Characters and Plot in the Black Gold Essay Example for Free

Characters and Plot in the Black Gold Essay It is not so frequent to find a novel written with an animal as the main character and the story revolving primarily around him. Nevertheless, there are writers like Marguerite Henry who writes animal stories with so much fascination and passion, one of which is the Black Gold. It was based on true-to-life experiences set during the early 1990s in Oklahoma and Kentucky. Mixing her vast knowledge about the topic and her creative talent in writing, Marguerite Henry was able to weave a story with extraordinary characters confronted with extraordinary conflicts. Brief Summary The story evolved in the story of a colt named Black Gold, following his adventures being a race horse. He was regarded by many as weak and not good in racing since he possesses a smaller body compared to other horses. But through the help of his trainer Hanley Webb and rider Jaydee Mooney, the colt started to win and finally gained victory in the Kentucky Derby. His success continued to flourish until he got injured in one of the races he joined. His leg got a quarter crack. Eventually, the colt died. Black Gold was given a burial in the middle of a field in New Orleans. Analysis of the Characters Being an animal is not a reason to live a life less simple. It is very much evident in the story of Black Gold. His life is consisted of complex occurrences that can be considered as more intricate when compared to lives of other people. His birth was a product of a dream. Al Hoots, the owner of Black Gold’s mother named U-See-It, dreamt that if he will breed U-See-It to a leading sire, the mare shall give birth to the horse that will win in the Kentucky Derby. As a result, Hoots tried to mate U-See-It to a stallion named Black Toney. The money Hoots used came from the oil that during that time was being excavated from their land in Oklahoma. Here is where the name Black Gold originated. Among the individuals who imparted time and dedication to Black Gold was his rider Jaydee Mooney. Jaydee Mooney was the one who initially believed in the capacity and talent of Black Gold: â€Å" †¦us Mooneys always try. We do our best†¦Ã¢â‚¬  ( p. 108). However, his spirit was pushed into limits when Black Gold got injured several days before the Derby: It was the first loss for the team of Black Gold and Jaydee Mooney. Was it the soreness in his foot showing up again-the same trouble hed had the week before the Derby? (p. 143). Nevertheless, Jaydee Mooney proved to be not only as a rider but a friend as well to Black Gold, especially when the horse died. Analysis of the Plot Since the book was based from true stories and actual experiences, Marguerite Henry wrote it by narrating events in chronological order. Although written in this manner, the book is not boring and dragging to read. It is because the plot itself is a compelling one that catches and drawn immediately the attention of its readers. She used literary devices so as to show her creativity and mastery in handling and writing a topic such as that presented in the book. Henry was also successful in presenting transition of events. Every chapter in the book promises a more interesting and intense happenings from previous events and chapters. In addition, Henry was effective in inflicting transitional devices that guide the readers while reading. The use of illustrations in the book helped in the proper interpretation of events in the story since the readers will be carefully guided while going on through the story. However, the use of these illustrations somehow gives an impression that Black Gold is a children’s book. But all in all, the story’s plot, as well as the book in general, was a well- crafted depiction of an extraordinary tale. Reference Henry, M. ( 1957). Black Gold. Illinois: Rand McNally

Defining Reflective Practice And Identifying Advantages And Implications Nursing Essay

Defining Reflective Practice And Identifying Advantages And Implications Nursing Essay The ability to become reflective in practice has become a necessary skill for health professionals. The implementation of reflective practice is now found in many of the other allied health care disciplines including the Radiography profession. UK health practitioners are expected to meet a continuing professional development standard (CPD), and reflection is a strategy that facilitates meeting this standard for registration (Driscoll and Teh, 2001). This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed. This assignment aims to address the definition of reflective practice, advantages and disadvantages associated, implications of reflective practice and how to improve reflection within healthcare. What is reflective practice? Reflective practice is advocated in healthcare as a learning process that encourages self evaluation with subsequent professional development planning (Zuzelo, 2009). Reflective practice has been identified as one of the key ways in which we can learn from our experiences. Reflective practice can mean taking our experiences as an initial point for our learning and developing practice (Jasper, 2003). Jasper (2003) summarises reflective practice as having the following three components: à ¢Ã¢â€š ¬Ã‚ ¢ Things (experiences) that happened to the person. à ¢Ã¢â€š ¬Ã‚ ¢ The reflective processes that enable to person to learn to learn from those experiences. à ¢Ã¢â€š ¬Ã‚ ¢ The actions that result from the new perspectives that are taken. Reflection is part of reflective practice and is a skill that is developed. It can be seen as a way of adjusting to life as a qualified healthcare professional and enhancing the development of a professional identity (Atwal Jones, 2009). Reflection re-examines the individual experiences or feelings, and the outcome of this is allowing the practitioner to develop a new perception and an appreciation of how the experiences encountered in practice can add to professional knowledge (Boud et al, 1985). Reflective practice permits the review of everyday practice to develop the additional knowledge, skills and competencies required to enhance care delivery. Reflection can be described as a process of reasoned thinking. It helps the practitioner to critically assess self, and their approach to practice (Fleming, 2006). There are different interpretations of reflection and reflective practice documented. However, there are two well known basic forms of reflection. Schà ¶n (1987) identifies two types of reflection that can be applied in healthcare, Reflection-in-action and Reflection-on-action. Reflection-in-action means examining your own behaviour and that of others while in a situation (Schon, 1995; Schon, 1987).   It can be termed as coming across situations and problems which may require thought and problem solving in the midst of practice. It can also be described as thinking whilst doing (Millinkovic and Field, 2005). Reflection-on-action is possibly the most common form of reflection. It involves revisiting experiences and critically analysing them to help improve skills and to improve future practice. The aim of reflection is to value strengths and to develop diverse, more effective ways of acting in the future (Somerville and Keeling, 2004). Reflective practice is seen as more than just a thoughtful process. It has the potential to be turned into a learning situation where future practices can be changed as a result of the process (Jarvis, 1992). Advantages of reflection Reflective practice is an essential component of continuing professional development (CPD) and is required by all regulatory bodies of healthcare professionals in order to maintain registration (Atwal Jones, 2009). However, Driscoll (2006) notes that reflective practice is regularly represented as a choice for health professionals, whether to be reflective or not to be reflective, about their clinical practice. Driscoll (2006) also notes that if there is such a commitment to reflection, it can help improve practice and transform healthcare. It has been argued that reflection on clinical work may be essential to the development of our clinical knowledge (Benner, 2001). Atwal and Jones (2009) suggest reflective practice can build up better levels of self-awareness about themselves as practitioners and as individuals, leading to opportunities for professional and personal development. There are benefits and barriers of incorporating reflection into the NHS and imaging professional prac tice. The benefits of reflective practice are: Reflection enables health professionals to share knowledge with others, to help practice and assists practitioners in making sense of challenging and complex situations (Chapman et al, 2008). This helps to optimise work practice and improve interprofessional relationships. Reflection allows an objective to look at our practice in order to improve the quality of our performance at work. It also allows practice to be critiqued, enabling enhancement in the development of areas needed to be improved, identifying learning needs (Stewart et al, 2000) and taking responsibility for continuing professional development (Griffin 2003). Reflection helps practitioners develop a questioning attitude and the skills needed to constantly update knowledge and skills (Westberg and Hilliard, 2001). Reflective practice helps recognise the strengths and weaknesses, enhancing development and helps apply the skill of reflection to CPD cycle. Reflection can assist the practitioner to observe the aspects of their practice, encourage professional development, personal growth and evaluation of skills ( Chapman et al,2008) Reflection helps practitioners make sense of challenging and complicated practice, and acts as a reminder that there is no end to learning (Zuzelo, 2009) Disadvantages of reflection There are known barriers which prevent practitioners being able to reflect effectively. Smythe (2004) questions whether there is any time to think and be reflective because of the busy work environment that practitioners are involved in. Barriers to reflection are: Lack of motivation to partake in reflection or reflective practices from staff or fellow colleagues. The culture of organisation. Some organisations may not promote reflective practice because it may not highly be favoured in the department, or there may not be any interest in reflection (Workforce Support, 2010). Some staff may not know how to undertake reflective practice because they may have not been taught how to undertake it and how to reflect in such a manner, and may be apprehensive about documenting experiences and emotions (Workforce Support, 2010). Some practitioners are rooted in the preconception that reflection is too difficult and that reflection is a taught skill (White, 2003). There is lack of time to undertake reflective practice as imaging departments today have an increase in workload and if the department is relatively busy, there is a lack of time to undertake reflection, as reflection does require some quality time (Johns and Freshwater, 2005). Radiography is largely scientific and technical therefore reflection does not need to play a role in the profession (Hall and Davis, 1999). However Radiography has evolved through the years and the work is becoming increasingly more patient centered. Reflection may be seen as something often used in response to a negative outcome (White, 2003). Implication of reflective practice in regards to service delivery and management. Service delivery is a vital component on improvement of health services. The World Health Organisation (2010) summarises that effective service delivery depends on key resources such as motivated staff, information and equipment, and these have to be well managed. Imaging departments need to make sure that these key components are in place, in order to deliver the best possible care, and making sure they exceed the requirements of the patient. It can be suggested that reflective practice is identified as an important strategy for enhanced care delivery and continuing professional development.The Health Professions Council standards of proficiency for Radiographers (HPC 2007/09) state that CPD contributes to the quality of practice and service delivery and stresses the value of reflection on practice and the need to record the outcome of such reflection. It is suggested that by supporting reflective practice in healthcare departments, issues of the quality of own service delivery can be raised. Reflection will also help develop service delivery and provide a service in the best possible way, and will allow the department to think about actions that are being undertaken that should not be, and actions that are not being taken that should be (E-training resources, 2010). Reflective practice may become an opportunity for innovation and change within the department. If reflective practice is to be supported in departments, the department would need to make sure that all staff are participating in reflective practice and making sure that staff are benefiting from this, and learning from their practice. Some staff members may find it difficult to engage in reflective practices, therefore it is essential that the department help assist with the reflective processes to make sure all staff are actively participating (Workforce Support, 2010).The service head would have to make sure that the staff in the department are undertaking some form of reflection and can build way s to help implement some reflective practice activities within the department for all staff to engage in. Implementing these practices will help shape the management of the department. Examples of reflection documented Many journals have been written that propose the use of reflective assignments and journaling as tools to improve reflection and thinking skills in healthcare (Chapman et al, 2008). Forms of reflection can be very useful in understanding how practitioners can improve both their professional practice and the organisation in which they work in (Workforce Support, 2010). Reflective practice can be made formal through such processes and underpins the process of continuing professional development (CPD) (White, 2003). Pee et al (2003) states that journal writing is a technique for individuals to express their experiences and to use the reflective and analytical, or critical thinking process for learning. Reflective journals are an ideal way to be actively involved in learning (Millinkovic Field, 2005) and can be implemented to allow practitioners to write down events in practice and their thoughts and actions on daily situations, and how this may impinge on their future practice (William s Wessel, 2004). Reflective clinical journals also present a method in which health care professionals may write about clinical learning experiences and reflect on them (Millinkovic and Field, 2005). Practitioners can progress their skills in reflective thinking and writing, which will allow the practitioners to become self- directed in their learning (Chapman et al, 2008). This is also in agreement with Kennison and Misselwitz (2002) as they state that reflective journals can be considered a helpful tool of reflection, as it can help develop the health care professionals writing skills, reflect on their practice, discover reactions and bring new meanings to past experiences. Reflective workplace diaries can also be used to promote reflective practice. Workplace diaries can be used to note down events that occurred within a clinical setting for example a critical incident or a patient interaction (Chapman et al, 2008). It is a daily record of day by day personal experiences and obs ervations and from these thoughts, ideas and feelings can be expressed. From this, questions such as what happened and why? How do I feel about it? What can I learn from it? Can be asked, and this will allow the practitioner to reflect on their topic in a deeper more thought processed structure. Chapman et al (2008) stresses that it is also important that when using the reflective diary, the health practitioner has to be able to reflect, are willing to reflect and to make changes from this reflection. A review of the diary will help practitioners progression of reflective writing, and more levels of critical reflection can be undertaken. Ways to improve reflection Reflection can be improved in a number of ways to help benefit the practitioner. Appraisals can be implemented within the department, for all health practitioners to take part in. The appraisals will encompass the practitioner to talk about their practice and how they are using their skills, and to reflect on the work that they are undertaking, taking note of any improvements that can be made to better the practice. An increase in knowledge can be demonstrated through reflective practice with the focus of reflective reports including involvement in audits and research (Snaith and Hardy, 2007). Snaith and Hardy (2007) also write that reviewing local practice initiatives among many other possible activities may help improve reflection. Continuing professional Development (CPD) essential to the enhancement of clinical skills (Chapman et al, 2008) and is mandatory to the HPC in order to retain registration. Imaging departments can implement ways for practitioners to engage in CPD activit ies that are accessible to all practitioners. CPD will help keep professionals up to date and will also help practitioners engage in ways in which they can reflect in the activity undertaken, which will enhance their reflective and thinking skills. This will benefit to lifelong learning (Chapman et al, 2008). Reflection can be incorporated into a CPD as a means to enhance and maintain reflective practice in a clinical setting. The Society and College of Radiographers CPD tool offers some direction to practitioners that want to present reflective evidence of their increasing knowledge base and a framework of how it may be planned (Kelly, 2005). Tutorials can be implemented in the department for practitioners that want to become involved in reflective practice, the different ways to reflect, and some frame works that are used for reflecting. Not many practitioners are aware of how to reflect on practice (Workforce Support, 2010). There are different ways of reflecting and by making th ese ways become known to practitioners, it can help decide which framework is best suited for their learning, and can undertake better reflection on their work. Conclusion Although experience is at the centre of learning in imaging departments, reflection is fundamental to deeper learning from experience. Reflective practice is becoming an essential skill that is incorporated into clinical practice and continuing professional development (CPD) and it is therefore important that the imaging department understand the role and the potential of reflection. The adoption of a reflective approach to clinical work is important since it is an effective means of highlighting best practice, whilst furthering professional development. Different ways to reflect in practice can be approached and adopted that will benefit future practice of the professional and how it implements their daily work lives; however, there are evident barriers to reflection within an imaging department. This includes time because of the busy environment a hospital encompasses and lack of motivation if the vast majority of health care practitioners are not undertaking it. Imaging department s have to implement ways in which the practitioners can reflect in their practice to enhance patient care and promote effective service delivery. Reflection can be a powerful mover in the process of learning, which can lead to change and the development on a professional and personal level and various measures have to be taken into account to achieve this.

