Wednesday, August 14, 2019

Advanced Level Diploma in Diabetes Essay

INTRODUCTION Together with an identified fellow student a written patient education report regarding a planned diabetes group education is to be completed and presented during a seminar. A suggestion is to study the text book: The Art of Empowerment by Anderson & Funnell (2005). Diabetes group education In UAE diabetes self-management education has been highlighted as a cornerstone in diabetes care (Al-Maskari et al 2013). In order to get patients to manage their diabetes it is needed to arrange possibilities for special diabetes group education sessions for persons with diabetes. Many patients in UAE might have poor metabolic control and they have poor knowledge regarding why. Furthermore many people need to increase their ability to perform life style changes (Alhyas et al 2013). The traditional diabetes education was based upon telling patients what to do. However, the more was learnt about diabetes education the focus has turned more to the patients ´ views of living with diabetes (Anderson & Funnell 2005). Considerations when arranging group sessions for persons with diabetes: Theoretical educational approach – your own pedagogical view and ability; in this circumstances you must have the nosogogic perspective (an adult person with a chronic disease). Setting, time, day of the week Budget, cost, payment, and fees Who and number of participants in each group How often the group meets and where How you start a group session How you interact/communicate with group members Any learning aids to use How you put/initiate questions in the group How you evaluate the different sessions How you work with and approach group discussions What you do to get all patients involved in the sessions Assessment Altogether the report should consist of approximately 6– 8 pages (not including the first page and the reference list). Your proposed group education plan will be presented and discussed with your peers during the tutorial session. After the tutorial session each plan will get written feed-back from the examiner. Grounds for assessment by examiners will be presented and published on ITSL. C2 – Assignment 3 Group education plan/BS/AMW/18 August, 2014 Page 2 REFERENCES Al-Maskari F, El-Sadig M, Al-Kaabi J et al. (2013). Knowledge, attitude and practices of diabetic patients in the United Arab Emirates. PLOS One Vol 8, 1p 1-8. Alhyas L, Jones Nielsen J D. Dawoud D and Majeed A. (2013). Factors affecting the motivation of healthcare professionals providing care to Emiratis with type 2 diabetes. J the Royal Society of Medicine. Doi: 10.1177/2042533313476419. Anderson B & Funnell M. (2005). The art of empowerment. Stories and strategies for diabetes educators. ADA- American Diabetes Association. Hornsten A, Stenlund H, Lundman B et al. (2008). Improvements in HbA1c remain after 5 years – a follow-up of an educational intervention focusing on patient ´s personal understandings of type 2 diabetes. Diabetes Research and Clinical Practice. 81 (1), p50-55. Juul L, Maindal HT, Zoffmann V, Frydenberg M, Sandbaeck A. (2011). A cluster randomized pragmatic trial applying self-determination theory to type 2 diabetes care in general practice. BMC Fam Pract Nov 24, 12:130. Wikblad K, Leksell J, Smide B. (2004). â€Å"I’m the boss’: testing the feasibility of an evidence-based patient education programme using problem-based learning. European Diabetes Nursing, Vol 1 (1) p 13-17.

