Physician career research paper Example | Topics and Well Written Essays - 1500 words

Physician career - Research Paper Example This paper investigates the academic requirements, career outlook, and potential income of studying medicine as a career in addition to talents and personal attributes necessary to succeed as a physician. In United States, all medical practitioners with a professional degree in medicine are regarded as physicians. UBLS (2010) classified physicians in two different categories, including Medical Doctor (MD) or allopathic physicians and Doctor of Osteopathic Medicine (DO). Both classes of doctors apply all acceptable practices of treating patients, including prescription of drugs and carrying surgical operations. However, doctors of osteopathic medicine emphasize mostly on preventive medicine, muscular skeletal system of the body and holistic care of patients. Medical doctors are mainly the primary medical care providers and they are normally specialized in all medical specialties (UBLS 2010). According to OES (2011) about 50% of medical doctors practice general medicine, pediatrics, an d internal medicine. Physicians could be specialized in one or more areas of medical specialization, including anesthesiology, general pediatrics, general internal medicine, psychiatry, obstetrics and gynecology in addition to general medicine among others. The requirements for becoming a physician differ depending on the final area of medical specialization in the United States. However, physicians are normally required to complete a four-year undergraduate degree program and then proceed to a medical school where they spend another four years. This is followed by a compulsory three to seven years in resident training after which they become eligible for being licensed as doctors. In this regard, medical doctors in the United States are required to complete two degrees and specified duration of clinical residence. According to AMA (2009), both of these degrees involve general course work while during the residency; the aspiring doctor chooses his or her preferred specialty. A four- year undergraduate degree marks the beginning of physician training program in the United States. The undergraduate program involves coursework in sciences, math and English. The first degree prepares the student for entry into the medical school and students must attain specific grades to qualify. Aspiring medical students have the freedom to choose any undergraduate degree, but many of them enroll in programs with heavy emphasis on chemistry and biological sciences. However, undergraduate training differs from one institution to another. Some tertiary institutions offer pre-medical programs that include mandatory classes for medical school in addition to preparing students to pass Medical College Admission Test (MCAT) (AMA 2009). After successful completion of the undergraduate degree, aspiring medical students are required to take Medical College Admission Test (MCAT). The test compromises of multiple choice questions that examines the student‘s knowledge on physical scienc e, critical thinking, biology and communication skills. The test is computerized and it takes a maximum of five hours. The performance on this test and undergraduate degree play major role in securing admission in medical school (AMA 2009). Students who score high marks in the test and have good undergraduate degrees are almost assured of admission into the medical

Internet marketing Assignment Example | Topics and Well Written Essays - 2000 words

Internet marketing - Assignment Example The buy-side and sell-side of e-commerce is very important in organizational marketing. Internet marketing directly deals with the sell-side of the whole transaction (Chaffey, 2004). There are multiple drivers to the concept of internet marketing. In the course of following discussion, the tutor will be analyzing the key aspects of internet marketing, using the case of e-bay company as an example. Highlighting on the identified factors, the concept of internet marketing mix will be explained. Further, an attempt to draw comparisons on the e-marketing tools or e-tool practices and examine the chain of order processing, with the help of the case study will be covered in the following discourse. One of the world’s largest and most popular online marketplaces, eBay, enables its customers the unique facility to trade in millions of items each day. This company was formed by Pierre Omidyar, with a business objective of achieving excellence of being recognized as a most valuable internet retailer (Gopalkrishnan and Gupta, 2007). One consistent stride was to keep improving company’s performance, maintain stable growth and create a fun-loving efficient market place. This breakthrough and strategic management approach offers a competitive edge over its competitors and sustainable growth to the organization. EBay was launched from Omidyar’s home in the mid-1995.s with a concept of creating an Internet marketplace. Ever-since its formation, eBay was well received by its users, who expressed their liking through hits. Keeping his hopes and aspirations high, eBay went on to become a public enterprise in the year of 1998 at a value of $18 a share (Griffith, 2007). In 1999, the trade value rose to a figure of b$282 per share. By successfully beating its competitor Amazon.com, eBay established itself as the world’s most valuable Internet retailer (Lucking†Reiley et al., 2007). By definition, the concept of e-business is the transformation of

Factors Affecting Millennium Development Goals Progress

Factors Affecting Millennium Development Goals Progress Abstract Water and sanitation is a global canker facing the most world population especially in Africa. Policy makers anticipate 80 billion Euros are needed every year to provide basic sanitation to the rural poor to ease poverty, therefore the need to get an in depth view of sanitation lagging behind is paramount. This paper aims to assess the factors causing the slow of progress in achieving the Millennium Development Goals(MDG) in low-income countries. The pace are due to inadequate infrastructure systems, skilled labour constraints, insufficient political will and growth of population. It will review current studies in the sector and analyse various constraints that jeopardise the achievement of the sanitation development precisely Ghana. In this review article, published journals, reports, conferences are observed. As a results of the above review factors that is hampering MDG sanitation for Goal 7, it was concluded that policy framework should be put in place whereas government and dono r organisations enforced and invest more in sanitation. The research should assist in the development process in an optimised way of addressing water and sanitation issues and allow better understanding of environmental differing that is triggering the success of MDGs. Keywords Millennium Development