Can Providers Education about Postpartum Depression...

Can providers’ education about postpartum depression (PPD) increase the acceptance level of pediatrics medical providers to screen mothers for PPD in a primary care setting? Postpartum depression (PPD) is a range of depressive symptoms that women may experience after giving birth. It’s onset within the first month after birth. Many studies define the â€Å"postpartum period† at a minimum of 3 months up to a year after childbirth (Chaudron, Szilagyi, Campbell, Mounts, McInerny, 2007). Symptoms range in severity and the timing post childbirth, peaking at about six weeks after delivery for major depression and two to three months for minor depression. Women can experience another peak of depressive symptoms 6 months after birth (Earls,†¦show more content†¦Infants can ultimately have developmental delay. Postpartum depression has long term effects on children of depressed mothers. The impact can extend up to puberty. Children will experience feelings of i nsecurity, poor social skills, reduce verbal and cognitive skills (Earls, 2010). Children will end up with more behavioral problems, conduct disorders, depression and anxiety. Timely identification and management of maternal depression is important for the child’s early brain development and school readiness. The negative effects of the long term exposure to maternal depressive symptoms in early childhood is concerning. Early intervention will help both the mother and the child (Horwitz, Briggs-Gowan, Storfer-Isser, Carter, 2009). In the United States, women after childbirth will typically have one postpartum visit with their obstetrician at six weeks while new mothers will see the baby’s pediatrician at least 4-6 times during the first year at the well baby visits. These are good opportunities for the detection of PPD. Mothers may be reluctant to share their feeling with family members or the medical providers secondary to fears of being seen as a â€Å"bad† mother, or being labeled as having a psychiatric problem. Pediatricians have a unique potential to intervene (Horwitz et al., 2007). The US

Should Cigarette Smoking Be Banned - 824 Words

Introduction: Tobacco Humans have been using tobacco in one way or the other since ancient times. Use of doesn’t always imply smoking it, but it can be chewed or used in different forms such as Tobacco chewing, dipping tobacco, etc. History: There is no fix time for the start of the use of tobacco in humans but it has been in human use since very ancient times. Locals were using before the arrival of Europeans to Americas. Las Casas brilliantly describes in his journal what the scouts who first went into Cuba on a reconnaissance mission found: men with half-burned wood in their hands and certain herbs to take their smokes, which are some dry herbs put in a certain leaf, also dry, like those the boys make on the day of the Passover of the Holy Ghost; and having lighted one part of it, by the other they suck, absorb, or receive that smoke inside with the breath, by which they become benumbed and almost drunk, and so it is said they do not feel fatigue. These, muskets as we will call them, they call tabacos. I knew Spaniards on this island of Espaà ±ola who were accustomed to take it, and being reprimanded for it, by telling them it was a vice, they replied they were unable to cease using it. I do not know what relish or benefit they found in it. (Handbook of American Indians North of Mexico) Popularity of Tobacco: Tobacco usage increased with the arrival of â€Å"Industrial Revolution†. European settlers and traders and made it popular in Europe and Americas. From Europe itShow MoreRelatedShould Cigarette Smoking Be Banned?1365 Words   |  6 PagesShould Cigarette Smoking be banned? The United States Surgeon General’s report stated that cigarette smoking is the major single cause of cancer death in the United States. This statement is so true today. Smoking a cigarette is an acquired behavior and that makes it the most preventable cause of death in our society. Cigarettes contain nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. The main ingredient in cigarettes is tobacco. The nicotineRead MoreShould Cigarette Smoking Be Banned?1376 Words   |  6 PagesSurgeon General’s report stated that cigarette smoking is the major single cause of cancer death in the United States. This statement is so true today. Smoking a cigarette is an acquired behavior and that makes it the most preventable cause of death in our society. Cigarettes contain nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. The main ingredient in cigarettes is tobacco. The ni cotine in cigarettes is very addictive and when smoke containingRead MoreShould cigarette smoking be banned?700 Words   |  3 Pages Should cigarette smoking be banned? Smoking is an expensive habit. People who smoke cigarettes can spend as much as $2,500 a year on them (Singletary). 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Cigarette smoking causes more than 480,000 deathsRead MoreCigarette Smoking Should Not Be Banned1528 Words   |  7 PagesShould cigarette smoking be banned for everyone in the United States? Why? Why not? Should those who chose their time smoking to relieve stress, personal enjoyment, or simply just because, have to lose their right to what makes them happy? Smoking tobacco products has been around for decades and in many different forms. Should personal rights be pushed aside to please those around us that disagree with the so called â€Å"disgusting habit†? In t he paper The Washington Times an article caught my interestRead MoreShould Cigarette Smoking Be Banned?925 Words   |  4 PagesProfessor Fuentes English 1003 April 22, 2015 Ban smoking in the United States Tobacco use is the single largest preventable cause of diseases and premature death in the United States (U.S.), yet more than 45 million Americans still smoke cigarettes. The health threat posed by tobacco has been accepted by scientists since the 17th century. In 1928, studies linked smoking to cancer. In 1964, the first Surgeon General’s report on cigarette smoking summarized the evidence that tobacco poses seriousRead MoreShould Smoking Cigarettes Be Banned?988 Words   |  4 Pages Isabella Zannettino Smoking is an addictive practice which entails inhaling and exhaling smoke from burning tobacco leaves. In the last 15 years extensive research and shocking statistics have demonstrated the adverse effects smoking can have on pregnant mothers and their babies. Currently, smoking cigarettes is the No. 1 cause of adverse outcomes for babies† (WebMed.com, 2013). Banning cigarettes may seem the most effective way of stopping pregnant mothers from smoking; however, doing this wouldRead MoreShould Cigarette Smoking Be Banned?1137 Words   |  5 PagesBiology 101 Should Cigarette Smoking Be Banned? Should there be a ban on cigarette smoking in the United States? Since cigarettes were introduced to Americans, questions have been raised concerning the legality of smoking and if it should be allowed everyone, in public places, or not at all. Recently, with the increase knowledge in cost and healthcare, the controversy with cigarette smoking has significantly risen. Across the country, states have banned smoking in public areas and inside buildingsRead MoreCigarette Smoking Should Be Banned1768 Words   |  8 PagesCigarette Smoking Should be banned in United States Cigarette Smoking should be banned in the United States because it causes significant health problems. Tobacco is responsible for nearly one in five deaths in the whole country; also the smoke contains monoxide that reduces oxygen- carrying ability of red blood cells. The origins of tobacco go way back when; but how it was manufactured is a question asked constantly. How it had started was On November twenty third, 1998, forty-six states, asRead MoreSmoking Cigarettes Should Be Banned927 Words   |  4 Pagestruly is to themselves and the ones around them. How is it so bad for someone who isn’t smoking, but is around a smoker? Why are cigarettes so damaging to a person’s body? Why do some people get so bent out of shape when a person smokes in a public place? What is so wrong with smoking in the car with children? What is so wrong with smoking an electronic cigarette? Smoking cigarettes and electronic cigarettes are very harmful to your body, but when you smoke in a public place or around other people

