Birth Control and Abortion

Other times of birth control which are a little bit more complexes are the IUD anther more percent type of birth control is getting there tubes tied. There are other things that women can do if they do become pregnant and they choose they do not want to have a child at this time in their life. There are pills they can take five days after they have sex which can be bought over the counter at any drug store, There are also abortion pills that can be taken up to your 6th week of pregnancy, and last but not least a women has the choice to terminate a pregnancy by getting an abortion. Abortion is a big issue in today’s times and it is also a topic that can make some feel one of many different types of emotions. Abortion can happen up until the 13 week of a pregnancy. Abortion is a permit solution in terminating a pregnancy it can also be damage a female in many different ways not only physically but mentally as well. Abortions are a way to terminate pregnancies but they should not be used as a type of birth control. There are many pros and cons of both situation and everyone women should look into their options Birth Control comes in many forms for both men and women. The most common for the two would be condoms and birth control pills. Women can also seek other methods like diaphragms, Depo-Provera shots, Norplant’s, Nuvarings, or even a birth control patch however; the most powerful form of birth control would be absence (Planned Parenthood Federation of America, 2007). All these methods are proven effective but may cause some side effects in some people. Birth Control Method| Common Side Effects| Depo-ProveraLess than 1 out of 100 women a year will become pregnant by taken the shot when directed. Cost: $35 – 75Injected into the arm and last for 3 months. * Irregular bleeding especially within the first year. * Change in sex drive. * Change in appetite or weight gain. * Headaches * Nausea * Sore breast| Norplant’s (Implants)Less than 1 out of 100 women a year may become pregnant. Cost: $400-800Inserted into the arm and last for 3yrs. | * Change in sex drive. * Irregular bleeding within 6 to 12 months. * Discoloring or scarri ng where the implant was placed. * Rarely, an infection in the implant location. * Sore breast * Weight gain| Birth Control PillsFew as 1 in 100 women will become pregnant in a year if they use the pill effectively. Cost: $15-50 per monthMust take pill every day at same time to be most effective. | * Bleeding between periods. * Breast tenderness. * Nausea and/or vomiting| Condoms 2 out of 100 women may still become pregnant after using a condom correctlyCost: $1 eachCan be used by men. This device also prevent against sexual transmitted diseases. Female condoms are also available. | * Most common complaint is people are allergic to the latex which condoms are made from. * Condoms do break which forms no protection. | These are just a few of the outlined cost and complications that have been associated with different forms of birth control. Although, many have a great success record absence is the only method that is truly 100% effective. However, if women and men both actively participate in using contraceptives then they may avoid STD’s (with the use of condoms), and unwanted or unplanned pregnancies. Abortion is a medical procedure for any expecting mother to elect to have about her own body. The procedure can be performed up until the mother is in her second trimester. When a child is in the first trimester they weigh on average a 1/2 ounce and estimated to be 3 inches long (Just mommies, 2003-2012). During the first trimester the child also has a heartbeat that can be heard with ultrasonic devices. When a mother reached her second trimester the child is still growing developing more specific features. By the end of the second trimester the child will have developed all major organs (Just mommies, 2003-2012). Many people consider the abortion procedure to be immoral and wrong because it involves taking the life of an unborn child who has already developing in the womb. Over 7% of women just their reason for seeking an abortion because they were a victim of rape or incest and health concerns for the mother or baby (M, 2012). Many women who opt for this procedure may find themselves suffering from guilt or depression afterwards resulting in a life altering experience. For individual who don’t want to have children they have different types of birth control that can to prevent pregnancy. Birth control can come in a pill, patch, shot, surgical, internal, or abstinence. Birth control is not only for women but men as well. Men can use condoms to help protect them from getting women pregnant as well as protect themselves from sexually transmitted diseases. Men can also have a vasectomy which can cause them not to be able to produce children at all. Women have a similar procedure but it is called a tubal litigation. This prevents the woman from producing an egg and being fertilized. Each form of birth control comes with some type of side effect and it is best that the individual chooses what is comfortable for them. The side effects can vary depending on the individual and how their body adapts to the medication. Some women like to look at abortion as a type of birth control. There are different types of abortion and also different types of birth control. With abortion the different methods are used at each different point in pregnancy and may be performed different each time also. There are the first trimester abortions which can be suction aspiration or dilation and curettage also known as Damp;C. the suction aspiration is the most common surgical methods that is used in the first trimester abortions, this is when the cervix is numbed and stretched open. It allows the abortionist to suck the baby’s body out with a knife like plastic tube. During the suction the lining of the uterus may be torn away. The Damp;C methods are somewhat similar to the suction. The instrument used for this procedure is called a curette (a loop shaped steel knife) which is used to scrape the wall of the uterus. During this procedure the baby and the uterus if cut up into pieces and then sucked out. An abortion can also be performed with a chemical implantation. Abortions can take place in each stage of pregnancy and is performed in different ways according to the size of the baby and what stage you are at in your pregnancy. For the second trimester there is a procedure that is used that is similar to the Damp;C and it is called the Damp;E or dilation and evacuation. With this procedure the woman is given some type of sedative and the abortionist is dilates the women and use instruments such as forceps to pull the baby to pieces. There is also a late second and third trimester abortions. During the late second and third trimester abortions the abortionist uses instillation techniques which is injects lethal chemicals into the amniotic fluid by an amniocentesis, intra cardiac injections which stop the unborn heart or hysterectomies which are identical to a cesarean section and is intended to harm the child. These are only a few of the abortion techniques that are used but more exists. Birth control and abortions can help with decision making when it comes to having or not having children. Some individuals look at abortions and are totally against it and other may use it as a form of birth control. Women start out as teenagers using birth control to prevent early pregnancy or pregnancy at all. Both of these methods come with side effects and it should be strictly the individual’s choice to use either one.

