Religious Values in War and Peace Essay Example | Topics and Well Written Essays - 1250 words

Religious Values in War and Peace - Essay Example Most often, a war that is based upon religious ideology will not end until one faction subjugates the other. Religious ideologies that are in conflict more than likely will never find true resolution and peace. Two very different places in the world where this is in evidence is in Northern Ireland and Israel. These two places have been host to factions who are in constant conflict with each other. Generations pass and yet the conflict continues because it is not the individuals that are in conflict, but belief systems. According to Brinkley, â€Å"Staunch belief in something greater than ourselves is an essential building block in the construction of a personal reality† (83). When a personal reality is violated, a reactionary violence can be the result. In believing so strongly in the right of one doctrine, the acceptance of others who don’t share that doctrine can threaten the reality that has been created through a system of beliefs. The very existence of other avenues of thought can be perceived as a threat to a way of life. The rise of the modern secularized state has helped to minimize the number of conflicts that arise because of religious belief. Up until the rise of the ideologically founded political system of the United States that firmly situated the acceptance of faith as a personal choice, rather than a state dictated set of national beliefs, most nations were built on a foundation of religious, political and warfare structures in which exclusionary policies promoted conflict. The needs that a civilization had for religious sacrifices were one of the first causes for war in history. The Aztecs based much of their warring on the need for human sacrifices and the Maring based their cyclical warring on the need for pigs to sacrifice to their gods (Wade 128). There is an innate conflict within the Christian religion between the promotion of war for its cause and the desire for peace as is interpreted through the teachings of

Brief Account of the Devastation of the Indies Essay Example for Free

Brief Account of the Devastation of the Indies Essay Based off of this reading, it can be assumed that the conditions in the Indies during the time this text was written were not humane whatsoever. The actions of the Spaniards were very much barbaric, and completely contradict the religion which the Spaniards were trying so desperately to impose upon the natives of the Indies. Without having to go into detail, it is said by Bartoleme in the letter that the Spaniards would treat the people of the Indies as wild beasts, cattle, or animals. But he then goes back on this statement saying that in fact they treated them less than livestock, because they at least took care of the livestock. This is a good example of how barbarically the Spaniards ruled over the Natives. There was no respect for the Natives, even though they were described as peaceful, passive, kind, and as overall decent human beings. Yet in the eyes of the Spaniards, the same people were seen as barbarians and savages. What makes the situation even more disturbing is that the Spaniards used the name of god to justify their ruthless actions. They saw it as their divine right to take over the Natives. Fortunately, there were people like Bartoleme that spoke out against these cruel acts. He wrote the letter describing all the acts of inhumanity towards the Natives to the King and Queen of Spain in order to create rules and regulations that would regulate the actions of the Spaniards in the Indies. This alone was a substantial act of humanity. The only ironical part is that he suggests that the Spanish use African people instead of using the Natives of the Indies for labor. Unfortunately at the time, there were still mass amounts of racism, even amongst the most noble of men. Men such as Bartoleme who spoke out against cruel acts were still subject to their own racist antics. Although this wasn’t very out-of-the-ordinary at the time, in today’s world it’s despicable nonetheless. It’s a very hypocritical suggestion that he had for the King and Queen, and for that, would lose all credit for anything positive that happened to the Natives after his ideas were reinforced.

Joseph Stalin Essay -- essays research papers

Joseph Stalin was a Georgian Marxist revolutionary leader and later dictator of the USSR. He was born in Gori, Georgia. He studied at Tiflis Orthodox where he was expelled from in 1899. After joining a Georgian Social Democratic organization in 1898, he became active in a revolutionary underground, and he was twice sent to Siberia. As a leading Bolshevik he played an active role in the October Revolution. In 1922, he became general secretary of the Party Central Committee, a position that he held until the day of his death. Stalin also occupied other key positions, which enabled him to build up enormous personal power in the government. This is a key point in Stalin’s life where he was enormously confident about himself which led him to do things that were no acceptable in today’s standard life. After the death of Vladimir I. Lenin in 1924 Stalin became leader of the Soviet Union where he made many changes to agriculture and industry. He believed that the Soviet Union w as one hundred years behind the West and that they had to catch up as quickly as possible. This is where the idea of his "Five Year Plan," came about. The five-year plan basically got the people involved and motivated them into a modern life. From the 5-year plan, 25 million farms were produced which were only big enough to feed the families that were harvesting them. The more successful peasants were called the Kulaks. Along with the five-year plan, Stalin launched a campaign for the &q...

The Importance of the USA Patriot Act Essay -- Politics Political

The Importance of the USA Patriot Act The United States government changed the face of computer and internet use when it signed the USA Patriot Act on October 26, 2001. This act was created in the wake of the terrorist attacks in New York City on September 11 that same year. Many people believe that this act is a good thing and will help in defense against any future attacks. What most people do not know, however, is the effect of this act on the more general public. This includes individual people, public libraries, colleges and universities, and even trucking or hauling companies. The basis of the USA Patriot Act (Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act) is to give law enforcement agencies more power and abilities to investigate cases possibly involving terrorism and foreign intelligence. Law enforcement agencies will target monetary transactions that may induce some terrorist activities. They will also be viewing electronic communications that they deem a threat of terrorism. Search warrants for searching voicemails and obtaining e-mails through Internet Service Providers will be made much easier. This act is requiring much support from financial institutions. These institutions will be required to report suspicious activities and currency transaction reports along with implementing a money-laundering compliance program. The government is now asking financial institutions to obtain additional information about their customers that may not have much to do with their business at the institution. The effect of the USAPA on libraries is not so much focused on their use of internet and s... ...ds terrorism and hacking. USAPA affects financial institutions in many ways. This act also sets up many new responsibilities for such common things like libraries, colleges and universities, and trucking and hauling companies. Many people think that these provisions go too far into someone’s private use of the internet. I think that this act was a good idea and further implementation would also be good to ensure our safety and stop another tragic day like September 11th. References Baase, S. (2003). A Gift of Fire: Social, legal, and ethical issues for computers and the Internet. Upper Saddle River, New Jersey: Pearson Education Inc. Hockeimer Jr., H. (2002). USA Patriot Act is Broader Than You Might Imagine. New Jersey Law Journal. The USA PATRIOT Act. (2004, April). Retrieved May 25, 2004, from http://www.epic.org/privacy/terrorism/usapatriot/

