Son Of The Revolution Essay Example for Free

Son Of The Revolution Essay STRUGGLE AGAINST ONESELF; CRITICIZE REVISIONISM (p. 144) was a slogan often used during the Great Cultural Revolution. In reality, the Cultural Revolution was not great at all. It was an unwarranted attack on personal freedoms of Chinas people. The Chinese fought themselves, they even acknowledged it as a struggle. They looked upon this struggle as part of the great Cultural Revolution. At age 3, a boy should not be held accountable for his parents political status. Yet, Liang Heng was. One mistake on his mothers, Yan Zhi-de, behalf changed his life forever. Yan Zhi-de uttered the words that the leaders of the Party would not listen to the masses opinions when it came time to give raises. This led the Party to label her a rightist. What began as the Hundred Flowers Movement quickly changed to the Anti-Rightist Movement, leading many to the path of poor political performance. In turn, disgracing her family members, she was sent to become a peasant. For the rest of her life, Yan Zhi-de remained a peasant. After this incident, Liang Heng, Liang Wei-Ping, and Liang Fang had been labeled Rightists children. Though each of the children attempted to fit in, the other students picked fights with Liang Heng and the children never had the opportunity to join the Red Guards. Not until Liang Heng tricked his way into being admitted into the group. Liang Heng saw many different aspects of the Cultural Revolution. He became a student, a peasant, a basket ball player, factory worker, and finally an intellectual (writer.) Liang Heng had been falsely accused of many crimes throughout his life, and he held his ground firmly. Fate had another choice for Liang Fang. Though she would try desperately to join the Communist Youth League, she was never able to. However, she did join the Red Guards and later became a Rebel. Ultimately, she ended up as a peasant until her mid-twenties. Liang Wei-Ping joined the Educated Youth which was the determining factor that led her to become a peasant. Liang Shan had one of the most miserable situations out of the entire family. Once his wife had been declared a rightist, he immediately attempted to  break off all relations with her. This was unsuccessful. Everything in his life went downhill from there. He was publicly humiliated and suffered mental torture due to the fact that he had to criticize himself. Liang Shan was sent to a re-education center for a number of years, then spending the rest of his days in the countryside. He eventually had a stroke and lost the abilities of his left side. The Cultural Revolution was a serious mistake. A mistake that took many happy homes and destroyed them. Neglecting to seriously care about the people of his country, Chairman Mao started a disaster. Thankfully, this disaster ended with his death. That allowed people to live somewhat normal lives, compared to the horrible lives the lower class was forced to live during the Cultural Revolution.

The Need For Depository Systems In India

The Need For Depository Systems In India With the existence of 23 recognized stock exchanges, Indian capital market has been witnessing rapid growth in recent past. However, this growth has not matched with supporting infrastructure to handle the growing volume of paper that has flooded the market choking and existing system. This has caused problems like delay in transfer, long settlement periods, bad deliveries etc. With the view to globalize Indian capital market in a real sense, the government of India has initiated a number of financial reforms that were initiated in 1991 as part of the structured reforms comprising industrial de-regulation, privatization and globalization. A thigh committee on financial system with Sh. Narsihma Rao as the chairman has set up in 1991, which made for reaching recommendations for banking sector and non-banking financial sector to improve the flexibility and operational efficiency of the markets. Securities Exchange Board of India, Reserve Bank of India, Department of Company Affairs and Ministry of Finance are the important regulatory bodies of the capital market measuring the effective and efficient functioning of the market. SEBI also constituted a number of committees such as G.S. Patel Committee to review the system of carry forward transactions in the stock exchanges, Malegram Committee to review the disclosure practices of companies in primary market, Bhave committee to examine problems pertaining to transport shares. The earlier system, a paper based mode, entails cumbersome legal formalities for the purpose of transfer of securities and settlement of transaction theorem. The earlier system suffered from the following shortcomings, thereby arising the need for depository system, these are Lack of supporting infrastructure, Problems in transactions, Delayed settlements, Soaring costs of transaction, Transactions end up as bad deliveries due to faulty compliance of paper work, mismatch of signatures on transfer deeds with specimen record of the issuer, Theft, mutilation of certificates and other irregularities. The modern system i.e. depository system is the system whereby the transfer and settlement of scrips take place not through transfer deeds and physical delivery of scrips which are traditional but through the modern system of effecting transfer of ownership of securities by means of book entry on the ledgers of the depository without physical movement of scrips. History of stock exchanges The Indian stock markets are nearly 128 years old, with the Bombay stock exchange, the oldest of them functioning since 1875. At present there are 23 recognized stock exchanges. Stock exchanges are the most perfect type of market for securities whether of government and semi-government bodies or other public bodies as also for shares purchases and sales of shares are made in the conditions of the competitions. The bargains that are struck in the trading ring by the members of the stock exchanges are at the fairest prices determined by the basic laws of supply and demand. Development in the capital market The reforms for Indian capital market is mainly focused on market regulation, primary market functioning, secondary markets trading, development of a proper debt securities trading market, development of a derivatives market (futures and options), development of an integrated national market system, technological investment in exchanges, investor protection and more foreign portfolio investment in exchanges. SEBI, the regulatory body of the capital market, has been taking various steps and has introduced various guidelines for the efficient functioning of the market and has also constituted various committees to review the existing system and suggestions for further reforms. Deficiencies in the existing system of Scrips Transfer The existing system, a paper based mode, entails cumbersome legal formalities as per section 108 of Indian Companies Act, 1956, for the purpose for transfer of securities and settlement of transaction there on. The present system suffers from the following shortcomings, thereby arising the need for depository system, these are: Lack of supporting Infrastructure Problem in transactions Global Imperatives Problems in dealing with Securities Greater mobility of Securities Cumbersome legal system Need for depository system Indian capital market has been witnessing rapid growth in recent past. However, this growth has not watched with supporting infrastructure to handle the growing volume of paper that has flooded the market, choking our existing system. This has caused problems like delay in transfers, long settlement period, high levels of failed trade and bad deliveries, high-risk exposure etc. These characteristics were normally the attributes of an under developed market. As the market grows, there is need for better system to ensure that such impediment to growth is removed. The foreign investors seeking to invest in India are also apprehensive about the reliability of the post trade settlement mechanism used in India. The biggest deterrent or bottleneck in Indian capital market was largely manual and paper based settlement system that was obsolete for a rapidly growing market. Since 1992, old trading system in Indian stock exchanges has been under constant review. The main deficiencies have been identified in 2 broad areas: The clearing and settlement system in stock exchanges whereby delivery of shares by the seller and payment by the purchaser is made and Procedure for transfer of shares in the name of the purchaser by the company. The new system has eliminated paper work, facilitated electronic book entry of the transfer of securities, permitted automatic and transparent screen based trading in securities, shorter settlement periods and improved liquidity in investment in securities. All this has given impetus to the growth of the capital market in India. The transactions in a stock exchange, earlier involved physical movement of paper (the share certificate) which first changed hand from the seller to buyer on payment of price and subsequently was sent to the company (issuer of the share) for the change of the ownership of the shares to be incorporated in the books of the company. The process of verification of the ownership of the seller and hence validity of the sale took a long time, disabling the purchaser from the selling the shares further while the shares were being transferred in his or her name. Though section 113 of the Companies Act, 1956, stipulates that the company effects the transfer within 2 m onths. In reality transferring shares in ones name took longer. This delay reduced the liquidity of the investor, as during these times, he/she cannot sell the shares. This has proved particularly inconvenient for large investors for whom fast transfers were essential to maintain the liquidity. Apart from this, physical movement of shares also meant the possibility of theft and loss of shares in transit. The magnitude of the problem has increased manifold as the daily turnover in stock exchange has increased considerably. The average daily turnover of BSE itself amounts to Rs. 500 crores with shares of more than 7500 companies, being traded by more than 650 brokers for more than 30 million investors in the country. This has necessitated the use of better and faster transfer system like computerized records as compared to the physical paper (security) Emergence of Depositories There are two depositories that have emerged in India: National Securities Depositories Limited The Honourable Union Finance Minister, Shri. P. Chidambram inaugurated NSDL as the first depository in the country on Nov 8, 1996. It has been promoted by three premier institutions in India the largest mutual fund UTI, the largest stock exchange NSE of India Ltd. Subsequently, the State Bank of India, the largest commercial bank in India has also taken up a stake in NSDL. NSDL provides for electronic ownership, holding and transfer of securities trading in electronic securities on the NSE commenced in Dec, 96 and the first settlement of transactions in electronic securities was successfully completed at NSDL on Jan 7, 1997. The stock exchange Mumbai BSE also extended the facility of trading in electronic securities from December 27, 1997. NSDL is responsible to every individual to every individual investor who holds electronic balances with the depository. The depository participant acts as an agent of NSDL for providing its services to the investors. NSDL has designed the software for the operating systems in such a way that the software systems at the depository participant office are connected. Thus, a highly integrated set up for maintenance of investor accounts through the DPs has been developed and implemented. NSDL has access to all the accounts of individual maintained by the DPs to ensure adequate control. The operating system of NSDL also maintains continuous electronic connectivity with the registrar and transfer departments/agents of the companies whose securities can be dematerialized in NSDL. To all the investors both retail and institutional, NSDL