Registered Nursing Essay Example | Topics and Well Written Essays - 500 words

Enrolled Nursing - Essay Example Since sick patients rely upon medical attendants, I am intrigued to wander in this since it is my fantasy to contact and give solace to individuals who are not well. To be qualified however, I must be enlisted to ensure I convey quality social insurance. This is for me to meet the instructive prerequisite. Albeit, instructive necessity relies upon the nation you are to be enlisted, by the by, in most piece of the globe, the fulfillment of a bachelor’s certificate or associate’s degree is the preeminent prerequisite. An understudy may graduate with an earned certificate. The bachelor’s qualification keep going for a long time and is increasingly complete in light of the fact that it incorporates both hypothesis and practicum to hone nursing abilities learned in the four dividers of the study hall. Practicum is done in the emergency clinic and in the network settings. Partner program then again, is taken for just two years with both hypothesis and clinical introduc tion regardless yet not as thorough as the bachelor’s certificate. This makes most enrolled attendants to return to seek after bachelor’s certificate to meet the essentials and be chosen for nurse’s NCLEX assessment (Baker, 2008). Joined to the white uniform of medical attendants, I do comprehend that they have fluctuated undertakings since they contain the greatest gathering inside the social insurance framework.

Fraud Triangle free essay sample

Triangle is a significant device in looking to comprehend why individuals submit misrepresentation. In the assessment of any extortion case as per the Fraud triangle there are three significant components, weight, opportunity and justification. To delineate the importance of these three elements we can look at an ongoing misrepresentation case I. e. the South Carolina Hospitality Association. For this situation Rachel Duncan was the bookkeeper for South Carolina Hospitality affiliation, she is accused of the theft of assets and tax avoidance, as it were Ms. Duncan is said to have utilized her situation as a bookkeeper to take organization assets for her own advantage on further audit it is guaranteed that roughly $500,000 was stolen from the Hospitality Association of South Carolina. While trying to comprehend why Rachel Duncan submitted this misrepresentation we can inspect the case as far as the accompanying three elements: Pressure: This factor sees what causes or drives a person to submit extortion. We will compose a custom paper test on Misrepresentation Triangle or on the other hand any comparative point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Albrecht demonstrated that these apparent weights can fall into the accompanying classifications, monetary, Vice, Work related or different weights. Anyway according to the HASC extortion case the weight that caused Ms. Rachel Duncan to submit misrepresentation was a blend of both Financial Vice pressures. On audit of the case it is accounted for that she stole monies so as to help her betting Problem along these lines her bad habit was her voracious betting issue and the money related weight was the way that she turned to false practices to take the assets from HASC so as to help her betting issue. Opportunity: In the extortion triangle opportunity alludes to the circumstances or environment that exists which makes it simple for a person to submit and cover misrepresentation. Albrecht recognized the control condition which takes a gander at regions, for example, the executives job , Management correspondence, Appropriate recruiting, and control exercises, for example, isolation of obligations, autonomous checks and so forth. For this situation opportunity can be seen by the accompanying: No isolation of obligations Rachel Duncan was the bookkeeper who was exclusively accountable for the bookkeeping capacities, in truth she was liable for nine financial balances as well as accused of the duties of having the option to compose checks, sign checks and furthermore make stores. By being accountable for every one of these procedures it put her in a solid situation to submit and cover misappropriation of assets from the HASC, had there been an isolation of obligations it could have forestalled the fakes except if there is plot. Absence of free checks to rehash the case Rachel Duncan was viewed as a believed worker accordingly she was given sole duty over the funds of the association. Anyway they were no free checks by her Boss Mr. Sponseller this could have discouraged the extortion, consequently a blend of significant levels of trust in Rachel Duncan by her supervisor joined with inability to freely check the exchanges expanded the open door as well as made it simple for her to submit misrepresentation. Employing to rehash this case it was noticed this was not the first run through the HASC experienced misrepresentation in quite a while of theft in reality preceding the recruiting of Ms. Duncan a previous representative likewise stole cash, it stands to address whether appropriate individual verifications were done before recruiting. On the off chance that they weren’t, at that point it was the initial step to making an open door for misrepresentation to happen. Along these lines a blend of each of the three variables combined with the elevated levels of trust gave the ideal climate to Rachel Duncan to submit and cover extortion. Legitimization This alludes to the reasons that fraudsters may use to legitimize why they have submitted misrepresentation as indicated by Albrecht it might run from reasons, for example, the accompanying: * The association owes me * I merit more It’s for a decent reason. According to this case Rachel Duncan defended by demonstrating that she never intended to damage or misuse anyone’s trust. Along these lines in the hour of submitting her fake exercises she would have contemplated to herself that nobody would be harmed and it was anything but a maltreatment of anyone’s trust. By continually defending along these lines, she would have stolen many thousands des pite everything accepting that nothing wasn't right. It was likewise detailed that her Boss Mr. Sponseller who set an incredible degree of trust in her in the end ended it all, so in audit there was a maltreatment of trust and somebody did in actuality get injured. In the HASC/Rachel Duncan case every one of the three components existed for this extortion to happen nonetheless on the off chance that they had the option to control the open door factor it might have been forestalled.

The Benefits and Risks of Mood Stabilizers for BPD

The Benefits and Risks of Mood Stabilizers for BPD BPD Treatment Print Using Mood Stabilizers for Treating BPD By Kristalyn Salters-Pedneault, PhD Kristalyn Salters-Pedneault, PhD, is a clinical psychologist and associate professor of psychology at Eastern Connecticut State University. Learn about our editorial policy Kristalyn Salters-Pedneault, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on October 21, 2019 Caiaimage/Getty Images More in BPD Treatment Diagnosis Living With BPD Related Conditions Mood stabilizers for  borderline personality disorder (BPD)  can be effective in reducing BPD symptoms, particularly  emotion dysregulation  and impulsivity symptoms.  These  psychiatric pharmaceutical medications are increasingly prescribed for people with BPD, although  psychotherapy is still considered the most important form of treatment. Indication The term mood stabilizer is used to describe any medication that reduces the frequency of intense mood shifts, or lability. Types of Medication Different types of medications are prescribed as mood stabilizers for people with  BPD. Medications originally developed to treat seizures, called “anticonvulsants,” are commonly prescribed for their mood-stabilizing effects. Examples include: Tegretol, Equetro (carbamazepine)Lamictal (lamotrigine)Trileptal (oxcarbazepine)Topamax (topiramate)Depakote (valproic acid, divalproex sodium) Lithobid (lithium carbonate)  is an anticonvulsant mood stabilizer that has been a mainstay of treatment for bipolar disorder for years.   Effectiveness Research is limited, but it does appear that  mood stabilizers can treat some BPD symptoms effectively.  The  most-studied  medication is lithium. Most of those studies focused on the treatment of impulsivity, but one study showed that lithium can be effective in treating BPD anger and irritation. Some studies hint that other anticonvulsant mood stabilizers may help treat mood and emotional symptoms in BPD, and a different type of medication, called atypical antipsychotics, offers an additional treatment option. Risks and Side Effects Risks and side effects of these medications can vary depending on the type of mood stabilizer youre taking. For example,  each anticonvulsant mood stabilizer has its own unique side effect profile. Lithium carbonate can cause gastrointestinal distress such as nausea and vomiting; weight gain; acne; tremors (shaking); and cognitive problems (for example, feeling that your thinking is slowed or fuzzy). Lithium can also affect your kidneys and thyroid gland, so blood tests are required to monitor their function while youre taking this medication. Lithium can also be very toxic in high doses, so it is less likely to be prescribed for people with BPD who are at risk for suicide. Other possible side effects with anticonvulsants include gastrointestinal complaints, weight gain, rashes, fatigue, and dizziness. In addition, some of these medications carry a risk of rare but serious side effects. For example, people taking carbamazepine must be monitored for the possible development of agranulocytosis, a rare condition marked by a significant decrease in white blood cells.   Toxicity is also a concern with certain anticonvulsant mood stabilizers for BPD. Questions to Ask Your Psychiatrist Talk to your psychiatrist about any concerns you have before you start taking a mood stabilizer for BPD. Make sure you understand the risks and side effects  as well as the reason(s) you are being prescribed a particular medication. Here are some questions you might want to ask: Which BPD symptoms do you expect this medication to affect?Are there particular risks or side effects I should watch for?How will this medication interact with other medications Im taking?How long will I need to take this medication before I start to notice its effects?How long do you think Ill need to be on this medication?

