Lined letter writing paper
Judaism Paper Topics
Monday, August 24, 2020
Reader-Oriented Criticism free essay sample
Peruser Oriented Criticism This article will sum up what Reader-Oriented Criticism really is and how it assumes a job with in Friday Night Lights. Most importantly, Reader-Oriented Criticism is the cooperation of what the content was composed to mean and how the watcher understands it, otherwise called content peruser connections. ââ¬Å"As such, peruser situated analysis is generally worried about ââ¬Å"potentialâ⬠rather than ââ¬Å"actualizedâ⬠implications of the content to an audienceâ⬠(Vande 331). The content throughs out prompts on how they might want the content to be perused. There are two different ways that the content can be introduced: ââ¬Å"Open content welcomes you to see it in numerous translations, while Closed content just gives you one view on the best way to interoperate itâ⬠(Dr. M. Camacho). Anyway inside Reader-Oriented Criticism content is constantly left open for the peruser to see and get it anyway they wish. When the watcher has begun ââ¬Å"to subliminally wonder how the story will go straightaway, entering the space of the show,â⬠then they have entered liminal space (Dr. We will compose a custom exposition test on Peruser Oriented Criticism or then again any comparative point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page M. Camacho). Each TV show has its own little suggested implications which is the thing that the inferred creator needs the inferred watcher to subliminally get. From the asking of Friday Night Lights you can tell that the entire town is about football and Christian confidence, who is likewise the suggested creator. The executive welcome you into liminal space toward the start through the consistent developments and point changes of the cameras making the inferred watcher see that the suggested creator, again the town, is about football. So the entire town, yet the entire show is about football, that even you, the genuine watcher, is close by the remainder of the town sitting tight for the following game. In this manner the inferred vier would be every individual players in the group, discovering that the entire town is watching them and anticipating that them should show that football and god are at a similar level. All through the show it continues welcoming you in to consider it to be on the off chance that you are entirely the game: the entire lighting of the show is all normal with numerous shadows, similar to it is the point at which the flood lights are on in the game. At the point when the game really starts the sound of everything fades away to a murmur, the groups cheering, the sofas shouting, the firecrackers up over head, can all grain be heard. Anyway each and every snort and crush would ring through the speakers as though it was ringing however youre own ears, by and by putting you on that field, giving and taking those blows. When the game is done the group stops and asks advising you that god is similarly as significant as football and that we wouldnt be here today with this triumph without him. These are on the whole instances of ways that the Friday Night Lights was composed and intended to take anybody, even somebody that doesnt care for sports to sit as eager and anxious as ever before the finish of the scene hanging tight for that touchdown and cheer when ball gets passed that last line.
Saturday, August 22, 2020
Research task case study Example | Topics and Well Written Essays - 750 words
Research task - Case Study Example This additionally influences the individuals around them particularly kids who now and again, wind up being mentally tormented. Fundamentally thinking, the UAE isn't the answer for these maidsââ¬â¢ money related issues as it just dispenses torment on them Remote house cleaners from ruined nations represent about 23% of the United Arabs Emirates populace, every one of them edgy to in any event to get by. The way that the UAE is a nation with unfavorable assets because of their gigantic oil repositories has a significant influence in drawing in these outside house keepers (Mallinder, n.d). A portion of these house keepers leave their local nations having as a main priority that they will enable their families to back home battle neediness. Be that as it may, on arriving at the UAE, their desires wind up being flushed in the channels as working conditions wind up being so horrible. It is very clear from the above data that remote servants work under poor working conditions in the UAE. Remote servants face various issues that mentally influence them (Sabban, 2012). The serious issue is torment and provocation, prompting physical torment and even distortions. The subsequent issue radiates from the extended periods of time of work with poor compensation and absence of better food. A portion of these female house keepers get explicitly mishandled by their managers before the kids, influencing these kids mentally and in any event, prompting a portion of these servants ending it all. A few servants wind up carrying out violations like pounding and in any event, consuming the employersââ¬â¢ youngsters or more awful of slaughtering the business. Indeed, the vast majority of these outside servants originate from unprivileged foundations and consequently need more mental assistance and backing than mental assessment before work to change in accordance with instances of unsympathetic managers (Beasley and Thomas, 1992). In addition, it diminishes instances of violations submitted by the house cleaners by a more extensive edge. Besides, the Human Rights Watch, has approached the UAE
Thursday, July 23, 2020
What to Expect at a Hookah Bar
