Improving Education Healthy Lifestyle Malaysia Health And Social Care Essay

Improving Education Healthy Lifestyle Malaysia Health And Social Care Essay Healthcare systems are facing major challenges as they struggle to meet increasing demand with limited resources. Demographic changes, changing disease patterns, illegal immigrants, industrialization, issues of quality and efficiency, shortages or misdistribution of human resources, financial constraint, inadequate research and globalization are the major challenges faced by Malaysias healthcare system as it prepares to restructure itself. Globalization can be described as the integration of economic systems, capital movements and opportunities for different peoples through better information and communication technologies. But locally it has come to mean the increased insecurity and powerlessness that people (particularly poor people) feel in the face of global processes. Impact of globalization on populations health is predictable since globalization will change trade processes and also social and cultural shift. The future healthcare must transform the healthcare system, by making it more integrated, disseminated and virtual. The Malaysian future healthcare system will need to align with and support national health vision and goals. The services must be seen in the context of achieving the vision and the value it adds in achieving national health goals. Existing and the health system of the future must be guided by clear guiding principles and philosophy as well as being robust. Malaysia will develop one of the most advanced health systems of the world by harnessing the power of information and multimedia technologies to transform the delivery of healthcare. Hypertension Hypertension is one of the most common worldwide diseases affecting humans. Because of the associated morbidity and mortality and the cost to society, hypertension is an important public health challenge. 33% of the Malaysian adult population suffering Hypertension and it is including overall gender, race and ages (Lim, Morad et al, 2004) Over the past several decades, research widespread patient education and a concerted afford on the part of healthcare professional have led the decreased mortality and morbidity rates from the multiple organ damage arising from years of untreated hypertension. Hypertension is the most important modifiable risk factors for coronary heart disease, stroke, congestive cardiac failure, end stage renal failure and peripheral vascular disease . Many interrelated factors contribute to these mechanisms and may differ between individuals, such as the rennin-angiotensin system, endothelial dysfunction, salt intake, obesity, genetics and low birth weight (Beevers et. al 2001). The significance on the high blood pressure condition will be more critical, which may lead to the complex complication such as stroke, increase mortality rate and also increase risk of cerebral haemorrhage. The increasing prevalence of the Hypertension due to ageing process, the identification of the risk factors and diagnosis will able to control the Hypertension among the elderly people ( Ong, Oung et al , 2010). In view to improve the healthcare system to be more healthy, the responsibilities of the healthcare provider will focus on the preventive strategy as it will be able to decrease the prevalence of Hypertension in the general population. The main issue to be focused will be on the unhealthy eating habits among the population, lack of physical activity, genetic factor, unhealthy lifestyle, stress and other contributing factors related.. Prevention From Intervention Strategy The prevention and management of Hypertension is to reduce morbidity and mortality by the least intrusive means possible. This maybe accomplish by achieving and maintaining the systolic blood pressure below 140mmHg and diastolic blood pressure below 90mmHg and lower if tolerable, while controlling other modifiable risk factors for cardiovascular disease. The treatment to lower levels maybe useful particularly: 1. To prevent stroke 2. To preserve renal function 3. To prevent or slow heart failure progression The above goals maybe achieved by non-pharmacological and pharmacological methods. Before we consider any active treatment of establish hypertension, there is an even greater need to look at the prevention of the disease. Without planning prevention, the hypertension problem will always remain and it will only rely solely on the detection of existing high blood pressure. Primary prevention provide an attractive opportunities to interrupt and prevent the continue costly cycle of managing hypertension and its complications. This primary prevention (non-pharmacological treatment) can be achieved by the following manners: Lifestyle Modification There is no direct randomized evidence demonstrating that reducing blood pressure through lifestyle measure will reduce the risk of cardiovascular disease but it seems likely since trials have shown that benefits of anti-hypertensive treatment are determined primarily by the blood pressure reduction. The benefits of the lifestyle