major. Moore (1983) reported that Psoas major is the dominant hip flexor, whereas (Woodburne and Burkel, 1988) concluded that Psoas major flexes lumbar spines and laterally rotates lumbar spines during pelvic fixation. Bogduck and Twomey (1987) indicated that Psoas major controls lumbar lordosis to support changes in lumbar load. Unfortunately, many of these studies were either built on incomplete understanding of fascicular anatomy of psoas major or used less accurate old imaging techniques in case of radiology in-vivo studies. For example, old MRI scanners emphasized cadaver overestimation in anterior/posterior shearing forces when compared with data gathered from dissection procedures. The huge technical development in the last two decades such as using more accurate new Magnetic resonance Imaging (MRI) machines, pilot dissection techniques, new biomechanical devices and modeling techniques enhanced by computers hardware and software helped the researchers to gain better knowledge about psoas major morphology, geometry and functional anatomy. An example of studies used different models is (Sanlaguda and McGill 1995) which used MRI, modeling techniques in addition to pilot dissection procedures to develop knowledge about psoas major geometry. Development of psoas major anatomical knowledge including bilateral variation and racial variations of psoas major are important to many health care professionals. Ramesh et al. (2008) reported the importance of discovering variations in geometry of psoas major for radiologists during interpretation of radiology images and for surgeons during surgical interventions. Psoas major plays role in function of both trunk and lower extremities (Hanson et al 1999). In addition, Knowledge of psoas major anatomy is essential to anaesthetist who works on a regional anaesthesia technique, the location of lumbar plexus within the psoas major gives importance of psoas major anatomy in anaesthiology science (Farny et al. 1994). Further more, Psoas major anatomy is important in physiotherapy practice, Barker et al. (2004) reported changes in CSA of psoas major in people who suffer from Unilateral Low Back Pain (LBP). Therefore, it is important for musculoskeletal rehabilitation practitioners to under stand both anatomy of Psoas major during assessment and rehabilitation programmes of back and hip disorders. The aim of this essay was to address and critique the accumulated anatomical knowledge of Psoas major in the available anatomical literatures. Various dissection procedures of psoas major either as a single muscle, in combination with other trunk muscles were discussed. Describing gross anatomy and fascicular anatomy of psoas major reviewed with an attempt to analyse study results as possible in this essay. Radiology imaging scaqnners such as Magnetic resonance imaging (MRI) used in Psoas major anatomical literatures discussed as essay space allowed. Attempts were exerted to find psoas major studies used ultrasound or x-ray machines without success. Discussing action of psoas major involved using biomechanical studies. Although this essay focused on discussing anatomical not biomechanical literatures of psoas major, discussing action of psoas major involved using few biomechanical literatures. Dissection studies of psoas major 1.1 Fascicular anatomy Bogduk et al. (1992) studied fascicular anatomy of the psoas major by dissecting three old males (above 60 years).Bogduk defined fascicle as Psoas major portion shared a common discrete area of attachment in vertebral column and independent of each other in areas of attachment . Bogduck exploratory cadaveric study presented valuable morphological and biomechanical data about both structure and action of Psoas major. For example, study showed that origin of psoas major fascicles arose from intervertebral disc and transverse process from level of T12-L1 to level of L4-L5, study has also the first which reported that each fascicle has its own tendon and that L4-L5 tendon forms central part of common psoas major tendon. Unlike many previous authors, Bogduk experiment found that equal length of Psoas major Fascicles not designed to flex or extend the lumbar spine but stabilize the lumbar spine during movement by exerting compression and shear forces on lumbar joints. Although this finding reported earlier by Crisco and Panjabi (1990), Bogduk study could explain the stabilization role of psoas major practically from anatomical (not biomechanical) view depending on detail description of independent action of psoas major fascicles. Bogduk study produced important data about Physiological Cross Sectional Area (PCSA) for each psoas major fascicle. These PCSA data in addition to line of action for each fascicle helped significantly to clarify that psoas major have multiple actions (fascicles attached to upper lumbar levels with the vertical line of action have mobilizing role and fascicles attached with lower lumbar levels with the horizontal line of action havestabilizing role). However, methodological procedures described shortly in bogduk study, which was expected from an exploratory study. Bogduk Study used only three old male cadavers, which restricted its morphological and geometrical data (such as PCSA) to be old in active males only. It is not unusual to collect different morphological data from different age group or different gender in Psoas major, for example,Santaguida and McGill (1995) used different age groups to collect geometrical data of psoas major. In addition, cadaver status (whether fresh or preserved) and storage process not reported at all in the study. 