That finds its manner into the field and besides t Essays

that finds its manner into the field and besides they might seek to acquire to things that are on the other side of the fencing when they are running out of eatages in the field that they are in. Any loose stuff that is in or around a field that can do jobs for farm animal should be picked up to forestall any kind of hardware disease job. There have been several documented instances in the universe for cowss that have had jobs with hardware disease. In 1999 Rancher Janie Easterbrook claims that the contact that her cowss had with a lodging development caused them to acquire hardware disease. She told the newsman that spots of metal can remain in the tummy for a long clip before they do any harm. Hardware disease can strike at any clip and all it takes is emphasis or anything that causes the tummy to contract. In the cowss happenings such as, gestation will travel the metal object through the wall, along with tummy contractions and external respiration. The cow could be traveling the right manner at the incorrect clip to do the metal in the Reticulum to be a job. The necropsy studies on her last three cattles, listed the cause of decease to be hardware disease. Easterbrook stated that since she had been raising cowss in 1993 she had neer lost a cow to hardware disease ( Buckly ) . Let s take for case that cow an grownup cow cost around 1500 dollars and a calf cost around 600 dollars. In a herd of 100 cattles and 50 calves if you lose 6 cattles and 3 calves so you are losing over 10 thousand dollars due to a disease that is non truly a disease. In any instance, even if merely one cow in your herd of 100 dies, that is still one cow excessively many. It is about absurd at the proprietor s ignorance if the carnal gets hardware disease. There is excessively much information available online and in any carnal related office non to be cognizant of this disease. Once the proprietor is cognizant of the disease, it is improbably easy to forestall it. If you are non able t o forestall your cowss from acquiring hardware disease so the following best thing is intervention. The best thing for you to make in fixing you cattle for hardware disease is to believe as if your cow has hardware disease. This means puting a magnet in the cowss s bow tummy. ( WVUE ) Besides harmonizing to the University of Missouri, another intervention is to put the front pess of the cow on a platform someplace about 6 to 8 inches off the land as this may halt the foreign object from traveling frontward ( UoM 1993 ) This method of intervention takes approximately 10 to 20 yearss, besides the husbandman should administrate antibiotics to will maintain the spread of infection down ( UoM 1993 ) . There is a 20 to 30 percent addition of recovery when you are able to catch hardware disease early ; unlike if you let it travel untreated there is an 80 90 per centum opportunity of decease. ( MVM 2008 ) Another intervention is surgery called rumenotomy which means that you have to manuall y take to object or objects, besides the physician needs to look for abscess on the Reticulum so that they can be opened up and drained back into the Reticulum ( MVM 2008 ) . If the bovine does hold this process done, at least some signifier of antibiotics need to be administered ( MVM 2008 ) . The veterinary intervention for hardware disease includes the usage of an anti-bacterial to command the redness of the peritoneal inflammation and besides a magnet is given to halt it from go oning once more ( MVM 2008 ) . Like many husbandmans may cognize, Penicillin is a really effectual antibiotic. It is inexpensive and easy to administrate and can be really effectual against hardware disease. Cows that are affected, like any animate being that has a disease or enfeebling upset should be placed off from the remainder of the herd for at least 1

Protagonist vs. Antagonist Understanding a Storys Main Characters

Protagonist vs. Antagonist Understanding a Storys Main Characters Protagonist vs. Antagonist: Understanding a Story's Main Characters If there’s one thing every story needs, it’s conflict. And while conflict can take many forms (Self vs. Nature, Technology vs. Humanity, Character vs. Self, etc.), some of literature’s most beloved stories include conflict in the classic form of the protagonist and antagonist.Without the white whale, Moby Dick is just a book about a guy who goes sailing and then returns home. If there were no Harry Potter, then J.K. Rowling would have written a series about Voldemort taking over the world, unopposed. Without Sauron and the Ring, the Fellowship would have merely been an odd sight-seeing group touring Middle-earth. And as enjoyable as that may have been for  them,  it wouldn't have made a very good story for the rest of us.In this article, we will look at what protagonists and antagonists are, how these age-old character archetypes can help you craft memorable stories, and what famous rivalries look like in both literature and film.With that in mind, let's firs t go back to basics to figure out what exactly protagonists and antagonists are.What is a Protagonist?The protagonist is the main character whose story is being told. The term derives from classical Greek drama and literally means â€Å"first actor.† Though often referred to as the hero of the story, the main character isn’t necessarily virtuous, and also may be just one of many protagonists in the narrative.Because protagonists can take many forms, let's take a look at four common types of protagonists in action.4 Types of Protagonists1. The Lonely HeroThe Lonely Hero is the standard strain of protagonist, probably because it's seen as the most "heroic" type. As the name implies, the Lonely Hero is the one and only person who can stop evil from triumphing and save the day. Though they’re almost always helped by a team of supporting characters, the ultimate burden of the quest falls squarely on the shoulders of the Lonely Hero. They are the one who must sacrific e the most in order to accomplish their goal.Examples of Lonely Hero protagonists:Harry from  Harry PotterKatniss Everdeen from  The Hunger GamesFrodo Baggins from  Lord of the RingsMatilda from MatildaCooper from Interstellar So evil that all the heroes in the galaxy have to band together against him. (Image: Walt Disney Studios)Whether you have the traditional hero-villain character dynamic, or a non-traditional character rivalry, remember to make full use of the conflict their interactions generate in order to move your story along. By creating complex characters, you will find it much easier to develop an interesting plot and bring your story to life.SummaryIn any story, how can you tell if someone is a protagonist or an antagonist? They are both significant characters, but the easy distinction is that:The protagonist is always the main character, regardless of they are heroic.The antagonist isn't always evil or a villain, simply the character who is in opposition to the protagonist.With that distinction in mind, why not go ahead and create your own characters who are worthy of joining Frodo and Thanos in the pantheon of great protagonists and antagonists?Do you have a favorite protagonist? A favorite antagonist? What are your favorite protagonist vs. antagonist rivalries? Let us know in the comments below!

