Field Report Essay Example | Topics and Well Written Essays - 1500 words

Field Report - Essay Example re resources in the natural history of Victoria and even beyond its boundaries (Melbourne Museum, 2015, retrieved from http://museumvictoria.com.au/melbournemuseum/about-us/). The museum is divided into three venues: immigration museum, science works and the Melbourne Museum. The Melbourne Story exhibition is found in the Melbourne Museum. It shows the history of the Melbourne starting from when the white settlers and  the local indigenous people got into contact. The history is connected in the form of stories, soundscapes, images, artifacts and interactive components. This ensures that the visitors have an insight into the Melbourne story. This story shows the Australian history which covers the rich, poor, settlers, indigenous people, immigrants, and how they survived as Australia developed. The Melbourne Story is a comprehensive exhibition that has abundant information about the city of Melbourne. The collections are presented in such a way that they reveal the extraordinary riches of the city. There is an amazing hand colored lithograph that shows the olden city of Melbourne in 1858 (Museum Victoria, 2001, p. 21). The picture, which was developed by George Rowe, shows the ancient city. The buildings and the mode of dressing simplify a time when Australia was under-developed. Each object in the museum displays a certain historical time, and they are all organized in a chronological manner. All the pictures are taken and printed using the available technology of that particular time. Through this presentation, the museum manages to show the lifestyle and technology of the Australian people at different historical times. There are various jar bells and stuffed animals that create and antique display of the people living in Melbourne during the Victorian period. There is a video footage that covers a football match which is believed to have been taken between 1900 and 1920 (Museum Victoria, 2001, p. 43). The video is of low quality but in relation to the

The Heabas Corpus and Its Evolution Essay Example for Free

The Heabas Corpus and Its Evolution Essay An ancient law writ which detains aliens of war in a detention facility by the Supreme Court’s expanded jurisdiction leaves those without knowledge of the Habeas Corpus Act means to understand what the act entitles, its originality, and the evolution. The word habeas corpus in the Latin language means â€Å"you have the body†, which represents an important right granted to individuals in America (Kelly, M.). This is a judicial mandate requiring that a prisoner be brought before the court to determine whether the government has the right to continue detaining them in a detention facility (Kelly, M. ). The person or persons’ being held can petition the court for a writ of habeas corpus if he or she objects to the imprisonment. The petition must explain to the court the imprisonment order is an order of wrongful imprisonment. The right of habeas corpus is the constitutionally bestowed right of a person to present evidence before a court that he or she has been wrongfully accused (Kelly, M.). â€Å"The right of writs of habeas corpus are granted in Article I, Section 9, clause 2 of the Constitution, which states, The Privilege of the Writ of Habeas Corpus shall not be suspended, unless when in Cases of Rebellion or Invasion the public Safety may require it.†(The United States Constitution, 2004) The establishment of the habeas corpus is not certainly clear, but it seems to date back to Magna Carta in 1215 (Robertson, J.D.). According to Robertson, its principle effect was achieved in the Middle Ages by various wits, of which gave similar effect as the modern writ (Robertson, J.D.). The habeas corpus was originally established as a prerogative writ of the King and his courts, now as time passes, the habeas corpus has evolved into a writ petitioned by a person imprisoned acting in his or her own interest (Robertson, J.D.). After reading the article by Robertson it was made clear, during Magna Carta time, habeas corpus was referenced to â€Å"the law of the land†(Robertson, J.D.). With the exact quote: â€Å"No free man shall be taken or imprisoned of disseized or exiled or in any way destroyed except by the lawful judgment of their peers or by the law of the land† (Robertson, J.D.). Shortly after the start of the American War President Abraham Lincoln ordered the suspension of the constitutionally protected right to writs of habeas corpus in 1861(Langley, R.). The reason being was the arrest of John Merryman by the Union troops, but the Chief of Justice of the Supreme Court Roger B. Taney decline Lincoln’s order and issued a writ of habeas corpus with orders for the U.S. Military to bring Merryman before the Supreme Court (Langley, R.). The Chief Justice Taney declared Lincoln’s suspension of the habeas corpus unconstitutional, after Lincoln and the military refuse to abide by the order of the Chief Justice (Langley, R.). On September 24, 1862, President Lincoln issued a proclamation suspending the right to writs of habeas corpus nationwide (Langley, R.). Which states; â€Å"Whereas, it has become necessary to call into service not only volunteers but also portions of the militia of the States by draft in order to suppress the insurrection existing in the United States, and disloyal persons are not adequately restrained by the ordinary processes of law from hindering this measure and from giving aid and comfort in various ways to the insurrection;† â€Å"Now, therefore, be it ordered, first, that during the existing insurrection and as a necessary measure for suppressing the same, all Rebels and Insurgents, their aiders and abettors within the United States, and all persons discouraging volunteer enlistments, resisting militia drafts, or guilty of any disloyal practice, affording aid and comfort to Rebels against the authority of United States, shall be subject to martial law and liable to trial and punishment by Courts Martial or Military Commission:† â€Å"Second. That the Writ of Habeas Corpus is suspended in respect to all persons arrested, or who are now, or hereafter during the rebellion shall be, imprisoned in any fort, camp, arsenal, military prison, or other place of confinement by any military authority of by the sentence of any Court Martial or Military Commission.