Essay on Augustine's City of God Example | Topics and Well Written Essays - 1250 words

On Augustines City of perfection - Essay ExampleAugustine alike says that on the emission of the metropolis, it was not uncommon for all invaders including roman letterss and Greeks to do the same this included the likes of Ulysses, Phoenix and Diomede. For this reason, the sacking of Rome was not something that could be blamed on Christians but was instead a common exercise that was part of war (I, 2). The Visigoths and other European barbarian tribes had grown in strength over the age and they raided Rome in 410 under King Alaric. Feelings of resentment had too genuine among the poorer population of Rome collectible to high inflation rates and lack of political representation since the position of councilor was hereditary. These factors had therefore weakened the conglomerate of Rome internally and when the time came that the Visigoths invaded it was not the strong empire it had been in previous years. Prior to the invasion, Christians were already universe viewed with s uspicion and had been barred from working in high ranking offices, the view that they were to blame for the generate of Rome therefore came as a natural expectation as a scapegoat was necessary. Lucretia was a woman who was believed to have been raped and out of guilt she perpetrate suicide. Augustine uses the rape of Lucretia as an example to adduce to teach Christianity about Chastity. Augustine says that and anyone who is forced to have sexual relations and does not consent to them has not committed a sin. A woman should however not commit suicide for such an act being committed on them, as it will bar them from entering the kingdom of God. The story of Lucretia has never been confirm as an event that actually happened but remains a significant story that relates to the establishment of the papist Empire. Lucretias suicide is what led people to revolt and remove the old establishment and thus symbolized what the Roman Empire stood for respect for all irrespective of gender or social class. The story did however also show that the Roman Empire was established as a patriarchy as the men greyback in vengeance of a woman who overwhelmed by shame could not muster the courage to anticipate living her life and relied on the strength of men to avenge for her. The relationship of Augustine and Christians to the city of man Augustine in the city of God believes that in actuality there are two cities there is Rome the city that has been developed by men as an economic bloc and there is the religious Rome that is a city built by God and whose foundation is Christian religion. Augustine therefore shows that there is always going to be a conflict between the way men want to harp their lives and the way they should live their lives check to the Lords commandments. Augustine wrote the book after the sacking of Rome by the Visigoths and therefore uses the book to explain that under the laws of God no one dies at a time not planned by him. In addition, that they cou ld not live their lives in fear of death more so if they did live according to the laws of God and not just the laws of man (II, 15). As men, one should not be afraid to show that they are living under the laws of the city of God even if living in a nation that does not recognizes these laws. Therefore, it is better(p) to be courageous and ready to sacrifice oneself for your convictions for God will restore you in heaven than to live constantly afraid of persecution. On the view of the life or Rome,

Situational Analysis - Obamas Inaugural Speech Essay

Situational Analysis - Obamas Inaugural voice communication - Essay ExampleHe gives hope for the dwindling economic throttle hold which has seen the deterioration of health, education, business, and employ sector as a result of greed, the irresponsibility of a few and the collective failure to doctor hard choices. To tackle the war, President Obama promises that the States will responsibly withdraw its forces from Iraq and also forge a hard-earned peace in Afghanistan and to work tirelessly with old friends and former foes to lessen the nuclear threat, and roll cover charge the specter of a warming planet. Obama, the first African American president, is addressing an audience drawn from each(prenominal) races at a time when the whole world is experiencing economic problems or war of a kind. The delivery must be swell up selected so as to appeal and put insight into the audience still not to provoke hard feelings from old friends and former foes. He must also bear in mind the m illions of non-Americans listening to his speech, anxiously waiting for his remarks on the nuclear menace and war at large. America being the superpower and being at the watch by the world, his speech has to be well articulated. He has to tackle for instance terrorism and religious schisms well, in an attempt to unite the world once more. He does this by speaking directly to the people, the Muslim world, current leadership around the world, poor nations as well as prosperous nations. Being an African American, he has to address the issue of racism well, as this misdeed previously blackened the American History.

QUANTITATIVE NURSING RESEARCH Paper Example | Topics and Well Written Essays - 1500 words

QUANTITATIVE NURSING - Research Paper causeThe authors examine various literary sources addressing the subject of empathy within the context of nursing. The literary analysis segment begins with a brief overview of empathy and its vastness in the care of patients. This significance of empathy in nursing is accentuated when the authors mention that, empathy is virtually the equivalent with the nursing profession and is also linked to the latters inception. The article cites authors who have made an assay to describe the importance of communication or interaction between treats and patients, while describing importance of human connexion to nursing practices and overall patient health. In essence, the article furnishs credible information derived from past research, on wherefore empathy is deemed on the most important skills in nursing.After effectively informing the reader about the importance of empathy in nursing, the authors delve deeper into the meaning of empathy, as pro vided by diverse scholars. For example, the article cites an author who considers empathy to be a cognitive, instead of emotional attribute, which involves nurses ability to understand, as opposed to feeling, the perspectives, experiences, and concerns of a patient. This definition also encompasses a nurses ability to portray the described understanding. Another definition cited in the article stipulates that, nurses must designate the intention to assist patients, in addition to observing the previously mentioned characteristics of understanding. The authors emphasize key terms that guide the most conclusive definition of empathy including cognition, understanding, communication and intention to help. By exploring these different definitions, the authors form a credible basis for the analysis of their primary purpose, since the reader gets adequate comprehension of the concept to be explored. In addition, the definitions provide insight into the vital nature of empathy to

Saudi newspapers Al Riyahd and Alwatan Dissertation

Saudi newspapers Al Riyahd and Alwatan - Dissertation patternDecisive Storm, in the name of defending civilization, legitimacy, and humanity. Communication theorists have taken great interests in analyze further the concept of framing theory in mass media. This is particularly because there is quite separated as to how this theory shag be characterized in the theoretical and empirical perspective. In the earlier studies as that of Iyenger & Kinder (1987) and finally in McCombs, Shaw, and Weaver (1997), framing theory did not have much distinction amongst the concepts of agenda-setting theory. Agenda-setting theory is a communication concept, which focuses directly on how media coverage leads to changes in the importance of different considerations. Scheufele (1999) and other study DeVreese (2005), however, agrees that the framing concept has inconsistency in its application, especially in identifying the frames projected in the media. In a more developed study of Scheufele alon g with his colleague Tewksbury, the authors furthered the distinction between Framing, Agenda Setting, and set based on how the progress of studying mass media effects. A most recent review from Borah (2011) expresses the counterbalance more pressing issues in the conceptual debates of framing theory. Amidst the vagueness of the concept of framing theory, this research considers how this theory can still explain the context of the effects of news on the audience. The framing theory encompasses the origin, evolution, presentation, and effects of frames (Tewksbury & Scheufele, 2009).

The System Of Finance For Local Government Essay

The formation Of Finance For Local Government - Essay ExampleThe mannequin was primarily concerned with finding a market-like mechanism that would achieve an efficient allocation of resources to the universe sector. The main finding included the fact that inter-jurisdictional contest is a vital element of the mechanism. The key players in Tieb bulges model argon individual citizens and governments. problem firms are not an explicit part of the model (Brueckner 2004, p 138). It was meant to be applied to local governments and to a lesser degree, to state governments. The model assumes citizens have full knowledge of government revenue and expenditure packages, that thither are a large number of communities among which individuals bay window choose to live, and that people will opt for the fraternity that best satisfies their preferences. Moreover, the model assumes that government services exhibit no spillover effects (Billings 2008, p 45). Tiebouts model made three additional assumptions one, that jobs impose no locational constraint on individuals two, that a communitys optimal size, meaning the size for which the average cost of producing a particular packages of public services is minimized, can be determined and three, that each community seeks to attain its optimal size (Feiock 2004, p. 76). The model envisions citizens sorting themselves out among available communities so that demands for government services within any particular community would become homogenous. In theory, Tiebout concluded that to the extent these rather restrictive assumptions are met, good and services provided by the local public sector will exhibit both allocative efficiency (the right amounts of the various good and services are produced ) and productive efficiency (they are produced at least cost) (Rivkin 2001, p. 206). In Tiebouts model, community taxes would be gain ground taxes, or proportional to the benefits citizens receive form public services, rather than taxes ba sed on the ability to pay.

Health Insurance Portability and Accountability Act's Ethics Essay

Health Insurance Portability and Accountability Acts ethics - Essay ExampleA standard electronic device should be used to store exclusively medical breeding of a person. The deadline for embracing the act was September 23, 2013. The health policy incorporates some good issues. These ethical issues include respect for the patients health information, confidentiality and h unmatchablesty. HIPAA law has bought has established responsibilities for health sustainment institutions. The HIPAA law has enhanced the confidentiality of the patients medical information. Confidentiality is the state of having something in a strict privacy or quiet way. This helps to protect patient rights since only the required medical personnels can portal the information. This is a component of providing quality medical health care. In a recent case, a patient torture from paranoid schizophrenia got admitted to a mental hospital. The nurses at the hospital wanted to disclose the health information to t he family. However, the patients physician refused since the patient had not allowed them to do so. The patients health rapidly improved, and within a week, he was warm for discharge. The patients health condition requires maximum respect. Respect is the condition of esteem. In the case of ongoing treatment, obtaining payments and for healthcare operations, one can share protected health information. Except for insurance reasons in order to receive payments indite authorization should be presented any time one requires medical records. Under this condition HIPAA only allows access of minimum necessary information to perform job duties. This enhances respect for patients health information. In another case, a staff member in a medical practice disclosed HIV status of the patient. This happened mistakenly after the doctors office faxed medical records to the patients place of employment rather the new healthcare provider. He thereby disclosed PHI to several other individuals.

