Epidemiology Of Cholera John Snow Health Essay

Epidemiology Of Cholera John Snow Health Essay It has been over a century and a half when John Snow undertook the study of the Cholera epidemic of 1854 in London. His work, which was published in the 1855 book On the Mode of Communication of Cholera, is considered a milestone in epidemiology. The observations by Snow of the water-born transmission of cholera and the handle of the Broad Street pump was a work of genius that continues to inspire epidemiologists. Appearing before the local body of government on September 7, 1854, John Snow argued that the source of the outbreak of a cholera epidemic was water from a communal water pump. His investigation identified the pump at Broad Street near its intersection with Cambridge Street as the source of contaminated water. Cholera which is an acute, diarrheal illness caused by infection of the intestine with the bacterium Vibrio cholerae, causes significant morbidity and mortality in many developing countries. This paper examines the cholera epidemics (and pandemics) in recent history i ncluding the outbreak of 1854 in London and the role played by John Snow which had laid the foundations for the modern principles of epidemiology. Introduction It has been over a century and a half when John Snow undertook the study of the Cholera epidemic of 1854 in London. His work, which was published in the 1855 book, On the Mode of Communication of Cholera is considered a milestone in epidemiology. The observation by Snow of the water-born transmission of cholera, and the handle of the Broad Street pump was a work of genius that continues to inspire epidemiologists. Appearing before the local body of government on September 7, 1854, John Snow, an anesthetist in London, argued that the source of the outbreak of a cholera epidemic was water from a communal water pump. Working with the data reproduced in table 1 (Bingham et al., 2004), Snow identified the pump at Broad Street near its intersection with Cambridge Street as the source of contaminated water. What followed is best told in his own words: I had an interview with the Board of Guardians of St. Jamess parish on the evening of Thursday, 7th September, and represented the above circ umstances to them. In consequence of what I said, the handle of the pump was removed on the following day (Snow, 1855). Each year, outbreaks of cholera to cause death estimated at 120,000 worldwide, with the vast majority occurring in children (WHO, 1995). Epidemiology of cholera is characterized by several key principles including (i) Cases tend to be concentrated in specific location and occur during a specific season (ii) the highest infection rates in children of 1-5 years in areas where infection is endemic (iii) antibiotic resistance patterns often change from year to year, (iv) pathogen strain often exhibit clonal diversity, and (v) prevention measures against the disease include sanitation, hygiene and immunity improvement. Cholera has been ranked as one of the emerging and reemerging infections (Satcher, 1995) facing many developing countries. Several recent events highlight the importance of epidemiological disease include the 1991recurrence of cholera in Latin America (Levine, 1991) ( Ries et al., 1992); the 1994 outbreak of cholera which took place in a Rwandan refugee camp in Goma, Zaire, which resulted in approximately 70,000 cases and 12,000 deaths in (Siddique, 1995), and the outbreak of V. cholerae O139 in the India subcontinent from 1992 to 1993, possibly marked the start of the eighth cholera pandemic (Ramamurthy et al., 1993)(Swerdlow et al., 1993). Pathogenesis and transmission of Cholera Vibrio Cholerae are comma-shaped, gram-negative bacteria that have been the cause of several great long-lasting epidemics and pandemics of diarrheal disease. Many of these pandemics began in the Ganges Valley of India and Bangladesh, which is never free from cholera. Although there are 140 serotypes of V. cholera, until recently only 1 stereotype was associated with several diarrhea. Beginning in 1992, a new V.cholerae stereotype (0139, also known as Bengal) has been associated with sever, watery diarrhea (Faruque et al., 1998) The vibrios never invade the epithelium but instead remain within the lumen and secrete an enterotoxin, which is encoded by a virulence phage. Flagellar proteins involved in motility and attachment are necessary for efficient bacterial colonization, as has been described for Campylobacter. The vibrio hemagglutinin, which is a metalloprotease, is important for detachment of Vibrio from epithelial cells. The secretory diarrhea characteristic of the disease is caused by release of cholera toxin. Cholera toxin is composed of five binding peptides B and a catalytic peptide A (McKenzie et al., 1984). The B peptide, serving as a landing pad, bind to carbohydrates on GM1 ganglioside on the surface of epithelial cells of the small intestine, enabling calveolar-mediated endosomal entry of toxin subunit A into the cell (Laloi et al. 1996). Reverse transport of the subunit A from endosome into the cell cytoplasm is followed by cleavage of the