Quality Control and Quality Assurance similarities and differences Assignment

Quality Control and Quality Assurance similarities and differences - Assignment Example Quality also means to seek continuous improvement in the products and services provided by any organization. It also means finding out those specific areas which need to be changed or improved in order to make sure that the organization meets the needs and demands of the customers. Importance of quality management in any organization or a company can never be denied. Improving and maintaining quality of products and services is a very important point of consideration for any organization to get success in a competitive market. Quality management is an ongoing process of building and sustaining relationships between the company and its customers by providing the customers with quality products. Kantner (2000) found that target of growth of business and gaining trust of customers in the competitive market can be achieved if we implement a proper quality management system in a company. Any organization or a company may encounter a big problem of loosing its precious and potential customers because of not paying enough attention towards the implementation of proper quality management system. It is a common fact that when a company or any specific business will not have proper implementation of any quality management system, it will surely make a worse impact not o nly on the growth and development of the company but also on retention of the customers of the company. If a company wants to achieve market domination, the management of that company needs to provide its customers with quality in the products that it delivers. Chung (1999) found that quality, in any business or company, can only be attained when the workers of that specific company will be motivated to improve the standard of the products. If we talk about quality control, we can say that quality control is a process which is employed in order to ensure a required level of

To What Extent Do You Consider That Robin is an Enterpreneur Essay

To What Extent Do You Consider That Robin is an Enterpreneur - Essay Example Although many people come up with great business ideas, most of them never act on their ideas. Entrepreneurs do† (2008). To sum it up, an entrepreneur is an individual who identify opportunities and creates business based on those opportunities and is willing to take risk to realize those business ideas a reality. Based on this definition of an entrepreneur, Robin qualifies as an entrepreneur and embodies its characteristics. Robin also has the essential skill of an entrepreneur of how to manage risk. This uncanny ability of Robin to manage risk was demonstrated when he was able to identify and seize opportunities without exposing himself to undue risk. This was manifested in the case when he started as a part time IT auditor with IT Alchemy yet he still took casual work to supplement his income. This demonstrates that while he was willing to explore opportunities with IT Alchemy, he is also a pragmatist that in case things will not work out, he still has another source of inco me as a fall back. It was not explicitly stated in the case but reading between the lines, Robin knew deep in his gut that there is an opportunity with IT Alchemy being a start-up company. This was evident with his inclination to stay with IT Alchemy when he was faced with the dilemma of not having the time for the lucrative contract with Heriot-Watt. This has to be stressed because if Robin had the mindset of an employee, he would have readily pursued the contract with Heriot-Watt because of the lucrative pay. Instead, he would have chosen IT Alchemy if he had to make a choice between the Heriot-Watt contract and IT Alchemy because he knew the potential of the company. This ability of entrepreneurs to discern and seize opportunity is elaborated by Timmons that entrepreneurs are able to create and see opportunities at the right time while others see it late or too early (2011). Robins also manifested his entrepreneurial tendency when he found a solution with his dilemma where he can stay with IT Alchemy and keep the contract with Heriot-Watt without losing anything. He was able to create a favourable value for himself because Mike Parr of IT Alchemy agreed with his idea and made him a part-owner of the company when Mike shared ownership of the company with Robin. This may not have been explicitly expressed in the case but Robin may have just been waiting for the right time where he can become a shareholder of IT Alchemy. The Heriot-Watt contract provided him the bargaining chip to leverage himself to become a part-owner of the company. He was able to turn a dilemma into an advantage which is the innovative characteristic of an entrepreneur. When Robin became the Director of the start-up, IT Alchemy, his entrepreneurial acumen to identify opportunities manifested which also proved to be beneficial to the company. As an IT expert, he was able to identify the opportunities spawned by the increased regulation of software licensing and made business out of it. He k new that with the heavy penalties imposed against non-compliance of software licensing, companies would conscientiously pay for renewal regularly in fear of licensing and copyright legislation to the point that they overpay their licensing fees. In a study by the Gartner Group, it was estimated that firms are paying 30% to 50% more on software licence compliance than they need to be. It may be unacceptable from a fiscal point of view for many firms but Robin was able to ident

Impressionism Essay Example | Topics and Well Written Essays - 500 words

Impressionism - Essay Example It started as a movement in painting in France in the late 1860s and various artists such as Claude Monet, Camille Pissarro, Auguste Renoir, and Alfred Sisley are associated with the founding of this movement. The main features of impressionism as an art movement includes its emphasis on naturalistic landscape, subjective aspect of art, the topics of modern urban life and other commonplace subject matters, portrayal of light in its varying qualities, etc. Most essentially, this movement influenced and inspired trends in other areas such as sculpture, music, and literature. Specifically, impressionism influenced literature in various ways and helped in the growth of literature considerably. As Marlies Kronegger (1973) maintains, impressionism in literature built up its own style and techniques, although painting dominated all the other art forms during the period 1875-85. From the time it originated, it has been one of the prevailing literary styles existent in world literature today and the impressionist creations in various countries are derived from the same basic idea. (Kronegger, 33) Therefore, it is important to maintain that impressionism is one of the key literary terms today as it refers to the literary styles and techniques based on the general framework of impressionism as an art movement. This paper makes a comprehensive exploration of the term impressionism in order to define and explicate impressionism as an extremely valuable rhetorical tool in literature today.

