Saturday, November 30, 2019

Linking vision and change Essay Example

Linking vision and change Essay Name: Course: Lecturer: Date: We will write a custom essay sample on Linking vision and change specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Linking vision and change specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Linking vision and change specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Linking Vision and Change For success to be achieved in the change program of an organization, several factors of management should be considered. This consideration is vital for it recognizes all the aspects in management thus bringing a solution on the individual factors that have been affected by the change. Management comprises of the activities, which ensure that resources are utilized well in order to bring the desired output in an organization. For the management to realize effective good change in any program, â€Å"it should focus on the areas that are commonly functional in the organization† (Palmer, Richard, and Gib 347). Vision is one important element of change in an organization that enables the ability of keeping the life of the objectives of the business. The vision should be well explained in the organization through offering detailed information to the organization. It is important to pass the vision to the employees correctly thus influencing them and showing them the benefits that will be realized when the vision is accomplished. The vision incorporates the goals of the organization. In the setting of these goals, the organization should involve the shareholders and other interested parties thus by engaging them, it offers them a role in the long-run accomplishment of the goal. The effort that is applied in realizing the goals should be directly concentrated on the important issues. The goals should be related to the strategic plans of the organization hence linking of ideas in the business. In addition, the effort should be measurable in order to apply the same details in the future. Through this procedure, the management is able to establish continual success in the goals’ accomplishment. Engagement of all parties is another key to success in achieving change in any program. This caters for the consideration of the top position and the hierarchy of leadership in the organization. Performance in any organization depends on the relationship that exists between the concerned parties and the management. This is because, if there is any disagreement, then nothing will be accomplished due to the conflict of ideas. Therefore, there should be cohesion in the organization in order to foster the change that is required in the organization. In this case, the leader should be influential in such a way that he or she has the ability to engage all the employees in the decision making process. The corporate decision-making is important for it provides evaluation of many decisions hence coming up with the best decision. The mutual concession in decision-making is important for it enables the unity in achieving the common goal. In addition, for a program change to be achieved, the wor kers should be motivated through either incentives or appraisal in their positions (Palmer, Richard, and Gib 352). Definite roles should be assigned to the parties involved in the revolution program in order to achieve the desired change. This is done with the effect of making each party responsible in the task that each is assigned to do. In the midst of executing these tasks, the concept of division and specialization of labor is important to facilitate efficient and quality success. It also entails the use of talents that are applied by the employees in the areas they are best in performing. In this case, the role of each party is recognized and appreciated thus becoming a motivating factor in the process of bringing change in the program. It is also significant to allow the parties involved to exercise their competency in performance when they are assigned a particular role to play in the organization. Training is another requirement for bringing change in the business program. This involves organizing seminars that are headed by outstanding qualified persons who enable passing of proficient knowledge to the employees. Training is vital for it facilitates information on the current trends in the management. Consequently, the changing technology has brought many changes in business administration through affecting the methods of management. Therefore, training is significant in enabling the employees to adjust to the modern way of management and in business transactions. Thus, the change in the organization is achieved when people are trained on the changes that have been implemented. For a successful change of program in the business to be achieved, the roles of management should be applied. Setting of achievable goals is a vital factor in facilitating change because once the goal is achieved, the change occurs. Involving all the parties interested in the decision-making is important for it facilitates the selection of good decisions and solutions in the business organization. In addition, training plays an important role in ensuring proper business ethics are passed efficiently and the emerging trends in the business are adopted. Works Cited Palmer, Ian, Richard Dunford and Gib Akin. Managing Organizational Change: A Multiple Perspectives Approach. Boston: McGraw-Hill Irwin, 2009. Print.

Monday, November 25, 2019

Are Credit Cards Money If Not, Why Are They So Popular What General

Are Credit Cards Money If Not, Why Are They So Popular What General Are Credit Cards Money If Not, Why Are They So Popular What General Impact Do They Have On An – Article Example Are Credit Cards Money? No, credit card is not a form of money; rather it is a loan, which a bank gives to a to make purchases. â€Å"Using a credit card is a form of borrowing: you have to pay the money back† (Anonymous, n.d.). They are popular because they facilitate people in making purchases without using money. One of the main reasons behind increased popularity of credit cards is safety. Money in the pocket increases chances of robbery or stealing. When a person has a credit card, he/she does not need to keep money in the pocket while shopping; rather he/she just needs to put a credit card in the pocket for shopping or for any other purpose. â€Å"Credit cards have traditionally been considered a way for households to postpone the cost of goods† (Randall, 2010).Credit cards put a negative impact on the overall economy. Although credit cards facilitate people in buying things without having money in the pocket, they lead to inflation, which is not considered good f or the economy. Credit cards lower the value of money while increasing the viability. For users, they make things more expensive because of the raise in the interest rates that banks charge from credit card holders. They make the economic system of a country flooded with cash and debts. Sellers increase the prices of the products, which reduces the value of money that a person has in the savings account. Therefore, we can say that use of credit cards put an adverse impact on the economy of a country.ReferencesAnonymous. (n.d.). Credit Cards. Retrieved from http://ftc.gov/bcp/edu/microsites/moneymatters/credit-cards.shtmlRandall, D. (2010). How Credit Cards Hurt the Economy. Retrieved from forbes.com/sites/moneybuilder/2010/04/27/how-credit-cards-hurt-the-economy/

