Thursday, August 27, 2020

The Use of Sweetners and the Rise in Obesity Essay

The Use of Sweetners and the Rise in Obesity - Essay Example Sugars got acquainted with assistance decrease people’s admission of sugar. A sugar can be best portrayed as issue used to improve a beverage or food. This is for the most part instead of sugar. They got grouped into two fundamental classes: the nutritive sugars. These are the sugars that get processed in the body just somewhat; they got known to give food vitality incentive to the body. For instance, glucose, nectar, maltose and modify sugar. The other class of sugars is the nonnutritive sugars (Mendosa et al, 2008). These don't get processed as on account of the nutritive sugars. It is a result of this that they get said to contain an immaterial measure of food vitality esteem. Models incorporate cyclamates, sucralose and stevia. One of the sugars utilized instead of the sugar is Stevia. This is a characteristic nonnutritive sugar. It gets got from the leaves of the Bertoni plant which normally happens in the timberlands of southern America. Its name got given after the botanist wayfarer who found it in 1908. He was an Italian by the name Dr. Moises Santiago Bertoni. This plant had been in presence for a few years. The local populace knew and named it as kaa he-he, which implied nectar leaf (Etkins, 1997). They utilized its leaves to enhance the flavor of their unpleasant tea; they just as bit on the leaves for their sweet taste or in clinical elixirs. It was after Dr. Bertoni’s disclosure that such a mostly secret and uncommon plant turned out to be notable and celebrated. His disclosure empowered the plant to be gotten to by numerous individuals other than just the individuals who approached its normally happening natural surroundings. These being the local Indians who initially involved the land before the pilgrims came. In 1908, the main dried leaves of the plant got reaped and delivered as a sugar. It was not until 10 years after the fact that the plant got brought to the consideration of the United States government

Saturday, August 22, 2020

1.Was the British Empire a force for good Essay

1.Was the British Empire a power for good - Essay Example wistfulness for a progressively cultivated and amiable Greater Britain through TV programs, for example, This Sceptred Isle and Empire’s Children, while print pundits straightforwardly denounce it as a blood-recolored absolutism (Brendon, 2007). Student of history Lawrence James contends, ‘ploughing a recognizable furrow,’ yet we ought to consistently be glad for the Empire that set up dependability, progress, and helpful organizations in states. In this examination paper, I attempted to characterize British Empire’s job as fortunate or unfortunate and reason that it was neither acceptable nor awful, however convoluted. One must contend that why there is discussion about it. For the most part, huge scope of British Empire and its enduring effect embodies a period wherein the entirety of the non-Europeans were commanded by Europeans. Another explanation behind contention about Empire is its limitlessness that opposes straightforward rundown, and hence, viewpoints on it additionally fluctuate ridiculously. It is feasible for Empire’s admirers or rivals to pick a few models so as to demonstrate that British guideline, overall, was fortunate or unfortunate, and its heritages as helpful or evil. Some affirm that it was a motor of modernization, while others accept that it was a vehicle of abuse (Jackson, 2013, p.4). As decolonization of European Empires encouraged during the 1960s, Jean-Paul Sartre composed that, â€Å"†¦It was only a belief system of falsehoods, an ideal legitimization for loot; its sugary words, its friendship of reasonableness were just justifications for our aggressionsà ¢â‚¬  (refered to in Jackson, 2013, p.4) while Niall Ferguson contends that British Empire was superior to different domains from a similar period. The record of British Empire isn't clean using any and all means, yet it gave us worldwide exchange and the standard of law (refered to in Jackson, 2013, p.4). With an end goal to investigate Empire’s credits, one may prompt the possibility that British Empire was a liberal domain. It was set up on the principals traditionally articulated by Edmund Burke, who stated that provincial government was a

Friday, August 21, 2020

Comparison and Contrast Essay Samples

Comparison and Contrast Essay SamplesThere are many different types of essays for college. Some examples are comparison and contrast essays, essay critiques, comparison essays, essay topics, and essay critiques. The topics vary and the forms of these essays are also different. A student may have to write an essay on one type of essay only, or may need to write a variety of them.There are also differences in the way that a student may need to format their essays. One may be to format the essay for analysis, while another may be for debate. Most college writing classes cover writing for both types of essay but they do not specialize in either. This is because there are so many styles and ways to write an essay. Each person who is writing must do what is best for them.Students who need to write a comparison and contrast essays may find the comparison and contrast essay samples easier than the regular style. This is because comparison and contrast essays have very little differences in t hem. Students can keep the same form and format as the regular type of essay they would normally write. This makes it easy for students to get started in this style. These examples allow a student to get familiar with this style without giving up too much of their own style.Many students will find that these essay samples are easiest to get started with. They do not need to worry about making a big change in how they write. This style is usually a simpler one than the regular style, because the topic of the essay can be kept the same. There are some key differences between these two formats, however.In the comparison and contrast format, the essay will be completely made out of your own opinion. The only thing that will change is the style of the writing. The opinions are not too important because they are already yours and cannotbe changed.In the regular style of essay, there are three main differences between the two styles. The first one is the topic. For the essay samples you wi ll write for comparison and contrast, the topic is more important. If you do not have a good topic, this style is not for you.The second difference is the form of the writing. The regular style of the essay is written in a straight forward way, which means that all the ideas are in the same place. There is no room for opinion. Students who need to do this style will be limited in what they can write.The last difference between comparison and contrast essay samples is the material that is used. The material that is used in comparison and contrast essays is sometimes of a more creative nature. It is meant to be based on facts rather than just something a student wants to write about. The material that is used in a regular type of essay is meant to be a personal opinion. This type of essay is more difficult to write.

