Like an nferno Essays - Storm, Wind, Tropical Storms,

Like an ?nferno One of the tropical storms is tornado which is very jeopardous and overpowering.Especially, when tornado combines with wind and rain,it causses widespread devastation and mortality. I can give example from my life.It was a shining morning with deep blue skies.It was really hard to believe the weather report on the news.A horrendous tornado was coming with a vengeance. When we were sitting in our eye-pleasing garden which is full of gorgeous and colorful flowers.Suddenly, the sky turned into gray.In the evening,a boisterous wind started and it was so riotous. In the night,there was no possibility to sleep.There was an unbel?evable noise outside.I had never seen such a thinh before.We were frightened to death because of the horribic crunches coming from outside. I saw the dark face of wind,and so ? felt we were ?n an inferno and unfortunately winds were getting worse and worse.I started to think that it would be eternal.This made me much more frightened and I was praying God for the tornado to stop as soon as possible. Fortunately,the white-knuckle turned into morning.The tornado stopped.It was as if there had not been anything unusual.But when ? looked outs?de , ? could not find anything like before.The trees,houses,buildings . . . were such an unbelievable situation that ? could not believe my eyes.Noone can understand this.It was so depressing that ? will never forget that inferno night.

The Top Prep Books for ACT English

The Top Prep Books for ACT English SAT / ACT Prep Online Guides and Tips You’ve decided to use a book to study for ACT English, but do you know which books out there will actually help you reach your goals? In this article, I will give you an overview of the best ACT English prep books on the market today, and which ones you should choose depending on what score you're aiming for. These books can be found at bookstores, the library, or online. Focus on using these books with high quality practice and review, and you'll be sure to improve your English score. Who Should Use These Books? Books are a great way to study – but only if you are a certain kind of student. Before you start studying or buying anything, you should take some time to consider how you study best. Can you track your own progress and understand where you've made mistakes?Can you keep yourself motivated to study a certain amount every week? Ordo you tend to need reminders for study sessions and want answers explained in different ways? In order to make good progress studying from a book, you need to be serious about your prep and be able to motivate yourself. You will need to be able to understand brief explanations and be willing to put in the effort to find answers on your own to fill in any knowledge gaps. You'll also need to make a serious time investment. Remember that just buying a book isn't enough – you actually have to use it! Most students will need at least ten hours of prep on just ACT English to fully master this portion of the test. So if you're looking to invest a good deal of time and want to make a significant improvement in your ACT English score, read on to see which books can help you! Foundational Books There are two books that all students should have before taking the ACT. I call these books â€Å"foundational† because they're the best books on the market for practice questions and ACT strategy. However, neither of these books is sufficient on its own for ACT English prep, which I will explain in more detail below. You should combine these two books with at least one of the other books listed, depending on what kind of score you're aiming for. The Real ACT Prep Guide from the makers of the ACT Price: $11.99 on Amazon It’s very important that when you study, you're using real questions that have actually appeared on the ACT. Why? Many test prep companies have people who don’t really understand the test writing their practice questions. There's a good chance that if you only study questions written by prep companies, you won't be seeing questions that test grammar the same way that the ACT does. Furthermore, many test prep books will only give you isolated grammar questions. To get the real ACT English experience, you should be working with passage-based questions. This book provides those in abundance. The Real ACT Prep Guide provides you with 5 full-length practice tests with answer explanations. For the English section, that’s 375 multiple choice questions to practice with. Additionally, many of the books I'll mention below make references to the questions in this book as examples. However, this is not a complete prep book on its own. This book is not the best at explaining concepts or strategy, which is why you should pair it with one of the books listed below. After all, the makers of the ACT don’t want to give away all their secrets, or the test would simply become too easy! ACT Prep Black Book by Mike Barrett. Price:$19.79on Amazon. This book is critically important because it teaches you how to think about the ACT. The Black Book takes apart the exam on a fundamental level to teach strategy. It teaches students that they can always figure out the answer without guessing. Importantly, it emphasizes that ACT English is a standardized test, and asks the same kinds of questions about the same grammar concepts over and over again. Instead of teaching tricks, this book teaches students how to think like the makers of the ACT so that they can effectively attack each question. For the English section, this book gives good explanations for questions from The Real ACT Prep Guide and also includes a useful grammar appendix that explains basic concepts found on the test. Unfortunately, this book is also not a complete guide on its own. First of all, the Black Book must be used alongside The Real ACT Prep Guide because it has no practice questions of its own. Also, many students will need more detailed grammar instruction. While this book is great for strategy, you will need to pair it with both Prep Guide and one of the books below for the full prep experience. So what books should you use to learnall the detailed grammar you need to master ACT English? That depends on what kind of score you're hoping to get. The Best ACT English Books for High Scorers (29 - 36) The Complete Guide to ACT English by Erica Meltzer Price:$22.00 atAmazon. Meltzer is great at explaining grammar, and in this book she goes into detail on each concept that appears on ACT English. She starts at the beginning by explaining parts of speech and builds from there, so it’s good even for students who need to review the basics before mastering the complex ideas. There are a lot of things that I like about this book and that make it a great pick. Meltzer teaches grammar from the beginning. This guide is extremely comprehensive. Have you forgotten the grammar you learned in English class last year? How about what you learned in 8th grade? With Meltzer, this isn’t a problem. She holds your hand through the most basic concepts if you need it, and progresses logically through every grammar concept that you will need to know for ACT English. After introducing each grammar rule, she also gives good example sentences, in which she shows both the correct and incorrect ways to use the grammar rule. This is very helpful for students because it shows how common mistakes can be corrected. The practice exercises are varied and useful. At the end of every lesson, Meltzer gives ample practice â€Å"drills† to just test one or two concepts. I like these because she does them in the style of short passages, which makes them very similar to the questions that you will actually see on the ACT. These are followed every few lessons by combined drill passages. Therefore, she covers all the bases: you get to practice each concept individually to test comprehension, but also get a lot of practice testing multiple grammar concepts at once, which will help you learn to recognize different grammar concepts out of context. This skill is vital for doing well on ACT English. The end of the book has two very well-written tests with longer passages that are very similar to the passages that you'll see on the ACT. These are great extra practice you can use in addition to the tests inThe Real ACT Prep Guide. Meltzer also givesdetailed explanations for the answers to each of the questionsonthese tests. It gives useful extra study tools. Meltzer doesn’t just stop at teaching grammar. She also gives great tricks and strategies for approaching questions, and teaches students the easiest ways to find answers. For example, she points out that the answer choices will often give away a question about subject-verb agreement. Finally, the book includes an extremely useful appendix, which breaks down the questions in The Real ACT Prep Guide by grammar concept. This is a great resource for students, who can use this as a guide for understanding what kinds of questions they are missing on the practice tests. Also, if you need extra practice on a certain grammar concept, you can use this appendix to easily find practice questions in the official tests. Though this is a great and very thorough book, there are some ways that it could be improved. First of all, at over $20, this book is going to be expensive for many students, especially considering that it only covers one section of the ACT. Meltzer’s writing is very thorough, but it is also very dense and it could be difficult – or downright boring – for many students to read. This book is definitely aimed at high scorers. Those who only need or want a mid-range score will probably find this book too detailed and may have problems figuring out what is most important to learn. Barron’s ACT 36: Aiming for the Perfect Score by Alexander Spare et al. Price:$3.99 onAmazon. This book actually covers all sections of the ACT, but it really shines in the advice it gives for ACT English. ACT 36 assumes that you are already a high-achieving test taker and that you're shooting for a perfect score. To that end, it focuses on reviewing concepts and strategies that will help students attack the most difficult questions on ACT English. This book takes a very different approach to Meltzer’s guide, but there is still a lot that I like about it. It doesn't waste time teaching what you already know. First, it gets straight to