Friday, November 22, 2019

Anti-Inflammatory Drug Tests

Anti-Inflammatory Drug Tests The method described by Lorke with slight modification was used to determine the safety of the MEA. Briefly, normal healthy male mice were divided into groups of five mice in each cage. MEA (100 and 1000 mg/kg) or vehicle were intraperitoneally administered. Access to food and water, toxic symptoms and the general behavior of mice were observed continuously for 1 h after the treatment, intermittently for 4 h, and thereafter over a period of 24 h. The mice were further observed for up to 14 days following treatment for any signs of toxicity and mortality. Result Over the study duration of 14 days, there were no deaths recorded in the groups of mice given 100 or 1000 mg/kg IP of MEA. During the observation period, MEA administration did not induce any variations in the general appearance or toxic signs in the animals. The writhing test has long been used as a screening tool for the assessment of analgesic or anti-inflammatory properties of new substances (Collier et al., 1968). This m ethod presents a good sensitivity, although it has poor specificity. To avoid misinterpretation of the results, in the present study the antinociceptive effects of MEA were confirmed in the formalin test, a model of inflammatory pain which has two distinctive phases which may indicate different types of pain (Hunskaar and Hole, 1987). The early and late phases of formalin test have obvious differential properties, and therefore this test is useful not only for assessing the analgesic substances, but also for elucidating the mechanism of analgesia (Shibata et al., 1989). The early phase,  named non-inflammatory pain, is a result of direct stimulation of nociceptors and reflects centrally-mediated pain; the late phase,  named inflammatory pain, is caused by local inflammation with a release of inflammatory and hyperalgesic mediators (Hunskaar  and Hole, 1987). The thermal model of the tail-flick test is considered to be a spinal reflex, but could also involve higher neural struc tures, and therefore this method identifies mainly central analgesics (Jensen and Yaksh, 1986; Le Bars et al., 2001). Due to their implication in virtually all human and animal diseases, inflammation and pain have become the focus of global scientific research. Adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs) and opioids have necessitated the search for new drugs with minimal side effects (Dharmasiri et al.,2003; Vittalrao et al., 2011). The current trend of research is the investigation of medicines of plant origin because of their affordability and accessibility with minimal side effects. The thermal model of the tail-flick test is considered to be a spinal reflex, but could also involve higher neural structures, and therefore this method identifies mainly central analgesics (Jensen and Yaksh, 1986; Le Bars et al., 2001). The analgesic activity of Cyathula prostrata in this study was investigated using the hot plate and mouse writhing tests. The hot plate test is useful for the evaluation of centrally acting analgesics which are known to elevate the pain threshold of mice towards  heat (Hiruma-Lima et al., 2000). It also indicates narcotic involvement with opioid receptor (Turner, 1965). The writhing model is a sensitive method for screening peripheral analgesic efficacy agents and it is more sensitive to non-steroidal analgesics (Collier et al., 1963). The analgesic effect of acetic acid is due to the liberation and increased level of several mediators such as histamine and serotonin which act by stimulation of peripheral nociceptive neurons (Cui et al., 2010).

Wednesday, November 20, 2019

Discussion-WK4 Essay Example | Topics and Well Written Essays - 500 words

Discussion-WK4 - Essay Example His proposal approves that the solution works. He has also included an analysis of the plan and the possible results. Karen’s argument will absolutely suit her programs but will require the approval and consideration of others. She does everything to convince her boss that her idea is the best. She is not over confident that her idea will be approved and so she offers her idea put to test which is a good quality of a proposal. Proposal on nurse shortage has had a pre-test with reasons highlighted. It provides the reader with relevant facts making it meaningful and convincing. The thesis statements of the essays are effective because they assure the reader that the problems can be surely be solved effectively. Everything in the proposals has revolved around the problem and the effective ways to solve them. The opening paragraphs of the essays are effective since they have outlined the area of discussion in the essays. The reader can get the important information that is needed for the final decision. The ideas are not concealed between needless words. The points to be put across are to the point and clear. Generally, they have clearly stated the purpose of the proposal at the beginning. The closing sentences as expected should depart with a discussion resolved. The essays do not have repetition of sentences unless for words that requires emphasis. Request for schedule change has shorter paragraphs of one sentence each. The paragraphs are wordy and require reviewing. An example is the paragraph that proposes the schedule the reasons for her proposal should have had each reason on each paragraph. This is the way everyone can understand your points. It also makes the proposal look perfect and attractive irrespective of the content (Trimble,