McDonald's Financial Accounting Essay Example | Topics and Well Written Essays - 1500 words

McDonalds fiscal Accounting - Essay ExampleMcDonalds was formed in 1940 as a barbeque restaurant but later developed into a huge chain of hamburger extravagant food restaurants. McDonalds is the leading global foodservice retailer with more than 33,000 local restaurants serving more than64 one million million million people in 119 countries each day. More than 80% of McDonalds restaurants worldwide argon owned and operated by single-handed local men and women (About McDonalds.com, 2011). The restrainers report accompanying the Annual Report usually refers to the tenders report. The purpose of the accountants report is to give an opinion on the presentation of the monetary performance of the organization. The auditors review the entire financial data before forming an opinion on the financial argumentations of an organization. The accountants report of McDonalds is reviewed by the Ernst and Young, who are a Public Accounting firm and are the auditors of McDonalds. According to them, the financial statements of McDonalds seem to be fairly presented in all material abide by and that the financial statements are prepared in accordance with the U.S Generally Accepted Accounting Principle. The main nous or the main purpose of this report is to assure the shareholders and the investors that the company in question is not perform any fraudulent activity that may not be in line with their respective objectives (McDonalds, 2010) Financial Statements are a proper record of financial performance of any given business entity. These financial statements provide a reflection of an organizations performance with respect to the resources being used in order to attain the favorable/unfavorable results. The most important financial statements are Income Statement The income statement displays the net gather or loss made by a company through the conventionality course of its operation. The profit or loss reported within the Income statement pertains to a specific arr est of time (usually 12 months which constitutes a year end). The only transactions recorded within the Income Statement are those which affect the profit. These transaction normally tend to be affiliated with the income earned and the expenditure incurred during a current of time. The Consolidated Income Statement of McDonalds shows a profit of $4946.3 million in the year ending 2010. This profit figure is 8.6% and 14% higher than the profit figures of 2009 and 2008 respectively. These figures clearly suggest that McDonalds has performed extensively well property in mind the global economic crisis that had prevailed within the global economy(McCallig, 2008). Balance tatter The Balance airplane is a statement that portrays the result at any particular delegate in time. The Balance Sheet provides a snap shot of the entire business in question since its inception till the point in time when the Balance Sheet is created. The Balance Sheet is categorized into broader categories sho wing the assets, liabilities and the loveliness of a business entity. These categories are shown separately with the assets band under one heading while the equity and liabilities portion under the other heading. The assets portion must eventually tie up with the amount displayed under the equity and li

Financial Regulation & Supervision. Andrews Bank case study Essay

Financial Regulation & Supervision. Andrews Bank case study - Essay lawsuitAdam is a newly hired commercial loan officer in training at the Andrew and Andrews Bank. later clearing several assign summary exams, he joined the bank with zeal and flak towards credit analysis. Several of his seniors noniced him for his intelligence and smartness. Soon Adam was promoted to be a financial psychoanalyst and was assigned to his superior, Jon Smith who was a commercial loan officer. As part of his job, Adam was required to exculpate credit analysis to check credit worthiness for all new customers that Jon brought into the bank. In one such case, where Roberts and Roberts had requested for a five million pound loan, Adam was extremely confused by the itinerary Jon had handled the situation. Adam noted that the company, a retail store chain, was very highly leveraged with most of the exposure beingness handled by his bank. In most of the cases, Roberts and Roberts had to a lower place taken in operation(p) leases which were not part of the long term loans like some other leases. As an accounting regulation, finance leases are classified as long term loans while operating leases only come under contingencies and commitments and in the notes. As a result, Roberts and Roberts was playing with accounting rules and noting its operating leases under notes. Subsequently, when Adam analyzed the credit worthiness of the company, he found that the company was dangerously over leveraged and because was not a safe investment or customer for the bank. Adam included this element into his analysis in the memorandum which he then forwarded to Jon so that she would include that in the credit file. However, Jon decided not to include that in her credit file and the file was later approved by the credit committal with the operating lease issue never coming up in the credit committee meeting. After this scenario, Adam overheard a conversation between Jon and other colleagues. Ap parently, Jon had a psycheal mortgage loan finish approved by the Sheffield Building Society. It was also found that the President of Roberts and Roberts was also chairing the board of the society. Adam also found that extremely favorable rates were offered to Jon on the personal mortgage. Adam was thoroughly confused because of the florescence scenario and this case now portrays several ethical concerns. Following this is an outline of the ethical concerns that are raised by this case along with the action steps that Adam should take in order to fix the situation. Moreover, sealed recommendations for the organization are also put up in order to avoid such situations in the future. Ethical Concerns Highlighted in the Case Various ethical concerns have been highlighted in the case based on the scenario outlined above. The first issue that has come up is that Jon has been given the sole responsibility to present the credit file to his superiors and the credit committee which lead s to issues such as dependency on only one person who can be easily

Report Writing Assignment Example | Topics and Well Written Essays - 500 words

Report Writing - Assignment ExampleThe wary was identified as Ricky Moon, a white male, aged 22 years with a height, 6 weighing, 192 at the moment he was wearing blue jeans and a ski strong-armer. The officer immediately transported him back to the slang in an attempt of finding witnesses who would help with the hazard identification. Beamer and Katz who were both present during the process of the robbery positively identified the suspect.Following the positive identification, Judge L.C Green gave out a search warrant for the third estate Ford pickup that was bearing a New York licence TFH 789 and at that time was being impelled by Ricky Moon and later found to be registered to the same man. The following items were obtained from the truck 38 calibre blue steel revolver having serial number of 78695, a 4-inch barrel, black rubber grips, Green notes bag, top zipper of First topic Bank of New York, a Blue ski cap having eye holes cut within the fabric, a pair of blue jeans wit h red dye stains, black boots, philia shotgun, brown wood stock having the serial number of 436790 and $5,000 in $100 bills all of this materials were found in the suspects truck and are directly related to the above stated robbery.The witnesses at the crime scene postmark Beamer and Jo Katz testified that on 20th of January, 2008 at around 1.30 pm a robbery occurred at the First National Bank of New York. The robber who carried out the offence was described as a white man, in blue jeans, wearing black shoes, in his twenties and also wearing a fabric on the head having holes cut in the fabric. Both witnesses stated to have observed that the suspected robber was in possession of two guns and also was wearing a jacket moreover both added that the man was both in his twenties or early thirties. However there are some of the reported attributes by the two witnesses which are contradicting like Katz reported that the suspect had black hair and blue eyes, whereas Beamer reported the su spect to be having

LISTENING ASSIGNMENT FORMAT FOR ASSIGNMENT 3 VIDEO REPORT

LISTENING FORMAT FOR 3 VIDEO REPORT - Assignment ExampleHe does comping, which is the suffice of play chords in a lovely fashion that creates measures. The music that he plays accompanies the melodies that leave everyone satisfied. The thick players move back and forth especially when the soloist takes a break. Their main job in this piece of do song is to play the roots of the chords. They also lay down a great groove. In this song, they act as a stem when compared to a tree as they keep everything coordinated and together. They are the foundation, the wink and the glue of the song.The drum players in this song act as exciters especially when approaching the climax of the song. As the soloist starts dour, they introduce the rhythm accents together with other instrumentalists. In the song just by myself their importance is greatly seen. The horn players create a get along atmosphere and rhythm. The sequence of the event in the song started off with the piano first played befor e the other instruments for the introduction of the song then the vocalizer sang. The utterer sang the song with all instruments played together at once. After the vocalist, the instruments had a solo with the vocalist taking a break. After the singer was through, the pianist was first focused followed by the guitarist, bass player, drummer, and exclaimer. start-off solo is guitar and piano played together with other instrument accompanying it. The guitarist used the rhythm guitar. After guitar and piano solo, the trumpet was muted giving emphasis on the other instruments. The technique done in the performance wherein the trumpet plays quietly as the singer sings is known obbligato. At last, the singer stared singing, the trumpet was played as well, and it can be observed that both play independently. The solo was pretty winning as everything was kept synchronized and in a perfect flow. This was interesting to listen to.Moaning is an Arthur Blakely and Jazz Messengers jazz albu m recorded in 1958 in

Should Canada, North America, and Central America form an American Essay

Should Canada, North America, and Central America form an American Empire, or super-state, similar to the European Union - Essay Exampleree leaders, President Bush, Canadian Prime Minister Martin, and President Fox of Mexico conferred to tump over upon bringing the North American countries as one. The leaders had agreed to settle for a condition in which both political and economic policies on security and antiterrorism would be integrated encompassing sectors as immigration, energy, transportation, and customs duty and to be complied with by the nations involved.Combining regulations to such extent might to some point yield the craved results however, since it would eventually expedite border crossing and facilitate an approach that favors ease in clearance of commodities and pack at the continental level, one would not afford but imagine how it would give further wages to entries beyond good cause. Once boundaries become freely movable, there would be huge probability toward f elonious trade of goods as in smuggling, drug trafficking, and prostitution. Additionally, the common security perimeter would most likely start out elements that run counter to preservation of culture unique for each nation (Edwards).Super-state formation, on considering adoption of outside(prenominal) policy, may entail threat to laws or acts made to protect both human health and environment. skilful like the initial step by NAFTA, SPP has also targeted to modify certain regulations that enable corporations or underground business firms to file charges against provincial and municipal governments. Later on, this would lessen the chance for environmentalists to express and defend their concerns since the young set of standards regard commercial motives more than environmental impact and would thus limit favor on establishing safety measures on humanitarian aspect. As it turns out, the union inhibits a sense of democracy especially when Amero becomes the bare-ass currency upon the mergence (Wells).The associated plan to establish a global transportation system is initially difficult to weed given the complexity of the transportation

Anwar Al-Sadat Research Paper Example | Topics and Well Written Essays - 1250 words

Anwar Al-Sadat - Research account ExampleThe followers of the Shah of Iran (Persia), Mohammad Reza Pahlavi, highly revered the Egyptian president Anwar El Sadat for his relationship with their attraction. The Shah and his wife would often socialize with the Egyptian president and that these political leaders helped each other on various occasions. Their experience can be further justified by the fact that when the Shah of Iran was exiled after the Islamic revolution in Iran, he chose Egypt as the place to spend his future. Besides, when the Shah of Iran passed away in Egypt in 1980, Anwar El Sadat gave him a severalise funeral and buried him in the resting place of the Egyptian royal families. In my opinion, Anwar El Sadat was a great leader who could turn out really improved the standards of Egypt during his reign, had he been given more time and power. His assassination by the Islamist file name extension due to the fact he pursued peace in relationships with Israel was comp letely unjustifiable. His wisdom had allowed him to see in advance of his time he understood that peace was the only way forward for his nation. Instead of praising him for his vision, the fundamentalists collect support against him and decided to topple his rule. All the sources used for this research have been taken from reliable books and have been referenced thoroughly to give due credit to their renowned authors who are experts in their respective fields. The topics revolve from biographies of Anwar El Sadat to the books on the various issues of the Middle Eastern region in and around the time of the Egyptian Leader.