modification are summarized as below To lower the blood pressure in the individual patient. To reduce the need for anti-hypertension drugs and maximize the efficacy To address the other risk factors presence For primary prevention of hypertension and associated Cardiovascular disorders in population. Although there are difficulties in achieving and maintaining proper lifestyle changes, a systemic team utilizing health care professionals and community resources when possible can assist in providing the necessary education support and follow up. Smoking Cessation Cigarette smoking is one of the most powerful risk factor for cardiovascular disease and avoiding of tobacco in any form is essential. There is significant raise in the blood pressure accompany the smoking of each cigarette. All hypertensive patients who smoke should receive appropriate counseling for smoking cessation and nicotine replacement therapy should be considered. Those who continue to smoke may not receive the full degree of protection against cardiovascular disease from anti-hypertensive therapy. The cardiovascular benefit of discontinuing tobacco use can be seen as early as within 6 months in all age groups and by 2 years; they are probably at the same risk with non smoker. Manson et al 1992, Doll et al 1994 (Breen J, 2008) state that Smoking cessation is probably the most effective lifestyle measure for the prevention of a number of cardiovascular diseases . Weight Reduction Excess body mass is correlated closely with an increase of blood pressure. Excess body weight increases the risk of hypertension (Stamler, 1991). Usage of nonpharmacological therapy can be used to reduce the weight loss as it has been proven that it is also able to reduce the blood pressure level (Kuller, 2009). The responsibilities on the weight reduction should be begin with own awareness by the high risk population. However with the frequent advertisement by the healthcare provider in the electronic advertisement will be able to create the depth understanding on the important of the reduction of weight. The losing of weight should not drastically occurs, as it lead to the haemodynamic status in the cardiovascular circulation Diet changes In Malaysia, most of the adult and elderly ages develop habit to take heavy supper meal late of the night and sometimes it is contain of high saturated fat that might lead to increasing fat deposition among the population. Fast food consist of high carbohydrate and high sodium contain in prepared foods, that also introduce to the risk of Malaysian population to develop Hypertension. This unhealthy dietary habit only lead to the high statistic of incidence Hypertension. Increasing fruit and vegetable, higher intake of calcium, magnesium or potassium has contributed to the beneficial effects of some of this diet. Regular fish consumption may enhance blood pressure reduction in obese hypertensive patient and yield additional benefits on the lipid profile. Hence all hypertensive patients should be advised to eat more fruit and vegetables, fish and to reduce their fat intake. This diet habit should be developed by providing continuous awareness among the high risk population with providin g them a pamphlet at the public area and introduction on the preparation of low salt diet copyright in the compact disc or download into the website, as it will assist the public on the good eating habit on their own convenience. Physical activity Sedentary patients should be advised to take up moderate level of aerobic exercise on regular basis such as a brisk walk or swim for 30 45 minutes, 3 4 times a week. Regular aerobic exercise reduces BP in nonmotensive and hypertensive individuals (Cooper et al 2000).When compared with more active and fit individuals, sedentary individuals with normal blood pressure have 20 50% increase of developing hypertension. Regular exercise activity has been documented to lower the systolic blood pressure by about 4 8mmHg. Isometric exercises such as heavy weight lifting can have a pressor effect and it should be avoided. Patient with cardiac while other serious health problems need a more thorough evaluation, often including a cardiac stress test and may need referral to a specialist or medically supervised exercise program. Prioritization the Health Issue Policy Government and private healthcare should consider on the development of the policy for the benefit for all. Reinforcement of the government policy will enhance the public oriented program on the important of preventive the hypertension rather than treat the hypertension. Target Group The prioritization will be focus on the high risk group of population, such as executive, professional, new graduate adolescence, obesity individual and genetic. These groups are exposing to the risk of hypertension. The fast pace in the working environment , compounded the fact that work was physically demanding and influence the workers on the limited role (Rafnsdottir and Gudmundsdottir, 2004) especially on their well being activities. The proactive intervention will be able to assist the healthcare provider to prepare the