Wednesday, October 30, 2019
DEATH, DYING, & BEREAVEMENT Essay Example | Topics and Well Written Essays - 750 words
DEATH, DYING, & BEREAVEMENT - Essay Example Infact children have an uncanny knack of imbibing more than we realise. They are tuned to picking up easily from what they hear and observe around them. It is just that when it come to expressing their feelings they are at a loss which is misunderstood and their actions are then misconstrued. Especially when a child is grieving we tend to make it more difficult by smothering them and making the situation even more complex than the experience itself. Ignorance of a Childs needs especially during the time of grief can make things worse not knowing how to react or help with the Childs emotional needs. We first need to realize that grieving is a normal process and not something to worry about. The grieving symptoms can be anything from loss of appetite to withdrawal and acute loneliness. The intensity can vary depending on the Childs attachment to the deceased person and how much the loss actually means to the child. In any case the parentââ¬â¢s role would be to support the child through the bad phase and not help them submerge their feelings. The child should be given the freedom to grieve in a way which they find comforting. Caring and listening can be the best tools to use when it comes to caring for a grieving child. The child might have questions which may seem irrelevant to an adult while in reality the answers we give them can go a long way in the recovery process and be a guide to their future as well. Children who are grieving usually tend to be aloof and withdrawn, giving them the assurance that it is normal and natural to feel sad would be the best way to start. It might be challenging for a widowed person to deal with the Childs trauma when he or she is grieving herself. The uncomfortable circumstances and our own denial can make it hard on children. Looking to the Childs needs in the stressful times and sharing their concerns with understanding
Monday, October 28, 2019
Video game controversy Essay Example for Free
Video game controversy Essay Technology has (had) come a long way since the early years of life. The use of technology to humans, is to enhance or improve whatever it may be to have a much quicker advancement or have a better and easy going lifestyle. But in the more recent years, technology has turned for the worst. Specifically speaking, video games. Video games in its early years were meant for a positive use, much like any other type of game; to simply act as a fun activity to pass time. That is not the case anymore because of how dangerously advanced and addicting video games can be. In fact itââ¬â¢s so dangerous nowadays that countries like South Korea are contemplating whether or not to ban video games. Why is it dangerous? Video games influence a type of negative social behavior, has a direct correlation to the cause of Insomnia, and is relevant to the increasing obesity rates in America. Playing video games can lead to many negative effects on a person. Video Games influence a type of negative social behavior. ââ¬Å"The effects of videophilia are substantial and include obesity, attention disorders, lack of socialization and poor academic performanceâ⬠(Video Game Addiction). The person (game player) may lose social skills and qualities depending on the level of video game addiction. Usually, the player is spending so much time on the game that he/ she is neglecting other areas of life. A common sign of video game addiction is constantly talking about the game almost constantly. ââ¬Å" It is more likely to talk down upon a peer after a violent video game sessionâ⬠(Tiret). These types of social skills are not acceptable to continuously practice. The people that talk down on peers because of the violent video game session could go into depression or anxiety because of what others say or think about them. Young Children love playing rated M 18+ games that contain violence and other profound content (Parks). ââ¬Å" the more time children and teens spend playing violent video games the more likely they are to display aggressive behaviorâ⬠(Tiret). The more violent the game is, the more violent the player will be. Itââ¬â¢s morally wrong to be mean for absolutely no reason towards other human beings. The effects on aggressive behavior can be long lasting (Tiret). A build up in anger is not healthy. If the constant aggression keeps up, the aggressive person will be ostracized by classmates or friends. Insomnia is easily caused by the lack of sleep, which is a common symptom of a video game addict. ââ¬Å"Studies have shown that people deprived of contact with nature were at greater risk of depression and anxietyâ⬠(Wilderness Adventure). ââ¬Å"In a study by Breslau and associates, patients with insomnia were nearly 4 times more likely to suffer major depression than those without insomniaâ⬠(Johnston). A depressed person will look at everything negatively and have no motivation to go outside. The person may even view his/ her life not even worth living. Stress and depression can be caused by a variety of things resulting in insomnia. Stress may be caused by hours on the computer playing a game without rest. Depression may hit the person, depending on intimacy with the video game, once he/she loses a lot. ââ¬Å" insomnia and its associated daytime sleepiness had significant negative effects on cognitive functioning and impaired their subjectsââ¬â¢ ability to perform ordinary tasksâ⬠(Johnston). ââ¬Å"Excessive Sleepiness has been linked to learning disabilities in children and cognitive and memory problems in adultsâ⬠(Johnston). If this keeps up then the next generations will become less capable than the ones before which shouldnââ¬â¢t happen. Remembering what you ate for breakfast will be very difficult. ââ¬Å"Poor sleep hygiene includes an irregular sleep schedule, stimulating activities before bedâ⬠¦Ã¢â¬ (Mayo Clinic). The ââ¬Ëstimulating activitiesââ¬â¢ could translate into playing video games before you sleep. The effects of the stimulating activities causes the person to stay awake longer in bed. Some argue video games can be healthy to a person. One of the biggest positive effects video games can have on a person is the fact that makes people happy. As a result, video games have become an easy scapegoat for numerous violent tendencies and social behaviors. Video games are indeed a scapegoat, but it doesnââ¬â¢t hide the fact that the people who play these games as a scapegoat are neglecting themselves from the real world. These people will not get to experience what itââ¬â¢s really like in the real world. Based on solid scientific evidence, video games may actually fill basic human needs that the real world fails to satisfy (Shapiro). This applies to people who have social anxieties causing these people to refrain from the outside even more. The people are not completely solving their problems, only temporarily. It is not the gameââ¬â¢s fault for these negative effects. There are millions who play the game and donââ¬â¢t go out and do the negatively portrayed actions on the news. The criminals mention the gamesââ¬â¢ names and blame the games. Violent games are very influential on a person. ââ¬Å"Reality is too complicated to blame playings games, moving pictures, or letters on a pageâ⬠(Parks). Games are where people get ideas from. Life is commonly sealed into one perception for a person, and curiosity comes from ideas that have never been heard of before. Addiction of video games can easily lead into obesity which is a dangerous and lethal disease. Video games create an obstacle for children. ââ¬Å"Children today spend an average of 6 hours each day in front of the computer and TV, but less than 4 minutes a day in instructed outdoor playâ⬠(Wilderness Adventure). There is an extreme amount of physical inactivity. The calories are not burned which turn into fat later on. ââ¬Å"Getting less than seven hours of sleep a night can cause changes in hormones that increase your appetiteâ⬠(Mayo Clinic). Less sleep IS a vital cause of obesity. Eating most of your calories at night contributes to weight gain. ââ¬Å"Overweight and obesity are linked to more deaths worldwide than underweightâ⬠(WHO). Being overweight and obese brings cardiovascular diseases, diabetes, and even some cancers. The obese people are not outside and running which leads into no training for the cardiovascular system. While playing video games, gamers do not pay attention to what they eat which could lead into a massive buildup of diabetes. ââ¬Å"More than 40 million children under the age of five were overweight in 2011â⬠(WHO). 41% of certain cancer burdens are attributable to overweight and obesity. Children who play video games fit into this category. The topic of video games being perceived as a positive thing today is growing out of hand. Itââ¬â¢s like spreading a humongous lie to gullible innocents. Affecting social behavior in a negative manner, causing obesity, and developing insomnia are serious matters. The negative effects of playing video games are severe and the idea of playing video games should not be taken lightly.
Saturday, October 26, 2019
Fiddler on the Roof Essay -- essays research papers
The musical called ââ¬Å"Fiddler on the Roofâ⬠was set in Anatefka, Russia around 1880-1900. During this time, in this small town, held Tevya and his family. Tevya, husband and father of five daughters, is a cynical, obstinate, determined, yet sensitive to feelings, and caring man. He is a clever philosopher and sticks very much to tradition. In the story Tevya says ââ¬Å"Anatefka is our home...to keep in balance by tradition...â⬠This explains the title which is personally understood that through Tevyaââ¬â¢s eyes, without tradition, life would be as a fiddler on a roof, unbalanced. This story, demonstrates the precarious lives of the Russian Jews of the late 19th century. The main character, Tevya, compares their lives to that of a fiddler on a roof with only traditions helping them keep their balance. However, throughout the story, Tevya is forced time and again to face and break traditions. à à à à à Tzeitle, Tevyaââ¬â¢s oldest daughter was supposedly to be prepared a husband by her parents with the help of Yenta (the old gossip woman who also makes matches). Tzeitleââ¬â¢s parents agree with the match-making to Lazar Wolf the rich old butler. The problem is that Tzeitle is in love with Mottle, the poor tailor and pledged each other they would marry. The bigger conflict appears when Tevya finds out and also after he told Lazar Wolf he could marry his daughter. Tevya, after having a nightmare with Lazar Wolfââ¬â¢s ex-wife, threatening to kill Tzeitle if she marries Lazar, and after...