Controversy impacts the community and community policing Research Paper

Controversy impacts the community and community policing - Research Paper characterSince its establishment, NYPD has done a lot to ensure that New York City is safe for all its residents. In particular, the section has been very effective since 1994 when William Bratton became the commissioner of the department. He introduced one of the policing strategies proactive policing or otherwise publicly called the Stop and gambol indemnity, which has improved shelter in the city vis--vis a lot of criticism from citizens (Ron, 2009). With the proactive policy, Bratton focused on combating crime in all crime hotspots and taking care of victims. This operation entailed the use of police undercover, decoys, relying on informants, raiding, shadowing offenders, and saturating streets with police officers. Note that criminal acts are not evenly distributed with the city (Ferreira, 1996). To handle this challenge, Bratton enjoin police officers to patrol certain areas more than the other area s. Another key factor that proactive policy used is encouraging good relationship between the police department and the people. This strategy incorporates the people into security issues. Citizens were encouraged to call the police using the public number 911. Although many citizens are of the opinion that the front end of police officers in the streets cannot deter crime, but proactive policy has proved that aggressive patrol makes a lot of difference. However, the citizens seem to like this policy but object the way the police officers stop and lark them yet they are not crime suspects (Franklin, 2012).The credits of Stop and Frisk policy can be justified by the tremendous reduction in crime incidence in the city. In January 2013, atomic number 75 Kelly the New York police commissioner reported that the strategies used in proactive policy has helped the police department to hold back crime cases in New York at very low rates. In addition, this policy

Summary Essay Example | Topics and Well Written Essays - 500 words - 5

Summary - Essay ExampleThis research is aimed at exploring the most recent technologies of Physics like nano-identation, scanning electron microscopy, etc. which can be apply to obtain a break dance understanding of tooth erosion and hence help in the improvement of the alveolar treatment techniques. The research will help the clinicians to solve dental problems better and thus help the stirred population. B5 SUPPORTING STATEMENT Explain in no more than half a page of 12-point quantify New Roman font why this project is of interest to you and why you believe you have the skills and fellowship necessary to undertake it successfully. Answer Dental treatment is generally expensive. Therefore, people often prefer to renounce their dental problems untreated. However, the dental problems become complicated due to this and serious heath hazards take place. As a result, more complicated medical procedures like oral and maxillofacial surgeries have to be performed which are riskier a nd costlier. In my opinion, due to lack of consciousness and lifestyle issues are leading to more dental problems and this is becoming a serious public health issue. Hence, I want to conduct a research that would focus on the most innovative technologies to understand the dental problems like tooth erosion better and find out better treatment methods.

Macro Economic Essay Example | Topics and Well Written Essays - 1750 words

Macro scotch - Essay ExampleHowever, later a twin debt blow has been considered as one of the or so bighearted reasons behind the debt crisis. The twin blow came out of the banking crisis together with the previously mentioned extremely high sovereign debt. The European Central Bank (ECB) launched the single currency (euro) in 1999 along with the Economic and Monetary Union (EMU), aiming to fetch monetary efficiency. An Economic and Monetary Union offers a series of monetary efficiency gains in forms of write up ease among the component states that in turn reduces opportunity cost of transforming one currency into another, development among member states would be at par owe to reduction of any possible economic shock (that argon often regional in nature), member states under an Economic and Monetary Union following a common currency would also abstain from intra inflow and outflow of speculative capital, furthermore policy validation among member states would be coherent and c oordinated in nature that will eventually usher divulge economic growth and development. While fiscal irresponsibility on the part of periphery countries has been considered by many an(prenominal) analysts as the root of the ongoing crisis, this paper argues that the impact on capital flows within the euro-zone of fiscal deregulation and lib successionlization and of the adoption of the common currency was critical in exacerbating a growing engagement gap between core and periphery countries and explaining the evolution of the crisis. Debt crisis unfolds- credit failures The crisis in Europe began when financial markets upset confidence in the creditworthiness of PIIGS countries (Portugal, Ireland, Italy, Greece and Spain) and interest rates on government bonds soared to astonishing levels that forced the governments of these countries to seek bailouts from the internationalist community, including the European Community, the IMF and the European Central Bank (ECB), collectivel y known as Troika. This was the period of the great financial crisis of 2007-08 which also affected the US economy. All began with the credit markets and spread to the other sphere of influences of the economy owing to tremendous scale defaulters of loans (ch 31). As determinants of growth, one can say that demand is important for supply or end product to expand. The ongoing debt crisis began with defaults of mortgage loans the demand for which led to a rapid boom in the housing sector which led to the final illusion when defaulters began to rise (ch 25). It is often been opined that the utopia of a welfare state amidst the current era of globalization that fuels on competitiveness (both are diametrically opposite in nature) and populist policies like elevation the wage of the public sector employees in turn cumulatively burdened the governments with high level of debt. This phenomenon is most evident among periphery countries and can only be reckoned as fiscal recklessness. It is evident from the above instruction that fiscal disciplines on behalf of the periphery countries would restore Euro its previous status without any additional measures and to be fine further fiscal incentive. What lies beneath? Expectations and mal-adjustment A deeper analysis of the dynamics underlying the current Euro crisis exhibits that financial deregulation and liberalization was a major cause of the crisis in periphery countries in the euro-zone. Driving up expectations owing to a sudden boom can

Write on a current issue in child development Essay

Write on a current issue in child development - Essay Exampleuire immediate help from the government, non-governmental organizations and members of the society since everyone should play a region in cushioning children from the adverse and varied effects of homelessness.Homeless children live on the streets and make a living by either begging for money and food remnants from pedestrians or by scavenging for food in dustbins and dumpsites. The children face myriad filtrateful and traumatic conditions. The f sham that the children are too young to comprehend much(prenominal) conditions causes them immense psychological and emotional stress. Among the basic effects of homelessness in children is the fact that it hampers their emotional and behavioral development. The children do not receive love and affection from anyone. As much(prenominal), they systematically acquire wayward behaviors and tend to act aggressively to other members of the society. They face varied stressful conditi ons in their daily lives. They therefore accumulate the stress as they grow a feature that makes affects their ability to act rationally and impairs their ability to judge issues ordinarily (Yumiko, nccp.org).Shelter is among the basic human needs. Failure to acquire shelter implies that such an individual cannot afford a number of other needs including healthcare. Homeless children face extreme cold both at dark and in cold weather. They sleep in dump conditions especially in rainy weather. The exposure to such rough ecological conditions makes homeless children vulnerable to a number of medical conditions. They are seeming to capture from malnutrition owing to their irregular and unpredictable eating pattern. They are also likely to suffer from pneumonia among other ailments that turn from exposure to extreme weather conditions. Additionally, they are likely to suffer from cholera given the poor levels of hygiene in the streets. The impoverished state of such children makes i t difficult for them to afford health care services. This implies that they are likely to

Description and useful information about character Essay Example for Free

Description and useful information about character Essay1. White byssus make bend Kringle look like he is seventy five, but when he laughs or walks he seems to be non a day over fifty. His eyes are quick and happy, and he has a matching smile. He looks precisely like Santa Clause, and he believes he is the one. Mr. Kringle dwells in Maplewood Home for the Aged. He spends most(prenominal) of the time smoking his pipe or whittling the toys he has in his room.He has an uncanny way with animals. 2. Dr. pierce is devoted to Mr. Kringle, and wants to protect him. 3. Jim likes Mr. Kringle, he is wondered at his uncanny way with animals. He has been working in the zoo for many years already. 4. Mrs. Doris Walker is businesslike women, handsome and well-dressed. She is divorced, does non want any engagements, disappointed in close relationships. Has a daughter. 5. Mr. Shellhammer is spectacled, very much haired and bold gentleman 6. Fred Gayley is a novel and attractive lawyer in one of the oldest citys firms. Fred is filled with childlike wonder and excitement. 7. Susan is a rather earnest child of six.Susan is intelligent, maybe too much so for a child of her age, but with no felicity about her. Fun is a stranger to this girl. III. Summary of chapters Dr Pierce, working in Maplewood Home for the Aged tells Kris Kringle, the dweller of this facility, that he has to move to Mount Home Sanatorium. Mapplewoods charter considers Kris to be not little out of his mind, as he claims he is Santa Claus. Kris promises Dr Pierce to give him an X-ray machine, and indemnify says he will believe Kris is a real Santa, if he gets one.Mr. Kringle takes his belongings and asks his friend, Jim the zookeeper to host him. duration he walks in Central Park Kris sees a Christmas Parade, and a drunken Santa. Mrs. Walker, who is responsible for the force of the parade, asks Mr. Kringle to substitute Santa, and he agrees. When Doris Walker comes home she sees that her daughter Susan is watching the parade with their neighbor Fred, a young lawyer. She describes her problems with Santa Claus to them. Fred takes her away and tells she should not talk about Santa like that for not to disappoint Susan.Doris says girls should not have illusions, and should not wait for Prince Charming. Fred asks her to consider he may be the sort of person she needs. Doris answers that she has burnt her fingers once. V. Most outstanding Events of the chapters Kris Kringle leaves Mapplewood Home for the Aged. He becomes a Santa on the Christmas Parade. Doris Walker tells about her problems with Santa Clause to her daughter. Fred tries to persuade Doris he might be the man she needs, but Doris does not believe him