public towards the reduction of the prevalence hypertension, especially in managing obesity, improve diet and increase physical activities. Activities and Reward Program Suggested that all the organization or company focus to improve the healthy well being environment such as formation of the mini gymnasium in order to encourage the involvement of the workers after duty or during break. Nevertheless, it will encourage high commitment to improve their healthy lifestyle without prejudice. Rewards program introduced to the actively participation in the gymnasium will be boost the enthusiasm among the workers in the organization. Thus, it will reduce risk of incidence hypertension and increase healthy life style among the population in cosmopolitan era. Broadcasting Involvement of the broadcasting in promoting the important of healthy lifestyle will enhance the awareness among population on the management of preventing hypertension. Billboard along the highway, public area also able to assist the improvement of knowledge among the public. Public Talk Should be conducted at all ages, begin with primary school students, elementary schools, universities, seminars, workshop and promotion using bunting and banner, as it will create continuous understanding of the disease. Conclusion In 2006 The Third National Health and Morbidity Survey, The Prevalence of hypertension among adult 30 years old and above was 43% has increase 30% compared to 10 years ago (Merican, M, I., 2008). This figures shows that the hypertension can be considered serious illness which may effect the healthy well being among Malaysian population. Furthermore it can cause potentially life threatening if not detect and treated early. Awareness on the hypertension will be no ending as this condition might occur at any level of ages. Contribution of the public towards reducing the hypertension prevalence and early identification of the risk factor enable the well being lifestyle among Malaysian.

Radiographic Evaluation of Soft Palate Morphology

Radiographic Evaluation of Soft Palate Morphology Title: Radiographic evaluation of soft palate morphology and correlation with gender on lateral cephalograms Introduction: The soft palate is the posterior fibro muscular part of the palate that is attached to the posterior edge of the hard palate.1 It participates in most of the oral functions, especially in velopharyngeal closure which is related to the normal functions of sucking, swallowing and pronunciation.2 The palate is formed by the fusion of three components; the two palatal processes and the frontonasal process. At a later stage, the mesoderm in the palate undergoes intramembraneous ossification to form the hard palate. However, the ossification does not extend into the most posterior portion which remains as the soft palate. Early references concerning the objective measurements of the soft palate have been done by investigators for assessment of speech, function and the upper airway structures.3-11 Although these continued efforts toward the dimensional analysis of the soft palate and its surrounding structures have been made, little attention has been paid to the variety of soft palate morp hology and configuration. Image of the soft palate on lateral cephalometry appears to have various morphologies in normal individuals, in contrast to the only one kind published in the literature. Pepin et al found the ‘‘hooked’’ appearance of the soft palate in patients who were awake, which indicated a high risk for the obstructive sleep apnoea syndrome.12 The purpose of the present study is to investigate the variation of the soft palate morphology and the proportional differences of the soft palate between the two gender groups. This study can be helpful for understanding the various morphologies of the soft palate in the median sagittal plane on lateral cephalograms. These findings may be used not only as references for the normal soft palate, but also for cleft reconstruction and the etiological research of obstructive sleep apnea syndrome (OSAS) and other conditions. Materials and Methods: We conducted a cross-sectional study in department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal. Instructional ethical committee approval was obtained for the study. Lateral cephalometric radiographs of individuals subjected to radiographic examination for orthodontic purpose were retrieved for the study from the archives of departments of Oral Medicine and Radiology and Orthodontics. A total of 100 digital lateral cephalograms of normal healthy individuals (50 males and 50 females) who were aged 15-45 years were retrieved from November 2014 to February 2015. All the subjects who had normal speech and function were included in this study. Radiographs of good quality and visibility of soft palate were included. Patients with facial or palatal deformities or facial trauma were excluded. Poor quality radiographs and radiographs with incomplete details were also excluded. All lateral cephalograms were taken using orthopantomograph (Planmeca) with a tube potential adjusted to optimize the contrast. All the images on