the point about what strategies are most useful to achieve a high score. The test-taking advice is great for students who have already pretty much mastered the grammar, and need to refine their strategy to get a great score. While this book does teach some grammar concepts, it doesn’t do so in the comprehensive – and at times exhausting – way that Meltzer does. ACT 36onlydiscusses the difficult grammar points that students struggle with the most, such as diction errors and prepositional idioms. It also highlights important strategic tips on how to recognize different types of questions and how to approach the test, including talking about what kinds of questions you will never see. It's easy to read. Unlike Meltzer’s book, ACT 36 is written in a style that most students will find engaging and to-the-point. The practice questions prepare you for the toughest test questions. Finally, many students like this book because the practice tests are designed to be more challenging than those you will find on the real ACT (all the questions have detailed answer explanations). The practice tests just focus on the most difficult question types, whereas the normal ACT has questions that range in difficulty. If you get the book with the CD, you’ll get an additional full-length test that’s quite similar in difficulty levels of the ACT to practice with, as well as additional high-difficulty practice questions. Once again, this can be a great benefit to students who want a perfect score and only need to practice the most difficult question types the ACT has because they have already mastered everything else. Keep in mind, though, that this book will not be for everyone. One problem this book has that could create a big issue for some students is it frequently encourages students to â€Å"use their ear† to see if something is correct or incorrect. In general, this is very bad advice on ACT English, because most students have poorly-trained ears for grammar. ACT 36 is assuming that you already have a very solid foundation in grammar. Going along with this, there is very little coverage of the most frequently-tested concepts on ACT English. Because the most common grammar concepts are relatively simple ones, this book assumes you will have already mastered them. If you need help with the basics, this would be a very poor choice. As mentioned above, the practice questions you will see will on the whole will be more difficult than what appears on the ACT. This is good for some students who only need to practice difficult questions, but it can be very bad for other students who are trying to get a general idea of what ACT English is like. This book presents a very skewed view of the question difficulty and content. In conclusion, you should only use this book to refine your knowledge of difficult grammar concepts, not as a general guide to ACT English. Best ACT English Book for Mid-range Scorers (16 - 28) Barron’s ACT English, Reading, and Writing Workbook by Linda Carnevale Price:$11.78 on Amazon This book is good value because it covers both the English and Reading sections of the test, and also gives good tips for the optional Writing test. There are several reasons I think this is a solid choice for students who want a mid-range score. A well-written diagnostic test prepares you for study. First, it starts with a diagnostic test. You can easily create a diagnostic test on your own, but this one has pretty good questions with explanations for every answer. Using it will save you some time and will help you understand what kind of questions you are struggling with. It explains the structure of the test. Barron’s gives a good overview of the ACT English test, including how it is structured and formatted, and gives tips on pacing your timing per question and how to practice. This will be very helpful for students who are less familiar with the test and need a good overview before they begin to master the details of the grammar. It clearly teaches the grammar and concepts that you need to know. This book also gives concise explanations of the most commonly-tested grammar and punctuation concepts that will appear on ACT English. This should cover everything that you need to know for a mid-range score. Because it doesn’t focus on the more obscure and complex subjects, students will be able to focus in on the ideas they are most likely to see over and over. It also includes a great list of concepts that you will not be tested on. While other test prep books include this, many don’t do it as clearly. This is great for students to limit their studying to just the concepts that matter. Each grammar concept is drilled individually first, and then they are tested together with a complete English practice test. As with the Meltzer book, this means that you can see how your comprehension of individual concepts is, and then can test your ability to spot different grammar errors in the full test. Finally, in addition to the grammar concepts, it has a good section on how to interpret author tone and mood. But this book is not ideal for many test takers. Here is why: You should have at least a basic understanding of grammar before using this book. It doesn’t go into a lot of background detail on things like parts of speech, so if you’re lacking fundamental grammar knowledge, you may want to work on that before using this book. There are not a lot of practice questions, so you should use this grammar guide in conjunction with The Real ACT Prep Guide in order to get the best results. This would be a bad choice for students who are aiming for a high score because it does not cover complex grammatical concepts. So only use this if you are aiming for something mid-range, or you may end up being disappointed. Best ACT English Books for Low Scorers (15 and below) If you're getting a very low score on ACT English, it may be because you're a non-native speaker of English, or are otherwise missing a fundamental understanding of how English grammar works. It’s important to understand the basics of grammar before moving on to study the specific grammar concepts that are covered in ACT English. I recommend using a book that is not specifically aimed at the ACT to give you this kind of basic knowledge. English Grammar in Use by Raymond Murphy Price:$23.20 on Amazon This book gives considerable attention to different verb tenses and their uses and special constructions. It also includes lessons on trickier subjects such as â€Å"may† vs. â€Å"might," idiomatic preposition use, relative clauses, and participles. Each illustrated one-page lesson is written in easy-to-understand English, and is followed by a page of exercises. This book is praised by students who are learning English as a second language, but would be great for any student who struggles with basics such as exactly when to use which tense. Easy Grammar Plus by Wanda C. Philips Price:$26.99 onAmazon This book gives a thorough overview of the parts of speech and how sentences should be structured. Where it really stands out is the extensive amount of practice exercises that are given for each concept (several pages for each). The book is written with a 4th grade vocabulary, but covers complex grammatical concepts, so it is ideal for people who find the wording of other grammar books to be difficult to understand. How to Use These Books Mid-range and high scorers should start out by reading the Introduction and English sections in the Black Book. (You don’t have to read through the answer explanations, though – save those for later!) This book is great for getting you in the mindset for taking a standardized test, and will also specifically teach you a lot of the tricks and logic behind the design of the ACT. After you've started to build your test-taking strategy, move on to take a diagnostic test. You can either take one in the prep book you have chosen (if it includes one) or you can create your own. To do this, take a practice English test from The Real ACT Prep Guide. Score your test, and make a note of every question you either got wrong or had to guess for. When you go through the answers, mark down what kind of question it was and what grammar concept it was testing. You can use the answer key or Meltzer’s book for this. Focus your studying around the concepts that you missed in your practice test. Use your chosen prep book(s) to beef up your grammar knowledge where you need it most. Also take some time to go over the concepts you feel comfortable with to see if you can improve on them any further or if there are any test-taking tips or strategies you hadn’t thought of before. While it’s never a good idea to rush, you want to feel as comfortable as possible with the easy material so that you can save time for the more difficult questions. Keep in mind that ACT English has 75 questions in 45 minutes, and many students struggle with timing! Keep taking practice tests in The Real ACT Prep Guide to check how you're improving. If you're a low-range scorer, start studying a long time in advance (at least 6 months). Ideally, you should cover the material in the foundational books and then move on to one of the other books that focuses specifically on the ACT. Once you've given yourself time to get the basics down, follow the steps above. What’s Next? If you're not sure that book studying is for you, check out our test prep program. PrepScholar starts with a diagnostic test and then helps you focus your studying on what you need the most work on. Also check out our free resources to start prepping for the test. Start with our complete guide to ACT English, which will point you to articles onevery grammar concept you will find on ACT Englishas well as general strategies for each section. Aiming high? Look at these 9 strategies to score a 36 on ACT English, written by a perfect scorer. Want to improve your ACT score by 4 points? Check out our best-in-class online ACT prep program. We guarantee your money back if you don't improve your ACT score by 4 points or more. Our program is entirely online, and it customizes what you study to your strengths and weaknesses. If you liked this English lesson, you'll love our program.Along with more detailed lessons, you'll get thousands ofpractice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step program to follow so you'll never be confused about what to study next. Check out our 5-day free trial:

To what extent is an individual's vote the result of a multiplicity of Coursework

To what extent is an individual's vote the result of a multiplicity of factors - Coursework Example The political campaigns that are conducted by the different parties during the electioneering period also have their stake in influencing how an individual will cast their vote. It is clear that the voting process must have evolved from when people were voting according to class up to the place where voting is purely based on personal judgment and assessment of the party’s policies and the leader. In doing this, will trace the history of voting in Britain. It is going to cover the alignment era of 1940s to 1970s, giving a keen look at how electioneering activities were ran during that period. The essay will also examine the de-alignment era that began from the 1070s onwards, proceeding the alignment era (Denver, 2007 P. 22). The conclusion of the paper will an analysis of the factors that influence voting in the modern day, and specifically look at some recent elections that were conducted in Britain. During this period, voting in the UK was greatly influenced by such factors as social class, family, local community, gender, age, ethnicity, region and religion (Persson, 2000 P. 54). The era between 1940- 1970 can be referred to one characterized by party identification and class voting. There were mainly two major parties that dominated the party system at that time. These were the Conservative and the Labor Parties. There patterns of voting was relatively stable as there was minimum switching of political allegiance (Weibull, 1987 P. 52 ). The people were not very much inquisitive and they went by the current wave of their fellow mates in the social class. The stability could have been attributed to the image that the voters attached to the party of their choice rather than the policies which it upheld. The affiliates cared really less about the policies. Party identification was mainly obtained from social class, parental political party adherence, and the nature of local commu nity, the region that one

Samsung Group (FINAL) Assignment Example | Topics and Well Written Essays - 1000 words

Samsung Group (FINAL) - Assignment Example Data Collection Method 8 Data collection process for the project 8 G. References 10 A. Background & Rationale Profile of the Organization Samsung is one of the leading electronic organizations around the globe. The organization introduced huge range of products in global market. Therefore, it is easy and convenient to conduct a research study on Samsung. This study will highlight various aspects of Samsung Electronics’ global value chain. Samsung Group is a South Korea based multinational conglomerate company headquartered in Seoul. The organization was founded in the year 1938 by Lee Byung-Chul (Peng, 2012). Over the next few decades the organization diversified into textiles, food processing, retail, securities and insurance industries. Electronic goods, semi conductors and mobile phones are Samsung’s key sources of income for the company (Chang, 2011). In terms of revenue, Samsung was recognized as the largest information technology company in the year 2012. In addit ion, Samsung Heavy Industries was considered the second largest shipbuilder around the globe measured by 2010 revenue. Presently the organization has more than 1000 business entities around the globe. ... This report will focus on two divisions of Samsung Electronics, such as connected media development and mobile media. The study will outline the innovation opportunities for the global organizations by determining the entry points in the organizational structure of Samsung Electronics. Moreover, the study will reveal how the global organizations can engage themselves in several stages of the value chain of Samsung Electronics. B. Research Need and Importance Management Problems Samsung has faced several problems regarding excessive localization. Huge localization had resulted more decentralized structure. It was very disappointing for Samsung group. The global operation of Samsung was not profitable at one point of time. In the year 1998, the organization closed down its few of the electronics factories due to lack of adequate decision making process of regional headquarters (Chang, 2011). Moreover, the organization implemented integration strategy for its employees, but the employee s of Samsung Group rejected this integration strategy. Moreover, the organization faced several labor problems in China. Negative publicity in the blogging community created huge challenge for Samsung in the year 2012. Samsung group is one of the leading mobile phone manufacturers in the world. An ongoing copyright dispute with Apple Inc. over some smart phone technologies affected the brand image of Samsung Group. The organization faced several legal and ethical issues due to the inadequate working condition in the Chinese manufacturing plants. Marketing Research Problems Marketing research activity is time consuming and expensive. Therefore, it is important for the organization to do effective real time research. However, Samsung group has identified

Dress code Term Paper Example | Topics and Well Written Essays - 750 words

Dress code - Term Paper Example In order to achieve this, we do require you to gain full understanding of the management’s expectations from you so that you may act accordingly. Although most of you are aware of the standards maintained by ABC Institute, yet a lot of new employees have been recruited recently and the management wants to once and for all, make clear the dress code that they are obliged to follow as a requirement of their contract with the ABC Institute. Old employees should review the memo to find slight additions that have been made to the last dress code policy. Being Muslim, our standards for dress are derived from the teachings of Islam. Modesty is the principle determinant of the eligibility of dress for both men and women in the institute. Dress code for men: Dress pants (jeans are not allowed), collared shirts with full sleeves, tie, and boots (sandals are not allowed). Jersey can be worn as per the need. Dress code for women: Trousers (jeans are not allowed), knee long skirts (can be longer but not any shorter), full sleeved blouses till waist (can be longer but not any shorter), boots (sandals are not allowed), and scarf (compulsory). Half sleeved blouses can be worn by the female staff members provided that the sleeve covers the elbow. T-shirts are disallowed! Knee length skirts should cover the knees in all positions i.e. sitting and standing. It is advisable to wear a knee length skirt with full sleeved or three-quarters sleeved blouse, and a full length skirt with a half sleeved blouse. Full length trousers are to be worn in either case! ABC Institute Code of Behavior: All staff members are expected to completely comply with the ABC Institute Code of Behavior. Staff members are obliged to: Display professionalism always while representing the ABC Institute Serve as a role model for others by always showing perfect mannerism Respect the religious as well as traditional beliefs of all communities in UAE Follow the ABC Institute Dress Code at all times All mem bers of the staff should be aware of the fact that ABC Institute provides the public with full time customer service. The service continues 24 / 7 uninterruptedly. That essentially tells that many of the staff members have to work in the night shift. They are advised to adjust their schedule accordingly so that they are able to deliver their best in the night. ABC Institute requires its staff members to present themselves to the public in a getup that is expected of them in context of the Islamic teachings and the indigenous culture of UAE which accords with them. UAE maintains a multicultural society, and people from all over the world dwell here. The staff members, should never, in any way, comment on the getup of any customer. ABC Institute’s workforce is expected to always display excellent mannerism, which essentially constitutes all three areas of language, behavior and dress. Upon recruitment, all staff members are made aware of what the management expects them to disp lay with respect to each of the three areas of mannerism. While we talk of language, it essentially includes body language in addition to the verbal language. ABC Institute expects every staff member to be very formal in both kinds of languages, and make excellent use of emotional intelligence in the workplace. Smoking is strictly prohibited both within the workplace. No staff member is allowed to use cigarettes or any other kind of drugs

