How to Analyze a Historical Document

It can be easy when examining a historical document that relates to an ancestor to look for the one right answer to our question — to rush to judgment based on the assertions presented in the document or text, or the conclusions we make from it. It is easy to look at the document through eyes clouded by personal bias and perceptions engendered by the time, place and circumstances in which we live. What we need to consider, however, is the bias present in the document itself. The reasons for which the record was created. The perceptions of the documents creator. When weighing the information contained in an individual document we must consider the extent to which the information reflects reality. Part of this analysis is weighing and correlating evidence obtained from multiple sources. Another important part is evaluating the provenance, purpose, motivation,  and constraints of the documents which contain that information within a particular historical context. Questions to consider for every record we touch: 1. What Type of Document Is It? Is it a census record, will, land deed, memoir, personal letter, etc.? How might the record type affect the content and believability of the document? 2. What Are the Physical Characteristics of the Document? Is it handwritten? Typed? A pre-printed form? Is it an original document or a court-recorded copy? Is there an official seal? Handwritten notations? Is the document in the original language in which it was produced? Is there anything unique about the document that stands out? Are the characteristics of the document consistent with its time and place? 3. Who Was the Author or Creator of the Document? Consider the author, creator and/or informant of the document and its contents. Was the document created first-hand by the author? If the documents creator was a court clerk, parish priest, family doctor, newspaper columnist, or other third party, who was the informant? What was the authors motive or purpose for creating the document? What was the author or informants knowledge of and proximity to the event(s) being recorded? Was he educated? Was the record created or signed under oath or attested to in court? Did the author/informant have reasons to be truthful or untruthful? Was the recorder a neutral party, or did the author have opinions or interests that might have influenced what was recorded? What perception might this author have brought to the document and description of events? No source is entirely immune to the influence of its creators predilections, and knowledge of the author/creator helps in determining the documents reliability. 4. For What Purpose Was the Record Created? Many sources were created to serve a purpose or for a particular audience. If a governmental record, what law or laws required the documents creation? If a more personal document such as a letter, memoir, will, or family history, for what audience was it written and why? Was the document meant to be public or private? Was the document open to public challenge? Documents created for legal or business reasons, particularly those open to public scrutiny such as those presented in court, are more likely to be accurate. 5. When Was the Record Created? When was this document produced? Is it contemporary to the events it describes? If it is a letter is it dated? If a bible page, do the events predate the bibles publication? If a photograph, does the name, date or other information written on the back appear contemporaneous to the photo? If undated, clues such as phrasing, form of address, and handwriting can help to identify the general era. First-hand accounts created at the time of the event are generally more reliable than those created months or years after the event occurred. 6. How Has the Document or Record Series Been Maintained? Where did you obtain/view the record? Has the document been carefully maintained and preserved by a government agency or archival repository? If a family item, how has it been passed down to the present day? If a manuscript collection or other item residing in a library or historical society, who was the donor? Is it an original or derivative copy? Could the document have been tampered with? 7. Were There Other Individuals Involved? If the document is a recorded copy, was the recorder an impartial party? An elected official? A salaried court clerk? A parish priest? What qualified the individuals who witnessed the document? Who posted the bond for a marriage? Who served as godparents for a baptism? Our understanding of the parties involved in an event, and the laws and customs which may have governed their participation, aids in our interpretation of the evidence contained within a document. In-depth analysis and interpretation of a historical document is an important step in the genealogical research process, allowing us to distinguish between fact, opinion, and assumption, and explore reliability and potential bias when weighing the evidence it contains. Knowledge of the historical context, customs,  and laws influencing the document can even add to the evidence we glean. The next time you hold a genealogical record, ask yourself if you have really explored everything the document has to say.

Interpreting Modern History Revival of the Appreciation...

Modern history was the abandonment of European confinement. I understand modern history as being the revival of the appreciation of art, ideas, and moral values known as the Renaissance. During and before this time period, the majority of the European population was deeply embedded and blinded by the church. It is my understanding that Modern history is comprised of a sequence of events. It was not limited to specific dates, it was a continuous cycle of religious and political strives for power, establishment, and scientific discovery. The events, formerly mentioned, that took place were the Renaissance, the Reformation, and Exploration. The first of the sequenced events is known as the Renaissance. The Renaissance was the period in Europe†¦show more content†¦Each state was similar to a political unit that competed both politically and methodically with its neighbors. There were five main powers of political units that dominated Italy’s affairs. Two being monarchs, and the other three being city-states in northern Italy. What I perceived is that up until mid fourteenth century, Italy’s political dealings were unorganized. It wasn’t until the middle of the fifteenth century that some semblance of order was achieved due to the increasing development of centralized government. Restoration of internal order finally led to diplomatic balance in Italy. (Backman, 2013) The second sequence of events is known as the Reformation. The Protestant Reformation took place during the 16th-century. It was a European Christian movement that began as an effort to reform the Catholic Church and ultimately led to the establishment of Protestant Christian religions. The Protestant Reformation was a religious, political, intellectual and cultural disturbance that fractured Catholic Europe. The Protestant Reformation set into place the structures and beliefs that defined the mainland in the modern era. 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Clean Energy Free Essays

