Friday, October 18, 2019
Literature review of my research about Dual authority in matrix Essay
Literature review of my research about Dual authority in matrix organization - Essay Example This resulted in the creation of a structure in which a number of employees were working under two heads, the department head or the project manager of the interdisciplinary project team. When this structure was depicted in paper, it was found that the crossing of the organizational lines could be represented in the form of grids or a matrix. Henceforth it was termed as matrix organizations (Kuprenas, 2003, p.1). When it is compared with the other forms of organizational structures, it is viewed as a combination of the traditional hierarchy which is overlaid with some form of lateral authority, influence or communication. The overlay creates a combination of commands, one which is long the functional aspects of the project and another which are along the project lines. Assuming the complexities of the project management in the business world of today, matrix structures are primarily used where the requirement of technical assistance across many different areas are required (Kuprenas, 2003, p.1). This structure is especially preferred in large scale consulting, the construction and the aerospace industry. One of initial and first users of the structures was Bureau of Engineering in the City of Los Angeles. However, certain problems were faced during the implementation of the same (Kuprenas, 2003, p.1). Implementation Challenges of the Matrix structure Research shows that implementation of the matrix structure in any organizational structure is difficult. Implementation of the matrix design in the Bureau of Engineering came with a number of difficulties. The Bureau experienced a number of confusions and conflicts with regards to the responsibilities and roles of the functional manager
Taking the position that increased vending machine regulation in Essay
Taking the position that increased vending machine regulation in public schools is a good idea - Essay Example One major problem regarding childrenââ¬â¢s health is the huge quantity of sugary and high calorie food that is available to them at school. Vending machines are not supervised so it is hard to stop children from eating or drinking as much of these types of food or drink as they want. And since children donââ¬â¢t know what is best for them, this can often be a lot. A number of recent studies have shown the negative role vending machines play in childrenââ¬â¢s health, and in this essay I will look at some of their arguments. Part of the reason why the issue of vending machines is on the radar these days is because obesity is becoming more and more of a problem in the United States. Obesity can lead to diseases like Type-2 Diabetes. According to Amy Virus, a registered dietitian, ââ¬Å"[m]iddle schools students are at particular risk, because they are going through puberty, their physical activity and dietary habits are fluctuating . . .â⬠1 It doesnââ¬â¢t help that there is temptation around every corner, with as many as 75 per cent of middle schools possessing vending machines which sell sugary drinks and fatty snacks. With all the emotion going on in their lives, it is not surprising that children going through puberty might reach out to enjoy some ââ¬Å"comfort food.â⬠Some might call them ââ¬Å"comfort foods,â⬠but others might call them ââ¬Å"competitive foods,â⬠as the U.S. Department of Agriculture does. These are ââ¬Å"foods offered at school other than meals served through USDA school mean programsââ¬âschool breakfast, school lunch, and after-school snack programs.â⬠2 Because the USDA is responsible to parents and taxpayers, it is careful to provide healthy options for school meals. Plus, this food is being given out by employees and teachers. If a student comes back to the cafeteria for a fourth helping of food, the staff can easily say, ââ¬Å"Youââ¬â¢ve had enough to eat.â⬠But those who stock vending machines arenââ¬â¢t responsible to anyone: they just want
Thursday, October 17, 2019
Economic Development in East Asia Essay Example | Topics and Well Written Essays - 2250 words
Economic Development in East Asia - Essay Example Many countries started the modern economic growth post Second World War while some other countries chose to start them according to their preference. The biggest developer Japan decided to use the modern economy from 1985, where as china implemented it from 1980s. It followed the economy policy and preferred market economies over central economy. From then it has been a growing stage for each country as well as the East Asia as a whole. Globalization created so much impact on all the countries and only some could withstand the era of Globalization. East Asian countries did not face this problem. They were strong enough to accept and change towards globalization, and from then there has been a continuous growth in all the countries. As politics played a major role in the development of a country, many countries could not improve their economic standard immediately. They had to cooperate with the government and abide by their rules and regulations. The growth and development was seen in starting up new industries and inventing new things.