disulfide bond linking the two fragments of peptide A (A1 and A2). Catalytic peptide A1 is generated, leading to the following sequence (Dertzbaugh et al., 1993): A1 interacts with 20-kD cytosolic proteins called ADP-ribosylation factors (ARF). The ARF-A1 complex catalyzes ADP-ribosylation of a 49-kD G-protein (called GsÃŽÂ ±) (Randazzo et al., 2000). Binding of NAD and GTP generates an activated GsÃŽÂ ±, which in turn binds to and stimulates adenylate cyclase. ADP-ribosylated GsÃŽÂ ± is permanently in an active GTP-bound state, resulting in persistent activation of adenylate cyclase. The activated adenylate cyclase generates high levels of intracellular cAMP from ATP. Cyclic AMP stimulates secretion of chlorides and bicarbonate, with associated sodium and water secretion. Chloride and sodium reabsorption is also inhibited. The reabsorptive function of the colon is overwhelmed, and liters of dilute rice water diarrhea containing flecks of mucus-up to 14 L/day, equivalent to the circulating blood volume, causing dehydration and electrolyte imbalances. Because overall absorption in the gut remains intact, oral formula can replace the massive sodium, chloride, bicarbonate, and fluid losses and reduce the mortality rare from 50% to less than 1% (Sharma et al., 1997) Epidemiology of Cholera Early Pandemics Since the beginning of the first pandemic in 1817, seven cholera pandemics have occurred (Pollitzer,1959), excluding the seventh pandemic, which took place on the Indonesian island of Sulawesi in (65), pandemics occurred in the Indian subcontinent in the Ganges delta and spread to other countries over many years (Snow, 1855). In 1830, the epidemiological and public health approaches to cholera developed in the context of some understanding of the nature of certain infectious diseases, including smallpox and syphilis, with little agreed differentiation of the fevers. In his late 18th century doctrine, Benjamin Rush describes there was but one fever in the world (Shryock, 1936) had received broad support. Exciting factor in the cholera epidemic was sometimes considered as shaping existing fevers into its own image, and the arrival of cholera coincided with an increase in mortality and/or transferred deaths between categories was questioned. The second cholera pandemic of the early 1830s invaded the British Isles, and was marked by epidemiological observations made by John Snow on the waterborne cholera transmission in London between 1847 and 1854(Snow, 1855). Ships carrying Irish immigrants caused the second pandemic in Canada (Marian, 1957). During the third pandemic (1852-1859), cholera was raging in the United States, and during the 1870s at the end of the fourth pandemic, towns and villages along the Ohio, Missouri, and Mississippi, rivers experienced cholera (Billings et al., 1975). The fifth pandemic mainly affected South America; causing large epidemics in several countries with Argentina, Chile, and Peru suffering high casualties. (Gil et al. 2004). Robert Koch isolated the cholera bacterium, known as comma bacilli during the fifth pandemic in feces of patients in Egypt in 1883 and India in 1884(Koch, 1884). Between 1899 and 1923, the sixth pandemic involved populations expanded in the Balkan Peninsula and the Middle East (Pollitzer, 1959). Apart from a large epidemic in Egypt in 1947 (Shousha, 1947), cholera was confined to southern and Southeast Asia since the mid-1920s until the 1961 outbreak of the seventh pandemic in. Both the sixth pandemic and possibly the fifth pandemic were caused by V. cholerae of classical biotype. The Seventh Pandemic The seventh pandemic is considered the largest of the pandemic in the geographical distribution, and was caused by V. cholerae O1- biotype El Tor (Table 2). The 1961 pandemic first invaded the island of Sulawesi in Indonesia and spread to other islands, including Borneo, Sarawak Java, Taiwan, the Philippines, and Sabah. It affected the entire archipelago of South Asia at the end of 1962 (Kamal, 1974). , In Asian mainland, from 1963-1969, the pandemic affected Cambodia, Thailand, Vietnam, Malaysia, Burma, India, Pakistan, and Bangladesh. Cholera reached Pakistan shortly after El Tor, and outbreaks were reported in Iraq, Iran, Afghanistan, and in the neighboring republics of the Soviet Union (Kamal 1974). By 1970, El Tor cholera had reached the Arabian Peninsula, Syria and Jordan, and to a lesser degree, in Israel (Cohen et al., 1971). The seventh pandemic was in sub-Saharan West Africa in early 1970, causing explosive epidemics as a result of more than 400 000 cases of high mortality, attributed mainly a lack of background immunity of the population, and lack of healthcare infrastructures (Goodgame et al., 1975). During this epidemic, cholera invaded the coast and the interior through waterways and continued to spread to the interior of the Sahel countries by land to travel to nomadic tribes. During the 1970 cholera epidemic, 28 were newly affected were reported and 16 are in Africa (Kaper et al., 1995). In South America, the seventh pandemic which began in Peru in January 1991 caused a return of cholera to the continent after more