†(Langley, R.) As time moves forward to the year of 2006, President Bush signed a law suspending the right of habeas corpus to persons deemed by the United States to be â€Å"enemy combatant† in the Global War on Terror (Langley, R.). This action caused a lot of confusion and criticism because the law did not specify who in the United States would be considered an â€Å"enemy combatant† (Langley, R.). With this action by the Bush administration, the terrorists and other combatants are not covered by the Geneva Conventions due the fact these people are not soldiers and not covered by the U.S. Bill of Rights because they are not considered citizens (Langley, R.). In 2008, after the Boumediene v. Bush, a case which was held in the Supreme Court in regards to five young men were placed in a detention facility in Guantanamo Bay, Cuba in 2002, the Supreme Court ruled that any enemy combatants held in the U.S. territory are entitled to the writ of Habeas Corpus as stated in the United States Constitution, Article 1, Section 9 (Newman, Gerald L.). The evolution of the Habeas Corpus Act was and is intention of ones’ civil rights and liberties. In violation of this act of detaining a person for unjustifiable cause is stripping this person of their liberties, but as time go by there will be more debates to justify this act. As for now, the Habeas Corpus Act is in effect and is very well understood. It can be well said, any one person detained, can well be heard in the case of an unlawful act by the detainee. References Kelly, Martin Definition of Habeas Corpus Retrieved from; americanhistory.about.com The United States Constitution (2004, September) Retrieved from; www.house.gov/house/constitution/Constitution.html Habeas Corpus the Most Extraordinary Writ Retrieved from; www.habeascorpus.net/hcwrit.html Langley, Robert Lincoln Issues Proclamation Suspending the Habeas Corpus Rights Retrieved from; www.usgovinfo.about.com/od/historic/documents/a/Lincolnhabeas.html Newman, Gerald L. The Habeas Corpus Suspension Clause After Boumediene V. Bush Retrieved from; http: //web.ebscohost.com

Effective Hand Washing Program Nursing Essay

Effective Hand Washing Program Nursing Essay Acute respiratory disease and intestinal tract infections are the primary causes of morbidity and mortality among young children (Vivas et al., 2008). Annually, more than 3-5 million children aged less than 5 years pass away from diarrhoea and acute lower respiratory-tract infection (WHO, 2005 cited in Luby et al., 2005). Moreover, WHO (2010) estimated that diarrhoea and respiratory infection are responsible for 35% of child deaths. The huge majority of child mortality occurs among the world poorest populations in low and middle-income countries. Vivas et al. (2008) reported that 62% and 31% of all deaths in Africa and Southeast Asia, respectively, are caused by infectious disease. In Indonesia, the largest cause of infant mortality and children less than five years mortality are diarrhoea and pneumonia (31.4 %, 23.8% and 25.2%, 15.5 %) (Ministry of Health of Republic of Indonesia, 2007). According to the results of basic health research (2007) by MoH of Indonesia, 26% cause of death in the countryside in the age group 5-14 years are diarrhoea and pneumonia. This indicates there must be a comprehensive treatment for age groups that are vulnerable to infectious diseases can be protected. Although everyone is susceptible to the transmission of disease, but children as future generations are one group that is at biggest risk (Hezel, Bartlett, Hileman, Dillon, Cessna, 2000 cited in Vessey, Sherwood, Warner, Clark, 2007). Children who are at school age are very vulnerable because infectious diseases most affect younger children (Vivas et al., 2008). At this age they will blend with the environment outside their home that does not allow parents to keep their attention. Behaviours of children such as do not want to lose time to play or toilet facilities are smelly and dirty increase the risk for infection. With their vulnerability, children will be very easily affected by diseases caused by infection. A previous study by Luby et al. (2005) reported that infectious diseases are common among school-age children are diarrhoea, acute lower respiratory infection and impetigo. As a result of this disease children of school age are not able to follow the lessons in school due to absences. Absenteeism is a chief problem among school-aged children, with approximately 75% of all school absences endorsed to illness. Illness-related absences have been shown to escort to both negative educational and economic outcomes (Lau et al., 2010). Moreover, community-acquired infections are a major reason for absenteeism among elementary school students mentioned by Dyer, Shinder, Shinder, 2000; Hammond, Ali, Fendler, Dolan, Donovan, 2000; McGuckin, Ali, 2002 cited in Vessey et al., 2007). Absenteeism due to infectious diseases will usually increase during the winter (Adams, Hendershot, Marano, 1999 cited in Vessey et al., 2007). Moreover, Afroza (2007) argued that washing hands with soap right to r educe the risk of diarrhoea, avian influenza, pneumonia and other diseases. Base on the stages of development according to Erikson (1968), school-age children referred to as the apprenticeship of live. This stage is the period of learning and mastering more basic skills models (Erikson, 1968) so it is appropriate to introduce to them about how to avoid infectious diseases. Children are more interested to learning and are very possible to adopt healthy behaviours at a younger age. Due to school children is the symbolism of the unification of all components of the family and society (Yuhanna, 2010), they can also being agents of adjust by spreading what they have learned in school to their family and community members (Vivas et al., 2008). From the above description then hand washing program in school-age children are very precise and strategic. If hand washing is taught from the beginning then certainly hand washing will become a habit until the end of their lives. Hand washing is very important technique was introduced to the school-age children. To get the best health benefit out of it, it is very important to consider the proper ways of washing hands with soap and running water (if possible). Several previous studies conducted in Indonesia found that although most of the people know about the importance of washing hands with soap but very few people (5%) know how to do it properly (Afroza, 2007). Hand washing with soap has been ranked the most cost-effective intervention for control of disease in the worldwide (Judah et al., 2009). A study conducted by Lau et al. (2010) found that hand washing interventions have been significantly reduce illness-related absences in elementary school students and significantly reduce a subset of illness-related absences (i.e. gastrointestinal illnesses). Hand washing is very effective programs conducted in schools. As a community, the school consists of various elements in them such as teachers, parents, students and the community around the school. Certainly the role of the other party is very important and needed. Then to involve other parties such as teachers, parents, community or society, strategic activities that possible to be implemented are community empowerment and health promotion (MoH of Indonesia, 2010). Furthermore, UNICEF (2006) stated that in order to create effective relationships need to do the communication and collaboration between schools, families and community. The affiliation of positive attitudes toward hand washing and the programs effectiveness in imparting knowledge helped to create a sustained social norm of hand washing among many children in disparate locations (Rosen, Zucker, Brody, Engelhard, Manor, 2009). Furthermore, to discuss many more in detail, the phenomena