Controlled But Not Cured Chronic Diseases Nursing Essay

Controlled But Not Cured Chronic Diseases Nursing Essay The life of someone with a chronic medical condition is changed in many ways that a healthy individual cannot understand. There is remarkable impact to the social, recreational and occupational functioning of someone with chronic illness. Relationships are also often compromised and strained as the effects on the family can be as great, but different, than that of the person who is affected. The emotional toll on someone with the challenges of an ongoing illness can be overwhelming. Mood-related symptoms, anxiety, depression, anger, irritability, helplessness and hopelessness are emotions that all those with chronic illness will probably experience. One of the most common chronic illnesses is Diabetes Mellitus. Diabetes Mellitus is a group of metabolic diseases characterised by high levels of glucose in the blood. This is also known as hyperglycaemia. This results from defects in insulin secretion, insulin action or both. (American Diabetes Association (ADA), Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003). There are several types of diabetes mellitus; they may differ in cause, clinical cause and treatment. The main classifications of diabetes are: Type 1 and Type 2 Diabetes, Gestational diabetes mellitus and Diabetes mellitus associated with other conditions or syndromes. This report is focused on Type 1 diabetes. The number of new cases of childhood-onset type 1 diabetes mellitus has increased significantly in recent years, particularly in younger children (Alderson et al. 2006). Type 1 diabetic patients are usually diagnosed before thirty years of age (CDC, Diabetes Surveillance, 1999) and in fact an alternative name is Juvenile diabetes. Approximately 5% to 10% of people with diabetes have Type 1 diabetes, in which the insulin-producing pancreatic beta cells are destroyed by the auto immune process. Consequently they produce little or no insulin and therefore require insulin injections to control their blood glucose levels. The clinical manifestations of type 1 diabetes are immense. These include rapid weight loss, thirst and hunger, frequent urination, lethargy and maybe even diabetic ketoacidosis (DKA) Smeltzer, S.C, (2004). If this chronic illness is not managed properly it can result in terrible consequences. These may include loss of eyesight and limbs, coma or even death. All of these complications can affect the persons personal, social, and work life. When diabetes is managed properly, complications like retinopathy, nephropathy, and neuropathy can be prevented (Hernandez Williamson, 2004). This chronic disease has a huge impact on both the patient and the whole family. Parents are continuously concerned about their childs transition through adolescence and often consider this as a stressful period in their life. When individuals are still very young, and thus, depending on their parents or carers there will be a sense of attachment between the two. This situation creates further anxiousness since parents act in different roles simultaneously, the role of a mother or father and the one who pricks her child everyday to check blood glucose levels and administer insulin therapy by injections. Much of the spontaneity of everyday life disappears in a routine of set-meals, blood tests, injections and attention in trying to keep blood glucose levels within a target range. According to Silink (2002) diabetes never takes a holiday. There is no disease in medicine in which parents are asked to make so many daily decisions about a life-saving treatment such as administering of insulin which, in the wrong dose, could cause harm to their child. There is evidence that a grieving period is experienced not only by the child but also by the parents following the loss of their childs health and sometimes parents even blame themselves for their childs disease . At times parents feel helpless in front of the disease and unable to provide the necessary diabetes care for their child. Affected children try to live normal and want to be seen and treated as no-diabetics, even though they know that to cope with their illness, there are things that they have to do that their friends can do without. This situation has a significant impact on the individuals involved and it can lead to loss of confidence and social isolation. Persons having chronic illness are in a constant state of grieving aspects of themselves that they may not get back. According to Stanton, A.L. et. al (1994), coping with the effects of the chronic illness requires a constant reorganizing and redefinition of self based on the changed reality imposed by the illness. The emotions elicited by chronic illness resemble the five stages described by Elisabeth Kubler Ross (1969) as stages of grief. The five stages are Denial, Anger, Depression, Bargaining and Acceptance. In fact, the individuals feel sad over their lost health and all the ramifications of that loss. Kà ¼bler-Ross originally applied these stages to people suffering from terminal illness, later to any form of disastrous personal loss such as employment. This may also include important life events such as the death of a family member, divorce, drug addiction, the onset of a disease or chronic illness or others. Kà ¼bler-Ross claimed these steps do not come in the order noted above, nor are all steps experienced by all patients, though she stated that a person will always experience at least two. It is a fact that no one can ever be prepared for the despair and disruption that a chronic illness bring about. For some individuals, it creates an inner struggle around beliefs and faith.   The person may feel abandoned, angry and confused and start asking the why questions.   For other people, turning to spiritual practice, meditation or prayer can offer comfort.   One theoretical model that has dealt with how cognitive factors influence illness coping behaviours and its outcomes is the Common Sense Model (CSM) of illness representations proposed by Leventhal, Meyer and Nerenz (1980) (Leventhal et al.,1984). The common-sense model of self-regulation of health and illness was developed in the 1980s by Howard Leventhal and his colleagues    (Diefenbach Leventhal, 1996).  The theory has various titles such as the, Self Regulation Theory, Common Sense Model of Illness Representation or Leventhals Theory (Hale et al, 2007).   The key construct within the Common Sense Model is the idea of illness representations or lay beliefs about illness. These representations integrate with existing guidelines that people hold, enabling them to make sense of their symptoms and guide any coping actions. Leventhal et al (1997) describe five components of these illness representations: The first component is identity. This is the label or name given to the condition and the symptoms that appear to go with it, in this case Type 1 diabetes. When a person is diagnosed with a chronic illness, he experiences a health threat in his life. Type1 diabetes presents itself with different symptoms and these are both experienced as body symptoms and also at an abstract cognitive level. Information about diabetes is provided to the individuals in order to have a clear picture of their disease. Hence the more illness coherence the individual has, the more they are capable to deal with it and create their personal model (Hampson, S.E, 1990). For example, a patient in the study of Huston, S.A Houk, C.P. (2011) who was an adolescent with well-controlled disease, noted that T1D is hereditary à ¢Ã¢â€š ¬Ã‚ ¦ [text omitted] à ¢Ã¢â€š ¬Ã‚ ¦. Its when your body attacks your pancreas and it stops producing insulin. You have to give yourself insulin to make your blood sugar level. In cont rast, patient 10, an adolescent with poorly controlled disease, reported that diabetes type 1 is à ¢Ã¢â€š ¬Ã‚ ¦ ah, actually I really cant explain it. Time line is another domain of the Common Sense Model, this represents the duration of the illness which can be chronic, acute or cyclical. These beliefs will be re-evaluated as time progresses, and it has been suggested that Inside every chronic patient is an acute patient wondering what happened (Brown, F.M., 2002). The vast majority of patients understand their condition as a lifelong one, although sometimes the hope for a cure is mentioned. A few conflate cure with disease improvement or needing fewer treatments. Several timeline models have been put forward to depict the outcome of the interplay between