Advantages and Disadvantages of Homeschooling

Table of Contents Introduction Why Home School? Challenges of Home Schooling Conclusion Works Cited Introduction Homeschooling refers to the form of education that takes place in a home setup and usually without the restrictions that are found in a traditional education system (Cogan 1). The parent or guardian of the child plays the major role of being a teacher.Advertising We will write a custom essay sample on Advantages and Disadvantages of Homeschooling specifically for you for only $16.05 $11/page Learn More Lyman (1) defines home schooling as the art of educating children of school going age at home instead of having to take them to some school. Approaches to homeschooling are as varied as the number of people who opt for it (Lyman 1). Although it may appear as a new concept, Cogan (1) explains that the concept of homeschooling has been with us for a very long time. In the past, it was regarded as the only option available for a majority of peo ple unable to afford the cost of hiring teachers for their children (Cogan 1). For many parents wishing to start homeschooling, the main concern is whether or not they can effectively be able to teach (Jones 1). With the advent of formal education, homeschooling lost popularity at some point. This saw a tremendous decline in the number of children under the homeschooling program. This trend has now been reversed leading to an increased number of people changing to homeschooling (Cogan 1). According to Lyman, the continuous rise in the number of home schooled students is a clear indication of the amount of dissatisfaction with the quality of education delivered at schools (1). According to Ray (1), the concept of home schooling is nothing really new. Ray argues that most people who advocate for this kind of education are very much aware of the fact that it is not in any way, a new idea (Ray 1). The recent past has seen a notable growth in the area of home schooling with a good number of parents gaining confidence in the system. This advancement in homeschooling is attributed to the fact that the traditional education system is dogged with some serious issues; poor discipline and decreased quality of education among others. Why Home School? According to Jones (1), every family including those who send their children to school is in one way or another homeschooling with others putting in more time than others.Advertising Looking for essay on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More Lyman (1) observed that there are a number of reasons that make people opt for home schooling. Some parents are very much concerned about the increasing crimes at school as well as indiscipline. Others are dismayed by the diminishing education standard. The bureaucratic setup at schools is also blamed for the mass exodus of parents and their children from a school based learning environment (Lyman 1). There has also been a subs tantial reduction in the cost of education and most families are able to establish stronger family ties (Lyman 1). Supporters of homeschooling have strongly argued that it makes it possible to develop an education plan that directly meets the needs of an individual rather than a whole class (Mead 2). A common thought shared by most students who have undergone homeschooling is the fact that the program enables one to think for themselves and this to them is quite valuable (Mead 3). Jones (1) sees this as a very a key objective and therefore, a major motivation for those choosing homeschooling. People may also choose homeschooling for reasons that may be religious, academic and at times, for their own personal needs (Jones 1). Challenges of Home Schooling Even though the idea of homeschooling is becoming very popular, it has various challenges. One of the major concerns raised has to do with the socialization of the homeschooled children. These children may grow up in a setup that com pletely denies them a chance to meet and interact with other people. Later, they get shocked when they join college only to discover that they were not well socialized. They begin to face problems dealing with other people who were not brought up like they were (Lyman 2). Fitting in a controlled setup later in life may also become a challenge for the homeschooled students (Lyman 3). A similar argument is presented by Mead (2) who made similar observations. From an environment that is to some extent closed these students have to now learn how to deal with the outside world (Mead 2). Although proponents of homeschooling claim that there are numerous avenues such as the church or events for homeschooling students available for purposes of socialization, exposing the students to a comprehensive educational experience is just next to impossible (Cogan 1).Advertising We will write a custom essay sample on Advantages and Disadvantages of Homeschooling specifically for you fo r only $16.05 $11/page Learn More Testimonies by some who have gone through homeschooling