Sepsis: Blood and Fluid Resuscitation

Sepsis; pathophysiology, etiology and treatment Abstract To define the disease known as sepsis, briefly discuss its pathophysiology, etiology, signs, symptoms, and treatments. Outline protocols for sepsis screening, early directed goal therapy, and to establish the nurse’s role in the process. Sepsis is a complex disease, or response to a disease process that can lead to patient mortality rates up to 60%. Gram negative infectious organisms invade the blood stream, and activate a systemic response.This systemic response exacerbates the problem, leading to disproportionate blood flow, alterations in tissue perfusion, and eventually multiple organ failure. Sepsis screening begins in the ER, signs and symptoms that are indicative of sepsis, or early indications of infection that can eventually lead to sepsis should be identified quickly. Since the majority of these patients are already compromised, it is imperative to have proper screening and initiate early goal directed therapy. Following standard protocols has proven to reduce mortality rates by as much as 25%. Sepsis; pathophysiology, etiology and treatmentSepsis has been defined as a suspected or proven infection that has entered the blood stream, and has the clinical manifestations of what has been termed the systemic inflammatory response (e. g. , fever, tachycardia, hypotension, and elevated white blood cell count termed leukocytosis) (Dellacroce, 2009, p. 17). Sepsis can be a result of any infection in the body that has triggered this systemic inflammatory response. Often times especially in the elderly it might be a result of an untreated urinary tract infection, or some other unknown infection that enters into the blood stream.When the invading organism or antigen enters the bloodstream, it releases endotoxins, a toxic substance usually associated with gram negative bacteria, such as Escherichia coli, Klebsiella pneumoniae, Serratia, Enterobactor, and Pseudomonas. In the patient who is ill already this invasion into the blood stream stimulates the release of too much immunodulators, causing an exaggerated response. Vasodilation is the body’s way of increasing blood flow to the attested area, thereby transporting more white blood cells, such as macrophages, to control the original infection.However, vasodilation, without a proportionate increase in blood volume leads to hypotension, increased capillary permeability which allows fluid to leak out of the blood stream and into the surrounding tissue causing edema. Concurrently, fibrinolysis is impaired leading to a decrease in clot breakdown. This is thought to be the body’s attempt to confine the antigen. However, the formation of fibrin clots leads to micro thrombi, causing hypoperfusion of tissues, tissue necrosis and eventually organ failure (Dellacroce, 2009, p. 17).Consequently severe sepsis is evidenced by sepsis-induced organ dysfunction or tissue hypoxia, hypotension, oliguria, metabolic acidosis, thromboc ytopenia, hypotension being a late sign of sepsis. Septic shock is defined as severe sepsis with hypotension, despite fluid resuscitation. Sepsis and septic shock are the most common form of vasodilatory shock, associated with the systemic response to severe infection. Sepsis and septic shock are very common in critically ill patients, elderly, and is accompanied by a high mortality rate.In many cases as high as 30 percent of patients die within the first month of diagnosis, and 50% of patients die within 6 months (Gerber, 2010, p. 141). The growing incidence has been attributed to enhanced awareness of the diagnosis, increased number of resistant organisms, and growing number of immunocompromised patients, and the increase in the elderly population. The early goal is direct therapy interventions and better treatment methods which have resulted in a decreased mortality rate; however the number of deaths has increased, because of the increased prevalence. Porth, 2011, p. 505) The pat hogenesis of sepsis involves a complex process in which the immune system releases a number of proinflammatory and anti-inflammatory mediators. In doing so, the body reacts by generating a fever, tachycardia, lactic acidosis, and ventilation-perfusion abnormalities occur. Hypotension is caused by arterial and venous dilatations, plus leakage of plasma into the interstitial spaces, abrupt changes in level of consciousness and cognition, are a result of decreased cerebral blood flow.Regardless of the underlying cause of sepsis, fever and increased leukocytosis are present. Elevation in lactic acid levels may not always be immediate, but generally a lactic acid level that is above 3. 2 would trigger the sepsis screening and cause initiation of early goal directed therapy. Our role as the nurse is to recognize the signs of sepsis, and or infection that could lead to it, and make the Doctor aware of any abnormal values or signs. Sepsis screening should be done on any patient that present s to ER with symptoms that would indicate infection, or early sepsis.Sepsis should be ruled out by using the screening protocols, and standard blood work, including two sets of blood cultures, (should be from two separate sites fifteen minutes apart) (Dellacroce, 2009). If the patient has passed the sepsis screening, sepsis protocols for early goal directed therapy should be initiated. The sepsis screening for a patient should take a systematic approach. Does the patient have a suspected infection as evidenced by, white blood cells (WBC) in urine, cerebral spinal flood, or other normally sterile body fluid, cellulitis or other skin infection, new pulmonary infiltrate on chest x-ray consistent with pneumonia?Does the patient have systemic inflammatory response syndrome (sirs) as evidenced by, WBC’s greater than 12,000 or less than 4,000, temperature greater than 38C, heart rate greater than 90 beats per minute, respiratory rate greater than 20 breaths per minute, PaCO2 less th an 32, or on a ventilator? Does this patient have organ system failure as evidence by, respiratory on ventilator, vasopressors, and metabolic serum greater than 3. 2, urine output of less than 0. 5 ml/kg/hr or greater than 0. 5 ml/kg/hr above baseline, or platelets less than 100,000?Does this patient have serious condition that indicates septic shock as evidenced by, receiving vasopressors after fluid resuscitation or lactate greater than 3. 9? (EGDT, 2011) Early goal directed therapy or implementation of sepsis bundle, should be priority, after cultures and all blood work has been completed. Antibiotics should be initiated within 3 hours of admission to emergency room, with initial round of antibiotic started within one hour of diagnosis. Central line access should be established for vasopressors.Arterial line should be established to measure central venous pressure (CVP). Fluid resuscitation to maintain CVP of greater than 8, 12-15 for ventilated patients (Soo Hoo, Muehlberg, Ferr aro, & Jumaoas, 2009). Rapid fluid resuscitation is required with these patients it is recommended they receive up to 3 liters of fluid. Mean arterial pressure (MAP) should be maintained via vasopressors to achieve MAP above 65. One of the more recent advances in treatment of sepsis is the administration of recombinant human activated protein c (rhAPC). rhAPC is a naturally occurring nticoagulant factor that acts by inactivating coagulation factor Va and VIII. RhAPC has direct anticoagulant properties, including inhibiting the production of cytokines (Porth, 2011, p. 506). Sepsis is a complex disease that takes a multi-disciplinary team to detect and treat. It is vital for the patients that diagnosis and early treatment begun immediately. This disease process is accompanied by a high mortality rate, so vigilance on the part of the health care team is a must. Screening and early goal directed therapy protocols are vital tools in the treatment of septic patients.The implementation of these tools has been shown to reduce mortality as much as 25%. The health care professional must pay attention to the signs that may be subtle, such as a slight increase in temperature; this is especially tricky in elderly patients whose baseline core temperature may be hypothermic. Nurses should watch pulse rates from baseline, urine output, any changes in mental status. References Dellacroce, H. (2009, July). Surviving sepsis: The role of the nurse. RN, 16-21. Gerber, K. (2010). Surviving sepsis: a trust-wide approach.A Multi-disciplinary team approach to implementing evidence-based guidelines. British Association of Critical Care Nurses, Nursing in Critical Care 2010, 15, 141-151. Porth, C. M. (2011). Essentials of Pathophysiology (3rd ed. ). Philadephia, PA: Lippincott Williams & Wilkins. Severe Sepsis/Septic Shock Screening Checklist for Early Goal Directed Therapy [Protocol]. (2011). LRMC Soo Hoo, W. F. , Muehlberg, K. , Ferraro, R. , & Jumaoas, M. C. (2009, July 4). Successes and Lessons Learned Implementing the Sepsis Bundle. Journal of Healthcare Quality, 31(9-15).

C.J. Hogan Essays - Economy, Business, Free Essays, Term Papers

C.J. Hogan Essays - Economy, Business, Free Essays, Term Papers C.J. Hogan Paper III 12/10/2015 History 101 What factors contributed to the rise of child labor in Britain during the Industrial Revolution? Provide some specific examples to illustrate these factors. What factors led to the decline of child labor? How much can we credit legislation with the decline; how much can we credit other factors? The industrial revolution was a crucial turning point in European History. The industrial revolution began in the mid 1700's with James Watt's invention of the steam engine. Others also focused on exploring new sources of power and technological innovations lead to streamlining of production. With these innovations production in factories increased causing a growing dependence on industry. But after reading Jane Humphries' article, "Childhood and Child Labor in the British Industrial Revolution," and Clark Nardinelli's article, "Child Labor and the Factory Acts," a darker side of this great revolution is revealed. Child labor shows the cruelty of the industrial revolution even though urbanization was already having negative effects on society such as crowded living and forcing small business's to close. Child labor reached its peak in the revolution for a multitude of reasons until child labor laws came into play restricting children from working in these factories. Child Labor was on the rise at beginning of the Industrial Revolution. In Clark Nardinelli's article, "Child Labor and the Factory Acts" he describes some of the dark stories that spawn in those textile mills. He also describes how the children ran most of the work in factories, "They claimed that child labor was responsible for most of the work in the factory districts, and that in many cases children even supported their parents. According to Sadler and his witnesses, childhood was being sacrificed to the expansion of Britain's textile industries." Child labor has reached a new extreme during this revolution for a multitude of reasons. Children were useful as laborers because of their small size that allowed them to fit in small factories and mines where adults couldn't, easier to manage and control, and children could be paid less. Most children were forced to work to help and support their families and couldn't get an education. Throughout history we have seen some forms of child labor whether it is servants, apprentices, or farmers. In colonial America, child labor was simply an integral part of the culture. However this labor reached its peak during the industrial revolution. With the ever-expanding industry, factory jobs for children were in high demand because children were the most suitable for those types of jobs. In Walter Trattner's, Crusade for the Children: A History of the National Child Labor Committee and Child Labor Reform in America (1970) he talks about the staggering statistics of children working in the early and late 1900's. "Although the official figure of 1.75 million significantly understates the true number, it indicates that at least 18 percent of these children were employed in 1900. In southern cotton mills, 25 percent of the employees were below the age of fifteen, with half of these children below age twelve." These statistics brought the issue of child labor to the attention of t he public along with the horrible conditions they faced while working. Many factors led to the decline of child labor. One of the many factors that contributed to the downfall was the importance of primary school education for both personal fulfillment and to better the nation. In response to the emphasis on the importance of school several states establish a minimum wage for labor and minimal requirements for attending school. These were few and far between, only in a few states, and the laws weren't strictly enforced. Along with these new reforms a new surge of immigrants from Ireland and Eastern Europe provided a new pool of children workers. To try and combat and regulate child labor, the National Child Labor Committee was established in 1904. This organization believed they could greatly reduce or bring child labor to a complete end. The child labor committee used pioneering tactics in order to gain advantages over the companies hiring children. For example they would take mass political action, investigations, widespread use of photography to show the poor worker conditions children faced day in and day out, mass mailings

