Friday, November 29, 2019
Pregnancy Life Stage Essays - Nutrition, Vitamins, RTT, Biomolecules
Pregnancy Life Stage Does nutrition status affect fertility? Good overall nutrition, rather than eating any specific food, greatly improves your chances of conceiving a child. For women, nutrient deficiencies and low-calorie diets at one extreme, and obesity at the other, can disrupt ovulation. Poor nutrition can also have an impact on male fertility. In order to get pregnant, doctors recommend that both women and men eat healthy, exercise and keep a positive mental attitude to increase chances of fertilization. Eating healthy, exercise and keeping a positive mental attitude are equally important during pregnancy and after pregnancy. According to www.familyinternet.com, "carrying a baby for nine months and then providing it with breast milk afterward is a major nutritional stress on a woman's body. Food intake increases only 15-20%, but requirements for specific nutrients such as folic acid, zinc, and certain B vitamins may increase by 30-100%." In addition, less than optimal nutrition can result in low-birth weight babies with increased risk of heart disease and non-insulin-dependent diabetes as adults. (www.childbirth-connections.com). Both over-eating and under-eating can adversely affect the qualities and quantities of breast milk, which is explained further under Dietary Requirements During Pregnancy. During pregnancy, nutrients are passed from mother to fetus through the placenta, and after birth, through breast-milk. The main vitamins and nutrients needed by mother and fetus is explained in the chart below: Nutrient/Vitamin Amount Needed Benefit Source Protein Need for pregnant women is increased by 10 to 15 grams daily (1 glass of milk contains 8 grams of protein). Forms structural basis for all new cells and tissues for both the mother and fetus www.tdh.tx.us (Texas Department of Health) Carbohydrates 50-100 g/daily Prevents ketosis, which, during pregnancy, can cause brain damage to the fetus. www.tdh.tx.us Pregnancy Life Stage Nutrient/Vitamin Amount Needed Benefit Source Folate 400-800 micrograms daily Prevents anemia during pregnancy, may prevent miscarriage, preserves the integrity of genetic material, and lowers risk of neural tube defects like spina-bifuda www.familyinternet.com Calcium 1000-1500 mg/daily Milk production and growing bones www.familyinternet.com Iron 30 mg beginning 12th week of pregnancy Binds oxygen to hemoglobin and prevent iron-deficiency anemia "Nutrition During Pregnancy", National Academy of Sciences Vitamin D Adequate sun exposure, or 10 mg/daily for complete vegetarians and 5 mg/daily for woman who don't eat vitamin D-fortified foods (dairy products) Promotes fetal growth, bone formation, tooth enamel formation and the proper utilization of calcium www.familyinternet.com Vitamin B-6 2-5 mg/day during 1st & 2nd trimester, not to exceed 20 mg/day in the last trimester; higher doses may shut off milk production Manufacture of hormones, hemoglobin, neurotransmitters, many enzymes, and amino acids. www.familyinternet.com Vitamin E 200 IU Decreases risk of premature babies and low-birth weight infants and may lower the risk of miscarriage. www.familyinternet.com Vitamin A Follow the RDA of 2700 IU daily Provides baby with vitamin A reserves and sustains adequate breast-mil concentrations. www.familyinternet.com Zinc 10-30 mg daily is sufficient and considered safe; excessive intake of zinc can lower HDL-cholesterol. Reduces risk of miscarriage, labor complications, neural tube defects and low-birth babies www.familyinternet.com Food plays a major role in promoting a healthy life. However, during the pregnancy cycle, nutrition is of even greater importance because of the effects on both the mother and baby. Many people have said that a pregnant mother is eating for two, which in fact is correct. The mother needs a certain amount of protein, carbohydrates, fat, vitamins, water and fiber in the diet each day. Pregnancy Life Stage One suggested food plan, developed by FamilyWeb.com, suggests that during the first 2 to 3 months of pregnancy, a woman should try eating small amounts frequently throughout the day to keep the energy higher. If the mother only eats larger amounts of food less frequently, she may experience discomfort due to her energy levels reaching highs and lows. The food plan also recommends that the mother eat raw vegetables, fruits, juices, milk, breads and cereals in between meals as a way to keep the metabolic rate and energy steady. Each food group has recommended or suggested serving amounts for a pregnant woman. An outline of the serving amounts for each food group is as follows: The Five Food Groups Suggested Number of Servings Fruits and vegetables 4 or more Milk and dairy products 4 Meat, fish, poultry, eggs, dried beans, peas and nuts 3 or more Whole grains, enriched breads and cereals 9 or more Fats and sweets Vary according to calories needed It is very important that, during pregnancy, that the mother eats the suggested amounts from each of the food groups in order to maintain a balanced diet and healthy nutritional intake. The foods in
Monday, November 25, 2019
President Barack Obama and Gun Rights
President Barack Obama and Gun Rights In the run-up to the 2008 presidential election, many gun owners worried about the consequences of victory for Democrat candidate Barack Obama. Given Obamaââ¬â¢s record as an Illinois state senator, where he stated his support for an all-out ban on handguns, among other gun control stances, pro-gun advocates were concerned that gun rights might suffer under an Obama presidential administration.à National Rifle Association Executive Director Wayne LaPierreà said prior to the 2008 election that ââ¬Å"never in NRAs history have we faced a presidential candidate - and hundreds of candidates running for other offices - with such a deep-rooted hatred of firearm freedoms.â⬠à After Obamaââ¬â¢s election, gun sales reached a record pace as gun owners snatched up guns, particularly those that had been branded assault weapons under the defunct 1994 assault weapons ban, out of an apparent fear that Obama would crack down on gun ownership. The Obama presidency, however, had limited impact gun rights. Obamaââ¬â¢s Gun Record as State Lawmaker When Obama was running for the Illinois state senate in 1996, the Independent Voters of Illinois, a Chicago-based non-profit, issued a questionnaire asking if candidates supported legislation to ââ¬Å"ban the manufacture, sale, and possession of handguns,â⬠to ââ¬Å"ban assault weaponsâ⬠and to instate ââ¬Å"mandatory waiting periods and background checksâ⬠for gun purchases. Obama answered yes on all three accounts. When that survey came to light during his run for the White House in 2008, Obamaââ¬â¢s campaign said that a staffer had filled out the survey and that some of the answers did not represent Obamaââ¬â¢s views, ââ¬Å"then or now.â⬠Obama also cosponsored legislation to limit handgun purchases to one per month. He also voted against letting people violate local weapons bans in cases of self-defense and stated his support for the District of Columbiaââ¬â¢s handgun ban that was overturned by the U.S. Supreme Court in 2008. He also called it a ââ¬Å"scandalâ⬠that President George W. Bush did not authorize a renewal of the Assault Weapons Ban. During the 2008 campaign, Obama said that he had ââ¬Å"no intention of taking away folksââ¬â¢ guns,â⬠but added that he would support ââ¬Å"reasonable, thoughtful gun control measuresâ⬠that respected the Second Amendment while also ââ¬Å"cracking down on the various loopholes that exist.â⬠He expressed his intent, as president, to make sure law enforcement was given access to information that would allow them to trace guns used in crimes back to ââ¬Å"unscrupulous gun dealers.â⬠Obama and Assault Weapons Just weeks after Obamaââ¬â¢s inauguration in January 2009, attorney general Eric Holder announced at a press conference that the Obama administration would be seeking a renewal of the expired ban on assault weapons. ââ¬Å"As President Obama indicated during the campaign, there are just a few gun-related changes that we would like to make, and among them would be to reinstitute the ban on the sale of assault weapons,â⬠Holder said. To gun owners wary of increased pressure on gun rights, the announcement seemed to serve as validation of their pre-election fears. But the Obama administration dismissed Holderââ¬â¢s statements. When asked about a renewal of the assault weapon ban, White House Press Secretary Robert Gibbs said: ââ¬Å"the president believes there are other strategies we can take to enforce the laws that are already on the books.â⬠U.S. Rep. Carolyn McCarthy, D-New York, introduced legislation to renew the ban. However, the legislation did not receive an endorsement from Obama. à ââ¬ËCommon Senseââ¬â¢ Gun Controlà In the aftermath of a mass shooting in Tucson, Ariz., that wounded U.S. Rep. Gabrielle Giffords, Obama renewed his push for ââ¬Å"common senseâ⬠measures to tighten gun regulations and close the so-called gun show loophole.à While not specifically calling for new gun control measures, Obama recommended strengthening the National Instant Background Check system in place for gun purchases and rewarding states supplying the best data that would keep guns out of the hands of those the system is meant to weed out. Later, Obama directed the Department of Justice to begin talks about gun control, involving ââ¬Å"all stakeholdersâ⬠in the issue. The National Rifle Association declined an invitation to join the talks, with LaPierre saying there is little use in sitting down with people who have ââ¬Å"dedicated their livesâ⬠to reducing gun rights. As the summer of 2011 ended, however, those talks had not led to recommendations by the Obama administration for new or tougher gun laws. Strengthened Gun Reporting on the Border One of the Obama administrationââ¬â¢s few actions on the subject of guns has been to strengthen a 1975 law that requires gun dealers to report the sale of multiple handguns to the same buyer. The heightened regulation, which took effect in August 2011, requires gun dealers in the border states of California, Arizona, New Mexico and Texas to report the sale of multiple assault-style rifles, such as AK-47s and AR-15s.