Unit 6 Case Management Seminar Research Paper Example | Topics and Well Written Essays - 250 words

Unit 6 Case Management Seminar - Research Paper Example 279), which may be performed by Case Managers. Thus, it is imperative for Case Managers to know how to complete a provisional DSM Diagnosis. A social history is an accurate account of the client’s family and societal background, educational level, whether special assistance was required in the past, information regarding alcohol or drug abuse or any legal problems associated with the client. The Mental Status Examination (MSE) forms an integral part of the social history, capturing subtle visual and verbal attributes of the client. It involves observations based on our client’s general appearance, cognitive functioning, behavior intelligence, thought process and content, reality testing, affect, suicidal or homicidal ideation, impulse control, judgment and insight. As described in the text, it is useful in Case management by helping clinicians understand what has been going on with the client between sessions and to determine the best course to follow with each individual† (Ch. 18, p. 314). Case Managers are required to assess the client’s environment in order to understand their specific needs and goals. Our author mentions, â€Å"Sometimes you will be asked to go to someone’s home to do an assessment or to do an interview. People’s surroundings often hold clues to the way they are currently structuring their lives.† (Ch. 18, p.313). Case Managers need to carefully assess the appropriateness of the surroundings after proper inquiry, to order to judge the client’s needs. Importantly, Case managers must look at the way the person keeps his home. Our author rightly adds that â€Å"this tells something about the person’s capacity to attend to the routine details of living, or it may indicate a debilitating mental illness, such as hoarding† (Ch. 18, p.313). Thus, an ecological perspective helps understand the client’s needs and accordingly define

Cocaine Abuse and Addiction--Part II. (cover story) Essay

Cocaine Abuse and Addiction--Part II. (cover story) - Essay Example The process of treatment is actually quite intricate, with several services being needed, particularly with the addicts exhibiting additional social and psychological disorders. However, the situation is not as disturbing as it seems. It has been found that only 10-15% of people who try cocaine ultimately become addicted, and even if they do, most break the habit successfully. Treatments of various kinds pertaining to the many psychological, social and neurochemical causes of the problem may work for different patients under different circumstances. Some of the drugs which have been under production to counter the addiction are fluoxetine, which prevents the reabsorption of serotonin; antipsychotic drugs and also naltrexone, which neutralizes the gratifying effects of heroin. Researchers have been attempting to develop a compound that blocks cocaine’s access to the dopamine receptor without affecting its function in the absence of cocaine. They have also been observing drugs which raise the level of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) in the prefrontal cortex of the brain, the effect of which is believed to diminish the conditioned response to cocaine related cues in animals. Drugs that affect only one or several of the many kinds of dopamine receptors are being scrutinized. Yet another strategy to treatment is an antibody, which breaks down cocaine in the blood, thereby acting like a vaccine. Despite these endeavors, none of these techniques have proved to be really successful in combating the addiction, except for the temporary relief of abstinence symptoms. The only realistic, feasible treatment for cocaine addiction has been the 12-step groups along with different forms of behavioral and psychological therapy. In the 12-step groups, people help themselves by helping others. They meditate, pray, admit their mistakes and beg for forgiveness, share their stories with others, discuss the 12 steps and in the process, learn how to live

Second-Impact Syndrome In High-School Athletics Research Paper

Second-Impact Syndrome In High-School Athletics - Research Paper Example Many studies focusing on organ damage during competition focus on short-term, immediate damage due to blunt-force trauma with a limited time window, and minimal long-term followup to control for the possibility of lasting symptoms or lingering health problems as a result. (Cantu, 2003) Thus, there is still considerable need to examine and quantify a risk of death that would otherwise be dismissed; and to characterize this threat through a variety of statistics. Second-impact syndrome (SIS), a term originating in 1984, is described by a Dr. David Cifu and other colleagues as a "situation in which an individual sustains a second head injury before the symptoms from the first head injury have resolved." (Cifu, 2010) The second trauma for an athlete is likely to occur days to weeks following the first, in high risk sports. Loss of consciousness (syncope) is not necessary for dangerous complications to set in. (Bey, 2009) an impact which may seem of little consequence at first, wherein the athlete may seem to be only momentarily dazed can have a profound effect. But the effects of this second impact may result in cerebral edema/swelling and herniation, creating a slow bleed within the skull. This hidden crisis can trigger a seemingly healthy athlete to suffer fainting and fatality within minutes. (Bey, 2009) Dr. Cifu reports a mere 17 cases of confirmed SIS (Secondary Injury System) that have been dignified with descriptions in the medical liter ature. Much work still remains to describe the true pathophysiology and medical risks of SIS. (Cifu, 2010) Although Bey and colleagues have identified 35 apparent cases of the condition over a course of 13 years of examinations of football players. (American) Although similar corroborating injuries are not universally reported, even among higher-risk sports; such as Australian football which claims eight times the frequency of concussions as the American game. (Bey, 2009) Â   Certain young athletes may not comprehend or recognize the warning signs of concussions or may believe that minor injuries do not constitute a risk sufficient to stop them from playing. A medically-reviewed guide in the New York Times as well as Mayo Clinic sources have compiled a list of early warning signs to assist with recognition of the dangers and symptoms, which can range from mild to severe. (New York Times, 2011) They can include: 1. Altered consciousness, feelings of drowsiness, difficulty in awakeni ng, or similar deficits. 2. Confusion, ‘spaced-out' feeling, clouded thinking. 3. Headache. 4. Loss of consciousness 5. Amnesia, either retrograde or anterograde concerning of events before the injury or immediately after it. 6. Nausea and/or vomiting. 7. Visual hallucinations; such as flashing lights. 8. Fugue states or "lost time". (New York Times, 2011) 9. Ringing in the ears is another possibility according to Mayo Clinic sources. (Mayoclinic.com 2011) In many cases, minor concussions - while dangerous will still allow time for the patient to receive medical attention. But secondary insults are still a risk. Before SIS becomes a factor medical intervention should be a possibility. (Mutlu et al. 2003) Worth noting are certain warning signs that indicate immediate danger in regards of emergency symptoms of a concussive injury. Young athletes or indeed anyone suffering head injuries should seek immediate medical assistance at the onset of: 1.) Changes in level of alertness an d