Durkheim: Suicide and Solidarity in Society

Durkheim: Suicide and Solidarity in Society Durkheim and Links Between Suicide and Solidarity in Society Emile Durkheims third piece of work was, Suicide published in 1897 and was a case study of which the title describes. A subject that Durkheim was very interested in along with suicide rates and the aspects of social life which had an impact on these statistics. Durkheims own definition of suicide was applied to all cases of death resulting directly or indirectly from a positive or negative act of the victim himself, which he knows will produce this result (Durkheim, extract from Suicide p110). This instrumental piece of writing looked more closely at the sociological reasons behind taking ones life rather than the personal or psychological reasons. Durkheim gathered suicide rates and statistics from many European countries and these were analysed and played a large part in his beliefs that, changes in social solidarity were linked to suicide rates. He also offered his theoretical opinions on the social aspects that also, played a part in these suicide statistics and this essay shall delve more deeply in to the links between suicide and the changes in social solidarity. Emile Durkheim was a great believer in sociology, social facts and the aspects of social life that shape our actions as individuals, things like the state of the economy, religious influences or family. (Giddens, 1997). Social facts were important to Durkheim and he believed they ought to be studied seriously and as objectively as any other science. Durkheim was fascinated at how society was changing and transforming. That the very things that were important to society and glued it all together, values, morals and customs were changing with the times and to Durkheim this played a part in his conclusions on suicide and their rates. Durkheim spoke of society having sacred character and the emergence of sacred symbols. These were a key part of his theory. Durkheim focused much on social solidarity, he describes this as the belief systems and institutions which play a vital part in giving societies coherence and meaning in the way we relate to each other. As society changed it created new social situations and along with these came, what he called social conditions. These were things like severe neurosis and mental fatigue. All coming about as one type of society ends and another is born. He accounted several reasons for the changes in society, the boom of mass media, the vast increase in the use of steam power and scientific rationalism. Durkheim explained that morality was at the heart of social solidarity and its when social cohesion is lacking when those all important symbols, like religion and family, that bind us all together in a moral manner, fall to the wayside. These things taught us how to relate to one another and on their demise, society and how we achieve social solidarity demises also. In Durkheims words when society is strongly integrated, it holds the individual under its control (Durkheim,1982, Excert from Suicide p209). Durkheim makes a distinction between mechanical and organic solidarity. The first of which is what he considered to show the traits of a more traditional society. The division of labour was of a more simple nature and individuality was less common. He claims there was a far more collective consciousness and religion and god played a far bigger part in society. Mechanical solidarity occurs when individual differences are minimized and the members of society are much alike in their devotion to the common weal (Lewis A. Coser, 1971, Masters of Sociological Thought, p 30). Durkheim talks of legal codes and how when crimes are committed, they are offensive to the masses, not just the individual. In this type of society crimes and criminal behaviour are punished in a most serious way, sometimes even by death. In Durkheims own words an act is criminal when it offends strong and defined states of the collective conscience (Division of Labour, p 80). This contrasts strongly with how things are in this day and age and indeed when Durkheim noted changes in society, But today, it is said, punishment has changed it character, it is no longer to avenge itself that society punishes, it is to defend itself. (Division of Labour, p 86). Organic solidarity is related to a more modern society, where things are less traditional and things like family and religion are no longer at the very heart. This is a more capitalist society and has a high division of labour and specialised skills. The collective consciousness is less so and individuality is far more common. Social differences are obvious via class, race or gender. Specialized activities, different ways of living and individual dependence are all more common than within mechanical solidarity. Durkheim talks of the differences as individuals and as groups and thus a new form of social solidarity is born. Organic solidarity, presupposes not identity but difference between individuals in their beliefs and actions. The growth of organic solidarity and the expansion of the division of labour are hence associated with increasing individualism. (Giddens, p 77). Durkheims use of an organic analogy explains how he comes to use the term organic solidarity, Society becomes more capable of collective movement, at the same time that each of its elements has more freedom of movement. The solidarity resembles that which we observe among the higher animals. Each organ, in effect, has its special physiognomy, it autonomy. And moreover, the unity of the organism is as great as the individuation of the parts is more marked. Because of this analogy, we propose to call the solidarity which is due to the division of labour, organic. (Division of Labour, p 131). Durkheim believes that the division of labour, the rights given over more to individuals and that the division of labour was not a natural occurrence that benefited society and this is why organic solidarity was born. Durkheim spoke much on social solidarity and the division of labour. He argued that the process of transcending from mechanical to organic social solidarity was the very cause of new social and economic institutions and relationships. A more complex and specalised division of labour had not given the outcome Durkheim had predicted. He expected it would result in social economic meritocracy and this was not the case. Class conflict was one outcome of the division of labour. Anomic division of labour, Durkheim explains, happens in times of economic, commercial or industrial crisis. The unusual situation of conflict may occur between capital and labour and this would be seen as a non usual situation. Organic solidarity begins to break down and a state of anomie occurs. Forced division of labour happens when the division of labour does not continue organically. People may begin to act in ways that are aimed at protecting themselves or their position and constraints in place can cause inequalities between gender, race and or class. Durkheims interest in suicide and suicide rates within Europe stemmed from his belief that sociology could explain social malaise. He believed it was the path to modernity that caused social malaise. He also believed that psychology and neurology could only diagnose the problem not expose the social genus of condition. His interest in suicide was also stemmed from the division of labour in more modern societies and the importance of social solidarity on people. In another of Durkheims writings, Rules of the Sociological Method, he talked about the concept of anomie. Within his research he studied the suicide rates between catholics and protestants. He concluded that more protestants committed suicide than catholics did. His explanation for this was that catholics being more god fearing. and having more social control than protestants, stopped them from committing suicide as often as protestants did. Durkheim believes that the more social integration people have then the less likely they are to kill themselves. Those who have little social integration, less involvement in society, are more likely to kill themselves before they become a serious drain on society. According to Durkheim, changes in the modern world occur at such a speed and with such intensity, that social difficulties are born and these are what he link to anomie. A feeling of aimlessness or despair provoked by modern social life. (Giddens, (1997) It