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Analysis and Design of Cable Stayed Bridge Essays

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Wednesday, December 25, 2019

The Importance Of Communication As An Aspect Of...

This essay will discuss the importance of communication as an aspect of partnership within current nursing care. As stated by Brooks and Heath (1985, as cited in Bramhall, 2014), communication is â€Å"a process during which information is shared through the exchange of verbal or non-verbal messages† (p 53). Maintaining communication between the nurse and the patient regarding treatments and emotions contributes to improved patient-centred care. The communication between the nurse and their family is equally as important when the patient is unable to make medical decisions for themselves. With the implementation of family centred communication, a partnership can further be established. With reference to literature, the benefits of maintaining†¦show more content†¦With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016). This observational study was conducted in two medical units at a public hospital in Australia. This study was used to understand the activities patients and nurses undertake to enact patient participation in nursing care. Knowledge sharing was evident in more than half of the encounters observed whichShow MoreRelatedNurses’ Perceptions Of A Pressure Ulcer Prevention Care1531 Words   |  7 Pagesperceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study Critically ill patients are at increased risk for pressure ulcers. Hospital -acquired Pressure ulcers are serious clinical complications and that can lead to increased length of stay, pain, infection and potentially death. Nurses have the primary role in the pressure ulcer prevention. The study assessed nurses’ perceptions of the usefulness and impact of a pressure ulcer prevention care bundle intervention on clinical practiceRead MoreThe Seeds Of Nursing Should Be Planted Within The Heads, Hearts And Minds Of Youth Essay1340 Words   |  6 PagesAction Steps The seeds of nursing must be planted in the heads, hearts and minds of youth. Seeing one’s self as a nurse, or a reflection of who you are in a nurse role, is important as children develop ideas about what they want to be when they grow up. To impact the rural nursing shortage long term, more young people must consider a career in nursing, especially those from rural settings. In order to influence those decisions, children must see themselves as nurses, which means men, women, NativeRead MoreA Nurse Residency Program For New Nursing1433 Words   |  6 PagesIntroduction The publication from the institute of medicine has garnered much interest since its publication in 2010 focusing on the future of nursing and the implementation of this with in the nursing community. The nursing profession has over 3 million members and is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 IOM (Institute of Medicine). One of the recommendationsRead MoreHow Different Professionals From Different Sectors Work Together Essay1658 Words   |  7 Pageshow different professionals from different sectors work together in partnership benefit the individual by catering for an individuals needs such as Mike Henning. Mike is physically disabled, having a prosthetic leg and he also has schizophrenia, so he has various different needs that need to be met by staff in the care home that he is currently living in. Holistic Care Holistic care is where the whole total patient of the care is considered, including the physical, emotional, social, intellectualRead MoreThe Management Of Nutrition And Hydration3048 Words   |  13 Pagesstructured to demonstrate the management of nutrition and hydration in end of life care. In this learning utilising the reflective frame work of Driscoll, 2007, I will critically explore and analyse the management of end of life care in relation to management of a patient’s nutrition and hydration, identifying potential elements and their impacts upon care delivery. As a health care practitioner, my role towards end of life care involves communicating with patients and their family members on a need to knowRead MoreThe Compassionate Care And Key Elements1747 Words   |  7 PagesThe purpose of this reflective essay is to critically analyze compassionate care and key elements. Compassionate care is an understanding of patients suffering and placing patients them at the hear t of care (Chochinov, 2007).The format of this essay will follow Gibbs reflective cycle (Gibbs, 1988) as a reflection technique to evaluate and explore. The care aspect to be examined is compassion in wound management. Cutting (2010) highlights that nurses are required to have a good knowledge when managingRead MoreInterprofessional Collaboration Care And Critically Analyse Interprofessional Working2426 Words   |  10 PagesUsing appropriate literature this paper will examine Interprofessional collaboration care and critically analyse interprofessional working. An introduction to the area of subject will be given and Interprofessional care will then be examined using various sources of literature. This paper will conclude by looking at implications raised and aspects of development needed throughout interprofessional working, developing an action plan to proceed with into future practice. Interprofessional collaborationRead MoreMy Msc Specialist Community Public Health2049 Words   |  9 Pagessubmission as part of my Msc Specialist Community Public Health Nurse/ School Nursing. This course has further increased my professional interest as a School Nurse, in obesity and the impact this has on the individual as well as society. Given this is a continuing problem despite various government interventions I would like to explore whether school nurses’ have a role to play in childhood obesity. Background If current trends continue unchanged by 2034 one in three people will be obese (Public HealthRead MoreReflection in Nursing2981 Words   |  12 Pagesabilities within an episode of care in which I have been involved with during my practice placement. It will discuss several issues binding nursing practice with issues of ethics and the model of reflection which provided me with a good structure and which I found most appropriate, is Gibbs model (Gibbs 1988). This particular model incorporates - description, feelings, evaluation, analysis, conclusion and the action plan. I have examined my own values and beliefs to the individual receiving care andRead MoreThe Diversity Of Adirondack Medical Center ( Amc )1898 Words   |  8 PagesAbstract This organizational assessment is focused on the governance, mission, relevance, and structural culture of Adirondack Medical Center (AMC). AMC is located in the heart of the Adirondacks with an initiative to lead care in the area in order to create a healthier community. AMC is dedicated to improving the health and wellbeing of their patients, residents and visitors they serve. AMC is a 97-bed hospital with an experienced Medical Staff of 60 physicians, board certified in 25 specialties

Monday, December 16, 2019

A Dream Come True for Martin Luther King, Jr. - 622 Words

A Dream Come True America in the 1960s was not the finest time for African Americans, especially in the South. There was racism, injustice and inequality. However, the ‘devotees’ of the civil rights movement were dedicated and passionate about making a difference. Martin Luther King Jr. was one of those pioneers that remained true in what he believed in no matter what the circumstance. The summer of 1963 will go down in history when King was able to deliver a speech that not only spoke to Black people but the American people as a whole. Through the use of precise word choice and extensive imagery and metaphors King was able to make an impact on his audience in an emotional way. As the audience on that infamous day or as a reader fifty years later, King’s words are just as powerful now as they were then. King’s decision to use the anaphora â€Å"One hundred years later† (King, paragraph 3) shows the seriousness that although Blacks were freed, they still haven’t been given freedom. He reminds the audience even though physically black people aren’t chained down by metal chains and shackles; they are chained down by the cuffs â€Å"of segregation and†¦ discrimination† (King, paragraph 3). Dr. Martin Luther King Jr. used an anaphora four more different times throughout the text. It is seen again when King uses the anaphora â€Å"We can never be satisfied†¦Ã¢â‚¬  (paragraph 13). King explains that the â€Å"devotees of the civil rights† (paragraph 13) can never have any satisfaction as long as theShow MoreRelatedI Have A Dream By Dr. Martin Luther King Jr.1102 Words   |  5 Pagesserve. In the speech, I Have A Dream by Dr. Martin Luther King Jr., he elaborates on the fight African Americans have endured and sets the path for freedom and equality while We Shall Overcome by L.B Johnson speaks on providing equality for all Americans. According to Dr. Martin Luther King Jr. speech, â€Å"I Have A Dream†, we, as nation and as people must demand freedom based on equality and perseverance. Equality and perseverance are the stepping stones towards true liberty and justice for all AfricanRead MoreDr. Martin Luther King Jr., A Political Icon Essay1441 Words   |  6 Pagesindividuals who have come variously to be called great or brilliant because they and their accomplishments have forev er changed society and the world. Dr. Martin Luther King Jr. was one of those individuals. Martin Luther Kings contributions to history place him in this inimitable position. One of the great figures in the march of human history, Martin Luther King Jr., like Gandhi before him, lived by a heroic credo of non-violence. More than two decades since his death, Martin Luther King ideas; hisRead MoreRhetorical Analysis Of Martin Luther King Jr.1046 Words   |  5 Pagesactivist, Martin Luther King Jr. gave his memorable â€Å"I Have a Dream† speech while standing at the feet of the Lincoln Memorial in Washington D.C. His uplifting speech is one of the most admired during the civil rights era and arguably one of the best in American history. On August 28th, 1963, Martin Luther King Jr. spoke about the true American dream: equality. Although the video of his oral spectacle is powerful, the written document portrays exactly how brilliant Martin Luther King Jr. reallyRead MoreMarti n Luther King, Speech Research1572 Words   |  7 PagesIntroduction- English, speech I have a dream was one of the most powerful and influential speeches of all time, it not only created the realisation that the Negro was not free, it persuaded that of white people to make a change for the benefit of the African Americans. The African American civil rights movement was creeping forward but two individuals created a greater atmosphere for the reinforcement of the movement, sure William Wilberforce abolished the slave trade for Britain in 1807, and thatRead MoreThe Art of Persuassion and Speeches Essay1089 Words   |  5 PagesHundreds and thousands of people were affected by the famous speech made by Martin Luther King Jr. This speech was titled â€Å"I Have A Dream†. (Martin Luther King Jr.) It takes much skill to make this type of impact on this many people. But Martin Luther King Jr. was not the only person capable of persuading a crowd. In the book â€Å"Animal Farm†. (George Orwell) Squealer and Napoleon persuaded the whole farm to be part of a ser ies of malicious activities. In speeches created and presented by Malcolm XRead MoreRhetorical Analysis of Martin Luther Kings I Have A Dream Speech810 Words   |  4 Pages Martin Luther King’s speech was made after the March on Washington on August 28, 1963. He delivered the â€Å"I Have a dream† speech on the Lincoln Memorial steps. He verbalized this speech to millions of people blacks and whites. This is one of the greatest speeches because it has many elements like repetition, assonance and consonance, pathos, logos, and ethos. Repetition in M.L.K.’s Speech Martin Luther King uses a lot of repetition in his speech. They are scattered throughout but veryRead MoreMartin Luther King Speech Analysis989 Words   |  4 PagesMartin Luther King Jr gave what could be considered one of the most well known and most influential speeches in the entirety of time. His words sparked change for an entire nation and was an enormous factor in contributing to the African American Civil Rights movement. During the time of Martin Luther King Jr’s speech, the country was in a great state of distress regarding equal rights and equal opportunity for people of color. Riots, protests, and chaos seemed to be taking over the country asRead MoreAnalysis Of Martin Luther Kings I Have A Dream Speech1031 Words   |  5 PagesRosa Parks once said â€Å"Stand for something or you will fail for anything.† Being one of the influential quotes of all-time, Martin Luther King Jr. did not fail to expound on her statement. In his life as well as Martin Lu ther King Jr’s â€Å"I Have a Dream† speech, he was an avid and determined African American striving for racial equality. He allowed for others to follow his lead, and to continue his legacy as the U.S continues to live on as a nation of freedom, liberty, and a home of safe living. King’sRead MoreMartin Luther King s I Have A Dream Speech891 Words   |  4 PagesSince Kindergarten, teachers have been teaching students about Martin Luther King Junior’s â€Å"I Have a Dream† speech. Ever since children have been born, they have celebrated Independence Day by either going to a parade, or shooting fireworks. Although, at these young ages, children don’t quite know the real importance of each of them. Martin Luther King Jr. wanted every human being, regardless of their race to be treated fairly or just. Independence Day was the day on July 4, 1776 where fifty-sixRead MoreAnalysis Of Martin Luther King Jr s I Have A Dream Speech1480 Words   |  6 PagesMovement, Martin Luther King Jr s I Have A Dream speech was broadcasted across the nation and heard by millions of Americans on August 28, 1963. Throughout the decades, many have promoted the importance of racial equality in America. Leaders such as William J. Clinton, Barack Obama, and George W. Bush have contributed to modern social movements by, doing as Dr. King himself, giving speeches to varying audiences concerning the issue of racial inequality. Above all, Martin Luther King Jr made the strongest

