Impact of Health Inequalities on Parkinsons Disease Patient

Impact of Health Inequalities on Parkinsons Disease Patient In the department of health publication from ‘Vision to Reality’ (2001), the minister for public health, Yvette Cooper, and the chief medical officer, Professor Liam Donaldson, stated the following: ‘At the beginning of 21st century, your chances of a healthy life still depend on what job you do, where you live, and how much your parents earn. This is unfair and unjust. That is why this Government is committed to narrowing the health inequalities that scar our nation and to improved health for all’. How does this statement support the elderly with Parkinson disease in Bromley trust Kent? Introduction The focus of this community study is to explore the health inequalities which affect a specific group within Bromley community. This group has been defined as those suffering with Parkinson’s disease, a degenerative condition that tends to affect an older client group and can also be associated with complex medical needs. This essay will define and explore the concept of inequalities in health, define the disease ad its effects on people as their families, and relate these to a community in the Kent area served by Bromley NHS Trust. The other aim of this essay is to postulate solutions and interventions which might address some of the health inequalities and challenges posed by this particular condition and its prevalence within the community. The literature points to the specific health problems and challenges of this client group, and there is government and governance literature which specifically addresses their needs. However, it appears there is still a deficit between the needs of clients, which are complex and difficult to address, and the level of provision in health and social care services, which continue to be under-resourced and less than ideally designed. Parkinson’s Disease Parkinson’s is a progressive neurological disease which occurs as the result of the loss of nerve cells in the substantia nigra in the brain (PDS, 2007). The lack of these cells results in a lack of dopamine, a substance that allows messages to be sent to the parts of the brain that control movement (PDS, 2007). When about 80% of dopamine is lost, symptoms start to develop, and levels continue to reduce over time, causing symptoms to increase (PDS, 2007). Two proposed causes are genetic disorders and environmental toxins (PDS, 2007), although a range of other associations continue to be explored. No real cause is known, and there is no known cure, although some medications can mediate the course of the disease and help in symptom control (PDS, 2007). Motor symptoms of Parkinson’s are tremor, bradykinesia and stiffness of muscles, while non-motor symptoms include sleep disturbance, constipation, depression and urinary urgency (PDS, 2007). Fatigue is another symptom (Lloy d, 1999). It is obvious from this range of symptoms that sufferers may need an increasing range of health and social support services and interventions during the progression of the disease. One epidemiological review puts the rate of Parkinson’s disease in the UK population at 19 per 1000 per year, with a lifetime prevalence of 2 per 1000 people (MacDonald et al, 2000). The Parkinson’s Disease Society (PDS, 2007) state that one in 500 people in the UK suffers from the disease. This would suggest a considerable burden on local health and social care services in any locality. However, there is also the issue that such statistics often only represent the tip of the iceberg (MacDonald et al, 2000). There may be a greater number who have not yet been diagnosed or who do not access services and so are not counted in surveys. The age range of sufferers of Parkinson’s disease is 40-90 years, with the greatest proportion in the 70-74 age group, and the next highest rate in the 74-79 age group (MacDonald et al, 2000). This is obviously an age-associated condition. The Bromley Health Services NHS Trust provides an outpatient Parkinson’s clinic run by Dr B Kessel as part of the elderly medicine directorate (www.bromleyhospitals.nhs.uk, 2007). There is also the Joint Allocation panel which the elderly medicine team contribute to in providing complex home care packages. Therefore, it would seem that for this locality, there is some specialist Parkinson’s disease provision. However, there are no figures to describe the uptake and demand on health and social services from Parkinson’s disease sufferers. For example, the demand on community nursing services, social care services, nursing homes, continence services, primary health services and pharmacy services. Parkinson’s disease is usually treated by drug treatments which aim to redress the loss of dopamine (Pentland, 1999). Levodopa-containing agents replace dopamine within the body, while dopamine agonists mimic the action of dopamine (Pentland, 1999). Enzyme inhibitors can be used, which prevent dopamine breakdown, and anticholinergics can reduce the action of acetylcholine which can also improve symptoms (Pentland, 1999). There is ongoing debate and review of the risk-benefit ratio of these treatments but they have been shown to be effective in limiting symptoms (PDS, 2007: Pentland, 1999). Other pharmacological interventions may be utilised to relieve specific symptoms, such as hypnotics for insomnia, antidepressants for confirmed depression, and pain killers and quinine for pain and muscle cramps (Pentland, 1999). Hoever, achieving and maintaining the