1 Research topic:2 Reflects the content of research2 Discuss the role of research3 Review /evaluate own skills3 Statement of the Problem3 Aims4 Research questions.4 Literature review4 Racial Discrimination and Mental Health.4 Methodology10 Research Approach10 Research participants11 Sampling11 Data Collection12 Ethical Consideration12 Data Analysis13 References14 Appendices17 Research Ethics Form17 Research Plan Form21
2 Research topic: Investigating the link between discrimination and mental health amongyoung black people in the London borough of Lewisham Reflects the content of research The key research methodologies that I want to employ as part of my study are questionnaires. Young individuals between the ages of 17 and 18 will be asked the questions. Lewisham is for adults. I'll ask questions of those who live in Lewisham since they'll be the ones who know the situation best. I picked this topic because I want to learn more about racial prejudice and health, mental health in Lewisham, and how Black adolescents are handled.
3 Discuss the role of research We start researching when we wish to learn something new. The research's purpose is to learn more. To solve issues and make decisions, we need knowledge and information, which research provides. The research's main aims are to lead action, gather evidence for theories, and contribute to the progress of knowledge in a certain field. Review /evaluate own skills Research Some types of academic writing, such as academic papers, dissertations, and theses, require research before they can be finished. If you want to improve your academic writing skills, you'll need to learn to research unless your profession requires you to produce a personal essay about a childhood experience or a sample business email. This research helped me to improve my research writing skills. Developing an argument You'll need a clear understanding of your thesis statement, which is the main topic or argument you're aiming to express, when writing an academic paper. Before you begin writing, spend some time thinking about the points you want to make and how you'll persuade your readers that your argument is sound. Typically, you'll do so by relying on your own research to back up your statements and guaranteeing that you'll be able to answer any counterpoints. My ability to build a powerful, persuasive case has improved. Statement of the Problem The following problems will be discussed in this research: ●Racial Discrimination and Mental Health. ●Mental Health: What are the key inequalities?
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4 ●The Health of Lewisham Children and Young People ●Ethnic Diversity and Mental Health in London Aims The aim of this research is to investigate the link between discrimination and mental health among young black people in the London borough of Lewisham. Research questions. ●Racial Discrimination and Mental Health.In the UK. ●The mental health of Lewisham's Black minority population. ●Mental Health: What are the key inequalities? Literature review Racial Discrimination and Mental Health. Discrimination is defined as the treating of a person differently depending on a socially assigned attribute. The 1965 Race Relations Act in the United Kingdom (UK) [outlawed discrimination based on race, nation, ethnicity, or national origin] (Alvarez-Galvez et al., 2013). Under current equality legislation, race remained a designated trait. Notwithstanding this legislative effort, there are still racial disparities in education, employment, health, and criminal justice (Alvarez- Galvez et al., 2013).
5 The most frequent sort of prejudice in Europe is discrimination based on ethnic background, with 64 per cent of respondents believing racial discrimination is commonplace in a poll of 27,718 individuals (Gov .uk, 2022). In the United Kingdom in 2017, 26% of a random sample said they were considered racist. Race is still the most prevalent motive for hate crime events. These results represent an increase in alleged racial discrimination in both the UK and Europe, against thebackdropofthedecisiontoleavetheEuropeanUnion(Brexit),antipathytoward immigration, and the emergence of right-wing nationalist parties (Gov .uk, 2022). Discrimination has been studied as a factor of mental and, to a smaller extent, physical health in a developing corpus of research. Discrimination was connected to poor mental health, including psychological distress and lower life satisfaction, in an early meta-analysis of 110 research by Pascoe, Elizabeth, and Smart (2009). In the study, a subset of 36 research looked into physical health connections.Inapooledstudy,significantcorrelationswithseveraloutcomes,including hypertension and acute cardiovascular response to laboratory discriminating techniques, were discovered. Schmitt, Branscombe, Postmes, and Garcia (2014) conducted a more recent meta- analysis of 328 papers concentrating just on discrimination and mental health outcomes and found that individuals who felt discrimination had lower mental health. An independent review of 211 cross-sectional research associating racial discrimination with poor mental health found the same conclusion. William, David, and Selina recognised racism as a social variable and a cause of ethnic differences in health. This is a complex, well-organized process that combines ethnic group categorization