offers the following services: Maintain beneficial holdings through depository participants. Provide for dematerialization and Rematerialisation of securities Dematerialization Rematerialisation Effect account transfers for settlement of trades Allow for receipt of allotment in the electric form Providing pledging, hypothecation facilities for stocks held with it. Receive and disburse corporate actions (only securities) Central Depositories Services Limited This is the second depository after NSDL. This inter connectivity will be established prior to the commencement of business by CDSL. This will facilitate settlement and movement of assets and custody from one depository to another. CDSL has been promoted by the Stock Exchange, Mumbai (BSE), in association with Bank of India, Bank of Baroda, HDFC Bank and Stare Bank of India. It has been able to tie up with as many as 35 brokers till now. CDSL and NSDL both have signed a MoU for inter-depository connectivity on 23rd April 1999. The MoU covers the understanding between the depositories for inter-depository transfers arising out of transactions not settled through the CH/CC (off market). The procedure for inter-depository transfers between CDSL and NSDL arising out of transactions settled through a CH/CH (on market) are expected to be finalized separately. The Depositories Act, 1996 The Depositories Act makes a provision for the setting up of multiple depositories in India. The investor has been granted the option of holding securities in a physical or dematerialized from. Thus it is a matter of choice for the investor as to whether he wants to avail of depository services. The depository has been entrusted with the responsibility of indemnifying beneficial owners for any loss caused due to negligence of the depository or its participants. For holding securities in the depository, the two routes that are adopted by depositories world over as: Immobilization In this the depository holds the securities in the physical form in its own vaults, but transfer of securities takes place through book entries. Dematerialization In this the securities in physical form are shredded and corresponding credit is made in the form of electronic balances that are maintained in the depository account. The concept of a depository has made a late entry into our country so we are fortunate to have the advantage o hindsight gained from the experience of other depositories the world over as well as adopting the latest technology. Thus, the law in our country has preferred the demat route. The demat securities will be identical and interchangeable as they will not have any unique characteristics such as distinctive number of folio. The depository will facilitate dematerialization of securities. The investor has the option of holding securities in the physical form or in the depository form. He can choose not to opt for depository system by requesting issue of physical certificates. The depository will, thus provide for Rematerialisation. All rights with respect to the securities held in the depository will be with the beneficial owner (investor) and not with the depository, the depository acting as the registered owner only. When transacting through a depository, the investor will not be required to pay stamp duty on transfer of shares within the depository. The depository will interface with the investors through market intermediaries called DPs. The depository will hold beneficial owner the level in formation through its network of DPs. The depository is obliged to provide this information to the issuer company or its registrar and transfer agent at regular intervals. This will facilitate proper distribution of benefits arising out of the investors holdings such as dividend, interest, bonus and rights as on a given record date by the issuer company or its registrar and transfer agent. The SEBI Regulations, 1996 Based on the depositories ordinance, SEBI has notified regulations on 16th May 1996, which specify the norms for functioning and operations of depositories. The depository system is very similar to banking environment. Thus, while a bank performs the function of holding, transferring and allowing withdrawal of funds, a depository performs the function of holding, transferring and allowing withdrawal of securities. A bank reaches out to the masses by setting up its branches. Similarly, a depository reaches out to the general investor through its agents that are the DPs. The regulations have selected various categories of market participants, who are eligible to become DPs and have a well-established customer interface network and are therefore the ideal choice to become the agents of a depository. The categories are: Public Financial Institutions Scheduled Banks RBI approved Foreign Banks operating in India. State Financial Corporations Certified custodians of securities Clearing corporations of stock exchanges Registered stock brokers Non-Banking Financial Companies. Entities desiring to become DPs must apply to the depository and are required to be recommended to SEBI by the depository. If approved and registered by the SEBI, the DP can be admitted on to the depository. The depository has to formulate its own set of criteria for selection of participants. The regulations require the depository to list out through its byelaws the securities, which are eligible to be admitted to depository for dematerialization. Equity shares, debentures, warrant, bonds, units of mutual funds etc. are part of list of eligible securities. The depository is empowered to set its own criteria for selection of securities and make securities eligible to be maintained in the form of electronic holdings on the holdings of the depository. Agreements should be entered into by the following entities: Depository and every participant Participant and every client Depository, issuer company and the registrar The drafts of these agreements are to be included in the byelaws and to be approved by SEBI. It is important that participants are connected to the depository through a continuous electronic communication system. The same is true for registrars or corporates communicating with the depository. In addition, for enabling settlements of securities, the depository is also to be connected electronically to clearing entities. This imposes the need for automatic data processing systems with necessary security features and forms one of the criteria for selecting securities for dematerialization. The depository required to ensure that sufficient safeguards are there to protect the data available with it and with the participants. To reduce risk in operations, the regulations stipulate that the depository and DPs must provide for, adequate insurance cover as well. Since the depository acts as the source of information for the registrar in terms of providing beneficial ownership details, the depository has to reconcile data internally with the participants to ensure validity of data. The regulations require this reconciliation to be carried out on a daily basis. Further the depositories and the registrar will also reconcile balances on a daily basis and periodic basis. SHOWING THE DEPOSITORY INTERFACE WITH THE INVESTOR AND THEIR BUSINESS PARTNERS NSDL ISSUER RT AGENT CLEARING HOUSE CLEARING MEMBER DEPOSITORY PARTICIPANT STOCK EXCHANGE TRADING MEMBER INVESTOR NSDL is electronically linked to its DPs, the RT department of the issuer co. and the clearing corporation/ clearing house of the stock exchange. This is done in order to facilitate the settlement of trades and to perform a dealing reconciliation of all the accounts balances with NSDL. The entire system is called the NEST (National Electronic Settlement Transfer) system. Thus a higher integrated set up for maintenance of investor accounts has been developed and implemented. Constituents of Depository System Depository Depository Participant Beneficial Owner Issuer Benefits/Advantages of Depository System Benefits of depository system are: To the Nation Growing and more liquid capital markets to provide financing and development stemming from more efficient post trade systems with reduced transactions costs. Increase in competitiveness in the International market place and attracting investors and fund managers by complying with stipulated international standard for and efficient and risk free trading environment. Improved prospects for privatization of public sector units by creating a conducting environment. Restoration of faith in the capital market on the participants with system to minimize settlement risk and frauds. Considerable reduction in the delay in registration which can currently impact trading. To the Investing Public Reduction of risks associated with loss, mutilations, theft and forgery or physical scrips. Elimination of financial loss owing to loss of physical scrips. Greater liquidity from speedier settlements and reduction in delays in registration. Faster receipt benefit and rights resulting from corporate action. Improved production of shareholder rights resulting from more timely communication from the issuers. Reduced transactions costs through greater efficiency. To issuer Upto date knowledge of shareholders names and addresses. Savings in costs of new issuers from reduction in printing and distribution costs. Increase in efficiency of registrars and transfer agent functions Better facilities for communication with shareholders conveying benefits of corporate actions and information notices. Improved ability to attract international investors without having to incur the expenditure of issuance in overseas market. Objectives of the study To know the perception and viewpoint of the investors regarding depository system. To know the satisfaction level of investors regarding depository services. Related Researches Alton (1994) found the principles of converting shares into dematerialized form. He also commented that with a grand start the concept of demat of shares in Indian Market is all pervasive and set to conquer the stock market. George (1996) studied the growth and the dematerialization of products and found that the concept of dematerialization is coming at a very fast pace. Kumar (1998) studied the advantages of dematerialization and opening of Demat account. He also compared the effect on trading of shares of the companies have dematerialized their shares and who have not dematerialized their shares. Mittal (1998) presented an extensive information on dematerialization of shares, their advantages, investor grievances and insurance aspect related to dematerialized shares and found that a very large potential of dematerialization of shares exists in the Indian Market. Cholamandalam (1998) conducted research on requirements to be fulfilled by a company to get its shares listed at a depository so that they can be easily dealt in dematerialized form. Hughes India Limited (1999) conducted a research to study the benefits and drawbacks, which are to be borne in mind by company that is planning to dematerialize its shares and get them registered with NSDL. Law (1999) in his article Depository Revolution has discussed that depository is not just removing fake shares and bad deliveries from the capital market but to prove a great catalyst for reform. The depository is a reality today. The concept of depository is set to revolutionize trading practices, reduce transaction costs and increase investor safety. Kumar (1998) in his Article Demat trading simpler the better has shed light on the different fees structure charged by NSDL from depository participants and by depository participants from the investors. NSDL charges nominal fees under three heads i.e. transaction fees in case of purchases, custody fees and rematerialisation fees. Gajra (1999) in his article Claim your rights has provided us the useful information that the investors get the compensation or the loss due to the depository participants mistake. The investors for protecting their return should give debit instruction to their DPs for sale at least a day or two before settlement day. Then the investor has to look for an instruction carried out properly. If he failed to get