Literary Forms in Related Literature free essay sample

The diversity and richness of Philippine literature evolved side by side with the countrys history. This can best be appreciated in the context of the countrys pre-colonial cultural traditions and the socio-political histories of its colonial and contemporary traditions. The average Filipinos unfamiliarity with his indigenous literature was largely due to what has been impressed upon him: that his country was discovered and, hence, Philippine history started only in 1521. So successful were the efforts of colonialists to blot out the memory of the countrys largely oral past that present-day Filipino writers, artists and journalists are trying to correct this inequity by recognizing the countrys wealth of ethnic traditions and disseminating them in schools and in the mass media. The rousings of nationalistic pride in the 1960s and 1970s also helped bring about this change of attitude among a new breed of Filipinos concerned about the Filipino identity. We will write a custom essay sample on Literary Forms in Related Literature or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Pre-Colonial Times Owing to the works of our own archaeologists, ethnologists and anthropologists, we are able to know more and better judge information about our pre-colonial times set against a bulk of material about early Filipinos as recorded by Spanish, Chinese, Arabic and other chroniclers of the past. Pre-colonial inhabitants of our islands showcase a rich past through their folk speeches, folk songs, folk narratives and indigenous rituals and mimetic dances that affirm our ties with our Southeast Asian neighbors. The most seminal of these folk speeches is the riddle which is tigmo in Cebuano, bugtong in Tagalog, paktakon in Ilongo and patototdon in Bicol. Central to the riddle is the talinghaga or metaphor because it reveals subtle resemblances between two unlike objects and ones power of observation and wit are put to the test. While some riddles are ingenious, others verge on the obscene or are sex-related: Gaddang: Gongonan nu usin y amam If you pull your daddys penis Maggirawa pay sila y inam. Your mommys vagina, too, (Campana) screams. (Bell) The proverbs or aphorisms express norms or codes of behavior, community beliefs or they instill values by offering nuggets of wisdom in short, rhyming verse. The extended form, tanaga, a mono-riming heptasyllabic quatrain expressing insights and lessons on life is more emotionally charged than the terse proverb and thus has affinities with the folk lyric. Some examples are the basahanon or extended didactic sayings from Bukidnon and the daraida and daragilon from Panay. The folk song, a form of folk lyric which expresses the hopes and aspirations, the peoples lifestyles as well as their loves. These are often repetitive and sonorous, didactic and naive as in the childrens songs or Ida-ida(Maguindanao), tulang pambata (Tagalog) or cansiones para abbing (Ibanag). A few examples are the lullabyes or Ili-ili (Ilongo); love songs like the panawagon and balitao (Ilongo); harana or serenade (Cebuano); the bayok (Maranao); the seven-syllable per line poem, ambahan of the Mangyans that are about human relationships, social entertainment and also serve as a tool for teaching the young; work songs that depict the livelihood of the people often sung to go with the movement of workers such as the kalusan (Ivatan), soliranin (Tagalog rowing song) or the mambayu, a Kalinga rice-pounding song; the verbal jousts/games like the duplo popular during wakes. Other folk songs are the drinking songs sung during carousals like the tagay (Cebuano and Waray); dirges and lamentations extolling the deeds of the dead like the kanogon (Cebuano) or the Annako (Bontoc). A type of narrative song or kissa among the Tausug of Mindanao, the parang sabil, uses for its subject matter the exploits of historical and legendary heroes. It tells of a Muslim hero who seeks death at the hands of non-Muslims. The folk narratives, i. e. epics and folk tales are varied, exotic and magical. They explain how the world was created, how certain animals possess certain characteristics, why some places have waterfalls, volcanoes, mountains, flora or fauna and, in the case of legends, an explanation of the origins of things. Fables are about animals and these teach moral lessons. Our countrys epics are considered ethno-epics because unlike, say, Germanys Niebelunginlied, our epics are not national for they are histories of varied groups that consider themselves nations. The epics come in variousnames: Guman (Subanon); Darangen (Maranao); Hudhud (Ifugao); and Ulahingan (Manobo). These epics revolve around supernatural events or heroic deeds and they embody or validate the beliefs and customs and ideals of a community. These are sung or chanted to the accompaniment of indigenous musical instruments and dancing performed during harvests, weddings or funerals by chanters. The chanters who were taught by their ancestors are considered treasures and/or repositories of wisdom in th eir communities. Examples of these epics are the Lam-ang (Ilocano); Hinilawod (Sulod); Kudaman (Palawan); Darangen (Maranao); Ulahingan (Livunganen-Arumanen Manobo); Mangovayt Buhong na Langit (The Maiden of the Buhong Sky from TuwaangManobo); Ag Tobig neg Keboklagan (Subanon); and Tudbulol (Tboli). The Spanish Colonial Tradition While it is true that Spain subjugated the Philippines for more mundane reasons, this former European power contributed much in the shaping and recording of our literature. Religion and institutions that represented European civilization enriched the languages in the lowlands, introduced theater which we would come to know as komedya, the sinakulo, the sarswela, the playlets and the drama. Spain also brought to the country, though at a much later time, liberal ideas and an internationalism that influenced our own Filipino intellectuals and writers for them to understand the meanings of liberty and freedom. Literature in this period may be classified as religious prose and poetry and secular prose and poetry. Religious lyrics written by ladino poets or those versed in both Spanish and Tagalog were included in early catechism and were used to teach Filipinos the Spanish language. Fernando Bagonbantas Salamat nang walang hanga/gracias de sin sempiternas (Unending thanks) is a fine example that is found in the Memorial de la vida cristiana en lengua tagala (Guidelines for the Christian life in the Tagalog language) published in 1605. Another form of religious lyrics are the meditative verses like the dalit appended to novenas and catechisms. It has no fixed meter nor rime scheme although a number are written in octosyllabic quatrains and have a solemn tone and spiritual subject matter. But among the religious poetry of the day, it is the pasyon in octosyllabic quintillas that became entrenched in the Filipinos commemoration of Christs agony and resurrection at Calvary. Gaspar Aquino de Belens Ang Mahal na Passion ni Jesu Christong Panginoon natin na tola (Holy Passion of Our Lord Jesus Christ in Verse) put out in 1704 is the countrys earliest known pasyon. Other known pasyons chanted during the Lenten season are in Ilocano, Pangasinan, Ibanag, Cebuano, Bicol, Ilongo and Waray. Aside from religious poetry, there were various kinds of prose narratives written to prescribe proper decorum. Like the pasyon, these prose narratives were also used for proselitization. Some forms are: dialogo(dialogue), Manual de Urbanidad (conduct book); ejemplo (exemplum) and tratado (tratado). The most well-known are Modesto de Castros Pagsusulatan ng Dalawang Binibini na si Urbana at si Feliza (Correspondence between the Two Maidens Urbana and Feliza) in 1864 and Joaquin Tuasons Ang Bagong Robinson (The New Robinson) in 1879, an adaptation of Daniel Defoes novel. Secular works appeared alongside historical and economic changes, the emergence of an opulent class and the middle class who could avail of a European education. This Filipino elite could now read printed works that used to be the exclusive domain of the missionaries. The most notable of the secular lyrics followed the conventions of a romantic tradition: the languishing but loyal lover, the elusive, often heartless beloved, the rival. The leading poets were Jose Corazon de Jesus (Huseng Sisiw) and Francisco Balagtas. Some secular poets who wrote in this same tradition were Leona Florentino, Jacinto Kawili, Isabelo de los Reyes and Rafael Gandioco. Another popular secular poetry is the metrical romance, the awit and korido in Tagalog. The awit is set in dodecasyllabic quatrains while the korido is in octosyllabic quatrains. These are colorful tales of chivalry from European sources made for singing and chanting such as Gonzalo de Cordoba (Gonzalo of Cordoba) and Ibong Adarna (Adarna Bird). There are numerous metrical romances in Tagalog, Bicol, Ilongo, Pampango, Ilocano and in Pangasinan. The awit as a popular poetic genre reached new heights in Balagtas Florante at Laura (ca. 1838-1861), the most famous of the countrys metrical romances. Again, the winds of change began to blow in 19th century Philippines. Filipino intellectuals educated in Europe called ilustrados began to write about the downside of colonization. This, coupled with the simmering calls for reforms by the masses gathered a formidable force of writers like Jose Rizal, Marcelo H. del Pilar, Mariano Ponce, Emilio Jacinto and Andres Bonifacio. This led to the formation of the Propaganda Movement where prose works such as the political essays and Rizals two political novels, Noli Me Tangere and the El filibusterismo helped usher in the Philippine revolution resulting in the downfall of the Spanish regime, and, at the same time planted the seeds of a national consciousness among Filipinos. But if Rizals novels are political, the novel Ninay (1885) by Pedro Paterno is largely cultural and is considered the first Filipino novel. Although Paternos Ninay gave impetus to other novelists like Jesus Balmori and Antonio M. Abad to continue writing in Spanish, this did not flourish. Other Filipino writers published the essay and short fiction in Spanish in La Vanguardia, El Debate, Renacimiento Filipino, and Nueva Era. The more notable essayists and fictionists were Claro M. Recto, Teodoro M. Kalaw, Epifanio de los Reyes, Vicente Sotto, Trinidad Pardo de Tavera, Rafael Palma, Enrique Laygo (Caretas or Masks, 1925) and Balmori who mastered the prosa romantica or romantic prose. But the introduction of English as medium of instruction in the Philippines hastened the demise of Spanish so that by the 1930s, English writing had overtaken Spanish writing. During the languages death throes, however, writing in the romantic tradition, from the awit and korido, would continue in the novels of Magdalena Jalandoni. But patriotic writing continued under the new colonialists. These appeared in the vernacular poems and modern adaptations of works during the Spanish period and which further maintained the Spanish tradition. The American Colonial Period A new set of colonizers brought about new changes in Philippine literature. New literary forms such as free verse [in poetry], the modern short story and the critical essay were introduced. American influence was deeply entrenched with the firm establishment of English as the medium of instruction in all schools and with literary modernism that highlighted the writers individuality and cultivated consciousness of craft, sometimes at the expense of social consciousness. The poet, and later, National Artist for Literature, Jose Garcia Villa used free verse and espoused the dictum, Art for arts sake to the chagrin of other writers more concerned with the utilitarian aspect of literature. Another maverick in poetry who used free verse and talked about illicit love in her poetry was Angela Manalang Gloria, a woman poet described as ahead of her time. Despite the threat of censorship by the new dispensation, more writers turned up seditious works and popular writing in the native languages bloomed through the weekly outlets like Liwayway and Bisaya. The Balagtas tradition persisted until the poet Alejandro G. Abadilla advocated modernism in poetry. Abadilla later influenced young poets who wrote modern verses in the 1960s such as Virgilio S. Almario, Pedro I. Ricarte and Rolando S. Tinio. While the early Filipino poets grappled with the verities of the new language, Filipinos seemed to have taken easily to the modern short story as published in the Philippines Free Press, the College Folio andPhilippines Herald. Paz Marquez Benitezs Dead Stars published in 1925 was the first successful short story in English written by a Filipino. Later on, Arturo B. Rotor and Manuel E. Arguilla showed exceptional skills with the short story. Alongside this development, writers in the vernaculars continued to write in the provinces. Others like Lope K. Santos, Valeriano Hernandez Pena and Patricio Mariano were writing minimal narratives similar to the early Tagalog short fiction called dali or pasingaw (sketch). The romantic tradition was fused with American pop culture or European influences in the adaptations of Edgar Rice Burroughs Tarzan by F. P. Boquecosa who also penned Ang Palad ni Pepe after Charles Dickens David Copperfield even as the realist tradition was kept alive in the novels by Lope K. Santos and Faustino Aguilar, among others. It should be noted that if there was a dearth of the Filipino novel in English, the novel in the vernaculars continued to be written and serialized in weekly magazines like Liwayway, Bisaya, Hiligaynon and Bannawag. The essay in English became a potent medium from the 1920s to the present. Some leading essayists were journalists like Carlos P. Romulo, Jorge Bocobo, Pura Santillan Castrence, etc. who wrote formal to humorous to informal essays for the delectation by Filipinos. Among those who wrote criticism developed during the American period were Ignacio Manlapaz, Leopoldo Yabes and I. V. Mallari. But it was Salvador P. Lopezs criticism that grabbed attention when he won the Commonwealth Literay Award for the essay in 1940 with his Literature and Society. This essay posited that art must have substance and that Villas adherence to Art for Arts Sake is decadent. The last throes of American colonialism saw the flourishing of Philippine literature in English at the same time, with the introduction of the New Critical aesthetics, made writers pay close attention to craft and indirectly engendered a disparaging attitude towards vernacular writings a tension that would recur in the contemporary period. The Contemporary Period The flowering of Philippine literature in the various languages continue especially with the appearance of new publications after the Martial Law years and the resurgence of committed literature in the 1960s and the 1970s. Filipino writers continue to write poetry, short stories, novellas, novels and essays whether these are socially committed, gender/ethnic related or are personal in intention or not. Of course the Filipino writer has become more conscious of his art with the proliferation of writers workshops here and abroad and the bulk of literature available to him via the mass media including the internet. The various literary awards such as the Don Carlos Palanca Memorial Awards for Literature, the Philippines Free Press, Philippine Graphic, Home Life and Panorama literary awards encourage him to compete with his peers and hope that his creative efforts will be rewarded in the long run. With the new requirement by the Commission on Higher Education of teaching of Philippine Literature in all tertiary schools in the country emphasizing the teaching of the vernacular literature or literatures of the regions, the audience for Filipino writers is virtually assured. And, perhaps, a national literature finding its niche among the literatures of the world will not be far behind.