Impact of Health Inequalities on Parkinsons Disease Patient

Impact of Health Inequalities on Parkinsons Disease Patient In the department of health publication from ‘Vision to Reality’ (2001), the minister for public health, Yvette Cooper, and the chief medical officer, Professor Liam Donaldson, stated the following: ‘At the beginning of 21st century, your chances of a healthy life still depend on what job you do, where you live, and how much your parents earn. This is unfair and unjust. That is why this Government is committed to narrowing the health inequalities that scar our nation and to improved health for all’. How does this statement support the elderly with Parkinson disease in Bromley trust Kent? Introduction The focus of this community study is to explore the health inequalities which affect a specific group within Bromley community. This group has been defined as those suffering with Parkinson’s disease, a degenerative condition that tends to affect an older client group and can also be associated with complex medical needs. This essay will define and explore the concept of inequalities in health, define the disease ad its effects on people as their families, and relate these to a community in the Kent area served by Bromley NHS Trust. The other aim of this essay is to postulate solutions and interventions which might address some of the health inequalities and challenges posed by this particular condition and its prevalence within the community. The literature points to the specific health problems and challenges of this client group, and there is government and governance literature which specifically addresses their needs. However, it appears there is still a deficit between the needs of clients, which are complex and difficult to address, and the level of provision in health and social care services, which continue to be under-resourced and less than ideally designed. Parkinson’s Disease Parkinson’s is a progressive neurological disease which occurs as the result of the loss of nerve cells in the substantia nigra in the brain (PDS, 2007). The lack of these cells results in a lack of dopamine, a substance that allows messages to be sent to the parts of the brain that control movement (PDS, 2007). When about 80% of dopamine is lost, symptoms start to develop, and levels continue to reduce over time, causing symptoms to increase (PDS, 2007). Two proposed causes are genetic disorders and environmental toxins (PDS, 2007), although a range of other associations continue to be explored. No real cause is known, and there is no known cure, although some medications can mediate the course of the disease and help in symptom control (PDS, 2007). Motor symptoms of Parkinson’s are tremor, bradykinesia and stiffness of muscles, while non-motor symptoms include sleep disturbance, constipation, depression and urinary urgency (PDS, 2007). Fatigue is another symptom (Lloy d, 1999). It is obvious from this range of symptoms that sufferers may need an increasing range of health and social support services and interventions during the progression of the disease. One epidemiological review puts the rate of Parkinson’s disease in the UK population at 19 per 1000 per year, with a lifetime prevalence of 2 per 1000 people (MacDonald et al, 2000). The Parkinson’s Disease Society (PDS, 2007) state that one in 500 people in the UK suffers from the disease. This would suggest a considerable burden on local health and social care services in any locality. However, there is also the issue that such statistics often only represent the tip of the iceberg (MacDonald et al, 2000). There may be a greater number who have not yet been diagnosed or who do not access services and so are not counted in surveys. The age range of sufferers of Parkinson’s disease is 40-90 years, with the greatest proportion in the 70-74 age group, and the next highest rate in the 74-79 age group (MacDonald et al, 2000). This is obviously an age-associated condition. The Bromley Health Services NHS Trust provides an outpatient Parkinson’s clinic run by Dr B Kessel as part of the elderly medicine directorate (www.bromleyhospitals.nhs.uk, 2007). There is also the Joint Allocation panel which the elderly medicine team contribute to in providing complex home care packages. Therefore, it would seem that for this locality, there is some specialist Parkinson’s disease provision. However, there are no figures to describe the uptake and demand on health and social services from Parkinson’s disease sufferers. For example, the demand on community nursing services, social care services, nursing homes, continence services, primary health services and pharmacy services. Parkinson’s disease is usually treated by drug treatments which aim to redress the loss of dopamine (Pentland, 1999). Levodopa-containing agents replace dopamine within the body, while dopamine agonists mimic the action of dopamine (Pentland, 1999). Enzyme inhibitors can be used, which prevent dopamine breakdown, and anticholinergics can reduce the action of acetylcholine which can also improve symptoms (Pentland, 1999). There is ongoing debate and review of the risk-benefit ratio of these treatments but they have been shown to be effective in limiting symptoms (PDS, 2007: Pentland, 1999). Other pharmacological interventions may be utilised to relieve specific symptoms, such as hypnotics for insomnia, antidepressants for confirmed depression, and pain killers and quinine for pain and muscle cramps (Pentland, 1999). Hoever, achieving and maintaining the correct, effective drug regimen as the condition progresses can be problematic for client and medical team (Lloyd, 1999). Health Inequalities It was in 1998 that health inequality reduction became express aims of the NHS in the UK, with the publication of A First Class Service (DH, 1998). Since then, inequalities in health have remained on government and health service agendas. The National Service Framework for Older People (DH, 2001) sets out a number of standards to address key inequalities in health experienced by the subject group concerned in this essay. The fact that such standards have had to be set is evidence of demonstrable inequalities linked to these areas. To begin with, inequalities are linked to age. It has been shown that in some health and social care services, older people and their carers have been victims of age-based discrimination in access to services and availability of services (DH, 2001). The locality here, Bromley Trust in Kent, does not advertise specialist Parkinson’s disease services explicitly on their website, and so sufferers of this condition fall under the aegis of elderly care services and also neurology services (trust ref). However, resourcing for such services may not be optimum, with less resources perhaps given to less fashionable areas of health need (DH, 2001), but rather to the more ‘fashionable’ and topical areas such as children’s and cancer services. There are certain areas of need which could be viewed as common to older people’s services and specific to those with Parkinson’s disease, such as community equipment (DH, 2001). Another specific inequality for this client group is access to palliative care services, with many palliative care services only available to cancer sufferers (DH, 2001). Parkinson’s disease is a degenerative and ultimately terminal condition, and as such should be a defining condition for palliative care. However, palliative care services in some areas may be funded by cancer charities such as Macmillan Cancer care, which may pose a challenge. This leads to a policy issue which could only be addressed at policy management level within the local trusts. The burden on family and unpaid carers is considerable, and increases with the progression of the disease (Lloyd, 1999). This leads to further demand on services due to carer-related illnesses (Lloyd, 1999). Again, unequal access to services, here based on the condition and the lack of support for those affected by it, continues to exist. The issue of inequality related to ethnic minority or background (DH, 2001) may also be applicable here, as the locality does contain a range of different minority ethnic groups. However, the demographics are not available to explore the rates of Parkinson’s disease across the different ethnic minorities in the region. The literature does highlight one specific incidence of health inequality in relation to this disease. It appears that sufferers who are hospitalized do not have timely access to their medications due to the restrictions of ward rounds and nursing routines (Agnew, 2006). Another inequality is in access to community care assessments which provide the intense levels of care and support necessary as the disease progresses (Lloyd, 1999). Not only do Parkinson’s disease sufferers suffer from a relative difficulty in accessing and obtaining such assessments, the assessment provides only a partial picture when exploring to what extent the health and social care needs of people with Parkinson’s are being assessed (Lloyd, 1999). The assessments are apparently predominantly medical, failing to address the other range of needs, particularly social and emotional issues and everyday living needs such as personal care (Lloyd, 1999). As these assessments are generally not carried out in the person’s own home, they are inadequate in providing a true picture of the realities of the disease in individual cases (Lloyd, 1999). The more general subject of health inequalities highlights a range of factors which might adversely affect the health and wellbeing of this client group. Poor health is linked to social background factors (Iphofen, 2003). The Bromley community area encompasses a wide range of socio-economic groups, from those deemed to be in poverty through the middle classes to the affluent classes. Research has demonstrated that those low down on the social class hierarchy tend to have worse housing, poor nutritional status, are less fit and are more likely to engage in damaging or risky health behaviours (Iphofen, 2003). It is logical that these people are the most likely to become ill, die sooner, or be most in need of health and social care input and support (Iphofen, 2003). Other factors which may affect health inequalities include culture, gender and ethnicity (Iphofen, 2003). It is also important to consider the role of individual action and self-reliance (Iphofen, 2003), which may seem at odds with current political trends towards ‘nanny state’ policies which are in danger of labelling vulnerable groups and individuals as being to blame for their own ill-health. One example of this is the smoking ban, which has been legislated on the back a growing trend of refusing medical treatment to sufferers of smoking-related conditions until they have given up smoking. A similar trend appears to be occurring for obese and overweight individuals, but it would seem that this form of discrimination, whilst socially and morally wrong, is politically sanctioned. Health Problems related to Parkinson’s Disease. As can be seen from the literature, there are a wide range of health problems which affect Parkinson’s sufferers, primarily related to the disease and its symptoms and their affects on health and independence. Parkinson’s is a long term illness (Rhind, 2007; Kristjanson et al, 2006) and as such will require long term nursing and social support, surveillance and review. Parkinson’s disease causes physical disability, and affects all of the activities of daily living by restricting independence, self-reliance and self care (PDS, 2007). It can affect people’s ability to maintain relationships, carry on in employment and leisure activities, and to continue to live on their own in their own home, or with their families (PDS, 