Thursday, October 24, 2019
Community Meeting Review Essay
For my project I visited the City of Hesperiaââ¬â¢s Official Website and reviewed the April 1, 2014 City Council Meeting which is available to the public on line. The beginning of the meeting started with a call of order then proceeded to the roll call of the board members. After these steps had taken place an invocation was performed followed by the Pledge of Allegiance. I have never heard of a prayer referred to as an invocation and it prompted me to review the words definition, ââ¬Å"a public request for guidance, good will, good wishes, and good things. (Wikipedia). I was very pleased to see that the council members have chosen prayer as guidance followed by the pledge of allegiance, a leadership respectful of God and Country. The official members present were Mayor Thurston ââ¬Å"Smittyâ⬠Smith, Mayor Pro Tem Eric Schmidt, Council Members Russell Blewett, Bill Holland, and Mike Leonard. Agenda revisions and announcements were provided by the city clerk followed by a cl osed sessions report given by the City Attorney. Prior to the main agenda announcements and presentations were provided recognizing public interest groups which included; A certificate of recognition for the Desert Winds Quilt Guild, a proclamation for National Volunteer Week, a proclamation for Fair Housing Week, followed by a presentation of the community events calendar provided by Rachel Molina the cityââ¬â¢s community relations and media coordinator. At this time a request for public comments was made and instructions were provided to those present in regards to time limits per individual. This forum provides an interface for the public with the City Council and the Municipality components which do not typically respond or engage with the presenters but collect the information and provide for a method of follow up from city staff. The first person called to speak was Jennifer Mayo, who discussed road conditions related to her residence and its poor state of repair which has affected her and her family. The second person called to speak was Jeff Randall who began his discussion with a quote of ââ¬Å"trust and respectâ⬠referring to an issue of code enforcement and feeââ¬â¢s levied against his property in the amount of $3,500.00. Mr. Randall described the issue in detail, in which he could not meet the original deadline of the code violation due to a tenant that needed to be removed from the property and requested an extension to resolve the violation. He was verbally provided an extension and was told to just handleà the situation and no fees would be imposed. He trusted the individual representing the city to stand by his word and not to impose any fees until he had the opportunity to resolve the situation which did not happen. Mr. Randall is requesting the assistance of the council members to resolve the financial burden imposed upon him. The next person called was Jessica Davidson who was accompanied by Veronica Sanders and were from the Cancer Society, representing a fundraiser called Relay for Life. Their purpose for presenting was to invite the City Council and its attendees to an upcoming 24-hour event. The council did respond to these presenters, stating that they will be attending this event as a team and additionally asked the presenters to return to the next council venue where they will be given a proclamation (recognition) for their public efforts. The next person called was Jennifer Shaw a representative from Southern California Edison. The purpose for her presentation was to introduce Julie Gilbert, her replacement who is also employed with Southern California Edison. This seemed to be a professional courtesy provided by the utility firm. Al Vougler was the last presenter to be called and spoke about concerns related to the City of Hesperiaââ¬â¢s recent lease of water allocations from the Rancho Water District totaling 1300 acre feet. Mr. Vougler believed that even though the purchase rate of $382.50 per acre foot seemed reasonable that the Cityââ¬â¢s water district should be approaching residents much like himself that have unused water allocations at a reduced price. Mr. Vougler believed that this would be a combined benefit for the City and its residents. The City Manager did provide a general response to Mr. Vougler in an attempt to define the characteristics of water classifications and there overall values which was followed by the City Attorney who provided further comparisons of water and values. The meeting continued with the Joint Consent Calendar, the consent calendar is a grouping of routine matters to be acted on in one motion. There were six items considered and recommended actions taken anywhere f rom issues related to utilities to professional services. At the end of this presentation it was open to public hearing providing any concerned resident an opportunity to speak. This was followed by consent ordinances which city staff members began to speak about Community Development Block Grant (CDBG) and its draft citizen participation plan for years 2015-2019. This was followed by an ordinance for the Civic Plaza which would limit the use ofà skateboards, bicycles, and leashed animals during special events held at this location. Following these issues the council would make a decision which would be placed on record for public view. New business was proposed where an approval of long ranged property management was projected, but they motioned to push this event forward to the next meeting due to the absence of a council member who was more familiar with the issue. A final request to those attending to be heard was made leading to the council committeeââ¬â¢s reports and comments. Each council member was provided the opportunity to give a final presentation in regards to the events that had taken place. Council member Holland had very nice things to say in reference to Jennifer Mayo and her courage for coming to the meeting and addressing her concerns. Mrs. Mayo had mentioned earlier that she was on a ââ¬Å"foolââ¬â¢s errandâ⬠in reference to her attempt to share her road concerns and Mr. Holland reassured her that her attempts were not imprudent. The city staff will diligently look for funds to improve the road conditions for the City of Hesperia. I was very impressed by the comments made by Mr. Holland during the meeting and at its closure. He was less formal and made everyone feel welcome and I would say the same for council member Blewett and Mayor Smith. Mayor Pro Tem Schmidt had some disparaging comments in reference to Mr. Randallââ¬â¢s code enforcement issues and felt he had made erroneous claims to the council. I felt this was a bit unbecoming of Schmidt especially in his role as Pro Tem (vice mayor). I believe he should be more considerate to those that address the council in a fair and reasonable manner. The city attorney seemed very cold and matter of fact which is probably typical of all legal personnel. I was quite pleased with this local government, they were very informal and very endearing. I believe that the city council is very attentive to their local residence and businesses that they are serving and operate in the best interest of everyone. Economically there was concern over budget constraints especially for those related to road improvements, monies were approved for the CDGB plan which is a joint activity between the city and the community development groups. It was interesting that there were a lot of legal concerns related to the councils operation and their decision development and was quoted several times during the proceedings. I would like to make note that the ââ¬Å"city staffâ⬠often referred to but never specifically identified have a great behind the scenes responsibility inà researching all the necessary regulatory requirements related to the operation of this committee. This experience has actually peaked my interest in local politics I like the fact that it is approachable compared to national politics which is not interested in personal opinion only those provided by an elected official. I donââ¬â¢t believe local government to be any more efficient than national government, there may be fewer constraints within local government that can be resolved at a much faster pace. I found the public presentation to be very interesting, all of the presenters seemed to be very informative and well spoken. I was drawn to Mr. Vouglerââ¬â¢s water concerns which led me to do further research in reference to water rights. I was unaware that residence had water allocations available for re-sale. I went to the Mojave Water agencies website to learn about their responsibilities and for clarification of local water rights. In doing so I learned that they monitor all the water allocations throughout the High Desert including Municipalities and residents. It was true what the City Manager had told Mr. Vougler in regards to the value of his water rights. Due to the waters agricultural component the re-sale of the product to a Municipality is 75% that of a re-sale from another commercial water holder. This is why Mr. Vouglerââ¬â¢s water was valued at $275.00 versus $382.00. In a sense it has the equivalent dollar value when purchased by the Municipality such as the City of Hesperia. When the council responded to Mr. Vougler they responded accurately and I felt they were very respectful in doing so. Works Cited ââ¬Å"Agenda.â⬠City of Hesperia. Council Chambers, (01 April 2014). Web. (01 May 2014). http://www.cityofhesperia.us/archive.aspx ââ¬Å"Invocation.â⬠Wikipedia: The Free Encyclopedia. Wikimedia Foundation, Inc., (08 April 2014). Web. (01 May 2014). http://en.wikipedia.org/wiki/Invocation ââ¬Å"Water Transfer Types.â⬠Mojave Water Agency, Web. (01 May 2014). http://www.mojavewater.org/water_transfer_forms.html
Wednesday, October 23, 2019
E-Business-Issues and Challenges
E-Business ââ¬â Issues and Challenges Ashmita Paul Abstract In todayââ¬â¢s business climate, e-business can have an impact on every facet of the organization, including supply chain management, leasing, non-cash payment, mail order commerce or the rise of service economy. As said by Lou Gerstner, ex CEO of IBM, ââ¬Å"E-business is all about time cycle, speed, globalization, enhanced productivity, reaching new customers and sharing knowledge across institutions for competitive advantageâ⬠. E-business is transforming companies and industries, at an accelerating rate. Business cycles that used to be measured in years are now measured in days. This paper deals with the various issues of e-business as well as the challenges being faced. Issues can be technological and non-technological. Technological issues investigated include telecommunication, hardware, software and the availability of technical skill sets. Non-technological issues are often related to intellectual property concerns, copyright, trademark, credit/cash policies and privacy. As companies have embraced the internet as a business medium, they have discovered that their biggest challenge is not only establishing connectivity and infrastructure but is the safe and secure transmission and sensitive information. This paper focussed on emerging issues of e-business that are more high-up and stern in developing and emerging economies. An attempt has also been made in the paper to throw light on the challenges to e-business that are more related to strengthening success factors, establishing barriers to failure, diminishing barriers to success and fighting the failure factors. Key words: E-Business, Technological, Non-Technological, Challenges.
Tuesday, October 22, 2019
8 Reasons Why People Drink Soda Essays
8 Reasons Why People Drink Soda Essays 8 Reasons Why People Drink Soda Paper 8 Reasons Why People Drink Soda Paper Essay Topic: The Bean Eaters 8 Reasons Why People Drink Soda 16 Reasons To Give Up Soda Drinking [pic] Most of us drink soda. Some drink more than others. And probably many regular soda drinkers are aware that soft drinks are bad for the health. At the same time, United States ranks first among countries in soft drink consumption. I think we need to know more about this drink that we love so much. And so here are 8 reasons why we drink soda: 1Its Very Tasty! The taste could be one thing that gets us addicted to drinking soda, it is delicious. In fact, it is so good, that many people drink it with every meal! Its Everywhere! [pic] Even if you wanted to drink something else, you would be hard-pressed to find it as prominently displayed in vending machines, at fast-food chains, and supermarket checkouts. You might not realize how ubiquitous Coke, Pepsi, and the like are in our society until you try to stop drinking soda. 3Convenience, Grab-n-Go! The most addictive thing about soda is the co nvenience. If you want something quick or are in a hurry, it is so easy to grab and convenient to drink. 4Promotion and Advertising [pic] Soft drinks are heavily consumed in part because companies promote them vigorously Billions of dollars are spend on advertising sodas and market them everywhere in stores, restaurants, gas stations, museums, and even schools. 5Soda Habit For some people, drinking several sodas a day is a force of habit. You know drinking soda is a habit when you find yourself going to the grocery store at 10 p. m. because your refrigerator is tapped out. 6It Is Cheap Soda may be pretty inexpensive when compared with fruit juice and milk. With combo meals, a large soda is only an extra dollar, and you get fries! Thirst Often people drink soda to quench the thirst. However, this is probably the worst time to drink soda, because when you are very thirsty or dehydrated you have low levels of saliva. And saliva helps to neutralize acids (soda is the most acidic beverage you can buy) and wash your teeth clean. 8Caffeine Addiction Many soft drinks contain caffeine and caffeine is mildly addictive. This f act is part of the reason soda is such a hard habit to break. If youre addicted to the caffeine in soda, youre really having two habits the soda habit and the caffeine habit. 6 Reasons To Stop Drinking Soda These were reasons why we drink soda and here are 16 powerful reasons to give up soda drinking. Do you know the extent to which drinking carbonated, caffeinated, sugared, or artificially sweetened beverages harms your body? Giving up soft drinks can be one of the best things you can do to improve your health. 1Soda Is Useless. First of all, there are no nutritionally beneficial components in soft drinks. Soft drinks mostly consist of filtered water and refined sugars. Yet the average American drinks aboutà 57 gallons of soft drinksà each year. Weight Gain Obesity [pic] Many people either forget or dont realize how many extra calories they consume in what they drink. Drinking a single 330 ml can a day of sugary drinks translates to more than 1lb of weight gain every month. S everal scientific studies have provided experimental evidence that soft drinks are directly related to weight gain. The relationship between soft drink consumption and body weight is so strong that researchers2à calculate that for each additional soda consumed, the risk of obesity increases 1. 