Goals ; Ghana; Factors affecting water and sanitation development 1. INTRODUCTION AND BACKGROUND Currently, 2.6 billion people in the world has no access to adequate sanitation(Marion W.jenkins ,2007) and 1.1 billion lack safe drinking water . (Water Aid,2008)representing to two fifth of the world population, leading up to range of diseases like cholera, a devastating cause of child deaths(Marion W. 2007). In Asia 675 million people are without improved drinking water sources and in sub-Sahara Africa, only 36% has no access to basic sanitation (Christine L. And Richard D.2006).The ability of low-income countries to productively solicit external support to scale –up aid is the major confronting issue today. As vast number of international organisations on the verged to address the problem in developing world whiles envisaging the need for every humanity to have access to basic sanitation, Ghana as part of the sub Saharan Africa will not be able to achieve the MDGs (DFID,2006). UNICEF The World Summit on Sustainable Development(WSSD) in Johannesburg in 2002 adopted an international sanitation target to halve the number of people without access to basic sanitation by 2015.This target now transform its self for water supply in support of the Millennium Development Goal of ensuring environmental sustainability(WELL,2003). Considering figures above, indicates the progress and geographic areas of where water and sanitation has covered as of the year 2002.The enormity of the constraints comes with the acknowledgement that poor state of infrastructure impediments are the cause of not achieving the MDGs(refer to appendix2 ) because 50% of the population cannot access improved services serving as an issue(Antonio E.2005), (UN,2007).William Easterly,2008 argued that the MDG are unfair to Africa because MDGs are poorly and arbitrarily designed to measure progress against poverty and deprivation, and that their design makes Africa looks worse than it really was. Most importan tly, another article stated the need for external donors to increase funding although infrastructure systems is another challenging(hlsp, 2009).Contrary the (UNDP,2008) report reveal that lack of framework made monitory difficult to measure and therefore data availability in other cases was unpredictable for the reason been poor system of infrastructure in some countries for collecting appropriate statistics. Empirically, programmes in sanitation in developing countries has been fruitful and yielding results (Marion W. Jenkins and Beth Scott,2007) yet there is an overwhelming number of people who keep on installing latrines or toilet facilities in their homes without subsidy from donors to improved sanitation. Moreover, the global climate change that policy makers have been preaching, the impact in Africa where water crisis is escalating and water table been high especially in the region of Tamale where is terribly hard to drill a sunken borehole a get water even if there is then is possible it may contained 40% of salt(REVSODEP/SIMAVI,2003). Other studies have shown that climate change is a challenge to the success of the MDG(United Nations Economic and social council,2007). A number of studies have reported MDG trend progress of sanitation in Ghana as shown in (appendix1 and appendix 5) shows a series of attainable indicators how Ghana is progressing even though comments regarding poor infrastructure systems exist (Christine L. And Richard D.,2006) which tends to propel the success of sanitation projects in the developing nations . Similar findings have been made via (UN ,2006)department of economic and social affairs. However, most of these studies were based on different country orientations and gross domestic product(GDP) performance raised at the time the survey was made. As such, Aid scaling –up(Peter S.Heller,2005) to the overriding . International Journal on environment resource public health in Zambia 2006 found that lack of well staffed healt h care facilities, electricity, portable water, roads, adequate transportation and communication facilities contributed immensely to not meeting the sanitation target quiet apart from the political instability of other African region. This analysis is similar to less development of in local and national institutions in south Africa(Neville,G.2003) although south Africa is progressing well as compare to Ghana and others. The following Other objectives will enable us dig out further factors. To make a literature review of MDG in sanitation and evaluate current technology options used. Identify factors seen in other studies. To develop, discuss and analyse data. Make recommendations/strategy for promoting sanitation development. 1.2 Ghana The republic of Ghana is a country in west Africa with a population of about 22.1 million people(iicd,2007).The country was the first sub-saharan Africa country to obtain independence from colonial rules on the 6th of march 1957.Despite the country rich in natural resources such as cocoa, gold, timber, bauxite, salt and lately the discovered crude oil, the country is still in perennial sunk with water and sanitation diseases. After colonial rule the country is divided into 10 different regions which include, Northern region-Tamale, Bolgatanga, upper west region, Ashanti region, Volta region, Brong ahafo region, Central region, Eastern region, Greater Accra and western region(see appendix8) . In Ghana rural population who have access to safe water in 2005 stood at 54%, rural population with access to household latrine 25%, urban population with access to safe water 78% whiles 45% of urban citizens can boost of household latrine(WELL,2004). 2. Skilled labour constraints It has been observed that for the Millennium Development Goal to achieve the set target in the sector of water and sanitation the human resources are vital. Shortages of skilled persons (World bank report,2005), (Lancet,2004)affect the health systems as indicative to progress of the MDGs.Erica User in 2005 indicated that international migration is associated with the non achievement of the MDG which seems to be increasing alarming and no resourceful person to deliver sustained latrines. The general conception that the success of MDG 2015 will be met only when african government invest more in sanitation(Arne B. And Abebe S. 2006) than they do now can be in approperiate in some countries without the necessary manpower skill needed. Conventionally, it will also interest the international community to realiseing the poverty nature in developing countries are more than the recoarse (IWA,2008)and therefore should be examine in different perspective way, progress has been hampered by popul ation growth, unbattled HIV/AIDS, wide spread poverty.The view supported by working policy No.45 of (Goerge Essegbey et al 2007) who discovered that innovation in water and sanitation systems were made but was beyond the capacity of of the local people. Unlike in Kumasi