Tuesday, December 24, 2019

The Sale of Human Organs - 2130 Words

The Sale of Human Organs If your loved one was faced with a life or death situation would you do everything in your power to help them. The easy answer to this would be yes but thousands of people are dying every year because there just aren t enough organs to be transplanted. There are hundreds of thousands of individuals in need of life-saving organ transplants, but the wait list is so long, that human organ sales should be legal. This has the potential to allow patients to look for organs of a similar match, potentially saving their lives in a much shorter amount of time with an overall long-term reduction in medical costs. The history of human organ transplant is an epic journey to understand how the human body works and ways to†¦show more content†¦But what if we look at it in the sense that you can give life to someone and in return receive a monetary exchange. Do you think more people would help save a life...I do. We all want to think people are good in nature and they would do anything to help someone in need. But in reality people have a hard time giving something as personal as an organ to someone they don t even know without receiving something in return. According to Benjamin E. Hippen, a transplant nephrologist There are fewer organs from living donors than one might wish for because too few people are altruistic enough to undergo surgery for someone they don t know. With the economy where it is today receiving compensation for donating an organ to save someone s life seems like a win-win situation. American s have donated millions to cancer awareness every year and over 90 million people have donated blood to help their fellow American. American s can receive a monetary sum for the donation of their semen and human eggs. They are giving a part of themselves to someone else to create life. So in turn selling your organ would basically save another life. What is the difference? In the U.S., a black market for human organs does exist. It usually involvesShow MoreRelatedSale And Sale Of Human Organs1627 Words   |  7 Pagesthe sale and purchase of human organs would be morally unjustified. For the purposes of this paper, my argument will allow for the term â€Å"market† to be used in its literal, physical sense, as describing a public location for commercial interaction, as well as in reference to the concept of â€Å"the market† in regards to a general domain of economic activity, in this case involving organ selling. In such a manner, we can avoid possible contention regarding what could constitute a market for human organs—suchRead MoreSale of Human Organ1112 Words   |  5 PagesEnglish patients, who are on the waiting list for organs transplant, dies each year before they obtain an organ (Bates, 2011). While this number tends to rocket in not only England but also worldwide range, almost all the government still keep passing nume rous policies to restrict the supply of transplant organs. Typically, they have long prohibited trafficking human organs regardless of proposals for reform. As a further work on this issue, the article â€Å"Sales of Kidneys Prompt New Law and Debate† fromRead MoreThe Sale Of Human Organs858 Words   |  4 PagesThe sale of human organs is a prevalent subject of moral exchanges that displays a civil argument that offers no trading off arrangement. Moral issues required in the selling of human organs make up its ethical issue. No argument is fully accepted when discussing the legitimation of selling human organs. I agree with the position from Savulescu’s article that individuals should be allowed to sell their organs and that it is morally permissible. Based upon figures from 2012, 95,000 Americans wereRead MoreThe Sale of Human Organs2046 Words   |  9 PagesKarra Bryant ENG 1020-011 Mrs. Shiner-Swanson Final Research Paper The Sale of Human Organs In the US recently the issue of human organ trafficking has become a bigger and bigger problem. When people hear that human organs are being bought and sold on the black market, they think that kind of thing only happens in third world countries, but it is quickly becoming one of Americas biggest issues. People spend years of their lives on the transplant list waiting for a life saving operation,Read MoreShould Human Organs for Sale?1685 Words   |  7 PagesHUMAN ORGANS FOR SALE Should the sales of human organs be legally or not, it is quite difficult to find a satisfied answer to this controversial question at the moment. Although a large number of articles were written, numerous speeches were made, countless meetings were hold to discuss about this matter but until now it is still a big controversy issue all over the world. Thanks to the steadily development of scientist, technology and medicine treatment, nowadays human organ can be transplantedRead MoreIllegal Sale Of Human Organs1031 Words   |  5 PagesSale of human organs have been illegal in the U.S. since the National Organ Transplant Act of 1984 was established, but illegal sale of organs still exist on the black market. The black market is where desperate wealthy people can make contact with unscrupulous greedy criminals to secure themselves a kidney or any other type of human organ they may need. The idea that a person’s organ can be purchased online or through a dealer like a car is une thical and objectionable. Potential causes for the thrivingRead MoreLegalize the Sale of Human Organs956 Words   |  4 PagesLegalize the Sale of Human Organs Compensation for the donation of human organs should be legalized for medical use. Medical surgeons everywhere are calling the government to have them legalize the sale of organs for transplants; allowing people to sell their organs would help people by meeting their financial expenses, solve the lack of supply, save many lives, and get control of the black market. Compensation for donating bone marrow is legalized, so why not organs? There has been a hugeRead MoreLegalizing the Sale of Human Organs1071 Words   |  4 PagesLegalizing the sale of human organs has become a very controversial topic in the last few decades. Transplant surgeries were becoming relatively safe to preform, which lead the transplant list to grow rapidly. The debate on how to increment the number of organs available for transplant commenced. Currently organ donations were solely dependent upon cadaveric donors and family members. This shortage has engendered an ebony market for organs sales. People are peregrinating across the country to haveRead MoreLegalizing The Sale Of Human Organs1246 Words   |  5 Pagesincreasing need of organs for medical treatment, illegal organ black markets become more rampant. Under such circumstances, should the government legalize the sale of living human organs? In Joanna MacKay’s essay Organ Sales Will Save Lives, after analyzing from both receivers’ and donors’ perspectives delibe rately, she makes her own credibility to conclude that since there are potential donors and potential sellers that have a strong eager to trade kidneys, legalizing the sale of human organs would bringRead MoreShould Human Organs for Sale?1699 Words   |  7 PagesHUMAN ORGANS FOR SALE Should the sales of human organs be legally or not, it is quite difficult to find a satisfied answer to this controversial question at the moment. Although a large number of articles were written, numerous speeches were made, countless meetings were hold to discuss about this matter but until now it is still a big controversy issue all over the world. Thanks to the steadily development of scientist, technology and medicine treatment, nowadays human organ can be transplanted

Monday, December 16, 2019

Traditions in British Culture Free Essays

Traditions in Britain Culture Britain is full of various types of traditions. They have been around for hundreds of years. When most people think of Britain they think of eating Fish and Chips, or drinking tea and wearing bowler hats. We will write a custom essay sample on Traditions in British Culture or any similar topic only for you Order Now There is a lot more to it than just that. St. George’s day is one of the most important days for England. It is known as their national day. April 23rd is when St. George’s day is celebrated. St. George is the patron saint of England, he protested against the Romans torture of Christians and died because of his beliefs. On Sundays the main meal of the day is often eaten at midday instead of in the evening. This meal usually is a Roast Dinner consisting of roast meat, Yorkshire pudding and two or three kinds of vegetables. Symbols that identify British Culture include: †¢The three national symbols: †¢The Union Jack: The flag of the United Kingdom, it dates back to 1603. When James VI (6th) of Scotland inherited the English and Irish thrones. Joining together the crowns of England, Scotland and Ireland in a personal union. The Red Rose: It is the national flower of England. †¢And the three Lions Crest also known as the Royal Arms of England: The three golden lions on a red background, symbolizing England †¢The Royal Family: Queen Elizabeth, Prince Phillip, Prince Charles, Prince William, and Prince Harry. †¢Royal Guards: Life Guard, Foot Guard and Beefeater †¢On the Streets of England: Red double decker buses, Black taxi cabs, Pillar box (Post Box) and Telephone Box †¢ Song: God Save the Queen is the English anthem, it can also be known as God save the King when the Monarch is a male. When sung people usually only sings one or two of the verses, since over the years many people have contributed into adding another verse into the song. The many candidates for authorship on this song include John Bull, Thomas Ravenscroft, Henry Purcell, and Henry Carey. Currency: The pound sterling, often simply called the pound, is the currency of the United Kingdom. It is subdivided into 100 pence. Singular form is a penny) Education: British children are required by law to have an education until they are 16 years old and after that they are free to not go to school. Education is compulsory, but school is not. Children aren’t required to attend school, but the only other option is to be educated at home. The main school holidays are: Christmas (2 weeks long), Spring- 2 weeks long, and summer that is 6 weeks long. There are also one-week holidays that are at the e nd of October, the middle of February and the end of may. How to cite Traditions in British Culture, Essay examples

Saturday, December 7, 2019

Art Essay Research Paper Amedeo Modigliani 1884 free essay sample

Art Essay, Research Paper Amedeo Modigliani ( 1884? 1920 ) ? Born in Leghorn in Italy. ? Basically a painter but in 1906 he began to experiment with sculpture. ? He worked in Paris for the nest 14 old ages ? Had TB. ? Took drugs and intoxicant ? Not truly an creative person of the twentieth Century ? He utilised post-impressionist boundary line of image infinite and cubist limitation of coloring material. ? He constructed portrayals, nude, kids surveies, and sculptures of foreign people? s caputs. ? The Chellist ( as shown right ) was done in 1909 and got his some acknowledgment. ? He so got really passionate with his sculpturing with uttered contours. ? Was one of the maestro portrait painters of twentieth Century pictures. ? Bride and Groom ( as shown left ) was painted in 1915-1916 portrays an unidentified twosome. It seems like a Gallic position of the English. ? Two topics seem chesty and unmindful, with the primitivist technique of bla nk eyes and profile olfactory organ in full face lending to the word picture. We will write a custom essay sample on Art Essay Research Paper Amedeo Modigliani 1884 or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page ? It is better to analyze the well known Sitters than the unknown, such as Chaim Soutine ( as shown left ) who was a Russian provincial who? s wide, level nose, thick lips and Slavic zygomatic bones. ? He would besides pull his friends and familiarities and other people that he would non hold to pay, but these were chiefly unknown people. ? The same was true on his bare pictures but sometimes he would trust to a great extent on professional theoretical accounts. ? His word pictures of the nude or partly draped female are among the most beautiful and sensuous in the whole of art. ? The figure is usually set within a narrow deepness of colored infinite. Modigliani is fond of the contrast of cloaked white sheets against a Venetian red. ? The figure is outlined with a fluxing but precise line ; the full and sensuous volumes are modelled with about unperceivable steps of flesh tones. The trunk is frequently highly extended, but there is no ocular sense of grotesque deformation.