the radiographs were observed and classified into 6 types by 2 radiologists independently according to You M et al., (2008).1 The six types of morphology of the soft palate are as follows: Type 1: ‘‘leaf shape’’, which was lanceolate, indicated that the middle portion of the soft palate elevated to both the naso and the oro-side Type 2: when the soft palate showed that the anterior portion was inflated and the free margin had an obvious coarctation, the radiographic appearance was described as having a ‘‘rat-tail shape’’ Type 3: a ‘‘butt-like’’ soft palate showed a shorter and fatter velum appearance, and the width had almost no distinct difference from the anterior portion to the free margin Type 4 indicated that the image of the soft palate presented a ‘‘straight line shape’ Type 5: the distorted soft palate, presented the S-shape Type 6 revealed a ‘‘crook’’ appearance of the soft palate, in which the posterior portion of the soft palate crooks anteriosuperiorly The pattern of the soft palate on the digital lateral cephalograms was highlighted with curve tool in Microsoft power point. The assessment of the soft palate morphology was carried out twice by two radiologists. Since there were no differences in classification between the two radiologists, reliability was considered to be acceptable. All the analysis was done using SPSS version 18. A p-value of Results: A total 100 radiographs were studied for shapes of soft palate out of which 50 were males. The age of the subjects was 20.91Â ±3.63 with age range of 18 – 45 years. Type 1 was most commonest shape of the soft palate (30%) followed by Type 6 (19%), Type 2 and 3 (17% and 17%), type 4 (11%) with least being type 5 (6%) (Figure 1). A total of 50 male and 50 female radiographs were used for our study. Among males, Type 1 was the commonest (38%) followed by type 6 (22%), Type 2 and 3 (14 and 14) with least being type 4 and 5 (6 and 6%) respectively. In females, Type 1 (22%) was the commonest followed by type 2 and 3 (20 and 20%), type 4 (16%), type 6 (16%) with least being type 5 (6%). However, there was no significant difference in the distribution of shape of soft palate between males and females (p=0.312) (Table 1). Table 1: Comparison of shape of soft palate between males and females Chi-square test Discussion: Cephalometric analysis is one of the most commonly accepted techniques for evaluating the soft palate in both normal individuals and those with cleft palate. Cephalometry is a relatively inexpensive method and permits a good assessment of the soft tissue elements that define the soft palate morphology and its surrounding structures.1,8 Much of the former research that studied the soft palate and its surrounding structures was aimed at providing some information on diagnosis, prediction and treatment in individuals with cleft palate. The soft palate plays a large role in velopharyngeal closure, which refers to the normal apposition of the soft palate with the posterior and lateral pharyngeal walls. It is primarily a sphincteric mechanism consisting of velar and pharyngeal components. The movement separates the oral cavity from the nasal cavity during deglutition and speech. When the velum and lateral and posterior pharyngeal walls fail to separate the two cavities, velopharyngeal incompetence (VPI) occurs.1 In our study, the leaf-shaped soft palate was the most frequent type, which is an expected finding since this type was previously described as a classic velar morphology in the literature. This was in accordance with the previous studies reported in the literature.1,13-15 However, Type -2 (Rat tail shaped) was reported to be commonest by Praveen et al., 2011.16 While the S-shape was seen in only few cases, it can be supposed that the number of subjects in the investigation was not large enough. The S-shape, which was described as a hooked appearance of the soft palate by Pepin et al.,17 was found in 5.8% subjects in our study. They hypothesized that soft palate-hooking plays a key role in pharyngeal collapse, since hooking results in a sudden and major reduction in the oropharyngeal dimensions, which therefore dramatically increases upper airway resistance and the transpharyngeal pressure gradient. Pepin et al., therefore concluded that hooking of the soft palate in awake patients in dicates a high risk for OSAS.17 In our study, the difference between gender didn’t exist in the comparison of the proportion of the various morphology of soft palate. This was similar to that reported by Praveen et al., 201116 while previous study by You et al.1 reported gender differences, wherein type 2 and 3 were significantly less in females than males. Type 1 was the most comments type among males and females in our study which was followed by type 2 and 3. This was similar to the study reported by Kruthika S et al., 2012.15 This classification can help us better understand the diversity of the velar morphology in the median sagittal plane. These findings can be used as references for the research of velopharyngeal closure in cleft palate individuals and for aetiological research of OSAS and other conditions.

