Foreseeable Future Essay

This paper is a discussion of a debate between Julian L. Simon, author of The Ultimate Resource, and David Pimentel et al., authors of the article â€Å"Impact of Population Growth on Food Supplies and Environment†. The debate centers on the question: â€Å"Will the World Be Able to Feed Itself in the Foreseeable Future?† I will summarize each side’s argument, identify the key point over which they most basically disagree, and explain what I would like to know more about in order to arrive at my own position on the issue. Simon argues that with our present technology, and with the technology that is still being developed, the world will easily be able to feed itself, regardless of the increasing size of its population. He explains how food production adheres to the law of supply and demand: an increase in population and income will produce a higher demand for food. For a short time some foods may become scarce. Rising food prices due to the scarcity will prompt agronomical researchers and farmers to invent better methods of producing food and therefore increase the food production. He emphasizes that this pattern can only continue if the agriculturally productive countries promote entrepreneurship and economic freedom. Simon points out that â€Å"the capacity of food-factory production has expanded to a degree almost beyond belief.† (Simon, p. 115). He describes how hydroponic farming, which involves indoor, factory-controlled conditions, is more land efficient and produces higher quality produce than traditional farming methods. He also argues that our food supplies are not limited by the amount of sunlight falling on green plants due to the availability of nuclear as well as non-nuclear power (such as solar cells, wind, and ocean currents) to make light. Simon also names other existing technology, such as bovine growth hormone and genetically engineered plants, which he predicts â€Å"will surely produce huge commercial gains in the next century.† (Simon, p. 117). In addition to an increase in the production of field crops, Simon also assures us that the world fish catch is rapidly increasing, and that aquaculture (fish farming) has the potential to expand exponentially. â€Å"Land is a small constraint, as catfish farming in Mississippi shows; present  methods produce about 3000 pounds of fish per acre, an economic return far higher than for field crops.† (Simon, p. 118). David Pimentel et al. disagree that the world will be able to feed itself in the foreseeable future. They point to a decreasing amount of fertile land, fresh water, energy, and biological resources needed to provide an adequate supply of food. Evidence supporting their claim includes the fact that nearly one-third of the world’s cropland is no longer being used due to erosion, and that â€Å"water shortages are reflected in the per capita decline in irrigation used for food production in all regions of the world during the past 20 years.† (Pimental et al., p. 122) Basing their projections on reports from the U.S. Dept. of Energy, Pimentel et al. predict that the U.S. will use up all of its own oil reserves within the next 15 or 20 years, causing an over-reliance on oil importing. In addition, Pimentel et al. point out that if the U.S. population doubles in the next 60 years, its cereal and other food imports to most of the other 182 nations would have to be kept at home to meet its own food supply needs. They warn that an increased demand for food due to physical and biological constraints without an increase in food production will cause a breakdown in international trade. â€Å"At that point, food importation for the rich can only be sustained by starvation of the powerless poor.† (Pimentel el al., p. 123). The key point over which Simon and Pimentel et al. disagree is whether or not current and new technology will be able to support the world population’s food needs. Simon contends, â€Å"Whether or not population grows exponentially, subsistence grows at an even faster exponential rate (largely but not entirely because of population growth.) And capacity to improve other aspects of the standard of living, beyond subsistence, grows at a still faster exponential rate, due largely to the growth of knowledge.† (Simon, p. 119). Pimentel, et al. believe that â€Å"improved technology will assist in more effective management and use of resources, but it cannot produce an unlimited flow of those vital natural resources that are the raw materials  for sustained agricultural production.† (Pimentel, p. 124). In other words, people cannot make topsoil or water. Pimentel et al. fail to mention such possible alternate solutions such as hydroponic farming or aquaculture. There are a number of things that I would want clarified before I could arrive at my own position on this issue. First, I would want to know how much â€Å"lag time† is occurring or will occur when the demand for food (or certain kinds of food, such as cereal), exceeds the supply. (â€Å"There is always some lag before supply responds to additional demand, which may mean that some will suffer.† – Simon, p. 120). Many people in the developing countries ARE currently going hungry. Will advances in technology, as well as changes in our social and economic systems, give us the ability to stop and prevent worldwide hunger? What would these social and economic changes look like? Another assertion by Simon that needs to be discussed further is the cost and dependability of using artificial light and nuclear power to farm hydroponically. It seems like a promising way to deal with the increased demand for food, but will the cost for this type of production be too high for developing countries? How will these countries be able to pay for food that is imported to them? Simon asserts that hydroponic produce â€Å"looks good and tastes good† (Simon, p. 116), but will time prove it to be as safe and healthy as food grown the traditional way? (e.g. NutraSweet, which has been proven to not be totally safe, vs. sugar.). Pimentel et al. point out the threat to our environment and biodiversity caused by overpopulation. Would a greater focus on conservation and an effort to reduce over-consumption and pollution on the part of developed countries make enough of a difference to still have adequate natural resources? (Is it possible to have it both ways: technologically advanced/safe food production and naturally produced food?) There also seems to be a discrepancy between Simon’s assertion that the annual fish catch is continuing to rise and Pimentel et al.’s statement that â€Å"Per capita fish catch has not increased even though the size and speed of  fishing vessels has improved.† (Pimentel, p. 125). Pimentel et al. also did not address the potential of aquaculture or hydroponic farming to supply food, or the capability of technology to produce artificial substitutes, even though they were able to gather a large amount of other data from such reputable sources as World Bank and the Food and Agricultural Organization of the United Nations. In summary, I would like to obtain more factual information concerning actual and projected shortages of natural resources. I need more evidence that hydroponic and artificial food farming is more than adequate to meet the demand for food. Finally, I need to further understand the effects that population growth is having on our environment.