Fuel Cells and Clean Energy for the Future are a better alternative source of energy for our world, and a cheaper and cleaner way to live compared to the alternative, fossil fuels! Humans have been using fossil fuels to power industries, electric plants, vehicles, and home heating, for over a hundred years and have polluted our world and have killed off species of animals and charged inflated prices to get rich, not counting all of the taxes (Natural Resources Committee, 2013). It’s time for newer cleaner and cheaper practical ideas to produce energy. Some of the alternative energy source ideas in this paper have been around for a surprising amount of time but due to greed from people who have got rich off from all the sales of fossil fuels, none of the practical ideas were ever implemented because of ridiculous excuses such as there too expensive to put in place. We will write a custom essay sample on Clean Energy or any similar topic only for you Order Now Some of the ideas aren’t taxable, which I’m assuming would be one of the biggest reasons alternative energy ideas are not used by many people. Fuel cells are a great alternative energy source; there are numerous ideas such as wind generation, solar power, HHO enerators, geothermal, solar-chemical systems and Ocean Thermal Energy Conversion. All of these alternative energy sources will be discussed in depth, and all the pros and cons of each of them. Alternative energy sources and fuel cells will eventually be used because fossil fuels will eventually run out. 1% of the earth’s surface is covered in water and the sun shines every day, almost all of the alternative energy sources use nature’s abundance of natural resources and potential energy to produce energy, and the waste products are not harmful to the environment. Some f the alternative energy or fuel cell ideas are challenging to build, but that’s how the world has become what it is today, everythings a challenge which makes it exciting. Where will we be in twenty years, and how will we power our planet, run our cars or heat our homes or produce el ectricity? There are two known ways of using the sun’s rays to capture and use it to make energy. Typically we think of solar right away, but solar-chemical systems are being experimented with to try and capture and store the sun’s energy to be able to use it on demand via chemical storage and the use of a atalyst to use the energy (MIT, 2010). A molecule of fulvalene diruthenium, was experimented with at MIT, it is able to capture the sun’s energy almost like a rechargeable battery, the chemical can store it for later use and when the stored energy is used the molecule snaps back to its original state ready to be used again. The energy can be used as heat to boil water to turn a turbine to produce energy or use the heat to directly heat a home. These heat storing chemicals can store the and possibilities of ideas are endless. Based on this molecule, MIT is in search of ther molecules with the same properties that are in abundance and a lot cheaper. Ultimately this can be used as a solar-thermal fuel, when the reaction takes place to let out the suns heat it can reach temperatures of 200 degrees Celsius. This heat could be used in a number of ways to produce energy, for example Just using the heat released could easily heat a home. The chemical used isn’t readily available but they are still experimenting with different chemicals to find one with the same properties as fulvalene diruthenium. Solar power is energy harnessed from the un’s rays, and is a renewable energy source. Panels are made from silicon which is a semiconductor when the sun’s rays (photons) hit the solar panels electrons in the panel absorb the energy which transforms the electrons into conduction electrons (Clean Energy, 2012). The electrons then carry an electric charge to a place that stores that energy like a battery bank. Solar panels are put up in series and work together to harness the sun’s rays to produce energy required for whatever it is you’re trying to power. It takes quite a few quality high watt panels to power a small cabin. Solar power is clean and sun rays are free but the system isn’t and to power a home or cabin these systems can cost $20,000 and up. The price of the systems is the reason most people don’t have them or use them. To set up a solar system, there are also a lot of components to hook up and a lot of wiring. With a lot of these different systems you would have to have a charge controller and a battery bank to store the energy produced by the solar panels. Which battery banks are also very expensive and need to properly be wired in series whether it is a 24 volt or 12 volt system. Solar power also doesn’t produce electricity all the time, at night and on cloudy days solar panels don’t put out the peak wattage they are capable of. Ocean Thermal Energy Conversion or (OTEC) has been around for a long time. An OTEC plant is built in the ocean on a hurricane proof platform so workers are safe from the elements. The oceans waters store 1000 times more heat than the atmosphere. More than 300 times the earth’s needs are in the solar power contained in the tropical ocean. The heat is distributed by Thermo hailing circulation, which is a combination of wind, emperature and the earth’s rotation; it acts like a conveyer belt. An ocean thermo energy conversion plant would be strategically placed in the ocean. At the equator the surface of the ocean is hot and some depths reach 3000 feet deep which is cold water. So this is an ideal place to place the plant since it works by the temperature differences in the water. An OTEC system uses the surface water to boil a gas such as propane, because propane has a low boiling point (Britannica, 2013). So it is used to power a turbine which produces electricity. The hot water on the top boils the gas nd creates steam out of the liquid propane which powers power’s the turbine. The propane goes through a condenser and is cooled by the deep water temperature. So the propane is not burned at all it’s Just used to turn the turbine, to turn the electric generator, as steam, and then it goes through the cooling process to return to liquid form. Depending on the size of the plant, these OTEC plants can produce endless amounts of power and the process does not pollute the atmosphere. The plants cost a lot of money to build, but it would easily pay itself off in a few different ways. The technical definition of Bio diesel is a fuel comprised of mono alkyl esters of long has been around as long as diesel engines, but hasn’t been in demand until recently. The way bio diesel is produced is through a process called transesterification, by altering the chemical properties of the oil with methanol. It is produced from renewable domestic resources which are not as harmful to the environment as petroleum fuels. It is also nontoxic and biodegradable. These kinds of fuels can be used in endless real world applications to produce energy. Commercial and esidential diesel generators can be ran with these fuels to produce energy without any modifications to the engine. Bio diesel also can be used with diesel vehicles that let off bad emission, and are worse for the ozone layer and affect global warming. Tractor trailers drive cross country daily to supply our nation with foods and products, by using bio diesel they could lower tail pipe emissions by 41%. These fuels can power diesel generators that could easily power a house or business. With some modifications to lower noise levels it could be a feasible and fairly cheap and clean ay to live and also get rid of a power bill. The only real problem with bio diesels is it could increase nitrogen oxide emissions. That problem can be overcome by a process called blending, which 20% bio diesel is blended with 5% diesel to get the best of both and get rid of the worst. Fuel cells of the near or distant future will be like batteries in a typical house hold item such as a flashlight. A fuel cell is something that uses a source of fuel like Hydrogen and an oxidant to electrochemically make electricity (National Geographic, 2013). Fuel cells could power our vehicles, houses, nd be portable so electricity can be brought where it would be required. Unlike batteries, fuel cells won’t stop producing electricity as long as fuel is provided to it. Fuel cells are better for our atmosphere, they don’t produce as many harmful green house gases and they don’t produce any of the air pollutants that create health problems or smog. Once in production and fuel cells are able to compete with the fossil fuel industries, eventually they would be a lot cheaper than our typical sources of energy. Every fuel cell has two electrodes one negative and a positive one; they are called the anode and cathode. Electricity is produced at the electrodes. They also have an electrolyte which carries charged particles from one electrode to the other. There is also a catalyst that is introduced between the electrodes that speed up the reaction at the electrodes to produce more electricity at a faster rate. Another alternative energy source or fuel for everything we need fuel to power is water, the most abundant natural resource on the planet. Hydrogen fuel cells or hydrogen generators are being experimented with everyday. Water is made up of hydrogen and oxygen molecules, so to make it a combustible fuel, the hydrogen olecules need to be separated from the oxygen molecules. To accomplish this to produce hydrogen as a fuel is fairly easy. First a cell is made out of stainless steel with a positive and negative lead, separated by 1. 5mm for optimum hydrogen production. A common cell is 7 stainless plates which two of the plates on the outside are positive and negative and the rest of the sandwiched plates are neutral plates which help keep the cell run at cooler temperatures. The cell is then put into a housing unit with distilled water and an electrolyte; with a 12 volt source hooked up o the positive lead and a ground hooked up to the negative lead. Bubbles will start to form, which are hydrogen molecules breaking free from the oxygen molecules. ousing of the generator and into a bubbler to make sure the hydrogen is clean. From the bubbler the hydrogen can be pumped into a tank and then into an engine or directly into an engine. The waste ends up producing water, which isn’t good for regular metal exhausts and will rust them out, but a stainless exhaust can replace it with no further worries. Catalytic convert ers on cars today turn some of the missions into water and eventually rust exhausts anyway. Some vehicles need more fuel than others, such as a tractor trailer VS a Prius (USA Today 2013). A hydrogen generator would have to be made specifically for the engine it’s going to run. Alternative energy such as wind, solar, and geothermal energy sources will be a more efficient way of sustaining energy needed by humans. A wind turbine creates energy by the wind, which is potential energy sitting there where ever located, Just waiting for a gust of wind to produce energy. Solar energy is readily available to us all but is ery expensive to set up. Geothermal energy is also readily available to us and is a clean source of energy but is also a very expensive set up. In the future prices will come down. So the companies making products for solar energy and geothermal energy can better compete on the energy market. By using alternative energy sources and fuel cells our planet could be a cleaner more efficient planet (Clean Energy, 2012). Fuel cells and alternative energy sources are a lot more efficient than the use of fossil fuels. There are a variety of different fuel cells and alternative energy ources in production right know, experimenting with different fuels and energy sources could potentially make more of a variety of efficient fuels and alternative energy combinations. Conclusion alternative, fossil fuels! There are numerous possibilities of alternative energy source ideas to power the world. The previous paragraphs talked about seven different alternative energy sources that could work to power our planet, without pollution and environmental wastes. These alternative energy sources use natural resources to produce energy, which seems to be the most responsible way to power our world. MIT’s experiments with the molecule fulvalene diruthenium, is an exceptional idea. To be able to have the power of the suns energy stored in a molecule, and to be able to use it on demand is an amazing feat. Solar power is another alternative energy source that harnesses the suns power to create energy, which also doesn’t pollute our world, and is a renewable energy source. Both solar and chemical solar systems use sunlight to produce energy which is in abundance and don’t produce waste products. The use of water to produce power is another alternative energy source or fuel that uses nature’s natural resources. Ocean Thermal Energy Conversion technology is not new. In 1881, Jacques Arsene d’Arsonval, a French physicist, proposed tapping the thermal energy of the ocean. But it was d’Arsonval’s student, Georges Claude, who in 1930 built the first OTEC plant in Cuba (U. S. Department of Energy (2013). OTEC can be used today to supply the world with energy with no pollution or waste, the first plant built produced 22 Kilowatts, which is enough to power a house or two but not enough to power a country. If the plants were made bigger with new technology and a fleet of these plants were built, ells and HHO generators are another alternative energy source that uses nature’s natural resources. HHO generators use’s water to produce energy or fuel, water covers 71% of the earth’s surface so why not experiment with it as a fuel or energy source? The water used in some of the systems can be recycled so there is no waste or pollution. Fuel cells use hydrogen and an oxidant to produce electricity. HHO generators produce hydrogen as a fuel, which in combination could produce power as a fuel and electricity. These two alternative energy sources could be used on all ehicles in the country and cut out emissions as a whole. This would dramatically help our environment in a short period of time, probably enough to offset Chinas pollution and waste it produces. These alternative energy sources are Just a few of hundreds of ideas, new and old that are realistic energy sources to power our country or planet. It would take years to implement some of the ideas but some could be produced and ready to use immediately. I have personally made wind turbines and I am currently building an HHO generator and I’m also building a self-running generator that runs on nothing but the energy it produces. IVe experimented with all of these on a small scale and they worked great. So If you would like to make a difference and help clean up our planet and stop polluting and save a few dollars, start inventing or look at the history of alternative energy sources and build off someone else’s ideas. If you’re not into building things yourself, do some research on the alternative energy source of your choice and buy it. There are a lot of websites that sell wind turbines, solar panels, HHO generators and boosters, some systems are a lot of money but most are obtainable by the average American. How to cite Clean Energy, Papers

