American Alcohol Prohibition Thesis Example | Topics and Well Written Essays - 7000 words

American Alcohol Prohibition - Thesis Example Crime, especially organized crime, was on the rise and many believed alcohol was at the root of many of these problems including the changing American family values. When Herbert Hoover introduced prohibition in 1919 he called it "the noble experiment", presenting it as a law that hoped to curb sin and poverty across America. In fact, the 18th Amendment was part of a wider reaction from white, Anglo-Saxon Protestants (WASPS) against social changes within the USA brought on by mass immigration and the growth in demand for African-American rights. Therefore despite claims of prohibition being a progressive reform, in fact, it symbolized a rejection of modernity. So, on January 17, 1920, the United States Government enacted the eighteenth amendment to the Constitution which â€Å"prohibited Americans from manufacturing, selling, or transporting alcoholic beverages.†1 This decision, also known as the Noble Experiment, would remain in effect just short of thirteen years regardless of intense opposition. The position of those in favor of this law was that it was the duty and responsibility of the government to protect all of its citizens. In spite of the controversial nature of this decision, this was not a new concept as Asbridge and Weerasinghe note that â€Å"Concerted national policy efforts around prohibition in the United States began in 1913 (facilitated by the Webb–Kenyon Act) followed, a few years later, with the enactment of the War Prohibition Act in 1918, banning the manufacture and sale of all beverages with more than 2.75% alcohol.†2 Various states had their own adoptions of state restrictions on alcohol particularly in areas where alcohol-related incidents were high. â€Å"For Chicago, alcohol’s link to organized crime was particularly troubling. Not until the election of Mayor William Dever in 1923, a man who believed firmly in the letter of the law and who enforced prohibition stalwartly, did a formal attack on bootleggin g and organized crime emerge; however, this led to intense territorial wars between organized crime gangs, including the famous Chicago Beer Wars that resulted in dozens of homicides.†3 The hope was that limiting alcohol could limit the crime as well as growing immorality and concern of compromising ethical values of the American people. However, this act received huge opposition as it decreased income for many but also created losses in sales tax revenue. The demand for alcohol only led to the illegal sales of alcohol and bootleggers soon emerged creating additional problems while the sales of alcohol continued in spite of the legality. This example alone should have provided evidence that limiting alcohol on a national scale would not be any more successful. Although consumption of alcohol fell at the beginning of Prohibition, it subsequently increased. Alcohol became more dangerous to consume; crime increased and became "organized"; the court and prison systems were stretch ed to the breaking point, and corruption of public officials was rampant. No measurable gains were made in productivity or reduced absenteeism.

The Catholic church teaching of homosexuality Research Paper

The Catholic church teaching of homosexuality - Research Paper Example Homosexuality is a troubling moral and that has been addressed with relative frequency by the Catholic Church in recent years. In certain countries, advocated by civil groups in particular, this practice is tolerated in guise of human rights equality and right to chose way of life without interfering with the larger society and in other countries, legal recognition has since been granted to such unions including the legal possibility of such couples adopting children. The Catholic Church stands by the Biblical condemnation of homosexuality stating, â€Å"Basing itself on sacred scripture, which presents homosexual acts as acts of grave depravity, tradition has always declared that homosexual acts are intrinsically disordered. They are contrary to the natural law. They close the sexual act to the gift of life. They do not proceed from a genuine affective and sexual complimentarity. Under no circumstances are they to be approved.† (Catechism of the Catholic Church, 2357). Nonetheless, in line with Christian teachings of tolerance, homosexuals, according to the Catholic Church, â€Å"must be accepted with respect, compassion and sensitivity. Every sign of unjust discrimination in their regard should be avoided.† This tolerance however must not be mistaken to imply that the Catholic Church favors homosexuality since the church is openly against such acts. Governments are reminded of the need to control and restrain the phenomenon in order to safeguard public morality and avoid spread of the degeneracy and exposing the society and future generations to such sexual perversions and laws recognizing such unions in certain countries and states must be vehemently opposed as such laws are in opposition to the right reason as they confer legal guarantees, analogous to those granted to marriage, to unions between persons of similar sex. Therefore the states, by granting legal recognition to such unions fails in its sworn duty to defend marriage and family institutions as the foundation and pillar of the society. The society owes its continued survival to the family, founded in marriage and consequently, legal recognition of such unions would mean redefinition of marriage to become an institution without elements as essential as procreation and children. This would result in serious impacts on the societies and the human race at large, to say the least. â€Å"The denial of the social and legal status of marriage to forms of cohabitation that are not and can not be marital is not opposed to justice; on the contrary, justice requires it.† The Catholic Church stands that homosexual unions do not deserve any institutional recognition as they equally do not serve any public interests unlike marriage couples that ensure continuity of the human race. It is the Church’s view that civil laws determine the principles, behavior, thoughts and tendencies of those it governs either positively or negatively as it is, influencing incoming generations’ views and regard of the forms of lifestyle. Legal recognition of homosexuality would thus inevitably water down some essential and basic moral values and degenerate the institution of marriage. The Catholic Church argues that the lack of biological and anthropological elements in homosexual relations mean that they are unable to play role in the God commissioned and mu ch necessary procreation and continued survival of the human race.

