The Movie Exhibition Industry

Deliverable 1 The Motion Picture Industry Value Chain Could the motion picture industry add value to their productions if they concentrated on only one venture? Most of the distribution in the market is done by the divisions of major studios. The studio’s investments span across various major fields and this makes the management of the investment a great challenge. Advertising We will write a custom essay sample on The Movie Exhibition Industry specifically for you for only $16.05 $11/page Learn More If the studio’s concentrated only on movie production, the quality of their productions would increase. They would channel all their energies into creating new movie ideas and this would definitely appeal to their target audience. The Business of Exhibition Could movie exhibitors find other ways of adding value to the customer while gaining revenue? Most of the profits made by exhibitors are from the sale of concessions. The food served at the movies has gradually increased in price but the quality has remained the same. If movie exhibitors diversified their food options and incorporated alcohol in their drinks options, their high food prices would be justified and the customer base would be increased if they added food options for vegetarians. The Theater Experience Now that people can watch movies in their own home, what can movie exhibitors do now to gain that competitive advantage over home theatre systems and offer customers something that their home theatre system cannot? In order to stay in business, the theaters can open smaller branches closer to the living areas so that the people do not have to go through long drives to get to the movies. They should be placed around malls where a lot of people frequent for necessities like food. This would attract customers who had gone to the mall for other reasons and have time to spare. Raising the Exhibition Curtain in 2011 and Beyond How can exhibitors ensure that they re tain their customers with the current economic recession? The exhibitors are overcharging the customers and this has reduced the number of people willing to go to the movies. The exhibitors should be considerate when they set their price. The customers understand a small price hike due to recession but extreme price hikes as have been witnessed, are affecting the number of people going for movies. Deliverable 2 Is the lack of competition from new investors causing these companies to deliver low standard services? How much more do the exhibitors need to do in order to maintain the theater experience do they need to shift to a completely different type of service that no other entertainment venue can offer for that same price? How can the theaters survive the hard economic times while ticket prices are rising, the number of people going to movies is dropping, and the numbers of theatres are increasing? Deliverable 3 The motion picture industry seems to be lacking competition from ne w investors. If there were more studios producing movies, there would be more ideas being made into different movies. This would attract more movie goers. Similarly, if more companies invested in exhibition, the competition would force the exhibitors offer better services. For exhibitors to create a great experience for movie goers they can improve the food they sell and more food options availed. The people working at the movies should also be polite to the customers and treat them well. For theaters to still make a profit without overpricing the tickets, they could reduce the number of staff they have by introducing computerized ticket sale point and drink buying points. They could save on the workers salaries and still run a profitable and efficient business.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More This essay on The Movie Exhibition Industry was written and submitted by user Malaysia Alvarez to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Imigration and Discrimination in the 1920s Essays - Free Essays

Imigration and Discrimination in the 1920's Essays - Free Essays Imigration and Discrimination in the 1920's American History Imigration and Discrimination in the 1920's Beginning in the early nineteenth century there were massive waves of immigration. These "new" immigants were largely from Italy, Russia, and Ireland. There was a mixed reaction to these incomming foreigners. While they provided industries with a cheap source of labor, Americans were both afraid of, and hostile towards these new groups. They differed from the "typical American" in language, customs, and religion. Many individuals and industries alike played upon America's fears of immigration to further their own goals. Leuchtenburg follows this common theme from the beginning of World War I up untill the election of 1928. If there was one man who singlely used America's fear of immigrants to advance his own political goals it was Attorney General Palmer. The rise of Communism in Russia created a fear of its spread across Europe, and to America. Palmer tied this fear to that of immigration. He denounced labor unions, the Socialist party, and the Communist party in America, as being infultrated with radicals who sought to overturn America's political, economic, and social institutions. Palmer exasperated this fear in Americans and then presented himself as the country's savior, combatting the evils of Communism. He mainly centered his attack on Russian immigrants. During the infamous Palmer raids thousands of aliens were deported and even more were arrested on little or no evidence. Their civil liberties were violated, they were not told the reasons for their arrests, denied counsel, and not