Wednesday, July 31, 2019
Face Recognition Essay
Forhumans, faces are the most significant for visual stimuli, a fact that becomes apparent insocial settingsââ¬âas a species we are constantly, almost obsessively, monitoring each otherââ¬â¢s faces, paying close attention to subtle details that can give some insight into the emotional state, level of engagement, or object of attention of our associates. Fluency with faces offers great social advantages, allowing one to glean aspects of anotherââ¬â¢s internal thought processes and to predict their behavior. (Leopold, 2010). Explain the processes associated with face recognition, identification, and classification Conceptgenerallyrefer to theabstract notion of what that category represents in oneââ¬â¢s mind. ((Robinson-Riegler, 2008). The recognition of individual faces is in some ways the pinnacle of human visual performance. Because all faces have the same basic configural appearance (for example: two eyes above a nose and mouth, sometimes called the first-order configuration), individuals must be identified by subtle deviations from this prototypic pattern, sometimes referred to as second-order relational information or configuration . To process facial identification an individual depend on the process offirst-order relational information, theinformation about the parts of an object and how those parts relate to one another. For face recognition, this would involve an analysis of the personââ¬â¢s facial features and the relationship among those features. However, first-order relational information is not enough to recognize faces; simply noticing that two eyes are above the nose, which is above the mouth, may be enough for recognition that something is a face but doesnââ¬â¢t allow for recognition of who the face is. To recognize faces, we need second-order relational information. Second-order relational information involves comparing the first-order analysis to facial features of a ââ¬Å"typical,â⬠or ââ¬Å"average,â⬠face. This typical face is built up through experience and serves as an implicit standard against which we compare the faces we see. Inverting a face disrupts the encoding of second-order relational information When we deal with information, we do so in steps. One way to think of this is to picture the process of acquiring, retaining, and using information as an activity called information processing Information comes from the outside world into the sensory registers in the human brain. This input consists of things perceived by our senses. We are not consciously aware of most of the things we perceive; we become aware of them only if we consciously direct our attention to them. When we do focus our attention on them, they are placed in our working memory. (Education, 2011) Even when perceivers are presented with stimuli in suboptimal conditions, the face-processing system is still capable of extracting categorical knowledge in a rapid and accurate manner. Third, category activation is sensitive to the typicality of group members. Incategorical thinking people identify with groups who they are familiar with. Analyze the role of encoding and retrieval processes involved with long-term memory and how this affects face recognition. Early perceptual processes (and their associated products) also appear to play an important contributory role to the generation of categorical thinking. Categorization is a fundamental property of the brain. Categorical thinking streamlines most aspects of person perception, including decision making, memorial functioning, and attention processing(Cloutier, 2005). People are skilled with various levels of understanding along with other social agents. From only a few visual cues, a person isable to processdetailed impressions of others, identify the sex, emotional status, and identity of conspecifics ; and infer the hidden internal states (example. goals, intentions) that create their plan of purpose. In social cognition, the two basic processes that serves or promotes aperson perception are categorization and individuation . Individuation, in contrast to categorization, the individualisticview other people not as members of distinct social groups but rather as unique entities. Individuals areguided by two distinct cognitive processes. These two processes operate at the early stages of a personââ¬â¢s perception, relevant with the process of object recognition. The individual is capable ofmaking individual judgments about stimuli corresponding to prior perceptual experience. As part of the face recognition process, a face must activate a face recognition unit a stored representation of that face in memory. If activated, the person is recognized asfamiliar. Next, the face recognition unitmust activate the person identity node which stores biographical information about the person. If activated, this biographical information becomes available (Robinson-Riegler, 2008). Prior to the retrieval of information from long-term memory, however, a great deal of social-cognitive processing has already taken place. perceivers have resolved the perceptual puzzle of identifying social agents from available visual cues. This includes, but is not restricted to faces. (Cloutier, Discuss at least two possible errors that can occur with face recognition, such as misidentification and self-recognition. Our knowledge of our own face seems inseparable from our general knowledge of self andwho we are as individuals, our likes and dislikes, our personal history. Unconscious transference, occurs when a witness fail to identify or distinguish between a target person,for example, falselyidentifying aneyewitnessmay result to imprisonment of an innocent person Robinson-Riegler, 2008). As individuals we confront the world with our faces, from the time of birth to the time of death. The age and gender of a personare printed on their faces. Emotions are expressed in a personââ¬â¢s facial expressions. The open and instinctive emotions that Darwin wrote about, as well as the hidden or repressed ones that Freud wrote about, are displayed on our faces, along with our thoughts and intentions. People have physical attr actions toward each other, a person may admire the physical attributes such as arms, and legs. In spite of what draws one attention, the face is the first and last that is judged, whether it is beautifulin an aesthetic sense, ââ¬Å"fineâ⬠or ââ¬Å"distinguishedâ⬠in a moral or intellectual sense. The face of an individual definesa person character and experience. Face recognition is crucially important for humans, and the vast majority of us are able to identify thousands of faces individually, or to easily pick out familiar faces in a crowdProsopagnosia or topographical amnesia are lifelong conditions that does not decrease as one grows older.
Tuesday, July 30, 2019
Wind Technology Case Study
Situation: Company 1. New company (10 years), small compared to competitors 2. Cash flow problems 3. Produces wind-profiling radar systems for weather forecasting and wind detection 4. 9-12 months to improve cash flow Strengths 1. Adherence to specifications and quality production 2. Technical expertise provides full system integrationââ¬âcustomers can order either basic components or a full system 3. Meteorologists and atmospheric scientists provide the customer with sophisticated support 4. All resources had been devoted to wind-profiling 5. Government contractsââ¬âaccount for 90 percent of sales Weaknesses . Poor cash flow 2. Lack of a well-developed marketing department 3. No salespersonsââ¬âmanagement and engineers call customers 4. No production capabilities to compete in high-volume, low-voltage segment 5. No resources and technical expertise to compete in high-output segment Opportunities 1. Wind Technology develops almost all of its major component parts and soft ware, versus competitors who depends on a variety of manufacturers. 2. HOWEVER, the development of the power supply has been problematic, SO Wind Technology needs to develop power supply instead of purchasing an HVPS from outside supplier 3.HVPS has greatest potential for commercial success Threats 1. Vaitra is unwilling to place additional money into Wind Technology 2. 9-12 months to implement new strategy and improve cash flow Product Sell component parts, specifically the high-voltage power supply (HVPS) 1. Small, with low level of output (less than 3kV) a. Communications 2. Medium (between 3 and 10 kV) b. Radars and lasers 3. Large (greater than 10 kV) c. High-powered X rays and plasma-etching systems Market Total market potential is estimated at $237 millionWind Technologyââ¬â¢s estimated market share is 0. 5 percent, or $1. 185 million Finances Margin: 30 percent (production=70 percent of selling price) or $355,500 Variable/Fixed Costs: Unknown Promotion Budget: 10 percent or $118,500 Contribution Margin: $237,000 Competition Unysisââ¬âthe only key player in the wind profiling market Customers Research labs, large end-users, OEMs, and distributers Government: Research, NASA, state colleges, Department of Defense Problem: The market for wind profiling radar systems has been developing at a much lower rate than anticipated. Options: 1.Enter HVPS market, or ride out the two years (cutting costs) that the company had estimated it would take until the wind-profiling market achieved high growth levels? 2. If entering HVPS market, establish target segment 3. If entering HVPS market, develop a marketing and promotion plan Scenario 1: Enter HVPS market 1. The product provides a differential advantage, superior quality, is innovative, reliable, customizable, and technologically advanced 2. Provides an additional +/- $237,000 in contribution margin per every 0. 5 percent of market share is achieved. 3.HVPS could be produced with very little added fixed costs & production would cost 70 percent of selling price. Scenario 2: Do not enter HVPS market 1. Young company in a mature industry 2. Severe cash flow problems make it difficult to produce, market, and hold inventory 3. Development of power supply will remain a problem 4. Difficult to cut costs when Wind Technologies already does not have a sales force or marketing department 5. Realistically only have 9-12 months before the company goes under Establishing target segmentââ¬âRecommendations: 1. Microwaveââ¬âhighest market growth and strength 2.Radarââ¬â2nd highest growth and attractiveness, 3rd highest market share and strength 3. Semiconductorsââ¬âhighest attractiveness, 2nd highest market share Promotion Plan: 1. Collateral Material a. 5,000 pieces * $5. 50 each = $27,500 2. Public Relations b. Cost to write and mail to editors = $500 c. Are there hidden costs, such as publishing? d. How many people actually subscribe to wind technology trade magazines (Exhibit 3 = 35 0,538 in circulation) e. Of the 350,000 in circulation, if 1% of subscribers actually read the PR= 3,500 reached 3. Direct Mail f. More effective than PR, because recipients have the material in heir hands versus skipping over the page in a magazine. g. Buying list of prospects = $5,000 h. Are there lists available online? (Perhaps today, but not in 1991 at the time of the case) i. $7,500 per 1,500 mailed j. @ 3,000 mailed (universities, government) = $20,000 cost 4. Trade Shows k. $50,000 in costs + $50,000 for 5 staff members to attend l. Reach has to be significantly less than PR and direct mail because of geographical constraintsââ¬âlimited to the number of interested people near trade showââ¬âmaybe 1,000-2,000 people attend trade show, and only 25% stop and look at your product m.Benefitââ¬âGet to see physical product and talk to experts n. Benefitââ¬âPeople who attend the trade show are probably looking to purchase (50% are hobbyists, 25% looking to buy, 25% no t interested at allââ¬âtag alongs) i. 250 people see your product, +/- 50 are interested o. Potential to cut costsââ¬âwhy does it cost $10,000 per person to attend? Send current employees for +/- $3,500 per person (airfare, hotel, food). 5. Trade Journals p. Design News presents the best value, at just $0. 05 per page in circulation, it has a reach of 170,033 readers at a cost of $8,120 6. Personal Selling q.Telemarketing ii. Salary for employee would be $50,000 iii. 90 calls per day * 250 days = 22,500 per year, assume 75% are hang-ups = 5,625 actually talk on the phone, 5% are interested = approximately 250 r. Field Sales iv. Would provide most incremental revenue v. Most costly vi. $80,000 vii. However, this person can serve dual roles, also attending trade shows, responding to customer service issues, etc. Final Recommendation: Kevin, from Wind Technology, acknowledges that it would be risky to proceed with the HVPS spin-off, but not doing something to improve the firmâ â¬â¢s cash flow was equally risky.Therefore, I would support neither decision, but instead go to the root of the problem which is Vaitraââ¬â¢s decision to cut funding for Wind Technology. Kevin needs to go to the management at Vaitra and ask for money to continue sustaining the business for another two years. At that point, the industry is expected to mature and the high growth levels that they anticipate may be achieved. In the meantime, it is not worth it to restructure the business, and implement costly promotion strategies that may not even be effective during the two years which they are most needed.However, in two years, when Wind Technologies anticipates a more secure cash position, they can begin specializing in the HPVS, hiring personal sellers, and attending trade shows. Then, perhaps they can also pursue more than just 0. 5 percent of the market. That is, however, if they even need to do so; it is possible that they will succeed with their current products. It would be best to have ample resources and do everything to the best of their abilities when the time is right, versus emptying their pockets just to get by in the industry, and abandoning their current strategy which could be successful in the very near future.
