On Television Essay Example | Topics and Well Written Essays - 500 words

On Television - Essay Example He goes on questioning whether the television medium presents the topics accurately or imperatively. The problem of the journalists and the news field is focusing on the truth which has chances to get either approved or disapproved. Like what has been discussed in the argument that â€Å"television presentations almost automatically dumb down due to cultural –social and technological structures of the field†. But according to Bourdieu the documentary series or program takes a little time to reach the likeness or approval of the audience than the story telling session, or dramas. The reason he has analysed is that news reports will be concentrated towards emphasising the true incident which has brought changes in the television production of the news field in a cultural concept, and the relationship that exist between the intellectuals and the public or the political and the social community. The success of the journalism in television media seems to depend mostly on the responsibility that the intellectual takes to reach the political and the social community. He mainly argues the role and the impact of the journalistic field in a television media with the social and cultural structures. He looks at the solution form the perspective of an individual, and so he says that if an individual takes the role of organising a news documentary for a television presentation so cautiously keeping in mind the social and political expectation rather than obliging what the television industry has to impose on a cultural circle. The television has changed the role of the journalistic field, though it has all forms of technologies to present the information true to life, the journalistic media remains a decline among the public. This he finds due to many reasons one would be that television has all the powerful cultural means to present all the recent political as well as social and cultural issues more effectively than the print media, as a result the television industry and

American Government Coursework Example | Topics and Well Written Essays - 250 words

American Government - Coursework Example The problem becomes the Federal Law of racial profiling. It is illegal to racial profile. The illegal immigrants that Arizona are targeting come from south of the border. The illegal immigrants are Hispanic looking. In order for the police to do their jobs they would have to racial profile under the state law, or ignoring the state law. The Federal law should rule on this subject. Since the Civil War Federal law has overrode state law. If we do not have a unified code of law than each state might as well be a country by itself. Secondly, racial profiling is wrong. If Arizona profiles Hispanics, the south would be able to profile blacks. Finally Federal law should prevail because every state, including Arizona, had representation when the Civil Rights Movement and racial profiling laws were passed. Majority rules in the United States. Federal law should rule over state law due to history and representation. Since the Civil War, Federal law has superseded state law. Every state sends representation to Congress, thus laws created are made by all states. In order to have a whole country, states must work together. Federal law should take precedent over state law in this case. If states want to have singular law, succession is another

