Individual Assignment Environmental Fundamentals Paper Essay Example for Free

Individual Assignment Environmental Fundamentals Paper Essay  · How do you define environmental science ?  · How does the relationship between science and technology affect environmental problems and solutions in today’s society?  · Why is the concept of environmental sustainability important, and why should it be studied? What are the historical patterns surrounding sustainable and unsustainable human interactions with the environment?  · In general, how do human values affect sustainability given current challenges facing society? After reviewing the research on the environment, how do environmental hazards affect human health? Provide at least two examples. It is important to remember that college is not all about studying. College is a significant step into adulthood and should be treated as such. While you should not party the night away, do not keep your nose in your books to the point that you do not get to enjoy this time of your life. This work comprises ENV 100 Week 1 Individual Assignment Environmental Fundamentals Paper   General Questions General General Questions Write a 700- to 1,050-word paper in which you discuss the fundamental principles of environment science. In your paper, answer the following questions:  · How do you define environmental science ?  · How does the relationship between science and technology affect environmental problems and solutions in today’s society?  · Why is the concept of environmental sustainability important, and why should it be studied? What are the historical patterns surrounding sustainable an To get this material copy and paste link to browser https://bitly.com/1xptIgO It is important to remember that college is not all about studying. College is a significant step into adulthood and should be treated as such. While you should not party the night away, do not keep your nose in your books to the point that you do not get to enjoy this time of your life. General Questions General General Questions Write a 700- to 1,050-word paper in which you discuss the fundamental principles of environment science. In your paper, answer the following questions:  · How do you define environmental science ?  · How does the relationship between science and technology affect environmental problems and solutions in today’s society?  · Why is the concept of environmental sustainability important, and why should it be studied? What are the historical patterns surrounding sustainable and unsustainable human interactions with the environment?  · In general, how do human values affect sustainability given current challenges facing society? After reviewing the research on the environment, how do environmental hazards affect human health? Provide at least two examples.

What Causes Economic Growth? Institutions or Human Capital?

What Causes Economic Growth? Institutions or Human Capital? Introduction An increasing amount of empirical research has been focused on measuring and approximating the effects of historical variables on the economies of today. There seems to be a chicken or the egg story in the literature: Do political institutions cause economic growth or does economic growth, through human capital, lead to better institutions? There seems to be a gap in the literature around the colonization period concerning human capital and institutions. We would like to add to this debate by researching the period before the colonization, using empirical research. We would like to add to this debate by researching the period beforearound the colonization period: Could it be possible that the human capital people broughtbrought by people to the colonies was gained due institutions in their native countries and that therefore institutions cause better human capital and therefore growth? In this essay we will bring across a simple message: you first need institutions to create human capital, in order to foster growth.? First we will lay the foundation of our theory by discussing empirical works that cover theperiod before the age of imperialism. Then we shall discuss the empirical proof that institutions do cause growth, after which we will analyze refute the human capital side argument. Finally, we will sum up our findings and provide suggestions for further research. Reversal of fortune and the importance of institutions Acemoglu et al. (2003) deliver a detailed analysis on different outcomes of today’s post-colonial countries. It was found that the divergence in economic development that is observable among former colonies is caused by the way the settlers established institutions in the area. Indeed, it is easily seen that regions like North America have shown to perform much better than countries located in Central and Southern America and in other parts of Africa colonized by roughly the same populations. Essentially, in the areas where resources were relatively scarce and population density was low, the pioneers established institutions pretty similar to the ones they had in their homeland, implementing systems of property rights protection that stimulated investments. In areas where resources and indigenous inhabitants were abundant, the settlers created â€Å"extracting institutions†, where their goal was not a long lasting development, but just a depletion of resources. These in stitutions were based on property rights restricted to an enclosed elite that consisted of the European settlers, in which the indigenous population was not included. not of indigenous people but that excluded the indigenous people., who The indigenous peopley were forced to work, mostly in conditions of slavery, in order to yield the highest profit possible. This explains why countries which were prosperous before the colonization, are today performing much significantly worse than countries where institutions were accessible to by all the inhabitants. Therefore, what these findings really show is that human capital is not the ultimate deep cause of eof better institutionsconomic development, but that instead it is the proximate cause., Indeed the true cause of why some colonies thrived and others haven’t ofare institutions and these institutions which supplied the legal foundations, including property rights  being the ultimate cause. More evidence on thisin favor of our thesis is given by Acemoglu et al. (2014), who gathered data about the literacy of the different settlers. They showed that the conquistadores that who colonized South and Central America where much moresubstantially better educated (at least speaking about literacyusing literacy as a proxy for the level of education) than the English settlers colonizing North