Examined Life + Judith Butler & Sunaura Taylor Movie Review - 1

Examined Life + Judith Butler & Sunaura Taylor - Movie Review Example The researcher states that the video "Examined Life + Judith Butler & Sunaura Taylor"   is very enlightening but at the same time disturbing because although contemporary society has become more embracing to people with disabilities or impairments, in the real sense, or from the perspectives of these disabled people, society is still the culprit that restrains them and confines them to a stereotyped image that as disables, there are vast opportunities, activities, and endeavors that are not simple available and accessible to them. For instance, at some point, Taylor indicated that society is somehow callous on people who need some help or assistance and are tended to be looked down upon. She cited that sometimes, she is apprehensive to seek some assistance in ordering coffee and demanding assistance and she had to sit in the park for hours just to gather the strength to do that. It is so sad to realize how society has been so selfish and have been totally indifferent to people who should have been accorded assistance without being told. The study of Neath clearly indicates that â€Å"impairments are often acquired as a result of social practices (e.g., war, interpersonal violence). There is a strong likelihood of a â€Å"disabling society† that disability will follow impairment†. The researcher believes that society imposes predefined mindsets and practices that exhibit attitudes of repression, a prejudiced predisposition in interacting with people who are physically challenged. The most disturbing input brought out by Butler was that a young man’s gait, due to its distinct peculiarity, paved a group of guys to kill him. It makes the author think that this is society’s response to the theory of survival of the fittest.

Puritan Ideology and the American Society Essay

Puritan Ideology and the American Society - Essay Example Theoretically, the Puritans gave primary importance to purity or keeping themselves away from sinful way of life. They not only practiced moral values and holy acts by themselves but also intended to bring others to the same path. They proposed to encounter several difficulties and thorns throughout their way to salvation. The Puritans strived to proclaim a ‘True God’ to everyone even in hardest moments of persecution and exile. Undoubtedly, Puritans could influence the American society so significantly that it brought considerable level of reformation not only in faith and practice but also in every sphere of social life. Puritans confronted numerous difficulties in the new land. First of all, the challenge of getting accustomed with environmental change was beyond imagination. Sudden climatic change had adverse effects on their survival as such changes were quite unfamiliar to them. For instance, due to the climatic changes many became the victims of various deadly diseases. Hence, the new land brought many hurdles against their missionary practices as well. Another major problem faced by the Puritans was nothing but interacting with the natives who had been following some extreme ideologies about spirituality. Moreover, the diverse tribes of the American society revolted against the Puritans and totally opposed their views, ideas and activities. According Miller (as qtd in Fischer), the voluntary following of scripture and meaningful obedience were the fundamental practices of the Puritans. Ultimately, this in turn caused a bit chaos in the state, making the lives of the Puritans uneasy and pathetic . However, they never abandoned their mission of preaching true God to the ignorant. Even today America has a sense of mission in all global issues, and this is one of the major influences of the Puritan thought. To illustrate, the community of Puritans had long cherished and well rationalized goal of spreading the gospel. Bradford said that the puritans considered themselves as chosen ones. â€Å"They believed themselves to be God’s â€Å"divinely chosen† people† and also it is well described that the focus of the puritans was individual’s personal religious experience trough purification of self and society† (as qtd in Carbone). They could not comprehend the ideology of the Church of England and hence they also strongly condemned certain religious practices and doctrines. Taking the human race to divinity was the primary goal of the community. More significantly, they took initiatives in bringing the fallen back to the true path. This ‘rise from the fall’ clearly illustrated their vision of creating a new world with authentic knowledge of God. Puritans who settled in Massachusetts Bay Colony followed their own ideology and practices in particular. The group of believers stick to their faith and followed all concerned rituals and ceremonies while neglecting or ignoring outsiders. According to Bradstreet, puritan ideology had an extraordinary or outstanding significance. â€Å"Puritanism was more than a religious belief; it was a way of life† (Parrish Co). Although Puritanism was no more a political entity after the seventeenth century, it continued to influence the social and political environment of the American life. The prominent American values like individualism, egalitarianism, and optimism are the outcome of Puritan influence during the colonial period. The Puritan ideology was acceptable to many

Menopause experiences of women living in karachi pakistan

