Wednesday, October 30, 2019
Cheap Food, Poverty and Obesity -- Is there a Correlation Essay
Cheap Food, Poverty and Obesity -- Is there a Correlation - Essay Example s levels is mostly consumed by deprived communities and individuals due to inability to access affordable healthy food, cheap junk food has high starch, calorie and fats contents which is taken to the blood streams and go directly to build adipose tissues in the body hence accumulation of facts which leads to obesity. Deprived people are known not to take concerns on exercises which help in burning down the calories in the body. Additionally, individuals in impoverished regions have poor access to fresh food like vegetables which have fiber which helps in digestion of fats hence its excretion from their bodies. Poor countries have the greatest sedentariness. Sedentary individuals move more two hours per day which is less than active individuals and hence expend less energy making them prone to obesity and chronic metabolic diseases. Consumption of semi processed or unprocessed food which is not fresh which carries a lot of calories that when taken builds up the fat content in the bod y which include sugars bread and other cheap milk products. When this research began, the question was whether or not, ââ¬Å"a correlation existed between people, who ate at fast food restaurants, poverty, and obesityâ⬠. The development of the paper exposed many factors leading to obesity without fast food being the major contributor. There are a number of reasons why people are obese or heading for obesity. Environment or heredity can be contributors as well as the lack of physical activity, becoming sedentary, over use of technology; watching television, driving as opposed to walking, and failing to exercise. People have developed heart disease and may also develop diabetes, high blood pressure, and additional health problems when lifestyle changes occur and obesity sets in. In Americaââ¬â¢s cities, there is a fast food establishment on many corners. At a young age, children begin eating fast food because of the convenience, propaganda involved, and the cost. There are many people
Monday, October 28, 2019
International and domestic air transportation services Essay Example for Free
International and domestic air transportation services Essay Introduction The Qantas group operates international and domestic air transportation services for leisure and business traveling, freight and logistics services .It is also provides support activities including information technology, catering ground handling, engineering and maintenance. Qantas with its dual strategy brand Jetstar flies now to more than 173 destinations in 42 countries and operates a fleet of 246 aircraft. The objective of this airline is to operate a 20-strong airbus 380 fleet by 2015.The group is also a part of the world global marketing and code-sharing alliance, which consists of 11 leading airlines. Qantasââ¬â¢ stakeholders are its shareholders, employees, customer, business partners and the community. Indirect stakeholders include the media, governments and non-government organizations. They all have a major influence on the business, its strategy and therefore its performance. It is to mention that Qantas group is in the unique position of having two outstanding and well established brands in both the premium and low fares categories with Qantas and Jetstar, which makes it a magnitude rival for Singapore Airlines. The headquarters of Qantas is located in New South Wales, Australia. It is split up into three main branches which include the Flying business, flying services Businesses and the Associated Services. All departments of this group have focused on one goal and thatââ¬â¢s nothing except ensuring high quality service in most efficient way. But they long term purpose is to operate the worldââ¬â¢s best premium airline, Qantas, and the worldââ¬â¢s best low fare s carrier, Jetstar. Body Comprehensive Porters 5 forces analysis Nowadays, Porterââ¬â¢s Five Forces model is the most important force which affects the Airline industry, especially because the market is completely saturated. There are more service providers than needed in both local as well as international markets (GreenBb, 2008). The airlines continuously compete against each other in terms of customer services, technology, prices, in-flight entertainment, and many more areas (GreenBb, 2008). Actually, Porterââ¬â¢s Model is a business strategy tool which is used to analyze the competitiveness and attractiveness of the airline industry of which Qantas operates. It is considered as an important part of planning tool set (Kawatra, 2013).Its analysis consists of 5 fundamental competitive forces: The rivalry among existing players: Medium to High Qantas is faced with competition within the domestic airline industry in Australia from Virgin Blue and Tiger Airways and international competition from all major airline operators including British Airways and Deutsche Lufthansa (all three airline operators are national flagship carriers). The fierce rivalry has resulted in high cost of competition, lower profits and slow market growth. Bargaining power of Suppliers: Medium The main factors which determine the bargaining power of suppliers include switching costs, substitute suppliers, threat of backward and forward integration and supplier concentration. The airline supplier market for aircrafts is very concentrated as there are two main suppliers, Boeing and Airbus. Their bargaining power is high in this industry (GreenBb, 2008). This restricts Qantas, along with its competitors, from exercising control over their suppliers to generate higher profit. Threat of Substitutes: Low The threat of alternative solution to international airline travel is somehow limited. However, the threat for domestic airline travel includes train, bus or car travel which is determinants of money, preference, time and convenience of the traveller. The ease of switching to a substitute increases competition (xiamichael, 2012). Hence, when switching cost is relatively low, the competition becomes higher and price becomes even more important. The airline industry is very competitive and as a result, profit margins are usually low. Also, the bargaining of the supplier is very high which undermines companies in the airline industry to exercise control over their supplier. With high entry cost, new competition into the international airline market is very low. Qantas can continue to dominate this market while still competing with domestic market using the Frequent Flyer programme increase loyal customer. Threat of new entry: Low In the world today, the airline industry is so saturated that there is hardly space for a newcomer even to squeeze its way in. The biggest for this is the cost of entry. The high cost of buying and leasing aircraft; operational activities including safety and security measures, customer service and manpower; makes the airline industry one of the most expensive industries (Q.G). Other barriers to entry which will prohibit new comers into the airline industry include Government restrictions and the brand name of existing airlines. Brand name recognition and frequent fliers point also play a role in the airline industry. An airline with a strong brand name and incentives can often attract a customer even if its prices are higher. On the other hand, a newcomer could just enter this saturated market easier with a completely new concept or technology (GreenBb, 2008). Bargaining power of Buyer: Medium to Decline The bargaining power of buyers is another force that can affect the competitive position of a company. The airline industry is very competitive as they are competing for the same passengers and switching cost between airline operators is low. As a result, the buyer power is high in this industry. There are various choices presented to customers; which usually means brand loyalty or price is the main factors when selecting an airline (Q.G). Buyers for Qantas include business travelers, leisure travelers, and travel agents. In fact, they demand value for every dollar spent, therefore they expect more and more from the airline. Qantas has the frequent flyer program which rewards loyal customers and increases switching costs for a passenger selecting a rival airline operator. Add to this, the technology developments help the Qantas to reduce the buyer power (xiamichael, 2012). Conclusion The airline industry is very competitive and as a result, profit margins are usually low. Also, the bargaining of the supplier is very high which undermines companies in the airline industry to exercise control over their supplier. With high entry cost, new competition intothe international airline market is very low. Qantas can continue to dominate this market while still competing with domestic market using the Frequent Flyer program increase loyal customer. Factor| Characterization (Current)| Future Trend| | Threat Rating| Key Rational| Threat Rating| Key Rational| Rivalry Among Existing Competitors | Degree of seller concentration?| Y-H| There are more airline companies as compared to the customersââ¬â¢ requirement, thatââ¬â¢s why this market is saturated.| Y-H| Top class air lines are also now focusing on the lower price to gain maximum market share.E.g. Qantas has initiated jet star. | Rate of industry growth?| Y-H| Yes, itââ¬â¢s growing but the substitute factors also make it very hard to maintain that growth rate. And also there is Lack of diversification| Y-H| In future It would be same as it is according to todayââ¬â¢s forecasting.| Significant cost differences among firms?| Y-H| Major costs and expenses are same but it depend on the destination airline is operating.| Y-H| Same trend will continue.| Excess capacity?| Y-H| There is immense competition in airline industry that leads to excessive capacity as compared to demand. | Y-H| Customersââ¬â¢ growth will be overcome by the competitorsââ¬â¢ competition. | Degree of product differentiation among sellers? | Y-M| Qantas has both high cost carrier as well as low cost carrier.| Y-L| Innovation and technology will lead to new opportunities to the airline industry.| Brand loyalty to existing sellers?| Y-H| There is no brand loyalty by the customer because of price competition in the industry.| Y-H| Same trend Will Remain as it is.| Buyersââ¬â¢ costs of switching from one competitor to another?| Y-H| Just one click for changing the airline from thei r computer screen.Most of customers change the airline on the bases of price factor| Y-H| No change in near future.| Strengths of exit barriers?| Y-H| because of high capital cost for equipment (air planes) and other facilities there would be a huge waste.| Y-M| Some factor like technology might help to reduce the cost| Can firms adjust prices quickly?| Y-H| Of course with considering price strategies they would adjust.| Y-H| Same costing strategies.| Factor| Characterization (Current)| Future Trend| | Threat Rating| Key Rational| | Threat Rating| Threats of New Entrants | Significant economies of scale? | Y-M| It would cost a lot to buy/lease an aircraft| Y-H| The costs of buying or leasing aircrafts are decreasing. | Importance of reputation or established brand in purchase decision?| Y-H| The competition is based on price| Y-H| The competition is based on price| Entrantsââ¬â¢ access to distribution channels?| Y-H| High accessibility to lots of websites and application would make it much easier and also There are flight centers and travel agencies| Y-H| With the fast growing technology it will open even more doors through the accessibility to distribution channels| Entrantsââ¬â¢ access to technology/know how?| Y-M| professional courses which could make it possible to learn how to use the technology| Y-L| The number of skilled labor would decrease| Entrantsââ¬â¢ access to favorable location?| Y-H| All the firms operate from airports.| Y-H| All firms operating from airports.| Government protection of incumbents?| Y-M| There should be some government regulation But it still going to be attainable| Y-L| More regulation would be needed in order to make the environment more secure and safe| Factor| Characterization (Current)| Future Trend| | Threat Rating| Key Rational| | Threat Rating| Pressure From Substitutes | Availability of close substitutes?| Y-M| Tele conference, online chats and VOIP could replace the be exactly at the place Also for short distances it could be replaced with railways, buses, personal transportation.But still it could be the best choice for long distance and international traveling and also the fastest way.| Y-H| Their impact becomes significant when the speed advantage of aircraft becomes less important| Price-value characteristics of substitutes?| Y-M| They are all the same, even sometimes it could cost more| Y-H| Substitutesââ¬â¢ costs will decrease while airline costs are relatively fixed.| Availability of close complements?| Y-M| Frequent flyer programs, hotels, and tour packages| Y-M| Complements environment would be limited| Price-value characteristics of complements?| Y-M| The prices are reasonable but there are alternatives than going after packages and loyalty programs| Y-M| -| Factor| Characterization (Current)| Future Trend| | Threat Rating| Key Rational| | Threat Rating| Power of Suppliers | Is Suppliersââ¬â¢ industry more concentrated than industry it sells to?| Y-H| Suppliers such aircraft and engine producers are consider as oligopoly | Y-M| There will be more supplier| Few substitutes for suppliersââ¬â¢ input?| Y-H| There would not be that much substitution for the suppliers| Y-M| There will be more supplier| Do firms in industry make relationship-specific investments to support transactions with specific suppliers?| Y-H| Airport services are concentrated in the small area of air ports but low changing costs.| Y-H| Same Trends expected.| Are suppliers able to price discriminate among prospective customers according to ability/willingness to pay for input?| Y-H| With a high competitive industry and the limited suppliers and fixed regulations price discrimination threat is highly expected.| Y-M| More manufacturers/service providers are expected.| Factor| Characterization (Current)| Future Trend| | Threat Rating| Key Rational| | Threat Rating| Power of Buyers | Is industry buyers more concentrated than the industry it purchases from?| Y-H| Because there is a very competitive industry price discrimination mostly happens | Y-M| There will be more supplier.| Do buyers purchase in large volumes? Does a buyerââ¬â¢s purchase volume represent large fraction of typical sellerââ¬â¢s sales revenue?| Y-H| There would be a high scale of supply and low scale of demand with the buyerââ¬â¢s market| Y-H| There would be a high scale of supply and low scale of demand with the buyerââ¬â¢s market| Can buyers find substitutes for industryââ¬â¢s product?| Y-H| Separate transactions | Y-H| With more transactions expected but still not enough for a high volume purchases. | Are prices in the market negotiated between buyers and sellers on each individual transaction or do sellers ââ¬Å"postââ¬â¢ a ââ¬Å"take-it-or-leave it priceâ⬠that applies to all transactions?| Y-H| Websites increased the price transparency | Y-H| Same trends expected.| Bibliography GreenBb. (2008). Industry Analysis. Kawatra, P. (2013, january). Porters Five Forces Model. Retrieved from http://www.studymode.com/course-notes/Porters-Five-Forces-Model-1340484.html. Q.G. (n.d.). The Qantas group international and domestic air transportation services. Retrieved from http://www.ukessays.com/essays/management/the-qantas-group-international-and-domestic-air-transportation-services-management-essay.php. xiamichael. (2012, June). Qantas 5 Forces. Retrieved from http://www.studymode.com/essays/Qantas-5-Forces-1021718.html.