à The NRA filed a lawsuit in federal court seeking to block the new regulation from taking effect, calling it a move by the administration to ââ¬Å"pursue their gun control agenda.â⬠Summary of Gun Rights During Obamaââ¬â¢s First Term The story through much of his first term in office was a neutral one. Congress did not take up serious consideration of new gun control laws, nor did Obama ask them to. When Republicans regained control of the House of Representatives in the 2010 midterm, chances of far-reaching gun control laws being enacted were essentially squashed. Instead, Obama urged local, state, and federal authorities to stringently enforce existing gun control laws. In fact, the only two major gun-related laws enacted during the Obama administrationââ¬â¢s first term actually expand the rights of gun owners. The first of these laws, which took effect in February 2012, allows people to openly carry legally owned guns in national parks. The law replaced a Ronald Reagan era policy that required guns to remain locked in glove compartments or trunks of private vehicles that enter national parks. In addressing this law, Obama surprised his pro-gun right critics when he wrote, ââ¬Å"In this country, we have a strong tradition of gun ownership thats handed from generation to generation. Hunting and shooting are part of our national heritage. And, in fact, my administration has not curtailed the rights of gun owners - it has expanded them, including allowing people to carry their guns in national parks and wildlife refuges.â⬠The other law allows Amtrak passengers to carry guns in checked baggage; a reversal of a measure put in place by President George W. Bush in response to the terrorist attacks of Sept. 11, 2001. Obamaââ¬â¢s two nominations to the U.S. Supreme Court, Sonia Sotomayor, and Elena Kagan were considered likely to rule against gun owners on issues involving the Second Amendment. However, the appointees did not shift the balance of power on the court. The new justices replaced David H. Souter and John Paul Stevens, two justices who had consistently voted against an expansion of gun rights, including the monumental Heller decision in 2008 and McDonald decision in 2010. Earlier in his first term, Obama had expressed his express support for the Second Amendment. ââ¬Å"If youââ¬â¢ve got a rifle, youââ¬â¢ve got a shotgun, youââ¬â¢ve got a gun in your house, Iââ¬â¢m not taking it away. Alright?â⬠he said. Gun Rights During Obamaââ¬â¢s Second Term On January 16, 2013 - just two months after 26 people were killed in a mass shooting at Sandy Hook elementary school in Newtown, Connecticut - President Obama kicked off his second term by promising an ââ¬Å"overhaulâ⬠of gun laws to end what he called the nationââ¬â¢s ââ¬Å"epidemicâ⬠of gun violence However, the legislation to overhaul gun control failed on April 17, 2013, when the Republican-controlled Senate rejected a measure banning assault-style weapons and expanding gun-buyer background checks. In January 2016, President Obama began his final year in office by going around the gridlocked Congress by issuing a set of executive orders intended to reduce gun violence. According to a White House Fact Sheet, the measures aimed to improve background checks on gun buyers, increase community safety, provide additional federal funding for mental health treatment, and advance the development of ââ¬Å"smart gunâ⬠technology. Obamaââ¬â¢s Gun Rights Legacy During his eight years in office, President Barack Obama had to deal with more mass shootings than any of his predecessors, speaking to the nation on the subject of gun violence at least 14 times. In each address, Obama offered sympathy for the loved ones of the deceased victims and repeated his frustration with the Republican-controlled Congress to pass stronger gun control legislation. After each address, gun sales soared. In the end, however, Obama made little progress in advancing his ââ¬Å"common-sense gun lawsâ⬠at the federal government level - a fact he would later call one of the biggest regrets of his time as president. In 2015, Obama told the BBC that his inability to pass gun laws had been ââ¬Å"the one area where I feel that Ive been most frustrated and most stymied. Updated by Robert Longley
Thursday, November 21, 2019
Leadership Styles in Professional Nursing Dissertation
Leadership Styles in Professional Nursing - Dissertation Example Leadership Styles in Professional Nursing The literature suggests that there are many traits that go into forming an effective leader. As an example, Boumans and Landerweerd (1993) suggest that leaders must have "clinical knowledge, people orientation, communication skills, reality orientation, the ability to identify problems and to delegate responsibility" (p. 768). These skills were stated to be those that made a positive impact on the nurses that were supervised. Most leadership styles have their base in social leadership if the nurse is effective. Boumans and Landerweerd found in their study that when social leadership was presented, the nurses under their leadership felt that their job had meaning and they felt increased job satisfaction. Also, the social leadership style promotes more positive health and well being than a style that is more dictatorial or direct. Sellgren, Ekvall, and Tomson (2006) state that nursing leadership styles are more involved with the characteristics that leaders have rather than having a sp ecific style. There are preferred traits that are more important as well. In their style, communication was the highest ranking trait that a leader ship exhibit. This goes along with what Boumans and Landerweerd found. Therefore, communication is one of the most important aspects of a nurse's leadership style. There should also be a way to communicate the leader's needs in specific ways that are understandable to their subordinates. This will bring about a happier group of nurses on the ward. (Sellgren, Ekvall, and Tomson, 2006). Kenmore (2008) found that the styles that most nurses used were either affiliative or coaching. Affiliative leaders work well when everything is running smoothly and when staff is highly motivated. The afffiliative style creates harmony and the style also works well when teams need to be healed or when staff needs motivating. When a leader has a more coaching orientation to leadership, they are more interested in improving staff's professional development
Wednesday, November 20, 2019
Ethnic minorities in USA and UK jail Essay Example | Topics and Well Written Essays - 3750 words
Ethnic minorities in USA and UK jail - Essay Example In the contemporary era, it has been evident that there are about two adults in Jail for every Afro-Caribbean male. This ratio is clearly observable in the prisons of United States of America. Several scholarly reports signify that the prisons of United Kingdom have higher ratio of black prisoners as compared to the white population. Around 27 percent of the prison population in Wales and England identify themselves as belonging from ethic minority groups. The black convicts of UK and USA are five times higher than that of the white convicts. The police and the judicial system of USA and UK constitute maximum officials from the major group of the society i.e. the white population. Therefore, the jurisdiction system of UK and USA are criticized by many civil societies across the world. There are mainly three broad explanations that have been brought forward in the favour of the possibility for higher number of minority prisoners in UK and USA. First of all, disproportionate criminality can be a reason. The persons belonging from different ethnicities and minority groups have higher tendency to commit crimes. Secondly, the jurisdiction, detection of crimes and prosecution are more likely to be charged against the minority groups under the light of limited evidences. Thirdly, disproportionate conviction can be a major reason behind sentencing minority group prisoners for longer imprisonment. It is important to note that the relationship between criminality and race is perplexing. Several debates and critics have surrounded the jurisdiction system of UK and USA with respect to fair treatment with the respective populations. This essay highlights the important factors that have over-represented ethnic minorities in USA and UK prisons. The proportion of black people in prison in United States is lower compared to England and Wales. Politicians and experts have stated that
Monday, November 18, 2019
Corporate Social Responsibilty (csr) Essay Example | Topics and Well Written Essays - 500 words
Corporate Social Responsibilty (csr) - Essay Example Instead of these hiccups its business as usual for the companies and Chinese government because of the foreign exchange revenue. Since the citizens didn't come under the stakeholders list companies ignored their protests. CSR should always be a part of corporate strategies that shows social responsibilities are as important as profit maximisation. Practically implementing the above-mentioned tasks are very difficult. The destruction of human rights by both the parties can be complained to the UN that takes some time. The Chinese government can only be requested because it's their internal matter and can only be forced to stop by developed countries like US and Japan or UN. The only approach can be through UN and make the Chinese government realise that production should be done within best interests of their citizens and should impose restrictions that companies like Shell employ CSR activities effectively in the Niger Delta. Stevina U. Evuleocha. Managing indigenous relations Corporate social responsibility and corporate communication in a new age of activism. Retrieved Feb. 13 from: . (2005).
