Funding Sources and their Requirements free essay sample

This essay highlights the main sources of funding for disaster relief projects. This report analyzes ten different disaster relief project categories and identifies the major funding sources and agencies, the key elements within their respective project proposal formats and the major differing elements within the proposals, and thus the requirements for the different categories. Table of Contents Introduction Identification of Major Funding Sources and Agencies Key Elements of Project Proposals Differences in Rquirements Contained in Project Proposals Bibliography Multilateral Aid Sources are those organisations that are a combination of government co-operation and financing, such as the United Nations, or the European Union. These organisations will then in turn identify the priority cases for funding in accordance with their set criteria. Multilateral sources gain their money from a multitude of bilateral sources, and also fund projects directly, on occasions

10 Cheap Ways to Get Books for Class

10 Cheap Ways to Get Books for Class College classes are a chance to expand your mind, explore new subjects, meet new people and learn more than you ever wanted to know about just how expensive books can be. Luckily, there are plenty of ways to find books on the cheap. These helpful hints can trim down your book budget, see also how to find money for education, and help you to work smarter instead of harder. Find Out If You Need the Textbook First Plenty of courses have a recommended textbook and plenty of students know that doesn’t mean youll actually use them. Each year, thousands of students buy expensive textbooks they open once and then throw into a corner to collect dust until the end of the school year. Talk to former students or ask your professor or TA directly if youll need the textbook. Shop Online Secondhand books have become a huge industry online. Websites like ABE and Alibris specialize in out of print and hard to find titles – including textbooks. Amazon also offers quite a few options – including a marketplace solely dedicated to used and secondhand books. When shopping online for textbooks, there are a few tips that can help make sure you find a great deal. Ask About the Edition – Some textbooks go through major revisions every year. Others move the placement of a comma and release it as an Updated Edition. Trawl through the Table of Content, look for a list of updates and changes or simply ask your professor if an older version is fine for the course. Being able to buy an older edition could slash the cost of a textbook in half. Check the Condition – Secondhand books are, by their very nature, used. However, not all students go through a Highlight Fever phase so many textbooks are in great shape with little, if any, marks or highlights. Others, however, can be so marked up that youll start to think the previous owner fostered a deep seated marker scent addiction. If a textbook is priced especially low, be sure to check the notes on its condition. If youre able to ignore marks and notes in the margins, then a heavily used copy will be a lot cheaper than one with little or no marks. Cast the Net Wide – When looking for textbooks online, be sure to include websites that arent completely dedicated to books. Both eBay and Craigslist can be great places to find used textbooks, especially if you manage to search right after a semester ends. Plenty of students try to sell their own textbooks directly and some even sell them as a lot on sites like Craigslist. Factor in Shipping – When you buy books online, they could be coming from anywhere. If youve only started to look for textbooks a few weeks before class starts, be sure theyll arrive in time. Also factor in the shipping costs – textbooks are notoriously heavy. Get Local If your university is near a major city, be sure to check out the local thrift stores. Many students dont bother trying to resell their old textbooks and you may be surprised how many end up on the bookshelves of a local charity shop. While the editions may be older, if your course doesn’t require the most up to date edition, picking up a used copy at a thrift store could make a real difference in how much you end up paying for books. Consider International Editions International editions of major textbooks have the same content as domestic editions. The difference typically has to do with the quality of paper and other materials used to publish the book. These books are not available through US websites or stores. That means youll need to consider extra shipping costs and more shipping time since youll be ordering from abroad. Explore E-Book Options These days, more and more publishers are offering electronic versions of popular university and higher education textbooks. Although you wont be able to easily resell these books once the class is over, they are typically priced much lower than their traditional counterparts. Rent Them! Renting textbooks has become the newest way for students to help take the crunch out of their book budgets. Smaller websites like Textbook Rentals and Book Renter have become hot buzzwords on college campuses. Even the book giants Amazon and Barnes Noble are beginning to get into the textbook rental business. Although currently there are a limited number of books you can rent, its growing popularity suggests that soon students will be able to rent everything from Accounting 101 to Zoology 999. There are many expenses associated with getting a college degree. Paying for tuition and class fees is really the top of the iceberg. Books come a close second in terms of how much of your education budget but these tips can help lessen the sting of buying books for every class. Freeing up a bit of money by getting textbooks cheaper means less stress on your budget and your mind which can make your next semester a lot easier.