Saturday, November 30, 2019

Raffles Hotel free essay sample

Hotel in Singapore Full Situational Audit of the Raffles Hotel and Develop a Strategic Place for the next 3 Years. Cover Page: Student Number, Module Code, Title, Module Tutor Table of Contents, List of Tables, Figures and Appendices Introduction Explaining the Purpose of the Report Brief Company Overview (10% of the assignment mark) 400 words External Audit: analysis of relevant macro-environmental (PESTE) and industry dynamics (Porter’s Five Forces), an assignment of competition and evaluation of Key Success Factors. The application David’s Factor Evaluation (EFE) matrix might assist your analytical process (30%) 1200 words Internal Audit: Analysis of the company’s strategic positioning in the marketplace and key target segments, an evaluation of the corporate portfolio and expansion strategies in relation to the firm’s centric approach and a comprehensive strengths-weaknesses analysis of current resources and competences, value chain activities and value networks. The application David’s Internal Factor Evaluation (IFE) matrix might assist your analytical process (30%) 1200 words Strategic plan for the next three years: This should include an evaluation of strategic options (TOWS matrix), the development of a new sales target, SMART objectives, the development of a mix of suitable strategies and a monitoring, control and contingency plan. We will write a custom essay sample on Raffles Hotel or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page (30%) 1200 words List of references Company Overview Raffles Hotel is a colonial-style hotel in Singapore. It was established by two Armenian brothers from Persia—Martin and Tigran Sarkies—in 1887. In later years they were joined by younger brothers Aviet and Arshak and kinsman Martyrose Arathoon. With their innovative cuisine and extensive modernisations, the firm built the hotel into Singapores best known icon. It was named afterStamford Raffles, the founder of modern Singapore, whose statue had been unveiled in 1887. The hotel is currently managed byFairmont Raffles Hotels International and houses a tropical garden courtyard, museum, and Victorian-style theatre. Raffles Hotel has a shopping arcade housing boutique brands such as Louis Vuitton, Surrender, and Tiffany Co.. The arcade houses most of the hotels restaurants. It also has shops such as the custom tailor, CYC The Custom Shop,[9] which makes shirts for Singapores first prime minister, Lee Kuan Yew, and the third and current prime minister, Lee Hsien Loong. The third floor of the arcade houses the Raffles Hotel Museum and Jubilee Hall. Accommodation The hotel has 103 suites: 84 Courtyard and Palm Court Suites 12 Personality Suites 5 Grand Hotel Suites 2 Presidential Suites Activities 15 Restaurants and bars Raffles Spa Outdoor swimming pool Raffles Hotel Shopping Arcade Jubilee Hall theatre Raffles Hotel gardens Gymnasium Event spaces Executive centre Business Services A team of 24-hour personal Raffles butlers endeavours to assist hotel guests in all matters of business and leisure throughout their stay. The Executive Centre is another haven where residents can work or relax at their wish. Designed as a study, it is fitted with personal computer workstations and printers, and stocked with a selection of international newspapers, business magazines as well as commercial/industrial trade directories. The perfect location for a business meeting, Raffles Singapore features seven function rooms for events of up to 350 guests. With a choice of rooms, attentive service and all the technology you would expect, we’ll make it happen exactly the way you want it Facilities Outdoor Swimming Pool Bar Luxuriate in an exclusive haven by the rooftop pool, set amidst the lush tropical surroundings. Raffles Hotel Shopping Arcade Raffles Hotel Shopping Arcade stands as an oasis of calm amidst the busy city and is an integral part of the world-renowned Raffles Singapore. The shopping arcade offers an extraordinary experience to discerning shoppers both locally and from around the world. It houses over 35 international and regional fashion and designer stores, as well as the popular Raffles Shop with fascinating memorabilia and collectibles available for purchase. Jubilee Hall A charming, Victorian-style theatre playhouse seating 388 guests, Jubilee Hall is noted as a premier cultural venue for varied repertoires and ceremonies. Sir Charles Flowers For The Gentleman With a bloom for the gentleman to shower upon his lady and a posy for the lady to accord her gentleman, let the distinguished flowers from Sir Charles speak for you. From hand posies and hand bouquets to potted floras and lavish arrangements, Sir Charles has a delightful bloom for every joyous occasion. Gardens at Raffles Hotel Raffles Singapore is perfectly accompanied by the lush greenery and the landscaping which make up a quarter of the total land area of the Hotel. The gardens and courtyards at the hotel include the Palm Court, Palm Garden, Fern Court, The Lawn, Raffles Courtyard and Raffles Square. An iconic plant found in the gardens of Raffles Singapore is the Travellers Palm, which as tales would tell, has been known to save the lives of travellers in search of water with its fan-shaped foliage providing welcoming shade. The leaves are also said to be aligned on an East-West axis, thus pointing travellers in the right direction. Limousine Service Arrive in style at the grand gravel driveway of Raffles Singapore with our chauffeured limousine service, or be whisked away to your next destination after your stay with us. Our classic Daimler or Bentley limousines promise to transport you to the glorious heydays of a bygone era, without which no Raffles experience is complete. A luxurious fleet of other modern limousines are also available. Family Outdoor Swimming Pool Luxuriate in an exclusive haven by the rooftop pool, set amidst the lush tropical surroundings. Raffles Hotel Shopping Arcade Raffles Hotel Shopping Arcade stands as an oasis of calm amidst the busy city and is an integral part of the world-renowned Raffles Singapore. The shopping arcade offers an extraordinary experience to discerning shoppers both locally and from around the world. It houses over 35 international and regional fashion and designer stores, as well as the popular Raffles Shop with fascinating memorabilia and collectibles available for purchase. Resident Historian Experience a tour with Raffles Singapore’s very own Resident Historian Leslie Danker who has been with the hotel for almost 40 years. 24-Hour Butler Service At Raffles Singapore, we want our hotel guests to feel the ultimate service from our hearts. Delivering a high level of discreet and attentive service is the role of the Raffles butler. We call that ‘service with a gentle breeze’. The butler team can also make arrangements for babysitting services, offer children’s amenities such as toys and games, should you require them.

Tuesday, November 26, 2019

Health and Human Services Law Essay Example

Health and Human Services Law Essay Example Health and Human Services Law Paper Health and Human Services Law Paper The ideal of legality is significant for public administration, and for human service administration, because of the covenant that our government is a government of laws and not a government of men and women. No person is above the law. If humans were angels, there would be no need for law. At the same time, humans have evolved to the point of capacity for self-government, self-rule, through law (Valle, 2003). The Ideal of Legality Health and human services are delivered within a framework of private public law. The rules of conduct for health and human services in the free market economy are prescribed by such areas of the law as contracts and torts (civil wrongs). Government-specifically, the judiciary – provides a dispute resolution service for private conflicts, the results or cases constituting a body of private law. Private law defines and enforces the duties and rights of private individuals and organizations. Government is active and regulatory in health and human services in response to qualitative or quantitative breakdowns in the free market economy and the family. The regulation and delivery of health and human services by government through law constitutes a body of public law defining the subfield of substantive health and human service law. Public law defines and regulates the relationship of individuals and government. Public human service law is generated not only by the judiciary in resolving disputes through cases involving public human service interests, but also legislatures, and by administrative agencies through rule making and adjudication. Public human service law is distinct from administrative law in that administrative law can be considered procedural, generally governing the administrative process and the means by which administrators conduct business. Public human service law, at least for purposes of this discussion, delineates substantive service goals, or ends, and structure or legal organization – that is, what the service delivery system should look like and accomplish (Rabin Steinhauer, 1988). Malpractice Caps Various states are attempting to stem the tide of rising malpractice costs by passing laws that impose restrictions on limiting the total dollar damages allowable in malpractice action. The White House is preparing a package designed to encourage states to cap non-economic damages at $250,000 and incentives for states to adopt measures designed to rein in the malpractice litigation process. The proposal would give compensation to states trhat adopt recommendations that include structured payments of damages and programs to settle malpractice cases out of court. Many states have enacted laws that limit malpractice awards. A Kansas statute, for example, provides that in any personal injury action the total amount recoverable by each party from all defendants for non-economic losses shall not exceed $250,000. Maryland allows for up to $350,000 for non-economic damages. It is unlikely that setting a cap on awards for pain and suffering will do very much to reduce the costs of malpractice insurance. â€Å"Placing limits on malpractice awards is no solution to the lack of coordinated planning that reflects this country’s approach to health care. Capping awards would do nothing to help the patients.† The malpractice reforms in Indiana, which set upper limits on damage rewards and a mandatory review of malpractice claims by a physician panel, did not deter people from filing malpractice claims (Rabin Steinhauer, 1988). Impact of Medicare Drug Law Landmark Medicare reform was passed in November 2003, titled the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Modernization Act). This law creates subsidized prescription drug benefit for all elderly starting in 2006. in 2004, individuals could purchase a drug discount card, estimated at about $35 a month, that could save them 10%-25% on current drug costs. If an individual’s income was not more than $12,569, they qualified for a $600 credit on their discount card to help cover the cost of their prescriptions. The new law does not contain any mechanisms to control the cost of medication. Only time will tell how effective the discount cards will be. Also, under the new Modernization Act, disease management initiatives must be implemented. In 2004, the administrator for CMS announced that by the end of the year, 10 Medicare chronic care projects would be launched. It is hoped that increased coordination of care for Medicare beneficiaries will demonstrate health care quality and positive outcomes as well as significant cost settings (Brody, 2005). Conclusion The immediate conclusion to be drawn from the above situations is that reducing exclusion from health care requires an approach that combines various intervention modalities. In addition, simultaneous efforts need to be made in the areas of steering, financing, insurance, and provision of health services so that the actions undertaken in each are consistent and mutually reinforcing. The challenge is to make extending social protection for health the focus of the government’s political agenda and to engage all relevant actors in the effort. In this regard, extending social protection for health must be made of the essential public health function of guaranteeing access to services (Valle, 2003). References: Brody, R. (2005). Effectively Managing Human Service Organizations. New York: SAGE. Health in the Americas. (2002).   (Vol. 2). Washington DC: Pan American Health Org. Rabin, J., Steinhauer, M. B. (1988). Handbook on Human Services Administration. New York: CRC Press. Valle, S. D. (2003). Language Rights and the Law in the United States: Finding Our Voices. New York: Multilingual Matters.