Tesco Malaysia Essay Example for Free

Tesco Malaysia EssayTesco Malaysia is the only hypermarket who provides online shopping. The reason to go online shopping is Tesco has great tonicity of the products, freshly picked and cargonfully packed. Besides that, they chip in wide range, variety of brands for us to choose from. They also convey great prices and promotions, the same as in store. Consumer can also collect Clubcard points, just like in store. The main reason of why consumer should go online shopping is Tesco delivery your products to your door in temperature controlled van. Its contented for consumer who doesnt have enough time to go shopping in store.First of all, consumer leave behind have to register an online account with Tesco and then can start shopping by browsing the product that they want. They atomic number 18 lot categories of groceries including fresh good, grocery, baby, chilled frozen, drinks, healthy beauty, household, pets and home, office gifting.Currently Tesco are only offering th eir service to both(prenominal) cities and towns within Klang Valley including Ampang, Bandar Baru Bangi, Bangi, Banting, Batu Caves, Cheras, Cyberjaya, Dengkil, Gombak, Hulu Klang, Hulu Langat, Jenjarom, Kajang, Kapar, Kepong, Kinrara, Klang, Kuala Lumpur, Kuala Selangor, Kuang, Meru, Pelabuhan Klang, Petaling Jaya, Puchong, Putrajaya, Rantau Panjang, Rawang, Selayang, Semenyih, Sepang, Serdang, Serendah, Seri Kembangan, Sungai Buloh, Shah Alam, Subang, Subang Jaya, Telok Panglima Garang. Consumers are required to choose a time slot for delivery.There are 2 hour time slots and its next day delivery from 10am to 10pm. 7 days a week. The honorarium type is pay at the door. Payment is taken after delivery, so consumer can amend their effectuate up until 11pm the night before. All payments are by credit or debit card. The deliveries brought to consumer in a temperature controlled van. Consumer can hand back any unwanted items to the driver. Tesco take payment only on the ingest ite ms consumer has accepted. Payments are taken at the end of the day of delivery.There is a Tesco Help Page will be the guidance for the online consumer who seeks for answer known as frequently asked question(FAQ). Its convenient for consumer. Besides that, on that point is comment card for consumer to click in. Consumer can send feedback to Tesco and rate the page. There is contact number and telecommunicate address of Tesco on the bottom right of the website. In my opinion, Tesco Online Grocery is a very convenient and easy-use for modern-day people in city.

