Monday, January 27, 2020

Analysing Health Status Of Gypsy Travellers

Analysing Health Status Of Gypsy Travellers Traveller gypsies have resided in the British Isles for over 500 years, making them one of the largest ethnic minorities. They experience widespread prejudice and discrimination from the settled population. Health care for traveller gypsies has resulted in poor access to services and relative neglect of their health needs. This essay will focus on inequalities in health experienced by gypsy and traveller communities also discuss why they occur and will critically discuss the various national and local initiatives that have helped to improve the health of gypsies and travellers. The travelling lifestyle itself is not necessarily a cause for the disparity in health status; on the contrary, many Travellers and those working with them see the reduced opportunity to live their traditional lifestyle as a major cause of increased physical and mental ill health. travel experience frequent fear and the reality of constant evictions and alienation of local people. In decades gone by Travellers were often welcomed for the trades and services that they provided to the local community, such as fruit picking, scrap metal dealing, etc. They had their traditional stopping places; most of which have now disappeared, along with some of the opportunities for casual work. Poverty has sometimes been cited as the main cause of poor health in this group. Economic hardship. Lack of education is another factor that can adversely influence health. Low literacy attainment is still a major problem for most adult Travellers, mainly because so few attended school on a regular basis, if at all. The 1996 Ofsted report stated that of an estimated 50à ¢Ã¢â€š ¬Ã¢â‚¬ °000 Traveller children aged 0-16 years as many as 10à ¢Ã¢â€š ¬Ã¢â‚¬ °000 secondary school aged children were not registered at all, and attendance by the remainder was considerably below the acceptable standard for settled children.16There are many reasons, apart from the obvious one of mobility, for the reluctance of Travellers to send their children to school, especially after they have passed primary school age. Some of the reasons are cultural, such as the tradition that from the age of about 12 the children need a family education to understand and take on roles and responsibilities within the family. Formal education still has little relevance to a culture that has always relied on practical skills and self employment. Often there is a fear about assimilation; that the children will not only be educated out of their culture but also that they may pick up different and unacceptable moral values. Parents are also often anxious about bullying and prejudice. Attendance is also affected by the need to participate in all the many cultural and religious events. No community is immune from child abuse and it must be acknowledged that abuse could more easily go undetected in the Traveller community. Traveller culture deems that they sort out problems without help or perceived interference from outside. There is historical distrust of social workers because many Gypsies and Travellers throughout Europe have lost children into care, usually because of lack of support for their lifestyle, rather than as a result of evidence of child abuse. However, Travellers view child abuse as totally abhorrent and most would claim that it does not exist within their culture. Most professionals working with Travellers would agree with Cemlyn17 that there appears to be less evidence of child abuse in the very child centred Traveller community than in the non-Traveller community. Travellers do tend to be strict disciplinarians but there is also a high level of physical affection within families. Enlightened social services departments, such as Bromley, recognise the Traveller lifestyle and state that they take Traveller culture into consideration in their assessments and are careful to offer support. It is recognised that there is a strong cultural expectation that Travellers stay at home and learn their roles full time from early teens and girls in particular carry out domestic tasks and help rear their younger siblings from an early age.18 Griffiths illustrates this with a quote from a mother about the best way to keep her baby amused: just love it, kiss it, talk to it and cuddle it.19 However, Griffiths and Arnold also point to children who do appear to suffer from emotional neglect, either because there have been too many siblings too quickly, or because mothers suffering from their own problems, such as domestic violence, deprivation and depression, are too absorbed in their problems to meet the emotional needs of their children.19 There are other factors that affect the health status of Travellers. A national population based study of health of Irish Travellers showed a greater prevalence of congenital anomalies in Travellers compared with Irish Eastern Health Board region births (5.5%v 2.9%) and a significant difference in the prevalence of metabolic conditions with autosomal recessive inheritance (12.4/1000 v 1.3/1000). The incidence of first cousin marriages in the Traveller population was 19% compared with 0.16% in a settled population.14 Families at risk require culturally sensitive genetic counselling to enable them to make informed decisions. The Traveller community perceives substantial economic and social advantages in these consanguineous unions (A Bittles, 1996, personal communication).15 Access to health care Poor access to health care is the almost universal experience of Travellers; inequality in the availability and use of health services in relation to need is in itself socially unjust and requires alleviation.20 The alienation and discrimination experienced by Travellers is one of the most important factors influencing their health: the central problem for the Traveller population in this country is the hostility of the settled population.13 This hostility is expressed by all levels of society and is seemingly reinforced by successive government policies. The Criminal Justice and Public Order Act 1994 recently removed rights and introduced new penalties for travelling, thus effectively criminalising their nomadic way of life.22 The experience of trying to obtain health care can be extremely humiliating and rejecting. It increases stress and can cause a potentially serious delay in receiving appropriate treatment. Travellers often lack information about services, partly because of literacy problems. Many general practitioners will not have Travellers on their lists. A survey in East London showed that 10% of practices would not accept them at all.23 Blatant prejudice about Travellers is evidently politically acceptable, although a similar policy about black patients would be treated as racial discrimination. Missed appointments are a frequent source of irritation to health care providers, but appointments might not be received when the family has no postal address or has been forced to move to another area. The situation has worsened since the introduction of the Criminal Justice and Public Order Act 1994. Travellers are now moved on much more quickly (often just by threat of enforcement), which adds to their problems in keeping medical appointments. Professionals are often reluctant to offer further appointments even when the family want to attend. Travellers fear being detected too quickly by authorities because of the risk of eviction, so the first contact with health workers may be when a child has to be taken to the local hospital. In some areas, where there are major difficulties, a salaried general practitioner approach is now being piloted for Travellers and homeless people. The obvious advantages are that the general practitioner is freed from financial concerns in meeting targets and can build up a trusting relationship with the Traveller community. Usually, the salaried general practitioner will have chosen to work with this group, as will the rest of the primary care team, and therefore be culturally sensitive and more readily understand their circumstances and concerns. Continuity of care will be more likely because of the trust engendered. It is also more likely that preventative services will be accepted because the surgery will be less likely to be seen as a crisis only venue. Although it can be reasonably argued that a Traveller specific service further reinforces the social exclusion of Travellers, until primary care services in general can more readily adapt to Travellers on their lists there will be a continued benefit in provision of salaried general practitioner services. Other obstacles to provision of health care include different cultural attitudes to precise dates (including dates of birth) and time, and different perceptions of illness and treatment. In a study of Travellers perceptions and experiences of health, the concept of time figured frequently and was seen as an important issue.24 Lack of access to medical records affects continuity of care, and the National Association of Health Workers with Travellers (NAHWT) is currently seeking government backing to launch and promote the use of a national client held record for Travellers. As with other minorities, the first essential is knowledge, understanding, and acceptance of their culture. This helps staff to overcome the various obstacles to health care and to deal with their own exasperation about the perceived lack of conformity in the Traveller community.