6 times. According to the results of high quality study3à reducing consumption of sugar-sweetened beverages helped reduce body mass index in the heaviest teenagers. 3Diabetes [pic] This is a consequence of #2. Anything that promotes weight gain increases the risk of diabetes. Drinking soda not only contributes to making people fat, but it also stresses the bodys ability to process sugar5. Some scientists now suspect that the sweet stuff may help explain why the number of Americans with type 2 diabetes has tripled from 6. 6 million in 1980 to 20. million today. Rapidly absorbed carbohydrates like high fructose corn syrup put more strain on insulin-producing cells than other foods. When sugar enters the bloodstream quickly, the pancreas has to secrete large amounts of insulin for the body to process it. Some scientists believe that the unceasing demands that a soda habit places on the pancreas may ultimately leave it unable to keep up with the bodys need for insulin. Also, insulin itself beco mes less effective at processing sugar; both conditions contribute to the risk of developing diabetes. Interestingly, women who consumed a lot of fruit juicewhich is high in natural fructosewere not at increased risk of diabetes, leading researchers to speculate that naturally occurring sugars may have different metabolic effects than added sugars. They also speculate that vitamins, minerals, fiber, and phytochemicals in fruit juices may have a protective effect against weight gain and diabetes, counterbalancing the adverse effects of sugar. Researchers from Brigham and Womens Hospital in Boston and Harvard Medical School4à analyzed data from the Nurses Health Study II, a trial tracking the health of more than 51,000 women. None of the participants had diabetes at the onset of the study in 1991. Over the following 8 years, 741 women were diagnosed with the disease. Researchers found that women who drank one or more sugary drinks a day gained more weight and were 83% more likely to develop type 2 diabetes than those who imbibed less than once a month. 4Weakened Bones And Risk Of Osteoporosis Frequent consumption of soft drinks may also increase the risk of osteoporosis,6à especially in people who drink soft drinks instead of calcium-rich milk7. High soda consumption (particularly cola15) in children poses a significant risk factor for impaired calcification of growing bones. In the 1950s, children drank 3 cups of milk for every 1 cup of sugary drinks. Today that ratio is reversed: 3 cups of sugary drinks for every cup of milk. Tellingly, osteoporosis is a major health threat for 44 million Americans. Most experts now say that the real culprit is sodas displacement of milk in the diet, though some scientists believe that the acidity of colas may be weakening bones by promoting the loss of calcium. Dental Caries And Erosion Soda eats up and dissolves the tooth enamel8. Researches9à say that soft drinks are responsible for doubling or tripling the incidence of tooth decay. The acidity can dissolve the mineral content of the enamel, making the teeth weaker, more sensitive, and more susceptible to decay. Sodas acidity makes it even worse for teeth than the solid sugar found in candy. Dental experts continue to urge that people drink less soda pop, especially between meals, to prevent tooth decay and dental erosion. 6Kidney Damage People who down sugary drinks dont feel as full as those who consume the same amount of calories in solid food. This theory was born out by researchers at Purdue University who, in 2000, gave 15 volunteers 450 calories a day of either soda or jelly beans for a month and then switched them for the next month, while monitoring their total calories. The candy eaters compensated for the extra calories by eating less food and maintained their weight; during the soda phase, the volunteers ate more and gained (MSN Health) There is good evidence that cola beverages can increase the risk of kidney problems, more so than non-cola sodas. Researches clearly demonstrated that large quantities of cola result in enhanced kidney stone formation16-17. If youre wondering exactly how soft drinks cause kidney stones, its because of their acidity and radical mineral imbalances. Your body must buffer the acidity of soft drinks with calcium from your own bones. As this calcium is eliminated through your urine, it slowly forms kidney stones. In a study published in the journal Epidemiology14, the team compared the dietary habits of 465 people with chronic kidney disease and 467 healthy people. After controlling for various factors, the team found that drinking two or more colas a day (whether artificially sweetened or regular) was linked to a twofold risk of chronic kidney disease. 7Increased Blood Pressure Experts have reasons to believe that overconsumption of fructose, particularly in the form of soft drinks, leads to an increase in blood pressure22. 8Likely To Cause Heartburn Soft drink consumption is a strong predictor of heartburn20-21. 9Metabolic Syndrome Risk Factor Soft drink consumption is a significant risk factor for developing of metabolic syndrome18, a combination of the symptoms such as high blood pressure, obesity, high cholesterol, and insulin resistance. 10Harmful Effects On Liver There is evidence that consumption of too many soft drinks puts you under increased risk for liver cirrhosis similar to what chronic alcoholics have19. 11Impaired Digestive System Soda, no matter who makes it, is the most acidic beverage you can buy, with a pH of about 2. 51, about the same as vinegar, but the sugar content disguises the acidity. To put that into perspective, consider that battery acid has a pH of 1 and pure water has a pH level of 7. Interesting fact:à A pH below 4 or above 10 will kill most fish and very few animals can tolerate waters with a pH below 3 or above 11. Why does that matter? Throughout the digestive system, that starts from the mouth and ends up at the anus only the stomach can resist an acidic environment up to pH 2. 0. But before the acidity of soft drink reaches the stomach it passes through all the other organs involved in the digestive system thus causing an abnormal acidic environment. The linings of the mouth, pharynx and esophagus are highly sensitive to acids. The phosphoric acid present in soft drink competes with the hydrochloric acid of the stomach and affects its functions. When the stomach becomes ineffective, food remains undigested causing indigestion, gassiness or bloating (swelling of stomach). 12Dehydration Another problem with sodas is that they act as dehydrating diuretics. Both caffeine and sugar cause dehydration. Caffeine is a diuretic and causes an increase in urine volume. High concentration of sugar is drawing off water because your kidneys try to expel the excess sugar out of the blood. When you drink a caffeinated soda to quench your thirst, you will actually become thirstier. 13High Caffeine Content Another advantage of avoiding sodas is that you will avoid the unnecessary caffeine. Soda drinks are a major source of caffeine in the American diet. High doses of caffeine can cause irritability, restlessness, tension, insomnia, high blood pressure, gastrointestinal disturbance, excessive urination, irregular heartbeat and other side effects. 14Toxins Aspartame If you think diet soda is better think again. The poison in diet soda is an artificial sweetener aspartame. Aspartame is made up of three chemicals: aspartic acid, phenylalanine, and methanol. It is used because its about 200 times sweeter than table sugar. Despite US FDA approval as a safe food additive, aspartame is one of the most dangerous substances added to foods. After you drink an aspartame-sweetened product, aspartame breaks down into its starting components: phenylalanine, aspartic acid, and methanol (that further converts to formaldehyde and formic acid, which are known carcinogens. . There are over 92 different health side effects associated with aspartame consumption10-13. 15Possible Cell Damage Ability A new health scare erupted over soft drinks recently amid evidence that they may cause serious cell damage. Researchà from a British university suggests a common preservative E211, known as sodium benzoate, found in drinks such as Fanta and Pepsi Max has the ability to switch off vital parts of DNA. Sodium benzoate occurs in small amounts naturally in berries, but is used in large quantities to prevent mould in soft drinks. 6There Are So Many Healthy Alternatives! [pic] Soda replaces healthier drinks. By drinking soda, you cut the intake of fresh juices, milk, and even water and deprive yourself from essential vitamins and minerals. Water. Water is the best drink in the world. Tea. Any kind of tea herbal, green or black is rich in antioxidants, which were shown to protects the body form many health problems. 100% Juice. Fruit juice can be also useful for flavoring your water and teas.
Monday, October 21, 2019
Romeo and Juliet The Movie essays
Romeo and Juliet The Movie essays When I first saw Romeo and Juliet I was amazed by the effects and the story surrounding it. This version of Romeo and Juliet is a wildly passionate love story that captures the brightly burning emotions of youth. Baz Luhrmann the director of Romeo and Juliet takes Shakespeares famous play and updates it to the hip modern suburb of Verona but still retaining its original dialogue. The gun toting members of the families wage a vicious war on the streets as the star-crossed lovers, their tragic destiny. It is a rivalry between the Hispanic Montagues and the punk Capulets. Luhrmann wanted a realistic updating of the famous Shakespeare story so he decided to present the Montague and the Capulet family as rich people in a modern world. In the original Shakespeare play the families were wealthy so Luhrmann is trying to stick to the story as much as possible in this tale. When Baz Luhrmann chose Leonardo DiCaprio and Claire Danes as Romeo and Juliet because he was hoping to make a Romeo and Juliet that was accessible to young audiences. He wanted the perfect couple, good looking and youthful so his choice of main actors is therefore... one word love. Harold Perrineau (Mercutio) and John Leguizamo (Tybalt) were chosen because they are the typical type to play that character. John was able to give this bad boy image for Tybalt while Harold was able to make Mercutio funny and charming yet a perfect fighter when need be. These were the perfect characters to watch over Romeo and Juliet. Miriam Margolyes tends toward caricature as a Hispanic Nurse, but is always understandable and occasionally funny, while Peter Postlethwaite turns in the films strongest performance as the morally ambiguous Father Laurence For the play Luhrmann gives each actor a different type of style of clothing to suit his or her characters though he makes sure its very modern. He gives Tybalt a gothic bad...
Sunday, October 20, 2019
Definition and Examples of Maxims
Definition and Examples of Maxims Maxim, proverb, gnome, aphorism, apothegm, sententiaââ¬â¢all of these terms mean essentially the same thing: a short, easily remembered expression of a basic principle, general truth or rule of conduct. Think of a maxim as a nugget of wisdomââ¬â¢or at least of apparent wisdom. Maxims are universal and testify to the commonality of human existence. It is often difficult to tell whether a maxim means something, or something means maxim.à -à Robert Benchley, Maxims from the Chinese Maxims, you see, are tricky devices. As Benchley suggests in his comic chiasmus, they generally sound pretty convincing at least until a contrary maxim comes along. Look before you leap, we say with conviction. That is, until we remember that he who hesitates is lost. Examples of Dueling Maxims English is full of such contrary proverbs (or, as we prefer to call them, dueling maxims): The bigger the better / Good things come in small packages.Whats good for the goose is good for the gander. / One mans meat is another mans poison.Birds of a feather flock together./ Opposites attract.Actions speak louder than words. / The pen is mightier than the sword.Youre never too old to learn. / You cant teach an old dog new tricks.All good things come to those who wait. / Time and tide wait for no man.Many hands make light work. / Too many cooks spoil the broth.Absence makes the heart grow fonder. / Out of sight, out of mind.Its better to be safe than sorry. / Nothing ventured, nothing gained. As William Mathews said, All maxims have their antagonist maxims; proverbs should be sold in pairs, a single one being but a half truth. Maxims as Strategies But then, we might ask, what is the nature of proverbial truth? In his essay Literature as Equipment for Living, rhetorician Kenneth Burke argued that proverbs are strategies designed for dealing with situationsfor consolation or vengeance, for admonition or exhortation, for foretelling. And different situations call for different proverbs: The apparent contradictions depend upon differences in attitude , involving a correspondingly different choice of strategy . Consider, for instance, the apparently opposite pair: Repentance comes too late and Never too late to mend. The first is admonitory. It says in effect: Youd better look out, or youll get yourself too far into this business. The second is consolatory, saying in effect: Buck up, old man, you can still pull out of this. ( The Philosophy of Literary Form, 3rd edition, Louisiana State University Press, 1967) Maxims in an Oral Culture In any event, the maxim is a handy device, especially for people in predominately oral culturesthose that rely on speech rather than writing to pass along knowledge. Some of the common stylistic features of maxims (features that help us remember them) include parallelism, antithesis, chiasmus, alliteration, paradox, hyperboleà and ellipsis. The Rhetoric of Aristotle According to Aristotle in his Rhetoric, the maxim is also a persuasive device, convincing listeners by conveying an impression of wisdom and experience. Because maxims are so common, he says, They seem true, as if everyone agreed. But that doesnt mean that all of us have earned the right to use maxims. Theres a minimum age requirement, Aristotle tells us: Speaking in maxims is appropriate to those older in years and on subjects of which one is experienced, since to speak maxims is unseemly for one too young, as is storytelling; and on matters in which one is inexperienced it is silly and shows lack of education. There is an adequate sign of this: country folks are most inclined to strike maxims and readily show themselves off. ( Aristotle On Rhetoric : A Theory of Civic Discourse, translated by George A. Kennedy, Oxford University Press, 1991) Finally, we might keep in mind this bit of proverbial wisdom from Mark Twain: It is more trouble to make a maxim than it is to do right.