Menopause experiences of women living in karachi pakistan This chapter presents the background of the study and the significance of the study to nursing. The study purpose, objectives and the study question are also mentioned in this chapter. Background of the Study World Health Organization (1990) reported that by the year 2030, about 1.2 billon women in the world will be at least 50 years old. It seems that in future we will have more women of old age. According to National Centre for Health Statistics (2003) womens life expectancy is now 79.8 years. Womens life expectancy has increased but their health status and quality of life is in question. To enhance their health status, the National Institute of Health (1991) developed an agenda for womens health research. The first National Institute of Working Conference (1993) recommended for research on menopause as menopause has become a dominant issue in the womens health and the quality of life of woman with menopausal symptoms is affected in various ways. In 1999, the National Institute of Health research agenda included attention to diverse population of women. After that, there was a breakthrough in researches on various aspects of menopause such as staging in menopausal transition, physiology , symptoms of menopause and their relationship. This therefore draws attention to the need to conduct more studies on the menopausal experiences of women living in developing countries, because women spend about one-third of their lives in the post menopausal period. Menopause is a physiological process, which takes place universally in all women who reach midlife. According to World Health Organization (1990) It is an important event that occurs within a long process of menopausal change, the period immediately prior to menopause (when the endocrinological, biological, and clinical features of approaching menopause commence) and at least the first year after the menopause (WHO 1980: 10), in which women move from the reproductive to the post reproductive phase of life as a part of the aging process (Kaufert, 1990; Lock, 1986). Menopause refers to the depletion of ovarian function which leads to stop menstruation and indicates the end of fertility (Lyons Griffin, 2003). All women in their midlife experience menopause but are difficult to determine what are their perceptions and experience as it is affecting womens life in various ways. Womens experience depends upon their socio-cultural norms and personal knowledge (George, 2002). Kaufert (1996) stated that menopause experience also depends on womens health at menopause that can be determined by various factors. These factors include: cultural attitudes towards health, disease, and medical treatments, their reproductive histories, the environmental conditions under which they were born and lived, their exposure to disease. According to the bio-cultural perspective, although menopause is defined as a biological event, the experience of this biological event is shaped by physiological and cultural factors (George, 2002). According to Lock (1986) menopause is of biological and socio-cultural significance; culture provides the ground where values, attitudes, and beliefs about mid-life are transmitted and where the woman attaches meaning to her experiences. Eastern women consider menopause as a natural process and view this life phase more positively as compared to Western women. According to Hafiz and Eden (2007) the differences in attitude between Eastern and Western women can be attributed to more cultural factors than to biological factors. Menopausal women from Asia experience less menopausal symptoms because their social status is raised in older age that the older women in the family are respected as wise matriarchs. They therefore develop positive attitudes toward the incidence of menopause. This is unlike the experience of European and North American women who report more menopausal symptoms and visit health practitioners more frequently. In their experience, the social status of older women in the West declines with age. Therefore, they lose their self-confidence and develop negative attitude. Women living in rural areas have unique needs associated with menopausal experience (Price, 2007 1m, 2008). Geographical and socio- cultural environment is quite different from urban population so they need special attention. Women living in rural areas are often ignored, isolated and have limited health care facilities. Pakistani women lack awareness of menopausal symptoms as well as its long term effects and outcomes but view it as natural and normal process of their life (Malik, 2008; Nusrat, et al, 2008). Although the literature revealed many key characteristic of menopause experience of women in general, there is limited information about the menopause experience of women living in Pakistan. In Pakistan few quantitative studies have been conducted on age, pattern, characteristics, attitude and symptoms experience of menopausal women under the umbrella of menopause (Malik, 2005 Nusart et al, 2008; wasti 1992; Qazi, 2006; Yahya Rehman, 2002). These all studies have utilized the survey questionnaire as data collection tool. In my limited search, none study has been conducted yet by using qualitative approach. Therefore, there is a dire need of qualitative approach to develop in-depth insight of menopause experience of women in Pakistan. Significance of proposed study to Nursing Life expectancy of women has increased and it seems that it will continue to rise because of the development of modern technology and scientific advancement. Menopause is inevitable for women who live long enough. This study would add knowledge in previously existed knowledge about the menopause experience of women living in Karachi, Pakistan. This study will enable nurses to understand menopausal women in better way and teach them the management of their menopausal symptoms