Sunday, December 8, 2019

Corrupted Hospitality Vanuatu Samples †MyAssignmenthelp.com

Question: Discuss about the Corrupted Hospitality Vanuatu. Answer: Introduction: The analysis aims to discuss the problematic situation aroused in hospitality and tourism industry in the Republic of Vanuatu. This discussion is based on a report Vanuatus Broken Dreams by Peter George. He inspects the issues of corruption and resultant deprivation of the poor villagers and islanders in the islands of Wala as well as Pentecost of Vanuatu. George examines the various problems faced by the islanders and tried to investigate the responsible issues for corruption. The analysis identifies and discusses the chief governing and moral issues regarding the tourism ministry of Vanuatu. It evaluates the responsibility of cruises to the islands. The report identifies the responsible persons for the development of the island and few recommendations that the authority as well as the government need to follow to end the corruption and deprivation. Discussion: Vanuatu has been one of the most celebrated islands of tourist attraction in the South Pacific Ocean. This archipelago nation consists of 83 islands providing popular recreations like sea fishing, marine sightseeing, beach combing and sailing (Pratt and Harrison 2015). Tourism in Vanuatu brings in required foreign exchange. The country is widely popular as one of the celebrated vacation destinations providing opportunities to the scuba divers to explore the South Pacific coral reefs. The scuba divers are also attracted to the wreck of the US ocean liner, which was sunk during World War II onEspiritu Santo Island. It is the only accessible largest shipwrecks in the world to which the authority gives permission for recreational diving (Wikitravel.org. 2017). Tourism has increased from 17% after 2002, when the government initiated efforts to boost tourism. Tourism has been promoted through reality TV shows also. Now, the tourism industry contributes almost 45% of the countrys GDP and 38 % of total employment (Franois 2015). The tourists can opt for both boat and airlines to reach Vanuatu. The main ports are Port-Vila and Luganville. International cruise lines PO operates regularly in Vanuatus waters (SAVERIMUTTU and VARUA 2016). The tourists may take photographs, spend time relaxing and land diving in different islands but they are much expensive. The local market sells handicrafts and local fruits and vegetables. Drink from Kava root is the most popular local drink produced by the islanders. Kava drinking is a tradition in Vanuatu but the Australian government has banned Kava selling in Australia (Tabani 2017). The islands have great resorts, banks, ATMs, postal services, restaurants, internet connections and good transportation system. Over all, the islands are safe and provide all kinds of comfort as well as relaxations to their guests. Apparently, above facts may be true and believable from a tourists or governments point of view but the reality is quite different. The tourism and hospitality sector of the country has successfully concealed the sordid truths and the insurgence of the local problems can disturb the happy image of Vanuatu tourism. Political and ethical issues: Reporter Peter George has produced a documentary named Vanuatus Broken Dreams that focuses on the difficulties of the residents of the island paradise. As the name suggests, the dreams of a perfect balance between poor and wealthy not only in terms of dollars, but also all the comforts that the rich tourists visiting the islands enjoy, are shattered (Franois 2015). The reporter has elaborate discussions with the local island leader of Wala who says the basic facilities are not provided to the residents. The Wala islanders are expected to get a large portion of the profits made from souvenirs, trinkets, locale handicrafts and above all the most reputed kava drink. Beside these, they are supposed to get the aids from Australian government. The government has built all necessary as well as luxurious buildings only for the tourists. The villagers do not have proper septic system, running water, fuel for cooking, electricity and not even a public toilet for the community. Therefore, publi c health has become a controversial issue for the villagers. They harvest rainwater and get by some cheap and portable solar lights. As the island serves to be one of the most reputed tourist attractions, the villagers are supposed to get a lions share of the profit. They hope for the economic and social improvements but are deprived from the basic needs. Several committees have been found to examine the loophole where the money is drained to but the members of the committee have no clue about the people engaged in this fraud (Laws, Monitor and Outlook 2012). The main problems of this investigation are that these members have never left their own islands and possess a vague knowledge about the intermediaries working both in islands and in the capital Port-villa. The members are also not willing to name anyone for some unknown reason. The recently elected Prime Minister Moana Carcasses is also aware of this out and out corruption and promises to take steps against this. The tourism d ollars have deeper impact on the ethical and moral values of the islanders. An implicit division has been driven among the communities and a feeling of duplicity and deception has started to flow. Therefore, the cultural integrity of the Vanuatuans is also warping. To find the supposed place where the tourist money has gone, Peter George has visited the first minister of Land, Sethy Regenvanu. Here also he finds the same broken dreams in the eyes of Regenvanu. He is aware of the exploitation and fraudulence when the former minister issued prime waterfront leases to his favorite members at rock-bottom prices without thinking about the villagers living around those prime sites. Beside the internal nepotism, the outside exploitation for personal interests also has broken the backbone of these islands economy. Dreamer like Barnabas Tabi now wants to strengthen this backbone and is ready to accept any challenge for Vanuatus cultural- social and economic upliftment. In Pentecost, Barnabas has aimed to build an independent business centre without any help from the capital Port Vila. In order to encourage small independent business, Barnabas has launched countrys first micro-finance cooperative and invested loans to the Kava planters. Unlike Barnabas, the islanders of Wala have decided to take such independent steps so that the tourism profits are not looted (Cheer, Reeves and Laing 2013). Unethical cruise line: PO Cruises Australia is the countrys biggest and longest-serving cruise operator. It is Australasia's favorite cruise line and only home brand. Pentecost and Wala are the islands where outsiders can visit only by PO Cruises (Cruising.org.au. 2017). The expense of the cruise amounts large but this money does not help in local development rather leads to treachery. The cruise authority is also aware of this perfidy but does not reveal anything to the government. There might be a scope for islanders as well as the government of Vanuatu to begin an independent ferry system like PO Cruises and stop unethical monopoly. Responsible issues: On the first hand, the previous government officials as well as politicians are completely responsible for the corruption. Even the Prime Minister is informed with the corruption of the civil servants. In the local level, the money that the island authority received as aid or profit was not used properly. Beside these, external manipulation for business interest has affected the economy (Trau 2012). Moreover, the people of these islands are also responsible. They no longer pursue national interest thus have made Vanuatu a marketplace for highest bidders. Governments interference: The government has not published the financial reports from 2004 so the new committee members have no knowledge about the total business and expenses. The new government must publish such reports in order to work transparently (Heath-Brown 2015). As Regenvanu experiences there was discrepancy in the issues of giving lease at lowest prices and maximization of personal benefits, the government must investigate the matter. The government is also accountable for enlisting the responsible officers and conducting the transaction method transparently. The government should pass more strict laws and the new Prime Minister has promised that his government will punish the law-breaker. The report of the United Nations reveals the rural areas of Vanuatu experiences highest levels of exploitation and deprivation. The islanders are deprived of food, shelter, health services and proper sanitation (Herzfeld 2014). The children of Wala have no access to education so cross the waters to get the elemen tary education. The government should solve these problems and help these small backward islanders to be self-dependent. To monitor Kava Quality, thegovernment regulatory bodies should work hand in hand with non-profit NGOs to produce reports, warn customers and certify vendors for selling proper Kava (Cheer 2016). Recommendations: The youth of Vanuatu archipelago should be critical to fight against corruption like the youth of Fiji and need to create close relationship with United Nations Office on Drugs and Crime (UNODC) and Unite Nations Development Program (UNDP). As Barnabas Tabi has taken initiatives to encourage indigenous trade development in Pentecost and established cooperative bank for the islanders, the other island authorities should follow his path. For his enterprise, Tabi has been recognized by the Carcasses government. The report is based on a documentary of a foreign reporter who is concerned about the growing corruption eroding Vanuatus development. The Vanuatu media should be more aware and present the current situation to the public in order to eliminate the deeply seated duplicity. Conclusion: Therefore, from the above analysis it may be concluded that the politicians, the previous government, bureaucrats and the businesspersons have information about the constant fraud in the islands but nobody is concern about the villagers and their basic needs. The ideology that once inspired people fight for independence against the French and British colonialism has lost its context. Therefore, everyone is concerned about personal benefits instead of national interest. The residents of Vanuatu must leave the habit of criticizing the government and wait for governments action but must change their fate themselves. References: Cheer, J.M., Cruise Tourism in a Remote Small IslandHigh Yield and Low Impact? In Dowling, R. Weeden, C.(Eds.)(2016). Handbook of Cruise Ship Tourism. Oxfordshire: CABI. Cheer, J.M., Reeves, K.J. and Laing, J.H., 2013. Tourism and traditional culture: Land diving in Vanuatu.Annals of Tourism Research,43, pp.435-455. Cruising.org.au. (2017).Cruise Lines International Association CLIA. [online] Available at: https://www.cruising.org.au/Home [Accessed 4 Oct. 2017]. Franois, A., Franjieh, M., Lacrampe, S. and Schnell, S., 2015. The exceptional linguistic density of Vanuatu. Heath-Brown, N., 2015. Vanuatu.The Statesmans Yearbook 2016: The Politics, Cultures and Economies of the World, pp.1452-1454. Herzfeld, M., 2014, July. The fate of rural hell: Asceticism and desire in Buddhist Thailand, by Benedict Anderson. InAnthropological Forum(Vol. 24, No. 3, pp. 311-313). Routledge. Laws, R., Monitor, F. and Outlook, R.E., 2012. Straight Talk: Stolen Dreams: Our ability to set the world economy straight will decide the fate of todays young people.Finance Development. Pratt, S. and Harrison, D. eds., 2015.Tourism in Pacific Islands: Current Issues and Future Challenges(Vol. 48). Routledge. SAVERIMUTTU, V. and VARUA, M., 2016. Seasonal tropical cyclone activity and its significance for developmental activities in Vanuatu.Environmental Economic Impact on Sustainable Development, p.8. Tabani, M., 2017. Development, Tourism and Commodification of Cultures in Vanuatu.Tides of Innovation in Oceania: Value, materiality and place, p.225. Trau, A.M., 2012. Beyond pro-poor tourism:(re) interpreting tourism-based approaches to poverty alleviation in Vanuatu.Tourism Planning Development,9(2), pp.149-164. Wikitravel.org. (2017).Vanuatu- Wikitravel. [online] Available at: https://wikitravel.org/en/Vanuatu [Accessed 4 Oct. 2017].

