An Overview of the Bardet-Biedl Syndrome

In a case report presented by Uzun, Ar, Canan, Aktas, & Bas (2007), an 11-year-old boy was admitted to a hospital in Turkey due to complaints about â€Å"loss of vision, speech deficit, learning difficulty, poor balance, and ataxic gait†. Results of the physical examination showed that the boy manifested the following special features: facial dysmorphism, visual problems that included nystagmus or rapid, involuntary movement of the eyes from side to side, poor coordination, being overweight, an extra digit on the left foot, mild mental retardation, among other distinctive characteristics.What the authors (Uzun et al. , 2007) had presented was a usual case of a developmental disorder called Bardet-Biedl Syndrome (BBS). The World Health Organization (WHO) developed the International Classification of Functioning, Disability, and Health (ICF), which is a news classification system that focuses on the components of health (Stewart & Rosenbaum, 2003). The ICF also emphasizes the re lationship between health condition and contextual factors, as illustrated in Figure 1 using the ICF model.This document aims to explain the Bardet-Biedl Syndrome in terms of the patients’ body structure & functions, activities, participation, and their limitations. General Description Bardet-Biedl syndrome is an autosomal recessive condition or an inheritable disease involving non-dominant chromosomes (Barnet, Reilly, Carr, Ojo, Beales, & Charman, 2002; Beales, 2005; Beales, Elcioglu, Woolf, Parker, & Flinter, 1999; Chan, Ho, But, & Tse, 1999; Hrynchak, 2000; Uzun et al. , 2007). It was first described by George Bardet and Alfred Biedl in 1920 (Chan et al. , 2000).This syndrome has a prevalence rate of 1/160,000. The cardinal features of BBS as seen in numerous case reports include retinal dystrophy, obesity, cognitive deficit, hypogonadism, polydactyly (Hrynchak, 2000), mental retardation, and renal dysfunction (Beales et al. , 1999; Chan et al. , 2000; Uzan et al, 2007). A rguments regarding the accuracy of the cardinal features emerged and consequently prompted Beales et al. (1999) to conduct a study that aimed to clarify and determine the major criteria for proper diagnosis of the syndrome. According to the results (Beals et al., 1999), individuals diagnosed with BBS must have the following cardinal features: (1) Visual disorders. The individual suffers from rod-cone dystrophy, also known as atypical retinitis pigmentosa, which is characterized by â€Å"night blindness†, loss of peripheral or tunnel vision, loss of central vision in childhood and adolescence, and â€Å"severe visual impairment by adulthood† (The Foundation Fighting Blindness [TFFB], 2000). (2) Limb defects. A widespread condition among individuals with BBS is postaxial polydactyly, or having extra accessory digits in the hands or feet (Beales et al., 1999). Some are born with only one extra finger or toe, but in other cases, the condition is â€Å"present in all four limbs† (Beales et al. , 1999). There were also cases that extra digits were only found in both hands or in both feet (Beales et al. , 1999). In the case study mentioned above, the 11-year-old boy had an extra digit on the left foot (Uzun et al. , 2007). (3) Height and weight. In the survey conducted by Beales et al. (1999) among children who developed BBS with an average age of 9 years old, the average height of males was 1.73 m, which was significantly lower than the average height of males in the general population which was 1. 76 m; the average height of females, on the other hand, measured 1. 62m—a number that was not significantly different from the average height of females in the general population that measured 1. 63 m (Beales et al. , 1999). When it comes to weight, Bardet-Biedl syndrome is widely linked to being obese or overweight (Beales et al. , 1999; Beales, 2005). Obesity was considered by a number of researchers as one of the accepted major criteria of B BS (Barnet et al., 2002; Hrynchak, 2005). Uzun et al. (2007) even addressed obesity in his case study as â€Å"one of the most common features of BBS†. (4) Education. Individuals with BBS exhibit learning difficulties (Beales et al. , 1999) which â€Å"can range from mild cognitive disability to mental retardation† (TFFB, 2000). However, Green et al. (as cited in Hrynchak, 2000) questioned this feature and found that â€Å"when appropriate verbal and performance IQ tests were given, only a minority of patients were found to have a cognitive deficit†.