Monday, July 29, 2019
Disney Essay Example | Topics and Well Written Essays - 250 words
Disney - Essay Example One of the weaknesses of the company is its high fixed cost. The firm has cost and expenses that accumulate to $33.11 billion annually. A second weakness of the company is its high amount of total debt. The firm total debt during 2011 was $32.67 billion. A third weakness of Disney is that it paid cero dividends during fiscal year 2011. Disney Corporation has many opportunities that it can take advantage of in order to increase its market share. One of the biggest opportunities for the company is to expand its movie production. During 2011 the global box office revenues worldwide reached $32.6 billion (Mpaa, 2011). A second opportunity for the company is to use its copyright characters such as Mickey Mouse to produced new video games sponsored by Disney. The video game industry generated $17.02 billion in the U.S and $63 billion worldwide in 2011 (Plunkettresearch, 2012). A third opportunity for the firm is to increase its sales of apparel items featuring its characters. In 2009 Disney acquired Marvel Entertainment and its 4,000 characters (Barnes, 2009). Disney also faces different threats that the company must acknowledge. First of all a decline in the economic environment in the US and abroad is hurting the ability of the company to achieve revenue growth due to fact that entertainment is a luxury item. In Europ e the economy in the region contracted by 0.2% during 2012 (Boesler, 2012). This will hurt the revenues the company will generate from its Euro Disney operation. A second threat that the company faces is changes in technology and consumer consumption patterns (Thewaltdisneycompany, 2011). A third threat the company faces is keeping up with the human resource challenges of having 156,000
Sunday, July 28, 2019
English Essay Example | Topics and Well Written Essays - 750 words - 4
English - Essay Example Holding graduations has entailed invitation of influential and successful speakers to the University. The graduating class of 2013 also requires a successful and influential speaker for the event. Scrutiny of diverse speakers leads to preference of Michael Hayman. This was the founder of Seven Hills, a major communications and campaigns organization (Nicolao, 2012). Therefore, this is an eminent and influential icon across the British society. Hayman has attended diverse graduation events in Colleges and Universities. He has also hosted interviews for diverse speakers and public figures in diverse graduations. Hayman would definitely formulate the most appropriate speaker for 2013 graduation ceremony in Oakland University. Public speaking requires a set of characteristics from the speaker (Marathe, 2007). There are a set of ideal characteristics that Hayman possesses that qualify him the invitation to Oaklandââ¬â¢s graduation ceremony in 2013. All these characteristics in Hayman r emain extremely relevant for this very season in Oakland Universityââ¬â¢s graduation. Ethos is a major speaking attribute that Hayman possesses. Students in the Oakland University have attained a sense of maturity with time. With the time of schooling and research, students in Oakland University have attained psychological he maturity. ... In this case, public figures and icons have a positive effect towards an audience (Sprague, 2013). Definitely, Hayman is a profound icon with immense ideological influence towards the Oakland audience. Human nature stipulates that we believe in individuals whom we respect. Oakland University graduates would look up to an accomplished individual in society. Hayman has established his professional path, and is a major icon in his field. He pursued higher education to doctorate level. He also founded an eminent organization in Britain (Nicolao, 2012). These achievements and level of success would definitely inculcate immense credibility amongst the Oakland University graduates. Haymanââ¬â¢s expertise and professional success would definitely contribute significantly to the ethos domain of his speech. Michael Hayman is therefore a suitable speaker for the 2013 graduation ceremony in Oakland University. Time management is a paramount virtue in public speaking (Sprague, 2013). Outstandi ng speakers know the exact time to conclude their session. An ideal speech inculcates yearn into the audience. It does not exceed time limits to the extent of boredom (Kumar, 2011). Graduates of the year 2013 in Oakland University possess complex and youthful minds. Their cognitions are characterized with high analytic capability and comprehension. In this case, they require a speaker who is sensitive with the time factor. Oakland University holds its graduation ceremonies in open venues occupied by immense numbers. Therefore, speakers ought to have impeccable time management skills during the ceremony. Graduates in Oakland University would definitely attain maximum benefit from the speech, if the speaker observes time. Hayman has a record of outstanding time management capabilities
Saturday, July 27, 2019
Case Studes Study Example | Topics and Well Written Essays - 500 words
Studes - Case Study Example This approach would include test of anger management, sustenance of pressure besides the general intelligence and academic excellence. Apex Environment is such kind of an organization that is a reputable standards that Maria has been anticipating and longing to work with. I strongly rule out the fact that at any given time the interviewing panel lost its course and unintentionally become irrelevant on the interview questions. It wasnââ¬â¢t carelessness. A panel of five intelligent personalities in company of the president of the company couldnââ¬â¢t have got it all wrong by asking irrelevant questions unintentionally, all of this was intentional and may be to test the level of patience, humility and soberness in dealing with the different situations or rather any other aspect that was being tested by the interviewing panel. This is best known to the panel itself and the purpose they intend all this would serve. Yes I would take the job if I were Maria. I donââ¬â¢t think I need any other additional information to raise my confidence on the firm since I hold the interviewing team with high level of intellect, wit, expertise and professionalism (Swanson & Elwood 49). Having been considered for the job by the panel is a show of having displayed competence and ability with addition to the second part of the session thereby meeting with the firmââ¬â¢s president and another panelist to discuss exclusively technically expertise relevant questions was a clear show that the previous was not sufficient but wasnââ¬â¢t targeting anything to do with her professional expertise. 3. The job of applications engineer for which Maria was applying requires (a) excellent technical skills with respect to mechanical engineering, (b) a commitment to working in the area of pollution control, (c) the ability to deal well confidently with customers who have engineering problems,
Challenges Facing the Gulf Cooperation Council Thesis Proposal
Challenges Facing the Gulf Cooperation Council - Thesis Proposal Example The council members criticized the worldââ¬â¢s failure to take action on Syriaââ¬â¢s current situation. The council condemns Iranââ¬â¢s interference in its internal affairs. Divergent views by GCC member states make it intricate for them to achieve a unified decision with regards to Syria. For instance, Qatar and Saudi Arabia have openly supported the opposition forces in their struggle against Bashar al-Assadââ¬â¢s regime (Ehteshami, 2013). All GCC member countries want better relations with Iran, yet condemn it for interfering with its internal affairs. Iran is suspected to support opposition protests in Bahrain (Rashwan, 2012). GCC neighbors are going through a difficult political transition such as Yemen. Other nations like Jordan are strategically located in relation to the Gulf region. As such, Jordan is included in the security calculations of the Gulf region. Nevertheless, Jordan is subject to pressure from Israeli. This leaves Jordan at the state of economic cris is (Masters, 2013). The diverse experiences that GCC neighbors are going through make it hard for them to achieve a unified decision. à The research seeks to explore aspects of the GCC council and its decision-making mechanisms. The research also seeks to examine the state of countries neighboring the GCC member states. These are such as Iraq, Syria, Yemen, Jordan à International relations study gained momentum in the 19th century following world war two. Three schools of thought emerged in a bid to explain the international system. These are liberalism, realism, and constructivism. However, realists and liberalists are the prominent schools of thoughts explaining international relations. Realism sees international relations as being founded on selfish motives where individual states seek power.
Friday, July 26, 2019
Research Plan Essay Example | Topics and Well Written Essays - 5500 words
Research Plan - Essay Example For instance, price competition, the pressures brought about by price increases, changes in customer trends and preferences, and industry concentration. These factors have made it extremely challenging for supermarkets to keep their customers, let alone encouraging them to be loyal. As a result of these changes, there are a number of ways through which retailers respond. Tesco, in particular, has always been a leader in influencing the market, and retaining customers, largely due to their technology driven strategies, that focus on marketing the products and services with the help of technology. In addition, the company also emphasizes on establishing and developing relationships with their customers. On the other hand, other companies like Asda and Safeway have decided to take another path, focusing on offering goods and services at a more competitive price. Sainsbury, at the moment, is still trying to gain back the market share of what Tesco has taken from them (Obitz, 2009). This chapter shall focus on the concept of relationship marketing and customer relationship marketing, both of which aim to preserve the loyalty of existing customers, instead of simply aiming to gain new ones. In order for this to happen, companies need to be innovative in its marketing approach, and this study shall investigate the approach of supermarket retailers such as Tesco, which has opted to make use of the Internet as part of its marketing strategy. The following sections shall therefore discuss the integration of technology with customer relationship marketing and relationships marketing (both of which are two different concepts, as will be discussed later on). As was described in the previous paragraph, the leading supermarket retailers all have their own unique marketing approach, especially when it comes to the kind of relationship that they are able to establish with their customers. Apparently, there are two types of marketing
Thursday, July 25, 2019
CHILDREN BULLING Essay Example | Topics and Well Written Essays - 1500 words
CHILDREN BULLING - Essay Example Most of the times, especially in schools, cyber bullying is done with the intention of socially alienating the victim from the rest of the peers (Li, 372). Cyber bullying goes one step further and also involves the use and distribution of text messages and pictures of a sexual nature. The social media is often used to publicize such images and subsequently, request sexual favours (Varjas et al., 270). Cyber bullying has increased to such an extent that and become so menacing that formal laws were passed in various countries to put a stop to this activity. Cyber bullying not only makes life uncomfortable for the victims, but also causes psychological problems, especially for school kids, teenagers and even for adults at times. Numerous researches have been conducted to study cyber bullying and to understand how it affects individuals. As a result of these studies, it was found that cyber bullying victimization rates were 28.7% in November 2009 (Donegan, 35). The popularity of social media has led to the rise of websites like Facebook and Twitter. According to a 2010 study, the most commonly used technologies by teenagers are cell phones and internet. This shows that these two technologies are the primary mediums which are used for cyber bullying. The research analyzed in this paper is a study conducted by Mishna et al., published in 2010. The research studies the phenomenon of cyber bullying in 2186 middle and high schools. Following numerous researches conducted on this topic, this research was conducted to study how the students, especially the victims, react to cyber bullying, which technologies are most commonly used for cyber bullying and what psychological impact do events like these have on the victims and the witnesses. Even though the phenomenon of cyberbullying is relatively new, various researches are being conducted on this topic and laws are being passed making cyberbullying illegal. This goes to show
Wednesday, July 24, 2019
Leadership Team Formation And Strategic Management Within An Essay - 1
Leadership Team Formation And Strategic Management Within An Organization - Essay Example For any group that intends to work together, team formation is an important aspect that defines how the involved individuals relate with one another. To begin within, there is the number of issues that were important for our group. My group was made of friends and this was an upper hand on matters of cooperation, willingness to work together and alignment to the group goals. At some point, we had to absorb one student who lacked a group and the instructor requested that he joins out the group. While we were classmates, this new individual was way distant to us and it became an important issue to assimilate him into the group and to get him on board our group targets and goals. This is expected in any given organization that some employees will join the workforce at some point and there is need to align them to the management goals to enable them to work in harmony with other employees (Augier, 2013). This burden rests on the shoulder of human resource managers. One important aspect o f human resource management is to establish a strong team which starts right from the moment of recruitment. The organization selection and recruitment process is an activity that the human resource managers take seriously to obtain the best workforce within the institution (Nordensson, Ash, & Kelley, 2010). The selection process is an activity that involves selection of only qualified employees who suit the minimum requirements of the position and fill the existing employee gaps effectively.