Thursday, May 14, 2020

Lord Of The Flies Rhetorical Analysis - 1142 Words

â€Å"There is a way that seemeth right unto man, but the end thereof are the ways of death.† (The Bible, Prov. 16:25). Thoughts that come to men stem from their participation in society or their natural state of good and evil. However, society’s morals mask the natural man—who is more vulnerable to natural evil than good. Because of this, every man is susceptible to ignorance and savagery. William Golding exemplifies this idea in his novel Lord of the Flies. When a group of military boys find themselves stranded on a deserted island, their ignorance soon leads to the inevitable savagery present in the end of the novel. The maturation process of Ralph illustrates the fight between man’s tendencies of natural evil and natural good when morals†¦show more content†¦At the time, Ralph heavily influences the boys and their actions for he resembles â€Å"the men with the megaphones† (18). He attempts to create order among the boys with rules, but most of the boys would rather play than follow the rules—for there are no adults to enforce them. With the role of leadership thrust upon him, Ralph has no choice but to stop playing games. His goals are to protect the boys and increase their chances of being rescued; however, the responsibility on Ralph’s shoulders soon begins to weigh him down. As â€Å"Ralph [watches the boys], envious and resentful† (75), the obligation to care for everyone on the island is a heavy burden to bear. His role as leader has forced Ralph to forget the joys of being an innocent kid and given him the encumbrance of responsibility, which causes the start of his maturation. As the order on the island begins to break down, Ralph tightly holds onto the idea of rescue. On the island, every responsibility is on his shoulders and will be until they leave. As he ponders his feelings, â€Å"he [loses] himself in a maze of thoughts that were rendered vague by his lack of words to express them† (76). Daydreaming about home expresses his longing for civilized life and comfort; remaining in a state of innocence. However, he has matured a great deal since the beginning of the novel. As the leader, Ralph is held accountable for the group of boys. His recognition of this idea demonstrates his maturity, but also his longingShow MoreRelatedLord Of The Flies Rhetorical Analysis1214 Words   |  5 PagesWilliam Golding’s book Lord of the Flies focuses mainly on a group of boys’ who have been stranded on an uninhabited island where they face many problems with themselves and others. One of the many dilemma’s within this story was the division of power between Ralph and Jack. They both had qualities of a leader, but they had different intentions with where they wanted to go; Jack was primarily the villain in this story showing savagery, while Ralph was civilized. So, why do the boys’ join someoneRead MoreMy First Day Of School917 Words   |  4 Pagesmore academic tone by being able to identify most instances of colloquialism through past mistakes. Exemplary of my skills that I have gained above, several of my essays show the progression of my skills as I have written more. In my first Lord of the Flies essay, I used colloquial phrases such as, â€Å"lo and behold,† and informal verbs such as â€Å"whisked.† Despite that, I began to recognize phrases and signs of colloquialism in my own writing, and in my most recent essay, the documentary project, IRead MoreThe Freedom Writers And Romeo And Juliet905 Words   |  4 Pageswhich was the Hunger Games and wrote an essay on. We read many short stories and even wrote one ourselves. For english we read Lord Of the Flies and Of Mice and Men among other books were we would always have an easy question followed by an essay. In both of these classes helped me develop structure called tieac which stands for topic, intro to evidence, evidence, analysis, and conclusion. Both my freshmen teachers helped me develop this structure for my essays. Our essays had to be typed in 12 inchRead MoreBiblical Allusions in Lord of the Flies2536 Words   |  11 Pagesexpressed though disobeying my parents- In the end, I got burned. Similarly, in Sir William Golding’s Lord of the Flies, biblical allusions are used to give additional meaning and depth to the book and to show the ways in which humans transfer their inner evil into outward behavior. Evil doesn’t begin from the outside world; instead it begins in the core of human beings. The novel Lord of the Flies shows the breakdown of society without authority, a code of conduct, and failure to maintain moralityRead MoreStudy Guide Literary Terms7657 Words   |  31 Pages AP Literary and Rhetorical Terms 1. 2. alliteration- Used for poetic effect, a repetition of the initial sounds of several words in a group. The following line from Robert Frosts poem Acquainted with the Night provides us with an example of alliteration,: I have stood still and stopped the sound of feet. The repetition of the s sound creates a sense of quiet, reinforcing the meaning of the line 3. allegory – Where every aspect of a story is representative, usually symbolicRead MoreThe Relationship Between Man and God Essay2522 Words   |  11 Pagesspeaker in â€Å"Carrion Comfort† appears to be further influenced by this era of struggle in Gerard Manley Hopkins life. In â€Å"Carrion Comfort,† the relationship between God and man appears to be primarily antagonistic. However, upon greater analysis of the imagery, rhetorical devices, and structure of the poem, an alternate interpretation is revealed. The speaker’s relationship with God is characterized by his recognition of God’s superiority and omnipotence, and the resulting struggle toward understandingRead MoreAlexander Pope Essay6204 Words   |  25 Pagesfirst version in 1712, when Pope was only 23 years old, the poem served to forge his reputation as a poet and remains his most frequently studied work. The inspiration for the poem was an actual incident among Popes acquaintances in which Robert, Lord Petre, cut off a lock of Arabella Fermors hair, and the young peoples families fell into strife as a result. John Caryll, another member of this same circle of prominent Roman Catholics, asked Pope to write a light poem that would put the episodeRead MoreBlack Beauty2282 Wo rds   |  10 Pagesits publication. Black Beauty was distributed not only by booksellers, but also by campaigners for the animal rights. This novel served as an instrument in changing the attitude of the people towards horses and other domestic animals as well. Analysis Anna Sewell used Physiological Psychology approach in her novel Black Beauty. Physiological Psychology is the study of biological basis of behavior and mental processes. She specifically employed Ivan Pavlov’s Classical Conditioning and B.F. Skinner’sRead MoreEssay Writing9260 Words   |  38 Pagesopinion plays a significant role in the process. However, a certain objective standard needs to be maintained and, as in a persuasive essay, your assertions need to be proved. The formality of the review will be determined by how much of the essay is analysis, how much is summary, and how much is your reaction to the work you are reviewing. A more formal review will not only discuss the work on its own merits but also place it in context. Newspapers and popular magazines tend to review in terms of finance:Read MoreAmerican Literature11652 Words   |  47 Pagespoetry? Good questions! This web page provides a quick overview of poetry analysis. Please note that this handout discusses the basics of poetry; there is much more to know about it than there is room to discuss here. Laurence Perrine s book LITERATURE: STRUCTURE, SOUND, AND SENSE can provide more detailed information about poetry analysis. Until you can get a copy of the book, I hope this page helps you begin your poetry analysis work. What is poetry ? Poetry goes beyond the rhyming of words. The

