Engage In Personal Development In Health And Social Care

Exploration two diverse intelligent models. Models are Gibbs, Kola and Christopher Johns. Quickly depict and think about them. Taken a gander at all three intelligent models and decided to portray Johns and Kola. The Johns model is very inside and out and appears to focus on a more extensive territory of thought and examination. It would likewise be a decent apparatus to talk about with another progressively senior individual from staff, who might have their own passionate reaction to every circumstance, in this manner giving you a somewhat extraordinary result. This would be perfect when clearing management or talking about an episode in a target manner.The beginning Of the model truly gets into the manner by which you are feeling and this can drastically change the result of the reflection that is occurring. I believe this is a kind of establishing, a method of getting into the current second and making you progressively aware of the circumstance close by. This is not quite the sam e as the Kola model since you need to take a gander at yourself first, which is exceptionally useful. The Gibbs model is marginally less elucidating and somewhat shorter yet it despite everything offers a method of changing data into information, which is required, so we a become familiar with the customer or circumstance that we are reflecting on.The Kola model beginnings with perceptions and reflections and gets done with solid experience. Solid experience is the thing that we make progress toward to cause us to develop as help laborers. As I would like to think the primary examination between the two is that the Johns model is better for self-awareness inside ourselves and the Kola model is better for a more prominent information about those we work with. 2. Choose which one you like. Clarify why. Lean toward the Johns model since it concentrates more in transit that we are feeling in the here and now.This can massively affect a circumstance in the work place since it permits us to see others and ourselves. Responding emphatically to a negative circumstance isn't in every case simple, so having a level of passionate knowledge can go in the kindness of all gatherings concerned. I like getting familiar with customers and by what method can cause my job to go all the more easily yet I feel that knowing about oneself and I how I respond to things will be progressively helpful to me by and by. 3. Consider an errand that you have as of late finished at work, which has not gone so well. This could be : Manual handling.Communication. Testing conduct. Falls. Utilizing your favored model of reflection, depict what occurred, what turned out badly, what went right, what you could do any other way next time? Was sleeping and I heard yelling originating from upstairs. I checked my watch and it was not long before am. Went upstairs and found that the clamor was originating from a customers room. I inquired as to whether he was K and I was approached to leave in a not all that amenable tone or wording. I requested that the customer hold the commotion down, as he would wake different customers inside the house, to which I got the equivalent response.I felt somewhat set back by this, as the customer wasn't incited in any ay, he was simply taking his state of mind out on me. I likewise felt defensive about different customers as a result of how they would feel about the yelling as well. The customer is a medication client and when impaired can carry on in a forceful manner to different customers, which can make them restless, so again needed to request that he quit yelling. I was then obnoxiously mishandled, which disregarded, as it wasn't certain. I advanced down the stairs, as the circumstance wasn't beating that. The customer at that point came first floor and Went into the kitchen.He lit up a cigarette in the parlor, which is against our home standards, so asked him o head outside. He at that point approached me and put his face into mine, asking me to lay the principal punch. I had no real option except to secure myself in the staff room and call my trough and the police. I went outside to improve signal and the customer strolled outside through another entryway. He had his top off and again came into my own space and rehashed what he had said minutes prior. It was somewhat terrifying in light of the fact that as a help specialist am not permitted to protect myself except if there is an attack.I begun to consider my little girl and what might occur on the off chance that he got savage. Figured out how to get once more into the immerse and the customer returned. He got to the opposite side of the staff entryway and was taking steps to execute me. At this point was on the telephone to 999, so they heard everything, as I requested that he rehash what he said to me. The police showed up instantly a while later and he was captured. Think the most huge thing was that I ought to have left his entryway after his first answer to me. I put the customers sentiments first yet they were sheltered in their rooms and wasn't.I left myself open to assault at the highest point of the steps. I was very worn out and not so much reasoning effectively however this is no reason. Next time sick simply call our crisis versatile or the police first, so I have a back up. Getting him to rehash his danger functioned admirably, as it featured to the police his plan, so when he got captured different customers were out of threat as was I. My goal when originally got up that morning was not to get him captured it was simply to request that he quit yelling. He is an extraordinary person when he isn't impaired and I wish that had reminded him about this at the time.I think my activities were excessively cautious and I didn't put his emotions before my own. 4. For what reason is it critical to reflect thusly? It is significant reflect along these lines in light of the fact that the entire procedure causes us to develop in our jobs and be come better at what we do. On occasion we can think in an altogether unique manner that may not be goal to the errand close by, so reflection can give us knowing the past to see a progressively positive result, which at the time appeared to be negative. Am a parent as well, so a little reflection time can show me things myself or my youngster that may have been missed on a first encounter.Our information can enormously increment as we think about and by and by. We can see progressively about the customers, associates and addition an expanded comprehension of circumstances that wouldn't ordinarily have been thought of in our working day in light of other passionate redirections. The significance of reflection is expanded ten times when in an administrative position in light of the fact that each individual from staff has an extraordinary character and satisfying everyone is never a simple errand. An administrator must invest significant time and consider how he took care of circumsta nces, gatherings and numerous different obligations, which require culminating for sometime later. . What are your duties and those of your boss to guarantee your training is current? My boss has a duty to ensure that we are working inside the law. There are sure acts and guidelines, which must be clung to under government enactment. It is the businesses obligation to advise staff when any updates to the enactment has been made, with the goal that the representative can be modern. Businesses have the obligation regarding wellbeing and security the work environment and to ensure that we are altogether working under current hazard assessments.The boss has an obligation of care to all staff individuals to numerous things including Making the work environment safe Preventing dangers to wellbeing Ensuring safe working works on Providing emergency treatment offices Providing PEP if fundamental Reporting mishaps and a lot more It is a representative's legally binding duty to be in the know regarding all enactment, approaches and techniques. We have duty regarding our own wellbeing and security at work, so we should deny something that would be esteemed as perilous. On the off chance that we figure our manager isn't meeting duties we should address them about it.If this bombs then we should contact they nearby specialists to shield ourselves. 6. What does the enactment state? The enactment is comprised of acts that organizations must hold fast to. These incorporate; Care act 2014 Health and wellbeing act 1974 Mental wellbeing act 1983 Data insurance act 1 998 COACH act 1994 7. Complete a SOOT investigation and a CUP structure. Ash Analysis Form. Supportive to accomplishing the target Harmful Internal Origin (properties of the association) Strengths Strong colleagues with loads of understanding. Significant levels of correspondence Weaknesses Under staffed now and again because of ailment, which makes pressure group members.Arguing among colleagues and not giving 100% External Origin (qualities of the earth) Opportunities Outside organizations turning out to be accomplices with Maples. Annular, PDP and Second Step The retreats Government reductions. Expanded weight for decrease in care and costing. Proceeding with Personal Development Form Key Dates What did you do? Why? What did you gain from this? In what capacity will this be utilized? 04/11/2014 Dual Diagnosis Training For the most recent 2 years there has been in increment in the measure of customers that get our administration together with a background marked by medicate use.I went on the course to build my insight into dysfunctional behavior and medication related clutters. Picked up understanding into various sorts of medications, the impacts and what to pay special mind to when managing our higher hazard customers. Placing my insight without hesitation by watching customers when at work and supporting them as needs be. 0/07/2014 Understanding Personality Disorder Training Again we have been taking on more customers with character issue. I went to the course to expand my insight base. Character issue is a term that is utilized when a customer is doesn't fit certain measures for other mental disorders.It is interesting to the customer, so it might change every day. Placing my insight vigorously by watching customers when at work and supporting them likewise. 12/05/2014 Safeguarding Adults Alerter Training It has been more than a long time since my last course, so an update was required. I as helped to remember kinds of misuse, what to pay special mind to and how to report occurrences in the work environment. It will bolster me with my working day and help keep me cautious of any shielding issues. 8. How do your own qualities and qualities influence your training? My own qualities and qualities massively affect my working life.I have had the p

