Monday, September 30, 2019

Reflective account on End-Of-Life Essay

Last year 23 September 2012. I had a resident called â€Å"Mrs X† she was a 72year-old widowed living at —, a Nursing Care Home. She’s not a religious type of person as she was Atheist. She has lived in the home for the past two years, and during that time I was assigned as her key worker. Mrs X had One Son and 3 grand daughters they are all regular visitors to the home. She has recently been diagnosed with renal failure, and her life expectancy is only a couple of months without dialysis. In the past Mrs X has made it clear that when her â€Å"time comes† she wants to be able to stay at Belmont House, and â€Å"go quietly†. She has stated that she does not want any treatment that will prolong her life. This means she has chosen not to accept dialysis. A planning meeting, involving Mrs X, her family and health and social care workers has taken place, and a care and support plan has been put in place to help Mrs X to live comfortably at Belmont House . This has included a discussion, led by Mrs X, about her wishes. She has made it clear that she does not want any medical intervention to prolong her life, and this has been recorded in an ‘advance care plan’. Mrs X’s 3 granddaughters are supportive but her son Mark has difficulty accepting the decision, however he realised it’s her mums decision and to respect her mum’s wishes. As well as input from her GP, Mrs X will be receiving regular support from specialist nurses to manage her symptoms and keep her comfortable. Day-to-day care and support will continue to be provided by the care workers. Mrs X’s granddaughters and Mark will spend time with their Mother each day. This was the first time since I began working at the Palliative care unit that I had been closely involved with someone who is dying, and I was upset and anxious about caring properly for Mrs X. My line manager was responsible for ensuring that I am properly trained and supported so that Mrs X‘s needs and the needs of her family are properly addressed. In our discussion with my line manager, I was chatted about my concerns, my feelings, and what I seen as the gaps in my expertise. Mrs X is becoming very tired, spending more time resting. Her skin is very fragile and the risk of skin breakdown has increased significantly. I was experienced and qualified care worker, but I and my colleagues need to be highly skilled in managing Mrs X’s skin so that it does not break down causing her addition distress. I was given by an additional training in this area so I feel confident and able to take proper care of Mrs X’s skin. My line manager always works alongside with me on demonstrated good skin care. This gave her opportunity to observe me, and to demonstrate best practice. She also talked to the nurse specialists, to find out if there are any particular creams or equipment that will benefit Mrs X, or if they have any other advice. My manager given me also a day course for End of life and supporting people to live and die well instantly so I managed to share to Mrs X situation and condition and it works. ï Å  One day she talked to me about her pass. She said when she was youth she had a puppy and 2years later the dog was died. She’s devastated and don’t know how to deal with it until a day she found out she has terminal ill. I found her one day she cried. I came to the situation of sadness and tearful however I kept in myself, and tried to control and showed my professional experience in dealing with it. I talked to her and cheered her up. I asked how was she spent time with her puppy? She smiled and said, lots of time she was enjoy with puppy walking to the fields together, when puppy was tired she open her tongue out and sit and very quiet. She’s smiled when she’s telling all about her puppy’s story. So I came to the point to ask her family. She’s quiet for a while, and then she said my family just came to visit me when I arrived here except my oldest granddaughter. They never visit me when I was at my home. I was interested to listen until she said, â€Å"one day I’m gone no one stay at my home except my oldest granddaughter. I was surprised which I known every time I saw her family came visited her they are smiled and very chatty to the staff. I went to the staff office and I recorded to the care plan and then I reported to my line manager the story. It was my day off when she passed away. My colleague texted me and I rushed to come and see her before the under taker take her away. I was devastated however I managed to talk to her family and offered their drinks and other basics they needs. Her family appreciated my time and hospitality. Until then, I was very aware and to look after well with the people dying. And also the relatives concerns and wishes. Sometimes, it wasn’t easy to talk about end of life issues but it’s important to do. Now that we’ve put our affairs in order and talked about what we want, we can â€Å"put that in a box† as it were, and get on with living one day at a time, cherishing each day together, as I know it’s going to end one day†¦

Sunday, September 29, 2019

Project Management Company

1.0Introduction. Management Consultancies are a relative easy to initiate business to set up since they are knowledge based and do not require expensive tools and specialist equipment. Forming such a company requires only a base, normal office equipment such as laptops, printers, telephones, and internet routers, and competent employees to apply their knowledge to the particular business niche. However, just because it is relatively easy to form any kind of management consultancy – while appreciating that there is a cost involved with setting up any company – it does not simply follow that because a person can, they should. Creating a company takes time, drive, and of course, finance, and should only be considered by those who are ready to do so. There are three signs that someone is ready to set up any kind of management consultancy: They have the essential background, experience, and qualifications in their field, and can consider themselves an expert. They have developed a rich network of peers, like-minded individuals, and potential clients who they can call upon to help the business grow. They have a stable financial background and have at least some knowledge of business management. With those elements in place, if a person has the will, they are likely to be able to launch and run a successful company, but there are still plenty to think about, and that is where a mentor is invaluable. 2.0 Different types of organizational structure. In setting up a new business, one of the most fundamental decisions is what kind of business it will be. There are a number of different options available, ranging from sole proprietorship, through a partnership, and onto a small corporation or even a limited company (Gov. UK, 2015).2.1 Sole Trader.This is the easiest type of company to set up and run, and allows easy accounting and tax interpretation, but can be seen as less professional than some other business types.The sole trader business gives the owner full control over business decisions and are easy to set up and run. They also give the owner full control of the profits but they are not a separate business entity, divided from the owner, and the owner is liable for any debts or liability actions mounted against the company.2.2 Partnership.A partnership is also a popular business structure among smaller companies and form when two or more individuals decide to share a business and become co-owners. A partnership is owned i n the same way as a sole trader company, but the liability is spread over the two or more people who form the partnership.2.3 Limited Company.This form of business greatly increases a company’s credibility and makes it the kind of professional entity that other business’s look to work with. The main issue with a limited company is the very formal procedures that are used to form and control them, and the need for a professional accountant to help keep on top of what can be complex spend and investment. Because a limited company is detached from those who own and run it, there is only a limited liability should it go wrong.2.4 Recommendation for a Project Management Company.Because of its professional connotations and ability to attract investment, it is suggested that the new project management company starts as a limited company, with Charles as the sole shareholder. 3.0 Management Overview.3.1 Definition of modern management.Management is fundamentally a people-orientated venture that is used to organise a team, and accomplish aims for that team and a wider company in general (Robbins and Judge 2014). However, over recent years, there has been focus on what Deming (1993) identified as the seven deadly diseases. These are: Lack of constancy of purpose Emphasis on short-term profits Evaluation by performance, merit rating, or annual review of performance Mobility of management Running a company on visible figures alone Neglecting long-range planning Relying on quality inspection rather than improving product quality Deming countered all of these by identifying a system that countered all of these failures by devising what has become known as Total Quality Management, with the intention of helping the management of better products or services, creating product uniformity, improving product testing and, ultimately, greater sales (Stoner et al, 2003). Following the reimaging of management in light of Deming’s intervention, focus has shifted from the simple organisation of people to a process of producing and maintaining an environment that allows the efficient accomplishment of predetermined and selected aims. These are achieved by managers using what have been identified as the four functions of management: Planning: Identifying the steps needed to achieve a predetermined goal. Organising: Bringing together all the resources needed to achieve the planned goals. Leading: Motivating those on the team to achieve the set goals. Controlling: Ensuring that team members stay on track through open and honest reporting from and to the team. Achieving these goals means that managers must be adept at organisation skills and have the trust of both their own team and senior management. The goal of all managers is to deliver their assigned tasks on time and to an agreed budget, while ensuring that their team members are fulfilled and with due consideration to quality of product or service. Furthermore, a good manager will enact their assigned tasks using the minimum of resources, thereby maximising profitability for the company while satisfying the customer.3.2 Leadership Styles.The effectiveness of a manager depends greatly on their style and how they interact with their team (Adeniyi, 2007). The three fundamental leadership styles are identified as: Autocratic leader. This manager type tends to instruct the team on what needs to be achieved without consultation, and expects the team to deliver as required. Democratic Leader. This manager seeks the input of the team, and discusses the way forward with them, making joint decisions as they arise. Laissez-faire Leader. The opposite of the autocratic leader, the Laissez-faire manager supplies resources but otherwise allows the team to function almost autonomously. Due to the flexible yet well-defined nature of project management, it is suggested that Charles adopt a democratic leadership style with his sub-managers, since they will have customer-set goals and only really require resources and to feedback. 4.0 Organisational Culture. Organisational culture has been likened to the personality of the business, and the overriding feature that defines how a company works and its interactions with suppliers, employees, and customers (Alversson, 2013). There are several types of organisational culture (Drafke & Murtaugh, 2009), of which the main ones are: Clan culture. These are family like and tend to focus on mentoring, nurturing, and creating a workforce that feels comfortable and works well together. Power Culture. Key to this is firm control by a few high ranking members, and tends to be found in either smaller companies or discrete sections of larger companies, since it would be difficult to run a large company with such a culture. Key elements mean that decisions can be made quickly making the culture highly reactive. Adhocracy culture. Sometimes referred to as forward looking cultures, these tend to be entrepreneurial and dynamic, and promote an air of risk taking and innovation. Companies with this culture tend to pride themselves on being market leaders and attempt to do something new ahead of possible competitors and the market in general. Role Culture. This type focusses on assigning individuals specific roles with a certain job description and does not allow much scope to step out of that role. They tend to be rigid and are renowned for being very task-focused. Cultures such as this are found in companies that specialise in high technology or businesses where roles are determined by knowledge, making it difficult or someone without specific skills to be able to step into certain roles. Market culture. The market culture companies are highly results-driven organisations that concentrate on achievement and completing the task in hand. Hierarchical Culture. These are high structured and controlled businesses that concentrate on creating an efficient company that does the right thing. They tend to be run with a well-defined management structure which feeds information down through it and accepts reporting back through the same lines. The project management company planned by Charles will start with a smaller number of employees but they will have highly specialised tasks to carry out – such as detailed project management – therefore the Role culture is likely to be the best fit for his business.Since there is only a few employees to start with, the feeding out of information can be handled via team meetings, making communications easy and fluid. Business perception relates to the way in which people – either employees, competitors, or customers – relate to a company, which can affect how they interact with that company (Schnaky, 2008). How a company is perceived may impact on how others work with the company which in turn can affect their long-term profitability and their ability to operate in the market. 5.0 Organisational Strategic Objectives. This report has outlined some of the areas that Charles, the business owner, should examine in order to establish a successful company and gives indication of the type of culture he should aim for. However, rather than simply indication certain aspects of the business, it becomes important to define particular strategic objectives for Charles to establish. It has been suggested in section 2.4 that Charles strongly consider establishing his business as a limited company, as that will give him extra credibility in the business world, and he is likely to be able to attract the right calibre of technical staff to5.1 Strategy Roadmap.Charles’ company is expected to follow a specific pathway to success, built on his company’s specialist knowledge of project management and innovative work systems. This means that the corporate strategy needs to be based on a culture of innovation and the highly-desirable skillset that his employees have. The structure of a corporate strategy built on innovation is shown in figure 1, below. Figure 1: Charles’ Corporate Strategy. With the company firmly seated in the high-skills, technology, and innovative work streams, Charles can build up a suitable processes that reflect the kind of business that thrives in highly specialist markets such as detailed project management. The second layer of the strategy is based on the fundamental processes that the company will employ every day to deliver customer excellence. These processes will encompass innovation in deliverables in which the project management element will keep abreast with the current practices in the field, and project management practitioners kept fully trained as appropriate. Operations process will dictate how the technical staff will interact with customers, while business growth will be the focus of sales and marketing processes. The goal of the sales and market department will be to grow the visibility of the company and create a customer experience that entices return custom through a positive experience in all dealings with the company. Customer feedback will further allow the company to innovate and to modify their services based on what customers actually want rather than their own perception of what customers need. By delivering the correct product and service, Charles’ company can experience substantial growth through returning customers as well as picking up new business through the correct marketing strategy and customer recommendations.5.2 Managing the Strategy.With the correct strategy in place, the management becomes easy since all members of the company understand what is required of them and departments that they deal with to streamline all operations. As already stated, it is suggested that Charles adopt a Role culture into the company so that people are aware of what they need to ach ieve within their work sphere, but are able to take direction on other tasks as necessary. This means that self-management is carried out to the greater extent, with Charles and his senior management team – which is expected to comprise himself as chairman, a Finance Director, and a Sales//Operations Director – offering overall direction for the company, leaving day to day management to area managers and individuals, empowering them to stretch goals (Vandeveer and Menefee, 2010). This will add a flexibility to the company that is attractive to potential customers, which, together with the obvious innovative ethos of the company, will help boost sales enquiries. The management system and strategy set out for this company does not have to be binding, and with future growth, it may be necessary to consider different strategies and management styles that will be more befitting the organisation as it grows. This means that Charles will need to assess the company on a regular basis to assess whether a new direction in strategy and style may be of greater benefit. 6.0 References Adeniyi, M. (2007) Effective Leadership Management. Authorhouse, Bloomington, Indiana. Alversson, M. (2013) Understanding Organizational Culture. Sage Publications, London. Deming, W. (1993) The New Economics for Industry Government, and Education. MIT Press, Boston, Massachusetts. Drafke, M. and Murtaugh, J. (2009) The Human Side of Organizations. Prentice Hall, New Jersey. Gov. UK (2015) Choose a legal structure for your business. [Online] Available from https://www.gov.uk/business-legal-structures/overview. [Accessed 11th December 2016]. Robbins, S. & Judge, T. (2014) Essentials of Organizational Behaviour. [Online] Available from http://bba12.weebly.com/uploads/9/4/2/8/9428277/organizational_behavior_15e_-_stephen_p_ robbins__timothy_a_judge_pdf_qwerty.pdf. [Accessed 11th December 2016]. Schnaky, K. (2008) Perceptions of Organizational Culture by Employee Level: A Case Study. [Online] Available from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.591.2797 &rep=rep1&type=pdf. [Accessed 11th December 2016]. Stoner J., Freeman R., and Gilbert, Jr. D. (2003) Management. Prentice-Hall of India, New Dheli. Vandeveer, R. & Menefee, M. (2010) Human Behavior in Organizations. Prentice Hall, New Jersey