than a century in an explosive epidemic (Levine, 1991) (Ries et al., 1992). Subsequently, neighboring Ecuador and Colombia also reported cholera epidemic. In each of these countries were people of low socio-economic status, lack of clean water and sanitation, the most affected (Pan American Health Organization, 1991). In April 1991 a small outbreak was reported in Santiago, the capital of Chile (Levine, 1991). Cholera then invaded more countries in South and Central America along the Pacific coast. The Pan American Health Organization estimated that during 1991 and 1992 there were 750,000 cases of cholera and 6,500 deaths in the Americas (Pan American Health Organization, 1991). Recently, the July 1994 outbreak in Goma, Zaire, (Siddique, 1995), is considered one of the worst outbreaks in recent history. Nearly a million people were displaced to Zaire and sheltered in refugee camps as a result of Conflicts between tribes in neighboring Rwanda. Outbreak of cholera in refugee camps affected by poverty caused an estimated 12,000 deaths among Rwandan refugees during a period of three weeks (Siddique, 1995). The seventh pandemic was active causing seasonal outbreaks in several developing countries. However, in 1992, V. cholerae belonging to serogroup non-O1 (now known as O139) caused massive epidemics of cholera in Bangladesh and India and spread to other countries, which could represent the beginning of the eighth pandemic Conclusion John Snow achievement was based on the logical organization of his remarks. He recognized a natural experiment, and its quantitative approach to the analysis of the occurrence of disease in human populations, which is actually a summary of the views of modern epidemiology. It has been over a century and a half since Dr. Snow had published his findings. And in spite the medical and epidemiological advancement in combating the disease, yet, the threat of cholera remains very real and cholera continues to be a global threat to public health and an important indicator of the lack of social development, especially in developing countries which suffer from lack of access to drinking water and lack of sanitation. The disease continues to challenge the increasing proportion of vulnerable populations living in unsanitary conditions, such as slums and refugee camps. The treatment centers and water purification units in poor nations are only interim measures, and steady decline in the spread of the illness should not be seen as a complete victory.

Chaucers Canterbury Tales Essay - The Strong Wife of Bath

The Strong Wife of Bath       Alison of Bath as a battered wife may seem all wrong, but her fifth husband, Jankyn, did torment her and knock her down, if not out, deafening her somewhat in the process. Nevertheless, the Wife of Bath got the upper hand in this marriage as she had done in the other four and as she would probably do in the sixth, which she declared herself ready to welcome. Alison certainly ranks high among women able to gain control over their mates.    The Wife of Bath's personality, philosophy of sexuality, and attitude toward sovereignty in marriage obviously are offered as comedy. When Chaucer's short poem addressed to Bukton, who is about to marry, recommends that he read the Wife of Bath regarding "The sorwe and wo that is in mariage" (ed. Benson, p. 655), he has to mean the domination, real or attempted, or the nagging, of the husband by the wife, that is sure to follow his wedding. Why else recommend the Wife of Bath for the edification of a bridegroom-to-be? And how could such an admonition be meant as anything but jest?    The Bukton piece leaves Chaucer's present-day audience wondering whether he and Philippa, married in 1366, had lived happily ever after. Unfortunately, the Chaucer Life-Records tell us nothing personal such as this. As for Chaucer himself, although he uses the autobiographical first person pronoun, his allusions to domineering and/or nagging wives are presented through the voices of his persona and of the pilgrim narrators of the Canterbury Tales, of whom the persona is one, all as likely to be fiction as to be fact. Chaucer remains inscrutable regarding his own marriage.    What, then, are we to make of the Bukton piece; of Alison of Bath and her anti-Pauline vi... ...st wife in the world. One would expect the married men hearing this to chuckle. But, needless to say, Chaucer's audience included women as well. In that day, when all marriage was Pauline at least in theory, and permanent sacramentally as well as legally, both "archwives" and "sklendre" had promised to obey. Women could join the laughter at this old chestnut because the shrew was some other woman. Of course good Christian wives never nagged their husbands.    Works Cited Chaucer, Geoffrey. The Riverside Chaucer. Ed. Larry D. Benson. 3rd edn. Boston: Houghton Mifflin, 1987. Crow, Martin M., and Clair C. Olson, eds. Chaucer Life-Records. Oxford: Oxford UP, 1966. Skeat, Walter W., ed. Complete Works of Geoffrey Chaucer. 2nd ed. 6 vols. Oxford: Clarendon, 1899; rpt. 1972. Woolf, Rosemary. The English Mystery Plays. Berkeley: U of California P, 1972.