and their effects as well as maintenance of their health status during this phase of life. Nurses would also be able to understand the contributing factors which can influence their experience. Working in different areas in different status, nurses, health workers, and LHVS nurse practitioner will be able to provide health education according to their socio-cultural context, arrange sessions on sharing the experience and guide them in managing their menopausal symptoms. Nurses who are working in the hospital or o ther health institute must make them aware of menopausal symptoms of in their middle age so they would be prepare to understand and able to manage their menopause successfully. It would add in previous research on menopausal symptoms experience and can expend the research and may help other in further research if they want to search some other aspects of menopause in the same context/ area of interest to search. Study Purpose The study intends to explore the menopause experience of women living in Karachi, Pakistan. Study Objectives The study objectives include: Firstly, to gain insight about the perceptions of women related to menopause. Secondly, is to find out the impact of menopause on women life. Thirdly, to explore the challenges menopausal women face and finally, to find out the strategies used to manage the challenges. Study Question What is the menopause experience of women living in Karachi, Pakistan? CHAPTER TWO Literature Review Menopause is naturally occurring process which all women throughout the world experience in their midlife. Menopause refers as the depletion of ovarian function which leads to cessation of menstruation and indicates the end of fertility (Lyons Griffin 2003). This section provides an overview of the literature reviewed, relevant to the study and highlights the research carried out on this topic. The forth coming literature is divided into different sections. First, is the physiology of human menstrual cycle and mechanism initiating menopause. Second, is the historical development of research support on menopause? Third, are the concepts or meanings of menopause? Fourth, is the factors affecting and influencing the menopause experience and finally, the comparison of studies undertaken in USA and South Asia. Physiology of Human Menstrual Cycle and Mechanism Initiating Menopause There are four (4) events involving in the hypothalamic pituitary-ovarian axis that control the human menstrual cycle: First, the secretion of follicle-stimulating hormone (FSH), responsible for the development of ovarian follicles and production of estradiol (Hiller, Reichert Van 1981). Throughout the menstrual cycle, estrogen maintains low gonadotrophin levels via its negative feedback effect on hypothalamic gonadotrophin releasing hormones and consequently lutenizing hormone (LH) and FSH secretion. (Yen,Tsai,Vandenberg Rebar 1972). Second, the FSH-induced increase in ovarian estrogen secretion to trigger an LH surge that is called positive feedback (Young Jaffe, 1976). Third, is the LH surge, a hypothalamic pituitary response to the estrogen stimulus? This positive feedback response of estrogen on LH secretion has been used as a test of hypothalamic pituitary function (Weiss, Nachtigall Ganguly, 1976). Final event is ovulation and leutinization of the follicles, triggered by LH surge, forming a corpus luteum. This is an ovarian response that results in progestrone secretion necessary for the establishment of a pregnancy (Vande et al, 1970). The onset of human menopause is thought to be caused by ovarian failure and follicles depletion. However, clinical symptoms and some of the recent data on menopausal woman suggest central nervous system involvement. (Weiss et al, 2004). The Study of Womens Health across the Nation (SWAN) was conducted to determine if the modification of hypothalamic-pituitary response to estrogen feedback mechanism occur in older reproductive-age women as a mechanism of onset of menopause. Three groups of women were studied who had estrogen increased and on LH surge, estrogen increased without on LH surge and neither estrogen increases on LH surge. Anovulatory cycles with high estrogen were frequent in older reproductive age women and there was an evidence of failure of the estrogen positive feedback on LH Secretion to initiate and stimulate ovulation. In anovulatory cycles follicular estrogen levels did not lower LH secretion as it was in younger reproductive age, there was decreased estrogen-negative feedback on LH secretion. It was concluded that there was hypothalamic-Pituitary insensitivity to estrogen, in aging perimenopausal women. Historical Development of Research Support on Menopause In 1993, the first National Institute of working conference recommended for research on menopause and in 1999, NIH research agenda included attention to diverse population of women. Seatle Midlife Womens Health Study was a longitudinal study conducted from 1990 2000 to study the FSH by Menopausal transition stages early, middle and late transition by the use of menstrual cycle calendar. Comparison of reproductive age and peri-menopausal womens cycles. Urinary estron and FSH level by menopausal transition stages late reproductive, early menopause transition and post menopause transition. Study of Womens Health Across the Nation (SWAN) began in September 1994. The purpose of the study was to describe the chronology, the biological and psycho-social characteristics of menopausal transition and the other purpose was to describe the effects of this transition on health and risk factors for age related chronic conditions. The emphases placed on multiethnic samples and community or population