What to Expect at a Hookah Bar Addiction Nicotine Use Print Hookah Bars, Air Quality, and Your Health By Terry Martin facebook twitter Terry Martin quit smoking after 26 years and is now an advocate for those seeking freedom from nicotine addiction. Learn about our editorial policy Terry Martin Medically reviewed by Medically reviewed by Sanja Jelic, MD on February 28, 2016 Sanja Jelic, MD, is board-certified in sleep medicine, critical care medicine, pulmonary disease, and internal medicine. Learn about our Medical Review Board Sanja Jelic, MD Updated on August 14, 2019 Barry Lewis/Getty Images More in Addiction Nicotine Use After You Quit How to Quit Smoking Nicotine Withdrawal Smoking-Related Diseases The Inside of Cigarettes Alcohol Use Addictive Behaviors Drug Use Coping and Recovery Hookah bars are commercial establishments where people gather to smoke flavored tobacco from a hookah pipe. Other names for a hookah bar includes hookah lounge, hookah cafe, hookah den, and shisha bar. Originating in India and spreading to several Middle Eastern countries, traditional hookah lounges are coffee houses that also serve hookah. Out of deference to Muslim traditions, they do not serve alcoholic beverages. As they have gained popularity in Western cultures over the years, however, many hookah bars in the United States do serve alcohol along with food and a variety of tobacco flavors. What Theyre Like Hookah bars in the U.S. are often decorated in trendy, modern themes to appeal to young patrons. You may or may not find alcohol in these places, but many of them are set up to serve it, along with live music. Hookah is often smoked in small groups, so youll probably find the lounge is able to accommodate that with bean bag chairs or comfortable couches grouped around the hookah table. That said, lone patrons can easily order hookah for one, as well. If another person wants to join in later, an additional line is simply added to the hookah pipe. You might also be able to buy oxygen, which is another unusual offering gaining recreational popularity. The oxygen that is purer than what is ambient air is typically bubbled up through flavored waters to be breathed in for a period of time. Flavorings give the oxygen a pleasing aroma, and fans of oxygen sniffing claim it helps with everything from energy boosts to hangovers. There is no science to back it up though, and those selling it are careful not to make medical claims about recreational oxygen use. Hookah Bars in the United States Hookah bars have sprung up primarily around college towns in the United States. While smoking bans have become more strict with increased public awareness, hookah bars seem to be an exception with their ability to obtain indoor smoking permits. Other commercial locations that are allowed smoking permits are cigar bars and tobacco purveyors. The first hookah lounges in the U.S. were coffee/tea houses that served immigrant communities. Hookah was an additional offering at these establishments, not the main focus. That all changed when The Hookah Lounge opened its doors in Las Vegas, Nevada. As the name suggests, hookah was the primary offering, but alcohol and Middle Eastern food were also served. The Hookah Lounge attracted mostly men of Middle Eastern descent initially but drew a more diverse crowd over time. Today, The Hookah Lounge has two locations in Las Vegas. Others emulated the winning formula, calling their establishments hookah lounges as well. There were lawsuits filed to protect the name, but it was a futile effort. The term hookah lounge became synonymous with the hookah experience, rather than describing a specific place. The owners of that first hookah lounge in Las Vegas took to calling themselves Americas Original Hookah Lounge in ads to differentiate themselves from others. Other countries have also seen an uptick in hookah bars. Germany, Spain, The Netherlands, and the United Kingdom all have hookah lounges and theyve even gained popularity in Russia. Air Quality Young adults have taken to this form of smoking, in part because its considered to be a unique and acceptable way to socialize with friends, but also because there is a misconception that hookah is a safe way to smoke tobacco. It isnt, and some of the facts about hookah smoking might surprise you. Researchers from Johns Hopkins studied the air in several hookah bars over a 9 month period. In particular, they measured nicotine and carbon monoxide levels, along with particulate matter in hookah smoke smaller than 2.5 microns.?? Their findings showed that the air in enclosed spaces where hookah is smoked is laden with carbon monoxide and breathable particulate matter from the tobacco smoke in concentrations that are higher than in public spaces where cigarette smoking is allowed. Nicotine content was not as high, but it was measurable. In another study, researchers focused on 55 healthy people with some level of hookah smoking experience in the past.?? Participants were asked to abstain from all tobacco use for a week. They then spent an evening smoking at a hookah bar. Urine samples were collected and tested. Researchers found that nicotine levels after were as much as 70 times higher than they were before the hookah bar exposure. Additionally, NNAL, which is a nasty carcinogen that is specific to tobacco smoke, was present in participants in twice the amount as before, and VOCs, also hazardous to breathe in, were detected in elevated amounts between 14% and 91%. While this study looked at hookah smoking specifically, it adds to the picture of the chemicals that are floating around in the ambient air of a hookah bar. Inhaling the air in the enclosed space of a hookah bar is not healthy for anyone. Avoid Hookah Smoking and Hookah Bars It is a mistake to think that hookah is a safe way to smoke tobacco, and that just because hookah lounges exist, that they too are safe. Tobacco is inherently dangerous for your health, whether you are smoking it or using a smokeless variety.?? Additionally, all tobacco products contain nicotine, so it is also addictive. The best way to steer clear of the risks is to avoid using it in any form. If you are thinking about quitting, you can read about how to get started.
Friday, May 22, 2020
Persuasive Speech Girl Power - 1448 Words
Thanks to this phenomena I ve designed a hula hoop for the thumb, the idea is to get everyone looking as if they ve got their thumbs up, in turn the concept will make society appear friendly. - - - Innovative invention for decades have by habit woken up our youth culture from their hormonal apathetic doldrums - I confess, it has been a durable sleep since Britpop and that exhaustive Girl Power message which energised youth culture to fever pitch. Youth culture overtax surely, I recall watching our youth culture engaging in Spice mania thinking, you ll better stop, or you will burn yourselves out by the time you are a young adult... They did burn themselves out, and I knew it ll take a miracle to raise our fresh faced darlingsâ⬠¦show more contentâ⬠¦Studies show that rotation manifests a halcyon mental trance, and as we all know alternative medicines i.e. hypnotherapy; there s no better escapism, without actually escaping I assume. Who knew via controlling the spinner s rotation it ll enable acute focus and confidence? By that logic, fairground ride attendants should be our lawmakers devising new monetary systems whereby our financial institutions can trade without risk . To keep up hand spinning profit margins, it s advisable you should have your own spinner... hence, spin at your own pace... the concerns are if you watch other hand spinners