Gandhis Salt March of 1930

Gandhi's Salt March of 1930 What Was Gandhis Salt March? The much-publicized, 24-day, 240-mile Salt March began on March 12, 1930, when 61-year-old Mohandas Gandhi led an ever-growing group of followers from the Sabarmati Ashram in Ahmedabad to the Arabian Sea at Dandi, India. Upon arriving at the beach in Dandi on the morning of April 6, 1930, loincloth-clad Gandhi reached down and scooped up a lump of salt and held it high. This was the beginning of a country-wide boycott of the salt tax, imposed upon the people of India by the British Empire. The Salt March, also known as the Dandi March or Salt Satyagraha, became a prime example of the power of Gadhis  satyagraha, passive resistance, which ultimately led to India’s independence 17 years later. Why a Salt March? The manufacture of salt in India was a government monopoly established in 1882. Though salt could be obtained from the sea, it was a crime for any Indian to possess salt without having purchased it from the government. This ensured that the government could collect a salt tax. Gandhi proposed that every Indian refuse to pay the tax by making or purchasing illicit salt. Not paying the salt tax would be a form of passive resistance without increasing hardship for the people. Salt, sodium chloride (NaCl), was an important staple in India. Vegetarians, as many Hindus were, needed to add salt to food for their health since they did not get much salt naturally from their food. Salt was often needed for religious ceremonies. Salt also was used for its power to heal, preserve food, disinfect, and embalm. All of this made salt a powerful emblem of resistance. Since everyone needed salt, this would be a cause that Muslims, Hindus, Sikhs, and Christians could all jointly participate in. Landless peasants as well as merchants and landowners would benefit if the tax were lifted.   The salt tax was something that every Indian could oppose. British Rule For 250 years, the British had dominated the Indian sub-continent. At first it was the British East India Company that forced its will on the native population, but in 1858, the Company turned over its role to the British Crown. Until independence was granted to India in 1947, Great Britain exploited India’s resources and imposed an often brutal rule. The British Raj (rule) improved infrastructure to the land, including the introduction of railroads, roads, canals, and bridges, but these were to aid in the export of Indias raw materials, carrying India’s wealth to the mother country. The influx of British goods into India prevented the establishment of small industries within India. In addition, the British levied heavy taxes on various goods. Overall, England imposed a brutal rule in order to protect its own trade interests. Mohandas Gandhi and the INC wanted to end British rule and bring about India’s independence. Indian National Congress (INC) The Indian National Congress (INC), founded in 1885, was a body made up of Hindus, Muslims, Sikhs, Parsi, and other minorities. As the largest and most prominent Indian public organization, it was central to the movement for independence. Gandhi served as president in the early 1920s. Under his leadership, the organization expanded, becoming more democratic and eliminating distinctions based on caste, ethnicity, religion, or sex. In December of 1928, the Indian National Congress passed a resolution asking for self-rule within the year. Otherwise, they would demand complete independence and would fight for it with satyagraha, non-violent non-cooperation.   By December 31, 1929, the British government had not responded, so action was needed. Gandhi proposed opposing the salt tax. In a Salt March, he and his followers would walk to the sea and make some illegal salt for themselves. This would begin a country-wide boycott, with hundreds of thousands breaking the salt laws by making, gathering, selling, or buying salt without British permission. The key to the struggle was non-violence. Gandhi declared that his followers must not be violent or he would halt the march. A Warning Letter to the Viceroy On March 2, 1930, Gandhi wrote a letter to Viceroy Lord Irwin. Beginning with â€Å"Dear Friend,† Gandhi went on to explain why he viewed British rule as a â€Å"curse† and outlined some of the more flagrant abuses of the administration. These included obscenely high salaries for British officials, taxes on alcohol and salt, the outlandish land revenue system, and the importation of foreign cloth. Gandhi warned that unless the viceroy was willing to make changes, he was going to begin a massive program of civil disobedience. He added that he wished to convert the British people to nonviolence and thus make them see the wrong they have done to India. The viceroy responded to Gandhi’s letter, but offered no concessions. It was time to prepare for the Salt March. Preparing for the Salt March The first thing needed for the Salt March was a route, so several of Gandhi’s trusted followers planned both their path and their destination. They wanted the Salt March to go through villages where Gandhi could promote sanitation, personal hygiene, abstention from alcohol, as well as the end of child marriages and untouchability. Since hundreds of followers would be marching with Gandhi, he sent an advance team of satyagrahis (followers of satyagraha) to help the villages along the path prepare, making sure that food, sleeping space, and latrines were ready. Reporters from around the world were keeping tabs on the preparations and the walk. When Lord Irwin and his British advisers learned the specifics of the plan, they found the idea ridiculous. They hoped that the movement would die out if it was ignored. They began arresting Gandhis lieutenants, but not Gandhi himself. On the Salt March At 6:30 a.m. on March 12, 1930, Mohandas Gandhi, 61 years old, and 78 dedicated followers began their trek from the Sabarmati Ashram in Ahmedabad. They resolved not to return until India was free of the oppression the British Empire imposed on the people. They wore sandals and clothes made of khadi, cloth woven in India. Each carried a woven bag containing a bedroll, a change of clothes, a journal, a takli for spinning, and a drinking mug. Gandhi had a bamboo staff. Progressing between 10 to 15 miles a day, they walked along dusty roads, through fields and villages, where they were greeted with flowers and cheers. Throngs joined the march until thousands were with him when he reached the Arabian Sea at Dandi. Although Gandhi had prepared for subordinates to continue if he were arrested, his arrest never came.   International press was reporting the progress, and had Gandhi been arrested along the way it would have increased the outcry against the Raj. When Gandhi feared the inaction of the government might dim the impact of the Salt March, he urged students to suspend their study and join him. He urged village headsmen and local officials to resign their posts. Some marchers broke down from fatigue, but, despite his age, Mahatma Gandhi stayed strong. Daily on the trek, Gandhi required each marcher to pray, spin, and keep a diary. He continued to write letters and news articles for his papers. At each village, Gandhi collected information about the population, educational opportunities, and land revenue. This gave him facts to report to his readers and to the British about the conditions he witnessed. Gandhi was determined to include untouchables, even washing and eating in their quarters rather than in the places where the high-caste reception committee expected him to stay. In a few villages this caused upset, but in others it was accepted, if somewhat reluctantly. On April 5, Gandhi reached Dandi. Early the following morning Gandhi marched to the sea in the presence of thousands of admirers. He walked down the beach and picked up a lump of natural salt from the mud. The people cheered and shouted Victory! Gandhi called on his companions to start collecting and making salt in an act of civil disobedience. The boycott of the salt tax had begun. The Boycott The boycott of the salt tax swept across the country. Salt was soon made, bought, and sold in hundreds of places across India. People along the coast gathered salt or evaporated sea water to obtain it. People away from the coast bought salt from illegal vendors. The boycott expanded when women, with Gandhis blessing, began picketing foreign cloth distributors and liquor shops. Violence broke out in a number of places, including Calcutta and Karachi, when police tried to stop the lawbreakers. Thousands of arrests were made but, surprisingly, Gandhi remained free. On May 4, 1930, Gandhi wrote another letter to Viceroy Irwin describing his plan for followers to seize the salt at the Salt Works in Dharasana.   However, before the letter could be posted, Gandhi was arrested early the next morning. Despite Gandhi’s arrest, the action was to continue with an alternate leader. At Dharasana on May 21, 1930, approximately 2,500 satyagrahis peacefully approached the Salt Works, but were brutally attacked by the British. Without even raising a hand in their defense, wave after wave of protesters were clubbed over the head, kicked in the groin, and beaten. Headlines around the world reported the bloodbath. An even larger mass action took place near Bombay on June 1, 1930, at the salt pans in Wadala. An estimated 15,000 people, including women and children, raided the salt pans, collecting handfuls and sackfuls of salt, only to be beaten and arrested.   Ã‚   In all, about 90,000 Indians were arrested between April and December 1930. Thousands more were beaten and killed. The Gandhi-Irwin Pact Gandhi remained in jail until January 26, 1931. Viceroy Irwin wanted to end the salt-tax boycott and thus began talks with Gandhi. Ultimately, the two men agreed to the Gandhi-Irwin Pact. In exchange for an end to the boycott, Viceroy Irwin agreed that the Raj would release all the prisoners taken during the salt upheaval, allow residents of coastal areas to make their own salt, and allow non-aggressive picketing of shops selling liquor or foreign cloth. Since the Gandhi-Irwin Pact did not actually end the salt tax, many have questioned the efficacy of the Salt March. Others realize that the Salt March galvanized all Indians into wanting and working for independence and brought worldwide attention to their cause.