seems that part of this research could have been flawed. Durkheim didnt take in to account the guilt and shame that often came with Catholicism. Many times in the past catholic families would not declare their dead family members as having committed suicide for fear of not being given a proper burial or the shame faced by other members of the community. Therefore the statistics at that time could perhaps have been skewed down to these facts. Durkheim believed that the issues of social solidarity could well explain some of the reasons why people committed suicide. He believed those less involved and or couldnt identify with society were at risk of committing suicide or indeed those over involved with society too attached or unattached to the rules, morals, values and belief systems of society. Durkheim spoke of different typology of suicide, the first being Egoism and Altruism. Egoism suicide is when a person forms very little attachment to society. They cant see any worth in their own lives and suicide feels like a last resort.He claimed married people committed suicide less than people who were single and this was the typology that the protestants versus catholic rates would fall under. Altruistic suicide is the opposite effect. Its when a person develops an over attachment to the collective goals of society. He said this type occurs when people who belong to a tight knit group begin to feel threatened and in turn these types of suicide can almost be seen as honourable. More relevant today with suicide bombers, cult members and samurais. Durkheim described it as self destruction in defense. The second typology of suicide was anomic and fatalistic. The first being related too a person having a sudden and stressful change in their life circumstances. This could be from divorce to financial ruin, those who once held wealth and prestige and then faced to lose it all and become unemployed would perhaps commit anomic suicide. Fatalistic suicide, Durkheim explained was an intense over regulation of an individual by society. Therefore the types of people who may commit fatalistic suicide are slaves, prisoners of war or in earlier times perhaps women who remained unmarried or without children. Durkheim didnt consider this type of suicide to be common in the modern society. Durkheims work has been much accredited over the years. It was one of the largest studies carried out in a sociological perspective on suicide. His research methods and use of rates and statistics was innovative at the time it was carried out although as was the case with catholics versus protestants in regards to suicide rates, he did fail to take in to account the natural guilt that came with Catholicism. Some claim Durkheims approaches are too positive and or functionalist in nature. Durkheim puts huge emphasis on social facts and perhaps via this he fails to look more closely at personal phenomena. Others have claimed that Durkheims theories were not empirically supported . Durkheims work undoubtedly was remarkable in nature and offered a stunning insight in to suicide and the changes of social solidarity.

The Signalman, An Arrest and Napoleon and The Spectre. In this essay

The Signalman, An Arrest and Napoleon and The Spectre. In this essay I am going to compare and contrast them. All three of these stories use gothic techniques; however they have a variety Compare and Contrast Three 19th Century Short Stories The first gothic novel was written in 1764 by Horace Walpole. The novel was called ‘The Castle of Ortranto’. He created the criteria that all gothic writers use today. Gothic literature uses an atmosphere of mystery, shock and suspense to intrigue the reader or audience. The gothic vocabulary consists of words that create an atmosphere of; mystery, hate, tension, fear, sorrow and terror. Gothic novels usually are set in a house or place with a large amount of gothic architecture. Gothic literature has a common involvement with the supernatural. In most gothic stories there is a spectre, ghost or vision that is out of the ordinary. Gothic stories also often contain a mysterious ending. During the gothic phase many authors took to writing in this style. Authors such as Charlotte Bronte, Charles Dickens, Arthur Conan Doyle and Edgar Allen Poe all adopted the gothic style and wrote their own stories. Gothic architecture is also included many times to provoke an atmosphere of terror. The gothic style buildings had large arches and gargoyles that looked down from the ceiling, these things gave the image of darkness. The three stories that I have read are; The Signalman, An Arrest and Napoleon and The Spectre. In this essay I am going to compare and contrast them. All three of these stories use gothic techniques; however they have a variety of differences as well as similarities. ‘Napoleon and The Spectre,’ written by Bronte and ‘The Signalman’ written by Dic... ... his wife which acts as a deterrent to them developing their matrimonial relationship. The background information about the ‘ancestral halls’ at which they are staying gives the reader the sense that there is something strange about the house. The woman feels inexplicable draughts and John dismisses it and shuts, ‘the window.’ This implies a ghostliness and again call upon the theme of the supernatural. This contrasts with ‘the signalman’ and ‘napoleon and the spectre’ because the ghosts in those two stories are physically described, whereas here it is only suggested. As days go on the woman becomes obsessed with ‘the yellow wallpaper’ in the corner of her room. The wallpaper was; ‘repellent, almost revolting: a smouldering†¦Ã¢â‚¬ ¦sulphur tint in others.’ The wallpaper seems to have a power of its own drawing the woman into an unhealthy hobby of following it.

Capitalism and the Joy of Working :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Enjoyment of work and creativity is more important to most people than higher pay. Employers cant pay to get more creativity because it is not just about the money. Something meaningful and challenging is generally more important for new workers coming into the workforce. No more is it the hope of reaching fame or making money that drives the workforce. It’s the opportunity to do the work that is enjoyed. Mihaly Csikszentmihalyi, a psychologist at the University of Chicago and author of Finding Flow: The Psychology of Engagement With Everyday Life, has found through his research that for some people, paying them to do things they enjoy actually reduces their interest in doing those things. Another theory is that if you take your hobby and turn it into a career you wont enjoy it as much.   Ã‚  Ã‚  Ã‚  Ã‚  Capitalism plays a key factor in creativity because the workforce needs to be stimulated in order to produce good results. â€Å"Cracking the whip† on an assembly line stifles creativity in the workplace and most workplaces are not assembly lines like they were a while back. Leaders that work under an authoritarian model stifle creativity and innovation. This will ultimately lead to low productivity and low turnover within the workforce. The â€Å"good life† just doesn’t happen anymore. There aren’t millions of people working in assembly lines and in automobile manufacturing plants .. people are creating their happiness and most of it is a direct result on how they spend their time while they are punched into a clock.   Ã‚  Ã‚  Ã‚  Ã‚  When what we do at work is meaningful people don’t get bored or distracted, they get so involved they forget to eat. The world, and capitalism, needs creativity and innovation and without it would breed a lull in change and technology. Obviously, change and technology are what drives our capitalistic society.   Ã‚  Ã‚  Ã‚  Ã‚  I remember my father always telling me that in order to appreciate and value the things you have you have to work for them yourself. I think the same holds true for business ventures. Having a personal interest and a personal bank account on line drives one to succeed possibly all the more than k working for a set paycheck.   Ã‚  Ã‚  Ã‚  Ã‚  Wealth and prosperity are created with capitalism. Freedom, self-interest and competition make for a healthy environment engulfed in capitalism. Freedom is the rights to exchange products and capital. Self-interest is the right to pursue ones own happiness (which after all is the American way) which transforms into pursuing ones own business and use it to appeal to the consumers.

