Food Consumption Among American Teenagers Health N Essay Example For Students

Food Consumption Among American Teenagers Health N Essay utrition Exercise Essays Food Consumption Among American Teenagers American young people eat various sorts of food. A few adolescents today are beginning to focus on wellbeing alerts about what they put into their bodies. Those that don't will enormously obstruct how solid they are later in their lives. There are such huge numbers of food decisions that can be made consistently. Absence of time because of schoolwork, sports interest, and public activities can hurt invigorating eating. This isn't important however. Such huge numbers of nourishments are accessible to us. Talking as a matter of fact, undergrads (in their first year) can be set in a few dietary classifications. A few youngsters are characteristically what one may consider to be ordinary. These understudies normally simply get whatever food is helpful. Adolescents eat what looks inviting right now that they feel hunger going ahead. This young part of the populace totally ignores all fat, sodium, and calorie substance of the materials that they place in their mouths. There are numerous nourishments that the easygoing shopper will consequently acquire. The principle things of utilization incorporate sugar-loaded colas, pieces of candy, and chips. Singed nourishments, for example, burgers and French fries, just as Mexican food sources, are particularly famous treats. Pizza is an enormous part of this nutritional category too. A below average of eaters lies at the contrary extraordinary from the easygoing purchaser. These understudies, the wellbeing nuts, have focused on what their moms have attempted to persuade their kids to eat since adolescence. Over the long haul, these understudies will be in an ideal situation than the easygoing buyers. In their later years, the invigorating shoppers will have less myocardial areas of localized necrosis (coronary episodes) and their supply routes will be considerably less prone to be obstructed. Bagels, natural products, and serving of mixed greens (with almost no sleek dressing) are the nourishments of decision among this sound pack. A second rate class of adolescents may incorporate the understudies who eat a mix of nutritious and undesirable nourishments. These adolescents may eat inadequately at one feast and will pivot and eat reasonably at the following. Temperament has a huge influence in what these understudies decide to eat. Since life is so occupied for everybody during the '90s, our weight control plans, including those of youngsters, have gone downhill rapidly. As lives get busier, less individuals are at home to prepare and eat nutritious dinners. It is frequently a lot speedier to hurry to a drive-through eatery. At eateries, each individual from the family can arrange what they wish to eat. This frequently maintains a strategic distance from clashes at home also. There is consistently somebody, ordinarily the young person, that has an issue with the menu. In the event that one needs to, they can arrange suppers that are not very high in fat and calorie content. Most eating foundations, for example, McDonalds or Hardees have plates of mixed greens or sandwiches with chicken. Numerous individuals appreciate heading off to the inexpensive food puts explicitly for unfortunate food, in any case. It is frequently a treat to go get a burger or to go out for pizza. Our way of life has grasped such exercises. Youngsters particularly purchase cheeseburgers over plates of mixed greens since they are commonly less expensive than the vegetables. Teenagers are on limited spending plans, and on the off chance that they have to purchase something to eat, it will be the thing that tops them off the most for minimal measure of cash. Things, for example, cheeseburgers and French fries are not simply staples of the American eating regimen, they are significant finger nourishments. American adolescents need nourishments that can be expended during vehicle trips while heading to work or to a get-together. Servings of mixed greens are not effectively eaten with one hand. .u58e85295d0995c5c1bc5eb303d9f3fec , .u58e85295d0995c5c1bc5eb303d9f3fec .postImageUrl , .u58e85295d0995c5c1bc5eb303d9f3fec .focused content territory { min-tallness: 80px; position: relative; } .u58e85295d0995c5c1bc5eb303d9f3fec , .u58e85295d0995c5c1bc5eb303d9f3fec:hover , .u58e85295d0995c5c1bc5eb303d9f3fec:visited , .u58e85295d0995c5c1bc5eb303d9f3fec:active { border:0!important; } .u58e85295d0995c5c1bc5eb303d9f3fec .clearfix:after { content: ; show: table; clear: both; } .u58e85295d0995c5c1bc5eb303d9f3fec { show: square; progress: foundation shading 250ms; webkit-change: foundation shading 250ms; width: 100%; murkiness: 1; progress: darkness 250ms; webkit-progress: haziness 250ms; foundation shading: #95A5A6; } .u58e85295d0995c5c1bc5eb303d9f3fec:active , .u58e85295d0995c5c1bc5eb303d9f3fec:hover { mistiness: 1; change: obscurity 250ms; webkit-progress: darkness 250ms; foundation shading: #2C3E50; } .u58e85295d0995c5c1bc5eb303d9f3fec .focused content region { width: 100%; position: re lative; } .u58e85295d0995c5c1bc5eb303d9f3fec .ctaText { outskirt base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; text-design: underline; } .u58e85295d0995c5c1bc5eb303d9f3fec .postTitle { shading: #FFFFFF; text dimension: 16px; text style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u58e85295d0995c5c1bc5eb303d9f3fec .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; fringe: none; fringe span: 3px; box-shadow: none; text dimension: 14px; text style weight: intense; line-stature: 26px; moz-outskirt range: 3px; text-adjust: focus; text-beautification: none; text-shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/straightforward arrow.png)no-rehash; position: outright; right: 0; top: 0; } .u58e85295d0995c5c1bc5eb303d9f3fec:hover .ctaButton { foundation shading: #34495E!important; } .u58e85295d0995c5 c1bc5eb303d9f3fec .focused content { show: table; stature: 80px; cushioning left: 18px; top: 0; } .u58e85295d0995c5c1bc5eb303d9f3fec-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u58e85295d0995c5c1bc5eb303d9f3fec:after { content: ; show: square; clear: both; } READ: [pic] EssayCompanies are currently beginning to make nourishments that are lower in fat, sodium, and calorie content. Numerous teenagers accept that they can eat a greater amount of these things since they have less of the undesirable supplements contained inside them. Frequently these nourishments are very little preferred healthfully over the first item. This prompts the following issue of eating. Breakfast is seldom eaten any longer since it is simply too hard to even consider getting up an additional ten minutes ahead of schedule. .

