Tuesday, August 6, 2019
3d System and 3d Printing Essay Example for Free
3d System and 3d Printing Essay As a radical innovation, 3D printing has been introduced to market over 30 years since 1980s. This technology revolution doesnââ¬â¢t only change the process of molding; it also adapts its industry to go green by reducing wasting materials. In the contrast, object is produced by traditional technology (subtractive process) generates surplus cut material. In the early period of development, it was applied in hobbyist uses and industry uses such as design visualization, prototyping, architecture, education, and healthcare. In 2000s, along with mass launches of portable 3D printers from several companies, 3D printer has stepped on consumer product market; also, printed objects have been transformed from components or prototypes to finished goods. The personal 3D printer is incremental innovation of 3D printing. Basically, it was developed from industry 3D printer by design, size, and accessibility. Cubeà ® as 3D Systemsââ¬â¢ first personal 3D printer is part of companyââ¬â¢s strategy which is to accelerate 3D printer penetration. Five growth strategies See more: Homeless satire essay * Expand on-demand-parts services * Accelerate 3D printer penetration * Grow healthcare revenue * Consumer and retail * Create Seamless digital scan, design and print platform 3D Systems acquired Rapidform which is a leading global provider of 3D scan-to CAD and inspection software tools, located in Seoul, South Korea in 9 October 2012. 3D Systems is going to achieve its fifth growth initiative: to create a seamless, digital scan, design and print platform for the benefit of its customers. 3D Systems would broaden their range of capabilities with complementary products and technology, and extend its coverage and breadth globally with a significant foothold in South Korea and Japan. Technological Opportunities and Innovation The company has been playing as a leading provider in 3D printing business for over 25 years. It mainly focuses on business purposes e.g. making a rapid prototyping and manufacturing part. The research and development team of the company work closely with marketing department and foresee an opportunity gap in the current market. The team has an idea to entering into ââ¬Å"home personal 3D printingâ⬠market by launching a new product line called Cubeà ® which allows people to print real object in three dimensions. Concurrent with introducing Cubify.com as a marketplace and meeting place where artists, designers, children and makers can sell their 3D designs and anyone can Cubeà ® in Product Life Cycle According to Product Life Cycle strategy, 3D Systems and its Cubeà ® have been successfully proving the Introduction stage and are ongoing with Growth stage. The attention has been captured by hyping up the publicity and put the personal home 3D printing into recognition. All sources of public media e.g. Magazine, Newspaper, YouTube, News, Trade Event are widely presenting the debut of company innovation of home personal 3D printer and has been awarded as the winner of ââ¬Å"Popular Mechanics Breakthrough Award 2012â⬠. 3D Systems Focusing Strategies In order to move along from Introduction period to Growth, the company has put its focus into 4 main company strategies which one of them is ââ¬Å"Accelerate 3D printer penetrationâ⬠. It is emphasis on expanding company distribution channel through reseller and subsidiary around the world which currently the company only offers click-and-mortar store. Cubeà ® in Adoption Curve and its Development Culture Since the personal home 3D printer is new to market, with its intuitive experience offering to consumer, it is not difficult for Innovators group of people to adopt the printing technology. Therefore, with its product featuresââ¬âSimplicity of Plug and Play, WiFi printing support, and more pattern available to download on cubify.com, it would not be an obscurity for Early Adopters to adopt the system as well. Furthermore, Cubeà ® 3D printer is currently likely positioned on the upper right side of the 3D Systemsââ¬â¢ Development Culture model where it is considered to be such a completely new and breakthrough product of the year. The company will constantly improve the printer itself as seen in the company annual report under research and development expenses increased by $5.7 million, or 58.1%, to $15.4 million in the first nine months of 2012 from $9.7 million in the first nine months of 2011 3D Systems Development Culture Cubeà ® and its complementary product The selling point of the Cubeà ® 3D printer is not only the machine itself but the company also offer a cloud service communityââ¬âCubify.com. - Cubify turns mobile device, PC or tablet into a powerful mobile digital canvas to unleash creativity and bring ideas to life in 3D. On Cubify.com, user can find coloring book, cloud gaming and share creativity in 3D experience. The site also offers intuitive 3D Apps, rich 3D printable content libraries of games, puzzles, and any other collections for creation, purchase, share, or even sell for money. Additionally, the website also provides online printing service and has the printed object ship it right to customer later by air mail. Therefore, this service has driven the company to hold competitive advantage over competitors. People are increasing the awareness of cloud service where everything can be done over the air. The company can create the value of its product by offering a place where community begins which increasing in customer lock-in strategy and generate more revenue to company in long run. What company strategies beyond launch Cubeà ®: Be fast mover The worldââ¬â¢s first personal 3D printer was launched by Stratasys in 2009. At the same time, 3D systems also launched its first personal 3D printer to become one of fast movers to better understand the barriers to broad utilization. As technology world, time is everything. 3D systems entered the market early means to quickly build large installed based as many as its industry section, and keep its leading position in 3D printing technology. They are now working on a multi-front strategy to democratize access and accelerate the adoption of 3D printing for the student, the hobbyist and ultimately, the consumer. The real keys are utility and affordability. Cube is part of its plan. Razor-blade strategy The launch of Cube reflects companyââ¬â¢s penetration strategy that attempts to make customers to lock in with its products. The price of Cube is affordable, in addition to its high quality of product and service such as friendly-use application, various materials and colors, platform named Cubify.com where users can download and upload sources. Printer wonââ¬â¢t be only product customer will purchase. Once printer is purchased, customer needs to keep purchasing other complementary products such as materials, also service such as applications. They will continuously make profit for company; even the revenue of materials and service is greater than the revenue of machine. RD As a technology company, innovation is critical, and one of the key drives of innovation is research and development. 3D systemsââ¬â¢ expense in RD is increasing gradually to ensure its leadership through technology and business innovation. Table: 1. 3Dsystems-2012 Financial Statement Protect innovation Only developing and introducing new technology and product that will meet the customers need is not sufficient to be successful. To gain profit and increase market share, the company need to protect the product and service and development and manufacturing phase copying by competitors and new entrants. 3D Systems consider their technology platforms and materials as proprietary and try to protect them through copyrights, patents, trademarks and trade secrets. 3D Systems has worked steadily over the years to develop the market, protect its position with a portfolio of hundreds of patents, and to improve its machinery, software and materials. This has resulted in improvements in accuracy, surface finish and material properties that have been instrumental in expanding the rapid prototyping market as a whole. At December 31, 2011, 3D Systems held 725 patents and 257 pending patent applications worldwide, including applications covering inventions contained in our recently introduced printers. 3D Systems has also entered into licensing or cross-licensing arrangements with various companies in the United States and in other countries that enable those companies to utilize the technologies in their products or that enable 3D Systems to use their technologies in the products. Under certain of these licenses, they are entitled to receive, or obligated to pay, royalties for the sale of licensed products in the U.S. or in other countries. 3D Systems gain the competitive advantages from these patents and licenses and their success depends largely on the marketing, business development and applications know-how and on their ongoing research and development efforts. Although 3D Systems protect their intellectual property rights, the secrecy of their digital content, confidential information, trade secrets and unlicensed copying through a variety of techniques, the success of 3D Systems will motivate the competitors to copy what they are doing. When the competitors come with up with the technology and product with the same customer need, it will be harmful to their business. The loss of trade secret protection could make it easier for third parties to compete with their products by copying previously confidential features, which could adversely affect 3D Systems revenue and operating margins. Strategic acquisition 3D Systems has made and will continue to make strategic acquisitions in future also. 3D has acquired a number of technologies and competitor companies over the years. It purchased Keltoolà ® technology from 3M several years ago to address high volume injection mold-making applications. In rapid succession in 2001, it acquired OptoForm SARL (France), RPC Ltd. OptoForms technology was aimed at additive manufacturing applications and RPC was acquired to help the company replace its long-term relationship with resin supplier Vantico. 3D Systems completed twelve acquisitions in 2011 and the Z Corp and Vidar acquisitions in 2012. 