GNU Public License and its Role Essay Example for Free

GNU Public License and its Role Essay The LINUX software and other products are restricted with a License or patents to keep individual from altering or modifying the software. Developers usually release their software programs the way they think it best suit the potential business owner or users. The General Public License (GNU) role is to ensure when new software is released that it remains free to everyone to use as they please. The GNU role is to remove any software that has no source code. The parts that do not contain a source code are called binary blob and firmware generally redistributable, do not give the user the freedom to modify or study them. General Public License know as (GNU) General Public License was created by Richard M. Stallman in 1970 when he was a programmer at MIT’s Artificial Intelligence lab. The General Public License (GNU/ GPL) is a copy left license for software and other kinds of work that are free to the public The General Public License is the most popular free and open source software (FOSS) license today. According to Ronald free software and open source are often interchangeably used (and the respective movements share many common goals (2006). The General Public License purpose is to guarantee individual or developers the freedom to share and alter any version of a program to ensure it remains free and available to every individual. The General Public License is used by the Free Software Foundation( FSF), for most of their software programs; it also applies to other work made public by the author. Free software refer to political movement while open source refer to software development method ology. When talking about free software program it is speaking of freedom not an amount of money. The General Public License were created to assure that people have the freedom to hand out copies of software and make a profit for  them if you desire. When an individual receive a source code the GNU allow the individual to change the software or use part of it in newer free programs and know you can do these things. The GNU protects individual right with two steps that are assert copyright of the software and offers license that gives legal permission to copy, distribute, or modify it. The GNU monitor individual that want to go in a different direction. This means that contrast, individuals, groups an or organization offers software and other work to the public with access for modification and distribution. LINUX type across the computer world was changed by individuals across the computer world and when this was done the changes made it more efficient. The role of GNU is to allow individu al to run a program for any purpose and also personalize each one as their own. . Reference Ronald J. Mann, Commercializing Open Source Software: Do Property Right Still Matter?, 20 HARV. J. LAW TECH. 1, 11 (2006) Tsai, J. (2008). FOR BETTER OR WORSE: INTRODUCING THE GNU GENERAL PUBLIC LICENSE VERSION 3. Berkeley Technology Law Journal, 23(1), 547-581

Metabical Case Essay Example for Free

Metabical Case Essay The weight loss drug vailable in three four-week packages. The four week packaging was at the specific point where the consumer did not have to spend too much money to buy it, yet got invested in the product enough that they would come back to buy the second and third portions Marketing Research According to the US survey 34% overweight 25. % obese 4. 7% severely obese Health care providers were positive about the prospects of weight loss drugs. Responses of individuals: indicates 12% would immediately opt for such a solution. Focus group: Need of Prescription-strength drug with FDA approval clinical results o backup weight loss results. Decision making The process of decision making for the consumers would follow the hierarchy of effects and would include the following steps Users involved in word of outh publicity First prescription drug to be approved by the FDA specifically for weight loss of overweight individuals credibility First prescription drug for BMI of 25-30 It worked on low dose formulation hence stress on liver and heart was lesser Side effects were less severe and conditional Behavioral modifications and healthier eating habits Results were seen on an average in 12 weeks More comprehensive support plan The above advantage could be used for positioning in the following ways: Premium pricing as it is the only FDA approved prescription drug for weight loss. Strikingly different from dietary supplements for weight loss Segmentation Targeting multi cluster segmentation Demographic Income levels High Income group, since they are ready to pay out of their pockets. Gender- Females are more weight conscious. Age: 35+ Education: college plus Psychographic : Based on, Physical activity, Food preferences, Nutrition, Self image, Overall health l want to be healthier I want to fit into my skinny Jeans Geographic : US is the largest geographic segment where 65% of the entire adult population is over-weight, obese or severely obese . Targeting customers with a BMI of 25-30 Positioning Strategy Positioning as a ?Life saving drug Those 20 extra pounds can kill you. Being overweight leads to heart disease, high blood pressure, diabetes Its time to get Healthy- Metabical can help. Positioning as a ?Motivational Therapeutic drug Discover a happier and a more attractive you Increases confidence Boosts self- esteem Marketing Communication Strategy Electronic media TV Radio Social media Print media NEWS Magazines Viral media DTC and prescriber advertising ?Free lunch pre launch program Metabical Challenge Biggest looser contest Medical education events Thank you

Improving Eye Care In Rural India Communications Essay

