Recommendation Report Example Essay Essay Example

?Recommendation Report Example Essay Paper Summary: Smash Design decide to buy new chairs and some ergonomic points to work out the job of employees feel uncomfortable and acquire ill in their work environment. This study measure the Herman Miller Chairs and Steel Case Leap Chairs, Simple Package and Deluxe Package offer by Staple supplies, and Rocco and Rita’s Gym rank. Aeron Chairs with higher monetary value than Leap Chair, but have more maps to soothe a human organic structure than Leap Chair besides with a longer guarantee. Deluxe Package offer by Staples screens more ergonomic points than Simple bundle, the monetary value is higher. Rocco and Rita’s Gym offer the trade of one-year fee $ 50 per employee if we sign up more than 50 people. Concluding recommendations come up with purchase Aeron Chairs, Simple Package offer by Staples, and subscribe up Rocco and Rita’s Gym rank. We will write a custom essay sample on ?Recommendation Report Example Essay specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on ?Recommendation Report Example Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on ?Recommendation Report Example Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Introduction: Smash Design late received a batch of ailments about sore dorsums from our employees. After I did some research, I found out absenteeism is up by 10 % this twelvemonth. This job is caused to chairs are acquiring old, besides were non good designed that usage organic structure scientific discipline to diminish the force per unit area and prevent backaches. After the treatment with Ellen page, we decided to purchase some new chairs, ergonomic keyboards and mouse tablet to work out the job of employees feel uncomfortable and acquire ill in their working environment. We besides decided to subscribe up gym ranks located at following edifice for our employees. Exercises will assist employee to develop fittingness. Ellen Page has asked me to measure the better chair Herman Miller and Steel Case chairs. Compare the simple bundles and gilded bundle little ergonomic points. This study is non including absenteeism study, and besides non includes yoga option. Standards: For the chief intent of better the working environment for the employees, and do them experience more comfy, we applied the undermentioned standards: 1. Comfort: For work outing the job of employee feel uncomfortable and acquire ill in their working environment. Merchandises must be good design with particular attending to biotechnologies, cut downing the force per unit area and forestalling hurts. 2. Guarantee: Smash Design invests on some expensive chairs, for the intent of return, merchandises must can last at least 5 old ages, and besides with 5-year or more guarantee. 3. Monetary value: Maximal $ 1000 per employee includes office chairs, ergonomic office supplies, and gym rank. Analysis:ChairsHerman Miller Aeron Chairs: Aeron Chair is created by Herman Miller with particular attending to ergonomics it can suit all the human organic structure and supply them soothe support, and accommodation is easy to utilize. Aeron Chair’s PostureFit map can back up pelvis thin frontward of course so the spinal column can be align, and prevent backache. Kinemat tilt engineering can allow human body’s articulations pivot of course. Breathable fabric stuff can maintain organic structure force per unit area even and diminish the organic structure force per unit area. Aeron chairs provide lifetime guarantee to the clients. It sells at $ 900 per chair. Staff will assist put up chairs and arrange workstations to cut down hurts, if purchase more than 5 chairs. Steal Case Leap Chairs: Leap Chair is created by Steel Case with characteristics of mutable back form can back up full spinal column when the user alteration his position, and besides can diminish the spinal column emphasis and spinal ligaments. The back control system can allow the user adjust the back angels until it match user’s comfort. Leap Chairs supply three-year guarantee to the client. It sells at $ 700 per chair. Herman Miller Aeron ChairSteal Case Leap ChairsComfortVery ComfortComfortGuaranteeLifeThree old agesMonetary value$ 900$ 700 Staples Ergonomic Office SuppliesSimple Package:Simple bundle provides ergonomic points such as gel pad for mice and keyboards, emphasis balls, massage devices, at the semen up with the monetary value of $ 100 per individual. Deluxe Package:Deluxe bundle provides same points as simple bundle besides with extra points such as footrest, cervix supports, proctor support and specially plan electronic devices. Rocco and Rita’s Gym MembershipsIf more than 50 people sign up, we can acquire the trade of one-year fee $ 50 per employee. Decision: Aeron Chairs were designed usage biotechnologies to diminish force per unit area. The back support engineering can forestall backaches. Adjustable sacral support can suit different people. Aeron Chairs are lifetime guarantee. If purchase more than 5 chairs, staff will assist to put up the chair to do it suit for different employees. The monetary value is $ 900. Leap Chairs are designed for human comfort, with adjustable back form and arm, but has non much map as Aeron Chairs, merely 3 old ages warranty. The monetary value is $ 700, lower than Aeron Chairs. Staple Ergonomic Supplies offer Deluxe Package and Simple Package. Simple Package offers Gel tablets for mice and keyboards, Stress balls, Massage devices, and the monetary value is $ 100 per individual. Deluxe Package besides include other ergonomic supplies and electronic devices, but the monetary value $ 250 per individual. Rocco and Rita’s Gym offer the trade of one-year fee $ 50 per employee if we sign up more than 50 people. Recommendation: I recommend we purchase Aeron Chairs for our employee, Aeron chair meet the most standards, and have add-on offers. Staple Deluxe bundle covers more ergonomic points than Simple bundle, but it’s over pricing. And Aeron Chairs’ maps already cover some serviceability of ergonomic points. So I recommend we buy the Simple Package from Staples supplies. Sign up the gym rank will transcend $ 50 of the budget per employee, but I still strongly recommend we sign up the gym rank to better employees’ fittingness.