the genetic and environmental factors. Chatenoud, L., Bluestone, J.A., 2007 argue that disease progression in T1D is not a linear process, but rather proceeds at variable pace in individual patients. For example in the study of Huston, S.A Houk, C.P (2011) a patient with good control of T1D, stated theres a honeymoon stage where you dont have it, like-it could go up from, like 2 days to a month, but à ¢Ã¢â€š ¬Ã‚ ¦ I havent gone through that yet, and I think it can-it can go away. Personal control can also suffer an impact and since diabetes is a chronic disease there is the risk of poor adaption and lack of control. It is comprehensible that at this age children are difficult to control and can struggle with metabolic management at times. These representations will be based on information gathered from personal experience as well as the opinions and discourses of significant others, health professionals and media sources, reflecting issues such as stress, environmental pollution and other pathogens. Although Diabetic patients try to adhere to treatment and diet, they are also likely to cheat. Some of the patients sometimes are glad that their glucose level is low. They feel so not because of the good result but in order to take the opportunity and eat something sugary so that they have a decent blood glucose level. Treatment control represents the perception that following ones treatment is beneficial.. Managing this chronic illness is challenging. Parents of type 1 diabetic patients have to be strict in order that their children are compliant and empowered to control this disease. Although diabetic patients especially adults tend to be very compliant, those who still have high blood glucose results are then put back. They argue that although they are adherent and sacrifice themselves they still do not have the desired outcome. Consequences and emotional representations: the individual beliefs about the consequences of the condition and how this will impact on them physically, psychologically, financially and socially. These representations may only develop into more realistic beliefs over time. Some sort of consequences always exists when having a chronic illness. For example individuals who are diabetics are sometimes ashamed of telling their friends about their condition. Instead they make up excuses that they do not like sweets or they still get some and then they end up with hyperglycaemia. This shows that the individuals have not yet accepted their disease and are still denying the reality. Self-care activities are seen as a consequence by all diabetics, with specific activities varying by disease and age. Diabetic people describe their disease as serious or very serious, with death most frequently mentioned as the worst that could happen, followed by coma, eye sight problems, wounds or amputations re lated to Diabetes and hospitalization. Apart from all these some of the patients are always hiding that they have diabetes as for them it is a great loss in health which is eventually embarrassing. Financial problems and employment complications can be present as well (Marmot, M., Madge, N., 1987). This is probable due to a diminished level of independence which will effect mobility and reduce the working capacity in the advanced stage of the disease. Moreover, children will also fail to attend school due to frequent hospital visits or admissions, and perhaps sickness from secondary diseases caused by diabetes. Another model is the trajectory model which is a nursing model that mostly considers the situation of individuals with chronic diseases. It has been introduced by Juliet Corbin, a nurse and nursing scientist, and by the sociologist Anselm Strauss. This is also known as the Corbin-Strauss-Model and is recognised as a middlerange explanatory nursing theory (Corbin Straus, 1991). This model focuses on the concerned person having the chronic illness who requires support of the health care system during the process of coping with the illness. In terms of the Trajectory Model (TM), a faithful building of a relation between the caring nursing person and the patient should be affected. McCorkle Pasacreta, (2001) explains eight phases of chronic illness trajectory. The first phase is the Initial or pretrajectory phase, this takes place prior signs and symptoms are present whilst the Trajectory onset phase is when there are the first signs and symptoms and diagnosis takes place. The third phase is the crisis phase which takes place when serious situations occur. The acute phase is the stage where the symptoms are normally controlled by a prescribed regimen. The following phase stable phase is when the symptoms are under control and managed well. On the other hand the unstable phase takes place if the symptoms are not controlled with the prescribed management. The downward phase arises when there is development of mental and physical deterioration and the dying phase is the period before death approaches. This report provides recommendations to improve both the chronically ill individual and his relatives quality of life. The goal of these recommendations is to improve the health and hence become more compliant and adherent to treatment. However before blaming a person who is not very compliant, the health care team should assess the individual for any underlying problems which the patient might be facing. Recommendations Treatment adherence difficulties are common in individuals with diabetes, making glycaemic control difficult to attain. Since the risk of complications of diabetes can be reduced by proper adherence, patients who are not compliant should try and cope with some ideal recommendations for diabetes management. The concepts of compliance and adherence to treatment should be discussed and advices for improving adherence should be offered by adopting a more collaborative model of care emphasizing patient autonomy and choice. Ideally, prioritization and a realistic goal setting programme are discussed with both the patient and his carer to facilitate the implementation of self-management care. These targets should be selected on their importance, patient and carer motivation to succeed and the promptness of self-care. Bodenheimer et al. (2002) argues that selecting the wrong target or initiating too many changes at once can overwhelm the patient and lead to poor adherence. Nurses play a critical role in reducing diabetic difficulties through holistic care and education. The health care team can prevent such complications in patients by providing diabetes education especially to newly diagnosed patients. This can include creating a multidisciplinary diabetic control regimen by meeting patients regularly to check upon patients compliance. Through these interventions, nurses can greatly reduce diabetes complications in patients. When diabetes is not managed appropriately, it can put the individual at risk for long-term health and social problems. The role of the nurse in educating children and their families on the management of their care is imperative. Nurses can provide this information in a variety of settings, such as hospitals and schools. Good management of diabetes can be difficult for anyone, but there are special challenges when the effected person is a child. Youth with diabetes have a much higher rate of depression than the general population (Kanner, Hamrin, Grey, 2003). Young children may not understand why they need treatment and have their fingers pricked all the time. The teenagers are usually more interested in fitting in, and doing whatever their friends are doing at the time (Nabors, Troillett, Nash Masiulis, 2005). All of these challenges increase the need for good education to prevent diabetes related health problems. The average hospital stay for newly diagnosed child with diabetes is less than three days (Habich, 2006). This is barely enough time for the child, and his or her family, to learn the minimum skills needed to manage this disease at home. Some basic skills include how to check blood sugar level, what is the normal range, what to do if it is not within the normal range, and how to administer insulin. After being discharged from hospital most children spend a long time of their day at school where the school nurse will play a role in the management of their care. The nurses may also be the only ones at school with enough knowledge about diabetes to educate the students teachers and coaches about their disease. Educating the school staff is important because they need to watch