Invisible Man

1) Symbol In chapter 15, the narrator comes across a coin bank when leaving Mary's house. The coin bank is a figurine is of a grinning black man, who when a coin is placed in its hand and a lever is pushed, tosses the coin into his mouth. This is not only derrogative on how society viewed the african americans but also symbolic in how the narrator has experienced the race being not only treated negatively, but regarded in terms of unequality and in a sense, bottom feeders. More specifically, this can relate to the Battle Royal where the young black boys scavvanged up their winnings on the electrified carpet infront of an audiance that was mainly wealthy white people. To the white men, this exemplified the black men's despair to grab up any money they could, in a humiliating mannor, which was supplied by the white man himself. I think this symbol is significant because it symbolizes the reoccuring issue of black men being lesser equals of the white man, and it doesn't allow the narrator to forget about his â€Å"place† in society, as long as the rest of the race. ) Setting â€Å"†¦ I found a home-or a hole in the ground, as you will†¦. My hole is warm and full of light. In my hole in the basement there are exactly 1,363 lights. I've wired the entire ceiling, every inch of it. And not with flourescent bulbs, but with the older, more-expensive-to-operate kind, the filament type. (p. 6,7)† † It was foggy with cigar smoke. And already the whiskey was taking effect. I was shocked to see some of the most important men in town quite tipsy. They were all there-bankers, lawyers, judges, doctors, fire chiefs, teachers , merchants. Even one of the more fashionable pastors. Something we could not see was going up front. A clarinet was vibrating sensuously and the men were standing up and moving eagerly forward. (pg. 18) † It was a beautiful college. The buldings were old and covered with vines and the roads gracefully winding, lined the hedges and wild roses that dazzled the eyes in the summer sun. Honeysuckle and purple wisteria hung heavy from the trees and white magnolias mixed with their scents in the bee-humming air†¦. How the grass turned in the springtime and how the mocking birds fluttered their tails and sang, how the moon shone down on the buildings, how the bell in the chapel tower rang out the precious short-lived hours; how the girls in bright summer dresses promenaded the grassy lawn. (pg. 34)† â€Å"†¦ winter, with the moon high above and the chimes in the steeple ringing and a sonorous choir of trombones rendering a Christmas -caarol; and over all is a quiteness and an ache as though all the world were lonliness. (pg. 5)† † The plant was in Long Island, and I crossed a bridge in the fog to get there and came down in a stream of workers. Ahead of me a huge electric sign announced its message through the drifiting strands of fog†¦. Flags were fluttering in the breeze from each other in a maze of buildings below the sign, and for a moment it was like watching some vast patriotic ceremony from a distance. But no shots were fired and no bugles sounded (pg. 196)â⠂¬  † I was sitting in a cold, white rigid chair and a man was looking at me out of a bright third eye that glowed from the center of his forehead. He reached out, touching my skull gingerly, and said something encouraging, as though i were a child. his fingers went away (pg 231). † † When I came out of the subway, Lenox Avenue seemed to careen away from me at a drunken angle, and I focused upon the teetering scene with wild, infant's eyes, my head throbbing (pg. 251). † † Then I was back in the street and moving toward the subway. My eyes adjusted quickly; the world took on a dark-green intensity, the lights of cars glowed like stars, faces were a mysterious blur; the garish signs of movie houses muted down to a soft sinister glowing (pg. 84). † â€Å"†¦ a small crowded room of men and women sitting in folding chairs, to the front where a slender woman in a rusty black robe played passionate boogie-woogie on an upright piano along with a young man wearing a skull cap who stuck righteous riffs from an electic guitar which was connected to an amplifier that hung from the ceiling above a gleamin g white and gold pulpit. A man in an elegant red cardinal's robe and a high lace collar stood resting against an enormous Bible and now began to lead a hard-driving hymn which the congregation shouted in an unknown tongue. And back and high on the wall above him there arched the words in letters of gold: LET THERE BE LIGHT (pg497,498). † â€Å"It was a hot dry August night. Lightning flashed across tge eastern sky and a breathless tension was in the humid air (pg 516). † I believe Ralph Ellison has created a credible setting because in each of the examples, a detailed description of the narrator's surrounding is evident. With such detail, it is clear to the reader what time period the novel or flashback is taken place in and the environment the main character, or author is experiencing. In this case, the story is taking place first in the south, then making its way towards the north, Harlem, in the early 1920's and 1930's. 3) Striking images, ideas, events, objects â€Å"I am an invisible man. No, I am not a spook like those who haunted Edgar Allan Poe; nor am I one of your Hollywood-movie ectoplasms. I am a man of substance, of flesh and bone, fiber and liquids- and I might even be said to possess a mind. I am invisible, understand, simply because people refuse to see me (pg. 3). † Opening the prologue, the narrator starts by introducing himself as an invisible man. This introduction is important because it immediatedly allows the reader to understand the narrator's self placement in society, which also sets the constant theme throughtout the novel. â€Å"Without light I am not only invisible, but formless as well; and to be unaware of one's form is to live a death. I myself, after existing some twenty years, did not become alive until I discovered my invisibility (pg. 7). † Prior before this excerpt, the narrator explained he installed 1,369 lights in his basement. He goes on to explain why he possesses so many lights in the theory that even though he is â€Å"invisible† he still exists; and the light permits him to exist. In addition, he explains that he hadn't begun to live until he realized he was invisible. I interperate this as him stepping back from participating in the life society leads, and observing and living his own, secluded. † All my life I had been looking for something, and everywhere I turned someone tried to tell me what it was†¦. I was looking for myself and asking everyone execept myself questions which I, and only I, could answer (pg. 5). † The narrator begins to flashback to his adolecent years by explaining what he now realizes was the hindering aspect of his youth. Throughout the book he begins to find himself, and his place in society. â€Å"You're hidden right out in the open – that is, you would be only if you realized it (pg. 154). † At the Golden Day, the veteran doctor tells th is to the narrator. In his flashback, this is when the narrator gets the notion of being an invisible man of society. It also foreshadows his future understanding of himself. Who knows but that, on the lower frequencies, I speak for you? (pg. 581)† Ending the novel, the narrator leaves the reader with these words. This can be interperprated into different views. To me, this means that he may speak for you, it is possible that he is expressing your feelings or describing some part of your experience; and who is to prove otherwise other than yourself? 4) Figures of Speach â€Å"Like the bodiless heads you see sometimes in circus sideshows, it is as though I have been surrounded by mirrors of hard, distorting glass (pg. ) . † This metaphore is used to exemplify the narrator's view upon his place in society and how he is viewed. With this, he is trying to explain that when in public, he is never seen as he is; whether he had been replaced by his surroundings, other people, or figments of the viewer's imagination. â€Å"†¦ A figure in a nightmare which the sleeper tries with all his strength to destroy (pg. 4). † Another metaphore is used to explain how the narrator experiences invisibility. Invisibilty has led him to question if in reality he is infact viewed and understood as an actual human being or is he rather a neusance, or terrorist in other's lives in that they wish not to see him- making him invisible. † Live with your head in the lion's mouth (pg. 16). † A few of the narrator's grandfather's last words that had powerful meaning. To live with your head in the lion's mouth means to live life on the edge, or to live life in a knowingly dangerous manor. The grandfather did not want his grandchildren to live life in fear, and with the wills of society. Invisible Man 1) Symbol In chapter 15, the narrator comes across a coin bank when leaving Mary's house. The coin bank is a figurine is of a grinning black man, who when a coin is placed in its hand and a lever is pushed, tosses the coin into his mouth. This is not only derrogative on how society viewed the african americans but also symbolic in how the narrator has experienced the race being not only treated negatively, but regarded in terms of unequality and in a sense, bottom feeders. More specifically, this can relate to the Battle Royal where the young black boys scavvanged up their winnings on the electrified carpet infront of an audiance that was mainly wealthy white people. To the white men, this exemplified the black men's despair to grab up any money they could, in a humiliating mannor, which was supplied by the white man himself. I think this symbol is significant because it symbolizes the reoccuring issue of black men being lesser equals of the white man, and it doesn't allow the narrator to forget about his â€Å"place† in society, as long as the rest of the race. ) Setting â€Å"†¦ I found a home-or a hole in the ground, as you will†¦. My hole is warm and full of light. In my hole in the basement there are exactly 1,363 lights. I've wired the entire ceiling, every inch of it. And not with flourescent bulbs, but with the older, more-expensive-to-operate kind, the filament type. (p. 6,7)† † It was foggy with cigar smoke. And already the whiskey was taking effect. I was shocked to see some of the most important men in town quite tipsy. They were all there-bankers, lawyers, judges, doctors, fire chiefs, teachers , merchants. Even one of the more fashionable pastors. Something we could not see was going up front. A clarinet was vibrating sensuously and the men were standing up and moving eagerly forward. (pg. 18) † It was a beautiful college. The buldings were old and covered with vines and the roads gracefully winding, lined the hedges and wild roses that dazzled the eyes in the summer sun. Honeysuckle and purple wisteria hung heavy from the trees and white magnolias mixed with their scents in the bee-humming air†¦. How the grass turned in the springtime and how the mocking birds fluttered their tails and sang, how the moon shone down on the buildings, how the bell in the chapel tower rang out the precious short-lived hours; how the girls in bright summer dresses promenaded the grassy lawn. (pg. 34)† â€Å"†¦ winter, with the moon high above and the chimes in the steeple ringing and a sonorous choir of trombones rendering a Christmas -caarol; and over all is a quiteness and an ache as though all the world were lonliness. (pg. 5)† † The plant was in Long Island, and I crossed a bridge in the fog to get there and came down in a stream of workers. Ahead of me a huge electric sign announced its message through the drifiting strands of fog†¦. Flags were fluttering in the breeze from each other in a maze of buildings below the sign, and for a moment it was like watching some vast patriotic ceremony from a distance. But no shots were fired and no bugles sounded (pg. 196)â⠂¬  † I was sitting in a cold, white rigid chair and a man was looking at me out of a bright third eye that glowed from the center of his forehead. He reached out, touching my skull gingerly, and said something encouraging, as though i were a child. his fingers went away (pg 231). † † When I came out of the subway, Lenox Avenue seemed to careen away from me at a drunken angle, and I focused upon the teetering scene with wild, infant's eyes, my head throbbing (pg. 251). † † Then I was back in the street and moving toward the subway. My eyes adjusted quickly; the world took on a dark-green intensity, the lights of cars glowed like stars, faces were a mysterious blur; the garish signs of movie houses muted down to a soft sinister glowing (pg. 84). † â€Å"†¦ a small crowded room of men and women sitting in folding chairs, to the front where a slender woman in a rusty black robe played passionate boogie-woogie on an upright piano along with a young man wearing a skull cap who stuck righteous riffs from an electic guitar which was connected to an amplifier that hung from the ceiling above a gleamin g white and gold pulpit. A man in an elegant red cardinal's robe and a high lace collar stood resting against an enormous Bible and now began to lead a hard-driving hymn which the congregation shouted in an unknown tongue. And back and high on the wall above him there arched the words in letters of gold: LET THERE BE LIGHT (pg497,498). † â€Å"It was a hot dry August night. Lightning flashed across tge eastern sky and a breathless tension was in the humid air (pg 516). † I believe Ralph Ellison has created a credible setting because in each of the examples, a detailed description of the narrator's surrounding is evident. With such detail, it is clear to the reader what time period the novel or flashback is taken place in and the environment the main character, or author is experiencing. In this case, the story is taking place first in the south, then making its way towards the north, Harlem, in the early 1920's and 1930's. 3) Striking images, ideas, events, objects â€Å"I am an invisible man. No, I am not a spook like those who haunted Edgar Allan Poe; nor am I one of your Hollywood-movie ectoplasms. I am a man of substance, of flesh and bone, fiber and liquids- and I might even be said to possess a mind. I am invisible, understand, simply because people refuse to see me (pg. 3). † Opening the prologue, the narrator starts by introducing himself as an invisible man. This introduction is important because it immediatedly allows the reader to understand the narrator's self placement in society, which also sets the constant theme throughtout the novel. â€Å"Without light I am not only invisible, but formless as well; and to be unaware of one's form is to live a death. I myself, after existing some twenty years, did not become alive until I discovered my invisibility (pg. 7). † Prior before this excerpt, the narrator explained he installed 1,369 lights in his basement. He goes on to explain why he possesses so many lights in the theory that even though he is â€Å"invisible† he still exists; and the light permits him to exist. In addition, he explains that he hadn't begun to live until he realized he was invisible. I interperate this as him stepping back from participating in the life society leads, and observing and living his own, secluded. † All my life I had been looking for something, and everywhere I turned someone tried to tell me what it was†¦. I was looking for myself and asking everyone execept myself questions which I, and only I, could answer (pg. 5). † The narrator begins to flashback to his adolecent years by explaining what he now realizes was the hindering aspect of his youth. Throughout the book he begins to find himself, and his place in society. â€Å"You're hidden right out in the open – that is, you would be only if you realized it (pg. 154). † At the Golden Day, the veteran doctor tells th is to the narrator. In his flashback, this is when the narrator gets the notion of being an invisible man of society. It also foreshadows his future understanding of himself. Who knows but that, on the lower frequencies, I speak for you? (pg. 581)† Ending the novel, the narrator leaves the reader with these words. This can be interperprated into different views. To me, this means that he may speak for you, it is possible that he is expressing your feelings or describing some part of your experience; and who is to prove otherwise other than yourself? 4) Figures of Speach â€Å"Like the bodiless heads you see sometimes in circus sideshows, it is as though I have been surrounded by mirrors of hard, distorting glass (pg. ) . † This metaphore is used to exemplify the narrator's view upon his place in society and how he is viewed. With this, he is trying to explain that when in public, he is never seen as he is; whether he had been replaced by his surroundings, other people, or figments of the viewer's imagination. â€Å"†¦ A figure in a nightmare which the sleeper tries with all his strength to destroy (pg. 4). † Another metaphore is used to explain how the narrator experiences invisibility. Invisibilty has led him to question if in reality he is infact viewed and understood as an actual human being or is he rather a neusance, or terrorist in other's lives in that they wish not to see him- making him invisible. † Live with your head in the lion's mouth (pg. 16). † A few of the narrator's grandfather's last words that had powerful meaning. To live with your head in the lion's mouth means to live life on the edge, or to live life in a knowingly dangerous manor. The grandfather did not want his grandchildren to live life in fear, and with the wills of society. Invisible Man Invisible Man