Saturday, November 16, 2019
Satisfaction Rates Among Outpatients of Hospital
Satisfaction Rates Among Outpatients of Hospital Assessment of satisfaction among outpatient department (OPD) patients visiting tertiary level government hospital ABSTRACT Background Selection of an appropriate health care and measurement of its quality is very complex and elusive yet the tools of its measurement have been improving. It is easier to evaluate the patientââ¬â¢s satisfaction towards the service than to evaluate the quality of medical services that they receive. (1) Therefore, a research on patient satisfaction can be an important tool to measure of health system performance and improve the quality of services. (2,3). Satisfaction manifests itself in the distribution, access and utilization of health services. Objective: The main objective of this study is to measure the satisfaction of OPD (Outpatient Department) patients in tertiary care public health facility namely Guru Gobind Singh govt. Hospital, Jamnagar, Gujarat. Materials and Methods: Data were collected from a pre-tested pre-structured questionnaire from 322 patients who gave the verbal consent at the end of their O.P.D visit at tertiary health facility, Guru Gobind Singh Government Hospital, Jamnagar for days from to. The items in the questionnaire referred to particulars of the patients such as age, gender, education, occupation, income, family type etc.; perception of patients towards doctor , paramedical staff, basic amenities and quality of care. The responses were expressed in proportions. The data was tabulated on Microsoft Excel sheet and analyzed using EPI info. Results ââ¬âAlthough majority of patients were satisfied with the availability of medicines; availability of information on illness, treatment and prevention; doctorââ¬â¢s patience, compassion and dedication but most of the patients were not satisfied with the behaviour of hospital personnel ;delay in reception of investigation reports ;unhygienic toilets and improper cleanliness of hospital; and lack of availability of drinking water . INTRODUCTION Quality care is the most important dimension of public health and it has emerged as an internationally important aspect in the health care services provision. This quality of care can be measured in terms of structure, process and outcome. Structure refers to the basic infrastructure and facility, process refers to the way the care is delivered and outcome refers to the end result. (4) While measuring health outcome and quality of patient care services, patientââ¬â¢s satisfaction is considered to be important component. Patientsââ¬â¢ perceptions about health care systems and his satisfaction seem to have been largely ignored by health care managers in developing countries (12). The outcome of any disease is influenced not only by the appropriate diagnostic and treatment services but also the receipt of satisfactory care from service providers. A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical provider, leading to improve compliance, continuity of care and ultimately better health outcome. But it is difficult to measure the satisfaction and gauze responsiveness of health systems as not only the clinical but also the non-clinical outcomes of care do influence the patientsââ¬â¢ satisfaction ,(5)such as: Quality of clinical services provided, availability of medicine, behavior of doctors and other health staff, cost of services, hospital infrastructure, physical comfort, emotional support, and respect for patient preferences.(6) Mismatch between patient expectation and the service received is related to decreased satisfaction.(7) Therefore, assessing patient perspectives gives them a voice, which can make public health services more responsive to peopleââ¬â¢s needs and expectations.(8,9) In the recent past, studies on patient satisfaction gained popularity and usefulness as it provides the chance to health care providers and mangers to improve the services in the public health facilities. Patientsââ¬â¢ feedback is necessary to identify problems that need to be resolved in improving the health services. Even if they still do not use this information systematically to improve care delivery and services, this type of feedback triggers a real interest that can lead to a change in their culture and in their perception of patients. (10) OPD is the window to any health system and OPD care indicates the quality care of hospital reà ¯Ã ¬Ã¢â¬Å¡ected by patientââ¬â¢s perception in terms of satisfaction to the services they are provided.(11)This study was therefore undertaken at OPDs of tertiary level health facility in Jamnagar to measure patient satisfaction. The main objective of this paper is to know the desired level of services as perceived by the patients about various components of out-door patient department (OPD) services. In this study, the OPD is defined as the hospitalââ¬â¢s department where patients received diagnoses and/or treatment but did not stay overnight. MATERIALS AND METHODS Study design: Institution based cross-sectional study. Study population: The present study was conducted among the patients attending the outpatient department (OPD) of Guru Gobind Singh government hospital, Jamnagar. Period of study: The period of survey was days from to. Sampling frame: The sampling frame consisted of the outpatient department (OPD) of Guru Gobind Singh government hospital, Jamnagar. . Sample size: fifty percent of the OPD patients. Sampling technique: random sampling technique. The sampling population was interviewed from the most frequented OPDs (Medicine, General surgery, Obstetrics and Gynecology, Paediatrics, Orthopedics, Otorhinolaryngology, Ophthalmology, Skin, Tuberculosis and Chest diseases) according to probability proportion to size based on the past years OPD attendance. Inclusion criteria: A new or referred patient attending the OPD of the respective health care facility who gave verbal consent, Exclusion criteria: Patients working in the health care facility and patients admitted (indoor patients) and follow-up patients attending the OPD of the respective health care facility, who didnââ¬â¢t gave verbal consent or gave incomplete information, were excluded from the study. Selection of patient: The patients attending the OPD of the respective health care facility were selected for the interview by systematic random sampling. Depending upon the previous attendance of the particular department and the time taken to complete the interview, a random number was chosen and every nth patient was selected for the interview. This process was continued till the required sample size was completed. Tools of data collection: Permission to conduct the study was taken from the superintendents of the concerned health care facility. All the patients were interviewed after they had consulted the doctor. Informed verbal consent was taken from all the participating patients before the start of the interview after telling them about the objective of the study and the approximate time that will be involved in the completion of the interview. The prescribing doctor was largely kept unaware of the procedure, except in unavoidable circumstances, to avoid the bias in their behaviour with the patient. A pre-tested pre-structured questionnaire was used to record information taking the key elements of socio-demographic characteristics and perception of the patients regarding quality of services available at the outpatient health care facility. Analysis Data was tabulated on Microsoft Excel sheet and analyzed using the software Epi Info version 6. OBSERVATIONS AND RESULTS:- Table 1-socio-demographic profile of the patients:- Among all the subjects interviewed during the data collection, 322 were included in the statistical analysis and the remaining were not included, because of incomplete information. A majority (56.21%) of the responders were male. The mean ages of the responders were years .About 40% of the responders were illiterate. About half (56%) belonged to a joint family. Nearly half of the study subjects belonged to the lower socioeconomic status category as per the Kuppuswamy classification. TABLE 2-PATIENTSââ¬â¢ PERCEPTION OF THE QUALITY OF SERVICES AVAILABLE (n =322) The results regarding each question are shown in Table 2. Most of the respondents were satisfied with the availability of medicines, also they were able to get the medicines easily. Most of the respondents agreed that complete information was provided to them on the illness, treatment, and the methods to avoid illness. Almost half (48%) of the patients were not satisfied with the politeness of the hospital personnel. More than half (61%) of the patients stated that hospital personnel were not helpful. 