Absent Father

No Love Lost, No Love Found That father and daughter bond, the sweetest love I’ve never known. I’ve seen my father over a thousand times wondering if he’s ever seen me. Looking with his eyes wide shut. It seemed as if over the years he was disappearing, fading into the black. A fragment of what I thought I needed but in all reality became as pointless as the conclusion to book that I’ll never finish My father has managed for eighteen years to be a part of my life without being a part of my life. He lives right around the corner from me in a two story home that’s painted light brown.It looked like s fluffy double stacked pancakes and when the sun hit the satellite dish on the top of the roof it made the top half of the house shine like syrup running off the top. For a while all I knew my father by was this house, I got ideas of what he might be like by looking at this house. I thought of him as a full bodied man because instead of having one front do or he had two. So I thought maybe he couldn’t fit through just one. I imagined him as a strong wide bodied linebacker with a soft side due to the fact that he had a colorful; well-kept garden on the side of the house.The day I met my dad not my father who had raised me but my dad. I truly realized that I was imagining him with my heart and not my mind. He stood as tall as a palm tree sighting beach side, with arms as long as a boardwalk. He never even attempted to say a word to me or ask me how I was doing in school. Instead he pieced me with his beany brown eyes that appeared to be rising off of a yellow back drop. He looked at me as if I had stolen his joy. I reached out to hug him but he reached out his hand for me to shake instead. His fingers felt like ice cycles penetrating my skin.I thought to myself how someone with such a warm appearance could be so cold on the inside. Sad to say, I know this doesn’t sound like the best first impression but over the years as b ad as our first encounter was it was the best one yet. Because from here on out my so called daddy began to look a lot more like George Washington and Andrew Johnson. All I saw of him was the money he sent every month. Even though my dad may have stopped looking at me I kept my eye on him. Like I said earlier he lived right around the corner from me. I could lookout my bedroom window and see directly into his backyard.I would watch his every move like if he were my favorite TV show. He moved very quickly like a fire running through a dry forest. It was like he moved so quickly but looked as if he took his time because he was so smooth with it. All he did was go to work, watch late night re runs of games, and order out. At least that’s all I got from watching through his backyard, trash and sliding glass door. He was so consistent like just as sure as Monday was coming after Sunday. He was very predictable, I felt as if I’d seen enough. I know this may not sound like mu ch but this is all I knew of my father.I haven’t seen or looked for him in three years. I never even knew his name. I named him Randy due to the fact that IM his only child and my name is Brandy. I may have never got to have a full blown out conversation with†Randy† I know we are nothing alike. He is so empty. A cactus in the desert would have more life then he did. I never understood why or how my very own father could be so cold and emotionless towards me. But one thing I learned from my father was to appreciate what I do have and to stop worrying about what I don’t have. So if you were to ask me about my father today I will simply tell you â€Å"Out of sight out of mind. †

Movie: The Party’s Over

Political party is a way where people of the same interest or ideas are joined together to expressed their ideas.   Conflicts between humans in terms of their views and opinions about certain topics and issues are normal.   Thus, it is where they balance each opinion and come up with the decision everyone agreed upon after the discussion. However, this may sometimes not work perfectly enough for the public and is signaled through the formation of the third parties like in United States.   This means that the two major parties have become unresponsive to the needs of the public (Wahler 1996). Today, the two major political parties of the United States are Democratic Party which evolved in 1782 from Thomas Jefferson party, and Republican Party established in 1850s by Abraham Lincoln and others who opposed the expansion of slavery (Consulate General of the United States). There are already a number of minor or third parties in United States that have evolved through time.   Green Party, Constitution Party, Independence Party, New Party, Reform Party and Labor Party are just to name some (Gunzburger 2007). The movie The Party’s Over is a documentary about the 2000 U.S. Presidential Election which follows the actor Philip Seymour Hoffman as he took an inside look at the 2000 Democratic and Republican Convention for Al Gore and George Bush. The movie draws attention for the problems of our government system especially during the 2000 United States election. Hoffman gathered views and personal opinions from a very wide range of people in society.   His interviewees are ranged from musicians like Ben Harper, to Bill Maher a political comedian, to Democrat representatives like Harol Ford Jr., to rally organizers, to a homeless woman (Lebowski 2007). Bill Maher said that American politics is run by â€Å"a system of open bribery† and the public’s voices are not heard by the government which led to a largely apathetic voting public.   Tim Robbins expanded the idea by saying that it is not mere apathy which stops many people from voting, the people are protesting against the government that’s why they do not vote (Lebowski 2007). Democrat representative Harold Ford Jr. said that the fact is that our government is a service.   And no matter how frequently poor the service is, you have no choice but to â€Å"avail† it.   It’s like you have to pay taxes even if the government is too bad for you, or else you will be jailed and tried (Lebowski 2007). On the other hand, Noam Chomsky explained that the theory is that people’s role in democracy is not just as participants but as spectators as well. She further said that during the election period, we are given two candidates to choose from, a democrat and a republican, who are actually and essentially one in the same.   Both of these parties’ candidates have the same goals and want the same outcomes for the government. But then they tend to disagree with each other violently and publicly. As a result, it doesn’t really matter to us which of the parties we elect.   And we are stuck in choosing from Democracy and Republican parties that we barely look at the third parties and independent candidates.   We are focused on our differences instead of our similarities (Lebowski 2007). Minor parties or what we call third parties often call attention to an issue that is of interest to the voters but that has been neglected by government like consumerism and environment as what Ralph Nader focused (Consulate General of the United States). The movie leaves the audience a fair question of whether the Democratic and Republican parties are different or not.   Also, it wonders on how much one’s priority is put and should put over the politics. It also seeks to get and feel the public pulse about the American politics.   And since it seeks to reach out the larger audience, it promotes the awareness of people on politics and made them have a discussion about it among themselves (Curry 2003). Works Cited Curry, Warren. â€Å"The Party’s Over.† 21 October 2003. CinemaSpeak.Com. 3 November 2007 . Gunzburger, Ron. â€Å"Directory of U.S. Political Parties.† 2007. Politics1.com. 11 November 2007 < http://politics1.com/parties.htm>. Lebowski, Jeff. â€Å"You have to insist you're right even if you know you're wrong.† 4 October 2007.   Spout LLC. 11 November 2007. â€Å"U.S. Government.† Consulate General of the United States. 3 November 2007 < http://krakow.usconsulate.gov/parties.html>. Wahler, Brenda. â€Å"Poli Sci 101: The Role of Parties.† January 1996. Montana State University.   11 November 2007 < http://home.mcn.net/~montanabw/polisci101.html>.               