the children for signs and symptoms of hypoglycaemia, such as nervousness, shaking, irritability, or blurred vision. They should also know how to check the childs blood sugar if they suspect it is low, and what to give them if it is. This happens especially if the child is still very young and is not yet compliant. When the child goes for a school activity, the teachers or those caring for the students should always have something sugary such as sweet drinks or sweets which can raise the childs glucose level quickly when necessary. Nurses are both educators and managers of care at schools. According to Brown, S.A (1999), physician encouragement can successfully assist patients change their behaviours. They may also organise support groups if more than one child is diabetic, so that the students can discuss among themselves some issues regarding their illness. The more children are educated about their own disease, the better the chance of it being managed properly. According to ADA 2005, it is important for physicians to provide patients with blood glucose goals. To achieve these goals, patients may need counselling on how to appropriately balance their caloric intake, physical activity, and insulin doses throughout the day. This balance requires patients to learn how food, physical activity, and insulin affect their blood glucose levels. Physicians may refer a patient to a certified diabetes educator at the time of diagnosis or if the patient is unable to meet his or her glycaemic goals. Diabetes self-management education is the essential foundation for the empowerment approach and is necessary for patients to effectively manage diabetes and make these decisions. Funnell, M.M. et al. (1991) state that the purpose of patient education within the empowerment philosophy is to help patients make decisions about their care and obtain clarity about their goals, values, and motivations. Patients need to learn about diabetes and how to safely care for it on a daily basis (Anderson, R.M, 1995). It is also essential to give information about various treatment options, the benefits and costs of each of these strategies, how to make changes in their behaviors, and how to solve problems (Arnold, M.S., 1995). In addition, patients need to understand their role as a decision-maker and how to assume responsibility for their care by means of giving appropriate information. The DCCT (Diabetes Control and Complications Trial, 2001), demonstrated that tight control of blood glucose levels can cause weight gain and even obesity. Patients should be reminded that food portion control and lower caloric intake plus regular physical activity are critical to avoid weight gain. When dealing with diet, diabetic patients should only eat sweets in moderation. To slow the rapidly rising blood glucose levels caused by sweets, patients should eat them with other foods when possible and use rapid-acting insulin (ADA, 2005). Eating at bedtime and eating other snacks are largely needless to raise blood glucose levels if a patient uses insulin. On the other hand they may be necessary if the patients blood glucose level is low. If the patient is still dependant, parents should be aware of the products available on the markets which are good alternatives of the normal sugar-based ones. It is ideal that people should be encouraged to ask more about these foods and where they are available. In England, a structured educational programme (DAFNE) to help people with Type 1 Diabetes exists. This is called Dose Adjustment for Normal Eating (DAFNE). Making use of this programme persons learn how to regulate their insulin dosage to suit their free choice of food, rather than having to work their life around their insulin doses. Similar programmes will be precious for diabetic patients in Malta if they are implemented. The patient or physician should teach persons who have frequent contact with the patient about the symptoms of hypoglycaemia. They should be knowledgeable on how to treat the condition, how to overcome the patients occasional hypoglycaemia, and the importance of remaining calm during an episode. If the patient needs help, they should simply provide him or her with a source of sugar. Patients usually recover quickly and if not, additional sugar can be given. If extreme hypoglycaemia inhibits a patient from eating or drinking safely, a single injection of glucagon (1 mg intravenously or subcutaneously) usually will restore consciousness within few minutes. One should pay special attention when having excessive alcohol consumption. This increases the incidence of hypertension and stroke and inhibits the liver from releasing glucose, exacerbating hypoglycaemia. Patients should limit alcohol consumption to one to two drinks per day and focus on maintaining a normal blood glucose level when drinking alcohol (Whelton, P.K, 2002). Regular physical activity is especially important for patients with diabetes, because inactivity in these patients is associated with a two times higher risk of cardiovascular disease. According to Moy, C.S. et. al (1993), patients should exercise for thirty to sixty minutes daily at an intensity of at least a brisk walk. These people should be counselled on how to accommodate exercises effect on blood glucose levels. Physicians should tell patients that insulin is absorbed and peaks faster during exercise, especially when injected into the leg. Klonoff, D.C, (2005) recommends that patients should assess fingertip blood glucose levels at least three times daily and record the results whenever they notice that it is not within the normal range. In addition, patients should test their blood glucose levels before and after exercising, before driving, and when they are uncertain if their blood glucose is at an appropriate level. Bedtime testing is especially important because nocturnal symptoms may go unnoticed, causing severe hypoglycaemia. Patients should know how rapidly their insulins take effect, when they peak, and how long they are active. Each type of insulin has distinct advantages and disadvantages. People with diabetes have an increased risk of depression and anxiety, which may be why many diabetes specialists regularly include a social worker or psychologist as part of their diabetes care team. One important aspect of the experience of caring for a child with a chronic illness is social support. Social support can be positive when social interactions are advised and these can leave a fruitful impact on health and well-being. On the other hand, certain social contacts can be stressors rather than supportive. This may include creating uncertainty and worry, negative labelling, giving misleading information and creating dependence (Suls, 1982). There are support groups available both online and in person. Although support groups are not for everyone, they can be good sources of sharing of information. Group members often know about the latest treatments and tend to share their own experiences or helpful information. It is well understood that a supporting family background and a combination of medical professionals involving nutritional therapists, nurses, physiotherapists, education supervisors and the diabetic specialist, lead to the successful management of this increasingly common childhood illness. Patients with diabetes should be reassured that they can do almost anything those without diabetes can do as long as they maintain glucose control. Family doctors can significantly influence their patients outlooks on living with diabetes by educating them and encouraging them to take control of their health. The previous recommendations focus on the key educational messages that patients with diabetes need to know. Taking the time to explain these recommendations, instead of simply providing written materials is beneficial to patients. These discussions can increase patients satisfaction and understanding and benefit their future health. The major focus of Diabetes is the need for adhering to treatment. Also it is imperative that individuals follow the dietary requirements in order to help manage the disease and ensures that certain problems like hypo or hyperglycaemia attacks are minimal. Mancuso et al. (2003) emphasises that education of both children and parents is of extreme importance for understanding diabetes and all it is about and subsequently being successful in long term care. Following the previous recommendations ensures that individuals are empowered to improve and hence have the best quality of care possible.