Sunday, December 1, 2019

Social Problems and Solutions Chart Essay Example

Social Problems and Solutions Chart Paper I movement believed helping the poor was a duty I the social reformers also I There is still government subsidized That were divided into several land created settlement houses. Hull House in Reworked for legislative reform lousing that isnt always in the bests limits to house more families in Chicago founded in 1889 was the best known Tit help the public and neighborhoods. Homelessness remains al Lethe same amount of space, settlement house in the U. S. It was based on eliminator working conditions Problem in the U. S. I Tenements were cheap crowded and I settlement house visited by Jane Addams in I for women and children I London I luminarys. I The problem was addressed by passing laws to I The Social Gospel Movement I There are laws that strictly govern I I Child Workers- Because people Prevent child labor. Labor unions didnt and other social reformers the hours that teens can work as well lower so poor families needed for Bother to address the issue Of children While lilied to help people develop lass the establishment of minimum wage. I lither children to work. We will write a custom essay sample on Social Problems and Solutions Chart specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Social Problems and Solutions Chart specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Social Problems and Solutions Chart specifically for you FOR ONLY $16.38 $13.9/page Hire Writer It was Fighting their own issues. Social reformers I skills and shorten the length accessory for everyone to Such as Mary Harris Mother Jones fought for I of work days. This was the Lethe workers. Child labor was her most I contribute to the household beginning of what is known I I I income for a family to survive. I important cause. I today as social work. I Health Hazards in Growing Cities-I Cities slowly introduced filtration and 11th took a long time to make 11th is still necessary to closely I I Major cities introduced public I chlorination to improve water safety. Sure residents had access to I monitor our nations eater supply. Autoworker however many residents I Many cities had their own sanitation I sate water. Many companies have contaminated I had to collect water from faucets I departments and created sewer systems, I Many citizens still suffered I water the ground with unsafe and Ion the street. Improper dumping. I I from horses being used for From unclean conditions. Oas is problems with cleanliness Things have improved drastically however there Will always be problems I transportation pollution from Twit pollution. Factories emitting smoke and dealt The JET Townsend Foundation is a non-profit organization whose mission is to better the lives of children and adults with disabilities on the First Coast by providing financial assistance, adaptive equipment and research funding. JET Townsend was a junior at Episcopal High School in Jacksonville when his life was forever changed during a football game. He had a high GAP and a promising career in sports. He was completely paralyzed and blows into a tube to operate a wheelchair. He graduated from university of North Florida in April 2013. He died f a heart attack last week in his home. JET touched the lives of many in the First Coast area and has many volunteers and sponsors including The Players (PEG), Wells cargo Bank. What he did by giving back was amazing. Interviewed Mina Strickland in Point Veda. She has volunteered for this organization for years because she was so moved by this story and touched by his personality when she met with him. She helps to promote events that raise money and awareness Of the need in this community. The need in this community is that many families cannot afford equipment that s necessary for day to day life but insurance refuses to pay for IL The reward is the feeling of seeing a family get what they need simply by talking to JET on the phone filling out a short application and being given whatever they need within days. Dont know that many volunteers in this organization face many challenges. Episcopal High School is an affluent school associated with many wealthy families. Everyone who met JET couldnt help but love him. Even the media loved him he was constantly in the news. Volunteering has made me realize that I m so fortunate for what I have and what an honor it is to be associated with this organization. I also asked if it was ever sad to see so many children with disabilities, She said it was so satisfying to help and that JET personally dealt with each and every family and put smiles on their faces. It is very rewarding. When asked if it was hard to do at the same times as a full-time job she smiled and said never. It is my passion. On a sad note JET Townsend passed away Tuesday June 4, 2013 after this interview. The Foundation will continue to carry on his work.

Tuesday, November 26, 2019

Bullying Case Study Analysis through the Major Psychology Studies

Bullying Case Study Analysis through the Major Psychology Studies Bullying Case Study Analysis through the Major Psychology Studies Once upon a time, there was a girl named Sarah who went to school with children, studied in the university with other students or worked in an office with white collars. In fact, that doesn’t matter who, how old, and where she was. The thing is that she was kinda different, no matter how, maybe she was a bit taciturn, or liked a special type of food, or followed a separate religion, and because of that, Sarah often got picked on. Just because she was not like everyone else. Loads of people have been in Sarah’s shoes and got bullied because of the race, religion, social, gender or national differences, and, the chances are that they consider bullies the real villains. In some measure, that is the truth because every person has a choice. However, we would like you to have a look at the issue from a different perspective – the share of social impact on the bullying phenomenon. Stanford Prison Experiment Let’s consider any bullying case study in terms of the most popular psychological studies, and Stanford Prison Experiment is one of them. Regular students were placed in jail and were given roles: prisoners and guards. After some time, they got into the characters so much that guards assaulted prisoners psychologically and physically without any hints from the research team, and â€Å"convicts† accepted the abuse like normal behavior. After 6 days, the experiment was stopped. The result of the experiment stated that the reasons for such course of actions were not certain personalities of the participants or predisposition for violence, but the situation and environment were put in. Sounds familiar? The Third Wave Studying fascism in one of California high schools, students couldn’t understand how German people could have accepted the Nazi regime. In fact, they claimed that they would never join the movement willingly. To prove them wrong, the history teacher promoted some concepts mimicking certain peculiar features of the Nazi regime. After 5 days, the movement following these concepts got out of control, and the teacher gathered a meeting explaining what happened. Bullying appears as a result of stereotypes and standards set too high. The society itself produces bullies who pick on people refusing to follow the â€Å"correct† and approved by the majority rules. Asch Conformity Experiments Solomon Asch studied the phenomenon of people following the crowd. His most famous experiments consisted of placing real participants with fake ones. The real subjects of the studies had to give correct answers to different questions, but only after the fake ones had responded first (opting for a wrong variant). During the first sessions, participants answered correctly, but after some rounds, they followed the crowd and chose wrong variants. As you can see, these experiments prove the social nature of bullying. We don’t protect bullies by any means. We’re just saying that before blaming them for all the evil in the world, you should address bigger issues and raise people’s awareness about something like fakely set social standards if you really want to change the situation. Be smarter than those who follow the crowd. At service, we can provide you with case study analysis help from reliable writers.

Friday, November 22, 2019

When To Use or Omit Subject Pronouns in Spanish

When To Use or Omit Subject Pronouns in Spanish Subject pronouns in Spanish are a lot like medicine - theyre often essential, but their use should be avoided when theyre not necessary. Overuse of subject pronouns - the equivalent of words such as he, she and they - is common among English speakers learning Spanish. Its important to remember that in Spanish the verb forms often make subject pronouns unnecessary, and when thats the case the pronouns shouldnt be used unless theres a reason to. When To Not Use Subject Pronouns Here is a sampling of sentences where pronouns are unnecessary. In all these examples, the context or verb forms make clear who is performing the action of the verb. Voy al supermercado. I am going to the supermarket. (The verb voy can refer only to the person speaking.) ¿Adà ³nde vas? Where are you going? (The verb vas necessarily refers to the person being spoken to.)Roberto no est en casa.  ¿Fue al supermercado? Roberto isnt at home. Did he go to the supermarket? (Standing alone, the second sentence might be unclear about who the subject is. But in context, it is obvious that Roberto is being referred to.)Nieva. It is snowing. (Nevar, the verb for to snow, is used only  in the third-person singular form and doesnt need an accompanying subject.) What Are the Subject Pronouns? Of course, not all sentences will be as clear as those are without explicit reference to the subject. Here are the subject pronouns in Spanish with their English equivalents: yo - Ità º - you (informal or familiar singular)usted - you (formal singular)à ©l, ella - he, shenosotros, nosotras - we (the first form refers to a group of males or males and females, while the second form refers to females only)vosotros, vosotras - you (informal or familiar plural; the first form refers to a group of males or males and females, while the second form refers to females only; this pronoun is seldom used in most parts of Latin America)ustedes - you (formal plural)ellos, ellas - they (the first form refers to a group of males or males and females, while the second form refers to females only) See the lesson on tà º and usted for distinguishing which form of you should be used. Note that there is no pronoun listed for it as a subject; in sentences where wed use the subject it in English, the use of the third-person verb nearly always makes a pronoun unnecessary. When To Use Subject Pronouns To avoid ambiguity: Context doesnt always make clear who the subject is, and some verb forms are ambiguous. Yo tenà ­a un coche. (I had a car. Out of context, tenà ­a could mean I had, you had, he had or she had. If the context makes the subjects clear, the pronouns normally wouldnt be used.) Juan y Marà ­a son alumnos. Él estudia mucho.  (John and Mary are students. He studies a lot. Without the pronoun, it is impossible to tell whom the second sentence refers to.) For emphasis: In English, unlike Spanish, we often use verbal stress to emphasize a pronoun. For example, if a strong emphasis is placed on the I in I am going to the supermarket, the understood meaning of the sentence might be I (and not somebody else) am going to the supermarket or possibly I am going to the supermarket (and Im proud of myself). In Spanish, one could similarly add an emphasis by using the grammatically unnecessary pronoun: Yo voy al supermercado. Similarly, haz tà º lo que tà º quieres could be understood as you do what you want (and see if I care). Change of subject: When contrasting two subjects, the pronouns are frequently used. Yo estudio y à ©l escucha el està ©reo. Im studying and hes listening to the stereo. Nosotros somos pobres, pero à ©l es rico. (Were poor, but hes rich.) Note that in English you might use intonation - putting stress on were and hes - to add emphasis. But such stress in Spanish would be unnecessary, as using the pronouns takes care of adding the emphasis. Usted and ustedes: Even where not strictly necessary, usted and ustedes are sometimes included and can add a degree of politeness.  ¿Cà ³mo est (usted)? How are you? Espero que (ustedes) vayan al cine. I hope you are going to the movies.