Non Hormonal Methods Of Contraception Health And Social Care Essay

The planetary human immunodeficiency virus ( HIV ) pandemic is progressively going a load of the female population. HIV is preponderantly acquired through heterosexual transmittal and in many parts of the universe, HIV prevalence and incidence rates are higher among adult females than work forces ( Daly et al 1994 ) . At the terminal of 2007, an estimated 15.4 million adult females were infected with HIV, most of them being of fertile age ( Heikinheimo and Lahteenmaki 2008 ) . Importantly, immature adult females aged 15-24 have a 4- to 7-fold increased hazard of going infected with HIV, when compared with immature work forces of the same age ( Simon et al. , 2006 ) . The demographics and paths of infection vary harmonizing to the stage of the HIV epidemic ( Beyrer, 2007 ) . Womans with HIV infection may wish to be after gestation to restrict their household or avoid gestation. The pick of contraceptive method in people populating with HIV is constrained by the demand to forestall bot h sexual transmittal of HIV and unwanted gestations. Correct usage of most user dependant methods requires a basic cognition of reproduction and literacy accomplishments to follow written instructions. Double map preventives that at the same time prevent HIV transmittal every bit good as unwanted gestations might be the most appropriate prophylactic method for adult females populating with HIV and AIDS ( Kakaire et al, 2010 ) .Main BodyThe human immunodeficiency virus ( HIV ) is a retrovirus belonging to the household of lentiviruses. Retroviruss can utilize their RNA and host Deoxyribonucleic acid to do viral DNA and are known for their long incubation periods. Like other retroviruses, HIV infects the organic structure, has a long incubation period or clinical latency, and finally causes the marks and symptoms of disease. HIV causes terrible harm to the immune system and finally destroys it by utilizing the Deoxyribonucleic acid of CD4+ cells to retroflex itself. In that procedure, the virus finally destroys the CD4+ cells ( Calles et al. 2010 ) . There are two types of human immunodeficiency virus ( HIV-1 and HIV-2 ) , which each evolved from a different simian immunodeficiency virus ( SIV ) . Both viruses emerged in the late twentieth century. In contrast to the SIV ‘s, which appear non to harm their natural archpriest hosts. HIV infection amendss the immune system, go forthing the organic structure susceptible to infection with a broad scope of bacteriums, viruses, Fungis, and Protozoa ( Calles et al. 2010 ) . Surveies have shown dramatic similarities but besides of import differences between HIV-1 and HIV-2. They have the same manners of transmittal and are associated with the same timeserving infections, but HIV-2appears to come on at a slower rate ( CDC ) . HIV-1 is much more prevailing than HIV-2. It is HIV-1 that is mostly responsible for the AIDS pandemic, while HIV-2 is chiefly restricted to West Africa. Now, in each twelvemonth of the early twenty-first century there are about 5 million new HIV infections, and about 3 million deceases from AIDS, which has become the 4th biggest cause of mortality in the universe ( Carter and Saunders 2007 ) . HIV-1 infection is characterized by an insidious impairment of the cellular immune system ( Vergis and Mellors 2000 ) . Both the measure and proportion of plasma CD4+ T-cells lessening steadily over a period of old ages to decennaries, and this progressive loss of CD4+ T-cells is associated with the development of AIDS in septic persons. The grade of immunodeficiency associated with HIV-1 infection, as defined by the oncoming of timeserving diseases, correlatives closely with plasma CD4+ T-cell counts ( Calles et al. 2010 ) . HIV ‘s Life Cycle Host cells infected with HIV have a sawed-off life span as a consequence of the virus ‘s utilizing them as â€Å" mills † to bring forth multiple transcripts of new HIV. Thus, HIV continuously uses new host cells to retroflex itself. Equally many as 10 million to 10 billion virions ( single viruses ) are produced day-to-day. In the first 24 H after exposure, HIV onslaughts or is captured by dendritic cells in the mucose membranes and tegument. Within 5 yearss after exposure, these septic cells make their manner to the lymph nodes and finally to the peripheral blood, where viral reproduction becomes rapid. CD4+ lymphocytes that are recruited to react to viral antigen migrate to the lymph nodes. These become activated and so proliferate via complex interaction of cytokines released in the microenvironment of the lymph nodes. This sequence of events makes the CD4+ cells more susceptible to HIV infection, and it explains the generalised lymphadenopath y feature of the acute retroviral syndrome seen in grownups and striplings. In contrast, HIV-infected monocytes allow viral reproduction but resist violent death. Therefore, monocytes act as reservoirs of HIV and as effecters of tissue harm in variety meats such as the encephalon ( Calles et al. 2010 ) . The HIV life rhythm includes six stages harmonizing to Calles et Al. ( 2010 ) binding and entry, rearward written text, integrating, reproduction, budding, and ripening ( Figure 1. Appendix 2. ) . Binding and Entry, the envelope proteins gp120 and gp41 bind to CD4+ cell receptors and co-receptors on the exterior of CD4+ cells and macrophages. The chemokine receptors CCR5 and CXCR4 facilitate viral entry. T-cell tropic viruses require CXCR4 to adhere, and macrotropic strains of the virus require CCR5. R5 is the most common virus transmitted during acute infection, and subsequently during infection X4 is the virus that is most common. The presence of a homozygous inactive mutant of the CCR5 allelomorph has caused opposition to infection by the R5 virus. The connection of the proteins and the receptors and co-receptors fuses the HIV membrane with the CD4+ cell membrane, and the virus enters the CD4+ cell and macrophage. The HIV membrane and the envelope proteins remain outside of the CD 4+ cell, whereas the nucleus of the virus enters the CD4+ cell. CD4+ cell enzymes interact with the viral nucleus and excite the release of viral RNA and the viral enzymes rearward RNA polymerase, integrase, and peptidase. The HIV RNA must be converted to DNA before it can be incorporated into the Deoxyribonucleic acid of the CD4+ cell. This incorporation must happen for the virus to multiply. The transition of HIV RNA to DNA is known as contrary written text and is mediated by the HIV enzyme contrary RNA polymerase. The consequence is the production of a individual strand of Deoxyribonucleic acid from the viral RNA. The individual strand of this new DNA so undergoes reproduction into dual isolated HIV DNA. Once rearward written text has occurred, the viral DNA can come in the karyon of the CD4+ cell. The viral enzyme integrase so inserts the viral DNA into the CD4+ cell ‘s Deoxyribonucleic acid. This procedure is known as integrating. The CD4+ cell has now been changed into a mill used to bring forth more HIV. The new DNA, which has been formed by the integrating of the viral DNA into the CD4+ cell, causes the production of courier Deoxyribonucleic acid