above will be describe into several topics such as definition, summarise and analyze, critically analyze opinion, and synthesize of phenomena into thesis plan. Definition In accordance with the phenomenon found in my interest area then the next explain about the appropriate definitions as follows: Hand washing Hand washing is washing hands with plain or antimicrobial soap and water (WHO, 2009). Hand washing is cleansing the hands of any dirt, starting from fingertip to elbow and arm in a certain way as needed (Subroto, 1987 cited in Yuhanna, 2010). Another definition by Potter (2005 cited in Yuhanna, 2010) hand washing is the rub with soap in with the whole hand skin surface with a strong and compact which is then rinsed under running water. Related to the definition above, in my opinion the definition of hand washing is practice of washing hands with soap by elementary school students in grade 1st 3rd . Elementary school According to Ministry of Education of Indonesia (2010) elementary school is a form of formal education unit conducting public education on basic education. Primary education aims to build a foundation for the growth potential of learners to become a human being: a healthy, independent, and confident. Public school or other equivalent form consisting above 6 (six) levels of classes, namely grade 1 (one), grade 2 (two), grade 3 (three), grade 4 (four), grade 5 (five), and grade 6 (six). As far as my knowledge, elementary school is operationally defined as the place where students 1st 3rd grades doing hand washing activities. Effective According to businessdictionary.com effective is the degree to which objectives are achieved and the extent to which targeted problems are solved. Effectiveness is determined without reference to cost and, whereas effectiveness means doing the right thing. Moreover in dictionaryreference.com effective is adequate to accomplish a purpose; producing the intended or expected result: effective teaching methods. Based on the definition before, for this phenomenon effective is how grade 1st 3rd elementary school students to wash hands in accordance with quality of hand washing. Program According to oxfortdictionary.com definition of program is a planned series of future events or performances. The synonym of program is a set of related measures or activities with a particular long-term aim. Moreover in Cambridge dictionaries online program defined as a plan of activities to be done or things to be achieved. Program is operationally defined as a series of hand-washing activities made à ¢Ã¢â€š ¬Ã¢â‚¬ ¹Ãƒ ¢Ã¢â€š ¬Ã¢â‚¬ ¹by the community school for students grade 1st 3rd. Summarise and analyze Based on previous studies obtained, further in this paper will describe summarise and analyze six components, namely definition, objective, conceptual framework, research design, samples, main result and limitation. Objective The purpose of this study was to identify, describe, explain, or predict the solution to a situation or a phenomenon that occurs (Hamid, 2007). As the best of my literacy, all research studies have clearly set goals. Based on 28 studies were found, the purpose of the studies can be divided into six categories. First, it aims to determine hand washing practice behaviour (Quintero, Freeman, Neumark, 2009; Drankiewich Dundes, 2003; Larson, Aiello, Cimiotti, 2004; Aslan et al., 2006; Larson Lusk, 2006; Yuhanna, 2010; Arfianti, 2010). In general the researchers would like to know about the implementation of hand washing compliance in various settings such as health care setting and in education setting. A study conducted by Quintero et al. (2009) further explains that by knowing about the hand washing behaviour will be able to identify bottlenecks in the implementation of proper hand washing practises. Meanwhile, Yuhanna (2010) connects the hand washing behaviour with parenting parent s. Second, it aims to assess affect of hand washing (Luby et al., 2005; Nandrup-Bus, 2011; Thumma, Aiello, Foxman, 2009). Study conducted by Luby et al. (2005) dan Thumma et al. (2009) associate hand washing with incidence of acute respiratory infection, impetigo and diarrhoea. While, Nandrup-Bus (2011) study associate hand washing with actual absenteeism because of infectious illness. Third, the objective is to determine hand washing barriers (Ramos, Schrader, Trujillo, Blea, Greenberg, 2010). To the best of my knowledge, there are three major barriers in hand washing practice such as facilities, supplies and supports. Specifically, Ramos et al. (2010) conduct studies about supplies barrier such as: soap and paper towel/hand dryer. Fourth, to get an idea of application of various handwashing product (Fuller et al., 2011; Morton Schultz, 2004). Fuller et al. (2011) and Morton Schultz (2004) each using a technique gloving and washing hand by alcohol gel. Based on guidelines on hand hygiene in health care by WHO (2009) to determine an effective hand washing products for hand hygiene should be carried out laboratory tests. Meanwhile, the two studies above are not in actual laboratory tests. Fuller et al. (2011) only to find whether hand hygiene compliance differed when gloves were worn and Morton Schultz (2004) linking the use of alcohol gel with reducing absenteeism secondary to infectious illness. Fifth, to evaluate knowledge, attitudes and behaviour of hand washing in community through the provision of education and promotion (Vivas et al., 2008; Lau et al., 2010; Sjoberg Eriksson, 2010; Rosen et al., 2009; Nandrup-Bus, 2010, Tousman et al., 2007; Zain, 2010). According to WHO (2009) area of à ¢Ã¢â€š ¬Ã¢â‚¬ ¹Ãƒ ¢Ã¢â€š ¬Ã¢â‚¬ ¹education and promotion is very appropriate to be applied in both developed and developing countries. Especially in the developing countries, conduct cost-benefit, cost utility and cost-effectiveness very useful for improving hand hygiene. In line with Curtis et al. (2001) education or promotion program can change behavior and to be effective if built on local research, use locally appropriate channels of communication repeatedly and for an extended time. This is consistent with studies conducted by Lau et al. (2010) and Tousman et al. (2007), each of which carry education and promotion by given repetitive instruction and multiple week learner centered . Finally, it aims to evaluate effectiveness of hand washing (Curtis et al., 2001; Judah et al., 2009; Park, Cheong, Son, Ha, 2010; Asiedu, Van-Ess, Papoe, Asiedu, Anderson, 2011; Dunn, Palombo, Salamone, 2002; Vessey et al., 2007; Guinan, McGuckin, Ali, 2002; Snow, White, Kim, 2008). Based on the best of my literacy, effectiveness of hand washing related to quality of hand washing. Larson Lusk (1985) stated that quality of hand washing consist of five variables such as appropriateness, frequency, agent use, duration and technique. This statement are consistent with previous studies that conducted by Curtis et al., 2001; Judah et al., 2009; Park et al., 2010; Asiedu et al., 2011; Snow et al.,2008. On the other hand, reported that hand washing effective if able to reducing and subsequent absenteeism and no difference between different