3D Systems consolidated its entire personal and professional 3D printer businesses into a single unit. This acquisition integrates Z Corp and Vidar products and services with 3D Systemsââ¬â¢ extensive portfolio, uniquely positioning 3D Systems for accelerated growth in the dynamic, rapidly expanding 3D content-to-print space. The transaction completes 3D Systemsââ¬â¢ range of product capabilities, fills price gaps with complementary products and technology and doubles its reseller coverage globally. Z Corporation Z Corp provides 3D technologies used to create new products and services more effectively than any other ways, compressing the design cycle, generating new concepts, communicating clearly, fostering collaboration, and reducing errors. Z Corp solutions span the entire 3D CAD/BIM design process from concept through design verification. Z Corp is committed to making their solutions the fastest, easiest, most accessible and most valuable. Vidar Systems Corporation Vidar Systems is a leading provider of optical imaging technology specializing in medical and dental imaging markets. Built upon a solid foundation of innovation and an unwavering dedication to quality, the company is the worldwide leader and number one manufacturer of medical film digitizers. ââ¬Å"This is a historic, game-changing event for our customers and stockholders. Today we gained complementary full color and high speed printing technology, increased our marketplace presence significantly in verticals beyond product development and direct manufacturing, assembled the largest and most-well prepared reseller channel in 3D printing, and catalyzed our healthcare solutions business,â⬠said Abe Reichental, President and CEO of 3D Systems. ââ¬Å"Concurrent with the completion of this transaction today, we have taken immediate, decisive steps to unleash the combined revenue growth potential and deliver the value creation inherent in this acquisition for the benefit of customers and shareholders alike.â⬠3D Systems plan to evaluate acquisition opportunities in the future in an effort to expand the business and enhance stockholder value. ââ¬Å"Acquisitions involve certain risks and uncertainties including: * Difficulty in integrating newly acquired businesses and operations in an efficient and cost-effective manner, which may also impact our ability to realize the potential benefits associated with the acquisition; * The risk that significant unanticipated costs or other problems associated with integration may be encountered; * The challenges in achieving strategic objectives, cost savings and other anticipated benefits; * The risk that our marketplaces do not evolve as anticipated and that the technologies acquired do not prove to be those needed to be successful in the marketplaces that we serve; * The risk that we assume significant liabilities that exceed the limitations of any applicable indemnification provisions or the financial resources of any indemnifying party; * The inability to maintain a relationship with key customers, vendors and other business partners of the acquired business. Acquisition for the development of Cube * 3D Systems acquired Bit from Bytes (UK) which is one of the more successful of start-up companies producing open-source equipment in 2010. Both companies achieved from this acquisition. BFB has got the patent and technical issues as well as means to accelerate the pace of its development. It also provided 3D Systems with a window on very low price and easier to enter in cost sensitive fields such as education. In 2011, 3D followed up that acquisition and purchased BotMill, an even smaller US company producing RepRap derivative and the purchase of widen their offerings for those customers looking for machine at the lowest cost. At the start of the 2012, 3D introduced a third major initiative in the low cost, the Cube 3D printer presented as a key component in a new web-based consumer community the company has dubbed Cubifyâ⠢. It remains to be seen how 3D Systems will integrate these efforts, or whether the entities will maintain their individual identities. What benefits and risks of 3D systems in the future? Enjoy benefits 3D systems make mass targets by providing wide range of product portfolio in perspective of price and performance. In the meantime, its 7 print engines are technical standard in 3D printing industries. It means it can capture the majority of customers. Cube is a good trial to penetrate 3D printer to personal use. In addition, effective adoption of emerged new technology and booming market would urge 3D systems to gain large market share and profits while building its leadership. The powerful materials and services can diversify the revenue generation of the company; they build its competitiveness among market. Potential risks: Global economic, political and social conditions might increase costs, harm the ability of company to do business, change the market trend. Cube is still not dominant design yet; the competitors can easily take over its market position by launching higher performance machine with lower price. The company may incur substantial costs enforcing or acquiring intellectual property rights and defending against third party claims as a result of litigation or other proceedings. In some case, it may not be able to protect them from unauthorized copying, use or disclosure. In rapid changing technology world, it will be always possible that radically new technology emerges and destroy current one. If so, the company and its product will face huge difficulty. Recommendations: To gain greater market share with higher profit, we suggest 3D systems to improve in the following aspects: 1. Price 3D Systems could further reduce price of 3D printers to penetrate into market. If do so, company can build large installed base. Over time, when company gains sufficient user, it could start to reduce price of materials to follow penetration plan. On the other hand, itââ¬â¢s to ease usersââ¬â¢ concern, and lift companyââ¬â¢s reputation. 2. Product development 3D Systems should bring more advanced products with higher specifications to fulfill diversity of printing requirements. Printing product size, types of materials and level of printing details are main specifications customers care. Therefore product developments in general are to make bigger product size, more types of materials, and higher level of details. 3. Service The complexity of use and lack of 3D creations are key barriers of purchase. In order to ease use experience, we suggest 3D systems to develop a new application itself or gain it from acquisition. The application is complementary product which can convert 2D images into 3D creations. Of course, company might face copyright problems. In this case, it can communicate with a group of giant companies to sign a contract to gain information such as size, material, and color of their products. Certainly, the copyright problems will be solved. This service is not free to customers; they need to pay to download. Those giant companies will also gain big percentage of fee from download. [ 1 ]. 3DSystems2012 ââ¬â NYSE Investor Presentation [ 2 ]. http://finance.yahoo.com/news/3d-systems-cube-r-wins-135242928.html [ 3 ]. 3DSystems2012 ââ¬â Form10-Q [ 4 ]. http://cubify.com/cube/index.aspx [ 5 ]. 3DSystems2012 ââ¬â Form10-Q [ 6 ]. 3DSystems2012 ââ¬â NYSE Investor Presentation [ 7 ]. http://cubify.com [ 8 ]. http://www.thisweekbangalore.com/issue141/news10-Statasys.html [ 9 ]. http://investor.3dsystems.com/content/financial-reports, http://www.3dsystems.com/personal-3d-printers/ [ 10 ]. http://investor.3dsystems.com/content/financial-reports [ 11 ]. 3Dsystems-2012-form-10-Q.pdf [ 12 ]. 3D system 2011 Annual report on Form 10-K [ 13 ]. 3D system 2011 Annual report on Form 10-K [ 14 ]. 3D system 2011 Annual report on Form 10-K 16 http://investor.3dsystems.com/content/financial-reports [ 15 ]. http://investor.3dsystems.com/content/financial-reports
Monday, August 5, 2019
Social Inclusion Of Adults With Learning Disabilities Social Work Essay
Social Inclusion Of Adults With Learning Disabilities Social Work Essay I am a student of the HNC in Social Care and I work with an organisation that promotes social inclusion of Adults with Learning Disabilities with social support through group work and one to one befriending. Throughout this paper I shall also refer to our service participant as Dan and our service as the Group. This is not the real name of our client or our group. By doing this I am complying with our organisations policy of confidentiality. This policy was designed to conform to the (ref 1) Data Protection Act of 1998. This Act ensures client confidentiality, that any information written about a client is accurate, truthful and any opinions are objective, substantiated by factual evidence. The Act also allows the individual to make a formal application to see the information held on them by the Group. To complete this piece of work I have assessed Dan`s needs and planned out a piece of work which has addressed an identified need. I read his existing activity plan as a starting point as it had his medical information included, this allowed me to update the information at Dan`s assessment. This first assessment had been done by my manager a few months ago and so I discussed Dan`s case with her before I met with him. Our activity plans are flexible allowing for the changing needs of our clients. The task undertaken also complied with our organisations constitution which concentrates on social inclusion of adults with learning disabilities. The assessment of needs is the first stage in the care planning process. Our organisation takes a person centred planning approach. A person centred care plan is devised to empower people, to support their social inclusion, and to ensure people are not devalued within society. It was necessary for me to listen to what my client needed, to differentiate his needs from his wants and to ensure that I could take action to deliver a positive outcome. A need is something he has to have as opposed to a want which is something he would like to have. Assessing a person for needs is the method of collecting information, recording the information and interpreting the information. The assessment took place at our office just after his one to one art session as he was comfortable and felt safe here. Under (Ref 2) the Regulation of Care (Scotland) Act 2001 Dan has a right to feel safe and secure. I did a Risk