New World vs. Old Essay

Global Wine War 2009: New World versus Old 1. How were the French able to dominate the worldwide wine trade for centuries? What sources of competitive advantage did they develop to support their exports? The wine production of France goes all the way back to being part of the first niche market for premium wine. Factor conditions of France, such as land and climate, were well suited for wine-production compared to other European countries. Since the early 19th century cross-border shipping was very expensive, France was able to cluster the related and supporting industries of wine production within their domestic borders. As a result, France increased its competitive advantage throughout other sources without much impact from other countries. As the industry became France’s second largest export, side by side with a culture of rich food, the demand conditions got affected, as consumers were expecting a certain quality. The French government provided the classification systems, which increased the rivalry and domestic competitiveness and raised the entry barriers so that entry of foreign competition was kept at a minimum. 2. Given the longstanding dominance of Old World wine producers, how were the New World producers, such as the Australians, able to expand their market share so rapidly in the 1990s? As postwar increased demand for wine rapidly, factor conditions of the New World producers, such as widely available suitable land and it being less expensive, made it possible to meet the new demand and boosted the New World industry. The new demand conditions demanded higher quality wines and as new generations were born, the consumers got more price-conscious and convenient oriented. New World producers met these changes in demands by introducing a completely new firm strategy, structure, and rivalry compared to the Old World producers, who were constrained by tradition. Innovation was the key word in the New World strategy; suddenly, mechanical technology reduced labor cost and pushed down prices, packaging innovations made distribution easier and provided convenience to the consumers, and technology ensured vintage-to-vintage consistency etc. As well, branding and marketing skills were performed on the basis of vintage-to-vintage consistency, which gave the consumers further preferences and strengthened the position of the New World producers globally. This made them capable at expanding even more rapidly. The New World producers changed the traditional patterns of related and supporting industries, which used to being long value-chains, as the big producers now controlled the full value chain, able to extract margins and control quality at every level. The size now gave them bargaining power – a power, which made them have a strong grip on the importing countries. The New World producers had created a strong innovative company culture; a culture that could easily adapt to the changes of consumer culture and government regulations. New generations were born and so was the rise of fashion in a completely different culture of lighter consumption. The New World producers responded to the swings of fashion by taking advantage of the factor conditions: much capacity and regulatory freedom. This was the complete opposite to what the Old World producers were able to do – still constrained by the long history of wine-making tradition and lack of innovation. By that, the New World producers were always a few steps ahead of the Old World producers when the global patterns changed.

ENG Topics in Litersture Discssion Board Essay Example | Topics and Well Written Essays - 750 words

ENG Topics in Litersture Discssion Board - Essay Example a bill from Jamestown Liquors indicates that Allyson has been drinking with her husband, Clark, who is more than twice her age, because time is running out. Clark’s varied pumpkin carvings is an expression of shock, sadness, and eventually acceptance of Allyson’s condition. As Allyson is faced up with death, Clark imparted to Allyson’s soul to move on, for there is no need to worry about him. In the end, the pumpkins became the symbol of Allyson’s loving memory, of the memories Clark and Allyson spent with each other. Initially, I found the story too sad to read. The presence of the pumpkins in the story gave me a premonition that the story is all about death and sorrow. The similarities in Allyson and Clark’s facial features, despite their wide age difference, made a perception that Allyson looks too old for her age. Is she sick or something? Clark is old enough to be her father. But when it was mentioned that Allyson has been wearing a wig, it was only then that my guess were confirmed. She is indeed sick. Sick with cancer? Maybe she had been undergoing chemotherapy treatments which may explain her baldness. Her volunteer work for a daycare center further gave me an idea that she is seriously ill, despite maybe of her chemotherapy treatments. She can still work, had she wanted to if she is in a dire financial need. But she opted to spend her afternoons in a volunteer work, thus giving readers an indication that she is spending her remaining time in a me aningful way, the most meaningful way that she possibly could. Going through the mail, the bill Allyson found from Jamestown Liquors can be interpreted that Allyson and Clark had been drinking these past few months or days. On the other hand, I found it puzzling when they had received a letter from â€Å"Clark’s relations up North† and enclosed with a gift check signed by Jesus H. Christ. Reading the word North, I thought it was a letter from Santa Claus hearing out Clark’s Christmas wishes. But

In the file Essay Example | Topics and Well Written Essays - 500 words

In the file - Essay Example The problem facing this training sometimes is that a person joining that training may only be interested in earning more salaries that are being provided at that level. High salaries in many occasions indicate a greater value of employer, but empirically it is not well known whether it is true or not. Apart from the growth in business schools, there has been an increase on emphasis of personal development, mentoring, and executive training. Another significant development is increasing focus on development and training of entrepreneurs. New form of learning such as E-learning has increased since they are cheap and flexible. Due to globalization and flexible trade rules across the world, global leadership has become more evident currently. Right now it is not effective being a manager in one country, a good manager in the current world should be able to carry out management in different countries and cultures. A balance between theory and practice is one of the issues in training and development. Another issue is where management and development is based, whether it is a western business model provided by western institutions or eastern business models. The MBA courses taught in Asia by western teachers from western states may boost western business models that are not suitable to the locals because the teaching methods will require the students to adopt learning styles that are not in line with their culture. The information contained in this article can be applied in business organization and when doing global business. Businesses will learn that having people who have extensive training in business courses such as MBA are important in the management of the organization. The article also explains important issues about management training and development. One of the important issues is a broad issue of executive learning and development, this include formal and

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Reflection - Term Paper Example In his job, he does the direct service provision, but most of the time, he supervises people who do direct service. The health center provides health care services, where there is a comprehensive primary care service. The interviewee himself works with the segment that looks at the social health care determinants and help patients overcome such challenges of social health care determinants to be able to access healthcare. He works with the youth to solve two problems, one of them is the history of incarceration and connecting people to health care. He is also charged with the duty of overseeing health screening of people in the community and taking then to the health center to receive healthcare. The center deals mostly with the young people, most of whom are of pre-adolescent and adults of between ages 12-24-year-old. The interviewee is in-charge of four different programs that he oversee their provision to this population. The organization started in 1972 that resulted from a movement in the late 60s about creating a big community center. In those days, Worcester was an isolated part of the city that was far from the city. Therefore, it forced people who were sick to take a bus to the hospital. Then the doctors and professors a nearby college organized and created the center. Initially, it was named after a housing project in the area, Great Brook Valley Health Center, but now it is called the Hadron-M-Kennedy Community Health center. The organization has federal state and local funding. People who have health insurance also pay through the insurance. The interviewee specifically works with the foundation that is funded by the state of private funding. The services that the interviewee oversee does not generate any income, so it is fully funded. However, the health center services that the facility provides, charge at least something for the services. First challenge is working with stigmatized people to identify their health care problem

EVOLUTION Term Paper Example | Topics and Well Written Essays - 500 words

EVOLUTION - Term Paper Example Genetic drift on the other hand leads to variation in the gene pool while non-random mating and gene flow results in reduction of differences among populations. 12. Biogeography is concerned with the geographical location of species all over the planet. Related species or species that share common ancestry can be found in different regions with similar climatic conditions. 13. Analogous structures occur due to convergent evolution for instance wings in both insects and birds while homologous structures are similar in anatomy but different in functions such as bat and birds which have pterodactyl wings. Vestigial structures are redundant with no biological importance or use like the ear bones in humans. 14. Embryonic development is important in explaining evolutionary relationships in that related species usually have patterns of embryonic development that resemble one another. Moreover, similar patterns of development are hypothesized as to have only evolved once. 18. Microevolution refers to changes within a genetic pool which results in small changes in an individual while macroevolution is significant changes in individuals resulting in creation of new species. 20. Barriers to reproduction can either be pre or post zygotic isolation mechanisms. In Pre-zygotic isolation, the mechanism occurred before breeding and include; gametic, mechanical and habitat isolations. On the other hand, post reproduction isolation occurs after copulation in includes mechanisms such as hybrid sterility, zygote mortality and non viable hybrids. 21. Allopatric speciation occurs when species are separated by a physical barrier while parapatric speciation takes place when species are not separated by barriers but live on the same area but develop different adaptations due to things such as pollution. On the other hand, sympatric speciation is controversial because it takes place in members within the same geographical location. 25. Cladistic approaches

Read the document I send you carefully Essay Example | Topics and Well Written Essays - 2000 words