Tuesday, July 23, 2019
Makeup Assignment Example | Topics and Well Written Essays - 250 words
Makeup - Assignment Example Hoffman presents a disillusioned figure as she talks standoff and rubble of years of industrialization and governments. She further explains the Cartesian perception of the world, which she believes hurts the environment and humanity. The philosophy of Descartes primarily revolves around metaphysics and epistemology. Sonia brings in Descartes philosophy in the film by claiming that people have grown to develop the opinion that the nature is not a living organism. Sonia argues that Descartes plays a major role into making people view nature as a machine rather than a living thing. She picks out Descartes philosophy of the human body, which views the human body as a machine, as a fundamental way of thinking that led people to view nature inappropriately. In the film, Sonia asserts that the essence of life itself is basically self-organization. According to her, life is all about self-maintaining, renewing and transcending. Life is characterized by the innate propensity to generate new
Monday, July 22, 2019
How American football works Essay Example for Free
How American football works Essay Football, also known as American football, is a team game that combines strategy and physical play. The object of football is to advance the ball up the field by running and passing the ball, and scoring a touchdown by crossing the ball into the end zone. Professional football, high school football, and college football are all highly popular spectator sports in the United States. Football History Football originated from a primitive game of rugby played in America in the 1840s. In 1880, Walter Camp, considered the Father of American Football, exchanged the traditional rugby scrum for a line of scrimmage. In 1882, the four down system was introduced to negate Princeton and Yales strategy to hold the ball without trying to score. The following year, Camp reduced the number of players to eleven, and introduced the seven-man offensive line, with a quarterback, two halfbacks, and a full back. The first professional game was played in 1895. The National Football League (NFL) began in the early 1920s. Today, football is one of the most popular sports in the United States. Football Rules Football is played by two teams, with eleven players from each team on the field at a time. A football field is 120 yards long and 53 1/3 yards wide, including a field of 100 yards and two end zones of ten yards each. A game of football consists of four 12-15 minute quarters, depending on the level of play. The game begins with a coin toss. The winning team gets to decide if they would like to receive the ball, or which end of the field they would like to defend in the first half. One team then kicks the ball to the other team. A kick off occurs at the beginning of each half, and after every score. The team that takes control of the ball has four attempts, called downs, in which to advance the ball ten yards. When the offense succeeds in gaining ten yards they receive a new set of downs. If the offensive team fails to gain ten yards after four plays, the other team gets possession of the ball. The ball is put into play by a snap, where the center passes the ball between his legs to the quarterback. The quarterback then has the option to throw or run the ball. Once the quarterback passes the line of scrimmage (an imaginary line across the field from where the ball was snapped), they can no longer throw the ball forward. A down ends when: The player with the ball is tackled to the ground, or has their forward motion stopped by the opposing team; A pass is thrown out of bounds or hits the ground; The ball or player with the ball goes out of bounds; A team scores. An official blows their whistle to signal that a down is over. A change of possession occurs when: A team fails to gain ten yards after four plays; A team kicks the ball off after a score, or at the beginning of a half; A team chooses to punt the ball; A player from the defensive team catches a pass in the air (interception); An offensive player drops the ball after displaying they had possession and a defensive player recovers it (fumble). After a kickoff, punt, interception, or fumble, the ball is live, and the team gaining possession can run with the ball up field. A touchdown is worth six points. A team scores a touchdown when a player runs into or catches a pass in the opponents end zone. After scoring a touchdown, a team has the option to attempt an extra point by trying to kick the ball through the upright. Teams can elect to go for two points and attempt to drive the ball into the end zone on one play, starting from the two or three yard line (depending on level of play). A team scores a field goal, worth three points, by kicking the ball over the crossbar and through the goal posts. A team scores a safety, worth two points, if an opposing player is downed in the end zone. The team with the most points at the end of the game wins. Football Tips Good football players are agile. Agility drills include: jumping rope, running through tires, and jumping over cones. There are a variety of lesser contact versions of Football available. Tackle Football is the sport practiced by major professional leagues such as the NFL, but flag football and touch football are varieties that allow the player to be tackled by either touching with two hands or pulling a piece of ribbon or flag off the opposing player. This also allows for Co-ed or womens teams to engage without fear of injury. Football Equipment Football requires each player to have a helmet, shoulder pads, football pants, cleats, and a mouth guard. The game is played with a spheroid shape leather ball. A football is 11 inches long and 22 inches in circumference in the middle.
The Shoe-Horn Sonata Essay Example for Free
The Shoe-Horn Sonata Essay John Misto, the person behind the play The Shoe-Horn Sonata, uses his distinctively visual text as a memorial for the Australian Army nurses who died in the war, as they were refused one by the government. ââ¬Å"I do not have the power to build a memorial. So I wrote a play instead. â⬠This drama illustrates the way the women were treated in the Japanese prisoner of war camps, during World War II through the two main characters Bridie ââ¬â an Australian army nurse and Sheila ââ¬â an English woman. The different dramatic techniques used in this play aid in the manipulation of the audienceââ¬â¢s emotions and sway the preconceptions of the group. Misto utilises projected images and the emotive dialogue to create a vivid image in the viewerââ¬â¢s mind that is both distinctively visual and evokes emotions from the audience. Misto is not the only author to have used this technique in his work, John Schumannââ¬â¢s I Was Only 19 is a song that also features distinctively visual elements throughout the song. This text explores the conditions of the Vietnam war and the effect it has afterwards on someone as young as nineteen and has a similar purpose to Mistoââ¬â¢s, to expose the terrible conditions of war and the effect it had and is still having on them today. Schumann uses intense emotive language to influence the listenerââ¬â¢s opinion on war and draw attention to the conditions prisoners of war face. The Shoe-Horn Sonata digs deep into the readers mind and challenges their thoughts on the way they perceive injustices been done to the memory of the nurses, and of the thousands of other women and children who suffered with them. Misto is able to do this by projecting images onto a screen in the background. ââ¬Å"Projected onto the screen is a photograph of row upon row of captured British and Australian women bowing to the Japanese. These images contribute to the creation of a physical, distinctively visual element in the drama. The confronting images shown forces the audience to reconsider their understanding of the prisoner of war camps in Japan. The audience begins to visualise the conditions the women faced and this leaves an impact on the viewer. Through this, Misto is able to convey his message to his audience through the distin ctively visual images, not only projected on the screen, but shaped in the viewer mind. Although Misto only intended to expose the injustices that had been done to the womenââ¬â¢s memory, he has revealed the effect the war had on them and the aftermath of the camps. Misto brings to light the influence the camps had on the women involved in the war. ââ¬Å"She stole every sheet and towel in her room ââ¬â once she found out the Japanese own this place. â⬠In this quote it is obvious that the women have still not recovered from the traumatic experience in the camp and still feel livid towards the Japanese. The distinctively visual dialogue is enough for the viewer to visualise the event taking place. The fact that the prisoners of war still feel resentment towards the Japanese suggests to the audience that the things they went through must have been worse than the responder originally assumed. The distinctively visual scene allows Misto to manipulate his audiences thinking, this emphasises the injustices that have been done to the womenââ¬â¢s memory as the audience begins to realise the damage done to the women, mentally. The Shoe-Horn Sonata continues to battle the audienceââ¬â¢s preconceptions of the prisoner of war camps in Japan by using stage directions as a medium for further exposing the effect the war had on its prisoners in Japan. The final scene Bride and Sheila finally feel free after over fifty years. ââ¬Å"Bridie and Sheila are confidently dancing and the theatre is filled with Sraussââ¬â¢ music. It is the music of joy and triumph and survival. â⬠As the two are dancing, triumphant music begins to play emphasising in the viewers mind that after all the years of fear and uncertainty, they finally feel free and confident again. The distinctively visual dancing reinforces the idea that they are free and dancing is a way of expressing your freedom. Misto was even able to, in his stage directions; convey the dramaââ¬â¢s purpose through distinctively visual elements. John Schumannââ¬â¢s I Was Only 19 is abundant with different examples of how the distinctively visual conveys the authorââ¬â¢s purpose. Schumann uses strong emotive language to produce a distinctively visual image in the readerââ¬â¢s mind. ââ¬Å"And the Anzac legends didnââ¬â¢t mention mud and blood and tears,â⬠the egative connotations attached to the words ââ¬Å"mudâ⬠, ââ¬Å"bloodâ⬠, and ââ¬Å"tearsâ⬠contrasts with the idea of the Anzac legends, which has a positive connotations. These ideas contrast forcing the reader to reassess their thoughts on the Anzac legends and how they affected the Anzacs during and after the war. The emotive words create a distinctively visual image in the readers mind as they vi sualise the mud-covered jungles of Vietnam and the pain (blood) and suffering (tears) the Anzacs went through. Schumann is able to form a distinctively visual image using only strong emotive language, and he uses this technique to convey the purpose of his song. I Was Only 19 includes many more examples of how Schumann uses distinctively visual language to convey his message. ââ¬Å"And night timeââ¬â¢s just a jungle dark and a barking M16? â⬠The emotive word ââ¬Å"darkâ⬠creates a distinctively visual image of a dark, dangerous jungle which also incorporates an almost life-like sound of an M16 firing in the background. This image is formed from the powerful emotion in the language and the imagery it creates. As the viewer pictures the dark jungle, they are confronted with the idea that an actual person had fallen into that unfortunate situation and this is what Schumann wants his readers to reflect on, the idea that someone had to experience those conditions for years. Schumann is hopefully able to evoke sympathy in the reader for the soldiers that were in Vietnam. The distinctively visual imagery aids in the creation of this process. John Misto and John Schumann both have a message they want to get out to the world. They may be similar but they both are just as important as the other. These composers are trained in using language and dramatic techniques to manipulate the audienceââ¬â¢s emotions and persuading them to think what they wanted them to think, which in this case, is to spread the story of the women nurses in prisoner of war camps and how this affected them and the Vietnam veterans, including their mental and physical diseases. They have successfully done this, using distinctively visual elements in their texts.
