Monday, May 25, 2020

Osteoporosis †What is it

Osteoporosis – What is it? Osteoporosis is one of the diseases that make people feel particularly uneasy, for it is always perceived as an inseparable part of what human beings dislike most – senility, the enemy that awaits everybody sooner or later and is not to be defeated. Osteoporosis is an illness that is related to the degradation of bones’ tissue, which leads to fractures and bones’ deformation. In the course of human’s life bones grow thinner and less flexible, partly because after 35 years of age calcium is being removed from them faster, than it is deposited there. It is true for all people, but some of them are affected more, than the majority and suffer from osteoporosis, which means literally â€Å"porous bones†. It affects the whole skeleton and, what makes it even more unpleasant, doesn’t actually have symptoms – the only sign is the high risk of fractures. Even a weak blow may result in severe fractures and in case of the spinal column there is no need for external action – it make break due to sheer pressure. The majority of people who suffer from osteoporosis are females after menopause. However, men may also be subject to it, due to certain hormonal disorders, medications and other diseases. There are a number of treatment programs that exist for those who suffer from osteoporosis, the drug therapy being the most wide-spread and most effective. However, the only real way of fighting it is leading a healthy life and changing one’s diet. The food you have to eat if you want to avoid osteoporosis should contain a lot of calcium and vitamin D. Simple foodstuffs like graham bread have also proved to be rather effective. As we can see, osteoporosis, like the majority of illnesses, is much easier thing to prevent, than to cure. Once you know about it, you may start working to avoid it.