show that despite the many advantages of homeschooling, the traditional education system presents children with a thorough preparation for what is ahead in life (Mead 3). Conclusion Although there are a number of challenges with the homeschooling system, there is a very high likelihood that if implemented in a well thought out manner, there are distinct advantages. Parents who are afraid of subjecting their children to the traditional schooling system where there is increased indiscipline and decline in the quality of education, and are considering homeschooling for their children will need to more creative. They should endeavor to provide their children with opportunities to interact with the outside world. This will ensure that as they instill discipline in the children, they are also able to prepare them to face the future in a world that is full of hostility. Works Cited Coga n, Michael F. Exploring Academic Outcomes of Homeschooled Students. Journal of College Admission, summer 2010, pp. 1-10., 2010. Jones, Lillian. Introduction to Homeschooling. California: HomeSchool Association of California. 2009. Web. Lyman, Isabel. Homeschooling: Back to the Future? Washington, DC: Cato Institute. 1998. Web. Mead, Tyra L. Singing the Praises of Home – Schooling. New York: Hearst Communications Inc. 1999. Web.Advertising Looking for essay on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More Ray, Brian D. Homeschoolers on to College: What Research Shows Us. Journal of College Admission, Fall 2004, pp. 1- 10., 2004. This essay on Advantages and Disadvantages of Homeschooling was written and submitted by user Liana G. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Employee Benefits Essays - Employee Relations, Free Essays

Employee Benefits Essays - Employee Relations, Free Essays Employee Benefits If you have employees, than salaries, wages & benefits are a large part of your monthly expenses. You want to make sure you are getting the most productivity for your money. When you have a problem with low employee motivation and/or productivity, it is important to search for the reason. Some may feel underpaid, another may want more recognition or interaction with other people. Simply raising your employee's pay or giving them a promotion may not be the answer. You can reduce unwanted employee turnover & related recruiting, hiring & training costs by shifting experienced employees. The key is to recognize the workers value & aspirations. Age, education, job experience, job fullfillment, marital status & family size are all considerations that determine the attractiveness of a benefit. Its important to remember that everyones needs are different. An older person may want more status like a title or professional association membership. There are some more common flexible benefits you may want to include as part of the program: -pre-tax thrift-savings programs -recreational programs -discounts -scholarship -personal financial planning -loans -tuition refund -profit sharing -company car -personal expense account -parking privelages -legal assistance -flex-time -extra vacation -child care -job title -professional or trade association membershops -travel Not only do the benefits satisfy the employee's needs, but it also communicates your concerns to meet those needs, creating the kind of work environment that contributes to increased employee productivity. To create a win/win situation, offer benefits that will meet employee needs while still providing the most value to your business.

Health Care Reform Essay Example | Topics and Well Written Essays - 500 words - 1

Health Care Reform - Essay Example Attorneys representing the state of Missouri allege that 71.4% of voters in this state are not in support of this act. Among dissatisfied voters are the elderly individuals receiving medicare. Under current laws excluding the passage of the Health Care Art elderly individuals qualify for specialized programs due to their age. The Health Care Act will eliminate many of these programs leaving seniors to pay large amounts for health care services. Virginia attorneys in a separate lawsuit claim the Health Care Act requires individuals to purchase health insurance coverage or pay additional premiums. With the choice left between paying additional premiums and elderly individuals forced to compensate for medicare benefits/programs lost many individuals are wondering how they are going to survive financially. According to Glover(2010), "A woman told Lauer she has to make a decision each month on whether to make the house payment or prescription drugs. "We shouldn't have to have those situat ions going," she said" (pp. 16). Under the new reformation of this act individuals that do not purchase health insurance will be required to pay an annual penalty of $695.00 leaving many individuals frustrated. However frustrations extend beyond these two states. Separate lawsuits have been filed in twenty-one states alleging constitutional rights are in violation.

