Friday, April 10, 2020

Summary of Acheiving Stop Tb Partnership Goals free essay sample

However, â€Å"In 2006, the TB pandemic continued to kill 2 million people annually and was growing by 1% each year, despite the World Health Organization also known as WHO having declared it a ‘Global Emergency’ over a decade earlier. † The United Nations has even stated that the goal is to cut the number of TB deaths in half by the year 2015. This is a goal not so easily achieved considering the fact that an estimated 2 billion people are latently infected with tuberculosis worldwide. (Kupferschmidt 1) Tuberculosis is caused from a bacterium called Mycobacterium tuberculosis. M. uberculosis is an obligate aerobe that grows in tissues with a high oxygenated content, such as the lungs. It is a slow growing bacteria that takes anywhere from 12 to 20 hours to generate. The cells are hydrophobic and have high lipid content in the cell wall and tend to clump together. TB is an airborne disease that is spread from person to person by coughing, sneezing, or speaking. We will write a custom essay sample on Summary of Acheiving Stop Tb Partnership Goals or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Tuberculosis is diagnosed by a simple skin test that if positive will show a reaction to a small quantity of tuberculosis antigens. A positive confirmation can be made by a chest X-ray, and a microscopic examination of a sputum sample. A new significant development in TB diagnosis has been found in Xpert MTB/RIF assay. The Xpert MTB/RIF is made to detect DNA sequences specific for Mycobacterium tuberculosis and rifampicin resistance by polymerase chain reactions. The MTB/RIF test purifies concentrates and identifies targeted nucleic acid sequences in M. tuberculosis genomes which can take about 90 minutes to complete. MTB/RIF assay has met some of the minimum requirements of the governing groups, such as being easily administered by a low skilled technicians and operating in different temperatures with minimal requirement from the test operator. There has also been price reduction availability for countries with the pandemic. (Zumla 819) While MTB/RIF assay seemed to be the miracle answer for TB testing, it still falls short of the requirements set forth by the STOP TB Partnership. For example, the shelf life is half the expected 2 years, high cost of the machine and cartridges to run it and constant electricity make it difficult for key areas. Safe recycling of large amounts of cartridges also remains an environmental concern being that sputum and positive buffers are present in the used cartridges. (Zumla 822) There are 11 new TB drugs on the horizon. Hopefully, by 2015 at least 2 of them will be released for public consumption. The current drug-susceptible TB treatment is the medication called Isoniazid or INH. INH is available worldwide, is relatively inexpensive and is generally well tolerated. INH is used to for latent tuberculosis infection to help kill the dormant bacteria and to reduce the risk of the infection becoming active tuberculosis later in life. This medication is taken for 6-9 months; where as the new drugs that are still in clinical trials would shorten this to 4 months. However, these unfortunately are not available yet. What are really needed to eradicate this disease are TB vaccines. The present TB Vaccine, Bacillus Calmette-Guerin or BCG, is an attenuated strain of Mycobacterium bovis which was introduced in 1922. It is used primarily in children in countries outside the US. Not all administered BCG vaccines have been effective either, only helping with severe childhood versions of TB (ex: disseminated and meningeal). As of 2011, at least 6 TB vaccine candidates were in preclinical trials, with 21 additional next generation candidates in the vaccine discovery phase. A more effective tool for the United States would be a post infection vaccine, due to the vast majority of cases being remote infections. This would nearly eradicate TB in the US. But, one has currently not been created. (Zumla 823) TB has plagued the human race for decades, only improving when social, economical, and general living conditions were bettered. Recent research continues to look for vaccines, diagnostics, and treatments. However, no new trial based vaccine has been introduced since BCG in the 1950’s. The STOP TB Partnership’s goal of lessening the yearly cases of infection by one million is admirable, but so much more needs to be done to control the spread of infection. More people need to be tested and become aware of what a huge problem it currently still is. People know about the disease but many people are not educated about the disease and what the symptoms are until it is too late and have probably already spread it to other people. Despite the years of effort that has been dedicated to TB research, the end still seems to be decades away. Works Cited Alimuddin Zumla, et al. Achieving STOP TB Partnership Goals: Perspectives On Development Of New Diagnostics, Drugs And Vaccines For Tuberculosis. Tropical Medicine International Health 16. 7 (2011): 819-827. Academic Search Premier. Web. 2 Oct. 2012. Alimuddin Zumla, et al. Immunological Biomarkers Of Tuberculosis. Nature Reviews. Immunology 11. 5 (2011): 343-354. MEDLINE with Full Text. Web. 24 Sept. 2012. Kupferschm idt, Kai. Taking A New Shot At A TB Vaccine. Science 334. 6062 (2011): 1488. MasterFILE Premier. Web. 2 Oct. 2012. â€Å"Tuberculosis† Division of Tuberculosis Elimination, 13 Mar. 2012 Web

