Challenges of International Apparel Brands in Penetrating China Essay

Challenges of International Apparel Brands in Penetrating China - Essay Example This paper further emphasises on the study of Chinese culture and its impact on the consumers’ preferences. China as a growing economy is seen as the prospect for the foreign brands to explore the country. China is said to be the land of opportunity and to analyse its true nature the paper has focused on the implication of Chinese culture and what international brands requires to be a part of the Chinese business market. Why china is an important market? How can china help international brands to extend their market share? These questions have also been the point of discussion in the paper. It can also be seen that China though offers opportunity, but for any foreign brand to expand into China would require a research on the Chinese consumers behaviour. Consumer research based on the behavioural pattern can make the international brands understand the market in a better way to implement the right strategy. A thorough research based on the analysis of data collection and other methods can play a significant role in understanding the true nature of consumer behaviour in context to the Chinese culture (Hoyer & Macinnis, 2009, p. 40). Methodology Research methodology can be defined as the process of analysing, collecting and devising the required information. Methodology is an important procedure for any company wanting to market its product in a new territory (Burns & Bush, 2007, p. 6-7). Market research methodology involves the explanation of the problem and the process to find the desired solution. The cause of problem and the research methodology plan are directly proportional to each other. The research methodology has also helped in determining the objective of paper which is to analyse the Chinese market and the consumer... The paper operates mainly based on research questions which can be stated as follows: Why China is an important market? How can China help international brands to extend their market share? It can also be seen that China though offers opportunity, but for any foreign brand to expand into China would require a research on the Chinese consumers behaviour. Consumer research based on the behavioural pattern can make the international brands understand the market in a better way to implement the right strategy. A thorough research based on the analysis of data collection and other methods can play a significant role in understanding the true nature of consumer behaviour in context to the Chinese culture. Chinese economy is one of the fastest growing economies in the world. Since, the advent of economic liberalisation in the early 1980’s the country has seen unprecedented growth. This feature of the country has made it the hotspot for the foreign brands willing to expand their busin ess and extend their market share. Chinese culture in comparison to other cultures is different and this makes the road to success multifaceted for the global brands. Chinese consumers have strong liking for foreign brands as they hardly distinguish them as different brands but rather treat each brand as an international brand and use it to maintain their status symbol. The Chinese consumers’ behaviour has always been a subject of discussion. The case is the same in context to the international clothing brands expanding in China.

Global Wine Essay Example for Free

Global Wine Essay 1. How were the French able to dominate the worldwide wine trade for centuries? What sources of competitive advantage did they develop to support their exports? The French wine production essentially dates back to the time when it was part of the pioneering niche market for high quality premium wine. The factor conditions such as land and climate were pertinent attributes of the France, compared to other European countries. Cross border shipping costs surged in the early 19th century. However, France was able to amalgamate the relevant industries that supported wine production, within their borders. Therefore, France was able to raise the level of its competitive advantage throughout the various sources, absent any relative impact from other countries. Eventually, the wine industry proliferated and became the second largest export segment for France. This was combined with an extravagant culture of rich food, whilst making the customers more demanding, with respect to a certain quality of wine produced. In the aftermath of such demand shifts, the French government created the classification system, which raised the barriers to entry so that foreign competition can be limited. This classification system also aided the consumers in making easy decisions through the complexity of a fragmented market. It was essentially a depiction of standardization of quality measures to maintain industry standards of French wine worldwide. Much was relied on the vintner with respect to other operational capacities such as marketing and research. Due to a fragmented market, most small scale farmers relied on the wine maker for most market activities. 2. Given the longstanding dominance of Old World wine producers, how were the New World producers, such as the Australians, able to expand their market share so rapidly in the 1990s? 3. What changes in the global industry structure and competitive dynamics led the France and other traditional producers to lose market share to challengers from Australia, US, and other New World countries? 4. What should be done for France to restore its position?

Sport Injury Prevention Strategies Health And Social Care Essay

Sport Injury Prevention Strategies Health And Social Care Essay Groin pain occurs frequently in sporting activities such as running, kicking, soccer, rugby, and ice hockey which involve quick accelerations, decelerations and sudden rapid directional changes (Cowan et al., 2004 and Verrall et al., 2005). Hormon (2007) suggested that, groin pain may be caused by a sports hernia, osteitis pubis, nerve entrapment, adductor and Iliopsoas muscle strain or any combination of these entities. The most common location (>50%) of groin pain reported in athletes is the adductor muscle tendon region (Holmich. 2007). The assessment and treatment of groin pain in athletes is difficult as the anatomy of the groin region is complex and the ability to imagine the anatomy of the groin area is important for both physical examination and the differential diagnosis (Vincent and Victoria, 2001). Holmich (2007) reports that the cause of chronic groin pain left in debate and systematic clinical assessments using reliable examination methods were not carried out in studies and well-defined diagnostic entities are not reported. Please find the appendix i (a) for some of the terms used frequently. Janda (1992), reports that in any sport the first part of injury management is injury prevention. Emery (2003) describes that, to develop and evaluate the sport injury prevention strategies, a good understanding of injury rates, the participant population at risk and the risk factors associated with injury for the population need to be first identified. In athletic population; groin strain injury incidence definition may be obtained by using a standardised exposure of actual player hours separated between training time and game time. The risk of injury is different for different sports (Junge et al, 2006). When taking the severity of the injury into account in a English Football Association team that the overall risk to professional athletes is profoundly high approximately 1000 times higher among professional football players than for high-risk industrial