Gifted and Talented Education Research Paper -- essays papers

Gifted and Talented Education Research Paper It is important to understand the many different methods of educating gifted and talented students. Most people, whether as teachers, students, or parents, will at some point be faced with the many options of educating the gifted and talented. In the United States today, 3-5 percent of students are considered gifted. Defining whether or not a student is gifted can be quite difficult, but many would agree that gifted students â€Å"are able to learn material rapidly and understand concepts deeply† (Lynch, 1999). Within this paper I will discuss the process of identifying gifted and talented students and the different methods of educating them including tracking, grade advancement, and cooperative learning. Of these three methods I believe the most effective method used to teach gifted and talented students is tracking. One of the most controversial things about gifted and talented education is the criterion educators use to identify the gifted and talented. In the past, a student’s intelligence, based on an I.Q. score, was considered the best way to determine whether or not they qualified as gifted. As a result of using this method of identification, many gifted and talented students are not discovered nor are they placed in the appropriate programs to develop their abilities. Talents in the arts or an excellent ability to write are not measured on an I.Q. test but are abilities that may certainly qualify a student as gifted or talented. This method of identification is accused of being biased because it results in the identification of a group of people that is mostly white and upper middle class (Sternberg & Williams, 2002). This occurs because minorities often lack the c... ...delines for Acceleration (n.d.). Retrieved March 10, 2003, from http://www.austega.com/gifted/acceleratoinguidelines.htm Lovecky, D. V. (1995). Highly Gifted Children and Peer Relationships. Counseling and Guidance Newsletter. Retrieved March 10, 2003, from http://print.ditd.org/floater=74.html. Mathews, M. (1992). Gifted Students Talk About Cooperative Learning. Educational Leadership, 50. Retrieved March 10, 2003, from http://www.ascd.org/readingroom/edlead/92101mathews.html. Author unkown (2003, March 9). In gifted classrooms is diversity lacking?. Salisbury Daily Times. Retrieved March 10, 2003, from http://www.dailytimesonline.com/new/stories/20030309/localnews/1142640.html Author unknown (2003, February 24). Schools seek gifted among minorities. The Washington Times. Retrieved March 10, 2003, from http://washingtontiems.com/metro/2003224-14635946.htm

Army Standards and Ethical Dilemmas Essay

The inconsistent application of Army standards leads to unethical decisions on a daily basis. Despite an emphasis on Army values at all levels, military leaders open themselves up to make unethical decisions when they don’t adhere to set standards. Despite the Army having clear standards on height/weight, APFT, the tattoo policy, and reporting requirements, leaders often take it upon themselves to ignore the standard or create their own. Leaders have the responsibility to maintain and enforce standards which are driven by regulations. If military leaders would consistently enforce these standards, ethical dilemmas and unethical decisions would be significantly reduced. Army Standards and Ethical Dilemmas Standards are necessary within an organization to promote discipline, production, and efficiency. Recently, the Sergeant Major of the Army visited the Sergeants Major Academy and the focus of his presentation was really about Army Standards. The Sergeant Major’s message got me thinking about Army standards and the inconsistent application of these standards throughout the Army, specifically the ethical dilemmas that arise due to this inconsistency. If an organization’s standards are applied inconsistently, that organization’s culture changes and allows room for unethical application of those standards. In the Army we see this inconsistent application of standards in the areas of height and weight standards, the APFT, the tattoo policy, application of punishment through the UCMJ, and in unit reporting. Standards First, we must define what a standard is. Standards are methods that define what success is in a training event, such as an APFT or marksmanship qualification. Standards are the rules for conduct in the work place and while off duty. Standards are rules or guidelines for proper wear and appearance in the uniform. In the Army we have regulations, training manuals, and unit standing operating procedures that spell out the â€Å"standard† for everything we do without exception. The Army even has a standard for organizational values, LDRSHIP. A tool that should make consistent application of standards easy for leaders is the acronym LDRSHIP: loyalty, duty, respect, selfless service, honor, integrity, and personal courage. Despite regulations and despite Army values, our leaders, Army wide, have difficulty in enforcing standards consistently the result for these leaders, often times, is making unethical decisions which have a negative effect on the force. Our challenge as leaders is to do a much better job of enforcing standards, as well as consistently applying the standards in order to reduce