Geography of Burma or Myanmar

Geography of Burma or Myanmar Population: 53,414,374 (July 2010 estimate)Capital: Rangoon (Yangon)Bordering Countries: Bangladesh, China, India, Laos, and ThailandLand Area: 261,228 square miles (676,578 sq km)Coastline: 1,199 miles (1,930 km)Highest Point: Hkakabo Razi at 19,295 feet (5,881 m)Burma, officially called the Union of Burma, is the largest country by area located in Southeast Asia. Burma is also known as Myanmar. Burma comes from the Burmese word Bamar which is the local word for Myanmar. Both words refer to the majority of the population being Burman. Since British colonial times, the country has been known as Burma in English however, in 1989, the military government in the country changed many of the English translations and changed the name to Myanmar. Today, countries and world organizations have decided on their own which name to use for the country. The United Nations for example, calls it Myanmar, while many English speaking countries call it Burma.History of BurmaBurmas early history is domi nated by the successive rule of several different Burman dynasties. The first of these to unify the country was the Bagan Dynasty in 1044 CE. During their rule, Theravada Buddhism rose in Burma and a large city with pagodas and Buddhist monasteries was built along the Irrawaddy River. In 1287, however, the Mongols destroyed the city and took control of the area.In the 15th century, the Taungoo Dynasty, another Burman dynasty, regained control of Burma and according to the U.S. Department of State, established a large multi-ethnic kingdom that was focused on expansion and the conquest of Mongol territory. The Taungoo Dynasty lasted from 1486 to 1752.In 1752, the Taungoo Dynasty, was replaced by the Konbaung, the third and final Burman dynasty. During Konbaung rule, Burma underwent several wars and was invaded four times by China and three times by the British. In 1824, the British began their formal conquest of Burma and in 1885, it gained full control of Burma after annexing it to British India.During World War II, the 30 Comrades, a group of Burmes e nationalists, attempted to drive out the British, but in 1945 the Burmese Army joined British and U.S. troops in an effort to force out the Japanese. After WWII, Burma again pushed for independence and in 1947 a constitution was completed followed by full independence in 1948.From 1948 to 1962, Burma had a democratic government but there was widespread political instability within the country. In 1962, a military coup took over Burma and established a military government. Throughout the rest of the 1960s and into the 1970s and 1980s, Burma was politically, socially and economically unstable. In 1990, parliamentary elections took place but the military regime refused to acknowledge the results.During the early 2000s, the military regime remained in control of Burma despite several attempts for overthrow and protests in favor of a more democratic government. On August 13, 2010, the military government announced that parliamentary elections would take place on November 7, 2010.Government of BurmaToday Burmas government is still a military regime that has seven administrative divisions and seven states. Its executive branch is made u p of a chief of state and head of government, while its legislative branch is a unicameral Peoples Assembly. It was elected in 1990, but the military regime never allowed it to be seated. Burmas judicial branch consists of remnants from the British colonial era but the country has no fair trial guarantees for its citizens.Economics and Land Use in BurmaBecause of stringent government controls, Burmas economy is unstable and much of its population lives in poverty. Burma is however, rich in natural resources and there is some industry in the country. As such, much of this industry is based on agriculture and the processing of its minerals and other resources. Industry includes agricultural processing, wood and wood products, copper, tin, tungsten, iron, cement, construction materials, pharmaceuticals, fertilizer, oil and natural gas, garments, jade and gems. Agricultural products are rice, pulses, beans, sesame, groundnuts, sugarcane, hardwood, fish and fish products.Geography and Climate of BurmaBurma has a long coastline that borders the Andaman Sea and the Bay of Bengal. Its topography i s dominated by central lowlands that are ringed by steep, rugged coastal mountains. The highest point in Burma is Hkakabo Razi at 19,295 feet (5,881 m). The climate of Burma is considered tropical monsoon and as such it has hot, humid summers with rain from June to September and dry mild winters from December to April. Burma is also prone to hazardous weather like cyclones. For example in May 2008, Cyclone Nargis hit the countrys Irrawaddy and Rangoon divisions, wiped out entire villages and left 138,000 people dead or missing.ReferencesCentral Intelligence Agency. (3 August 2010). CIA - The World Factbook - Burma. Retrieved from: https://www.cia.gov/library/publications/the-world-factbook/geos/bm.htmlInfoplease.com. (n.d.). Myanmar: History, Geography, Government, and Culture- Infoplease.com. Retrieved from: infoplease.com/ipa/A0107808.html#axzz0wnnr8CKBUnited States Department of State. (28 July 2010). Burma. Retrieved from: state.gov/r/pa/ei/bgn/35910.htmWikipedia.com. (16 August 2010). Burma - Wikipedia, the Free Encyclopedia. Retrieved from: http://en.wikipedi a.org/wiki/Burma