Blood Sugar and Lipid Profile: Effects of Garlic and Ginger

Blood Sugar and Lipid Profile: Effects of Garlic and Ginger Comparative Efficacy of Garlic and Ginger on Blood Sugar and Lipid Profile of Alloxan Induced Diabetic Mice Amna Masroor Allium sativum and Zingiber officinale are vegetables used for seasoning, flavoring, culinary and in herbal remedies as they hold insulinotropic properties playing significant role in maintaining ÃŽÂ ² cells helpful to lower blood glucose level in diabetes. Both are also siginificant in lowering blood lipid levels. The experimental trial of 4 week is planned to investigate the comparative effect of ginger and garlic on blood sugar level and lipid profile in alloxan induced diabetic mice. 25 male mice rats weighing between 40 and 50 g will be used for the study. Diabetes will be induced in fasted mice (12hrs) by a single dose intraperitoneal injection of 40 mg/kg body weight of alloxan. The diabetic state will be assessed by measuring the non-fasting plasma glucose concentration 72hrs after alloxan treatment. The rats with a plasma glucose level above 180mg/dl will be selected for the experiment and considered as diabetics. Mice will be divided into 5 groups having 5 in each as: No rmal Control (group 1), Diabetic control (group 2), Diabetic+ garlic (30g/100g diet group 3), Diabetic + ginger (30mg/kg diet group 4) and Diabetic + ginger and garlic (30g/ 100g group 5). In the end of trial the blood sugar and lipid parameters will be checked and compared. INTRODUCTION: Diabetes mellitus and its allied discrepancies is one of the prominent menaces of developing economics. Pakistan is at 6th position however, at the end of the year 2030; approximately 376 million people will be suffered (Wild et al., 2004). Diabetes is a metabolic syndrome that steadily affects different physiological systems of the human body. It is one of the leading causes of mortality in worldwide and, if uncontrolled, can threat multi-organs system (Zakir et al., 2008). Uncontrolled blood glucose is believed to be the cardinal feature in the onset of diabetic difficulties of both type 1 and type 2 (American Association of Diabetic Educators, 2002). Most common type is Type 2 category, while Type 1 diabetes develops in early childhood. Main reasons include sedentary lifestyles, energy rich diet, lack of physical exercise and obesity (Yajnik, 2001). Diabetes is mainly characterized by relative deficiency in insulin secretion or insulin action associated with hyperglycemia and malfunctioning in the metabolism of carbohydrate, lipid and protein. It may also leads to various other complications like cardiovascular disorders, oxidative stress and immune dysfunction may develop (Nogichi, 2007; Rana et al., 2007).Cardiovascular complications are the major cause of morbidity and mortality all across the globe. Increased cholesterol level and LDL oxidation trigger events that initiate atherosclerosis (Matsuura et al., 2008; Andican et al., 2008; Whale and Heys, 2008). To cope with this situation a number of herbal medicines for diabetes mellitus and its allied diseases have been emerged (Alarcon-Aguilara et al., 1998; Marles and Farnsworth, 1995). Drug treatment is obligatory nevertheless, accompanied by various side effects and their effectiveness decreases with the passage of time (Zakir et al., 2008; Lapshina et al., 2006). Physical exercise and diet selection is one of the significant strategies to manage diabetes and its allied complications including immune dysfunction, degenerative and cardiovascular disorder. Allium sativum, Zingiber officinale and their bioactive constituents hold insulinotropic properties playing significant role in maintaining ÃŽÂ ² cells helpful to address the menace. Garlic (Allium sativum) is an essential vegetable that has been widely utilized as seasoning, flavoring, culinary and in herbal remedies (Rivlin, 2001). Garlic has been shown to have diverse biological activities including antidiabetic, antithrombotic, anticarcinogenic, antiatherosclerotic, antitumorigenetic and various other biological actions (Augusti, 1996).Scientific investigations have depicted that it contains 65% water, 30% carbohydrates along with 5 % of other bioactive components mainly sulfur containing compounds (Milner, 2001). Its important constituents are classified as; sulfur containing compounds and non sulfur containing compounds. Among these organosulphur compounds particularly cysteine sulfoxides and thiosulfinates have greater importance (Tapiero et al., 2004). Allicin (diallylthiosulfinate) and S-allay cysteine are the main thiosulfinates out of which 60-80% is allicin (Lawson et al., 2001).Garlic and its various preparations have potential to lower total plasma cholesterol, reduction in blood pressure and alleviation of blood glucose level (Sterling and Eagling, 2001). Some studies confirmed anti hyperglycemic effects of garlic (Eidi et al., 2006). Garlic may act on blood glucose through various mechanisms and therefore directly lowers blood glucose level by exciting glycogenisis and preventing glycogenolysis and gluconeogenisis in muscles and hepatic (Ebomoyi et al., 2010). The fiber of garlic may also hamper carbohydrate absorption; thereby affecting blood glucose (Gholamali A Jelodar, 2005). Antioxidant property of garlic is another possible mechanism that makes it a contender as antidiabetic agent (Queiroz et al., 2009; Lee et al., 2009). Antioxidant effect of S-allyl cysteine sulfoxide, isolated product from garlic is considered to have antiglycation properties. Different supplementations of garlic hold remarkable effect on cholesterol level, LDL cholesterol and HDL cholesterol. Consumption of garlic and garlic preparations are very useful in regulating plasma lipid levels (Lau, 2006), plasma anticoagulant activity (Pierre et al., 2005; Lawson et al., 1992) and also contributed toward the prevention of atherosclerosis process (Rehman and Lowe, 2006).Ginger is also very effective for lowering blood sugar, cholesterol and triglyceride levels (Bhandari et al., 1998). Ginger (Zingiber Officinale) commonly called Adrak belongs to family Zingiberaceae (Joshi, 2000). It is used in both ways as food additives (Flavor) or as a medicine and it is useful in preventing or treating a variety of human ailments including migraine headache, elevated cholesterol level, hepatotoxicity, burns, peptic ulcers, nausea, vomiting and motion sickness (Robbers and Tyler, 2002).Chemical constituents of ginger are camphene, cineol, zingiberine, gingerol and ÃŽÂ ²-ph ellandrene (Shinwari et al., 2006). Ethyl acetate extract of ginger produces significant reduction in glucose concentration and also decreases lipid level (Goyal and Kadnur, 2006). Acute dose of aqueous extracts of Z. Officinale rhizome shows hypoglycaemic activity (Kalejaiye et al., 2002). Ginger promotes glucose clearances in insulin responsive peripheral tissues, which is vital in maintaining blood glucose homeostasis (Li et al., 2012). Ginger treatment considerably reduces the both serum cholesterol and triglycerides (Akhani et al., 2004). The ethanolic extract of ginger also appreciably reduces serum total cholesterol and triglycerides and elevates the HDL-cholesterol levels; also, the extract can protects tissues from lipid peroxidation and shows a significant lipid lowering activity in diabetic rats. Objective: The present study is designed to investigate and explore the hypoglycemic and hypolipidemic perspectives of raw garlic and ginger using alloxan induced biabetic mice modeling. Review of Literature: Ahmed and Sharma, (1997) studied on adult Wister rats were fed diet containing 0.5% ginger (group 3) and combination of ginger and garlic (group 4).Their results showed that the combination of garlic and ginger was much more effective in reducing blood serum cholesterol and blood glucose and in increasing HDL cholesterol. Hence a combination of garlic and ginger is much more effective in reducing blood glucose and serum lipids. Bhandari et al. (1998) studied the effect of ginger on cholesterol fed rabbits, after ten weeks, cholesterol fed rabbits had increased cholesterol, serum triglycerides, serum lipoproteins and phospholipids. When extract of ginger was given the remarkably reduction in the cholesterol, serum triglyceride and serum lipid proteins and phospholipids was observed. Ahmed et al. (2000) examined the dietary effect of ginger on antioxidant dependent system in rats, and his results showed that ginger (Zingiber Officinale; 1% w/w) significantly lowered lipid peroxidation by maintaining the activities of the antioxidant enzymes-superoxide dismutase, catalase and glutathione peroxidase in rats. Ackermann et al. (2001) conducted a study to see the effect of garlic on lipid profile and results indicated that garlic preparations had comparatively lower declines (1.2-17.3 mg/dl and 12.4-25.4 mg/dl) in total cholesterol level as compared to whole garlic after 1 and 3 month correspondingly. Bhandari et al. (2005) discovered that ethanolic extract of ginger significantly reduced serum total cholesterol and triglycerides levels and increased HDL-cholesterol level as compared to diabetic rats, and the extract showed a significant lipid lowering activity and protect the tissues from lipid peroxidation. Goyal and Kadnur, (2006) reported that goldthioglucose cause a significant increase in body weight, glucose insulin level and lipid level in mice and when methanol and ethyl acetate extract of ginger were given to mice for eight weeks that produced significant reduction in glucose concentration and lipid level. Amin et al. (2006) studied the hypoglycemic potential of ginger.The aqueous extract ofraw ginger (500mg/kg) was given to the streptozitocin (STZ) induced diabetic rats for seven weeks. Fasting blood serum was examined and results indicated that the raw ginger was very effective in lowering the serum glucose. Afshari et al. (2007) estimated the effect of ginger powder on nephropathy induced by diabetes, and measured the changes in plasma lipid peroxidation, Wistar rats were treated after the grouping of 3 rats in each. Blood sample was collected from the heart of each rat. The results showed that ginger powder caused decrease in lipid peroxidation. Al-Qattan et al. (2008) reported that in STZ-induced diabetic rats which were injected intraperitoneally with ginger extract for seven weeks, the serum glucose was significantly lowered, and the urine protein reduced to the same level as the normal group. Histological examination clearly depicted that ginger effectively reduced the progression of structural nephropathy in diabetic rats. Islam and Choi, (2008) compared the anti-diabetic effects of dietary ginger and garlic in STZ induced Diabetic rats. In this trial 5-week-old male Sprague-Dawley rats were fed a high-fat (HF) diet (22% fat) for 2 weeks and then randomly divided into six groups of eight animals: Normal Control (NC), Diabetic Control (DBC), Ginger Low (GNL), Ginger High (GNH), Garlic Low (GRL), and Garlic High (GRH) groups. Low and High indicate addition of 0.5% and 2.0% freeze-dried ginger or garlic powder in their respective diets.After 4 weeks data of this study suggested that ginger and garlic are insulinotropic rather than hypoglycemic while overall anti-diabetic effects of ginger are better than those of garlic. Shariatzadeh et al. (2008) exhibited the effect of garlic on lowering blood sugar and preventing and curing nephropathy in STZ induced diabetic rats. 32 male Wister rats were randomly divided into control, control+extract, diabetic and diabetic+extract groups (n=8).Treatment with aqueous-ethanolic extract of garlic (50mg/ kg/day) was followed for 4 weeks. The results revealed that there was significant decrease in blood sugar and increase in weight of kidney and volume of cortex,medulla and kidney. Abd-Elraheem et al. (2009) depicted the effect of ginger extract consumption on levels of blood glucose, lipid profile and kidney functions in alloxan induced-diabetic rats. In this study rats (130-150gm) were divided into 4 groups; normal control rats, diabetic control rats, diabetic rats post-treated with ginger and diabetic rats pretreated with ginger. Ginger extract was administered orally for 6 weeks to post-treated and pre-treated rats, and they were compared with the normal and diabetic groups, respectively. Plasma glucose, plasma lipid,plasma creatinine, urea and uric acid levels were reduced significantly in both post-treated and pretreated groups. Bing et al. (2011) conducted a study to evaluate the hypolipidemic effect of enteric-coated ginger and garlic essence tablet on lipid profile of rats fed high-fat diet and hyperlipidemic subjects. One experimental group having hyperlipidemic rats was assigned to orally expose to three different doses of essence tablet for 30 consecutive days. In addition other experimental group of hyperlipidemic subjects received one piece of ginger and garlic essence tablet twice daily. After 30 days the data of serum lipid profile of both group was obtained which depicted that enteric-coated ginger and garlic tablet remarkably improved blood lipid profile in rats fed high-fat diet and hyperlipidemic subjects. Eyo et al. (2011) revealed the comparative hypoglycemic effect of the hypoglycemic increasing dosages of A. cepa, A. sativum and Z. officinale aqueous extract on alloxan -induced diabetic rats. Increasing dosages (200, 250 and 300mg/kg bw ip) of A. cepa, A. sativum and Z. officinale aqueous extracts were given to the diabetic rats for six weeks and after six weeks blood glucose levels were determined and concluded that A. sativum, A. cepa and Z. officinale significantly decreased blood glucose as 79.7%, 75.4% and 56.7% respectively. Ashour et al. (2011) conducted a study was to investigate the short term effect of garlic oil on the antioxidant status as well as insulin level in streptozotocin (STZ) induced diabetic rats. In diabetic rats (two groups), one treated by garlic oil (200 mg/kg b.wt) and the other group treated by vehicle (corn oil; 2 ml / kg b. wt,) for 8 weeks. Results showed the significant increase in levels of superoxide dismutase (SOD), catalase, GPx, C-peptide and insulin on oral administrations of the garlic oil in the diabetic rats. Prasad et al. (2012) investigated hypolipidimic effects of ginger-juice in rat. Albino rats (n=6-12) were administered G.J at single dose (4ml/rat, p.o) as a chronic treatment over period of 21 days. After the 21 days the lipid profile parameters were checked and which indicated that treatment with ginger-juice in rats significantly reduced the total serum cholesterol level and significantly increased the serum HDL-cholesterol. So it was concluded that ginger juice has hypolipidemic effect. Sanghal et al. (2012) conducted a trial to check the comparative efficacy of ginger and garlic on hypertension and hyperlipidemia in rats. In this study total 18 rats were taken and equally divided into three (control, ginger and garlic) groups by random selection. Ginger and garlic (500 mg/kg orally) were given to two separate groups of rats fed on high fat diet for a period of 7 weeks. Blood pressure and lipid profile were measured on day 0 and after 7 weeks. Comparative results depicted that ginger has better although not significant preventive effect on systolic blood pressure and garlic has better preventive effect on lipid levels. MATERIAL AND METHODS: This experiment will be conducted to investigate the comparative effect of garlic and ginger on blood sugar level and lipid profile of alloxan induced diabetic mice. Plant Material: The A. sativum and Z. officinale used for the experiment will be purchased from the Ayub Agricultural Research Institute, Faisalabad. Animal Model: 25 mice weighing 30-35g will be purchased from National Institute of Health, Islamabad and kept in the animal house of the National Institute of Food Science and Technology (NIFSAT), University of Agriculture Faisalabad. They will be maintained at a temperature of 25  ± 1 °C and relative humidity of 45 to 55% under 12-h light: 12-h dark cycle. They will be fed with normal diet and water ad libitum. Induction