Saturday, October 19, 2019
The Pythagorean Theorem Essay Example | Topics and Well Written Essays - 3500 words
The Pythagorean Theorem - Essay Example The area of such a rectangle is a times b: ab. Therefore the four triangles together are equal to two such rectangles. Their area is 2ab. As for the square whose side is c, its area is simply c. Therefore, the area of the entire square is c + 2ab . . . . . .(1) At the same time, an equal square with side a + b (Fig. 2) is made up of a square whose side is a, a square whose side is b, and two rectangles whose sides are a, b. Therefore the area of that square is a + b + 2ab But this is equal to the square formed by the triangles, line(1): a + b + 2ab = c + 2ab. Therefore, on subtracting the two rectangles -- 2ab -- from each square, we are left with a + b = c. This is the Pythagorean Theorem Proof using similar triangles The Pythagorean theorem, is based on the proportionality of the sides of two similar triangles. Let ABC represent a right triangle, with the right angle located at C, as shown on the figure. We draw the altitude from point C, and call H its intersection with the side AB. The new triangle ACH is similar to our triangle ABC, because they both have a right angle (by definition of the altitude), and they share the angle at A, meaning that the third angle will be the same in both triangles as well. By a similar reasoning, the triangle CBH is also similar to ABC. The similarities lead to the two ratios..: As so These can be written as Summing these two equalities, we obtain In other words, the Pythagorean theorem: The Arabian mathematician Thabit ibn Kurrah A clever proof by dissection which reassembles two small squares into one larger one was given by the Arabian mathematician Thabit ibn Kurrah (Ogilvy 1994, Frederickson 1997). Proof by Perigal Another proof by dissection is due to Perigal (left...Therefore the four triangles together are equal to two such rectangles. Their area is 2ab. At the same time, an equal square with side a + b (Fig. 2) is made up of a square whose side is a, a square whose side is b, and two rectangles whose sides are a, b. Therefore the area of that square is Let ABC represent a right triangle, with the right angle located at C, as shown on the figure. We draw the altitude from point C, and call H its intersection with the side AB. The new triangle ACH is similar to our triangle ABC, because they both have a right angle (by definition of the altitude), and they share the angle at A, meaning that the third angle will be the same in both triangles as well. By a similar reasoning, the triangle CBH is also similar to ABC. The similarities lead to the two ratios..: As Another proof by dissection is due to Perigal (left figure; Pergial 1873; Dudeney 1970; Madachy 1979; Steinhaus 1999, pp. 4-5; Ball and Coxeter 1987). A related proof is accomplished using the above figure at right, in which the area of the large square is four times the area of one of the triangles plus the area of the interior square. From the figure d=b-a, so Perhaps the most famous proof of all times is Euclid's geometric proof , although it is neither the simplest nor the most obvious.
Friday, October 18, 2019
Testing the use of the checklist in the operation room Essay
Testing the use of the checklist in the operation room - Essay Example This study evaluated the use of the WHO Surgical Safety Checklist, that impact of operating room briefings on coordination of care. Data were prospectively collected in the cesarean section OR with Cââ¬â¢ section patients and the outcome of eleven cases of patients undergoing this operation was gathered and analyzed after direct observation of the OR checklist was applied . Findings suggested that in the general operation room, the checklist was used. In contrast, in the operation room of the labor department,the checklist tool was not used . To increase the probability of achieving patient safety and minimal errors when implementing the use of checklist tool, such as World Health Organizationââ¬â¢s Surgical Safety Checklist, the integration between OR members of the different professions and teamwork must be enhanced. Key words: checklist, WHO surgical safety checklist. . Introduction and statement of the problem The nursing leadership needed to evaluate the possibility of edu cating all the healthcare professionals on the use of a safety checklist and to gain an increased awareness of the challenges and solutions connect with such an effort. The obstetric patient safety CNS at Johns Hopkins Hospital wanted to study the reasons why the OR checklist was not being used. ... It also helps to improve communication and guarantee safe and standardized procedure, by this means minimizing error. Overcoming barrier to implementation of the checklist in the OR was growing. Lack of using the checklist therefore led to the increase of the above mentioned defects. The organization started testing the checklist over a year ago and they provided information for all caregivers teams regarding their attitudes toward the use of a surgical checklist. Still not all team members related that they were aware of the checklist and its purpose and they were not using the resource. The use of the checklist did not become part of the culture of the unit. Some team members were / and are resistant to checklists. Support for use of apre-operative checklist to increase patient safety has been described. In a study by Nilsson, Lindbergt, Gupta &Vegfros (2010), staff awareness of the benefit of the use of a checklist and attitudes towards the use of a checklist improved after one ye ar. Assessment Organizational need According to JHU nursing leadership, there was a need for all OB and OR team members know each other as the research supported that this would make people more willing to speak up if they perceived a certain problem during the case. The team members also needed to have a shared mental model regarding the scope of the case and the plan of care for the patient after the case. It was viewed that most nurses did not make good use of the checklist. The use of the checklist also goes a long way in helping the nurses remember to cover all the basics. This is because not everyone has the ability to memorize all that is required. The operating rooms are highly procedural environments that require surgical teams to be very meticulous (Hayes, 2012). Clinical
Tourism Policy and Planning Essay Example | Topics and Well Written Essays - 3000 words
Tourism Policy and Planning - Essay Example At the end of the study we will provide with certain recommendations that could prove to be innovative for improving the tourism business of the area. Contents Introduction (2895 words) 3 Substantive Content 4 Political Implication of the city 4 Recent economic implications 5 Social and labor markets 7 SWOT ANALYSIS of the destination 8 PESTEL framework of the destination 10 Conclusion 12 Recommendation 13 5 possible alternative courses of action 13 Reference 15 Introduction (2895 words) In the Northeastern region of the USA is located the state of New York. Within the New York state is located the New York City which is known as the most densely populated city of the United States and it is the hub of the New York urban region. It is the largest metropolitan within the entire United States. The city is situated on the southern regions of the New York State on the banks of the river Hudson. During the year 1609, an English explorer and navigator named Henry Hudson travelled by water through the Hudson River which was named after him. The course of the river that passes through the Manhattan Island is called as North River. Five years from then a permanent dwelling developed around that region which later on came to be known as New York however originally it used to be recognized by the Dutch governors as the New Amsterdam. It was known that one of the Dutch Governors named Peter Minuit bought Islands of Manhattan from the Indians for a deal of trinkets, beads and buttons. A navy was sent by the Great Britainââ¬â¢s Duke of York in 1664 that peacefully detained the Dutch without any violence and baptized the settlement in a tribute of the duke. The control of the city passed on to the young members of the Nation at the conclusion of the Revolutionary War (Burrows & Wallace, 1998, p.14). George Washington had been selected as the then president and the occasion was inaugurated in New Yorkââ¬â¢s old City lobby. Congress gathered and continued their stay in Ne w York ranging from 1785 to 1790. During 1898, the Greater New York was taken under some agreement and the city got expanded to comprise 5 boroughs namely Manhattan, Bronx, Queens, Staten Island and Brooklyn. The city is also known as ââ¬Å"The Big Appleâ⬠. It is a major a world leader and a global capital in the domains of communications, finance and arts. The harbor of New York is one of the most excellent in the globe and has been ranked as the biggest port compound on the East Coast. New York City is the home for the United Nations and includes the headquarters of a large number of important organizations from across the world. The city is considered to be a significant spot for fashion, advertising, shooting, radio broadcasting, publishing etc. by the important firms across the entire world. Substantive Content Political Implication of the city Theà government ofà cityà is controlled under the Charter of the City and offers for a "well-built"à mayor-council arrang ement. The administration of the state is more nationalized than that of the majority of the other cities of U.S, by means of the city administration being accountable for the correctional institutions, education of the public, public safety, libraries, sanitation, recreational facilities, welfare services and water supply. Theà mayorà getsà electedà for a term of a 4 years and remains in charge of the administrative functions of the government
Thursday, October 17, 2019
Build sales proposal Essay Example | Topics and Well Written Essays - 3000 words
Build sales proposal - Essay Example Moreover, the introduction of the project presents three significant components such as sale proposal elaborates the potential clients regarding novel ideas, service, and the product. The second argument that is made by sale professionals in favour of sales proposal is that this service is mandatory and beneficial for them. Last, but but not the least is that it is important and mentioned in sale proposal is to enhance the expectations of project success (Wise Geek, 2015). Sale proposal is the integral part of successful sale deal; it is a pitch that allows sale professionals to land either new or prior business (PandaDoc, 2015). Mylocalpitch is an online platform that has been set up by fans that are passionate about sports. It also represents fans that have struggled for a long time to encounter the places across London they can play in; namely Sanford Loudon and Jamie Foale. The major aim of this platform is to allow players to grasp the information regarding the closest sports facilities from their home, hence, allowing them to book easily these facilities online and can enjoy the sports passion anywhere in London (Mylocalpitch, n,d, a). In addition, with the aim to be the one-stop shop for London residents, the website is focusing on 13 sports that are major and will continue to add more as will grow. The website is also searching for courts and pitches so its clients can make a purchase of sports equipment via online mode of shopping. Companies that offer sports services and advertise at my local pitch platform and can maximize their business (Mylocalpitch, 2015). It is essential to know the market to which the proposal is being presented. This proposal is not being written in response to RFP (Request For Proposal); therefore it has become pivotal to take the market research into consideration. The market research is vital in a sense that after recognizing market needs and competitors, a better sale
TEENAGE PREGNANCY Essay Example | Topics and Well Written Essays - 1500 words