Cultural Challenges That Influence Multinational Operations

Question: Talk about the Cultural Challenges That Influence Multinational Operations. Answer: Presentation This report will significantly harp on Subway Company. Tram is a drive-thru eatery that has its cause from The United States of America. (Sinha, 2017, 29) it has the majority of its branches everywhere throughout the world and one of them being in India. The drive-thru eatery bargains in selling plates of mixed greens and submarine sandwiches. The drive-thru eatery has its proprietors being the Doctors Associates and is among the most known drive-thru eateries on the planet that is in a consistent quick development. The café has its central station. Metro brand turns into the biggest brand on the planet. Its menu differs from nation to nation contingent for the most part upon where strict necessities are available. The café has its global central station in Milford, Connecticut. The fundamental item offered by tram is the submarine sandwich. Different items offered by metro are: - servings of mixed greens, Paninis and furthermore wraps. Prepared merchandise are likewise present in any metro outlet. There are different advantages and impediments that accompanies setting up a cheap food I a specific nation thinking about financial, social, political and above all as will be talked about later in the report, the social variables. The exploration shows the different difficulties that metro experiences being a worldwide organization across fringes. The report in general shows how Multinationalism are progressively on the ascent. (Schatzker Bloomberg News (Firm), 2013, 10) This is realized by assorted variety both as far as information and new ways to deal with business. With regards to culture different global associations face a few downsides in its tasks with regards to the overall market. Motivation behind report The motivation behind this report is to respond to the inquiry on social difficulties that impact worldwide activities. Looks at how the difficulties can be overcomed and different manners by which the tram organization is fighting this difficulties. The tram organization is utilized as a kind of perspective organization for this examination. Extension The development of the multinationals firms not just flagged a crucial changes during the 90s however its development has its significance to the general public, environmental and social structure of the world. Despite the fact that there are different difficulties that influence this global firms, they despite everything make progress toward progress Different Issues Side effects of issues In the organization being referred to, metro drive-through eatery, there are sure signs that show that the organization is confronting difficulties in its immense activities universally. (Ribeiro, 2015, 12) Signs, for example, low client level, low net revenue and low nearness of labor. Ramifications of issues This issues just imply that the organization will experience misfortunes. The notoriety of the specific cheap food will go down and this can here and there lead to conclusion of the organization. Distinguishing proof of issues At the point when the client level goes down, the cheap food organization ought to understand that what they are offering isn't loved by the vast majority of the individuals from when where they are working. Support of issues This sort of issues that are in included are typically advocated by the way that they cause harm to the organization. At the point when they happen ordinary working of the organization goes down. Anticipated outcomes and arrangement At the point when issues of danger are seen in an organization and particularly one that manages quick nourishments then they can result to conclusion of the business. At the point when this issues are distinguished they ought to be tackled right away. (IEEE Annual Computing and Communication Workshop and Conference, IEEE Las Vegas Section,, Institute of Electrical and Electronics Engineers, 2017, 76) Conversation/investigation of the report Culture alludes to people groups method of living, essentially the sort of standards that are acknowledged and partaken in a specific culture. (Nichols, 2017, 111) There are three zones whereby that can show how culture influences worldwide organizations. This are correspondence, manners and the convention of the association. Fluctuate is seen in various nations as indicated by what is acknowledged and what is proficient. One of the quickest developing economies on the planet is the Indian economy. This is as it has expanding outside organizations on the ascent in its area. There are different advantages that accompany working together in India and then again challenges are additionally there. One of the significant supporters of the difficulties are the social difficulties. This difficulties can make significant misfortunes the organization in general. (Discussion), In Rayadurgam, In Tkachuk, 2016, 16)To keep away from the different difficulties comprehension of the way of life of Indian social and business culture. Coming up next are the social difficulties that impact global tasks. Political variables These are different concerns especially in the administration arrangements and different manners by which organization happens. The political factors at that point influence the guideline of universal worker's guilds. When there is political strength then universal organizations become smooth as far as dealing with. Political agitation prompts conclusion of a portion of the worldwide organizations. Monetary variables The requests for products in the universal market is reliant on the monetary development rate. The financial development rate can be high on certain nations and simultaneously be low in some different nations. This components are put across while setting up universal organizations. (Mente Recorded Books, Inc, 2014, 143) Mechanical components The determinant of global organizations around the globe can likewise be dictated by the accessibility of innovation in the immense territories. This for the most part alludes to the specific host nations. The kind of faculty in this specific nations ought to have experienced through preparing. The network of the specific nation likewise ought to be an issue of concern. This makes the organizations to follow a cutting edge method of activity. (Lewens, 2015, 12) Social variables Social elements religion and culture are among the fundamental social factors that influence the universal market as far as the nature of item or administrations and furthermore useful highlights of the business. Social impacts in India that impact worldwide tasks At the point when reference is put to India the accompanying social difficulties influence the global activities in the business showcase. This shows the kind of societies depicted by the individuals of India. (Kumar, 2010, 19)The metro cheap food organization turns into the focal point of study as it is an American organization situated in India. The social difficulties at that point include: - Disposition towards power High significance and a high status is put on the expert in India. This is a result of the way that the underlying foundations of Indian cause is followed to Hinduism. The kind of correspondence in various levels is nearly shut. Recommendations from lower representatives won't be shared by their bosses regardless of how significant they are. Business ought to comprehend this factor and think of manners by which it very well may be chopped down to suit the specific organization. (Kelly, 2017, 17) The social standards directs how representatives in the center or junior levels feels in agreement to how they feel communicating their perspectives, asking the administration on different choices that are made in the association. This shows the different manners by which distinctive work force have various jobs is a specific association. This can show that the individuals in lower position show a great deal of regard to those in senior positions. The associations that intends to work together in India ought to endeavor to realize change in the general public. (Keller, 2017, 20)Subway Company battles with this test and the significant bit of leeway is that the pace of assorted variety as far as the organization workforce is high and this accommodates various individuals from various starting points to meet up. This makes the Indian culture to some way or another be weakened and consequently causing the organization to have an alternate view on both the senior workers and the lesser o nes. This acquires a parity the working environment of thoughts, order and consultancy rate. Time ideas The way of life of India is alluded to as a polychromic. This implies the needs of various individuals change at various occasions. (Jovine, 2015, 38) It implies then that their needs generally change contingent upon the significance and timeliness mentalities go to be loose sooner or later. Most associations and especially tram organization is normally exacting on the guidelines of reliability and making of cutoff times to specific endeavors. The dynamic procedure is for the most part of a specific time span and this adds to the accomplishment of such associations. Metro tends to this issue by utilizing distinctive work force from various states and there making the way of life of polychromic to go down. In spite of the fact that this despite everything stays to be a test on the grounds that the majority of its workforce are individuals of the Indian cause. Adherence to rules India has made a general public that sudden spikes in demand for suspicions that are set in a specific way. In various nations of the world guidelines and guidelines are the significant determinants of the everyday endurance except this is an alternate case in India as behavior and standards turns into the significant determinants. The manner by which rules and guidelines contain a low degree of adherence causes it to have various difficulties on the financial market. (Green, 2017, 65) This causes setting to up of organizations in India hard for necessity is to observe the standards and guidelines of the nation of origin. Metro Company faces this as one of the difficulties that happen to it on the everyday tasks. Stoutness approach control Governments in various pieces of the world presented a sort of assessment known as fat duty to all drive-thru eateries. This was to burden every single cheap food a 15% so as to make the nourishments costly and demoralize the utilization low as a ton utilization made weight their residents. India is one the nations that was associated with this and this hence makes metro organization unde