Irratable Bowl Syndrome Essay Example For Students

Irratable Bowl Syndrome Essay Bo MooreE-BlockIrritable Bowel SyndromeIrritable gut condition (for the most part alluded to as IBS) is a turmoil of the internal organ that goes on for a significant stretch of time. Individuals who have IBS experience side effects like obstruction or looseness of the bowels. These manifestations can happen in a steady progression. An individual can encounter stoppage at certain occasions and the runs at different occasions. Events of lower inside bothering may likewise be joined by gentle agony, expanding of the stomach and a great deal of stomach related gas. Different names for IBS are spastic inside, spastic colon, crabby colon condition, and utilitarian entrail malady. An individual who has IBS can have a typical existence. One would believe that with constant the runs that an individual with IBS would get thinner, be malnourished, or that they would grow increasingly genuine stomach related issues. In any case, these are exceptionally uncommon. Just in an extremely modest numb er of cases does IBS become so handicapping that it can meddle with a people ordinary exercises. Be that as it may, a few people pull back from exercises in light of the fact that the looseness of the bowels or clogging pesters them. In such cases, specialists may suggest psychological well-being guiding. Most patients who have IBS look for help from a gastroenterologist. A gastroenterologist is a specialist who represents considerable authority in the stomach related framework. Tests to analyze IBS may incorporate lab investigations of excrement and barium X-beams of the lower stomach related tract. For a barium X-beam, a patient beverages a unique sort of fluid beverage that contains barium. With the barium, the specialist can perceive how the fluid courses through the stomach related framework. A specialist may likewise play out a sigmoidoscopy. This is an instrument on a long slender cylinder that is embedded through the butt-centric opening up inside the colon. With this test, a specialist can outwardly look at within dividers of the digestive tract. On the off chance that these tests are negative, it is ordinarily verified that a patient has IBS on the grounds that every single other chance are dispensed with. Measurements show that about twice the same number of ladies create I BS when contrasted with men. A great many people who have IBS are grown-ups as opposed to kids. There is no fundamental reason for IBS. It is realized that an individual who has IBS has strange withdrawals, or fits of the muscles of the colon. Be that as it may, through research, it has not been discovered that IBS is brought about by strange activity of the colon. The colon is the thing that moves food squanders through the internal organ. A portion of the compressions cause stoppage, agony, and gas. Different withdrawals may cause episodes of looseness of the bowels. Notwithstanding the clogging, the runs, and gas, different manifestations of IBS incorporate a puffing-out of the midsection, bodily fluid with ones fecal issue, and a sentiment of not having exhausted the entrail. Specialists have been not able to locate a natural reason. IBS has been believed to be brought about by enthusiastic clash or stress. While stress may exacerbate IBS side effects, look into proposes that di fferent factors likewise are significant. Scientists have discovered that the colon muscle of an individual with IBS starts to fit after just gentle incitement. Individuals who have IBS ought not eat certain nourishments since they can heighten the side effects. A portion of these nourishments are cheddar, milk, other dairy items, and different nourishments that produce gas, for example, cabbage. There is no standard method of treating IBS. A specialist may recommend over-the-counter fiber supplements or incidental intestinal medicines on the off chance that you are blocked up, or may endorse over-the-counter enemy of diarrheal medication in the event that you are experiencing looseness of the bowels. Most specialists prescribe an individual with IBS to change their eating routine. An eating regimen with expanded fiber will help assuage the impacts of IBS. Additionally, an individual ought to eat a few little dinners every day rather than a few huge suppers. BibliographyThe Disease Book,Microsoft Encarta98 Encyclopedia, Irritable Bowel SyndromeInternet Address: http://infoseek.go.com/?win=_searchsv=M6qt=irritable+bowel+syndromoq=url=http%3A//parkviewpub.com/ti=Irritable+Bowel+Syndrometop=Words/Pages : 647/24

A- Students What You Need to Know about Top Tier Admissions TKG

B+/A- Students What You Need to Know about Top Tier Admissions The Ivy Leagues schools are the way they are for a reason. That is, they are extremely exclusive. There are a number of really strong students across the country, but only a handful are Ivy league applicant material. Colleges advertise to B+ and A- students. We advise that students who fall into that range be skeptical. You’re clearly smart and successful, but at the end of the day, the Ivies probably aren’t going to accept you.  The Ivy League Racket As we mentioned, Ivy League schools often advertise to students who just fall short of making a GPA high enough to contend in the Ivy leagues. It’s almost like how cigarette companies (or Juul) advertise to children. They want to get into your heads. That might seem like a radical accusation,  but consider that colleges aren’t altruistic educational organizations. At the end of the day, they are businesses and the kind of businesses that profit from having the highest possible number of applicants. They know that kids with C+ a verages are under no illusions about having a chance at the nation’s top schools. But A- students, kids who worked hard, play sports, and do community service, are the exact kids they need to boost their numbers.  The Tiny Glimmer of Sort of Hope  But alas, there is a chance. A very slight chance! They have room for one A- student with perfect test scores, but there are criteria that one student must meet. You are most likely not that student. We are telling you this not to be mean, but because the college process is grueling. We really encourage our kids to go that extra mile for a school that is viable for them instead of wasting energy and opportunities on ones that aren’t. If you have a 93 average, a 1580 on the SAT and are dead-set on applying to Yale, you’re probably not getting in. But if you NEED to apply, you better make sure your essays are solid gold. Our kids have been the exception to the rule.A Slightly Larger Glimmer of Definite Hope for the Truly (and We Mean T ruly) Exceptional The reality is, 9.9 times out of 10, we do know: you’re not getting in with those grades. Unless you are that one really amazing kid. We don’t mean that one amazing kid who plays soccer and is student body president. Amazing means you have done something that, objectively speaking, impresses adults. It means you’re on par with Emma Gonzalez or Malala Yousafzai. Odds are, you are not, at this point in your life, Emma Gonzalez or Malala and you need to be real with yourself about that. You also need to be real with your parents. We had a student who comes from a very hardworking family. The parents always pushed the kids to do their best and achieve in academically. One day, we were talking to the mother (who was typically strict) and she mentioned how impressed she was that her daughter turned a written paper assignment into a short documentary. Yes, that is impressive and sophomores, if you over-achieve on your homework from now until senior year, you might j ust develop a GPA high enough to make you competitive for the Ivies. But on the whole, rocking a homework assignment does not equal Ivy League admission. Sometimes, even the strictest of parents have a really hard time distinguishing their emotional investments from objective reality. The take home is: try to evaluate the college process objectively. Parents knowing and believing in their kids does not make Ivy League schools accept kids.    Need some help with your college essays? Reach out to us. We’re experts in helping kids develop standout applications.