Musical Theater Overview - Aida essays

Musical Theater Overview - Aida essays Created and presented by Disney Theatrical Productions, "Aida" is a true love story. Based on the narrative that was the inspiration of an opera by Verdi, Aida tells the story of three star-crossed lovers-two African princesses, one Nubian and the other Egyptian, and the man they fall in love with an Egyptian military captain. On the other hand this musical also narrates the heroic tale of an enslaved princess who saves the lives of her family and her people. Being torn between their desires for personal affection and doing what's right for their nation, Aida, Radames, and Amneris go through a journey of duty, honor, and ever-lasting love. The story begins as Aida, the princess of Nubia, is captured and enslaved by the Egyptian army led by Captain Radames. Aida is then given to the Egyptian Princess Amneris, Radames' fiancà ©e, as a gift. With the arranged marriage of Radames and Amneris soon approaching, Radames' father devises a plan to kill the Pharaoh so that his son is elevated in power through a marriage to the princess. Unknown to Radames, Aida is really a Nubian princess, and becomes attracted to her fiery spirit. Despite his impending wedding to Amneris, he soon falls in love with Aida. But, his secret love proves to be only the beginning of his problems. On one hand Radames' father, Zoser is slowly poisoning the Pharaoh so that Radames may take his place; while on the other Aida, who is falling in love with him, has a plan of her own to free all her people who were enslaved by the Egyptians. The production which was entertaining from beginning to end was not only beautifully mastered in its storyline and character portrayals, it was also ingeniously skillful in its design. Brightly colored backdrops, elaborate stage sets, and choreographed lighting all describe the visual effects of the piece. The stage show alone created for the audience a visual imagery that keeps them on their toes from the opening number. One could ...

Should Abortions Be Legal Research Paper Example | Topics and Well Written Essays - 1500 words - 1

Should Abortions Be Legal - Research Paper Example According to the American Heritage Dictionary (2011), abortion is defined as the induced termination of a pregnancy, achieved via the destruction of embryo or fetus. Abortion, therefore, refers to ceasing the process of childbirth before the child is born. Opting for an abortion is not an easy decision, but there are many unfortunate circumstances where women find themselves with no other choice. Several reasons for opting for an abortion may include rape pregnancies, accidental pregnancies, divorce, illness of the mother or the mother being underage etc. Abortion has for long been viewed unfavorably by most societies. In America, abortion was legalized only in five states in 1970 and in all states in 1973 (Levitt & Donohue, 2001). Women who do opt for abortion to avoid giving birth to unwanted babies face many difficulties in areas where abortion has not been legalized. If a woman is too young or unhealthy to bear a child, or if the baby is unwanted, she should have the right to terminate her pregnancy before bringing the child to life. This will not only save an unwanted or abandoned baby from being born but will also give the woman a chance to live a healthy life and make a career after attaining whatever education she may seek chances of which would be rare if she gave birth to a baby while being in her teens. Unprepared couples or those not wanting another baby do not prove to be good parents and it is not fair for any child to be born in a home where he or she is not welcome and where his or her parents cannot support the baby. In worse cases where abortion is not an opportunity and the baby is not given for adoption either, the baby is either abandoned, or is brought up very poorly by the parents or parent.     