based samples. Swan study included daily hormone study over multiple years and annuals blood draws, interview, clinical exams and questionnaire. Multiple ethnic groups of women Africans, Chines, Japnese, Hispanis and White American were included in this study. The stages of reproductive aging work shop (STRAW) was held in Park city USA in 2001. The purpose of this workshop was to develop the staging system for the menopause transition. The benefits of this system are that the researches and clinician can compare cases and data across studies. Women would understand the timing and duration of the transition. This system has seven stages. Five precede and two follow the final menstrual period. Stages from -5 to -3 encompass the Reproductive Interval; stages from -2 to -1 the Menopausal transition and +1 to +2 the post Menopause (Soules et al, 2001). March (2005) A conference on management of menopause related symptoms was held by office of medical applications of research in USA to understand the symptoms and their correlation with menopause transition stage. Seatle midlife womens health study on charting the course of the natural transition to menopause for a population based sample of 35 55 years old white, Asian and African, American women ( n=375) in longitudinal study begun in 1990 and followed until 2006. Women provided daily health diary recording for 3 days per month. Monthly early am urine sample for endocrine analyses and annual health update symptoms rated from 0 (absent) to 4 (extreme). It was estimated that severity of hot flashes increased after the last menstrual period (FMP).There was an association between hormonal changes during menopause transition and the symptoms experienced by the women such as: hot flashes, sleep disturbance, depressed mood, anxiety, fatigue and vaginal dryness. There were some other factors associated with these symptoms severity. As physiology change so there are chances of developing the medical problems. SWAN studies ruled out the other diseases associated with menopause such as cardiovascular disease, osteoporoses. In the period of late and early menopausal transition there may be the the chances that the lumen size of the carotid artery becomes larger (Wikdman et al, 2008).Women experience a high incidence of depressed mood during late menopausal transition (Bromberger, 2007 ; woods et al, 2008). Concepts or Meanings of Menopause Menopause is a complex and significant phase of life that affects womens life in different ways globally. It is a life event that leads to physical as well as emotional challenges (George 2002; Lyons Griffen 2003). One can realize its impact on womens life as was identified by McCrea (1983) stated that in Victorian era menopausal women were used to view as aging women, with a decomposing body and an evil mind suffering from foolishness. All women experience menopause between the ages of 48 and 55 years (George, 2001), but it is difficult to determine how it is perceived by women. What does it mean to her? There is a dilemma attached to it whether it is consider as medical problem or as a life transition (James Deborah, 1997; Lyons Griffen, 2003). There are four main meanings or notions about menopause. First, is the biological or biomedical? Second, is the developmental and natural event? Third feminist notion, as natural female process and fourth, post modern which is related to physiological, social and cultural dimensions. (Gosden, 1985). A biologic definition of menopause refers to permanent cessations of menstruation resulting from loss of ovarian follicular activities and indicates the end of fertility. (Gosden1985). The last menstrual flow is the biologic marker that refers to a woman transition from a productive to non productive phase. Symptoms which are experienced by the women such as: hot flashes, perspiration, palpitation, vaginal dryness, sleep disturbance, forgetfulness, difficulty in concentrating and irritability also describes the menopause. Another aspect of biologic or biomedical view is the disease orientation to menopause which supports the use of hormonal replacement therapy (George, 2002). Changes in physiology seem to be experienced as symptoms that may require medical treatment. Until recently menopause has been viewed from a medical perspective (James Deborah, 1997). It seems that physician view menopause as a disease that must be treated. Menopause as a developmental and natural event considers as a part of womens life and taken to be normal. Menopause is often stressful but it doesnt mean that it is a disease. It should be perceived as a part of the normal developmental cycle. Life expectancy of women has increased now which indicates that menopause will now be seen as a normal event not a medical condition but as it is associated with specific health risks (osteoporoses and cardiac diseases) it is likely that physicians will continue to treat it and its symptoms. Menopause as a feminist notion that emphasizes that it is a natural female process. It can be taken as a change. If a woman understands this period as a change in her life pattern and she would try to adjust and cope with it (Lyons Griffen, 2003). Menopause as post modern notion believes that it is related to physiological, social and cultural dimensions. The meaning of menopause may be positive or negative it depends on the womans culture, the status of the women in the society as well as the physiological change that occurred as a result of menopause. Lyons and Griffen (2003) introduced another meaning and that is confusing and it is between the natural and disease construction. A woman has uncertainty about the menopause and it is the result of lack of knowledge