Effective Communication And Its Impact On The World

In the name of Allah, the most merciful, the most beneficent. Leadership is the art of directing individuals and workers towards a proverbial point C in the distance. The success of reaching the destination is highly contingent upon the ability of leadership to communicate. As Muslims, we need to look no further than the Quran. We are shown examples of effective communication by Prophets and shown conviction of those who follow the divine message. However, a great example of such communication hinges on the success demonstrated by an insect as tiny as 1 millimeter in size; the ant. The ant, which by no coincidence is the 27th Surah in the Quran, is the epitome of effective communication and organization. Ant colonies consist of 3†¦show more content†¦The ability of the leadership to clearly communicate these objectives can mean the difference between a successful organization and one that remains stagnant. However this can only be conveyed effectively if the given mission and vision are clear. An ambiguous mission and vision set leadership portrays several qualities of inadequate leadership; 1) lack of clarity of the end goal causes leadership and management to head in any direction they see fit. Often times the chosen direction chosen by one leader of an organization will be contradictory to direction of other leaders causing inefficiency and internal strife in the organization. In the event leadership is turned over, the lack of clarity is magnified, as the direction is often arbitrarily changed per the whim and desires of the new leadership. This type of direction shift is prevalent in religious establishments and organizations which elect members from the constituency. Leaders are put in place without proper understanding of the direction or goals. This concoction of leaders changes direction and scope with ease and regardless of the consequences. As a result, lack of motivation of the more experienced can ensue. To further complicate management, many of these à ¢â‚¬Ëœdisgruntled’ will choose to simply leave the organization. This effectively removes the efficient, yet critical, member and retains the sub par;Show MoreRelatedAnalysis : Managing Across Borders1132 Words   |  5 Pagessame society. It has been assessed that culture is among the prime factors that can have major impact on the effectiveness of the communicational process. Many studies have highlighted the fact that culture influences the way of thinking of an individual that can have major impact on the communication pattern of the strategies (Mazanec et al. 2015). For that reason, organizations often try to develop effective strategies to utilize cultural diversity for capturing different perspectives to a particularRead MoreA Research on Team and Group Communication Processes1168 Words   |  5 PagesTeam and Group Communication Processes: The systematic description on the nature of the processes of communication in several areas including businesses and organizations is known as communication theory. Organizations and businesses are required to understand the concept of communication theory because the achievement of organizational and business goals is dependent on effective communication. Communication theory focuses on examining the process of transmitting information from the sender toRead MoreGlobal Communications Within An Organization1680 Words   |  7 PagesGlobal Communications Within an Organization Communication is essential to the success of organizations. Using different methods of communication can help the message resonate better with the intended recipients. Not delivering effective and efficient communication can cause employees to feel devalued, and as a result, impact the overall retention rates. We will discuss how when employees receive communication that is delivered in a manner easy to understand and retain they are more likely toRead MoreTechnology Is The Most Effective Form Essay1437 Words   |  6 Pagesface-to-face communication is done anymore? It seems like there isn’t much. Over the past three decades, there has been a major shift in the way the world communicates. Advances in technology make it possible for someone in the United States to communicate with their next door neighbor and someone half way around the world in Singapore. With all the things to get done, is there even time for face to face interaction anymore or has technology taken ov er? Some say technology based communication plays aRead MoreCommunicating in a World of Diversity Essay1137 Words   |  5 Pagesin a world of diversity In our growing, diverse society it’s very important to have diverse communication skills. The reason for this is because it brings richness in our society. Effective communication helps us better understand a person or situation and enables us to resolve differences, build trust and respect, and create environments where creative ideas, problem solving, affection, and caring can flourish (Robinson, Lawrence, and Jeanne Segal). It helps our society flourish. Communication isRead MoreThe Importance of Listening Skills in the Workplace Essay1115 Words   |  5 Pagesfor 45 per cent of time spent on communication (Eunson 2012:310), argue the importance of listening skills in the workplace. Your analysis should identify three specific listening behaviors and provide examples to demonstrate how these skills promote communication and understanding. Support your analysis with relevant communication theory and evidence from appropriate academic sources. Listening skills play a significant role in evaluating communication capabilities in the workplace throughoutRead Moredemocratic leadership style1634 Words   |  7 Pagesï » ¿Detail plan for EAP course work: Topic: pros and cons of democracy leadership style and explain why it is the best way to manage firms in contemporary business world 1. Introduction: Thesis statement: leadership style plays a crucial role in a business. It is commonly believed that a democratic leadership style is the most efficient for management. Content: Dr. Stephen R.Convey: â€Å"Management is efficiency in climbing the ladder of success; leadership determines whether the ladder isRead MoreDiversity Within The Workplace And How Communication Is The Driving Force Behind It Essay1463 Words   |  6 PagesDiversity in the workplace and how communication is the driving force behind it. Workplace diversity can be described as â€Å"all the differences in age, gender, sexual orientation, education, cultural background, religion, and life experience† (Okora Washington, 2012, as cited in Mulkeen, 2008). Another functional definition of diversity is being cultural, racial, or sex-based. An organization’s definition and viewpoint concerning diversity guides the strength of its employees to connect and communicateRead MoreThe Marketing Plan For The Business Plan858 Words   |  4 PagesIn a highly competitive world, with so many choices for consumers is of vital importance for the companies develop their brand, something tha t identifies them and differentiate among others, and when customers buy their product they receive more than just a product. Such is the case of Apple, where many people know the real cost of producing an iPhone, however they are willing to pay the price for what the brand represents for them. By the time the company has established their brand, it is equallyRead MoreCommunication Barriers That Can Hinder The Smooth Flow Of Communication Essay1398 Words   |  6 PagesCommunication is one of the most powerful and effective ways of expressing one’s thoughts and emotions. Success for a student depends largely to the extent of their ability to communicate effectively. There are many factors responsible for a breakdown in communication, known as barriers to communication. This paper will begin by discussing the intrapersonal barriers that can impede on a student’s ability to communicate effectively. It will then examine intercultural language barriers and how they

Should Law Be Legal - 1629 Words

Law enforcers have always been seen as that in higher authority. They are seen as those who conduct and protect; as those who dominate and keep peace and maintain order. This has always been a nostalgic viewpoint on those who enforce; however, many in the Americas, or rather, around the world, have been subject to provoking thoughts that essentially bash the hierarchy – thoughts that consume the people and its select few or even its vast majority: the satisfied idea that law enforcers of our world can be extremely misleading and corrupted. In today’s present atmosphere, a number of the gossip is focused around the discipline and decision making of our police officers and or constables. Many claim for them to not be deemed professional, and ironically, a proportion of the citizens within the United States fear the police not because they are here to enforce, but because they feel that they are here to â€Å"initiate† the problems accounted. Essentially and simply put, there are innocent people out there who are afraid of our officers and their power. The definition of a police officer, taken from the Merriam Webster Dictionary, is â€Å"to control and keep order in (an area) by the use of police or military forces†; â€Å"to control (something) by making sure that rules and regulations are being followed†. This is the idealistic viewpoint that Americans wish to instill on all officers in duty; however, there have been times where an officer uses his or her power wrongfully and unexpectedly.Sh ow MoreRelatedTort Laws Should Be Legal900 Words   |  4 PagesTort laws are laws that offer remedies to individuals harmed by the unreasonable actions of others. Tort claims usually involve state law and are based on the legal premise that individuals are liable for the consequences of their conduct if it results in injury to others (McCarthy Cambron-McCabe, 1992). One of the major, most well-known tort categories is negligence, which is usually a situation when someone accidentally does wrong, which in turns causes injury to another person. In a negligentRead MoreShould Prostitution Laws Be Legal?1304 Words   |  6 Pagesit to be a taboo. While others believe that it is their right and personal freedom to choose what to do with their life and body. Recently, the debate about how laws should address prostitution legally has become a subject of legislative action. Prostitution itself is not a criminal offence under the Constitution, but there are certain laws under the Criminal Code that discourage it and makes it unlawful. For example, these sections made activities such as communicating for the purposes of prostitutionRead MoreCopyright Laws Should Be Legal1745 Words   |  7 PagesOver two centuries ago Congress enacted the first copyright law with the intent that it would allow authors and creators of works to be the sole profiters and exclusive rights holders over their work for a specified time. After the specified period of time ended, the works would pass into ownership of the general public. Since the Copyrigh t Act of 1790, copyright laws have continued to evolve and still struggle to keep up with an ever changing, fast paced society. With the use of the World Wide WebRead MoreGun Laws Should Be Legal858 Words   |  4 Pages Kansas Gun Laws Guns are something that have become very common for people in any city, or state to have; Whether it’s safe in the house or to carry on you as protection. Although there are many reasons to have a gun, there are also many reasons why people shouldn’t carry them. Even though protection is a huge reason to carry guns, there are many other reasons why people choose to carry them and their reasons are not always for protection. Kansas has a unique gun law, and not all people choose toRead MoreShould The Gun Laws Be Legal?1323 Words   |  6 Pagesthe effort to pass a law allowing any person with a CHL(Concealed Handgun Licenses) to openly carry a handgun in plain view, not only are law makers pushing to pass open carry in public, but also on college campuses. In the February 2015 article in the Dallas Morning News written by Dean Weingarten he states, â€Å"Texas outright ban on carrying handguns in plain view is unusual. Only California, Florida, Illinois, New York, South Carolina, and Washington, D.C. have similar laws† (n.p). The state ofRead MoreProstitution Laws Should Be Legal968 Words   |  4 Pagespeople, but prostitution laws are actually inhibiting sex traffickers from being brought to justice. The primary reason being that prostitution laws obviously create a barrier between sex trafficking victims and the police. Hence, a study by the Department of Justice found that officers replied that â€Å"victims’ distrust† of law enforcement was by far the most difficult challenge in their investigations, as opposed to lack of resources, lack of training, etc. Prostitution laws are blocking the flowRead MoreLaw Enforcement Should Be Legal859 Words   |  4 Pages I would make the argument among their groups that have been discussed that women would receive the most and least unequal treatment by law enforcement. In the earlier years of law enforcement sex crimes failed to get the attention they garnered, the investigations many time were shabby and many times officers felt like the victim got what they deserved by dress, action or history. It is now know that each victim is different and everyone will have a different way that they will deal or respondRead MoreGun Control Laws Should Be Legal1250 Words   |  5 PagesToday in the United States, few gun control laws are strictly enforced, allowing many dangerous citizens to easily obtain firearms. With guns in the hands of the wrong people, there is a constant threat to others. Well over half of the population in the United States own a firearm of some sort. There are over one-hundred and fifty laws in the United States, this includes state and government laws. These laws are very strict when it comes to carrying guns and handling them in public, but the problemRead MoreAnimal Cruelty Laws Should Be Legal1550 Words   |  7 PagesIn the following essay, I will debate the issue of animal testing along with the manufacturers whom participate, and provide information for both sides. I will start by presenting some basic animal cruelty laws. The Animal Legal Defense Fund maintains a database of criminal animal cruelty cases in the U.S. reported to our organization. In the last ten years, over 30% of cases that we have tracked involve animal neglect (Animals Neglect Facts). Animal cruelty includes some of the following, torturingRead MoreGun Control Laws Should Be Legal Essay1345 Words   |  6 Pagesquestion is whether gun-control laws actually reduce gun crimes or murder rates in general. Most people believe that having a fewer number of people owning guns will cut down the crime rates. There are a lot of articles on gun control these articles have analyzed the pros and cons of gun control laws thoroughly. These articles talk about the key points on both sides of the gun control debate. There is a lot of controversy over the gun control laws in America. These new laws are fearsome for some loving