Assessment of our areas which complied with the (Ref 3)Health and Safety at work Act 1974. It was important for me to continue gaining his trust and use good communication skills. I used the SOLER technique which had us both sitting squarely facing one another showing that I was being involved, I had an open posture implying that I was non defensive, I leaned forward slightly showing a personal interest, I had regular eye contact also conveying an interest in Dan and I had a relaxed manner. I used active listening which involved me trying to understand the real issues affecting Dan and had a meaningful conversation with him. Our meeting was timed to last no longer than twenty minutes as his attention span can be short if he is bored. I ensured that board maker signs and visual aids where available, to direct his attention if he did get bored. I used both open and closed questions which allowed me to get factual answers from the closed questions and his opinions and feelings from open questions. I observed his behaviour at all times and I spoke to him in a way he understood. I wrote the information collected in a concise manner in the form stated in our organisations policy and procedures. As we do not supply a care service, we are not required to register with the Care Commission, but we ensure all our policies and procedures meet their standards. As all clients under these standards are legally allowed an assessment of needs and an individualised care plan, the form I used was called the Activity Plan. The Care commission was set up under the Regulation of Care (Scotland) Act 2001. This Act came about to regulate the care and social work force and set out the principals of good care practice. During our meeting I was conscious that I had to explain the care planning process to Dan, and I used the visual aids when necessary. Dan was born in 1949 into a society that had introduced the IQ test in 1930, whereby those scoring low had been considered mentally defective. By 1946 and the introduction of the NHS, this term was changed to mentally handicapped and so required treatment in institutions. Dan was considered as being in this category. There is no generally acknowledged definition of a learning disability and there is a continued argument of the definition. However, there are certain features that are agreed upon. Those with a learning disability have difficulties with educational success and growth. An uneven pattern of their human development is noticeable i.e. physical, perceptual, educational and language developments..(Ref 4) The (Ref5)NHS and Community Care Act of 1990 implemented in 1993 and (Ref6)the Human Rights Act of 1998., saw the closure of these institutions. This saw the movement of adults with learning disabilities out of institutions into being cared for in the community, either by their own families or in small supported housing being cared for by the voluntary sector. The Same as You strategy of 2000(Ref 7) by the Scottish executive is committed to providing fairness, equality and social inclusion for adults with learning disabilities. As a result of this strategy the local community set up the Group to provide socialisation to help with social inclusion of adults with learning disabilities through one to one befriending and group activities. Dan lived within a nuclear family unit where he was given the basic human requirements of food, shelter, clothing, love and socialisation to live until the age of 6. He was born into a society where it was common for young children with learning disabilities especially those with Downs Syndrome to be institutionalised. There was also a social stigma assigned to those with learning and physical disabilities. Dans family insisted in caring for him at home until school age, but his educational needs where not met. He also suffers from anxiety attacks which his father says he developed at the age if six, when taken into the car for the first time. He reacted by lashing out and pulling hair. The anxiety attacks were given by his father as an excuse for Dan`s disruptive behaviour. His behaviour was tempered by his mother, who had to be consistently by his side cuddling him and holding his hand during his anxious moments. His parents did everything for him, until he was institutionalised. Here, he grew up where privacy, choice, dignity where lacking and he was not allowed to take risks. Life skills, education and road work where not given. More often than not in the past, these patients where drugged if they showed any signs of disruptive behaviour. Being locked up living in Nightingale wards with communal living and toilets may have also contributed to his anxiety attacks. These anxiety attacks still causes Dan to behave in a challenging manner if he feels hemmed in, especially in crowded places with no obvious means of escape. After 1995, when government strategies of closing large institutions were implemented through the(Ref8) Disability Discrimination Act 1995 and its amendments of 2003 Dan was given a home within supported accommodation as his father was elderly. Dan did not like to go out unless his father was with him and tended not to interact with anyone when introduced. His anxiety attacks causes him to be agitated when his routines change. He finds it difficult to make choices unless they are limited and is not keen on trying anything new. He is unable to read or write, he has no life skills e.g unable to make a cup of tea, make a slice of toast, shop or clean his home, he is unable to cross the road without help. The physical developmental stage Dan has reached is that of an adult but the emotional stage is that of childhood between 2-12 years of age, probably nearer the age of seven or eight. He has been living out with the large institution for six years now but has not learned to change his behaviour accordingly. This may be as a result of being told by his support workers that he cannot do certain things as they deem certain activities to be a risk. Staffing problems also contribute to the lack of his change in behaviour as time constraints in helping Dan learn new skills are often given as an excuse for staff not being able to assist Dan attempt new things. So, I believe he is still institutionalised although he lives in smaller community shared accommodation. He was given no choice as to where he would live, who he would be sharing with or who would be supporting him. With the help of his family, before being institutionalised he was able to meet the bottom three stages as seen in Maslow`s hierarchy of needs pyramid. (Ref9) Abraham Maslow was a humanist psychologist who developed this model between the 1940s and 1950`s. He stated that human needs can be arranged in a step ladder pyramid and that the lower level needs must be satisfied before higher levels can be met. This model consisted of eight stages. He stated that we are all motivated by need as evolved over thousands of years. He stated that we must satisfy these needs in turn, starting with the first. The first need is the physiological need which is e.g having food, oxygen, water, etc, the needs to allow our bodies to survive. The second need is that of physiological and physical security, whereby there is protection from possible hazardous circumstances and objects. The third need is belonging and love, which is being part of a group of family and friends in a loving situation with trust acceptance and affection. The fourth need is esteem which is respect of self and others. The fifth need is self actualisation which is realising personal potential. The fifth need is Cognitive needs with knowledge and understanding. The sixth need is Aesthetic needs which is the appreciation of symmetry, beauty, order and form. The seventh need is self- actulisation which is realising ones full potential and the eighth need is transcendence which is helping others to fulfil their potential. Dan, as functionalist sociologist (Ref10) Talcott Parsons (1902-1979) argued, will have gained his primary socialisation and emotional stability within a nuclear family of two parents, a mother and father, plus his siblings. Primary socialisation can be defined as a means by which the norms and values of society are taught to children and they learn to accept these values within the family. The functionalist sociologists believe that society can be compared to a living body, with different organs (institutions) having different functions yet all working together to keep the body (society) alive.They consider the family to be a small version of society which operates as a social, economic and emotional unit. The conflict theorist believe that society is separated into two classes, with the bourgeoisie and the proletariat who are at odds with one another. The family, conflict theorists state is just another social institutions which contribute to the acceptance of social inequality. Every member takes difference roles at certain times in the family life cycle and conflict happens within the family when a person challenges those roles, e.g teenagers challenging parental authority. Dan lived in an institution from the age of six so his secondary socialisation was to learn to live within the confines of the institution. This socialisation would have been radically different from a family situation. (ref11) Research showed that concerns grew about the care given by institutions quality of care provided by these institutions in terms of gross physical deprivation (overcrowding, poor food, clothing and environment), abuse (ill-treatment, theft of possessions and over-use of medication and restraint) and neglect and inactivity (lack of care, lack of contact and stimulation and extensive periods of disengagement and isolation staff and client interaction and engagement in meaningful activities would have been poor . As a result, no chances where available to allow Dan to move to the next level of Maslows Pyramid of Needs of self esteem. (Ref 12) Dan was the youngest member of the family and so according to Alfred Adler this would have affected the type of personality that he would develop later on in life. The youngest are known to get their own way and to have a stronger parent bond, which Dan did Have as he was overprotected and indulged before hospitalisation. But, this cocooning can also be claustrophobic. But, by being institutionalised, according to Erikson, his environment