Tuesday, August 6, 2019

Critical Social Work And Its Values Analysis Social Work Essay

Critical Social Work And Its Values Analysis Social Work Essay The essay analyses theories underpinning and key elements of critical social work and its values. An exploration of counselling as a form of social work practice and how it is influenced by the critical social work approach will be included. Examples from practice experience/ literature and the influence of inequalities, power and social divisions will be discussed. The views of service users and their contribution towards the practice will also be take into account in the essay. Payne (2005) traces social work in the UK back to the 19th century as a community and charitable activity to support the disadvantaged and poor. From the charitable and community origins it developed into a broader field. Jordan (2004) cited in Collins (2009) believes social work owes its origins to Christian morality than a commitment to social problems affecting individuals. Following the economic crisis in the UK in the 1970s due to escalating oil prices social issues like poor housing, unemployment, and poverty and homelessness social work shifted and broadened its focus and tried to address social issues and problems. Adams et al (2005). Adams et al (2009) mentions that in attempting to address social problems, disadvantage and inequalities social work practitioners have drawn knowledge and ideas from various disciplines such as sociology, psychology, philosophy and politics. From this multi-disciplinary knowledge base the underpinning ideology was anti oppressive principle which provides theoretical tools to understand intervene and respond to the complex experience of oppression. This means social work practitioners have a moral, ethical and legal responsibility to challenge inequalities and disadvantage (Payne 2005). Fook (2002) claims that critical practice can be traced and associated with radical social work in the 1960s-70s deriving ideas from Marxist theory. Marx analysed the capital society he lived in Germany and argued that the structures within society derived from the economy and the changes in the industrial revolution influenced some people to be more powerful and others not. Individuals were restrained by the demands of capitalism. Marx highlighted issues of class and class struggle where there is a struggle between powerful and powerless resulting in different societal classes. Those in power will seek to retain it mostly by exploitation of the powerless. Thompson (2006) affirms that society comprises of a diverse range of people in which social divisions emerge which in turn forms the societal structures which networks relationships, institutions and groupings. These groupings determine, control and regulate the distribution of power, privilege, status and opportunities resulting in social stratification and dimensions. From these groupings however it is important to mention that unfairness, inequality and oppression is witnessed in the group of people who are vulnerable and marginalised. Radical social work upheld the following themes: structural analysis of personal problems, ongoing social critique mainly focusing on oppressive ideas/practice and goals of self emancipation and social change. Parallel to these traditions empowering and anti-oppressive practice to participation in research and community work Adams et al (2005). Several key principles were shared from radical critiques to present critical social work which are: challenging dominant forces and oppression in all forms, a critique of positivist ideas and the need to challenge dominant constructed ways of knowing by developing other ways of knowing. This would be achieved through recognising that knowledge may reflect reality but may also be socially constructed through language and ideology. In order to create more/new knowledge self reflection and interaction are essential tools using communication processes Allan et al (2009). Moya et al (2009) believes that critical thinking was further enhanced by Marxism through academics from the Frankfurt School of Sociologists (Horkeimer (1979), Adorno and Horkeimer, (1979) and Marcuse (1964) from the 1920s/30s and Habermas (1984, 1987)s writing in the late twentieth century. The sociologists held that social interpretation was based on assumptions of a fixed social order mainly derived from religion, politics and social beliefs. When this order is rejected and challenged, sociologists believed that this would enhance knowledge of the environment which makes individuals more effective. Gerth and Mills (1948) and Durkeim (1972) cited in Harrington (2005) established that if we understand how social relationships work we would be able to achieve our objectives in society. This is how critical thinking in modernist way is about and it was termed modernism but has expanded and embraced other theories concerned with transformation and social change. Gray and Webb (2008) argue that critical theory is shifting from the Frankfurt school but at the same time it has not defined its critical base. Allan et al (2003); Fook (2002); Healey (2000) acknowledge that there is tension in defining critical theory as it comprises different theories, some argue that it is an umbrella term that encompasses a range of theories and approaches including Marxist, radical, feminist, anti-racist, anti-oppressive, anti-discriminatory, post colonial, critical