Leading Equality and Diversity free essay sample

Be able to understand the commitment to equality of opportunity and diversity 1. 1 – Evaluate the organisation’s commitment to equality of opportunity and diversity Equality and diversity means that every service user has their individual needs comprehensively addressed. He or she will be treated equally and without discrimination. This is regardless of the individual’s ethnic background, language, culture, faith, gender, age, sexual orientation or any other aspect that could result in their being discriminated against purely because they have such characteristics. Ashley Care LLP is firmly committed to diversity in all areas of our work. We believe that we have much to learn and profit from diverse cultures, experiences and perspectives, and that diversity will make our organisation more effective in meeting the needs of all our stakeholders. We believe that equality and diversity within our organisation contributes to our objectives and we are especially conscious of the fact that effective partnership relationships require a shared commitment to equality of opportunity and valuing and managing diversity. We will write a custom essay sample on Leading Equality and Diversity or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Our Equality and Diversity Policy helps to ensure that there is no unjustified discrimination in the recruitment, retention, training and development of staff on the basis of gender including transgender, marital status, sexual identity, religion and belief, political opinion, race, work pattern, age, disability or HIV/AIDS status, socio-economic background, spent convictions, on the basis of having or not having dependants, or any other irrelevant grounds. Our Policy is an integral way on which we handle our recruitment procedures to ensure a fair and approachable image of our organisation. Ashley Care LLP have an Equality, Diversity and Inclusivity Policy and its purpose is to ensure that its service is fully committed to these principles and values and to communicate this commitment to all stakeholders. The policy should always be referred to wherever differences of view based on lack of understanding or prejudice about diversity, equality and inclusion are evident. Equality, diversity and inclusion means that every service user has their individual needs comprehensively addressed he or she will be treated equally and without discrimination. This is regardless of the individual’s ethnic background, language, culture, faith, gender, age, sexual orientation or any other aspect that could result in their being discriminated against purely because they have such characteristics. 1. 2Discuss how behaviour, actions and words of all members of the organisation support the commitment to equality of opportunity and diversity At Ashley Care LLP we are committed to working together to build a community founded on equality of opportunity a social care community which celebrates the rich diversity of our service users and staff populations. Discriminatory behaviour has no place in our community and will not be tolerated. Within a spirit of respecting difference, our equality and diversity policies promise equal treatment and opportunity for all regardless of gender, sexuality, race, colour, disability, religion, age, and ethnicity or nationality. We call on all members of our company to make a personal commitment to these aims. Our Partners of the Company will ensure that its own actions promote equality and diversity. Through their words and behaviours, Partners will aim to provide genuine equality of opportunity regardless of gender, sexuality, race, colour, disability, religion, age, and ethnic or national origin. In considering its own composition and filling vacancies, the Partners will seek to ensure that its membership embraces the widest possible variety of backgrounds and views, consistent with the need to maintain a Partnership with the skills and experience necessary to carry out its responsibilities. Ashley Care LLP expresses its commitment to equality and diversity by: a. especting service users’ ethnic, cultural and religious practices and making practical provision for them to be observed b. reassuring its service uses that their diverse backgrounds enhance the quality of experience of the service c. accepting service users as individuals, not as cases or stereotypes d. involving service users to express their individuality and to follow their preferred lifestyle, also helping them to celebrate events, anniversaries or festivals which are important to them as individuals e. howing positive leadership and having management and human resources practices that actively demonstrate a commitment to equality and diversity principles f. developing an ethos throughout Ashley Care LLP that reflects these values and principles g. expecting all staff to work to equality and diversity principles and policies and to behave at all times in non-discriminatory ways h. providing, training, supervision and support to enable staff to do this i. aving a code of conduct that makes any form of discriminatory behaviour unacceptable; this is applicable to both staff and service users and is rigorously observed and monitored accordingly. Partners will devote time to the development of their own knowledge, understanding and practices to promote and achieve equality and respect for diversity and will see such development as one test of their effectiveness. The achievement of genuine equality of opportunity is at the heart of our mission as a provider of higher education. We aim to build a learning community which exhibits the diverse range of skills and experience which cannot be found within any single group of students or staff. In pursuing this aim, we want our community to value and to be at ease with its own diversity and to reflect the needs of the wider community within which we operate. Although we accept all of our responsibilities under current legislation, we aim to reach beyond the strict confines of the law to provide equality of opportunity for all. We will continue to formulate and implement policies to that end. Every member of our company has a moral and legal responsibility to promote equal treatment within that community and to respect its diversity. Overall responsibility for working with our community in support of these aims lies with the Senior Partner, closely supported by the other Partners. The HR amp; Workforce Development Manager is responsible for matters relating to equality of opportunity in employment, for developing policies which meet legislation and best practice, for monitoring the impact of these policies on different minority groups, and for providing relevant employment statistics. All staff and service users are responsible for ensuring that their actions are carried out in accordance with this policy. They may be held personally to account should their actions fall sort of the requirements of this policy in any way. We are committed to being an equal opportunities employer. We wish to see people from all groups in our society represented at all levels of employment, to ensure that no available talent is overlooked and to provide role models for our staff members. 1. 3Identify organisational and personal responsibilities and liabilities under equality legislation and codes of practice The Equality Act became law in October 2010. It replaces previous legislation (such as the Race Relations Act 1976 and the Disability Discrimination Act 1995) and ensures consistency in what we needed to do to make our workplace a fair environment and to comply with the law. â€Å"This was, primarily , the Equal Pay Act 1970, the Sex Discrimination Act 1975, the Race Relations Act 1976, the Disability Discrimination Act 1995 and three major statutory instruments protecting discrimination in employment on grounds of religion or belief, sexual orientation and age. † en. wikipedia. rg/wiki/Equality_Act_2010 The public sector Equality Duty (section 149 of the Act) came into force on 5 April 2011. The Equality Duty applies to public bodies and others carrying out public functions. It supports good decision-making by ensuring public bodies consider how different people will be affected by their activities, helping them to deliver policies and services which are efficient and effecti ve; accessible to all; and which meet different peoples needs. The Equality Duty is supported by specific duties, set out in regulations which came into force on 10 September 2011. The specific duties require public bodies to publish relevant, proportionate information demonstrating their compliance with the Equality Duty; and to set themselves specific, measurable equality objectives. The Equality Act covers the same groups that were protected by existing equality legislation age, disability, gender reassignment, race, religion or belief, sex, sexual orientation, marriage and civil partnership and pregnancy and maternity it extends some protections to some of the groups not previously covered, and also strengthens particular aspects of equality law. The Equality Act is a mixture of rights and responsibilities that have: * Stayed the same for example, direct discrimination still occurs when someone is treated less favourably than another person because of a protected characteristic * Changed for example, employees will now be able to complain of harassment even if it is not directed at them, if they can demonstrate that it creates an offensive environment for them * Been extended for example, associative discrimination (direct discrimination against someone because they associate with another person who possesses a protected characteristic) will cover age, disability, gender reassignment and sex as well as race, religion and belief and sexual orientation Been introduced for the first time for example, the concept of discrimination arising from disability, which occurs if a disabled person is treated unfavourably because of something arising in consequence of their disability. As a result, I needed to review and change most of our policies and practices. 2. Be able to understand the application of equality of opportunity and diversity 2. 1 – Describe the organisation’s equality and diversity policies and how these are communicated within the workplace To ensure equality and diversity is no longer viewed as something only affecting minority groups, any issues need to be viewed not as issues, but as something to be explored and celebrated. Staff could be personally affected by stereotyping, prejudice and/or discrimination when attending work, which could lead to non attendance or non achievement. As a manager I need to ensure all my staff value one another and that the basic rights they are entitled to, for example to learn in a comfortable and safe environment are met. The Pre-Employment Induction to Ashley Care LLP include details of all policies and procedures, including equality and diversity, which are brought to the attention of the staff members during their initial interview and during the induction session. Having a policy is not enough, Ashley Care LLP also have a working group to ensure that the policies are promoted, monitored and regularly reviewed. Policies are also communicated to all staff through the following mechanisms: * Staff handbook * Contract of Employment * Application Form * Team meetings * Staff meetings Ashley Care LLP fully supports all principles of equality and diversity, and opposes any unfair or unlawful discrimination on the grounds of ability, age, colour, culture, disability, domestic circumstances, employment status, ethnic origin, gender, learning difficulties, marital status / civil partnership, nationality, political conviction, race, religion or belief, sexual orientation and/or social background. Ashley Care LLP aims to ensure that equality and diversity is promoted among all staff and service users and that unfair or unlawful discrimination, whether direct or indirect, is eliminated to promote a climate of equality and respect. All staff can expect to work in an environment free from harassment and bullying. † Taken from Ashley Care LLP’s policy on Equality and Diversity 2. 