What Is It That Makes You Want You Become A Doctor

What is it that makes you want to become a doctor? If you ask any premed student what question they are asked most frequently, this is most likely going to be their answer. Although it may be a simple question, it does not always have a simple answer. It is not necessarily susceptible to being right or wrong, but rather based on one’s own opinion, gathered from their experiences. When I first embarked on this journey to become a physician, I felt as if I could never quite answer this question in such a way to give it the justice it deserves. That is to say, at that point in my life I knew that I had a strong passion for the field of science and medicine, but it was not always that way.In my freshman year of college, I lacked enthusiasm for the career fields I saw as my potential future. Confused, uninspired, and without direction, I entered community college with no certain end goal in mind. It was a terrifying feeling, knowing that the next few years may very well determine w hat it is that I would do for the rest of my life. After my sophomore year had ended, I spent time over the summer staying at a close friend’s home, whose father, a practicing emergency physician, became somewhat of a mentor to me. While perhaps unintentional on his part, and unknowing to me at the time, the conversations I had with Dr. X lead me to develop a curiosity for the medical field. It was in the pure and passionate way that he talked about why he chose to practice medicine, with a strongShow MoreRelatedEssay on Emergency Room Physicians1048 Words   |  5 Pagesof patients makes them valuable assets at every hospital. It also brings some perks. When sudden illness or acute injury strikes, patients turn to hospital emergency rooms for immediate medical assistance. An ER doctor, or emergency medicine specialist, is a physician who diagnoses and treats illnesses and injuries in a hospital emergency room or other urgent care setting. Emergency medicine is a financially rewarding career, and it also comes with the reward of saving lives. ER doctors require intensiveRead MoreLiving with Cancer1493 Words   |  6 Pagesasking how they’re doing and ask if you can do anything for them. Many find going to support groups helpful to accept the fact they have or lost someone to cancer. The awareness does show favoritism toward to certain cancers rather than all. It covers the ones with higher rates and more known killers. Doing your own research helps in many ways; if there are areas you don’t understand you can look to see if you can understand better before you ask your doctor questions. Doing research on differentRead MoreAnalysis Of The Poem Flowers For Algernon 1033 Words   |  5 PagesPaper Imagine being 37 years old, and being told that you couldn t do things that other people could just because you had one thing that was wrong about you – being mentally retarded. This was Charlie Gordon s reality. He was an innocent, responsible man that did anything that he could to survive with his special need. One day, this all changed for him when he was told that a special surgery would be performed on him, and that he would become smarter. Unfortunately, Charlie learns a few thingsRead MoreAs I Get Ready To Leave The Locker Room, I Strap On My1334 Words   |  6 PagesFinally, the announcer calls your team’s name and you run out of the tunnel ready to face all your fears, show your strengths, and defeat that fear to lose embedded in the back of your mind. 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As you grow up, your interest change, your friends change, and you as a person changeRead MoreWrite An Essay On Patenting Animals1600 Words   |  7 Pagesbeneficial plants and animals to survive under harsh conditions). Make an argument as to why businesses that develop modified organisms should be able to preserve their property rights by patenting such organisms. Then, make a counterargument as to why such organisms should not be patentable. Research the issue online to develop supporting facts and arguments for each position. If you begin with a Google search of â€Å"patenting organisms† you will find several articles from institutions of higher educationRead MoreReflection Paper on Life Goals1504 Words   |  7 Pagesis not that people aren’t trying, but the American way of life has become a roadblock to the pursuit of health. In order to improve our health; we must shift our focus on improving our lifestyle behavior. Over the course of this semester, this class has taught me to analyze my overall well-being, stress level, and what to expect from my future. To begin I’ll start by introducing myself, goals, aspirations, education, and what life is like for me on a day to day basis. My name is Loretta; thisRead MoreNurses: The Patients Best Advocates Essay1318 Words   |  6 Pagesof medicine. These changes pertain to every position held in the medical field, including nurses. As doctors’ duty is to become well informed of the constant changes, it is just as important for nursing staff to evolve as well. Most people do not realize the very valuable role a nurse plays in the process of treating a patient. Actually, some would say that nurses are more valuable than the doctors’. It is the nurse that gives the direct patient care by working with patients to monitor, evaluate,Read MoreHealth Care Communication Paper800 Words   |  4 Pagesnursing home, I am going to make sure that this transition happens as smoothly as possible. The patients that have decided to stay must try their hardest to adhere to the new policie s that have been set. The patients that have decided to go somewhere else will very greatly missed. The patients who cannot communicate their decision for one reason or another will be placed where the staff and I see fit, whether it be in our facility or somewhere else. This facility wants to ensure all patients and residentsRead MorePatricio Acosta Essay #3 April 15 2014 Are You a Doctor? The story named â€Å"Are you a Doctor† by900 Words   |  4 PagesPatricio Acosta Essay #3 April 15 2014 Are You a Doctor? The story named â€Å"Are you a Doctor† by Raymond Carver is a very short yet interesting story. This story is about a man, Arnold Breit, who receives a phone called from a mistaken user. The woman that called Arnold, Clara Holt, was trying to reach someone else but the number she dialed was the wrong number. After a couple minutes of small talk and superficial conversations, the woman got the courage to ask the Arnold to come over to her

Resume Example Free Essays

With 18 years experience as a Cosmetologist, 13 + years as Brand Manager/Director of Education dedicated to protecting the health of citizens. Results of investigating problems and complaints of consumers led to the development of educational programs based on preventative techniques. Health, safety, and sanitation are the primary focus and goal practiced in both my education and occupation. We will write a custom essay sample on Resume Example or any similar topic only for you Order Now I have excellent relationship building skills, highly effective at communicating work efficiently alone, and a motivated team player. As a chemistry and microbiology student independently investigated 6 + moon bedroom illnesses by designing, analyzing samples, reviewing scientific data from multiple forms of media, and reporting the results. This led to an awareness and in-depth study on methods used to sample products, the nature of bacteria, a variety of media and tests used to analyze and identify, and how to give detailed reports both written and orally. Designed study and lab experiments performed by investigating sources of bedroom illnesses such as Colostomies botulism. Appropriate sampling techniques such as swabbing were used to obtain bacteria from food sources, oil, and a variety of other raw materials. The bacteria were grown and cultured on Agar plates and later Gram Stained in order to identify the gram positive bacteria seen with a microscope. Each type of bacteria sampled and analyzed required investigating sources, proper sampling techniques, growing the bacteria, and properly identifying each colony. This led to detailed lab reports regarding all aspects of the investigation, methods, techniques, and results. Developed analytical problem-solving skills, strong time management and organizational skills, maintained detail orientated records and data while monitoring time and temperature sensitive bacteria. This allowed for accurate information to be communicated with the team orally and in written form. As a dietetic student I managed a group of 6 students and 12 kitchen staff in the planning, preparation, and serving of a theme meal for 1 00 + students and faculty. The emphasis of food safety and sanitation resulted in D incident of injury or illness. Negotiated theme meal plan with team a of 6 students and 2 kitchen management staff. Communicated and designed flow charts for all students and kitchen staff to ensure all tasks were accomplished individually and as a team. Led team to practice high standards of food safety and sanitation in the preparation of each product used according to specific guidelines provided by the National Restaurant Association and FDA Food Code. These standards were met by implementing and monitoring use of thermometers and notations made on time. This resulted in healthy yet creative dining experience that successfully served over 1 00 consumers in a safe and sanitary way. Ability to analyze and report through effective communication skills and educate individuals on essential nutrients. Researched vital role of vitamins and minerals on overall processes of the body. Developed application strategies of vital nutrients its relevance to supporting life. Analyzed dietary intake of newborns through end of life stages. As a communications student analyzed and interpreted a variety of media, practiced negotiations on civic issues, and advanced my skills in writing and speaking. This has resulted in the ability to be resourceful, build long lasting relationships with mutual understanding and effectively communicate both orally and in writing. Organized and effectively informed fellow students and instructors on a variety of topics such as the importance of community gardens. By researching every aspect of community gardens from soil to harvest was able to help plan and implement a community garden at Mount Mary College. This was initiated by a speech on the benefits of gardening and oral communication with the Dietetics Department Director. Serving as a resource plans were written up regarding the proposed location, preparation Of the soil, plants to be used, maintenance of the soil and plants, harvesting the crops, and distributing the produce. This resulted in implementation of a community garden which is maintained by students and distributed to the detent community as well as local community members. Effectively communicate with a multitude of personalities, views, and statuses as part of a team or leadership role in collaborative and individual context. Ability to compromise and negotiate divergent ideas, conflicts, and relationships through written, oral, or visual messages in multiple formats and contexts while ensuring the message is mutually understood. As a Cosmetologist I assisted well over 1000 people over the past 18 years with technical skills, highly creative skills, good interpersonal skills, effective communication, and time management skills. This led to a 50% increase in retail profits and 65% increase in profit of services. Service orientated with strong people skills provides lasting relationships and opportunities to generate new ones. Active listener with good interpersonal skills allows for identifying the needs Of the customer and achieving them through critical analysis of the challenges ahead and critical thinking in relation to logic, reasoning, and approach. Ability to apply theory and practical chemical application using creativity and technical skills. This requires actively gathering information and learning about the use and ingredients of the chemicals while maintaining compliance with safety rules and regulations set forth by the FDA and Cosmetology Examination Board. Maintaining up-to-date and detailed records are required for every service performed. Data obtained from monitored use of each chemical allows for possible improvements in application technique or product and correction in actions taken. As Brand Manager/Director of Education have investigated consumer complaints, written detailed reports pertaining to the results, advocated on behalf of consumers and the company, taught over 1,000 classes. This resulted in improvements in product performance, technique of application, and generated over $200,000 in additional sales within the first year. Assisted in development and implementation of investigative techniques used to attain and resolve customer complaints with relation to product performance. Thorough visual and verbal investigation with detailed data recording of product usage and outcomes allowed for accurately written reports delivered to proper authority. This led to being an active contributor to the team and mission of the company to provide quality products that reform safely and effectively. Managing and leading a team of 12 educators and 65 + sales consultants generated a 45% increase in sales for the company. Ability to oversee performance of educators and sales consultants while assisting them in attaining their goals through advocating for consumer needs as well as safe method of product usage. Planned, coordinated, and directed creative marketing plans and events for individual and corporate level establishments. Resulting in achieving sale goals and brand marketing. Demonstrated and effectively communicated a well designed program retaining to the safe and effective use of product and techniques of application. This provided uniform delivery of information to consumers from all educators and sales consultants. Allowing for less confusion and decrease in risk of unsafe product usage. Resulting in desired outcome of product use and consumer loyalty. EMPLOYMENT HISTORY: Eastern Hair Artists Cosmetologist March 2002 to current As a Cosmetologist I developed and practiced service oriented behaviors designed to assist individuals in attaining a desired outcome by utilizing a variety of techniques, skills, and duties. My duties included continuing education, secretarial jobs, actively learning new technical skills brought out by advancements made in products and techniques of application while maintaining compliance with all federal and state regulation. Staying current in technique and product knowledge requires seeking training through the Department of Regulation and Licensing as well as communication with local product distributors. Continuing education hours are accomplished by attending training sessions both online and in a classroom. Online classes provide current sanitation laws required by the State of Wisconsin Department of Regulation and Licensing and Cosmetology Examining Board. Classroom training sessions consist of learning details of product usage and safety precautions through hands on experience working with the products. Secretarial duties include scheduling appointments and maintaining records. Communication skills are used to determine the needs of the customer and schedule the time necessary to perform services while answering any questions the customer may have. Records are maintained in detailed client files providing information regarding allergies, medications, services performed, products used, dates of services, processing times and applications. Attaining desired results is a duty that requires careful analysis of data, an understanding of chemicals, analytical thinking, and creativity. By analyzing detailed client profile records the chemicals used to perform the services must be carefully thought out. For example, if a client is allergic to particular ingredients an awareness of what is in the products must be acknowledged and determined as fit or unfit for the service. Analysis of the integrity of the hair and chemical components in a product must also be thought out and determined as fit or unfit for the service. By listening without interruption, interpreting the message, and creating a mutual understanding along with the careful analysis of data obtained creativity leads to the desired result. Taking action to ensure a safe environment is a duty performed by maintaining compliance with safety and sanitation regulations. This is accomplished by keeping a sanitary’ station with chemical use and storage in compliance with regulation guidelines as well as clean and sanitary tools such as combs and shears. To maintain up-to-date compliance, the Cosmetology Examining Board and Department of Regulation and Licensing web sites roved safety rules and regulations set forth by federal and local government agencies. Four Star Beauty Supply/Nexus Beauty Products Company/Essence Hairier Milwaukee, Wisconsin September 1996-2009 As Brand Manager/Director of Education assisted in investigations, communicated findings of the investigation, advocated for positive changes, and educated others by utilizing a variety of techniques, skills, and duties. My duties included developing and implementing techniques of investigation, maintaining open communication, working as a member and leader of a team, and coordinating events. Duties involved in developing and implementing investigations entailed working with consumers and other regional Management or Directors through written and verbal communication. Careful records were maintained regarding observations, reactions, concerns, and issues encountered by consumers. This was carried out by regular emails, phone conversations, and detailed reports of problems encountered by consumers. Working with the team of Managers and Directors allowed for compiling data that resulted in improving product performance and techniques used to perform services. Once improvements were made or advancements in technique were signed a follow up conversation provided strategies to reconcile consumer complaints. Actions taken to ensure understanding of the strategies designed to reconcile concerns where handled with open communication through email, telephone, and personal appearance. Coordinating and design inning classes for consumers, education team members, and sales consultants required communication with a variety of individuals and establishments, booking guest speakers, and overseeing marketing media. Keeping open lines of communication allowed for determining the need to coordinate and design classes that fit needs of consumers in determined areas. Booked appropriate guest speakers by communicating with them in regard to availability and specified topic to be covered. Worked with a team of graphic designers to design marketing materials such as posters and fliers. How to cite Resume Example, Papers