How motivation can affect employees' commitment and performance at Essay

How motivation can affect employees' commitment and performance at work - Essay Example Motivation is a weapon – if used correctly. It is a fact within the domains of an organization that motivation brings out the best within the employees and offers the organization a host of incentives and longstanding results.On the flip side, lack of motivation means that the organization would lose out on this count and the work processes would get delayed as a result of the same. There is a good amount of evidence available which suggests that motivation must come out in the open and bring out the best time and time again so that the employees are on their toes all the time, and that success must be achieved when it is most desired, i.e., always. Researchers have long studied and analyzed upon the fact as to how motivation has been the key in finding out the unique points within the working ideologies of the organizations, and how these have been the basis of incentives and benefits for the sake of the business processes in the very end. This paper identifies how motivation can be used to full extent within an organization and how employees must put their foot down and achieve the very best on a proactive basis.The encouragement is indeed the motivation that one has, which is either derived from his own self (self-motivation) or by embedding the same through his co-workers or top management realms. Here an effort has been made to incorporate as many real life examples as possible to bring the best results in the open. Motivation is central to the premise of employee performance within a management scenario. This is because motivation can be the cornerstone of success or the lack thereof if seen within the correct perspectives. Motivation is intrinsic to an employee as it asks of him to give his best in both the trying circumstances as well as the better off ones. It asks of the organizational top domains to encourage and motivate their own employees so that they could offer the best and thus do the same time and again. This is a very essential aspect of understanding how motivation comes about in full circle, and how important a role it plays within the global dynamics of business performance and the attached commitment that is a part of the same (Geen 1994). In essence, motivation is central to any productive undertaking that employees ask of their own selves. What this means is the fact that commitment must remain supreme at the end of the day as this will derive performance and get the best out of the employees on a consistent basis. If performance has to be tapped, the best way in which the same could be done is to find out how motivated the employees are and how well they will shape up within the changing times and scenarios. Motivation is central to the premise of a positive change – a change which is more helpful for the organization as it brings in value in the name of commitment and ultimate performance. A few pertinent theories that pinpoint the role of motivation within the lives of the employees are significan t to mention and understand here. One such theory is the Theory of Needs coined by Abraham Maslow which takes a deep look at how people’s attitudes and behaviors are shaped up, both within their personal life domains as well as at work. Maslow stated that the most important needs for a person to remain motivated are when he receives the most basic necessities of life. These include the housing, clothing and food intakes that he acquires. After these needs have been properly met, he goes after looking for employment and interacting with the people that live around him. After the same have been fulfilled, he can now go ahead and acquire societal needs of being praised within the different norms of the society that he lives within. This is indeed regarded as the need to be taken as a respectable person. The self-esteem needs are therefore important and thus lead one towards the self-actualization requirements where a person wants to explore new things and

Recent Trends in Economic Integration in the Asia Pacific Region and Essay

Recent Trends in Economic Integration in the Asia Pacific Region and Their Impact on Economic Development - Essay Example Asia has been one of the world's economically promising continents. According to James Chan, during the Middle Ages, Asia was the most developed part of the world. (244) In Asia, you can find famous textiles, silverwares, spices, porcelains, silks. Today, however, the Asia Pacific region comprises developed, developing, and underdeveloped contact centre markets and as these markets progress, the demand for better customer service is expected to drive growth in this region. (Frost & Sullivan, 2005) Except for countries like USSR, Japan, Israel and other parts of Southwest Asia that is rich of oil, most Asian countries are now part of the developing world. Nowadays, most people living in Asian countries are so close to the survival limits. Developing countries in the Asia-Pacific region are facing three challenges, namely reducing poverty, addressing environmental degradation and promoting regional cooperation, said Tadao Chino, President of the Asian Development Bank (ADB), at the ope ning ceremony of ADB's annual meeting (here) Friday. (Xinhuanet, May 2002) Poverty and unemployment practically started when all Asian countries experienced urbanization. Through urbanization, residents of the countryside tend to flock into the cities to