Improving Eye Care In Rural India Communications Essay CATARACT refers to the clouding of the lens in the human eye, affecting vision. In the developing world, cataract is the cause for blindness in nearly half the blind population i.e. 50% of the recorded number of blindness cases. While problems of inaccessibility continue to plague many parts of the developing world nearly two-thirds of the population in many developing countries are unable to access quality medical resources infrastructure primarily because quality medical care or eye care in this case is still urban-centric all hope is not lost yet. In India too, where 90% of the cases are treatable, most Indians lack access to quality eye care. In the early 1990s, the country was home to a third of the worlds blind people and here too cataract blindness was the major cause in most cases. The World Bank decided to step in and help the Indian government deal with the problem, spending $144.8 million between 1994 and 2002 on the Cataract Blindness Control Project under which 15.3 million eye surgeries were performed. The World Bank-funded project was largely implemented in northern India and it helped reduce the incidence of cataract, in the states that were covered under this project, by half. But India is a very big country and it definitely needs a more sustainable approach to dealing with cataract blindness given that it has a sizeable ageing population. One such approach is the Aravind Eye Care System, a three-decade old campaign that has been fighting cataract blindness predominantly in the southern Indian state of Tamil Nad u. Working in the same direction is the L V Prasdad Eye Institue, operating from the neighbouring state of Andhra Pradesh. Both Aravind and LVPEI, setup in the mid 1970s and the mid 1980s respectively, have been focused on taking quality eye care to the rural masses from the very beginning, most of it free of cost. In the larger context, this paper discusses how private entrepreneurship is taking quality Eye Care to the rural masses in India. This paper will discuss the Eye Care delivery model aimed at fighting Cataract Blindness in the context of the Culture-Centered Approach (CCA). The Culture-Centered Approach advoates greater engagment with the local culture, â€Å"through dialogues with community members†, to ensure â€Å"equitable† and â€Å"accessible† healthcare across communities (Dutta-Bergman, 2004a, 2004b; Dutta and Basu 2007 as quoted in Dutta, 2008). Furthermore, this paper will use the Extended Technology-Community-Management (TCM) model (Chib Komathi, 2008) to explain the intersections between technology, community and the management of information communication technologies (ICT) in the context of the CCA and the Eye Care delivery model adopted by the private healthcare players i.e. the non-governmental organisations (NGOs). According to the TCM model (Lee Chib, 2008), the intersection of ICT characteristics of technology, along with the dimensions of software and hardware, project management dimensions of financial requirements, the regulatory environment, and stakeholder involvement, along with local community participation â€Å"will ultimately lead to sustainable ICTD interventions.† Culture-Centered Approach Globalisation has led to an increasing realisation that the Biomedical[6] model of healthcare is limited in scope when engaging in issues of global health (Dutta, 2008). Furthermore, Dutta (2008) says that many societies now feel the need to â€Å"open up the spaces of health communication to the voices of cultural communities† i.e. there is now greater awarness of the need for better engagement with marginalised communities. Culture is dynamic. That culture has an important role to play in health communication is better understood today. But this concept began attracting widespread attention only in the early 1980s, especially in the U.S. when healthcare practitioners felt a need to adopt multiple strategies to address the health-related issues of a multicultural population (Dutta, 208). â€Å"This helped question the universalist assumptions of various health communication programs† aimed at the developing nations and the so called third-world nations   (Dutta, 2008). The Culture-Centered Approach was born out of the need to oppose the dominant approach of health communication, located within the Biomedical model, where health is treated as a â€Å"universal concept based on Eurocentric[7] understandings of health-related issues, disease and the treatment of diseases† (Dutta, 2008). According to Dutta (2008), the CCA is a better alternative to understanding health communication because it is a â€Å"value-centered† approach. The CCA is built on the notion that the â€Å"meanings of health† cannot be universal because they are ingrained within cultural contextsm, he argues.  Ã‚   The CCA has its roots in three key concepts i.e. ‘structure, ‘agency and ‘culture. The term ‘culture refers to the local context within which so called health meanings are created and dealt with. ‘Structure encompasses food, shelter, medical services and transportational services that are all vital to the overall healthcare of various members of a community. ‘Agency points to the â€Å"capacity of cultural members† to negotiate the structures within which they live. It must be noted that ‘structure, ‘agency and ‘culture and entwined and they do not operate in isolation. Dutta (2008), in his book Communicating Health, further elaborates that the CCA throws light on how the dominant healthcare ideology serves the needs of those in power. Powerful members of society create conditions of marginalistaion. Therefore the focus of the CCA lies in the study of the intersections between ‘structure, ‘agency and ‘culture in the context of marginalised communities. To understand better the problems faced by the marginalised, the CCA advocates the healthcare practitioners engage in dialogues with members of the concerned community. Each community has its own set of stories to share and this is vital to understanding the local culture. The CCA also aims to document resistance, of any kind, to dominant ideologies as this helps strengthen the case of the CCA against the dominant healthcare model. The CCA, according to Dutta (2008), provides sufficient scope to study physician-patient relationships, in a bid to ultimately improve the healthcare deli very model. Adopting the CCA is just half your problem solved; the integration of the CCA with the Extended TCM model completes the picture.   