Evidence based practice in antenatal Essay Example for Free

recite sales boothd practice in antenatal Essay inventionIn this globalization world, the c ar for c atomic physical body 18er had become more challenges and competence. IOM Report (2003) title Health Professions t individuallying A Bridge to Quality soak up recommended evidence establish practice (EBP) as one of the desegregation of core set competencies into health professions education. Now days, EBP is the most popular cabbageic to be talk and scripted close in nurse, nationally and internationally. Hitherto, nurses at times dont de bourneine what is EBP and some nurses atomic number 18 even called it buzzword. The latter couldnt be further from truth. EBP is here to stay and nurses must visualize it.Sacket et al (2000) described EBP as the integration of the vanquish question evidence with clinical expertise and patients values. Evidence base practice is the application of the top hat available empirical evidence, including recent question findings, to cli nical practice in order to aid clinical decision making evidence based practice is based on the notion of rational decision making. Higgs and Jones (2000) engage purposed that evidence in evidence-based practice should be considered to be fel pitiableship derived from a variety of source that has been subjected to testing and has found to be credible. Here the nurse selects all look into that has been done in area. These inquiry results are analyzed to stick byher, synthesized, coming up with a through mix in review. Then, the look put into the context of clinical expertise and the value system of the patient, and particular protocols or best practices are developed.In this paper, the important of EBP will be explored in relation to antenatal clinic. The objective of the training is to assess the act on obstetric practice and gestation period period return of routine deep motherhood sonography define as greater than 24 weeks gestation, in women with either unselected or low risk maternal quality .The Australasian Genetics Resource Book (2007) elevatedlighted ultrasonography is the use of high relative frequency sound waves to make an image. In gestation, an ultrasound gives a picture of the developing baby in the uterus (womb). It is regularly considered part of the routine cover for allpregnant women.The ultrasound is used as some(prenominal) a cover and a symptomatic test either give an indication that the baby is at an increased risk of a problem (a screening test), or it base detect a certain(prenominal) problem in the babys physical development for example, in the heart or the kidneys (a diagnostic test). Mostly, a mother will question the nursing staffs working at the antenatal clinic regarding the ultrasound screening whether the figure out is safety of their unborn baby and themselves.In the rural area of Malaysia, most of the antenatal clinics hold no facility such(prenominal)(prenominal)(prenominal) as ultrasound machine. As a result, the pregnant women with medically indicated and get referral letter from medical officer or midwife have to go to government hospital in the city to have an ultrasound. In difference, the private hospital performed routine ultrasound screening for pregnant women in their late pregnancy.The selected evidence are cited by Bricker L and Neilson J (2000) Routine ultrasound in late pregnancy ( after 24 weeks gestation) track down from Cochrane Library. Cochrane informationbase of Systemic Review , 2007, issues 1,promulgated by John Wiley and Sons,Ltd. This re take care is done by qualified person because one of two referees was Dr Leanne Bricker who was the consultant in foetal and enatic medicine of Liverpool Womens NHS Foundation Trust. It could be argue that the reviewer is eligible to do this search and this make the research the more real.WHO Statistic (1999) mentioned that annually 585 000 women die of pregnancy relate complications. It is 99% in developing count ries and 1% in developed countries. So, we can summarize that every minute one women dies from a pregnancy related complication. In Malaysia, high tread of prenatal and maternal morbidity and mortality continue to be a major problem in the country. A crucial incidentor of good obstetrics is the provision of equal to(predicate) care during the antenatal period. Antenatal care was first introduced to medicine in the first decade of this century. Hence, in that respect no qualm that it has a brought gigantic benefit to women and their children. The important purpose of antenatal care is to go out an uncomplicated for the mother and the safe delivery of a life and healthy infant. At present, modern engine room and knowledge technology have beyond more complicated. The equipment such as the ultrasound machine in addition was greatly up to date. The users of ultrasound as one of the obstetrician armamentarium have been part of the cause to alter antenatal and intra partum care. An ultrasound scan uses high frequency sound waves in very short pulses.These extend from a transducer, which rests on your skin, and are reflected off dissimilar tissues inside you and then received back at the transducer. The transducer passes the signal into a computer that displays an image of your insides on a screen. Usually this image represents a bring down 2 dimensional slice of your anatomy. The operator moves the transducer a smoothen to get the best views to help diagnosis, whilst watching on the screen for anything abnormal. They will record several images or short video clips to illustrate the scan and these are kept in a computer infobase that is part of your patient record. The operator will use a small amount of gel on your skin to ensure the transducer contacts your skin impressionively. Routine ultrasound can be used in late pregnancy to detect problems which may not otherwise be apparent, such as abnormalities in the placenta in the fluid surrounding the ba by, or in the babys growth.The process of evidence base practice conglomerate critical appraisal as one of the step. hillock Spittlehouse (2001) defined critical appraisal as the process of systematically examining research evidence to find its validity, results and relevancy before using it to inform a decision. Ahead of implementation of critical appraisal it is essential to down the stairsstand research process principal and beingness able to recognize a well conceived designed of conducted survey. The particular Appraisal Skills put up us what is the best evidence in order to to a lower placestand the method acting actings and result of research besides to access the quality of the research. Oxman et al 1994, mentioned that the piece of evidence will be critically pass judgment for it validity and quality using and appraisal tool named, Critical Appraisal Skills Programme (CASP).The word research means to search again and examine carefully, more particularally, resea rch is a diligent, systematic inquiry or instruct that validate and refines existing knowledge and develop new knowledge. In fact,research is de limitined, hand on, received, understand and accepted by nurse practitioner only, (Brown 1999). Furthermore, the ultimate goal of research is the development of a research body of knowledge for a discipline or profession like nursing. Joppe (2000) highlighted that the dependableness of result is the nominate questions in a research.Brown ,1999Melnyk Fineout- Overholt2005 stated that evidence based practice is the conscientious integration of best research evidence with clinical expertise and patient values and assume in the delivery of high quality , cost effective health care. In this research, the reviewer has made the research more reliable by provided data of all research finding plus a clear precise commentary of the research methodology.BODYThis title of the research clearly indicates the focus of the study. Above and beyond, the abstract includes the study problem, objectives, search strategy, selected criteria, data collection and analysis, important result and implications of the findings for nursing practice. This research is significance to read because all applicable information is presented in a way that captures the attention of the reader. Crosby (1990) point out that a well-written abstract gives readers a good idea of what the study is about, how it was conducted and the findings or recommendations by the author.It is being stated clearly that, the reviewers drew on the search strategy developed for the pregnancy and childbirth as a whole. Relevant of political campaign were place in the chemical groups specialized registered of control test. The pilot reviewer assessed trial quality and abstract data under supervision of co-reviewer. Moreover, the trial were not assess blinded as the reviewer have the information about the author identification, source of publication and result when mak ing inclusion criteria. In fact, regarding the disagreement and insufficient data, the reviewer contacted the author personally above and beyond search in all relevant studies in published and unpublished studies.The publication prejudice is less because all of the studies were in English. The neonatal upshot measures of the research besidesseek advice from professor of perinatal medicine. By the way, any debarred trial was undoubtedly given a healthy accused and all the information of follow up was stated in the references. The participants included all women in late pregnancy (after 24 weeks gestation) in both unselected population and the sample size of the trial wide-ranging. The type of intervention used was routine ultrasound examine in late pregnancy (after 24 weeks gestation) to assess one/some/all of the conclusion measure on fetal size amniotic fluid volumes placental mammal grading fetal structural anatomy fetal presentation. In relation to Crombie (1996), when choosi ng a study design, many factors must be taken into note because contrary types of studies are subject to different types of bias.It claimed that in this study there is no mention about consent and participants were kept in mental confusion about the study. Almost certainly, it is great to mull over in the honorable aspect. It could be quarrel that the participants have been treated purely as a source of data. Theoretically, the ethical considerations in all research are the same the safety and protection of human rights. These rights are mainly could be achieved by informed consent. part no inform consent was taken even so confidentially has maintained. On no account mention any involvement of ethical committee it is a poor steps as explaining the study design is the core of understanding the methodology. Olsen (2003) put in plain words that they are three elements of ethical research to firmly practice.In this review, all results were presented clearly and were similar from stu dy to study. The reviewers have assessed the quality of each study and include all RCTs of routine ultrasound in late pregnancy after (24 weeks) in the research. Quasi-randomized trials were regard as for inclusion due to scarcity of RCTs. The study was good in view of the fact that the limitations of the research and the reason for any variation in the result were discussed in particular by reviewers. The ultrasound selection were differed among trials some offering routine scans to all participant earlier in the pregnancy (before 24 weeks gestation), some offering no routine scan at anytime in pregnancy to the control group and some offering scan at all stages of the trial, but only revealing results of latepregnancy ultrasound (after 24 weeks gestation) for the study group.Furthermore, the rationale for routine ultrasound scan after 24 weeks gestation differed among trials as it is difficult to assess the effect of scan before 24 weeks gestation on the outcome measures. Although the reviewers has point out that the most effective approach to assess the cause of routine late pregnancy ultrasound would be trials where the intervention in late pregnancy ultrasound alone, but this is not such trials exist.However, the reviewers in like manner have reported on the predictable finding in this study. In the Perth 1993, they were significantly higher(prenominal) intrauterine growth restriction on the Serial ultrasound and Droppler examination group. Even, the author states that it may have a chance finding, it is possible that frequent exposure to ultrasound may have influence fetal growth. On the other hand, none of the addressed long shape neurodevelopment results. Exposure of the expectant mother to indecision and possible anxiety about the health of her baby has implication of which may be far reaching. The reviewers as well as have identified the future research on the maternal psychological outcome and long term neurodevelopment outcome.From the time when , it is not mention what type of ultrasound machine was used and which group of personal is perform the procedure. more or lesstimes this could probably introduce preconceived notion to the results. In some situation, the ending measured effect the result because the quality of ultrasound imaging is not reach the standard regarding the technical capabilities of the ultrasound equipment and similarly on the skills or expertise of operators.METHODOLOGYThere are two type of research method quantifiable research method and qualitative research method. The quantifiable research method defined by Burn and Grove (2005), is conducted to test theory by describing variables, examining relationship among variables and determining cause and effect interactions surrounded by variable. It is a formal, objective, systematic process using numerical data to fetch information about the world. In addition, duodecimal method is research method dealing with number and anything thatis measurabl e agree by (Smith, 1988) that quantitative research involves counting and measuring of events and performing the statistical analysis of a body of numerical data. numbering and measuring are ordinary structure of the method.More often than not, the outcome or result of the study is presented in tables, graphs or other form of statistic because it is a kind of number or a serial of numbers. If truth be told, the quantitative analysis endow with result that is more reliable for statistical approaches. The main concerns of the quantitative paradigm are that measurement is reliable, valid, and generalize in its clear prediction of cause and effect (Cassell Symon, 1994).The dominances of the quantitative method are it stating the research problem in very specific and set ground as stated by (Frankfort-Nachmias Nachmias, 1992). It also clearly and precisely specifies both the independent and the dependent variables under investigation. As well, quantitative method include following firmly the original set of research goals, arriving at more objective conclusions, testing hypothesis, determining the issues of causality. In view of (Balsley, 1970) its help achieving high levels of reliability of gathered data due to controlled observations, laboratory experiments, mass surveys, or other form of research manipulations. To boot, this method are also allowing for longitudinal measures of subsequent performance of research subjects. Kealey Protheroe (1996) indicated that quantitative method rally round eliminating or minimizing subjectivity of judgment.De filth the fact, the weaknesses of the quantitative method are failure to provide the researcher with information on the context of the situation where the studied phenomenon occurs and inability to control the environment where the respondents provide the answers to the questions in the survey. curb outcomes to only those outlined in the original research proposal due to closed type questions and the merged form at. More to the point, not encouraging the evolving and continuous investigation of a research phenomenon are the disadvantages of using quantitative approach.According to Munhall (2001) the qualitative research method is a systematic,subjective approach used to described life experiences and situation and to give them meaning. The knowledge generated the qualitative research will provide meaning and understand of specific emotions, values and life experiences. As said by Morgan (1980), the qualitative research shares the theoretical assumptions of the interpretative paradigm, which is based on the notion that social reality is created and sustained through the subjective experience of people involved in communication.Some researcher using qualitative method are concerned in their research with attempting to accurately describe, decode, and interpret the meanings of phenomena occurring in their normal social contexts as declared by Fryer (1991). In view of that, qualitative approach in general is more likely to take place in a natural setting acknowledged by Denzin, 1971 Lincoln Guba, 1985 Marshall Rossman, 1989.The strengths of the qualitative method as declared by Bogdan Taylor, 1975 Patton, 1980, it provide a holistic view of the phenomena under investigation. Furthermore, qualitative method is the process of obtaining a more realistic feel of the world that cannot be experienced in the numerical data and statistical analysis used in quantitative research. It also provides the flexible ways to perform data collection, subsequent analysis, and interpretation of collected information. Kirk Miller, 1986 writes that it gives the ability to interact with the research subjects in their own language and on their own terms. Summarizing, the qualitative approach present descriptive capability based on primary and unstructured dataHowever, the qualitative method coming up with some weaknesses of as point out by Cassell Symon (1994) that it departing from the or iginal objectives of the research in response to the changing nature of the context. In that case it also arriving to different conclusions based on the same information depending on the personal characteristics of the researcher. The inability to investigate causality among different research phenomena and difficulty in explaining the difference in the quality and quantity of information obtained from different respondents and arriving at different, non-consistent conclusions appeared as the disadvantage of qualitative method.It follows requiring a high level of experience from the researcherto obtain the targeted information from the respondent. Lastly, it also contributes lacking consistency and reliability because the researcher can employ different examine techniques and the respondent can choose to tell some particular stories and ignore others.In spite of that, the quantitative research method is used in this research. Seven eligible Randomized Controlled Trials (RCTs) were participated in this survey. The methodology mostly could be summarized as quality and the reporting of reports were good. Yet, the Glasgow 1984 (UK) study was quasi randomized with allocation according to the hospitals number and this had probable to engender bias. On the other hand, RCTs for evaluating the effect of intervention in this study, is used even though it is less in effect in answering questions about patients personal experience, attitude or psychological outcome. Sequentially, to explore psychological aspect of the pregnant women during the routine ultrasound screening, it could be niggle that it will be more apt to include qualitative research in this study. Review autobus (Revman) software was used to act upon statistical analysis.Meta analysis was used to analyze and combine the result of the studies and it is an remove technique of data analysis. The plus of using this type of analysis is that it increases the sample size so that if the significant differen ces exist they are more likely to be demonstrated. Sacket (1996) mentioned that evidences from systematic review and Meta analysis has taken the top place of the hierarchy because it provides misleading about the effect of intervention.In this research, quantitative and qualitative approaches were bringing into being be a foil for each other while the scantiness of each were essentially counterbalance. Conversely, it also point out the time and cost implications, from the time when the volume of data produced was enormous and an tremendously capacious knowledge foot was vital to analyze it.Seeing as the method section is a strength of the study. In this study, the sample size was large (25 036 women) and included variety of subjects. This heterogeneity of the subject has increases the generalizability of the findings as agreed by Burns Groove (2005). The sampling method, samplingcriteria, and sample characteristics are clearly presented. The study could be considered as ethical b ecause it was approval for conduct by an institutional review board but in state of affairs unethical because no informed consent was obtained from the object or sampling.RESULTIn this research seven trial comprising 25,036 women were included ( Alesund 1999 ) Glasgow 1984 Perth 1993 new Zealand 1993Trondheim 1984Peterborough 1987 Radius 1993) . The attribute of the incorporated test on the whole was acceptable as assess by reviewers. There was no difference in antenatal, obstetric and neonatal intervention or morbidity in screened versus control group. From the result of the studies, routine ultrasound in late pregnancy was not associated with improvement in overall perinatal mortality. However, placental grading as an adjunct to third trimester examination scan was associated with a significant reduction in the stillbirth rate in the one trial that assessed it. There was no data on maternal psychological effect. Data with regard to long term substantive outcome in fetal neurodeve lopment is lacking.IMPLICATIONSThe study originated that there is then far no evidence that routine ultrasound improves outcome or increase interventions. The fact, ultrasound could be used in late pregnancy to find the cause of compilation such as bleeding. In some situation, ultrasound screening in late pregnancy appears to be useful in placental grading. In some country, screening all pregnant women for possible problem late in pregnancy is controversial. The ultrasound is seen not demonstrated fetal harm if we use properly followed proper procedure. For the long term side effect, the users of repeated ultrasound are still not fully known regarding the exposure of the fetus. Some problems occur with such screening are increasing major intervention without benefit like cesarian section. Till now, there is no specific epidemiological evidence that ultrasound screening during pregnancy is prejudicial but no fact conclusion has been reached from available data, forthat reason cont inue awareness is necessary. In spite of that, the policy practice in the antenatal care needs a changeable. So, it is highly recommended that routine ultrasound in late pregnancy only be done for high risk mother such as mother with placental previa.RECOMMENDATIONSIn fact, further studies on maternal physiological outcomes and long term neurodevelopment outcome for the fetus is essential to be carried out. In addition, the level of performance of technical operator and equipment should be sporadically audited and governed by a dogmatic body to prevent the mother and unborn child. In our day, nursing care is grant access to be root on the modern best evidence, interventions will be more useful and will effect in superior patient outcomes. So, nurses are motivated to watch out how to group and interpret data to implement in their practice on the best evidence available.Evidence based practiced (EBP) has grows to be a critical concept for ethical liable in professionals nursing pract ice. As said by Mckenna et al (2004), negative beliefs, Krishbaum et al (2004), attitudes and value (Pravikoff et al 2005) have been shown to be powerful barrier to EBP. In order to overcome barriers in EBP, strategies are needed to recover such as awareness, knowledge and skills in evaluating evidences. It is also importance to have administrative support by providing access to EBP or research mentor in practice arena.As indicated by Avis (2006), the Randomized Control Trials (RCTs) are remains one of the best means to make your mind up whether one form of care is better than another. Since RCTs is purely and evaluation technique, the consequence of knowledge cannot be condense to the application of procedure to bring into being evidence. Besides, understand the result as well as the limitation of relevant research study, it also need an awareness of the background theories which influenced particular research studies.CONCLUSIONIn my view, this research is simply good because it p rovide complete information include literature review, sampling method, sampling size and etc. Basically the methodology was performed clearly and the result was presented well. All the statistical tools used were shown and the barrier exist were explained particularly. It is the most swollen with disdain that the study had achieved the objectives and was helpful in development of nursing practice.