a population of 19% of Ghana population census 2000 where technical drawings were made by a consultants for a contractor to implement the work and due to lack of skills required to execute the Ventilated improvement project with respect to the design specifications ,errors were degenerated due to the fact that local people incorporated bamboo sticks in the facility leading to unsuccessful work done. Comparing the situation in Asia to Ghana,(Ljiljana and Ram,2006) in 32nd WEDC international conference in Sri lanka vividly said institutional capacity building can been noticed as the most hindering factor for MDGs. Professional such as engineers who are knowlegeable, skillful and are suppose to assist Non governmental o rganisation and community based organisations in advocating and trainning the latter were seen non available. Again, sanitation projects were constructed in Nepal as shown in the figure3 below similarly described by (JMP ,2008)is a latrine constructed without a slab cover can be considered unimproved. The latrine was contracted to unskilled contractor without the trainee. Moreover, (Maguire,1990) arguable said Lack of knowledge of lower cost technologies and use of technologies in appropriate for developing countries was given in 1988 as one of the obstacles to decade success. 3. Political will Some studies have shown knowledgeablly that lack of political (appendix 11) williness contributed to the slow progress of water and sanitation development in the south(Trocaire,2005),(IWA,2006), (macho ventura,2008). In Ghana for example,Rural areas and small towns had benefited from cross-subsides on water made possible higher tariffs in larger urban areas. But in preparing for privatisation, the government has eliminated such subsidisation by separating out the more lucrative urban water services. This jeopardised the financial sustainability of rural services(UNDP,2007) policy research brief illustrated. On the other hand, this was been carried due to two or more reasons after the implementation of the scheme and as developing change comeby some policy of government will need to change in order not to cause future catastrophe in the long run. Although Subsides need to be provided in oder to promote equitable access to utility services. Some utilitties have introduce life line tari ffs in which minimal levels of utility services are provided free or at a low cost. Essentially, the UNSGAB,2008 undeniably illustrate that 12% of sub-saharan africa national health budget is spend only in providing sanitation and related health services and 50% of the hospital beds are occupied for the same reason. However, experts predicts by 2015 2.1 billion people will still lack sanitation especially in sub-sahara africa untill 2076 (ENS,2008) news. In contrast, some sub saharan African leaders invest a lot of funds in the area of infrastructure and services in water and sanitation primarily into public sectors with other development partners even though these funds are decreasing for various reasons and the share commercial is financing is still very low. The Ghana water and Sewerage Coporation(GWSC), a public utility charged with the responsibility, among others, of achieving self financing status however due to lack of political will by the government over the years to institute adequate tariffs devastated the finances of the GWSC(George Akosa,1995).This situation ,coupled with the general declined of Ghana economy,resulted in most of the operational water supply projects being in a poor state of repair of lacking the installed capacity to provide adequate service.We will probably say the government does invest is only the population in Africa growing leading the people in an extreme poverty from 44.6% to 46.4% as shown in ap pendix 4,10. Furthermore, Ghana is reported to be on track to meet the target of halving poverty by 2015(UNESC,2008) it is yet uncertain if sanitation will be met. There is an improvement in the HIV but the deadlock is still unmet in basic sanitation.USAID argued that should the current progress continue as it is now only water and sanitation in all countries will be met by 2015 whiles (UN News Center,2008)secretary general Ban Ki Mo affirm lack of political will will be the biggest obtacle to imrpoving sanitation on world water day. (vandemoortele,2002) ,considering the perceptions incurr by similar reports and journals that government investment is far less.(Ekow.E,2008)demonstrated that special issue of energy policy on energy in Africa with case studies on Zambia, etc explained at least the political will of many governments to improve the quality and quantity of energy services as a prerequisite for the achievement of the Millennium Development Goals. More significantly, unwill giness of government or political interest in sanitation per say,J.Edgardo campos and sanjay pradhan(2007) found that tackling corruption in the water and sanitation sector in some part of Africa was the primary reason for the MDGs not been on target as stipulated. Osumanu Issaka Kanton in Ghana mentioned African governments, like most countries in the developing world, face daunting tasks in their attempts to provide effective and equitable water and sanitation services for their ever increasing urban population,the paper however, contrasted that since the early 1990s the government of Ghana and many local authorities have entered into various public-private partnerships in urban water and sanitation using Tamale as a case studies where private has done nothing invigorated public sector not have achieved and therefore concluded that there can be no sustainable improvement in water and sanitation provision without political commitment, stakeholder ownership and strong support for co mmunity driven initiatives(2008) 4.Over population Poulation change seen as the major propeling factor for the MDGs in developing country with regards to water and sanitation(UNWPP,2005), (ENS,2008). fig 8 shows summary in the graph. The data from these graph was available from mainly from the estimates an medium variant. USAID monitoring report for 2006 MDGs, for instance, found that family planning practice will enhance the unmet MDGs to achieve the Goals by reducing the size of the targetted population groups which will then lowering the costs of meeting the MDGs in Sub-saharan Africa. Fig 9 table I.1 illustrates the report survey.Untill recently, (Esmarie Swanepoel,2008) publised article detailing africa falling behind on millennium development goals-UN as the proportion of people in sub saharan africa living below poverty decreased from 55.7% in 1990, to 50.3% in 2005. However, because of the population growth, the number of people in the region living in extreme poverty, grew by 100 million over the period. Using the below proj ections, the author (Dr.Jean –C. 2006 ) and others have reported distinct effect population growth has on Sub-sahara in terms of unsafe drinking water and