it, then he should approach NSDL, for arbitration. DPs are personally liable for their losses. This article was given in regard when SCHIL, one of the largest DPs failed to transmit instructions of its investor-clients to NSDL on time before settlement pay in. Saikia (1999) in his article Compulsory demat within a year has shed light on the views expressed by Ministry of Finance that one year has been set in adopting the full demat route for primary and secondary market shares. Research Methodology The study is based on descriptive research design. The primary data was collected and used for the research purpose. Primary data was collected by survey with the help of a questionnaire. The questionnaire was administered by the personal interview i.e. questions were asked from the respondents in a face-to-face meeting and the study was conducted with the help of pre-structured non-disguised questionnaire. Respondents were interviewed with the help of structured questionnaire. An investor residing and availing Depository Services in Ludhiana was taken as a sample. In the present study, non-probability sampling technique i.e. convenience sampling is used to collect the sample. Here in the study, population consists of all the investors of Ludhiana and a sample of investors have been taken from it. It is a convenience sampling because the respondent investors are chosen from those who happened to visit the office of a particular broker and the brokers themselves. The respondents were interviewed with a structural questionnaire by the researcher. A smaller sample but well selected sample may be superior to a larger but badly selected sample. A total of 100 respondents were selected from the city for the study. Investors ranked various advantages of depository. Rank was determined by computing the weighted average i.e. 4 points were attached to rank first, 3 points to rank second, 2 points to rank third and 1 point to rank fourth. Then for calculating ranks for various advantages, points allotted by investors were added and divided by 100 i.e. sample size. The advantage with the highest weighted average was ranked first and the advantage with the lowest weighted average was ranked fourth i.e. last. Similarly, the investors ranked problems faced by investors in depository system. Weighted average method was used. For rating the satisfaction level regarding depository services and the investors view point regarding depository system, weighted average method as well as factor analysis were used. The points were given as such. For highly satisfied +2, for satisfied +1, for indifferent 0, for dissatisfied -1 and for highly dissatisfied -2. Results of the Study Respondents Profile As per the study, majority respondents were professional i.e. 33% such as C.As, MBAs and C.S., where as 22% were post-graduates and the remaining 45% were graduates. The study found that majority of the investors i.e. 46% belonged to age group 30 or less than 40. 18% of the investors were belonging to age group 20 or less than 30, 26% of the investors were belonging to the age group 40 or less than 50 and 10% of the investors belong to the age group 50 or more. As per the study majority of the respondents i.e. 44% of the investors were found operating in the capital markets for 6 years or more. Whereas 29% of the investors have been operating for 4 years of less than 6 years, 18% have been operating for 2 years or less than 4 years and the remaining 9% have been operating for less than 2 years. As per the study, majority of the respondents had opened their demat accounts in year 2000 and 1999. The Different Sources Of Information From Where The Investors Came To Know About The Depository System. Sources of Information No. Of Investors Percentage Brokers 42 42 Friends 6 6 Newspapers Magazines 36 36 T.V. Programmes 2 2 Others 14 14 Total 100 100 As per the study, majority respondents had brokers, newspapers and magazines as the best source of information regarding depository system. The Depository Participants With Whom The Investors Had Opened Up Their Demat Account Depository Participants No. Of Investors Percentage SHCIL 30 30 Master Capital 22 22 LSE Securities 16 16 Karvy Consultants 18 18 Others 14 14 Total 100 100 The study revealed that Majority participants had opened their accounts with Stock Holding Corporation of India Limited followed by Master Capital, Karvy Consultants, LSE Securities and other depositary participants. The Reasons For Opening Demat Account With Particular DP By The Investor The respondents were asked to tick the various factors being considered for opening demat account with a particular DP. Reasons Percentage Nearness to location 15 Fast transaction 30 Infrastructure Facility 25 Good client dealing 15 Goodwill of the Organization 10 Others 05 Total 100 As per the study, the major factor contributing in selecting the depository was Fast Transaction followed by other factors such as Availability of Proper Infrastructure, Client Dealing, Goodwill of the organization, approachability etc. The Ranking Given By The Investors To Various Advantages Of Depository System Advantages Mean Scores Ranking No scope for any risk of loss, theft or fraud regarding share certificates 1.32 1 Investment is highly liquid 1.96 2 No stamp duty 3.9 4 Bad deliveries are almost eliminated 2.82 3 The study found that majority of the investors were of the view that the depository system would overcome the chances of loss, theft or fraud as a first advantage followed by other such as liquid investments, elimination of bad deliveries and absence of stamp duties. The Ranks Being Given By Investors To Different Problems Of Depository Services. Problems Mean Scores Ranking Not fully aware of the mechanism 3.64 4 Fear of enquiries from Income Tax Department 2.45 3 Increase in transactions costs 2.27 2 Difficulty in maintaining accounts 2.25 1 Increased paper work 4.39 5 As per the study the investors thought maintenance of accounts as a major problem of Depository System and ranked it at first place. The study highlighted the other problems such as increase in the cost of transaction, fear of enquiries from Income Tax Department, not full awareness about the system and increased paper work. Satisfaction Level Of The Investors Regarding Depository Services Attributes Mean Scores Satisfaction Level Dealing of DPs 1.6 Highly Satisfied Fees structure of DPs 0.94 Satisfied Service time of DPs 0.32 Indifferent Infrastructure Facilities of DPs 0.97 Satisfied Dematerialization/Rematerialisation procedure 1.14 Satisfied The study found that the investors were highly satisfied with dealing of Depository participants and satisfied from other services such as fee structure, infrastructure facilties and demateralisation/rematerialisation procedures. However, many of the respondents were found indifferent from service timings of DPs. The Investors View Regarding The Different Factors Of Depository Services Sr. No. Factors Mean Scores View Point 1 More transparency in depository system 2 Strongly Agree 2 Fear of losing physical possession of share certificates -1.36 Disagree 3 More cost involved in opening, maintaining and closing of demat account 1.05 Agree 4 Manipulation done by DPs and Brokers -0.02 Indifferent 5 Burden on small investor has been increased 0.21 Indifferent 6 Cost of Depository System matches with the revenues from it 1.22 Agree 7 Demat process is a lengthy one 1.14 Agree 8 Business for brokers has been increased 1.58 Strongly Agree 9 Need of single Depository 0.02 Indifferent 10 Demat has a bright future

Congestive Cardiac Failure: Causes and Effects

Congestive Cardiac Failure: Causes and Effects Analyse Health Information – Case study The scenario relates to Mr Alby Wright who has been admitted into your ward. His patient history and admission form is available for you to review. Mr Wright’s admission states that he has heart failure (congestive cardiac failure). Clearly define heart failure. What organs and which body systems are affected by this disorder? Congestive heart failure is a condition where the heart muscle becomes less strong and is unable to pump as well as it usually would. The ventricles which most important pumping chambers become bigger or thicker and aren’t able to squeeze or relax as well as they should be able to. This makes it easy for fluid retention to occur especially in the legs, abdomen and lungs (better health channel. 2013). This is all usually caused by diabetes, coronary heart disease, previous heart attack, high blood pressure and or other conditions that have damaged the heart and made it weak. Sometimes the fluid that gets in the lungs and it makes it uneasy to breathe and causes shortness of breath when the person is lying down on their back. This is called pulmonary oedema and can cause other respiratory issues if it not treated (American heart association. 2012). Generally if someone was to have heart failure, it would occur on the left side first mostly but can occur in both sides. If someone is experiencing left side heart failure, the left ventricle doesn’t fully empty and is unable to distribute enough oxygen rich blood around the body which causes heightened pressure in the upper chambers of the heart and the veins that are close to the area which is called systolic failure. Because of the build-up of blood in there, it can cause oedema in the legs, lungs and abdominal organs. The kidneys are affected by this hinders the way that they work and it leads to salt and water retention which causes further oedema. In some cases of heart failure, instead of not being able to pump blood around properly out of the left ventricle there is also unsuccessful relaxation of the left ventricle because the muscle has gone stiff which leads to blood pooling (better health channel. 2013) and also that the heart isn’t able to fully fill with blood during the resting period between each heartbeat (American heart association. 2012). Right sided heart failure usually happens because of left sided failure. When the left ventricle has failed, more fluid pressure is then transferred back through the lungs which damages the right side of the heart. When the right side of the heart loses the strength to properly pump, blood builds up in the veins and that causes swelling in the legs and ankles. The cardiovascular system is affected the most by congestive heart failure. The heart has been weakened and is unable to pump blood efficiently and doesn’t function properly in general and the muscle is also weakened. The respiratory system is affected because of the fluid in the lungs which is also known as pulmonary oedema. This can affect your breathing and leave you short of breath. Fluid may also build up in the liver resulting in an impaired capability to get rid of the body’s toxins and to produce the proteins that the body needs to live. The intestines can become not as good at absorbing nutrients and medicines as that would have when they were healthy (providence health network. 2014) Give a brief overview of the normal function of the body systems affected by this disorder. Cardiovascular system is most affected by this disorder. The functions of this system are to basically keep the blood running and pumping through by the arteries, veins, and capillaries (cliffs notes. 2013). The blood carries important nutrients around the body and helps to remove metabolic waste. The heart, blood vessels and blood help to regulate body temperature by controlling the blood flow to the surface of the skin. The white blood cells help to protect the body from foreign toxins and pathogens. Platelets help to clot blood so that you won’t have excessive blood loss and stop bleeding (cliffsnotes. 2013). Respiratory system function is so you can breathe and supply oxygen to your whole body (how stuff works. 