hand washing facilities (free wash hand basins and manual tap operated basins) in reducing microbial flora of hands (Dunn et al., 2002; Vessey et al ., 2007; Guinan et al., 2002). Conceptual framework From 28 research articles, several theoretical frameworks have been used, explicitly or implicitly, by the reviewed studies as the basis of intervention design and implementation. Although most articles failed to give a clear description of the theoretical framework behind the intervention design, based on the description of program procedure, I have identified the use of the following theoretical approaches: health belief model (Park et al., 2010; Morton Schultz, 2004), behavioural change theory (Tousman et al., 2007) and Precede Proceed model (Zain, 2010; Yuhanna, 2010). The Health Belief Model (HBM) is a psychological models that effort to explain and predict health behaviors focusing on the attitudes and beliefs of individuals (University of Twente, n.d.). Otherwise, Remocker Shea (2011) highlighted that HBM attempts to explain the thought process behind individuals decisions related to health behaviour change and maintenance. This model suggests that individuals determine the feasibility, benefits and costs related to an intervention or behaviour change based on the following constructs: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Park et al. (2010) used HBM to examine the perception, motivating factors, and behaviour related with the use of hand washing to prevent H1N1 influenza transmission. On the other hand, Morton Schultz (2004) used HBM to understand hand washing knowledge and behaviours in the school setting and how the children practice this behaviour both insid e and outside the school environment. In these previous studies the use of HBM is appropriate because useful in understanding that perceived susceptibility to illness due to improper hand washing behaviours is necessary before commitment to changing or adopting the hand washing behaviour can occur. Tousman et al. (2007) used a model of health behavior change developed by Tousman Zeitz (2003). According to this model, behavior change is a function of factors related to the participants involved in the intervention, the structure of the intervention, and the techniques used in the intervention (Tousman et al., 2007). The participants factor refers to characteristics of the individual attempting to change behavior represented by 2nd grade students because they have a semantic knowledge base that allow them to accurately understand simple infectious disease principles. The structure of the intervention used four week 30 minute sessions. In this study, four types of learner-centered teaching techniques were used those are learner-centered interactive discussions, skill training, students perform activities and self monitoring homework assignment. The Precede-Proceed model describes factors influencing health outcomes and provides a comprehensive structure for health needs assessment, program design, implementation, and evaluation of health promotion programs (Hu, Wallace, Tesh, 2010). This model posits that predisposing, reinforcing, and enabling factors have an effect on behaviour and the environment (Huang Goran, 2003). The Precede-Proceed model consist of two phases, firstly is Precede phase and secondly Proceed phase. The Precede phase include social, epidemiological, behavioural and environmental, education, ecological, administrative and policy assessment (Hu et al., 2010), continuing by Proceed phase to the implementation and evaluation of the intervention (Huang Goran, 2003). Yuhanna (2010) find patterns of parenting as a reinforcing factors influencing hand washing behaviour in school-age children. Whereas, Zain (2010) identified predisposing factors which is education related to hand washing behaviour in school-a ge children. Zain (2010) stated that health education with lecture method, demonstrations and leaflets can affect hand washing behavior in school-age children. Both studies by Yuhanna (2010) and Zain (2010) only implement Precede phase, this may raise the question whether they can be specified using Precede Proceed model or not. A theoretical framework is essential at the beginning of a study to underpin research question and select variables as the end of a study to interpret the outcome (Kitrungrote Cohen, 2006). Furthermore, Bordage (2009) stated that conceptual frameworks help to understand problems or phenomenas that happen. Different conceptual frameworks emphasise different aspects of the problem or elements of the solution (Bordage, 2009). Thus, it can be concluded that the conceptual framework is essential. Researchers must determine the conceptual framework that will be use as a basis for research to be conducted. Research design According to Burns Grove (1993) cited in Hamid (2007) quantitative research is used to describe variables, examine the relationship between variables, and determine cause and effect interactions between variables. Each type of study design has advantages and disadvantages. Sastroasmoro Ismael (2008) states that the best design is to answer the research question accurately, effectively and efficiently. From 28 research studies, 25 studies used a quantitative study design and 3 used a mixed quantitative-qualitative design (Asiedu et al., 2011; Vessey et al., 2007; Tousman et al., 2007). None of the studies used a purely qualitative design. Among of studies that used quantitative study design, 2 studies used descriptive approach (Larson Lusk, 2006; Thumma et al., 2009), 13 studies used experimental approach (Luby et al., 2005; Dunn et al., 2002; Lau et al., 2010; Guinan et al., 2002; Sjoberg Eriksson, 2010; Nandrup-Bus, 2011; Rosen et al., 2009; Nandrup-Bus, 2010; Aslan et al., 2006 ; Ramos et al., 2010; Snow et al., 2008; Morton Schultz, 2004; Zain, 2010) and 10 studies used observational approach (Curtis et al., 2001; Fuller et al., 2011; Judah et al., 2009; Drankiewich Dundes, 2003; Larson et al., 2004; Vivas et al., 2008; Park et al., 2010; Quintero et al., 2009; Yuhanna, 2010; Arfianti, 2010). Among of 10 studies that used observational approach divided into 5 studies by cross sectional and 5 studies by longitudinal time dimension. Thirteen studies (46%) of the 28 studies used experimental design and 10 studies (36%) used observational design. This can be explained that in order to find the strongest causal relationship is to use an experimental study. While observational studies have the capacity of a causal relationship is weaker, but more widely used because it is relatively inexpensive and simple (Sastroasmoro Ismael, 2008). Sample To the best of my knowledge, sample related to subject, sample size, places of setting, and instruments that used to collect data. According to 28 studies reported that there are three categories of subject such as community, students in several setting and health care providers. Most of the subject in previous studies are students (Vivas et al., 2008; Asiedu et al., 2011; Vessey et al., 2007; Quintero et al., 2009; Lau et al., 2010; Guinan et al., 2002; Morton Schultz, 