into societal structures and is rooted in sociopolitical and historical contexts. These groups are assigned different ideological values, leading in disparities in power, wealth, and opportunity. It emerges on a structural as well as a human level (self-reported experiences of racial discrimination) (Krieger, 2019) Numerous systematic studies and meta-analyses have specifically focused on the relationship between perceived racial prejudice and clinical outcomes. The greatest meta-analysis to date included 293 papers and included both mental and physical health consequences. In separate investigations,institutionalracismwascorrelatedwithdecreasedoverallmentalhealth, involving higher psychological distress, lower job satisfaction, and lower cognitive performance. When secondary studies examined specific health-related quality, racism was linked to worse
6 overall health and physical health. Racial prejudice is assumed to have a number of implications on healthcare, both systemically and individually. Racial discrimination can take place at the systemic level through the unequal distribution of economic positions that are components of health (e.g., education, job, and housing), as well as unequal access to medical care and anticipated worse standard patient healthcare (Priest et al., 2013). Dysregulation of stress-related cellular mechanisms would be another pathway relating to racial prejudice and health. Racism is a chronic stressor that has been related to dysregulated cardiovascular, neuroendocrine, and inflammatory processes, all of which have an influence on both health and wellbeing. Preventive care risks (smoking, drinking) may be linked to perceived racial prejudice and health as a way of dealing with or preventing injustice (Borrell et al., 2013). Even though numerous researchers have looked at the link between health and racial prejudice, therearestillcertainareasthatneedtobeinvestigated(Alvarez-Galvezetal.,2013). Approximately 9% of the data that was included in the 2015 meta-analysis of over 300 research on racism was predictive. Researchers of this article wanted to compare the outcome measures of the prospective studies and cross-sectional in this evaluation, but they weren't able to do so for the physical relevance of the data, highlighting the need for further prospective research on physical health outcomes in particular(McKenzie, 2017). Only nine pieces of research from the United Kingdom are included in a third of the meta- analyses on health and racism. This is relevant since the ethnic makeup of the United Kingdom's ethnic minority groups differs greatly from that of the United States, with individuals of South Asian origin making up a larger minority population. Additionally, all of the UK research was cross-sectional and focused on mental health, with just two considering physical variables such as the prevalence of physical diseases. Race, ethnicity, and mental health Race and nationality have an impact on illness rates in part because of the psychological and behavioural effects on symptoms, help-seeking, and therapeutic response, but it also defines and produces particular causes of stress and misery (Alvarez-Galvez et al., 2013). For its intricate
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7 interplay with other risk variables, determining the effects of discrimination on mental health is challenging. Take, For example, the morbid risk of schizophrenia in relatives of African Caribbeans residing in the UK withadiagnosisof schizophrenia differs depending on whether they would be born in the UK or on a Caribbean island,accordingtoresearch. ThemorbidriskforAfrican- Caribbeanrelativesamong thosebornintheCaribbean would be the same for white people in the UK, although it is significantlygreaterfor African-Caribbean people born in the UK, due to an elevated risk of dementia in their siblings and not in their Caribbean-born parents. Being born in the United Kingdom has been found to have a significant increase in the risk of schizophrenia in African Caribbeans who already are susceptible to the condition. In this group, genetic susceptibility and the social/environmental context work together to elevate the morbid risk for siblings of schizophrenia patients. The mental health of Lewisham's Black minority population:
8 Social environment and increased risk of mental illness in ethnic and racial groups: Increased Ethnic and minority populations may experience social stress. This reason is mostly determined by the reasons for migrating and the stage of movement thereafter, but the cultural, economic,social,andenvironmentalfactorsarethemostimportant(Tableabove):the environment is influenced by the state of racial relations within a country. Racism is regarded as a probable unique risk factor for mental illness among ethnic minority groups because social stress is linked to the development of mental disease and prejudice governs some of the social stress that is experienced(McKenzie, 2017). Social Exclusion, Unemployment, and Poverty each and every Mental health issue are intertwined with a wide variety of health determinants and pre-determinants, influencing people on a social, psychological, and biological level. Because of the complicated interplay between these causes and psychiatric disorders, vicious spirals often form, aggravating existing disparities (Krieger, 2019).