would also have affected Dan`s development and have had an impact on his behaviour . The behaviour Dan often displays can be explained by the behaviourist theory, which was named (Ref 13)Learned Helplessness. While experimenting on dogs using Pavlov`s theory of Classical Conditioning, which shows links between the stimulus and the response. Seligman discovered that learned behaviour is a results of the belief that the person`s actions are futile. People who have lived in Institutions have learned not to expect to have any control over their lives. Behaviourist theorists believe that if behaviour is learned, then it can be unlearned. Lev Vygotsky and Russian cognitive psychologist believed that development was guided by culture and interpersonal communication with significant adults. Being institutionalised will have reduced Dan`s chances of having regular important communication with a significant adult. Vygotsky stated that to learn a range of tasks that are too difficult on their own, a child must be shown or guided by someone who is more knowledgeable. This became known as the Zone of proximal development. This assumes that the child has the ability to memorise and the capacity to recall the learned experience. This is not always possible in some with a learning disability. In the care setting where Dan spent his life, the chances of a child being challenged to learn new skills would have been diminished or non- existent. Vygotsky was the first to observe that social isolation caused a delay in both social and cognitive development. The anxiety attacks Dan suffers from can also be explained via Operant Conditioning suggested by B.F.Skinner (1953). Operant Conditioning is where behaviour is followed by a consequence. His behaviour of lashing out when he is anxious is a result of positive reinforcement where initially this bad behaviour was rewarded by receiving physical and emotional contact from his mother before institutionalisation and later attention from nursing staff in the institution. Positive reinforcement is where the consequence is a positive outcome. Now, Dan`s support staff try to ensure that Dan does not come into a situation that may make him anxious. After the death of his elderly mother Dan relied totally on his elderly father for any continued socialisation, as his siblings had long left home to set up their own family life. (stats to be put in) His father feared Dan would become isolated, especially as his father was becoming less able to take Dan out. Dan was introduced to join the Group by his father in an attempt to introduce him to new friends, increase his confidence and improve his self esteem. His time at the group has seen his confidence increase. After moving out into the community, Dan was rather introverted and shy and would only go out in the company of his father. This concerned his ninety year old father greatly, and so his father came to our organisation in the hope that we could increase Dan`s social circle. Dan was assessed by being asked a number of questions using PIES to establish what his Physical, Intellectual, Emotional, and Social needs were. This information was put into his activity plan which we use instead of a Care Plan. As under the NHS and Community Care (Scotland) Act 1990 everyone is entitled to a care plan. Dan will have such a plan set up by the social work department. To increase his social circle as requested by his father, we included him in a number of activities which has expanded his scope of social activity and made him less isolated. Dan`s physical needs are met by social services, but his intellectual needs of mental stimulation, his emotional needs of needing to increase his self esteem and his social needs of social interaction require attention. Dan has already improved his social skills through art by now communicating well with our staff and is keen to take his work home to show to his family and carers. His father has commented on how the communication skills of Dan have improved and his confidence has increased. Remembering Maslow`s Hierarchy of Needs, I had assessed that Dan would benefit from reaching the fourth stage Esteem Needs. I felt an activity that would help to improve his confidence, his communication skills and make him less anxious in a large group situation would be beneficial. I spoke to him and observed him answer my questions .One of my questions gave him a choice of activities to try, I found that the activity he was most interested in was art. I mentor both at the art group and on an individual basis, which helps adults with learning disabilities gain new skills, gain confidence, improve self esteem, socialisation and self actualisation through creativity. Carl Gustav Jung a Swiss psychiatrist B.1875 to D. 1961 encouraged patients to use art to convey their unconscious emotions. He stated that (Ref14) drawing, painting, and modeling can be used to bring unconscious material to light. Once a series has become dramatic, it can easily pass over into the auditive or linguistic sphere and give rise to dialogues and the like. (1941) My aim was to try to put coping mechanisms in place to allow him to be able to take part in the graded unit activity which was to allow him to create a work of art and to exhibit at our Malawi Awareness Evening, which we expected to be busy. This activity is to take place some weeks away so it was important for me to arrange new art activities over a period of time, to allow him to gain confidence in being part of a large group. My goal through these activities was to allow Dan the chance to increase his confidence and communication skills and to develop coping mechanisms to allow him to deal with his fear of large groups. I have used the (Ref 7) task-centred model in planning this exercise; this is a short-term problem solving approach over a short period. This had five phases- Problem Identification (assessment), Agreement, Planning goals, Achieving Tasks and Evaluation. Here, the client takes concrete action to solve the problem. The Initial interview or phase allowed Dan to express his need to have more confidence when in a room with more people in order to be able to enjoy more activities. He wanted to complete a painting and to be present at its exhibition. To achieve these goals, we agreed on the steps and tasks t hat allowed Dan to attain his goal. We emphasised the tasks that were required to be completed to allow Dan to exhibit his work of art and agree on timescales for the tasks. Other interviews will took place to ensure that we were on track and that Dan felt safe and confident doing the agreed tasks. With Dan`s agreement we decided to have an hourly one to one befriending art session of three one hour sessions per week over four weeks and to increase these sessions to become a group session. To do this I needed to slowly introduce more and more people to the group. These were other service users, staff and volunteers. With agreement of everyone involved I brought people in one at a time each session. I did this by giving each individual a date and time to join us at the Group premises. I hoped that by the end of the four weeks he would be able to sit in a room happily with at least twelve noisy people. He had to have a positive experience and to have a positive association with the group. Dan enjoyed a regular cup of tea and a chocolate biscuit, so I introduced this positive experience to him in the group setting while he was painting. I ensured he sat facing the door and informed him that he was able to leave the room at any time. I sat him at the end of the table to ensure that he did not feel hemmed in.
Sunday, August 4, 2019
The Tempest - Barbarism versus Civilization :: English Literature Essays
The Tempest - Barbarism versus Civilization In Shakespeareââ¬â¢s play, "The Tempest," an underlying theme of barbarism versus civilization appears. Shakespeare creates characters that exemplify symbols of nature or nurture. The symbolism of the characters is derived from their actions. These actions show Shakespeareââ¬â¢s view of the uncivilized and the civilized, as well as help the reader develop his own opinion of each side. In this whimsical play, Prospero, the former Duke of Milan, after being supplanted of his dukedom by his brother, arrives on an island. He frees a spirit named Ariel from a spell and in turn makes the spirit his slave. He also enslaves a native monster named Caliban. These two slaves, Caliban and Ariel, symbolize the theme of nature versus nurture. Caliban is regarded as the representation of the wild; the side that is usually looked down upon. Although from his repulsive behavior, Caliban can be viewed as a detestable beast of nature, it can be reasonably inferred that Shakespeareââ¬â¢s intent was to make Caliban a sympathetic character. During the first encounter, Caliban comes across very bestial and immoral. While approaching Calibanââ¬â¢s cave, Prospero derogatorily says, "â⬠¦[he] never/Yields us kind answer," meaning Caliban never answers respectfully. When Prospero reaches the cave, he calls to Caliban. Caliban abruptly responds, "Thereââ¬â¢s wood enough within." His short, snappy reply and his odious tone, reveal the bitterness he feels from leading a servile life. Calibanââ¬â¢s rudeness makes him seem like an unworthy and despicable slave. Also, Caliban displays an extreme anger toward Prospero. When Caliban is asked to come forth he speaks corruptly, "As wicked dew as eââ¬â¢er my mother brushed/With ravenââ¬â¢s feather from unwholesome fen/Drop on you both!â⬠¦And blister you all oââ¬â¢er!" Calibanââ¬â¢s attitude and disrespect is unfitting for a servant. However, his actions are justified. Until Prospero arrived on the island, Caliban was his own king. The island was left to him by his mother, Sycorax. Nevertheless, Prospero took charge of the isle and eventually enslaved Caliban. "â⬠¦Thou strokââ¬â¢st meâ⬠¦I loved theeâ⬠¦" is part of a quote that illustrates Calibanââ¬â¢s relationship with Prospero before he was his slave. Prospero comforted Caliban and gave him water and berries; he taught him how to speak, as well. During this time Caliban loved Prospero and showed him the features of the island, "The fresh springs, brine-pits, barren place and fertileâ⬠¦" Caliban regrets helping Prospero as he says towards the end of his speech, "Cursed be I that did so!" Caliban feels this way due to his imprisonment.