America. Nevertheless, the latter turned out to be better developed in the future. Acemoglu et al. (2014) finds again that the primethe reason forof this difference is into the kind of institutions that were in place. Besides this explanation, there is another key variable missing; the education these settlers received in their homeland. Institutions and human capital did not come out of the blue, but most of the papers written supporting the human capital argument assume everyone starts off from square one, so to say, when they arrive in the colony. For example, a person educated as an engi neer does not lose his engineering knowledge, once s/he arrives in the colony, like the human capital argument suggest. Furthermore, Acemoglu et al. (2014) show that there is no significant support for the human capital argument that differences in the human capital endowments of colonists have been a crucial factor in the institutional development of these institutions. The way institutions were established by the colonists was deeply influenced by the institutions in their home countries. Especially before those colonies became independent they were legally dependent on their homeland, with roughly the same institutions, the difference being that these institutions were reshaped in order to comply with territorial needs. The new communities established would base their institutions on the ones they were used to in their native country. Of course with time some switched to different systems, but the so-called seed that let the tree grow was coming from somewhere else. And this â₠¬Å"somewhere else† is indeed their country of origin and its institutions. Considerations on the human capital theory In this section we are going to better explain why we consider the claim that human capital is the prime cause of economic development is wrongeconomic growth causes better institutions is inconsistent. In a prominent human capital argument article by Glaeser et al. (2004) the relation between human capital and growth is the point of discussion. The authors claim that countries possessing more human capital in the past performed better than others, independently by which institutions they were established before the introduction of human capital. They affirm that human capital is not caused by institutions, but that instead it causes themhuman capital causes growth and therefore better institutions. Granted, Glaeser et al. (2004) has the same requirement as we propose for growth; property rights. However,We strongly disagree with that view. A population can have as much human capital as they can accumulate, but if it is not pushed to its real potential, it fails to improve a societyà ¢â‚¬â„¢s economic situation. we then wonder how a society can gain human capital, without well-functioning institutions that provide property rights. If that society does not protect property rights or does not give to all its components roughly equal rights, growth will be slower, if not completely absent. people will not invest in human or physical capital, since the payoff of the investment is uncertain. Think about a generic example: if a society does not protect anyone’s property but just the property of a closed elite, outsiders who might have groundbreaking ideas, will probably not get to develop their ideas, given that in this way they might not have the means to do so or they might just not be given the incentive to fulfill their potential. This is exactly what we think has happened in the extracting societies: even if the conquistadores were better (according to the literacy measurements made by Acemoglu et al.) were pretty educated on average, the indigenous popula tion wereas not allowed to participate in the society improvement process or to hold property; instead they were forced to work in conditions of slavery. The opposite happened in North America and we can see how ithistory tells how it turned out: most of the population was composed by emigrants from the Old Continent, whom wereto whom were given the same rights, and even if there were some minorities like the African American who were granted less rights, there were still more people enjoying the benefits of the institutions than in the countriesthe countries where extracting institutions persisted. Further evidence in support of our argumenton this topic is given by Weil (2013): when comparing a country’s wealth with its amount of human capital seen as education, he shows that there is no direct correlation. The difference in wealth is not entirely explained by education. If this was the case, for example, Mozambique would have had 43% of the U.S. GDP (Gross Domestic Product) per worker, but in reality it produces only 1.9% of it. Weil explains this discrepancy using the quality of education, which changes the effect of education on wealth drastically. These differences in quality of schooling are directly related to the institutions present; the students of richer countries learn faster and more effectively, because they are provided better educational facilities and means of learning. Conclusion As we have shown in this brief essay, in order to foster growth potential in the first place, one needs institutions that create and protect property rights. Indeed, we have shown, using empirical research, that human capital is caused by institutions in the first place, which then indirectly causes growth. However, we do not say that human capital cannot feed into the quality of institutions at a later stage, the relation is far more elegant and complex than that, we simply wanted to show that the institutions are the beginning of the story. Furthermore, we think that institutions placed in colonial countries did not directly originate there, but that they were derived from the institutions that were present in the native countries. As a final remark, we strongly urge that more research should be done on the development of institutions and human capital and how they compare to their native country around the colonization period, which has only been treated superficially in the lite rature. References Acemoglu, D., Johnson, S. and Robinson, J. (2002). ‘Reversal of Fortune: Geography and Institutions in the Making of the Modern World Income Distribution’. The Quarterly Journal of Economics, 117(4), pp.1231-1294. Acemoglu, D., Gallego, F., and Robinson, J. A. (2014). ‘Institutions, human capital and development’. Unpublished working paper. University of Harvard, Cambridge. Glaeser, E., La Porta, R., Lopez-de-Silanes, F. and Shleifer, A. (2004). ‘Do Institutions Cause Growth?’. Journal of Economic Growth, 9(3), pp.271-303. Weil, D. (2013). Economic growth. Boston: Pearson, pp.170-197.

