Ethical leadership that relates to the book three cup of tea Essay

Ethical lead that relates to the book three cup of tea - Essay ExampleTens of thousands of children in Afghanistan and Pakistan have seen the light of the solar day through his organization. Educate a child, you have meliorate a generation. Educate a generation, you have educated a country Revolution through the pen is mightier than the revolution through the gun. The former w brainsick move up to stay and enrich the society. The later, in the ultimate analysis, will destroy the hu domainity. Many failed revolutions, bear testimony to this fact and pages of history are daubed in the resultant bloodshed on account of such insensible revolutions. Mortenson was by to conquer K2, the worlds cooperate tallest mountain. That failed, was a personal disaster, he was rather terminally ill caught in a really difficult situation. Residents of a small village in Pakistan, Korphe came to his rescue. He recouped his health with a determination that resulted in a precedent-shattering sile nt revolution in the field of education. One mans determination and will had fructified to benefit countless impoverished children. A small project has since vainglorious up into the Central Asia Institute that has demanded attention of all right thinking people across the world. He achieved the impossible in an impossible region. Mortenson recalls his initial experience in the land of so-called Muslim extremists. Mortenson was uncertain how the mullah felt active having an infidel in the village, an infidel who proposed to educate Korphes girls. Sher Takhi smiled at Mortenson and led him to a prayer mat.(p.142) Humanity had triumphed over religious bigotry I entirely agree with the viewpoint of Mortenson that the States or any other country for that matter must fight Islamic fundamentalism, through cooperative efforts by fighting poverty and providing access to education, including educating the girl-child. This is the only option to permanent peace and to terminate mindless mi litary adventures. I find a very interesting observation about the mind-set and kitchen-gardening of the people in the backward mountain area where Mortenson was operating. If you want to thrive in Baltistan, you must admiration our ways, Haji Ali said, blowing on his bowl. The first time you share tea with a Balti, you are a stranger. The second time, you are an honored guest. The third time you become family.(p.150) This is the significance of Three Cups, which is a great heathenish decoction, that blends people of diverse origin, diverse beliefs and diverse religious affiliations, together. Philosophy and spirituality are not about the scriptures and lengthy text books alone. That which is not practical cannot be spiritual either Every spiritual whim must stand the test of practicability. To speak about close ideas is good but to go good work is the best option for humanity. Oratory is not experiencing. Mortenson has shown to the world that a school in a village is more bene ficial to the humankind than, lengthy research papers on education picture in the air-conditioned auditoriums. The best revolution is silent. The first chapter of the book titled Failure is the foundation orchestra pit for the educational empire that Mortenson was to build during the next twelve years, in the region that perhaps gave him his second life. He was spearheading his campaign of education in a region where the literacy rate was 3%. Children wrote on dirt with sticks. The very interesting part of the book is, according to me is the transformation of Mortenson to a

Final work Essay Example | Topics and Well Written Essays - 1000 words

Final work - testify ExampleWe detail phonemic inventories, phonotactics, Inflectional morphology and simple sentences in the language studied. We also demonstrate about pragmatics of wordplay and question formation strategies.The language chosen here is called Pitjantjatjara. It is from central Australia and it is a phrasal idiom of the Western Desert Language (Andrew).this is because of its interestingness and its similarity to my language Sei. My consonant inventory consist bilabial, labiodental, alveolar, retroflex, palatal, velar, uvular, and glottal.thither is Glottal, Uvular and Labiodental in my language which are not there in Pitjantjatjara. However both Pitjantjatjara and Sei do absorb Plosives, Nasals and Bilabials. It has 20 constants, 20 vowels from bearing to back and from close to open.In sei, onsets are required and mixed onset are allowed. For instance, the word y, which means water in English can be CCV and CC is the onset is the nucleus. In this case complex onsets are allowed in sei.Polar questions are the questions want more complex answers other than yes or no. Content questions are the questions that use what to ask the question (Bischoff and Fountain). In my language, polar questions are similar to those in English. However, content questions in my language we put what in front of the sentence instead of the beginning. For exampleIn this paper my goal was to understand linguistics and I have focused on the key aspects of linguistics. I have focused on the sound system, morphology and sentence structure and question formation and pragmatics. From these chapters I feel I know linguistics and I realize that each language is dynamic and

Children Essay Example | Topics and Well Written Essays - 1500 words

Children - Essay ExampleThe question now arises that what leads the small fryren to divert from the companys well treaded path? Is it because of the dramatically changing introduction? Or is because of the remedy media showing what constantly it wants?Children have impressionable minds. From an early age they observe and remember what goes on around them. Sounds and pictures are the twain main senses that mould the character of the electric razor from an early stage. Of course the parents and the environment also mould the childs character, but pictures in television and music are the main contributors to the development of a child in these modern times. 3The LanguageThe language used for most children targeted channels is acquiring more(prenominal) and more open. The cartoons like Johnny Bravo among others create that urge among children to attempt or copy the same styles regardless to which society they belong to. Kids drama series show either love or violence which the ch ildren are apt to imitate in ane form or the other. 2The obligate girlish thongs that appeared in the guardian on Monday March 31st 2003 is also highlighting the points mentioned above. The language in the article is very strict and has a tone of anger complaining about the plight of children as a result of unchecked companies that propagate sex appeal in their products. The article does not blame the children for draining garments that increase their sex appeal since children are immature and do not understand what they are getting involved in. 1The MediaThe ideas about a certain thing are bred in to children from a variety of sources such(prenominal) as TV and movies. Children at their young ages watch and hear the pictures and sounds of the glamorous world which attracts them to follow the lead. This is the legerdemain of the media. Showing explicit or obscene images on TV loosens the devil out of a childs nucleus and makes the child act in certain manners unacceptable to t he society. 4Music and TV artists like Britney Spears seem in music videos wearing minimum clothing allowed on TV only appeals to the audience. The viewers world over go wild as the men drool over the sex-appeal involved while the women ordinate Britney Spears in order to get the same attention from the men. The children watching the video think dressing that delegacy would get them rich and famous and get the desired attention. However these dreams are not always hand slightly in the real life. The increasing rape cases, sexual harassment and child pornography are some of the results of this trend towards wearing minimum clothes. 1The role of the media in reaching to this trend is almost 100%. The cultures of one side of the world are shown on the other side, meaning that cultural clashes are bound to occur. Media is free to show whatever they want or tell whatever they want to and when ever there is a ban them, the media come up in arms cursing the government for not giving th em media-freedom. beingness the leaders of tomorrow, children getting involved in devilish acts can mark our world heading for chaos. saneness must prevail within media channels to encourage dignity and self respect in children instead than propagating dangerous deeds against the boundaries of the society. 4 The media must aim to show images, documentaries or videos that give a meaning or a moral that the children can learn. Through articles like these, the parents of the children can be given a head up warning that their children involved in

If accepted to nursing school, what unique perspectives or talents do Essay

If accepted to nurse school, what unique perspectives or givings do you bring to the profession of nursing - Essay ExampleEach person deals with the death of a loved one in a different way. I feel that from this experience I can better relate to spate who urinate experienced a similar loss, and attempt to ease the anxiety of those anticipating loss. I try to look at this life altering experience in a positive light and use my knowledge in my future quest to be stick to a nurse.I believe that it is my relationship with God that helps me to appreciate relationships with others argon key to all that happens to us in life. Throughout all of my life events, I discombobulate come to understand that service is truly the giving of self for the welfare of others and that not alwaysyone can do just that. The principles I have gained through being an Aerospace Medical Technician in the United States Air Force have inspired me to do my best for the sake of other individuals both on and off duty. Volunteering with other people has given me an ambition that has ignited me to try my hardest at everything I do. Participating in such a dynamic organization has aided me to develop composure, character, and talent. My faith proved a strong component of my craving to serve during voluntary tours in Turkey supporting Operation Iraqi and Enduring Freedom, Guam supporting a Security Theatre Package, and a Humanitarian Call to Service in aftermath of Hurricane Katrina.To be a great nurse, you have to care about others to the extent of going beyond anything a textbook could ever teach you. With every patient, a nurse is given the opportunity, responsibility and privilege of making a discrimination in a life to protect and preserve it. One major skill that I am very proud of is my ability to prioritize and stay calm in a stressful situation. The talent I realized is very important while I was serving in the community of mouth St. Louis, Mississippi at a field hospital after Kat rina hit. Our Emergency Medical Expeditionary

Heart Sutra Term Paper Example | Topics and Well Written Essays - 500 words

Heart Sutra - full term Paper ExampleThus, all things are empty. It states that nothing is born and nothing dies nothing is pure or stained, and nothing either increases or decreases. Hence, none of the five aspects actually exists in emptiness. This is essentially the same as the current teaching of science that nothing is created or destroyed rather, it merely changes form, which is a result of the surmise of conservation of energy. Consequently, there is also neither of the five senses nor imagining, nor are any of these processes experienced. The point of stating this reality is to highlight their delusory nature, and pointing to the way of the Bodhisattva, which is to have no fear and rely only on the perfection of wisdom, as it will lead to nirvana (spiritual enlightenment). The perfection of wisdom is identified in the sutra as the greatest, clearest and highest mantra, which is also adequate of removing all suffering. Besides mentioning the five skandhas with respect to th eir emptiness, the Heart Sutra also mentions the twelve ayatanas (abodes), the eighteen dhatus (elements of consciousness), the twelve nidanas (origins) and the quadruple noble truths.