2004; Nandrup-Bus, 2011; Nandrup-Bus, 2010; Tousman et al., 2007; Snow et al., 2008; Ramos et al., 2010; Yuhanna, 2010; Zain, 2010; Park et al., 2010; Drankiewich Dundes, 2003; Thumma et al., 2009; Aslan et al., 2006; Rosen et al., 2009) followed by health care providers (Fuller et al, 2011; Sjoberg Eriksson, 2010; Larson Lusk, 2006; Arfianti, 2010; Larson et al., 2004) and community (Curtis et al., 2001; Judah et al., 2009; Luby et al., 2005; Dunn et al., 2002). The selection of the student as a subject most clos ely related to two things: the school age group is susceptible to diseases caused by infection (Hezel et al., 2000 cited in Vessey et al., 2007; Vivas et al., 2008) and characteristics of development phase of school age (Yuhanna, 2010). School-age children is the great imitator, they would learn to behave as the behavior of those around them. So that when children are taught from childhood to live clean and healthy behaviors, such as washing hands before and after feeding, they will be familiar and accept become habits (Yuhanna, 2010). School children are the symbolism of the union of all components of the family and community. So in this case school-age children can serve as agents of change for healthy behavior (Yuhanna, 2010). The sample sizes of students range from 57 (Zain, 2010) to 2042 (Quintero et al., 2009). The sample sizes of health care providers range from 54 (Sjoberg Ericksson, 2010) to 131 (Larson Lusk, 2006). The sample sizes of community range from 32 (Dunn et al., 2002) to 198,000 (Judah et al., 2009). Dunn et al. (2002) used 32 premises become samples divided into 13 premises with manual hand basins and 19 premises with hand free basins to investigate the effectiveness of hands free wash hand basins and manual tap operated basins in reducing microbial flora on food handlers hands. Related to the place of setting, school is the current setting that reported used followed by practise setting and community setting. At school setting consist of several specific setting. First in preschool (Rosen et al., 2009), second in elementary school (Vivas et al., 2008; Asiedu et al., 2011; Vessey et al., 2007; Quintero et al., 2009; Lau et al., 2010; Guinan et al., 2002; Morton Schultz, 2004; Nandrup-Bus, 2011; Nandrup-Bus, 2010; Tousman et al., 2007; Snow et al., 2008; Ramos et al., 2010; Yuhanna, 2010; Zain, 2010), third in secondary school (Aslan et al., 2006) and fourth in college (Park et al., 2010; Drankiewich Dundes, 2003; Thumma et al., 2009). At practice setting used wards in the hospital both inpatient and outpatient care unit (Fuller et al, 2011; Sjoberg Eriksson, 2010; Larson Lusk, 2006; Arfianti, 2010; Larson et al., 2004). At community setting used household, premises and natural setting (Curtis et al., 2001; Judah et al., 2009; Luby et al., 2005; Dunn et a l., 2002). From 28 research articles, several instruments have been used, explicitly or implicitly, single or combination used such as structure observation check list, questionnaire, wireless devices, several hand washing promotion, reviewing document, self report and combine of two or three instruments. Structure observation check list is the most widely used instrument (Curtis et al., 2001; Fuller et al., 2011; Dunn et al., 2002; Drankiewich Dundes, 2003; Aslan et al., 2006; Ramos et al., 2010; Snow et al., 2008). Followed by questionnaire instrument that used within 6 studies (Vivas et al., 2008; Park et al., 2010; Quintero et al., 2009; Sjoberg Eriksson, 2010; Larson Lusk, 2006; Yuhanna, 2010). Four studies from Lau et al. (2010); Guinan et al. (2002); Nandrup-Bus. (2010); Morton Schultz (2004) used reviewing document as instrument. Otherwise, several hand washing promotion instrument used by Luby et al. (2005); Rosen et al. (2009); Zain (2010). Furthermore, studies from Judah et al. ( 2009); Thumma et al. (2009); respectively, used wireless devices and self report as the instrument. Another four studies used more than one instruments. Asiedu et al. (2011) used combination between questionnaire and structure observation check list, Vessey et al. (2007) mixed between several hand washing promotion and reviewing document, Larson et al. (2004) combined between structure observation check list and self reported: diary, Nandrup-Bus (2011) used questionnaire and reviewing document and Tousman et al. (2007) mixed multiple instruments such as training devices, handout, reviewing document and structure observation check list. As opposite, studies conducted by Arfianti (2010) did not mention what type of instrument used. As additional, all studies have explained about the ethical consideration. It is very important because the main objective of the ethics of research is to provide optimum protection to the subject of research (Sastroasmoro Ismael, 2008). Main result With regard to documenting outcome measure, in all 28 studies reported several outcomes measure, respectively, hand washing compliance, absenteeism rate, hand washing frequency, illness symptom, soap usage, glove usage, number of colonies, presence of hand washing supplies, hand washing disinfectant consumption and some of the studies used more than one type of outcome measure. Not only outcome measure, but also variables identified from all 28 studies. Eight studies used hand washing compliance for outcome measure (Vivas et al., 2008; Quintero et al., 2009; Drankiewich Dundee, 2003; Larson et al., 2004; Larson Lusk, 2006; Yuhanna, 2010; Arfianti, 2010; Zain, 2010). Seven studies used absenteeism rate as outcome measure (Vessey et al., 2007; Lau et al., 2010; Guinan et al., 2002; Nandrup-Bus, 2011; Nandrup-Bus, 2010; Tousman et al., 2007; Morton Schultz, 2004). Each of these two studies used soap usage (Curtis et al., 2001; Judah et al., 2009), hand washing frequency (Park et al., 2010; Snow et al., 2008), and illness symptom (Luby et al., 2005; Thumma et al., 2009). Each one a study that used glove usage (Fuller et al., 2011), number of colony (Dunn et al., 2002), presence of hand washing supplies (Ramos et al., 2010) and hand disinfectant consumption (Sjoberg Eriksson, 2010). Some of the studies used more than one type of outcome measure. Asiedu et al. (2011) mixed hand washing practice and presence of hand washing facilities and supplies become outcome measure. In other hand, Rosen et al. (2009) combined belief, attitude, knowledge and self efficacy of preschool educator as outcome measure and Aslan et al. (2006) used level of knowledge and hand washing practice become outcome measure. According to 28 studies reported several variables that influenced hand washing treatment, respectively demography variable included age, education level, social norms and social status, quality of hand washing variable, impact of improper hand washing, insufficient of hand washing facilities or inadequate hand washing supplies, social support or social relationship and hand washing barriers. In eight intervention studies (Luby et al., 2005; Vessey et al., 2007; Lau et al., 2010; Guinan et al., 2002; Nandrup-Bus, 2011; Nandrup-Bus, 2010; Ramos et al., 2010; Morton Schultz, 2004), the study group was