Read the document I send you carefully - Essay Example This paper tries to understand how the market for clothes/ textiles has changed over the years to adopt technology and gain competitive advantage. The past and present trends in clothes business will be studied to understand the impact of e-business initiatives in the sector. How value chain has emerged to impact the marketers of clothes will be discussed and recommendations for increasing online purchasing of clothes will be given. e-Marketing and clothing trade Noting Corral (2000), â€Å"The apparel industry has started using the Internet in an attempt to improve the efficiency and effectiveness of marketing, provide customers access to information about products and their availability, build brand value, and to offer customers a convenient medium to make purchases online. The most valuable aspects of Internet shopping, as compared to store-based ad catalog shopping, are typically perceived to be competitive pricing, one-source shopping, convenience and time-savings (Tuunainen an d Rossi, 2002). Rapidly changing consumer preferences and distribution requirements in the increasingly globalized world where trade is liberalized and need innovation is also strong, textile and clothing sector has undergone a sea change as did the other sectors. Businesses in the sector are vying for differentiation on price as there is a high concentration on manufacturing and distribution. Companies that have tried to adopt change are increasingly focusing on reducing operational costs in the supply chain while reducing time to market and lead time. There is an increased use of information technology to integrate the supply chain to control quality, time and operational costs. The European Union is the largest trader and exporter of textile and clothing with a large portion of exports considered temporary as they are re-imported for final production and distribution (e-business watch, 2004). Although there are different opinions as to the impact of ecommerce on retailing in the clothing industry, one fact is true, that those that do not adopt technology will lose their competitive advantage. Ecommerce is set to make a significant and permanent impact on retailing as it is set to increase revenue flow phenomenally. In the US, it is seen that a significant portion of the economy is contributed by internet-influenced revenue with a seven percent sales on internet can reduce profits of brick-and-mortar businesses by almost 50 percent. While e-retailers deliver well on product, price and place, traditional retailers manage to deliver well on margin flexibility, location, selection and delivering physical products at the right time (Taylor and Cosenza, 2013, pp 46, 47). Businesses can transform into electronic enterprises to reduce operational costs and improve process productivity. The speed at which businesses transform to adopt electronic transactions determines the capacity with which they implement processes. Greater the speed of adoption and transformation , higher the number of processes they can execute and the more rapid their expansion since it reduces transactional costs. This also gives enterprises strategic competitive advantage. A business can have a website and the extent to which it is open to customers determines its adoption of ecommerce (Figure 1): Figure 1: Ecommerce industry transformation. Source: (Rollyson,

Group Dynamicss Essay Example | Topics and Well Written Essays - 1750 words

Group Dynamicss - Essay Example They help generate group synergy, which lead to increased accomplishment above the aggregate of individual efforts. This paper presents a team outline of the principal team within which I work. It also provides a description and analysis of the roles of the team members with reference to the Meredith Belbin team/group work role theory as discussed in taught sessions and supporting reading materials. This paper also presents an ongoing reflection of my own teamwork skills which recognises my individual strengths and weakness. It presents a reflection on my strengths and weaknesses in terms of communication with others including giving and receiving feedback. Finally, it presents a conclusion of the findings from literature and discussion underlined. A team outline implies to an arrangement of a single team or multifaceted team structure. According to Gillespie and Chaboyer (2009), a team outline is a fundamental part of a teamwork development. A suitably outlined nursing team entails a proper framework that facilitates a characteristic care plan, intervention and treatment. Additionally, it entails a useful integration of operational communication, leadership, situation evaluation and joint efforts. According to Nancarrow, Moran, Enderby, Freeman and Dixon (2009), an appropriate team outline, in a nursing environment, can advance joint effort by integrating a selected leader, which includes the patient, care givers and the family. Over and above join efforts helps every group member to take part in the activities of the team and further fosters accountability in member’s actions. Gillespie and Chaboyer (2009) claim that everyone in a teamwork setting must identify their team outline in order to help plan and achieve the set goals or objectives. The following is an outline of the principal team within which I work: nurse manager, director of nurses, patient, physician, doctor, pharmacists, clinical care providers, staff nurses, ethics committees

Toy Central Corporation Case Study Example | Topics and Well Written Essays - 750 words

Toy Central Corporation - Case Study Example People with variety of roles, such as those who formulate and implement policies and those monitor systems are accountable for the success or failure of the process. The findings from interim audit procedures conducted in July and August 2007 reveals that the controls over the purchase and payments systems are managed efficiently. However, the delayed production to satisfy the enormous demand during 2006 holiday selling season had also created a lag in the smooth running of the business. Though a fair quantity of this product was sold out for Valentine’s Day 2007, rest of them was returned to TCC for a full refund. This created an adverse situation within the firm in managing the inventory. But it does not sound nice to go into the holiday season selling with the same stock again. This control issues must be looked into by the management. The physical environment in which companies conduct their business continues to change dramatically, and it requires the firms to make chang es in their policies. Economic factors, advances in technology, and increasing global competition are some of the elements that force the management into greater challenges to control and manage liquidity while increasing sales (Preparing for internal control reporting, 2002). TCC executive have been putting efforts to boost the sales in September, the month that is â€Å"quiet before the storm† by negotiating with the Fathom Studios to obtain the right to produce the plastic-cast of the movie Delgo. Even though TCC had accrued $500,000 of sales revenue in September 2007 as expected while making the agreement, it had a delay in reaching the objectives. There was a delay in reaching the final licensing agreement which in turn delayed the final completion of the character toys. In the same way, TCC had invested nearly $150,000 in creating state-of-the-art software tools to develop Linux games. This decision seems to be a wrong one and shows the weakness of the control over fina ncial reporting of the firm. On the other hand, the companies who hold the intellectual property rights to produce popular games currently produce consoles and computers that run on Windows based software. Therefore, investing too much on developing games for Linux based consoles may not bring the expected return over the investment. Most of the disbursements made by TCC were for purchase and of raw materials from suppliers in Taiwan. Though all items were properly accounted, there was inaccuracy in the accounts. One item seemed unusual in comparison to the sample. The transaction involved a $10,000 payment to the International Transport Union, requisitioned by TCC’s VP-Operations and approved by the CFO. The VP explains that the payment was â€Å"a gesture of support for U.S. transport workers—a gesture we believe is important these days, as transport workers believe they are significantly underpaid and talking about organizing work stoppage and strikes† (Earle y &Philips, 2008). Though it was a non-operating expense, it shows a too much expense on the non-productive functions. The TCC’s management had fallen short in making correct financial analysis and preparing effective financial reporting. The findings of the interim report reveal that the retailers dramatically reduced the quantity of toys that they were willing to undertake in 2006 and sustained it through 2007. This reduction in the supply had intensified competition among all manufacturers of consumer

Death Penalty Research Paper Example | Topics and Well Written Essays - 2500 words

Death Penalty - Research Paper Example The death penalty Introduction There are many punishments that a criminal can face if found guilty of a greater crime, but none is as jarring and final as the death penalty. The death penalty is the sentencing of death to a person who has been found guilty of a criminal offense. When a crime results in the death penalty, the crime is known as a capital crime or capital offense. A lesser crime does not hold the possibility of resulting in the death penalty; a person may face the death penalty if they are found guilty of first degree murder, but not for grand larceny. The death penalty in the United States is only inflicted when the guilty offender has willingly taken the innocent life of another or more than one person. In some states, attempted suicide can be met with the death penalty as the person is attempting to take a life (Carmen, 2008). The ultimate purpose of the death penalty is to take a life for another life. The death penalty is considered to be one of the most controvers ial punishments for criminal offenders. While there are people that believe the punishment follows the adage â€Å"eye for an eye†, there are still others that feel that governments and countries should be â€Å"practicing what they preach† instead of condoning murder by killing another, even if it is done in the name of justice. Regardless of these opinions, the death penalty is alive and well in thirty-five states, the United States military, and the United States government, as well as countless other countries. History of the death penalty law The death penalty has been around for hundreds of years in the United States, though it also has history in Europe in the pre-America era. Practiced by many countries and villages, the death penalty was not nearly as sophisticated as it is today. First and foremost, the death penalty was not only limited to murder, but expanded to include sexual crimes, such as adultery and sodomy, drug and human trafficking, and treason. Som e countries today still recognize some of these offenses as crimes being worthy of the death penalty. Treason resulting in the death penalty is still highly common among militaries throughout the world. If another life was taken or put at stake, then the person who placed them in that position would be faced with death. The methods of how the death penalty was to be implemented have also evolved. One of the earliest methods of the death penalty was by means of stoning. Usually regarded as a public spectacle to make both the crime and the consequence known, the criminal would stand in a designated meeting area before many of the townspeople, all of whom would often play a part in throwing the stones that would kill the criminal (Hood & Hoyle, 2008). Other antiquated methods included hanging and beheading; again, these would take place in public areas to serve as a lesson to prevent further criminal activity. Torture was another common method, one that is looked upon today as being bo th immoral and unethical. Other methods that were observed, though were not as common, were boiling to death, disembowelment, burning, or being slowly sliced or impaled repeatedly. People during these times did not have the fancy machines or equipment that we have now, so they had no choice but to work with what they already had. They got creative with their punishments, looking for methods that would not only get the job done but also supply the criminal with plenty of pain. The gruesome images