Candide by Voltaire Essay Example for Free

Candide by Voltaire EssayThrough Candides perplexing adventures and enlightening encounters, Voltaire illuminates the numerous diverse cultures of which Europeans consider themselves superior. Yet rather than supporting the foreign practices of cannibalism, bestiality, and the abolishment of priests, Voltaire is ridiculing the Europeans protest methods of torture in an abusive social hierarchy. Therefore, piece license of expression and a consensus of the majority constitute faucets of good manner, the European practice of elitist rule and inequitable penalisations is revealed as cheating(prenominal). This reprehension suggests the need for remediate by deriving authority from somewhere other than the traditional roles of the royalty, clergy, and gentry, a rather basal move at the time. Voltaire at first reveals the fault of Europeans through his description of the nail land of Oreillon. Upon their dissent from Paraguay, Candide and Cacambo come across dickens women , wholly nude, who cry out and spryly run forward from two monkeys who snap at their buttocks (73). Instantly sympathetic, Candide shoots his musket and kills the monkeys, echoing that he has redeemed himself from earlier sins by saving these distressed women. However, to his surprise he discoers that he has just killed the ladies lovers. Without questioning the practices of this foreign society, Candide reacts based on his own perceptions of right and wrong. His actions reflect the naivety of Europeans concerning what is thought to be normal based on their own superior culture.As punishment for Candides rash actions, the Oreillons attempt to roast the travelers over a cat to eat, justifying this through the proclamations that Candide and Cacambo be Jesuits and thus deserve to die. This deportment is explained by Cacambo as being clutch because if we Europeans do non exercise our right to eat others, it is because we have other ingredients for a good meal (pg. 74). He recog nizes that each society contains its own equ both(prenominal)y valid practices which can non be altered or condemned by those who think they ar predominant. In addition, Voltaire is not justifying that bestiality and cannibalism constitute a righteous society, but rather satirically commenting on the Europeans own practices, for it would be hypocritical to condemn these practices without evaluating whether the Europeans own forms of punishment are just.As the innocent Candide ventures to Eldorado, he is once again introduced to a land unlike that found in contemporary Europe. Upon their arrival, the travelers bewilderingly walk upon pavement made up of rubies, emeralds, and gold and rapture in the delights of a free feast at a common inn. The generous, humble citizens then guide them to an old domain and, later, even the approachable king, in order to answer their many questions. Through these communicators they come to realize that the about striking aspects of the village do n ot constitute its physical features, but rather its ideology. They are told that all men are free, and thus there is no need for the establishment of courts, trials, or prisons. piece of music Candide is quite a baffled by these assurances which completely contrast the structured social organization of Europe, he is even more confused by the lack of priests or an enforced religion, upon which he exclaims, What You have no monks who lecture, debate, govern, conspire, and burn deal who dont agree with them? (79). These seemingly sarcastic remark is a reflection of the binary sentiment in which the Europeans have taught their citizens to believe. Candide had always considered the church as an institution which interjects in every aspect of flavor and constantly ridicules and punishes others while denying the fact that there are other practices and religions besides the order of the church and Catholicism. Voltaire is not suggesting the elimination of priests, which would be a rad ical idea at the time, but is rather demonstrating a deeper criticism of Europeans who assume that they are superior and must punish all those who defy this idea.Although Oreillon and El Dorado are societies completely unlike that of the Europeans in law and culture, they are seen as portraying decent human behavior because they stand their citizens to express free will and they derive authority from the consent of the masses. For instance, in Oreillon, women are allowed to mate with whomever they enthrall without judgement or persecution from others. This freedom of expression illustrates that the culture seeks to facilitate the happiness of its people. Additionally, when the two monkeys are bump off by Candide, the leaders instantly capture and attempt to punish the travelers, reflecting the societys dedication to support its citizens from harm and condemn those who impinge on basic freedoms.While this culture may seem uncommon compared to more civilized nations, the fact th at it derives its authority from the people illustrates that bestiality and cannibalism are enforced as appropriate human behaviors so long as there is a general consensus. Similarly, good behavior does not necessarily need to be derived from praise towards the king or daily sacrifices to a church, as visualised in Eldorado. Unlike in Europe, the king is humble, approachable and genuinely concerned with the welfare of his citizens. For example, the feast the travelers desolate at the inn is free because the state is said to assist business, thus revealing that the government is unbidden to contribute to the success of its people despite their class or wealth. Therefore, despite their practices, these societies emulate good behavior.However, Voltaire forms a critic of the Europeans due to the unjust practices in which they derive and maintain authority. In Candides hometown of Westphalia, for example, the naive Candide is exiled from the stronghold of the Thunder-ten-tronckh beca use he kissed the Barons daughter, Cunegonde. He was unfairly punished because he stepped out of the social hierarchy to which he was born, while Cunegonde was not disciplined for her actions due to her rank. Similarly, in places like Paris, the elites haughtily criticize their crack mans creations and do not hesitate to manipulate and greedily conspire against others.When Candide is led into a ploy by the despicable Abbe and arrested even though he had not commit any detestations, he is able to buy his freedom with three diamonds. The officer then exclaims, Ah sire, even if you committed every crime imaginable, youre still the best man in the world (97). Ones fate depends on the inconsiderate word of the elite, ones wealth, and the act of bribery. Since Candide had money, he was able to secure his freedom while the majority of peasants who are near penniless would have to suffer. These scenarios represent the unjust rule of the elites over the consensus of the majority.While Vol taire formulates the components of good behavior based on the legitimacy the authority derives from its citizens, he also constitutes bad behavior as punishment without just cause. For instance, when Candide and Martin arrive in Portsmouth, they view the execution of a British full admiral. The Admirals crime was explained in that he had stayed too far from the French enemy and that his death would encourage others to fight more fervently during war. This nonsensical behavior represents the paradox of European punishments which reduce war heros to criminals. some other such scene is presented when Candide and Pangloss reach the city of Lisbon in which a haphazard earthquake kills cardinal thousand people. Faculty of a university decide that, in order to prevent another earthquake, they must roast several persons over a slow fireThey had therefore seized a man from the Basque province who had been convicted of marrying the godmother of his godchild, and two Portuguese men, who whe n eating a chicken, had removed the bacon seasoning (52-53). As a manner of electing their sacrifices, they choose those who had committed even questionable disgusts, though even those forms of misconduct can be viewed as unsubstantial exuberant to deserve punishment, much less death. While it is firstly completely unreasonable to attribute a cancel phenomenon to personal actions, Voltaire goes so far as to satirically illustrate that this is a commonsense European belief, for both offenses appear inconsequential to the victims punishment.Meanwhile, most Europeans would be disgusted with the culture of the Oreillons who engage in cannibalism after enacting a punishment. However, Candides death penalty after murdering two of its citizens is a much more equitable offense in terms of its punishment than removing bacon seasoning from chicken, such as in Europe. Furthermore, once a body has been burnt, it seems inconsequential whether it is eaten or not. Voltaire is thus able to portr ay the irony as well as the unjust nature of European punishments as a bad behavior of society.The figures of the time who would be most notably perturbed by Voltaires suggestions constitute the royalty, the nobility, and the clergy. Firstly, for centuries the royalty had uncontestedly derived authority through lineage and from claims to divine right. Candides acquire with the King of Eldorado would probably be perceived as strange because the royalty was considered far higher up the common people in class, stature, and rights, and thus did not need the consent of its citizens to govern. Thus, the monarchy would be opposed to Voltaires ideas because they undermine his authority. This is reflected in eighteenth century Europe when the National Assembly made a radical move by sending Louis XVI to the guillotine as a symbol of the growing dissatisfaction of the peasants and workers.Secondly, the nobility consisted of a small number of elites who mainly derived their elevated status f rom patronage. Voltaires view of this social class, at least in Paris, is illustrated in the abode of Marquise de Parolignac, in which these morose intellectuals portray that their sole interests are to spread slander, hypocritically belittle art, and greedily take advantage of Candides treasures. Similarly to the monarchy, Voltaires proffer that societys values and laws should be supported by the consensus of the masses was a scandalous assertion because it would undermine the power of the elites and force them to surrender their privilege.Finally, the clergys word penetrated all aspects of life in eighteenth century Europe while Religious Orthodoxy formed local allegiances and bound communities together by discussion sacred traditions. However, it can also be said that the institutions of the church hypocritically valued their own self-preservation over educating the masses. Therefore, these religious authorities would not consent in being forced to adhere to stricter laws by hav ing to open up proper, legitimate reasons as a means to punish nonbelievers or delinquents of the church. Despite these opponents, Voltaire suggests a need for reform by deriving authority from somewhere other than the norm.Although European society appears far more mod than that of the savages and more structured than Eldorado, that does not necessarily determine that its laws and people are superior. In fact, Voltaire constitutes good behavior in a society as something that has been consented upon by its people, while bad behavior derives from unjust punishment and the dangerous rule of elites. Voltaire thus forms a critic of Europeans through comparisons to these foreign lands and furthermore questions whether a reformation of authority is a necessary means to benefit society.SourceVoltaire. Candide. Boston Bedford/St. Martins, 1999.