2007). Lloyd (1999) also highlights the fact that Parkinson’s disease is socially unacceptable and this can have ongoing effects for the sufferer and their carers. One of the problems associated with the disease is dysphagia, the inability to swallow or difficulty in swallowing (Miller et al, 2006). Dysphagia can have obvious physical effects, such as choking, and inability to access proper nutrition or maintain healthy weight (Miller et al, 2006; Lorefalt et al, 2006). It can also have social and psychological effects, such as embarrassment and depression, withdrawal from social eating situations and effects on family and carers (Miller et al, 2006). Treatment for dysphagia is limited, and so the condition can lead to long term alterations in nutritional state leading to interventions such as total parenteral nutrition (Miller et al, 2006; Lorefalt et al, 2006). Another associated set of symptoms are psychological symptoms. These can vary, but can present as depression, sleep, confusion and delirium, hallucinations and dementia (Nazarko, 2005). These can be challenging conditions to treat, and may require a mixture of support, psychiatric intervention, pharmacological intervention and sedation, and family/carer support (Nazarko, 2005). Such symptoms represent a considerable demand on existing services, and as yet, there are no specialist psychiatric services for this client group within the locality under discussion. Addressing Health Inequalities by Condition Management The Department of Health (2001) stresses the following are necessary to combat the continued inequalities experienced by the older age group in accessing services and support: an integrated approach between local authorities and health services; strong clinical and managerial leadership; service user and carer representation at every level; working parties and management groups which continually address and review the situation. Other actions include workforce development (DH, 2001), and there may be a greater need for training and awareness-raising, particularly with nursing staff. Nursing staff need to listen more to Parkinson’s sufferers when providing care (Agnew, 2006). Another issue is the proper assessment of older people’s conditions (DH, 2001), which is important as Parkinson’s disease can present as one of a complex range of multiple diseases or conditions. Modern management of Parkinson’s disease (PD) aims to obtain symptom control, to reduce clinical disability, and to improve quality of life (Pacchetti et al, 2000). Specific instruments or tools may be necessary as part of the assessment process (Heffernan and Jenkinson, 2005). The National Institute for Health and Clinical Excellece (NICE, 2006) make the following recommendations: people with suspected Parkinson’s disease should be seen by a specialist within six weeks; new referrals with later progress of disease should be seen within two weeks; there should be regular, ongoing review of the condition; sufferers should be empowered to participate in their care; and all people with Parkinsons should have regular access to specialist nursing care to provide monitoring and adjustment of medication, a point of contact for support including home visits and a reliable source of information about clinical and social matters relevant to Parkinsons disease. There is a need to access and engage with psychiatric services due to the long-term psychological and emotional effects of the disease (Lloyd, 1999). NICE (2006) argue strongly for specialist nurses and multidisciplinary clinics, which would be appropriate given the complex presentation of the disease. T his comprehensive approach would go a long way to reducing the inequalities experienced by this age group. However, the local services in Bromley may not be currently resourced adequately to meet such targets. Other interventions might also include speech therapy, physiotherapy, occupational therapy and of course palliative care services (Carter, 2006). The local trust has service provision in all these areas, and all but the last can be demonstrated to be involved in the care of clients with Parkinson’s disease in Bromley. However, it might be that more provision and more targeted provision might be necessary to reduce the inequalities suffered by this client group. Some literature suggests the use of complementary therapies such as massage to support those with the condition (Patterson et al, 2005). Other therapies such as music therapy might be appropriate (Pachetti et al, 2000). Music as a therapy acts as a specific stimulus to obtain motor and emotional responses by combining movement and stimulation of different sensory pathways (Pacchetti et al, 2000). In a prospective, randomised controlled trial, music therapy was found to be effective on motor, affective, and behavioral fu nctions, and as such would be a valid addition to therapy programmes for people with Parkinson’s disease (Pacchetti et al, 2000). One example of successful care management has been described by Holloway (2006), who reports in the implementation of a care pathway to meet specific needs. The pathway is user-led, conceptualising the user/carer as the communications centre, resourced and supported in the management of their situation by the professionals to achieve their own integrated package of care (Holloway, 2006). This pathway takes into account individual disease presentation, social factors, severity of illness and degree of use of services (Holloway, 2006). The research showed this pathway to be feasible for implementation within standard, existing clinics and was well received by clients and carers (Holloway, 2006). Another programme which has demonstrated some success and positive outcomes is a club for patients and their carers at a day hospital in Bridlington (Nasar and Bankar, 2006). The multidisciplinary team use the club for patient assessment, education and disease management, while it also provides the patients and carers with a forum for discussion and an opportunity for social interaction (Nasar and Bankar, 2006). Another important aspect of reducing health inequalities is in developing alliances with service users and engaging with specific groups who are socially excluded (Watterson, 2003). It may be that the reason that Parkinson’s sufferers feel so excluded is due to nurses’ perceptions of them as less than cognitively competent, due to prejudices about the nature of the disease. Service users have important and often critical knowledge and experience about their lives, condition, symptoms and responses to treatment (Watterson, 2003), which could greatly enhance both policy planning and direction and individual care planning and ongoing disease management. There are challenges associated with attempting such engagement, and even further policy and procedure planning, with associated resource input, would be needed to ensure accessibility, effective communication and responsiveness. Conclusion As has been demonstrated, sufferers of Parkinson’s disease, itself a complex aetiology, presentation and progression, have a range of specific and challenging needs which are not being met by the local services in Bromley. While some services exist, there are other models of care, management, assessment and monitoring which have been demonstrated to be effective in other localities, which may be appropriate for this specific client group. Services need to be client centred and comprehensive, utilising tools and guidelines developed specifically for the disease and its symptoms. Services must also be multi-disciplinary, multi-agency and also holistic. However, the provision of such services may not be practical within the current NHS climate. With the direction set out in government and NICE documents, however, it would appear that the drive to improve such services will go ahead. This essay addresses a very small, confined client group with a specific disease presentation. However the scope of health inequalities across the whole population may be much wider and more disturbing. It would appear that there is a need for targeted programmes to tackle health inequalities in almost every service, but if these can be addressed in one area, they can be addressed across the whole service to counteract years of unequal access and provision which have continued to fail those in most need. 3,000 words. References Agnew, T. (2006). Nurses out of step with Parkinsons patients. Nursing Older People. 18(6). 8-9 Carter, L. (2006) The role of specialist nurses in managing Parkinsons disease. Primary Health Care. 16(8). 20-2. Costello, J. Haggart, M. (eds.) (2003) Public Health and Society Basingstoke: Palgrave Macmillan Department of Health (2001) The National Service Framework for Older People Available from www.dh.gov.uk. Accessed 14-4-07. Heffernan, C. Jenkinson, C. (2005) Measuring outcomes for neurological disorders: a review of disease-specific health status instruments for three degenerative neurological conditions. Chronic Illness. 1(2). pp. 131-42 Holloway, M. (2006) Traversing the network: a user-led Care Pathway approach to the management of Parkinsons disease in the community Health Social Care in the Community 14 (1), 63–73 Iphofen, R. (2003) Social and individual factors influencing public health. In: Costello, J. Haggart, M. (2003). Public Health and Society Basingstoke: Palgrave Macmillan. Kristjanson, L., Aoun, S., Yates, P. (2006) Are supportive services meeting the needs of Australians with neurodegenerative conditions and their families? Journal of Palliative Care 10 (2). Lloyd, M. (1999) The new community care for people with Parkinson’s disease and their carers. In: Percival, R. Hobson, P. (eds.) (2003) Parkinson’s Disease: Studies in Psychological and Social Care. London: MPG Books Ltd. Lorefalt, B; Granerus, A; Unosson, M. (2006). Avoidance of solid food in weight losing older patients with Parkinsons disease. Journal of Clinical Nursing 15(11) 1404-12. MacDonald, B.K., Cockerell, O.C., Sander, J.W.A.S. Shorvon, S.D. (2000). The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK. Brain 123 665-676. Miller, N; Noble, E; Jones, D. (2006) Hard to swallow: dysphagia in Parkinsons disease. Age Ageing. 35(6) 614-8. Nasar, M; Bankar, R. (2006) Improving outcome in Parkinsons disease. British Journal of Hospital Medicine. 67(1). pp. 6-7 Nazarko, L. (2005) Part 3: psychological effects of Parkinsons disease. Nursing Residential Care. 7(6).261-4. NICE (2006) Draft Guideline on Parkinson’s Disease Available from www.nice.org.uk Accessed 14-4-07. Pacchetti, C., Mancini, F., Aglieri, R. et al (2000). Active Music Therapy in Parkinson’s Disease: An Integrative Method for Motor and Emotional Rehabilitation. Psychosomatic Medicine 62 (3) 386-393. Parkinson’s Disease Society http://www.parkinsons.org.uk/ Accessed 14-4-07. Paterson, C; Allen, J; Browning, M. (2005). A pilot study of therapeutic massage for people with Parkinsons disease: the added value of user involvement. Complementary Therapies in Clinical Practice. 11(3). 161-71. Pentland, B. (1999) The nature and course of Parkinson’s disease. In: Percival, R. Hobson, P. (eds.) (2003) Parkinson’s Disease: Studies in Psychological and Social Care. London: MPG Books Ltd. Percival, R. Hobson, P. (eds.) (2003) Parkinson’s Disease: Studies in Psychological and Social Care. London: MPG Books Ltd. Rhind, G. (2007) Managing Parkinsons disease over the longer term. Independent Nurse. 22 Jan. pp. 18-9 Wacker, R.R., Roberto, K.A. Piper, L.E. (1998) Community Resources For Older Adults: Programs and Services in an Era of Change London: Sage Publications, Inc Watterson, A. (ed.) (2003) Public Health in Practice Basingstoke: Palgrave Macmillan http://www.bromleyhospitals.nhs.uk/referrers/clinical-services/elderly-medicine/ Accessed 14-4-07.