Analyse the star persona

Analyse the star persona FILM AND TV STUDIES WORK PROGRAMME ESSAY QUESTIONS 1. Analyse the star persona of any actor of your choosing. What traits connotations and values does that star persona embody and to what extent does he or she bring the same traits, connotations and values to each role? You should answer with close reference to at least THREE films. In this essay I am going to analyse the star persona of one of Bollywood most successful actor, Shahrukh Khan, also known as SRK. Shahrukh Khan has made over fifty movies over the years; starting from 1992 he made his debut film Deewana (1992) which gave him box office hit. This gave him the most successful launch of his career in the Bollywood film industry. His role in the film gave achieved him Filmfare for the best Debut Award. There are three films of Shahrukh Khan that I am going to use close reference to, they are, KKHH (Kuch Kuch Hota Hai Something Happens 1998), K3G (Kabhi Khushi Kabhie Gham Sometimes Happiness, Sometimes Sadness 2001) and (Chak De! India Come On India 2007). The reason I chose these movies as these movies are very well known for big the success of his acting part in these movies. KKHH is a story of a simple stylish, sensuous and ambrosial love triangle story. Rahul (Shahrukh Khan) the tomboy Anjali (Kajol). They are both students at St Xavier’s College. They are the best of friends. One day Tina, (Rani Mukerji), the principals daughter enrols the college. She is from London and is very beautiful, feminine and sophisticated and the opposite of Anjali. Rahul falls for her as they meet for the first time. Anjali then realises that she has feeling for Rahul and did not realise the careless comment on his part that she had heard, which equated love with friendship. This causes the love triangle to unfold. When one day Rahul confesses his love for Tina to Anjali, Anjali leaves the college, to forge the heartbreak that has caused her. Tina and Rahul marry and have a daughter whom they name Anjali. Tina di es after childbirth but has written a series of eight letters. On Anjali birthday she asks about where her name has come from. Rahul daughter Anjali believes that the older Anjali can make her father happy again and decided to help him reclaim his lost love. Rahul then meets Anjali again at a camp where Rahul daughter has enrolled, where her namesake is the counsellor. The namesake discoverers without the knowledge of the girl, the truth of her new charges of parentage. Rahul finds the old feelings reviving. But Anjali has bowed to her family’s wishes and is engaged to another man. Complications ensue, but all ends well as Anjali fiancà © steps aside to let the fated couple marry at last. Richard Dyer in his book says â€Å"A star image is made out of media texts that can be grouped together as promotion, publicity, films and commentaries/criticism†. SRK falls directed into all these mentioned. Promotion is one big main thing is what makes SRK. Although he is worldwid e famous primarily to the South Asian ethnicity around the world, most of the promotion is spread over India itself.

Tuesday, August 13, 2019

The Giver by Lois Lowry Essay Example | Topics and Well Written Essays - 500 words

The Giver by Lois Lowry - Essay Example Theirs is a rigidly controlled society where there is no suffering, hunger, war and also no color, sex, music or love. The â€Å"Elders† controls everything like who will become husband and wife, the son and daughter they will receive to take care of and the job to be assigned at the proper time which is at twelve years of age. A person can be released from the community if he is really old, a sick infant or those persons who break the rules. Jonas discovers after a year of training that people being released were actually being given lethal injection. Jonas was angered by such discovery so he, together with the Giver, devised a plan of escape for Jonas together with Gabriel, the sick baby who is to be released through lethal injection the next day. But then, their plan did not work out. In trying to escape, Jonas experience so much hardships and starvation. The reader is left to interpret it the way he looks at how the story ended. Being a book critic, he said that he likes the book because it could entertain the reader. He gave as example the way Jonas first experience happiness, pain and sadness. According to him it’s funny at how Jonas felt simple things like seeing and feeling snow and feeling the warmth of the sun turn incredible for him. He also wanders what love is when given the memory of love by the Giver who told him that it’s his favorite emotion. Another instance is when Jonas wonders hoe life in his world will be if it is filled with colors and memories and emotion. This critic also said that to show true emotion, the author showed a tearful Jonas when he found out that his father, a doctor, administers lethal injection to infants who are released from the community for being sick and weak. Because of this, he does not want to live with his father who is a killer. Another example is when Jonas begins to fall in love with Fiona, his friend whom he saw naked in his dream. The book also relays a good message saying that war is bad