Tuesday, November 19, 2019

Immigration Research Paper Example | Topics and Well Written Essays - 500 words

Immigration - Research Paper Example Even though a lot of people may not like immigrants because they are putting them out of jobs, immigrants in this economy today are helping to keep inflation low, improve housing values, and benefit taxpayers (Martin, 2007, 3). In other words, immigration helps provide an increase to the U.S. economy. The only people that are really being hurt right now by immigrants are those people without high school degrees (Gelfand and Yee, 2009, 6). Every year they fight against immigrants for jobs and their wages just seem to keep getting lower. Hence, if more immigrants continue to enter each year seeking jobs, it decreases the amount of work available. Immigrants who see their relatives and friends leading a better life than what they were living before, especially of the Hispanic and Latino backgrounds, come to the United States and try to follow their example, but somehow, everyone isn’t that lucky to survive illegally without falling into the hands of the local mafia network, and in the end they become robbers, and gangsters, and also to compliment their pathetic situations are the current foreign policy of America, that allows illegal migrants to get weapons at ease. When immigration is thought of many people may think of it as being a negative effect, but not all people feel that way. Some people still feel that immigrants have little effect on the American economy because there are still not enough of them to influence this country’s economy (Martin, 2007, 4). These people see immigrants as a net benefit to America because they should be paying taxes, using services in moderation, helping drive business development through their own entrepreneurial behavior, keeping industries here in the U.S. that could have relocated overseas, and they take the normal low-paying jobs that U.S. citizens do not want. Various reports show that immigration continues to shape the New York City. Immigrant

Saturday, November 16, 2019

Sleep Disorders Essay Example for Free

Sleep Disorders Essay Nightmares are bad dreams occurring during REM sleep. Children experience nightmares more than adults because they spend most of their sleep in REM sleep. Nightmares can be physical such as sleeping in an uncomfortable position, having a fever, or psychological causes such as stress, anxiety, and ingestion of drugs used in pain killers such as oxycodone and hydrocodone. REM behavior disorder is a disorder where the mechanism that blocks the movement of the voluntary muscles fails allowing the person to thrash around and even get up and act out nightmares. These behaviors can be violent in nature and sometimes can cause injury to either the patient or their bed partnerIt usually occur to men over 60 of age. Sleepwalking also known as somnambulism is an episode of moving around or walking around in one’s sleep. They arise from a slow wave sleep stage in a state of low consciousness and perform activities that are usually performed during a state of full consciousness. It’s common in childhood and occurs more in boys than girls. Most children grow out of their sleepwalking by adolescent age. Night terrors is when a person experiences extreme fear and screams or run around during deep sleep without waking up fully. Sleep terrors usually begins between ages 3 and 12 years and then usually gone during adolescence. In adults they most commonly occur between the ages of 20 to 30. Insomnia is the inability to get to sleep stay sleep or get a good quality of sleep . The cause of insomnia can be psychological and physiological. Those who are having trouble sleeping sometimes turn to sleeping pills, which can help when used occasionally but may lead to dependence or addiction if used regularly for an extended period. Insomnia can occur at any age, but it is particularly common in the elderly. It can lead to memory problems, depression, irritability, an increased risk of heart disease and automobile related accidents. Sleep apnea is when a person stops breathing for nearly half a minute or more. Sleep apnea is a leading cause of excessive daytime sleepiness. Most people who have sleep apnea dont know they have it. A family member or bed partner might be the one to notice signs of sleep apnea. Untreated sleep apnea can increase the risk of high blood pressure, heart attacks, stroke, obesity, and diabetes, increase the risk of heart failure, and irregular heartbeats.

Thursday, November 14, 2019

Analysis of Brave New World by Aldous Huxley Essay -- Brave New World

Analysis of Brave New World by Aldous Huxley Brave New World by Aldous Huxley was published in 1932 after two major global events- World War Two from 1914-1918 and The Great Depression of 1929-1933. These two events changed the way people saw the world and made people see the events were beyond the control of individuals and even governments. Also at this time the world was seeing the rise in technology and the view that science could help solve some of the problems. Much of the technology has been developed because of the war and the mass of people had suffered because of it. All problems with society led to a rise in totalitarian regimes such as those in Russia, Italy and Germany. Huxley uses the novel to question the usefulness of the one party state and shows how it eliminates freedom for the individual. Also in his dystopia, he looks at many areas that we have in our own society such as family, relationships, education, social classes and the role of the individual in society. He shows how far the new world has moved away from nature- they even condition the children to avoid it. The reservation is the only place that has nature and spirituality but it also has its own set of problems that come with freedom. Themes In The Wild: In BNW nature has been eliminated in the ‘civilised’ world and individuals are conditioned to avoid it. For example, in chapter 2, we see babies who crawl towards flowers and books and are conditioned to avoid them by noise, bells and electric shocks. The children are being conditioned because ‘A love of nature keeps no factories busy’. We see the psychological training show its effect in Lenina’s reaction to any form of the natural world. For example, her reaction ... ... Sebastian is brilliant but alone; Deckard is alone as is Tyrell who is symbolically a ‘God’ and is the most powerful man in the film. Even people on the street seem hurried and alienated, struggling to survive. Their attitude to nature is non-existent because for most people the natural world doesn’t exist anymore. Some individuals, like replicants, carry memories but nothing real seems to exist. People relationship with and attitudes to nature is complex in both BNW and BR. In the BNW individuals who live in the city are conditioned to hate nature and this is life long. Those that live on the Reservation struggle to survive and nature is a complex and difficult part of their lives. The setting in BR has eliminated the natural world and consumed all of its resources. The people have little or no nature to relate to and these determine their attitude.