Infrastructure Facilities And Road Infrastructure Services Tourism Essay Essay Example

Infrastructure Facilities And Road Infrastructure Services Tourism Essay Essay Road sector constitutes a significant portion of substructure in India.An efficient route web is necessary for the state like India for national integrating and economic development. Road is the primary mean of transit which helps us in linking to different cities.Roads portion a large portion of transit of goods and services. India has a huge web of 3.3 million kilometer which is the 2nd largest route web in universe. Roadss involve in transporting approximately 61 % frieght and 85 % of the rider traffic. We will write a custom essay sample on Infrastructure Facilities And Road Infrastructure Services Tourism Essay specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Infrastructure Facilities And Road Infrastructure Services Tourism Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Infrastructure Facilities And Road Infrastructure Services Tourism Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer 66000 kilometer of main roads and freewaies carry about 40 % of route traffic. The authorities of India takes enterprises in the development of roads nad spends about about Rs.18000 crores ( US $ 4 billion ) . Roadss in Ranchi Ranchi is connected with 2 National Highways ( NH-23 A ; NH- 33 ) which cross it and NH-75 originates here. Lots of rural and urban route development procedures are traveling on in Ranchi with the aid of province authorities.Recently the province authorities with the support of NHDC has constituted a program to spread out the route connectivity of different territory central office to this capital metropolis with 4-lane main roads of international criterions. There are no local coach services available in Ranchi. For transposing from one topographic point to another 1 can engage or portion an Auto Rickshaw and taxis are besides available. Cycle jinrikisha are a more common manner to go for short distances. The metropolis has one State Bus Terminus where coachs are available for going to Bokaro steel metropolis, Jamshedpur, Patna, Gaya, Bhagalpur, Alipurduar, Siliguri, Kolkata and Rourkela. The State Bus Terminus is located near the Ranchi Railway station.There are besides buses available for Kolkata, Banaras, Rourkela and metropoliss of other eastern provinces. Ratu Road is another Private Bus Terminus where coachs are available for finishs in Jharkhand, Bihar, Orissa and Chhattisgarh. There has been a considerable development in Ranchi along the major regional linkages in a radial form in the yesteryear. Besides there has been a applaudable attempt in the recent old ages to better the pavement conditions of major roads and roads under Ranchi Municiple Corporation. The primary concern in is decongestion, Mass theodolite system, betterment of the traffic velocity, betterment of route gears, canalisation of traffic, traffic subject, to provide to the ever-increasing figure of vehicles in the metropolis, which is projected to be doubled by the following 5 old ages. Regional linkages Ranchi is good linked to other parts of the province and India, by Road, Rail A ; Air. NH-23 connects the metropolis in south-western way to Chattisgarh. NH-33 which passes through Ranchi metropolis, linking in north to Hazaribagh, Dhanbad and farther to UP and Delhi, in south-east to Jamshedpur, Orissa A ; Kolkata. NH-75 connects the metropolis in West to the western portion of the province and farther to Bombay. Road Network in the metropolis Ranchi has developed well along with all major roads and other regional linkages in the past old ages. The commercial activity preponderantly have developed along the north-south Main Road which is the major arteria of the metropolis, get downing at the Upper Bazar at north-west, Administrative offices at north, Commercial Centres along the cardinal spinal column, Administrative office at the South A ; south-east, climaxing to self sufficient Industrial Area ( HEC, HSL ) at the south-west terminal as seen on the Proposed Master Plan of Ranchi -1983, by Ranchi Ruaral Development Authority ( RRDA ) . A Traffic Volume Count Survey has been conducted in the metropolis in different locations to understand the Characteristics of the traffic at critical locations. Understanding of land usage and route denseness is really necessary to take farther stairss towards development. It helps us in happening out the chief jobs and troubles which common people is enduring from this heavy traffic movemnt and their congestion.The traffic velocity on the Main Road is really slow peculiarly during the peak hours as per the study. The breadth of the chief arteria and roads in the metropolis is 10 to 25 metres and the breadth of other major roads is 5 to 10 metres. The country of the metropolis is 173 Sq.Km, and in 1981 the route length per 1000 population in Ranchi was 0.26 kilometer merely and the route length per 100 sq. kilometer. of country it is 72.53 Kms. Till 2008 Ranchi has sum of 569 Km route length. The 14 roads identified as chief traffic transporting corridors by PWD has a entire length of 94 Km, construct amp ; maintained by PWD. The remainder 475 kilometer roads constitute the sub-arterial and colony roads, construct amp ; maintained by RMC. The entire 470km roads maintained by RMC constitute of 346 kilometers roads as pucca roads, Out of which 32 kilometer WBM, 62 kilometers are bituminous A ; 252 kilometers are concrete top. 124 km roads are kuccha building, out of which merely 29 kilometers are motor able and 90 kilometers are non-motorable. Types of Roads History for ( in % ) Pucca with WBM 7 Pucca Bituminous 13 Pucca concrete 55 Kuchcha Motorable 6 Kuchcha Non-motorable 19 From above pie chart it can be derived as: Largely the roads in Ranchi are formed of concrete and are for good constructed. About 75 % of roads are in good status and are distributed as pucca concrete, pucca Bituminous, pucca with WBM. Remaning 25 % of route is referred as kuccha roads which is separated as motorable and non- motorable. Major Roadss in Ranchi H.B. Road ( Hazaribagh Road ) Old H.B Road Round Road Mahatma Gandhi /Main Road Purulia Road Kankee Road Ratu Road Indrapuri Road Bariatu Road HEC Ratu Bypass Road Club Road Church Road Major Intersections in Ranchi Kutchery Firayalal ( Albert Ekka ) Medical ( RMCH ) Kokar Lalpur Karamtoli Kantatoli Booty More BIT More Birsa Chowk Pandra Piska more Dangratoli Chowk Argora Sahjanand Chowk Harmu Bypass Hinoo more Doranda Russian Hotel Dhurwa Chandni Chowk Bus Terminus in Ranchi Birsa Bus Terminus ( Khadgada ) Ratu Road Bus Stand State Transport Bus Terminal ( Overbridge ) Major corridors of the metropolis: S.No. From To Length ( in kilometer ) 1. Firayalal Chowk Shaheed Chowk 0.3 2. Firayalal Chowk Kantatoli Chowk 3 3. Firayalal Chowk Rajendra Chowk 4.2 4. Railway Station Kantatoli Chowk 2.7 5. Railway Station Argora Chowk 3.6 6. Rajendra Chowk Namkum Chowk 5.6 7. Rajendra Chowk Birsa Chowk 3.2 8. Birsa Chowk Hatia 5.7 9. Birsa Chowk Tipudana 7.4 10. Birsa Chowk Argora Chowk 3.4 11. Argora Chowk Ratu Road 4.5 12 Piska More Lalgutua 5 13. Piska More Lohardaga Road 6 14. Piska More Ratu Road 2 15. Shaheed Chowk Kachahri 1.2 16. Shaheed Chowk Ratu Road 1.4 17. Kachahri Karam Toli 1.2 18. Kachahri Ratu Road 1 19. Karam Toli Booty More 6.3 20. Booty More Kantatoli Chowk 5.4 21. Kantatoli Chowk Namkum Chowk 5.8 Entire 78.9 Condition of Roads in Ranchi Though the chief streets of the metropolis are in satisfactory status as the broadening and strengthening of these roads has been done late, the absence of other substructure viz. pathwaies, route marker, rotary, inveighing etc. leads to decrease in traffic velocity. Merely 50 % of major roads have drainage construct along the sides. The inside settlement roads have chuckholes and without proper drainage system along the sides. The kuccha roads on the peripheries are in a really bad province. Growth of vehicles in Ranchi In twelvemonth 1990-2001, the figure of auto-rickshaws is 19.15 per 1000 population, while rhythm jinrikishas are recorded as 23.5 per 1000 population. In the twelvemonth 2008 the figure of car jinrikisha is 26.15 per 1000 population. The enrollment records of the Regional Transport Authority, Ranchi indicate that the enrollment of motorised vehicles, both public and private has increased by 224 % between 1990-01 and 2001-2008 due to big industrial growing in this period, nevertheless the growing has reduced to 63 % between 1990-91 to 2000-01, farther it is expected to turn at non less than 100 % boulder clay 2021. The metropolis shows an increasing tendency in the usage of two-wheelers like scooters, bikes and mopeds etc. The metropolis s transit demand is mostly met by the undermentioned manners of conveyance. Traffic Flows and Travel Demand Major transit issue faced is the legion commuters acquiring into the Central Business District ( CBD ) country from its environing through a high capacity radial web into the dense nucleus country, which is unable to accept the inflow of these flows taking to traffic bottlenecks. Top out hr flows on major traffic corridors is more than 8000 rider auto units ( PCUs ) , farther due to assorted traffic conditions and deficiency of subject, the lane capacity is well reduced. The extremum travel ( traffic ) clip as derived from traffic volumes counts on major roads and supplemented by the available primary informations for different of import traffic corridors is 10-11 AM and 5-6 PM. Peak Hours Traffic Data on Major Roads / Intersections S.No. JUNCTION ROAD Peak hour. In PCU s In Nos. 1 Argora Chowk Dibdih 1000-1100 1705 1912 2 Argora Chowk Old Argora Chowk 1400-1500 2683 3386 3 Argora Chowk Harmu 1800-1900 10595 6624 4 Argora Chowk Ashoka Nagar 1400-1500 217 3166 5 Birsa Chowk HEC 1700-1800 3761 3677 6 Birsa Chowk Hatia 1800-1900 3179 2412 7 Birsa Chowk Hinoo 1800-1900 3193 4550 8 Booti More Bariyatu 1800-1900 2792 1433 9 Booti More BIT Road 1300-1400 4450 2634 10 Booti More Kokar 1700-1800 5013 2822 11 Firayalal Chowk Shaheed Chowk 1400-1500 3859 3608 12 Firayalal Chowk Link tank route 1800-1900 3917 3886 13 Firayalal Chowk Lalpur Chowk 0900-1000 8199 8334 14 Firayalal Chowk Main Road 1400-1500 7690 6391 15 Kantatoli Chowk Dangratoli Chowk 1400-1500 6589 5128 16 Kantatoli Chowk H.B Road 1300-1400 3118 2770 17 Kantatoli Chowk Tata Road 1100-1200 3986 1559 18 Kantatoli Chowk Bahu Bazar 1100-1200 3017 3613 19 Kantatoli Chowk Firayalal Chowk 0900-1000 2737 2782 20 Kantatoli Chowk Mission Chowk 1400-1500 1532 1215 21 Kantatoli Chowk Sujata Chowk 1300-1400 2909 2988 22 Karam Toli Chowk Sainik theatre 0900-1000 1353 1432 23 Karam Toli Chowk Tagore hill 0800-0900 2072 2079 24 Karam Toli Chowk Bariyatu 1000-1100 2263 2246 25 Karam Toli Chowk Aadiwasi hostel 0800-0900 2585 2545 26 Kachahri Chowk Ratu Road 0900-1000 4269 3661 27 Kachahri Chowk Radium Road 1700-1800 2071 2170 28 Kachahri Chowk Lalpur Chowk 2100-2200 6233 1830 29 Kachahri Chowk Shaheed Chowk 1100-1200 3839 1817 30 Namkum Chowk Ranchi 1400-1500 2364 1558 31 Namkum Chowk Ghagra 0800-0900 1706 1368 32 Namkum Chowk Tata route 1800-1900 2237 1785 33 Piska More Ratu 0800-0900 3751 2851 34 Piska More Pandra 1700-1800 2883 3148 35 Piska More ITI route 0800-0900 2383 1478 36 Railway Station Bus Stand 0900-1000 3000 2804 37 Railway Station Bahu Bazar 1000-1100 2389 2452 38 Railway Station Railway Station 0900-1000 2479 2486 39 Railway Station Over Bridge 1600-1700 763 716 40 Rajendra Chowk Nibarampur 1200-1300 2692 1505 41 Rajendra Chowk Doranda 0900-1000 4375 3124 42 Rajendra Chowk Hinoo 1700-1800 3062 3131 43 Rajendra Chowk Over span 0800-0900 2778 1817 44 Ratu route Chowk Piska 1100-1200 4097 3495 45 Ratu route Chowk Raj Bhavan 1000-1100 1578 2000 46 Ratu route Chowk Kachahri 0800-0900 5089 4053 47 Ratu route Chowk Harmu 1000-1100 2384 2478 48 Shaheed Chowk Kachahri 1600-1700 1418 1458 49 Shaheed Chowk Firayalal 1000-1100 5228 5194 50 Shaheed Chowk Pustak 0800-0900 2204 1881 51 Shaheed Chowk Kotwali 1000-1100 2119 2228 Significant external-to-external flows across the nucleus country are prevalent in the metropolis in absence of by-pass roads. This has resulted in the decrease of mean velocities of the vehicles. The present mean velocity is merely approximately 10 kilometers per hr during extremum hours, and it is still likely to cut down if there is no betterment in the state of affairs. Important Land Marks Albert Ekka Chowk Shaheed Chowk Argora Chowk Harmoo Chowk Booty More Kanta Toli Chowk Over Bridge, Nibaranpur Over Bridge, Kadru Rly Over Pass, BM Rajpath, Dibdih Boubazar Chowk Club Chowk Vivekanand Chowk Rajendra Chowk Birsa Chowk HEC Golchakker Dhurwa more Morabadi Maidan Hinoo Chowk AG More Kutchery Chowk Ratan Talking pictures Fun Castle ( Ratu ) Hesag Karamtoli Chowk Chiraundi Lalpur Chowk Namkum Chowk ( Army Base ) Kali Nagar ( Tea Garden, Namkum ) Sadabahar Chowk Kokar Chowk Hatia Ranchi Express ( Upper Bazar ) Chandni Chowk ( Kanke Road ) Gandhi Nagar ( Kanke Road ) Jawahar Nagar ( Kanke Road ) Karbala Chowk ( Church route ) Bariatu Chowk Ratu park Piska More Ratu Road Daily Trip, Composition Sing the entire trips generated in the Ranchi metropolis it can be stated that approximately two trips per individual are made day-to-day that is one unit of ammunition trip per individual per twenty-four hours. At the metropolis degree, day-to-day trip rate per house clasp in Ranchi metropolis is about 10.35 and mean day-to-day trip rate per individual ( PCTR ) is about 2.25 which include trips undertaken by walking. Average Daily Trip Rate per Person and per Family Average Daily Trip Rate Work Education Others Total Per Person 0.73 0.92 0.60 2.25 Per Household 3.42 4.16 2.77 10.35 In the metropolis, the work and instruction trips together account for approximately 73 % of the entire day-to-day trips while the remainder of the trips are made for other intents like shopping, diversion, societal and medical intents. A big proportion of the day-to-day trips autumn in the instruction class. The distribution of the trips by intent is closely linked with the employment position and the age construction of the population. . Majority of low income group individuals in Ranchi either walk or usage rhythms, for which they do non hold to pay. In Ranchi about 30 per cent of the entire demand is met by travel on pes, 24 per cent by twowheelers, 12 per cent by rhythms and office/ factory/ school coachs besides play an of import function by transporting 12 per cent of the day-to-day riders. Model split in Ranchi Types of Vehicles Entire in no. Entire in % Bullock Cart 1722 2 Two Wheeler 39310 26 Three Wheeler/Auto Rickshaw 21962 15 Car/Jeep/Van/Taxi 25398 17 Buss 4982 3 LCV 8056 6 Trucks 3350 3 Cycle 20375 14 Cycle Rickshaw 20528 14 From the above theoretical account split of vehicles in Ranchi followerss can be derived: 28 % of the traffic constitutes of bullock cart, rhythm, rhythm jinrikishas.So chiefly the parity theodolite manners are used by the populace for motion from one topographic point to another. It creates job for the motion of heavy vehicles in the roads as the velocity of the traffic motion lessenings and therefore it reduces the efficiency of the route conveyance in the metropolis. Merely 12 % heavy vehicles are runing in the metropolis. Lesser figure of Bus / Minibus ( i.e. Mass Transit System ) are used for transit and besides trucks which are used for the logistics motion counts less in figure. Due to non-availability and inefficiency of MTS and inconvenient Public Transport, there is increased figure of two Wheelers in the metropolis. 