Aspects of British Culture

Aspects of British Culture Aspects of British Culture What is culture? Is it the language we speak, overall ethnicity in a region, or the simple customs of a daily routine? Culture is something we are all a part of whether we like it or not. Your family may have certain customs and routines. This is culture. In this research paper I will be analyzing British culture in four categories: history, ethnicity, customs, and also the future direction of British Culture. How did Britain become so rich in culture? Well Britain certainly did not just appear one day. The name of the country and the term â€Å"English† derive from the Old English word for one of the three Germanic Peoples that invaded the British Isles in the 5th century (Countries and Their Cultures). The Angles â€Å"Britain† and â€Å"British† derive from a Roman Term for the inhabitants (Countries and Their Cultures). In fact, written records of British History do not exist until the arrival of the Romans (J.P. Dommerville). Before the arrival of the Romans, there is only archaeological evidence of Britain’s inhabitants (J.P. Sommerville). The earliest inhabitants of Britain for whom there is compelling evidence are bands of hunters living in Southern and Western England during the Hoxnian (J.P. Sommerville). Many peoples make up the rich history of British Culture. There were many immigrants that came to found The United Kingdom. Their genes still walk th e grounds today. Just like America this country was founded, and made by immigrants from many different backgrounds. Like many cultures, there are different peoples whom make up the general ethnicity. British Culture is no exception to this understanding. Britain or the U.K. known to others is located in Western Europe, islands including the northern one-sixth of the island of Ireland between the North Atlantic Ocean, and the North Sea, northwest of France (UK Language, Culture, Customs and Etiquette). The capital of the United Kingdom is London (UK Language, Culture, Customs and Etiquette). The population is roughly 60, 766, 238 people; with an ethnic make-up of White, Black, Indian, Pakistani, Mixed, and Other (UK Language, Culture, Customs and Etiquette). The White Population is composed of: 83.6% English, 8.6% Scottish, 4.9% Welsh, and 2.9% Northern Irish (UK Language, Culture, Customs and Etiquette). The other ethnic populations are composed of: 2% Black, 1.8% Indian, 1.3% Pakistani, 1.2% Mixed, and 1.6% Other (UK Language, Culture, Customs and Etiquette). As you can see, all of these dif ferent ethnicities will definitely impact culture. So what customs will follow this diverse cultural background? Many people may assume that British Culture is defined with scones and tea, or the rich writings of Shakespeare; however it is not like this at all. There are many customs that British people practice, that Americans or any other type of nationality may find odd. Many customs are associated with the annual climate, and British Culture is once again no exception. The annual climate of the United Kingdom has temperatures that are moderated by southwest winds over the North Atlantic Current, and more than one-half of the days are overcast (UK Language, Culture, Customs and Etiquette). The U.K. is also home to a constitutional monarchy (UK Language, Culture, Customs and Etiquette). Although there is no defined official language due to the diverse cultural background, the primary language is English (UK Language, Culture, Customs and Etiquette). About 70% of the population speaks English (UK Language, Culture, Customs and Etiquette). Other languages that are frequently spoken include: Welsh, Irish, Ulster Scots, Cornish, Gaelic, and British Sign Language (UK Language, Culture, Customs and Etiquette). The United Kingdom is comprised of four countries: England, Scotland, Wales, and Northern Ireland (UK Language, Culture, Customs and Etiquette). Now all of these countries share a common thing, and that is to address a person from a country properly. For instance, English and British do not mean the same thing (UK Language, Culture, Customs and Etiquette). The term â€Å"British†, denotes someone who is from England, Scotland, Wales, or Northern Ireland (UK Language, Culture, Customs and Etiquette). The term â€Å"English†, refers to people from England, Scotland, Wales, and Northern Ireland (UK Language, Culture, Customs and Etiquette). People from different countries want to be known for what they are; another example is people from Scotland are identified as â€Å"Scots†. People from Wales are identified as â€Å"Welsh†. People fr om Northern Ireland are identified as â€Å"Irish† (UK Language, Culture, Customs and Etiquette). The Class System As many people can depict from their prior knowledge, British Culture has been known for their many kings and queens, knights, priests