Arts, Man on Wire, and Bomb the Suburbs

Lilian Sun Maczynska The Literary Imagination 20 August 2012 Arts, Man on Wire, and Bomb the Suburbs Pan to Houston, Texas at night. On an episode of Stephen Fry in America, produced by Andre Singer, standing on a stage in a dimly lit room, surrounded by Houston’s elite, actor and comedian Stephen Fry speaks of the importance of the arts. â€Å"Oscar Wilde quite rightly said, ‘All art is useless’. And that may sound as if that means it’s something not worth supporting. But if you actually think about it, the things that matter in life are useless. Love is useless. Wine is useless. Art is the love and wine of life.It is the extra, without which life is not worth living. † In contrast to Fry, there are people who wish the government would cut funding for the arts. And then there are the artists. People who fight for the right to practice their art, whether they consciously know they’re fighting or not. People who will go to amazing lengths to sh owcase their art, and their dedication and determination is what gets them mentioned year after year after year. People like Philippe Petit, the quirky French high-wire artist who flew from France just to walk on a wire across the Twin Towers, whose life is forever immortalized in the documentary Man on Wire.People like William â€Å"Upski† Wimsatt, one of the most prolific Chicago-born graffiti artists, who inspired a generation of graffiti artists to view graffiti as an art form in his book Bomb the Suburbs!. Using whatever methods they can, illegal or not, they both worked to achieve their dreams and send their message to the world. They managed to pull people out of the blase outlook mentioned in Georg Simmel’s scholarly essay The Metropolis and Mental Life.One of the most prominent situations where an artist’s dream pulled people out of the unconcerned manner in which they carried themselves was the 1974 high-wire walk between the Twin Towers by Philippe Pe tit. High-wire walking is a form of tightrope walking, much like tight-wire walking, which is the simple art of maintaining balance while walking on a tensioned wire. The difference between the two is that high-wire is at a much greater height. The amount of concentration and balance and individual must have to accomplish this is extremely important in the art of tightrope walking. This s a testament to the level of professionalism and dedication that Petit had. Although he gained his notoriety in the US for walking between the twin towers, he was already gaining observations from various other places in the world, such as France, where he walked between the two spires of the Notre Dame Cathedral, and Australia, where he walked between the two sides of the Sydney Harbour Bridge. Petit realized his dream of walking between the Twin Towers when he was sixteen, soon after he had taken up high-wire walking, while in the dentist’s office and seeing an artist’s rendering of the towers as they would look when built.His passion for the art of high wire is best explained by Petit himself in the documentary Man on Wire directed by James Marsh. â€Å"Life should be lived on the edge of life. You have to exercise rebellion: to refuse to tape yourself to rules, to refuse your own success, to refuse to repeat yourself, to see every day, every year, every idea as a true challenge – and then you are going to live your life on a tightrope. † Because of his strong desire to be anything but boring, Petit put everything he had into his art.He practiced with family and friends, letting them help him improve so that one day he would achieve that dream of walking between the Twin Towers. After many years of planning and many hours the previous night setting up, Petit began taking his first steps on the wire. They were all indifferent and did not notice, except the people who were in on ‘the coup’ (his nickname for the act). In 1903, German so ciologist, Georg Simmel speaks of the blase attitude the sights and sounds of the city brought to its inhabitants in his essay The Metropolis and Mental Life. There is perhaps no psychic phenomenon which has been so unconditionally reserved to the metropolis as the blase attitude. The blase attitude results first from the rapidly changing and closely compressed contrasting stimulations of the nerves. † (Simmel par. 5) This is very much the attitude New Yorkers had when Petit started walking across the wire, on the Morning of August 7, 1974. Only after his then girlfriend, Annie Allix, began screaming and pointing to the people around them â€Å"Look! Look! Look, a wire-walker! He’s walking! did people look up and see him, this magnificent artist, walking on the wire, and they were astounded. Said the police officer, Sgt. Charles Daniels, who was sent to apprehend him, † †¦ I observed the tight rope dancer†¦ because you couldn't call him a walker†¦ approximately half-way between the two towers. I personally figured I was watching something that somebody else would never see again in the world. Thought it was once in a lifetime. † By following his dream, no matter the risk (falling to his death, getting arrest d for trespassing), Philippe Petit brought to the world, his own little piece of art, forever immortalized in history, and will always be known as the man who laid in the clouds. Fast forward twenty years, and you’ve wandered into the time period of William â€Å"Upski† Wimsatt. A poor white boy, growing up in the ghetto of Chicago, he was gifted with the art of graffiti. Graffiti is a form of public art, usually spray painted on walls, lamppost, mail boxes, or any other public surfaces, originally used as a form of marking territories between gangs. As time progressed, it became less of a mark of territory, and more of an art form.When graffiti emerged as an art form in the late 1960s in New York City , it was immediately a contentious topic. (Bowen 22) The connotation with gangs and vandalism have fueled the media to paint it in a negative light, and many graffiti artists, or â€Å"writers† as many of them consider themselves, feel that if they spoke up about it, they would be patronized for their art and passion, especially since so many artists came from the ghetto, so instead, they just continued to quietly graffiti on their own, only signing their pieces with their signature, or what is known in the graffiti world as a â€Å"tag†.Above: William â€Å"Upski† Womsott’s tag (left), A piece by Upski entitled â€Å"Upski† (right) A 20-year-old Wimsatt saw the injustice behind this and set out to â€Å"†¦be a pioneering graffiti writer, to be a hip-hop organizer in Chicago, and the be a hip hop journalist. † (Wimsatt 164) in order to revel in the art of graffiti. He writes â€Å"†¦ let’s celebrate the city. Let’s c elebrate the ghetto and the few people who aren’t running away from it. Let’s stop fucking up the city.Let’s stop fucking up the ghetto. Let’s start defending it and making it work for us. † (Wimsatt 11) On the surface of it all, it seems as if Wimsatt only has a strong personal vendetta against suburbs, but he also supports the art of graffiti in a strong way, being an artist himself. With the publication of his book, he inspired a generation of graffiti artists in the 80s and 90s to not hide their art, but to display it proudly and have pride in it and they city in which they live.Although the act of vandalism is illegal (Wimsatt tells of stories where he had to hide and run from the police, or what he perceived to be the police in his paranoia), Wimsatt encourages the act of graffiti in spaces where it can be seen, writing to a fan and fledgling graffiti artist, â€Å"Choose spots that maximize the good impact of the work, while minimizing its b ad side-effects. Maximize public exposure, surprisingness and daring of a piece, while minimizing its insult, and cost to people of the city.The best targets for piecing are usually abandoned buildings, rooftops, and neighborhood permission walls, especially in unexpected places. Questionable targets include all public or private property that gets buffed and raises the cost of living. † (Wimsatt 57) With this, he deliberately proves that he wants to bring recognition and fame to the beauty of the art of graffiti for the art, and not for any destructive reason. Petit and Wimsatt have both brought fame to themselves, and their arts.They both risked getting arrested by the police to be able to showcase this, to inspire a nation, and to motivate a generation. Through diligence, commitment, and persistence, artists every day, not just Philippe Petit and William â€Å"Upski† Wimsatt, contribute to the life force of the arts, as more and more people become aware of the import ance of the arts, and rally to support it. Petit and Though, yes, the arts are not necessary to live, and not every person needs it to be able to sustain a job or anything of the like, however, if one would just imagine the works without art, it is a bleak world.No paintings, no music, no tv, no fashion, no anything that makes this world one worth living in. Like Stephen Fry said, â€Å"Art is the love and wine of life. It is the extra, without which life is not worth living. † 10 Philippe Petit and William â€Å"Upski† Wimsatt unquestionably believe that. Works Cited * Bowen, Tracey E. â€Å"Graffiti Art: A Contemporary Study of Toronto Artists. †Ã‚  Studies in Art Education  41. 1 (1999): 22-23. Print. *   Fry, Stephen. â€Å"Mountains and Plains. †Ã‚  Stephen Fry in America. Dir. John-Paul Davidson and Michael Waldman.BBC. 02 Nov. 2008. Television. * Man on Wire. Dir. James Marsh. Prod. Simon Chinn. By Igor Martinovic, Michael Nyman, J. Ralph, and Jinx Godfrey. Magnolia Pictures, 2008. DVD. * Simmel, Georg. â€Å"Altruists International – 404 Error Page. †Ã‚  Altruists International – 404 Error Page. N. p. , n. d. Web. 23 Aug. 2012. ;http://www. altruists. org/static/files/The%20Metropolis%20and%20Mental%20Life%20(Georg%20Simmel). htm;. * Wimsatt, William Upski. Bomb the Suburbs. New York, NY: Soft Skull, 2000. Print.

