Monday, September 30, 2019

Porter’s Five Forces The Threat of New Entrants (Low) Essay

There is a great amount of economies of learning and scale in the oil industry for Example BP has been searching for oil since 1901. They invest a huge amount in up-to-date technologies making it difficult for new entrants to compete. His obviously requires huge capital investments in R&D as well as start-up cost, for example a truck just to carry the oil costs over $1,000,000. There is a lot of regulation in the industry especially with regards to inter-continental politics which further reduces new entrants although in the USA there is less which allows for small firms (under 10 staff) to enter in areas such as Alaska and Texas. There is also a history of incumbent response; BP were fined jointly with TNK $35,200,000 for price fixing. Overall these factors lead to a very low risk of threat of new entrants. Supplier’s Power (High) A lot of oil in the world which is held in countries which are politically unstable and there is a risk that they may seize oil like Iran did to BP in 1951 or more recently Venezulea seized one of Exxon’s major projects. OPEC is a cartel which controls the amount of oil sold and produced. It controls 40% of the world’s supply of oil and holds a lot of power especially as BP also purchases oil from OPEC countries. Buyer Power (Low) As the good is not perishable oil companies do not need to sell it immediately and can therefore influence the flow of oil and also its price. Customers also have few substitutes so there is always a strong demand for the product. Furthermore individual buyer power is low as there are large amounts of customers who purchase low volumes. Demand is set to rise despite a weakening economy, which is shown by rising energy prices. The saving grace for customers is the low switching costs as products are undifferentiated and customers don’t have to sign a contract when they fill up there tank. Overall the buyer power is low because even though there are low switching costs OPEC affectively controls the price of oil so will increase this for the oil suppliers.

Sunday, September 29, 2019

Employment status Essay

Background of the Study Decades have marked the beginning of a fast changing world. Fast growing economies have rapidly increased the number of students attending college in recent years. Now the pool of unemployment graduates is rising to worrying levels. Of particular concern is the difficulty in finding a job due to the increasing demands of employers, growing competence of job seekers and the growth of the number of qualified job applicants. According to many accounts, graduates are finding it difficult to secure a job and those who find work is often too confined to wage positions. In 2014, the annual employment rate was estimated at 93.2 percent and the annual unemployment rate falls from 7.3 percent 6.8 percent as more people were employed in the services and industry sectors. The annual rate was based on the results of the quarterly Labor Force Survey (LFS) conducted in January, April, July and October of the year 2014. Education plays an important role in determining employment status of an individual. It is one of the investments that need to be recovered in due time. Historically, those who have made this investment have received substantial economic benefit. Moreover, education is an important factor that contributes to nation’s growth. Tertiary education gain from universities and colleges especially has its paramount roles in developing the society. Universities and colleges nowadays offer many courses for students that may suit their specializations and skills as individuals. In the Philippines, one university in the Ilocos Region aims to produce graduates of any courses who are competitive locally and globally. The Pangasinan State University operates in nine campuses producing thousands of competent graduates, many of whom excelled in various fields such as agriculture, education, health, engineering and fisheries to name a few. In the field of health, one of the courses offered in Pangasinan State  University Lingayen Campus is the Bachelor of Science in Nutrition and Dietetics program. The said course is designed to adequately equipped the students with the fundamental knowledge, attitudes and skills in food, nutrition, dietetics, management and allied fields in order to prepare them for entry level professional responsibilities in education, communication, food and nutrition, research, clinical dietetics, food service industries, wellness programs and public health/community nutrition. Moreover, the Nutrition and Dietetics education is responsive to Philippine society and takes into account its needs, resources and potentials. According to Bernal et.al in their research entitled â€Å"The Trend in the Employment Status of Bachelor of Science in Nutrition and Dietetics Graduates S.Y. 2001-2010: A Basis for Curriculum Development†, there was a decline in the number of employed graduates for batches 2001 to 2002. However, the trend rose from batches 2002 to 2006. After which, the trend declined again for batches 2006 to 2008 and at its peak in 2010. The results also showed that the nature of employment of most BSND graduates were not related to their course and most of them were not hired on a permanent status. The present study entitled â€Å"Employment Status of Bachelor of Science in Nutrition and Dietetics Graduates in Pangasinan State University, Lingayen Campus, S.Y 2010-2014† will provide feedback to the Nutrition and Dietetics and Livelihood Education Department regarding the performance of BS Nutrition and Dietetics graduates. Statement of the Problem This study will determine the employment status of the Bachelor of Science in Nutrition and Dietetics graduates of Pangasinan State University, Lingayen Campus, Lingayen, Pangasinan from batches 2010-2014. Specifically, it will seek to answer the following questions: 1. What is the profile of the Bachelor of Science in Nutrition and Dietetics graduates from the batches 2010-2014 in terms of the following: 1.1 Age; 1.2 Gender; 1.3 Civil status; 1.4 Year graduated; 1.5 Eligibility; and 1.6 Additional course(s) taken 2. What is the employment status of the BSND graduates 2.1Employed a.Type of employment b.Nature of employment c.Present monthly salary d.No. of month/ years before graduates were employed e.No. of institution/ agencies applied before finally employed 2.2 Self employed a. Kind of business b. Monthly income c. Year the business started 2.3 Unemployed a. No. of months/years of being unemployed 3. What are the problems encountered by BSND graduates in finding employment? 4. What recommendations can be proposed to help solve the problems of the BS ND graduates in terms of employment? Significance of the Study This study is significant to the following: Nutrition and Dietetics and Livelihood Education Department. This will help them determine the strength and weaknesses of the Nutrition and Dietetics program. It will also determine what specific areas should be focused in order to make the program more responsive towards the needs of the global market. For teachers, this will serve as a guide on how they will improve their skills, strategies and principles in teaching for more effective learning of the students. Incoming College Students. This study will help them decide on what course to take in college upon knowing the employment opportunities and status of the graduates of BS Nutrition and Dietetics. BS Nutrition and Dietetics Students. This will help them realize whether the knowledge and skills developed in the program would be useful to them in their future careers. It will also encourage them to appreciate and pursue the course that they ventured. Graduates of BS Nutrition and Dietetics. This  will provide them insights about the status of the employment of graduates of BS Nutrition and Dietetics. It will also inspire them to make initiatives on how to further enrich their knowledge and skills in the field to make them competitive in the global market. Scope and Delimitation of the Study This study will focus on the employment status of BS Nutrition and Dietetics graduates of Pangasinan State University, Lingayen Campus from batches 2010-2014. The respondents of the study will be limited to the BS Nutrition and Dietetics graduates of Pangasinan State University, Lingayen Campus of the years 2010-2014. It will not include the graduates from the other years and other universities and colleges offering the same program. Definitions of Terms To make the study more comprehensive, the following terms are hereby defined. Age. The amount of time during which a thing has existed  Bachelors Degree. Rank given by a college or university to one who has completed a prescribed course in the arts or sciences. Bachelor of Science in Nutrition and Dietetics. A four year course offered at Pangasinan State University, Lingayen Campus, Lingayen, Pangasinan. Civil Status. Refers to the standing and condition of the respondent’s whether single, married, separated, widowed or divorced. Eligibility. .It refers to whether the BSND graduates are board passers or not. Employment Status. Refers to the standing or condition of the graduates of BSND with regards to their employment. It includes whether they are employed, self-employed and unemployed. Employed. Refers to the graduates doing job for which they are paid a fixed wage or salary as means of livelihood. Self-Employed. One who make use of his skill to earn a living without aid of an employment. Unemployed. Refers to an individual who finished a Bachelor Degree of any of the private or public institutions and who has no permanent or stable job. Franchise. It is a business system in which private entrepreneurs purchase the rights to open and run a location of a larger company. Gender. Is the range of characteristics pertaining to, and differentiating between, masculinity and femininity. Graduates. A holder of an academic degree or diploma. Limited liability. It is where a person’s financial liability is limited to a fix sum, most commonly the value of a person’s investment in a company or partnership. Nature of Appointment. It refers to an individual who is employed whether they are permanent, temporary and casual. Casual. It is the nature of appointment of position wherein the worker is only given 1-6 months working duration. Permanent. It is the nature of appointment of position wherein the worker or employee has security of tenure. This applies to private or public office or school Temporary. It is the nature of appointment of position wherein the worker is given longer working duration but not yet a permanent appointment. Nature of Employment. This refers to the nature of employment of the graduates whether it is course related job or not course related. Course-Related. This refers to the jobs that are related to the finished degree course of the graduates. Not Course-Related. This refers to the jobs that are not related to the finished degree course of the graduates. Partnership. It is a single business where two or more people share ownership. Personal Profile. This pertains to age, gender and civil status of the graduates. Problem. It is any difficulties encountered in applying for an employment of BSND graduates. Pre-testing. It is the administration of data collection instrument with a small set of respondents to identify problems and to find possible solutions before the actual administration of data collection instrument with the actual total number of respondents. Unemployment Rate. It is a measure of the prevalence of unemployment and it is calculated as a percentage by dividing the number of unemployed individuals by all individuals currently in the labor force. Salary. It refers to the monetary taken from the respondents from their work or their living. High Income. It is the salary income above thirty thousand pesos. Low Income. It is the salary income below fifteen thousand pesos. Middle Income. It is the salary income between fifteen thousand pesos and thirty thousand pesos. Slovin’s formula. It allows a researcher to sample the population with a desired degree of accuracy. It gives the researcher an idea of how large his sample size needs to be to ensure a reasonable accuracy of results. Sole-proprietorship. It is a type of business entity that is owned and run by one natural person and in which there is no legal distinction between the owner and the business. Stratified random sampling. A method of sampling that involves the division of a  population into smaller groups known as strata. In stratified random sampling, the strata are formed based on members’ shared attributes or characteristics. A random sample from each stratum is taken in a number proportional to the stratum’s size when compared to the population. These subsets of the strata are then pooled to form a random sample.