Wednesday, May 6, 2020

Personal Statement On Massage Green Spa - 762 Words

Three days before I voluntarily resigned my position from Massage Green Spa, there was an incident that took place, which resulted in my lack of trust from the organization. When I was working for Massage Green Spa, I usually was one of the therapists that close on Sunday nights. Forty-five minutes prior to closing, I did not have a massage scheduled, so I decided to clean the bathrooms in preparation for closing. Halfway through the cleaning, I was interrupted by the receptionist to notify me that we had a last minute walk-inn. I expressed my frustration that the client will only have time for twenty-five minutes and I am not prepared to massage someone after just handling cleaning chemicals. I stopped what I was doing and went up front to explain to the client that I cannot do a full body massage in twenty-five minutes. The male client express that he did not care and that he would leave a nasty yelp review. I took the client back to the massage room and told him to lay face down u nder the sheets. When I entered the room to start the massage, the man was laying naked face up on top of the sheets. As I was getting him covered with a blanket, I stressed to him that he needs to remain covered and draped. Once I started the session, he made an attempt to grab and touch me inappropriately. I told him that the session is now over; this behavior is not okay at this establishment. I left the room and stormed upfront to tell the receptionist what had just happened. I immediatelyShow MoreRelatedServices Marketing Integrating Customer Focus Across the Firm5578 Words   |  23 Pagesrefrigerators, dishwashers and microwaves is an example of a(n) _______.   A.  Service B.  Experience C.  Attribute D.  Good E.  Benefit    Difficulty: Easy    3.  (p.  4)  When Heather goes to the local gym, she has a personal trainer who helps make sure she is using the equipment correctly. The personal trainer is an example of a(n):   A.  Service B.  Experience C.  Attribute D.  Good E.  Benefit    Difficulty: Easy    4.  (p.  4)  Many people when they go on vacation are choosing to leave their dogs in posh pet resortsRead MoreCustomer Relationship Management16994 Words   |  68 Pagesindividualize their marketing efforts. As a result, producers do not need those functions formerly performed by the middlemen. Even consumers are willing to undertake some of the responsibilities of direct ordering, personal merchandising, and product use related services with little help from the producers. 7 Customer Relationship Management Another force driving the adoption of CRM has been the Total quality movement. When theRead MoreGoodlife Fitness Essay12449 Words   |  50 PagesCanada | International | Ontario, Canada | Child-minding Services | 6 months – 12 years | Infant – 6 years | 2 years – 11 years | Pool | Yes (11 locations) | Yes | Yes | Squash Courts | Yes | Yes | Yes | Fitness Classes | Yes | Yes | Yes | Personal Training | Yes | Yes | Yes | Basketball Courts | No | Yes | Yes | Sports Leagues | No | Leagues vary depending on location | Basketball and Volleyball leagues | 1-3: Current Customers Target Audiences The main target audience of GoodLifeRead MorePurpose of Evaluating Customer Service Policies26269 Words   |  106 Pages(HK) Centre for Food Safety, Food and Environmental Hygiene Department ii Introduction to Hospitality Introduction A set of curriculum support package of tourism and hospitality learning and teaching materials is being developed by the Personal, Social and Humanities Education Section of Curriculum Development Institute, Education Bureau for the implementation of the senior secondary Tourism and Hospitality Studies curriculum in schools. The curriculum support package is comprised ofRead MorePurpose of Evaluating Customer Service Policies26276 Words   |  106 PagesANTOR (HK) Centre for Food Safety, Food and Environmental Hygiene Department ii Introduction to Hospitality Introduction A set of curriculum support package of tourism and hospitality learning and teaching materials is being developed by the Personal, Social and Humanities Education Section of Curriculum Development Institute, Education Bureau for the implementation of the senior secondary Tourism and Hospitality Studies curriculum in schools. The curriculum support package is comprised of eightRead MoreHk Disney16299 Words   |  66 Pagesrecommendations were formed based from the current 8Ps, secondary research materials and from the results of a UAI survey. In order to support the proposed service plan, this paper also includes investment plans, estimates of profitability (income statement) and an evaluation of results. II. Scope and Limitations In order to make this service marketing plan, the researchers conducted both primary and secondary research to gather relevant information. The secondary researchRead MoreCosmetic Industry Analysis28098 Words   |  113 Pagescosmetic industry, since companies will put more effort and time in R D. They need to produce more product innovation which is different with their rivals so that they can attract more consumers. (http://www.firstresearch.com/Industry-Research/Personal-Care-Products Manufacturing.htm). The RD budget that spends by the major company in cosmetic industry – L’Oreal in 2006 had cost â‚ ¬ 533 millions. Even other competitors such as Shiseido also spend â‚ ¬119 millions during 2006. There isRead MoreLodging Inductry24737 Words   |  99 Pagesindustries. The hospitality and travel industry combine to form the foundation for tourism. The Hong Kong airport alone will eventually be able to handle 87 million visitors per year. All will be traveling to and from Hong Kong for business and personal reasons that will involve many hospitality related businesses worldwide. Examples: hotels, restaurants, timeshare, casinos, airlines, cruise lines, car rental. Objective: 2. Define the role of marketing and discuss its core concepts. RecommendedRead MoreMarketing Management 14th Edition Test Bank Kotler Test Bank173911 Words   |  696 PagesMarketing Management, 14e (Kotler/Keller) Chapter 1 Defining Marketing for the 21st Century 1) Which of the following statements about marketing is true? A) It is of little importance when products are standardized. B) It can help create jobs in the economy by increasing demand for goods and services. C) It helps to build a loyal customer base but has no impact on a firms intangible assets. D) It is more important for bigger organizations than smaller ones. E) It is seldom used by nonprofit