How To Master The Emotional Change Curve

How To Master The Emotional Change Curve THE CHANGE CURVEThe Emotional Change Curve, or simply known as the Change Curve, is a model that is employed in business and change management, primarily as a tool to understand the various stages of organizational change and personal transition of individuals that are affected by change.It did not start out that way, though. When Elizabeth Kubler-Ross, a psychiatrist, first developed the Change Curve in 1969, its purpose was to understand what people go through when dealing with grief and bereavement. More specifically, it was originally used to find out how people handle the news that they have a terminal illness.Over the years, the Change Curve has evolved and undergone many variations, until it now became one of the most powerful models used in business management. It is now seen as an effective tool in accelerating change and increasing the rate of success of these changes.Business owners see the advantages of being able to predict how their people, or the members of the organiz ation, react to changes as they take place. This will then enable them to implement measures that will help them through their respective personal transitions, providing them the aid and support that they require during the transition period and even beyond that.It is a fact that one of the biggest assets of every business is its manpower. Productivity, efficiency, and effectiveness start from the workforce; without them, any business’ goal of growth and profitability will not be achieved.Let us take a brief look at the Change Curve by listing down the 4 stages that people go through while they are adjusting to change.Stage 1: Status QuoThis is when the change is first introduced, and the people express their initial reactions. Usually, they will be in a state of shock or even denial. They just found out about the change, and the impact has not yet fully sank in. Once it does, the tendency is for them to react negatively, resisting to the change.Stage 2: Disruption“The change is real.” It is, indeed, going to happen. Fear will start crowding in, along with anger. ‘What ifs’ will start flooding the minds of the members of the organization. They will also start becoming vocal or demonstrative in showing their anger and their fear, and this is often in the form of protests, which are disruptive and can potentially cause more harm to the company.Stage 3: ExplorationIf the people want to move on, instead of remaining stuck in stage 2, some open-mindedness is called for. All the negative feelings and thoughts in stage 2 will have to be transformed into optimism, which will then make way for acceptance of the changes. This means that they are more open to testing and exploring the implications of those changes, so they will be able to figure out how to adapt to them.Stage 4: RebuildingThe people will now embrace the changes, fully imbibing them and applying them in their functions.When the workforce has reached the last stage, the organization will then be able to start reaping the benefits of the changes it has implemented.HOW TO MASTER THE EMOTIONAL CHANGE CURVE Change is constant; it is something that cannot be avoided or even prevented. What can be done, however, is to manage it or, better yet, to master it. In business, organizations have to deal with different types of changes all the time. It is already inherent in the business process that things are not going to stay the same. Both internal and external factors will be at work to bring about these changes, which the organization has to adapt to.When we speak of change taking place in an organization, we are likely to think about changes in the organizational structure, the systems and process, as well as in the external forces that the company deals with on a regular basis. What many tend to overlook, though, is how the members of the organization deal with such changes. How do they go about the transition? Do they accept the changes willingly, or are they resistant to it? There is a need to answer these questions, and we can find those answers by using the Change Curve. © 1969 by Elisabeth Kubler-Ross; copyright renewed © 1997 by Elisabeth Kubler-RossIn this article, I will explore 1) the change curve and 2) how to master the emotional change curve.THE CHANGE CURVEThe Emotional Change Curve, or simply known as the Change Curve, is a model that is employed in business and change management, primarily as a tool to understand the various stages of organizational change and personal transition of individuals that are affected by change.It did not start out that way, though. When Elizabeth Kubler-Ross, a psychiatrist, first developed the Change Curve in 1969, its purpose was to understand what people go through when dealing with grief and bereavement. More specifically, it was originally used to find out how people handle the news that they have a terminal illness.Over the years, the Change Curve has evolved and undergone many variations, until it now became one of the most powerful models used in business management. It is now seen as an effective too l in accelerating change and increasing the rate of success of these changes.Business owners see the advantages of being able to predict how their people, or the members of the organization, react to changes as they take place. This will then enable them to implement measures that will help them through their respective personal transitions, providing them the aid and support that they require during the transition period and even beyond that.It is a fact that one of the biggest assets of every business is its manpower. Productivity, efficiency, and effectiveness start from the workforce; without them, any business’ goal of growth and profitability will not be achieved.Let us take a brief look at the Change Curve by listing down the 4 stages that people go through while they are adjusting to change.Stage 1: Status QuoThis is when the change is first introduced, and the people express their initial reactions. Usually, they will be in a state of shock or even denial. They just found out about the change, and the impact has not yet fully sank in. Once it does, the tendency is for them to react negatively, resisting to the change.Stage 2: Disruption“The change is real.” It is, indeed, going to happen. Fear will start crowding in, along with anger. ‘What ifs’ will start flooding the minds of the members of the organization. They will also start becoming vocal or demonstrative in showing their anger and their fear, and this is often in the form of protests, which are disruptive and can potentially cause more harm to the company.Stage 3: ExplorationIf the people want to move on, instead of remaining stuck in stage 2, some open-mindedness is called for. All the negative feelings and thoughts in stage 2 will have to be transformed into optimism, which will then make way for acceptance of the changes. This means that they are more open to testing and exploring the implications of those changes, so they will be able to figure out how to adapt to them.Stage 4: R ebuildingThe people will now embrace the changes, fully imbibing them and applying them in their functions.When the workforce has reached the last stage, the organization will then be able to start reaping the benefits of the changes it has implemented.HOW TO MASTER THE EMOTIONAL CHANGE CURVEMany business owners are likely to say that understanding their people and their reactions toward change is easier said than done. Yes, it is tough, but it is not impossible. You can manage the Change Curve and eventually master it. Here are some ways to accomplish that.The first and very important step in mastering the Change Curve, is to understand it, especially the stages. You, as the business owner or project manager, must be aware of the typical reactions and responses during the different stages of the curve so you will know how to react to them accordingly.Managing Stage 1In this stage, the key word is communication. More often than not, the state of shock and denial that they are experi encing are caused by:Lack of information about the changes;A general fear of the unknown;An accompanying fear of appearing inept, stupid or uninformed.These can be mitigated through proper communication. The fear of the unknown is an almost natural reaction, and can be alleviated when they are able to communicate or interact with the proponents of that “unknown”.Acknowledge the fact that people resist change for a reason.When faced with resistance or refusal to accept changes from your people, it would be wrong to easily dismiss their opinions as brought on by awkwardness or bull-headedness. Put yourself in their position. It is possible that you can only see the positive benefits of those changes to the organization, but not the effects on your people personally.Your people are bound to ask you the “what’s in it for me?” question, and rightly so. This is the primary issue that you will have to contend with. Delve deeper into their thoughts. Why are they afraid? Why do the y feel threatened?Conduct information dissemination activities.Assuming that the organization already has platforms for sharing information, such as bulletin boards, company newsletters and publications, and documentation mechanism that goes all the way to the lower levels. Many organizations now also utilize the internet, especially if they have a working intranet in place.What information should you offer or communicate? Start with that the change is and what its potential effects are â€" to the organization as a whole and to the individual members. Provide as much details as you have to, focusing on the key points. Do not forget to include the reasons for the change. What are your objectives in enforcing the change, and what are you hoping to achieve with them?Communicate with members of the organization.This is actually the best thing that you can do in order to manage the Curve, particularly during the first stage.Top management, or whoever is proposing the change, should prese nt itself as accessible to everyone. They must be a source of reassurance and a ready and steady source of support. When there are questions, they must be on hand with ready answers. In fact, it would be best to maximize face-to-face communication.Pace your communication.If you are not careful, you might overwhelm your employees with too much information in a short amount of time. Communicate with them regularly, but pace it well, so that they will not feel like they are being bombarded with information. Being overwhelmed will only confuse them and make them react even more negatively.Managing Stage 2This stage is deemed to be the most critical stage. This is where anxieties, doubts, anger and even depression surface. Morale is going to be low, and you can expect a dip in the performance and productivity of the organization.Organizations often expend the most effort and energy in keeping things under control during stage 2. Failure to handle this stage properly pretty much means fai lure of the entire implementation of change.Plan and be prepared. From what you have gleaned during stage 1, you should now start making plans accordingly. Adopt an anticipative attitude, preparing answers and proposing actions that can be done once your people present their objections and the reason behind them.Come up with alternatives and present them. Seeing things from the point of view of the employees will then prompt you to come up with possible alternative solutions. You must be able to present solutions that will mitigate or solve the problems that they are likely to encounter due to the changes you are putting into place.Again, maintain open lines of communication at all times. Employees should always feel that they can reach the top management at all times. This will give them a boost of confidence and will also pave the way towards convincing them to accept the changes.Be observant.  As stage 2 is the most dangerous stage, it might not be a good idea to be very proactiv e. Most organizations take to simply sitting back, listening, and watching, instead of actively going out there to persuade their team to cooperate. Playing the part of the observer will make them more prepared to respond to any unexpected event or circumstance.Do not be averse to employees seeking the companionship of their colleagues. Do not immediately assume that they are banding together to launch a protest. It is also highly possible that they are simply seeking reassurance that they are not the only ones going through the same feelings or emotions. Connecting with their peers is probably one of their best sources of support, thanks mainly to their shared experiences.Managing Stage 3Just because they are beginning to come around does not mean that your work is done. They are still getting used to the idea of the change taking place, so you’ll have to prod them along.Give them time.Do not rush them into accepting the changes. Change is not something that is easily accepted, s o it is a given that they will need some time to get used to it. But what if you are time-bound, or you only have limited line?One thing you can do is to communicate a timeline so your employees will be guided, and they will also have a sense of urgency without feeling too rushed or pressured.Be patient.This is a particularly turbulent stage, especially for your people, so you should not expect them to turn in 100% productivity. Your operations are likely to still suffer during this stage, so you just have to be patient and let the stage pass, knowing that, soon, the recovery period will begin.Again, always be on hand to provide support and assistance.They would now start to explore the possibilities, and even test the potential effects that the changes may bring to them. These support and assistance could come in the form of the following:Training and workshops. You will be hitting two birds with one stone through this method. First, you will have well-trained people, and second, t hey will be trained so as to be equipped and prepared to deal with the changes you will be implementing.Simulations. Give them a taste or a peek at the changes and what they could bring. This is a good way to allow them to learn and, eventually, grow to accept the changes.Communication is always integral in any stage of the curve.This time around, as they are becoming more enthusiastic, and optimism is on the rise, continue communicating with them in order to encourage them to embrace those changes instead of resisting them. To do this, you may present them with exciting new opportunities that may arise from the change. Think of it as that final push towards full acceptance.Provide regular progress reports and offer praise and recognition when they are called for.You do not want to lose the momentum you are gaining, so you have to keep the mood high. There is always that possibility that a buoyant mood may arise, but it will drop once again, reverting to stage 2. By ensuring that th e mood stays high, reverting to earlier stages will not happen.Managing Stage 4You’ve reached the final stage. Is your work done? Of course not.The changes have been implemented, and the people have accepted them. In fact, they have become second nature to them already. You may already have been starting to reap the benefits, watching your profits skyrocket and your business expand.But do not rest on your laurels. The Change Curve is not yet over.Monitor. Of course, you want to see whether the effects of the changes that you have foreseen are actually happening. The best way to do this is to establish a good feedback mechanism â€" possibly even more than one â€" to know the thoughts of your employees after embracing the change and executing them.Conduct activities that are aimed to repeat and reinforce the objectives and strategies you have put in place. Make sure that the employees will clearly see that the changes are still aligned with the vision of the business.Give credit whe re it is due. You are more profitable. Productivity is up, employee morale is as high as ever, and the future looks positively brilliant. It is time to celebrate and acknowledge the vital role that your people played in the success of the changes.Always maintain open lines of communication. Communication is vital in all stages. Even when you are now riding on the success of the changes, you still have to remain connected to your people.There is another thing that you have to keep in mind when dealing with change or trying to manage the emotional change curve: each person is unique, so it also follows that they will have unique reactions to change. In a group of people, you will find mixed reactions to change. Some will accept it right off the bat; others will turn it down flat at the first mention. Some will display some apprehension and will ask a lot of questions, while others will keep their doubts to themselves, stewing in silence.Your choice of activities in your effort to mana ge and master the curve will depend on the personality of these individuals and how they react to change. Do not be surprised when one method will work on one group or team, but not on the others.This is why it is important to be familiar with the members of your organization or their personalities in order for you to master the Change Curve more effectively. It will help you understand your people better, interpret their reactions more accurately, and figure out what barriers are preventing them from accepting change. It will also help you come up with solutions and recommendations on how to overcome this resistance, make them embrace the change, and start reaping the benefits of the change.

Essay on Paternalism in Bram Stokers Dracula - 920 Words

Paternalism in Bram Stokers Dracula Paternalism is the domination of a society by a male or parental figure that leads or governs much like the way a father would direct his family. In Victorian society, the idea of paternalism was prevalent. The idea was also frequently used as a motif in western literature. Bram Stokers novel Dracula, published in 1897, depicts a paternalistic society through a repression of the female sex and a continuous exaltation of the domineering male sex. Stoker communicates this idea through an abundant use of prominent male characters, the presence of merely two women, who are each extremely suppressed, either sexually or intellectually, and the constant exaltation of the male sex over†¦show more content†¦Each holds a high position in the society; Seward and Van Helsing are acclaimed doctors, Lord Godalming comes from an affluent family, and Harker is a solicitor. Van Helsing however, is seen as the chief paternal figure. He acts as the leader of the men and the architect of the plot to root out and remove the threat Count Dracula brings. He also cares for those who are weak in the novel, as a father would care for his frail child. When Mina and Lucy are seen as infected, frail, and vulnerable, he is there to console and to try to strengthen them. Mina and Lucy, once victimized by Dracula, develop wounds that symbolize their infection and vulnerability, but Van Helsing stays by their side to protect them. He even refers to Mina as my child (Stoker 309). When Lucy is extremely ill, he speaks to her as a father would, seen in the quote, Now, little miss, here is your medicine. Drink it off, like a good child (Stoker 131). Van Helsing is constantly concerned with those who are below him and he acts consistently as a sturdy and rational male. Paternalism also has a great influence on the behavior of females. Dracula is an excellent illustration of a paternalistic society because of its general absence of female characters and the almost total dominance of the male characters. This dominance leads to

Television and Media - The Emotional Security of...