(Nabende 2003). Import and Export underwent a transformation. Countries like Japan and China started to manufacture their own products instead of importing them from other foreign countries. This in turn resulted in exporting goods manufactured by them to the other countries. Manufacturing companies started to produce textiles, technological products and other industrial and home appliances. The shares of each country were based on their development and some of them had a tough time due to the massive improvement of China and Japan. (Sycip 1996).There was also a growth on the education and employment, which gradually improved the economy. After some years, the government started providing monetary support to the countries, which made the development easier. The trade and its market started to improve; import and export decided a countries role to develop other nations. Though East Asian countries were experiencing growth, in the 1980s there was a setback which the countries found it difficult to cope up with. Some of them reported zero growth and import and export were affected. This condition improved after years of struggle and fight. Japan was leading in the development stage and it faced a severe competition with the improvement of United States. The value of dollar and Yen kept in fluctuating. There was a tough competition between them. Financial Crisis Financial crisis disturbed and turned down the improvement of almost all the countries in the world. East Asian countries were the worst hit by the financial crisis. There was a drop in their currency value too. (Greenwood 2005).The U.S dollar continued to dominate and countries like Japan and China had their currencies floating. The recovery from this crisis took some time and improvement seemed to be tough. Due to this crisis, trading operations totally came to a halt. Countries with good economies could manage, where as smaller countries started to suffer. Investment went down and they found it difficult to tide over the situation. But then after sometime the countries started to recover and the recovery was rather a shock to the other countries. With the help of the government, countries gained financial support and their trading, import, export and investment seemed to improve. Trade assignments between the East Asian countr
Wednesday, October 16, 2019
Mathematical Model Research Paper Example | Topics and Well Written Essays - 1250 words
Mathematical Model - Research Paper Example Introduction A model is a representation or an abstraction of a real or abstract system or a process. Thus, mathematical modeling is the process of representing real or abstract phenomenon using mathematical tools, which includes mathematical notations, formulas, relations, and symbols. Models are necessary since they enable scientists define a problems, understand data, organize thoughts/ideas, make predictions and communicate with the world (Bender, 2000, p. 23). Most real problems or phenomenons are complex and, therefore mathematical models enable us to capture certain key aspects of the phenomenon. Usually, it is impossible or unnecessary to represent some facts about a phenomenon since they are either too complex or unnecessary. Models can take many forms, including statistical models, dynamical systems, or game theoretic models, differential equations (Korotayev, Malkov & Khaltourina, 2006). Other forms of mathematical models use logic and they are mainly applied in humanities and philosophy. Although models represents real phenomenon they do not necessarily agree related experimental measurement. This has been a basis for advanced theories to define the related phenomenon. The role that mathematical models Figure 1 Brief History There are two basic types of mathematical models namely deterministic and empirical models. ... Through these models, scientists were able to explain basic physical properties such as motion. Newtonââ¬â¢s models have been fundamental in Newtonian mechanics, which is still a fundamental aspect of modern mathematical physics. Initial models were deterministic and, they enabled scientist to write explicit mathematical formulas connecting two or more variables. Some of the well-known Newtonian models include The models occur naturally for a point mass m moving in space. such models could not be applied on multivariate problems. This necessitated the development of empirical models that are based on experimental observations. Key Developments Key developments in mathematical modeling include application of computer software to solve numerical equations resulting from mathematical models. Other developments involve the application of abstract theories in the development of models. Early models relied on experimental theories that resulted in deterministic models. However, advances in the field have proved that other branches of mathematics such as topology, algebra, and analysis are of equal significance in formulating mathematical models. Indeed, mathematicians are exploring the possibility of abstract approach in formulating models. Mathematical Content Fundamental theory in mathematical model is dependent on outcomes of natural laws and phenomenon. For instance, models of population studies have to incorporate basic theories on the subject. For example, the models have to account for population growth rate, implication of diminishing resources, carrying capacities of the environment, predation, death, and decay. Consequently, modelers have to have concrete knowledge in formulating natural problems using mathematical
Economic Development in East Asia Essay Example | Topics and Well Written Essays - 2250 words