experience urban living where there are wonderful city lights, big buildings and amusement parks. This increased unemployment, congestion and various forms of social disorganization. The rapid urbanization of Asia presents some very significant challenges. The sheer scale of urban growth, the massive infrastructure needs, the plight of the urban poor, and pollution of the environment all present massive challenges. (Myoung-Ho Shin, September 2005) These events had contributed to the economic trends of the Asia-Pacific region as well as provide a great impact on Asia's Economic Development. AIMS to be able to identify the recent trends in Economic Integration in the Asia Pacific Region to discuss their impact on Economic Development to discuss the future development of the region ASIA-PACIFICS RECENT TRENDS IN ECONOMIC INTEGRATION The purpose of economic integration is to get the regions cooperation in terms of monetary, financial and fiscal areas, agriculture and industry, and other sectors. It is to prepare Asia's regions in globalization. According to Mario Lamberte, the roles and modalities of regional economic cooperation and integration in Asia focuses in three broad areas, namely, trade and investment, monetary and financial integration, and infrastructure and associated software. Regional integration, on the other hand, is de facto integration of economies within a geographic region. It may be market-driven integration, which means, there is no explicit agreement or coordinated action among countries within a region to integrate their economies; or policy-induced integration, that is, one that results from regional cooperation. (Lamberte, Page 4) Economic Integration in Asia Pacific is the sense of unity and cooperation of all the countries involved in the region. Cited from the New Asia Forum, some countries of the region have large excess capacity in

Mulligan Vs Maitland Talar Glide Health And Social Care Essay

Mulligan Vs Maitland Talar Glide Health And Social Care Essay Does Mulligans anterior-to-posterior talar glide is effective in improving dorsiflexion in subjects with acute ankle inversion sprain than Maitlands anterior-to-posterior talar glide mobilization. Design: Experimental, Comparative, Randomized Controlled Trail-single blinded study. Participants: 90 samples with acute ankle inversion sprain diagnosed by radiologist through X-Ray imaging will be collected with convenience sampling. Intervention: Based on inclusion and exclusion criteria subjects randomly allocated to 3 groups of intervention- Group I Mulligans anterior-to-posterior talar glide along with RICE, Group II Maitlands anterior-to-posterior talar glide along with RICE, Group III RICE (control group) for 2 weeks. Outcome Measures: Pre and Post session, measurement of dorsiflexion range of motion will be taken with Modified Lidcombe templates. Duration: The expected duration of study is considered 8months for ethical clearance, data collection and analysis, editing and publis hing. Budget: An estimation of Rs 30,000 is made including the investigation, instruments, materials and refreshments. BACKGROUND Ankle is a complex joint which is categorized as a hinge joint. It is one of the important component for ambulation in humans. Ankle sprains are one of the commonest injuries in athletics. It accounts for 20% of all sports injuries (Bergfeld J; 2004).In India, incidence rate of ankle sprain accounts for 0.31% of the population and the chances of re-injury is seen as high as 78-80% despite the continued research in this field (Statistics for ankle sprain; 2003). The pathomechanics for ankle inversion injury is inversion and plantar flexion of the ankle joint. There is loss of dorsiflexion and inversion range of motion which is attributed to pain and swelling (Denegar CR et al; 2002), (Collins et al; 2004).According to Denegar C et al (2002) the loss of dorsiflexion range of motion is due to restriction of posterior talar glide. This suggests that in an acute ankle inversion sprain the loss of dorsiflexion range of motion could be due to mechanical dysfunction in talocrural joint. The conventional treatment for acute ankle sprain is RICE (rest, ice, compression, elevation).The main aim of conventional treatment (RICE) is primarily to reduce pain and inflammation (Starkey JA; 1976), (Slatyer MA et al; 1997). The conventional treatment (RICE) with early movement is found to be more effective for reducing pain, swelling and improving mobility (Dettori et al; 1994). Because of the ineffectiveness of conventional treatment for treating the positional dysfunction caused due to acute ankle inversion injury the joint becomes more susceptible to injury (Hertel J et al, 1999). Manual Therapy focuses on reduction of pain and correction of the postural and movement dysfunction due to ankle sprain. According to Maitland grades of mobilization grade I and II mobilization is used in acute condition and grade II mobilization is seem effective in reducing pain and improving dorsiflexion range of movement in acute musculoskeletal conditions. Maitland grades of mobilization improves the ankle dorsiflexion in acute ankle inversion sprain (Green et al; 2001) and reduces pain by modulation of nervous tissue (Vincenzino B et al; 1998). According to Maitland GD (1986), passive joint mobilization improves the range of movement by gentle oscillatory movement of the articular surfaces that creates movement of the mobile segments by a means other than the muscles .According to Collins et al (2004), Mulligans