Cadbury Competitive Advantage Strategies

Cadbury Competitive Advantage Strategies 5. What is there about this companys strategy that can lead to sustainable competitive advantage? The following are several strategies that Cadbury had used to bid and acquire Adams into its confectionery business. Cadbury had created a dedicated M A team, which is under Stitzers strategy group, at corporate headquarters to replace autonomous and dispersed work by local businesses. Besides that, Cadbury Schweppes brought in nearly 100 managers from divisions around the world to Waldorf Astoria Hotel in New York City for a two week workshop to refine the model and build commitment to the deal and the planned synergy numbers. Thirdly, Cadbury Schweppes had indentified the top tier of Adams management and began making determinations as to who they would like to keep in the event of successful acquisitions. Next strategy is the mantra Best person, right to take the most qualified candidate to match the job that best suited him or her. They also assumed the merger as the potentially transformative event. Cadbury Schweppes had developed an exhaustive integration plan in the event of a successful bid for Adams. A steering committee would be set up with integration management team, and enable teams to achieve the full potential of the merger. Each of this strategies will be evaluated with 4 variables which are value added, rare, hard to imitate, and not easily substitutable. Any of these strategies which had fulfilled all of the four criteria will lead to the sustainable competitive advantage in order to bid Adams successfully from other potential bidders like Nestle, Wrigley, Kraft, Pepsico, Mars, Hershey and Pharma companies. According to the case, Cadbury is estimated ranked as the fifth in the line of potential bidders which is behind Nestle, Kraft, Mars and Hersheys. The first strategy is creating a dedicated merger and acquisition team to replace autonomous and dispersed work by local businesses. We evaluated it as rare because not many companies would spend so many times and human capital to build a comprehensive business model of Adams and also human resources just to make one acquisitions. Besides that, there is a added value behind the team, whereby a team of talented people were gathered to make a strategic business model to bid Adams as they could see the future of Adams which can make Cadbury a leading confectionary company in the industry. It is also rather hard to imitate because the strategy of mergers and acquisitions were planned by whole department rather than just 5 people unit. This 5 people unit team is non-substitutable, as Cadbury is the first company with the team that already begun a comprehensive of Adams model of businesses which include detailed information about marketing and sales, list of potential cost and revenue syne rgies for each of 50 countries and etc. This strategy had proven how well that Cadbury analyzed on Adams before they make decisions to acquire a company. Moreover, Cadbury Schweppes brought in nearly 100 managers from divisions around the world to Waldorf Astoria Hotel in New York City for a two week workshop to refine the model and build commitment to the deal and the planned synergy numbers. We do not see this as rare because according to the case, competitors would have higher cost. This strategy has value creations because it has brought in the value of team work and stimulates closer relationship between managers from division of around the world. It is rather hard to imitate by many of the companies because, such strategy may require a very large cost by having two week workshop the synergy numbers that they planned in this strategy are easy to substitute because in the case, Stitzer claimed that the synergies were not large enough to support the price necessary to win the deal. Third strategy whom Cadbury Schweppes had indentified the top tier of Adams management and began making determinations as to who they would like to keep in the event of successful acquisitions. This strategy has value creation because, before Cadbury identified and analyzed their organizational culture and its top management team whether it is suitable with Cadburys corporate culture to make a successful joint business in future or not. Furthermore, this strategy is considered as rare as it will help increase possibility of becoming the preferred purchaser for Adams as well Pfizer who is currently the CEO of Adams. It is also not easy to imitate by competitors, as not many top executives can win the chance to know Adams detailed corporate information as what Cadburys do. This strategy would be difficult to substitute by other competitors. For example Nestle, as they do not have much information about Adam especially regarding their corporate culture whether it would culturally fit wi th them or not, although they have large capitals to bid Adams over Cadbury. The fourth strategy with the mantra Best person, right job which means human resources will take the best qualified candidate to match the job that best suited him or her. Added value created by having the most qualified and talented employee to produce the best quality job for the company. Besides that, it is rare, because every company is unsure that it had any of their employees who could lead the large American divisions if Adams is successfully acquired. It is also hard to substitute as many managers did not have the experience to run an integrated business on a global scale. However, the mantra or slogan that Cadbury carry with them are easily imitated by others as every company have the same objectives to employ the best employee in order to help the company to achieve the utmost results as well as to improve productivity. They assume the merger as the potentially transformative event. This strategy has value added element where it is an opportunity to centralize, transform practices and create more shared services. Besides that, it is also rare that only Stitzer believed that this kind of acquisition may motivate others to accept changes towards better improvement. Furthermore, acquisition on Adams is something new on both cultural and social on the company itself. With such strategy in mind of every executives is hard