41 % of the entire vehicle count is occupied by two-three Wheelers which increases the pollution degree and increased traffic undiscipline on roads. Car/Jeep/Taxis/Van are besides used as the transit medium by the public.It histories for 17 % of the entire traffic motion in the metropolis. Recent Developments of Roads in Ranchi Consideration of Ranchi Ring Road ( RRR ) It has been proposed by the Ranchi municipal corporation to keep good substructure installations at Ranchi.For this thing Ranchii authorities has identified some major roads development in the city.The status of the roads in Ranchi is non good and roads are really efficient and largely are individual laned. So it increases the traffic congestion at chief topographic points in the markets and therefore reduces the traffic motion from one topographic point to another. The Ranchi municipal corporation proposes to develop a to the full modern system for safe and efficient motion of traffic. As a first measure, it is decided to take up the development of Ranchi Ring Road. This will be a 85 Km long six lane dual carriageway installation running along the suburb s of Ranchi and supplying bye-pass installations to National Highways, State Highways, other roads, soon running through the Ranchi City. The chief roads emanating from Ranchi metropolis are: Ranchi Ramgarh Hazaribagh ( NH33 ) Ranchi Purulia Ranchi Jamshedpur ( NH33 ) Ranchi Chaibasa Tata Nagar Ranchi Lodhma Kera Rourkela Ranchi Gumla Rourkela ( NH23 ) Ranchi Daltenganj ( NH75 ) and Ranchi Pithauria Patratu The strength of traffic on these roads has increased manifolds doing considerable hold in travel clip and incommodiousness to the intercity traffic. In the first phase, the province authorities would set about the building work of linking the province capital s outskirts Kathi Tand ( near Ratu on Ranchi-Daltonganj main road ) and Karma ( on Ranchi-Ramgarh route ) . It would assist cut down the force per unit area of heavy vehicles on the streets of the province capital. To enable congestion free intra-city traffic motion, supply unhampered motion to the traffic destined to other Stationss, aid in making pollution free environments and supply chief entree to Greater Ranchi, there is an pressing demand to develop this Ranchi Ring Road along the urban fringe of metropolis in the first phase.This besides forms portion of the State Government s policy of harmonizing precedence for the development and betterment of the conveyance sector in the province. In the original specifications, two overpasss were proposed at Kathi Tand ( which comes under NH-75 on Ranchi-Daltonganj stretch ) and at Karma ( NH-33 ) . The province authorities can set about the overpass undertaking merely after acquiring clearance from the Union ministry of Road Transport and Highways. Seven class separated intersections by manner of 6 overpasss and one elevated cross route have been proposed at the undermentioned intersections: 1. Section I Vikas on NH 33 ( Flyover ) 2. Section II Tati silwai on SH ( Flyover ) 3. Section III Rampur on NH 33 ( Flyover ) 4. Section IV Tipudana on SH ( Flyover ) 5. Section V Lalgutua on NH-23 ( Flyover ) 6. Section VI Kathiatar on NH-75 ( Elevated Cross Road ) 7. Section VII Kanke Pithauria Road ( Flyover ) 16 Underpasss have been proposed beneath a class separated construction to transport one or more watercourse of traffic. There are 2, 7, 1, 1, 0, 0, and 5 subwaies for Section I, II, III, IV, V, VI and VII severally. Road Rail Crossings: As per the demand of the employer, route over Bridgess ( ROBs ) on two railroad crossings in Section II and one in Section IV have been provided. Similarly one route under span on Railway traversing in Section V has been proposed in position of railroad line running on high embankments. Issues a. The demand for urban conveyance in Ranchi metropolis is projected to be about dual by the twelvemonth 2011. B. Lack of Mass Transit System. Cycle-rickshaws and auto-rickshaws are therefore the prevailing manners of public conveyance. The entire portion of public conveyance is 0 % against the lower limit desired 80 % portion for Ranchi, as per the guidelines issued by the Ministry of Urban Development, GoI in 1988. This is desired for effectual traffic direction. c.Two-wheelers like scooter, bike and moped are the most widely used individualized manner of conveyance, which increase the traffic denseness on the roads and due to high maneuverability they add to indiscipline amp ; occasional the traffic blockages / jams. d. The present public conveyance ( IPTs ) is found to be unequal and disappointing chiefly due to their high cost, hapless service, uncomfortableness caused by over embarkation, slow velocity, pollution and indiscriminate arrests to function passengers.. e. The velocity of the traffic on most of the inner-city roads is governed by the velocity of the jinrikisha ensuing in congestion and really low mean journey velocities, every bit low as 10 kmph. f. Considerable holds at intersections due to non-standard constellations, and increased struggles. g. Indiscriminate parking by dwellers and general deficit of parking infinites. h. Increasing volumes of three wheeled car jinrikishas making extra jobs due to their maneuverability, Road Safety A ; Congestion i. Pathway Most of roads inside the metropolis have no defined pathwaies. In most of the instances the route heart terminates suddenly to Earth, someplace to constructed shoulder. In countries such as chief roads with commercial constitutions the route heart is continued to the next stores or boundary. The building of concrete paving by single store proprietors are witnessed on secondary roads. two. Road Side Railing A ; Curb Stones The route side railings spliting the route from pathwaies and service lanes is virtually absent in the full metropolis. One can come in the route at any point straight from the store, abode or other constitutions. The deficiency of kerb rocks and deficiency of raised sideways or pathway along the roads, consequences in use of full right of manner by traffic motion, and the unguided prosaic therefore ends up devouring infinite on the route three. Divider, Railing A few of Arteries in the metropolis are provided with splitter, the Main Road go throughing through the commercial hub of the metropolis is provided with splitter with inveighing over it, but due to legion punctures in to the railing, prosaic can be found traversing the route virtually at any location. four. Para Transit Auto Stops It is a general pattern in the metropolis to park the lone bing public conveyance manner, the cars on the route, really near to the intersections. This consequences in decrease of effectual clear route breadth at the intersections, therefore join forcesing to the traffic congestion at the intersection. v. Road Painting A ; Zebra Crossing Except chief arterias all other roads have no route line picture. The defined Zebra crossing even at signalized intersections are losing, ensuing in unguided crossing walker, the absence of arrest line at intersections once more provide purchase to go against traffic regulations. six. Signalization The signalized intersections in the metropolis are really rare. A few of the intersections have manned traffic monitoring, which raise serious concern over the safety of the traffic constabulary, standing at center of the traffic, unprotected and without any base. A really few of the intersections have signal visible radiations with timer show, which is a must in such instance of heterogenous traffic. The queuing witnessed at the peak times at the Main Road in the chief market has been about 20 autos in a row. The manned intersections rhythm clip varies from 15 sec. to 4 min. seven. Traffic Jam, Congestion A ; Traffic velocity The traffic jam witnessed at the extremum hours in the commercial hubs were chiefly due to unorganised and hap risky motion of jinrikisha A ; other vehicles at the intersections, where everybody is caught at the Centre with no infinite to maneuver the vehicle to do infinite to unclutter the jam. The weaving of jinrikisha, heterogenous traffic, traffic regulation misdemeanor, bottlenecks all such issues result in congestion and deceleration of the traffic. Bottle cervixs As per the reconnaissance study of the metropolis by experts, the identified bottle cervixs in the metropolis preponderantly lies in the Station country ( Railway Station and Birsa Munda coach base ) , Main market are ( Main Road ) , Sweeping market ( Upper Bazar ) . The primary causes of such constrictions are as follows: a. Varying carriageway of roads in the Main market country, lesser transporting capacity ( two lane route with heterogenous traffic ) in Upper Bazar. b. Invasion by the retail stores along the streets, by puting billboards, containers A ; show in the full metropolis is prevailing and constitutes to the traffic congestion. c. Unauthorized parking along the roads is another ground for decrease of effectual route breadth curtailing the smooth traffic flow. d. Almost all the intersection inside the metropolis are flanked with Auto ( metropolis conveyance ) , sellers right at the intersection and really near to the intersection. e. Due to the absence of clear and defined prosaic waies along the chief streets, the prosaic tend to utilize about one full lane for transposing. Institutional Duty Multiple bureaus are involved in back uping and easing traffic and transit mechanism in Ranchi. Provision of route substructure is done by RMC, PWD A ; NHAI. The traffic ordinance has been the duty of the traffic constabulary section. No individual bureau is entirely responsible and accountable for traffic and conveyance direction. This is giving rise to overlapping of maps and spacial and functional atomization Schemes a. Encouraging displacement towards a Mass Transit System and minimising the usage of individualized vehicles. For case, as per the modal split degrees recommended by the Central Institute of Road Research, 30 % to 40 % of the riders trips should be carried by mass theodolite ( coach ) in medium size metropoliss holding population between 1 and 2 million. Ranchi metropolis requires a wise combination of coach service and IPT service for minimising the usage of individualized manners B. High capacity coach service to link major establishment, infirmaries capital metropolis, station, airdrome and industrial country. c. Options for Mass Transit System for the Ranchi City like Mini Bus shuttle service for thoroughfare traffic as immediate step. d. Improvement of all major arterias, i.e. widening A ; strengthening of paving building of pathwaies, railings, street lamps, drainage, average, shoulder, route picture, route signage, beef uping of culverts etc as applicable. e. Proper geometric design of rotary and island at Intersections. Based on traffic volume and infinite handiness integrating signalisation, zebra crossing. f. Provision of automatic signal system, based on traffic volume where is infinite is a restraint for big size traffic circle. Cycle clip of traffic visible radiations to be fixed utilizing computing machine simulation with regard to traffic velocity, flow and line uping length. g. Identifying Missing Linkss: A Inner Ring Road to be built by building a new route links between Kanke Road to Ratu Road farther to Argora Chowk, another route nexus between Hinoo Chowk to Namkum Chowk. h. Road infinite direction by curtailing usage of route infinite by heavy vehicles and private motor autos in engorged cardinal countries during haste hours. I. Supplying authorised parking infinites at high demand countries in order to cut down invasion on roads by unauthorised parking. J. Facilitating smooth flow of traffic through steps such as traffic signals and marks, one-way streets and velocity control with accent on enforcement of traffic ordinances. k. Road safety and pollution control checks including the review of fittingness of vehicles every bit good as preparation and testing of the IPT drivers. l. Providing installations for prosaic and rhythm travel is a must for Ranchi metropolis. These manners of travel are cost-efficient, do non necessitate fuel and make non take to air or noise pollution. MAP OF RANCHI SHOWING THE ROADS AND ITS CONNECTIVITY Road Network Map of Ranchi