Why Detaining terrorist in Guantanamo Bay was against American Essay

Why Detaining terrorist in Guantanamo Bay was against American Philosophy - Essay Example Hamdan, a diminutive Yemeni who had been detained in Guantanamo Bay for more than five years, was kept in a tiny room kept cold with air conditioning, while he had nothing proper to cover himself, not even a pair of socks. Swift shared his thoughts with his partner law professor, Neal Katyal, who had been preparing legal briefs on the matter of President Bushs military tribunals. Katyal made his own efforts in writing drafts for the Supreme Court and the Court of Appeals trying to figure out what the Department of Defense was going to include in the new guidelines for the Guantanamo Bay detainees. Although the Supreme Court declared the military tribunals as illegal, still Congress protested and passed its own ruling regarding the secluded Guantanamo. This was a defeat of American philosophy. So, the lawyers, Swift and Katyal, decided to challenge Congress. Why detaining terrorists in Guantanamo Bay is against the American philosophy has many fair reasons. It is not legal in any case, according to human rights, to deprive a prisoner of war of his legal right of either being tried or released if proved innocent. The detainees at Guantanamo Bay are neither tried nor released, and they do not even know why they have been brought there and kept in brutal torture. Detainees have been held in Guantanamo Bay without charge for more than five years many of whom have been subjected to severe abuses. This has significantly torn apart American reputation of war. Guantanamo has become an epitome of lawlessness in the eyes of the whole world. American philosophy has enabled the United States to stand among one of the strongest democracies which support human rights and which make other nations comply with the international standards of human rights and humanitarian laws. But now, even the allies of the Bush’s administration are looking at Gu antanamo policy as a failure and violation of American philosophy of war and human rights. Carafano and Rona state that: That the

THE FEASIBILITY OF DIFFERENT TECHNIQUES FOR PROVIDING FRESH WATER TO Essay

THE FEASIBILITY OF DIFFERENT TECHNIQUES FOR PROVIDING FRESH WATER TO ARID REGIONS OF THE WORLD - Essay Example There are two solutions which include; finding an alternate or extra water resource using conservative centralized approach. This report entails on different methods used in harvesting water to make it useful for human consumption and domestication. The methods include: a) Rain water harvesting b) Water diversions c) Desalination d) Water re-use e) Storing water in reservoirs f) Transferring water among basins 1. Rain water harvesting Rain water management which is also known as harvesting has received numerous renewed attentions as an alternative means of augmenting water sources. The method involves collecting and intercepting rain water where it falls to the ground before it gets contaminated to the extent of being harmful to human consumption (Pereira et al, 2002) as the author suggests. Water harvesting has been employed for a long time for the purpose of irrigation and restoration of lands’ productivity, used for drinking by both humans and animals, increase ground water resources, minimize risk in drought stricken areas and to reduce ( rain water harvesting, 2006 ) storm water discharge as the journal states. Water harvesting has a few advantages which includes; I. It provides a good supplement to other water sources and co- exists well with them, hence relieving pressure on the other sources of water. II. It reduces storm drainage and flooding in urban streets. III. Its maintenance, construction, and operation are not labor intensive, and the technology applied is very flexible. 2. Water diversions Water diversion is where water is directed to a certain direction where it is easily manageable and monitored. The technique used to deal with natural variability in flow consists of; diversion of water into ditches, recharge pits spreading basins and infiltrations lagoons. The practice of water diversion is widely applied in most countries especially the ones in the arid and semi-arid regions throughout the Middle East and Mediterranean terrains (UNES CO, 2000; Mahnot et al., 2003) as it was reported from the international organization focusing on water development in developing and developed countries. 3. Desalination This method is used only in water-scarce semi-arid and coastal- arid areas that are inland located where the only available source of water is either (brackish) ground water or saline. This technology of water harvesting has been used since the twentieth century as (Awerbuch, 2004; and Schiffler 2004) report about the global use of desalination capacity and its challenges. About fifty percent of worldwide desalination occurs in the Middle East, followed by North America and Europe. The future usage of desalination is emerging at a high rate with an increasing demand and up- scaling process. It promotes tourism and also acts as a recreation for the development of economy in the coastal regions (Pyne et al, 2004) as reported in the world water development report. 4. Water re-use It was recently summarized (Asano and Levine, 2004) that there are many challenges associated with water recovery and reuse. They stated that the technique used in water reuse has been employed in many countries such as the United States and Germany. Modern waste water treatment has facilitated its increased usage in up to date waste water treatment procedure. These technological processes can effectively remove environmental material, pathogens and nutrients leaving the treated water with a wide range of prospective applications. According to the water recycle survey (Mantovani et al,