John hancock Essay Example For Students

John hancock Essay SchizophreniaWhat You Need to Know Schizophrenia is a serious disorder which affects how a person thinks, feels and acts. Someone with schizophrenia may have difficulty distinguishing between what is real and what is imaginary; may be unresponsive or withdrawn; and may have difficulty expressing normal emotions in social situations. Contrary to public perception, schizophrenia is not split personality or multiple personality. The vast majority of people with schizophrenia are not violent and do not pose a danger to others. Schizophrenia is not caused by childhood experiences, poor parenting or lack of willpower, nor are the symptoms identical for each person. What causes schizophrenia?The cause of schizophrenia is still unclear. Some theories about the cause of this disease include: genetics (heredity), biology (the imbalance in the brains chemistry); and/or possible viral infections and immune disorders. Genetics (Heredity). Scientists recognize that the disorder tends to run in fam ilies and that a person inherits a tendency to develop the disease. Schizophrenia may also be triggered by environmental events, such as viral infections or highly stressful situations or a combination of both. Similar to some other genetically-related illnesses, schizophrenia appears when the body undergoes hormonal and physical changes, like those that occur during puberty in the teen and young adult years. Chemistry. Genetics help to determine how the brain uses certain chemicals. People with schizophrenia have a chemical imbalance of brain chemicals (serotonin and dopamine) which are neurotransmitters. These neurotransmitters allow nerve cells in the brain to send messages to each other. The imbalance of these chemicals affects the way a persons brain reacts to stimuliwhich explains why a person with schizophrenia may be overwhelmed by sensory information (loud music or bright lights) which other people can easily handle. This problem in processing different sounds, sights, smells and tastes can also lead to hallucinations or delusions. What are the early warning signs of schizophrenia?The signs of schizophrenia are different for everyone. Symptoms may develop slowly over months or years, or may appear very abruptly. The disease may come and go in cycles of relapse and remission. Behaviors that are early warning signs of schizophrenia include:Hearing or seeing something that isnt there A constant feeling of being watched Peculiar or nonsensical way of speaking or writing Strange body positioning Feeling indifferent to very important situations Deterioration of academic or work performance A change in personal hygiene and appearance A change in personality Increasing withdrawal from social situations Irrational, angry or fearful response to loved ones Inability to sleep or concentrate Inappropriate or bizarre behavior Extreme preoccupation with religion or the occult Schizophrenia affects about 1% of the world population. In the United States one in a hundred people, about 2.5 million, have this disease. It knows no racial, cultural or economic boundaries. Symptoms usually appear between the ages of 13 and 25, but often appear earlier in males than females. If you or a loved one experience several of these symptoms for more than two weeks, seek help immediately. What are the symptoms of schizophrenia?A medical or mental health professional may use the following terms when discussing the symptoms of schizophrenia. Positive symptoms are disturbances that are added to the persons personality. Delusions false ideasindividuals may believe that someone is spying on him or her, or that they are someone famous. Hallucinations seeing, feeling, tasting, hearing or smelling something that doesnt really exist. The most common experience is hearing imaginary voices that give commands or comments to the individual. Disordered thinking and speech moving from one topic to another, in a nonsensical fashion. Individuals may make up their own words or sounds. Negative symptoms are capabilities that are lost from the persons personality. .ud9a8ed14d431e706de0ca4d2cd436b7c , .ud9a8ed14d431e706de0ca4d2cd436b7c .postImageUrl , .ud9a8ed14d431e706de0ca4d2cd436b7c .centered-text-area { min-height: 80px; position: relative; } .ud9a8ed14d431e706de0ca4d2cd436b7c , .ud9a8ed14d431e706de0ca4d2cd436b7c:hover , .ud9a8ed14d431e706de0ca4d2cd436b7c:visited , .ud9a8ed14d431e706de0ca4d2cd436b7c:active { border:0!important; } .ud9a8ed14d431e706de0ca4d2cd436b7c .clearfix:after { content: ""; display: table; clear: both; } .ud9a8ed14d431e706de0ca4d2cd436b7c { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ud9a8ed14d431e706de0ca4d2cd436b7c:active , .ud9a8ed14d431e706de0ca4d2cd436b7c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ud9a8ed14d431e706de0ca4d2cd436b7c .centered-text-area { width: 100%; position: relative ; } .ud9a8ed14d431e706de0ca4d2cd436b7c .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ud9a8ed14d431e706de0ca4d2cd436b7c .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ud9a8ed14d431e706de0ca4d2cd436b7c .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ud9a8ed14d431e706de0ca4d2cd436b7c:hover .ctaButton { background-color: #34495E!important; } .ud9a8ed14d431e706de0ca4d2cd436b7c .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ud9a8ed14d431e706de0ca4d2cd436b7c .ud9a8ed14d431e706de0ca4d2cd436b7c-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ud9a8ed14d431e706de0ca4d2cd436b7c:after { content: ""; display: block; clear: both; } READ: Nutrition EssaySocial withdrawal Extreme apathy Lack of drive or initiative Emotional unresponsiveness What are the different types of schizophrenia?Paranoid schizophrenia a person feels extremely suspicious, persecuted, or grandiose, or experiences a combination of these emotions. Disorganized schizophrenia a person is often incoherent in speech and thought, but may not have delusions. Catatonic schizophrenia a person is withdrawn, mute, negative and often assumes very unusual body positions. Residual schizophrenia a person is no longer experiencing delusions or hallucinations, but has no motivation or interest in life. Schizoaffective disordera person has symptoms of both schizophrenia and a major mood disorder such as depression. No cure for schizophrenia has been discovered, but with proper treatment, many people with this illness can lead productive and fulfilling lives. What treatments are available for schizophrenia?If you suspect someone you know is experiencing symptoms of schizophrenia, encourage them to see a medical or mental health professional immediately. Early treatmenteven as early as the first episodecan mean a better long-term outcome. Recovery and RehabilitationWhile no cure for schizophrenia exists, many people with this illness can lead productive and fulfilling lives with the proper treatment. Recovery is possible through a variety of services, including medication and rehabilitation programs. Rehabilitation can help a person recover the confidence and skills needed to live a productive and independent life in the community. Types of services that help a person with schizophrenia include:Case management helps people access services, financial assistance, treatment and other resources. Psychosocial Rehabilitation Programs are programs that help people regain skills such as: employment, cooking, cleaning, budgeting, shopping, socializing, problem solving, and stress management. Self-help groups provide on-going support and information to persons with serious mental illness by individuals who experience mental illness themselves. Drop-in centers are places where individuals with mental illness can socialize and/or receive informal support and services on an as-needed basis. Housing programs offer a range of support and supervision from 24 hour supervised living to drop-in support as needed. Employment programs assist individuals in finding employment and/or gaining the skills necessary to re-enter the workforce. Therapy/Counseling includes different forms of talk therapy, both individual and group, that can help both the patient and family members to better understand the illness and share their concerns. Crisis Services include 24 hour hotlines, after hours counseling, residential placement and in-patient hospitalization. Antipsychotic MedicationThe new generation of antipsychotic medications help people with schizophrenia to live fulfilling lives. They help to reduce the biochemical imbalances that cause schizophrenia and decrease the likelihood of relapse. Like all medications, however, anti-psychotic medications should be taken only under the supervision of a mental health professional. There are two major types of antipsychotic medication: Conventional antipsychotics effectively control the positive symptoms such as hallucinations, delusions, and confusion of schizophrenia. New Generation (also called atypical) antipsychotics treat both the positive and negative symptoms of schizophrenia, often with fewer side effects. Side effects are common with antipsychotic drugs. They range from mild side effects such as dry mouth, blurred vision, constipation, drowsiness and dizziness which usually disappear after a few weeks to more serious side effects such as trouble with muscle control, pacing, tremors and facial ticks. The newer generation of drugs have fewer side effects. However, it is important to talk with your mental health professional before making any changes in medication since many side effects can be controlled.

Marvel Comics and Toy Biz free essay sample

Were the problems caused by bad luck, bad strategy or bad execution? Marvel had six principle lines of business i. e. Sports Entertainment Cards, Toys, Childrens Activity Stickers, Publishing, Confectionery Consumer Products and Licensing of characters. While carrying on operations in these lines of business, Marvel ignored the alternative means of entertainment which were trending e. g. video games. Moreover, interest of collectors in comic books was reduced which was not addressed by Marvel. So it was the bad strategies of Marvel which caused it to file for Chapter 11. Question 2 a)Will the new restructuring plan solve the problems that caused the Marvel to file for Chapter 11? The plan suggested by Perlman has three parts: Investment of $350 million by Andrew Group Investments made by Andrew group will relax the Cash flow position of Marvel. It will increase its net cash reserves, after acquisition of Toy Biz, by $33. 5 million Acquisition of Toy Biz Toy Biz is engaged in business of manufacturing toys based on Marvel characters. We will write a custom essay sample on Marvel Comics and Toy Biz or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It generates cash flows of approximately $60 million per annum which can be used to service Marvel’s debt. Moreover, profits of Toy Biz help to offset more than 100 million of net operating losses of Marvel. Exchange of public debt Third part is to exchange $894 million debt for equity. This will relax the burden of interest payments. Marvel is facing problems of decreased revenue profits and there is a risk that it may violate some bank loan covenants. Acquisition of Toy Biz will help Marvel in setting off losses. Moreover, by converting loans to equity it will reduce debt servicing which will help to reduce risk of bankruptcy. New investment by Andrew group will help it to resolve current cash flow problems. b)As Carl Icahn, would you vote for the proposed restructuring plan? After announcement of proposed restructuring plan and sale of bonds by Fidelity and Putnam, price of Marvel stock and zero coupon bonds fall significantly. Although, Carl Icahn purchased bonds at deeply discounted prices yet, after announcement of restructuring plan price of bonds further decreased. Since revised plan caused the bond prices to fall and will cause loss to Carl Icahn, he should not vote in favor of this plan. Question 5 a)Why Fidelity and Putnum sold their bonds? After meeting with chairman of Andrew group, both investors realized that after the restructuring of Marvel, market value of shares will drop. Since bonds were secured by equity, forecasted fall in value of equity created a risk that collateral will not be sufficient to pay off debts. So both investors sold bonds in order to avoid anticipated losses. b)Why did Marvel’s zero coupon bonds drop on Nov 12, 1996? Sale of bonds by Fidelity and Putnum right before the announcement of restructuring plan gave a message to other bond holders that these two investors must be having some insider information that an unsuccessful restructuring plan will be announced. Due to this market sentiment, price of Marvel’s bonds fall.