mobilization with movement technique is effective in reducing pain and improves dorsiflexion of ankle joint. A single case study done by O Brien, B.Vincenzino (1998) sh owed that Mulligan Mobilization with movement technique on acute ankle sprain improved the range of movement (dorsiflexion and inversion), functional outcome and reduced the pain. According to pilot study conducted by John-Mark Chesney, Erin Morris, Mulligans mobilization with movement technique and taping had significant effect on temporal and spatial parameters of gait. Immediate decrease in pain and an early return to function are claimed to be result of Mulligans mobilization with movement Mulligan 1995; Vincenzino Wright 1995; Hetherington 1996). However, the lack of adequate evidence in literature for the effectiveness of Mulligans anterior-to-posterior talar glide with movement technique in acute ankle inversion sprain failed to prove its clinical and statistical significance in research methods. The above literature also shows lack of studies done to compare the effects of Maitland and Mulligan mobilization technique in treatment of acute ankle inversion sprain. Hence, the aim of the study is to find the immediate effect of Mulligans anterior-to-posterior talar mobilization with movement technique in acute ankle inversion sprain with RICE and compare the results with that of Maitland anterior-to-posterior talar glide mobilization with RICE for treatment of acute ankle inversion sprain. REVIEW OF LITERATURE Ankle joint is a complex joint due to its articular, ligamentous and tendinous anatomy. The anterior talofibular ligament restricts anterior translation and internal rotation of talus inside the mortise. The coupled motion during plantar flexion happens as internal rotation and anterior translation of talus aided by deltoid ligament. The calcaneofibular ligament restricts inversion of the talocrural and subtalar joint. The posterior talofibular ligament restricts inversion and internal rotation after calcaneofibular ligament and anterior talofibular ligament undergo injury. According to Konradsen and Voight (2002) an inversion torque was produced on loading a cadaveric leg, when the unloaded foot was positioned in 30 degree inversion, full plantar flexion and 10 degree internal tibial rotation. The collision with 20 degree inverted foot in swing phase follow through forced the foot into full limit of inversion, plantar flexion and internal tibial rotation. According to Denegar CR et al (2002) in normal biomechanics the instantaneous axis of rotation of talocrural joint translates posteriorly during dorsiflexion, but in anterior malaligned talus or with restricted posterior talar glide the axis of rotation is shifted anteriorly leading to joint dysfunction. According to Baumhauer JF et al (1995) previous history of sprain, limited range of motion and reduced dorsiflexor and plantar flexor strength ratio, elevated eversion to inversion ratio have been attributed to predisposing to inversion injury. According to Eren OT et al (2003) high malleolar index (posteriorly positioned fibula) is attributed to predisposing factor to sprain. Average malleolar index was +11.5 degree in subjects with ankle sprain and +5.85 degree in normal controls. Green T in 2001 used a Modified Lidcombe Template to measure the pain free dorsiflexion range of motion occurring in talocrural joint. The template consisted of 2 boards joined by an adjustable hinge. One board served as a footplate and other was placed under the subjects calf. The adjustable hinge served as the axis of rotation of template in vertical plane and the board placed under the subjects calf allowed for adjustment in horizontal plane. The measurement was standardized by measuring both force applied and the angle of dorsiflexion at which the subject first experienced the pain (Matyas T, Bach T; 1985). The force applied was standardized throughout the trail by spring balance and the direction of force was standardized by spirit level attached to the spring. The device showed high intrarater and interrater reliability of which 29% were in exact agreement and 84.5% were within 2 degrees, ICC=0.94. The conventional management of ankle sprain is RICE in acute stage of injury. The functional treatment procedures with early initiation of weight bearing as tolerated, early mobilization, proprioceptive training, balance training has been advocated to provide early functional rehabilitation to subjects. According to Bahr R (2004) and Bruce Beynnon B, (2004) the management of sprain concentrates on static and dynamic stability, gaining normal ankle range of motion, optimal strength of peroneal, dorsiflexors, plantar flexors, and invertor muscles of ankle and retraining ankle strategy. According to Kerkhoffs et al (2002) functional treatment is superior to immobilization and surgical intervention in areas of pain on activity, quality of performance on return to sport/work, objectives instability on x-ray views and patient satisfaction. Manual therapy in ankle inversion sprain Maitlands Mobilization Green et al (2001) conducted a randomized controlled trial of passive accessory joint mobilization on acute ankle inversion sprain. The study included 38 subjects with acute ankle inversion sprain( Elizabeth L et al (2008) conducted a study in which 10 subjects were taken with immobilized ankle for at least 14 days and presented with at least 5 degree of dorsiflexion deficit compared to contralateral ankle. A crossover design was employed and subjects received Maitlands