you ll put yourself in danger of agreeing to demands you wouldn t normally be happy with - think Mowgli s first meeting with Kaa from The Jungle Book... - slowly and surely your senses will cease to resist - eyeballs mirroring a helter-skelter. Granted, the street vender offering the hand spinners to the passer-by was noticeably creepy, perhaps it was the wizard beard, He reminded me of a spaced-out hippy at a music festival holding out his hand saying; hey man, in my hand is the key to success, use it wisely... My forefathers always told me to be aware of small hands which re more filthy than your own... naturally, I made a polite excuse saying... I think you need it more than I, mate. In a way I view hand spinnersShow MoreRelatedLeader Persuasion1290 Words à |à 6 PagesHow persuasive can one be, how much power can one achieve with words? Successful leaders of different time periods and different categories possess the ability to use words effectively to lead through the power of persuasion. Whether in a Business, political, or religious leadership positions, successful leaders utilize and capitalize on the needs and wants of their followers through persuasive word choice High level persons are persuasive; they have to be. Powerful speakers such as Adolf HitlerRead MoreAnalysis Of Encomium Of Helen, Dissoi Logoi, And Plato s Gorgias1541 Words à |à 7 Pagesrhetorical form through his ââ¬Å"Encomium of Helenâ⬠speech that he gave upon his arrival to Greece. In order to understand Gorgias contributions to the foundation of rhetoric, one must understand the historical context of Gorgias giving the ââ¬Å"Encomium of Helenâ⬠speech. Helen of Troy, a beautiful woman, was responsible for the 10-year Persian war because of the allegations that she was ââ¬Å"kidnappedâ⬠by the Prince of Troy, Paris. The Encomium of Helen is a persuasive piece written by Gorgias, that provides, throughRead MoreAnalysis Of Gorgias Encomium Of Helen, Isocrates, And Plato s Gorgias1316 Words à |à 6 Pagesoratory/rhetoric through his ââ¬Å"Encomium of Helenâ⬠speech that he gave upon his arrival to Greece. In order to understand Gorgias contributions to the foundation of rhetoric one must unders tand the historical context of Gorgias giving the ââ¬Å"Encomium of Helenâ⬠speech. Helen of Troy, a beautiful woman, was responsible for the 10-year Persian war because of the allegations that she was ââ¬Å"kidnappedâ⬠by the Prince of Troy, Paris. The Encomium of Helen is a persuasive piece written by Gorgias that provides, throughRead MoreGender Roles Of Society And The Bible Essay1691 Words à |à 7 PagesBible Upon losing the election to become the 45th president of the United States, Hillary Clinton gave a concession speech and told ââ¬Å"all the little girls who are watching this...never doubt that you are valuable and powerful and deserving of every chance and opportunity in the world to pursue and to achieve your own dreamsâ⬠(Clinton). While Candidate Hillary Clinton said these girls are ââ¬Å"deserving of every chance,â⬠our society may prove otherwise. Although women today are no longer denied basic rightsRead MoreThe Effects Of Propaganda On Women s Rights1679 Words à |à 7 Pagesthe Honorary Chairperson of the United States delegation to the conference, she gave the speech, Women s Rights Are Human Rights in the first few days during a special Plenary Session. In the speech, she utilized several persuasive techniques, also known as propaganda, grasping people s attention in order to achieve support for the claim of the women s rights she was devoted to. Propaganda is usually a speech device that people intently use to induce or intensify others actions and attitudesRead MoreFeminist Analysis : One Of The Means 1301 Words à |à 6 Pageson gender. The Millerââ¬â¢s Tale in Canterbury tales explores Alisonââ¬â¢s point of view and describes double standards about womenââ¬â¢s sexuality and behaviors. ââ¬Å"#LikeAGirlâ⬠, by Always, creates the idea of how the words, ââ¬Å"Like a Girlâ⬠became an insult, and how double standards of how girls are weak, or incompetent/inept affect them. Both ââ¬Å"Labels Against Womenâ⬠and ââ¬Å"#LikeAGirlâ⬠show the oppressive society in which those of the female gender are faced with. The Millerââ¬â¢s Tale shows Alison as the oppressed femaleRead MoreGender Equality For Women And Women1215 Words à |à 5 Pagesfocused on advocating for change on gender equality for both men and women, and men who want a better future for women. Her vision was to advocate for HeForShe, the UN Wo men Solidarity Movement for Gender Equality that brought men and women, boys and girls together for gender equality. The vision that she expressed to the audience was that ââ¬Å"what we share is much more powerful than what divides usâ⬠. (TED) She stated that ââ¬Å"we all feel the same things, we all want the same things, even when those thingsRead MoreLanguage Is Not Only A Communication Tool For People1230 Words à |à 5 Pagesspeakersââ¬â¢ background by simply talking to them. Language geographic variation can be shown from phonology or pronunciation. According to oxford English Dictionary, phonology defined as ââ¬Å"the system of contrastive and phonotactic relations among the speech sounds of a particular languageâ⬠. (Oxford English Dictionary) When interpreting a sentence, people usually add tone to the sentences in order to emphasize something or just simply make it sounds better, so called intonation. Intonation is part ofRead MoreThe Evil Empire1318 Words à |à 6 Pagesï » ¿Courtney Professor English 1302 20 September 2013 An Analysis of Ronald Reaganââ¬â¢s ââ¬Å"The Evil Empire.â⬠Ronald Reagan gave a speech in Orlando, Florida on March 8, 1983 called, ââ¬Å"The Evil Empire.â⬠This speech was intended for the ears of all Americans and is one of the best known presidential speeches ever given. In his speech, Reagan uses multiple rhetorical strategies such as; metaphors, allusions, rhetorical questions, tone, pathos, and uses references from the bible. He talks about all theRead MoreHillary Clinton s Stance On Women s Rights1090 Words à |à 5 Pagesher career as an advocate for gender equality, human rights, and womenââ¬â¢s rights policies. Throughout her time in the Senate, she advocated womenââ¬â¢s rights and used her status around the world to shine a light on issues of importance for women and girls. Hillary Clintonââ¬â¢s unwavering stance has supported that women lives are just as valuable as any other lives, womenââ¬â¢s rights are humanââ¬â¢s rights, and anything less is unacceptable. Hilary Clinton understands that the world nee ds to recognize the unfair
Thursday, May 7, 2020
Managing Induction Process for Health and Social Care or...