Social Changes Their Influences Over The Past Century Education Essay

Merely as manner alterations in a response to alterations in society and public position, so make the positions of kids change in response to the same issues. There are Four major factors that tend to hold the most profound impact on the positions and intervention of kids in society. 1. Historical Events – World War II – Progressive instruction motion – Educational plan practice/practice examination – Social attention V Developmental attention – Sociable force per unit areas to maintain female parents at place2. Changes in Family Life – Increased figure of adult females in the work force – Rise in the figure of individual parents – Increasing mobility3. Evidence of the Benefits of Early Childhood Education – Research indicates quality attention has positive effects on development – Child at Risk Benefit: greater schooling success, decreased demand for particular instruction, lowered delinquency and apprehension rates, decreased public assistance dependance.4. Recommending on Behalf of Children – Many households face utmost poorness – Scarcity of low-cost, high-quality of attention – Child ‘s rights advocators – Has become a political concern Educational Theories and Their Influence on Early Childhood Programs Questions to See What is developmentally appropriate pattern? Why is it an recognized pattern in learning immature kids? What is an educational doctrine? How does it associate to developmentally allow pattern? There has been a distinguishable tendency to force kids to accomplish academically. Our schools are under changeless unfavorable judgment sing hapless academic readying and literacy. Possibly this is a consequence of conflicting educational doctrines and patterns.Doctrines of Education When pedagogues express their strong feelings about how kids should be taught, there are showing their doctrines. Doctrines of instruction integrate our strong beliefs about how kids grow and learn ; in bend, they help us find the activities and stuffs we consider most good. Doctrines are based on theories. Two major theoretical accounts are: 1. Psychometric Model 2. Developmental ModelPsychometric Model Psychometric Model is composed by specific mensurable abilities. It states that kids learn best by being screened, evaluated and moved through a preset sequenced of teacher-directed acquisition experiences holding predictable results that can be measured and tested. Instructional schemes: – promote the acquisition of specific academic accomplishments – pedagogues carefully and intentionally lead kids ‘s acquisition episodes – accent is placed on subskills associated with reading, composing and math – acquisition is reinforced with workbooks, worksheets ; paper and pencil seatwork focuses on memorisation of letters, word, etc. – art undertakings imitate theoretical accounts – schoolrooms find small clip for drama, originative thought, group or single job resolution, hazard or geographic expeditionDevelopmental Model The Developmental Model seeks to offer a safe and nurturing environment that promotes the ‘Whole ‘ kid, or SPLICE. Quality is determined how developmentally appropriate it is, both in footings of age and individualism. – follows Interactionist/Constructivist theories of larning – Course of study planning emphasizes larning as an synergistic procedure. Teachers prepare the environment for kids to larn through active geographic expedition and interaction with grownups, other kids and stuffs. – Learning activities and stuffs should be concrete, existent and relevant to the lives of immature kids. – Teachers provide a assortment of activities and stuffs ; instructors increase the trouble, complexness, and challenge of any activity as kids are involved with it and as kids develop understanding and accomplishments.Plans From Educational Theories Behaviorist Programs Early Childhood Program Name callings: – Direct Direction – Bereiter-Engelmann Model – Engelmann-Becker Model – DISTAR ( Direct Instructional System for Teaching Math and Reading The Educator ‘s Role is really of import because it is a instructor directed plan. it requires theoretical account or model behaviour from instructor and pupils. It uses techniques such as Prompting ( manus signals ) to derive the coveted behaviour or action.Curriculum and Program Organization: – academic accent – acquisition is hierarchal – undertaking analysis interruptions down constructs into little stairss – stairss are sequenced – usage prompts and support of behaviour – uses-fast paced lessons and bore techniques – uses small-group direction – follows a set timetable each twenty-four hours Physical Environment: – little suites available for group work – minimal ocular distraction – item awards such as star charts encouraged Appraisal: – frequent criterion-referenced testing – command of constructs allows for motion to following degreeDevelopmental Programs Early on Childhood Plans: – traditional nursery school – Early Head Start – British Infant School The Educators Role is to steer and ease acquisition. There is besides a heavy publicity of all facets of SPLICE/Development.Curriculum and Program Organization: – sees kids as adventurers – course of study is child-centered and frequently child driven – two cardinal characteristics: Integrated Curriculum and Integrated Day – integrated topics throughout the twenty-four hours – encouraged creativeness and self-expression through a strong usage of the humanistic disciplines – agendas are flexible – encourages kids ‘s involvements – considers development as a natural flowering: force per unit area is non appropriate – utilizations common environmental stuffs – considers play indispensable – considers societal and affectional development of import Physical Environment: – integrates the indoor and out-of-door environments – child-centered and child-friendly ; tonss of grounds of kids ‘s work and kids ‘s involvements – schoolrooms organized around involvement or acquisition centres Appraisal: – observation and anecdotal notes – developmental samples of work provide developmental record – periodic formal parent conferencesCognitive Interactionist Programs Early Childhood Program Name callings: – Constructivist plans – Cognitively-Orientated Course of study – High/Scope Curriculum ( extensively used in preschool plans in Eastern Canada, originated in Ypsilanti, Michigan ) Educator ‘s Role is one of facilitator and open-ended inquirer to ease thought and problem-solving. They provide open-ended stuffs for the schoolroom environment which offer the kid appropriate support and challenges. Observation and interaction with kids occurs to detect how each kid thinks and grounds. As good, there are custodies on engagement activities, along with conversations with the kids.Curriculum Program and Organization: – based on Piagetian Theory ( Jean Piaget ) – organized around cardinal experiences in the three countries of cognitive development, socio-emotional development, and movement/physical development: originative representation linguistic communication and literature enterprise and societal dealingss motion music categorization figure infinite clip – requires big blocks of clip for problem-solving and communicating, so timetable of twenty-four hours is build around ‘Plan-Do-Review ‘ – intent of ‘Plan-Do-Review ‘ is to ease kids ‘s thought and planning every bit good as to promote their brooding thought Physical Environment: – organized into involvement centres – stuffs in involvement centres are organized in logical mode that enables kids to utilize and return stuffs independently – suggestions for suited stuffs: practical, mundane objects natural and found stuffs tools messy stuffs heavy big stuffs easy-to-handle stuffs Appraisal: – High/Scope Child Observation-Record for Ages 2-6 – organized around cardinal experiences and buttockss initiative, originative representation, linguistic communication and literacy, societal dealingss, logic and math, and music and motion. – High/Scope Program Quality Assessment used for evaluation plans on larning environment, day-to-day modus operandi, adult-child interaction, course of study planning and appraisal, parent engagement and household services, and staff making s and developmentPoliticss and Early Childhood Education Canadian Governement Regulations hypertext transfer protocol: //www2.parl.gc.ca/content/lop/researchpublications/prb0420-e.htm Retrieved on 15-Nov-2010 Saskatchewan Child Care Regulations hypertext transfer protocol: //www.qp.gov.sk.ca/documents/English/Regulations/Regulations/C7-3R2.pdf Retrieved on 15-Nov-2010 First Nations Head Start -Standard Guide hypertext transfer protocol: //www.hc-sc.gc.ca/fniah-spnia/pubs/famil/_develop/2003_ahs-papa-ref-guide/index-eng.php Retrieved on 15-Nov-2010Public Education and Advocacy Some early childhood pedagogues are loath to take an active function in public instruction and protagonism, and others feel powerless to make anything. There are three types of advocacy-personal, professional, informational. Personal Advocacy – Help your neighbours understand what you do at your occupation. – Refer yourself as an early childhood pedagogue. – Encourage friends/family to believe about why attention costs every bit much as it does. – Identify how attention helps them in their ain occupation – Read and explicate early childhood research. – Join professional organisations. Professional Advocacy – Lobbying – groups that advocate for quality early childhood plans – Group work toward greater public apprehension and support for high quality kid attention, by broadening the base of support to include other groups such as baby doctors and concern community. Informational Advocacy – Attempts to raise public consciousness about the importance of early childhood, and the capacity of high quality plans to beef up households and proven chances for optimum growing and development. – An effectual advocator requires first-hand cognition for the issues confronting kids, households and staff.Engagement | Exploration | Application | Connection | Top created 12-Oct-2009 modified 17-Nov-2010 glossary right of first publication