The Extended TCM Model The TCM model (Lee Chib, 2008) argues that the larger question of social sustainability depends on both local relevance and institutional support. The TCM Model proposes that the intersection of ICT characteristics of technology, along with the dimensions of software and hardware, project management dimensions of financial requirements, the regulatory environment, and stakeholder involvement, along with local community participation, will ultimately lead to sustainable ICTD interventions (See Figure 1.1). The TCM model was further revised. Community was subdivided to include: modes of ownership of ICT investments and profits; training of community users both in the use and in technology management; and the basic needs of the community. Furthermore, Sustainability was also subdivided into financial and social (see Figure 1.2). Chib Komathi (2009) found that the TCM Model was inadequate as it could not examine the critical issue of vulnerability. Therefore, their study improved on this inadequacy by adding crucial factors and variables relating to vulnerability. They extended the TCM model, and called it the Extended Technology-Community-Management (Extended TCM) model (see Figure1.3).  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This new framework on ICT planning accounts for community involvement, the management components, the overall design of technologies such as telemedicine or tele-consultation, and evaluation of existing vulnerabilities in the community where these technologies are implemented. It identifies four dimensions of vulnerabilities influencing technology implementation among the rural poor: economic vulnerability, informational vulnerability, physiological/psychological vulnerability, and socio-cultural vulnerability. Chib Komathi (2009) further explain each dimension of vulnerability: Physiological and psychological vulnerabilities refer to the physical and mental well-being of an affected person, or a specific community. Informational vulnerability deals with the access to and availability of information within affected communities. Informational resources include personal documents, books and critical data, opinion leaders and professional experts,. The lack of such resources affects the capabilities of people who are dependent on them. In a rural setting, informational vulnerability is further augmented by the low literacy levels and lack of pertinent â€Å"technological skills necessary to enable the learning and processing of information.† The economic vulnerability is sparked off by the loss of livelihood i.e. a loss of activities that otherwise financially support households and sustain economic growth in a rural setting. The socio-cultural vulnerability of communities is determine d by â€Å"the structure and values of a given society that define human relationships in communities.† Hierarchies in any society (gender, race, religion, caste, age and class egalitarianism within communities) or a community often dictate access to resources and assets, and the decision-making power of people. Cataract Blindness in India At the outset, one has to understand the sufferings of the blind in India, in a rural setting blindness, irrespective of the cause, results in a loss of livelihood for an individual. In rural India, like elsewhere, this would translate into one less earning member in the family, making the blind person a burden to his/her family. This leads to a loss of dignity and status in the family. In effect, blind people in rural India, like in many other societies, are marginalized. Enter Aravind and LVPEI, who continue to strive to help blind people in rural India and empower them by giving them back their sight. There are many causes of blindness, like Diabetes for instance. But Cataract is one of the leading causes of blindness in the developing world. Records in India show that Cataract is the most significant cause of blindness in the country (Nirmalan et al. 2002 Murthy et al. 2001).Cataract, reports say, is responsible for 50 to 80 per cent of the bilaterally blind (Thulsiraj et al. 2003 Thulsiraj et al. 2002).The elderly are more at risk of developing Cataract. India aims to eliminate needless blindness by 2020 in line with ‘Vision 2020: the right to sight initiative, launched jointly by the World Health Organisation (WHO) and the International Agency for Prevention of Blindness (IAPB). Many organisations worldwide are also working in the direction of eliminating needless blindness (Foster, 2001). The government in India and the World Bank launched the Cataract Blindness Control Project in seven states across India in 1994.From close to 1.2 million cataract surgeries a year in the 1980s (Minassian Mehra 1990), Cataract surgical output tripled to 3.9 million per year by 2003 (Jose, 2003). In 2004, World Health Organization (WHO) data showed that there was a 25 per cent decrease in blindness prevalence in India (Resnikoff et al. 2004) the reason(s) could be the increase in Cataract surgeries countrywide. But there is a larger problem here, that of population growth. The aged population in India (those aged over 60 years) population which stood at 56 million people in the year 1991 is expected to double by the year 2016 (Kumar, 1997). This ‘greying of Indias population only suggests that the number of people ‘at-risk of developing Cataract is constantly on the rises. In the larger sense, this paper aims to show how private entrepreneurship in India is taking quality eye care to the rural masses in that country. This paper aimed to discuss the same through two case studies, that of the Aravind Eye Care system as well as the L V Prasad Eye Institute (LVPEI). Unfortunately, email correspondence with LVPEI failed to elicit responses from this organization. Given the limitations of this study, including time constraints, this paper will explain the Aravind Eye Care system in the context of rural Eye Care in India and the fight against Cataract Blindness all this within the framework of the CCA. Furthermore, this paper will critique the business model of NGOs like Aravind in the context of the Extended TCM model, including whether for-profit organisations are using the rural masses to support their business model. In particular, what is the role of the healthcare provider in this case disseminate knowledge to the grass-roots or live-off their healthcare delivery model? Aravind Eye Care Dr. G. Venkataswamy had a very simple vision when he first setup Aravind Eye Care in 1976: â€Å"Eradicate needless blindness at least in Tamil Nadu, his home state, if not in the entire nation of India.