Most Effective Assessment And Teaching Techniques Article

Most Effective Assessment And Teaching Techniques Article Most Effective Assessment And Teaching Techniques – Article Example Most Effective Assessment and Teaching Techniques Teachers can only get the best out of their if they abandon the old-fashioned teaching techniques for modern methods. The techniques in this context refer to various actions as well conditions that teachers establish for facilitating learning activities (Laurillard 11). One area that requires modest techniques of teaching is lecturing. A good technique of administering lectures is by asking learners rhetorical questions. The professor can pause after every 10 minutes and encourage learners to note the answers. Another useful technique in lecturing is using guided lectures (Laurillard 64). In this case, students can listen to recorded lectures but they do not take notes. The instructor then gives the class around five minutes to record what they learn from the lecture. It is also necessary that the learners engage in discussion groups where they reconstruct the lecture by using supportive data to prepare complete notes and refer to the instructor for resolving questions that may arise. For teaching to be effective, the learners should be able to answer some mastery quizzes. Immediate mastery tests help learners to retain knowledge twice as much as they would have retained with normal learning procedures. Other effective learning techniques are the group discussions or group works (Laurillard 181). Learners can easily grab knowledge through short readings, case studies, role-play, and visual studies. Besides, encouraging critical thinking through thoughtful questions is a good way of improving the learnability of students. The instructor should engage students with descriptive as well as reflective questions. Other effective strategies are those that encourage active learning. A good technique for active learning is brainstorming where the teacher solicits ideas from the students. The instructor can supplement active learning with concept models. However, technology brings new teaching techniques like use of audi o-visual techniques as well as online learning that occurs outside the classroom (Laurillard 98). There are also clickers or systems for classroom responses where students record their answers, and the device gives instant results thereby encouraging class engagement. Moreover, podcasts have also proved useful in classrooms because they help students to revisit their learning activities.Work citedLaurillard, Diana. Rethinking university teaching: A conversational framework for the effective use of learning technologies. Routledge, 2013. Print.

How to Map Content to Your Marketing Funnel to Boost Conversions

How to Map Content to Your Marketing Funnel to Boost Conversions Here’s the problem: You’ve created an excellent website, but no one is buying. Or maybe you’ve written an awesome blog post, and it hasn’t done anything to drive conversions. You review your marketing funnel and realize the content you’ve created focuses on one section of your funnel and leaves out the others. This creates a gap that your prospects can â€Å"leak† out from and cause you to miss potential revenue. Whats the solution? Mapping out content ideas on your editorial calendar, and aligning them with each stage of the funnel. This way, you can present potential customers with the right message, at the right time, to encourage more purchases. At , we saw this in action when we used the following framework to help us create an email drip campaign that increased our conversions by 69.77%. In this post, we’ll walk you through exactly what a marketing funnel is and how to map your content to your funnel. We’ll also walk you how to develop messaging and show you how to choose best types of content to deliver those messages at each stage in the funnel. How to Map Content to the Marketing Funnel and Boost Conversions By 69.77% via @Download Your Marketing Funnel Content Mapping Template This easy-to-use spreadsheet will help you sort the content you’ve already created and assign it to stages in your funnel. Plus, you’ll also easily be able to see where the gaps in your content are so you can map new content to prevent those leaks. This content, in turn, will guide your audience all the way through the funnel. Before we launch into how to map out your marketing funnel, there are a few terms you should keep in mind. Marketing Funnel: The journey that customers take from being completely unaware of a brand to purchasing their products. Content Mapping:  A process where you decide what content is most appropriate for a person at a given time. TOFU/MOFU/BOFU: Each of these acronyms refers to the parts of the funnel. The top of the funnel (TOFU), middle of the funnel (MOFU), and bottom of the funnel (BOFU). Discovery:  Your customers are just beginning to understand what your brand is about. They are experiencing some pain point in their life, and they aren’t sure how to fix it. Consideration:  They are now aware that there are solutions to the problem they are facing and that your brand offers one. What they don’t know is that your brand provides the best solution to their problems. Purchase:  They know about your solution and think you are the best option, but they need one last little shove over the line to buy your product.What exactly does the marketing funnel look like, anyway?Why Is Understanding The Marketing Funnel Important? Understanding how your customers flow through your marketing funnel is essential to make sure that it does its job. Here’s an infographic that gives you a little more information. Why is it important to understand how the marketing funnel works?The fact of the matter is that people don't move through the funnel in a linear process. So, you'll need to have content that reaches your audience at whatever stage they're at. 5 Marketing Funnel Examples Marketing funnels can come in all shapes and sizes. They will change a bit based on the company that created them, so here are six examples to look at. The Marketing Funnel The funnel is built in five stages and looks like this: Moz Marketing Funnel Moz’s  marketing funnel looks like this. Single Grain Marketing Funnel The Single Grain marketing funnel  looks a little like the Moz funnel, but it breaks down into three parts instead of four. Crazy Egg Sales Funnel The Crazy Egg sales funnel  looks a little different than all the other marketing funnels. In this example, theirs is mapped out based on the pages they’ve created to address customer needs at each stage of the funnel. Where the other examples are more theoretical, this one shows how a website might be structured to move customers down the funnel. Neil Patel’s Conversion Funnel Neil Patel’s conversion funnel  resembles more of a bow-tie and looks like this. If you want to learn more about different sales funnels and how they work check out this video from a CMWorld talk by Andrew Davis. Determine Who Your Target Audience Is Before you dive into your funnel, you need to  define your audience persona. Why is knowing your target audience so important? Because if you don’t know who you’re talking to,  you can’t craft the right messages  that will help them move through your funnel. So what is an audience persona,  and how can you create one? An audience persona is: A document that details your target audience’s who, what, when, where, and why. It also includes general demographic information such as gender, job title, job function, business size, team size, needs, pain points, and challenges. To build  your marketing persona, you need to be able to answer the following questions: What pain points are your potential customers experiencing? Where do they live and work? What gender are they? What hobbies do they enjoy? You can gather that information by sending a survey through social media or email. You can create a survey  using services like Survey Monkey  or Poll Daddy.  Once you have your data collected format your information into an audience persona statement.   Ã¢â‚¬Å"[INSERT YOUR BRAND] creates content to help and inform [INSERT DEMOGRAPHIC] so they can [INSERT ACTION] better.† Recommended Reading: How To Find Your Target Audience With A Marketing Persona How To Map Content To Your Marketing Funnel The marketing funnel goes by many names, but the core of each one is still the same. At , our marketing funnel looks like this: How much content should marketers create at each stage of the funnel?Now, you usually would want a customer to flow through the marketing funnel from top to bottom. However, this isn’t always the case. Sometimes your customers can enter in at a different point of the funnel besides the top. If you don’t have content throughout the funnel that helps guide your customers to the bottom, they will most likely get frustrated and leave. So how can you ensure that there is content in each phase of your funnel? You can do this by mapping out each phase and assigning content to it. As we’ve mentioned,  there are three phases to the marketing funnel. At ,  we’ve broken each of down into  different subcategories, too. Here’s what our stages look like. Discovery In the Discovery phase of your marketing funnel, your customers know  absolutely nothing about your brand. The end goal of this phase is to have people learn more about your company. Your content should slowly guide your customers to the conclusion that while they can solve their problem themselves, your product will make it easier. Some recommended content types for this phase of the marketing funnel are: Blog posts Podcasts Infographics Social media posts Videos Microsites Guides Before you decide what  types of content that you’re going to create for this phase of the funnel,  you need to determine the messages you’ll send. Unaware Phase The unaware phase is the very top part of your marketing funnel. At ,  we define this phase as: These prospects haven't identified a pain or a solution. They may have stumbled across a link to our blog or website within a piece they were reading, met us at an event, or saw an industry ad. Another possibility is that something we published piqued their curiosity. You can use this definition or you can come up with your own. After you have your definition set, record it in your template: The message that needs to be delivered to your audience in this phase of the funnel should be about solving a problem or answering a question they might research. They’re reading your content for a reason. That problem may or may not be directly solvable by your product, but it should be something that your target audience cares about. In this phase, you’re trying to  get their attention and  show  them they can trust you. Define the message you want your content to send in the unaware section and record it in your template: If you’ve already written marketing content, how do you know if it falls into the unaware category? Ask yourself these two questions: Does this content relate broadly to your audience’s interests  (not just your product)? Does this address a potential pain point? If the answer to both is yes, you can categorize it as top of the funnel/ unaware content. The last section of your template that needs to be filled in is the example section and the expectations that your unaware content needs to meet: RExamples of Unaware Content From The Blog: How to Write a Powerful Case Study Fast With 35 Examples Red Bull Marketing Strategy: What You Need to Know (And How to Copy It) Pain Aware Phase The next phase of this process is the pain aware phase. This is where your customer realizes there is a problem that needs to be fixed. We define this stage as: These prospects feel pain of some kind, but don't know of a solution. They have identified an issue/challenge with their existing process, and are actively looking for information to help them fix it. Add your definition to your template. The message you need to deliver in this  phase is: You can identify the problem and you will teach them how to fix it. The difference between the pain aware stage and the unaware stage is that the problem you are looking to solve for your reader directly ties into your product. To identify if your previously written content fits the pain aware stage, ask yourself the following: Are you addressing a specific problem that your product solves? Are you teaching them how to solve this problem? If the answer is yes, you can file that content under pain aware. Add in the expectations your pain aware content needs to meet as well as any examples that you may have. Examples of Pain Aware Content From The Blog: How to Increase Marketing Efficiency With Content Workflows How To Build The Best Social Media Promotion Schedule For Your Content Solution Aware Phase The solution aware phase of your marketing funnel is when your potential customer realizes that there are products out there that may help solve their problem. The definition we use at is: These prospects feel a specific pain and just discovered there are solutions for it. They have hit the point of frustration where they actively seek solutions to help. They know tools are designed to help them solve the problem. Use ’s definition or create your own and add it to your template. The message that needs to be delivered for this phase should be targeted toward  showing your customer that there are solutions that solve their problem  (including your product). They could take care of the problem by themselves by implementing your advice. However, your product will make it even easier. Decide what message you want to send during the solution aware phase of your content and record it in your template. Now, if you’re trying to categorize solution aware content for your funnel, here are the questions to ask: Are you addressing your product category directly? Are you showing customers what to look for in the solution they’re searching for? Are you positioning your product against others? If you answered yes to those questions, you can fill that piece of content under the solution aware category. Identify the expectations that your solution aware content needs to meet as well as examples of solution aware content that you’ve already created. Examples of Solution Aware Content From The Blog: How To Plan A Marketing Calendar That Actually Works The Best 2018 Content Calendar Template to Get Organized All Year Consideration Once your potential customers are out of the discovery phase of your funnel, they move on to the consideration phase. At this point, they are aware of your organization and are actively thinking about purchasing your product. Now you need to convince them that your product is the best one out there. Some recommended content types for this phase of your funnel are: Case studies Trials Demos Product video Product Aware Phase In the product aware phase of your marketing funnel, your customer is finally aware that your product is the solution that they’ve been looking for. At we define this phase as: These prospects are learning our product is a solution to the pain. They may be trialing and comparing different tools to ultimately choose the best one that will solve their pain. Decide on your definition and record it in your template. The message that needs to be delivered to your potential customers at this point in the funnel is that while other products could solve their problem, yours is the best option. Based on that information, decide what kind of message you need to deliver with your product aware content and record it in your template. If you are trying to decide if your existing content fits into this format, ask yourself the following: Are you directly positioning your product as the best solution to their problem? Are you showing them how your product works? Are you emphasizing what makes your product stand out? The last step for your product aware phase is deciding what expectations your product aware content needs to meet and examples of product aware content you’ve created. Examples of Product Aware Content From The Blog: What Is The Best Social Media Scheduling Tool On The Market? How to Overcome Makeshift Marketing: The Buyer's Guide Purchase The last phase of your marketing funnel is the purchase phase. At this point, your customer should be ready to convert to buying your product. They may just need that extra push to get there. Some recommended content types to create at this stage of the funnel are: Sales page Webinars Customer stories Pricing pages Testimonials Reviews Most Aware Phase This is the final subcategory of your marketing funnel. At this point, your customers are the most aware of your product and are ready to purchase. We define this phase as: These prospects are learning that our product is the best solution to the pain. They love our product in comparison to the other tools available to solve the pain and are looking for options to purchase. They are deciding which plan fits them best and how it works in their budget. Define what most aware phase means for your marketing team and record it in your template. The message that your audience needs to hear at this point is reaffirming their decision to trust your product and possibly see how others in their position have loved their choice. Using that information, highlight what message your most aware content needs to send to your audience. If you’re trying to decide if the content you’ve already written fits this phase, answer the following questions: Are you providing them with in-depth info about how your product works? Are you explaining your different pricing options or product lines? Do you include testimonials from other customers about your product? Finally,  identify the expectations your most aware content needs to meet and include examples of most aware content you’ve already created. Examples of Most Aware Content From The Blog: How To Pitch Using To Organize Your Marketing To Your Boss From Spreadsheets to : How to Make the Transition Successfully Using Your Marketing Funnel Template To Map Content Now that you know what makes up your marketing funnel,  you can move on to the very last piece:  filling in the content gaps in your funnel. Using your template,  fill in the content name, the URL (if applicable), the publish date,  and the stage in the funnel your content is in. Use the questions listed earlier in this post to determine which phase of the funnel your content belongs in. Once you have everything sorted, you may have your funnel stages listed out of order like this: You can sort your content by stages in the funnel by selecting column A on your spreadsheet. Click Data and then sort: Select â€Å"Continue with the current selection†: Make sure that you sort by column A: Click OK  and you should be good to go: Now you can track your content this way, or you can make it even easier and track, organize,  and publish your content with . Our marketing calendar has several organization features that will help you map your content to the funnel. Recommended Reading: Marketing Calendar By : A Centralized View For All Your Marketing Efforts Using Tags and Color Labels to Label Content and Funnel Stages in Tags in   can help you sort and label your content quickly and easily. To use them, select the piece of content on your calendar and click Tag in the upper left-hand corner: Type in the tag name and you’re good to go. You can also use the filter in your calendar to sort by tags. Choose the funnel in the upper left-hand corner, scroll down to Tags and select the tag you want to sort by: You can also sort and organize content using Color Labels. Color labels allow you to assign specific color codes to your content and sort your content types according to what color they are. To use them, go to the settings portion of your calendar and scroll down to Color Labels. Each color code will need its own label. The best part is that with Custom Color Labels, you can always create more: Once you have your labels built, go back to your primary calendar and select or create a piece of content. In your content, you’ll see a little white circle. Your color labels will appear, and you can select which one fits the content best: You can sort your calendar by Color Labels as well by going back up to your funnel and scrolling down to Labels. Go Create Awesome Content For Any Phase In The Funnel Now you know how your marketing funnel should work and how to solve the gaps in your funnel with content that helps increase conversions. Work with your entire marketing team to brainstorm what’s next and constantly adjust your material based on what’s working for your customers and what isn’t. Then, when you’re ready to get into the planning and execution phase of your content,  start a free trial  or schedule a demo  with . See how our marketing calendar can help you get and stay organized as well as sort all your content by marketing funnel stages. Do you have a different funnel that is creating success for your marketing team? Tell us about it in the comments below.