constructivist and structural perspectives. This suggests that there are many theories although different they all try to understand the r elationship between an individual and society. Thus critical practice involves ones judgement in a reflective and diverse manner Adams et al (2009). Critical practice involves exploring different options in a situation or actions in judging the best way to address issues. The practitioner would review their ideas, perspectives and options of others before deciding a best way forward. This is underpinned by the fact of accepting change and continuity as practitioners encounter different situations and ideas. Payne et al (2005) further mentions that in order to fulfil the requirements of critical practice which include liberation and empowerment social workers need an open mind, reflective stance that encompasses diverse perspectives, experience and assumptions. This would result in acknowledging individual differences, equal opportunity and respect. Fook and Garner (2007) further identify three aspects of critical practice which are critical thinking, critical action and reflexivity as essential tools to apply when seeking social justice and change. From these theories we can trace the ideas of critical perspective and acknowledge that the powerless can influence policy, societal views and self emancipation from the oppressors. An example of theoretical development implemented by service users was the theorising of disability from the medicalised interpretation to social model of disability. This shift was championed by disabled peoples movements to express how they felt and were treated for more than a century. This shift and theory influenced societal attitudes, influenced policies and to some extent changed societal attitudes in UK and abroad. Abberley (1998); Barnes, (1998). Morris, (1993) supports this by mentioning that the disability movement has overhauled societal perceptions and upheld disabled peoples rights to live independently, promote anti discriminatory practice, fairness and equal opportunities. Systems theory is another major theoretical source underpinning social work. The theory emphasised that peoples existence is determined by the environment they live or grow in. It highlighted that peoples problems are a result of how they interact with their resource systems which are either formal or informal. The informal include friends, neighbours and colleagues. The formal include support groups/ social clubs and associations. The public/ societal include housing, hospitals, work and school which provide certain structure or particular function in society. The system theory encourages growth and provides a wider range of solutions to problems by identifying areas of improvement or needing improvement. However it is said not to be acknowledging power differences within society and with different roles Adams et al (2009). Coulshed and Orme, (1998) clarifies that the nature of diversity in society makes it difficult to be entirely dependent on one theory or approach. Different situ ations and different circumstances entail different approaches through reflective practices and perspectives. Harris and White (2009) further explored events and changes within the welfare state from administering to managing the welfare state. They observed that the Conservative 1979 -1997 and Labour 1997-2010 were influenced by neo-liberalist ideas. This idea upheld the belief that market was superior to the state and as such professionals including social workers were meant to implement competitive government policy and approaches to meet global standards. These changes affected the vulnerable people in society as well because managers had been given the powers to speak on their behalf. These changes, debates and contradictions have put social work practice into a contested dilemma profession although this definition states that Social work is a profession that promotes social change, problem solving in human relationships and the empowerment and liberation of people to enhance well-being. (International Federation of Social Workers, 2000 p1). Parton (1998) points out that the present political environment is dominantly global, modernized and authoritarian. As such policies are informed and regulated by market principles which prescribes and narrows professional boundaries which affects the rights of service users. In order to achieve their objectives social workers need to challenge and resist the authoritarian elements by employing critical practice. Fook (2002) articulate that critical social work practice should be concerned with promoting a society without domination, exploitation and oppression. In order to achieve these practitioners need to reflect, reconstruct, deconstruct and unpack more processes for change through careful negotiation within the dominant framework. Many critical social theorists have challenged the existence of a social order and have questioned social order as evidenced in the work of Habermas (1984, 1987) who distinguishes between the system and the life world which interact and sometimes conflict with each other. The system represents the structures like the government departments, transnational companies emerging from globalisation, ideas promoted by communicative reasoning, education and media. All these structures are relaying a world view through different reasoning. As such social work is not excluded as an agent of systematic