1.2 Geometry of psoas major Santaguida and McGill (1995) studied three dimensional geometric data of psoas major, Seven young male cadavers (five of them only used in measurement and two used to develop pilot dissection technique) used to collect morphological data, Unlike (Bogduk et al. 1992), Santaguida and McGill (1995) focused on measuring morphological features such as superficial muscle length, internal and external tendons length and angle of pinnation (i.e. angle betwen psoas major fibers and lumbar spines) rather than studying fascicular anatomy of psoas major. The important findings in Santaguida and McGill (1995) were that muscle fibers originating from higher lumbar levels displayed fewer steep angles (i.e. more vertically oriented than fibers originating at lower two lumbar levels) which confirms findings of Bogduk et al. (1992), Santaguida study found also that measurement of pinnation angel cannot be measured from a single plane. Measurement of pinnation angle is important to calculate PCSA. As s ame as Bogduk (1992), detailed methodological procedures not well reported in Santaguida and McGill (1995). Although the number of dissected cadavers bigger (five compared with only three in Bugduk study) and age of cadavers was younger but cadavers again were from same gender (male). Racial differences in geometry of Psoas major discussed by Hansen et al. (1999). A large Number of male cadavers (fourty four) used to measure Psoas major length, width, anatomical CSA (ACSA) and circumference by using a measurement tool (digital caliper). Study introduced first (racial) data, Psoas major size was significantly larger in the black group than in the white group but no difference was noted related to muscle length and width between blacks and whites. Although dissection procedures described with more details when compared with procedures described in both Bogduk et al. (1992) and Santaguida and McGill (1995), dissection procedures in Hansen et al. (1999) still carried many (non well-explained) procedures. Certainly, study has not reported medical history of cadavers and activity level which well-known to affect CSA size. Furthermore, Authors have not explained why medical examiners were interested to exclude muscle bulk differences or anatomical variations in routine a utopsies (specially if known that medical examiners not awarded about the study) . Sample selection bears a question too, cadavers age ranged from 14-25 years, which mean that some of the cadavers were still in development stage, which may be different according to the ethnic group. In addition, researchers tried to avoid bias by using medical examiner decision about race of cadavers. However, study has not clarified reliability of both measurement tools and testers (inter-tester and intra-tester reliability) of Psoas major geometry. Study also held in different centers without clarifying whether same dissection procedures followed exactly in all centres or not. Study also not clarified whether CSA measurement excluded tendinous fibers or not. All these notes indicated that results of psoas major CSA in the white group which is much lower than many other dissection studies such as Bogduk et al. (1992) and Santaguida and McGill (1995). Ilayperuma and Nanayakkara (2008) studied gross anatomical characterization of the psoas major muscle by dissecting thirty four old Sri Lankan males and females. Study showed significant gender differences in ACSA at L4-L5 level, mean width and thickness (males got higher results). In addition, study showed that mean of psoas major ACSA (L4-L5 level) in Sri Lankan males was larger than the white group in Hansen et al (1999) but less than the black group in same study in L4-L5 level. However, study used same measurement tool in Hansen et al. (1999) and same comments on Hansen et al (1999) can be applied here too. Where the study held in a medical school it is necessary to clarify whether cadavers were fresh or preserved with any chemical embalming materials such as formaldehyde. Chemical embalming well-known to cause shrinking or distortion of cadavers, which alter muscle size, width, length and ACSA. Bilateral variation of psoas major is rarely reported. Jelev et al. (2005) was the last available scientific report. Routine anatomical dissection of the retroperitoneal space of sixty seven old female cadaver showed that Femoral nerve was embedded between two bellies medial and lateral. The medial belly was the usual left psoas major but with wider origin wider ( transverse process and intervertebral discs of L1-L5 vertebrae and