Eating Habits of Students Essay Example | Topics and Well Written Essays - 1750 words

Eating Habits of Students - Essay Example The importance of a healthy lifestyle is inevitable. A good and healthy lifestyle starts with the diet one takes (Bailey, 2007 ). A blend of calorie intake together with fruit and vegetable consumption, as part of the diet, is advisable in ensuring a balanced diet. It helps prevent lifestyle-related disorders and diseases (MacClanccy, Henry, & Macbeth, 2009). Strict dietary guidelines help maintain a healthy diet and avoid the big gap in dietary divide experienced today by many people. The prevalent short lifespan emanates from the wrong choice of diet that end up affecting our health (Shepherd & Raats 2006). The young generation seems to pay little attention to the crucial topic of diet and health. Their choice of diet remains a secondary consideration in their responsibility for their health (Gullotta, Adams & Ramos 2005). Dietary disorders among young people are on the rise at an alarming rate. Instances of obesity in young people are increasing more than ever experienced. Accordi ng to Richards, 2007, guiding the young generation on issues of diet and health become essential. Topics such as the choice of food, awareness of a well balanced diet and the need to create attention to nutrition among by young people need further elaboration. Teaching the youth about diet and health, therefore, is indispensable an issue most governments must consider engaging (Berg 2002). Statistics in the United Kingdom show that several schools going students have poor knowledge of diet and health (McGinnis & Gootman 2006). Several students express low attention to nutrition. The choice of a better diet by students is poorly in several students (Glass 2009). In what areas many students pay less attention to, as far as diet and health are concerned, this report sorts to find out. The report discusses the important dietary areas overlooked by students and their extent of caution to their health. 2. Method In order to find out the eating habits of students, a survey was conducted wi th the help of an oral questionnaire. Total 30 randomly selected students in the UK took the interview in different learning institutions for the purpose of representing the student population. The group of respondents composed of students from different learning institutions at different stages of studies. The respondents consisted of fifteen boys and fifteen girls. The questionnaire (attached in the appendix) consists of different kinds of questions which chiefly build upon each other. The question types used is, for example, â€Å"yes/no†, multiple choice and ranking questions. In addition, some questions require the respondents stating their own opinion or telling more about their own experiences. While the questionnaire is not plainly segmented, it focuses on one major topic of health and diet. The questionnaire consists of seventeen (17) questions. The first question asks about the respondent’s gender. The second question asks about the frequency of meals taken b y students per day. The number of meals ranges from one (1) to four (4) per day. The third asks the opinion of the responder, whether he or she gets a balanced diet. It offers five options of response to the question. The fourth question inquires the respondent’s knowledge of a balanced diet. The fifth question asks the respondent about his or her preferred meal.

My ideal hero Essay Example | Topics and Well Written Essays - 1000 words

My ideal hero - Essay Example This also meant that the right people, such as Dumbledore, who was not believed by the general adult population, could be believed without the doubt because as children, Harry, Ron, and Hermione were not subject to the adult pressures that a culture can place upon its citizens to believe certain untruths. When the outlaw aesthetics become the core of their movement, they adhere to the concept that what is right supersedes what is law. Through the advantages of their innocence and age, that they have less to lose than most of the adults in the world, they can adapt to the outlaw fringes in order to accomplish their goals. Harry is able to use his youth to infiltrate the needs of his realm in a way that the adults who have similar goals are unable to accomplish. Harry Potter comes across as the average boy in terrible circumstances, who blossoms when the truth of his life is revealed to him. His adolescence is a mirror of the events in the average life of a teenager, his struggles meta phors for the struggles that most youths find themselves struggling to overcome. He reflects both the constructs of the youthful hero and the outlaw hero, his actions flexible to the situation, his youth affording him the freedom to go against the grain as needed. Harry, unlike many heroes, embraces his role within his community, fervently going after the villain because that villain took his family. His role and his motivation are in harmony, his desire to overcome the evil in this world a priority.... ommon feelings of isolation and alienation that are the initial mundane and common feelings that are attributed to Harry, despite the extremes of his life, create the first level of empathy with readers, but then it is turned so that his survival, his ability to live through his childhood and begin the journey of adolescence, makes him a hero. Seger states that hero stories â€Å"come from our own experiences of overcoming adversity, as well as our desire to do great and special acts† (357). The dynamic is a powerful way in which his life connects to the reader. However, just like the adolescence that everyone experiences, Harry must now choose to live up to the perceptions that have been created around him and fulfill the expectations with which others have framed his identity - or not. This dilemma is at the core of adolescence, the concept of now finding a path on which to wander in order to fulfill the balance between what is expected and what is desired for one’s o wn life (Kroger 3). Harry begins his journey in the same place that most pre-teens begin their journey - adhered to the expectations of the adults in their life. Harry represents two sides of a coin; each side in opposition to the other, thus his heroism has the best chance of connecting to the audience, just as most cinematic heroes tend to represent a duality. Heroes connect to the audience by having diametrical attributes that are in opposition (Ray 343). Harry begins his journey through opposing identities. The next step from that point is in trying to find a way to define one’s self through actions that either support or deny this expectation. The one difference between Harry and most pre-teen age children is that his preconceived identity through the adults in his new world is that he is a hero