given fair trials. What followed was an investigation of Palmer led by Louis Post which overturned many of Palmer's actions. Palmer's cretability was shattered after in a last minute attempt to gain the 1920 presidencial nomination, he made predictions about a May Day radical uprising, the nation perpared itself, but on May 1st 1920 all was peaceful. While the raids had stopped, the hostilities towards immagrants still remained prevelent. Immigrants were used by organized industries as a source of cheap labor. But as labor unions began to form and push for better pay, shorter hours, and improved working conditions industries saw that it was not as easy to exploit these immigrants as it had been before. Like Palmer, they tied the American's hostilities towards immigrants to the newly emerging fear of radicalism. When workers struck, industry leaders turned public opinion agains them by labling the strikes as attemps at radical uprising. As a result, workers were often left with no other choice than to accept the terms of industry management. The fight for prohabition was aided by America's antagonism for immigrants. Protestants and "old-stock" Americans attempted to link alchol with Catholic-Irish and Italian immigrants. They were viewed as immoral and corrupt for their vice. Prohabition was a means of counterattacking the evils of the urban cities and their immigrant dwellers. In addition, the rise of the KKK was a direct result of the hostilities harbored towards the immigrant population. Started by native born, white, Protestants, the KKK was afraid of "the encroachment of foreigners," expecially those who answered to a foreign Pope as their religious authority. Playing upon these fears, the KKK gained support and was it's members were able to politically control parts of Ohio, Oklahoma, Texas, and much of Indiana.

Marketing Research and Information Needs Essay Example | Topics and Well Written Essays - 1500 words

Marketing Research and Information Needs - Essay Example Companies still mishandle 'line extension' projects that fail. It is imperative that new products for development be carefully chosen, "product strategy calls for complex decisions, among others, on product mix and product line" (Kotler and Armstrong, 1991, pp. 512-513). There has been a continuous rise in the demand for healthy snacks all over the world. This trend was essentially started in the United States as a result of a new health craze and obesity scare due to rising number of weight levels. Consumers now want to minimize their fat intake as well as reduce ingestion of other potential damaging sugar - substitute substances. This tendency to buy only 'healthy' foods has extended to the snack - food and drink sector where consumers want to enjoy snacks but at the same time not feel guilty or worried about potential damage to their health. The new trend towards healthier choices in snack - food was revealed by the speedy swap from carbonated drinks and carbohydrate ridden foods to 'non- carbs', "But with worldwide sales growth of carbonated beverages slowing, the growth lately has been found in non-carbonated beverages such as bottled water, teas, sports drinks, energy and health drinks, and ready-to-drink coffee" (Ashton, 2000). Health snacks had resulted in an entirely new mar... Carbonate- free drinks eventually led to a rise in the sports and energy drink sector. This market was originally dominated by PepsiCo's Gatorade and laid back SoBe. However, Coca Cola saw the potential in this sector and followed PepsiCo into energy drinks. Coca cola launched its original attempt in energy and sports drinks with PowerAde. PowerAde was declared a competitor to Gatorade and was marketed accordingly. Reaction to PowerAde in the market was feeble and Gatorade continued to lead. After several re - launches and alternations and modifications in the ingredients, PowerAde is now second runner up in the sports drink sector while Gatorade persists in remaining the first. Coca Cola started an energy drink brand, KMX, but still felt a gap in the market. Reactions to KMX were far from warm and Coca Cola required a product to fill up the space. In the first quarter of 2005, Coca Cola introduced Full Throttle, an energy drink. Full Throttle will compete with strong brands such as Red Bull as well as PepsiCo's SoBe range. External Pressures Leading to Change Requirement PepsiCo is swiftly gaining force in the international snack food market. Their success is credited largely to their lack of sentiment for their star performers, as Brady (2004) puts it, "What distinguishes PepsiCo from some competitors is an intense lack of sentimentality about its principal brands". PepsiCo asserts that it is keener to satisfying its customer's needs than preserving its existing product lines. New product introduction is PepsiCo's strategy of staying competitive, "By defining its mission as serving the customer rather than protecting its venerable brands, PepsiCo is hoping to stave off a stagnant middle age" (Brady, 2004). In order to continue to be innovative and to

Do We Really Listen To Young Children An Investigation into The Essay