correct, effective drug regimen as the condition progresses can be problematic for client and medical team (Lloyd, 1999). Health Inequalities It was in 1998 that health inequality reduction became express aims of the NHS in the UK, with the publication of A First Class Service (DH, 1998). Since then, inequalities in health have remained on government and health service agendas. The National Service Framework for Older People (DH, 2001) sets out a number of standards to address key inequalities in health experienced by the subject group concerned in this essay. The fact that such standards have had to be set is evidence of demonstrable inequalities linked to these areas. To begin with, inequalities are linked to age. It has been shown that in some health and social care services, older people and their carers have been victims of age-based discrimination in access to services and availability of services (DH, 2001). The locality here, Bromley Trust in Kent, does not advertise specialist Parkinson’s disease services explicitly on their website, and so sufferers of this condition fall under the aegis of elderly care services and also neurology services (trust ref). However, resourcing for such services may not be optimum, with less resources perhaps given to less fashionable areas of health need (DH, 2001), but rather to the more ‘fashionable’ and topical areas such as children’s and cancer services. There are certain areas of need which could be viewed as common to older people’s services and specific to those with Parkinson’s disease, such as community equipment (DH, 2001). Another specific inequality for this client group is access to palliative care services, with many palliative care services only available to cancer sufferers (DH, 2001). Parkinson’s disease is a degenerative and ultimately terminal condition, and as such should be a defining condition for palliative care. However, palliative care services in some areas may be funded by cancer charities such as Macmillan Cancer care, which may pose a challenge. This leads to a policy issue which could only be addressed at policy management level within the local trusts. The burden on family and unpaid carers is considerable, and increases with the progression of the disease (Lloyd, 1999). This leads to further demand on services due to carer-related illnesses (Lloyd, 1999). Again, unequal access to services, here based on the condition and the lack of support for those affected by it, continues to exist. The issue of inequality related to ethnic minority or background (DH, 2001) may also be applicable here, as the locality does contain a range of different minority ethnic groups. However, the demographics are not available to explore the rates of Parkinson’s disease across the different ethnic minorities in the region. The literature does highlight one specific incidence of health inequality in relation to this disease. It appears that sufferers who are hospitalized do not have timely access to their medications due to the restrictions of ward rounds and nursing routines (Agnew, 2006). Another inequality is in access to community care assessments which provide the intense levels of care and support necessary as the disease progresses (Lloyd, 1999). Not only do Parkinson’s disease sufferers suffer from a relative difficulty in accessing and obtaining such assessments, the assessment provides only a partial picture when exploring to what extent the health and social care needs of people with Parkinson’s are being assessed (Lloyd, 1999). The assessments are apparently predominantly medical, failing to address the other range of needs, particularly social and emotional issues and everyday living needs such as personal care (Lloyd, 1999). As these assessments are generally not carried out in the person’s own home, they are inadequate in providing a true picture of the realities of the disease in individual cases (Lloyd, 1999). The more general subject of health inequalities highlights a range of factors which might adversely affect the health and wellbeing of this client group. Poor health is linked to social background factors (Iphofen, 2003). The Bromley community area encompasses a wide range of socio-economic groups, from those deemed to be in poverty through the middle classes to the affluent classes. Research has demonstrated that those low down on the social class hierarchy tend to have worse housing, poor nutritional status, are less fit and are more likely to engage in damaging or risky health behaviours (Iphofen, 2003). It is logical that these people are the most likely to become ill, die sooner, or be most in need of health and social care input and support (Iphofen, 2003). Other factors which may affect health inequalities include culture, gender and ethnicity (Iphofen, 2003). It is also important to consider the role of individual action and self-reliance (Iphofen, 2003), which may seem at odds with current political trends towards ‘nanny state’ policies which are in danger of labelling vulnerable groups and individuals as being to blame for their own ill-health. One example of this is the smoking ban, which has been legislated on the back a growing trend of refusing medical treatment to sufferers of smoking-related conditions until they have given up smoking. A similar trend appears to be occurring for obese and overweight individuals, but it would seem that this form of discrimination, whilst socially and morally wrong, is politically sanctioned. Health Problems related to Parkinson’s Disease. As can be seen from