Website Design for Interactive Environment Coursework - 1

Website Design for Interactive Environment - Coursework Example In its purest form, the 100% mobile device is an extension of the user not the other way round, extension of the device. Globally, mobile devices outnumber desktop computers 20-1. Given that, not every mobile device- especially phones- has the functionality to access the internet, however the turnover frequency for mobile devices is higher than that of the desktop devices. Mobile devices have brought a revolutionary omnipresence and it is vital to understand the meaning of the term â€Å"mobile web†. There are cases that call for the inclusion of protocols and standards such as SMTP, SMS, and IM in the definition of this term but this report adapts Colborne’s definition as the subset of HTTP content that has been optimized for and is accessible with a mobile device. Mobile web content is therefore less detailed, making it lighter than desktop web, due to the technical limitations posed by the technology. When using a desktop workstation to access the web, we connect using Ethernet over a leased line that has a rich infrastructure. If we opted to use Wi-Fi in place of the Ethernet, even on the same workstation at home, it comes with new complications into the equation. A close examination of the underlying technology that supports mobile web reveals the technical hurdles that a mobile device overcomes while connecting to the exact same data reservoir as the workstation or notebook PC. The mobile device connects over a less robust network whether it’s the faster and newer EDGE or G3 connection or slower and older GPRS. Once the connection has been made, it must be held through a call transfer from multiple cell-towers as the user traverses the coverage connection matrix of a given carrier. This makes the mobile devices extremely limited in terms of available bandwidth. Screen size is the most obvious difference a computer and mobile device. For years, the minimum screen resolution designed has been increasing. Similarly,

Psychological Factors In Diabetes Mellitus Health And Social Care Essay

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

Essays --

A. A party system is the concept that political parties in a democratic country have basic similarities: they control the government, have a stable base of mass popular support, and create internal mechanisms for controlling funding, information and nominations. From 1789 to the 1890’s, the United States had three party systems. The First Party System consisted of Federalists versus Republican-Democrats (Republicans) from 1789 to 1816. This system can be considered to have developed as a result of the factions in the George Washington administration. The two factions were Alexander Hamilton and John Adams with Federalists and Thomas Jefferson and James Madison with the Republican Party. The Federalists argued for a strong national government, to push for aggressive economic development with a greater emphasis on farmers and states’ rights. They preferred to practice loose constructionism (loose interpretations of the Constitution) to argue that government power should be used to promote economic development through the creation of a national bank, federally financed roads, harbors, and bridges. Federalists believed that America’s economic future depended on the cultivation of strong commercial ties with Great Britain. The Republicans on the other hand wanted a small and weak national government to leave the citizens mostly free of taxation and government interference. Unlike the Federalists, the Republicans supported a philosophy of strict constructionism (strict interpretation of the Constitution) in order to avoid the economy benefitting only a few wealthy northeasterners. They also believed that agriculture, instead of manufacturing, should remain the country’s economic base and so they opposed closer relationships with Great B... ...e intent on preserving the interests of the common man. To do so, they favored the smaller national government and opposed, in particular, any Whig proposal that seemed to threaten their economic, social, or cultural freedoms. This period lasted until 1860. Lastly is the Third Party System from 1854 to the 1890’s consisting of the GOP and the Democrats. Beginning around the time of the start of the Civil War, this system was defined by bitter conflict and striking party differences and coalitions. These coalitions were most evidently defined by geography. The South was dominated by the Democrats who opposed the ending of slavery, and the North, with the exception of some major political machines, was dominated by the Republicans, who supported ending slavery. This era was a time of extreme industrial and economic expansion. The Third Party System lasted until 1896.