Machiavellis The Prince: Still Relevant after All These Years Essay

Machiavelli is â€Å"a crystal-clear realist who understands the limits and uses of power.† -- Pulitzer Prize–winning author Jared Diamond (2013) Written almost 500 years ago, Niccolo Machiavelli’s â€Å"The Prince† brings forward a new definition of virtue. Machiavelli’s definition argued against the concept brought forward by the Catholic Church. Machiavelli did not impose any thoughts of his own, rather he wrote from his experience and whatever philosophy that lead to actions which essentially produced effective outcomes in the political scene of Italy and in other countries. While Machiavelli is still criticized for his notions, the truth is that, consciously or subconsciously we are all thinking for our own benefit and going at length to achieve it. On matters of power where there is much to gain and a lot more to lose, the concept of Machiavelli’s virtue of â€Å"doing what needs to be done† applies rigorously to our modern politics and thus â€Å"The Prince† still serves as a suitable political treatise in the 21st century. The subject of human nature has great emphasis in â€Å"The Prince†. Human beings are viewed as rational decision makers who try to maximize their self-interest. They are inclined to help whoever will give them the most benefits and by definition, may easily betray someone to whom they were previously loyal seeing a better opportunity. A large part of being a prince or a politician is being able to lead people, and therefore it is of utter importance in how to deal with their behavior. â€Å"Here a question arises: whether it is better to be loved than feared, or the reverse. The answer is, of course, that it would be best to be both loved and feared. But since the two rarely come together, anyone compelled to choose will fin... ... to the times of kings and princess, however it must be noted that the underlying human emotions and their motivations can only be dealt with decisiveness and deep plotting. The concepts discussed are applicable to all leaders and politicians holding offices. Bottom line is, some things never changes. Even though a lot has changed, principles of Machiavelli’s Prince are adapted and used widely yet secretly in a complex world of growth and prosperity with a greater demography and geography. Bibliography 1) Machiavelli, NiccoloÌ€, and Robert Martin Adams. "Chapter 17." The Prince: A Revised Translation, Backgrounds, Interpretations, Marginalia. New York: Norton, 1992. 46. Print. 2) Machiavelli, NiccoloÌ€, and Robert Martin Adams. "Chapter 18." The Prince: A Revised Translation, Backgrounds, Interpretations, Marginalia. New York: Norton, 1992. 49. Print.

Effects of Social Media on Society

With social network on the rise, and the large amount of young people that take part in social networking, there is question as to whether or not social media should be part of our education system. Propenents of social media point out the benefits of social media in regards to educational tools, and increased student engagement, while critics of social networking focus on subject like privacy, time, and miscommunication. Pros of Social Networking Today’s students are increasingly using social networking as a means to communicate.According to a recent poll, 22 percent of teenagers log on to their favorite social media site more than 10 times a day, and more than half of adolescents log on to a social media site more than once a day. Seventy-five percent of teenagers own cell phones–25 percent use them for social media, 54 percent use them for texting, and 24 percent use them for instant messaging. (O’Keefe 2011) With these statistics in mind, educators looking to engage students in an already challenging curriculum, search for ways to connect a student’s learning experience to what has become a huge force in their young lives.Social networking can be yet another platform to enrich the learning experience since students and teachers can connect beyond the confine of the classroom. Although Websites such as FaceBook, Twitter, and LinkIn are popular among young people, they are not the best, or the only social network sites available to use in school since they are â€Å"open sites† where anyone outside the student’s immediate circle can access communicate, or gain information.Instead, blogs, wikis, and private social networking are tools that can make a tremendous impact on how teachers teach and students learn in a much safer arena than public sites such as FaceBook or Twitter. Blogs, Wiki Private Label and other private social networks such as Edmondo or Socialcast, provide a place for teachers to post homework, communi cate with parents and students, and interact with students beyond the classroom. Student can also use these private social networks to participate in discussions, get peer feedback, and showcase work.Blogs, wikis and private social networks that are controlled and monitored by teachers to provide a far more safe on-line social networking environment than open social networks. Just as social media resources has attracted the attention of millions of young people, these same features have the ability to capture the attention of students to the learning opportunities provided by their school. Educators could take advantage of these social and interactive features to encourage students to become actively engaged in their learning experience with their teachers.Using social media resources as learning tools would allow students to access valuable and necessary learning objects regardless of their location and time of day. Easy access to an abundance of learning resources may also help in the amount of time a student spends engaged in a lesson or an assignment. In addition, the participatory nature of many social networks could be used to re-engage previously bored students or students that are apprehensive to openly talk in live discussions is class. Cons of Social NetworkingThere are many challenges that face the use of social networking in education such as; on-line safety, time to manage networks, and miscommunication. Before a school decides to make social networking part of their curriculum the benefits of such sites need to be weighed against the drawbacks. Social-networking sites such as Facebook and Twitter are open for anyone who wants to participate. Students need to provide personal information to join these sites, and often don’t think about safeguarding it.Although a lot of the information individuals’ supply on social networking is elective, young users may progressively become more comfortable with displaying a great deal of personal in formation online, without thinking who has access to the information, and what is it used for. Since students aren’t concerned with safety issues, teachers are therefore put into a position to ensure students are exercising privacy rights, which can take up a lot of time that teachers don’t necessarily have.In addition, teachers must take the time to check that students are using the social network as a tool to enhance the learning process instead of recreational use, and in looking at each blog, wiki, Facebook comment, Tweet, etc,. to see if the student is in fact participating. Managing networks take a huge amount of time that teachers often complain they don’t even have even in the traditional educational setting. Although social networks can facilitate communication, they also can hinder it by possible miscommunications. Learning via. the Internet does ot afford students the same opportunity of explanation and clarification that occur in face-to-face interac tion. Students can face some difficulty through social networking in expressing their views and ideas in writing, as many learners may prefer to express their ideas orally which is how they have been effectively communicating for years before using social networks. While social network users need to utilize writing skills to express their ideas and opinions freely, face to face interaction allows students to perceive physical clues like tone, inflection, and body language.In an online environment, these necessary components are lacking. As social networking becomes more and more integrated in the ways students communicate, the debate over the role social networking play in the classroom continues. Proponents on both sides will struggle to find a balance between the importance social networks to ways teachers teach and students learn and the safety of students. Though there are risks associated with encouraging students to use social networking, advocates argue that the opportunity f or a student’s potential intellectual and social growth will outweigh the costs.References Mitrano, T. (2006). A Wider World – Youth, Privacy, and Social Networking Technologies. Educause Review, Nov/Dec, 16-28. O’Keefe G, Clarke-Pearson K, â€Å"Clinical Report-The Impact of Social Media on Children, Adolescents, and Families. † Pediatrics. 2011 April; 127(4): 800-805 Rutherford, C. (2010). Using Online Social Media to Support Preservice Student Engagement. Journal of online learning and teaching, Vol. 6(4).