Sunday, July 21, 2019
Health In New Zealand Health And Social Care Essay
Health In New Zealand Health And Social Care Essay Health is multi factorial and is the product of reciprocal interaction between individuals and their environment. Social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system (World Health Organisation, 2008). As in most countries, health in New Zealand is also distributed unequally throughout the society. This reflects that there is an uneven allocation of social determinants of health such as income, education, occupation and access to health for certain groups compared with others. This essay will examine income as one of the social determinates of health and the effect of low economic status in Maori health. Further it will discuss how the nurses can care for Maori people with inequalities in health and the importance of the government strategy developed to address Maori health concerns. Finally this essay will analyse the psychological factors associated with smoking behaviours and its consequences. Income, employment, education, housing, culture and social cohesion are the distinct social determinants which directly or indirectly influence health outcome of an individual. The people who are more vulnerable to ill heath mostly come under low income category. Income inequalities increased evidently in New Zealand between 1987 and 1991 due to unemployment. The growth in income inequalities is especially seen in Maori population (Davis Dew, 2005). Income is one of the major determinants of health, which contribute to the poor health status of Maori. Indigenous Maori have the poorest health status among any other ethnic groups in New Zealand. The median annual income of Maori in 2006 was $20900 compared to $24400 of the total population in New Zealand (McMurray Clendon, 2010). According to the New Zealand statistics 2005, the average weekly income of Maori was $471 compared to $637 of non-Maori (Robson Harris, 2007). Income and wealth are the major modifiable determinants of heal th which affect the access to healthy environment, living condition, housing, education and timely effective health care. Level of home ownership, property ownership and income producing assets are lower among Maori than non-Maori population. In addition to these, lower equivalent income levels limit the availability of the Maori families to accumulate wealth out of current income (Dew Mathewson, 2008). Compared to non-Maori, inequalities in health status and mortality are higher and increasing among Maori, with increased incidence of conditions such as coronary heart disease and higher fatality rates (McMurray Clendon, 2010). The current economic situation of the Maori and non-Maori is profoundly linked to the history of colonization of New Zealand. Besides this, economic reforms also cause loss of income from changing nature of work arrangements for Maori (Broom, 2007). The income inequalities can be also explained in terms of lower educational qualification and under representa tion of Maori workers in high profile jobs. In New Zealand society Maori are the lowest salary earners and this leads to a low socio economic status (Robson Harris, 2007). Besides this, income level can affect mental health, caring for children and family. People belonging to low economic status always struggle to care their life and childrenà ¢Ã ¢Ã¢â¬Å¡Ã ¬Ã ¢Ã¢â¬Å¾Ã ¢s health (Marmot Wilkinson, 2001). Being health professional, nurses have obligation to identify unfairness or inequalities in health. Nurses should work to address the underlying determinants of health and working towards to ensure equitable health and wellbeing of everyone in the society (McMurray Clendon, 2010). In order to deliver proper health care nurses have to be aware about the needs and rights of Maori (Broom, 2007). Principles of Treaty act as a model for nurses to work with Maori. Nurses should respect the cultural beliefs and deliver health services in a culturally acceptable manner (Francis et al., 2008). Nurses should work in a manner to improve the access to health, especially to those who lacks financial resources. Approaches like selecting a central location and convenient time for health services can improve access of health facilities by the low income groups. Nurses should identify vulnerable groups with low income such as unemployed, single mothers and parents with more dependent children. In or der to ensure unbiased health to low income group nurses have to educate them regarding the health facilities and their right to health irrespective of economic status. Increasing conventional services like employing of indigenous health workers and establishing indigenous programs is another nursing intervention for reorienting health service for Maori. (Mason Durie, 2003) For instance Maori can be cared better by employing more Maori nurses as they will have enhanced understanding. Improvements in Maori health status are critical, because Maori has the poorest health status among other New Zealanders. The New Zealand government identified the importance of prioritising the Maori health problems and the need to eradicate health inequalities which has a negative impact on Maori health. He Korowai Oranga is a health strategy set for Maori health development in the health and disability sector. This strategy acts as a basis for the health sector to deal with the health problems of Whanau. The focus of He Korowai Oranga is on Whanau or family wellbeing. The outcomes are mainly aimed at empowering Whanau with physical, social, mental and emotional health; enabling them to take control over their health, creating better quality of life and ensuring their active participation in New Zealand society (Francis et al., 2008). He Korowai Oranga stands on the principles such as partnership, participation and protection which are the core principles of Treaty of Waitangi. He Korowai Oranga tries to identify health inequalities among Maori people in terms of education, income, occupation and access to health health. This strategy aims at considering Maori approaches and models to health for improving Maori outcomes. Inequalities among health statuses of Maori are clearly documented in this. Nationwide population health priorities for Maoris are also enlisted in appendix 3 of this strategy. Besides this it also provide guidelines to district health board for effective assessment and monitoring of Maori health status. This strategy also has made provisions to improve Maori access to mainstream health services like public hospitals or primary health centres (Ministry of Health, 2002). Risk taking behaviours are those which affect the physical and mental health of individuals. Risk taking behaviours may include smoking, alcoholism, unsafe sexual habits, gambling and participating in dangerous activities. Tobacco is the major cause of preventable death in New Zealand. Smoking kills around 4300 to 4700 people per year, among this almost 600 are Maori (Maori Affairs Committee, 2010). Some people consider smoking as a method of channelizing their stress or escape mechanism from their stressful situation or frustrated family life. Some consider smoking as a way to get peer pleasure and to kick out their boredom (Marks, Murray, Evans Willig, 2001). Increased risk of smoking is usually seen in those who are divorced, separated or lone parents. 80-90% of smoking prevalence is seen among people who are under severe deprivation areas such as prisoners, homeless and poor (Marmot Wilkinson, 2001). Young people consider smoking as a way of developing their identity, method of relaxing tension and making peers. Parents and role models can greatly influence smoking behaviour of adolescents (McMurray Clendon, 2010). Media plays a great role in influencing people to smoke even though they advertise about the repercussions of smoking (Marks et al., 2001). The use of tobacco gives rise to many health hazards. Smoking contributes to the higher incidence of coronary artery disease, chronic obstructive pulmonary disease, pneumonia, reduced lung function, impaired lung growth in children and various cancers especially lung cancer. Smoking aggravates the symptoms of many other illnesses, for instance smoking can reduce fertility, increased cataract incidence, poor wound healing, and worsen peptic ulcer. Smoking during pregnancy can lead to birth complications, premature death, small gestational age and low birth weight. Passive smoking is another health risk associated with smoking. Non-smokers living with smokers have 30% increased chance of lung cancer (Maori A ffairs Committee, 2010). In brief social conditions are particularly important in determining health status of an individual. When a social environment is supportive, the person is more likely to be empowered in their health. There is a well-established evidence of relationship between income and Maori health status. Nurses can play an important role in reducing the inequalities in health. In addition to this smoking remains a major contributor to disparities in health status because this behaviour is strongly shaped by income deprivation, occupation and education.
Saturday, July 20, 2019
Reader Response of Namââ¬â¢s At the Door :: Wong Phui Nam
Wong Phui Namââ¬â¢s ââ¬Å"At the Doorâ⬠is mainly giving a voice to the unwanted unborn who struggles with death in the early stage of its life. The persona begins by questioning its mother on why did she poisons it. From line ââ¬Å"the poisons seep down, blacken leaf and stemâ⬠giving readers the images of death as the poison oozes slowly in painful and destroying manner. The news of pregnancy and birth are in general received as something blissful and joyful, however it is obviously not the case for this pregnancy. This poem illustrates sadness and grief of the discarded foetus, giving it a melancholy tone. The foetus is seen as a plant. The new life of the foetus as symbolises in ââ¬Å"leafâ⬠, ââ¬Å"stemâ⬠and ââ¬Å"rootsâ⬠are ââ¬Å"blackenâ⬠, ââ¬Å"pinchâ⬠and ââ¬Å"disarrangeâ⬠and it is deformed before birth by the poison. More images of deformity can be seen in the second stanza. The persona states the ââ¬Å"streamsâ⬠and ââ¬Å"bloodâ⬠that gives the notion of new life, is contaminated and hence deformed its ââ¬Å"hooked tailâ⬠which is supposed to develop to be its legs and the ââ¬Å"forked endsâ⬠as its fingers. The stained and ruined blood causes by the poison has fatally lead the deformity of the foetus and disregard the existence of this new life. The personaââ¬â¢s unwanted existence is described more in the moment of its birth in the third stanza. The persona again questions its mother wonder if she ever pictures the condition of her child in her womb. Instead of developing into a well transformed human being, due to the seeping poison the foetus ââ¬Å"melted back into glistening bunched gelâ⬠. This image offers readers an ugly sight of the deformed, unwanted embryo. The deformed foetus that is depicted as ââ¬Å"glistening bunched gel, / red grapesâ⬠is ââ¬Å"expelledâ⬠from the womb, reinforcing the idea of the unwanted existence by being violently thrown out from the womb where it is presumed to be safe and warm for the new comer. The persona continues by inquiring its mother if she finds life difficult like the way it feels and this notion is portrayed through the dictions, ââ¬Å"harshâ⬠and ââ¬Å"sharp anxietiesâ⬠. Persona sees itself as ââ¬Å"delicateâ⬠ââ¬Å"crystalsâ⬠implying the notion of fragility and can easily be destroyed. Reader Response of Namââ¬â¢s At the Door :: Wong Phui Nam Wong Phui Namââ¬â¢s ââ¬Å"At the Doorâ⬠is mainly giving a voice to the unwanted unborn who struggles with death in the early stage of its life. The persona begins by questioning its mother on why did she poisons it. From line ââ¬Å"the poisons seep down, blacken leaf and stemâ⬠giving readers the images of death as the poison oozes slowly in painful and destroying manner. The news of pregnancy and birth are in general received as something blissful and joyful, however it is obviously not the case for this pregnancy. This poem illustrates sadness and grief of the discarded foetus, giving it a melancholy tone. The foetus is seen as a plant. The new life of the foetus as symbolises in ââ¬Å"leafâ⬠, ââ¬Å"stemâ⬠and ââ¬Å"rootsâ⬠are ââ¬Å"blackenâ⬠, ââ¬Å"pinchâ⬠and ââ¬Å"disarrangeâ⬠and it is deformed before birth by the poison. More images of deformity can be seen in the second stanza. The persona states the ââ¬Å"streamsâ⬠and ââ¬Å"bloodâ⬠that gives the notion of new life, is contaminated and hence deformed its ââ¬Å"hooked tailâ⬠which is supposed to develop to be its legs and the ââ¬Å"forked endsâ⬠as its fingers. The stained and ruined blood causes by the poison has fatally lead the deformity of the foetus and disregard the existence of this new life. The personaââ¬â¢s unwanted existence is described more in the moment of its birth in the third stanza. The persona again questions its mother wonder if she ever pictures the condition of her child in her womb. Instead of developing into a well transformed human being, due to the seeping poison the foetus ââ¬Å"melted back into glistening bunched gelâ⬠. This image offers readers an ugly sight of the deformed, unwanted embryo. The deformed foetus that is depicted as ââ¬Å"glistening bunched gel, / red grapesâ⬠is ââ¬Å"expelledâ⬠from the womb, reinforcing the idea of the unwanted existence by being violently thrown out from the womb where it is presumed to be safe and warm for the new comer. The persona continues by inquiring its mother if she finds life difficult like the way it feels and this notion is portrayed through the dictions, ââ¬Å"harshâ⬠and ââ¬Å"sharp anxietiesâ⬠. Persona sees itself as ââ¬Å"delicateâ⬠ââ¬Å"crystalsâ⬠implying the notion of fragility and can easily be destroyed.