Sunday, January 19, 2020

A CRITIQUE OF THE SNOW CHILD, TAKEN FROM ANGELA CARTER’S THE BLOODY CHA

A CRITIQUE OF THE SNOW CHILD, TAKEN FROM ANGELA CARTER’S THE BLOODY CHAMBER. Throughout ’The Bloody Chamber’, Angela Carter takes the highly successful conventions that belong to once innocent fairy tales, and rips them unremorsefully from their seemingly sound foundations to create a variety of dark, seductive, sensual stories, altering the landscapes beyond all recognition and rewarding the heroines with the freedom of speech thus giving them license to grab hold of the reigns of the story. The Snow Child is one such story by Carter, where connotations seen in fairytales such as ‘Sleeping Beauty’ and ‘Little Red Riding Hood’ are in evidence and are fused together accompanied by the emergence of feminism to the foreground of the story, numerous examples of rich and highly effective and evocative symbolism and a certain element of sexuality. In essence, The Snow Child tells of a Count and his Countess who are riding on horseback when the Count suddenly expresses his desire for a girl with ‘skin as white as snow’, ‘lips as red as blood’ and ‘hair as black as a raven’. She then materialises before their very eyes, after which, the Count lifts her up, and sits her in front of him on his saddle. The jealousy oozes from the Countess, who after seeing this, has only one train of thought - how can she rid herself of The Snow Child? The Countess’s place is usurped by the child as is symbolised by the transfer of the Countess's clothes onto her, leaving the Countess naked. Eventually the child dies and the Count gets off his horse and rapes her before the dead body of the girl melts away and consequently, the Countess is re-clothed. This narrative clearly exposes how the heroines of fairy tales are the const... ...s she who demands the girl to ‘Pick me one’ when passing a ‘bush of roses’ - the rose that she picks eventually kills her as she ‘pricks her finger on the thorn’. As a result she ‘bleeds; screams; falls.’ Bizarrely, the ‘weeping’ Count gets off his horse and proceeds to rape the corpse in a horrific act of necrophilia - all the while, the Countess ‘watched him narrowly’, hinting at a spiteful evil glare. ‘He was soon finished’. In my opinion, it is at this point where the Count loses the little respect the reader would have had for him and suggests a certain degree of incapability on his part. Finally, the Countess ‘stroked her fur’ with ‘her long hands’ whilst the Count ‘picked up the rose, bowed and handed it to his wife’, suggesting a transfer of power at this late stage in the story. She drops the rose after touching it, declaring, ‘It bites!’.

