Putting the Service †Profit Chain to Work

PUTTING THE SERVICE – PROFIT CHAIN TO WORK Group – 5 Introduction: Factors that drives profitability Investment in people Leadership Vision – Patina of spirituality, importance of mundane Profitability Technology supporting frontline workers Successful service companies: Banc One, Intuit, Southwest Airlines, Service Master, USAA, Taco Bell, and MCI Compensation linked to performance Recruiting and training practices The Service – Profit Chain †¢ Establishes relationships between profitability, customer loyalty, and employee satisfaction, loyalty and productivity †¢ Measure and management techniquesSupport services and policies Employee loyalty, satisfaction, productivity Value and service Customer satisfaction Customer loyalty Profit and growth The Links in the Service-Profit Chain †¢The service profit chain is also defined by a special leadership †¢Examples: Herbert Kelleher – Southwest (Patina of spirituality), William Pollard – ServiceMaster (Teacher-learner managers, servant’s heart), John McCoy- Banc One (Uncommon Partnership, system of support) Customer Loyalty that drives Profitability and Growth 5% increase in customer loyalty can produce profit increases from 25% to 85% †¢ Quality of market share in terms of customer loyalty as important as quantity of share in the market †¢ Example: Banc One †¢ Measures of Customer retention †¢ No. of services used by each customer – depth of relationship †¢ Level of customer satisfaction †¢ XEROX Customer satisfaction Drives Customer Loyalty †¢ Polled 480,000 customers per year †¢ Five point scale – satisfaction(product and service) †¢ Relationships between the scores – actual loyalty differed greatly between 5s and 4s apostles †¢ Terrorists – unhappy customersValue drives Customer Satisfaction †¢ Value – related to the total costs (price and other costs incurr ed) †¢ Example: †¢ Progressive – insurance company – Quick processing and payment to claims – Little policy holder effort – CAT (catastrophe) team Employee Productivity Drives Value †¢ Southwest Airlines †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ 7th largest US domestic carrier 86% of employees unionized (total 14,000) Employees can perform several jobs Schedules, routes and company practices to enable speedy boarding and deplaning (15 min. 40% more pilot (70hr/month) and aircraft utilization Fare charges 60-70% lower Customer perceptions of value are very high without additional facilities 14,000 employees – marketing research unit Employee loyalty drives productivity †¢ Study of automobile dealer’s sales personnel †¢ More employee turn over more loss Employee Satisfaction drives Loyalty †¢ Propriety study of a property and casualty insurance company †¢ Southwest – highest reten tion (95%) †¢ USAA – Insurance and financial services providerInternal Quality drives Employee Satisfaction †¢ Working environment †¢ USAA – telephone sales and service representatives †¢ Information system †¢ Training †¢ ServiceMaster †¢ Attitudes of people toward one another †¢ Cleaning and maintenance †¢ Importance to mundane Leadership Underlies the Chain’s Success †¢ Corporate culture centered on service †¢ Willingness and ability to listen †¢ Examples Relating Links in the chain for management Action †¢ Few have links in meaningful way †¢ Examples Property and casualty insurance company †¢ MCI †¢ Taco Bell  » Employee participation  » Periodic round table meetings, interviews Service – Profit Chain Audit †¢ PROFIT AND GROWTH †¢ How do we define loyal customers? †¢ Do measurements of customer profitability include profits from referrals? †¢ What pr oportion of business development expenditures and incentives directed to the retention of existing customers?†¢ Why do customers defect? Service – Profit Chain Audit †¢ CUSTOMER SATISFACTION †¢ Are customer satisfaction data gathered in an objective, consistent, and periodic fashion? Where are the listening posts for obtaining customer feedback in your organization? †¢ How is information concerning customer satisfaction used to solve customer problems? Service – Profit Chain Audit †¢ EXTERNAL SERVICE VALUE †¢ how do you measure service value? †¢ How is information concerning customers’ perceptions of value shared with those responsible for designing a product or service? †¢ To what extent are measures taken of differences between customers’ perceptions of quality delivered and their expectations before delivery? Do our organization’s efforts to improve external service quality emphasize effective recovery fro m service errors in addition to providing a service right the first time?Service – Profit Chain Audit †¢ Employee productivity †¢ How do you measure employee productivity? to what extent do measures of productivity identify changes in the quality as well as the quantity of service produced per unit of input? †¢ Employee loyalty †¢ How do you create employee loyalty? †¢ Employee Satisfaction Is employee satisfaction measured in ways that can be linked to similar measures of customer satisfaction with sufficient frequency and consistency to establish trends for management use? †¢ Are employee selection criteria and methods geared to what customers as well as managers believe are important? †¢ To what extent measures of customer satisfaction, loyalty or the quality and quantity of service output used in recognizing and rewarding? Service – Profit Chain Audit†¢ INTERNAL SERVICE QUALITY Do employees know who their customers are? †¢ Employee satisfaction with technological and personal support? †¢ LEADERSHIP – To what extent – – – – – Energetic, creative vs stately, conservative? Participatory, caring vs removed, elistist? Listening, coaching and teaching? Motivating by mission vs motivating by fear? Leading by means personal values vs institutionalized policies? Time spent developing and maintaining culture? †¢ RELATING MEASURES †¢ what are the most important relationships in company’s service profit chain? .