Depression And Its Effects On Depression - 2333 Words

Depression is an illness that no one enjoys talking about, and that is because of what the disease is itself. Since I have been clinically depressed, I understand first-hand the sinking feeling that comes with it. Imagine a leech on your body permanently sucking enjoyment and happiness instead of blood, or imagine being stranded within a bottomless pit with no sight of the sun. That is how I describe depression. However, there are ways to get through it and kick off that leech or climb out of that pit. There are many options to assist in overcoming depression, including medication or therapy, and although it is much easier said than done, many people, including myself, overcome the hopelessness that is depression. Many people have started to use depression as a buzzword for any amount of sadness. Numerous times throughout my middle school experience I heard people claiming to be depressed over breakups and other teenage problems. However sad they may have been, I don’t believe they were depressed. Not to say that people need to reach a certain age or maturity to truly experience depression. According to Danuta Wasserman, â€Å"An estimated 0.2-2% of children develop depression before puberty† (26). Throughout most people’s development, they have had some experience with people who suffer with depression. However, the difficulty with adolescent depression is that the symptoms are difficult to discern from ordinary development. Many children withdraw during these tumultuous timesShow MoreRelatedDepression And Its Effects On Depression1531 Words   |  7 Pagesknown as depression. Depression causes a deep sadness to a person and can have major effects on a human being’s life. As humans know life is sacred and no one wants to live life in a depressed state. In some cases depression can be repressed and even cured. Certain treatments like therapy and antidepressants are viable solutions for depression. About nine percent of Americans suf fer from some form of depression. The different types of depressions include: dysthymia, postpartum depression, seasonalRead MoreDepression And Its Effects On Depression1434 Words   |  6 Pagesthey will likely to suffer from depression. What is the meaning of depression? Depression can actually affect people’s thought and feelings, people who suffer from depression may feel sad, hopeless and lose their direction in doing things. Even though depression is a common illness in the society, people still consider depression as a sensitive topic and does not talk much about it. In fact, people have to be aware of this serious problem and try to overcome depression by standing strong together withRead MoreDepression And Its Effects On Depression1411 Words   |  6 Pages Depression is a broad area because it has to do with the emotional state of a person. It can either make you stronger or break you down to nothing. Many people don’t notice they’re depressed b ecause they’re either in denial or can function regularly with the condition. What is depression? Depression is a state of mind along with feelings of loneliness, hopelessness, and or uncertainty in life. Depression can trigger in so many areas in life such as: losing a child, employment, home or evenRead MoreDepression And Its Effects On Depression1687 Words   |  7 Pages Depression is a psychoneurotic disorder characterized by lingering sadness, inactivity, and difficulty in thinking and concentration. Depression is one of the most common psychiatric conditions encountered (â€Å"Depression†). Doctors have all types of antidepressants that have been used worldwide for patients with depression. Introduced in the late 1950’s, antidepressants were used to accomplish their task by inhibiting the body’s reabsorption of these neurotransmitters, thus allowing them to accumulateRead MoreDepression And Its Effects On Depression1316 Words   |  6 Pagesthe thought that depression is something that all of us have experienced at some point in our lives. It focuses on adolescents because during this period we are young and vulnerable and may not know how to cope with situations or circumstances that may lead us into depression. Factors such as going through puberty and issues at home with parents can all cause depression. This paper will talk about what is depression, how families can affect depression in the child, and how depression can lead to longRead MoreDepression And Its Effects On Depression1371 Words   |  6 Pages Depression is a widely misunderstood disorder. It is a psychological condition that greatly effects the way one thinks, feels and subsequently behaves. â€Å"Some authorities have estimated that at least 12% of the adult population have had or will have an episode of depression of sufficient clinical severity to warrant treatment† (Schuyler and Katz as cited by Beck, 1979, p.1). Depression is not fleeting and effects individuals differently. The treatment of depression has become extensively medicalizedRead MoreDepression And Its Effects On Depression1317 Words   |  6 PagesDepression, a word we all have heard, not all of us understand, and a select few are trying to dissect. However, in doing so, theories are created, and sometimes those same theories will have negatives consequences. In an attempt to further understand depression, I chose Depression’s Upside. If one were simply reading the title, one would assume this would be about some sort of break through in the Psychology field of research, or at the very least an optimistic view on depression. However, the entireRead MoreDepression And Its Effects On Depression1490 Words   |  6 PagesIn popular culture depression has become a thing that is seemingly almost sought after. A lot of youth use depression to have an edge or some kind of thing that makes them different. I feel like this ideology invalidates people with rea l mental illness and diagnosed depression. I say this but have also fallen victim to this aesthetic or aura that a lot of people portray. Although hard to define, depression can basically be summed up to be the lack of hope or courage pertaining to your life. It causesRead MoreDepression And Its Effects On Depression1093 Words   |  5 PagesDepression is in fact a legitimate mental disorder. There is too much research to doubt its existence. However, the title of â€Å"depression† is being handed out like cotton candy at the state fair. Too many people cry wolf for society to completely believe and understand the seriousness of the condition. With the number of people being diagnosed with depression growing, more and more people begin to feel that the condition is merely fabricated and can simply be cured with willpower and a little effortRead MoreThe Effects Of Depression And Its Effects On Depression1642 Words   |  7 Pages Depression, 2 Every single day, across the entire world, people are diagnosed with clinical depression. I think a lot of people tend to see depression as a excuse/reasoning for something they ve done. In reality, there have been many discussions done and research studies completed on depression to see whether or not it is genetically passed down or learned through experiences/influences. I think it is safe to say that both genetic and environmental factors play a role in depression. In