How a Business Admin can lead you into a successful leadership role in Research Paper

How a Business Admin can lead you into a victorious leadership role in financial management - Research Paper ExampleHowever, there argon certain requirements that one need to fulfill before becoming a financial manager. This paper looks at the all the matters that concern financial management as a career from job description to the salaries as well as other factors that affect the job or are projected to affect it in the near future. The paper likewise explores the duties of a financial manager.As previously stated there are very many roles of financial managers. First off, they prepare financial statements, disdain forecasts and business activity reports. secondly they also monitor the financial details to make sure that they conform to the legal requirements. The managers are also supervisors of employees who handle budgeting and financial reporting issues in an organization. They are also needed to reduce costs through and through conducting reviews on the organizations finan cial reports (Occupational Outlook Handbook, Financial manager, 2014). They also have the duty to do market drive analysis and recommend expansion of the organization. Financial managers are also consultants during the decision making process by the management.Financial managers have the core duty of changing the response to advancements in technology that are efficient in producing financial reports (Financial Manager CareerGirls.). Their work also overlaps in that they have the role of analyzing data as well as advising the senior managers on how to optimize profits. Their roles differ depending on the organization that has employed them. For instance, in financial institutions such as banks they are tinged with the duty of overseeing various functions including lending (Occupational Outlook Handbook, Financial manager, 2014). The interchange managers will control the inflow and outflow of the company money so as to meet the business expectations of their firms. The insurance manager will look at the programs that are bound to minimize risks and cut low-spirited on losses so as to improve efficiency in business

Calories restriction and health in medical improvement Thesis

Calories travail and wellness in medical improvement - Thesis ExampleFasting prior to chemotherapy enhances the effect of the chemotherapeutic agent on the tumour and stifles the toxic side effects of the chemotherapeutic agent on the patient. However, originally this benefit of calorie restriction could be used in human beings more studies are regard to reinforce the decisions of the twin benefits of calorie restriction. 1. Introduction 1.1. Calories Restriction Over the last seven decades evidence from louse and animal studies has pointed to the restriction of calorie intake resulting in increase in livelihood span. These findings have lead to sake developing for a better chthonianstanding of the molecular mechanisms of calorie restriction that bestow the health directed benefits and translating these benefits to human beings, as a means of overcoming aliveness threatening diseases and conditions for better quality of life and increase in life spans (Koubova & Gurante, 20 03). ... od pressure are considered to be biomarkers for aging, since there is a correlational statistics between these markers and those diseases normally associated with advancing age or ageing itself. Calorie restriction studies in animals has shown to reduce these biomarkers associated with aging and hence the holding out of the promise for the use of calorie restriction with the therapeutic possible to improve the treatment of diseases and conditions associated with aging to increase life span in humans (Brown, 2008). The modern following in calorie restriction can be traced back to 1930s and the research of the nutritionist Clive McKay. McKay and his team up conducting cancer research discovered that severe calorie restriction up to 60% ad chlordiazepoxide levels resulted in a measurable increase in life span in rats. This interesting finding remained in cold storage for nearly three decades, as the findings were not found to be relevant to cancer research as such. Michael Ross took up this thread of investigation in the 1960s using Sprague-Dawley rats, to resume the incidence of tumours and its age relation. The results of increased life span in rats caused by calorie restriction sparked interest among gerontologists and gerontology research. In the 1970s two groups of research investigation on calorie started, one under Roy Walford at UCLA and the other guide by Edward Masoro and B.P. Yu at the University of Texas (Sprott & Austad, 2006). Walford and his team, with particular emphasis on Richard Weindruch focused on the impact of calories restriction on different models that ranged from mice to rhesus monkeys to humans. Some of these investigations continue even today and has led to general acceptance that calorie restriction has turned to be the only intervention that results in life span

Leader and organizational behavior Research Paper

Leader and organizational sort - Research newspaper publisher ExampleI maintain that I am the ideal candidate for this job because I am sufficiently educated and possess the adequate qualities that would befriend me greatly in filling this position. A distinctive frailty chairperson of Operations of a company as large and progressive as yours would be entitled to be a committed realiseer. I understand that the duties include creating and upholding the vision and overall perplexity of the company, and supervising and evaluating the work of other top position-holders, such as department directors, operations managers. Moreover, a frailty president would play a crucial role in the approval and laying out of the day-after-day operations of the company, aiding and assisting subordinates should the need arise while identifying potential areas of remediatement. In addition, at times, a Vice President could be required to coordinate with the directors of different departments. Las tly, a Vice President would, of course, be required to discerp a companys overall performance by reviewing financial statements, customer feedback and sales and legal action reports. In general, a good Vice President of Operations would rich person to be sharp and in control of the operations at hand while maintaining a cohesive work environment to increase productivity and eliminate internal conflicts. If I were to be awarded this position, I would be fully committed to beingness hard working and dedicated to the company and, in particular, to my job. In my experience, I have learnt that I work best in demanding conditions by being organized from the get-go and assigning myself goals and aims from the beginning of the project (Smith, 1992). I have shew that goal setting helps me greatly because it allows me a sense of focus as contrary to being distracted by unnecessary objectives that should not be given precedence. Simply put, lacking a goal could disperse my attention ove r all the possible, yet needless, objectives in a certain circumstance. Moreover, because it has been found that the more challenging the goal, the greater the motivation to achieve it, I desire my work quality would improve dramatically as I would be more inclined and persistent to work harder. Furthermore, setting goals would help me in using my time more productively by allocating it to the pressing tasks at hand (Wilson, 2008). In addition, I would be using my resources most efficiently (with the least waste) to productively aid the company. I believe setting goals helps in personal growth, all the while motivating you to work harder and more diligently to deform for what you set out to achieve. Setting targets for myself would show me clearly the vision I aim to uphold and would continue me harder and harder until I successfully achieve it. For someone in a position as demanding as that of Vice President, some direction is necessary. I feel that setting goals such as being p rompt with my work, or being thorough in my reports would better motivate me into becoming a good Vice President for the company and would give me a sense of confidence once these goals are realized. In the past, I have worked for various companies and have had to deal with demanding circumstances such as rushed deadlines, miscommunications in the chain-of-command, and conflicting behavior of coworkers and lack of

The opportunities and the threats of the FJE Limited Essay

The opportunities and the threats of the FJE Limited - rise ExampleThe objectives of this project are-To analyze the strength of the company.To assess the failing of the company.To identify the opportunities and the threats of the company.To identify the motley sources of fund and probable funds of the company.To assess the cash requirement of the company.To analyze the various options of investment easy to the company in exploration.To identify the financial viability of each of the exploration option.SWOT analysis is a strategic tool which is used to analyze, understand and decide on the various situations which can arise in the military control during its course of operations. The full form of SWOT is strength, weakness, opportunities and threats . The SWOT analyses of the FGE Company have been done to assess the risks and likewise the competitive advantage of the company and the business in which it is operating.Strength The main strength of FJE is the sector in which it is operating. Uranium is used to produce electricity from nuclear power. Uranium itself has a very big securities industry orbicularly. In 2008 Australia exported more than AUD 800 million dollars of uracil to the rest of the world. The royalties achieved from Australian uranium mines is about AUD 21 million dollars per year. From Australia only about 10707 tons of uranium has been exported to the rest of the world in 2008.... This signifies that uranium has a study demand in most of the countries of the world. Therefore companies who are operating in this sector will ceaselessly have a demand in the market as the resources available are less compared to the global demand. Another advantage of the company is that it does not have any debt in its capital structure this factor that company is less risky. The company has exploration site in Niger which has 5% of worlds uranium resource. Also it has a site in Australia which has the largest resource of uranium in the world. This g ives FJE competitive advantage all(prenominal) over other firms. Figure 1 Uranium Requirement of the World (Source Trade Tech, 2011) Weakness Exploration companies ceaselessly have to bear the risk of failing in the discovery of the uranium ore or salable uranium ore. If the exploration companies cherish the high return of the extraction and export of the mineral ore then in character of not discovering the ore umpteen times the exploration companies have to suffer huge loss. The cost of exploration and all the associated expenses are very high. The FJE limited is a very dispirited company which has a very small capital of AUD 4 million dollars. If the company fails to discover uranium in the proposed sites then it will be very difficult for the company to maintain its operations. More over there are many hand restrictions on uranium like non proliferation treaty etc made the market for the uranium quite narrow. Another weakness is the intense competition in this sector. The uranium exploration market is already crowded by many big companies like Western Mining Corporation, BP Minerals, and BHP Billiton etc. Opportunities The biggest of the FJE limited is the rising market of nuclear energy. reverse in the use of the nuclear

National curriculum frameworks Assignment Example | Topics and Well Written Essays - 1750 words

National curriculum frameworks - Assignment ExampleThe tuition bearings of the literacy framework argon aligned to 12 marges to demonstrate overture in each strand (p.171). matchless of the literacy framework acquisition objectives for pupils to spill and listen for a variety of purposes and in many contexts and in that respect be four strands under this objective that will demonstrate progression (1) speaking, (2) listening and responding, (3) group news and interaction and (4) drama (p.171). The second nurture objective of the primary national framework for literacy is to read and bring out for a range of purposes on musical composition and on screen (p. 171). The progression strands related to this objective are as follows The learning objectives of the literacy framework are aligned to 12 strands to demonstrate progression in each strand (p.171). One of the literacy framework learning objectives for pupils to speak and listen for a variety of purposes and in many c ontexts and there are four strands under this objective that will demonstrate progression (1) speaking, (2) listening and responding, (3) group discussion and interaction and (4) drama (p.171). The second learning objective of the primary national framework for literacy is to read and write for a range of purposes on paper and on screen (p. 171). The progression strands related to this objective are as follows Word recognition decrypt (reading) and encoding (spelling) Word twist and spelling Understanding and version texts Engaging and responding to texts Creating and shaping texts Text structure and organization Sentence structure and punctuationThe literacy framework demonstrates that literacy skills, especially reading and writing, need to be applied in all subject areas including numeracy. The Speaking and listening statutory requirements are also pitch in the literacy framework.The numeracy framework was renewed as well in 2006 with improvements plain in simplified learni ng objectives and a broad overview of the primary phase maths curriculum. Unlike the literacy framework, the mathematics frameworks contain seven strands that demonstrate progression which is aligned to the learning objectives.... One of the literacy framework learning objectives for pupils to speak and listen for a variety of purposes and in many contexts and there are four strands under this objective that will demonstrate progression (1) speaking, (2) listening and responding, (3) group discussion and interaction and (4) drama (p.171). The second learning objective of the primary national framework for literacy is to read and write for a range of purposes on paper and on screen (p. 171). The progression strands related to this objective are as follows Word recognition decoding (reading) and encoding (spelling) Word structure and spelling Understanding and interpreting texts Engaging and responding to texts Creating and shaping texts Text structure and organisation Sentence str ucture and punctuation Presentation The literacy framework demonstrates that literacy skills, particularly reading and writing, need to be applied in all subject areas including numeracy. The Speaking and listening statutory requirements are also present in the literacy framework. The numeracy framework was renewed as well in 2006 with improvements observable in simplified learning objectives and a broad overview of the primary phase mathematics curriculum. Unlike the literacy framework, the mathematics frameworks contains seven strands that demonstrate progression which are aligned to the learning objectives. The seven strands of the mathematics framework is (1) using and applying mathematics, (2) counting and understanding number, (3) cognize and using number facts, (4) calculating, (5) understanding shape, (6) measuring, and (7) handling data (p. 172). Teaching programmes,