sanitation in meeting the MDGs by the anticipated or stipulated year. Factually, the world health organisation (WHO,2004) annual assessment report substaintiate by saying that the world is on track to meet the drinking water target, but sub-sahara africa lags behind and conflict and political instability is a contributory factor with high rate of population growth and low priority given to water and sanitation will be a mirage. The paper concluded that whats more is the reason been the breakdown of water supply systems in rural africa is of high rates. One of the effective approaches shown to be accetable and helping the progress process drawn by the paper was decentralising responsibility and ownership and providing a choice of service level to communties based on their willingness and ability to pay.Urban population growt h was estimated to increased in growth in developing countries from 1.9 billion to 3.9 billion 2030, averaging 3.2% per year which is a major challenge for achieving MDG sanitation(UNESCO IHE,2007). The diagramme in fig 8 and fig9 indicates the percentage of the population living in major cities. The arguement goes to intensify the fact that water supply and sanitation will be an acute shorter for a decades to come. Source :UNICEF(data online) 5. Conclusion In short this paper looks at the slow progress of Millennium Development Goals with focus in developing countries especially sub saharan africa with respect to water and sanitation and various factors affecting the progress.The article then went further in reviewing various studies and literature presented by authors , analysing other views in the subject area and detailing sanitation situation in the case of Ghana. It was found that the systems of infrastructure has made it difficult for the MDGs team to montior effectively the progress and concrete availability of data was inevitable for correlation in knowing the exact people in sub saharan africa that are not covered as far as water and sanitation is concern. Governments interest in investing much funds in sanitary projects was seen lagging other projects in Africa even like health sectors was seen stampeding such as water sector was progressing steadily as compared to specifically sanitation due to high poverty in some countries and HIV/AIDS among others demanding. Therefore,the was the need for donor organisations to increase aid for the developing world. High population growth and inapproperiate use of low technologies were another contributory constraints in achieving the MDG since the number of populates in african countries was increased drastically by a substantial amount with diseases and malnutrion been high among children 0-5 years of age and rising in birth was due to either unexpected pregnancy or unaware or misapplication of farmily planning medicine at their possession. Skilled labour constraints therefore was one of the impediments that contributed tremendously bad towards the goals of the MDG in wardly due to the fact that skilled migrates leave the developing countries not only for better salaries and rumerations but virtue of better health care systems in developed world. In some cases institutional capacity building was seen as vital challenge for the MDGs in africa which some where in Asia for example Nepal it was much the same similarity. However, despite various studies been carried out by viable institutions and authors with different methods of approaches in addressing the Millennium Development Goals in water and sanitation, the plans has little consistency between different countries , thus making it difficult for policy makers to measure and track progress and so therefore Septentie appraisal of attitudes of stakeholders to the factors limiting progress to MDG. Acknowledgements The Author wish to acknowledge other writers for their assidious and great workdone and for the support provided by Dr.John Williams of Portsmouth University. It is also our pledge to send our sincere gratitude for the University Liberians for their kind gesture and contributions towards and during the literature review session. 8. Reference Summary of reference; JOURNALS PLUS PDFs REPORTS FROM INTERNATIONAL ORGANISATIONS : GOVERNMENT WEBSITES and ICE TWO BOOKS : Marion W. Jenkins and Beth Scott(2007). Behavioural indicators of household decision-making and demand for sanitation and potential gains from social marketing in Ghana. Journal of Social science and medicine,64(2007),2427-2442. Frederick Dubee (2008): Water Aid International-water Aids key facts statistics http://www.clubofrome.org/eng/meetings/winterthur_2008/presentations/Prof_Frederick_Dubee_Wateraid.pdf Christine L. Moe and Richard D. Rheingans (2006). Global challenges in water, sanitation and health. Journal of water and health Vol .04 DFID (2009) factsheets: water and sanitation //www.dfid.gov.uk/pubs/files/mdg-factsheets/water-factsheet-2006.pdf Rebecca S. Et al(2003), Sanitation and the poor: WELL Resource centre Network for water sanitation and environment Health. www.Iboro.ac.uk/WELL Antonio E.(2005),World bank and universite libre de bruxelles: Draft working paper comments welcome. What do we know about sub-saharan africas infrastructure and the impact of its 1990,reform? Vol.4 William Easterly(2007)Global Economy and development working paper 14. How the Millennium Development Goals are unfair to Africa http://www.brookings.edu/~/media/Files/rc/papers/2007/11_poverty_easterly/11_poverty_easterly.pdf Mark Pearson,(2009)hlsp institute, technical report paper. Achieving the MDGs:at what cost? http://www.dfidhealthrc.org/what_new/macroecon_health_PearsonFeb09.pdf UNDP(2008).The Millennium Development Goals report: End poverty millennium development goals,make it happen.http://www.undp.org/publications/MDG_Report_2008_En.pdf Peter S.Heller(2005) IMF working paper WP/05/180. Pity the Finance minister issues in managing a substantial Scaling up of Aids Flows. www.imf.org/external/pubs/ft/wp/2005/wp05180.pdf DESA,(2006).International symposium on international migration and development. Journal number UN/POP/MIG/SYMP/2006/04: International migration and the achievement of MDGs in Africa http://www.uneca.org/sdd/documents/P04_ECA.pdf IICD(2007) Ghana population. www.iicd.org/countries/ghana WEDC,(2004). WELL country note1.1. The poverty millennium development Goal:what water,sanitation and hygiene can do in Ghana. www.Iboro.ac.uk/well/resources/publications/country%20notes/CN1.%20ghana.htm Book: J.Edgardo Campos and Sanjay Pradhan(2007). The many faces of corruption tackling corruption in the water and sanitation sector in Africa-starting dialogue.publish 2007 by world bank. Osumanu Kanton,(2008). Environmental management vol.42 pages 102-110 published july 2008. By springer 233 spring st.New york, Ny10013 USA. Esmarie S.