Unit 523 Managing induction process for health and social care or children and young peopleââ¬â¢s settings. 01.1 purpose of induction Induction is the first piece of learning a worker undertakes when joining the social care sector or a new organisation. These Common Induction Standards (CIS) have been designed to provide a structured start for workers in the first 12 weeks of employment, which will help ensure that they are then safe to leave alone with responsibility for the people they support. But when workers are expected to perform any tasks that are not covered by the CIS, appropriate training must be provided before the work is undertaken. There are eight standards that the induction should cover these are. Standard 1 Role of theâ⬠¦show more contentâ⬠¦* Self-evaluation: ask the person to describe how they think they are progressing. * Observation: direct observation of how the person is performing in their role. * Feedback: from people who use the service and their close networks as well as colleagues. * Reflection: ask the person to reflect on an aspect of their work, usually a specific i ncident, and explain what they learned from it. * Questions: to test the person understanding of a topic in more depth. * Evidence: of accredited training in a particular area. 01.3 The successfully completed induction demonstrates that a worker has the basic Information necessary for work in social care. However it should also enable the person to identify other areas in which they may need further training to develop their skills for further progression. The induction process for a new worker may reveal that the worker needs additional help in order to meet the functional levels of language, literacy and numeracy which the manager considers necessary for them to do their job properly. This area of work is crucial to increasing the skills of the social care workforce and ensuring the well-being of the people being supported. The successfully completed induction demonstrates that a worker has the basic information necessary for work in social care. There will be some tasks; however, thatShow MoreRelatedManagement and Manager Induction Standards9580 Words à |à 39 PagesManager induction standards Standards for managers new in post in adult social care, including those managing their own support workers 2012 ââ¬ËRefreshedââ¬â¢ web edition, with guidance and certificate we help employers to manage their workforces Contents Introduction Core standards 1 2 3 4 5 6 7 8 Governance and accountability Systems and processes to promote communication Partnership working and relationships Using person-centred practice to achieve positive outcomes Team leadership and managementRead MoreLeadership for Health and Social Care and Children65584 Words à |à 263 PagesQUALIFICATION HANDBOOK Level 5 Diploma in Leadership for Health and Social Care and Children and Young Peopleââ¬â¢s Services (England) (3978-51/52/53/54/55/56) December 2011 Version 2.1 (July 2011) Qualification at a glance Subject area City Guilds number Age group approved Entry requirements Assessment Fast track Level 5 Diploma in Leadership for Health and Social Care and Children and Young Peopleââ¬â¢s Services (England) 3978 19+ There are no entry requirements Portfolio of Evidence, PracticalRead MoreCashe Level 2 Essay example18123 Words à |à 73 PagesCACHE Qualification Specification CACHE Level 2 Certificate for the Children and Young Peopleââ¬â¢s Workforce (QCF) CACHE Level 2 Certificate for the Children and Young Peopleââ¬â¢s Workforce (QCF) à © CACHE 2011 Except as allowed by law, or where specified in the text, no part of this publication may be reproduced or transmitted in any form or by any means without prior permission from the Council for Awards in Care, Health and Education. CACHE has provided this Qualification Specification in MicrosoftRead MoreUNIT 5246983 Words à |à 28 PagesFacilitate change, in health and social care or children and young peopleââ¬â¢s settings. Understand the principles of change management in health and social care or children and young peopleââ¬â¢s settings. 01.1 01.2 01.3 01.4 Analyze the factors both internal and external that drive change within your sector of health and social care. Write a brief report of your findings. Describe the underpinning theories of change management. Describe approaches tools techniques that support the change process. Explain the importanceRead MoreDiploma level 55363 Words à |à 22 PagesCU2939 Develop Health and Safety and Risk Management Policies, Procedures and Practices in Health and Social Care or Children and Young Peopleââ¬â¢s Settings Level 5 Credit value 5 GLH 33 Unit summary The purpose of this unit is to assess the learnerââ¬â¢s knowledge, understanding and skills required for Health and Safety and Risk Management, including the development of policies, procedures and practices in health and social care or children and young peopleââ¬â¢s settings. Additional AssessmentRead MoreUnit 520 Recruitment and Selection Within Health and Social Care or Children and Young Peopleââ¬â¢s Settings2667 Words à |à 11 PagesUnit 520 Recruitment and selection within health and social care or children and young peopleââ¬â¢s settings Discuss and demonstrate your understanding of employment legislation and practice that has to be adhered to when managing the provision of your service. 1. Recruitment 2. Staff training 3. Contracts The Single biggest piece of legislation that has recently come into force is the equality act 2010, it became law inRead MoreEmployment Responsibilities and Rights in Health Social Care and Children8829 Words à |à 36 PagesLevel 2 Award in Employment Responsibilities and Rights in Health, Social Care and Children and Young Peopleââ¬â¢s Settings Workbook Level 2 Award in Employment Responsibilities and Rights in Health, Social Care and Children and Young Peopleââ¬â¢s Settings Workbook Contents Modules Topic Contracts of employment Anti-discrimination Age discrimination Statutory rights and responsibilities Disability discrimination Working hours, rest breaks and holiday entitlement Maternity/Paternity, parental and adoptionRead MoreSafeguarding in Health and Social Care6436 Words à |à 26 PagesUnit 10: Safeguarding in Health and Social Care Student Name: Student I.D: Submission date: 09/12/2015 CONTENTS PAGE Task | Page number | Task 1: Induction Pack on Abuse factors and contexts (1.1, 1.2, 1.3) | 4-12 | Task 2: Essay on the law in contexts (2.1, 2.2) | 12-19 | Task 3: Power point presentation on working practices and strategies (3.1, 3.2, 3.3) | 20-28 | References | 29-30Read MoreDescribe with Examples How Schools May Demonstrate and Uphold Their Aims:14953 Words à |à 60 Pagesassociationââ¬â¢s government is focusing to expand educational provision to further and ensure every child and young person to have a range of choice to enable them to access a school that will meet their individual needs. Between the ages of five to sixteen every child and young person in England and Wales are entitled to a free place at a state school. Approximately ninety three per cent of children are educated in state-maintained schools; the majority are referred to as mainstream or ordinary schoolsRead MoreUnit 1 Equality and Diversity4046 Words à |à 17 PagesIââ¬â¢m doing my work as a teacher. By mainstreaming equality and diversity into the workplace it has a positive effect on maximising the potential of both the staff and the students as it encourages them to value the different ethnic, religious and social backgrounds of others. This diverse group of people can be used to the advantage of the organisation by offering different views, ideas and opinions from a variety of sources. In my opinion it is these differences in us all that help us to innovate