from the anterior (pelvic) surfaces of S1-S3 vertebrae).The lateral belly was unusual muscle situated behind and oblique (from dorso-medially to ventro-laterally) to the left psoas major found. This abnormal muscle originated from the left transverse process of L3 vertebra and from the intertransverse ligament between L3 and L4 vertebrae. Geometry inserted with a short tendon (1.8 cm) to the common tendon between the left psoas major and Iliacus. The right psoas major in same old female cadaver showed widened origin similar to the left psoas major. This stud y showed clearly chance to find variations (in this case bigger size of psoas major muscle), this variation is important to surgeons, anaesthiologists, radiologist and physiotherapists where the pattern of practice should be changed according to anomaly found within subjects. In physiotherapy practice, variation of psoas major muscle anatomy should change rehabilitation program duration and intensity. Using MRI in Psoas Major Studies MRI used extensively to measure geometry of psoas major in-vivo (Tracy et al. 1989, Parkkola et al. 1992, Tsuang et al. 1993, McGill et al. 1988, Santaguida at al. 1995, Wood et al. 1996, Baker et al. 2004). Table 2 shows Psoas major CSA data from MRI, CT and Dissection studies. However, different MRI data-acquisition techniques and data analysis process software were used, the difference between the measured spinal levels (where psoas major attached with) and difference between subjects used made a difference in the gathered data. Copied from Gatton et al. (1999). Copied from Gatton et al. (1999). 2.1 psoas major CSA in old and new MRI machines . The MRI machines in the old studies (early 1990s and before) used outdated data acquisitions and software, which had large estimation errors (Mitsiopoulos et al. 1998). Accurate estimation of skeletal muscle mass (include psoas major) is important to make a correct comparison with data gathered from cadavers because MRI has a wide application and is a good way to gather in-vivo data from young people. The use of MRI as a reference standard is based on the assumption that measured CSA is equivalent to actual skeletal muscle CSA. Two types of muscle parameters can be considered during anatomical MRI scan of skeletal muscles, the first related to muscle tissue that includes interstitial adipose tissue (IAT) and the second, specifically related to adipose tissue-free skeletal muscle (ATFSM). In healthy young adults anatomical skeletal muscle is only slightly larger than ATFSM. However, IAT increases with increasing obesity and age. Some disease states, such as muscular dystrophy, are also accompanied by a relatively large mass of IAT. Recent MRI machines which use ATFSM measurement reference with more efficient hardware and upgraded software permit rapid whole body measurement in less than 30 minutes (Ross et al. 1996). Therefore, it is important to take notes about features of MRI machines used to collect data about various skeletal muscles (include psoas major) to get better idea about chance of estimation error. Almost all MRI studies of psoas major anatomy prior to 1995 used MRI machines follow IAT rather t han ATFSM Scanning technique. Therefore, estimation errors are more plausible in studies prior done in the last century such as (Tracy et al. 1989, Parkkola et al. 1992, Tsuang et al. 1993) specially for old age people because the level of IAT higher in skeletal muscle than young people and technical capabilities of old MRI scanners. New MRI scanners with more powerful hardware and software introduced new technology called Total Imaging Matrix (TIM). This technology allows patients to be scanned in most cases without their head passing into the magnet of the machine reducing the claustrophobic element of the exam. The system is also much quieter than old MRI machines. In addition, TIM technology helped radiologists diagnose patients better as well. TIM images the body faster and can provide a clearer picture of what is being examined. Baker et al. (2004) used MRI scanner with TIM technology and scanning ATFSM (Magnetom Symphony, Siemens AG, Erlangen, Germany), CSA of Psoas major was significantly lower than 1990s studies (the lowest mean of CSA in Santaguida et al. (1995) was 421 mm in L1-L2 level, whereas in Baker et al. (2004) the biggest CSA reading was 197.7 in the right side symptomatic un-certianed level in the unilateral back pain patients. This huge difference in estimation of CSA between different MRI s canners with different technologies bears different hypothesis reasons. The first reason indicates that CSA of psoas major decreases significantly in Unilateral Back patients. The second reason indicates that new technologies of MRI imaging showed that in-vivo CSA of psoas major is much less than old CSA of psoas major gather by old MRI technologies. The third reason indicates that old studies (in table1) might measure other structures closely related to psoas major muscle such as iliacus, psoas minor or central tendon of psoas major specially in lower spinal levels rather than measuring psoas