and difficult to adapt my every organizations, as not everyone especially the senior executives will accept new changes or new cultural when a company are merged and have to change their rules and organizations which has caused this strategy hard to imitate. However, Cadburys senior managers foresee the merger and acquisition as an opportunity to restructure a new business model for Cadbury towards achieving leading confectionary company. There is very less substitute as Cadbury who wil l have a very motivating thinking towards accepting new changes which help the company to achieve sustainable advantage. Cadbury Schweppes had developed an exhaustive integration plan in the event of a successful bid for Adams. Such plan is rare because, within 90 days, all validation and planning of the synergies has to be complete and new synergy projects that needed to Beat the Model to be identified and mapped out. In addition, the plan is quite hard to imitate, as all the bidding preparation are required to work out within a short time and period whereby there is no other teams or competitors that could work out a successful integration plan in such a short period. Furthermore, we find out that it is quite hard to find another similar merger that could implement an integration will all the detailed work plan as well as synergy projects to be done within 60 days. Within the first 90 days monthly, all the monthly status report about merger integration and applicable synergies will begin in each department of the company itself, which indicated that the Cadbury has added value in terms of building st rategic plan to acquire Adams compared to other competitors. A steering committee would be set up with integration management team and enabler teams to achieve the full potential of the merger. This strategy contains regional value capture teams as well as functional value capture teams which are important to drive the company towards achieving sustainable competitive advantage. This is also rare because it is necessary to prepare huge amount of human resources to manage several teams in carrying out the integration plan. Furthermore, it is not easily imitated by competitors as not many companies would have interest to focus and spend time to organize a huge number of human capital to implement an integration plan just on the acquisition strategy which the company that acquired are not 100 percent would bring profits for the company itself. Besides that, Adams will also find hard to find other bidders like Cadbury whom had been making deep analysis and study about the corporate detailed information and there are some business similarities betw een Cadbury and Adams. In conclusion, out of so many strategies that Cadbury had implemented, only some of the strategies can lead to sustainable competitive advantage as they had fulfilled 4 criteria, namely added value, rare, hard to imitate and hard to substitute. The strategies are: (1) creating dedicated merger and acquisition team to replace autonomous and dispersed work by local businesses; (2) indentifying the top tier of Adams management and begin making determinations as to who they would like to keep in the event of successful acquisitions; (3) assume the merger as the potentially transformative event; (4) developed an exhaustive integration plan in the event of a successful bid for Adams; and (5) setting up steering committee with integration management team, and enabler teams to achieve the full potential of the merger

Hume on Revolution :: Government Politics Papers

Hume on Revolution David Hume offers a well conceived plan for the formation of government and its political workings. Furthermore, he grants that in special circumstances the citizens of a particular government may revolt. However, with respect to obedience and disloyalty, Hume gives no formal rules for revolution. We would like something more from Hume regarding revolution and, more specifically, what he considers justified revolution. Some authors, such as Richard H. Dees, find the basis for Hume’s account of justified revolution in his historical works. By connecting Hume’s historical writings with his political theory, we find a fuller account of revolution. Such an account, however, does not require him to give a rule or maxim prescribing revolution since such a rule or maxim would obviously go against his political theory as stated in the Treatise and his political essays. In sum, justified revolution for Hume centers around the established political practices and the principled ca uses held by factions. Unjustified revolutions, however, are denoted by lack of adherence to established practices and want of a genuine cause. They are, rather, motivated by speculative factions subject to fanaticism and enthusiasm which are the foundations of Hume’s political worries. These central tenets of Hume’s view of revolution are delineated within this paper. Introductory Remarks In "Of Passive Obedience," Hume chastises those who endorse at length the maxims of resistance. Disloyal acts are considered to be immoral because they strike us as being contrary to preserving order in society. The desire to preserve peace and order in society, for self-interest, motivates people to obey authority. We are, thus, to regard disobedience towards authority as something to be avoided. Hume writes, Besides; we must consider, that, as obedience is our duty in the common course of things, it ought chiefly to be inculcated; nor can any thing be more preposterous than an anxious care and solicitude in stating all the cases, in which resistance may be allowed.(1) For Hume, it is of major importance and consequence that obedience is taught and demonstrated for its benefits. First of all, liberty and commerce depend on obligation to promises. Secondly, submission to government is necessary for the performance of promises. Disobedience and revolution put both of these advantageous in jeopardy. Hume, however, in his explanation of the formation of government claims that government can be overthrown in times of egregious tyranny. To be sure, Hume had admittedly agreed with the Glorious Revolution of 1688 and sympathized with the American colonial situation but he finds too much liberty of resistance pernicious.