Saturday, September 28, 2019

Employee Context at K wik-fit Essay Example | Topics and Well Written Essays - 2500 words

Employee Context at K wik-fit - Essay Example Case study reveals that work force is distinctly tiered into hierarchies of grass root workers, supervisors and managers. The main employee and HRM context at K wik-fit is that of employee turnover. This context can best be classified as a problematic context as the employee turnover has been very rapid at K wik-fit.Figues reported in the case study indicate that in the K wik-fit's Lanarkshire call center the employee turnover used to be as high as 52 percent. In the year 2001 such high employee turnovers used to translate into vacancy rate as high as 21 percent. This used to present three fold HRM problems. There was a colossal waste of organizational resources invested in training and upgrading employees who only decided to quit soon after receiving such training. Two, an equivalent effort and resource deployment was required to fill the resulting vacancies and three resources had to necessarily deployed yet again to train and upgrade the new recruits. This results in adverse impac t on employee productivity and continuation of the organizational work and, in the final analysis, impacts overall company results and profits. The main features of K wik-fit's human resource strategy center on two core concepts found in any human resource management strategic move. These are: one, analyzing in the work environment the possible factors responsible for employees' rapid turnover and removing such factors as far as possible, and, two promoting intra organizational conditions and tie ups which would help motivate the workers to high productivity and enthusiasm. The results of this two fold human resources management programme ,adopted in K wik-fit in stages, has been astounding enough to give it an industry award for human resources management. Factually the stage one of the human resources management initiate has brought down the employee turnover rates from the high of 52 percent to 34 percent with another 2 percent fall being achieved in a matter of couple of months. The initiative has been so successful that t even helped halt employee turnover in the month of January where turnover used of be highest. Even in this month the employee turnover instead of rising over the annual average continued to plummet indicating deep impact of the human resources management initiative. A closer look at these initiative clearly reveals that two sets of human resources tactical moves can be identified separately i.e. one that improves work environment for employee and helps boost their motivation and two that offer to help employees solve work related issues and problems and move to higher productivity and better work standards. In the fact the latter move appears to be an initiation of a system of Total Quality Control (TQM) in the services organization. Behind both tactical moves there is a realization that selling insurance is a complex assignment which is not only monotonous and repetitive but which also requires up to date product knowledge and employee empowerment to meet the challenges posed by growing competition. To top it all such tactical moves have been carefully based upon employee feed back carefully collected earlier on. In the former category one finds that employee motivation is sought to

Friday, September 27, 2019

Business advise Essay Example | Topics and Well Written Essays - 250 words - 1

Business advise - Essay Example This massive drop in revenue may result in the hospital being unable to meet operational cost thus resulting in closure. The first solution to the problem is that the hospital can form its own ACO. Since the hospital has access to funding as a source of capital, it can easily raise money to set up an electronic record of patients (McCaffrey 217).The hospital has trained health professionals who can handle clients. This is extremely beneficial since to hospital will not need any additional funding as it makes use of resources already at its disposal. However, this is time consuming and since most of the patients around already belong to a functioning ACO, it would be very hard to convince them to join the new outfit. Second, the hospital can pot to buy some of the ACOs already in operation. The hospital would spend money on the acquisition only; the rest of the infrastructure is already in place. The challenge in this case would be convincing the doctors involved to selling their venture (McCaffrey 218).The option of buying into an already established ACO would be the most appropriate. Buying existing ACOs is a low level of risk because the system is already functional and has a client base ready to receive

Thursday, September 26, 2019

Parliamentary sovereignty Essay Example | Topics and Well Written Essays - 1500 words

Parliamentary sovereignty - Essay Example The term freedom or independence here must not be associated to escaping from human slavery in fact over time this term has broadened into its scope and expanded in its meaning and context. In the modern world humans combat for independence and freedom not from slavery but from suppression, inequity, poverty, injustice, discrimination and helplessness.1 Under the establishment of a democratic setup, the body that represents common man and brings his issues to discussion in at the executive level is known as parliament. The term parliament is adopted from a French word â€Å"parlement† that means â€Å"to speak† and this pretty much determines the function of the parliament in the political machinery of a state. The parliament’s main task is to speak for the rights of the people that it represents, at a level that can create an impact, a positive one. Parliament Parliament is the representation of common man at the executive level. The selection of representatives of masses is done through open and transparent elections where the masses participate and vote for their potential representatives. The selection is made on the basis of majority vote and the selected representatives form the parliament of the country. A colossus of powers and responsibility vest on the shoulders of the parliament. Parliament is responsible for raising public concerns and addressing to them as per the demands and expectations of the masses that cast the votes for the selection of parliamentary candidates.2 Parliament empowers the people as it gives them the right to be a participant in the decision making of the state, indirectly. Parliament provides means to the operations of a government. The personnel required to look after the affairs of the state and run various ministries, comes from the parliament and this is where a common man can be a part of the system as his selected candidate is now placed at the decision making slot.3 With great power comes great respo nsibility, the parliament is endowed with the task of legislation. In the greater interest of the public parliament has the additional charge of making, proposing and passing of laws that are to be practiced under the doctrine of state. Parliament also has the power to approve or reject any financial decisions regarding any ventures that come up to the parliament for the final decision. It is totally up to the parliament to decide upon the feasibility and relevance of the venture to its policies and objectives. The presence of parliament also adds accountability in the operation of state affairs. Parliament has the whole sole authority to question the executive and bring him to task for explanation of various actions that has been taken on his behalf. This forces the executive to be extra cautious in his actions and decision making for he stands accountable to general public and hence the parliament. Power of the Parliament The domain of powers that reside with the Parliament of a s tate is defined in the constitution of the country. The powers can be increased or decrease with respect to the significance and spontaneity of the events, and this modification is subject to the passing of bills in the parliament that gain majority of the vote in their favor from the parliament itself. For instance in UK the Bill of Rights 1869 stated that the power to change or amend a law lies with the parliament.

Wednesday, September 25, 2019

Tourism and economic developement policy Essay Example | Topics and Well Written Essays - 2750 words

Tourism and economic developement policy - Essay Example ensive and extensive research article essentially and fundamentally delves deep into the advantages and challenges of the bottom up approach to tourism development in influencing and strengthening the economic growth of the region. The historical and geographic context of tourism development is also traversed in this study, consequently with in depth research into the socioeconomic and governmental involvement and significance and the overall efficacy and benefit of sustainable tourism. In this context the study is concentrated on one of the most promising emerging economies – India specifically its state of West Bengal. Dating back to the Roman Empire, the rich and the prosperous community only could afford to visit places to enrich experiences, to splurge in luxury and leisure, Baiae being one such seashore vacation place. â€Å"Tourism† was coined in 1811 and â€Å"tourist† by 1840. Whereas in 1936 the â€Å"tourists† were elaborately demarcated by the then ‘League of Nations’ as one journeying outside of country for a minimum of twenty-four hours – which was modified by the United Nations at the end of World War II in 1945 and conceived tourism as which expanded for the time period of maximum six months. The concept of eco-tourism was initiated in 1989. In the present scenario tourism is deemed to be the most rapidly evolving and vastly expanding global business with an approximate growth rate of 4 percent to 5 per cent per annum which is responsible for 10% of global gross domestic product (WTO). The advanced as well as emerging nations have attracted an enormous influx of foreign tourists with an estimate of 760 million in 2004 and another 1.6 billion anticipated by the World Tourism Organization (WTO 2005a) by the year 2020. With globalization and open-door policies being implemented world wide, more and more emerging and advancing nations are becoming the hot tourists’ hot attractions since 1950 at which time there was a record influx of 25 million

Tuesday, September 24, 2019

Community Oriented Policing Program Research Paper

Community Oriented Policing Program - Research Paper Example Since the implementation of the community-oriented policing, there have been significant changes with the organization of policing in United States. The effectiveness of the community-oriented policing has been attributed to various factors. Community-oriented policing breaks down the barriers separating the community from the police, while at the same time instilling a wider set of community ideals to the police officers (Dempsey & Forst, 2010). Organizationally, community-oriented policing shifted the police policy making from a traditional officialdom to one that stresses on greater environmental-organizational association and coordination. Concurrently, the change to the use of community-oriented policing came along with the crushing of the police hierarchy and the establishment of the harmonized service delivery with a huge number of private and public agencies that impact on the neighborhood safety (Oliver, 2008). These factors have contributed to the effectiveness of community -oriented policing in the reduction of crime in the society.Engaging the CommunityCommunity-oriented policing has from its onset sought to involve the community in public safety matters while establishing and solidifying the ability of the society to fight crime. For example, Operation Weed and Seed stresses on generating an active and noticeable police incidence to impact distressed communities and at the same time do capacity building in the same communities to sustain the benefits once attained (Rogers, 2009).

Monday, September 23, 2019

National Economic Policy macroeconomic Essay Example | Topics and Well Written Essays - 1500 words

National Economic Policy macroeconomic - Essay Example This increase in money supply will lead to an increase in output, income and employment. This will be  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   caused by  Ã‚  Ã‚   the fall in interest rate which occurs after the LM curve shifts to the right (Young & Zilberfarb, 2000), as reflected in the IS-LM curve below. It is worth noting that if money supply is increased, while interest rate is held constant, a higher level of income is needed to ensure  Ã‚  Ã‚   that there is a corresponding demand level for money to the supply. This as mentioned earlier moves the LM curve to the right. The increased income and constant  interest rate where the money demand and supply equal each other is seen at the far right of the curve. In case the inflation rate at one point of constant interest rate makes holding money costly, thus few decide to hold it. This calls for rising of income at a certain real interest rate in the universe so as to put the needed money to be held thus maintaining the economic equilibrium , which can be traced to the right of the IS-LM curve (Carlberg, 2000). The components of GDP will be affected as a result of applying this policy. First of all, the aggregate demand will increase. This increase in demand refers to the increase in the number of goods required by consumers in the economy. This is usually a very good thing for triggering an increase in output in the economy. Especially in the short run, this usually raises the production of the economy which is very desirable. This policy will also have a negative effect on employment. One of the reasons for the increased unemployment is the fact that producers react to the high demand by government thus taking production to a higher level. The increase in production demands that  labor increases. The people who are hired earn money thus are able to spend in larger amounts than when unemployed. Question Two   Expansionary fiscal policy A variety of fiscal policies which leads to a rise in government spending, a sh rink in taxes, or a swell in transfer payments is applied to counter the mishaps of economy contraction. The objective of expansionary fiscal policy is to bridge a recessionary gap, ignite the economy, and reduce the unemployment level. Expansionary fiscal policy is sometimes backed by expansionary monetary policy. Taxation Taxation is the major fiscal policy tool that works quickly to correct an ailing economy. Basically individual income taxes levied by the state; however other taxes are also applicable. Taxes are the spontaneous levies that the government charges on the entire the economy to create the proceeds required to provide basic goods and services and to facilitate other state functions. Personal income levies are precisely the taxes gotten from the earnings received by individuals in each house hold. Expansionary fiscal policy works by either a decline of the income tax levies or an instant rebate of levies previously collected. The decrease in taxes empowers the each ho usehold with extra per capita earnings that can be utilized for spending costs, which then ignites cumulative production and employment and translates