The Emotional Security of Real-life Television Real-life television shows of police officers, such as COPS and LAPD: Life on the Beat, offer viewers an intimate, up-close look at life as seen through the eyes of determined police officers who patrol our streets. Television cameras capture actual footage of police officials working to expose and fight drugs, gangs, prostitution, and murder as well as other criminal injustices. As people watch the episodes, they cheer for the good guys and detest the bad guys, hoping the police will eventually apprehend the criminals. Society wants to see the criminals arrested because people feel powerless and scared in a world overflowing with violence. Consequently, real-life television†¦show more content†¦Shows such as Real Stories of the Highway Patrol and COPS serve as an escape for people. Real-life police television shows offer people the opportunity to escape from their fear of becoming a victim of crime. For a thirty minute period, viewers can watch a program that shows the poli ce capturing a wanted felon or suspect. In one particular episode of LAPD: Life on the Beat, officers respond to a domestic violence call in the nick of time; mini-market employees help officers chase down suspected shoplifters; and the police convince a kidnapper to release two children. These happy endings are uncharacteristic of what the media projects. Newspapers, magazines, and news programs tend to only focus on and reflect the abundance of crime and how it jeopardizes the safety of Americans. Rarely do they speak of encouraging or inspiring topics. Instead, the top stories on the daily news generally relate to some sort of ongoing crime. The repetition of these negative stories convey an underlying theme to viewers that America is dangerous and unsafe. Consequently, society tends to feel scared and maintains a pessimistic view on their personal safety. 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Difference Between Learning Outcomes and Learning Objectives Free Essays

What’s the Difference Between Learning Outcomes and Learning Objectives? Learning Objectives: †¢tend to describe specific, discrete units of knowledge and skill †¢were useful during the 1970’s and 1980’s when attempts were made to describe workplace activities as specific tasks to be completed †¢can be accomplished within a short time frame – still may be relevant for a class period †¢tend to be statements of intent; do not necessarily suggest that the behaviour has been demonstrated Learning Outcomes: describe broad aspects of behaviour which incorporate a wide range of knowledge and skill †¢increased use in the 1990’s when workplace requirements involve broader skillsets which are transferable to a wide range of work settings †¢accomplished over time in several learning experiences †¢refer to demonstrations of performance ________________________________________ More about the difference between Learning Outcomes and Course Objectives Learning outcomes tend to represent the â€Å"big picture† as opposed to the specific details and discrete aspects or chunks of performance. In the 1950’s and 60’s, the emphasis was on a person doing specific job tasks which required specific knowledge for an extended period of time. In contrast, rapid technological changes of the 1990’s require that the worker readily and repeatedly adapt to new job skill requirements which emphasize an ability to focus on broader concepts. We will write a custom essay sample on Difference Between Learning Outcomes and Learning Objectives or any similar topic only for you Order Now As part of this new workplace structure, the ability to work in teams has been increasingly emphasized. Curriculum design trends have undergone similar transformations. Behavioural objectives of the 60’s and 70’s which described very specific and detailed aspects of behaviour, have now been replaced with the broader learning outcomes statements that incorporate broader aspects of performances. These performances have a variety of knowledge, skills and attitudes embedded within them. Contrast the following behavioural objective statement: †¢Given a paragraph of ten sentences, the student will be able to identify ten rules of grammar which are used in its construction with the Learning Outcomes statement: The student will have reliably demonstrated the ability to use the conventions of grammar when creating paragraphs. How might the learning activities and methods of assessment differ in view of the two statements? As another example, consider the following statements: Learning Objective: At the end of this class, the learner will be able to: †¢Define affirmative action; †¢Describe three factors which promote affirmative a ction in the workplace. Learning Outcome: At the end of this course the learner will have reliably demonstrated the ability to develop affirmative action programs within a workplace environment. What differences can you see between these statements? Differences L. O. is a much broader performance statement L. O. represents an end stage of performance Learning outcomes are not written at the class level since they represent broad, statements which incorporate many areas of inter-related knowledge and skill that may be developed over time through a wide range of experiences. Class room or short learning sessions would address course learning outcomes, but not be considered sufficient opportunity for the student to achieve the outcome in a single episode of learning. How to cite Difference Between Learning Outcomes and Learning Objectives, Essays

The Ideal President Essays - Ideal, Philosophy Of Life, President

The Ideal President The history of our presidents is very interesting. Many different men have filled the position. The presidency requires someone who has the ability to make decisions that affect the lives of the American citizens. The ideal candidate for president would meet certain occupational, community recognition, and personal requirements. When considering a president, things such as his occupation and political involvement are very important. The ideal president would be one that has an occupation in a government job such as a Congressmen or Senator. This type of political involvement is necessary for a president to have to understand our system of government and how it works. All of the schooling required to be in these occupational fields is also required to be the president. Community recognition is also an important aspect for a president to have. The ideal president would be one who is actively involved in organizations that help to better their community in the areas of education, health, and the environment. By being involved in these types or organizations, it shows he cares about his community and will care for society as a whole. It also shows he will help to better America. Personal requirements also need to be met to be the president. The ideal president would need to be at least thirty-three years of age and a male. Our society is not yet ready to be run by a female and we need someone of middle age that can handle all the work it takes to be president. No particular race is ideal as long as the person is not racist. The presidents appearance should be neat and clean because no one wants a president who doesnt look organized. These personal requirements are just as important as the candidates credentials because it is the person who is going to be running our country. The ideal candidate for president is something that should be carefully considered. The person who becomes the president also becomes one of the most powerful people in the world and that power should be put into the right hands. The right hands are those of the person meeting the above requirements. Word Count-357 Government

2 Assignmets Total 250 Words About Economic Policy And Government

2 Assignmets Total 250 Words About Economic Policy And Government 2 Assignmets Total 250 Words About Economic Policy And Government Budgets – Essay Example Your full full June 17, Economic Policy and Government Budgets Yes, sharp disagreements about management of the economy divide economic liberals and conservatives. Differences also exist between them regarding the way they use to frame policy alternatives. While designing economic policy alternatives, liberals focus on the role of the government in regulating all areas of the economy. They believe that increasing tax rates, interest rates and government spending can benefit the economy. On the other hand, conservatives believe that lowering tax rates and cutting government spending can prove beneficial for the economy. They also try to limit the role of the government in order to empower individualism. They promote free market system and limited role of the government in regulating the economy.Liberals and conservatives have different viewpoints on almost every matter of life. Liberals view the process of change as progress, whereas conservatives are generally cautious about change. If we talk about management of the economy, we can say that this issue also divides liberals and conservatives. Liberals promote federal power system and believe that the role of the government is critical in stabilizing the economy. On the other hand, conservatives promote local power system and raise their voice for privatization of national institutions and reduced government regulations.ResponseI would say that the post was highly informative. The author made the viewpoints more understandable by including some relevant examples. The author also revealed the ideas of liberals and conservatives regarding economic policies. Summing it up, I would say that the author presented both viewpoints in a well-structured way.Not required

Make Peace With and Come to Terms With

Make Peace With and Come to Terms With Make Peace With and Come to Terms With Make Peace With and Come to Terms With By Maeve Maddox Lately Ive noticed the use of the expression come to peace with. †¦ Alice must navigate her way through the modern world of tabloid journalism and commercial exploitation and come to peace with her conflicted childhood. We have all experienced some hurtful things in our past, the key however, is to learn how to come to peace with these unresolved issues, so that we can, in turn learn to let go of them. I have come to peace with what I believe The use of come to peace with seems to be a mingling of the more common expressions make peace with and come to terms with. to make peace with someone: to let old grievances go Now in their eighties, the sisters have finally made peace with one another. to make peace with something: to accept an unpleasant reality and let it go The woman has made peace with her unpleasant past. to come to terms with someone: to agree on some matter The dealer and the customer came to terms on the price of the car. to come to terms with something: to accept an undesired state of things The injured soldier has come to terms with his disability. Here are examples of the usual use of these expressions: Broncos come to terms with LB Jammie  Kirlew The 878 men of the First Battalion, 25th Marine Regiment who came home have struggled to come to terms with the fact that 11 did not Ten Ways To Make Peace With The Past and Create A New Future Vatican makes peace with Beatles after 40 years Any thoughts on come to peace with? Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:85 Synonyms for â€Å"Help†Driver License vs. Driver’s LicenseLetter Writing 101

Delivering benefits (case study) Essay Example | Topics and Well Written Essays - 750 words