Tinnitus and the potential adverse effects on the hearing of Fitness Instructors The WritePass Journal

Tinnitus and the potential adverse effects on the hearing of Fitness Instructors Abstract Tinnitus and the potential adverse effects on the hearing of Fitness Instructors AbstractChapter One Introduction1.1   Background 1.2 Aim1.3   Objectives   Chapter Two Literature Review2.1   Noise Induced Hearing Loss (NIHL)2.2 Noise in fitness classes2.4   Legislation   Chapter Three Methodology   3.1  Method3.2 EthicsChapter Four Results4.1   Study Results4.2 Noise levelsChapter Five Discussion5.1  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Noise exposure5.3   Study limitations  Chapter Six ConclusionConclusion  Ã‚  Ã‚  Ã‚  Ã‚   6.16.2 Results summaryChapter Seven  RecommendationsRecommendation  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   7.1Reference listRelated Abstract Aim: The purpose of the study was to establish noise levels to which fitness instructors are exposed to during the teaching of their classes, in particular when amplified music was used to motivate participants. The study also surveyed instructors to find out possible factors that may explain why such noise levels are being used in their classes. Methods:   An empirical study was performed using personal noise dosimetry to measure the noise levels and exposure of the fitness instructors at work. The exercise classes targeted where those which used pre determined amplified music. Five male and two female instructors from six gyms participated in the study. The study administered an after-class questionnaire to the instructors to ascertain the extent of the instructors’ workloads, awareness of noise, regulations and other factors.   Results: The lowest measured Equivalent Continuous Sound Level (Leq) was 81 dB (A) and the highest leq reading was 95 dB (A). The mean Leq for all the instructors was 88 dB (A). The lowest measured peak noise level was 128 dB (A) and the highest peak level was 144 dB (A). The dosimeter equipment used was able to calculate the personal daily exposure level (Lep’d). Lep’d measurements ranged from 76 dB (A) and 85 dB (A) with a mean personal daily exposure of 80dB (A). The results showed that four (57%) of the instructors music levels were above the first action value in the Noise at Work Regs 2006 and two of those over the second action value. None of the instructors sampled had received training in regard to hearing protection or controlling the nose levels within their classes. However, one instructor was aware of the Control of Noise at Work Regs, despite recording the second highest Lep’d of 84dB (A). Conclusions: The study showed that there was no training and a poor awareness of the risks of exposure to high noise levels, with the majority of instructors exposing themselves to such risks frequently. There is a need for education and training for both the instructors and the gym management. Chapter One Introduction 1.1   Background Noise is a sound that produces undesirable physical or psychological effects (Cone and Hayes, 1985). The European Agency for Safety and Health at Work (EASHW) (2005) define noise as an unwanted sound, whose intensity is measured in decibels (dB), a logarithmic scale, which is A-weighted to take the human ear’s sensitivity into account. The EASHW (2005) estimate that during 2003/4, an estimated 80,000 people in Great Britain thought they were suffering from a hearing problem that was caused or made worse by their previous or current occupation. Similar research by the Medical Research Council survey in 1997-98, gave a prevalence estimate of 509 000 people in Great Britain suffering from hearing difficulties as a result of exposure to noise at work (Palmer et al, 2001). The Health and Safety Executive (HSE) defines that exposure to noise over 85 dB (A) through an 8 hour day is hazardous to hearing. This is further backed up by previous study performed by Jons (1996), which claims that 103,000 workers have deafness, tinnitus or other ear conditions which is associated to their employment and that a further 18,300 have a condition made worse by their work. Employees whose occupation lies within a noisy environment are more likely to suffer hearing loss and associated factors. Although many occupations involve noise, Diaz and Pedrero (2006) identified that people typically perform a range of activities throughout the day in varying locations, and subsequently exposed to a diverse range of sound environments.   The EASHW (2005) highlight the issue that, millions of European workforce are subjected to noise at work, and that while noise in the industrial sector are an obvious problem; it can also be an issue with a wide range of other working environments. While Noise Induced Hearing Loss is most prevalent among individuals over the age of 65, the incidence rate is expected to rise as the population ages; the number of young people with hearing loss is increasing (NIOSH, 1998). This argument was concurrent with a study performed by Palmer et al (2002) who found that the prevalence of hearing loss and tinnitus increased with the extent of work-related exposure to noise, despite age increases. The findings from previous studies present the possibility of clinical implications for those regularly attending fitness classes which includes pre set amplified music. This factor is increased as this noisy environment forms part of everyday life for instructors. Clinical implications of a noisy work environment include illnesses such as tinnitus and its associated consequences. The health effects of noise on hearing have long been established. Maassen et al (2001) propose that numerous years of exposure to music with frequencies particularly damaging to hearing at high noise levels can lead to substantial damage and employees in a noisy workplace have an increased risk of hearing loss. A common consequence of excessive noise exposure is tinnitus. Tinnitus refers to a perception of noise arising without corresponding auditory stimulation (Baguley, 2002). This poorly understood condition is experienced by 10% 15% of the population at some time during their lifetime (Andersson et al, 2000). Many people experience symptoms shortly after exposure to loud noise, whereas other it can last until medical intervention. Tinnitus is often described as a ‘‘buzzing in the ears,’’ however it sufferers also describe the nose as whistling, hissing, ringing or roaring of varying intensity, loudness, and pitch. (McKenna, 2008). Sufferers of this dise ase may also find it difficult to distinguish between different sounds within their proximity, which can cause further discomfort. The effect of tinnitus on an individual is not limited to a physical implication, but rather psychological, which include depression amongst other similar debilitating diseases (Andersson et al., 2005). It has also been suggested that links between an increase in workplace accidents which may have involved excessive noise and hearing impairment (Picard et al, 2008). 1.2 Aim The aim of this dissertation is to establish noise levels and the potential adverse effects to which fitness instructors are exposed to during the teaching of their classes, in particular when amplified music is used to motivate participants. The study will also survey instructors to find out possible factors that may explain why such noise levels are being used in their classes. 1.3   Objectives Empirically identify the levels of sound used by fitness instructors during their classes Survey fitness instructors’ instructors’ to find out their knowledge of noise issues, amount of exposure and awareness of noise levels. Identify the workload of instructors and any other factors that may affect results e.g. hobbies. Analyse data Determine if factors outlined in the questionnaire have any consequence on the outcome of the measurements taken from the dosemeter. Identify findings and discuss problems encountered Discuss further research needs    Chapter Two Literature Review 2.1   Noise Induced Hearing Loss (NIHL) The issue of NIHL has long been established, particularly within the manufacturing, mining, construction and foundry industries (William R, 2007). Hearing conservation programmes have been running throughout Europe, which in Sweden resulted in a drop of 3 dB (A) within the industrial machinery industry over a 20 year period (WHO, 1997) The problem of leisure time NIHL may have first been recognised with the introduction of personal stereos. Various studies identified that it was not only the workplace that posed a risk to hearing, but also leisure times activities. Potential sources of high leisure noise levels include machinery (e.g. lawn mowers, power tools), rock concerts and discotheques, personal stereo systems and toys (Davies and Fortnum et al, 1985). Despite the improvement in NIHL within the workplace and within some leisure environments’, it has mainly been limited to the workforces which fall within the industrial sector. NIHL is a recognised problem within the U.K and has been attempted to be addressed by the Control of Noise at Work Regulations 2005, however there are working environments which continue to be exceed recommended noise action values for example the noise which are experienced during an aerobics class (Nassar, 2001). While attending an aerobics class is unlikely to induce hearing loss, previous research suggests that regular exposure to noise over 85 dB (A) may be detrimental to hearing capabilities. 2.2 Noise in fitness classes The use of amplified music in fitness classes is commonplace, primarily to motivate the participants and enhance fitness performance (Howley Franks, 2007). It is also suggested that the use of music during fitness classes improves the performance of participants, and often noisy environment are necessary for the enjoyment of the activity. This is called the â€Å"social noise phenomenon† (Clark Calvert, 1991). Also in this workout environment, young adults who participate in fitness classes are at risk of exposure to high levels of music delivered through loudspeakers (Yaremchuk Kaczor, 1999). With the use of loud music in fitness classes, the risk of impairing instructors hearing increases, especially if they are exposed to the noise for prolonged periods of time. A fundamental detail of fitness instruction is the requirement for instructors to instruct participants as to exercises they’ll be performing and to offer encouragement. â€Å"Instructors often find thems elves shouting commands to participants, which may result in vocal fold abnormalities. To overcome the strain of shouting over music, some instructors will use microphones that are louder than the background music. Unfortunately, this allows music to be played at an even louder volume† (Yaremchuk Kaczor, 1999) Previous research into the noise produced at fitness classes have concentrated on the level of noise within the room, rather than the instructors’ individual exposure. The Yaremchuk Kaczor (1999) study measured sound pressure levels during aerobics classes at five different health clubs, readings were taken using a portable sound level meter. A study of noise in fitness classes undertaken by Fusco and Marcondes (1989) was performed on numerous fitness classes in Sao Paulo, Brazil, recording noise levels ranging from 82dB(A) to 160dB(A). This study focused on the noise that was observable in the room and not the personal exposure of the instructors. Palma et al (2009) performed a cross sectional study of 15 instructors in Brazil to identify the level of exposure that instructors were exposed to during the teaching of fitness classes and its relationship with