Selling Apporoach Essay Example for Free

Selling Apporoach Essay1. It is important for a sales somebody to anticipate buyers concerns and objectives beca employment it shows that you have concerns as well and as a sales person you must generate the correct information to help buyers understand there interest. 2. There are quadruple numbers of objectives, but only a few are more difficult to handle and they sink in this categories needs objection, product or service objectives, company or source objections, price objections and time objectives. 3. The direct denial method should only be used unsubstanti eachy. It would also be better to use it towards customers that you already established a life-threatening vibe for the relationship.4. I do agree to the saying if a sales person gets sales resistance, then he or she has done a very good job during the presentation because that means that they didnt clearly give enough information toward the customer concerns. 5. I believe a sales person want to agree to sales resis tance if the sale wasnt meant for them. 6. There should never be a situation where the sales person cant catch sales resistance because there is a term LAARC. Its and acronym for listen, ac fareledge, asses, respond and confirmed that describes an effective process for sales people to follow to overcome sales resistance.7. I agree that closing is the most important storey of the sells process because its a review of everything discussed and it give the consumer and sales person clarification and unsterdaning the product 8. gross sales people shouldnt have any closing techniques ready to use during a sales exclaim because all customers have different needs and wants to a product so it should be based on what the salesperson picks up to determine what the closing technique should be. 9. The eLAARC method can be used for all types of sales resistance because it evolves you to listen, acknowledge, respond, and confirm the sales resistance. 10. The best method to handle sales resista nce is to know your product, keep a positive attitude, be enthusiastic, and keep your customer happy.

Cross Border Mergers and Acquisitions in India Essay Example for Free

Cross Border Mergers and Acquisitions in India EssayThe corporal sector all over the world is restructuring its operations through different types of consolidation strategies like mergers and acquisitions in order to face challenges posed by the new pattern of globalisation. The intensity of such operations is increase with the de-regulation of various government policies as a facilitator of the neo-liberal economic regime. The intensity of cross-border operations recorded an unprecedented muckle since the mid-1990s and the same trend continues.Earlier, opposed firms were satisfying their market expansion strategy through the setting up of wholly owned subsidiaries in overseas markets which has now become a second best alternative since it involves much time and effort that may not suit to the changed global scenario, cross-border mergers and acquisitions became the first-best option to the leaders and others depended on the follow-the-leader strategy. The Indian corporate s ector too experienced such a boom in mergers and acquisitions that guide restructuring strategies especially after liberalization, Four types of growth strategies adopted by the firms.Firms started with domestic production and began to export to the foreign markets, establishment of subsidiaries in overseas market was the next stage and as a fourth phase, firms started to conduct firms in foreign markets instead of establishing subsidiaries. The increasing magnitude of investment through cross-border mergers and acquisitions and its emergence as a major component of FDI even in the case of developing countries such as India, why firms argon engaging in cross-border consolidations instead of establishing subsidiaries or to engage in export-oriented growth.

The Difficuly Finding the Meaning of Life Essay Example for Free

The Difficuly Finding the Meaning of Life EssayA sense of meaning is compulsory in humans or else we become discour historic periodd and lost and can even end up looking for meaning in harmful ways. People who cannot find in meaning in their smell are susceptible to cults and manipulation from others as well as depression. In J. D. Salingers novel the backstop in the Rye, The main character (Holden) is having difficulty decision the meaning of life. Everyone is bound to spend some epoch in their life searching for meaning. Holden does not make an effort to do well in cultivate nor does he make an effort to fit in with others.He looks at others as phonies merely onerous to imitate each other and questions all social norms that are pressured upon him. Today is no different from Holdens time when it comes to finding the meaning of life the media frequently suggests that the meaning of life is seeking pleasures such as sex, drugs and money, Parents drive the children to focus on their education and their worth in society. Holden does not pursue sexual conquests as a youth and resents to the highest degree girls around him because of their large need to conform.This is uncommon for someone Holdens age and causes him to stand out from those around him. He does not appear to be content with his life and does not have a strong peer group to support him. Holden disappoints his parents, teachers, and many other mentor figures throughout his youth. I also have questioned the value of education and whether or not spending a third base of my life preparing for work, a third of my life working and a third of my life retired is really the most fulfilling plan in life.One reason I believe Holden is having a hard time finding meaning in life is that he starts off without any role models. He does not hero-worship his brother and resents his parents. I also have found choosing role models in life to be a difficult decision. Because Holden focuses so strongly on peop les negative qualities he misses the more exquisite and sought after qualities of their personalities and therefore has a hard time relating to them.This causes Holden to become more or less(prenominal) isolated from those around him. I have often questioned the meaning of life and realized that my idea of a meaningful life is quite different from some of my peers. This moral difference between me and many often stops a more personal relationship from forming. This effect is present throughout Holdens go as he feels isolated in the same way from many of his Phony acquaintances.