Saturday, September 28, 2019

Common Core Essay

The common core is a set of standards which were developed by state leaders along with teachers, school administrators and many other people, not the Federal Government. The common core has standards. Standards which are not curriculum. Standards that â€Å"do not tell principals how to run their schools, and they do not tell teachers how to teach. Local teachers, principals, and district administrators ultimately decide how the standards are to be met and the curriculum to be use† (Laine and Minnich). The school districts still have to choose which textbooks to use and, which curricula they wish to add and drop. The basic standards of the common core are: Aligned with college and workforce-training expectations; Rigorous in content and include the application of knowledge through higher-order skills; Built on strengths and lessons taken from state standards; Informed by standards in top-performing countries, so that all students are prepared to succeed in the global economy a nd society; and Evidence-based, clear, and aligned across a child’s K-12 education. The common core has many pros and cons to reforming the education system. In the Article The common core is a change for the better the authors mention that the common core provides a good foundation on what needs to be taught (Gardner and Powell). The authors also touched on the fact that students nowadays are â€Å"more mobile than ever†, families have to move around more to follow and find available jobs. With the common core all across the Country have the same standards. There is some consistency within all schools in America. If a family was to move from Maine to Nevada, it would be quite impossible to expect things to be the exact same. However, you can still have an idea of the standards and know what to expect. This is a great thing about the Common Core. Every Student this way is exposed to the same standards. Once students are mingled together in colleges and universities across the country the professors can expect almost every student to be able to do the same things, to a degree. Not to say that every student knows the  exact same co ntent, however they will all have graduated high school with the same skills. Skills that may be taught in a variety of styles, none the less resulting in the same skills. The common core requires teachers to be very specific and hand out rubrics, stating exactly the quality of work that is expected. This eliminates the confusion that can arouse from complicated projects or open research topics. The students will know exactly what the teacher is requiring of them. Ultimately making it easier on the students to provide what the teacher wants and getting the highest grade possible if the students puts in the effort required to meet the expectations. Effort: defined as â€Å"an earnest or strenuous attempt† by dictionary.com, is where a problem arises in the common core. The common core standard â€Å"Rigorous in content and include the application of knowledge through higher-order skills† is asking 21st century students to put in lots of effort, they can’t ask Siri to write their English paper or do their history project. Most high school aged students in the United States are not going to put in the required effort to achieve rigorous assignments. I know that when I was in high school my attitude was ‘if I wait to the last minute it only takes a minute’. That’s not because I was swamped with assignments or didn’t understand it. It was because I would rather be doing anything else, after having spent all day in classrooms with new information being drilled into my head. The absolute last thing I wanted to do was go home and spend more hours on homework. Making high school more rigo rous is going to prevent kids from being kids. Students in the United States are less motivated to learn and value education less and less. Stephen Krashen says that another problem with very rigorous assignments is â€Å"CCSS are so demanding that in English language arts classes, educators and students will have little time for anything not directly linked to the standards† (Krashen). I do not quite agree with this statement because the standards are not the curriculum being taught, just the way it is being taught. Teachers and schools have some free space to spend as much time as they feel necessary to focus on aspects they feel more important. The common core has pros and cons, just like anything in life. One set of standards isn’t going to please everyone in the United States. My personal opinion is that the common core has good intentions, but may be a bit unrealistic. If every school in America was teaching the same skills to the same degree, all students would have the same experiences entering college. There are 50 states with thousands of different schools in each states. Within those thousands of schools there are teachers who all have their own style of teaching. Not to mention the millions of students that all learn a little differently at a different pace. What are the odds that every state school, and teacher are able to provide every student with the exact same skills, using the exact same standards? There are good intentions behind it, and the United States can give it a chance, but I feel as though it may be unrealistic. Works Citied Fine, Sarah. â€Å"Moving Forward With The Common Core.† Education Week 30.8 (2010): 18-19. Professional Development Collection. Web. 16 Mar. 2014. Gardner, Nancy S. Powell, Rod. â€Å"The Common Core Is A Change For The Better.† Phi Delta Kappan 95.4 (2013): 49-53. Professional Development Collection. Web. 16 Mar. 2014. Krashen, Stephen. â€Å"THE COMMON CORE. (Cover Story).† Knowledge Quest 42.3 (2014): 36-45. Professional Development Collection. Web. 16 Mar. 2014. Richard, Laine, and Chris Minnich. â€Å"Common Core: Setting the Record Straight.† Education Week 32.36 (2013): Web. 16 Mar. 2014

Friday, September 27, 2019

Uncalculated Risks Essay Example | Topics and Well Written Essays - 500 words

Uncalculated Risks - Essay Example The above issue takes centre stage as to why licensing is not a compulsory issue for drilling engineers, while the aeronautical industry requires that all engineers in its field be licensed. In addition, the experience of these engineers is in question following the lack of need to attend classes for academic qualification. Rather than this, all that is required is experience, and this does not allow the engineers to make sound decisions, as they cannot calculate the cost of their negligence or lack of knowledge of the technicalities involved. As such, further concerns come up as to whether having licensed engineers would culminate in responsible conduct and decision making at drilling rigs. The exemption of licensing for these engineers is to be thought of again and a sound decision made regardless of the political pressure involved. The practice of exempting drilling engineers from getting licensing stands to be unethical owing to the lack of accountability to the public and that the said persons cannot stand prosecution. This is because if they are accountable, their accountability is only owed to their employers and the shareholders of the said company for which they work. In addition, the lack of licenses for engineers points to their ability to get away with their mistakes and failures to follow standard operating procedures that have been approved. Mitigation practices would entail passing legislation that cuts across the board on a federal scale rather than state law. This is to ensure that in light of public concerns and their safety, all engineers have undergone training and are licensed. This allows employers to distinguish clearly between unscrupulous persons masquerading as engineers, while they are not willing to take responsibility for their actions as they lack qualifications to comprehend the gravity of their mistakes. As such, having a central