of Diabetes Mellitus: Diabetes will be induced in mice by a single intraperitoneal injection of aqueous alloxan monohydrate (40 mg/kg, i.v.) solution. After 72 hrs animals showing serum glucose level above 180 mg/dl (diabetic) will be chosen for the study. Experimental Protocol: The experimental animals will be divided into 5 groups; each group will contain 5 animals: Control group G1 (normal without treatment), diabetic control group G2 (injected with 40mg/kg b.w. of alloxan), diabetic mice treated with 30g/100g diet of garlic for 4 weeks G3, diabetic mice treated with 30g/100g diet of ginger for 4 weeks G4 and diabetic mice treated with 30g/100g diet containing mixture of garlic and ginger G5. Data Collection: Data will be collected for different parameters for body weight, feed and water intake. Collection of Blood Samples: At the end of 4 weeks blood samples will be collected by sacrificing the animals for determination of blood glucose and lipid profile. Proximate Analysis: The proximate analysis of garlic and ginger for moisture, total ash content, crude protein, fat, crude fiber and nitrogen free extract will be done by using the method given by AOAC (1990). Statistical Analysis: The resulting data will be subjected to some appropriate statistical techniques. Reflection | Physiotherapy Placement Reflection | Physiotherapy Placement The Department of Health (DoH) (2003) highlighted the importance for all professions currently regulated by the Health Professions Council to demonstrate competence through continuing professional development (CPD). CPD is a systematic, ongoing, structured process that encourages the development and maintenance of knowledge, skills and competency that assists us in becoming better practitioners (Chartered Society of Physiotherapy (CSP), 2003). As a result of the Health Act (1999) and for registration with the Health Professions Council (HPC), CPD is a legal requirement (HPC Standards of Proficiency, 2007) that must be completed in accordance with the (HPC) Standards of Continuing Professional Development (HPC, 2006). This essay allows for demonstration of life-long learning using evidence from clinical practice and critical evaluation to contribute to my CPD. Learning outcome 5 will be demonstrated throughout this essay. Throughout this essay the reader is directed to the appendices to support theory with evidence of practice. I considered my motivations for undertaking CPD before writing this essay and reflected upon them again on completion (Appendix 1). Demonstrate professional behaviour with an understanding of the fundamental, legal and ethical boundaries of professional practice Beauchamp and Childress (2001) identify four ethical principles; Autonomy, Beneficence, Non-maleficence and Justice. These ethical principles can be used to morally reason whether an action or decision is right or wrong when used in conjunction with a set of guidelines (Kohlberg et al, 1983). Professional codes of conduct are developed within moral, ethical and legal frameworks to help guide and regulate practice (Hope et al, 2008). Every practitioner has clinical autonomy, therefore they are professionally and legally accountable for their actions. The following will discuss the importance of consent and duty of care for both legal and ethical reasons with regards to case 1 (Appendix 2), encounterd on practice placement 6 (PP6). Rule 9 of the HPC standards of conduct, performance and ethics (2008) states you must gain valid consent from a patient for any treatment you may perform or else you could face trial for assault, battery or negligence under civil or criminal law (Hendrick, 2002). It is a fundamental ethical priniciple that every person has a right to exercise autonomy (Article 9; Human Rights Act, 1998) and is reflected in the Core Standards of Physiotherapy Practice (CSP, 2005). Performing a procedure without gaining consent, undermines the moral priniciple of respect for patientà ¢Ã¢â€š ¬Ã¢â€ž ¢s autonomy and human dignity (Sim, 1986). However, inability for Patient X to conform to the Mental Capacity Act (2005) meant he was treated in his best intrest in adherance to section 1.5 of this act and Rule 1 of the HPC (2008) standards of conduct, performance and ethics. Assuming the medical management of Patient X, a legal and professional duty of care was established (Rule 6; HPC, 2008). As part of this duty and in accordance with standard 2 of the CSP Core Standards of Physiotherapy, all interventions were explained to patient X despite his inability to consent. Had I not treated Patient X on the basis he had swine flu, this would have been failing to do justice to him, acting outside of the Disability Discrimination Act (2005) which states everyone should have equitable access to and utilisation of services regardless of disability and also Article 14 of the Human Rights Act (1998) in that no one should be discriminated against based on their health status. The Bolam Test (1957, cited in Dimond, 1999) states if duty of care to a client is breached and subsequent harm to the patient occurs, professional standards have not been kept and therefore negligence can be assumed. Although not legally binding, the CSP rules of professional conduct effectiv ely have the same status as law and failure to comply with them means they may not only be used in disciplinary hearings but also in legal proceeding as a civil case under the tort law of negligence (Dimond, 1999; Hendrick, 2002). In summary, a sound understanding of the legal implications surrounding consent and duty of care can help avoid unwanted litigation, however they should not undermine the ethical implications. Appendix 3 demonstrates how I have learnt from this experience. Assess the needs of a range of service users and, with reference to current professional knowledge and relevant research, apply, evaluate and modified physiotherapeutic intervention A service users is anyone who utilises or is affected by a registrants service (HPC, 2008). The complex needs of a service user encompass a range of issues including social, environmental, emotional and health related, the extent of which varies from person to person. For the purpose of this essay, the physiotherapeutic management of two patients treated whilst on PP6 with differing severities of chronic obstructive pulmonary disease (COPD) exacerbations (Appendix 4) will be discussed. The National Institue for Health and Clinical Excellence (NICE) guidelines (NICE, 2004) in conjuntion with the guidelines for physiotherapy in respiratory care (British Thoracic Society (BST), 2008) advocates the use of active cycle of breathing technique (ACBT) with expiratory vibrations on the chest wall for the treatment of COPD to help aid airway clearance. Inability for patient A to comply with ACBT indicated the use of manual hyperinflation (MHI) to passively inflate the lungs and aid mucocillary transport (Ntoumenopoulos, 2005). As identified by Finer et al (1979), atelectasis is a common problem observed in mechanically ventilated patients for which MHI has been found to be beneficial in reducing it in a well controlled clinical trial by Stiller et al (1996), scoring a PEDro rating of 6/10. Absence of a cough reflex in patient A, resulted in sputum retention and the increased risk of infection indicating the use of suctioning (Pryor and Prasad, 2002) by which, copious amounts of viscous secretions were cleared. Shorten et al (1991) supports the use of saline instilation to loosen secretions prior to suctioining however, conflicting arguments by Blackwood (1999) and Kinloch (1999) question its effectiveness. Patient Bà ¢Ã¢â€š ¬Ã¢â€ž ¢s compliance with ACBT replaced the need for MHI and suctioning. Patient A developed bilateral shoulder subluxations due to his lengthy intubation for which subluxation cuffs were applied, as suggest by Zorowitz et al (1995) with positive effect. Despite this study being on stroke patients, the results can be generalised to other patient groups as proved. The importance of mobilising patients with regards to respiratory function is highlighted by Ciesla (1996), however mobilisation of critically ill patients is restricted as they are often non-ambulatory. A high quality, randomised control trial using fifty-six participants by Mackay et al (2005), identified mobilisation as superior to other respiratory techniques, therefore Patient B was encouraged to sit out and treated using a graduated walking program. In the case of Patient B, mobilisation constitutes any change in position therefore the use of postural drainage positions and positioning into the cardiac chair setting on the bed were used (BTS, 2008). The range of problems service users present with means practitioners need to be adaptable, drawing on current evidence, professional knowledge from different fields of physiotherpy practice and experiences through CPD to deliever indiviualised patient-centred care. Appraise self management of a caseload and modify practice accordingly, demonstarating effective teamwork and communication skills Caseload management typically refers to the number of cases handled in a certain timeframe by an individual for which they have a duty of care towards (Scottish Executive, 2006). It is the management of time effectively through appropriate priority-setting, delegation, and allocation of resources to meet the service demand of its users (Curtis, 2002). Self-management of a caseload and adaptability to changing circumstances is expected of a registrant (HPC, 2008). Well developed time management skills can make a workload more manageable and improve the effectiveness of treatments and quality of time with patients. Prioritising patients to the order in which they will be seen based on their needs is encouraged by SARRAH (2010), however Nord (2002) argues whether it can be justified to prioritise those in most need if their potential benefit may not be as great as those in less need. In my experience prioritisation is dependant on a variety of factors for example, the trust where PP6 was completed, enforced protected meal times which did not run alongside staff meal times. Therefore, to prevent there being a void in the day, patients were still prioritised according to need but considertation had to be given to see patients that would be eating first and treat those that would not be during protected meal times. It is essential to consider that a therapists workload includes not only patient care, but also admistrative and research tasks in which delegation to others can be a valuable stratergy to assist with workload mangement. Curtis, (1999), identifies the need for practioners to show greater awareness of other disciplines competancies so delegation can be more effective. Feedback systems should be enforced to ensure task completion and objectives are being met (Curtis, 2002). Inter-professional collaboration refers to the process by which different disciplines work together to improve healthcare (Zwarenstein et al, 2009). Poor collaboration amongst healthcare professionals contributes to problems in quality of patient care and consequently poorer outcomes (Zwarenstein and Byrant, 1997). Liaison with members of the multi-disciplinary team (MDT) is encouraged by Shortell and Singer (2008) as practitioners are less likely to work off their own autonomy, ensuring patient safety, as demonstrated during handover in (Appendix 5). The learning objectives on PP6 to develop MDT collaboration and caseload management have been achieved as demonstrated in the feedback from my educator (Appendix 6) which identifies that improvement in self confidence will allow further development of the skills discussed. Demonstrate partnership with more junior students and/or appropriate others through the development of mentoring skills Mentoring is a process aimed at transfering knowledge, skills and psycological support from a more experienced person to a less experienced person, where the desired outcome is for both persons to achieve personal and professional growth (Anderson, 1987). An effective mentor facilitates, guides and empowers the mentee in becoming an independent learner (Coles, 1996) in which the relationships developed are based upon mutal respect, trust, confidentiality and shared beliefs and values (Lyons et al, 1990). The CSP (2005) acknowledges the importance of intergrating mentorship into CPD, in which the mentor develops a range of skills transferable to other CPD activities. This section focuses on peer mentoring as a concept, its practice and clinical application on an informal basis. Having identified the characteristics of a mentor (CSP, 2005), a SWOT analysis (Appendix 7) was completed to assist recognition of my personal learning needs. There are four stages to the mentoring life cycle (Appendix 8), in which the mentor needs to adopt and develop new skills to accommodate the mentee and guide them through the process. A qualitative study using a moderate sample size by Chan and Wai-Tong (2000) encourages the use of learning contracts (Appendix 9) to help establish rapports and facilitate autonomous learning which aids progression to stage two of the cycle. This is further supported in a recent review of the literature by Sambunjak et al (2009). Gopee (2008) recognises the importance of analysing the menteeà ¢Ã¢â€š ¬Ã¢â€ž ¢s needs. Foster-Turner (2006) states that different people approach the learning process in different ways therefore, matching the learning styles of the mentor and mentee will produce a more productive and successful relationship (Mumford, 1995; Hale, 2000). Honey and Mumford (1992) suggested people tend to have a predominant learning style and can be classified as activists, reflectors, theorists or pragmatists (Appendix 10). Boud (1999) identifies raising self-awareness as an essential tool used in lifelong leaning and through analysis of learning styles using Honey and Mumfordà ¢Ã¢â€š ¬Ã¢â€ž ¢s (1992) questionnaire, this allowed for reflection on the style of learning that would best suit the mentee to help meet their learning needs (Foster-Turner, 2006) (Appendix 11). As identified by the learning style inventory, the mentee and myself were both reflective learners, therefore we arranged sessions where we could dreflect on a clinical experience and discuss how new learning could be applied to future events. A feedback form from the mentee (Appendix 12) an a SWOT analysis (Appendix 13) demonstrates how through increased self-awareness and review of the literature, I have developed a better understanding of the mentoring process, the skills required and its application in into clinical practice. Developing others is central to current and desired practice (DoH, 2000a, 2000b, 2001, 2002) in which mentorship offers all the key attributes to the process. Preparation of an individual for this role, through self assessment, is central to its success, in which the skills developed are lifelong and can enable development into management and leadership roles later on in life. Demonstrate skills of career-long learning Lifelong learning is used synonymously with CPD and is concerned with practitioners critically reviewing their skills and knowledgebase with the ultimate goal of providing a better standard of care to all service users (French and Dowds, 2008). A recent inquest into a practitioner who did not maintain his competencies, demonstrates the possible consequences of poor CPD (Appendix 14). Appendix 15 details a range of formal and informal activities that can be undertaken to contribute towards CPD, evidence of which can be documented in a portfolio. The importance of staff development is recognised by the DoH documents (2000a, 2000b, 2001, 2002) which sets out the Governments vision of an NHS that prepares allied health professionals with the skills to take advantage of wider career opportunities and realise their potential. By using the competency based framework; The NHS Knowledge and Skills Framework (2004), physiotherapists can participate in development reviews which identify development opportunities and contribute to the fulfilment of personal development plans.