Alcoholism is a chronic disease Essay Example for Free

alcoholic beverageic beverageism is a chronic disease Essay boozing is a progressive and chronic disease that accepts controlling drinking, victimisation inebriant even though it causes puzzles, having physical dependence with inebriantic drinkic bever while, or having disengagement symptoms when one tries to cut backside or stop consuming alcohol. One give the bounce have a riddle with alcohol and non have it progressed to alcoholism. That is called problem drinking which heart one drinks to a fault much causing repeated problem in their life. According to the Mayo Clinic (2012), binge drinking is a pattern where a male consumes quint or more than drinks in a row, or a female drinks at least(prenominal) quartette drinks in a row. Binge drinking piece of tail backsheesh to the same health gambles associated with alcoholism (Mayo, 2012). not existence able to stop drinking or cut back and denying you have a problem is a few of the things that come with al coholism Criteria for alcoholism based on the DSM V atomic number 18 an mortal meeting any two of the eleven criteria during the same twelve month period.Examples of these criteria include a retentive desire or unsuccessful efforts to cut down or control alcohol use, craving or strong desire or urge to use alcohol, and important social, occupational or recreational activities atomic number 18 given up or reduced because of alcohol use (NIH, 2013b). As for ICD criteria, an individual must interpret certain criteria as well. ICD criteria expect an individual to experience three or more of the criteria occurring together for at least 1 month or if less than 1 month, occurring together repeatedly within a 12-month period. Examples of these criteria include Difficulties in controlling drinking in terms of onset, termination, or levels of use drinking in larger amounts or over a longer period than intended or a stern desire or unsuccessful efforts to reduce or control drinking, Ne ed for significantly emergenced amounts of alcohol to achieve intoxication or desired effect or markedly diminished effect with proceed use of the same amount of alcohol, or Important alternative pleasures or interests given up or reduced because of drinking (Hasin, 2013).According to the article, alcohol Consumption and Cancer Risk (2011), there is a striking link between alcohol and crabby person. Heavy alcohol consumption ( 4 drinks/day) is significantly associated with an accessiond risk of about 5-fold for oral and pharyngeal consonant cancer and esophageal squamous cell carcinoma, 2.5-fold for laryngeal cancer, 50% for colorectal and teat cancers, and 30% for pancreatic cancer (Pelucchi, Tramacere,Boffetta, Negri, Vecchia, 2011). Evidence proves that even one drink per day increases the risk for pharyngeal or oral cancer by 20% and 30% for esophageal squamous cell carcinoma. Breast cancer has an increased risk of occurrence with three to six drinks a week. When an in dividual exposes themselves to both alcohol and tobacco, there is a greater increase in oral and pharyngeal cancer risk.Alcohol to a fault causes an increase in head and neck cancer when it is employ alone (not used in conjunction with tobacco). cut back alcohol to limits indicated by the European Code Against Cancer would avoid nearly 90% of alcohol-attri notwithstandingable cancers and cancer deaths in men and over 50% of cancers in women (Pelucchi, Tramacere, Boffetta, Negri, Vecchia, 2011). This article provides great evidence of ebullient alcohol being linked to further health risks for individuals who indulge over the recommended amounts. A person suffering from alcoholism has galore(postnominal) outer appearance changes by dint ofout their life. Someone suffering from alcohol withdrawal may experience nausea, sweating, slew tremors, visual hallucinations, or seizures. These are all very customary symptoms associated when an alcohol mutually beneficial person goes th rough withdrawal. Not only do these physical symptoms occur, but psychological symptoms also occur. Examples of psychological symptoms include depression, anxiety, irritability, restlessness, or insomnia. Both the physical and psychological symptoms can be visible from an outsiders perspective.An alcohol dependent person may not experience withdrawal symptoms if they are taking in enough alcohol on a daily basis that meet their required needs to feel well. Though they may not have the withdrawal symptoms, they do have physically visible symptoms from their excessive alcohol intake. Symptoms include facial redness/flushing of the fell, xerosis, dull skin tone, follicular hyperkeratosis, gingivitis, tooth decay, black hairy tongue, and weight gain. The virtually common though include dehydration of the skin and bloating in the abdomen or face (Drink Aware, 2014). Drinking too much alcohol deprives the skin from important vitamins and nutrients. Over time, losing these nutrients from excessive drinking can cause long-lasting damage from frequent flushing and redness of the skin. Facial and abdominal bloating occurs when the person experiences dehydration from the excess about of alcohol intake (Drink Aware, 2014).Prevalence of lifetime alcoholuse by age and gender graph was report by the National Institute on Alcohol Abuse and Alcoholism (2013c) males age 18-24- 70% and women 55%, males age 25-34- 82% and women 65%, males age 35-44- 82% and women 63%, males age 45-55- 80% and women 55%, and males age 55 + 71% and women 39% (NIH, 2013c). According to the data from the National Household Survey, most Americans had at least one drink of alcohol by late adolescence. Among men, 70% to 83% reported consuming alcohol on at least one occasion during their lifetime, as compared to 39% to 66% of women. The prevalence estimate of lifetime alcohol use among men is broad(prenominal)est among those aged 25 to 55 and lowest among the 18 to 24 and 55 or older age groups. Si milar findings were found for women, although they reported lower rolls than men. The rate of lifetime alcohol was lowest among women ages 55 or older. The largest gender difference was noted among the 55 days or older age group, with males drinking more.The smallest gender difference was between 18 to 24 eld old (NIH, 2013c). Alcoholism entrusts from the complex interaction of genetic, social, and environmental factors. Alcohol has widespread effect on the mentality and can refer nerve cells, spirit chemistry, and blood flow within the frontal lobes. Neurotransmitters are alter by long-term use of alcohol. Neurotransmitters are released when alcohol is consumed, which make euphoria and a sense of well-being. continuing exposure of the brain to alcohol is thought to result in long-term adaptive changes that initially produce increased reinforcement for alcohol use and over time progress to withdrawal and negative emotive states, so that regular alcohol use is required to feel normal (Chung Pittman, 2013) Being dependent on alcohol is often associated with psychiatric disorders, such as schizophrenia, depression, or PTSD. Genetic factors are believed to play a role in alcohol abuse.The New York Times (2013), believe the amygdala, part in the brain obligated for controlling cravings, has been reported to be smaller in individuals with family history of alcoholism (TNYT, 2013). There are also many social and environmental factors that contribute to the development of alcohol abuse or alcoholism. There are mass marketing of alcohol on television, billboards, and gas stations. Marketing tends to increase the number of alcohol gross revenue and in turn increase chance of alcohol abuse among individuals. Many young individuals are pressured by friends or even family to begin drinking at a young age. Drinking at a young age greatly increaseschances of that individual to suffer from alcoholism in the near future. During the general judging of a person suf fering from alcoholism, the care for is to first gather accurate data regarding their drinking patterns.The nurse must ask the question, Do you sometimes drink beer, wine, or other alcoholic beverages? If the person states yes, and so the nurse asks How many times in the past year have you had five or more drinks in a day? This will help the nurse gather important data regarding excessive alcohol consumption. The next step is to tell the patient to decrease the amount of alcohol that is being consumed since the chance of It is also important to ask about their life style, family, and relationships. The person may be experiencing depression or anxiety if they have lost family support because of their addiction. If this person is experiencing withdrawal symptoms during the judging, the nurse should plan to provide nourish measures for this patient. The patient may also be very agitated, embarrassed, or not level headed, since alcohol has these effects on an individual.By simply lo oking at the patients appearance, the nurse should be able to determine if the alcohol has caused further damage to the dead bodys organs. For example, if the liver is failing, the person may experience jaundice. Focusing the assessment around the use of the alcohol and effects it has on his or her life will be of most concern. The patient should have a full lab workup to determine if further damage has occurred to this patients health. The nurse can also provide appropriate resources for help, such as AA meetings, rehab, or family counseling, which will be beneficial for the patient. Drinking too much can take a in effect(p) toll on ones health. Alcohol can affect a person brain, heart, liver, pancreas, immune system, and can increase the risk for cancer.According to the National Institute on Alcohol Abuse and Alcoholism (2013a), alcohol interferes with the brains communication pathship canal. These disruptions can change mood and behavior. These changes can also make it harder to think intelligibly and move with coordination (NIH, 2013a). The heart can be affected with cardiomyopathy which is stretching and drooping of heart muscle. Arrhythmias, stroke, and high blood pressure can also occur from over using alcohol. Research by the NIH (2013a), alcohol can inflame the liver and cause steatosis or fatty liver, alcoholic hepatitis, fibrosis, and or cirrhosis. The pancreas produces toxic substances that can eventually lead to pancreatitis (NIH, 2013a). Pancreatitis is inflammation andswelling of the blood vessels in the pancreas that prevents proper digestion. The immune system is weakened. chronic drinkers are more likely to contract diseases like pneumonia and tuberculosis than people who dont drink. chronic alcohol consumption increases risk for cancers such as mouth, esophagus, throat, liver, and breast Alcohol pharmacokinetics includes absorption, distribution, and metabolism. After oral absorption, alcohol is absorbed from the duodenum by diffusion (Ra mchandani, 2009). The rate depends on the volume of alcohol consumed (the less concentrated the drawn-out rate of absorption), rate of drinking (faster you drink the faster the absorption), food, and gastric metabolism. The distribution of alcohol is into total body water. There are also gender differences in body. Women have a lower proportion in total body water compared to men. Metabolism of alcohol occurs primarily in the liver in a two-step process. As researched by Ramchandani (2009), the first step, alcohol is oxidized to acetaldehyde by the enzyme alcohol dehydrogenase or ADH. In the second step, acetaldehyde is converted to acetate by the enzyme aldehyde dehydrogenase.Then there is alcohol pharmacodynamics (Ramchandani, 2009). Alcohol is a CNS depressant. Its stimulatory effects result from depression of inhibitory control mechanisms in the brain. Characteristic responses to alcohol include euphoria, impaired thought processes and decreased mechanical efficiency. More than just a doctor is postulate for the treatment of alcoholism. Alcoholism counselors, social workers, psychologists, and family therapists are a few others that may be involved. There are three stages in treating alcoholism. The first is to make sure the person is medically stabilized. Next, they must undergo a detoxification process which is then followed by long-term abstinence and rehabilitation.According to Cunha (2012), the most common medication in treating alcoholism is disulfiram (Antabuse). It interferes with alcohol metabolism resulting in a metabolite that makes the person nauseated and very awkward when consuming alcohol (Cunha, 2012). If they stop taking this they can implant a device under the skin so they have to continuously take it without the freedom of being able to stop it. Other medications used are naltrexone (ReVia), acamprosate (Campral) and a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs) (Cunha, 2012). Alcohol withdrawal is enured by oral or IV hydration along with medications. According to Cunha (2012), the most commonmedication groups used in treating alcohol withdrawal symptoms are benzodiazepines, which include lorazepam (Ativan), diazepam (Valium), and chlordizepoxide (Librium) (Cunha, 2012). Any person that is being treated for alcoholism should also receive thiamine (vitamin B1). The thiamine levels are usually low and if deficiency occurs it could lead to Wernickes encephalopathy.The detoxification stage involves stopping the alcohol consumption. This usually occurs in an inpatient setting and will require extensive support. The medication will be given and then tapered off until no withdrawal symptoms are evident. This process lasts a few days to a week. Rehabilitation can be all a short term or long term residential program. These help those who are more severely dependent and need the help to develop skills not to drink and to work on ways to help them from relapsing. Short term programs a re less than four weeks long where long term programs can last for a month to a year or more. There are also some(prenominal) effective individual treatments delivered by professional counselors in outpatient treatment clinics. These treatments include twelve-step facilitation therapy, motivational enhancement therapy, and cognitive- behavioral coping skills.There are also self-help programs which are Alcoholics Anonymous (AA), women for sobriety, Rational Recovery, and SMART recovery (Cunha, 2012). These vacate alcoholics to stop drinking and remain sober on their own. In conclusion, alcoholism is a very serious condition that sadly many people face in the world. There any many means of helping these patients, but only if the individual wants the assistance. Once the person is so alcohol dependent, they are in a state of denial and think that nothing is wrong with their habit, but the earlier we get them to read their problems then the easier it is to help them through it. Alco holism is not only a terrible disease itself, but it also leads to many other deadly diseases and illnesses.The first priority to make a difference in the world is to educate the youth about alcohol, which will hopefully decrease the rates of alcoholism occurrences in the future. The effects of alcoholism which are physical and psychological can cause many problems that affect a persons life in all aspects. Alcohol alters ones brain, muscles, digestion process, and other disorders that affect ones health. It also can cause depression or changes in behavior that result in problems with their family, friends, and with themselves.ReferencesChung, P. Pittman, J. (2013). Epocrates Online. Alcohol Abuse. Retrieved fromhttps//online.epocrates.com/noFrame/showPage.do?method=diseasesMonographId=198ActiveSectionId=24Cunha, J. (2012). E Medicine Health. Alcoholism. Retrieved from http//www.emedicinehealth.com/alcoholism/page8_em.htmDrink Aware.(2014).Health set up of Alcohol. Alcohol Depende nce. Retrieved fromhttps//www.drinkaware.co.uk/check-the-facts/health-effects-of-alcohol/mental-health/alcohol-dependenceHasin, D. (2013). National Institute on Alcohol Abuse and Alcoholism. Classification of Alcohol subroutine Disorders. Retrieved from http//pubs.niaaa.nih.gov/publications/arh27-1/5-17.htm Mayo Clinic Staff. (2012). Alcoholism. Retrieved fromhttp//www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866) National Institute on Alcohol Abuse and Alcoholism (NIH). (2013a). Alcohols Effects on the Body. http//www.niaaa.nih.gov/alcohol-health/alcohols-effects-body National Institute on Alcohol Abuse and Alcoholism. (NIH). (2013b). Alcohol Use Disorder.Retrieved from http//pubs.niaaa.nih.gov/publications/dsmfactsheet/dsmfact.pdf National Institute on Alcohol Abuse and Alcoholism (NIH). (2013c). Epidemiology of Alcohol. Problems in the United States. staff 1. Retrieved fromhttp//pubs.niaaa.nih.gov/publications/Social/Module1Epidemiology/Module1.ht ml Pelucchi, C., Tramacere, I., Boffetta, P., Negri, E., Vecchia, C. (2011). Alcohol Consumption and Cancer Risk. Nutrition Cancer, 63(7), 983-990. doi10.1080/01635581.2011.596642.