Do We Really Listen To Young Children An Investigation into The Importance of Listening to Young Children In Early Years Sittin - Essay Example The question whether do we really listen to young children brings about a few thoughts to a person’s mind. Questions such as how much importance is provided to listening to children and how they have been they treated by the adult world needs to be unearthed. It is significant to note that children are least noticed or listened to at the earlier stages. In many circumstances the early intervention into the life of the children would lead to solving many issues related to their life. Moreover, the careful examination on the unique individualities of children will help others find out the mysteries that surround children, their feelings, thoughts and creativity during the early years of life. The characteristic attributes are attained at an early stage. So it can be said that the life of each children is highly valued and so the educators at the early years sitting should clearly listen to the activities of the children who are entrusted to their care. It is important to recogni se that a number of factors has influenced the growing interest in listening to children. ... Background: In many countries children are treated as having not much of importance. Much negligence was reported on children all over the world. This prompted various organisations and persons to look into the matter very seriously. In 1904 the Prevention of Cruelty to Children Act was established in England and hence forward many laws came into force on the rights of children in the country. The UN assembly too shared its concern for the rights of children all over the world. 1979 was considered as the International year of children and the Assembly decided to pass a convention on the rights of children. It was adopted in the year 1989 and Britain ratified this law in 1991. The country stresses much importance on the well being of the children. Children under five are placed in babysitting and the government makes ample measures for the overall development of children at this stage. Many strategies are implemented for the total development of children in the country. All these nece ssitate the importance of children’s rights as subjects of the state. In the recent years, the government agendas in England have focused on the need to involve children in policy and service design. There has been a strong feeling that the provision and evaluation of services used by children, or which affect them, should be given priority. Whereas consultation with older children is given importance in the recent years, the case for younger children is much different and they are not given due respect for their opinions. Significantly, listening to children has been regarded as an integral part of understanding their needs and feelings from their early experiences. Linda Kinney maintains, â€Å"there were two key outcomes from our work on consultation with

Media and Society Essay Example | Topics and Well Written Essays - 750 words

Media and Society - Essay Example In the case of children Chaves describes that children who have a greater exposure to violent movies choose to play violent games whereas others who do not watch television do not follow the same pattern. This clearly indicates that there is a very strong relationship between a person's behavior and his exposure to media. To further evidence this Wilson's researches are also very useful. Wilson in his research has referred to the Social cognitive theory according to which a child learns and absorbs whatever he sees and is exposed to and modifies his behavior accordingly. Wilson supported his statement by saying that children are really impressed by the super heroes and they try to act like them and as the super heroes have an aggressive behavior hence the children also do. These findings are even more supported by the experiments carried by Hussmann who collected two groups of children exposing one of them to violent movies whereas the other group was not. It was then analyzed that t he children exposed to violent movies developed an aggressive behavior whereas the others did not (Wilson). Media not only affects the behavior of a person but also his habits. Attractive advertisements of different foods attract a person and hence drive a person to eating different types of junk foods. Hence according to chaves such exposure has led to greater instances of obesity. According to chaves experiments media has also played a role in the increased number of smokers belonging to all age groups. The different promotions in magazines, internet and the televisions have grabbed the minds of many viewers and especially children who easily get fascinated while watching people they adore smoking and hence develop such habits themselves. In a similar manner this has also led to an increase in alcohol consumption and use of drugs. Though there is not much evidence to support the fact that media has also driven into early sexual activity but Chaves believed that this is also one of the negative impact that the media has created. Things that were considered to be difficult to talk about are now more easily communicated and talked about because of the exposure to media. Apart from obesity media has also led to other medical problems. Women who become obsessed with models try to become like them and the drive to become slim like them makes them psychological patients pushing them towards anorexia. Heroines and models have started to make females more conscious of their physical appearance than before and this can be harmful for many of them leading to many psychological problems. Wilson gave strong evidences that violence is very common in today's world. Wilson observed that news is the most common mean of media which exposes violence. This argument clearly shows that according to the writer our society is full of violence and aggressive behaviors since the news exposes the real but exaggerated picture of our society and crimes. The exposure of such crimes and violent behaviors are resulting in violent and aggressive attitudes of youth and is continuously harming our

What makes an effective teacher?