† Aravind began as an 11-bed private clinic in the founders brothers house in the southern Indian city of Madurai. Today, the Aravind Eye Hospital (AEH) at Madurai is a 1,500 bed hospital.   In addition to Madurai, there are four more AEHs in Tamil Nadu (Aravind.org) with a combined total of over 3,500 beds. By 2003 the Aravind Eye Care System as we know it today was up and running. The System continues to operate under the aegis of a nonprofit trust named the Govel Trust it comprises of a manufacturing facility (for manufacturing synthetic lenses, sutures, and pharmaceuticals related to eye care); eye hospitals; education and training (graduate institute of ophthalmology); research facilities (complete with an eye bank);) and a center for community outreach programs (Prahlad, 2004). A typical day at Aravind now has doctors performing about 1,000 surgeries including free surgeries; 5-6 outreach camps in rural areas where about 1,500 people are examined and close to 300 people are brought to an AEH for eye surgery (TED, 2009). How does Aravind do it? The organisation has setup ‘vision centers or clinics in remote villages, fitted with basic eye care equipment. Each clinic is manned by an ophthalmic assistant and â€Å"these clinics perform basic examinations; prescribe corrective lenses and treat minor ailments.† If an eye ailment can be cured by the application of eye drops, these clinics are equipped to do so.   For more complicated cases, such as Cataract Blindness, the patient consults an ophthalmologist based at an AEH in a nearby city via the videoconferencing route. If the patient needs corrective surgery, he/she is asked to hop onto a bus waiting outside the ‘vision centre that takes them to the nearest Aravind base hospital. The patients are operated upon the following day; they spend a day in post-operative care and then take a bus back to their villages all free of cost (Laks, 2009).[8] But it wasnt all gung-ho in the beginning; more hard work than anything else. There was no specific Outreach team. Everyone in the pool was asked to participate in Outreach programme. â€Å"In the beginning (in 1976-77) Dr. V and a small team would visit villages and conduct eye screening camps. Those who required Cataract surgery would then be advised to visit the base hospital for surgery. But Dr .V found that a majority of those advised to undergo surgery would dropout, owing to socio-economic factors like fear of surgery; lack of trust on restoration of sight; no money to spend for transport, food and post operative medical care and (their) resistance to western medicine,† according to the head of Outreach activities at Aravind, R. Meenakshi Sundaram in his email response to my queries. These barriers were gradually addressed through various strategies. â€Å"We decided to involve village chiefs and local organizations to take ownership of the Outreach programmes, in terms of identifying the right location for the Eye Camp and providing the required support facilities. Their help was key to community mobilization. We organized a team to standardize the quality in Eye Care service delivery. Furthermore, Dr. V focussed his attention on building hospitals like ones home where we normally expect basic culture and values,† said Mr. Sundaram. â€Å"Fear of surgery was a common barrier in addition to other factors. Perhaps the acceptance for surgery was low in the beginning. But it was constantly explained at the community level whenever camps were organized as the programme aims to serve people at large. Particularly, in the year 1992 the Intra Ocular Lens (IOL) was introduced and the rural community did not believe in having a ‘foreign particle in their eyes. We came across a lot of myths. Those issues were addressed thru counselling,† added Mr. Sundaram. Realizing the impact of counselling, a cadre was developed within the System in 1992 and seven counsellors were trained in the first batch of counsellors training. They were given a basic orientation about common eye problems with a special focus on IEC. ‘Patient counsellors i.e. patients who had undergone eye surgery were asked to help the Outreach team. â€Å"They played their role in explaining eye problems in the local language and tried to help others realize the consequences of failing to accept surgery. Considering the myths, a real IOL was used as education material to help the rural folk understand the concept of the IOL,† Mr Sundaram said. The number of counsellors has steadily risen ever since and stands at 179 at present. How is the Aravind Eye Care System possible? Financial self-sustainability was the primary focus from day one at Aravind. Initially, the organization was given a grant by the government to help subsidize the treatment costs for eye camp patients (Prahlad, 2004) and the Govel Trust also pledged properties to raise money from banks in the early days. Prahlad (2004) states that the Madurai AEH, the first, was always self-supporting as far as recurring expenditures were concerned. Within the first five years of operation, the Madurai AEH had accumulated surplus revenues for further development and for the construction of four other hospitals in the Tamil Nadu state. He adds that over the years, the patient revenues generated from its five hospitals located in five cities finance the Aravind Eye Care System to a great extent. Furthermore, Aravind has also taken to the management-contract route and it manages two hospitals outside of its home-state. While city folk are charged market rates for each consultancy and for surgery, patients in remote villages pay just Rs. 20 for three consultancies or SGD 0.60. (TED, 2009). Those who can afford to pay, the urban folk who visit Aravinds hospitals in urban locations on their own, do not get discounted rates. Such a system of cross-subsidies ensures that only 45 percent pay while the rest are not charged at all i.e. about five out of every 10 patients examined at Aravind can be provided free eye care, including eye surgery (TED, 2009). A cross-subsidising financial model is not the only mantra[9] to Aravinds success. Having been in the business of delivering quality Eye Care for over three decades now, the System is well-positioned to leverage on the Aravind brand-name to attract donations. Over the years, the organization has received international recognition for its work and this includes the 2008 Gates Award for Global Health, and this years Conrad N. Hilton Humanitarian Prize that carries a US$1.5 million cash award. Last but not the least is the money that flows into Aravind in the form of specific project-funding. One such sponsor is the London-based ‘Seeing Is Believing (SiB) Trust, a collaboration between Standard Chartered Bank and the International Agency for Prevention of Blindness (IAPB). Since 2003, ‘Seeing is Believing has grown from a staff initiative to raise enough money to fund a cataract operation for each member of the Bank to a US$40 million global community initiative. I wrote to Standard Chartered Bank (SCB) asking them why they decided to partner with Aravind and LVPEI. â€Å"LV Prasad Eye Institute, Hyderabad, as well as Aravind Eye Hospital are premier eye care institutes in the country.   