and understanding. If menopause as taken confusing it produces anxiety and uncertainty which further complicate the complexity of menopause. Surgical meaning of menopause refers to the menopause as a result of surgical intervention (oophractomy and or hysterectomy) but the symptoms are same as natural menopause, however, the onset is abrupt and symptoms are more severe as compared to natural menopause moreover, physical and psychological symptoms are due to sudden hormonal change (Park 2005). Menopause may be viewed by women as natural or medical event; it may be confusing or challenging. The way it is perceived ultimately affects womans experience. There are many factors which can be attributed in the menopause experienced by the women. Factors Affecting or Influencing Menopause experience Menopause is a bio-cultural experience therefore bio-cultural factor such as environment, diet, fertility and genetic differences may be involved in the variations of menopausal experience (Beyene, 1986). Furthermore James and Deborah (1997) explained that a womans culture teaches her how she should respond to this event in her life. If a womans role is child bearing by her culture then she perceives her-self unimportant as menopause means the end of her role. George (2002) asserted that the menopause and how women experience it depends on her cultural norms, social influences and personal knowledge about menopause which influence the womans ability to cope with the menopausal period. Elliot, Berman and Kim (2005) added culture is embedded in all aspects of ones life and affects ones ideas, beliefs and ultimately affects on the menopause experiences. Ellen (2005) stated that women with infertility problem experiences menopause as normal and natural event after futile struggle for so long to become productive. Infertility was an abnormal event as it interfered with normal phase in life and menopause for them is a normal event that is supposed to happen so they take it positively. It is believed that each woman experiences the menopausal symptoms in a same way; however this is not the case. Avis (2002), Flint (1975), and Yahyeh and Rehan (2006) asserted that cultural differences also affect menopausal symptoms experience. The pattern and frequency of menopausal symptoms vary from culture to culture. Avis (2002) conducted a large cross sectional study for women aged 40-55 years across racial or ethnic groups of women in the United States for the comparison of menopausal symptoms. Result showed that across all five groups two consistent factors emerged. One was hot flashes and night sweats and the other psychological and psychosomatic symptoms. Caucasian women reported more psychosomatic symptoms; African American women reported more vasomotor symptoms. The pattern of finding argues against a universal menopausal symptoms syndrome consisting of vasomotor and psychological symptoms. On the other hand Im, Liu, Dormire, and Chee (2008) identified that white women b elieve that generational and life style differences are much more important than ethnic differences in menopausal symptoms experience. In a study of Indian women, Flint (1975) found that few women had any problem other than cycle changes. Lock (1986) found that Japanese Women did not have depression and also having low rates in vasomotor symptoms as compare to western culture women. In a cross cultural comparison of menopausal symptoms Avis (1993) reported the rate of almost every symptoms were lower in the Japanese than US and Canadian women. Price, Storey, and Lake (2007) identified that living in isolated environment and lack of social support system; women experienced more severe menopausal symptoms and experienced the loss of control on physical as well as psychological symptoms. It is conclude that the experience of menopausal symptoms is not same for each and every woman. They are influenced by ones socio-cultural back ground (environment, life style, knowledge, values, beliefs and the meaning of menopause perceived). It also affects the overall menopause experience of women. If the meaning of menopause taken negatively, the women will have more intense symptoms and face difficulty in managing herself as well as seek for medical treatment and experience menopause as a threat. Comparison of Researches: USA and South Asia. George (2002) conducted a study to explore the experiences of American women from diverse ethnic and socio-cultural environment. He found that the experiences of American women were not similar; they were all unique in their experiences. Some of them were having high intensity of menopausal symptoms but some did not experience any menopausal symptoms, some of them were confused as they were unaware of what to expect. Some experienced depression but some were feelings of relief from child bearing and monthly periods. Some were looking forward to future. In another online study of white midlife women Im, Liu, Dormire, and Chee (2008) identified that white women believe that generational and life style differences are much more important than ethnic differences in menopausal symptoms experience they are optimistic and try to cope with the symptoms. Women needed assistance with the menopause symptoms and were not satisfied with the guidance of the physicians use humor as coping strategy for menopause to increase their inner strength and motivate them to go through the hardship. Price, Storey, and Lake (2007) conducted a study on experiences of women living in a rural area of Canada. Researchers identified that women considered it as a change of life, and showed high concern about their general health and the changes their bodies under going. The women