Does Malaysia Need The Green Belt Concept Environmental Sciences Essay

Does Malaysia Need The Green Belt Concept Environmental Sciences Essay Malaysia is moving forward to be an industrialized economy. Malaysia moved from material production to manufacturing. The Malaysia manufacturing sector contributed 32% of the gross domestic product (GDP) in 2007, exports of manufactured products account for 75% of Malaysias total export in 2007. The manufacturing industries have become the economys main source of growth in recent years. According to the Third Industrial Masterplan (IMP3) 2006 2020, twelve industries in the manufacturing sector have been targeted for further development and promotion (Table 1). These industries are strategically important in contributing to the greater growth of the manufacturing sector, in terms of higher value-added, technology, exports, knowledge content, multiplier and spin-off effects and potential to be integrated regionally and globally. But, on the other side, the future target might also encourage environmental degradation if there is no comprehensive plan toward sustainable industrial development is taken into consideration. Table 1: Exports and Investments Targets for the 12 Targeted Manufacturing Industries Source: Ministry of International Trade and Industry Environmental protection through pollution prevention and the meeting of environmental standards by waste treatment of the effluents in the various industries have not worked in many countries. The problem of industrial environmental pollution is particularly serious in developing countries where the enforcement of environmental regulations is not strictly enforced. Malaysia can experience high chances of negative environmental impacts due to its efforts to boost the rapid industrialisation of its economy. Many aspects of the residential environment and living conditions of houses located near industrial areas potentially affected. Evidence shows that plants can reduce the pollution level. In develop country they have come out with a Greenbelt Plan to buffer the urban and industrial area from spreading its pollutants. A greenbelt is an area of land that is preserved for a non-urban land use. The term of greenbelts tend to share two features, an open landscape (green) and a linear shape (belt). All this while, greenbelt was not being strongly addressed on developing country due to its target on economic growth. Develop country like United Kingdom and Canada have come out with their own Greenbelt Plan. Greenbelts in the UK have had a profound effect on the landscape around urban areas, for the most part achieving their purposes of keeping the countryside open and preventing new development except for agriculture, forestry and recreation. The London Green Belt was created in response to the unchecked and sprawling growth that took place in that city during the 1920s and 1930s. 1.2 Issues and Problems Statement Rapid industrialization can have a detrimental effect on the environment which is related to several including resource use, water and air pollution as well as waste generation. The severity of these environmental consequences may vary, depending on the technologies used in the industrial production process and its organization. Malaysias rapid economic and industrial growth is characterized as a mixed-use urban areas development that incorporates residential industrial areas. These residential areas support the industry by providing them human resources. This growth produces both positive and negative impacts on housing development. The lack of usable arable land for urban development further results in some housing estates being nestled within industrial establishments as consequences to urban sprawl. Current status of green efforts in Malaysia is focusing on commanding and controlling the wastes occurring during the manufacturing stage of a product. In Malaysia, only big businesses have committed to voluntary initiatives towards green industrial development and this approach is yet to be accepted by SMEs (small and medium enterprise). Landscaping the industrial areas by the development of greenbelts is an effective way of mitigating industrial pollution.The effectiveness of green belts differs depending on location and operation. They are often being eroded by urban rural fringe use and sometimes, development encroached over the green belt area, resulting in the creation of satellite towns which, although separated from the city by green belt, function more like suburbs than independent communities. 1.3 Objectives of Study i) To clarify the importance of industrial greenbelt for economic growth whilst minimizing environmental degradation. ii) To identify the significant aspect that should be considered for green industrial development. iii) To give a recommendation for effective strategies of Greenbelts Plan for industrials area towards achieving sustainable industrial development. 1.4 Significance of Study Greenbelts in urban areas particularly in industrial are important to the ecological health of any given region. The various plants and trees in greenbelts serve as organic sponges for various forms of pollution, and as carbon sequestration to help offset global warming. On the other hand, industrial activities in urban areas have caused cities to maintain higher temperatures than their surrounding countryside and these phenomena is known as an urban heat island. Parks and greenbelts will reduce temperatures while the Central Business District (CBD), commercial areas, and even suburban housing tracts are areas of warmer temperatures. Greenbelts are also important to help urban dwellers feel more connected to nature. All cities should earmark certain areas for the development of greenbelts to bring life and colour to the concrete jungle and serving a healthy environment to the urbanities. The future risk from rapid expanding of industrial development should be investigate and must be seriously taken into consideration. Therefore, through the establishment of planned greenbelts it can helps in limiting urban sprawl. 