Friday, November 22, 2019

How to Automate Marketing Apps With CoSchedule and Zapier

How to Automate Marketing Apps With and Zapier What would you do with more time each workweek? You could: Spend more time doing actual creative work †¦ generate more profit for your business, and †¦ †¦ feel less stressed, all at the same time. Most marketers would agree this sounds But, how can you get that kind of time back, though? I’d like to say it involves using the ability to freeze time. I can’t say that, though, because that’s scientifically impossible ( for now). But, I can tell you all about the next best thing: hooking up your calendar with Zapier, using our latest integration. By using both apps together, you can connect your favorite software services, allowing you to manage and automate tasks in one place. The result? More time to get your real job done, with less copy-paste repetition and general banging-your-head-against-a-wall frustration. Best of all, Zapier is a freemium app that connects seamlessly with . Let’s take a look at exactly how easy it is to get started. Follow along, and you’ll be making magic happen with Zapier in no time. How to Automate Marketing Apps With and Zapier to Save Tons of TimeRemind Me: What Is ? If youre new around here, let me fill you in quick. is a web-based marketing calendar app that makes it easy to plan, manage, and execute marketing projects. When your marketing team has one place where they can map out timelines, collaborate on projects, and visualize clear deadlines (and a lot more), getting things done effectively and efficiently becomes much easier. In short, is your teams hub connecting the spokes of your marketing tool stack. And when its connected with Zapier, that power becomes even greater. Try Free For 14 Days: Ready to take for a spin? Start your free trial or schedule a demo and get your entire team organized on one marketing calendar now. So, What Is Zapier, Exactly? Zapier is a web app that connects other web apps. It works by setting up triggers that automate tasks between apps. For example, each time you add an event to your Google Calendar, it could create a new Marketing Project in . Heres a quick look at what it is, and how it works: Best of all, it’s compatible with an incredible number of apps. While we’re going to focus on using it to connect to your favorite services, there’s a whole lot more it can do. Why Should I Sync My Marketing Tools With and Zapier? The short answer is because you’re A) busy and B) want to accomplish more in less time. The more in-depth answer is because it makes it super easy to manage multiple tools and applications in one place. By empowering marketers to automate routine processes, you can cut mundane tasks from your schedule, and better focus your energy on work that matters. Here are a few examples of things you can do: Sync your Google Calendar and . Add projects to each time a row is filled in Google Sheets. Connect project management tools (including Basecamp, Asana, and Wrike), to your calendar. And that’s barely scratching the surface of what’s possible. If you can think it, there’s a good chance you can make it happen. Heres how busy #marketing teams can use @zapier to connect their favorite apps to @Important Terms to Know Before we get too much farther, there are a couple features and terms that would be useful to understand: Marketing Projects: These are unified folders in connecting items on your calendar together. They’re used to keep all the moving pieces of individual projects and campaigns organized. Zaps: In Zapier, the connections you create between apps are called Zaps. Theyre created by selecting Triggers and Actions, causing App A to make App B to complete a given action. When creating a Zap, its possible to select as the trigger or action. Got it? Now, let’s move on. Recommended Reading: How to Connect Your Favorite Tools With Zapier (Live Demo Recap) Getting Started: Creating a Zapier Account The first step is to create and Zapier accounts. If you’re already a customer, you’re halfway there. If not, you can always start a trial or schedule a demo with an expert. Then, create a free Zapier account by hitting up their website and entering some basic info. With a free account, you can create five Zaps (or connections between apps). If you need more power, you can upgrade to a paid account. Once you log in, youll see a search bar and a directory full of software services and apps: Then, select : For a more detailed walkthrough on connecting to Zapier, check out our helpful support documentation. Youre on your way to more marketing productivity already. Connecting @and @zapier is easy. Heres how:How Are Zaps Created? Now that you’re in, it’d be helpful to know how Zaps are created. Fortunately, this video from Zapier themselves has that covered: Then, if you want to experiment building Zaps of your own, follow our handy support doc. Next, Start Connecting Apps With Our Favorite Zaps The first thing you’ll see once you connect to Zapier is our favorite Zaps. These are some simple templates that make it easy to connect several popular services quickly. Those include: Honeybook Trello Basecamp Asana Wrike MailChimp Google Sheets That’s a solid set of apps you can quickly connect to ! To see how they all work, watch this demo recap video (or follow our step-by-step guide below): But, your selection isn’t limited to this list (Zapier is super powerful and featured extensive functionality to create your own apps). For now, we’ll start with these. + Google Sheets Google Sheets is one of the most popular requests we receive for integrations. And now, with Zapier, it’s possible! Using the Gsheets Zap with , you can automatically add Marketing Projects to when you add a row to a particular spreadsheet. Start by selecting the Zap: Next, youll see a description of the Zap: Click Create this Zap. Next, youll see the following prompt, asking you to create a Trigger: Click Continue. On the next screen, youll see detailed instructions for how to set up your Google Sheet to correctly create Marketing Projects in : Weve got our directions. So, lets set up that Google Sheet: Click Continue, and connect your Google Sheets account: Then, select a spreadsheet and worksheet: Youll then be asked to test your new Zap: Now, youll be asked to create an Action in . The first step is to click Continue on the following screen: Then, connect your account (if you havent already): Youll be asked to paste in your API key (you can find this in Settings Integrations): Next, youll need to test your Zap. Start by filling in details for a test Marketing Project: Then, click Send Test to : Congratulations! Youve now created a working Zap. Now, team members can just fill in your Google Sheet to build out Marketing Projects, which other team members can complete. Thats how Zaps get created. Each Zap listed in this post can be set up similarly by following the step-by-step on-screen prompts. Honeybook + HoneyBook is a popular business management platform for creative professionals. Now, with , you can automatically create a Marketing Project on your calendar once a project is complete in Honeybook. This makes it easy to promote your work (and bring in more clients). Heres how you can use @zapier to connect @honeybook and @+ Trello When you connect Trello (a popular kanban-style project management platform) together with , you can automatically create content on your calendar when you create a new Trello card. So, once you create a card in Trello †¦ †¦ you can create a new piece content that you’ll create on your calendar. You can also create tasks in Trello and have them appear right on your calendar. This zap works similarly, but will instead create a task on your calendar (rather than a piece of content). Now, if I were to add a card to Trello as a reminder to get something done, itll appear on the calendar, too: Heres how you can use @zapier to connect @trello and @+ Basecamp 2 and Bascamp 3 Basecamp is an all-powerful project management platform. It’s been around since 2004, and it’s trusted by tons of customers around the world. And now, it syncs with ! Whether you’re using Basecamp 2 or 3, you can turn your to-do’s in Basecamp into Tasks on your calendar. Remember the task we synced between Trello and ? With Basecamp, the process works in a similar fashion. That gives you full visibility on everything you need to get done, right in (without needing to bounce between two apps). You can also sync entire marketing projects between Basecamp and . Say you have a project manager working behind-the-scenes magic in Basecamp, but your marketers are in . Your PM could create a project in Basecamp. Then, your marketing team will have all the moving pieces in place, so they start getting the work done. Heres how you can use @zapier to connect @basecamp and @+ Asana Similarly, if you’re using Asana for project management, you can sync it with your calendar. Using this Zap, any time you create a project in Asana (click the + sign and select Project): Fill in your project details: And itll create a matching Marketing Project in : Marketers and project managers, living in perfect harmony? Stranger things have happened. Heres how you can use @zapier to connect @asana and @+ Google Calendar If you’re using to keep your entire marketing team organized, it’d probably be useful to see all your meetings alongside your other work and projects. And where do those meetings typically live? On a Google Calendar. So, why not bring the two together? By using this zap, you can create a meeting on Google Calendar: And see it appear on your calendar: This is super helpful if meetings are sometimes initiated by teams outside marketing that aren’t in your calendar, but run everything through the Gsuite. Heres how you can use @zapier to connect @googlecalendar and @+ Wrike Wrike is a widely-used freemium project management platform used by all kinds of teams. Now, you can connect it to and stay on top of tasks better than ever. Using this zap, creating a task in Wrike automatically creates a task in . For example, if your project management team is in Wrike, and your marketing team is in , you can keep everyone on the same page with a single version of truth. Heres how you can use @zapier to connect @wrike and @+ MailChimp MailChimp is one of the worlds most popular email marketing service providers. With their well-structured freemium model and smart balance between power and usability, there are lots of good reasons for that, too. We’ll have some cool email functionality coming to (that we can’t quite talk about yet in detail). But, if you want your calendar to get to know MailChimp, you can do that with this zap. Now, when you schedule an email in MailChimp, itll appear as a piece of content on our calendar. This makes it easy to see when emails are being sent, alongside all your other content and projects.

Wednesday, November 20, 2019

Project Essay Example | Topics and Well Written Essays - 500 words - 9

Project - Essay Example Furthermore, the survey was to gather the expectations of the consumers. The aim of this research is to find out the necessary features a given company’s website needs to have in order to meet its objectives. The choice of this project was because websites are essential in marketing products and providing information to clients and potential employees. However, in some cases the improper presentation of a business websites makes it fail in aiding the business achieves its objectives. This paper informs both the potential business owners and the current business owners of the essentials of a company’s website. Because the success of any business depends on meeting the customers expectation using the use of consumers as variables will bring about informed decisions. For illustration, the given company might realize what additional services their clients would need. Therefore, the rationale for this paper is to provide the essential information required for any business website. In addition, perform an informative role of the functions of various sections of a business website through comparing the website of Saudi Aramco and Marathon Petroleum Corporation. Give reasons your answer. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Please explain your answer

Tuesday, November 19, 2019

Sustainable Enterprise Assignment Example | Topics and Well Written Essays - 500 words

Sustainable Enterprise - Assignment Example There are important reasons why this could be substantially true. Monsanto was able to make a strong point that agriculture is a remarkable sustainability driver in the 21st century. The reasons are simple. There are continuing problems about decreasing yield in agriculture, population and income growth, urbanization and even the environment in general which face the society in reality. In the case of environment for instance, as a chemical company, Monsanto has considerable ideas regarding on how chemicals could create diversified environmental pollutions. Applying the concept of sustainability, Monsanto was finally able to create genetically engineered plants which have resistance to pests and diseases, which would make application of chemicals in farming obsolete in the future. In general, Monsanto created a need out of the ongoing reality in the world and from that a significant business surfaced which was in a form of life science strategy of food, health and hope. For some Europeans, genetically modified foods or plants are not actually integral components of exact science. In other words, they are quite hesitant about the issue of safety and control regarding on foods or plants that have undergone the process of genetic engineering in the field of biotechnology. Europeans are not actually oblivious about the significant promises of genetic engineering and biotechnology. However, European backlash is just a reminder that people should also consider the issue of safety and control. After all, integrating genetic materials with the original plant is not the usual or natural process of food production, so probable issues of safety are what the Europeans would like to emphasize, prior to acceptance of Monsanto’s life science strategy of food, health and hope. However, in developing world, concerns were on feeding a hungry stomach, ensuring high production or yield and advancement in agriculture. In other words, compared to safety

Saturday, November 16, 2019

Investment and Japan Essay Example for Free

Investment and Japan Essay 1. Why, historically, has the level of FDI in Japan been so low? 2. What are the potential benefits to the Japanese economy of greater FDI? 3. How did the entry if Walmart into the Japanese retail sector benefit that sector? Who lost as a result of Walmart’s entry? 4. Why has it been so hard for Walmart to make a profit in Japan? What might the company have done differently? Japan, an island nation on the Pacific ocean, has none of the natural advantages that have facilitated cross-border trade and investment in other parts of the world. Also, Japan was badly defeated in World War II and occupied by Allied forces at the end of the war. Japan was totally closed to foreign investment during that period. The Japanese government sets up important barriers to reduce the foreign direct investment into Japan to develop the country by avoiding other countries’ financial shocks. Additional, the high rental and labor cost impact the Foreign Direct Investment level too. Japan as a host country, a greater FDI can result from the resource-transfer effect, employment effects, balance-of-payments effects on competition and economic growth. Walmart entered the Japanese market by purchasing large stakes in similar retailer Seiyu. Walmart helped Seiyu reorganized the structure, implemented point-of -sale and SMART inventory tracking systems, supply-chain and distribution management systems,etc. Walmart gave a free American strategy lesson to the Japanese retail industry. Walmart also increased the the level of competition in Japan, it resulted in stimulating the developing retail industry and lowering the price of products to improve economic growth in Japan. But Walmart as a foreign investor in Japan did not make profits from 2000-2010. During the years of losses in Japan, Walmart still believed the American style retail store can grow anywhere in the world. They have made similar mistakes just like in Germany. Walmart failed to grasp the fact that the consumer and retail environment in Japan has a different culture. In Japan, people puts loyalty on a highest value. It’s difficult to pursue the consumers from local â€Å"7-eleven† to foreign â€Å"Walmart†. â€Å"Every day lower price† strategy is not enough power to change Japanese consumers buying  behavior. Japanese consumers tendency to buy smaller quantities and good packaging or appearance of goods. The quality of product also play a huge role in their purchasing decisions. For Walmart, better understanding of Japan’s culture and improving relationship with supplier may help them move forward to success in Japan.