described the need to understand the intensity of menopausal symptoms (physical, psychological and social), including changes to their physical and mental well being. They need to receive reliable information. Menopause had significant impact on their personal relationships as they were unable to share their experiences with their husbands. Their coping strategies were social support and humor. Elliott, Berman, and Kim (2002) conducted a study on Korean Canadian women on menopause experiences. He found that they view menopause as a natural process and wanted to be fully aware about all aspects of menopause in order to control and cope with this phase of life. They were having difficulties in communication with health care professionals. They were reluctant to share their experiences with their husbands but they expressed the need to share their feelings with someone. Hafiz, Liu and Eden (2007) conducted a study on the experiences of menopause among Indian women. They identified that because of their positive socio-cultural ideas and attitude towards menopause they were not concerned about becoming menopausal and believe that it is a natural event same as birth and death. They experienced more physical and psychological symptoms rather than vasomotor (hot flashes and might sweat). He revealed that physical and psychological symptoms were higher in Asian women. Researches in Pakistan In Pakistan few quantitative studies have been conducted on age, pattern, and characteristics, attitude and symptoms experience of menopausal women (Malik, 2005 Nusart et al, 2008; wasti 1992; Qazi, 2006; Yahya Rehman, 2002). No qualitative studies have been conducted on menopause experience yet. Wasti et al (1993) conducted a study on the characteristics of menopause in three socio-economic urban groups in Karachi. The total samples size was 750 menopausal women. He found one in five women were symptomatic to poorest group but one in two the other groups. He found that fewer women had menopausal symptoms in his study but he admitted or hypothesized that menopausal problem will be most probably increase as life expectancy of women is increasing. He found mean age of natural menopause was 47 years of age. Yahya and Rehan (2002) conducted a study on age; pattern and symptom of menopause among rural women of Lahore will sample size of 130 women from 20 villages. He found mean age at menopause was 49 Â ±3. 6 years. Moreover the common symptoms were lethargy 56.4%) forget fullness (57.7%) urinary symptoms (56.2%) agitation (50.8%) depression (38.5%) insomnia (38.5%) ht flushes (36.2%) and dysparunea (16.9%). He concluded that the mean age of menopause was lower than the reported for Caucasian, but similar to Africa and South America but higher than Iran, Egypt and UAE. The frequency of symptoms was lower than observed among Caucasians, he suggested further studies on local buologies and understanding the socio cultural basis of these differences. Malik (2005) conducted a study on knowledge, attitude towards menopause and Hormonal Replacement Therapy (HRT) among postmenopausal women in Karachi. The sample size was 102 post menopausal women. She found mean age at menopause was 147.4Â ±3 years. She found most of the respondent had positive attitude towards menopause and consider menopause as natural event lacked sufficient knowledge our menopause and HRT. Qazi (2006) conducted a study on age, pattern, symptoms and associated problems among urban population of Hyderabad. Sample size was 800 menopause women. He found mean age at menopause was 47.16. the marked climacteric symptoms were low backache headache, tiredness, lump pain, sleep disturbance and might swats were common menopause associated problems include Ischemic Heart Disease, Hypertension, Diabetes mellitus, post menopause that the symptoms and problems were different from other studies reported with in the country and abroad which may revealed socio cultural and dietary differences. Nusrat et al (2008) conducted a study on knowledge attitude and experience of menopause. The sample size was 863 menopausal women. She concluded that majority women consider menopause as natural event and have positive attitude but majority of the women were unaware of menopausal symptoms and health effects, the bothered by symptom but did not sought for treatment. The age at natural menopause according to Pakistani studies is between 45-51 years; mean age is 48 years (Malik, 2008, Qazi, 2006; Yahya Rehan, 2006). Some of the findings were similar in the studies which have been conducted in Pakistan. Pakistani women consider menopause as natural and normal phase of life and aging process. They have positive attitude to words menopause (Malik, 2005; Nusart et al, 2008; Yahya Rehman, 2002). These findings are similar with the findings of studies have been conducted in other Eastern countries women such as India, China, and Korea. The other finding that the Pakistani women are not fully aware of the menopausal symptoms and its health implication or its long term consequences on quality of life (Malik, 2008. Nusrat et al, 2008; Yahya Rehan, 2006). Majority of the women bothered with the menopause symptoms but because of positive attitude, poverty, and due to lack of awareness they do not go for treatment or consultation. Malik, 2008; Nusrat et al , 2008). Qazi (2006) identified many differences in his study especially in the prevalence of symptoms reported with in the country and assumed that these are because of socio-cultural and diet differences. In rural areas of Lahore, Yahyeh and Rehan (2006) found the prevalence of various symptoms comparatively lower than other Caucasian. Researcher suggested the need for studying