Thursday, November 21, 2019

THE SUN ALSO RISES Research Proposal Example | Topics and Well Written Essays - 750 words

THE SUN ALSO RISES - Research Proposal Example Although much can be speculated at by this relationship, it is known that she wanted twins while pregnant with Ernest. As a result, she often dressed him and his sister alike during their toddling years to pass them off as twins. One author suggests: Hemingway regarded his mother as being as dangerous dead as most women are alive. (Hemingway once said: â€Å"I know I’d never go to her funeral without being afraid that she was boobytrapped.†) What could she have done to him? Dominant, overbearing, and emasculating†¦with the effect that the boy suffered a sexual wound, developed an androgynous sensibility, and experienced lifelong male insecurity and sexual anxiety. (Tuttleton) Agnes von Kurowsky was Hemingway’s love during World War I. He was wounded and sent to a hospital in Milan. There he met and fell in love with Agnes von Kurowsky, a nurse. She was supposed to follow him to America, but instead fell in love with an Italian soldier. This affected Hemingway deeply. Many of Hemingway’s female characters resemble von Kurowsky. For example, in The Sun Also Rises the character Brett could be inspired by von Kurowsky. In Brett’s character, he placed a desirable woman that every man wanted. This woman was not faithful however to anyone, especially the main character. The main character, Barnes felt: This was Brett that I had felt like crying about. Then I thought of her walking up the street and stepping into the car, as I had last seen her, and of course in a little while I felt like hell again. It is awfully easy to be hard-boiled about everything in the daytime, but at night is another thing. (Hemingway 39) Ernest Hemingway was married four times. He divorced three women, two with whom he had children with. One reporter explained the relationship between Barnes and Brett The Sun Also Rises as â€Å"It is an erotic attraction which is destined from the start to be frustrated† (The New York Times). Hemingway’s marriages

Tuesday, November 19, 2019

Carbon cycle and climate change Essay Example | Topics and Well Written Essays - 1250 words

Carbon cycle and climate change - Essay Example Out of many other factors that cause global warming, one of the very important and significant factors is the increment of carbon dioxide gas (CO2) in the atmosphere. This paper basically includes the carbon cycle and the change in climate caused by this cycle. According to some statistics, the average annual concentration of carbon dioxide (CO2) was around 20% higher in Hawaii in the year 2010 than it was in the year 1960, and the rate of increase in its concentration in the 21st century is doubled as compared to that in 1960. Though, the ozone hole is being recovered because of the atmospheric concentrations of CFC gases. Because of these factors the average global temperature has increased up to 0.80C in the last century and this rate is increasing up to a significant figure during this era. Other than that, the global sea level, which could be and has been a great cause of natural disasters has increase at about twice as faster between 1992 to 2010 as it was in 1950 to 2000, and the Greenland ice sheet melting is also increased up to 30% in the during the year 1980 to 2010. Now let us discus something about the carbon cycle. Carbon cycle is basically the cycling and recycling of carbon between the atmosphere, the earth’s surface, and the oceans. Other than that it is also the recycling of carbon in the lithosphere as well. Though, this take spans of time. The regulation of the earth’s temperature greatly depends upon this cycle. ... So for the years ahead, regarding the climate change, the concentration of carbon dioxide is of a great concern. Here the question again arises, that what are the major factors that affect this carbon cycle. One of the factors that I would really like to mention here is the arbitrarily induced variation in the carbon and climate. The global population is also a major factor of that. Human beings and all the other living creatures inhale oxygen and exhale carbon dioxide (CO2). Thus the concentration of oxygen in the atmosphere is being reduced, and that of carbon dioxide (CO2) is increasing rapidly. The terrestrial and ocean ecosystem absorbing is even greater than half of the human carbon emissions. Let us deeply observe the connection of climate with the carbon cycle. Whenever some organic material is combusted, the products are always water and carbon dioxide gas. Nowadays the main sources of energy in the world are the fossil fuel, and the petroleum products, like petrol, diesel a nd the furnace oil. All of these things combine to result in the production of huge amount of carbon dioxide and reduction of oxygen gas when combusted in the vehicles, power houses and industries mainly. These main human activities thus result in increasing the overall temperature of the world, which is named as global warming. Basically the carbon cycle starts from these human activities, where they breath, and the fossils are burnt or combusted. Then this carbon dioxide is sent to the atmosphere, where the overall temperature is quite lower than the temperature on or near the surface of the earth. Here much of the carbon dioxide gas is absorbed, which

Sunday, November 17, 2019

Thomas Midgley Jr. Essay Example for Free

Thomas Midgley Jr. Essay Born on May 18, 1889, American engineer and chemist Thomas Midgley, Jr. was controversial for two of his discoveries. One, he discovered the Freon while working for General Motors in 1930. He intended it to be a safe non-toxic refrigerant to be used in household appliances, to replace the dangerous refrigerants used before like ammonia and propane. Freon and other CFCs soon replaced the various toxic or explosive substances previously used as refrigerants, and were later used in other applications, such as propellants in aerosol spray cans and asthma inhalers. The Society of Chemical Industry awarded Midgley the Perkin Medal in 1937 for this work. However, Midgleys discovery resulted in damage to the earths Ozone layer. Two, Midgely discovered the effectiveness of tetraethyl lead as an antiknock additive for gasoline. On October 30, 1924, Midgley participated in a press conference to demonstrate the safety of TEL. In this demonstration, he poured TEL over his hands, then placed a bottle of the chemical under his nose and inhaled its vapor for sixty seconds, declaring that he could do this every day without succumbing to any problems whatsoever. However, the State of New Jersey ordered the Bayway plant to be closed a few days later, and Jersey Standard was forbidden to manufacture TEL there again without state permission. Midgley himself was careful to avoid mentioning to the press that he required nearly a year to recover from the lead poisoning brought on by his demonstration at the press conference. He sought treatment for lead poisoning in Europe a few months after his demonstration at the press conference. Midgley was relieved of his position as vice president of GMCC but continued to work for them. Midgley died three decades before the ozone depleting effects of CFCs in the atmosphere became widely known. Another adverse effect of Midgleys work was the release of large quantities of lead into the atmosphere as a result of the large-scale combustion of leaded gasoline all over the world. High atmospheric lead levels have been associated with serious health problems. J. R. McNeill, an environmental historian, has remarked that Midgley had more impact on the atmosphere than any other single organism in Earths history.

Thursday, November 14, 2019

Summary of To Kill a Mockingbird Essay -- To Kill a Mockingbird Harper

Summary of To Kill a Mockingbird Mayella testifies next, a reasonably clean nineteen-year- old girl who is obviously terrified. She says that she called Tom Robinson inside the fence that evening and offered him a nickel to break up a dresser for her, and that once he got inside the house he grabbed her and took advantage of her. In Atticus' cross-examination, Mayella reveals that she has seven siblings to care for, a drunken father, and no friends. Then Atticus examines her testimony and asks why she didn't put up a better fight, why her screams didn't bring the other children running, and--most importantly--how Tom Robinson managed the crime with a useless left hand, torn apart by a cotton gin when he was a boy. Atticus begs her to admit that there was no rape, that her father beat her. She shouts at him and calls the courtroom cowards if they don't convict Tom Robinson, and then bursts into tears refusing to answer any more questions. In the recess that follows, Mr. Underwood notices the children up in the balcony, but Jem tells Scout that the newspaper editor won't tell Atticus-- although he might include it in the social section of the newspaper. The prosecution rests, and Atticus calls only one witness--Tom Robinson. Tom testifies that he always passed the Ewell house on the way to work, and that Mayella often asked him to do chores for her. On the evening in question, she asked him to come inside the house and fix a door. When he got inside, however, there was nothing wrong with the door, and he noticed that the other children were gone. Mayella told him that she had saved her money and sent them all to buy ice cream, and then she asked him to lift a box down from a dresser. When he climbed up on a chair, she grabbed his legs, scaring him so much that he jumped down. Then she hugged him around the waist, and asked him to kiss her. As she struggled, her father appeared at the window, calling Mayella a whore and threatening to kill her, and then Tom fled. Link Deas, Tom's white employer, stands up and tells everyone that in eight years of work, he has never had any trouble from Tom. Judge Taylorexpels him furiously from the courtroom for interrupting; then Mr. Gilmer gets up and cross-examines Tom. The prosecutor points out that the defendant was once arrested for disorderly conduct, and gets Tom to admit that he has the strength, even with one ha... ...n her costume) has no idea what is happening. Boo Radley's entrance takes place in the thick of the scuffle, and Scout does not realize that her reclusive neighbor has saved them until she has reached home; even then she assumes him to be "some countryman." When she finally realizes who has saved her, the childhood phantom has become a human being: "His lips parted into a timid smile, and out neighbor's image blurred with my sudden tears. 'Hey, Boo,' I said." After Boo's unveiling, all that remains of the story is Heck Tate's decision to say that Bob Ewell fell on his knife, sparing Boo the horror of publicity. The title of the book and its central theme are invoked, as Scout says that exposing Boo to the public eye would "sort of like shootin' a mockingbird." Then she takes him home, and Atticus' admonition to step into someone else's shoes is also invoked, as Scout suddenly sees the world through Boo's eyes. The novel ends here, and the reader is offered no details of Scout's future, except that Boo is never seen again. We have a sense, however, that the story has embraced her entire childhood, and Scout thinks that they have not much more to learn, "except possibly algebra."