Sunday, September 22, 2019

UNWTO Analysis of a press release Essay Example | Topics and Well Written Essays - 750 words

UNWTO Analysis of a press release - Essay Example On the other hand, other nations refused to join the cause to agitate for a safer environment hence increasing more emissions into the atmosphere. This has in turn led to deterioration of water bodies and rain-forming clouds hence the increased drought and lack of food around the world. There are several ways in which green innovation in tourism can trigger major economic, social and environmental benefits. This is when the situation is through the assessment of a nation and possibly a single hotel. For example, in a country such as South Africa, fundamental shifts in its tourism sectors would propel it to greater heights in terms of green innovation. This is possible especially when the spotlight is on the major economic benefits (Dahlstrom, 2010). First, it will cut costs of maintaining pollutants that always become irritants in main tourism hotels. Therefore, it is imperative to focus on sustainability whereby the eco-friendly ventures of the green innovation project create and expand jobs. This is attainable through the increase of competitive merits for other existing organizations in South Africa. Additionally, there should be an emphasis on destinations in different roads that lead to a major tourism hotel found in South Africa in order to boost the experience of visitors. Another better way for green innovation to trigger economic benefits is through production of low-carbon economy products. This is because they retain their eco-benefits when imported from other nations. On that account, the supply of these commodities will increase a demand for eco-friendly products in a hotel such as Blue Star in South Africa. In the same breadth, green innovation also inculcates the reverse innovation system whereby there is innovati on in a developed market in response to a pressing need (Ottman, 2011). Therefore, in a big hotel such as Blue Star, it is essential to use a few technologies that boost investment and development in the tourism industry. Moreover, it will propel sales revenue in terms of the number of tourists visiting the Blue Star hotel. On the other hand, green innovation may also trigger social benefits for the tourists who visit Blue Star hotel. For example, such development will ensure that tourists have awareness in the conservation of their surroundings. Similarly, sustainability of policy integration in the sectors that affect tourists in an African country such as South Africa is also beneficial in green innovation. However, it is crucial to observe that the supply chain and other industries that implement eco-friendly practices in hotels bring exuberance. This suggests that green innovation inspires tourists through engaging in eco-friendly practices such as suggesting designs that augur with their interests. In the same view, tourists will have the opportunity to report their waste and water consumption, hotel energy and even benchmarking on other similar eco-friendly. It also improves on the health of the tourists especially for those who do not smoke because it’s a green innovation implemented in the rooms within the hotels. However, other arising social needs that enhance the life of tourists in the Blue Star hotel entail purification of water and utilization of energy-efficient lights bulbs (Cohen, 2010). For example, they should also practice the recycling of bottles and materials discarded in the

Saturday, September 21, 2019

Hiroshima Diary Essay Example for Free

Hiroshima Diary Essay First of all, I would like to say that you have an overall good paper in my opinion. The first thing that I can suggest is a better hook. My attention wasn’t drawn into the paper. I suggest a quote by a scientist or other survivor, and/or a statistic – something that will make a reader think about the paper more. Another thing that I can recommend is to add a little bit more background on the two narratives, but just very brief (a couple sentences). Also I’d like to point out some things that you could use to improve your thesis. The essay is about â€Å"cause and effect† so it has to be mentioned in your thesis. Also mention the 2 things you will compare between the two stories so the reader has an idea where the paper will be going. Other things I noticed that sounded awkward are the way you used quotes. Introducing quotes is a better strategy than just using the quote as a sentence (paragraph 2) as it gives a better flow and gives a better explanation for your argument. Also in my opinion you could expand more on your analysis of both paragraphs and connect your argument to the thesis and to each other so you have a better evaluation of the discussed topic. There are several other small issues that I found. In paragraph 3 you used a long quote, which is 4+ lines, and it should be in a block format and indented. Also you used very short sentences such as, â€Å"Here are the quotes for the effect.† Using more complex sentences gives a better flow and a more professional look to your essay. You also had some good things in your essay. You provided very concise summary to inform a reader about the story and point out the most important information. You point. Also you have very good topic sentences introducing the argument of that paragraph. From your topic sentences I was able to know what they paragraph would be about, and you were consistent with it. After reading your essay and compared it to my own, I figured that I need to include a better summary. I do not give sufficient background information to be enough for my analysis. Junjie, you did a great job at providing accurate citations, great summary and good analysis. However, you could work on expanding your synthesis and evaluation of the argument in your body paragraph. Otherwise, good job.