Flaws of the Hawthorne Effect Essay

Progress toward specified goals is fundamental to planned accomplishment. Measuring that progress is essential since it provides intermediate feedback for continued or corrective actions and can help ascertain actual accomplishment. Beyond the simple assessment of accomplishment is the evaluation of what that accomplishment truly means. Through proper evaluation, an accomplishment’s true worth can be determined. Then, decisions about future actions can be made. Care must be taken, however, to avoid pitfalls that could lead to incorrect conclusions and improper decisions. Let’s begin with an example. A golfer attempts to hit a ball into a hole in as few strokes as possible. After each stroke, the golfer hopes, the ball will be nearer the hole, until (at last) on the final shot, the ball disappears with a satisfying rattle into the plastic cup liner. The goal has been met. But what does that mean? How well was the goal met? Was it met in exemplary fashion or merely in a satisfactory manner? One measure is the number of strokes required. Assuming another player is competing, scores can be compared in order to evaluate relative performance. Without a norming score, however, goal attainment remains somewhat undefined in terms of level of achievement. Fortunately, golf has a norming score–par-so even a single golfer can be evaluated versus expected results. Golf can be taught and played in several ways. Which is the best method? How can one evaluate these methods? Perhaps comparing the performance of those who adhere to each method will provide a relative measure of which is most productive. Evaluation of these results can help golfers and instructors make informed decisions about which method to employ. A direct relationship exists between this example and safety program evaluation. A safety program is individually measured using a variety of tools. These measures, such as injury frequency rates, can be used in comparison with normalized (or group) measures to evaluate how a program is progressing toward a prescribed level of performance. Furthermore, program activities used to improve performance can be evaluated by comparing various measures of those activities. Hence, the evaluation process can be used to make informed decisions about safety program effectiveness. Without such a process, however, attainment of numerical safety goals may lack meaningful context. Hopkins and Antes describe traditional uses of the results of educational measurement and evaluation. â€Å"Educational evaluation takes the output of measurement and other pertinent information to form judgments based on the information collected. These judgments are the basis for decisions about students as individuals, and decisions about the effectiveness of school programs† (Hopkins and Antes 34). They conclude, â€Å"Improvement of the teacher’s teaching and the student’s learning through judgments using available information is the ultimate function of the evaluation process† (Hopkins and Antes 31). Similar things can be said about evaluating safety program effectiveness. That is, information collected about the various activities associated with a safety program should form the basis for decisions made to improve safety performance. Evaluation is based on information collected. Data collection can be achieved via many methods. Observation is one. Observations may be recorded or unrecorded. Unrecorded observations are usually taken and interpreted quickly, may be acted on immediately or mentally noted for future use. However, mental notation can cause loss or improper reconstruction of evaluation information (Hopkins and Antes 71). Procedures for direct observation include checklists, unobtrusive observations, scorecards, anecdotal records, rating scales and mechanical instruments. Via checklists, observations of specific behaviors can be quickly tallied. Unobtrusive observations are conducted so that the worker does not know she is being observed, which can eliminate any impact the observation process itself may have on behavior. Scorecards are similar to checklists, but apply a weighting scheme to the behaviors being observed. Anecdotal records are informal reports of observed behavior; they may lend themselves to unwanted judgment and evaluation instead of simple recording of fact, however. Rating scales can be used to collect information about intensity or degree in relation to the observation (Hopkins and Antes 78-96). Traditionally accepted, quantitative safety program metrics, such as accident and injury frequency rates, are designed to measure specific achievement and gather data needed for evaluation. Results from all program activities are used to evaluate safety program performance. Bottom line: Information-collection techniques must be designed to prevent an evaluator’s personal biases from influencing how results are recorded or considered. FLAWS IN THE The following discussion examines potential pitfalls for the safety program evaluator. Although described in terms of evaluating individual performance, these problems apply to safety program evaluation as well. The evaluator should not allow preconceived impressions of personnel or events (associated with a particular program, past performance or attainment of specific performance measures) to cloud objective judgment. Safety program evaluation takes time and resources. Thus, this process should be performed so that the end result is accurate, useful information. The Halo Effect The Halo Effect is one potential evaluation pitfall. According to Kirkpatrick, who describes the effect as it relates to the workplace and employee performance evaluation, the Halo Effect is a tendency to overrate the person being observed. This concept can be applied to safety program evaluation as well. Kirkpatrick lists seven reasons why this effect occurs. 1. A person’s past good performance leads one to expect continued good performance, and the assumption of good performance carries over to future evaluations (Effect of Past Record). 2. An evaluator tends to rate a person who is pleasing in personality and character, agreeable and otherwise compatible higher than performance may justify. . Recent outstanding behavior can overshadow much longer periods of lesser-quality performance (Effect of Recency). 4. A person with an asset deemed important by the observer, although it may be irrelevant, may receive a higherthan-justifiable rating. 5. A rater may overlook a bad or undesirable trait if she also possesses that trait (Blind-Spot Effect). 6. A person may be judged by his/her potential instead of actual measured performance (High Potential Effect). 7. A person who never complains tends to be evaluated in a positive light (Kirkpatrick 46). The Hams Effect The Horns Effect is the reverse of the Halo Effect in that evaluations tend to be lower than deserved. Kirkpatrick offers eight causes for this effect. 1. The evaluator may have high expectations that are not easily met. 2. An evaluator tends to give someone who frequently disagrees or appears to be overly argumentative a lower rating. 3. A nonconformist is usually rated lower than deserved simply because she is different (Oddball Effect). 4. Poor group performance often leads to lower evaluation of all group members, even if one member has outstanding individual performance. . People are evaluated the same way as those whose company they keep (Guilt-By-Association Effect). 6. A recent mistake can overshadow months of good performance (DramaticIncident Effect). 7. An evaluator may associate some character trait (i. e. , aggressiveness, arrogance, passivity) with poor performance and give a lower-than-justified rate to someone who has that trait (PersonalityTrait Effect). 8. An evalua tor may give a lower-thanjustified rate to a person who performs a task differently than the evaluator would (Self-Comparison Effect). Controlling These Effects  Kirkpatrick attributes these flaws to vague standards and maintains that effectively established standards of performance can reduce or eliminate their impact (Kirkpatrick 46-47). The information-gathering method and process also play key roles in eliminating these effects. As stated, anecdotal records that rely on memory can easily lead to inappropriate evaluation. Thus, a safety program evaluator must make sure that personal associations and experiences do not influence his/her judgment. Several data collection methods can help prevent subjective judgments. For example, the critical incident method is a three-step process that involves data collection, data summary and analysis, and feedback. Developed by J. C. Flanagan, this technique uses recorded observations of specific behaviors that are judged to be critical to good or poor performance. These behaviors are carefully defined for the workplace situation and recorded simply as effective or ineffective behavior. Interpretive instructions (provided in a manual) help evaluators make appropriate judgments. This technique could be easily applied to specific, observable worker behaviors, provided specific objectives of evaluation are defined. Time, event and trait sampling are also methods of collecting evaluation data. Time sampling involves specifically timed observations that, over time, might be expected to provide a good representation of total performance. Event sampling is like Flanagan’s critical incident method in that events deemed to represent specific performance characteristics are recorded as they are observed. Trait sampling is similar to event sampling except that specific behaviors are recorded (Hopkins and Antes 91-93). Such techniques can help ensure collection of objective data. An evaluator’s knowledge of the various facets of the Halo and Horns effects can also help alleviate these problems. The evaluator must learn to ask whether either of these effects is influencing his/her judgment and make adjustments if necessary. An evaluator who uses objective data-collection techniques and consciously avoids making Halos/Horns judgments will produce more-accurate evaluations that, in turn, will lead to better decisions. Hopkins and Antes suggest teaching evaluators about these effects in order to improve objectivity. The Illumination Experiments In the 1920s, a group of engineers at Western Electric examined the effect of illumination on work performance. The researchers established an experiment room and a control room, controlled various conditions and introduced changes one at a time. Much to the engineers’ dismay, the results were confounding. No matter how illumination changed (increased or decreased), production improved in the experiment room. Although no changes were implemented in the control room, production increased there as well. These results indicated the need to record not only the details of the physical changes made, but also the physiological, medical and social changes occurring (Mayo 80). Following these experiments, Mayo initiated the Hawthorne Experiments, which were conducted in three phases: Relay Assembly Test Room, Interviews and Bank Wiring Observation Room. Relay Assembly Test Room In the Relay Assembly Test Room, various regimes of workday length, payment schemes, break length and scheduling, work week and return to non-experimental conditions were evaluated. In all cases, productivity increased from previous levels. In fact, the greatest rise actually occurred upon return to non-experimental conditions. Mayo attributed this result to â€Å"†¦ six individuals working wholeheartedly as a team, without coercion from above or limitation from below† (Mayo 78). Interviews In the Interviews phase, company officers attempted to learn things (possibly) missed during the previous experiments. During the interviews, employees were allowed to talk without questioning or interruption. Some 20,000 employees were interviewed over several years. The result was a feeling of well-being among employees; the interview process had been a sort of emotional release. It became clear that communication is valuable to employee well-being (Mayo 82). Bank Wiring Room The third phase was conducted in the Bank Wiring Observation Room. Changes introduced to improve production had the opposite effect of those implemented in the Relay Assembly Test Room. Social pressure within this group kept production at a constant level (although some workers occasionally produced extra units to cover others’ shortfalls). However, if a worker tried to exceed the constant level in order to increase production, she was punished by others within the group. This process, called â€Å"binging,† involved a physical hit on the arm of the â€Å"offender† by an â€Å"enforcer† (Roethlisberger and Dickson 422). The Hawthorne Effect Thanks to these experiments, the term â€Å"Hawthorne Effect† was coined. Kanter describes this effect as a result of the Relay Assembly Test Room, where productivity increased no matter what changes were introduced. â€Å"In one experiment, a team of women workers was given a separate work area where their production would be measured while a variety of environmental conditions, such as lighting and rest breaks, were varied. Productivity tended to [increase] regardless of the changes that were made to physical conditions. â€Å"One conclusion was that being singled out to be in a high-visibility experiment was highly motivating in and of itself; calling this the Hawthorne Effect was, in part, a way of dismissing the claims made by new ‘human relations’ programs, arguing instead that any change involving [some] increased management attention and special treatment would have positive effects for a little while† (Kanter 409). Kanter simplifies this explanation, saying it was due to â€Å"the excitement of getting involved and making an impact† (Kanter 242). Controlling the Hawthorne Effect The key message is that, when evaluating a safety program, one must make sure the mere process of being evaluated is not the reason a measured characteristic changes from baseline measurements. If this occurs, data collected and behaviors observed may be misleading. Or, if, for example, several workers-are told they have been chosen to test a new safety-related process, will institution of the process itself lead to better performance, or will the workers be motivated to perform simply due to their participation in the experience? To minimize this effect, control groups should be established. By having two groups â€Å"participate† in the activity, the true effect of the different stimuli can be better determined. For example, Latham and Locke discussed an experiment through which a wood products company attempted to examine the value of goalsetting as it relates to increased production. One work crew was selected to strive toward specific production goals, while another crew, a control group, was told the experiment was designed to assess the effect of absenteeism on production (Latham and Locke 400-401). â€Å"To control for the Hawthorne Effect, we made an equal number of visits to the control group and the training group† (Latham and Locke 401). In other words, both groups received equal attention, so both had similar reason to be motivated by participation. Result: Test group was more successful than control group.

Discuss the main causes and effects of gun crime in the USA Essay - 1

Discuss the main causes and effects of gun crime in the USA - Essay Example As the thief’s and robbers have to get a more ‘effective’ weapon to facilitate the robbing, they have chosen the gun as, to them, is the most efficient and convenient weapon to use. This paper will be discussing the causes and effects of gun crime in the US. For some time now, people believed that owning a gun made someone more secure. In this regard, those that felt that they were in any form of threats from robbers and so on would get a license so as they can purchase a gun and use it to protect themselves (Killias 1993). The belief that guns make a nation safer has been refuted by US doctors after they have noted that areas with high rates of people owning guns record many gun-related deaths than in countries where owning a gun is rare. Their findings were published in the American Journal of Medicine â€Å" (Miller & Hemenway 19). While compared to the Japan, the US has the most death related to gun and has the highest rates of individuals owning guns while compared to Japan. Several discussions have been around to discuss what specifically causes gun crimes in the US. Some of these reasons will be discussed below. In this case, it can be concluded that the mental condition of an individual is a threat to the population if the person comes across a weapon as powerful as a gun. Still, this underscores how much gun ownership can be a threat to the society since the patients involved in the mass killings would not have found a gun to commit the crime in the first place. One primary cause of gun crime is ownership of guns itself. In the US, for example, there are about 10.2 guns per every 100,000 people while the UK has 0.25 guns per every 100,000 people (Airi, et al 2009). When the two countries are compared in respect to the number of gun-related crimes reported in the country, the data shows that the US has extremely high firearm-related deaths while the UK record very few cases of firearm-related deaths. Although these countries, like any

Human Resources Strategy in Multi Unit Service Organisations Assignment

Human Resources Strategy in Multi Unit Service Organisations - Assignment Example According to the research findings the hospitality industry mostly comprised of small and medium organisations, often administered by the owners. It provided series of suitable services and attractions within local range. However, with respect to global perspective, the appreciation of customers and corporate effectiveness of hospitality industry started to transform during 1950s with the growth of large scale groups or hospitality chains. These hospitality chains are devoted to the long-standing business plan to global expansion, demonstrated by the numerous brands. These expansions have predictable outcomes for the organisational structure as the hospitality businesses are becoming increasingly large, multi-site corporations, regulating business operations and manipulating the supply chain from central production to arranged service distribution systems. This structural transformation resulted in a rising hierarchy of management in order to control complex network, including the se lection of multi-unit managers. In present times, the hospitality sector is ruled by global brands and chains. The succeeding development of managerial structures and arrangements has been characterised by a prerequisite of ‘middle management layers’ with respect to multi-unit managers. Such managers create the level of direction instantly upon division managers and are vital interface between the divisions and the strategic hierarchy of the administration. (D'Annunzio-Green & et. al., 2004). Purpose of the Study The report is intended to gain an understanding of the role of multi-unit manager in one of the biggest hospitality chains named Westin Grand Hotel. The investigation is focused on obtaining information from the employees including role of multi-unit managers, selection, training, remuneration, business and other conversion matters in Westin Grand Hotel of Munich. It also identifies the human resource strategies designed by Westin Grand Hotel for business opera tions. The purpose of this report is to recognise the importance of multi-unit managers in service organisations and understand their job roles and significance. Human Resource Strategy in Hospitality Organisations Traditionally, human resource was more suitably named as â€Å"personnel†. In this role, professionals are liable for recruiting, employing, compensating, program planning, negotiating, and managing collective bargaining settlements, strategy development, workers record keeping and serving as a channel for employee opinions and concerns. Role of human resource experts are expanded to include communications, training, safety, employee relations and recognition and reward programs (Rutherford & O’Fallon, 2007). Human resource strategy in hospitality organisation is directorial in nature. A nationwide tendency in human resource is to shift from directorial role to the combination of human resource in strategic planning. This drive was supported by growth of hum an capital or human asset in a company. Human assets can be described as talent, judgement and cleverness of organisation’s employees. In large hotel chains, human assets are regarded as one of the three constituents of organisations which include intellectual assets, customers and operational assets. The measurement of human resource strategy as competence can be identified as improvement in systems, intellectuality, dexterity, performance, assertiveness and enthusiasm (Boella & Goss-Turner, 2005). According to a