the literature, there are a wide range of health problems which affect Parkinson’s sufferers, primarily related to the disease and its symptoms and their affects on health and independence. Parkinson’s is a long term illness (Rhind, 2007; Kristjanson et al, 2006) and as such will require long term nursing and social support, surveillance and review. Parkinson’s disease causes physical disability, and affects all of the activities of daily living by restricting independence, self-reliance and self care (PDS, 2007). It can affect people’s ability to maintain relationships, carry on in employment and leisure activities, and to continue to live on their own in their own home, or with their families (PDS, 2007). Lloyd (1999) also highlights the fact that Parkinson’s disease is socially unacceptable and this can have ongoing effects for the sufferer and their carers. One of the problems associated with the disease is dysphagia, the inability to swallow or difficulty in swallowing (Miller et al, 2006). Dysphagia can have obvious physical effects, such as choking, and inability to access proper nutrition or maintain healthy weight (Miller et al, 2006; Lorefalt et al, 2006). It can also have social and psychological effects, such as embarrassment and depression, withdrawal from social eating situations and effects on family and carers (Miller et al, 2006). Treatment for dysphagia is limited, and so the condition can lead to long term alterations in nutritional state leading to interventions such as total parenteral nutrition (Miller et al, 2006; Lorefalt et al, 2006). Another associated set of symptoms are psychological symptoms. These can vary, but can present as depression, sleep, confusion and delirium, hallucinations and dementia (Nazarko, 2005). These can be challenging conditions to treat, and may require a mixture of support, psychiatric intervention, pharmacological intervention and sedation, and family/carer support (Nazarko, 2005). Such symptoms represent a considerable demand on existing services, and as yet, there are no specialist psychiatric services for this client group within the locality under discussion. Addressing Health Inequalities by Condition Management The Department of Health (2001) stresses the following are necessary to combat the continued inequalities experienced by the older age group in accessing services and support: an integrated approach between local authorities and health services; strong clinical and managerial leadership; service user and carer representation at every level; working parties and management groups which continually address and review the situation. Other actions include workforce development (DH, 2001), and there may be a greater need for training and awareness-raising, particularly with nursing staff. Nursing staff need to listen more to Parkinson’s sufferers when providing care (Agnew, 2006). Another issue is the proper assessment of older people’s conditions (DH, 2001), which is important as Parkinson’s disease can present as one of a complex range of multiple diseases or conditions. Modern management of Parkinson’s disease (PD) aims to obtain symptom control, to reduce clinical disability, and to improve quality of life (Pacchetti et al, 2000). Specific instruments or tools may be necessary as part of the assessment process (Heffernan and Jenkinson, 2005). The National Institute for Health and Clinical Excellece (NICE, 2006) make the following recommendations: people with suspected Parkinson’s disease should be seen by a specialist within six weeks; new referrals with later progress of disease should be seen within two weeks; there should be regular, ongoing review of the condition; sufferers should be empowered to participate in their care; and all people with Parkinsons should have regular access to specialist nursing care to provide monitoring and adjustment of medication, a point of contact for support including home visits and a reliable source of information about clinical and social matters relevant to Parkinsons disease. There is a need to access and engage with psychiatric services due to the long-term psychological and emotional effects of the disease (Lloyd, 1999). NICE (2006) argue strongly for specialist nurses and multidisciplinary clinics, which would be appropriate given the complex presentation of the disease. T his comprehensive approach would go a long way to reducing the inequalities experienced by this age group. However, the local services in Bromley may not be currently resourced adequately to meet such targets. Other interventions might also include speech therapy, physiotherapy, occupational therapy and of course palliative care services (Carter, 2006). The local trust has service provision in all these areas, and all but the last can be demonstrated to be involved in the care of clients with Parkinson’s disease in Bromley. However, it might be that more provision and more targeted provision might be necessary to reduce the inequalities suffered by this client group. Some literature suggests the use of complementary therapies such as massage to support those with the condition (Patterson et al, 2005). Other therapies such as music therapy might be appropriate (Pachetti et al, 2000). Music as a therapy acts as a specific stimulus to obtain motor and emotional responses by combining movement and stimulation of different sensory pathways (Pacchetti et al, 2000). In a prospective, randomised controlled trial, music therapy was found to be effective on motor, affective, and behavioral fu nctions, and