managerialism in agencies Pease (2005). Fook (2002) and Gardner (2007) proposed alternative forms of critical theory which are feminism and post modernism. They focus on the understanding that the world reflects personal experience and social historical context. They argue that personal experience constructs and is constructed by the world we live in. They advocate to listening to peoples experiences (narratives) seriously and from these we can hear how they view and experience the world in different ways. Powell (2001) suggests that feminists maintain that the narration of experiences by individuals gives us a clue on how they construct the world and how they want to engage with their problems and situations. Thus postmodernists say there is an alternative way of viewing the world than what it seems to be. Post-modernity argue there is a different way of viewing the world and different ways to deal with societal problems hence critical social work seeks for different options and take the best way forward. Adams et al (2009) suggests that in order to seek the best way forward social workers are encouraged to adopt the eclectic approach which entails selecting crucial aspects from different theories and blend them together as one approach. Alternatively they can use different theories for different cases. This has an advantage of addressing inadequacies in particular theories as they compensate one another. However there are also limitations as to master different theories and selecting crucial aspects may be difficult. It might as well be difficult to select the appropriate theory to use in the first place. To overcome these limitations Epstein (1992) suggested that continuous reflection, agreement, debate and teamwork would encourage flexibility in complex issues. Milner and Obyrne (1998) propose that in trying to address social injustices and inequality social work uses a variety of skills and knowledge based on theory perspective and methodology. This empowers social workers to put in place intervention which is appropriate to individual circumstances. This intervention empowers social workers with skills to engage service users to bring positive outcomes. Banks (2001) holds that values are diverse, may overlap, can conflict and socially constructed. Traditional social work and critical social work values overlap and are based on Biestek 1961 and consist of the following: Individualism, non judgemental, self determination, purposeful expression and controlled emotional development. In post modernity terms these can be interpreted to promotion of social justice, emancipation, anti-oppressive, anti-discriminatory, empowerment, non judgemental and respect and dignity. Above all the language used may affect the way we interpret the world resulting in assumptions, overrepresentation or misrepresentation of issues and ideas, Adam et al (2009). Critical social work as discussed explores the best way forward to individuals problems and seeks to listen and engage with the individual to tell their story and work in partnership to find the best way forward. The limitation is critical social work is surrounded by external forces which are beyond it control, for example resources in the current economic climate globally and at home. It is also criticised as its values and origins are Eurocentric and do not represent universal circumstances as what seems to work in UK might not necessarily work in Afro/ Asian communities. For example the issue of confidentiality is valued and essential in UK and Europe whereas in Afro Asian cultures they value kinship support in times of distress. However they would not want anyone else outside the kinship clique to know about their situation. This brings interpretation problems to confidentiality Morley (2003). In order for all these theories to be implemented there should be contact with individuals in society who experience inequality and disadvantage. Furthermore it is also important to mention at this point that social work intervention and practice is broad and spreads into other disciplines. Group work, Counselling, Advocacy and Assessment are examples of different forms of practising social work. I will not focus on the broadness of disciplines but will focus on the aims of the essay which are to explore how the critical social work approach influences counselling. Counselling requires a lot of skills and approaches as it seeks to address and resolve individual dilemmas, decision making and resolving issues. According to Dryden (2004:40) cited in Adams et al (2009) counselling is described as principled relationship characteristics by the application of one or more psychological theories and a recognised set of communication skills, modified by experience, intuition and other interpersonal factors, to clients intimate concerns, problems or aspirations. Its predominant ethos is one of facilitation rather than of advice-giving or coercion. It may be of very brief or long duration, take place in an organisational or private practice setting and may or may not overlap with practical, medical and other matters of personal welfare. The Barclay report in the early 1980s mentioned that it was essential for social workers to engage in counselling as it helped to engage with individuals to help them manage their problems, worries and anxieties, Barclay Committee,(1982). This is no longer the situation today as noted by Brearley (1995) when he states that