Assignment 4B Coursework Example | Topics and Well Written Essays - 250 words

Assignment 4B - Coursework Example Foundations enable community schools to establish a board of directors (BOD) with a particular focus on raising funds for the school rather than the operation of the college. The members can turn out to be crucial donors for the college. The foundations manage alumni relation, solicit gifts and also drive scholarship programs and special events. Foundations also maintain focus, market colleges, create donor choice, and invest endowment funds. The separate foundations also establish management structure for investment portfolio of college, brand the colleges and create a separate fund pool and limit liability. They also separate finances for community colleges (Bers, Head & Palmer, 2014). The approach used by philanthropy, particularly private foundations, to assess community college financial health is appropriate. Community college leaders must work towards ensuring fiscal viability for their colleges. As such, performance-based funding is a critical way of ensuring that the colleges remain sustainable and that they do not over rely on tuition fees. Colleges need financial advice to succeed (Barr & McClellan, 2011). It thus remains important to assess the effectiveness of colleges both on the dimension of education and fiscal performance. The approach by philanthropy and private foundations ensures accountability on part of the colleges amidst numerous financial challenges that they

Liberal Democracy Essay Example | Topics and Well Written Essays - 1500 words

Liberal Democracy - Essay Example In history, the concept of authenticated and free elections was very strong and it is the reason why most of the dealing conducted on the same idea. As the descriptions and definitions of peacekeeping are immense, similarly there is no single definition of democracy. To sustain democracy, people need democratically elected government. Therefore, elections are mandatory for such people in order to practice democracy. Much analysis of the same democracy involves other factors to name it as the true democracy. Those factors include rule of law, human rights protection, private property protection, individual protection, minority rights protection, segregation of powers of government into different sectors and proper check and balance of delegated authority. In the same light, if a country wants to be called as a democratic government, election is not the only way to achieve it. Democratically elected government is not the only factor that brings the title of democratic power to the coun try. It has to be the liberal democracy that can delivers the ever lasting peace and sustainability that can only be achieved through authenticated and independent elections. So, in this piece of writing, the word democracy is basically a liberal democracy that is created not just to provide protection to the citizens of the nation from the cruelty of the rulers but also safe guard one segment of the nation from the atrocities of the other segment. This sort of democracy is linked with fundamental human rights, good government policies that have the grip to the influential governing people and rule of law. In actual, the liberal democracy is a type of representative democracy where the elected bodies having the governing and decision making power are worked under the constitution that highlights the freedom of citizen and protection of minorities right in the given state. Discussion Liberal form of democracy has become very much popular all over the world and is the top form of gove rnment not just in the western world but also practice in union soviet community. Regardless of the fact that it is spreading at a very fast pace, the democratic system is not completely free from external threatening that has even reached to well developed states. In Russia where the government system is at the top most level, the democratic system still faces the hindrance. In 1989, the constitution development process was not just a domestic affair but reach to an international level with comparative exercise that was not found before the century. The international factor came in the form that various experienced practitioners were allowed to take part in the formation of the constitution from different state and those democratic states who didn’t include them in the process ultimately face the stamp. Constitutional liberation took place after 1989. During that time, democracy was something open and reachable to any individual. As the custom-made format was the most desira ble one than the ready to available one, but the consultation could be made from the experienced makers to get the most benefit. Democratic assistance was seen from western nations but some were fearful regarding the outcome stayed away from the point. Non-governmental organization started working to provide the assistance where it was needed including United Nations and many others. American bar association constitute various personals from different segments of society including merchants, lawyers and judges to serve the purpose of composing the constitutional drafts when needed. As the 19th century was the period of Christian missionaries, the 21st century was labeled as

Comparison of two UK retailers Dissertation Example | Topics and Well Written Essays - 3250 words

Comparison of two UK retailers - Dissertation Example Table of Contents Executive Summary 2 Introduction 4 Brief background of home-base and Wickes 4 Discussion 5 The retail Strategy used by Sainsbury's Home-base retail group and Wickers 5 Analyse the Retail Situation of the Organizations in Competitive Environment 8 Critical evaluation of the relationship between elements of strategy and retail mix 12 Conclusion 14 Recommendation 14 References 15 Bibliography 16 Appendices 17 Introduction Brief background of home-base and Wickes Home-base is recognised as one of the renowned home-improvement and gardening centre, operating in the market of United Kingdom since 1979. It came into existence by the planned support of both Sainsbury's supermarket chain and Belgian retailer GB-Inno-BM. And due to their support, the Sainsbury's Home-base retail group developed and became successful in offering a wide range of products to its customers at a competitive cost. As a result, the total sales enhanced by ?1.57 billion in the year 2010 thereby ampli fying the brand image and demand by a significant extent as compared to other rival players. Apart from this, being headquartered in United Kingdom, it offered value-added products in the entire world in an effective way. It became possible due to the presence of 356 stores in and around United Kingdom and Republic of Ireland. Other than this, Wickers is also another highly reputed retailer of United Kingdom presenting an extensive range of budgeted home decorative and gardening products to satisfy the desires of the customers. By doing so, the revenue and reputation of Wickers enhanced to a significant extent as compared to other contenders operating in the similar segment. It also proved extremely effective for the brand of Wickers to improve its position and brand-value in the market among others. This report is divided into four phases, highlighting the effectiveness of Sainsbury's Home-base retail group and Wickers. Along with this, it also highlights the positioning strategy u tilized by both the retail players in order to position itself in the market of United Kingdom. It also includes the competitive strategy used by the retail players of UK to retain its portfolio and image among other contenders. Discussion The retail Strategy used by Sainsbury's Home-base retail group and Wickers The Sainsbury's Home-base is one of the leading UK based retailer that mainly desires to offer qualitative products at an effective price so as to enhance customer satisfaction and loyalty. This is because; customer is the prime requirement of any organization in this age of extensive rivalry and economic downturn. Without which, an organization may not sustain or prosper in the market among other rival players. Therefore, in order to remain competitive and dominant in the market, Sainsbury's Home-base retailer desired to offer high attention over corporate social responsibility (CSR) strategy. In order to make this strategy effective, it invested huge amount of revenues in lighting, refrigeration, heating, ventilation and many other services to enhance the efficiency of energy and to reduce the range of wastes. Along with this, by implementing such types of services, the Sainsbury's Home-base retail group desired to offer best quality of products to its targeted customers so as to enhance their level of satisfaction and reliability as compared to ot