Ameliorating Hospital Working Conditions Essay -- Nursing, CISM

It is found that most â€Å"nurses love their work and hate their jobs† (Berliner and Ginzberg 2742). Due to the current quality of the nurses’ environments, this is of no surprise. The major factor hindering the quality of hospitals is the level of stress in the workforce. While it is inevitable to eliminate stressors in all medical centers, how stress is perceived is a controllable factor. The idea of stress being controlled emphasizes the need for CISM programs in all health facilities of America to cope with the critical incidents and stress that occur on a daily basis. CISM, as defined by Tracy, is a â€Å"comprehensive, multi-component program based upon counseling principals and peer support processes designed to assist emergency health professionals’ when dealing effectively with the stressful components of their work† (28). The program is thought to be the most effective type of counseling in hospitals for critical incidents and stress, due to it s extensive step-by-step guideline. CISM is expected to increase nursing staff, patient satisfaction, and overall create more efficient health care facilities by mitigating negative stress reactions in hospital workers. The program will provide a safer and healthier environment for both the nurses and patients in the medical centers. In a study, it was found that hospitals with more positive work environments for their nurses have higher patient satisfaction (Greenslade and Jimmieson 1189). The higher patient satisfaction is most likely due to nurse’s more emotionally prepared to care for their patients in a thriving environment. CISM programs provide that healthier environment and better working conditions in the hospital. CISM was created by Jeffrey Mitchell initially to reduce the ... ... (2003). Crisis Intervention and CISM: A Research Summary. Ellicott City, Maryland, International Critical Incident Stress Foundation. Retrieved from http://cism.cap.gov/files/articles/CISM%20Research%20Summary.pdf Parsley, Lee Ann, Conditions and strategies Affecting Interagency Collaboration in the Development of Critical Incident Stress Management Programs. Diss. U. of Ohio, 2003. UMI, 3093687. Print. Sieben, Laura. Staff Debriefing after a Critical Incident in the Emergency Department. Diss. College of Scholastica, 2009, UMI, 14738626. Print. Tracy, Scott. How Cumulative Stress Affected the Lived Experience of Emergency Medical Service Workers after a Horrific Natural Disaster: Implications for Professional Counselors. Diss. Duquesne University, 2007. UMI, 3292249. Print.