Thursday, September 26, 2019

Testing CAPM Essay Example | Topics and Well Written Essays - 1500 words

Testing CAPM - Essay Example For better clarity in the results, the number of replications was set to 1500. The bias and the accuracy of the significance tests are provided below for each observation value. From the above results, the bias for the YSeries is -0.331 and has a very low standard deviation of 0.008. The RMSE (Root Mean Square Error) is an absolute measure of the residuals. A low value indicates a better fit. The RMSE is relatively higher for the Intercept in comparison to the RMSE values for the XSeries and YSeries, suggesting that the latter two parameters exhibit a better absolute fit to the given data. The EDFs from the analysis is shown below: Based on the above results, X5% should be 1.96 for the null hypothesis to be true. However, the upper tail quantiles in the case of both variables (XSeries and YSeries(-1)) lead to the rejection of the null hypothesis since their 5% values exceed the critical value of 1.96. The null hypothesis in the case of both the variables is that H0:  µ =  µ0 for a given value  µ0 (sample mean). The alternative hypothesis in either case states that Ha:  µ ≠   µ0, indicating a two tailed test. The power indicates the probability of rejecting the null hypothesis when the true mean differs from the hypothetical mean. From the above two cases, the power for YSeries(-1) is much greater than that for the XSeries indicating a greater probability for rejection of the null hypothesis in the case of the latter. The figure below shows the bias for the parameters when configured for 30 observations. It appears that the bias has reduced in the case of both estimators as a result of this increase in the number of observations (compared to the earlier simulation with 10 observations) indicating that the new estimates provide a better fit. The RMSE values have also reduced suggesting a similar conclusion. However, the higher RMSE value for the intercept indicates a comparatively lower fit with respect

Take home question Financial Markets of Latin American Essay

Take home question Financial Markets of Latin American - Essay Example However, they -as well as other emerging markets as China or Eastern Europe- appear to be overcoming this crisis much better than more mature markets as USA or the European Union. Some analysts explain that this fact is due to these countries costume and tradition of facing continuous tensions and crisis, situation that have led them to develop "overcoming mechanisms"2. According to Manuel Romera, the Latin-American countries have few to fear from this situation, since they are "those countries that are the most used to difficult and tension moments, being so the most prepared to overcome the crisis". I coincide with this hypothesis because, to my mind, if during the coming decades these countries are able to achieve solid organisational models to simultaneously stimulate innovation and efficiency, it would be seen how theses economies experiment unknown levels of development. It should be beard in mind that Latin-American economies are rich in natural resources and primary materials (resources more and more precious in such a shortage world, characterised by a frantic economic growth). Nevertheless, and once the risk of contagion is being avoided, let's remark some other facts that condition the S

Wednesday, September 25, 2019

Grief Essay Example | Topics and Well Written Essays - 2000 words

Grief - Essay Example This essay seeks to explore the reasons behind grief and whether it can be "treated" like a medical condition through psychological measures. There will also be a discussion of the different sources and forms of grief as psychological phenomena. Central to the understanding of Grief as a mental condition, are the different reactions people have to it , and recent academic opinion tends to avoid the traditional conceptions of grief being a " process" which is predicable in every sense. The new ideas seek to compare and evaluate the different responses of people to different kind of grief which has a lot to do with their family and gender orientation as well as religious and spiritual beliefs. A connected concept is bereavement, which implies a loss in ones life of a loved one or family and has the connected danger of transforming into a mental disease. Over the years there have been a number of physical and psychological therapies and counseling which have been developed to counter this traumatic time for people. Yet many people fare better in physical downfalls rather than emotional pitfalls involving grief and loss.The debate goes on about the whether grief "strikes like lightning" and kills slowly. Many academics like Dr. Elisabeth Kbler-Ross have spoken about how grief has certain stages involving anger and denial. Other psychologists deny the cyclical treatment of grief and look towards common experiences of people with in the themes of numbness ,yearning and despair. 1The stages of Grief It can be said that there is a difference between normal and abnormal grief (Engel 1961) and grief can be defined as "involving suffering and an impairment in the capacity to function which may last for days weeks and even months .We can identify a constant etiologic factor namely .real ,threatened or even fantasised object loss. It fulfils all the criteria of a discrete syndrome with relatively predictable sympatomatology and course. The grieving person is often manifestly distressed and disabled" Another academic notes that, "Whenever one's identity and social order face the possibility of destruction, there is a natural tendency to feel angry, frustrated, helpless, and/or hurt. The volatile reactions of terror, hatred, resentment, and jealousy are often experienced as emotional manifestations of these feelings."2 Medical and psychiatric opinion suggests that grief causes physical and stress related illnesses like bodily pain and asthmatic difficulties. Grief has also been recorded to cause death (Engels 1961) and it is said that it increases the risk of suicide amongst the aggrieved. Some writers have argued that there has to be a line drawn between grief and abnormal grief (Wilkinson 1999).The symptoms of abnormal grief are both physical and mental and include conditions like nightmares, asthma, insomnia, and loss of appetite. (Engels 1961 and Wilkinson 1999).Many people will try and avoid the pain by abusing medications and others report loss of libido and even hallucinations.(Engels 1961). The diagram on the left explains in simple terms the relationship between grief, bereavement and mourning The biggest misconception has been traditionally to assume for the people struck with grief that "time heals all wounds". Much rather if the condition of Grief is not treated and

Tuesday, September 24, 2019

Industry Analysis Essay Example | Topics and Well Written Essays - 250 words

Industry Analysis - Essay Example and retail companies from the US, such as The Cheesecake Factory, Cold Stone Creamery, and WokNRoll so it is clear that Kuwait accepts US retail experiences with open arms. A one area lacking in the Kuwaiti food industry is a specialty grocery sector. The good news for Whole Foods is that the food labeling standards are more relaxed in Kuwait than in the US. Moreover, many cultural events in Kuwait involve food at any social occasion, and this could be the reason obesity is increasing rapidly in the country. Introducing Whole Foods in their diet will minimize fast foods that lead to obesity. In Kuwait, cupcakes are sugary foodstuffs that most young adults make, sell, and start a business from, which contributes to the high obesity in Kuwait. People of Kuwait treasure good health that is why they seek solutions like therapists and exercise to avert the obesity conditions. This will offer the organic food a chance in the market since it is inherently healthy without obesity effects. Globalization is taking place in many different areas; the growth and spread of information media are seen to be part of the culture of globalization. Despite the growth of globalization, the Kuwaiti national identity remains

Monday, September 23, 2019

Choose one topic from the suggested topics on Hamlet. I will upload Research Paper

Choose one topic from the suggested topics on Hamlet. I will upload again - Research Paper Example Hamlet serves as one of the greatest tragedies ever produced not only in the history of English Literature, but also in the history of all literary pieces of the world at large (Mack 44). Created by the illustrious dramatist of all ages William Shakespeare by 1602, the play concentrates upon the revenge to be taken by the protagonist Hamlet from the King Claudius for murdering his father while his sleeping in the orchard (Evans 197). Shakespeare has elaborated the theme of the play in a powerful manner through various characters involved into the developments associated with the revenge in one way or the other, which proves his command over depicting both goodness and evil (Daiches 562)-- the elements that exist in every personality as well as in all social establishments of the world without discrimination Macionis 130). Consequently, the playwright has skillfully portrayed the phenomena existing in the social, natural and physical environment of humans at large. By making a critica l examination of the protagonist, it becomes crystal clear that on the one side, Hamlet appears to be the representative of goodness, who looks determined to punish the cruel and treacherous murderer of his father (Bloom 410-11); and on the other side, he is confused and reluctant to kill Claudius while he is praying and meditating in his chamber (III, iii, 73-96). It successfully demonstrates the external and internal conflicts Shakespeare aims to define in the play (Denton 2009) through his characters. The internal conflicts haunt Hamlet first due to the his mother’s second marriage to Claudius within few weeks of the death of her first husband. It is therefore, he laments that even a beast, wanting the discourse of wisdom (I, ii, 149-50) could wait more than her mother, who did not bother to delay her incestuous marriage for some appropriate period of time even (I, ii, 156-57). Hence, Hamlet mourns the death of his father in the same manner that had been in vogue in the El izabethan era (Kirsch 21), where he has demonstrated his sheer feelings of love for his father by exclaiming that his inky cloak (I, ii, 77), reflects mere a small proportion of his grief. Similarly, he also experiences internal conflict on finding his uncle at the position of his father, though he is far inferior to his father in all regards, in the same manner that ordinary people are inferior to the mighty Hercules (I, ii, 153). Secondly, disclosure made by the ghost of his father regarding his foul and most unnatural murder (I. v. 25), also endorses his suspicion regarding Claudius’s hand in the murder of his father. Since Hamlet has learnt about the story of his father’s murder, he is urged by the ghost to take revenge from Claudius of such a cruel and unfair crime he has committed against King Hamlet. Hence, the ghost’s disclosure about the murder of King Hamlet turns Prince Hamlet aggressive, who prefers to stay in Denmark rather returning to Wittenberg t o continue his education. Inner conflict Hamlet undergoes could be discovered while his dealings with Ophelia, the girl he has been in love with. He not only intends to marry her, but also obtains a powerful response from her side too (III.i.112–