Beowulf As An Epic Hero Essays -- Epic of Beowulf Essays

Every epic hero possesses certain heroic characteristics. Beowulf, like other epic heroes, possesses the following heroic qualities: epic heroes are superhuman types of beings. They have a noble birth and show great bravery. They display great intelligence and resourcefulness. They have a reverence for G-d and for the values of their society. They are dominant male figures and suffer severe pain, but in the end, they conquer evil (Vivone 9/27/99). In addition to Beowulf’s heroic qualities, he is very strong. Beowulf was said to have â€Å"the strength of thirty [men] in his mighty handgrip† (Bloom 11). Early proof of Beowulf’s extraordinary strength is evidenced by his dismemberment of Grendel’s limb, the fight in the cave under water, and the magic sword (Klaeber xiv). Beowulf partook in many supernatural battles and events. The demeanor of Beowulf is considered a main fantastic element. When Beowulf fights Grendel and Grendel’s mother, he is immo rtal. Then, suddenly, he becomes mortal and falls to the dragon (Klaeber xxiv). In Beowulf, marvelous elements are everywhere. They include a fire breathing dragon and sea monsters (Burlin 119). There are additional examples of the use of fantastic elements in Beowulf. Beowulf single-handedly carrier thirty suits of armor from the battlefield in Frisnia and swims with them through the North Sea and the Skagerrak to Geatland, a distance of five hundred miles (120). In Beowulf’s early life, he swam for five to seven days with his companio...

Early America :: essays research papers

Everyone always talks about the early America, how it started the thinking of people today. Throughout this report you will understand more about early America. People always say America is a land of beginnings, well after Europeans discovered America, the New World became peoples hope for a new life. They tried to escape from poverty and just to start over. So we know that America started with hope but does the American writers? In order for something to begin there needs to have experiences. So the writers looked back on American history. They even had to go as far as before Christopher Columbus, and even before the year 1000. At that time the Native Americans lived here. They each had a tribe and their writings were very personal to how they lived their life and how they knew of America. They also had to think about all their fears and even the excitement in life itself. Some of the people lived and died horrible lives so the ones that survived it told others all about it. Some unforgettable and some hard to even believe, but that's how the people of the early America lived. The New World had lots of experiences for the new writers to tell. Some of the new writers included John Smith; he only spent two in a half years in America. Jonathan Edward's, he thought that a revolution would create a world of literature. He was the first major writer to be educated and lived his whole life in the New World. When he was eleven he wrote science essays on insects. Then when he was thirteen we went to Yale for religious experience. He wrote Sinners in the Hands of an angry God and still is one of the most famous literary monuments to the "great Awakenings" The first book published in America was the Bay Psalm Book; it was a translation of the biblical psalms. Many of the puritans kept journals to help they with their relationship with god. The journals and diaries were usually meant to be private. But somehow they got out to the public. Even when it did get out to the public the puritans said that none of it had ever happened. They did not write to entertai n the public they wrote for themselves, and for God. They wrote no fiction, and they didn't even want to read it.