Friday, September 20, 2019

Procurement Cost Plan for Heating Installation

Procurement Cost Plan for Heating Installation Q) Establish some contractual and procurement difficulties if your Organisation were to be main contractor for installation of a district heating scheme serving 100 pensioners bungalows. Produce a basic procurement cost plan for contractors to price against. CHAPTER 1: INTRODUCTION District heating is a system where the heat for an area is produced centrally, and hot water or steam is transported to the buildings through a network of pipes. Heat is transferred into individual properties through a heat exchanger, and then used in conventional heating systems (in flats, for example, there may just be one heat exchanger for the whole block). District heating networks vary widely in scale from individual developments or apartment blocks to whole cities. In Denmark, where district heating accounts for about 60% of the heat supplied, cities such as Copenhagen receive heat from large-scale power stations and energy from waste plants situated up to 40km away. Modern district heating can be cost effective and reduce CO2 emissions compared to conventional heating systems. This is because generating heat centrally at large scale can reduce costs compared to generating heat in boilers in individual properties, particularly when combined heat and power (CHP) plants are used. Heat transported through the network can also be converted into cooling using absorption chillers, again improving the efficiency of the system and also providing an option to use heat produced in the summer.   District heating is more environmentally friendly than conventional heating, the potential to reduce emissions will depend greatly on the fuel used and the type of central plant that is generating the heat. Modern district heating offers the potential to use a variety of low carbon and renewable heat generation technologies, such as CHP using fossil fuels, biomass or waste, biomass boilers or surplus heat from industrial processes. As an experienced and tested technology, employed effectively in many countries, district heating has evolved significantly from the days when it was first installed. Networks are now highly efficient, with sophisticated heating controls that allow suppliers to maintain the network and consumers to easily manage their heat use. Underground sensors are able to quickly locate any leaks, and back-up generating plant, is used to limit the effect of possible problems with the central generating plant. CHAPTER 2: AIMS AND OBJECTIVES OF THIS STUDY The main aim is to establish the contractual and procurement difficulties of the main contractor for installation of the district heating scheme serving 100 pensioners bungalows. The aims and objectives can be summarized as follows; To install a district heating scheme to serve 100 pensioners bungalows. To conduct the feasibility study of CHP/CH for district heating. To establish contractual and procurement issues that may occur in this project scheme. To study life cycle costing of the district heating scheme. CHAPTER 3:   FEASIBILITY STUDY OF CHP/CH FOR DISTRICT HEATING SCHEMES Any CH development, whether new or refurbished, large or small, should start with a feasibility study, during which the technical and economic viability of community heating, compared with other possible options, will clearly emerge. The application of CHP enhances the combined heat option by providing heat and power with a very high overall efficiency. So this section deals primarily with the feasibility of CHP/CH schemes. Options should be compared using sound economic principles, always ensuring that full life-cycle costing is used. The content of the feasibility study will be far reaching and, in the course of the work, many fundamental decisions will be made as to the technical approach and the most attractive option to be pursued. Once the project development stage is reached it is much more difficult to change course. Consequently the feasibility study needs to be carefully procured, managed and fully discussed before proceeding further. 3.1:   Defining the brief Whether the study is being carried out in-house or using external resources, it is necessary to define a brief. This must state the objectives clearly, and provide information on existing buildings and their heating systems, the general aspirations of the organisation commissioning the study, and the time-scale for the study. Any particular issues of concern should be mentioned, but otherwise the brief should not constrain the scope of the study.   If external consultants are to be appointed, their selection should be primarily on the basis of the capability, qualifications and experience of the study team and their approach and methodology. The study should include engineering, economics, environmental and commercial issues, together with related health and safety matters, for which a comprehensive team of experts needs to be assembled, often with external consultants working closely with in-house lead personnel.   An indication of the economic parameters to be used in assessing options should be provided in the brief, e.g. the test discount rate and the period of analysis to be assumed in a discounted cash flow analysis. Such information will be needed during the study, and early discussion and agreement on these parameters is advisable. It is important to insist that the correct basis of full life-cycle costing is applied to each of the options under consideration.   Once the main options have been established, capital costs will need to be estimated, as well as operating and maintenance costs where these are the responsibility of the CHP/CH developer. 3.2:   Heat and electricity demand assessment The starting point of a study is the determination of the market for heat, cooling and power. Initially, this involves enlisting support for a scheme from organisations such as the local authority, large hospitals or a university, all of which can help to provide essential core load for a proposed scheme. It is also important to consider the concentration of heat demand which can accure from such potential customers. Cooling by means of absorption chillers offers a further use for heat, particularly at times when heating is not required. The heating, cooling and power requirement for buildings can be obtained from previous data, provided the existing building use is to be remain unchanged, or by energy modelling techniques. It is important that all cost-effective energy-saving measures for the building either be implemented, or at least considered, before determining heat demand. The fundamental minimum requirements of the heat demand assessments are: †¢ the temperature requirements of the heating system †¢ the determination of peak heat demands †¢ annual energy consumption. These data’s will enable some approximate economic work to commence. However, the revenues from the production of electricity vary with time of day and time of year, and hence the cost of heat production from a CHP plant will also vary over the years. It will, therefore, be necessary to determine a heat demand profile over the year, at least on a monthly basis and preferably weekly.   Monthly heat demand profiles can be estimated using weather data, together with establishing a hot water energy demand profile. In addition, the variation of heat demands over a 24-hour period will be useful, but these data are likely to be available only if a high level of instrumentation has already been installed within the buildings. The hourly heat demand profile is required so that simultaneous heat and power production can be simulated. For electricity, half-hourly data will normally be available for larger users, and monthly data from bills. Consideration needs to be given to the effect of the following on demand profiles for heat and power:    †¢ metering and charging tariffs — if historical data are based on un-metered heat, a change to metered supply normally leads to significant reductions in heat use. †¢ there may be cost-effective opportunities to reduce heat demand by adding insulation to the building fabric. †¢ liberalisation of the electricity market makes it easier to sell electricity directly to residents on community heating schemes. †¢ use of surplus heat for cooling, particularly in summer, when residential heating requirements are low or zero. At the feasibility stage these decisions will not have been finalised and it may therefore be necessary to proceed with a range of possible heat and power demands. 3.3:   Heating systems within buildings It is necessary to establish details of existing heating systems within the buildings. Some of these may be unsuitable for connection to CH systems, in which an outline engineering design will be needed for their replacement. Where systems are more compatible, their operating temperatures and pressures need to be established together with an assessment of their effectiveness in meeting current and future needs. If there is some extra capacity available then it may be possible to reduce operating temperatures and flow rates in heating circuits, which will generally be of benefit to the CH scheme. It is also important to establish the method of control used for both time and temperature in order to predict accurately effects on the CH systems. When details of existing systems are available it will be possible to propose a programme of works that will enhance existing systems and yet still be compatible with the proposed CH system. However, several options may have to be considered and cost estimates are prepared for use, in an overall option appraisal. In some buildings, the provision of domestic hot water may represent a significant part of the demand, and there are a number of ways of generating domestic hot water from a CH system. The most energy-efficient schemes will involve taking advantage of the low temperature of the cold water feed so as to cool the community heating return as close as possible to this temperature. This leads to the use of non-storage calorifiers or additional coil surface in cylinders. In larger buildings, two-stage heating, utilising the return water from a space-heating circuit to carry out pre-heating of the cold water feed, is the best solution, provided it should be economical. 3.4:   Central Plant Once the heat demand assessment has been made, work can commence on examining the central plant options. The aspects to be covered are: †¢ prime mover choice †¢ fuel choice, contract flexibility, and security †¢ site location and topography, and interfaces with fuel, electricity and CH  Ã‚  Ã‚      infrastructure †¢ balance between CHP heat and boiler heat †¢ provision of standby capacity †¢ building to house the plant.    It is likely that a number of options will present themselves and each will need to be analysed under similar assumptions to determine the optimum selection. Capital, operating and maintenance costs will need to be assessed for each combination of plant. The CHP operating strategy needs to be developed to establish the most economical method of operation in relation to varying heat and power demand profiles and varying selling prices, e.g. following the heat demand at full output and dumping heat. A spreadsheet-based operating model is essential to ensure that the correct operating strategy has been made and to calculate the annual energy flows, and to permit rapid sensitivity analysis. The optimum CHP plant capacity needs to be determined by considering a range of plant sizes and by carrying out an economic assessment of each.   For single-site CHP projects it is important to have a reasonable match between the generated output and the electricity demand. For a CHP/CH system, electricity is often sold in bulk and the site demand must also be taken into account. However, there may be good opportunities for selling electricity to customers who are more directly linked to the scheme, by use of system arrangements. In this case, modelling the CHP plant in relation to electricity demand may need to be considered. The use of thermal storage and heat dumping may be of greater assistance in allowing the CHP plant a higher flexibility in matching demand profiles. There may also be opportunities for tri-generation (heat, chilling and electricity). Some CH schemes are initially established without CHP, due to the large capital outlay involved. Even without CHP, there may still be environmental and economic advantages from load diversification, and further economic benefits from purchasing fuel in bulk. The use of pre-insulated pipes and low NO2, high-efficiency or condensing boilers have helped to make modern combined heat systems robust, environmentally friendly, and economically advantageous. It should be stressed, however, that CHP offers immediate environmental benefits, and long-term economic advantages.    3.5:   Heat Distribution systems After the building demands and the central plant location have been determined it is then possible to examine the heat distribution system. In order to analyse the network rapidly and to calculate costs, computer software is essential. For large schemes, only the primary mains, together with sample areas of sub-distribution mains, will need to be analysed at this stage. The more difficult aspect is to determine which routes for CH pipe work are technically feasible and cost-effective. Considerable assistance may be obtained by consulting ordnance Survey maps. These are now available on CAD format but at a significant cost. However, there is no substitute for an informed site survey, and a detailed examination of other utility services drawings. Within the feasibility study it will be necessary at least to identify any major constraints to routes, e.g. road and rail crossings, the presence of underground sewers, railway tunnels, etc. In selecting routes the use of open, grassed areas will lead to significant cost savings, as with the avoidance of major roads. Consultation with the Local Authority Planning and Highways Department is essential. 3.6: Optimisation This is the most complex phase of a feasibility study, where the various options available for CHP plant, heat distribution and building heating systems need to be assembled into a number of scheme options — all with their individual sets of cost and revenue streams. Some cases may be simplified by a process of logical comparison, but normally it will be necessary to compare the options using discounted cash flow analysis, and hence to determine the preferred option on the basis of maximising net present value or internal rate of return. Some of the system optimisation issues that are likely to need evaluation are given below. 3.6.1: Operating temperatures A high flow temperature will result in a larger temperature drop, lower flow rates and hence smaller pipe diameters can be used. This capital cost advantage will be offset by the need for more expensive building connections and possibly higher heat production costs, depending on the CHP plant selected. 3.6.2: Operating pressures The option exists to run the system at a lower operating pressure by over-sizing the network; the extra cost incurred should be compared with savings from using the cheaper direct connection method to link building heating systems to the community heating network. Pumping costs also need to be considered, particularly for larger systems, where higher design pressure reduces the amount of booster pumping required. The topographic variation will also need to be considered when deciding upon operation pressure. 3.6.3: Size of scheme A smaller scheme may be more compact and have a relatively inexpensive network, but larger schemes may result in economies of scale for the CHP plant arising from higher efficiency and lower capital cost per kW. The phased expansion of the scheme also needs to be considered, as does ways in which this might affect the plant and the network design. 3.6.3: Heat meters The installation of heat meters will result in lower buildings energy use and reduced operating costs. If the individual dwellings are equipped with heat meters, energy savings should be compared with the additional capital cost and consumer administration charges. It is also possible that the provision of heat meters for each dwelling may be the only way to achieve market acceptability by residents and energy developers. In addition, the inclusion of heat meters will have a positive effect on Standard Assessment Procedure rating (SAP). 3.6.4: Building heating systems The conversion of a heating system to more compatible operating conditions will involve additional capital cost, but if it results in better plant selection or increased heat sales it may be justified. One example is converting steam heating at a hospital to low temperature hot water heating suitable for connection to a community heating network. 3.6.5: Improvements to building fabric Some buildings, fabric insulation improvements will be cost-effective in energy terms. The economic advantage is not as great when the building is supplied by CHP/CH as it would be for small conventional boilers or electric space heating, because the marginal cost of heat is lower. There is, however, a financial advantage in reducing peak heat demands as the capacity of the CHP plant and the heat distribution network can be reduced. The resultant saving in capital cost needs to be included in the economic assessment of insulation measures. Once the main options have been established, capital costs will need to be estimated as well as operating and maintenance costs where these are the responsibility of the CHP/CH developer 3.7:   Revenues from heat and electricity sales 3.7.1:   Heat sales A good understanding of a customer’s current and likely future costs for conventional heating is required in order to judge the maximum heat sales income available. These costs will include fuel, operating and maintenance and provision for future boiler replacement. It will be necessary to structure a heat sales package so that the advantages can clearly be seen. At feasibility level there will need to be a sufficiently large discount to be confident that this level of income can be obtained for the period of analysis. A long-term commitment is unlikely to be obtained at this stage and information on existing costs may be limited, so a cautious approach may be needed. The situation is clearer in the residential sector where the costs of the conventional individual boiler systems are generally well established. The main options available in the residential sector are: †¢ sales to individual residents by means of a fixed charge related to size of dwelling †¢ sales to individual residents based on measuring the heat energy actually used (dwelling heat meters) †¢ sales to individual residents based on the measurement of actual energy used by a block of flats and an apportionment based on size of dwelling/occupancy.    Pre-payment systems can be used to collect either fixed or variable charges or a combination of both. Some consideration should be given to assessing the likely levels of bad debt where prepayment systems are not installed, and bad debt costs may need to be incorporated in the economic analysis. 3.7.2:   Electricity sales Where CHP plant is installed, it is vital to obtain the maximum income from the electricity produced. Typically, a 10% increase in electricity sales will improve the internal rate of return (IRR) of a project (see section 1.10) by 2%, whereas a 10% increase in heat sales will improve the IRR by 1%. The CHP/CH company may opt to sell electricity in bulk to the host public electricity supplier (PES), which will normally offer terms on a p/kWh basis for electricity generated at different times of the day and year seasonal time of day (STOD) tariff. However, if the CHP/CH company can supply electricity users directly (this may include residents themselves) a much better return can be obtained. Among the more favourable options that exist, (following the liberalisation of the electricity market in 1998) is the sale of electricity direct to residents and other customers. A summary of the options is as follows: †¢ sale to the host PES †¢ sale to a second tier supplier, i.e. othe r PES’s and other suppliers of electricity †¢ direct sale to customers as a second tier supplier. This implies pool membership for    an aggregate supply of more than 500 kW †¢ sale under the non fossil-fuel obligation (NFFO) (only for energy-from-waste       projects which have bid for this arrangement in advance). †¢ sale through the pool (this entails having pool membership and is more appropriate    for projects in the range 30 MWe-50 MWe) †¢ sale as an on-site generator to other customers on the same site. It will normally be helpful to use the conventional route of sale to the host PES for the base case analysis, with the other options considered as possible improvements that can be investigated, depending on the scale of the project and the resources of the study. An element of negotiation will be needed in most of these options. As a result, definite figures are not likely to be available at the feasibility stage and a range of results may be presented as a sensitivity analysis. The sale of electricity as a second tier supplier may be of particular interest to CHP/CH schemes because there will be the opportunity to market heat and electricity together to customers on the community heating scheme. Selling two utility services may also bring benefits in metering and charging arrangements. This option is therefore discussed further below.   If a CHP/CH scheme is to undertake to sell electricity direct to customers, additional arrangements will be required, for example: †¢ a top-up and standby purchase arrangement for times when the generation is less than customer demand (including times of CHP plant outage); as a pool member a second tier supplier can purchase this power direct from the pool †¢ a contract for selling spill power for times when more power is generated than customers demand †¢ either the payment of use-of-system charges, the purchase of existing electricity infrastructure or the installation of new cables in order to transfer power to the customers. In the domestic sector, the creditworthiness of customers should be considered and the possible need for a form of prepayment. The management of debt collection is a customer care issue, and disconnection policies need to be fully developed if customers are to be retained in the long term. 3.8:   Development Programme An important output from the feasibility study is a development programme. This is required first to permit the construction of cash flows for capital expenditure, and second to enable advance planning of subsequent stages. A separate, more detailed programme may be produced covering the period of development from the conclusion of the feasibility study to the start of construction, if the route to achieve this is sufficiently clear. It is also worth establishing a watching brief on all work involving renewal of underground services, so that opportunities may be taken to coordinate projects, thus reducing costs and disruption. Issues to consider when drawing up the programme are: †¢ the need for a further project definition stage †¢ the need for further site surveys and investigations    †¢ consultation with customers and adjacent building owners and residents †¢ planning applications (and associated environmental statements) †¢ Building Regulations applications †¢ energy rating and emission improvements †¢ preparation of invitations to tender †¢ tender period †¢ short-listing construction companies †¢ short-listing energy developer companies †¢ short-listing operating companies †¢ assessment of tenders and final negotiations of contracts †¢ mobilisation †¢ site clearance †¢ construction †¢ commissioning and testing †¢ operation and maintenance. Supervision during construction is of paramount importance in order to secure the necessary quality of system. 3.9: Economic Appraisals At the heart of any economic appraisal are the cash flows, a set of annual capital, operating and maintenance expenditures, and annual revenues from the sale of heat and electricity. These cash flows are normally evaluated in real terms.   To compare scheme options, and determine whether the project is economically feasible, there are a number of arithmetical calculations based on the cash flows. It is essential that, when conducting an economic appraisal, full life-cycle costs are used to compare the various options. Simple payback period Defined as the period in which the initial investment is recovered by the annual saving. Generally this approach is too simplistic where the capital expenditure may be spread over a number of years, and where the income may vary from year to year. It is therefore not recommended. Net Present Value (NPV) To calculate the NPV it is necessary to define the cost of borrowing capital (or lost income from capital which could have been invested elsewhere) and the period for the analysis of the project. Internal Rate of Return (IRR) This can be defined as the test discount rate that results in a net present value of zero. IRR is less robust than NPV as it can lead to the selection of a smaller-scale project which, although generating a higher return, involves less capital so that the total value of the income stream is lower than the maximum potential. Both NPV and IRR calculations are available within most spreadsheet software packages. The above parameters are normally sufficient to compare options and present the results to the client organisation for a decision to proceed further. An appraisal by a financier is also likely to involve the calculation of tax implications and debt cover ratios. As an illustration of an economic appraisal, two approaches are outlined below. †¢ From the perspective of a building owner who wants to examine the cheapest method of supplying heat and power to the building or groups of buildings. The economic analysis would assemble cash flows for capital and operating costs for both the CHP scheme and the alternative approach of conventional boilers. The CHP scheme would involve significant initial capital and have an income stream for surplus electricity sales. The conventional approach will have investments in future boiler plant scheduled for future years. The NPV approach enables these varying cash flows to be summed to give a single figure; the NPV in this case being the net present cost for supplying the site with heat and power over a defined period. If the CHP/CH option gives a lower cost then it is the more economical option. †¢ From the perspective of an energy developer company, cash flows will be established for capital investments and income from both heat and electricity sales. The heat and electricity selling prices will be related to the market for these energy products. An IRR can be calculated for the project investment and the NPV for a given discount rate. The CHP/CH option with the highest NPV will be selected and the IRR must be greater than the minimum required by the energy developer company, taking account of the risks in the project.   It is worthwhile investigating whether any local major consumer, such as a local authority, is willing to connect all their buildings to a scheme. This can reduce the investment risk significantly and improve cash flow. The question of economic viability cannot be separated from an analysis of risk, particularly where project finance is the route employed. It will be necessary to carry out an analysis in which as many of the costs and performance figures as possible can be contractually underwritten before presenting the results to a financial institution for a view on financial viability. A sensitivity analysis is of assistance in identifying which of the many parameters are the most important when considering the risk to the economic performance of the scheme, and also for indicating the range of likely outcomes. From this analysis the advantages of obtaining longer-term fuel purchase contracts or heat and power sales contracts can be judged.   Some community heating schemes are initially established without CHP, due to the large capital outlay involved. It may, however, be instructive to consider the economics of a boiler-only community heating option so that the benefits of the CHP plant itself can be separately demonstrated. 3.10:   Environmental Assessments A preliminary environmental assessment should form a part of the feasibility study, identifying both the advantages and disadvantages of CHP.    3.11:   Health and safety Any construction project is covered by the Construction Design and Management (CDM) regulations. The aim of these regulations is to ensure that safety issues are considered from the start of the project, and this may include the feasibility stage. It will be necessary to appoint a planning supervisor and to carry out an outline design risk assessment. CHAPTER 4: Contractual Issues   4.1:   Works contracts The EU Directive is implemented in the main by the Public Works Contracts Regulations 1991 (SI 1991:2680). The basic qualifying threshold is currently set at special drawing rights (SDR). The rules apply principally to building and civil engineering works together with associated activities such as installation work. Public work concessions are subject to a more relaxed regime under the rules.    Following the adoption of Council Directive 97/52/EC on 13 October 1997, amending the EU public sector directives to align with the new Government Procurement Agreement (GPA), all thresholds for the public sector should now be expressed in SDR.   Where the value of the contract exceeds the threshold, contracting bodies are required to publish a prior information notice giving the essential characteristics of qualifying works contracts following decisions to approve the planning of works. A contract notice should be published in the Official Journal when offers are sought in relation to a works contract. When inviting tenders, negotiated procedures may be used only in exceptional circumstances. The choice is mainly between open and restricted procedures under which all tenderer’s must bid against the same specification and terms and conditions of contract. The negotiated procedure allows a preferred bidder to be chosen before the final terms of the contract are agreed. There are strict provisions on technical standards requiring the use of European standards in tender documentation in preference to national ones.   The award of the contract must be either on the basis of the lowest price or the most economically advantageous te