as such would be a valid addition to therapy programmes for people with Parkinson’s disease (Pacchetti et al, 2000). One example of successful care management has been described by Holloway (2006), who reports in the implementation of a care pathway to meet specific needs. The pathway is user-led, conceptualising the user/carer as the communications centre, resourced and supported in the management of their situation by the professionals to achieve their own integrated package of care (Holloway, 2006). This pathway takes into account individual disease presentation, social factors, severity of illness and degree of use of services (Holloway, 2006). The research showed this pathway to be feasible for implementation within standard, existing clinics and was well received by clients and carers (Holloway, 2006). Another programme which has demonstrated some success and positive outcomes is a club for patients and their carers at a day hospital in Bridlington (Nasar and Bankar, 2006). The multidisciplinary team use the club for patient assessment, education and disease management, while it also provides the patients and carers with a forum for discussion and an opportunity for social interaction (Nasar and Bankar, 2006). Another important aspect of reducing health inequalities is in developing alliances with service users and engaging with specific groups who are socially excluded (Watterson, 2003). It may be that the reason that Parkinson’s sufferers feel so excluded is due to nurses’ perceptions of them as less than cognitively competent, due to prejudices about the nature of the disease. Service users have important and often critical knowledge and experience about their lives, condition, symptoms and responses to treatment (Watterson, 2003), which could greatly enhance both policy planning and direction and individual care planning and ongoing disease management. There are challenges associated with attempting such engagement, and even further policy and procedure planning, with associated resource input, would be needed to ensure accessibility, effective communication and responsiveness. Conclusion As has been demonstrated, sufferers of Parkinson’s disease, itself a complex aetiology, presentation and progression, have a range of specific and challenging needs which are not being met by the local services in Bromley. While some services exist, there are other models of care, management, assessment and monitoring which have been demonstrated to be effective in other localities, which may be appropriate for this specific client group. Services need to be client centred and comprehensive, utilising tools and guidelines developed specifically for the disease and its symptoms. Services must also be multi-disciplinary, multi-agency and also holistic. However, the provision of such services may not be practical within the current NHS climate. With the direction set out in government and NICE documents, however, it would appear that the drive to improve such services will go ahead. This essay addresses a very small, confined client group with a specific disease presentation. However the scope of health inequalities across the whole population may be much wider and more disturbing. It would appear that there is a need for targeted programmes to tackle health inequalities in almost every service, but if these can be addressed in one area, they can be addressed across the whole service to counteract years of unequal access and provision which have continued to fail those in most need. 3,000 words. References Agnew, T. (2006). Nurses out of step with Parkinsons patients. Nursing Older People. 18(6). 8-9 Carter, L. (2006) The role of specialist nurses in managing Parkinsons disease. Primary Health Care. 16(8). 20-2. Costello, J. Haggart, M. (eds.) (2003) Public Health and Society Basingstoke: Palgrave Macmillan Department of Health (2001) The National Service Framework for Older People Available from www.dh.gov.uk. Accessed 14-4-07. Heffernan, C. Jenkinson, C. (2005) Measuring outcomes for neurological disorders: a review of disease-specific health status instruments for three degenerative neurological conditions. Chronic Illness. 1(2). pp. 131-42 Holloway, M. (2006) Traversing the network: a user-led Care Pathway approach to the management of Parkinsons disease in the community Health Social Care in the Community 14 (1), 63–73 Iphofen, R. (2003) Social and individual factors influencing public health. In: Costello, J. Haggart, M. (2003). Public Health and Society Basingstoke: Palgrave Macmillan. Kristjanson, L., Aoun, S., Yates, P. (2006) Are supportive services meeting the needs of Australians with neurodegenerative conditions and their families? Journal of Palliative Care 10 (2). Lloyd, M. (1999) The new community care for people with Parkinson’s disease and their carers. In: Percival, R. Hobson, P. (eds.) (2003) Parkinson’s Disease: Studies in Psychological and Social Care. London: MPG Books Ltd. Lorefalt, B; Granerus, A; Unosson, M. (2006). Avoidance of solid food in weight losing older patients with Parkinsons disease. Journal of Clinical Nursing 15(11) 1404-12. MacDonald, B.K., Cockerell, O.C., Sander, J.W.A.S. Shorvon, S.D. (2000). The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK. Brain 123 665-676. Miller, N; Noble, E; Jones, D. (2006) Hard to swallow: dysphagia in Parkinsons disease. Age Ageing. 35(6) 614-8. Nasar, M; Bankar, R. (2006) Improving outcome in Parkinsons disease. British Journal of Hospital Medicine. 