divided into one experimental and one control group. Rosen et al., (2009) and Aslan et al., (2006) have a one group experimental. Two studies (Sjoberg Eriksson, 2010; Zain, 2010) used pre test and post test questionnaires, whereas Snow et al., (2008) used one control group, two intervention group and post intervention questionnaires. As the best of my literacy, there are both consistency finding and inconsistency finding highlight among 28 studies. According to variable demography, namely gender reported consistent that female were more likely to practice more frequent hand washing (Park et al., 2010; Thumma et al., 2009). Otherwise, Lau et al. (2010); Guinan et al. (2002); Nandrup-Bus, (2011); Nandrup-Bus, (2010); Tousman et al. (2007); Morton Schultz, (2004) explained that intervention group has fewer episodes of sickness absence and fewer sickness day than control group. Its become inconsistency finding because as opposite Vessey et al. (2007) state that no significant differences were noted between the groups, indicating that the number of student absence was not appreciably affected by the hand cleansing technique used. Based on the important inconsistency finding of this study suggesting implication for further studies in order that focus on absenteeism rate affect by hand washing action. Limitation From 28 research articles, several limitations have been founded, explicitly or implicitly, single or multiple limitations. Several single limitations have to consider when interpreting the studies. First, limitation in approach system used (Curtis et al., 2001; Judah et al., 2009; Park et al., 2010; Vessey et al., 2007; Drankiewich Dundes, 2003; Larson et al., 2004). Curtis et al. (2001) stated that structured observation has limitation as a method of collecting data about human behaviour. Second, sample size and homogenous sample (Dunn et al., 2002; Sjoberg Eriksson, 2010; Yuhanna, 2010; Zain, 2010). Dunn et al. (2002) informed that small number of manual wash hand basins available for the project become limitation of the study. Third, Quintero et al. (2009) explained that instrument, namely questionnaire has any bias toward over reporting of proper behaviors. Fourth, out come variable from the studies (Larson Lusk, 2006; Morton Schultz, 2004). Morton Schultz (2004) stated tha t the outcome variable, absenteeism related to infectious illness could be perceived as bias in measurement because the school nurse served as data collector for the study. Fifth, 8 researchers were not clearly describe limitation in their studies (Luby et al., 2005; Asiedu et al., 2011; Nandrup-Bus, 2011; Rosen et al., 2009; Nandrup-Bus, 2010; Aslan et al., 2006; Snow et al., 2008; Thumma et al., 2009). In other hand, 7 researchers stated that in their studies have more than one limitation (Vivas et al., 2008; Fuller et al., 2011; Lau et al., 2010; Guinan et al., 2002; Tousman et al., 2007; Ramos et al., 2010; Arfianti, 2010). Vivas et al. (2008) stated that in their study there are several limitations toward to approach system, sample, and study design. Whereas, Arfianti (2010) explained that there are two limitations, namely sample and instrument in her study. Only five studies that explain the conceptual framework used (Park et al., 2010; Morton Schultz, 2004; Tousman et al, 2007; Yuhanna, 2010; Zain, 2010), whereas 23 researchers did not explain the conceptual framework that used as the basis on their studies. Critically analyze Based on the summary above, it will further be explained more specifically that gaps are found. The discussion will be divided into three sections: gap in knowledge and gap in conceptual framework. Gap in knowledge To the best of my knowledge, gap in knowledge found among others in objective and outcome variable. On the objective, all interventions have been prepared previously by the researchers. In this case, participants implement something planned by the researchers. Similarly, when the studies conducted in community setting (Curtis et al., 2001; Judah et al., 2009; Luby et al., 2005; Dunn et al., 2002). Curtis et al. (2001) evaluated whether the governments program of effective to behaviour change. Otherwise, Judah et al. (2009) determine effectiveness at increasing hand washing with soap in a natural setting. Moreover, Luby et al. (2005) assess the effect of hand washing promotion with soap on the incidence of acute respiratory infection, impetigo, and diarrhoea. Thus, all done by researchers have developed previously without the involvement of community to decide for themselves what they need. Fallen Dwi (2010) expressed how important and strategic working together with the community

Elderly Health Care in Massachusetts is a Struggle :: Health Care Medicine Insurance Essays

Elderly Health Care in Massachusetts is a Struggle Despina and her husband Peter Angelopoulos are not eligible to receive any financial help from the state because they don’t qualify for free health care, and they are extremely worried about their future. The couple, in their early 70’s, both have a series of medical problems resulting in them taking heavy medication. They own a house in Somerville and they are struggling to pay for their medications. They average about eight pills a day each. Despina said that because they own a house they are forced to pay for doctor’s visits covered by their social security plan A. Plan B allows them hospital coverage. The problem is if they have to go to the emergency room, they have a high co-pay. â€Å" Medical care should not be subject to laws of economics,† said Mr. Angelopoulos. An item of necessity should not be treated in economic terms, and especially should not have a money price placed upon it.† Health care is a scarce good. From the individuals who perform acts of medical care to the medicines and various medical devices used to deal with health issues. The Angelopoulos' social security is at the minimum of $630 each and with the taxes going up in Somerville, they have a hard time maintaining their old home so they can generate rent income from it. They have to rent both apartments on the second and third floor at all times to be able to have a steady income. â€Å"What will happen to us if we become disabled and need more care?† Mrs. Angelopoulos asked. â€Å"Do we have to sell our house to be able to afford better care when we need it the most?† The present system seems to help retirees with no income other than their social security. If you own your home, that is a problem. Medicare is an essential health care program for people age 65 and older, people with certain disabilities, and people with End-State Renal Disease. . Medicaid became law in 1965 and it is jointly funded by the federal and state governments to assist states in providing medical long-term care assistance to people who meet certain eligibility criteria. Medicaid is the largest source of funding for medical and health-related services for people with limited income. Recently, President Bush and Congress worked together to pass a new law to bring people with Medicare more choices in health care coverage and better health care benefits.