2.0 EVOLUTION OF GREENBELT CONCEPT 2.1 History of Greenbelt Concept The idea of greenbelt was inspired by Sir Ebenezer Howard, a British social reformer, at the beginning of the twentieth century. Howard proposed Garden City which would not only be free of pollution but would also be antidote of polluted cities. The garden cities would be surrounded by a green backcloth of agricultural land providing local employment opportunities as well as open space for recreation. It was British architect and planner Raymond Unwin, a town designer and contemporary of Howards, who coined the term greenbelt (Ruth and William, 1994). In 1898 the concept was developed to tackle the problems associated with the planning of new towns located outside the periphery of London, which was then sprawling far into the countryside. The Garden City Concept is one out of many attempts to reduce and solve social problems during the Industrialization Period. The problems occurred, as more and more farmers became workers in the factories. The living conditions became worse, due to the fact that many workers settlements were located next to the industrial areas or within the cities. Figure 1 illustrates diagram of The Three Magnets where Howard analysed why people move to city or to the country side. Howards proposal emphasized the integration of the town, the country. He found out that both have advantages and function as magnets. He started with discussions of the optimum size for towns whereby a central city of 58,000 people surrounded by smaller garden cities of 30,000 people each (Figure 2). Green space or greenbelt and agricultural land will be as major component in the garden city whereby the permanent green space would separate the city and towns and serving as a horizontal fence of farmland. The requirement of the greenbelt or agricultural land for the Garden City in Howards view was 5,000 acres of the total 6,000 acres. Therefore, his solution was to develop a city structure which contains the advantages of a city and those of the countryside. The main objective of the concept is to found a new city. Figure 2: Ebenezer Howard, Garden City. Figure 1: Garden Cities of To-morrow; The Three Magnets, Ebenezer Howard, 1902 In the United States, Franklin Roosevelt tried to adapt Howards new town concept as part of its resettlement program. In the American concept of greenbelt, relatively wide band of rural land or open space surrounded a town or city. The term greenbelt meant, generally, any swath of open space separating or interrupting urban development. The designated land is controlled through regulation or public or quasi-public ownership (such as the Nature Conservancy) to retain its natural character and provide a resemblance of rural ambience in urban areas (Ruth and William, 1994). 2.2 A Greenbelt as a Development Plan Component A greenbelt is a policy and land use designation used in land use planning to retain areas of largely undeveloped, wild, or agricultural land surrounding or neighbouring urban areas. Similar concepts are greenways or green wedges which have a linear character and may run through an urban area instead of around it. In essence, a green belt is an invisible line encircling a certain area, preventing development of the area allowing wildlife to return and be established. The green belt policy was pioneered in the United Kingdom in the 1930s after pressure from the Campaign to Protect Rural England (CPRE) and various other organizations. There are fourteen green belt areas, in the UK covering 16,716 km ², or 13% of England, and 164 km ² of Scotland; In United Kingdom town planning, the green belt is a policy for controlling urban growth. The idea is for a ring of countryside where urbanisation will be resisted for the foreseeable future, maintaining an area where agriculture, forestry and outdoor leisure can be expected to prevail. The fundamental aim of green belt policy is to prevent urban sprawl by keeping land permanently open, and consequently the most important attribute of green belts is their openness. 2.2 Categories of Greenbelt A greenbelt principal purpose is to protect open space for natural, cultural, or scenic resources, to separate urban communities, to preserve and conserve natural resources and agriculture. Therefore, greenbelt can be categorized as below. Figure 3: Category of Greenbelt 2.2.1 Shelter Belts and Wind Breaks A shelterbelt is usually a barrier longer than a wind break and consists of a combination of shrubs and trees intended for the protection of field crops and the conservation of soil and water. A wind break is a barrier for protection from winds commonly associated with vegetable gardens and orchards. (Abbasi and Khan, 2000) The objectives of creating shelterbelts are: to protect agricultural land to shelter population in a city-from hot wind blast to arrest particulate matters as much as possible to shelter live-stock to control sand movement to provide healthy habitat 2.2.1 Forest Belts Forest belts is consists of protected natural forest. The objectives of preserving forest belts are: to protect watershed area to protect wildlife and its habitat to act as major carbon sequestration to preserve the exotic and indigenous species of forest vegetation to achieve environmental equilibrium with development 2.3 Greenbelt Encroachment by Urbanisation There is no doubt that human civilisation has had a negative impact on biodiversity and since the industrial revolution the negative impacts have only increased with processes such as over fishing and hunting, agriculture, the use of herbicides and pesticides and urban sprawl (Hunter, 2007). Rapid urban growth has led to the problems of urban sprawl, ribbon development, unregulated development, high cost for urban infrastructure, and pollution due to the inadequate disposal of urban and industrial waste. All such issues involve land. Land can be used for agriculture, forestry, grazing, industrial and urban uses, utility corridors, roads, waste disposal and recreation. With the increase of urban population, more and more green areas have to be converted into urban use. Large cities on the other hand need to have the land to spread out. Increase in population will put the pressure on land to serve a better accommodation and facilities for human needs. Industrial development will provide job for people, but in the same time it provides an opportunity to the developer to clear up the land for housing development. When there is housing development, other kind of development will follows, such as commercial retail areas and school. 3.0 THE GROWTH OF INDUSTRIAL ESTATE 3.1 Industrialization Evolution Ever since Industrial Revolution from late eighteen century, economic progress and development have been closely identified with industrialization. This thinking has continued to influence policy makers especially so in developing countries (Jomo, 1993). Since the early 1970s, it has been widely recognized that to ease the problems of poverty and mass unemployment encountered in developing countries, industrialization should play a key role in the economic growth of these nations. The types of industries deemed most suitable for promotion in developing countries are the small and medium-scale industries. These industries are generally less capital intensive than large-scale industries and hence are more spread out in terms of ownership. Establishment of small and medium-scale industries could thus lead to a more equitable distribution of income. Former studies on development of small-scale industries have concluded that an effective means of promoting the growth and dispersal of small and medium-scale industries is the provision of proper sites for the establishment of these enterprises. These sites should preferably be located in an industrial estate which is defined as a tract of land which is subdivided and developed according to a comprehensive plan for use of a community of industrial enterprises (Fong 1980). In other words, an industrial estate can also be known as an industrial park. An industrial park is defined as a large tract of land, sub-divided and developed for the use of several firms simultaneously, distinguished by its shareable infrastructure and close proximity of firms. Types and synonyms of industrial parks include industrial estates, industrial districts, export processing zones, industrial clusters, business parks, office parks, science and research parks, bio-technology parks and eco-industrial park (Peddle, 1993). 