Anxiety Rollo Mays Discovery of Being essays

Anxiety Rollo Mays Discovery of Being essays Anxiety: Rollo May's "Discovery of Being" It seems as though every Sociologist creates his or her own definition of Anxiety. Each definition of Anxiety being ghastly different, however, tying back to three common situations: Fear, Encounters with primary groups, secondary groups, and the public, and Anxiety towards Self-Growth. In analyzing Rollo May's "The Discovery of Being," we find that May incorporates many different definitions of these situations from other Sociologists, as well as ties in many of his own thoughts and ideas. Also at times, May disregards strongly other Sociologist's views on these situations, creating an interesting and unique view of society and Psychology. In this analysis of "The Discovery of Being," we will examine May's particular definitions and thoughts on Anxiety and Being, Anxiety and Encounter, and Anxiety and Self-Growth. Early in the book, May touches on his views of Anxiety, he discusses Anxiety as being something that does not arise from a fear of "lack of libidinal satisfactions or security," but rather out of fear of our own powers, and any pertaining conflicts. He discusses this as a present day problem, which has been significantly influenced by society and present societal goals. Libidinal satisfactions are so easily encountered in our day that it becomes hard to avoid them. The prevalent Anxiety is found upon self-reflection and our own realizations of what we actually can do, but for some reason neglect to do so. Our constant outlook to go further in society than our neighbor is tied to our Anxiety of Being and Non-Being. May looks closely at the concept of Being, and notes at one point that "Being" is a participle, also meaning in the process of "being something." An individual's Being is constantly changing throughout life, never reaching a set point. More specifically, May defines Being as an individual's pattern of potentialities. Anxiety arises when these potentialities gro...