Methodology Essay Example | Topics and Well Written Essays - 2000 words - 1

Methodology - Essay Example The research undertakes a mix of qualitative and quantitative aspects of study in order to arrive at desired observations. The questionnaire is circulated online to access a wide range of responses. Additionally, few open ended questions allow for greater knowledge on certain areas of study through the questionnaire format. The study has also undertaken a telephonic interview apart from the secondary data research to support quantitative facts by reliable and verifiable information sourced from the interview and qualitative research. According to Tobin and Joseph, (2006), research philosophy is the manner in which one gathers, organizes and analyses the data for the purpose of researching a particular problem. The common research philosophy has two main principals associated which are known as the positivist philosophical process and the interpretivism or the phenomenological style. Both the models are effective tools for carrying out the research activity but the difference arises in the objectivity of the model. According to the positivist approach, theory is established prior to conducting the research activity. The positivist research can be carried out in a two pronged approach, the descriptive research and the experimental research. The research model based on the positivist approach is primarily focused upon bringing together an analysis of the dependency of the external factors and the internal factors of the research. Philosophically, the positivist research method is based on ontological and axiological perspectives of a research problem. The phenomenological model of interpretivism was developed by Edmund Husserl and is the way of research that conducts the research in a manner that is influenced by human perceptions (Somekh and Lewin, 2004). The particular model of research lays focus on the micro level sociological issues like the prime motives behind the behaviour of people. Such

Retention Strategy in GENBAND company Essay Example | Topics and Well Written Essays - 750 words

Retention Strategy in GENBAND company - Essay Example GENBANDCARE The technical support provided by GENBAND Care is of extreme quality. For best solutions, GENBAND Care provides timely updates, intense SLA which is inclusive of 24*7*365 help as well as timely releases of software so as to ensure that the client’s network remains current and displays best performance. By providing the customers with greatest up-time, GENBAND Care makes sure that the customers enjoy uninterrupted revenue and the customers of the customers are provided with emergency services. In as many as 80 per cent of the cases, GENBAND provides the clients with effective actions of recovery in no more than 14 minutes. This makes the GENBAND’s emergency services and tendency of restoration among the best all over the world. In addition to the conventional features, GENBAND Care provides the clients with a service of software updates which covers up to 6000 elements worldwide. GENBAND offers comprehensive maintenance for hardware which is inclusive of serv ices for the repair of hardware along with managed spares programs that offer altering Service Level Agreements (SLAs) with a view to providing the clients with accurate responsiveness. GENBAND also provides post-disaster recovery services in emergency. This service is quite unique in that it allows access to GENBAND’s resources for emergency recovery and pre-emergency planning when a disaster takes place. Primary Portfolio Factors They include: 24*7*365 technical assistance for emergency Regular updates for software Hardware maintenance and repair Help desk for disasters Subscription of software Managed spares Advanced Services The portfolio of Advanced Services in GENBAND offers creative and value-added skills that are directed at promoting and improving GENBAND’s solution abilities with the help of optimization, integration and adjustment. GENBAND retains a team of experienced and well-trained professionals that are always available to assist the clients in streamli ning the multimedia services, reducing the cost of operation, enhancing the performance of network from one end to another, and thus increase client’s retention and satisfaction. The provisioning solution GENBAND offers manages more than 2500 switches that include both non-GENBAND and GENBAND ones. The provisioning solution also assists the carriers in solving and automating various tasks of configuration and provisioning on daily basis. GENBAND enables its clients minimize the time of recovery, support expenses and eradicate useless truck rolls with the help of its ticketing and testing solution which encapsulates more than 30 million lines. The Audit and Optimization services of GENBAND are meant to assist the clients in making estimates about the performance of their network and switch close to real time, thus developing a way to ensure proactive arrangement as well as optimization. The services of Revenue Assurance provided by GENBAND align the information regarding confi guration and billing and make it accurate, thus reducing the expenses for carriers and enhancing their revenues. Re-skinning of soft customers and their customization are two very important factors of the capability of GENBAND’s advanced services. Primary Portfolio Factors Provisions of service and product Access care Optimization of capacity, performance and