TEENAGE PREGNANCY - Essay Example In the past few years, pregnant teenagers have become a twisted fashion statement, a heavily sought-out fad (Moore, 2006). Now, at the beginning of the second decade of this new millennium, teenage pregnancies are increasing at an alarming rate with no decrease in sight due to a lack of knowledge being given to the teenagers. There are three common causes as to why teenagers are becoming pregnant at a shocking rate. Socially, it is ordinary for teenagers to be pressured by their peers to engage in underage sex, resulting in young pregnancies. Teenagers have the mindset that if their friends and classmates are involving themselves in underage sex, then not only should they do the same, but they feel that their actions will be condoned by the commonality of underage sex. Economically, it has been proven that teenagers from lower income neighborhoods or situations of poverty have an increased chance at becoming pregnant due to a lack of information and resources, as well as access to contraceptives (Cherry, 2001). Legally, many teenagers believe that they are old enough than what the age of consent lays down, and that they are old enough to know what they want as possible parents at such a young age. Furthermore, it is quite often that the men that impregnate the girls are unaware of how old they really are , which, regardless of whether or not the girls give permission, goes against the law of age of consent. Teenagers either going through pregnancy or making their rounds as teenage moms face numerous social problems as a result of their poorly calculated sex romps. Due to the demand of infants for their mothers, the majority of teenage moms have no choice but to drop out of school to tend to their baby. Although they do exist, very few schools offer specialized daycare facilities to take care of children while their mothers are in class
Wednesday, October 16, 2019
Build sales proposal Essay Example | Topics and Well Written Essays - 3000 words
Build sales proposal - Essay Example Moreover, the introduction of the project presents three significant components such as sale proposal elaborates the potential clients regarding novel ideas, service, and the product. The second argument that is made by sale professionals in favour of sales proposal is that this service is mandatory and beneficial for them. Last, but but not the least is that it is important and mentioned in sale proposal is to enhance the expectations of project success (Wise Geek, 2015). Sale proposal is the integral part of successful sale deal; it is a pitch that allows sale professionals to land either new or prior business (PandaDoc, 2015). Mylocalpitch is an online platform that has been set up by fans that are passionate about sports. It also represents fans that have struggled for a long time to encounter the places across London they can play in; namely Sanford Loudon and Jamie Foale. The major aim of this platform is to allow players to grasp the information regarding the closest sports facilities from their home, hence, allowing them to book easily these facilities online and can enjoy the sports passion anywhere in London (Mylocalpitch, n,d, a). In addition, with the aim to be the one-stop shop for London residents, the website is focusing on 13 sports that are major and will continue to add more as will grow. The website is also searching for courts and pitches so its clients can make a purchase of sports equipment via online mode of shopping. Companies that offer sports services and advertise at my local pitch platform and can maximize their business (Mylocalpitch, 2015). It is essential to know the market to which the proposal is being presented. This proposal is not being written in response to RFP (Request For Proposal); therefore it has become pivotal to take the market research into consideration. The market research is vital in a sense that after recognizing market needs and competitors, a better sale
Tuesday, October 15, 2019
See work below in description Coursework Example | Topics and Well Written Essays - 250 words
See work below in description - Coursework Example More often than not, after establishing the basis for company prices, managers always develop pricing strategies by looking at the pricing goals that the company strives. These may be such as pricing increasing long-term or short-term profits, increasing cash flow, stabilizing prices and in some cases warding off competition. After taking into account the existing market conditions, companies may consider fixed price policies. These may include menu based pricing, activity based pricing and cost per drop. Most specifically the various fixed pricing strategies are based on the customers demand and market expectations (OÃËzer & Phillips, 2012). Consumers tend to experience two roots of value for a product. One is acquisition utility, and the other is transaction utility, these are what forms part of the consequences should a fixed pricing policy apply. Acquisition utility implies utility of obtaining a given product while on the other hand transaction utility implies the difference between the featured price and a subjects reference price. Through fixed pricing policy, consumers are able to decide for the time they will pay for better service provided and when it would be logical to order to reduce impulse buying (Nagle,
Monday, October 14, 2019
Milk and Formula Essay Example for Free
Milk and Formula Essay There are many different types of formula feed and there are many different factors to take into account before choosing the right formula feed. * Health * Dietary needs * Age * Cost and preparation time of different formula milks. There are three different types of formula: * Cowââ¬â¢s milk-based formula * Hydrolysed protein formula * Soya-based formula Most babies can have cowââ¬â¢s milk-based formula, however there are some who have a health or dietary reason why they canââ¬â¢t. The different range of formula milks are described below. (information obtained from the baby centre website). Cowââ¬â¢s milk-based formula Most baby formula milks are based on cows milk, which is modified to resemble breastmilk as closely as possible. Manufacturers modify cows milk for babies by adjusting carbohydrate, protein, and fat levels and adding vitamins and minerals. There are also special types of formula manufactured for premature babies. The protein in milk can be broken down into curds (casein) and whey. The ratio of casein to whey can vary according to the type of baby formula milk. There are two main types: First-stage formula. These milks consist of mostly whey, with a casein:whey ratio of 40:60, which is about the same as breastmilk. They are suitable for babies from birth up to about a year, and are thought to be easier to digest. Second-stage formula. These milks consist of mostly casein, with a casein:whey ratio of 80:20. They take longer to digest and are often promoted as being for hungrier babies. Nutritionally, babies will only need first-stage formula, although we may decide to move the baby onto second-stage formula as they grow. It is important to be cautious when changing a babyââ¬â¢s milk. Switching from first to second-stage milk too early can give a baby constipation. Although many milk manufacturers market their second-stage milk as suitable from birth, itââ¬â¢s best to wait until the baby is at least four weeks old. If the baby doesnââ¬â¢t seem content with the formula we first started them on, the parents should talk to their health visitor before changing formulas. When the babyââ¬â¢s a year old, we can move them on from first or second-stage formula to cows milk. Cowââ¬â¢s milk is not recommended as a main drink for babies under the age of one because itââ¬â¢s low in iron and vitamin C. But we can use small amounts in cooking for the baby when theyââ¬â¢ve started solids, or on their breakfast cereal. Hydrolysed-protein formula This is a formula milk which is specially designed for babies with an allergy or intolerance to cows milk. If a baby has a cowââ¬â¢s milk allergy, the protein in the milk will cause an allergic reaction. And if they have a intolerance to cowââ¬â¢s milk, they will have difficulty digesting the lactose, or sugar, in the milk. Hydrolysed-protein formula milks are based on cows milk and have the same nutritional value as standard formula milk. But the protein in the milk is hydrolysed, which means it is broken down so the baby is less likely to react to it. These milks are also generally lactose-free, so babies with an intolerance to cowââ¬â¢s milk can digest them easily. If you think a baby has a cows milk allergy or intolerance, see your doctor or health visitor. Your doctor will be able to prescribe a hydrolysed-protein formula for your baby. You can buy these from your pharmacy, too. You can also buy special lactose-free formulas, which your doctor may suggest that your baby has lactose intolerance. Soya-based formula Soya-based formula is made from soya beans. It is modified with vitamins, minerals and nutrients to make it suitable for formula milk. Only give your baby soya-based formula on the advice of your doctor, health visitor or paediatrician. Even though manufacturers market their soya formulas as suitable for babies from birth, health professionals dont recommend them for babies under six months. Its not recommended that your baby has soya formula if she has a cowââ¬â¢s milk allergy. Babies who are allergic to cows milk are often allergic to soya, too. There is also no evidence that changing to a soya-based formula can help to soothe your baby if she is unsettled or colicky. Your baby may be colicky because sheââ¬â¢s intolerant to lactose, and so a lactose-free formula is best if this is the case. Ask your doctor or health visitor for advice if you think your baby has an allergy or intolerance to cowââ¬â¢s milk. There are no particular health benefits that your baby would get from soya formula compared to other formula milks. In fact, soya formula milks can actually damage your babyââ¬â¢s teeth over time, because they contain glucose syrup. If you do give your baby soya milk, youââ¬â¢ll have to take extra special care of her teeth. What kind of formula milk does an older baby need? There are cows milk formulas that are marketed for babies from six months, because they are high in iron which growing babies need. However, these milks are not nutritionally necessary. Your baby will be getting the iron and other nutrients she needs from her solid foods. Thereââ¬â¢s no need to switch to a different milk if your baby is happy with breastmilk or her usual formula. Milks marketed for older babies include: Follow-on milks These are milks with higher protein and mineral content than ordinary infant formula. They are sold as suitable for babies from six months old. Follow-on milks are advertised as more nutritious than cows milk, because they contain added iron, vitamins and minerals. However, bear in mind that cows milk is not a suitable drink for your baby until sheââ¬â¢s a year old anyway. Goodnight milks These are follow-on milks with added cereal, which are marketed at parents as helping babies to sleep better at night. However, thereââ¬â¢s no evidence that they help babies to settle at night or that they take longer to digest. Donââ¬â¢t give goodnight milk to your baby if sheââ¬â¢s less than six months old because cereal isnââ¬â¢t suitable for younger babies. Also donââ¬â¢t give this milk to your baby if she is overweight. Growing-up milks Growing-up milks are marketed at parents as being better than cows milk because they contain added iron and other vitamins and minerals. They are promoted to be used for babies from about one year old. However, growing-up milk isnââ¬â¢t needed, as once your babyââ¬â¢s a year old she can have full-fat cows milk as her main drink. Sheââ¬â¢ll also be eating a varied and balanced diet, which should provide her with all the essential vitamins and minerals, without the need for growing-up milk. These extra formula milks are not really necessary at all. Your baby can get all she needs as she grows by having her standard formula milk alongside calcium-rich and iron-rich foods. You can then move your baby onto cowââ¬â¢s milk when sheââ¬â¢s a year old. The only reason you may want to change your babyââ¬â¢s milk is if youââ¬â¢re raising her as a vegetarian. When your start her on solids from six months, you may find it difficult to find enough vegetarian foods that are rich in iron. So an iron-rich formula may be a good option.