Friday, July 19, 2019
Chinua Achebes Things Fall Apart â⬠Finding Unoka in the Mirror :: Things Fall Apart Essays
Things Fall Apart ââ¬â Finding Unoka in the Mirror I wish I could say that the character Okonkwo, in the novel Things Fall Apart by Chinua Achebe, is very similar to myself, but I would be lying. Okonkwo is filled with many admirable traits: drive, ambition, goals, and his ability to overcome through his constant productivity. Okonkwo had the determination to become a great man, and even with the odds against him, he succeeded. ââ¬Å"With a father like Unoka, Okonkwo did not have the start in life which many young men had. He neither inherited a barn nor a title, or even a young wife. But in spite of these disadvantages, he had begun even in his fatherââ¬â¢s lifetime to lay the foundations of a prosperous futureâ⬠(18). Most of his accomplishments were despite his father, whom Okonkwo loathed, but with whom I connected. In the novel, I relate more to Okonkwoââ¬â¢s father, Unoka, a much more laid back character. Like Unoka, I am in love with life, lazy, not worried about tomorrow, and deeply in debt. Unoka had a great appreciation for the moment. For instance, ââ¬Å"he loved this season of the year, when the rains had stopped and the sun rose every morning with dazzling beauty. And it was not too hot eitherâ⬠¦Ã¢â¬ (5). Such a description makes me want to lay down drowsy in the grass and enjoy the beauty of the day, for as Unoka ââ¬Å"loved it allâ⬠(5), I too love it all (5)! What I would give for another summer day to simply nap, sprawled on my stomach in the grass of my back yard, feeling the warmth of the sun and security of a newborn napping in its motherââ¬â¢s arms. How deeply do I love these moments of drowsiness and warmth nature supplies her children. I imagine Unoka had similar experiences through playing the flute. ââ¬Å"He was very good on his flute, and his happiest moments were the two or three moons after the harvest when the village musicians brought down their instruments, hung above the fireplace. Unoka would play with them, his face beaming wit h blessedness and peaceâ⬠(4). Unoka and I enjoy the simple things life has to offer. Perhaps this appreciation is rooted in our struggle against society, one which demands the focus of our lives to lie beyond the setting sun. However, there must come a day when you ask yourself, will I even be alive tomorrow?
Immunitarian Democracy :: Democracy Politics Community
Immunitarian Democracy 1. Does "community" refer to democracy? If not, could it or is it too deeply embedded in the conceptual lexicon of the Romantic, authoritarian and racist Right? This is the question, one already asked by American neo-communitarianism, that is emerging again in Europe at the precise moment when, some, especially in France and in Italy, are risking thinking community anew. At issue is not only a legitimate question, but in some ways even an inevitable one, in which democractic culture deeply examines its own theoretical precepts and future. This doesn't change the fact though that it's the wrong question or that it's badly put. Wrong or badly put because it takes as its term of comparison -- in order to be related to the category of community - a concept, that of democracy that is utterly incapable of "understanding" it, not only because its modern meaning at least, arrives much later, but also because it is flatter and increasingly overwhelmed in a dimension that is entirely political and institutional. With respect to this lack of depth and substance of the politicological notion of democracy, community has a very different semantic width, both on the vertical level of history and on the synchronic one of meaning. This isn't the place to attempt a complete reconstruction, though my recent research beginning with the etymological origins of the term communitas and even more before that of munus in Latin does confirm the historical and semantic richness of the concept (R. Esposito, 1998). What we can infer from the above discussion, however, is that the correct question isn't whether the community can become a part of the democratic lexicon, but whether even democracy can be a part or at a minimum acquire some of its meaning in the lexicon of community. Without wanting to show my hand too quickly, a first step is required, which focuses more on the second term. Here we aren't helped at all by the conceptual dichotomies with which 20th century philosophy has tried to define comm unity, one that lost along the way the original meaning of community. I'm not talking only of the one constructed by the so-called American communitarians with respect to their presumed adversaries, the liberals, who constitute rather their exact interface in the specific sense that they unconsciously share the same subjectivist as well as exclusively partisan lexicon, applied not to the community but to the individual (where communities like individuals are distinguished between them, one from the other).
Thursday, July 18, 2019
Family Planning
Real Distinction between the Natural Family Planning to the Artificial Family Planning What is Family Planning? What are the differences between the Natural and Artificial Family Planning? Family planningà is theà planningà of when to haveà children,à and the use ofà birth control and other techniques to implement such plans. Other techniques commonly used include sexuality education,à prevention and management ofà sexually transmitted infections, pre-conception counselingà andà management, andà infertility management.Family planning is sometimes used as a synonym for the use ofà birth control, however, it often includes a wide variety of methods, and practices that are not birth control. It is most usually applied to aà female-maleà couple who wish to limit the number of children they have and/or to control the timing ofà pregnancyà (also known asà spacing children). Family planning may encompassà sterilization, as well asà abortion.Family plann ing services are defined as ââ¬Å"educational, comprehensive medical or social activities which enable individuals, including minors, to determine freely the number and spacing of their children and to select the means by which this may be achieved. â⬠Natural family planningà (NFP) comprises theà family planningà methods approved by the Roman Catholic Church. In accordance with the Church's teachings regardingà sexual behaviorà in keeping with its philosophy of the dignity of the human person, NFP excludes the use of other methods ofà birth control, which it refers to as ââ¬Å"artificial contraception. Periodicà abstinenceà is the only method deemed moral by the Church for avoiding pregnancy. When used to avoid pregnancy, NFP limits sexual intercourse to naturally infertile periods; portions of theà menstrual cycle, during pregnancy, and afterà menopause. Various methods may be used to identify whether a woman is likely to beà fertile; this information may be used in attempts to either avoid or achieve pregnancy. There are three main types of NFP: the symptoms-based methods, the calendar-based methods, and the breastfeeding orà lactational amenorrhea method.Symptoms-based methods rely on biological signs of fertility, while calendar-based methods estimate the likelihood of fertility based on the length of past menstrual cycles. Clinical studies by theà Guttmacher Instituteà found that periodic abstinence resulted in a 25. 3 percent failure under typical conditions, though it did not differentiate between symptom-based and calendar-based methods. Symptoms-based Some methods of NFP track biological signs of fertility. When used outside of the Catholic concept of NFP, these methods are often referred to simply asà fertility awareness-based methodsà rather than NFP.The three primary signs of a woman's fertility are herà basal body temperature, herà cervicalà mucus, and her cervical position. Computerizedà fertility m onitorsà may track basal body temperatures, hormonal levels in urine, changes in electrical resistance of a woman's saliva or a mixture of these symptoms. From these symptoms, a woman can learn to assess her fertility without use of a computerized device. Some systems use only cervical mucus to determine fertility. Two well-known mucus-only methods are theà Billings ovulation methodà and theà Creighton Model Fertility Care System.If two or more signs are tracked, the method is referred to as a symptothermal method. Two popular symptothermal systems are taught by theà Couple to Couple Leagueà and the Fertility Awareness Method (FAM) taught byà Toni Weschler. A study completed in Germany in 2007 found that the symptothermal method has a method effectiveness of 99. 6%. In Canada, the symptothermal method is taught byà SERENA Canadaà which is an inter-denominational organization which has been developing the Symptothermal Method as a part of NFP since 1955.They are als o not specifically affiliated with the Roman Catholic Church. It is also taught byà Justisse Healthworks for Women, a pro-choice feminist organization that allows and supports women to combine other methods of birth control with their fertility awareness practice. A study by the World Health Organization involving 869 fertile women from Australia, India, Ireland, the Philippines, and El Salvador found that 93% could accurately interpret their body's signals regardless of education and culture. In a 36-month study of 5,752 women, the method was 99. 86% effective. Calendar-basedCalendar-based methods determine fertility based on a record of the length of previous menstrual cycles. They include the Rhythm Method and the Standard Days Method. The Standard Days method was developed and proven by the researchers at the Institute for Reproductive Health of Georgetown University. CycleBeads, unaffiliated with religious teachings, is a visual tool based on the Standard Days method. Accordi ng to the Institute of Reproductive Health, when used as birth control, CB has a 95% effectiveness rating. Computer programs are available to help track fertility on a calendar.Lactational amenorrhea Theà lactational amenorrhea methodà (LAM) is a method of avoiding pregnancy based on the naturalà postpartumà infertilityà that occurs when a woman isà amenorrheicà and fullyà breastfeeding. The rules of the method help a woman identify and possibly lengthen her infertile period. A strict version of LAM is known asà ecological breastfeeding. Artificial Family Planning/Birth Control, also known asà contraceptionà andà fertility control, refers to methods or devices used to preventà pregnancy. Planning and provision of birth control is calledà family planning.Safe sex, such as the use of male orà female condoms, can also help prevent transmission ofà sexually transmitted diseases. Contraceptive use inà developing countries has cut the number ofà materna l deathsà by 44% (about 270,000 deaths averted in 2008) but could prevent 73% if the full demand for birth control were met. Becauseà teenage pregnanciesà are at greater risk of adverse outcomes such asà preterm birth,à low birth weight andà infant mortality, adolescents need comprehensiveà sex educationà and access to reproductive healthà services, including contraception.By lengthening the time between pregnancies, birth control can also improve adult women's delivery outcomes and the survival of their children. Effective birth control methods includeà barriersà such asà condoms,à diaphragms, and the contraceptive sponge;à hormonal contraceptionà includingà oral pills,à patches,à vaginal rings, and injectable contraceptives; andà intrauterine devicesà (IUDs). Emergency contraceptionà can prevent pregnancy after unprotected sex. Long-acting reversible contraceptionà such as implants, IUDs, or vaginal rings are recommended to reduceà tee nage pregnancy.Sterilizationà by means such asà vasectomyà andà tubal ligationà is permanent contraception. Some people regardà sexual abstinenceà as birth control, butà abstinence-only sex education often increases teen pregnancies when offered without contraceptive education. Non-penetrative sexà andà oral sexà are also sometimes considered contraception. Birth control methods have been used since ancient times, but effective and safe methods only became available in the 20th century. For some people, contraception involves moral issues, and