Reflection on Sound and Fury Essay Example | Topics and Well Written Essays - 500 words

Reflection on Sound and Fury - Essay Example It is a bond that unites them to others with hearing disability. The story revolves around two families and their views on deafness and a cochlear implant that can help deaf people hear. Its characters are powerful, the emotions overwhelming and an ending that I found thought provoking and disturbing at the same time. Deaf characters in the movie viewed deafness as something sacred and did not consider it a disability. The threat posed by the new device is thus too overwhelming and they unite to protect their culture and their sign language. Peter and Nina are parents of Heather 6, and while they are all deaf, Peter is a strong advocate of sign language and an active member of anti-implant community. However they are shocked when Heather decides she wants an implant so she can talk to hearing people. She wants to hear the sounds around her especially of animals and lion in particular. The reaction of Heather’s mother Nina is of particular interest since she goes against the decision simply because she feels that if Heather starts hearing, she wont be communicating in sign language anymore. I may sound politically incorrect when I say this but the truth is that I did not like Nina’s reaction or their decision not to let Heather get implants. It is very difficult for a hearing person to understand why Nina behaved this way because anyone would want what’s best for his or her children. If you had a disability why would you want your children to go through the same problems? Any hearing or non-hearing person would obviously try to minimize the problems in their child’s life so why would Nina behave like an enemy. I couldn’t understand that and while I wanted to view things from a deaf person’s situation, I still couldn’t bring myself to accept Nina and Peter’s reaction. Interesting they decide that Heather could have implants

Allowabe size and configuration of sidewalk cafes in NYC Essay

Allowabe size and configuration of sidewalk cafes in NYC - Essay Example They have been instrumental in giving feasible solutions to idealized proposals of cultural entities and the government. Architects are instrumental in responding to the concerns of both the commercial entities and the public in giving an integrated policy (Loukaitou-Sideris & Ehrenfeucht, 2009). In addition, cultural forces have agitated for a traditional architectural setting whereby culture is integrated into daily activities. This calls for sidewalk spaces that can allow for setting of public emblems and interaction. On the other hand, commercial activities constrain the growth of culture in towns. Academics have complained of the sidewalk policy as ignoring the preferences of the public and consumers. It also ignores the concept of free markets whereby commercial activities control the space in which they operate in the same (McEachern, 2008). This criticism rides on the idea that the government and academics make assumptions of problems in the city. This ignores the feelings of the public of whom the changes are made for the same. This suggests that the public should push for proposals of improving their interests in the city. In this sense, the public pulls away the stake from the academics. Other critiques herald the policy as one-sided since it only concentrates on the public and constrains the growth of small businesses (Kleniewski & Thomas,

Project management Essay Example | Topics and Well Written Essays - 1500 words - 11

Project management - Essay Example Planning involves the certain establishment of policies, process and systematic methods to aim for achieving the goal associated to the project management. Planning is continuous phenomenon and should be progressed as the project progresses. The planning of the project as the part of the project management involves the scheduling of the project, budgeting of the project, directing the project and controlling the project. Each part of planning requires the managers to systematically control the project. There are mainly three types of business planning; strategic, tactical and operational. The strategic planning has most often a period of about 5 or more years. The business employing the tactical planning often restricts the planning to a period to 1 to 5 years. However, the operation planning regarding the project management is planned to implement at the time of planning and at the place of planning. Long term strategic plan having a span of 10 years is often utilized in business. While, three years plan and this year budget plan are the plans that are also employed by businesses. The planning as the part of project management is acquired to various level of the organization. Managers try to motivate the individuals to work better for the good of the organization. At this stage, managers plan of themselves and for the other individuals. However, team or group planning is also an important level for the working environment. The upper level managers plan for the organization and set the goals of the organization that comes in the Strategic project planning level. A good manager should have good communication and should be responsive to deal with the planning problems. A project manager should know how to deal with the situation to be a successful project manager. According to Kerzner, the nine steps involve in the planning of the

Description of IT Methodology Coursework Example | Topics and Well Written Essays - 2500 words

Description of IT Methodology - Coursework Example Quantitative research explores and describes facts quantitatively while qualitative research explores facts in a more qualitative manner. For the present research project, both qualitative and quantitative approaches have been employed. The data was evaluated using a quantitative approach and the attributes of the data were evaluated through a qualitative approach. The qualitative approach has also been used to scrutinize the various approaches to data mining. As per the requirements of this project, qualitative research was conducted in accordance with the objectives. This research was carried out to formulate the questions to be asked by the subjects. The subjects were the medical personnel of Abu Dhabi police hospital. The questions were based on diabetes and they were planned so as to enable the gathering of appropriate data for fulfilling the objectives of the present project. Qualitative research was carried out using books, the web, and other sources. The questions asked and t he answers obtained for the questions have been listed in appendix 1 at the end of the document. The data set obtained after analyzing the answers given by the medical staff was collected through data mining. The data was then examined. This is the quantitative aspect of the research project. Qualitative and quantitative research methods have their own advantages and disadvantages. The utility of each method depends on the objectives of the research. 2.2. Qualitative and Quantitative Research Advantages and disadvantages of qualitative research The major advantage of qualitative research is that the analysis is credible and it requires thoughtful processing of the data to derive a comprehensive conclusion from it. The disadvantage of this kind of research is that it is based only a limited amount of information and that the conclusions derived from the data may vary depending the individual’s ideas and thought process. Advantages and disadvantages of quantitative research The major advantage of quantitative research is that it is cheaper. The data for the research can be acquired easily and compared with other research. The disadvantage of quantitative research is that some types of data may not be easy to get or the data obtained could be incomplete in some aspects. In this research project, it was difficult to obtain medical data due to concerns related to privacy. The quantitative research was based on the data obtained from the hospitals in the UAE. Sequential Language was used to alter the acquired data. This step was required in order to test the objectives of this project. Despite the difficulty in obtaining medical data, the entire project is based on collected data. Review of literature and creation of data file A literature review was carried out before carrying out further research. All kinds of publications including journals, books, textbooks, and online sources that detailed information on data mining were intensively reviewed. Aspects of data mining and their methods were studied and applied to information on diabetes. A data spreadsheet by the name Diabetes.arff was designed keeping the information on diabetes in view. The quality of the acquired data was examined and data mining algorithms then applied to the file containing the collected data. Data processing The data on diabetes obtained from various sources along with information obtained from the