Analysis of Liver Disease in Europe

Analysis of Liver Disease in Europe To what extent does alcohol contribute to liver disease in Europe? Alcoholic liver disease is the major complication of chronic alcohol abuse, with cirrhosis (with or without portal hypertension), being the most common end-point of the spectrum of complications. This association is seen throughout virtually all populations, demographic groups and clinical sub-sets. (Walsh K et al. 2000) It is notable that the incidence of the disease process is changing on a world-wide consideration, with countries such as India and Japan recently seeing a rapid escalation in numbers of cases of cirrhosis, from their traditionally low baseline of prevalence of the disease. This essay however, will primarily consider the situation in Europe. Considerations of safe limits to alcohol consumption have to be prefaced with the comments that they are controversial, and that there is no common agreement on a minimum safe level. In the UK, the Royal College of Physicians suggest a weekly limit of 21 units (210 g) of alcohol in men and 14 units in women as being the upper limit of â€Å"safe† use. This has to be seen in the context that the Office of Population Censuses and Surveys General Household Survey found that 27% of men and 13% of women in the UK were found to be exceeding these limits in 2004 (OPCS 2004) This can be contrasted with the findings of an Italian study (Bellentani S et al. 1997) which suggested that the â€Å"significant risk threshold† for the subsequent development of alcoholic liver disease in an Italian population was only 30g of ethanol per day and that the risk escalated with progressively higher levels of intake. The authors also noted that, for a given level of intake, women had a significantly higher risk of developing alcoholic liver disease than did age-matched men. On a critical note, one must concede that this was a prospective non-randomised study with a moderate (6,500) entry cohort. This can be compared with a larger Danish study (13,000 entry cohort) which demonstrated a statistically significant increase in the risk of alcoholic liver disease at levels of intake above 14 27 units per week in males and 7 13 units in females. (Becker U et al. 1996) One cannot conclude, from this data, that different European populations have different susceptibility to alcoholic liver disease. One of the major practical difficulties in mounting a major prospective study of this nature is the control of the huge number of variables that may influence the outcome, not least of which is the fact that no individual person drinks a uniform quantity of alcohol per day over many years. There are also considerations of the possibility of variation of effect of different proprietary brands of alcohol-containing drinks as well as the (largely under researched) area of the long term effect of binge drinking. Virtually all studies however, demonstrate a steep dose dependent increase in alcoholic liver disease above a threshold level of alcohol intake with women having a greater incidence of the disease than men at a given age range and level of intake. The reasons for this sex difference is not completely clear with Kwo et al. demonstrating that if one adjusts for body mass and liver size, then both men and women have equivalent biological rates of alcohol degradation. (Kwo P Y et al. 1998) A number of authorities (viz. Teli M R et al. 2005) suggest that these gender differences in susceptibility to alcoholic liver disease may be due to primarily to pharmacokinetic reasons including differences in the rates of ethanol absorption or alternatively, differences in the degree of response of the liver to alcohol induced injury such as that caused by oxidative by-products of ethanol metabolism in the liver. If one accepts the difficulties inherent in trying to define the lower margins of â€Å"safe† levels of alcohol drinking, then it is also appropriate to consider the problem from the other end of the spectrum. There are many studies in the literature which have considered the incidence and natural history of alcoholic liver disease in a population of heavy drinkers who, by definition, will show a much higher prevalence of the disease process. A comparatively old study by La Vecchia et al. showed a Europe-wide reducing trend in alcoholic liver disease in the recent past (La Vecchia, C et al. 1994) and this should be compared with data which shows that the deaths from alcoholic liver disease are actually increasing in the UK (CMO 2001). More specific recent data shows that this increase is disproportionately represented by the young adult and middle aged population in the UK showing an 8-fold rise since the 1970s (Leon, D. A et al. 2006) There is a general perception that end-stage alcoholic