Sunday, September 22, 2019

Position Paper Essay Example for Free

Position Paper Essay I had chosen the topic for the response paper about the choice of Sarah Palin as the running mate for John McCain. In this position paper, I try to develop my position around the same topic and I would develop the paper around the choice and how it is affecting the presidential campaign. I use the response paper for the topic but only to that extent that I use it as a base. My main thrust in this paper would be on putting the nomination of Sarah Palin in perspective. Choice of Sarah Palin There was universal surprise when Sarah Palin was picked as the vice presidential nominee. When everyone was expecting Joe Lieberman or someone else to be picked as the vice presidential nominee, the McCain camp pulled a rabbit from the hat in the form of Sarah Palin. This left many observers stumped and people were left wondering about the real reasons. There was intense speculation that this was part of a move to counter the Democratic campaign and the appeal of Hillary Clinton. With Hillary no longer in the reckoning, the perception was that Sarah Palin could draw away some of Hillary’s supporters into the Republican fold. Others saw it as a kind of maverick stunt that could upstage the rock star appeal of Barack Obama. What no one could have anticipated is the electrifying effect that Sarah Palin had on the electorate immediately following her nomination. The entire campaign was energized by the â€Å"Palin Effect† and suddenly the Republicans were back in the reckoning. Her go-getter image along with her stylish attire has caught the imagination of the public. However, there is a sneaking suspicion that she is all glamour and not substance. She has the charm of a â€Å"Kennedy, Clinton or a Reagan† (Mayer, 2). She also can draw crowds and hold their attention. It was this very ability that made the McCain camp plump for her to get the star appeal to the voters. Media Management Sarah Palin looks good on TV and she is the favorite of the right wing media. Though her appearances in the public rallies have been highlighted, what is also glaring is the fact that she has not given too many interviews and has not appeared on the popular talk shows like Larry King Live. And whatever chances she had with other networks, she turned in a less than favorable performance. In recent days, much has been made of her $150,000 attire and the way in which she has been â€Å"made up† with lot of effort. However much this has been played up for the benefit of the voters, there are some who see this as mere gloss and unlikely to have an effect on the larger electorate. The Insider’s Choice? While there have been several articles in the media about how Sarah Palin has been a wild card, Jane Mayer of The New Yorker thinks otherwise. As I pointed out in my response paper about the article that she had written, where she had laid out the case for Sarah Palin being backed by influential members of the Republican Party, there is no conclusive point about Sarah Palin being an outsider. But there are enough indications to indicate that she has been favored by the Republican insiders who wanted someone to counter the charismatic appeal of Obama. While the point of this position paper is not to contest the claim of Sarah Palin being selected or not by a power group, nonetheless it throws light on the happenings of the Republican Party as they went into election mode. It is indeed a powerful choice as reflected in the approval ratings after her nomination. Her â€Å"Star Power† is sure bound to get the ticket some badly needed swing votes in the upcoming election. As we see in the next section, Sarah Palin has become what some commentators have been calling the â€Å"Attack Dog† of the Republican camp. Attack Dog In recent weeks, Sarah Palin has taken the attack to the Democratic camp. First, by portraying Obama as someone who is â€Å"palling around with terrorists† an apparent reference to his earlier friendships with Bill Ayers, a sixties left wing radical and then by proclaiming that Obama wants to turn America into a â€Å"socialist paradise†. These have left the Democrats seething with anger and the hard core among the Republican camp egging her on. Of course, this has led to resentment among moderate Republicans and as the title of this article says Palin is diving more than uniting the faithful. Pro-life and family matters Sarah Palin’s pro-life stance has drawn attention towards her own family and her daughter in particular who is single and pregnant. This has provided ammunition for the Democrats though there was enough damage control exercise done. This raised the question of how much of vetting the McCain camp did before zeroing on her. And this left many wondering whether the McCain camp had done their homework particularly after she was found to have used her position as Governor of Alaska to influence some decisions in her family’s favor. Economic Policies Even on the subject of the tax breaks or the other proposals to shore up the economy, Sarah Palin comes across as a shrill voice adding to the clamor on Capitol Hill. There is no fresh approach to the vexed question of how far and how much should the government intervene in bailing out Wall Street. My way politics Most pertinently, Sarah Palin is practicing what can be called the â€Å"My Way† politics. In the words of one critic, Celtic Diva (17), â€Å"Palin is transforming her base into a lynch mob†. What she is effectively saying is that her way is the only way and her supporters are the true supporters and the like. Though this may appeal to the radical right, there are nonetheless large swathes of Republican voters who would not be comfortable with this kind of rhetoric. And it is leaving an overall sense of polarization in the country. This makes for hardly good news for a country that is deeply divided in the aftermath of the presidential elections of 2000 and 2004. Liability for McCain? While the first sections of this paper examined how Palin became a star in the initial stages of the campaign, it is now apparent that unless she comes up with some new ideas, she would become a liability instead of the trump card that the McCain camp was hoping for. Conclusion As I mentioned in the title of the article, Sarah Palin has increasingly come to divide the electorate rather than unite them. As Basu states, â€Å"Palin should aim to Unify rather than polarize†. Her strident approach towards Obama’s proposed policies and the trenchant criticism that she reserves for her opponents are just indications of a personality that thrives on divisive politics. While this would have been tolerable in times gone by, what this country needs now, with all the economic crises and a war that has no end in sight, is a healing figure that can re-energize the country and make Americans look forward to their place in the world. As we head into the last days of the campaign, we can expect more of the rhetoric from Palin and an increasingly strident stance. It remains to be seen how the electorate would respond to this ticket as well as the Democratic ticket on Nov 4, 2008.