India has a vast geographic spread and both these institutions work in different geographic zones of the country.   LVPEI is prominent in the south-eastern states of the country while Aravind is prominent in the southern states of India,† said Pratima Harite, Manager (Sustainability), Corporate Affairs- India in her email response to my queries. The rationale behind the India Consortium Project is the ‘vision centre concept that a significant proportion of eye problems corrected or detected at the primary care level has substantial savings to the individual and to the communities.   â€Å"Based on the success of LVPEIs Vision Centre model, the India Consortium Project proposed scaling up the development of Vision Centres in a co-ordinated matter in six states across the country.   For this, LVPEI sought support from four key implementing partners premier eye care institutions themselves across the country,† added Ms. Harite. Singapores Temasek Foundation (TF) part-funds SiB activities in India, particularly in capacity building i.e. in enhancing the training component of the SiB programme. Is this a viable business model? Aravind has perfected the model over the last three decades. They have the technology, behind the video consultation, in place â€Å"a low-cost wireless long-distance network (WiLDNet)† put together by the Technology and Infrastructure for Emerging Regions (TIER) research group at the University of California, Berkeley, California, USA.[10] This was done to overcome the issue of zero internet connectivity or slow connections that do not support video consultations in remote villages (Laks, 2009). In 2004, a mobile van with satellite connectivity was introduced to facilitate Tele-Consultations. The Indian Space Research Organisations (ISRO)[11] help was sought to this extent. The ‘vision centres can easily communicate with the base hospital (some 30 to 40 kms.) via satellite. These ‘vision centres effectively address the issue of accessibility, affordability and availability of quality Eye Care. â€Å"A series of centres were started across the Tamil Nadu state. Each base hospital is connected with a group of vision centres. At present, we have 10 ‘vision centres that operate on WiFi. The rest run on BSNL[12] broadband connections,† Mr Sundaram said. Aravind has the delivery system in place. A sound understanding of the local culture that in many cases is averse to western medicine and where modern-day medicine is not the first and only option to treat any disease or ailment. Why would a villager trust a doctor who drives down one fine morning and says he would like to operate upon them? Aravind begins by appointing a volunteer group for each community; some of these volunteers are further trained to serve as ophthalmic assistants and even as nurses in Aravinds hospitals. In a rural setting, rural folk trust their friends, neighbors, and their own people first. It is about creating ownership to the problem, like Mr. Sundaram said, and then partnering with the community to solve the problem. Aravinds financial results for the year 2008-09 were healthy. It raked in (income) US$22 million and spent (expenditure and depreciation) US$ 13 million.[13] Discussion That Aravind and other NGOs working in a similar direction, like LVPEI for instance, use the Culture-Centered Approach, as elaborated by Dutta (2008), in delivering quality eye care to rural India is quite clear. Aravind, in particular, has successfully integrated the CCA with the Technology-Communication-Management (TCM) model, as elaborated by Lee Chib (2008) to create a sustainable model for Eye Care delivery. ‘Accessibility and ‘affordability are the key factors in such healthcare models. In taking this route, one has to ensure that the technologies chosen for the job are cost-effective and easy to implement because capital expenditure and operational expenditure do play a vital role in determining the cost of healthcare services. Aravind has been able to keep the cost of Eye Care delivery considerable low consistently for many years now. Critics argue that organizations like Aravind are feeding-off their model. At this point, it is important to understand the ground-realities. In India, the divide between the urban ‘haves, and the rural ‘have-nots is only getting wider with each passing year. According to UN projections released 2008, India would urbanize at a much slower rate than China and have, by 2050, 45% of its population still living in rural areas (Lederer, 2008). The Government in India is not doing enough to address the plethora of health issues that plague [the various regions and communities in] the country. The flagship scheme to improve healthcare services in rural India, the National Rural Health Mission    launched in 2005 as a seven-year programme has many of its goals yet to be achieved, and the government is now considering extending it to 2015, according to recent media reports. Despite many a government claims and many a government schemes several villages in states across India co ntinue to depend on the private sector for quality healthcare or in this case Eye Care. Given this situation, Aravind and LVPEIs work in the direction of providing affordable Eye Care and free eye surgeries to five out of every ten patients they examine is a commendable feat.   