Wired Politics :: Internet Web Cyberspace Essays
The Internet is a unique global communications medium used today by billions of people all over the world. It is the same observation of Steve Case, Chairman and Chief Executive Officer of America Online as reported in the article titled AOL Chairman: Web Shapes Politics, by Eun-Kyung Kim, an associated press writer for the Los Angeles Times. Steve Case stated that the Internet plays the role of a catalyst for real social and political change in a worldwide scale. One of its great strengths is the ease with which it spans the globe. Information flows as effortlessly from Washington to Russia as from one building to another in New York, and through five or more countries all in one day. No one can imagine that five years ago, the World Wide Web barely existed and that e was just the fifth letter of the alphabet. Case predicted that the times have changed and that the next U.S. president will launch the Internet Century and that it is the presidents job to make sure the era helps make lives better around the world. Case emphasized the importance of reinventing the governments policies on issues affected by a newly connected nation. Free expression on the Internet, if protected and maintained, enhances democracy, culture and economy not just in the United States but also in a global scale. The Internet is a democratizing medium, uniquely suited to the promotion of human rights, but threatened by governmental restrictions. These observations by Steve Case can be compared to Jon Katz article, The Netizen: Birth of a Digital Nation, where they both shared the same opinion on the issue concerning the publics right to know about information collected, disseminated and maintained by the government in order to increase public accountability and awareness. Unfortunately, in the United States, domestic policies have not been fully supportive of these rights. The US Congress has enacted censorship legislation attempting to control the content on the Internet and limit the freedom of communication through the Communications Decency Act of 1996. Fortunately for the new digital nation, these laws have been ruled unconstitutional by the courts yet members of Congress continue to press other restrictive measures and proposals. Both Case and Katz believe that government-mandated use o f blocking and filtering can restrict freedom of expression and limit access to information. Katz emphasized freedom on the Internet more than anything on his article.
Saturday, August 3, 2019
Gift and Novelty Economics Forecast :: essays research papers
Economic Forecasts The retail consumer market must take into consideration many indicator forecasts that help estimate what the economic market will be like for the future. The following information contains two or more forecasts based on our teams six pre-selected indicators. This team will provide reconciliation between both forecasts and will apply economic theory in deciding which one may be the most relevant to the gift and novelty industry. GDP Information retrieved from the Economist Intelligence Unit Data Services (2005), the GDP (in billions) is expected to be 13034.5 in 2006 and 13766.2 in 2007. However, according to the data retrieved from the Blue Chip economic indicator, the forecasted GDP (in billions) is 12907 for 2006 and 13617 in 2007 (The White House, 2005). Foreign investment is a factor that is increasing the overall GDP. Over a period of time this will eventually bring higher gross domestic investments, resulting in more productive physical capital in the U.S economy. The additional capital will make labor more productive, which provides an increase in GDP and wages. Based on this information, it is thought that the EIU forecast is more correct than the Blue Chip indicator. Unemployment Unemployment is another area that can affect this industry. Data retrieved from the Economist Intelligence Unit (EIU) projects that the unemployment rate in 2006 will be at 5% (Economist Intelligence Unit, 2005). Data derived from the Blue Chip consensus indicator, however, projects the unemployment rate for 2006 will be at 5.2% (The White House, 2005). By taking into consideration many outside indicators, such as the GDPââ¬âthat show a slow but constant growth, will allow private investment to remain constant. This will encourage private industry to maintain their employment at a constant level. In understanding what this nation faces in the near future, this team recognizes that many of the Baby Boomers will retire, which reinforces the premise that unemployment will eventually stay at or fall below 5 %. Housing Starts Housing starts seems to be one of the most visible in regards to economic growth. Based on the analytical tables provided by National Association of Home Builders (NAHB) and Steele Analytics, 2005 and 2006, housing starts will decline slightly. NAHB shows that 2005 housing starts (in thousands) at 1,969 decreasing in 2006 to 1,855 (NAHB, 2005). Steele Analytics also shows housing starts (in thousands) for 2005 start at 1,883 with a slight decrease in 2006 to 1,825 (Steele Analytics, 2005). It
Friday, August 2, 2019
Costs and benefits of migration
The world we are living is very dynamic and exhibits various types of movements for both plants and animals including humans. History insinuates that man practiced considerable movements from one place to another since its first existence. This movement from one locality to another is referred to as migration. Human migration can be classified as permanent or semi-permanent depending on their reasons which maybe voluntary or involuntary. Voluntary migration is generally practiced in search for a ââ¬Å"greener pastureâ⬠and satisfaction of oneââ¬â¢s preferences.This includes employment, climate, food supply, self development like education, religion and family. Involuntary migration, on the other hand, includes migration due to calamity, political conditions like when in war or in exile, slave trades or human trafficking and ethnic cleansing. (Boyd 2003) Refugees can eventually be immigrants. Based from Human Migration Guide of the National Geographic Society, ââ¬Å"A refuge e is a person who is residing outside the country of his or her origin due to fear of persecution for reasons of race, religion, nationality, membership in a particular social group, or political opinion.â⬠(2005) . The last quarter of 2005 registered an estimated 8. 4 million of refugees which is lowest since 1980 and still exhibiting a decreasing rate. The decreasing rate of refugee population may be attributed to the resilient solution like voluntary repatriation to their own country. (2005) This is similar to moving voluntarily of the back to their place of origin called return migration and to seasonal migration wherein the immigrants move or migrate only for a period of time for a certain purpose like farm workers.In the figure below, studies showed that young adults comprised the most number of immigrants. This may be attributed to the extent of their activities and complex reasons like employment and self development. Majority of the groups involved in employment and se lf development are that of young adults. Consequently, this results to chain migration in which other family members or defined group join the immigrant. Source: http://www. soc. duke. edu/~pmorgan/lectures/migration/slide6. html Human migration can be further classified to other types.Migration can be 1)internal which is within the country, state or continent or 2)international which crosses boundaries to other country, state or continent. With the development of technology and globalization, international migration continues to increase over the past decades. The figure below shows the growth of international immigrants over the four decades. In 1960, there were 76 million international migrants and increased to 191 million international migrants in 2006. It was noted that a relatively high migration rate is from 1985 to 1990.However, the trend reveals that migration rate is still growing exhibiting the dynamic activities brought about by the complex way of life today. Source: Uni ted Nations World Migrant stock (2005) Notes: The UN Population Division retroactively updates figures of population change, births, and deaths. The net numbers of migrants by five year intervals, which are shown in the above table, are based on the 2004 Revision Population Data and are calculated as follows: Net number of migrants = 5*(Population change ââ¬â Births + Deaths). Immigrants showed interest in moving to the places that will offer them good living conditions.The United States topped in having the most number of immigrants between 1990 and 2005. Table 1 shows the top ten countries for net immigration. Table 1: Top ten countries for total immigration (2005) Country Net number of immigrants (millions) As percentage of total United States 38. 4 20. 2 Russian Federation 12. 1 6. 4 Germany 10. 1 5. 3 Ukraine 6. 8 3. 6 France 6. 5 3. 4 Saudi Arabia 6. 4 3. 3 Canada 6. 1 3. 2 India 5. 7 3. 0 UK 5. 4 2. 8 Spain 4. 8 2. 5 There are countries which have existing concrete immigr ation policies.The United States, Canada and Australia are examples of traditional countries of immigration which categorize immigrants by place of birth allowing opportunity of comparing some aspects qualitatively and quantitatively. These countries together with Sweden and Israel, welcome immigrants with laws and measures facilitating a long term and permanent settlement though in case of Israel, they choose immigrants based on religion and culture. Socio-Political Costs and Benefits Human migration has taken a major participation in shaping and honing the present status of the population.It allows the diffusion and combination of the structures, cultures, beliefs, ideas, principles, religion, and other traits which results to the modification of each others traits. (2005) Rejection of the integration, however, results to conflict that may cause decline of socio-cultural capital and values. The growing population and influx of immigrants faces debate regarding complex issues. In E urope, there is a growing concern on how the immigrants affect their culture and national identity which comes with common language, heritage and ethnicity.