occupations (Drawer and Fuller2002). The high rate of injury incidence among different sports may have lead researchers to attemp t to identify risk factors and preventive methods for different sport injuries. Meeuwisse and Bahr (2009), defines risk factors are the ones which causes the athletic injury or sufficient enough to cause injury. The risk factors for groin injury in sport are considered as intrinsic risk factors like age, gender and physical fitness, level of play, anatomical alignment of structures, previous injury and body composition. The extrinsic risk factors such as protective equipment, sports equipment, environment factors like weather, surface of play, and human factors like opponent behavior, playing situation and also biomechanical description make the athlete susceptible to injury. These risk factors were further classified by Meeuwisse and Bahr (2009), as modifiable or non modifiable. Endurance, strength, balance and decreased levels of sport-specific training are some of the modifiable risk factors. These risk factors can be altered to reduce the groin injury rates through the implementation of injury prevention strategies. Age, gender, previous groin injury are considered as non modifiable risk factors for groin injury. These factors cannot be altered to reduce injury rates through the implementation of injury prevention strategies but facilitate the identification of the sport population at risk. See Appendix ii for injury causation model by Meeuwisse (2006) The groin region is a highly mobile area consists of where abdomen meets the legs and contains the structures of the perineum (Timothy and Steven, 2008).Therefore, it includes the lower rectus abdominal muscles, the inguinal region, the symphysis pubis, the upper portions of the adductor muscles of the thigh, and the genitalia, also the scrotum in males. Falvey et al, (2008) described the groin region by setting out borders which comprises of groin, gluteal and greater trochanter of femur called 3G triangle, for sports medicine professionals to help understand the diagnosis of groin pain easier by the origin of symptoms. (Adapted from Falvey et al, 2009. The groin pain: patho- anatomical approach to the diagnosis of chronic groin pain in athletes). The anterior superior iliac spine (ASIS) and pubic tubercle forms the apex of groin triangle, as this point refers to the 3G point. The land marks of the superior border of the triangle forms by the line between the pubic tubercle and ASIS, whereas line from the pubic tubercle inferiorly forms the medial border and line from ASIS superiorly forms the lateral border. See appendix i (b) for diagram for muscles of the groin region. The bodys center of gravity is located within the pelvis, anterior to the second sacral vertebra; thus, the loads that are generated or transferred through this area are important in virtually every athletic effort (Anderson, et al 2001).Loads of up to eight times body weight has been demonstrated in the hip joint during jogging, with potentially greater loads may present during vigorous athletic competition (Crowninshield, et al 1978), the structures around the hip are uniquely adapted to transfer such forces. The most common fracture is to the femur may caused by the force transmitted from the hip joint, when subject to a combination of axial compression, torsion, shear and bending loads which can cause fracture at various sites. Imbalance between the loads applied to the pelvis and the integrity of the pelvic structures, resulting into overuse problems. Pubic symphysis displays its greatest mobility when it is exposed to shear forces. Pizzari et al (2008) reports that the imbalanc es may be occurring from inadequate pelvic integrity which is intrinsic risk factor and alterations in the loads as extrinsic risk factor or sometimes combination of these two can cause osteitis pubis, which in turn contributes to groin pathology. Therefore, in prevention of osteitis pubis sometimes involves early recognition of risk factors at the beginning of the season may be appropriate. Having known the complexity of anatomy and biomechanics groin region, it may be useful to develop comprehensive understanding of risk factors causing the groin pain to develop effective preventive measures among different sports. Research Question The first step in the process of any research study is to form a research question. Four components should be considered when forming a research question (Meade and Richardson 1997). These include the client group being investigated, interventions, comparative interventions and the outcomes used to measure the effect. Is identifying risk factors and causes help athletes in preventing groin pain? a literature review. Objective of the study This review examines the studies on identifying the risk factors and causes of the groin pain and does this helped in preventing groin pain, and aims to develop new insights based on current knowledge on the topic by reviewing the literature. Aims of the study The aim of this study is to review the evidence to see if there are positive benefits (decreasing the incidence of injuries) of identifying risk factors for causing groin pain. These positive outcomes may help health care professionals involved to prevent athletes groin pain. Chapter 1 Preliminary Literature Review In this review there will be a broad preliminary literature review on groin pain, where incidence, epidemiology, risk factors and causes in relation to groin pain will be discussed. Importance and principles of injury prevention are discussed in detail. Epidemiology of groin injuries in athletes Injury was defined as any event that kept a player out of a practice or a game or required the attention of the team physician (Molsa, et al 1997). In professional soccer, groin injuries comprises of up to 10% of all the injuries (Hawkins et al, 2001), but are responsible for a much larger proportion of time lost from training and play (Muckle, 1982). Brooks et al (2005) have reported on match injuries associated with 546 rugby union players at 12 English Premiership clubs in two seasons. They found that incidence, severity of groin, hip and buttock injuries as per every 1000 player hours and severity in number of days absence. In elite level soccer, groin strain injuries have been reported to account for 20% of all muscle strain injuries and more than 40% in ice hockey and they also account for >10% of all injuries in elite levels of ice hockey, soccer, and athletics. In Australian Rules football (AFL), the number of games lost was more at all levels of the game due to hip and groin injuries. AFL statistics for seasons 2001-2006 saw groin pathologies accounting for an average of 13.0 missed games per club per season involving an average of 3.25 players per team. Over this same period these groin injuries had a 23% recurrence rate. Walden et al (2007) studied in professional sports, and have found groin injury to be the fourth most common injury affecting soccer players. Orchard and Seward (2002) consider groin injury the third most common injury in Australian Rules football and it also has a high prevalence in ice hockey and rugby. But in considering time lost from injury, groin pain plays only next to fracture and joint reconstruction (Brooks et al, 2005). Groin injury is among the top one to sixth most common cited injury in the Olympic sports of ice hockey, speed skating, soccer, and athletics. Groin injuries account for 3-11% of all injuries i n some Olympic sports including ice hockey, speed skating, soccer, swimming, and athletics. Causes of groin injuries Groin pain in athletes can be classified into athletic and non