Thursday, November 14, 2019

Essay --

Aaliyah Calloway Mrs. Rhodehouse AP English III, Period 5 September 12, 2013 Bibliographic Information Author: Francis Scott Key Fitzgerald Born in 1896 in St. Paul, Florida Died 40 years. old from a heart attack(1940) Yale Graduate Title: based on personal experience from prior residence in Long Island Publishing City: New York City,NY Publisher: Charles Scribner DOP: 1925 Character List Nick Carraway narrator from Minnesota goes to new york to learn business bonds honest loyal neighbor of gatsby Jay Gatsby protagonist wealthy lonely born on a farm in N. Dakota in love with Daisy criminal dishonest Daisy Buchanan nick’s cousin fell in love with gatsby but married Tom beautiful social cynical superficial materialistic Tom Buchanan wealthy husband of Daisy social club member at Yale with Nick arrogant hypocritical racist sexist having an affair with Myrtle Jordan Baker Daisy’s friend Nick’s love interest competitive golfer â€Å"new woman† cynical boyish beautiful dishonest George Wilson Myrtle's husband owns a auto shop iodilize Mrytle jealous of T... ... comes to loving someone. "If it wasn't for the mist we could see your home across the bay," said Gatsby. "You always have a green light that burns all night at the end of your dock." Daisy put her arm through his abruptly, but he seemed absorbed in what he had just said. Possibly it had occurred to him that the colossal significance of that light had now vanished forever. Compared to the great distance that had separated him from Daisy it had seemed very near to her, almost touching her. It had seemed as close as a star to the moon. Now it was again a green light on a dock. His count of enchanted objects had diminished by one.†(Chapter 5) - To have someone like Gatsby to love Daisy is so sweet. He will never give up even when she’s married to Tom. His passion and desire to be loved by someone that can’t love him back is heart breaking.

Monday, November 11, 2019

Preventing The Spread Of Hpv Health And Social Care Essay

The Center for Disease Control and Prevention, or CDC, states, â€Å" Genital human papillomavirus, or HPV, is the most common sexually familial infection † ( What is HPV? ) . In fact, harmonizing to The American Social Health Association ( ASHA ) , â€Å" 6 million new venereal HPV instances occur each twelvemonth, about 1/3 of all new Sexually Transmitted Disease ( STD ) infections † ( Learn About HPV Fast Facts ) . Not merely does HPV infect the venereal countries of males and females, HPV can besides infect the oral cavity and pharynx. HPV can be contracted during vaginal and anal sex and may besides be passed on during unwritten sex and genital-to-genital contact. This means condom usage entirely does non protect an person against the disease. What is spoting about the disease is it can be passed from one person to the following even when the septic individual has no marks or symptoms. Furthermore, a individual can hold HPV even if several old ages have passed sinc e he or she had sexual contact with an septic individual. â€Å" Most septic individuals do non recognize they are infected or that they are go throughing the virus on to a sex spouse † ( What is HPV? ) . In 2006, the pharmaceutical company Merck introduced Gardasil, a vaccinum to protect against four types of HPV. Harmonizing to the information found on the Gardasil web site, â€Å" In misss and immature adult females ages 9-26, Gardasil protects against two types of HPV that cause cervical malignant neoplastic disease and two more that cause venereal warts. In male childs and immature work forces ages 9-26, it protects against venereal warts † ( Gardasil ) . This vaccinum caused rather a contention as Merck has recommended that kids the age of 11 would be the most good group to have the vaccinum since they are most likely yet to be sexually active. Many parents have been uncomfortable with the thought of immunising their kid ( ren ) against what most see merely a sexually familial disease or infection ( STI ) . However, some provinces discussed doing it compulsory with Texas making so in 2007. While an person will have the full benefits of the vaccinum if inoculated before go ing sexually active, the vaccinum can still be effectual even if given after a individual becomes sexually active. Ideally, all 50 provinces will do the vaccinum mandatary. To guarantee these inoculations are being given, there is another group of persons that should be required to acquire the vaccinum or demo cogent evidence of holding received it. With so many college pupils sexually active and half of sexually active people transporting HPV it is imperative for persons come ining their first twelvemonth of college or university to demo cogent evidence of the Gardasil inoculation. When Gardasil was introduced, it proved effectual in forestalling two strains of HPV linked to cervical malignant neoplastic disease and two strains linked to venereal warts. Specifically, the promotional web site for Gardasil says, â€Å" Gardasil is the lone HPV vaccinum that helps protect against four types of HPV. In misss and immature adult females ages 9-26, Gardasil helps protect against two types of HPV that cause about 75 % of cervical malignant neoplastic disease instances, and two more types that cause 90 % of venereal warts instances. † The vaccinum is besides available to males. â€Å" In male childs and immature work forces ages 9-26, Gardasil helps protect against 90 % of venereal warts instances † ( What is Gardasil? ) When Gardasil was introduced, it was available merely to immature misss and adult females. This can make rather the societal shame on a immature adult female who wants to protect herself. It fundamentally puts the load of forestalling venereal warts on females. Now, adult females entirely do n't hold to keep the duty. In 2009, the Gardasil vaccinum became available to work forces. As Shobha Krishnan, M.D. points out in her interview with the American Social Health Association ( ASHA ) , â€Å" it ‘s good to include work forces in HPV vaccinum plans because making so means that HPV is n't seen as merely a adult female ‘s infection, so adult females entirely do n't bear all of the stigma † ( The HPV Vaccine Controversy: Sexual activity, Cancer, God, and Politicss: An Interview With Shobha Krishnan, M.D. ) . Work force can have the exact same vaccinum that adult females do. This is highly of import because it is estimated that in the United States, each minute, there is a new instance of venereal warts. Two out of three people will acquire venereal warts after holding any sort of venereal contact with person infected. Genital warts, harmonizing to the CDC, normally appear as a little bump or group of bumps in the venereal country. They can be little or big, raised or level, or shaped like Brassica oleracea botrytis. Health attention suppliers can name warts by looking at the venereal country during an office visit. Warts can look within hebdomads or months after sexual contact with an septic spouse – even if the septic spouse has no marks of venereal warts. If left untreated, venereal warts might travel off, remain unchanged, or increase in size or figure. Rarely, these types of HPV can besides do warts in the pharynx – a status called perennial respiratory papillomastosis ( RRP ) . These warts can sometimes barricade the air passage, doing a gruff voice or troubled external respiration. It bears reiterating, an person does non hold to hold intercourse with an septic individual to acquire venereal warts because rubbers do non cover the full venereal country. In fact, because HPV is so common, it ‘s difficult to avoid wholly. If adult females and work forces come ining college who have n't received the vaccinum are required to make so, this could greatly diminish the figure of instances of venereal warts. The load of HPV should n't fall merely on adult females ; a good comparing to do would be the vaccinum versus unwritten preventives, or birth control pills. The side effects of Gardasil are truly no more inauspicious than those of birth control ( unwritten preventives ) . Harmonizing to ASHA, the CDC and FDA found the figure of blood coagulums in those who ‘ve been vaccinated is approximately the same as found in those who take birth control pills, as is the figure of people with progressive muscular failing. Harmonizing to WebMD, there are side effects of birth control pills although the bulk are non serious. They include nausea, weight addition, sore or conceited chests, little sums of blood between periods, lighter periods, temper alterations. The undermentioned side effects are less common but more serious: abdominal hurting, thorax hurting, concerns, oculus jobs, swelling and/or hurting in the legs and thighs. In add-on, you should non take hormonal preventives if you have had blood coagulums, bosom or liver disease, or malignant neoplastic disease of the chest or womb ( Nihira ) There is no more of a menace to a adult female having the Gardasil vaccinum than there is birth control. Sing that most adult females are taking an unwritten preventive to forestall an unwanted gestation, it would be prudent to besides desire to protect oneself from a disease that can take to unwanted malignant neoplastic disease. In fact, more and more adult females are making more to protect themselves, non merely from gestation, but from sexual diseases every bit good. Harmonizing to Kathleen Doheny in her article for The Washington Post, â€Å" from 1995 to 2002, the per centum of American adult females who said they received prophylactic services rose from 34 to 41 % . Overall, the per centum of adult females having all sexual and generative wellness attention services – including non merely birth control but besides such services as STD ( Sexually Transmitted Diseases ) testing and Pap trials – remained changeless at 74 % , the study found † ( Doheny ) . As the statistic shows, 74 % of adult females receive Pap trials, which can be an early sensor of cervical malignant neoplastic disease. But why non take it one measure further and protect yourself against the virus that can do it? Doctors do urge contending off cervical malignant neoplastic disease with regular Pap trials, which has helped extenuate the instances of cervical malignant neoplastic disease. But, for those people that are sexually active, and 56 % of college pupils are, the Gardasil vaccinum would be merely another method for protection. In the same manner a adult female on the birth control pill should still utilize a rubber with her spouse, a sexually active college pupil should utilize rubbers and be vaccinated to assist forestall HPV related diseases. As mentioned above, side effects are an issue sing this vaccinum every bit good. In July 2008, simply two old ages after the vaccinum was released, Sharyl Attkisson did an fact-finding study for CBS News, Vaccine Watch: Gardasil Side Effects? In her article she spoke to households of immature adult females who believe the Gardasil HPV Vaccine may hold – or did in fact – do their kid ‘s serious unwellness. In one instance, a immature adult female who received the vaccinum subsequently developed Autoimmune Myofasciitis. She is now a inveterate sick individual, â€Å" who takes a smattering of pills a twenty-four hours merely to maintain her unwellness tolerable † ( Attkisson ) . A twelvemonth subsequently in August 2009, Radha Chitale wrote a study for ABC News called, CDC Report Stirs Controversy for Merck ‘s Gardasil Vaccine. This study links â€Å" 32 unconfirmed deceases and shows higher incidences of fainting and blood coagulums than other vaccinums † ( Chitale ) . There will ever be side effects and possible inauspicious effects associated with vaccinums. Side effects occur instantly after the injection. Merck indicates on the Gardasil web site that â€Å" common side effects include hurting, swelling, rubing, bruising, and inflammation at the injection side, concern, giddiness, emesis, and fainting † ( Gardasil ) . Adverse effects occur hebdomads subsequently and may or may non be a consequence of the vaccinum and other factors could come into drama. Thirty-two deceases associated with a vaccinum are nil to price reduction, but in the whole strategy of things there is n't anything unusual about this. At this clip over 16 million doses of Gardasil have been distributed in the United States. Harmonizing to the CDC, â€Å" given the big figure of doses distributed, it is expected that by opportunity entirely, serious inauspicious events and some deceases will be reported in this big population during the clip period following inoculation s † ( Information from FDA and CDC on Gardasil and its Safety ) . In fact, both the CDC and the Federal Drug and Food Administration, or FDA, monitors the safety of all vaccinums through the Vaccine Adverse Event Reporting System, or VAERS. â€Å" As of June 30, 2008, there have been 9,749 VAERS studies of inauspicious events following Gardasil Vaccination. Of these, 94 % were classified as studies of non-serious events, and 6 % serious events † ( Information from FDA and CDC on Gardasil and its Safety ) . As of this study, 20 deceases were to hold been caused by the Gardasil vaccinum, but this does n't intend that a common form was created. And, â€Å" in instances where necropsy, decease certifications and medical records were available, the cause of decease was explained by factors other than the vaccinum † ( Information from FDA and CDC on Gardasil and its Safety ) . ABC News Chief Medical Editor Dr. Timothy Johnson provinces, â€Å" I am really much in favour of childhood vaccinums, [ but ] I do n't believe we yet know the long term benefits or hazards. I ‘m taking a base on balls on this 1 † ( Chitale ) . Typically when a vaccinum is released, many people are dying to have it. Think of the Flu or H1N1, we are so willing to protect ourselves against these societal diseases that are easy dispersed. Many people were even willing to stand in line for hours to have the vaccinum. In fact, most colleges and universities require pupils to be immunized against some diseases. For illustration, â€Å" The University of Nebraska at Omaha ( UNO ) follows the Center for Disease Control and Preventions ‘ recommendation for immunisation. To forestall the possibility of a rubeolas outbreak happening, UNO requires that all new ( including transportation and alumnus ) pupils show cogent evidence of immunisation or unsusceptibility † ( Pr e-Enrollment Health Requirement ) . The purpose to protect pupils from rubeolas, a disease that seldom affects grownups in the United States, should be the same for protecting pupils against HPV. Harmonizing to the World Health Organization ‘s web site, â€Å" in 2008, there were 164,000 rubeolas deceases globally. † However, harmonizing to the National Foundation for Infectious Diseases ‘ web site, â€Å" of the 140 reported confirmed instances of rubeolas [ in the United States ] reported in 2008, about 25 % occurred among grownups † ( Measles ) . It should be noted that, â€Å" College and university pupils are at increased hazard for rubeolas, and should have two doses of the MMR vaccinum to guarantee equal protection † ( Measles ) . But as the 2008 statistic shows, the instances of rubeolas are rather minimum. â€Å" Most instances of rubeolas in the United States now result from infections acquired in other states or are linked to such imported instances † ( World Health Organization, Measles ) . It should besides be noted that the figure of kids in the universe having one dosage of the rubeolas vaccinum is up 11 % , from 72 % in 2000 to 83 % in 2008. While the figure of people having the vaccinum is traveling up, rubeolas is still a really contagious virus. With so many people on college and university campuses in close contact with one another, particularly the residence halls, it merely makes sense to necessitate a pupil show cogent evidence of inoculation for entry. While non transmitted sexually, rubeolas is a societal disease. Just being in the same room as the septic individual can infect a individual. But as mentioned above, in 2008 entirely, merely 25 % of 140 grownups were confirmed to hold rubeolas. Compare that to the 6 million new instances of HPV each twelvemonth. Based on those Numberss, a university or college pupil is more likely to develop HPV than they are rubeolas. Furthermore, with rubeolas, the symptoms come on rapidly and a individual can rapidly travel to the physician to have the proper attention. In the instance of HPV it ‘s non even cognize how many of these instances turn to venereal warts. After reaching the Nebraska Department for Health and Human Services to happen a statistic for the figure of instances of venereal warts, I was told this was untraceable. Since the symptoms of HPV can put hibernating for old ages, it is prudent that university and college pupils protect themselves, and each other from something that is so easy spread. It ‘s of import to indicate out that even though most instances of cervical malignant neoplastic disease derive from HPV, any adult female can acquire cervical malignant neoplastic disease. Harmonizing to The Cancer Sourcebook for Women, â€Å" the uterine neck is the lower portion of the womb that connects to the vagina. It is portion of the female generative system. † ( Sutton, 59 ) It takes a long clip for cervical malignant neoplastic disease to develop and it goes through many stages before the malignant neoplastic disease really appears. â€Å" The cells of the neck go through alterations known as dysplasia, in which unnatural cells begin to look in the cervical tissue. Later, malignant neoplastic disease cells start to turn and distribute more deeply into the neck and to environing countries. † ( Sutton, 59 ) HPV is the primary factor for cervical malignant neoplastic disease, but non the lone factor. Cervical malignant neoplastic disease is n't needfully related to person ‘s sexual history. Meaning, a individual does non hold to be sexually active to acquire it. No 1 wants malignant neoplastic disease, no affair what sort it is. In fact, there is a large push in this state to free society of malignant neoplastic disease, to happen a remedy. There is non merely an full month dedicated to the cause of chest malignant neoplastic disease, one can probably happen activities or fundraisers throughout the twelvemonth to raise money and consciousness for the disease. Cancer should n't be discriminated against. And with promotions in scientific discipline everyday, we should take advantage of any chance given to forestall the disease. â€Å" In 2006, 11,982 adult females in the United States were told they have cervical malignant neoplastic disease, and 3,976 died from the disease † ( Cervical Cancer ) . Besides, there is no information available at this clip, but potentially , work forces received Gardasil can protect themselves from signifiers of malignant neoplastic disease related to HPV every bit good ; anal and penial malignant neoplastic disease. This is still being researched. To sum up, contending HPV and its subsequent diseases should non be left to adult females entirely. Men, excessively, can assist to forestall the spread of venereal warts and malignant neoplastic disease. College adult females and work forces can be responsible for what could potentially be the terminal of an untraceable STI and besides cut down the figure of malignant neoplastic disease instances. Furthermore, Gardasil is no more harmful than birth control, a widely accepted prescription medical specialty. If 74 % of adult females are willing to be tested for cervical malignant neoplastic disease and at the same clip protect themselves from unwanted gestations, 100 % of college and university pupils need to assist prevent malignant neoplastic disease and venereal warts. True, there are some inauspicious effects linked to the vaccinum, the Federal Food and Drug Administration, the Center for Disease Control and Prevention and Vaccine Adverse Event Reporting System, have proved the overall safety of the vaccinum. There will ever be inauspicious effects associated with any vaccinum. There is nil outside of the norm for Gardasil. Not merely is the vaccinum safe, but besides people should n't see it as a vaccinum against a sexually familial disease. College and university pupils are required to protect themselves against societal diseases such as the rubeolas. Since most pupils receive the rubeolas vaccine at a immature age, the hurt of rubeolas has been mitigated. In fact, a college or university pupil is less likely to acquire rubeolas than they are HPV, thanks in portion to a vaccinum. The Gardasil vaccinum should be viewed as any other vaccinum, necessary to halt a societal disease. Above all, if there is an chance to diminish the instances of malignant neoplastic disease and the figure of people deceasing from it, immature people should take advantage of that. At this point in clip, this is the closest thing to a remedy. Furthermore, since cervical malignant neoplastic disease can impact every adult female, non merely those that are sexually active, Gardasil should non be viewed as a vaccinum for merely a sexually familial disease. With so many college pupils sexually active and half of sexually active people transporting HPV it is imperative for persons come ining their first twelvemonth of college to demo cogent evidence of the Gardasil inoculation. If a pupil can non demo cogent evidence, they should be required to acquire inoculated before entry into the college/university is granted. While having the shootings at age 11 or before a individual becomes sexually active would be the most good, college and university pupils should be held accountable. The most of import thing to retrieve is that as a society we have an chance to extinguish a serious disease and extenuate a really common societal disease.