(Cohen 2000) Further queries have been raised whether or not to absorb the immigrants and allow them to participate in their national activities or to allow them to become their citizen without the thorough knowledge of their culture and heritage. During elections, opposition to immigration is always an issue in some countries like Britain, Switzerland, Denmark, Italy and Sweden. (Cohen, 2000) Immigrants in some countries are subjects of distrusts and fear. Opposition to immigrants often claims that immigrants have something to do with crimes and unemployment, if not low-wage jobs.Racial discrimination tends to set in which affects the acceptance of immigrants to the host country and if not properly addressed to by the government will give negative effect to both the immigrants and the host country. Consequently, immigration issu es become the central topic for studies of different researchers and sociologists. There have been clamor that immigrants are linked with social crimes in the host countries. This was contradicted by some researchers who conducted related studies. Based on the studies in Little Village conducted by the Harvard sociologist Robert J.Sampson, having high number of immigrants does not mean high number of crime. Though Little Village is poor, a relatively low incidence of violence is recorded. (Eval Press, 2006) This was further supported by other researchers though commented that the next generations or children of poor immigrants may not be as optimistic as their parents and may have a negative assumption that they will not be given fair chance of making a successful career and self development in the host country. Migrant workers, on the other hand, have to embrace the low wage, high-risk jobs.In the host country, the corporations took advantage of the situation enabling them to lower the wages of the migrant workers. This is in effect resulted to the claim of the opposing party of migration that migrant workers cause the low wages that are prevailing. This coupled with the issue of competition between the migrant workers and the native workers. In July 1, 2003, the International Convention on the Protection of the Rights of All Migrant Workers and Members of their Family put into force the human right protection to migrant workers whether documented or undocumented and eliminate exploitations of immigrants.(Addy, p. 22) This protects the migrant workers from the increasing occupational health hazards they are facing despite of low wages and gives them access to trainings that will further develop their skills. (Addy, p. 22) Different countries have their own immigration rules and laws relative to the standing of the country on certain issues. Population control, culture, tariff policies, health concerns, investment policies, agricultural policies are among othe rs which mold the rules and laws of immigration.Implementation of the rules and laws of immigration also considers the relationship with the country of origin of the immigrants. It is also noted the United Nations monitor and influences the countries in making their rules for the benefit of both parties as well as making their own study and recommendations. Though the immigrants and their families experience hard adjustments on each others absence, they are ease of the burden of poverty. The family members can now use the remittances for their needs such as foods, shelter, education, investments and even sophisticated telecommunication gadgets to make the migrant worker nearer.The community as well as the government will be eased by the lowering of unemployment and the cash inflow diminishes poverty-related crimes. However, the government should address the increasing rate of ââ¬Å"brain drainâ⬠as migration rate increases. The government should device a process to produce mor e professionals to augment the loss of the skilled and professional workers to migration. Economic costs and benefits Migration does not always coupled with growth unless it was given proper measures and economic restructuring (Appleyard: 1992; Hammar et al.: 1997;Ghosh: 1998). The major reason for migration is considered to be for economic purposes. History showed evidences that the immigrants and their descendants play an important role in the economic growth of the host countries. Developed countries which welcome immigrants become richer and richer. In addition to the openness of the immigrants to all types of work, they can also work under cheap labor that the natives will reject. This allows the old businesses such as textiles and garments to still exist adding to the income of the host country.Migration of skilled workers will further strengthen the skills and talents pool of the country. These enhance their productivity and economical gains. Simultaneous with the gain of bra in and skills of the host country is the loss of the brain and skills of the country of origin which are oftentimes the poor countries or the developing countries. This may bring ââ¬Å"brain drainâ⬠or loss of the trained, educated and skilled individuals which will inhibit the development of the native country or country of origin.Dependence to foreign countries will be one of the consequences of this which will post negative effect on productivity and economy of the native country. Some researchers, however, regarded immigration to contribute to economic growth of the native country through the remittances that the immigrants send to their family. These remittances are the major source of foreign exchange in developing countries which alleviate the poverty line. According to the International Migration Data, global remittances to developing countries worldwide are estimated at $204 billion per year.(International migration data) The countries who registered the highest remit tances are Mexico, India, Philippines, Egypt and Morocco. ( International migration data) This enormous value made the home countries considered their emigrants to have the major role in improving its economy. It contributed to the fluidity of cash flow and development of business sectors. Realization of the major participation of emigrantsââ¬â¢ remittances made the home government sets priority regarding the welfare of these workers.Researches showed that these remittances tend to be invested to the home country for housing, consumption, land, loan payment and savings and to business which the home government targets. (Addy, p. 16) Their families are well supported in establishing their own business in the country and given other privileges. The increasing value of remittances and the business established are expected to balance the effect of ââ¬Å"brain drainâ⬠, the source country is experiencing. Individual, community and macro points of view on migration At the personal level, the immigrant faces a quandary on culture and environment.Furthermore, in the foreign land, he is also vulnerable to racial discrimination, exploitation and deportation. He is forced to embrace whatever is offered to him for a common good. Coping with these adaptations to host countryââ¬â¢s norms and practices simultaneous with physically adapting to climate and health conditions requires a great level of energy and determination. Absence of the family members also adds to the burden the immigrant is experiencing. New technologies of communication help in this endeavor which makes it easier to gain emotional stability.Both positive and negative effects do not limit to the individual alone. Whatever happens to the immigrant in the host country will definitely affect his family in the home country. Studies showed that the family is more affected when the migrant worker is a woman for basically she is the homemaker and takes care of the children. Nowadays, there is an increa sing number of migrant women accounting for 48 per cent international migrants. Some effects radiates from the family to the community. The flow of income, for example can be manifested in the economics within the area.This will be radiated further to the home country reducing the poverty. They also contribute to development through investments, business or entrepreneurial activities and the return of newly developed skills and knowledge. The community of the host country, on the other hand, may initially be skeptical of accepting the immigrant. On their point of view, the immigrants can change and influence their economy and other values. A community which does not allow immigrants may be giving up the values, education, perhaps specialization and other benefits brought by the immigrants.What are the consequences of migration? The complexity of migration brings benefits and costs to both receiving (host) countries and the sending country (place of origin), and the immigrants and th e natives. Every country or state deals immigration as a sensitive matter and observe certain laws and measures on immigration to provide more benefits to the majority. Integration of cultures, beliefs, skills, education and values are most likely to happen which is the gauge for the acceptance of the migrants.Migration produces both positive and negative effects for both the host country and home country and the immigrant and the natives. It is however aimed to be beneficial to the majority by implementing proper rules and laws regarding migration. Migration may weaken the home country of the migrants due to ââ¬Å"brain drainâ⬠however, migration also alleviates the poverty during the period of their remittances. Unemployment will also decrease which will eventually diminish also the poverty related crimes. Successful emigrants invite and encourage others to join them.This results to chain immigration which doubles the rate of ââ¬Å"brain drainâ⬠. This calls for the gov ernment to take a double time to produce skilled and professionals to compensate the loss due to emigration. Host countries enjoy cheap labor and high productivity because of migrant workers. They are able to fill up the jobs rejected by the natives for a lower wage. This, in effect, further boosts their economy as they enhance their pool of skills and talents. In some developed countries, immigrants undergo strict screening for security and health reasons.Closing the doors for immigrants may sometimes result to illegal options which may not be a positive factor to both the host country and the immigrants. Developed countries with immigration policies tend to win the good relationship with the source countries and serves as a key to further trades. Hence, migrants can be considered as agents for development who strengthens the cooperation between the host and home countries. Is migration overall beneficial? After thorough analysis, migration can be assessed to give all around benefi cial effects both to the host and home countries.This was further supported by a newly-released United Nations study which finds that international migration benefits not only the migrants and their family but also the host and home countries. This was disclosed by U. N. Secretary-General Kofi Annan in his speech to the 16th General Assembly, 88th meeting. He further commented that the study showed that some source countries like Malaysia and Thailand exhibits a significant economic growth making them attractive to the present migrants. In this era of globalization, migration will face new challenges and objectives.The benefits that the host countries and the home countries gain will optimistically double as the modern technology supports. Proper management of migration programs will alleviate problems of the increasing immigrant population which will add to the productivity and economic growth of the host countries. Productive migrants sending remittances to the home countries acce lerate poverty reduction and consequently gaining economic stability. REFERENCES: Addy, David, Wijkstrom, Boris and Thouez, Colleen. Migrant Remittances ââ¬â Country of Origin Experience. International Migration Policy Programme.London. October 10 2003 Appleyard, R. T. : 1992, International Migration and Development: An Unresolved Relationship, in: International Migration, vol. 30, no. 3-4, pp. 251-266. Boyd, M. a. G. , Elizabeth. . (2003). ââ¬Å"Women and Migration: Incorporating Gender into International Migration Theory â⬠March 1 2003. Retrieved March 2, 2007, from http://www. migrationinformation. org/Feature/display. cfm? id=106 Cohen, R. (2000). ââ¬Å"Papers Please; Europe's Love-Hate Affair With Foreignersâ⬠New York Times. New York. Rozeff, M. S. (2005). ââ¬Å"Communities, Immigration, and Decentralization. â⬠Retrieved March 3, 2007, from http://www. lewrockwell. com/rozeff/rozeff51. html.