2014). This works by breathing; inhaling oxygen filled air and exhaling carbon dioxide air. First you breathe in air through your nose and mouth and it travels down the windpipe and through the bronchial tubes then into the lungs. The diaphragm and abdominal muscles and make the lungs contract and expand so that you are able to breathe in and out. The bronchial tubes connect to blood vessels which carry blood through your body and exchange gases. The digestive system absorbs and moves the nutrients around the body that it needs to work well and gets rid of what the body doesn’t need as waste. First there is ingestion which is when eaten and then makes its way down into the stomach to be stored and waits for digestion. It then moves into the small intestines where the enzymes and bile work to break down the food where the body can absorb more nutrients that it needs and it continues on its way to the large intestine where it absorbs more fluid to make the solid faeces and moves through and gets excreted as waste (how stuff works. 2014). The liver aids in breaking up fats, absorbing them and digesting them. Urinary system works along with other parts of the body such as skin, lung and intestines to keep up the stability of chemicals and water in the body (live science. 2013).This system’s role is to filter and excrete. Kidneys work at reducing blood pressure by reducing the blood volume. The body filters blood to create urine which goes into the bladder and the bladder fills up until it is full and ready to excrete waste that the body does not need which is urination (live science. 2013). 3. Define the signs and symptoms of heart failure, and explain why these signs and symptoms occur. Breathlessness or shortness of breath is a symptom because when the heart starts failing, the blood in the veins gets backed up in the pulmonary veins because it cannot cope with the supply while trying to carry oxygenated blood from the lungs to the heart. At this point, the fluid is starting to pool in the lungs which hinders regular breathing. A person suffering heart failure may suffer with breathlessness upon exertion including exercise or other activities. As the condition progresses, breathlessness or shortness of breath may even be present while at rest or even sleeping which may cause the person to wake up (USCF medical center. 2014). Fatigue occurs when heart failure develops and worsens; the heart cannot pump the adequate volume of blood that is needed to meet all of the body’s needs. To make up for this, the blood is taken away from less vital such as the limbs to supply the heart and brain. Because of this, people suffering with heart failure usually feel tired, w eak and have difficulty doing normal tasks such as walking, going up stairs, or even carrying items. (USCFmedicalcenter.2014). Someone suffering shortness of breath as a symptom of heart failure will also experience fatigue if they are being woken up with breathing difficulties while they are sleeping. Chronic coughing and wheezing is a symptom because of the fluid backup in the lungs which may cause a thick, whitish mucus like substance called phlegm to be coughed up from the lungs which may even be tinged pink from traces of blood (USCFmedicalcenter.2014). Rapid or irregular heartbeat is a symptom because it may speed up to make up for its inability to pump blood around the body properly. People suffering this in heart failure may experience a fluttering sensation of heart palpitations, or a heartbeat that they are aware of and seems irregular or out of the normal rhythm. It may feel like the heart is racing or pounding hard (USCF medical center. 2014). Lack of appetite/ nausea be cause the digestive system isn’t as vital as the heart or brain so the blood has been pulled away from the digestive systems to these areas instead which means there will be problems with digestion including the feeling of fullness or sickness even though they have not eaten anything (USCF medical center. 2014). Confusion/ impaired thinking because unusual sodium levels in the blood and lessened blood flow to the brain can cause bafflement or memory loss even know the person suffering with this may not even realise, and someone else may pick up on this sign before they do (USCF medical center. 2014). Oedema or swelling due to restricted blood flow to the kidneys which means that they produce hormones which lead to the retention of salt and water. This causes swelling of (most often) in the legs, ankles, and feet. Oedema may also cause weight gain (USCF medical center. 2014). Rapid weight gain can occur as a result of oedema and the fluid retention (USCF medical center. 2014). Heart grows in size because it wants to make its pumping power greater so the muscle mass in the heart gets bigger to make this happen. The chambers inside of the heart also grow larger and stretch so that they can fit more blood in. While the heart grows in size, the cells that control its contractions also grow with it. An enlarged heart does not function as well as a normal sized one and the added muscle mass puts stress on the whole cardiovascular system (USCF medical center. 2014). The heart pumps faster as it tries to circulate more blood around the body. If the heart pumps blood too fast for a long period of time, it can damage the heart muscle and hinder its regular electrical signals, which can cause an unsafe heart rhythm disorder (USCF medical center. 2014). Blood vessels narrow because less blood is flowing through the veins and arteries and that means blood pressure can drop to seriously low levels. Because of this, the blood vessels narrow which keeps the blood pressure higher while the hearts power decreases. Narrowing of the blood vessels also limits the amount of blood that can flow through which may contribute to other conditions such as heart disease, clogged or blocked vessels in the legs or other body parts, or stroke (USCF medical center. 2014). Blood flow is diverted away from less vital areas such as the limbs when there is not enough of it to meet the body’s needs and gets given to more crucial organs such as the heart and brain which are the most important for survival. This can cause limb weakness due to lack of blood in the areas. The areas where the blood is diverted from may deteriorate over time from a lack of oxygen (USCF medical center. 2014). Increased urination at night because if the patient suffering heart failure lays down all day, the fluid that has been accumulating in their legs all day may move back up into the blood stream and gets taken to the kidneys and is excreted as urine (heart failure matters. 2014). Low blood pressure because the hearts power has decreased and the veins have narrowed. Chest pain if your heart failure is due to a heart attack. List the information taken on his admission that demonstrates these signs and symptoms. Cyanotic Appetite loss Confusion and anxiety Low blood pressure Temperature below 35.8 degrees Sa02: 87% on air Respirations: 32 Low blood pressure Constipation Do you think his diabetes is related to his leg ulcer and amputated left toe? Explain. Yes. High blood sugar levels in diabetic patients damage nerves and blood vessels which results in poor circulation to the feet and may cause ulcers, infection, and amputation. This is more likely to happen if the patient has had diabetes for a long amount of time, they smoke, they don’t move around much, or their blood glucose levels have been high for an extended period of time (diabetes Australia. 2014). One of the medications he is taking is Lasix. What is the action of Lasix? Which body systems are affected by it? Explain why you think Mr Wright is ordered Lasix. Lasix is a diuretic. It increases the amount of urine that is made in the kidneys and excreted as waste (c health. 2014). It is also used to regulate and control slight to moderate high blood pressure. It affects the urinary system because it involves the kidneys and the cardiovascular system because it involves the heart. I think that Mr. Wright is ordered Lasix to get rid of the excess fluid that would be built up in his body and to lessen the oedema. List three conditions in Mr Wright’s relevant medical history that are commonly associated with ageing. Glaucoma Type 2 diabetes Arthritis Using Mr Wrights admission history and assessment, list the factors that may impact on his safety whilst in hospital and when he returns home. Hypotensive- low blood pressure He needs a walking stick because he is unsteady on his feet He gets anxious, especially about his dog. This can sometimes cause an asthma attack. He gets confused His vision is impaired and gets blurry after he has eye drops and he also needs reading glasses. What other health professionals will be involved in his care and what services can they provide for Mr Wright. Paramedics will care for Mr Wright in the ambulance and pass him over to emergency. Mr Wright needs a doctor to in emergency to diagnose him. General Nurses will be involved to provide care for him and to care for his wounds. A diabetes educator can be involved to help him to understand the needs of his condition and set up an action plan and give him support. A dietician can also help with this condition and set up meal and nutrition plans etc. Exercise physiologist assists patients to have a physical lifestyle to prevent and manage chronic conditions. A pharmacist will dispense his prescriptions so he can have medications and to give information on them. He may be able to talk to a psychologist to improve his anxieties, especially about his dog (better health. 2013). List the nursing documentation you would expect to be used in the care of Mr Wright. Progress notes Medication chart Vital signs chart Nursing history and assessment Care plan Asthma action plan FBC- fluid balance chart Wound monitoring chart Falls risk assessment (tafesa. 2014) UCSF medical center. 2014. heart failure signs and symptoms. [ONLINE] Available at: http://www.ucsfhealth.org/conditions/heart_failure/signs_and_symptoms.html. [Accessed 04 April 14]. heart failure matters. 2014. need to urinate at night. [ONLINE] Available at: http://www.heartfailurematters.org/en_GB/Understanding-heart-failure/Need-to-urinate-at-night. [Accessed 08 April 14]. better health channel. 2013. congestive heart failure. [ONLINE] Available at: http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Congestive_heart_failure_%28CHF%29. [Accessed 08 April 14]. American heart association. 2012. types of heart failure. [ONLINE] Available at: http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Types-of-Heart-Failure_UCM_306323_Article.jsp. [Accessed 08 April 14]. c health. 2014. drug factsheets. [ONLINE] Available at: http://chealth.canoe.ca/drug_info_details.asp?brand_name_id=210#Indication. [Accessed 09 April 14]. providence healthcare network. 2014. congestive heart failure. [ONLINE] Available at: http://providence.net/facilities/heart-failure.html. [Accessed 09 April 14]. pt direct. 2014. major functions of the cardiovascular system. [ONLINE] Available at: http://www.ptdirect.com/training-design/anatomy-and-physiology/cardiovascular-system/major-functions-of-the-cardiovascular-system-2013-a-closer-look. [Accessed 09 April 14]. diabetes australia. 2014. diabetes and your feet. [ONLINE] Available at: https://www.diabetesaustralia.com.au/Living-with-Diabetes/MindBody/DiabetesYour-Feet/. [Accessed 09 April 14]. TafeSA, 2014. Acute Care Flow Charts. In: Flow Charts. s.l.:Government of South Australia. better health . 2013. allied health. [ONLINE] Available at: http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Allied_health. [Accessed 10 April 14]. cliffs notes. 2013. functions of the cardiovascular system. [ONLINE] Available at: http://www.cliffsnotes.com/sciences/anatomy-and-physiology/the-cardiovascular-system/functions-of-the-cardiovascular-system. [Accessed 10 April 14]. how stuff works. 2014. what is the function of the respiratory system?. [ONLINE] Available at: http://health.howstuffworks.com/human-body/systems/respiratory/function-respiratory-system.htm. [Accessed 10 April 14]. how stuff works. 2014. how the digestive system works. [ONLINE] Available at: http://health.howstuffworks.com/human-body/systems/digestive/digestive-system2.htm. [Accessed 10 April 14]. live science. 