Three Propositions Of The Arbitrage Pricing Theory Finance Essay - Free Essay Example

Sample details Pages: 3 Words: 932 Downloads: 6 Date added: 2017/06/26 Category Finance Essay Type Argumentative essay Did you like this example? Arbitrage opportunity arises if an investor can construct a zero investment portfolio with a zero profit, in other words, ability to make profit without any risk. Arbitrage Pricing Theory based on three main propositions. First, Security returns can be described by a factor model. Second, idiosyncratic risk can be diversified away. Third, Arbitrage opportunities are eventually diversified away.   This theory predicts a relationship between the returns of a  portfolio and the returns of a single asset through a linear combination of many independent macro-economic variables.1 In order to define how good the APT is, we need to look at how it work and how useful can it be. Roll and Ross (1995) stated that the actual return of a stock must follow the APT formula: R=E + ÃÆ'Ã… ½Ãƒâ€šÃ‚ ²f + e where E is equal to the expected return on the asset, ÃÆ'Ã… ½Ãƒâ€šÃ‚ ² is equal to the assets sensitivity to a change in the systematic factor, f is the actual r eturn on the systematic factor, and e is the return on the unsystematic, idiosyncratic factors.2 The expected return = rf + ÃÆ'Ã… ½Ãƒâ€šÃ‚ ²1*f1 + ÃÆ'Ã… ½Ãƒâ€šÃ‚ ²2*f2 +ÃÆ' ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒâ€šÃ‚ ¦+ ÃÆ'Ã… ½Ãƒâ€šÃ‚ ²n*fn which rf is the risk free rate, ÃÆ'Ã… ½Ãƒâ€šÃ‚ ² is the sensitivity of the stock and f is the risk premium associated with each factor. ÃÆ'Ã… ½Ãƒâ€šÃ‚ ² is the measure of the relationship between the sensitivity of returns and the unanticipated movements in the factors. The unanticipated returns are what determine the ÃÆ'Ã… ½Ãƒâ€šÃ‚ ²s and their measurement is one of the important components of the APT approach. There are four main economic factors that are related to unanticipated returns on large portfolios, which are unanticipated changes in inflation, industrial production, risk premiums and the slope of the term structure of interest rate. Capital Asset Pricing Model is a model that describes the relationship between risk and expected return  and  which has been used in the pricing of risky securities.3 The risk premium on individual securities is E(ri) = rf + ÃÆ'Ã… ½Ãƒâ€šÃ‚ ²i[ E(rm)-rf] which rf is the risk free rate, ÃÆ'Ã… ½Ãƒâ€šÃ‚ ²i is the coefficient of the security relative to the market portfolio and rm is the market return. The APT and the CAPM are two of the most important theories on stock and asset pricing. CAPM is a dominant pricing model compare to APT. The APT and CAPM are similar as both of them gives us a standard criterion for rate of return that can be used in capital budgeting, security valuation, or investment performance evaluation. However, they are different in some point as APT is less restrictive in the assumptions. It allows the investor to develop their model of expected return for an asset. In the CAPM theory, the expected return on a stock is described by the movement of that stock relative to the stock market4 and the only factor that should be considered is the risk of the stock relative to the entire stock market. Test of the single-index model that account for human capital and cyclical variations in asset betas are far more consistent with the single-index APT. These tests suggest that macroeconomic variables are not necessary to explain expected returns. Moreover, anomalies such as effects of size and book-to-market ratios disappear once these variables are accounted for. According to Fama and French 1996, the multifactor APT is refined theories of how exposure to systematic risk factors would have influence expected returns, but it provide little guidance regarding which factors such as sources of risk, ought to result in risk premiums.5 According to the APT, only a few systematic factors will affect the long term average returns of financial assets and it focuses on the main forces that move aggregates of assets in large portfolio. In Chen, Roll and Ross (1986), the paper is about economic forces and the stock market which has explored a set of systematic economic state variables that has influences on stock market returns and has examined their influence on asset pricing.6 Asset prices that describe the economy should depend on how visible they are to the state variables. Stock returns are visible to regular economic news in which they are priced according to their visibility, and that the news can be measured as innovations in state variables which the proofing can be done through simple financial theory. The APT highlights the crucial distinction between non-diversifiable risk also as known as factor risk, that requires a reward in the form of a risk premium and diversifiable risk that does not. It is an extremely appealing model as it depends on the assumption that a rational equilibrium in capital markets precludes arbitrage opportunities. A violation of the APTs pricing relationships will cause extremely strong pressure to restore them even if only a limited number of investors become aware of the disequilibrium. Moreover, the APT yields an expected return-beta relationship using a well-diversified portfolio, in other words, it choose an appropriate degree of exposure to the major economic risks that influence both asset returns and organizations which practically can be constructed from a large number of securities.5 For these stated reasons, APT can somehow be defined as a good asset pricing model. However, the APT implies that the expected return-beta relationship holds for all but perhaps a small number of securities. Because it focuses on the no-arbitrage condition, without the further assumptions of the market or index model, the APT cannot rule out a violation of the expected return-beta relationship for any particular asset. For this reason, CAPM has a dominant role in todays financial market rather than the APT, which shows APT, is a good model but not a perfect model for asset pricing as it is not as good as the CAPM. Don’t waste time! Our writers will create an original "Three Propositions Of The Arbitrage Pricing Theory Finance Essay" essay for you Create order

My Natural Characteristics Of The Management Consulting...

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For this reason I was looking forward to working as a team on project Formica, which i s world’s ubiquitous and leading brand in high pressure laminates (HPL) and surfacing solutions. Our Team of five comprised of analytical skills and expertise in different domains that was formed with core objective of analyzing the problem through a diverse and integrated approach so as to facilitate the process, ensuring a well balance solution that could potentially minimizes the laborious barrier that the client encounters and propose recommendations that could be implemented. When project FormicaShow MoreRelatedEssay Leading Quietly1678 Words   |  7 Pagesseveral books and articles on leadership and management. I have also participated in a few leadership training/education modules offered through my employers. There are many theories on what makes an effective or quiet leader. 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Multi-User Dungeons Free Essays