Saturday, November 9, 2019

The Purpose of Education

The purpose of education is to spread knowledge to the younger generation. Without education, tradition is lost, as well as the potential of youth. For centuries, the old have taught the young. They have passed the torch of knowledge from one hand to another. Whether it was a master teaching an apprentice, or a teacher teaching a class, the tradition of teaching has been in practice since the beginning of man. Without a mentor for a child to learn from, the child will never find the truth behind the mysteries of life. The child needs to be trained to succeed and even better, reach self-fulfillment. That is why the teacher must be of the highest quality. The student will take after the teacher, not only in knowledge, but also in style and example. If the teacher has a flaw, the child will accept that flaw as his or her own. There is a special bond between the teacher and the student. The teacher must be prepared to take on the student as more than a student, but as a friend. Those, whose intelligence surpasses other's, should be given a challenge in every circumstance available. Harder work should be provided, but not demanded. Although, those with the skills to complete such work, should not let their minds go to waste. They should harness their brain's power to be as successful as possible. A person with college education and gained analyzing skills and deep knowledge field of studies, not only the person will be qualified and prepared for the job advertised from that company; but will also have potential to excel faster and have high salaries. College education is a very important central in everyday life. It plants the fundamentals for confronting problems and obstacles found in part of life, and being able to solve them with ease and accuracy. It gives a wide opportunity and potential in apply for higher profile jobs with good pay. It gives a person confidence in understanding life and the environment. A person with a college education will be successful in life because he understands it and knows it. An ideal system of education requires distinct characteristics. Our education system today is not quite perfect. All education institutions share a common goal. The goal is for all the students to gain knowledge that they didn't have before in order to compete in the real world. The majority of people believe that getting knowledge is â€Å"obtaining education. † There is more to the concept that â€Å"students are depositories† and the â€Å"teachers are the depositor. Paule Friere ) The success of the students is directly connected to the environment he is surrounded. A perfect education system has to start with a comfortable environment. The teacher also has to be knowledgeable and not believe in the myth that â€Å"teachers justifies their own existence through their students ignorance absolute. â€Å"(Paule Friere) A perfect institution of education should be able to accommodate cultural change, diversity, have a strict curriculum with alternative teaching strategies, and promotes interaction among their peers. In a perfect educational system, interaction among students will greatly be encouraged. And there are many elements that need drastic change so that this educational system may be more refined and more productive. Teachers are a very important element in successfully transferring knowledge from the teacher to the pupil. In this institution, teachers are not allowed to believe that they are superior to the students. When this occurs, and the inequality sets in, the student will be hesitant to ask questions about subjects they don't understand. When a student does this, he is unintentionally hurting himself. He will not have gain and understand the true meaning of what is being taught by the teacher because he is more focused on the educational gap between the student and teacher. The student needs to able to question everything that is being taught. By using the Socratic method, students will understand topics rather than believing what other people are saying. There needs to be a respectful relationship between the student and teacher. The student respects the teacher and the teacher respects the student equally. This relationship between student and teacher is very important journey of obtaining knowledge. There should be no other kinds of relationship. The only acceptable form is through the connection that they both share as being teacher and being student. Next, the teacher need to responsible for the materials they are covering. They need to be fluent or else the student will have doubts about the material and ultimately the teacher. The more secure the teacher is with his material the more the student will trust the material and the teacher. If a teacher is not confident and prepared, there will be doubts that will be raised in the minds of the student. More importantly, the teacher will need to care about the student and guide them towards their goal. All teachers need to know when to step aside so that the student can make progress and help the student up when he fails. The most beneficial qualities of an excellent teacher are the ability to care for the student and the encouragement teachers provide for the students. Teachers are just an extension of parents; caring and encouragement are two characteristics of parents. The next important element in a perfect educational institution, is the curriculum. There needs to be a flexible curriculum that accommodates all the different intellectual abilities of all the students. Not all the students will have the same learning capabilities. Some students may have a learning disability and others may be genuinely intelligent. The curriculum is strict but still is flexible enough to accommodate each individual student. The actual courses need to be comprehensive. The subjects being studied needs to be updated constantly by the teachers. A perfect institution will have all area of studies accessible to the students. Any particular major or subject will be left to the students to decide. When they do decide what they want to study, there will be the necessary courses to cover that major. In order for a student to pass a course, he needs to be able to teach the information he learned in that course. This teaching method is very important. If a student is able to teach something then that student truly understands it. This method of testing the knowledge of the student should be the final examination for every course. This method is more valid than the constant â€Å"question and answer† method being used today, which promotes temporarily memorization. The next ingredient in a perfect institution is the actual environment itself. Their surrounding influences many people. An intellectual community needs to look like an intellectual community. It will be located in an area, which is safe. The students need to feel comfortable. A comfortable learning environment leads to the success of the students. There should be no distractions that will keep the student from learning. With all of these characteristics, the student's should be able to concentrate on obtaining their education. Though the task of creating and maintaining a perfect institution is a difficult task, it can be created. People need to come together with this structure and guideline in mind. The educated ones need to continue to educate others. This realization is extremely important to future students. Educated people need to think of the future and society as a whole. They need to help educate others, just as others, educated them. If all of these characteristics are met in an institution, then that institution can be labeled, â€Å"perfect