America’s Craving for Desire

Matt Thompson Basic Composition 355:100: G6 Final Draft Paper #5 12/1/10 America’s Craving for Desire The great American author Napoleon Hill once said, â€Å"Desire is the starting point of all achievement, not a hope, not a wish, but a keen pulsating desire which transcends everything. † Hill presents the idea that these desires become the foundation, which in turn creates a power that is superior to the standard. America as a whole has the desire to be better than every other country, even if the consequences are unknown.Americans believe our way of living has put the country above the rest, for our advancements are much greater than the rest. Barbara Kingsolver in â€Å"A Fist in the Eye of God,† explores the theory that America wants to be presented to the world with a positive image, by advancing in every aspect there is to grow in. Kingsolver explains that evolution is the â€Å"greatest show on earth†, as long as the new procedures and advancements are for the common good. Kingsolver argues that ethics should be just as a part of the application and uses of technology as profit.However, Americans also has the desire to stick with what has been practiced for decades. Jack Hitt in â€Å"Dinosaur Dreams: Reading the Bones of America’s Psychic Mascot,† expresses the idea that the Americans’ ambition to seek for supremacy has created the image of the tyrannosaurus rex, due to its dominant stature which represents America. Hitt argues that the image of the tyrannosaurus rex should not be altered because it has been around for generations and in turn has made America into what it is today.The desire to be the best is what creates the almighty ego of America. American exceptionalism, the idea that America is an invincible superpower, dismisses long-term consequences in favor of short-term gain, to currently better the standard of living, which in turn reveals the true image that Americans wish to attain by lookin g at evolution as a way to gain supremacy. The visual representation of America has been created through the ambitions and desires of dominance that Americans have strived for, throughout the centuries. America has always had the desire to e the most efficient and potent country in the world, while other countries attempt to be like America.There is no country like America, for Americans are always one step ahead of the competition: â€Å"dinosaurs are distinctly American, not only because our scholars have so often been at the forefront of fossil discoveries and paleontological theory but because the popular dinosaur is a wholly owned projection of the nationalist psyche of the United States† (Hitt 128). Hitt notes that the tyrannosaurus rex was generated from Americans ambitions and how Americans wanted to see T. ex, for America had basically found most of these dinosaurs through archeological digs. In Hitt’s essay, countries like China tried to make new dinosaurs ba sed off of their own desires, but America quickly shot them down because the image did not accommodate what Americans wanted dinosaurs to be. Hitt explains that through Americans aspirations, America had used the T-rex to create the powerful country that it is today, making the T-rex our mascot. America may be a dominant country compared to other countries, but that does not mean that everything is done in everyone’s best interest.Kingsolver says, â€Å"But I only have to stand still for a minute and watch the outcome of thirty million years’ worth of hummingbird evolution transubstantiated before my eyes into nest and egg to get knocked down to size† (Kinsolver 213). Kingsolver presents the idea that America can get to the stature it wants to be by following the example of the hummingbird, as the hummingbird has done just fine by itself over the billions of years without technology. Kingsolver explains that America is efficient like a hummingbird, but ultimatel y gets to that desired efficiency through an unethical approach.America’s desires are achieved by profit, not by a careful and methodical approach to make American’s lives better. Many countries look down upon the power hungry country that America aspires to be, for almost everything that Americans have made has been through the advancements of technology. Kingsolver says that many products that make America efficient are banned in other countries, as the effects of the products are unknown. America has the image of a dominant and sometimes unethical nation, which has been created and developed by the visual ideas of Americans over time.The dreamers of America have a similar projection of what America should look like to the rest of the world, but each has different desires to make that projection relevant. The traditionalists of America wish to gain the reputation of the most powerful country by holding firm to the original beliefs and culture that America has created , while the evolutionists hope to show their power through the progression of technology and advancements. Progression is what makes the world go round because if the world doesn’t develop, many civilizations wouldn’t be here today.Kingsolver says that, â€Å"this is our new magic bullet: We can move single genes around in a genome to render a specific trait that nature can’t put there, such as ultrarapid growth or vitamin A in rice† (Kingsolver 209). Genetic engineering has allowed Americans to expand on their desires and make them the best, for things like Bt corn and Monsanto can be created through this process. Kingsolver explains that while many countries like to stick with tradition, America generally accepts the separation from tradition, in order to better themselves through technology.In turn, Americans believes that the evolution of technology, presents a positive image to the world and how everyone else strives to become like America. Unlike th e anti-traditional Americans in Kingsolver’s essay, the Americans described in Hitt’s essay, believe that tradition is the foundation that creates America’s power. Hitt says, â€Å"we eat dinosaurs and they eat us. We partake in their dinosaurness, they partake of our humanness† (Hitt 131). Hitt explains that through America’s aspirations, the dinosaur has become America and America has become the dinosaur, since America has followed and studied them more than any other country.America encourages the practice of learning about dinosaurs because it has uncovered the truth about America and our persistent selves. America has the desire to be the best and the tyrannosaurus rex, in the minds of the world, is the best for it is seen as a dominant creature to all. Hitt states that America is comfortable and content with the old image of the dinosaur, especially the tyrannosaurus rex because it is what the Americans before us believed it to be. If America were to progress forward with the new image, the unappealing image, the hummingbird, would be the new face of America and the more attractive image, the T. ex, would be left behind; creating confusion for the old image created the modern superpower of America. However, America must strive toward evolution and progression because staying with tradition would hinder America’s chance to become the stature that Americans desire. Once America’s ambitions of supremacy are fulfilled, America accepts the world as superficial, while losing sight of reality, leaving it never to be found. Americans realize that America is above the rest, so many naively think there is no need to change anything, for the power that has been desired, has been achieved.With this irrational thinking, there are long and short-term consequences that can affect us now and even the Americans after us, when many of us are long gone. Kingsolver says, â€Å"the potential human ills caused by ingestion of engineered foods remain an open category† (Kingsolver 210). Kingsolver explains that America ignores the consequences, as long as the technology and practices being used are beneficial to Americans needs and aspirations. These new foods, technology, etc. an end up harming Americans and foreign countries that get these distributions, because we don’t have enough research on these new inventions before each and every one of them is given out to the public. America can begin to lose touch with reality, as everything that is created around them is genetically engineered to fit the image of America’s desires, to make us more efficient. While there are consequences that can physically harm Americans, there are also consequences to American’s mentality. Hitt says, â€Å"These are all intriguing hypotheses, but the fossils do not give us enough evidence to test whether any of them are correct.The mystery remains unresolved† (Hitt 137). Hitt states that the images and thought processes of America become the norm when everyone sees things in the same way. Americans believe scientist, researches, etc. without the real knowledge of the subject because it is what has been practiced for centuries. For example, the tyrannosaurus rex was made to fit the bill of America’s brute strength, and in turn it became the mascot of America. America accepts the image of the tyrannosaurus rex because this practice of dinosaurs is what America wants to see.Hitt explains that the desires to see that tyrannosaurus rex as a powerful creature that represents America, leaves America with short and long term consequences. In Hitt’s essay, he shows that Americans become scientifically illiterate for man does not know the true facts about the world before him. Americans don’t dig deep enough in finding the real truth and in reality, only scratches the surface to find something that is appealing to them. Consequently, the real truths of the wo rld become lost over time.Through America’s exceptionalsim, their desires cause unintended repercussions that will soon expose America to the est of the world. Desires are an inclination to attain something that men and women want to achieve in his or her lifetime. Americans aspires to be the best and most powerful country in the nation, leaving the rest behind. America has its own image that it has created and how it is to be viewed by the nation. America creates this representation through the process of evolution and tradition. Through evolution, like genetic engineering, America makes advances through technology to make a higher standard for living, while the practice of tradition allows Americans to portray images in a way that is desired.While Americans accept the advancements that makes America the way that it is, there some short and long term consequences that can negatively affect America. Most of the consequences are unknown to Americans, for concise research was n ot done to many products given to Americans. Desires can bring many consequences, but in reality, many Americans would not be living if America did not aspire to be the best and raise our standard of technology.

My Thoughts on Abortion essays

My Thoughts on Abortion essays I believe abortion is wrong in every circumstance. It has been proven that a baby is living inside of the mothers womb (http://blog.drwile.com/?p=3584) as soon as contraception begins. Thus, would that not mean that killing a baby is the same thing as killing another human being? It is wrong to kill another human being no matter what he or she may have done. It makes it no better to kill an innocent little baby who is dependent on the mother to live, and yet, the mother is the one who decides to kill the child. If you would not kill your own child the day it is born, why is it any better to kill your own child while it is alive and moving inside of the mother? It is no better, and that is why I am completely against abortion no matter what the situation is. I feel it is completely against our rights to purposely kill a living child with no consequence. In this country, at least from what I have been taught from my parents and school, it is wrong to kill any individual, no matter what he or she did. When someone is murdered, and the suspect is found and caught, our government does not decide to kill the person found guilty. He or she is not shot in the head, of forced to drown in water and die. He or she is sent to prison as consequence for the death of another person. So why, when an abortion is performed, are the parents not forced to send time in prison for their actions? Why are the parents able to just freely live the rest of their lives without taking a penalty for killing somebody? I understand that it is a choice to have an abortion, and in some circumstances I understand why an abortion would be considered, but it should still never be done today. Many people believe that abortion is just another form of birth control. Instead of the woman needing to buy birth control, and the man needing to buy condoms, they just decide that if the woman gets pregnant, they will have an abortion and everything is perfect again. Thi...