(2008). Africa falling behind UN millennium Goals-UN http://www.polity.org.za/article/africa-falling-behind-on-millennium-development-goals-un-2008-09-12 Dr.Jean et al(2006), powerpoint presentation. The effects of population growth on the achievement of the MDG on child mortality in Urban sub-saharan Africa. www.app-popdevrh.org.uk/publication%20hearings/evidence/jc%20fotso%20oral%20evidence%20paper.ppt Arne B.and Abebe S. (2006). Economic comission of Africa ,policies for growth and poverty reduction in africa:How to reach the Millennium Development Goals. http://www.uneca.org/prsp/cairo/documents/Theme1_Growth.pdf IWA(2008),Global:world water day messages predict MDG problems for Africa. http://www.iwapublishing.com/template.cfm?name=news133 George Essegbey et al (2007),Assessment of community water and sanitation in Ghana. ATPS Working paper series No.45. published by the aAfrican technology Policy studies network. http://www.atpsnet.org/pubs/workingpaper/Working%20Paper%20Series%2045.pdf Ljiljana and Ram(2006). Sustainable Development of water resources , water supply and environmental sanitation. Capacity needs to achieve the UN MDG target 10 in Asia http://wedc.lboro.ac.uk/publications/pdfs/32/Rodic-Weirsma.pdf JMP (2008), Core questions on drinking water and sanitation for household surveys. http://www.wssinfo.org/pdf/WHO_2008_Core_Questions.pdf D.P.Maguire(1990). Appropriate development for basic needs. Institution of Civil engineers published by thomas Telford 1991,london p.145water and sanitation Khatri K.B and Vairavamoorthy K. (2007), UNESCO-IHE institute for water education. Challenges for urban water supply and sanitation in the developing countries -Discussion Draft paper.Published in Delft Netherlands www.unescoihe.org/content/download/1016/11873/file/9.paper%20urbanisation%20kala% 20draft.pdf Emmanuel Ekow Asmah(2008). Assessing the links between energy services and the MDGs:Isa MAMs application for Ghana possible? An interim paper presented at the CSAE conference 2008 on Economic Development in Africa at St. Catherines College, Oxford. Trocaire(2005)Dublin. The MDGs:A critical discussion. Trocaire development review ,dublin 2005,pp.43-56 ISSN 0790-9403 http://www.nuigalway.ie/dern/documents/tdr_2005_mdg_a_critical_discussion.pdf UNDP(2007),Policy research brief. Privatising Basic utilities in sub-saharan Africa: The MDG impact. No.3 http://www.undp-povertycentre.org/pub/IPCPolicyResearchBrief3.pdf George Akosa(1995), Efficiency of water-supply and sanitation projects in Ghana. Journal of infrastructure systems vol. 1 paper No. 6118. USAID(2006). Making the case for U.S. International family planning assistance. The contribution of fulfilling the unmet need for family planning. http://www.jhsph.edu/gatesinstitute/_pdf/policy_practice/Papers/MakingtheCase.pdf Erica Usher(2005).The millennium Development Goals and Migration. International organisation for migration research series NO.20 http://www.iom.int/jahia/webdav/site/myjahiasite/shared/shared/mainsite/published_docs/serial_publications/mrs20.pdf Jan vandemoortele (2002), Are the MDGs Feasible? United Nations Development Programme Bureau for Development Policy. http://www.socialwatch.org/en/acercaDe/beirut/documentos/VANDERMOORTELE.pdf UN(2007).UN news center, UN mark world water day with calls for integrated management of vital resource. http://www.un.org/apps/news/storyAr.asp?NewsID=21951Cr=waterCr1= WHO/UNICEF(2004).Meeting the MDG drinking water and sanitation target: A mid-term assessment of progress. http://www.who.int/water_sanitation_health/monitoring/jmp04.pdf Khatri K.B. (2007) UNESCO-IHE institute for water Education. Challenges for urban water supply and sanitation in developing countries. Discussion draft paper. www.unesco-ihe.org/content/download/1016/11873/file/9.paper%20isation%20kala%20.pdf Health and Poverty All over the world, the cost of health care is usually quite high. Poor families have worse health conditions than those with higher incomes. Health is paramount for poor people and in most instances, their very environment is a threat to them. Improving environmental conditions including providing water, sanitation and solid waste management services is basic to the creation of sustainable livelihoods and the elimination of poverty. Water related diseases like guinea worm and trachoma still plague portions of West Africa. A person suffering from guinea worm looses a lot of productive farm time which reduces their income. Ghana is currently one of the leading guinea worm endemic countries in the world. Lack of political will biggest obstacle to improving sanitation – Secretary-General 22 March 2008 – A lack of political will remains the greatest obstacle to efforts to drastically reduce the number of people without access to basic sanitation and clean, running water, Secretary-General Ban Ki-moon said today, calling on the international community to take firmer and faster steps to tackle the problem. If we take up the challenge, the positive impact will reverberate far beyond better access to clean water, Mr. Ban said in a message to mark World Water Day, which is celebrated today. This years Day also coincides with the International Year of Sanitation. Every dollar invested in water and sanitation yields an estimate seven dollars worth of productive activity. And that comes on top of the immeasurable gains in cutting poverty, improving health and raising living standards. The Secretary-General described it as unconscionable that a child dies on average every 20 seconds because of sub-standard sanitation conditions – a situation endured by an estimated 2.6 billion people worldwide, or more than a third of the global population – that are preventable. Poor sanitation combines with a lack of safe drinking water and inadequate hygiene to contribute to the terrible global death toll. Those who survive face diminished chances of living a healthy and productive existence. Children, especially girls, are forced to stay out of school, while hygiene-related diseases keep adults from engaging in productive work. Halving the proportion of people without access to basic sanitation is one of the eight Millennium Development Goals (MDGs) devised at a global leaders summit in 2000, but the world is far behind the pace to achieve that by the target date of 2015, Mr. Ban said. Experts predict that by 2015, 2.1 billion people will still lack basic sanitation. At the present rate, sub-Saharan Africa will not reach the target until 2076. This years World Water Day also coincides with the International Year of Sanitation. Population growth, widespread poverty and insufficient investment are among the key obstacles, but the Secretary-General noted that the biggest culprit is the lack of political will. Events are being held around the world this weekend to highlight World Water Day, including the staging of a public toilet queue demonstration to raise awareness about the sanitation crisis around the globe. A similar event was held in New Yorks Central Park on Thursday. Wold bank graphic showing the failure of Africa to meet the MDGs.