that initiates the synthesis of HIV protei ns ( Calles et al. 2010 ) . The HIV proteins and viral RNA, all the constituents needed to do a new virus, gather at the CD4+ cell membrane to organize new viruses. These new viruses push through the different parts of the cell wall by budding. Many viruses can force through the wall of one CD4+ cell. These new viruses leave the CD4+ cell and contain all the constituents necessary to infect other CD4+ cells. The new virus has all the constituents necessary to infect other CD4+ cells but can non make so until it has matured. During this procedure, the HIV peptidase enzyme cuts the long HIV proteins of the virus into smaller functional units that so reassemble to organize a mature virus. The virus undergone the procedure of ripening and is now ready to infect other cells ( Calles et al. 2010 ) . Safe and effectual methods of contraceptive method represent a critical constituent of preventative wellness attention cut downing maternal and infant mortality ; particularly in adult females populating in resource-limited scenes ( Zdenek et al. 2010 ) here is broad fluctuation in contraceptive method prevalence worldwide runing from 8 % of adult females aged 15-49 old ages in western Africa up to 78 % in northern Europe. Female sterilization ( 32 % ) , intrauterine devices ( 22 % ) , and the unwritten preventive pill ( 14 % ) history for more than two tierces of all prophylactic pattern worldwide.4 In less developed states 70 % of contraceptive method users rely on female sterilization and intrauterine devices in portion because they are advocated by health care services as a consequence of cost effectivity in footings of gestation bar and service proviso ( UNPD, 2001 ) . Non-Hormonal Methods of Contraception A high grade of protection against HIV sexual transmittal is provided by consistent correct rubber usage ( Davis and Weller 1999 ) ; inconsistent or incorrect usage is non protective. Most planetary HIV transmittal occurs because rubbers are non used at all during sexual intercourse ( Steiner and Cates 1999 ) .Condom accidents are reported by 1-12 % of users and the method prophylactic failure rate is at least 12 % ( Trussel et al. 1992 ) . Double protection, the coincident usage of an effectual contraceptive method method with consistent rubber usage, has been advocated to cut down the hazard of unplanned gestation, horizontal transmittal of HIV to a non-infected spouse, transmittal of immune virus to an spouse with HIV infection, and the hazard of acquisition of other STIs including high hazard human papillomavirus ( HPV ) types ( UNDP/UNFPA/WHO 2002 ) . Male rubbers are the lone means proven to significantly cut down the hazard of HIV transmittal in heterosexual intercourse ( Cates 2005 ) . Harmonizing to a recent Cochrane reappraisal, consistent usage of male rubbers consequences in 80 % decrease in the hazard of HIV transmittal among HIV-serodiscordant twosomes ( Weller and Davis-Beaty, 2002 ) .The female rubber is a polyurethane sheath with two flexible rings at each terminal ; one ring is inserted into the upper vagina and the other covers the introitus. The female rubber is less likely than male rubbers to leak or interrupt during sex, but invasion of the outer pealing into the vagina is reported in 2 % of copulatory episodes. The cumulative chance of vaginal exposure to seeds with female rubber usage has been estimated as 3 % , compared to 11.6 % with the male rubber. The prophylactic failure rate is estimated at 5-21 % over 12 months ( Daly et al. 1994 ) . Consistent usage of rubber was associated with holding one spouse, greater income, no illicit drug usage and when rubbers were the lone preventive method used ( Wilson et al. 1999 ) .Women who besides use, effectual or long term methods of contraceptive method are less likely to describe consistent rubber usage ( Magalhaes et al. 2002 ) . Condom usage is besides related to whether the adult female has informed her spouse of her position ( DesgreA?es-du-LouE†  et al. 2002 ) less consistent usage is reported by concordant twosomes ( Clark et al. 1997 ) , even within discordant partnerships consistent rubber usage is reported by merely about 50 % twosomes ( Allen et al. 2003 ) .Obstacles to greater usage of male rubbers include deficiency of handiness, fright of being perceived as holding multiple spouses and being unfaithful to a regular spouse, resistance on spiritual evidences, and male laterality in determination devising ( UNDP/UNFPA/WHO, 2002 ) . Women populating with HIV inf ection may experience unable to unwrap their HIV position and negotiate rubber usage with new sexual spouses for fright of forsaking, domestic force, loss of economic support, and societal isolation. The issues around female rubber usage are besides negociating barrier method usage, ( Kalichman et al.2000 ) method acceptableness by users, and higher cost compared with the male rubber. The WHO audience on reuse suggested that female rubbers still run into fabrication quality appraisal specifications after seven rhythms of bleach disinfections, rinsing, drying, and relubrication. This protocol has non been evaluated for safety and efficaciousness in human usage and the WHO does non urge or advance reuse of female rubbers and is presently patronizing research to measure reuse protocols under local conditions ( WHO, 2002 ) . Furthermore, stop and vimules cover the neck and parts of the vaginal wall, while caps cover merely the neck. Their usage in discordant twosomes is non recommended, as a comparatively big country of vaginal mucous membrane remains exposed, micro injury during interpolation, and the accompaniment usage of nonoxynol-9 spermatocide may do epithelial break and increase viral transmittal hazard to the male spouse ( Carlin and Boag 1995 ) . Nonoxynol-9 ( N-9 ) spermatocide provides no protection against sexually familial infections including HIV ( Wilkinson et al. 2002 ) and frequent usage increases the hazard of HIV acquisition ( Van Damme et Al. 2002 ) . WHO Contraceptive Research and Development ( CONRAD ) proficient audience concluded that N-9 should non be used or promoted for the bar of HIV in adult females at high hazard of infection ( WHO 2001 ) . There are no published surveies on the female-male transmittal hazard with N-9 usage by adult females with HIV infection. It seems advis able for adult females with HIV infection with discordant sexual spouse to avoid N-9 spermicidal entirely or with other prophylactic methods to cut down the possible hazard of HIV sexual transmittal. There is no grounds that rubbers lubricated with N-9 are more effectual in forestalling gestation than rubbers lubricated with silicone. However, where pick is limited it is better to utilize any rubber than no rubber at all. In the hereafter, effectual and acceptable micro biocides may hold a function, supplying HIV positive adult females unable to negociate consistent rubber usage with a discordant spouse with an extra method to cut down sexual transmittal. HORMONAL METHODS OF CONTRACEPTION The combined unwritten preventive ( COC ) pill is an effectual user dependent contraceptive method with the non-contraceptive benefits of rhythm control, decrease