Wednesday, May 6, 2020
Nurse Practitioner Free Essays
Running Head: Childhood Obesity Early Intervention and Prevention Program Nurse Practitioner-Coordinated Childhood Obesity Early Intervention and Prevention Program Elsie M. Stines, MS, CRNP, Saranne Perman, MD and Sangita Sudharshan, MD University of Kentucky College of Medicine Elsie Stines, MS, CRNP 220 Arch Street, 14th Floor Baltimore, MD 21201 410-706-5224 410-706-0500(fax) estines@umaryland. edu Abstract Childhood obesity has reached epidemic proportions, and the problem is disproportionately represented in low income, minority settings. We will write a custom essay sample on Nurse Practitioner or any similar topic only for you Order Now In an attempt to intervene, an elementary school-based prevention program designed to educate children and their caregivers in healthy and active lifestyles was developed by a community-based coalition. The coalition was anchored by faculty, staff and students of a medical school. The design, launch, and operations of this program as a model which may be useful to other communities are described. What do optimal car performance and optimal adult weight have in common? They both require early intervention in the form of preventive care. For cars, preventive care begins at 5,000 miles at the service station. And for adult weight, preventive care begins in childhood in the home, the school and the community. In line with this concept, the University of Kentucky College of Medicine (UKCOM) created a model after school program promoting healthy and active lifestyles by organizing a coalition of academic and community partners. This program was created to assist children who are at the highest risk of becoming obese better understand healthy eating habits and active lifestyle choices while having fun. Such a program could be replicated in the many high- risk communities throughout the nation. Preventing childhood obesity is challenging, yet, possible! The United States is experiencing an obesity epidemic, but what is most alarming is the number of children who are obese. The prevalence of childhood obesity has nearly tripled over the past two decades. 1 Currently, almost one third of children and adolescents are either overweight or obese. 2 Overweight adolescents have a 70 percent chance of becoming overweight or obese adults. This increases to 80 percent if one or more parent is overweight or obese. ,4 According to the Center for Disease Control(CDC), overweight is defined as a BMI at or above the 85th percentile and lower than the 95th percentile, and obesity is defined as a BMI at or above the 95th percentile for children of the same age and sex. Classification of overweight and obesity for children and adolescents are age and gender specific because childrenââ¬â¢s body com position differ both for age and gender. BMI is one way to screen children and adolescents for both overweight and obesity; however it is not a direct measure of body fatness. Factors contributing to childhood obesity are generally caused by a lack of physical activity, unhealthy eating patterns, or a combination of the two. 4 Recent studies have shown that genetics can also play a role in determining a childââ¬â¢s weight, but the increasing numbers are not related to genetics alone. 6 Unfortunately, children who are obese are at risk for developing conditions in childhood which used to be found mainly in adults. For example, the onset of hypertension, fatty liver, non-alcoholic steatohepatitis, obstructive sleep apnea, high cholesterol, and type 2 diabetes are now increasingly common in children. ,7 The most immediate consequence of being overweight, as perceived by children themselves, can be social discrimination which may result in poor self-esteem and lead to depression. 4 W hat populations of children are at higher risk of becoming obese? Studies have shown that low-income and minority children are disproportionately affected by obesity- primarily African-Americans, Hispanics and Native Americans. Contributing to this disparity is the fact that low-income, minority children often live in communities with poor access to safe areas which limits their ability to play outside. Compounding this circumstance is the reality that families who live in low-income neighborhoods also have limited access to grocery stores that carry fresh produce. 8 This paper describes the organization and structure of a school-based obesity prevention program in a predominantly low-income, minority predominant elementary school. Preliminary outcomes have been reported elsewhere, suggesting a decrease in the average rate of weight gain by the affected population. 9 Evaluation of the program is ongoing. Program Description: Site Selection UKCOM selected an elementary school site setting for several reasons. First, an after-school program would be easy for students to attend since they were already at the site. In addition, the school setting had in-kind resources, such as gyms, playgrounds and fitness equipment that were age appropriate. Furthermore, there was the potential to enhance the existing school health and nutrition education curriculum. Lastly, there was the potential to influence attitudes and behaviors of teachers by encouraging use of non-food rewards. The elementary school that UKCOM chose exhibited all of the national risk factors for obesity: low-income families (57% of annual household income less than $10,000 and 93% of the children at the school were on free and reduced lunch); minority population (80% of the children African American or Hispanic); and located in a neighborhood that is both unsafe for outdoor physical activity and without access to full service grocery stores with fresh fruits and vegetables. Fifty-three percent of the children had a BMI above the 85th percentile and 30% were overweight (national average is 16%). Building a Coalition: Community Partners Building a broad coalition of community partners was key to the programââ¬â¢s success. It allowed for sharing costs, increasing the resources available, and diversifying the available assets. In the school, there were several key partners who played important