liver disease (in the form of cirrhosis) is only seen in those patients who demonstrate alcohol dependence syndrome (viz. Smith et al. 2004 and Luca A et al. 2007). There is a growing body of evidence which suggests that this may not actually be the case. If one considers one of the landmark papers on alcohol dependence and related disease processes, one could cite the classification of Jellinek who categorised five â€Å"sub-species† of alcoholism in his authoritative work in the area. (Jellinek, E. M. 1960 A). The current significance of his initial classification is that he identified two specific types of â€Å"alcoholics†, the ‘ß alcoholics’ who are not alcohol dependant, but who have a disproportionately high incidence of alcohol-related diseases, such as cirrhosis and contrasted this to the gamma alcoholics who were typically highly physically dependent, demonstrated frequent behavioural problems and had a high incidence of sociological complications. Jellinek made deductions about why these groups had different drinking patterns suggesting that the tendency towards heavy drinking in the ß alcoholic group was related to the customs and peer pressures within their social group, whereas gamma alcoholism was characterised, in part, by drinking to relieve a psychological craving and a physical addiction. (Jellinek, E. M. 1960 B). In the context of this examination, one can intuitively suggest that the customs, peer pressures and social groupings may be one of the more salient causes of different patterns of alcohol use across the various national cultures of Europe. There is a further difficulty in that, a brief overview of the literature on the subject of alcoholic liver disease shows that, in the context of Jellinek’s theoretical framework, which describes the population of drinkers who present to healthcare professionals with liver disease as a distinctly separate (although overlapping) population from those who present with alcohol dependence, there is a comparative paucity of studies which look at the drinking patterns, social factors and attitudes in patients with alcoholic liver disease when one compares it with the wealth of literature on alcohol dependence. This may seem to be an academic inference, but one can cite the authority of the often quoted Wodak study which identified significant differences between the population of typical patients with alcoholic liver disease and a population of patients who were recruited from an alcohol treatment centre for dependence, presenting evidence that only 18% of patients who had clinical alcoholic liver disease were severely dependent on alcohol and this contrasted with 56% of the attendees at the alcohol treatment centres. The authors also found that 63% of the patients who were found to have alcoholic liver disease had only a mild or moderate dependence on alcohol. (Wodak, A. D. et al. 1983). If one looks beyond the confines of Europe, one can cite the authority of an Indian study (Sarin, S. K et al. 1998) which found broadly similar results. More recent studies using liver transplant patients (viz. Burra, P. et al. 2000) have also produced similar results, although there is an obvious source of potential selection bias in such studies in the desire of certain patients to be accepted onto a transplant programme and this bias will (intuitively) vary between the different patterns of medical care provided across Europe. The problem confronting many researchers is the difficulty in clinically defining alcoholic liver disease. Many patients may be unaware that they are developing significant problems until the time of presentation. The first presentation may be with acute upper gastrointestinal tract haemorrhage or with alcoholic hepatitis. Both conditions frequently present in the absence of warning signs of a developing alcohol dependence. (Vorobioff J et al. 1996). The Harry et al. study reporting that the first presentation of alcoholic liver disease may actually be fatal with uncontrollable bleeding oesophageal varices carrying an immediate 25% mortality rate, (Harry, R. et al. 2002), a finding also found in the Brett study. (Brett, B. T. et al. 2001). Mathurin suggests that in patients who present with severe alcoholic hepatitis, over 50% may die. (Mathurin, P et al. 1996) If one considers data from other European centres, the Italian Loguercio study considered the pattern of drinking in indigenous Italians who had Hepatitis C. (Loguercio C et al. 2000). This is particularly significant in the Italian population as their prevalence of Hepatitis C is the highest in Europe. (De Bac, C. et al. 2004). It is well known that Hepatitis C infection is associated with a higher incidence of hepatocellular carcinoma, but it is not know the extent to which subsequent alcohol intake influences the natural progression of the disease process. The Loguercio study sought to explore this feature and makes the observation that only 4 5% of all manuscripts submitted to â€Å"Hepatology† deal with alcohol-related liver disease, which exemplifies the point made earlier. In direct consideration of the thrust of this examination, the