Saturday, October 26, 2019
Pre-1600 Styles in European Art Music :: essays research papers
Pre-1600 Styles in European Art Music The "old" European attitude, and the attitude that attracts many modern performers to early music, is exactly the opposite of the modern attitude: 1. Music is a strictly local expression, rich in variety since each culture expresses affective differences through art, 2. Music is a poetic process--complex, vague, and irrational--based upon borrowed traditional musical materials (melodies, rhythms, forms, etc.), 3. Music is for a religious, elitist-class performer who can understand and appreciate its mysterious nature and power, 4. Music is played softly in intimate gatherings, 5. Music making is the activity of Everyman, exacting the talents of variously trained amateurs who, with industry and practice, decorate their recreation and leisure in moments of social intercourse. In terms of the technical differences between the art music of early times and that of the modern period (i.e., after 1600) we can identify five specific features that make post-1600 styles in music sound more or less "familiar." 1. Wide-ranging, dynamically expressive tonal melodies are played in equal temperament and generated from logical tonal harmonic progressions. 2. A simple, isometric, and restricted rhythmic range is used. 3. The texture is homophonic, that is, a principal melody line with accompaniment. 4. Clear periodic formal structure is favored. 5. The instrumentarium is restricted and standardized. On the other hand, the pre-1600 styles in European art music are based upon the following features: 1. Narrow-ranging, dynamically restrained modal melodies are played in a variety of tuning temperaments that generate an "illogical" modal harmonic succession. 2. An unrestricted range of multimeters, polymeters, and complex rhythms are used. 3. A texture of two or more independent and equally important melodies accompany one another (i.e., polyphony). 4. The formal construction is often vague and unclear. 5. The instrumentarium is unrestricted and nonstandardized. Early music is chamber music par excellence. Superstar conductors, dramatic symphonic music, and large-scale virtuosic genres such as the concerto, opera, oratorio, and ballet belong to a later period and a different aesthetic. Early music involves a decidedly intimate approach to music making: the performers are equal partners who understand the science of composition and do much more than merely interpret the music of others--they recompose it during rehearsals and performances. In this regard, early music may be considered performer oriented (similar to jazz or Indian classical music). The performer thinks of himself or herself as a "student" (a Liebhaber, i.e., "lover") of music, and must be able to play several different instruments as well as sing.
Thursday, October 24, 2019
Analysis of Cartoon Cultures in Walt Disney Stories
Disney and his studio do not only aim to create entertainment but present a meaningful thesis as well; ââ¬Å"All our dreams can come true if we have the courage to pursue themâ⬠(Williams & Denney, 2004, p. 69). Usually, Disneyââ¬â¢s stories like to present the royal romance comprising of love, courage and dream.By comparing Cinderella (Geronimi, Luske, & Jackson, 1950) and his latest princess iteration, The Princess and The Frog (Clements, 2009), we could clearly see the critical influence of Cinderella that has affected the cartoon culture of Disneyââ¬â¢s stories, as highlighted by the appearance of the Fairy Godmother, the importance of animal characters and the narrative power of the songs. Many of Disneyââ¬â¢s stories are concerned with a goal that the leading character has to achieve, passing obstacles along the way in order to realize his dream.As such, a correlation can be seen between Cinderella (1950) and The Princess and The Frog (2009); both the young ladie s work very hard to achieve their aspirations. Before Cinderella was transformed by Fairy Godmother with an opportunity to attend the royal ball, she was a poor girl, and seemingly under distress. Her stepmother and stepsisters take over all her benefits and mistreat her. She is abused and made to serve as the housekeeper and maid for her family. However, she does not give up on dreaming and wishing, and has faith that one day her dream will come true.On the other hand, Tiana is a poor African-American young lady who works very hard to accomplish her goal of owning a restaurant in New Orleans. Although, her dream seems big and difficult for her to achieve, she never thinks about giving up. She continues tracing her dream; her hopes remain high even after she is accidently transformed into a frog by kissing the cursed Prince Naveen. Although these two Disney princesses are coming from different nationalities and generations, they both represent the same story structure of Disneyâ⬠â¢s fairytales.Secondly, Disneyââ¬â¢s Cinderella has become the dominant version in Western culture, since it was the first one to be aired on the big screen. It was the first time a character like the Fairy godmother was presented straight from a Disney tale. Her task was strictly to prepareeverything for Cinderella so she could attend the royalty ball. The story of Cinderella has historically portrayed a strong character in the Fairy godmother; a prominent companion has become an important element in the life of a cheerful heroine in the follow up stories of Disney.Looking into The Princess and The Frog (Clements, 2009)Mama Odie is representing a new type of Fairy godmother as a blind voodoo priestess. She plays a guiding role in the story, full of magic and power to help the frogs transform back into humans. The Fairy godmother has thus become an iconic character since it was first presented in Cinderella. It plays an important part in shaping the cartoonsââ¬â¢ structures, influencing many other stories to portray the same character in other forms, enriching the story with color and inspiration.Thirdly, by featuring animal characters in Cinderella, Disney and his animators have developed a new structure of cartoon culture. Animal characters have carved a niche in Disneyââ¬â¢s animations. However, these animal characters only play supporting or minor roles in the full-length animated films. Due to the strong connection between animal characters and Disneyââ¬â¢s animations in the publicââ¬â¢s mind, Disney and his animators have recently inclined towards creating much more detailed versions of the animal characters found in Cinderella.As a result, the mice have gained more screen time than the step-mother and sisters, and one of the most memorable scenes in the film regarding the manufacturing process of the ball dress revolves aroundbirds and mice which work together to prepare a beautiful gown for Cinderella. This scene appears for nearly 8 m inutes in the film. It shows the importance of animals in story-telling. Moreover, those animals carry their own personality, as seen for example in the red bird who would much enjoyperforming a vocal accommodation where as the character Jaq, who was portrayed as a leader of the mice while Gus was the cute and childish one.Moreover, the relationship between Cinderella and the mice provided clues to reveal her real personality. Her kindness could be observed through her interest in making clothes and dresses for the animals, rescuing them from traps, and feeding them with enough food. As such, in the story of Cinderella, animals do not feature as minor characters. They are highlighted to be very important in the narrative. Since that story, animal characters have moved up in ranks, taking important roles as support for the main characters in reaching their goals.In The Princess and The Frog (Clements, 2009)those small animal characters follow Cinderellaââ¬â¢s tradition in that the y play important roles as support for the frogs so they could return to their human forms, carrying their own personality and dreams. For example, Ray is a firefly, who knows Mama Odie and agrees to help the frogs find her and nearly sacrifices himself fighting with Dr. Facilier. From his lover to the star, we can see that his personality is very gentle and kind. Moreover, Louis is a friendly neurotic alligator, who dreams to become human and joins a jazz band as the trumpet player.He is not just a background image and accompanies the frogs in their adventure. Their appearances make the narratives to be more balanced, completed and interesting. Thanks to the success of theanimal characters in Cinderella, animal characters have continued to play an important role in developing plots and, in turn, have had stories revolve around them instead of the other way round. Lastly, over the years Disneyââ¬â¢s animations have developed an indivisible relationship with songs and musical eleme nts.Songs provide a useful tool to breathe more definition into the characters. For example, in Cinderella, the song ââ¬Å"A Dream is A Wish Your Heart Makesâ⬠(Geronimi, Luske, & Jackson, 1950), we can observe that Cinderella is faced with many obstacles, but her dream is still kept alive in her heart, thanks to her positive attitude. This way, songs contain the power of presenting deeper content, which normal speech may not effectively communicate. Besides, the audience can see and feel the threat pertaining to the character of Dr.Facilier, for example, by virtue of the song ââ¬Å"Friends on the Other Sideâ⬠(Clements, 2009). Walt Disney has seemingly pioneered the tradition of using songs and music to replace boring conversations, because the song can portray an idea in much more detail. For example, the Fairy godmotherââ¬â¢s song ââ¬Å"Bibidi-Bobidi-Booâ⬠(Geronimi, Luske, & Jackson, 1950), played when she transforms the pumpkin into a coach, the mice into a horse, and Cinderellaââ¬â¢s appearance for the ball, etc. relayed a magical element only music could provide.The song, in this context, is a much more powerful tool to present the idea than normal speech, because it gives the audience an extra vocal dimension to remember the scene with, adding to the visual impact. Moreover, the songs and music also add to the dynamics of the picture in order to present the inner meaning of the stories. By comparing the versions of ââ¬Å"Sing Sweet Nightingaleâ⬠(Geronimi, Luske, & Jackson, 1950) as sung by Cinderella and her stepsisters, we can see the difference in nature of both parties, Cinderella being the gentler much more caring personality.At another instance, we can see a deeper relationship between the frogs, through the song Never knew I Needed, instead of simply saying, I think I am falling in love with you (Clements, 2009). It surrounds the narrative with a profundity in an implicit way. Disneyââ¬â¢s animation, hence, reall y has the ability to capture the fantasy-oriented imagination of the audience providing entertainment both for the adults and children alike. Incorporating these qualities into Disneyââ¬â¢s cartoon culture has enabled the creation of some of the most excellent pieces of animated and other motion-picture films that history has ever seen.