etc., however British Culture has changed. Yes, Britain still has and practices a monarchy form of government, but the class system is somewhat complex. Class is no longer simply about wealth or where one lives; the British are able to assume someone’s class through a number of complex variables (UK Language, Culture, Customs and Etiquette). Brits focus on demeanor, accents, manners, and compartment to determine and factor a class system (UK Language, Culture, Customs and Etiquette). Brits are also facing a very diverse culture, therefore making it difficult to define someone British (UK Language, Culture, Customs and Etiquette). Human Interactions In the United Kingdom, human interaction is of utmost importance. You do not want to offend anyone who is a native, or move there and ignore a culture’s customs. Most of Britain’s population enjoys sport and leisure activities (Currency). In one way or another, Britain’s population is involved in sports or leisurely activities whether as a participant or a spectator (Currency). A difficult thing to grasp might be understanding a regional dialect, or accent (Currency). The British have been historically known for their â€Å"stiff upper lip†, and â€Å"blitz spirit† as demonstrated during the German bombings of World War II (UK Language, Culture, Customs and Etiquette). This grin and bear it attitude in the face of adversity of embarrassment lives on today (UK Language, Culture, Customs and Etiquette). In common interaction Brits do not choose to show strong emotion when engaged in conversation (UK Language, Culture, Customs and Etiquette). This i s not because of their lack to feel, or rudeness; they simply just wish not to display this in public (UK Language, Culture, Customs and Etiquette). In the U. K. manners are all about a reduction of violence between people (Currency). Religion Religion is a large part of British Culture. Due to the large diversity among British peoples, religion is present in many forms and beliefs. Christianity is a popular religion with many denominations such as: Anglican, Roman Catholic, Presbyterian, Baptist, and also Methodist. Roughly 71.6% of British population is Christian and belongs to some Christian Denomination (UK Language, Culture, Customs and Etiquette). Other religious practices involved with British Culture are Muslim, Hindu, Other, and unspecified or none. Roughly 2.7% are Muslim, 1% are Hindu, 1.6% are other, and 23.1% are identified as an unspecified or none (UK Language, Culture, Customs and Etiquette). What does the future hold in store for British Culture? As we can see in the modern day culture is always changing. Culture is definitely different then it was in the seventeenth-century. So what does the future hold in store for British Culture? Well, according to Vikki Heywood (CBE, Chair of the RSA, and formerly executive director of the Royal Shakespeare Company), exclaimed that the commissions brought a wealth of experience in the arts and cultural sectors to the task (King’s College London). Heywood also proceeds to exclaim that there are five key goals for the future of the cultural and creative industries (King’s College London). The five goals focus on creating, harnessing, and maintaining a rich cultural and creative ecosystem that contributes to the economic and social success of all areas of the country (King’s College London). In 2013, the cultural and creative industries provided around 77 billion sterling pounds of added value to the global economy (King’s College London). So what does all of this mean? Well the answer is quite simple. The government, cultural, and creative industries need to work together to ensure that everyone has equal access to a rich cultural education, and that conditions are in place for culture, and creativity to play their part in economic success (King’s College London). In conclusion, I would say after doing somewhat extensive research, culture is a broad term. There are so many things that impact culture. All cultures are different; however I feel that I have learned an enormous amount of details from writing this paper. I do feel like I have achieved my goal of analyzing four categories or aspects of British Culture. I also feel like I have effectively covered the history, ethnicity, customs, and future direction of British Culture. British Culture is very rich in history, ethnicity, customs, and also future direction. As of right now it looks as if British Culture is evolving into a very rich and unique position of power. Works Cited â€Å"Countries and Their Cultures†. Culture of England. Web. 5 Mar. 2015. â€Å"Currency†. Learn English. Web. 5 Mar. 2015. â€Å"J.P. Sommerville†. Sommerville: Courses. Web. 5 Mar. 2015. â€Å"King’s College London†. King’s College London-Homepage. Web. 5 Mar. 2015. â€Å"UK-Language, Culture, Customs, and Etiquette†. UK. Web. 5 Mar. 2015.