Economic Development in East Asia - Essay Example Many countries started the modern economic growth post Second World War while some other countries chose to start them according to their preference. The biggest developer Japan decided to use the modern economy from 1985, where as china implemented it from 1980s. It followed the economy policy and preferred market economies over central economy. From then it has been a growing stage for each country as well as the East Asia as a whole. Globalization created so much impact on all the countries and only some could withstand the era of Globalization. East Asian countries did not face this problem. They were strong enough to accept and change towards globalization, and from then there has been a continuous growth in all the countries. As politics played a major role in the development of a country, many countries could not improve their economic standard immediately. They had to cooperate with the government and abide by their rules and regulations. The growth and development was seen in starting up new industries and inventing new things.(Nabende 2003). Import and Export underwent a transformation. Countries like Japan and China started to manufacture their own products instead of importing them from other foreign countries. This in turn resulted in exporting goods manufactured by them to the other countries. Manufacturing companies started to produce textiles, technological products and other industrial and home appliances. The shares of each country were based on their development and some of them had a tough time due to the massive improvement of China and Japan. (Sycip 1996).There was also a growth on the education and employment, which gradually improved the economy. After some years, the government started providing monetary support to the countries, which made the development easier. The trade and its market started to improve; import and export decided a countries role to develop other nations. Though East Asian countries were experiencing growth, in the 1980s there was a setback which the countries found it difficult to cope up with. Some of them reported zero growth and import and export were affected. This condition improved after years of struggle and fight. Japan was leading in the development stage and it faced a severe competition with the improvement of United States. The value of dollar and Yen kept in fluctuating. There was a tough competition between them. Financial Crisis Financial crisis disturbed and turned down the improvement of almost all the countries in the world. East Asian countries were the worst hit by the financial crisis. There was a drop in their currency value too. (Greenwood 2005).The U.S dollar continued to dominate and countries like Japan and China had their currencies floating. The recovery from this crisis took some time and improvement seemed to be tough. Due to this crisis, trading operations totally came to a halt. Countries with good economies could manage, where as smaller countries started to suffer. Investment went down and they found it difficult to tide over the situation. But then after sometime the countries started to recover and the recovery was rather a shock to the other countries. With the help of the government, countries gained financial support and their trading, import, export and investment seemed to improve. Trade assignments between the East Asian countr
Tuesday, October 15, 2019
The Music of the Night Essay Example for Free
The Music of the Night Essay In operas, either people love them or hate them. Play and song writer Andrew Lloyd Webber portrays a new light on opera in the famous musical The Phantom of the Opera. In scene five of the musical where the Phantom of the Paris Opera House sings a romantic melody entitled ââ¬Å"The Music of The Nightâ⬠to the orphaned ballerina dancer Christine Daae, he is telling her to ââ¬Å"Close [her] eyes and surrender to [her]/ darkest dreams!/ Purge [her] thoughts of the life/ [she] knew before!â⬠(12-15). He is basically telling her to live up to her dreams and for her not to let her past hold her back. The Phantom knows that Christine looks up to him as her guide; she calls him ââ¬Å"The Angel of Musicâ⬠. When her father was alive when she was younger he was a famous violinist and he told her repeatedly that a guardian called ââ¬Å"The Angel of Musicâ⬠would look after her if he wasnââ¬â¢t able to (Christineââ¬â¢s Character). Christineââ¬â¢s father fell ill and died when she was only seven years old and she was taken in by a family friend that spent a great time at the Opera Houseââ¬âthat is where her career started to begin. Christine Daae had troubles and tried to forget about them, but the Phantom knew that it isnt easy to forget someone you once had close to you; and he knew it was affecting her talent. When he sang to her, he reassured her by letting her know that she should ââ¬Å"turn [her] thoughts away from cold, unfeeling lightâ⬠meaning that when she starts to think about heartbreaking and miserable thoughts, she needs to stop (9-10). In the following lines 24-28, he lets her know that she needs to, ââ¬Å"Open up [her] mind, Let her fantasies unwind, In this darkness which, [She] knows [she] cannot fight- The darkness of the music of the nightâ⬠¦Ã¢â¬ Thus, letting her know that even though it is hard to overcome her troubled past, she should bring out her emotions in her performance when she listens to any harmony of music; he knows that in every musical number, there is darkness behind it someway, somehow and she can portray it with beauty and grace. The Phantom believes in her and looks after her just like her father said that an ââ¬Å"Angel of Musicâ⬠would. The Phantom lets Christine truly believe this by hearing him sing this ballad; trying to show her that she can let her dream begin at anytime, but only she, herself, can let her darker side give in to the power of the music (39-41). So, he uses the word ââ¬Å"garishâ⬠in the song, which means, according to an online dictionary, crudely or tastelessly colorful, showy, or elaborate (Garish define). He is stating that the ââ¬Å"garish light of dayâ⬠can be misleading and that she should just focus on the music of the night (8). The Phantom makes the night life sound very appealing by the introducing lines of the song: ââ¬Å"Night-time sharpens, Heightens each sensation Darkness stirs and wakes imagination Silently the senses abandon their defensesâ⬠¦Ã¢â¬ (1-4) He is showing her that at night fall imagination stirs and bubbles forth no matter who the person is. They recognize feelings at night time, before, that at times they may have never felt, therefore pushing oneââ¬â¢s imagination towards how they feel. For example, in Christineââ¬â¢s situation, she may have never really put much thought towards how much she really misses her father and why it is holding her back from achieving more in her life. As she has some time alone at night to think, to dream, she is able to have time to search her inner most thoughts and reflect her life and imagine what it could have been if her father was still around. That can bring out her senses, her defenses are then abandoned, and she has just discovered a little of what makes her connect with the music of the night. Christineà needs to not live with feelings that overshadow her life and she should start a journey through this new experience. All-in-all, the song ââ¬Å"The Music of The Nightâ⬠is about us getting in touch with our imagination and us embracing our feelings. Andrew Lloyd Webber fully captivated audiences around the world and made them take hold of their mindââ¬â¢s eye and their senses. The music in this chilling masterpiece is mind opening in which one can let their fantasies take flight. When listening to the song and fully taking in itââ¬â¢s meaning, a person, such as me, can really let the beautiful lyrics flow loudly out of the boom box speakers and into the thoughts of my life. So, like Christine, the Phantom was reassuring her that in the end ââ¬Å"[She] alone can make [his] song take flight-/ help [him] make the music of the nightâ⬠¦Ã¢â¬ (42-43). Only she is capable of accepting the help from ââ¬Å"The Angel of Musicâ⬠and the help from herself as she tries to use her imagination and the sensation that the night brings to help her over come the feelings that affect her perfo rmance on the stage and in her everyday life. Even though her father had passed, she found what she thinks to be ââ¬Å"The Angel of Musicâ⬠and she is now following her fathers wish, yet she is finding herself along the way. That is what is best for her, to keep moving forward with her life while achieving her dreams.
Monday, October 14, 2019
The Review Of Randomised Control Trials
The Review Of Randomised Control Trials The effectiveness of the methodological approach used in any study most certainly determines the accuracy and reliability of the research hence the need to select the most viable methodology. Subsequent studies indicate that the use of a poor methodology is not only misleading but it could also lead to detrimental consequences in the event that the results of the study are used as a basis for decision making or implementation of recommendations. Further, different methodologies are expected to be more effective in particular experiments only. The use of Randomised Control Trials Research is highly popular in nursing and medicine due to its effectiveness in obtaining outcomes that are relevant, mostly in testing the safety of treatments and drugs before they can be fully utilized in the health care system. RCT as Randomised Control Trials Research is often abbreviated is popular because unlike other methodologies, allocation bias is minimised and prognostic factors that are known or u nknown to the researcher are balanced, thus giving accurate results. This paper seeks to critique Randomised Control Trials Research with a view of establish its philosophical foundation and its application in research. In this regard, the paper also includes a critique of three experiments that were done using Randomised Control Trials Research. Methodological review The history of Randomised Control Trials can be traced back to about 600 B.C. It was first recorded by Daniel Judah, whose research is probably the earliest as far as clinical research is concerned. He sought to establish the effects of royal Babylonian diet and the vegetarian diet for a time period of 10 days (Stolberg, Norman Trop, 2004). While his research was devoid of contemporary medical standards such as ascertainment bias, allocation bias and confounding by divine intervention, the research has remained an influential record in the history of Randomised Control Trials. Major advancements were recorded in the 19th century. The credit for modern CRT is attributable to Sir Austin Bradford Hill. This was witnessed during the Medical Research Council trials which sought to test streptomycins effectiveness in treating pulmonary tuberculosis. The research is considered a landmark research in medicine and since Hills achievement, the use of randomised control trials has grown except ionally (Stolberg, Norman Trop, 2004). RCT are actually considered the basis for evidence-based medicine. Randomised Control Trials are used in modern day health care and medical trials in assessing the effectiveness of interventions such as drugs and medical procedures. Randomised Control Trials Research is a methodology that is highly popular in the medical and health services sector and which has been used in testing the efficacy of drugs, treatments and health care services such as nursing and medicine (Rosenberger Lachin, 1993; Jadad, 1998). Randomised Control Trials Research (RCT) is distinguished by the