The Aborigines Act of 1905 Essay Example for Free

The Aborigines Act of 1905 Essay The Aborigines Act of 1905 supposed to be an act that raised provision for the better protection and care of the Aboriginal inhabitants of Western Australia; however in reality the real purpose of the act was not to make the general wellbeing of the Aborigines better, it was to control every movement they made and have power over every aspect of their lives. The following essay discusses several of the clauses in the text that prove its intention most deceiving, and what the act truly accomplished. Clause 4 declares that there is to be an Aborigines Department under the Minister whose duty is to promote the welfare of the aborigines by providing them with food, clothing, medicine and medical attendance when they would otherwise be destitute, providing for the education of aboriginal children, and generally assisting in the preservation and well-being of the aborigines. This is the only clause in the whole of the Act that sees to the rights of the aborigines. Clause 8 of the Act states that the Chief Protector is to be the legal guardian of every Aboriginal and half-caste child until they attain the age of sixteen; as well as Clause 60 again highlighting that the governor has custody of the Aborigines and half-caste providing for their care and education. They saw the parents as unfit to raise their own children; they didn’t want them teaching their traditional ways and so, against a parent’s basic right, they took the children and raised them under European light. According to clause 12 the minister may cause any Aboriginal to be removed and kept within the boundaries of a reserve, or to be removed from one reserve or district to another. The government had the power to just remove any aboriginal from their homes whenever they felt fit and place them in a completely different district. Not only was this most inconvenient for them in ways any being would understand, it was damaging to their cultural identity and the spiritual belonging to a home land. As far as employment went; clause 17 states that it was against the law to employ any indigenous person without permit from the chief protector, which was difficult to obtain. Even if they were given permit, clause 22 said that they had to be paid with rations rather than money like the whites- in efforts to control everything they owned. If they were unhappy in the job in which they were employed, clause 58 said that if they wanted to leave the jobs, it would be an offence against the act and they were liable to imprisonment. The question we have to ask ourselves again is ‘how was this in any way beneficial to their wellbeing’? Under Australian law, it is illegal to arrest any person without warrant. On the contrary; clause 55 stated that it was perfectly lawful to arrest any aboriginal or half-caste without warrant who offends any provisions against the Act. Which brings us to Clause 52, which established that any Aboriginal or half-caste was deemed to be proved guilty in the absence of proof to the contrary; In other words, guilty until proven innocent. Who would defend them? How would they prove themselves innocent? Furthermore, who would believe their word for it? What this basically meant was that any Indigenous could be imprisoned for the smallest of accusations without a second thought. In conclusion, to call the Aborigine’s act of 1905 unjust is an understatement. The many clauses mentioned proved the said purpose of the act as for the better protection and care of the aboriginal inhabitants was misleading and far from the truth. The overall impact of most of the clauses would be deemed an outrage in the white society and certainly would not be accepted let lone tolerated.