The Red Baron :: essays research papers fc

Although to most people it may just be a brand of good tasting pizza, The Red Barron was actually a German fighter ace of World War I. His full name was Rittmeister Manfred Albrecht Freiherr von Richthofen, who will be referred to as von Richthofen for simplicity’s sake. By the Germans, he was called â€Å"der rote Kampfflieger† (The Red Battle-Flyer), the French called him â€Å"le Diable Rouge† (Red Devil), and in the English-speaking world he is known as â€Å"The Red Barron.† In a time of ancient aircraft technology when twenty air victories insured a pilot legendary status, von Richthofen had eighty victories, and he is still considered even today as the ace of aces (The Red Barron). As a child, von Richthofen was privately tutored until his ninth year of schooling. He then attended school in Schweidnitz and became a cadet. After his schooling, he began his military career as a cavalryman in the 1st Regiment of Ehlans. When he received his epaulettes and became an officer in the fall of 1912, his father bought him his own horse with which von Richthofen became a talented contender in jumping and cross-country racing (Perry). Unfortunately, warfare in the twentieth century had little use for mounted cavalry as the invention of machine guns had led to trench warfare (The Red Barron). When the war started, von Richthofen was posted near Verdun as a messenger carrying dispatches between units and climbing into and out of the trenches along the front. When given orders to rummage around the countryside for food for the troops, Richthofen replied, â€Å"My dear Excellency! I have not gone to war in order to collect cheese and eggs, but for another purpose† (Perr y). Exasperated by his attitude his superiors finally let him transfer to the German Air service in May of 1915 (Perry). Von Richthofen began his career as an observer for other pilots. He never considered becoming a pilot himself because the training took three months, and he was sure the war would be over before he completed his training. In the fall of 1915, after being transferred to Ostend, von Richthofen decided to try flying for himself and he started training. On December 25, he passed the tests required to become a pilot, and the legend began (Perry). On April 24, von Richthofen shot down his first plane as a pilot, but the plane crashed behind enemy lines, and the kill was not confirmed, so no credit was given to him.