Criminology Coursework †Assessing the riots Essay Example for Free

Criminology Coursework – Assessing the riots Essay Criminology is focused on the attempt to understand the meanings involved in social interaction. Theorists have tried to explain sociological behaviour by looking at the patterns created by individuals that commit crime. The August 2011 riots are pivotal in explaining criminological behaviour since official statistics show that 865 individuals were put in prison by the 9th September 2011 for offences related to the disorder between 6th and 9th August 2011. This is not to say that others were not involved, but that they have simply not been identified to date and may never be identified, however the evidence we do have about the recent riots gives us plenty to talk about. This essay will provide a basis for causes of the 2011 riots by applying the ‘Labelling theory’ and the ‘Anomie theory’ to events that led to such behaviour. Mark Duggan was shot by a police officer from the specialist firearms command team and as life-taking errors were made on behalf of the police force, such events that led up to the riots suggest that the police service could be to blame. It was on the 6th August that relatives sparked the riots by setting fire to police vehicles as they demanded information about Duggan’s death, however the British Prime Minister David Cameron rejected a causal relationship between the death of Mark Duggan and the subsequent looting. Some say labelling is not a ‘theory’ because it does not give an explanation of law, but questions why we have such rules. For Labelling theorists there is no such thing as crime, as we create the laws and punishments by defining certain acts to be deviant. Deviant means to depart from usual or accepted standards. Leading theorist Kitsuse said â€Å"it is the responses of the conventional and conforming members of society which identify and interpret behaviour as deviant which sociology transforms persons into deviants†. This means that it is not the actions themselves that are crimes but the social response to such actions that the majority of people deem to be unacceptable and so these actions have been made crimes. This is how we label individuals to be criminals as they do not conform to the behaviour of the ideal majority. This can be unfair to minority groups since they may not deem their actions to be criminal but do not have a choice, for example the introduction of the Criminal Justice Act which criminalised previously civil offences such as  section 63 which gives police the powers to remove persons attending or preparing for a rave. The aim of the act was to give greater penalties for anti-social behaviour; however such activities like raves may be anti-social in behaviour from some perspectives but is merely a form of entertainment to others and so this is discriminatory against ravers as their recreational activity has been barred. Commentators have seen the Act as a draconian piece of legislation which was explicitly aimed at suppressing the activities of certain strands of alternative culture. In response to this Bill, the band ‘Dreadzone’ released a single called ‘Fight the Power’ which links into the Anomie theory (see anomie below) as the band were taking action to rebel the change in the law by getting the message across through their music. This also reflects Tannenbaum’s view of labelling; that the process of defining someone as a delinquent is due to conflict over particular activities, which results in tagging in which the person becomes the thing he is described as being and that the only way out is through a refusal to dramatize the evil. This can be applied to the recent riots the people involved were in conflict with the rest of society. Official statistics have shown that 73 per cent of those that appeared before the courts for the disorders involved in the riots had a previous caution or conviction and so this fits in with Tannenbaum’s debate that once a person is labelled to be ‘ bad’ they will continue in that manner. However, this data is only reliable to a certain extent as we do not know what sort of convictions the rioters already had and so they have been labelled as criminals due to deviance. According to Becker deviance is ‘a consequence of the application by others of rules and sanctions to an offender’. Becker came to the conclusion that people are criminalised through the process of negotiation, known to be social constructionism for example the Crown Prosecution Service may drop the charge of murder to manslaughter if there is not enough evidence to convict for murder. By doing this the defendant becomes labelled for the crime of manslaughter even though he may truly be guilty of murder. By introducing what could be regarded as ‘petty’ legislation more people will be labelled criminals, which in turn may lead the offender to act further on this basis. Lemert referred to this as secondary deviance as when a person is labelled criminal they change their view of t hemselves and this then becomes their ‘master status’. On the other  hand primary deviance is when someone violates a social code, but does not get labelled. Therefore a person is only labelled a criminal if he is caught and since ethnic minorities are subject to much more scrutiny than the white population this puts black people at an automatic disadvantage. Following the inquiry into the death of Stephen Lawrence it was uncovered that the police are institutionally racist. Institutional racism can be defined as ‘the collective failure of an organisation to provide an appropriate and professional service to the people because of their colour, culture or ethnic origin’. This can be seen where police failed to identify the attack on Stephen Lawrence as being racially aggravated and presumed it was gang related. This is due to the labels attached to black people that they are all associated with black on black gun crime. Official figures show that black people in England and Wales are six times more likely to be stopped and searched by police in comparison with their white counterparts. The power given to police to stop and search is found under the Criminal Justice Act and requires the police to anticipate violence. For the Mark Duggan case although the officer may have reasonably believed the suspect had a gun this was due to the label attached to him because of the colour of his skin and so such an assumption was not as a result of any proper intelligence. This reflects institutional racism as it is hard to believe that a white person would have been treated in the same way. Despite many black deaths in police custody there has been no conviction of a police officer. This is because of assumptions made that the victim must have been at fault because of the stigma that is attached to black people. This suggests an element of class because the lower class would most likely be punished when caught, w hereas many officials manage to escape minor crimes and so the rich and powerful are protected. The Brixton and Toxteth riots were also in response to such discrimination as at this time the police thought they were ‘the law’ and so used brute force against many individuals for mere suspicion when in matter of fact they had done nothing wrong. Goffman referred to stigma as ‘spoiled identities’ which he defined as ‘an attribute that is deeply discrediting within a particular social interaction’. Referring back to the riots this means that certain people, in particular black people cannot rid themselves of such ‘spoiled identities’ and as a result are much more likely to be subject to assumptions that they are deviant. It was Schur that outlined  that a person employs deviant behaviour as a means of defence. This is relevant to the recent riots since one man declared that he only joined in after being stopped and searched several times while trying to make his way home from the disturbances in the city centre. This suggests th at the riot was escalated by anger towards the police as they inherit discrimination in carrying out their duties. Although racism is rooted in widely shared attitudes, values and beliefs, discrimination can occur irrespective of the intent of the individuals who carry out the activities of the institution. This means that the police may not even be aware that they are being racist, but the labels they attach to certain individuals are present regardless of whether it is intentional. This could be because of the small number of ethnic minority police officers and so the force is not representative, which in turn reflects the ignorance to the modern, multi-cultural society that we live in. So is it fair to say that the police are to blame for the break out of the riots or that they did not carry out their duties efficiently enough to prevent them? The telegraph has cited that Mark Duggan was well known to the police. They had assumed that Duggan had a gun and further misleading information leaked to the public that the victim had actually fired bullets at the police first. Both assumptions made by the police turned out to be false and so this created an outburst of anger since it appeared that such assumptions were based on the fact that Duggan was black. Labelling is a problem that cannot be reversed easily and was acknowledged by Sir Paul Condon where he stated â€Å"I acknowledge the danger of institutionalisation of racism. However, labels can cause more problems than they solve.† Deviancy Amplication, as Leslie Wilkins pointed out is the process where the reaction by agents or agencies of social control may lead to an escalation, rather than a diminution of deviancy. The riots reflect this as the deviant behaviour spirals out of control as more acts are defined as crimes which leads to more restraints against deviants which in turn leaves them feeling as outsiders and so pushes them into the surroundings of other criminals which again leads to more deviant acts. The 1981 Brixton riots produced the Scarman report which emphasised the duty of police to apply the law firmly and sensitively without differing standards and although many measures were introduced to improve trust and understanding between the police and ethnic mi nority communities, the  Macpherson inquiry in 2000 said the Metropolitan police still suffered from institutional racism. Although it is evident that labelling causes many problems that cannot be reverted, it would not have been diplomatic to keep the truth behind the institutional racism a secret from the public and so on its emergence it is fair to say that this caused the beginning of the riots. As a result of this the police have now too been labelled and therefore much trust has been lost in the eyes of the public. The Anomie theory was established in the aftermath of the industrial revolution where society had been subject to a social transformation, which saw a drop in the ability to maintain order. Durkheim said crime is normal in any society and is functional in two ways. The first being an adaptive function that ensures change in society by introducing new ideas and practices and the second type is the boundary maintenance function that reinforces social values and norms through collective action against deviance. He then progressed by outlining two typical social formations; organic solidarit y and mechanical solidarity. Organic solidarity is organised around difference, whereas mechanical solidarity displays identical and shared values and so sanctioning is served here to identify and exclude offenders. The two latter formations were used to understand the rates of suicide. Durkheim said that the suicide rates are down to social solidarity; that is the integration into social groups and the regulation of social norms. His findings showed that anomic suicide occurred where the degree of regulation was insufficient because individuals feel a sense of ‘normlessness’. This can be shown through the amount of suicides within prisons, namely Kilmarnock’s private prison, where six suicides have occurred since the prison opened in 1999 until 2005. In the BBC Panorama programme investigating Kilmarnock Prison a riot within the prison was described, where officers recall witnessing inmates setting fires, flooding and smashing televisions. This can be compared to the riots outside the prisons as the time at which they occur is when individuals are subject to economic and social change. In times of rapid social change, such as that from mechanical to organic solidarity system s of regulations may be insufficient to effectively limit individual desires and so what emerges is a state of anomie. This theory is therefore applicable as the Toxteth outburst, that followed the Brixton riot reflects a civil protest against the social change because during this time Toxteth had one of the highest  unemployment rates in the country. The citizens of Toxteth felt let down by the Government as the city hit a decline and they were given little help to be able to survive and so could not fit in with society. This is also the same for the more recent London riots as society struggles through the recession where high unemployment and high crime is also present. Durkheim also related organic solidarity to the sexual difference between men and women. He outlined that men are much more likely to commit crime due to the higher impact social change has upon males. This can be reflected through the 2011 riots as statistics show that out of all offenders brought before the courts10% were female and 90% were male. Whereas Durkheim’s work related crime to insufficient normative regulation , Merton’s Anomie theory was a result of the absence of alignment between socially-desired aspirations, such as wealth, and the means available to people to achieve such objectives. According to Merton every society has cultural goals in which to strive for throughout one’s lifetime and it was the ‘American Dream’ that this theory derived from. Although Martin Luther King, Jr. strived for racial equality, few will deny that American’s are focused on the ‘almighty dollar’. It was the idea that prosperity and success were available to all those that worked hard, however Merton argued that the cultural demands on persons to achieve wealth brought about the use of illegitimate means, where they are denied effective opportunities to do so institutionally. Although this is based on American culture it can be applied to the UK as our society today aims for material success. This is reflected throughout the looting that transpired out of the 2011 riots as much of the disorder was in aid of stealing goods and electrical products. The BBC referred to this in headlines as ‘greed and criminality’, however others argue that the subsequent looting was due to the lack of help from the Government, which has left many people in a state of desperation. Merton recognised that the majority of society will conform even though they suffer the strain of anomie, however those that do not conform can be categorised into four types of deviants. These four human adaptions are known as the Innovator, the Ritualist, the Retreatist and the Rebellion. In the UK the typical ‘drug dealer’ would be an innovator as they accept the cultural goals, but do not use the standard institutionalised means. This could be for reasons such as previous convictions preventing them from achieving a respected job and  therefore other means are used in order to reach the desired material success. Ritualism in contrast refers to those that still have the attachment to the institutional means, however the cultural goals have been lost. Here could fall the single parent working hard at all costs and not actually achieving the goal. Retreatism is where both the objectives and means have been rejected. Merton says that Retreatism concerns people who ‘are in society but not of it’, for example a typical British tramp. The Rebellion refers to the behaviour of many young individuals in Britain as they replace the cultural goals and the institutional means with their own rules to cope with anomic strain. The recession is a prime example of an economic break down in Britain, which would result in some members of society turning to illegitimate means in order to achieve goals where society has made the end goal much harder to achieve. So, for the offenders involved there is a display of Innovation as they have the goals but not the means to achieve them and so have jumped on the opportunity of crisis in order to gain material success. Merton went on to argue that non-conformity resulted from differential access to opportunities, such as education and employment. From this there is a clear link to labelling as it is societies label that holds back the individual and prevents them from being able to achieve the end goals legitimately. This refers to the majority of the rioters since 73% of the offenders involved had previous convictions, and so although the desired goals are still prominent the label restricts the opportunity of getting a decent job which in turn stops them achieving this ideology of material success. Even without a criminal conviction ethnic minority groups struggle to get the same opportunities in terms of employment. Looking at the UK as a whole, ethnic minorities make up about 7% of the population, yet in police forces across England and Wales, just 2% of their officers are non-white. It is also much harder for a police officer from an ethnic minority background to reach the rank of superintendent and so after much rejection they eventually ‘give up’. Following the Brixton riots the Scarman report recommended efforts to recruit more ethnic minorities into the police force, and changes in training and law enforcement. The Macpherson report somewhat 17 years later showed that nothing has changed. The main problem with this theory is that it looks to assess financial crimes and ignores mindless crimes such as vandalism.  However, as the riots are mainly concerned with burglary and theft (statistics show 13% of disorder was due to theft and 44% was assigned to burglary) this theory is applicable. Looking at the overall causes of the riots it is fair to say that the police have discriminated on the way a person looks and although this may have provoked further crime as deviancy amplication suggests, it is the Anomie theory that best explains the reasoning behind the riots. In order to prevent such mass atrocities occurring again, discrimination in any form must be eliminated from the Criminal Justice System. It was George Orwell that explained how society will become a ‘police state’ and although surveillance programmes and more police powers have been enforced to give greater security to citizens much freedom is subsequently lost. Technology has been put in place in order to secure convictions, however in order for this to work the police must also be subject to the same kind of control. This would prevent discrimination on their part and also regain the public’s trust in the police. The lack of opportunity from the Government has led to a proportion of society to ignore the law, which in turn creates disturbance between the law enforcers i.e. the police and the public. As the recent 2011 riots saw a more ‘stand back’ approach by the police, they argued that they did not have the proper resources to respond due to ‘cut backs’ from the Government, however much of the police fund is spent on the wrong resources and so this must also be addressed for society to be controlled effectively. After the Brixton and Toxteth riots the British public managed to regain police trust, however since the UK returned to an economic state like of that time it was evident that some form of protest would also reoccur. As this has happened, equal opportunities must be available to give everybody in society a chance to succeed, which in turn would lose the resentment that is held towards the Government and police. Bibliography Textbooks: Bowling, B., Violent Racism: Victimisation, Policing and Social Context, 1998, Clarendon Press Gilbert, J., Discographies: Dance Music, Culture, and the Politics of Sound, 1999, Routledge Newburn, T., Criminology, 2009, 1st edition, Willian Publishing Orwell, G., 1984, 1949, 1st edition, London: Secker and Warburg Journals: Bowling, B. and Phillips C., (2007) â€Å"Disproportionate and Discriminatory: Reviewing the Evidence on Police Stop and Search†. Modern Law Review. 70(6) Dicristina, B., (2006), â€Å"Durkheims latent theory of gender and homicide†. British Journal of Criminology. 46(2) Reports: Bell, I., 2011, Statistical bulletin on the public disorder of 6th to 9th August 2011 King, M.L., Jr., (1968) The American Dream, Negro History Bulletin 31 (5) Macpherson, W., 1998, The Stephen Lawrence Enquiry, London: Home Office Scarman, Lord J., 1981, ‘The Brixton disorders 10-12 April 1981’, London: HMSO Legislation: Criminal Justice and Public Order Act 1994 (c.33) Websites: BBC, December 2011, ‘Toxteth riots: Howe proposed managed decline for the city’, http://www.bbc.co.uk/news/uk-england-merseyside-16355281 BBC, 11th August 2011, ‘riots: David Cameron’s commons statement in full’, http://www.bbc.co.uk/news/uk-politics-14492789 BBC News London, ‘London riots: looting and violence continues’, 8th August 2011, http://www.bbc.co.uk/news/uk-england-london-14439970 Cached BBC, ‘On this day: 1981 Brixton riots report blames racial tension’, http://www.news.bbc.co.uk/onthisday/hi/dates/stories/november/25 Guardian, T., 6th December 2011, ‘Reading the Riots: Humiliating stop and search a key factor in anger towards police’, http://www.guardian.co.uk/uk/2011/dec/06/stop-and-search Peter Gould, BBC News online home affairs, ‘Changing face of justice’, http://news.bbc.co.uk/hi/english/static/in_depth/uk/2002/race/changing_face_of_justice.stm Kerry Townsend, ‘Frank Tannenbau m: Dramatization of evil’, http://www.criminology.fsu.edu/crimtheory/tannenbaum.htm Cached Similar CachedOxford Dictionary, ‘definition for deviant’, http://www.oxforddictionaries.com Scottish Government, ‘HM Inspectorate of Prisons Report on HM Prison Kilmarnock: January 2005’, http://www.scotland.gov.uk/Publications/2005/04/14103535 Cached Warshauer, M., Liverpool John Moores University, ‘Who wants to be a millionaire: Changing conceptions of the American Dream’ (2002), http://www.americansc.org.uk/Online/American_Dream.htm Wheatle, A., Evening Standard, 9th August 2011, ‘We need answers about the death of Mark Duggan’ http://www.thisislondon.co.uk/standard/article-23976405 Television Programmes: BBC One, 2005, â€Å"Panorama: Kilmarnock Prison Part 1†, LondonCached [ 1 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 212 [ 2 ]. Ministry of Justice, Statistical bulletin on the public disorder of 6th to 9th August 2011, (15th Sept 2011) page 11 [ 3 ]. BBC, 11th August 2011, ‘riots: David Cameron’s commons statement in full’, http://www.bbc.co.uk/news/uk-politics-14492789 accessed 18/02/2012Cached [ 4 ]. Oxford Dictionary, ‘definition for deviant’, http://www.oxforddictionaries.com accessed 20/02/2012 [ 5 ]. John Itsuro Kitsuse, 1962 [ 6 ]. Criminal Justice and Public Order Act 1994 (c.33) [ 7 ]. Jeremy Gilbert, Discographies: Dance Music, Culture, and the Politics of Sound, 1999, Routledge, page 150 [ 8 ]. 1994 [ 9 ]. Frank Tannenbaum, 1938 [ 10 ]. Kerry Townsend, ‘Frank Tannenbaum: Dramatization of evil’, http://www.criminology.fsu.edu/crimtheory/tannenbaum.htm accessed 19/02/2012Cached Similar [ 11 ]. Iain Bell, Ministry of Justice, Statistical bulletin on the public disorder of 6th to 9th August 2011, (15th Sept 2011) page 5 [ 12 ]. Howard Becker, 1963 [ 13 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 212 [ 14 ]. Edwin Lemert, 1967 [ 15 ]. ibid [ 16 ]. William Macpherson, 1998, ‘The Stephen Lawrence Enquiry, London: Home Office, chapter 6.25 [ 17 ]. Ben Bowling and Coretta Phillips, (2007) ‘Disproportionate and Discriminatory: Reviewing the Evidence on Police Stop and Search’. Modern Law Review. 70(6) 944 [ 18 ]. Criminal Justice and Public Order Act 1994 (c.33) section 60 [ 19 ]. Alex Wheatle, Evening Standard, 9th August 2011, ‘We need answers about the death of Mark Duggan’ http://www.thisislondon.co.uk/standard/article-23976405 accessed 21/02/2012 [ 20 ]. Erving Goffman, 1963 [ 21 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 217 [ 22 ]. Edwin Schur, 1951 [ 23 ]. The Guardian, 6th December 2011, ‘Reading the Riots: Humiliating stop and search a key factor in anger towards police’, http://www.guardian.co.uk/uk/2011/dec/06/stop-and-search accessed 20/02/2012 [ 24 ]. Benjamin Bowling, Violent Racism: Victimisation, Policing and Social Context, 1998, Clarendon Press, page 3 [ 25 ]. William Macpherson, 1998, ‘The Stephen Lawrence Enquiry, London: Home Office, chapter 6.25 [ 26 ]. Leslie Wilkins 1964 [ 27 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 218 [ 28 ]. BBC, ‘On this day: 1981 Brixton riots report blames racial tension’, http://www.news.bbc.co.uk/onthisday/hi/dates/stories/november/25 accessed 21/02/2012 [ 29 ]. Emile Durkheim, 1972 [ 30 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 170 [ 31 ]. ibid [ 32 ]. The Scottish Government, ‘HM Inspectorate of Prisons Report on HM Prison Kilmarnock: January 2005’, http://www.scotland.gov.uk/Publications/2005/04/14103535 accessed 21/02/2012Cached [ 33 ]. â€Å"Panorama: Kilmarnock Prison Part 1†, London: BBC One, 27/02/05, Retrieved 03/02/2012 [ 34 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 173 [ 35 ]. BBC, December 2011, ‘Toxteth riots: Howe proposed managed decline for the city’, http://www.bbc.co.uk/news/uk-england-merseyside-16355281 accessed 23/02/2012Cached [ 36 ]. London riots, (6 August 2011) [ 37 ]. B. Dicristina, (2006), â€Å"Durkheims latent theory of gender and homicide†. British Journal of Criminology. 46(2), 212-233 [ 38 ]. Ministry of Justice, Statistical bulletin on the public disorder of 6th to 9th August 2011, (15th Sept 2011) page 3 [ 39 ]. Robert Merton, 1949 [ 40 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 175 [ 41 ]. Martin Luther King, Jr., (1968) The American Dream, Negro History Bulletin 31 (5), 10-15 [ 42 ]. Matthew Warshauer, Liverpool John Moores University, ‘Who wants to be a millionaire: Changing conceptions of the American Dream’ (2002), http://www.americansc.org.uk/Online/American_Dream.htm accessed 21/02/2012 [ 43 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 175-176 [ 44 ]. BBC News London, ‘London riots: looting and violence continues’, 8th August 2011, http://www.bbc.co.uk/news/uk-england-london-14439970 Cachedaccessed 22/02/2012 [ 45 ]. T. Newburn, Criminology, 2009, 1st edition, Willian Publishing, page 175-177 [ 46 ]. Iain Bell, Ministry of Justice, Statistical bulletin on the public disorder of 6th to 9th August 2011, (15th Sept 2011) page 5 [ 47 ]. Peter Gould, BBC News online home affairs, ‘Changing face of justice’, http://n ews.bbc.co.uk/hi/english/static/in_depth/uk/2002/race/changing_face_of_justice.stm accessed 22/02/2012 [ 48 ]. ibid [ 49 ]. 1981 [ 50 ]. Lord Scarman, 25th November 1981, ‘The Brixton Disorders10-12 April 1981’, London: HMSO [ 51 ]. Iain Bell, Ministry of Justice, Statistical bulletin on the public disorder of 6th to 9th August 2011, (15th Sept 2011) page 7 [ 52 ]. George Orwell, 1984, 8th June 1949, 1st edition, London: Secker and Warburg