3.2 Industrial Estate Development in Malaysia Figure 4: Malaysias Industrial Development Phase (1867 1957) Export of agricultural products minerals (1957 1969) Import Substitution Industrialization Strategy (ISI) (1970 1980) Export Oriented Industrialization Strategy (EOI) (1981 1986) Import Substitution Industrialization Strategy (ISI) (1987 1996) Export Oriented Industrialization Strategy (EOI) (1997 2005) Recovery Period (EOI) Phase 1 Phase 2 Phase 3 Phase 4 Phase 5 Phase 6 (2006 beyond) EOI Phase 7 Malaysias industrial development can be classified into seven phases according to industrial strategies (Figure 4). The first phase was during the British colonial rule (1867-1957) which was largely limited to export of agricultural products and minerals mainly rubber and tin. The period immediately after independence (1957-1969) is the second phase largely dominated by the Import Substitution Industrialization strategy (ISI). Export Oriented Industrialization strategy (EOI) was introduced in 1970 until 1980, followed by the second round of ISI from 1981 up to 1986, an constitute the third and fourth phase respectively. The fifth phase marked the return to EOI in 1987 till 1996. The Asian crisis and the recovery period constitute another phase from 1997 up until 2005. The final phase was in 2006 and beyond where Malaysian economy hopes to move towards global competitiveness. In early 1970s it has been realized that rapid economic development in developing countries leads to an acute inequality in income distribution. To prevent massive dissatisfaction among their citizens, developing countries were urged to achieve economic growth (particularly industrial growth) with distribution of income as their development goal. Malaysia is one of the fastest growing economies in the world and in many ways a Third World success story. From a country dependent on agriculture and primary commodities in the sixties, Malaysia has today become an export driven economy spurred on by high technology, knowledge based and capital intensive industries. The establishment of industrial estates in the locations where such activities are desired became a good way of promoting growth and dispersal of industrial activities which can accelerate the economy of the country. Industrial estates are specific areas zoned for industrial activity where infrastructure (such as roads, power and other utility services) is provided to facilitate the growth of industries and to minimize the impacts on the environment. Industrial estates may include effluent treatment; solid and toxic waste collection, treatment, and disposal; air pollution and effluent monitoring; technical services on pollution prevention; quality management (quality assurance and control); and laboratory services. In the context of economic strategy, State Economic Development Corporations (SEDCs) were established by the various Malaysian states to stimulate industrialization through the development of industrial estates in the respective states. The industrial estates to be established by these SEDCs are envisaged to be in the form of improved tracts of land, with access roads and utility services. Industrial land so developed are leased out (usually for 99 years) to interested entrepreneurs. The lower rates are for industrial land developed in the rural areas, while the higher rates are for such land developed in the urban areas. Currently, Malaysia has over 200 industrial estates or parks occupying a total of 16,000 hectares and 13 Free Industrial Zones (FIZs) developed by government agencies, namely, the State Economic Development Corporations (SEDCs), Regional Development Authorities (RDAs), port authorities and municipalities throughout the country. New sites, fully equipped with infrastructure facilities such as roads, electricity and water supplies, and telecommunications, are continuously being developed by state governments as well as private developers to meet demand. Specialised parks have been developed in Malaysia to cater to the needs of specific industries. Examples of these parks are the Technology Park Malaysia in Bukit Jalil, Kuala Lumpur and the Kulim Hi-Tech Park in the northern state of Kedah which cater to technology-intensive industries and RD activities. 3.3 Environmental Impacts from the Industrial Estates The effects on the environment connected with industrial activities are mainly related to the production of industrial wastes either from its emission or effluent discharges. Figure 5 illustrates on the possible environmental impacts of industrial estates. POSSIBLE ENVIRONMENTAL IMPACT OF INDUSTRIAL ESTATES Spills Contaminated soil lost future land use Disposal of solid wastes Local nuisances such as noise, lighting transport Landscape disturbance Ozone depleting greenhouse gases Habitat degradation Air Pollution Freshwater Pollution Marine Pollution Risks from hazardous waste Exposure to toxic chemicals Figure 5: Possible environmental impacts of industrial estates Industrial development may always cause changes to the physical environment. Under natural condition, landuse changes can be absorbed by the physical environment through interactions of the various components to attain a dynamic equilibrium state. Rapid human disturbance will create imbalance to the environmental ecosystem as well as to human quality of life. There are a number of forms of industrial pollution. One of the most common is water pollution, caused by dumping of industrial waste into waterways, or improper containment of waste, which causes leakage into groundwater and waterways. Industries release pollutants which impact air quality that lead to photochemical smog, haze and acidification. Due to industrial discharges, and the indiscriminate disposal of raw materials, land pollution takes place. Both, air and water pollution will affected human beings, birds and aquatic life. Ozone depletion is another result of industrial pollution. Chemicals released by industries will affect the stratosphere, one of the atmospheric layers surrounding earth. The ozone layer in the stratosphere protects the earth from harmful ultraviolet radiation from the sun. The emission from industries will removes some of the ozone, causing holes; to open up in this layer and allowing the radiation to reach the earth. Ultraviolet radiation is known to cause skin cancer and has damaging effects on plants and wildlife. Activities in industrial estates also can cause noise pollution. Industrial noise refers to noise that is created in the factories which is jarring and unbearable. Sound becomes noise only it becomes unwanted and when it becomes more than that it is referred to as noise pollution. Heavy industries like shipbuilding and iron and steel have long been associated with Noise Induced Hearing Loss (NIHL). Continuous exposure to noise pollution leads to hearing impairment especially for people who are working in the industry and common people as well. It has been scientifically proved that noise more than 85 decibels can cause hearing impairment and does not meet the standards set for healthy working environment. 