University Of Pennsylvania-Free-Samples for Students-Myassignment

Question: Common app essay about dad being your role model and how he Influenced your life. Answer: I browsed through the website of the University of Pennsylvania and explored the wide range of opportunities it provides to the students (Pennsylvania 2017). I had a glance at the university campus and it and it amazed me how well managed the university was. Apart from that, it also has an excellent academic structure and allows students to get involved in various co-curricular activities. I have always felt that learning should not be monotonous and fixed to just one objective; it should be vibrant and exciting. University of Pennsylvania, in this case, is just the right place for me to pursue not only my academic interests but also explore other skills and talents. The Wharton School of Business of the University of Pennsylvania has one of worlds best business management courses (The Wharton School 2017). The Wharton 101 course focuses primarily on inspiring students to reflect not only on their academic aspect but also on developing their co-curricular skills (Selipsky 2017). I, as a student have multiple interests that I want to explore while studying at the University of Pennsylvania. My academic interests include gaining knowledge in business studies and economics, French and international studies. In many universities, the curriculum does not allow students to take up courses other than the school for which one has applied. Through the dual degree provided by Penn, students can receive two bachelors degrees concurrently (College.upenn.edu, 2017). I can pursue my business studies as well as international studies and learning in French from other schools of Penn. Wharton provides an opportunity to the high school students to be introduced to the business and entrepreneurship concepts through the Global Young Leaders Academy (GYLA) program. I can have a firsthand knowledge about business and its related concepts before taking admission by enrolling into the GYLA program. This two-week summer program features community service, field trips, residential activities and relationship building with peers (The Wharton School 2017). It is an excellent platform for young students like me to experience life at Penn. The Wharton International Program (WIP) that is organized every year for business enthusiasts will also allow me to fulfill my dream of meeting leading international business personalities and be involved in business projects. The program also provides an opportunity to go on cultural excursion and be acquainted with different people and cultures and environment (Undergrad Inside 2017). Other than accomplishing my academic goals, I also have zeal to work for the betterment of the community. I had been an active participant of community services during my life at school. Through the Netter Center of Penn, I will have a golden chance to participate in community services that are funded by the university itself (Netter Center for Community Partnerships 2017). I believe that when I graduate from Penn, I will be a more strong, mature and independent individual. I will have a broader perspective about the world and the people of different cultures through the several international tours that I will have undertaken at Penn. I look ahead with anxious anticipation and excitement, four fulfilling years of my student life at Penn. References: College.upenn.edu 2017. [online] Available at: https://www.college.upenn.edu/dual-degree [Accessed 28 Oct. 2017]. Netter Center for Community Partnerships. 2017.Programs. [online] Available at: https://www.nettercenter.upenn.edu/what-we-do/programs [Accessed 27 Oct. 2017]. Pennsylvania, U. 2017.Life at Penn | University of Pennsylvania. [online] Upenn.edu. Available at: https://www.upenn.edu/life-at-penn [Accessed 28 Oct. 2017]. Selipsky, N. 2017.Management 100 will be replaced in the fall here's what students are saying. [online] Thedp.com. Available at: https://www.thedp.com/article/2017/03/management-100-being-replaced [Accessed 27 Oct. 2017]. The Wharton School. 2017.Pre-College Programs - The Wharton School. [online] Available at: https://www.wharton.upenn.edu/pre-college-programs/ [Accessed 28 Oct. 2017]. Undergrad Inside. 2017.Wharton International Program (WIP) - Undergrad Inside. [online] Available at: https://undergrad-inside.wharton.upenn.edu/wip/ [Accessed 28 Oct. 2017]

Aboriginal Awareness, a look at the culture of Australian aboriginals.

Aboriginal Awareness, a look at the culture of Australian aboriginals. Growing Awareness ofAboriginal CultureCulture, according to the Macquarie Dictionary, is the sum total of ways of living built up by a group of human beings which is transmitted from one generation to another.At contact there was no single, homogeneous Aboriginal society, groups differed in aspects of their cultural and social organisations.Existence of widespread social networks meant that people had to be multilingual to communicate, like wise music and dance, kinship systems, art forms and ceremonies differed dramatically between regions. Yet these differences were probably less important then the underlying similarities which brought groups together for ceremonies, trade, to intermarry and which allowed the maintenance of myths, song lines and exchange cycles that extended over hundreds of kilometres.The Dreamtime, or Aboriginal Dreaming, refers to stories about the creation period. It is part of a complex system of beliefs and spirituality governing the whole lifestyle of the Ab original people.Indigenous Australian rock art depicting Barramund...Religious and spiritual beliefs affected all aspects of Aboriginal life, including which foods people were permitted to eat, marriage laws, and the designs that were carved or painted on implements and weapons.Knowledge of the law and of religion and of the Dreaming stories was acquired progressively. The elders in each group possessed the traditional knowledge and passed it on to the younger generation at particular ceremonies.Today much detailed religious knowledge has been lost due to the effects of white settlement.Terms such as tribes, clans, clusters and so on, are used somewhat loosely in English but for Aboriginal society there were very clear laws and kinship systems which determined the society structure of any group.The Aboriginal people used the resources of the land with expertise. Their movements in search of food were not random but in response to seasonal availability of resources. The waterways,

How to Begin a Sentence With And or But

How to Begin a Sentence With 'And' or 'But' According to a usage note in the fourth edition of The American Heritage Dictionary, But may be used to begin a sentence at all levels of style. And in The Kings English (1997), Kingsley Amis says that the idea that and must not begin a sentence, or even a paragraph, is an empty superstition. The same goes for but. Indeed either word can give unimprovably early warning of the sort of thing that is to follow.   The same point was made over a century ago by Harvard rhetorician Adams Sherman Hill: Objection is sometimes taken to employment of but or and at the beginning of a sentence; but for this, there is much good usage (The Principles of Rhetoric, 1896). In fact, it has been common practice to begin sentences with a conjunction since at least as far back as the 10th century. The Usage Myth Persists Still, the myth persists that and and but should be used only to join elements within a sentence, not to link one sentence to another. Here, for instance, is an edict found recently on an English professors Composition Cheat Sheet: Never begin a sentence with a conjunction of any kind, especially one of the FANBOYS (for, and, nor, but, or, yet, so ). This same fussbudget, by the way, outlaws the splitting of infinitives  - another durable grammar myth. But at least the professor is in good company. Early in his career, William Shawn, longtime editor of The New Yorker magazine, had a penchant for converting sentence-initial buts into howevers. As Ben Yagoda reports in When You Catch an Adjective, Kill It (2007), Shawns habit inspired one of the magazines writers, St. Clair McKelway, to compose this impassioned defense of but: If you are trying for an effect which comes from having built up a small pile of pleasant possibilities which you then want to push over as quickly as possible, dashing the readers hopes that he is going to get out of a nasty situation as easily as you have intentionally led him to believe, you have got to use the word but and it is usually more effective if you begin the sentence with it. But love is tricky means one thing, and however, love is tricky means anotheror at least gives the reader a different sensation. However indicates a philosophical sigh; but presents an insuperable obstacle. . . .But, when used as I used it in these two places, is, as a matter of fact, a wonderful word. In three letters it says a little of however, and also be that as it may, and also heres something you werent expecting and a number of other phrases along that line. There is no substitute for it. It is short and ugly and common. But I love it. Know Your Audience Still, not everybody loves initial but. The authors of Keys for Writers (2014) note that some readers may raise an eyebrow when they see and or but starting a sentence in an academic paper, especially if it happens often. So if you dont want to see eyebrows raised, ration your use of these words at the beginnings of sentences.   But in any event, dont start scratching out your ands and  buts on my account.