(5) Renal tract abnormalities. The kidney is one of the affected body organs when a person is developed to have BBS (Beales et al. , 1999, Chan et al. , 2000, Hrynchak, 2000). Most patients were found to have structural abnormalities (Beales et al. , 1999, Chan et al. , 2000). Kidney failure has been one of the leading causes of death among individuals with the syndrome (Chan et al. , 2000; Uzun et al. , 2007). The s ymptoms mentioned above are considered the major criteria; however, the descriptions of BBS are not limited to these items.Hypogonadism was considered by some researchers as one of the key features (Hrynchak, 2000); it is described as a structural deficiency characterized by Beales et al. (1999) as having small penises buried in adipose tissue. These concrete descriptions of the major criteria or symptoms for proper diagnosis of the Bardet-Biedl syndrome are one thing; behavioural patterns in patients with the syndrome are another. Beales et al. (1999) were able to include brief descriptions of BBS patients. These â€Å"difficult† behaviours include â€Å"emotional immaturity, frequent volatile outbursts, and poor reasoning† (Beales et al., 1999). They also claim boldly that â€Å"all BBS children preferred fix routines† (Beales et al. , 1999). Barnet et al. (2002) extensively studied the behaviour of individuals with BBS and found, apart from the aforementioned description by Beales et al. (1999), that children with BBS felt â€Å"withdrawn†, â€Å"anxious†, or even â€Å"depressed†. One of the main arguments of the article by Barnet et al. (2002) was the existence of a â€Å"behaviour phenotype† or a behaviour gene. One revelation that fuelled his speculations was the emergence of closely similar behaviour patterns of individuals born with BBS.That is simply one way to explain behaviour. On the other hand, we can find links between affect, behaviour, and cognition to explain why they act the way they do. Consider feelings of withdrawal, anxiety, and depression. These are all negative feelings indirectly pointed towards the self. A person with BBS would want to withdraw from the normal population because of possible shame or fear of encountering ridicule due to other people’s inconsiderate and usually unkind remarks. Anxiety might be felt due to a developed fear of being ridiculed.Depression, which is mo st probably the worst thing a child can feel, might have developed due to low self-esteem and self-worth. They would probably make comparisons between people like themselves who have impairments and people who are declared by society to be normal. One of the most notable behaviour patterns observed was traces of obsessive-compulsive behaviour; as with individuals who are diagnosed with autism, which is another developmental disorder linked to cognitive deficit, those with BBS are most comfortable with a â€Å"fixed routine† (Barnet, 2002).Activities & Limitations in Activities It is an observable fact that the features of Bardet-Biedl syndrome entail a lot of limitations in learning and applying knowledge. First, once the visual problems emerge, they interfere with visual learning, which is an important facet of education since most instructional media are visual. Hrynchak (2000), however, claimed â€Å"early identification of the visual disorder and appropriate educational intervention can be of great benefit in people with this condition†. In the study of Beales et al.(1999), half of the patients received education in a â€Å"special school†; some even further pursued their education and earned university degrees. Visual problems also hamper the day-to-day activities of older patients. Hrynchak (2000) presented the case of a 20-year-old white man with the condition who worked as a janitor. He complained about â€Å"decreasing visual acuity†, specifically, â€Å"missing debris while sweeping†. â€Å"He also had reduced ability to see fine print, difficulty seeing the credits on television, mobility problems (especially judging depth), and difficulty adapting to changing illumination conditions† (Hrynchak, 2000).Hrynchak (2000) also mentioned that majority of individuals become