Blood Sugar and Lipid Profile: Effects of Garlic and Ginger

Blood Sugar and Lipid Profile: Effects of Garlic and Ginger Comparative Efficacy of Garlic and Ginger on Blood Sugar and Lipid Profile of Alloxan Induced Diabetic Mice Amna Masroor Allium sativum and Zingiber officinale are vegetables used for seasoning, flavoring, culinary and in herbal remedies as they hold insulinotropic properties playing significant role in maintaining ÃŽÂ ² cells helpful to lower blood glucose level in diabetes. Both are also siginificant in lowering blood lipid levels. The experimental trial of 4 week is planned to investigate the comparative effect of ginger and garlic on blood sugar level and lipid profile in alloxan induced diabetic mice. 25 male mice rats weighing between 40 and 50 g will be used for the study. Diabetes will be induced in fasted mice (12hrs) by a single dose intraperitoneal injection of 40 mg/kg body weight of alloxan. The diabetic state will be assessed by measuring the non-fasting plasma glucose concentration 72hrs after alloxan treatment. The rats with a plasma glucose level above 180mg/dl will be selected for the experiment and considered as diabetics. Mice will be divided into 5 groups having 5 in each as: No rmal Control (group 1), Diabetic control (group 2), Diabetic+ garlic (30g/100g diet group 3), Diabetic + ginger (30mg/kg diet group 4) and Diabetic + ginger and garlic (30g/ 100g group 5). In the end of trial the blood sugar and lipid parameters will be checked and compared. INTRODUCTION: Diabetes mellitus and its allied discrepancies is one of the prominent menaces of developing economics. Pakistan is at 6th position however, at the end of the year 2030; approximately 376 million people will be suffered (Wild et al., 2004). Diabetes is a metabolic syndrome that steadily affects different physiological systems of the human body. It is one of the leading causes of mortality in worldwide and, if uncontrolled, can threat multi-organs system (Zakir et al., 2008). Uncontrolled blood glucose is believed to be the cardinal feature in the onset of diabetic difficulties of both type 1 and type 2 (American Association of Diabetic Educators, 2002). Most common type is Type 2 category, while Type 1 diabetes develops in early childhood. Main reasons include sedentary lifestyles, energy rich diet, lack of physical exercise and obesity (Yajnik, 2001). Diabetes is mainly characterized by relative deficiency in insulin secretion or insulin action associated with hyperglycemia and malfunctioning in the metabolism of carbohydrate, lipid and protein. It may also leads to various other complications like cardiovascular disorders, oxidative stress and immune dysfunction may develop (Nogichi, 2007; Rana et al., 2007).Cardiovascular complications are the major cause of morbidity and mortality all across the globe. Increased cholesterol level and LDL oxidation trigger events that initiate atherosclerosis (Matsuura et al., 2008; Andican et al., 2008; Whale and Heys, 2008). To cope with this situation a number of herbal medicines for diabetes mellitus and its allied diseases have been emerged (Alarcon-Aguilara et al., 1998; Marles and Farnsworth, 1995). Drug treatment is obligatory nevertheless, accompanied by various side effects and their effectiveness decreases with the passage of time (Zakir et al., 2008; Lapshina et al., 2006). Physical exercise and diet selection is one of the significant strategies to manage diabetes and its allied complications including immune dysfunction, degenerative and cardiovascular disorder. Allium sativum, Zingiber officinale and their bioactive constituents hold insulinotropic properties playing significant role in maintaining ÃŽÂ ² cells helpful to address the menace. Garlic (Allium sativum) is an essential vegetable that has been widely utilized as seasoning, flavoring, culinary and in herbal remedies (Rivlin, 2001). Garlic has been shown to have diverse biological activities including antidiabetic, antithrombotic, anticarcinogenic, antiatherosclerotic, antitumorigenetic and various other biological actions (Augusti, 1996).Scientific investigations have depicted that it contains 65% water, 30% carbohydrates along with 5 % of other bioactive components mainly sulfur containing compounds (Milner, 2001). Its important constituents are classified as; sulfur containing compounds and non sulfur containing compounds. Among these organosulphur compounds particularly cysteine sulfoxides and thiosulfinates have greater importance (Tapiero et al., 2004). Allicin (diallylthiosulfinate) and S-allay cysteine are the main thiosulfinates out of which 60-80% is allicin (Lawson et al., 2001).Garlic and its various preparations have potential to lower total plasma cholesterol, reduction in blood pressure and alleviation of blood glucose level (Sterling and Eagling, 2001). Some studies confirmed anti hyperglycemic effects of garlic (Eidi et al., 2006). Garlic may act on blood glucose through various mechanisms and therefore directly lowers blood glucose level by exciting glycogenisis and preventing glycogenolysis and gluconeogenisis in muscles and hepatic (Ebomoyi et al., 2010). The fiber of garlic may also hamper carbohydrate absorption; thereby affecting blood glucose (Gholamali A Jelodar, 2005). Antioxidant property of garlic is another possible mechanism that makes it a contender as antidiabetic agent (Queiroz et al., 2009; Lee et al., 2009). Antioxidant effect of S-allyl cysteine sulfoxide, isolated product from garlic is considered to have antiglycation properties. Different supplementations of garlic hold remarkable effect on cholesterol level, LDL cholesterol and HDL cholesterol. Consumption of garlic and garlic preparations are very useful in regulating plasma lipid levels (Lau, 2006), plasma anticoagulant activity (Pierre et al., 2005; Lawson et al., 1992) and also contributed toward the prevention of atherosclerosis process (Rehman and Lowe, 2006).Ginger is also very effective for lowering blood sugar, cholesterol and triglyceride levels (Bhandari et al., 1998). Ginger (Zingiber Officinale) commonly called Adrak belongs to family Zingiberaceae (Joshi, 2000). It is used in both ways as food additives (Flavor) or as a medicine and it is useful in preventing or treating a variety of human ailments including migraine headache, elevated cholesterol level, hepatotoxicity, burns, peptic ulcers, nausea, vomiting and motion sickness (Robbers and Tyler, 2002).Chemical constituents of ginger are camphene, cineol, zingiberine, gingerol and ÃŽÂ ²-ph ellandrene (Shinwari et al., 2006). Ethyl acetate extract of ginger produces significant reduction in glucose concentration and also decreases lipid level (Goyal and Kadnur, 2006). Acute dose of aqueous extracts of Z. Officinale rhizome shows hypoglycaemic activity (Kalejaiye et al., 2002). Ginger promotes glucose clearances in insulin responsive peripheral tissues, which is vital in maintaining blood glucose homeostasis (Li et al., 2012). Ginger treatment considerably reduces the both serum cholesterol and triglycerides (Akhani et al., 2004). The ethanolic extract of ginger also appreciably reduces serum total cholesterol and triglycerides and elevates the HDL-cholesterol levels; also, the extract can protects tissues from lipid peroxidation and shows a significant lipid lowering activity in diabetic rats. Objective: The present study is designed to investigate and explore the hypoglycemic and hypolipidemic perspectives of raw garlic and ginger using alloxan induced biabetic mice modeling. Review of Literature: Ahmed and Sharma, (1997) studied on adult Wister rats were fed diet containing 0.5% ginger (group 3) and combination of ginger and garlic (group 4).Their results showed that the combination of garlic and ginger was much more effective in reducing blood serum cholesterol and blood glucose and in increasing HDL cholesterol. Hence a combination of garlic and ginger is much more effective in reducing blood glucose and serum lipids. Bhandari et al. (1998) studied the effect of ginger on cholesterol fed rabbits, after ten