Thursday, November 7, 2019

Checking in on New Years Resolutions... How Are Yours Going

Checking in on New Years Resolutions... How Are Yours Going If you didn’t write down your New Year’s Resolutions in January, or even if you did, you may have completely forgotten about them by now. I know that left to my own devices, I would be completely unreliable with regard to checking back on my promises from January. Thankfully, I have a blog and newsletter- with an audience- to keep me accountable! As I look back at my resolutions for my business in 2013, I realize I have succeeded in fulfilling 2 out of 6 of them. Yikes! Let’s look at the hard facts: 1. Publish a Spanish-language version of How to Write a KILLER LinkedIn Profile. I engaged a consultant to look into the possibility of finding someone who wanted foreign rights to my e-book; no one was interested. This meant that if I were to publish a Spanish version of my book, I would have to do it myself. After considering the realities of the costs and effort involved in revising the book in Spanish as well as in English each time LinkedIn changes something in its platform, I determined that this project would not be a good use of time and resources. I did put a lot of thought into this decision however! 2. Publish a 50 Resume Tips book I’m pleased to announce that I will be publishing not one but TWO e-books on resumes within the next month: How to Write a WINNING Resume: 50 Tips to Reach Your Job Search Target and How to Write a STELLAR Executive Resume: 50 Tips to Reach Your Job Search Target. Watch my newsletter for the official announcement about when the books will be available on Amazon! 3. Obtain a Master Resume Writer certification (CMRW) from Career Directors International. DONE as of March 2013! 4. Increase the college essay / personal statement portion of my business to 25% of total business. I have not found the key to increasing the number of personal statement clients I work with in a year. Admissions season is about to start, so I can’t be sure of the numbers for the year, but as of today admissions consulting represents less than 10% of The Essay Expert’s business (last year was a little more than 10%). If you have ideas of how to change that, please let me know- and please send clients if you know anyone in need of personal statement coaching! 5. Start a training for resume writers. This project never quite got off the ground. I was focused on publishing the resume writing e-books and will revisit the resume writer training once the books gain some traction. My vision is to use the books as a syllabus for training. If you know anyone who would be interested in being trained by me as a resume writer, please have them contact me at BrendaB@TheEssayExpert.com. Thank you! 6.  Create 213 success stories! As of this writing my list is not completely updated, but I have about 50 success stories to report. I’m definitely behind on this goal. Part of the challenge is that many people do not keep me as updated as I would like about their job search successes! If you’re reading this and you have received an interview or job after hiring The Essay Expert or following my advice, please report to me at BrendaB@TheEssayExpert.com. Thank you! That’s my report. How are you doing on your New Year’s resolutions? If there’s any way I can support you please let me know! Category:Life and LeadershipBy Brenda BernsteinSeptember 3, 2013

Monday, November 4, 2019

Richard Nixon and the WaterGate Scandal Essay Example | Topics and Well Written Essays - 2500 words

Richard Nixon and the WaterGate Scandal - Essay Example The edifice of the Watergate scandal has been based on corruption, espionage and antidemocratic activities, ostensibly based on ensuring President Nixon, a second term in the Oval Room. However, certain facts like the Vietnam war, the release of Pentagon papers, and growing public resentment for his policies were serious impediments to this objective and had to be dealt with a firm, and if necessary, strong arm methods. This was ensured by use of the CIA and other governmental agents to discredit the President's political opponents, and seek to ensure his victory in the Presidential elections. He was able to achieve re-elections but he was constrained to pay the final price in terms of loss of his office and personal humiliation amidst a political scandal that rocked the entire country and shocked the world into mute speechlessness. At the time of instigating the Watergate scandal, President Nixon was not aware, or did not make himself to visualize that his political career would leave him a bitter and disillusioned man, devoid of moral principles and ethics that are the hallmarks of a strong and committed leader.This entire episode started when, while conducting security checking at the Watergate hotel, a security guard noticed a door prevented from closed by the use of tape. He removed the tape and continued with his check However, he was dismayed to find, that on his return, the door was reaped. He informed the police about the burglary. The police arrested five persons from the office of the Democratic National Congress, who had been illegally repairing wiretapping equipment and taking photographs of documents. Likewise, before the burglary in the Watergate Hotel on June 17, 1972, when a group of five burglars, who were members of a group of anti-Castro Cuban refugees called 'Plumbers', broke into the Democ ratic Party's National Committee offices, the term "Watergate" had no greater implication to the Americans and the entire world, rather than an office and a sumptuous apartment complex in Washington, D. C. As a result of the 'third-rate burglary', "it came to be associated with the greatest political scandal of that century and would change the lives of the many people involved" - principally the then President Richard M. Nixon and as for the present day political system, it imparts great meaning. (U.S. History.com, 2008). In the current American Background, the term Watergate has become a common phrase which denotes and expresses the fall of Richard Nixon, one of the most outstanding political figures of the 20th century America and the world. He had refused to hand over incriminating tapes illegally recording the conversation he had when he served in the White House. He refused to hand over the tapes even during the Supreme Court Proceedings. The Court had no other option but to impeach the President, but he preferred to resign rather than face impeachment. The former President of the USA was the only conspirator in the Watergate scandal who did not go to jail. "The lessons learned by these events are enormous. The story of Watergate is a complex and deep one full

Saturday, November 2, 2019

Reflaction Essay Example | Topics and Well Written Essays - 500 words

Reflaction - Essay Example ders arises from innocent diet and life decisions and goals, only to result in anorexia that requires months of intervention from hospitals and outpatient psychotherapy to get back to old self. However, anorexia is preventable by the avoiding consumer culture described by Jhally, and unconditionally embracing self and learning to honor and love of our bodies (579). Riley acknowledges that negative body image, like that experienced by Chernik during teenage, is common among girls and young women, especially White, as they continually become dissatisfied with their bodies. However, the black woman is not so much into weight losing but into independence, intelligence and self-confident implying that weight losing is only a priority when there is need to lose it after which one can get back to old lifestyles. I am angered by Riley’s approach of living that focuses more on identifying the body she wanted to be in and working out to get just it and the doing nothing to sustain it, thus encouraging bulimia nervosa. Like the anorexia Nervosa patient, the blacks suffering from bulimia only react to weigh loss calls when obese and seek positive body image (230). Like Chernik and Riley, Coward argues that feminism today emphasizes life-threatening slimness that sees the young and old conflict with their bodies as they search for fashionable slimness through elimination of problem areas (345). Considering Coward’s argument, I am inspired to think that whether one ends up being anorexic or non-bulimic, the goal is to get rid of excessive fat in the body especially around the stomach, bosoms, and legs (346). The implication is that women negatively connote the perfect well-rounded female body in search of sexually immature adolescent figure. Though married, Bergman is wants to lose weight and attain the perfect female body her own style and would be gland if it would involve a surgery to get that desired body. Unlike Chernik and Riley, she would only have surgery to

Thursday, October 31, 2019

Small business Essay Example | Topics and Well Written Essays - 1000 words

Small business - Essay Example Besides, the youth, the business also targets those who are health conscious by using only fresh foods in making their meals. Over the years the world over has had to deal with many health issues as a result of the diets majority of people choose. The fast foods that the bulwark of the UK population consumes have become their health detriment. Diseases like cancer, hypertension and diabetes have merged with weighty issues like obesity and cardiac arrests among others to terrorise people all over the world, including the UK. There is a call for people to turn to organic products and eat healthier foods to avoid these health risks (Organic food directory, 2008). The Northern Nosh had this in mind and that is the reason behind the healthy food production bit in the mission statement. Majority of the food vendors in the festivals do not consider the health of their clientele and as such sell fast foods but as a business we intend to incorporate this in our products and services. Northern Nosh is determined to do this by acquiring only fresh food from the Northern parts of UK and other fresh food suppliers. Con sidering that there is a lot of pressure for people to eat more fresh foods and organic ones for that matter instead of the genetically modified foods, Northern Nosh potentially enhances the aspect of healthy living. This healthy food aspect is also indirectly reduces the number of competitors for the Northern Nosh business as majority of the food vendors sell the fast foods which are not so healthy. We are of the view that the young people will be attracted to the fresh and healthier meals once they know it is organic and without so many rivals the Northern Nosh is likely to succeed. Apart from the healthy foods being sold, the business also plans to sell its products at reasonable enough prices for their clients to afford. With the surge of campaigns for organic foods against the genetically modified ones, the business looks forward to making profits.