9 Schizophrenia is an example of this, which so many typically manifests in young adulthood and middle adolescence. People with better mental health are building a relationship, finishing school, and/or joining the labour market at this time. A severe disorder such as schizophrenia disrupts these regular behaviours over time, resulting in a variety of hurdles that endure. the result for many is a gradual separation from mainstream culture, strengthening their social marginalisation and the hazards that come with it(Race Relations Act 1965, 2022). Unemployment, whichisapotentialriskforseriousmentalillness,maywellfollow.Socialexclusion, unemployment, and poverty are therefore closely intertwined. Ethnicity & Migration Lewisham is England's 15th most diverse ethnic local authority, home to a varied group of immigrants and minority ethnic groups, some of whom are of the Black Caribbean and Black African descent. The Department of Health has identified ethnicity as a key source of inequity in SMI. Psychotic illness is also significantly more common among Black males, with 3.1 % when compared to 0.2 % in other men, according to the most recent mental mortality study from 2007. In men, there was little difference in CMI between ethnic groups, whereas CMI was more prevalent in women from South Asia(McKenzie, 2017). the AESOP research, African Caribbean men are nine times more likely than white males to be diagnosedwithpsychosis,whichwouldbereflectedinsignificantlyhigherlevelsof incarceration under the Mental Health Act (Krieger, 2019). The significance of ethnicity in psychosis is hotly debated, as is whether the baseline frequency of schizophrenia is higher among Black Caribbean men. Psychosis rates among African Caribbeans and Black Africans in their native nations are comparable to those in the United Kingdom. As a result, the debate centres on whether these figures are skewed by factors such as immigration, deprivation, and urbanisation(Race Relations Act 1965, 2022). Migration is significantly linked to schizophrenia, and the consequences can be passed down through generations. According to a meta-analysis, migrants from underdeveloped nations and countries with a majority of black people are at increased risk. Disentangling the various confounding factors is once again difficult.
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10 Methodology Research Approach There are a number of research approaches that play a crucial role in giving direction to the research procedure (Creswell & Creswell 2017). In addition, some of the research approaches that are most commonly used by researchers to carry out research are; qualitative, mixed, and quantitative research approaches. The qualitative research approach play’s role in identifying the relationship between dependent and independent variables. However, these research approaches may either be descriptive or experimental. While the experiment causes interconnection and descriptive studies plays role in developing the link between the variables (Flick 2018). Moreover, descriptive studies are also termed observational because of their role in observing subjects. On the other hand, experimental studies are also termed interventions because subjects are being intervened as well as observed. In contrast, the qualitative research approach assists in exploring the life experiences of individuals. Therefore, offering the in-depth exploration and attainment of knowledge as well as also discovering the complications hidden in the phenomena (Flick 2018). In comparison, the mixed research approach offers ground to the researcher to take advantage of the number of manners through which the research problem may be explored or studied (Creswell & Creswell 2017). This research approach involves other two types of approaches; qualitative and quantitative. Therefore, quantitative research offers the researcher to make use of descriptive and inferential statistics, although, qualitative research plays role in providing expressive information for the details for examining the objectives of the research. Considering the aim and objectives of this research project the most suitable research approach is regarded to be a quantitative research approach which may help to find out the link between discriminationandmentalhealthamongyoung blackpeopleintheLondonborough of Lewisham. Additionally, this research has a tendency to use a big sample size that may help in finding the level of racial discrimination related to mental health in the UK, more particularly of the Black minority of Lewisham’s, and lastly, stating the health inequalities in the local area. The major reason for choosing this research approach is to gather the most relevant data however, it is cost consuming and time taking method (Creswell & Creswell 2017).