Political Philosophy Essay -- essays research papers fc

  Ã‚  Ã‚  Ã‚  Ã‚  Every country in the world has a government that sets laws to keep order and peace. Not every government can be just in its ruling, but what defines a just ruling? And does anyone truly have the right to control others? Throughout time different types of governments have been established. As history progressed most governments were overthrown because of the laws that were imposed. Emperors and Kings changed to Presidents and Prime Ministers. This was caused by revolutions because the people did not like the way they were being ruled. But should people be ruled in the first place? Who should have the right to do such a thing? Today, the most powerful countries are run by democracy. But what is its purpose? It is supposed to carry out the will of the majority. So this means that someone will always be unhappy. Political philosophy deals with these sort of issues. Great minds such as Plato, Aristotle, Voltaire and Locke have looked at these issues and have tried to find the best possible answers.   Ã‚  Ã‚  Ã‚  Ã‚  In days of old, kings created laws in order to keep peace. Most of the laws were set for selfish reasons. As history progressed people felt that they were being ruled unfairly. So should laws even exist if there will always be someone who is receiving the â€Å"short end of the stick†? Is it not the purpose, of laws and rights, to help people live in a safe environment? This is the main purpose of laws; to keep order. The governments that we have today have so many laws because they keep trying to solve problems by creating more and more laws. There are even laws for creating laws. However, although they are supposed to be in the best interest of the people, laws limit their free will. Laws tell a person what they can or cannot do. Unfortunately, they are still essential because they keep most citizens safe. So therefore, set laws, although essential, limit the free will of people no matter how sophisticated or organized they are. To support this, the theor ies and opinions of John Locke, Hobbes, Voltaire, and Plato will be presented. The first three of these philosophers lived at approximately the same time period and all support the essentiality of laws, although they limit free will. Plato lived much earlier but still has his own views on government and how it should be run. This paper will use their theories o... ...en in Plato’s unusual utopian society where the philosophers are the government. The main idea that can be derived from these philosophers is that laws are essential because they make the lives of the citizens much safer and prosperous. It allows people to enjoy life rather than constantly watch their backs. The citizens give up a little of their free will in order to exercise another part of it. Bibliography Alistair Edwards and Jules Townshed. Interpreting Modern Political Philosophy: From Machiavelli to Marx. New York: Palgrave MacMillian, 2002. Dudley Knowles. Political Philosophy. Montreal: McGill- Queen’s University Press, 2001. John Gray. Voltaire: The Great Philosophers. New York: Routledge, 1999. Johann P. Sommerville. Thomas Hobbes: Political Ideas in Historical Context. Palgrave Macmillian, 1992. Jonathan Wolff. An Introduction to Political Philosophy. Oxford University Press, 1996. Michael J. White. Political Philosophy: A Historical Introduction. Oneworld Publications, 2004. Nicholas Jolley. Locke: His Philosophical Thought. Oxford University Press, 1999. Paul G. Paquette and Laura Gini- Newman. Philosophy: Questions and Theory. McGraw- Hill Ryerson, 2003. . Political Philosophy Essay -- essays research papers fc   Ã‚  Ã‚  Ã‚  Ã‚  Every country in the world has a government that sets laws to keep order and peace. Not every government can be just in its ruling, but what defines a just ruling? And does anyone truly have the right to control others? Throughout time different types of governments have been established. As history progressed most governments were overthrown because of the laws that were imposed. Emperors and Kings changed to Presidents and Prime Ministers. This was caused by revolutions because the people did not like the way they were being ruled. But should people be ruled in the first place? Who should have the right to do such a thing? Today, the most powerful countries are run by democracy. But what is its purpose? It is supposed to carry out the will of the majority. So this means that someone will always be unhappy. Political philosophy deals with these sort of issues. Great minds such as Plato, Aristotle, Voltaire and Locke have looked at these issues and have tried to find the best possible answers.   Ã‚  Ã‚  Ã‚  Ã‚  In days of old, kings created laws in order to keep peace. Most of the laws were set for selfish reasons. As history progressed people felt that they were being ruled unfairly. So should laws even exist if there will always be someone who is receiving the â€Å"short end of the stick†? Is it not the purpose, of laws and rights, to help people live in a safe environment? This is the main purpose of laws; to keep order. The governments that we have today have so many laws because they keep trying to solve problems by creating more and more laws. There are even laws for creating laws. However, although they are supposed to be in the best interest of the people, laws limit their free will. Laws tell a person what they can or cannot do. Unfortunately, they are still essential because they keep most citizens safe. So therefore, set laws, although essential, limit the free will of people no matter how sophisticated or organized they are. To support this, the theor ies and opinions of John Locke, Hobbes, Voltaire, and Plato will be presented. The first three of these philosophers lived at approximately the same time period and all support the essentiality of laws, although they limit free will. Plato lived much earlier but still has his own views on government and how it should be run. This paper will use their theories o... ...en in Plato’s unusual utopian society where the philosophers are the government. The main idea that can be derived from these philosophers is that laws are essential because they make the lives of the citizens much safer and prosperous. It allows people to enjoy life rather than constantly watch their backs. The citizens give up a little of their free will in order to exercise another part of it. Bibliography Alistair Edwards and Jules Townshed. Interpreting Modern Political Philosophy: From Machiavelli to Marx. New York: Palgrave MacMillian, 2002. Dudley Knowles. Political Philosophy. Montreal: McGill- Queen’s University Press, 2001. John Gray. Voltaire: The Great Philosophers. New York: Routledge, 1999. Johann P. Sommerville. Thomas Hobbes: Political Ideas in Historical Context. Palgrave Macmillian, 1992. Jonathan Wolff. An Introduction to Political Philosophy. Oxford University Press, 1996. Michael J. White. Political Philosophy: A Historical Introduction. Oneworld Publications, 2004. Nicholas Jolley. Locke: His Philosophical Thought. Oxford University Press, 1999. Paul G. Paquette and Laura Gini- Newman. Philosophy: Questions and Theory. McGraw- Hill Ryerson, 2003. .