local biologys and understanding of socio-cultural bases of these differences. Summary of the Literature The literature revealed important information about the physiology as well as the initiation process of this phenomenon. The various concepts and meanings perceived by different school of thoughts. The historical development in the research on menopause is also addressed. Factors which are closely involved in influencing menopause experience as well studies conducted on this topic are also highlighted. The Eastern women conceptualize menopause as natural process thats why they have positive attitude towards it as compare to Western women. They bothered by menopause symptoms but try to cope with it positively. In Pakistan quantitative studies have been conducted on this topic but this approach did not provide insight in to a womens understanding the need of qualitative research is required to explore the women experience related to this phenomenon. (George, 2002). CHAPTER THREE Study Design and Methodology This chapter focuses on the approach to conduct this study, the study design and rationale of the design, the study population, study setting as well as sample and sampling. Data making, data management, data analysis, study rigor and the study limitations will also be the part of this chapter. Study Design The study design which is selected for this study is qualitative descriptive-exploratory. According to Polit and Beck (2008) qualitative approach involves naturalistic pattern. Naturalistic methods of inquiry deal with the experiences of human complexity by exploring it directly. It emphasizes on understanding the human experience as it is lived. Qualitative study required for in-depth and rich information to understand the phenomenon. Furthermore Holloway and wheeler (2002) concluded that qualitative research is an objective way to gain knowledge about the subjective and holistic nature of human. Burns and Grove (2007) stated that the purpose of exploratory study is to investigate a specific concept about which little is known. It emphasizes on identification of factors related to a phenomenon of interest. As this study aims to explore the menopause experience, which is lived experience and there would not be one reality as each women experience would be different. Therefore a quali tative exploratory descriptive design is best suited to this study. Study Population The study population would be all women who are in their menopausal period, coming to Obstetric and Gynecologists outpatient department of Pakistan Naval Ship hospital, Karachi. The target population will be all the menopausal women who will meet the inclusion criteria, will be coming to Obstetrics and Gynecology OPD. Setting Pakistan Naval Ship hospital, Karachi will be selected as data collection site. Obstetric and Gynecologists OPD will be utilized for this purpose. This hospital was established in 1963. It is classified as a class A Pakistan Navys hospital. The total bed stren

Drug Abuse in Nigeria Essays -- Nigerian Society Illegal Narcotics

Drug Abuse in Nigeria Today, you only have to switch on your television, radio or open a newspaper or magazine to be aware that the structure of our society is being contaminated by the growing evil plague of drug abuse. Drug abuse, is one of the major problems in the Nigerian society. Actually, almost every country faces such problem today. A lot of measures are taken to struggle against drug abuse, and, definitely, some changes for the better are evident. However, this problem is not eliminated and perhaps, will never be completely stopped. The repetitive death of drug users today has become an everyday event, that most of us had used it. The numbers of the victims is more and more increasing rapidly in such a degree that makes us have fear on what our society will turn into. Prospectively, there was an alarming increase in drug abuse at our country. Many students take cocaine, heroine, hash, crack, and other drugs. Problem of drug abuse has made a way through the society. Overprotection some times makes a gateway for the beginning of drug abuse. The imitation of musicians and actors can lead many young people to drugs, as they are trying to look alike them. However, as we know, today this entire teenage is all about being ‘cool’. This affects most young people and it is more obvious in places where there are many people, like in college. The society today has become a place where drugs are gotten easily in the college, whenever and whatever drug you want. Finally, a disappointment from a relationship or school, for example a fail in the finals, can be a good reason for those young people to turn into drugs. For this bad situation that exists in Nigeria today, many teachers and counselors have tried to let pe... ... the past 10 months.†(p.19) In the 80s Nigerian citizens are caught on daily bases due to drug trafficking. At a moment like this what the country should do is to apply a policy that would reduce drug trafficking. Another way to control this issue is to put roadblocks and checkpoints where violence is common and also in airports and seaports. The N.D.L.E.A should also make sure that all pharmacies issue people drugs on prescription only. The problem of drug abuse is not something that can be controlled while sitting down, the country has to work together to prevent this harmful act. If the whole country will seek and use the knowledge they have to fight drug abuse then the society would be a better place to live .Now that we know the effects of drug abuse, it is time to put our hands together as a family to fight drug abuse in Nigeria and all over the world.

Why Do We Need Management?