grade 3 mobilization in one group and control intervention (no treatment) in other group. Results showed that joint mobilization led to a reduction in pain and improvements in pain-free dorsiflexion. Mulligan mobilization with movement technique Collins et al (2004) conducted a double-blinded randomized controlled trial with a crossover design approach. In this study 14 subjects with grade 2 ankle sprain were taken. The dorsiflexion in weight-bearing and thermal pain threshold were calculated. All the subjects undergo 3 treatment conditions-Mulligans mobilization with movement technique for dorsiflexion, placebo group and control group (no treatment).Results showed that the talar anterior-to-posterior glide improved the recovery rate in treatment with Mulligans mobilization with movement technique. The study conducted by Collins N was done on subjects with sub acute ankle sprain. T OBrien, B.Vincenzino (1998) conducted a single case study to investigate the effects of Mulligans with movement technique mobilization for acute lateral ankle sprain. The technique used in this study was posterior glide to distal fibular while patient actively inverted the ankle. In the study 2 subjects with acute ankle sprain were used to control for natural resolution of ankle sprain. Subject I underwent ABAC protocol while subject II BABAC protocol where A was no treatment phase B was treatment phase and C was post treatment return to sport phase. The outcome measures Modified Kaikkonen test functional outcome, VAS for pain and range of dorsiflexion and inversion were measured pre and post of each intervention session. Results showed rapid improvement of range of motion (inversion and dorsiflexion) and immediate decrease in pain. Hence from the above studies we can infer that anterior-to-posterior talar glide technique in both Maitland and Mulligan mobilization is effective in treating ankle inversion sprain than the RICE protocol alone. The above studies also infer that Maitlands grades of mobilization is significantly effective in improving dorsiflexion range in acute ankle sprain. However, Mulligans mobilization had shown effective results in treating ankle sprain in subacute condition. The study done by T OBrien, B.Vincenzino (1998) shows the effectiveness of Mulligans mobilization with movement technique in improving dorsiflexion range of motion in acute ankle sprain but the study design leads to limitation of generalization of its findings. However, it does provide the knowledge to conduct a random clinical trail in utility of Mulligans mobilization with movement technique in the treatment of acute ankle inversion sprain and to compare the results with Maitlands grades of mobilization to find the best e ffective treatment method for improving the recovery rate in acute ankle inversion sprain. IDENTIFICATION OF RESEARCH PROPOSAL QUESTION Does Mulligans anterior-to-posterior talar glide is effective in improving dorsiflexion in subjects with acute ankle inversion sprain than Maitlands anterior-to-posterior talar glide mobilization. ALTERNATE HYPOTHESIS Mulligans anterior-to-posterior talar glide is effective than Maitlands grades of mobilization in improving dorsiflexion range of motion in subjects with acute ankle inversion sprain. NULL HYPOTHESIS Mulligans anterior-to-posterior talar glide is not effective than Maitlands grades of mobilization in improving dorsiflexion range of motion in subjects with acute ankle inversion sprain. METHODOLOGY Design An Experimental, Comparative, Randomized Controlled Trail design. The study will be single blinded to avoid any possible bias. The subjects will be allocated to 3 group of interventions-Mulligans anterior-to-posterior talar glide with movement technique with RICE, Maitlands anterior-to-posterior talar glide mobilization with RICE, and third group RICE alone .Outcome measure will measure the degree of dorsiflexion pre and post to each session which will be measured by the assessor blinded to the allocation of subjects to the groups. Subjects The study will be conducted by recruiting 90 samples through convenience sampling by giving advertisements and notices to orthopaedic and physiotherapy department in MS Ramaiah Memorial hospital and the hospitals nearby its surrounding areas. The subjects recruited will be diagnosed for acute ankle inversion sprain and referred by radiologist through X-Ray imaging. To maintain the homogeneity of the groups all the subjects will be recruited based on Inclusion and exclusion criteria. Inclusion criteria-All subjects of age group 20-30years of age, History of ankle inversion injury with pain over lateral aspect of ankle ( ETHICAL APPROVAL The ethical approval will be taken from Ethical Board of MS Ramaiah Memorial Hospital along with the permission of other hospitals near by its surroundings. Subjects will be given a copy of informed consent with the details of the study and the confidentiality of patients personnel information and data obtained after the study will be maintained. Subjects can withdraw from study at any given point of time. VENUE/LOCATION OF THE STUDY The study will be conducted in MS Ramaiah Memorial Hospital Physiotherapy Department, Bangalore. A RANDOMIZED CONTROLLED TRAIL STUDY An experimental randomized controlled trail -single blinded study will be conducted on 90 subjects with acute ankle inversion sprain. The technique of the interventions will be finalized during the study and side-effects or any error in the intervention will be noted and rectified. RESEARCH METHOD