Amy Chua Hanna Rosen Essay Example for Free

Amy Chua Hanna Rosen Essay Amy Chua and Hannah Rosin: a comparison and contrast of parenting styles In recent years, Yale professor Amy Chua has drawn a great deal of attention due to her focus on a parenting style that is foreign – both figuratively and literally – to most Western parents. This style centers on a Chinese model that Chua espouses, and that has become famous, or infamous, for the stern and rigorous practices that Chua enforced with her own two daughters. Chua has received a large amount of criticism; one of her critics is Hannah Rosin, a prominent writer and editor. In response to Chua, Rosin outlines an alternative method of parenting. It can be argued that while both Chua and Rosin are involved and devoted mothers, they have distinctly contrasting views on how to raise children. There are three areas in which this contrast can be most clearly seen: attitudes to success, attitudes to self-esteem, and attitudes to happiness. Amy Chua’s model of parenting has success at its core. Chua sums up the Chinese approach to activities in this way: â€Å"What Chinese parents understand is that nothing is fun until you’re good at it† (Chua, 2011). With this as a mantra, Chua promotes an extremely rigorous approach to such activities as learning a musical instrument; she believes that two or three hours of practicing an instrument daily is appropriate for young children. Furthermore, Chua believes that parents should not give their children any choice over which musical instruments to learn; the violin and piano are the only acceptable choices, regardless of the child’s natural talent or predilection. This approach is also evident in academics. Chua says, â€Å"†¦the vast majority of Chinese mothers†¦believe their children can be ‘the best’ students, that ‘academic achievement reflects successful parenting’ and that if children did not excel at school there was ‘a problem’ and parents ‘were not doing their job’† (Chua, 2011). Hannah Rosin takes a distinctly different approach to success, one that is arguably more reflective of Western attitudes in general. Rosin says, â€Å"Ms. Chua has the diagnosis of American childhood exactly backward. What privileged American children need is not more skills and rules and math drills. They need to lighten up and roam free, to express themselves in ways  not dictated by their uptight, over-invested parents† (Rosin, 2011). In Rosin’s view, Chua’s version of success is ultimately very limiting. Rosin doesn’t argue that success is a negative thing in and of itself; however, her looser, freer approach suggests that it can be achieved differently. Another area where Rosin and Chua differ from each other is in their approach to self-esteem and the way in which parents should treat their children. Chua openly admits that it is common for Chinese parents to make comments to their children that Western parents find reprehensible, such as â€Å"Hey fatty, lose some weight†, or referring to a child as â€Å"garbage† (Chua, 2011). However, Chua defends these comments by arguing that in fact, Chinese parents speak in this way because ultimately, they believe that their children are capable of being the â€Å"best†. She contends that Chinese children know that their parents think highly of them, and criticize them only because they have high expectations and know that their children can meet them. Hannah Rosin disagrees. She says, â€Å"†¦there is no reason to believe that calling your child ‘lazy’ or ‘stupid’ or ‘worthless’ is a better way to motivate her to be good than some other more gentle but persistent mode’† (Rosin, 2011). She believes that a parent’s role is not to act as a harsh critic and task master, but rather to guide them through the inevitable difficulties of life that arise. Unlike Chua, Rosin is not concerned with forcing her children to be â€Å"the best†. Rather, she says that â€Å"It is better to have a happy, moderately successful child than a miserable high-achiever† (Rosin, 2011). It is in this area, pertaining to notions of happiness that Chua and Rosin depart most distinctly from each other. It can be argued that the idea of happiness is almost completely absent from Amy Chua’s template. Chua says, â€Å"Chinese parents believe that they know that is best for their children and therefore override all of their children’s own desires and preferences† (Chua, 2011). In other words, the feelings or preference of the child as an individual are lacking completely from the Chinese framework of parenting. The child’s happiness, or misery, is completely irrelevant, because the  parent is the supreme authority, acting in the child’s best interest. Chua claims, â€Å"It’s not that Chinese parents don’t care about their children , just the opposite. They would give up anything for their children† (Chua, 2011). However, the one thing that Chua and other parents will not give up is complete authoritarian control. Rosin takes an entirely different approach to the value of individual happiness. She observes that happiness does not come through being successful; furthermore, â€Å"happiness is the great human quest† (Rosin, 2011). Parents cannot possibly always be in a position to know what will make a child happy or not; children must work out their own path to happiness (Rosin, 2011). Rosin believes that an over-emphasis on perfection will not lead to greater happiness and may even create less happiness in the end. In conclusion, it is undeniable that both Amy Chua and Hannah Rosin love their children and believe that their approach to parenting is based on a desire to do what is best for those children. However, the two approaches present a sharp contrast to each other. Amy Chua believes that success, perfection and being â€Å"the best† are of paramount importance, and will ultimately build a child’s self-esteem (Chua, 2011). Hannah Rosin is critical of the harshness of the Chinese template and argues for a gentler approach, one that takes the natural interests and talent of the child into account (Rosin, 2011). Rosin notes that the idea of enjoyment or happiness is strikingly absent from Chua’s parenting style; in turn, Chua observes that many Western parents are disappointed with the choices that their children make in their lives (Rosin, 2011; Chua, 2011). It can be argued that both the Eastern approach and Western approach have a great deal to offer each other; a wise parent knows how to walk a middle ground. Amy Chua Hanna Rosen. (2016, May 10).