Halloween Night

It is 8:30 on Halloween night as I am walking down the long streets of Clinton hearing nothing but children screaming, cars beeping, and leaves crackling beneath my feet in the cold, fall night. I turn the corner and see college kids and parents laughing by the Tavern as they exit the building. Making my way down the street with my friends by my side, cars are zooming by us like a school of fish swimming to get away from sharks. All of a sudden the group of kids I am with get attacked with shaving cream by underclassmen that think they are funny. A police slows down as he passes us to see what all the commotion was.Realizing it was nothing he continues on his nightly route. Furious and startled we walk away slowly because we were not dressed for the occasion of what kids call â€Å"bombingâ€Å". Minutes passed and we decided to go trick-or-treating. Approaching a house with a long cobble stone driveway and bright yellow lights we finally reach our destination. Warm apple cider and fresh cinnamon donuts are passed out among all of the people. We make our way back to town passing little kids in a variety of different costumes. Also middle and high school students throwing eggs and attacking each other with shaving cream.Dodging all the action we walk on the opposite side of the street they are on so we don’t get hit. Arriving back into town we see teachers, parents, and kids we know. After a warm welcoming of hellos we decided to make our way back to our homes considering it was a school night and it was getting late. Streets were starting to become clear as people decided the Halloween night was over. Adults turned off their lights making it clear they were done handing out candy for the night. Clintons streets remained silent as Halloween night came to an end.

Acute Low Back Pain Health And Social Care Essay

Acute low back hurting is a common status frequently seen by primary and pressing attention suppliers. An episode of ague low back hurting is normally of short continuance and many patients will retrieve without any curative intercession. However, the challenge is to pull off low back hurting with equal conservative intervention, restricting assorted invasive diagnostic ratings. At the same clip the supplier needs to be argus-eyed about red-flags associated with low back hurting which may necessitate further work up and referral to a spine specializer. In this manuscript, we have provided a comprehensive reappraisal about the rating, intervention and red-flags associated with low back hurting. How common is low back hurting? Acute low back hurting is a really common status, with a lifetime prevalence every bit high as 84 % , and said to be the 2nd most common ground for office visits in the United States.1 Most patients in their grownup life are likely to see one episode of low back pain.2 It can impact patients at any age, but it is most often seen between the ages of 20 to 40 old ages and gender distribution is equal.2 Anatomy of Low Back Pain. The anatomy of the dorsum is complex. A thorough cognition of anatomy is required by doctors to understand the pathophysiology of low back hurting. A typical vertebra consists of a vertebral organic structure, a vertebral arch and seven procedures ( pedicel, cross procedure, superior and inferior articular procedures, lamina and spiny procedure ) .3 ( Figure 1 ) The intervertebral phonograph record is interposed between the vertebral organic structures. The outer ring of the phonograph record is fibrocartilage ( anulus fibrosus ) while the cardinal nucleus is heavy ( nucleus pulposus ) . Hernia or bulge of the nucleus pulposus into or through the annulus fibrosus and compacting the nervus roots is a well-recognized cause of low back hurting ( Sciatica ) . The laminae of next vertebral arches are joined by the xanthous ligament- the ligamentum falva, which assist with straightening of the vertebral column after flexing. The hypertrophy of the ligamentum flava is another common cause of low back hurting ( lumbar stricture ) . There are several ligaments and extrinsic and intrinsic back musculuss attached to the spiny and cross procedures. They are necessary to back up and travel the vertebral column. Minor sprains of these ligaments and musculuss are besides a common cause of low back hurting ( musculus sprain ) . The spinal nervus roots of the lumbar and sacral spinal nervousnesss are the longest and fall in the lumbar cisterns before go outing through intervertebral hiatus. The compaction of these nervuss roots may do low back hurting and saddle anaesthesia in the perineum ( Cauda Equina Syndrome ) . Figure 1. hypertext transfer protocol: //www.myhousecallmd.com/wp-content/uploads/2010/03/2vertebra1.jpg Prepare yourself earlier clinical rating. Acute low back hurting is frequently attributed to the above said anatomical pathology. However, doctors should be ready to place marks associated with systemic diseases ( table 1 ) , societal and