athletic causes. (Please find a table in appendix iii for causes of groin pain). Adductor muscle strains and osteitis pubis are the most common musculoskeletal causes of groin pain in athletes, which are often difficult to distinguish (Morelli and Smith, 2001). Hip injuries associated with sports participation often refer pain to the groin. Exclusion of rare differential diagnoses is often the focus of clinical testing and imaging. Awareness of overlapping pain referral patterns from the hip joint, the lumbar spine, lumbar facet joints, and sacroiliac joint and abdominal structures is important for accurate diagnosis of the cause of groin pain (Katherine, 2008). Katherine also reports, the common condition that may be associated with acute or chronic groin pain due to Iliopsoas myofascial pain which can be persists as primary problem or secondary problem and suggests Iliopsoas muscle should be included in the assessment of groin pain. Ekberg et al. (1988), found the difficulty in diagnosing the groin pain as it presented with more than one diagnosis in 19 of 21 athletes with longstanding groin pain. Holmich et al. (1999) noticed signs for osteitis pubis in over 60% of their athletes who were primarily diagnosed as suffering with adductor complaints. Please find the table for differential diagnosis for groin pain in appendix iv 1.3 Principles of Injury prevention Bahr et al, (2006) described the sports injury prevention program into primary, secondary and tertiary (Bahr, 2006 for Clinical sports medicine). They defined primary prevention as health promotion and injury prevention by means of application of external supports for body parts to protect from injury, even for those without any previous injury. Secondary prevention included early diagnosis and intervention to limit the development of disability or reduce the risk of re- injury and this is considered as treatment for any acute injury. Lastly, the tertiary prevention is the focus on rehabilitation to reduce and to correct an existing disability in relation to an underlying disease. This may refer to the process of rehabilitation following any sports injury and bringing back to the level of normal sport. The successful injury prevention strategies consist of a model developed by Van Mechelen et al (1997). The first step is to determine the incidence and severity of the sport injury problem, needs to be established prior to identifying risk for injury. Van Mechelen (1992) developed a model that follows sequence of prevention which is widely used from past decade. Four steps of Van mechelen strategies are: (a) identify the incidence of specific sports Injury (b) secondly, identifying the risk factors and mechanism of injury considered (c) finally, develop the interventions likely to reduce the risk of injury should be introduced and their efficacy monitored and (d) by repeating the step (a) monitor the efficacy of preventive measures. Further to Van Mechelen model, Finch (2006) came up with six staged approach to Translating Research into Injury Prevention Practice framework which is widely known as Finch TRIPP prevention framework. This approach suggests, those research studies that include sports participants, bodies and coaches can prevent injuries, but this may be only possible in broad research studies that may lead to real world injury prevention benefits. 1.4 Importance of injury prevention Bahr et al (2002) reports that in Scandinavia, sports injuries are the main cause for hospitalization among children in every one third and injuries seen by a physician, every sixth is caused due to sports participation. During 1997 and 1998, in the United States, annually an estimated 3.7 million (approximately 11%) sports and recreation-related injuries visited emergency department. In these, 2.6 million visits were persons aged 5-24 years and the medical charges for these visits were 500 million US$ annually (Bahr et al., 2002). Injury prevention in sport has several benefits; some of them may include greater health of the individual, long-term in the activity and reduced costs to the individual, the sport, the health care system, and the society. The ultimate benefit would be the potential for better performance. The treatment of sports-related injuries can be time consuming, difficult and expensive, thus making preventive strategies justified, not just from a medical perspective but also economically (Scanlan and MacKay 2001). The significance in knowing about risk factors and preventive strategies may help athletes in decresing the chances of any fresh injuries, reduces training absences, financial burden on sports clubs, authorities, and society and most importantly avoids re-injury (Chalmers, 2002). Chapter 2 Methodology This chapter discusses literature reviews as a research methodology in relation to research paradigms and the rationale for conducting a literature review. Also discussed are different types of literature reviews, advantages and disadvantages of performing a literature review and the process of conducting a literature review including ethical considerations. 2.1 Research Methodology: Hart (1998) defined research methodology as a system of methods and rules to facilitate the collection and analysis of data. A literature review that is performed in a systematic way is a research methodology (Aveyard 2007). 2.2 Research Paradigm The first consideration when addressing any research question is the research paradigm. Paradigms can be defined as the framework that has unwritten rules but directs actions. The term paradigm describes a system of ideas or world view used by the community of researchers to generate knowledge. It is a set of assumptions, research strategies and criteria for rigour that are even taken for granted by the community (Guba and Lincoln 1994). So paradigms are the ways of understanding reality and they contain some assumptions about the reality and find the ways to know the reality. Guba (1990) suggested that paradigms can be characterized by the way their proponents respond to three basic question, they are ontological, epistemological, and the methodological questions. There are many paradigms, but positivism and constructivism are considered as main paradigms. 2.3 Rationale for conducting a literature review The electronic databases with healthcare literature were easily accessible for the author from University of Central Lancashire. These databases consisted of all up- to- date studies on Groin pain and prevention. A literature review is a suitable methodology for identifying, evaluating, and interpreting the existing body of recorded work produced by researchers, scholars, and practitioners (Cormack 1991). Steward and Kamnis (1993) recommended that literature review is a useful tool to compare already existing data to analyse and generate new ideas on topic of interest and also not expensive and time consuming. As a research tool, the literature review has few disadvantages, because it uses previous research developed in different conditions and different backgrounds, and there is a possibility of unintended bias when collecting data (Stewart and Kamnis 1993). Accuracy of the synthesis of findings depends on the person who is critiquing and drawing up the synthesis of the literature (Burns and Grove 1995). Ethical consideration for a literature review Literature review is a secondary research (Aveyard 2007), during which participants do not come in direct contact with the researcher. Hence literature reviews do not require an ethical approval. But some ethical aspects have to be considered during literature review. One should treat peoples research with respect and ensure that the studies included are represented accurately in the review. 