Thursday, May 14, 2020

Role Reversal of Macbeth and Lady Macbeth - 1588 Words

As Shakespeare’s tragic tale of ambition unfolds, the two central characters, Lady Macbeth and the title character Macbeth, undergo a dramatic shift of dominance in their relationship. In the beginning of the play the couple act as a team, plotting the death of Duncan to further their mutual bloodthirsty ambition. Lady Macbeth soon shows her power over Macbeth when she questions her husband’s manhood and devotion to her when he gets cold feet. As Macbeth’s confidence slowly grows and the witches proclaim positive futures for him he begins to separate himself from his wife, planning Banquo’s assassination without telling her, and no longer being susceptible to her insults. By the end of the play the roles have completely switched and†¦show more content†¦In other words, if he refuses to follow through on their plan it shows he doesnt really love her, and hes a coward, no better than the poor cat i the adage (1.7.45), who wants a fish, but doesnt wa nt to get its feet wet. She is using tactics of manipulation and emotional blackmail to force her husband to commit murder. These tactics once again show her dominance in their relationship and demonstrate her ruthless and powerful character. Macbeth tries to defend himself by saying, I dare do all that may become a man; / Who dares do more is none (1.7.46-47), but Lady Macbeth does not listen and declares that shes more man than he is: I have given suck, and know How tender tis to love the babe that milks me: I would, while it was smiling in my face Have pluckd my nipple from his boneless gums And dashd the brains out, had I so sworn as you Have done to this. (1.7.54-59) She suggests that she would kill a newborn baby in her care if he asked it of her. By using such a crude and emotionally intense example she makes him feel guilty, forcing him to go against his better judgment and do as she wishes. Lady Macbeth has now won the argument, using her skills of manipulation, and Macbeth agrees to kill Duncan. These first few scenes between Macbeth and Lady Macbeth show reversed gender stereotype roles as Lady Macbeth demonstrates herShow MoreRelatedThe Role Reversal Between Macbeth Lady Macbeth1480 Words   |  6 Pagesplay Macbeth by Shakespeare, Macbeth and Lady Macbeth’s way of thinking get switched. The main reasons for this are the three witches. They told Macbeth and his trustworthy friend, Banquo, that he would be Thane of Glamis, which he already is, Thane of Cawdor, and the king of Scotland. Banquo was told he would father kings. They were both sceptic of these prophecies, but once Macbeth soon became Thane of Cawdor he started believing in what the witches told him. Once he sees Lady Macbeth, afterRead MoreRole Reversal in Shakespeare’s Macbeth Essay544 Words   |  3 PagesIn William Shakespeare’s play, Macbeth, two main characters experience a change that alters their roles and brings out the worst in them. After Macbeth is promised greatness by th ree witches on a heath, Macbeth and Lady Macbeth try to achieve his prophecy. Because of their over-reaching ambition, they commit numerous murders to obtain their goal of becoming royalty. In order to cope with the guilt, Macbeth and Lady Macbeth undergo a role reversal, where they exchange characters and amount of ambitionRead MoreMacbeth by William Shakespeare1293 Words   |  5 PagesThe play, â€Å"Macbeth† is one of William Shakespeare’s tragic plays written approximately in 1606. The play centres on Macbeth who is a general in King Duncan’s army. Upon returning from a successful battle, Macbeth is confronted by three witches who claim they know the future. The three witches tell Macbeth that he will be the future King. The events that occur after this encounter between Macbeth and the witches are what makes this play a tragedy. This essay will focus on the treatment of gender inRead MoreGender And Gender Roles In Macbeth By William Shakespeare1043 Words   |  5 PagesIn Macbeth by William Shakespeare, gender plays a pivotal role in the development of the overall plot and as the play advances, certain characters, including Macbeth and Lady Macbeth experience a reversal in traditional gender behaviors. Additionally, we see gender confusion among other characters that enhances conflict in the play. Originally, Macbeth and Lady Macbeth are portrayed in ways that enforce their respective masculinity and feminism in accordance to the society around them. As MacbethRead MoreMacbeth Gender Roles Essay807 Words   |  4 PagesWilliam Shakespeare’s tragedy â€Å"Macbeth† completely challenges the idea of traditional gender roles and social norms during the renaissance period. The male characters have many feminine traits while the female characters have many more masculine and manlier traits. This was going entirely against the stereotypical outlook of the roles you’re supposed to play as your gender during that time of history. During the renaissance period women were only expected to clean, cook, and to have babies. Men onRead MoreLady Macbeth And Lady Macbeth : How Crime Murders Relationships1544 Words   |  7 Pages Shakespeare’s Macbeth follows the journey and downfall of the titular protagonist, and it illustrates the effects of Macbeth’s descent into villainy on his once loving and close relationship with Lady Macbeth. As their initially mutually trusting and co-dependent relationship deteriorates through the progression of the three great crimes, Shakespeare demonstrates how murder can permanently destroy a person and their relationships. Leading up to the murder of Duncan, Lady Macbeth is an influentialRead MoreThe Gender Roles Of William Shakespeare s The Tragedy Of Macbeth 989 Words   |  4 PagesThe gender roles in William Shakespeare’s, The Tragedy of Macbeth are made clear from the very first act. Masculinity is associated with strength, bravery, ruthlessn ess and apathy while femininity is usually coupled with docility, fragility and reliance. Gender, and the behavior expected from each, is a constant motif that reappears throughout the play. The instances that appear in the play reveal that the characters are expected to act according to their gender and limit their emotions and the wayRead MoreWilliam Shakespeare s Macbeth And The Witches1277 Words   |  6 PagesShakespeare’s Macbeth declares this stigma wrong. In the play, the most prominent female characters, Lady Macbeth and the Witches, are domineering and mighty, while several male characters are are attributed with weak and â€Å"woman-like† traits. Through the use of reversed gender roles, Macbeth highlights the fact that women are powerful, influential beings, capable of just as much dominance and power as men. Throughout Macbeth, Shakespeare leaves reminders of the expected gender roles of his time.Read MoreThe Compromise Of Personal Moral Standards1678 Words   |  7 PagesMacbeth: The Compromise of Personal Moral Standards Macbeth was written by William Shakespeare in the early 1600’s in the time of King James I. King James I was James VI of Scotland before succeeding to the crown of England in the early 1600’s. Macbeth was written to please King James I as he had a desire to study the supernatural and their ability to control fate. The idea that everything moral has an evil counterpart can cause someone to struggle to maintain or regain their moral standards isRead MoreEssay on Role Reversal in William Shakespeare’s Play Macbeth1258 Words   |  6 PagesWilliam Shakespeare’s play Macbeth has a few main themes, one of which is role reversal. Macbeth is portrayed as a strong, fierce, and trustworthy soldier. At this stage in the story he had a conscience, and had a boundary between good and bad. However, Lady Macbeth is depicted as a devious and an extreme organizer, without a good sense of what is right and wrong. She would do anything in order to obtain supreme authority. Gradually they both change their views of power, treatment of one another