Tuesday, November 12, 2019

Abortion as an illegal act and an act of murder through the scientific and biblical view of life Essay

Introduction Two handfuls of flour go flying into the empty mixing bowl on the freshly washed counter.   Three eggs crack against the lip of the bowl, the yoke flowing out.   A pinch of salt lands on the freshly cracked eggs as olive oil oozes out of the bottle.   The bowl is placed under the running fossett for a few seconds to complete the mixture.   Strong hands knead the ingredients into a moist dough ball.   After a few hours, the dough is taken out of the refrigerator, ready to be turned into macaroni (pasta).   The dough is put through the hand crank dough roller to be flattened.   Then, it is formed into long strings and laid to dry on the comforter in the spare bedroom.   I have witnessed my grandma carry out this process of making delicious, fresh homemade pasta many of times to prepare for Sunday dinner.   This simple but important ritual has been passed down through my family starting from my great grandma to my sisters and myself. One of the groups I am part of is Italian Americans, or more specifically 4th generation millennial Italian Americans.   While there is a vast amount of research on the ethnic identity of Italian Americans who immigrated to the United States during the early to 1900s, the research regarding the ethnic identity of 4th generation Italian Americans is scarce.   Ethnic identity is different from personal identity because it focuses on the way a member of an ethnic group is influenced by that ethnic group.   For Italian Americans, food plays a significant role in their ethnic identity.   Many Italian Americans that grew up in the early to mid-1900s never went to restaurants to eat, so the only food they knew was Italian food (M. Litwin, personal communication, November 10, 2015).   Today, as a 4th generation Italian American that is fully assimilated to the American society, homemade Italian food is still a significant part of my life.   Lorraine Caputo (2011) describes how he r daughter went to Japan, but when she came back, she asked Caputo to make her some of her favorite Italian dishes (p. 194).   This embodies the Italian Americans after being fully assimilated to the American society.   I love the American culture, but I always come back to my Italian roots. The Italian Americans who immigrated to the United States in the early 1900s lived in communities dominated by Italian Americans.   These communities became very close and were a dominant element in the Italian American culture.   The tight-knit Italian community along with the importance of Italian food played major roles in the ethnic identity of the 1st and 2nd generation Italian Americans that immigrated to the Unites States in the early 1900s.   However, Michael Buonanno (2011) believes that the identity of Italian Americans today is still evolving, but instead of focusing on the â€Å"old times† we should be focusing on the ways in which Italian Americans are creating their ethnic identities today (p. 9).   Andrea Dottolo (2015) and Lorraine Caputo (2011) have written autoethnographies about Italian Americans and how they themselves retain their ethnic identity after being fully assimilated to the American society. However, these authors are significantly older t han I am.   There have not been any autoethnographies about how 4th generation millennials retain their ethnic identity in the American society.   In this autoethnography, I myself am a 4th generation millennial Italian American, and I can shed some light on how we foster our ethnic identities.   I foster my own ethnic identity through my close-knit family that allows me to have a strong foundation.   Additionally, Italian food has given me the opportunity to not only embrace my culture, but also to experience a part of my ancestor’s lives.   Lastly, telling the stories of my ancestors has become a substantial piece of my ethnic identity because it allows my family to keep our history alive. Literature Review    Food Food has always been a significant part of the ethnic identities of Italian Americans.   Andrea Dottolo (2015) analyzes how food represents â€Å"family, morality, culture and home† to Italian American women (p. 373).   Additionally, as Caputo (2011) says, â€Å"Italian Americans are either revered for the sensual art they have made of food or objectified as the Hollywood gangster† (p. 182).   Both Dottolo and Caputo are focused only on how the aspect of food affects women.   However, Italian food has played a significant role in my life as well as the women in my family.   In the past, women have usually done more of the cooking than males.   However, in today’s society, women work in the workplace just as much if not more than men do.   The stereotype that only women do the cooking is dying and would be considered a sexist comment today.   I usually help my mom make dinner and have learned the recipes that have been passed down in our family for generations such as making homemade pizza. Community Italian Americans who emigrated from Italy to the United States in the early 1900s usually in communities like Boston’s North End that were comprised of almost 100% Italians (Smajda & Gerteis 2012 p. 626).   Many of the Italians who came over, like my great grandma, did not speak English and it was hard for them to make friends outside of the community (Litwin).   Because many of the Italians could not relate to anyone outside the community, the community became a very strong in-group.   But, Allport (1954) says that every in group also must have an out-group (p. 40).   The out-group for the Italian Americans was the immigrants who had come before them, primarily the Irish.   My grandma told me that when her parents came over from Italy, the Irish looked down upon the Italians and made them take the dirty, grimy jobs such as working in the coal mines (M. Litwin, personal communication, November 10, 2015).   The well-paying jobs were hard to come by for the Italians in part due to the discrimination they faced mainly by the Irish.   Part of this discrimination may have come from the stereotype that Italian Americans were gangsters.   Cavallero (2004) examines how the American media in the 1900s created the stereotype of the Italian mobster (p. 50-63).   Additionally, Cavallero (2004) says that the 1930s were a time of constant â€Å"denigration† for the Italian Americans (p. 52).   This discrimination further bonded Italian communities together. In Smajda and Gerteis’s (2012 p. 3-9) article â€Å"Ethnic Community and Ethnic Boundaries in a ‘Sauce-Scented Neighborhood’†, the ethnic communities essentially prevented assimilation because the people in the communities were so closely knit socially.   These communities came to be known as â€Å"Little Italies†.   The â€Å"Little Italies† were densely populated and vibrant communities.   However, as time progressed, many of the Italian A mericans began to move to the suburbs and the â€Å"Little Italies† began to shrink.   Buonanno (2011) says that the â€Å"Little Italies† that exist today are nowhere near as lively and upbeat as the ones that existed 50 years ago (p. 9).   Today, few of these communities still exist and the ones that do are much smaller than the ones that existed in the early 1900s.   I live about 30 minutes outside of Baltimore, where there is still a â€Å"Little Italy† today.   Although it is still a lively community with many authentic Italian restaurants and shops, it is nothing like the â€Å"Little Italies† of the past.   The close-knit community that was at the heart of the old â€Å"Little Italies† has disappeared from the â€Å"Little Italy† in Baltimore and many of the residents are not Italian. Effects of Assimilation The diaspora of the Italian Americans has significantly changed the dynamic of what Italian Americans consider their ethnic identity.   Growing up in America in a community that was not dominated by Italians, meant that my only exposure to my Italian heritage came through my family.   The schools I attended and the friends I made were mostly non-Italian.   For this reason, instead of thinking of myself as Italian first, as my ancestors once did, I think of myself as American first and Italian second.   An â€Å"American Italian† you might say.   This is due to the assimilation of the Italian Americans that took place as they moved out of their tightly-knit communities that prevented assimilation.   So the strong sense of community that the Italian Americans felt had slowly disappeared.   This caused Italian Americans to hold onto their ethnic culture in different ways.   As the dynamics of a group change, the group adapts, but still holds onto its roots.   As Allport (1954) says in-groups can evolve and adapt in order to reflect the values of the members of the in-group (p. 37).   In-groups are not static because the beliefs and values of the people in those in-groups are not static.   In the case of 4th generation millennial Italian Americans, we are assimilated to the American society and have never been part of the communities that were once so pivotal to our ancestors.   Instead, we hold onto our ethnic roots through the closeness of family, family traditions, food, and the memories of the â€Å"old days† passed down from our grandparents. Autoethnography Christine Walley (2013) says that autoethnographies take a look into family member’s lives while in the context of a larger conversation and attempt to apply their lives to society as a whole (p.15).   Autoethnographies attempt to fill a gap in the research that has been done on a particular in-group through the use of scholarly research but also personal experience in that in-group.   Gordon Allport (1954) defines an in-group as a group of people who use the term â€Å"we† to signify the same thing (p. 31).   My most prominent in-group is Italian Americans, or more specifically 4th generation Italian Americans.   Many autoethnographies would split this section into multiple sub sections, however, I feel that family, food, tradition, and memories are too intertwined for me to split them up. In my family and many other Italian families, family comes first.   Whether it’s missing a party with my friends to go to family dinner at my grandma’s house or taking an hour out of my busy schedule to sit down and have dinner with my family every night or going to see my cousin’s play, family always comes first.   At least once every month, my immediate family, my cousins, aunts, uncles, and my grandparents would all gather together at one of our houses (usually my grandma’s) to celebrate basically anything that we could.   Sometimes we would just get together for no reason if we hadn’t seen everyone in a couple weeks.   These celebrations have given me some of my fondest memories of my childhood, but also shaped the person I have become.   Having such a close family has given me a self-confidence that I could not have achieved without my family.   I know that I have a strong foundation and that I can always count on my family.   Thi s has helped me to be confident in myself and take challenges head on.   For example, I would never have been able to achieve a 4.0 in high school all four years without my family supporting me.   However, having a family as close as mine does have some drawbacks.   For example, my social life was significantly affected.   While most of my friends were hanging out on a Friday or Saturday night, I was with my family.   Additionally, your privacy is essentially non-existent when you have such a close family.   Whenever something happened in our family, large or small, it would spread through the family rapidly whether you wanted it to or not.   For example, when I got a new girlfriend, I got calls from all of my relatives within a couple hours of telling just one of my family members.   However, one of the best things from when we do get together was that we always have extremely excessive amounts of food no matter what the occasion.   I remember one time at my grand ma’s house where it was just my immediate family and my grandparents.   My grandma made enough pasta and gravy (that’s what pasta sauce is called in my family) to feed about 20 people.   Many non-Italians have never heard of pasta sauce being called gravy before, but in Italian families, especially in the â€Å"old times†, it is always called gravy.   My grandma grew up in an Italian community in Bayonne, New Jersey.   Both of her parents were first generation Italian Americans who met in the United States (M. Litwin, personal communication, November 10, 2015).   In the community that they lived in, as well as in the majority of Italian American communities, pasta and red sauce or meat sauce was always called macaroni and gravy (M. Litwin, personal communication, November 10, 2015).   This tradition has been passed down in my family for generations and I will pass it down to my children as well.   As you can see, all self-respecting 4th generation Italian Americans such as myself will call the sauce you put on your pasta (or macaroni as my grandma calls it) gravy. Another tradition that my family has is that we host the Christmas party every year.   The preparation for the party starts about a week before Christmas.   The first couple days are spent cleaning up the house and setting everything up for the party.   The rest of the time is spent cooking.   The house smells of freshly made bread, gravy simmering on the stove, the ham cooking in the oven, and much more.   We usually have to make enough food to feed about 100 people because we invite all of my extended family including 2nd cousins and family friends.   On Christmas day, my grandparents are always the first ones to show up.   My sisters and I help them bring in a carful of homemade food ranging from my grandma’s famous brownies, chocolate chip cookies, a couple cakes, biscotti (an Italian cookie), meatballs, my grandfather’s homemade rolls, and a couple bowls of fresh fruit.   Loraine Caputo (2011) describes how cooking became a way for her grandmothers and her to embrace their ethnic heritage.   She says that she spends hours in the kitchen preparing meals and perfecting her dishes (p. 194).   Both of my grandmother’s along with my mom have also chosen to spend so much time cooking because they feel it is part of their ethnic identity.   Caputo’s daughter says it best when she tells her mom that â€Å"We are Italian† when Caputo complains about spending so much time in the kitchen (2011 p. 194).   However, I have learned to cook the traditional Italian meals in addition to just my sisters as it was when my grandma grew up.   Learning to cook my family’s meals has allowed me to share in a substantial part of my ancestor’s lives, something that I would never have without Italian food. As time passes, the house fills up, making it hard to move through the rooms.   The upstairs is filled with laughter, conversation, and of course story-telling.   My grandfather will retell the stories growing up in a row house with little money.   His father fixed shoes for a living in an Italian community much like in the North End.   As Smajda and Gerteis (2012 p. 628) say, â€Å"You used to be able to have your shoes fixed here but that’s not so easy anymore†.   Next, he’ll talk about how he started his own paper route when he was 12 years old to help his parents pay the bills.   These stories remind us of our roots and keep the family history alive.   My grandma will tell us the stories about her parents that just like me, she had heard hundreds of times (M. Litwin, personal communication, November 10, 2015).   I will pass these same stories down to my kids along with my own stories.   Additionally, these stories have taught me that you nev er can tell when you are in the â€Å"good old days† (or the memories that you remember for the rest of your life) until you leave them.   This has had a significant impact on my life because I try to make the most of every day, whether that means getting up early to work out instead of sleeping in or making sure that I do my absolute best on a paper. â€Å"Dinner!!!!† My dad calls down in the basement and all of the kids rush up the stairs to get in line.   The aroma coming from the kitchen is floating throughout the house and everyone gets in line to taste the delicious food that my mom, along with our help, has been preparing for days.   My mom’s chicken parmesan is front and center next to my dad’s delicious mash potatoes.   There’s pasta and meatballs, sausage and onion, pork and sourcrout, ham, mac and cheese, corn, my grandpa’s homemade rolls, lasagna, bread from Chef Palino’s (a small mom and pop Italian restaurant), and much more.   Many people make the mistake of filling up too much on dinner because there’s so much food.   Their mistake always proves costly when they see the dessert table.   We usually have more dessert than we do food for dinner.   There’s my grandma’s brownies, chocolate chip cookies, candy cane cookies, biscotti, three or fo ur cakes, tandy cakes (a thin vanilla cake topped with a layer of peanut butter and a layer of chocolate), thumbprints (a tradition of my grandma’s), fresh fruit, and any other desserts that our guests bring.   Sitting around the table for dinner and dessert embodies my ethnic identity as an Italian American.   All of my family is there laughing, telling stories of the â€Å"old days†, continuing our family traditions, and making new memories that we can add to the wealth of memories that my family already has. Conclusion 4th generation millennial Italian Americans today still embrace their ethnic identities, but the ways in which they do so have evolved.   The ethnic communities that existed in the time of our great grandparents and grandparents are almost non-existent today.   The assimilation that took place after the Italian Americans left the â€Å"Little Italies†, transformed the way that Italian Americans look at their ethnic identities.   There was no longer a strong community to fall back on, but instead a tight family to fall back on.   Today, close family, Italian food, traditions, and the memories of their ancestors allow Italian Americans like myself to embrace their roots, but also to keep adding to the history of Italian Americans.   How will my kids and my kids’ kids embrace their ethnic identity?   I don’t know for sure.   I hope they will continue to love Italian food like I do, raise their families to be as close as mine is today, and continue to t ell the stories of our family.   Most likely, they will evolve my definition of what I believe to be my ethnic identity into their own version.    References Allport, G. W. (1954). Formation of In-Groups. The Nature of Prejudice (pp. 29-47). Reading, MA: Addison-Wesley Publishing Company. Buonanno, M. (2011, fall). Ethnicity, Nostalgia, Affirmation: The Rhetoric of Italian American Identity. Voices, 37(3/4), 3-9. Caputo, L. (2011, July 1). Gender, Food, and Loss. Studies in Gender and Sexuality, 12(3), 179-195. Cavallero, J. J. (2004, summer). Gangsters, Fessos, Tricksters, AND Sopranos: The Historical Roots of Italian American Stereotype Anxiety. Journal of Popular Film & Television, 32(2), 50-63. Dottolo, A. L. (2015 August 31). Slicing White Bre(a)d: Racial Identities, Recipes, and Italian-American Women. Women & Therapy, 38(3-4), 356-376. Gerteis, J. & Smaja J. (2012, September). Ethnic Community and Ethnic Boundaries in a â€Å"Sauce-Scented Neighborhood†. Sociological Forum, 27(3), 617-640.   