Thursday, August 1, 2019
Mouth And Tooth Health Situation Health And Social Care Essay
Background & A ; purposes: Being healthy depends on consideration and planning in all its influencing factors. Bing one of the PHC parts, Mouth and Tooth Health has been recognized as one of the 11 twenty-first century mottos. DMFT is a simple, fast- stretch and dependable index in finding Mouth and Tooth Health state of affairs. Third -grade simple school pupils ââ¬Ë age is a period between deciduous and lasting dentitions being during which assorted dentitions can be seen and DMFT finding is possible. This survey was done to happen pupils ââ¬Ë tooth and oral cavity wellness state of affairs by utilizing DMFT index in Persian Gonabad metropolis in 2008. Methodology: All 3rd class simple school pupils ( N=529 ) life in Gonabad were examined and interviewed under the supervising of tooth doctors in this descriptive, cross-sectional survey to happen their Tooth and Mouth Health state of affairs. Assorted informations garnering techniques were used in the survey such as DMFT index checklist, questionnaire, disposable mirror and particular catather. The informations were analyzed by SPSS package utilizing T-Test, correlativity coefficient and ANOVA. Consequences: The findings showed that 51.2 per centum of pupils were male childs and 48.8 per centum were misss. 77.3 per centum and merely 77.3 per centum of them used tooth brush and dental floss, severally. Their dmft was 3.86Aà ±1.11 and DMFT 1.04Aà ±0.22 demoing important differences between two sexes. Furthermore, 8.3 per centum of pupils did non hold any rotten tooth. One-way ANOVA showed a important relation between brushing times and the related index. It was besides found that parents ââ¬Ë educational degree and household size had important relation with DMFT. Decision: The consequences showed that Third category simple school pupils populating in Gonabad followed countrywide forms and their oral cavity and tooth wellness state of affairs was instead suited. CF did non hold any important relation with countrywide scope. But this is at the mean degree in conformity with WHO ends. It seems necessary to carry on planned steps to advance KAP and fix indispensable resources and besides reexamine the disposal method and cost -effectiveness of some measurings such as Fluoride therapy. Cardinal Wordss: Tooth and Mouth Health, Students, DMFT Index, CF Index.IntroductionTooth decay is the bacterial disease of tooth calcificated tissues identified by demineralisation of different non-organic parts and laying waste of tooth organic stuff. Tooth-decaying factors can be classified like those of other infective diseases: these include host-related factors ( salivary combination, tooth sleight ) environmental factors ( nutrition, Fluoride ) and micro beings ( 1 ) . Research shows that tooth decay as a multi-factor disease is affected badly by legion factors such as parents ââ¬Ë instruction, economical position of the household, household size and oral cavity & A ; tooth wellness ( 2 ) . This is the most widespread disease among people ; 99 % of the universe population catch it and few individuals are non affected by it during their lives ( 3 ) . Tooth-related decay is still one of the chief jobs in dental medicine and particular attending must be paid to it in current redresss. Both mending processs and preventative steps will hold to be planned so that tooth disintegrate might be decreased. The most of import index to show tooth decay rate in people is DMFT norm. The figure of rotten, filled and extracted dentitions of all people in the society should be counted and their norms be calculated in order to happen the community DMFT. DMFT Average is a simple, easily-reachable and mensurable index in dental medicine which has been used for some decennaries. If one wishes to exemplify milk teeth state of affairs, the index is represented by ââ¬Å" dmft â⬠although calculated in the same manner as mentioned above. Other important indices consist of DMFS, OHI, and the per centum of people without any decay ( particularly for kids ) ( CF ) ( 5 ) . Tooth and oral cavity are considered so of import in carry throughing and publicity of wellness that it has been one of the outstanding mottos in 21th century. ( 6 ) On the other manus, complete acknowledgment of teeth state of affairs and therapeutical demands of different age groups is one of the most considerable affairs in health-theraputical planning. The necessity to hold right informations on the footing of international criterions comparable to other 1s has been taken into consideration by researches and contrivers ( 7 ) . In other words, finding assorted indices related to oral cavities and tooth wellness state of affairs in different age and societal groups and at some clip periods is so indispensable that a instead perfect position of the present status must be developed to build the foundation of comparing the planned purposes of World Dental Federation ( FDI ) until the twelvemonth 2010 ( 8 ) . Knowing DMFT ( dmft ) and other indices allows the communities to develop their plans to better bar and intervention. For case, school plans advancing non-decayed tooth index in kids focus on Fluoride ingestion in Greece. The same undertaking is carried out in Sweden ( 9 ) . WHO research commission was organized in 1992 in Geneva to supervise oral cavity and tooth wellness which emphasizes Fluoride ingestion. This organisation besides stresses commanding on a regular basis the tooth and oral cavity wellness every five old ages in all states ( 10 ) . Measuring DMFT index is conducted by Persian Mouth and Tooth Health Office every four to five old ages in Iran along with Iranian Health & A ; Treatment Ministry and WHO policies from 1998 in 3, 6, 9, 12 year-old age groups ( 1 ) . Lebanon has the highest DMFT degree ( 5.7 ) , Pakistan owns the lowest 1 ( 0.9 ) and Iran gets the mean degree among states of EMRO part ( 12 ) . The consequences of countrywide surveies showed that dmft mean degree in Persian 9 year-old kids is 3.35 and DMFT is 0.97 most of which is related to tooth decay index ( 11 ) . In conformity with WHO report, in the twelvemonth 2000 the mean of dmft & A ; DMFT in Iran was approximately mean so that they were in the lowest degree in Bushehr and Yazd metropoliss and at the highest in Zanjan and Sahrekord metropoliss ( 1 ) . Since kids are the most susceptible groups against tooth decay and have the highest rate of incidence, finding dmft and its influencing factors is one of the foremost purposes of assorted researches in different states. The same surveies have been done in Iran. Unfortunately few of dmft surveies have dealt with 9-year old kids, whereas the rate of DMFT surveies on 12-year old kids has been reported to be higher. Therefore, this survey was carried out to find oral cavity & A ; tooth wellness status particularly dmft and DMFT indices of 9 year-old kids populating in Gonabad metropolis in the twelvemonth 2008.Methodology:This was a descriptive and cross-sectional survey which was carried out on third-grade simple school pupils populating in Go nabad metropolis. All of the pupils at this degree ( 529 1s ) were selected. The ground to take this degree was that 9 year-old age period is the last period of milk dentitions being and is a suited clip to measure decay badness of lasting dentitions and besides monitor oral cavity and tooth wellness status after carry oning interventional steps for pupils. In Iran Mouth and Tooth wellness state of affairs monitoring for kids is done in 3, 6, 9 and 12 year-old age groups. DMFT and dmft indices must be measured in 9 year-old kids due to assorted tooth period ( DMFT and dmft ) . DMFT and dmft include D ( vitamin D ) stand foring decayed dentitions whose colour is changed or particular catather inserted into them and caught. M ( m ) represents missed dentitions which are extracted due to being decayed. F ( degree Fahrenheit ) represents filled dentitions which are repaired because of decay. The data-gathering method included observation ( scrutiny ) , interview, enrollment of informations and besides DMFT index checklist. The research workers referred to schools after holding mandate from the governments. Then the pupils were informed of the purposes of the research and their dentitions were examined by tooth doctors in a suited topographic point ; questionnaire were filled in and collected through organized interviews.Various tools were used in this survey including: absolang, disposable mirror, torch, and particular catather.The informations were so an alyzed by SPSS package utilizing cardinal statistical indices, Independent T-test, correlativity coefficient and Analysis of Variance.Consequences:Of the 529 participants in this survey, 48.8 per centum were misss and 51.2 were male childs. 