major only. Both the first and third reasons explain in the last sentence looks plausible, Dangaria and Naesh (1998) used MRI to compare CSA of Psoas major for both healthy volunteers and patients with Back patients with herniated discs and found that CSA decreased significantly in Back patients with herniated discs, although old MRI machines were used. Inaccurate description of the anatomical information found in (Parkkola et al. 1992, Tsuang et al. 1993, McGill et al., Wood et al. 1996, Baker et al. 2004), tested muscle was either described as iliacus (which may indicate measurement of both muscles CSA) or psoas (which may indicate combining psoas minor with psoas major). All studies addressed in the last paragraph agreed in issuing two common trends related to subject characteristics. The first common character is that psoas major CSA is smaller in females, this decrease in female,s CSA explains why CSA in Parkkola et al. and Chaffin et al(table 2) are smaller than other studies where subjects of both studies were exclusively females. Lower than average CSA found also in Baker et al. (2004) and might derived from using female subjects in the patient or volunteer group. The second common character is the pattern of change in the psoas major CSA across spinal levels (increasing gradually from L2/L3 to L4/L5 and decrease at L5/S1). 2.2 Effect of MRI procedures on calculating Psoas major CSA Effect of trunk position on ACSA of back muscles (include psoas major) in MRI studied by Jorgenson et al. (2003). Briefly, results showed that neutral trunk position during MRI imaging showed maximal ACSA and that ACSA at levels L4-L5 and L5-S1 intervertebral discs decreased by different percentage as the trunk moved from neutral about 45 flexions in the sagittal plane. Outcome of Jorgenson et al. (2003) study showed the importance of describing scan angle and trunk position during MRI scan to ensure getting the maximum CSA and minimize confusion during analysis of gathered psoas major CSA data. Reviewing table two studies showed that two studies only (Dangaria et al. 1997, Santaguida at al. 1995) taken care to describe the trunk and pelvic position during MRI imaging. Santaguida at al. (1995) reported that scan angle was cosine of 20 between the scan slice and line of action of psoas major muscle fibers at L4/L5 and L5/S1 levels, which reduced CSA at both levels, Dangaria et al. (19 97) reported that all patients received special care to correct pelvic tilt before MRI imaging. However, the previous studies showed human position inside MRI scanner is vital in Estimating Psoas major CSA. Therefore, results of studies failed to introduce accurate description of subject position inside MRI scanners might was inaccurate. Biomechanical models This assignment aim is not to discuss biomechanical aspects of Psoas major muscle composition or action. However, using cadavers to calculate biomechanical forces helps to better understanding of muscle action. Yoshio et al. (2002) studied 25 osteoligamentous specimens with psoas major tendon to measure the flexion angle of the hip joint where psoas major tendon loses contact with the femoral head and pelvic surface. Further Ten osteoligamentous specimens used to measure tensile force and pressure exerted on the psoas major and/or bone tendon interface during contraction of psoas major. Tension force of psoas major tendon measured in different angles of hip flexion. Results suggested that psoas major muscle works as (i) erector of lumbar vertebral column and stabilizer of the femoral head in the acetabulum at 0Â ° 15Â ° of hip flexion (ii)in 15Â °-45Â ° of hip flexion, psoas major maint spine erection role and partially loses femoral head stabilization role (iii) 45Â °-60Â ° o f hip flexion psoas major works as flexor of lower extremity. Cadaver used in the study was old (above 70 years) from both genders, which restricted study sinding on the old age group. In addition, cadaver preparation procedures not described well in Yoshio et al. (2002). Study Procedures involved screwing lumbar spine and pelvis . First section of this essay showed that psoas major has stabilizing role in lumbar spine and fixation of the lumbar spine in Yoshio et al. (2002) lost one of the important roles of psoas major, which may have affected on calculation of psoas major action on the hip joint. Conclusion Knowledge about psoas major gained mainly by dissection and radiological images and specially MRI. Dissection helped to give knowledge about features and action of fascicles of psoas major,differences in geometry of psoas major (such as size, length and width) in different ethnic groups and genders. Bilateral variations and anomally of psoas major knowledge gained also from dissection although it was rare. ACSA and PCSA differences between different levels of lumbar spines were gained from cadaver dissection. MRI was powerful in measuring geometry of psoas major in-vivo, studying psoas major geometry data for patients with specific disorders such as back pain perfomed mainly by MRI. Newer models of MRI offered quick and accurate imaging of human body. Biomechanical models offered valueable information about action for clarifying multiple actions of psoas major. Further histological studies is important to introduce new data about muscle fibers types of psoas major.