weeks, cholesterol fed rabbits had increased cholesterol, serum triglycerides, serum lipoproteins and phospholipids. When extract of ginger was given the remarkably reduction in the cholesterol, serum triglyceride and serum lipid proteins and phospholipids was observed. Ahmed et al. (2000) examined the dietary effect of ginger on antioxidant dependent system in rats, and his results showed that ginger (Zingiber Officinale; 1% w/w) significantly lowered lipid peroxidation by maintaining the activities of the antioxidant enzymes-superoxide dismutase, catalase and glutathione peroxidase in rats. Ackermann et al. (2001) conducted a study to see the effect of garlic on lipid profile and results indicated that garlic preparations had comparatively lower declines (1.2-17.3 mg/dl and 12.4-25.4 mg/dl) in total cholesterol level as compared to whole garlic after 1 and 3 month correspondingly. Bhandari et al. (2005) discovered that ethanolic extract of ginger significantly reduced serum total cholesterol and triglycerides levels and increased HDL-cholesterol level as compared to diabetic rats, and the extract showed a significant lipid lowering activity and protect the tissues from lipid peroxidation. Goyal and Kadnur, (2006) reported that goldthioglucose cause a significant increase in body weight, glucose insulin level and lipid level in mice and when methanol and ethyl acetate extract of ginger were given to mice for eight weeks that produced significant reduction in glucose concentration and lipid level. Amin et al. (2006) studied the hypoglycemic potential of ginger.The aqueous extract ofraw ginger (500mg/kg) was given to the streptozitocin (STZ) induced diabetic rats for seven weeks. Fasting blood serum was examined and results indicated that the raw ginger was very effective in lowering the serum glucose. Afshari et al. (2007) estimated the effect of ginger powder on nephropathy induced by diabetes, and measured the changes in plasma lipid peroxidation, Wistar rats were treated after the grouping of 3 rats in each. Blood sample was collected from the heart of each rat. The results showed that ginger powder caused decrease in lipid peroxidation. Al-Qattan et al. (2008) reported that in STZ-induced diabetic rats which were injected intraperitoneally with ginger extract for seven weeks, the serum glucose was significantly lowered, and the urine protein reduced to the same level as the normal group. Histological examination clearly depicted that ginger effectively reduced the progression of structural nephropathy in diabetic rats. Islam and Choi, (2008) compared the anti-diabetic effects of dietary ginger and garlic in STZ induced Diabetic rats. In this trial 5-week-old male Sprague-Dawley rats were fed a high-fat (HF) diet (22% fat) for 2 weeks and then randomly divided into six groups of eight animals: Normal Control (NC), Diabetic Control (DBC), Ginger Low (GNL), Ginger High (GNH), Garlic Low (GRL), and Garlic High (GRH) groups. Low and High indicate addition of 0.5% and 2.0% freeze-dried ginger or garlic powder in their respective diets.After 4 weeks data of this study suggested that ginger and garlic are insulinotropic rather than hypoglycemic while overall anti-diabetic effects of ginger are better than those of garlic. Shariatzadeh et al. (2008) exhibited the effect of garlic on lowering blood sugar and preventing and curing nephropathy in STZ induced diabetic rats. 32 male Wister rats were randomly divided into control, control+extract, diabetic and diabetic+extract groups (n=8).Treatment with aqueous-ethanolic extract of garlic (50mg/ kg/day) was followed for 4 weeks. The results revealed that there was significant decrease in blood sugar and increase in weight of kidney and volume of cortex,medulla and kidney. Abd-Elraheem et al. (2009) depicted the effect of ginger extract consumption on levels of blood glucose, lipid profile and kidney functions in alloxan induced-diabetic rats. In this study rats (130-150gm) were divided into 4 groups; normal control rats, diabetic control rats, diabetic rats post-treated with ginger and diabetic rats pretreated with ginger. Ginger extract was administered orally for 6 weeks to post-treated and pre-treated rats, and they were compared with the normal and diabetic groups, respectively. Plasma glucose, plasma lipid,plasma creatinine, urea and uric acid levels were reduced significantly in both post-treated and pretreated groups. Bing et al. (2011) conducted a study to evaluate the hypolipidemic effect of enteric-coated ginger and garlic essence tablet on lipid profile of rats fed high-fat diet and hyperlipidemic subjects. One experimental group having hyperlipidemic rats was assigned to orally expose to three different doses of essence tablet for 30 consecutive days. In addition other experimental group of hyperlipidemic subjects received one piece of ginger and garlic essence tablet twice daily. After 30 days the data of serum lipid profile of both group was obtained which depicted that enteric-coated ginger and garlic tablet remarkably improved blood lipid profile in rats fed high-fat diet and hyperlipidemic subjects. Eyo et al. (2011) revealed the comparative hypoglycemic effect of the hypoglycemic increasing dosages of A. cepa, A. sativum and Z. officinale aqueous extract on alloxan -induced diabetic rats. Increasing dosages (200, 250 and 300mg/kg bw ip) of A. cepa, A. sativum and Z. officinale aqueous extracts were given to the diabetic rats for six weeks and after six weeks blood glucose levels were determined and concluded that A. sativum, A. cepa and Z. officinale significantly decreased blood glucose as 79.7%, 75.4% and 56.7% respectively. Ashour et al. (2011) conducted a study was to investigate the short term effect of garlic oil on the antioxidant status as well as insulin level in streptozotocin (STZ) induced diabetic rats. In diabetic rats (two groups), one treated by garlic oil (200 mg/kg b.wt) and the other group treated by vehicle (corn oil; 2 ml / kg b. wt,) for 8 weeks. Results showed the significant increase in levels of superoxide dismutase (SOD), catalase, GPx, C-peptide and insulin on oral administrations of the garlic oil in the diabetic rats. Prasad et al. (2012) investigated hypolipidimic effects of ginger-juice in rat. Albino rats (n=6-12) were administered G.J at single dose (4ml/rat, p.o) as a chronic treatment over period of 21 days. After the 21 days the lipid profile parameters were checked and which indicated that treatment with ginger-juice in rats significantly reduced the total serum cholesterol level and significantly increased the serum HDL-cholesterol. So it was concluded that ginger juice has hypolipidemic effect. Sanghal et al. (2012) conducted a trial to check the comparative efficacy of ginger and garlic on hypertension and hyperlipidemia in rats. In this study total 18 rats were taken and equally divided into three (control, ginger and garlic) groups by random selection. Ginger and garlic (500 mg/kg orally) were given to two separate groups of rats fed on high fat diet for a period of 7 weeks. Blood pressure and lipid profile were measured on day 0 and after 7 weeks. Comparative results depicted that ginger has better although not significant preventive effect on systolic blood pressure and garlic has better preventive effect on lipid levels. MATERIAL AND METHODS: This experiment will be conducted to investigate the comparative effect of garlic and ginger on blood sugar level and lipid profile of alloxan induced diabetic mice. Plant Material: The A. sativum and Z. officinale used for the experiment will be purchased from the Ayub Agricultural Research Institute, Faisalabad. Animal Model: 25 mice weighing 30-35g will be purchased from National Institute of Health, Islamabad and kept in the animal house of the National Institute of Food Science and Technology (NIFSAT), University of Agriculture Faisalabad. They will be maintained at a temperature of 25  ± 1 °C and relative humidity of 45 to 55% under 12-h light: 12-h dark cycle. They will be fed with normal diet and water ad libitum. Induction of Diabetes