Why do we need Management? Melisa Honeycutt Vista College Why do we need Management? A business is an ongoing activity that will not run itself. As the manager, you will have to set goals, determine how to reach those goals and make all the necessary decisions. You will have to purchase or make your product, price it, advertise it and sell it. You will have to keep records, and determine costs. You will have to control inventory, make the right buying decisions and keep costs down.You will have to hire, train and motivate employees now or as you grow. ( Soni 2010) When a company has good management, the whole company does well. A good manager will be a great buffer for the owner and his employees. He/she will also coordinate most of the day-to-day business. Now we will look at what is the purpose of management, I find that there are five primary functions. * Staffing: You must be good at seeing raw talent and knowing when the company will need more employees. Planning: You need to be able to see the big as well as the small picture. * Organizing:You need great focus, most of the time you will need to be in many places and doing many jobs at once. It is a balancing act. * Leading: You will need to be a leader that can motivate people and get people to work together. * Controlling: You will need to monitor the business to make sure it stays on track. To me the world would look much like my home, if my husband and I left and put no one in charge.It would be complete and utter chaos; no one would know where things are and who did what. I see a manager as a babysitter of sorts and managing a business will be a lot like running my home and family. Does juggling ever come to mind when you think of running your own business? It does mine! References Soni, J. (2010). Why do we need Management? [yahoo answers]. Retrieved from answers. yahoo. com What are the Primary Functions of Management? (2012, November). In Blurtit. Retrieved from QuickBase. Intuit,com website: blurt it. com

Competitor Analysis

We denote 793 stores in Canada as of December 2009 and 40. 6% of those stores are located in Ontario. Rivalry is moderate amongst different competitor in the market , as most of them are big and diversified companies who do not rely on the luggage market, Just like Canada Goose. The market is highly fragmented with a large array of competitors , varying from big retail department stores to highly niched retailers. Less diverse retailers face greater competition to obtain and retain buyers compared to larger companies. The competition is eased by the fact that the market is growing , so that a company can grow its sales and revenues without affecting the overall market share proportions. All this makes the degree of rivalry moderate in this market. Direct competitors (Manufacturers & their brands) (Specific market shares of direct competitors) Samsonite , Mulholland , Hartmann Brothers and Tumi , Louis Vuitton. Indirect Competitors The first major indirect competitor is the Japanese multinational AEON Co ltd. Aeon* is a retailing group of 169 companies operating lifestyle-enhancing retail and a variety of other services, from general merchandise stores and supermarkets, to fashion-conscious specialty stores, ? nancial services and amusement facilities. Their luggage brands are . The second major competitor is the Hudson bay company. The Hudson's Bay Company is the oldest commercial corporation in North America and one of the oldest in the world. Their luggage brands include Stuff by Hillary Duff , Sportek and Fields. Finally we have Aldo Group , a company created . Its main luggage brands are Aldo accessories and Spring. Appendix 1: Statistics Canada, Canadian Business Patterns Database, December 2009.

Free sample - Problems That Employees And Employers Face And Possible Solutions. translation missing

Problems That Employees And Employers Face And Possible Solutions. Problems That Employees And Employers Face And Possible SolutionsSleep is a process controlled by biological signals in the body. The amount of natural light in the environment triggers the body when to feel sleepy and when to wake up. This is called the ‘sleep cycle’. Consequently, those who stay awake during the evening and go to sleep during daytime will have a disrupted sleep cycle. This can lead to lack of sleep. (searchCRM.com) This disrupted sleep cycle is a dilemma that many employees who work during graveyard shift (a.ka. third shift, night shift) face. The job finding website www.careerjet.com lists some companies in the United States that offer third shift schedules. These   include Marriott International in Parsippany, NJ,   Pepsi Co., Silgan Companies in Langhorne, PA, Panera Bread in Maple Grove, MN, and GE Energy in Greenville, SC. However, lack of sleep is causing the performance quality of graveyard shift employees to drop. The Encyclopedia Britannica online stated that â€Å"Adults typically sleep between six and nine hours per night†¦Ã¢â‚¬  Any less than six hours of sleeping time can lead to poor health as well as social and behavioral problems. The August 1989 issue of Awake! Magazine mentioned: â€Å"NIGHT-SHIFT workers have been found to experience more gastric problems, ulcers, alcoholism, and divorce than do their peers who work days.† (20) In order for employers to maintain the quality of performance among its employees, an online article titled Guide to Managing Night-Shift Workers authored by Judy Artunian and published in www.business.com suggested the action steps â€Å"1) Consult a night-shift management expert, 2) Schedule with care, 3) Make it convenient to connect (communicate), 3) Ask for feedback (from employees), 4) Evaluate employee performance, and 5) Celebrate milestones (encouragement activities).†Ã‚   In the case of health problems, Awake! Magazine suggested that graveyard shift employees should â€Å"sleep during the same time period each day, preferably during the late morning and early afternoon. (20)†. The article also stressed out the importance having good diet and avoiding alcoholic drinks. Nighttime work is already damaging enough to the health so graveyard shift employees should compensate by keeping the rest of their activities healthy.    Literature Reference: Awake! Magazine. 22 August 1989 Issue. Published by Watchtower Org. Page 20.