PROMOTING RECOVERY WORKING WITH COMPLEX NEEDS Essay - 1

PROMOTING RECOVERY WORKING WITH COMPLEX NEEDS - Essay Example ....................................................... 4 V. Evaluation of Assessment and Medical Intervention Based on Published Literature, Policy and Legislation ........... 5 VI. Lessons Learned from Working with Patient X ....................... 7 References †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 9 – 11 Introduction Patient X is 70 years old male patient with dementia who was unconscious at the time he was admitted to NHS hospital because of drug overdose (substance misuse). The patient’s neighbour reported that an empty bottle of benzodiazepines. Since the patient was living on his own, it was his neighbour who brought him to the hospital when he saw patient X lying unconsciously on the floor. Upon describing the assessment and care given to patient X, this study will demonstrate the complexity of the problem and how this imparts on the ill ness of the patient and the service providers. As part of the main discussion, the patient’s health problems including the possible causative factors, how the patient was assessed, and the medical intervention used to save the life of the patient will be described in details. In line with this, the effectiveness of these assessment and medical intervention will be evaluated based on published literature, policy and legislation. After going through reflection with regards to the process of care, lessons learned from working with patient X will be provided. Complexity of the Problem and How this Imparts on the Illness of the Patient and the Service Providers Patient X has a complex health care needs because of his severe dementia, drug overdose and serious eating problem. The fact that the patient was admitted to the hospital unconscious increases the complexity of the patient’s health problem. Benzodiazepine is a sedative drug that is commonly used to induce sleep or le ssen the levels of anxiety. To avoid coma, respiratory depression, central nervous system depression or untimely death caused by drug overdose on benzodiazepines (Ngo et al. 2007; Dart 2003, p. 811), it is important to assess and provide care and treatment to the patient without further agitating the patient’s health condition. Since the patient is already old, there is a high risk that patient X is suffering from other diseases like diabetes or heart-related problems. For this reason, wrong treatment given to the patient could cause patient X to suffer from cardiac-arrest including other kinds of health problems such as respiratory depression. On the part of the service provider, the case of patient X is sensitive since wrong decisions made with regards to the patient’s assessment and care could endanger the life of patient X. Given that patient X have family members who would claim for his body, there is a strong possibility that medical professionals working in the service provider could face legal issues related to medical ethics and negligence. Patient’s Health Problems including Its Causative Factors Dementia can occur because of ageing or excessive intake of alcohol. In line with this, several studies explained that excessive drinking of alcohol could cause serious neurological damage on the brain (Mak 2008; Kapaki 2006). Because of patient’s old age, mental health problem and poor social life, the patient’s quality of living was badly affected. Dementia is a serious health condition since the patient has loss his cognitive ability which makes the patient suffer from disorientation (Lamont 2004).