Delivering benefits (case study) - Essay Example There are two parts to a compensation package of any employee in any company, one is the motivation factor and the other is the maintenance factor and need. Motivation factors relate to the benefits such as job security, need for recognition, need for responsibility and other such related factors. The maintenance factor is one where employees need such as economic, social and physical needs. Benefits falls in this category and employees expect benefits, where benefits are not present employees may be dissatisfied. The absence of motivational factors greatly increase the expectation of maintenance factors of employees and it might be true vice versa as well, but what is more important is that corporations realize the needs for such benefits and make them readily available for all of the employees so that employee motivation levels do not go down and the corporation has no difficulty in the retention of employees because maintenance factors play a huge role when people decide if they want to switch jobs or not. At times there have been cases where people have worked at organizations only because the benefits that are being offered are great, another factor to consider is that these benefits should be customized to the needs of the employees because if that is not the case then it would not make any sense to offer such benefits. It is very important that FedEx uses group plans and gives options to its employees because that is the only effective way to reduce rising health care costs, which is one of the most important factor that employees look at before deciding whether or not to accept the job opportunity. 2. Prevention is better than cure; this stands true in the case of FedEx and every other company that offers such advantages to its employees, since the rising costs of health care has put it beyond the reach of many companies it is advised that companies work towards prevention of work related

Which Way, Natural Selection or Intelligent Design Essay

Which Way, Natural Selection or Intelligent Design - Essay Example Looking from the position of the ontological complexity, the two ideas include the existence of the different forms of life, however, in the case with the intelligent design the designer and the material employed in the design  have to be included (Muggy 1). In addition, a problem arises regarding the intelligent designer origin. Since, this creator has a greater capability and more complexity than even the capabilities of the current human beings. This poses a question, are humans supposed to be designed? However, in regards of the dynamic complexity of a human life, both theories tend to agree on the reproductive capabilities of all the organisms, though this is not very clear in the intelligent design theory. On the other hand, the natural selection implies that there is a biological process which accounts for the observed similarities amongst offsprings and their parent organisms (Roderick 1). Indeed, it is easier to believe this since this phenomenon can be observed in many of the organisms, this further implies that there should be a particular activity that allows such functioning. However, the intelligent design theory postulates the presence of the design processes which are outside of whatever goes on during the reproduction. In regards to the explanatory power, the evolutionary theory also takes the lead. Due to the fossil records, the gaps between the species are completed. Indeed, fossils point out at the transitional period which a particular organism passes to another state as indicated in the Charles Darwin theory. However, the intelligent design does not account for the transitional fossils, thus, with the discovery of more fossils, the weaknesses of the intelligent design are laid bare. By and large, the... This essay stresses that a problem arises regarding the intelligent designer origin. Since, this creator has a greater capability and more complexity than even the capabilities of the current human beings. This poses a question, are humans supposed to be designed? However, in regards of the dynamic complexity of a human life, both theories tend to agree on the reproductive capabilities of all the organisms, though this is not very clear in the intelligent design theory. On the other hand, the natural selection implies that there is a biological process which accounts for the observed similarities amongst offsprings and their parent organisms. Indeed, it is easier to believe this since this phenomenon can be observed in many of the organisms, this further implies that there should be a particular activity that allows such functioning. This paper makes a conclusion that in regards to the explanatory power, the evolutionary theory also takes the lead. Due to the fossil records, the gaps between the species are completed. Indeed, fossils point out at the transitional period which a particular organism passes to another state as indicated in the Charles Darwin theory. The intelligent design does not account for the transitional fossils, thus, with the discovery of more fossils, the weaknesses of the intelligent design are laid bare. By and large, the intelligent design argument on irreducible complexity, that is contrary to the evolution principle, does not explain the reason why some forms of life exhibit similar characteristics and some organisms have parts in common, but perform different duties. Indeed this gives support to the evolution theory