Mellitus: Diabetes will be induced in mice by a single intraperitoneal injection of aqueous alloxan monohydrate (40 mg/kg, i.v.) solution. After 72 hrs animals showing serum glucose level above 180 mg/dl (diabetic) will be chosen for the study. Experimental Protocol: The experimental animals will be divided into 5 groups; each group will contain 5 animals: Control group G1 (normal without treatment), diabetic control group G2 (injected with 40mg/kg b.w. of alloxan), diabetic mice treated with 30g/100g diet of garlic for 4 weeks G3, diabetic mice treated with 30g/100g diet of ginger for 4 weeks G4 and diabetic mice treated with 30g/100g diet containing mixture of garlic and ginger G5. Data Collection: Data will be collected for different parameters for body weight, feed and water intake. Collection of Blood Samples: At the end of 4 weeks blood samples will be collected by sacrificing the animals for determination of blood glucose and lipid profile. Proximate Analysis: The proximate analysis of garlic and ginger for moisture, total ash content, crude protein, fat, crude fiber and nitrogen free extract will be done by using the method given by AOAC (1990). Statistical Analysis: The resulting data will be subjected to some appropriate statistical techniques. Reflection | Physiotherapy Placement Reflection | Physiotherapy Placement The Department of Health (DoH) (2003) highlighted the importance for all professions currently regulated by the Health Professions Council to demonstrate competence through continuing professional development (CPD). CPD is a systematic, ongoing, structured process that encourages the development and maintenance of knowledge, skills and competency that assists us in becoming better practitioners (Chartered Society of Physiotherapy (CSP), 2003). As a result of the Health Act (1999) and for registration with the Health Professions Council (HPC), CPD is a legal requirement (HPC Standards of Proficiency, 2007) that must be completed in accordance with the (HPC) Standards of Continuing Professional Development (HPC, 2006). This essay allows for demonstration of life-long learning using evidence from clinical practice and critical evaluation to contribute to my CPD. Learning outcome 5 will be demonstrated throughout this essay. Throughout this essay the reader is directed to the appendices to support theory with evidence of practice. I considered my motivations for undertaking CPD before writing this essay and reflected upon them again on completion (Appendix 1). Demonstrate professional behaviour with an understanding of the fundamental, legal and ethical boundaries of professional practice Beauchamp and Childress (2001) identify four ethical principles; Autonomy, Beneficence, Non-maleficence and Justice. These ethical principles can be used to morally reason whether an action or decision is right or wrong when used in conjunction with a set of guidelines (Kohlberg et al, 1983). Professional codes of conduct are developed within moral, ethical and legal frameworks to help guide and regulate practice (Hope et al, 2008). Every practitioner has clinical autonomy, therefore they are professionally and legally accountable for their actions. The following will discuss the importance of consent and duty of care for both legal and ethical reasons with regards to case 1 (Appendix 2), encounterd on practice placement 6 (PP6). Rule 9 of the HPC standards of conduct, performance and ethics (2008) states you must gain valid consent from a patient for any treatment you may perform or else you could face trial for assault, battery or negligence under civil or criminal law (Hendrick, 2002). It is a fundamental ethical priniciple that every person has a right to exercise autonomy (Article 9; Human Rights Act, 1998) and is reflected in the Core Standards of Physiotherapy Practice (CSP, 2005). Performing a procedure without gaining consent, undermines the moral priniciple of respect for patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s autonomy and human dignity (Sim, 1986). However, inability for Patient X to conform to the Mental Capacity Act (2005) meant he was treated in his best intrest in adherance to section 1.5 of this act and Rule 1 of the HPC (2008) standards of conduct, performance and ethics. Assuming the medical management of Patient X, a legal and professional duty of care was established (Rule 6; HPC, 2008). As part of this duty and in accordance with standard 2 of the CSP Core Standards of Physiotherapy, all interventions were explained to patient X despite his inability to consent. Had I not treated Patient X on the basis he had swine flu, this would have been failing to do justice to him, acting outside of the Disability Discrimination Act (2005) which states everyone should have equitable access to and utilisation of services regardless of disability and also Article 14 of the Human Rights Act (1998) in that no one should be discriminated against based on their health status. The Bolam Test (1957, cited in Dimond, 1999) states if duty of care to a client is breached and subsequent harm to the patient occurs, professional standards have not been kept and therefore negligence can be assumed. Although not legally binding, the CSP rules of professional conduct effectiv ely have the same status as law and failure to comply with them means they may not only be used in disciplinary hearings but also in legal proceeding as a civil case under the tort law of negligence (Dimond, 1999; Hendrick, 2002). In summary, a sound understanding of the legal implications surrounding consent and duty of care can help avoid unwanted litigation, however they should not undermine the ethical implications. Appendix 3 demonstrates how I have learnt from this experience. Assess the needs of a range of service users and, with reference to current professional knowledge and relevant research, apply, evaluate and modified physiotherapeutic intervention A service users is anyone who utilises or is affected by a registrants service (HPC, 2008). The complex needs of a service user encompass a range of issues including social, environmental, emotional and health related, the extent of which varies from person to person. For the purpose of this essay, the physiotherapeutic management of two patients treated whilst on PP6 with differing severities of chronic obstructive pulmonary disease (COPD) exacerbations (Appendix 4) will be discussed. The National Institue for Health and Clinical Excellence (NICE) guidelines (NICE, 2004) in conjuntion with the guidelines for physiotherapy in respiratory care (British Thoracic Society (BST), 2008) advocates the use of active cycle of breathing technique (ACBT) with expiratory vibrations on the chest wall for the treatment of COPD to help aid airway clearance. Inability for patient A to comply with ACBT indicated the use of manual hyperinflation (MHI) to passively inflate the lungs and aid mucocillary transport (Ntoumenopoulos, 2005). As identified by Finer et al (1979), atelectasis is a common problem observed in mechanically ventilated patients for which MHI has been found to be beneficial in reducing it in a well controlled clinical trial by Stiller et al (1996), scoring a PEDro rating of 6/10. Absence of a cough reflex in patient A, resulted in sputum retention and the increased risk of infection indicating the use of suctioning (Pryor and Prasad, 2002) by which, copious amounts of viscous secretions were cleared. Shorten et al (1991) supports the use of saline instilation to loosen secretions prior to suctioining however, conflicting arguments by Blackwood (1999) and Kinloch (1999) question its effectiveness. Patient Bà ¢Ã¢â€š ¬Ã¢â€ž ¢s compliance with ACBT replaced the need for MHI and suctioning. Patient A developed bilateral shoulder subluxations due to his lengthy intubation for which subluxation cuffs were applied, as suggest by Zorowitz et al (1995) with positive effect. Despite this study being on stroke patients, the results can be generalised to other patient groups as proved. The importance of mobilising patients with regards to