Sunday, October 13, 2019
Question Of The American Political Culture Politics Essay
Question Of The American Political Culture Politics Essay The question on American political culture has been one of the most debated topic among scholars and policy makers in political, while there is an clear understanding on what might be the source of differences between United state and other western countries, it has been complicated to understand why Americans govern themselves the way they do. The purpose of this paper is to examine the origin of protest movement such as Tea Parties, Birthers and their involvement on domestic and foreign policies, by looking at individualism, patriotism, and political involvement. With more focus on what Richard R. Lau and Caroline Heldman called the role of self-interest and symbolic attitudes American political culture emphases on egalitarianism and individualism, there are belief that Americans specifically the elite champion the ideal of autonomy, more than in any other industrial society , for the elites in America they believe governments activities to be harmful and see individual achievement to be more American ( Wilson 1997, 483) According to Almond and Verba (1963) Political culture is defined as beliefs, the attitudes, and values which emphasize the function of a particular political system. Moreover, political culture is made up of cognitive, affective, and evaluative orientations towards the political system These include skills and knowledge about the operation of the political system, negative and positive emotional feelings towards it, and evaluative judgments about the system. Furthermore, Political culture is a unique and patterned form of political philosophy that consists of attitudes on how governmental, political, and economic life should be carried out (Almond and Verba, 1963). Political cultures create a framework for political change and are unique to nations, states, and other groups. A political culture differs from political ideology in that people can disagree on an ideology for example; what government should do, but still share a common political culture. This was demonstrated in US duri ng the health care debate when most republic disagree with Obama plan to provide health care coverage to lower income Americans, for them these are not the role of the federal government to run social services as big as that. Scholars in political science have come up with different methods that allows us to understand what type of political culture influences American politics, these include, individualism, pluralism, cooperative or competiveness, hierarchically or egalitarian, whether tradition or reason work as a justification (http://www.answers.com/topic/political-culture) Looking at individualism in America, Tocqueville describes individualism as a reflective and tranquil sentiment that disposes each citizen to cut himself off from the mass of his fellow men. (Turner, 2008) He argues that American individualists are blind to social structure; more precisely they are blind to the ways that social structure both enables and constrains personal freedom and well-being. This blindness allows individualists to deny both their indebtedness to society and their moral responsibility for structural injustice..( Brooks 2009). Tocqueville idea of individualism describes a pattern of public withdrawal, so long as government protects the property of individualists and allows them to pursue their private happiness; they will leave public affairs to other men and invest all of their energies in private projects. (Turner 2008) Moreover how individualism contributes to political culture in American politics is still a topic of Study, scholars like Fischer explains how Americas high economic inequality by Americas exceptionally is attributed to individualistic culture. One attributes the inequality and Americans passivity about it to structural or political forces. In his argument, fisher quotes Williams who suggested, The ultimate source of action, meaning, and responsibility is the individual rather than the group. We Americans hold individuals personally responsible for their crimes and do not exact revenge on their kin; we frown on nepotism; we find suicide attacks unfathomable. Such a culture describes the individual self as unique and asocial. (Fisher 2008, 364) For evidence that individualism plays a role in American politics, Williamss points to the emphasis in American law on individual rights Tocquevilles (1969: 506-508) argument that equality eventually generates an egoism such that Americans look after their own needs, they owe no man anything and hardly expect anything from anybodyà ¢Ã¢â ¬Ã ¦ Americans are likelier to attribute the outcome-say, a traffic accident-to individual will or traits, while Indians and Saudi Arabians more often attribute them to social demands. (Fischer 365). However there are disagreement among scholars how much individualistic are American compare to other western democratic countries, Fisher pointed to different survey demonstrating that American are not as much individualist as are Europeans, for him most American believe in church and group participation, as he pointed out And Americans were least likely to defend the individual against national interests; for example, they were among the lowest in endorsing the idea that the individuals should refuse to support their countries when the nation was in the wrong and to say they would be willing to leave the country for better conditions. With the above arguments one will wonder what exactly constitute American political culture. For Fischer what distinguishes American culture is not individualism but voluntarism. In contrast to societies based on corporate communities into which individuals are born and to which they are organically bound, American society defines groups-with the great exception of racial groups( Fischer 2008, 368) Moreover, Scholars have argued on how much power patriotism has in American political culture, and what role does it have in forming protests movements in America. Patriotism is known to be another tool used by scholars to understand and explain American political culture and the formation of different movements, according to Huddy and Khatib Patriotism items are commonly tinged with political ideology in the United States, resulting in greater apparent patriotism among political conservatives than liberals (Ruddy and Khatid 2007, 63). According to oxford dictionary, Patriotism is defined as the quality of being patriotic; vigorous support for ones country. Huddy and Khatid categorized four different type (scales) of patriotism, including, symbolic, national pride, uncritical, and constructive (Huddy and Khatid, 2007) Constructive patriotism is a complex form of patriotism, as a mixing of love of country with political efforts directed at a change in the status quo. In it addition th ere is another form of patriotism as stated by Huddy and Khatid as blind patriotism and it is known to contain the following reverse-worded item: For the most part, people who protest and demonstrate against U.S. policy are good, upstanding, intelligent people. (Huddy and Khatid 2007, 65) This seems theoretically similar to the following item from the constructive patriotism which believes that: If you love America, you should notice its problems and work to correct them. (Schatz, Staub, and Lavine 1999).as cited in Huddy and Khatid 2007, 65) National identity is extremely endorsed in the United States which might include the first three categories of patriotism; however, an expected positive link between national identity and political involvement stands in marked contrast to the predicted effects of other forms of patriotism. A strong national identity is expected to increase political involvement. Turner and colleagues self categorization theory, an offshoot of social identity theory, predicts that individuals with a strong group identity are most likely to conform to group norms (Turner et al. 1987; Terry, Hogg, and White 1999) as cited in (Ruddy and Khatid 2007, 65). Acts of civic participation are viewed by political theorists as central to national identity in democratic countries and constitute what is seen as normative behavior for a good citizen (Conover, Searing, and Crewe 2004) as cited in (Ruddy and Khatid 2007, 65) however this has been challenged in past 8 years on civic participation and political involvem ent as the number of voters in US history has been decreasing up to less than 60 percent of population are the one voting , some link low turnout to complex voting process/culture ( cultural or structural). (Brooks 2009) This question on political participation has been the center of discussion among scholars who study American political culture, as they look to how much power individual hold and how far away people believe the Government should be out of their private property. However, one should not limit his search of American political culture only patriotism and individual to explain how American governs themselves. For a fool list that we should look at include what Lipset argue to be American Exceptionalism values that consist of ; Liberty, Laisez-Faire, Equalitanasism , Populism, Idealism, Openness, and religiosity. (Brooks, 2009) To understand the origin of protest movement, we will need to go back to Huddy definition of Constructive patriotism as a complex, and mixing a love of country with political efforts directed at a change in the status quo. For Huddy and Khatid American patriots believe that a good citizen who love America should notice its problems and work to correct them, with that spirit, protest movements like the Tea parties, Birthers and even right-wing talk radio are formed, with the believe that they should help prevent problems in their country. Among the mentioned protest movements, the Tea Parties are known to be the most recent vocal group in America, and scholars have been studying these movements agendas from the time they gained the media attention. The Tea Party movement is known to have emerged in 2009 through a series of locally and nationally coordinated protests, and is more a conservative political movement,. In 2009 this movement had gatherings and meeting to demonstrate their o bjection to several Federal laws proposed by Obama administration, including the Emergency Economic Stabilization Act of 2008 the American Recovery and Reinvestment Act of 2009, Federal Reserve Transparency Act and health care reform bills (Seleny 2009). These and other protest movements demonstrate how patriotism and individualism strengthen what is known today as American political culture, in otherworld, these two complex concepts explains how American govern themselves, with higher believe in individual freedom of choice, less government interferences in people lives, and more the idea of being an American, the notion of patriotism and how it is related to the formation of protest movement as well as how is it linked to the idea of individualism. In short, to understand what is wrong with the way Americans govern themselves, and what is right about it? One should look at their political culture and believes, scholars have pointed to two main concept that were discussed above, they include, individualism and patriotism, these two concepts are known to be the main engine of what is known as American politics, they have been the main root of protest movement like the Tea Party and others movements that base their idea on freedom and equality of opportunity but much more in individualism and the sense of being an American which involves patriotism and love of their country.
Saturday, October 12, 2019
Essay on Taming of the Shrew: Stand by Your Man -- Taming Shrew Essays
The Taming of the Shrew:à Stand by Your Man - The Psychotherapist Perspectiveà à à à à à à à à The universal nature of the themes in The Taming of the Shrew, à beg analysis and social critique. This comedic farce, by William Shakespeare, creates an elegant depiction of a modern life and romantic love with all of its masks and pretensions. It is easy to assume the perspective of a psychotherapist while witnessing the drama of Katherine and Petruchioââ¬â¢s love affair unfolding. Concepts like ââ¬Å"emotional repressionâ⬠and ââ¬Å"therapeutic catharsisâ⬠neatly fit the ââ¬Å"tamingâ⬠scenario. In fact, this play offers many new insights into what it takes to create an enduring, viable marriageââ¬âif one understands it from a very contemporary, psychotherapeutic or even spiritual point of view. If one is distracted by the recent feminist perspectives of this play, it is easy to miss the integrity and practicality expressed in Katherineââ¬â¢s final exhortation to women on how to love their men: à Thy husband is thy lord, thy life, thy keeper, Thy head, thy sovereign, one that cares for thee, And for the maintenance commits his body To painful labour both by sea and land, â⬠¦Ã¢â¬ ¦.I am ashamed that women are so simple To offer war where they should kneel for peaceâ⬠¦.. (Act V, ii, (150-153), (165-166) à Viewed through the lens of a one kind of feminist critic, we could ask: wasnââ¬â¢t Kateââ¬â¢s ââ¬Å"tamingâ⬠the result of a brutal conditioning by a manipulative Petruchio who was a kind of shrewd ââ¬Å"behavioral psychologist?â⬠For at the close of the play, in this passage especially, Kate appears to have metamorphosed from an intractable, ill-tempered woman into a subdued, submissive ââ¬Å"Stepford Wifeâ⬠for Petruchio. And wasnââ¬â¢t her final speech a humilia... ...nt to creating a deeper, more harmonious relationship involved a mature acceptance of the dark, shadow sides of Kate. The ââ¬Å"baggageâ⬠of her wounded past with all of its unmet needs had been waiting to be loved and transformed. In the radical courtship of Kate and Petruchio, all ââ¬Å"buttonsâ⬠got pressed, character armor was released, and in the mirror of lover and beloved, childhood vulnerabilities eventually diminished freeing up enormous reserves of creative energy.à It is in this light that I appreciate Kateââ¬â¢s final impassioned speech to the other women who, in their selfish defiance of their new husbands had acted immaturely. For here, Shakespeare ironically exposes Bianca as the real, untamed shrew and reveals a very sagacious and loving Katherine. Works Cited: Shakespeare, William. The Taming of the Shrew. Ed. David Bevington. New York: Longman, 1997
Friday, October 11, 2019
Coffee Benefits Essay
Specific Purpose: To inform my audience about the emotional and physical benefits of coffee Central Idea: Coffee provides numerous health benefits which are contain antioxidant, improve cognitive performance and physical performance. Introduction I.I believe there is something special in our little everyday moments, from that first wonderful sip of hot, milky coffee in the morning to those ten stolen minutes of me. II.Not only does coffee taste good, it can stimulate my mind to refresh and relax. III.Coffee stimulates your senses from its caffeine content which stimulates metabolism and supports mental alertness and concentration. IV.Coffee may hydrate you beside its advantage of relaxing. a.Because water is the main ingredient in a cup of coffee, it helps you work towards your daily water needs and is practically free of calories. V.Coffee refreshes you with its wealth of polyphenols. a.Polyphenols are nutrients that help maintain your body in good health over time. VI.Today I would share with you guys about the three major health benefits of coffee ââ¬â coffee and antioxidants, coffee and your mind and coffee and your body. (Transition: Letââ¬â¢s start with the coffee and antioxidants) Body I.Research has shown that a cup of coffee naturally comes with antioxidants, which are really good for you. a.Your body is constantly exposed to particles called ââ¬â free radicals. i.Particles which are caused by factors like exposure to ultraviolet radiation from the sun, environmental pollution, stress and smoking. b.Scientific studies suggest that free radicals can damage your body tissues, affect the ageing process and cause diseases like cataracts, cancer and cardiovascular diseases. c.Antioxidants in your body neutralize the free radicals and protect your body cells from damage. (Transition: Now that you know something about the coffee and antioxidants, letââ¬â¢s look at coffee and your mind) II.Many studies suggest that coffee drinking can improve overall ââ¬Ëcognitive performanceââ¬â¢. a.The cognitive performance which includes important mental skills like perception, attention, memory, problem solving and reaction or response abilities. b.There is some evidence to suggest potential benefits of coffee and caffeine in situations which require increased alertness e.g. night shifts and jet lag. (Transition: Now I have brief about the coffee and your mind. So letââ¬â¢s move to the last) III.Upping Your Physical Performance and weight management aid a.Increasing your capability and capacity for exercise. b.This means that you can keep going at a more intense pace, for a longer period and gain more from your workouts! c.Did you know that a plain black cup of coffee contains a very small amount of calories? i.In fact, coffee may be able to help maintain a healthy weight! Conclusion I.As we have seen, Coffee provides numerous health benefits which are contains antioxidants, improve cognitive performance and physical performance. II.Thus, the next time you drink a cup of coffee, just think of all its benefits! ââ¬â ââ¬Å"go beyond tasteâ⬠. Bibliography Books S Rautiainen et al, 2012. Total antioxidant Capacity from Diet and Risk of Myocardial Infarction: A prospective Cohort of Women. The American Journal of Medicine, Volume 125. R Sinha et al, 2012. Caffeinated and decaffeinated and tea intakes and risk of colorectal cancer in a large prospective study. American Journal of Clinical Nutrition, Volume 96; 374-381. Article Sin CWM, et al (2008). Systematic review on the effectiveness of caffeine abstinence on the quality of sleep. J Clin Nursing; 18:13-21. Internet sources Coffee & Health: From The Institute For Scientific Information On Coffee. ââ¬Å"Cancerâ⬠. (27 Jan, 2012) Retrieved 26 Sept 2012 from http://www.coffeeandhealth.org/topics/cancer/ Coffee & Health: From The Institute For Scientific Information On Coffee. ââ¬Å"Mental Performanceâ⬠. (2 Feb, 2012) retrieved 26 Sept 2012 from http://www.coffeeandhealth.org/topics/mental-performance/.