Saturday, September 21, 2019

The Telecommunication Sector Digi Economics Essay

The Telecommunication Sector Digi Economics Essay The market organization is in the way in which a market is planned, derived from mainly on the quantity of firms in the business. The four essential market organization forms are perfect competition, monopoly, monopolistic competition, and oligopoly. The most important dissimilarity among each one is the amount of firms on the provide area of a market. Equally perfect competition and monopolistic competition contain a great amount of comparatively little firms advertising production. Oligopoly has a small amount of comparatively great firm with whereas, monopoly has an only firm. (Economic Glossary) At one side of the scale we position perfectly competitive firms, is firms that have no control over the price of wares they produce as shown in figure 1.2(refer to appendix). A perfectly competitive firm has to take any price for its goods the market offers, it is a price takers. Another end of the scale of market structure is the monopolies. A monopoly is a single firm that produces the whole supply of a particular good and gives the authority to put market prices before merely respond to them. All firms with such control are price setters. In the meantime the boundaries of monopoly (no competition) and perfect competition lies in different form of imperfect competition, including duopoly, only two firms supply a particular product, oligopoly, a few huge firms supply the most or entire of a particular product and finally the monopolistic competition, numerous firms supply effectively the same product, but each one enjoys considerable brand loyalty. (Schiller, 2009) In the telecommunication sector DiGi is a top mobile communications company given that an inclusive choice of reasonable, suitable and simple to use wireless services to make things much easier and develop the lives of its consumers. They build value for their customers through selecting the most suitable critical edge technology so that they profit from goods and services that give them option, ease and manage. (Jobstreet.com) DiGis financial performance in 2009, even though a hard working environment, Group profits rise by 2% to RM4.9 billion and our subscriber base grew by 8% compared to the earlier year. The small turn down in EBITDA margin to 43.3% for the year was an outcome of improved transfer and network working costs as well as transportable internet expansion costs and advanced allowance for doubtful debts due to the economy. Their operational cash flow of RM1.4 billion achieved in 2009 was above the RM1.2 billion we guided for the year. All the way through 2009, they continuously invest in their network. Total capex for the year was RM718 million. Of this, RM300 million- RM400 million was invested in increasing their mobile internet footprint and the balance was focused on ability and value enhancements of their 2G network, as well as service improvement. In 2009, they were awarded the Gold Award for Best In-house Customer call centre by the Contact Centre Association of Malaysia (CCAM). (DiGi A nnual Report, 2009) In 2010, they ongoing on an expedition to update our communications to develop the value of service and drive rate effectiveness. They invested RM720 million in capital expenses, of where a significant part is allocated for increasing their mobile broadband and mobile internet footprint. They also improved the ability and value of their 2G network to provide our rising amount of consumers. DiGi is benchmarked next to top service business organization considered through the Forrester Index to make sure their constant development in consumer skill. They launch a quantity of inventive promotion that set them distant in the competitive voice market in 2010. In the Prepaid sector, they were pleased that our DiGi Easy Prepaid proposition gained strong traction. All in all, our prepaid consumer support rise 13.0% year on year to 7.3 million while total income greater than before by 5.5% in the similar stage. (DiGi Annual Report, 2010) There are few characteristics of oligopoly in the telecommunication sector. There are three barriers to entry are economies of scale, ownership of a key input, and government-imposed barriers. The most important barrier to entry is economies of scale. The greater the market of scale, the fewer the quantity of firms that will be in the industry. If production of a good requires a particular input, then control of that input can be a barrier to entry. Firms sometimes attempt to have the government impress barriers to entry. The government also impresses barriers to entering several businesses by commanding tax and quotas on overseas competition. (R. Glenn Hubbard, 2008) Non-Audited financial statement for the second quarter of 2011, whole net operating profits improved with 9.95%, since MYR 1,335,096 thousands to MYR 1,467,998 thousands. Working effect declined from MYR 385,717 thousands to MYR 348,092 thousands which revenue75% transform.  Results of the period decreased -15.12% getting MYR 236,318 thousands at the end of the period aligned with MYR 278,408 thousands last year. Return on equity (Net income/Total equity) went from 20.08% to 18.97%, the Return On Asset (Net income / Total Asset) went as of 5.71% to 4.79% and the Net Profit Margin (Net Income/Net Sales) went from 20.85% to 16.10% when evaluate to the same period of last year. The Debt to Equity Ratio (Total Liabilities/Equity) was 295.83% compared to 251.90% of last year. Finally, the Current Ratio (Current Assets/Current Liabilities) went from 0.57 to 0.50 when evaluate to the previous year. (EMIS) Due to surrounded reasonableness and various consumption, customers find it hard to make head-to head cost-benefits comparisons and thus build the products appear to be to some extent non-homogenous a not completely substitutable for one another. These firms are also opposing and differentiating all the way through demand stimulus (shifting the demand curve) by organizing SMS contests, sponsoring shows like Malaysian Idol which support SMS voting, etc. where the SMS charges are priced much advanced than usual SMS charges in order to drive higher non-voice revenue and productivity as illustrated in figure by Maxis, Celcom and DiGis 2010 announcements below. (http://www.slideshare.net/amiwaleed99/maxis-economonics-assignment) TASK TWO An economic cycle is also known as a trade cycle or a business cycle which refers to the usual fluctuations in a market as a total. As Keynes describe, an economic phase is collected of cycle of excellent deal with increasing prices and high employment percentages, followed by periods of terrible trade with diminishing prices and high unemployment proportion. (Vengedasalam, 2007) Business cycle is discontinuous rises and declines in stage of trade and industry. A downturn is a stage of decline in whole production, profits and employment. This recession, which lasts 6 months or further, is marked by the well-known reduction of production activity in numerous sectors of the economy. A recession is more often than not followed by a recovery and development, a period in which real GDP, income, and employment grow as shown in figure 1.1(refer to appendix). (Campbell R., 2010) When we talk about increasing or constricting, we envision changes in the objective measure of goods and services produced. But the objective quantity of production is almost impractical to measure. So we measure the volume of production by its market price, not by its corporeal volume. Because prices differ from one year to another, GDP yardsticks must be adjusted intended for inflation. Assume that from one year to the next all prices doubled. So unadjusted quantify of nominal GDP would give us a false analysis, we may think production was speeding forward when in actual fact it was positioned still. (Schiller, 2009) In outlook toward the Malaysian economy, these are the impact of the business cycle for the past three years 2009, 2010, 2011 and the consequences faced by the government. In the year 2009, Bank Negara Malaysia has maintained a preventative advance to monetary policy. Previously in 2008, price increases was ascending because of the quick and considerable raise in provisions and power prices. The OPR, though, was left unaffected. The measurement of the Bank was that the food and energy price increases were hugely supply determined. Increasing interest rates beneath these circumstances would have a partial collision in containing inflation. This was the major deliberation within the assessment to keep up interest rates even though assertions that the Bank should have strictest monetary policy. Whereas household demand circumstances be fairly sound, the rigorous subside in exports, and the dejected economic viewpoint for quite a few of Malaysias main trade associates destined that major strategy maintain would be required to avoid the economy from inflowing a deep and extended downturn. With inflation decelerating, Bank Negara Malaysia frontloaded the interest rate cuts to reduce the market from a fast declining international economy. Overnight Policy Rate (OPR) its concentrated by the Bank by a total of 150 basis points beginning from November 2008 to February 2009 to 2% as shown in chart 1.1(refer to appendix). During a dilemma position, interest rate deduct with themselves are not satisfactory. Some corresponding procedures were also brought in to achieve particular sectors of the financial system. Therefore, as well as reducing rates of interest, the Bank besides introduced a amount of under attack procedures toward make sure sustained contact to financing, provisional expansion of security net, protection the cost of prosperity and actual profits of depositors and lessening extremely defenseless borrowers commencing the complete collision of the calamity. The decline in rate of borrowing in addition to procedures undertaken to make sure undisrupted credit flows to the economy were doing well in supporting financing action. Even though financing development measured in the beginning element of the year, credit flows had sustained although existing downturn circumstances in the household with exterior part of the economy. (Annual Report, 2009) Chart 1.2(refer to appendix) By the start year 2010, monetary indicators are signaling to facilitate the international downturn was retreating. International development was being lead through a recover within industrialized also an expansion in the stock cycle. Symbols of development are apparent from trade sales, customer self-assurance, and the accommodation markets. Global trade was as well starting to rise up. The amend in point of view was mirrored by the considerable growing reconsideration toward 2010 international development estimate by the IMF during January 2010 keep posted of the World Economic Outlook (WEO) as shown in chart 1.3(refer to appendix). In the meantime, price rises was predicted to ascend progressively but stay low all the way through the year. Procedures of interior rise and demand indicators recommended the possible materialization of demand through inflation later in the year, aligned with the upturn in require circumstances. Demand linked pressures on inflation, though, be predicted toward stay moderately self-effacing as shown in chart 1.3 and 1.4(refer to appendix). The work of financial implements becomes more diversify in 2010. Even though uncollateralized borrowings remain the major implement used (for 62.7% of incomparable economic policy implements), there be a substantial raise to securities base fiscal procedure instruments (2010: 37.3%, 2009: 20.2%). Bank Negara Malaysia Monetary Notes (BNMN for usual and BNMN-i for Islamic money markets) be ever more use in 2010 when there have be tough appeal for these securities by shareholder, mostly non-resident shareholder. These new organization would demand to a huge base of shareholder set the tighter conformity through Shariah supplies of diverse jurisdictions. In order by the visualization of Malaysia being an Islamic Financial Centre, the Bank will maintain toward grow original and supple Islamic monetary implement that are broadly suitable between international investors.(Annual Report, 2010) In the year 2011, financial display recommended that the upturn of the international economy was ongoing, even though the development presentation varies obviously across area. GDP development was predicted to stay vigorous at 5-6% as shown in chart 1.5(refer to appendix) for 2011. Inflation was estimated to rise in 2011 compared to 2010. Supply factors would be the most important source of inflation throughout the year. In December 2010 the amendments to the manage value of fuel goods would certainly increase heading price rises. Increasing worldwide force and provisions prices were likely to use rising force on firms expenses of production. Figures released in February in chart 1.5(refer to appendix) showed GDP development was constant at 4.8% in the fourth sector of 2010. Highly developed indicator and dealings of customer response keen to a sustained optimistic outlook designed for personal use. Comment beginning the Banks industrial actions recommended continuous development of service and income, which would be more sustain by the firm service value in the opening partially of the year. All the way through the year, the household money market and liquidity in the stock scheme be affecting by growth in the worldwide economic markets and unpredictable collection course. In general circumstances in the household money market, on the other hand, remained flexible to the worldwide financial confusion. Interbank markets sustained to function below a excess liquidity situation, among the entire contributor left behind as net lenders all through the year. As at end-2010 total excess liquidity increase starting from RM299.2 billion to as high as RM397.5 billion at June 2011 as shown chart 1.6(refer to appendix), before past it in the second half of the year. Quite a few raise schemes were apply in 2011 to raise the prepared effectiveness of monetary procedure and improve the diversity of capital market implement. The Range Maturity Auction (RMA) was completely operational throughout the year and develop into part of normal monetary process. (Annual Report, 2011) TASK THREE The telecommunications industry in Malaysia and the district is predicted to confront test in 2011 as of a growing voice market, fibre roll-out, and original technologies together with LTE as well as greater than ever consumer outlook. These are the few strategies used by these two companies Maxis and DiGi. The macro-economic environment in 2010 improves over 2009, a year during which performance of global financial markets exaggerated Asian economies. In opposition to the negative 1.7% recorded formerly, the Malaysian economy grew powerfully in 2010, registering a growth rate of 7.2%. Growth was fuelled by high confidential expenditure and continuous public division spending. On the other hand, the Malaysian telecommunications industry concerned many new entrants in the year beneath assessment, together with in the broadband sector. This, coupled with powerful competition in the midst of accessible players, reflected the gradually more challenging working environment. Customers continued to demonstrate a tough desire for mobile phone internet services and substance in addition to Smartphone and tablets. The varying scene has proposition for their company form with improved demands on margins. Their strategy for 2011 is divided into three parts, to get the most out of their voice company, to protected statistics admission management and access, and to distribute goods and services ahead of telecommunication sector. In accomplish this plan; we stay aggravated to deliver investor cost throughout presentation improvement, savings to protect continuous outlook profits flow and cautious economic organization. (Maxis Annual Report, 2009) (Maxis Annual Report, 2010) DiGi and the telecommunications sector in Malaysia in 2011 will certainly be an exciting year. Their industry will have a main part to play in building a first-class ICT infrastructure that will not only stimulate this development story but also build a more connected Malaysia in the course of a mature mobile internet and mobile broadband ecosystem. DiGi will maintain to aggressively attend to the growing demand for excellence statistics services in Malaysia. They continue dedicated to advance scheduled growing their complex marks that will also supply for superior rate capability, consistency and value of service. The group target to keep their tough development energy this year. They are aiming to obtain a reasonable distribute of the development in the mobile phone internet and portable broadband sector and further market sector. Being operationally capable will stay behind a main priority. (DiGi Annual Report, 2010) There are few responsibilities that DiGi wanted to do; control and expand existing accounts, accomplish effective account treatment during preparation of sales calls, handling enquiries from customers, gather round competitors information from consumers and providing market feedback, in charge for uncovering opportunities, advertising benefits of the full services of DiGi business and advertising adjacent to the competition, to do outbound calls from the given list/record of existing and potential customers, produce demand for DiGi business and direct in the selling process, and organize, price, negotiate and reference sales solutions as well as control daily forecast and opportunities.