Integrated case study of Orion company Essay Example | Topics and Well Written Essays - 9000 words

Integrated case study of Orion company - Essay Example According to Ahlstrom and Bruton (2009) businesses today are focused on international competition and opportunities afforded by globalization. It is further mentioned that competition has increased greatly during the past two decades due to globalization and the energizing forces of technological changes and major financial innovation. Management in modern environment, where tastes, likes and dislikes changes every minute, is an herculean task as it requires the leaders to create and develop an effective strategy that could withstand the consumer demand, product innovation, effective human resource management, employee retention and motivation, consumer relationship, marketing, etc. Similarly, international business management requires formulating strategy that addresses all the issues hitherto mentioned, but also addresses issues pertaining to organizational culture because they may be working in a different setup with people of different culture, political, legal, environmental con cerns and socio economic issues. Phatak (2006) states that the need for international management arises with a firm’s initial involvement in international operations by way of exports of its products, technology, or services to foreign markets. Orion Food Industries produces a range of ready prepared meals for local market and distribution within West and East Malaysia has achieved national coverage with retail sale made direct to supermarket in major population centres. Further export markets also booming and according to British Press, curry has replaced fish and chips as the number one food of choice in Europe. Assuming this as the greatest opportunity for Orion Foods and to seize the available opportunity, this report aims to provide the strengths and weaknesses of Orion Foods in regard to International Business expansion in European in terms of human resource, culture, management, market structure, and

Preparing to Participate in Groups Assignment Example | Topics and Well Written Essays - 500 words

Preparing to Participate in Groups - Assignment Example When leaders work collaboratively with other team members making them feel responsible and encouraging them to actively participate, I feel that it would result in the team producing better results and the goals would be accomplished on time. With reference to Chapter 8 "Leading Small Groups: Practical Tips", my advice to a prospective member of a problem-solving or decision-making group would be that when they are in the role of a leader, they ensure that there is effective communication between all the members of the team. Based on my previous experience of working in group projects I have realized that communication is the key to effective working and team building in groups. In one particular group project that I was working on, the topic was divided into smaller sections and each member was to present their findings after a few weeks. Unfortunately, due to lack of proper communication, two members of the group spent a lot of time researching the same topic resulting in a signifi cant waste of time and causing resentment among the team members.

Company Promoter Essay Example | Topics and Well Written Essays - 2250 words

Company Promoter - Essay Example 1) On 15th August, Bill signed a letter that stated, "For and on behalf of Cornhill Ltd, as agent only, Bill". He agreed to purchase computer equipment costing 30,000 pounds together with a servicing agreement for five years costing 120 pounds per month. Logitech was charging an exorbitant rate for the servicing agreement; hence they wished to terminate the contract. Owing to Salomon3 principle, a company is a separate legal entity different from its members and it can therefore sue and be sued in its own name. According to Salomon principle, Cornhill Ltd can claim can claim for wrong done against it. But here the company was not registered. A company does not come into existence until the promoter has completed the registration Requirements and the Registrar of the Companies issues a certificate of incorporation Prior to this time a company cannot bind by contracts entered into in its name or on its behalf. In practice, however, promoters will need to contract with the third parties for such things as a lease of premises, business equipments and connection to utilities so that once the certificate of incorporation is issued the company can begin trading4. The problem that arises in the relation to incorporation contracts is whether Bills can avoid being personally l... 9(2) of the European Communities Act 1972, now found in s.36C of the CA 1985. If somebody does not exist they cannot contract [Rover International Ltd v Cannon Film Sales Ltd (No 3)]5. So if this principle applied Cornhill Ltd can deny to follow the contract with Logitech because impose high price. Further, since at the time of a pre incorporation contracts the company does not exist, upon its subsequent creation it is necessarily a stranger to it and the doctrine of privity will operate to prevent rights and the liabilities being conferred to imposed on the company. The Contracts (Rights of third Parties) Act 1999, which allows enforcement of contracts by third parties if the contract expressly so provides or a term of the contract confers a benefit on the third party, does not apply to pre incorporation contracts. The Act is based on the recommendations of the Law Commission on its report, Privity of Contract: Contracts for the benefit of the Third Parties (Law Commission report No. 242, Cm 3329 (London, HMSO (1996)). Addressing the issue of pre incorporatio n contracts, the Law Commission drew the distinction between a contract on behalf of the third party and a contract for the benefit of a third party. The Law Commission stated that the former category involves the third party company becoming a party to the contract, and subject to all its rights and obligations, after its incorporation. In Kelner v Baxter6 promoters of a hotel company entered into a contract on its behalf for the purchase of wine the company, when incorporated, ratified. The wine was consumed but before payment was made the company went to liquidation.7 The promoters, as agents, were sued on the

Company- Samsung Electronics Essay Example | Topics and Well Written Essays - 2500 words

Company- Samsung Electronics - Essay Example 2. BRIEF HISTORY Samsung Electronics Co., Ltd. was established in 1969. It was one of the top divisions of the Samsung Group which was founded by Byung-Chull Lee. The name Samsung meant in Korea as "three stars." His first line of business was sugar refinery. Then few years later, Lee entered the manufacturing business. He also built other lines of businesses in 1960s such as insurance, broadcasting, securities and department stores. On late 1960s, Samsung Electronics began its operations with the help of some American, European, and Japanese manufacturers. As the company entered into the world of electronics, they made a huge investment to train their employees about the technologies used at the same time partnered with several overseas companies to make it possible (Funding Universe, n.d.). The 1970s period marked the beginning of Samsung's competitive vision to be the world's top contender in manufacturing electronics. The company's pride was the development of various electronics items which include semiconductors, computers, telecommunications hardware and finished consumer electronics products (Samsungn.d.a). In 1980s, the company expanded their business in the form of exports and partnering with other big companies and other suppliers of technology from other countries. They made huge sales and profits from export. In 1990s, the company experienced crisis in which it rooted from the crisis that the Korean government went through during the 1997 International Monetary Fund crisis. However, the company made a full stand during the crisis by adopting a series of restructuring as a form of rescue operation. The company was successful on their risky move. In the new millenium, the company spread even more their vision as they proclaimed to the world their plan of becoming the world's top producer and exporter of digital electronics. 3. SCOPE OF ITS INTERNATIONAL MARKETING 3.1 GOVERNMENT VS. INDUSTRY â€Å"Industrial transformation is the process in which an industry changes its production technology, market distribution, product scope, and location† (Shin & Ho, 1997). Government policies are among the factors that affect the transformation (Shin & Ho, 1997). On January 28, 1969, the Electronics Industry Promotion Law was enacted by the Korean government. This law was to promote major electronics export industry by developing new technology products and increase sales activities outside the country (Amsden, 1989). On that year also, development and training with tax incentives, low-cost loans and direct subsidies promotion were provided by the Ministry of Trade and Industry (MTI). Samsung, as one of the chaebols (domestic conglomerates), was one of the companies who received these benefits from the government (Dedrick & Kraemer, 1998). 3.2 DEVELOPMENTS WITH JOINT VENTURES AND COLLABORATIONS 3.2.1 SAMSUNG’S ENTRY TO ELECTRONICS INDUSTRY - 1970s. After the SEC was established, the company was able to form a joint venture agre ement with foreign companies. First was Sanyo and Sumitomo Trading with 40% and 10% respectively as well as with NEC and Sumitomo Trading. The Samsung-NEC employees went to training in Japan for couple of months to learn the simple products assembly and with the technical assistance agreement; those employees will undergo training annually by NEC's technical experts. Futhermore, with the emergence of Samsung-Sanyo Parts in March 1973, the company was able to produce television parts with tuners, deflection yokes, transformers and

Multiple choices questions Assignment Example | Topics and Well Written Essays - 250 words

Multiple choices questions - Assignment Example inners of World War II, in which the United States therefore bore the burden of leadership in the free world and was obligated to defend both democracy and freedom. It was a reality in which the US was threatened -- psychologically, politically and militarily -- by the expansion of and aggression from, among others, a totalitarian Soviet Union and the international Communist movement it sponsored (Weldes 1996: 283). 4. Crucial to the following analysis is that the institutional feature which distinguishes democracies from autocracies is the existence of a popularly elected legislature with the capacity to constrain a countrys chief executive. We assume that legislatures are more protectionist than executives in democracies and show that, even so, pairs of democracies are more likely than mixed pairs to liberalize commerce. We claim that this institutional difference contributes to a greater tendency for pairs of democratic countries to agree upon lower trade barriers than pairs comprised of a democracy and an autocracy (i.e., mixed pairs) (Mansfield, et al. 2000: 304-305). 5. ... Economic polarization is related to the alientation that groups of people feel against each other, and this alienation is enforced by notion of within-group cohesion and identity. ... What matters for conflict ... is rather economic polarization. ... [A] society that is split into two well-defined groups with [differences] in incomes is particularly likely to experience social unrest (Ostby 2008: 146). 6. A fundamental assertion of balance-of-power thought is that large-scale conflict between nations will be avoided when their power is approximately equal, and, conversely, will be more likely between nations that diverge in their power. This assertion is based on the assumption, frequently hidden, that in a conflict between any two nations there is a direct relationship between power and victory, and, other considerations aside, the more powerful nation will prevail (Siverson and

Advanced Corporate Finance Coursework Example | Topics and Well Written Essays - 1000 words

Advanced Corporate Finance - Coursework Example Differential tax treatments are the causes for less than one dividend drop ratios (DDR). Thus, through their research on the relationship between taxes and a firm’s decisions, they articulate that in a rational market, the ex-dividend cutoff should reflect the value of capital gains and dividends to a marginal shareholder. However, when tax enters into the investors’ decisions, the fall in share price in the ex-dividend should show the price of the post value capital gains relative to the post value of dividends. Therefore, because of the influence of tax differential rates, on the capital gains and dividends, the DDR will be less than one because of the fall dividend values due to higher taxation as a result of the effect of personal taxes (Elton, Gruber, & Blake, 2005). Therefore, this impact will influence the firm’s decision in terms of contributions to capital gains and dividends. There are other factors that like tax influences the decisions of a firm to ei ther pay dividends or capital gains. The availability of growth opportunities for investment requires that firms plow back their profits to invest in projects with positive NPVs as illustrated by the signaling hypothesis lieu of paying or increasing their dividend payout, which sends a negative signal to the investors. The stability of earnings is another factor. Firms that have constant earnings are likely to pay out dividends unlike firms with lower or unstable earnings whose dividend payout is likely to result in the decline of growth of their earnings.