Essay --

Postmodernism has always been somewhat present during every generation of people in America. In fact, it alludes to future ideas that are cutting edge when compared to the theologies of the modern times. The Emergent church can be classified as postmodern, because it is in fact an â€Å"emerging† movement. Perhaps the question we should ask is if it’s just a phase in America, or is it here to stay? We should first answer the questions that it brings up, before we can answer what it actually represents. However, there is one thing we do know, which is that the name comes from the fact that this â€Å"movement† is gradually changing the philosophy of Christianity. In every sense, the Emergent church is at least, improvisational. It takes Christianity, and not only challenges the traditional ways of the religion, but alters it in order to appeal to a new generation of non-believers as well as believers. The emerging church is used to describe the new and rapidly growing amount of mission Christian congregation. It is a name given to those who believe that God is the truth alone, but the old ways of exposing that fact are no longer useful in today’s society. Such things include worship, prayer, preaching, and outreach. The emerging generation sees these aspects as very flexible features of the Christian church since the old forms of expression don’t seem to have as much of an effect on society today than it did decades ago. In this logic, the emergent church is seeking alternative forms of spiritual formation that are controversial to, and within Christianity, which is making it a misunderstood movement. Like every other ty pe of movement, this effort had just started as a conversation among its leaders. Some of the first people to... ...nce of homosexuality. Which makes it seem like the Emergent church is not representing significant conversion growth, but instead are gathering upset Christians and making alternative beliefs. Which is why it has become vital to try and understand this movement, so that assumptions can’t be made that could potentially cause a chasm in Christianity. The Emergent Church has both positive and negative effects. It’s beneficial in the way that it is adapting to today’s culture to assist with evangelism, but it isn’t a totally comfortable concept to grasp. Neither is postmodernism, which the emerging movement basically represents in its theologies and ideas. The fact is that for as many questions that it can answer in Christianity, it raises twice as much. However, whether or not the culture accepts this movement, the one thing that seems inevitable, is its growth.