other factors of health. Palma et al (2009) also used a questionnaire with to establish correlations between health factors and noise levels. To achieve sound pressure measurements, the study used a Sound Level Meter that was located near to the instructor to achieve a realistic personal dose measurement. The study found sound pressure levels ranged from 74.4 dB (A) and 101 dB (A) with a mean Leq of 89.81. Wilson and Herbstein (2003) examined how participants in these aerobics classes perceived the music levels. Approximately, 75% of participants reported that the music was at a comfortable level when it was presented at both 85 and 89 dBA; and even when the level presented was 97 dBA, 67% of participants still felt that it was a comfortable level. Furthermore, 76% of participants enjoyed the class more when the music was presented at a level of 89 dBA. And finally, 74% of participants reported that they were more motivated to work harder when the music was presented at 89 and 97 dBA. An unfortunate consequence of enjoying a class more and being more motivated when the music is presented at such high levels is the potential deleterious long-term effects on hearing sensitivity. A study performed by Yarenchuk and Kaczor (1999) measured noise levels at 5 different leisure centres and 125 aerobics classes. The study used a sound level meter to record sound pressure levels at 5 minute intervals, the study recorded a range of 78 dB(A) to 106 dB(A) and a mean Sound Pressure Level (SPL) of 94 dB(A) and 27 classes having an SPL of 90 dB(A). Echoing the results found by Yarenchuk and Kaczor 2001, a study by Mirbod et al (1994) within 3 health clubs, found similar peak, and mean values within fitness classes. A study into noise at aerobics classes in Manchester was performed by Nassar (2001), the study recorded noise levels in fitness class studios. The study by Nassar (2001) recorded a mean noise level of 89.6dB (A) and also performed a pure tone threshold hearing test based on the audible range of the class noise frequency (subjects). The subjects then attended aerobics classes. A noise level of 90 dB(A) was pre-set and the classes lasted 60 minutes, two minutes after the class had ceased, post class pure tone audiometry was performed. The study results showed that there was evidence of temporary threshold shift which has the potential to lead to permanent hearing loss (Moller, 2010). However, despite these findings, the use of pure tone audiometry to assess the potentially harmful effects of noise on peoples hearing has failed to show any marked effect in numerous studies (Carter, 1984). 2.4   Legislation The Health and Safety at Work Act 197 general duties state that; It shall be the duty of every employer to conduct his undertaking in such a way as to ensure, so far as is reasonably practicable, that persons not in his employment who may be affected thereby are not thereby exposed to risks to their health or safety. With particular relation to noise, there is further guidance on controlling noise levels within the workplace.   The Control of Noise at Work Regulations 2005 are based on a European Union Directive, the Council and Parliament Directive 2003/10/EC of 6th February 2003, which stipulated the minimum health and safety requirements regarding exposure of workers to the risks arising from physical agents (noise) (HSE, 2006). Regulation 5 of the regulations requires employers to perform a risk assessment for employees should their work activities expose them to noise at or above the lower action values mentioned in Regulation 4 (HSE, 2006). The intention of risk assessments is to identify hazards, decide who may be harmed, evaluate risks and decide on precautions, record finding and implement them and finally review and update them. In performing a risk assessment of noise exposure, it allows the employer to prevent and implement sufficient control of noise levels. Further to this; Regulation 9 of the Control of Noise at Work Regs 2006 require that, where a risk assessment has identified a noise source which poses risk to an employee’s health, that hearing protection must be provided (HSE, 2006) Regulation 10 of Control of Noise at Work Regs requires employers to supply employees with training and instruction should they be exposed to noise levels that breach the lower action values (HSE, 2006).` An uncomplicated way towards the reduction of hazardous noise levels and compliance with the noise regulations in fitness classes would be to reduce the level of noise to a safe limit which reduces the risk of NIHL. This would result in safer working conditions, less strain on the vocals of instructors and reduction in noise related illnesses e.g. Tinnitus. Within the Control of Noise at Work Regulations (2005), regulation 4 states the exposure limit values and action values as so: Regulation 4.- (1)  the lower exposure action values are (a) a daily or weekly personal noise exposure of 80 dB (A-weighted); and (b) a peak sound pressure of 135 dB (C-weighted). (2)  The upper exposure action values are- (a) a daily or weekly personal noise exposure of 85 dB (A-weighted); and (b) a peak sound pressure of 137 dB (C-weighted). (3)  The exposure limit values are- (a) a daily or weekly personal noise exposure of 87 dB (A-weighted); and (b) a peak sound pressure of 140 dB (C-weighted).    Chapter Three Methodology    3.1  Method As already mentioned, there have been many studies into the noise levels within the fitness class arena, however, very few have been performed within the U.K and considered the personal exposure of instructors using a dosimeter. This study will use a cross sectional method by recording personal exposure of instructors, using a dosemeter and questionnaire to identify the knowledge and awareness of instructors of noise issues, that may occur during their fitness classes. The empirical study was performed over 7 different fitness instructors, teaching various classes within 6 different arenas within Hambleton District and Leeds. Initially 8 leisure centres were identified to participate in the study; however one of them refused to take part. Once permission had been granted by the management of leisure centres, Instructors were approached and explained what the study entailed and its aims outlined. Seven fitness instructors were approached, all of whom agreed to participate. The profile of instructors was varied and included inexperienced and experienced, male and female instructors. The fitness classes chosen to participate in the study were based on the involvement of music to which the class was taught. The post class questionnaire was given to instructors to complete should they feel comfortable doing so. It was also explained to them that should they reverse their decision for the information on the questionnaire to be used, they could contact me and data would be destroyed.   Participants of the fitness classes took no part in the study, and at times explained what the equipment the instructor was doing. This explanation was at the instructors’ discretion. Due to instructors having to wear equipment and take time to participate in the study, it was decided that the instructor would only be asked to participate in the study once. Although this limited the length of the study, it was felt that this would be least problematic for instructors’ and management of gyms who may have felt uneasy at numerous reading being performed. They types of classes were noise measurement were performed were, aerobics, boxercise, spinning and body attack. (See appendices for individual descriptions) As with the nature of aerobics, movement is ongoing throughout the duration of the class, and using a sound level meter would not accurately record personal noise levels accurately. A dosemeter (Casella’s CEL-360 noise dosimeter) was used to measure the noise levels from the amplified music rather than a sound level meter as it provided a more accurate reading of the instructor’s personal exposure to the noise. The Dosemeter was be attached to the instructors clothing, as near to the ear as possible to get the most realistic measurement. Unlike a sound level meter, the use of a dosemeter will also taken into account how near the instructor is to the amplified music, consequently giving a more realistic measurement. Prior to the commencement of the study and before each class, the dosemeter was calibrated and configured as to provide readings of Equivalent Continuous Sound Level (Leq), daily personal exposure (Lep’d), The dosemeter was also set to a (A) weighting to reflect the frequency response of the human ear. The Dosemeter was calibrated and configured prior to each class begging and set to record minutes before the class began. This did not affect recording as the music in all classes was present prior to the class beginning its warm up. The dosemeter was locked for the duration of the class to limit accidental interference by the instructor. The dosemeter was then positioned on the hip of the instructor with a wire connected to the microphone which clipped on the neck of the instructors t-shirt, approximately 12cm from the ear. On completion of the class, the dosemeter was taken from the instructor and recordings stopped. On completion of the class, instructors were asked to complete a questionnaire accompanied by an ethical information sheet as required by Leeds Metropolitan Universities Ethics Policy. It was decided to keep the questionnaire to one side of A4 due to time constraints of instructors and the likelihood of it being completed accurately. All instructors completed the questionnaire. Recorded noise levels were taken from the dosemeter and given a reference number to allow correlations from questionnaire and recording to be analysed. The post class questionnaire sought to identify the profile of instructors and their experience teaching classes. This included Age, Gender and experience of teaching fitness classes to music. These factors were included as a study by Daniel (2007) defined that risk factors for NIHL include age, gender and race, with age having the most significant factor of developing NIHL due to hearing capability declining with age. The experience of instructors teaching classes was asked to try identify whether through experience, noise levels decreases or due to continuous exposure noise levels increases due to poorer hearing. The questionnaire also aimed to identify the knowledge of instructors regarding hearing damage, training of noise levels and the use of hearing protection and awareness of Control of Noise at Work Regulations 2006. These factors were chosen as they have not been included in previous studies and was felt that it would provide a indication of reasons why loud music if used.   