Cherokee Indians Essay

The word Cherokee is believed to have evolved from a Choctaw word meaning â€Å"Cave People†. It was picked up and used by Europeans and eventually accepted the adopted by Cherokees in the form of Tsalagi or Jalagi. Traditionally, the people now known as Cherokee refer to themselves as aniyun-wiya, a name usually translated as â€Å"the Real People† sometimes â€Å"the Original People. † Cherokees’ have had a democratic government (Conley, Robert J. 2000). The Cherokees’ first experience with the invading white man was almost certainly a brief encounter with the deadly expeditionary force of Spanish explorer Hernando DeSoto in 1540. English colonial traders began to appear among the Cherokees around 1673. Such interactions produced some mixed marriages, usually between a white trader and a Cherokee woman. There were three main events during the 18th and 19th centuries: war with the colonist in 1711; epidemics of European disease (primarily smallpox); and the continual cession of land in 1775. The Cherokees were forced to sign one treaty after another with the new United States government, each one giving away more land to the new nation. In 1803, President Thomas Jefferson planned to move all eastern Indians to a location west of the Mississippi River, and signed an agreement with the state of Georgia promising to accomplish that deed as soon as possible. Andrew Jackson actually set the so-called â€Å"Removal Process† in motion. Meantime the government had been oing everything in its power to convince Cherokees to move west voluntarily, and the first to do so were the faction known as Chickamaugans (Conley, Robert J. 2000). The history and traditions of the Cherokee Indians of the 17th, 18th, and 19th centuries are inextricably linked to the history and traditions of the white southerners. Many facets of Cherokee lifestyle and other Indian tribes in the Southern United States were modified and adapted from white methodology. Aspects of those cultural features were rooted in Pre-Columbian traditions. The Celtic culture of people who colonized the Southern United States and the culture’s charcterictics were the catalyst of what was arguably the most pivotal event in American History, the War Between the States. Many respected scholars have argued that the Ante-bellum south was different than the north, in its lifestyles, philosophies, and more. The southern states and their populations were undeniably different in nearly every socioeconomic and political aspect from the northern states and their respective populations. The destinies of the white southerners and Indian were connected in many ways. They had a number of common interests, traditions, ideals and goals. Some of these similarities were chance; others were due to an intimate relationship developed over centuries of close contact, a relationship created by the dynamic elements in the Cherokee’s new familiarity with their white neighbors and their culture (Bullard, F. B. 1989). The Cherokee adopted some practices willingly, others were forced upon them and some were already in place in some form in their traditional culture. Charles Hudson speculates in his work that the Cherokee and other tribes adopted the measures of civilization in acquiescence to the inability of the Cherokee to compete militarily with the white populous. The Cherokee and other tribes had adopted the techniques and social concepts of white â€Å"civilization† long before they were encouraged to do so by whites and their military intimidation. For the Indian, all white men were a threat to their traditions and cultural tenets. Use of a caste system was a part of the Cherokees ‘social structures before contacts with whites. The white south created its own social caste system with white planters as the aristocracy and the African slave at the peon (Bullard, F. B. 1989). The colonists who settled in the south were different than their counterparts in the North. The main heritage of the southern colonists was the Celtic in contrast to the English heritage of the colonists who settled in the north. The Celtic heritage these southerner colonists brought to North America from Europe had a profound effect on their folkways as well as influencing their Indian neighbors. Traditional Cherokee lands had incorporated ass of Kentucky, much of Tennessee, Georgia, South Carolina, Alabama, North Carolina and a small part of Virginia and what is now West Virginia. The spatial proximity was one reason for the development of an identity with the Southern colonist and their institutions and traditions (Bullard, F. B. 1989). Indian agent for the United States, George Butler, commented that he felt the majority of the material progress in the Indian Territory was a result of slavery. The age of masters measured in the distribution in slaves provides evidence for the upward mobility of slavery for the Cherokee. The principal difference from the white south was the treatment of slaves in the Cherokee Nation. The Cherokee avoided mistreatment of the slaves and Major Ridge’s wife Susanna would not even use the word â€Å"slave†. There are many indications that the Cherokee treated their slaves comparatively well, one former slave of Martin Vann, commented that â€Å"they the slaves had to be feed well, clothed well, and housed well to get the best labor attainable from them† (Bullard, F. B. 1989). The most common agents of change among the Cherokee lifestyle were resident traders, missionaries and government agents. The Cherokee Indians modified their