many cultures limit access to birth control due to the moral and political issues involved.About 222 million women who want to avoid pregnancy in developing countries are not using a modern contraception method. Birth control increasesà economic growthà because of fewer dependent children, more women participating in the work force, and less consumption of scarce resources. Women's earnings, assets,à body mass index , and their children's schooling and body mass index all substantially improve with greater access to contraception. Methods of Artificial Family Planning Artificial Family Planning/Birth control includesà barrier methods,à hormonal contraception,à intrauterine devicesà (IUDs), sterilization, and behavioral methods.Hormones can beà delivered by injection, by mouth (orally),à placed in the vagina, or implanted under the skin. The most common types of oral contraception include theà combined oral contraceptive pillà and theà progestogen-only pill. Methods are typically used before sex butà emergency contraceptionà is effective shortly after intercourse. Determining whether a woman with one or more illnesses, diseases, risk factors, or abnormalities can use a particular form of birth control is a complex medical question sometimes requiring aà pelvic examinationà or medical tests.Theà World Health Organization publishes a detailed list of medical eligibility criteria for each type of contraception. Birth control methods * An unrolled maleà latex condom * A polyurethaneà female condom * Aà diaphragmà vaginal-cervicalà barrier, in its case with aà quarter U. S. coinà to show scale * Aà contraceptive spongeà set inside its open package * Three varieties ofà birth control pillsà in calendar oriented packaging * A transdermal contraceptive patch * Aà Nuva Ringà vaginal ring * A hormonalà intrauterine deviceà (IUD) against a background showing placement in theà uterus *A copper IUD next to a dimeà to show scale * A split dose of two emergency contraceptive pills (most morning after pills now only require one) Barrier Barrier contraceptivesà are devices that attempt to preventà pregnancyà by physically preventingà spermà from entering theà uterus. They include: maleà condoms,à female condoms,à cervical caps,à diaphragms, andà contraceptive spongesà withà spermicide. The condom is mos t commonly used duringà sexual intercourseà to reduce the likelihood ofà pregnancyà and of spreadingà sexually transmitted diseasesà (STDsââ¬âsuch asà gonorrhea,à syphilis, andà HIV).It is put on a man's erectà penisà and physically blocks ejaculated semen from entering the body of a sexual partner. Modern condoms are most often made fromà latex, but some are made from other materials such asà polyurethane,à polyisoprene, or lamb intestine. Aà female condomà is also available, most often made ofà nitrile. Male condoms have the advantage of being inexpensive, easy to use, and having few side effects. Contraceptive sponges combine a barrier with spermicide. Like diaphragms, they are inserted vaginally prior to intercourse and must be placed over theà cervixà to be effective.Typical effectiveness during the first year of use is about 84% overall, and 68% among women who have already given birth. The sponge can be inserted up to 24 hours before intercourse and must be left in place for at least six hours afterward. Some people are allergic to spermicide used in the sponge. Women who use contraceptive sponges have an increased risk ofà yeast infectionsà andà urinary tract infections. Leaving the sponge in for more than 30 hours can result inà toxic shock syndrome. Hormonal Hormonal contraceptivesà inhibità ovulationà andà fertilization.These includeà oral pills,à subdermalà implants, andà injectable contraceptivesas well as theà patch,à hormonal IUDsà and theà vaginal ring. The most commonly used hormonal contraceptive is theà combined oral contraceptive pillââ¬âcommonly known as ââ¬Å"the pillâ⬠ââ¬âwhich includes a combination of anà estrogenà and aà progestinà (progestogen). There is also a progestin-only pill. Currently, hormonal contraceptives are available only for females. Combined hormonal contraceptives are associated with a slight increased cardiovascular risk , including a small increased risk ofà venousandà arterial thrombosis. However, the benefits are greater than the risk.Oral contraceptives reduce the risk ofà ovarian cancerà andà endometrial cancerà without increasing the risk forà breast cancer. They can lower body weight by reducingà water retentionà (not loss of fat), and several are used to treat mild to moderateà acne. Between 2% and 10% of women of childbearing age experience emotional and physical symptoms associated withà premenstrual syndromeà (PMS) andpremenstrual dysphoric disorderà (PMDD). Combination hormonal contraceptives often ameliorate or effectively treat these problems and can effectively treat heavy menstrual bleeding andà dysmenorrheaà (painful menstruation) as well.Lower doses of estrogen required by vaginal administration (i. e. , from the vaginal ring or hormonal IUDs instead of the pill) may reduce the untoward side effects associated with higher oral doses such as breast tend erness,à nausea, and headache. Progestogen-only pills and intrauterine devices are not associated with an increased risk of thromboses and may be used by women with previous venous thrombosis, or hepatitis. In those with a history of arterial thrombosis, non-hormonal birth control should be used. Progestogen-only pills may improve menstrual symptoms such sà dysmenorrhea,à menorrhagia, premenstrual syndrome, and anemia, and are recommended for breast-feeding women because they do not affect lactation. Irregular bleeding can be a side effect of progestin-only methods, with about 20% of users reportingà amenorrheaà (often considered a benefit) and about 40% of women experiencing regular menstrual cycles, leaving the remaining 40% with irregular spotting or bleeding. Uncommon side effects of progestin-only pills, injections, and implants include headache, breast tenderness, mood effects, andà dysmenorrhea, but those symptoms often resolve with time.Newer progestins, such as drospirenone and desogestrel, minimize theà androgenicà side effects of their predecessors. Intrauterine devices The modernà intrauterine deviceà (IUD) is a small ââ¬ËT'-shaped birth control device, containing either copper or progesterone, which is inserted into the uterus. IUDs are a form ofà long-acting reversible contraception, the most effective type of reversible birth control. As of 2002, IUDs were the most widely used form of reversible contraception, with nearly 160 million users worldwide. Evidence supports both effectiveness and safety in adolescents.Advantages of the copper IUD include its ability to provideà emergency contraceptionà up to five days after unprotected sex. It is the most effective form of emergency contraception available. It contains no hormones, so it can be used while breast feeding, and fertility returns quickly after removal. Disadvantages include the possibility of heavier menstrual periods and more painful cramps. Hormonal IUDs do not increase bleeding as copper-containing IUDs do. Rather, they reduce menstrual bleeding or stop menstruation altogether, and can be used as a treatment forà heavy periods.Levonorgestrel-releasing IUDs may be used during breastfeeding whether or not they also include copper. Sterilization Surgical sterilizationà is available in the form ofà tubal ligationà for women andà vasectomyà for men. There are no significant long term side effects and tubal ligation decreases the risk ofà ovarian cancer. Some women regret such a decision: about 5% over 30 years, and about 20% under 30. Short term complications are less likely from a vasectomy than a tubal ligation. Neither method offers protection fromà sexually transmitted nfections. Although sterilization is considered a permanent procedure, it is possible to attempt aà tubal reversalà to reconnect theà Fallopian tubesà in females or aà vasectomy reversalà to reconnect theà vasa deferentiaà in males. The ra te of success depends on the original technique, tubal damage, and the person's age. Behavioral Behavioral methods involveà regulating the timingà or methods of intercourse to prevent introduction of sperm into the female reproductive tract, either altogether or when an egg may be present. ]LactationalFrom ancient times women have extended breastfeeding in an effort to avoid a new pregnancy. Theà lactational amenorrhea method, or LAM, outlines guidelines for determining the length of a woman's period of breastfeeding infertility. For women who meet the criteria, LAM is highly effective during the first six months postpartumà if breastfeeding is the infantââ¬â¢s only (or almost only) source of nutrition. Feeding formula, pumping instead of nursing, and feeding solids all reduce the effectiveness of LAM. Fertility awarenessCalendar-based contraceptive methodsà such as the discredited rhythm method and theà Standard Days Methodà estimate the likelihood of fertility bas ed on the length of past menstrual cycles. To avoid pregnancy with fertility awareness, unprotected sex is restricted to a woman's least fertile period. During her most fertile period, barrier methods may be used, or she may abstain from intercourse. The term ââ¬Å"natural family planningâ⬠(NFP) is sometimes used to refer to any use of fertility awareness methods. However, this term specifically refers to the practices that are permitted by theà Roman Catholic Church.The effectiveness ofà fertility awareness-based methods of contraception is unknown because of the lack of completed standardized and controlled scientific trials. More effective than calendar-based methods, systems of fertility awareness that track basal body temperature, cervical mucus, or both, are known as symptoms-based methods. Teachers of symptoms-based methods take care to distance their systems from the poor reputation of the rhythm method. Many consider the rhythm method to have been obsolete for at least 20 years, and some even exclude calendar-based methods from their definition of fertility awareness.Aà Cycle Beadsà birth control chain, used for a rough estimate of fertility based on days since menstruation Theà Standard Days Methodà has a simpler rule set and is more effective than the rhythm method. The Standard Days Method has a typical failure rate of 12% per year. A product calledà Cycle Beadsà was developed alongside the method to help the user keep track of estimated high and low fertility points during her menstrual cycle. The Standard Days Method may only be used by women whose cycles are always between 26 and 32 days in length.In this system: * Days 1-7 of a woman's menstrual cycle are considered infertile * Days 8-19 are considered fertile; considered unsafe for unprotected intercourse * From Day 20, infertility is considered to resume Symptoms-based methods of fertility awareness involve a woman's observation and charting of her body's fertility sign s, to determine the fertile and infertile phases of her cycle. Charting may be done by hand or with the assistance ofà fertility monitors. Most methods track one or more of the three primary fertility signs:à changes inà basal body temperature, in cervical mucus, and in cervical position.If a woman tracks both basal body temperature and another primary sign, the method is referred to as ââ¬Å"symptothermal. â⬠Other bodily cues such asà mittelschmerzà are considered secondary indicators. Unplanned pregnancy rates have been reported from 1% to 20% for typical users of the symptothermal method. Withdrawal Coitus interruptusà (literally ââ¬Å"interrupted sexual intercourseâ⬠), also known as the withdrawal or pull-out method, is the practice of ending sexual intercourse (ââ¬Å"pulling outâ⬠) before ejaculation.The main risk of coitus interruptus is that the man may not perform the maneuver correctly or in a timely manner. Despite older studies claiming that no sperm was found in preejaculatory penile secretion, a more recent study states that ââ¬Å"41% [of subjects] produced pre-ejaculatory samples that contained spermatozoa and in 37% a reasonable proportion of the sperm was motileâ⬠. Abstinence Though some groups advocate totalà sexual abstinence, by which they mean the avoidance of all sexual activity, in