Public Health Reflective Journal Health And Social Care Essay

Public Health Reflective Journal Health And Social Care Essay Our discussion last Thursday and Friday focused on the Impact of Disease on Health Care Delivery System and Health Social Care. During that time our tutor Kate gave us an activity which we will cite examples have disease affected those areas of health. Things like Financial Issues, Supply and Demands, Lack of Awareness and Knowledge, Skills Shortage and Poor compliance are the cited problems in all groups that occur in a community who are affected with any kinds of disease. We come up this idea of some reasons. Why Financial Issues? Because medicines and manpower are not free which means it needs funding to cope this problem especially when a large portion of individuals who are needed to be rendered with health services. Supply and Demands, still related to financial issues. Lack of Awareness and Knowledge, this contributes the problem because if a community is lack of awareness or knowledge about it health they are very vulnerable to illnesses or diseases. Skills Shortage this pertains to the members of health care system, it talks about how effective are they in rendering their services, are they professional and skilled to give services in an efficient and effective way Another topic we also considered last week was about case study of Philip, that study is very meaningful to us because its talks about Philips health and family problem. That case study gives us information that Health awareness is vital to a human life and we should take care of ourselves. It also gives ideas to health practitioner on how to manage a case that has crucial situation and needs immediate attention. Has this new knowledge changed my understanding? ( have I developed a whole new way of seeing things): Knowing about the topic we tackled last week enlightened my mind on the importance of caring ourselves and a community as a health practitioner. Hearing those facts make me think that we should take care ourselves in many ways like having enough knowledge in health promotion and disease prevention, regular check up to assess our health status whether we are having illness or not, having healthy habit, diet and lifestyle. On the other hand also as a health care provider it is our responsibility to provide health teaching on those individuals we know that needs it or even not because doing this promotes health and gives knowledge to them on avoiding any disease problems. In addition, we should be a role model of health to them because this is one of the effective way were they will believe our health teachings and apply it to their selves. How will I apply this knowledge and understanding in my work situation? In my situation, there are many cases where I can apply this facts and knowledge I gathered in our last weeks discussion. As we know, we can encounter different case of diseases in care homes both communicable and non-communicable disease and we are aware that were susceptible to have that diseases if we are not aware of it. Due to this point, precautions necessary to prevent getting and spread of one disease to another and we can do it by applying the things we discussed about public health in our workplace. In order to avoid ourselves and others from getting any disease we must maintain doing the basic things like hand washing after toileting/diapering, before preparing or eating food, after covering a sneeze or cough, after blowing the nose, before and after treating a sore or wound. Using of proper protective clothing as a first line of defence. 2.) Submitted: 28th of Jan. 2010 Learning a new topic leads to changes in our knowledge and understanding and should also lead to changes in ways of working. Identify any new knowledge, facts or theories that I have learnt from this weeks teaching: Last week, We discussed all the things that are related about public health and itself. I found out that public health is a very broad topic and correlates many components such as health sector, health organisations, etc. I learned that Public Health is vital in helping people to be aware about their health because it promotes good health, prolongs life and prevents society in getting any kind of diseases. It is also a gathered deed for the health of the certain population. In dissemination of all the information related to health, there are agencies that are responsible in data distribution. This agencies and sectors are the one who takes the promotion, prevention, planning, action, and implementation of all the goals in regarding health information dissemination. One of the most common agencies here in United Kingdom is the National Health Service or commonly called NHS. This agency acts as a framework of local organisations responsible for the healthcare of the community and to work with the local community to improve our populations health and well being. There are more agencies that acts or has a role like the NHS in relation to Public Health. On the other hand Health Organisation has a big role in terms of promoting people in health awareness of the community because they are the one who distribute the health information globally such as World Health Organisation. WHO is the organisation that coordinates and directs for health within the United Nations. WHO leads in providing information about global health matters. Every time there is a new case of disease they are the one that conducts the studies on it and share the information all over the globe. For example, last week we had disserted the topic about the different infectious disease ( Swine Flu, Salmonella, HIV/AIDS, Measles, Meningitis, Tuberculosis , and MRSA ) and Non-infectious Disease ( Cancer, Coronary Heart Disease, Cerebro-Vascular Accident, Obesity, Asthma ) which are the products of the studios of WHO. Without WHO we cant gain access or unknowledgeable about these diseases. Match criteria Has this new knowledge changed my understanding? (have I developed a whole new way of seeing things) The topic we discussed doesnt change my understanding about Public Health. The lesson we take up last week adds information about what I know in public health and it makes me understand that it is very important in building healthy community not only in a certain place but globally. It also reminds me that as a health practitioner, we have also the responsibility to share what we have learned about promoting health and preventing diseases. Through this way we can help achieved one of the Public Health goal, which is the Health Awareness. How will I apply this new knowledge and understanding in my work situation? Like what I have said before, we can apply this knowledge by sharing the information about public health and telling them how to prevent diseases. In my situation as an Health Care Assistant in a Care Home, I can share what I have learned by telling to all my colleagues the importance of using protective clothes whilst giving care to a service user and explaining them how to make care a service user who has infectious and non-infectious disease. INTRODUCTION In this assignment, for Part 1, I am going to cite two agencies and named their roles in Public Health in terms of identifying level of health and disease in communities. I will name also epidemiology of two diseases and investigate a chart or graphical form of its incident rate. On other hand I will show the Statistical Data of the two diseases and interpret it base on facts and my understanding. In every agency I will choose two different approaches and strategies in controlling disease and investigate its effectiveness and after that I will make surveillance on how it improves Public Health. In this activity too I need to inspect current priorities to the provision of one disease and gives example on how it relates between prevalence rate, its causes and the requirements for health and social care services. Explore In Part 2, I will do a case study on a given data or on a workplace experience. Analyse its critical factors that affects individuals health then after I am going to put its priorities and evaluate its effectiveness to individuals well being. I will proposed as well changes that can improve its health and set it in action like having implementing campaigns to encourage maximize their health. In this part, I will explain the role of 2 different agencies in identifying levels of health and disease in communities PUBLIC HEALTH It is improving and safeguarding well-being. Public Health is in charge for health safety, health enhancement and health inequalities issues in England. It is responsible moreover for shaping policy, allocating resources, co-ordinating actions and supervising progress. Diagnose and investigate health hazards and health problems in the society. Assess accessibility, effectiveness, and quality of personal and population-based health services. In addition they are the one organised community efforts in aiming prevention of disease and promotion of health. In relation of this, I select two agencies that will partake the goals of public health. There are many agencies that have important roles in the society. I chose two agencies which helps contribute health awareness and protection for any kind of diseases; it is the Department of Health (DOH) and National Health Services (NHS). I will precisely relate this two agency to the two diseases I chose which is the Meningitis and Cerebrovascular Accident. Department of Health has many roles for the society. This agency focuses on issues related to the general health of the citizenry. It also compiles statistics about health issues of their area. It assesses and assures risk management to human health from the environment properly. Promote and protect the health and wellness of the people within the society and community. Promote and protects the public health to prevent disease and illness. Provides research and information for the detection, reporting, prevention, and control of any diseases or health hazard that the department considers to be dangerous that likely affects the public health. Establish a uniform public health program throughout the community which includes continuous service, employment of qualified employees, and a basic program of disease control, vital and health statistics, sanitation, public health nursing, and other preventive heath programs necessary or desirable for the protection of public health. Gather and disseminate information on causes of injury, sickness, death, and disability and the risk factors that contribute to the causes of injury, sickness, death, and disability within the society for their awareness. Implement programs and campaigns necessary or desirable for the promotion or protection of the public health to reduce and control the disease. DOH develops strategic approaches for current health risks. Establish risk analysis framework and maintenance of risk standards. http://www.le.utah.gov/interim/2005/pdf/00000306 National Health Services is a publicly funded healthcare systems in United Kingdom, this agency focus on maintaining peoples health and well-being. This agency is responsible for delivering quality and effective health service to humanity. They also contribute fair access to everyone in relation to peoples need. They are responsible for making payments to independent primary care contractors such as GPs, dentists, opticians and pharmacists in rendering their services to all people who needs it. It provides different caring services such as Emergency Respite Care, where care is provided if an individual; are unable to fulfil your caring responsibilities due to unforeseen circumstances, such as illness.  Domiciliary Care, where somebody comes into your home and takes over some of your responsibilities for a few hours.  Day care centre, where the person you care for spends time at a centre whilst you have a few spare hours to yourself. There are more services rendered by the NHS whi ch develop societies health http://www.health.gov.au/internet/main/publishing.nsf/Content/36D1CF8D85714DBECA25720D001F6860/$File/quaat3.pdf http://www.archive.official-documents.co.uk/document/doh/newnhs/wpaper8.htm In this part, I will investigate the epidemiology of two diseases in graph format and show my understanding and interpretation of the given data: Meningitis is an infection of the meninges, protective membranes that surround the brain and spinal cord. Infection can cause the meninges  to become inflamed and swell, which can damage the nerves and brain. This can cause symptoms such as a severe headache, vomiting, high fever, stiff neck and sensitivity to light. Many people (but not all) also develop a distinctive skin rash. Symptoms can differ in young children and babies. See the symptoms section for more information. Meningitis can be caused by: bacteria, such as streptococcus pneumoniae, the bacteria also responsible for pneumonia, which usually live harmlessly in your mouth and throat, and viruses, such as the herpes simplex virus. Viral meningitis Viral meningitis is the most common and less serious type of meningitis. There are approximately 3,000 cases of viral meningitis reported in England and Wales every year, but experts believe the true number is much higher. This is because in many cases of viral meningitis the symptoms are so mild that they can often be mistaken for flu. Viral meningitis is most common in young children and babies, especially in babies less than one year old. Viral meningitis usually gets better by itself within a couple of weeks, without the need for specific treatment. Bacterial meningitis Bacterial meningitis is extremely serious and should be treated as a medical emergency. If the bacterial infection is left untreated, it can cause severe damage to the brain and infect the blood (septicaemia), leading to death. Treatment requires a transfer to an intensive care unit so the bodys functions can be supported whilst antibiotics are used to fight the infection. There are approximately 2,000 cases of bacterial meningitis in England and Wales every year. The number of cases has dropped sharply in recent years due to a successful vaccination programme that protects against many of the bacteria that can cause meningitis. The treatment for bacterial meningitis has improved greatly. Several decades ago, almost all people with bacterial meningitis would die, even if they received prompt treatment. Now deaths occur in  one in 10 cases, usually as a result of a delay in treatment. Bacterial meningitis is most common in children and babies under the age of three, and in teenagers and young people aged 15-24. The best way to prevent meningitis is to ensure that your familys vaccinations are up to date. Stroke (cerebrovascular accident) A stroke happens when the blood supply to the brain is disturbed in some way. As a result, brain cells are starved of oxygen. This causes some cells to die and leaves other cells damaged. Types of stroke Most strokes happen when a blood clot blocks one of the arteries (blood vessels) that carries blood to the brain. This type of stroke is called an ischaemic stroke. Transient ischemic attack (TIA) or mini-stroke is a short-term stroke that lasts for less than 24 