59 % patients said that the doctor did not give them adequate time while 60% of the patients said that the doctor has given enough time to listen completely to their complains. 57% of the patients were satisfied that the doctor has checked carefully and was readily answering their questions. Almost 50% of the patients were told that the doctor gave them adequate time and didnââ¬â¢t rushed. 42% patients couldnââ¬â¢t easily locate the place of investigation. 55% of the patients didnââ¬â¢t receive their reports in time. 57% of the patients were not satisfied with the cleanliness of the hospital. 69% of the patients were not satisfied with the toilet conditions. 59% of the patients stated that drinking water wasnââ¬â¢t available in the hospital. TABLE ââ¬â 3: QUALITY OF CARE Overall 66.45% respondents termed the hospital services as satisfactory, 62.11% were satisfied with the treatment given, but 52.48% stated that the services provided were not worth the money spent, and 40.99% replied that they would not like to visit the facility again in future. [Table 3]. DISCUSSION In our current study, patients were satisfied with the ease of availability of the required medicines while in a study done by Sivalenka (13) medicine supply was an area of concern. Most of patients were satisfied with the information provided to them about illness, its treatment and prevention. Patients were not very satisfied with the behaviour of the hospital personnel .lack of monitoring of staff, due to very high patient load, could be the reason for this. It was observed during the study that the ultimate satisfaction of the patient is their rapport with the doctor. A patient forgets the pain he faces to reach the doctor if the doctor sees him with patience and compassion. In our study, most of the patients were satisfied with the behaviour of the doctor, which was similar to the result of study by Kumar et al (14). More than half of the patients were not satisfied due to the delay in reporting time of the investigations thereby increasing their waiting time which is similar to other studies (17-18). Some of the responder cited inability to locate the departments as a constraint. Lack of proper sign boards leads to difficulty in locating the departments. A good number of patients were not satisfied with the cleanliness of the hospital. Also most of them were not satisfied with the condition of the toilets. As compared with private sector, government hospitals lack in general cleanliness and hygienic toilets, thereby leading to severe patient aversion and dissatisfaction, which needs to be improved .similar findings have been observed in some other studies (13-16) As observed in our study, Overall level of satisfaction of patients towards government tertiary care health facility is low, although patients appeared to be satisfied with the doctors, which seems to be a strong reason of their still existing faith in the tertiary care government hospital. Thus we need to improve the rest of the factors so as to keep up to the expectations of the patients ,thereby try to fulfill the basic need of patient- which is readily available ,easily accessible, and satisfactory health services for all. CONCLUSIONS Efforts should be made to reduce the patient load at the tertiary level facilities so that doctors and other staff can give more attention and time to the patients. The findings of the present study can be utilized to improve the services at public health facilities of the state resulting in the more satisfaction of patients availing such public health facilities. REFERENCES (1)Study on Patient Satisfaction in the Government Allopathic Health Facilities of Lucknow District, India, Ranjeeta Kumari et al Indian Journal of Community Medicine / Vol 34 / Issue 1 / January 2009 (2) White B. Measuring patient satisfaction: how to do it and why to bother. Family Practice management [serial online] January 1999; [9 screens]. Available from: http://www.aafp.org/ fpm/990100fm/40.html. (3) How satisfied are your patients? Family Practice Management April 1998; [2 screen]. Available from: http://www.aafp.org/ fpm/980400fm/fpstats.html (4) Measuring patient satisfaction: A Cross sectional study to improve quality of care at a tertiary care hospital. ââ¬â by Andrabi Syed Arshad et.al. Healthline ISSN2229-337X Volume 3 Issue 1 January-June 2012 (5) Agrawal D. Health sector reforms: Relevance in India. Indian J Community Med 2006;31:220-2. (6) Jenkinson C, Coulter A, Bruster S, Richards N, Chandola T. Patientsââ¬â¢ experiences and satisfaction with health care: Results of a questionnaire study of specific aspects of care. Qual Saf Health Care 2002;11:335-9. (7)McKinley RK, Roberts C. Patient satisfaction with out of hours primary medical care. Qual Health Care 2001;10:23-8. (8)World Health Organization. The World Health Report 2000-Health Systems: Improving Performance. Geneva: WHO, 2000. (9) Rao KD, Peters DH, Bandeen-Roche K. Towards patient-centered health services in India- a scale to measure patient perceptions of quality. Int J Qual Health Care 2006;18:414-21. (10) 6. Boyer L, Francois P, Doutre E, Weil G, Labarere J. Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital. Int J Qual Health Care 2006;18:359-64. (11) Assessment of Clientââ¬â¢s Perception in Terms of Satisfaction and Service Utilization in the Central Government Health Scheme Dispensary at Kolkata, D Haldar, AP Sarkar, S Bisoi1, P Mondal2Indian Journal of Community Medicine, Vol. 33, Issue 2, April 2008 (12) Measuring Patient Satisfaction: A Case Study to Improve Quality of Care at Public Health Facilities. Prahlad Rai Sodani. Indian Journal of Community Medicine / Vol 35 / Issue 1 / January 2010 (13) Sivalenka S. Patient satisfaction surveys in public hospitals in India. Available from: http://www.rand.org. [Last accessed on 2011 Feb 16] (14) Kumari R, Idris MZ, Bhushan V, Khanna A, Agarwal M, Singh SK. Study on patient satisfaction in the government allopathic health facilities of Lucknow district, India. Indian J Comm Med 2009;34:35à ¢Ã¢â ¬Ã¢â¬Ë42 (15) Peerasak L, Surasak B, Pattanawadi U. Patient satisfaction on health service at the family medicine learning centers. Chiang Mai Med Bull 2004;43:67à ¢Ã¢â ¬Ã¢â¬Ë76. (16) Bhattacharya A, Prema Menon P, Vipin Koushal V, Rao KL. Study of patient satisfaction hospital in a tertiary referral hospital. J Acad Hosp Adm 2003;15:29à ¢Ã¢â ¬Ã¢â¬Ë31 (17) Measuring patient satisfaction a case study to improve quality of care at public health facilities / Ind jcom. Med Vol 35 issi 1 jan 2010, 52-56. Prahlad Rai Sudani et.al. (18)Patient satisfaction with out of hours primary medical care. Quality in health care,2001;10:23-28 R K McKinley, C Roberts.