Thursday, September 19, 2019

Essay on Miltons Paradise Lost -Satan’s Myth of Free Will

Satan’s Myth of Free Will in Paradise Lost  Ã‚   Milton, through Satan's soliloquies in Book 4, shows that Satan's idea of free will is a facade, and God carefully manipulates him to fulfill his plan of Adam and Eve's fall. While speaking, Satan inadvertently places doubts in the reader's mind that his will is free. Satan proves through his actions that God created him to act in a very narrow range, even though he himself does not realize this. The combination of pride, ambition, abhorrence of subordination, and ignorance of his own state as a puppet lead to perpetually diminishing stature and divinity.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Satan introspects in the first soliloquy (lines 32-113), searching for the motivation and reasoning behind his fall. He struggles with why he felt the urge to rebel. This very doubting suggests that his rebellion does not originate from a conscious effort; it is part of his internal makeup. Therefore, God created a flawed angel from the beginning (this is also supported by the fact that Sin comes from Satan's head while he is still in Heaven).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Satan first acknowledges that his pride and ambition caused his fall (4.40). After his first mention of the two weaknesses, he says that God created "what I was / in that bright eminence . . ." (4.43); God not only created him, he gave him his pride and ambition. This begins to establish that God wanted him to fall. Satan further laments what has happened: "O had his powerful destiny ordained / Me some inferior angel, I had stood then / happy . . ." (4.58-60). What Milton suggests and what Satan does not catch on to is that God's destiny is for him to be in a position to fall. Still, Satan asserts that his will is his own: ". . . Since against his thy will / Chose... ...em free . . ." (3.122-4), just as mankind is. Milton's presentation of contrary information in Satan's soliloquies, and in the description of Paradise and Adam and Eve presents an argument that Milton was of Satan's party unknowingly as Blake said, because the lack of free will tends to prove Satan's assertion that God is a tyrant.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  This would in effect prove what Satan says in the second soliloquy to Adam and Eve: "Thank him who puts me, loath, to this revenge / on you, who wrong me not, for him who wronged," (386-7). If Satan truly had no free will, then nothing would be his fault, as he alleges. God tells Jesus that humanity can find grace because Satan deceives it into falling, (3.130-2). But, if Satan is deceived into falling, can he also find grace? Works Cited: Milton, John. Paradise Lost. Ed. Scott Elledge. 2nd ed. New York: Norton, 1975.