Saturday, November 9, 2019

Managing Risk

Abstract This analysis is to submit a proposal that the CFO and I can work on together to evolve into a policy that assists each Risk Management department. In this proposal we will develop a system to evaluate enterprise and financial risk. However, Due to the fact that there are two models that are inconsistent we will have to figure out ways to work together to get on the same page to reduce confusion and getting the job done. In this proposal I will illustrate how to use the ERM Framework to address risk, will discuss how to support the Insurance Marketing Process.Also I will discuss how to evaluate â€Å"Risk Bearing† and â€Å"Risk Sharing† activities, and how to assist in implementing a Workers' Compensation program that is fair and equitable. Developing a process to identify organizational risks will assist management in determining what risks can impact strategy and the achievement of organizational goals. Some of the same methodologies used to identify risks i n conventional risk management programs can be deployed in an ERM program and include both formal and informal methods. (Youngberg, 2011).A successful enterprise risk management (ERM) initiative can affect the likelihood and consequences of risks materializing, as well as deliver benefits related to better informed strategic decisions, successful delivery of change and increased operational efficiency. To use the ERM Framework to address risk, I will follow the 5 steps that organization uses to develop and implementing the ERM programs. Which is Identify and engage an executive-level champion, for any organization there should be someone in charge to make decision about certain policies or project.This will reduce migration and everyone will be in the same page. Second is to select a steering committee and working task force. â€Å"The benefit of the steering committee is to develop a timeline for program development. The committee meets quarterly to review and also to approve proj ect, receive status reports on existing project and to review strategic plan for organization†. (Youngberg, 2011). Third is to Review strategic plan for organization, which means organizations should be aware of the work strategic direction.You can’t be a team leader without knowing what’s your organization plan is. As stated in the course text: the strategy plan should be reviewed with the steering committee and the working task force to ensure that the goals and objective are clearly stated that ERM program support the existing plan, and that conflict do not arise† (Youngberg, 2011). Fourth is to Identify and review current risk-identification tools. Which mean the working task force should review all existence methods to identify risk.These methods may be internal or external to the organization and may be formal or informal. Last but not least, â€Å"the organization should be compile and share resource lists and reference materials, and identify subje ct-matter experts. For example, the working task force will be responsible for compiling the reference materials in an online library for easy reference†. (Youngberg, 2011). Also follow the surveys and risk interviewing method. To support the Insurance Marketing Process is to understand the steps and to have a better understanding of how the process works.What I would do is before beginning the marketing process with another organization I would find out what are the objectives and strategies for transferring risk to the commercial-insurance market place. We both should come together with an agreement and be aware of the current risk-financing plan before the process. Also to identify and analyze potential insures. If I have to choose whose will be my potential insurer, this candidate should meet all of the organizations objectives. It’s also my responsibility to collaborate with other potential organizations and which candidates will the best carrier to do business wit h.The steps that will be taking are: â€Å"Organizations should be reviewing exiting financial plan, identify potential markets, collecting data and lose information, reviewing loss forecast and prepare analytical summaries, developing program options. Finalize submission, submit to market, meet the underwriters, obtain quotations and perform comparative analyses, negotiating place policies and monitoring results and relationship†. (Youngberg, 2011). According to health affairs articles, Balancing Risk Bearing and Risk Sharing is a system that is entirely risking bearing.The primary purpose of a cost-allocation system is to encourage participation in risk management programs, reduce overall costs and the frequency and severity of losses, and share proportionately in the cost of the program. The easiest way to achieve this is by allocating the costs to the parties that generate them. A risk-sharing system allocates all medical liability costs in proportion to each departmentâ €™s exposure. The proper allocation system for most organizations lies somewhere between these two extremes. (Youngberg, 2011).The number of risk-sharing arrangements between health plans and providers grew rapidly. More recently, however, there is evidence that plans and providers in some markets are losing interest in developing new or continuing existing risk-sharing arrangements. Several factors appear to be contributing to this change: the financial instability of risk-bearing organizations; consumer and provider backlash against managed care; and an increasingly restrictive regulatory environment, which may extend to plan-provider contracting arrangements. (Marsha R.Gold. 2003). Risk sharing is attractive on several fronts. For plans, it provides a mechanism for controlling costs; for providers, it preserves their autonomy by shifting to them responsibilities for managing service use, costs, and quality. However, it also has a down side, particularly if the amount of risk transferred is large or payments are not commensurate with expected costs. (Kleffner, A. Drohetrty, N. 1996) Many provider organizations have little experience managing risk and lack the necessary infrastructure to manage it effectively.If the degree of risk transferred to providers is more than they can absorb, their continued viability, as well as that of plans with whom they contract, may be jeopardized. This in turns raises the likelihood that the level and quality of care available to enrollees could be negatively affected. (Marsha R. Gold. 2003). Base of what the most important factor to evaluate Risk Bearing† and â€Å"Risk Sharing† activities is whomever created the risk should be encouraged to participate in risk management cost and activities.From my perspective, worker’s compensation can be defined as all of the rewards earned such as direct financial compensation consisting of pay received in the form of wages, salaries, bonuses and commissions provid ed at regular and consistent intervals. Indirect financial compensation including all financial rewards that are not included in direct compensation and can be understood to form part of the social contract between the employer and employee such as benefits, leaves, retirement plans, education, and employee services.Non-financial compensation referring to topics such as career development and advancement opportunities, opportunities for recognition, as well as work environment and conditions by employees in return for their labor. In determining effective rewards, however, the uniqueness of each employee must also be considered. People have different needs or reasons for working. The most appropriate compensation will meet these individual needs.To a large degree, adequate or fair compensation is in the mind of the employee. A good compensation strategy includes a balance between internal equity and external competitiveness. Compensation and benefits affect the productivity and happ iness of employees, as well as the ability of your organization to effectively realize its objectives. It is to your advantage to ensure that your employees are creatively compensated and knowledgeable of their benefits. (Gomez-Mejia, L. , & Wiseman, R. M. 1997). ConclusionDeveloping a process to identify organizational risks will assist management in determining what risks can impact strategy and the achievement of organizational goals. There several tools to follow when working as a team, the two most common method is used in ERM program are surveys and risk interviews. If we’re going to work as a team we have to open-minded and be responsible and thoughtful. Communication is the key to be successful in a organization. Also following the five steps of developing and implement an ERM program can help an organization moves forward.