The method for carrying Essay Example for Free

The method for carrying Essay My aim is to investigate the mathematical propagation of bad tomatoes This is essentially an investigation of patterns derived from a simple set of rules for this propagation, in the manner of a simplified life genesis program. The rules are as followed: 1. The first hour, any one of the tomatoes (depending on the investigation) turns bad 2. From that hour on, any tomato touched by a bad tomato will turn bad itself, on an hourly basis. 3. Tomatoes are constrained within an nn grid, which restricts propagation of bad tomatoes. As visible from the rules, this allows for creation of simple models to show the propagation of bad tomatoes. From these, I hope to derive formulae, or sets of rules if formulae are not possible, to make logical predictions. We shall define the variables as will be used in the description of this investigation as follows: n The hour in which a tomato turns g The grid size (g2) x The number of turned tomatoes in each n h The number of hours taken for all tomatoes to go bad t Total number of turned tomatoes (equal to g2) Contents Item Page number Introduction 1 Contents 2 Mapping of tomatoes in the middle of a side 3 Tomatoes in the corner 7 Conclusion. This grid represents the propagation of bad tomatoes in an nxn square, covering grids up to size 2424. Some of the results for this data are plotted on the table below: While at first it seems the patterns in this table should be obvious, this is deceptive. Only by splitting the table into three regions do we see the separate patterns defining the table. These regions, as shown in the following table, allow patterns to emerge. These patterns do not, as you would expect, work down with different numbers in the same grids, but instead work across with the same number in different grids. In the first region (yellow), we see that, in every case, x is equal to n+n-1. The latter two regions (green and purple) are substantially harder, and require a sequential approach. Naturally, the first step in devising a formula, to take n and g and return x, is determining which region the number lies in. This is a simple matter of comparing g with n. Once we know the region, we can use a set op steps to calculate the number x. The method for carrying out this operation will be described shortly. The left grid shows an updated version of my results demonstrating the three regions yellow, green and purple, as well as some extra data formulated from the patterns observed. This is the first step in trying to formulate equations to work on all situations. Before moving on to the main essence of the project, finding a formula to derive x from n and g, we shall examine a few other formulae not directly related to this but still relevant to the investigation. Â  To find the total number of hours taken for all tomatoes to go bad within a grid, you use a formula depending on g. This formula also depends on whether g is odd or even: Â  If g is odd, then h=((g+1)/2)-1 If g is even then h=(g/2)+1 Â  In all square grid situations, t is always g2. The number of tomatoes to turn each hour in an infinite grid, starting on the side in the centre is equal to 2n-1. The total number of tomatoes that are bad after each hour is equal to n2. We shall briefly describe the patterns used to expand this table and in the following formulae: Yellow numbers always go up by 0 each grid size Green numbers go up by 1 Purple numbers go up by 3 Green/yellow boundaries go up by 1 Purple/green boundaries go up by 2 We now move on to analyse the main problem: the individual number of tomatoes to turn in each hour. This, as mentioned earlier, is a much more complicated program, and requires division of the grid into three regions. The following steps attempt to demonstrate how, and why, this is done. 1. The first step is to compare n with g, to work out which region the answer is likely to lie in. For this example we shall use two numbers, grid size 24 and tomato number 25. Compare n with g: If ng, x lies in the purple region If n=g, x lies in the green region If gn, x lies in green or yellow and further calculation is needed: If g is odd: if g= n-((g-1)/2) x is yellow, and if gn-((g-1)/2) then x is green If g is even: if g= n-(g/2) x is yellow, and if gn-(g/2) x is green We then move to region specific instructions: Yellow x =2n-1 Green x =g Purple. (Calculating purple numbers is substantially more complex) (Also note the existence of bln, a new variable we introduce here whose meaning will be explained later) Do n mod 3: N mod 3 = 0 then Bln = 2(n/3) N mod 3 = 1 then Bln = (2((n+2)/3))-1 N mod 3 = 2 then Bln = 2((n+1)/3) Do g bln Again, look at n mod 3: If 0, multiply last number by 3 and add 1 If 1, multiply last number by 3 and add 2 If 2, multiply last number by 3 and add 3 Therefore, by this process we can calculate any number from the grid size and the hour. For our example, g = 24 and n = 25, we would do the following: 1.n g, therefore x is purple 2. 25 mod 3 is 1, therefore bln = 2(27/3))-1 = 17 3. 24 17 is 7 4. 25 mod 3 is 1, therefore we: 5. Multiply 7 by 3 = 21 6. And add 2, giving 23 I have checked this with both an extended table of results (created using the patterns found earlier), and with a small excel macro designed to count the numbers of tomatoes turned each hour. Both yield the same result. Â  The left is the segment from my expanded table showing the result. The 23 in the middle of the table represents grid size 24 and hour 25 what my formula predicted. The left here is the automatic count from my macro. The data reads (for a 2424 table) hour,count (or n,x). This also agrees with my prediction. We shall here briefly explain how the purple formula works (formulas for both green and yellow are self-explanatory). I observed that the base line (the line marking the bottom of the purple section- representative of the number of tomatoes to turn bad in the final hour) of the purple section follows a three stage recurring pattern. Because we are working from the base line to reach our result, as the numbers go up by 3 each time, calculating the start point and value of the base line for each hour was essential. To work easily with a three -stage recurrence, we needed to work in base 3, the easiest implementation of which involves modulo arithmetic. By doing n mod 3, we work out which stage of the cycle represents the first grid size for tomatoes to turn in a particular hour. Once the cycle is split, we can show different formulae for each stage, derived from observance of the patterns.