Different Types of Stress Essay -- Papers Essays

Stress Stress. Is there an effective way to cure stress? Stress is an integral part of everyday life, influencing, if not controlling happiness, productivity and health. The complete absence of any stress results in death. Stress is known to cause a variety of psychiatric disorders involving anxiert and depression. More common of which include posttraumatic stress disorder, amajor depression, generalized anxierty, and multiple personality disorders. Hopefully will attempt to explain ways to cure ones illness's caused by Stress. Stress is an adaptive response. The more stress one puts on themselves the weaker their immune system then becomes. A weakened immune system will become susceptible to disease and injury. Stress is the body's reaction to an even that is seen as emotionally disturbing or threatening. To prepare for such an event, the body increases its heart rate and blood pressure; more blood is then sent to your heart and muscles, and your respiration rate increases. There are a variety of steps that stress will take biologically on your body. To prepare for such an event that may be stressful, the body increases its heart rate and blood pressure; more blood is then sent to your heart and muscles, and your respiration rate increases. In the first stage of stress, alarm, the body mobilizes its "fight or flight" defenses, either to resist the stress-causing factor or adapt to it. In this stage, the pituitary-adrenocortical system pours hormones into the bloodstream. The pulse quickens, the lungs take in more oxygen to fuel the muscles, blood sugar increases to supply added energy, digestion slows, and perspiration increases. This is just the beginning of what happens. In the second stage of stress... ...n to other behavioral, dietary, and medical interventions for reducing the risks of heart disease. Stress has also been said to be related to blood pressure. You can have high blood pressure without feeling stressed or tense. However, continual stress may lead to permanently elevated blood pressure. Stress is also associated with the nervous system. Stress activates a group of neurons in the brainstem that project widely to other regions of the central nervous system. When these neurons are stimulated by stress, they release transmitter norepinephrine which, in addition to arousing the brain, causes the activation of the c-fos gene in the target cells. The c-fos protein, in turn, is known to activate other genes that may produce prolonged changes in the function of the brain to stress is a key event in causing persistent psychiatric disorders following stress.