Apollo 13 Essay -- Apollo 13 Essays

Apollo 13 Questions 1.I’d first have to say that the head of mission control on the ground was definitely important in the salvaging of Apollo 13. He was faced with problem after problem yet he kept a somewhat level head through all of it and managed the engineers and other people involved back at Houston very well. Jim Lovell’s piloting skills played a rold in the crew’s survival as well. When he had to set the ship’s course for Earth manually it took a great deal of skill and patience and he deserves credit for that. Ken Mattingly might not have made it to space, but his extensive knowledge of the ins and outs of the spacecraft saved the lives of his friends when they had a power crisis. 2. One particular problem during the Apollo 13 mission was a build up of carbon dioxide in the spacecraft. The CO2 scrubbers designed to filter out the gas weren’t working properly and as time progressed and the astronauts breathed more the situation worsened. To solve this problem NASA pooled together some engineers to come up with a design for a makeshift filter using common items onboard the space craft and an existing filter from another section of the spacecraft. 3. The general public and the press seemed disinterested with the Apollo 13 mission. Since we’d already beaten the Russians to the moon, no one in the general public put much interest into NASA anymore. The space race was decided and the public lost interest in NASA With no audience for the story, the...

Oedipus the King Essay

Man is the marionette in the hands of destiny. It is the circumstances and fate which bring tragic incidents in his life. The Aristotelian tragedies are generally based on this attitude. According to Aristotle tragedy is the representation of action. Common meaning of tragedies is the poignant end of the play. Here we are going to discuss about the two different tragedies which took place in different era. The first tragedy is the tragedy of â€Å"King Oedipus† which happened approximately 2000 years before and the second tragedy is the tragedy which belongs to the modern era. It is Arthur Miller’s â€Å"Death of a Salesman. † They are different from each other but apart from a long gap of about 2000 years, but yet some resemblances are there in them. We are going to discuss on the resemblances and differentiations. Let us consider â€Å"King Oedipus† first According to the rule of Aristotelian plot â€Å"Oedipus the King† is divided into two different parts, one is simple plot and another is complex plot. In simple plot the changes in the fortune of King Oedipus take place without Peripety and discovery. It is a journey from ignorance to knowledge. He has to confront with the consequences of the miserable truth. At first he is not ready to accept the fact but at the end the circumstances compel him to accept the reality. The protagonist, along with the other characters, totally becomes helpless in the hands of destiny. He is a king but the qualities of normal human beings are present in him. The tragedy takes place because of the sin he has committed inadvertently. According to the opinion of Aristotelian tragedies the hero of the play is neither perfectly good nor entirely bad. Oedipus thus is the man of ordinary weaknesses. He has had all the eminence but here he has shown falling into ruin from this distinction and it is unfortunately not because of any deliberate sin but because of the error committed by him in his ignorance. Like the protagonist the other characters in this play are also good but not perfect. For example Laios, father of King Oedipus who is of course a good soul but still he commits a sin of attempting the murder of his son at the infant stage of his life because of the fear that his son would one day kill him. â€Å"Laios had the feet of this child bound and pinned. Someone tossed it in a mountain wilderness. So there. Apollo didn’t cause this boy to be his father’s killer. Laios didn’t bear the terror he feared from his son. That’s what the words of prophecy defined. † (Line 717, Scene 3, â€Å"Oedipus the King†) The theory of tragedy of Arthur Miller is based on the life of an ordinary man. Miller was rejected by many critics because his tragedy was not based upon the Aristotelian concept of tragedy where the tragic hero is always a king or a prince. On the contrary the hero is a common man and so according to the critics he is unable to arise the tragic sentiments. But it was the belief of Miller â€Å"that the common man is as apt a subject for tragedy in its highest sense as kings were. On the face of it this ought to be obvious in the light of modern psychiatry, which bases its analysis upon classific formulations, such as the Oedipus and Orestes complexes, for instance, which were enacted by royal beings, but which apply to everyone in similar emotional situations. † (an essay by Arthur Miller, â€Å"Tragedy and the Common Man†) With the same viewpoint Arthur Miller has depicted the tragic story of a very simple ordinary man, Willy. Willy is an ordinary person by occupation as well as by nature. Not only Willy but rests of the characters are the exact mirror image of the ordinary man in the modern society who is constantly pursuing the materialist happiness. According to Miller it is not only the kings that can be the tragic heroes but the common man can also play the role of a tragic hero. As far as the issue of morality is concerned both plays are somewhat similar and somewhat reverse to each other. Morality plays a very important role in both of this play but still it defers from one another. Many people believe that Oedipus is an immoral person but it is not a premeditated immorality. Oedipus’ tragic fall, which later leads to tragedy was absolutely not his sin. He slays his biological father and marries to his biological mother. It is actually the height of immorality but at the time of committing this sin Oedipus was totally unaware about the reality. In short he is the immoral man by his predestined actions. The concept of morality is deliberate in Miller’s â€Å"Death of Salesman. † Here the hero of this play Willy Loman flouts all the rules of morality. He is charlatan, flirt and a liar. The lack of morality finds there in the Loman’s family itself. He goes on deceiving his wife by keeping illicit relationship with another woman. He goes on deceiving his son and wife by making his false image and by pretending to be an important person. â€Å"They don’t need me in New York. I’m the New England man. I’m vital in New England. † (Act 1, Part 1, pg. 4, Death of Salesman) But it is an illusion. Pride is there in both Oedipus and Willy but pride of Oedipus is at least genuine unlike to that of Willy which is just a fake. The heroes of both of the plays have to pay a lot and both of them have suffered a lot due to the mistakes they have done either ignorantly or deliberately. Both Oedipus and Willy in the end succeed in getting the sympathy of the audience. â€Å"I don’t say he’s a great man. Willy Loman never made a lot of money. His name was never in the paper. He’s not the finest character that ever lived. But he’s a human being, and a terrible thing is happening to him. So attention must be paid. He’s not to be allowed to fall into his grave like an old dog. Attention, attention must be finally paid to such a person. † (Act 1, Part 8, pg. 40) Apart from being an ordinary man Willy like Oedipus deserves the sympathy of the audience.