traditions for many reasons, among these reasons were: to placate white politicians and land grabbers and reinforce the federal government policies, philanthropists who wanted to â€Å"civilize† them and most important of all voluntary adaptation in an effort to preserve at least some government policies (Bullard, F. B. 1989). Cherokee Indians religion: It would be a mistake to see these two Cherokee spirit worlds as heaven and hell. They are not defined as good and evil, although the one below is seen as tremendously chaotic. They are thought of simply as being opposed to one another. We live our lives between them in a constant state of precarious balance. This dangerous situation, although the most important aspect of life in this traditional Cherokee view is to maintain balance and harmony. If the Cherokees are Christian, they might be Methodist, Presbyterian, Unitarian, or other Christian denomination. Although the more traditional Cherokees is a large group of Cherokee Baptists. Cherokee Baptists attend what are called Indian churches, where they make use of the Cherokee language (Conley, Robert, J. 2000). Cherokee Indian tribes were one of the largest of five Native American tribes who settled in American Southeast portion of the country. The tribe came from the Iroquoian descent. The Cherokees’ actually lived in cabins made of logs instead of the stereotypical tee pee. Very strong tribe with several smaller sections, all lead by chiefs. This tribe was highly religious and spiritual. Around the 1800’s the Cherokee Indians began to adopt the culture that the white man brought to them. At this time they began to dress more European, and adopted many of their farming and building methods. In 1828 gold was discovered on the Cherokee’s land. This prompted the overtaking of their homes, and was forced out. They had been settled in Georgia for many years, but now they were being made to leave and find a new place to settle/live. This was the historically popular Trail of Tears, where men, women, and children had to pack up their belongings and find new homes, and marching a span of thousands of miles. Today’s Cherokees’ have a strong sense of pride in their heritage (Indians. org 2011). A Historical person during this time Was John Ross in which became principal chief of the Cherokee nation. In 1827, following the establishment of a government modeled on that of the United States. He presided over the nation during the apex of its development in the Southeast, the tragic Trail of Tears, and the subsequent rebuilding of the nation in Indian Territory, in present day. Accompanying his people on the â€Å"trail where they cried,† Ross experienced personal tragedy. His wife, Quatie, died of exposure after giving her only blanket to a sick child. Once in Indian Territory, Ross led the effort to establish farms, businesses, schools, and even colleges. Even though the Cherokee Nation was torn apart politically after the fight over the removal treaty, Ross clung to reins of power (Moulton, Gary E. 004). In conclusion, Although Cherokee Indians were a very diverse tribe and had very many different talents. They were very spitural and worshiped only one spirit and that was good spirit, and eventually followed christanity. Trail of Tears was a very emotional time for all Cherokee Indians the time when they were forced out and were here before anyone ever settled America. This time for Men, Women, and Children was a shame. My grand dad always take for granted what you have cause someone can take it away in an instant; as they did to the Indians.

Absolute Lymphocyte And Cd4 Count Health And Social Care Essay

Cluster of differentiation 4 counts have become a standard step of immunodeficiency in grownups infected with HIV in resource rich countries. However bulk of HIV positive people now live in developing states which are resource hapless lending to about 80 % of the planetary portion. World Health Organization ( WHO ) guidelines acknowledge that absolute lymph cell count ( ALC ) may be used to do intervention determination in resource hapless scenes when CD4 count is non available. Whereas ALC is an cheap and utile marker for presenting disease, the informations measuring the public-service corporation of ALC as cheap alternate marker of CD4 cell count to steer curative determinations is conflicting. Majority of HIV positive people now live in developing states like in Sub-Saharan Africa and South East Asia lending to about 80 % of the planetary portion [ 1 ] . It is besides true that this is besides the part where there is resource restriction to turn to the job like scarceness of CD4 appraisal counters to originate ART and follow-up. Access to ART is now turning. CD4 counts have become a standard step of immunodeficiency in grownups infected with HIV in resource rich countries where the load of the pandemic is low [ 3 ] . Mindful of this job, the current guidelines from World Health Organization ( WHO ) acknowledge that entire lymph cell count ( TLC ) may be used to do intervention determination in resource hapless scenes when CD4 count is non available and patients are mildly diagnostic [ 4 ] . Absolute Lymphocyte Count ( ALC ) is an cheap and utile marker for presenting disease, foretelling patterned advance to AIDS and decease and monitoring response to ART. The principle for the WHO ‘s recommendation is that most surveies concluded a diminution in TLC was strongly correlated with a diminution in CD4 count, though there were some disagreements [ 5-10 ] . However the