Wednesday, September 18, 2019

The Aztecs Essay -- Native Americans Spanish Conquest Papers

The Aztecs Throughout time women have had to fill a role, defined by her culture, in order to be considered desirable. Wherever or whenever she might have been from she struggled with the pressure to fill her niche in society. These pressures vary greatly from one culture to another, but some cultures are particularly demanding. Women in pre-Colombian Aztec society were held to a very strict code of behavior. From the day they were born to the day they died their domesticity was held up as being the most important aspect of their lives. This was probably necessary because of the warfare oriented nature of the men in their culture. This made having a woman at home to keep the civilian life going incredibly important. Without her there the home would be in shambles at his return. The National Standards for Geography that apply to â€Å"Aztec Women† are: 6. Knows and understands that culture and experiences influence people’s perceptions of places and experiences. The Aztec women had a very hearth-centered life and therefore a very distinct worldview. 10. Knows and understands the complexity of the Earth’s cultural mosaic. The Aztec were a people of many people’s They adopted many cultures into their own and the Spanish adopted some of the Aztec characteristics. 12. Knows and understands the processes, patterns, and functions of human development. Women are central to the lifestyle of the family. They control and keep the family together in the Aztec culture. The Aztecs built their great society long after another great society had already grown to a peak and fallen. The Olmecs, antiquity to the Aztecs, had a high level of society beginning around 1200 BC. They were the most highly advanced culture at the time in America. The... ...hile the Spaniards waited several miles away Tenochtitlan became a horrific death trap. The city of Tenochtitlan fell on August 13, 1521. Aztec life continues on a small scale in the valley of Mexico even now. The people remember the past but it is not only history to the modern Aztec women. Theirs is a living history in which they see life as a continuing cycle of destruction and creation. They continue with their everyday lives speaking their native language of Nahuatl and holding on to the traditions of a long fallen empire. The loss is expressed in a Nahua poem written in 1523: Nothing remains but flowers and sad songs In Tlatelolco and Mexico Where once there were Warriors and wise men Works Cited: www.albany.edu/~mesmith/tlahuica.html http://www.corona.bell.k12.ca.us/student/adrian/2.html www.geocities.com/athens/5003/aztec.html

Tuesday, September 17, 2019

Dr. Faustus Essay: A Historicism Approach to Doctor Faustus

A Historicism Approach to Doctor Faustus A young man studies theology his entire life and in turn receives his Doctrine in this field. One lonesome and desperate night, he decides to ignore God and fulfill his deepest desires. Hence, he conjures up a servant of Lucifer and agrees to sell his soul only if he can receive whatever or whomever he desires. This is the story of Christopher Marlowe's Doctor Faustus. Doctor Faustus is a doctor of theology that wants no limits on what he can know or see or do so he sells his soul to the devil to gain these desires. While reading or observing Marlowe's fascinating play the reader or observer should apply the "New Historicism Approach," and take in to consideration Marlowe's and the 1590s society's beliefs, habits of thought, and biases about various concepts of obtaining the "forbidden knowledge". Like the people of the 1590s, Doctor Faustus searches for the "forbidden knowledge", begins to deny God during his quest for greater knowledge, and gains nothing from his vain activities throughout his lifetime. After these listed characteristics have been established one can begin to visualize the relationship between Marlowe's, Doctor Faustus and the beliefs and thoughts of the people of the 1590s. Christopher Marlowe uses his eager character, Doctor Faustus, to display the people of the 1590s deep desire to grasp the "forbidden knowledge." A doctor of theology, one that unseemingly knows everything about his study of religion begins to inquire about the enhancement of his knowledge: "Negromantic books are heavenly; Lines, circles, letters, characters-Ay, these are those that Faustus most desires" (Act I: Scene I: Line 48-5... ...hether or not they should have published or talked about their findings arouse in their minds. Therefore, just as Faustus regrets his actions so do the people of the 1590s regret their discovers' impression on others of their time. Summing up Christopher Marlowe's conceptions about the people of the 1590s through Doctor Faustus are clearly established when using the historicism approach. Persons of the later centuries' societies, such as Charles Darwin and Galileo, can be related to Doctor Faustus and looked upon as a Faust figure because in many ways their characteristics are alike. One can very well observe that the people of the 1590s just as Doctor Faustus lead several searches for the "forbidden knowledge" that lead to the unimaginable. These very attempts to obtain the unobtainable caused their loss of faith in God and gain of fewer benefits.