Sarcoidosis

Sarcoidosis is a multi-system disorder that is caused by inflammation of body tissues. It particularly affects the lungs and lymph nodes but it can affect any other body parts. The cause of this disorder is yet to be established and its cure has also not yet known. Its symptoms in most cases come gradually but might after some time appear abruptly. This paper is going to have an in-depth analysis of what perhaps leads to this disorder, give some of the symptoms that are characteristic of this disease, its possible treatment and the group that is most affected by it. The disease was identified for the first time over a century ago in England by a doctor known as Hutchinson and another doctor from Norway called Caesar Boeck and that was why the disease originally came to be referred to as Boeck’s or Hutchinson’s disease. Unfortunately, it is the young persons mostly those within the age bracket of 20 to 40 years and those that look strong and energetic that are affected (Baughman, 2006). Its appearance might at first appear to be mild but after sometime this may turn to be fatal. This disorder when this disorder is critically analyzed, it seems to vary across gender as it is women who are more affected than men and this is a claim that is supported by a survey that was conducted by the American Lung Association that revealed that black females are affected almost twice as much as black males are affected. According to the same report, it is also dependant on racial background as in most cases it is the blacks, Danes and Swedes that are affected most. Reports available show that blacks are affected more than whites in fact, the mortality rate of the former is sixteen times than the number of the whites that are affected (Stein, 1998). The disease effects can start affecting any organ and then spread to other organs. â€Å"Sarcoidosis†¦ can appear in almost any organ in the body, although the inflammation of the body’s tissues can begin in any organ and usually affects more than one organ† (Ebony, 106). The affected organs develop microscopic lumps which are known as granulomas that may last for some time and then disappear even without any medical intervention is done but in cases where they do not disappear, the skin may become scarred and inflamed. The affected persons may start complaining of fatigue but because they look young and energetic, doctors might fail to diagnose them for this disorder until it is later clearly suspected to be the one and an X-ray is conducted or a routine physical examination of the chest is conducted. This is what happened to one former marathon runner who says that she started complaining of fatigue long before but her doctor would dismiss her claims as unrelated and would attribute them to her stressful workload. According to her, she may have developed the disorder within a period ranging from one to sixteen years as it is only in 2001 she was diagnosed of the same (Ebony. 2005). People affected by this disorder say it is hard to describe how they feel when sick as one never gets refreshed even after resting. Generally, the common symptoms that are reported are that the victims generally become fatigued, lose weight, have blurred vision, sometimes gasp for breath, and have dry eyes and report of dry cough. It may also occur abruptly where rashes may appear on the skin and some bumps appear on the forehead, face and eyes inflammation (Swierzewski, 2000) Most of those affected by sarcoidosis about (60-80) % heal particularly after 2-3 years without having any medical attention. In most cases, those affected by this disorder do not know that they affected and end up having damaged lungs. If this disorder does not disappear immediately, it remains on a low level but might with time progress on. About 10 to 20 percent of cases of sarcoidosis are a bit serious and can lead to permanent debilitation while it is about only about 10 percent of sarcoidosis cases can be fatal (Schiff et al, 2006). There tends to be some relationship between how serious the disease begins and how it progresses and ends. In most cases, if nodosum appears suddenly there is a high possibility that the pains will be short-lived and ends without being treated According to statistics, thirty to seventy percent of the victims do not have any serious health complications that might require medical attention but sometimes these patients are given some therapeutic treatment like corticosteroids although it is not very clear whether the disease is reversed or not. There have also been cases where steroids such as methotrexate and azathioprine have been used in treating the disease (Baughman, 2006). As this study has established, sarcoidosis is a disorder that affects virtually all body organs but the most affected are the lungs. It leads to the development of some microscopic lumps that with time causes skin rashes. According to studies that have been done, the disease mostly affects people of African American decent, the Swedes and the Danes more than it affects the whites and to make the matter worse, those in the age bracket of 20 to 40 years. The cause of the disease and cure has not yet been established although some therapeutic medical interventions are given.