â€Å"legally blind† before the age of 30. Obesity also entails a lot of health risks including heart disease (Beales et al. , 1999). Th is affects the amount of emotional and physical stress the individual is capable of doing. Ataxia, which is characterized by poor coordination, was also found in patients with BBS. This affects how people with BBS move properly. It is probable that obesity is prevalent in some cases because of ataxia, which hinders activities that need proper coordination such as sports and other physical exercises.There is also the matter of speech deficit. Beales et al. (1999) pointed out that there is a problem in language use and vocabulary is limited due to learning difficulties. Participation & Limitations in Participation The case presented by Hrynchak (2000) shows the ability of individuals with BBS to function effectively in society as a working individual. However, Beales et al. (1999) described that â€Å"adult patients are often disinhibited and appear to recognise social cues†. This means that they often find it difficult to relate and mingle with other people.Perhaps this is a c onsequence of feelings of depression and anxiety in childhood brought about by possible ridicule and rejection among peers. Fatherhood is a major societal role that the males will not get to play. Due to hypogonadism, males are infertile and are unable to procreate (Beales et al. , 1999). According to Hrynchak (2000), â€Å"there have been no reports of a man with Bardet-Biedl syndrome having fathered children. † Treatment & Outcome It is an unfortunate matter that this genetic disorder has no known holistic treatment according to The Foundation Fighting Blindness (2000).To perhaps decrease the complications of the condition, one must address each symptom separately. For visual problems, an eye specialist should be consulted to see how the vision could be improved or what adjustments should be made by the patient or by the people around him. Hrynchak (2000) suggested the use of â€Å"field expansion devices† or a guide dog. Poor vision might hamper an individualâ€℠¢s ability to learn, hence, the cognitive disabilities. Learning disabilities, on the other hand, can be overcome with early intervention and had not been a hindrance to those who completed university degress.For renal abnormalities or kidney problems, one can approach a nephrologist or â€Å"a physician that specializes in kidney diseases† (TFFB, 2000). Kidney diseases are usually not detected until the patient undergoes radiological testing or x-ray after being diagnosed with BBS (Hrynchak, 2000). Take note that the leading cause of death among BBS patients is renal or kidney failure. Reference Barnet, S. , Reilly, S. , Carr, L. , Ojo, I. , Beales, P. L. , & Charman, T. (2002). Behavioural phenotype of Bardet-Biedl syndrome. Journal of Medical Genetics 39, e76-e76. Beales P. L. (2005).Lifting the lid on Pandora’s box: The Bardet-Biedl syndrome. Current Opinion in Genetics & Development, 15(3), 315-323. Beales, P. L. , Elcioglu, N. , Woolf, A. S. , Parker, D. , & Flin ter, F. A. (1999). New criteria for improved diagnosis of Bardet-Biedl syndrome: Results of a population survey. Journal of Medical Genetics, 36, 437-446. Chan, W. K. Y. , Ho, S. , But, B. , & Tse, W. W. Y. (2000). Renal disease in Bardet-Biedl syndrome. Hong Kong Journal of Paediatrics 5, 34-39. Hrynchak, P. K. (2000). Bardeit-Biedl syndrome. Optometry and Vision Science, 77(5), 236-243. Stewart, D. , & Rosenbaum, P. (2003).The international classification of functioning, disability, and health (ICF): A global model to guide clinical thinking and practice in childhood disability. Keeping Current, 3(3), 1-8. The Foundation Fighting Blindness. (2000, February). Bardet-Biedl syndrome. Retrieved March 12, 2008, from http://www. blindness. org/pdfs/resources/bardetbiedl. pdf Uzun, H. , Ar, K. , Canan, F. , Aktas, A. , & Bak, M. (2007). A case of Bardet-Biedl syndrome. The Internet Journal of Pediatrics and Neonatology 7(1). Retrieved March 11, 2008, from, http://www. ispub. com/ostia/in dex. php? xmlFilePath=journals/ijpn/vol7n1/ biedl. xml

Introduction to Pastoral Counseling Essays