Tuesday, October 29, 2019

The environmental impacts of the cruise industry on Caribbean island Research Paper

The environmental impacts of the cruise industry on Caribbean island nations - Research Paper Example In the Caribbean region tourism has contributed to the growth of the overall economy which had been suffering due to stagnation in tradition economic sectors. Moreover, the Caribbean island nations have been bestowed with natural beauty, decorated with exotic flora and fauna, surrounded by blue seawater and natural breezes. However, the environmental degradation caused by the cruise industry in the Caribbean region far outweighs the economic benefits. Cruising started as preferred mode of travel by the social elite in the 1920s and the latter part of the 20th century has seen tremendous growth in the industry following a decline post World War II (Johnson 2002). Worldwide cruise tourism has catered to 8.5 million customers between 1980 and 1997. The passenger figures are expected to reach 14.2 million by 2010 (Butt 2007). Today the super-mega cruise ships use cutting edge of design and technical innovation, and they offer multifaceted recreational experience on board. In 1998, the Caribbean received 50% of the world’s cruise tourism customers (Johnson 2002). In fact, the Caribbean destinations receive more cruises than stopover tourists. However, while the economy of the island nations has grown, the cruise tourism sector has expanded with sophisticated liners and offering on-board recreation, cruise tourism in the Caribbean has been exerting pressures on the fragile environments and the host communities. This is because t he cruise ships consume significant amount of resources as a result of which great pressure is exerted on the places they visit (Butt 2007). The Caribbean islands have 44% share of the world cruise market. The environmental impact has exerted pressure on the small towns, islands and island groups in the Caribbean. However, the environmental impacts also depend upon the facilities available at the destinations to manage the degradation. Tourism is the major economic activity in the Caribbean