informations measuring the public-service corporation of ALC as cheap alternate marker of CD4 cell count to steer curative determinations is conflicting including a recent study which mentioned that ALC & lt ; 1200 cells/mm3 was non optimum for placing patients necessitating ART since it showed low sensitiveness and specificity to foretell CD4 count below 200 cells/mm3 [ 10,11 ] . The survey was conducted at our infirmary which is besides a regional HIV/AIDS referral Centre. Over 35 patients are seen each hebdomad including new and follow up instances. The infirmary provides HIV attention such as guidance, intervention of timeserving infections, out patient every bit good as in patient attention and all HIV related complications and lab trials ( including CD4 lymph cell count trials for all instances and outsourced viral burden proving in choice instances ) , all free of cost. The infirmary besides provides information to patients refering the benefit of ART and entree to drugs. Eligible patients with CD4 & lt ; 350 cells/mm3 or WHO clinical phase 4 are started on ART which is besides provided free of cost. The patient spectrum includes instances with HIV infection both with and without ART and besides some who have advanced AIDS. From May 2009 to Jun 2010, two hundred and forty one back-to-back patients seen at our HIV/AIDS referral Centre who had obtained Complete blood count ( CBC ) and CD4 measurings on the same blood sample, were eligible for the survey. These survey topics were assessed for clinical unwellnesss on the same twenty-four hours as the lab trial measurings. A standardised information aggregation signifier was completed for each patient. Patient information on registration included demographics, clinical and laboratory data.Complete past medical records of all patients were either in their ownership or in our informations bank, our Centre being the regional referral Centre for HIV/AIDS. All the patients were evaluated for current age, manner of sensing of HIV ( voluntary showing or high hazard testing ) and twelvemonth of sensing of HIV infection. All past medical records were perused. All patients were subjected to a elaborate history and complete clinical scrutiny for marks of HIV disease or other timeserving infections. Two survey doctors determined the WHO clinical stage10. All patients underwent analysis for CD4+ T cell count at first sensing, six monthly for first one and half old ages and annually thenceforth. A basic Hemogram, urine analysis, Liver map trials and serum creatinine was carried out. Screening for pox, hepatitis B and C was besides done. Annually Chest X beam and ultrasound of the venters was done. Computerised imaging ( CT ) scan of venters, caput and thorax was carried out in relevant instances. Baseline and thenceforth two annual Mantoux trial was done. Baseline and thenceforth two annual Toxoplasma, Herpes Simplex virus 1 & A ; 2 and Cytomegalovirus antibody titers of IgG and IgM were besides done. Consecutive weight records were besides maintained. Any other relevant trials required for intervention of any specific instances were besides undertaken. Laboratory information included CD4 measured by a FACS Counter and complete blood counts by manual method including haemoglobin ( Hb ) ( Sahliaa‚Â ¬a„?s method ) , white bl ood cell count ( WBC ) and Absolute lymph cell count ( ALC ) . All blood indices were done on the same sample for each patient. Quality Control is monitored by internal controls and external proficiency plans. Quality Assurance and Quality Improvement Programs are in place.The informations set was de-identified and no references, alone identifiers or patient visit day of the months were included. The infirmary moralss commission reviewed the survey and cleared it for farther processing. A survey in 2004-05, in Europe and USA reported that absolute lymph cell count was a strong forecaster of short-run disease patterned advance, being merely marginally less prognostic than CD4-cell per centum in the pediatric population. However Johnson et Al ( 2009 ) concluded that low absolute lymph cell count did non correlate with terrible immunosuppression based on CD4 cell count in pediatric HIV infected population. Harmonizing to the WHO ‘s general rule to steer determination doing approximately when to originate ART in resource hapless scenes, a wider handiness of CD4 testing is indispensable. However, the scarceness of this engineering should n't be a cause to discourage intervention while the patient ‘s status deteriorates if there is entree to ALC and cognition of clinical presenting [ 4 ] . Several surveies revealed moderately equal sensitiveness and specificity to see ALC as a foster step for CD4 [ 5-10 ] . Gupta and co-workers ( 2007 ) , observed low sensitiveness and specificity of ALC as an surrogate marker to originate ART. As it was reported by Jacobson and co-workers ( 2003 ) , ALC may still be used in resource limited country with the apprehension of its low sensitiveness and specificity. Stebbing and co-workers besides indicated that despite minimally less dependability of TLC as a alternate for CD4, ALC is of import tool in the absence of expensive equipment to mensurate CD4. Current WHO guidelines Dec 2009, in resource-limited scenes clinical supervising alone may be an option for the first 2 old ages of intervention. We agree with the present consensus that clinical monitoring entirely may be better option than trusting on ALC. It is clip that we call drapes down on ALC as a foster marker of CD4 counts.