Introduction to Pastoral Counseling Essays Introduction to Pastoral Counseling Essay Introduction to Pastoral Counseling Essay Do to this fact, instead of amplifying problems, we choose to amplify solutions. We believe you are the expert on yourself, because of this we want to partner with you to co-create solutions. In SCABS, the counseling sessions are brief and time-limited. The counseling relationship normally does not exceed more than 5 to 6, 50 minute sessions. Note taking will be used in these sessions by both you and the counselor. Homework will be given to you in order to implement what has been learned in the counseling sessions. You must also document the results of such homework in order to share your progress with the counselor. Termination of the counseling relationship may be done by the counseled at any time. The counselor will not terminate the sessions without appropriate reason. Whenever possible upon completion of the counseling sessions, the counseled will be directed to the appropriate small group ministry in order to foster love, support, and accountability. Guided Assumption to process uses guided assumptions adapted from ?solution-Focused Pastoral Counseling?o (Collar 1953,1997). Those assumptions are as follows: (1) Assume Is at work In ten Tie AT ten counseled (Collar 1 ) Recognize sees grace and mercy in the life of the counseled. (2) Understand that at some point all have needed restoration. All have fallen short of God?was glory and have been in need of encouragement to create an environment for change, rather than isolation. (3) The counseled is not the problem; the problem is (Collar 1953,1997). The counseled has to deal with the problem. Create an environment where the counseled knows that they can indeed be separate from their problem. (4) The counseled is the expert on themselves (Collar 1953,1997). Other than God, no one knows the oneself better than themselves. (5) Finding exceptions helps create solutions (Collar 1953,1997). Realizing the success, Joy and peace one feels away from their problems is key. Remind the counseled to remember events where the problem was not their focus and create to those events more often. (6) The aim is for solutions. Don?wet focus on the problem. The SIC represents my guarded, masked behavior. This behavior is what people expect from me. I am expected to be analytical and weigh options when making decisions. I am sensitive to the needs of others, but I can also be very critical. It may appear that I am uninterested at times because I am contemplative. What I like most is to do things the correct way. Again, this is what is expected of me. My unguarded, unmasked true self is a C/S/D personality profile. Being a C/S/D I am a very task driven person, but I really work well with people on an individual level as well. Most C/S/D?was don?wet like to speak in front of a large group of people, but my spiritual gifts have made this task less frightening and more fulfilling. I will say that I probably am still more effective one on one or in a small group setting. I am really up front and frank with people, often it can be confused or taken as though I am insensitive. I am actually very sensitive and I really care about people; I Just believe that I allow things to roll off of me easily. Essential that frees me up emotionally and mentally to be able to listen to and deal with the problems of others. I am a very serious person. I probably should lighten up a little, be more optimistic, be more positive, and less critical. I have a fairly constant personality with my guarded and unguarded self. I believe my spiritual gifts when used; help keep my personality in check. My three highest spiritual gift tendencies are: Encouraging/Exhorting; Teaching; Administration/ Ruling. This means I also tend to be more of an encouraging person. I often find myself in informal counseling situations. I have genuine concern for the well-being of others. With that concern, comes the desire to share truth with people, mainly the truth of the gospel of Jesus Christ. I also am a visionary person who desires to organize and lead a cause. The overuse of these gifts sometimes makes me boring and annoying. I may tend to talk too much, desire to know too much. I also can be over critical Ana expect too much out AT people. 10 communicate Ana relate Walt others more effectively I should not be so hard on people, and be more sensitive to hey?were needs. I must also exhibit patience and kindness.