The role of society in human life in the Confucian, and Taoist belief Term Paper

The role of society in clement life in the Confucian, and Taoist belief systems - Term Paper ExampleThough quite alike, the differences in the role of society in Confucian versus Taoist beliefs are most strongly focused close to how interpersonal relationships are cultivated, structured and developed.The basic notion of Confucianism is the achievement of jen, which is developing a sympathetic worry for other human beings in society. Loyal and moral relationships act as the foundation for quality culture under this philosophy. The Confucian Golden Rule is to treat others as you your ego would be treated (Henslin, 547). These basic beliefs link up to jen are noticeable in the professional and personal lifestyles of those who have molded their value systems around tralatitious Confucian beliefs. In the workplace, Confucian values drive progressive policies that gain commitment and support from lower-level employees done a transformational leadership design. For example, wise thou ght and action for leader roles includes corporate citizenship and philanthropy, democratization of the workplace by less control systems, and maintaining an ethical model of behavior (Hays, 78). In societies where business leaders maintain Confucianism as the heart of their lifestyle beliefs, decentralized decision-making hierarchies are present and employees are much more engaged in development programs, thereby being more committed to achieving business goals.At the interpersonal level, life in Confucian belief systems involves having a duty and responsibility for others. In particular, friendships and family are significantly important. In family and neighborly relationships, tolerance, establishment of mutual dialogue, and new innovative thoughts in replacement of old methods are embraced (Zhang & Veenhoven, 428). To be actively involved in social relationships when carrying a Confucian value system means to reflect upon the self each day, searching for

Health Policy Analysis Assignment Example | Topics and Well Written Essays - 3750 words

Health Policy Analysis - duty assignment ExamplePatient navigators and navigator programs therefore became necessary in terms of providing the much needed link between patient populations and providers with an aim of improving health care outcomes.Patient navigator and outreach services dates back to the course of instruction 1971 when then US President Richard Nixon ratified the National Cancer Act. Since then there have been crucial improvements in healthcare outcomes in terms of reducing cancer related mortality. This can be attributed to expose measures at preventing, screening and diagnosing cancer as well as the use of better treatments for the same. However, pathetic persons, those without whatsoever medical insurance and those without sufficient insurances covers have continued to show low 5-year survival and towering rates of mortality. Disconnects still exist between discovery and delivery enterprises and also between what is known and what is utilise to all people . Disparities arise when medical interventions meant for all are not equally distributed. Disparities are also occasioned by a combination of economic, cultural and favorable issues (Freeman and Rodriguez, 2011).Poverty is a very important cause of healthcare disparities when it comes to the management of cancer and other chronic illnesses. Poverty is a complex problem associated with other issues much(prenominal) as demoralise levels of educational achievement, squalid living conditions, total lack or insufficient social assistance, lack of employment, risky lifestyles and reduced healthcare service access. As per the 2010 national census, 14.3% of the US population representing a whooping 43.6 million persons was poor the year 2009 alone. In the same year 16.7% (50.7 million) of American citizens did not have any health insurance cover. Furthermore statistics have shown a huge gap in terms of the atomic number 23 year survival rates for cancers between the poor and the rich su rvival is ten percent lower among the poor Americans compared to the rich.An emerging

Analysis and Interpretation Statistics Project Example | Topics and Well Written Essays - 1500 words

Analysis and Interpretation - Statistics Project ExampleThe independent variable of the study is attending ghostlike services while the dependent variable is semipolitical views. The study mainly duels on correlation and relapsing for data analysis. The correlation coefficient is important in showing whether and how strongly religious service attendance and political views are related. Because the study is elongated in nature, Pearson product-moment correlation coefficient is necessary to measure the direction and strength of the linear relationship surrounded by religious service attendance and political views. The value of Pearsons correlation coefficient is influenced by the distribution of the independent (attending religious services) variable in the sample.The descriptive numbers show that the mean and the standard remainder of the study are 4.19 and 1.404 respectively. The sample size for the study is 703. Taking 95% boldness interval, DF1 and DF2 are 8 and 694 respect ively. This shows the difference of means between the groups with a significant level of 0.05. The p-value is the probability of obtaining a test statistic at least extreme as the one that was actually observed (Cronk, 2008). The p-value of the study is 0.01 at 95% confidence interval. The error term of the study is the mean square=1.853 with the likable mean sample size of 66.899. The harmonic mean is used in the study because the group sizes are not equal. The harmonic mean result shows that 66 out of 703 of the people interviewed attend religious services several times in a year. The confidence interval of the study is 95%. This shows that there is 95% confidence that the real value is at bottom the calculated interval (mean). The Pearson correlation coefficient is 1. This means that there is a strong demonstrable correlation between religious services and political views. The correlation coefficients across all the age groups also show positive results.

Growing effects of violence in Sports Essay Example | Topics and Well Written Essays - 1250 words

Growing effects of effect in Sports - undertake ExampleThe writer posses the historical context of the article by discussing how children emulate professionals in the drama, and always go on a way of disp unloading their affection and love for the game.Research about the author indicates that he is a sport journalist therefore, the credibility of the article is not in doubt. This is mainly due to the knowledge of the game, facts and issues surrounding the article. The author displays an air of professionalism in the way he presents the facts of violence in the game and in the National ice hockey League (NHL), which indicates that the author is credible. The author comes across as knowledgeable and fair since he does not lay blame on one party, in fact, the author tries to analyze and apportion the blame for the effects that violence in hockey has on children. The author blames both the parents, who let their children be exposed to the violence, and the media, who glorify the acti ons of cutthroat players.From an analysis of the article, it is evident that the main aim of the author is to convince parents that violence in sports, especially hockey, really exists, and the parents should exercise caution when exposing their children to such sports (Davidson). This aim is evident from the warnings that the author puts across for parents to counsel their children and only furnish children to view age appropriate content. The article is a persuasive essay that tries to indicate that violence has a real influence on the psychological growth of children, and parents should look out for these influences. The article in addition seeks to assure the audience that violence in sports is increasing, and the group most affected in society is the children and teens. The author also seeks to point out the results of the violence in the sport, which is done by quoting facts from past incidents.The intended audience in the article is obviously parents of teenagers and chil dren who allow their children to be exposed

Broom Industry Research Paper Example | Topics and Well Written Essays - 1500 words

Broom Industry - Research Paper ExampleIn the case of the broom-corn broom, it was pointed out that by 1996, there were only about 600 nationwide employees for the broom industry in the United States. Of the positive events in 1991, Mexico supplied 52% or roughly 11% of the total consumption. Panama supplied 14% of the total conditional relation or estimated 3% of the total US consumption, Honduras represented 10% of the total conditional relation or roughly 2% of total consumed. Hungary held 13% of the total import and represents about 3% of the total 1991 US consumption.In consideration of the presented data, there is a levelling and balancing of market share as an payoff of the NAFTA. It is expected that lifting of tariffs allows exchange of goods and services that will give a chance for lower cost products to manage with higher costing product . Below summarises that effect of NAFTA on the broom-corn broomImports come from Mexico, Honduras, Panama, Colombia and Hungary. Th e total import in 1991 was about 20.1% of the apparent consumption, with US supplying about 79%. Import fell by roughly 19% by 1992 with US sourced at 81%. Import rose at 23% by 1993, decreasing US counterpart to 76%. By 1994, total consumption grew but import also grew at 29% while US suppliers were able to ship only about 70%. Likewise, the trend of continued import growth in 1995 had imports garner a total of 36% of the market share as compared to the US shipment of only about 63%.The effects of the The Congressional budget Office (CBO) reported that NAFTA had a comparatively small but positive effect on US exports to Mexico which ranges from 2.2 percent in 1994 to 11.3 percent in 2001 with a parallel result for US imports from Mexico that grew from 1.9 % in 1994 to 7.7% in 2001. In fact, considering these figures, the US gained more as the balance of trade in goods had been considerably small, of which decline were famed since 1993 attributed to the peso crash in late 1994, the associated Mexican recession in late 2000, and the prolonged US economic boom from 1990s through 2000 (CBO, 2002). Below are the indicative charts presented by CBOU.S. Goods heap with Mexico with and Without NAFTA(In billions of dollars) microbe Congressional Budget Office using data from the Bureau of the Census for actual values and projections from CBOs example for other values.Likewise, the trade balance is illustrated in the following table belowEffects of NAFTA on U.S. Goods Trade w

The Kinship System of the Australian Aborigines Essay Example for Free

The Kinship System of the Australian Aborigines EssayIn the following paper I leave behind be discussing the kinship of the Australian Aborigines. I give be discussing how this culture impacts the office they behave much(prenominal) as how the act and live. I will also be comparing this behavior to that of my life. I commit that you find this paper to be interesting as good as informative. I will go out by giving a little background on the Australian Aborigines. They argon a group of several hundred Indigenous deal that reside in Australia. They have existed before the British annexation of Australia in 1788, before that the number of people was over four hundred.In some cases the people or groups will dialogue about their people and their country. The countries atomic number 18 ethnographic areas. In many cases each country had extended families that lived in them. It was common to have cousins that marry. I would now equal to talk about how the Aborigines dress. I n many cases by early settlers they were observed to be naked. Some of the tribes had men and women that wore a belt around their waste that was utilise to carry tools and weapons. This belt was made of animal hair, animal fur, disrobe or fiber.Before the colonization of the Europeans it was just a simple flap in the front but, later on they had to modify it. In the winter months the Aboriginal people made cloaks to keep warm. Next I would like to talk about their language. There were somewhere between 200 to 250 different Aboriginal languages spoken. Now thither are fewer than 200 that still remain and all but 20 are considered to be endangered. In 1888 the language was proof that it was necessary to refer to the Aboriginal names and locations throughout the colonies. There are actually some Aboriginal words that are still used today.Next I will talk about the diet of the Aboriginal people. They will hunt or fish for their meat, gather fruits, berries, eggs, plants and insects a s wholesome. Some of the meats that they eat are kangaroos, wallabies, echidnas and possums as well as some reptiles and birds. When hunting they would use spears and boomerangs to compeer and kill their viands. The women were normally responsible for picking the berries as well as caring for the younger children. These are just a few things that the Aboriginal people did and still do today.I will now be talking about their society compares to my own. I do not think that it compares to my society actually much. Some of the things that they do are similar to my society in the respect of hunting. I come from a family of people that enjoy hunting for a source of food. Many times these family members will share the food with other family if they are unable to hunt for one reason or another(prenominal). My family also likes to fish which is another way that we are similar. The ways that their society differs from mine is that we do not believe in marring inwardly our family.In many families though out the United States this is seen as incest and is punishable by law. The other way that we are not similar is that we wear a full body of clothes and always have. I have had the chance to meet some Aboriginal people through the work that my mother used to do. I enjoyed hearing stories of how their ancestors did things and how some of these things have changed throughout time. They still practice the hunting as well as the gathering of their food but, many times can be found wearing clothing.In conclusion I hope that you have found this paper informational as well as informative. I have talked about their diet, how they live as well as I touched on their marring practices. I also have told you why I think that their society is close to my own as well as how it is different from my own. References Anonymous. (n. d. ). Australian aborigines- indigenous Australians. http//www. crystalinks. com/aboriginals. html Nowak, B. , Laird, P. (2010). Cultural Anthropology. San Diego, Bridgepoint Education, Inc. https//content. ashford. edu.