2 – Assess the application of the organisation’s commitment to equality of opportunity and dive rsity The evidence that Ashley Care LLP have collected over the years clearly demonstrate our commitment to equality and diversity. The application form states that â€Å"Ashley Care LLP is an equal opportunities employer and we welcome applications from all sections of the community. We are committed to a policy of equal opportunities for all work seekers and shall adhere to our policy at all times. We review all aspects of recruitment to avoid unlawful or undesirable discrimination. † Our policy states that â€Å"Equality and diversity means that every service user has their individual needs comprehensively addressed. He or she will be treated equally and without discrimination. This is regardless of the individual’s ethnic background, language, culture, faith, gender, age, sexual orientation or any other aspect that could result in their being discriminated against purely because they have such characteristics. † Within our policy we also state that â€Å"Ashley Care LLP expresses its commitment to equality and diversity by: a. respecting service users’ ethnic, cultural and religious practices and making practical provision for them to be observed b. reassuring its service uses that their diverse backgrounds enhance the quality of experience of the service c. accepting service users as individuals, not as cases or stereotypes d. nvolving service users to express their individuality and to follow their preferred lifestyle, also helping them to celebrate events, anniversaries or festivals which are important to them as individuals e. showing positive leadership and having management and human resources practices that actively demonstrate a commitment to equality and diversity principles f. developing an ethos throughout Ashley Care LLP that reflects these values and principles g. expecting all staff to work to equality and diversity principles and policies and to behave at all times in non-discriminatory ways h. providing, training, supervision and support to enable staff to do this i. aving a code of conduct that makes any form of discriminatory behaviour unacceptable; this is applicable to both staff and service users and is rigorously observed and monitored accordingly. † 2. 3 – Review the diversity of the workforce against the local and/or national population and identify areas for review. Diversity is about valuing and respecting the differences in the workforce, regardless of ability and/or circumstances or any other individual characteristics they may have. If you have more than one member in your workforce you will experience diversity. I am also different from my workforce in many ways, and they are different from one another, therefore they are entitled to be treated with respect, wi th their differences taken into consideration. Combined together, equality and diversity drive an organisation to comply with anti-discrimination legislation as well as emphasising the positive benefits of diversity such as drawing on a wider pool of talent, positively motivating all employees and meeting the needs of a wider customer base. Differences should be acknowledged, celebrated and embraced, to ensure all employees feel included in the process to be followed, and that the working environment is suitable for all. Examples of these differences are: * ability| * disability – physical or mental| * age| * domestic circumstances| * belief| * educational background| * colour| * employment status| * class| * ethnic origin| clothing worn| * experience| * confidence| * gender| * culture| * intelligence| * language, accent, dialect| * race| * learning difficulties| * religion| * marital status / civil partnership| * sexual orientation| * nationality| * social class or identity| * occupation| * talent| * parental status| * tr adition| * physical characteristics| * transgender| * political conviction| * wealth| Promoting diversity in the workforce is about attracting and retaining the best people, regardless of what group they belong to. â€Å"There is considerable evidence to show that inclusive organisations benefit from diversity through: enhanced competitiveness, attracting and retaining more competent employees, who understand the needs of their workforce and respect differences; * improved performance and outcomes, creating a working environment in which everyone is encouraged to perform to their maximum potential; * improved customer services, being able to reflect and meet the diverse needs of the workforce and; * improved staff relations, which reduced the risk of costly tribunals by complying with anti-discriminatory legislation. † www. lluk. org. uk/3167. htm As a manager working within the Health amp; Social Care Sector, I agree with the above statement, particularly creating a working environment in which everyone is encouraged to perform to their maximum potential. An inclusive organisation will ensure that their workforce are not excluded for any reason, either directly or indirectly, from parta king in a chosen programme. All the workforce will bring with them valuable skills, knowledge and experiences, I try to incorporate these within any training sessions and treat everyone as an individual. I am always positive and proactive where equality and diversity are concerned, even if my opinions differ from those of my workforce. I have to challenge my own values and beliefs. However, as a professional, I am first and foremost a manager, and my personal opinions must not interfere with the employment process. I must also be careful not to indulge the minority to the detriment of the majority. 3. Be able to understand the needs of others in relation to equality of opportunity and diversity 3. 1 – Explain the requirement to understand individual’s needs, feeling and motivations and to take an interest in their concerns The fundamental reason for promoting equality is to meet the needs of the workforce. Individuals are at the heart of the company and meeting their needs requires an active approach to equality of opportunity at all stages of their employment. It is about the removal of social and economic barriers to participation. Good equal opportunities ensure that all employees: * are respected and not discriminated against; * become aware of equality and inclusion; * benefit from high quality opportunities * work in an environment that supports their development. The Learning and Skills Council (LSC) look to employers and learning organisations they fund to help promote equality of opportunity, widen participation and improve performance. They recommend the following. â€Å"Explicit references: equality of opportunity should be promoted and discrimination tacked so that all employees achieve their potential, * guidance and support should be sensitive to quality of opportunity, * organisations should have effective measures to eliminate oppressive behaviour, including all forms of harassment, * companies should be socially inclusive, ensuring equality of access and opportunities for workforces, * managers should use materials and methods that promote equality of opportunity, * there should be explicit aims, values and strategies promoting equality for all that are reflected in the organisation’s work. Implicit references: staff should have access to relevant, effective support on personal issues, * staff should understand their rights and responsibilities, * resources and accommodation should allow all staff to participate fully, * organisations should promote good working relationships, * programmes should be responsive to local circumstances, * the organisation’s values should be fully understood by staff, including sub contractors and work placement organisations, * the performance of different groups of staff should be used to guide programme development. As a manager I need to take positive steps to promote a culture of equality and diversity in everything that I do that may affect the employment process. 3. 2 – Evaluate the impact of showing respect to others, recognising their value and upholding their rights An example of showing respect to others, recognising their value and upholding their rights could be: An employee has declared to me during this Common Induction Standards training that he is transgender and wants to know which toilet facilities he can use. He has not asked this information remain confidential. This declaration by the employee means that my whole organisation is deemed to know under the Equality Act 2010, and will need to make reasonable adjustments so that the employee has access to toilet facilities he is comfortable with. I may suggest that the employee can use the disabled toilet which is accessed by both males and females. If I am unable to respond to the employee’s needs, he may feel that under the Gender Reassignment Regulations (1999) his needs have not been given the same consideration as those of male and female gender. Some employees may not want to may not want to complete the section on the application form (pre 2008), which required them to disclose details such as a disability, ethnic origin, date of birth etc. Although it was not compulsory, the information often helped our organisation support the workforce, as well as collect data for purposes such as funding and statistics to inform policies. 3. 3 – Describe the need for integrity, fairness and consistency in dealings with individuals When considering forms of harassment, it is important to bear in mind that different people have different cultural and social perceptions as to what they consider to be hostile or degrading. If possible, deliver sessions with your workforce to try to address these perceptions or assumptions. During the recruitment and selection process, I often ask the interviewers what they understand by equality and diversity and how they ensure it in their interviewing. Very often the response is that they would treat everyone the same. However, diversity, fairness and equality are about treating others as they would wish to be treated, rather than making assumptions on their behalf. The workforce is all different and therefore have different needs and different degrees of need which will lead to equal outcomes at the end of their training. Language has a fundamental role to play in treating people fairly. Words you use should give a clear message to all the workforce that myself and my organisation value diversity and respect individual differences. Carefully examining the language I use and the way I use it will help ensure that I treat my workforce as individuals and not merely as members of staff. Communication is not just about words, however, and I also should ensure that my tone of voice, demeanour and body language convey the same message of inclusiveness. An example may be: Gemma has been asked to plan, design and deliver a four week Job Skills programme as part of a Support and Achieve Programme for Lone Parents. The clients are referred to the programme from JobCentrePlus and the aim of the project is for the one parents to return to work. The very title of this project typecasts these clients into a particular group. They are immediately identified as lone or single parents. Gemma therefore suggests the title be changed. Reports from the media project an image of lone parents as predominately young mothers or fathers with children living on their own and claiming state benefits. There are many diverse people who find themselves as lone parents due to different circumstances, for example, widows, windowers or divorcees. The title of a programme can therefore affect who will apply for it, in this example it is positive discrimination in favour of lone parents. However, the content will be based around returning to work and could easily be adapted to suit others, and the mix of workers will help promote inclusion and equality. 3. 4 – Outline a process for dealing with others whose behaviours, words or actions do not support a commitment to equality of opportunity or diversity When an inspection is planned, the Care Quality Commission (CQC) uses the provider’s annual self-assessment report, along with other information such as data on achievement and development plans. Inspection reports include judgements on self-assessment and the self-assessment report. During the inspection the self-assessment report will continue to provide CQC inspectors with crucial evidence to support judgements about the Essential Standards of Quality and Safety’s main aspects, the contributory grades for equality and diversity, safeguarding and the provider’s capacity to improve. Inspectors will use the report to assess risk, monitor standards and plan for inspection. Where subject areas are to be inspected, the report will help the lead inspector select the areas to inspect. Findings during the inspection will be compared with those in the self-assessment report, and a conclusion reached on the accuracy of those judgements. Judgements on the accuracy and use made of the self-assessment report contribute to the grade awarded for the provider’s capacity to make and sustain improvements. A provider that is judged to be outstanding in this area will have a self-assessment report that is highly accurate. The process of self-assessment will be comprehensive and inclusive. It will be used very effectively to secure sustained improvements in all aspects of the provider’s work. A provider that is judged to be good in this area will have a self-assessment report that is largely accurate. The process will be thorough and used well to secure improvements in most aspects of the provider’s work. A provider that is judged to be satisfactory in this area will use self-assessment well to identify most of the provider’s strengths and weaknesses and bring about improvements. A provider judged to be inadequate in this area may be one where quality improvement and self-assessment do not lead to demonstrable improvements. After inspection you must review and update your plans to take account of the inspection findings. Providers are required to set out clearly what actions are needed and to link this explicitly to the inspection findings within two months of the publication of the inspection report.