2013. urinary system. [ONLINE] Available at: http://www.livescience.com/27012-urinary-system.html. [Accessed 10 April 14]. Chikungunya Fever: A Review Of The Literature Chikungunya Fever: A Review Of The Literature The Newala and Masasi Districts of the Southern Province, Tanzania, reported its first dengue-like outbreak in 1952-1953, on the basis that this epidemic involved debilitating joint pains and shorter incubation period, thereby excluding dengue (Robinson 1955). The infection was called chikungunya; a word from the Makonde dialect describing patients contorted posture (Lumsden 1955). Chikungunya is an arthropod borne virus (arbovirus) of the genus: Alphavirus from Togaviridae family. It is transmitted to humans mainly by the day biting mosquito species Aedes aegypti and Aedes albopictus (Townson and Nathan 2008). Moreover, Aedes aegypti eggs collected from the Tanzanian outbreak were used for the first isolation of Chikungunya virus (CHIKV) (Ross 1956). CHIKV contains a positive-sense single stranded RNA genome, enclosed in an icosahedral nucleocapsid, all enclosed in a phospholipid bilayer envelope. Embedded in the envelope are multiple copies of two encoded glycoproteins E1 and E2, a small glycoprotein E3, and a hydrophobic peptide 6K (Strauss and Strauss 1994). However, the roles of these glycoproteins are not elucidated, but it can be assumed that it could facilitate the attachment of the virus to host cell. History Subsequent to the Tanzanian epidemic, several outbreaks have been reported worldwide, including the Indian Ocean Islands; La Reunion (Renault et al. 2007), Mayotte (Sissoko et al. 2008), and the Maldives (Yoosuf et al. 2008). There were outbreaks whereby Chikungunya had concurrence with other infections; with Dengue (Ratsitorahina et al. 2008, Yoosuf et al. 2008) and with Plasmodium falciparum infection (Pastorino et al. 2004). Moreover, Chikungunya have been imported into several European countries; United Kingdom (HPA 2007), France (Hochedez et al. 2007), Germany, Switzerland, Denmark, Poland (Panning et al. 2008), with Italy witnessing its first CHIKV outbreak in 2007 (Rezza et al. 2007). Aim of review The Italian outbreak has demonstrated that only one viraemic person was required to instigate an outbreak and due to increased population movement worldwide, CHIKV could extend to pandemic proportions (Rezza et al. 2007). Furthermore, the outbreaks could have been underestimated due to its concurrence with other infections. Thus, this literature review will demonstrate to the reader that the Western medicine should be planning for CHIKV outbreaks which are becoming increasingly possible due to world climate change. Clinical Features Chikungunya is a mild and self limiting infection (Rezza et al. 2007) with incubation period of 2-7 days (Robinson 1955). Patients usually presents with a number of clinical features, with fever, fatigue, joint pain, anorexia, and nausea presenting as common clinical features (Table 1). Arthalgia and myalgia mainly involves the extremities of wrists, ankles, hands, feet and phalanges, while skin rash and petechiae are manifestations of haemorrhage (Kannan et al. 2009). During the La Reunion outbreak, Gà ©raldin et al. (2008) observed vertical transmissions from mother to child, with newborns presenting with chikungunya infection without prior mosquito bites. These neonates became symptomatic between 3-7 days postpartum, with presentation of fever, pain, poor feeding, disseminated intravascular coagulation (DIC) with gastrointestinal and cerebral bleeding, petechiae, and distal joint oedema. Encephalitis, thrombocytopenia and haemorrhagic fever were presented as severe neonatal infec tions; however, no fatalities were reported (Gà ©rardin et al. 2008). Transmission of CHIKV CHIKV requires two types of hosts to complete its replication cycle. Firstly, Aedes mosquito species transmits the virus to animals, and act as definitive hosts. Secondly, humans and other animals become infected with the virus and act as intermediate hosts. The transmission between the natural hosts (primates, birds, rodents and others) and the definitive hosts involves the sylvatic (main) cycle (Pardigon 2009). By disrupting this cycle, humans became incidental hosts, resulting in urban transmission cycles yielding epidemics. These humans could transmit CHIKV directly to domestic mosquitoes (Gould and Higgs 2009) and indirectly to domestic animals such as fowl, pigeons and goats (Lumsden 1955). When an Aedes mosquito ingests viraemic blood meal, CHIKV replicates in the salivary glands and ovaries, sites where it can be excreted. Upon another blood meal, the mosquito injects the viraemic saliva into a susceptible host. Contrary, within the ovaries, CHIKV is transmitted to the mosqui toes eggs by vertical transmissions (Figure 1). The desiccated nature of these eggs enables it to survive longer periods in the environment, where they are hatched during the rainy season (Gould and Higgs 2009). Figure 1. The overview of CHIKVs transmissions cycle in mosquito and human (Evenor 2010). Aedes mosquito becomes infected after taking a blood meal from an infected intermediate host Upon another blood meal, the Aedes mosquito injects viraemic saliva into a susceptible host The viraemic blood travels to the gut, where CHIKV undergoes replication within the gut wall The egg later developed into a mosquito infected with CHIKV CHIKV travels to the ovaries, where it is transmitted to the mosquitos eggs by vertical transmission The intermediate host becomes viraemic with presentation of clinical features CHIKV penetrated the gut wall, where it is disseminated through the bloodstream CHIKV travels to the salivary glands, where it undergoes replication Distributions of Aedes albopictus and Aedes aegypti Aedes aegypti was the predominant vector during earlier outbreaks in Africa (Lumsden 1955), and it has been implicated in some recent outbreaks in Africa (Gould et al. 2008) and Indonesia (Laras et al. 2005). However, Aedes albopictus have been described as the main vector implicated in a number of recent outbreaks, between 2005 to 2007 (Leroy et al. 2009, Pagà ¨s et al. 2009, Ratsitorahina et al. 2008, Renault et al. 2007, Sissoko et al. 2008). In the Gabonese outbreak involving both vectors, Vazeille et al. (2008) hypothesised that Aedes albopictus is a more suitable vector for CHIKV than Aedes aegypti, as it has a higher susceptibility for the virus. The two vectors have been recovered from several breeding sites with some overlap (Table 2). Tyres have been the main source of Aedes albopictus larval importation into Italy, in 1992, from Atlanta, USA. Consequently, the trade of these used tyres within Italy had caused large infestations of Aedes albopictus in Linguria, Veneto, Lom bardy and Eimlia-Romagna regions, by the end of 1995 (Knudsen et al. 1996). Aedes aegypti larvae predominate inside home, whereas Aedes albopictus larvae predominate outside home (Preechaporn et al. 2006). Table 2. The natural and artificial breeding sites for Aedes aegypti and Aedes albopictus larvae. Natural and artificial breeding sites Incidence of Aedes aegyptilarvae Incidence of Aedes albopictus larvae References Barrels X Gould et al.2008 Drums X X Gould et al.2008, Ratsitorahina et al.2008 Buckets X Ratsitorahina et al.2008 Flower pots X Gould et al.2008 Discarded cans X X Preechaporn et al.2006, Ratsitorahina et al.2008 Coconut shells X Preechaporn et al.2006, Ratsitorahina et al.2008 Clay water jars X Gould et al.2008 Mango tree holes X Lumsden 1955 Wetlands X X Vazeille et al.2008 Discarded tyres X X Preechaporn et al.2006, Ratsitorahina et al.2008 Plant pots X X Preechaporn et al.2006, Ratsitorahina et al.2008 Gardens X Adhami and Reiter 1998 Discarded plastic bottles X Adhami and Reiter 1998, Preechaporn et al.2006 Wet containers X Ratsitorahina et al.2008 Banana trees X Preechaporn et al.2006 Plant axils X Preechaporn et al.2006 Animal pans X X Preechaporn et al.2006 Plastic containers X X Preechaporn et al.2006 Cement tanks X X Preechaporn et al.2006 Ant guards X Preechaporn et al.2006 Preserved areca jars X Preechaporn et al.2006 Small and large earthen jars X X Preechaporn et al.2006 Key: (X):- present, (-):- absent. Effect of climate change Outbreaks have been associated with climatic conditions such as temperatures and high rainfall. Temperatures influence the developmental rate of Aedes albopictus larvae to adult mosquitoes, with the rate optimising at temperatures between 25 to 30oC (Straetemans 2008). Thus, Tilson et al. (2009) argued that mean monthly temperatures above 20oC are required to initiate an outbreak, as illustrated by the Italian outbreak that was initiated in June and subsided in September when the monthly average temperatures were 22oC and fell below 20oC. Mean annual rainfalls over 500mm is required (Straetemans 2008) to provide suitable breeding environment for the mosquitoes to expand their population (Lumsden 1955); as a result, most outbreaks have been associated with high rainfall (Lumsden 1955, Pastorino et al. 2004, Renault et al. 2007, Sissoko et al. 2008, Yoosuf et al. 2009) as illustrated in Table 3. In 2009, the UK Met office (2010) recorded a mean annual rainfall and temperature of 1201.3 mm and 9.2oC, respectively. The rainfall is sufficient to initiate an outbreak; however, the low temperature is insufficient to support the mosquitoes life cycle. Therefore, the question is what would the impact be to the UK if the climatic condition changes to favour this mosquito? Table 3. Mean temperature and the amount of rainfall that were reported during several outbreaks. Country Duration of the outbreak Mean monthly Temperature (oC) Months mean monthly temperature were collected Amount of Rainfall (mm) Months high rainfall were recorded Reference Tanzania 1952 1953 21.8 28.5 Jun Nov 1203 Jan Dec 1952 Lumsden 1955 Bogor Aug Dec 2001 24 26.2 Jan 2000 Dec 2001 NA Laras et al.2005 Bekasi Jan 2002 26.2 29.6 Jan 2001 Dec 2002 1931 Jan Feb 2002 Laras et al.2005 Maldives 2006 2007 NA NA 970 Nov Dec 2006 Yoosuf et al.2009 Key: NA- not available Distribution of Chikungunya outbreak Mayotte (French Overseas Territory), an island of the Comoros archipelago, encountered its first CHIKV outbreak imported from Grand-Comore in mid-April 2005 (Renault et al. 2007), with 6346 reported cases (in two waves), observed by the surveillance system implemented throughout the island by the local French Health Authority, Dass (Direction des affaires sanitaires et socials) Mayotte. The first (minor) wave commenced in April 2005, it later peaked in week 18 and the infection rate diminished in June, with the virus maintaining low levels thereafter, during the temperate and dry season. However, the second (major) wave began during the first week of May 2006, peaked during the hottest and rainiest months around March/April 2006 and reduced to control levels by July 2006 (Sissoko et al. 2008). In March 2005, a chikungunya infection which started in Grande-Comorre was imported into La Reunion (French Overseas Territory), becoming its first severe reported case involving two waves of outbreak, as observed by the epidemiological surveillance system implemented by the islands local Health Authorities (Renault et al. 2007). Firstly, a (minor) wave commenced in March 2005, peaked in May 2005 and decreased at the beginning of July to approximately 100 cases where the level was maintained during the austral winter. By December 2005 the second (major) wave began; however, the capacity of the surveillance system at the time was insufficient to evaluate the number of cases, as the number of cases was increasing exponentially. This resulted in an underestimation of the number of reported cases with possible misdiagnosis with Dengue fever which circulated the island the previous year (Renault et al. 2007). By April 2006, the Regional Health and Welfare Office reported 203 deaths that w ere directly (due to low immune status) or indirectly (in associations with other underlying conditions) attributed with chikungunya infection, with a low mortality rate of 0.3/1000 people (Renault et al. 2007). The Maldives encountered its first CHIKV outbreak involving 11879 confirmed and suspected cases on 121 of the 197 inhabited islands, observed by the surveillance system implemented by the Epidemiology Unit of the Department of Public Health (DPH), from December 2006 to April 2007 (Yoosuf et al. 2008). The outbreak commenced at the beginning of December 2006, peaked in week 6 and subsided to control levels by week 11 before halting in April 2007. The epidemic was thought to be associated with post-tsunami construction activities which provided breeding sites for mosquitoes. Moreover, approximately five to six elderly patients died as result of co-morbidity and other conditions (Yoosuf et al. 2008). Figure 2: Global Distribution of chikungunya virus, 1952 to 2009. The cases represented on the map are either confirmed cases or suspected cases (Evenor 2010). References: 1 Krastinova et al. 2006, 2 Rezza et al. 2007, 3 Pastorino et al. 2004, 4 Sissoko et al. 2008, 5 Lumsden 1955, 6 Tamburro and Depertat 2009, 7 CDC 2009, 8 WHO 2008, 9 Yoosuf et al. 2009, 10 Leroy et al. 2009. Importation into Europe England In 2006, the United Kingdoms (UK) Health Protection Agencys (HPA) Special Pathogens Reference Unit (SPRU) reported 133 imported cases of chikungunya (Table 4). The majority of these tourists had travelled to the Indian Ocean islands (68), between March and August 2006, where outbreaks were circulating, with Mauritius being the main destination site involving 58 imported cases, followed by 6 in the Seychelles, and 4 in Madagascar. However, when the outbreaks were in decline, only one case was detected in December (HPA 2007). Between August and December, 44 cases were imported from India and 10 cases were imported from Sri Lanka, between November and December; countries with reported recent chikungunya outbreaks. Also imported into the UK, where one case from Nigeria, one from Tanzania, one case from Kenya, and one case from Australia. There had been no mention of chikungunya outbreak in these countries. However, the article did not state whether there had been reported sightings of Ae des mosquitoes in UK (HPA 2007). Table 4. The number of cases was identified by different methods from the 133 imported cases, in the UK. Identification of the imported cases Number of cases Laboratory confirmed case 45 Probable case 30 Suspected case 35 Past exposure 23 France The Pitià ©-Salpà ªtrià ¨re Hospital in Paris, France, reported 80 cases of Chikungunya infection imported by tourists who recently visited the Southwest Indian Ocean region, between March 2005 and August 2006. The majority of cases (52) were imported from La Reunion (Hochedez et al. 2007), a popular destination site for French tourists (HPA 2006). Other destination sites reported were; Mauritius with 18, Comoros with 4, Madagascar with 3, and Mayotte with 2 cases (Hochedez et al. 2007). Within the same period, Metropolitan France reported 766 imported cases, which correlated with the two waves of the La Reunion outbreak (Figure 3). At the peak of the first La Reunion outbreak, an average of 20 cases was imported to France monthly. However, between August and November 2005, during the Southern Hemisphere winter, the cases decreased (Krastinova et al. 2006). A month after the peak of the second outbreak, the number of imported cases drastically increased. It can be argued that Fran ce is at risk of future outbreaks, in view that some of its inhabitants are constantly visiting the Southwest Indian Ocean regions (Hochedez et al. 2007), mainly La Reunion and also due to the inhabitation of Aedes albopictus (Krastinova et al. 2006). Figure 3: Correlation between imported cases of Chikunugunya in metropolitan France to the estimated number of cases in the La Reunion outbreak (Krastinova et al. 2006). Italy Chikungunya was apparently imported into Italy by a male tourist coming from the Kerala province in India, who developed febrile illness two days into his holiday. The region he visited was Castiglonia di Cervia in June 2007. This was recorded by Ravenna provinces local health unit in the Emilia Romagna region, northeastern Italy where 205 people developed CHIKV infection (Rezza et al. 2007). The vector, Aedes albopictus, was implicated in the spread of the virus which was then imported from Castiglione di Cervia into Castiglione de Revenna two villages separated by a river. Mosquito control measures implemented in the area resulted in a reduction in chikungunya infection. However, the control measure was not implemented in other villages and therefore a new wave occurred. The virus isolated from the outbreak contained the same mutational change (Ala226Val) in the membrane fusion E1 glycoprotein as the Indian Ocean variant, thereby suggesting that the Kerala strain could have origina ted from the Indian Ocean outbreak (Rezza et al. 2007). Other European Countries Tourism has been one of the main methods of CHIKV distributions worldwide, including its importation into several European countries. In 2006, the Bernhard-Nocht Institute for Tropical Medicine in Hamburg, Germany examined 720 samples from 680 European patients who became symptomatic upon return to Germany, Belgium, Switzerland, Denmark, and Poland from several destinations (Table 2) (Panning et al. 2008). The majority of patients had recently visited countries in the Indian Oceans; Mauritius, the Seychelles, La Reunion and Madagascar, and other countries; Bali, Indonesia, Sri Lanka, India, Malaysia, Kenya and Thailand. Moreover, most of these countries have been implicated in recent CHIKV outbreaks. No outbreaks were reported in these European countries; however, future outbreaks can be hypothesised (Panning et al. 2008). Table 5. The country of origin and the holiday destinations of patients presented at the Bernhard-Nocht Institute for Tropical Medicine in Hamburg, Germany. Exact destinations were only available for 27.8% of patients, and exact itinerary were not available (Panning et al. 2008). Country of origin Number of patients Germany 515 Belgium 99 Switzerland 42 Denmark 22 Poland 2 Total Nos. of patients 680 Holiday Destinations (Regions with Chikungunya Epidemic) Number of patients Mauritius 92 The Seychelles 23 La Reunion 18 Madagascar 9 Bali 2 Indonesia 6 Sri Lanka 5 India 28 Malaysia 2 Kenya 1 Thailand 3 Concurrence with Dengue Fever and Malaria In 2006 and 2007, Madagascar and Gabon reported co-infections between Chikungunya and DENV-1 or DENV-2 respectively (Ratsitorahina et al. 2008, Leroy et al. 2009). Contrary to CHIKV, dengue virus (DENV) is of Flavirivirus genus from Flaviridae family; consisting of four antigenically distinct but closely related serotypes (DENV1-4). It is transmitted by Aedes aegypti and Aedes albopictus, also CHIKV transmission vectors (Cook and Zumla 2009). DENV and CHIKV have similar clinical features (Yoosuf et al. 2008). However, the only difference is that CHIKV has arthalgia (). The extended incubation period of DENV (5-8 days) differentiated it from CHIKV (2-7 days); however, the difference is insignificant (Cook and Zumla 2009). Thus, serological diagnosis can be used to differentiate DENV to CHIKV (Ratsitorahina et al. 2008). Ratsitorahina et al. (2008) and Leroy et al. (2009) confirmed Aedes albopictus as the predominating transmission vector of both CHIKV and DENV1 or 2. However, neither study stated whether the vector could simultaneously harbour both viruses. Moreover, the study by Vazeille et al. (2008) demonstrated that Aedes aegypti has a higher susceptibility to DENV-2 virus and a lower susceptibility to CHIKV; whereas Aedes albopictus is a more efficient vector for CHIKV than DENV-2 (Vazeille et al. 2008 and Moutailler et al. 2009). Leroy et al. (2009) further demonstrated this theory in the Gabon outbreak, as the majority of the patients had CHIKV compared to DENV-2. In May 1999 and February 2000, the Matete and Kingabwa quarters of Kinshasa in the Democratic Republic of Congo (DRC) reported two Chikungunya outbreaks. CHIKV was the main contributing factor in the first outbreak; however, during the second outbreak, evidence confirmed possibility of co-infections between CHIKV and Plasmodium falciparum (Pastorino et al. 2004). Malaria is a parasitic infection, of the Apicomlexa phylum, that mainly infects hosts red blood cells. It is transmitted by Anopheles species, whereas CHIKV is mainly transmitted by Aedes species. Plasmodium falciparum is one of the four species of Human Malaria (including Plasmodium vivax, Plasmodium malariae, and Plasmodium ovale). However, Plasmodium falciparum is the most severe form of Malaria (Cook and Zumla 2009). Pastorino et al. (2004) hypothesised that co-infections could be due to long term latency of Plasmodium falciparum, the presence of both transmission vectors in the area or the pathogens sharing the same vec tors. An experimental investigation by Yadav et al. (2003 as cited by Pastorino et al. 2004) demonstrated that urban Anopheles stephensi (Plasmodium falciparum vector) could transmit CHIKV. Lack of Research We are still in the preliminary stages of understanding the interaction between CHIKV and host immunity (Kam et al. 2009), despite increasing number of reported outbreaks, there are insufficient evidences of up-to-date quality research (Panning et al. 2008). Therefore, outbreaks should be utilised to implement entomological and epidemiological system in improving our poor knowledge of the virus (Pialoux et al. 2007). Chretien and Linthicum (2007) argued that the Italian outbreak should provide opportunities for developed countries to strengthen the public-health system of developing countries in order to reduce the worldwide spread of outbreaks. These can be done by implementing Entomological and Virological surveillance in Aedes albopictus infested areas (Charell et al. 2008). Renault et al. (2007) utilised Deltamethrin insecticides to eradicate adult mosquitoes, whereas Rezza et al. (2007) utilised synergised pyrethrins. Furthermore, both authors utilised the biological larvicide, Bacillus thuringiensis israelensis, to destroy breeding sites (Renault et al. 2007, Rezza et al. 2007); however, Renault et al. (2007) later utilised Fenitrothion and temephos. Other control measures include educating the community on personal protection (Ratsitorahina et al. 2008). Although, no commercial vaccine has been approved, several candidates have been tested including the Formalin inactivated CHIKV vaccine for the Indian strain, DRDE-06, ECSA genotype (Tiwari et al. 2009). Therefore, the author believes that future outbreaks can be avoided if more research on CHIKV is undertaken, and a worldwide surveillance system is implemented. Conclusion This review has demonstrated that tourism is one of the main methods of CHIKV distributions worldwide, as it was the reason of several outbreaks. CHIKV was transported throughout the Southwestern Indian Ocean islands by viraemic tourists visiting different islands (Figure 2) and Kerala, India, which was then imported into Italy (Renault et al. 2007, Rezza et al. 2007, Sissoko et al. 2008, Yoosuf et al. 2008). However, outbreaks require temperatures above 20oC and annual rainfall over 500mm to maintain Aedes mosquitoes populations (Straetemans 2008, Tilson et al. 2009). Therefore, England is one of the least at risk country, as Aedes albopictus is not present, and the temperature is unfavourable to maintain mosquitoes life cycle (HPA 2007, Met Office 2010). Countries such as France and Italy are at high risk, due to the presence of Aedes albopictus and the introduction of CHIKV; although, Italy is the most at risk due to a recent outbreak (Krastinova et al. 2006, Rezza et al. 2007). T he eminent climatic changes could result in rising temperatures and increased rainfall that would favour the establishment of Aedes albopictus worldwide. All these emphasises the need for Western medicine to plan for future CHIKV outbreaks, by implementing a worldwide surveillance system in order to monitor outbreaks and to perform vector control measures (Charell et al. 2008). Chikungunya have concurrence with Malaria and Dengue Fever (Leroy et al. 2009, Ratsitorahina et al. 2008); furthermore, evidence suggests wrong classification of Chikungunya due to its resemblance to Dengue fever. CHIKV is constantly mutating, thus constant development of a new vaccine is required (Tiwari et al. 2009). Thereby, further researches are needed.