Born Global and Gradual Internationalization Essay Example for Free

Born Global and procrastinating Internationalization EssayIn traditional models, tight internationalization is seen as a gradual emergence of cap faculty build-up by which firms slowly accumulate the resources necessary to face unlike market uncertainty (Eriksson, Johanson, Majkgard, Sharma, 1997). These models subscribe that firms grow in their domestic markets before they fall out to trade extensively. This is supposedly so because there is a learning process involved in facing unkn turn upify markets, and such a process requires acquaintance and resources to face and overcome uncertain outcomes and costly investments.Knowledge and resources atomic number 18 progressively acquired through experience, first in known domestic markets and thusly in larger foreign markets (for a review see Leonidou Katsikeas, 1996). practically literature has documented this liability of foreignness, or the cost faced by firms that operate abroad, and the need for companies to const rain capabilities in foreign markets (Mezias, 2002 Zaheer, 1995 Zaheer Mosakowski, 1997). Conventional models of internationalization have drawn criticism (Andersen, 1993 McDougall, Shane, Oviatt, 1994 Turnbull, 1987).There is experimental narrate that shows the existence of modest, young firms, endowed with very limited resources, which begin to export immediately after their foundation. For instance, Moen and Servais (2002) reported, for a test of Norwegian, French, and Danish firms, the existence of many companies exporting a large sh ar of their hail sales shortly after their establishment. Such empirical evidence suggests that the Uppsala model is not the only possible air to describe the firm internationalization processes.Turnbull (1987) criticizes the determinism inherent in stage-based models, and argues against the notion that all firms, regardless of industry type, verdant context, or other variables, must inevitably follow a fixed route to become international. different authors (Chadee Mattsson, 1998 Erramilli Rao, 1993 OFarrell, Wood, Zheng, 1998) contend that the internationalization process is not equally complex and costly in all industries. In industries where trade barriers, fixed investment, and transportation costs are low, such as services, internationalization may be less costly in terms of monetary and organizational resources.The born global argument fundamentally states that firm internationalization does not have to go through the progressive accumulation of resources and capabilities. It posits that firms usher out flummox exporting from the moment they are created, and it asserts that firms are capable of penetrating markets that are far away, both geographically or psychically (on describe of their different cultural and language traits), despite having limited resources and little store organizational learning.The definition of a born-global firm was coined by McKinsey Co.in a report that analyzed a judge of A ustralian exporting firms (McKinsey Co. , 1993). It was used to describe firms that, apparently, had undergone faster processes of internationalization than would have been expected for firms of similar size, age, and nature. It was olibanum proposed that these firms were born globals. Cavusgil (1994), and in any case Knight and Cavusgil (1996), elaborated McKinsey Co. s empirical observation to argue against traditional models of internationalization. Cavusgil (1994 18) went as far as to state that gradual internationalization is dead. These claims sparked an academic debate revolving around different theories of internationalization. Since then several authors (Collis, 1991 Knight Cavusgil, 2004 Madsen Servais, 1997 McDougall et al. , 1994 Oviatt McDougall, 1994) have attempted to provide a theoretical foundation for these empirical observations. The supposition has focused on establishing the antecedents of such firm behavior. One research stream argues that the born glob al phenomenon entrust be most plethoric in knowledge-intensive firms, such as those that make software or randomness technology products.Once created, many knowledge-intensive products, such as software, can be replicated at low borderline cost. Amongst the 25% Born Global firms in Australia who achieved 76% of their sales through exports, several are advanced firms, exclusively the typical firm uses well-known technology. Because of this, it is argued that small knowledge-intensive firms can bypass the home market and repoint foreign markets, or enter domestic and international markets simultaneously (Bell, 1995 Bell, McNaughton, Young Crick, 2003 Boter Holmquist, 1996).Autio, Sapienza, and Almeida (2000) found that firm knowledge-intensity was positively correlated to international sales growth, and several studies (Bell, 1995 Boter Holmquist, 1996 Coviello, 1994) have documented the tendency for firms in knowledge-intensive sectors to internationalize rapidly. harmonis e to cavusgil, born global companies which normally compete in niche markets are very flexible and touch fast. They are successful due to 1. Skill to satisfy customized or specialised product requests from customers. 2.Advances in dialogue technology and let their managers work across boundaries and their response time is shorter and are very flexible and adaptable. A proposition often made is that the home market has little importance for the born-global firm, to the point of conjecturing that a small local demand might drive the firms efforts to seek opportunities abroad. Bell et al. (2003 341), for instance, argue This behavior is particularly prevalent among firms operating in small open economies and in emerging nations, where domestic demand may be limited. For example, Denmark is a very small market and firms are left with no other option but go to different markets to increase their sales and hence as a result there are many Born Global firms in Denmark. Approximately 39% of the firms in Denmark are born global. closely of the firms are extremely active exporters with exports accounting for almost 70% of their sales. Previous international experience of founders and employees has also been proposed as playing a mediating role in early internationalization (Bengtsson, 2004).Such experience enhances the firms ability to learn and, consequently, to internationalize rapidly. Some authors argue that the new firms knowledge and accumulated experience amount, in the end, to the entrepreneurs own knowledge about other markets (Knight Cavusgil, 2004). Madsen and Servais (1997) posit that deflexions between traditional exporters and born-global firms can be attributed largely to differences in their founders backgrounds. The founders international experience may affect the extent to which psychic distance from strategic markets is perceived to be an obstacle to internationalization.It is plausible that entrepreneurs with international experience have a well -developed network of contacts that allows them to internationalize earlier (Contractor, Hsu, Kundu, 2005 Kundu Katz, 2003). In the past 2 years several scholarly studies have focused on the network dynamics of international new ventures (Coviello, 2006 Mathews Zander, 2007 Mudambi Zahra, 2007 Zhou, Wu, Luo, 2007). To summarize, it appears that many theoretical and empirical considerations support the existence of born-global firms.This notwithstanding, extant theoretical developments and empirical studies are far from proving that gradual internationalization is dead (Cavusgil, 1994). The born-global literature is still lacking a small definition of what a born-global firm is, and some existing definitions are tautological. Moen (2002) asserts, for instance, that although firms that follow this incremental development invention may still exist, the normal pattern may be different in the new millennium. His assurance is supported by the fact that between 30 and 40% of the ex porting firms in his sample of Norwegian and French firms were exporting within 2 years of their creation. The fact that 6070% of firms in the sample were not exporting within those 2 years seems to be absent from the discussion. It also appears that the born-global argument can be made empirically fonder by simply changing the time span to first export required for a firm to be considered born global and also what percentage of sales should exports account for.Inconsistency in definition criteria makes it difficult to compare the born-global phenomenon across different studies. Another important matter in deciding whether a firm is truly global is to consider the Psychic distance I. e. the difference in culture, language and trade agreements between the firms country and the country to which it exports. For example, in Costa Rica many firms open up a very dynamic trade with nearby countries. These countries regional neighbours such as Nicaragua, Panama, El Salvador, Guatemala, and Honduras are close to Costa Rica in terms of cultural traits and business practices.Few firms, however, exported upon birth to the more repugn strategic markets, such as the US and Europe, which have very different business and cultural practices. The volume of firms that were classified as born global firms, turned out to actually be born regional. This core that although they started exporting very early in their lives, and continued exporting a fairly large partake of their sales, much of these exports were aimed at regional neighbouring countries.There was only one firm, whose current exports account for 81% of total sales, that started exporting, right from its inception, to the most strategic market the United States. This firm can be said to be a true born global firm, because it started out with more than half of its customers in a foreign country located far in terms of psychic distance. The existence of born-global firms contradicts much evidence that has shown the predominantly regional focus of the international activities of multinational enterprises (Rugman Brain, 2003).In the absence of country-specific advantages, one should expect a strong firm-resource endowment in order for firms to expand abroad successfully (Rugman Verbeke, 2005). Finally, the born-global conjecture lacks empirical support from firms that start operating in small developing countries. Developing countries could prove a suitable litmus test for the born-global hypothesis. This is so because the internal markets of developing countries are small.Hence, according to these theories, firms must look to larger, foreign, markets in order to grow, and therefrom firms that operate in small developing countries should have strong incentives to internationalize early. Gradual internationalization is a concept that is still very relevant depending on the industry of the firm and size of the market. If a firm is in a Industry where it takes time to learn and an Industry that requires huge investment and is based in very big market it will adopt the Gradual internationalization model.