Thursday, November 7, 2019

Celebrating Presidents Day for Micigan Veterans

Celebrating Presidents Day for Micigan Veterans TWO REASONS TO CELEBRATE PRESIDENTS’ DAY FOR MICHIGAN VETERANS The third Monday of February marks Presidents’ Day. It is a federal holiday and, in Michigan, a state holiday as well.Do you know why we celebrate Presidents’ Day? We suggest that you check out this interesting article by USA Today. As the article notes, the answer to that question is actually the subject of some debate.Some people believe that we should use Presidents’ Day to honor two of our most noteworthy presidents – George Washington and Abraham Lincoln. However, others consider it to be a day to honor all of our presidents.We won’t attempt to settle that debate here.However, as a law firm that works with veterans throughout Michigan, we want to share more about these two important reasons to celebrate on February 20th:Many American presidents served in battle.Many veterans who file for disability benefits through the Department of Veterans Affairs served in military operations in Iraq, Afghanistan, Vietnam, Bosnia, Korea and other regions. Th ey should know that many of our nation’s presidents served our country in combat as well.It starts with our very first president, Washington, who served as the commander of the Continental Army in the American Revolutionary War. More recently, our 41st president, George H.W. Bush, fought in the Pacific as a U.S. Navy pilot during World War II.We should also point out that that many people who were candidates for president served in combat as well. Sen. John McCain (R-Arizona) readily comes to mind. You should read his gripping first-person account of his experience as a prisoner of war for five years in North Vietnam.As ABC News reports, to this day, McCain cannot â€Å"raise his arms high enough to comb his hair† and tries to avoid â€Å"repetitive exercise involving his arms† due to the injuries he suffered during his service.A total of 31 presidents served in the military.Out of 45 presidents, a total of 31 served in the military, as the USO notes. The Vetera ns Health Administration provides a complete list of those presidents, including the highest rank they held while in service.The majority of presidents served in the Army or as militia members. However, since the mid-20th century, the U.S. Navy or Naval Reserve produced the most veterans sworn into office.Of course, military service is not required to enter the Oval Office. However, the traits that military life instills – honor, courage and leadership – clearly prepare a person to become the leader of our country.When you celebrate Presidents’ Day as a veteran, you are actually celebrating many of your fellow veterans and honoring all that they have gone through and lost in exchange for our freedoms. The Disability Attorneys of Michigan hope you enjoy the holiday and take a break from your schedule to enjoy time with family and friends.If you need assistance with your VA disability benefits claim, please feel free to contact us to discuss your case. We focus sp ecifically in the area of disability benefits claims and consider it to be an honor to work with so many clients who served our country.

Tuesday, November 5, 2019

Dear Sir and Other Business Conventions

Dear Sir and Other Business Conventions Dear Sir and Other Business Conventions Dear Sir and Other Business Conventions By Maeve Maddox A reader asks: Is it just me, or does the Dear seem a little awkward when starting a business letter to someone whom you have never met or communicated [with]? If I have to call someone Mr. or something similar, is this person really dear to me? I had to laugh because I had a similar feeling the first time I had to type a letter signed Yours faithfully in England. Wow, I thought, what a devoted way to sign a business letter! At the time I was very young and literal-minded. (you can read more here about the business letter format). Dear Sir, Yours sincerely, Yours faithfully, and all such polite expressions are conventions, agreed-upon forms that serve a conventional purpose. Theyre not intended to be taken literally. Language is itself a convention. For example, the object that English speakers call a pencil is by French speakers called a crayon. For American English speakers a crayon is a stick of colored wax composition used for drawing and coloring. When I use a word, Humpty Dumpty said, in a rather scornful tone, it means just what I choose it to mean, neither more nor less. The question is, said Alice, whether you can make words mean so many different things. We can and do make the same words mean different things. Its all a matter of context. The dear in Dear Sir, does not mean the same as the dear that I use to address my grandchild. The one is a convention; the other is an endearment. The complete conversation between Alice and Humpty Dumpty in Through the Looking Glass may be read here. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Business Writing category, check our popular posts, or choose a related post below:20 Great Opening Lines to Inspire the Start of Your Story5 Lessons for Mixing Past and Present Tense5 Ways to Reduce Use of Prepositions

Sunday, November 3, 2019

DXNs Marketing Plan Case Study Example | Topics and Well Written Essays - 2000 words

DXNs Marketing Plan - Case Study Example This business includes dietary food supplements, beverages, personal care products, household products and water treatment system. These products are popularly known as DXN products. "Dato Dr. Lim started the business in quest of the benefits of mushroom on human health" (Corporate Information, 2009). DXN products are based on the Chinese mushroom called ganoderma which is considered the food of the immortals in Daoism. Ganoderma has long been used in traditional Chinese medicine for the treatment of such diseases and disorders as cancer and arthritis, and its bio medicinal value is now being established through a wealth of published literature. DXN uses Multi Level Marketing (MLM) or is commonly known as Network Marketing (DXN marketing, http://www.dxnmalaysia.com/) in promoting and advertising their products. Through network marketing, the rapid global expansion of DXN is recognized internationally by its vast growth of members worldwide and its amplification of footprint in key strategic locations. With over four million registered distributors worldwide, DXN is solidifying its position as the world leader in Ganoderma products (Corporate Information, 2009). DXNs high regard for quality earned the company many outstanding citations and recognitions from various health and business organizations. Since its inception in 1993, "DXN has upheld its concept of One Dragon, One World One Market and One Mind. With this powerful concept, DXN has sailed through continuous growth over the years" (Castillo 2009). DXN logo symbolizes success in business with a very strong marketing plan. Red represents fire to symbolize the company's fighting spirit to progress. Green represents trees to symbolize the dynamic growth and expansion of its market. Blue represents water to symbolize the company as the foundation for all the vigorous developments. The Red Oval symbolizes the rising sun to represent aggressiveness, single-mindedness and persistence in achieving DXNs vision. The Green Branches symbolizes Ganoderma to represent the company's strong commitments for growth and relentless striving to achieve excellence by focusing on health-based industry. The Blue Horizontal Line symbolizes the company as the power source for the impetus of business development (devinder 2007). The growth and life span of any company lies in the strength of its products. DXN products are superior health food products catering to the ever-increasing demands of this health-conscious world. The efficacy of these products alone is proven through many testimonies received from our 2.5 million consumers based worldwide. These products have benefited and helped many people. And on top of enjoying a healthy life because of DXN products, members are assured of lucrative bonuses. The assurance of an excellent product with growing awareness and steady demands, together with a committed company mission holds many promises for an investment that you can be proud of. Target Audiences (Distributors, Consumers) In every business big or small, we have our goal to achieve. Audiences play an important role in achieving this goal because "they are the important stakeholder" (Identify The Target Audience, 2009, par.1). Therefore we must clearly define our targeted

Thursday, October 31, 2019

Describe the various political party systems that can be identified, Essay

Describe the various political party systems that can be identified, more or less, with the developments of the following period - Essay Example The constitution recognizes that human beings are equal and have inalienable rights. As such, most political parties in the US fight for equalitarian ideals whenever another party veers off the ideals set by the constitution; for example, the democrats often advocate for strong national government and taking care of the interests of the wealthy for economic progress forgetting social equality and on the other hand, republicans worked so hard to maintain equality (Reichley, 2000 p. 30-36).There has been many political parties pursuing different interests since independence ranging from nativism, anti-catholism, slavery, taxation, and the national bank but the dominant parties in modern USA are the democratic and republican parties. The aim of this paper is to trace the history of political party systems since independence; their ideals, nominations and elections, social groupings, major fault lines, and the changes from each era to another. To answer this question, the paper will be d ivided into five sections. The first section will cover the first party system during the period 1787-1828. Then, the second party system from 1828-1854. Thirdly, third party system period from 1854 to 1896. Followed by the fourth party system 1896-1932 and lastly, fifth party system which covers the period from 1932 to 1960s. 1787-1800 Though America declared independence in 1776, the constitution was signed in the year 1787. By then there were no political parties as was the norm in other countries of the world. It was a federal constitution and as such presidents, House of Representatives and congress were elected on a federal ticket until the 1790s when political parties were invented. The first Electoral College was constituted in 1789 and George Washington from Virginia State was elected as the president with 69 votes (Reichley, 2000 p. 29). His vice president was John Adams of Massachusetts. After assuming office, Washington chose Thomas Jefferson as the secretary of state an d Hamilton as secretary of treasury. These two posts were very vital in the administration of the state thus the holders of these offices were close confidants of the president. Hamilton as the secretary of treasury was involved in making policies on development and as such he embarked on an ambitious economic program of ensuring the national state remained dominant or in control. The program involved assuming national and state debts by the federal government, establishing a national bank and levying taxes especially on whiskey (Reichley, 2000 p. 30). His philosophy was the inclusion of business interests as part of ensuring rapid economic growth in the belief that the support for commerce and manufacturing was for the benefit of all citizens. However, some individuals thought that he was reverting to the monarchical era and criticized him for placing less value on social equality which is one of the principles of the constitution. Though he conceived that there may be an abuse of power if too much power is placed on national government, he also believed that the civil society could remedy the situation (P. 30). The national bank was of such importance that different factions kept arguing about whether it should exist or not. Some individuals mostly republicans were also opposed to the idea of the federal government assuming debts and making workers pay high taxes to recover such debts. The only people who profited from such a move were speculators who had expected high

Tuesday, October 29, 2019

How Do Products of the Imagination Construct Sense of Place Essay

How Do Products of the Imagination Construct Sense of Place - Essay Example It is the words that an author pens that bring together the image of character in time and place and give rise to a stage upon which the words come to life in a reader’s mind. It is the contours and mixture of color in a range space and texture that creates in the viewer’s mind an interpretation of artist’s paintings; or the poet’s words that, while meaning little to one person, touch a place in the emotions of another such as to cause tears to flow from that person’s eyes. It is the expressed imagination of someone that causes another by way of his/her own imagination to move through time and space to a place that exists because of the creative machinations of the creator. In his book Life Place: Biorgeional Thought and Practice, Robert Thayer, Jr., writes, â€Å"To live in a place well certainly requires an imagination, humanity mires in mediocrity and stagnation; to imagine, to create, is to survive and thrive (Thayer, Robert Life Place ). Thaye r goes on to suggest that â€Å"True creativity has an other-worldliness to it (put page # only ).† Like the poet Andre’ Breton, who said, â€Å"Existence is elsewhere (Gaultier, Alyse 11),† Thayer, like Breton, is suggesting that the greatest level of creativity is the manifestation of that place where only the imagination takes us.