Death Penalty :: essays research papers

One of the most controversial debates that rages constantly in this country is the argument over whether capital punishment should be outlawed. There are two basics arguments within the debate over capital punishment: First is the question of whether capital punishment is moral, or more simply put, whether it is right. And second is the question of whether capital punishment is constitutional. Although the death penalty has come far into the forefront recently, the constitutionality of the death penalty is not a new question. The death penalty has never been outlawed nationally per se, but for a period in the mid 1970's the Supreme Court changed the rules about capital punishment so that it was nearly impossible for a state to put a prisoner to death under any circumstances. The problems that death penalty opponents have with capital punishment can be found in the Bill of Rights, or more specifically, the fifth and eight amendments. The fifth amendment gives every citizen of the United States the right to "due process of law", meaning full access to courts and proper representation, etc. Many believe that a great number of inmates on death row have not been given due process, and that no one should be put to death if they have not been given their right to it. The eighth amendment bars the government from doling out any "cruel or unusual punishment" to its prisoners. Although it is certainly debatable whether execution is cruel and/or unusual, many believe that it is, and therefore is a violation of the eighth amendment. There are many facets to this argument, and even an updated Supreme Court ruling is unlikely to quell the debate. There is also another very contentious point in the debate over capital punishment. Obviously, the penalty of death is the most final punishment possible. Many death penalty opponents say that the capital punishment should never be used in a case where the jury or judge is not 100% sure of guilt. They say that, because it is impossible to ever be 100% sure about anything, the death penalty should not be used when someone might be innocent.

Using Case Studies from Specific Companies, Outline How Seriously Multinationals Address the Risk of Co2 Emissions?

Using case studies from specific companies, outline how seriously multinationals address the risk of CO2 emissions? Nowadays many people are concerned about the global warming and this focused the attention on another really serious problem – the increasing level of CO2 emission in the atmosphere. At higher concentration this gas is considered extremely toxic, therefore this issue has to be seriously taken in consideration. Unfortunately, with every year passing this process is accelerating.On that account, many countries gathered their strength in equalizing the greenhouse gases levels in the atmosphere and signed an agreement at the United Nations Framework Convention on Climate Change. Also many multinational companies decided to assist and help with the situation by using different strategies for the reduction of CO2 emissions. Realizing the gravity of the situation, many industrialized countries focused on achieving the ultimate goal – reducing their emissions of g reenhouse gases. On 11 December 1997 in Kyoto, Japan 37 countries have signed a protocol, which oblige them to lower their overall emissions by 5. % compared by the level from 1990. The Protocol entered into force on 16 February 2005. As the main polluters of the environment, these countries managed to gather their strengths for the future of our planet. The only remaining major polluter, which has not signed the protocol is the United States. Not only countries recognized the danger of CO2 emissions, but also multinational companies are thinking about the future of our world. For example, more and more major auto manufacturers, as the one’s to be blamed for the increasing level of gases, commit to eco-friendly developments.For instance, hybrid engines, which use not only fuel, but also energy in order to reduce Co2 emissions. In fact the first gasoline-electric car was developed in the distant past by Ferdinand Porsche in 1901. Unfortunately, this technology became widely av ailable when it was released for mass production in Japan in 1997 by Toyota. This is the first manufacturer, which sells hybrid vehicles in Japan and the United States in 2002, and is now leader in this emerging field. The company’s Research and Development division has also responsible for many other breakthroughs in eco-friendly engines.For example Variable Valve Timing-intelligent engine, Direct-Injection petrol and Direct-Injection common rail diesel engines. All of these improved engines are built to reduce fuel consumption and emission levels. On the other hand, Toyota may be not so green as we think it is. After the company has become one of the three major automotive companies and joined the Detroit Three in 2007, it lost the trust of the environmental