A second question raised in this study is, what is the role of the healthcare provider in this case disseminate knowledge to the grass-roots or live-off their healthcare delivery model? Aravind is doing its part in disseminating knowledge to the grass-roots. Most ophthalmic assistants who man the ‘vision centers are community members trained by Aravind. But one has to understand that the act of knowledge dissemination in a remote rural setting has its challenges i.e. tackling illiteracy, basic awareness among others and these challenges cannot be addressed in just a few years. The India Consortium Project, sponsored by SCB and Temasek Foundation, set a target to set up 40 ‘vision centres by 2010. So far, 32 ‘vision centres are operational and the remaining will be operational this year, according to Ms. Harite.   On the flip side, a study by Murthy et al. (2008) argues that the goals of the ‘Vision 2020: the right to sight initiative to eliminate Cataract blindness in India by the year 2020 may not be achieved. But this should not deter those working in this direction. Both the public and the private sector must continue to fight Cataract Blindness because that is the only way to tackle the problem at hand. Last but not the least, this study recommends that NGOs operating in the healthcare space look at both the CCA and the TCM model to ensure better service delivery. References Chib, A. Komathi, A.L.E. (2009). Extending the Technology-Community-Management Model to Disaster Recovery: Assessing Vulnerability in Rural Asia. Submitted to ICTD 2009. Dutta, M. J. (2008). Communicating Health. Polity Press, Cambridge, U.K. Foster A. (2001).Cataract and Vision 2020 the right to sight initiative. British Journal Ophthalmology, 85, 635-639. Jose R, Bachani D. (2003). Performance of cataract surgery between April 2002 and March 2003. NPCB-India;2:2. Kumar S. (1997). Alarm sounded over Greying of Indias population. Lancet, 350, 271 Lee, S., Chib, A. (2008). Wireless initiatives for connecting rural areas: Developing a framework. In N. Carpentier B. De Cleen (Eds.), Participationand media production. Critical reflections on content creation. ICA 2007Conference Theme Book (pp. 113-128). Newcastle, UK: Cambridge Scholars Publishing. Lederer, E.M. (2008). Mint. Retrieved April 16, 2010, from http://www.livemint.com/2008/02/27231012/Half-the-world8217s-populat.html Laks, R. (2009). Videoconferencing and Low-cost Wireless Networks Improve Vision in Rural India. Comminit.com. Retrieved April16, 2010, from http://www.comminit.com/en/node/301452/307 Minassian DC, Mehra V. (1990). 3.8 Million blinded by cataract each year: Projections from the first epidemiological study of incidence of cataract blindness in India. Br J Ophthalmol, 4, 341-3. Murthy GV, Gupta S, Ellwein LB, Munoz SR, Bachani D, Dada VK. (2001). A Population-based Eye Survey of Older Adults in a Rural District of Rajasthan: I, Central Vision Impairment, Blindness and Cataract Surgery. Ophthalmology, 108,679-85. Nirmalan PK, Thulasiraj RD, Maneksha V, Rahmathullah R, Ramakrishnan R, Padmavathi A,et al. (2002). A population based eye survey of older adults in Tirunelveli district of south India: Blindness, cataract surgery and visual outcomes. Br J Ophthalmol, 86, 505-12. Prahlad, C. K. (2004). The Fortune at the Bottom of the Pyramid. Wharton School Publishing, Pennsylvanial, U.S. Resnikoff S, Pascolini D, Etyaale D, Kocur I, Pararajasegaram R, Pokharel GP,et al. (2004). Global data on visual impairment in the year 2002. Bull WHO, 82, 844-51. TED. (2009). Thulasiraj Ravilla: How low cost eye care can be world class. Retrieved April 16, 2010, from http://www.ted.com/talks/lang/eng/thulasiraj_ravilla_how_low_cost_eye_care_can_be_worl

The Effect one’s Gender and Personality has on their Ability to Identif

Discussion This investigation aimed to explore gender differences and personality differences in the ability to identify the emotion and gender of a face. The expected results were that the response times produced by females for facial emotion and gender identification would be faster than the response times produced my males. It was also expected that participants categorised as extroverts via the Necker cube would produce faster response times when identifying the emotion and gender of a face. Although the results from this experiment were not significant, they did resemble what was expected. Concerning the first hypothesis, overall females obtained faster response times than males when identifying the emotion of a face, which also supports the findings of Hoffman (2010). A possible explanation for why this difference occurred could be due to the different developmental changes in brain functioning that occurs in males and females, thus different neuronal systems may be used when processing f acial aspects (Everhaurt et al, 2001). That is; when an emotional face is viewed different neural structures are activated in males and females, resulting in different mediation of attention to the facial cues (McClure, 2004). The results from the current study therefore suggests that females may utilise systems that are more sensitive and more efficient at picking up cues where stimulus information is limited, than males (Hall & Matsmoto, 2004). Results obtained by males in the emotion identification task emphasises previously found results by Mantagne (2005) that males are less accurate at judging emotion in a face, especially sadness. On the other hand, Rahmen et al (2004) stated that although women were faster at identifying emotion, th... ...nder and/or personality can affect their ability to identify the gender or emotion of a face. The results obtained suggest that females and extroverts are able to identify facial aspects such as gender and emotion quicker than males and introverts. This may be because neurological and environmental factors influence their ability to efficiently access appropriate strategies to extract cues during processing of a face. The study produced findings that are consistent with previous research however to produce more confident conclusions for this investigation further experimentation with more sensitive measures are required. Future studies could explore physiological changes and neural mechanisms that occur during facial identification in order to provide a deeper insight into differences between categorical groups during facial emotion and gender processing.