What makes an effective teacher? David Camerons Conservative Party recently stated that the Tories will be brazenly elitist about candidates entering the teaching profession as they believe that qualifications make a good teacher. [REF]. However, research shows that a teachers personal characteristics and teaching styles can also be attributed to effective teaching. In 1992, Professor Caroline Gipps, Vice-Chancellor at the University of Wolverhampton and leading expert in educational assessment and learning, published What We Know About effective Primary Teaching. The document suggests that a successful primary teacher: Focuses on the whole class rather than individuals Teaches the whole class while offering help to individuals, or co-operative work where children help each other Teach one subject at a time Praise children as much as possible Have high expectations Encourage challenging talk rather than quiet busy work Use a variety of teaching styles Allow children some independence and be democratic rather than autocratic about work and discipline Matches work to a childs ability Effective teaching is a subject that is repeatedly researched and studied. More recent research shows that good teachers demonstrate a number of characteristics, but there are certain characteristics that underlie the effectiveness of teachers such as empathy and a willingness to work hard. Some people are described as being born to teach, but the personal and moral characteristics needed to be an effective teacher can be developed through practice, watching other effective teachers and learning from their technique. A study carried out by Santrock [2001] identified the main characteristics of effective teachers: CHARACTERISTICS OF EFFECTIVE TEACHERS Characteristic Total % 1. Has a sense of humour 79 2. Makes the class interesting 73 3. Has knowledge of their subject 70 4. Explains things clearly 66 5. Spends time to help students 65 6. Are fair to their students 61 7. Treats students like adults 54 8. Relates well to students 54 9. Are considerate of students feelings 51 10. Dont show favouritism towards students 46 Santrock, J. (2001) An Introduction to Educational Psychology, London: McGraw Hill, (p.10) Although subject knowledge is ranked third, the study overall shows that personal characteristics are key to effective teaching rather than qualifications. Classroom management is also an important factor as an average school week only provides 25 hours of teaching time with students. An effective teacher organises their students, time, environment and resources in a way that maximises learning opportunities. Effective teachers also motivate and encourage their students to work hard. Through regular assessment and looking closely as what a student is learning and what has been learnt, lessons can be planned accordingly. Teachers need to cater for the skills, abilities and interests of each student by matching work to the needs of the individual. This avoids giving tasks that are impossible to complete and to avoid giving tasks so easy that students learn nothing. Pedagogy: shared working atmosphere; awareness of the needs of each pupil; purposeful well organised classroom; celebration of successes. Need to know the needs of individuals and groups as well as how children learn. Most teachers teach facts, good teachers teach ideas, great teachers teach how to think. (Jonathon Pool). Teachers have to be facilitators: they cannot do the learning for the student. (Carl Rogers). A teacher who likes to explore a subject by using lots of activities can achieve the same success as one who prefers one activityà ¢Ã¢â€š ¬Ã‚ ¦ There is one aspect of personality that no teacher can do without: a willingness to learn and to reflect on teaching. (The Effective Teacher, p.10). Failing teachers often lack self awareness and do not quite know what they are doing or if what they are doing is right or wrong. They are defensive about their teaching methods and cannot take criticism, however constructive it is. [Ref] Define learning 250 Learning can be defined as The process of accumulation and change that marks our growing sense of knowledge. (p.14 The Effective Teacher). Different factors can affect learning and these include the child, the family, society, economy and social structure. Brofenbrenner looked at how children grow up and how that affects the learning process, then linked all of these factors together into his Ecological Systems Theory [1979]. His theory suggests that a childs development is influenced by the social contexts in which they live, with the three main contexts being a childs family, peers and school. The parent and child are placed at the centre of learning. 2. 