Hades Essay

The ultimate danger lies within death; he worst failure in a journey is when the hero falls to the fiery grasp of Hell. Much like Odysseus – a Greek hero whose tale can be found in The Odyssey – Leopold Bloom travels into Hades in episode six of Ulysses. The theme of death is a constant recurrence throughout Ulysses, and â€Å"Hades†, as its name implies, is the one chapter where death reigns. But â€Å"Hades† centers more on escaping Hell and returning to the land of the living. The heroes, in the face of death, come back to life. Odysseus and Bloom are mirrored characters, and they both have managed to escape the Underworld.This essays main goal will be to analyses the Homeric parallels between Odysseus' journey in the Underworld and Bloom's travel to Payday Diagram's funeral, a real-life journey into the depths of Hell. First of all, the Homeric parallels in episode six begin with the use of the number eleven. (l should note right away that the funeral for Payday Digamma begins at eleven a. M. ) Eleven is an essential piece of the episode, since it is a number that represents sin and death. To understand why eleven is considered a bad number, we must go back to old times.In ancient societies, pacifically Christian and/or Catholic cultures, the Decoupage, or the Ten Commandments, was used as a reference into writing laws. The number ten was considered a holy number, because there were ten fundamental laws to be followed in Catholic communities. Seeing as the number eleven oversteps ten, it was considered by many to be a â€Å"transgression of law and of sin† (Saint- Augustine, 464). Both Homer and Joyce were aware of the symbolism of the number eleven. The two authors went out of their way to weave the number into their works.However, the two writers did not use eleven as a symbol of in, but rather death. For example, in Homers The Iliad, Achilles grants the Trojan eleven days to complete Hectors funeral rites before the bat tle recommences. (Bell, 404) If we were to compare The Iliad with The Odyssey, we would see a similarity in the funeral rites. When Odysseus descends into the Underworld, he meets the ghost of one of his men, Lovelorn, who had fallen to his death when he fell asleep in the tower on Circle's island. Lovelorn begs Odysseus to give him a proper funeral, just as Hector had received.Let's now switch over to Ulysses: because Diagram's funeral begins at eleven ‘clock, Digamma is a parallel to Lovelorn, who is a parallel of Hector. These parallels explain why Joyce uses the number eleven in â€Å"Hades†. But enough about numbers. Lees discuss parallels in the novel. Joyce has a habit of linking each chapter in some way or another. By this, mean themes and concepts from previous chapters parallel chapters further on in the novel. For example, â€Å"Sirens† focused on the element of sound, whereas â€Å"Cyclops† contrasts and concentrates on sight. Similarly,  "Hades† is a parallel to â€Å"Protests† with its life and death themes.At the beginning of episode three, the themes of life and earth appear immediately. Stephen encounters a midwife carrying a bag; he thinks the bag holds a â€Å"miniskirt with a trailing nevermore, hushed in ruddy wool. † (3. 36) Midwives are seen as a symbol of birth, because they assist women giving birth. However, the chapter's theme quickly switches when Stephen realizes the baby is deceased. The â€Å"ruddy wool† solidifies this mood change; in chapter four, we learn that Bloom's son, named Rudy, had passed away around ten years ago. Rudy had been buried in a â€Å"ruddy red† wool sweater.With Stephen thinking of his dead mother, and his seeing a dead dog n the beach, the concept of death is present throughout the episode. By contrast, â€Å"Hades† begins with an immediate mention of death. Bloom, Martin Cunningham, Simon Deals and Jack Power are heading to Payday Di agram's funeral. Just like when we get a glimpse of death in the ‘life chapter' â€Å"Protests†, we get a glimpse of life in the ‘death chapter' â€Å"Hades†. As Bloom climbs into the carriage to get to the cemetery, he wipes off bits of crumbs on his suit. These crumbs are a reference to the â€Å"potted meat† (17. 124-5) we see on Molly's bed; the crumbs are a metaphor for copulating, and thus birth and fife. The main difference between â€Å"Protests† and â€Å"Hades† is that, in episode six, the theme of death is far more elaborated. From the coffin-tight carriage the men travel in, to the cattle being shipped off to the slaughterhouse, to the mention of Bloom's father's suicide, to the rats crawling out from the graves, Joyce has created a real-life depiction of Hell. What is scary about this episode is the fact that, given the God of Death's reputation in Greek and Roman literature, if Bloom really is descending into Hades, he may not make it out.Greek mythology describes Hades as the God f the Dead. According to legends, the lord of the Underworld kept a close eye on the dead souls, ensuring they do not flee the Underworld. One of Homer's plays, The Odyssey, recounts Odysseus managing to escape from Hades. Odysseus was lucky, since not many heroes have succeeded in escaping the Underworld. The very fact that anyone had been able to break out of the Underworld is a miracle. With this in mind, we are left to wonder if Bloom can make it out of the cemetery ‘alive'. The descent into Hell is seen as a dangerous, but also heroic act, especially in Greek and Roman literature.