Wednesday, May 6, 2020

Evaluating the Millenium Development Goals - 1723 Words

In the present study we evaluate the Millennium Development Goals (MDGs) as a framework for measuring development and assess how India and its states are doing in terms of the MDGs. The global community and the UN are busy reviewing the Millennium declaration during ten years into the new millennium. There is a race of the nations to attain their MDGs. Many countries around the world are part of this project and making independent assessment of their country situation. The achievement of the MDGs critically depends on India in world. The sheer size of India and its large share in world population contribute a huge proportion to the global burden of poverty, hunger, malnourishment, illiteracy, diseases and gender discriminations among the other human development problems. MDGs aim to erase these problems from the face of the earth. India has large area with different social dimensions and inequity of distribution among economic classes and social groups. Fundamentals to the absolute and relative size of India’s burden of these problems are the challenges. At the sub-national level a complete understanding of the underlying problem in both quantitative and qualitative terms requires extensive analysis (MDGs India Country Report 2010). This chapter presents overview of all these aspects and a synthesis of key findings and conclusions. Introduction First chapter presents general introduction and perspective approach of the study. The chapter begins with consideration ofShow MoreRelatedDeveloping A Clean Water And Sanitation1845 Words   |  8 PagesStudent ID number: 1674126 Degree programme: Civil engineering with industrial experience Personal tutor: Dr Dexter Hunt EXECUTIVE SUMMARY: This report highlights the significance of engineers in providing some of the world’s most critical developments: piped infrastructure and treatment plants. It is made apparent throughout the report that providing potable water and sanitation, via these piped infrastructures and treatment plants, is vital for tackling some of the biggest challenges the worldRead More ATT Business Analysis Essay5151 Words   |  21 Pagescommunications revolution. The Internet, e-Commerce and other developments (including the convergence of communication technologies) are profoundly reshaping economic and social life. ATT must position itself to meet the challenge of this revolution. The strategic development of information-based industries is a key to the future social and economic development of the world. The telecommunications industry is of vital importance to the development of the information-based economy. ATT need to supplyRead More Managing Diversity Essay examples2561 Words   |  11 PagesManaging Diversity As we enter the new millenium, diversity in the workforce is rapidly increasing. Businesses and organizations are living up to the great melting pot image the United States has always been popular for. Employees now reflect a diversity of cultural perspectives, ethnic backgrounds, ages, genders, physical abilities, and levels of education. This wave of multiculturalism is here to stay and cannot be ignored. It is in need of attention in order to uphold the well-being andRead MoreDisney in Asia, Again6524 Words   |  27 PagesMickey no less than they love a Big Mac.† 2 Early in 1999, Michael Eisner, CEO of The Walt Disney Company, voiced his opinions concerning potential markets for his firm’s entertainment products and services. A major thrust for the new millenium would be development in Asia. The firm had now achieved a certain level of experience with owning and/or managing assets and operations outside the United States. They had two competing models that would be utilized to analyze and ascertain the financial andRead MoreThe Producer Consumer Problem Considered Harmful2498 Words   |  10 Pagesepistemologies are rarely at odds with access points. The notion that physicists collude with A* search is usually excellent. On a sim- ilar note, though such a hypothesis is always a confirmed purpose, it fell in line with our expec- tations. The development of voice-over-IP would greatly amplify the simulation of the Ethernet. Motivated by these observations, the under- standing of randomized algorithms and agents have been extensively developed by scholars. The basic tenet of this method is the deploy-Read MoreInventory System4158 Words   |  17 Pagessystem, as one of the systems features. It will eliminate errors such as â€Å"erase and replace†. 1.4 Significance of the Study The study will be a significant endeavor in promoting efficiency and more effective inventory system. 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It distorts reality (it is a misinterpretation of what is happening and is not supported by the available evidence); 3. It contains illogical ways of evaluating oneself, others, and the world: demandingness, awfulising, discomfort-intolerance and people-rating; When talking with clients, we often refer to beliefs as ‘self-defeating’ rather than ‘irrational’, to emphasise that the main reason for replacingRead MoreCorporate Identity10953 Words   |  44 Pagesis closely related to an organization’s identity, it is not an identical construct. In effect, it relates to the summation of the organization’s identity is terms of espoused set of identifiable values which become shorthand for recognizing and evaluating a company’s activities. For staff it provides a standard for service delivery. For customers and other key stakeholder groups it represents the organization ’s covenant with them, or what in common parlance is known as the corporate brand promiseRead MoreHuman Resources10735 Words   |  43 Pagesto ensure that the business meets its aims. Therefore, this function is central to the success of the business. The human resources department has four main functions, these are: human resources planning, recruitment and selection, training and development and performance appraisal. The diagram below shows the responsibilities of a typical human resources department in a large company. A human resources department must also be aware of its legal responsibilities towards the employees in