67(1). pp. 6-7 Nazarko, L. (2005) Part 3: psychological effects of Parkinsons disease. Nursing Residential Care. 7(6).261-4. NICE (2006) Draft Guideline on Parkinson’s Disease Available from www.nice.org.uk Accessed 14-4-07. Pacchetti, C., Mancini, F., Aglieri, R. et al (2000). Active Music Therapy in Parkinson’s Disease: An Integrative Method for Motor and Emotional Rehabilitation. Psychosomatic Medicine 62 (3) 386-393. Parkinson’s Disease Society http://www.parkinsons.org.uk/ Accessed 14-4-07. Paterson, C; Allen, J; Browning, M. (2005). A pilot study of therapeutic massage for people with Parkinsons disease: the added value of user involvement. Complementary Therapies in Clinical Practice. 11(3). 161-71. Pentland, B. (1999) The nature and course of Parkinson’s disease. In: Percival, R. Hobson, P. (eds.) (2003) Parkinson’s Disease: Studies in Psychological and Social Care. London: MPG Books Ltd. Percival, R. Hobson, P. (eds.) (2003) Parkinson’s Disease: Studies in Psychological and Social Care. London: MPG Books Ltd. Rhind, G. (2007) Managing Parkinsons disease over the longer term. Independent Nurse. 22 Jan. pp. 18-9 Wacker, R.R., Roberto, K.A. Piper, L.E. (1998) Community Resources For Older Adults: Programs and Services in an Era of Change London: Sage Publications, Inc Watterson, A. (ed.) (2003) Public Health in Practice Basingstoke: Palgrave Macmillan http://www.bromleyhospitals.nhs.uk/referrers/clinical-services/elderly-medicine/ Accessed 14-4-07.

Ancient Historians: Sparta.

Ancient historians reveal that Spartan society was something to be envied. (DISAGREE). Many ancient historians can agree that the Sparta, was an overall strong, well disciplined, sound governed, equal society, with hard working citizens and incredibly structured military forces. Some ancient historians, such as Thucydide and Plato, admired many aspects of the Spartans good order, and praised how well the Spartans system appeared to be working, whilst other historians, such as Aristotle, were extremely crucial of the Spartan system, and criticised their structure in many of their individual writings.Many claim Spartans system of government included monarchical, and democratic components,although it is acknowledged as being primarily oligarchy. The government structure consisted of, two kings, and unlike most kings, these two did not have absolute power as they shared the power with each other and they also had to answer to a council of elders, or the Gerousia. The Gerouisa was made up of 28 male citizens, all over the age of sixty, who once elected served for live.Below the Gerousia, was another assembly, the Apella. The Apella consisted of male citizens over the age of thirty. To complete the system of checks and balances, the Spartans created a judicial position called  ephor. At any given time, there were five citizens serving in this role. Ephors were citizens over the age of thirty. They were elected to serve one-year terms. Ephors possessed considerable clout. An ephor could bring charges against anyone in Sparta—including one the city-state’s kings.Whilst some historians believed this government system to be efficient, and a sure way to keep matters, and laws fair through-out Sparta, Aristotle disagreed with one judicial position in particular, the Euphors. On them he said ‘The Lacedaemonian constitution is defective in another point; I mean the Ephoralty. This magistracy has authority in the highest matters, but the Ephors are chose n from the whole people, and so the office is apt to fall into the hands of very poor men, who, being badly off, are open to bribes. Aristotle believed that electing men, of no status whatsoever, and giving them such a high state of power was unwise, as a man of no status would be more prone to corruption, including the accepting of bribes. He then states ‘There have been many examples at Sparta of this evil in former times; and quite recently, in the matter of the Andrians, certain of the Ephors who were bribed did their best to ruin the state’ Thus proving his above point, that the Ephors were more likely to be bribed, for their own wealthfare.Throughout majority of Greece, wives were acquired strictly for the production of legitimate heirs, providing food and were used for sexual pleasure. Husbands dominated and demeaned the women, and treated them as objects. Both wives and daughters of any citizen were excluded from all public and intellectual activities, they were kept inside and weren’t allowed to participate in leisure activities , receive an education, or eat as well as their brothers or husbands.Women could not inherit or own any land, and it was considered unwise to educate them. This wasn’t the case with women in Sparta, although they still had arranged marriages, they did not have the right to vote, and were honored most for their production of strong sons, the women still enjoyed status and rights that were exceptional in those times and were considered a scandal to the rest of the essentially misogynous ancient world. Aristotle, from rival Athens, seems to complain about the Spartan society throughout his writings.He is extremely critical of the Spartan system, especially of their emancipated women. â€Å"The license of the Lacedaemonian women defeats the intention of the Spartan constitution, and is adverse to the happiness of the state. † – Aristotle, [On the Lacedaemonian Constitution] In this statemen t, Aristotle believes that by making woman emancipated, this disadvantages men and gives women an opportunity to take advantage of the men, by manipulating and controlling them. .