Child prostitution in foreign countries

Child prostitution in foreign countries Prostitution refers to the act or practice of offering sexual services to another person in return for payment or other favors. Prostitution is illegal in most countries of the world but is still legal in some countries. Different countries treat prostitution and prostitutes differently and the legality of prostitution activities varies from country to country. In some countries, the governments prohibit prostitution and punish all people caught involved in these activities. In other countries, the governments are committed to abolish prostitution. Some allow prostitution but regulate its activities while in some other countries, there is decriminalization of prostitution and people carry out prostitution activities just like any other job. In any of these cases, prostitution is a crime and is associated with other crimes. Like any other form of prostitution, child prostitution is common in the world and children mostly enter into this business because they are forced by circumstance s or people especially their parents or guardians. Child Sex tourism is also common. In this type of tourism, tourists engage minors of the country they visit in sexual activity. People also traffic children across international borders for purposes of sexual exploitation. Both Child trafficking and sex tourism contribute to child prostitution in foreign countries. About 900, 000 children are trafficked across international borders each year and people hold them in brothels or in other places for sexual exploitation. The problem of sex servitude affects both male and female children. People prefer to practice child prostitution in foreign countries for various reasons. Child prostitution is a world problem that requires both national and international attention. Many factors lead to child prostitution in many countries of the world. These include misery, poverty, unemployment of either the child or the parent, human trafficking, dysfunctional family environment, deception, poor education, AIDS scare, drug abuse and addiction, incest, rape, early exposure of children to sexual activities, and internet. Some governments also use child prostitution through sex tourism to promote tourism thus gain foreign exchange. They do this either directly or indirectly. These governments are those that are struggling economically. They usually assume acts of child prostitution and thus allow this evil act to attract more tourists and boost their tourism industry. Internet and child pornography serves as a major marketing tool that promotes child prostitution. People post on websites the experiences about child sex in different places and the costs involved. They also share child pornography through such websites thus encouraging not only child sex tourism b ut also child trafficking for sexual purposes. Poverty ranks high as a major factor that forces children to be prostitutes. This is common in poor countries affected by poor economies and wavering politics. In this situation, voluntarily becomes prostitutes or their parents force them into prostitution to provide financial needs of the family. This is common in most developing countries. Lack of viable sources to support the rising needs of people in these countries makes the children vulnerable to such exploitation. The families in poverty-stricken areas also become easy targets for procurement agents who are seeking for children to sell them into sexual slavery in brothels or various homes in the world. Child labor in poverty-stricken areas also exposes the children to prostitution. When parents or other agents send children to streets to hawk items, they expose their children, especially female children, to sexual harassment and rape. Human trafficking and deception are other factors that cause child prostitution especially in foreign countries. Human trafficking is a criminal activity in which some people purport to send teenagers to foreign countries to work but end up becoming prostitutes in their new destinations. Some brothel owners or procurement agents sometimes deceive parents by paying them money and promising them that their children will work in domestic chores but these children end up in prostitution. The brothel owners control the childs activities and do everything they can to maintain those who help them earn a lot of money. Sometimes hard times hit and these children are deported back to their countries where they continue with their prostitution activities. Dysfunctional family environments also play an important role in forcing children into prostitution. Such children do not get sufficient parental care and wander around looking for places to find solace. Such children end up in night discos and in other places, which expose them to early involvement in sexual activities. In