the context of birth control the term usually means abstinence from vaginally penetrative sexual activity.Abstinence is 100% effective in preventing pregnancy; however, not everyone who intends to be abstinent refrains from all sexual activity, and in many populations there is a significant risk of pregnancy from nonconsensual sex. Abstinence-only sex educationà does not reduceà teen pregnancy. Teen pregnancy rates are higher in students given abstinence only education, compared to comprehensive sex education. Some authorities recommend that those using abstinence as a primary method have backup method(s) available (su ch as condoms or emergency contraceptive pills).Non-penetrativeà andà oral sex will generally avoid pregnancy, but pregnancy can still occur withà Intercrural sexà and other forms of penis-near-vagina sex (genital rubbing, and the penis exiting fromà anal intercourse) where semen can be deposited near the entrance to the vagina and can itself travel along the vagina's lubricating fluids. Emergency (after sex) Emergency contraceptives, or ââ¬Å"morning-after pills,â⬠are drugs taken after sexual intercourse intended to prevent pregnancy. Levonorgestrelà (progestin) pills, marketed as ââ¬Å"Plan Bâ⬠and ââ¬Å"Next Choice,â⬠are available without prescription (to women and men aged 17 and older in the U.S. ) to prevent pregnancy when used within 72 hours (3 days) after unprotected sex or condom failure. Ulipristal(ââ¬Å"Ellaâ⬠) is the newest emergency contraceptive, available by prescription only for use up to 120 hours (5 days) after unprotected sex , resulting in a pregnancy risk 42% lower than levonorgestrel up to 72 hours and 65% lower in the first 24 hours following sex. Providing morning after pills to women in advance does not affect sexually transmitted infection rates, condom use, pregnancy rates, or sexual risk-taking behavior. Pharmacistsà are a major source of access to emergency contraception.Morning after pills have almost no health risk, no matter how often they are used. Copper T-shaped IUDs can also be used as emergency contraceptives. Copper IUDs can be inserted up to the time of implantation (6ââ¬â12 days after ovulation) but are generally not inserted more than five days after unprotected sex. For every eight expected pregnancies, the use of levonorgestrel morning after pills will prevent seven. Ulipristal is about twice as effective as levonorgestrel. Copper IUDs are more than 99% effective in reducing pregnancy risk. Family Planning Real Distinction between the Natural Family Planning to the Artificial Family Planning What is Family Planning? What are the differences between the Natural and Artificial Family Planning? Family planningà is theà planningà of when to haveà children,à and the use ofà birth control and other techniques to implement such plans. Other techniques commonly used include sexuality education,à prevention and management ofà sexually transmitted infections, pre-conception counselingà andà management, andà infertility management.Family planning is sometimes used as a synonym for the use ofà birth control, however, it often includes a wide variety of methods, and practices that are not birth control. It is most usually applied to aà female-maleà couple who wish to limit the number of children they have and/or to control the timing ofà pregnancyà (also known asà spacing children). Family planning may encompassà sterilization, as well asà abortion.Family plann ing services are defined as ââ¬Å"educational, comprehensive medical or social activities which enable individuals, including minors, to determine freely the number and spacing of their children and to select the means by which this may be achieved. â⬠Natural family planningà (NFP) comprises theà family planningà methods approved by the Roman Catholic Church. In accordance with the Church's teachings regardingà sexual behaviorà in keeping with its philosophy of the dignity of the human person, NFP excludes the use of other methods ofà birth control, which it refers to as ââ¬Å"artificial contraception. Periodicà abstinenceà is the only method deemed moral by the Church for avoiding pregnancy. When used to avoid pregnancy, NFP limits sexual intercourse to naturally infertile periods; portions of theà menstrual cycle, during pregnancy, and afterà menopause. Various methods may be used to identify whether a woman is likely to beà fertile; this information may be used in attempts to either avoid or achieve pregnancy. There are three main types of NFP: the symptoms-based methods, the calendar-based methods, and the breastfeeding orà lactational amenorrhea method.Symptoms-based methods rely on biological signs of fertility, while calendar-based methods estimate the likelihood of fertility based on the length of past menstrual cycles. Clinical studies by theà Guttmacher Instituteà found that periodic abstinence resulted in a 25. 3 percent failure under typical conditions, though it did not differentiate between symptom-based and calendar-based methods. Symptoms-based Some methods of NFP track biological signs of fertility. When used outside of the Catholic concept of NFP, these methods are often referred to simply asà fertility awareness-based methodsà rather than NFP.The three primary signs of a woman's fertility are herà basal body temperature, herà cervicalà mucus, and her cervical position. Computerizedà fertility m onitorsà may track basal body temperatures, hormonal levels in urine, changes in electrical resistance of a woman's saliva or a mixture of these symptoms. From these symptoms, a woman can learn to assess her fertility without use of a computerized device. Some systems use only cervical mucus to determine fertility. Two well-known mucus-only methods are theà Billings ovulation methodà and theà Creighton Model Fertility Care System.If two or more signs are tracked, the method is referred to as a symptothermal method. Two popular symptothermal systems are taught by theà Couple to Couple Leagueà and the Fertility Awareness Method (FAM) taught byà Toni Weschler. A study completed in Germany in 2007 found that the symptothermal method has a method effectiveness of 99. 6%. In Canada, the symptothermal method is taught byà SERENA Canadaà which is an inter-denominational organization which has been developing the Symptothermal Method as a part of NFP since 1955.They are als o not specifically affiliated with the Roman Catholic Church. It is also taught byà Justisse Healthworks for Women, a pro-choice feminist organization that allows and supports women to combine other methods of birth control with their fertility awareness practice. A study by the World Health Organization involving 869 fertile women from Australia, India, Ireland, the Philippines, and El Salvador found that 93% could accurately interpret their body's signals regardless of education and culture. In a 36-month study of 5,752 women, the method was 99. 86% effective. Calendar-basedCalendar-based methods determine fertility based on a record of the length of previous menstrual cycles. They include the Rhythm Method and the Standard Days Method. The Standard Days method was developed and proven by the researchers at the Institute for Reproductive Health of Georgetown University. CycleBeads, unaffiliated with religious teachings, is a visual tool based on the Standard Days method. Accordi ng to the Institute of Reproductive Health, when used as birth control, CB has a 95% effectiveness rating. Computer programs are available to help track fertility on a calendar.Lactational amenorrhea Theà lactational amenorrhea methodà (LAM) is a method of avoiding pregnancy based on the naturalà postpartumà infertilityà that occurs when a woman isà amenorrheicà and fullyà breastfeeding. The rules of the method help a woman identify and possibly lengthen her infertile period. A strict version of LAM is known asà ecological breastfeeding. Artificial Family Planning/Birth Control, also known asà contraceptionà andà fertility control, refers to methods or devices used to preventà pregnancy. Planning and provision of birth control is calledà family planning.Safe sex, such as the use of male orà female condoms, can also help prevent transmission ofà sexually transmitted diseases. Contraceptive use inà developing countries has cut the number ofà materna l deathsà by 44% (about 270,000 deaths averted in 2008) but could prevent 73% if the full demand for birth control were met. Becauseà teenage pregnanciesà are at greater risk of adverse outcomes such asà preterm birth,à low birth weight andà infant mortality, adolescents need comprehensiveà sex educationà and access to reproductive healthà services, including contraception.By lengthening the time between pregnancies, birth control can also improve adult women's delivery outcomes and the survival of their children. Effective birth control methods includeà barriersà such asà condoms,à diaphragms, and the contraceptive sponge;à hormonal contraceptionà includingà oral pills,à patches,à vaginal rings, and injectable contraceptives; andà intrauterine devicesà (IUDs). Emergency contraceptionà can prevent pregnancy after unprotected sex. Long-acting reversible contraceptionà such as implants, IUDs, or vaginal rings are recommended to reduceà tee nage pregnancy.Sterilizationà by means such asà vasectomyà andà tubal ligationà is permanent contraception. Some people regardà sexual abstinenceà as birth control, butà abstinence-only sex education often increases teen pregnancies when offered without contraceptive education. Non-penetrative sexà andà oral sexà are also sometimes considered contraception. Birth control methods have been used since ancient times, but effective and safe methods only became available in the 20th century. For some people, contraception involves moral issues, and many cultures limit access to birth control due to the moral and political issues involved.About 222 million women who want to avoid pregnancy in developing countries are not using a modern contraception method. Birth control increasesà economic growthà because of fewer dependent children, more women participating in the work force, and less consumption of scarce resources. Women's earnings, assets,à body mass index , and their children's schooling and body mass index all substantially improve with greater access to contraception. Methods of Artificial Family Planning Artificial Family Planning/Birth control includesà barrier methods,à hormonal contraception,à intrauterine devicesà (IUDs), sterilization, and behavioral methods.Hormones can beà delivered by injection, by mouth (orally),à placed in the vagina, or implanted under the skin. The most common types of oral contraception include theà combined oral contraceptive pillà and theà progestogen-only pill. Methods are typically used before sex butà emergency contraceptionà is effective shortly after intercourse. Determining whether a woman with one or more illnesses, diseases, risk factors, or abnormalities can use a particular form of birth control is a complex medical question sometimes requiring aà pelvic examinationà or medical tests.Theà World Health Organization publishes a detailed list of medical eligibility criteria for each type of contraception. Birth control methods * An unrolled maleà latex condom * A polyurethaneà female condom * Aà diaphragmà vaginal-cervicalà barrier, in its case with aà quarter U. S. coinà to show scale * Aà contraceptive spongeà set inside its open package * Three varieties ofà birth control pillsà in calendar oriented packaging * A transdermal contraceptive patch * Aà Nuva Ringà vaginal ring * A hormonalà intrauterine deviceà (IUD) against a background showing placement in theà uterus *A copper IUD next to a dimeà to show scale * A split dose of two emergency contraceptive pills (most morning after pills now only require one) Barrier Barrier contraceptivesà are devices that attempt to preventà pregnancyà by physically preventingà spermà from entering theà uterus. They include: maleà condoms,à female condoms,à cervical caps,à diaphragms, andà contraceptive spongesà withà spermicide. The condom is mos t commonly used duringà sexual intercourseà to reduce the likelihood ofà pregnancyà and of spreadingà sexually transmitted diseasesà (STDsââ¬âsuch asà gonorrhea,à syphilis, andà HIV).It is put on a man's erectà