International business Essay Example | Topics and Well Written Essays - 1250 words - 3

International business - Essay Example For the purposes of this essay, I intend to open up a logging business in Brazil. I will need to present a lot of information about the Brazilian economy and the logging industry in order to feel comfortable that my investment in Brazil will return dividends, be sustainable, and jump through the various legal and regulatory hoops. Brazil is by far the largest country in South America, both in geographical size and in population. It is nearly half of all of South America, with very diverse physical characteristics, and a population of nearly 200 million. It is a democracy, but it is a young democracy, with institutions that are still developing and are still slightly vulnerable. The main language is Portuguese (not Spanish) and there are colonial ties to Portugal. The population is very diverse, with native people mixed with African people, mixed with European peoples. The political system is similar to that in the United States. The President is elected and is head of government and head of state and appoints his cabinet. The current President Luiz Inà ¡cio Lula da Silva is a leftist, but he is also friendly to business. He has so far overseen a great deal of economic growth in the new millennium and also additional labour and environmental protections. The legal system in Brazil is based on civil law. The system is not very efficient and this is something to take into account when starting a business in Brazil. It can take years to resolve suits and enforce contracts. The tax system is also very difficult to navigate. According to one study it takes the typical Brazilian company 2,600 hours a year to comply with the tax code.1 These are important disincentives to investing in Brazil. I will have to spend extra money to find good accountants and lawyers to help me out. Starting a business is not always easy in Brazil, even if it is getting easier. A recent

He Said, She Said Essay Example | Topics and Well Written Essays - 500 words

He Said, She Said - Essay Example some point, these destructive procedures of communication at times happen when two persons are in a discussion that is involving problems or personal troubles. Because of the tension that is usually built up due to the problem being talked about, the sense of right reasoning is usually lost because of the lack of understanding that exists due to the tension. To be able to understand everything, the twelve roadblocks should be discussed herein in a clearer pattern: This is the way by which a person intends to manipulate the thinking of the other person through questioning the attitudes of the other. Not only that, the situation usually aggravates the questioning of the attitude of the other towards the other person. Robert Bolton comments on the matter saying: â€Å"Many of us feel we need to be critical, or other people will never improve we make a negative evaluation of the other person, for his or her actions, or attitudes.† (1999) The attitude of man to even aggravate the situation being faced by the other because of some emotional attachment to the issue makes this particular roadblock an effective way of stopping or heating up a particular conversation. At some point, when people get pissed off because of a heated conversation, they tend to course the other or at times they name-call the others with insulting titles that makes it hard for the other party of communication to understand clearly what is happening. The result then leads to a more aggravated heated conversation. Bolton further adds, â€Å"Name calling and labeling usually have negative overtones to both the sender and receiver. Labeling prevents us from getting to know ourselves and other individuals.† (1999) At some point, when people argue over something, they become too much sensitive with how the other reacts upon a certain situation or how a person intends to talk back to them. The sensitiveness results to diagnosis of the reaction of the other and the way of speech that he or she uses

Physical and Chemical Properties of Methylene Chloride Essay

Physical and Chemical Properties of Methylene Chloride - Essay Example The term â€Å"hazardous substance† means any substance or mixture of substances which is toxic, corrosive, an irritant, a strong sensitizer, is flammable or combustible, generates pressure through decomposition, heat or other means, if such substance or mixture of substances may cause substantial personal injury or illness during or as a proximate result of any customary or reasonably foreseeable handling or use, including reasonably foreseeable ingestion by children.2 According to the Occupational Safety and Health Standards of the United States Department of labour, employees exposed to methylene chloride are at an increased risk of developing cancer, adverse effects on the heart, central nervous system and liver, and skin or eye irritation.3 Possibly hazardous short term degradation products are not likely however, long-term degradation products may occur. The products of degradation are more toxic. There is no disturbance or aerobe purifying process at concentrations less than 200 mg/l. Methylene chloride is a stable and non-corrosive chemical in the presence of glass. It is combustible at high temperatures, with an auto-ignition temperature of 556 oC (1032.8 oF). When using methylene chloride, avoid the following: strong acids, alkali metals, and oxidizing agents. In case of fire, use water spray, fog or foam. Do not use a water jet. Fire may liberate toxic and corrosive vapours. In case of skin contact, immediately flush skin with plenty of water. Cover the irritated skin with an emollient. Remove contaminated clothing and shoes. Thoroughly wash and clean shoes before reuse. If it is serious skin contact, wash affected area with disinfectant soap and cover with anti-bacterial cream. Seek medical attention immediately If ingested, avoid inducing vomiting, unless directed to do so by medical personnel. Never give anything by mouth to an unconscious person. If large quantities have been swallowed, call a physician immediately. Loosen tight clothing such as a collar, belt or tie.