political, administrative, legislative changes and ideologies have affected the relationship between counselling and social work. Some social work practitioners are in dilemma as to whether they can do counselling or not and where to start with counselling and when to stop. Because social workers operate in a legislative, organisational, ideological, value and ethical context it is becoming increasingly difficult to engage in counselling without pushing boundaries, Furthermore the economic environment, budget cuts and lack of resources makes it difficult to manoeuvre and employ uncontested interventions McLeod (2009). However despite the above constraints social workers at some point carry out counselling as not carrying it out would render their job inadequate and inefficient. McLeod (1998) identified a number of counselling theories which are Person centred, Existential, Cognitive Behavioural (CBT), Motivational, Humanistic, Psychodynamic, Karpmans (1969) Drama triangle and Eclectic or Integrative approaches. Some of the theories have been criticised as inadequate and resource straining. One approach that is complimentary to social work is the eclectic/ integrative approach. Integrative theory is adaptable to the needs presented by the client or specific circumstances which is flexible and adoptable to client needs. McLeod (2003) supports this statement when he maintains that eclectic approach enables the counsellor to choose the best option and techniques from a range of theories to meet the client needs. It can mean employing different elements from different theories to blend them into a new suitable model or theory. These compliments with one of the social work theory of eclecticism which seeks to integrate different theories to intervene (Adams, 2009). It can be argued that the aims of social work and the aims of counselling are both focusing on individuals and their interaction with the society, problems they face and how they solve them. As Egan (2006) puts it and complimented by Coulshed and Orme (2006) social workers adopt skills that compliment counselling skills such as empathy or understanding, respect, self knowledge and acceptance and honest. Although there are criticisms on Egans work as being ignorant of psychodynamic ideas meaning it has limited application and effectiveness. A reflective practitioner would seek to promote social justice, anti -oppressive and anti-discriminatory practice based on knowledge to promote inclusive practice. Both professions are being challenged by increasing literature developing and need to engage in best, critical and anti discriminatory practice to reach all individuals and communities Morley (2003). My privilege in practice working with clients is that I have acquired knowledge and on values of social work issues and intervention. I also have a black African background which has some conflicting values to social work. I will focus on the social work values to overcome any prejudices and biases which may jeopardise my work. I also have the law on my side which would give me power to intervene and practice. In my experience as a caseworker at Refugee Action (RA) I used counselling as a technique to working with clients. Clients from different background accessed the service to resolve their immigration matters. Mostly the approach we used was the integrative approach which meant that the outcomes met the needs of individual circumstances. I did not allow my own values and prejudices to influence my practice. The advantage of having my own values and knowledge made it easy for me to overcome any prejudices and stereotypes towards my clients. As a person from an African background with different values from those of the British society, it was easy for me to understand how it is to be in the clients shoes. I also observed that Muslim women preferred to work with female caseworkers and male Muslims preferred male caseworkers. They appeared not comfortable working with people from the opposite sex and tended to withhold information if that was the case. I therefore ensured Muslim clients were assisted by a person of preferred gender. Above all I applied the Narrative approach which solicits encouragement to clients to tell their stories. This enabled me to explore clients situation at their own pace and actively listened to assess and establish the real problem in the situation. Carniola (2005) observed that social workers are in the right direction of developing critical consciousness about the psychological impact of oppression on individuals. He further expressed that there is concern on the degree of awareness among social workers on the impact of privilege or dominant status on individuals subjectivities and world views. Rossitter (2000) concurs that the position/ impact and ways in which professionals engage with clients is overlooked and underestimated as they possess a certain class in the form of gender, race, and sexual privilege. Having explored critical social work practice and theories underpinning it, it is important to acknowledge that there is continuous transformation and contest within the academic field and socio-political arena. This is greatly impacting on vulnerable people and how they are treated and marginalised in issues affecting their lives. If the values of critical social work could be fulfilled and the theories underpinning it are integrated social work and counselling would be forces for change to promote social justice.