The Lives of Western essays

The Lives of Western essays Life on the east coast of America was very different than life on the west coast. Although it was the eastern settlers that moved west, the new conditions caused the their lives to change immensely. The east coast was more densely populated than the west. The personalities of each set of settlers was very different. The geographical variation changed the living conditions of the Americans. The wealth of the Americans also changed the living conditions. The east coast has been populated since the early 1700's by first British colonists, then Americans, and finally the Irish. The society established homes, schools, roads, and towns up and down the coast line. Cities were developed as more and more people came to America, and these cities soon became very populated. Because they had been living on the east coast for generations and generations, the eastern Americans were very established people. They were well educated, they were very religious, and they were also very conservative. The roles of men and women were beginning to be established at the work place and in the home. As industrialization emerged on the east coast, more people lived in the urban areas and were able to make more money. Because the climate conditions on the east coast were relatively mild (except for Florida and Maine), the eastern Americans were able to handle most weather conditions. The east coast is right on the Atlantic Ocean facing Britain, so they were able to communicate with their homeland the easiest. The east coast Americans were also very secluded due to the Appalachian Mountains bordering them on the west. However, some Americans felt that life on the east coast wasn't the best way to live their lives. News about the gold discovery on the west attracted many Americans. Eventually, people started to regularly migrate to the west and settle there. The people that did decide to do this were very adventurous and rugged. These risk-takers could make ...

Illusions in the Great Gatsby essays

Illusions in the Great Gatsby essays Fitzgerald implicates the idea of ignorance is bliss. He helps to show this idea by quoting in the preface, ...the loss of those illusions that give such color to the world so that you dont care weather things are true or false... Gatsby has an ever-lasting love for Daisy. While Gatsby is having this obsession over Daisy, he is content with his life until he losses the illusion that he can have her. An illusion is also occurring in the marriage of Tom and Daisy. They both continue to live together even though they both are having affairs. Gatsby has an ever-lasting love of Daisy. He goes as far as moving across from Daisys house so he can look at Daisys light. The light represents the burning desire he has for Daisy. Gatsby again shows his want for Daisy; he subconsciously knocks over a clock. This symbolizes that he wants to stop time, so it could be like the time when he was with Daisy before the war. This desire is present until a short time before he is murdered. Tom and Daisys marriage is also an illusion. Bot of them are having affairs and they continue to live together as if they are happily married. They probably did this because they wanted to still be sociable with other rich members of high society; they did not want to become out casts. In both cases, Gatsby, Tom and Daisy are happy until their illusion comes crashing down on them, revealing the horrors of reality. Even after all the parties Gatsby has thrown, nobody comes to his funeral. The members of high society have realized the illusion that he has created around himself. I feel this novel moral is, live in the present, dont dwell on the past. "The Grate Gatsby". F. Scott Fitzgerald ...