Global Burden Of The Disease Health And Social Care Essay

Cervical malignant neoplastic disease is a major public wellness issue ; it is the 2nd most common malignant neoplastic disease among adult females in the universe, and one of taking cause of decease by gynaecologic malignant tumor in developing states. ( I. Shahramian and co-workers 2011 ) Besides, cervical malignant neoplastic disease is one of the most preventable and curable malignant neoplastic disease when it is detected early, and this is due to its slow patterned advance, since it take several old ages to turn from a noticeable precursor lesion. This cardinal characteristic provides a big window of about 10 old ages or more for effectual early sensing of the precancerous lesion, and forestalling its patterned advance to invasive malignant neoplastic disease. From this position, good organized bar attacks have been applied by high income states over the past 50 old ages, and have resulted in a singular diminution in morbidity and mortality from this invasive disease. The showing plan is a successful illustration for effectual bar from cervical malignant neoplastic disease, it has been used in the Nordic states ( Denmark, Finland, Iceland and Sweden ) ; this plan was examined by the International Agency for Research on Cancer ( IARC ) in 1960s and it was found that the mortality rate in these states fell by about three- 4th, The most drastic lessening was marked in Iceland by 84 % and this was due to the broad mark age scope for testing in this state. ( whomb people ) However, over the same period, developing states have failed through utilizing the same plan to cut down the load of the disease, and cervical malignant neoplastic disease continues to endanger the lives of 1000s of adult females, this may be due to the deficiency of an effectual bar scheme. We will seek in this paper to reexamine the determiners of cervical malignant neoplastic disease testing among Algerian adult females, to clarify the outstanding barriers sing showing and to foreground the chief factors act uponing the single wellness behavior, for this survey, we will utilize the Health Belief Model as a conceptual model, we will explicate the construction of the Health Belief Model ( Becker ) and how the different concepts of the theoretical account could foretell the adult females ‘s wellness behavior sing cervical tumor showing, eventually the application of this theoretical account as a guiding model to anchor behavioral intercessions and to better attitude of adult females sing malignant neoplastic disease showing will be discussed.Epidemiology of cervical cancer/ planetary load of the diseaseGlobal overviewWorldwide, cervical malignant neoplastic disease is the 2nd most common cause of decease among adult females ( ACCP2004 ) with an estimation of 493,00 0 new instances, and 274,000 deceases happening every twelvemonth harmonizing to the statistics of the International Agency for Research on Cancer ( GLOBOCAN, 2002 ) In 2008, 530000 new instances were diagnosed, more than 85 % of the planetary load were registered in developing states ( where it remains the most common malignant neoplastic disease seen in adult females and it accounts for 13 % of all female malignant neoplastic diseases ) , In the same twelvemonth, the cervical malignant neoplastic disease was responsible for 275000 deceases, approximately 88 % of which occurred in developing states 53000 instances in Africa, 31700 in Latin America and the Caribbean, and 159000 instances in Asia. ( GLOBOCAN 2008 ) The figure below shows incidence of cervical malignant neoplastic disease by state, it should be noted that informations from developing states might be underestimated as the official statistics in these states are non dependable. hypertext transfer protocol: //globocan.iarc.fr/factsheets/cancers/cervix-bar.pngRegional overviewAlgeria is a big North African state, extended from the Mediterranean Sea down to the Sahara, with about 37 million dwellers. Algeria has a population of 11,51millions of adult females whose ages are 15 old ages and older, ( WHO/ICO2010 ) which means that about the tierce of the Algerian population is at hazard of developing cervical malignant neoplastic disease. Cervical malignant neoplastic disease is the 2nd most common malignant neoplastic disease among Algerian adult females after the chest malignant neoplastic disease, â€Å" Current estimations indicate that every twelvemonth 1398 adult females are diagnosed with cervical malignant neoplastic disease and 797 dice from the disease † ( WHO/ICO2010 ) About 10, 5 % of Algerian adult females are estimated harbour cervical HPV, and about 77, 1 % of cervical malignant neoplastic diseases in Algeria are related to HPV 16 or 18. ( WHO/ICO 2010 ) But we should observe that even these statistics might be underestimated, The economic impact of cervical malignant neoplastic disease is significantly heavy for the province. The intervention of a individual patient returns to about 2.5 million dinars ( a‚ ¬ 20,000 ) , with this cost we we can accomplish 2000 vilifications ( smear trial cost 20 a‚ ¬ ) and vaccinate 30 adult females.Natural history of cervical malignant neoplastic diseaseUnderstanding the procedure of developing cervical malignant neoplastic disease is a important measure to plan an effectual plan of bar. More than 99 % instances of cervical malignant neoplastic disease are attributed to cervical HPV infection, which is a sexually transmitted disease ( STD ) , the virus is acquired by both work forces and adult females through sexual activity, the infection is normally symptomless and transient. HPV is the most common STD in the universe ; it affects â€Å" about 50 % to 80 % of sexually active adult females at least one time in their life-time † ( ACCP 2004 ) , they contract it in their adolescent, 20 or early 30s. There are more than 100 genotypes of HPV that have been identified, and which are numbered by order of their find, approximately 13 types can take to invasive cervical malignant neoplastic disease and they are known as high oncogenic hazard ( 16,18,31,33,35,39,45,51,52,56,58,59,66 ) ( WHO 2007 ) The two most common are 16 and 18 doing about 70 % of all invasive cervical carcinoma ( 60 % related to HPV 16 and 10 % to HPV 18 ) the whom people The others types of HPV are known as low hazard and they normally associated with venereal warts ( particularly 6 and 11 ) which can turn in the venereal portion in both work forces and adult females ( neck, anus, vulva, vagina, phallus, and scrotum ) and they cause a important morbidity. ( WHO2007 ) , They are really seldom associated with cervical malignant neoplastic disease, but can take to low class alterations in cervical cells which are really similar to those caused by high hazard types. These low lesions are symptomless and impermanent, nevertheless, in some fortunes can germinate and take to high lesion or invasive malignant neoplastic disease. Table: summarizes the different phases taking to cervical malignant neoplastic disease ( ACCP2004 )HPV infectionLow-grade lesionsHigh-grade lesionsInvasive malignant neoplastic diseaseHPV infection is highly common among adult females of generative age. The infection can prevail, take to cervical abnormalcies, or decide on its ain. Low-grade lesions are normally impermanent and vanish over clip. Some instances, nevertheless, advancement to top-quality lesions. High-grade lesions, the precursor to cervical malignant neoplastic disease, are significantly less common than low-grade lesions. High- grade lesions can develop from low-grade 1s or straight from relentless HPV infection. Invasive malignant neoplastic disease develops over the class of several old ages and is most common among adult females in their 50s and 60s. Beginning: Adapted from PATH 2000. HPV is a necessary cause but non sufficient to come on from HPV infection to invasive cervical malignant neoplastic disease, there are other lifestyle factors that increase the chance to develop the malignant neoplastic disease including high para, immature age at first bringing, being in polygamous matrimony, adult females with hubby ‘s adulterous sexual relationship ( D. Hammouda and co-workers 2004, 2011 ) , long term usage of unwritten contraceptive method, baccy smoke, certain dietetic lacks, hapless sanitation, multiple sex spouse, low socio economic position, and life in a rural environment. In add-on, co-infection with HIV, Chlamydia Trachomatis, and Herpes Simplex Virus type 2 ( HSV 2 ) . , ( whomb people ) HPV was incriminated in many other anogenital malignant neoplastic disease ( anus, vulva, vagina, and phallus ) and malignant neoplastic diseases of the caput and cervix. Understanding that HPV is the primary implicit in cause of cervical malignant neoplastic disease has focused attending on the potency of early sensing of the infection through the cervical showing. Screening for cervical malignant neoplastic disease is based on the usage of the Papanicolaou cytology technic ( Pap smear trial ) in which doctors or nurses expose the neck by speculum and take cells from the squamous epithelial tissue and transmutation zone to observe unnatural precancerous cells. The American College of Obstetrics and Gynaecology suggest that adult females should have the first testing trial 3 old ages after the first sexual intercourse They besides recommend that adult females should go on having cytology testing annually until the age of 30, from than they can have it every 3 old ages. Harmonizing to the same college, menopausal adult females have a lower opportunity to develop unnatural cervical cells ; nevertheless, there is no upper age bound to halt the showing. ( Whom people ) Primary bar have focused on hygiene and cut downing hazards factor by â€Å" cut downing the figure of sexual spouses and promoting the usage of barrier preventive particularly rubbers, † ( ACCP2004 ) Recently a new vaccinum which has the potency to protect against certain type of HPV infection ( 16 and 18 ) has been licensed to underpin the preventative plan against cervical malignant neoplastic disease. The vaccinum has been used in many developed states and shown great consequences in cut downing the load of the disease, but it has non been introduced in Algeria yetPap smear as a cervical malignant neoplastic disease testing trialAlgeria is one of the development states where cervical malignant neoplastic disease remains a major wellness public issue. although the application of testing plan, a big population remain under screened, the result are really modest and the incidence of cervical malignant neoplastic disease is ever high and this could be contributed to the deficiency of consciousness about testing trial among adult females and some specific cultural wellness beliefs barriers, non surprisingly that big proportion of the patients are diagnosed with advanced phase of th e invasive cervical malignant neoplastic disease, interestingly, even most of the wellness attention suppliers have ne'er had a pap vilification. ( ref hazard factor ) . Surveies show that comprehensive cervical malignant neoplastic disease showing is modest in low resources states ; hence a low engagement in Pap vilification and a low follow up when it is done the first clip. It has been stated that testing plan in these states and even among minorities and Aboriginal adult females faced many obstructions ; deficiency of sufficient research lab substructure, high cost of wellness attention, unequal trained wellness attention suppliers, absence of supplier ‘s recommendation and a deficiency of appropriate educational plans in these states that indicate the hazard factors of this disease, the importance of testing at early phase, and the power of the Pap smear trial to observe the disease in its premalignant phase and so the possibility of full remedy and bar. ( S.T. Tavafian 2012 ) In add-on to these financess and human resources lacks that can hindrance an effectual and organised testing intercession, there is besides the deficiency of cognition from the patients sing preventable cervical malignant neoplastic disease every bit good as the socio-cultural position barriers, such as embarrassment from pelvic scrutiny that have been argued as one of taking obstruction to non having testing trial, ( S.T. Tavafian 2012 ) another factor is the fright of topic and the entrenched belief that malignant neoplastic disease can non be cured, the deficiency of optimum cognition about testing patterns ; this utmost fatalistic attitude about malignant neoplastic disease among different states lead adult females to see diagnosing as a â€Å" decease sentence † and so the turning away of the trial, ( V.Thomas and co-workers 2005 ) there is besides undertakings identified spiritual beliefs, the limited linguistic communication ability as another major perceived barrier, t he deficiency of societal support, the low socio economic position and the unequal functional wellness literacy. There is a survey that has been conducted in Spanish among low income Latinas, that found that adult females with unequal functional wellness literacy are 16 times less likely to have a Pap smear trial ( S.T. Tavafian 2012 ) It has been illustrated that Individual ‘s beliefs, cultural background, cognition about a peculiar unwellness are significantly interconnected with the health care seeking and wellness promotional behavior, Al-Neggar and his co-workers concluded that some misconceptions and incorrect beliefs may carry on to the hapless pattern of cervical malignant neoplastic disease testing among adult females, despite the equal cognition sing the hazard factors ( Al-Neggar and co-worker ( 2010 ) . One of theoretical theoretical accounts that could be used to place the determiner of malignant neoplastic disease showing and measure the influence of people ‘s beliefs on their determinations to take up malignant neoplastic disease showing is the wellness belief theoretical account. Harmonizing to the constructs of this theoretical account, persons are more likely to take up testing if they are motivated plenty about their wellness, and they regard themselves as susceptible to develop malignant neoplastic disease, believe that effectual intercession would be good to cut down the susceptibleness and the badness of the status.Health belief theoretical account as a theoretical model for foretelling behaviorThe wellness belief theoretical account is one of the theory the most normally used in wellness publicity and wellness instruction, ( chapter 4 ) it was developed in the early 1950s by a group of societal psychologists to explicate the widespread failure of people to follow the disease preventative plans suggested and testing trial recommended to observe and forestall the disease at its symptomless phase, Subsequently it was applied to analyze the response of patients to diagnosed disease and their conformity with prescribed medical regimens. ( Nancy and co-workers 1984 ) This theoretical account aims to explicate the patient ‘s ideas procedure behind his preventative attitude instead than his behavior after acquiring the unwellness. The underlying construct of the theoretical account is that wellness behavior and willingness of people to prosecute in a preventative plan or to take up a screening trial are determined by personal beliefs and perceptual experience of the disease in add-on to the different resources available to forestall its happening, ( chapter 4 ) The theoretical account provides guidelines to develop schemes for effectual intercession and execution by leting contrivers to understand the grounds for non conformity with the recommended suggested preventative systems. This theoretical account assumes that person ‘s wellness behavior is determined by five psychological factors: perceived susceptibleness, perceived earnestness, ref perceived benefits and perceived barriers to effectual conformity ; cues to set into action, late, there are others concepts that have been added to the theoretical account called modifying or actuating factors such as mass media enterprises, run, personal stuffs, societal support, wellness professional and self-efficacy. ( V.Thomas and collegues 2005 )Copier le tableauArticulation of cervical malignant neoplastic disease testing behavior to the HBM modelIn this subdivision ; I will seek through the concepts of the Health Belief Model to explicate the relationship between adult females ‘s belief and wellness behavior in Algeria Perceived susceptibleness: personal hazard or susceptibleness is referred to the personal belief about the likeliness of undertaking a disease ( S.T. Tavafian 2012 ) , it is one of the most powerful factor that influence people to follow a healthy behavior, â€Å" the greater the perceived hazard, the greater the likeliness of prosecuting in behaviors to diminish the hazard ( chapter4 ) . For testing plan, adult female will be interested to take up a smear trial if she is cognizant plenty of the possibility to acquire cervical malignant neoplastic disease by undertaking HPV infection, and that she is exposed to this hazard every bit long as she