fact that once the eligible study subjects have been identified, they are put through one or other of the studys alternative treatments before the intervention to be studied begins. Once the study groups are randomized, they are followed up in exactly the same way and specific care standards are given to each study group depending on the research being performed (Edwards, Lilford Hewison, 1998). The use of Randomised Control Trials Research is considered highly effective because it minimises allocation bias to a significant level. Further it is possible to balance the known and unknown prognostic factors such that the treatments are more accu rate unbiased and reliable. A significant characteristic of Randomised Control Trials Research is that tests usually include a control experiment alongside the main treatment (Charlton, 1995). These are known as placebo-controlled studies and they are used in comparing changes recorded in the active treatment group in order to ascertain that the study group that was not included in the treatment does not react in a similar manner. This serves the purpose of proving whether the active treatment actually had an impact on the active study group. RCTs are occasionally known as randomised controlled clinical trials when they are used for clinical research (Charlton, 1995). Besides their use in medical research however, RCTs are also used in education, criminology, international development and social work. The use of RCT is mostly popular because of randomisation. This involves the selection of random samples and it has been identified as an effective approach because of various advantages as follows. Firstly, it eliminates bias because the researcher selects the participants from a random sample as opposed to convenience thus eliminating the possibility of researcher bias and confounding (Edwards, Lilford Hewison, 1998). Secondly, the use of RCT enhances blinding or masking of the treatments under study from the participants, investigators and assessors thus reducing the possibility of bias and irregularities (Charlton, 1995). The use of randomisation further permits the researchers to use probability theory in expressing that differences in outcome could have resulted from chance. Despite the efficacy of Randomised Control Trials Research, the method has raised various ethical issues that are said to limit the authenticity of the research methodology. To begin with, the Zelens design used in various RCTs is considered unethical because it randomizes the subject prior to obtaining their consent (Edwards, Lilford Hewison, 1998). This unethical aspect of this design however is mostly considered where screening and selected therapies are used as opposed to common therapeutic trials. The principle of clinical equipoise is common in defending the ethics of Randomised Control Trials. The principle which represents the genuine uncertainty about a preferred treatment within the expert medical community is used as a justification for the use of RCT (Gifford, 1995). On the other hand however, the clinical equipoise also raises ethical concerns, with suggestions being put forth that equipoise cannot generally justify RCT because it is likely to conflict with the unavaila bility of personal equipoise where a person believes that a particular intervention is effective (Gifford, 1995; Edwards, Lilford Hewison, 1998). Other limitations of RCT apart from ethical issues mostly concern external validity. They include differences in where RCT is performed such that one treatment works in a particular country and fails to work in another; characteristics of the patients such that there may be differences in their natural features; study procedures, for example where RCT patients are likely to receive more intensive treatment and care, which would certainly be impossible to achieve in the real world; and incomplete reports of adverse effects recorded during the interventions (Jadad, 1998). RCTs can also be highly expensive and are therefore considered inapplicable where financial resources are limited. Stolberg, Norman and Trop (2004) further notes that RCTs cannot be used in all types of trials. They note that there are a significant number of situations in which the use RCT is not appropriate, feasible or necessary in solving the said problems. Examples include cancer screening, ability to cease smoki ng and assessment of interventions that are likely to have rare outcomes or whose outcome takes long to develop. Critical discussion The use of randomised control trials research in nursing is undoubtedly relevant in that it aids in obtaining the desired results of the interventions used. It can be established that the use of random samples helps greatly in ensuring that authenticity of data is assured. As noted by Altman, Machin and Bagant (2000), data authenticity can only be assured if it can be established that there is no bias in the selection of the sample. Furthermore, unscrupulous researchers have been known to manipulate the research samples in order to ensure that the outcome of their studies favour the desired outcome. It is also clear that there is a limited possibility of coming up with false results because randomised control trials are mostly done hand in hand with control tests. This ensures that comparison of results yields the differences that exist between the two study groups. It is these differences that can determine for sure that the active group actually underwent a change as a result of a particular treatment. In Altman, Machin and Bagant (2000) definition of a control experiment, he notes that a control experiment serves as proof that the changes