Tuesday, May 5, 2020

Prevention practices free essay sample

The United States Centers for Disease Control estimates that each year one in twenty hospital patients will contract a Healthcare Associated Infection (HAI). When further examined, the number of infected patients is approximately 1. 7 million per year resulting in nearly 99,000 deaths (CDC, 2011). Due to numbers like this, healthcare organizations, professional associations, and patient advocacy groups have all launched initiatives showing a universal response to this national healthcare priority. Chief among these initiatives was the collaboration between The Society for Healthcare Epidemiology of America and the Disease Society of America. The SHEA-IDSA joint publication on HAI prevention builds a professional foundation for healthcare facilities in the Unites States to mitigate the risk of HAI infected patients. The prevention strategies begin by identifying the most common HAIs, their causes, and detailing the both the human and financial costs associated with HAIs. Using this information, SHEA and ISDA created prevention strategies to combat each HAI. This essay will follow the SHEA-IDSA template by detailing information on the most common Healthcare Associated Infection and provide detailing prevention strategies. According to the United States Centers for Disease Control and the SHEA-IDSA report, the most common Healthcare Associated Infection are Central Line Associated Blood Stream Infections or CLABSI. With nearly 50% of all ICU patients requiring a central line, the amount of recorded CLABSI infections is extremely high. The research on CLABSI indicates the most common pathogens are Staphylococcus Aureus, Enterococci, and Candida. To better understand the nature of CLABSI incident and therefore employ prevention strategies one must understand the dynamic of a central line. The National Healthcare Safety Network defines a central line as â€Å"a catheter whose tip terminated in a great vessel† (IHI, 2011). The catheter on a central line punctures the skin, which by default makes bacterial and fungal infections possible. Once the infection has entered the body it can spread to the blood stream. The infection can then cause hemodynamic changes possibly causing death of a patient. Proof of an infection is found in the recovery of a pathogen from a blood culture from a patient who had a central line. For declarative purposes, a pathogen not commonly present on the skin must only be found in one culture whereas a pathogen commonly found on the skin must be detected in two or more cultures. In order to be confirmed as a central line infection, the central line must have been installed a minimum of two days prior to the development of the infection and there must be no other apparent source of the infection. Regarding the cost of Healthcare Associated Infections; both are indicators of the enormity of the problem. As mentioned earlier the 2010 CDC report titled â€Å"Preventing Healthcare-Associated Infections† stated 1. 7 million cases occur each year in the United States. According to the same report 99,000 cases result in death. The Institute for Healthcare Improvement estimates that of these 99,000 deaths, up to 4,000 are a direct result of bloodstream infections. The human cost dwarves the financial costs, which alone have a crippling effect on the healthcare industry. Reflecting on the Institute for Healthcare Improvement report, each CLABSI incident prolongs hospitalization on average of seven days. Each infection costs between $3,700 and $29,000. Having established the common CLABSI incidents, identifying the risk of infection, and examining the cost, it is time to move into prevention strategies. The Institute for Healthcare improvement established the industry standard for central line infection strategies in what are known as Care Bundles. â€Å"The IHI â€Å"Central Line Bundle is a group of evidence-based interventions for patients with intravascular central catheters that, when implemented together, result in better outcomes than when implemented individually. The five components of the bundle are proper hand hygiene, maximum barrier precautions, chlorhexidine skin antisepsis, optimal catheter site selection, and daily review of line necessity. The most basic step in CLABSI prevention is hand washing. (IHI, 4/23/2011) The IHI guidelines specify that healthcare professionals need to wash hands before and after catheter care, when dressings are changed, and the central lines are accessed. Furthermore patients should be taught when and how to properly wash hands. This education extends to family members of  the patients. Along with basic hygiene, patients should also be taught to avoid handling or manipulating central lines. Emphasis on sterility and hygiene are reinforced in the second IHI guideline known as Maximum Barrier Precautions. The medical stuff is required to wear caps, masks, sterile gowns, and sterile glove when central lines are inserted. The patient must also be covered head to toe with a sterile drape except for a small opening at the catheter insertion site. (IHI, 4/30/2011) The third IHI precaution is Chlorohexidine. Studies indicate using Chlorohexidine for skin preparation prior to central line insertion or when changing dressings is more effective than other solutions such as povidone-iodine or alcohol. To properly cleanse the treatment area, Chlorohexidine must be applied for at least 30 seconds and the solution must dry completely before inserting a central line. The use of antiseptics like Chlorohexidine is not reserved just for patients. Studies have shown that coating or impregnating catheters with antiseptics have reduced the risk of infections. The overall benefits however are questionable when examining the practice from a cost benefit perspective. This is due to statistically insignificant differences in the rate of infections when using impregnated or non-impregnated catheters. (Lai, N. et al, 2013) The next precautions cited in the IHI bundle are optimal catheter site selection and daily central line review (IHI, 4/30/11-B). One key component of site selection is found in conducting a risk/benefit analysis. The treating physician is capable of such an analysis. In general the IHI guidelines suggest avoiding the femoral artery for central lines. When treating adult patients, they also suggest a preference to the subclavian site over a jugular site when using non-tunneled central lines. A daily review of a patient’s central line is also necessary. The risk of infection increases the longer a catheter is in place therefore a daily check must be conducted to ensure the line is still needed. A daily review will also facilitate the removal of un-needed lines. It is important to note that scheduling catheter removals or replacement at scheduled intervals, every three days for example, has not lowered the risk of infection. The key element missing in scheduled removals is the daily, in-person review. Implementation and compliance of IHI Bundle Precautions is multi-faceted requiring continuing education and revised staffing practices (NGC, 2013). Healthcare professionals must be trained in proper procedures for avoiding central line infections. Procedures include catheter insertion and maintenance. To ensure the guidelines are followed and the education is effective, each healthcare site should enact a compliance committee and empower the committee to conduct periodic reviews of central line procedures. Among the many precautions cited above the committee should create a central line checklist and make the checklist available to all staff members. Furthermore the committee can create a culture of central line safety by ensuring cleaning agents are prominently placed at all hand-washing stations, each supply chart stocked with chlorhexidine kits and other sterile items like masks and gloves. Physical compliance checks would also be in the purview of the committee and can be seen in the form of integrating daily central line checks with multidisciplinary rounds and requiring central line records showing the date and time of the line placement. The compliance committee will also be charged with reviewing the facility’s staffing procedures. This is necessary because studies indicate the risk of patient central line infection increases when there is an elevated patient to nurse ratio. The studies have also indicated that the use of â€Å"pool nurses† in ICU settings contributes to increased risk of infection. Where IHI guidelines were introduced and adhered to, the number of CLABSI incidents dramatically decreased. For example, from 2001 to 2009 there was a 58% reduction which saved nearly $1. 8 billion in excess healthcare costs. This represents nearly 6,000 lives saved through proper protocols. When looking at two years in this range, 2008 and 2009, the reductions are impressive. For example, in 2008 there were approximately 37,000 cases of central line infections in patients receiving outpatient hemodialysis. In 2009 there were 23,000 cases among patients receiving inpatient treatment. While the number of cases in these areas is still high, the statistics reveal they are declining (CDC, 2011). The authors of this paper had the opportunity to complete their clinical hours at two different facilities; Banner Health Network and Dignity Network. The authors found that both facilities set a goal of completely eliminating CLABSI and created a culture to facilitate this goal. Aside form the overall improvement in patient care such a goal will be financially beneficial for the facilities. This is in large part due to changes in funding rules that state healthcare facilities will no longer be reimbursed for CVC associated bloodstream infections because they are considered to be largely preventable. Both facilities visited by the authors strictly adhere to the IHI central line bundle concept. Each of them also added new elements to make the bundle even more successful. For example, both sites use biopatch to prevent bacteria access at the site of a CVC insertion. They also instituted guidelines for routine dressing changes and cover the line hubs with alcohol-impregnated caps when lines are not in use. In addition, both facilities empower nurses to supervise the insertion procedure and stop the procedure if any steps are skipped. As covered previously, catheter-related bloodstream infections cause life threatening complications, increase morbidity, dramatically increase expenses and above all are largely preventable. Study after study on the issue proves that adherence to strict guidelines pertaining to central line treatment, like the IHI bundle, dramatically decreases the number of CLABSI incidents and the amount of money spent on treatment. Instituting and maintaining a culture focused on CLABSI prevention is necessary in all healthcare facilities. Such a culture not only fosters a safe treatment environment but also allows each healthcare professional to personally advocate for their patients’ health and recovery.