Wednesday, November 13, 2019
Overpopulation Causes Social Problems Essay -- Cause Effect Environmen
How Overpopulation Causes Social Problems Introduction à à à à à The purpose of this paper is to demonstrate how overpopulation causes social problems. To do so you must take many things into consideration, such as different views of racial problems and conflicting definitions of a social problem. Social problems can be defined in many different ways. They effect everyone and some of us encounter problems everyday as a result of our race, religion, gender, or low income. Others experience problems from technological change or declining neighborhoods, others are affected directly by crime and violence in their own neighborhood, and sometimes definitions of social problems are changed by society because of changes around you. Finally in order to achieve the purpose of this which is to examine and discuss different issues and situations that cause social problems such as poverty. Overpopulation and social problems go hand and hand in todayââ¬â¢s society and there are many reasons and factors as to why these problems exist. Factors that lead to overpopulation that causes social problems are the increase in the number of single mothers in poor neighborhoods opposed to the decline in birth rates in the more efficient parts of the country, how the death rate is at a steady decline because of medical advances in rich and poor countries, the effects immigrants have on an environment and the population growth that occurs, the influence parents leave on children, and what is being done to help prevent the spread of AIDS because this is a deadly disease which is lowering our population but causing many social problems. Elements of a Social Problem There are also elements that make up a social problem. One of these elements is that ââ¬Å"they cause physical or mental damage to individuals or societyâ⬠(Carter p16) which means that sometimes people may permanently suffer before any action is taken to solve the problem because everybody thought it was not that big of a deal until sometimes permanent or short term damage has occurred. Another element is â⬠they offend the values or standards of some powerful segment of societyâ⬠(Carter p16) which means no matter what you do someone will always take offense against your actions because everyone has different views and values and what is important to some may not be to others. Another element is that ââ¬Å"they persist for an ... ... is always a good future ahead and sometimes it is not always the parents blame. I also asked her opinion of the topic of my paper and if she thinks overpopulation is the main reason for social problems. She said that social problems are caused by many factors not just one and from her experience that in inner city areas where the population is higher there seem to be more problems that exist compared to an urban neighborhood where the population is lower. Conclusion In Conclusion social problems will always exist because social problems change as time changes. We often tend to overlook what we call necessities others call luxuries. Therefore in the future I hope social problems will become non-existent but that is pretty much impossible. I also feel that poverty is a huge problem we face as a world and that even though it is impossible to solve this problem, we must look at it as an ongoing problem and do our best to help solve this problem. In final I feel that overpopulation with a couple other factors such as diseases, young pregnancies, and the one that I think has the most importance is the environment you grow up in helps shape you into the person you grow up to be.
Monday, November 11, 2019
Information Systems Proposal
This course provides an overview of Business Information Systems. Students learn to apply Microsoftà ® Office tools including work processing, spreadsheet, database, and presentation software to accomplish business objectives. Other topics include uses of application software and the Internet for effective problem solving, exploration of relevant emerging technologies, and how information is used across different industries. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: University policies: You must be logged into the student website to view this document. â⬠¢Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read th e policies governing your current class modality. Course Materials Grauer, R. T. , Poatsy, M. A. , Mulbery, K. , Hulett, M. , Krebs, C. & Mast, K. (2011). Microsoftà ® Office 2010: Volume 1. Upper Saddle River, NJ: Pearson Prentice Hall. Rainer, R. K. & Cegielski, C. G. (2011). Introduction to information systems: Supporting and transforming business (3rd ed. ). Hoboken, NJ: John Wiley & Sons. All electronic materials are available on the student website. Week One: Information Systems and Word Processing Tools DetailsDuePoints Objectives1. 1Explain the benefits of information systems in the work environment. 1. 2Describe ethical issues related to information technology. . 3Use word processing tools to communicate business objectives. ReadingsRead Ch. 1ââ¬â3 & Technology Guide 1 of Introduction to Information Systems. Read Ch. 1 & 2 for Word in Microsoftà ® Office 2010. Read this weekââ¬â¢s Electronic Reserve Readings. ParticipationParticipate in class discussion. 2 Learning Team InstructionsResources: Learning Team Charter Create the Learning Team Charter. Individual Information Technology Acts PaperSelect two of the following acts to research: â⬠¢Do Not Call Implementation Act, 2003 Controlling the Assault of Non-solicited Pornography and Marketing (CAN-SPAM) Act, 2003 â⬠¢Federal Information Security Management Act (FISMA), 2002 â⬠¢Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act (US Patriot Act), 2001, renewed 2006 â⬠¢Childrenââ¬â¢s Internet Protection Act, 2000 â⬠¢Financial Services Modernization Act, 1999 â⬠¢Childrenââ¬â¢s Online Privacy Protection Act (COPPA), 1998 â⬠¢No Electronic Theft (NET) Act, 1997 â⬠¢Health Insurance Portability and Accountability Act (HIPAA), 1996 â⬠¢Telephone Consumer Protection Act (TCPA), 1991 Video Privacy Protection Act, 1988 â⬠¢Computer Fraud and Abuse Act, 1986 â⬠¢Electronic Communications Privacy Act, 1986 â⬠¢The Cable Communications Policy Act, 1984 â⬠¢Electronic Funds Transfer Act, 1978 â⬠¢Family Educational Rights and Privacy Act, 1974 â⬠¢Fair Credit Reporting Act, 1970 Prepare a 350- to 1,050-word paper that answers the following question: â⬠¢What were the advances in information technology that resulted in new ethical issues necessitating the creation of each act? Format your paper consistent with APA guidelines. 10
Saturday, November 9, 2019
25 to 32 Fast ACT Prep Study Plan in 10 Days
25 to 32 Fast ACT Prep Study Plan in 10 Days SAT / ACT Prep Online Guides and Tips Do you need to raise your ACT score, ASAP? Do you want to make a huge score improvement, from good to amazing- from 25 to 32? Itââ¬â¢s not easy, but you can take huge strides toward the ACT score of your dream in just 10 days.In this article, we show you how to pinpoint your weaknesses, create an effective study plan, and significantly raise your ACT score. Who Should Use This ACT Study Plan? Because this is only a 10-day plan, you'll have to commit to between two and five hours each day to see major improvements. Unfortunately, there's no substitute for putting in ample prep time, whether thatââ¬â¢s an hour a day over five weeks, or a more concentrated plan like this one. If you do have more time before your test date, we highly recommend spending at least five weeks studying for the ACT. Itââ¬â¢s easier to guarantee a score boost of 25 to 32 if you give yourself more time to practice. But if you want to improve your score quickly, or have already taken the ACT and want to improve your score before college apps are due, keep reading. This plan integrates a key component of all good study plans: focusing on your weaknesses. When time is of the essence, you need to make every hour count. How well you can do this will ultimately dictate how much you improve on the ACT. Now, let's take a look at the three steps you'll need to take to get your 10-day study plan started. Step 1: Take a Practice Test Your first step is to take an official, full-length ACT practice test. Even if youââ¬â¢ve taken the ACT before, you need to find out exactly what your strengths and weaknesses are before you begin studying. Remember to simulate actual test-taking conditions, including using a bubble sheet, and to follow official timing restrictions exactly. After youââ¬â¢ve taken the test, calculate your score out of 36 for each section to get your composite score (i.e., your total ACT score) and subscores. You can read our guide to learn more abouthow ACT scoring works. As you go over your answers, note where you lost the most points. For example, maybe your geometry subscore was super low but your other math subscores were good. Or maybe you lost points randomly, meaning you'll have to dig a little deeper to figure out which concepts you're struggling with. The ultimate goal is to pinpoint your weaknesses so that you can study the most effectively. Reviewing your mistakes is essential to formulating a solid prep plan. Your 10-day plan could look very different based on how you do on the practice test. Let's use three hypothetical students as examples: Student A, Student B, and Student C. Student A'sPractice Test Scores English: 23 Math: 25 Reading: 26 Science: 25 Composite: 25 Student A has work to do across the board to get her composite score up to 32. Although we'd recommend this student definitely devote some serious time to studying ACT grammar rules to raise her English score (her lowest section score), every single section score must see significant improvement for her to hit her goal score of 32. Student B's Practice Test Scores English: 30 Math: 