Causes and Effects of Smoking Essay Example for Free

Causes and Effects of Smoking EssayCauses and Effects of Smoking at that place argon millions of people most the world who smoke daily. They inhale the toxins into their bodies, which tail assembly harm them internally. Although you may non be a smoker, there are still chances that you are inhaling the toxins of the cigarrete as well. Thousands of people die a class from roll of tobacco more than car accidents and other sunstance abuse. Smoking smoke elapse to many wellness problems. People who smoke are at exalted risks of problems with their bosom, lung and respiratory system, ertain types of crab louses, premature death, and other wellness problems. at that place are several distinct types of harmful chemicals in tabacco smoke. Out of the 7,000 chemicals in tobacco plant smoke, at least(prenominal) 250 are known to be harmful, including hydrogen cyanide, carbon monoxide, and ammonia. While there are several different types of chemicals, out of the 250, there ar e approximately 70 chemicals that can cause cancer. Some of the cancer-causing chemicals are arsenic, beryllium, nickel, vinyl radical chloride, as well as other chemicals. The types of cancers that smoking can lead to are lung, mouth, esophagus, kidney, stomach, and throat cancer.The more that a person smokes, the higher at risk they are of conceiving these types of cancer mainly lung cancer. Approximately 90% of people who are diagnosed with lung cancer are caused by smoking. If no one smoked, lung cancer would be a very rare illness. However, for someone who may have quit smoking, it will take approximately 15 years for their lungs to become the same as non-smokers. Smoking can also lead to various types of diseases. oneness disease that is very common is heart disease.Heart disease is not Just one condition, and it is a group of conditions. The heart has many root causes such as coronary artery disease. If memorial tablet builds up in the arteries, then the blood will not be able to reach the heart. Your heart is a muscle with blood constantly moving in and out. The blood keeps your heart to work properly. But, high blood pressure, high cholesterol, stress, and smoking can lead into coronary artery disease. Other types of diseases that are caused by smoking are Alzheimers disease, bronchitis, emphysema, and several others.Although people do not smoke, they still somehow are diagnosed with cancer or diseases from smoking. How is this exactly? Well, people who dont smoke can still inhale the toxins from cigarettes of people who smoke around them, or in their environment. Second-hand smoking is also known as environmental tobacco smoke or passive smoking. It is the combination of sidestream smoke (the smoke given off by a burning tobacco product) and mainstream smoke (the smoke exhaled by a smoker) Inhaling the moke given off by the cigarette can lead to lung cancer in a non-smoking adult.There are thousands of people who are non-smokers, which die each ye ar from lung cancer. This is because they were expose to second-hand smoking. Second-hand smoke causes disease and premature death in non-smoking adults and children. Women who are pregnant and exposed to second-hand smoking can give birth to a baby with a low birth weight. While adults can get lung cancer and other diseases, children can also be exposed to second-hand smoking. Children who are exposed to ronchitis, and asthma.It can slow the growth of the childs lungs and cause them to be breathless. In conclusion, smoking can lead to several health problems. Several of these health problems can lead to other types of diseases and cancers, as well as death. Pregnant women and children exposed to second-hand smoking can ruin their health. Smoking affects us and the world because it is one of the leading causes of death. Inhaling the toxins destroys our bodies, and there are more and more people every year who die from these toxins.

Two Countries Essay Example for Free

ii Countries EssayAll countries in the world atomic number 18 unique. There are some(prenominal) differences and similarities amidst brazil-nut tree and the United States. They are different from one another in location, size culture, government, education, wellnesscare, economy, and lifestyles. Many countries share similarities and confine some differences. Brazil and the United States are in different hemispheres, but these two nations share some(prenominal) similarities. One important similarity is their governments. Both Brazil and the United States have a president as head of state that is elected and only allowed one re-election. They both are federal governments and have a four years term in office. They both governments are guided by a pen constitution and have three branches. These are the similarities I could say about their politics.Another similarity amidst Brazil and the United States is the diversity of ethnic groups. Brazil was colonized by Europeans, and its culture has been greatly influenced by this fact. However, the identity of the Brazilian people is not solely a product of western civilization. Brazil has many ethnic groups that immigrated there and mixed with the native people. The United States also has a diversity of ethnic groups representing the azoic colonists from northern Europe as well as groups from Africa, the Mediterranean, Asia, and South America. The mixture of cultures and customs has worked to form ethnically rich cultures in both countries.One important difference between Brazil and the United States is the commonplace health system. The Brazilian general health system is the National Health System (SUS), and the United States public health system is managed and provided by government. They both have a private health system with assist in a complementary role. The Brazilian public health services are universal and obtainable to all citizens of the country for free. In the United States public health syst em is government programs directly distribute a small part of the population including the elderly, disabled, children, veterans, and some of the poor. Federal law mandates public access to sine qua non services regardless of ability to pay. Therefore, this is a small difference between these Brazil and the United States health system.Finally, Brazil and the United States education systems have public and private schools. They have different ways to get into in college, but the same time is spent in the basic schools. The teachers allegiance with teaching is the same, but there are different relationships between teachers and students. This is a brief comparison between the Brazilian and American educational system.In conclusion, there are many differences and similarities between countries, as location, size, culture, government, education, healthcare, economy, and lifestyles. These are some elements that could be similar or different between Brazil and the United States.

Test essay on whig reforms Essay Example for Free

Test essay on whig tidys stress(a) Comment on the term Reforming to preserve in the context of the Whig reforms 1830-1841. The term Reforming to preserve stringents that the organization needed to give the heap nearly reform so as to stop them revolting. If they did this it would mean that the people would settle down because for the moment they were content. An example of this is where the establishment gives in to the will of the people and gives them some fundamental reforms. (b) Explain why there was opposition to Whig reforms in factories and study. The church opposed reform in education because reform would mean that the Church of England would no longer be in charge of all education. This meant that some schools would not teach the children that the Church of England was that partical. When the Church of England was in charge of education, children learned that the church was the most important part of their life. The Church of England also feared that if other religions were able to run schools then more people would diversify their religion, and become for example Roman Catholic or Quaker. The middle class also opposed reform in education.This was because they felt that if working class people were allowed to be educated then that would make the working class the same as them on some level. The middle class utilise their education to moreover themselves in social circles, and if the working class had this as well then it would bring the working class up to the same level of education as the middle class, which was not in the interests of the middle class. in that respect was opposition to reform in factories because at the moment wages were cheap because women were cheaper to employ then men, and children were yet cheaper then women.There was also the danger that any change in the factory system could mean a downfall in output, which could have severe implications on the economy. (c) What factors influenced the Whig government in c arrying out their plan of reforms 1830-1841? The Whig party itself had members who thought that reform was pragmatic and needed. The 1832 Reform Act was regarded by the Whigs as a terminal settlement and was done to preserve rather than escalate the situation. The Whig motivation for reform came from a belief that the art of the government brought a responsibility to try to improve social problems.The Whigs also may have used the issue of reform to get the people on their side. At the time there were a hoi polloi of disturbances and the government thought that if they introduced reform then that would calm the situation down. The major force behind the slaying of the reforms of the 1830s were a group of politicians whose main test of any government was its accountability and efficiency. Leading Utilitarians such as Edwin Chadwick were on many of the commissions set up by the government. This group did have an impact on the Whig government in the 1830s. There were also a number o f pressure groups trying to influence the government.The main two were the Humanitarians who were a cross-party group of individuals committed to the improvement of working conditions, especially in the mines and factories. By the 1830s the full exceed of industrialisation had produced terrible working conditions, especially in the textile industries, and this pressure group demanded basic human race rights such as a ten-hour day for adults. Closely linked to the Humanitarian group were the Evangelicals. They took a unearthly and deterrent example interest in social conditions. William Wilberforce was the leader of this party and he had support from all parties because of his moral standpoint.

Reynolds and Reynolds Essay Example for Free

Reynolds and Reynolds EssayReynolds Reynolds Case Study The Reynolds and Reynolds case about team marketing had very many positives and few negatives, and was a very well rounded and planned way for the American Ford enfranchisement to improve its customer service sector. First, I wanted to point out the effectiveness of team selling that the Reynolds team did well. They had three people comprise the team, Mr. Sherman, Mr. Wiltgen, and Mr. ONeill.Sherman would pitch the plan to the dealership and discuss the reports with them, Wiltgen was the instruction execution guy, meaning that he would set everything into place if and when they agreed on what plans to use, and ONeill was the manager overseeing everything and was there for alleviation if needed. The three positions and roles they played stayed the same throughout the plan and they followed through with how they wanted to present. Another thing I feel was very effective was how Sherman brought to the attention of the de alership the lost opportunities they had and how more much profit they could acquire made the previous year.ONeill con crockeded these numbers, thus making a good team close and presentation of the facts. Also, another effective point they made was bringing up the way the dealerships competitors were doing business and what systems they were using. The one and only disadvantage I found during this team selling presentation was that Sherman took on multiple roles as the team leader and the business consultant, and the other two were basically just there on an as-needed basis. The Reynolds team also showed great execution to the knob access, client education, and fulfillment perspectives.To satisfy client access, they split the client base into three categories Actives (customers who have been in for service in the previous 6 months), Inactives, and New Customers. Splitting customers into these categories made it easy for the dealership to see who is coming in for service, who shou ld be notified they ar due for service, and those new customers they still want to target. They executed client education/ persuasion by creating the favored Customer Card political architectural plan.They also did this by implementing over 100 different types of coupons that can be slow customized to each individual customer by type of car, zip code, etc. and with the service reminder program where customers would be mailed letters, coupons, and notified via phone call that they are due for service or there was a deal going on for them. Fulfillment was achieved by the dealership choosing to implement the Direct Drive program and the service reminder program ideas that the Reynolds team had presented to them, and setting up future plans between the marketing firm and the car dealership.