Treatment Of Class Ii Malocclusion Health And Social Care Essay

Functional contraptions such as Bionator have been used to handle Class II malocclusion in kids. Multi-P is a freshly developed contraption engineered for early intervention of alveolar consonant and skeletal anomalousnesss. The intent of this survey was to compare the skeletal, dental and soft tissue effects of Bionator contraptions with Multi-P contraptions in the intervention of Class II malocclusion. Subjects and methods: 45 category II kids were chosen and indiscriminately assigned to either the Bionator or Multi-P intervention group. After excepting 13 patients from the survey, 21 patients in Bionator and 11 patients in Multi-P group have participated in the survey. Lateral cephalograms were analyzed at the start of intervention ( To ) and at the terminal of contraption therapy ( T1 ) to measure the soft and difficult tissue alterations in both groups. The mated t.test and Leven ‘s trial were used for statistical analysis. Consequences: Decrease of ANB angle was observed in both intervention groups. The Bionator group underwent insignificant greater inframaxillary promotion as measured by the SNB angle. ( p= 0.737 ) The inframaxillary plane angle increased insignificantly in both groups. ( p & A ; gt ; 0.05 ) The disposition of upper incisors decreased significantly in Multi-P group. ( p= 0.042 ) Both lips showed a inclination toward bulge relation to the E. line and S. line in both groups. Decision: Both contraptions are effectual curative agencies for category II intervention associated with inframaxillary lack and may take to standardization of the dentoskeletal parametric quantities at the terminal of the intervention.Keywords: Bionator, Multi-P, Class II malocclusionComparative survey of the Bionator and Multi- P contraptions in the intervention of Class II malocclusion: A cephalometric surveyIntroductionClass II malocclusion is a skeletal disagreement that may be caused by maxillary prognathism, inframaxillary retrognathism or both conditions. 1 There are many different methods and contraptions for rectifying Class II jobs. 2 For many old ages functional contraptions have been used successfully to handle Class II Division 1 malocclusions in kids. These devices correct a important abnormalcy in the relationship between upper and lower jaws.3,4,5 Many orthodontists prefer utilizing functional contraptions as the first phase of intervention in pre-pubertal stage whic h can bring forth early alterations in the growing pattern1. In immature grownups, fixed functional contraptions are a intervention option to extraction therapy. 6 Functional contraptions can increase facial height7 and besides anterior arch length, bespeaking a bulge of incisors, particularly in the lower arch.8 The benefits of early intervention in Class II Division 1 malocclusion are evident: optimum wellness and map, superior facial esthetics, fewer extractions, a decrease in continuance and troubles of subsequent therapies, fewer intervention hazards, consistent and predictable riddance of stage II intervention, and improved patient self-pride. 1, 9 Bionator is one of the most normally used contraptions for the functional intervention of Class II Division 1 malocclusion associated with inframaxillary retrusion.3,4,10 The effects of this device are known to be similar to those of other functional contraptions. Most surveies have reported that the Bionator is effectual in the intervention of mild to chair skeletal Class II malocclusions in patients with assorted teething. Ahn et Al. stated sing to proper patient choice, Bionator contraption can bring forth clinically stable and favorable results.5 Several probes conducted to place both the dentoalveolar and skeletal effects of this appliance.3,4,5,10 The dentoalveolar alterations consist of maxillary incisor abjuration and uprighting, associated with proclination of the lower incisors.11 An addition in inframaxillary molar eruption caused by accommodations on the eruption aspects of the contraption has been documented every bit good. Although no skeletal alteration has been found for the upper jaw, a favorable addition in entire inframaxillary length has been described systematically in patients treated with Bionator.12 The skeletal alterations associated with functional contraptions have important effects on the soft tissues, chiefly dwelling of alterations in the perpendicular dimensions of the face and place of the lips.4,13 Although the consequence of Bionator on soft tissue profile is still questionable.14,15 Overall cephalometric marks demonstrate the effectivity of Bionator functional intervention of skeletal Class II inharmoniousness such as: addition in ramus tallness, addition in entire inframaxillary length, gap of the gonial angle, posterior rotary motion of the condylar line in relation to the mandidbular line and backward supplanting of the condylar caput in relation to the mention system.10,12, 16 Harmonizing to De Almeida et Al. Binoator and Frankel showed statistically important additions in inframaxillary growing and inframaxillary bulge, where there were greater additions in patients treated with Bionator. In add-on Bionator caused a greater addition in posterior facial height.17 Jena et Al. concluded that Twin-block and Bionator were effectual in rectifying molar relationships and cut downing overjet in Class II Division 1 malocclusion topics. However, the Twin-block was more efficient than the Bionator.18 Multi-P ( RMO Europe, Strabourg, France ) , which launched in Europe in 2005 in Paris, is a freshly developed contraption engineered for early intervention of alveolar consonant and skeletal anomalousnesss. ( Figure 1 ) This contraption is manufactured in silicone for improved patient comfort and its high vestibular borders cause effectual counsel for dentition. Multi-P is sterilizable in sterilizers and may be disinfected in boiling H2O. One of the advantages of Multi-P is the fact that the fiction of this contraption which is clinically clip consuming ( for feeling and accommodation ) and laboratory procedures would be omitted and it can be delivered to the patient instantly after choice of the proper size. Besides flexibleness of the Multi-P might assist in alining and grading of crowded dentitions during skeletal corrections. One of its indicants is horizontal disagreements but there is no survey about effectivity of Multi-P in intervention of skeletal category II malocclusions.1 9 However, effectual interventions with similar contraptions such as eruption counsel appliance-Nite-Guide ® in kids have been reported in old studies.20,21,22 The intent of this clinical survey was to compare the skeletal, dental and soft tissue effects of Bionator contraptions with Multi-P contraptions on the skeletal and dentoalveolar constructions in the early intervention period of Class II Division I malocclusions.Subjects and methodsThis Randomized Clinical Trial survey was designed to measure the skeletal, dentoalveolar, and soft tissue effects of category II rectification with 2 intervention modes utilizing cephalographs of the patients. Treatment protocol consisted of category II rectification by Bionator or Multi-P contraption followed by about 2 old ages of fixed contraption therapy to polish occlusion. At first, the survey was reviewed and approved by the Human Ethics Review Committee of the Faculty of Dentistry, †¦ . University of Medical Sciences. Informed consent was obtained from all parents to let their kids to take part in the survey.Sample:Inclusion standards in this research comprised category II skeletal relations hip ( clinical scrutiny of profile by an adept orthodontist, ANB angle & A ; gt ; 5 & A ; deg ; , SNB angle & A ; lt ; 78 & A ; deg ; , Wits assessment & A ; gt ; 0, Facial angle & A ; lt ; 95 & A ; deg ; and Overjet & A ; gt ; 5 millimeter, Class II grinder relationship, about optimum inframaxillary plane angle ( GoGn/SN= 32 ± 20 ) , no lasting dentitions extracted before or during intervention, good quality radiogram with equal landmark visual image taken earlier intervention ( T0 ) and after intervention ( T1 ) and the age of 9-12 old ages ( misss: 9-11 old ages old and boys: 10-12 old ages old ) . The patients who had all of the including standards were entered the survey. Exclusion standards comprised IMPA more than 90 grades, un-cooperation, retroclination of upper incisors and history of orthodontic intervention. The finding of sample size was accomplished by the undermentioned expression with a significance degree of 0.05, a power degree of 0.80 with a common criterion divergence ( Sp ) = 0.28. The minimal sample size for this survey was 11 in each group.Randomization process:The category II kids were chosen from the patients of a individual orthodontic pattern who go toing the section of orthodontias, †¦ . university of medical scientific disciplines. They were indiscriminately assigned to either the Bionator or Multi-P intervention group for the first stage of the orthodontic intervention. Randomization was accomplished by the research worker by utilizing a tabular array of random Numberss. If the figure was even, the patient was assigned to the Bionator group and if the figure was uneven, the patient was assigned to the Multi-P group.Therapy:Initially, 45 patients were in Bionator and Multi-P group. 13 patients ( 9 in Bionator group and 4 in Multi-P group ) were eliminated from the s urvey because of the patients ‘ hapless cooperation, excessively much missed assignments and hapless quality of radiographic images and their contraptions were changed to duplicate block. The research workers encouraged the kids before and during intervention to better the cooperation but if clinical scrutiny ( deficiency of posterior unfastened bite and no alteration in overjet ) and household study proved un-cooperation of the patient, that topic was excluded from the survey. After excepting 13 patients from the survey, the concluding size of sample was 21 patients ( 7 males and 14 females ) in Bionator and 11 patients ( 5 males and 6 females ) in Multi-P group. Before intervention oncoming, sidelong cephalographs were taken for all patients ( T0 ) . All patients were prepared for functional therapy by a primary maxillary removable contraption which contains cross enlargement prison guard and springs ( if needed ) . The enlargement was continued until no posterior cross-bite inclination observed during inframaxillary promotion. After this stage, for readying of working bite, border to inch incisors relationship ( if overjet was non more than 4-6 millimeter, and if it was more than 4-6 millimeter, progressive promotion was accomplished ) and 3-4 millimeter bite opening between cardinal incisors were considered. The Bionator contraptions were made by research lab procedures and fabricated in the same research lab. The Multi-P contraptions were provided by its maker in prefabricated signifiers with different sizes. Appropriate size was selected and delivered instantly harmonizing to patients characters. Multi-P is a flexible silicone-based contraption and has no wire constituent. All patients were instructed to utilize both contraptions full clip except for mastication, tooth brushing and contact athleticss. During intervention period the patients were checked by one clinician every 4-6 hebdomads. After 6 months of functional therapy and after accomplishing a normal overjet ( 2-3 millimeter ) , intervention with functional contraption was terminated and post-treatment sidelong cephalogram ( T1 ) was taken in the same radiology centre with the same fortunes. After the first stage of treatment/observation period, orthodontic intervention with fixed contraptions was initiated.Cephalometric analysis:Landmarks were recorded on an 8*4 inch sheet of 0.003-inch flatness, acetate following paper. Linear and angular caput movie measurings were performed with the 0.5 millimeter and 0.5 grades accuracy severally. The additive roentgenographic expansion of caput movies was non considered. All the tracings and measurings were accomplished by one occupant of orthodontias ( S.H ) . This occupant and the operator who preformed statistical analysis were blinded to which group each patient belonged. The soft and difficult tissue alterations were evaluated in all groups on standardised sidelong cephalograms. Cephalometric standards that were compared between two intervention attacks before and after intervention are: ANB angle, SNB angle, Wits assessment, overjet, overbite, N-Menton, inframaxillary plane angle ( SN/ Mand. plane ) , IMPA angle, maxillary incisors to SN and lips ( upper and lower ) distances to E. line and S. line. If after 6 months no betterment with contraption was observed the patient was excluded from this survey and another common contraption was used.Statistical analysis:All measurings were tested for group differences with regard to T0 ­ and T1 values and T0-T1 ( difference ) values. The comparing of the average values from the beginning and the terminal of the survey in each group ( intra-group comparing ) were made by the usage of a mated t. trial. The comparing of those average values and differences of pre-and post-treatment values between the groups ( inter-group comparings ) were analyzed statistically by the Leven ‘s trial. The degree of significance used was P & A ; lt ; 0.05.ConsequencesThe average pre- intervention age was 11.17  ±1.354 old ages for the Bionator group and 10.55  ±1.753 old ages for the Multi-P group. The average age of patients in both groups was non statistically different. ( p= 0.247 ) The mean intervention continuance was 10.48  ± 4.191 months for the Bionator patients and 14.09  ± 4.036 months for the Multi-P patients. The continuance of intervention with Multi-P was significantly longer than that of Bionator. ( p= 0.026 ) During intervention period the patients in both groups were examined clinically every 4-6 hebdomads. The Bionator group and the Multi-P group were really similar at the start of intervention. They did non demo any differences with the exclusion of overjet and upper incisor disposition which were more in the Multi-P group. ( p & A ; lt ; 0.05 ) Skeletal alterations: Decrease in the anteroposterior apical base disagreement via an angular appraisal of ANB angle was observed in both intervention groups ( Bionator = 0.857o and Multi-p = 1.727 ) . These decreases were statistically important in both groups ( P & A ; lt ; 0.05 ) nevertheless there was no important difference between two groups. ( p= 0.094 ) SNB angle increased in Bionator group ( 1.3o ) and Multi-P group ( 1.1o ) . Although these alterations were important ( p & A ; lt ; 0.05 ) , there was no important difference in both groups in footings of SNB alterations. ( p= 0.737 ) The Bionator group underwent insignificant greater inframaxillary promotion as measured by the SNB angle. At the terminal of the intervention, a important lessening in the overjet and overbite was seen in both groups. ( p & A ; lt ; 0.05 ) The additive distance of N- Menton was more increased in Bionator group ( 6.1mm ) than in Multi-P group ( 5.3 millimeter ) . ( p= 0.000 ) . Overall the inframaxillary plane angle ( SN/ Mand. plane ) increased insignificantly in both groups during the survey. ( p & A ; gt ; 0.05 ) The two groups showed similar increasing of this angle. ( p= 0.18 ) Dentoalveolar alterations: The disposition of lower incisors showed an undistinguished addition in Bionator group ( 0.7o and p= 0.505 ) and an undistinguished lessening in Multi-P group ( 0.2o and p= 0.810 ) . There was statistically important difference in both groups ( p= 0.014 ) in footings of alterations in IMPA. A important lessening in the disposition of upper incisors ( U1 to SN ) was seen in Multi-P group ( 2.9o and p= 0.042 ) , But in Bionator group the disposition of upper incisors was increased ( 0.4o and p= 0.723 ) . However, these alterations in the dispositions of upper incisors were non significantly different between two groups. ( p= 0.076 ) Figure 2 shows the superimposition of average important dentoskeletal alterations after intervention by Bionator and Multi-P contraptions. Soft tissue alterations: The overall alterations in soft tissue profile were similar between the 2 groups. Both upper and lower lips showed a inclination toward bulge relation to the E. line and S. line in both groups. ( Table 1 )DiscussionFunctional contraptions can promote the forward growing of a retrusive or under-developed lower jaw in category II malocclusions. These contraptions hold the mandible in a protrusive place. By this manner, dentitions, jaws and articulations are adapted and the desired jaw place will be obtained. Therefore the curative effectivity of functional contraptions include: skeletal, dentoalveolar and soft tissue alterations that can be evaluated by cephalometric surveies. 