24 Reading: 24 Science: 26 Composite: 26 Student B should spend the majority of the 10 days practicing Math, Reading, and Science. They can improve their English score by 2 points (up to a 32) by simply scoring 2 or 3 more raw points on that section- which shouldnââ¬â¢t require hours of extra studying. However, they'll need much bigger raw point gains for the other sections. Don't worry, Student B. By following this 10-day study plan, you'll be able to meet your ACT score goals! (Valerie (Vee) Bordeleau/Flickr) Student C's Practice Test Scores English: 30 Math: 20 Reading: 32 Science: 22 Composite: 26 Student C needs to make serious gains in Math and Sciencebut is already strong in English and Reading. He should focus his 10-day program on figuring out his content weaknesses in Math and Science, addressing them, and then drilling practice questions. He can also spend some time working to improve his English and Reading scores so as to lessen the burden on his presumed Math and Science score increases. Any additional composite point he can gain on English or Reading is one he doesn't have to earn on Math or Science. For example, he could aim for 34 on both English and Reading and 30 on both Math and Science and still get a composite score of 32. Step 2: Set Raw Score Goals for Each Section For this guide, we are assuming an ACT goal of a 32 composite score. But how many raw points (i.e., the number of questions you answer correctly) do you need to aim for to get this score? Here are the number of questions you'll need to get correct on each section: English: 70 out of 75 Math: 54 out of 60 Reading: 38 out of 40 Science: 38 out of 40 We added an extra raw point to these target scores compared with the ACT scoring charts, since the scaling can change slightly from test to test. If you can achieve all these raw scores, you will most likely get a 32 composite score. Remember, the ACT composite score is averaged, so you could get two 30s and two 34s and average out to 32 for all sections. You can use our scoring guide to set your own raw score goals if you have different section goals or a different composite score goal in mind. Note that at this level, you should be answering every question. Donââ¬â¢t just do 70 English problems and leave the rest blank. Answer every question with the goal of getting them all correct, so that if you do have some wrong answers, you can still get a total of 70 raw points. Want to improve your ACT score by 4 points? Check out our best-in-class online ACT prep program. We guarantee your money back if you don't improve your ACT score by 4 points or more. Our program is entirely online, and it customizes your prep program to your strengths and weaknesses. This way you get the most out of your study time and make the most improvements in the least time possible. You won't have to worry aboutwhatto study - just focus on learning. Check out our 5-day free trial: Step 3: Gather ACT Prep Materials The final step is to gather the ACT study materials you want to use throughout your study plan. For step-by-step guidance, we highly recommend our PrepScholar ACT program.We go through the process of identifying your weaknesses for you, giving you more time to focus on filling in content gaps and improving your score. If youââ¬â¢re going at it alone or just want more tools, though, here's what we recommend for your ACT prep: #1: ACT Prep Books Use our guide to the best ACT prep books on the market as a starting point for building your ACT prep book arsenal. These prep books contain practice problems, tests, and the content information you'll need to fix your weaknesses and get a 32 on the ACT. Definitely start by getting The Official ACT Prep Guide and the Black Book, plus subject-specific books if your performance on your practice test shows weaknesses in certain areas. For example, we'd recommend Student C from our example above get books specifically for Math and Science. #2: Test Accessories Pencils, erasers, a calculator, a watch- think of these as tools you need to do well on the ACT. It might seem trivial, but getting used to using a (ACT-approved) watch to time yourself can help you save time on the test. Plus, if you aren't used to telling time on a watch (as opposed to a cell phone), it's better that you get used to doing so before a high-stress situation like a standardized test. The same goes for your calculator: you want to make sure you're familiar with the calculator you'll be using on the ACT so you don't waste valuable time on test day fiddling around with it. Using non-mechanical pencils and erasers instead of pens on the test will get you into the right mindset for the test as well. If you're doing the ACT Essay, writing with a non-mechanical pencil is even more important because you need to get used to writing in pencil for long stretches rather than just for bubbling in answer choices. #3: Our Free Online ACT Resources We've got a lot of free ACT prep resources to offer you at PrepScholar. Our free eBookgives you a more in-depth guide to improving your ACT score and identifying and fixing your weaknesses. We also strongly recommend readingour article onhow to get a perfect 36 on the ACT, written by our resident perfect scorer; this guide will help put you in the right mindset for a 32 or higher. Even if you're not trying to get a 36, you'll need to use these principles to improve your ACT score, especially in such a short time frame. Finally, we've consolidated all of our writing on the ACT sections into ultimate prep guides. Whether you want general tips or specific strategies, these guides have them all. Learn the principles and get the tools you need to propel your composite score to a 32 with our complete study guides to ACT English, ACT Math, ACT Reading, and ACT Science. If you plan to take the ACT with Writing, be sure to also check out our ultimate guide to theACT Essay. #4: Free and Official ACT Practice Tests Sitting down and taking realistic, full-length ACT practice tests is key to preparing for the ACT. Not only will it familiarize you with the test format, but it'll also help you pinpoint your weaknesses and work on them, as well as give you an idea of how your studying is going. Use our collection of free and official ACT practice teststo get started. General Advice as You Begin Studying for the ACT Before we go over our 10-day plan, here are some of our best tips for getting the most out of your ACT prep. Follow these to help you get the biggest score improvements in the least amount of time. #1: Always Guess There's no guessing penalty on the ACT, so even if youââ¬â¢re at the end of a section and have two questions left you canââ¬â¢t answer, it's best to just fill in random answers. You have a 20-25% chance of getting a question right, so take the shot! #2: Use the Process of Elimination Eliminating wrong answers is a good way to approach tough questions, and will increase your odds of getting points if you encounter a question you're not sure about and end up guessing on. Even though the right answer isnââ¬â¢t always obvious, itââ¬â¢s usually easy to spot at least one or two wrong answers,raising your odds of getting a question right to 33% or even 50%. #3: Donââ¬â¢t Get Stuck on Hard Questions A great strategy is to mark difficult questions and come back to them later. Timing is key on the ACT as you have less than a minute per question. This means thatif you waste five minutes on a hard question, you are losing the opportunity to work on five more questions, which can seriously tank your score. Seeour guide on ACT lengthfor more tips on pacing yourself. #4: Mark Questions You're Unsure About When practicing, donââ¬â¢t just correct multiple-choice questions and tally your score. Rather,star any questions you weren't sure about. That way, when you correct your answers, you can make sure to study that type of question and see why you struggled with it (even if you got it right). If you only focus on wrong answers, you could actually leave some content gaps unfilled. Remember, the goal isn't to study until you can get most of the answers right- it's to study until you're confident that you won't get any questions wrong. #5: Identify and Fix Weaknesses When correcting your answers to ACT practice questions, don't go over the answer explanations too quickly. You need to figure out why you got an answer wrong as well as how you can keep yourself from making this mistake again. Just drilling practice questions without understanding your true weaknesses wonââ¬â¢t help you improve your score. We suggest taking notes on your mistakes in a notebook. This will help you keep track of your content weaknesses and guide your studying. #6: Don't Sweat the Essay The ACT Writing section, or Essay, does not affect your composite score.So if getting 32 is your main goal, donââ¬â¢t spend tons of time practicing for the Essay. You only have 10 days, and you'll need to use them wisely! While we recommend preparing for the Essay to an extent (I suggest reading our guide to writing the ACT Essay), don't waste precious hours practicing for this section when you still have big point improvements to make on other, more important sections. 