4.0 A RATIONALE FOR AN INDUSTRIAL GREENBELT 4.1 Current Status of Greenbelt Consideration in Industrial Estate As highlight in earlier chapter, current status of green efforts in Malaysia is focusing on commanding and controlling the wastes produce during the manufacturing stage of a product. Green efforts in Malaysia can be classified into four groups as follows: Broad Guiding Principles: Establishing common principles and statements of intent across subscribing organizations. Process Based Management Systems: ISO 14001 is a well known example of a process based environmental management system. Performance Based Systems: Public disclosure of industrial pollution programs is examples of voluntary programs with clear performance standards. Process-based Systems with Performance Elements: Establishing a hybrid system that combines a structured management system approach with specific performance requirements. Unfortunately, there is no specific guideline and regulation of creating and preserving greenbelt in developing industrial estates as many parties seen it as a secondly important factor. In Malaysia, Kulim Hi-Tech Park is the first in country that can be seen as well planned fully-integrated high technology park. Besides providing one of the best infrastructures, the Parks Masterplan also emphasizes on the quality of life within a self-contained township. Amenities incorporated in the plan include a shopping centre, a hospital, educational institutions and recreational facilities. But still, we are lacking in controlling the development over-exploitation the land resulting which can resulting environmental deterioration. 4.2 Pollution Status Caused by Industrial in Malaysia The two major environmental issues in Malaysia caused by industrial activities are atmospheric pollution and solid and hazardous wastes (Khidir and Suhaiza, 2009). 4.2.1 Atmospheric Pollution Atmospheric pollution has long been associated with the burning of fossil fuels, the resulting sulphur dioxide being a major atmospheric pollutant. Combustion of motor fuels causes an added influx of volatile organic compounds (VOC), coupled with carbon dioxide (CO2) and Nox, nitrous oxides. In Malaysia, local and transboundary emissions play very important roles in determining the status of the atmospheric environment (Hassan, Awang and Jaffar, 2006). The major pollutants observed are sulphur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), ozone (O3) and total suspended particulate matter, in particular PM10 (Hassan, Awang and Jaffar, 2006). Industries including power stations, motor vehicles and open burning activities remain the major sources of air pollution in the country. In 2008 a total of 22.971 industrial sources were identified to be subjected to Environmental Quality (Clean Air) Regulations, 1978. The breakdown of industrial sources by states is as shown in Figure 6. The highest number of stationary pollution sources was in Johor (8141:34%) followed by Selangor (4127:18%) and Perak (2956:12.9%). This is possibly due to the large industrial area in Johor and Selangor that contributed to the pollution. Besides that, both states have a rapid landuse development resulting to the environmental degradation. As to particulate matter, the highest contributor was industries (40%) followed by power stations (25%), motor vehicles (14%) and others (21%) (Figure 7). Source: *DOE, Environmental Quality Report 2008. Figure 6 : Industrial air pollution sources by state in Malaysia, 2008 Motor vehicles Power station Industrial Others 4,557 (14%) 7,784 (25%) 12,664 (40%) 6,667 (21%) Source: *DOE, Environmental Quality Report 2008. Figure 7: Particulate Matter (PM) emission load by sources (metric tonnes),2008 4.2.2 Solid and Hazardous Wastes Growing affluence and increasing concentration of population in urban areas have increased the generation and types of solid waste produced. Solid waste management is one of the most important issues of local authorities; where much money is spent in the collection and disposal of solid waste (Hassan et. al, 2000). Toxic and hazardous wastes are also one of the major issues in Malaysia. Currently, Malaysia produces about 10000 tonnes of waste every day, equal to 0.8 to 1.5 kg per capita (MGCC, 2006). According to Hassan, Awang and Jaffar, 2006, the amount of solid waste collected in Malaysia is 70 percent of waste generated The remaining 30 percent not collected ends up in illegal dumping sites, or is diverted at source or during collection for recycling purposes. The illegal dumping sites can cause leachate which possibly will contaminate the soil as well as the waterways. The recycling activities amount to only 5% of total waste generated. Manufacturing industry 6,830 (38.73%) Sewage treatment plants 9,524 (54.01%) Agro-based industry 491 (2.78%) Animal farm (Pig farm) 788 (4.48%)Solid, toxic and hazardous wastes become pollutants to the water. In 2008, 17,633 water pollution point sources were recorded. These comprise of sewage treatment plants (9,524:54.01%) inclusive 668 Network Pump Stations), manufacturing industries (6,830: 38.73%), animal farms (788:4.48%) and agro-based industries (491:2.78%) as shown in Figure 8 (Department of Environment). Source: DOE, Environmental Quality Report 2008. Figure 8 : Composition of water pollution sources by sector, 2008 Manufacturing industry was in the second place of water pollution sources. This is due to the expanding of industrial estates in the country. Compared to 2007, there are declining in water quality trend of river basins in 2008 (Figure 9). From 94 clean river basins were recorded, it reduce to 79 in 2008. Whereas, the number for both, slightly polluted and polluted river were increased. Figure 9 : Riber basins Water Quality Trend based on BOD subindex (1998-2008) Source of Pollution (Activity): Sewage, agrobased manufacturing industries. Pollution Indicator (Parameter): Biochemical Oxygen Demand (BOD) Clean Slightly polluted Polluted Source: *DOE, Environmental Quality Report 2008. From all those charts and statistics, there are evidences to shows that industrial estates have become one of the major contributors to environmental pollution in the country. Therefore, there is need for an alternative plan on how to overcome this problem eventhough special requirements and regulation has been put into efforts but still there is declining in environmental quality. 