Guest Blogging Guide 5 Steps to Get Your First Post Published

Everyone always talks about how helpful guest blogging is for growing your blog. But when youre just getting started, it can be tough to know what you actually have to do to get your first guest post published. Thats what our guest blogging guide is here to help with.Guest posting around the web is a perfect way to expand your reach and visibility. It also isn’t hard to do, since a lot of blogs and similar sites accept contributions. Once you know the best way to go about it, you can quickly find yourself successfully placing guest posts on a regular basis.In this guest blogging guide, we’ll briefly touch on why you might want to put some time into this marketing strategy. Then we’ll walk you through how to publish your first guest post. Let’s get to work! can use a guest post to help drive conversions and sales. You’re just better off working in a mention of your product or service naturally, rather than designing an entire piece around a review or tutorial.Step 2: Choose your target blogOnce you know what you’re trying to accomplish, the next step in our guest blogging guide is finding a site to target. This means choosing a specific blog you’d like to be published on.It’s best to start out by generating a list of potential target blogs, which you can narrow down later. To develop this list, you’ll want to check out your own favorite blogs, as well as those most popular with your audience.You can also use Google to turn up good guest blogging opportunities. This search operator is a good start (just make sure to enter your own keyword):"keyword + guest post by"Once you get some targets, you’ll want to look for sites that clearly accept guest posts. In most cases, this will mean they have a dedicated Write for us page (heres ours). Many blogs also state on their Contact or About pages whether they accept guest posts or not – which makes it simple to eliminate them from your list.If it isn’t clear whether a particular blog takes guest contributions, you can check out their previous posts to see if they’ve been written by a variety of authors. If so, they’re more likely to at least be open to the possibility. However, you’ll want to reach out to the site and ask whether they’re interested in submissions before proceeding, so you don’t waste your time writing content for a blog that doesn’t want it.When you have a solid list of candidates at hand, choose the one you’d most like to be published on. This should be the blog thats best positioned to help you reach your goal. You can keep the remaining options handy for the next guest post.Step 3: Develop a proposalAt this point, many people are tempted to jump right in and start writing their guest post. However, before this, it’s best to make sure your target blog is actually interested in the topic.To do so, you can write up a guest post proposal. This is typically a short email that lets the blog know what you’d like to write about. While writing up your proposal, consider the following elements:Keep it brief – most blog editors don’t have a lot of time. Include the proposed article’s title, and either a paragraph or two summarizing what it will be about, or a very concise outline. Heres how to write a good pitch.Check out the blog’s guest posting requirements (if possible). Many blogs have a page outlining rules and guidelines for guest posters, such as which kinds of topics are acceptable and what information needs to be included in your proposal.If you have any particular requests, clarify them upfront.  For example, you may want to make sure a specific link is included that leads back to your website, or maybe you’d like a byline with a short author bio. Make sure to specify these elements in your proposal – just don’t ask for too much!If the blog you’re targeting has a dedicated submissions page, you’ll often find an email address or contact form you can use to send your proposal. Otherwise, you can check out the site’s general contact page and get in touch that way.Step 4: Write and submit your guest postWhen your target blog has indicated their interest in your proposal, it’s time to get to work. We won’t tell you how to actually write the post – chances are you already know how to put together some quality content.However, here are some things to keep in mind during the process:Keep the target blog’s requirements at hand, and make sure to cover every base. This can include structuring your article in a specific way, including images of certain types or sizes, and so on.Consider the length of your post carefully. If the target blog didn’t specify a word count, aim for a piece that’s weighty without being overly long. 1,000 to 2,000 words is often the sweet spot for a guest post.Write to the target blog’s core audience. This might be slightly different than your own audience, so do some research if necessary and find out what they know and what they’re interested in.Avoid overly promotional or ‘salesy’ language. We mentioned this earlier, but it bears repeating. Mentioning your own website and services is often fine, but try to maintain a neutral tone and focus on providing solid advice or information rather than making a sale.Once you’re happy with the post, you can submit it to the target blog via its preferred method. You may have to wait a while for a response, although don’t be afraid to follow up periodically to see if it’s been reviewed and to ask when it will be published.Step 5: Promote the published postIf everything has gone well, the target blog will edit and publish your submitted post. However, your job isn’t quite over yet.To get the most out of your guest post, you’ll want to ensure th at as many people see it as possible. For this reason, the last step in our guest blogging guide is to promote the piece once it’s published.You can do this by:Creating a short post on your own blog, letting readers know about the new content and providing a link.Sharing the post on all your social media profiles.Sending out a message to your email subscription list.In addition, keep an eye on the post while it’s fresh, and make sure to respond to as many reader comments as you can. Engaging with the target blog’s audience is a smart way to extend the life of your guest post as long as possible.Get out there and put this guest blogging guide into actionIt can be easy to focus too much on your own blog and content. However, if you really want to grow your audience and reputation, you’ll want to be visible on more places around the web. Creating quality guest posts and getting them published on key sites is the perfect way to do it.In this guest blogging gu ide, youve learned how to:Decide on a goal for your guest post.Choose your target blog.Develop a proposal.Write and submit your guest post.Promote the published post.And once you start getting traction from your own guest blogging efforts, you can look into accepting guest posts on your own site.Do you have any questions about the steps in this guest blogging guide? Ask away in the comments section below! Unsure how to start guest #blogging? Follow these 5 steps to get your first post #published