Wednesday, October 23, 2019
Hello
My weaker points in English are essay writing, especially introduction and conclusion paragraphs and poetry analysis. Based on what I know about the course, I feel like I will have to put in a lot of effort to pass the APE exam due to my weakness in essay writing. This year I would like to focus on getting my writing skills up to par for the APE exam. ASK ABOUT THIS PARAGRAPH I recently turned 16 as I said earlier. I live with my mother and 14 year old brother, who also goes to Stanton.My dad is in the Ana so right now he's stationed in Pensacola and comes home every other weekend. We live on the west side and my neighborhood school is Baldwin. I was born in Jacksonville but moved to Virginia for 4 years the summer after 5th grade. We moved back to Jacksonville 5 years ago. I play softball for the school, I think it starts sometime in the beginning of the 2nd quarter. I hope to participate in multi this year but I haven't decided what group I want to try out for yet. I like to read a s I mentioned before.The two series I'm interested in I can only get the books at the library after putting them on hold, so it's taking me a while to finish the series. Over the summer I put ââ¬Å"Insurgentâ⬠, the second book in the ââ¬Å"Divergentâ⬠trilogy, on hold but when it arrived at the library we were on vacation in Grenade. I can be reached through email at [emailà protected] Net. My home phone number is 904-329-3237. My cell phone number is 757-256-9756. It would be best to call the house phone if it is something important. Hello Date of Submission January 14, 2013 Problem Statements: Paragraph 1 This paragraph should contain five sentences only. Write about your culture, something about your family generation before your parent's generation, how are you connected to the generation prior to your parent's generation, tell us about your parents and siblings, your community when growing up and your current community, and something about yourself. All paragraphs with over five sentences will receive a minus five points per extra sentence.Please only five sentences. A culture was not really told to me the only thing that my sibling and I were told was to not get pregnant before we are married and have a career and to always get a good education. The only thing I know about my grandparentââ¬â¢s generation is that my motherââ¬â¢s parents did not finish elementary and that my fatherââ¬â¢s mother was held back a grade because of her height. I am very connected to my grandparents, they just do not talk much ab out their past.I have a little sister, who is 18 years old and a little brother that is 6 years old; the community we grew up in was in the suburbs and was very quiet, the neighbors were friendly and we all got along, we never had break ins because it was a gated community. The community I live in now is the total opposite it is always loud music playing, homes are getting broken into, people are always arguing; I am 21 I am a senior, I am funny, smart, and goofy. Paragraph 2 Write about your major, why you have chosen the major and what have you done prior to college to prepare for success in your current major. There must be five sentences.Why are you taking this course? Please do not say as an elective. Tell us how it fits into your overall academic goals. All paragraphs with over five will receive a minus five points for each extra sentence. Please only five sentences. My major is Special education. I originally was a elementary schools education major but I had gotten a job tha t involved working with individuals who had special needs and I enjoyed it I still do till this day, I decided to change my major to special education. Prior to attending college I did not really do anything to prepare for success in my major because I started out as a nursing major.I am taking this class not only as an elective, but so I can get the content I need to know to be able to successfully teach early childhood students as well as students with special needs. This class fits into my overall academic goals because without this class I cannot get my endorsement to teach early childhood students. Paragraph 3 From the readings in ââ¬Å"Current Readings in Nursery School/Kindergaten Educationâ⬠ââ¬â pages 129-141 ââ¬Å"The New First Grade: Too Much Too Soon? â⬠share with us, what your experience was like in the first grade. Combine the readings with your real life experiences.You must include citations from the readings for credit. List the page number and para graph number of the citation. 10 sentences required. What I can remember about my experiences in first grade where that we had these little white books that had 5-7 words on each page. We would receive a book every day and were required to read it that night to a parent or guardian and have them initial a paper saying that we had read the book to them. In the book, it state ââ¬Å"Kids are tested every eight weeks to see if they are hitting school, district and statewide benchmarksâ⬠(pg. 133P 3).I remember having to take these benchmark tests, because the class that had the highest benchmark test scores would get a pizza party or extra time at recess. In the middle of the school year the teachers would stop teaching all the other subjects and would start teaching us what was going to be on the TAAS test. My parents did not believe that I was getting challenged enough in the G. T program (Gifted and Talented), so they moved me to a private school. I remember this because my firs t day of school I felt so behind because for one I was moved on the middle of the school year and two the students were already learning how to subtract.At the school I had just left we were only adding single and double digits and subtracting single digits. My new school the students had already been taught how to subtract double digits and they were learning the hundreds place value. After my first week of school I was so far behind that they asked my parents about putting me in remedial classes my parents were upset that someone would ask them that and got me a tutor, since then I have received excellent grades. Hello KENDRIYA VIDYALAYA SANGATHAN CCE CALENDAR OF ACTIVITIES 2012-13 CLASS VII (Seven) ENGLISH FIRST TERM: APRIL ââ¬âSEPTEMBER 2011 | | |Unit/Lesson/Topics to be covered |Mode of Assessment |Skills |Suggested value points | | |*Prose: The Three Questions |Comprehension check |Reading |Understanding | | |Poem: The Squirrel |Quiz ( Ants ) |Compeering |Pronunciation | | |*Supp: The Tiny Teacher |Recitation |Listening |Fluency | | | |Diary Entry |Speaking |Confidence | | | |Narration |writing |Format | | | | | |Expression | | |*Prose: The Gift of Chappals |Comprehension Check | Reading |Understanding | | |Poem: The Rebel |Informal Letter |Writing |Fluency | | |*Supp: Bringing up Kari |Anecdote (looking after an animal or needy without |Creative |Accuracy | | |*Supp: The Desert |elderââ¬â¢s knowledge. |Thinking Skill |Content | | | | |Speaking |Presentation | | |*Prose: Gopal & the Hilsa Fish Poem: The Shed |Comprehension |Understanding |Expression | | |*Supp:The Cop & the Anth em & Golu Grows a nose. Dramatization |Vocabulary |Presentation | | | |Spellings |Speaking |Confidence | | |Reading 20 |Diary Entry |Acting |Content | | |Writing 20 |Comic Creation |Drawing | | | |Grammar 15 | |Writing | | | |Literature 25 | | | | | |REVISION | |FA I 10 | | | | |FA II 10 | | | | |SA I 20 | | | | |TOTAL 40 | | | | | | | | | | | |SECOND TERM : OCTOBER 2011 ââ¬âMARCH 2012 | |Topics | Mode of Assessment |Skills |Value Points ( areas) | | |*Prose: The Ashes that made Trees Bloom Poem: |Comprehension check |Understanding | | | |Chivvy |Outline story construction The Woodcutter& the Axe |Writing | | | | |Recitation |Speaking | | | | | | | | | |*Prose: Quality | Reading Paragraph/Slogan writing on Trees | Understanding |Confidence | | |Poem: Trees |Speech on Freedom is Life |Creative skills |Expression | | |*Supp :I want something in a cage | |Speaking |Content | | | | | |Fluency | | | | | |Presentation | | |*Prose: Expert Detectives | Comprehension check | Understanding Skill |Compre-hension | | |Poem: The Mystery of the Talking Fan. *Supp: |Project on Sherlock Holmes |Writing |Content | | |Chandini | |Analytical |Presentation | | | | | | | |*Prose: The Invention of Vita -Wonk | Comprehension |Reading |Content | | |Poem: Dad & The Cat &The Tree |Paragraph Writing on Wonders of Science |Writing |Pronunciation | | |*Supp: The Bear Story |Recitation |Speaking |accuracy | | | |Discuss ââ¬âShoot animals with a Camera-,not a gun. Listening | | | |*Prose: Fire: Friend and Foe |Comprehension |Understanding |Confidence | | |*Prose: A Bicycle in Good Repair |Fire Safety Measures Speech |Speaking |Accuracy | | |Poem: Meadow Surprises |Article Writing ââ¬âSAVE TIGERS |Writing |fluency | | |*Supp : A Tiger in the House | |Creativity | | | |*Prose: The Story of Cricket I & II |Bio sketch of a favourite cricketer |Writing |Expression | | |Supp: An Alien Hand |Findings about Planet Mars. ( Mini Project) |Investigating |Presentation | | |*Poem : Garden Snake |Cricket quiz |Compeering |Confidence | | | | | | | | | | | | | | | | | | | | | | | | | |Reading 20 | | |FA III 10 | | |Writing 20 | | |FA IV 10 | | |Grammar 15 | | |SA II 40 | | |Literature 25 | | |TOTAL 60 | | |Revision | | | | | | | | | NOTE: In addition to consolidating the items learnt earlier, the following will be introduced and recycled through the Upper Primary Stage (Classes VI, VII and VIII) through the lessons given in the Main Text Books. â⬠¢ Determiners * Passivisation * Linking Words * Adjectives (Comparative and Superlative Forms) *Adverbs (Place and Type), *Modal Auxilliaries * Tense Forms * Word Order in Sentence Types * Clauses * Reported Speech Hello Date of Submission January 14, 2013 Problem Statements: Paragraph 1 This paragraph should contain five sentences only. Write about your culture, something about your family generation before your parent's generation, how are you connected to the generation prior to your parent's generation, tell us about your parents and siblings, your community when growing up and your current community, and something about yourself. All paragraphs with over five sentences will receive a minus five points per extra sentence.Please only five sentences. A culture was not really told to me the only thing that my sibling and I were told was to not get pregnant before we are married and have a career and to always get a good education. The only thing I know about my grandparentââ¬â¢s generation is that my motherââ¬â¢s parents did not finish