This lengthy article on avatars in Multi-User Dungeons (MUD) was informative and useful, though hard for the novice gamer to digest in one sitting. Literature attests to the gaming community using computers as tools to communicate and to link together friendships and partnerships. However, the article points out there is a danger of the gamer becoming overly involved in the community, and to remember that words on a forum/discussion board screen etc does not equate to an entity that reflects a physical community. We will write a custom essay sample on Multi-User Dungeons or any similar topic only for you Order Now I agree that there are differences and these need to be borne in mind during the gaming experience, however I find Rhiengold ignores the inherent similarities of virtual and physical communities with regard to their psychological processes (Agress, Edberg, Igbaria, 1998). The article reviews MUD as a dynamic and â€Å"wild side† to the Internet. Rheingold contends that real magic exists here and that a person’s identity is characterized by its fluidity. The imaginary worlds created with huge computer databases of programming languages deliver melodramas and satires, puzzles, education, leisure time and competition. With respect to the article’s description of MUD communities Rheingold is somewhat over-exuberant in listing virtues of MUDs. There is an emphasis on fantasy, power, dominance, sexual prowess and violent injury or death. The goals as presented by Rheingold are economic dominance, fame and social power. Another criticism of the article is that it is not structured soundly. The history of MUD communities begins a page or so into the article. The piece then abruptly jumps to describing potential empirical functions of MUDs; such as observing them as â€Å"living laboratories for studying the first-level impacts of virtual communities†. Rheingold does not attempt to outline how such research could be undertaken, what would be measured or how participants would be ensured of informed consent. Numerous ethical dilemmas are obvious when considering the use of MUD communities as settings for collecting social and/or psychological data. Unlike the physical environment, MUDs are not â€Å"natural† and field research designs would need to be modified to maintain ethical standards and empirical rigor. Rheingold also suggests that the MUD environments could be used a research environment for evaluation of second-level effect of virtual communities on physical world relationships, such as with family, personal relationships, friendships etc. Interestingly, Rheingold points out that fundamental issue for the western culture are called into question with MUDs, social norms, values and expectations are adapting to the virtual (pun intended) anonymity the Internet can provide. He makes a good point that this in an important issue for a community where many relationships are mediated by technology. Unfortunately, the article has several disjointed jumps, with Rheingold distributing MUD history throughout the piece. He explores the idea of gaming being an addiction, due to several MUDders admitting to spending most of their waking hours immersed in virtual worlds. The concept of MUD community addiction is presented in the article as a â€Å"communication addiction† that needs to be experienced to be understood according to MIT’s Media Lab Associate Professor Amy Bruckman; How do we feel about tens of thousands of college students spending their time and government-sponsored resources to chase virtual dragons? To answer this question, you have to dive in and explore assumptions about what is a meaningful way to spend one’s time. What are the value judgments implicit in various answers to that question? † Rheingold suggests that the first step is to investigate the fascination some gamers have with MUDding, to determine how obsession develops. Identifying unique features of the medium that engage a gamer psychologically and that meets a person’s needs and expectations would inform about fascination. He further states changing conceptualization about what is identity is the underlying cause as to how fascination develops into a dysfunctional obsession. Hence, to Rheingold, MUD communities are an extension of ongoing cognitive changes brought about by innovation, technological advancements and adaption of symbols to suit a communication-saturated society. MUD environments have allowed dissolving of social boundaries associated with time and space, as well as boundaries of identity. A gamer can pretend to be another; they can pretend to be many other people simultaneously. It appears to Rheingold that depersonalized modes of communication allow some people to be much more personal with each other as compared to a relationship in the physical world. However, he questions the authenticity of the human relationship within the cyber context, given the masking of the person and the distancing that the medium can provide. In this way he states that MUDding is not real life. However, he does not explore the potential for MUD to become a person’s life, which from a constructivist point of view, would make the virtual a â€Å"real world† given that a person is seen as constructing their own reality (Riddings Gefen, 2004). Overall, Rheingold focuses on issues of identity for the MUDder. One of the first activities that a person does when entering a MUD environment is to create an identity. They describe their character for others who inhabit or visit the MUD. It is through the creation of their identity, states Rheingold that the MUD community develops, grows, changes and maintains coherence for its members. It is the roles each gamer plays, points out Rheingold, that guides the socio-cultural value system of the community; †¦the roles give people new stages on which to exercise new identities, and their new identities affirm the reality of the scenario. The fluidity of identity is enabled by the participants being able to communicate using a number of public and private channel options; ? private e-mail ? person-to-person chat ? person-to-person chat ? â€Å"say,† â€Å"whisper,† and â€Å"pose† to anybody else in the same room ? form of group chat that uses the boundaries of metaphorical rooms as social boundaries ? turn on or off special-interest CB channels for other semipublic conversations across different parts of the MUD Poses and words are used to communicate meaning in the MUD environment. Rheingold describes the use of pose as useful though disembodied non-verbal language. Another word for posing is â€Å"emoting† and provides an added dimension to communication not possible in the physical world. For example, â€Å"[Instead] of leaving the room, you can disappear in a cloud of iridescent, bubble-gum-flavored bubbles†. Rheingold comments that first feelings of artificiality when posing soon disperse when one becomes aware of the added control they have over the ambience of the conversation. Posing can provide contextual cues to that are not available through words on a screen alone. The added advantage of having creative powers within the MUD environment takes the experience beyond that of conferencing and or chat sites, â€Å"such as magic carpets that transport their owners to secret parts of the kingdom†. Other characters are able to steal or gain power of objects and avatars of others. As such, the social construction of valuing items and characters is similar in process to that which occurs in the creation of value systems in physical communities. Similarly, the social goal of power, over others and the material world, is a social concept that continues to be maintained in the virual world. Rheingold ignores this salient feature of consistency in what makes a community. In this way, MUD environment’s can be considered â€Å"real† as they are experienced by individuals, and they do lead to the construction of social institutions, rules and common goals mediated by a culturally-dependant language. The MUD culture is framed by the technology through which it is made visible and allows interaction, and also, by the physical world from which its computer hardware and software, and persons social rules came from. Much like Russian dolls, worlds within worlds. Navigation of the MUD community provides a learning experience for each character and they learn their roles to play. Gender roles are a dominant determinant of social placement and social expectations within the physical world. So too in the world of MUD. For example, tiny. sex and net. sleazing are techniques used predominantly by male characters to seduce female newbies into cybersex that is recorded and distributed across the globe via the Internet. As such, gender stereotypes remain within the virtual world, and women tend to be viewed as inferior, gullible and unworthy of treatment as equals. Despite social thought advances in the 21st century, the physical world continues to exist within a patriarchial system that creates power struggles between dichotomies. The MUD communities do little to challenge the status quo of inequality with regard to gender, and in many ways (due to its anonymity) increase opportunities for people to act out anti-social behaviors. It must be kept in mind that these behavioral choices are grounded in physical world cultures, so that Rheingold’s claim that MUD communities are unlike the â€Å"real world† in terms of social interactions is poorly supported. In conclusion, Rheingold delivers an indepth subjective critique of MUD communities. The critical review before you has evaluated Rheingold’s interpretation and communication of the relevance and function of MUDs. Evidently, MUDding is an important psychological and social activity or â€Å"way-of-being† for many people, both female and male. This has sparked much debate in terms of addiction theories, gender issues and perhaps most importantly, ones sense of identity. This paper has demonstrated that MUD communities have the potential to be research environments if ethical criteria can be met, and that in terms of social processes virtual communities have many similarities to those of the physical world from which they emerged. References Agres, C. , Edberg, D. Igbaria, M. (1998) Transformation to Virtual Societies: Forces and Issues. The Information Society 14(2), 71-82. Rhiengold, H. (n. d. ) The Virtual Community. Retrieved January 12, 2007 from http://www. rheingold. com/vc/book/5. html Riddings, C. M. Gefen, D. (2004) Virtual Community Attraction: Why People Hang Out Online. Retrieved January 12, 2007 from http://jcmc. indiana. edu/vol10/issue1/ridings_gefen. html How to cite Multi-User Dungeons, Papers

Making Capital Investment Decisions

Question: Examine and discuss the characteristics of NPV and the role that this method plays in capital investment decision making. Discuss the advantages of using this method instead of the other evaluation methods? Answer: Net Present Value is considered as the present value in context to future cash outflows and inflows. It is used usually in capital budgeting in order to study the profitability or success of any investment or project. Therefore, it largely used by the organizations to make budgeting decisions so that they can gain profit in future. Moreover, the NPV helps the organizations in predicting the future losses or profit from any particular project or investment (Baldwin and Clark, 1991). On the other hand, it is explained as the variation between present value of cash outflow and cash inflows. Moreover, the discounted cash flow method is used for the valuation of net present value so that cash flow value of project can be known (Bierman and Bierman, 1988). Apart from that, if Net Present Value is positive then it shows a positive sign for the company and adds value to them and if the NPV is negative then the industry should not make decision to make an investment in that particular project (Burger and Hawkesworth, 2013). Therefore, if the NPV is higher than the investor can plan to make investment. If It means Then NPV greater than zero The investment will add value to the industry The project can be accepted NPV less than zero The investment will decrease the value of the industry The project can be eliminated or rejected NPV equal to zero The investment will neither generate income nor loss The investor can make decision relying on strategic positioning or on the basis of other factors. The NPV can be better understood from an example, Year Cash Inflow Discount Factor (10%) Present Value of Cash Flow 1 3400 .909 3090.6 2 4000 .826 3304 3 6000 .751 4506 4 2100 .683 1434 Total 12335 Initial Investment 8000 Net Present Value 4335 Therefore, it can be understood that project can be accepted as it shows positive value above the initial investment value. The Net Present Value is effective as it helps in making comparisons of multiple numbers of potential investments. Therefore, the investor can take decision whether to make investment or not (Clark, Hindelang and Pritchard, 1979). Moreover, time value of money is accounted by net present value. Further, the future revenue can be converted by NPV to current dollars which assist the company to quantify the value of the project (Montier, 2010). Apart from that, Net Present value has advantage over other investment appraisal techniques such as payback period and accounting rate of return. These techniques do not consider the discount future cash flows but it is taken in account under NPV. On the other hand, if a certain investment has non-normal cash flows then NPV is a better option than IRR (Pratt and Grabowski, 2010). The non-normal cash flow arises when there is huge cash outflow at the end of any investment. Therefore, IRR cannot be applied. Moreover, in case of evaluation of mutually exclusive projects then Net Present Value is viable option than IRR method (Sinclair, 2010). On the other side, NPV provides more realistic reinvestment rate predictions than other appraisal techniques. Moreover, the NPV provides best indicator regarding shareholder wealth and profitability and provide best decision basis (Clark, Hindelang and Pritchard, 1979). References Baldwin, C. and Clark, K. (1991). Capabilities and capital investment. [Boston]: Division of Research, Harvard Business School. Bierman, H. and Bierman, H. (1988). Implementing capital budgeting techniques. Cambridge, Mass.: Ballinger Pub. Co. Burger, P. and Hawkesworth, I. (2013). Capital budgeting and procurement practices. OECD Journal on Budgeting, 13(1), pp.57-104. Clark, J., Hindelang, T. and Pritchard, R. (1979). Capital budgeting. Englewood Cliffs, N.J.: Prentice-Hall. Montier, J. (2010). Value Investing. Hoboken: John Wiley Sons. Pratt, S. and Grabowski, R. (2010). Cost of capital. Hoboken, N.J.: Wiley. Sinclair, D. (2010). Capital budgeting decisions using the discounted cash flow method. Can J Anesth/J Can Anesth, 57(7), pp.704-705.