Human behavior Essay Example for Free

Human behavior Essay Behavior of individuals in various settings is at times very difficult due to ethical constraints. This includes the investigation of why people take risks or gamble with their decision making processes. However, it is quite interesting to note that on situations which are not so threatening for individuals, it is apparent that people typically take risks in picking their options or when making their final choice. The following shows available data on human motivation and the theories surrounding the topic. Risk taking is defined as engaging in any activity with an uncertain outcome, as one scholar puts it. Theories of Motivation on Risk Taking Different theories describe and explain risk taking and why human beings are motivated to pursue or engage in activities or behavior that put their lives in much danger or create an element of risk of whatever form. The following are taken from current literature in the field of human behavior analysis. 1. Psychoanalytic or Psychodynamic Theory. Following the tradition of Freud, human motivation to take risks is taken from the basic understanding that when people feel fear in a certain situation or occasion, it is not good to overcome that fear. Freudian theory condemns outrightly risk taking as plain insanity. It reasons that to risk man’s very life has no warrant at all. It is nonsense. In other important spheres of life, however, to risk is inevitable and deemed necessary. There are many successful people in the business world who are known as risk takers (Llewellyn, 2003). They succeed, in fact, because of this unique attitude in them which is considered foolhardy in other realms. While it is true that life is the most precious commodity a man could ever possess, and to risk it is foolishness, it is equally true that not to risk at all in other areas means cowardice and immobility. Psychoanalysts even treat risk-taking behavior as a symptom of â€Å"a diseased mind. † Because for them, life is not to be gambled, therefore, it is insanity when someone chooses bungee-jumping as his/her sport (Llewellyn, 2003). 2. The Evolutionary Theory. Evolutionary theory explained man’s adventurous nature as simply an expression of his primal instincts (Llewellyn, 2003). Assuming that Darwin’s theory is correct, that man evolved from apes like common animal, a human early in the evolutionary process had to fight for his life to survive. This survival nature, according to this theory, is retained in modern man’s genetic make up (Llewellyn, 2003). This is the reason why even those people in the elite echelon of society choose to use their favorite sport like riding a dirigible as their campaign tool to promote their business. The problem with this theory is that it has remained to be unproven and lacking in evidences as yet. Humans are not proven to have descended from apes. 3. Contemporary Theories a. Extroversion and Introversion Personality theories contend that this two broad scope of personality traits capture the individual’s propensity towards behaving in certain ways. Extroversion helps explain why some people tend to be outgoing and hence, the greater the probability to engage in risky decisions (Llewellyn, 2003). b. Emotional Stability and Neuroticism This is another of the Contemporary theories that shed light on traits that remain stable over a period of time, clearly indicating which may best describe an individual and what differs him/her from another. Emotionally stable people, as those who posit on this model, may take risks but have taken many things to great lengths in order to get the best possible option or alternative (Llewellyn, 2003). Conversely, people who are more on the neuroticism side manifest the greater tendency to take risks without much weighing on the consequences. The tendency to be impulsive is to a higher degree present in individuals under this category. 4. Eysenck and Costa and McCrae’s model These two theorists added their own version to the array of personality theories. The former has the Psychoticism versus Humaneness dimension while the latter two theorists added three dimensions: Openness to Experience, Conscientiousness, and Agreeableness. The main argument against these classifications is its narrowness in explaining and categorizing the complexities that make human behavior (Llewellyn, 2003). While they help explore different behaviors or attitudes, there are more that remained unexplained. Until now, certain serial killers or murderers, defy the above mentioned explanations of human behavior. 5. The Zuckerman ‘Sensation Seeking Trait’ Although an expansion on one of the features of Psychoticism and Humaneness model, Sensation Seeking helps also explain the differences between individuals. There are people who do have a higher degree of this trait; like more men seek sensation-enhancing-experiences or â€Å"venturesome† traits, while others have very minimal of this trait. This is what Zuckerman refers to in his Sensation seeking trait theory. What other experts consider as this theory’s limitation is embedded in the matter of other personality traits’ influence on risk taking behavior other than this trait by itself. Studies reveal that the psychological profiles of risk takers are diverse and the universality of this trait is still further being investigated (Llewellyn, 2003). Risk taking is a fascinating area of interest for many students of human behavior. When explored through the eyes of a Psychoanalyst, the subject becomes even more intriguing because Freudian understanding possesses an attractive alternative to the more cognitive way of assessing risk taking behavior. When the subject of evolutionary psychology of explaining risk taking behavior is concerned, it contains a ring of truth in it that many today are convinced of its manner of explaining behavior. Instinct is still a potent facet in behavior that cannot be eradicated from the study of behavior of humans (Llewellyn, 2003). When people are confronted with the distinctiveness of the human personality, the dimensions are almost unlimited; some experts opt for the multi-dimensional method while others choose the narrow and concise way. All of these approaches have their strengths and weaknesses; degree of breadth and limitations. However, they are good and profitable for jumpstarting further explorations into the human psyche and its accompanying expressions. Reference: 1. Llewellyn, David J. 2003. The Psychology of Risk Taking. Accessed in www. risktaking. co. uk.