Monday, November 11, 2019

Culture Art and Technology Essay

Among figures of religion, Mahatma Gandhi, Mohammed, and Siddhartha Gautama are some of the prominent individuals who have shared before the world their religious experiences with respect to their own religion. Hinduism, Islam, and Buddhism have all received a great amount of fundamental advancement from the ideas and actions of these important individuals. Not only did they help shape the very religion they are attached to—they established it like no other. Yet even though their beliefs and characters are particularly unique from one another being human examples of the tradition in which they are a part of, they still hold one common strand—they all had religious experiences that were influenced by their family ties, geographical location and cultural background to name a few. Through the course of the years, history tells us that the raids later evolved into a struggle motivated by religious grounding— believers against non-believers. This indicates the idea that the spiritual experiences and conquests of Mohammed hold a central position in defining the religious practices of Muslims. While Gandhi espouses peaceful and non-violent methods in attaining the causes of Hinduism, Mohammed and Islam’s concept of jihad adopts the idea that religion itself can be the primary reason for engaging in violent measures in order to further the goal of Islam. Nevertheless, the fact remains that Mohammed’s role in the development of Islam as an established religion in many countries separated by geographical boundaries is crucial inasmuch as it cannot be denied. The same holds true for Siddhartha Gautama whose reputation in the religion of Buddhism is greatly acknowledged as essential both by believers and academic scholars. As Herman Hesse suggests, Siddhartha espouses the idea that, for one to know one’s quest in life, it is imperative to find the source from within and not from without, like a â€Å"flowing river† that attracts â€Å"a deep love for this flowing water† (Hesse 100). Introspection, or an inner contemplation, is one of the main precepts being pushed forward by Siddhartha which further suggests the idea that each individual must take time to isolate one’s self from others in order to be able to focus and to introspect. This idea can be rooted from one of Siddhartha’s life-transforming moments. The religious experience of Siddhartha began after his encounter with a sick man, a poor man, a beggar and a corpse that revealed unto him the idea that humanity is filled with sorrow brought about by the sufferings in life . Being isolated away from the outside world after being confined within his home for almost the entire duration of his early years, Siddhartha began to realize the deeper side of life after the experience. He decided to leave behind his previous lifestyle and pursued, instead, a life of intense asceticism. However, Siddhartha realized that to live one’s life is to neither live in excessive abundance of wealth and material possessions nor in extreme plainness after overhearing a teacher discussing music. In the end, he pursed the Middle Way, or the way of life that takes the middle path instead of the extremes . These aspects hold the key to understanding the Buddhists’ primary religious experience which is significantly felt, at least in modern times, in the social context of teaching others the way of living life in the Middle Path through a life of internal contemplation or personal reflection. As Siddhartha dedicated his life to pursuing the Middle Path after his yogic meditations, followers of the Buddhist religion later on adopted this method as one of the cornerstones or identities of their group. This suggests the idea that the religious experience of Buddhists in general is strongly tied to a personal level as its most basic foundation. Manifested through yogic meditations, Buddhist monks of today incorporate in their daily lives these principles . Moreover, it can be observed that Islam calls for a life that is centered on Allah while Hinduism, as exemplified by the life of Gandhi, calls for a life that should be dedicated towards the lives of others . It is religious imperative in Islam that Muslims should direct their lives towards revering Allah in every thought and action and that, correspondingly, the religious experience of every Muslim should all the more reflect their strong attachment to Allah (Boyd 69). As Mohammed himself is the foremost Muslim who has been able to fully actualize this thought, it remained an integral part in the lives of the millions of Muslims all around the world. This incorporates the idea that the religious experience of a single individual—the prophet Mohammed—has greatly affected the succeeding generations that came to follow the same path. While Islam essentially requires the primordial importance of Allah, Hinduism has been closely attached to the sense that it is a religion that is centered on others. The same holds true for Buddhism although the religion reflects reverence to â€Å"the Awakened One† or Buddha and that Hinduism itself has its own versions of celestial entities or â€Å"Devas† as well as the concept of â€Å"Brahman† which refers to the greater Self or God. These things constitute the belief that, although Hinduism, Buddhism, and Islam have parallel ideas of higher beings or divine entities, it appears that Islamic treatment for a higher being supersedes those of the other two. This can be rooted out from the fact that the scriptures of Islam and its religious