penisà and physically blocks ejaculated semen from entering the body of a sexual partner. Modern condoms are most often made fromà latex, but some are made from other materials such asà polyurethane,à polyisoprene, or lamb intestine. Aà female condomà is also available, most often made ofà nitrile. Male condoms have the advantage of being inexpensive, easy to use, and having few side effects. Contraceptive sponges combine a barrier with spermicide. Like diaphragms, they are inserted vaginally prior to intercourse and must be placed over theà cervixà to be effective.Typical effectiveness during the first year of use is about 84% overall, and 68% among women who have already given birth. The sponge can be inserted up to 24 hours before intercourse and must be left in place for at least six hours afterward. Some people are allergic to spermicide used in the sponge. Women who use contraceptive sponges have an increased risk ofà yeast infectionsà andà urinary tract infections. Leaving the sponge in for more than 30 hours can result inà toxic shock syndrome. Hormonal Hormonal contraceptivesà inhibità ovulationà andà fertilization.These includeà oral pills,à subdermalà implants, andà injectable contraceptivesas well as theà patch,à hormonal IUDsà and theà vaginal ring. The most commonly used hormonal contraceptive is theà combined oral contraceptive pillââ¬âcommonly known as ââ¬Å"the pillâ⬠ââ¬âwhich includes a combination of anà estrogenà and aà progestinà (progestogen). There is also a progestin-only pill. Currently, hormonal contraceptives are available only for females. Combined hormonal contraceptives are associated with a slight increased cardiovascular risk , including a small increased risk ofà venousandà arterial thrombosis. However, the benefits are greater than the risk.Oral contraceptives reduce the risk ofà ovarian cancerà andà endometrial cancerà without increasing the risk forà breast cancer. They can lower body weight by reducingà water retentionà (not loss of fat), and several are used to treat mild to moderateà acne. Between 2% and 10% of women of childbearing age experience emotional and physical symptoms associated withà premenstrual syndromeà (PMS) andpremenstrual dysphoric disorderà (PMDD). Combination hormonal contraceptives often ameliorate or effectively treat these problems and can effectively treat heavy menstrual bleeding andà dysmenorrheaà (painful menstruation) as well.Lower doses of estrogen required by vaginal administration (i. e. , from the vaginal ring or hormonal IUDs instead of the pill) may reduce the untoward side effects associated with higher oral doses such as breast tend erness,à nausea, and headache. Progestogen-only pills and intrauterine devices are not associated with an increased risk of thromboses and may be used by women with previous venous thrombosis, or hepatitis. In those with a history of arterial thrombosis, non-hormonal birth control should be used. Progestogen-only pills may improve menstrual symptoms such sà dysmenorrhea,à menorrhagia, premenstrual syndrome, and anemia, and are recommended for breast-feeding women because they do not affect lactation. Irregular bleeding can be a side effect of progestin-only methods, with about 20% of users reportingà amenorrheaà (often considered a benefit) and about 40% of women experiencing regular menstrual cycles, leaving the remaining 40% with irregular spotting or bleeding. Uncommon side effects of progestin-only pills, injections, and implants include headache, breast tenderness, mood effects, andà dysmenorrhea, but those symptoms often resolve with time.Newer progestins, such as drospirenone and desogestrel, minimize theà androgenicà side effects of their predecessors. Intrauterine devices The modernà intrauterine deviceà (IUD) is a small ââ¬ËT'-shaped birth control device, containing either copper or progesterone, which is inserted into the uterus. IUDs are a form ofà long-acting reversible contraception, the most effective type of reversible birth control. As of 2002, IUDs were the most widely used form of reversible contraception, with nearly 160 million users worldwide. Evidence supports both effectiveness and safety in adolescents.Advantages of the copper IUD include its ability to provideà emergency contraceptionà up to five days after unprotected sex. It is the most effective form of emergency contraception available. It contains no hormones, so it can be used while breast feeding, and fertility returns quickly after removal. Disadvantages include the possibility of heavier menstrual periods and more painful cramps. Hormonal IUDs do not increase bleeding as copper-containing IUDs do. Rather, they reduce menstrual bleeding or stop menstruation altogether, and can be used as a treatment forà heavy periods.Levonorgestrel-releasing IUDs may be used during breastfeeding whether or not they also include copper. Sterilization Surgical sterilizationà is available in the form ofà tubal ligationà for women andà vasectomyà for men. There are no significant long term side effects and tubal ligation decreases the risk ofà ovarian cancer. Some women regret such a decision: about 5% over 30 years, and about 20% under 30. Short term complications are less likely from a vasectomy than a tubal ligation. Neither method offers protection fromà sexually transmitted nfections. Although sterilization is considered a permanent procedure, it is possible to attempt aà tubal reversalà to reconnect theà Fallopian tubesà in females or aà vasectomy reversalà to reconnect theà vasa deferentiaà in males. The ra te of success depends on the original technique, tubal damage, and the person's age. Behavioral Behavioral methods involveà regulating the timingà or methods of intercourse to prevent introduction of sperm into the female reproductive tract, either altogether or when an egg may be present. ]LactationalFrom ancient times women have extended breastfeeding in an effort to avoid a new pregnancy. Theà lactational amenorrhea method, or LAM, outlines guidelines for determining the length of a woman's period of breastfeeding infertility. For women who meet the criteria, LAM is highly effective during the first six months postpartumà if breastfeeding is the infantââ¬â¢s only (or almost only) source of nutrition. Feeding formula, pumping instead of nursing, and feeding solids all reduce the effectiveness of LAM. Fertility awarenessCalendar-based contraceptive methodsà such as the discredited rhythm method and theà Standard Days Methodà estimate the likelihood of fertility bas ed on the length of past menstrual cycles. To avoid pregnancy with fertility awareness, unprotected sex is restricted to a woman's least fertile period. During her most fertile period, barrier methods may be used, or she may abstain from intercourse. The term ââ¬Å"natural family planningâ⬠(NFP) is sometimes used to refer to any use of fertility awareness methods. However, this term specifically refers to the practices that are permitted by theà Roman Catholic Church.The effectiveness ofà fertility awareness-based methods of contraception is unknown because of the lack of completed standardized and controlled scientific trials. More effective than calendar-based methods, systems of fertility awareness that track basal body temperature, cervical mucus, or both, are known as symptoms-based methods. Teachers of symptoms-based methods take care to distance their systems from the poor reputation of the rhythm method. Many consider the rhythm method to have been obsolete for at least 20 years, and some even exclude calendar-based methods from their definition of fertility awareness.Aà Cycle Beadsà birth control chain, used for a rough estimate of fertility based on days since menstruation Theà Standard Days Methodà has a simpler rule set and is more effective than the rhythm method. The Standard Days Method has a typical failure rate of 12% per year. A product calledà Cycle Beadsà was developed alongside the method to help the user keep track of estimated high and low fertility points during her menstrual cycle. The Standard Days Method may only be used by women whose cycles are always between 26 and 32 days in length.In this system: * Days 1-7 of a woman's menstrual cycle are considered infertile * Days 8-19 are considered fertile; considered unsafe for unprotected intercourse * From Day 20, infertility is considered to resume Symptoms-based methods of fertility awareness involve a woman's observation and charting of her body's fertility sign s, to determine the fertile and infertile phases of her cycle. Charting may be done by hand or with the assistance ofà fertility monitors. Most methods track one or more of the three primary fertility signs:à changes inà basal body temperature, in cervical mucus, and in cervical position.If a woman tracks both basal body temperature and another primary sign, the method is referred to as ââ¬Å"symptothermal. â⬠Other bodily cues such asà mittelschmerzà are considered secondary indicators. Unplanned pregnancy rates have been reported from 1% to 20% for typical users of the symptothermal method. Withdrawal Coitus interruptusà (literally ââ¬Å"interrupted sexual intercourseâ⬠), also known as the withdrawal or pull-out method, is the practice of ending sexual intercourse (ââ¬Å"pulling outâ⬠) before ejaculation.The main risk of coitus interruptus is that the man may not perform the maneuver correctly or in a timely manner. Despite older studies claiming that no sperm was found in preejaculatory penile secretion, a more recent study states that ââ¬Å"41% [of subjects] produced pre-ejaculatory samples that contained spermatozoa and in 37% a reasonable proportion of the sperm was motileâ⬠. Abstinence Though some groups advocate totalà sexual abstinence, by which they mean the avoidance of all sexual activity, in the context of birth control the term usually means abstinence from vaginally penetrative sexual activity.Abstinence is 100% effective in preventing pregnancy; however, not everyone who intends to be abstinent refrains from all sexual activity, and in many populations there is a significant risk of pregnancy from nonconsensual sex. Abstinence-only sex educationà does not reduceà teen pregnancy. Teen pregnancy rates are higher in students given abstinence only education, compared to comprehensive sex education. Some authorities recommend that those using abstinence as a primary method have backup method(s) available (su ch as condoms or emergency contraceptive pills).Non-penetrativeà andà oral sex will generally avoid pregnancy, but pregnancy can still occur withà Intercrural sexà and other forms of penis-near-vagina sex (genital rubbing, and the penis exiting fromà anal intercourse) where semen can be deposited near the entrance to the vagina and can itself travel along the vagina's lubricating fluids. Emergency (after sex) Emergency contraceptives, or ââ¬Å"morning-after pills,â⬠are drugs taken after sexual intercourse intended to prevent pregnancy. Levonorgestrelà (progestin) pills, marketed as ââ¬Å"Plan Bâ⬠and ââ¬Å"Next Choice,â⬠are available without prescription (to women and men aged 17 and older in the U.S. ) to prevent pregnancy when used within 72 hours (3 days) after unprotected sex or condom failure. Ulipristal(ââ¬Å"Ellaâ⬠) is the newest emergency contraceptive, available by prescription only for use up to 120 hours (5 days) after unprotected sex , resulting in a pregnancy risk 42% lower than levonorgestrel up to 72 hours and 65% lower in the first 24 hours following sex. Providing morning after pills to women in advance does not affect sexually transmitted infection rates, condom use, pregnancy rates, or sexual risk-taking behavior. Pharmacistsà are a major source of access to emergency contraception.Morning after pills have almost no health risk, no matter how often they are used. Copper T-shaped IUDs can also be used as emergency contraceptives. Copper IUDs can be inserted up to the time of implantation (6ââ¬â12 days after ovulation) but are generally not inserted more than five days after unprotected sex. For every eight expected pregnancies, the use of levonorgestrel morning after pills will prevent seven. Ulipristal is about twice as effective as levonorgestrel. Copper IUDs are more than 99% effective in reducing pregnancy risk.
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