Refugee Children In Developing Societies

Refugee Children In Developing Societies The United Nations High Commissioner for Refugees (UNHCR) estimated there were over 9.6 million refugees living worldwide in 2003. That same year the Global IDP estimated that nearly 25 million people were internally displaced in approximately 50 countries. Most of these individuals were children, forced to live for months, sometimes years, in camps.  [1]  According to Grace Michel over 2 million children have died as a direct result of armed conflict. At least 6 million children have been permanently disabled or seriously injured, and more than 1 million have been orphaned or separated from their families.  [2]  . Although numbers are difficult to verifade because of the illegality of much of the cross-border movement of children, as well as lack reliable registration system of refugee children. These figures only account for those who are caught and repatriated but the majority of children go undetected. In addition many countries are unwilling to accept the scale and natur e of the problem. Refugee children And yet despite importance of the refugee children situation only in 1993 UNHCR introduce Guidkine on protection and care refugee children In order to improve and enhance the protection and care of refugee children, UNHCR has adopted a Policy on Refugee Children, endorsed by the UNHCR Executive Committee in October 1993. The UNHCR Guidelines on Refugee Children, first published in 1988, have been updated in the light of the new Policy and are presented in this document. At their core lays the realization of the need which children Refugee children definitely face dangers to their safety and well being than the average child. The brutal interruption of they family life and disruption of community structures by the conflict or natural disaster can deeply affect the physical and psychological well being. Children must also cope with the trauma of loss -of their family members, schools, neighborhoods and communities. In addition, millions of children have been forced to witness or even take part in horrifying acts of violence Sexual abuse and violence is another experience of many refugee children. Children are dependent on adults help, international organization and host countries generosity. Refugee children need to be providing with the basic needs like the nutrition, water and sanitation, suitable shelter and health care including health education. Also for many refugee children the basic need is accessing education to provide better future job opportunities. Many children especially on a first instance need f ood and urgent shelter, sleeping outdoors exposed to higher risks of contracting malaria or infections, not to mention the feeling of safety. They need safeguard against economic exploitation as they often are forced to work in fields belonging to host communities in exchange for food or low pay. Refugee children need a governments protection against ethnic and religion discrimination from host countries population and protection against sexual violence, especially refugee ophrense. . Finally Children need to help with tracking separated family. A number of children called for the authorities to stop abusing, imprisoning and repatriating them to their home countries, while others said they should be entitled to free education in the host countries. Southern Africa Child migrants tell all 29 April 2008 Integrated Regional Information Networks (IRIN), Southern Africa Child migrants tell all, 29 April 2008, available at: http://www.unhcr.org/refworld/docid/48200579b.html [accessed 3 December 2009] Health SUMMARY OF INTERNATIONAL TREATIES TO PROTECT CHILDREN IN ARMED CONFLICT Internet: http://www.unicef.org United Nations Childrens Fund UNICEF House, OPSCEN Health is the basic need very important aspect of refuge children well-being. First instance is to secure for refugee children to basic needs like access to clean water, nutrition, sufficient shelter, and access to medical services including hospitals and psychological and professional therapy assistance. I terms of water and shelter important is to organize a safety zone where children can fell comfortable and have access to food and clean water any time of the day and night. The emergency hospitals should provide necessary help in terms illness and injury and technical assistance for expectant mothers and maternity cases, and nursing mothers. More difficult cases should be direct to local hospitals. Good step in prevention of diesis, HIV/Aids spreads among children is health education. As well develop preventive health care and abolish harmful traditional practices, especial toward young girls comment among Africans tribes. The disruption and insecurity in refugee situations can harm childrens physical, intellectual, psychological, cultural and social development. In addition, children suffer or witness the torture or murder of family members or other forms of abuse or violence. Unaccompanied children are particularly vulnerable. First and foremost, the emotional well-being of children is influenced by the protection and care they receive from their families and communities. Adults often suffer greatly in refugee situations; this can Influence their ability to provide for their children. Sometimes parental distress results in child abuse, abandonment, family strife and other forms of family disintegration. During refugee situations, children face greater risks to their psychological development. Hardships in refugee situations are chronic. Children may be living in constant fear or anxiety; parents may be too stressed or traumatized to give good care; children may suffer from malnutrition and illness. Children are affected not only by what happens to them, but by what they are deprived of, for example missing out on developmental essentials such as play and school. Children need more than services which are directed just to them. Preschool play groups, for example, serve an important purpose, but if a parent cannot meet the childs emotional needs because the parent is too physically weak or emotionally stressed, then the childs greater developmental need is for the parent to receive help. First objective must be to restore normalcy, that is, to help the family function as normally as possible ensure existing a daily routine which increase they security and feeing of prediction. When life becomes stable, when they can rely on good things happening on a predictable basis, such as eating, going to school, playing, the sense of normalcy gives psychological security. Important from point of psychosocial well-being of refugee children is long assistance with information regarding they situation, rights and responsibilities as well as future possibilities. Education is a basic service which should be provide to all children, including refugee children. Unfortunately this service is less reachable for them despite fact that many young people believe that education is essential to their survival, protection and full recovery from their experience of armed conflict and disasters. They see in education the answers to their need for self-respect, economic and job opportunity and the voice in society. Education also represents an essential condition to peace and security of community and family. Yet, despite of central role in their lives, refugee children find quite often difficultly to access education. While the primary school education is more accusable for children, younger people find more difficult to get into higher education The major barriers to enter education can lay in sort of obstacles like is high cost of attending school and transportation problems, language and custom barriers, especially for girls. For example in Uganda, al though Universal Primary Education was instituted for all children including refugee, costs for materials and uniforms remained out of reach for most young people in the war-torn north. Non-tuition costs for primary school in northern Uganda averaged $120 per year, and secondary school costs were about $350 per year in a country where the estimated annual per capita income was $140 in 2001 Competing responsibilities are next major obstacles to enroll education. Teen parents, heads of households and orphans have particular difficulties obtaining education because, in addition to caring for themselves, they had the added responsibilities of caring for younger siblings and sometimes their own children. On the top of this obstacles there is the lack of facilities accommodate children and teaching staff, lack of flexible hours to accommodate work and family responsibilities and/or vocational and skills training linked to jobs . Sierra Leone is a good illustration of this problem where young people viewed education as a way to establish the peace, and said that access to education opportunities would help them feel less excluded from society, especially for demobilized soldiers who need to gain skills and access trainings to help them in job market. Educational opportunities and jobs are denied to girls who drown them into commercial sex work market or early marriages. The barriers can lay also in the host country policies. In Albania during the refugee crisis of 1999, Albanian Kosovars were welcomed to take refuge in camps and urban areas in Albania, but the government did not allow all young people immediate access to public education. Some refugees entered public schools, and some did not. Some refugees set up their own schools without initial external support and still others were attracted to schools opened by religious groups during the crisis. Girls situation is even more dramatic, despite commitments to gender equality in education. Girls dont have equal access to education, compared with their male refugee. For instance, 60 percent of girls in Sierra Leone were not attending primary school, and at least 76 percent did not attend secondary school, compared to 71 percent of boys. In northern Uganda, boys were more likely to complete primary school and did better on Primary Leaving Examinations than girls, and fewer girls went on to secondary school. Most girls and boys in each region agreed that, in general, parents valued boys education more than that of girls. Girls also said inadequate clothing, security and sanitary supplies kept many out of school. According to UNHCR approximately 1 million refugee children are enrolled in UNHCR education support program. 40 percent of enrolled are girls and adelnece women, 8 percent are enrolled at pre=school, 82% are attending primer school and 9 percent benefit from secondary school. Only 1 percent is attending higher education system. Page 7 Document Summary note on UNHCR s strategy and Activities Concerning refugee children Geneva may 2002 http://docstore.ingenta.com/cgi-bin/ds_deliver/1/u/d/ISIS/53779900.1/oup/reflaw/2003/00000015/00000001/art00149/08C6A8EBB1C9214B1259885548168C930EA581BF55.pdf?link=http://www.ingentaconnect.com/error/deliveryformat=pd The major solution to education problem is ensuring that all refugee children have access to primary and basic education and where possible secondary and professional education will help reduce the risk of exploitation. Special programs should be tailored to the needs of girls who have dropped out of school to reduce the risk of violence abuse. Children not only refugee should be educated on their rights. Various forms of social and life skills training will help young people to make better life choices and help them protect themselves from exploitation. Equal participation of girls in school should be actively promoted. The community also should be involved in recruiting and managing teaching staff and educators whom they feel they can trust, as teachers can also be sexual abusers. Cancellation of school fees or low cost of education should be placed. Furthermore, the clubs and counseling after school offering support and relax. Ensure Access to Education SPECIAL CONSIDERATIONS FOR REFUGEE CHILDREN Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons Sexual and Gender-Based Violence against Refugees, Returnees and Internally Disp Important is to mention of education for disable refugee children who quite often safer isolation from community due to their conditions. Children with disabilities often do not get any support and services they need like physical rehabilitation, specialized education and social integration are sometimes neglected. Some times families, health workers and teachers have not understood the importance of including disabled children in normal patterns of activity. In some refugee situations, rehabilitation services are not provided because nationals do not have access to such services but still teachers should be encouraged to include disabled children in their classes whenever possible. Clear guidelines should be given on the physical needs of children with various types of disabilities. A positive attitude towards children with disabilities must be encouraged. SPECIAL CONSIDERATIONS FOR REFUGEE CHILDREN Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons Refugee children, particularly unaccompanied and separated from families children often can find them at risk of sexual abuse and violence. Their limited ability to protect themselves and limited protection or lack of protection from the law of the host countries and international institution make them varounable to sextioal explotaion. In many cases, trafficking may involve payment to child family or even child themselves Child abuse and exploitation within the family is much more complex challenge as sexual violence within the family is almost always seen as a private matter that should not involve outsiders; as a result, an abused child may be blamed for the incident and be further victimized. Also the abuse is cared by the person responsible for protecting and caring for the child. The teenage mothers especially described pitiful and harsh lives: I have to sleep with so many men to make 1500, so that I can feedmyself and my child. They pay me 300 each time, but if I am lucky and I get an NGO worker he can pay me 1500 at one time and sometimes I get 2000 (girl mother in Guinea) or I sleep with different men but mostly NGO workers because I have to eat and feed my child (girl mother in Liberia) Guinea Its difficult to escape the trap of those [NGO] people; they use the food as bait to get you to sex with them. (refugee child) page 17 Protecting children from the protectors: lessons from West Africa by Asmita Naik 15 october 2002 Force Migration review Displaced children and adolescents: challenges and opportunitiesPer Protecting Children in Emergencies Escalating Threats to Children Must Be Addressed VOL.1, NO.1 SPRING 2005 Safe the Children SC-glob-apr05.pdf Although numbers are difficult to estimate because of the illegality of much of the cross-border movement of children, as well as lack relaible registration refugee children. These figures only account for those who are caught and repatriated but the majority of children go undetected. In addision many countries are unvilling to accept the scale and nautre of the problem The children who told their stories in the book called for better protection in host countries, teaching children and communities about the dangers of travelling to and living in foreign countries, and for a halt to the abuse, imprisonment and forced repatriation often inflicted on them. Refugees from armed conflicts worldwide increased from 2.4 million in 1974 to more than 27.4 million in 1996, with another 30 million people displaced within their own countries. Children and women make up an estimated 80 percent of displaced populations.