elementary and that my fatherââ¬â¢s mother was held back a grade because of her height. I am very connected to my grandparents, they just do not talk much ab out their past.I have a little sister, who is 18 years old and a little brother that is 6 years old; the community we grew up in was in the suburbs and was very quiet, the neighbors were friendly and we all got along, we never had break ins because it was a gated community. The community I live in now is the total opposite it is always loud music playing, homes are getting broken into, people are always arguing; I am 21 I am a senior, I am funny, smart, and goofy. Paragraph 2 Write about your major, why you have chosen the major and what have you done prior to college to prepare for success in your current major. There must be five sentences.Why are you taking this course? Please do not say as an elective. Tell us how it fits into your overall academic goals. All paragraphs with over five will receive a minus five points for each extra sentence. Please only five sentences. My major is Special education. I originally was a elementary schools education major but I had gotten a job tha t involved working with individuals who had special needs and I enjoyed it I still do till this day, I decided to change my major to special education. Prior to attending college I did not really do anything to prepare for success in my major because I started out as a nursing major.I am taking this class not only as an elective, but so I can get the content I need to know to be able to successfully teach early childhood students as well as students with special needs. This class fits into my overall academic goals because without this class I cannot get my endorsement to teach early childhood students. Paragraph 3 From the readings in ââ¬Å"Current Readings in Nursery School/Kindergaten Educationâ⬠ââ¬â pages 129-141 ââ¬Å"The New First Grade: Too Much Too Soon? â⬠share with us, what your experience was like in the first grade. Combine the readings with your real life experiences.You must include citations from the readings for credit. List the page number and para graph number of the citation. 10 sentences required. What I can remember about my experiences in first grade where that we had these little white books that had 5-7 words on each page. We would receive a book every day and were required to read it that night to a parent or guardian and have them initial a paper saying that we had read the book to them. In the book, it state ââ¬Å"Kids are tested every eight weeks to see if they are hitting school, district and statewide benchmarksâ⬠(pg. 133P 3).I remember having to take these benchmark tests, because the class that had the highest benchmark test scores would get a pizza party or extra time at recess. In the middle of the school year the teachers would stop teaching all the other subjects and would start teaching us what was going to be on the TAAS test. My parents did not believe that I was getting challenged enough in the G. T program (Gifted and Talented), so they moved me to a private school. I remember this because my firs t day of school I felt so behind because for one I was moved on the middle of the school year and two the students were already learning how to subtract.At the school I had just left we were only adding single and double digits and subtracting single digits. My new school the students had already been taught how to subtract double digits and they were learning the hundreds place value. After my first week of school I was so far behind that they asked my parents about putting me in remedial classes my parents were upset that someone would ask them that and got me a tutor, since then I have received excellent grades. Hello My weaker points in English are essay writing, especially introduction and conclusion paragraphs and poetry analysis. Based on what I know about the course, I feel like I will have to put in a lot of effort to pass the APE exam due to my weakness in essay writing. This year I would like to focus on getting my writing skills up to par for the APE exam. ASK ABOUT THIS PARAGRAPH I recently turned 16 as I said earlier. I live with my mother and 14 year old brother, who also goes to Stanton.My dad is in the Ana so right now he's stationed in Pensacola and comes home every other weekend. We live on the west side and my neighborhood school is Baldwin. I was born in Jacksonville but moved to Virginia for 4 years the summer after 5th grade. We moved back to Jacksonville 5 years ago. I play softball for the school, I think it starts sometime in the beginning of the 2nd quarter. I hope to participate in multi this year but I haven't decided what group I want to try out for yet. I like to read a s I mentioned before.The two series I'm interested in I can only get the books at the library after putting them on hold, so it's taking me a while to finish the series. Over the summer I put ââ¬Å"Insurgentâ⬠, the second book in the ââ¬Å"Divergentâ⬠trilogy, on hold but when it arrived at the library we were on vacation in Grenade. I can be reached through email at [emailà protected] Net. My home phone number is 904-329-3237. My cell phone number is 757-256-9756. It would be best to call the house phone if it is something important. Hello KENDRIYA VIDYALAYA SANGATHAN CCE CALENDAR OF ACTIVITIES 2012-13 CLASS VII (Seven) ENGLISH FIRST TERM: APRIL ââ¬âSEPTEMBER 2011 | | |Unit/Lesson/Topics to be covered |Mode of Assessment |Skills |Suggested value points | | |*Prose: The Three Questions |Comprehension check |Reading |Understanding | | |Poem: The Squirrel |Quiz ( Ants ) |Compeering |Pronunciation | | |*Supp: The Tiny Teacher |Recitation |Listening |Fluency | | | |Diary Entry |Speaking |Confidence | | | |Narration |writing |Format | | | | | |Expression | | |*Prose: The Gift of Chappals |Comprehension Check | Reading |Understanding | | |Poem: The Rebel |Informal Letter |Writing |Fluency | | |*Supp: Bringing up Kari |Anecdote (looking after an animal or needy without |Creative |Accuracy | | |*Supp: The Desert |elderââ¬â¢s knowledge. |Thinking Skill |Content | | | | |Speaking |Presentation | | |*Prose: Gopal & the Hilsa Fish Poem: The Shed |Comprehension |Understanding |Expression | | |*Supp:The Cop & the Anth em & Golu Grows a nose. Dramatization |Vocabulary |Presentation | | | |Spellings |Speaking |Confidence | | |Reading 20 |Diary Entry |Acting |Content | | |Writing 20 |Comic Creation |Drawing | | | |Grammar 15 | |Writing | | | |Literature 25 | | | | | |REVISION | |FA I 10 | | | | |FA II 10 | | | | |SA I 20 | | | | |TOTAL 40 | | | | | | | | | | | |SECOND TERM : OCTOBER 2011 ââ¬âMARCH 2012 | |Topics | Mode of Assessment |Skills |Value Points ( areas) | | |*Prose: The Ashes that made Trees Bloom Poem: |Comprehension check |Understanding | | | |Chivvy |Outline story construction The Woodcutter& the Axe |Writing | | | | |Recitation |Speaking | | | | | | | | | |*Prose: Quality | Reading Paragraph/Slogan writing on Trees | Understanding |Confidence | | |Poem: Trees |Speech on Freedom is Life |Creative skills |Expression | | |*Supp :I want something in a cage | |Speaking |Content | | | | | |Fluency | | | | | |Presentation | | |*Prose: Expert Detectives | Comprehension check | Understanding Skill |Compre-hension | | |Poem: The Mystery of the Talking Fan. *Supp: |Project on Sherlock Holmes |Writing |Content | | |Chandini | |Analytical |Presentation | | | | | | | |*Prose: The Invention of Vita -Wonk | Comprehension |Reading |Content | | |Poem: Dad & The Cat &The Tree |Paragraph Writing on Wonders of Science |Writing |Pronunciation | | |*Supp: The Bear Story |Recitation |Speaking |accuracy | | | |Discuss ââ¬âShoot animals with a Camera-,not a gun. Listening | | | |*Prose: Fire: Friend and Foe |Comprehension |Understanding |Confidence | | |*Prose: A Bicycle in Good Repair |Fire Safety Measures Speech |Speaking |Accuracy | | |Poem: Meadow Surprises |Article Writing ââ¬âSAVE TIGERS |Writing |fluency | | |*Supp : A Tiger in the House | |Creativity | | | |*Prose: The Story of Cricket I & II |Bio sketch of a favourite cricketer |Writing |Expression | | |Supp: An Alien Hand |Findings about Planet Mars. ( Mini Project) |Investigating |Presentation | | |*Poem : Garden Snake |Cricket quiz |Compeering |Confidence | | | | | | | | | | | | | | | | | | | | | | | | | |Reading 20 | | |FA III 10 | | |Writing 20 | | |FA IV 10 | | |Grammar 15 | | |SA II 40 | | |Literature 25 | | |TOTAL 60 | | |Revision | | | | | | | | | NOTE: In addition to consolidating the items learnt earlier, the following will be introduced and recycled through the Upper Primary Stage (Classes VI, VII and VIII) through the lessons given in the Main Text Books. â⬠¢ Determiners * Passivisation * Linking Words * Adjectives (Comparative and Superlative Forms) *Adverbs (Place and Type), *Modal Auxilliaries * Tense Forms * Word Order in Sentence Types * Clauses * Reported Speech
Tuesday, October 22, 2019
Life, my personal view.
Life, my personal view. Think of someone you know that seems pretty happy about life. How would you describe their attitude? Are they kidding themselves? Are they ignoring the ugly truth about life that's right in front of their eyes and pretending that some happy fantasy world that exists only in their heads is real? Well, guess what. That is exactly how every happy person in the world acts. And the really strange thing is that it's OK. Because the reason that you are unhappy is that you have constructed a fantasy world just as complete and just as removed from the "facts" as the Pollyanna imaginings that you so despise in those happy people.Reality is in fact neither good nor bad, it is a very plastic inkblot sort of thing that can be bent and twisted in many directions depending on your beliefs. WHAT! you say? What about THE TRUTH? Well, that's a complicated question and it gets into the meaning of life bit that we haven't gotten to yet, but suffice it to say that what is REALLY going on is so strange, s o complex, and so far beyond our everyday understanding, that it bears no relationship to what you think of as "reality", "truth", or "reason".JusticeGood and bad, happy and sad, these are notions that you are imposing on the world around you.There is no such thing as JusticeIt is an illusion. A myth. A fairy tale. Life really isn't fair. The question is, why do you think it's supposed to be? Who started that idea? Job? The people who tried to put a good face on beating people up by inventing the Queensbury Rules? We don't know.Justice sounds like a good idea because it sort of equalizes the pain. I get hurt, so you...