Monday, August 5, 2019

Causes of Hypothyroidism

Causes of Hypothyroidism INTRODUCTION Hypothyroidism is the most common prevailing endocrine disorder among all endocrine maladies. It is an altered metabolic state, when the body produces insufficient amount of thyroid hormone. Hypothyroidism is not only a disorder of endocrine system, it also affects almost all the organ system of our body. It shows a wide range of disease severity from asymptomatic state to coma and made it an elusive clinical entity9 . Thyroid hormone in addition to governing the rate of metabolism of fats, carbohydrates and proteins, it also regulates the timing and pace of the CNS development. It is extremely important for the growth of cerebral , cerebellar cortex, axonal proliferation, branching of dendrites, synaptogenesis, and myelination . Thyroid hormone enhances the wakefulness, response to various stimuli like auditory sensation, learning and memory capacity1. By enhancing the gene expression it influences the synthesis of myelin. Myelin synthesis is an important factor determining the speed of impulse transmission along the complex neural pathway which mediates the evoked potential3 . Sometimes hypothyroidism is referred to as â€Å"Silent Disease† because the early stage of disease it is asymptomatic. About 1.6 billion people are at risk of getting thyroid disorders worldwide4. According to NHANES III approximately 4 – 5% of population in the developed world is suffering from hypothyroidism and about 4 – 15% of people by subclinical hypothyroidism5 . In a developing country like India, iodine deficiency is the most common cause of hypothyroidism. In India, hypothyroidism is classified under the group of Iodine Deficient Disorder (IDD) 6. Since 1983 India has been following the Universal Salt Iodization Programme. As a result of it, there has been a decline in the prevalence of IDD 7. In 2004, WHO assessment of global iodine status documented that India has optimal iodine nutrition and now India is undergoing transition from iodine deficiency to sufficiency phase8 . But a nationwide comprehensive epidemiological study done in the eight cities of India found that the prevalence of hypothyroidism was 10.95%. One third of them (3.47%) are not even aware of their disease. Subclinical Hypothyroidism was observed in 8.02% of people. Females are more prone to have hypothyroidism than males (15.86% to 5.02%). Unnikrishnan AG et al has also observed high prevalence of hypothyroidism among the Indian adult population6 . The well-known symptoms and signs of hypothyroidism are dry skin, weight gain, cold intolerance, muscle cramps, hoarseness of voice and constipation10 . As thyroid hormone is essential for the nervous system maturation , central and peripheral nervous system dysfunctions are also important consequences of hypothyroidism. About 60 – 90% of the patients may have features of peripheral nervous system dysfunction like weakness, paraesthesia and postural imbalance . The CNS manifestations of hypothyroidism seen in 60 to 80% of patients which include delayed mentation, sensory deficits, depression11 . It also produces delay in the neuronal conduction velocity, alterations in hearing threshold and sensation of smell . All these neurological complications of hypothyroidism will resolve completely with thyroid hormone replacement especially when diagnosed at the early stage12. The peripheral nervous system dysfunction has been studied in hypothyroid patients by a variety of techniques. But the studies in favor of quantification of CNS dysfunction were very sparse. The CNS involvement in hypothyroid patients can be identified with the help of existing advanced electrophysiological studies. Among the electrophysiological studies evoked potentials provide a more reliable and objective measure of the functional integrity of the related sensory pathway13 . Among the various evoked potentials tests, Brainstem Evoked Response Audiometry (BERA) has been emerged as an effective method of revealing the involvement of auditory pathway even in asymptomatic stage itself11 . Brainstem Evoked Auditory Response are produced in response to brief auditory stimulation14,15 . In this technique following a brief acoustic stimulus, a series of potentials are generated which corresponds to the sequential activation of peripheral, pontomedullary, pontine and midbrain portion of auditory pathway. So BERA helps to evaluate the integrity of the auditory pathway13 . Persons who are having abnormal brainstem response to auditory stimuli more prone to develop Sensorineural Hearing loss16 . In 1948 Means states that Hearing loss is one of the troublesome symptom of hypothyroidism and it may be conductive, sensorineural or mixed hearing loss. About 25 to 30% of the hypothyroid patients having loss, but the exact incidence not yet known. So many researchers did study to find the type of hearing loss in hypothyroid patients. Howarth and Lloyd proposed that perceptive deafness is the type of hearing loss in hypothyroidism. (9) Rau et al, Bhatia et al, Von’t Hoff and Stuart , Parving et al and Isam et al were also accepted that sensorineural hearing loss was the predominant type of hearing loss in hypothyroidism people. Malik et al said that the site of lesion in auditory pathway remains speculative , may be at several levels viz in the middle ear, at cochlea and retrocochlear sites 17. The integrity of the auditory pathway is essential for the capture of the acoustic signal by the external ear to the coding of signals in the auditory cortex13 . Hearing loss is an invisible abnormality which will lead to so many devastating consequences in interpersonal communication, psychosocial wellbeing, quality of life and economic independence. Hearing loss in infants and children due to congenital hypothyroidism results in serious impairment in language, communication skills, cognitive and emotional development. In adults hearing loss will lead to loneliness, social isolation, psychiatric disturbances, depression, occupational stress and relatively low earnings18. There are literatures pointing out that early treatment of hypothyroidism will reverse the hearing loss 19-22. Electrophysiological testing for finding the functional integrity of auditory pathway is rarely performed in hypothyroid patients in neurology and otolaryngology practice. Now a days BAER is mainly used for screening the preterm infants and also prior to cochlear implantation. But it was proved that the delay in the auditory processing time may provide the information about the subclinical involvement of central as well as peripheral neuropathy in hypothyroid individuals 8. So they can be used to assess both normal and abnormal auditory function in the field of research. So that BERA can be used as a screening test to find the CNS involvement and the hearing loss in hypothyroid patients even in the earlier stage itself. In this study an endeavor has been made to find the changes in the brainstem auditory evoked responses in newly diagnosed hypothyroid individuals.