1.Who the child spends most of their time with is identified and what positive and negative factors that has. 3. The general external factors that influence the learning environment are looked at. Constructivist approach to learning Recall; ability to remember information Understand the information Use or apply knowledge in new situations Break down and interpret information Putting things together; developing new ideas Assess effectiveness of whole concepts; critical thinkingBlooms Taxonomy is a classification of the levels of learning. The cognitive process identifies 6 levels of thought. Based on this theory, the learner has to reach one level before moving on to the next. When used correctly, Blooms Taxonomy can accelerate learning and elevate student interest and achievement, especially for slower learners. [Sousa, D. 2001] How the brain learns What makes an effective learner? 500 Understanding and thinking about how a person learns can enhance motivation and increase achievement. [REF ] A persons learning style is the way he or she concentrates on, processes, internalises and remembers new and difficult academic information or skills. Styles often vary with age, achievement level, culture, global versus analytic processing preference, and gender. [Shaughnessy, 1998]. It is often looked at in terms of a learners preference for visual, auditory and kinaesthetic ways of working. [Burton, 2007]. Encourages a learner to think about how he or she learns. Novice learner: Do not evaluate their comprehension Do not examine their comprehension Do not examine the quality of their work Do not make connections Expert learner: What is the relationship between teaching and learning? 500 Consider which is more important. Actual learning or actual teaching? Support argument with literature and wider reading. 500 There have been many arguments as to which side of the teaching and learning processes are more important. Child centred education the teacher gives the child opportunities to learn. Teacher centred stand and present what they know. Teacher centred education is a traditional approach to teaching where the teacher presents facts to the student by direct instruction. The teacher is at the centre and in charge. Student centred education is a more modern approach where the learner is at the centre of learning and the teacher acts as a facilitator, guiding the student and giving opportunities to learn. Bennett, 1976 Clinical Reasoning Case Study: Knee Osteoarthritis Clinical Reasoning Case Study: Knee Osteoarthritis Abstract Clinical reasoning is the thinking process that escorts clinical practice, it is a multifaceted skill. The aim of this report is to use clinical reasoning to comment on a case of medial compartment one-sided knee osteoarthritis. Using clinical reasoning, an outline of management and manual therapy are designed. Introduction Mendez and Neufeld (2003) defined clinical reasoning as a cognitive process aiming to understand the implications of patient data. It also aims to recognize and diagnose present concrete or latent patient problems, to make clinical well-judged choices to help in problem solving, and to result in encouraging patient outcomes. Factors affecting the outcomes of clinical reasoning can be internal factors linked to health professionals (knowledge, acquaintance with a particular case and their reasoning skills). Patient factors need skills to transfer facts, and explanation of disease condition and treatment alternatives. External factors include health institution potentials, profession-specific structure of treatment, and intricacy of the case (Mendez and Neufeld, 2003). Edwards and others (2004) suggested the following practices of clinical reasoning for a physiotherapist. Diagnostic reasoning, developing a diagnosis based on disability and its impact considering accompanying pain, pathological changes, and contributing factors to the disease. Descriptive reasoning is to understand the patients description and experiences about the disease. Procedural reasoning involves treatment decision making, while communication collaborative reasoning involves setting up a patient-therapist relationship and setting goals for treatment based on interpretation of investigations results. Predictive reasoning is foreseeing the treatment results, and ethical reasoning which needs understanding of the ethical questions about the conduct and goals of treatment. Possible causes and processes of the patients recent complaint: Based on the patients occupation, and history, knee Joint injury herald osteoarthritis in individuals who are in their 30s or 40s, osteoarthritis becomes obvious nearly in every other subject with a previous history of knee injury. A proper interpretation of the existing data infers that at 10 years after suffering an injury to the knee, an average of one third of patients display joint space narrowing on x-ray examination. Twenty years post injury, about half the individuals with history of injury shows similar