Thursday, October 10, 2019
Etiology and Pathogenesis of Alzheimerââ¬â¢s disease
Alzheimerââ¬â¢s disease is a degenerative brain disorder and is the main cause of dementia. The major clinical manifestations of Alzheimerââ¬â¢s disease include gradual loss of memory and language. Other major symptoms and signs of this disease are psychiatric and behavioral abnormalities and disabilities in the routine or daily living activities.The etiology and Pathogenesis of Alzheimerââ¬â¢s disease include various factors. Biological Factors Even though the etiology and pathogenesis of Alzheimerââ¬â¢s disease is still not known fully, it is discovered to involve a complex mix of genetic as well as environmental factors.Among genetic and environmental factors, genetic factor is proved to be playing a major role in the etiology and pathogenesis of Alzheimerââ¬â¢s disease. The most important cause of Alzheimerââ¬â¢s disease is found to be the mutations in chromosomes 21, 14 and 1 which are spread or moved in a typical autosomal dominant mode. These mutations make p rotein overproduction in neuritic plaques, B amyloid. Even though the beginning of the familial form is often early, the nature and route of the disorder is found to be influenced by few environmental factors.But it is found out that familial form is responsible for only a negligible proportion of cases of Alzheimerââ¬â¢s disease (even less than five percent) (Cummings et al. , 1998b). Nearly fifty percent of the people who are having ancestors with Alzheimerââ¬â¢s disease are found to be getting this disorder once they enter their 80s and 90s (Mohs et al. , 1987). Few genotypes (the model of genetic inheritance in a personââ¬â¢s body) are found to give risk for the late-onset Alzheimerââ¬â¢s disease (which is very common).Taking an example, the ApoE-e4 allele on chromosome 19, that encourages the deposition of B amyloid, is proved to increase the risk for developing Alzheimerââ¬â¢s disease (Corder et al. , 1993). All other genes that are doubted to be responsible for the development of Alzheimerââ¬â¢s disorder are being studied (Kang et al. , 1997). Apart from this particular reason, there are various other biological risk factors that contribute to the development of Alzheimerââ¬â¢s disorder Cummings et al. , 1998b).Cognitive capabilities and aging are among the biological factors. The manner in which these traits contribute to the increased risk is not still proved, however, it is proved in the medical field that the numerous neurobiologic changes that are associated with the normal aging of the brain of a person also contribute to the major risk factors of Alzheimerââ¬â¢s disorder. As people get into the later part of their life, this age related neurobiologic changes make then more liable for Alzheimerââ¬â¢s disorder.These neurobiologic changes include neuron and synaptic loss, lessened dendritic span, reduced size and density of neurons present in the nucleus basalis of Meynert, and poor cortical acetylcholine levels (Cummings et al. , 1998b). Based on these factors and the frequency and occurrence curve of this disorder, medical researchers have come to the conclusion that people are very much liable to Alzheimerââ¬â¢s disorder if their life span is extended (beyond the normal age) beyond eighties and nineties (up to 100 and 150). People above 90 years are highly susceptible to Alzheimerââ¬â¢s disorder.Among this, those who have Alzheimerââ¬â¢s history in their family are 90 % prone to this disorder. Protective Factors Apart from the biological factors there are various other factors that influence the onset of Alzheimerââ¬â¢s disease. Various protective factors that are powerful enough to delay the commencement of Alzheimerââ¬â¢s disorder have been discovered. For example, Genetic endowment with the ApoE-e2 allele is capable of reducing the risk of Alzheimerââ¬â¢s disorder (Duara et al. , 1996). The exact role and the original mechanism of action of ApoE-e2 allele, however, are not com pletely understood.Deep thinking, higher educational level and wisdom are also proved to be associated with the delay in the commencement of Alzheimerââ¬â¢s disease (Stern et al. , 1994; Callahan et al. , 1996a). Few medication and drugs are also found to be good for delaying the onset of Alzheimerââ¬â¢s disorder. For example, medications, like nonsteroidal anti-inflammatory drugs (Andersen et al. , 1995; McGeer et al. , 1996) and estrogen replacement therapy (Paganini-Hill & Henderson, 1994), are found to be effectively delaying the commencement of Alzheimerââ¬â¢s disease.Apart from this, Vitamin E and the drug selegiline (otherwise known as deprenyl) are also proved to holdup the crucial stages of the course of Alzheimerââ¬â¢s disorder, for example the nursing home placement, serious functional impairments or disorders as the disease progresses and lead to death (Sano et al. , 1997). According to Behl et al. , 1995, the course of action of the protective agents in a pe rson is not completely known; however, these agents are proved to check the toxic action of oxidative stress (through antioxidants like vitamin E or estrogen).These agents also counter the work of inflammatory mediators related to plaque formation (through anti-inflammatories) (Mark et al. , 1995). Histopathology The pathophysiology of Alzheimerââ¬â¢s disorder is also proved to be associated with the histopathologic variations in Alzheimerââ¬â¢s disease. These histopathologic changes include neuritic plaques, synaptic loss, neurofibrillary tangles, hippocampal granulovacuolar degeneration, and B amyloid angiopathy (Cummings et al. , 1998b).Majority of the genetic and epigenetic risk factors are some or the other way linked with B amyloid. This has helped the medical researchers to conclude that the formation of B amyloid peptide is the most crucial pathological event or step in the course of spread of Alzheimerââ¬â¢s disorder in a person (Cummings et al. , 1998b; Hardy & Hi ggins, 1992). A successful intervention in the course of Alzheimerââ¬â¢s disease spreading may include get in the way of any of the numerous steps included in the slow progress of Alzheimerââ¬â¢s disease pathogenetic cascade.Few of the intervention modes include intervening to reduce B amyloid generation from the amyloid precursor protein, intervening to decrease the B amyloid aggregation as well as the generation of beta-pleated sheets, and intervening in the amyloid-related neurotoxicity process. Successful interference in these steps may help interrupt Alzheimerââ¬â¢s spread. Apart from this, few therapies can successfully block the neuronal cell death and can slow down the inflammatory response occurring in neurotic plaques.Therapies are also proved to inhibit the work of certain growth factors and hormones and also delay the replenishment of deficient neurotransmitters. As the complete obstruction of the processes within the B amyloid cascade may affect the usual cereb ral metabolic processes, successful interruptions may bring about partial interruptions (Cummings & Jeste, 1999). Studies about the molecular neuroscience of Alzheimerââ¬â¢s disease have researched several crucial aspects of pathophysiology and etiology.Researchers are working to thoroughly understand the entire processes and reasons behind cell death, neuronal degeneration and subsequent memory degradation. Medical world is expecting new revelations from these studies and are on the way to lay a new therapeutic path for eliminating Alzheimerââ¬â¢s disease from the world (National Institute on Aging, 1996). Medical world is expecting researchers to come out with the real physiological factor that makes a human body prone to Alzheimerââ¬â¢s syndrome. Role of AcetylcholineAcetylcholine is also suspected to play a part in encouraging Alzheimerââ¬â¢s disorder in a person. Loss or decrease of the neurotransmitter acetylcholine also is proved to be responsible for the pathogen esis of Alzheimerââ¬â¢s disease. Postmortem researches in Alzheimerââ¬â¢s disease infected people have explained the loss or reduction of basal forebrain and cortical cholinergic neurons and the exhaustion of choline acetyltransferase, which is the enzyme that carry out acetylcholine synthesis (Mesulam, 1996). Several post mortem reports have come out with the same reason.The scale of this central cholinergic deficit is associated with the severity of dementia that results in the ââ¬Ëcholinergicââ¬â¢ hypotheses of cognitive deficits in Alzheimerââ¬â¢s disorder (Mesulam, 1996). This hypothesis and the clinical researches have proved that Acetylcholine play a major role in Alzheimerââ¬â¢s disease. However, acetylcholine is not the only neurotransmitter that encourages the growth of Alzheimerââ¬â¢s disorder in a patient. Researchers are still working to find out the role of other substances in the pathogenesis of the Alzheimerââ¬â¢s disorder.The researches relat ed to the pharmacological treatment of this syndrome are coming out with new results. It has been proved that a delay or break in the spread of Alzheimerââ¬â¢s disease is proved to reduce its prevalence in the body of a patient even by half (Breitner, 1991). In order to inhibit the spread of this syndrome in a person it is necessary to delay the onset of the disease to such an extent where mortality from other resources surpasses the frequency of the steps of the disease.So the most crucial step in inhibiting Alzheimerââ¬â¢s disease is the identification of the factors that stop the onset or slow down the progress of the disease in the patient. Working on these agents would help reduce the spread of the disease. References Aarts, P. , & Op den Velde W. (1996). Prior traumatization and the process of aging. In B. A. van der Kolk, A. C. McFarlane, & L. Weisath (Eds. ), Traumatic stress: The effects of overwhelming experience on mind, body and society (pp. 359ââ¬â377). New Yo rk: Guilford Press. Abrams, R. C. , Rosendahl, E. , Card, C. , & Alexopoulos, G. S. (1994).Personality disorder correlates of late and early onset depression. Journal of the American Geriatrics Society, 42, 727ââ¬â731. Adams, W. L. , Garry, P. J. , Rhyne, R. , Hunt, W. C. , & Goodwin, J. S. (1990). Alcohol intake in the healthy elderly. Changes with age in a cross-sectional and longitudinal study. Journal of the American Geriatrics Society, 38, 211ââ¬â216. Aevarsson, O. , & Skoog, I. (1996). A population-based study on the incidence of dementia disorders between 85 and 88 years of age. Journal of the American Geriatrics Society, 44, 1455ââ¬â1460. Aiken, L. (1990). Chronic mental illness. In B. S. Fogel, A. Furino, & G.Gottlieb (Eds. ), Mental health policy for older Americans: Protecting minds at risk. Washington, DC: American Psychiatric Press. Albert, M. S. , Jones, K. , Savage, C. R. , Berkman, L. , Seeman, T. , Blazer, D. , & Rowe, J. W. (1995). Predictors of cogniti ve change in older persons: MacArthur studies of successful aging. Psychology and Aging, 10, 578ââ¬â589. Alexopoulos, G. S. (1997, November 6). Epidemiology, nosology and treatment of geriatric depression. Paper presented at Exploring Opportunities to Advance Mental Health Care for an Aging Population, meeting sponsored by the John A. Hartford Foundation, Rockville, MD.