Sunday, August 4, 2019

Essay --

PROPOSAL TO CHANGE THE SMOKING POLICY ON CAMPUS INTRODUCTION Purpose This proposal is to improve the campus environment. Non- smokers does not like the smell of nicotine so it is their right to have a smoke-free environment where they pay tons of thousands of dollars in tuition every year, every semester in many cases. It is designed to encourage better health for everybody. Scope This report covers up policies on our campus. It also compares the policy with policies from other colleges and schools. There are few ways we can deal with this growing issue and improve atmosphere around us. BACKGROUND General Information Every year, there are hundreds of new students admitted to our campus. We are given the student handbook at beginning of the year, which includes school policies. Majority of students do not read the book or just read it for once. We have to start encouraging students to read the policies about smoking and tobacco usage on and around the university properties. Most of the students do not smoke but the other half population that does come from experience in smoking. They start smoking from high school. Research For this issue, I decided to talk to some of the smokers, non-smokers, faculty, and nurses. Most of them had the same opinion on smoking on campus. I also used internet to find policies on our campus and other colleges around us. Some of them had very strict policies on smoking and usage of tobacco around their campuses. When I looked at the smoking policy on our campus, I found that it has not been updated since 2006. It is a long time to overlook an issue of this level. Findings/ Issues Through my research, I came over with few ways we can make our campus green. I also came across the issue of cig... ...ial parking spots just for smokers away from the campus buildings. They can smoke there whenever they without jeopardizing other people’s health. Like proposed before, we can establish â€Å"Smoking Huts† one far end of the parking lot. 7. We can recommend students using the electronic cigarettes instead of traditional smokes. 8. Like many major universities across the nation, we can ban smoking altogether on the campus. This proposal is least likely to pass but as a non-smoker, that is the best way to make our campus environment fresh and clean. CONCLUSION Speaking as a non-smoker, this issue is very serious for us. We definitely have to respect smokers’ choice to smoke but they have to respect ours as well. Not many people like the smell or burning nicotine. These proposals certainly can help clean our community and provide better environment for future generations.

Saturday, August 3, 2019

Steroid Use in Sports :: Papers Steroids Drugs Essays

Steroid Use in Sports Steroid use has become very common in the world of athletics. Steroids are no longer just used by body builders. Steroids are now becoming widely used in all sports such as baseball, football, track and field, and ice hockey. Steroids have become easy for just about anyone to get their hands on them. This has become a serious problem that needs to be taken care of immediately. A steroid is a laboratory-made version of the human hormone testosterone, which is primarily found in males. Steroids are taken by athletes to enhance the growth of muscles. There are however, certain kinds of steroids that do enhance the growth of bones. The use of steroids creates many risks that are often looked over when compared to the benefits. Some of these risks include damaging important body organs such as the liver and kidneys; some of the other risks include shrinkage of testicles in men and they may create bad breakouts of acne. There are also other side effects which result in thicker skin and courser facial hair (Mihoces, 2000) (Conaway, 1998). The problem of steroid use exists everywhere including all ages from young middle school students to forty-year-old men. A Penn State professor states in the USA Today web site that approximately 175,000 teenage girls and 375,000 teenage boys have used steroids at one time or another (Michoces, 2000). This is a serious problem when teenage boys and girls are using steroids. Unless using one specific steroid, all of these teenagers are going to stunt their growth because the most common steroids used completely halt the growth of bones and increase the growth of muscles. Many people take steroids for many different reasons but most of the athletes that take steroids take them for one reason and that is to become better at what they do. Some of the reasons that athletes take steroids are because the competition is so high. In the sport of Major League Baseball for instance, only around seven hundred players participate in a single season. There are approximately 7,100 players that play professional baseball all together, including the minor leagues. The average career in the major leagues only lasts 2.7 years. This is a rather short career and considering the amount of money to be made, every player would like to play as long as he possibly can.