Organizational Behavior in Human Relations Essay

Organizational Behavior in Human Relations - Essay Example Leadership is a process where people are motivated; in fact, â€Å"workers look up to their leaders and feel immensely satisfied if leaders take them into confidence and share their wisdom and experience† (â€Å"Organizational Behavior,† n.d., p. 161). However, it is very unfortunate that despite its importance, there is no best way to create leaders in advance, and there is no consensus on what are the attributes that could help in developing leaders. Leaders are playing a great role in the employee engagement and motivation; thus, this problem has been subject to extensive studies for the purpose of coming up a universal and consistent leadership approach that an individual should need to become an effective leader (Packard, 2009). All organizational behavior/human relation subjects need the cooperation of people, and only leader â€Å"knows how to keep people focused† (Maccoby, 2000, p. 58). Culture is learned over many years; thus, transforming people’ s actual behavior and values called for an intensive and tenacious reinforcement that can be performed by strategic leaders (Osborne & Brown, p. 82). Leaders can make employees more committed, but they can also create a climate of fear, distrust, discouragement, and de-motivation if the leadership style is not appropriate with the context. In fact, there are instances that a change initiative failed because leaders did not thoroughly handled the situation by aligning management practices and organizational behavior. Thus, leadership is vital to the organization, and â€Å"without leadership, nothing will be accomplished† and â€Å"The organization will fall apart† (Homan, 2011, p. 211). 2.0 Solution to the Problem from the Organizational Behavior/Human Relations Based on early leadership theories, leaders are characterized by superior qualities or traits that are endowed to them since birth; thus, the experts concluded that â€Å"leaders are born and not made† ( Adair, 2006, p. 9). However, when experts cannot present a detailed description of the trait to become an effective leader, a behavioral theory emerged. This theory stated that leadership can be learned, trained, and developed. Later on, a contingency theory is developed because of insufficient evidences, and it is centered on situational context wherein an effective leader knew how to adapt and match his or her behaviors to a particular applied context. On the other hand, there is no universal way to become a good leader because the environment is rapidly changing, and organizations need to cope up with this change to be successful. Thus, the best solution is to work as a team and apply the contingency approach through the use of different leadership styles in different contingencies because there is no ‘one best way’ to manage all instances (Burnes, 2009). For organizations to have an effective leadership, they need to identify the situation at hand, recognize the ant ecedents and consequences, develop an appropriate leadership style to discourage negative behaviors, and evaluate the appropriate leadership approaches. 3.0 Evaluate Solutions in Terms of Managerial & Employee Perceptions The contingency approach as a solution to the leadership behavior problem is an advantage on the part of the employee because â€Å"factors such as the type of task, the time available, and the skill of the members determine what type of leadership is most appropriate for a

Creative Life Writing Essay Example | Topics and Well Written Essays - 3250 words

Creative Life Writing - Essay Example The nighttime was unpleasantly cold. Maureen sat back and remained still on her bed, struggling not to tremble. Any motions or move about could be heard by the other mean convent sisters. She tried to control her breathing, in order not to trigger nausea in the extraordinarily freezing air despite the fact that her heart wanted to beat its way out of her chest. Her body was uneasy, as she had to wait for the morning almost throughout the night. Finally, it was morning, and the chattering and babbling noises of morning birds reverberated throughout the trees. Moreover, she knew she had finally walloped the recognizable gold of her patients. Enthusiasm endangered to compel her gulp of air into an unbalanced struggle for breath, but she tried to remain in control of herself. By now she knew the other sisters were up. She challenged to turn her head over so steadily, to look closely through the spaces between the beds in the dormitory. A pair of shimmering eyes in the narrow glow bounced in her direction. Then she reckoned she would have only seconds. They drew more rapidly, and she allowed her muscles to be overwrought, set for confrontations she would have to face, she thought to herself. Without warning, there was a heavy tap on her shoulder and what followed was the glare of two big eyeballs and a hoarse voice saying, â€Å"Getcha loaf off the bed you muppet!† Maureen starred at Mother Teresa and in her head said to herself, â€Å"I wonder if she knows the Jesus, she preaches about. â€Å"I am having a bad dose, Mother Teresa,† Said Maureen. The look from the gigantic woman made Maureen’s arms move of its individual agreement as she tried to lift her helpless body off the bed. Maureen’s feet reached for the ground. She howled while yawning and gurgled stretching her muscles after a long night. She put on her sandals and walked down the hallway, knowing the routine it was time for morning prayers before taking breakfast. By now, Maureen could not hold her nausea anymore as she headed hurriedly for the bathroom. When there she let it go, and it took all her energy making her sit on the floor despite how unhygienic and unthinkable it was.She slowly opened the door and soon after noticed a shadow below her feet. When she looked up she could see the silhouette of a gigantic woman before her, as the sunlight rays made it difficult to tell who it was. She moved towards Maureen and said, â€Å"Relax my child, it is me, Angela.† Maureen then s tepped back in a manner to hide her face from the blaring sunlight. As she regained her sight, she noticed an elderly woman was staring at her belly. She then said, â€Å"how’s the body me a little child?† Maureen replied, â€Å"Am doing just good sister.† But Angela became persistent and asked, â€Å"And why are ya spoofing off ya mouth here?† Maureen then looked down and said, â€Å"You must not tell anyone of this but am up to the duff Sister.† Angela sat down next to her in astonishment. â€Å"How is that even possible? You are a very young lad!!†

Managing and Reducing Cardiovascular Risk in Type 2 Diabetes Mellitus Essay Example for Free