Learning Healthcare Organizations Essay Example for Free

Learning healthc atomic number 18 Organizations EssayThere atomic number 18 two health care organizations that I will be discussing that ware transformational tilt to promote/create learning organization. One is the Centers for Disease Control and Prevention (CDC), and the other one is foreign Agency for Research on Cancer (IARC). CDC is a federal agency under the Department of wellness and Human Services that focuses national attention on developing and applying disease condition and streak.CDC collaborates to create the expertise, information, and tools that mass and communities need to protect their health through health promotion, measure of disease, injury and disability and preparedness for new(a) health treats. Stakeholders at CDC are people invested in the program that are interested in the results of the evaluation, and/or with a stake in what will be done with the results of the evaluation. Representing their needs and interests throughout the process is uns ounded to good program evaluation.Those involved in program operations are the management, program staff, partners, funding agencies and alinement members. Those served or affected by the program are patients or clients, advocacy group, community members, and elected official. And lastly, those who are intended users of the evaluation findings are persons in a position to make decisions about the program, such as partners, funding agencies, coalition members, and the general public or taxpayers.The Centers for Disease Control and Prevention (CDC) continues its long standing(a) dedication to improving the health and wellness of all Americans with the Community Transformation Grant (CTG) program. The CTG program is funded by the Affordable Care Acts Prevention and Public health Fund andawarded $103 million to 61 states and local government agencies, tribes, and territories, and nonprofit organizations in 36 states, along with n primordial $4 million to 6 national networks of communit y-based organizations.Focusing on priorities for change for healthier living is improving health and wellness on tobacco-free living, active living and healthy eating, and high impact quality clinical and other preventive run to prevent and control high blood pressure and high cholesterol. Also, focusing on disease prevention and health promotion that includes social and emotional wellness and healthy and safe physical environments, which facilitate the early identification of mental health needs and access to quality services.Specific community interventions includes promotes healthy eating by supporting local farmers and developing small grocery stores where people live, protecting people from secondary smoke exposure, improving community environments to make it safe and easy for people to walk and ride bikes.The multinational Agency for Research on Cancer (IARC) is part of the adult male Health Organization. It coordinates and conducts both epidemiological and science labor atory research into the causes of human crab louse. IARC main objectives are to monitor global crab louse occurrence, identify the causes of cancer, elucidate the machine of carcinogenesis, and develop scientific strategies for cancer control. On February 3, 2014, the International Agency for Research on Cancer (IARC) released World Cancer Report 2014, a collaboration of over 250 leading scientist from more than 40 countries, describing multiple aspects of cancer research and control.The report says about half of all cancers could be avoided if current knowledge was adequately implemented. The stakeholders are the scientists that has been researching for the cure of different types of cancer patients that are suffering and waiting for the cure, and the leadership of the World Health organization that implements the research. The IARC activities are mainly funded by the regular budget contributions paid by its participating states. The regular budget for the 2014-2015 biennium wa s approved in May 2013 at a take of 40 424 491 EUR.Recent changes in the epidemiology of head and neck cancer has new findings.Overall, the incidence of head and neck cancer is increasing in women, whereas it is decreasing in men. Chewing tobacco is a newly recognized jeopardy factor of great public health concern. The role of tobacco smoking and alcohol as the get-go of cancer has been reinforced. Head and neck cancer among women in developing countries should deserve more attention, as the mortality rates appears to be higher than those of women in developed countries. For never smokers and never drinkers, more research needs to be done to identify their risk factor patterns. While it is true that advances is medical science have led to continued improvements in medical care and health outcomes, the effectiveness of management options remains hapless for informed medical care and health policy decision making. Frequently, the result is below an optimal level or standard and i nefficient care as well as unsustainable cost.In order to represent quality of care and cost containment, evidence of comparative clinical and cost effectiveness is necessary for healthcare organization. Examples of healthcare organization that I previously discussed have the institutional lessons learned from the process that is learn along the way. As Feinstein said a strategic plan is not worth the paper it is printed on unless its cardinal vision is embedded in the organizations culture, (Feinstein W.L. The Institutional Change Process). The most essential constituent of organizational change is the alignment of all relevant stakeholders to the new directions. The following are critical to achieving impulsion and the successful implementation of a vision for change such as updating the executives leadership style, increasing staff involvement in achieving organizational plans, helping the board understand the stage setting of the change, and strengthening the agency-federat ion relationship. Enthusiasm, persistence, and commitment for change by the leadership are key.ReferencesCenters for Disease Control and Prevention. (2009). Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Early release, 58(Early release), 1-54. Chang, S., Collie, C. L. (2009). The future of cancer prevention will our workforce be ready? Cancer Epidemiology Biomarkers Prevention, 18(9), 2348-2351. Feinstein, W. L. The Institutional ChangeProcess Lessons Learned on the Way. Journal of Jewish Communal Service. Jewish Communal Service Association of North America (JCSA), 1999. James, J. (2009). Health Organizations Theory, Behavior, and Development 273 Saudbery Jones and Bartlett Publishers. Oreg, Shaul Berson, Yair. Personnel Psychology. Autumn2011, Vol. 64 Issue 3, p627-659. 33p. 1 Diagram, 2 Charts, 1 Graph. DOI 10.1111/j.1744-6570.2011.01221.x. , Database trading Source Elite Weine r, B. J. (2009). A theory of organizational readiness for change. Implement Sci, 4(1), 67.

“Theory to Practice” Questions Essay Example for Free

possibleness to Practice Questions EssayRead the Theory to Practice section at the end of Ch. 6 of the text. rejoinder Questions 1 through 6 based on the scenario in the Theory to Practice section, and complete the next in your response At the end of the scenario, BTT states that it is not concerned in distributing dineros modernistic strategy game, Strat. Assuming BTT and bread accommodate a annunciation, and BTT has breached the disregard by not distributing the game, discuss what remedies king or might not apply. At what point, if ever, did the parties set out a signal?I do not hope that the parties ever had a contract. The scenario stated that the parties reached an unwritten agreement 3 days before the 90-day deadline that was stipulated in the negation contract. The pocket negotiation agreement stipulated that no distribution contract existed unless it was in writing. Although a BTT manager move bread an electronic mail that repeated the key terms of the d istribution agreement, I do not reckon this counts as a contract as being in writing because there are no traces and Chou did not agree to it after he saw the email crimson though he agreed to it orally. No contract was ever officially drafted in writing and agreed upon by twain parties (signatures). What facts may weight in favor of or against Chou in terms of the parties objective use to contract? The fact that BTT paid Chou $25,000 for exclusive negotiation rights would leave Chou to believe that BTT was un assumeful about following through with a distribution contract. This fact would weigh in Chois favor.Unfortunately, even though the parties had an oral agreement, no written agreement was ever drafted within the timeframe stipulated on the negotiation agreement. The parties did have seem to have an objective intent to contract, but unfortunately, when new management came in, they were not interested in distributing Strat, and since there was no written contract, I belie ve they were within their rights to turn Chou away. Does the fact that the parties were communicating by e-mail have any impact on your on your analysis in Questions 1 and 2 (above)?No, the fact that the parties were communicating by e-mail did not have any impact on my analysis. E-mail is estimable that, e-mail. It is not a written contract it is just another form of communication. These e-mails just sound like written communications that need to be put in the written contract and signed by all parties. Just because BTT sent, an e-mail outlining their verbal agreement with Chou does not crystalize it a valid contract until it is in writing and signed by the parties involved. What role does the statute of frauds play in this contract?Under the UCC, the statue of frauds applies to any contract for the sale of goods for $500.00 or more. Obviously, the negotiations between BTT and Chou are for more than $500.00, so the statute of frauds would apply here. For common equity contracts, in general, the statute of frauds applies to contracts that cannot be performed in less than one year. Therefore, the statute would apply to this contract. The one element that is uniformly required is a signature of the party against whom enforcement of the contract is sought. There were no signatures to finalize the contract between BTT and Chou. Some courts have govern that e-mails constitute signed writings within the meaning of statute of frauds since the name at the end of the e-mail signifies intent to authenticate its content. In this scenario, it is somewhat hard to come to this conclusion because it did not say if Chao responded to the e-mail containing the outline of the contract, which would have passed for his signature according to some courts.Could BTT avoid this contract under the doctrine of dislocate? Explain. Would either party have any other defenses that would allow the contract to be avoided? BTT could not avoid this contract under the doctrine on mistake. A mistake is defined in contract law as a belief that is not in accord with the facts. I do not believe that the doctrine of mistake would have any bearing in this scenario. BTTs best defense would be that Chou never signed any agreement in writing or via e-mail. They could say that Chou never agreed to this contract because there was no signature as according to the statute of frauds. Chou could lay out that he did not believe there was an agreement since several months had passed since he heard from BTT.Assuming, argue do, that this e-mail does not constitute an agreement, what consideration supports this agreement? I think the fact that BTT gave Chou $25,000 for exclusive negotiating rights shows that BTT had the intent of signing a contract with Chou. The two parties also reached an initial oral agreement although oral agreements are hard to prove in court. BTT also sent Chou a fax intercommunicate him to send a draft for a distribution agreement contract. At the end of the sce nario, BTT states that it is not interested in distributing Chous new strategy game, Strat. Assuming BTT and Chou have a contract, and BTT has breached the contract by not distributing the game, discuss what remedies might, or might not apply.If BTT and Chou had a contract and BTT had breached the contract by not distributing the game, certain remedies might apply specifically equitable remedies. Specific performance could be used to order BTT to render the promised performance by ordering them to take a specific action. Chou would also be able to seek compensatory damages. This would include out-of-pocket damages and potential profits that would have been earned if performance had occurred.

Metaphysics and Nominalism Essay Example for Free

Metaphysics and Nominalism EssayMetaphysics shargons a breadth of problems concerning universals. One realize that calculatees these problems is nominalism. Nominalism is the position that universals do non exist outside the mind. There be different sects of nominalism that expresses various stances some the problem at hand. Austere nominalism, meta lingual nominalism, and double theory atomic number 18 the various types of nominalism that refute the claim of realism.each of these types of nominalism concur their own respective views towards universals and have their own strengths and weaknesses. Austere nominalism, metalinguistic nominalism, and trope theory have legion(predicate) similarities and differences as well as strong points that support the nominalist perspective. Austere nominalism takes the stance that the only things that exist ar concrete particulars. These concrete particulars are a category of individuals like individual persons, individual objects, i ndividual animals, or various other individual materials.What the unforgiving nominalist wants to claim is that an ontology of concrete particulars provides the resources for dealing with all the phenomena the metaphysical realist claims opine an ontology of calculate exemplifiable entities (Loux 53). The austere nominalist refutes the realist claim that universals are necessary and serve as handling the phenomena of charge agreement. rather the austere nominalist claim is that the supply neednt be explained at all. Nominalists believe that realism does not contain more explanatory power than nominalism. Thus, it is much wiser to adopt nominalism because it is much simpler without universals.The leading issue with austere nominalism is that the pleader of universals and attribute agreement are to be ignored without much explanation. The notion that they are unnecessary complications whitethorn not seem like a sufficient enough explanation to combat the ideals of realists. How ever, the benefit to the austere nominalist theory flips a precise simplistic approach towards the ideas of attributes and predication. Overall, austere nominalism offers an ontologically simpler metaphysical explantion, but realism may be explanatorily simpler.Metalinguistic nominalism takes into consideration the usage of language when minimal brain damageressing the issue of universals. Metalinguistics nominalists see universals as references about language and not objects. They want universality to be understood linguistically using predicativity for example, when referencing humanity the reference is towards human individuals. It is in this view that abstract referencing takes on a different form. It disguises itself as an object language sentence, but is in reality a claim about a linguistic expression. This beholds the idea that abstract references like triangular is a shape predicate. Metalinguistic nominalism presents a couple problems in its ideology.The fact that the linguistic expressions are talked about in the call of types, this notion would make them universals as well. This is unfortunate since the metalinguistic nominalist is trying to eliminate universals altogether. In addition to this problem, another issue arises with the subjectivity of language. The theory does not take into account the possibility of other languages. When an English speaker is talking, they are referring to an English tidings. Two words of equivalent meaning would not be referenced in the aforesaid(prenominal) way according to metalinguistic nominalism.Rather they would both be considered two different words. However, in light of metalinguistic nominalism it does offer a workaround to steer the issues of multiple languages. Sellars devised a punctuation that would focus on the equivalent meaning of the word to be addressed rather than the word itself. The punctuation came in the form of a single circularise placed on both sides of the word being addressed. Me talinguistic nominalism also offers a bit of clarity in the issue of referring to multiple individuals through the use of distributive singular terms.In the issue of addressing multiple concrete particulars it utilizes a singular term to take possession for all individuals being referenced. For example, American citizen in The American citizen has freedom of speech is the distributive singular term. Trope theory is unlike austere and metalinguistic nominalism in the heart and soul that trope theory allows for the use of attributes in its ontology. However, this is not like the belief realist hold which also possesses that attributes are multiply exemplifiable. Trope theorists believe in the opposite.They believe that attributes are not only not multiply exemplifiable, but that they are also particulars. It is believed in trope theory that it is impossible for anything else to possess the same attribute as another. A concerning attribute of trope theory is the fact that it may not s ufficiently address the similarity between two different attributes. Trope theorists will argue that two different tropes may be similar and may be the reason why two concrete particulars may depend similar. This doesnt however, bridge a connection between commonalities between two similar objects.However, tropes offer an picturesque approach to the issue of properties. While lacking zero properties themselves, they help define an object without the ontology of particulars and universals. This makes tropes a perhaps powerful tool for a nominalist. In contrast to each other, austere nominalism, metalinguistic nominalism, and trope theory are differing forms of nominalism that contain various differences. Whilst all combatting the problems and complexities of universals, they each have ways in which they combat it.Austere nominalists are able to address the issue of universals by denying the existence of them and the notion that they have to be dealt with altogether. This is a very simplistic approach and avoids the need to addressing the phenomena of addressing attribute agreement. Metalinguistic nominalism is able to do the same by changing the language of universals into a linguistic reference. This viewpoint also avoids addressing the existence of universals and states that they are just disguised as linguistic expressions. Syntactical and grammatical tools allow for predicativity on several different objects to be used as universality.Lastly, trope theory takes a unique position against universals. Tropes almost seem to take on the appearance of universals in their ability to describe and object, but stray away in the notion that they are particulars themselves. While keep mum being able to provide the descriptive nature of universals, tropes are still very different and add to the nominalist box of tools. Most intriguing of the forms of nominalism is metalinguistic nominalism. While eliminating the problem with universals, it seems to combat the issue in the least vulturine way.Terms that would be considered to be universals still have their place in metalinguistic nominalism since they mostly come to be predicates. In addition to the problems that metalinguistic nominalism brings about with the issue of multiple languages, it combats it with a useful punctuation created by Sellars. all(prenominal) of the forms of nominalism all focus around the problem of universals and realist theory. They combat them through the usage of very different means. all told they bring an alternate view aside from realism in three different perspectives. In address to the realist view Alan Watts stated, The menu is not the meal.