Hemoglobin Malaria Haemoglobinopathies

Hemoglobin Malaria Haemoglobinopathies Despite major advances in the understanding of the molecular pathophysiology and control and management of the inherited disorders of hemoglobin (haemoglobinopathies), thousands of infants and children with this disease are dying. As a result in heterozygote advantage against malaria the inherited hemoglobin disorders are the commonest monogenic disease. Population migrations have ensured that haemoglobinopathies are now encountered in most countries including the UK. Haemoglobinopathies have spread from areas in the Mediterranean, Africa and Asia and are now endemic throughout Europe, the Americas and Australia. This review examines the available literature to find out more about the prevalence of haemoglobinopathies in the UK. The data on the demographics and prevalence of the gene variants of haemoglobinopathies was extracted from books, journals, reference sources, online databases and published review articles from the WHO. Introduction It has been estimated that approximately 7% of the world population are carriers of such disorders and that 3000 000 4000 000 babies with severe forms of haemoglobinopathies. Haemoglobinopathy disorders occur at their highest frequency in tropical regions and population migrations have ensured that they are now encountered in most countries. Because of this, haemoglobinopathies have become a global endemic, so the World Health Organization published journals and reviews with recommendations on screening programmes and management of haemoglobinopathies. The programmes are tailored to specific socioeconomic and cultural contexts and aimed at reducing the incidence, morbidity and mortality associated with these diseases. www.who.int/en/ The WHO Executive Board wrote a review on haemoglobinopathies. In this article, the WHO Executive Board recognized that the prevalence of haemoglobinopathies varies between communities, and that insufficiency of relevant epidemiological data may hamper effective and equitable management of haemoglobinopathies. On this note England implemented the LIVE programmes. The Executive Board also recognizes that haemoglobinopathies are not yet officially recognized as priorities in Public Health Sector. This raised an issue about awareness of haemoglobinopathies. The WHO Executive Boards advice for prevention and management of haemoglobinopathies was to design, implement and reinforce in a systematic equitable and effective manner, comprehensive national, integrated programs for prevention and management of haemoglobinopathies, including surveillance, dissemination, such programs being tailored to specific socioeconomic and cultural contexts and aimed at reducing the incidence, morbidity and mortality associated with these diseases. www.who.int/en/ With immigration in the UK on its highest, the prevalence of haemoglobinopathies is expected to increase. The NHS has implemented programmes for individuals with haemoglobinopathies by implementation of LIVE program (NHS Plan, 2000). LIVE program is set-up to implement variant screening in the whole of UK by the year 2007. LIVE program started as early as January 2004 in high prevalence. The NHS Trusts involved are to offer variant screening by end of 2004/5 (NHS Plan, 2000). Low prevalence Trust are expected to have implemented the screening program by January 2008 and so far 86 out of 90 Trusts have successfully implemented the program. Antenatal and Newborn Screening programs have compiled a training pack to assist Low Prevalence Trusts with the implementation of haemoglobinopathies screening programmes. The NHS Plan (2000) made a commitment to implement effective and appropriate screening programs for women and children including a new national linked Antenatal and Newborn screen ing programs for haemoglobinopathies. The NHS Plan (2000) recommends that all pregnant women living in high prevalence areas are offered screening for haemoglobinopathies. All pregnant women living in low prevalence areas are offered screening for haemoglobinopathies. If a woman is identified as being at increased risk using the family origin questionnaire, she will then be offered screening for haemoglobinopathies (NHS Plan, 2000). The Low Prevalence Trust is where the fetal prevalence of sickle cell disease is less than 1.5 per 10 000 pregnancies. Low prevalence trusts are to offer screening for variants based on an assessment of risk determine by a question to women about their babys fathers family origin by the end of 2005/6 (NHS Plan, 2000). Background on Haemoglobinopathies Haemoglobin: is the oxygen carrying capacity of the blood and it is also a protein. Haem is iron containing pigment, while globin is made up of chains which are a globular tetrameric protein which accounts for 97.4% of the mass of the haemoglobin molecule (Tortora et.al., 2006) . The globin tetramer consists of four polypeptides which are two alpha (ÃŽ ±) chains and two non-alpha chains. The synthesis of ÃŽ ¶ and ÃŽ µ chains is done during the first 10 to 12 weeks of fetal life. Within the fourth to the fifth week of intrauterine life ÃŽ ± and ÃŽ ² chains are synthesized. The non-alpha is beta (ÃŽ ²), gamma (ÃŽ ³), delta (ÃŽ ´), epsilon (ÃŽ µ) zeta (ÃŽ ¶) chains. Haemoglobin transports oxygen from the lungs to all parts of the body and it gives blood its red colour (Fleming, 1982) Haemoglobin synthesis Haem and globin synthesis occur separately but in a carefully coordinated fashion. Globin synthesis is under the genetic control of eight functional genes arranged in two clusters, the ÃŽ ± globin gene cluster on chromosome 16 and the ÃŽ ² globin gene cluster on chromosome 11. The major haemoglobin in the foetus is HbF (ÃŽ ±ÃŽ ²) 2 and in adults HbA (ÃŽ ±ÃŽ ²) 2 (Fleming, 1982). Haemoglobin Structure The primary structure of haemoglobin is made-up of amino acid sequence of globin. And the secondary structure comprise of nine non-helical sections joined by eight helices; tertiary structure describes globin chain folding to form a sphere and the quaternary structure of haemoglobin describes the tetrahedral arrangements of the four globin subunits ( Fleming, 1982). The external surface of each folded globin is hydrophilic and the inner surface is hydrophobic, this protects the haem from oxidation, which is also why each haem chain sits in a protective hydrophobic pocket. In haemoglobin A, ÃŽ ± ÃŽ ² dimmers are held together strongly at the ÃŽ ±1 ÃŽ ²1 or ÃŽ ±2ÃŽ ²2 junction. The tetramer is held together much less tightly at the ÃŽ ±1 ÃŽ ²2 and ÃŽ ±2 ÃŽ ²1 contact areas (Fleming, 1982). Haemoglobin function Each haemoglobin molecule can carry four oxygen molecules. Oxygenation and deoxygenation are accompanied by molecular expansion and contraction via haem haem interaction (Bienz, 2007). Under physiological conditions, blood in the aorta carries about 19.5ml of oxygen per 100ml of blood. Upon entering the tissues about 4.5ml of oxygen are donated per 100ml of blood. 2,3-DPG is an important modulator of haemoglobin A oxygen affinity in red cells (Fleming, 1982). Haemoglobin disorder (haemoglobinopathies) Haemoglobinopathies is a hematological disorder due to alteration of a genetically defect, that results in abnormal structure of one of the globin chains of the haemoglobin molecule (Bienz, 2007). Haemoglobinopathies are any of a group of diseases characterized by abnormalities, both quantitative and qualitative in the synthesis of haemoglobin (Hb) (Bienz, 2007). Qualitative affecting the quality of haemoglobin e.g. Sickle cell disorder and quantitative affecting the amount of haemoglobin produced e.g. Thalassaemias. Most of them are genetically inherited but occasionally they can be caused by a spontaneous mutation. Haemoglobinopathies are the worlds most common monogenic autonomic and recessive disease in humans (Anionwu et.al., 2001). 2.1Haemoglobinopathies fall into two main types; There are two categories of haemoglobinopathies. The two categories are: qualitative and quantitative; Qualitative affecting the quality of the haemoglobin e.g. Sickle cell disorder. In this disease the globin structure is abnormal. Quantitative the haemoglobin structure is normal but the amount of haemoglobin produced is affected. e.g. alpha and beta thalassaemias (Bienz, 2007). History of haemoglobinopathies In 1910 Herrick wrote an article in it he used the term â€Å"sickle† to describe the shape of the red blood cells of a 20 year old medical student from Grenada. This student had consulted Dr Herrick in 1994 complaining of a cough, fever and Feeling weak and dizzy. He constantly had anaemia episodes, jaundice, chest complications as well as recurring leg ulcers on both ankles. When his blood was examined, his red blood cells showed a large number of thin, elongated, sickle shaped and crescent- shaped forms (Herrick, 1990). The name thalassaemia was coined by the eminent haematologist George Whipple in 1936 as an alternative to the eponymous ‘Cooleys anaemia. He wanted a name that would convey the sense of an anaemia which is prevalent in the region of the Mediterranean Sea, since most of the early cases originated there. Thalassaemia is derived by contraction of thalassic anaemia (from the Greek thalassa -sea, an none and anemia blood) (Fleming,1982). Origins and Geographic distribution of haemoglobinopathies Carriers are found in all parts of the world: people from the North Mediterranean (South Europe) coast are 1-19% carriers. People of Arab origin are over 3% carriers. In Central Asia 4-10% and in South East Asia, the Indian subcontinent and China 1-40% carriers (the very high rates in this part of the world are due to HbE). In the Americas, North Europe, Australia and South Africa the local population has very low carrier rates but thalassaemia is still present because of the significant immigration from high prevalence area (Anionwu et.al.; 2001). Sickle cell and thalassaemia disorder mainly affect individual who are descended from families where one or more members originated from parts of the world where falciparum malaria was, or is still endemic. Population with such ancestry include those from many parts of Africa, the Caribbean the Mediterranean (including southern Italy, Northern Greece and Southern Turkey), Southeast Asia and thalassaemia gene is much wider now due to the hi storical movements of at-risk populations to North and South America, the Caribbean and Western Europe (Livingstone 1985). The geographic distribution of the thalassaemias overlaps with that of sickles cell disease. This is because carriage of these abnormal genes affords some protection against malaria. Thus, being heterozygous for one of these conditions offers a selective survival advantage and increases the opportunity for these genes to be passed on (Campbell et.al.,2004) 4Types and terminology of sickle cell and thalassaemia There are various types of sickle cell and thalassaemia disorders. The thalassaemia syndromes include alpha and beta thalassaemia major as well as beta thalassaemia intermedia. Sickle cell disorders (or Fickle cell disease include sickle cell anaemia (Hb SS), Sickle haemoglobin C disease (Hb SC) ÃŽ ² disease and E beta thalassaemia (www.sickle-thalassaemia.org/sickle.cel.htm) 4.1Sickle Cell Disorder: affects the normal oxygen carrying capacity of the red blood cells. The red blood cell forms a crescent or a sickled shape when it is deoxygenated. The ‘sickled cells are unable to pass freely through capillaries; the sickle cells also get stuck in blood vessels forming clusters which block the blood vessels and the blood flow. They dont last as long as normal, round red blood cells, which leads to anemia. This results in a lack of oxygen to the tissues in the affected area, resulting in hypoxia and pain (sickle cell crisis). Other symptoms include severe anaemia, damage to major organs and infection (NHS Antenatal and Newborn; 2006). There are several types of Sickle cell disease. The most common are: sickle cell anemia (SS), sickle hemoglobin C disease (SC), sickle beta plus thalassaemia and sickle beta zero thalassaemia. Each of these can cause pain episodes and complications. HbSS sickle is due to two sickle cell genes (â€Å"S†), one from each parent. This is commonly called sickle cell anemia. An individual with sickles cell anemia have a variation in the ÃŽ ²-chain gene, which then causes a change in the properties of hemoglobin which results in sickling of red blood cells (www.sickle-thalassaemia.org/sickle.cel.htm) HbSc inherited one sickle cell gene and one gene from an abnormal type of haemoglobin called â€Å"C†. It is due to the variation in the ÃŽ ²-chain gene. An individual with this variant suffers from mild chronic haemolytic anaemia. (NHS Antenatal and Newborn; 2006). HbS beta thalassaeamia: This form of sickle is due to inherited one sickle cell gene and one gene for beta. 4.2Thalassaemias: is a term used for the description of a globin gene disorders that results from a diminished rate of synthesis of one or more globin chains and a consequently reduced rate of synthesis of the haemoglobin or haemoglobins of which that chain constitutes a part ; ÃŽ ± thalassaemia indicates a reduced rate of synthesis of the ÃŽ ± globin chain, similarly, ÃŽ ², ÃŽ ´, ÃŽ ´ ÃŽ ² and ÃŽ µ ÃŽ ³ ÃŽ ´ ÃŽ ² thalassaemia indicate a reduced rate of synthesis of the h, ÃŽ ´, ÃŽ ´, +ÃŽ ² and ÃŽ µ + ÃŽ ³ + ÃŽ ´ + ÃŽ ² chains, respectively (Modell et.al, 2001). Thalassaemia is the most common single gene disorder known. It is autosomal recessive syndromes, which is divided into ÃŽ ±- and ÃŽ ² thalassaemia. Types of thalassaemia There are two types of thalassaemia: (i)Thalassaemia minor (thalassaemia trait) (ii)Thalassaemia major Thalassaemia minor is when a person inherits one thalassaemia gene, while thalassaemia major is a severe form of anaemia if a person inherits two thalassaemia genes, one from each parent (Bienz, 2007). Subtypes of thalassaemia Alpha (ÃŽ ±) thalassaemia results from inadequate production of ÃŽ ± chains, which are normally controlled by two pairs of chromosomes. If one or two are malfunctioning, then there is a healthy carrier state. If three are non- functional then anaemia results, known as HbH Disease, which can be quite severe but usually does not need blood transfusions and is compatible with a normal life span (Anionwu et al, 2001). If all four genes are non functional then the result is severe anaemia of the unborn child, leading to heart failure and death (miscarriage). This condition is known as hydrops felalis (Fleming, 1982). Beta (ÃŽ ²) Thalassaemia is caused by the bodys inability to produce normal haemoglobin, leading to a life threatening anaemia (Bienz, 2007). The severity of illness depends on whether one or both genes are affected and the nature of the abnormality. If both genes are affected, anemia can range from moderate to severe. Beta thalassaemia results from inadequate or lack of production of ÃŽ ² chains (Anionwu et.a.l, 2001). Homozygous, ÃŽ ² thalassaemia has two forms: major, in which the patient can survive only with regular transfusions of blood and intermedia in which the patient can survive with occasional or even with no transfusions at all. The condition requires frequent blood transfusions and treatment to prevent complications from iron overload, such as diabetes and other endocrine disorders (Anionwu et.a.l, 2001). Both of these conditions can restrict a child or adults ability to conduct their normal daily activities and can have profound psychological affects on individuals a nd their families This form of thalassaemia is the most important and constitutes a major public health problem in