Managing and Reducing Cardiovascular Risk in Type 2 Diabetes Mellitus Essay Diabetes mellitus is a metabolic disorder in which the body’s capacity to make use of glucose, fat and protein is disturbed due to insulin deficiency or insulin resistance. It is a hormone secreted from pancreas that helps glucose from food to enter the bodys cells where it is transformed into energy required by muscles and tissues to function. Diabetes is caused either because the pancreas does not secrete adequate insulin, or because cells do not react to the insulin that is produced. Due to this reason, an individual with diabetes does not take up glucose appropriately and glucose continues circulating in the blood (hyperglycaemia) harming tissues over time. This damage leads to acute health complications. The classic symptoms of diabetes mellitus are, Polyuria ,Polydipsia ,Polyphagia ,lethargy and weight loss. There are many causes for high blood glucose levels in the body and so a number of types of diabetes exist. Diabetes mellitus occur throughout the world. Based on the study conducted by IDF, the number of diabetics on earth stands at 365 million nearly 8. 5% of the global population. It is more widespread in the more developed countries. The greatest raise in incidence is, however, expected to happen in Africa and Asia, where majority of the diabetes patients will most likely be found by 2030. Diabetes mellitus is categorised into four broad groups: Type 1, Type 2, Gestational diabetes other specific types. Scientists in US have found a Type 3 diabetes, it is still continuing further study. Type 1 diabetes is absolute insulin deficiency usually affects children and young adults. Type 2 Diabetes is an insidious progressive disease that is often diagnosed late when complication are present. Dunning (2004) described it as a long term complication with neuropathy, cardiovascular disease and retinopathy. It is a universal metabolic disorder affecting more than 2 million people in the United Kingdom and up to 750,000 more are expected to have it without knowing they do. Studies conducted show that 80% of population affected by diabetes live in developing and underdeveloped countries and the majority of people with diabetes is between 40 to 59 years of age. It is also estimated that 183 million people (50%) with diabetes are undiagnosed. It is noticed that Diabetes caused 4. million deaths in 2011 and caused sharp increase in medical expenditure. I am a staff nurse working in the cardiac ward and we often receive patients with cardiac problems as a long term complication of type 2 diabetes. Cardiovascular disease is a major cause of hospital admission and mortality in people with diabetes. Most of them are not diagnosed until they are admitted. During the course of this study the medical history and care and treatment provided to a patient named Mr M Davies who was admitted in my ward is chosen to learn about managing and reducing cardiovascular disease among patients with type 2 diabetes. In 1998 UKPDS pointed out the importance of reducing lipids blood pressure and blood Glucose to reduce the risk of cardiovascular disease. Hypertension leads to thicker, less elastic blood vessel walls and increase the strain on the heart. Studies indicated that there is a linear correlation between the diastolic blood pressure and the eventual outcome of type 2 diabetes. Standl Schnell (2000) pointed out that as a result of ischemia-induced remodelling subtle changes occur in the heart and the effects of hyperglycaemia on the endothelium of large blood vessels that causes heart to failure. Mr M Davies (Mr.  MD) is a 61-year-old pensioner with a 4 years history of type 2 diabetes. He was diagnosed in 2008 and he had symptoms of hyperglycaemia for 2 years before diagnosis. His fasting blood glucose records indicated values of 6–7 mmol/L, which were explained to him as symptomatic of â€Å"borderline diabetes. † During the preliminary diagnosis, he was advised to reduce weight (â€Å"at least 10 lb. †), but no further action was taken. Other medical problems include obesity and hypertension. He was admitted in the ward with recurrent chest pain. (Appendix 1) This assignment is about managing and reducing cardiovascular risk in type 2 diabetes mellitus. Heart disease is well acknowledged as a chronic problem of diabetes, and is the major reason of morbidity and mortality in patients from middle-age onwards. Type 2 diabetes is associated at the onset with risk factors for heart disease such as hypertension and obesity, raising the question of whether diabetes is the independent risk factor for heart disease. In 2001 Morrish et al pointed out that the majority of cardiovascular deaths are specifically due to heart disease and this is supported by Fisher, Miles, (2008) commenting that heart disease is the major cause of morbidity and mortality at young as well as older ages. Butler (1997) said that increased life expectancy has led to an increase in the number of people over 65 years of in both the developed and developing worlds. Marso (2003) pointed out that due to the clear association between age and the development diabetes, this increase in the number of older individuals in the population will inevitably contribute to the increased prevalence of diabetes. Watkins (2008) mentioned that Type 2 diabetes is a disease of relative prosperity, prosperity leads to overweight and physical indolence. Insulin resistance, increasing with obesity, associated with progressive failure of insulin secretion in relation to ageing underlies the development of diabetes. It is anticipated that by 2025 the number of people with type 2 diabetes will be around 380 million and people with impaired glucose tolerance will be around 418 million. Diabetes is the foremost global cause of premature mortality that is broadly underestimated, because only a few among the diabetic patients die from reasons uniquely related to the condition. Nearly one half of type 2 diabetes patients die prematurely of a cardiovascular reason and approximately 10% die of renal failure. Diabetes is a condition that required to be managed every day. The management of Diabetes can refer to dealing with short term measures like high and low blood sugar to regulating it over the long term for instance by attaining to grips with knowing the condition. All patients with Type 2 diabetes require active dietary management throughout their disease. Watkins (2008) pointed out that weight loss in the obese is extremely valuable but is separate from dietary manipulations to control blood glucose. Treatment typically includes diet control, exercise, monitoring blood sugar at home, and in some cases, oral medication and/or taking insulin. Based on the type diabetes medicines are classified into different groups and each category of diabetes pills functions differently. Commonly used medicines to control diabetes are Sulfonylureas, Thiazolidinediones, Biguanides, Alpha-glucosidase inhibitors, Meglitinides and, Dipeptidyl peptidase IV. Sulfonylureas reduce blood sugar by stimulating the pancreas to produce more insulin. Sulfonylureas medicines like Glimeperide, Gliclazide,. Biguanides improve insulins capacity to transfer sugar into cells particularly into the muscle cells. They also stop the liver from releasing stored sugar. Biguanides are not advised to be used in people who have heart failure or kidney damage. Biguanides medicines such as Metformin. Thiazolidinediones like Pioglitazone and Rosiglitazone enhances effectiveness of insulin in muscle and in fat tissue. Alpha-glucosidase inhibitors, such as Precose (acarbose) and Glyset (miglitol) prevent enzymes that help digest starches, reducing the rise in blood sugar. These medicines may cause diarrhea or gas. They can decrease hemoglobin A1c by 0. 5%-1%. Meglitinides, like Prandin (repaglinide) and Starlix (nateglinide) reduces blood sugar level by stimulating the pancreas to secreate more insulin. Dipeptidyl peptidase IV (DPP-IV) inhibitors, such as Januvia (sitagliptin), Onglyza (saxagliptin), and Tradjenta (linagliptin) lowers blood sugar level in patients with type 2 diabetes by accelerating insulin secretion from the pancreas and lowering sugar production. The case history of Mr. MD indicated that he was advised to manage blood sugar level by diet control and regular exercise. It was also advised to take metformin 1000mg twice a day when diet and exercise are not enough to manage blood sugar level. The history showed that Mr. MD was non-compliance with any of these. On admission his random blood sugar was 20 mmol/L. As he was unable to tolerate oral intake due to nausea and chest pain, GKI was commenced for a day to control his blood sugar. On second day his blood sugar level was controlled and he started eating and drinking normally. Mr MD was referred to diabetic specialist nurse and dietician . Diabetic specialist nurse advised to stop GKI and advised to start OHA. Mr. MD commenced on metformin 1000mg three times a day (Learning outcome 1). Metformin has long been accepted as a appropriate first-line choice of oral medicine for Type 2 diabetes as it is the only oral hypoglycaemic agent related with no weight gain or even weight reduction. They decrease hepatic gluconeogenesis, boost peripheral glucose uptake and also lower the absorption of carbohydrate from the gut lumen. Because metformin functions on insulin sensitivity and with only endogenous glucose stimulated insulin secretion, it virtually never causes hypoglycaemia on its own and patients using it with diet and exercise do not need routinely to self-monitor blood glucose. The UK Prospective Diabetes Study (UKPDS, 2002) demonstrated a significant survival advantage for Type 2 patients started on metformin as first-line therapy, with less cardiovascular mortality, although it should be noted that they only used the drug in obese patients. Obesity is a worldwide problem. Barnett (2009) pointed out that obesity and overweight are independent risk factors for cardiovascular morbidity and mortality. Various studies reveal that obesity is a major cardiovascular disease risk factor across world’s populations. Risk of morbidity and mortality begins to increase at body mass index (BMI) 25 kg/m 2 and the risk raises sharply at BMI 30 kg/m 2. Each kilogram of weight put on from the age of 18 years was linked with 3. 1% higher risk of cardiovascular disease. In 1998 Gunnell observed that over weight in adolescence is a forecaster of these dangers in adulthood . These finding were supported by Must in 1992,who explained that this increased risk extends to overweight children and adolescents, who may be at risk of premature cardiovascular morbidity and death. The mechanism by which obesity causes increased cardiovascular morbidity and mortality is attributed to associated co-morbidities and risk factors such as hypertension, dyslipidaemia, type 2 diabetes and insulin resistance. The co-occurrence of some or all of these risk factors along with obesity is termed the cardiometabolic syndrome. On examination it was noticed that Mr.  MD has a high BMI (30. 9). West (2007). Suggested that addressing obesity is an essential aspect of managing diabetes, because type2 diabetes and many other health problems coexist. However it is important to consider the individual’s specific nutritional needs rather than just providing them with a ‘weight loss plan,’ ‘diabetic diet,’ a ‘standard meal plan or information about healthy eating. ’ Mr. MD was referred to the dietician. Dietician gave dietary advice and educated about importance of weight management by diet and regular exercise. He was advised to avoid take-away foods, reduce alcohol consumption and taking balanced food to prevent hypo and hyper glycaemia (Learning outcome 1).. Hypertension-Prevention Management is very important in the management of metabolic diseases. In 1985 Modan et al pointed out that there is a strong relationship between high blood pressure and insulin resistance. This findings is supported by Reaven, (1999) . He said that the prevalence of insulin resistance in hypertension has been estimated at 50%. Scheen, (2004) proposed several possible mechanisms for this. Coutinho et al. (1999) said that impaired fasting blood glucose is related with high cardiovascular risk particularly if accompanied by hypertension. Henry et al. , (2002) said that in people with diabetes, cardiovascular disease risk is increased two to fourfold compared with those with normal glucose tolerance. This was supported by the study conducted by Heffner et al. , (1998) who said that diabetic people without past history of myocardial infarction may have as high a risk of myocardial infarction as non-diabetic patients with a history of previous myocardial infarction. Non-pharmacological interventions are cheap than pharmacological interventions and have no known dangerous effects. A range of lifestyle changes reduce blood pressure and the occurrence of hypertension. Non-pharmacological interventions such as weight loss in the overweight, exercise programmes, limiting alcohol intake and a diet with increased fruit and vegetables and limited saturated fat content, minimising dietary sodium consumption and increased dietary potassium intake. From the medical history of Mr MD it is noticed that he was taking Ramipril 5 mg/day and bisoprolol2. mg/daily. It is established that where non-pharmacological interventions are not enough to achieve the objectives then Pharmacological interventions are required. Several drug treatments are of proven value in minimising cardiovascular risk in people with diabetes and hypertension. Low-dose aspirin is suggested in diabetes whether or not there is evidence of large vessel disease. Williams et al. , (2004) noticed that the British Hypertension Society recommends 75 mg of aspirin for all with hypertension and diabetes, unless contraindicated. Antihypertensive therapy diminishes the risk of macrovascular complications by around 20%. Reducing blood pressure reduces progression of retinopathy, albuminuria and progression to nephropathy. Staessen et al. , (1997) observed that clinical trials with ACE inhibitors, beta-blockers, diuretics, angiotensin receptor blockers and calcium channel blockers have demonstrated benefit of treatment of hypertension in type 2 diabetes (Learning outcome 1).. On admission blood pressure level of Mr MD was very high. He was recommended treatment with antihypertensive drugs. Consultant prescribed Losartan 100 mg/day and increased ACE inhibitor (ramipril 10 mg/day) and beta-blocker (bisoprolol 5 mg/dayl). Studies show that treatment with ramipril in addition to standard therapy minimised combined myocardial infarction, stroke and cardiovascular death by about 25% and stroke by 33% compared with placebo plus conventional methods. This was supported by Sowers and Haffner, (2002) saying that almost all patients with hypertension and diabetes require combinations of blood pressure reducing drugs to attain the recommended blood pressure targets. During the treatment Mr. MD was advised non-pharmacological methods of blood pressure management and importance of diet control and referred to cardiac rehabilitation for regular exercise. Management of high cholesterol plays an important role in the management of diabetes. Lipid abnormalities are common in type 2 diabetes and can be broadly categorized into two groups: those that are common to the general population, for example elevated total and LDL cholesterol; and additional diabetes-related abnormalities, for example elevated triglycerides and reduced HDL cholesterol. Current US and European guidelines emphasize reducing LDL-C level to less than 100 mg/dL (2. 59 mmol/L). To reduce the cholesterol Mr. MD was undergone intensive lipid-lowering treatment with atorvastatin 80 mg/day. Dietary therapy was also a part of the treatment which was found effective to lower Lipids. Interventions to stabilize lipids in order to decrease the risk of CVD are warranted in people with type 2 diabetes. Both Fibrates and Statins improve lipid profiles in people with diabetes. Many studies have established the safety and effectiveness of the fibrates (gemfibrozil, bezofibrate, fenofibrate) in diabetes. Fibrates stimulate the peroxisome proliferator-activated receptor-a, changing the expression of a number of enzymes that regulate lipid metabolism, including lipoprotein lipase. Statins inhibit hepatic 3-hydroxy-3-methylglutaryl coenzyme A reductase, which is rate restrictive in cholesterol production. Another major strategy in the management diabetes is lifestyle interventions. Lifestyle interventions can progress lipid levels. Studies conducted on weight loss and lipids in type 2 diabetes have varied greatly as to the study diet, design and duration. A Meta-analysis of 89 studies and 1800 subjects with type 2 diabetes reported that a weight loss of 5% or greater reduced triglyceride levels by 10 ±40% and total cholesterol by 5 ±15%. These effects were greatest with very low-calorie diets, and the effects were seen in studies up to 6 months. A variety of diets can alter the lipid profile in people with type 2 diabetes. The organisation of diabetes care is very important in the long term management of diabetes care. Diabetes is the significant disease confronting the United Kingdoms (UK) health care system. As a result, understanding how best to manage diabetes facilities is an important area if the health system is going to deal with the growth in both the demand for and cost of diabetes treatment. Care should be planed at reducing symptoms and minimizing the danger of long-term problems. It is pointed out that a proper balance of glucose and other cardiovascular risk factors such as smoking, hypertension, inactive lifestyle, dyslipidaemia and obesity is very crucial (UKPDS, 2002) in the organisation care of diabetes.