Analysis Of The Book David Garland - 1513 Words

David Garland begins by asserting: We quickly grow used to the way things are. His description of our contemporary culture of control, and of our acceptance of it, calls to mind the mythical frog in the saucepan: dropped into hot water the frog is startled and leaps out; but if the heat is turned up gradually, it sits there without noticing until it boils to death. In our case - our in the book refers to Britain and the United States - most of us have failed to notice a quite rapid turning-up of the heat. Americans, Garland observes, now seem accustomed to living in a country that executes an average of more than two people per week and has a prison population of more than 2 million. Britons, with extraordinarily little protest, have adjusted to living with an Orwellian level of closed-circuit TV surveillance and a prison population whose growth rate, if not its actual number, is beginning to rival that of the US. Such a state of affairs, he notes, only 30 years ago would have seemed shocking, even to the best-informed and most up-to-date observer. Indeed, he insists, the trajectory of British and American crime control over the past three decades has been almost exactly the contrary of that which was anticipated as recently as 1970. The Culture of Control describes this trajectory, explains how and why it confounded expectations, and concludes with a view of what it portends. I shall quibble in a moment with the book s optimism about where it is headed, but firstShow MoreRelatedThe Culture Of Control, Crime And Social Order Essay881 Words   |  4 PagesSocial Order in Contemporary Society, David Garland (2001) is certainly one worth the read. Garland, one of the leading criminologists, begins the book with a fantastic insight on ‘history of the present’ of penological developments in the US, compares it with Britain in late 1970’s. He picks out indicative theories by Foucault and several examples to support his arguments. He portrays an intricate argument about the rise of crime control and punitiveness. Garland continues throughout to link new developmentsRead MoreThe On The Criminal Justice System984 Words   |  4 PagesGarland (2001), view on â€Å"the criminal justice system in Ameri ca was created to keep communities safe, to respect and restore victims, and to return offenders who leave prison to be self-sufficient and law-abiding. Treatment simply did not work either by therapy or broader social programs and became is a monumental failure that our states and nation can no longer afford† (p.61) Garland (2001) stated â€Å"that the collapse of faith in our correction system began a wave of demoralization that underminedRead MoreThe Death Penalty, A Reason for Recidivism Essay913 Words   |  4 Pageskilling and the images, ideas and sensibilities that surround these practices function to shape Americans attitudes towards authority, towards responsibility and towards those social and racial groups from whom capital offenders are most often drawn† (Garland). Some people believe that race and ethnicity have to do with the likelihood of someone receiving the death penalty. According to the U.S. Department of Justice considering the fact that 13 percent of the nation’s population is African AmericansRead MoreWhat Are The Key Principles That Underpin Individual And Social Positivism? Essay1892 Words   |  8 Pagespositivism are institutions in which modern criminology is grounded. The term ‘modern criminology’ might sound odd, as modern criminology is regarding 18th century period and its rational principles to control society to bring composure and order (Garland 1996, 2000). Modern criminology with rational system of control; where the rule of law based on the belief people exercise choice. â€Å"The ethos of productivity was rejected in the age society of leisure. Mind expanding drugs, permissive sexualityRead MorePunishment in Modern Society3079 Words   |  13 Pagessociological account of punishment and to emphasize the social importance of penal institutions. However, many of his interpretations appear flawed in important respects and have, more recently, been side-lined by more critical accounts of the phenomena (Garland 1990:23), such as the Marxist approach. The extensive part of this essay will concentrate on Marxists authors, as they use Marx’s hypothesis about the relationship between the social super-structure and the economic base as a fundamental methodologicalRead MoreThe Expositor s Bible Commentar y1204 Words   |  5 PagesThe Expositor’s Bible Commentary is a multivolume work, broken up into thirteen volumes. Each of the volumes cover a few books in the Bible, varying in exact amounts based on book sizes. This commentary has two main editors, Tremper Longman III and David Garland. In Volume 9, which consists of commentary on the Gospels of Matthew and Mark, three other