Communication Studies Essay Example for Free

Communication Studies Essay This blog is for students of the Community College of St Vincent the Grenadines who are to be entered for CAPE Communication Studies examination in May 2008. The blog contains information about the course syllabus, administration and assignments as well as the course content. Wednesday, March 05, 2008 The expository presentation for CAPE Communication Studies Internal Assessmblies The presentation has two distinct parts * A FACTUAL presentation on an aspect of your portfolio theme * A presentation about your research including an evaluation of two sources of information used to prepare your factual presentation. It will have all the following 6 elements present 1. An introduction (statement of topic) In the introduction you will give a brief explanation of topic/ theme and a preview (with a thesis statement) of what you are going to cover. For example. My theme is Returning Migrants to St Vincent. Returning migrants or returnees are a group within the population of St Vincent who have spent a significant time away from the island and have then returned to permanently settle again. Returning migrants often are retired from their previous occupation which they pursued in a more developed country such as the United States, Canada or Great Britain or they have been working in another Caribbean state. According to statistics from the Customs Department given to me by Mrs B Chalres in an interview 4361 people claimed the concession for returning residents in 2005. Returning migrants experience 5 phases of adjuststment when returning which can be termed as â€Å"culture shock†. Theme ; Returning Migrants to St Vincent. a group within the population of St Vincent a significant time away from the island returned to permanently settle retired from their previous occupation (the United States, Canada or Great Britain) OR working in another Caribbean state. Customs Department (Mrs B Charles) â€Å"4361 people claimed the concession for returning residents in 2005†. Returning migrants experience 5 phases of adjustmentwhen returning which can be termed as â€Å"culture shock†. 2. A rationale In the rationale you need to explain why you picked the theme and it can form part of the introduction. In the rationale you should mention any personal interests, current academic links and future career plans which influenced your decision to choose the theme For example I chose the theme returning migrants to St Vincent and specifically to focus on culture shock because I am a wife of a returning migrant. I have a BSc honours in Sociology and the concept of culture shock is part of socio-cultural studies carried out by Kavelo Oberg 1958. In the future I will be submitting my Masters thesis on this specific issue. 3. Discussion of issues The discussion of issues is the factual presentation about the theme and its narrowed focus based on the thesis statement. It should have a distinct organisational pattern and you should aim for one of the expository structures such as cause and effect, process analysis, analysis by division, classification etc (See Writing in English) It should also be referenced and include any research findings. You will also need to give a conclusion to your factual presentation as a sort of sub conclusion don’t wait until the end Here is an example of a possible outline for my example presentation (not all of it). It uses the organisational pattern of process analysis Remember you cannot read from a script! Culture shock 5 phases Honeymoon, rejection/ regression, conformist, assimilation, reverse culture shock Honeymoon Centre for Overseas Travel â€Å"the tourist phase† Questionnaire (300 returning migrants) 78% not feel â€Å"tourist† 82% â€Å"elated† Rejection Oberg – frustration etc Questionnaire 50% wanted to return after 3 months, Reasons, poor service, backward attitude, nothing to do, boring Interview Dr Sheridan Mental health presentations tend to be in 1st 4 months of return. 4. Challenges of research You need to discuss what difficulties you faced in preparing your factual presentation. If you did not have any difficulties then just explain why. For example (in note form) Questionnaires – time consuming, identifying sample, Other sources no central data on returnees, newspaper articles useful Academic research not on St Vincent 5. Evaluation of two sources For this aspect of the presentation you need to discuss your research. The two sources need not necessarily be given as a reference in the presentation but they should be relevant. You should try to select two different types of data source e.g. a newpaper article and an interview. You may want to very briefly summarise all your sources before evaluating two for reliability and validity. Please see other parts of the blog for information on reliablity and validity. For example (in note form) Secondary sources: academic text books and journals, local and international newspapers and magazines, web sites: international public organisations e.g. Peace Corps general sites e.g. Wikipedia Primary sources interviews of experts in St Vincent questionnaire of returning migrants. Questionnaire of returning migrants Reliable: primary data source, research method suited to collecting data for social research Valid: Problem with sample size as total population of RMs unknown Problem with generalisation as differences between UK, US and other RMs more research needed. Overall reliable and reasonably valid The Experience of Return Migration: A Caribbean Perspective, Joan Phillips and Reliable Denis Conway, Ashgate Press, London 2005 Author expert Phd Social Anthrop. Specialised Caribbean writer – Canada Publisher: reputable, specialst academic main interest Social research Valid Recently published Problem no reference to St Vincent Overall general but very reliable and valid source 6. Conclusion The conclusion should be slightly different to the internal summary conclusion in your discussion of issues. At this stage you can express a personal view or put forward a possible solution. For example (in note form) Returning migrants YES culture shock 3 ways Honeymoon Rejection Conformist NO assimilation Solutions Programme – promote overseas, keep in touch, Information government FINALLLY See my other post about the reseach using the internet for idea. Make sure that you are aware of the requirements for acceptable notes during the exam and be familiar with the marks scheme it is not only content that is marked but also presentation skills.