Being Mulatto in America Essay -- Race Racial Differences

Circle of Color There are many different races in the United States of America, "mulatto" being just one of them. As a child mixed with both the black and white races, I have a "complete" view of the lives of both cultures; I feel as complete as a circle is in its unending symmetry. I am free from racism and have the power of relating to both races with a sense of belonging. I am aware that I cannot go somewhere and say I am white, but I can relate to whites just as easily as blacks. Color is a fiction, nothing more than a distraction to keep us from noticing how things look in the light. Due to their immensely different pasts, the two races have a hard time relating to one another, which keeps us apart as people. I have had to deal with a lot of racism in my lifetime, more so from my family than anywhere else. I have been disliked and not "accepted" by my grandparents and great aunts and uncles, some of whom I have never met, due to the color of my skin. My first-hand experience with racism and dealing with it effectively has made me a better, more complete person. The point of my writing this essay is to hopefully open one’s eyes to realize EVERYONE is equal. When I was a three-year-old little girl I was removed from the care of my natural mother and given to my stepmother, Dora. Dora was a young, caring woman who gave me the life that any child deserves, a stable life of discipline with a lot of love. The strong-minded, yet loving, personality I have is from being around Dora. She cares for people as a whole; I have never heard a racist remark come from her mouth. Although Dora is a black woman, her raising me could not have been any better. Dora is one of seven children, so "family" surrounded me at al... ...t whole. I mean that if you are white, more than likely you were raised in a white family and the same with any other race. Such an individual would have the disadvantage of not knowing what the next race is truly like and therefore is lacking social "wholeness." In this world of ours, one needs to know how to deal with, talk to, and relate to all races of people. One cannot be intimidated by the next individual because of lack of knowledge of his background. Socially, I have an advantage, I know what to say, when to say it, and who to say it to. No one can be taught how to deal with "different" people. It is through experience and an open mind that one learns their most valuable lesson in life: everyone can encounter the same misfortunes, yet the dignity you display in dealing with them greatly effects the outcome and aids in completing the "circle of color." Being Mulatto in America Essay -- Race Racial Differences Circle of Color There are many different races in the United States of America, "mulatto" being just one of them. As a child mixed with both the black and white races, I have a "complete" view of the lives of both cultures; I feel as complete as a circle is in its unending symmetry. I am free from racism and have the power of relating to both races with a sense of belonging. I am aware that I cannot go somewhere and say I am white, but I can relate to whites just as easily as blacks. Color is a fiction, nothing more than a distraction to keep us from noticing how things look in the light. Due to their immensely different pasts, the two races have a hard time relating to one another, which keeps us apart as people. I have had to deal with a lot of racism in my lifetime, more so from my family than anywhere else. I have been disliked and not "accepted" by my grandparents and great aunts and uncles, some of whom I have never met, due to the color of my skin. My first-hand experience with racism and dealing with it effectively has made me a better, more complete person. The point of my writing this essay is to hopefully open one’s eyes to realize EVERYONE is equal. When I was a three-year-old little girl I was removed from the care of my natural mother and given to my stepmother, Dora. Dora was a young, caring woman who gave me the life that any child deserves, a stable life of discipline with a lot of love. The strong-minded, yet loving, personality I have is from being around Dora. She cares for people as a whole; I have never heard a racist remark come from her mouth. Although Dora is a black woman, her raising me could not have been any better. Dora is one of seven children, so "family" surrounded me at al... ...t whole. I mean that if you are white, more than likely you were raised in a white family and the same with any other race. Such an individual would have the disadvantage of not knowing what the next race is truly like and therefore is lacking social "wholeness." In this world of ours, one needs to know how to deal with, talk to, and relate to all races of people. One cannot be intimidated by the next individual because of lack of knowledge of his background. Socially, I have an advantage, I know what to say, when to say it, and who to say it to. No one can be taught how to deal with "different" people. It is through experience and an open mind that one learns their most valuable lesson in life: everyone can encounter the same misfortunes, yet the dignity you display in dealing with them greatly effects the outcome and aids in completing the "circle of color."

An Analysis of Irvings Rip Van Winkle :: Rip Van Winkle Essays

An Analysis of Irving's Rip Van Winkle Rip Van Winkle had grabbed his gun and his dog, Wolf, and headed out to the woods. He rested under a tree where evening came on quickly. As Rip was getting ready to journey back home, he heard a voice calling his name. He went to see who was calling his name. He discovered an old man carrying a keg on his back. Rip and the old man walked to a ravine in the mountain. There they found a band of odd-looking people. Rip and the old man drank from the keg the man was carrying on his back. Rip feel into a deep sleep, which bring us up to his awaking. Rip Van Winkle woke up and it seemed to be the next morning. "The birds were hopping and twittering among the bushes, and the eagle was wheeling aloft, and breasting the pure mountain breeze." I think this symbolizes that the jeopardy that Rip was in the night before was over. The text said that the people in the ravine were rolling balls that echoed sounds of thunder through the ravine. That makes me picture a dark storm rolling in. This sets the scene with a little tension because Rip did not know what to make of the people in the ravine. He was a little frightened by them. So the birds singing and the sun rising the next morning seems to set the mood at ease again. Rip thinks about what went on the night before. He remembers the old man, the keg of liquor, the party, and the flagon. The flagon was the cup that Rip Van Winkle drank from the night before. Rip Van Winkle said, "Oh! That flagon! That wicked flagon!" I thought it was humors that he blamed the cup for getting him "tipsy" and causing him to sleep through the night. The first hint that is giving that Rip did a little more sleeping than he thought was the moment he reached for his gun. "He looked round for his gun, but in place of the clean, well-oiled fowling-piece he found an old firelock." It stated that the barrel was rusted and the stock was full of holes from worms eating away at it.