The Giver (synopsis of main character) Essay Example For Students

The Giver (synopsis of main character) Essay The Giver Main Character Jonas, the main character in The Giver by Lois Lowry, is a very strong person, which allows him to go farther in life then the people that surround him. Throughout Jonass life he has known nothing but ;sameness;. He lives in a Utopian community where there are no choices and everyone in his world has their lives laid out for them. But, Jonas is given the job of ;Receiver of Memory;. He alone knows the truths of the world, a world with colors, pain, and choices. We will write a custom essay on The Giver (synopsis of main character) specifically for you for only $16.38 $13.9/page Order now What he does with these truths will bring obstacles to his life that will show the readers not only his strengths but his weaknesses as well. Jonas is made to bear the truths of the world alone and is troubled by what he should do with it. Jonas at first doesnt want the memories because after receiving several of them, all that Jonas has known is being questioned and his world turned upside down. He is angry and afraid after receiving his first set of memories. Angry because of what has been kept from him and afraid because now he doesnt know what to do. Jonas is uncertain whether the world he learns of is best for his community and if people can be trusted to make decisions on their own. In a conversation to The Giver (person passing down the memories) about whether or not it is safe to allow people to make their own choices, Jonas say, What if they are allowed to choose their own mate? And chose wrong? . . . We really have to protect people from wrong choices. But, by the end of that conversation he is uncertain about his feelings and about many other things. Jonas is confused because he doesnt know what he should do about it or if he should do anything at all. Jonas finally decides to change the world (at least the one he knows of), but he faces many obstacles trying to do so. Jonas speaks to the Giver about giving memories to the community . He wants to share them with everyone and change the way the community works. He wants to give them choices and show them that there are differences. The Giver says the only way the community will receive them is if Jonas goes to the beyond and loses his connection to them. Then and only then will the memories be released. Meaning Jonas must leave all his family and friends and go out into the unknown. Jonas is willing to take that chance, only for the sake of the new child in his family, Gabriel, whom he desperately wants to save. Jonas decides to go even though it means leaving his world behind for a new world he knows nothing about. Through Jonass problems the reader is able to see his weaknesses and strengths. Jonass only evident weakness is ignorance. Even though Jonas is given all the knowledge of the world he is still unsure about everything. At first he doesnt realize the magnitude of importance his job has. He doesnt grasp the idea that whatever he decides to do with his knowledge with change the community forever. He takes on his work and the decisions he makes lightly without considering the effects that he wHI have on others. At many times he is selfish because he doesnt have experience in making choices and doesnt realize how much his choices can and who effect others. Jonass main strength is that he is very strong in mind. His world has been changed forever and all he ever thought was true is wrong, but throughout this he has remained strong. .uedc4fcf93959c76f6310569304c01863 , .uedc4fcf93959c76f6310569304c01863 .postImageUrl , .uedc4fcf93959c76f6310569304c01863 .centered-text-area { min-height: 80px; position: relative; } .uedc4fcf93959c76f6310569304c01863 , .uedc4fcf93959c76f6310569304c01863:hover , .uedc4fcf93959c76f6310569304c01863:visited , .uedc4fcf93959c76f6310569304c01863:active { border:0!important; } .uedc4fcf93959c76f6310569304c01863 .clearfix:after { content: ""; display: table; clear: both; } .uedc4fcf93959c76f6310569304c01863 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uedc4fcf93959c76f6310569304c01863:active , .uedc4fcf93959c76f6310569304c01863:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uedc4fcf93959c76f6310569304c01863 .centered-text-area { width: 100%; position: relative ; } .uedc4fcf93959c76f6310569304c01863 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uedc4fcf93959c76f6310569304c01863 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uedc4fcf93959c76f6310569304c01863 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uedc4fcf93959c76f6310569304c01863:hover .ctaButton { background-color: #34495E!important; } .uedc4fcf93959c76f6310569304c01863 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uedc4fcf93959c76f6310569304c01863 .uedc4fcf93959c76f6310569304c01863-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uedc4fcf93959c76f6310569304c01863:after { content: ""; display: block; clear: both; } READ: Hobby and Sport Essay For a mere 12-year-old Chad, Jonas has shown strengths that most adults never possess. He has the strength to endure the pain and suffering he is forced to deal with and the strength to do something about it. Jonass ignorance and strength are evident when the Giver gives him the memories. Jonass efforts are successful in some ways. He does manage to leave the community and is strong enough to carry on throughout his adventure into the unknown. Lowry never states whether his old community has .

Cobalt Facts and Physical Properties

Cobalt Facts and Physical Properties Atomic Number: 27 Symbol: Co Atomic Weight: 58.9332 Discovery: George Brandt, circa 1735, maybe 1739 (Sweden) Electron Configuration: [Ar] 4s2 3d7 Word Origin: German Kobald: evil spirit or goblin; Greek cobalos: mine Isotopes: Twenty-six isotopes of cobalt ranging from Co-50 to Co-75. Co-59 is the only stable isotope. Properties Cobalt has a melting point of 1495Â °C, boiling point of 2870Â °C, specific gravity of 8.9 (20Â °C), with a valence of 2 or 3. Cobalt is a hard, brittle metal. It is similar in appearance to iron and nickel. Cobalt has a magnetic permeability around 2/3 that of iron. Cobalt is found as a mixture of two allotropes over a wide temperature range. The b-form is dominant at temperatures under 400Â °C, while the a-form predominates at higher temperatures. Uses Cobalt forms many useful alloys. It is alloyed with iron, nickel, and other metals to form Alnico, an alloy with exceptional magnetic strength. Cobalt, chromium, and tungsten may be alloyed to form Stellite, which is used for high-temperature, high-speed cutting tools and dies. Cobalt is used in magnet steels and stainless steels. It is used in electroplating because of its hardness and resistance to oxidation. Cobalt salts are used to impart permanent brilliant blue colors to glass, pottery, enamels, tiles, and porcelain. Cobalt is used to make Sevres and Thenards blue. A cobalt chloride solution is used to make a sympathetic ink. Cobalt is essential for nutrition in many animals. Cobalt-60 is an important gamma source, tracer, and radiotherapeutic agent. Sources: Cobalt is found in the minerals cobaltite, erythrite, and smaltite. It is commonly associated with ores of iron, nickel, silver, lead, and copper. Cobalt is also found in meteorites. Element Classification: Transition Metal Cobalt Physical Data Density (g/cc): 8.9 Melting Point (K): 1768 Boiling Point (K): 3143 Appearance: Hard, ductile, lustrous bluish-gray metal Atomic Radius (pm): 125 Atomic Volume (cc/mol): 6.7 Covalent Radius (pm): 116 Ionic Radius: 63 (3e) 72 (2e) Specific Heat (20Â °C J/g mol): 0.456 Fusion Heat (kJ/mol): 15.48 Evaporation Heat (kJ/mol): 389.1 Debye Temperature (K): 385.00 Pauling Negativity Number: 1.88 First Ionizing Energy (kJ/mol): 758.1 Oxidation States: 3, 2, 0, -1 Lattice Structure: Hexagonal Lattice Constant (Ã…): 2.510 CAS Registry Number: 7440-48-4 Cobalt Trivia Cobalt derived its name from German miners. They named cobalt ore after mischievous spirits called kobalds. Cobalt ores commonly contain the useful metals copper and nickel. The problem with cobalt ore is it usually contains arsenic as well. Attempts to smelt the copper and nickel typically failed and would often produce toxic arsenic oxide gases.The brilliant blue color cobalt gives to glass was originally attributed to bismuth. Bismuth is often found with cobalt. Cobalt was isolated by Swedish chemist, Georg Brandt who proved the coloring was due to cobalt.The isotope Co-60 is a strong gamma radiation source. It is used to sterilize food and medical supplies as well as radiation therapy in the treatment of cancer.Cobalt is a central atom in vitamin B-12.Cobalt is ferromagnetic. Cobalt magnets stay magnetic to the highest temperature of any other magnetic element.Cobalt has six oxidation states: 0, 1, 2, 3, 4, and 5. The most common oxidation states are 2 and 3.The oldest cobalt col ored glass was found in Egypt dated between 1550-1292 B.C. Cobalt has an abundance of 25 mg/kg (or parts per million) in the Earths crust.Cobalt has an abundance of 2 x 10-5 mg/L in sea water.Cobalt is used in alloys to increase temperature stability and decrease corrosion. References: Los Alamos National Laboratory (2001), Crescent Chemical Company (2001), Langes Handbook of Chemistry (1952), CRC Handbook of Chemistry Physics (18th Ed.) International Atomic Energy Agency ENSDF database (Oct 2010) Return to the Periodic Table