Phonology And The Dutch Stress :: essays research papers

The Dutch stress sytem Dutch is described as being a quantity-sensitive trochaic system, operating from left to right with extrametricality. In the following essay I will gice the arguments and data that point towards this system. I will also analyse in which way exceptions are being taken care of within this system. The metrical analysis will be based on work by Trommelen & Zonneveld. These authors adopt an onset-rhyme organisation of syllable structure. We can make three major generalisations about stress when analysing Dutch: Firstly, main stress always falls within a three-syllable-window at the right word edge: this indicates that the main stress always falls on one of the last three syllables. This can also be called the three-syllable restriction. This produces three different stress patterns: final, penultimate and antepenultimate. Primary stress is prohibited further to the left. The three-syllable-window restriction: …()# Data:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  ANT  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  PEN  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  FIN VV#  Ã‚  Ã‚  Ã‚  Ã‚  Amà ©rika  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  macarà ³ni  Ã‚  Ã‚  Ã‚  Ã‚  individà º VC#  Ã‚  Ã‚  Ã‚  Ã‚  Jerà ºzalem  Ã‚  Ã‚  Ã‚  Ã‚  catamà ¡ran  Ã‚  Ã‚  Ã‚  Ã‚  kameleà ³n Furthermore, stress is restricted to a two-syllable windowin words containing a prefinal (or diphtongal) syllable. This means that antepenultimate stress (third syllable from right side of the word) only occurs in words with an open syllable next to it (an open penultimate syllable). Therefore, the Dutch stress system depends on the character of the second to last (penultimate) syllable. Data:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  ANT  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  PEN  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  FIN -VV-VV  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Pà ¡nama  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  pyjà ¡ma  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  chocolà ¡Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   -VV-VC  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  bà ¡riton  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  cà ©lebes  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  pelotà ³n  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   -VC-VV  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  agà ©nda  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  frikandà ©au -VC-VC  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Gibrà ¡ltar  Ã‚  Ã‚  Ã‚  Ã‚  bombardà ³n -ViVj-VV  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  andà ­jvie  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Thirdly, schwa syllables ae never stressed: Data:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  a) –CVX-C@(C)  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  b) -CVV-@(C ) mà ³de, salà ¡de, mir  Ã‚  Ã‚  Ã‚  Ã‚  Ãƒ ¡kel,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Azià «, Bà ©lgià «, tà ©rrià «r, là ©nte, septà ©mber  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ãƒ ndià «   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This is called the schwa-syllable restriction. Primary stress falls directly for a schwa syllable if schwa is immediately preceded by a consonant. We can, however also make minor generalisations within the bounds of major generalisations. These minor generalisations reflect the predominant stress patterns, and allow for exceptions. These exceptions stand for the recessive stress patterns within the system. The position of main stress is conditioned both by the length of the word and by the internal structure of the syllables involved. The dominant patterns in Dutch are the following:  In disyllabic words ending in open (VV) and closed (VC) syllables, penultimate stress is dominant  In trisyllabics, the dominant patterns are penultimate stress in VV-final words and antepenultimate stress in VC-final words (if the penultimate syllable is open)  In VXC-final words, final stress is the dominant pattern. Now that we know about these generalisations we can provide arguments and data which point towards the system of Dutch stress. Extrametricality: Extrametricality in the Dutch language is normally operating on words having a final –VX syllable (which is heavy). However, it does not work on final ‘open’ VV-syllables (which are light). The following examples prove this:

Frankenstein Movie To Book Essay -- essays research papers

How can we think of Frankenstein and ignore the film classic of 1931? Yet the celebrated film does not follow the novel by Mary Shelley. Although the scene of a futuristic laboratory entrances movie audiences with the mad Dr. Frankenstein and his faithful assistant Igor, the scene is derived from twentieth century imaginations and interests, not the novel itself. For good reason, the novelist chose not to begin her story with the chilling event of the dreary night in November. Instead of a major event, the book opens with a series of letters from Robert Walton. It is not his want for the voyage of discovery, but his obsession with fame, that drives him to the unknown in hopes of being credited with expanding mankind's knowledge and control of the universe. Similarly, Victor Frankenstein is drawn to the mysteries of experiments with the unknown. Early in his education he read about alchemists and early natural philosophers and becomes so impressed with the power of electricity that he makes it his mission to harness it to procure man’s place among the gods. But unlike the familiar films, no faithful Igor helped him rob graves or assisted him in an extravagant, futuristic laboratory. In the novel Frankenstein tells no one of his experiments and worked alone. Specifics concerning the actual experiment are omitted; no account of the actual process of locating, obtaining, and transporting body parts appears in the novel. It just says that he is made up of dead body parts. In t...

Leadership – To lead or to follow That is the question

Title: To lead or to follow? That Is the question. Assignment Topic: Compare and contrast two leaders, at least one of whom must be a business leader. Which of the two was the more effective leader? Why? What skills did they demonstrate? These two leaders must be explicitly named in your assignment and will be drawn from your knowledge of them or from biographies of modern-day leaders. Provide enough details of these two leaders so that a reader, who does not know of them, will be able to follow the points about them that you are making.Your assignment should demonstrate that you know what makes a successful leader, manager and entrepreneur in any situation. Word count (from the start of the Introduction section to the end of the Conclusion section, does not Include tables): 251 8 Executive Summary Defining the difference between a manager and a leader comes down to a few fundamental elements. Within this is the bases of identifying a follower from a leader, and the situation at hand .Often great leaders are created form a critical situation, hence why a continual development plan on self-growth and organizational growth Is Important as It pushes a leader beyond what Is expected of them In an everyday situation. A leader can be defined in many areas of life. Being a parent would be the first real role of presenting as a leader. From there, career choices or situations then reveal aspects of a leader. Some of the most powerful leaders of today, have stated that through adversity, they become who they are in this moment as it taught them fundamental lessons in managing life.To illustrate what makes a good leader, I will be comparing two personalities In this paper, 1. Richard Brannon (Abramson because he really does some outrageous moves In business and 2. Anthony Robbins (Robbins), because he has this unlimited passion for creating unlimited potential in anyone he meets. Table of Contents 1. Introduction to leaders 6 1 . 1 Anthony Robbins – The God father of life coaching 6 1. 2 Sir Richard Brannon – World's most exceptional business leader. 7 2. Understanding the nature of leadership 8 2. 1 Leadership or management 9 2. 2 The leader, the follower and the situation. 0 The followers 10 The situation 1 1 3. Leadership and change 13 4. Leadership skills 15 Leading an individual 15 Leading a team or group 15 5. Leadership intelligence, power and influence 16 Intelligence 16 Power and influence. 18 Conclusion 19 â€Å"For people to be true leaders, they must first see things for how they are, not worse. It's really about mastering the strength within yourself so that you can conquer the outer world around you† â€Å"Life is a gift, not a chore†. Anthony Robbins Entrepreneur, Author, Peak Performance Specialist. Mimi shouldn't blindly accept leader's advice.You've got to question leaders on occasion†. Sir Richard Brannon Entrepreneur, Visionary, Founder of Virgin Group 1 . Introduction to leaders 1 . 1 Anthony Ro bbins – The God father of life coaching Robbins (born in California, February 29, 1960) is an exceptional example of turning struggle into success. He is a recognized authority on the psychology of leadership. In the personal improvement industry, Robbins was the first to surpass more than a billion dollars in sales. He is one of the most successful advisors to world leaders, such as Nelson Mandela, Mikhail Cockroach and Bill Clinton.And one of the most sought-after speakers in the world (Anthony Robbins Biography n. D). His philosophy is simple – create a set of standards that will in turn create change. See table 1. Brannon, (born in Blackhead, London July 18 1950) the name behind the world's most irresistible brand, Virgin. There are over 100 Virgin companies in various industries all over the world. (Richard Brannon Biography n. D). According to an Ipso MOOR Captains of Industry Poll, Brannon has been voted as the most impressive business person in Britain' (Britai n's most impressive businessman' n. ). Brannon got a taste for entrepreneurship when he started a business magazine ‘Success', at the age of sixteen. The Virgin brand was then discovered, starting as a mail order business, then expanded into Virgin Records. Abrasion's is the only person to build eight billion dollar companies in eight different sectors. He was ninth in the Sunday Times Rich List 2006, worth slightly more than E billion (Richard Brannon Biography n. D). Abrasions values to his success. See Table 2. What makes a leader? What makes one greater than the other?Firstly both are leaders because of their ability to create change through drive and passion, in turn inspiring followers. To compare Brannon and Robbins, the need to analyze the fundamentals of the nature of leadership are required. 2. Understanding the nature of leadership Hughes, Gannett & Church, 2012, define a good leader as more than Just a calculation, planning or following a checklist, it also involve s touching others feelings. This emphasizes that leadership is more than Just instructing followers, but rather touching people's hearts as well as their heads.Emotions play a major role in success. Brannon and Robbins do this equally. Robbins does this on a greater scale as he is called on by leaders when facing a critical situation to provide strategic advice. In 2009, Robbins worked with over three million people in eighty different countries ‘Unleashing The Power', Figurers, 2009). In 2014, Robbins, worked with over fifty million people in more than one hundred countries (Anthony Robbins Biography n. D). Are these men leaders or managers? 2. 1 Leadership or management Leadership and management are closely related.They overlap as well as have distinguishable functions. See figure 1 . Described as a ‘complex phenomenon involving the leader, the follower and the situation' (Hughes, Gannett & Church, 2012 p. 4). Galilean (Hughes, Gannett & Church, 2012), expresses that s ome people are managers by nature and some people are traders by nature. Table 3 identifies the individual distinctions. 2. 2 The leader, the follower and the situation. The leader The leader is considered a role model to followers. They influence through their personal wisdom contributing to the follower's personal development and well-being.Outstanding leaders influence inspirational and intellectual stimulation creating a vision of the future (Cheer, et al 2014). Robbins and Brannon have become leaders without trying. Their unique styles have shown their level of success and therefore created followers to further nurture their dervish influence. Robbins has a unique ability to identify patterns that an individual is presenting and then gain consistent results by modeling underlying strategies. Such as his â€Å"Leadership in times of crisis† strategies. This approach was how Robbins took his own pain and suffering to evolve into a leader.For three decades, Robbins has been taking leaders at the pinnacle of their success, to align with their respective values and raising their standards by which they live. More often than not, they call on Robbins when facing critical decisions. A leader leading leaders requires continual additional engineering, as the leader then becomes the â€Å"follower†. Brannon started leading as an entrepreneur at the age of sixteen from his dorm room. Virgin Records was formed with Mimic Oldie being the first to sign a record deal with other household names assisting Virgin in becoming the biggest independent label in the world.From here, Virgin Airlines, Virgin Mobile and Virgin Galactic etc. Were born (Richard Brannon Biography n. D) Brannon stands as one of the pioneers in business and taking risks that other would never even dream of. Could a leader then become a follower? Leaders and followers have strengths and weaknesses, when under pressure, these will be exaggerated. The followers â€Å"Leadership is not restr icted to the influence exerted by someone in a particular position or role; followers are part of the leadership process, too† (Hughes, Gannett & Church, 2012).Fellowship is a critical part of the leadership equation. Without followers there would be no leader. Robbins has a theory that leaders give, and followers receive, but equally these two elements can only exist as being as one and Robbins has changed the lives of over one hundred million people. He is a Unitarian feeding more than three million people in fifty six countries a year. He has impacted many followers' lives by his bestselling self-help books, audio programs and live events (Anthony Robbins Biography n. D).Abrasion's Virgin brand has over one hundred companies' worldwide employing approximately sixty thousand people. Brannon is an avid social media user voted as the Auk's number one twitter user and worlds most followed person on Linked with more than eleven million followers across social media networks. He has written several books and has touched the lives of many students etc. Y encouraging an advisory centre to support common issues (Richard Brannon Biography n. D). The situation Does a leader develop from a situation? Out of crisis, some of the most extraordinary leaders are born.This would indicate the influences from a particular situation will encourage leadership qualities to be initiated in possibly a follower who now becomes a leader. ‘Leadership is the result of a complex set of interactions among the leader, the followers, and the situation' (Hughes, Gannett & Church 2012 p. 15) Brannon and Robbins have developed as powerful leaders by implementing the viral of experience which highlights the process of action-observation-reflection (A- O-R) model, which has been critical in their leadership development and understanding of dealing with the situation (Hughes, Gannett & Church 2012 p. 7). 