Tuesday, April 7, 2020

Exploring the Substance Abuse Treatment Programs

Abstract This research paper establishes that the problem of substance abuse in the female sex is increasing in most parts of the world. The trend is worrying. Some of the policy changes discussed include the use of specialized care providers, provision of care in the society, and the establishment of more women-specific rehabilitation centers. Issues concerning the course and nature of substance abuse, addiction, recovery, and relapse among this population of female substance abusers have also been discussed.Advertising We will write a custom research paper sample on Exploring the Substance Abuse Treatment Programs specifically for you for only $16.05 $11/page Learn More Various evidence-based approaches to treating substance abuse and addiction in various settings in the selected target population will be tackled in the research paper. The context of a changing health care environment for women substance abusers will also be highlighted. Important ther apies such as the nontraditional approaches of motivational therapy, solution-focused brief, and group therapies will take the center stage. SFGT emerges a futuristic treatment modality for women with substance abuse problems. Introduction Women are a special population of drug abusers. They provide a challenge to any group or individuals who are working towards their treatment. Like many states in the US, the state of Florida is one of the most affected with the problem of drug abuse among women. The impacts of substance abuse are relatively similar to those in the male population. However, this group of substance abusers also faces special challenges. Therefore, it is important to examine the impact of substance abuse on this population and its recovery at an individual (micro) and systems (macro) level. This research paper looks at substance abuse in women, evidence-based approaches to the provision of treatment services for them, and any historical and current policy issues that may have prevented or supported treatment-service delivery to this client group. Relevant Policy Issues Policies addressing the treatment of substance abuse in women with substance abuse problem have been developed from many research findings. The treatment of the special client group is mostly similar to the male colleagues, although there are few variations in the policies. Zarkin, Dunlap, and Homsi (2004) looked at some of the substance abuse services cost analysis programs (SASCAP) and some of the major policies in the management of substance abuse. Some of the policy changes include the allocation of scarce drug abuse treatment dollars (Zarkin, Dunlap, Homsi, 2004). A major policy is the establishment of the Center for Substance Abuse Treatment (CSAT), which is responsible for the treatment of drug abusers. Grella and Greenwell (2004) and Cowan, Deering, Crowe, Sellman, Futterman-Collier, and Adamson (2003) report a considerable increase in the number of women abusing drugs i n the United States.Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Grella and Greenwell (2004) noted that non-specialized and mixed gender individuals mostly managed the treatment programs that were in place. However, they were less likely to address the problems of this group of clients. Most of the women who abuse drugs are also treated as outpatients, hence corresponding to treatment for other groups of drug abusers. Some of the challenges include the existence of few facilities that are dedicated to the treatment of substance dependence in women only. As Grella and Greenwell (2004) state, the women-only providers were more concentrated in the residential facilities. Even though these facilities provide advanced care to the women who are known to be drug abusers, they make up only a small proportion of the treatment system. However, over the past few years, there has been growing attention to the treatment programs for the women drug abusers globally, especially in the US. Some of the policies that have positively affected funding of programs for treatment of women with the problem include the federal block grant, initiation of projects that are federally funded, and the â€Å"women’s set-aside† (Grella, Greenwell, 2004, p. 378). The state of Florida has a treatment program for drug abusers. However, the number of women-specific facilities is still small. The program in place in this region is the Substance Abuse and Mental Health (SAMH) program, which operates within the Florida Department of Children and Families (DCF). It is the single-state authority on substance abuse and mental health (Substance Abuse, 2014). The region also has a treatment and referral system for drug abusers in accordance with the national policy on drug abuse. The US Department of Health and Human Services, specifically the Substance Abuse and Mental Health Services Administration’s (SAMHSA), has a national drug and alcohol treatment referral service, which provides Spanish and English treatment programs for the residents for free and with assurance of confidentiality (Substance Abuse, 2014). Nature of Substance Abuse, Addiction, Recovery, and Relapse Substance abuse in women is a common problem as stated above, with millions being affected by the problem. The cause of the substance abuse is dependent on the individual factors and drug characteristics that the individual is abusing (Doweiko, 2008). Harmful drug abuse rarely occurs before teenage, with most of the abusers being over 15 years (McCollum, Trepper, Smock, 2003). The disorder or habit begins to increase with the increasing age, with a described peak being witnessed in the early 20s (Berg, Miller, 1992). In one of the population studies in the US, the prevalence of alcohol dependence was reported at 2% in people aged 12 to 17 years. The incidence was higher in 18- to 20â€⠀œyear-olds, standing at 12% (Grant, Stinson, Dawson, 2004a). The prevalence of dependence and abuse for the other groups that are older than 20 years is relatively smaller. It decreases with increased age.Advertising We will write a custom research paper sample on Exploring the Substance Abuse Treatment Programs specifically for you for only $16.05 $11/page Learn More Addiction and substance dependence among women substance abusers takes a course that is similar to other groups of dependence. Large proportions of women that are dependent in their 20s will remit later in their life, with some remaining addicted into their later ages (Thoits, 2010). Most of the women who remain dependent and addicted to the substances will develop a more chronic course (Cowan et al., 2003). They are likely to experience physical and psychological conditions that are associated with the condition. Women with limited social support and stability including being unemployed , without family, and housing are more likely to remain addicted for longer, with their recovery being dependent on these factors (Weiss, Griffin, Mirin, 1992). Stressful life experiences are a contributor to the problem of drug abuse among women since it influences the treatment course (Taylor, Biswas, Vaughn, 2012; Minkoff, 2013). Recovery among the population of women who are drug abusers is better in relation to their male counterparts since most of the drug abusers that seek help are the women group (Berg, Miller, 1992). The cases of relapse with treatment are common, especially in people who have abused the substance for long. One third of the treated cases of drug abuse are the women who are known to relapse in a 10-year period. A few of them continue to have the drug abuse problem for life (Russell, Gockel, 2005). Therefore, the treatment of drug abuse for the women group is dependent on the social support among other factors. Moreover, the recovery of women drug abusers is a function of factors such as social support, pre-morbid personality, and the environment in which they are located (Ruger, Abdalla, Luekens, Cottler, 2012). Women have a better recovery from drug abuse compared to their male counterparts. The understanding of this situation is due to the wider support they have and the ease of seeking help. The average period of recovery according to Berg and Miller (1992) is 3 years. However, this period varies among individuals. Relapse is common in women drug abusers. One third of those who undergo treatment are known to relapse. The treatment of patients without elimination of the predisposing conditions causes them to relapse to their previous state. The chances of treatment after relapse are considered to reduce. Women drug abusers who experience relapse mostly end up abusing drugs for life (Berg, Miller, 1992). The treatment of women drug abusers who relapse is different from first-time patients. Evidence-Based Treatment Approaches Evi dence-based substance abuse treatment approaches for the women population have undergone a change over the last few decades. Many studies have been conducted on the most effective methods of treatment, with their findings informing the approaches (Emmelkamp, Vedel, 2006).Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Straussner (2012) is one of the researchers who looked at the evidence-based treatment modalities for substance abuse and the changes that this plan has undergone in history. The researcher states that one useful tool in the diagnosis and management of substance abuse is the Diagnostic and Statistical Manual of Mental Disorders (DSMIV-TR), which has been useful in the management of all genders of substance abusers (Straussner, 2012). Treatment of substance abuse is mainly approached as an outpatient and inpatient approach. Rehabilitation is a major trend presently and in the past. Detoxification has largely been used, with substitution therapies being applied to treat the drug substance abusers (Straussner, 2012). Pharmacotherapy has been applied in most of the treatment modalities. In the treatment for alcohol dependence, some of the medications used include disulfuram and naltrexone (Straussner, 2012). Acamprosate is also a medication that has been tried with varying degrees of ef ficiency in reducing alcohol abuse in the general population and in women. Behavioral therapies constitute the other evidence-based method of treating substance abuse in women. They have been used successfully in most of the patients in combination with other therapies (Straussner, 2012). According to Straussner (2012, p. 129), â€Å"Behavioral therapies help people engage in the treatment and recovery process, provide incentives to remain abstinent, modify their attitudes and behaviors related to substance abuse, and increase skills to handle stress and environmental cues that may trigger craving for AOD.