Discuss the Journeys Represented in the Happiest Refugee

A Journey is a physical or psychological adventure that takes from one place to another. Various types of Journeys can be seen clearly in the three texts studied this year: The Happiest Refugee extract, written by Ann. DOD in 2010, The Silver Donkey novel by Sonny Hairnets in 2004 and the film Bend It Like Beckman directed by Grinder Chad in 2002. The techniques that the composer uses to express the journeys are personification, onomatopoeia, repetition, similes, metaphors, music and acting skills. In The Happiest Refuge, there are both physical and emotional Journeys.The extract s about Vietnam refugees escape from their war-torn country in an overcrowded, battered boat. The aim of their Journey was to safely reach Australia. Throughout their physical Journey they had to overcome many problems. For example when refugees' boat engine started spluttering, the reader is in suspense because the refugees Journey could come to an end. â€Å"†¦ The engine was spewing out thick petrol fumes†¦ † This quote uses the technique personification to gives the reader a better description and mental picture of the physical Journey. Ann. DOD also uses onomatopoeia to create a more vivid image of the experience.For example, when the patrol boat starts shooting at the refugees, their life is at risk. â€Å"Bang! Bang! Bang! † The technique onomatopoeia communicates the danger of the physical Journey and how all of their hard work, effort and preparation could all come to a halt so easily. Emotional Journeys are also represented in The Happiest Refugee. Throughout their overall Journey, the refugees faced emotions of fear, hope, relief and frustration. They were in constant fear that they could be caught by the army. In one case, pirates approached their boat forcing them to give over all of their goods. The refugees' were in a state of shock and horror. We stood there silent and numb, like sheep awaiting slaughter. † Ann. DOD uses a simile to describ e the emotions that the refugees were facing. The simile expresses the feeling of fright and makes the reader feel the same way. In other situations, feelings of weakness are conveyed. â€Å"†¦ SHUT UP! † The pirates created emotional Journeys for the refugees as they made them feel vulnerable. The quote is an example of the confidence and power of the pirates because of the emotive language as well as the exclamation mark and capital letters o stress the words. Imaginary and physical Journeys are represented in The Silver Donkey.The novel is about two sisters who find a wounded soldier in the woods. The soldier is trying to get back home so the children help and take care of him. The soldier tells the journeys. For example in one of the tales, an old donkey named Hazel is told to carry a pregnant woman a far distance. The donkey has to try and make it the distance since he is very weak to show his loyalty to his owner. â€Å"Steadily, steadily she walked keeping the da ncing baby safe†¦ † The author uses the technique repetition and alliteration to convey the imaginary Journey. This is not a real life Journey; it is the soldier making up a story.Another type of Journey that is conveyed in The Silver Donkey is the physical Journey of the soldier. The soldier has fled from the awful environment of war. He has been physically damaged resulting in weakness and suffering psychological blindness. â€Å"The soldier struggled to see the boy through the lingering fog in his eyes† This metaphor represents the physical Journey of his blindness. In the film Bend It Like Beckman there are both cultural and emotional Journeys. It is bout an Indian girl, Jess, who loves to play soccer although her family is totally against it as it's not their tradition.Jess has a special talent for the sport and knows that she can succeed in it as a career so she lies to her parent's and secretly Joins a soccer team. Jess' cultural Journey begins when she deci des that she is not going to follow her Indian culture as she can't be herself and please her family. Throughout the film Jess is switching between her fake, home Indian life and her real, outside soccer life. This cultural Journey is represented through music. When Jess is at home, vying an Indian lifestyle, there is sad, Indian music playing.Then when she is outside playing soccer there is upbeat, Joyful music playing. This technique displays that Jess is not happy with wanting to follow her Indian cultural values and is happier being herself. The emotional Journey of Jess' parent's is how they have to learn to accept who Jess is and what she wants to do with her life. At first her parent's are strict on her, not wanting her to play at all but they eventually saw the talent their daughter had and accepted it. Their emotional Journey comes from being ashamed and annoyed to coming proud and happy for their child.This Journey is conveyed from the use of drama and emotions of the acto rs. When the parent's are ashamed, their attitude is angry and disappointed and then when their emotions towards their daughter change they have a more positive attitude. When they have a positive attitude their face softens and their eyes become more warming. In conclusion the three texts studied display the types of emotional, physical, imaginary and cultural Journeys. These Journeys are clearly expressed through the techniques such as personification, onomatopoeia, repetition, music and acting skills.