community. First of all, Toyota supported a lawsuit, which was about to reduce toxic emissions from cars by 30% within a decade.This legislation would require cars to get up to 43 miles per gallon. And this is not profi table for the company. To sum up I would like to quote Keith Naughton from â€Å"Newsweek Magazine†. He said : â€Å"Toyota is discovering it isn't easy being green while going for the green. † While Toyota is just pretending to be eco friendly, there is another also Japanese company, which is focusing it’s efforts to reduce global warming emission. Yamaha Motor is taking a whole new approach in reducing the CO2 emissions – not only in it’s products, but also in the company’s entire business activities.For example, they reduced the C02 emissions in the Nakaze Factory (The factory, which paints and forms the parts for the motorcycles) by approximately 289 tons by installing solar and wind power generators. Unfortunately, this generators will just be used only for lightning and air conditioning in the office buildings. If Yamaha really wants to contribute in reducing the global warming gases, it will have to came up with many similar ideas and to power more electronics, which are used in the factory.In my opinion, most of the multinationals companies do not really care about the environment. They are using the nowadays trend to live greener life, in order to attract more customers. I think, that almost all of them have some hidden agenda to advertise and promote themselves. This is a serious issue, which we are facing. Each and every one of us can contribute to the solving of the problem. For example we can take the public transport more often, recycle or bye energy efficient light bulbs. Everyone have to understand, that this planet is not only for us.We have to leave a place for our children to live in. The world has already recognized the gravity of the situation. There is a serious problem, which we are facing and if we don’t cut the emissions there might be no place for the future generations to grow. The Kyoto Protocol is a major progress in reducing the carbon dioxide emissions. Personally, I am optimistic about the future. Many multinational companies are aware of their harmful impact on the environment and they have committed themselves to eco-friendly innovations and are aking various approaches in lowering the level of carbon dioxide. All in all, we are obligated to assure our children’s future. Planet Earth is our home, and we have to anything we can to save it. References: 1. Ellerman, A. Denny et al. (December 1998). The Effects on Developing Countries of the Kyoto Protocol and Carbon Dioxide Emissions Trading. World Bank Policy Research Working Paper No. 2019. Available From: http://ssrn. com/abstract=569250 [Assesed August 13, 2004] 2. Hayes, James. (3/6/2010). Whose CO2 is it anyway?.Engineering ; Technology [online]. Vol. 5 Issue 4, p48-50. Available from: http://web. ebscohost. com/ehost/detail? sid=72a4efd7-5e6e-47b2-884a-45713a7b4001%40sessionmgr11;vid=1;hid=15;bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=bth;AN=48847280 3. Richard Schmalensee, Thomas M. Stoker, and Ruth A. Judson. (February 1998). World Carbon Dioxide Emissions: 1950–2050. [online]. Review of Economics and Statistics[online]. Vol. 80, No. 1 , Pages 15-27 4. Naughton, Keith. (Nov 10, 2007). Toyota’s Green Problem. [online].In Newsweek magazine. Available from: http://www. thedailybeast. com/newsweek/2007/11/10/toyota-s-green-problem. html 5. Sedgwick, David. (5/23/2011). Detroit 3 make big gains in supplier survey. Automotive News[online]. Vol. 85 Issue 6465, p1-29. Available From:http://web. ebscohost. com/ehost/detail? sid=05d16e37-af1c-4a3a-873a-05636d5a7679%40sessionmgr14;vid=1;hid=15;bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=b 6. Unknown, (2011) United Nations Framework Convention on Climate Change, http://unfccc. int/kyoto_protocol/items/2830. php

Analysis of the poem Essay

The poem Originally by Carol Ann Duffy talks about the issue of culture identity. The poem talks about change, memories, and anxiety which occurs when moving. This is conveyed through the experiences of a young girl in the poem who is reluctant to leave what she knows behind. This is made apparent through the theme of memory and the continual change of setting. The title Originally sets the tone for the poem as there change needs to occur for there to be an ‘original’. This choice of diction allows for an expectation for what the journey will be about, while the ambiguity of the poem is written in such a way that personal experiences can be projected upon the protagonist. The aspect of the poem through tone however creates a bias towards negative emotions and experiences due to the despondent tone throughout the first two stanzas. This atmosphere of loss is aided through the use of negative emotive diction such as ‘bawling’ and ‘resigned’. By showing that the protagonist’s brothers are crying, Duffy illustrates how