Diet and Exercise

Diet and Exercise Hanse Bidon COM/155 – University Composition and Communication I March 14, 2013 Cynthia Jones Diet and exercise Today, my physician informed me that I was significantly overweight and that my health was in jeopardy. Immediately, I stated dieting which included fruits and vegetables while abstaining from starches and sodas. In the course of two weeks, I noticed that I dropped 20 pounds as a result of a result of implementing this diet however I noticed sagging of the skin in certain areas. My weight loss halted and it appeared that I hit a weight plateau.In an attempt to resolve these issues, I started an exercise regimen which included cardio and free weights. Shortly after, I began to see weight loss however my energy and endurance began to slowly dwindle. After consulting with my physician, she encouraged me to combine both diet and exercise, which resulted in me managing my weight, tightening my skin, an increasing my endurance and energy. This process has taught me that weight loss can be achieved by diet and exercise individually, however when the two are combined, it can result in weight loss and weight management.There are advantages and disadvantages when using diet and exercise individually alone when trying to lose weight. These advantages and disadvantages individually can have adverse and favorable effects on your mental health, physical health and wellness. Dieting can be jarring for some people the idea of giving up certain foods to attain weight loss, can be very challenging. For so many people, Dieting is defined as the restraining of certain foods and practices that result in a desired state of mind and physical wellness.This desired state of mind and physical wellness could result in advantages such as weight loss, reduction of chronic diseases, and improved self-esteem. Weight loss as it relates to the advantages of dieting reflects the shedding of unwanted, unhealthy weight which ultimately is how we previously saw o urselves. Once the weight has been shed, we begin to see ourselves through new eyes with confidence and self-worth, which boosts your self – esteem. Not only do you improve yourself image, you improve your health as well.With weight loss, you reduce your chances of developing any chronic diseases such as high blood pressure, high cholesterol and some diseases that can be associated with heart disease. Although, some success can be achieved from dieting alone, it also has some disadvantages. Dieting alone for the sake of weight loss has some disadvantages such as fatigue and depression. One of the disadvantages of dieting alone is fatigue; this may occur when the body is trying to adjust to the change in eating habits and the lack of nutrients. You may experience dizziness and you’re tired all the time.These are symptoms of fatigue. A sudden change in eating habits because of a diagnosis can result in a person becoming depression, such as high blood pressure. In additio n to dieting, exercise is another method that is used to lose and manage weight. Exercise, just like dieting has significant advantages if deployed correctly. Some of these advantages involve physical and mental advantages. The physical advantages as it relates to exercises include weight loss, lower blood pressure, and the reduction of severe diseases such as diabetes, and life threatening cancers such as prostate and colon cancers.Another advantage to consistent exercise is the mental advantages; the act of exercising consistently releases a chemical in your body known as endorphins, which ultimately are responsible for stress and anxiety reduction. The endorphins in your body which are released when you exercise allow you to sleep comfortably at night and also work to increase your self-esteem allowing you to feel better about yourself and the progress you’re making. However, over working your muscles can result in more harm than good.Unfortunately, there are noticeable di sadvantages that come with exercise or the lack of proper exercise. These disadvantages come in the forms of improper training or preparation for exercise and the heightened possibility of injury because of lack of preparation. Over Utilizing the use your muscles can cause soreness because of microscopic tears in the muscle tissue. This process is normal however not implementing the right form or cardiovascular training can result in an inevitable state of injury, which can be a direct reflection of an improper training regimen.Overtraining can result in a number of issues such as insufficient amount of sleep, a compromised immune system, energy deficiency, and muscle and joint pain. While separately, exercise and diet provide various advantages and disadvantages, the two when implemented together provided various benefits. These benefits consist of healthier cardiovascular system, stronger bones, and effective weight loss. Any form of walking, swimming, jogging while implementing a low fat diet is a good way to maintain a good cardiovascular system.Another benefit of diet and exercise is the prevention of osteoporosis by incorporating foods rich in vitamin D, calcium such as fish, cheese, yogurt, low fat milk and with strength training. In addition maximum weight loss and management, reduction of the risk of chronic diseases and an improvement in mental health can be achieved when diet and exercise are implemented effectively. As I learned from my own struggles with weight lost, there are no quick fixes.Dieting without exercise will ultimately result in very little weight loss. The disadvantages that exist when you choose to lose weight by dieting only should be considered before eliminating exercise from your weight lost plan. Exercise without dieting will result in some weight loss as well and will help to improve your health, however, the disadvantages of just exercising should be consider before excluding dieting from your weight loss plan.Combine both di et and exercise will allow you to achieve maximum weight loss, weight management, and improve health, can contribute to your mental health in a positive manner, and increased strength in bones. Although there are many diet ads that suggest quick ways to lose weight such as shaking a substance on your food to curve your appetite, drinking shakes, eating cookies, some plans suggesting that you don’t have to change the way you eat to lose weight, and some insisting that just taking a pill, and the weight will fall off. None will replace both exercise and a well balance diet