Global strategy case study Example | Topics and Well Written Essays - 750 words

Global strategy - Case Study Example Another way would be through the development of a good customer base through adherence to the concept of value for consumers. Indian consumers have always been bent towards being satisfied by the quality of the services offered; ‘paisa vassol’. Even though India is not developed, Tesco should make an effort of avoiding bias and should treat the customers in India just as they do in their branches in developing countries. The development of branches in cities in the states all over India would also give Tesco an edge in the market while ensuring that she is able to reach more consumers. One of the conditions for the clearance by FIPB was that she should open retail outlets in cities with populations that reach a million (Chandrasekhar, 2014 p 3). There are many cities with such populations and the vibrant establishment of branches would ensure that Tesco has access to both a huge market and gains market influence over time. Tesco would also gain an edge through the creation of a cooperative partnership with her new partner, Trent Hypermarkets. Tesco should honor the shared venture and will definitely benefit from the relationship. This will be so because Trent has experience in the market especially in India and its success in many countries lends more credence to her credentials. Trent will help Tesco understand the Indian market and this knowledge be an added advantage if other competitors enter th e Indian market. Tesco was a world leader in the global hypermarket and had presence in many nations that needed her service of grocery and general merchandise retail. This global presence that she had developed over time has a chance to be utilized in the Indian market as a name definitely sells. Tesco used the hypermarkets in different countries since this in this way; profits could be realized in the shortest periods possible. This is because customers always

The Ancient Art Analysis Essay Example | Topics and Well Written Essays - 500 words

The Ancient Art Analysis - Essay Example The Indra and Surya are engravings as depicted in this picture. Nonetheless, the two sculptures are a depiction of the final existence and the past lives the Buddhism founder, Siddhartha Gautama. The size of the sculptures is also similar as it ranges from 50 to 200 feet in height. The four-ram Fangzum is a bronze cast sculpture while the Reliquary Buddhist Stupa is cast in gold. The two sculptures have a great significance in the culture of the Chinese and the Indians respectively. These two sculptures depict the respect given to the dead, and especially to sages and religious teachers. However, there is a great difference in the age of their molding with the four-ram fan zun cast in the second Millennium BCE, during the era of the Shang dynasty with the Reliquary Buddhist Stupa cast in the 3rd century CE, which was during the Kushan dynasty. The two sculptures are also a symbol of commemorating significant occurrences in the Chinese and Indian religion. Hence, their main subject or significance is more of spiritual beliefs than political. Their complexity and evident in the way that the bronze is carved into the four-ram Fangzum and the way the pillars erect the Reliquary Buddhist Stupa. This artistic feature is a clear evidence of the prowess and the passion of Chinese and Ancient Indian sculptures of the time. The sculptures also have a gloss finish that clearly distinguishes them from the past sculptures that had a dull finish. The bowl is red and made of earth. The bowl also has designs  of a human head that are  black  in  color  and  imposing  fish designs. The bowl was made for worshiping the ancestors in Ancient China during the Neolithic Period, which was crucial in the Chinese history. Despite the non-development of the potter’s wheel during the time of making the bowl, the bowl is perfectly round with highly polished surfaces. In