11 Research participants The human participants involved in this research are young people belonging to the age group of 17 to 18 years as well as adults are also chosen. These people will belong to the black minority ethnic group residing in Lewisham. However, these participants will be chosen randomly, but before initiating the survey they will be dually asked for their consent to take part in the research. In addition, these participants will be offered will all the relevant information regarding the research aim and objectives which may help them in giving consent and also assist in filling the questionnaire. Sampling In regards to this research., a simple random sampling method is being used. This method of sampling is regarded as the possibility sampling which is being used when the entire population is accessible to the researcher. Using this sampling method, it is allowed to pen down all of the subjects of the targeted population (adults and young people of age group 17 to 18). According to (Emerson, 2015) in probability sampling, a list of the population’s subjects is regarded as for sampling frame, for instance, research is used with the aim of exploring the random samples by the development of a list using a computer programme. This sampling method is based on sampling theory which concentrates on the association between the samples accessed from a specific population with the whole population (Emerson, 2015). This theory shifts the attention to random sampling where the participants are chosen in an impartial manner and on the grounds that they exchange similar characteristics as to the whole population. Thus, samples are termed representatives of the whole population. In addition, choosing a sample size is also important for any research as sample size helps in offering assistance and also offers assurance for the most suitable representation of the sample population (Emerson, 2015). Therefore, for this research, the selected sample size is composed of 20 research participants both young and adults belonging to the Black Minority ethnic group and living in Lewisham, chosen by random or convenience sampling. The reason for choosing
12 this sampling is to reduce the risks of fake or incorrect findings. The participants are chosen from this ethnic group because it is probable that they have suffered from a number of mental health issues due to health inequalities. Data Collection There is a range of methods of data collection such as interviews, surveys and Focus Group discussions. This research aims to conduct a survey of young people and adults to investigate the link between discrimination and mental health among young black people in the London borough of Lewisham. The survey is a data collection tool which lists the set of questions to which participants deliver answers grounded on their experience and knowledge. It is a standard data collection process which enables to access data from a predefined group of respondents throughout research (Keusch, 2015). This research conducts a short online survey comprised of only 5 questions from target participants as they are cost-effective and saves time. This method is chosen because surveys deliver a high level of capability inrepresenting a huge population and they might be administered to participants in a range of ways. In addition, because high representativeness carried about by survey, it is easier to discoverstatistically significantresults than data collection methods(Rice et al., 2017). In addition, the interview is another method of data collection which is not chosen because carrying out an interview is quite costly and time-consuming. Therefore, the survey is chosen instead of the interview because the interviews cause biases and provide less anonymity that is a big issue for most respondents (Alshenqeeti, 2014). On the other hand, surveys also have some drawbacks. One of them is its inappropriateness of questions. Questions are standardized prior to administering them; thus, the researcher is forced to create questions which are general to accommodate the general population. Though, these general questions might not be as adequate for all research participants as they must be.Even though, this method is chosen due to the elimination of bias and statistical significance(Rice et al., 2017). Ethical Consideration One of the core aspects of protecting people participating in research is making declarations to such participants concerning how their personal data will be protected. This involves protecting