extent to which alcohol contributes to liver disease is modified by the presence of complicating factors such as Hepatitis B and C. Loguercio et al. suggest that there is a direct interaction between alcohol and the viruses, other authorities (viz. Ostapowicz, G et al. 1998) suggest that an additional mechanism of disease modification is that the presence of alcohol affects the response to interferon therapy (IFN). The latter belief has a poor evidence base as Mabee points to the fact that, without exception, none of the controlled trials published thus far on the efficacy of IFN treatment of Hepatitis C-related liver disease have determined the alcohol intake levels prior to therapy. ((Mabee, C. L. et al. 2008) Lieberman has shown that chronic alcohol intake levels correlate well with gamma-glutamyl transpeptidase (GT) levels. (Lieberman, M. W. et al. 1995) and these levels have been shown by Camps to be extremely predictive of treatment (Camps, J. et al. 1993). In this way it is possible to make the direct connection that alcohol intake clearly directly influences the rate of progression of hepatic pathology, a claim that has been further strengthened by the large retrospective analysis by Pol et al. who examined and correlated the rate of progression of the disease process (in Hepatitis C and HIV/AIDS hepatitis, with the overall intake of alcohol. (Pol, S. et al. 1998). The authors demonstrated that alcohol intake of the patient directly influences their gamma-glutamyl transpeptidase (GT) plasma levels and the rate of progression of the disease process. There is further evidence of the degree to which alcohol influences liver disease, at a histological level, in the form of the Scheuer paper. (Scheuer, P. J. et al. 2001). In congruence with the thrust of this segment of the paper, we can cite the authority of Scheuer who correlated the degree of fibrosis and steatosis with the average levels of alcohol intake and Pessione who noted that the degree of fibrosis in patients with Hepatitis C chronic hepatitis was related to the history of alcohol intake. (Pessione, F. et al. 1998) To return to the Loguercio study, the authors comment that the Italian cohort was typical for the country, (but atypical for Europe) as there is known to be a high alcohol intake per head of the population in Italy, even after making allowances for the fact that alcohol intake has fallen in the last decade (SPE 2004). In an attempt to evaluate the effects of alcohol on the population with alcoholic liver disease the study considered three important markers namely : (1) To estimate how many subjects in our country misused alcohol before and after being diagnosed as having HCV-related chronic liver disease (2) To determine if their drinking habits affected the principal aspects of this disease: routine laboratory data (particularly GT plasma levels), histological pattern (particularly liver steatosis and fibrosis), HCV RNA levels, and response to IFN therapy; (3) To compare results from this and a previous study (Aricà ² et al., 1994) to determine if CLD subjects have modified their drinking habits since a decrease was observed in the general population. (Loguercio C et al. 2000). The study is both long and complex, with rigorous statistical analysis. In essence, the authors were able to demonstrate that the majority of patients with Hepatitis C liver disease still regularly drank significant amounts of alcohol. Patients with hepatitis were more likely to drink alcohol than those with cirrhosis. They were also able to confirm that there were significantly higher levels of gamma-glutamyl transpeptidase (GT) and greater levels of fibrosis associated with higher levels of alcohol in male subjects. Interestingly, women had higher levels of fibrosis than men even if they were total abstainers or less than 40 g/daily of alcohol, but their gamma-glutamyl transpeptidase (GT) levels did reflect the overall alcohol intake. This is very supportive of the hypothesis that women appear to have lower levels of defence against the oxidative insult produced by alcohol intake and may therefore develop a more marked fibrotic infiltration. We know, from other evidence that clinic ally, women appear to have more severe and rapidly progressive hepatitic disease processes than men. (Watson, R. R. ed. 2001) To consider a more general overview of the Europe-wide situation, one can consider the Rehm review paper which considers the implications of alcohol usage and mortality rates across the European continent. (Rehm J et al. 2007). The review itself is in commendable depth and provides an excellent evidence base for the area of investigation. The main points presented can be summarised. There is still a general all-cause mortality gradient from west to east across Europe which is more pronounced in males. (Zatonski W et al. 2000). In statistical terms, the western (old EU) countries (Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden and UK) had a male life expectancy of 75.7 yrs and a female life expectancy of 81.5 yrs. In the central European countries (Czech Republic, Hungary, Poland, Slovakia, and Slovenia) these