psychological emphasiss ( table 2 ) , and hazard factors ( table 3 ) that may be lending to moo back hurting. In add-on, ruddy flags ( table 4 ) should besides be evaluated. Table 1: Signs associated with systemic diseases4 History of malignant neoplastic disease Greater than 50 old ages of age Unexplained weight loss Greater than 1 month continuance of hurting Nighttime hurting Pain unresponsive to old therapies Table 2: Social and psychological emphasiss taking to moo back pain5 Anxiety Depression Job dissatisfaction Somatization upset Low educational attainment Psychologically strenuous work Table 3: Hazard factors for low back pain5 Smoking Fleshiness Older age Female gender Physically strenuous work Table 4: Red flags to acknowledge in patients with low back pain6 Recent injury Unexplained weight loss Unexplained febrility Immunosuppression History of malignant neoplastic disease Intravenous drug usage Osteoporosis, prolonged usage of glucocorticoids Greater than 70 old ages of age Focal neurologic shortage or disabling symptoms Pain continuance greater than 6 hebdomads Evaluate patient symptoms and correlative with anatomy. The patient rating begins with word picture of the hurting ( table 5 ) to set up the diagnosing. It should be noted that many patients have already tried non-steroidal anti-inflammatory ( NSAID ) medicines, and heat or cold battalions before confer withing the doctor. Patients frequently report hurting radiation to their leg ( radiculopathy ) . However, pain radiating below the articulatio genus is a more of import mark of true radiculopathy than hurting radiating to the thigh.7 Table 5: Word picture of the low back hurting. Where does it ache? When does it ache? How does activity impact the hurting? Does the hurting radiate? What relieves the hurting? Is hurting associated with a roseola? Differential diagnosing as per hurting history: Dull or crisp hiting lower back hurting Symptoms are worse when patient sits or stands for extended periods Pain additions with coughing or sneeze Pain radiates down the leg Pain additions with forward flexure of the spinal column Leg hurting is greater than back hurting Normally one-sided Herniated Disc Dull hurting lower back hurting Pain additions with standing and walking Pain improves with remainder and forward flexure of spinal column Pain may be one-sided or bilateral Spinal stricture Diffuse back hurting with or without cheek hurting Pain additions with motion Pain improves with remainder Pain does non radiate to leg Lumbar strain/sprain ( muscular ) Diffuse lower back hurting Bladder or intestine incontinency Urinary keeping Saddle anaesthesia Progressive motor or centripetal loss Cauda equine syndrome History of injury or osteoporosis Point tenderness Pain additions with flexure of spinal column Pain additions with alteration in position from supine to sitting or from sitting to standing place Compaction break Physical scrutiny. Physical scrutiny of the dorsum should be an of import portion in the rating of low back hurting. Inspection of the dorsum should be done to look for roseola ( Herpes Zoster ) , scoliosis or dissymmetry of musculus mass and tone ( musculus cramp ) . Physicians may be able to arouse point tenderness ( compression break ) or costo-vertebral angle tenderness ( urinary piece of land infection/Pyelonephritis ) . The bulk of patients may non be able to execute motions of the spinal column. However, efforts should be made to look into spinal motion ( whatever possible ) to find whether hurting is related to vertebral phonograph record ( hurting in forward motion ) , spinal stricture ( hurting in backward motion ) or related to muscle cramp ( hurting in all motions ) . A straight-leg rise ( SLR ) trial besides known as Lasegue ‘s sign/test should be performed to find disc herniation as the cause of low back hurting. The patient should be lying in the supine place on the tabular array with the uninvolved articulatio genus set to 45 & A ; deg ; . The doctor should keep the involved leg directly, hold the heel with the other manus in the dorsiflexed place and gently raise the leg. ( Figure 2 ) The SLR trial is positive if hurting occurs in the distal leg with leg lift between 30 & A ; deg ; and 70 & A ; deg ; . Doctors should besides execute crossed SLR. The trial is positive when the physician lifts the unaffected leg and the hurting radiates below the articulatio genus in the affected leg. All attempts should be made to find the site of nervus root compaction in the lumbar country ( table 6 ) . However, it should be noted that the value of these trials decline with forward age. Figure 2. hypertext transfer protocol: //img.tfd.com/mk/K/X2604-K-05.png Table 6: Signs and symptoms of nervus root compaction. L3 and L4 Decreased strength in quadriceps ( unable to execute extension at the articulatio genus ) Unable to crouch and lift Diminished articulatio genus dork Numbness ( dysesthesias ) over thigh/knee L5 Decreased strength in