2.5 Literature review The literature review is defined as the selection of available documents (both published and unpublished) on the topic, which contain information, ideas, data and evidence written from a particular standpoint to fulfill certain aims or express certain views on the nature of the topic and how it is to be investigated, and the effective evaluation of these documents in relation to the research being proposed (Hart 1998, p27). Rees (1997) defined literature review, as the critical examination of a representative selection of published literature on a particular topic or issue. The literature review might identify gaps in the previous literature that new research can address, or might suggest research to be replicated (Aveyard 2007). A comprehensive and competently carried out review enables a health care practitioner to apply a body of research evidence to practice rather than to rely on individual studies (Aveyard 2007). This emphasizes the place of a literature review in building the evidence based practice. 2.6Types of literature review Gill (2000) suggests that there are three types of literature review. They are: a general survey of the literature, a focused survey of the literature and a systematic review. In a general survey the researcher is aimed at comprehensive search of literature within certain clear parameters (Gill 2000). A focused survey is a comprehensive search of literature with emphasis on the selectivity of the literature in terms of its appropriateness to the authors approach to their research study (Gill 2000). A systematic review follows a strict protocol which includes precisely defining the research question, an exhaustive literature search of all the studies that address the question, assessing the quality of those studies using predefined criteria, exclusion of studies that fail to meet the criteria and provide an overview of the results of the included studies (Gill 2000). The type of literature review used in the current review is focused survey. Chapter 3- Methods This chapter explains how data was searched for this project, how the inclusion and exclusion criteria were selected and what key words were used to search the articles. The research question for this current review is: Is identifying risk factors and causes help athletes in preventing groin pain? 3.1 Search strategy A comprehensive search strategy was developed to identify and locate the key literature on published material on groin pain. As much as possible literature relevant to the topic was identified. Search terms Groin pain in athletes, risk factors, causes and prevention were used to help select articles for the review. 3.2 Inclusion criteria The following inclusion criteria were used, Risk factors and causes of groin pain Prevention of groin pain Articles published up to till date from 2000 Age of participants between18-65 years Articles written in English 3.3 Exclusion criteria Not relevant to groin pain and prevention Articles published before 2000 Excluded were non-English publications Articles on non athletic population 3.4 Search results Literature search was performed using the key words with inclusion and exclusion criteria in mind. A literature search was carried out electronically in SPORTdiscus, MEDLINE with full text (Medical Literature Online), OVID () healthcare databases using the University online library. A manual search was also performed to identify articles related to risk factors, causes and prevention of groin pain. The number of studies included and excluded from the literature search for the review is summarized in the table below. Database Total Included Excluded SPORTdiscus full text 145 6 139 MEDLINE with full text 24 2 22 OVID 23 2 20 Chapter 4 Results This chapter focuses on the findings of the articles in database. The electronic literature search initially identified 191 suitable articles. After reading the abstracts and applying inclusion and exclusion criteria, 10 studies were identified as suitable for the current literature review. The articles included for the review are: Tyler, T.F., Nicholas, S.J., Campbell, R.J., Donellan, S., and McHugh, M.P., 2002. The Effectiveness of a Preseason Exercise Program to Prevent Adductor Muscle Strains in professional ice hockey players, American journal of sports medicine, 30, 5, 680-683. Holmich, P., 2007. Long-standing groin pain in sportspeople falls into three primary patterns, a clinical entity approach: a prospective study of 207 patients, British journal of sports medicine, 41, 247-252. Knowles, S.B., Marshall, S.W., Guskiewicz, K.M., 2006. Issues in Estimating Risks and Rates in Sports Injury Research, Journal of athletic training, 41, 2, 207-215. Engebretsen, A.H., Myklebust, G., Holme, I., Engebretsen, L., and Bahr, R., 2008. Prevention of Injuries Among Male Soccer Players : A Prospective, Randomized Intervention Study Targeting Players With Previous Injuries or Reduced Function, American journal of sports medicine, 36, 6, 1052-1060. Emery, C.A., Meeuwisse, W.H., 2001. Risk factors for groin injuries in hockey. Medicine and Science in Sports Exercise, 33, 9, 1423-1433. Harmon,K.G., 2007. Evaluation of groin pain in athletes, Current sports medicine reports, 6, 354-361. Macintyre, J., Johson, C., Schroeder, E.L.,2006. Groin pain in athletes, Current Sports Medicine Reports, 5,293-299. Ibrahim, A., Murrell, G.A.C., Knapman, P., 2007. Adductor strain and hip range of movement in male professional soccer players, Journal of orthopaedic surgery, 15, 1, 46-9. Biedert, R.M., Warnke, K., Meyer, S., 2003. Symphysis Syndrome in Athletes Surgical Treatment for Chronic Lower Abdominal, Groin, and Adductor Pain in Athletes, Clinical journal of sport medicine, 13, 5, 278-284. Maffey, L., Emery, C., 2007. What are the Risk Factors for Groin Strain Injury in Sport? A Systematic Review of the Literature, Sport medicine, 37, 10, 881-894. Chapter 5 -Analysis Holmich et al (2009), classified risk factors of the groin injury as intrinsic or extrinsic to the athlete, and also suggested that groin injury prevention strategies may be developed and evaluated if there is a good understanding of the athlete population at risk of groin injury. Similary, Parkkari et al (2001) informed that there has not been thorough identification of the risk factors or adequate surveillance of groin injury, such that injury prevention strategies can be scientifically implemented and evaluated. Due to high incidence of groin pain in hockey, a prospective cohort study by Emery and Meeuwisse (2001) surveyed 1292 National Hockey League players and found that abduction flexibility, peak adductor torque was not predicted as injury, but low levels of offseason training, sport specific training and previous injury were predicted as risk factors for groin injury. But the above risk factors are potentially modifiable intrinsic risk factors. Emery and Meeuwisse (2001) also found that the in-season sport specific training may not act as strong risk factor for groin injury. Tyler et al (2002) suggested that, adductor muscle weakness was identified as a strong risk factor compared to flexibility in Professional Ice Hockey players. The authors of the study identified that, if the adductor to abductor muscle strength ratio is less than 80%, it is predicted as a strong risk factor for adductor muscle strain. In addition to the above statement Tyler et al (2001) also identified similar findings. The player with adductor to abductor muscle strength ratio less than 80% is 17 times more likely to have an adductor muscle strain and authors recognised adduction strength was 95% of abduction