ethical dilemmas. Height/Weight and APFT The Army clearly spells out its policy or standard for both height/weight and physical fitness standards in AR 600-9 and in FM 21-20. In AR600-9, the standard for how much a Soldier can weigh, based on his or her height and age is spelled out. If a Soldier exceeds the height/weight screening table, then the Soldier is taped to assess the amount of body fat the Soldier has. If the Soldier exceeds the allowed body fat percentage, AR 600-9 specifies what actions are to be taken by the commander. Some of the consequences include, counseling by the Soldier’s supervisor, nutrition counseling, the Soldier should be flagged and barred to re-enlist until meeting the height/weight standard, ultimately the Soldier should be chaptered out of the Army if he or she is unable to meet the standard. Just like AR 600-9, FM 21-20 specifies the Army standard for both the conduct of the APFT as well as the standard for passing the APFT. Additionally, the Army has specified that a Soldier that doesn’t pass the APFT should be flagged and not eligible for promotion until that Soldier meets the standard. One would think that such straight forward standards would be easy to follow and adhere to as an organization, but quite the opposite has been true throughout the Army the application of standards has been difficult. The first example that comes to mind is the measuring techniques that are spelled out in AR 600-9 that determine a Soldier’s body fat. I have been in the Army for twenty-one years and have been subject to the tape test my entire career; I can tell you that measurement methods have been inconsistent at best. Sometimes, there are the appropriate numbers of people doing the taping, but often times there is just one person doing the taping. Sometimes, the person doing the taping measures the Soldier correctly and other times the person may tape in such a way as to give the Soldier an advantage. As far as the grading of the APFT goes, although FM 21-20 specifies the correct way to do a push-up or sit-up, the actual scoring for these events are wildly inconsistent from grader to grader. Sometimes these inconsistencies hurt a Soldiers score, but often these inconsistencies give an unfair advantage to a Soldier over his or her peers. The inconsistencies in grading the APFT and measuring a Soldier’s body fat are magnified by those leaders who don’t even bother and just â€Å"pencil whip† the results of both. What a unit or leader does or does not do to Soldiers who fail the APFT or do not meet the standards of AR 600-9 is where possible ethical dilemmas arise. I was the height/weight NCO for a company for almost four years, and we never chaptered a Soldier for height/weight. However, it was not because I or any other NCO didn’t do what is required by AR 600-9. Soldiers were not chaptered primarily due to end strength, bottom line we needed Soldiers. Commanders were unwilling to adhere to standards in order to retain more Soldiers. This is a classic example of inconsistent application of standards that led to the unethical decision of retaining Soldiers that could not meet the Army standards for height and weight. Tattoo Policy Another area of inconsistent application of an Army standard is the Army’s policy on tattoos. For years, the Army’s policy on tattoos prohibited those in the Army or those seeking to enter the Army from having tattoos that were visible below their wrists or visible above the neckline while in uniform. In order to meet recruiting requirements, this policy was lifted and those entering the Army were allowed to have tattoos that were visible above the neckline and below the wrist. Now that the Army is drawing down, the standard is reverting back to the old policy of no tattoos visible above the neckline and below the wrist. If a Soldier with such tattoos desires to stay in the Army, that Soldier will have to pay to have the tattoo removed. Personally, I agree with the policy of no visible tattoos and think such tattoos present an unprofessional appearance. However, I don’t think the Army should have changed the standard to allow such tattoos in the first place, regardless of the recruiting requirements. What has resulted from this policy change or unethical decision is that a significant number of Soldiers who were allowed to join with these tattoos, are now being required to either pay to have the tattoos removed or get out of the Army. If there is no â€Å"grandfathering in† of this policy, then the Army has made an unethical decision to force these Soldiers out or to pay, from their own pockets, to have these tattoos removed. The Army allowed these Soldiers into the Army when the Army needed them, now that the Army is downsizing these Soldiers are being forced out or forced to remove the tattoos. Where were the Army values in this decision? Application of UCMJ Having been a first sergeant, I have been a part of many UCMJ proceedings and have witnessed how Soldiers of different ranks are treated differently. I have witnessed First Lieutenants that have been convicted of DUI get moved to a new unit and later get promoted to Captain. I have also witnessed Sergeants First Class get DUIs that have been demoted and forced to retire. What is ethical in having the same standard, yet having a totally different application of punishment for the