extensor big toes longus musculus Unable to make list walking Unable to make dorsiflexion of great toe and pes Numbness over large toe and medical pes S1 Decreased strength in toe flexors Unable to make plantar flexure of great toe and pes Unable to walk on toes Numbness over 5th toe and sidelong pes Ankle dork is diminished S2-S4 ( Cauda equina ) Progressive motor or sensory shortage New onset bowel and bladder disfunction Numbness over perineum ( saddle dysesthesia ) Loss of anal sphincter tone What research lab or radiographic testing should I make for low back hurting? Patients with low back hurting of less than six hebdomads continuance should be treated cautiously unless ruddy flags are present.8 There are several laboratory surveies and radiographic trials that are recommended to measure low back hurting. The American College of Radiology has published a guideline to help doctors to find when they need to make imaging for low back pain.9 ( table 7 ) ( Table 8 ) . Table 7: Recommended research lab trials to find cause of low back hurting Erythrocyte deposit rate ( ESR ) C-reactive protein ( CRP ) White blood cell count ( WBC ) Table 8: Recommended Radiographic proving for low back hurting Complain X raies Used to measure for break, malignance, degenerative alterations, disc infinite narrowing and anterior surgery Magnetic resonance imagination ( MRI ) Without contrast is recommended Used to measure disc herniation, spinal stricture, osteomyelitis, spinal extradural abscess, bone metastases and nervous tubing defects CT scan CT is superior to MRI for sensing of bony abnormalcies, breaks, unnatural aspect articulations, degenerative alterations, and inborn abnormalcies CT is besides superior to kick X raies to observe alterations in sacroiliac articulations of ancylosing spondylitis Myelogram Not routinely recommended Used to measure multiple phonograph record abnormalcies, multilevel radiculopathies or old lumbar surgery Management of ague low back hurting. Numerous interventions have been recommended for ague low back hurting. They have their ain virtues and demerits. It is nevertheless good intelligence for primary and pressing attention suppliers to cognize that the forecast of ague low back hurting is first-class and up to 90 % of patients will better on their own.6 We have summarized different intervention protocols for ague low back hurting in table 9. Table 9: Treatment of ague low back hurting. Bed remainder and alteration of physical activities Bed remainder used to be the criterion of attention for ague low back hurting in the yesteryear. It is recommended now that early ambulation, alteration of physical activities and return to normal activities has better outcomes.9 Tax return to work recommendations should be individualized.10 Nonsteroidal anti-inflammatory Symptoms of low back hurting were improved with NSAIDs compared to placebo after one week11 Recommended for 2-4 hebdomads Doctors should be cognizant of the nephrotoxicity and GI toxicity associated with NSAIDs11 Muscle relaxants Muscle relaxants are more effectual than placebo12 A combination of a musculus relaxant and an NSAID provides effectual symptom control Muscle relaxants are associated with giddiness and sedation12 Opioids Misuse and maltreatment are common with opiates13 Use should be short term and based on clinical judgement Opioids may merely be used at bedtime to restrict side effects Exercise and physical therapy There are conflicting consequences sing the significance of early physical therapy14 Exercise and physical therapy may assist to forestall return of low back hurting Cold and heat There is no grounds that cold or heat benefit low back pain15 Patient instruction Patient instruction is necessary and of import in bettering results Discussion. Uncomplicated ( without ruddy flags ) acute low back hurting is a self- modification status that does non necessitate imagination or research lab surveies. It is our sentiment that suppliers should hold a good apprehension of the anatomy of the dorsum to better evaluate and dainty patients with acute low back hurting. They should besides be argus-eyed to observe ruddy flags associated with the patient ‘s low back hurting. In add-on to the interventions mentioned in table 9, many extra intervention schemes have been recommended for ague low back hurting. These include spinal use, massage and yoga, stylostixis, grip and braces.16,17 Unfortunately, none of these have been shown to better back hurting significantly over placebo. Epidural steroid injections have been used as intervention for low back hurting as good. These injections have merely been shown to better symptoms for a short continuance. They besides have non been shown to be more effectual than systemic cort icosteroids.18,19 In decision, it appears that short term intervention with NSAIDs with or without musculus relaxants and patient instruction are key in the direction of ague low back hurting in pressing attention.