5 In the current survey, before intervention, both groups did non demo any important differences with the exclusion of overjet and disposition of upper incisors. The impact of the likely prejudice in the consequences of the intervention is significantly reduced by the similarity of the samples ‘ characteristics.22 This survey compared the intervention effects of 2 different category II intervention modes, one protocol integrating the Bionator contraption and the other one, the Multi-P contraption for the first stage of intervention. However, it would hold been desirable to compare the information of the Bionator and Multi-P groups with longitudinal growing informations of untreated topics with category II malocclusion to extinguish possible differences in growing forms. Unfortunately, no such sample consisting a sufficient figure of topics exists24 similar to Rudzki-Janson and Noachtar survey that did non include an untreated control sample in their survey for the rating of the i ntervention effectiveness.25 Sagittal alterations: In this survey the ANB angle showed a important lessening in both of the intervention groups. This is in understanding with the consequences of Tumer et al.26 and Sidlauskas27 surveies by utilizing monoblock and twinblock in their intervention groups, severally. The bulk of category II malocclusions have a constituent of inframaxillary lack and coercing the patients to hold maps with their lower jaw forwarded, could excite inframaxillary growth.28 In this survey, the Bionator and Multi-P contraptions significantly increased the SNB angle of treated patients. Therefore both are effectual curative agencies for category II intervention associated with inframaxillary lack. In the present survey, decreased Wit ‘s assessment and overjet and besides increased SNB showed that effectual inframaxillary growing occurred in both groups. The addition of effectual inframaxillary length after functional therapy is besides supported by different studies.4,10,12,20,21,26,2 7 However, some surveies did non demo important alterations in inframaxillary length induced by functional appliances.28 The stimulation of inframaxillary growing can be shown as a ground for the lessening of ANB angle in the Bionator group, whereas in the Multi-P group the undistinguished lessening of SNA can besides be shown as an extra factor for this lessening of ANB angle. This could be concluded that Multi-P has a small consequence on the forward growing of the upper jaw. Overall, the alterations in SNA angle by intervention in both groups were non important and this might be attributed to better control of sagittal midfacial growing. This determination is besides supported by Almeida et al.12 and Barnett et al.29 and Janson et al.30 surveies which did non happen alterations in the sagittal length or place of the upper jaw after intervention with Herbst, Bionator or Fr & A ; auml ; nkel contraptions. However, Antonarakis and Kiliaridis concluded that twin block contraptions seem to move on the upper jaw ( lessening in SNA ) .31 The differences may be related to the sort of contraption and wear cl ip. The Multi-P group showed a greater sweetening in the forward repositioning of the mandible compared with the Bionator group, ensuing in a grater decrease in the ANB angle. Although the differences of ANB alterations between 2 groups was non statistically important ( p= 0.094 ) , but the difference might be considered clinically important ( ANB decrease was 0.8o in Bionator group and 1.7o in Multi-P group ) . A important lessening in the grade of overjet was seen in both of the intervention groups. Some writers believed that the lessening in the overjet is perfectly dependent on the dental alterations. By the retrusion of upper incisors and the bulge of lower incisors, the grade of overjet decreases.26,27 But in this survey, the alteration in the disposition of lower incisors in both groups and in the disposition of upper incisors in Bionator group were non important. ( p & A ; gt ; 0.05 ) Although the upper incisors were retruded after Multi-P intervention, it seems that stimulation of manibular growing is primary cause of overjet lessening. The ground for the lessening of overjet may be related to the stimulation of the forward growing of the mandible, in add-on to the abjuration of the upper incisors.26,27 Most of the Activator surveies available in the literature study a important decrease of ANB angle during treatment.32 Harmonizing to Albers and Dermaut, these alterations are, nevertheless, within the scope of physiological growth.33 The findings of the present survey clearly indicate that important biological alterations in the occlusal relationships ( overjet and overbite ) and inframaxillary growing increases can be achieved by Bionator and besides Multi-P therapy. This is in understanding with the consequences of Faltin et Al. ‘s survey which confirmed the advantages of Bionator therapy during pubertal growing jet. In their survey Bionator caused a important betterment in the overjet ( -4.2 millimeter ) .10 Besides in our survey, the decrease of overjet in Bionator group ( 2.5  ± 2.1 millimeter ) and in Multi-P group ( 3.1  ± 1.8 millimeter ) was statistically important ( p= 0.000 ) . Additionally, forward location of condyle-glenoid pit composite which has been report ed by Wadhawan et al.34 were non considered in this survey. Alveolar consonant: It is clear that a response to the anterior supplanting of the mandible occurs within the dental arch. The force returning the mandible to its original place causes retroclination of upper incisors and proclination of lower incisors.26,27 In the present survey, the angle between sella-nasion plane and the maxillary incisors increased in Bionator group insignificantly and decreased in Multi-P significantly. However, the two groups had no important difference in footings of alteration in upper incisor disposition. ( p= 0.076 ) In the Multi-P group, upper incisors demonstrated a greater grade of retrusion, nevertheless, within the Bionator group, the lower incisors showed a little and undistinguished grade of proclination. Tumer et Al. found that the disposition of lower incisors increased and the disposition of upper incisors decreased in monoblock and twin- block groups.26 In this survey Bionator caused bulge of lower incisors but Multi-P caused retrusion of lower incisors. Faltin et Al. ‘s topics who used Bionator contraptions when they were at the extremum of the growing speed showed important dentoalveolar promotion of the lower dentition in a mesial direction.10 These differences might be attributed to different contraption designs and have oning protocols. Sometimes cresting of the inframaxillary incisors are recommended to forestall flaring of these dentitions during Activator treatment.34,35 However, the contraption design used in the present survey did non include any capping of the lower incisors. Soft tissue: In the present survey the distances between upper lip to E. line and S. line were decreased in both groups. The upper lip protracted comparative to E. line and S. line in both groups but the upper incisors retracted in Multi-P group. Sharma and Lee did non happen a important alteration in upper lip landmarks after intervention with duplicate block and mini-block appliances.36 In Varlik et Al. ‘s study37 a lessening in 1-SN angle indicated important maxillary incisor abjuration by Activator and Twin block. However, soft tissue points related to the upper lip did non uncover a alteration relation to the perpendicular mention line. This might be attributed to the fact that incisor abjuration was accomplished largely by abjuration of the incisal border, with a little backward supplanting of the cervical point. Probably this tipping motion resulted in less alterations in the upper lip.37 Upper lip version to the alterations of incisors disposition is still controversial , Kasai et Al. 38 and Ramos et al.39 reported a mean ratio for maxillary incisor abjuration to upper lip abjuration of 2.38:1  ± 1.67 38, and 1:0.70  ± 0.05,39 severally. These surveies used additive measuring to find positional alterations of the incisors. The intent of utilizing the E. line and S. line as the mentions was non to quantify the alterations but to find whether a desirable lip relationship was achieved when the alteration in soft tissue pogonion was considered. 37 After intervention the average values of the upper lip to E and S lines in both contraption groups were really near to its normal values. ( -3.14 and 0.333 in Bionator and -1.591 and 0.909 in Multi-P severally ) In this survey, the place of the lower lip had no important alteration in both groups. Although decrease of the overjet can ensue in the uncurling of the lower lip, which in bend can take to a important addition in the labiomental angle. 37 Duration and age: In this survey the mean intervention continuance was 10.48  ± 4.191 months for the Bionator patients and 14.09  ± 4.036 months for the Multi-P patients. Although the continuance of intervention was statistically different in two groups, the 4 months difference might non be clinically different. In this survey, skeletal adulthood was non considered. The skeletal adulthood of topics was non evaluated in the Baltromejus et Al. ‘s survey, and merely age- related comparings were performed.24 However Faltin et Al. used growing phases in the cervical vertebrae for rating of skeletal maturity.10 Besides basic differences in the physiologic condylar / inframaxillary growing form between the Bionator and Multi-P were non considered in this survey. Vertical: By rating of alterations in SN/ Mand. Plane, N-Me and overbite, it can be concluded that in both groups of this survey the anterior facial tallness increased during intervention. The increased facial tallness by the usage of different functional contraptions has been shown in many studies.12,26 In Baltromejus et Al. ‘s survey, they found a strong perpendicular condylar growing stimulation and caudal supplanting of mentum induced by Activator therapy. This might be due to the intermittent forces generated by the Activator.24 In the survey of Baccetti et Al. the patients treated by twin block showed gap of the gonial angle.40 The trimming of the functional contraption leting the eruption of grinder and bicuspids might hold contributed to a perpendicular jaw development.24 The increased facial tallness during intervention in our survey showed that the Bionator and Multi-P contraptions are more favorable picks in patient with short facial tallness. This is in understanding with the consequences of Baltromejus et Al. which stated that hypo-divergent topics respond more favorably to Activator intervention than hyper-divergent subjects.24 In this survey, both groups showed increased N-Menton distance and Bionator caused greater addition in facial tallness. This might be attributed to the trimming of the posterior acrylic rosin in Bionator contraption which is impossible in Multi-P contraption. Paring the inferior boundary line of the posterior bite blocks allows the clinician to ease the eruption of the posterior teething in patients with a short lower anterior facial tallness and an accentuated curve of Spee.23 It must be noted that lessening in overbite occurred in both groups which showed the effects of both contraptions on perpendicular dimension. When the alterations in the two intervention groups were evaluated, the measurings which revealed statistically important differences are shown in Table 2. The most marked intervention alterations were about 2-6 millimeter ( in Wit ‘s, overjet and N-menton ) . This difference might look of small importance, nevertheless, harmonizing to profile surveies, a alteration of a few millimeters in one characteristic can change the aesthetics of the remainder of the face.41 Relatively high standard divergences of the values of the intervention alterations reflected a big fluctuation in the single patient responses. The stableness of the consequences achieved by functional contraption therapy has been a major concern. Continued skeletal growing can impact the skeletal and alveolar consonant alterations which could ensue in soft tissue alternations. For this ground efficient orthopedic keeping should be used. 37 The contraptions were re-evaluated after 10-14 months. Longer-term follow- up would be valuable. Besides, informations sing the long- term results of Multi-P therapy recommended for a unequivocal assessment of the stableness of the really favorable short- term dentoskeletal alterations. The comparatively little figure of patients involved in this survey may hold been excessively few to foreground any differences between the Multi-P and Bionator. Although there was an equal figure of possible patients, several patients were un-cooperative and some patients had uncomplete records. Besides clip and equipment handiness were of import confining factors. Overall the Bionator is comparatively susceptible to breakage but the flexible nature of Multi-P decreases this occurrence. The Bionator is constructed in all Persian orthodontic research labs and its cost is about half or one- tierce of the Multi-P contraptions. The Multi-P contraption which is prefabricated demands a small chair-side clip of the clinician but the Bionator needs fiction of building bite by the clinician which in some patients stopping points for a long chair-side clip. From a clinical point of position, the Bionator requires more accommodation than the Multi-P contraption. The patients ‘ perceptual experiences of their contraptions might be utile to clinicians but this was non considered in this survey.DecisionThe findings of the present survey on Multi-P therapy in category II patients indicate that this intervention protocol is effectual. In this survey, the Bionator and Multi-P contraptions increased significantly the SNB angle of treated patients. Therefor e both are effectual curative agencies for category II intervention associated with inframaxillary lack and they can take to standardization of the dentoskeletal parametric quantities at the terminal of the intervention.