My Neighbor Totoro

JoAnna Carraway Professor Childs English 1301 26 Feb. 2013 My Neighbor Totoro Movie Review â€Å"My Neighbor Totoro† is a Japanese base children’s film animated in the 1980’s written and directed by Hayao Miyazaki. This movie was different from American films. There is no fighting or bickering among the characters. The movie is based on two sisters and their father who moved to a new town to be closer to their mom; who is ill and in a hospital nearby. The girl’s father hires the neighbor as new babysitter whom they have never met before.In this film the Japanese culture is very different from American society today, but very inspiring and enjoyable for its young viewers. The two sisters Satsuki who is the oldest and Mei being the youngest were very excited about moving to their new home and closer to their mom. When they arrived to their new home the girls ran all through and around the house. Their dad introduces them to the neighbor, who was an old lady who was keeping the house up while it was empty. The neighbor told the girls to call her â€Å"Granny†. The girl’s father also told them that she would be the new sitter while he went to work.Her being the girls sitter was strange to me; because in this culture we live in today; us as parents we do not leave our children with strangers we know nothing about, so that didn’t set too well with me. He should have let the girls get comfortable, and get to know her first. The old lady seemed to enjoy the girls and the girls enjoyed her too. Granny had a grandson, who the girls passed along the way to find their new house. When the girls asked if he knew how to get to their new house, he told them it was haunted, but granny put a stop to the rumors.The father, who was a professor at the local college in town, was always busy and a bit inattentive to Mei. Satsuki who is only nine and attends school had to grow up very quickly; by helping with her litter sister combing h er hair and cooking for her while her mother is ill in the hospital. Both girls’s had a very big imagination. Mei wondered off into the woods one day while playing outside alone. Mei found a tree that had a path inside of its trunk, that’s when she found a spirit named Totoro. When she told her father and sister bout Totoro they didn’t believe her. Totoro was there to be with Mei when she didn’t have anyone else. Satsuki and Mei were looking forward to spending time with their mother on the weekend. It’s been awhile, so they were very excited about spending time with her. That’s when an urgent telegram was sent from the hospital concerning their mother. The girls panicked and were afraid something was wrong with their mother. They rushed off to use a phone to call their dad, but Mei got lost trying to keep up.Once Satsuki noticed Mei was missing she had the whole neighborhood was looking for her. That’s when she turned to Totoro for h elp to find Mei. Totoro got a cat bus that could fly up in the sky and look over the town to find Mei. They found her on a dark road crying; she was trying to get to the hospital to make sure her mother was ok. The cat bus was a big cat, with eyes as headlights, paws as wings and its body open up inside filled with soft cat hair as seats. This is what made the movie different imaginary flying cat bus and friends.It’s good to see that the girl’s imaginary friends were able to help find Mei and take them to the hospital to see if their mother is ok. In American movies you don’t see much of siblings like Satsuki and Mei. They were getting along, playing without fussing and fighting with each other. The two sisters were very loving and kind towards one another. This movie is a great movie for children to watch to learn and see how to get along and enjoy childhood even when things come up and the older sibling has to step up the take care of their younger siblings. M y Neighbor Totoro† is a good non-violent movie for kids to watch. â€Å"My Neighbor Totoro† is based on experience, situation and exploration—not on conflict and threat (Ebert, R). When looking for films for children you should look for films similar to â€Å"My Neighbor Totoro† for your children. A film with violence tends to put children on the wrong path at times. So we want them to see and learn it’s not all about fighting bickering amongst each other, but how to love, and help one another when situations come up. Work CitedEbert, R. Rev of My Neighbor Totoro , Dir Hayao Miyazaki. Roger Ebert. Dec 23, 2001. Greenberg, Raz. â€Å"Giri And Ninjo: The Roots Of Hayao Miyazaki's My Neighbor Totoro In Animated Adaptations Of Classic Children's Literature. † Literature Film Quarterly 40. 2 (2012): 96-108. Academic Search Complete. Web. 20 Feb. 2013. Klady , L. Rev of My Neighbor Totoro . Dir Hayao Miyazaki. Variety. Variety Media. May 5, 1993. W ed. Feb 2013. My Neighbor Totoro. Dir. Hayao Miyazaki. Perf. Dakota Fanning, Elle Fanning. Studio Ghibi,1988. DVD

Why I Self-Publish My Literary Fiction

Why I Self-Publish My Literary Fiction Why I Self-Publish My Literary Fiction Self-published books are still largely associated with genre novels, while authors tend to  turn to traditional publishers for literary fiction. We were curious to hear from someone who has been challenging labels and going against industry wisdom to carve her own niche in the publishing world. Indie author Jane Davis  used to be bullied into changing her work just to fit into an easily marketable category. She decided to take matters into her own hands and self-publish her daring, award-winning fiction.  Eimear McBride used the platform provided by her various competition wins to urge publishers to back challenging fiction. McBride had spent 9 years submitting the manuscript for A Girl is a Half-Formed Thing before it was taken up by Galley Press, a small publisher which puts story before profit. For many writers, 9 years would be too long. How Much Does It Cost to Self-Publish a Book in 2019? Read post You’re not the only one!I read about this experience everywhere. Cornelia Funke, who writes a hugely popular fantasy series, had demands from her American publisher who told her ‘We want you to change the first chapter and to turn the ending into an epilogue’. Her answer was, ‘This is a published book. That is the book.’It’s not a question of not wanting to be challenged - far from it. But, with self-publishing, I can choose to collaborate with professionals who understand my visions and values, and who will work to help me make the book the very best it can be. As Joni Rodgers said to me, â€Å"If I go down in flames, I’d rather go down for something I believe in, something I’m proud and happy to have in my body of work.† With self-publishing, I can collaborate with professionals who understand my visions and values. Self-publishing is the mechanism that freed me to be more ambitious in terms of where I wanted to take my fiction. Instead of being dictated to, I am free to write about the issues I’m passionate about and fascinated by - the big subjects. Remove the pressure of trying of to mold something to fit the current market – which agents admit is risk-averse and overly-commercialised – and it grows wings. For authors of literary fiction, creative control isn’t just a plus. Increasingly it’s becoming a must.Jane Davis is the author of six novels. Her latest novel,   An Unknown Woman, won Self-Published Book of the Year, awarded by Writing Magazine and The David St John Charitable Trust. You can find it on Amazon here.Do you think the self-publishing is the better alternative for literary fiction? Have you had similar experiences with publishers? Share your thoughts and experiences - or any question for Jane - in the comments below!