the end, these children end up trading on their own bodies in order to support themselves. Incest and rape generally changes the childrens outlook in life and make some children to give room for prostitution. Some children become rebellious and defiant of the instructions given by their parents and feel independent. They demand for freedom to do what they want with their bodies. This leads most of them into prostitution. Drug abuse by these children also aggravates the problem by subjecting the children to prostitution and making them compromise situations they cannot when they are in their sound mind. Some children also engage in prostitution due to pleasure and continue in it because of the pleasure they derive from these acts. Criminals organize the sex industry in the world and use children in prostitution for their own gain. The demand of young girls and boys in some countries also contributes to the growth of this problem as more children face trafficking to work in foreign countries as sex slaves. The increasing demand of foreign sex in many people aggravates this problem. Some customers also fear sexually transmitted diseases like AIDS and thus engage children in prostitution believing that they are of low risk. Poor law enforcement in other countries also aggravates this problem. Child prostitution is common in virtually all countries of the world. Pimps, brothels and other criminal networks collaborate to traffic about 900, 000 children across borders for sexual exploitation and servitude every year. This is not only the problem of poor countries but it is common even in rich and developed countries. Sex tourism also combines with child trafficking to make this lucrative business of child prostitution to flourish. People usually employ networks of small groups to carry out activities like recruitment, transportation, advertising and retail of trafficked children for the purposes of sex exploitation in foreign countries. These groups often achieve major success because they require little capital to start up and prosecution by the countries involved is relatively rare. The major sources and destinations of sex tourism and child trafficking for sexual exploitation in foreign countries include Thailand, Japan, Israel, China, Belgium, Germany, Bulgaria, Netherla nds, Nigeria, Italy, Brazil and Ukraine among others. Of these countries, Thailand and Brazil are the leading in perpetuating the business of child prostitution. Even though prostitution and child sex exploitation is illegal in Brazil, from 200, 000 to 2 million children aged between eight and sixteen years are forced into prostitution in this country (Charles, 2010). The children involved in prostitution face many challenges and there are many effects associated with this child prostitution. Mostly, the pimps and brothel operators direct the activities of these children and they do not give them freedom of choice. This makes the children to work against their wishes. They also rarely give these children rest from their work. The pimps also give the children little food and this coupled with the high amount of work they do makes these children weak and sometimes may lead to death of the children. Child prostitution is also economically unsound and causes the child moral and physical harm as well as psychological trauma. Those who use children in prostitution activities usually do not well address their health issues. The children also risk attack from many sexually transmitted diseases like AIDS, syphilis, meningitis, anemia, tuberculosis, and others. This further weakens the health of these children and some lead to their death. Because child prostitution is an illegal business, some brothel owners or pimps fear taking the children to hospitals for treatment or regular checkups. In case they suspect a disease in any of the children, these brothel owners employ quark doctors who sometimes prescribe wrong medication for these children. As a result, the children live with a load of diseases and other health disorders, which give them problems throughout their lives. Such children especially girls are forced to enter into early child bearing and sometimes, family responsibilities. This makes those schooling to drop out of school and thus become less equipped for the labor market (Ringold, 2000). The gi rls used in child prostitution are forces to carry out frequent abortions. Unqualified doctors who also use poor methods and equipment in wrong environments often carry out these abortions. This further endangers the life of the child and deteriorates the childs health. Child prostitution also causes a lot of psychological and emotional stress to the children involved in these practices. Children in this case lose their self-esteem and give up in life. Some of the children get permanent physical damage, which they unwillingly live with. Such children do not have any confidence to engage in any other work except crime related jobs. Child prostitution is also associated with other crimes like drug trafficking and abortions. The more they get involved in other crimes, the