Friday, September 20, 2019

Relationship Between Food And Society Media Essay

Relationship Between Food And Society Media Essay Introduction Food is any substance containing nutrients, such as carbohydrates, proteins, and fats, that can be ingested by a living organism and metabolized into energy and body tissue. (food- definition of food by free dictionary)It is one of the most important thing needed by human body to survive.It is one of the important basic needs of human.One cannot survive without having food.United Kingdom(UK) is a country with diverse culture.In UK we can find people from all around the world.So we can find the multicultural nature of food and drink over here.The eating and drinking habit of the people are influenced by various factors such as cultural, geographical and historical influences.As the time changes the eating and drinking habit of people also changes.The current trends affect the way people eat and drink.The trends in food and drink consumption may differ from place to place.Thus there is an integrating relationship between the food, society and culture. Relationship between food and society There are different determinants of basic eating habits.Some of them are biological, economical, physical, social etc.The biological determinants are hunger, desire to eat etc.People eat in order to satisfy their hunger and due to desire of eating food.Another determinant is physical needs.Physical needs are like education, cooking skills, availability of time to cook etc.If people know how to cook and have time to cook they eat the food.If they are well educated they eat the nutritious food and balanced diet.Similary another determinant is social needs such as cultural influences, influences of people living around etc.They eat according to the culture they belong to and also according to the people they live nearby. Abraham Maslow brought forward a Maslows Hierarchy of needs which determines the physical needs,safety needs,social needs, self esteem and self actualisation.Maslow theory suggest that the basic need of human is food, water etc.After satisfying the basic needs it is human nature to want for more so they have the sense of security.So they want the safety needs to be fulfilled.In this way they move up in the hierarchy fulfilling one need after the other thus achieiving the maximum level of hierarchy i.e. self actualisation. In order to understand the complex relationship between the food and society it requires a multi-disciplinary approach.The eating and drinking habits of people depends upon the society.People usually tend to eat the food which they are familiar with.The culture is the main dominant of the way people eat.The food which can be eaten in one religion may get offended in the other.So we need to take care of the potential religious and spiritual connotations in order to prevent getting offended.We need to know more about the society where we live so as to maximise the offering we may provide to it.If we have the knowledge of the society then we can have improved customer service, effective menu planning, knowledge of the religious and spiritual connotations, fulfillment of customer requirements and expectations etc.Due to people from different backgrounds living in uk we can have diversity of culture.Therefore, we can take the advantage of what people eat during such festivities. Current influences on societies eating and drinking habits United Kingdom is made up of four nations i.e. England, Scotland, Wales and Northern Ireland.As it is made up of four nations we can imagine how diverse is culture over here. There are many influences on the current eating and drinking habits in the society.Cultural influences can make difference in the consumption of the food and drink.Most people eating habits are inspired by the eating habits of the local people in that place.The eating and drinking habit of people in UK are influenced by various factors such as hectic lifestyle, climate, seasonal availability, age group, health issues, budget, advertisements and promotions of food and drinks through media, current market trends, cultural backgrounds,religious issues, awareness of health, influences of abroad, legislation etc.The current influences on food and drink in UK are mainly influenced by above mentioned factors. Hectic lifestyle is the main factor which influences the eating and drinking habits of people in UK.People are mainly busy and do not have time to cook for them properly.Thats why they eat fast food or the ready to eat meals.Climate is also another important factor for the people living in UK.The climate over here is very cold during the winter.Snowfall takes place at the winter so climate is very cold.So people tend to eat more hot foods like soup, coffee etc.Seasonal availability is also another factor because all the foods are not available throughout the season like strawberries.People in Uk love to eat strawberries and it is available only for few months.It is also influenced by the advertisements and promotions done at the tv, radio, newspaper etc.Mainly the small children are more influenced by the advertisements at the media.Moreover, the cultural backgrounds and the religious issues also play an important role.We can find people from various culture and religious backgrounds .For e.g. Muslims they dont eat pork and any items related to it.On the other hand Hindus they dont eat beef.So there are big taboos over here.Budgetary constraints is also one of the important factor which influence the eating habits.We can find high income people, middle class people and lower level.So the money spend by the people on the food depends upon the class of people. Geographical and historical influences on multi-cultural nature of food and drink In UK we can find people from all around the world.So we can find multi cultural nature of food and drinking habits.There are geographical and historical influence on the multi cultural nature of food and drink. Britain is an island country and the surrounding sea gives England a varied climate.The main influence on the climate of is our close proximity to the Atlantic Ocean, our northern latitude, and the warming of the waters around the land by the Gulf Stream (a warm current of the northern Atlantic Ocean). (climate and temperature britain).Britain has very cold winter and mild summer.Therefore people in UK tend to eat more hot foods like soup and drink more coffees and teas. Britain has also a long historical background for the food and drink.British cuisine has always been multicultural, a pot pourri of eclectic styles. In ancient times influenced by the Romans and in medieval times the French. When the Frankish Normans invaded, they brought with them the spices of the east: cinnamon, saffron, mace, nutmeg, pepper, ginger. Sugar came to England at that time, and was considered a spice- rare and expensive. (British Food- British culture, customs and traditions).British cuisines started to take a new look after the 1980s.British food are inspired by the French and the Romans.The east india company also brought some traditional indian cuisine which is mostly renowned as curry.Today we can find the different dishes such as chinese, indian, italian, greek , spanish etc which explains the multi cultural nature of food and drink in the UK.It represents the ethnic diversity which influences the way people eat or drink.The british food was not considered as good like this before 30 years ago.But now the modern british cuisine inspired by the european countries is considered one of the best cuisine in the world along with the best chefs and the renowned restaurants. There are also different logistics regarding the food.People eat the food that is easily accessible or that is locally available to them.For e.g. people living in the coastal areas tend to eat more seafood whereas inland people eat more red meats.Those eating seafood will have the maximum consumption of white wine whereas the red meat goes with the red wine.The legislation of the country also restrict the production of certain food.The extreme climate is also one of the factor that determines the way people eat.In cold places people prefer to eat soups, coffee etc whereas in the hot countries they tend to drink cold drinks, cold coffee etc.Moreover different ethical considerations like whether to eat whale, elephant ,dolphin, dogs, cats etc or not is also one of the logistics.Similarly, alcohol may also be considered as a drug by some people. Analysing menu of an organisation in association and relationship with food drink I would like to take menu of theThe cafà © restaurant of Ibis hotel Heathrow.There are lot of guest coming from different countries to Ibis for stay.So, we can find guest from different cultural diversity.According to the Appendix 1 the menu of The cafà © restaurant focus on the people from all cultural diversity.The restaurant is situated in the heart of london so we can find the people from different countries.Therefore, due to the multicultural diversity the menu is not focusing on a particular group. There are different accompaniments of food and drink.Accompaniments are such type of food which are served together with the main dishes.There are various accompaniments given in the restaurant such as bread and butter,beef with horseradish sauce, roast lamb served with mint sauce, fish served with lemon and tartare sauce , steaks served with peppercorn or bearnaise sauce, Gammon served with apple sauce, , curry served with rice or nan bread, pasta served with grated cheese, desserts served with whipped cream or custard,cheese and biscuits etc.Usually these are the things which goes together with each other.One of the latest trend in UK for the food and drink combination is Beer and curry.The food trend in UK especially in london is changing since past few years due to the various cultural influences. Not only the food there are different accompaniments for the drink as well.There are various type of drink which are taken with some other things like gin and tonic with slice of lemon, whisky with coke, white wine with lemonade(sprintzer), tonic water with lemon etc.These are the drinks that are served with the accompaniments.Some of the food is very popular among the people of London. Influence of developing trends in food and drink consumption UK food and drink consumption is changing since past few years.People are interested towards organic food and the genetically modified food.Genetically modified (GM) foods are foods derived from genetically modified organisms. Genetically modified organisms have had specific changes introduced into their DNA by genetic engineering.(wikipedia)People are being more conscious about what they eat.They are more attracted to the healthy food.Despite of their hectic lifestyle they try to eat the healthy foods.There are various trends in regard to food and drink consumption.The trends of organic foods, ready to eat meals, energy drinks, smoothies etc have increased recently.The food and meat grown at local level, wine and beer made locally,nutritionally balanced food, cuisines from the regional ethnic backgrounds, cocktails, mocktails, flavoured water ,branded food etc are the food which are mostly consumed by the people.Moreover, taste has also become a major choice for people to eat.They t end to eat the food which has good appearance and texture. The organic food has become the choice for the people.They try to buy the food that is grown naturally without using any chemicals.Moreover, they also try to buy the branded food like Marks Spencer, Waitrose etc.They are more influenced by the fruits and vegetables that are grown locally.Similarly they are also interested in newly cut and fresh meats.They have started taking more healthier options of food.Nutritious and the healthy food are their main priorities.Ready to eat meals is also one of the popular trend in UK.People have a busy schedule over here thats why they are inclined to ready to eat meals.They just reheat it in a microwave for few minutes and have it.It saves their time and effort.But we cannot guarantee for the nutrition of such foods.Such meals are ready to make but cannot have all the nutrients needed by the body.So we need to pay attention towards our health as well. Ethical issues There are also various ethical issues in the food industry.For e.g killing of animals for the purpose of fulfilling the need of human, catching of fish that are very rare which can cause harm to the other sea creatures , making of a foie grass by feeding the geese forcefully, slaughtering of animals etc. (Bernard davis, 2008)The animals and other creatures are killed mercilessly in order to fulfill the basic eating habits of man.Thus, the ethical issues should be addressed carefully in order to have balance and harmony in the environment. Conclusion In UK we can find people from all over the world and variety of cuisines which represents the multi cultural nature of food and drink.There are various factors which affect the nature of food and drink in UK.They are cultural, religious, geographical, historical etc.The food which is eaten by people of one ethnic origin may be the taboos for other religion.They may get offended due to the food.There are many influences in the eating and driking habits of the people.Some of the influences are budget, availability of the food round the year, hectic lifestyle, health awareness, age groups etc.People are also adopting current trends in their eating and drinking habits such as organic foods, ready to eat meals, energy and sport drinks, smoothies etc.Mostly the new generation like to be trendy by adopting the new trends of the society.As the time is changing the eating and drinking habits of the people around the UK is also changing constantly.Thus, the expectations of having quality food and health awareness of the people has also increased significantly in past few years. The cafà © Menu Soups :- Soup of the day  £3.50 Starters:- Caesar salad  £ 5.45 Potato skins with bacon and cheese  £6.10 Garlic breaded mushrooms  £4.95 Feta, olive and tomato salad  £4.50 Marinated greek olives  £5.00 Main course:- Chicken penne pasta  £7.95 Chicken kebab thai noodle salad  £8.50 Malaysian Beef Rendang  £7.95 Chicken tikka Masala  £8.50 Beef Burger  £8.50 Beef fillet  £13.95 Beer battered cod and chips  £8.50 Spinach, button and squash risotto  £7.00 Salmon, Tuna and red snapper  £9.00 Dessert:- Chocolate fondant  £4.50 Ice cream selection  £3.50 Strawberry tart  £4.95 Toffee apple sponge  £4.00

Thursday, September 19, 2019

Margaret Atwoods The Handmaids Tale Essay -- Atwood Handmaids Tale

Margaret Atwood's The Handmaid's Tale The Historical Notes are important in the way we perceive the novel as they answer many important questions raised by the novel and also enhance some of the novels main themes. The first question it answers is the one raised at the end of the novel; that is whether Offred is stepping up into the,'darkness,' or the, 'light.' The reader finds out that Offred escaped Gilead, presumably into Canada, with the help of the,'Underground Femaleroad.' The reader also learns that it was Nick who orchestrated her escape, using his position as a member of the Eyes. This is important to the novel as it means that the novel can feasibly be a transcript of her story, a story she could not have told if she was dead. It is also important in a much more simple sense, that it satisfies the readers curiosity over what happens to the main character and brings the novel to a more satisfactory close. Over the course of the novel the reader has built up a close relationship with Offred through her telling her story completely in the first person. This has the effect of making the reader feel a close connection with Offred, and care what happens to her. The Historical Notes also place the novel in its historical context. The notes tell the reader the story of why Gilead implemented the Handmaids in the first place, with the widespread reproduction problems caused by the,' AIDS epidemic,' and leakages from, 'chemical warfare stocks.' This is important to the novel as a whole as it outlines the reasons Gilead has for implementing the Handmaids and shows that there was an actual reason behind the methods of Gilead. This has the effect of making the society seem more realistic, which adds... ... The fact that Piexto criticizes Offred for her account, 'she does not see fit to supply us with her original name,' demonstrates his misunderstanding of the account, that Piexto sees it purely in the context of what he can learn from it about Gilead, and does not seem to care for Offred's, 'whiff of emotion,' or what Offred seems to have suffered through. The fact that Piexto's lecture is based on ,' Problems of Authentication,' again shows a complete disregard for what Offred went through, and again demonstrates his misunderstanding of the entire Tale. Atwood uses Piexto's misunderstanding to again make a warning to society; again that what happens in the novel could happen again. This could again be a comment on society and university education by Atwood; that everyone is so concerned with facts, figures and dates, they often forget, 'the human heart.'