A final question of instructors opinion of the loudness aimed to identify their knowledge of what level of continuous noise exposure may induce hearing loss may sound like. 3.2 Ethics All participant of the study were provided with written information sheets explaining the nature of the study in conjunction with a verbal explanation and questionnaire. Due to the free lance nature of instructors, written permission to perform the study was also sought prior to the study commencing (See appendix). All participants had the opportunity to withdraw the data collected. Participant data was kept confidential and secure, although it should be noted that names of participants were not kept attached to questionnaires. Chapter Four Results 4.1   Study Results For raw data that will be discussed in this section, see appendix 2. Seven instructors agreed to participate in the study, all of whom completed the questionnaire and did not request to withdraw the data collected. One leisure centre refused my request to undertake the research. This level of full participation was expected due to the use of convenience sampling. The socio demographics of the participants was as follows: 5 male (71.5%) and 2 female (28.5%). Two instructors were between the ages of 18-25 (28.5%), 3 Instructors were between the ages of 26-35 (43%) and 2 Instructors over the age of 36 (28.5%). All instructors taught between 1 and 4 different types of class each week which involved amplified music. These were a combination of aerobics, spinning, boxercise and body combat. Of the classes mentioned; two instructors taught only boxercise (28.5%). Two instructors taught aerobics and spinning classes only (28.5%) and the remaining 3 instructors taught all 4 different classes during one week (42.9%). The results showed that body combat was the least taught class amongst instructors. The number of hours a week teaching classes was split into two groups. Four instructors spent less than 10 hours a week instructing classes (57.14%) with remaining instructors teaching classes more than 10 hours per week (42.86%). The experience of teaching classes varied greatly which generally had an impact on the number of classes they taught each week. Three Instructors’ had instructed classes for less than 2 Years (42.9%). Two instructors had instructed classes between 2 and 10 years (28.5%) and the remaining two instructors had taught classes for over 10 years (28.5%). The study found that the longer the instructor had been teaching classes, the more hours were spent each week instructing classes to music. The perception of noise within classes varied from instructor thinking the music was quiet to loud. One instructor thought the music in their class was quiet (14.7%). Four instructors thought the noise level was ‘about right’ (57.14%) and the remaining two instructors thinking the music being played was loud (28.5%). Of all the instructors surveyed, none had received training on the noise regs, with one instructor having an awareness of regulations. Despite one instructor reporting previous medical problems with their hearing, they had not received training or were aware of the Control of Noise at Work Regulation 2006. However, this person did perceive the music they were using as quiet, 4.2 Noise levels The lowest measured Equivalent Continuous Sound Level (Leq) was 81 dB (A) and the highest leq reading was 95 dB (A). The mean Leq for all the instructors was 88 dB (A). The lowest measured peak noise level was 128 dB (A) and the highest peak level was 144 dB (A). The dosimeter equipment used was able to calculate the personal Daily Exposure Level (Lep’d). It was assumed that the rest of the day was quiet. This enabled the calculation of Lep’d measurements ranging from 76 dB (A) and 85 dB (A) with a mean personal daily exposure of 80dB (A). The results showed that four (57%) of the instructors music levels were above the first action value in the Noise at Work Regs 2006 and two of those over the second action value. Despite the remaining results recording values below the first action value, it must be noted that they still achieved a Lep’d no lower than 77 dB (A). In relation to gender it was not possible to distinguish a trend in the results due to the small sample size that only included two female instructors. The instructors that spent less than 10 hours a week instructing fitness classes to aerobics recorded a mean Lep’d of 77dB (A). Instructors teaching classes over hours a week recorded a mean Lep’d of 81.6 dB (A). A particular concern was of one instructor who was instructing classes to music for more than 35 hours per week, 6 days a week who recorded a Lep’d of 84 dB(A), this instructor also thought that the level of music being used in their class was not loud. Similarly, three other instructors whose Lep’d was above the first action value within the Control of Noise at Work Regs 2006, also did not think that level of music being used was loud. The intention to use peak action values to analyse results was not possible due to accidental interference from the instructor to the microphone. This is evidenced by the particularly values of over 141 dB (A). This level of peak action value is not corresponding with noise levels within the fitness class environment. None of the instructors had received training with regard to hearing protection or controlling the noise levels within their classes. However, one instructor was aware of the Control of Noise at Work Regs, but despite this recorded the second highest Lep’d of 84dB (A). The study found that the second highest daily exposure of the instructors was of an instructor over the age of 36, with a Lep’d of 84 dB (A). The mean Lep’d for over 36 years olds was 81 dB (A). This theme continued as the study found that 3 of the 4 highest Lep’d recordings was amongst the 26 – 35 year olds, with a mean Lep’d of 80 dB (A). The 18 – 25 year old instructors recorded the lowest Lep’d of 73.5 dB (A). The results show that the older the instructors, the higher the mean Lep’d. Table 1. Data obtained from questionnaires and recorded measurements from dosimeter. Name Gender Age Years instructing Hours spent instructing Trained in noise regulations Medical problem Noise regs awareness Perception of noise level LEQ Lepd 01 M 26-35 1 year 3 hours No No No About right 90 80 FC/02 M 18 25 3 Years 1 Day 4.5 hours No No No Loud 81 71 FC/03 M 36+ 10 years 3 Days 6 hours No Yes No Quiet 88 78 FC/04 M 26-35 16 years 6 Days 35+ hours No No Yes About right 95 85 FC/05 F 26-35 6 months 2 Days 4.5 hours No No No About right 89 80 FC/06 F 18-25 4 years 3 days 12 hours No No No Loud 85 76 FC/07 M 36+ 2 Years 4 days 10 Hours No No No About right 95 85 MEAN 89 79.5    Graph 1 Graph 2 Graph 3 Chapter Five Discussion 5.1  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Noise exposure The measurements that were measured included noise levels, peak noise levels, and daily exposure levels (Lep’d). This study found that the mean measured noise levels within different fitness classes to be 80 dB (A) based on a working day. This result was not unexpected as other studies have found similar noise levels within fitness classes. Although other studies have included more instructors, and their exposure to noise levels, they have concentrated on the levels of noise within the class alone and not the instructors themselves. This study used personal dosimetry to provide an accurate, life like measurement of noise levels within the classes. It also questionnaire considered the exposure of instructors based on their weekly teaching schedule. It also considered variable factors including age, lifestyle choices and awareness of regulations to determine if an association can be correlated (See appendix). The mean daily noise exposure value found by this study is in breach o f the first action value set out by the Control of Noise Regulations 2005, Regulation 4. The findings clearly highlight an issue of excessive noise levels being used by instructors, however, due to the small convenience population used, it is difficult to generalise findings. The mean daily exposure value found by the study may be an underestimation as it assumes that the rest of the day is quiet. The questionnaire highlighted that many of the instructors taught multiple classes each day, assuming similar noise levels were used in those classes. This is likely to affect the daily noise exposure of instructors resulting in an increased Lep’d. The mean Lep’d found in this study is particularly worrying for instructors who are instructing fitness classes over 10 hours per week. The study found that 3 instructors taught over 10 hours a week. This number of hours teaching at high levels of noise is likely to increase their daily noise exposure value and without intervention, increase the likelihood of Noise Induced Hearing Loss (NIHL). The study confirmed that high levels of noise are being used in fitness classes to motivate participants to the detriment of their hearing. The problem is particularly concerning for instructors who are teaching multiple calluses per week. Due to the likely underestimation, it is likely that in actual fact the daily exposure would be higher and furthermore detrimental and in further breach of regulations. An observation of the study was that instructors that used lots of loud verbal encouragement to participants resulted in higher daily noise exposure values. A study by (May J, 2000) found that Individuals describing loud noise on the job, which required the necessity of shouting to communicate with co-workers, or ringing/ buzzing following work exposures may well be experiencing excessively high levels of noise. Dobie, (1993) states that, the need to shout in order to converse suggests the possibility of a possible hazardous exposure, although hazard is negligible in the 80 -85 dB (A) range. This theory is backed up by (Porter 1993) who states, â€Å"A rule of thumb, however, is that if a person normally has to shout to communicate to workmates, he is at risk of developing noise induced hearing loss†. A point to be considered is the possibility of instructors not playing music as loud as they might normally do because of the awareness of the study and consciousness that loud music may affect their hearing (Hawthorne effect). A further limitation may have been the use of the Dosimeter itself. The design of the dosimeter meant that the microphone often came into contact with the instructor which resulted in high peak values. This was found to be the likely reasoning behind the extremely high peak values which may have also affected the daily exposure value.   The high levels of noise found by the study are not surprising due to the lack of training and awareness of Noise at Work Regulations (Noise Regs). The study found that no instructors had received training and only one instructor was aware of the Noise Regs. The lack of training may be linked to the lack of understanding and under estimation of noise levels they were using in their classes. Nearly all instructors found that the music they were using was at an ‘about right’ level and not be harmful to hearing, despite a mean daily exposure of 80 dB (A). The use of language to estimate noise levels was used due to instructors not understanding decibels and its associated meaning. It was decided this would be a simpler means of estimating noise levels. 5.3   Study limitations The use of dosimetry gave the most life like measuring of noise exposure; however, the microphone was still over 10cm from the ear canal, the point in which noise is processed. The affect of the acoustics of the rooms and its reverberation will also not be taken into account by the dosimeter. The design of the dosimeter prevented recording being taken from any closer than 10cm. This may have resulted in affecting the results. The design of the dosimeter also meant the microphone had to be clipped on the neck area of an instructor’s upper most garments. This led to the microphone rubbing against the neck and jaw of the instructor, resulting in an increased and unreliable peak action value. The dimensions of arenas where measurement were taken varied from small studios to a large gymnasium. For this reason the reverberation attributes of room were not taken into consideration. The range of different rooms used may have an effect on noise levels reaching the dosimeter. However, the use of dosimetry provided the most realistic measurement possible. A more accurate measurement would have been possible if the background noise levels had been recorded and taken into consideration when analysing results, however, this was not always possible due to the quick turn-around of classes which left no time for background noise levels to be recorded. The cross sectional study was straightforward due to its convenience, which allowed correlations to be made from measurements and the questionnaire. Due to time constraints and funding, convenience sampling limited the study to the North Yorkshire and Leeds City area. This meant only a small population could be sampled, meaning it is difficult to regard as representative of the profession. The questionnaire relied upon the instructor answering questions honestly. With this in mind, it is feasible that instructors experienced self awareness, recall bias and time constraints which lead to an inaccurate completion of questionnaire.   