in hypermenorrhea and dysmenorrhoea. Absorption can be affected by drawn-out intercurrent diarrhea and emesis. The COC is metabolised by the liver and its usage is contraindicated in adult females with unnatural liver map, which may be caused by intoxicant maltreatment, ague or chronic viral hepatitis, and inauspicious events on antiretroviral combinations. These factors are peculiarly relevant when doing contraceptive method picks for HIV positive adult females who are current or old shooting drug users with chronic active hepatitis C infection. Current drug users frequently have a helter-skelter life style that precludes effectual usage of user dependent contraceptive method methods ( Mitchell and Stephens, 2004 ) . Progestogen ( POP ) merely pills methods may be used by adult females with contraindications to estrogen usage. The POP is an effectual preventive method with right and consistent usage ; ovulation is non inhibited in all users, and inconsistent usage can ensue in gestation. A new progestin merely pill, Cerazette, which contains 75 milligram desogestrel, has late been introduced. In surveies Cerazette inhibited ovulation in97 % of rhythms at 7 and 12 months after induction ; this would propose enhanced efficaciousness in comparing with conventional POPs, though as yet unconfirmed by comparative tests ( Mitchelle and Stephens, 2004 ) . Under the long playing progestin merely contraceptive method, depot Provera ethanoate ( DMPA ) 150 milligram is given by deep intramuscular injection at 12 hebdomadal intervals and norethisterone oenanthate ( Noristerat ) 200 mg every8 hebdomads. These methods have the advantage of non being intercourse related but require regular entree to wellness attention for repetition injections. Likewise, implants need to be inserted by a trained wellness professional. Implanon is effectual for 3 old ages, and Jadelle for 5 old ages ( non licensed in the United Kingdom ) ; both are extremely effectual, non-user dependant, and reversible methods of progestin merely contraceptive method. Harmonizing to Mitchell and Stephens ( 2004 ) , factors impacting contraceptive method pick for HIV positive adult females are influence by the state of abode, the handiness of methods, entree to healthcare services, and cost.Religious, cultural, and personal beliefs of the function of adult female in society, acceptableness to spouse, effects on menses. Subsequent is the HIV position of adult female that involves the CD4 count, viral burden and physical well-being. Furthermore HIV serostatus, indefinite spouse concordant and discordant. Then catamenial, sexual, and generative history consist of hypermenorrhea, dysmenorrhoea, past pelvic infection, past ectopic gestation, gestation planning. In add-on the medical history findings like unnatural liver map, past history of venous thromboembolic disease, high blood pressure, lipemia, and current drug maltreatment. Finally the medicines causes such as, enzyme inducers, antibiotics, teratogenic agents. In the survey of ‘contraception among individuals populating HIV with infection go toing an HIV attention and support Centre in Kabale, Uganda ‘ by Kakaire et Al. ( 2010 ) shows that factors independently associated with prophylactic usage were degree of instruction and whether respondent has changed spouses since HIV diagnosing. Contraception usage and conformity is related to the scope of methods available, patient pick, prevailing wellness and spiritual beliefs, perceptual experiences of method effectivity, and side effects ( for illustration, adult females may hold less tolerance for heavy and drawn-out vaginal hemorrhage than amenorrhea ( Playle 2000 ) . Correct usage of most user dependant methods requires a basic cognition of reproduction and literacy accomplishments to follow written instructions. In Gazmararian et Al, ( 1999 ) many states adult females are unable to do independent determinations about their sexual and generative wellness because of political inst ability within society, deficiency of economic independency, and predominating cultural or spiritual attitudes to adult females ‘s rights. The Government ‘s 2001 National Strategy for Sexual Health and HIV outlined policies to cut down degrees of insecure sex, new HIV diagnosings, and undiagnosed HIV by 2007, via puting in bar, bettering outreach services, co-ordinating enterprises and widening information runs. A cardinal mark for a 25 % lessening in freshly acquired HIV infections by 2007 was non met ; new diagnosings have increased significantly. The US Department of Health ( 2009 ) argues that other marks were achieved ; HIV proving increased and clinic waiting times declined. A policy briefing high spots the crisis in presenting just wellness attention for people populating with HIV and AIDS, and the overpowering load it places on adult females and misss. HIV and AIDS have brought an increased demand for community and home-based attention. Due to traditional gender norms and unequal gender dealingss it is the adult females and misss in the communities who are the primary health professionals, whilst perchance being HIV positive, and frequently needing attention themselves.DecisionAt this point in the AIDS epidemic, the bar of the heterosexual transmittal of HIV is of paramount importance ( Daly et al. 1994 ) . Women all over the universe are at hazard for HIV, even within matrimonial relationships. Sing that preventive usage is being promoted worldwide, including in countries where HIV incidences increasing, farther cognition sing the consequence of single preventives on HIV transmittal is imperative. Development and proviso of safe, effectual, low-cost a nd acceptable contraceptive method for adult females at hazard of HIV and those populating with HIV/AIDS is one of the major challenges of generative medical specialty. Currently, consistent usage of male rubbers is the lone proven means to cut down the hazard of HIV transmittal in heterosexual intercourse. All the available reversible prophylactic methods-OCs, prophylactic injections and IUDs-can by and large be used both by adult females at hazard of HIV infection and by HIV-infected adult females. An ideal preventive scheme for adult females at hazard of HIV infection would supply coincident protection against both unintended gestation and HIV acquisition. Word Count: 3,029Appendix 1Mention Lists:Allen, S. , Meinzen-Derr, J.and Kautzman, M. ( 2003 ) . Sexual behavior of HIV discordant twosomes after HIV guidance and testing. AIDS, vol.17, p. 733-740. Beyrer, C. ( 2007 ) . HIV epidemiology update and transmittal factors: hazard and hazard contexts-16th International AIDS Conference Epidemiology Plenary. Clin Infect Dis, vol. 44, p. 981-987. DesgreA?es-du-LouE†  , A. , Msellati, P. and Viho, I. ( 2002 ) . Contraceptive usage, protected sexual intercourse and incidence of gestations among African HIV-infected adult females. DITRAME ANRS 049 Project, Abidjan 1995-2000. Int J STD AIDS, vol. 13, p. 462-468. Calles, N. , Evans, D. and Terlonge, DL. ( 2010 ) . PATHOPHYSIOLOGY OF THE HUMAN IMMUNODEFICIENCY VIRUS. HIV Curriculum for the Health Professional, p. 7-14.http: //bayloraids.org/curriculum/files/2.pdf. Carlin, E.M. and