strength in non injured players, but only 78% of abduction strength was found in injured players. The authors in their (Tyler et al 2001) prospective study, apart from above findings, the preseason strength of hip adduction was 18% less in players with adductor muscle strains when compared with that of uninjured players. Engebretsen et al (2008) have performed a randomized controlled trial in soccer players, identified the players and divided into high risk and low risk group. The inclusion criteria for the study were previous injury or reduced function identified through questionnaire. However, the introduction of individual specific preventive training programs to the divided groups such as ankle, knee, hamstring and groin has been resulted poor compliance with the prescribed training programs. So, the authors believe that the study did not affect the injury risk in this intervention group. Although the intervention followed in the above study was ineffective in affecting risk of injury, but players who may be able to gain from preventive exercises could be identified and reports that risk of injury was approximately twice as high in athletes with a history of previous injury or in reduced function. Chapter 6 -Discussion In this current review, the author describes that evidence shows, to develop an effective strategy for injury prevention only possible by first determining the incidence of injuries and identifying the risk factors to the athlete. Engebretsen and Bahr (2009) reports, Injury prevention in sports is a complex process, by supporting Van mechelen sequence of prevention. Researchers first try to identify one or several risk factors that causes the injury, the mechanisms of injury and develop an effective intervention to modify it, implement the intervention with sufficient compliance, and study the outcome of the intervention to detect reductions in the injury rate which are clinically applicable to make it an effective strategy. However, sometimes eliminating the risk factor may not necessarily prevent injury if there is no cause present. Evidence shows that a few well designed prospective studies exist on reviewing the literature regarding the prevention strategies in sport. Caroline Finch (2000) argued at 5th world conference on injury prevention and controls saying that sports injuries should be given considerable recognition as a public health issue. Finch also argued for the need for origin of sports injury epidemiology as a sub discipline and has seen considerable effort targeting surveillance activities. In supporting the above, Engebretsen and Bahr (2009) reported a PubMed search on athletic injury in May 2000 and showed that out of 10,691 papers, only six randomized controlled trials (RCTs) were found on sports injury prevention. In last 7 year period the number of studies on athletic injuries has gradually increased by 43% but sports injury prevention has seen a gradual improvement on number of studies and RCTs by 200-300%. There is a gap in the literature examining groin injury specifically in female sport; gender has not been identified as a risk factor for groin strain injury. But in contradiction to the above, Leetun et al (2004) identified that female athletes have significantly reduced hip abduction and external rotation strength than their male counterparts. The authors suggest that hip and trunk weakness reduces the ability of females to stabilize the hip and trunk. Therefore females may be more vulnerable to large external forces experienced by these segments during athletics, particularly forces during the transverse and frontal planes. Holmich (2007) prospective study describes on 206 athletes about the importance of the adductor related groin pain, the most common primary cause of groin pain in foot ball, but in runners the most common was iliopsoas related one, which was found in 58% of the athletes which may be of important to consider in developing and implementation of prevention strateg ies. In the area of injury prevention in sport, there are very few studies with a strong prospective research design addressing risk factors, there need to 6.1 What are the Implications for injury prevention? Injury prevention should be the ultimate goal of the sports medicine professionals. Karlsson (2009) believes, prevention should be the starting place for sports injuries unlike treatment, but prevention is not always easy to implement in the daily routine practice. Coaches, trainers involve in the games may not be interested on taking time off from the ordinary team and individual training for prevention, because coaches sometimes may have short term goals, due to various reasons and often aim players to the next match, not to the next season. Therefore, it may be mostly up to the team doctors, physiotherapists and others working with players health over the season to give long-term prevention a thought (Karlsson, 2009). McHugh (2004) suggests, in many sports the period of preseason training may be a good opportunity for sports medicine professionals to implement injury prevention strategies. However, the sports medicine professional may have only limited ability to implement strategies without the involvement of other team successfully, to reduce injuries. The pre-season period also offers an excellent opportunity to identify potential players at risk for particular injuries through pre-season screening and testing which can provide the baseline measures for sports medicine professionals to develop individual injury prevention strategies. Chapter 7 Conclusion It has been well documented that randomized Controlled Trials (RCTs) are the best and most useful, appropriate and reliable studies aiming to evaluate the effectiveness of healthcare intervention. Studies identifying risk factors for injury are essential before assessing potential prevention strategies for injury in sport. References Anderson, K., Strickland, S.M., Warren, R. 2001. Hip and groin injuries in athletes. American Journal of Sports Medicine, 29, 521-533. Aveyard, H., 2007. Doing a Literature Review in Health and Social Care. A practical gu

Backpacking: A Different Way Of Camping Essay -- essays research pape

Backpacking: A Different Way of Camping What is camping? To most people, it is perceived as a time to pack up the car, drive to local camp grounds, and spend the weekend in the great outdoors. It is a time to frolic with family and friends around a campfire, singing songs, playing games, and roasting marshmallows while listening to ghost stories that can only be heard while camping. However, to the avid backpacker, camping takes on a different perspective. While experiencing the great outdoors is very similar to car camping, backpacking is very different in many respects. Preparation for backpacking and car camping and the locales where one can set up camp are very different. In either case, experiencing the great outdoors and its natural beauty cannot be surpassed. With car camping the only real limitation is one's vehicle. A person is limited to the vehicle's capacity to carry or tow. For example, a camper will bring a stove, a twelve man tent, two coolers of meat and potatoes, five gallons of water, and maybe tow a camper. On the other hand, when backpacking, the circumstances are very different. One is limited to his or her own capabilities: the amount of weight that can be carried, endurance levels, just to name a few. Provisions must be carefully measured. If overloaded, it can affect performance while hiking to one's destination, but if not enough provisions are carried it, will impact how long one can last out in the wilderness. The equipment must be minute in size...