Health Care †Based on Social Good Will, Not Profit

Health Care – Based on Social Good Will, Not Profit Free Online Research Papers It is no secret that health care costs are spiraling out of control in this country. The approach that the United States government has taken towards the public health-care system should be completely reevaluated. Instead of being the only major industrialized nation that does not have a public system to cover working people who cannot afford it or who do not receive private health insurance from their employers, we can adopt a system that takes the cost of health care away from individuals and evenly distributes it back to society as a whole. On average Americans spend more per person on their health care than on both groceries and housing (California Progress Report). The policies on this issue are leading us into alarmingly high rates of insurance premiums that are rising faster than inflation, which puts a halt to economic growth and leaves employer businesses with less money to give raises to working people who do not make enough to pay for an individual policy for themselves and their family. While the superiority of and accessibility to medical care in the United States remains among the best in the world, it leads us to wonder whether we would be better off implementing a universal government-controlled health care system like the ones used in Canada, Cuba, England, and France. Since most companies that are providing these benefits are working together with the lobbyists that are putting this system into place for their own gain, they don’t want it to change for many reasons. One of them being that health care coverage should be for the benefit of simple profit and not to protect peoples’ lives. The Documentary Sicko directed by Michael Moore documents the hidden tactics of your typical friendly â€Å"All American Insurance Companies.† While profit is a market- driven force, they compromise to save money through denial of care and lowering provider costs. This leaves the problem only temporarily fixed, and makes it hard for low income-income families to get good health care. (sicko-themovie.com/) A solution to this is to motivate the working people to get in contact with a green party group to pass a single universal health care bill or referendum in their state. State level bills and referenda will be most effective because a federal health care system might in fact be too problematic because it is not politically realistic at this moment. We all recognize that these corporations are able to buy politicians who can persuade the citizens that corporate health care is independent, represents free will, and is the most practical system for delivering health care. For instance, one out of every five people in California has no health insurance at all, and most of them are average to low middle-income working people (Kuehl,Sheila CaliforniaProgressReport, Floor Statement Health Care Reform and AB 8,January 11,2007). Usually, their employer will not provide this coverage since they do not make enough to pay for their individual policy for them and their loved ones. When it comes to those who do have insurance, many are underinsured and are much taken aback to discover that their insurance does not cover a large amount of their costs if they get ill or injured. â€Å"In fact half of all the personal bankruptcies in America are caused by medical costs and three-quarters of those bankrupted had insurance at the time they became ill or injured† (Kuehl,Sheila CaliforniaProgressReport, Floor Statement Health Care Reform and AB 8,January 11,2007). Hypothetical person-A is a Vietnam veteran who suffers from hypertension and diabetes, like most elderly people he is need of affordable health care to survive. With the added cost of medical care people are forced to pay for medical expenses out of pocket. Person-A like many others is thus forced to sell his home in order to pay his medical bills, a action which is unjust and illustrates the flaws in our Medicare system. More evidence of the inefficiency with the medical system was displayed in a recent poll. A Field Poll specially made by the California Wellness Foundation revealed that 80% of Californians want the government to guarantee access to affordable health care coverage when asked why healthcare costs are increasing, the majority pointed to excessive insurance company profits, followed by waste, fraud and inefficiency The combinations of these neglected acts are held responsible for the current disarray that the state of this nation is in. (www.californiaprogressreport.com) When it comes to government-controlled health care systems, we have to examine nations like Canada, Cuba, England, and France which have monopolistic health care systems that are seen by different sides of the ideological spectrum as either models to be followed or avoided. Three ways that government-controlled health care systems do more good than harm are: 1) they get people to stop spending money on useless coverage and care; 2) prevent the screening of the sick and the elderly in their drive to register only healthy and profitable patients; and 3) have the private insurers stop throwing away vast sums of â€Å"our money† for advertisement and the underwriting that lead to exploitation of these activities. This spending only enhances companies earnings and takes away resources from care which hurts patients and leads to irate physicians who deal with useless paperwork imposed on doctors’ offices and hospitals, throwing away hundreds of billions more each year. Illu strating that a universal government program would be a superior option compared to the corrupt and inefficient one that is in place now. According to the New England Journal Review, the solution is to inform the people of the actual truth to where their money is being used by insurance companies. The added cost of illness, medical bills and prescription drugs accounts for half of all U.S. bankruptcies, making it the highest in the world. Other industrialized nations spend less on nationwide health care, and the citizens are guaranteed to have coverage for life. They have more superior access to care than we do in our system. According to the Physicians for a National Health Program the solution to this madness is to replace all the private insurance companies and create a single-payer public program- â€Å"Medicare for All – saving more than $350 billion per year, enough new money to provide guaranteed comprehensive health benefits for all†. With the added surplus we can finally get the right start. (New England Journal of Medicine, 2003) Our privatized system shows its inefficiency from the start when compared to that of Canada’s. As shown on The Canadian Institute for Health Information, â€Å"In contrast to the roughly 20 percent overhead of insurance companies, Canada’s single-payer program runs for 1 percent overhead.† Canada promotes this efficient work through a medical profession with a self-governing College of Physicians and Surgeons. The licensing physicians are responsible for setting practice standards, educating and disciplining its members. In America many companies play favoritism with the healthy and profitable patients, over the elderly and sick. Health care has always demonstrated a foundation that vividly displays a full, joyful quality of life. Our American constitution was created to represent all our citizens regardless of their backgrounds. Health care is a standard human right that should be paid for all citizens, not a privilege to be indulged by the affluent. A singl e-payer national health insurance program would promise access to high-quality and complete health care for all Americans. These savings allow universal coverage for a much cheaper price. (http://secure.cihi.ca/cihiweb) I recall a time when my mother’s union the Teachers Federation was involved in disagreements over health benefits for the past 10 years. Universal coverage is the most logical step to defuse this debatable issue, providing independent benefits regardless of employment status, by allowing business greater flexibility in whom they want to hire. As shown by Richard Alvarez, the Canadian Institute for Health information states that close to a third of the U.S. population’s health cost is spent on blind administrative costs and open marginal profits instead of actual care, adding to $2,300 per person. The total elimination of these private insurance companies and reorganization of health financing through a single public payer could greatly halt the expenditure of wasted money under the private system. Many analysts estimate that the United States can put aside $350 billion in 2003 with a single-payer system. Counting the current combination of what we are currently spending out-of-pocket and in taxes, that is sufficient to afford full coverage to everyone without spending any more than we are now. With just these obvious procedures, it alarms me how much can be done if we streamline our deficiencies that lead us to these alternative options. (http://secure.cihi.ca/cihiweb/en/downloads/partner_conf_oct2003_report_e.pdf ) One of the best steps for the American health system to regain a compatible coverage system seen in other industrialized countries is making everyone a winner. Every American should be awarded a basic health insurance card that would enable them a full range of benefits to any doctor or hospital site. All patients, regardless of background or economic status, should not have to pay a deposit and should not have to receive medical bills. This win-win situation will allow doctors and hospitals to be winners, if we create a single national health act and fund that will pay out for coverage and prevent insurance companies from being the primary financiers. Simply preserving all the waste that is attributed to them, such as the official procedures, savings would be enough to provide coverage for all without spending any more. Not only will it cost less by saving $ 350 billion, it will stimulate job growth and the U.S. economy by taking the weighty expenses off small and large private bus inesses. Another way in alleviating this problem is by educating ourselves. One of the best ways to start is to have congress pass this and have them support it. We can also bring materials and collaborate with members of your church, community, and labor groups who are activist who have held strong to their principles, and soon found what was the impossible was not impossible.. Having to outline the necessary steps of achieving a public health-system, it will create long-standing results that will be supported by many generations to come. Electing future presidential candidates John Edwards and Barrack Obama, are all fundamentally the same since they want to provide subsidies for the purchase of private insurance. The only difference between them and our current President Bush is how big the subsidies will be, and how insufficient the coverage will be. If we want to find a remedy for our problem then our approach may take a Republican President to sell it and then to bless the socialization of health spending we so righteously need. Healthcare in California: An Essay by Senator Sheila Kuehl, January 11, 2007 (www.californiaprogressreport.com) Health Care Reform at the Close of the 20th Century : By The New England Journal of Medicine, 2003) Health care in Canada Date published: September 20, 2007, (www. www.nejm.org), Sicko:Dir Michael Moore. Prod. Jane Rosenthal: Sicko truth Squad Set CNN Straight – Again, July 11th, 2007 8:44 pm, (michaelmoore.com/sicko/news/article.php?id=10026) Healthcare Care In Canada: Healthcare in Canada 2007- A new direction for a familiar health information resource: September 20, 2007 (www.secure.cihi.ca/cihiweb/.com) Research Papers on Health Care - Based on Social Good Will, Not ProfitThe Effects of Illegal ImmigrationTwilight of the UAWInfluences of Socio-Economic Status of Married MalesMarketing of Lifeboy Soap A Unilever ProductNever Been Kicked Out of a Place This NicePETSTEL analysis of IndiaQuebec and Canada19 Century Society: A Deeply Divided EraCapital PunishmentGenetic Engineering

Drinking age in Canada Essay Example | Topics and Well Written Essays - 1000 words

Drinking age in Canada - Essay Example Apart from binge drinking which is a favorite pastime of a large number of irresponsible teenagers, it is also not a hard task to observe many semi-unconscious teenage girls outside bars and pubs in Canada. This is a great responsibility of the government to raise the drinking age to at least 21 because teenage girls found in that state happen to be a favorite target of dangerous criminals. While uncontrolled alcohol consumption turns some people into vulnerable targets, it can also compel many to act very aggressively and generate violence in the society. This is because alcohol consumers particularly those who are under 21 lose their ability to think rationally sooner than usual. So, it does not take long for small arguments to transform into angry brawls under the influence of alcohol. DUI accidents are another potential reason why the legal drinking age of 19 in Canada should not be considered reliable and valid. Many drunk drivers ruin all their future prospects as a consequence of serious road traffic accidents in which they not only hurt themselves but also others. Research suggests that a higher drinking age can be very effective in â€Å"preventing alcohol-related deaths and injuries among youth† (Hanson, Venturelli, and Fleckenstein 214). In the US where the legal drinking age is set at 21, alcohol abuse is still seen as a factor that causes a significant percentage of violent crimes every year. If this is the state in the US where the drinking age is 21, then things can be understandably expected to get worse in Canada where drinking age is even lower. Despite scientific realities and blazing newspaper headlines suggesting against the validity of the drinking age of 19, the opponents of...While uncontrolled alcohol consumption turns some people into vulnerable targets, it can also compel many to act very aggressively and generate violence in the society. This is because alcohol consumers particularly those who are under 21 lose their ability t o think rationally sooner than usual. So, it does not take long for small arguments to transform into angry brawls under the influence of alcohol. DUI accidents are another potential reason why the legal drinking age of 19 in Canada should not be considered reliable and valid. Many drunk drivers ruin all their future prospects as a consequence of serious road traffic accidents in which they not only hurt themselves but also others. Research suggests that a higher drinking age can be very effective in â€Å"preventing alcohol-related deaths and injuries among youth† (Hanson, Venturelli, and Fleckenstein 214). In the US where the legal drinking age is set at 21, alcohol abuse is still seen as a factor that causes a significant percentage of violent crimes every year. If this is the state in the US where the drinking age is 21, then things can be understandably expected to get worse in Canada where drinking age is even lower. Despite scientific realities and blazing newspaper headlines suggesting against the validity of the drinking age of 19, the opponents of the age 21 law instead argue that the US should follow the Canadian legal drinking age concept. The Canadian MLDA ensuresmany benefits.