is sexually active. The HBM predicts that adult females are more likely to follow with cervical malignant neoplastic disease testing recommendation if they believe that they have risk factor of cervical malignant neoplastic disease ( Glanz et and co-workers 2008 ) , and frailty versa, the belief of non being at hazard for cervical malignant neoplastic disease or HPV infection preclude ( deter, empeche ) adult females to prosecute in such plan, And this is why most virgin adult females in Algeria underestimate the necessity ( believe the futility ) of smear trial as they think they are protected from the hazard of HPV infection because they are non married. Or in other words, because there is no sexual intercourse, virgin adult female does non comprehend her exposure to cervical malignant neoplastic disease, although surveies show that HPV has been found in some female virgins, which means that the virus does non ever necessitate perforating sex to be transmitted, And that it may be spread through non pe rforating sexual contact ; and even within married adult females, the construct that HPV infection is related to multiple sex spouse make them believe they are safe from the hazard since they have one spouse, disregarding the hubby sexual behavior, as many work forces in Algeria have adulterous sexual relationship underground that the married woman unawares, and so she does n't see herself as susceptible to the hazard. Another badgering factor is that youngest adult females consider malignant neoplastic disease to be an aged disease, while older adult females harmonizing to cervical showing age bound might believe that they are no longer at hazard ref ( V.Thomas 2005 ) , and so there is a incorrect perceive of susceptibleness. Perceived badness: refers to the earnestness of the disease as assessed by the patient, it is normally based on medical information or personal cognition from telecasting, wireless or cusps, or it may come from the belief of a individual about the effects that would make a peculiar disease whatever clinical such as decease, disablement, or societal like household life and societal dealingss ( chapter4 ) , ( S.T. Tavafian 2012 ) , For testing trial, if adult females believe that cervical tumor is a terrible disease that would take to serious troubles for her and her household, she will see bar as a precedence and so she is more likely to have a Pap smear trial. Besides holding knowledge about Pap smear trial and its importance to observe the invasive disease at early phase will actuate her to have one, because many adult females realise the badness of cervical malignant neoplastic disease but lack cognition of testing plan, and available service. Despite the acknowledgment that cervical malignant neoplastic disease is a serious issue, most of adult females in Algeria believe that there is no intervention, which make them see testing trial as futile and this possibly reflects the spiritual beliefs and the cultural background that may act upon their attitude, Algeria population as most of Muslims agree that unwellness, recovery and decease are all determined from God, so â€Å" The bulk believe that testing would non protract their lives and when the clip of decease comes no 1 can force it off † ( K, Salman2011 ) Another point is that the fright from possibility of designation unnatural cells would needfully take to other probes frequently influence the willingness of the adult females to go to, particularly when there is no 1 to watch the kids during the showing and the deficiency of important support. ( chapter4 ) In Algeria, as in many other Arabic states, â€Å" malignant neoplastic disease showing is normally recommended for diagnostic intents instead than being used as a tool for secondary bar † ( K, Salman2011 ) most of adult females consider the absence of seeable symptoms as a mark of good wellness hence they do non seek wellness attention unless the disease manifests itself and starts to disenable her day-to-day activities, and so the malignant neoplastic disease is frequently diagnosed at its advanced phase. Perceived benefits is about the individual ‘s sentiment on how much may new behaviour lessening the hazard of a peculiar disease, the HBM predicts that most people have tendency to follow new behavior which is seen as a healthy behavior when they believe the capableness of this new behavior to diminish their hazard of developing a disease ( Glanz and Colleagues 2008 ) Perceived benefits play a major function in the acceptance of secondary preventative intercessions such as showing, for illustration, if adult females believe that Pap smear is of import for early sensing of the precancerous lesions and bar of malignant neoplastic disease that will actuate them to take part in secondary bar pattern by seeking cheques up and periodic showing. Therefore adult females are non expected to prosecute in any screening plan unless they perceive that this plan is potentially good to cut down the hazard, and so wellness attention suppliers should explicate to the patient the ability of testing trial to observe alterations in neck before they develop to malignant neoplastic disease, which make intervention easier and bar effectual. Sensed barriers: relate to the person ‘s vision of the obstructions he will confront if he decides to follow a new behavior. In order to set about a recommended behavior, a individual needs to believe that the benefits expected from it outweigh the results of his old behavior ; this enables him to get the better of the sensed barriers and to follow the new behavior ( chapter4 ) For illustration, if adult female believes that benefits of undergoing a screening trial outweigh the obstructions that she may confront, she is more likely to obtain Pap trial. Previous surveies have showed that adult females who perceived the Pap smear testing as a painful and awkward procedure were less likely to obtain cervical malignant neoplastic disease showing, in the same surveies adult females reported many cause that deter them to take the action, such as a negative old experience, included hurting, hemorrhage, or being faced with inexperient practician who did n't explicate the process to them during taking the sample, linguistic communication troubles was another barrier due the perceive that she will be unable to pass on decently with the wellness attention supplier, and to construct a trusting relationship. Even those who appreciated the necessity of the showing, the fright of the trial procedure was a great obstruction for them, as most of adult females find it uncomfortable, and perceive the metal speculum as a painful instrument. ( Abdullah 2009 ) Shyness is another major hinderance that may discourage testing procedure, and It is really common for adult females to decline to uncover her organic structure parts to undergo a physical test or a medical processs particularly when the wellness supplier is a adult male, and even the treatment about a sensitive wellness issue like matrimonial relationship, sexual activity and reproductively is regarded as really private, and should n't be disclosed to other people, particularly work forces, and even hubby may sometimes non be involved in his married woman ‘s wellness issue if it is related to her generative variety meats. ( K, Salman2011 ) Cues to action: are the ensemble of events, things, people that motivate a individual to alter his behavior, and this can be aggregate media such as telecasting, wireless, advice from a household or friends, cusps, information booklet, runs, recommendation from wellness supplier, ( chapter4 ) Womans are more likely to take up a pap trial if she receives adequate information about the benefits of the trial from her GP or Gynaecologist, if she receives advice from another adult female who had the trial, if she is encouraged by a member of her household particularly the hubby or if she knows person in her cortege with a history of malignant neoplastic disease, all those factors are susceptible to cut down the sensed barriers to malignant neoplastic disease showing. Perceived self-efficacy: it refers to the belief of the individual in his ain ability to follow the behavior required, because people by and large do n't prosecute in making something unless they believe they are able to accomplish it. ( Chapter 4 ) Modifying factors: in add-on to what it has been already said, There are other factors that seem to act upon the willingness of adult females to take up the trial such as unequal cognition about the showing, deficiency of swearing relationship with the wellness provide, deficiency of assurance in the importance of the trial, high cost of the trial, fright of the consequence of the trial and superstitious notion that speaking about malignant neoplastic disease would convey it, some stigmata imposed by the community and even sometimes the household that cervical malignant neoplastic disease is related to promiscuousness, Perception of the Pap vilification as a menace for the adult female ‘s virginity, some fatalistic attitude that unwellness, recovery and decease are associating to â€Å" god ‘s will † and that testing trial is futile, Low socioeconomic position, deficiency of societal support, poorness, deficiency of wellness insurance ( J.Hatcher and co-workers 201 1 ) , childhood sexual maltreatment, fleshiness, low degrees of instruction, kid attention, deficiency of transit.Cervical malignant neoplastic disease screening- publicity intercessions based on HBMToday, the HBM is used by many research workers to guideline the development of schemes for effectual wellness intercession, In this subdivision, I will seek to summarize some determination from the different intercessions based HBM that push me to propose this theoretical account to better adult females ‘s behavior in Algeria. The wellness belief theoretical account has been used by several survey, entirely or combined with other wellness publicity theoretical accounts to and to better belief and behavior among adult females sing the showing plan, an illustration of this survey, has been conducted in Iran, in 2010, this survey showed that the â€Å" HBM has formed the footing for an interventional plan to better behavior among Persian adult females † , ( S.Tavafian2012 ) , The survey was conducted with 70 volunteers- aged between 16 and 54 old ages, and they had ne'er received Pap trial, the participants were divided into many little groups, and each group underwent a session of 2 hr preparation. For the informations aggregation tool, a self-administered multi-choice questionnaire was developed based on the constructs of the HBM. The personal belief and wellness pattern of all the adult females were assessed pre intercession and four months subsequently, the findings reported that wellness instructi on based on HBM concept was effectual, and could advance the participant ‘s cognition and better the different constituents of the theoretical account ( sensed susceptibleness, badness, benefits, and barriers ) .The developing plan that has been used enhanced the willingness of adult females to pattern the testing trial significantly. The survey concluded to the fact that instruction plan based on HBM concepts can alter adult females ‘s wellness beliefs, heighten their cognition about the cervical malignant neoplastic disease and the screening trial, and actuate them to follow a new behavior. ( S.Tavafian2012 ) Another survey in Somali was about an educational programme about the intent of the screening trial, to promote Somalis to set about the trial. The participants praised the enterprise and suggested that such information should be provided in a community scene, because it would assist adult females to comprehend the value of the trial, and to get the better of the different fatalistic barriers to testing. further, Participants suggested bettering the consciousness of testing among adult females via mass media: Television, wireless, picture, DVDs, CDs and audiotapes ( Abdullahi, 2009 ) ,Health publicity ( ACCP 2004 ) ( reexamine the rubric )There is a deficiency of information sing wellness publicity theoretical accounts that have been used to act upon wellness behavior among adult females in Algeria, and even there is no description how the intercession methods were selected, Alliance for Cervical Cancer Prevention ( ACCP ) consists of five international wellness organisations who portion all the same end to forestall cervical malignant neoplastic disease in limited-resource countries.it aims through its undertakings to implement an effectual bar schemes to understate the load of the cervical malignant neoplastic disease.unfortunately, Algeria has non been included in this enterprise, through my reappraisal of this manual, I would propose it as an attack to better adult females ‘s wellness is Algeria and to advance wellness service bringing. Many method of diagnostic, testing and intervention are presently used. And each of them has strengths and restrictions, this method should be reviewed to pick up the most appropriate for the patient, for the showing for illustration the Pap smear trial is the most normally used, this trial requires multiple and regular visit from the client, which can be a barrier for the adult female to go to it, The ACCP suggest some alternate attack with better sensitiveness and specificity such as Human papillomavirus ( HPV ) DNA proving, or ocular showing, a low cost method with an immediate consequence. As a wellness attention installation, they suggest to unite the intervention of precancerous lesions to the showing procedure, and suggest some effectual and safe methods that should be performed by doctor and non physician. These intervention methods allow remedy and histological confirmation at the same clip, it has been shown that this enterprise was praised by adult females and suppliers every bit good, and it has a great consequence to take down rate morbidity. The combination of both effectual showing attack and intervention would get the better of the restriction. Facility adult females ‘s entree to precancer intervention services, through choosing a plan to associate testing services to precancer intervention services. This would increase the effectivity and promote adult female to follow up. Achieving widespread testing coverage of the mark population by choice of well-organised bar attack. And this may include the policymakers and governments who should promote the investing in cervical malignant neoplastic disease bar Planing an effectual bar intercession: Planing a bar plan requires a coordination between a multidisciplinary direction squad, that include clinical, administrative, and preparation specializers. To accomplish the plan ‘s aim, the squad members should follow a participatory procedure which includes besides the position of laic people who are concerned by the result of this plan, and this will let accomplishing a high showing coverage with satisfactory consequence. Bettering wellness services and laboratory substructures: bringing services should be accessible, acceptable, low-cost, and dependable to fulfill the client and guarantee a high coverage of the population mark Training: Ensuring Performance to Standard Ensure to measure up a competent staff and wellness supplier, to pull client to utilize the installations available and this would go on by developing session that enable supplier to confidently offer dependable servicesSupplying Information and Counselling to Address Community and Client NeedsWomen mark group should be informed enough the benefits of showing and handiness of bar services to increase the effectivity of the plan, and this could go on by direct contact between adult female and wellness worker or through aggregate media and run, Social web intercessions, mailed invitation missive for showing and reminders, information booklet which are really popular to distribute information about wellness subjects. It has been stated that direct supplier contact is more effectual to increase the usage of bar services as the single guidance will turn to concerns and emotional demand and should be more convincing Overview of showing, intervention and Palliative Care services of cervical malignant neoplastic disease Cervical malignant neoplastic disease showing services, cervical malignant neoplastic disease intervention, and alleviative attention services should be continuously linked to guarantee the effectivity of the plan.DecisionPlans should be planned strategically, be based on realistic appraisal of demands and capacities, and use the most recent grounds on showing and intervention attacks. ie hapless public presentation of cervical malignant neoplastic disease bar plans in some limited-resource scenes has most oi‚?en been the consequence of hapless planning and execution and deficiency of systems for ongoing monitoring and rating, irrespective of the screening trial or intervention methods used. Establishing mechanisms and procedures to back up and prolong each constituent of a plan will travel far to guaranting that services are effectual, accessible, and acceptable to adult fem ales who need them.