hard this is for them as crying is usually only brought on by major or sad events and loss, ‘resigned’ is used to show how she has accepted her fate, but it doesn’t mean she likes it. This association of emotions with the diction allows for empathy to occur towards the protagonist and her unsure feelings about her emigration. The theme of cultural identity is used in the poem in order to instil a sense of not belonging. This feeling of unease and unhappiness is introduced through the use of ‘bawling’ as this change from the place where they are comfortable and belong to the new one is both painful and confusing for them. The use of italics however, in the repetition of ‘Home’ as well as the capitalisation of it, emphasises it’s importance to them and their desire to return to it. The use of a blind toy by Duffy can be used as a metaphor towards the protagonists new life, where, although the toy is blind, it still has eyes. The foreshadowing could be that when the protagonist moves she will be blinded by everything which is new so that she doesn’t become overwhelmed by it. She will continue to be blind to the beauty of her new home so long as she is yearning for her old one. However, once she is ready her ‘sight’ will return and she will start to forget her cultural identity. At the time, the girl doesn’t want this however, so she is clinging onto a toy to maintain her memories of home. Additionally, a toy is associated with childhood, so the clinging onto it may represent how she doesn’t want to grow up and leave her comforts behind. By saying in the second stanza that ‘all childhood is emigration’, Duffy allows for immediate relation to the protagonists situation. This is due to the journey of growing up to adulthood which is a worldwide experience, as well as referring to physical emigration of moving from one place to another. Improtantly however, the emigration of childhood is all made without the acceptance of the person moving, they cannot stop growing older, and parents make the ultimate decisions. This unease and the inability to understand the need to move is reinforced by the location of her new home where ‘no one you know stays. ‘ This introduces the tone of isolation which is reinforced by having the wrong accent, and ‘shouting words you don’t understand’ which immediately marks a person as being from a different area, even though the move could have been within the same country of city, the accent and slang changes. The introduction of ‘big boys’ shows that she is intimidated by people from the area who are older and bigger as she doesn’t know how they will react, this is reinforced by the alliteration present through the repetition of the hard ‘d’, continuing the feeling of intimidation which the protagonist encounters. A continuation of the alliteration in sibilance, ‘seeing your brother swallow a slug, feel only a skelf of shame,’ provides an insight that the protagonist is slightly proud of her brothers for adapting so well to the environment, which is then applied to herself in a continuation of sibilance in combination with a simile in that she ‘remembers (her) tongue shedding it’s skin like a snake, my voice in the classroom sounding just like the rest. ‘ This shows that she is also now adapting to her environment, reinforced by the fact that a shed skin is natural for a snake, and this adaptation is normal, although slightly unwanted. The last stanza’s change in tone shows how the protagonist has changed with age. This allows for a time skip to take place into a time when she is more mature and able to reflect upon the journey easily, although with some regret. This is expressed through rhetorical questions beginning with the use of ‘Do I only think,’ in line 20, which builds up an atmosphere of longing and wistfulness. There is also a tone of uncertainty in there, as she doesn’t know if she had remained in the place if the feelings of belonging would have remained, which is why she only questions and doesn’t outright believe that staying would have been the best option for her. The rhyming of the words ‘first space’ and ‘right place’ reinforces the doubt she feels about her cultural identity. The continued doubt of the protagonist’s cultural identity which occurs in lines 23 and 24, illustrates how she will continue to try and find the answers throughout her life as she will never be truly certain of who she is, creating a sense of not belonging. Although emigration is a hard thing to experience, Duffy illustrates that trying to maintain a cultural identity through such a process may cause problems later. The continued rejection of the new culture illustrates how much of an outsider it makes the protagonist feel later in life, which could have been avoided if it had been readily embraced. The place which she originates from will always have a draw, however, the acceptance of a new culture viewed as a new part of a personal culture, would be much easier to accept than a replacement to the old one.