Monday, September 16, 2019

Ovarian Cancer Research Paper Essay

Introduction Ovarian cancer is one of the most common types of cancer among women. It is considered to be one of the most common types of cancer of the female reproductive system. According to McGuire and Markman (2003), â€Å"despite advances in treatment over the last 40 years, ovarian cancer is the second most commonly diagnosed gynaecological malignancy, and causes more deaths than any other cancer of the reproductive system† (p. 4). Despite the fact that ovarian cancer occurs less frequently than uterine cancer, it is more aggressive and can occur at any age. In addition, it does not manifest itself in the first stages, and in most cases are diagnosed only in the later ones. All the malignant ovarian tumors are subdivided into epithelial, germ or stromal cell types (cancer). These cancers have the highest incidence among all other tumors. (Jordan, S., Green, A., & Webb, P. 2006 p.109-116). Signs and symptoms of ovarian cancer â€Å"Ovarian cancer has often been called the â€Å"silent killer† because symptoms are not thought to develop until advanced stages when chance of cure is poor† (Goff, Mandel, Melancon, & Muntz, 2004, p. 2705). That is why the symptoms of ovarian cancer are not specific and can be disguised as other more common diseases, such as diseases of the digestive system or urinary system. The reason for the lack of clearly defined symptoms is that ovarian cancer develops in the abdominal cavity and does not cause discomfort for the patient. The main sign of the presence of most disease is a constant presence of symptoms or their worsening. For example, ovarian cancer symptoms are distinguished by their immutability of the manifestations: they progress gradually. (Goff, B. A., Mandel, L. S., Melancon, C. H., Muntz, H. G., 2004 p. 2705-2712). The main symptoms of ovarian cancer may include the following: 1. Feeling of overeating, swelling or bloating; 2. Urgent need to urinate; 3. Pain or discomfort in the pelvic area. 4. Constant indigestion or nausea; 5. Sudden, unexplained changes of stools, which include diarrhea or constipation; 6. Frequent urination; 7. Appetite loss; 8. Rapid weight loss or rapid weight gain; 9. Increased waist circumference, which can be seen by the fact that the clothing suddenly became small; 10. Pain during intercourse; 11. Permanent weakness; 12. Pain in the lumbar area, abdominal pain. The growing tumor extends through the fallopian tubes, causing the lower abdominal pain on the affected side. The large tumors can compress the large intestine that is manifested in bloating or constipation. (Goff, B. A., Mandel, L. S., Melancon, C. H., Muntz, H. G., 2004, p. 2705-2712). In addition, ovarian cancer is characterized by metastases at the â€Å"gate† of the liver that leads to the development of ascites – an accumulation of fluid in the abdominal cavity due to the compression of the hepatic portal vein. (Goff, B. A., Mandel, L. S., Melancon, C. H., Muntz, H. G., 2004, p. 2705-2712). The later stages (3 and 4) of ovarian cancer are characterized by more severe symptoms, such as intoxication and anemia. The doctors usually can diagnose ovarian cancer for three months after the first symptoms. However, sometimes it is necessary to wait for six months or even more in order to put the final diagnosis. (Goff, B. A., M andel, L. S., Melancon, C. H., Muntz, H. G., 2004, p. 2705-2712). Causes of ovarian cancer Currently, the etiological factors of malignant ovarian tumors are not significantly determined. However, some researches have advanced several hypotheses about the etiology of epithelial ovarian tumors (Modugno et al., 2003, p. 439- 446). The first one being that ovarian cancer usually occurs when a tumor develops in one or both of a woman’s ovaries. (Modugno et al., 2003, p. 439- 446). Another hypothesis is based on the concept of â€Å"incessant ovulation† (early menarche, late menopause, a small number of pregnancies, the shortening of lactation). Remember, the constant ovulations cause serious damage to epithelial inclusions in the ovarian cortex. The following hypothesis shows that ovarian cancer, most often, is caused by the glandular epithelial cells, which produce hormones. Therefore, a violation of hormonal regulation leads to the changes of malignant epithelial cells. Ovarian cancer often develops in the presence of chronic inflammation, benign tumors or ovarian cysts. (Jordan, S., Green, A., & Webb, P., 2006, p. 109-116). Risk factors It is difficult enough to determine the risk factors for ovarian cancer. However, it is believed that the healthy women, who have relatives diagnosed with breast cancer, ovarian cancer or uterine cancer, are at risk of those diseases. Supporting this point of view, Cannistra (2004) states that â€Å"a strong family history of ovarian or breast cancer is the most important risk factor† for women. Too often ovarian cancer develops after menopause. However, the risk is increased only after 60 years. In turn, Cannistra (2004) supports this information and adds that â€Å"the median age of patients with ovarian cancer is 60 years, and the average lifetime risk for women is about 1 in 70†. (p. 2519-2522) Despite the fact that most ovarian cancers are diagnosed in postmenopausal women, the disease can also occur in women who are in the premenopausal period. Women, who have been pregnant at least once, are less likely to have ovarian cancer. The use of birth control pills also reduces this probability. (Kuper, H., Cramer, D. W., & Titus-Ernstoff, L., 2002., p. 455-463). The appearance of cysts is a normal process that occurs during ovulation in women who are premenopausal. However, cysts formed in the postmenopausal period have a great chance to cause cancer. Women are at increased risk if they are having trouble conceiving. Environment factors also affect the incidence of ovarian cancer. (Kuper, H., Cramer, D. W., & Titus-Ernstoff, L., 2002., p. 455-463). Ovarian cancer can be primary, secondary and metastatic. The malignant tumors, which primarily affect the ovary, are known as primary cancer. Secondary ovarian cancer (cystadenocarcinoma) occurs due to the benign or borderline tumors. Metastatic ovarian cancer (Krukenberg tumor) is a spreading of the primary tumor, which is often located in the gastro-intestinal tract, stomach, breast, thyroid or uterus. (Rossing, M. A., Tang, M. C., Flagg, E. W., Weiss, L. K., Wicklund, K. G., & Weiss, N. S.,2006, p. 713-720). Ovarian cancer staging It is possible to trace the following ovarian cancer stages, such as: Stage 1 — limited to one or both ovaries; †¢ 1A) cone ovary is affected, no ascites; †¢ 1B) both ovaries are affected, no ascites; †¢ 1C) appearance of the tumor on the surface of the ovary (s), ascites. Stage 2 — disease spreads in the small pelvis; †¢ 2A) affection of the uterus or fallopian tubes; †¢ 2B) affection of other tissues of the small pelvis; †¢ 2C) tumor on the surface of the ovary (s), ascites. Stage 3 — affection of the peritoneum, metastases in the liver and other organs within the abdomen, affection of groin lymph nodes; †¢ 3A) — microscopic peritoneal metastasis beyond the pelvis; †¢ 3B) — metastasis less than 2 cm in size; †¢ 3C) — metastases more than 2 cm in diameter, involving retroperitoneal and inguinal lymph nodes. Stage 4 — distant metastases. (Rossing, M. A., Tang, M. C., Flagg, E. W., Weiss, L. K., Wicklund, K. G., & Weiss, N. S., 2006., p. 713-720). Thus, these are the basic ovarian cancer stages, which help to find out how widespread ovarian cancer is. Classification of ovarian tumors 1) Surface epithelial-stromal tumors – the largest group of benign epithelial ovarian tumors are cystadenoma. 2) Sex cord-stromal tumors with a minimum number of elements have the structure of sex cord-tech fibroids and may contain small nests or tubules of sex cord-type cells. 3) Germ cell tumors are teratomas, which in most cases are benign. . (Rossing, M. A., Tang, M. C., Flagg, E. W., Weiss, L. K., Wicklund, K. G., & Weiss, N. S., 2006., p. 713-720). Ovarian cancer treatment Ovarian cancer can be suspected by a gynecologist during a standard pelvic examination. However, â€Å"much of the problem is that ovarian cancer is often detected too late. Not everyone has symptoms, and the classic ones—bloating, pelvic pain, difficulty eating and urinary frequency, are easily confused with other maladies† (Johannes, 2010, para. 6). That is why the doctor should regularly check the pelvis and conduct the palpation of the uterus, vagina, tubes, ovaries, bladder, and rectum. In addition, it is essential to use a pelvic organ ultrasound, magnetic resonance imaging (MRI), radionuclide studies (scintigraphy), intestinal endoscopy, as well as a laparoscopic examination of the pelvis with a biopsy. (Zhang, M., Xie, X., Lee, A. H., & Binns, C. W., 2004, p. 83-89). Remember that ovarian cancer does not have any obvious symptoms in the early stages. Therefore, the annual gynecological examination and ultrasonography of the groin area are very important. Main tr eatment usually involves surgery, chemotherapy, and sometimes radiotherapy. Depending on the extent of tumor spread, surgery can be performed in various capacities. The obtained material must be sent for further examination. If the tumor significantly extends, the doctor should conduct the courses of chemotherapy, and then perform surgery. Mainly, surgery is performed in a radical way: the uterus with the tubes, pelvic tissue with lymph nodes, and omentum in the form of an apron are removed completely. Gland contains lymph nodes, which are often affected by metastases. Ovarian cancer has the ability to affect a healthy ovary through the cross metastases. (Rossing, M. A., Tang, M. C., Flagg, E. W., Weiss, L. K., Wicklund, K. G., & Weiss, N. S., 2006., p. 713-720). Therefore, it is very important to remove both ovaries in order to preserve the life of the patient. Taking into consideration the aggressive nature of the disease, chemotherapy is considered to be a required component of ovarian cancer treatment. The standard chemotherapy protocol consists of two major drugs, such as Carboplatin and Taxol. (Kiani, F., Knutsen, S., Singh, P., Ursin, G., & Fraser, G., 2006, p. 137-146). Medication duration, dosage and additional drugs are determined individually: in accordance with the type of tumor, the degree of spreading and other indicators. It is possible to conduct the additional courses of chemotherapy after surgery. Ovarian cancer treatment has its specific nature. It is connected with the fact that the tumor in the ovary cannot be seen. Therefore, in cases when the doctor does not operate the patient, the only way to be sure that the tumor is gone completely is use a high-dose chemotherapy. The main features of chemotherapy for ovarian cancer Chemotherapy is performed in almost all the stages of the disease. Sometimes it is used to fight against the tumor, sometimes to contain the tumor and prevent it’s spreading, sometimes in order to delay the total defeat of the body. In any case, chemotherapy for ovarian cancer is proved as an effective fighting method. Chemotherapy does serious damage to the body, but its main advantage is that the drugs work in the body, and thus blocks the development of the last stage of cancer, as well as the spreading to adjacent organs. Chemotherapy for ovarian cancer has a greater chance of success than radiotherapy, because it comes to the heart of the problem. The most important thing is that chemotherapy can get rid of cancer cells, which have already started to progress, but have not yet appeared in the specific symptoms. In other words, it can nip with the problem in the bud. Thus, if the use of chemotherapy for ovarian cancer is offered, do not refuse to do it. This is one of the few chances that could save your life, and give a reason to hope for the restoration of a normal life and future. In some cases, in addition to chemotherapy, the doctor can prescribe radiotherapy in order to kill the cancer cells. However, it is not commonly used and does not play an important role in the treatment of ovarian cancer. How to prevent the development of ovarian cancer? Every woman should know her vulnerabilities – â€Å"loopholes† through which cancer can penetrate into the body. Loophole 1: Late arrival to the gynecologist The annual preventive gynecological examination is required for all the women. Women, who have ovarian cancer, address to the doctor too late. This is due to the irregular visits to the gynecologist, because of this the initial stages of the disease go unnoticed. At first, cancer progresses usually without any of the characteristic symptoms. Subsequently, women can suffer from uterine bleeding, that doesn’t usually coincide with the period of menstruation and often ignore the abnormality. (Grilli, R., Apolone, G., Marsoni, S., Nicolucci, A., Zola, P., & Liberati, A., 1991, p.50-63). Women need to understand that the existence of such a symptom is a serious cause for concern, because any vaginal bleeding aside from the normal monthly menstruation may indicate a malfunction in the body. Another characteristic which women often ignore is lower abdominal pain. These pains can be short or long, weak, or strong. However, it is not desirable to immediately take analgesics to numb the unpleasant feelings. In such a case, it will be more reasonable to see a gynecologist. In addition, it is important to conduct an ultrasound of the uterus and ovaries. Usually a pelvic examination and ultrasound can detect ovarian cancer at the early stages. (Titus-Ernstoff, L., Rees, J. R., Terry, K. L., & Cramer, D. W., 2010, p. 201-207). The growth of ovarian tumors may be accompanied by low-grade temperature, shivering, and weakness. If you do not have an infectious disease and severe pain, but constant weakness and nausea, it is essential to consult with a gynecologist. (Titus-Ernstoff, L., Rees, J. R., Terry, K. L., & Cramer, D. W., 2010, p. 201-207). Loophole 2: Changes in hormonal balance Many women going through menopause also experience profound changes in the level of sex hormones. â€Å"An excess of female hormones can lead to ovarian tumors and other serious gynecological diseases† (Jordan, S. J., Purdie, D. M., Green, A. C., & Webb, P. M., 2004, p.359-365). The patients, who have had surgery on the uterus and ovaries, are also at increased risk. In addition to various infectious complications, they can also have a hormonal disorder. One of the reasons for ovarian cancer is an excess of sex hormone called gonadotropin, which leads to the development of other hormone-dependent tumors. (Jordan, S. J., Purdie, D. M., Green, A. C., & Webb, P. M., 2004, p.359-365). Therefore, women with hormonal malfunctions should be evaluated by a gynecologist with special attention. Loophole 3: Change of sexual partners and childlessness Sexual promiscuity often leads to frequent abortions. Every abortion is a serious hormonal disruption of the whole female body. The consequences of abortion are infertility, chronic diseases of the uterus and other reproductive organs. Sexual promiscuity can also lead to various infectious diseases of the genital organs. Some of these diseases often increase the risk of ovarian cancer. Nulliparous women suffer from ovarian cancer more often than those who have children. (King, M., Marks, J. H., Mandell, J. B., 2003, p. 643-646). Loophole 4: Unhealthy lifestyles It is known that women, who smoke or drink alcohol, are much more susceptible to ovarian cancer. Cigarette smoking and alcohol consumption weaken their health and therefore they have a higher risk of cancer. â€Å"In recent years, it is possible to trace the appearance of different cosmetics and dietary supplements. They contain the hormonal stimulants, which are very harmful for the female body† (Kiani, F., Knutsen, S., Singh, P., Ursin, G., & Fraser, G., 2006, p.137-146). It is necessary to carefully use such stimulants. Before taking these pills, it is essential to consult your primary care physician or gynecologist. Women, who have menopause, should eat a balanced diet full of vitamins and other nutrients (Kiani, F., Knutsen, S., Singh, P., Ursin, G., & Fraser, G., 2006, p.137-146). Furthermore, personal hygiene is vital to good health. Remember that any chronic diseases, especially concerning the sexual organs, weaken the immune system and increases the risk of tumor deve lopment. However, if diagnosed as having ovarian cancer don’t give up. Remember that timely access to a physician is the key to success. Tumors can be detected by the usual examination and then refined with the help of the ultrasound and analysis. If the disease is detected in an early stage, treatment will be more effective. In such a case, the doctor has the ability to combine surgical and medical treatment, without affecting the uterus and ovaries. Such patients can even get pregnant and give birth to a healthy baby. The later stages of ovarian cancer are characterized by more severe symptoms and can even lead to the complete removal of the ovaries, uterus and other organs affected by the tumor. Unfortunately, the survival rate of these patients is very low, and they often have relapse (McGuire, W.P., & Markman, M. (2003). Conclusion Taking the above-mentioned information into consideration, it is possible to draw a conclusion that ovarian cancer is often called the â€Å"silent killer† because clinically the first manifestations are associated with the spread of the tumor outside the ovary, and sometimes beyond the pelvis. Ovarian cancer can be divided into the following forms, such as primary, secondary, and metastatic. The most common symptoms for ovarian cancer are pain in the abdomen and lower back, accompanied with abdominal distention and ascites. However, these symptoms are typical for a number of benign ovarian tumors. Surgical treatment of ovarian cancer is considered to be the fundamental. The prevention of ovarian cancer is possible through the regular preventive examinations. References Cannistra, S.A. (2004). Cancer of the ovary. N. Engl. J. Med., 351 (24), 2519-29. doi: 10.1056/NEJMra041842 Goff, B. A., Mandel, L. S., Melancon, C. H., Muntz, H. G. (2004). Frequency of Symptoms of Ovarian Cancer in Women Presenting to Primary Care Clinics. American Medical Association, 291 (22), 2705-2712. Grilli, R., Apolone, G., Marsoni, S., Nicolucci, A., Zola, P., & Liberati, A. (1991). The Impact of Patient Management Guidelines on the Care of Breast, Colorectal, and Ovarian Cancer Patients in Italy. Medical Care, 29 (1), 50-63. Johannes, L. (2010, March 9). Test to Help Determine If Ovarian Masses Are Cancer. The Wall Street Journal. Retrieved from http://online.wsj.com/article/SB10001424052748704869304575109703066893506.html Jordan, S., Green, A., & Webb, P. (2006). Benign Epithelial Ovarian Tumours: Cancer Precursors or Markers for Ovarian Cancer Risk? Cancer Causes & Control, 17 (5), 623-632. Jordan, S. J., Purdie, D. M., Green, A. C., & Webb, P. M. (2004). Coffee, Tea and Caffeine and Risk of Epithelial Ovarian Cancer. Cancer Causes & Control, 15 (4), 359-365. Jordan, S. J., Siskind, V., Green, A. C., Whiteman, D. C., & Webb, P. M. (2010). Breastfeeding and Risk of Epithelial Ovarian Cancer. Cancer Causes & Control, 21 (1), 109-116. Kiani, F., Knutsen, S., Singh, P., Ursin, G., & Fraser, G. (2006). Dietary Risk Factors for Ovarian Cancer: The Adventist Health Study (United States). Cancer Causes & Control, 17 (2), 137-146. King, M., Marks, J. H., Mandell, J. B. (2003). Breast and Ovarian Cancer Risks Due to Inherited Mutations in BRCA1 and BRCA2. The New York Breast Cancer Study Group Science, New Series, 302 (5645), 643-646. Kuper, H., Cramer, D. W., & Titus-Ernstoff, L. (2002). Risk of Ovarian Cancer in the United States in Relation to Anthropometric Measures: Does the Association Depend on Menopausal Status? Cancer Causes & Control, 13 (5), 455-463. McGuire, W.P., & Markman, M. (2003). Primary ovarian cancer chemotherapy: current standards of car e. Br. J. Cancer, 89 (3), 3-8. doi:10.1038/sj.bjc.6601494. Modugno, F., Moslehi, R., Ness, R. B., Nelson, D. B., Bell, S., Kant, J. A., Wheeler, J. E., Fishman, D., Karlan, B., Risch, J., Cramer, D. W., Dube, M., & Narod, S. A. (2003). Reproductive factors and ovarian cancer risk in Jewish BRCA1 and BRCA2 mutation carriers (United States). Cancer Cause and Control, 14, 439-446. Rossing, M. A., Tang, M. C., Flagg, E. W., Weiss, L. K., Wicklund,