recorded in the active experiment is actually true and that the effect should not be recorded in the control experiment if the results are indeed true. Further, the status of the two study groups should have been the same at the beginning of the experiment. The use of randomised control trials in nursing promises the possibility of obtaining highly reliable results. This is because the research groups can be easily sought from medical records as opposed to where the researchers have to obtain samples from highly dispersed populations (Altman, Machin Bagant 2000). Furthermore, randomised control trials unlike other forms of research do not limit the researcher to a particular geographical region but only to persons with similar characteristics to be used for the study. This could however be disadvantageous in that the inability to locate the required sample population may result in inadequate results. Such an occurrence is likely to occur in cases where potential participants refuse to take part in the study for one reason or the other. An example is where the researcher seeks to experiment a certain medication with individuals suffering from HIV/AIDS and potential participants are unwilling to participate. According to Jadad (1998), ma ny individuals actually have the fear of being used as guinea pigs without the knowledge on whether the results will have positive or negative effects on them. Case studies Further critical analysis of the randomised control trials is done through the use of various case studies in the medical field as indicated below: In a study by Dulin, Hatcher, Sasser and Baringer (2006), they sought to prove that an over the counter supplement known as Policosanol used in the treatment of elevated cholesterol levels was ineffective. The study made use of Randomised Control Trials to examine the effectiveness of Policosanol derived from sugarcane; which had not been tested since its effectiveness was questioned. The objective of the study was to examine the efficacy of the sugar cane-derived policosanol in improving the health conditions of adults with mild hypercholesterolemia. The study would take eight weeks and it involved observing the percentage change in cholesterol level among the participants. The researchers studied the total cholesterol change, triacylglycerols and lipoprotein as well as the dietary habits, blood pressure and weight of the participants. A group of 40 healthy adults with mild hypercholesterolemia were included in the study and they were to receive 20mg of policosanol orally or placebo for the 8 weeks. The results of the study indicated that no significant changes were witnessed in cholesterol levels between the 20 adults under policosanol treatment and the 20 adults under placebo. The same applied to triaclyglycerol and other components tested for. In conclusion therefore, policosanol was ineffective in altering the serum lipid profile of individuals and therefore not effective in reducing cholesterol levels. Richardson and Montgomery (2005) sought to experiment the effectiveness of a dietary supplement for use by children who suffered from developmental coordination disorder. This is a form of disorder affecting approximately 5 percent of school going children and results in learning and behaviour difficulties as well as psychosocial adjustments that are likely to be evident even in adulthood. The researchers sought to experiment whether the use of a supplement to replace the polyunsaturated fatty acids whose absence are said to cause the disorder could help in treating the disorder. The basis for this experiment was that there was insufficient evidence-based treatment for the disorder; such that experimenting with the fatty acid supplements would provide useful information for use in treating developmental coordination disorder and treating motor skills. Richardson and Montgomery (2005) used a randomised controlled trial of the dietary supplementation which consisted of -3 and -6 fatty acids. The test was compared with Placebo and included 117 children with the developmental coordination disorder, aged between 5 and 12 years. This augurs well with Jadad (1998) who explains that a Randomised Control Trials Research should include the population under study as well as a control group to be used for comparing the outcome of the research. The research which took three months included a parallel observation of the two groups in order to establish any changes in the population. This was followed by a 1-way crossover in which the placebo group was changed to active treatment for another three months. The results of the study indicated that while there was no effect on motor skills treatment, students who received active treatment showed a significant improvement in spelling, reading and behaviour. The same was observed when the placebo group was put under active treatment; while the children continuing with active treatment continued to improve or maintain improvement. I t was thus concluded that the fatty acid supplements could be used in take care of educational and behavioural challenges for children who suffer from developmental coordination disorder. In the third example of the use of CRT in medical practice, the study by Blinkhorn, Gratix, Holloway, Wainwrit-Stringer and Worthington (2003) sought to determine the importance of health educators in enhancing general dental care. The question was on whether dental health educators should be placed to educate parents of at-risk children in order to advance dental care. The study involved 269 mothers who received tooth-brushing advice, sugar control and the use of fluoride toothpaste for 2 years at intervals of 4 months each. 334 pre-school students were included in the study. 