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13 the privacy of participants, keeping information confidential and also enabling the respondent to remain anonymous (Ross, Iguchi and Panicker, 2018). Informed consent has been attained from research participants as it is the founding principle. It ensures that human participants might enter into research freely with full information regarding what it is the purpose of the study and they also have the right to withdraw from the study at any stage (Hardicre, 2014). Moreover, the anonymity of the participants is also maintained by making sure information collected from them does not collect any information such as an address, name or email and this research cannot link the response of people with their identities (Saunders, Kitzinger and Kitzinger, 2015). In addition, researchers employ some methods to keep the identity of the subjects confidential. Thus, in this research records of the participants are secure through the use of password protected files and encrypted while sending data over the internet. In addition, the way in which results are communicated can also include ethical issues. Therefore, to avoid this issue research communicates in an honest, credible and reliable way. It is best to make results transparent. Data Analysis This research uses the quantitative data analysis method for the analysis of collected data. It is because quantitative data methods help to analyse data statistically such as in form of a percentage, means and mode. In addition, due to quantitative analysis of data, personal bias is also reduced and obtained results are objective in nature (Ivankova and Wingo, 2018). Cross tabulation is of data analysis method which is used as a tabular form to draw inferences among data sets. In addition, pie charts are graphs in which the circle is alienated into sectors that each signifies an amount of whole. Pie charts are preferred for the analysis of data as they might be misleading if percentages are grounded on a few observations. In addition, cross-tabulations might hide some associations because each tab shows few variables. This approach is chosen because a pie chart shows the relative proportions of numerous data classes, the size of a circle might be made proportional to the whole quantity it signifies, summarises the huge data set in the visual form and allows the visual check of the accuracy or reasonableness of calculations (Huestegge and Pötzsch, 2018). However, this method is chosen
14 because is simpler than crosstabs and is best used if needed to highlight the comparison of one variable to other References Alshenqeeti, H., 2014. Interviewing as a data collection method: A critical review. English linguistics research, 3(1), pp.39-45. Alvarez-Galvez, J. and Salvador-Carulla, L., 2013. Perceived discrimination and self-rated health in Europe: evidence from the European Social Survey (2010).PLoS One,8(9), p.e74252. Alvarez-Galvez, J. and Salvador-Carulla, L., 2013. Perceived discrimination and self-rated health in Europe: evidence from the European Social Survey (2010). PLoS One, 8(9), p.e74252. Borrell, L.N., Kiefe, C.I., Diez-Roux, A.V., Williams, D.R. and Gordon-Larsen, P., 2013. Racial discrimination, racial/ethnic segregation, and health behaviors in the CARDIA study. Ethnicity & health, 18(3), pp.227-243. Borrell, L.N., Kiefe, C.I., Diez-Roux, A.V., Williams, D.R. and Gordon-Larsen, P., 2013. Racial discrimination, racial/ethnic segregation, and health behaviors in the CARDIA study.Ethnicity & Health,18(3), pp.227-243. Creswell, JW & Creswell, JD 2017, Research design: Qualitative, quantitative, and mixed methods approach., Sage publications.
15 Emerson, R., 2015. Convenience sampling, random sampling, and snowball sampling: How does sampling affect the validity of research?. Journal of Visual Impairment & Blindness, 109(2), pp.164-168. Equality and Human Rights Commission, 2016. Healing a divided Britain: the need for a comprehensive race equality strategy. Eurobarometer, S., 2015. Discrimination in the EU in 2015.Special Eurobarometer,437. Flick, U 2018, An introduction to qualitative research. , Sage Publications Limited. Gov .uk, 2022. https://www.legislation.gov.uk/ukpga/1965/73/enacted. UK Public General Acts,. Hardicre, J., 2014. Valid informed consent in research: An introduction. British Journal of Nursing, 23(11), pp.564-567. Huestegge,L.andPötzsch,T.H.,2018.Integrationprocessesduringfrequencygraph comprehension: Performance and eye movements while processing tree maps versus pie charts. Applied Cognitive Psychology, 32(2), pp.200-216. Ivankova, N. and Wingo, N., 2018. Applying mixed methods in action research: Methodological potentials and advantages. American Behavioral Scientist, 62(7), pp.978-997. Keusch, F., 2015. Why do people participate in Web surveys? Applying survey participation theory to Internet survey data collection. Management review quarterly, 65(3), pp.183-216. Krieger, N., 2019. Measures of racism, sexism, heterosexism, and gender binarism for health equity research: from structural injustice to embodied harm-an ecosocial analysis.Annual Review of Public Health,41, pp.37-62. Lee, D.L. and Ahn, S., 2013. The relation of racialidentity, ethnicidentity, and racial socializationtodiscrimination–distress:Ameta-analysisofBlackAmericans.Journalof Counseling Psychology,60(1), p.1. Legislation.gov.uk.2022.RaceRelationsAct1965.[online]Availableat: <https://www.legislation.gov.uk/ukpga/1965/73/enacted> [Accessed 25 April 2022].