more their morals deteriorate. They live in constant fear of raids by people and the police. Thailand has the worst record of child prostitution in the world. Even though prostitution is illegal in this country, it still takes place publicly or privately and sometimes the government regulates it. Large international criminal syndicates traffic children from other countries to Thailand and/or sends some children to other countries to work as prostitutes. Sex tourism in Thailand also contributes substantially to the problem of child prostitution. People coerce children from the age of 10 years into prostitution or some parents sell their own children into sex slavery knowingly or unknowingly. (Sorajjakool, 2003; Pusurinkham, n.d.). Poverty plays a major role in engaging minors into prostitution in Thailand. The children used in prostitution in this country come from Burma, Cambodia, Laos, China, Russia, and Uzbekistan. Thailand also traffics children to Japan, Malaysia, Australia, Europe, Canada, South Africa, Singapore and Bahrain for sexual exploitation. The children are kep t in brothels, which are sometimes surrounded by electric fence thus making it hard for the children to escape. Pimps give the girls harsh treatment and brutally beat those who are not cooperative sometimes to death. Ending child prostitution in Thailand has been a challenge because of lack of commitment from most of the stakeholders and the Thai government. Currently, having sex with girls below fifteen years of age is illegal under Thai law. However, child prostitution still exists in Thailand due to corruption of the government and political leaders. This issue makes the government and political systems to overlook or minimize the problem of child prostitution. The offenders often bribe police officers and politicians to protect them against prosecution. Even though this is the case, the government is striving to do away with child prostitution. It is doing this in association with nongovernmental organizations and other international organizations. The concern is to end sex tourism in Thailand and prevent child trafficking both into and out of the country for purposes of sexual exploitation and servitude. Brazil, China, Nigeria and Zimbabwe also have notable cases of child prostitution in foreign countries. These are destinations for child trafficking as well as sources of children trafficked to other countries for sexual exploitation. Sex tourists also find these destinations appropriate for their activities. Child prostitution in most countries of the world is illegal but still there are many instances of child sex molestation. Most governments are committed to end this problem of child prostitution both in their countries and in foreign countries. There are also many of non-governmental organizations and international organizations involved in reducing the practices of child prostitution in the world. These organizations include End Child Prostitution in Asian Tourism (ECPAT), the International Labor Organization (ILO), the World Tourism Organization, and the United Nations Childrens Fund (UNICEF) among many other international, regional and national organizations. ECPAT is an international organization based in Thailand. This organization was founded in 1991 with the goal of eradicating child prostitution in the world. The organizations plan is to persuade governments to enact laws to protect children against both local and international prostitution. After the governments have enacted these laws, ECPAT then ensures that these governments enforce these laws. The organization also persuades parents through their local leaders not to sell their children into prostitution (Hancock, n.d). It also discourages sex tourism and convinces governments to accept extra-territorial laws that allow prosecution of foreign citizens who sexually abuse minors in the country where they commit the offence. This means that sex tourists who use children in any foreign country will face judgment in the country where they commit the crime while they are on their tour. Some other human rights organizations gives information to parents in poor, rural areas about the tr ibulations and molestations the children go through in the places they sell them. They do this by use of photos, videos, and/or radios. This is what takes place in Thailand. UNICEF is a United Nations organization concerned with the welfare of children. The organization works in many countries to help vulnerable children grow to early adulthood without many avoidable problems. The organization sometimes works with other NGOs in some countries to help it achieve its goals. UNICEF through its conventions sets principles and guidelines for countries to follow in combating child prostitution. The organization then asks and helps countries to commit to their action plans in protecting children. They do this regionally or in individual countries. For example, UNICEFs second World Congress against Commercial Exploitation of Children set out guidelines and some countries made commitments to develop national plans of