Monday, March 9, 2020

Denegacin papeles a cubanos por inadmisibilidad

Denegacin papeles a cubanos por inadmisibilidad El rechazo de las peticiones de las visas CMPP o de las tarjetas de residencia confunde a muchos cubanos. Sin embargo, hay una causa que frecuentemente est detrs de este problema. Destacar que en la actualidad ya no se admiten ms solicitudes de visas CMPP, si bien se tramitan las pendientes de resolucià ³n final. Requisitos para que la CMPP y la tarjeta de residencia sean aprobadas para los cubanos Es necesario que se cumplan los requisitos que se piden para todos los solicitantes de una tarjeta de residencia, cualquiera que sea su nacionalidad. Por lo tanto, tanto la green card -tambià ©n conocida como tarjeta o permiso de residencia- como la visa CMPP sern rechazadas si el que la pide es inadmisible  segà ºn las leyes de los Estados Unidos. Y es aquà ­ donde los cubanos suelen encontrar un gran obstculo porque afecta a un gran nà ºmero de ellos: membresà ­a en el partido comunista. Cuando una persona rellena la peticià ³n de residencia permanente o de visa CMPP debe contestar la verdad sobre si ha pertenecido a un partido totalitario o al partido comunista o a alguna organizacià ³n relacionada (hay que entender juventudes comunistas y similares). En los casos en los que el solicitante tenga un pasado de militancia comunista el USCIS puede rechazar la aplicacià ³n de la visa CMPP o de la tarjeta de residente. Hay alguna alternativa para evitar el rechazo de la visa CMPP o de la tarjeta de residencia? En determinados casos pueden aplicar excepciones a la regla general, con lo cual sà ­ se aprobarà ­a la peticià ³n, o incluso cabe solicitar un perdà ³n. Serà ­a posible beneficiarse de una excepcià ³n a la aplicacià ³n de la regla general cuando: Han transcurrido dos aà ±os desde que se causà ³ baja en el partido comunista, que se aumentar a cinco se trata de ciudadanos de paà ­ses regidos por el partido comunista, como es el caso de Cuba o China. La inactividad, como dejar de pagar las cuotas al partido o dejar de participar en sus actividades se puede considerar como que se ha renunciado a la membresà ­a comunista. La afiliacià ³n fue involuntaria, porque era necesaria para conseguir alimentos, trabajo u otros bienes esenciales. Si bien este punto tiene la dificultad de la prueba en muchas ocasiones.La membresà ­a en el partido comunista no era sentida y simplemente era un vehà ­culo para conseguir una ventaja. Este punto tambià ©n puede ser complicado de probar. Es là ³gico esperar que el asunto del pasado comunista està © presente en cualquier entrevista con un oficial consular o de inmigracià ³n y que se pueda pedir al solicitante informacià ³n o documentacià ³n adicional. Adems, si el USCIS niega la solicitud por esta causa, es posible apelar la decisià ³n. Para tener claro cul es la causa concreta del rechazo verificar el nà ºmero y unas letras que aparecen en el documento en el que se notifica el mismo. Si es 212(a)(3)(d), la razà ³n es el pasado comunista. Perdn o waiver Se puede pedir un perdà ³n, tambià ©n conocido como waiver o permiso, cuando el solicitante es: Padre o madre, esposo/a, hijo/a, hermano/a de un ciudadano americano.Esposo/a, hijo/a de un residente permanente legal. En estos casos el oficial consular notificar quà © planilla debe completarse para solicitarlo. Si no es concedido, es posible apelar la decisià ³n. A tener en cuenta Resaltar que si se  miente y posteriormente se descubre la verdad, el mentiroso puede ser demandado y puede quitrsele la documentacià ³n (green card o, si han pasado los aà ±os y se ha naturalizado incluso el pasaporte americano). Mentir en una planilla federal es una idea muy mala con consecuencias que pueden ser gravà ­simas. Incluso si se miente al solicitar la visa se puede estar arrojando a la basura toda posibilidad de conseguir cualquier otro visado hacia los Estados Unidos. Las consecuencias son igual de malas si se le miente de palabra a un agente federal. Situacin legislacin que afecta a cubanos Entre las à ºltimas actuaciones del presidente Barack Obama se encuentra el haber puesto fin a la polà ­tica de pies secos pies mojados y a las visas CMPP. En la actualidad sigue vigente la Ley de Ajuste Cubano, segà ºn la cual se puede solicitar la tarjeta de residencia permanente (green card) al aà ±o y un dà ­a de presencia fà ­sica en Estados Unidos, siempre y cuando el ingreso se hubiera producido de forma legal.   Este es un artà ­culo informativo. No es asesorà ­a legal.