1st Triumvirate Timeline

1st Triumvirate Timeline Roman Republic Timeline:Â  First Triumvirate Timeline This 1st Triumvirate timeline fits within the End of the Republic time frame. The word triumvirate comes from the Latin for three and man and so refers to a 3-man power structure. The Roman Republican power structure was not normally a triumvirate. There was a 2-man monarchical element known as the consulship. The two consuls were elected annually. They were the top figures in the political hierarchy. Sometimes a single dictator was put in charge of Rome instead of the consuls. The dictator was supposed to last for a short period, but in the later years of the Republic, dictators were becoming more tyrannical and less amenable to leaving their position of power. The first triumvirate was an unofficial coalition with the two consuls plus one, Julius Caesar. Year Events 83 Sulla supported by Pompey. Second Mithridatic War 82 Civil War in Italy. See Social War. Sulla wins at Colline Gate. Pompey wins in Sicily. Sulla orders Murena to stop the war against Mithridates. 81 Sulla dictator. Pompey defeats Marians in Africa. Sertorius is driven from Spain. 80 Sulla consul. Sertorius returns to Spain. 79 Sulla resigns dictatorship. Sertorius beats Metellus Pius in Spain. 78 Sulla dies. P. Servilius campaigns against pirates. 77 Perperna joins Sertorius. Catulus and Pompey defeat Lepidus. Pompey appointed to oppose Sertorius. (See Pennell Chapter XXVI. Sertorius.) 76 Sertorius prevails against Metellus and Pompey. 75 Cicero quaestor in Sicily. 75-4 Nicomedes wills Bithynia to Rome. (See Asia Minor Map.) 74 Mark Anthony is given a command to take care of the pirates. Mithridates invades Bithynia. (See Asia Minor Map.) sent to deal with it. 73 Sparticus uprising. 72 Perperna assassinates Sertorius. Pompey defeats Perperna and settles Spain. Lucullus fights Mithridates in Pontus. Mark Anthony loses to Cretan pirates. 71 defeats Spartacus. Pompey returns from Spain. 70 Crassus and Pompey consuls 69 Lucullus invades Armenia 68 Mithridates returns to Pontus. 67 Lex Gabinia gives Pompey command to take rid the Mediterranean of the pirates. 66 Lex Manilia grants Pompey command against Mithridates. Pompey defeats him. First Catilinarian Conspiracy. 65 Crassus is made censor. Pompey in the Caucasus. 64 Pompey in Syria 63 Caesar elected Pontifex Maximus. Conspiracy of Catiline and execution of conspirators. Pompey in Damascus and Jerusalem. Mithridates dies. 62 Death of Catiline. Clodius defiles the Bona Dea. Pompey settles the East and makes Syria a Roman province. 61 Pompeys triumph. Clodius trial. Caesar is governor of Further Spain. The Allobroges revolt and the Aedui appeal to Rome. 60 Julius Caesar returns from Spain. Forms First Triumvirate with Pompey and Crassus. See also:: List of Consuls During the PeriodCaesar Timeline for other events in the life of Gaius Julius CaesarCaesar and the First Triumvirate Article

Living with Diabetes Case Study Example | Topics and Well Written Essays - 1500 words

Living with Diabetes - Case Study Example Elizabeth who lives in United Kingdom is helped by the National Health Service (NHS) is the publicly funded health care system of England; the National Health Service (NHS) is not to be confused with the other three national health systems operating in the United Kingdom which are responsible to their own governments and have developed under differing legislation. All four services collectively operate without general discrimination toward citizens from each others areas. The NHS provides the majority of healthcare to Elizabeth, from general practitioners to hospitals, long-term healthcare, thus helping her cope with her diabetes. The National Health Service Act was passed in 1946 and came into effect on 5 July 1948; subsequently it has become an integral part of British society, culture and everyday life: the NHS was once described by Nigel Lawson, former Chancellor of the Exchequer, as "the national religion". Private health care has continued parallel to the NHS, paid for largely by private insurance, but it is used only by a small percentage of the population, and generally as a top-up to NHS services. As the reforms continue to change the way the NHS works, NHIS is able to offer new insights into its performance. It is a uniquely powerful and cost-effective resource for those who need to understand, interpret and exploit these events - from pharmaceutical companies developing their marketing strategies, to patients needing to be aware how the system works. Elizabeth often also uses the Diabetes UK Careline as a further source of information for people with diabetes and it receives around 50 000 enquiries a year. The Careline number is 0845 120 2960 and it is open Monday to Friday from 9am until 5pm (a translation service is available) with recorded information available 24 hours a day. As well as offering information to people on a wide range of subjects, Careline also offers support through talking with a trained counsellor . Calls to Careline allow Elizabeth to identify gaps in currently available information, and to then fill them. We have found this to be particularly true around the subject of diet--by far the most requested topic of information. This can be as simple as producing quick question-and-answer style responses to topics that the media has generated interest about, to developing a more detailed information resource, such as the weight management pack, which deals with many of the issues that callers to Careline, both lay and professional, have raised. Like most people who get their information on diabetes from the media, the internet or the man next door, this often means that the information they receive is distorted or even dangerous, Elizabeth too was affected by this but her problems were taken care of by the Careline. A particular issue is the myth around 'mild diabetes' or 'a touch of sugar', which many callers to Careline cite as their particular problem. Because diabetes has been couched in these terms, many people fail to realise the seriousness of their condition and think that they only have to avoid sugar in their diet (another popular misconception). Psychosocial factors

Globalized Society Erases Borders Between People Essay

Globalized Society Erases Borders Between People - Essay Example From this paper it is clear that Western religion is mostly Christian (including all the confessions) which presupposes certain ethics and beliefs, so western religious traditions are totally different from the eastern ones. For example, Chinese original religion Confucianism cannot be even called â€Å"religion† as it looks like just a certain ethical doctrine based on political values. Meanwhile, Indian-originated Buddhism is totally metaphysical and partly mythical religion that also doesn’t have such traditional god as westerners understand the concept of god. But as we can see, nowadays we are far from that times when different religious views influenced people’s communication. Moreover, we even use each other’s practices in everyday life; for instance, such eastern religious practice like yoga has become widely popular among westerners so far, as it is quite applicable even separately from the religion it belongs to. This paper highlights that as we live in the world without any borders we frequently interact with multiple cultures. Meeting them, we can often feel like we are being misunderstood at the very beginning. But it is the matter of time. Just in short notice it becomes easy for us to understand each other like if we were from the same culture, because in fact our fundamental assumptions about the world don’t play important role in our communication. This is obviously the result of globalization of society, as we don’t even notice that with availability of information worldwide our cultures are slowly mixing and integrating with each other. Another reason is global migration of people from different cultures to other places to live, because they bring their cultures and often disseminate information about them within the new environment. Both eastern and western people study at the same universities and learn the same things.