The United Nations mission in Cyprus was initiated by the global Essay

The United Nations mission in Cyprus was initiated by the global community - Essay Example UNFICYP was initially developed by the Security Council in 1964 to avoid further hostility between the Greek Cypriot and Turkish Cypriot population1. After the conflicts of 1974, the Council commanded the Force to execute certain supplementary functions. Without a political agreement to the Cyprus problem, UNFICYP has stayed on the island to supervise armistice lines, preserve a buffer zone, embark on humanitarian activities as well as sustain the proper offices mission of the Secretary-General. Subsequent to the 1974 Greek Cypriot overthrow and the Turkish offensive of Cyprus, the United Nations Security Council (UNSC) expanded and enlarged the mission to avert the dispute spinning into war, and UNFICYP was dispatched to patrol the United Nations Buffer Zone in Cyprus and support in the maintenance of the armed status quo. Since its founding, the force has further worked in conjunction with the special envoy of the Secretary-General and diplomats of the two communities to inquire about an amicable discreet solution to the Cyprus row. Primarily, UNFICYP consisted of armed and civilian groups drawn from Finland, Sweden, Australia, Ireland, United Kingdom and Canada, though over its long history the force has been the theme of various UNSC declarations and restructurings, and currently encompasses contingents from Hungary, Croatia, Argentina, Peru, Italy, Australia, Slovakia, Montenegro, Austria, Bosnia-Herzegovina, El Salvador Netherlands, India, Canada, Ireland, United King dom, and Ukraine. This paper evaluates the Cyprus problem from the perspective of the UN mission and its mandate on the island. At the heart of the discussion is the argument that the UN mission in Cyprus was initiated by the global community as a way of resolving the problem. In essence, the increasing hostility between the two warring communities - Greek and Turkish Cypriots- after independence in the 1960 was escalating, and the

Managment Development (Management) Research Proposal

Managment Development (Management) - Research Proposal Example Essentially benchmarking involves â€Å"carrying out an audit on two fronts† (Evans 138). One needs to identify current processes and practices in a business or organization and then probe their weaknesses. The next step involves identification of companies that have proved to be experts in a given field and then trying to match or even better their performance. The rationale behind benchmarking is that if you do not know what the best practices in the industry are, then chances of being the best are almost zero. It is also a tried and tested method of matching competitor strength and even eclipsing them in the market place. A good example where benchmarking has been used lately is in the field of mobile technology. Apple Inc caused a stir when it introduced the hugely popular touch screen phone the iPhone. Coupled with its top notch marketing strategy, the company easily set the benchmark in trendy mobile technology. Not to be outdone, rivals such as Nokia and Samsung used Apple’s touch technology to produce mobile phones which have gained a foothold in the market and proved to be worthy competitors. This proposal will therefore try to find out the extent to which benchmarking has been used as a strategy and with what success. A literature review will be conducted and appropriate recommendation given. According to Damelio, benchmarking is a â€Å"process and not an event† (71). It involves constantly looking outside the organization to learn the tricks of achieving excellence in an organization. In other words it is a learning experience and once the lesson is learnt then the process is applied in the company. The first step in the process of benchmarking involves a thorough understanding of the current norm of business and then analyzing the business practice of others who are considered the pace setters in the industry. The next step involves doing complete analysis of the variance