Tuesday, May 5, 2020

Community Practice free essay sample

Facilitating and obstructing factors for development of learning in clinical practice: a student perspective. Issues and innovations in Nursing Education. Journal of Advanced Nursing 34(1), 43–50; Priest, H. , 2004. Phenomenology. Nurse Researcher 11(4), 4–6; Stockhausen, L. , 2005. Learning to become a nurse: student nurses’ reflections on their clinical experiences. Australian Journal of Nursing 22(3), 8–14). The data were analysed using content analysis techniques, exploring their contextual meaning through the development of emergent themes (Neuendorf, K. A. 2002. The Content Analysis Guidebook. Sage Publications, London). The identified themes related to elements of students’ basic skill acquisition, the development of their working relationships with mentors, patients and others, the learning opportunities offered by community practice placements and the effects that such placements had on their confidence to practice. These themes are discuss ed with regard to the published literature, to arrive at conclusions and implications for future nursing education, practice and research. Author: M. R. Baglin Source: http://www. urseeducationinpractice. com/article/S1471-5953(09)00110-3/abstract Community nursing competencies: a comparison of educator, administrator, and student perspectives. Perceptions of functioning levels of baccalaureate students nearing graduation were assessed, comparing views of 15 educators, 15 health department administrators, and 185 students. A modified list of the 47 essential public health nursing competencies identified through the U. S. Department of Health and Human Services Division of Nursing served as the basis for data collection and analyses. Student competencies in individual skills were ranked higher than group and community competencies by all three groups surveyed. Students ranked competencies at higher levels than educators and educators at higher levels than administrators. Although administrators continue to advise new graduates to work in acute care before entering community health, support for continuation of this practice was not observed based on administrator ratings. Author: Nickel JT,  Pituch MJ,  Holton J,  Didion J,  Perzynski K,  Wise J,  McVey B. Source: http://www. ncbi. nlm. nih. gov/pubmed/7899221 Enhancing students perspectives of health through non-traditional community experiences. The shift in emphasis to community-based health care necessitates that opportunities be provided for nursing students to acquire an understanding of the complex nature of health. A qualitative study was used to demonstrate the benefits accrued by junior baccalaureate nursing students in non-traditional community settings. Key themes that emerged from data analysis included definitions of health and illness as context specific, and environmental factors influencing health. The study demonstrated that learning experiences with diverse communities can broaden students perspectives and understanding of health behaviours. Students gained an appreciation of the sociocultural variation in meanings of health and illness as well as of the social and political dimensions of health. Author: Sword W,  Noesgaard C,  Majumdar B. Source: http://www. ncbi. nlm. nih. gov/pubmed/8313070 Student Nurse Attitudes Towards Homeless Clients: a challenge for education and Practice The purpose of this research was to describe attitudes of nursing students (and paramedic officers) towards marginalized clients. Convenience quota sampling in a major health faculty was employed. Students participated on a voluntary basis. A 58-item Likert scale, developed by the authors, assessed the student nurses’ attitudes. In general, attitudes towards homeless clients were neutral; detailed analyses, however, revealed that student nurses would decline to care for homeless clients in various situations. Personal experience with homeless patients and positive attitudes of nurses significantly contributed to increased quality of care and equality of treatment for homeless clients. Certain student nurse behaviors warrant immediate attention to prevent marginalized patients from being exposed to unfair, inaccessible and biased nursing care. Based on our results, we recommend that further research attention be paid to the role of ethics education and faculty behaviors, as faculty members serve as role models for professionalization. Zoltan Balogh Semmelweiss University, Budapest, Hungary,  [emailprotected] hu,[emailprotected] int Source: http://nej. sagepub. com/content/11/4/334. abstract Author: Miklos Zrinyi world Health Organization, Geneva, Switzerland Student Nurses Learn Lessons in Community Health on Tribal Reservations University of Washington School of Nursing students have the unique opportunity to complete a community health rotation on one of two Native American reservations on Washington’s Kitsap Peninsula—the only rural public health clinical offered by the school of nursing. The experience has not only helped students learn about a unique group of people, but also how to relate to any patient population in future community health work. Recently, teams of student nurses were assigned to the Fort Gamble S’klallam reservation and to the Suquamish reservation, focusing on four different projects. One group of students partnered with family services personnel in an obesity prevention program mirroring TV’s â€Å"The Biggest Loser,† in which the person who lost the most weight won a car. Other students developed a nutrition program for an early childhood development center. A third group was involved in educating the staff of an early childhood development center about the prevention of Hepatitis B infections. The remaining group conducted and transcribed