Autism a Communication and Social Disorder

Autism is a brain disorder that is characterized by impaired social interaction and delayed communication skills. (Segal, 1996) Children with Autism show signs of delay in the first two years of life. Many times parents notice that their child demonstrates repetitive behaviors, or likes to spin objects, line things up or has an affinity for sameness. Some children with Autism have difficulty with transitions from one activity to another and are not able to regulate their senses. The range of these behaviors varies and that is why Autism is called a spectrum disorder. Many times, children will exhibit one or several of the symptoms. Children who exhibit fewer symptoms are diagnosed with PDD or Pervasive Developmental Delay, while children who have many of the symptoms are termed Autistic. There is recent research that shows that autism may be caused by genetics which are related to how the brain develops in early childhood. In the article, Autism and Brain development, Nancy Shute reports that some kind of mutations of genes that are important to language development may be the cause of autism in some children. Daniel Geschwind is researching the fact that these genes are sometimes turned on or off depending on the brains experiences. † (Shute). There is also a chance that â€Å"structural damage will be found, and this damage could be anything from microscopic to the grossly visible, from faults inside nerve cells to faulty development of whole cell systems. † (Frith) The causes of Autism are still being explored, but the more important thing is how people are diagnosed and treated for it. The symptoms of Autism are variable, and usually different in each child. Delay of language development, lack of social skills and lack of eye contact are a few of the symptoms. Because there is a range in the severity of the symptoms the diagnosis and treatment of autism varies and is an interesting process. The diagnosis of autism is based on a behavioral check list. â€Å"Because a diagnosis is a label or shorthand for treatment, it needs to correspond to the services to the child needs in the immediate future. † (Siegel) The parents, teachers, developmental pediatrician and sometimes other therapists all contribute to the assessment. The CHAT, Checklist of Autism in Toddlers is one way that pediatricians screen children under 2 years old for Autism. For children 4 years and older, a Social Communication Questionnaire is often used. These screenings rely on parent report and the observation of a diagnostic team. Then the child will be referred to a developmental pediatrician or a psychologist who is trained in diagnosis of Autism. There are several diagnostic tools, usually developmental checklists, and parent report along with a team of professionals who look at the behavioral symptoms that are characteristic of this disorder. The team of professionals who diagnosis autism typically include the parent, speech therapist, teacher, pediatrician and occupational therapist. The most widely used diagnostic tool for Autism is the ADOS, (Autism Diagnostic Observation Schedule). The North Bay Regional Center uses this to diagnose children with autism in this area. There are also other centers, the Mind Institute with is part of the University of Davis medical Center, where they focus only on diagnosis of Autism spectrum disorders. Bryna Siegel is a Psychologist who works at UCSF and has her own diagnostic clinic. Each case of autism has its own individual characteristics ranging between its cause, its diagnosis and the life long treatment. After being diagnosed, different therapy options are presented; PECS, play therapy and discrete trial are the three more commonly used treatments. What is best for children with Autism is an early diagnosis, and intensive speech and language therapy which includes the family. Dr. Stanly Greenspan has developed the â€Å"Floortime† approach to helping families learn to interact with their children. â€Å"Autism and ASD’s involve difficulties in relating forming relationships, communicating, and thinking. (Greenspan) Play therapy also gives parents a chance to learn to communicate nonverbally with their autistic child. One of the most effective styles of play therapy is called floor time. â€Å"In playing with their child, parents can help her develop her social skills and also connect with their child through this nonverbal style of communication. The floor time/play therapy that a speech therapist directs is used to â€Å"harness the child’s natural interests. † (Greenspan) in doing so they are able to â€Å"get a picture of what she finds enjoyable, what motivates her. (Greenspan) and is considered as the best method for supporting the language and social communication development of the child with autism. Speech therapy is one of the most important pieces of the team approach to help children with Autism develop social and communication skills. The goal of speech therapy in working with children with autism is to help the child communicate her needs and wants. A specific therapy program is individualized for each child. There are as many programs as there are children. There are a wide range of therapies that facilitate language development in children with Autism. Normally language and play go off one another when both are impaired; they are likely to mutually inhibit the development of the other. † (Siegel) While there are other therapies, play therapy is considered one of the most effective ways to understand nonverbal communication in autism. Children with Autism can benefit from play therapy. The therapy is based on the child’s own interests. Children with autism do not play with toys in a functional way. â€Å"One thing that is often different about the sensory development of autistic children is its repetitiveness. This is also referred to as perseveration. Instead of pulling a string or handle on a â€Å"speak and say† five or six times, the autistic of PDD child may engage in such an activity for 20 minutes without stopping. † (Siegle) Play therapy teaches the child to play with toys in ways that use imagination and are symbolic. And since imagination is obscured in autistic minds this is very important. Even though it may not be clear in a young child it can be observed in some situations such as a â€Å"Two year old autistic children (who) ‘play telephone’. They pick up the receiver and punch the buttons on the toy phone. Then they put the receiver down, less often will you see the autistic two year yammering, as if talking to someone. What is really never seen in the successive ‘calls’ – say to grandma, big bird, or the family dog. That type of elaboration on a toy thing is beyond the slope of imagination of most autistic children instead, the physical actions copied strictly from what has been observed in the past is playlalia. † (Siegle) Play and speech therapy, paired with pictures is one of the ways that speech therapists and parents encourage language. Often the child with Autism uses a picture to exchange for a desired item this is called PECS. This picture exchange system is important and can be used after observing and playing with the child to determine what toys the child is interested in. It is used as a stepping stone for communication with the outside world. The picture exchange system is a way for children with Autism to communicate using pictures. This is a good way for them to make their needs and wants met. Many children with autism have tantrums or do not want to cooperate with their teacher or parents. The best way to find out what a child with autism wants is to use this simple system. Since many people on the autism spectrum tend to learn visually, it makes good sense to communicate with images. Just as important, images are a universal means of communication – and they are just as understandable by strangers or young peers by parents or therapists. † (Rudy) When the parent knows what the child wants, they can use the picture of the desired item as a reinforcer to help the child cooperate with the parents directions. Sometimes the parent will offer the child two pictures as choices. Other times the parent can use the picture of an activity that needs to be accomplished and a picture of a desired item. Then the parent can say, first wash hands and then you can have bubbles. The child learns this routine and is able to communicate, and follow the parent’s directions. There is a more complex style of picture exchange system where the speech therapist starts with one item paired with an object. The speech therapist then asks the child â€Å"want cookie†, showing the child a picture of a cookie and the cookie. When the child understands that the picture represents the cookie then the child is ready to use the pictures for other choices. Later the child is using pictures to help form sentences. There are many ways that speech therapists use pictures to encourage language. Often the speech therapist works with the behaviorist to develop a system that will provide reinforcers for the child. These reinforcers help the child to stay motivated during therapy. The behavioral therapy or Discrete Trials therapy is often used along with speech therapy. â€Å"Discrete trial training is conducted using intensive drills of selected materials. A specific behavior is prompted or guided, and children receive reinforcement for proper responses. † (What is Discrete Trial Training? This is a program that teaches a child with autism specific information in small units which are less distracting for the child. Because children with autism are so distractible or may want to obsess on spinning or other behaviors, the discrete trial helps them to focus on learning vocabulary, names of animals, math and pre reading skills. The occupational therapist is also important to the treatment of children with Autism. This therapist often uses sensory integration techniques to help the child with Autism develop self regulation. Many of the children with autism have self stimulatory behaviors with are sometimes their way to regulate, their senses. These self stimulatory behaviors may not be as effective as the specific movement, vestibular, or deep pressure, proprioceptive, or sensory, touch and brushing that the occupational therapist uses. The parents of the child with autism are invited to observe what the therapist recommends, and then they can use many of the recommendations at home to help calm their child. Many children with autism are sensitive to loud noises, and are sometimes very sensitive to tags in the back of their shirts, or the seams on their socks. The book, â€Å"The Out of Sync Child† by Carol Stock Kranowitz, has many suggestions for children who are sensitive to noise, light, and touch. The research is clear that the first step is early intervention using a team approach early diagnosis and treatment specific to the individual child is the most helpful thing you can do. Although it takes patience and understanding (with the trial and error); with the numerous treatments available every child can be helped. The diagnosis is the first step, and when treatment is started early, the team approach is the beginning of optimal treatment for the child.