Type 2 diabetes mellitus

Type 2 diabetes mellitus Discuss the possible role of psychological factors throughout the course of an illness: Type 2 Diabetes Mellitus Health psychology is a topical development in the integration of biomedical and social sciences in health care. It addresses the role of psychological factors in the cause, progression, and outcome of health and illness (Ogden, 2007). Psychological theories can guide health education and promotion, and offer the health care practitioner a structured approach to understanding and meeting the health needs of health and social care service users (Morrison and Bennett, 2009). The appraisal of health psychology models can assist practitioners in evaluating their contribution to service users understanding of health, behaviours relating to health and the practice of health care. Appraisal and evaluation enable health care workers to apply psychological models and theories when analysing aspects of health and behaviour relevant to practice (Marks et al, 2005). The ethos of health psychology is that of treating the ‘whole person, not just the physical adaptations that transpire associated with illness. This might embrace behaviour change, urging modifications in beliefs, and coping strategies, and acquiescence with medical advice. As the ‘whole self is treated, the individual becomes to a certain extent responsible for their treatment. For example, an individual may have a responsibility to take medication, and to change beliefs and behaviour. Therefore, the individual is no longer seen as a victim. From this viewpoint, health and illness are on a continuum. Instead of being either healthy or ill, individuals may move on along a continuum from healthiness to illness and back again. Health psychology also argues that the mind and body act together. It perceives psychological issues as not only potential effects of illness, but as adding to all the phases of health, from maximum healthiness to illness (Morrison and Bennett, 2009). Health psychology is concerned primarily with intrinsic factors, especially individual perceptions of health-related behaviour. Health behaviour, defined as behaviour related to health status, is becoming increasingly important. Public health policy has increased the emphasis on individual responsibility and choice and because of this; there is a corresponding need to improve understanding of individual motivations that affect those choices and health-related behaviours (Marks et al, 2005). The health behaviours studied by psychologists are varied, but the most commonly studied health behaviours have immediate or long-term implications for individual health, and are partially within the control of the individual (Ogden, 2007). Type 2 diabetes, formerly known as non-insulin dependent diabetes mellitus, is a serious and progressive disease. It is chronic in nature and has no known cure. It is the fourth most common cause of death in most developed countries (UK Prospective Diabetes Study Group, 1998a). Although no exact figures are available, it has been suggested that by the year 2010 there would be 3.5 million people with diabetes in the United Kingdom (UK). However, approximately 750,000 of the estimated number may be undiagnosed (Diabetes UK, 2008a). Diabetes UK campaigns to raise awareness of type 2 diabetes because if left undiagnosed, the condition can result in long-term complications such as retinopathy, nephropathy, neuropathy, and an increased risk of myocardial infarction and stroke. The total number of people with diabetes has increased by 75% over the last six years and the incidence in the UK is escalating at a faster rate than in the United States (Gonzà ¡lez et al,2009). There is a higher incidence of type 2 diabetes in people with South Asian or African descent (Department of Health, 2007). One of the reasons for this is thought to be that these ethnic groups have increased insulin resistance. Signs of type 2 diabetes are already present in UK children of South Asian and African-Caribbean origin at ten years of age, according to research funded jointly by the British Heart Foundation and the Wellcome Trust (Whincup et al,2010). The prevalence of type 2 diabetes increases with age to as much as one in ten in those aged 65 years. The lifetime risk of developing the condition in the UK is greater than 10% (Leese, 1991). Diabetes-related complications can have a major effect on the individual and family members, and are costly to the patient. A study undertaken by Bottomley (2001) examined the costs of living of patients with diabetes complications, including taking time off work and transport costs for hospital appointments. The study showed that the cost of treating someone with type 2 diabetes with microvascular and macrovascular complications was  £5,132 compared to  £920 for someone who does not have diabetes-related complications (Bottomley 2001). This also has implications for the National Health Service (NHS) in terms of the financial burden of managing and treating the condition and the use of resources. It has been estimated that the cost of treating diabetes nationally adds up to approximately 9% of the NHS annual budget, although most of that is used to treat associated long-term complications, such as kidney failure, blindness, amputations and organ transplantation, rather than the provision of medication (Bottomley, 2001). With regard to type 2 diabetes, psychological theories and models have a long history of informing attempts to change behaviour and improve emotional well-being. Over recent years, many clinical guidelines in the UK by the National Institute for Health and Clinical Excellence (NICE) have included recommendations for psychological interventions for long-term conditions. Evidence-based recommendations have been made not only for the treatment of associated mental health problems such as depression and anxiety (NICE, 2009; NICE, 2004) but also for physical health conditions such as obesity (NICE, 2007) and changing behaviour related to public health issues such as smoking and lack of exercise (NICE; 2007). The aim of this essay is to explore the psychological implications for a person suffering from type 2 diabetes and others involved in the experience of that illness. Type 2 diabetes, is caused as the result of reduced secretion of insulin and to peripheral resistance to the action of insulin; that is, the insulin in the body does not have its usual biological effect. It can often be controlled by diet and exercise when first diagnosed, but many patients require oral hypoglycaemic agents or insulin in order to maintain satisfactory glycaemic control and prevent the complications of diabetes (Diabetes UK, 2008a). To reduce the risk of long-term complications, both macrovascular and microvascular, people with type 2 diabetes need access to appropriate, individualised education, which informs them about the risks associated with the condition. Information relating to lifestyle changes such as healthy eating, increasing activity levels, and smoking cessation are vital (Diabetes UK, 2008a). Some people accept their diagnosis of diabetes and all that this means, and manage to adapt to their new lifestyle, but others find it difficult. Changes will need to be made to the type of food they eat, the amount they eat of particular foods and perhaps to the time at which they eat their meals. As a consequence of the required changes to lifestyle, it is not surprising that many people need some professional psychological support (Diabetes UK, 2008a). Diabetes may have an impact on peoples careers, driving, and insurance policies (life, driving, and travel). Difficulties surrounding holidays, work or travel abroad may prove insurmountable without support. People with diabetes who are also caring for others, for example children or elderly relatives, may find it very difficult to put themselves first (Diabetes UK, 2008a). Some people who have been diagnosed as having diabetes feel that they have been condemned to a life where everything has to be planned. There are, however, support networks available. For example Diabetes UK, a charity that supports people with diabetes, their families and the health professionals who care for them, has local and regional branches where people can meet and discuss problems and learn from each other how they manage their day-to-day-life (Diabetes UK, 2008a). The majority of people with type 2 diabetes are insulin resistant. Obesity exacerbates insulin resistance. As many as 80% of people with type 2 diabetes are obese at the time of diagnosis (Marks, 1996). Weight loss not only improves insulin resistance, but also lowers blood glucose, lipid levels, and blood pressure. Cardiovascular disease is often present in people with type 2 diabetes. The presence of insulin resistance accelerates atherosclerosis, leading to macrovascular complications such as myocardial infarction, stroke, and peripheral vascular disease. The mechanisms responsible for this are thought to be hyperinsulinaemia, dyslipidaemia and hypertension (Garber, 1998). However, microvascular problems such as retinopathy, nephropathy, and neuropathy still occur. The mechanism responsible is thought to be hyperglycaemia (Garber, 1998). Therefore, good blood glucose control is of crucial importance. Although the prognosis for people with type 2 diabetes mellitus is less than favourable, evidence has shown that making major lifestyle changes, such as having a healthy diet, smoking cessation, and increasing activity levels, can reduce the risk of long-term complications (UK Prospective Diabetes Study Group, 1998a). However, using the threat of long-term complications as a means of inducing lifestyle or behaviour changes has not proved to have any prolonged beneficial effect (Polonsky, 1999). Continued support and appropriate education is required to empower individuals to take charge of their condition and make appropriate and timely therapeutic decisions. The healthcare professional and the individual must decide on the most appropriate treatment regimen to provide optimum care and the best medical outcome (Marks et al, 2005). NICE published a document in 2008 entitled ‘CG66: Type 2 diabetes which recommended that all people with diabetes should be offered structured educat ion, provided by a trained specialist team of healthcare professionals (NICE, 2008). The utilisation of theoretical health psychology models can assist these specialist team practitioner in empowering individuals with type 2 diabetes to contemplate and instigate the changes in lifestyle behaviours such as smoking, lack of exercise and unhealthy eating habits that have adverse consequences on long-term health outcomes. With regard to health psychology, as previously mentioned, health psychology is concerned primarily with intrinsic factors, especially individual perceptions of health-related behaviour. Attributing health-related behaviours to internal or external factors has been discussed in relation to the concept of a health locus of control. Individuals differ as to whether they regard events as controllable by them (an internal locus of control) or uncontrollable by them (an external locus of control) (Ogden, 2007). Accessing diabetes related health services for testing or treatment could be viewed from either perspective. The healthcare professional is perceived to be a powerful individual who can diagnose and treat diabetes (external); however, by accessing services the individual is taking responsibility for determining their own health status (internal). It is useful for the healthcare practitioner to consider that in attending diabetic health services the individual has made an initial st ep in taking control of their own health needs (Marks et al, 2005). Individuals with an internal locus of control are more likely to act in concordance with advice from a health professional than those with an external locus of control (Ogden, 2007). Knowing this can assist practitioners in their communication style with individuals who have type 2 diabetes. Identifying the specific needs of the individual, by understanding their locus of control, can help the healthcare practitioner to tailor the assessment (Marks et al, 2005). When an individual has a sense of responsibility for actions or behaviours that exposed them to a potential risk of diabetic complications, the practitioner can work on exploring the circumstances that surrounded those behaviours. The individual may already feel motivated to change these circumstances. In the case of a client who does not recognise that their own behaviour or actions were a contributory factor in posing a risk of behaviour related complications, the practitioner should focus on developing the individuals leve l of awareness to shift their locus of control from the external to the internal. For example, the individual who perceives that taking responsibility for healthy eating use is always that of their partner (Ogden, 2007). Self-management for chronic illnesses such as type 2 diabetes requires adherence to treatment regimens and behavioural change, as well as the acquisition of new coping strategies, because symptoms have a great effect on many areas of life (Glasgow, 1991; Kravitz et al,1993). For many individuals, optimum self-management is often difficult to achieve, as indicated by poor rates of adherence to treatment, reduced quality of life, and poor psychological wellbeing, effects that are frequently reported in several chronic illnesses (Rubin and Peyrot, 1999). Self-management interventions aim to enable individuals to take control of their condition and be actively involved in management and treatment choices. In the 1980s, psychological theory was applied to develop theoretical models and their constructs have had a particular effect on the development of self-management interventions. The Health Belief Model (Becker 1974) defines two related appraisal processes undertaken by the healthcare practitioner in partnership with an individual: the threat of illness and the behavioural response to that threat. Threat appraisal involves consideration of the individuals perceived susceptibility to an illness and its anticipated severity. Behavioural response involves considering the costs and benefits of engaging in behaviours likely to reduce the threat of disease. It can be useful for the healthcare practitioner to establish the clients perception of risk and implications of their adverse health behaviours when discussing the reasons for healthy eating, increasing exercise, and smoking cessation. It is also important to discuss the likely impact of diabetes on the individuals lifestyle and behaviour (Marks et al, 2005). The Health Belief Model can be applied to evaluate the risk of lifestyle changes. The healthcare professional can initiate structured discussion with the individual to identify their educational needs, particularly around developing a realistic understanding of risk factors associated with diabetes and unhealthy eating habits, lack of exercise and smoking. It is important for the healthcare practitioner to discuss the efficacy of changes in the above in prevention of diabetic complications, while discussing other methods of behaviour modification in context (Marks et al, 2005). It is also important to establish that the individual feels confident in the practicalities of and behavioural change. Therefore, the healthcare practitioner must support the diabetic in behaviour change by giving practical health education advice on the issues of healthy eating, the benefits of exercise and the importance of giving up smoking (Marks et al, 2005). The Protection Motivation Theory (Rogers 1975, 1983) expands the Health Belief Model to include four components that predict behavioural intentions to improve health-related behaviour, or intention to modify behaviour. These include self-efficacy, responsive effectiveness, severity, and vulnerability. In social cognitive theory, behaviour is thought to be affected by expectations, with individuals