Wednesday, September 18, 2019

Religion Through Spiritual Explorations in Charlotte Brontes Jane Eyre

Religion Through Spiritual Explorations in Charlotte Bronte's Jane Eyre In Jane Eyre, religion is embraced through a series of spiritual explorations. Bronte portrays Jane's character and zest for religion by revealing Jane's transitions from Gateshead to Lowood, Lowood to Thornfield, and Thornfield to Moor House. Jane ultimately rejects everyone of these organized styles of worship. However, that does not mean that she rejects all their beliefs. She is forever changed by each experience and they have helped mold her view on religion and her relationship with God. Each location plays a significant role in the development of Jane's perspective on religion. Jane struggles to acquire true faith in God, which will help her overcome the obstacles of her nomadic life. Within Jane Eyre, Bronte shows a feeling of anti-Catholicism through the character of Jane?s cousin, Eliza Reed. The novel portrays Eliza as a picture of rigidity: Two young ladies appeared before me; one very tall, almost as tall as Miss Ingram,--very thin too, with a sallow face and severe mien. There was something ascetic in her look, which was augmented by the extreme plainness of a straight-skirted, black, stuff dress, a starched linen collar, hair combed away from the temples, and the nun-like ornament of a string of ebony beads and a crucifix. (Bronte 228) Eliza had certainly taken on the ritualistic side of Catholicism. (Rife) She is described as a busy person, but "it was difficult to say what she did: or rather, to discover any result of her diligence" (Bronte 234). Bronte had the same feelings toward the Catholic faith. Charlotte and many other English Protestants viewed Catholics as people who worshipped idols diligently, yet d... ...r himself. (Cashwell) As we can see, Jane is obviously affected by her experiences at each of these different stages in her life. At Lowood she learned the strict adherence to the religious and moral values that were taught there. Even though she may not have agreed with all of them, they molded her views on morality, shown in her experiences with Rochester. She also learned of sacrifice through St. John, who sacrificed true love for the greater good of his religious calling. Bronte deals with quite a few religious topics and pretty much finds something wrong with each form of Christianity. Jane finally finds a personal relationship with God, and even though she may not agree with one of the forms of organized Christianity, she finally fells a spiritual inner peace. Works Cited: Bronte, Charlotte. Jane Eyre. Boston: Bedford/St. Martin's, 1996.

Tuesday, September 17, 2019

Maya Angelou

‘Still I Rise' by Maya Angelou: the poem You may write me down in history With your bitter, twisted lies, You may trod me in the very dirt But still, like dust, I'll rise. Does my sassiness upset you? Why are you beset with gloom? ‘Cause I walk like I've got oil wells Pumping in my living room. Just like moons and like suns, With the certainty of tides, Just like hopes springing high, Still I'll rise. Did you want to see me broken? Bowed head and lowered eyes? Shoulders falling down like teardrops, Weakened by my soulful cries. Does my haughtiness offend you? Don't you take it awful hard ‘Cause I laugh like I've got gold mines Diggin' in my own back yard. You may shoot me with your words, You may cut me with your eyes, You may kill me with your hatefulness, But still, like air, I'll rise. Does my sexiness upset you? Does it come as a surprise That I dance like I've got diamonds At the meeting of my thighs? Out of the huts of history's shame I rise Up from a past that's rooted in pain I rise I'm a black ocean, leaping and wide, Welling and swelling I bear in the tide. Leaving behind nights of terror and fear I rise Into a daybreak that's wondrously clear I rise Bringing the gifts that my ancestors gave, I am the dream and the hope of the slave. I rise I rise I rise. GCSE English Blended Poetry  © Maya Angelou in whose name Copyright Clearance Center, Inc. has granted permission.  © The Sheffield College, 2006 Exploring the Poem We are now going to explore ‘Still I Rise' using the five aspects of poetry we looked at earlier. Situation Viewpoint Ideas or themes Language and style Mood or atmosphere After reading ‘Still I Rise' a couple of times, use the following questions to help explore your ideas about the poem. Situation What do you think Angelou might mean in the opening lines when she says that history tells lies about her? GCSE English Blended Poetry  © The Sheffield College, 2006 In the closing lines, who is Maya Angelou referring to as her ‘ancestors' and why is this important? Angelou repeats the words ‘I rise' throughout the poem. What does she mean by this? GCSE English Blended Poetry The Sheffield College, 2006 Identity is an important idea in the poem. What impression do you get of Maya Angelou in the second, third, fifth and seventh verses? What impression of herself does Maya Angelou definitely not want to convey in the fourth verse? What impression does Maya Angelou leave us with at the end of the poem? GCSE English Blended Poetry  © The Sheffield College, 2006 Viewp oint Who is ‘I' in this poem? Who is ‘you' in this poem? Ideas and Themes What themes do you see in the poem? GCSE English Blended Poetry  © The Sheffield College, 2006 Language and Style As you work through this section, you might want to refer to the Glossary, to read about some of the techniques discussed. Angelou uses a lot of natural imagery in the poem. List all the similes and metaphors which relate to nature that you can find in the poem. Imagery What points do you think Angelou is making in using this natural imagery? Comment on at least three images in detail. GCSE English Blended Poetry  © The Sheffield College, 2006 Alliteration and Assonance Find as many examples of alliteration and assonance in the poem as you can. What effects do you think Angelou is hoping to achieve by her use of these techniques? Rhythm and Rhyme Re-read the poem aloud or at least read it to yourself imagining how it would sound if you were reading it aloud. How do you think the rhythm and the rhyming of the poem affects your understanding of what Angelou is saying? Repetition What do you think Angelou is trying to achieve with the repetition in the poem? GCSE English Blended Poetry  © The Sheffield College, 2006 Mood and Atmosphere How would you describe the mood or atmosphere of the poem? Does the mood change throughout the poem? GCSE English Blended Poetry  © The Sheffield College, 2006 Maya Angelou ‘Still I Rise' by Maya Angelou: the poem You may write me down in history With your bitter, twisted lies, You may trod me in the very dirt But still, like dust, I'll rise. Does my sassiness upset you? Why are you beset with gloom? ‘Cause I walk like I've got oil wells Pumping in my living room. Just like moons and like suns, With the certainty of tides, Just like hopes springing high, Still I'll rise. Did you want to see me broken? Bowed head and lowered eyes? Shoulders falling down like teardrops, Weakened by my soulful cries. Does my haughtiness offend you? Don't you take it awful hard ‘Cause I laugh like I've got gold mines Diggin' in my own back yard. You may shoot me with your words, You may cut me with your eyes, You may kill me with your hatefulness, But still, like air, I'll rise. Does my sexiness upset you? Does it come as a surprise That I dance like I've got diamonds At the meeting of my thighs? Out of the huts of history's shame I rise Up from a past that's rooted in pain I rise I'm a black ocean, leaping and wide, Welling and swelling I bear in the tide. Leaving behind nights of terror and fear I rise Into a daybreak that's wondrously clear I rise Bringing the gifts that my ancestors gave, I am the dream and the hope of the slave. I rise I rise I rise. GCSE English Blended Poetry  © Maya Angelou in whose name Copyright Clearance Center, Inc. has granted permission.  © The Sheffield College, 2006 Exploring the Poem We are now going to explore ‘Still I Rise' using the five aspects of poetry we looked at earlier. Situation Viewpoint Ideas or themes Language and style Mood or atmosphere After reading ‘Still I Rise' a couple of times, use the following questions to help explore your ideas about the poem. Situation What do you think Angelou might mean in the opening lines when she says that history tells lies about her? GCSE English Blended Poetry  © The Sheffield College, 2006 In the closing lines, who is Maya Angelou referring to as her ‘ancestors' and why is this important? Angelou repeats the words ‘I rise' throughout the poem. What does she mean by this? GCSE English Blended Poetry The Sheffield College, 2006 Identity is an important idea in the poem. What impression do you get of Maya Angelou in the second, third, fifth and seventh verses? What impression of herself does Maya Angelou definitely not want to convey in the fourth verse? What impression does Maya Angelou leave us with at the end of the poem? GCSE English Blended Poetry  © The Sheffield College, 2006 Viewp oint Who is ‘I' in this poem? Who is ‘you' in this poem? Ideas and Themes What themes do you see in the poem? GCSE English Blended Poetry  © The Sheffield College, 2006 Language and Style As you work through this section, you might want to refer to the Glossary, to read about some of the techniques discussed. Angelou uses a lot of natural imagery in the poem. List all the similes and metaphors which relate to nature that you can find in the poem. Imagery What points do you think Angelou is making in using this natural imagery? Comment on at least three images in detail. GCSE English Blended Poetry  © The Sheffield College, 2006 Alliteration and Assonance Find as many examples of alliteration and assonance in the poem as you can. What effects do you think Angelou is hoping to achieve by her use of these techniques? Rhythm and Rhyme Re-read the poem aloud or at least read it to yourself imagining how it would sound if you were reading it aloud. How do you think the rhythm and the rhyming of the poem affects your understanding of what Angelou is saying? Repetition What do you think Angelou is trying to achieve with the repetition in the poem? GCSE English Blended Poetry  © The Sheffield College, 2006 Mood and Atmosphere How would you describe the mood or atmosphere of the poem? Does the mood change throughout the poem? GCSE English Blended Poetry  © The Sheffield College, 2006