Saturday, February 22, 2020

Building matrices ( to answer my PICO question) Assignment

Building matrices ( to answer my PICO question) - Assignment Example It would have been externally valid if it had selected a sample that would represent a larger population. However, it might be still useful as a primary source. The study yielded reliable and valid results, but it would have been improved by ensuring that a study group instead of the caregivers controlled the medications. Additionally, most caregivers are family members who have les education on the actual purpose of drug administration. Adler, G., Mueller, B., & Articus, K. (2014). The transdermal formulation of rivastigmine improves caregiver burden and treatment adherence of patients with Alzheimers disease under daily practice conditions. Int J Clin Pract, 68(4), 465-470. doi:10.1111/ijcp.12374 Arranz, F., & LÃÆ' ³pez-Pousa, S. (2013). Characteristics of patients with Alzheimer’s disease who switch to rivastigmine transdermal patches in routine clinical practice. PPA, 47. doi:10.2147/ppa.s38719 Andrade-dos-Santos, G., Canineu, P., Pardi, P., & GonÃÆ' §alves, I. (2011). Influence of Rivastigmine transdermal on butyrylcholinesterase levels in patients with Alzheimerà ¢Ã¢â€š ¬Ã¢â€ž ¢s disease. Alzheimers & Dementia, 5(4), 332-336. Gauthier, S., Robillard, A., Cohen, S., Black, S., Sampalis, J., & Colizza, D. et al. (2013). Real-life effectiveness and tolerability of the rivastigmine transdermal patch in patients with mild-to-moderate Alzheimerà ¢Ã¢â€š ¬Ã¢â€ž ¢s disease: the EMBRACE study. Curr Med Res Opin, 29(8), 989-1000. doi:10.1185/03007995.2013.802230 Moretti, D., Frisoni, G., Binetti, G., & Zanetti, O. (2014). Comparison of the effects of transdermal and oral rivastigmine on cognitive function and EEG markers in patients with AlzheimerÃÆ' ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s disease. Frontiers In Aging Neuroscience, 6.

Thursday, February 6, 2020

Audi and Its Communication Strategy in UK Essay

Audi and Its Communication Strategy in UK - Essay Example The marketing communication of the company is tremendous and this is evident from the well established brand name of the company. In this report we will discuss the communication strategy of Audi in United Kingdom in detail. We will first briefly discuss the history of the company in United Kingdom. In the end we will comment on the efficacy of the communication strategy of the company in UK market alongside with some recommendations. Audi: A Brief History Audi AG is a German car manufacturer that builds a wide range of automobiles from super mini cars to SUVs. The company has a large global presence as it is operating in Europe, India, Brazil, and China (Audi Website, 2012). Audi has its headquarters in Germany and the company is the wholly owned subsidiary of Volkswagen AG. Volkswagen markets Audi as its premium brand for the upper income group market. The history of the company dates back to the 19th century when it was founded by August Horch (Audi Website, 2012). The first Audi car came out in 1909 and since then the company has not stopped. In 1964 it was purchased by the automobile giant Volkswagen which marks the new era in the history of the company. ... Audi in United Kingdom The operations of the company in United Kingdom are going extremely well. The company is growing in the country at a great pace and is pushing well known brands like BMW and Toyota behind. In 2011 Audi became the market leader in the premium cars segment of UK leaving behind the giant BMW (Cars Pages UK, 2011). From 2010 to 2011 the sales of Audi in the UK increased by 27.9 percent (2011) and this shows the pace of growth of the company. Seeing such growth the company is planning o introduce new models in the United Kingdom market to tap the potential offered by the UK market. It is amazing to see a premium car brand growing at such a great pace even in the times of recession and this depicts the brand value of the company. Communication Strategy of Audi in United Kingdom The marketing strategy of Audi has been greatly successful in the country because it has made Audi a market leader in its premium segment. In this section we will attempt to understand the mar keting strategy of Audi in United Kingdom using different marketing theories. Audi derives its brand value from its rich history that expands over three centuries. The company uses it history as a mark of respect to show the world that it is a formidable force in the automobile industry. Audi uses its legacy to attract customers and build trust of customers on its products. The company corporate tagline is â€Å"Vorsprung durch Technik† meaning progress through technology (Audi Website, 2012). This shows that the company communicates itself as a brand that focuses on innovation in technology. The products of the company also follow this tag line as they are mostly a pioneer in their own respective size ranges. The use of this tagline is mainly to communicate