All about Botox

Botox is the notable drug for the toxins generated by a bacterium called Clostridium botulinum. When taken in large amounts, the said toxin may be the cause of botulism which is closely related to food poisoning. Although paralysis is the most serious complication that may be brought about by botulism, scientists have formulated ways as to how the said toxin may be beneficiary for humans. The application of small concentration of the Botox, which is done through injection in specific muscled areas, controls the weakening of the muscles.This was approved in the latter part of 1980's by the FDA. The discovery of the Botox was found to be an aid for some ailments like the uncontrolled blinking, which is known as the blepharospasm and the lazy eye which is also called strabismus. It is also well documented that most cosmetologist has been using Botox for many years proving that it can successfully treat skin conditions like wrinkles and facial creases (â€Å"Skin Conditions: Botox Cosme tic Treatment,† 2008). The injection of Botox relaxes the facial muscles that form and cause wrinkles so that they appear less noticeable.However, Botox injection does not last long. The use of Botox among adults whose age ranges from 18 to 65 was approved by the Food and Drug Administration only that it should be used as a temporary treatment for cases of average to extreme frown lines found amidst the eyebrows, otherwise known as glabellar lines. In some cases Botox can also be employed as a treatment for other wrinkles found in the face, including the lines that extend from the eye corner known as crow's-feet and the forehead furrow.Also, aside from being a treatment for wrinkles, it was also found out that Botox are used for the treatment of other health conditions such as black eyes, headaches, problems of the eye muscle, spasms in the muscles, as well a condition called hyperhidrosis which is characterized by excessive sweating (Botox Injections, 2008). Botox works in a way that it serves as a blockage for the nerve signals going towards the muscles. This avoids the muscles injected with Botox to contract, which, in turn, softens and relaxes the wrinkles.The Botox procedure only takes a few minutes, and there is no anesthesia involved. A fine needle is used to inject the Botox in particular muscle areas with only little discomfort (â€Å"Skin Conditions: Botox Cosmetic Treatment,† 2008). The number of injections needed to be applied depends on various factors which may include the features of a person's face, the degree of the wrinkling, as well as the area that is being treated. Usually, the crow's feet condition is required to have at least two to three injections, while the forehead furrow may require at least five or more injections.The whole procedure takes full effect within three to seven days, and it does not call for any downtime, which means that the person who underwent a Botox treatment may immediately return his or her daily act ivities (Botox injection, 2008). One week prior to the treatment, a person who wishes to undergo Botox treatment is required to avoid alcohol, while medications such anti-inflammatory and aspirins are required to be stopped two weeks prior to the treatment period so as to reduce the bruising after the process.The Botox injection has effects that only last for four to six months. By the time the action in the muscles moderately returns, it is more likely that the wrinkles will re-appear as well and another treatment should be done. However, unlike the first occurrence of the lines and the wrinkles, by the time the effect of the Botox fades away, the appearance of the lines and the wrinkles become less severe because Botox trains the muscles to relax (â€Å"Skin Conditions: Botox Cosmetic Treatment,† 2008).After the Botox procedure, it is expected that a patient would have a headache, but the treated area should not be rubbed or massaged so as to avoid the migration of toxins i n other areas of the face. If the toxins migrate to another area of the face, this may result in temporary weakness of the face, or it its possible that the patient’s face may droop (Botox injection, 2008). It may seem that, after undergoing Botox treatment, the face appears good from a distance, especially for people who are advocates of beauty.However, it is still a medical fact that Botox is a poison, and it is a procedure that may be beneficial for one but dangerous for another (Williams, 2008). Although in practice, some of the fatal effects may be rare which are often attributed to the doctor's skills or to the specific area to be treated, the effects of Botox are not always positive. Hence, it is highly important to know its side effects before one accepts the treatment. The general effects of Botox are dizziness, skin rash, tiredness, muscles spasms, numbness, weakness all over, drowsiness, dryness of the mouth, stiffness, headache, and flu-like syndrome.For specific areas that were treated such as the eye area, there could be a drooping of the upper eyelid, drooping brow, mild inflammation of the eyes’ surface, difficulty in closing the eye, overflow of tears, dryness of the eye, and sensitivity to light. There are some cases that such effects may be encountered: eye surface inflammation, eversion or turning out of the eyelid, turning in or inversion of the eyelid, double vision, facial weakness, drooping of the face, and blurred vision.Effects such as swelling of the eyelids, development of ulcers on the eye surface, as well as glaucoma which is characterized with the increase of the eye pressure, are said to be the effects of Botox that are extremely rare (â€Å"Side Effects and Dangers of Botox,† 2006). Not all people are fit to undergo the Botox procedure. Because of the risks involved with Botox, the biggest problem that a person may have is that rather than looking beautiful and younger, as this is the goal of a person who w ishes to undergo the procedure, it is most likely that an individual may end up looking older (â€Å"Botox,† 2008).Also, some people cannot undergo the procedure due to their condition, especially pregnant patients, mothers who are breastfeeding, and people who are suffering from neurological diseases such as peripheral motor neuropathic disease or meuromuscular functional disorders (â€Å"Side Effects and Dangers of Botox,† 2006). However, it was reported that botulinum toxins are applied to some cases of cerebral palsy as a way to control the spasms of the limbs even though this kind of treatment was not authorized by the food and drug administration.Several investigations by the FDA was documented that the occurrence of several deaths which involve children who were treated for spasms of the leg and some cases of illnesses were accounted for the usage of Botox by the said people to aid certain conditions. It was also discovered that the use of the toxins for cosmeti c treatments may result in the spread of the drug to other areas of the body that may affect the muscles for breathing and swallowing. This may have serious implications which may be fatal (Keenan, 2008).In general, Botox may bring about certain effects that depend on the capability of the doctor who will perform the procedure and the person who will undergo the treatment. Botox may be beneficial for many, but it is still highly important to have knowledge on the underlying negative effects that are overshadowed by its benefit. Although there are rare reports on the fatalities brought by Botox procedure, it is still proven that botulism is to take the blame. This should be taken into consideration before engaging in the procedure.Furthermore, it is suggested that comprehensive studies should be made in order to clarify some points that were not discussed in the study, because the results that were framed in are limited in some areas. References Possible botox risks. (2008). Linkroll . Retrieved August 4, 2008 from http://www. linkroll. com/botox/possible-botox-risks. php. Botox injections. (2008). Mayo Clinic. Retrieved August 4, 2008 from http://www. mayoclinic. com/health/botox/MY00078 Keenan, S. (2008, February 9). The dangers of botox treatments. eNews 2. 0.Retrieved August 4, 2008 from http://www. enews20. com/news_The_Dangers_of_Botox_Treatments_05715. html Side effects & dangers of botox. (2006). Essential Botox Resources. Retrieved August 4, 2008 from http://essential-botox-resources. com/side. html Skin conditions: Botox cosmetic treatment. (2008). Web MD. Retrieved August 4, 2008 from http://www. webmd. com/skin-beauty/botox. Williams, Z. (2008, February 4). We all know that botox is stupid. Now it looks as if it can kill. Guardian News and Media Limited. Retrieved August 4, 2008 from

Abuse, Dependence and Addiction

Abuse, Dependence and Addiction Abuse, dependence and addiction are all stages of the addiction process. Abuse is the beginning, when the person starts abusing drugs. Drug abuse is intentionally using a drug the wrong way, or using an illegal drug. After someone has abused drugs for long enough, it is possible that they could develop a tolerance to that drug- they need to take more to get high. Once a tolerance is established, dependence is the next step of the addiction process. Many drugs can make a person become dependent. There are two different kinds of dependence physical dependence and psychological dependence-Psychological dependence happens when someone feels like they are only happy when they are high, and spend most of their time when their not high wishing that they were. Physical dependence is the same thing as addiction, which means that once you reach a point where your body expects the drug, you are addicted.CIA Map of International drug pipelinesOne of the widespread temptations to use drugs in our culture, comes from several factors: social peer pressure, the natural desire to experiment and discover, and the lack of knowledge the drug and it's effects, and the lack of connectedness with your body. People want to experience new feelings and freedom from the stress of everyday situations.

Free Essays on Down At The Dinghy

Down at the Dinghy In my opinion, â€Å"Down at the Dinghy† was by far J.D. Salinger’s best short story included in the novel, Nine Stories. This story is about a Jewish family from New York. They are on vacation at a nice, quaint, little lake. The tale evolves around a mother and her son. The son always attempts to run away and the mother simply cannot comprehend why he does such a thing. The relationship between the two is very, very weak. Until one day when the son is on his father’s boat, the mother approaches him. He is fascinated by the fact that her key chain holds ten keys, far more than his father. She first pretends to throw them into the lake, and then gives them to him. He takes them, and then throws them into the lake. They walk back together and live happily ever after. At first, this short story confused me to a certain extent. I couldn’t understand why it just ended like that. It didn’t really give any sort of closure and it left me hanging to believe where the duo went from there. I wasn’t sure what made this drastic change in emotion between the two. Then, it hit me. The moral of this story is through all the darkness, enlightenment always emerges. The two had a very poor relationship, until one day, through an event so small such as this, the boy realized that his mother really did care about him. They came to grips with each other, just like every mother/son combination should. The mother tried so hard to get things to work out between the two, and it completely surprised me that an incident so small could bring out so much good. And thus emerges my opinion that this work of Salinger, was the best in the book.... Free Essays on Down At The Dinghy Free Essays on Down At The Dinghy Down at the Dinghy In my opinion, â€Å"Down at the Dinghy† was by far J.D. Salinger’s best short story included in the novel, Nine Stories. This story is about a Jewish family from New York. They are on vacation at a nice, quaint, little lake. The tale evolves around a mother and her son. The son always attempts to run away and the mother simply cannot comprehend why he does such a thing. The relationship between the two is very, very weak. Until one day when the son is on his father’s boat, the mother approaches him. He is fascinated by the fact that her key chain holds ten keys, far more than his father. She first pretends to throw them into the lake, and then gives them to him. He takes them, and then throws them into the lake. They walk back together and live happily ever after. At first, this short story confused me to a certain extent. I couldn’t understand why it just ended like that. It didn’t really give any sort of closure and it left me hanging to believe where the duo went from there. I wasn’t sure what made this drastic change in emotion between the two. Then, it hit me. The moral of this story is through all the darkness, enlightenment always emerges. The two had a very poor relationship, until one day, through an event so small such as this, the boy realized that his mother really did care about him. They came to grips with each other, just like every mother/son combination should. The mother tried so hard to get things to work out between the two, and it completely surprised me that an incident so small could bring out so much good. And thus emerges my opinion that this work of Salinger, was the best in the book....