same offense? This same argument can be made for two Soldiers of the same rank committing the same offense, and receiving totally different punishments. This usually happens when the Soldier’s chain of command states what a great Soldier they are, request leniency on the Soldier because the Soldier has a family, or is in financial trouble. It is ultimately the decision of the commander to decide punishment of a Soldier, but I contend that it is unethical and unfair to give different punishments to Soldiers for the same offense. Soldiers know what happened when two specialists who went AWOL both came out of their Article 15 hearings and while one is still a Specialist, and the other is now a Private First Class. This type of unequal treatment is unethical and unfair, and has a negative effect on the command climate and unit morale. Official Reporting Another area of unethical activity that is widespread throughout the Army is n official reports, both to the next higher headquarters, clear up to the Department of the Army. A very common occurrence of this false reporting occurs when mechanized or aviation units report their operational readiness rates. Commanders at all levels are under tremendous pressure to report a readiness rate within the Army standard for their type of unit. A commander whose unit’s OR rate is not up to standard, has a high likelihood of being relieved. All too often, these commanders succumb to the pressure and submit false reports to maintain the illusion of preparedness. Conclusion If an organization develops a standard, then those standards should be both enforceable and enforced upon all in the organization. If an organization creates a policy and then changes the policy, the organization should build in exemptions to that policy that prevents the change from being unfair to those already in the organization. If an organization’s standards are applied inconsistently, that organization’s culture changes and allows room for unethical application of those standards. In the Army today and through the years we have seen inconsistency after inconsistency in the enforcement of Army standards. The creation of the Army values and focusing to ensure that all Soldiers know the acronym LDRSHIP was supposed to help with ethical decisions and prevent inconsistent application of Army standards. I think as a whole the Army is getting better in these regards, but we have a long way to go. Continued ethics training from basic training through the war college will help, but consistent application of standards is the key to keep leaders from making unethical decisions.

Analyse an Advert and Prequel to it in Depth Essay

Advertising is one of the world’s foremost businesses. Companies use this media to communicate their ideas, products and messages to the general public. This is one type of advert, which is used to draw people to donate to a cause. It is called an appeal. This appeal is from Help The Aged, a fairly large charity, dedicated to helping the older and less able people. This particular advert is for the SeniorLink pendant, a small telephone pendant that helps people when they get into trouble where they can’t reach the phone, because they are immobilised. I will analyse this form of the appeal and elaborate the techniques and tricks used to convince people to part with their money. This form of the appeal is a leaflet. Leaflets can be specially designed to appeal to a particular audience or aspect of society; this leaflet is aimed at anyone who has money. The purpose of it is to convince these people that their product is: reliable; fast acting; state-of-the-art; easy-to-use and most of all, lifesaving. If it succeeds than Help The Aged will get their reward of a donation that, in theory, should then be spent on the pensioners. The advert uses several conventions to convey their tricks and tactics to the target audience. I will elaborate these as I examine the advert. On the first part of the leaflet (The ‘Front’) we see Vera alive and well, along with a caption to the picture that, arguably, could be seen as the title to the leaflet. The photograph of Vera depicts her as smiling, cheerful and in good health. From this, empathy is drawn from the audience, giving the advert a good note from which to begin with. It can also be seen as a pointer to what the outcome of the event is, in a similar way to the introduction to Romeo and Juliet. The caption or ‘title’ of the leaflet is in large, white, bold, capitalised text, which is mapped on a black background. This is to make the text stand out considerably, as there is no bigger contrast than black and white. At the end of the text is an ellipsis. This adds to the beckoning feel of the text that makes the audience want to read on. The second part of the advert or â€Å"Middle of the leaflet† is a transcript of the conversation between Lyn, a SeniorLink operator, and Vera Smith, an old woman in distress. The sheet is in four parts: A quotation, used as a title An introduction to the transcript The telephone conversation, recorded as a transcript And an epilogue to the piece. The quotation to the page is in a similar style to the original caption, in the first part. It shares the same bold, white on black style, however it is not all in capitals. This is because it is a quotation from Vera, presumably from after