Sustainable Product Design And Materials Recycling Environmental Sciences Essay

Sustainable Product Design And Materials Recycling Environmental Sciences Essay Over the last three decades, environmental issues have become a significant concern for all societies. With growing awareness of environmental issues, for instance, Air Pollution, Global Warming, Water Pollution and Ozone Depletion, sustainability has been gaining increasing attention in recent years. (Roy, R. 2000) However, according to Tseng, M. et al. (2012), currently it is generally not sustainable that models of consumption and the Manufacturing systems which based on traditional activities and business technologies. Therefore, sustainability has captured the attentions of most designers, regardless of their specialism. In other word, designers have to consider the sustainable aspects of their practices in order to adapt to a sustainable future. The choice of recycled materials used to make product is important, allied with the way in which they are used. (Manheim, J. 2009) The literature review is based upon the examples from Internet and books that were found to have relevanc e to the topic of sustainable product design and recycled materials. And this literature review will aim to bring together the most key examples and developments in recycled materials and sustainable product design from recent years in order to establish what the present state of the art is. (G.D. Hatcher et al., 2011) In the final part, it will demonstrate the significance and limitations of sustainable product design made from recycled materials and from this provide suggestions as to where the research should go next. Sustainable product design and materials recycling A sustainable product design also known as eco-design, green design or design for environment, and it depends on two things: what types of designs are made, and in what quantity they are made (Matthew, S. and Andrew, S. 1997). In other words designing with recycled materials is actually depending on the type of waste objects that you have access to. While from the environment aspect, Lennart (2007) suggested that a sustainable product is a product, which will give as little impact on the environment as possible during its life cycle. And sustainable products applying environmental criteria aimed at the prevention of waste and emissions and the minimization of their environmental impact, along the material life cycle of the product. (Weenen, J. C., 1995) Sustainable product design can be characterized by several factors; for instance, recycling materials through the design for environment is one of key factors, which includes design for remanufacturing, design disassembly and for sust ainability. Employment of cleaner production principles of preventive strategy and source-oriented approaches are equally essential in sustainable design practices (Tseng, M. 2012). It is generally useful to define a sustainable product or at least to have some measures of degree of sustainability. It is agreed that the principles of eco-design can be considered the running of resources in the environment. Recycled materials include collecting a large number of already made products and materials from various sources and reducing them to other standardized raw materials objects; original product form and function is totally discarded or partial changed. The main consideration of sustainable product design made from recycled materials is to facilitate the reduction or changing process, and involves approaches such as (1) modifying the materials mix, (2) recycling for disassembly, (3) designing for recycling process compatibility, and (4) adopting materials coding systems. (Fuller, D.A. and Ottman, J.A. 2004) Designer and artist worked with recycled materials Julia Manheim is a famous designer and having gained an international for her work. In the early 1970s, her concern for the disposal of materials started and found that she was fond of collecting piles of Guardian newspapers and disliked anything to going to waste. (Manheim, J. 2009) She collected various waste materials in her life such as chocolate wrappers, burnt film, toothbrush heads, plastic carrier bags, etc. then made them into creative jewelries. Her research is about how to recycle existing materials in different approaches to give it a second life and a new meaning. Accordingly, this might be achieved by altering it, using it in different ways, cutting it up, adding to it, covering it up, or casting it in another recycled material. These are all methods of reusing and reinterpreting what is here already, rather than having to start from scratch. Also she started to develop a sensibility for looking at and seeking the potential in old product and then changed it into the ne w one. It seems that intervention can be minimal, and materials do not always need to undergo a total transformation to become to a new thing; they just require handling with sensitivity and an awareness of their inherent properties. The product made from recycled materials