77.3 per centum of these pupils brushed their dentitions while 22.7 per centum did non. Merely 8.32 per centum of pupils used dental floss as a utile technique to maintain their tooth healthy. The per centum of brushing dentitions by the pupils ââ¬Ë parents were as follows: 11.53 % male parents, 30.81 % female parents and 13.99 both parents brushed their dentitions on a regular footing. On the other manus, 43.67 per centum of the parents did non brush their dentitions at all. The consequences showed that the norm of dmft and DMFT were3.86Aà ±1.11 and 1.04Aà ±0.22, severally which are shown in table two. There was non any important difference between DMFT and dmft norm with their countrywide norm. The consequences showed that index per centum of kids without any decay ( Caries Free ) was 8.3.T- trial did non illustrated any important relation between two sexes ( Table no.3 ) . The consequences of the survey showed that dmft index decreased significantly as parents education degree increased ( p=0.04 ) so that it was 4.3 in kids whose parents ââ¬Ë educational degree was at simple degree and reached 2.2 for kids whose parents had high educational degree. On the other manus, dmft index increased as household size increased ( p=0.031 ) . In add-on, correlativity coefficient showed a important relation between dmft and DMFT indices in kids ââ¬Ë group ( Table No.4 ) . On the footing of conducted scrutiny, 28.92 per centum of kids need to hold their decayed dentition extracted, 66.35 per centum of them should hold them filled. Furthermore 7.6 per centum had unhealthy gums.Discussion:The present survey showed that dmft index norm among the participants of this survey is 3.86Aà ±1.11. This class does non demo any important difference in comparing with countrywide dmft norm which is 3.35Aà ±0.01. ( P=0.08 ) DMFT norm ( 1.04Aà ±0.22 ) does non exemplify important difference with countrywide DMFT norm ( 0.97Aà ±0.05 ) every bit good ( P= 0.071 ) . DMFT and dmft norms in this survey were the same as those achieved in H. Samadzadeh ( 14 ) , D. Safavi ( 15 ) and H. Nurelahian ( 16 ) . On the other manus, the Independent T-Test did non demo any important difference in dmft and DMFT indices in two sexes so that dmft and DMFT norms in male childs were 3.74 and 1.02, severally and in misss were 3.99 and 1.07, severally. These consequences are the same as those found in L. Basir ( 17 ) , M. G. Motlagh ( 18 ) , Memar ( 19 ) , S.S.Ashrafizadeh ( 20 ) and L.Tumarian. DMFT and dmft agencies in the misss were a small higher than those of male childs in this survey and the above-named 1s, but this difference was non important. 22.7 per centum of kids did non brush at all.17.5 of kids in. M.M.Fanis ââ¬Ë survey did non brush either ( 22 ) .In their surveies, S.S Ashrafzadeh and L. Tumarin study this figure to be 21 and 32.7, severally ( 20, 21 ) . Harmonizing to N. Memar, if the quality and method of right brushing had been considered, thi s figure might hold exceeded the present one ( 19 ) . The consequence of One-Way Analysis of Variance showed that there was a important relation between dmft & A ; DMFT rates and brushing times so that when brushing times increased, the rates of these indices decreased excessively. These consequences are in line with N. Memar ââ¬Ë consequences ( 19 ) . Despite a lessening in DMFT rate, there was non any important relation between this index and an addition in brushing times in M. Motlagh survey ( 23 ) . The per centum of kids without any rotten tooth ( CF ) was 8.3. In this survey, there was non any important difference between this index and countrywide one ( 11/5 % ) . ( P=0.21 ) CF index was 10.7 in L.Tumarian ââ¬Ë survey ( 21 ) . Boys and misss ââ¬Ë CF index were 8/1and 8/5, severally which did non demo any important difference between two sexes despite its being higher in the misss. ( P=0.12 ) The same consequences in this index were verified in B.Ajami ( 24 ) and H. Nurelahian ( 16 ) . CF index in 9 year-old kids is really low due to assorted dental period because both milk and lasting dentition may be decayed taking to CF lessening in 9 year-old kids. In malice of instead acceptable indices of utilizing coppice, the per centum of dental floss use was well low in this survey ( 8.32 % ) .These consequences are the same as those in S.Ashrafizadeh ( 7.5 % ) and L. Tumarian ( 11 % ) . It seems that utilizing dental floss is non widespread among Persian households and that countrywide preparation should be conducted to advance this utile technique and that members of the society should hold entree to it in order to better their oral cavity and tooth wellness. The present research shows that dmft of pupils whose parents ââ¬Ë educational degree is higher ( 2/2 ) is well lower than pupils whose parents ââ¬Ë educational degree is simple ( 21.3 ) ( P=0.04 ) . This consequence was similar to those of N.Memar ( 19 ) , A. Davari ( 25 ) , K.Salem ( 26 ) in that DMFT and dmft rates decreased as parents ââ¬Ë educational degree went up. It seems that this variable affects dmft from two facets, in which increasing parents ââ¬Ë cognition degree is the more of import of the two. This fact is besides proved in Downer ( 27 ) , Seow and Amaratungo ( 28 ) , Aajabi and Hamdan ( 29 ) and Afshar & A ; Shafizadeh ( 30 ) which have been conducted in Poland, Australia, Jordan and Iran, severally. The other influence of parents ââ¬Ë educational degree in Iran is that households with higher instruction normally enjoy suited economical state of affairs which in bend leads to the publicity of their kids ââ¬Ës ââ¬Ë tooth and oral cavity wellness state of affairs. Furthermore, it has been proved that there is a important relation between mentioning to dentistry and parents ââ¬Ë educational degree in other similar surveies. In contrast, an addition in household size leads to a lessening in cognition which makes the economical state of affairs even worse with the effect that less attending is paid to taking attention of kids. In the present survey, like those of M.Gh.Motlegh ( 18 ) and M.M.Fani ( 22 ) , dmft increased as household size increased, demoing a important difference between the two variables ( P=0.031 ) Pierson correlativity coefficient demonstrated that dmft & A ; DMFT addition at the same time ( direct important relation ) .Therefore, it is of paramount importance to see the issue that taking attention of milk dentitions leads to the betterment of the wellness of lasting dentitions, which is against the public sentiment that milk dentitions wellness does non merit much attending due to their lasting nature. Based on the findings of this survey, oral cavity and teeth wellness state of affairs among 9 year-old kids in Gonabad metropolis is instead acceptable in comparing with countrywide state of affairs, but it lies in the mean degree with respect to WHO standards. Therefore, it is necessary to see cardinal options and rapid planning to forestall tooth and oral cavity diseases due to the high population of pupils in Iran. It is, hence, hoped that cardinal steps be conducted in future through the attempts of Persian high ranking functionaries in Health & A ; Treatment sector, and de dicated and experts and researches. In decision, it is suggested that remedial wellness classs be held in simple schools for both pupils and wellness trainers and instructors. Sing the society, it is suggested that Mouth and Tooth Health Education be done for the households while stressing fissur sealant intervention, proper distribution of wellness and preventative devices like coppice, toothpaste, dental floss and so on. It is besides considered critical to non overlook cost-effectiveness of activities sing Mouth and Tooth Health.Recognition:The writers wish to thank all functionaries of Education Office, principals and instructors of simple schools in Gonabad for their sort aid and cooperation throughout this survey.
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