AND EXPERIMENTAL INTERVENTION 90 samples will be recruited by convenience sampling. The samples will be assessed for acute ankle inversion sprain by X-Ray imaging done by the radiologist in radiology department of MS Ramaiah Memorial Hospital. The subjects will be randomly assigned to 3 groups by chit method. Each group will be assigned 30 subjects. The researcher who will conduct the study is a qualified physiotherapist who specializes in manual therapy. After the allocation of the group the experimental group I will receive Mulligans anterior to posterior talar glide along with active dorsiflexion of ankle which will be followed by RICE application. The mobilization will be performed in weight bearing in which the therapist applies a postero-anterior force to distal leg through a treatment belt while stabilizing the foot and talus (Mulligan; 1999).The experimental group II will receive Maitlands anterior-to-posterior talar glide (Grade II) followed by RICE application. The mobilization will be performed with subject lying supine and the ankle will be positioned over the edge of plinth with proximal hand of therapist stabilizing the distal tibia and fibula while the distal hand will mobilize the talus with posteriorly directed oscillation(Maitland;1977).Group III will receive RICE treatm ent for maximum of 2 weeks. Subjects in experimental group I and II will be treated every second day for maximum of 2 weeks. Therefore 6 sessions of treatment over 14 days will be done. Three sets of 10 repetitions will be applied with 1 minute between sets (Exelby, 1996) in both mobilization technique. Pain experienced during treatment will result in immediate cessation of technique and exclusion of the subject from study. OUTCOME MEASURES Dorsiflexion range of motion will be measured by Modified Lidcombe template. The template enabled standardized measurement of dorsiflexion range of movement. The axis of rotation of ankle was aligned with adjustable axis of rotation of template. The spring balance attached to the footplate measure the force applied in the standardized direction. A hydrogoniometer placed on the footplate measures the range of dorsiflexion in degrees. The template have a high intrarater and interrater reliability of which 29% were in exact agreement and 84.5% were within 2 degrees, ICC=0.94. Hydrogoniometer have high intraclass coefficients (0.84-0.99) which revealed high agreement between the raters (Lex D.De jong et al; 2007) RESULTS AND DATA ANALYSIS The dorsiflexion range of movement measured will be in degrees which represent a parametric data. The data collected pre and post of each 6 session in group I and group II will be analyzed by related t test (i.e. within the group) and unrelated t test will be done to compare between the group I and group II for dependent variable. One way ANOVA will be used for analysis of data from all the 3 groups along with Scheffe test to find the most effective group for treatment of acute ankle inversion sprain. The level of significance will be set at 0.5; the probability will be calculated based on the t value with degree of freedom table. The confidence interval will be kept to 95%. ANNEXURE PROJECT TIMELINE The overall estimated time required for the completion of the study is 8months i.e. 1 month for ethical clearance, 4 months for the randomized controlled trail, data collection and data analysis, 1 month for writing up and presenting results and 2 months for publishing results. Tasks 1 2 3 4 5 6 7 8 Ethical clearance + Randomized controlled trail amend data collection tools + Data collection + + + Data analysis + + Writing up presenting results + Publishing results + + BUDGET The overall estimation of the budget is Rs30, 000 which includes X-RAY imaging Rs20, 000 (90 subjects) Modified Lidcombe Template and hydrogoniometer Rs5000 Stationary Rs1000 Transportation and refreshments Rs4000 INFORMED CONSENT Introduction This is an informed consent given to a subject who wishes to participate in research study. Please red the informed consent carefully or you can ask anyone of your relative who you trust can read this informed consent for you in your language by translating it. Please feel free to ask any questions you have about this informed consent or research study in your mind. Please sign the consent form only after you have no doubts about the research study or consent form. Do not sign the consent form under any kind of pressure. Title of Research Project Immediate effects of Mulligans anterior-to-posterior talar glide with movement technique versus Maitlands anterior-to-posterior talar glide for pain free dorsiflexion in acute ankle inversion sprain. Investigator SUMIT KIMOTHI M. Sc in Clinical Physiotherapy. Purpose Of Study Acute ankle sprain has high percentage re-injury. Mulligans mobilization with movement technique helps in improving dorsiflexion range of motion by correction of positional dysfunction of joint. This study is to find the effect of Mulligans mobilization with movement technique and compare it with effects of Maitlands grades of mobilization in treatment of acute ankle inversion sprain. Description of Study After being diagnosed with acute ankle inversion sprain you will be sent to the physiotherapy department in physiotherapy department. The researcher will explain you about the treatment technique and the study and an informed consent will be given to you based on your decision your participation will be decided. If you wish to participate a treatment technique selected for the respective