followers and believers put Allah above everything else while Hinduism and Buddhism, through their yogic meditations, allow or give due importance to the self as well. This is not to say that Islam as a religion does not give due importance to its believers. It only entails the idea that Islam treats man as a being that should be placed under Allah and that Hinduism and Buddhism illustrate a rather more salient consideration for the welfare of man. Mahatma Gandhi, for example, showed his concern for others by teaching the poor exploited peasants in the region of Champaran in Bihar about the satyagraha, inquiring about their sufferings, educating them to fight for their rights and at the same time to carry out their obligations to the nation as a whole . Siddhartha, on the other hand, lived his forty-five years traveling along the country, finding sustenance on the alms given by other people after teaching the people the means that will liberate humanity from worldly sufferings . Moreover, one of the notable religious experiences of both Gandhi and Siddhartha is pegged on the idea that they both waged a â€Å"battle† in terms of forwarding their beliefs in the context of their religion. While Gandhi strived for peaceful measures—passive resistance, for example—in order to achieve his aim for a peaceful world with equality among religions and Siddhartha pushed his ideologies of liberating humanity from the worldly sufferings they experience through teaching them the Four Noble Truths and the Eightfold Path, Mohammed took a rather different approach. The fact that Mohammed engaged in jihad or in battles through the â€Å"sword† reveals the idea that Mohammed will take up arms in defending the religion against aggressors or in forwarding Islamic tenets. Thus, it can be argued that the religious experience of Mohammed, or at least the part in which he waged battles in his religious life, is distinctively different from those of Gandhi and Siddhartha. The differences in the religious experiences among the three can be largely seen on their corresponding actions and exploits during their existence and the resulting consequences it created on their religions. This also affects these religions view on disasters. Jihad is indubitably a central part of Islam; Yogic meditations play a significant role in Buddhism and Hinduism with former embracing the Middle Path and the latter guiding the lives of its believers through its sacred texts. The Qur’an greatly emphasizes the idea that Allah should be above everything else; Hinduism seeks to treat everyone and every other religion their due recognition in the sense that to each is his own truth or, at the most, God; and Buddhism’s goal is to free human beings from suffering and the cycle of rebirth and make them know the â€Å"truth†. Conclusion The religious experiences of Mahatma Gandhi, Siddhartha Gautama, and Mohammed all have a great bearing on the religions they belong to. These individuals have a large sum of contributions not only to the expansion of the reaches of Hinduism, Buddhism, and Islam but on the very central precepts of these religions. Although each of them has their own specific religious experiences and beliefs, and that while it may be true that each of them forwards distinctive approaches in meeting their religious goals, they all nevertheless share the parallel idea that religion is a significant section of their lives. In essence, however, their respective cultural background, geographical location, and family ties among many others have strongly shaped their religious experiences which, as a consequence, influenced their religion. Above all these, by comparing and contrasting the lives of Mohammed, Siddhartha and Gandhi, one is able to better understand some of the main—and oftentimes subtle—differences between these religions view on disasters in life. References: Aly, A. â€Å"The Life of the Prophet Muhammad†. 1999. (October 3, 1999): AT&T Knowledge Ventures. April 2008. . Borman, William. â€Å"Life, the Chief Value: Wrong Aims and Methods, and False Views. † Boyd, Stephen Blake. â€Å"Malcolm X’s Religious Pilgrimage: From Black Separatism to a Universal Way. † Redeeming Men: Religion and Masculinities. Ed. Stephen Blake Boyd. Louisville, Ky: Westminster John Knox Press, 1996. 69. Gandhi and Non-Violence. Albany, N. Y. : State University of New York Press, 1986. 200. Gandhi, Mahatma. An Autobiography: The Story of My Experiments with Truth. Long Island, N. Y. : Buccaneer Books Inc, 2007. Hesse, Hermann. Siddhartha. New York: Bantam Classics, 1981. Levine, Marvin. â€Å"The Story of Siddhartha. † The Positive Psychology of Buddhism and Yoga: Paths to a Mature Happiness: With a Special Application to Handling Anger. Mahwah, N. J. : Lawrence Erlbaum Associates, Inc. , 2000. 12. â€Å"Life of Siddhartha Gautama†. 2002. Human Ecology. April 2008. . Mahatma Gandhi: His Life in Pictures. New Delhi: The Central Electric Press, 1954. Neusner, Jacob, and Tamara Sonn. â€Å"Jihad (Islam). † Comparing Religions through Law: Judaism and Islam. New York: Routledge, 2002. 203. â€Å"Some Thoughts on the Power of Focused, Principled Hatred. † Imperial Hubris: Why the West Is Losing the War on Terror. Washington, D. C. : Brassey’s Books, 2004. 6. Swenson, Don. â€Å"The Dilemma of Delimitation: The Study of Ethos. † Society, Spirituality, and the Sacred: A Social Scientific Introduction. Peterborough, Ont. , Canada: New York Broadview Press, 1999. 255. Yob, Iris M. â€Å"Growing up Buddhist. † Keys to Interfaith Parenting. Hauppauge, N. Y. : Barron’s, 1998. 79.