Starbuck’s: Delivering Customer Service
Starbucks: Delivering Customer Service Christine Day, Starbuckââ¬â¢s senior vice president of administration in North America, believes recent market research indicates customers are not satisfied with Starbuckââ¬â¢s customer service. To address this concern, she is proposing to invest $40 million to increase store hours in order to reduce customer wait times. Day believes there is a direct correlation between customer wait times and their overall satisfaction with service. Starbucks has implemented a ââ¬Å"secret shopperâ⬠program in order to spot check stores on their service, cleanliness, product quality and average wait times.The goal for average customer wait time is 3 minutes. The secret shopper scores for the past 5 quarters have shown a negative correlation between customer service and average wait time (exhibit 1). As average customer wait time decreases, the average secret shopper scores increase. In response, Day feels that adding an additional 20 hours to each of the 4500 North American Stores will reduce the customerââ¬â¢s wait time and in turn, increase their overall customer satisfaction scores. Dayââ¬â¢s plan will have the largest impact on the following three major stakeholders: shareholders, employees/partners and customers.Starbuckââ¬â¢s shareholders are primarily interested in the planââ¬â¢s impact on retained earnings and long term growth. Investing an additional $40 million dollars will reduce the shareholderââ¬â¢s short term earnings. Investors who were looking forward to larger dividend checks would be disappointed, but investors who were interested in the long term growth of their portfolio may support Dayââ¬â¢s plan if she could show how this investment would positively impact customerââ¬â¢s loyalty and improve the companyââ¬â¢s future profit potential. Assuming the partners were looking for additional hours, this plan would be viewed favorably by store baristas and employees.During peak periods of b usiness, they would have another employee to help share the workload and it could reduce the stress of ââ¬Å"rush hourâ⬠on each individual partner. The popularity of this plan would be different depending on each storeââ¬â¢s location, layout and manning. Stores with insufficient work flows could create or enlarge bottlenecks and the additional manpower may actually increase wait times. On the other hand, stores who have a hard time recruiting employees may not want to burden their existing overworked employees with an additional increase in hours.In some stores, partners would prefer to reduce the quantity and complexity of available drinks instead of increasing available hours. Starbucks is known for innovative and seasonal drinks and over the years, the knowledge requirement for baristas has dramatically increased. Baristas are constantly challenged to learn more complex drinks and still perform to the 3 minute metric. Reducing the number of drinks offered may be an appr opriate solution if there is evidence to show that there are a number of very unpopular drinks, but we do not have any current sales or market data to support those decisions.Additional research needs to be performed in order to assess this option. Customers visit Starbucks for a variety of reasons and those who value short wait times may approve of the new manning plan if indeed it results in shorter wait times. Customers who visit Starbucks for the quality of their coffee or the inviting environment may not increase the frequency of their visits because of a shorter wait time. Customers who value the intimacy and personal attention their local Starbucks provides may actually disapprove of the plan to increase manning if it interrupts their established relationship with their trusty barista.In 2002, Starbucks surveyed their customers to find out what store qualities they attribute to customer satisfaction. The top 6 of these responses referred to the actual store, relationship with the staff and product quality. Wait time was ranked 7th on the list (exhibit 2). This survey suggests that investing $40 million to decrease the wait time might not have the desired impact on customer satisfaction. There is an inherent issue with self reported customer surveys that may have influenced these findings. Customers may not realize what influences their opinions and what constitutes good customer service.What they think they value and what they actually use to make purchasing decisions may be different. In addition, each customer will have their own bias when rating customer service because they all value different experiences and relationships with their local Starbucks. If you look at the secret shopper findings and the self reported customer service surveys jointly, you could devise that customers may give higher cleanliness, service and product quality scores if their wait time is shorter regardless of the storeââ¬â¢s actual level of cleanliness, service and produ ct quality.The shorter wait time may have influenced the customerââ¬â¢s opinion on the other store attributes. Another measure of customer service besides secret shoppers and customer surveys is the number of repeat customers. Customers vote with their feet and if they continue to patron Starbuckââ¬â¢s stores, they are voting that they are satisfied customers. In exhibit 8 of the Starbucks case, it is reported that in 2002, 73% of Starbucks customers have been visiting Starbucks for over a year. Only 23% of customers were new that year. This report suggests Starbucks has done a good job at reducing customer churn and they are already satisfying their customers.A common error when trying to measure and improve customer satisfaction is using quantitative metrics. Customer service is a qualitative experience that is very subjective for each individual. Trying to influence someoneââ¬â¢s overall customer satisfaction by improving only one quantitative metric may not give you the intended impact to your overall customer satisfaction scores. Day needs to understand the limitations with her single metric plan and realize that she needs to address all aspects of customer service for an overall improvement.In order to understand the variety and complexity of the issues impacting their 4500 stores, Day needs to engage the store managers to fully understand what each store needs to improve customer service. Increasing available hours may help some stores while others may need new equipment or a re-designed work space. Dayââ¬â¢s plan to uniformly increase labor hours over-simplifies the potential needs of the individual stores. Empowering the managers would encourage individual ownership and commitment. The managerââ¬â¢s guidance would ensure Day allocated the $40 million most ffectively to not only reduce customer wait times but to increase overall customer service. During this process, Day may find out managers are frustrated with Starbuckââ¬â¢s aggress ive growth. In metropolitan areas, growth has led to cannibalization of customers which undermines the managerââ¬â¢s efforts to increase customer loyalty. Quality customer service is an individual experience that requires a personal interaction between customers and employees. It is more difficult to create a lasting experience and relationship if customers are constantly changing from store to store.Managerââ¬â¢s will lose their motivation to encourage these relationships if they feel another Starbucks will open nearby and steal away the loyal customer base they have worked to create. Starbuckââ¬â¢s value proposition to their customers concentrate on three goals: quality coffee, excellent service and an inviting atmosphere. These three attributes are focused on building customer loyalty. Starbuckââ¬â¢s loyal customers (8 or more visits a month) account for 62% of their revenue. This group of established customers value high quality coffee and Starbuckââ¬â¢s meets thi s need through mass customization.Starbucks gives customers the ability to specialize their drinks to fit their individual tastes in order to create customer loyalty. This evidence suggests that Starbucks needs to continue to allow for individual drink customization in order to increase customer loyalty even though it may increase their average wait time above their three minute goal. Loyal customers are their largest source of revenue and if their perceived value is centered on quality coffee, they would not want to risk losing this source of steady revenue.Starbucks lacks a strategic marketing group who is responsible for managing their overall marketing plans, promotions and research. Marketing was internally viewed as the responsibility of all senior executives, but as their corporation continued to rapidly grow, the executives could not keep up with their primary responsibilities and effectively contribute to the strategic marketing plan. As a result, Day states ââ¬Å"Weââ¬â ¢ve been operating with the assumption that we do customer service well. But the reality is weââ¬â¢ve started to lose sight of the consumer. In addition, Day admits ââ¬Å"we tend to be great at measuring things, at collecting market data, but we are not very disciplined when it comes to using this data to drive decision making. â⬠Both of these statements validate the concern that Starbucks needs to hire a senior executive who will make marketing their chief responsibility. They need a central department who will integrate their market research with top level decision making, and manage promotions, such as frequency programs, so they are using their resources in the most effective way to increase customer loyalty.The marketing department should not only collect data from their own customers, but they should consider hiring a marketing firm in order to ensure they are collecting unbiased information about themselves and their competitors. Using research on their competitors will allow Starbucks to have a more comprehensive view on their industry and growing trends or concerns from their available customer base. This will also give them the information they need in order to attract new customers from other competitors.Dayââ¬â¢s preliminary research shows more resources need to be given to accurately capture their customerââ¬â¢s interests to ensure they are meeting high standards of customer service to create and keep loyal customers. Her original plan to invest $40 million to increase labor hours is not the most effective use of resources because each individual storeââ¬â¢s needs are unknown. Quality customer service cannot be achieved by concentrating on a single quantitative metric. Customer service is a personal, qualitative experience only the individual store managers can gauge and deliver.Day needs to work with store managers and a marketing department to formulate a more comprehensive plan to measure and improve customer service. EXHIBI T 1 The AVG line is the average of the secret shopper scores for Service, Cleanliness and Product Quality. The compiled average increases as the average customer wait time decreases. EXHIBIT 2 These are the top 7 attributes grouped by category reported in Starbuckââ¬â¢s 2002 self-reported customer survey. Store Attributes, relationship with staff, product quality were all reported to have a higher impact on customer satisfaction than wait time.
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