roles in developing and shaping the program to meet the childrenââ¬â¢s circumstances and needs. UKCOM initially organized a planning meeting with the schoolââ¬â¢s administrators and teachers to ensure their genuine investment in the program. The principal allowed college personnel to speak with the teachers during a faculty meeting which facilitated high teacher attendance. During this meeting, administrators and teachers were able to provide suggestions and insight into potential barriers to the program. For instance, teachers recommended that the name of the after school program should not be related to obesity because of the social ramifications. As a result of their feedback, the program was named ââ¬Å"Jumpinââ¬â¢ Jaguarsâ⬠, which leveraged the school mascot. The teachers also indicated that students were often rewarded with candy for good behavior and achievement. After discussion, the teachers recommended that popular non-food rewards, such as stickers, bouncy balls, pencils and erasers be purchased as reward replacements. Additionally, during the initial meeting with school personnel, it was decided that 40 students would be the maximum number this program could serve because of facility size and appropriate supervision ratios. Two supervisors were provided by the school. They were the schoolââ¬â¢s social worker and the gym teacher. Both professionals agreed to organize activities for the children. Ancillary partners were identified through UK Colleges of Agriculture, Medicine, Nursing, Education and Public Health. All five UK Colleges recruited student volunteers who provided motivation and supervision of the student participants. All volunteers underwent a background check as a precaution. Many of the college students were also utilized as mentors to the children in the program. Since research shows children who are obese tend to have low self-esteem as well as depression, UKCOM psychiatry residents were included as partners who offered lessons to student participants on the topics of positive behaviors, good choices, as well as positive self-image. To have an effective and successful program, partnering not only with the school was vital but involving the community was essential. Several community partners thought to be supportive of the program were identified. Involving a community health center was important in the planning process since for expertise in health and fitness. The YMCA of Central Kentucky was contacted, and they agreed to partner with UKCOM in this initiative. They agreed to have the children come after school to their facility twice a month for swimming lessons, aerobics and dance lessons such as hip hop, jazzercise and Zumba. In addition, the YMCA(Y) agreed to provide the children and their families with discounted memberships and also invited the families to special events, such as family nights. Program participants were also offered discounted memberships for the YMCAââ¬â¢s summer program. Another community organization that was contacted was a local bank. They agreed to provide scholarship savings bonds to the children who attended the program 80 percent or more of the sessions. These savings bonds were to be used for future college education, and could not be cashed until the child was 18 years of age. It was decided that the student participants would need a snack after the program. Local grocers and pantries were contacted to solicit their partnerships. A food bank, the farmerââ¬â¢s local market, and a large retail store agreed to provide each student in the program with a backpack full of healthy snacks to take home each week. A final partner, the county health department agreed to assign the school nurse to obtain BMIââ¬â¢s on all the children in the school to identify student eligibility for the program and collect baseline data. The health department also agreed to collect BMIââ¬â¢s of the student participants mid-year and at the end of the school year so we would be able to monitor each studentââ¬â¢s progress. Family Unit Involvement: Involving the parents and caregivers of the children was essential for success if children were to sustain a home healthy and active lifestyles learned in school. The health department also requested their nutrition staff to educate and teach the families and caregivers how to cook healthy meals on a limited budget. There were 6 cooking sessions. Parents attending at least 5 of the 6 lessons would receive a gift such as a set of pots and pans or a set of baking dishes. Families were also educated to obtain WIC vouchers at the Farmerââ¬â¢s Market to purchase fresh fruits and vegetables. In addition, the PTA was actively involved in promoting the program. As an added incentive, siblings of participants were also permitted to join in the after school features of the program. By inviting sibling involvement, the the program did not appear to target only obese children. The program was implemented when the community partnerships were established and families were on-board to participate. Physical and Nutrition Education: ââ¬Å"The Jumpinââ¬â¢ Jaguar Programâ⬠Physical Education: Once the students who qualified for the program (BMI85th %) were identified, they were invited to a kickoff event to register for the program. The goal of the kickoff event was to get parents and students excited and registered for the program. This was done by promoting to the families that there would be door prizes, free university logo t-shirts, attendance of university athletes and cheerleaders, and free healthy food. The first 40 students to sign up for the program were selected. Additionally, during the kickoff event, the YMCA (Y) provided a free one-year membership for the children and the families; however they needed to attend the Y at least 5 times per month to qualify. The children met twice a week for 90 minutes after school. Tuesdays and Thursdays were selected in order to avoid school holidays. The children were divided into groups of 5 with a total of 8 groups. The gym teacher and the school social worker provided direct oversight of the program (these were paid positions). One to two UK student volunteers were assigned to each group. The students attended the Y twice a month and either participated in some type of physical activity in the gym or went swimming. The Y assessed each studentââ¬â¢s level for swimming, and divided them into ability groups. Nutrition Education: Another important program component was nutrition education. Nutrition education was taught to the students by the UK Nursing student volunteers. The children also took a field trip to the Farmerââ¬â¢s Market to learn about different fruits and vegetables. Likewise, the manager from the Farmerââ¬â¢s Market also came to the school and taught the children about how fruits and vegetables were grown and let the students sample different items. The ââ¬Å"We Canâ⬠workshop series was a six-week session in the fall consisting of one, three hour