10 Fun 5th Grade Math Games to Help You Learn

10 Fun 5th Grade Math Games to Help You Learn SAT / ACT Prep Online Guides and Tips Looking for a fun and effective way to reinforce the math skills learned in 5th grade? Try playing a game! Games are a great way to solidify the key lessons fifth graders learn in the classroom while also having fun. In this article, we'll talk about the key skills students learn in fifth grade, why games are so important for mastering those skills, and give you a list of 10 games you can start playing right now. Key Math Skills Learned in 5th Grade Fifth graders put together the skills they've learned throughout elementary school to solve complex problems using complex numbers. While they work on building their fluency for these skills, they also learn how to apply them to real-world problems about time, measurement, and money. Most states in the United States have their own unique educational standards, but the basic fifth grade math curriculum and the skills fifth graders learn are fairly standard. Fifth graders learn: How to divide whole numbers with and without remainders How to make connections between decimals, fractions, and percentages How to multiply and divide fractions How to compute the area and volume of basic geometric shapes like rectangles and squares Fifth graders will also start to investigate basic algebraic equations, as well as the relationship between circumference and diameter. Each of these skills can be reinforced with games to help students master them. How 5th Grade Math Games Can Help Master Key Skills Games are a great way to help students learn key skills. There has been tons of research about how effective games are in helping students not only learn how to master a concept, but also have a safe space to explore and fail. Here are a few reasons why 5th grade math games should be an important part of your student's practice: Games are a fun way to practice. Fun math games for 5th grade students help them practice needed skills in a way that feels fun, not frustrating. Students won't feel like they're wasting their time learning, they'll feel engaged and excited about their practice. Games teach important skills. Games are a great way to introduce new skills to students. A 5th grade math game about basketball, for instance, can be a good way to get students to think about diameter or circumference before actually teaching them the skill. Likewise, once students have learned about a skill in the classroom, games can help them apply the skill in a real world setting. Aside from the educational skills students learn, games also teach students how to deal with failure, work together, and overcome obstacles. Games form positive memories of learning. Learning math can be frustrating for a lot of kids. If they experience failure or frustration learning in the classroom, games are a great way to reclaim their sense of worth and help them actually have while learning. 5 Fun Math Games for 5th Grade You Can Play in the Classroom There are tons of fun math games for 5th grade students that you can play in the classroom. Here are ten of the best. #1: Multiplication/Division War Students will build fluency with multiplication and division problems by working to figure out which student has the highest sum or product quickly. This is a great way to reinforce the basic skills students need for other 5th grade math problems. All you need for this game is a few sets of math fact flash cards. For fifth graders, use multiplication or division cards. Link to detailed instructions: here #2: The Amazing Equation Game This game helps students become more familiar with basic algebraic in a fun, competitive way. Students will learn to get comfortable with variables like letters standing in for numbers, as well as figuring out how to manipulate equations. For this game, you'll need scrap paper and pencils for your students and white paper (or index cards) and markers to prepare the game. Link to detailed instructions: here #3: Percent Flash Students will learn how to easily calculate percentages. They'll pull a card and add a "0" to the end. For instance, if they pull a "2" card, they'll be working with 20%. Then, they'll roll the dice and calculate the percentage of the numbers they rolled. This game will help students become more excited about percents. For this game, you'll need a deck of cards, dice, one calculator per player, paper, and pencils. Link to detailed instructions: here #4: Graph Puzzles Geometric shapes can make many students uneasy. This 5th grade math game can help students become more confident with their graphing skills. Students will learn to draw shapes using positive and negative numbers and ordered pairs to create fun shapes- just like solving a puzzle. For this game, you'll need graph paper, pencils, and rulers. Link to detailed instructions: here #5: Lego Area and Perimeter This skill teaches students the basics of figuring out area and perimeter for rectangular shapes. You'll have students to figure out area and perimeter by placing the legos on the graph paper and counting the squares. For this game, you'll need small legos, graph paper, a pencil, and paper. Link to detailed instructions: here 5 5th Grade Math Games Online There are tons of 5th grade math games online that your student can play. Here are five 5th grade math games online that cover a wide variety of 5th grade math skills. #1: Multiplying Fractions Soccer Game This game has student solve fraction problems in order to have the chance to score a goal for their soccer team. The game has students interpret the products of different fraction multiplication problems. The game is great because it can be played on computers and tablets without installation and can be played alone or in teams. It's fun for students to kick the soccer goals, but the game is more about the math than the soccer. #2: Papa's CupCakeria This game helps students persevere in the face of problems, as well as manipulate fractions. The student has to fulfill cupcake orders and work quickly to staunch the flow of customers in a shop. This game is fun, with brightly colored graphics and a fun soundtrack. It can only be played on a computer, which limits the number of students that can interact with it, and it's focused more on real-world problem solving than fractions, with students spending more energy balancing fulfilling order than actually figuring out the fractions. #3: Math Games This online math game database has tons of different practice problems built into an online platform. You can practice basically every skill your fifth grader will need to master during the year, broken down into standards. This database is great because it has hundreds of problems for every single 5th grade math skill. Unfortunately, the skills are more drills than games - they're really just straight practice. Still, this is a great way to get lots of practice on lots of skills in quickly. #4: Boat Coordinates This fun and simple online math game has you help navigate a boat down a river full of obstacles by selecting the proper coordinates to steer to in four quadrants. This game is great because it can be customized to a single quadrant or four quadrants to help students master the skills at different levels. This is a solid game for many students, with the one caveat that it has to be played on a desktop, not an app. #5: Algebra Meltdown The game starts simple but gets increasingly difficult as it progresses. Unfortunately, the game isn't responsive to student progress, so it gets more difficult whether or not your student is ready for it. However, a student who does well at linear equations will find this game fun and challenging. Go Play! There are thousands of 5th grade math games that you can use to reinforce math skills for your student. You can play games online or in-person- either way, the games will help them learn while having fun. What's Next? Before you play some of these games, you'll need to know some basics about graphing. Learn about the four graph quadrants (and where numbers are positive/negative) here! Want to know the fastest and easiest ways to convert between Fahrenheit and Celsius? We've got you covered! Check out our guide to the best ways to convert Celsius to Fahrenheit (or vice versa). Are you learning about logarithms and natural logs in math class? We have a guide on all the natural log rules you need to know. Did you know that water has a very special density? Check out our guide to learn what the density of water is and how the density can change.