interviews with individuals for a community assessment. The goal of the assessment was to understand the community’s perception of its strengths and problem issues and to discover which issues were most important to the community. Author: Megan M. Krischke, Source: http://insightsinnursing. com/2009/07/student-nurses-learn-from-community-immersion/ Foreign studies Foreign nurses can slip into communication  gap According to (marshall 2009) it’s not politically correct — but it’s a frequent complaint of hospital patients in Las Vegas: â€Å"The nurses don’t speak English! The complaint is inaccurate. Foreign nurses working in Las Vegas do speak English. All have passed English language competency exams to become licensed in Nevada. But the complaint also contains an element of truth. More than 15 percent of the Las Vegas nursing workforce is internationally trained, about five times the national averag e of 3. 5 percent, according to an expert at UNLV. Most of these nurses are from Asian countries — the Philippines, India, Japan and Korea. Their English is often heavily accented and they may not understand the nuances of American culture and lingo — which can create challenges for patients and doctors. Xu’s research has shown that foreign nurses have a difficult transition to the American health care system. A study he conducted on Chinese nurses in the United States found they often felt socially isolated and paralyzed by their communication inadequacies. Foreign nurses are also forced to adjust to differences in the job description in the United States, Xu’s research has shown. Asian nurses are accustomed to family members doing tasks like bathing and feeding the patient, and may feel such jobs are beneath their level of education, one of his studies found. Language and communication problems can have a direct effect on the quality of patient care, and on the perceptions patients have of their care, Xu said. An estimated 100,000 people die every year as the result of medical errors in the United States, and communication problems are believed to be a leading cause. Xu said it’s impossible to know how much internationally trained nurses contribute to medical errors because the area is grossly understudied. Author: Marshall Allen Source: http://www. lasvegassun. com/news/2009/mar/10/foreign-nurses-can-fall-communication-gap/ A Study of the Drivers of Commitment amongst Nurses: The Salience of Training, Development and Career Issues According to (McCabe etal 2) this study is to highlight factors influencing the commitment of nurses, and particularly focuses on the role of training, development and career issues. It provides the basis for a HRD framework, outlining policy choices in developing high commitment amongst nursing staff. Design/methodology/approach: The main themes and sub-themes relating to the drivers of commitment and the role of training, development and career issues were identified and explored employing a grounded theory, constant omparative approach. Findings: The main fault-line between nurses and the organization concerned resource management, and the introduction of general management concepts and practices. HRD practitioners should consider using the language and terms of reference familiar to nurses when devising HRD initiatives. Factors positively influencing the commitment of nurs ing staff included shared values, involving a sense of vocational commitment towards patient care and nursing. Strong leadership, particularly concerning the role of line management, was seen as important in influencing commitment. Teamwork and support, from both line management and colleagues, was also important. Training and development were highly regarded by nurses, and could be a useful way of recognizing and acknowledging their contribution to health care delivery. Career progression and greater involvement were viewed favourably by some nurses and unfavourably by others. The main issue concerned the possible substitution of nurse practitioner responsibilities with administrative and managerial responsibilities. Research limitations/implications: The findings are solely based on interviews with nursing staff from two NHS organizations. In exploring the various drivers of commitment and the role of training, development and career issues the studys focus was towards depth, as opposed to breath, of investigation. Practical implications: Valuable information for HRD practitioners and researchers on the drivers of commitment amongst nursing staff and the role played by training, development and career issues is provided. Originality/value: This paper is a useful study on exploring commitment amongst nursing staff and ways in which HRD practitioners and researchers can facilitate and develop commitment. The DoLE official added that while waiting for a chance to be employed overseas, nurses can venture into and already start income generating projects. However, she admitted that the high demand for nurses abroad is a really attractive career to pursue because of its obvious economic returns. Meanwhile, Pineda disclosed that the continuing demand for Filipino nurses overseas is expected to intensify, as the world’s northern countries experience longer lifespans and the graying of their population in the next five to ten years is sure to see the deployment of local nurses. Countries that will continue to offer employment opportunities include the Gulf States in the Middle East such as the Kingdom of Saudi Arabia, Kuwait, Qatar, Bahrain and Oman,† she said. Further, European countries including the United Kingdom and Ireland will also continue hiring Filipino nurses, even as new markets are emerging in Norway, Belgium, Denmark, Finland and Netherlands. Canada, too, is a new market, while Australia and New Zealand likewise offer