Monday, October 21, 2019
Geographic Information Systems essays
Geographic Information Systems essays The rapid development of technology has led to advancements that have had a direct impact on the improvement of our military. Weapons have become more effective and the use of satellite imagery has helped reduce the amount of lives lost during conventional warfare. Although not often contemplated, geography and its subcomponents are a critical element of any successful military campaign. U.S. military personnel must plan for environmental factors as well as enemy tactics to ensure a successful campaign. In light of the recent events that have placed our country on the inevitable brink of war, the United States military must continue to implement systems and standards that maximize effectiveness while minimizing casualties. Should the United States military use Geographic Information Systems? The military uses Geographic Information Systems (GIS) to help understand terrain and its effect on battlefield support ("In Search of Military GIS" 1). By becoming more cognizant of terrain conditions, the United States military has become the most lethal and efficient military in the world. Understanding terrain has been important to military operations for roughly 1000 years ("The Role of Geographic Information Systems on the Electronic Battlefield" 1). Many great battles have been won and lost due to geography. Elements such as terrain, weather and soil can have a major impact on the outcome of a battle. Napoleon's attempt to enter Russia just before the Russian winter is probably the most glaring example of what can happen if geography is not weighed in military plans. The world is constantly changing but a map cannot. Once it is created it starts to become out of date ("GIS for Defense" 2). Areas that were once heavily forested can be destroyed by fire. Floods can destroy roads that serve as major thoroughfares. Should these disasters or any other natural or man-made occurrences take place, the map created suddenly become...
Sunday, October 20, 2019
Commonly Asked Questions About Continents
Commonly Asked Questions About Continents Many people wonder which continent houses certain countries or locales. The seven continentsà areà Africa, Antarctica, Asia, Australia, Europe, North America, and South America. Those places thatà are not part of a continent can be included as part of a region of the world.à Here are some of the most frequent questions.à Some Commonlyà Asked Continent Questions Is Greenland Part of Europe? Greenland is part of North America even though it is a territory of Denmark (which is in Europe). Which Continent Does theà North Pole Belong to? None. The North Pole is in the middle of the Arctic Ocean. Which Continents Does the Primeà Meridian Cross? The prime meridian runs through Europe, Africa, and Antarctica. Does the International Date Line Hit Any Continents? The international date line runs only through Antarctica. How Many Continents Does The Equator Pass Through? The equator passes through South America, Africa,à and Asia. Where is the Deepest Point on Land? The deepest point on land is the Dead Sea, located on the border of Israel and Jordan in Asia. On Which Continent is Egypt? Egypt is mostly part of Africa, although the Sinai Peninsula in northeastern Egypt is part of Asia. Are Islands Such as New Zealand, Hawaii, and the Islands of the Caribbean Part of Continents? New Zealand is an oceanic island far from a continent, and thus, it is not on a continent but is often considered to be part of the Australia and Oceania region. Hawaii is not on a continent, as it is an island chain far from a land mass. The Caribbean islands likewise- they are considered part of the geographic region known as North America or Latin America. Is Central America a Part of North or South America? The border between Panama and Colombia is the border between North America and South America, so Panama and countries to the north are in North America, and Colombia and countries south are in South America. Is Turkey Considered in Europe or Asia? Although most of Turkey lies geographically in Asia (the Anatolian Peninsula is Asian), far western Turkey lies in Europe. Continent Facts Africa Africa covers about 20 percent of the total land mass on planet Earth. Antarctica The ice sheet covering Antarctica amounts to about 90 percent of the Earths total ice. Asia The huge continent of Asia has both the highest points on Earth and the lowest. Australia Australia is home to more species than any developed country, and most of them are endemic, meaning that they arent found anywhere else. Thus, it also has the worst species extinction rate. Europe Britain separated from continental Europe only about 10,000 years ago.à North America North America extends from the Arctic Circle at the north all the way to the equator at the south. South America South Americas Amazon River, the second longest river in the world, is the greatest in volume of water moved. The Amazon Rainforest, sometimes called the lungs of the Earth, produces about 20 percent of the worlds oxygen.
Saturday, October 19, 2019
Gay rights in America Research Paper Example | Topics and Well Written Essays - 1250 words
Gay rights in America - Research Paper Example The research concludes that gays find it hard to celebrate regular ceremonies of marriage and face occupational barriers. They have to face differential attitude at workplace and educational institutes and are labeled as stereotypes. The research opens a new horizon of thought for the gay rights law enforcement agencies in that extra steps should be taken to ensure their gays rights are protected just like other citizens. Gay rights have been a hot public issue in America for some last decades. The earliest known gay rights organization is the Society for Human Rights in Chicago that was established in 1924 and launched first gay rights movement. After that, the Mattachine Society was established in 1951 and there have been a number of other organizations and movements till then which support gay rights. The Defense of Marriage Act (DOMA) passed by Congress in 1996 protects the marriage rights of gays since there were many states which had banned gay marriages before 1996. Congress approved the law in 2010 and legalized gay marriages. When talking about gay rights, we must discuss what actually the rights that have been legalized for gays are. These include ceremonial marriages, child adoption, domestic partnership registration on public record, domestic partnership affidavit given by employers to gay employees that defines the coupleââ¬â¢s economic relationship, health care, insurance, lawsuits, property, and the like. I predicted that although many laws and regulations have been passed to legalize and protect gay rights, still homosexuals have to face trouble in making themselves acceptable as normal citizens in America because people have stereotyped them and insult them. I also expect to find that gays find it hard to celebrate ceremonial marriages in public and also face discrimination in employment; however, I predict that they will not be facing problems in adoption, marriage registration and property transfer
Friday, October 18, 2019
The Treachery of Images Essay Example | Topics and Well Written Essays - 500 words - 3
The Treachery of Images - Essay Example The important distinction between them, which is present in the Magritteââ¬â¢s works, follows: words reference the world and images represent the world. His ideas about real and unreal differ from the classical concepts. Rene Magritte argued that: "Sometimes the image of the object takes the place of its name. The word can take place of the object in the reality. From the mismatch the artist came to the denial. By writing "This is not a pipe" he brings havoc to all the traditional relationship between word and image. The word "representational," when itââ¬â¢s used as a determination for a work of art, means that the painting depicts something taken from a real world which most spectators can easily recognize. Representation can be regarded as a smooth transition between artistââ¬â¢s thoughts and the real embodiment of a piece of art, whereas the understanding of representation by an audience may not coincide with the initial artistââ¬â¢s idea. At the same time the artist tries to convey the idea so that it could be understood by the audience, so, representational pieces of art requires oneââ¬â¢s efforts to understand it since itis initially presupposed to contain some particular sense. This type of art is clearly seen on the painting of Giovanni Arnolfini and His Wife by Van Eyck and The Rocky Mountains by Bierstadt. Abstract art in its turn, tends to "harmonization", to the creation of a combination of certain colors and geometric shapes in order to cause a variety of contemplative associations. Abstract aims to create an extremely saturated painting with quite an ambiguous meaning conveyed by its figures.
Applauding William Paterson Universitys Concert Performance Essay
Applauding William Paterson Universitys Concert Performance - Essay Example As the schoolââ¬â¢s Concert Band and Wind Ensemble played such favorites as Allegro Giocoso and Folk Song Suite, there were elements of strong orchestral harmony throughout the duration of their performances, which provided a competent musical event. No tangible discrepancies were noticed in relation to keeping up with the conductorââ¬â¢s tempo, suggesting a group which has practiced and rehearsed to remain harmonious. However, the Wind Ensemble appeared struggle through I Am ââ¬â Richard Boysen, Jr. which may have been due to the difficulty of the piece as it is associated with a saxophone player who died in a car accident. The violent clashing of symbols to represent the accidentââ¬â¢s hideous disgrace really emphasized the importance of the contemporary concert piece. Percussion dominated much of this series of performances, which added grandeur and excitement to the music. I have often thought that cymbals are often some of the most important instruments in the conce rt performance, as a slightly off-tempo clash can interrupt the harmony of the music. This performance lacked nothing in relation to maintaining the appropriate pace. Cymbals are used to represent a variety of emotions, perhaps as a stylistic tribute to history or as a remembrance piece to an influential person of interest.