Saturday, November 9, 2019

Minor Disorders in Pregnancy

Pregnancy is a time when a woman’s body will go through numerous adaptations in order to accommodate the fetus. During these physiological adaptations, the organs such as spleen and liver and systems such as the endocrine and circulatory systems will be affected. A woman can experience minor disorders that are most likely the result of hormonal changes on the smooth muscle and connective tissues. This paper endeavours to describe some of the minor disorders in pregnancy in particular, heartburn (reflux oesophagitis), constipation, haemorrhoids, dermatoses and epistaxis.The major physiological reason for heartburn (reflux oesophagitis) in pregnancy is due to the relaxation of the LES(lower esophageal sphincter) and the decreased tone and mobility of the smooth muscles, which is caused from increased progesterone. As the fetus increases in size, pressure in the abdomen compounds, decreasing the angle of the gastroesophageal junction. This allows for oesophageal regurgitation, le ss time for the stomach to empty and reverse peristalsis (Blackburn 2007; Stables & Rankin 2010).The main symptoms of heartburn are a â€Å"burning sensation† in the chest or back of the throat. Other symptoms may include eructation, difficulty in swallowing, and an acid or metal taste in the mouth. In terms of advice, there are some standard measures that can alleviate symptoms. These include examining the woman’s diet and eliminating foods that might aggravate, eating smaller portions and more frequently, sleeping in upright positions and avoidance of eating closer to bedtime (Law et al. 2010; Vazquez 2010).Constipation is known to affect more that 40% of women during their pregnancy (Derbyshire, Davies & Detmar 2007). In looking at the physiological reason for constipation, increasing levels of progesterone affects bowel motility and reduces the peristaltic movement of the gastrointestinal tract. This is turn then increases the time food is passed through the gut ca using increases in electrolyte and subsequent absorption of water in the large intestine. Motilin a hormone that assists faeces to pass through the colon is also decreased by the levels of progesterone (Derbyshire, Davies & Detmar 2007).Constipation could also be the result of hyperemesis gravidarum (pernicious vomiting in pregnancy), or ingestion of prescribed iron tablets for anaemia (Tiran 2003). A diet rich in fibre and increasing fluid intake can help to ease some of the associated problems with constipation. Laxatives should only be used when dietary changes do not assist. In addition women should be advised that ignoring signs for defecation will compound symptoms (Jewell & Young 1996; Vazquez 2010). The levels of fibre and fluid consumed should be noted by healthcare professionals when attending to women (Derbyshire, Davies & Detmar 2007).Haemorrhoids occurs in pregnancy in 25 – 35% of women and in some populations it can reach 85% (Staroselsky et al. 2008). Haemorrho ids occur due to progesterone causing vasodilation in the ano-rectal area. In some cases there is a direct relationship between constipation and the formation of haemorrhoids. Main symptoms are itching, burning, swelling around the anus and bleeding. Pain with bowel movements and bleeding are often the first signs of haemorrhoids. As there is a close relationship between constipation and haemorrhoids, the advice given to women with regards to treatment would be similar to constipation.In (Staroselsky et al. 2008) it is stated that topical treatments and the use of laxatives can reduce symptoms. The integumentary system is no different to any of the other systems affected by physiological changes in pregnancy. There are a number of skin irritations that can cause discomfort to a woman during her pregnancy, but these do not harm the fetus. Melanocyte-stimulating hormone is increased by progesterone and oestrogen levels. Chloasma or â€Å"pregnancy mask† is one of the conditions to arise from hormone increases (Stables & Rankin 2010).Hyperpigmentation is the most common skin alteration in pregnancy. About 90% of women will develop linea nigra which is found running from the xiphoid process to the pubis. A common dermatoses found in pregnancy is a condition called PUPP (pruritic urticarial papules and plaques) The development of PUPP in pregnancy is 1 in 160 (Sachdeva 2008). This usually occurs in the primagravida in the third trimester and in rare cases in the first and second. In (Brzoza et al. 2007; Roth 2009) the reasons for PUPP is unclear but suggestions are made that maternal weight gain in primiparous women is the cause.Interestingly statistics show that 2. 9% of twin pregnancies and 14% of triplet pregnancies develop PUPP. It is thought, that abdominal distension, hormonal, autoimmune and change in partners (implication of paternal antigens) could attribute to the condition. Conditions such as Pemphigoid gestationis (PG), Intrahepatic cholestasis o f pregnancy (ICP), and Atopic eruption of pregnancy ( AEP) require the monitoring from dermatologists, obstetricians, midwives and other relevant healthcare practitioners as they do pose high risks to mother and baby (Brzoza et al. 007; Sachdeva 2008). With PUPP the main symptoms women complain of is an intense itching usually around the abdomen and in some cases breasts, upper thighs and arms. In the case of PUPP’s, the application of topical steroids, emollient creams and ointments may be applied and in severe cases oral treatments may be sought (Roth 2009). Epistaxis (nosebleeds) is considered a minor disorder but in one study has proven to be life threatening. Oestrogen rises, which causes hyperactivity of the parasympathetic nervous system which in turn causes nasal congestion.One of the other reasons is systemic blood pressure increases in pregnancy. Complications from nosebleeds is rare, but if not monitored could lead to haemorrhage (Hardy, Connolly & Weir 2008). In t his study a woman presented at 26 weeks with epistaxis but 48 hours later continued to bleed and surgery was the outcome. There is also evidence that chronic rhinosinusitis can lead to epistaxis. One study 44% of women between the ages of 26-30 and presenting in the third trimester appeared to have the highest incidence of epistaxis.It must be noted that though this study was conducted in a third world country where nourishment, hygiene and education are an issue, there are potential risks of epistaxis in pregnancy. (Purushothaman 2010) Maternal morbidity in pregnancy is very well researched and evidence based, but the impacts that minor disorders have on a woman’s family or her emotional state is not well documented. However, there is one such Australian study stating the impact on women. In (Gartland et al. 2010) it showed that 68% experienced multiple disorders which had a cumulative effect and therefore greater impact.What is interesting in the study was that women aged b etween 18-24, had a poor perception of health, socio-economic and education issues. In comparison to those older women who had stable relationships, well educated and better perception of health. The study demonstrated that a woman’s support network, access to professional advice and education can greatly impact her wellbeing and those around her. This assignment has explained the physiology and reasons for minor disorders in pregnancy. It is important that midwives and relevant healthcare professionals monitor women so as to prevent further complications to mother and child.The health and wellbeing of a mother and her unborn child is always the utmost priority of healthcare professionals. . References Blackburn, S. T. 2007, Maternal, fetal & neonatal physiology : a clinical perspective, 3rd edn, Saunders Elsevier, St. Louis, Mo. Brzoza, Z. , Kasperska-Zajac, A. , Oles, E. & Rogala, B. 2007, ‘Pruritic urticarial papules and plaques of pregnancy', Journal of Midwifery & Women's Health, vol. 52, no. 1, pp. 44-8. Derbyshire, E. J. , Davies, J. ; Detmar, P. 2007, ‘Changes in Bowel Function: Pregnancy and the Puerperium', Digestive Diseases and Sciences, vol. 2, no. 2, p. 324. Gartland, D. , Brown, S. , Donath, S. ; Perlen, S. 2010, ‘Women’s health in early pregnancy: Findings from an Australian nulliparous cohort study', Australian and New Zealand Journal of Obstetrics and Gynaecology, vol. 50, no. 5, pp. 413-8. Hardy, J. J. , Connolly, C. M. ; Weir, C. J. 2008, ‘Epistaxis in pregnancy – not to be sniffed at! ‘, International Journal of Obstetric Anesthesia, vol. 17, no. 1, pp. 94-5. Jewell, D. ; Young, G. 1996, Interventions for treating constipation in pregnancy, John Wiley ; Sons, Ltd.Law, R. , Maltepe, C. , Bozzo, P. ; Einarson, A. 2010, ‘Treatment of heartburn and acid reflux associated with nausea and vomiting during pregnancy', Can Fam Physician, vol. 56, no. 2, pp. 143-4. Purushothaman, L. P. a. P. K . 2010, ‘Analysis of Epistaxis in Pregnancy', European Journal of Scientific Research, vol. 40, no. 3, pp. 387-96. Roth, M. -M. 2009, ‘Specific Pregnancy Dermatoses', Dermatology Nursing, vol. 21, no. 2, pp. 70-81. Sachdeva, S. 2008, ‘The dermatoses of pregnancy. (Review Article)', Indian Journal of Dermatology, vol. 3, no. 3, p. 103. Stables, D. ; Rankin, J. 2010, Physiology in childbearing : with anatomy and related biosciences, 3rd edn, Bailliere Tindall, Edinburgh. Staroselsky, A. , Nava-Ocampo, A. A. , Vohra, S. ; Koren, G. 2008, ‘Hemorrhoids in pregnancy', Can Fam Physician, vol. 54, no. 2, pp. 189-90. Tiran, D. 2003, ‘Product focus. Self help for constipation and haemorrhoids in pregnancy', British Journal of Midwifery, vol. 11, no. 9, pp. 579-81. Vazquez, J. C. 2010, ‘Constipation, haemorrhoids, and heartburn in pregnancy', Clinical Evidence.