changes (Roos, 2005). Arthroscopic procedures may cause postoperative knee pain and swelling enough to delay rehabilitative physiotherapy. This should not persist more than two weeks otherwise the patient will be at risk of complications mainly prolonged knee stiffness. (Reuben and Sklar, 2000). Many believe that changes in the knee joint in osteoarthritis reproduce the collective effects of mechanical stress rather than senile degeneration alone. Therefore, it is an occupational disease (Radin, 2004). Patients occupation activities are aggravating factors to develop knee osteoarthritis (Loomis, 2008). Based on the patients symptoms and physical examination findings, the patient may have had a cruciate ligament rupture or added meniscal injury. Because of negative ligament tests, tenderness over medial TFJ joint line, no tenderness of patella tendon, quads tendon, hams tendons insertions, MCL attachments or LCL attachments, and data suggesting positive McMurray manoeuvre. Besides the presence of mild effusion, it is most likely the patient suffers a meniscal injury (Dascola, 2005). Roos (2005) provided a model for the processes responsible for pain and development of osteoarthritis. He assumed the disease needs, being mechanically determined, increased or altered joint load as a precondition to its development. Therefore, joint injury, occupation and aging lead to development and progression of osteoarthritis in one of two possible pathways. First, deconditioning of the musculoskeletal, increased joint loads occur with pain and progression of osteoarthritis. Alternatively, joint instability, misalignment and defective proprioception result joint related changes leading to increased joint loads with pain and disease progression. The patients irritability: At this point, the patient anxiety is because of worsening of pain and movement limitation and worry that he will not be able to continue working or doing everyday activities without significant discomfort. Jinks and others (2007) suggested that a therapist should look at the first onset of joint pain as sign to try preventing future disability. Reasoned identification of need for caution and need for adjustments: Three cardinal patients findings call for caution and adjustment of assessment as they may need change in the plan of manual therapy. These are persistent pain for four months, reduced right knee extension in standing with slight varus deformity. Besides pain limiting knee movement in active and passive flexion and extension with pain and stiffness limiting lateral rotation and stiffness without pain limiting medial rotation. Plain radiography was done following Ottawa knee rules (Jackson and others, 2003) and showed the same findings as the one done two years earlier. The use of MRI in addition provides better prediction of the need for added treatment. Indication of MRI, in this case, is to evaluate pain as it persisted for more than 3-6 weeks (Oel and others 2005). In case MRI is not available, or not covered by insurance, knee ultrasonography can be helpful to assess knee effusion, integrity of tendon and MCL injuries and to rule out minimally displaced patellar cracks (Lin and o thers, 2000). Arthroscopy can be diagnostic and therapeutic for meniscal or ligaments injuries, removal of loose pieces of cartilage or bone. Besides intra-articular steroid injection can be given to manage pain, viscous supplementation, and arthroscopic debridement and washout can ease the mechanical symptoms (Gidwani and Fairbank, 2004). Factors that may be contributing to the patients presenting problems: The slowly developing knee swelling is matching with meniscal injury however, the therapist must consider associated mild ligament sprain. The absence of locking is against meniscal injury, but the giving way points to possible ligament injury or patellar sublaxation. The presence of anterior crepitus may point to ligament injury or patellar problems, however, the active and passive limited range of movement suggest an intra-articular problem (Smith, 2004). This calls to consider the possibility of having combined lesions on top of osteoarthritis. Three more points need communication with the patient, adjusting occupational activities (Loomis, 2008), return to swimming sport practice or perform water exercise being a low knee load exercise (Grainger and Cicuttini, 2004). Also, tell the patient with the potential side effects of NSAID and advice to use topical preparations with safer analgesics as paracetamol (Derbyshire County NHS, 2008). Developing a working hypothesis: According to the patients current situation, expectations, worries and good general health, and knowing the case is most likely to be knee medial compartment osteoarthritis the objectives of manual therapy should be (Technical Committee Physiotherapy Profession, 2003): Minimize pain