Thursday, October 17, 2019
Articlo p865 Article Example | Topics and Well Written Essays - 500 words
Articlo p865 - Article Example hat a patient could be in any cleanliness operatory in any city the nation over and be diagnosed with periodontal sickness and treated in a steady way. We have different components ready for this perspective is executed from. The principal issue includes the way in which hygienists were prepared. Undoubtedly, hygienists get a magnificent instruction in the universities and colleges the nation over. The second element included is the calendar driven nature of the dental calling which demonstrates that greatness, tenderness, time administration, kind disposition and friendly is the center esteem the extent that the calling is of concern. The third component includes the elements of progress and initiative that makes dental specialists concentrate on fabulous remedial and restorative dentistry. From my perceptions the extent that disposing of the cleaning woman disgrace is of concern, specialists assumes a basic part in the genuine conclusion of the infection. The hygienist`s part is to assemble precise information, educate the specialist and patient of the discoveries, finish the case presentation, and perform the genuine help. Morally, the consideration of dental specialist executes the quintessence of harmony and smooth subsequent to without the contribution of all allies, this methodology will come up short. Likewise, we must teach the staff on the momentum research and new methodologies to perio cleanliness, and in addition encourage the progressions important to give fabulous here of the dental practice. A sorted out, orderly approach to ahead of schedule periodontal malady is our territory of mastery. Promoting the dental cleanliness calling is a twofold recommendation: It obliges an advertising battle to clarify who we are, our main thing, and what accreditation we have for doing these things and afterward hoisting the calling through a positive authoritative "advancement." Our advertising fight is the first step. Dental hygienists are frequently seen in
Case Study Starbucks Example | Topics and Well Written Essays - 750 words
Starbucks - Case Study Example The merchandise in the stores does not support the foundation of the coffee heritage Basically all the problems faced buy Starbucks today are due to unromantic streamlined operations. Although the decision for automation and streamlining operations have helped Starbucks expand and improve the customers experience in terms of speed of service and more extensive distribution(increased number of stores) but these operations have also distanced Starbucks from its tradition and heritage. The use of bagged coffee has solved the problem of availability of fresh coffee beans across long distances in time but has lead to the eradication of people scooping fresh coffee from bins and grinding it fresh in front of the customers. This in turn has lead to the absence of coffee grinders and other related merchandise in the stores giving the store a sterile and cookie cutter look lacking the warmth of a neighborhood store. As Starbucks is moving away from its heritage, it is loosing its competitive advantage, a coffee experience which is unique and exclusive and traditional, and competition is taking over in terms of generating trial through awareness and loyalty of customers. According to my analysis, the first thing Starbucks should do is to improve store design which should reflect the traditional coffee experience like the wooden counters of the first store, neighborhood store look etc. Automation has made business more efficient, hence realistically thinking, Starbucks should not do away with it but integrate the traditional and automated process of making coffee. This means that although automated machines should be used but are use of La Marzocca machines for coffee should also be offered on customers. Segmentation should be done on the basis of geography and culture, and flavors should also be customized keeping this in mind. More programs like "coffee master programs" should be introduced which improve both, customer satisfaction and employee motivations. These programs also relate to rituals of wine industry giving Starbucks an edge in developing premium brands. Sales promotion is essential for penetration among the masses. In addition to in store merchandise, accessories like t-shirts and mugs can be used in promotions which reflect the essence of Starbucks tradition, stories and rituals on them for the costumers to take home and have a long lasting experience. Lastly, new flavors should be introduced coupled with a story which relates to the tradition and roots of Starbucks origin and the region it is being introduced. Starbucks is loosing its edge and as its chairman Howard Schultz (2007) said "we desperately need to look in the mirror and realize it's time to get back the core and make
Wednesday, October 16, 2019
Articlo p865 Article Example | Topics and Well Written Essays - 500 words
Articlo p865 - Article Example hat a patient could be in any cleanliness operatory in any city the nation over and be diagnosed with periodontal sickness and treated in a steady way. We have different components ready for this perspective is executed from. The principal issue includes the way in which hygienists were prepared. Undoubtedly, hygienists get a magnificent instruction in the universities and colleges the nation over. The second element included is the calendar driven nature of the dental calling which demonstrates that greatness, tenderness, time administration, kind disposition and friendly is the center esteem the extent that the calling is of concern. The third component includes the elements of progress and initiative that makes dental specialists concentrate on fabulous remedial and restorative dentistry. From my perceptions the extent that disposing of the cleaning woman disgrace is of concern, specialists assumes a basic part in the genuine conclusion of the infection. The hygienist`s part is to assemble precise information, educate the specialist and patient of the discoveries, finish the case presentation, and perform the genuine help. Morally, the consideration of dental specialist executes the quintessence of harmony and smooth subsequent to without the contribution of all allies, this methodology will come up short. Likewise, we must teach the staff on the momentum research and new methodologies to perio cleanliness, and in addition encourage the progressions important to give fabulous here of the dental practice. A sorted out, orderly approach to ahead of schedule periodontal malady is our territory of mastery. Promoting the dental cleanliness calling is a twofold recommendation: It obliges an advertising battle to clarify who we are, our main thing, and what accreditation we have for doing these things and afterward hoisting the calling through a positive authoritative "advancement." Our advertising fight is the first step. Dental hygienists are frequently seen in
Tuesday, October 15, 2019
Nostalgia in Amitava Kumar's BombayLondonNew York Essay
Nostalgia in Amitava Kumar's BombayLondonNew York - Essay Example Said emerges not just as an intellectual giant, but also a deeply passionate man. The requirement f leaving one's place f orign and move from the periphery towards the centre, combined with the compulsion to look back and travel; homewards n a bid to understand one's history, is the force that drives much f recent Indian writing n English. The name Kumar has selected for his book signifies the journey that both he and his fellow writers have made, the distances they have traversed and the literary signposts they have passed. It happens often that compositions f exemplary character and intuition do not receive the desired attention from their creators. Sir Arthur Conan Doyle wrote Sherlock Holmes mysteries on a lark but tired f his detective, had him killed n a story, only to refresh him agan after a public outrage. A similar overlooking f one's own talents occurs n this Kumar's entertaining book. While the title may be reminiscent f a travel brochure, the book is an exhaustive thorough survey f Indian authors writing n English, living n both India and abroad. But, sifting through the literary ore, we find charming nuggets f Kumar's own life, gleaming like gold. Kumar's personal musings cover perhaps a fourth f his book but have an impact far beyond their length. The slender volume f his personal odyssey has enough pathos to overcome his intermittently interesting but mostly descriptive treatise on the Indian contribution to English literature. Similar to his an earlier excellent piece f writing, Passport Photos, this one is a multi-genre celebration f the fascinating literary journey that Kumar has undertaken as a reader and critic f Indian fiction. His own fiction and poetry, along with personal accounts, make this an imaginative exercise that explores many f the impulses that have helped create contemporary Indian fiction n English. The world literature has slowly awakened to the realization that Salman Rushdie, V.S. Naipaul and Arundhati Roy are not restricted to the ethnic press anymore; they are internationally renowned writers with considerable influence n the world f ideas. It is therefore particularly apt that there be a reassessment f Indian-English contribution to English literature and Kumar does this admirably through the prism f his own understanding. n Bombay-London-New York, Kumar highlights at the very beginning that his pages are to be read merely as "marginal entries n a book written by others." He quotes generously from novels and short stories, newspaper articles, reviews and interviews, and uses photographs to convey a sense f contemporary India and the Indian writer's experience. Kumar's canvas is as enormous ahis "reading practice" which he claims to have recorded for the purpose f this book. The issues he deals with are, likewise, numerous. Kumar does not incarcerate his survey to immigrant writing. We are taken to Pankaj Mishra's Butter chicken n Ludhiana: Travels n Small Town India , where an Indian born American kid asks a perplexed hotel manager "May I have a boddle f Bisleri Wadder." He ruminates on the nuclear bomb with Arundhati Roy (The End f Imagination), relives London's Bloomsbury circle with Mulk Raj Anand ( Conversations n Bloomsbury), revels n the celebration f Hanif Kureishi's sexually charged writing (My Beautiful Launderette, Sammie and Rosie Get Laid) and discusses Akhil Sharma's An Obedient
Monday, October 14, 2019
Organization of the study Essay Example for Free
Organization of the study Essay The study will be organized into four chapters in accordance with the Action Research, as table 1 displays. TABLE 1 Organization of the study based on action research Action Research Steps Chapters 1 2 3 4 Planning/Conceptualization X Fact Finding X X X Evaluation X Chapter 1 has stated the problem and purpose, explained the importance of the study, and stated the method. Chapter 2 will survey the literature to identify and report behaviors required to effectively analyze the characteristics of the church leaders, church members and surrounding neighborhood. Chapter 3 will report the validated behaviors for the role of the church. Chapter 4 will review and summarized the study, offer appropriate conclusion and discuss recommendations for change and future study. A review of literature available regarding the Black church and the involvement of the church in the community reveals a pattern of strong involvement of the church in the community. African presence in the Bible shows a clear participation in the early Church as well as a respect for African involvement. The early history of the church, as well as its mid-20th century involvement in the civil rights movement, sets a precedent for community involvement in secular matters for the church of today. Modern involvement of the Black church in secular life and the wider community touches all aspects of secular life, including physical and mental health of its parishioners, youth advocacy and youth programs, economic development, community volunteering, and literacy. Additionally, more traditional areas of pastoral involvement, such as bereavement counseling, may have some overlap with secular counseling due to increasing involvement in secular mental health providers in life events previously handled in a primarily pastoral manner. BIBLICAL CONTEXT Blacks have a strong presence in the Bible, and there is no evidence of the modern idea of racial inferiority to other peoples in the writings. Both Old Testament and New Testament writings refer to Africans who were highly placed, and do not show any evidence of the discrimination or enslavement African Americans have faced. ââ¬Å"When Israel was a child, then I loved him, and called my son out of Egyptâ⬠(Hosea 11:1) The Queen of Sheba was a notable Biblical African; she was treated as an equal and given full honors as a head of state. ââ¬Å"And she came to Jerusalem with a very great train, with camels that bare spices, and very much gold, and precious stones: and when she was come to Solomon, she communed with him all that was in her heartâ⬠(1 Kings 10:2) The genealogy of Jesus Christ in Matthew lists several African women ââ¬â ââ¬Å"And Salmon begat Booz of Rachab; and Booz begat Obed of Ruth; and Obed begat Jesse;â⬠(Matthew 1:5) Rachab and Ruth were African women, as was Thamar. The gathering of Jews at Pentacost related in Acts included those of African origin. ââ¬Å"Parthians, and Medes, and Elamites, and the dwellers in Mesopotamia, and in Judaea, and Cappadocia, in Pontus, and Asia, Phrygia, and Pamphylia, in Egypt, and in the parts of ibya about Cyrene, and strangers of Rome, Jews and proselytes, Cretes and Arabians, we do hear them speak in our tongues the wonderful works of God. â⬠(Acts 2:9-2:11). Two of the teachers at Antioch were also African ââ¬â ââ¬Å"Now there were in the church that was at Antioch certain prophets and teachers; as Barnabas, and Simeon that was called Niger, and Lucius of Cyrene, and Manaen, which had been brough up with Herod the tetrarch, and Saulâ⬠(Acts 13:1). Of these teachers, Simeon (called Niger, Latin for ââ¬Å"the blackâ⬠) and Lucius of Cyrene were African. The wealth of African presence and importance in the Bible makes it clear that the African American church has a strong Biblical precedent. HISTORICAL CONTEXT The African church was active and important in the history of the early church. The Synod of Hippo, held in 393 in Hippo Regius (corresponding to northern Algeria) was instrumental in forming Christianity as we know it today; that is where the first canon of the New Testament was approved. Several other synods were also held in Hippo Regius, as well as councils in Carthage and Alexandria (Hendrickson, 2002, 320). Egypt and Algeria were centers of Christian worship. Major historical events in Christianity, including the Reformation, spread Christianity further into Africa. When Africans were captured and sent to the New World as slaves, they brought with them a melange of religious practice, including Christianity, native religions and others. The black church in America was established during the 1700s, during which time many African Americans were still suffering under the yoke of slavery. The first uniquely black church, the African Methodist Episcopal Church in Philadelphia, was established by Richard Allen in 1816; membership in the new denomination exploded, reaching almost 6,000 members by 1820 and spreading to the south and west quickly (Simms, 2000, 101). The Black Methodist church immediately took on the characteristic role of the black church, fighting oppression and slavery, providing loans and business advice and other social services to their worshippers (Simms, 2000, 101). The church was instrumental in abolishing slavery; David Walkerââ¬â¢s work ââ¬Å"Appeal to the Coloured Citizens of the Worldâ⬠, published in 1829, which castigated the institution of slavery and used Scriptural quotation and traditional Christian morals to prove the immorality of slavery and the moral bankruptcy of the slave owners, provided a galvanizing force to the Abolitionist movement as well as encouragement to those still enslaved (Simms, 2000, 102). Simms relates the spread of the Black church throughout America to the exodus of Southern blacks at the start of World War I; given a sudden chance at employment and expansion, Southern blacks moved north into the industrial heartlands of Michigan, Illinois and Indiana as well as into the Northeast, and they brought their religion along with them. One notable congregation was the Abyssinian Baptist Church of Harlem, which provided political, social and economic support to its 14,000 members (2003, 102). Blum remarks on the position of the church in the Black community, ââ¬Å"the Black church has been the enduring center and focal point of Black communities and the refuge from racism and povertyâ⬠¦ the church provided Blacks with a shelter, and indeed, was the most significant of all Black institutions (1993, 609)â⬠. At the time the Black church differentiated from white denominations, slavery and oppression against Blacks was rife. The churchââ¬â¢s establishment was a form of protest against the ruling white majority and a spiritual refuge from the larger world. Because the congregants of the Black church have never had the luxury of a coherent, secular social support structure, the church has taken on the role of social caregiver as well as spiritual caregiver. According to Gadzekpo (2001, 609), the church had from its inception a distinct, African-American culture, and was not an attempt to mimic the white church as is often assumed. ââ¬Å"The major aspect of Black Christian belief was freedomâ⬠¦ for the African in America as a slave, it meant release from bondage; after emancipation, it meant education, employment and freedom of movement for the ââ¬Å"Negroâ⬠, and for the past forty years it has meant social, political and economic justice for the African-American (2001, 609). â⬠According to Gadzekpo, a call to Godââ¬â¢s service was seen as a call to freedom; it is a basic tenet of the Black Christian church that God wants Black Christians to be free because they, too, are made in his own image. The involvement of the Black church in the civil rights movement of the 1950s and 1960s was notable, not only because church leaders precipitated a major change in the secular culture, but because it set a pattern of involvement of the church in secular matters, including political, social and health. Leonard Gadzekpo discusses the involvement of the Black church in the civil rights movement. He states: One may present the Black church as an institution that gives some direction to the aforementioned aspects of African-American life and influences them, particularly in American society at large. The core values of Black culture ââ¬â such as freedom, justice, equality, an African heritage and racial parity in all aspects of human life ââ¬â were inherent in the Christian ethos that gave birth to and nurtured the civil rights movement. (2001, 609). With the founding doctrine of the Black church being religious, political and physical freedom, the involvement of the church in the civil rights movement was inevitable. Likewise, involvement of the church in the political and social problems that African-Americans face today is inevitable. As Gadzekpo notes, â⬠¦ the Black church, therefore, has reached the point in the last decade of the twentieth century in which searing demands are being made for a return to the tradition of self-help and agitationâ⬠¦ the development of new and creative approaches has become commonplace in the face of internal pressures involving changes within African-American society, external pressures involving prevalent and persistent racism, and the hostile environment in which the church exists. (2001, 610) The history and current position of the church within the Black community clearly indicate that there is a need for involvement of the church in secular matters as well as spiritual, and that the church, by providing this involvement, would be continuing the tradition of service which the church was founded in. However, as Simms notes, the church struggles with the bifurcation of the black community. More affluent blacks who have managed to escape the traditional economic and social confines of the African American experience have not remained within the church to continue to support its mission. The modern black church is a divided entity, rather than a united whole, which weakens its efforts and causes difficulty in determining its path (Simms, 2000, 105).