people helped to contribute. D.A. Carson helped with the Matthew section while Walter W. Wessel and Mark L. Strauss helped with the Mark section. Read MoreAugust Wilson3685 Words   |  15 Pagesis often referred to as the Bard of St. Paul.3 After all this recognition and acclaim August Wilson is still an unknown to countless millions. I myself, being a Theatre major, was not even aware of his monstrous achievements until I took a play analysis class as part of my majors requirement. He was born Frederick August Kittel, Jr. on April 27, 1945, the 4th of 6 to Frederick August Kittel, Sr., a white German baker, and Daisy Wilson, and an African-American cleaning woman. His was an archetypalRead MoreThe Hound Of Baskervilles By Sir Arthur Conan Doyle Essay2458 Words   |  10 Pages(Cassell, Mitchell, and Edwards, pp. 59–103). Thus, in his book â€Å"The Hound of Baskervilles,† Sir Arthur Conan Doyle attempts to exploit the theme of crime through the application of the modern perspective of crime investigation and prevention by enlisting the expertise of crime detectives. From â€Å"The Hound of Baskervilles,† it is evident that the war against crime can only be won when there is a combination of public cooperation and keen analysis of evidence by the crime detection unit (Bunker, pp. 129–137)Read MoreSports17363 Words   |  70 PagesDates 3. Student profile 4. A suggested invitation for a sportscaster speaker Designed for teachers, thi s section is suggestive only, and is open to input—as is, in fact, this whole project. Your responses are encouraged, and I wish you well in your analysis of and/or career in sportscasting. Chapter 1 Introduction to Sports, Sportscasters, and Sportscasting Exercise 1.1: Your Definition/Description of Sportscasting We all have our own experiences with the subject of sportscasting. Tell about yoursRead MoreSports17369 Words   |  70 PagesDates 3. Student profile 4. A suggested invitation for a sportscaster speaker Designed for teachers, this section is suggestive only, and is open to input—as is, in fact, this whole project. Your responses are encouraged, and I wish you well in your analysis of and/or career in sportscasting. Chapter 1 Introduction to Sports, Sportscasters, and Sportscasting Exercise 1.1: Your Definition/Description of Sportscasting We all have our own experiences with the subject of sportscasting. Tell about

Gender Separation in Colleges and Schools - 635 Words

With the mushroom growth of schools and colleges in every nook and cranny, there is another trend in education that has increased overtime; this pertains to increasing co-education schools and colleges. Single gender approach or getting the girls and boys taking education in separate classrooms, schools or colleges is prevalent since long, yet the new trends in education are also leading to a co-education system (Spielhagen, 2008). Despite of a rising trend of co-education system, the debate on whether there be gender separation in colleges and schools always remain there. There is still a huge number of parents who take it a biggest task to decide whether their child will get education in a co-education or single education school. Gender Separation in schools and colleges is good, as studies have proved that girls and boys learn in different slipways. According to a research by Dr. Leonardo Sax, the brain of girls and boys work differently, thus they must be taught in distinctive ways. Merely separating the girls and boys in classrooms may not be the right solution, yet when the teachers gear their teaching tactics specific to the gender, it really yield results. Studies also prove that both the gender learn in different environments(GreatSchools, 2014). Where the girls learn far better when the classroom temperature is warm. On contrary, the boys show better performance in cooler classrooms. Moreover, Single- six educational institutes can also provide a broader horizonShow MoreRelatedSocial Stratification And Its Effects On Physical And Mental Differences1216 Words   |  5 Pagesthere has awareness of physical differences in people there has been social stratification. Social stratification is the separati on of based on physical and mental differences. Every society exhibits a pattern of separation between its people. We will focus mainly on the United States and how they organize people based on the three main organizing principles, class, race, and gender. Social class is defines as â€Å"the grouping of individuals by economic position† (Larkin, Para. 9). Members of each socialRead MoreDo Children Learn Better? Girls And Boys Only Schools?1676 Words   |  7 PagesGirls/Boys Only Schools There was a girl name Maria who went to a Co-ed school for boys and girls. She was unhappy that she couldn’t concentrate in class because of all the drama and socializing between boys and girls. Then one day Maria look up the differences between