Chapter Six Conclusion Conclusion  Ã‚  Ã‚  Ã‚  Ã‚   6.1 This study was based on a small, cross sectional empirical method to address the exposure of fitness instructors to their noisy work environment. The study considered the frequency of classes and their duration, contrasting to prior studies mentioned earlier in this dissertation. The study focused on the daily exposure of instructors, unlike the other studies, however, it only focused on the results gathered from one class. This limited results as further speculation would have meant assuming noise levels in other were classes were the same as the measured class, which would bring in the issue of bias. Similarly, it is possible that the weekly exposure could have been calculated based on noise levels recorded, but this again would have required an assumption that all other classes were the taught at the same noise level, which is unlikely due to the varying locations instructors are likely to teach. This assumption would have led to an unrealistic under or over estimation of noise levels. To accurately estimate weekly exposure levels would have meant attending more classes which was not possible in the timeframe of this study. It was also felt that this would have placed too much of a burden on instructors and lead to a lower number of fully participating participants The questionnaire proved reliable due to its short length, however, it was restricted to by its small sample population and the use of convenience sampling which meant it was not possible to generalisation of results. This study has provided an insight into the noise levels that instructors are using within the workplace and considered factors that may influence the levels that are used. Although this study is not representative of the industry sector as a whole, couple with other similar studies that have returned similar results, it provides further evidence that this is an industry that is not being address adequately by the Control of Noise at Work Regulations 2006. It has not only addressed the workplace environment noise but has considered the whole exposure of the instructors and this information would be useful when attempting to develop and implement a hearing conservation programme. Although this study was not able to determine the relative risks and odds ratio for the different risk factors and their statistical significance, it did provide a valuable insight in the role of a fitness instructor and much information for dissemination which would assist in understanding the nature of the risks that instructors face. Again, this would not be representative of that sector; however, with other studies reporting similar high noise levels, it is further evidence that this is an area, which needs to be addressed. The study has also identified that there is a lack of training and perception of noise levels. This study focused solely on the noise levels of amplified music and did not consider noise from equipment, people attending the class or acoustics of the room. The potential for instructors to have experienced bias or self awareness whilst completing the questionnaire has been noted. The margin of error in recording noise measurements has also been considered however has not been clarified to use in conjunction with results. 6.2 Results summary Soderquist (2002) states that NIHL can cause a temporary threshold shift and lead to the decrease in sensitivity, and increase in threshold, which occurs when you are exposed to a long duration of sound that has a level greater than 80 dB. The results from this study found noise levels in fitness classes to range between 81 dB (A) and 95 dB (A), with a mean of 89 dB (A) and personal daily exposure based on one class of between 71 dB (A) and 85 dB (A) with a mean of 80 dB (A). However this result is likely to have been underestimated as mentioned earlier in this chapter. The results showed that four (57%) of the instructors music levels were above the first action value in the Noise at Work Regs 2006 and two of those over the second action value of 82 dB(A). Despite the remaining results recording values below the first action value, it must be noted that they still achieved a Lep’d no lower than 77 dB (A). These instructors are running a risk of suffering from Noise Induced Hearing Loss, which is compounded by the frequency of classes they teach and lack of training and awareness of regulations. Leisure centres were fitness classes take place are allowing breaches of legislation (Control at Noise Regulation 2006) to occur, which is proving detrimental to employees. None of the instructors involved in this study had received training of noise levels. A consequence of this is shown in the majority of instructors believing the noise levels used in their classes was ‘about right’ or ‘quiet’ despite being above the lower action values of the noise regs. Potentially further detrimental is that 71.5% of instructors have hobbies that involve loud music, which is likely to be louder than fitness classes due to thinking that their fitness class didn’t involve loud music. Chapter Seven   Recommendations Recommendation  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   7.1 This study has demonstrated the issue of noise in fitness classes and the need for further research to enable further generalisation of the population. A more extensive population would provide evidence of causality. Performing measurements over a week basis for instructors would also provide more accurate and reliable daily exposure value. Future research may also want to make further correlations using tests to measure symptoms of hearing loss. A further point to take into consideration is to consider acoustics of arenas, the reverberation characteristics of the room and other factors that may increase background noise levels. The study limitation of instructors’ awareness of the study and possible lowering of volume is a difficult problem to address due to ethical reasons. The use of a sound level meter to perform measurements is less intrusive to the instructor, however, will provide less realistic results. A concern highlighted by this study was the lack of training on noise related issues received by instructors. The use of loud music is integral to the instructing of fitness classes; however, it is not being addressed by management in leisure centres.   This study has highlighted the need for training and developing of health surveillance in this sector.   Torre and Howell (1999) found that aerobics instructors often used high levels of music to motivate the class; these levels of music, in combination with the instructor’s encouraging voice at a higher level, may contribute, over time, to recreational noise-induced hearing loss.   Furthermore Clark and Calvert (1991) suggested that the use of music during fitness classes improves the performance of participants, and often noisy environment are necessary for the enjoyment of the activity. This is called the â€Å"social noise phenomenon†. For change in attitudes towards hearing protection and strategies to reduce volumes, first, the above attitude must be overcome. An alternative measure to tackle problems identified in this study is to place more emphasis on the management of leisure centres. Methods may include a contract between management and instructors to not exceed preset volume levels or placing noise level limiting equipment on audio equipment. However, this may be difficult to monitor due the varying background noise levels found in different classes and its number of participants. Management of leisure centres need to consider the risk of Noise Induced Hearing Loss of instructors within its workplace. Identification of typical noise levels will allow for policies and agreements to be put in place to protect its employees from a life changing medical condition. It should also be realised that the use of increasing sound levels to motivate participants during fitness classes may put regular gym-goers, as well as instructors, at an increased risk of NIHL. Reference list Andersson, G., Baguley, D. M., McKenna, L., McFerran, D. (2005). Tinnitus: A multidisciplinary approach. London:Whurr Publishers. Andersson, G., Eriksson, J., Lundh, L. G., Lytkkens, L. (2000). Tinnitus and cognitive interference: A Stroop paradigm study. 104 Biological Research for Nursing 13(1) Journal of Speech, Hearing and Language Research, 43, 1168-1173. Carter, N.L., Murray, N.M., Khan, A., Waugh, R.L. (1984). A longitudinal study of recreational noise and young peoples hearing. Australian Journal of Audiology, 6, 45-53. Cone, J and Hayes S (1985). Environmental Problems/Behavioral Solutions. London: Cambridge University Press. p89. Daniel E. (2007).  Ã‚  Ã‚  Ã‚  Ã‚   Noise and hearing loss: a review.   Journal of   School Health  Ã‚   77 (5): 225-31 Davies AC, Fortnum HM, Coles RRA et al. Damage to hearing from leisure noise: a review of the literature. Nottingham: Medical Research Council Institute for Hearing Research, University of Nottingham, 1985 Diaz C., Pedrero A. (2006). Sound exposure during daily activities. Applied Acoustics   67: 271-283 Dobie, R A (1993). Medical-legal evaluation of hearing loss. 2nd ed. New York: Van Nostrand Reinhold. p163. European Agency for Safety and Health at Work. (2005).  Ã‚  Ã‚   Hearing loss in the EU-15 General prevalence. European Agency for Safety and Health at Work Howley Franks (2007) Fitness professionals handbook  Ã‚  Ã‚  Ã‚   Human Kinetics; 5 edition p264 HSE (2005). Likely noise reduction. The Control of Noise at Work Regulations 2005: Guidance on Regulations. Likely noise reduction (278), p78 Jons CM. Occupational hearing loss and vibration induced disorders. Br Med J 1996; 313: 223-226 May, J. (200). Clinical features. Occupational Hearing Loss. 1 (3), p114. Mirbod, S. M., Lanphere, C., Fujita, S., Komura, Y., Inaba, R., Iwata, H. (1994). Noise in aerobic facilities. Industrial Health, 32, 49–55. Mà ¸ller, A.R.; Langguth, B.; DeRidder, D.; Kleinjung, T. (2010). Textbook of Tinnitus. New York: Springer. p302. Palmer, et al. (2001). Occupational exposure to noise and hearing difficulties in Great Britain. HSE Research Report. 1 (Table 5 ), p12. Peters R.J. (2003). The Role of Hearing Protectors in Leisure Noise. Noise and Health 5 (18): 47-55 Porter, MJ. (1993). Sensorineural Hearing Loss. Otorhinolaryngology, Head Neck Surgery. 15 (11), p2864. Soderquist, D (2002). Sensory processes. London: SAGE. p272. WHO. (1997). PREVENTION OF NOISE-INDUCED HEARING LOSS. Available: who.int/pbd/deafness/en/noise.pdf. Last accessed 11th March 2011. William, R (2007). Environmental and Occupational Medicine. 4th ed. Philadelphia: Lippincott Williams Wilkins. p1927. Yarenchuk KL, Kaczor JC. (1999).  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Noise levels in the health club setting. Ear Nose and Throat Journal 78: 54,57