Pharmacology Personal Statement †Secret Tips Exposed Essay Example

Pharmacology Personal Statement – Secret Tips Exposed Essay Pharmacology is a particular branch of medicine that studies the uses, effects and numerous actions of drugs. Students who are learning this complex field of medicine are responsible for understanding the side effects of drugs and also why modes of actions of drugs are different for different individuals. Seeking a higher degree in this field has become quite competitive these days. However, you can surpass the competition and get into the University of your Choice by writing winning pharmacology personal statement. A personal statement is an admission essay that demonstrates who you are as a person, why you pursue a particular field and what you hope to accomplish. A personal statement is accompanied by an admission application. Admission officers expect compelling statements from the applicants to see which applicants are best suited for their university. Even if you have not-so-compelling educational background, you can still get into your dream academia by creating an interesting statement. Make a long list of your personal traits or qualities that you think will make you a first-rate pharmacologist and a valuable add in the pharmacology community. For example, a pharmacologist must needs to be a detail-oriented person. Determine what motivated you to study drugs. Remember that the admission department will be very curious to learn more about you. Therefore, you have to clearly define your passion for this field within the capacity of the statement. It is recommended that one should clearly define his/her motivation at the opening of the statement. As it will help the applicant to grab the attention of the admission department right from the introduction. By including motivation or personal stories in the statement your essay will deemed as an authenticate piece, thus attracting more attention of the admission department. Explore the website of the university that you are applying to. Examine the requirements for the admission and go through their curriculum carefully. Analyze the programs or special courses that are offered by them. Different universities offer different courses so examine the website of each university carefully to learn more about them. Customize each statement according to the preferences of each university. Keep editing the draft of the personal statement and see what necessary elements still need to be included in the statement. Keep the length of the statement in line with the given length requirement. We will write a custom essay sample on Pharmacology Personal Statement – Secret Tips Exposed specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Pharmacology Personal Statement – Secret Tips Exposed specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Pharmacology Personal Statement – Secret Tips Exposed specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Let us take a look at some do’s and don’ts of writing winning personal statement Don’t Use any irrelevant details in the statement such as personal religious or political views. Be tempted to use unnecessary humor. It is suggested that a pharmacology personal statement should avoid any humor. Lie while hoping to impress the reader. Be honest. Use quotes unless if it is very necessary. Hesitate to use pharmacology jargons however keep it to a minimum. Do Make sure that you make a copy of the statement for future reference. Make sure that the personal statement is immaculate.

The Moon Essays (642 words) - Observational Astronomy, Lunar Science

The Moon Essays (642 words) - Observational Astronomy, Lunar Science The Moon The moon The moon is the only natural satellite of Earth. The moon orbits the Earth from 384,400 km and has an average speed of 3700 km per hour. It has a diameter of 3476 km, which is about that of the Earth and has a mass of 7.35e22 kg. The moon is the second brightest object in the sky after the sun. The gravitational forces between the Earth and the moon cause some interesting effects; tides are the most obvious. The moon has no atmosphere, but there is evidence by the United States Department of Defense Clementine spacecraft shows that there maybe water ice in some deep craters near the moon's North and South Pole that are permanently shaded. Most of the moon's surface is covered with regolith, which is a mixture of fine dust and rocky debris produced by meteor impact. There are two types of terrain on the moon. One is the heavily cratered and very old highlands. The other is the relatively smooth and younger craters that were flooded with molten lava. Throughout the 19th and 20th centuries, visual exploration through powerful telescopes has yielded a fairly comprehensive picture of the visible side of the moon. The hitherto unseen far side of the moon was first revealed to the world in October 1959 through photographs made by the Soviet Lunik III spacecraft. These photographs showed that the far side of the moon is similar to the near side except that large lunar maria are absent. Craters are now known to cover the entire moon, ranging in size from huge, ringed maria to those of microscopic size. The entire moon has about 3 trillion craters larger than about 1 m in diameter. The moon shows different phases as it moves along its orbit around the earth. Half the moon is always in sunlight, just as half the earth has day while the other half has night. The phases of the moon depend on how much of the sunlit half can be seen at any one time. In the new moon, the face is completely in shadow. About a week later, the moon is in first quarter, resembling a half-circle; another week later, the full moon shows its fully lighted surface; a week afterward, in its last quarter, the moon appears as a half-circle again. The entire cycle is repeated each lunar month, which is approximately 29.5 days. The moon is full when it is farther away from the sun than the earth; it is new when it is closer. When it is more than half-illuminated, it is said to be in gibbous phase. The moon is waning when it progresses from full to new, and waxing as it proceeds again to full. Temperatures on its surface are extreme, ranging from a maximum of 127 C (261 F) at lunar noon to a minim um of -173 C (-279 F) just before lunar dawn. The Harvest moon is full moon at harvest time in the North Temperate Zone, or more exactly, the full moon occurring just before the autumnal equinox on about September 23. During this season the moon rises at a point opposite to the sun, or close to the exact eastern point of the horizon. Moreover, the moon rises only a few minutes later each night, affording on several successive evenings an attractive moonrise close to sunset time and strong moonlight almost all night if the sky is not clouded. The continuance of the moonlight after sunset is useful to farmers in northern latitudes, who are then harvesting their crops. The full moon following the harvest moon, which exhibits the same phenomena in a lesser degree, is called the hunter's moon. A similar phenomenon to the harvest moon is observed in southern latitudes at the spring equinox on about March 21.

Customer attitude towards change in brands' ownership in the Literature review

Customer attitude towards change in brands' ownership in the automotive industry and how it affects car purchase intentions - Literature review Example The paper tells that with the continued elevation of completion within the current global marketplace because of globalization, introduction of new products has turned out to be a highly risky venture. One factor facilitating such high levels of risk is the implausible high cost of creating brands for product (new products), which can exceed 100 million dollars in some cases. Thus, firms are resulting into line extensions, brand extensions, as well as other new strategies of products, which allow their leveraging of the existing trademark equity with their relatively new products as a measure of minimizing the brand associated risks. Due to the increasing alarming studies about the possible harmful impacts of these, family brands’ extensions, the marketers’ attention has been captured by some recent new approaches. One such approach is the alliances of brands, which this paper seeks to examine in the automobile industry. In the present competitive world, brand alliances are often chosen as strategic options, which assume a diversity of forms ranging from simple advertising to ingredient branding. Some prominent illustrations of such collaborations of brands are evident across the daily life of consumers and spans diverse industries such as high technology, airlines, automobile industry, services, fast moving consumer products, as well as the fashion industry. In marketing, an attitude is a general assessment of products or services created over time. Attitude satisfies personal motives as well as affects buying and shopping habits of the consumers. Consumer attitudes compose of the consumers’ beliefs, behavioral intentions, and feelings about a product or service. This is within the marketing context, usually a retail or brand store. Beliefs, behavioral intentions, and feelings about a product are considered together as they are interdependent. They also represent the forces influencing the way in which consumers react towards an object. Th e consumer attitudes are an advantage as well as an obstacle to a marketer. Selecting to ignore or discount attitudes of the consumers concerning car brands in the development of marketing strategies guarantees less successful of the whole campaign. The perceptive marketers control their attitudes’ understanding in order to predict the consumers’ behavior. Such well-informed marketers understand the exact ways of distinguishing the variations between attitudes, beliefs, and behaviors while controlling all the three in development of effective marketing strategies. Most of the brand alliances or M&A occur between firms from the same nation and across international borders as well as between transnational brands as shall be seen in the automotive industry, which has witnessed a number of mergers and acquisitions. Such transnational alliances of brands allows business entities the permit of marketing as well as learning beyond their domestic scale markets, while maintaini ng high levels of domestic responsiveness. Both parties involved in brand alliance accrue benefits via increasing the rate of success for the product offering in the local markets while strengthening their local brands. This is realized via foreign investment and technology transfer between the alliance partners. However, the successfulness of such brand alliances must consider the attitudes of the customers in the target markets as these determine their effectiveness. The purpose of this paper is to examine the alliances in the automotive industry. The emphasis is on examining the attitudes of the customers towards the increasing M&A in this industry as well as its impacts on their intentions of purchasing cars. The objective is determination of the relationship existing between the behavior and attitudes of the

Pornography criminalization Essay Example | Topics and Well Written Essays - 1000 words

Pornography criminalization - Essay Example The CNN article is just one of many that are published each year about pornography within the United States. 1. Fully Criminalize Pornography. Outlawing pornography would mean removing pornographic material from computers, TVs, magazines, sexy videos and posters; Outlawing pornography is speculated to increase the incidents of sex crimes. The pornographic material and production would go underground and the production of the material might be done by "much nastier people than those who run it now" (Micklethwait, p1). Pornography has been deemed by many as dangerous to women because it promotes sexual violence against women (Corbin, 1-5). Outlawing pornography is argued to help women regain control over their bodies. Pornography that contains fantasies of rape may lead to the fantasy being acted out in the form of an actual rape. This may bring an unintended message that "sex is bad and only men should be interested in it" (Corbin, 3). The negative aspects of pornography are many. There has been "mounting evidence from teachers, social workers, probation officers, doctorsthat there is a link between scenes of violence depicted on TV, Video, and films, and human behavior."(Munday, 1) According to Munday many people feel that "freedom of expression has gone to0 far" (Munday, 1). The desire to have pornography banned has been met with opposition that asserts that banning it would a violation of the first amendment right to free speech. On the other hand it has been argued that pornography violates a woman's civil rights (MacKinnon, 1). MacKinnon further argues that "pornography is a political practice of power and powerlessness" (MacKinnon, 2). Conservatives continue to argue that pornography degrades women and uses them only as sexual objects that need to be controlled (Pornography and Ethics, 3). Some would argue that the viewing of pornography does little or no harm but one only need recall recent news that reported a young American boy who hung himself after viewing the execution of Saddam Hussein over and over on national TV. "We're theorising he tried to experiment or mimic the behaviour and it got out of control" (CNN, January 5, 2007 - 7:49AM) People are affected by what they see in what ever format it appears. Their behavior is a result of their environment and what they are exposed to. When is comes to pornography, where is the line drawn that protects our freedoms and does no harm. 2. Fully Legalize Pornography. Some liberals argue that pornography is mostly low value content designed to produce sexual arousal and contains speech of little value intellectually and does not need protecting (Pornography and Censorship, 5). Proponents of legalized pornography argue that to further censure pornography would have chilling repercussions in the publication or showing of other materials such as valued literary, artistic, and political works. They question how to define pornography and argue that any definition would also exclude other materials as stated above. Criminalizing pornography would act to suppress future works because the artists, writers, etc who "would fear that their works would be construed as pornography and thus not publish out of fear they would be prosecuted" (Pornography and Censorship, 8-9). The ACLU (American Civil Liberties Union) president