Wasteful Americans Essay -- Illustration Essay

A major problem in the USA today is the fact that Americans waste a lot. The main focus of this fact is the many different things that we waste, although steps are being made to fix the problem of us wasting so many resources. One thing we waste unfortunately is water. For example, One waste of water is many people take bathes instead of showers. Taking a shower saves water by only using a small amount of the water that is needed, to fill the whole tub. Another waste of water is leaving the water running while doing the dishes. The water should always be turned off between rinses. Furthermore doing a full load of laundry when washing your clothes is a waste of water. Therefore make sure that the washer is completely full before starting the washer. Finally leaving the water running while brushing your teeth is good example of water being wasted. A solution to this problem would be to turn the water off between rinses. We have to remember to conserve our water; it can be a costly mistake. Another energy that Americans often waste is electricity. Leaving the lights on in a room that is not occupied is a prime example of a waste of electricity. All that you have to do to conserve electricity in this case is to simply turn the lights off whenever you leave the room. Something that is sometimes too hard to do, but with a little self-discipline it can be a reasonable goal. Another waste of electricity is when people leave their Televisions on all night, whenever they are not ...

Child Hood Essay

Today, childhood is seen as a universal rite of passage. Much of our literature consists of coming of age stories that focus on the journey from innocence to experience. Childhood marks the beginning of our personal narrative. We all have our stories of youth. Some percolate in the haze of memory; others are told and retold over the years. These stories—sad, humorous, painful—shape us. They make us who we are.Inspired by the growing popularity of collecting and recording our stories, students will interview an older family member about a single significant childhood memory, imagine specific details of the story, and then use one or a variety of media text types to present the story to the class. In doing so, students discover intergenerational links through the common universal experience of childhood. Students begin by interviewing a parent (or other older relative) about a childhood memory, collecting enough details to help them recreate the story vividly for an audie nce.In small groups, students share information and project ideas, with a view to re-telling the story through one or a combination of the following: print text (e. g. write a story from the parent’s point of view), visual text (e. g. memory scrapbook), digital text (e. g. Web page, graphic reproduction), audiovisual text (e. g. PowerPoint presentation with music), or oral presentation (e. g. monologue in the voice of the parent). Students should be encouraged to use whatever high- or low-tech tools they are comfortable with.This activity affords students the opportunity to discover and learn about the codes and conventions of their chosen media text type in order to successfully apply them to their own production. By re-creating an older family member’s story for an audience, students participate in the writing of the family history, making it less ephemeral and embedding it in time. Connecting with their parent or grandparent through a particular memory also allows s tudents to view childhood as a universal rite of passage, one that connects successive generations of their family to the family tree of humanity.A follow-up ELA activity could invite students to use their imagination to develop a story of their own, inspired by events from their own childhood: How would they tell the story to their grandchildren? Students could create a class anthology of their stories or their parents’. In Social Sciences, students could interview a parent or older relative about the social/cultural/historical time in which he or she lived as a child and create a poster depicting it

Essay on Zoroastrianisms Role in Christianitys Development

Zoroastrianisms Role in Christianitys Development Christianity is one of the most popular religions of the early 21st century. Through the course of Christianitys first millennia it was able to rise from its original twelve followers to become the state religion of Rome and the mighty empire which it held. However, unbeknownst to many, the concepts that exist in Christianity and Judaism (the religion from which Christianity spawned) were initially conceived by the nearly dead religion of Zoroaster. Christianity is closely modeled after the Zoroastrains beliefs in the afterlife, redemption, judgment, duality of deities, apocalypse and messiahs. Whether Christianity adopted or coincidentally shared the beliefs of the†¦show more content†¦When Zoroaster died they waited patiently for the apocalypse to come. After a few years had passed they decided it would occur at the end of a millennia.1 Although Christians will argue that their religion is monotheistic, virtually all other religions argue to the contrary. Muslims a nd Jews both consider the Christian Holy Trinity to be clear evidence of tri-theism. This is a view which has great weight to it. If God, Jesus, and the Holy Spirit are all gods, then it seems logical to say that indeed the Christians are tri-theists. This is belief in three gods is shared by the Zoroastrians, who believe that Ahura Mazda, Spenta Mainyu and Anghra Mainyu are all gods. Christians and Zoroastrians both believe in a cosmic dualism. This dualism manifests itself in the struggle between two non-empirical beings which represent good and evil. This is a corner stone of both religions. The follower becomes a soldier in the struggle for good, whereas non-believers are told they are working for the evil deity. It is also promised that good will eventually triumph over evil at the onset of the apocalypse. All though the two religions both possess this dualism, there is one subtle difference between the two. In the Zoroastrian faith the two forces are represented entir ely by gods. The evil Anghra Mainyu against the good Spenta Mainyu and Ahura Mazda. However, in Christianity the force of good is a god, whereas the evil force is a mere spirit