Demora de petición de ciudadano para sus padres

Demora de peticià ³n de ciudadano para sus padres El tiempo de demora en la tramitacià ³n de esta solicitud puede variar desde apenas 6 meses, para los casos en los que no hay problemas migratorios,   a ms de 10 aà ±os. Incluso a veces es imposible. Solamente los  ciudadanos americanos mayores de 21 aà ±os  pueden pedir la tarjeta de residencia permanente, tambià ©n conocida como green card para su padre y para su madre.   En este artà ­culo se explican las siguientes situaciones, que son las que dan lugar a estas cuatro  diferencias en el tiempo de tramitacià ³n: Padre o madre en Estados Unidos y que puede ajustar su estatusprogenitor en USA pero no puede ajustar estatuspadres fuera del paà ­s sin problemas de inadmisibilidad y padres en otro paà ­s con castigo pendiente. Tambià ©n se explica dà ³nde buscar la à ºltima informacià ³n sobre demoras en la pgina oficial del Servicio de Inmigracià ³n y situaciones especiales como cundo un ciudadano jams puede pedir a sus padres. Demora de peticià ³n de padre o madre en EEUU y que pueden ajustar su estatus En este caso, se envà ­a la peticià ³n I-130 con toda la documentacià ³n adicional y, al mismo tiempo, la I-485, para el ajuste de estatus. Cuando se solicita el ajuste de estatus se puede presentar tambià ©n la peticià ³n de permiso de trabajo y de advance parole que permite viajar fuera del paà ­s, si asà ­ se desea. Es fundamental que una vez que se  inician los trmites   no se salga de Estados Unidos sin ese permiso para viajar. Los tiempos de tramitacià ³n van a ser dos: primero el de aprobacià ³n del I-130, que es la peticià ³n, que va a depender del lugar de tramitacià ³n.ly una vez que se obtiene el OK, se va a proceder  con la solicitud de ajuste de estatus. Es fundamental saber si se puede ajustar el estatus o no. Ahà ­ est la gran diferencia. Si se puede se est ante uno de los tipos de peticià ³n de green card ms rpidos. Si no se puede, es una pesadilla que puede demorarse aà ±os o, incluso, en la prctica resultar imposible porque obliga a la separacià ³n de familias por muchos aà ±os. Antes de enviar los papeles asesorarse con un buen abogado. Demora de peticià ³n de padres en EEUU y que no pueden ajustar estatus Y es que si el pap o la mam para el que se piden los papeles est ilegalmente en el paà ­s y llegà ³ cruzando ilegalmente la frontera, hay un problema grave ya que no se puede ajustar el estatus. En estos casos aunque se apruebe el I-130 se va a tener que salir del paà ­s para acabar el trmite. Esto incluye ir a una entrevista en una embajada o consulado de los Estados Unidos en otro paà ­s y aquà ­ va a surgir un problema por la presencia ilegal al aplicarse el castigo de los 3 y de los 10 aà ±os.   Una vez que se sale de Estados Unidos y se tiene que cumplir ese castigo, en algunos casos se podr pedir con à ©xito un perdà ³n. Lo que sà ­ es importante es entender que si se cruza de nuevo ilegalmente la frontera hacia Estados Unidos se va a tener el castigo de la prohibicià ³n permanente. Por lo tanto, si se est en uno de esos casos, antes de iniciar el proceso entender bien quà © puede ir mal, en particular, verificar si serà ­a posible pedir un perdà ³n provisional por presencia ilegal   en casos de dureza extrema y que se otorga antes de salir de Estados Unidos. Otra solucià ³n, en el caso de   los familiares indocumentados de ciudadanos americanos que sirven en el  Ejà ©rcito,  Guardia Nacional, Reserva o Veteranos, serà ­a verificar si se puede solicitar un  Parole in Place. Si la mam o el pap estn fuera de USA y no hay causa de inadmisiblidad En estos casos hay dos partes muy bien diferenciadas. Primero el Servicio de Inmigracià ³n y Naturalizacià ³n (USCIS, por sus siglas en inglà ©s) tiene que aprobar la peticià ³n I-130. Y una vez que lo hace envà ­a los papeles al Centro Nacional de Visas (NVC, por sus siglas en inglà ©s). A partir de aquà ­ todavà ­a el proceso se va a demorar unos meses ya que hay que ir entregando al NVC documentacià ³n segà ºn la va pidiendo.   Adems, hay que pasar el examen mà ©dico y, finalmente acudir a la entrevista en la Embajada o Consulado. En este punto, algunos son ms rpidos que otros, ya que depende del nà ºmero de aplicaciones que tengan y de la cantidad de cà ³nsules destinados en ese puesto. No vender propiedades ni dejar el trabajo hasta que se tiene la aprobacià ³n de la visa de inmigrante. Una vez que se obtiene la aprobacià ³n, esto es, despuà ©s de la entrevista, se dispondr de seis meses para ingresar a Estados Unidos. Una vez que se llega a un puerto de entrada migratorio (aeropuerto, puerto o frontera terrestre) un oficial de Inmigracià ³n sella el pasaporte y ese sello equivale a una green card hasta que se recibe una tarjeta fà ­sica por correo. Padre o madre fuera de Estados Unidos y hay causa de inadmisibilidad La tarjeta de residencia se puede negar por ms de 40 razones. Es lo que se conoce como causas de inadmisibilidad. En estos casos hay un problema que en ocasiones se podr solucionar dejando pasar el tiempo o pidiendo y obteniendo un perdà ³n y habr casos en los que no ser posible, a pesar de tener un hijo ciudadano. En muchas ocasiones el problema viene ocasionado por estancia ilegal en Estados Unidos que provoca el castigo de los 3 y de los 10 aà ±os   y/o deportacià ³n. En estos casos lo sensato es consultar con un abogado experto y sincero y analizar si se est en condiciones de solicitar con à ©xito un perdà ³n, que en algunos paà ­ses se conoce como permiso o waiver.  ¿Cà ³mo se miran los tiempos de procesamiento del USCIS? En esta pgina oficial se va hasta la parte inferior y se elige el centro de procesamiento que, segà ºn la carta que se recibià ³ del USCIS, es la encargada de decidir sobre el caso.   Elegir el Centro de Servicio correcto (Vermont, Texas, California o Nebraska) y hacer click. Se abre otra pgina y buscar el documento I-130, peticià ³n para pariente extranjero y buscar la opcià ³n adecuada: peticià ³n de un ciudadano de EE.UU para un cà ³nyuge, un padre o un nià ±o menor de 21 aà ±os. Y ahà ­ se ve el tiempo que se est demorando en tramitarse. En la actualidad est en torno a los cinco meses. Despuà ©s, si se ajusta el estatus, se procesa esa parte en otro centro (Oficina de Campo) y se verifica de igual manera cunto se demora en esa misma pgina oficial. Recordar que el documento que hay que buscar es I-485 solicitud para registrar la residencia permanente o para ajustar el estado. Si, por el contrario, es un procedimiento consular, calcular entre otros cinco y siete meses, de media para finalizar el proceso. A dà ­a de hoy, aunque puede haber importantes diferencias segà ºn las oficinas de tramitacià ³n, el proceso de principio a fin deberà ­a tomar menos de un aà ±o. Entre los seis y los doce meses es una estimacià ³n razonable, que va a depender de los lugares de tramitacià ³n. A tener muy en cuenta en peticiones de ciudadanos para sus padres Adems de tener 21 aà ±os, es necesario cumplir todos los dems requisitos para patrocinar, como por ejemplo, tener recursos econà ³micos suficientes. Asimismo, tener presente que en las peticiones del padre o de la madre no se puede incluir a los hermanos del solicitante. Por ejemplo, si un ciudadano pide a su mam, no puede aà ±adir en la misma planilla a un hijo de esa madre de ninguna edad. Para estas personas la solucià ³n es que el ciudadano realice otra peticià ³n para su hermano, que tarda mucho tiempo o que una vez que la mam o el pap se conviertan en residentes, estos realicen una peticià ³n ese hijo/a. Y, finalmente, los ciudadanos americanos que obtuvieron originalmente sus papeles por medio del programa de Inmigrantes Especiales Juveniles no pueden jams pedir los papeles para ninguno de sus padres.   Informacià ³n migratoria confiable Para resolver dudas e inquietudes lo mejor es estar informado directamente por el organismo oficial que lleva un asunto determinado. Para ello se ha recopilado esta lista de telà ©fonos y pginas webs a los que acudir para resolver distintos problemas migratorios. Este es un artà ­culo informativo. No es asesorà ­a legal.

Working under the influence Coursework Example | Topics and Well Written Essays - 500 words

Working under the influence - Coursework Example Schulte et al. (2014) further intimate that after notification to the counselor, the next step would be gathering the known concerns raised by the employees and the patient with respect to the conduct of Clark while on duty. These documentations would assist in mapping out potential issues for discussing with Clark against the expected conduct of employees as expressly stipulated in the employee guide and regulations. Here there will be documentation of specific mistakes in the performance of Clark while at work that raise concerns. I will seek the counselor’s help in proofing the documentation that concerns the conduct of Clark at work. Having the counselor go through the documentation would help equip the supervisor with material facts and complaints sequence against Clark. This arrangement would allow for flexibility in dealing with the misconduct in the case any of us approaches Clark for mentioning the mistakes and accusations leveled against her. In the case of Clark, intervention may also be another source of creating flexibility into the issue. In this case, there could be a session scheduled with Clark with the very important people in her life would be present such as fellow colleagues, the clergy, close friends and her spouse. This session has to go on through the guidance of a well-trained professional, in this case, a counselor. In this session, these important people in Clark’s life would directly inform Clark how her working under the influence affects them and what how it affects their co-existence. This method could best help Clark to avoid going into denial of her unacceptable and antisocial demeanor while at work. If this method leads to acceptance of the malpractice, it can be a very effective tool for having Clark acknowledges that she has a problem, which she needs to drop, and this may enable her to seek help. It is

Critically Assess the Claims That Animals, Particularly Chimpanzees, Essay

Critically Assess the Claims That Animals, Particularly Chimpanzees, Have a Humanlike Understanding of Mental States - Essay Example This paper stresses that there are many debates between scientists over theory of mind and do animals have one? Those who are primatologists and other observors of animal behaviour term theory of mind ‘Machiavellian intelligence’, ‘metarepresentation’, ‘metcognition’, ‘mind reading’ and ‘pan’ or ‘pongo-morphism’. Now a researcher who would use the term ‘mental state attribution’ is likely to believe law-like generalisations underlie mental state ascription. This report makes a conclusion that the report states, ‘theory of attention in which organisms are subjectively connected to the world not through any particular sensory modality such as vision but rather through other (as-of-yet unspecified) behavioural indicators’. As observed, behaviour is not always valid indictor of having a theory of mind. Hence it will not be obvious to the untrained individual if or not chimps have a human like understanding of mental states. In research like povinelli’s ‘reasoning about beliefs, a human specialisation?’ a very striking point is brought up that ‘theory of mind is unique to our species, and that its original function was to provide a more abstract level of describing ancient behavioural patterns (such as deception, reconciliation, and gaze following)-behaviours that humans share in common with many other species.’ This material sheds knew light on what we thought we knew bout the human mind’ s ‘theory of mind’.

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

Knowledgement Management - Research Paper Example 1). The meaning of the term knowledge was qualified by Baker, Baker, Thorne, & Dutnell (1997), â€Å"knowledge is present in ideas, judgments, talents, root causes, relationships, perspectives and concepts. Knowledge can be related to customers, products, processes, culture, skills, experiences and know-how† (cited in Kalpic & Bernus, 2006, p. 44). KM is therefore important to the success of the organization because through the collective shared efforts of various stakeholders, the potentials and resources of the organizations are maximized. Core competencies and strengths are capitalized to enable the organization to address risks, threats and changes in external environmental factors that would impinge on the firm’s operations. Accordingly, not only are the organizational objectives achieved; but more so, the relevant contribution of the organization’s stakeholders are thereby percieved as instrumental for the firm’s success and therefore, make each cont ributor better motivated to share their inputs towards a greater good. As noted from Kalpic & Bernus’ (2006) discourse, â€Å"Rouggles (1998), for example, found that the four most common KM projects conducted by organizations were creating/implementing an intranet, knowledge repositories, decision support tools, or groupware to support collaboration† (p. 49). The creation and implementation of an intranet is deemed crucial for organizations to access and connect volumes and diverse information through different departments and functions within the organization. This is an example of KM due to the interplay of inputs, processes and systems that need to be identified, analyzed and connected, as required. Decision-support tools are also examples of KM programs were organizational policies and procedures identify and authorize authorities to decide on significant aspects, alternatives, and options that each personnel, department, or group makes on a daily basis. The design and implementation of