4.3 Greenbelt as Environmental Pollution Abatement In the context of environmental pollution abatement, a greenbelt has been defined as a strip of trees of such species, and such a geometry, that when planted around a source, would significantly attenuate the air pollution by intercepting and assimilating the pollutants in a sustainable manner (Ruth and William, 1994). The concept of greenbelt as a source of pollution abatement was recognized initially by three nations: The U.S.A., Britain and Kenya (Ruth and William, 1994; Gareth et al., 1992; Andy, 1991; Parsons, 1990). In reality greenbelts almost always include other vegetation, especially shrubs, which also play some role in capturing pollutants. But trees are the mainstays of greenbelts, and often greenbelt plantation is simply referred as trees eventhough other types of vegetation is also established and nurtured. 4.3.1 Air Pollutants Removal by Vegetation Plants remove pollutants from the air in three ways: (i) Absorption by the leaves, (ii) Deposition of particulate and aerosols on leaf surface, and (iii) Fallout of particulate on the leeward (downwind) side of the vegetation because of the slowing of the air movement (Tewari, 1994; Rawat and Banerjee, 1996). Vegetation acts as CO2 sink and some species have the capacity to utilise air pollutants effectively. Several plants have the capacity to collect the dust suspended in the atmosphere and dilute the concentration of toxic and harmful gases. Trees have been reported to remove air pollutants like hydrogen fluoride, SO2, and some compounds of photochemical reactions and collect heavy metals like mercury (Hg) and lead (Pb) from the air (Hill, 1971; Lin, 1976). After absorbing the air pollutants, trees change them to harmless metabolites through various physiological processes. Of course each and every plant cannot be an agent of air pollution control; only those which can tolerate pollutants can act as attenuators. All-in-all, increasing vegetation in the cities, towns, and industrial establishments holds great potential to combat air pollution. Substantial evidence is available to support the view that plants in general and trees in particular function as sinks for gaseous pollutants. 4.3.1 Soil and Water Pollutants Removal by Vegetation Surface water streams are also affected by industrial effluents and organics. Most of the treated industrial

The finacial crisi of the French Revolution :: essays research papers

â€Å"How Serious Was The Pre-Revolutionary Financial Crisis Between 1786-88, And How Significant Was The Clash Between The Notables And Calonne In Failing To Solve It?† On the twentieth of august 1786 Charles Alexandre de Calonne, comptroller-general of the royal finances, informed King Louis XVI that the state was on the verge of a financial meltdown. Whilst not having exact details to the financial figures to show the full extent of the problem, it is never the less recognized that France was in serious financial difficulty. What then did Calonne propose to sort this financial mess out? How was he to convince the King and the Notables that France was in financial danger and to give backing to his solutions? This essay will attempt to answer such questions by examining the financial crisis France was in and by looking at Calonne’s proposals in which to solve it. We shall also examine his failure to convince the Notables and the steps to his acrimonious dismissal. First then lets look at the financial situation: according to Calonnes calculations the total revenue for France in 1786 would amount to 475 million livres. The problem was though, that expenditure would come to a total of approximately 587 million livres. That meant a deficit of 112 million – roughly a fifth of the entire annual revenue. This rise in deficit was due to a huge increase in state borrowing since 1777. As a result of the huge amounts of money the state was borrowing there was also the huge rise in the annual interest and repayments that the treasury had to dispurse. Indeed since 1777, Calonne claimed that ariubd 1,250 million livres had been borrowed. A lot of this borrowing was due to financing the various wars that French kings of the eighteenth century were prone to fighting. The last one, French involvement in the American Civil War between 1778-83, had a crippling effect on the economy and was substantial in rendering it down to the situation that Calonne ha d announced to Louis XVI. What then did the comptroller-general propose to do? To be fair to Calonne he was not lucky enough to have a myriad of options for him to work with. For instance it would be natural to think that in a time of economic crisis, an increase in tax would be an obvious step- yet not so for Calonne. France was already regarded as one of the most highly taxed states in Europe, and the average Frenchman was already feeling the burden of the Kings’ borrowing. The finacial crisi of the French Revolution :: essays research papers â€Å"How Serious Was The Pre-Revolutionary Financial Crisis Between 1786-88, And How Significant Was The Clash Between The Notables And Calonne In Failing To Solve It?† On the twentieth of august 1786 Charles Alexandre de Calonne, comptroller-general of the royal finances, informed King Louis XVI that the state was on the verge of a financial meltdown. Whilst not having exact details to the financial figures to show the full extent of the problem, it is never the less recognized that France was in serious financial difficulty. What then did Calonne propose to sort this financial mess out? How was he to convince the King and the Notables that France was in financial danger and to give backing to his solutions? This essay will attempt to answer such questions by examining the financial crisis France was in and by looking at Calonne’s proposals in which to solve it. We shall also examine his failure to convince the Notables and the steps to his acrimonious dismissal. First then lets look at the financial situation: according to Calonnes calculations the total revenue for France in 1786 would amount to 475 million livres. The problem was though, that expenditure would come to a total of approximately 587 million livres. That meant a deficit of 112 million – roughly a fifth of the entire annual revenue. This rise in deficit was due to a huge increase in state borrowing since 1777. As a result of the huge amounts of money the state was borrowing there was also the huge rise in the annual interest and repayments that the treasury had to dispurse. Indeed since 1777, Calonne claimed that ariubd 1,250 million livres had been borrowed. A lot of this borrowing was due to financing the various wars that French kings of the eighteenth century were prone to fighting. The last one, French involvement in the American Civil War between 1778-83, had a crippling effect on the economy and was substantial in rendering it down to the situation that Calonne ha d announced to Louis XVI. What then did the comptroller-general propose to do? To be fair to Calonne he was not lucky enough to have a myriad of options for him to work with. For instance it would be natural to think that in a time of economic crisis, an increase in tax would be an obvious step- yet not so for Calonne. France was already regarded as one of the most highly taxed states in Europe, and the average Frenchman was already feeling the burden of the Kings’ borrowing.