group in which you will allocated will be performed on you and the assessment will be taken before and after the treatment session. The duration of treatment is 2 weeks and if there is any changes, you will be informed prior. Possible Risks or Complication The treatment technique itself has no side-effects or complication and it will be performed by a qualified physiotherapist in Manual Therapy. Treatment Alternative If the therapy is not effective to you, you will be provided with an alternative treatment with free of cost. Financial Implications All the expenses regarding the research work including the investigation, transportation, food expenses and treatment will be free of cost. Potential Benefits The study may be beneficial to society and individuals of similar condition. You can benefit by improving you condition with help of this treatment. Participation Participation in this research study is voluntary. If the participant wants to withdraw he/she can withdraw at any given point of time. CONSENT FORM I have read the foregoing information, or it has been read to me. I have had the opportunity to ask questions about it and any questions that I have asked have been answered to my satisfaction. I consent voluntarily to participate as a participant in this research and understand that I have the right to withdraw from the research at any time without in any way affecting my medical care. Name of the participant _____________________ Signature of participant _____________________ Date: _____________________ Day/month/year ___________________ If illiterate A literate witness must sign (if possible, this person should be selected by the participant and should have no connection to the research team). I have witnessed the accurate reading of the consent form to the potential participant, and the individual has had the opportunity to ask questions. I confirm that the individual has given consent freely. Name of witness ___________________ AND Thumb print of participant Signature of witness ___________________ Date: ______________ Day/month/year ______________ I have accurately read or witnessed the accurate reading of the consent form to the potential participant, and the individual has had the opportunity to ask questions. I confirm that the individual has given consent freely. Print Name of Researcher _________________ Signature of Researcher ___________________ Date __________ Day/month/year ____________ A copy of this Informed Consent Form has been provided to participant ____________ (initialed by the researcher/assistant) For more information contact: Sumit Kimothi M. Sc in clinical physiotherapy, MS Ramaiah Memorial Hospital, Bangalore. 9916261101 ASSESSMENT CHART Name : Age : Sex : Site of Disorder : Mode of Treatment : Measurement : Parameters Before Treatment After Treatment Dorsiflexion range of motion Signature of Clinician : Signature of Chief Physiotherapist :

The Unjust Execution Of Socrates :: essays research papers

The Unjust Execution of Socrates In the vortex of life, many evils have transpired. Vices such as plagues, unforeseen deaths, and corruptness. Among the tragic acts of malefic proportion was the death of the Greek philosopher, Socrates. He tried to prove and invalidate many theories through reasoning, and he was murdered for his beliefs. His execution was not justified because the charges that were brought against him were false and unfounded. The fist crime that Socrates was charged with was that of impiety. This charge was invented primarily to discredit him and make him unpopular with the citizens. The charge was that of not acknowledging the same gods that the state believed in. Throughout the book, Socrates refers numerous times to the fact that it is because of the gods that things are as they seem to be. "Do you suggest that I do not believe that the sun and moon are gods, as is the general belief of all of mankind?" (57). The fact that Socrates did not publicly speak about the gods attributed to the fact that the charge was heresy. Socrates maintains that he is not like other philosohers. He is a free-thinker, and his beliefs are those of private and intimate thoughts of Gods. Socrates also states that he is not a teacher, however he was not at all happy with the analogy, but took it as a compliment and used it in his defense. He used these accusations to his advantage by saying that he never charged charged anyone for believing or listening to them. The combination of these arguments should have cleared Socrates of the charge of heresy. The second charge brought against Socrates was that of corrupting minors. Socrates battled this charge through the use of the same arguments. The argument that he did not consider himself a teacher, the fact that he never accepted any money for talking or listening to people, and the fact that he believes in gods are what Socrates used to defend himself. By confronting the accusation that he was corrupting the minors, Socrates tried to clear himself by manipulating his arguments so that Meletus, Anytus, and Lycon (the men who brought both charges against Socrates) had to answer questions about these charges. When the questions of Socrates were placed before Meletus, his answers seemed to have proven that Socrates was innocent. However, when the verdict was announced, it demonstrated the opposite. Upon hearing the verdict, GUILTY, it was plain to see that the Greek assembly was like every other political assembly, corrupt. "I should never have believed that it would be such a close thing; but now