† Cognitive behavior therapy is another method that is widely used in the management of substance use disorders in women. The technique teaches the affected persons on how to control their thoughts and modify the maladaptive beliefs and cognitive distortions that may be pushing them to the drug abuse (Straussner, 2012). Motivational enhancement therapy and the Twelve Step Fa cilitation Therapy (TSF) are widely applied therapies that form the basis of Alcoholic Anonymous and their treatment of substance abuse (Straussner, 2012). Harm reduction is another of the models that have been used in the management of substance abuse. It originated in Europe with the adoption in the US in the late 80s to prevent the transmission of HIV among substance abusers (Straussner, 2012). Family-focused treatments have also been found to be important in the management of substance abusers. Current Substance Abuse Treatment System Traditionally, the treatment of substance abuse in the female population of patients was similar to that of male patients. Evidence provided in this essay, especially in the reviewed literature, suggests that the treatment of this special group of clients is mainly effective if they are treated in their own specialized facility (Knight, Logan, Simpson, 2001). The researchers state, â€Å"clients who receive services targeted toward their specific needs are more likely to complete treatment and that they have better outcomes at follow-up† (Knight, Logan, Simpson, 2001, p. 11). Specialized facilities for the provision of treatment for women that are known drug abusers have increased, with an on-going training for more specialists who will cater for the individual needs of this class of patients in this changing environment. The current management of substance abuse is more focused on the institution of care at the community level, with patients being managed at their homes and in the society. The measures are more effective in the current management of substance abuse in women, as it incorporates some of the social stressors that may be contributing to their substance abuse (Berg, Miller, 1992; Mott Gysin, 2003). In the changing environment of care for groups with special needs, women with substance abuse problems are more affected by changes in the health context. The current substance abuse treatment system is also focused on influencing the psychiatric and social effects of the substance abuse, with a wide use of group therapies as discussed below. Group Therapies Heather (2005) explored addictions in the context of being disorders in motivation. He suggested that motivational therapy is an effective measure in management. According to Heather (2005), the use of motivational interviewing presents a good way of dealing with addiction. The previous trials and use of the same have proved to be effective. Motivational therapy is done to patients to encourage and motivate them to relinquish their substance abuse habits. They are first motivated to have a change in attitude. Motivational enhancement therapy has been used in the management of alcohol abuse disorder with considerable success in combination with other therapies. The treatment modalities that are combined with motivational therapy require the patient to be motivated to proceed with any treatment, and thus the increased efficiency and efficacy (Berg, Miller, 1992). Smock, Trepper, Wetchler, McCollum, Ray, and Pierce (2008) looked at the efficacy of the solution-focused group therapy in the management of substance use disorders. The efficacy of the SFGT was remarkable in the study. Treatment of the drug abusers was successful in most of the instances in the study (Smock et al., 2008). However, the research was focused on the treatment of substance abuse in level-1 substance abusers. Patients who received either SFGT or the traditional treatment approach were reported to improve on either treatment (Smock et al., 2008). Nonetheless, significant improvement was noted in patients who were treated using the SFGT. The researchers concluded that the treatment of substance abuse in patients who are known substance abusers has to take that approach (Smock et al., 2008). The approach of using SFGT, which is a resiliency-based approach, is gaining popularity among clinicians treating substance abuse in health facilities. T he approach provides a feasible method of treatment of the same in any women-specific treatment programs. The popularity in the use also means that clinicians have faith in the method and that they have documented improved outcomes with treatment. The modalities will likely enhance treatment in the current health care environment, with more patients receiving direct care. Group therapies are more concerned with the treatment of individuals with similar conditions. They are tailor-made to the needs of the unique groups. Very few group therapies deal with the treatment of women who are diagnosed with substance abuse disorders. There should be more attempts to increase the number of women receiving this specialized care (Berg, Miller, 1992). The above-discussed modalities in the treatment of substance abuse in women might enhance the current health care environment. The insurance coverage for women drug abusers is a significant part of the changing health environment. Many organizatio ns offer insurance coverage for such patients. This accessibility reduces the cost of treatment for women drug abusers. Patients that are not already insured should be put in the insurance programs to reduce their treatment costs. It is important to note that most organizations involved in the treatment of women drug abusers charge for these services. This observation is one of the factors that cause those affected not to seek treatment. In the state of Florida, the number of women drug abusers is significantly dropping. This finding can be attributed to the rise of many organizations offering women-specific rehabilitation services. Conclusion and Recommendations In conclusion, the course and nature of substance abuse, addiction, recovery, and relapse among this population of women substance abusers has also been discussed. Various evidence-based approaches to treating substance abuse and addiction in various settings in the selected target population have also been discussed. Recom mendations in the management of substance abuse disorder in women are possible from the above research. The future management of the problem needs to be taken in the social setting of patients to ensure that the problems causing them to engage in substance abuse are tackled. The research establishes that poor social support for the patients often ends up complicating their management, with most of patients with poor support structures ending up with relapse. The management also needs to take a more specialized approach where structures are set to ensure that the facilities taking care of women with substance abuse disorders are treated by a specialized team of practitioners. The client group has established special needs that may be overlooked by the general practitioners who handle other needs in the society. The other recommendation is that there needs to be education that is more consistent to the public on the effects of substance abuse, with special focus on the specific effect s that the client group may experience. The education needs to be in the form of campaigns where the bodies established to deal with the problem of drug abuse constantly engage in the reduction of the main predisposing factors to the problem. The other recommendation is that treatment modalities discussed in the paper such as SFGT should be widely applied in the management of women who are drug abusers. The use of these modalities will lead to increased success in the management of patients since they present a better success rate. There is also need to carry out more research on the best methods of intervention for this group since there are more knowledge gaps, with the issue continuing to dominate in many parts of the world. Reference List Berg, K., Miller, S. (1992). Working with the Problem Drinker: A Solution-Focused Approach. New York, NY: W. W. Norton. Cowan, L., Deering, D., Crowe, M., Sellman, D., Futterman-Collier, A., Adamson, S. (2003). Alcohol and drug treatment for women: Clinicians’ beliefs and practice. International Journal of Mental Health Nursing, 12(1), 48-55. Doweiko, E. (2008). Concepts of Chemical Dependency. London: Cengage Learning. Emmelkamp, M., Vedel, E. (2006). Evidence-based treatment for alcohol and drug abuse: A practitioner’s guide to theory, methods, and practice. New York, NY: Routledge. Grant, F., Stinson, S., Dawson, A. (2004a). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61(1), 807–816. Grella, C., Greenwell, L. (2004). Substance Abuse Treatment for Women: Changes in the Settings Where Women Received Treatment and Types of Services, Journal of Behavioral Health Services Research, 31(4), 367-383. Heather, N. (2005). Motivational interviewing: Is it all our clients need? Addiction Research and Theory, 13(1), 1-18. Knight, D., Logan , S., Simpson, D. (2001). Predictors of program completion for women in residential substance abuse treatment. Am. J. Drug Alcohol Abuse, 27(1), 1-18. McCollum, E., Trepper, T., Smock, S. (2003). Solution-Focused Group Therapy for Substance Abuse: Extending Competency-Based Models. Journal of Family Psychotherapy, 14(4), 27-42. Minkoff, K. (2013, April 19). Treating Comorbid Psychiatric Substance Use Disorder. Psychiatric Times, pp. 1-10. Mott, S., Gysin, T. (2003). Post-Modern Ideas in Substance Abuse Treatment. Journal of Social Work Practice in the Addictions, 3(3), 3-19. Ruger, J., Abdalla, A., Luekens, J., Cottler, L. (2012). Cost-Effectiveness of Peer-Delivered Interventions for Cocaine and Alcohol Abuse among Women: A Randomized Controlled Trial. PLoS One, 7(3), 1-12. Russell, M., Gockel, A. (2005). Recovery Processes in a Treatment Program for Women. Journal of Social Work Practice in the Addictions, 5(4), 27-45. Smock, S., Trepper, T., Wetchler, J., McCollum, E., Ray, R., Pierce, K. (2008). Solution-Focused Group Therapy for Level 1 Substance Abusers. Journal of marital and family therapy, 34(1), 107-120. Straussner, A. (2012). Clinical Treatment of Substance Abusers: Past, Present and Future. Clin Soc Work J, 40(1), 127-133. Taylor, D., Biswas, B., Vaughn, M. 2012). Incremental Validity of Stressful Life Experiences in Predicting Psychiatric Comorbidity Among Women in Substance Abuse Treatment Rebecca. Journal of Social Service Research, 38(1), 382–391. Thoits, A. (2010). Stress and health. Journal of Health and Social Behavior, 51(1), S41–S53. Weiss, D., Griffin, L., Mirin, M. (1992). Drug abuse as self-medication for depression: An empirical study. The American Journal of Drug and Alcohol Abuse, 18(2), 121–129. Zarkin, A., Dunlap, J., Homsi, G. (2004). The substance abuse services cost analysis program (SASCAP): a new method for estimating drug treatment services costs. Evaluation and Program Planning, 27(1), 35– 43. This research paper on Exploring the Substance Abuse Treatment Programs was written and submitted by user Braxton House to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Monday, March 9, 2020