Nursing Accountability in Relationship Essay

In this paper, I will review and implement recommendations based on the findings of the Agency for Health Care Research and Quality (AHRQ) regarding the training of hospital staff to respond to a mass casualty incident (MCI). I will give examples and situations that can affect the effectiveness of proper training and responses to a traumatic event in our city, county, state, or country. For years, hospitals have contemplated the possibility of a mass casualty incident (MCI). Federal agencies planning and responding to these events have determined that it would be overwhelming and catastrophic to any community. The resources would not be sufficient to absorb the needs and requirements for help. These events can be naturally occurring or manmade, for example, hurricane season and tornado season in Texas can be predicted with accuracy. In the West coast, we have constant planning and preparation for the next big earthquake even though we do not know with accuracy when it would be. During hurricane Katrina, we had an excellent opportunity to witness how prepared a city is, and how hospitals can easily be overwhelmed by a massive influx of patients. Examples can be given worldwide, but for the purpose of simplicity we will not elaborate further. Never before have we experienced more threats than in the past few years starting from the Oklahoma City bombing and the 911 attacks as the most horrific examples to site. More and more we have seen our fears become our realities and our vulnerabilities, and this is what has made us rethink our strategies and training for proper response to chemical, radiological, or biological threats. Findings The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals implement and test proper hospital response training twice a year. My hospital, BAMC, a military hospital, has complied with the training and has made significant contributions to the evolution and preparedness in response to a potential or actual event. The military has always been an integral part in training and preparation in regards to logistics and coordination of available resources, but even the best trained or better equipped hospitals cannot compensate for the impact it has on its employees, particularly nurses. Nurses take part and are an important aspect of training and preparation, and they are essential in the response to a crisis or trauma. Working in the emergency department, I often question myself as to how is it that we can train and prepare every year for a mass casualty incident (MCI) when I can see how easily we get overrun and in total disarray. Our hospital is currently capable of taking up to four major traumas all at the same time, but the reality is that even under the best staffed days we get overwhelmed, resourcing quickly to diversion of Emergency Medical Service (EMS) to other hospitals when we have reached maximum capacity. If training then is to prepare us and allow us to be well equipped with the necessary knowledge to perform, why is it that we struggle under small real life case scenarios? The response has to be once again in the level of preparation that each individual nurse takes to be ready to be able to function under very stressful environment. The nurse can be well prepared for future events by performing after action reviews (AAR), which is primordial in determining the stressors and the potential solutions to the problems encountered after each event. Disaster drills are beneficial in the effectiveness of command and control, communication, triage, patient flow, security response, and the roles each practitioner must perform. Recommendations Hospital drills and disaster planning are key and instrumental to make the nurse familiar with his/ her role, as well as the role of all the providers of care and first responders. Proper coordination and adequate allocation of resources are essential. The nurse can be instrumental in his/her flexibility and ability to adapt to different roles under extremely chaotic circumstances. Also, nurses are important for the delegation of tasks and coordination of duties to be taken to stabilize the emergency department for the proper movement of patients arriving and departing. The nurse plays an integral role in the transporting of patient, triage, and treatment of the injured. Properly identifying those who are very critical (expectant, life threatening), and those who are stable and can still function (broken bones, laceration, psychological issues) allows the provider to render the proper and efficient care. The nurse needs to have clear communication with the rest of the staff at every level of the disaster event in order to function and coordinate efficiently. Good documentation needs to be implemented. Nurses need to remain creative in finding ways to document what has been done to a patient with regards of his or her care. In a war zone, we can document key components of patient treatment on the uniforms of soldiers, and the same can be done with civilian population in the absence of computers or charting for short periods of time. Another important aspect is the transport of first aid equipment and supplies as soon as the disaster is identified, including body bags, stretchers, wheelchairs, crutches, splints, IV solutions, blood products, antibiotics, and plenty of analgesics and narcotics. Keeping an adequate number of chaplains, counselors, and security is imperative for the emergency department to maintain order under the chaos and stress. Summary In conclusion, the registered nurse needs to be ever vigilant of the realities of our current situations of the world. Today, more than ever with ongoing climate changes and unpredictable massive storms, tornados, earthquakes, and the impending threats created by man, we are always at risk for an (MCI). Keeping a good understanding of the preparation and the steps to take, and knowing his or her role the nurse can be reassured that he/she will be ready for the unpredictable and often unthinkable. References Training of Hospital Staff to Respond to a Mass Casualty Incident Evidence Reports/Technology Assessments, No. 95 Rockville (MD): Agency for Healthcare Research and Quality (US); July 2004 http://angel03. gcu. edu/section/default. asp? id=705202 Mass Casualty Incident (MCI) St. John West Shore Hospital, MCI Overview http://www. emsconedonline. com/pdfs/EMT-Mass%20Casualty%20Incident-an%20overview-Trauma. pdf