confidence in their ability to perform a given behaviour (self-efficacy) particularly important (Bandura, 1992). Therefore, self-efficacy can be said to be the belief in ones ability to control personal actions (Bandura, 1992), and is comparable with the concept of internal locus of control. It is based on past experience and evokes behaviour concordant with an individuals capabilities. Self-efficacy is distinct from unrealistic optimism and does not elicit unreasonable risk-taking (Ogden, 2007). Within the context of smoking and diabetes, an example of self-efficacy might be, ‘I am c onfident that I can take responsibility for protecting myself from increasing the risk of further complications by giving up smoking. This concept has been used in self-management interventions through the teaching of skills, such as problem solving and goal setting, to increase self-efficacy. Again, in type 2 diabetes, this could mean the acquisition of knowledge relating to healthy eating principles and putting that knowledge into practice by avoiding foods that would make the blood glucose rise quickly. The goal would be to incorporate this behaviour into daily life on a long-term basis (Marks et al, 2005). Behavioural intention can also be predicted by severity, for example: ‘Diabetes will have serious implications for my health and lifestyle, but conversely, ‘Good blood glucose control will decrease the risk of diabetic complications. The fourth predictor of behavioural intention is vulnerability, which in the context of diabetes may be the likelihood of cardiovascular disease or diabetic retinopathy occurring. Rogers (1983) later suggested a fifth component of fear in response to education or information as a predictor of behavioural intention. The concepts of severity, vulnerability, and fear outlined in Protection Motivation Theory relate to the concept of threat appraisal, as discussed in the context of the Health Belief Model. Self-efficacy and response effectiveness, on the other hand, relate to the individuals coping response, which is the behaviour intention. If a person has self-efficacy and perceives benefits in taking control of their actions (response effectiveness), they are likely to have the intention to modify their behaviour to reduce health risks (Ogden, 2007). Information or education that influences an individuals emotional response can be environmental (external influence, such as advice from a health professional), or interpersonal (relating directly to past experience). Information and education contribute to an individuals self-efficacy. This in turn helps develop a robust internal locus of control and will inform and/or contribute to the individuals coping response (Marks et al, 2005). The coping res ponse is considered to be adaptive (positive behavioural intention) or maladaptive (avoidance or denial). Assessment of the individuals capacity to understand and apply information and to have an adaptive response is a vital skill of the health professional. A maladaptive coping response, such as the denial of identified risk factors, has potentially serious consequences for the health of the individual (Marks et al, 2005). Successful implementation of the Protection Motivation Model can enable informed choice and empower the individual to take personal responsibility and control of behaviours influencing their health (Morrison and Bennett, 2009). Skilled questioning and the use of checking skills by the healthcare professional following information-giving are important to evaluate the benefit, if any, to the individual with diabetes (Ogden, 2007). Readiness to change is a concept derived from Prochaska and DiClementes (1983) transtheoretical model. It refers to how prepared or ready individuals are to make changes to their behaviour. Interventions guided by this theory focus on individuals motivation to change and the approach is adapted according to differences in participants motivation to change behaviour. Success is achieved only when the individual is ready to take on the actions needed to change behaviour. An individual may know that smoking and type 2 diabetes are not a good combination. However, unless the person is ready to quit smoking, no amount of discussion with a healthcare professional will change the persons decision to continue smoking. Establishing an internal motivator is a good first step to assessing an individuals readiness to change, however, an individual also needs to feel that the time is right and that they are prepared to change. Readiness to change can be assessed by asking individuals, as soon as the potential problem is identified, whether they have ever attempted to change the behaviour before. Six stages of change were identified in Prochaska and DiClementes (1983) Transtheoretical model of behaviour change: Pre-contemplation; Contemplation; Preparation; Action; Maintenance and Relapse. Most people (around 60%) will be at the pre-contemplation stage when they are identified by the healthcare practitioner and will generally react in a closed way to the idea of change (Prochaska and Goldstein, 1991). They may be rebellious to the idea, they may rationalise their current behaviour or be resigned to it, or they may be reluctant to consider the possibility of change (Prochaska and Goldstein, 1991). In this situation, it is tempting to push people into making an attempt at behaviour change using their health as a motivator or by making them feel guilty. However, this is likely to prompt the individual to either lie about their behaviour or avoid the nurse completely. During the contemplation phase, it is suggested that individuals who are starting to consider change look for information about their current and proposed behaviours, and analyse the risks involved in changing or maintaining their current behaviour. The most appropriate action is to ask the individual to form alise the analytical process by undertaking a decisional balance exercise (Health Education Authority (HEA), 1996). In this exercise the person is asked to consider the positive and negative implications of maintaining or changing their behaviour. The individual then decides whether maintaining or changing the behaviour will give them increased positive outcomes, and if they are willing to attempt the change. To be at the preparation stage, individuals need to believe that their behaviour is causing a problem, that their health or wellbeing will improve if they change the behaviour, and that they have a good chance of success (Prochaska and Goldstein, 1991). Once the healthcare practitioner establishes that the individual has an internal motivator and is ready to make an attempt at behaviour change, a supportive treatment plan is needed. Individuals who are in the process of behaviour change, or who have achieved and are maintaining the new behaviour, need help to avoid relapse (Pro chaska and Goldstein, 1991). The most effective way to do this is to ask the individual to reflect on their experiences so far. Apart from taking into account the management behavioural change for those with type 2 diabetes, it is also of vital importance that there is a consideration the emotional impact of a diabetes diagnosis and living with the condition. How patients feel when presented with the diagnosis of a chronic illness such as diabetes can have an enormous impact on their lives, and on their ability to make emotional adjustments to the disease itself (Marks et al, 2005). Research has found that that the diagnosis of a chronic illness can have a strong emotional impact on individuals, with reactions of grief, denial and depression. The emotional aspects of developing and coping with diabetes can affect overall control of the disease profoundly. Similarly, these feeling may form a barrier to effective listening and learning during the consultation process and any future self-management strategies. Therefore, it is proposed that this should be taken into consideration when developing educational prog rammes and protocols for people with diabetes (Thoolen et al, 2008). Coping and adapting to a long-term chronic illness is a major theme in health psychology (Ogden, 2007). Leventhal Nerenz (1985) propose that individuals have their own common sense beliefs about their illness. These include identity: diagnosis (diabetes) and symptoms (elevated blood sugar levels, excessive hunger and excessive thirst). Perceived cause of illness: stress, a virus, unhealthy lifestyle. Time line: acute or chronic. Consequences: physical (pain, mobility problems) and emotional (lack of social contact, anxiety). Cure and control: for example by taking medication or getting plenty of rest. With regard to adapting to an illness such as diabetes, the stress coping model of Lazarus and Folkman (1984) Transactional model of stress is the concept that is most widely utilised. The model suggests that there are key factors in adaptation to chronic illness, disease-specific coping efforts, changes in illness representation over time, interaction between psychological reality of disease and affective response, procedures for coping with the disease and interaction with context. The stress coping model (Lazarus and Folkman, 1984) emphasises the value of coping strategies to deal with a particular condition. Self-management strategies based on this model attempt to improve the individuals coping strategies. In type 2 diabetes, people are faced with the prospect of long-term complications caused by the condition. If people are aware of these possibilities and also that successful treatment is, available it makes a diagnosis of such problems less daunting. However, there are limitations to this model. It is debated that it is a frame of reference, not a theory that ignores specific features of the illness. The situation dimension poorly represented and it is not specific. The model also neglects interactions with context (e.g. social support, other life events) and offers no account of life goals on illness representation and coping (Ogden, 2007). It is of vital importance that stress is controlled and managed in an individual with type 2 diabetes. Research has shown a link between stress as a causal factor and that stress has been found to be a factor in regulation of blood glucose regulation. Sepa et al (2005) found that family stress has a significant impact on the and development of diabetes among infants. With regard to stress and metabolic control, research has found that stressful life events predict poor glucose control. In a study by Surwit et al, (2002) the management of stress was found to improve glucose control. Therefore, it is posited that the impact of stress can affect diabetes adversely and any interventions to manage stress may be a worthwhile component of diabetes education programs. An additional influence on coping and adapting to living with diabetes and the development of self-management strategies has come from clinical psychology, particularly Cognitive Behavioural Therapies (CBT). Central to these therapies is the importance of attempting to change how people think about their illness and themselves, and how their thoughts affect their behaviour. Depression is one of the most common psychological problems among individuals with diabetes, and is associated with worse treatment adherence and clinical outcomes (Gonzalez et al, 2010). A randomised controlled trial (RCT) undertaken by Lustman et al, (2008) found that the percentage of patients achieving remission of depression was greater in the CBT group than in the control group. Although the research found that there was no difference in the mean glycosylated haemoglobin levels of the groups post-treatment, follow-up mean glycosylated haemoglobin levels were significantly better in the CBT group than in the control group. Therefore, it is debated that the combination of CBT and supportive diabetes education is an effective non-pharmacologic treatment for major depression in patients with type 2 diabetes. It may also be associated with improved glycaemic control. It is important to note however, that certain limitation apply to the above study that may have an effect on the findings. The generalizability of the findings is uncertain. The study was limited to a relatively small number of patients. Similarly, the follow-up interval was limited to the 6 months immediately after treatment. Likewise, the researcher cannot exclude the possibility that CBT and diabetes education interacted in a way that potentiated antidepressant effectiveness; analogous interactions may have occurred in many clinical trials. Further studies comparing CBT and diabetes education, individually and in combination, are needed to answer such questions and to see whether successful CBT alone is sufficient to produce glycaemic improvement. Correspondingly, it is worth noting that patients in the CBT group had education almost a full year longer than controls. The difference in education was not statistically significant, but the extra educational experience may have contributed to improved outcome in the CBT group. Finally, treatment was administered by a single psychologist experienced in the use of CBT. Whether treatment would be as effective when administered by other therapists is uncertain. For any person with type 2 diabetes to engage in any self-management strategy, good mental health is necessary. However, studies have shown reduced self-worth and/or anxiety in more than 40% of people with diabetes (Anderson et al,2001). There are several possible reasons for this. Being diagnosed with diabetes immediately poses major concerns for the individual, including what the future holds in terms of health, finance, and family relationships. Although everyone deals with diagnosis differently, for some it can cause immediate stress, including feelings of shock or guilt. Some individuals may also be ashamed and want to keep the diagnosis a secret. Others may be relieved to know what is causing the symptoms they have been experiencing. An Audit Commission (2000) report acknowledged that: people with diabetes are more likely to suffer from clinical depression than those in the general population. The report then went on to specify that therefore, diabetes services should make expl icit provision for psychological support and should monitor the psychological outcomes of care. In conclusion, to be successful in changing behaviour to negate the complications of type 2 diabetes, individuals need to decide for themselves which behaviours are undesirable, that is, which behaviours could have negative health, financial, social or psychological implications. People with diabetes also need to feel that the negative impact of risky health behaviours will be reduced or altered if they change their behaviour. It is important that individuals have confidence in their ability to make and maintain behavioural changes. It is not the health practitioners role to make this judgement or impose his or her beliefs. To support behavioural change, healthcare professionals need to feel comfortable in discussing lifestyle behaviours. They also need to assess an individuals preparedness to make a change and identify the factors that motivate them to change. The application of health psychology models, such as the Health Belief Model, the Protection Motivation Theory and the Trans theoretical model of behaviour change, to the management process can enable healthcare practitioners to assess contributory factors to health behaviours. Applying models can also help to identify motivators and barriers to health-improving and health-protecting behaviours, and identify strategies which assist the person in behavioural change. The role of the healthcare professional is to enable individuals to make an informed choice by working in partnership with them to decide when and if behaviour change is desirable. By understanding how an individual copes and adapts to living with a long-term condition such as diabetes can assist in empowering individuals to managed stress that appears to have a negative im