An equal opportunity of Homosexuality through history Essay

An equal opportunity of Homosexuality through history - Essay Example isms, the homosexual community is often described as marginalised and vulnerable since they are at high risk of coping with psychosocial problems in relation to both actual and anticipated reactions of fear from the people around them. The homosexuals may be also prone to harassment, physical and verbal attacks, and the risk of being exposed to having an HIV infection, and STD particularly for the male homosexuals (Clermont & Durand, 1997, p.8). This paper seeks to discuss an issue concerning homosexuality particularly with regard to the health and social care of homosexuals. Furthermore, this seeks to evaluate the impact of historical and contemporary beliefs of homosexuality from an anti-heterosexist perspective. Empirical studies on homosexuality only began in the late 20th century regardless of the number of case studies and theoretical writings conducted particularly with regard to its treatment (Morin, 1977, p.630). Contemporary beliefs on gays and lesbians were greatly changed and influenced due to the pioneering studies that centered on homosexuality. Among the most influential of these pioneering studies were probably those of Martin, Kinsey, and Pomeroy whose works have demonstrated the extensive presence of homosexual behaviour contrary to what most people previously believed in (1948 cited in Morin, 1977, p.630). In the early times, most psychologists and psychiatrists believed that homosexuality is associated to a mental disorder (McConaghy, 1993, p.127). Other scholars considered it as a symptom of emotional disorder while others regard it as one of the severe disorders of intelligence and personality (Hooker, 1957; Curran, et al., 1980 cited in McConaghy, 1993, p.127). These beliefs, however, may imply a liberal approach or attitude toward homosexuality considering that its long history of moral and legal beliefs was perceived to be as unnatural and criminal. Above all, its existence in traditional societies is usually cited as the common