Boag, F.C. ( 1995 ) . Women, contraceptive method and STDs including HIV. International Journal of STD and AIDS, vol. 6, p. 373-386. Carter, J.B. and Saunders, V. A. ( 2007 ) .Virology: rules and applications. England: John Wiley and Sons Ltd. Cates, W. ( 2005 ) .Review of non-hormonal contraceptive method ( rubbers, intrauterine devices, nonoxynol-9 and jazz bands ) on HIV acquisition. Journal of Acquired Immune Deficiency Syndrome, vol.38, sup.1, s8-10. Clark, R.A. , Kissinger, P. and Bedimo, A. ( 1997 ) . Determination of factors associated with rubber usage among adult females infected with human immunodeficiency virus. Int J STD AIDS, vol.8, p. 229-233. Centers for Disease Control. ( 1998 ) . National Center for HIV, STD, and TB Prevention, Division Of HIV/AIDS Prevention: A Human immune lack virus type 2. Daly, C.C. , Helling-Giese, G.E. and Mati, J.K. ( 1994 ) . Contraceptive methods and the transmittal of HIV: deductions for household planning. Genitourinary Medicine, vol. 70, p. 110-117. Davis, K. and Weller, S. ( 1999 ) . The Effectiveness of Condoms in cut downing heterosexual transmittal of HIV. Family Planning Perspectives, vol.31, p. 272-279. Gazmararian, J.A. , Parker, R.M. and Baker, D.W. ( 1999 ) . Reading accomplishments and household planning cognition and patterns in a low-income managed-care population. Journal of Obstetrics and Gynaecology, vol.93, p.239-244. Heikinheimo, O. and LaA?hteenmaA?ki, P. ( 2008 ) . Contraception and HIV Infection in Women. Human Reproduction Update, vol.15, no.2, p. 165-176. Kalichman, S.C. , Rompa, D. , and Cage, M. ( 2000 ) . Factors associated with female rubber usage among HIV-seropositive adult females. Int J STD AIDS, vol.11, p.798-803. Kakaire, O. , Kaye, D.K. and Osinde, M.O. ( 2010 ) . Contraception among individuals populating HIV with infection go toing an HIV attention and support Centre in Kabale, Uganda. Journal of Public Health and Epidemiology, vol. 2, issue 8, p. 180-188. Magalhaes, J. , Amaral, E. and Giraldo, P.C. ( 2002 ) . HIV Infection in adult females: impact on contraceptive method. Contraception, vol. 66, p. 87-91. Mitchell, H. S. and Stephens, E. ( 2004 ) .Contraception pick for HIV positive adult females. Sexual activity Transm Infect, vol. 80, p.167-173. Playle, J.F. ( 2000 ) . Concepts of conformity: apprehensions and attacks. British Journal of Family Planing, vol.26, p.213-19. Simon, V. , Ho, D. and Karim, Q. ( 2006 ) . HIV/AIDS epidemiology, pathogenesis, bar, and intervention. Lancet, vol. 358, p. 489-504. Steiner, M.J. and Cates, W. ( 1999 ) . The existent job with male rubbers is non-use. Sexually Familial Diseases, vol. 26, p. 459-462. Trussel, J. , Warner, D.L. and Hatcher, R.A. ( 1992 ) . Condom slippage and breakage rates. Family Planing Positions, vol.24, p. 20-23. UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO. ( 2002 ) .HIV/AIDS makes double protection a must. Progress in Reproductive Health Research Quarterly Newsletter, no 59. United Nations Population Division Statistics Department of Economic and Social Affairs. ( 2001 ) .World preventive usage. Van Damme, L. , Ramjee, G. and Alary, M. ( 2002 ) . Effectiveness of COL-1492, anonoxynol-9 vaginal gel, on HIV-1 transmittal in female sex workers: A randomized controlled test. Lancet, vol. 360, p. 971-977. Vergis, E.N. and Mellors, J.W. ( 2000 ) .A Natural history of HIV-1 infection. Infect Dis Clin North Am, A vol. 14, issue 4, p. 809-825.A Weller, S.C. and Davis-Beaty, K. ( 2002 ) . Condom effectivity in cut downing heterosexual HIV transmittal. Cochrane Database Systematic Reviews, issue 1, p.1-22. Wilkinson, D. , Tholandi, M. and Ramjee, G. ( 2002 ) . Nonoxynol-9 spermatocide for bar of vaginally acquired HIV and other sexually familial infections: systematic reappraisal and meta-analysis of randomised controlled tests including more than 5000 adult females. Lancet Infect Dis, vol, 2, p. 613-617. Wilson, T. , Massad, L.S. and Riester, K.A. ( 1999 ) . Sexual, prophylactic, and drug usage behavior of adult females with HIV and those at high hazard for infection: consequences from the Women ‘s Interagency HIV Study. AIDS, vol. 13, p. 591-598. WHO/CONRAD Technical Consultation on Nonoxynol-9. ( 2001 ) .Geneva, Summary Report. WHO. ( 2002 ) . Information update: considerations sing the reuse of the female rubber, ( www.who.int/reproductive-health/rtis/reuse.en.html ) . Zdenek Hel, Z. , Stringer, E. and Mestecky, J. ( 2010 ) . Sexual activity Steroid Hormones, Hormonal Contraception, and the Immunobiology of Human Immunodeficiency Virus-1 Infection. Endocrine Reviews, vol.31 ( 1 ) , p.79-9.

“500 Days Of Summer” Film Essay

Non-verbal communication plays a key role in signifying the status of Tom and Summer’s relationship. Provide depth examples of how proxemics, eye contact, touch, and chronemics are articulated in the film. Interpersonal communication skills provide the tools to make a foundation for friendships and romantic relationships. Conflict and nonverbal communication are looked into with more depth in interpersonal relationships. In the movie 500 Days of Summer, audiences a lot of nonverbal communication. The movie shows characters Tom Hansen and Summer Finn during their attempts to build a relationship. Tom and Summer’s experiences shows issues such as conflicts within a romantic relationship, and nonverbal communication. In 500 Days of Summer, nonverbal communication signified a great deal between Tom and Summer. One example of nonverbal communication is when Tom reached to hold Summer’s hand in public, but Summer moved her hand quickly away from his, so that they wouldn’t hold hands. Not only was she letting him know she did not want to show affection in front of anyone, but she was stating her loss of interest in him romantically. However, moments such as this were evidence of mixed messages Summer usually showed to Tom. She did keep physical intimacy with him. However, she did not want to publicly establish a romantic relationship with him. Then again nonverbal messages are more easy to change and mean another than verbal meanings. A smile can express comfort or just being happy or smiling because someone else in smiling at you. Another example that of non verbal communication that showed, is when Tom and Summer went to the store and they were flirting with each other and playing the roles if they were all ready living together. The Proxemics in that chosen area gave them the opportunity so show more affection with each other. They had a depiction of the future they could have with one another. To go more into depth they were already a lot of problems that were going on between Tom and Summers relationship. There were many nonverbal cues between Tom and Summer. A lot of problems came in to play when one of them confused or  misinterpreted the others nonverbal communications. All in all, relationships are built upon building blocks of many subjects. In the movie 500 Days of Summer, one can see the nonverbal communication through out the whole movie. People will see Tom and Summer’s example of how relationships are able to form, as well as how relationships can be terminated from the non verbal communication skills with many other communication problems.