Free Essays on Meep

METAPHYSICS Whereas sciences deal with particular kinds of beings, metaphysics is concerned with beings as such. According to Aristotle, there is no such thing as mere being; to be is always to be a substance or object, a quantity, a quality, or a member of some other basic category. I. Substance and Accidents Substance is the primary mode of being according to Aristotle. The world is not one of atoms or particles, even though they have a place in the world. The basic notion of Aristotle’s logic reflects a distinction in the way reality is structured and reflects the basic way that we view reality. Substance is whatever is a natural kind of thing and exists in its own right. Examples are rocks, trees, animals and the like. For instance, a dog is basically the same whether it is black or brown. A dog would be substance because it exists in its own right; it does not exist in something else, the way a color does. Accidents are the modifications that substance undergoes, but that does not change the kind of thing that each substance is. Accidents only exist when they are the accidents of some substance. For Aristotle, there are ten categories into which things naturally fall. They are substance and a total of nine accidents: quantity, quality, relation, action, passion, time, place, disposition (the arrangement of parts) and â€Å"rainment† (whether a thing is dressed or armed, etc) All of these distinctions are basically logical, but in a sense they reflect the structure of reality. One never finds any substance that we experience without some accidents, or an accident that is not the accident of a substance. II. Matter and Form Aristotle utilized the concept of matter and form in an entirely new way, stating that everything that becomes consists of a foundation, a substratum (that which forms the foundation), and form. Aristotle’s theory was firmly rooted in his broader metaphysics, according to which all things are a combination of m... Free Essays on Meep Free Essays on Meep METAPHYSICS Whereas sciences deal with particular kinds of beings, metaphysics is concerned with beings as such. According to Aristotle, there is no such thing as mere being; to be is always to be a substance or object, a quantity, a quality, or a member of some other basic category. I. Substance and Accidents Substance is the primary mode of being according to Aristotle. The world is not one of atoms or particles, even though they have a place in the world. The basic notion of Aristotle’s logic reflects a distinction in the way reality is structured and reflects the basic way that we view reality. Substance is whatever is a natural kind of thing and exists in its own right. Examples are rocks, trees, animals and the like. For instance, a dog is basically the same whether it is black or brown. A dog would be substance because it exists in its own right; it does not exist in something else, the way a color does. Accidents are the modifications that substance undergoes, but that does not change the kind of thing that each substance is. Accidents only exist when they are the accidents of some substance. For Aristotle, there are ten categories into which things naturally fall. They are substance and a total of nine accidents: quantity, quality, relation, action, passion, time, place, disposition (the arrangement of parts) and â€Å"rainment† (whether a thing is dressed or armed, etc) All of these distinctions are basically logical, but in a sense they reflect the structure of reality. One never finds any substance that we experience without some accidents, or an accident that is not the accident of a substance. II. Matter and Form Aristotle utilized the concept of matter and form in an entirely new way, stating that everything that becomes consists of a foundation, a substratum (that which forms the foundation), and form. Aristotle’s theory was firmly rooted in his broader metaphysics, according to which all things are a combination of m...

Friday, February 21, 2020

Perception Dependence Argument Essay Example | Topics and Well Written Essays - 1000 words

Perception Dependence Argument - Essay Example For instance, by stating that X=Y and Y=Z, it implies that X=Z. This is an example of logical arguments. However, there are arguments that are based on incorrect principles of logics, leading to logical fallacies and false or illogical conclusions. One type of argument that has attracted a lot of debates and controversy with regards to the truth about its premises and inferences/conclusions is perception-dependent argument. This paper thus evaluates whether the premises of the perception-Dependent Argument are true. In addition, the paper explores whether the argument’s inference are good. Perception Dependent Arguments The awareness or apprehension of one’s environment through senses such as sight, touch, hearing, smell, taste is referred to as perception, a study area that has continued to intrigue not only philosophers but also other scholars since historical times2. One reason perception-dependent arguments have always been considered fallacious is the problem creat ed by the association of perception with hallucinations and illusions. Both hallucination and illusion refer to situations in which a person perceives objects in ways that in which they do not exist. Thus, the possibilities of errors occasioned by illusions and hallucinations make the true nature of arguments based on perception questionable. Because of illusion- and hallucination-related errors, arguments, their premises and inferences, always based on perception, lead to questions on whether perceptions are intuitively what they appear to be. Perceptions could therefore not be directly linked to reality and neither are they necessarily the immediate access to reality. The possibility of hallucination and illusion errors in perception dependent arguments therefore challenges the logical nature of arguments based on perceptions. Illusion refers to a situation in which an object or subject is perceived to appear in way other than it really is. For instance, using a yellow light in a house with white walls make the walls appear have yellow color. Another example of illusion is the sour taste of a sweet drink if consumed immediately after consuming a sweeter drink. It should however be noted that illusion does not imply there is deception since one is not deceived into believing that objects are not what they are. In other words, there is a possibility that one may actually be aware that he/she is experiencing an illusion. From the illusion and hallucination errors that perception dependent arguments are prone to, it is imperative that the obvious truth of peoples’ experiences and the perception-related errors in arguments are reconciled. The perceptual experiences otherwise referred to as openness to the world, which lead to true premises and good inferences in arguments, have been consistently challenged by the existence of illusions and hallucinations. From its definition, it is apparent that basing one’s arguments on illusion will most likely re sult in false premises and bad conclusions/inferences. Arguments based on perceptions (illusions and hallucinations) always occur through certain steps. When one is under illusion, an object appears to have some characteristic or quality F. In reality, the object under view, feel, taste, or touch does not always have the perceived quality. Interestingly, another object encountered or experienced somewhere by the person under illusion possesses the quality/feature F perceived by the person. In

Wednesday, February 5, 2020

Evangelism and Colonialization Essay Example | Topics and Well Written Essays - 1000 words

Evangelism and Colonialization - Essay Example Pedro Cabral is one of the most renowned explorers of the world for his discovery of Brazil in 1500. In 1549, the first governor general of Brazil was Tome de Sousa. During his period as governor general, there was an increase in evangelism in Brazil. Pedro Cabral explores the coast of Brazil under the orders from the King of Portugal (Beidelman, 73). The Portuguese signed the Treaty of Tordesillas that meant there was a division between Christians and non-Christians outside of Europe. The Jesuit missionaries spread Christianity to Brazil Indians. The missionaries clash with adventurers in Brazil with the main aim of capturing Indian and looking for minerals. The Jesuit missionaries play an important role in the spread of evangelism in Brazil and its surrounding areas (Rivera, PagaÃŒ n & Justo, 54). The Portuguese individuals turned to slavery to solve their labor problems. The presence of slaves led to the development of sugar industries in North East of the country. Brazil became the largest producer of sugar because the conditions in the country were favorable. After the fall of the Roman Empire, Spain and Portugal became the new states that promoted colonization in the world. The developed of skills to travel in the ocean meant that they could travel around the world in search of colonies. The discovery of ocean skills the world the Portuguese China trade between the 1514 and 1550 (Rivera, PagaÃŒ n & Justo, 54). Jorge Alvares was the first European Explorer to reach Asia. His arrival in China boosted trade within the region.