Sickle Cell Anemia And Hemophilia Biology Essay

Sickle Cell Anemia And Hemophilia Biology Essay Abstract In the following paper, sickle cell anemia and hemophilia disorders were studied extensively. Sickle cell anemia was found to be the disorder where the red blood cells develop into sickle shaped cells due to a mutation of the hemoglobin protein. When the cell becomes sickle shaped, they also become sticky and will clump with other cells in the blood vessel. This can lead to decrease blood flow in that blood vessel which will lead to various effects. Sickle cell anemia is a hereditary disease in that it is passed down generations genetically. The main effect of sickle cell anemia is the decrease in number of red blood cells in the blood and lack of oxygen transport to certain areas of the body. Though are many drugs to help with the pain caused by sickle cell anemia, there is no definitive cure to the disorder. However, the main type of treatment is bone marrow transplant. However this procedure is very risky and not advised unless the symptoms of sickle cell anemia are severe. There is much research being done on sickle cell anemia, but no definitive cure has been found. The life expectancy of patients with sickle cell anemia is from 40 -60 years old and majority of the patients are African descent. Hemophilia is the disorder that prevents the body to stop bleeding. If a person is cut, the body will not form clots to stop the bleeding because people with hemophilia lack a clotting factor. This is also a genetic disorder and is found only on the X chromosome. Hemophilia can be divided into two categories: hemophilia A (lacks clotting factor 8) and hemophilia B (lacks clotting factor 9). About 9 out of 10 people who have hemophilia have type A. Rarely, hemophilia can be acquired. This means that you can develop it during your lifetime. About 18,000 people in the United States have hemophilia. Each year, about 400 babies are born with the disorder. Hemophilia usually occurs only in males (with very rare exceptions). The major signs and symptoms of hemophilia are excessive bleeding and easy bruising. The main treatment for hemophilia is called replacement therapy. Concentrates of clotting factor 8 or clotting factor 9 are slowly dripped in or injected into a vein. These infusions he lp replace the clotting factor thats missing or low. Hemophilia treatment centers are located in many areas of the United States. These centers can provide treatment, education, and support to hemophilia patients, their families, and their health care providers. Sickle Cell Anemia What is Sickle Cell Anemia? Sickle Cell Anemia or sickle cell disease is a blood disorder that is genetic. This disorder affects the red blood cells of the human body and can cause much damage to the body. It causes the red blood cells of the body to become an abnormal shape, usually in the shape of a sickle or crescent. Red blood cells are cells that carry nutrients and oxygen to different organs in the body and carry carbon dioxide back to the lungs. However, Sickle Cell Anemia basically does not allow for the red blood cells to act normally. The way a red blood cell is able to carry the oxygen molecules to the organs is by a protein molecule located on the cell called hemoglobin. This molecule is able to carry oxygen from the lungs to the bodys tissues and return carbon dioxide to the lungs. A defect of this molecule can affect every part of the body that is supplied oxygen by red blood cells which is everything. In Sickle Cell Anemia, the regular hemoglobin is mutated and changes from the normal hemoglobin A to hemoglobin S. the ability for a protein to be mutated that is located on the red blood cells means that this mutation can will be passed down to the persons child, making this disease hereditary. The mutated hemoglobin causes the entire normal red blood cell to become sickle shaped and stickier. The abnormal cells begin to clump together and have a difficult time being transported throughout the body through the blood vessels. When the blood vessels become obstructed by the sickle cells, blood flow decreases in that part of the body. This will cause a lack of oxygen in those areas which, ultimately, leads to those cells death. Another characteristic of Sickle Cell Anemia is that the abnormal red blood cells have a shorter life expectancy. Normal red blood cells usually live up to 120 days and through a process called phagocytosis they are removed from circulation. However, the red blood cells infected with the sickle cell disease live only about 10 to 20 days. This means that the body needs to produce ten times as many red blood cells if the person has Sickle Cell Anemia than a normal person. However, the body cannot produce that many red blood cells that fast. Red blood cells are produced in bone marrow, located in the inner hollow interior portion of bones, by a process called erythropoiesis. The bone marrow cannot produce red blood cells fast enough to replace the dying ones. This will lead to decreased number of red blood cells which can lead to many side effects. Causes of Sickle Cell Anemia Sickle Cell Anemia is a type of disease that someone cannot get unless if they were born with it. This disease is an inherited blood disorder that one is born with. A person is born with genes that give him/her distinctive appearance and personality. They get these genes from their parents, half from each. In Sickle Cell Anemia, there is a specific gene that can be passed down generation which will cause the disorder. This gene, sickle cell gene (HbAS), is a recessive type of gene which means that unless there is another one of it, it will not be expressed. However, that gene will be part of them forever and there will be a 50% chance that their child will have that gene. However, if two people with the sickle cell gene have a child, then there will be a 25 % chance that there child will have the disorder, 50% chance that their child will have only sickle cell gene, and 25% their child will have zero copies of the sickle cell gene. This gene which represents a specific trait will cause the Sickle Cell Anemia. Once the person has the trait, then it will begin to cause the body to make abnormal proteins on the red blood cells called hemoglobin. As discussed earlier, the mutated form of hemoglobin causes the cell to become sickle shaped and cause all sorts of havoc in the body. In addition, a distinctive trait about Sickle Cell Anemia is that once someone gets it, there is no way to get rid of it. Also since this is a genetic disease, there can be different variations of the disease. If a person inherits one sickle cell trait and if the person has the abnormal hemoglobin C (not hemoglobin S which is present in Sickle Cell Anemia), then the person will develop a milder form of the Sickle Cell Anemia disease called HbSC. If a person inherits one sickle cell gene and one gene for beta thalassemia (another type of anemia) which can be 0 or + then the person will either severe case of Sickle Cell Anemia (if HbS Beta 0- thalassemia) or a milder case of it (if HbS beta +-thalassemia). Symptoms of Sickle Cell Anemia Even though that people are born with Sickle Cell Anemia, the symptoms do not appear until after 4 months of age. The symptoms of Sickle Cell Anemia can be divided into three categories: symptoms related to anemia, symptoms related to pain, and symptoms that arise due to disorder. The first category deals with how the lack of red blood cells can affect the body. The most common symptom is fatigue because in order for the body to function and stay alert, it needs oxygen which is what anemia decreases. In addition, anemia causes dizziness, headaches, pale skin, chest pain, coldness in the hands and feet, and shortness of breath. These are all caused by the lack of oxygen reaching certain areas of the body. The second category deals with symptoms that are related to pain. A person with Sickle Cell Anemia is likely to express pain throughout their body which is called sickle cell crisis. This occurs when there is a mass of sickle cells in the blood vessels. With decreased blood flow to organs and limbs, there is usually sharp pain and organ damage. This crisis also has a range on how painful the pain is. If it is an acute pain, then the pain will be mild to severe and may last from hours to days. On the other hand, chronic pain will last for a lot longer period of time and will be hard to bear and mentally draining. This pain may severely limit your daily activities. The final category deals with the complications of Sickle Cell Anemia. This category examines certain complications that arise in certain areas of the body due to the Sickle Cell Anemia. The first complication is called Hand-Foot Syndrome. This occurs when the mass of sickle cells block a blood vessel in the limbs of the body. This will cause there to be pain, swelling, and/or fever. This is syndrome is one of the first signs an infant may have Sickle Cell Anemia. The next complication arises in the spleen. The spleen filters out abnormal red blood cells and helps fight infections. If a person has Sickle Cell Anemia, the spleen may become enlarged due to all of the sickle cells getting stuck in the spleen. If the spleen becomes enlarged, then the person will feel weak, have pale lips, higher respiration rate, extreme thirst, and abdominal pain. To treat the enlarged spleen, the patient should get a blood transfusion. Another complication that can occur is infections. Since Sickle Cell Anemia affects the immune fighting organ, the spleen, both young and old patients will have a hard time fighting infections. Young children who have a damaged spleen will most likely die in a few days due to the infections. Some common infections a child may get are pneumonia, meningitis, influenza, and hepatitis. Another life threatening complication due to Sickle Cell Anemia is acute chest syndrome. This occurs when there is sickle cells trapped in the lungs which may lead to the patient developing pulmonary arterial hypertension. This is when the lungs are damaged which make it hard for the heart to pump blood through the lungs. This will lead to elevated heart rate and pressure. A complication that is common with children is their delayed growth and puberty. This is caused by the shortage of red blood cells in the body. Young children will grow slower and reach puberty later than normal children. Adults will be thinner and smaller than normal adults. A more serious complication that can arise in adults however, is a stroke. Sickle Cell Anemia can cause both types of strokes in adults: a blood vessel in the brain is blocked or a blood vessel bursts. Both types of strokes lead to learning disabilities, brain damage, paralysis, or even death. Sickle Cell Anemia can also lead to priapism. This is when a male Sickle Cell Anemia patient will have painful unwelcomed erections. This will occur because the sickle cells block the blood flow out of an erect penis. Since sickle cells have a shorted life span, they break down too fast for the body to remove them from the body. When a red blood cell dies, it will release the hemoglobin protein in the form of bilirubin. The bilirubin will form stones in the gallbladder called gallstones. This will cause the patient to feel pain, nausea, vomiting, fever, sweating, chills, clay-colored stools, or jaundice. Jaundice is when the skin color of a patient turns to a yellowish color because of elevated bilirubin level in the blood. A more severe symptom of Sickle Cell Anemia are ulcers or sores that begin as small, raised, crusted sores on the lower third of the leg. Leg sores occur more often in males than in females. These sores usually appear between the ages of 10 and 50. The cause of sickle cell ulcers isnt clear. The number of ulcers can vary from one to many. Some heal quickly, but others persist for years or come back after healing. The last major complication of Sickle Cell Anemia is multiple organ failures. This may be one of the more rare complications but is one of the most dangerous. If too many of your organs fail, then there is a high probability that you will die. Though only a few of the symptoms of Sickle Cell Anemia have been presented, there are many more which can lead to serious damage to the body if gone unattended. Demographics Though Sickle Cell Anemia is a worldwide disease, it is most common in people who come from Africa, South America, Central America, specifically panama, the Caribbean islands, Turkey, Greece, Italy, other Mediterranean countries, India, and Saudi Arabia. Statistically, 1 in every 500 African American births has the sickle cell disease and about 1 in every 1,000 Hispanic Americans have the disease. About 2 million people carry the sickle cell trait in America and about 1 in 12 African Americans carry the trait in America. There have been close to 72,000 cases of Sickle Cell Anemia in America and the prevalence rate in America is 0.10% or 272,000 people. The deaths from Sickle Cell Anemia are close to 500 deaths per year. Diagnosis One way someone can find out if they have Sickle Cell Anemia is by a simple blood test. When a baby is born, he/she will go through a series of newborn screening exams which test for diseases or disorders the baby may have. A blood test will show if the baby has the disease or if he/she has only the trait. Once the tests are conformed by a second test, the baby will be sent to a hematologist who is a specialist in blood diseases and disorders for further guidance. There is also a way for a parent to know if their child will have sickle cell anemia before he/she is born. Doctors do this by taking a sample of amniotic fluid or tissue from the placenta and testing it for sickle cell anemia gene instead of the hemoglobin the gene makes. Treatment Treatment for sickle cell anemia can be divided in to the three categories that were created for the different types of symptoms. The first category was the pain category. To treat the pain caused by sickle cell anemia, pain killers and fluids are used. To treat the pain, fluids and pain killers are used because the fluids will prevent dehydration which is caused by the disease. The pain killers that doctors prescribe can include acetaminophen, nonsteroidal anti-inflammatory drugs, and narcotics which include meperidine, morphine, oxycodone and others. Another drug that doctors use for sickle cell anemia is hydroxyurea. This drug will reduce the number of pain crises the patient experiences. This drug does not treat the pain crises when they occur but prevents them from occurring at all. Also research has found that this drug will reduce organ damage and improve growth of children. The treatment discussed in the next category, symptoms that deal with Anemia, can help treat anemia. The treatment is called blood transfusion and is used to treat severe cases of anemia. Blood transfusion is a procedure where blood is given to the patient by an intravenous line. This is done to replace the dead red blood cells that were a result of the disease. The last category dealt with complications that arise due to sickle cell anemia. One complication that can be treated is an infection. Due to the reduced number of red blood cells, the human immune system is weakened and children will be at risk for harmful infections. One infection that usually kills children is pneumonia. To treat pneumonia, children should take vaccines regularly. Also to treat other infections, antibiotic medicines and blood transfusion may be used. To treat the acute chest syndrome that arises from sickle cell anemia, the patient must get treated with oxygen, blood transfusions, and antibiotics. The main medication for this complication is the same one that reduces the number of pain crises, hydroxyurea. To prevent and treat patients with sickle cell anemia that experience