AVA The Talking Elephant Research Paper Example | Topics and Well Written Essays - 1250 words

AVA The Talking Elephant - Research Paper Example AVA The Talking Elephant is prospective business that seeks to market unique medicine dispensers. The medical dispenser is designed for infants and toddlers. Basically, our product is a plastic elephant toy with a built in medical dispenser. It also makes encouraging sound to motivate the children. The whole idea behind this product is the challenge for parents to give medicine to infants and toddlers. The product is designed to make the medicine giving time tear free and horror free for both the parents and the children. Market research is taken as the best tools to identify the best entry behavior of the business that will enable the business to survive avoid the huge competition. This paper seeks to present the best location for the medicine dispenser business to be located and the rationale for it. The paper will also present how the business will be organized internally. It is also imperative to analyze the external market based on PESTEL analysis to identify factors likely to i nfluence the business. This is done with the intention of making the most appropriate decision required for the success of the business. It is fundamental to our business to determine where or in what specific segment and geographic location our business will be conducted. In this context we defined the babies’ accessories segment and Utah State as a part of our Arenas. With some four million babies born in the U.S. every year (Baby Center Website), the babies’ products market seems a very promoting market to start our business at. Our medicine dispenser puts us in the baby care accessories segment. Statistics show that the global sales in this segment will sum-up a total of 66.8 billion dollars by the end of 2017 (See supporting figure no.5 in appendix). Consequently, it will be easier for us to reach one million dollars as revenue in our first year in business (knowing that our initial investment was

Earlier Women of the Twentieth Century Essay Example for Free

Earlier Women of the Twentieth Century Essay The essay is based on the examination of discourses concerning the establishment of women and analysis of shifting patterns of child care within households in the opening decades of the early twentieth century, this study argues that although household divisions of labour by gender and age existed in early modern era, a more rigid female specialization in certain types of domestic work in housekeeping and child-rearing as opposed to childbearing and expected participation in more varied forms of productive labour developed during the modern era, especially for young married women. Beginning with the middle-class concern, women started loosing their morals towards family and children. It was due to the changing attitude of women that children that once were considered dependents and consumers became income earners and productive workers in their households. A number of recent studies of colonial Spanish and Portuguese America, for instance, have demonstrated that European notions of family honour and sexual morality were adapted in specific ways to the American colonies. Commoners in early modern Spain who testified before the Inquisition resisted the idea that it was sinful to have consensual sexual relations with prostitutes or non-virgin single women. This attitude was probably common in Portugal as well. Resistance to the church’s moral prescriptions grew considerably in the Americas, where European men frequently considered it their right to take Indian or African women, and equated their status with that of single women, regardless of their virginity, previous marriage, or the terms of their consent. (Caulfield, 2000, p. 5) In contrast, for elite families in Brazil and throughout Spanish and Portuguese America marriage alliances were crucial political and economic strategies up to the nineteenth century and even later in some areas. (Caulfield, 2000, p. 6) Parents chose children’s, especially daughters’, marriage partners with care. Legitimate birth and ‘purity of blood’ which came to mean the absence of African and Indian heritage was essential elements of status, and hence family honour, although ‘stains’ could often be washed away with money. Tremendous value was placed on the sexual chastity of privileged colonial women, who were generally considered white. Elite women’s seclusion not only marked them as morally superior to common women in the eyes of their peers but, also ensured the endogamy of their class and race. Scholars disagree about how to interpret this social reality, for both the colonial period and later. Some point to the high numbers of consensual unions, illegitimate children, and female-headed households to argue that the popular classes developed a set of alternative moral values in which patriarchal notions of family, women’s subordination, and the moral ideals of marriage and women’s chastity were relatively unimportant. An existence passed almost entirely within the confines of the domestic sphere, as was the case for the majority of the women interviewed, favours the recollection of events and deeds associated with that area of activity. So it is not surprising that they supplied often very precise details about daily life, more than their husbands would have been able to do, right down to the price of groceries and their husbands’ wages during the early years of their marriage. (Caulfield, 2000, p. 56) This â€Å"family memory† does not, however, operate according to the same dates or points of reference as does official history. On many occasions during the course of the interviews, the framework of events was reconstructed around the years when children were born, a close relative died or a move took place. The women were questioned more about how they had lived rather than what they had witnessed of the events which took place around them, an approach which, in theory, minimizes the risk of mistakes or oversights. We ought not, however, overlook the fact that respondents generally attempt to preserve the image they have of themselves or of the group to which they belong. This image refers to a socially and sexually oriented construction, but one whose elements may change according to the historical period. Even if these variations alter what was taboo into what is now acceptable, behaviours that were deemed deviant in previous years-premarital pregnancy, for example-can be more difficult to ascertain. Despite present-day tolerance of behaviour of this kind, the person being questioned knows that she transgressed the norm that was in force at the time and may still feel so embarrassed that she seeks to disguise the fact, even if it means lying about the date of her marriage or the year her first child was born. According to Uno (1999) â€Å"Rather than a deliberate and conscious lie, experience reveals that omissions and evasive responses are the means used to avoid an embarrassing question that has revived painful memories†. (Uno, 1999, p. 74) Whether conscious or not, these â€Å"oversights† and â€Å"mistakes† are as significant as the memory of an event and ought to be submitted to analysis when they can be identified. Even if parents were generally content to exercise a discreet and indirect surveillance over the unmarried couple, they rarely found themselves alone with one another, so important was it to preserve the young woman’s virginity, whether or not she was of age. This concern would even grow with industrialization and the appearance of new places for young people to meet away from traditional family settings, since it became more difficult to exercise control over the young. On dates, the parents made sure that the couple was accompanied by a brother, a sister, other adults, or, if necessary, their friends. The revolution in traditions and norms took place in 1930 when domestic labour was in the context of the depression. This involved a sample of women who were already married at the beginning of that decade. The most catastrophic year according to the economic indicators, 1933, was used as a reference point. The reason was nothing other than the emergence of classes in the era, which were the resultant of lack of opportunities. The probability that women who married much after this date would have felt the effects of the Depression on their domestic labour was indeed less great. Nevertheless, in order to be able to establish comparisons, it was necessary to find women who had spent the early years of their marriages before the depression or whose husbands had been working during the first months of the marriage. The influence of the Depression and of unemployment was felt largely in urban areas and it was the men of the working class, especially unskilled labourers, and tradesmen who were primarily affected. These factors thus determined the selection of respondents who had to have lived in a working-class district of Montreal in the years between 1929 and 1939. The residence qualification, while it may seem rather vague, permitted us to enlist women who, because of their partners’ occupations, had shared the living conditions of the working class without necessarily presuming their own class affiliations. It was the factory workers who changed their occupation least often though the majority of them worked for more than one employer. They worked longer than the other women in the sample; it is among this group that is found the four women who worked for more than ten years before marriage. On the other hand, domestic work, generally detested because of its servile character and because of the extremely long hours which it entailed, is where we observe the greatest mobility, as only one informant worked exclusively as a domestic and she did so for a rather short period of time (one year). Domestics’ wages were extremely low, between one and five dollars a week, but according to one informant, â€Å"What our parents counted was the food. You understand, if you have two working, that’s two less to feed†. (Baillargeon Klein, 1999, p. 57) Most of the time, domestic work represented a transitional occupation between the home and the factory, or the office or shop. These jobs, factory worker, saleswoman or clerk, generally involved a noticeable increase in salary, but what was more appreciated were the working conditions, particularly regular hours and the possibility of contact with other working women. â€Å"It was clean, and we weren’t bored. It wasn’t like in the private homes, where the day was never over. The hell with private homes! We were happy enough-we had our evenings free†. (Baillargeon Klein, 1999, p. 96) In this connection, it must be stressed that it was not simply the household tasks or the conditions inherent in this kind of work that put them off, but also, and most particularly, the context in which they arose. Beyond the isolation, the arbitrary employers, the long hours, and the array of tasks demanded of them, what they detested above all else was the idea of being ‘in service to’ someone else, of playing the subordinate’s role in a highly personalized relationship. One major way that early modern women constructed selves, was through social networks, often women’s networks. These women fashioned their identities in relation to salons, convents, family circles, epistolary communities, and social religious groups devoted to particular reading or singing practices. For example, a trend towards devotional intimacy in France travelled through women’s letter writing, and psalm singing in churches established connections across gender and class barriers. (Adele Mikesell, 2003, p. 36) Conclusion Recent trends in women’s studies and feminist theory have influenced the conceptual framework and methodology of the facts explored about the early twentieth century women. While historians have traditionally explored continuities and discontinuities in ideas, institutions, and practices, postmodernism has given new dimension to the exploration of opposition or rupture not only in the facts, events, and ideas being studied, but also in the conceptual frameworks scholars analyse the changes that took place between 1900 and 1945. For some years, however, women’s history and the history of the family have underscored the importance of the domestic sphere and of the work which women do in it in order to understand the totality of historical reality. The work undertaken in these fields has provided evidence of the connections which exist between the family and the world of work and of the central role played in this dynamic by women. References/ Bibliography Adele Seeff Mikesell Margaret, (2003) Culture and Change: Attending to Early Modern Women: University of Delaware Press: Newark, DE. Baillargeon Denyse Klein YvonneMaking, (1999) Do: Women, Family, and Home in Montreal during the Great Depression: Wilfrid Laurier University Press: Waterloo, Ont. Caulfield Sueann, (2000) In Defense of Honor: Sexual Morality, Modernity, and Nation i