Observation paper Essay Example for Free

Observation paper EssayThe Childs foretell I have chosen for this observation paper is a 5 year hoar female named Janiya, she seems to be a happy normal child. Her mother and father are of African American descent. Her mother and father are married yet separated. Janiya lives home with her mamma and aunt, her mom keeps her toys inner her means where Janiya regularly accesses her enjoy elbow room and bring toys in and out as she pleases, as come up as act upons inside her room when she wants. Her toys consist of a bike, baby dolls, Barbie dolls, t ablet, computer, and PlayStation 4. These are the toys Janiya plays with e genuinelyday check to her mom.ObservationJaniya is a very bright little(a) girl with a huge personality she loves prudence and loves to watch cartoons and play with her toys. The observations I made were in the biography room, kitchen and her bedroom and observed her for 30 minutes. Janiya is a very creative little girl adapting to her surroundings an d nothing was never too high gear for her because she climbed on exceed of article of furniture when she treasured to reach things that was too high for her I seen Janiya climb on top a control to pret ratiocination some chips out of the cabinet she used her physical strength to plunk her weight up until she was able to reach them. I was amazed at how smart she was when it came to thinking of a way to imbibe things she treasured instead of asking for assistance anything she needs access to and is too high for her to reach she climbs on furniture to reach it or asks her mom or aunt to get it if she couldnt according to her mom, Janiya is dis vie her gross move skills. She then came in the animation room and proceeded to change the channel to incision Jr. and Sponge sorrel Square pants was on and Janiya started singing the theme song stand up up in the chair dancing and singing showing off her cognitive and functional play skills trying to do what she sees on tv and also displaying her language development. Janiyas mom then walked from her bed room in the living room explaining to Janiya that she has to help her with her homeworkbefore she watches cartoons so she needs to go to her bedroom to retrieve her have bobby pin Janiya is in the kindergarten.Janiya runs in her room to get her book bag and quickly came back into the living room with it displaying her gross motor skills again. Her mom pulls out her homework which consists of physical composition her first name 10 times and writing her last name 10 times she gives Janiya oral cues on writing her name writing Janiya write and telling her which letter to write next she is convert this information inside Janiyas memory and she will eventually have this information in her huge term memory and will be able to write her name without verbal cues in the hereafter right presently she is now processing information and developing her memory. After doing her homework Janiya went in her room and bou ght out her dolls and begin playing with herself in the living room displaying dramatic play I hear her talking to her dolls and pretending that was her baby. This was the end of my 30 minute observation Janiya seems as if she is coming along well with displaying skills, language, playing and her imagination. She was really a bright little girl and I enjoyed observing her and seeing the changes children go through to develop more or less of their skills that are going to be used every day when they get olderObservation melodic theme JaniyaPsychology 221Michelle BennettThe Childs name I have chosen for this observation paper is a 5 year old female named Janiya, she seems to be a happy normal child. Her mother and father are of African American descent. Her mother and father are married yet separated. Janiya lives home with her mom and aunt, her mom keeps her toys inside her room where Janiya regularly accesses her bedroom and bring toys in and out as she pleases, as well as plays i nside her room when she wants. Her toys consist of a bike, baby dolls, Barbie dolls, tablet, computer, and PlayStation 4. These are the toys Janiya plays with everyday according to her mom.ObservationJaniya is a very bright little girl with a huge personality she lovesattention and loves to watch cartoons and play with her toys. The observations I made were in the living room, kitchen and her bedroom and observed her for 30 minutes. Janiya is a very creative little girl adapting to her surroundings and nothing was never too high for her because she climbed on top of furniture when she wanted to reach things that was too high for her I seen Janiya climb on top a chair to get some chips out of the cabinet she used her physical strength to pull her weight up until she was able to reach them. I was amazed at how smart she was when it came to thinking of a way to get things she wanted instead of asking for assistance anything she needs access to and is too high for her to reach she climb s on furniture to reach it or asks her mom or aunt to get it if she couldnt according to her mom, Janiya is displaying her gross motor skills. She then came in the living room and proceeded to change the channel to Nick Jr. and Sponge Bob Square pants was on and Janiya started singing the theme song standing up in the chair dancing and singing showing off her cognitive and functional play skills trying to do what she sees on tv and also displaying her language development.Janiyas mom then walked from her bed room in the living room explaining to Janiya that she has to help her with her homework before she watches cartoons so she needs to go to her bedroom to retrieve her book bag Janiya is in the kindergarten. Janiya runs in her room to get her book bag and quickly came back into the living room with it displaying her gross motor skills again. Her mom pulls out her homework which consists of writing her first name 10 times and writing her last name 10 times she gives Janiya verbal c ues on writing her name writing Janiya write and telling her which letter to write next she is encoding this information inside Janiyas memory and she will eventually have this information in her long term memory and will be able to write her name without verbal cues in the future right now she is now processing information and developing her memory. After doing her homework Janiya went in her room and bought out her dolls and begin playing with herself in the living room displaying dramatic play I heard her talking to her dolls and pretending that was her baby.This was the end of my 30 minute observation Janiya seems as if she is coming along well with displaying skills, language, playing and her imagination. She was really a bright little girl and I enjoyed observing her and seeing the changes children go through to develop most of their skills that aregoing to be used every day when they get older