* Children are affected by war in many ways, but one of the SUMMARY OF INTERNATIONAL TREATIES TO PROTECT CHILDREN IN ARMED CONFLICT At any one time, more than 300,000 children worldwide are fighting as soldiers with government forces or armed opposition groups,13 accounting for 10 percent of the combatants in ongoing conflicts.14 Children under the age of 18-some as young as seven-are actively participating in hostilities in 27 countries worldwide.15 Since 1990, over 2 million children have died as a direct result of armed conflict. At least 6 million children have been permanently disabled or seriously injured, and more than 1 million have been orphaned or separated from their families. 1 Graca Machel, The Impact of Armed Conflict on Children, delivered September 2000, www.unifem.org/index.php?f_page_pid=97, accessed 11 March 2005. In 2003, the United Nations High Commissioner for Refugees (UNHCR) estimated there were over 9.6 million refugees living worldwide.24 That same year the Global IDP Project estimated that nearly 25 million people were internally displaced in approximately 50 countries.25 Most of these individuals were children, forced to live for months, sometimes years, in camps. When disaster strikes, families suffer multiple and severe disruptions: not only do they lose their homes and livelihoods, but they often lose their autonomy, livelihoods, and dignity in the camps that are supposed to provide humanitarian relief and protection. Protecting Children in Emergencies Escalating Threats to Children Must Be Addressed VOL.1, NO.1 SPRING 2005 Safe the Children SC-glob-apr05.pdf http://www.reliefweb.int/rw/lib.nsf/db900sid/OCHA-6BCNE8/$file/SC-glob-apr05.pdf?openelement SUMMARY OF INTERNATIONAL TREATIES TO PROTECT CHILDREN IN ARMED CONFLICT Internet: http://www.unicef.org United Nations Childrens Fund UNICEF House, OPSCEN In the past decade, two million children have been killed in armed conflict. Three times as many have been seriously injured or permanently disabled. Armed conflict kills andmaims more children than soldiers. Civilian fatalities in wartime have climbed from 5 percent at the turn of the century to more than 90 percent in the wars of the 1990s. Refugees from armed conflicts worldwide increased from 2.4 million in 1974 to more than 27.4 million in 1996, with another 30 million people displaced within their own countries. Children and women make up an estimated 80 percent of displaced populations.* Children remain susceptible to the physical dangers, as well as to the lasting psychological and social effects of war, once a conflict has ended. Children are vulnerable to physical dangerfrom millions of existing landmines and unexploded ordnance. Children must also cope with the trauma of loss -of their family members, schools, neighborhoods and communities. In addition, millions of children have been forced to witness or even take part in horrifying acts of violence. One UNICEF survey in Rwanda found that nearly 80 percent of the children had lost immediate family members and more than one-third of these had actually witnessed their murder. Children have become targets, not incidental casualties, of armed conflict. War violates every right of a child -the right to life, the right to be with family and community, the right to health and education, the right to the development of the personality, and the right to be nurtured and protected. It is a basic need of children to be protected and cared for when conflicts threaten, and the implementation of international human rights and humanitarian law addresses these needs. A number of international treaties exist to provide for the legal protection and care of children. Too often these treaties are ignored, and the world community must do everything possible to see that these treaties are complied with in all areas of the world. * Education is a basic service which should be provide to all children, including refugee children. Unfortunately this service is less reachable for them despite fact that many young people believe that education is essential to their survival, protection and full recovery from their experience of armed conflict and disasters. They see in education the answers to their need for self-respect, economic and job opportunity and the voice in society. Education also represents an essential condition to peace and security of community and family. Yet, despite of central role in their lives, refugee children find quite often difficultly to access education. While the primary school education is more accusable for children, younger people find more difficult to get into higher education The major barriers to enter education can lay in sort of obstacles like is high cost of attending school and transportation problems, languge and custom barriers. especially for girls. For example in Uganda, alt hough Universal Primary Education was instituted for all children including refugee, costs for materials and uniforms remained out of reach for most young people in the war-torn north. Non-tuition costs for primary school in northern Uganda averaged $120 per year, and secondary school costs were about $350 per year in a country where the estimated annual per capita income was $140 in 2001 Competing responsibilities are next major obsticuls to enroll education. Teen parents, heads of households and orphans have particular difficulties obtaining education because, in addition to caring for themselves, they had the added responsibilities of caring for younger siblings and sometimes their own children. On the top of this obticols there is the lack of facilities accommodate children and teaching staff, lack of flexible hours to accommodate work and family responsibilities and/or vocational and skills training linked to jobs . Sierra Leone is a good illustration of this problem where young people viewed education as a way to establish the peace, and said that access to education opportunities would help them feel less excluded from society, especially for demobilized soldiers who needs to gain skills and access trenings to help them in job market. Educational opportunities and jobs are denied to girls which drow them into into commercial sex work market or early marriages. The barires can laiy also in the host country policies. In Albania during the refugee crisis of 1999, Albanian Kosovars were welcomed to take refuge in camps and urban areas in Albania, but the government did not allow all young people immediate access to public education. Some refugees entered public schools, and some did not. Some refugees set up their own schools without initial external support and still others were attracted to schools opened by religious groups during the crisis. Girls situation is even more dramatic, despite commitments to gender equality in education. Girls dont have equal access to education, compared with their male refugee. For instance, 60 percent of girls in Sierra Leone were not attending primary school, and at least 76 percent did not attend secondary school, compared to 71 percent of boys. In northern Uganda, boys were more likely to complete primary school and did better on Primary Leaving Examinations than girls, and fewer girls went on to secondary school. Most girls and boys in each region agreed that, in general, parents valued boys education more than that of girls. Girls also said inadequate clothing, security and sanitary supplies kept many out of school. According to UNHCR approcimetly 1 million refugee children are enrold in UNHCR education support program. 40 precent of enlode are girls and adelnece women, 8 pecent are enrold at pre=school, 82% are attending primeryschool and 9 precent benefict from secondary scholl. Only 1 precent is attending higher education system. Pade 7 Document Summary note on UNHCR s strategy and Activities Conserning refugee children Geneva may 2002 http://docstore.ingenta.com/cgi-bin/ds_deliver/1/u/d/ISIS/53779900.1/oup/reflaw/2003/00000015/00000001/art00149/08C6A8EBB1C9214B1259885548168C930EA581BF55.pdf?link=http://www.ingentaconnect.com/error/deliveryformat=pd The majjoir solution to education problem is ensuring that all refugee children have access to primary and basic education and where possible secondary and professional education will help reduce the risk of exploitation. Special programmes should be tailored to the needs of girls who have dropped out of school to reduce the risk of vailence abuce. Children not only refugee should be educated on their rights. Various forms of social and life skills training, will help young people to make better life choices and help them protect themselves from exploitation. Equal participation of girls in school should be actively promoted. The community also should be involved in recruiting and managing teaching staff and educators whom they feel they can trust, as teachers can also be sexual abusers. Councelation of school fees or low cost of education should be placed. Furthermore, the clubs and counseling after school offerring support and relax. Ensure Access to Education SPECIAL CONSIDERATIONS FOR REFUGEE CHILDREN Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons Important is to mention of education for disable refugee children who quite often saffer isolation from community due to their conditions. Children with disabilities often do not get any support and services they need like physical rehabilitation, specialized education and social integration are sometimes neglected. Some times families, health workers and teachers have not understood the importance of including disabled children in normal patterns of activity. In some refugee situations, rehabilitation services are not provided because nationals do not have access to such services But still teachers should be encouraged to include disabled children in their classes whenever possible. Clear guidelines should be given on the physical needs of children with various types of disabilities. A positive attitude towards children with disabilities must be encouraged. Futhermore access to secondary school was nearly impossible for most young people in Sierra Leone and northern Uganda, virtually guaranteeing that they would not have the skills necessary to contribute to the economic development of their communities over time. While young refugees from Kosovo attended secondary school more often over all, they still faced major barriers. Fearing overcrowding, the Albanian government delayed entry into secondary school, and mandated that a summer school program be set up for refugee adolescents seeking to enter secondary school in the fall-a policy decision that left many young people idle. Later, Albanians returned to normal secondary schools in Kosovo after years of participating in a parallel school system, but the schools were in bad condition. Many young people in rural areas, especially girls and minority Romas, could not complete or move beyond primary school. Under very difficult security constraints, many Serb young people separated from fam ily members in order to complete their secondary education. Internally displaced young people often face even higher barriers to education than do refugees. For example, some young Sudanese refugees in northern Uganda fared better than Ugandan internally displaced youth because the refugees had help from UNHCR. By contrast, no international agency was charged with the protection and care of all IDPs. Less than 30 percent of school-age children in IDP camps were enrolled on a full-time basis, compared with the 93 percent primary school enrollment rate in other parts of Uganda. Despite the same security constraints, 77 percent of refugee students in northern Uganda were enrolled in primary school in one settlement that also benefited local Ugandan children. At the same time, both IDPs and refugees had equally poor access to secondary school. Young people who were able to attend school said it was difficult to learn. Their classrooms were often overcrowded and broken down or even witho ut walls and a roof. In the Achol Pii refugee settlement in northern Uganda, each teacher served a class of 110 children in their primary school. In all areas, paper, pens and books were lacking. Many teachers had been killed or had taken other jobs for their own economic survival. Those who remained, according to young people, were often unsupportive and badly prepared. Young people disliked teachers talking at them and called their methods old-fashioned and boring. Young people asked for more participatory approaches to teaching and for more opportunities to learn practical and vocational skills. They also asked for more support to help teachers. One young person said, We bring our teachers lunch, so that they will come back to us eac YOUTH SPEAK OUT: New Voices on the Protection and Participation of Young People Affected by Armed Conflict Womens Commission for Refugee Women and Children January 2005 SPECIAL CONSIDERATIONS FOR REFUGEE CHILDREN Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons Refugee children often can find themselves at risk of sexual abuse. Their limited ability to protect themselves and limited protection or lack of protection from the law of the host countries law and international institution make them varounable to sextioal explotaion. Refugee children, particularly unaccompanied and separated from families children often can find them at risk of sexual abuse and violence. Their limited ability to protect themselves and limited protection or lack of protection from the law of the host countries law and international institution make them varounable to sextioal explotaion. In many cases, trafficking may involve payment to child family or even child themselves Child abuse and exploitation within the family is mauch more complex challenge as sexual violence within the family is almost always seen as a private matter that should not involve outsiders; as a result, an abused child may be blamed for the incident and be further victimized. Alsow the abuse is cared by the person responsible for the protection . since the person who is responsible for protecting and caring for the child, in many cases a male relative, is doing neither. Sexual violence within the family is almost always seen as a private matter that should not involve outsiders; as a result, an abused child may be blamed for the incident and be further victimized The teenage mothers especially described pitiful and harsh lives: I have to sleep with so manymen to make 1500, so that I can feedmyself and my child. They pay me 300 each time, but if I am lucky and Iget an NGO worker he can pay me 1500 at one time and sometimes I get2000 (girl mother in Guinea) or I sleep with different men but mostly NGO workers because I have to eat and feed my child (girl mother in Liberia) Guinea Its difficult to escape the trap of those [