Sunday, October 13, 2019
Analysis of Sickle Cell Disease
Analysis of Sickle Cell Disease Safiullah Barat Melissa Parker Canada is becoming more multicultural as individuals from developing countries are making Canada their home. As the rate of immigrants in Canada is rising, diseases that were uncommon are becoming more prevalent. For instance, disorders such as sickle cell disease are increasing in all regions in Canada (Neglected Conditions, 2014). Sickle cell disease is genetic disorder that causes undesired effects which decreases an individualââ¬â¢s quality of life. The purpose of this paper is to analyze the pathophysiology of sickle cell disease, and to research evidence based practice such as management and prevention measures. To begin, a brief explanation of the search strategy used will be discussed, followed by details on the epidemiology of sickle cell disease. Furthermore, aspects of the disorder will be discussed in the following order: risk factors, clinical manifestations, diagnostic tests, complications, evidence based treatment, and different levels of preventive measures. Accord ing to RNAO, ââ¬Å"knowledge provides the basis for professional practice and, is a central aspect of professionalismâ⬠(Professionalism in nursing, pg. 28). It is evident that nurses need to critically analyze disorders, such as sickle cell disease, in order to apply and provide competent care. Search Strategy To help retrieve the most up to date, recent and peer reviewed articles, different search strategies have been used. Nursing databases such as ProQuest, CINHAL and MEDLINE were used to find the appropriate journal articles. After doing so, search limiters were used to narrow down the search. Peer reviewed, full text and published dates set from 2009 to 2014 were selected, as well as the availability of references was included. Boolean operators, ââ¬Å"andâ⬠and ââ¬Å"orâ⬠, were commonly used ; furthermore, search term ââ¬Å"sickle cell diseaseâ⬠and Boolean phrases including ââ¬Å"complicationsâ⬠, ââ¬Å"treatmentâ⬠, ââ¬Å"diagnostic testâ⬠, ââ¬Å"pediatricsâ⬠, ââ¬Å"preventionâ⬠, ââ¬Å"etiologyâ⬠, and ââ¬Å"Canadaâ⬠were combined to narrow the search. Epidemiology Sickle cell disease is prevalent in areas where malaria is common. This includes area such as the Caribbean, Nigeria, Middle East, Mediterranean, Indian sub-continent, Greek, Turkey, India, Pakistan, Ghana, and Far East China (Brown, M. 2012). A study conducted by Lanzkron et al (2013) took a look at mortality rates with individuals who had sickle cell disease over a time frame of thirty years. Over the course of thirty years, 16, 654 sickle cell-related deaths had occurred with a mortality rate of 0.7% each year (Lanzkron et al, 2013). In Canada, one in every 2500 babies will be born with sickle cell disease, and have a one in four chance (25%) of having sickle cell disease. Furthermore, they have a one in two chance (50%) of being a carrier for sickle cell disease (Sickle Cell Disease Association of Canada, 2013). Etiology/Risk Factors Sickle cell disease is an inherited autosomal recessive condition that causes an abnormal formation of hemoglobin. Different types of sickle cell disease includes sickle cell anemia (HbSS), sickle hemoglobin-c disease (HbSC), and sickle cell thalassemia (HbS) ( Brown, M. 2012).However, the most common is sickle cell anemia (Lewis, 2014). This inheritance occurs when both the mother and father pass on the defective gene to their child (Brown, M. 2012). Therefore, being a carrier of the sickle cell trail is a major risk factor. Individuals have an increased risk of developing sickle cell disease if residing in areas where malaria is endemic. Sickle cell disease puts individuals at risk whose ancestors came from West Africa, southern Italy, northern Greece, South and Central America, Middle East, Central India, southeast coast of Turkey and Mediterranean in Sicily (Pack-Mabian, A Haynes, J.r. 2009). Clinical Manifestations Although, each individual will display different signs and symptoms of sickle cell disease, they all display one similar characteristic: when exposed to factors that decrease oxygen, the hemoglobin forms into a sickle-shaped red blood cell which blocks the flow of blood. As a result, clinical manifestations often show anemia, jaundice and severe pain (Addis, G. 2010). Often, patients are asymptomatic except when experiencing a sickling episode (Lewis, 2014). An individual with sickle cell disease may develop anemia due to the complete destruction of red blood cells or hemolysis (Addis, G. 2010). Normally, red blood cells live for 120 days in our body but sickle cells usually die within ten to twenty days (Addis, G. 2010). As a result, the bodyââ¬â¢s organs are not receiving enough oxygen. The body compensates as it increase heart rate, increase blood pressure to allow the oxygenated hemoglobin to reach the necessary organs. Furthermore, individuals will display signs and symptoms of SNS or fight or flight response. Increase pupil dilation, diaphoresis and tachypnea are evident in patients with sickle cell crisis (Tortora Derrickson, 2012). In addition, the constant breakdown of hemoglobin produces bilirubin, a byproduct of hemoglobin, which cannot be processed by the liver. As a result, the bilirubin gets stored in the blood and connective tissue which results in yellowing of the eyes and the skin (Addis, G. 2010). However, the most common manifestation individuals with sickle cell disease experience are pain as a result of vaso-occlusive crises, also known as sickle cell crisis. Pain related to sickle cell disease accounts for ninety percent of hospital admissions (Musumadi, L. et al. 2012). This is mainly due to episodes of sickling that prevents oxygenated blood reaching organs, which results in ischemia and gradual deterioration of tissue and organ function (Musumadi, L. et al., 2012). Diagnostic Tests Diagnostic tests to diagnose sickle cell disease involve blood work. Often, individuals who have sickle cell disease are best diagnosed with the use of a peripheral blood smear test which reveals sickle cells (Lewis, 2014). In addition, sickle hemoglobin tests involve taking red blood cells, and expose them to factors that deoxygenate the blood, and determines if there is hemolysis (Lewis, 2014). Furthermore, a test known as the hemoglobin electrophoresis helps to differentiate sickle cell trait between sickle cell disease. It works by identifying various types of hemoglobin within a blood specimen to confirm the diagnosis of sickle cell disease (Randolph Wheelhouse, 2012). Additionally, secondary diagnostic tests could be used to diagnose complications that arise with sickle cell disease. Individuals may require a chest x-ray, skeletal x-ray, magnetic resonance imaging (MRI), and a Doppler ultrasound (Lewis, 2014). Skeletal x-rays are used to determine bone and joint deformities whereas chest x-rays are used to diagnose chest infection (pneumonia). MRIs are used to aid in the diagnosis of a stroke caused by blocked blood vessels from sickled cells Likewise, a Doppler ultrasound may be used to diagnose deep vein thrombosis (DVT) (Lewis, 2014). Course of the disease and complications Sickle cell disease causes a wide range of complications that begin at infancy and worsen with age when not controlled. Complications develop when sickling episodes causes vaso-occlusion which leads infarction of body tissues and organs (Lewis et al., 2010), and with increasing age, causes end-organ complications (Miller Meier, 2012). At age 2, children begin to experience dactylitis, pain in small bones of hands and feet (Miller Meier, 2012). Vaso-occlusive pain involving the back, chest, abdomen, or extremities continues to occur throughout the lifespan of an individual with sickle-cell disease (Pack-Mabien, 2009). Furthermore, both pediatrics and adults encounter the difficulty of anemia as it leads to other complications such as bone marrow suppression, renal insufficiency, and splenic or hepatic sequestration (Pack-Mabien, 2009). The infarction of the spleen can begin in infancy and causes another major complication: infection. The dysfunction of the spleen and its inability t o phagocytize foreign objects can cause major infection in both children and adults ââ¬Å"and is the leading cause of morbidity and mortality in patients with sickle cell diseaseâ⬠(Miller Meier, 2012). Additionally, sickling episodes can affect the pulmonary system in all affected age groups and causes acute chest syndrome, a disorder that includes pulmonary complications such as pneumonia, fat embolism, systemic infection, pulmonary infarction, and if not treated, can lead to respiratory failure (Miller Andrew, 2012). Unfortunately, children and adults are also at risk for stroke due to cerebral infarction (Miller Meier, 2012). Other complications include gallstones, kidney failure, priapism or involuntary erection, delayed sexual development, delayed growth, bone necrosis, and leg ulcers (Brown, M. 2012). Treatments The treatment of sickle cell disease involves the reduction of symptoms and complications. Treatment includes pain management involving opioid or non-opioid analgesics, anti-inflammatory drugs, and NSAIDS (Addis, 2010). Also, cognitive behavioural therapy and non-pharmacological approaches can benefit patients with chronic or acute pain (Addis, 2010). Another treatment includes RBC transfusion and is required ââ¬Å"as an emergency measure or to prevent short or long-term complications.