Tuesday, January 28, 2020

The Telecommunication Sector Digi Economics Essay

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

Monday, January 20, 2020

A Diagnosis for Mr. Fix-it Essay -- Medical Research

Mr. Fix-it is a 59 year old man with a history of alcohol abuse and diabetic hypertension. Mr. Fix-it has been currently experiencing symptoms such as: rambling speech, poor short-term memory, weakness on the left side of his body, neglects both visual and auditory stimuli to his left side, difficulty with rapid visual scanning, difficulty with complex visual, perceptual and constructional tasks, unable to recall nonverbal materials, and mild articulatory problems. The diagnosis for Mr. Fix-it’s problem is most likely a right-hemisphere stroke. A right-hemisphere stroke is occurs when a blood clot blocks a vessel in the brain, or when there is a torn vessel bleeding into the brain. â€Å"A right-hemisphere stroke is common in adults who have diabetes and who are over the age of 55†, similar to Mr. Fix-it (Kluwer, 2012). In addition, Mr. Fix-it has a history of alcohol abuse in which it could have also increased his chances of experiencing a right-hemisphere stroke. The symptoms of a right-hemisphere stroke are very much similar like the symptoms Mr. Fix-it is experiencing. For example, both suggest that functions on the left side of the body are completely neglected; therefore, the left visual section of the body does not respond effectively to stimuli due to the neglect. Damage to the right occipital lobe is very likely. The patient may have experienced some damage to areas 18 and 19 of the occipital lobe. â€Å"Damage to these association areas resulted in the patient’s failure to recognize items even when they have been seen before†, such as Mr. Fix-it’s deficiency to recognize geometric shapes (Carlson, 2010). Moreover, the patient could have also experience damage in the frontal lobe, specifically on area 8, in which it could have r... ...lood pressure medication in order to keep his blood pressure in the normal state of 120/80. Other than taking medications, there is another alternative such as surgery, such as â€Å"ventriculosmy, craniotomy, and carotid endarterectomy† (Kluwer, 2012). The patient also has the option of going to a rehabilitation center where the patient may be able to receive speech therapy, occupational therapy, and physical therapy. In addition, the rehabilitation center may also include â€Å"functional electrical stimulation† (Kluwer, 2012). Works Cited Carlson, N. R. (2010). Physiology of behavior. (10 ed., pp. 69-101). Boston, MA: Pearson. Hemiparesis. (2011). Retrieved February 9, 2012, from http://www.stroke.org/site/PageServer?pagename=hemiparesis Kluwer, W. (2012).Right hemispheric stroke. Retrieved February 6, 2012, from http://www.drugs.com/cg/right-hemispheric-stroke.html

Sunday, January 12, 2020

Diabetes and Nutrition

Diabetes mellitus is a continual disorder of carbohydrate and lipid metabolism in which blood levels of glucose and lipids are elevated. This abnormal metabolism results from a relative lack of insulin, either too little insulin is secreted or the insulin that is secreted is not effective. In addition, diabetes is associated with chronic systemic complications, which, over time, can affect the retina, kidneys, nerves, and cardiovascular system. The most common classifications of diabetes mellitus include type I, or insulin-dependent, diabetes mellitus (IDDM); type II, non-insulin-dependent diabetes mellitus (NIDDM); and gestational diabetes (GD).How it is DevelopedThe problems of diabetes originate in an organ located behind the stomach about the length of a human hand called the pancreas. The pancreas is necessary for both digesting food and regulating energy. It is the regulation of energy for the body that is important in the development of diabetes. The pancreas produces hormones that metabolize food. These hormones regulate the use of glucose, a simple sugar, which is used for most of the activities in our bodies. The pancreas regulates energy in a variety of behaviors in which humans engage such as exercise and movement, responding to trauma and stress, and infections.The pancreas emits three different types of hormones. Insulin is the first hormone that is produced when glucose rises in the blood. Insulin usually rises after eating a meal, and excess glucose that is not used is stimulated by insulin to be stored in muscles and fat cells so that energy can be used later. The liver also stores excess glucose in the form of a carbohydrate called glycogen. The second type of pancreatic hormone is glucagon. Glucagon breaks down glycogen stored in the liver so that it can be used as energy when blood glucose supplies are down. The third type of pancreatic hormone is called somatostatin, thought to be important in regulating both insulin and glucagon.When diabe tes develops, this balanced control system does not operate properly. The glucose in the bloodstream increases, and the cells are not able to utilize it. The individual develops hyperglycemia (excess glucose in the blood). This can be detected by measuring the glucose in the blood from a blood sample, or if the glucose is elevated enough, it can be detected in the urine as spillover. This sort of situation occurs when there is not enough insulin to permit the cells to utilize the glucose, or there is resistance most likely at the cellular level to the presence of insulin. Both cases produce diabetes.Symptoms of DiabetesSome of the symptoms of Diabetes Mellitus are increased thirst, increased urination, weight loss even though the individual is eating more, fatigue, nausea, and vomiting, skin infections, vaginitis, blurred vision, bladder infections, and impotence in men and cessation of menses in women.One severe symptom of diabetes is diabetic ketoacidosis. This symptom sometimes p roduces slightly sweet-smelling breath that is caused by acetone, a metabolic byproduct, when the body is forced to burn fatty acids rather than glucose. This process becomes more and more toxic to the body as it continues; the individual may develop diabetic coma and die. Ketoacidosis occurs when individuals are either not getting enough insulin or the insulin is not adequate to allow cells of the body to utilize the glucose.Effects of DiabetesDiabetes has two types of long-term effects. One type is associated with blood vessel involvement. Damage to the large vessels puts the diabetic at greater risk of stroke, heart attack, and gangrene of the feet. When small blood vessels are damaged, eyes, kidneys, and nerves become damaged. The other long-term effect is nerve damage usually in the feet, but also occasionally in the hands. This nerve damage is called diabetic neuropathy. This damage may cause a painful burning sensation with loss of sensation over time, making the body part mo re subject to injury and infection. Foot ulcers and gangrene can develop, with further damage in the extremities. In men, diabetic neuropathy may cause erectile impotence.Nutrition for DiabetesConsultation with a dietitian familiar with children and with type 2 diabetes is important for all patients. The dietitian should assess the nutritional status and practices of the patient and then counsel them to provide a meal plan which, at least initially, does not deviate in a major way from their usual eating practices. Changes made gradually, through subsequent appointments and interviews, frequently achieve compliance more successfully than does radical and rapid change.Individuals providing counseling must be clear about the differences in the management of patients with type 1 and type 2 diabetes. Because obesity is a typical finding in type 2 diabetes and caloric restriction results in improved glycemic control and insulin sensitivity, modest caloric restriction and weight loss or m aintenance are important goals: so is correction of the dyslipidemia, which frequently accompanies the metabolic syndrome or IRS.In general, calories from dietary fat should not exceed 30% of energy intake, and calories from saturated fat should not exceed 10%. An effort is also made to limit cholesterol in the diet to

Friday, January 3, 2020

Sea Shells by the Seashore - Practice the S Sound

Tongue twisters are fun words games we use to challenge our pronunciation. As an English learner, you can use tongue twisters to help with pronunciation of certain sounds. This tongue twister  is perfect for practicing your s sounds. Use lots of breath to help you get the hissing s sound strong. Remember that s is voiceless - pronounced without the voice by pushing air between your teeth and through open and rounded lips. Sea Shells by the Sea Shore She sells sea shells by the seashore.The shells she sells are surely seashells.So if she sells shells on the seashore,Im sure she sells seashore shells. Improve Your Pronunciation of S Sea Shells by the Seashore helps you practice s. The s sound is voiceless and sometimes confused with the z sound which is voiced, or the sh sound which is also voiceless.  Practice the difference in these sounds with minimal pairs - words that only have a difference between the s, z and sh sound.   sip - ship - zipsea - z - shesign - shinezap - sap Feel the Difference Between Voiceless and Voiced Sounds Place your hand on your throat and say sea and you will feel no vibration for the s sound. Place your hand on your throat and say zebra and youll feel no vibration at all for the z - a voiced sound.