Pain assessment.

Pain assessment. CHAPTER-II REVIEW OF LITERATURE Review of literature is traditionally understood as a systematic and critical review of most important scholarly literature on a particular topic. According to Abdullah (1965) review of literature helps the researcher to analyze existing literature to generate research questions to identify what is known and not known about the topic and describe methods of inquiry used in earlier work, including their success and shortcoming. The purpose of review of literature involved in any research study is to become Knowledgeable in that field as much as possible this is the in depth search of the prior research. Research and non research literature were reviewed and organized under the following. Studies and literatures related to pain and pain assessment Studies and literatures related play distraction Techniques on Pain Studies and literatures related to Music distraction on Pain 1. Studies and literatures related to pain and pain assessment. Srouji R, et al., (2010) conducted a study on Pain assessment and non pharmacological management. He concluded that pain perception in children is complex, and is often difficult to assess. The distractions techniques are provided by nurses to manage pain in children is most effective when adapted to the developmental level of the child. Stinson J, et al., (2008) had done the systematic reviews on the effectiveness of pharmacological and non pharmacological management of acute procedure-related pain in children (n=1469) of one to 18 years. The reviewed findings suggested that distraction and hypnosis were effective for management of acute procedure-related pain in hospitalized children. Hockenberry and wilon et al., (2007) reported that brain perceives pain, there is a release of inhibitory neurotransmitters to hinder the transmission of pain and helps to produce on analgesic effect. This inhibition of the pain impulse is the fourth phase of the nociceptive process known as modulation. A protective reflex response also occurs with pain receptions. So while assessing pain intensity in children requires special techniques, therefore assessment requires using word such as owive, boo-boo. There are some unique tools available to measure pain intensity in children. Wongs (2007) stated that pain is often associated with fears, anxiety, and stress and non-pharmacological techniques, such as distraction, relaxation, guided imagery, and cutaneous stimulation provide coping strategies that may help reduce pain perception, make pain more tolerable, decrease anxiety, and enhance the effectiveness of analgesics. The strategies are safe, non invasive, and inexpensive, and most are independent nursing functions. The strategies that are appropriate for the childs age, pain intensity, interest, and abilities is often necessary to determine the most effective approach. Herr and. et.al., (2006) expressed that the child is unable to communicate the pain perception. So often the child requires special attention during assessment. Children who are developmentally delayed, 15 are psychotic, critically ill, dementia are examined with various pain behaviors assessment tools. Although it is important to understand that the pain is measured by using a pain-behavior scale. These tools identify the presence of pain, but not determine the intensity of pain. Joseph, Zeltzer, (2000) They state that there are three factors to assess pediatric pain: pain sensitivity, coping skills, and cognitive ability. Pain Sensitivity ascertained that pain sensitivity highly depends on childrens temperaments. Studies have shown that children with more pain-sensitive temperaments demonstrate increased reports of pain and anxiety during painful medical procedures. Significant differences in pediatric distress were found when those children received psychological interventions prior to the medical procedure. Their distress levels were significantly lower with the psychological intervention, which suggests that the interventions may benefit most children who are pain sensitive. Lara J. Spagrud.et.al (2003) conducted a study that suggested that the face pain scale revise, is a useful self report tool for assessing pain intensity in preschool and school age children who may not be able to use other pediatric self report pain measurement tools such as visual analog or numeric rating scales. Salantera S, Lauri S, Salmi TT, Aantaa R (1999) had done a survey on nursing activities and outcomes of care in the assessment, management, and documentation of childrens pain.(N=303) and retrospective chart review of 50 consecutive cases of operation of acute appendicitis was carried out. The results showed that nurses assess pain by observation of childs behavior and changes in physiology. The author suggested that development of pain assessment and documentation practices is needed in all settings. Cheryl. A. Gilbert et.al, (1999) conducted videotaped study to determinethe pain level based on facial expression to assess post operative pain in the age group of 13-74 months(N=48).Results demonstrated that face scale serve as a valid tool to assess persistent pain in young children. Carroll et.al., (1998) Reported that the degree of pain to which a child focuses attention can influence pain perception. Increased attention has been associated with increased pain response. So the nurses have to apply the various pain relief interventions such as distraction, relaxation, guided imaginary and massage. etc. MaiklerVE. (1991) conducted a study on effects of a skin refrigerant and age on the pain responses of infants receiving immunizations. The results showed that MANOVA revealed fewer distress behaviors following refrigerant spray and more complex, varied behavioral responses for older infants. The findings provide further evidence that infants perceive pain and that nursing interventions for pain reduction should be tested and extended to the very young. Rice L J. (1989) conducted a study on acute pain management in pediatric patients. Findings indicated that children often do not express pain in terms that are easily understood by adults. Distraction by parents or other factors may address the emotional component of pediatric pain. This review of acute pain management in children examines traditional practices as well as recent developments in acute pain management in infants and children. Schechter NL. (1985) conducted a study on pain control in children. He concluded that pain is not solely a fixed neurophysiologic response to a noxious stimulus but interaction of variables such as age, cognitive set, personality, ethnic background, and emotional state of the child. When approaching to pain in children, a high index of suspicion is necessary to determine the difficulty of verbalizing their discomfort. Play techniques are important in distraction from pain by nursing, medical, or child life personnel should be considered. Preparation of the child for procedures is often helpful as some of the fear of the unknown is eliminated. 2. Studies and literatures related play distraction Techniques Weiss KE, Dahlquist LM, Wohlheiter K. (2011) conducted a descriptive study on the effects of interactive and passive distraction on Cold Presser pain in Preschool-aged Children (N=60).Participants showed significantly higher pain tolerance during both interactive and passive distraction relative to baseline. They concluded that interactive and passive video game distraction appears to be effective for preschool-aged children during laboratory pain exposure. Uman LS, McMurtry CM (2009) had done the randomized control trial (N=1380) to examined the efficacy of seven psychological interventions like suggestion, breathing exercises, child directed distraction, parent-led distraction, nurse-led distraction on infants and children (1 month 11 years) for reducing pain and distress during routine childhood immunizations. The results showed that nurse-led distraction was effective in reducing distress (SMD, -0.40; 95% CI, -0.68 to -0.12; P = 0.005). The study findings suggested that combined cognitive-behavioral interventions, breathing exercises, child-directed distraction, nurse-led distraction, are effective in reducing the pain and distress associated immunizations. Miller K, et al., (2009) conducted a study on multimodal distraction to relieve pain in children undergoing acute medical procedures. They used hand held multimodal distraction device (MMD). Pain and anxiety scores were measured by Modified Faces, Legs, Activity, Cry and Consol ability Scale, Faces Pain Scale-Revised, Visual Analogue Scale and Wong-Baker Faces Pain Rating Scale. The study findings show MMD is more effective in reducing the pain and anxiety experienced by children in acute medical procedures. MMD is continuing to be trialed and is continuing to show positive clinical outcomes. Murphy G. (2009) had done a study on the effectiveness of distraction techniques for venepuncture. The findings show that distraction has been shown to reduce procedural distress in children. Further the study revealed that passive distraction is more effective than active distraction during venepuncture and that the effectiveness of a particular technique depends on the attention capacity of the child andtheir engagement in the distraction activity. Windich-BiermeierA (2007) had done a study on children and adolescents (N=50) ages 5 to 18, to evaluate the pain on distraction techniques during venipuncture by using self-selected distracters (i.e., bubbles, virtual reality glasses, or handheld video games, play toys) The design adopted for this study was intervention-comparison group design (n=28) and (n=22). The study participants demonstrated significantly less fear (P Cohen LL, et al., (2006) in their randomized control study on infants (n=136) (range=1-21 months; M=7.6 months, SD=5.0 months) and their parents to investigate the effectiveness of movie distraction in reducing immunization distress during their routine vaccinations. The behaviors were assessed by visual analog scale and a behavioral observation rating scale. The results indicated that parents and infants in the study group engaged in higher rates of distraction than experimental group both prior to and during recovery from the injection. The study findings suggested that a simple and practical distraction intervention can provide some distress relief to infants during routine injections. DAntonio IJ. (2006) conducted a study on use of therapeutic play in hospitals. He stated that play can be a tool to understand and intervene with pediatric patients. They develop a plan for purposeful play programs or play sessions with nurses who are clinical specialists, early childhood educators, and others who have expert knowledge of children and play equipment for the special needs of hospitalized children. For some children, hospitalization is a challenging experience that promotes a sense of competence and for others hospitalization is an experience that results in a negative outcome. Nurses can use play to provide pediatric patients with emotional and cognitive growth-promoting activities which facilitate a more positive hospital experience and long-term outcome. Cohen LL. (2002) had done the randomized trial (N=90) on reducing infant immunization distress through nurse directed distraction. Infants and their parents were randomly assigned to a distraction condition (i.e., nurses used stimuli to divert infants attention) or a typical care condition. The research outcome was measured by observational scale, parent and nurse ratings, and infant heart rate. Results indicated that infants engaged in distraction showed reduced behavioral distress. ThitipornUdomkittti(2001) investigated the effect of distraction on acute pain in infants. Results revealed that acute pain in infants who were distracted by a toy during receiving immunization had significantly lower mean of behavioral pain scores (p Sparks (2001) examined the effect of two forms of distraction on injection pain in a convenience sample of 105 preschool children. The results showed that both forms of distraction, bubble blower and touch, significantly reduced pain perceptions (P Bowen AM, (1999) had done the study to compare two brief, inexpensive distraction techniques for children receiving immunizations. Preschool children (n = 80) were assigned to a party blower intervention, a pinwheel intervention, or a control group. Nurses were instructed to use standard instructions for the control group, and to simply provide the distracter and encourage use, but not to spend time trying to train the child or force them to use it, for the other groups. Results of planned comparisons indicated significant party blower results in the childrens ratings of reduced distress (P Megal, Houser, Gleaves (1998) examined the effects of audio taped lullabies on physiological and behavioral distress and perceived pain among children during routine immunization. The samples were 99 healthy children age 3-6 years old. Half of them received the musical intervention during the immunization, while the other half did not. Children in each group were assessed pain and distress during five phases: baseline, pre immunization, during the immunization, after Band-Aid application, and 2 minutes after phase 4. Physiological methods included heart rate and blood pressure and self-report pain assessment by using the Oucher Scale were used to measure pain intensity. Besides, they were also assessed behavioral distress. Results indicated that no significant differences were found between experimental and control groups for heart rate, blood pressure, or Oucher scores. It may be possible that the reflective of the ages of children in the studies, 3-6 years, may not be able to focu s their attention on distraction devices. However, total distress scores of the experimental group were significantly less than the control group. French, Painter, Coury (1994) studied the effect of distraction technique on pain in preschool children receiving diphtheria, pertussis, and tetanus immunization. The samples were 149 children aged 4 to 7 years old who received the injection, one with and one without taught to blow out air repeatedly during the injection, as if they were blowing bubbles. Although self-report measures by parents, children, and nurses were not different between control and experiment Conditions, children who were taught to blow out air repeatedly during the injection had significantly fewer pain behaviors (P 2.Studies and literatures related to Music distraction on Pain Balan R, (2009) had done the comparative study on Indian classical instrumental music and local anesthetic cream on children aged 5-12 yrs in terms of in reducing pain during venepuncture was conducted at a tertiary care center. They were randomly assigned to 3 groups: local anesthetic (LA), music or placebo (control) group. The study findings showed that, using EMLA or Indian classical instrumental music can be significantly reduced pain in children. The difference between VAS scores with LA and music is not always significant. Bufalini A. (2009) conducted a study on pediatric patients undergoing painful procedures (lumbar injection, bone marrow aspiration, and arterial catheter) to assess the role of interactive music. Data significance was accepted with values of P Evans S (2008) conducted a study on complementary and alternative medicine for acute procedural pain in children. He suggested that music therapy also has gained some attention and for the most part shows promise in the pediatric acute pain setting. Noguchi LK. (2006) had done the study on the effect of music versus non music on behavioral signs of distress and self-report of pain in pediatric injection patients. Music has been examined as a potential distraction during pediatric medical procedures, but research findings have been mixed, due, in part, to the fact that children were primarily instructed to merely listen to the music. (n=64) The children 4- to 6(1/2) -years receiving routine immunizations were randomly assigned to one of three conditions: musical story, spoken story, or standard care/control. Participants in the musical story condition tended to be less distressed and report less pain than participants in the other two conditions, although these differences were not statistically significant. Subsequent analysis indicated that children who received more injections tended to benefit more from the music intervention, in terms of their perceived pain. Loewy,J.V(1997) states that music distraction using live, familiar music with unusual instruments can be effective in capturing and holding the childs attention during painful procedure, such as needle punctures. Malone (1996) conducted a study that focused on studying the effects of live music on the distress of pediatric patients receiving venipunctures, intravenous starts, and heel sticks. The study results indicated that all age groups appear to benefit from the live music as an effective method of distraction. The patients that demonstrated the most significant difference were children under the age of one. The distraction techniques were less cognitively advanced than the music therapy approaches for older children; rather, they attempt to soothe and relax the infant in order to distract him from his surroundings. Fowler-Kerry S, (1987) Conducted the study to assess the value of two cognitive strategies (suggestion and music distraction) in reducing pain in children. Two hundred children, aged 4.5-6.5 years, receiving routine immunization injections were randomly assigned to one of the intervention groups in this factorial study. The groups were designated as: distraction, distraction with suggestion, suggestion and control. Subjects reported their pain using a 4-point pain scale. Distraction was found to significantly decrease pain whereas suggestion did not. The results of this study support the use of music distraction in the reduction of injection pain in children.