her ordeal. This is to show again that she recovered and that she owes her life to the SeniorLink pendant. Next is an introduction to the transcript. It starts with an introductory sentence that uses simple adjectives and sentence structure to describe the characters. Next comes the setting of the scene, where Vera’s predicament takes shape. One sentence is underlined, this sentence: ‘To her horror†¦Ã¢â‚¬â„¢ is highlighted to make it stand out more, as it is shocking and important. The intro ends with another ellipsis, opening the way for the transcript. Just before the transcript is a picture of both Lyn and Vera, depicted as happy, this is showing: how good the receiving staff is and how pleased Vera is to be alive. The transcript itself is 16 lines long, combining playscript style speech and bold typed event explanations. The playscript reads like normal speech, Vera pauses and the text is punctuated appropriately, â€Å"Please†¦ Help me!† The language is different for Vera and Lyn, Vera sounds helpless and afraid, while Lyn sounds calm and efficient. At three intervals the scripting cuts into a short explanatory line, distinguished by its bold enhancement. These explain what is happening, like directors notes. We are expected to give the appeal some trust and believe that the conversation really happened. Finally there is an epilogue where, using reassuring text, they bring this ordeal to an end. They finish this section by emphasising that the SeniorLink saves lives. The final part of the advert, the back, is the possibly the most important. It is the advert in full, the appeal or the explanation section. It is nine paragraphs that encompass all of the emotion, drawn from before and add to it, then channel it into giving a donation. The title of the piece is large, bold and eye-catching. It is presumably a joke to suggest that she could, ‘hear voices’ as some old people develop insanity. Otherwise the comment that she is alive because she could hear voices is a stupid one and not thought out. The first paragraph is an assurance that Vera made a full recovery, thanks to the SeniorLink system. This is to put worried minds at rest. Then in clear bold text it says: â€Å"But many other elderly people aren’t so lucky†, This shows that next the appeal will give information, possibly facts on old people that didn’t make it through their ordeals. Paragraph 2 is apparently a factual one, where they give you shocking statistics on how many people don’t survive each week. This is supposed to appeal to your human nature and lull you into wanting to help decrease this statistic. Next comes another single line of text that prepares you for upcoming information. It is underlined and utilises an emphasising adverb, which is describing an adjective, ‘tragic’. This is used to change it from being tragic to really tragic, emphasis. The next two paragraphs are two cases, which are utilised to shock you further, and again to appeal to your ‘Human side’. The fifth paragraph is in bold text and is designed to be reliving after the heavy emotion carrying paragraphs. It is positive and righteous. It opens with a statement of good, â€Å"Yet tragedy can be avoided† This is showing the gold horizon, while saying that our cause is the most important cause. Then in the second sentence it uses the mysterious inference again: ‘Hearing Voices’ In the sixth paragraph the appeal itself surfaces and they make their quick request for money, while surrounding it with ideas of stopping unnecessary deaths and the strange ‘voice’ inference again. The donation request itself is only five words long, out of the whole advert. It is short and enveloped to try to mask their intentions, while making it stand out in your mind. Also in this paragraph two words are underlined to add emphasis on their aims. The next paragraph is a short direct paragraph and adds a little more emphasis on the pendant itself. Paragraph eight is the technical element, it explains exactly what the pendant is, wrapped in technical terms to show that this is cutting edge technology and is really effective. The text ends with a warm climax ands shows one last time that the pendant is an amazing thing. The logo of Help The Aged is a rising sun, symbolising that there is dawning hope and always a light for old people. In conclusion, the advert uses most of the persuasive techniques in the handbook, from simple adjectives and bold text to psychological hints and shocking ‘facts’. However I would say that the advert has been worked at: psychologically wise, everything is in the right place, and the things that should stand out do stand out. At every step of the way they have used persuasive writing, showing that: Vera survived because of the pendant, The pendant is efficient and will always work, Pensioners without a pendant die frequently, Preventing the deaths is easy: donate money. On a personal level I wasn’t convinced, I saw the IT tricks and psychological hints as insults, and saw right through them. Perhaps I’m wrong, and I just am not human enough to see that they really are doing good in the world. But, most people would or should give money as it is fairly well thought through and has pretty shocking facts, if they’re true. I have learned that advertising is a crooked business and has many ways of persuasion. It does take a lot of thought.