hours. The oxygen supply to the brain is quickly restored and symptoms disappear. A transient stroke needs prompt medical attention because it indicates a serious risk of a major stroke. Cerebral thrombosis is when a blood clot (thrombus) forms in an artery that supplies blood to the brain. Blood vessels that are furred up with fatty deposits (atheroma) make a blockage more likely. The clot prevents blood flowing to the brain and cells are starved of oxygen. Cerebral embolism is a blood clot that forms elsewhere in the body before travelling through the blood vessels and lodging in the brain. In the brain, it starve cells of oxygen. An irregular heartbeat or recent heart attack may make you prone to forming blood clots. Cerebral haemorrhage is when a blood vessel bursts inside the brain and bleeds (haemorrhages). With a haemorrhage, blood seeps into the brain tissue and causes extra damage. (2009) (Meningitis). Available from http://www.nhs.uk/conditions/Meningitis/Pages/Introduction.aspx. [Accessed Feb. 24, 2010] These are the graphs showing the rates of Meningitis and Cardiovascular Accident here in United Kingdom. Source: PHLS Meningococcal Reference Unit Disease Trends Group B- unvaccinated Meningococcal serogroup C Group C- vaccinated with Meningococcal serogroup C conjugate vaccine (MCC) Others Ungroup This graph table shows the effectiveness of meningococcal conjugate vaccine from 1998 2007. As we have seen in the figure, the case reduces every year especially to those who have taken the vaccine. It also shows the successful phased introduction of the meningococcal serogroup C conjugate vaccine (MCC) in 1999 into the National Immunisation Programme in the UK. This graph tells also that the immunity to Meningitis C has been identified in age groups who have not been vaccinated, as bacterium carriage rates are reduced across the population. We can see also in this table that those who didnt take meningococcal vaccine were greatly affective by Meningitis. Source: NOIDS England Wales Final Midi Report for 2005 (Table 3 Final totals for 2005 by sex and age-group) Prevalence of Bacterial Meningitis and Septicaemia by Age Group In this table, we could conclude that ages under 1-4 years old was greatly affected by meningitis as we have seen in the peaks of the graph and 0-11 months was greatly affected by the Pneumococcal and Meningococcal disease. And the same peaks in the number of notifications for the under 4 years and 15-24 age groups can also be seen with meningococcal septicaemia. Source: NOIDS England Wales Final Midi Report for 2005 (Table 3 Final totals for 2005 by sex and age-group) Prevalence of Bacterial Meningitis (without Septicaemia) by Age Group This graph shows the high number of notifications of meningococcal and pneumococcal meningitis (without septicaemia) in England and Wales. Observing this graph will note us that the cases in 2005, age group that is 1 year of age are greatly affected with Meningococcal Meningitis and Pneumococcal Meningitis and 15 to 24 years of age were averagely affected with the certain disease. It also illustrates us that among the group cases under 1 year of age gets the highest peak in having Pneumococcal disease. It is also interesting to note that the pneumococcal meningitis peaks again in the older age groups (45-64 and 65+). Top of Form Bottom of Form This graph shows all the percentages of all six categories are experiencing stroke. Figures for males are in dark gray bars and data for females are in light gray bars, with the number of patients in each age category shown above each bar. All data are patients who are experiencing stroke or CVA. As we observed in the graph the age group from 30 to This illustration shows the Incidence Rate of stroke in United States and United Kingdom. Details are articulated as person per year having stroke in 7 age categories. Individual experiencing strokes, person-years of follow-up was defined as the number of years from birth to the date for first recorded stroke. For individual without strokes, person-years of follow-up were defined as the last available follow-up date during the natural history period. Stroke incidence rates are revealed in data chart beneath the graph. As you see the data its very clear that a UK male has the highest incidence rates. UK Females, US Males and US Females are mostly like has the same incidence rate in occurrence of CVA. In this part, I will choose at least two approaches and strategies that control the incidence of one disease and analyse its effectiveness: As prevention of these diseases and to decrease its rate Department of Health and National Health Services make strategies and campaign to attain their goals. Department of Health formulate the Meningitis C Campaign the purpose of the this campaign was to immunise as many as possible of the countrys 15 million young people and children aged under the age of 18 years in as short a time as possible, immunising those most at risk of disease first. Carrying out of the programme was made according to the risk of disease-those at utmost risk being immunised first. In November 1999, National Childhood Programme introduces the routine immunisation of vaccine at the ages of two, three and four months alongside the DTP, Hib and polio vaccines and in December 1999 adolescent that ages 15 and 17 was also immunised. As a result of the campaign there are around 13 million children have immunised during the first year through the help of general practitioners, nurses, immunisation coordinators and many other health professional. This was pursuing by a widespread draw alongside programme to immunise all other children and adolescents up to the age of 18 years in 2000/2001.   After that the vaccine was made accessible to anyone up to 25 years. National Health Services contributed also a meningitis prevention program here in United Kingdom. The Campaign to promote new Vaccine against Meningitis, this program encouraged all parents to immunised their children against pneumococcal disease which is the causative agent of meningitis. General Practitioners has the big role of this campaign because they are the who will catch-up the campaign for the children ages 0 2 years who is starting their immunisations. This program was imposed by Health Minister Dr. Brian Gibbons. He states that: Immunisation is the best way to protect children from serious disease and the routine childhood programme has been extremely effective in achieving this. The changes will further improve the programme and benefit children. This new vaccine will help save lives and prevent hundreds more cases of serious illness such as meningitis and pneumonia. To maximise the defence against Meningitis C and Hib disease NHS made two changes in the routine program. The present three doses of Meningitis C vaccine will be respaced at three and four months of age with a booster shot at 12 months. Most up-to-date proof shows that the protection offered by this vaccine declines one year after vaccination. To maximise the protection in the first two years of life when the risk of infection is high, we will recommend doses at three and four months of age and a booster dose at 12 months. A booster shot of Hib vaccine will be given at 12 months. In 1992 Hib vaccine was introduced and is presently given to children at two, three and four months of age. Since 1999, there was a small but slow increase in the number of cases in older children being reported. Again, because of this Meningitis prevention program, the disease declined over time. There was a Hib booster campaign happened in 2003. This dose was given to older children to maximise their immunity. This upturned the small increase in infections that had started to occur. A booster dose of Hib vaccine is being added to the childhood immunisation programme as a routine at 12 months to extend protection against Hib disease. The new routine vaccination schedule is as follows: 2 months DTaP/IPV/Hib + pneumococcal vaccine 3 months DTaP/IPV/Hib + MenC vaccine 4 months DTaP/IPV/Hib + MenC + pneumococcal vaccine 12 months Hib/Men C 13 months MMR + pneumococcal vaccine DTaP/IPV/Hib is a single injection that protects against diphtheria, tetanus, pertussis, polio and Hib. MenC protects against meningitis C Hib/ MenC is a combined vaccine protecting against Hib and Meningitis C (2009)( Campaign to promote new Vaccine against Meningitis ) available from www.immunisation.nhs.uk. [Accessed at February 24, 2010] Due to this campaign the rate of meningococcal infection has fallen every year since, and the cases of laboratory-confirmed group C meningococcal disease across all age groups immunised has go down by 90% since the vaccine was implemented. In 2003/04, there were only 65 cases reported and 8 deaths. There was even a good effect in those who were not immunised with a reduction of about 70%, recommending that the vaccine has had a community protection effect. In fact the campaign has been so successful that meningitis C disease now accounts for less than 10% of meningococcal meningitis cases. Even though the campaign made a great success still the health officials and medical professionals need to remain cautious. (2010) ( Meningitis C Campaign) available from http://webarchive.nationalarchives.gov.uk. [Accessed at February 24, 2010] . For Cardiovascular Accident prevention, Department of Health formulated new strategies to fall its rate. They formulated the Stroke: Act F.A.S.T. awareness campaign; F.A.S.T means Face, Arm, Speech, and Time. The Stroke: Act F.A.S.T. awareness campaign aims to teach all health related professionals and the community on the signs of stroke and that prompt emergency treatment can reduce the risk of death and disability. The campaign will notify the community about F.A.S.T. to call 999. F.A.S.T is a simple examination to help people to identify the signs of stroke and be aware of the importance of fast emergency management. Campaign adverts, on Television, radio, internet and flyers, illustrate stroke spreading like fire in the brain to demonstrate that fast emergency action can limit damage and radically raise a persons probability of surviving and of avoiding long-term disability. (2010)( Stroke: Act F.A.S.T. awareness campaign ) available from http://www.dh.gov.uk/en/Publicationsandstatistics. [Accessed at February 24, 2010] If Department of Health has its campaign towards CVA, National Health Services provide also a program to lessen its incidence rate; The National Stroke Awareness Campaign. This campaign is related to F.A.S.T were NHS implemented that all paramedics should know how to assess a person using F.A.S.T before sending them to hospital. They also made a Stroke Association who will support this campaign. This kind of charity is exclusively concerned with fighting stroke towards people in all ages. The charity resources research into prevention, treatment, better methods of rehabilitation and facilitates stroke patients and their families directly through its Rehabilitation and Support Services which include Communication Support, Family and Carer Support, information services, welfare grants, publications and leaflets. In this part, I will investigate current priorities and approaches to the provision of heath services for people with one disease: Treating Meningitis is not easy thing to do because this disease has various types, viral and bacterial meningitis. There is no treatment for Viral Meningitis. The immune system, will create antibodies to annihilate the virus. Until it is known that a child has viral, not bacterial meningitis, he or she will be admitted to the hospital. But once the finding of viral meningitis is complete, antibiotics are stopped, and a child who is recuperating satisfactorily will be sent home. Simply acetaminophen must be given to lessen fevers. Clear fluids and a bland diet including preferred foods should be offered. During recovery, a child desires rest in a gloomy, quiet room. Bright lights, noise and guests may irritate a child with meningitis. Increased anxiety on the brain from build-up of fluid in the meninges is a severe problem. (2010)(Viral Meningitis) available from: http://www.healthscout.com. [Accessed at February 24, 2010) For Bacterial Meningitis may prove fatal within hours. Patients with suspected acute bacterial meningitis should be immediately admitted to the hospital and assessed for whether LP (lichen planus) is clinically safe. Antimicrobials should be given quickly. If LP is late because a CT scan is essential, antibiotic action should be started before the scan and after blood samples have been attained for culture. When the exact organism is recognized and results of susceptibilities are known, treatment can be customized accordingly. After the diagnosis has been confirmed (generally within 12-48 hours of admission to the hospital), the patients antimicrobial therapy can be modified according to the causative organism and its susceptibilities. Supportive therapy, such as fluid replacement, should be continued. Dexamethasone should be continued for Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitides. S pneumoniae (duration of therapy 10-14 days) Penicillin susceptible (minimum inhibitory concentration [MIC] Penicillin intermediate (MIC = 0.1-1.0 microgram/mL): cefotaxime or ceftriaxone Penicillin resistant (MIC à ¢Ã¢â‚¬ °Ã‚ ¥2.0 microgram/mL) or cephalosporin-resistant (MIC à ¢Ã¢â‚¬ °Ã‚ ¥1.0 microgram/mL): vancomycin AND cefotaxime or ceftriaxone. H influenzae (duration of therapy 10-14 days) Beta-lactamase-negative: ampicillin Beta-lactamase-positive: cefotaxime or ceftriaxone. Streptococcus agalactiae (group B streptococci) (duration of therapy 14-21 days) Gentamicin AND ampicillin or benzylpenicillin. Escherichia coli and other gram-negative Enterobacteriaceae: (duration of therapy 21-28 days) Gentamicin AND cefotaxime or ceftriaxone. Listeria monocytogenes (duration of therapy 21-28 days) Gentamicin AND ampicillin or benzylpenicillin. Staphylococcus aureus (duration of therapy depends on microbiological response of CSF and underlying illness of the patient) Methicillin susceptible: nafcillin or oxacillin Methicillin resistant: vancomycin. Staphylococcus epidermidis (duration of therapy depends on microbiological response of CSF and underlying illness of the patient) Vancomycin. Pseudomonas aeruginosa (duration of therapy 21 days) Ceftazidime and gentamicin. Enterococcus species (duration of therapy 21 days) Ampicillin and gentamicin. Acinetobacter species (duration of therapy 21 days) Gentamicin and meropenem. N meningitides (duration of therapy 5-7 days) Penicillin susceptible (MIC Penicillin intermediate (MIC = 0.1-1.0 microgram/mL): cefotaxime or ceftriaxone. (2010) (Bacterial Meningitis) available from: http://bestpractice.bmj.com. [Accessed February 24, 2010] In this part, I will explain by giving examples, the relationship between the prevalence of one disease, its causes and the requirements for health and social care services: Nowadays United Kingdom is still cautious about Meningitis even though the incidence rate is already decreasing radically. To be safe, health organisation are prioritising women and childrens health. They develop a guideline which suggest about ma