Healthcare Disparity In Different Race Health And Social Care Essay

The United States health care system has been found to endure from different defects runing from the mode in which the insurance screen works, to the mode in which persons in different races are treated. Furthermore, the US over the old ages has been badly affected by the favoritism in different degrees based on age, sex, gender, sexual orientation, to call but a few. In add-on, many people have been denied wellness attention, or have had their medical intervention withheld due to their cultural position, or gender orientation. Therefore, as a consequence a figure of studies have been conducted in order to come up with an efficient system of extinguishing these jobs. Therefore, in this research, the research wishes to explain that disparities in heath attention do really be, but even though they tend to be elusive, there are assorted schemes which when employed good could take to decreased degrees of disparities, and increased quality of health care. Concepts and Definition of Health care disparities Healthcare Disparities: these relates to the differences, which exists sing the quality of the health care that is given to persons of different races, different ethnicities, socioeconomic groups, every bit good as sexual orientation ( U.S. Department of Health and Human Services, 2010 ) . Hence, different groupings in society receive different values in footings of quality, of the health care services. In add-on, health care disparities has been regarded by the Health Resources and Services Administration as the differences that emerge out of the assorted population categorizations in footings of the manifestation of disease, wellness wakes, every bit good as the degree to which people entree health care services ( Goldberg, Hayes, and Huntley, 2004 ) . Research Questions The research aims at accomplishing replies to the undermentioned inquiries: What is the nature of disparities in the United States? What are the prevailing disparities in the bringing of health care services? What is the impact of personal features on the quality of and entree to healthcare? What are the cardinal means to extinguishing disparities that exist in the health care service? Research Aims The general aim for the research is to happen ways of extinguishing healthcare disparities in the United States Specific aims are, To happen out the assorted signifiers of disparities in health care To happen out the jobs the quality of health care disparities in the United States To happen out the greatly affected persons in footings of health care disparities Research Hypothesis * Null Hypothesis It is merely through a combined attempt that the prevalent wellness attention disparities could be eliminated * Alternate Hypothesis Health attention disparities can non be eliminated even through combined attempts. Significance/Purpose of survey The United States comprises of different groups of people both coming from different countries of the universe. All these persons quest for high-quality wellness attention services, which have been discovered to exhibit differential results in relation to different races. Therefore, this research is cardinal owing to the fact that the proviso of efficient wellness attention is a demand for every one in the United States, like any other portion of the universe. Minorities suffer due to these jobs. Restrictions of the survey This survey is limited to secondary stuffs which have already been published therefore no original beginnings used. It is farther limited to the informations collected in the US even though cognition of other parts of the universe have been critical to the development of this research Healthcare Disparities in different Race Disparity relates to the state of affairs characterized by the absence of equity in footings of one ‘s ranking, age, every bit good as grade ; it really indicate to unfairness, divergency, incompatibility every bit good as difference ( AHRQ, 2003 ) . In add-on, there is a close nexus between disparity in the health care services and equity. However, a figure of differences do be at the single degree. This includes the response of less medicine because of the degree at which the disease under consideration is has reached. It could besides be because of one ‘s ain pick to have medicine ; due to systemic barriers towards the attainment of the necessary medicine ; it could be because of both factors, which have been outlined above ( AHRQ, 2003 ) . Furthermore, a requirement for the designation of disparities is the expected quality of service to be attained by patients ( AHRQ, 2003 ) . However, the health care disparity that has been presented by the AHRQ operates under the premise that its quality of effectivity has been scientifically proven, by a professional justification that it can be provided to all the patients ( AHRQ, 2003 ) . Consequently, all patients have a right to quality health care, but in order for that to be attained, they need to hold entree to it. However, persons ‘ entree to healthcare exhibits changing dimensions as respects to the chance to have proper and effectual attention. Unfortunately, health care professionals have non yet attained conclusive determinations sing the appropriate agencies of achieving quality uplifting. Furthermore, different races exhibit different characteristics under consideration depending on the racial, cultural, geographic, every bit good as socioeconomic groups, and de pending on the cogency of the measuring tool. Besides, persons have changing behaviours as a consequence of linguistic communication barriers, cultural beliefs, differences in the preference to quest for a timely health care, every bit good as the degree to which persons believe in the health care practicians ( AHRQ, 2003 ) . On the other manus, even though persons quest for health care services, they might be constrained by a figure of factors, including, but non limited to, persons ‘ capacity to afford health care, one ‘s geographical location, the manner in which health care services is delivered, the attitude of the medical practician, every bit good as the degree of uncertainness exhibited by persons ( AHRQ, 2003 ) . In add-on, there are assorted persons involved in the health care proviso model. And these persons have changing mentality on the mode in which duty is to be divided runing from the single degree, the private, every bit good as the public sectors degree. Hence, this facet possesses a strong challenge on the procedure of placing the proper class of action from the parties that are involved. Furthermore, the differences that exist in footings of quality of health care service to persons are non changeless but instead changing. Furthermore, differences, whether little or large, do non connote the urgency of the health care disparity. Hence, harmonizing to the Agency for Health Research Quality