Friday, August 2, 2019

Examining for Aphasia Essay -- Language

Introduction Examining For Aphasia was created in 1954 by John Eisenson in New York (Eisenson, 1954). It was one of the first tests for assessing language impairment (Benson & Ardila, 1996) and provides a guided approach for evaluating language disturbances and other disturbances closely related to language function (Eisenson, 1954). The materials and procedures were developed originally for use with a group of patients in an army hospital who had aphasia and related disturbances (Eisenson, 1954, p. 32). Continued use of the original inventory resulted in refinements and improvement and testing of civilian patients has ‘shown the applicability of various parts of the test as well as of the examination as a whole’ (Eisenson, 1954, p. 32) Purpose The purpose of Examining for Aphasia (EFA) is to examine adolescents and adults whose language abilities have become impaired after normal language functioning had been established, with its main purpose being to ascertain the type and level of the language dysfunction (Eisenson, 1954). It aims to help the clinician discover what abilities remain, and to form the basis of a program of retraining. Eisenson (1954) states that results of the examination 'enable the clinician to obtain an overall view of the patient's strengths and weaknesses, as well as determine the 'level of ability within a given area of language function' (Browndyke, 2002). Construction The examination is divided into two main parts. The first includes items to test abilities and to reveal disturbances in the patient’s capacity to deal with concrete materials, visual representation, and symbols which are presented to the patient for simple recognition or for evaluations (Benson & Ardila, 1996); that is their ability ... ...yke, J. (2002). Aphasia Assessment Retrieved 9 May 2012, from http://www.neuropsychologycentral.com/interface/content/resources/page_material/resources_general_materials_pages/resources_document_pages/aphasia_assessment.pdf Eisenson, J. (1954). Examining for aphasia : a manual for the examination of aphasia and related disturbances. New York: Psychological Corporation. Kagan, A., Simmons-Mackie, N., Victor, J. C., & Aphasia Institute. (2010). Assessment for living with aphasia (pp. 1 instructional manual (26 p.), 25 record booklets (24 p.), 21 pictographic booklet (43 p. on easel), 21 rating scale card, 21 probe question card, 25 score sheets, and 21 instructional DVD). Toronto: Aphasia Institute. Skenes, L. L., & McCauley, R. J. (1985). Psychometric review of nine aphasia tests. Journal of Communication Disorders, 18(6), 461-474. doi: 10.1016/0021-9924(85)90033-4

Thursday, August 1, 2019

Proposal for Fashion Industry Essay

Age: The consumer club of Espire company would like to know how customer spend their money every day. Many customers complain that they do not have enough money at the end of the month. The purpose of this questionnaire is to find out the inequity of our customer. It will determine where they go to shopping, How much they spend on items they buy, is the product is affordable and etc. The data will be kept confidential. Please return completed questionnaire to your introduce or put it in the envelope in front of room g15. Indicate your feeling about the following items by ticking ( / ) on the appropriate line. 1. What is your work status? Student Working Self-employed 0thers, please specify __________ 2.What is your annual spending on designer and fashion accessories in a year? Less than RM100 RM100-RM400 RM401-RM900 RM901-RM1500 More than RM1500 3.Do you think our products are affordable to buy? Yes No 4. How important are the following features of a shopping experience to you? Important Unimportant Price On-Trend Brand Convenient Location Store Atmosphere Product Quality 5. Please indicate your level of agreement with the following statement. Agree Disagree Espire has low prices Espire has a contemporary image Espire has a well known brand name Espire has a convenient location Espire produces high quality products Espire is a trendsetter Thank you for your cooperation ESPIRE COMPANY QUESTIONNAIRE Â  Name: Gender:Â  Age: The consumer club of Espire company would like to know how customer react on usage of real animal fur .Many customers complain that they don’t encourage the usage of real animal fur in our daily life. Meanwhile the others prefer to use real animal fur in our daily life.The purpose of this questionnaire is to find out which type of society is majority in this world. It will determine what type of material they use , what items they buy, is the product is worth it and etc. The data will be kept confidential. Please return completed questionnaire to your introduce or put it in the envelope in front of room g15. Indicate your feeling about the following items by ticking ( / ) on the appropriate line. Yes No 1. I do not use clothes and accessories made from real animal fur. 2. I change my clothes made from real animal fur regularly. 3. Clothes and accessories made from Real animal fur is popular among Teenagers and adults. 4. Where do you get information about products made from real animal fur? friend magazine tv/radio the internet newspaper other, please specify _________________ 5. Please rank the following criteria you use in materials used in fashion industry (1- Most preferred to 5 –lease preferred) real animal fur cotton pvc price brand name