How does the poet use language to create a vivid portrayal of love?

First Love was written by John Clare (1793-1864) about his true love for a woman called Mary Joyce, who was from an upper class family, differing from his background from lower class. Even though Mary Joyce was the love of his life, he married another woman and had a family with her. In later years, his obsession led to him being admitted in to an asylum. During his time there, he had been said to think he was Lord Bryon (Mary Joyce's actual husband). She was the daughter of a wealthy farmer who did not approve of him. His infatuated love for her drove him to insanity. The poem talks about the first time he laid his eye upon her. In the essay, I will discuss how the poet uses language to create a dramatic portrayal of his love. The first stanza is full of terms with vibrant connotations. The poet uses this to create a jovial atmosphere and help the reader determine his emotions at that time. The very first line informs the reader that love had never ‘struck' him before that day that he saw her. The word ‘struck' denotes that it was something unexpected and impulsive. He links her beauty to a radiant flower, using the words ‘sweet' and ‘bloomed'. The word ‘bloomed' may also imply that when he saw her, his world brightened and he felt alive. ‘And it stole my heart away complete' entails that upon laying his eyes on her, she had his utmost attention. The last four lines of this stanza indicate that he perceived her as goddess; this because his face turned a ‘deadly pale' – it depicts how nervous she made him. Clare claims his ‘legs refused to walk away'; this symbolises the trance he was in and how hypnotic her beauty was to him. And when she looked what could I ail? ‘ – alludes that when she looked his way, he was left breathless. ‘My life and all seemed turned to clay'; this line conveys how to him, everything else in his world came to a stop in that moment. Although, it is just the first verse, it expresses quite eloquently how he felt. This concludes that what Clare felt upon their first meeting, was something he had never experienced before and the clammy, bewilderment he felt left him breath taken and yearning for her. He truly believed that it was love at first sight and he could not rest because he didn't have her. I think that he became a bit too fixated with his love for her and couldn't let go. This affected his health and wellbeing, eventually leading him to lose his mentality. In my opinion, it may have been love at first, but, thereafter, it became lust where he just longed for her. If he truly loved her, he would have been happy for her even if it meant without him.

Un-Answered Questions Into Rhetorical Analysis Example Disclosed

Un-Answered Questions Into Rhetorical Analysis Example Disclosed The Demise of Rhetorical Analysis Example The degree of conflict is the point where the struggle is occurring. There shouldn't be any discrimination in regards to a person's health because everyone deserves a wholesome living. There are various sorts of rhetorical questions which might be asked in various ways for various intentions. Though it took place a decade past, it's still considered very influential. Writing an instance of rhetorical analysis isn't your worst nightmare any longer! Reaching a stage in writing your essay when you've decided on the primary point which you would love to make can be very challenging. You can also give recommendations. It's also feasible to bring a recommendation on how best to make a more powerful argument on a paper's topic. Writing essays isn't a simple job. Thesis statements vary based on a special type of essay you're writing. Students are often frightened of rhetorical analysis essays because they don't know how to write them. Rhetorical Analysis Example - Is it a Scam? At times, the best method to understand how to write a great argument is to begin by analyzing different arguments. Various software might help to correct errors. It's peculiar that the significance of the word we' in the very first portion of the song differs from that in the second part. Rhetorical question is a kind of speech that's said in the sort of a question, but a reply isn't expected of it. Don't forget your argument starts with the very first words of your paper. Just make certain you build your arguments in the current tense, and you're going to prevent any confusions. The argument cannot rest here indefinitely. The crisis is the huge problem that produces the characters act. In the very first part the reader, who's most likely the overall public, develops a feeling of inferiority. A good conclusion explains the way the speech impacts the audience. There are a lot of pathetic appeals to various feelings of his readers. You have to reveal the end result of the author's speech and its impact. Following pre-writing stages is what every writer have to bear in mind as a way to create a productive introduction. The author asserts that the sort of relationship he has with nature is one which is innate. In addition, the author's language is examined to establish its potency in making an appropriate atmosphere and having a strong effect on readers. There are three sorts of appeal, and you should comprehend what they mean. The second kind of rhetorical appeal is known as the ethical appeal. The logical appeal utilizes reason to earn a situation. The ethical appeal utilizes the writer's own credibility and character to earn a case and earn approval. The reader needs to be able to visualize the ad without needing to continually refer to it. Browsing the internet and learning the info presented on unique portals, you will discover the outline is important. Attempt to set up the degree of knowledge that the audience has about the subject. In the short article, the authors do a terrific job to include rhetorical analysis to improve their article to show readers to stop vaping. Whispered Rhetorical Analysis Example Secrets A superior rhetorical analysis conclusion sample functions as a last punch for the analysis. When you're writing study paper or phrase paper on politics, you've got to need to be certain you've completed plenty of research on this issue. If you may analyze any book for your rhetorical assignment, choose the work you understand well. Utilizing a superb sample conclusion when writing a conclusion of your rhetorical analysis is very important since it provides you a sense of the way in which an excellent conclusion should look like. The Nuiances of Rhetorical Analysis Example The content analysis may come a bit easier for you, but the rhetorical analysis is vitally important. When you compose the rhetorical analysis essay, don't forget that its primary intent is to explain the effect of every system that was used by the author. Rhetorical analysis example does not need a whole lot of external research, but you might wish to include sources that explain various techniques of persuasion to demonstrate the way the author of the works you're analyzing convinces their audience. A good case of a rhetorical analysis conclusion should indicate the use of the analysis argument at a great er level. Nevertheless, to understand Newton's life better, there's a demand for more research in different journals. Therefore, her usage of logos is highly effective because she's in a position to paint an image in the readers head. Our customer support will gladly tell you whether there are any special offers at the present time, in addition to make sure you are getting the very best service our business can deliver. The examples provided here are intentionally diverse so they supply you with an assortment of significant points.

Defensive Personality Studied through Personality...

A person with a defensive personality may feel as though they are being attacked and to cope with it they need to defend their choice of words and actions when they are dealing with other individuals. My younger sister, Carlee, has a defensive personality. We have the same mother, but different fathers. This caused us to be raised in different situations. She has moved around a lot, going from my dad’s house, to our mom’s house, and to her dad’s house. She did not have a set place where she could call her â€Å"home†. Generally, Carlee is a good kid and listens, and does not argue too much. However, as siblings usually do, there are quarrels between us. She will get overly defensive and extremely furious very easily. She overreacts to†¦show more content†¦A lack of encouragement and support will inevitably lead to feelings of inferiority. Since she did not receive this encouragement, this could be what causes her to defend herself so vig orously to others. Erickson might say that the lack of encouragement Carlee received when she was younger has caused her to not believe in herself so much, so she feels that she has to defend herself to people when they tell her something. However, Lawrence Kohlberg, a psychologist known for his theory of stages of moral development, might say that the reason for her behavior is that she was trying to gain the attention of her mother and father. Growing up, there was conflict and unsure times between her mom and her dad. This lead to the times where Carlee was fighting for attention and it was coming out in a way that maybe was not welcomed by others. The stage that focuses on situations like this is the conventional level stage. This stage states that, children begin to understand what is expected of them by their parents, teacher, etc. Morality is seen as achieving these expectations ( ). Fulfilling obligations as well as following expectations are seen as moral law for children in this stage. 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