many parts of the world, because of the high frequency of carriers and the demanding treatment that must be followed (Fleming, 1985). Association of Haemoglobinopathies with Malaria Malariais a vector borne infectious disease caused by protozoan parasites. It is widespread in tropical and subtropical regions, including parts of the Americans, Mediterranean, Asia and Africa. It causes diseases in approximately 515 million people and kills between one and three million people, the majority of whom are young children. Malaria parasites are transmitted by female Anopheles mosquitoes. The parasites multiply within red blood cells, causing symptoms that include symptoms of anemia (Campbell et al, 2004). Sickle cell developed as a by product of human defense mechanisms against malaria. The most severe form of malaria, falciparum malaria, leads to very high death rate in young infants. This is particularly a problem between the time immediately after birth, when they are protected by immunity from the mother, and the time when they are old enough to acquire their own immunity. Malaria is a parasite which lives within the red blood cells and feeds off the protein that is contained within those red cells, haemoglobin (Campbell et al, 2004). When the malarial parasite enters the blood stream through a mosquito bite, it penetrates the red blood cells by attaching to the outside membrane or envelope of the red blood cell and gaining entry (Franklin, 1990). Once in the red blood cell, the malarial parasites use the haemoglobin as a source of energy, so that they multiply within the red cells. The parasites multiple filling-up the red blood cells and once they are filled-up the red cells bur st, thereby releasing the multiple parasites in the blood. Each new young parasite enters a single cell again and multiplies again, thereby causing a disease or infection. Whenever the parasites burst out of the cells they cause illness and fever in patients. Malaria can be severe by causing death; death is believed to be caused by red cells not being able to pass through the narrow gaps in the smallest blood vessels and by blockage of tissues when so many parasites are in the red blood cell (Campbell et al, 2004). Over the years human genes developed ways to prevent malaria becoming serious and potentially lethal, the developments were to prevent malarial parasites from spreading and multiplying (Tortora et.al,2006). The most changes were changes (mutation) in the type of haemoglobin (haemoglobin S) within the red blood cell which would in turn slow down the multiplying of the parasite (Campbell et al, 2004). The individuals with haemoglobin S are known to have a sickle cell trait or being carriers of sickle cell haemoglobin. When sickle-cell haemoglobin has given up its oxygen in the cells, the red cells stick together to form crystalline groupings of haemoglobin known as polymers. The red blood cells become deformed into sickle shapes and the presence of these crystalline polymers within the red cells inhibits the growth of the malarial parasite (Beinz, 2007). Even though individuals with haemoglobin S stills suffer from malaria, they are protected from the most severe effects of malaria (Li vingstone, 1985). Diagnosis Diagnosis for sickle cell disease The most used diagnose test for sickle cell is the haemoglobin electrophoresis. HbS and HbC amino acid substitutions change the electrical charge of the protein, the migration pattern of the haemoglobin with electrophoresis or isoelectric focusing results in diagnostic patterns with each of the different haemoglobin variants. HbSBeta-thal requires careful evaluation of red blood cell count and mean corpuscular red cell volume (MCV) and specifically quantifying HbA, S, A2 and F. In emergency setting, the presence of HbS is detected using a five minute solubility test called sickledex. Sickledex test does not differentiate sickle syndromes from the benign carrier state (HbAS or a sickle trait (NHS Antenatal and Newborn; 2006). Diagnosis for thalassaemias When testing for thalassaemias, a blood test is the simplest and most effective test for diagnosis and also the use of a test called Haemoglobin Electrophoresis. The blood of individuals with thalassaemias tend to be microcytic (smaller in size) and hypochromic (paler in colour) (NHS Antenatal and Newborn; 2006). 7 Pathophysiology 7.1Sickle-cell Sickle-cell anemia is caused by changes (mutation) in the structure of the ÃŽ ² -globin chain of the haemoglobin replacing the amino acid glutamic acid with the less polar amino acid valine at the sixth position of the ÃŽ ² chain. When two wild type ÃŽ ±-globin subunits associate with two mutant ÃŽ ²-globin subunits forms hemoglobin S. Haemoglobin S polymerizes under low oxygen conditions, which causes distortion of red blood cells and also causes red blood cells to lose their elasticity, resulting in red blood cells forming an irreversible sickle shape (Fleming,1982). Very often a cycle occurs, as the cells sickle they cause a region of low oxygen concentration which causes more red blood cells to sickle. Repeated occurrence of sickling causes cells to not return to normal even when oxygen levels are normal. The deformation of cells makes it difficult for the cells to pass through capillaries resulting in vessel occlusion, severe anemia, ischemia and other problems (Beinz, 2007). 7.2Thalassaemias The pathophysiologic effects of the thalassaemias range from mild microcytosis to death in uterus. The anaemia manifestation of thalassaemia is microcytic hypochromic haemolytic anaemia (Belcher, 1993). The haemoglobin abnormality is caused by substitution of a single amino acid for another; or substitution of two amino acids, also amino acid deletion or fusion (point of mutation) and the synthesis of elongated chains. In alpha trait, one of the genes that form the alpha chain is defective (Beinz, 2007). In alpha-thalassaemia minor, two genes are defective and in haemoglobin H disorder, three genes are defective. Alpha-thalassaemia major is most fatal thalassaemia disorder; this is because four of the chains forming genes are defective. Without alpha chains, oxygen cannot be released to the tissues (Belcher, 1993). In beta-thalassaemia haemoglobin abnormality is due to the uncoupling of alpha and beta-chain synthesis. This causes a depression in beta-chain synthesis, resulting in er ythrocytes with a reduced amount of haemoglobin and accumulation of free alpha chains, which are unstable and easily precipitate the in cell (Bienz, 2007). 8.Causes Genetic control of haemoglobin synthesis The synthesis of structurally normal haemoglobin chains is determined by allelic genes situated on the autosomal chromosome (Beniz, 2007). Haemoglobinopathies occur due to an inheritance of one or more faulty copy of gene(s) that contain the information for the cells to make the globin chains. The gene may result in abnormality in the production or structure of the haemoglobin protein causing haemoglobinopathies (Franklin, 1990). Thalassaemia is an inherited autosomal recessive blood disorder. Genetic defects in Thalassaemia results in reduced synthesis of one of the globin chains which make up haemoglobin. Reduced synthesis of one of the globin chains causes the formation of abnormal haemoglobin molecules, which in turn causes anaemia. Anaemia is a symptom of the Thalassaemias. It is caused by under production of globin proteins, often through mutations in regulatory genes (Franklin, 1990). Inheritance of Haemoglobin Disorder Due to haemoglobin mutation, individuals who had haemoglobin trait had a resistance to dying from malaria, therefore passed on their haemoglobin trait gene to their children (Campbell et.al,2004). As time went on more individuals with the trait were born and eventually individuals who had haemoglobin trait had children together (Franklin, 1990). In that satiation (partnership), if both parents carry the trait gene, there is a one in four chance that any one child will receive the haemoglobin trait gene from one parent and also from the other, thereby having a haemoglobin disorder(Franklin, 1990) . Clinical Manifestations 9.1Thalassaemias clinical manifestations Individuals who inherited the alpha trait are usually asymptomatic, with possible mild microctyosis. Alpha- thalassaemia minor has signs and symptoms almost identical to those of beta-thalassaemia; mild microcytic hypochronic anemia, enlargement of the liver and spleen, and bone marrow hyperplasia (Belcher, 1993). Alpha- thalassaemia major cause hydrops fetalis and fulminana intrauterine congestive heart and liver, edema and massive ascites. The disorder usually is diagnosed post mortem (Bienz, 2007). Beta-thalassaemia minor causes mild to moderate microcytic-hypochronic anemia, mild splenomegaly, bronze coloring of the skin, and hyperplasia of the bone marrow. Skeletal changes depend on the degree of reticulocytosis, which in turn depends on the severity of the anaemia (Bienz, 2007). People who have beta-thalassaemia minor usually are asymptomatic, whereas those with beta- thalassaemia major the anemia is severe, resulting in a great cardiovascular burden, with high output congestive heart failure (Belcher, 1993). Blood transfusions can increase the persons life span by a decade or two. Individuals with beta-thalassaemia major have an enlarged liver and spleen, and growth and maturation are retarded (Belcher, 1993). A characteristic deformity develops on the face as the bones expand to accommodate hyperplastic marrow (Belcher, 1993). Both and beta thalassaemias major are life threatening. Children with thalassaemia major usually are week, fail to thrive, how poor development and experience cardiovascular compromise with high-output failure; if the condition goes untreated, these children die by 6 years of age (Modell et.al., 2001) Blood transfusions can return haemoglobin and hematocrit to normal levels, alleviating the anaemia induced cardiac failure. Iron overload and hemochromatosis, which are complications of transfusion therapy, are treated with chelating agents (Bienz, 2007). . 9.2.Sickle-cell clinical manifestations The severity of sickle cell disorder depends on the amount of haemoglobin S and the clinical manifestations, which are signs and symptoms of the individuals with sickle-cell (Belcher, 1993) . Manifestations of the sickling are those of hemolytic anemia; pallor, jaundice, fatigue and irritability. Extensive sickling can precipitate four types of crises: vaso-occlusive or thrombotic crises and a plastic crisis (Belcher, 1993). A vaso-occlusive crises begins with red blood cells sickling in the microcirculation. Vasospasm brings a log-jam effect causing blood flow to stop flowing in the vessels and this will lead to thrombosis (blood clot formation) and infarction of local tissue occur, resulting in ischemia, pain and organ damage (Modell et.al.,2001). Vaso-occlusive crisis is believed to be extremely painful and lasts an average of 4 to 6 days. This crisis may develop spontaneously or may be precipitated by localized hypoxemia (low PO2) exposure to cold, dehydration, acidosis (low pH), or infection. In infancy, sickle-cells first manifestation is the symmetric painful swelling of the hands (see Fig 3) and feet, but in older children and adults, the large joints and surrounding tissues become swollen and painful. Individuals with the sickle-cell disorder suffer from severe abdominal pain caused by infarction in abdominal structures (Belcher, 1993). Any cerebral vascular accidents may cause paralysis or othe r central nervous system deficits, and if penile veins are obstructed priapism may occur. Studies have shown that bone, especially weight- bearing bones, are also a common target of vaso-occlusive damage, this is due to bone ischemia (Bienz, 2007). The spleen of individuals with sickle-cell disorder is frequently affected due to its narrow vessels, functions in clearing defective red blood cells and this results in a sequestration crisis (Belcher,1993). A sequestration crises, is occurrence of large amounts of blood pool in the liver and spleen. It only occurs in young children and death results from cardiovascular collapse (NHS Antenatal and Newborn,2006). An aplastic crisis develops when a compensatory increase in erythropoiesis is compromised; this then results in profound anemia (Belcher,1993). A hyperhemolytic crisis is rare but may occur with certain drugs or infections. G-6-PD deficiency, when also present, contributes to this type of crisis (Belcher,1993). Clinical manifestations of sickle cell disease do not usually appear until an infant is at least 6 months old. The most cause of death in individuals with sickle-cell anemia is infections, but it is major problem at all ages. Infections are due to splenic dysfunction from sickle damage (Belcher,1993). This occurs from a few months of age especially with certain bacteria e.g. pneumococcal sepsis. Infection tends to rapidly overwhelm the immune system (NHS Antenatal and Newborn,2006) . Sickle-cell haemoglobin C is known to be milder, with symptoms related to vaso-occlusive crises resulting from higher hematocrit and blood viscosity. Obstructive crises cause sickle cell retinopathy is most common in older children, and this include renal necrosis, and aseptic necrosis of the femoral head (Belcher, 1993). The mildest of sickle-cell is the sickle-cell thalassaemia the individuals with this form of sickle-cell tend to be microcytic and hypochromic, which makes the cells less likely to clog the microcirculation even when sickling (Belcher, 1993). Severe hypoxia can be seen in individuals with the sickle cell trait and may cause vaso-occlusive episodes. The cells in these people form an ivy shape (Belcher, 1993). Recent studies have shown that stroke is co-exiting with Sickle cell disease. At least 1% of patients with sickle cell disorder suffer from stroke and those individuals result in physical disability, IQ reduction, Learning difficulties, TIAs and seizures (Beinz, 2007). Treatment of haemoglobinopathies. 10.1Treatment in Sickle-cell anemia. Febrile illness: Children with fever are screened (a full blood count, reticulocyte count and blood culture taken) for bacteremia. In young children the fever is treated with intravenous antibiotics, the children would be admitted at the hospital so that they can be monitored (Belcher, 1993).. But older children with reassuring white blood cell counts are managed at home with oral antibiotics, but if the older children have a history of bacteremia episodes, they get a hospital admission. (Modell et al, 2001) Zn administration: is when zinc is given to stabilize the cell membrane (Beinz, 2007). Painful (vaso-occlusive) crises: individuals with sickle cell disorder experiences painful episodes called vaso-occlusive crises. Vaso-occlusive crises is often treated symptomatically with analgesics (Beinz,2007). Pain management requires opioid administration at regular intervals until the crises has gone. The frequency, severity and duration of these crises episodes vary tremendously form episodes to episode or from person to person (Belcher,1993). Individuals who suffer from milder vaso-occlusive crises manage their pain on NSAIDs e.g. diclofenac or naproxen. And if the crises is severe, individuals require inpatient management, where intravenous opioids. Diphenhydramine is used to stop the itchiness associated with the opioids (Modell et al, 2001). Acute chest crises management is similar to vaso-occlusive crises treatment with the addition of antibiotics, oxygen supplementation for hypoxia, and close observation. If the pulmonary infiltrate worsen or the oxygen requirements increase,