class per week. The series focused on cooking healthy meals on a limited budget and importance of healthy lifestyles that needed to occur not only at school but in the home. Each class provided parents with a meal and the skills to prepare the meal at home. The parents who attended would make the meal during the 3 hours session and take it home. Education on using WIC vouchers at the Farmers Market was also discussed. UK students volunteered to provide childcare during the class. Providing childcare, food, and gifts incentivized families to attend. Monitoring the Program Several indicators were used to measure the projectââ¬â¢s impact on obesity. BMI over the school year and overall school attendance was monitored. Student attendance was an important indicator because our banking partner agreed to provide college savings bonds to students who participated 80% of the time. UKCOM sponsored a mid-year meeting with all the community partners to discuss status of the program-what is working and not working. Partners brainstormed together on improvement strategies. Bi-monthly meetings with the afterschool staff were held to discuss their concerns and ideas for example, volunteers not fully participating; students misbehaving and deciding if discipline problems by participants warranted removal from the program. At the end of the year an assessment meeting was held to discuss the overall experience for the students and for those who conducted the program. A meeting in the summer was planned again with community partners to discuss interest for the following year and potential changes. Cost The total annual cost of the program was approximately$16,000 which paid for non-food rewards, the kick-off event, and transportation to and from the YMCA, after-school staffing, t-shirts, swim suits, savings bonds, physical education equipment, and aerobic instructors. All other work represented in-kind contributions. This paper has described one low-cost model for emphasizing exercise and activity in a setting where children are at risk for obesity. It emphasizes the development of a broad-based coalition of education, governmental, non-profit and business organizations to champion healthy lifestyles in elementary school children. Coordination and oversight of the program was provided by an academic health center-based nurse practitioner. Models similar to this can be replicated in urban and rural communities. Acknowledgements Multiple people and organizations contributed to the development of the Jumpinââ¬â¢ Jaguar Program. They include elementary school students and families, administrators, teachers and staff. We would like to especially thank Julane Hamon, University of Kentucky College of Medicine, teacher Jackie Branham, and counselor Crystal Johnson, Executive Director of High Street YMCA, David Elsen, Dr. Malinda Rowe, Lexington Fayette County Health Department and Dr. Rice Leach, Lexington Fayette County Health Department. Other instrumental partners in the after-school program include: High Street YMCA, Fayette County Pulbic School System; Community Trust Bank; Farmers Market; UK Colleges of Medicine, Agriculture, Education, Nursing and Public Health. References . Ogden, C. , Carroll, M. , Curtin, L. , Lamb, M. , Flegal, K. (2010). Prevalence of High Body Mass Index in US Children and Adolescents, 2007-2008. JAMA 303, 242-249. 2. U. S. Department of Health and Human Services. The Surgeon Generalââ¬â¢s Vision for a Healthy and Fit Nation prevent and decrease overweight and obesity. Rockville, MD: U. S. Department of Health and Human Services, Office of the Surgeon General, 2010. 3. Kalb, C. Culture of Corpulence American innovations in food, transportation, and technology are threatening to supersize us all. Newsweek. March 14, 2010. 4. Dehghan M. , Akhtar-Danesh N. , Merchant, AT. (2005). Childhood obesity, prevalence and prevention. Nutr J. 4: 24 Review. 5. U. S. Department of Health and Human Services. The Surgeon Generalââ¬â¢s Call to action to prevent and decrease overweight and obesity (2001). Retrieved from http://www. surgeongeneral. gov/topics/obesity/calltoaction/fact_adolescents. htm 6. Center for Disease Control and Prevention. Defining Childhood Overweight and Obesity (2009). Retrieved from http://www. cdc. gov/obesity/chil dhood/defining. html 7. Barlow SE. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity [summary report]. Pediatrics. 2007; 120 (suppl 4): S164-192 8. Sharma, A. , Grummer-Strawn, L. , Dalenius, K. , Galuska, D. , Anandappa, M. , Borland, E. , Mackintosh, H. , Smith, R. (2009). Obesity Prevalence among Low-income, Preschool-aged Children-United States, 1998-2008. Morbidity Mortality Weekly Report 58, 769-773. 9. Perman, J. , Young, T. , Stines, E. , Hamon, J. , Turner, L. , Rowe, M. (2008). A Community-Driven Obesity Prevention and Intervention In An Elementary School. KMA 106, 104-108. How to cite Nurse Practitioner, Papers Nurse Practitioner Free Essays Yaidelyn Alonso SLS1125: Matos 4/20/12 Nurses: ââ¬Å"Caring Today For A Healthier Tomorrowâ⬠Growing up in a house hold of medical personnel, such as my mother and my aunt and other close relatives has really inspired me to become a Nurse Practitioner, but most of all my inspiration has come due to the death of my father. I want to help patients who may have false hope, who may think that thereââ¬â¢s nothing anyone can do, I want to give patients hope, and I will devote my life to make a difference in the medical field. Although it wonââ¬â¢t be easy, I know there will be obstacles I have to overcome, I think anything is possible if you persevere and if you commit yourself to do something that you love. We will write a custom essay sample on Nurse Practitioner or any similar topic only for you Order Now At the end of the day you made at least one personââ¬â¢s life more enjoyable and filled them with hope, thatââ¬â¢s what Iââ¬â¢ll be thinking every night before I lay my head on my pillow. A Nurse Practitioner is a registered nurse with advanced training in diagnosing and treating illnesses. Nurse Practitioners prescribe medication which usually RNââ¬â¢s cannot do, as well as treat illnesses, and administer physical exams. The difference between an NP and a physician is that they focus on prevention, wellness and education. To be more specific Nurse Practitioners may specialize in either Neonatal Care with new born and babyââ¬â¢s or Geriatric Health, Adult Health, Oncology, Family Health and Psychiatric/Mental Health. Personally I love trauma centers and the Emergency Room, Iââ¬â¢m quick on my feet and I do not like standing around, I like a job that challenges me and keeps me occupied. As a Nurse Practitioner you can sub-specialize in different areas and lately Iââ¬â¢ve been very interested in Oncology. To be very brief my father passed away due to cancer in his liver, I want to help and provide my utmost help to those with cancer like his, I want to make someoneââ¬â¢s day a little brighter no