Saturday, January 11, 2020

Economic Implications of a US-Iranian War Essay

Some have said that the United States and Iran have been involved in a â€Å"Cold War† for three decades starting with the fall of the taking of American hostages in 1979. One could trace the problems between Iran and the United States to the installation of the Shah in the 1950s. Regardless of the origins, the fact remains that Iran and the United States consider themselves enemies. As such, it is not out of the question that a war between the United States and Iran could break out. This creates a very complex scenario because of the global economic implications of a war between Iran and the United States. Iran is, of course, a major supplier of oil to the many allies of the United States. Japan, for example, is one of the United States’ strongest allies and it receives an enormous amount of oil from Iran. Similarly, many European allies receive imports of Iranian oil. A war between Iran and the United States would have tremendous global implications. Among these many implications would be serious potential negative implications for the world’s economy. Several of these different â€Å"nightmare scenarios† will be explored in this essay. First, it is important to state there are different ways to wage war. Some methods such as supporting the overthrow of the Iranian government via supporting resistance forces might not have the impact of the global economy to the same degree as a series of surgical airstrikes or a ground invasion. In this essay, the subject of ‘war’ will be discussed in its most conventional sense. Specifically, it will be defined as a large scale, drawn out military conflict between the two nations. One of the most strategic areas the United States must consider when it comes to Economic Implications of a US-Iranian War – 2 the issue of a war with Iran is the fact that Iran is completely reliant on the importation of gasoline. Without shipping access, the ability for Iran to maintain its importation of gasoline would be impossible. Of course, it would be to the United States’ interest to enact a naval blockade on Iran to prevent the importation of gasoline. This would almost immediately lead to Iran further rationing its gasoline supply in order to effectively operate its military. While it would not be accurate to state that a naval blockade would immediately end the war (Iran’s navy could attack the US’ navy and potentially reverse the blockade) However, the scenario of no imports or exports would also cripple Iran’s ability to deliver oil to other nations in the world. This would then have potentially enormous economic impacts on the global markets. The notion that there would be serious economic implications resulting from a war between the United States and Iran has been weighed by many serious thinkers. â€Å"earlier in July when Iran tested missiles capable of reaching Israel and other corners of the Middle East, the price —of oil jumped to a new high of over $147 per barrel. In fact, some analysts see the impact of U. S. —Iran relations on the oil market as so important as to suggest the best way to give quick relief to energy consumers around the world is a declaration by the U. S. that military force is not an acceptable option in its dispute with Iran. † (Esfahani) This is why there is so much concern globally regarding a potential United States/Iranian conflict. At the core of mostly all basic economics is the theory of supply and demand. If Economic Implications of a US-Iranian War – 3 the supply of something is limited and high demand remains in place, the price of the item increases. This then creates the issue of opportunity costs. When you buy something with your money, you have eliminated the potential to use that same money for something else. In other words, if the price of gasoline skyrockets and people have to pay more for it, then they will be depleted their cash reserves or increasing their borrowing. Oil is also employed for the production of electricity which would also increase in price in the face of an oil embargo. Once again, the drain on personal finances as a result of such increased energy and fuel costs would cut into every sector of the global economy. Discretionary income would drop and leisure purchases and even the purchases of necessities would diminish rapidly. What would be the effect of this on the economies of various nations? The impact would be felt on a variety of front. The stock market, for example, would experience a great deal of negative impact as a result of such diminished spending. When people are not purchasing, the stocks of many companies may decline. After all, their profit margins could decline. Granted, there are many steps a company can take to make sure its stock price remains stable. For example, reducing the workforce or cutting spending in other areas would aid in boosting stock prices. However, if something is not done to present the lowering of stock prices, economies will take an immediate tumble. Those with investments in the market would see their net worth diminish. If one Economic Implications of a US-Iranian War – 4 sees a 25% decline in the value of their portfolio, they will see a 25% decline in their net worth. Again, this is how simple economics works and such an impact will assuredly be the result of a large scale (or even minor military skirmish) between Iran and the United States. There really would be no way to avoid such a chain of events from occurring if a war broke out between the Unites States and Iran. This is because there will be an enormous impact on the price and flow of oil if such a war was to break out. Such an occurrence could not be circumvented in any way. As one can infer, this ties heavily into the concept of aggregate demand which would be the definitive demand for goods and services in a particular economy at certain specific price levels. As one could logical infer, demand for high priced items in this situation of reduced consumer cash liquidity would certainly hamper purchases of high priced items or items that are not considered of vital importance to one’s sustenance. This can lead to s significant reduction in output – the total value of all services and goods produced in the economy – within a very short period of time. We will see the impact of this in the Mundell-Fleming Model (An aggregate demand model) which would detail the relationship between the inflation of prices combined with the actual output of goods and services. In the simplest of terms, high inflation combined with a slow decline in goods and services could prove cataclysmic for an economy. But, even with high inflation, it would be safe to say that the potential for the Mundell-Fleming model to maintain a high supply of goods and services is possible in the United States. The reason for this is that the various sectors of the United States Economic Implications of a US-Iranian War – 5 economy are so vast that there will be those able to purchase goods and services even at inflated prices. Some professions would not be as significantly