10-Day ACT Study Plan Now that we've gotten the basics out of the way, here is a 10-day ACT prep plan you can use to go from 25 to 32. Again, be aware that this a very time-intensive plan.To truly benefit from it, you'll need to clear your schedule as much as you can and give yourself adequate time to study. Days 1-4: Fill In Content Gaps Time: 3-4 hours per day As you start studying, your first priority is to pinpoint topics you donââ¬â¢t know and learn them. You canââ¬â¢t expect to get 32 with major content weaknesses. Whether you struggle with interpreting scientific studies, solving plane geometry questions, or remembering grammar rules, your first step is to find out what you donââ¬â¢t know and then master it. Use your results from the practice test to determine what to focus on during these first four days. You should then use your prep program, books, and/or other study materials to concentrate on subject areas you're struggling with the most. On each day, focus on a single ACT section: English, Reading, Math, or Science. Take practice sections and use practice questions, but donââ¬â¢t worry about taking full practice exams just yet. For example, Student A above would devote one day each to all of the sections, whereas Student C should probably spend two days on Math and two days on Science. Suggested Time Breakdown 1-2 hours: Find weaknesses in the section. Use your prep books and online resources to fill in your content gaps. After youââ¬â¢ve learned the new content, quiz yourself on each individual weakness. For example, if you realized you always miss subject/verb agreement questions on the English section, first read up on subject/verb agreement and then do practice problems that quiz this topic specifically. 35 minutes-1 hour: Take a full section from a practice test, strictly timed. If pacing is an issue for you, experiment with doing a combination of untimed sections, time-and-a-half sections, and officially timed sections. 1 hour: Review mistakes from the practice test and make sure you understand them. Remember to take notes on your mistakes in your journal! Research additional content weaknesses if needed. Days 5-7: Take and Review Practice Tests Time: 4-5 hours per day During this time you'lltake a full practice test each day (excluding the Essay section at the end). Even if you have strong sections, like Student C above, do the practice anyway so you can identify any silly mistakes you tend to make and can ensure you'll do just as well on test day as you do in your practice. Consistency is key! As you test, star questions you're unsure of to make sure you revisit them while correcting, even if you end up getting them right. Spend time afterwardidentifying your mistakes and figuring out why you made them. Donââ¬â¢t just brush off an answer and say, ââ¬Å"Oh, I forgot the Pythagorean theorem, so I guessed." Figure out why you couldnââ¬â¢t remember the formula and thenmake a plan so you can get similar questions right in the future. Also, revisit questions you starred even if you ultimately got them right. It's important to address any stubborn content gaps. Suggested Time Breakdown 3 hours: Take a full ACT practice test (ideally, an official one) without the Essay section. 1-2 hours: Correct your test and carefully note all of your mistakes in your notebook. Figure out where your remaining weaknesses are and research any content gaps you still have. Days 8-9: Review and Target Weaknesses Time: 3-5 hours per day Based on your performance on the practice tests, you'll now do more fine-tuned work on areas you still have weaknesses in. Here are some examples of what you could focus on in your prep: Drill areas you're still making mistakesor have content weaknesses in. Maybe youââ¬â¢re struggling with the trigonometry questions on Math. In this case, head back to your study materials to review the content before you do any more practice questions in that area. Do more practice sections if you'rerunning out of time or struggling with pacing. Remember to wear a watch and keep an eye on how much time you spend on each question. If you're consistently hitting 32, continue to take full practice tests and grade them. Your goal is consistency, so keep practicing, even if you think you're set to go. Spend some time working on the Essay. Again, the Essay does not affect your total ACT score, but you donââ¬â¢t want it to be extremely low in comparison. Check out our guide to writing an ACT essay to help you get started. Day 10: Brush Up On Weaknesses and Rest Time: 1-2 hours You donââ¬â¢t want to study too intensively the day before the test- this will burn you out and do more harm than good! At this stage, it's best to do some practice problems in your weak spots, or one or two practice sections if you're working on pacing, to keep your mind warmed up. That said, remember to focus on relaxing and getting rest before the test, too.Read our tips for getting ready the night before and the morning of the test. Additionally,make sure you donââ¬â¢t forget anything important when you go to take the test! Whatââ¬â¢s Next? If youââ¬â¢re not sure you can handle this on your own, check out PrepScholarââ¬â¢s ACT study program. We go through the process of identifying your weak points for you. We also give you rigorous practice questions designed by 99th percentile scorers. One important part of studying is keeping your motivation in place. Check out our list of automatic scholarships for ACT scores. The higher your score, the more money you can earn! You can also use your dream colleges to adjust your target ACT score. See our guide to what a good ACT score is to find out the score you need to aim for. We also have a guide specifically for the Ivy League. Want to improve your ACT score by 4+ points? Download our free guide to the top 5 strategies you need in your prep to improve your ACT score dramatically.
Wednesday, November 6, 2019
Mental illness Essay Example
Mental illness Essay Example Mental illness Essay Mental illness Essay Health is not the absence of disease but it is a state in which an individual is physically, mentally and psychologically well. When looking at health, you have to consider both the structural, emotional and chemical health of the body. Emotional health involves peoplesââ¬â¢ attitudes and thoughts which play a great role in the overall health of an individual. The body is considered to be structurally health when organs, muscles, bones and other body parts are physically health without any damage. Chemical health exists when there is a chemical balance in our body such that toxic chemicals are gotten rid off. I choose this definition because it incorporates every part of the body: psychological aspect, physical and chemical aspect. An individual may not be suffering from a disease but still be considered as unhealthy if there is chemical imbalance in the body or his/her body structures are not sound. Aspects such as body mass index, weight/height ratio are important in determining an individualââ¬â¢s physical health (Tilden, 2005). Mental health: Mental health differs from one individual to the other with others being mentally healthier than others. It is said that we all suffer from some form of mental illness that cannot be medically diagnosed. For one to be mentally health, he/she should be able to enjoy life, be flexible and self actualized. This is achieved through activities such as mindfulness meditation that allow an individual to get the best out of the present. Flexibility on opinions can also enhance the mental health of an individual. Individuals who are rigid in their opinions may end up developing mental problems as a result of stress from the rigid opinions they holds. Self actualization is important in getting the best out of someone. People who are mentally health are in the self actualization process because they try to get the best out of every situation. This is the right definition because of the different aspects of life that it involves. Flexibility, self actualization and enjoying life help in dealing with the different situations that face us in our day to day lives. They help us socialize and make new friends, enable us to deal with loss and misfortunes, raise our self esteem and improve our sexuality (World Health Organization, 2005). Opinions about mental health: My ideas about mental health and illness have mainly come from biological theories that exist. Research indicates that there is a genetic connection to development of a mental disorder. Presently, it is thought that genes have an influence on expression or non-expression of the human character like the facial expression and mental health. Research on identical twins has provided strong evidence that genetic components play a role in development of schizophrenia. On average, there is a 1 % probability of an average person in the US developing schizophrenia while in identical twins if one is diagnosed with this condition, there is a 50% probability of the other one developing the condition regardless of the conditions in which he/she has been brought up in. Dementia on the other hand has been renowned to run in families although one cannot predict with certainty that the same can affect the generation that follows. It is only Huntingtonââ¬â¢s cholera: a movement disorder that appears to have a single gene as a determinant. Other types of dementia such as Alzheimerââ¬â¢s do not express a familial pattern although its expression in an individual cannot be predictable. Scientists believe the same can apply to other mental disorders which run in families like obsessive-compulsive disorder (OCD), anxiety, panic and depression disorders. I believe that alcohol together with substance abuse have a connection to mental illness. Because alcohol is a central nervous system depressant, I believe it plays a major role in development of depression together with other mental health disorders. Apart from depression, nutritional deficiencies that result from alcohol use increase the risk of individual developing nutritional related mental disorders. For example, deficiency of thiamine can lead to brain damage in form of severe dementia even during the early stages of life. Individual suffering from withdrawal syndrome have been found to be at a greater risk of developing delirium tremens which can result to cardiovascular shock or even death. ââ¬Å"Designerâ⬠drugs such as ââ¬Å"Ecstasyâ⬠have a significant effect on behavior and can bring about permanent memory loss together with severe depression which respond poorly to treatment. Therefore, these