action against commercial sexual exploitation of children. A number of countries in the Eastern and Central African region made commitments to this strategy. These countries include Ethiopia, Kenya, Uganda, Madagascar, Mozambique, Seychelles, South A frica, Tanzania, Zambia, Zimbabwe, Namibia, Lesotho, Mauritius and Angola (UNICEF, 2001). Many of these countries face the problem of child prostitution both in the local countries and in foreign countries. Taking an example of Kenya, this country committed itself to the development of a national plan of action on commercial sexual exploitation of children (CSEC). Through this commitment, the country has formulated policies, programs and activities to help it to achieve the goal (UNICEF, 2001). This has made the country to engage NGOs in the fight against child molestation and sexual exploitation. The NGOs have involved children in the production of drama on child sexual abuse to raise awareness about this issue. The country has also formed the children department in one of its ministries to protect children. The new constitution of that country has comprehensively covered and clearly outlined the rights of children. The countrys government with the help of children rights groups has established strong regional co-operation with other countries. This is helping in checking child prostitution in foreign countries in this region and the world at large. In conclusion, child prostitution is a common problem in many countries of the world. In this practice, the children engage in sexual activity for monetary gain especially by the adults who either are their parents or their caretakers. Some children enter into prostitution due to the hard situations they face while others ere sold into sexual servitude by their parents either consciously or unconsciously. Child prostitution in foreign countries is also a common practice. People do this through sex tourism and child trafficking. Most people practice child prostitution in foreign countries either because they want to avoid the laws of their countries by breaking law in foreign countries or because they misunderstand the people of the countries that they visit. Child prostitution is a multi billion business in the world that leads to wastage of many childrens lives. In some countries, cultural practices contribute to the involvement of children in prostitution. Large and small criminal groups arrange for Trans boundary transfer of children and clients involved in child prostitution. Even though many human rights groups are against this immoral behavior, some governments have not fully committed themselves to eradicating this problem from their countries. Still there is much demand of foreign children for sex in some countries making the business of child trafficking and sex tourism to flourish. In whichever the case, children prostitution is a criminal offence and all people and especially governments need to fight to eradicate this problem from the society.

Gay Adoption Should be Allowed :: Homosexual Adoption Essays

In this society people say that everyone is equal, but I wonder if we are equal? People of today fear change and believe that any change that was wrong in the past is wrong still today. I'm here to say that it is time for change. Homosexuals of the United Sates are regular people just like heterosexuals. The question that I have for society is that if all of the people in our nation are looked at as equal, then why are homosexuals treated differently? I have always believed that everyone should be treated equally, and I?m here to stand up for homosexuals. In this paper I will argue how homosexuals are standing up for their selves. They want to be able to have regular families just like anyone else. I will show how they deserve a chance to have a family just like everyone else, and how society should learn to open their eyes and accept new changes that occur in society. They should come to realize that not everything that we fear happens to be wrong. People should be recogni zed and respected for who they are and not what they are. For years homosexuals have kept quiet. Some called it ?staying in the closet.? Now, they are coming out of the closet and fighting for the rights that they should be given. The rights to adopt and have a family just like any other couple in society. The American Civil Liberties Union are filing lawsuits against states that still have laws preventing gay adoption and foster care. They are letting people know that they will not go away and that it is time that people accept them for who they are: ?homosexuals? and to give them the same respect that you would expect. By them filling lawsuit and stating their cases they will continue to fight for their rights. A result of this would be The American Bar Association is supporting that adoption is not denied on the bias of the adopting parents. This goes to show one voice can go along way. Homosexuals should be commended on their determination. There are fighting for rights that they are denied only because of their sexuality. Is that how this society works?