Statement of financial problem Essays

Statement of financial problem Essays Statement of financial problem Essay Statement of financial problem Essay I am using the Indirect Statement of Cash Flows method to analyze the Butler Lumber case. When a company seems profitable but is in serious need of a cash infusion, often the problem stems from poor cash flow. Calculating the cash flow coming in and going out will explain Where did our money come from? and Where did our money go? Likely, it will discover how a companys cash was generated during the period and how that cash was used-or misused. A statement of cash flows provides details as to how the cash account changed during a period. It also helps to understand how events and decisions impacted cash flow during each period. A statement of cash flows provides important information from a cash-basis perspective and complements the income statement and balance sheet, and provides a more complete picture of a companys operations and financial position. The Indirect Statement of Cash Flows method begins with net income and then details the adjustments made to ar rive at cash flows from operations. III. Application of Financial Framework. Indirect Statement of Cash Flows Butler Lumber 1989 through 1st Quarter 1991 Operating Activities for 1989 1990 1st Qrt 1991 Net Income $34,000 $44,000 $9,000 Add: Increase in Accounts Payable $68,000 $64,000 Less: Increase in Accounts Receivable ($51,000) ($95,000) ($28,000) Increase in Inventory ($56,000) ($93,000) ($138,000) Decrease in Accounts Payable ($13,000) Cash flow from operations ($5,000) ($80,000) ($170,000) Because a statement of cash flows provides details as to how the cash account changed during a period, the period of 1988 for Butler Lumber becomes an initial starting point from which we can begin a comparison. Because of the shift from partnership to a corporate form of organization, I dont have figures from 87 and cannot accurately reflect changes from 87 to 88. Changes from 88 to 89 begin the cash flow comparison in the chart above. In the chart above, I have listed each relevant area where cash flow may be a major concern. There appears to be a growing tendency by Butler Lumber to end each period with a negative cash flow. It also appears that this tendency to end each period with a negative cash flow is growing at an alarming rate. As we can see, from 1989 to 1990, the negative cash flow worsened from $5,000 to $80,000-a whopping 1600% increase. Then, the period from the end of 1990 to only the end of the first quarter of 1991, the negative cash flow more than doubled again! IV. Mitigating Circumstances and Assumptions: By examining the statement of cash flows, we discover a major concern in three areas: (1) Inventory, (2) accounts receivable, and (3) accounts payable. All three are moving in a negative, undesirable direction; but inventory is escalating at a greater overall rate and seems to be out of control by the end of the first quarter of 1991. The greatest contributing factor causing Butler Lumbers debt and cash-shortage problem is that they are purchasing much more inventory than they are using. Having too much cash invested in their inventory is their main problem but they have some offshoot problems that tend to be growing out of their inventory problem: 1. One way that companies fund a cash-shortage problem is to keep their accounts payable high. This is an easy way to borrow short-term money, but when a company is slow to pay its bills and owes a significant amount of money, they potentially damage their credit and their business relationships with their suppliers. 2. Without adequate cash, Butler cant pay their accounts within the 30-day term allowed by vendors and this further adds cash-shortage pressures because they then must incur additional finance charges. 3. Because they are cash poor, they cant take advantage of the discounts available for payments made within 10 days of purchase. The extra discounts would help increase their cash flow and their income. V. Conclusion and Recommendation: Butler Lumber has the potential to be a profitable and successful company. The level of growth theyve been experiencing may be new territory for them and the less than perfect way theyve dealt with it might explain why there has been a huge increase in inventory. Thus far, Mr. Butler has not demonstrated a savvy business acumen for adjusting to the significant growth. I have identified the following conclusions and recommendations: 1. Northrop National Bank should help Butler by making a loan under certain prescribed conditions: (a) A loan would help to ensure an influx to Butlers cash flow position, but conditional provisions requiring Butler to be proactive in accomplishing recommended goals and deadlines would be in order; (b) The loan amount of $465,000 is probably too high. The loan amount should be established to help Butler reduce inventories and increase cash flow, but not be so large as to entice Butler to ignore the ensuing problem. Forecasted analysis would still be required; (c) Even though Butler may resist, it would not be unreasonable for Northrop to require collateral, such as property; 2. Butler should significantly reduce inventory and implement better control. (a) One of the conditions of the loan should require Butler to propose a new system and implement a plan that would make better use of their inventory. They need to analyze their inventory turnover ratios and compare them with and keep them in line with industry averages to ensure the numbers are not unreasonable or unachievable. (b) An alternative approach to reducing inventory might include hiring sales personnel who would help convert inventory into profitable sales. 3. Butler should be more aggressive in collecting their accounts receivable. This would provide more cash and, in turn, help Butler to take advantage of available discounts from their vendors. This too would further increase their cash flow and reduce the need to borrow unreasonable amounts of money. 4. Mark Butler should retain less in personal salaries and other perquisites. This would demonstrate to Northrop National that he is personally making serious attempts to increase cash flow, get out of debt, and gain control of other emerging problems. Besides, personal taxes on his income is at a fairly high rate when it rises above $50,000. This is another area where he could increase cash flow while showing that he is truly doing whatever it takes to fix the problems facing Butler Lumber.

Why don't people commit crime Refer to the theories of left and right Essay

Why don't people commit crime Refer to the theories of left and right realism in your answer - Essay Example The word crime basically refers to any action that contravenes the law. Again, Burke expresses discontentment with this approach because the word criminal alienates some law breakages and also because there are some crimes that appear more â€Å"real† than others such as murder, rape and theft. Due to the evolving nature of criminal laws, it is therefore correct to state that the definition of crime is a social construction which is determined by ongoing political processes2. Many theories have been propagated in relation to crime causality, motivation and deterrence. One of the core aims of criminology is to understand why offenders commit crime and how this can be controlled. In order to understand the reasons that deter crime commission, it is important to understand the drivers of crime commission or the concept of criminal behavior. Many scholars and theorists have offered vast explanations and theories regarding crime and criminal behavior. Criminology research has traversed academic and professional fields and some of the main contributors in this discourse include; psychologists, biologists, sociologists, legal philosophers and political scientists3. According to Burke, criminology theories have evolved with time due to social, economic and political changes in the world4. Over the years, a vast number of theories have been spurned and this paper cannot address or even define all of them. However, in a bid to evaluate and reflect on why people av oid crime, this paper will focus on two theories; right realism theory and left realism theory. On a general level these theories contrast although they offer similar insights in a subtle way. It is important to note that both theories address crime and criminal behavior thereby offering invaluable insight regarding our thesis; why people do not commit crime? Criminology theories have evolved over time due to various social, economic and political changes in the society. The right realism theory is an

Society, Science and Technology course (STS101) Research Paper

Society, Science and Technology course (STS101) - Research Paper Example The internet has changed the way of life of Saudi nationals with the launching of social networking sites like face book, twitter, and blogs Today media is all around, but the profound impact which the computer and internet have on Saudi population is astounding. Information technology can be seen as corner stone of current world and it has revolutionized the communicating method of Saudi nationals. Technology has reached new heights and Saudi population’s indulgence with it has given ways to explore themselves and others. In her book (Turkle 1) writes that â€Å"Technology is seductive when what it offers meets our human vulnerabilities. As it turns out we are very vulnerable indeed†. The internet has made Saudi communities to be more interactive socially culturally and economically. Today internet makes it presence in homes, workplace, and schools which enhances its usability and potentiality as a social media platform. The social networking medium of internet like face book, twitter, and blogs has not only influenced adults but also enormously changed the way of life of youngsters. Face book, being the most popular networking site has given the population of Saudi a golden opportunity to interact with the outside world without encountering any taboos. As per (Social bakers) â€Å" Our social networking statistics show that Facebook penetration in Saudi Arabia is 22.95% compared to the countrys population and 52.48% in relation to number of Internet users. The total number of FB users in Saudi Arabia is reaching 5906220 and grew by more than 399720 in the last 6 months†. The people of Saudi have achieved a global platform to discuss their ideas and thoughts regionally and internationally. Twitter is one social networking site which has managed to hugely awaken the spirits of Saudi Arabians. In the same manner, blogs and other opportunity to present article have made the Saudi nationals more