drugs can be thought to be contributors to sudden mental illness onset. Other factors such as social cultural factors also contribute to other mental illnesses like Anorexia nervosa, body dysmorphic disorder and bulimia nervosa. Because of the societyââ¬â¢s perception of slender women as beautiful, there has been a significant occurrence of eating disorders. This is because of lack of self-esteem together with feelings of being out of control. The fear of sexual maturation has also been said to be a contributing factor to psychological eating disorders. Such factors has changed the society such that it has shifted to valuing activities over the rest which has turned many individuals to slaves of work with little care for the inner self. Mild cases of stress related disorders have as a result an increased likelihood of developing to full blown panic, depressive disorders and anxiety. Therefore, according to my opinion, for one to acquire a healthy mental state, there has to be a balance between work/activities and rest/relaxation. Is it possible for an individual to have a mental illness and still be healthy? It is possible for an individual to be health despite being diagnosed with a mental illness. Mental health stretches beyond the absence of a mental condition. When an individual is diagnosed with a mental condition, it doesnââ¬â¢t necessarily mean that the individual is mentally unhealthy but instead it means that: they have to work more in maintaining their mental health as compared to others. There are individuals who do not have any mental condition but cannot be said to be mentally healthy. This is because they have difficulties in managing stress to the extent that it affects their physical well being by developing headaches, heart diseases and stomach upsets. Difficulties in anger management also can contribute to mental instability which in return affects the mental health. Therefore, it is possible for an individual with a mental condition to be healthy if he/she is able to manage him/herself effectively to be able to enjoy life and achieve goals without many difficulties. What is recovery? According to me, it is the process of changing for the better which can be enhanced by the following factors: treatment, criminal justice interventions, faith institutions, receiving support from family, friends and other individuals and also mutual groups/recovery centers. Stigma associated with a mental illness can affect an individual in different aspects. It can lead to isolation from the community and friends through exclusions and rejections. It can make the individual to be denied proper housing, health insurance, loans and even jobs. A person may as a result of stigma loss self esteem making it difficult for him to interact and make new friends affecting his/her social life. They may also be denied treatment because of the denial state of the individual or the family members. It can also lead to separation in couples. Hence it is important for proper care to be taken to ensure that adequate care and love is provided to people with mental conditions. Bibliography Tilden, H. J. (2005) What Is Health? Kessinger Publishing, LLC. World Health Organization (2005). Mental health: facing the challenges, building solutions: report from the WHO European Ministerial Conference. WHO Regional Office Europe.
Monday, November 4, 2019
Business Analysis of John Lewis Partnership Outline
Business Analysis of John Lewis Partnership - Outline Example This paper will examine the methods that have been used by the partnership as well as how these have led to initiatives that have moved ahead of competitors in the UK. The several areas of analysis performed in relation to the John Lewis Partnership will provide insight into strategies which businesses can apply to begin to move forward in the retail sector. SWOT Analysis The relevance of the SWOT analysis is to work into new strategies that will help to monitor and change the aspects within the corporation. The main ideal is to work toward a sense of knowledge management which can be applied within the organization while moving forward with different strategies and approaches that are associated with the corporation (Zhiping, Yonghong, 2002). When looking at the strategies of the John Lewis Partnership, it can be seen that the strengths of the corporation should be a continuous feature. This is based on the diversity of products that are offered with the retail store, ranging from w ine shops to business solutions and insurance (Felicitta, 2009). This diversity is followed by finding partners and small business owners that can tap into the retail store as a part owner. This allows the internal environment to have a spirit of entrepreneurship, while creating more opportunities for growth and support within the community. As this is done, it helps to stimulate loyal customers and responses among those that are in the community (Shi, 2007). The weaknesses that are from this main attribute come from the dimensions of positioning. This is a main problem with those who are in the retail industry, specifically because it changes the outcome of which customers will decide to shop in a specific area and will also alter the relationships and partnership that are provided within the company (Messinger, 2007). The positioning of the John Lewis Partnership is one that is limited by the partnerships which are incorporated as well as the sectors which have already been develo ped. This allows other competitors to begin to move into the sector and change the outlooks with other retail management options. Since most of the stores are built on partnerships, this may mean that the partners donââ¬â¢t have the necessary opportunities to continue and to make the desired profit (Tustin, 2006). The opportunities and threats that are associated with this can lead to further strategies to change the level of popularity against competition. The main opportunity comes from the multiple stores offered. Most competitors create a vertical relationship, meaning the association is based only on the one set of stores opened (Liu, Davies, 2007). This particular opportunity led to a 79.3% increase in 2008 and another 3.6% increase in 2009, with 11,365.4 million as the revenue (Aark, 2010). However, the partnerships established allow the John Lewis change into a multiple layer orientation of expansion, allowing them to move beyond competitors because of the diversity offer ed. While this works effectively, the mass amount of partnerships also limits other attributes. There are not as many price cuts and quality differences in most of the retail stores because of the partnerships established. Competitors with independent stores and national chains often move ahead of John Lewis Partnership because of the differences in price and the diversity of products which can be offered (Hall, 2007). TOWS Analysis The
Saturday, November 2, 2019
Boutique Hotels Literature review Example | Topics and Well Written Essays - 3750 words
Boutique Hotels - Literature review Example This has also led to growth of hotels in almost every tourist destination around the world. The recent financial meltdown took a sever toll on the profitability and revenue margins of the hotel industry particularly in UK which whose economy took a major beating after the economic recession. However a recent report published by Price water house Coopers presents a comeback for the hotel industry in UK. The report states a growth rate projection of 7.8 percent in 2011 for London however the other provinces would have a lower growth rate which is pegged at approximately 3.1 percent in 2011. The report also forecasts a moderate growth with regards to room rates in the provinces (PricewaterhouseCoopers, 2010, p.2). The present study would contrite its focus on the boutique hotels in Brighton, UK. The study would try to analyse the marketing perspective of the boutique hotels which would include an analysis of the segmentation and positioning strategies adopted by these hotels. In this co ntext a primary and a secondary study would be carried out. The primary study would comprise of a questionnaire survey which would be conducted in two parts. The first section would cover the managerial aspects of these hotels while the second survey would be aimed at finding out the positioning of the boutique hotels in the minds of the consumers. The secondary study would encompass an analysis of the existing literature on the topic of study. This would include an analysis of the various marketing concepts which would be linked with the practical aspects of the industry. Finally a set of plausible recommendations would be framed on the basis of the analysis of primary and secondary data which could be used by the concerned organizations to create greater value for the organization in the long run. Research Objectives (can put my aim and objective) The main objectives of the research study would be to analyze the different aspects of marketing associated with the boutique hotels. T his would include an analysis of the segmentation, targeting positioning as well as the elements of the marketing mix. The study would also include a discussion on the perception of the managers as well as the general consumers with regards to the concept of boutique hotels. These would be carried out by using a combination of primary and secondary research. The primary research would be based a questionnaire survey and the secondary data in the form of an analysis of the existing literature would be used to analyse and prepare a set of plausible recommendations and conclusions so as to sustain the business of boutique hotels in the long run. Literature Review Market Overview of Boutique Hotels Boutique hotels have evolved as one of the major participants of the tourism
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