expectancy figures have fallen to 70.9 and 78.7 respectively. In the new Baltic states (Estonia, L atvia, and Lithuania) it is 65.3 and 76.8 yrs respectively and in the Russian Federation it was 58.3 for men and 71.8 for women. It can be seen from these figures that the life expectancy for men varies by 17.4 years and 9.7 yrs for women. It should be noted that a later, but less exhaustive, study by Vagero demonstrated that by 2005, while life expectancies were slightly higher, the overall gradient and pattern of mortality remained unchanged. (Vagero D 2007). A number of authorities (viz. Men T et al. 2003 and McKee M et al. 2001) have highlighted the levels of alcohol consumption, in addition to smoking and poor nutrition, as being the main determinants of this gradient. Rhem has also identified alcohol as being the prime determinant of premature mortality in the Russian federation. (Rehm J et al. 2003 A) Rhem presents a systematic analysis of alcohol-attributable mortality and disease burden by country, and considers two major aspects in each case namely, both the level of consumption and the patterns of drinking, the latter mainly referring to irregular heavy drinking occasions. (Rehm J et al. 2007). These two aspects are not straightforward, as an illustrative example of France and Sweden demonstrates. France has a traditional wine drinking culture with overall high levels of alcohol consumption but a relatively low proportion of people drinking to intoxication, Sweden, by contrast, has an increasing, but still relatively low level of overall alcohol consumption but a social tradition of irregular heavy drinking. The study highlights Hungary as being notable for having the highest mortality rates in the EU for several alcohol-related pathologies such as liver cirrhosis, together with malignant neoplasms of lip, oral cavity and pharynx. It is reported that for the age range 20 64 yrs, alcohol plays a part in premature deaths of 25% of the population of Hungary. Cirrhosis is particularly high in Hungary and it is postulated that the high consumption of home made spirits may be a relevant factor. (Szucs S et al. 2005). It is also recognised that the culturally acceptable pattern of drinking in Hungary to a high level of alcohol intake with many heavy drinking occasions. The study gives a graphic breakdown of alcohol-related indices across the continent thus: New EU member states Old EU member states Czech Republic Hungary Lithuania Poland France Sweden UK Russia Adult per capita in l pure alcohol 17.0 14.9 17.2 11.7 14.5 9.9 13.4 15.5 Recorded in l pure alcohol 16.0 11.9 12.3 8.7 13.5 6.9 11.4 10.6 Unrecorded in l pure alcohol 1.0 3.0 4.9 3.0 1.0 3.0 2.0 4.9 Patterns of drinkinga 2 3 3 3 1 3 3 4 Preferred beverage beer wine/beer/spirits beer/spirits spirits/beer wine beer beer spirits Men % abstention/very light drinking 9.0 12.0 10.0 16.4 7.3 10.0 9.2 13.8 % >40 g/dayb 59.4 47.0 41.0 38.5 50.8 18.3 38.6 53.1 Women % abstention/very light drinking 19.1 27.0 28.0 34.3 11.1 16.0 14.3 27.5 % >40 g/day 7.0 16.0 8.0 9.0 7.0 3.8 10.3 8.4 aEstimated average pattern of drinking (1–4 with 4 being the most detrimental pattern; see text for more explanation and13 for the full algorithm used). b>40 g/day on average correspond to more than 3–4 drinks on average per day (1 drink is one can of beers of 0.33 l or one small glass of wine or one shot of spirits). (After Rehm J et al. 2007). There is considerable discussion surrounding the issue of alcohol-attributable mortality and death rates in the various European regions with Russia yielding the highest figures (29.0/10,000 person-years). An unexplained anomaly was found in that France and the UK show consistently higher rates of alcohol-attributable mortality in women than the general trend in the other countries when compared to the equivalent male rates. The overall alcohol-attributable mortality is greater in the male population with the ratio difference being much greater in the new EU member states, where the culture dictates that a smaller proportion of the alcohol produced is consumed by women Alcohol has been defined as only one of the causes of premature mortality (see above). Rehm suggests that alcohol is the major factor as, if the alcohol-related mortality is removed and the mortality figures adjusted, then the premature mortality rates between the highest and lowest rated countries become much more similar. Premature alcohol-attributable deaths in eight European countries by sex and age groups as proportions (in %) of all deaths, for the year 2002 New EU member states Old EU member states Age group Czech Republic Hungary Lithuania Poland France Sweden UK Russiab Men 20–44 28.5 39.4 38.4 26.0 22.9 19.2 22.2 30.7 45–64 14.0 22.2 16.4 10.2 16.6 7.1 7.6 11.9 20–64 16.3 25.2 22.8 13.6 18.0 9.3 10.7 17.9 Women 20–44 14.2 19.5 21.4 10.7 10.9 6.9 12.5 19.9 45–64 4.5 12.7 10.1 2.1 9.6 2.2 4.6 4.9 20–64 5.8 13.7 12.4 3.6 9.9 2.9 6.0 8.5 The estimates for Russia are underestimates, as several disease categories could not be included because of the different classification system of diseases (After Rehm J et al. 2007). It has