Tuesday, January 28, 2020

Assess the contribution made by the Jesuits Essay Example for Free

Assess the contribution made by the Jesuits Essay The Jesuits are not only indicative of the developments in Catholic faith and theology but they also made a significant contribution in the Counter Reformation movement. On a theological level, the Jesuits helped the Catholics to express their faith- a critical ingredient to Catholic revival. The Jesuits made the Church infinitely stronger and better equipped to face the future in 1600 than it had been half a century earlier. Spain, Italy and Portugal remained firmly Catholic while ground was recovered all over southern Germany and the Habsburg lands and eventually Poland and Rome were won back to Rome. Seeing as the Reformation was on a theological plane, the Catholic response also existed along a theological plane. The Jesuits were part of a wide movement in the Church that had existed since the fifteenth century where a high level of interest was place in meditative prayer and charitable works. When these two concepts overlapped, the notion emerged whereby spiritual satisfaction could be expressed in a methodical way of life. The Jesuits were a vehicle through which this could happen. After the Council of Trent the Catholic Church, armed with its Tridentine decrees, placed renewed emphasis on continuous prayer, self-control and improvement, and particularly charity. The Church was looking for a more practical religion where people could be actively involved, as argued by John Bossy. An organisation that was a manifestation of these developments were the Jesuits. By joining the Jesuits ones sense of spirituality was enhanced and such theological challenges that were desired would be provided. Norvegus was one such Jesuit who undertook the spiritual challenge were he did the challenging task successfully of persuading Scandinavian theology students in the 1580s to be Catholic. The Jesuits had great security in their faith, shown, for instance, by their willingness at one point to do charitable works in Hamburg only to be lynched. The Jesuits had such devout members for their methods of the four main stages of training, or weeks as they were knows, were totally unique. The Jesuit would take the individual and train them up to moral standard whereby they could be presented to the church at the end of the process as someone who was spiritually and ethically strong. The members of the Jesuits were thus indifferent to the world and its pleasures yet were equipped to work within it. The Church, to its great advantage, was thus equipped with members who were certain of their faith and in their knowledge of God. The Jesuits were important in a spiritual sense for through their spiritual exercises they emphasised the important theological issue derived from an Aristotelian idea where the mind is employed to contemplate suffering of Christ and God. Loyola takes this a stage further when he proposes that the mind can be used to motivate us into good and charitable apostolic action. From Loyolas contemplation for achieving love he outlines how you can meditate to understand, as suggested when he said, Take my freedom, my memory, my understanding and use me as you wish. The ultimate outcome is that individuals had increased understanding of God that it was possible to become totally servile. With such members, it was inevitable that the Catholic faith strengthened. The Jesuit theology was important in justifying Papal dominance. A great manifestation of the developments towards a more practical faith was the spiritual exercises. In theological terms, the spiritual exercises placed a great emphasis on Papal hierarchy. Hierarchy within the Church could now be justified by theology and this validation of this much disputed factor to Catholicism enabled the Church to produce a strong front. Such comments of Loyola as I will believe that the white object I see is black if that be the will of the hierarchal Church suggests the importance of obedience and hierarchy which the Jesuits so promoted. The Jesuits were part of the move towards Catholic revival not only through realising the importance of the Churchs abuses and poor administration but also through challenging the Lutherans. An essential role of the Jesuits to aiding the Catholic faith was the recovering of lost souls in Lutheran territory as well as persuading people out of Europe to convert to Catholicism. A fine example was set by Francis Xavier who became the best know Christian missionary of modern time. He tried to educate the people of the East, particularly in Japan and India on the values of Christianity. The conversion of non-Christians was Loyolas initial motivation in founding his Society and he realised its importance right back in the 1540s when the Jesuits were established. The Papacy also viewed the order as one where their principle function was converting individuals to Catholicism, but particularly those who were Lutheran. As shown by the title given by the Papacy, Regimi militantis ecclesiae, when the order was founded in 1542, they were viewed as an almost militant organisation who could counter the Lutherans with their total obedience to the Pope. The Jesuits would not have received the Papal Bull and this particular title if the Catholics did not realise there would be a spiritual armed struggle between the Jesuits and Luther.