Monday, August 12, 2019

Breast Cancer Treatments Lumpectomy vs. Mastectomy Essay

Breast Cancer Treatments Lumpectomy vs. Mastectomy - Essay Example Consequently, both are the main choices of patients and physicians in treating the disease. Both procedures are also found to have equal survival rates. However, with the increasing awareness of women afflicted with breast cancer on the impact of surgery on their psychological state related to loss of their breast, more and more women are resorting to a less invasive treatment which is lumpectomy and adjuvant therapies. Added to this is the notion that mastectomy is over used. Lumpectomy is a surgical removal of the breast lump including some normal tissues. Although, lumpectomy and adjuvant therapies are preferred methods of treatment for most women with breast cancer, their use is bombarded with several controversies. Body One distinct issue with lumpectomy includes the inadequate outcome data to the extent of its use and efficacy. Clinical trials included insufficient size to establish a convincing result of its application. Although, there had been multiple randomized trials of l umpectomy in patients with or without radiation, it was found out that the survival rates are based solely on unpublished analysis. In addition, participants in several studies were over treated producing a bias result. This was revealed in the study by Cumming (n.d) where he added that using a meta- analysis pose a risk on grounds that methods might be a concern. Cumming also found out that in the case of ductal carcinoma alone, data is limited to show importance of lumpectomy and other treatments following it. Consensus among pathologists on pathologic staging is also a question because there is no recommendation as to the exact stage lumpectomy is effective. It was further revealed that studies on radiation therapy after lumpectomy had no uniform techniques in using different radiotherapy agent such as iridium, electron beam, and cesium needle brachytherapy. Added to the above problem is controversy surrounding the falsified claim that lumpectomy with adjuvant therapy was as effe ctive as mastectomy. The lead investigators are found to commit misconduct with the result of their study of not providing the correct result of their study. Although, lumpectomy has been found to be effective with the early stages of cancer, its credibility was damaged because of the controversy which ruined the trust not only of patients but the public in general towards lumpectomy and adjuvant therapies. This shows that not only the lack of data on the efficacy of lumpectomy combined with adjuvant therapies is a problem but is accompanied with several other problems. Interestingly though, the study published in the Journal of National Cancer Institute ( 2004) reported that there is a significant decrease in the recurrence in the number of patients who went through lumpectomy with radiotherapy however not in lumpectomy alone. There is also no survival advantage even with the addition of radiotherapy. Similar with the study of Cumming, the JNCI reported that information from curren t and previous studies are found to be deficient in attesting that lumpectomy in combination with adjuvant therapy is more promising. Whether lumpectomy is a choice of the patient or the physician, cost is also an issue for the choice of therapy among women with breast cancer. Lumpectomy with radiation therapy is more costly than mastectomy. Munoz and company (1986) found out in their

Sunday, August 11, 2019

Sociological Theories of Education Essay Example | Topics and Well Written Essays - 3500 words

Sociological Theories of Education - Essay Example In the current society, discrimination in the education system can be achieved through systems and policies that eliminate discrimination and promote ‘education for all’. According to WEB Bois (1868-1963), education should teach certain values such as the capacity to endure, love for beauty, avoidance of luxury, and a concern for courtesy. The purpose of education Randall (2007) writes that education is a process of acquiring data and knowledge, as well as learning different forms of behavior and competency in a specific field. The purpose of education involves cultivating human minds with values and principles that assist in determining the right and the wrong. The purpose of education also incorporates learning skills in certain subjects that assist in achieving overall development. In essence, education is a lifelong process and never ends. The purpose of education, therefore, entails a continuous change in the direction in the life of human beings. In the society, hu man beings realize the importance of education when they encounter difficulties. According to Carpenter  and   Haning (2011), in personal and professional development, education has a purpose of assisting each person to gain skills that can be used to overcome personal and professional difficulties. The basic purpose of education involves learning how to write, read, and understand concepts. The skills taught in the process of acquiring literacy remain for the whole life. It should be noted that writing, reading and understanding skills improve all the time a person reads and thinks. Education’s purpose is to teach a person how to acquire social and professional skills necessary for the socialization process in the society. Maintaining social relations in... This paper stresses that the purpose of education involves cultivating human minds with values and principles that assist in determining the right and the wrong. The purpose of education also incorporates learning skills in certain subjects that assist in achieving overall development. In essence, education is a lifelong process and never ends. The national curriculum in England, Wales and Northern Ireland is set of subjects and standards used by primary and secondary schools. These subjects and standards ensure that students learn similar content. This paper makes a conclusion that the national curriculum also covers which subjects should be taught and the standards pupils should meet in each subject. The Swan report, racism existed in educational institutions as well as individual levels. The British society is a multi-racial population, however, racism affected the education of minorities. The swan report also documented educational policies established in minority communities. The Tripartite System categorized the education system of England, Wales and Northern Ireland into three types: grammar, technical, and secondary modern. This system was discredited because of widespread discrimination against children from lower social class as well as children who could not pass the 11+ exam. The comprehensive system was introduced to replace the Tripartite System so that pupils could not be separated at a young age. The national curriculum was also developed to introduce ‘education for all’ principle.