Holistic Care in Sexual Health Assessments

Holistic Care in Sexual Health Assessments Reya James Delivering holistic care is of great importance when providing sexual health assessments as to ensure positive outcomes for the individual (Wright, 2012). Each person at some point of their developmental journey experiences a level of perceived risk taking behaviour, unfortunately usually resulting in anxiety provoking emotions through decisions made. The purpose of this case study response is to demonstrate an understanding and approach to the interlinking relationship of sexual and mental health issues identified within the case scenario. In order for this to occur, contributing risk factors will be analysed to provide an evidence based background to capture and highlight the link of both sexual and mental health issues. These risk factors include age group, alcohol use, risky sexual behaviour, neurovegetative symptoms, anxiety, and psychological stress increasing risk taking behaviour, will be also discussed. These identified behaviours and concerns will conclude with appropriate interventions and referrals For the purpose of this case study sexual assault will not be discussed, however is always a consideration until otherwise indicated. Upon introduction, first impressions and the environment will set the tone for the assessment and determine the information given by the client (Health Service, 2013). It is imperative to remain aware of cultural diversities and vulnerabilities during this process to ensure apposite assessments, screening and interventions are implemented. For example, due to the overwhelming higher rates of STI’s and BBV’s in comparison to the rest of the populace, sexual health remains a priority issue for Aboriginal communities (Bowring, Vella, Degenhardt, Hellard, Lim, 2014; Kang, Skinner, Usherwood, 2010; Research, 2007; Thompson, Greville, Param, 2008). As sexual health issues are sensitive issues to discuss, the initial introduction will alert the clinician to any barriers that may exist, allowing exploration into the involvement of communities groups, family members and other stakeholders that are appropriate to the client’s cultural sensitivities. For example, female clients of particular cultural groups or sexual identity may require female only clinicians to conduct the assessment, the same can be applied to males if identified, sensitivity and objectivity is the key. Establishing a therapeutic rapport is essential in building a trusting relationship in which the client feels safe, acknowledged and validated. Further to this is the provision of a non-judgmental and supportive environment maintaining privacy and confidentiality (Wright, 2012). Entwining a mental health assessment ensures ongoing risk assessment, incorporating protective factors, screening for co-morbidities and appropriate interventions such as education, harm minimisation and therapies. Whilst acknowledging the expressed concerns as a priority, this also provides the individual with an opportunity to ventilate and disclose contributing factors, disruption to daily functioning, and verbalise the experienced emotional dysregulation (French, 2010). Unfortunately this process may not proceed as planned if the appropriate screening questions are not asked. It can be seen that some clinicians find it difficult to approach the subject of sexual health. Ambivalence towards the subject occurs, resulting in avoidance of the topic and sexual health concerns being less prioritised (Quinn, Happell, Welch, 2013). Regrettably, this approach is likely to result in further deterioration of the client’s mental health with continuation of risk taking behaviours. Ultimately it is essential to identify the impending emotional crisis so timely and appropriate interventions can be implemented(Dykeman, 2005). With ‘Chris’ presenting and requesting a check-up, this demonstrates a level of insight into the negative impact the occurrence has instigated. ‘Chris’ is of an age group that is well documented as high risk relating to alcohol, illicit substance use and sexual risk taking behaviour (Aicken, Nardone, Merce, 2010; Bowring et al., 2014; Searle, 2009; WHO, 2005). Among Australia’s population, the most commonly reported STI is genital chlamydia (Chlamydia trachomatis), with numbers increasing annually for those aged between 15-29 years (Kang et al., 2010). In addition to chlamydia, HIV, gonorrhoea, and syphilis are also higher within the indigenous population(Thompson et al., 2008). The research further identifies potential vulnerability and increased risk-taking sexual behaviour of young adults in Australia in particular lesbian, gay, bisexual and those questioning their sexual orientation (Bowring et al., 2014). Screening tools and clinical management guidelines are commonly utilised to assist with identifying risk and determining examinations and investigations necessary for detection of STIs, BBVs and other sexual health issues including sexual assault(Health Service, 2013). In relation to the case scenario, regardless of sexual orientation, a full STI screen is recommended due to the unknown factors of the incident (Health, 2010; Health Service, 2013). Naturally this will depend on the individual and require education and positive reinforcement to be provided through each process as to ensure the decision is informed and awareness of potential results involved. Provision of pamphlets and contact numbers for crisis lines allow the person time to process the information given during the assessment. Within Queensland Health Guidelines, contact numbers are available throughout the state should a referral to a sexual health clinic for further follow up, or in the case of sexual assault, refe rral to sexual assault workers is appropriate(Health, 2010). Recommendations can be provided in the form of self-initiated referrals for identified priority groups, such as providing contact details for groups that offer support and further information. For example, web based contact groups such as Sexually Transmissible Infections in Gay Men Action Group (STIGMA), and Gay and Lesbian Welfare Association provide support, information education, and opportunities for phone counselling. It can be seen that the contributing factor of alcohol and/or other substances, reduces consideration of safe sexual practice, often leading to unprotected sex and the contracting of STD’s (Bellis et al., 2008). Moreover, the disinhibiting and cognitive altering actions of alcohol or substances can influence any sexual orientation, further contributing to potential adverse outcomes (Aicken et al., 2010; Bowring et al., 2014; Hughes, Szalacha, McNair, 2010). The implications of the linkage have, as studies have shown, to be a globally contributing factor and increasingly expressed concern from a public health perspective (WHO, 2005). This is an opportune time to screen for alcohol and substance use, utilising motivational interviewing, insight into current risk taking behaviours and readiness to change can be established (Lundahl, Kunz, Brownell, Tollefson, Burke, 2010). The objective is for the client to make a commitment to change, through their own decision making (Johnsto ne, Owens, Lawrie, McIntosh, Sharpe, 2010). Other interventions include harm minimisation and education regarding the effects of alcohol, with referral to Alcohol and Other Drugs (AOD) service, detox and rehabilitation services if requiring this level of service. Ensuring these procedures are appropriately explained to the client, expressing empathy and actively listening, will help to reduce anxieties the person may be experiencing. The positive effect brief interventions has on alcohol consumption and reducing the average intake has been well researched and documented(Kaner et al., 2009). Poor sexual and mental health impacts an individual’s sense of worth and wellbeing, which could ultimately result in feelings of isolation, persecution discrimination, and stigmatisation (Duncan, Hart, Scoular, Bigrigg, 2001). For example, within a close rural community, sexual preference outside the accepted community norm may possibly lead to these poor outcomes, essentially resulting in an enduring negative emotional impact (Lewis, Derlega, Clark, Kuang, 2006). Studies suggest the link between risky sexual health behaviour and mental health is associated with higher levels of anxiety, stress and depression(Searle, 2009). Searle (2009) further postulated difficulty in determining whether depression was a result of risky sex or risky sex was precipitated by a depressive episode. Neurovegetative symptoms described by ‘Chris’ such as disturbed sleep, increase of stream of thoughts needs to be explored further as to ascertain any underlying mental health issues(Kendrick Simon, 2008). Levels of stress, depressive features, suicidal ideations, formal thought disorders, brief screening for mood disorders or psychotic episodes are all incorporated within the mental health assessment and captured during a mental status examination(Health Service, 2013). Utilising an intervention such as brief solution focussed therapy, helps to empower the client to make decisions that are future focussed based on their strengths (Evans Evans, 2013). Instilling hope and building of resilience is essential to the clients recovery journey (Elder, Evans, Nizette, 2012; Evans Evans, 2013). Just as important is the support and follow up to ensure monitoring risk of relapse. Apart from family and friends, other resources are available to provide support. Mental Health Nurses employed at GP clinics are an option through the Mental Health Nurse Incentive Program (MHNIP). This resource has been successful in reducing admissions, providing short term case management with the provision of interventions such as psychoeducation, counselling, psychotherapies, medication adherence, metabolic monitoring, and general support(Happell, Platania-Phung, Scott, 2013). Referral to GP’s for continuity of care and a Mental Health Care Plan (MHCP) is another option available. MHCP is a plan that is completed by the GP with the client in which issues are identified and referred for psychological and/or psychiatric management. Web based programs are also available such as Teleweb, Headspace, Lifeline, to name a few. There is always the possibility of a client expressing suicidal intent, in which, if meets the criteria under the Mental Health Act, may require detainment and transfer to a mental health unit In conclusion, every person that presents for a health assessment requires a holistic approach in order to capture the issues and appropriately deal with them. Interventions will need to cover a variety of issues that may arise. The perceived stigma of STI’s, concerns regarding future reproductive health, psychosocial impact of diagnosis, distress and possibility of developing an enduring mental health issue, are all issues that need to be addressed throughout the assessment. References Aicken, C. R. H., Nardone, A., Merce, C. H. (2010). Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes: evidence from Britain’s national probability sexual behaviour survey. Journal of Public Health, 33(2), 262–271. Bellis, M. A., Hughes, K., Calafat, A., Juan, M., Ramon, A., Rodriguez, J. A., . . . Phillips-Howard, P. (2008). Sexual uses of alcohol and drugs and the associated risks: A cross sectional study of young people in nine European cities. Public Health, 8, 155-166. Bowring, A. L., Vella, A. M., Degenhardt, L., Hellard, M., Lim, M. S. C. (2014). Sexual identity, same-sex partners and risk behaviour among a community-based sample of young people in Australia. International Journal of Drug Policy(0). doi: http://dx.doi.org/10.1016/j.drugpo.2014.07.015 Duncan, B., Hart, G., Scoular, A., Bigrigg, A. (2001). Qualitative analysis of psychosocial impact of diagnosis of Chlamydia trachomatis: Implications for screening. BMJ: British Medical Journal, 322(7280), 195-199. Dykeman, B. F. (2005). Cultural Implications of Crisis Intervention. Journal of Instructional Psychology, 32(1), 45-48. Elder, R., Evans, K., Nizette, D. (2012). Psychiatric and mental health nursing (3rd edition. ed.). Chatswood NSW: Elsevier Australia. Evans, N., Evans, A.-M. (2013). Solution-focused approach therapy for mental health nursing students. British Journal of Nursing, 22(21), 1222-1226. French, K. (2010). How to improve your sexual health history-taking skills. Practice Nurse, 40(2), 27-30. Happell, B., Platania-Phung, C., Scott, D. (2013). Mental Health Nurse Incentive Program: Facilitating physical health care for people with mental illness? Int J Ment Health Nurs, 22, 399-408. Health, Q. (2010). Queensland Sexual Health Clinical Management Guidelines Emergency Presentation (pp. 1-18). Queensland: Queensland Government. Health, Q., Service, R. F. D. (2013). Primary Clinical Care Manual (8 ed.). Cairns: The State of Queensland. Hughes, T., Szalacha, L. A., McNair, R. (2010). Substance abuse and mental health disparities: Comparisons across sexual identity groups in a national sample of young Australian women. Social Science Medicine, 71(4), 824-831. doi: http://dx.doi.org/10.1016/j.socscimed.2010.05.009 Johnstone, E. C., Owens, D. C., Lawrie, S. M., McIntosh, A. M., Sharpe, M. (Eds.). (2010). Companion to Psychiatric Studies (8 ed.). Edinburgh: Churchill Livingstone. Kaner, E. F. S., Dickinson, H. O., Beyer, F., Pienaar, E., Schlesinger, C., Campbell, F., . . . Heather, N. (2009). The effectiveness of brief alcohol interventions in primary care settings: A systematic review. Drug Alcohol Review, 28(3), 301-323. Kang, M., Skinner, R., Usherwood, T. (2010). Interventions for young people in Australia to reduce HIV and sexually transmissible infections: a systematic review. Sexual Health, 7(2), 107-128. doi: http://dx.doi.org/10.1071/SH09079 Kendrick, T., Simon, C. (2008). Adult Mental Health Assessment. InnovAiT: The RCGP Journal for Associates in Training, 1(3), 180-186. doi: 10.1093/innovait/inn013 Lewis, R., Derlega, V., Clark, E., Kuang, J. (2006). Stigma Consciousness, Social Constraints and Lesbian Well-Being. Journal of Counselling Psychology, 53(1), 48-56. Lundahl, B., Kunz, C., Brownell, C., Tollefson, D., Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty five years of empirical studies. Research on Social Work Practice, 20(2), 137-160. Quinn, C., Happell, B., Welch, A. (2013). The 5-As Framework for Including Sexual Concerns in Mental Health Nursing Practice. Issues in Mental Health Nursing, 34, 17-24. Research, N. C. i. H. E. a. C. (2007). Bloodborne viral and sexually transmitted infections in Aboriginal and Torres Strait Islander People: Surveillance Report 2007. Sydney: Commonwealth of Australia. Searle, N. (2009). Sexual Behaviour and its Mental Health Consequences. (M.Sc. Project), Swansea University, Britain. Thompson, S. C., Greville, H. S., Param, R. (2008). Beyond policy and planning to practice: getting sexual health on the agenda in Aboriginal communities in Western Australia, Editorial. Australia New Zealand Health Policy (ANZHP), pp. 1-8. Retrieved from http://ezproxy.usq.edu.au/login?url=http://search.ebscohost.com/login.aspx?direct=truedb=a9hAN=35637237site=ehost-live WHO. (2005). Alcohol Use and Sexual Risk Behaviour: A Cross-Cultural Study in Eight Countries. Geneva. Wright, G. (2012). Sexual health This practice profile is based on NS622 McDougall T (2011) Mental health problems in childhood and adolescence. Nursing Standard. 26, 14, 48-56. Nursing Standard, 26(44), 59-59. ANP5004 Emergency Mental Health and Reproductive Health Care