Decrease disability and enhance functional ability, muscle strength, joint flexibility. Patient education to encourage better work activities, and regain interest in swimming sport. When to start manual treatment and what is the plane: Manual therapy portrays the physical therapist applying passive movements aiming to enhance joint motion and minimize stiffness. It includes passive range of movements, and muscle stretching techniques (Fitzgerald and Oatis, 2004).As this particular case needs a multidisciplinary approach that may involve surgery, manual therapy should start once the process of diagnosis and possible surgical interference finish. It may start in conjunction with pain relief physical therapies as thermotherapy, cryotherapy and transcutaneous electrical nerve stimulation. The general rules of static stretching range of motion manual therapy are (Technical Committee Physiotherapy Profession, 2003): Twice weekly when pain and stiffness are least in 20-30 minutes sessions (Hoeksma and others, 2005). Better to be preceded by warm compresses. To be performed slowly and the range of motion extended to the limit of least subjective pain and resistance. Advice the patient to breath slowly during passive exercise. Hold the terminal stretch for 10-30 seconds. Passive exercises are continuously adjusted according to pain and the duration of holding the static position. Measuring the outcome: The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) test is a self-report specific measure to assess pain and physical function. Validity of the test was investigated in many studies and showed high levels of consistency and test-retest reliability consistent with clinical practice (Stratford and Kennedy, 2004). The 6-minutes walk test is primarily endurance test originally developed to measure exercise capacity in cardiac and pulmonary patients. Test-retest reliability and responsiveness index (measures improvement after therapy) have been examined and found highly reliable (King and others, 2000). Patients perform these tests at baseline, on the 5th week, and later every 12 weeks of therapy (Hoeksma and others, 2005). Prognosis and expected improvement rate: Jinks and others (2007) stated the outcomes of osteoarthritis are poor quality of life, limited daily activities and disability. However, we know little about the primary influence of joint pain on disability in the older population; also we know little about if such influence is reversible if the pain improves. According to their results, Jinks and others (2007) inferred that decreased physical functions among knee osteoarthritis patients with pain shows how important this symptom is as a possible launching cause to decline of physical activities. Even those whose pain improves are occasionally able to regain their experienced levels of physical activities. The Ottawa Panel (2005) advised the combination of manual therapy and therapeutic exercises especially muscle strengthening exercises to achieve better improvement of pain and function in patients with osteoarthritis knee. Conclusion Clinical reasoning is on of the methods of applying evidence based practice in physiotherapy. A case of medial compartment right knee osteoarthritis presented with pain after minor exercise is subjected to clinical reasoning critical thinking. The case turned to be a multidisciplinary case that needs further investigation and possibly orthopaedic surgeon interference before manual physiotherapy begins. Using clinical reasoning skills and principles, the patients history and clinical findings were analysed, designing principles of a plane of manual therapy, measuring the outcome, and foreseeing prognosis and improvement rate were explained. References Dascola J S, 2005. Injury-related causes of acute knee pain. JAAPA, 18(7), 34-40. Derbyshire County NHS Primary Care Trust, Medicine Management Update, February 2008. Reviewing Non Steroidal Anti-Inflammatory Drug (NSAID) Prescribing-an update on current issues [Online]. No 3. Available from: http://www.derbyshirecountypct.nhs.uk/content/files/key%20messages/NSAID%20UPDATE%20Feb%2008.pdf, [cited 11/07/2008] Edwards I, Jones MA, Carr J, et al, 2004. Clinical reasoning strategies in physical therapy. Physical Therapy, (84), 312-335. Fitzgerald G K and Oatis C, 2004. Role of physical therapy in management of knee osteoarthritis. Curr Opin Rheumatol, (16), 143-147. Gidwani, S and Fairbank, A. 2004. Clinical review: The orthopaedic approach to managing osteoarthritis of the knee. BMJ 329: 1220-1224. Grainger R and Cicuttini F, 2004. Medical management of osteoarthritis of the knee and hip joints. MJA, (180), 232-236. Hoeksma H, Dekker J, Ronday H at al, 2005. Manual therapy is more efficient than exercise therapy for osteoarthritis of the hip. Arthritis Care and Research, (51), 722-729. Jackson J L, OMalley, P G and