strokes, the patient should get ultrasound scans of their heads. This will allow the doctor measure the blood flow to the brain see if there are any complications due to the sickle cell disease. The ulcers in the leg can be treated with pain killers, cleansing solutions, creams or ointments, and skin grafts (for severe ulcers). And lastly, to treat the gallstones, surgery may be needed to remove them from the gallbladder. Surgery can also be used to help patients that have priapism. Since the discovery of sickle cell anemia, doctors have been working hard to find new treatments for the disease. In recent years, there have been new and experimental treatments that help patients with the disease. One of these treatments is bone marrow transplant. Since the sickle cell anemia affects the red blood cell production, it was thought that replacing the material the produces the cells may help people with the disease. After numerous trials, it has been shown that bone marrow transplant is somewhat of a cure. However, the procedure is very dangerous and lead to serious side effects or even death. Due to this risk, only young patients and people with significant symptoms or problems get the treatment. The procedure is still being researched. Another experimental treatment is gene therapy. Gene therapy is when researchers insert the normal gene for hemoglobin creation into the bone marrow of infected patients. Researchers hope that the normal genes will begin to produce the correct hemoglobin or if they can cancel the sickle cell gene by turning it off in babies. In addition, researchers are producing new drugs that may help patients. On drug has butyric acid in it which can increase the amount of normal hemoglobin in the blood. Another drug has nitric oxide in it which makes the actual sickle cells less sticky which will lead to less blocked blood vessels. The final drug contains decitadine. This will increase the amount of certain hemoglobin protein that carries more oxygen. Though there are many drugs that seem that they will work, there still more research to be done. Research Due to the severity of sickle cell anemia, there are many doctors working hard to find a definitive cure. One research that may help with finding a cure dealt with the prevalence of pulmonary hypertension in adults with sickle cell disease. The research group studied the mechanism of its development, and its prospective prognostic significances. They performed Doppler echocardiographic assessments of pulmonary-artery systolic pressure in 195 consecutive patients (82 men and 113 women with the average age of 36). The pulmonary hypertension was prospectively defined as a tricuspid regurgitant jet velocity of at least 2.5 m per second. Patients were followed for a mean of 18 months, and data were censored at the time of death or loss to follow-up. The group reached the following results. They determined that the Doppler-defined pulmonary hypertension occurred in 32 percent of patients. Multiple logistic-regression analysis, with the use of the dichotomous variable of a tricuspid regurgitant jet velocity of less than 2.5 m per second or 2.5 m per second or more, identified a self-reported history of cardiovascular or renal complications, increased systolic blood pressure, high lactate dehydrogenase levels (a marker of hemolysis), high levels of alkaline phosphatase, and low transferrin levels as significant independent correlates of pulmonary hypertension. The fetal hemoglobin level, white-cell count, and platelet count and the use of hydroxyurea therapy were unrelated to pulmonary hypertension. A tricuspid regurgitant jet velocity of at least 2.5 m per second, as compared with a velocity of less than 2.5 m per second, was strongly associated with an increased risk of death and remained so after adjustment for other possible ri sk factors in a proportional-hazards regression model. They came to the following conclusions. They believed that the pulmonary hypertension, diagnosed by Doppler echocardiography, is common in adults with sickle cell disease. It appears to be a complication of chronic hemolysis, is resistant to hydroxyurea therapy, and confers a high risk of death. Social Impact Though many believe that living with sickle cell anemia is impossible, that is not true. The infected people can live like any other person with just a few deviations. The only negative thing about living with sickle cell anemia is that the life expectancy is between 40 and 60 years old. However a person can live longer if they maintain a healthy lifestyle, control the complications that arise from the disease, and if they learn the correct ways to cope with the pain. A healthy life style means you eat healthy foods or foods that contain certain vitamins that may help your body cope with the disease. An example of a vitamin would be folic acid. Also doctors advise patients to drink plenty of water so he/she wont become dehydrated. To help prevent and control the complications of sickle cell anemia, the patient needs to follow certain instructions and warnings. Some of these instructions and warnings include avoiding decongestants and drugs that tighten blood vessels. Also the patient should avoid living in extreme hot and cold areas or in low oxygen level areas (well above sea level cities). Also doctors recommend that the patient avoid or reduce stress in their life and to avoid jobs that require a lot of physical labor. In addition, the patient should get all of the vaccines and flu shots that are available. Though following doctors recommendations will help a patient, learning and studying different treatments and lifestyle choices on their own can help them a lot. If a patient reads about sickle cell anemia, they will be better equipped to deal with symptoms and complications that may arise. If you or someone in your family has sickle cell anemia, you may want help with the stresses of this lifelong disease. Sickle cell centers and clinics can provide information and counseling. Ask your doctor or the staff at a sickle cell center if there are support groups for families in your area. Talking with others who are facing the same challenges you are can be helpful. Its especially important to find ways to control and cope with pain. Different techniques work for different people, but it might be worth trying heating pads, hot baths, massages or physical therapy. Prayer, family and friends also can be sources of support. If you have a child with sickle cell anemia, learn as much as you c an about the disease and make sure your child gets the best health care possible. A child with sickle cell disease has special needs and requires regular medical care. Your doctor can explain how often to bring your child for medical care and what you can do if he or she becomes ill. Conclusion Sickle cell anemia is a significant disease that must be addressed immediately. The number of people that know about sickle cell anemia is alarmingly low and that must change. People must become aware of the dangers of this disease and must do everything in their power to help prevent it from spreading. This disease can lead to death in infants, children, teens, and adults. It is also a worldwide disorder that needs more attention. This disease, which is genetically passed down to people, needs more people researching it and trying to find cures to. Though there are many doctors hard at work to find a cure, there can be so much more that can be done. Though there is a group of people unaware of this disease, it does not mean the work already done should be neglect. Through the hard work of doctors, we have been able to find almost every symptom of sickle cell anemia and how to treat most of the symptoms. To find a cure for sickle cell anemia, everyone must do their part and help in some way. Hemophilia What is Hemophilia? Hemophilia is a blood disorder that prevents your blood to clot normally. When the body experiences an injury where the person begins to bleed, the body reacts in a very unique manner. Blood is a liquid membrane that is composed red blood cells, white blood cells, and platelets. The purpose of the blood is to transport nutrients and oxygen from the lungs to different areas of the body and to transport carbon dioxide and waste from those areas back to the lungs. Blood also serves as a transport system for white blood cells which are part of the immune system and fighters of the immune system. However, blood also serves as a clotting mechanism. In order for the body to clot an injury, platelets must be able to stick together at the injury site. This stickiness is called the blood clotting factor. Hemophilia is a disorder that causes people to have little to none clotting factor. Hemophilia is usually an inherited disease which does not allow your blood to clot externally or internally. People with hemophilia will have a gene that will cause the clotting factor, a protein, to not work properly which will cause the patient to keep bleeding. The clotting factor is needed to form clots with platelets. Hemophilia can be divided into two major types: hemophilia A or hemophilia B. about 9 out of 10 people who have hemophilia will have type A hemophilia which means the body is missing or has low levels of clotting factor 8. If the person has type B, then they are missing or have low levels of clotting factor 9. In addition, hemophilia is usually genetically acquired but some can develop hemophilia during their lifetime. This can happen if your body forms antibodies (proteins) to the clotting factors in your bloodstream. The antibodies can prevent the clotting factors from working. Causes of Hemophilia A person usually inherits hemophilia but as discussed earlier, they can develop hemophilia during their lifetime. If a disease is inherited, then that means the parents of the patient will also have the gene for the disease. In the case of hemophilia, the gene for hemophilia is located on the X chromosome. Females have two X chromosomes, while males have one X and one Y chromosome. Only the X chromosome carries the genes related to clotting factors. A male who has the abnormal gene on his X chromosome will have hemophilia. A female must have the abnormal gene on both of her X chromosomes to have hemophilia; this is very rare. A female is a carrier of hemophilia if she has the abnormal gene on one of her X chromosomes. Even though she doesnt have the condition, she can pass the gene on to her children. If a father does not have the hemophilia trait but the mother does have only one copy of the gene and they have 2 daughters and 2 sons, then each daughter has a 50 percent chance of inheriting the abnormal gene from her mother and being a carrier. Each son has a 50 percent chance of inheriting the abnormal gene from his mother and having hemophilia. However if the father has hemophilia and the mother has neither hemophilia or the hemophilia trait and they have 2 daughters and 2 sons, then each daughter will inherit the abnormal gene from her father and be a carrier. None of the sons will inherit the abnormal gene from their father, and, therefore, none will have hemophilia. Very rarely, a girl is born with hemophilia. This can happen if her father has hemophilia and her mother is a carrier. In addition to the genes that cause hemophilia, there are other factors that may cause it. One factor is the type of clotting factor that the person is missing. If the person has hemophilia A, then the person lacks clotting factor 8. If the person has hemophilia B, then the person lacks the clotting factor 9. Finally, if the person has Hemophilia C which is rare in the United States, then person has a different inheritance pattern and lacks clotting factor 9. Symptoms of Hemophilia The main symptom of hemophilia is excessive bleeding externally and internally. The extent of bleeding depends on the type and severity of the hemophilia. Children who have mild hemophilia may not have symptoms unless they have excessive bleeding from a dental procedure, an accident, or surgery. In addition, the symptoms of hemophilia vary depending on how deficient your clotting factors are. If levels of your deficient clotting factor are very low, you may experience spontaneous bleeding. If levels of your deficient clotting factor are slightly to moderately low, you may bleed only after surgery or trauma. If you bleed spontaneously then you have the following symptoms: many large or deep bruises, joint pain and swelling caused by internal bleeding, unexplained bleeding or bruising, blood in your urine or stool, and prolonged bleeding from cuts or injuries, or after surgery or tooth extraction. Bleeding in the knees, elbows, or other joints is another common form of internal bleeding in people who have hemophilia. This bleeding can occur without obvious injury. At first, the bleeding causes tightness in the joint with no real pain or any visible signs of bleeding. The joint then becomes swollen, hot to touch, and painful to bend. Swelling continues as bleeding continues. Eventually, movement in the joint is temporarily lost. Pain can be severe. Joint bleeding that isnt quickly treated can permanently damage the joint. Internal bleeding in the brain is a very serious complication of hemophilia that can happen after a simple bump on the head or a more serious injury. The signs and symptoms of bleeding in the brain include long-lasting, painful headaches or neck pain or stiffness or convulsions or seizures. Demographics Hemophilia affects 1 in 5,000 male births. About 400 babies are born with hemophilia each year. The exact number of people living with hemophilia in the United States is not known. Currently, the number of people with hemophilia in the United States is estimated to be about 20,000. In the United States, most people with hemophilia are diagnosed at a very young age. Based on CDC data, the median age at diagnosis is 36 months for people with mild hemophilia, 8 months for those with moderate hemophilia, and 1 month for those with severe hemophilia. In about two thirds of cases, there is a family history of hemophilia. The diagnosis of hemophilia is made using a special blood test and most babies can be tested soon after birth. Sometimes prenatal genetic testing is done to diagnose hemophilia before birth. Treatment Though, like sickle cell anemia, there is no definitive cure for hemophilia, there are many treatments that help people cope with the disease. However, the treatments people get is based on the severity of the disease. However there is main treatment for hemophilia; it is called replacement therapy. In this therapy, the missing clotting factor is injected into the body intravenously to replace the clotting factor. Though this treatment sounds good, there is a drawback, the patient has to continuously take injections of the therapy to prevent bleeding. Antifibrinolytic medicines (including tranexamic acid and aminocaproic acid) may be used with replacement therapy. Theyre usually given as a pill, and they help keep blood clots from breaking down. Another complication to this treatment is that the body may develop antibodies that act against the new clotting factor or there might be damage to joints, muscles, or other parts of the body resulting from delays in treatment. Antibodies can destroy the clotting factor before it has a chance to work. This is a very serious problem. It prevents the main treatment for hemophilia (replacement therapy) from working. Antibodies to clotting factor, also called inhibitors, develop in about 20 percent of people who have severe hemophilia A and 1 percent of people who have hemophilia B. When antibodies develop, doctors may use larger doses of clotting factor or try different clotting factor sources. Sometimes, the antibodies go away. Desmopressin (DDAVP) is a man-made hormone used to treat people who have mild to moderate hemophilia A. DDAVP isn