Monday, January 20, 2020

Euthanasia :: Death Ethics Morals Papers

Euthanasia Euthanasia is one of the most controversial issues affecting all realms of society and needs to be closely examined. In order to delve deep enough into the issue, the religious, legal, cultural, ethical, medical, and spiritual ramifications of euthanasia from both proponents and opponents of euthanasia need to be explored. The following discussion of euthanasia will inform people about euthanasia and to help them draw their own conclusions. I. Introduction Euthanasia comes from the Greek and means "painless, happy death." Webster defines it as "an easy and painless death, or, an act or method of causing death painlessly so as to end suffering: advocated by some as a way to deal with victims of incurable disease." Yet one more group, the Euthanasia Society, defines euthanasia as "termination of human life by painless means for the purpose of ending severe physical suffering." What is euthanasia on a more intimate level? Some call euthanasia "mercy killing" an others call it murder. Euthanasia is one of the most controversial issues affecting all realms of society and needs to be closely examined. In order to delve deep enough into the issue, the religious, legal, cultural, ethical, medical, and spiritual ramifications of euthanasia from both proponents and opponents of euthanasia need to be explored. The following discussion of euthanasia will inform people about euthanasia and to help them draw their own conclusions. What should people know about euthanasia before deciding how they view euthanasia? To clarify matters, there are two types of euthanasia, passive and active. Both have the end result of ending the life of a terminally ill person. Passive euthanasia can range from discontinuing life-sustaining medical treatment (such as removing patients who cannot breath on their own from a respirator) to giving pain medications such as morphine in amounts that have the side effect of hastening death (6). Active euthanasia is a direct act by a physician or other person that has the purpose of ending a life. It is often done by giving the patient a lethal chemical injection or IV drip or by inhaling a deadly gas (10). Euthanasia is such a controversial topic because it brings forth questions about the morality of killing, the effectiveness of consent, the duties of physicians, and equity in the distribution of resources (1).