respiratory function is highlighted by Ciesla (1996), however mobilisation of critically ill patients is restricted as they are often non-ambulatory. A high quality, randomised control trial using fifty-six participants by Mackay et al (2005), identified mobilisation as superior to other respiratory techniques, therefore Patient B was encouraged to sit out and treated using a graduated walking program. In the case of Patient B, mobilisation constitutes any change in position therefore the use of postural drainage positions and positioning into the cardiac chair setting on the bed were used (BTS, 2008). The range of problems service users present with means practitioners need to be adaptable, drawing on current evidence, professional knowledge from different fields of physiotherpy practice and experiences through CPD to deliever indiviualised patient-centred care. Appraise self management of a caseload and modify practice accordingly, demonstarating effective teamwork and communication skills Caseload management typically refers to the number of cases handled in a certain timeframe by an individual for which they have a duty of care towards (Scottish Executive, 2006). It is the management of time effectively through appropriate priority-setting, delegation, and allocation of resources to meet the service demand of its users (Curtis, 2002). Self-management of a caseload and adaptability to changing circumstances is expected of a registrant (HPC, 2008). Well developed time management skills can make a workload more manageable and improve the effectiveness of treatments and quality of time with patients. Prioritising patients to the order in which they will be seen based on their needs is encouraged by SARRAH (2010), however Nord (2002) argues whether it can be justified to prioritise those in most need if their potential benefit may not be as great as those in less need. In my experience prioritisation is dependant on a variety of factors for example, the trust where PP6 was completed, enforced protected meal times which did not run alongside staff meal times. Therefore, to prevent there being a void in the day, patients were still prioritised according to need but considertation had to be given to see patients that would be eating first and treat those that would not be during protected meal times. It is essential to consider that a therapists workload includes not only patient care, but also admistrative and research tasks in which delegation to others can be a valuable stratergy to assist with workload mangement. Curtis, (1999), identifies the need for practioners to show greater awareness of other disciplines competancies so delegation can be more effective. Feedback systems should be enforced to ensure task completion and objectives are being met (Curtis, 2002). Inter-professional collaboration refers to the process by which different disciplines work together to improve healthcare (Zwarenstein et al, 2009). Poor collaboration amongst healthcare professionals contributes to problems in quality of patient care and consequently poorer outcomes (Zwarenstein and Byrant, 1997). Liaison with members of the multi-disciplinary team (MDT) is encouraged by Shortell and Singer (2008) as practitioners are less likely to work off their own autonomy, ensuring patient safety, as demonstrated during handover in (Appendix 5). The learning objectives on PP6 to develop MDT collaboration and caseload management have been achieved as demonstrated in the feedback from my educator (Appendix 6) which identifies that improvement in self confidence will allow further development of the skills discussed. Demonstrate partnership with more junior students and/or appropriate others through the development of mentoring skills Mentoring is a process aimed at transfering knowledge, skills and psycological support from a more experienced person to a less experienced person, where the desired outcome is for both persons to achieve personal and professional growth (Anderson, 1987). An effective mentor facilitates, guides and empowers the mentee in becoming an independent learner (Coles, 1996) in which the relationships developed are based upon mutal respect, trust, confidentiality and shared beliefs and values (Lyons et al, 1990). The CSP (2005) acknowledges the importance of intergrating mentorship into CPD, in which the mentor develops a range of skills transferable to other CPD activities. This section focuses on peer mentoring as a concept, its practice and clinical application on an informal basis. Having identified the characteristics of a mentor (CSP, 2005), a SWOT analysis (Appendix 7) was completed to assist recognition of my personal learning needs. There are four stages to the mentoring life cycle (Appendix 8), in which the mentor needs to adopt and develop new skills to accommodate the mentee and guide them through the process. A qualitative study using a moderate sample size by Chan and Wai-Tong (2000) encourages the use of learning contracts (Appendix 9) to help establish rapports and facilitate autonomous learning which aids progression to stage two of the cycle. This is further supported in a recent review of the literature by Sambunjak et al (2009). Gopee (2008) recognises the importance of analysing the menteeà ¢Ã¢â€š ¬Ã¢â€ž ¢s needs. Foster-Turner (2006) states that different people approach the learning process in different ways therefore, matching the learning styles of the mentor and mentee will produce a more productive and successful relationship (Mumford, 1995; Hale, 2000). Honey and Mumford (1992) suggested people tend to have a predominant learning style and can be classified as activists, reflectors, theorists or pragmatists (Appendix 10). Boud (1999) identifies raising self-awareness as an essential tool used in lifelong leaning and through analysis of learning styles using Honey and Mumfordà ¢Ã¢â€š ¬Ã¢â€ž ¢s (1992) questionnaire, this allowed for reflection on the style of learning that would best suit the mentee to help meet their learning needs (Foster-Turner, 2006) (Appendix 11). As identified by the learning style inventory, the mentee and myself were both reflective learners, therefore we arranged sessions where we could dreflect on a clinical experience and discuss how new learning could be applied to future events. A feedback form from the mentee (Appendix 12) an a SWOT analysis (Appendix 13) demonstrates how through increased self-awareness and review of the literature, I have developed a better understanding of the mentoring process, the skills required and its application in into clinical practice. Developing others is central to current and desired practice (DoH, 2000a, 2000b, 2001, 2002) in which mentorship offers all the key attributes to the process. Preparation of an individual for this role, through self assessment, is central to its success, in which the skills developed are lifelong and can enable development into management and leadership roles later on in life. Demonstrate skills of career-long learning Lifelong learning is used synonymously with CPD and is concerned with practitioners critically reviewing their skills and knowledgebase with the ultimate goal of providing a better standard of care to all service users (French and Dowds, 2008). A recent inquest into a practitioner who did not maintain his competencies, demonstrates the possible consequences of poor CPD (Appendix 14). Appendix 15 details a range of formal and informal activities that can be undertaken to contribute towards CPD, evidence of which can be documented in a portfolio. The importance of staff development is recognised by the DoH documents (2000a, 2000b, 2001, 2002) which sets out the Governments vision of an NHS that prepares allied health professionals with the skills to take advantage of wider career opportunities and realise their potential. By using the competency based framework; The NHS Knowledge and Skills Framework (2004), physiotherapists can participate in development reviews which identify development opportunities and contribute to the fulfilment of personal development plans.