Sunday, October 27, 2019

Smoking Cessation Interventions In England Health And Social Care Essay

Smoking Cessation Interventions In England Health And Social Care Essay Smoking causes a range of health issues and diseases in people particularly Cardiovascular diseases, chronic obstructive pulmonary disease (COPD), lung cancer and a range of other cancers, peptic ulcer and various other medical conditions. (National Health Service, 2010)The survival rates are low even after the person undergoes surgery. Post operative Complications may also develop which causes delays in recuperation and often people experience respiratory issues due to this. (National Institute of Clinical Excellence, 2010). Further, it can cause complications in pregnancy and labour among women who smoke during their pregnancy period, including ectopic pregnancy, bleeding, premature detachment of placenta and premature rapture of membranes. These women also suffer from a high risk of miscarriages in comparison to those who do not smoke. Also, the babies born to such mothers carry a lighter weight (average 200-250 gm) than women who do not smoke. (NICE, 2010). This can reduce the immunity system of children and place them at risk of developing diseases in childhood or death. It has been found that Smoking in pregnancy increases infant mortality by about 40 percent. (NICE, 2010). The number of deaths attributed to smoking were estimated to be 83,900 in adults aged 35 and above in 2008. Among these deaths, 23,200 resulted from respiratory diseases (mainly obstructive lung disease) and 37,000 accounted for cancer conditions (lung cancer, Cancer of the Oesophagus). (HSCIC, 2009) Given the varied benefits of stopping smoking and adopt healthy lifestyle, some smokers are willing to quit smoking and 70 percent of them make efforts to quit at least once in their lifetime. At present, the self reported rates of smoking in England is 21 percent among adults aged 16 and above. Despite the trends of reduction in smoking prevalence, it is still considered as a serious public health concern in England (Allender et al, 2008). NHS Stop smoking services It is reported that over two third (67%) of the smokers in the English population attempt to quit every year (ONS, 2009). However, smokers are often require to put in repeated efforts and attempts towards quitting smoking before succeeding (NHS, 2010). To support smokers who want to quit smoking and help them succeed in their quit efforts, National Health Service (NHS) founded a unique initiative program called as NHS Stop Smoking Services (NHSsss) in 1999. This national programme came into being following the White paper on Smoking kills published by Government in 1998.This policy guidance expressed strong commitment to address the serious health consequences of smoking and tackle the growing concern of rising prevalence rate of smoking in the population. It laid down plans for the development of a special national unit, Smoking Cessation Services) along with other initiatives (implementation of advertisement ban, ban of smoking at work and public places). NHSSS forms the part of th e wider Tobacco Control program run by Government to reduce the prevalence of smoking among the local population. Their primary role is to provide and deliver a high- quality clinical smoking cessation services to smokers who are motivated to quit smoking. Since its establishment, NHS Stop smoking services (SSS) have supported over two million people to quit smoking in the short run and 500,000 people to quit smoking in the long run without relapse. In total it has saved 70,000 lives uptill now. Even though smoking rates have dropped down since 1990s the progress has been slower in the last decade among the Routine and Manual workers population. It has been estimated that the dropping rate of smoking is 0.4 percent a year. (NICE, 2010). This suggests that health inequalities exist between different socio- economic groups. There have been expectations that SSS will make significant contributions in reducing the gap of smoking prevalence between these groups. This issue was taken up as one of the main priority in NHS Operating Framework and treatments and support were offered by Primary Care Trusts (PCTs) to people who were willing to stop smoking in deprived localities of England. (Low et al, 2007). However, quit rates among socially di sadvantaged groups remain low. Currently, out of the total smoking population, smoking rates among Routine and Manual workers are 26 percent. Also, the smoking rate is high among people who belong to ethnic minority groups in the UK population. Studies conducted in various ethnic minority communities have reported that people from these populations do not access the services offered by NHS SSS due to limited information about the accessibility and effectiveness of smoking cessation interventions. Thus, to maximise the potential of NHS Stop Smoking Services, a high and effective level of intervention is essential to target this public health concern and reach people from all socio economic and ethnic minority groups who are willing to stop smoking and benefit from it. NHS Stop Smoking Cessation Services- Delivering of interventions NHS Stop smoking support are offered and delivered in range of ways. The treatments are provided to people in a separately or a combined manner. Recommended treatments that have shown evidence to be effective over the years comprise (NICE, 2010): Brief interventions given by GP, nurses or other health practitioners practicing in the local community in the form of advice, self help materials or referrals for further clinical treatment. Individual Behaviour counselling in a one to one sessions Group Behaviour therapy ( Also known as Closed Groups) Pharmacotherapies ( providing alternate medications like Nicotine Replacement therapy, Buropion or Vareniclin) Self help materials (leaflets, quick kits) Telephone counselling and quitlines Media campaigns to spread awareness of smoking related ill health and interventions available to stop smoking. The sources of mass media campaigns include a combination of television, radio, newspaper advertising. Smokers who are willing to discontinue smoking are offered the above range of treatments options so that they can chose the one which suits them the most. The health professionals may provide, as appropriate, a combination of interventions that are sensitive to the needs, preferences and ethnic diversity of their local smoking population and at the same time being mindful of bridging the gap between health inequalities. These interventions are considered to be cost effective way of reducing ill health and prolonging life. So every smoker should be advised to stop smoking and offered help if they feel like wise in doing so. (NHS, 2010) All the interventions provided under Stop Smoking Services Clinics share some common properties. Such as Behavioural support offered in both individual and group therapies by health professionals and they normally advise the usage of Nicotine and Nicotine- based therapies along with it. (NHS, 2010). This clinical service is provided over multiple sessions to the smoker and a quit target date is set at a follow up of 4 weeks. Success ranges of quit rates by smokers depends upon the type of intervention received by them. Interventions that combine group support with Nicotine reduction therapy are more effective in achieving 4 weeks quit rates (71 percent) in comparison to individual support given in clinical settings. (Bauld et al, 2009). Though both types of intervention implement complimentary modes of action, the quit rates maintained over long term differ considerably. Other interventions like counselling support and information provided over quit lines, internet and mobile phones may be easily accessible by wide smoking population but may be less intensive and effective in comparison to the support given in clinical settings (NHS, 2010). Aims of this Research: This research is designed to meet the following aims: To assess the effect of the different interventions and support offered by Smoking cessation services to help achieve success rates of smoking abstinence over long period of time. To make a comparison between the studies that have evaluated the effectiveness of interventions undertaken by the smoker with the assistance of self help interventions in comparison to the clinical treatments provided under NHS stop smoking cessation services over the last decade. The comparative assessment will be done between the following: Self help materials (leaflets, information kits); Mobile phone and Web based support, Smoking Quitlines Vs Brief advice offered by GPs and other health professionals Brief GP advice + Nicotine reduction therapy, Bupropian and Vernaciline; Attending a smoking clinic and receiving Behavioural support +NRT, Bupropian and Vernaciline Highlight those interventions among the clinical and less clinical interventions which are more likely to produce successful quit rates at 4 weeks follow up. Rationale for conducting this Literature review Research Disease Burden from smoking: Smoking imposes a huge burden on the countrys economy. It imposes direct costs on National Health Service for health care and indirect costs on loss of productivity (ASH, 2010). It has been estimated that National Health Service spends approximately 2.7 billion on treatments and control this public health issue. In addition, it puts the smoker and their families and others through discomfort, pain and suffering. Among them, the cost of bereavement and consequent emotional and social distress, the payment of social security and benefits is given to the dependants of those who die as a result of smoking related disease. Also, it has been suggested that total number of deaths associated with smoking has not changed much in the last 10 years (Allender et al, 2008) Thus, given the expenditure spent by NHS in providing interventions under its National Program, it becomes highly important to deliver treatments that are evidenced based and help in maintaining consistent quit rates of between 35% and 70% in the population and meet the PSA target of reducing smoking prevalence rate by 21% or less by 2010 (NHS, 2010). This research will make a comparative assessment and provide information and insight of the effectiveness of the both highly clinical and less clinical interventions which will help in the meeting the current NHS targets for 2010. Knowledge transfer: For the purpose of achieving the third aim, the author has a personal interest in highlighting it. The author here wishes to gain wider information about the most effective smoking cessation intervention with the objective of transfer knowledge. The author of this dissertation belongs to India and she wanted to make an international comparative assessment of the effectiveness of national smoking cessation interventions between England and India. However, due to the limited published documents of current trends and related literature, it has not been possible to examine and make comparisons with India on this topic. But the author found some useful information from a national report produced under Ministry of Health and Social Welfare (MOHSW, 2004) raised awareness about the widespread production, consumption and resulting impact of ill health impinging on Indian population and its economy. So the author would like to transfer knowledge by sharing the results and outcomes of this research with the health professionals with the main purpose of sensitising Indian health care system; and promoting most effective tobacco cessation interventions based on the examples of English Stop Smoking Cessation services; and minimize the economic burden on Indian government. (MOHSW, 2004) Thus, Tobacco Control programmes worldwide are designed with the aim of reducing the burden of disease, disability and death related to the consumption of tobacco. In order to determine the effectiveness of such programmes in England, it is essential to describe the smoking cessation interventions; document implementation and show results and outcomes to guage their contribution towards bringing down the smoking rate in the population. Hence, The next section, Preliminary Literature review will discuss in detail the workings of NHS Stop smoking services; different Smoking Cessation treatments, and manner of implementation with statistical facts to support their contribution in bringing down the smoking rate in English population.