Nicholson and Riley “Indiana writers in history”

Nicholson and Riley are two of the most celebrated Indiana writers in history. Their portrayal of the culture is outstanding considering they each didn†t completed high school. Their writings came from the heart of Indiana. They are both considered true sons of Central Indiana. In the essays they both had different views of Indiana, but both were leaning on the same premise of homey, beautiful and comfortable. Riley and Nicholson brought a real feel to the images they wrote about.. The two writers created an â€Å"atmosphere† about Indiana that everyone would enjoy. Riley and Nicholson saw different things in Indiana and they both loved the state and all aspects of it. The traditions the authors created were some of pride and glory of the difference they had between other states. Hoosiers were rather bias when it came to there own state. They thought of it as state in which someone really didn†t wanted to leave and if they did they were always happy to come back. In Nicholson†s essay on Indianapolis he states that Indiana people think the more they travel to other states the more they like their own city or state. Hoosiers were proud to be from this state. They felt that other states only dreamt of possessing this same pride and glory. Maybe a false tradition Riley created could have been that a reader from another state reads this and has never been to Indiana, will think that everyone in Indiana is a low-educated, hillbilly, a hick from the back woods. The fact is, education wasn†t highly needed on the farm. But a farming education is still and education. They skills they learned on the farm where just as valuable as the skills you learn in the classroom. Each writer did speak of the neighborliness of the people in the state and how they would give someone anything they had to offer. This lifestyle is s imilar to the current Morman way of life. They each mention how earthly Hoosiers were by putting trees on the sidewalks in the city and the swimmin†-hole they loved as children. Nicholson talked about the city of Indianapolis and how it had a natural feeling. However this feeling can also be translated to the entire state. This was because of Indiana†s low urbanization and education. The people didn†t need all the high tech trains and whistles in their state they liked. That is just the way it was. The authors† spoke of the kindness the people in the state, even for strangers. Indiana was safe and women could go to the market without having to worry about being attacked or robbed. Riley made points about the everyday life of the normal Hoosier and the things they went though. Riley talked about punkins† and how the people didn†t come up with many ideas of their own but when they did, they stood by them. The writers celebrated many traditions of Indiana in their own special way. Riley and Nicholson brought different experiences to the readings. Riley gave the real dialect of the people of Indiana and how they spent their days on the farms, while Nicholson talked about the kindheartedness of the people of Indiana. In all my trips to Indiana and while living here, I have found that Nicholson†s writings of the people back then hasn†t really changed that much. One of the factors while choosing Butler as my University, was the Gentleness of the Indiana culture. The two writers, in their writings made a pretty complete picture of Indiana. But it appears they both left out the northerner Indiana people.. They concentrated on the central and border southerner, but rarely mentioned the north. While the role of the Northerners culture was minor, their Indiana†s traditions and values were substantial. The Northerners played a function in the diversity of the state and the cultural cradle Indiana formed in the Midwest. While I have resided in Illinois my entire life, and now reside in Indiana, I see the differences in the people of Indiana and the pride they feel for their state. Illinois may not feel such a pride since their culture around the Chicago area is so diverse. There are many residents that come from all over the world. In Indiana, their roots are from the farm communities where their forefathers sweated blood and tears to farm their land, feed and educate their children, and die trying. Riley and Nicholson just put into words all the feelings the people of Indiana feel. After reading these excerpts, you realize, the Indiana people know all this but it was nice to read about why they feel so strongly about their state. Now Bobby Knight might be a different story!

Primary reserch (squirrels behaviour) Assignment

Primary reserch (squirrels behaviour) - Assignment Example The researchers chose fox squirrels living under natural conditions at The Morton Arboretum. Sciurus niger is a specie of squirrels that store acorns and nuts, during winter months, for future use (Kotler et al, 1999 p79). Their food structure is highly complex, thus making this analysis call for a special training. For example, training is needed to determine the supplemental food, which differs in cacheability, to present to the squirrels. Additionally, training is required to determine the behavior of the squirrels, in the assesment trays. Animal’s foraging behavior is significantly affected, in several ways, when its food has future value and is cacheable. When a forager collects food, its marginal value of energy usually declines, thus cost of predation is increased (Kotler et al, 1999 p81). This mostly happens during the summer when dropped supplemental food items such as pine seeds and corns are spread on the ground surface. Food gathering increases to a point that the forager stops collecting more food and moves to a shelter, and this happens during winter. In this experiment, it was determined that food of future high value has less effect on the squirrels current and subsequent food gathering activities (Kotler et al, 1999 p81). However, stored perishable food influences the subsequent behavior of the squirrels. This implies that supplemental food items directly influences behavior of squirrels, during the summer and winter (Kotler et al, 1999 p81). In other words, food gathering is mainly done during th e summer, and squirrels rest during winter while consuming the stored food. Shuttleworth, in this article, is determined to establish how the nutritional content of food items affects the feeding behavior of red squirrels (Sciurus vulgaris). According to this study, the nutritional content of food significantly affects the dietary