Debut albums

They become group Of friends and they call it, â€Å"Alpha Solar†. It was so overwhelming when someone treated you as their like best friends a long time ago. Their bonding was like sleeping in someone's house, reviewing and doing their projects in groups. One day, it was their Physical Education time. The classes where cut, because their professor was not able to teach them on the exact time. Their professor needs to be in the faculty area. Then suddenly, they are dismissed early.While they are walking, Lea tried to imitate the ducklings in our campus. But, Sandra and Jessica didn't saw it. So, they run fast to get along with Lea and Bianca. Suddenly, some people where yelling and waving their hands on the second floor! Sandra and her friends were ashamed because, they are taking pictures of themselves and then they are watching! It's so annoying, because it's a group of boys! So, Sandra and Jessica sneaked out to see who the people were watching them. Then, they saw that the group of boys was too handsome, and Sandra was so shy when she saw them.After that, they continue what they are doing. They take pictures of the ducklings, pictures of themselves, and also taking pictures of how happy they are. Since, after that, the six girls go upstairs to scold the boys who are sneaking and watching them taking pictures! Elaine said, â€Å"What are you doing? And why are you laughing on us? Is there something wrong of what we are doing? † Then one boy named Ian said, â€Å"No, we are not laughing of what you're doing! We are just staring to you because you are all beautiful. Especially that girl. † Then the boy pointed his hands to Sandra.So, Sandra just ignores them. But, there was a boy caught the attention of Sandra. It was the boy with too dimples on his cheeks, not as tall as Sandra was, but Sandra feels the beating of her heart. Then, Sandra says, â€Å"Who is that guy? The one with dimples. † She said it with a kind of shyness on her voice. Then the other boy shouted and said, â€Å"His name is Christian! † so, Sandra feels that, Oh, it was a beautiful name. Her friends were so shocked because they didn't expect that Sandra would ask for it. Elaine, Lea, Bianca and Jessica ask her, Jessica came first, Do you have a crush on him? Then, Lea was next. â€Å"Oh my gosh! Sandra? Are you blushing? ‘ Sandra can't answer the questions of them. But Elaine said, â€Å"Hey you guys! Meet us on our room on Monday! It's it the second floor! On the first room near the lobby! † and Bianca says, â€Å"Oh! Before we forgot, we are Psychology students! How about you guys? † then the boy named Christian answers, ‘We are an Engineering students! † Sandra felt like dying. Because she didn't expect that her crush would answer. After that, the six girls walked on the lobby to go to the comfort room.Jessica says, â€Å"Look, Sandra is still blushing until now! She can't recover on what was happe n! † Then Sandra felt so glad and happy because of what was happen. Before they go home, someone was calling on the phone of Sandra. It was her stupid suitor whose going to fetch her from her school. Sandra says to her friends, â€Å"Hey, I'm going home. † Saying it with a low voice. â€Å"My suitor is going here to fetch me up. And feel like I'm not better being with him. I feel so lonely and annoyed and irritated! † Then Jessica told her that, â€Å"Don't let him fetch you! We are going home all together! Hen, Sandra do what her friends says. When Monday came, Sandra was hoping that the boys they saw the last time would arrive on the day and on the place they are meant to see each other. But, unfortunately the boys didn't arrive. Sandra felt disappointed on what was just happen. She didn't expect that it would happen. So she just smile to her friends and say â€Å"I'm okay girls. I just expect the things. † She immediately walked along the lobby to calm herself of what just happen. Then the bell rang, she hope that the boys would arrive. But, she saw nothing. The days pass.The time flies so fast. Her suitor was all busted because she was expecting that she will see the boy again. She asks all the engineering students she knew. But, it makes her disappointed to herself because she never asked what the last name of the boy was! So, she tried to fix her problem. It was so shameful that she was asking a person without a complete name! And after that, she feels like there is no more hope on the both of them. She tried to give up. But, every time she saw a boy with dimples, it still pinching her heart that she must not give up on that person.Because it was err first time to feel the beating of heart. She thinks that she fell in love on the first sight! Her friends didn't give up too. But they are looking for the boy too. They didn't tell it to Sandra just to surprise her. Then, her friends told her, â€Å"Sandra, there are still ways o n how you can see each other again. Don't give up easily! Don't be sad okay? We are here for you. † Then, it was Saturday. They are early dismissed by their NEST professor. While walking on the 4th floor on the Areola building, Lea shouted, â€Å"Sandbar! Christian was in that room! Go ahead and take a look!Sandra runs immediately to go to that room. She saw the boy. And she didn't expect it. After it, Sandra and Christian talk to each other. Christian tell her that she was so confused on how he will find Sandra on the social media. Then Sandra confidently said, â€Å"l was so sad on how I'm going to find you too. Because, I don't know what is your full name. † Christian whisper on her â€Å"You are so beautiful. I didn't expect that you will find and search for me. † It was the day that Sandra was waiting for. She didn't expect for the unexpected things. She never let to lose again the boy.So she opens her feelings on the boy. Then, the boy tells her that he fe el the same way that Sandra was feeling. Then, after a month, Christian do the moves. He started to fell in love with Sandra. They become friends, best friends, and now lovers. She thank her friends now, because, without them Sandra wouldn't feel what she's feeling right now. Sandra and Christian were married after 8 years of being together. They never expect it, but it was the best days of Sander's life. After their marriage, they have 2 children. And now they are still happy living together.