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16 Lewishamjsna.org.uk. 2022. Mental Health: What are the key inequalities? | Lewisham's Joint StrategicNeedsAssessment.[online]Availableat: <http://www.lewishamjsna.org.uk/adults/mental-health/what-do-we-know/what-are-the-key- inequalities> [Accessed 25 April 2022]. McKenzie, K., 2017. Racial discrimination and mental health.Psychiatry, 5(11), pp.383-387. Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A., Gupta, A., Kelaher, M., and Gee, G., 2015. Racism as a determinant of health: a systematic review and meta-analysis.PloS one,10(9), p.e0138511. Pascoe, E.A. and Smart Richman, L., 2009. Perceived discrimination and health: a meta-analytic review. Psychological Bulletin, 135(4), p.531. Priest, N., Paradies, Y., Trenerry, B., Truong, M., Karlsen, S. and Kelly, Y., 2013. A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social science & medicine, 95, pp.115-127. Rice, S., Winter, S.R., Doherty, S. and Milner, M., 2017. Advantages and disadvantages of using internet-based survey methods in aviation-related research. Journal of Aviation Technology and Engineering, 7(1), p.5. Ross, M.W., Iguchi, M.Y. and Panicker, S., 2018. Ethical aspects of data sharing and research participant protections. American Psychologist, 73(2), p.138. Saunders, B., Kitzinger, J. and Kitzinger, C., 2015. Participant anonymity in the internet age: from theory to practice. Qualitative research in psychology, 12(2), pp.125-137. Schmitt, M.T., Branscombe, N.R., Postmes, T. and Garcia, A., 2014. The consequences of perceived discrimination for psychological well-being: a meta-analytic review. Psychological bulletin, 140(4), p.921. Williams, D. and Mohammed, S., 2013. Racism and Health I.American Behavioral Scientist, 57(8), pp.1152-1173.
17 Williams, D.R. and Mohammed, S.A., 2009. Discrimination and racial disparities in health: evidence and needed research.Journal of behavioral medicine,32(1), pp.20-47. Appendices Research Ethics Form Section three: participants Will your research involve human participation.(yes)(no). Who are the participants? Tick all that apply ●Ages 12-16 ●Young people aged 17-18. ●Adults ●Vulnerable adults.
18 How will participants be recruited (identified and approached)? Normal individuals who live inLewisham will answer all our questions. Describe the process you will use to inform participants about what you are doing: I will tell them about our research and aims before asking any questions. How will you obtain consent from participants? Will this be written? How will it be made clear to participants that they may withdraw consent to participate at any time? Before asking them any questions we will ask if they have any issues with the question and that are they okay if their name being presented in our research project. Studies involving questionnaires: Will participants be given the option of omitting questions they do not wish to answer? (yes)(no). If No, please explain why below and ensure that you cover any ethical issues arising from this: Studies involving observation: Confirm whether participants will be asked for their informed consent to be approved. (yes)(no). Will you debrief participants at the end of their participation? (e.g. give them a brief explanation of the study) (Yes)(No) Will participants are given information about the findings of your study? (This could be a summary of your findings generally) (Yes)(No) Section Four: Data storage and security Confirm that all personal data will be stored and processed in compliance with the Data
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19 Protection Act (1998) Yes:No: Who will have access to the data and personal information? Only me. During the research Where will the data be stored? Will mobile devices, such as USB storage and laptops, be used? Yes:No: If yes, please provide further details: The data which has been collected from the internet, surveys etc will all be stored on my personal computer which only I have access to. After the research Where will the data be stored? How long will the data and records be kept, and in what format? Will the data be kept for use by other researchers? Yes: No: Other researchers can use data only when my research has been completed. It can help researchers and professionals conduct their research.
20 Research Plan Form Section four: activities and timescales The project will begin on April 14 /2022 and will end on May/2022. ActivitySTARTENDDURATION Initiation of the project14 April -2216April- 22 2 day Scope17 April -2219April- 22 2 days 20 April -2221April- 22 1 day
21 Communication deliverables 21 April -2221April- 22 0 day Making the questionnaire22 April -2227April- 22 5 days Writing questions 28 April -2229April- 22 1 day Research about the topic 26 April -2230April- 22 1 day Create the survey 30 April -221 may -222 days Distribute the survey 2 may -223 may -221 day Collect data 9 May -2210 may -221 day Analyze data 11 May -2213 may -222 days
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22 Do secondary research 13 may -2216 may -223 days Research 17 may -2218 may -221 days Paraphrase and write 19 May -2220 may -221 day Complete the survey 21 may -2222 may -221 day Create a WB structure 23 may -2224 may -221 day Create a Gannt chart 24 may -2226 may -222 days Present the findings 27 may -2227 may -220 days Approve everything from the teacher 28 May -2230 May -222 days