impacted by high fuel or energy costs. As such, there may be a certain level of maintained stability within model even though a large section of the population may still be suffering. Issues surrounding a war with Iran are complex and far reaching. This includes the actual manner in which the war would be waged. Considering the size of the US and Iranian military, no option would be off the table in terms of how the war would be waged. Case in point, the utilization of tactical nuclear weapons by the United States may be necessitated. This is not to say that tactical nuclear missiles would be a first response or that they would be directed towards civilian targets. However, there are possibilities that could necessitate the use of such weapons by the United States. For example, Iran has tens of thousands of cruise missiles. The threat of launching thousands of these missiles into Israeli cities, European cities, or neighboring American military bases would potentially require the detonation of the missile silos with tactical nuclear arms. A wide scale Iranian invasion of neighboring countries such as Iraq could require a tactical response. Use of chemical weapons by Iran would constitute a WMD attack and lead to a nuclear response. Really, there are many different variables at work here. Again, this is not to say that a war between the United States and Iran would automatically lead to nuclear strikes. However, the potential for such strikes exist in any large scale military conflict. This would have a devastating impact on the world economy Economic Implications of a US-Iranian War – 6 for a number of reasons. The possibility of a nuclear strike destroying oil fields would be a potential scenario. The presence of radiation reducing the amount of work that can be performed on oil wells is another. Such scenarios are grim when discussed in an antiseptic manner. In the decades since the detonation of the atomic bomb in Hiroshima, the horror of a nuclear strike’s effects have not been dulled on the senses of people. However, the specter of the potential use of such weapons is always present. As such, the impact – both human and economic – must be weighed. Because of the potential for a tactical nuclear strike leading to arms races in the region (Other nations will want their own nukes as a deterrent to future strikes), the need for a significant conventional force is required. This means the war will have to be funded to handle a long campaign and potentially significantly longer post-war rebuilding phase. This will cost significantly in terms of government expenditures which, in turn, means the deficit will skyrocket. With very high, out of control deficits, a number of seriously negative economic situations could develop. First, a debtor nation may not be able to provide for the common good of society. As such, it must take steps to reduce the impact of the deficit. One method involves printing more money and the other process involves increasing taxes. Both methods have the potential for significant economic harm. When a nation prints more money in order to meet obligations tied to a deficit, it the value of the currency will decrease. A weakened dollar comes with many problems. Economic Implications of a US-Iranian War – 7 Namely, investment is seriously hampered since the dollars that you amass are worth less. Additionally, there will be a disinclination on the part of foreign investors to put their money into the US market. There would be limited value for their doing so since the dollar is declining meaning their investment capital in dollars would potentially decline as well. Debt holders of US bonds would also become more nervous since they would be losing money on their investment. As pointed out in BUSINESSWEEK, â€Å"As the currency deteriorates, it becomes more expensive to import goods and services from other countries, fueling inflation. In an effort to pull investors back, central banks often raise interest rates when their national currencies lose value. But as anyone who remembers the ’70s knows, the combination of rising interest rates and on-the-run inflation can be a devastating economic cocktail. † (Rosenbush) In some cases, foreign investment is critical for the spurning of employment and economic growth. With foreign companies opting to avoid putting their money into the United States, the unemployment could increase which further raises deficit potential. This is due to the fact that more unemployed people means less tax dollars paid to the government. Additionally, unemployment creates greater dependency on welfare which also contributes to higher deficits. All of this further sets the stage for inflation which makes goods and services less affordable to the public. This further damages the economy and adds to the deficits. Tax Economic Implications of a US-Iranian War – 8 increases are commonly pointed to as a solution, but their value is limited. When money is taken out of the private sector and placed in the treasury, it makes job creation harder. This, in turn, makes economic recover more difficult as well. If an economic recovery if difficult to expedite, then it becomes much harder to get out of it. That is because the sheer volume of economic pain induced by the many months or years of poor economic factors and growth create complexities and problems that multiply. Again, this makes reversing a poor economy more difficult. As such, some may wonder why the United States’ policy towards Iran may be so hard lined. The reason is that not treating Iran as a threat could prove equally harmful to economic and security interests. Iran’s agitation towards the United States prime allies is not helpful for US strategic security. Also, Iran’s potential domination of the other oil countries in the Middle East does not appeal to US economic interests. As such, there will be perpetual tension between the two countries. Hopefully, such tensions will not lead to war but preparedness for such actions is required. Considering the economic impact of such action, war should be the perennial last resort or option to be executed. So, far it has been averted and will hopefully remain averted for the foreseeable future. Most do not tie the economic ramifications to military action. However, the two are intertwined. Wars need to be funded and there are additional economic costs associated with military action. This is why sensible nations do not rush to war and as well they should not. But, this does not mean a nation should not prepare for the potential worst case scenario.While the US is not is a rush to engage Iran militarily, it understands the potential for such a conflict needs to be adequately prepared for. Works Cited Esfahani, e. (2008, September). The Economic consequences of us-iran relations. Retrieved from http://www. ideals. illinois. edu/bitstream/handle/2142/9093/ policy_brief. esfahani. final. pdf? sequence=2 Rosenbush, S. (2004, November 12). The Pros and cons of a weak dollar. Businessweek, Retrieved from http://www. businessweek. com/bwdaily/ dnflash/nov2004/nf20041112