even a smaller disparity could connote an implicit in pressing demand to be addressed ( AHRQ, 2003 ) . Well, a desperate demand to understand the impact of the features of single patients on the quality of health care emerges. In add-on, it is really beyond doubt that persons differ in footings of race, ethnicity, instruction, location, income, every bit good as age, to call but a few. Harmonizing to the Agency for Health Research Quality study, it has been proofed that there is prevailing inequality in the quality of health care in the United States based on specific groups and specific fortunes ( AHRQ, 2003 ) . In add-on, one needs to understand the implicit in grounds for disparities, countries where disparities take topographic point, every bit good as the mode in which these disparities take topographic point. Therefore, disparities have been found to impact minorities more that whites ; that is, minorities such as African Americans, Asiatic Americans, Native Americans, every bit good as Latinos ( Goldberg, Hayes, and Huntley, 2004 ) . Furthermore, Goldberg, Hayes, and Huntley, who continue to admit the overpowering impact of disparities more on minorities with immense incidences of drawn-out diseases, greater rate of mortality, in add-on to hapless results in footings of wellness ( p.4 ) , have besides truly repeat this avowal. For case, malignant neoplastic disease has been rated among the African Americans to be 10 % more compared to incidences of it among the white population in the United States ( American Public Health Association, 2004 ) . Besides, a related incident has besides been identified in relation to the impact O diabetes on big African Americans every bit good as Latinos, who are seen to be twice hazardous than Whites ( American Public Health Association, 2004 ) . Therefor e, as it has been statistically observed, minorities stand to lose every bit far as healthcare disparity is concerned. This concern is farther cited in instances of cardiovascular unwellnesss, infant mortalities, every bit good as in instances of HIV/AIDS, whereby the minorities have been found to see increased incidences of the jobs under this consideration than Whites ( Goldberg, Hayes, and Huntley, 2004, p.5 ) . Harmonizing to Henry J Kaiser Family Foundation, many treatments have been in advancement sing the drift for wellness disparities in line with cultural every bit good as racial groupings ( 1999 ) . Nevertheless, a consensus that unites all parties concerned in assorted arguments about wellness disparities includes three major countries. Chiefly, one are relates to the environmental every bit good as socioeconomic characteristics of the assorted cultural every bit good as racial categorizations ( Goldberg, Hayes, and Huntley, 2004, p.6 ) . In add-on to this is the understanding that people populating in hapless societal conditions, exhibit a higher hazard of obtaining hapless quality health care ; the same applies to hapless economic status persons ( Goldberg, Hayes, and Huntley, 2004, p.6 ) . Secondly, some categorizations of people meet up with assorted barriers in their due pursuit to entree wellness attention proviso system ( Goldberg, Hayes, and Huntley, 2004, p.6 ) . Third, it h as besides been cited out that different cultural every bit good as racial categorization groups do obtain different quality of wellness attention based on their racial and cultural beginning ( Goldberg, Hayes, and Huntley, 2004, p.7 ) . However, put aside the aforesaid causes of disparities, the most of import demand is to hold an overview of the effects that these disparities have on the affected persons, both in footings of entree, every bit good as in footings of the quality of wellness attention attained. The same applies to ethnicity every bit good as racial disparities, in which there has been enormous research on over the old ages. Therefore, it is of import to observe that the information sing socio-economic wellness disparities is less outstanding comparison to the 1 on ethnicity and racial groups ( Isaacs, Stephen, and Steven, 2004, p.1137 ) . What causes disparities in the degree of entree to wellness attention? There are a figure of factors that lead to disparities in the entree persons have towards wellness attention, they include, but non limited to, the followers ; unequal coverage in footings of insurance. In this instance, it has been found out that people who lack entree to insurance services end up proroguing their entree to medical services. They are besides likely to disregard medical attention, or utilize medical specialty without holding to travel for prescription, a scenario that has been observed more on minorities than on Whites ( Kaiser Commission on Medicaid and the Uninsured, 2003 ) . Another cause of disparity in entree to wellness attention consequences from the insufficiency of a steady beginning of attention, which means persons fail to entree attention, or visit physicians less frequently, or neglect to entree drug prescription ; this incident has been observed more on minorities that on Whites ( Fr yer, Dovey, and Green, 2000 ) . Next, minorities tend to hold unequal entree to wellness attention, compared to Whites, based on their insufficiency to fiscal resources ( Commonwealth fund, 1999 ) . This is because single with greater entree to fiscal resources are Whites, and non minorities, though some minorities excessively have fiscal gift. In add-on, legal barriers play important function in finding persons with entree to healthcare. This is because public insurance bundles tend to be limited merely to persons who have been in the United States for more than five old ages, and those who have non are denied Medicaid coverage ( Goldberg, Hayes, and Huntley, 2004, p.10 ) . Therefore, immigrants are more deprived than citizens are, therefore possessing higher degrees of disparities are. Nevertheless, minorities besides seem to be limited in their entree to wellness attention due to structural barriers, such as unequal transit installations, every bit good as the failure to run into up with assignments to physician s, therefore decreasing the preparedness of minorities to obtain necessary health care ( AHRQ, 2003 ) . Furthermore, the wellness attention work force, harmonizing to statistics comprise of 4 % African American doctors, and 5 % Latino doctors, which implies that there is a unequal diverseness in these cultural groupings compared to the Whites who are dominant ; hence whites provide services, while minorities tend to be patients ( Goldberg, Hayes, and Huntley, 2003, p.13 ) . Therefore, other factors include age, knowledge refering wellness attention, linguistic communication barriers, every bit good as the low figure of wellness attention suppliers. However, what causes disparities in the quality of wellness attention? The requirement for effectual intervention, every bit good as wellness attention is