to be acknowledged that with all of the papers cited in this examination, there are a number of potential shortcomings as data from different countries is inevitably subject to different categorisations and different modes of collection. Equally, differential rates of confounding factors such as Hepatitis C, HIV/AIDS, smoking and nutritional differences, all of which impact on the clinical presentation of the alcoholic liver disease process are difficult to completely isolate and account for. An additional complicating factor is that it has long been recognised that small amounts of alcohol have a cardio protective effect (Rehm J et al. 2003 B), irregular heavy drinking occasions (binge drinking) adding up to the same average volume of drinking over a period of time are associated with increased risk of vascular events. This increased risk is hard to separate from the increased risk of mortality from alcoholic liver disease. This is particularly the case with the Russian experience where drinking typically follows irregular heavy drinking patterns and the cardioprotective effect is probably negligible on a population-wide assessment. (Nicholson A et al. 2005) In overview, one can conclude that alcohol plays a substantial, and geographically variable role in premature adult mortality across Europe with 15% of all deaths in the 20 64 yr age range being attributable to this risk with men comprising a higher proportion than women in this total. (Rehm J et al. 2006). References Aricà ², S., Galatola, G., Tabone, M. and Corrao, G. (1994) Amount and duration of alcohol intake in patients with chronic liver disease. An Italian Multicentric Study. Italian Journal of Gastroenterology 26, 59 – 65. Becker U, Deis A, Sorensen T I A, et al. (1996) Prediction of risk of liver disease by alcohol intake, sex and age : a prospective population study. Hepatology 1996; 23 : 1025 1029 Bellentani S, Saccoccio G, Costa G, et al. (1997) Drinking habits as cofactors of risk for alcohol induced liver damage. Gut 1997; 41 : 845 850 Brett, B. T., Hayes, P. C. and Jalan, R. (2001) Primary prophylaxis of variceal bleeding in cirrhosis. European Journal of Gastroenterology and Hepatology 13, 349 – 358 Burra, P., Mioni, D., Cillo, U. et al. (2000) Long-term medical and psycho-social evaluation of patients undergoing orthotopic liver transplantation for alcoholic liver disease. Transplant International 13, S 174 – S 178 Camps, J., Crisostomo, S., Garcia-Granero, M., Riezu-Boj, J. I., Civeira, M. P. and Prieto, J. (1993) Prediction of the response of chronic hepatitis C to interferon alfa: a statistical analysis of pretreatment variables. Gut 34, 1714 – 1717 CMO (2001) Chief Medical Officer. On the State of the Public Health: Chief Medical Officers Annual Report 2001. Department of Health, HMSO : London; De Bac, C., Stroffolini, T., Gaeta, G. 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The Classic Period in Music :: essays research papers

Getting it's name from art history, the classic period in music extends from 1740 to 1810 and includes the music of Haydn, Mozart, the first period of Beethoven, and Bach's sons. The classical period of music coordinated harmony, melody, rhythm, and orchestration more effectively then earlier periods of music. During the classical era the social function of music began to change from earlier aristocratic and religious connections toward more public and secular activities associated with the middle class. The rise of public concerts, the spread of commercial opera houses, the growth of music publishing, the increased number of musical pieces composed and played were all direct effects of the changing musical times. Among the many musical types of the period, the classical period is best known for the symphony, a form of a large orchestral ensemble. The symphonic pieces generally had three movements, the sonata, the minuet, and the finale. Building of the achievements of earlier composers, Haydn, and Mozart brought the symphony to it's peak in the last 20 years of the 18th century. Haydn excelled in rhythmic drive and development of theme-based music. Mozart also added to the symphony by contrasting memorable lyric themes in very full sounding orchestral settings. To satisfy the middle-class amateur, classic composers supplied a ton of new chamber music for all imaginable combinations. The piano sonata became a very important form of chamber music, especially after being refined by Haydn, Mozart, and Beethoven. After 1765, the string quartet began to increasingly dominate the chamber music field. Unlike the concertos of the baroque period, the classic era mainly emphasized the solo concerto. The choice of solo instrument, however, was somewhat broader then in the baroque era. There was more of a trend during the classical period towards keyboard concertos. This style was originated in North Germany, by C.P.E. Bach, and gradually spread to other areas. Mozart took the concerto to its greatest heights. "His incomparable ability to weave the complex strands of the concerto fabric without entangling or obscuring either soloist or orchestra has never been surpassed.