Friday, January 3, 2020

History The Ancient World - 1121 Words

Kiela DeVlaeminck Jason Schlude History 130: The Ancient World 7 October 2014 Great Empires What makes an empire â€Å"great†? Is an empire great because it encompasses a lot of land and people or is an empire great ultimately because of the legacy it leaves behind after the yearsAn Empire can be defined as, â€Å"A group of nations or peoples ruled over by an emperor, empress, or other powerful sovereign or government: usually a territory of greater extent than a kingdom, as the former British Empire, French Empire, Russian Empire, Byzantine Empire, or Roman Empire(dictionary.com).† At the center, an empire is the domination of one state by another. The earliest city-states tried to grow stronger by taking over their neighbors land and people. This can be seen between the confict with Athens and Sparta. Greece was dominated by two powers during the 5th century: Athens and Sparta. They could be described as the democratic Athens and the military oligarchy of Sparta. However, these city states were different in many aspects. Sparta had the land power and controlled many neighboring territories and most of the land was tied to slaves. Athens power lied in the sea. They had a very strong naval team that controlled the Delian league which is what led to Athens becoming a strong and powerful empire. When a member of the Delian League became rebellious, Athens would take their freedom and use their strong navy to suppress them. Their allies would also have to pay tribute or bring ships.Show MoreRelatedAncient Heroes : Human History And Cultures Around The World1148 Words   |  5 PagesAncient heroes have played an important role pertaining to how we view other people and different societies. Ancient heroes have been and still are vital to human history and cultures around the world. Rag lan provides a good list of traits that can be used to determine a hero. However, not all of Raglans points makes sense. 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