proper communicating between the supplier and the patient. In add-on, a proper communicating channel surpasses race, because a bad communicating can do an wrong diagnosing, incorrect medicine, every bit good as misunderstanding of wellness attention supplier instructions. In add-on, the gravitation of linguistic communication barrier in the United States tend to impact non-English talkers compared to English talkers who will hold a clear appreciation of direction. The same applies to communications between patients and attention suppliers, in which instance the former tend to be influenced by their cultural beliefs refering Western medical specialty ( Goldberg, Hayes, Huntley, 2004, p.14 ) . There are some instances where favoritism hinders the proviso of quality wellness attention. Most of these instances consequences from an unconscious or witting disparity in the intervention of different services to different persons based on their race and ethnicity. For case, some serious operations might non be easy performed on minorities, but a figure of research workers still tend to mention an underlying demand to detect more accounts on the mode in which determinations are made by physicians. This owes to the fact that in some instances, some groups of diseases are based on cultural backgrounds that are non taken into consideration in the procedure of decision-making ( Smedley, and Nelson, 2002 ) . Research Design and Methods This is an exploratory survey, which analyses the assorted surveies that have been conducted by bookmans and professionals in this field of healthcare disparity. The chief grounds for taking exploratory survey is due to the restriction that exists in footings of clip every bit good as money. Second, this research comes because of legion researches done on the country and wants to happen out the result of these researches. Furthermore, the research explores the assorted instance surveies that have been conducted in this field of wellness attention. Besides, it besides emphasizes on papers analysis of the assorted historical every bit good as modern-day, public records, studies, authorities stuffs every bit good as sentiments. Hence, the usage of secondary informations analysis has been observed to have throughout the greater part of this research. The research is besides structured in a mode that ab initio an debut lays footing for the apprehension of the constructs that relate to wellness attention disparities in the United States. Consequently, the research inquiries are presented, and the chief drift for transporting out this research, including its relevancy. Decision and Recommendation From the above treatments, it is really apparent that wellness attention disparities do be, and that it is rather elusive to extinguish them. However, it is really of import to take into consideration all factors such as medical, societal, economic, every bit good as political issues that could be employed in order to accomplish the Obama aim that relates to the attainment of low-cost, high-quality system of wellness attention bringing ( Collen, 2010, p.93 ) . Therefore, in order to accomplish this end, the research recommends that all relevant plans that are to be designed in order to cut down disparities should be evaluated extensively so that any defect is dealt with consequently. In add-on, the wellness attention work force should be balanced in a mode that both the minority and bulks are good represented. Likewise, wellness attention disparities should be eliminated with increased entree to services to all racial and cultural groups ( McDonough, Gibbs, Scott-Harris, Kronebusch, Navarro, and Taylor, 2004 ) . Consequently, all the relevant people in the wellness attention system should be inclined towards the publicity of the quality of wellness attention proviso to the minorities. Elsewhere, this research recommends the betterment of both organisation every bit good as adjustment services so that an ambiance of repose exists between the patients and the medical practicians concerned. Sing cultural disparities and discriminatory attitudes, people should be encouraged to follow themselves to understanding other civilizations in order to heighten their degree of tolerance in add-on to increased grasp of other civilizations and beliefs ( Brach & A ; Fraser, 200 ) . Finally, because one of the greatest jobs that affect minorities is linguistic communication barriers, therefore the proviso of translators in order to provide for foreign every bit good as those with hearing damage should be given support from the authorities. Finally, the inquiry of wellness attention disparity has been addressed in item both in footings of its nature, and in footings of the assorted ways, that disparity manifests itself in the wellness attention sector. Finally, the research worker p roceeded to supplying reasoned recommendations and decisions sing the affair under consideration.

Poster movements essays

Poster movements essays This art form appeared in the early 20th century as a result of the Russian Revolution and grew a tremendous amount during the 1920s and 1930s. Founded in1917 in Russia by sculptor Antoine Pevsner and his younger brother Naum Pevsner Gabo, they believed that art should be functional and include materials and technology that are new to the market. All the people who eventually succeeded in this art form, where either forced into exile or imprisoned. Although Constructivism was primarily based on sculpting, posters also became and important aspect of Constructivism. Angular lines and abstract shapes mostly characterized them; the colors were usually strictly limited with black, white and red. Most were produced using mechanical printing techniques, with elements taken from architecture and photography. All Constructivism posters have a political undertone; they also by the use of modern typography and photomontage effects would reflect the designers interest in Cubism and other contemp orary European artistic movements. Some of the most important Constructivism poster designers include writer and thinker Alexander Rodchenko, Vladimir Mayakovskyii, Kazimir Malevich and George and Vladimir Stenberg who developed posters for the Russian film industry. Germany was the site of the most Constructivism activity outside the Soviet Union, especially as home to Walter Gropiuss Bauhaus, a progressive art and design school sympathetic to the movement, but Constructivism ideas where also carried to other art centers, like Paris, London, and eventually the United States. Following the collapse of the Soviet Union, material came out in large quantities both legally and illegally; the condition of these posters is often very poor, because very few have been looked after. I believe the poster I chose is a good example of Constructivism because first of all it has forms with angular shapes and abstract shapes, as I also stated earl...