Thursday, November 7, 2019

The Thirteenth Tale by Diane Setterfield - Review

The Thirteenth Tale by Diane Setterfield - Review The Thirteenth Tale by Diane Setterfield is a rich story about secrets, ghosts, winter, books, and family. This bestseller is a book lovers book, with much of the action taking place in libraries and book stores, and the line between fact and fiction constantly blurred. It is hard to believe this is Setterfields debut novel, for she makes the words come to life with such skill that some passages even gave me chills. With a mug of cocoa and The Thirteenth Tale, contentment isnt far away. Synopsis of The Thirteenth Tale Margaret Lea works in her fathers bookstore and is haunted by a loss in her past.One night Margaret is summoned to the home of the most famous author in England to record her autobiography.Vida Winter, the author, tells a layered tale, with stories within stories, keeping Margaret (and readers) curious. Pros The writing is poetic.The characters are unique.The story is interesting, imaginative, and exciting. Cons You will want to drink lots of cocoa while reading (this is only a con for the weight conscious). The Thirteenth Tale by Diane Setterfield - Book Review The Thirteenth Tale by Diane Setterfield is reminiscent of classic British novels, like Wuthering Heights and Jane Eyre. It has tragedy, romance, moors, and dark, stormy nights. In a way, The Thirteenth Tale is a homage to these and all other great works of literature. The power of books and stories is foremost in the novel, and as the main character gets lost in one story, youll find yourself lost with her in the story within a story (as well as the story surrounding the characters story). This is not a realistic book. It isnt meant to be. The aura of fairytale lends power and mystery to the writing. While place is utterly important to the book, time is not. Dont  try too hard to figure out when the novel is supposed to take place. It could just as easily have been now as a hundred years ago. Perhaps all this talk about place, time and story seems roundabout to you. Perhaps you want a synopsis of plot and a straightforward review so that you can decide whether to read this book. Heres what to expect: A good story written by a very good writer about a good story told by a very good writer. This can be a fun read for a book discussion club, especially for the autumn and winter months. See a list of questions you can explore with your book club for The Thirteenth Tale.  The audiobook version is well-received for those who prefer to listen rather than read. The book was adapted for a UK TV movie released in December 2013, starring Vanessa Redgrave and Olivia Colman. Setterfields second novel, Bellman Black, (2013) does not garner as good of reviews. Hopefully, her further works will be back up to the standard she set with her first.