Co-ed schools and Single-gender schools. Maria found that children who go to Single-Gender schools learn and get better grades than children who go to Co-ed schools. There are many differences between Single-Sex schools and Co-edRead MoreDivorce And The American Psychological Association769 Words   |  4 Pages Divorce Mia Marotto Luzerne County Community College â€Æ' Abstract â€Æ' Divorce According to the American Psychological Association (2015), Marriage and divorce are both common experiences. In Western societies, more than 90 percent of individuals wed by age 50. Healthy marriages are useful for couples mental and physical wellbeing. They are likewise useful for kids; experiencing childhood in an upbeat home shields kids from mental, physical, educational and social issues. Be that as it mayRead MoreDifferentiated Learning And Its Positive Effects On Gender1333 Words   |  6 PagesDifferentiated learning and its positive effects on gender When a couple becomes aware that they are waiting for a baby, they anticipate whether it is a boy or a girl. Because baby s gender will determine a lot of things, such as what color to paint baby s room, what kind of toys, and what color clothes to buy. After the newborn comes into the world, his or her gender plays an even more important role. Parents start to learn that boys love action, and are less fearful, while girls thrive on communicatingRead MoreThe Issues Within Public Education Essay1393 Words   |  6 Pagesintervention, the latest reforms, as well as unequal gender bias. Gender bias in education is typically thought of the fact that girls are pushed toward classes that are humanities based, while the boys are pushed to take classes that are science and math driven. This then leads into the fact that women make less money than men, so something must be unequal, whether it is education or gender rights, or both. This paper will examine the gender gap in K-12 education, w hich includes stereotyping andRead MoreMy Journey As A College Student1662 Words   |  7 Pagesexposed to were people from similar backgrounds as me, Latina/o individuals with similar traditions and religious believes. However, as I began my journey as a college student I realized that the people in my surrounding were not at all like me. The first couple of weeks I felt so alone and felt as though I stood out from the rest of the college students because my skin is not white, my hair is not blonde and I don’t speak the perfect English that others speak. Growing up I had access to free educationRead MoreThe Decline Of Rural America1292 Words   |  6 PagesAmerica. Carr and Kefalas move to a small, rural community in eastern Iowa they name Ellis, to evaluate the cause of this decline and attempt to create a solution. Through residency and interaction with the community as well as present and past high school graduates, they evaluate the reasons why youth are leaving rura l communities at such a high rate. They determined youth fall into five categories growing up in small towns: stayers, seekers, achievers, boomerangs, and returners. The different categoriesRead MoreSocioeconomic Inequality Between White Students And Minority Students1605 Words   |  7 Pagesopportunity and social inclusion, social cohesion as well as economic growth and employment† and for these reasons, equality should be promoted (Shrivastava,67). Unequal educational outcomes are attributed to several variables, including family of origin, gender, and social class. Achievement, earnings, health status, and political participation also contribute to educational inequality within the United States and other countries. Family background In Harvard s Civil Rights Project, Lee and Orfield identifyRead MoreGender Stereotyping : A Televised Media Sports Coverage1332 Words   |  6 Pages Gender Stereotyping in Internationally Televised Media Sports Coverage Anonymous University of Arizonaâ€Æ' Abstract Sports fans usually acknowledge various sports through different mass media outlets. To develop our comprehension of social qualities inserted in sports and to investigate current values and power structures in regards to men and women, it is important to explore the potential impact that media may have in manipulating conventions about gender-appropriate sport conduct. One questionRead MoreSingle-Sex Education and Co-ed Education Essay1059 Words   |  5 Pagesopportunities that do not exist in the coed classroom. (Edison 1) Researchers are unaware that both genders brains function differently. This lack of knowledge may be why the real truth about single-sex education being more efficient than co-ed education has not been discovered. Some say single-sex education may be the key for a brighter generation. It shows to improve test score dramatically. The number of public schools experimenting with single sex classes is now reported to be more than 350. (Silva 130)