Monday, September 16, 2019

Cardiovascular Disease Essay

Through cohort study designs and other evidence-based management studies, identify the major causes of CVD, and analyze the key steps, including current medications, used to address the disease. The understanding of the pathophysiology of many cardiovascular diseases is evolving rapidly, especially atherosclerosis, hypertension, myocardial, ischemia, and congestive heart failure. The role of genetics and its interaction with environment in the etiology and the progression of all forms of cardiovascular diseases is just one example of new information that is leading to improvements in prevention and treatment. Cardiovascular diseases include illnesses that involve the blood vessels like the veins, arteries and capillaries or even the heart, or both. The cardiovascular system, also called the circulatory system, is the system that moves blood throughout the human body. It is composed of the heart, arteries, veins, and capillaries. It transports oxygenated blood from the lungs and heart throughout the whole body through the arteries. Blood goes through the capillaries and vessels situated between the veins and arteries. When the blood has been depleted of oxygen, it makes its way back to the heart and lungs through the veins. The circulatory system may also include the circulation of lymph, which is essentially recycled blood plasma after it has been filtered from the blood cells and returned to the lymphatic system. The cardiovascular system does not include the lymphatic system. In this article, the circulatory system does not include the circulation of lymph. Angina is most frequently the result of underlying coronary artery disease. The coronary arteries supply the heart with oxygen rich blood. When cholesterol aggregates on the artery wall and hard plaques form, the artery narrows. It is increasingly  difficult for oxygen rich blood to reach the heart muscle as these arteries become too narrow. In additi on, damage to the arteries from other factors (such as smoking and high levels of fat or sugar in the blood) can cause plaque to build up where the arteries are damaged. These plaques narrow the arteries or may break off and form blood clots that block the arteries. The actual angina attacks are the result of this reduced oxygen supply to the heart. Physical exertion is a common trigger for stable angina, as the heart demands more oxygen than it receives in order to work harder. In addition, severe emotional stress, a heavy meal, exposure to extreme temperatures, and smoking may trigger angina attacks. Unstable angina is often caused by blood clots that partially or totally block an artery. Larger blockages may lead to heart attacks. As blood clots form, dissolve, and form again, angina can occur with each blockage. Variant angina occurs when an artery experiences a spasm that causes it to tighten and narrow, disrupting blood supply to the heart. This can be triggered by exposure to cold, stress, medicines, smoking, or cocaine use. Angina treatments aim to reduce pain, prevent symptoms, and prevent or lower the risk of heart attack. Medicines, lifestyle changes, and medical procedures may all be employed depending on the type of angina and the s everity of symptoms. Lifestyle changes recommended to treat angina include: 1.Stopping smoking 2.Controlling weight 3.Regularly checking cholesterol levels 4.Resting and slowing down 5.Avoiding large meals 6.Learning how to handle or avoid stress 7.Eating fruits, vegetables, whole grains, low-fat or no-fat diary products, and lean meat and fish Medicines called nitrates (like nitroglycerin) are most often prescribed for angina. Nitrates prevent or reduce the intensity of angina attacks by relaxing and widening blood vessels. Other medicines such as beta blockers, calcium channel blockers, ACE inhibitors, oral anti-platelet medicines, anticoagulants, and high blood pressure medications may also be prescribed to treat angina.  These medicines are designed to lower blood pressure and cholesterol levels, slow the heart rate, relax blood vessels, reduce strain on the heart, and prevent blood clots from forming. In some cases, surgical medical procedures are necessary to treat angina. A heart specialist may recommend an angioplasty – a procedure where a small balloon is used to widen the narrowed arteries in the heart. Coronary artery bypass grafting is another common procedure; this is surgery where the narrowed arteries in the heart are bypassed using a healthy artery or vein from another part of the body. Develop at least five (5) leading questions that may be posed to your local health department in regard to mitigating the proliferation of the disease. Provide a sound rationale for raising these questions. 1. Can second or third hand smoking cause cardiovacular diseases? Cigarette smoking remains the leading preventable cause of cardiovascular disease in women, with more than 50 percent of heart attacks among middle-aged women attributable to tobacco. Risk of cardiovascular disease begins to decline within months of smoking cessation and reaches the level of persons who have never smoked within 3 to 5 years. 2. What do cholesterol has to do with cardiovascular diseases? High blood cholesterol is a condition that greatly increases your chances of developing coronary heart disease. Extra cholesterol in the blood settles on the inner walls of the arteries, narrowing them and allowing less blood to pass through them to the heart. Aim for total cholesterol below 200 mg/dL; LDL cholesterol below 130 mg/dL and HDL above 35 mg/dL. 3. How do weight gain or maintaining a healthy weight control cardiovascular disease? Obesity and sedentary lifestyles are epidemics in the United States that contribute to increased risk of cardiovascular disease. The prevalence of obesity has increased among both men and women in the United States in the past decade; currently about one third of adult women (or 34 million) are classified as obese. Also, 60% of both men and women get no regular physical activity. Obesity, especially abdominal adiposity, is an important risk factor for cardiovascular disease in women. 4. Can exercise reduce cardiovascular disease? Recent evidence suggests that even moderate-intensity activity, including brisk walking, is associated with substantial reduction of cardiovascular disease risk. These findings support  the 1995 federal exercise guidelines endorsing 30 minutes of moderately intense physical activity most days of the week, a program that should be feasible and safe for most of the population. Regular exercise and maintenance of healthy weight should also help reduce insulin resistance and the risk of non–insulin-dependent diabetes mellitus, which appears to be an even stronger risk factor for cardiovascular disease in women than in men. Diabetes is associated with a threefold to sevenfold elevation in cardiovascular disease risk among women, compared with a twofold to threefold elevation among men. Approximately half of all deaths in patients with non–insulin dependent diabetes mellitus are due to heart disease. 5.Can eating less saturated fat, more produce and more fiber reduce cardiovascular disease? †¨Diets low in saturated fat and high in fruits, vegetables, whole grains, and fiber are associated with a reduced risk of cardiovascular disease. Also, a recent study reported in the Annals of Internal Medicine journal confirmed that eating fruits and vegetables, particularly green leafy vegetables and vitamin C-rich fruits and vegetables, seems to have a protective effect against coronary heart disease. You may even think about moving toward more flexitarian or vegetarian eating habits: A vegetarian diet reduces the risk of coronary artery disease, and may even reverse existing coronary artery disease when combined with other lifestyle changes. A Mediterranean diet that uses olive oil can reduce the risk of coronary artery disease. Based on the five (5) questions you developed in Question two (2), provide a rudimentary protocol to disseminate this information to your local community lea ders. Based on the above listed question in question two, the population that is directly affected by lack of basic health care information is poor families in rural areas across the United States. However, many others are indirectly affected by this including Governments who on varying levels are trying to determine how to keep their people alive and healthy longer and institutional partners who are spending significant resources to treat conditions that could be prevented or taken care of at earlier stages of a problem or condition. SMS to mobile phones which can be done through mobile networks at the prompting or through a contract with an institution, NGO, private company or the Ministry of Health. This does not have to be  expensive and is something in some countries that is partly supported by the Ministry of Health or can be provided in limit cases free of charge by the network provider. Through mobile cinemas which are used throughout much of Africa in rural areas to disseminate information on health care or other pertinent issues. Many times these mobile cinema vans already exist and are under the control of the Ministry of Transportation or Ministry of Health. It is possible, depending on the circumstances to access these vans and pay only for fuel consumption. Posters displayed in prominent areas that can provide a very clear and visual message, can sometimes transcend language barriers and get across simple messages most effectively. The cost of this would be the printing of the posters, the human resources to disseminate the posters (you can sometimes go through the Ministry of Health and utilize the community health workers and regional and district hospitals and other partners) and in some instances a small charge to hang the posters at certain locations. Radio spots that provide simple information in the most basic terminology to ensure the messages are construed properly. The cost of this depends on the availability of community messaging which is provided by some stations in some countries free of charge or station to station depending on country and size of the listener group. Recommend six (6) steps that may be given to your current or previous place of employment to prevent the proliferation of CVD. Provide support for your recom mendations. Heart disease and stroke, the principal components of cardiovascular disease (CVD), are the first and third leading causes of death in the United States. In 2002, employers representing 88 companies in the United States paid an average of $18,618 per employee for health and productivity-related costs. A sizable portion of these costs are related to CVD. Employers can yield a $3 to $6 return on investment for each dollar invested over a 2 to 5 year period and improve employee cardiovascular health by investing in comprehensive worksite health-promotion programs, and by choosing health plans that provide adequate coverage and support for essential preventive services. The most effective interventions in worksites are those that  provide sustained individual follow-up risk factor education and counseling and other interventions within the context of a comprehensive health-promotion program: (1) screening, health risk assessments, and referrals; (2) environmental supports for behavior change (e.g., access to healthy food choices); (3) financial and other incentives; (4) corporate policies that support healthy lifestyles (e.g., tobacco-free policies). (5) standardized treatment and prevention protocols consistent with national guidelines. (6) multidisciplinary clinical care teams to deliver quality patient care. References 1.Austin, C. J., & Boxerman, S. B. (2008). Information systems for healthcare management (7th ed.). Chicago: Health Administration Press. 2. Harvey, B.H.,†Technology, Diversity and Work Culture-Key Trends in the Next Millenium,†HR Magazine, 45,(7) ,p.59. 3. Bowen, D.E., and Lawler, E.III.†The Empowerment of Service Worker;†Sloan Management Review, pp.31-39. 4. Williams, S. J., & Torrens, P.R. (2010). Introduction to Health Services. Mason Ohio. Cengage Learning. 5.Marquis, M.S., & Rogowski, J.A. (2004). Journal of the American Medical Association, 52(5)408-415.