Monday, November 4, 2019

Authority Article Example | Topics and Well Written Essays - 2000 words

Authority - Article Example Importantly, Fromm does not have one line of thought and he is both a psychoanalyst and philosopher, and a historian and sociologist at the same time. In effect, his work cuts across these important disciplines; this makes it more balanced and informational than the work of other writers who focused on a specific discipline. Summary Written during the cold war era, and especially during the Cuban missile crisis, this essay focuses on the beguiling comfort that obedience of any form produces on human beings. In this regard, the essay posits that obedience does not contribute to sweeping changes that disobedience can provide. The essay starts with a historical cliche that has been the rallying call for obedience all through humanity. Fromm identifies the phrase â€Å"obedience is a virtue, disobedience is a vice† as a phrase that people have used overtime to assert the importance of people following authority, which the essay highlights as obedience in an irrational form. Howeve r, Fromm introduces a departure from this common viewpoint by introducing a divergent view that highlights the importance of disobedience among human beings. This article postulates that all the great achievements and strides that human beings have made are a result of disobedience. Hence, the article suggests that â€Å"human history started with an act of disobedience, and it is not unlikely that it will be terminated by an act of obedience† (Fromm 683). ... Consequently, this ushered in the importance of disobedience since it contributed to the advancement of human history. On the other hand, Prometheus stole from the gods in an act of disobedience and consequently laid the foundation for civilization according to Greek mythology. (Fromm 684). These Greek and Hebrew myths set the pace for humanity’s evolution with the two instructively being acts of disobedience. Fromm further highlights other cases that indicate man’s evolution based on disobedience, and suggests that disobedience might destroy civilization in the future. In this case disobedience has resulted to revolutions that have established institutions that govern people. Furthermore, from does not negate obedience as a vice in its entirety. He suggests the importance of ensuring that an individual strikes a balance between obeying some principles and disobeying others in order to subscribe to a cause. This way, Fromm indicates that an individual does not become a rebel with a cause or a slave by obeying the powers that be that purport obedience as a way of achieving success and power. Analysis Based on Fromm’s work, it is evident that human beings’ achievement in terms of civilization would appear implausible without disobedience. In line with this, all the strides that are evident today are due to the great men and women who have made history by disobeying and behaving outside the expected norms in order to achieve their objectives. For example, the freedoms that people experience today are a result of various people going against the grain to agitate for freedom and autonomy from the powers that be, which are for the maintenance of the status quo with courageous people advocating for

Saturday, November 2, 2019

Models of Instructional Design Essay Example | Topics and Well Written Essays - 1000 words

Models of Instructional Design - Essay Example The main models of instructional design are conceptualizing instructional design, a stimulus-response-reinforcement model and cognitive learning theory. Conceptualizing instructional design was developed by Gagne and Briggs during the 1970s. Thos theory incorporates cognitive theory popular during this period of time. Gagne and Briggs defined a set of requirements for instructional design systems, including that the system (a) must be designed for the individual, (b) should include immediate and long-range phases, (c) should substantially affect individual development, and (d) must be based on knowledge of how people learn (Gagn & Briggs, 1974). Their theory was based on a set of capabilities, or learning outcomes, that students would acquire through instruction. These outcomes were classified into five categories: verbal information, intellectual skills, cognitive strategies, motor skills, and attitude. The second theory of instructional design is based on behavior characteristics and behavior patterns. A stimulus-response-reinforcement model was developed during the 1960s and was based on behaviorist learning theories. Studies sought to determine the most effective means of implementing a stimulus-response-reinforcement model to ensure that the prescribed learning outcomes would be achieved. A major goal of research centered around a behaviorist task analysis and the development of behavioral objectives for learning (Tennyson, 1972 cited Jonassen et al 1989). The third theory selected for analysis was developed during 1980s and influenced by new concepts and investigations in the field of cognitive psychology. Tennyson and Rasch (1988) offered a theory of instructional design that directly attaches specific allocations of instructional time to desired educational objectives and goals. They prescribed an instructional design theory that links cognitive learning theory with appropriate instructional strategies. By allocating time across a range of objectives they blended the structured and discovery approaches. In the acquisition of knowledge both structured and discovery strategies are employed. Although their goal was improving employment of knowledge, they specified both group and individual situations to help learners elaborate and extend their individual knowledge bases and cognitive processes (Scandura & Scandura 1980). In contrast to two previous theories, cognitive learning theory explains mental processes and takes into account thinking and perception processes. In contrast to this theory the goals of the behavioral analysis were on identifying small, incremental tasks or subskills that the learner needed to acquire for successful completion of the instruction, designing specific objectives that would lead to the acquisition of those subskills, and sequencing subskill acquisition in the order that would most efficiently lead to successful learner outcomes (Scandura & Scandura 1980). Also important to researchers' investigations was the search for variables of individual differences. The goal from this perspective is the development of instructional programs that would enable the majority of students to achieve levels of performance that were predetermined in terms of behaviorally defined objectives (Jonassen et al 198