Global Operations Management Essay Example | Topics and Well Written Essays - 1000 words - 1

Global Operations Management - Essay Example As manufactured products are tangible, customer demand can be anticipated and products may often be produced, transported, and held win inventory until customers need them. This allows manufacturers flexibility in deciding when to produce products. Inventory can be used as a buffer between a stable production capacity and a highly variable customer demand. This means that when production levels are held constant, in periods of low demand inventory levels of finished goods will climb, and in periods of peak demand inventory levels of finished goods will fall. This is not to say that all manufacturers inventory finished goods, because some manufacturers choose to wait until products are demanded, then produce the products and ship them directly to customers. Services cannot ordinarily be produced in advance of customer demand and must be delivered to customers at the time of demand or later. This means that service operations must ordinarily plan production levels to approximately equa l customer demand. With manufactured products, customers do not ordinarily intrude into the manufacturing process. In fact, customers have little contact with the manufacturing system in most cases. In service operations, however, customers are routinely involved in the production process. In such service operations such as hospitals, restaurants, and banks, the customers enter the production process, are routed to the necessary service operations, and exit from the service system. In almost all services, operations personnel need training in people skills because the key element of quality control is the way in which operations personnel conduct their transactions with customers. Service characteristics include: Intangible outputs Outputs cannot by inventoried Extensive customer contact Short Lead times Labor intensive Services quality subjectively determined Manufactured product characteristics include: Tangible products Products can be inventoried Little customer contact Long lead times Capital intensive Product quality objectively determined 2. The six major components of operations strategy include: 1 Positioning the production system 2 Product/service plans 3 Outsourcing plans 4 Process and technology plans 5 Strategic allocation of resources 6 Facility plans Operations strategy is a long-range game plan for the production of a company's products/services and provides a road map for what the production or operations function must do if business strategies are to be achieved. Operations strategies include decisions on such issues as what new products or services must be developed and when they must be introduced into production, what new facilities are required and when they are needed, what new technologies and processes must be developed and when they are needed, and what production schemes will be followed to produce products/services. 3. Competitive priorities can be thought of as the things that customers want from products/services; thus, they can be used s tools to capture market share. But, all of these competitive priorities cannot ordinarily be used for a single product. Once the competitive priorities are set for a product or service, operations strategy must then determine the required production system needed to provide the priorities for the product or service. The

Evacuation in Britainin During World War Two :: WWII World War 2 Essays

Evacuation in Britainin During World War Two Towards the end of 1939 most British people found that it was very hard to stop Hitler and they decided to use force because they thought that this could only stop him. Britain and France declared war on Germany on the 3rd September 1939, before this Germany had invaded Poland, which the British promised to protect. The British army sailed across the English Channel to join our ally France. Back home, the civilians of the British Isles prepared for a war which they knew was going to affect them directly. World war one had ended 21 years before, and many people remembered gas attacks, bombings from the air, rationing of food supplies and fear of enemy invasion. The word "Evacuation "means that when Britain wanted to move all the children from the dangerous areas to a safer area which was outside the country and they would be safe from peril or hazard. Before world war two children were moved from the dangerous area that was close for the enemy to be bombing. At this time factories and industries were making equipment for war. Britain expected towns and cities to be bombed examples (London, Birmingham and Portsmouth). The idea was that evacuees would be in a safer place and stay with the local families. Many people were still worried about the First World War because of gas attacks, rationing, fear of enemy invasion and the bombings. This situation was no forgotten and people thought that the same thing would happen again. Since the war technology had advanced aircraft and tanks had been of limited use in the First World War. Civilian populations were even more affected by advances in bombing technology, evacuation, occupation, and shortages. Germany, Britain and the Americans war-planners had thought that the cities would be bombed very terrible and a lot of damage would be caused. Hitler even said "Mein kampf". Hitler had used this before world war two when he helped hi friend General Franco, the dictator of Spain.