Analytical Report on a Marketing Communications Approach Assignment

Analytical Report on a Marketing Communications Approach - Assignment Example The second option seemed more favorable to Samsung because it is most profitable and because of the trend that is presently associated with mobile phones as more people differentiate themselves by the type of mobile phones they use ("Adweek." Adweek. N.p., n.d.) The success of Samsung Galaxy S3 required a well-balanced market mix. Any electronic device requires calculated marketing mix ingredients; otherwise the product might be too good for its value or not good at all (Fill, 2011, pg 23-26). Samsung Galaxy S3 required a good marketing mix for it to attain the anticipated success during the final sale of the product ("Adweek." Adweek. N.P., n.d.) This paper will discuss Samsung Galaxy S3 marketing mix as depicted from the ad and further discuss the implication of the four P’s of Samsung Galaxy S3 marketing mix and show the relations of Samsung’s products marketing mix. The launch of Samsung Galaxy S3 came at the right time when people were waiting for a smart phone tha t could provide more than what other mobile phones were providing, with its functionality surpassing customer expectations. The current Samsung’s image is that it provides reliable phones, however, Samsung Galaxy S3 was initially perceived as a phone like any other. The difficulty faced by customers is that they did not know that Samsung had introduced a phone with Samsung Galaxy S3 capabilities. The main strategy of overcoming the marketing communication barrier was for Samsung to create a stronger image for Samsung Galaxy S3, by creating public awareness, and putting Samsung Galaxy S3 at the top of consumers’ minds in the target group, with the objective being achievable through marketing communication (Laudon & Traver, 2010, pg 45-50). For Samsung to implement this marketing plan in their Samsung Galaxy S3 product, and achieve the objective, Samsung had to place the Samsung Galaxy S3’s price at a mid range of the market, with the gadget’s price being s lightly lower than that of its competitors. This clearly showed that Samsung aimed at selling Galaxy S3 to young people within the market segment. MARKET MIX According to the ad, the new Samsung Galaxy S3 had the following specifications; concerning networks the gadget had the capability of running 3G (HSPDA/CDMA), 4G (LTE/HSPA+) and Edge/2G (GSM/GPRS) using Android operating system version 4.1. The product used TouchWiz user interface and retailed at a price of $99 with contract and $549 without contract (Stuart, www.cim.co.uk). The Samsung’s software featured in Galaxy S3 aimed at impressing users with several great displays, though most of them suffered from poor executions; however, a customer can still skip the complicated part of the software and enjoy the hardware. With the Galaxy S3, Samsung managed to offer top-line performance with the product being more capable than any other phone (Gay & Charlesworth, 2007). With a great phone, a question at hand would have been t he right marketing formula for the Galaxy S3 (Strauss & Frost, 2011, pg 67-70). The marketing formula is like a recipe, that much for A and that much for B and in the end is a combination that tells a success story or a complete failure of a product, the combination constitutes a marketing mix. Prior to developing Galaxy S3, the company needed to consider the quality of the product required, in order to determine

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Abortion In The United States Essay Example | Topics and Well Written Essays - 1000 words

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Modern Technology - Is Facebook safe from hackers Essay

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The resurrection of Jesus Christ Essay Example for Free

The resurrection of Jesus Christ Essay The resurrection of Jesus Christ is the central aspect of more than two billion Christians in this world and billions more who have since put their faith in Jesus these last two thousand years. The Christian religion is unique in the fact that its founder proclaimed that he is the son of God and that if one simply believes in him, they shall obtain eternal life. There is no other religion similar to that. Salvation cannot be found on this earth or in the completion of daily tasks and rituals but is a gift, given to God through Jesus. The resurrection of Jesus Christ is so important that the entire faith relies upon this event. If Jesus was, as other religions attest: only a prophet, then Jesus is therefore made a liar and the greatest con artist in the history of the world. However, if he is who he was he is, then Jesus is the only way in which one receives eternal life. It can therefore be seen how important the resurrection is to Christians and they are reminded of such sacrifices as well as the importance of Jesus’ death, burial and resurrection, this Easter Sunday. In the Old Testament, the Scriptures profess of a savior who will come to save man from his sins. Amazing detail can be seen in these Old Testament passages concerning where this savior would come from, how he would be received by the public and authorities and how he would die and then be raised from the dead. When Jesus was preaching that he was the Messiah, this was seen as severe offense of blasphemy towards the Jewish authority, as they were still waiting for their savior to come. According to the Bible, and specifically the New Testament, Jesus Christ came to this world to save man from his sin. With the plague of thousands of sins committed by any individual with an average lifespan, he therefore cannot enter God’s kingdom of heaven, which is holy, with a body and works that are unholy. It then comes upon Jesus Christ to be the savior of God’s people by sending on this earth, his only son which died on a cross, was buried and then was resurrected on the 3rd day. In the Gospels, the first four books of the New Testament, in which the life and times of Jesus are given, the resurrection is described in all of these accounts. One such can be found in the book of Matthew 27:52-53. And the graves were opened; and many bodies of the saints which slept arose, and came out of the graves after his resurrection, and went into the holy city, and appeared unto many. (Bible, 2000 p. 689) The resurrection is repeated in all four of the Gospels, due to its utter necessity of understanding if one wishes to consider himself a Christian and deserving, only through the death of Jesus Christ, eternal life in heaven. According to the Bible, after Jesus was resurrected, he began to preach to his followers before he ascended into heaven. Eleven of his twelve disciples considered the resurrection so very important, ten of them chose death, imposed upon them by different state authorities which feared this new religion and its appeal, then deny what they had seen for themselves. This is a testimony to the power and importance of the resurrection of Jesus Christ to Christians. The book of Acts, or Acts of the Apostles, goes into detail, the actions of the apostles as they adhere to the Great Commission, the order given by Jesus before he was crucified, that it is the main purpose of Christians to spread the teachings and promises of salvation, as seen only by Jesus Christ. To Christians, the Great Commission is still in effect today and is what propels missionaries to travel all over the world, teaching and preaching the news of Jesus Christ and his promises of eternal salvation. In all of these teachings, the resurrection is included, or rather seen as the most important aspect of the Christian faith and plan for salvation. â€Å"If Jesus was not resurrected from the dead, then he is only a man and the Christian faith is based upon a myth.† (Johnson, 1998 p. 45) This then makes the resurrection of Jesus Christ to be of the utmost importance. For those who believe in the resurrection of Jesus, the resurrection takes on a special meaning. This sacrifice of Jesus, the one who is seen by Christians as the perfect and blameless son of God in order to save fallible sinners from the torment of hell, is an important and emotional sacrifice. It is this sacrifice that motivates Christians, not only in their faith but also in the continuation of their church attendance and private and public devotions. The Christian martyrs in the immediate centuries following the resurrection of Jesus, gladly went to be fed to the lions or killed in some other way in order to try and duplicate, although not copy, the sacrifice that Jesus made for those who believe in him. Even contemporary Christians are moved by the sacrifice of Jesus in this manner.   The 2004 film The Passion of the Christ compelled a lot of reaction. One of the reactions by the audience was humility and even tears as they saw what might have happened to Jesus in order that he may save their souls from heaven. If the resurrection of Jesus never was attached to these sacrifices of being beaten and crucified, then he would not be the one who had come to fulfill prophecy and therefore, would have been seen as a heretic and there would have been made, no special attention to Jesus.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The resurrection of Jesus remains central to the faith of Christians. Without the resurrection, the prophecies of the Old Testament remain unfulfilled and Jesus was nothing more than the greatest deceiver in the history of the world who received a fitting punishment. However, if the resurrection did occur and the promises of Jesus are then attached to his claim that he is the son of God and all that he said is true, then belief in the deity of Jesus and his resurrection, still remains the only way in which an individual receives eternal life in heaven. As it is written in the famous Bible verse John 3:16: â€Å"For God so loved the World that he gave his only begotten Son, that whosoever should believe in him should not perish but have everlasting life.† (Bible, 2000 p. 825) Jesus Christ still remains the most important figure in human history. Had the resurrection never occurred, it seems doubtful that his importance would have rem ained the same. WORKS CITED The Holy Bible. (2000) London: Oxford Press. Johnson, P (1998) The Importance of the Resurrection. New York: Century Press. Gibson, Mel The Passion of the Christ. Icon Productions