Long Term Conditions Principles Of Care Nursing Essay

gigantic Term Conditions Principles Of Care Nursing Es vocalizeWhen you leave the clinic, you motionlessness subscribe a foresighted terminus condition. When the visiting support leaves your home, you still ingest a abundant term condition. In the middle of the night, you fight the pain unsocial. At the weekend, you manage without your home help. Living with a long term condition is a great deal more than medical or passkey assistance.Harry Cayton, (DH, 2005a)This render will provide a critical account of the health requirements of a uncomplaining suffering from a long term condition. It will concentrate on the experience of caring for a patient with type 2 diabetes, within the community. It will consider g every everywherenment policies and guidelines which relate to the focus of diabetes, and the use of the district take hold. The Nursing and Midwifery Council (NMC, 2008) Code of Professional Conduct Guidance has been maintained doneout this essay and at that pl acefore, all names pass on been altered for the purpose of confidentiality and anonymity.Currently in the UK there are over fifteen million nation in England reported to be living with a long term condition. (DH 2009), of these it is reported that 2.6 million people are diagnosed with diabetes. This has increased since 1996 from 1.4 million (Diabetes UK 2010), and over 500,000 more whom are asleep that they have it. It is in addition predicted that by 2025 over four million people will have diabetes, with the majority having type 2 diabetes. According to Clinical Knowledge Summaries (CKS) (2009) the risk of developing type 2 diabetes increases with age, perhaps because as people age they become less motionive, gain weight, and this affects their mobility and weakening their circulatory system. However this ruling is relatively weak as whilst white people over the age of 40 are devoted to developing the illness, ethnic minority groups are affected from age 25 years upwards ( Diabetes UK 2006). This bankers bill suggests that diabetes may relate to dietary choices. An other think suitable explanation for the development of type 2 diabetes is a genetic link, where people are more likely to develop diabetes when a close relative already has it.bloody shame is a 61 year old afro-Caribbean lady whom had recently been diagnosed with type 2 diabetes. She lives alone since her husband died 10 years ago. She has no family in this country, and does not have many friends, more acquaintances.bloody shame had recently sustained a fall, fortunately nothing was broken, but she had suffered with severe bruising and loss of confidence. Her G.P. had been implicated close her and had asked the district nurses to monitor her blood sugars and blood pressure callable to already diagnosed hypertension which she takes music for.On assessment it was identified that Mary has been finding it hard to accept her diagnosis she was hoping that her G.P had made an error. Hicks ( 2007) explains that it is not unusual to see denial in a hearing a diagnosis. Dunning (2009) goes on to say it commode be appropriate in the early stages so that it modifys people to keep a positive berth and as a coping mechanism. However prolonged denial disregard cause future problems and possible neglect of warning signs that the condition is worsening. Marys knowledge of diabetes is very poor and her perception is that regular(a)tually everyone that has it will have to have injections, go blind, have something amputated and then die. She also stated that the only dietary advice she had been accustomed was to retain eating sweets and diet with sugar in. She had been finding it difficult to stick this as she found that most of the food she enjoyed had sugar in, she had also been told to eliminate fruit from her diet as someone told her that it was also mellow in sugar. Mary reported that she has started to feel low in mood and that she was feeling anxious about her pure (a) future. Lloyd (2008) states people with diabetes are twice as likely to have depression as those who dont. She goes on to say recent research has shown that this female genitalia have a detrimental effect on glycemic control, on self-management of diabetes and on overall quality of life.Evidently Mary has very limited knowledge of her diabetes this in turn has had a negative impact on her psychological well being. The integral place of psychological condole with, within a holistic approach to diabetes reverence, is recognised in the National Service Framework (NSF) for Diabetes (2001) where it states that The provision of training, knowledge and psychological support that facilitates self-management is therefore the cornerstone of diabetes caution(p22). Similarly the National Institute of Health and Clinical Excellence (NICE) (2003) reports that diabetes professionals should have appropriate management and detection skills of non-severe psychological disorders, whilst bein g able to identify and arrange prompt referrals of people with significant psychological difficulties that can interfere with their well-being or diabetes self-management. From Marys assessment it was established that she was not in need of an urgent psychological referral, and that possibly an appropriate education programme would facilitate Mary with the information to be able to to a lower placestand and manage her diabetes. As acknowledged by the DH (2005b) patient education is designed to improve knowledge, skills and confidence, enabling people to take more control of their condition and assimilate self-management. Siminerio (2008) continues to say that due to the complexity of managing diabetes the patient will require health professionals to support with the appropriate amount of time and long term support to ensure self-management is achieved.Due to the interpersonal nature of their duty, district nurses play a of import character reference in the primary business of th ose suffering from long term illnesses. Cook cited by DH (2005b) states affectionateness for people with long term conditions is a key part of community nurses (p5). Their home visits and interaction with patients, provides randy support by developing close trusting relationships, and quickly identify health problems.Nevertheless, recent giving medication policies implemented aim to improve the quality of patient care, reduce the number of hospital patients and deliver more health care to patients at home. However, due to the aging population and the demand for community care is increase thus putting extra strain on the already full caseloads, resulting in a breakdown of strong patient-nurse relationships. Instead continuity of care may operate primarily through partnerships, divided up treat roles and the involvement of social utilitariannesss, voluntary agencies and NHS organisations.Even before we can really consideration of how Mary receives health promotion advice, there should be consideration for her receptiveness and readiness to receive that advice. Prochaska and DiClementes model of change (1984) (Budd and Rollnick 1996) (appendix 1) is a good example of this. Mary is in denial. It is hard to imagine that she could ignore the severity of diabetes along with the associated risks. However, this could have been to do with possible poor advice from the onset of her diagnosis or through fear (or possibly other reasons) but she has been in denial. This particular episode care following her fall and meeting with the district nurse may well be the catalyst that Prochaska and DiClemente refer to in generating a perceived need to change. recognition of this fact should be a useful tool for any healthcare professional to capitalise on when endeavouring to manage the change process (Nickols 2004).Colin- Thome (2010) states Delivering improvements for people with long term conditions isnt just about treating illness, its about delivering personalised, resp onsive, holistic care in the full context of how people live their lives. In 2000 the Labour government introduced a strategy to reform the NHS. The National Health Service Improvement Plan, aimed to modernise go, raise standards, tackle under funding and make a shift towards patient centred care (DH, 2000). A key strategy to come forward was the introduction of the National Service Frameworks in 2001. The NSFs were designed to bring health care in all areas to an acceptable national standard (NSF 2001). They aimed and put a stop to discrimination, offer provide person centred care, and glide path to fair and prompt services appropriate to peoples needs (Dimond 2008). They also intend to respond to the experience and concerns of service users, use resources efficiently to achieve the greatest possible benefits and promote peoples health and independence.Standard One of The NSF for Long Term Conditions (2005c) requires healthcare professionals to deliver person centred care. Pers on centred care is seen as a key purpose in healthcare. It lies at the heart of a number of policies and government strategies aimed at providing and improving personalised care, much(prenominal) as High forest Care for All (DH, 2008) and Our Health, Our Care, Our Say, (DH, 2006). The Royal College of Nursing (RCN) (2007) describes person centred care as care which is safe, effective, promotes health and wellbeing and helps to integrate patients into todays society and community. Person centred care also informs, empowers, is timely and at ease (McCabe and Timmins, 2006). It is an approach which integrates patient ideas, expectations, beliefs, values, culture, emotional needs and social perspectives whilst ensuring mutual participation in a shared decision making partnership (Antai-Otong, 2006).The strategy of empowering and educating the patient is thought to be amongst the most useful (Peile 2004). Mary is far more likely to comply with a treatment regime if she understands th e regime, the reasoning behind it and is given the tools to achieve it. (McDonald et al 1999).Empowerment and education is an important concept in patient management and has been astray used over a huge range of clinical issues (Kelly 2002). It will be oddly useful for Mary, not only with regard of accepting she has diabetes, but with the whole question of her diabetic control as well (Gadsby 2005). Mary will almost certainly have a large number of questions and concerns that she should be encouraged to raise, as understanding is a vital ingredient of compliance (Marinker 1997).District Nurses must act as teachers and counsellors, helping patients regain independence by showing patients or carers how to confidently perform care-giving duties in the absence of the nurse. Therefore play an indirect but crucial role in keeping hospital admissions and readmissions to a minimum. When educating a patient with diabetes, care must be interpreted to ensure that they recognise that diabetes is a progressive condition, and that their requirements will probably change during their life.Expert Patient Programmes (EPP) (DH 2007) are a valuable fortune for individuals living with diabetes to learn more about how they can manage their condition, better themselves and not rely so heavily on healthcare services. They have been proven to be beneficial and involve lay members who nurse patients. Reports suggest they have been considerably successful at regaining patients independence (DH, 2007). It has been suggested that accident and emergency attendances could be reduced through the use of expert patient programmes, along with individuals accessing out of hours common practitioner services (EPP 2009).However, The Healthcare Commission found, following a study that in two thirds of Primary Care Trusts (PCT) 20% of people or less had been offered courses, even though there were structures of education and training in place. In half of the trusts, 10% of people reported to goi ng to a course. Overall the reporting of attendance varied from 1% to 53%. There was also no consistency of the length, content and style of educational. Some were unstructured, not evaluated and were delivered by insufficiently trained staff.If the correct education programme is enforced then Mary would be able to manage her own care with support from the community team. Self management is seen as an integral, even central part of the system of care provided to people with long term conditions and can be instigated through the implementation of expert patient programmes (Davidhizar, 1998). The British Diabetic Association (BDA) (2005) also suggests that the overall aim of diabetes management is to enable people with diabetes to achieve a quality of life and life expectancy similar to that of the general population (p5), ensuring high quality equal care to ensure the provision of appropriate information and education to enable people with this condition to maximise their wellbeing. Kozier et al continue to explain that supported self care management refers to the individuals ability to manage their symptoms, treatment, physical and psychological consequences and lifestyle changes inherent in living with a long term condition (2008). Also through working in a multidisciplinary approach, different professionals can collaborate with each other in order to benefit the patient and deliver person centred care (Lethard, 1994).Nevertheless, education alone is frequently not enough. Merely providing information often does not lead to a change in behaviour. If there is a continuation of motivational struggles and unwillingness to change Prochaska and DiClemente suggest development motivational interviewing to try and over overcome this (Nickols 2004). This looks at encouraging and supporting people in adopting new-made behaviours. The district nurse would support the Mary whom is struggling with ambivalence about change. Encouragement is used so that there is recogni tion and action to move to the action stage, this where they can start to understand and feel able to change (Gallagher and Scott 2006). However, Bundy (2004) does go on to say this can be seen as quite challenging and can have elements of being confrontational. This process needs to be executed wisely, and there needs to be a relationship with trust for it to be beneficial. This can take time and as recognised previously there may not be continuity of care with the same nurse.Furthermore, care planning is also a key part of managing long-term conditions, and its importance has been stated in a number of major polity documents. The final report of Lord Darzis, High Quality Care for All, NHS bordering Stage Review, (2008), stressed that over the following two years, everyone with a long-term condition should be offered a personalised care plan. In February 2008 the National Diabetes Support Team (2008) produced its guide to implementing care planning in diabetes Partners in Care an d is also working with Diabetes UK and other key partners to determine ways to support the NHS in embedding the principles of care planning into the sales talk of diabetes services (NSF 2008).It has been reported that Primary care is getting better at managing diabetes and one of the outstanding achievements of the Quality and Outcomes Framework is the rising numbers of diabetics receiving essential tests and measurements (for example, blood pressure and cholesterol). The results of those tests have also indicated health improvements, just an important fact is the 2005/6 National Diabetes Audit (Healthcare Commission 2007) found that not everyone is receiving every care process that they need thus indicating that there is still gaps in care. The theme of the final report of the NHS Next Stage Review acknowledged that too few people have access to information about their own care (NSF 2008). It is imperative that the person with diabetes has as much information as possible to give for maximum utilisation of their time with the healthcare professional.The Department of Health recommend that measures can be taken to improve the lives of diabetics. Although diabetes currently cannot be immediately cured, by using medication and other therapies it can be controlled (2005a).Mary will have to be closely monitored to ensure that she is compliant with her management of diabetes. As has been exhibit there are many interventions which district nurses can undertake. However, for Mary to have the best possible care a collaboration of multi disciplined professionals need to par-take in a proactive role in the holistic treatment of diabetes. The governments aims are to support people with long-term conditions by delivering recommend changes that will help people. This is particularly vital as the long term compliance of the person with diabetes is essential to prevent and delay complications, as diabetes is estimated to account for at least 5% of UK healthcare expenditur e (DH 2008).In conclusion, it is clear that the key role of all health professionals requires knowledge and understanding of issues and policies to support patients. Furthermore, this role requires a detailed knowledge of inter-professional and multidisciplinary working. It requires high levels of communication skills, diplomacy and assertiveness. Health professionals also need to have knowledge of service delivery systems to enable them to carry out their role and to provide their patients with an efficient and seamless service