Research Proposal Sample Essay

Sample Research Proposal Resident: John Smith, PGY2 Research Mentor: Jane Doe, MD, Section of General Internal Medicine Date of Proposal: February 5, 2009 I. Title of Proposed Research Project Medical Students as Mediators of Change in Tobacco Use II. Specific Aims In conducting this study, we will accomplish the following specific aims: Specific Aim 1. Compare the effectiveness of the stage specific smoking cessation counseling intervention with the control intervention by evaluating the impact on the following patient outcomes at 1, 3, 6 and 12 months: a) quit rate, b) stage of change, c) desire to quit, d) motivation to quit, e) confidence in quitting (self-efficacy), and f) nicotine dependence. Hypothesis 1. Patients counseled by students initially trained in stage specific smoking cessation counseling will have higher quit rates, improve their stage of change, increase their desire to quit, be more motivated to quit, have higher confidence in quitting, and have less nicotine dependence at 12 months. Specific Aim 2. Compare the effectiveness of the stage specific smoking cessation counseling intervention with the control intervention by evaluating the impact on the following processes of care rated by patients at 1, 3, 6 and 12 months: a) satisfaction with the quality of care in general, and b) satisfaction with the quality of care related to smoking cessation counseling. Hypothesis 2. Patients counseled by students initially trained in smoking-specific behavioral counseling will have greater satisfaction with both measures of quality of care at 12 months. III. Background Tobacco is the only legally sold product known to cause death in one half of its regular users.(1) Thus, of the estimated 1.3 billion people in the world who smoke, nearly 650 million will die prematurely as a consequence.(1) In the United States, approximately 25% of men and 20% of women, or 46 million adults, smoke.(2) The financial toll of tobacco use in the U.S. is substantial. Estimated costs include $75 billon per year in medical expenditures and $80 billion from lost productivity.(3) The personal health risks of smoking are even more significant with respect to morbidity and mortality. Although the role of physicians in cessation efforts has been 1 demonstrated, many physicians fail to counsel patients. The most common reasons cited for lack of counseling include inadequate training and time pressures. Our intervention will target medical students in the early stages of training. The proposed intervention will provide a foundation for medical learners in stage specific counseling and will aid physicians in primary practice to help their patients stop smoking. The rationale for this program is that providing education early and allowing students to use these skills with patients in the community can help: 1) future physicians with confidence in smoking cessation counseling, 2) physicians in the community who may not have adequate time to counsel patients, and 3) patients whose health may be at risk from smoking. IV. Research Methods Study Design: Randomized cross-over trial consisting of two smoking cessation counseling interventions: 1) counseling intervention including patient education, written material and followup by students who have been trained in stage specific tobacco cessation techniques, and 2) counseling intervention that includes patient education, written material and follow-up by students who have been trained in non-smoking cessation techniques (exercise counseling). Setting: Community practice sites in internal medicine, family medicine and pediatrics throughout Connecticut where medial students attend weekly continuity sessions with physician preceptors. Study Subjects: 80 first-year medical students and 308-350 patients aged 16 years or older in the students’ community practice sites who are seeing the students’ physician preceptor for any reason and meet criteria of smoking one or more cigarette daily in the previous week. Randomization: Students will be randomized by the day they attend their Principles of Clinical Medicine Course and trained in stage specific tobacco cessation counseling or exercise counseling. After 6 months, students will receive training in the other behavioral counseling technique. Main Outcome Measures: patients’ quit rate, stage of change, desire to quit, motivation to quit, confidence in quitting (self-efficacy), and nicotine dependence at 1, 3, 6, and 12 months. Process Measures: patient satisfaction with the quality of care in general, and satisfaction with the quality of care related to smoking cessation counseling. Analyses: patient level analyses of main outcome and process measures comparing patients who received counseling from students trained in smoking cessation counseling and patients who received counseling from students trained in exercise counseling adjusting for potential confounding factors. We will use logistic regression for dichotomous outcomes and linear regression for continuous outcomes. We will use generalized estimating equations (GEE) and random effects modeling to allow us to adjust for time-dependent covariates V. Timeline of Research Project Month Activity Student randomization Train standardized patient Assess student behavioral counseling skills Train student in smoking or exercise counseling Assessment of office practice sites Train medical assistants to recruit patients Recruit patients Patient counseling in-person Patient counseling by phone Data collection Data analysis Prepare publication(s) Present research at scientific meetings 1 X X X X X X X X X X X X X X X X X X 2 3-4 5 6-9 10-12 13-14 VI. Literature Cited 1. World Health Organization Website: WHO tobacco Treaty set to become law, making global public health history. WHO . 2005. 1-17-2005. 2. Cigarette smoking among adults–United States, 2001. MMWR Morb Mortal Wkly Rep 2003; 52(40):953-956. 3. Centers for Disease Control. Targeting Tobacco Use, the Nation’s Leading Cause of Death 2004. CDC. 2005. 1-19-2005. 3