Saturday, August 10, 2019

HIS 101 MOD 3 CA Essay Example | Topics and Well Written Essays - 1250 words

HIS 101 MOD 3 CA - Essay Example Change is considered to be a phenomenon which is continuous and is bound to continue so long there is life on earth and time variation. Change is a social setting result in the difference in way of social lives and the social phenomena is exhibited constantly. This is so since the society continually experiences civilization and changes in telecommunication and technology and the ways of living. It is evident that human society is wholly governed with values, ethics and rules in every human activity. Therefore, the pattern of response to the changes is what interests the study of technology and social change. Social change is the social institutions and culture throughout time. Social change is usually brought about by a collection of behaviors (Kendall 2004). Since the mobile phone has been widely adopted as a tool for entertainment and communication, this has led to the revolutionization of the society and the redefinition of patterns of social relationships and contacts among individuals. The mobile phones have succeeded in the transformation of daily life of different and many individuals to a great extent that the technology is considered as an agent of social change. Since it is a personalized device, this has made it possible to provide individuals with greater personal freedom. In addition, the mobile technology has distorted the boundary that existed between public and personal life. Besides being used as communication device, the mobile phone is also considered as a fashion tool which has shaped people’s prestige and identity thus resulting to the creation of a subcultur e especially in adolescents. Mobile phones have been used largely to promote social change. Since early 1990s, Information Communication Technology (ICT) has been considered to be the powerful tools in strengthening the impacts of the development

Friday, August 9, 2019

A Report on Reasons why Governments Prefer Financial Systems featuring Essay

A Report on Reasons why Governments Prefer Financial Systems featuring Fixed - Essay Example On the other hand, a floating rate of exchange is the one that is moving and received currency depends on exchange time.To maintain their local exchange rate, central banks of European Union members bought and sold their own currency in foreign exchange markets, and in return, they acquired their pegged currency. For example, if the value of a single local unit currency is US$4, the central bank ensures that those dollars can be supplied in market by the country. High foreign reserve levels are required so as to maintain the rates (Eichengreen & Ricardo, 1999). High foreign reserve levels also ensure that there is good money supply thus preventing inflation/ deflation. An exchange rate refers to the rate at which one currency is exchanged for another. Therefore, it is the value of a country’s currency in terms of another. From 1870 to 1914, the global exchange rate was fixed. During that time, currency was likened to gold, implying that a local currency’s value was set at a fixed exchange rate that was determined in terms of gold ounces, that is, the gold standard (Eichengreen & Ricardo, 1999). This allowed free capital mobility and global stability in trade and currencies. The gold standard was abandoned when World War II started, but the end of the Second World War, the Breton Woods conference sought for efforts to stabilize the global economy and increasing global trade by establishing basic regulations and rules that governed international exchange. This led to the establishment of International Monetary Fund (IMF) for foreign trade promotion and monetary stability maintenance of countries and hence of the global economy. It was agreed that the exchange rate would be fixed, in terms of the US dollars, which was then pegged to gold (US$35 per ounce) (Obstfeld & Kenneth, 1995). This means that a currency’s value was directly converted in terms of its value to the US dollar. For example, to buy a euro, the Euros had to be converted into US dollars, and then into gold value. This peg was maintained till 1971, US dollar could not hold the pegged rate value of US$ 35per gold ounce. Since then, many governments adopted the floating rate system and attempts of returning to gold like a peg together with a global peg were completely abandoned. Why Governments Prefer Fixed/ Pegged Exchange Rates Governments prefer fixed exchange rates because they ensure economic stability, especially in current developing nations, where a country can decide to fix its currency in order to stabilize the atmosphere thus ensuring foreign investment. This is because a peg gives the investors their investment value, thus relieving them from fluctuation worries unlike under a float (Calvo, 2002). A pegged currency also helps in lowering inflation rates and generating demand, which further increases a currency’s stability confidence. However, fixed regimes can cause serious financial crises because it is hard to maintain a peg in the long r un. This was experienced in 1995 in Mexico, 1997 in Asia and Russia. Therefore, the governments could not meet the demands of a high value for their currencies to the peg resulting into overvaluing of their currencies. With panic and speculations, investors quickly removed their money out of these countries, and convert it to foreign currencies before the local currency was devalued against the peg. Eventually, foreign currencies became depleted. In Mexico, the government devalued the peso by 29.98%. Eventually, in Thailand, the government eventually allowed floating of