matter how sick they really feel. I donââ¬â¢t just want to be a healthcare personnel I want to be the difference in someoneââ¬â¢s life, I want patients to have faith in me because I wonââ¬â¢t fail to care to there every need. In order to become an NP thereââ¬â¢s certain qualifications you need to abide by and of course you first must finish you AA and your bachelors in Registered Nursing. As a current student in Miami Dade College Iââ¬â¢ve researched and spoke with counselors that have guided me into the classes I must take to even get into the nursing program. Such as the basics chemistry and human growth and development, as well as Anatomy 1 and Anatomy 2, itââ¬â¢s not just taking the classes but about passing them with extraordinary grades and graduate with your AA and a really good GPA. After graduating with my AA I plan to transfer to FIU and further my studies, they have a great Nursing program, as soon as I graduate with my bachelors degree I will continue to get my masters and broaden my knowledge in my studies. To be a nurse practitioner, you need to have a graduate degree, such as a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP). The current minimum education needed to work as a Nurse Practitioner is a MSN degree, which takes 3-4 years to complete, depending on your specialty. Many colleges and universities prefer you have a Bachelor of Science in Nursing (BSN) for entry into this graduate program, while other schools allow a bachelorââ¬â¢s degree in another field if you are a registered nurse. In further detail In order to become an oncology nurse specialist, I will need to learn specific cancer care skills through coursework, clinical practice or continuing education. After gaining enough knowledge and on-the-job experience, I then can take an exam to become an Oncology Certified Nurse. To become an oncology nurse practitioner, I will also need to complete aà Master of Science in Nursing (MSN) degree, typically obtained through a 2-year program of graduate study. As an oncology nurse practitioner, I will need at least 500 hours of supervised clinical practice in oncology to be eligible to take the certification examination to become an Advanced Oncology Certified Nurse Practitioner (AOCNP). Certification is required in many states such as Florida. As with allà nursing careers, the demand for oncology nurses practitioner is expected to increase significantly over the next ten years. This is especially true because the vast majority of cancers are diagnosed in people over 55, making oncology nurses critically necessary! The median expected salary for a typicalà Nurse Practitionerà in theà United Statesà isà $90,531. Nursing is an art: and if it is to be made an art, It requires an exclusive devotion as hard a preparation, as any painterââ¬â¢s or sculptorââ¬â¢s work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body, the temple of Godââ¬â¢s spirit? It is one of the Fine Arts: I had almost said, the finest of Fine Arts. ââ¬â Florence Nightingale How to cite Nurse Practitioner, Essay examples
Monday, April 27, 2020
The Yellow Wallpaper - Journey Into Insanity Essays (998 words)
The Yellow Wallpaper - Journey into Insanity In "The Yellow Wallpaper", by Charlotte Perkins Gilman, the dominant/submissive relationship between an oppressive husband and his submissive wife pushes her from depression into insanity. Flawed human nature seems to play a great role in her breakdown. Her husband, a noted physician, is unwilling to admit that there might really be something wrong with his wife. This same attitude is seen in her brother, who is also a physician. While this attitude, and the actions taken because of it, certainly contributed to her breakdown; it seems to me that there is a rebellious spirit in her. Perhaps unconsciously she seems determined to prove them wrong. As the story begins, the woman -- whose name we never learn -- tells of her depression and how it is dismissed by her husband and brother. "You see, he does not believe I am sick! And what can one do? If a physician of high standing, and one's own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression -- a slight hysterical tendency -- what is one to do?" (Gilman 193). These two men -- both doctors -- seem completely unable to admit that there might be more to her condition than than just stress and a slight nervous condition. Even when a summer in the country and weeks of bed-rest don't help, her husband refuses to accept that she may have a real problem. Throughout the story there are examples of the dominant - submissive relationship. She is virtually imprisoned in her bedroom, supposedly to allow her to rest and recover her health. She is forbidden to work, "So I . . . am absolutely forbidden to "work" until I am well again." (Gilman 193). She is not even supposed to write: "There comes John, and I must put this away -- he hates to have me write a word." (Gilman 194). She has no say in the location or decor of the room she is virtually imprisoned in: "I don't like our room a bit. I wanted . . . But John would not hear of it." (Gilman 193) . She can't have visitors: "It is so discouraging not to have any advice and companionship about my work. . . but he says he would as soon put fireworks in my pillow-case as to let me have those stimulating people about now." (Gilman 196). Probably in large part because of her oppression, she continues to decline. "I don't feel as if it was worthwhile to turn my hand over for anything. . ." (Gilman 197). It seems that her husband is oblivious to her declining conditon, since he never admits she has a real problem until the end of the story -- at which time he fainted. John could have obtained council from someone less personally involved in her case, but the only help he seeks was for the house and baby. He obtains a nanny to watch over the children while he was away at work each day: "It is fortunate Mary is so good with the baby." (Gilman 195). And he had his sister Jennie take care of the house. "She is a perfect and enthusiastic housekeeper." (Gilman 196). He does talk of taking her to an expert: "John says if I don't pick up faster he shall send me to Weir Mitchell in the fall." But she took that as a threat since he was even more domineering than her husband and brother. Not only does he fail to get her help, but by keeping her virtually a prisoner in a room with nauseating wallpaper and very little to occupy her mind, let alone offer any kind of mental stimulation, he almost forces her to dwell on her problem. Prison is supposed to be depressing, and she is pretty close to being a prisoner. Perhaps if she had been allowed to come and go and do as she pleased her depression might have lifted: "I think sometimes that if I were only well enough to write a little it would relieve the press of ideas and rest me." (Gilman 195). It seems that just being able to tell someone how she really
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