â⬠(Addis, 2010). Furthermore, a medication called hydroxyurea is a major advancement in the management of sickle cell disease and is available in Canada (Canadian Association of Sickle cellâ⬠¦). Hydroxyurea increases the level of fetal hemoglobin that results in an overall decrease in circulating sickle cells (Smith et al., 2011). A clinical study conducted by Smith et al (2011), has proven a decrease in pain intensity in patients undergoing hydroxyurea therapy, as well as a decrease in analg esic use and a significantly lower reduction in crisis and mortality. Moreover, multiple studies have shown bone marrow transplant as a potential cure of sickle cell disease; however, further studies are needed for this treatment to be recommended as a standard treatment for sickle cell disease (Thompson, 2012). Preventive Measures Primary Preventive Measures Although genetic risk factors are non-modifiable, there is a preventive measure for sickle cell disease: genetic counselling. Genetic counselling should be encouraged in patients with the sickle cell trait especially when planning to have a child. This preventive measure helps patients understand and adapt to the implications of genetic contributions to the disease and offers ââ¬Å"counselling to promote informed choices and adaptation to the risk or conditionâ⬠(Lewis, 2014. p. 787). A 6-year study in Saudi Arabia, a country of high prevalence of sickle cell disease, showed a significant decrease in the genetic disease through the use a genetic counselling program as it decreased the number of at-risk marriages (Memish, 2011). Secondary Preventive Measures Prevention measures in the secondary level focuses on diagnostic tests and screening for sickle cell disease. Newborn screening is the earliest way to detect whether the child has sickle cell disease in time to prevent serious complications from occurring (Newborn Screening Ontario, 2013). According to the Newborn Screening Ontario (2013), newborn screening can prevent ââ¬Å"infection and sepsis, growth delay, painful sickle crisis, tissue ischemia and organ damage.â⬠Secondary preventive measures also involve previously stated diagnostic testing for complications such MRI for stroke, the use of x-rays for chest infections, etc. Also, pain is a major complication in both adults and pediatrics and should be diagnosed; however, it is challenging to detect pain in unresponsive clients such as neonates. Registered Nurses Association of Ontario recommends the use of a validated pain assessment tool for neonates called Neonatal Infant Pain Scale (NIPS) due its evidence of reliability and validity. This tool includes components such as facial express, cry, breathing patterns, arms, legs, and state of arousal component (Assessment and Management of Pain, 2013). Tertiary Preventive Measures Tertiary preventive measures involve treatments that aid in regaining patientââ¬â¢s functional ability and the elimination of the disease. For individuals with sickle cell disease, preventive measures at this level include medical interventions to prevent and control symptoms and complications. For example, interventions are pain management, hydroxyurea, and transfusion therapies as mentioned earlier. Furthermore, penicillin can be given to children starting at 2 months of age, and vaccinations against pneumococcal infections, flu, meningitis, and hepatitis are important to prevent infections and early death (Addis, 2010). Conclusion In conclusion, sickle cell disease is one that affects the quality of life of affected individuals. The analysis focused on different aspects of sickle cell disease such as the epidemiology in which prevalence is high in areas where Malaria is predominant. Also, due to increasing immigration, the incidence of the disease is increasing in Canada. Furthermore, known risk factors have been identified such as genetic and environmental factors. In addition, the main clinical symptoms with sickle cell disease include pain as well as symptoms of anemia. Furthermore, a variety of tests which include blood work are the determinants of the presence of sickle cell disease. Sickle cell disease potentiates of a variety of complications, most commonly vaso-occlusive pain, acute chest syndrome, anemia and other major organ complications. Unfortunately, treatment only aids in controlling the complications and does not provide a cure for the disease. It is evident that the need for further research i n stem cell transplant as a potential cure is highly needed. Lastly, genetic counseling, neonatal screening, diagnostic tests, and current evidence based treatment such as pain management, hydroxyuria and transfusion therapy, are all preventive measures of symptoms and complications of the disease. The findings in this analysis are significant for nurses to apply when having encountered a patient with sickle cell disease. Certainly, it is important for nurses to acknowledge the increasing diversity in Canada and to continue competency by constantly seeking new pertinent information to apply to everyday practice. References Addis, G. (2010). Sickle cell disease, part 1: understanding the condition. British Journal Of School Nursing, 5(5), 231-234. Brown, M. (2012). Managing the acutely ill adult with sickle cell disease.British Journal Of Nursing,21(2), 90-96. Lanzkron, S., Carroll, C., Haywood Jr., C. (2013). Mortality Rates and Age at Death from Sickle Cell Disease: U.S., 1979-2005. Public Health Reports, 128(2), 110-116. Lewis, S. M. (2010). Medical-surgical nursing in Canada: assessment and management of clinical problems (2nd Canadian ed.). Toronto: Mosby Elsevier Canada. Memish, Z., Saeedi, M. (2011). Six-year outcome of the national premarital screening and genetic counseling program for sickle cell disease and [beta]-thalassemia in Saudi Arabia. Annals Of Saudi Medicine, 31(3), 229-235. doi:10.4103/0256-4947.81527 Miller, Andrew C., and Mark T. Gladwin. (2012) Pulmonary Complications of Sickle Cell Disease.American Journal of Respiratory and Critical Care Medicine185.11 (2012): 1154-65.. Miller, J. L., Meier, E. (2012). Sickle Cell Disease in Children. Drugs, 72(7), 895-906. doi:10.2165/11632890-000000000-00000 Musumadi, L., Westerdale, N., Appleby, H. (2012). An overview of the effects of sickle cell disease in adolescents. Nursing Standard, 26(26), 35-40 Neglected conditions. (2014). Canadian Medical Association.Journal, 186(6), 452-453. Newborn Screening Ontario. (2013). Newborn screening manual: a guide for newborn care providers. Retrieved from http://www.newbornscreening.on.ca/data/1/rec_docs/795_CHO0093-NSM-Web.pdf Pack-Mabien, A., Haynes, J. r. (2009). A primary care providers guide to preventive and acute care management of adults and children with sickle cell disease. Journal Of The American Academy Of Nurse Practitioners, 21(5), 250-257. doi:10.1111/j.1745-7599.2009.00401.x Randolph, T. R., Wheelhouse, J. (2012). Novel test method (sickle confirm) to differentiate sickle cell anemia from sickle cell trait for potential use in developing countries. Clinical Laboratory Science, 25(1), 26-34. Registered Nursesââ¬â¢ Association of Ontario. (2013). Nursing Best Practice Guidelines: Assessment and Management of Pain. Retrieved from http://rnao.ca/ Registered Nursesââ¬â¢ Association of Ontario. (2007). Nursing Best Practice Guidelines: Professionalism in Nursing. Retrieved from http://rnao.ca Sickle Cell Disease Association (2013). Reterieved from http://www.sicklecelldisease.ca/ Smith, W. R., Ballas, S. K., McCarthy, W. F., Bauserman, R. L., Swerdlow, P. S., Steinberg, M. H., Waclawiw, M. A. (2011). The Association Between Hydroxyurea Treatment and Pain Intensity, Analgesic Use, and Utilization in Ambulatory Sickle Cell Anemia Patients. Pain Medicine, 12(5), 697-705. doi:10.1111/j.1526-4637.2011.01096.x Tortora, G. J., Derrickson, B. (2012). ANS Neurotransmitters and Receptors. Anatomy Physiology: Princples of Anatomy. Danvers, MA: JOHN WILEY.
Saturday, October 12, 2019
Systemic Change :: Systematic Systemic Essays
Systemic Change What Is It To fully understand Systemic Change, one must first be able to distinguish systemic from systematic. The term systematic often is associated with images of a linear, generalizable model of how to do something. Systemic on the other hand implies a global conception of the problem and an understanding of the interrelationships and interconnections. (Carr 1996). The systemic perspective in instructional design is traditionally limited to feedback via needs assessment or evaluation. The systematic perspective in instructional design, however, is strongly represented in a variety of step-by-step models. (Carr 1996) Systemic thinking "requires keeping many aspects of the problem set in your head at one time. It is a community activity, not an individual one, with all the requisite challenges of any group task. Systemic thinking demands persistence, because to think systemically means to constantly reflect back to previous assumptions, and to be flexible enough to change thinking that has been agreed upon previously. (Reigeluth, Garfinkle 1994). Using a systemic view, we develop ways of finding out about the mass of inter-relationships which exist between the different components of systems as well as finding out about the components themselves and we have to find out about the relationships which exist between the whole system and the environment in which it exists. (Bateson, 1979; Bawden 1991, Carr 1996) There are two types of change. There is piecemeal change, often called tinkering, which entails modifying something (fixing a part of it) and there is systemic change, often called paradigm shift, which entails replacing the whole thing. Reigeluth, Garfinkle 1994). Systemic change is comprehensive. It recognizes that a fundamental change in one aspect of a system requires fundamental changes in other aspects in order for it to be successful. In education, it must pervade all levels of the system: classroom, building, district, community, state government and federal government. And it must include the nature of the learning experiences, the administrative system that supports the instructional system, and the governance system that governs the whole educational system (Banathy, 1991, Reigeluth, Garfinkle 1994). Systemic change is needed because of the paradigm shift that is occurring in education due to the information age. Although this paradigm shift in education is only a microcosm of the changes in society as a whole, these changes in society is making "the current educational system obsolete.
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