2. 2 Understanding the Interaction Model of Leadership Understanding what makes a good leader and the effectiveness of the application to practice can be challenging. There has been no development of a leadership frame to model, unless it is aligning with spiritual, servant or transformational theories that have formulated a structure (Lethal, 2014). Subsequently, the way one leads will be determined by the followers and the situation. This then creates an element of interaction that overlap to influence the outcome. See figure 2. Gannett & Church 2012, p. 5).Situation vary greatly therefore analyzing and responding to situations vary between leaders. Behavior outcomes are largely innate – or artistic, and formal – or scientific, (internship plus experience). An effective leaders will exercise both the rational and emotional views – the Whole person' approach – of followers in order to produce desired results (Hughes, Gannett & church 2012, up. 6-7). Robbins gained innate (artistic) abilities from his own pain and suffering, and his formal (scientific) learning from motivational speakers and personal mentor, Jim Iron, and observation of individuals who were struggling.Brannon gained innate (artistic) abilities from his early learning from his father, a barrister, his grandfather, a Judge and as a student entrepreneur, and formal (scientific), from education at Stows School (however he had dyslexia and poor grades) and his business adventures (Richard Brannon Biography n. D). Brannon has been quoted in a presentation to Mambas, part of one's ability to succeed, be aware that to all business succeed and that they should be prepared to fail (mambas Presentation article' n. D). Through failure comes success. . Leadership and change Leading change is perhaps the most difficult challenge facing any leader (Hughes, Gannett & Church 2012, p. 556). Change has been known to cause fear. Leaders must therefore have a strong element of trust from followers that give a sense of security. Identifying a rational approach to ch ange requires road map for leaders to follow. According to Beer (Hughes, Gannett and Church 2012, p. 559), application of C = D x M P > R is a rational and straightforward approach to implement (see table 4).However, with change comes various factors to consider, which is strongly referenced towards resistance. There is an evident expectation-performance gap (see figure 3) that is commonly seen and should be managed through communication. Expectations that for change to take affect and results to be instant are unrealistic and require a certain level of patience. Another factor is emotions commonly associated with change that involves a sense of self-reflection or rejection and dealt with by being aware of the SARA model see figure 4.Robbins has a significant amount of trust from his followers, so much so that some of the world's greatest leaders have called on him as a strategic adviser. American anyone in the world to personally coach their business, they requested Robbins (Anthon y Robbins Biography n. D). Brannon as a leader in business, is someone that is most admired. In a presentation to Mambas, Brannon expressed that in business, a strong sense of ethics is fundamental in individual success, also believing that creativity, intuition and empathy are equally important (Abramson gives advice to Mamba's n. D).Depending upon the situation, a certain level of skillet is required to be an exceptional leader. 4. Leadership skills Skills associated with leadership will be expressed in various situations. How to lead an individual will differ from a team or a group. Leading an individual When working with and individual, it is obvious, there are areas to consider and work with such as interests/motivation, skills/abilities, values/attitudes, interpersonal behavior. All these factors can be nurtured easily, however when there are multiples such as in a group or team, it can create a new paradigm.Leading a team r group Team = often members of the same team (footbal l team), with common goals such as developing a new project or winning a championship, often having to work together to create the outcome. Group = members belong to a group for personal reasons, (church group), which may clash with other group members ideals. Often work independently (Hughes, Gannett & Church 2012, p 391). Robbins has a strong influence over individuals as well as groups and teams. During his seminars, he has participants walking barefoot over hot coals.Robbins metaphor that those who achieve greatness is the ability to take action-even if they experience fear (Tony Robbins' n. D). Abrasions Virgin Empire, has been recognized as the most desirable employer brand to work for according to two thousand British workers. He has also been described as being knowledgeable and innovative and very popular with 35 – 54 year olds (Virgin-named top employer brand', n. D). Effectiveness of leadership may be based on whether the team reaches its objectives. However, this may not be an affective observation. To gain understanding how a team functions iceberg metaphor is used to (see figure 5. ). 5.Leadership intelligence, power and influence Intelligence Hahn, et al (2012), believe that emotional intelligence involves a connection between various states of fear, pain and desire. In business, it plays a significant role determining factors that influence the effectiveness of a person, however it should not be a substitute for skills, knowledge and abilities. Difficult due to their achievements table 5, provides insight into Trichina theory of intelligence. OCEAN method is used to profile leaders. From this, there are five factors that are evident. Robbins and Brannon have shown that they have very similar traits (see figure 6).Good leaders have a high degree of CEQ and an innate ability to comply with these qualities: Strong sense of integrity, high ethical standards, recognize if they don't know or understand, confident, aware and exceptional decisio n-making capacity (Hahn, et al, 2012). Power and influence. Robbins and Brannon would be considered transformational leaders. They have the ability to exude a level of power and influence over their followers. Expertise times trust equals credibility. A 360-degree feedback report identified for leadership success and effectiveness, credibility was the most important (Hughes, Gannett & ropy 2012, p. 277-281). One specific advantage Robbins and Brannon have as being effective leaders is that they are both excellent communicators. Communication effectiveness is based on the ability to articulate arguments, advocate positions, persuade others and communicate feelings and ideas. Robbins was recognized by Toastmasters as one of the world's greatest speakers with a Golden Gavel Award. Brannon Received ‘The 2014 Business for Peace Award', in Oslo, Norway ‘The Business for Peace Foundation', 2014 Business Peace Award. Ethics and values are the bases of why these leaders attract l oyal followers.To become a great leader, it is not necessarily fact that you are a ‘born leader' as many leaders have developed from crisis situations. It has also been noted that many a great leader has given homage back to a power greater than themselves as playing a part in their leadership abilities and purpose. West and Noel (2013), state that leaders that are aware of God as they lead, understand the effectiveness of not Just numerical growth, but of the quality of life in their disciples {followers} lives and the effectiveness of leadership.What makes a successful leader, manager and entrepreneur? A successful leader is one who, being self-aware, uses available resources ethically and efficiently, adequately addresses followers' needs, and applies an optimal rational/emotional solution to the situation at hand (Hughes, Gannett & Church 2012, up. 34-35). Robbins and Brannon exhibit the above qualities. They are both board members of companies other than their own. Robbin s has been recognized as â€Å"Top 50 Business intellectuals in the world† and voted â€Å"Top 200 Business Gurus†, (Anthony Robbins Biography n. D).Brannon has been recognized for various awards such as amour of Knight Bachelor for his services to entrepreneurship, by Charles, Prince of Wales, and is eighty five of the list of top two hundred Britons. We could safely state, that they are great leaders of the twenty first century (Richard Brannon' n. D). Comparing one to the other to determine which would be considered greater is difficult. They are both humanitarians, entrepreneurs and naturally exceptional leaders. The differentiation would be that Brannon is a leader ahead of his game in business and Robbins leads the leaders to continually improve on being an exceptional leader.

Education Philosophy Essay

The impact of religious studies on the education system is a subject that is increasingly making many education researchers and experts invest their time on, as the world goes global and multicultural education becomes popular. This subject is especially established in the higher education context, due to the interest multicultural education is increasingly raising to educationists. This paper examines the impact Islamic philosophy and Christian philosophy, the two major religious studies, have on higher education. In spite of the fact that higher education has been increasingly becoming secularized since the late nineteenth century (Roberts and Turner, 2000), the impact the Islamic and the Christian philosophy has on higher education, globally, is immense. The Islamic philosophy, a division of Islamic studies whose main aim is synchronizing the Islamic faith and reason, draws its impact on the global higher education from Islamic religious principles and teachings. This is the fundamental reason why the subject is a major tropic of interest in the education context, given the influence that Islamic teachings and practices have to the learning processes and strategies of a student. In his book, Philosophy of education: an encyclopedia, Joseph James Chambliss writes that one of the leading issues in the Islamic philosophy of education regards how religious teachings relate with secular knowledge, or other knowledge emanating from outside the Islamic religion. Religious knowledge, for instance, is recognized by Islam as the most important source of knowledge, a fact that has a dominant influence on the education system in countries such as in the Middle East, where Islam is the religion practiced by the majority. Chambliss notes that although it is common belief that religious instructions and secular instructions are distinct, imitation of religious methods and practices is often seen in secular settings (Hoosain & Salili, 2006). One way this happens is, for instance, the recitation by heart of chapters and quotations, a practice that is common in secular schools. This practice is also common in Christianity sectors, where many students imitate practices learnt in their However, certain practices and modes of culture may have adverse impacts to higher education. One feature of Islamic philosophy involves the modes of teaching religious knowledge, whereby the religious teacher is supposed to teach unchallenged by the students, who are not encouraged to raise difficult questions requiring clarification of more than technical ideas. This is because the teacher is viewed as a transmitter of knowledge that is not supposed to be challenged, and any attempts to challenge it are taken as Islamic criticism. Under such an environment, it would seem unusual for a student to have information that would be of value. This greatly discourages student participation in the class. Moreover, the student imaginative capabilities are discouraged since by the teacher being the custodian of the truth, any imaginative attempts of the students would be viewed as a distortion of the truth . the students are not supposed to another negative impact to the higher education is on (Chambliss, 1996). These ideas have a major impact on the higher education, since many students; in the global context make use of concepts and practices learnt in their formative years in their studies. The current trend in education, where more and more students are increasingly getting their higher education from overseas institutions, ensures that students are in touch with other students with such practices as aforementioned. References Chambliss J, (1996 ). Philosophy of education: an encyclopedia Taylor & Francis, Retrieved April 1, 2009 from