What Exactly Is a Toxic Chemical

Youve heard that toxic chemicals are bad for you, but what exactly is a toxic chemical? Heres an explanation of what is meant by the term toxic chemical as well as examples of common toxic chemicals you may have in your home or encounter in the environment. Toxic Chemical Definition The U.S. Environmental Protection Agency or EPA defines a toxic chemical as any substance which may be harmful to the environment or hazardous to your health if inhaled, ingested or absorbed through the skin. Toxic Chemicals in Your Home Many useful household projects contain toxic chemicals. Common examples include: Drain cleanerLaundry detergentFurniture polishGasolinePesticidesAmmoniaToilet bowl cleanerMotor oilRubbing alcoholBleachBattery acid While these chemicals may be useful and even necessary, it is important to remember they should be used and disposed of according to instructions on the packaging. Natural Toxic Chemicals Many toxic chemicals occur in nature. For example, plants produce toxic chemicals to protect themselves from pests. Animals produce toxins for protection and to capture prey. In other cases, toxic chemicals are simply a by-product of metabolism. Some natural elements and minerals are poisonous. Here are some examples of natural toxic chemicals: MercurySnake venomCaffeine in coffee, tea, kola and cocoaArsenicRicin from castor beansPetroleumHydrogen sulfideChlorine gasSmoke Industrial and Occupational Toxic Chemicals The US Occupational Safety and Health Administration (OSHA) has identified several chemicals it considers highly hazardous and toxic. Some of these are laboratory reagents, while others are used commonly in certain industries and trades. Certain pure elements are included. Here are a few substances on the list (which is extremely long): AcetaldehydeAcetoneAcroleinBromineChlorineCyanogenIsopropyl alcoholl-limoneneHydrogen peroxide 35% Are All Chemicals Toxic? Labeling a chemical as toxic or non-toxic is misleading because any compound can be toxic, depending on the route of exposure and the dose. For example, even water is toxic if you drink enough of it. Toxicity depends on other factors besides dose and exposure, including species, age, and gender. For example, humans can eat chocolate, yet its toxic to dogs. In a way, all chemicals are toxic. Similarly, there is a minimum dose for nearly all substances below which toxic effects are not seen, called the toxicity endpoint. A chemical can be both necessary for life and toxic. An example is iron. Humans need low doses of iron to make blood cells and perform other biochemical tasks, yet an overdose of iron is deadly. Oxygen is another example. Types of Toxins Toxins may be categorized into four groups. Its possible for a substance to belong to more than one group. Chemical Toxicants - Chemical toxins include both inorganic substances, such as mercury and carbon monoxide, and organic compounds, such as methyl alcohol.Biological Toxins - Many organisms secrete toxic compounds. Some sources consider pathogenic organisms to be toxins. A good example of a biological toxin is tetanus.Physical Toxicants - These are substances that interfere with biological processes. Examples include asbestos and silica.Radiation - Radiation has a toxic effect on many organisms. Examples include gamma radiation and microwaves.