Kroenke, K, 2003. Evaluation of Acute Knee Pain in Primary Care. Ann Intern Med, (139), 575-588. Jinks C, Jordan K and Croft, P, 2007. Osteoarthritis as a public health problem: the impact of developing knee pain on physical function in adults living in the community: (KNEST 3). Rheumatology, (46), 877-881. King M B, Judge J O, Whipple R and Wolfson L, 2000. Reliability and Responsiveness of Two Physical Performance Measure Examined in the Context of a Functional Training Intervention. Phys Ther, (80), 8-16. Lin, J, Fessell, D P, Jacobson, J A et al, 2000. An Illustrated Tutorial of Musculoskeletal Sonography: Part 3, Lower Extremity. AJR, (175), 1313-1321. Loomis D, 2008. Work in brief: Combining new tools with training may enhance ergonomic interventions. Occup. Environ Med., (65), 1. Mendez L and Neufeld J, 2003. Clinical Reasoning: What is it and why should I care? Ottawa, ON, Canada: CAOT Publications ACE. Oel, E H G, Nikken, J J, Ginal A Z, et al, 2005. Acute Knee Trauma: Value of a Short Dedicated Extremity MR Imaging Examination for prediction of Subsequent Treatment. Radiology, (234), 125-133. Ottawa Panel, 2005. Ottawa Panel Evidence-Based Clinical Practice Guidelines for Therapeutic Exercises and Manual Therapy in the Management of Osteoarthritis. Phys Ther, (85), 907-971. Radin E L., 2004. Who Gets Osteoarthritis and Why? The Journal of Rheumatology, (31)), (Supplement 70), 10-15. Reuben S S and Sklar J, 2000. Pain Management in Patients Who Undergo Outpatient Arthroscopic Surgery of the Knee. J Bone Joint Surg Am, (82), 1754-1765. Roos E M, 2005. Joint Injury Causes Knee Osteoarthritis in Young Adults. Curr Opin Rheumatol, 17(2), 195-200. Smith, C.C, 2004. Evaluating the Painful Knee: A Hands-on Approach to Acute Ligamentous and Mechanical Injuries. Adv Stud Med, (4(7)), 362-370. Stratford P W and Kennedy D M, 2004. Does parallel item content on WOMACs Pain and Function Subscales limit its ability to detect change in functional status. BMC Musculoskeletal Disorders, (5), 17-25. Technical Committee Physiotherapy Profession, 2003. Physiotherapy Care Protocol-OA Knee [Online]. Available from: http://www.mpa.net.my, Malaysian Physiotherapy Association.

A Feminist Reading of John Updikes A&P Essay -- John Updike A&P

A Feminist Reading of A&P Gone are the days that humans could live impulsively, only taking physical pain and pleasure into account when making decisions. Or so one would like to believe. In a display of sheer innocence and ignorance, Sammy, a grocery clerk at the A & P, managed to revert back to the original behavior patterns of his ape-like ancestors. One cannot possibly predict the future of Sammy, given his own illogical and irrational behavior. But one can, through a careful examination of Sammy's life, determine that Sammy is just a naive, young man whose impulsive acts, partly as a consequence of his upbringing, compel him to participate in a cause not worth fighting for, instead of using his talents for more constructive purposes. No matter how much Sammy tried, he could not transcend the rational barriers of his evolutionary counterpart, the ape. From the moment that Sammy first gazed upon those three young women in bathing suits to his outburst and subsequent resignation, Sammy was not able to separate reason from basic sexual instinct. Sammy first makes the comment, "The longer her neck was, the more of her there was," (Updike 408) and later says, "From the third slot I look straight up this aisle to the meat counter, and I watched them all the way" (Updike 408). After hours--perhaps even years--of being deprived of the sight of a beautiful girl, Sammy gave in to the natural animal tendency to "observe" and pursue a member of the opposite sex. It was of no consequence to Sammy that he did not even know the three girls and had not seen very much of them. Sammy's only overriding desire was, simply put, sex. Sammy made no effort to rationally think about what he was doing; instead, he acted on an impulse stemm in... ...ions were divulged, and Sammy began to really realize what he was doing, his actions became more noble. One can learn from Sammy the importance of not backing down once decisions are made, and to stand up for one's own opinions despite what other people think. If one can disregard Sammy's initial ape-like motives which stressed the importance of the sex drive, there is much to be learned from that now-eminent grocery clerk. If people finally decide to stand up for what they believe, themselves and the world indubitably be bettered. And then, the world would run less rampant with people who appear to have missed their fair share of natural selection, and the world would be a much more spiritually sound place. Works Cited Updike, John. "A & P." The Bedford Introduction to Literature. 2nd Edition. Ed. Michael Meyer. Boston: St. Martin's Press, 1990. 407-411. Â