Sunday, January 12, 2020

The Influence of Roman Engineering and Architecture

The ingeniousness and beauty of Roman architecture has not been lost on us in the 2000 years since it was built. Even today, we still marvel at what incredible builders the Romans were, and at the sheer scale and integrity of many of their projects. It is hard to argue that today’s architecture will maintain the same lasting grandeur as that which the Romans built. If we can still respect and admire the grandeur of Rome as it was in it’s day, one can only imagine how much of an influence people of the time felt, due to the incredible innovations that the Romans brought to the new regions of their empire.In fact, it is because of the superior engineering skills and architectural ideas possessed by the Romans, and respected by others, that allowed them to conquer, influence and rule such a vast area of the world, for such an extended period of time. Citizens of regions conquered by Rome were the beneficiaries of Roman innovations such as a (public) fresh water supply, bri dges over previously impassable rivers, roads linking all parts of the empire (especially to the capital) and incredible public buildings like the forums and baths.They were more easily persuaded into acceptance once the Romans arrived when they saw or heard of these innovations which they realized could have such a huge and beneficial impact on their lifestyles. The first thing the Romans did upon entering a new region, after winning the war that gained them their new territory, was construct roads and bridges. This was the best way to â€Å"Romanize† the new areas, as it permitted easier communication between the colony and the mother country.The roads all led to the capital, which solidified its position as the centre of power, and also allowed the rulers easier and faster access to the colonies when necessary. It has been said that at the peak of Rome’s power, one could travel from the English Channel all the way to Rome without ever fording a stream, simply becaus e the Romans had built so many bridges to link its colonies. As the Romans were the first to master bridge building on such a large scale, they had a huge influence on the people in even the most remote regions. Places that had been impassible could suddenly be crossed by bridge.The bridges were a commanding presence on the landscape as well, easily conveying the sense of who was in power and influencing the people of the region. The Puente Alcantara in Spain can perhaps best show the expansive influence that the Romans held through their bridges, (Images 1 and 2). Built in AD100 and still standing today, Puente Alcantara reaches 164 feet at its highest point, is 600 feet long and has spans of 92 to 98 feet wide. Such an example of architecture so far from the centre of power is a lasting monument to the influential power once held by the Romans.People were drawn into conformity when they saw the superior skills of the Romans, who also perfected pile driving for the construction of bridges and built each bridge arch as self-supporting to avoid damage to the entire structure if only one portion was damaged. The Roman use of the arch itself, which had never been used to such a great extent before, is itself the main reason they were able to build the huge and influential structures that they were. The use of the arch was of course not limited to bridges; it was common in all Roman architecture of the time.The next major use for it in the new colonies, however, was in the construction of a water supply system—the system of Roman aqueducts. Rome already had an extensive system of aqueducts to supply the city with fresh water, and the Romans used the same system in other regions to civilize the â€Å"barbarian† tribes they had just subdued. Such a system was unheard of in other civilizations. The Romans were a very sanitary and hygienic people to whom fresh water was very important. The new colonies had never been concerned about such sanitation.The R omans, however, were able to bring fresh water to the towns from long distances away by carrying it through tunnels and over valleys with their towering aqueducts. This water was then used for the public baths and toilets, besides the expected drinking water. The fact that this water was for the public, and not reserved for private use, pleased people in the new colonies even more, and made them even more accepting of Roman control. The actual aqueducts themselves, built by the Romans to carry the water, were perhaps even more influential.Aqueducts like Pont du Gard at Nimes (Images 3 and 4), or Segovia in Spain (Image 5), the latter of which still carries water today, were monumental landmarks in the colonies where they were built and still are today. That the Romans would build such magnificent and monumental structures for the sole purpose of supplying water to its colonies was likely overwhelming to those benefiting from it. So the Romans supplied the towns with water, and made travel between towns easier. But what about improving life within the town itself?It is in the public buildings such as the bath, the forum and the amphitheater, which people used and experienced daily, where Rome was able to exert its greatest influence. The fact that these buildings were open to all and not reserved for an elitist group of society only increased their significance. It is arguable that the grandness of the baths has yet to be surpassed in any public building since. These were huge, lavishly ornamented structures where citizens would go not only to bathe, but also for sports, club-life and exhibitions of art.The baths acted as a community centre, uniting citizens in the towns in which they were located. There was also the Roman invention of the forum, today’s equivalent of which would be city hall, the law courts, a marketplace and a church all combined in a single structure. It was a novel idea that one could go to a single building at the centre of town and find everything they needed. People were also allowed open discussion here and were able to publicly voice their opinions and socialize with fellow citizens.However, the forum’s accessibility and openness should not hide the fact that it was used by the Romans as a control centre, where legislative duties for the town were carried out, giving Rome further influence over the citizens. The amphitheaters cannot be forgotten, as they were used by the Romans to please and placate people through the presentation of spectacles. Their architectural grandeur was also influential, however, as they were usually four stories tall, could be covered by a canopy, and were the size of two theatres put together.The Romans didn’t build the public buildings just for their own good, they were used to show â€Å"who’s boss† and keep people appeased. These buildings were superior to anything else that had been or was being built, which helped Rome keep the territory it had co nquered. It is still difficult to comprehend that the Romans were able to create an empire as vast and as powerful as they did. Lasting several centuries and covering Europe, Asia Minor and Northern Africa and even overtaking their historical enemies the Greeks, their empire was of a magnitude that has been unsurpassed but often dreamed. When we look back at how they chieved such widespread influence there is no doubt that the principal factor in their achievements was due to their superior skills in architecture and engineering of the day. They brought fresh clean water to the towns and cities they conquered using the aqueducts which are still inspiring and influential monuments today. We can only imagine the significance they held 2000 years ago. As Frontius said of the aqueducts, they are â€Å"†¦a signal testimony to the greatness of the Roman Empire. † The water brought by the aqueducts was then distributed to the public and used in even more magnificent structures like the baths.How could people not be influenced by such great inventions as these and the forum and the amphitheater, which were used by the Romans not only to please the people but also to help maintain power? The Romans built bridges and roads to link their new colonies and built them so they were a lasting and powerful presence. These bridges were not just a show of power in their grandeur, but were also used by the Romans as quick access to the colonies they needed to keep under control. People of the world were not nearly as advanced in terms of the engineering ability of the Romans, and were persuaded to accept Roman rule.They respected and admired the Roman’s superior abilities and innovations and were therefore easier to conquer and less likely to revolt, allowing the Romans to expand their empire and maintain their influence for such a long time. The Romans no doubt improved their quality of life upon conquering them, and it is hard not to accept a new ruling class if such improvements are occurring. The greatness of the Roman Empire as it was is a direct result of the fact that they were such superior engineers and architects.