Theories of Motivation and Conflict in the Workplace

Theories of Motivation and Conflict in the Workplace Abstract Conflict in any organization is a matter that can not be avoided. Conflict because from one viewpoint the individuals involved in the organization who have the character, vision, goals, and styles vary. In addition, the interdependence between each other that characterize each organization. Although not all adverse organizational conflict, moreover handled legitimately, can have a positive impact and will benefit the organization all in all. In addition, there should be transparency in managing conflict in organizations and patience as well as all parties involved in awareness and conflict within the organization. Introduction. This conflict is regularly associated with the individuals who are, conflict, violence and destruction. What has always lingered in our minds is the way by which the conflict that can happen, and how to define conflicts and how to handle conflict. The reaction regularly happens in life and cause us stretch, fear and tried to escape from dealing with conflict. At the same time, for individuals who adoration conflict is defined as an individual problem, and so on. Such is the diversity of views and reactions to conflict. The fact that the conflict is human nature. Conflicts are always together and grow dynamically along with human development. Conflicts can happen either on individuals, associations or organizations. At whatever point there is a conflict, obviously, will affect the parties involved either positive or negative from the point that indirectly may affect the performance and productivity of individuals and the organization all in all. In this manner, the perception of confl ict would facilitate forecasting methods, controls, changes and solutions to the problems that exist. In this regard, an initial exercise that needs to be researched is to identify the causes, factors and sorts of conflict, before the conflict management process, ie, problem solving or decision making implemented. Concept and levels of conflict. Conflict is a different idea from the perspective of politicians and members of management. With this, the scope of the investigation is very broad conflict is conflict, for example, family conflict, conflict within the organization, the conflict between the individual, the conflict in the middle of the house and so on. Generally, when there are different goals and different points of view, then there will be a variety of issues and differences in the perception of some aspects of the organization. In addition, the conflict is also defined as any form of dispute within the organization, both among people with one another in the assembly, in the middle between the council and the assembly with assembly or organization can also between the individual and the organization in general. Although the conflict refers to the need, importance, to something or someone in the middle of both parties with conflicting views. In my opinion, the conflict can be divided into two stages: the macro level and micro level. The macro-level conflicts usually occur at the level of institutions and conflicts are rare, for example, conflict is a conflict singles macro itself. Therefore, the micro-level conflict is like interpersonal and between organizations, it often happens in any place, for example between two or more parties. Process of Conflict. In addition, methods of conflict consists of four stages: first a potential conflict or incompatibility which is a source of conflict which is divided into three categories; communication, structure and personal variables. This is due to the differences and disputes between communities. Also, brains and personality conflicts will occur when viewed by the parties involved and bring the parties involved in emotions that lead to dissatisfaction, hate and fear. Therefore, there will be tension or pressure on the parties involved. Third is the intention to make the decision to act in a way misguidedly and causes disturbed or negative effects on the individual. Fourth is the action in which he makes the conflict became apparent that includes a statement issued, the action taken and the response by the parties involved in the conflict. This conflict will arise between individuals who do not take seriously in conflict. Resolving conflict in a team. Various ways that we can fathom conflicts like listening to all opinions or viewpoints of the actors involved and concentrated on talks on facts and behavior, not on feelings or personal elements. In addition, we also need to get the agreement and responsibility to find a solution and give encouragement to all parties to the conflict to cooperate to take care of problems accurately. All parties involved ought to play an important part in addressing conflict from spreading and provide an opportunity for all parties involved in the conflict to express his opinion. Identify conflicts are also important in resolving the conflict because this activity is necessary and requires special expertise. Conflicts can arise from a particular source or base of the problem, however the problem into a conflict if not managed with great emotions. Accordingly, we must pick which one to this problem, which became a problem because of emotional things. This problem is the underlying emotional conflicts w hile just exacerbate the problem alone. With this, we can handle the conflict regularly and can produce decent human beings. Theories of motivation and its effectiveness In prioritizing Herzberg two-factor hypothesis that encourages employees motivated intrinsic factor, namely the impetus arising from within oneself, and extrinsic factors, namely the impetus coming from outside oneself, especially from the organization where she lived up to expectations. Intrinsically motivated employees who delighted in the work that will enable utilization of reactivity and innovation, working with a high level of autonomy and dont have to be watched nearly. Satisfaction here is not primarily associated with the acquisition of things that are material. Instead, they are more motivated by extrinsic factors have a tendency to look to what is given to them by the organization and its work is directed to the acquisition of the things he wanted from the organization. According to Frederick Herzberg said that there are certain factors in the workplace that can lead to employment satisfaction, while in different parts there are also different factors that may cause dissat isfaction. With this, satisfaction and occupation dissatisfaction related to each other. In this way, divided into two specific factors in the workplace is by Frederick Herzberg identified as hygiene factors and motivation. Hygiene Factors Hygiene factors (health factors) is an important factor for their work motivation in the workplace. These factors do not lead to positive long-term satisfaction. At the same time if these factors are not present, then the dissatisfaction that. These factors are extrinsic to work. Hygiene factors also referred to as dissatisfaction or maintenance factors necessary to avoid dissatisfaction. Hygiene factors (health factors) is the image of the needs of individual physiological factors that are believed to be fulfilled. Hygiene (health factors) include salaries, personal life, the quality of supervision, working conditions, the stability of the employer, the relationship between the personal, intelligence and corporate governance. According to the hygiene factor / extrinsic factors Herzberg will not further the interests of workers to form it big, but if these factors cannot be considered satisfactory in many respects, for example, inadequate wages, working conditions unpleasant, factors that will be spring potential discontent. Motivation Factors Satisfaction creates a positive motivating factor. In addition, there are factors in the workplace and motivate employees to excel work called satiety factor. Employees only find motivation factors intrinsic value (satiety factor). Motivator which symbolizes psychological needs is seen as an additional benefit. Factors associated with achievement motivation job content protection, recognition, challenging work, improvement and development in the job. In addition, factors intrinsic motivation is a factor that promotes the spirit to achieve higher employment. Meanwhile, the high level of satisfaction of needs motivation allows one to form a more than satisfying needs lower. Meanwhile, there is also a motivating factor according to Herzberg is working itself achievement, opportunities for advancement, recognition of others, and responsibility. In general hygienic factors, for example, salaries and employee relations support associate to survive in the workplace. Salary will only deliver instant motivation. However not in the capacity factor of motivation, for example, the appointment of permanent staff. Cause a decrease in employee motivation to work. To motivate subordinates. Job satisfaction is basically something individual. Most individuals have a level of satisfaction vary and in accordance with the prevailing value system in itself. When assessed against the perceived height of the votes in accordance with the wishes of the individual, the higher the satisfaction of such activities. With this, an outline of job satisfaction can be interpreted as being pleasant or unpleasant, which looked officer of jobs. According to Herzberg behavioral traits that satisfied employees are those who have a high motivation to work. In addition, they are also more than happy to do his job, while its workers are less satisfied they are lazy to go to work at the workplace, and lazy in doing their jobs. Therefore, it can be concluded that job satisfaction is a feeling or attitude of someone in their work, which can be affected by various factors, both internal factors and external factors. Motivation or encouragement movement behavior of organisms is continuing to carry out an activity that is stimulated by incentives. With this, the existence of behavior because of physiological or psychological stretch and leading to the achievement of a goal. In addition, the driving motivation is a desire to be effective and to achieve something. Motivation can also be regarded as a stimulus for the achievement of a stimulus or to avoid failure. Individuals who have the motivation means he has already acquired the ability to exceed expectations in life. Conclusion Conflict is a part of human life that can never be settled all through the history of mankind. Sociologically, the conflict is defined as a social process between two or more persons where one party looks to prohibit different parties to pulverize it or make it frail. In addition, the conflict is motivated by differences in the characteristics of the individual got an interaction. Examples of these differences are related to the physical characteristics, information, understanding, beliefs, customs, and so on. Individual characteristics also participate in social interaction. Therefore, conflict is a desirable situation in each community and not a society that has never had any conflicts between members or with other community bunches. References http://www.dawama.com/Pengurusan-Konflik/q?pid=1752doit=order http://cintahatikami.blogspot.com/2012/04/konflik-dalam-organisasi.html http://capoenk-news.blogspot.com/2013/02/6-cara-menyelesaikan-konflik-secara.html http://perilakuorganisasi.com/teori-erg.html Silhanek, B. and Decenzo, D.A. (2007) Human Relations: Personal and Professional Development. London: Prentice Hall. Robbins, S.P. nad Judge, T.A. (2009) Organisational Behaviour. 5th and. London: Prentice Hall.