138 families and 172 children were included in the test group and 131 families and 162 children were used as a control. Mothers in the test group were required to visit a dental health educator while the rest were used as a control group. After 2 years, 271 children and 248 mothers were remaining in the study. The end result indicated that there was increased general knowledge, tooth-brushing skills and attitud es among parents who had visited a dental educator. Children in the test group however showed little difference in terms of caries experience in relation to the control group. Accordingly, primary care trusts are expected to consider the cost of sending dental health educators in relation to the outcome. According to the study, Ã £40 was used in every 2 hour session for counselling 10 parents. Critique of the articles It can be established that the use of randomized control trial research is effective in testing the outcome of various treatments and interventions, mostly through the use of a placebo study group. Similarly, the use of random study groups represents the authenticity of the researches identified above as far as the randomised control trials are concerned. The use of randomised control trials main characteristic is the use of a random sample in testing the efficacy of a certain subject or practice. This is well exhibited in all the three studies where the researchers note that they selected the samples randomly. This most definitely played an imperative role in ensuring that there was no bias in the study and that the results obtained could effectively be used in representing the entire population (Altman, Machin Bagant, 1998). As noted by Jadad (1998), the nature of randomised control trial research ensures that the subjects of the study are not in any way related to the researcher and that results are not manipulated to suit the researchers purpose. The research by Dulin, Hatcher, Sasser and Baringer (2006) represents a well researched paper which is characterised by a well designed methodology. It represents a true picture of how randomized control trial research should be done in order to achieve the most desirable results. Notably, Richardson and Montgomery (2005) make use of an active group study and a placebo group. According to Altman, Machin and Bagant (1998), the use of a control group in RCT is highly imperative as it helps in establishing the authenticity of the research and in comparing the eventual results. The same is witnessed in the study by Richardson and Montgomery (2005) and Blinkhorn, Gratix, Holloway, Wainwrit-Stringer and Worthington (2003) who made use of control groups to establish whether the results obtained in their studies were actually a true representation of the real picture. Richardson and Montgomery (2005) and Dulin, Hatcher, Sasser and Baringer (2006) and Blinkhorn, Gratix, Holloway, Wainwrit-Str inger and Worthington (2003) however fail in that they make use of different sample sizes for the active participants and placebo groups. Richardson and Montgomery (2005) use 117 children indicating that the number was uneven between the control group and the placebo group. The same applies for Dulin, Hatcher, Sasser and Baringer (2006) and Blinkhorn, Gratix, Holloway, Wainwrit-Stringer and Worthington (2003) who used 138 families and 172 children in the test group and 131 families and 162 children as a control. According to Charlton (1995), such differences in the study sample are likely to cause biased outcomes because the population sample in each case does not equal the other, thus defeating the rationality of comparison. The study by Dulin, Hatcher, Sasser and Baringer (2006) consistently defines the variables and shows how the population sample was obtained. This is one of the requirements for ensuring consistency and authenticity as defined by Altman, Machin and Bagant (1998). This is because with the ability to define the population sample and how it was obtained determines the overall outcome of the study. Richardson and Montgomery (2005) also define their population samples thus giving authenticity to the study. It is notable however that in Blinkhorn, Gratix, Holloway, Wainwrit-Stringer and Worthington (2003), only the sample size is given and there is limited information on how the 269 mothers and 334 pre-school children were obtained. Conclusion Randomised control trials research proves to be an effective methodology in enhancing nursing research. This can be evidenced by the use of randomised control trials in various medical and clinical researches, aimed at determining the efficacy of certain interventions in treating various complications. It can be established that through the use of random samples and a control group, the use of randomised control trials is expected to produce highly authentic results which can be used as a basis to introduce the intervention to the rest of the population. Notably however, there are disadvantages associated with randomised control trials research methodology as well as ethical issues related to the methodology. Common limitations include external validity in the research and the justification of the use of randomised control trials in complicated cases. In conclusion however, there is no study methodology without its own limitations and randomised control trials are no exception. This means that the benefits associated with the research methodology should be given more attention as opposed to the cons in conducting effective studies in nursing research.
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