Growing afraid Essay

Pip describes the afternoon as being â€Å"raw†, which describes the bitterness of the weather, the weather is almost attacking Pip. The graveyard can be described as very old because â€Å"overgrown with nettles† lays a churchyard, which is uncared for and in an instant it could just crumble away. Pip again adds significant words, as he repeats all of the names on the gravestones, â€Å"Alexander, Bartholomew, Abraham, Tobias and Roger† that have died in this harsh place, Pip reads it as if it were a list with so many people there, who have been there for a long period of time. â€Å"Dark, flat, wilderness beyond the churchyard† again explains the lack of community and the Isolation around the area. Dickens personifies wind as the â€Å"wind was rushing†, as if it were â€Å"rushing† to get Pip who was at the time a â€Å"small bundle of shivers† growing afraid. The marshlands had an effect not only on Pip, but the convict also, the convict had been â€Å"smothered in mud and lamed by stones and cut by flints, and stung by nettles and torn by briars†, showing he had escaped for a long time and had spent most of his time hiding in the marshlands. As the convict roughly treats Pip, he tilts him over, gradually down to the floor, he gives Pip a greater â€Å"sense of helplessness and danger† which adds to the atmosphere significantly. Toward the end of the chapter, a sad atmosphere is created, as the convict â€Å"hugged his shuddering body in both arms clasping himself as if to hold himself together†. The convict limps toward the â€Å"low church wall† producing an image of one who is close to death. Pip creates another childish imagination but this one describes the dead rising up â€Å"stretching up cautiously out of their graves†, showing how much fear he had in him at the time. The marshes are depicted as just a â€Å"long black horizontal line† with the sky being â€Å"just like a row of long angry red lines and dense black lines intermixed†, describing the darkness, and anger in Pip’s world. Charles Dickens leaves you with eerie images of death, of a limping man, as if he were a â€Å"pirate come to life and come down and going back to hook himself up again. We are introduced to Miss Havisham first as an â€Å"immensely rich and grim lady†, a notorious woman who lived in a large house that was heavily barricaded against robbers. She is described as living a life of â€Å"seclusion† which leads us to believe that she is isolated, miserable and depressed. Pip describes her as being the â€Å"strangest lady† he had ever seen. She was dressed in rich materials, satins, lace and silks, all that are symbols of wealth. She had a â€Å"long white veil dependent from her hair† which makes us believe that she is a bit odd wearing bridal wear for no apparent reason. Her hair was white which symbolizes that she is quite old. Another symbol of wealth is created because she had some bright jewels sparkling around her neck. Pip states that the â€Å"bride within the bridal dress had withered like the dress† which is another clue to her being quite old. We are given another unhealthy image of Miss Havisham, of her dying, the book reflects this by stating that there was â€Å"no brightness left but the brightness of her sunken eyes† and her figure had â€Å"hung loose† and had â€Å"shrunk to skin and bone†. She states that she had never seen the sun since she was born, this makes the reader feel that she is again isolated and hiding away from life outside. She is also a cold-hearted person, because she says that her heart was broken with an eager look on her face. We learn that she despises adults, and that she acts like a child, the novel portrays this by stating that she has â€Å"sick fancies† and she orders Pip with an â€Å"impatient movement of the hand† to play. When Estella came to play with Pip, Miss Havisham says to Estella that she can break Pips heart, this indicates that Miss Havisham has set out to seek revenge on men, and that is one of the reasons why she brought Pip to her house. There is a sense that life has ceased for Miss Havisham, the book shows this by stating that her silk stocking â€Å"once white, now yellow had been trodden ragged†. Pip says that the frillings and trimmings on her bridal dress looked like â€Å"earthy paper† which describes it as being fragile, like Miss Havisham herself. After Pip had finished playing cards with Estella, Miss Havisham states â€Å"You shall go home soon†, â€Å"Play the game out† this illustrates to the reader that she is depressed and emotionally hurt, and is not to used to the company of others, so she sends him away. She had an appearance of â€Å"dropped body and soul, within and without, under the weight of a crushing blow† which leads us to believe that the marriage which didn’t take place, has caused her to drop her body and drop her soul. Miss Havisham once again thinks highly of herself, acting as if she owns Pip, she expresses this by stating â€Å"When shall I have you here again? â€Å". We also learn that she is a misguided woman because she says she doesn’t know anything about the days of the week, or the weeks of the year. We first learn that Estella is selfish and speaks in an scornful manner to anyone she isn’t familiar with, the evidence of this is that after Pip politely said that she could go in first, she replied by saying â€Å"Don’t be ridiculous boy; I am not going in† and she also left Pip in the dark by taking the candle with her. When Pip called her name out to play with him, she didn’t come straight away, she took her time, deliberately trying to be awkward. When Miss Havisham tried the jewel on Estella, she obviously had intentions for her to get married. Estella thinks she is better than Pip, the evidence of this is that when she was ordered by Miss Havisham to play with Pip, she replied â€Å"With this boy! Why he is a common labouring boy! â€Å". When Estella asked Pip what games he played, she asked it in the â€Å"greatest disdain† which makes us believe she is strict and again scornful and looks down on lower classes. Estella is used as a weapon, a heartbreaker by Miss Havisham, who as we know wants to treat men as she was treated, Miss havisham illustrates this by stating â€Å"beggar him† to Estella. Estella has no respect for Pip and thinks highly of herself and no one else, the evidence of this is that she says, â€Å"he calls the knaves, jacks this boy! † and â€Å"what coarse hands he has†. This leaves an effect on Pip as he becomes ashamed of his hands. She was watching Pip creating tension, trying to make him do wrong, so that she could insult him more on his faults. Pip tells us this by stating â€Å"she was lying in wait for me to do wrong; and she denounced me for a stupid, clumsy labouring boy† As Pip was whispering to Miss Havisham, even though she wasn’t saying anything, Estella was making Pip say nice things about her with her eyes, the evidence of this is that she was looking at Pip with look of â€Å"supreme aversion†. As the game between Pip and Estella finished, Estella threw all of the cards down as if she â€Å"despised† them for having been won of Pip, this shows that Estella is spiteful, treats Pip disdainfully and she is very proud. Estella was to told feed Pip, so she put the food down on the ground without looking at Pip as if Pip was a â€Å"dog in disgrace†, this shows that Estella again thinks Pip as being lower class and she has contempt for Pip. Estella had made Pip cry, she looked at him with quick delight as being the cause of the tears, this proves she has no feelings and is satisfied for making him cry, this makes her not a likeable character at all. The first Impressions of Miss Havisham`s house is that it is a huge house filled with mystery, â€Å"dismal house, barricaded against robbers† which reflects the owner’s feelings. The house can furthermore be described as bleak and nervous for anyone who approaches it, with its â€Å"great front entrance† having two chains across it. It is a dark, gloomy place, with a sense of bad experiences. The text tells us this by stating, â€Å"the passages were all dark†¦ and still it was dark, and only the candle lighted us†. Miss Havisham`s room was also dark, she obviously prefers darkness, and all of the candles represent the light in the room, the evidence of this is that â€Å"a pretty large room, well lighted with candles† and â€Å"no glimpse of daylight was to be seen in it†. There is a sense of chaos in the room as everything is untidy, dresses and half-packed trunks were scattered about also Miss Havisham only had one shoe on. Everything was left as it was years ago, â€Å"all confusedly heaped about the looking glass†. Pip relates Miss Havisham to a waxwork he had once seen, with her skin sallow. He also makes a reference to death by describing a skeleton in the ashes of a rich dress. Miss Havisham is almost a ghost in her own house, the evidence of this is that â€Å"waxwork and skeleton seemed to have dark eyes that moved†. All of the watches and clocks in her room had stopped at twenty minutes to nine, which is deliberate and could be linked with her marriage that didn’t take place. Pip is made to feel vulnerable, he has no choice but to do what Miss Havisham says, this is because he had the â€Å"desperate idea of starting round the room† meaning that he had to embarrass himself in front of Miss Havisham. She asked Pip if he was sullen and obstinate, he is obviously very misunderstood. Miss Havisham becomes frustrated with him and pitiful for him, the book expresses this by stating â€Å"So new to him† â€Å"So old to me† â€Å"So melancholy to both of us! † Miss Havisham again makes Pip feel discomfort as he is made to shout out â€Å"Estella† in a dark and â€Å"mysterious passage of an un-known house† again he is made to embarrass himself. Another sense that life has seized for Miss Havisham is that there are â€Å"pale, decayed objects† which also creates a deathly and unsettling atmosphere. Pip also describes her clothes as â€Å"grave-clothes† and her â€Å"long veil looking like a shroud† both of which are linked with a corpse. As Pip leaves Miss Havisham`s house, he states that the â€Å"rush of daylight† quite confounded him, this is another clue that the house is a very dark place. Toward the end of the chapter, we feel pity for Pip, because Estella treats him so badly, but he is strong because he refuses to cry in the presence of her, even though his feelings are â€Å"bitter†. This also shows that he wishes he had come from a family who were more of an upper class, than the family he was brought up with, because then maybe Estella would have treated him better.