Sunday, October 27, 2019

Family Planning Program In Ethiopia Health And Social Care Essay

Family Planning Program In Ethiopia Health And Social Care Essay Access to basic services such as water and sanitation is limited and its distribution is biased towards urban areas. Thirty percent of Ethiopians (80.5% urban and 21.5% rural) have access to improved sanitation, while access to clean drinking water is slightly higher at 35 percent (90% urban and 25% rural). Sixty four percent of the adult population is illiterate; with higher rate of illiteracy among women than men. The overall current contraceptives prevalence rate among married women in Ethiopia is 14.7%, and among all women of reproductive age group is 10.3%. Thirty four percent of currently married women of reproductive age group have an unmet need for family planning (WHO, 2010). Family planning (FP) services are delivered through facility-based reproductive health (RH) services including government health facilities and health services run by NGOs and private for profit organizations including pharmacies selling socially marketed pills, condoms and Depo-Provera; and by community based reproductive health (CBRH) agents supported by a variety of international and national NGOs. Family planning services can significantly contribute to limiting the family size efforts. Strengthening contraceptive services has been shown to be effective in reducing maternal mortality. Specifically there is a role for increased access to long term and permanent contraceptive methods. Although 60% of the methods used in Ethiopia are injectables, 32% of users of injectables discontinue in the first year of use, usually because of health concerns or other issues with the method. Also 42% of women want to limit childbearing, thus they are potential clients for LTPMs. Efforts are needed to increase access to LTPM for women who do not want any more children (DHS, 2005). The Ethiopian government has been undertaking various policy reform measures and making substantial progresses towards achieving the millennium development goals. Improved policy environment and shift in government priorities towards the social sector have significantly improved access to and quality of health services. Potential health service coverage has increased from 45% in 1997 to 90 percent in 2010 (FMOH, 2010). The health policy gives primary focus on preventive and promotive health care to address the major health problems and to provide access to health services for the majority of Ethiopians. In this regard, the health service extension program (HEP) is the biggest venture of the government and flagship program of the ministry by which two female health extension workers who are government paid are being assigned at kebele level ( the lowest administrative level with 5000 population). The government has been engaged into improving health service delivery through enhancing coverage, quality and equity aiming at improving the overall health status of citizens. The various studies and routine information sources showed that the health outcomes are exhibiting encouraging results in terms of reducing child and maternal mortality. Background Increasingly, the government of Ethiopia is giving greater attention to address the issue of rapid population growth and associated demographic factors in designing and implementing different development strategies, and has recognised the rapid population growth and high fertility rate as one of the main challenges to poverty reduction. different strategic documents were formulated and being implemented like accelerated and sustained development to end poverty (PASDEP), which includes reducing the total fertility rate (TFR) and closing the gap between boys and girls education and also the health sector development program. Overview of the health sector Health status and access The government with continues support and collaboration from the development partners as well as the effort of the general public on its health has achieved a lot towards improving the health status of its citizens. However the health status of Ethiopians still remains low compared to worldwide benchmarks. In 2010, life expectancy was 58 years, maternal mortality ratio was 673 per 100, 000 live births, infant mortality rate was 69 per 1000 live births and the under-five mortality rate was 109 per 1000 live births (WHO, 2010). Ethiopias health problems are largely attributed to preventable infections ailments and nutritional deficiencies (FMOH, 2010). Health Service delivery The public sector is the major health service provider for Ethiopians. As a result of significant decentralization reforms, Ethiopias federal structure is comprised of nine regional states and two city administrations, each responsible for managing its own public health sector services. To promote decentralization and meaningful participation of the population in local development activities, decision making process in the development and implementation of the health system are shared between the federal ministry of health (FMOH) (policy guidance), the regional health bureau (RHB) policy and technical support, and the woreda or district health services (coordination of primary health care services). In order to realize the goals of the health sector strategic plan, the health service delivery was introduced in a four-tier referral system, characterised by a first line primary health care unit (PHCU), comprised of one health centre and five satellite health posts, and then the second line district hospital and specialised hospital. A PHCU is designed to serve 25, 000 people, while a district and a zonal hospital are each expected to serve 250, 000 and 1, 000, 000 people respectively. The public sector remains the major provider of health services accounting for about 67% of total health services, followed by the private sector which provides 31% of the services, and facilities owned by business enterprises accounts for the remaining 2%. The increasing number of private for profit health sector and not-for-profit, offers an opportunity to enhance health service coverage (FMOH, 2010). The policy framework Global reproductive health policy context In 1994 the world came together to create a consensus on what had previously been a deeply divisive issue: the relationship between population growth and other areas of development and was considered a groundbreaking effort for shifting population policy discussions away from simply slowing population growth to enhancing individual health and rights while focusing on social development (ICPD 1994). Since then remarkable achievements has been registered. To move the sexual and reproductive agenda forward, progressive international and regional instruments has been developed among which the most important one include the 1995 Beijing declaration and platform of action, the 2004 ICPD ten review, the 2006 Maputo plan of action on sexual and reproductive health and rights (AU, 2006), and the 2009 UN convection for elimination of all form of discrimination against women. The 2000 millennium summit adopted the United Nations millennium declaration committing their nations to a new global pa rtnership to reduce extreme poverty and setting out a serious of time bound targets with a deadline of 2015-the millennium development goals. To achieve this, UN organizations, governments, associations, private foundations, and other non governmental organizations expressed their commitments (Farina et al. 2008). National Health policy The health policy of the country was formulated in 1993 after careful assessment of the nature, magnitude and root causes of the existing health problem of Ethiopia and awareness of newly emerging health problems. Democratization and decentralization of the existing health service system were emphasised stressing on development and prioritization of the preventive and promotive components of health care, development of an equitable and acceptable standard of health service system that will reach all segments of the population maximizing the effective and efficient utilization of existing internal and external resources, promoting and strengthening of multi-sectoral and intersectoral activities, promotion of attitudes and practices conducive to the strengthening of health system development, ascertaining the accessibility of health care for all segments of the population, enriching the concept and intensifying the practice of family planning for optimal family health and planned popul ation dynamics, and intensifying family planning for the optimal health of the mother, child and family (TGE, 1993). National Population policy (1993) This major goal of the policy is harmonization of the rate of population growth and the capacity of the country for the development and rational utilization of natural resources thereby creating conditions conducive to the improvement of the level of welfare of the population. The general objective of the policy include: closing the gap between high population growth and low economic productivity through planned reduction of population growth and increasing economic returns; expediting economic and social development process through holistic integrated development programmes designed to expedite the structural differentiation of the economy and employment; reducing the rate to urban migration; maintaining/improving the carrying capacity of the environment by taking appropriate environmental protection/conservation measures; raising the economic and social status of women by freeing them from the restrictions and drudgeries of traditional life and making it possible for them to partic ipate productively in the larger community; and significantly improving the social and economic status of vulnerable groups (women, youth, children and the elderly). The specific objectives include: reducing the total fertility rate to 4.0 children per women by the year 2015; reducing maternal, infant and child morbidity and mortality rates as well as promoting the level of general welfare of the population; significantly increasing female participation at all levels of the education system; removing all legal customary practices militating against the full enjoyment of economic and social rights by women including the full enjoyment of property rights and access to gainful employment; ensuring spatially balanced population distribution patterns with a view to maintaining environmental productivity in agriculture and introducing off-farm non agricultural activities for the purpose of employment diversification; and mounting an effective country wide population information and educat ion program addressing issues pertaining to family size and its relationship with human welfare and environmental security. Some of the major areas requiring priority attentions were improving the quality and scope of service delivery: expanding the diversity and coverage of family planning service delivery through clinical and community based outreach services; encouraging and supporting the participation of non-governmental organizations in the delivery of population and family planning and related services; and creating conditions that will permit users the widest possible choice of contraceptives by diversifying the method mix available in the country (TGE, 1993). Health sector development plan Ethiopia has been health sector development (HSDP) plan since 1997, every five years it has been evaluated and revised until now. The current HSDP IV is the extension of the previous plans and aims to improve the health status of Ethiopians people through provision of adequate and optimum quality promotive, preventive, basic curative and rehabilitative health services to all segments of the population. The major goals include improving the health of mothers and children by reducing maternal mortality ratio, reducing child mortality rate and reduction of total fertility rate. (FMOH, HSDP III, 2005). National reproductive health strategy, 2006-2015 The national reproductive health strategy was developed in 2006 after comprehensive consultation process with all relevant stakeholders including various government agencies, at federal and regional level, local and international partners, and community representatives. The strategy reaffirms the commitment of the government by setting forth a targeted and measurable agenda for the coming decade. It builds upon notable initiatives undertaken like the population policy, followed by the formulation of comprehensive health sector development program (HSDP) in 1998 and the recent health extension program and the current plan for accelerated and sustainable development to end poverty which gives priority to reproductive health and family planning. The goal of the strategy is built on the momentum occasioned by the millennium development goals to garner the multicultural support needed to support the reproductive and sexual health needs of the culturally diverse population (FMOH, 2006). Adolescent and youth reproductive health strategy (AYRH) In Ethiopia people less than 15 year age group constitute about 40 percent of the general population. Most of these adolescents are less informed, less experienced and less comfortable to seek access for sexual and reproductive health information and services. Access of reproductive health care information and services targeted for young people contributes to prevent and improve many of their reproductive health problems. To address this issue Ethiopia has launched a national strategy on adolescent and reproductive health that aims to tackle the problems of early marriages and pregnancies, female circumcision, abduction and rape, and poor access to health care for 10 to 24 year olds that will be implemented for eight years (FMOH, 2007). The health extension program Health Extension Program Packages Family health Maternal and child health Family planning Immunization Nutrition Adolescent RH health Disease prevention and control HIV/AIDS TB prevention and control Malaria prevention and control First aid Hygiene and Environmental health Excreta disposal Solid and liquid waste management Water supply and safety measures Food hygiene and safety measures Healthy home environment Control of insects and rodents Personal hygiene Health Education and communication In order to expand health service coverage and improve the delivery of primary health care services to the rural population, the government has introduced an innovative health service delivery system through the implementation of the health extension program (HEP) as part of the 2002-2005 health sector development program II. The HEP moves services out of facilities to the household and village level, and involves 16 packages to be provided at grass roots level focusing on sustained prevention actions and increased awareness. Accelerated expansion of primary health services coverage has also been endorsed as part of facilitating the implementation of the HEP. The HEP empowers communities to collaborate with the government health sector at the kebele level (the lowest administrate level in a woreda [district]), to identify health problems and root causes, seek solutions, set priorities and formulate local plans of action at the grass roots level. The HEP consists of promotive and preventive health care services made accessible to all rural kebeles at a kebele health post, the lowest level of the FMOHs health system. The program includes a cadre of health extension workers (HEW), with each health post staffed by two female health extension workers. Each health post serves a catchment area of approximately 5, 000 people and refers clients to the health centre. The health extension workers have completed schooling to grade ten or higher and originally come from the communities in which they work and live. Recruiting HEWs from their community ensures a more rapid acceptance of the HEW: she speaks the local language, is respected by the community and in turn respects the local traditions and culture of the community. All HEWs receive training in the essential health promotive and preventive health care services that make up 16 health care packages identified in the HSDP. HEWs work closely with and supervise the efforts of volunteer community health workers (VCHWs), including community based reproductive health agents (CBRHAs) and community health promoters. VCHWs conduct house to house visits to provide information on family planning, exclusive breast feeding, nutrition and immunization, and refer individuals to the health post. This coordination between the HEWs and VCHWs maximizes the opportunity to obtain the desired outcomes of the HEP, as well as of the HSDP and the millennium development goals (FMOH, 2003). Problem Statement Population growth The World Bank (WBG 2004) has benchmarked a population growth rate of 2 percent per year as a level beyond which it is difficult for a countries institutions and technologies to keep up with expanding population pressures on all sectors, from water, sanitation, and agriculture to health, housing, and education. Ethiopia adds 2 million people every year, and it is the pace and imbalanced distribution of this population growth, rather than the ultimate size of the population, that most give rise to concerns. These concerns are aggravated by degradation of the environment and natural resources, increased climate variability, and market vulnerability. With 83% rural population, population growth in the rural areas adds to the growing number of rural residents who are land-short and landless. In 2009, 4.9 million beneficiaries were identified as requiring emergency food and non food assistance; another 7.5 million with chronic food insecurity receive assistance (DMFSS/MoARD, 2009). The population trends reported in the nationally representative National NFFS (1990) and Demographic and Health Surveys (DHS) 2000 and 2005 reveal a dynamic society in the early stages of demographic transitions, in which mortality has fallen but fertility remains high (DHS, 2005). With the present imbalance in births and deaths, Ethiopias population could double in size in less than 30 years. Figure 1, Population Growth in Ethiopia, 1990 to 2020, Past, Present Future Demographic Dividend When there are more working-age adults relative to children under age 15 and the elderly, those in the working ages (generally ages 15-59) have a lower dependency burden- fewer people to support with the same income and assets. Under the right conditions, this can lead to a short term but substantial economic bonus. This demographic bonus is a window of opportunity to increase economic output because of the larger workforce; save money on health care and other social services; improve the quality of education; invest more in technology and skills to strengthen the economy; and create the wealth needed to cope with the future aging of the population. As much as one-third of the rapid economic growth among the East Asian tigers can be explained by the growth in the labour force as fertility declined and by the increase in savings and accumulation that accompanied this growth. A demographic dividend will not be realised without prior investment. An educated and unskilled youth populatio n can threaten rather than enhance national stability and economic security (Ringheim et al. 2009). Ethiopia has a great likelihood of capturing a demographic bonus or dividend if manage to slow population growth, if women have fewer children, the altered age structure of the population produces a more favourable ratio of adults in their economically productive years to dependent children and the elderly. With fewer children requiring education and health services, the government has great discretion to invest resources in other critical areas. Greater investment and increased savings create a one time, age structure-related economic growth spurt that is either captured or forever lost. Fertility Determinants In Ethiopia, the proportion of all women who are married has declined as a result of a rising age of marriage and an increase in the proportion of women remaining single. This change is responsible for most of the modest decline in fertility in the last decade. While contraceptive use has not yet played a major role, Ethiopia has among highest levels of unmet need for contraception in Africa (Ahmed J and Mengistu G, 2002). Patterns of family formation are intricately related to the social and cultural norms and practices of society. Marriage is the result of an often extended social process involving the couples, their families and the wider community. The right to found a family is paralleled by the right not to be coerced in marriage. Although information is not readily available about the degree to which this rights are realised in Ethiopia, questions arise in relation to early marriage and limiting number of children a family should have. In Ethiopia, marriage is the destiny of nearly all people. 97% of women in Ethiopia are married at least once in their life (DHS 2000/05). The social pressure to have large families is very strong. The reproductive carrier of women starts early, and one pregnancy follows another with little thought of child spacing. The male oriented structure of the family and the expectation that the women is in charge of all household chores, absorbs her energy, and limits her participation in economic and political activities in the country. Figure 2, Determinants of High Fertility in Ethiopia Family planning CPR 15% Age of Marriage 16.5 years Education of Women 30.9% Tradition Family Structure Womens Role Empowerment Employment 45% Economy BPL 40% Infant mortality 77/1000 LB High fertility rate 5.4 Education discourages high fertility through economic factors in ways that it reduces the economic utility of children. It creates aspirations for upward social mobility and the accumulation of wealth. It also increases the opportunity cost of womens time and enhances the likelihood of their employment outside home. However the education level women particularly girls education is low (40%) in Ethiopia. Another strong factor underlying large family size preference in Ethiopia is parents dependence on children for social security. Children provide economic support in old age and help in emergencies or time of adversity, and take care of their parents by taking them to their homes. This expectation declines with level of increasing education (UNFPA 2008, Desta K and Seyoum G, 1998) According to the in-depth analysis of the DHS 2005 data, low lifetime fertility is observed among urban residents, those achieving secondary and above education, women who have frequent access to media, employed in the modern sector of the economy, and are getting married after the age of 18. High fertility on the other hand prevailed among those experiencing child loss, and women residing in the regions where values of children are supposed to be high. High fertility is also observed among women experiencing child mortality. Death of a child tends to increase lifetime fertility by 25 percent while the death of two or more children increases it by 45 percent among all women of reproductive age. Getting married at age 18 and later is also demonstrated to reduce fertility by 24 percent when compared to those entered marital life early. In countries like Ethiopia where contraceptive prevalence rate is low, increasing age at first marriage could reduce lifetime fertility by minimizing the exposure time to the risks of pregnancy (UNFPA 2008). A survey done in southern Ethiopia also showed important socio demographic determinants of fertility like poor educational status, absence of income, rural place of birth, early marriage, history of child death to be significantly associated with high fertility rate (Geberemdhin and Betre 2009). Low coverage of family planning service The service coverage and uptake of modern contraceptives is very low in Ethiopia. The majority of Ethiopian women (78 %) and men (76%) prefer to space or limit the number of their children they have. and have a potential need for family planning, 34% of currently married women have an unmet need for family planning (DHS 2005). If all currently married women who say they want to space or limit the number of children were to use family planning, the contraceptives prevalence rate of Ethiopia would increase from the current 15 to 49 percent. The family planning service was limited to urban facilities for a long time with limited access and coverage. It was practiced as a vertical program and mainly supported by external funding. Long term and permanent methods were limited to hospitals and health centres where trained and skilled health workers are practicing. Currently the contraceptive prevalence rate is 15 percent. Figure 2, Trend in CPR modern methods, married women: 1990-2005-Ethiopia Most methods used are injectables (61%) followed by the pill (25%). The use of long term and permanent methods is nearly absent: use of Implant among married women is 0.2 % while IUCD use with same group is 0.1% (DHS, 2005). Causes of low coverage of family planning service The causes for the low coverage of the service can be seen from two directions: organizational/institutional and community level causes. From the health service organizations the major factors include limited service outlets (failure to expand), lack of skilled human resources in the facilities which is due to shortage, lack of training, lack of motivation. Erratic supply of contraceptive due to inadequate and inefficient procurement and poor distribution system also needs attention. With respect to service delivery organization causes include lack of integration of family planning service, permanent assignment of staffs, poor coordination between public and private for profit and for non profit including lack of referral mechanism and inefficient use of available resources. From the community side, the diversified cultural and traditional practices in the different segments of the population plays role in hindering the use of contraceptives. Cultural barriers, partners and peer influence lack of adequate knowledge of the contraceptives, accessibility and acceptability, affordability, and perceived attitudes of service providers and rumours about contraceptives also important factors to be addressed for successful program implementation. Figure 5, Causes of low coverage and uptake of FP depicted in systems framework Consequences of high fertility The consequences of high fertility include unwanted pregnancy often leads to unsafe abortion attributable to contraceptive non-use, incorrect use, or method failure. High fertility also affects the well-being of mothers and their children. Maternal mortality and morbidity are strongly associated with high parity and early childbearing. High population growth will lead to increasing number of children who need schooling which the education sector cant satisfy. High parity restricts womens educational and economical opportunities, thereby limiting their potential for empowerment broadly, as well as their ability to safeguard the health and economic well-being of the family and community at large. Low educational attainment further perpetuates high fertility, as these women tend to have less knowledge of and access to family planning options. Environmental degradation and impact on health is also one of the long term effects of rapid population growth. It is also seen to strain the capacity of the government and non-governmental organizations to provide important social services such as schools, health care, clean water and sanitation. The growing population demand for land redistribution cant be satisfied and there will be rural urban migration, household food insecurity, high unemployment rate and other associated problems. Rapid and unhindered population growth is a significant factor in exacerbating food shortages in Ethiopia. Of the total population an estimated 12 million are facing serious threats from food insecurity and famine. More than the half of the countries under five children are stunted and some 45 percent are underweight (PAI 2005). Role of health extension workers in family planning service scale up Analysis of the DHS data Knowledge of family planning Adequate Knowledge about contraception among women and men is a major determinant of the use of contraceptive methods. The analysis of the data from the two demographic and health surveys shows that the percentage of women with knowledge of any family planning method showed an increased by 39 percent during the last 15 years, from 62 to 86 percent in 1990 and in 2005 consecutively. As shown in table 1, although knowledge of modern methods of contraceptives increased from 2000 to 2005, knowledge about injectables and condom has increased substantially among both women and men over the same period (MII 2007). As one of the important task of the health extension workers, they are playing a major role in transmitting knowledge in their specific community abut the different contraceptive methods use, side effect, and other important information. Even though there is no data currently on contraceptive knowledge, in the last five years between 2005 and 2010, there is much progress and increase through the expansion of primary health care coverage and access through health extension workers. Table 1, Knowledge of specific contraceptive methods among women age 15-49 and men age 15-59 Method Percentage of Women Percentage of Men 2000 2005 2000 2005 Any method 81.5 86.1 86.1 91.0 Any modern method 80.8 86.0 84.7 90.7 Female sterilization 23.1 18.4 32.6 26.4 Male sterilization 4.8 6.6 12.6 15.3 Pill 77.5 82.6 78.1 81.2 IUD 11.1 14.8 11.7 14.3 Injectables 65.3 80.9 62.2 79.0 Implants 13.6 22.4 13.9 23.0 Condom 33.0 46.1 64.7 84.2 Diaphragm 4.4 5.9 7.5 8.8 Any traditional method 24.3 20.6 48.0 39.2 Source: DHS data, Ethiopia trend report Current use of family planning Trend analysis of current use of contraceptive, provide insight into measuring determinants of fertility and helps to assess the success of family planning program. As shown in figure 6, current use of contraceptive methods among currently married women tripled in the 15 years between 1990 and 2005 from 5 percent to 15 percent. The increase is especially marked for modern methods. Current use of modern methods doubled during the first 10-year period and more than doubled during the last five years from 6 percent in 2000 to