can be equally unusual and creative if the recycled elements are easily identifiable. It depends on how inventively the materials are reused and put together. (Lea, V. 1997) Fashion designers are also chasing this eco-trend, take Gary Harvey, for example, he can recycle waste materials from his life such as a piece of old jeans, newspapers, some trench coats, army jackets or wedding dresses and turn them into new amazing dresses with eco-conscious. Gary Harvey is the former Creative designer of Levi Strauss and Dockers Europe director for Levis. An impressive creation was made from cans, cardboard boxes and bottle tops. People admire him about designing a surprising dress made from old jeans, newspapers, or even juice packages. Some people may have a question about the wearability of a designing dress out of waste materials. However, this dress is an environmentally friendly dress, which people can be worn for special occasions. It will help people spread the information of helping the environment and with unique style. His most recycled materials were from everyday life which made me consider how everyday domestic objects, found around the house or at a local shop, can be used to make sustainable product. In addition, I started pay attention to the relationship between my recycled objects and fashion. The Nike shoes are successful example of an eco-design product which is environmentally and sustainably. Steve Nash who is the All-Star Guard for the Phoenix Suns and Nike has made up a team to produce the Nike Trash Talk, the first Nike performance basketball shoes completely produced from manufacturing waste materials. The emphasis of this design was aim to create a sustainable, high-performance basketball shoe. Nike used manufacturing waste materials, such as, leather materials and synthetic leather waste from the products factory floor for the upper replace using toxic adhesives; used zigzag stitching to sew the upper together. The mid-sole was made up of scrap-ground foam from factory production materials. Nike recycled waste materials from their own manufacturing-with a low-toxin, environmentally preferred rubber to make an outsole which contains 96% fewer toxins. Even the shoelaces and sock liners were made from environmentally preferred materials. Finally, the shoes were pack aged in a fully recycled cardboard shoebox. The company tends to encourage the designers to design more sustainable products. Significance and limitations Girlamy (2008) suggested that recycling materials and transforming them into new sustainable products is a win-win trend. Designers and artists who designing sustainable product out of recycled materials are taking an object at the end of its useful life and changing it into a helpful raw material to make another new object. (Manheim, J. 2009) As a consumer, you are helping the development of eco-friendly environment when you support businesses that remanufacture products such as clothing and furniture made from recycled materials. Scientists are finding our planets landfills are filling at an alarming rate; many of the landfills filled with waste materials will remain for thousands of years. As a consequence, it will be disastrous if we do not follow the trend of using sustainable product made from recycled materials. Material recycling reduces the demand for raw materials and thus protecting the environment and preserving resources. It reduces the pollution of air and water allied with energy usage. The consumer in turn is rewarded by gaining some products which are special and exquisite when they choose a sustainable product with recycled materials. This is because, products made from waste materials are often handcrafted and manufactured by a fair trade organization that provides a fair wage and favorable working conditions for their workers. But there are clearly very few truly sustainable designs. As discussed above, humans have received a considerable number of benefits from sustainable product design, and the demand for sustainability to designer is increasing. However, sustainable product design has its limitations. In particular, an eco-friendly advantageous change in one aspect of a Green design may have contrary environmental influences elsewhere in its life cycle which may outweigh any benefits. For example, the avoidance of potentially toxic materials may decrease a designs lifetime and therefore require it to be replaced more frequent, consequently, eco-designs may consume more energy and generate more pollution than it saves. (Roy, R. 2000) The designers should not only consider the sustainability in their design activities, but also need to grasp the economic, technical, social and cultural background of their designs in various areas. In other words, designers need to consider long-term benefits rather than current benefits. Sustainability should also be of concern not only to the designers, but also to every company or organization. This is because, sustainable product design is an integrated design process driven by whole-system thinking.