Is Seeing Believing?

‘Theory of Knowledge’ Name: Nkole C Date: 19th October, 2012. Instructor: Maurice H ‘Seeing is believing. ’ Belief is the mental reliance or acceptance of a condition. It causes people to validate and actualise what they have or get as information and consequently apply that to other situations in order to create new patterns- what is called Knowledge. ‘Seeing’ refers to the sensation of obtaining information through sight, or our senses.People can claim to obtain their knowledge in many different ways which include senses, intuition or intellectual reasoning, past experiences, priori knowledge used to develop a new organisation of patterns and perception of what is to come which usually results from relating with past experiences and cultural beliefs. Humans refer to sight, hearing, smell, temperature or pressure and taste as the senses used to obtain knowledge. Intuition refers to the relating of a condition and giving an intellectually valid reason to come up with truth.For example, we believe that three and four are greater than two, and so we can propose that there are numbers which are greater than two. This, in a sense, depends on the fact that we made true the fact that three and four are actually greater than two, which is a prior assumption. These different areas of knowledge all have their problems. However, true knowledge and the ways of obtaining it is something that has caused controversy among many scholars. On one hand is the idea of Empiricism while on the other hand is the idea of Rationalism.Empiricists are people who believe that whatever we know, and hence believe in, is gotten through sensory experience. They assert that the mind was as pure as white- defined as tabula rasa by them- and whatever that we know now as knowledge was installed or written on the mind by the senses’ experiences and absorbed into the brains. The information gotten in this way helps the human brain to relate this to oth er sensations and be able to make patterns to define new situations.Empiricists argue saying that there is no innate knowledge which the mind had validated before sense experience, though there is priori knowledge which is actually true. To the empiricist, ‘seeing’ or sense sensation is the only way people obtain knowledge and therefore is-believing. Depending entirely on senses for true knowledge, however, has its own problems and can easily lead to someone obtaining the wrong information.A defect on the sense organs like those due to agnosia and aphasia can lead to someone obtaining the wrong information since it is possible to speak in a way while the body language shows another thing. Senses also rely upon the environment to be able to function. A person who has never been exposed to the light will never know colours if they are exposed to them at a later stage in their lives. In their normal functioning, senses also have limitations in the way they obtain informati on. The human eye, for example, can only resolve up to 0. mm which means that points or lines that are less than 0. 1mm apart will be seen as a continuous line, which is false. The senses, no matter how true the information they get is, also depend entirely on the brain’s ability to evaluate the electrical impulses it gets from sense sensations which could be responses to chemical reactions in the taste buds and hair cells of the nose, frequency of light waves and difference in pressure of air in the eyes and ears respectively, or pressure and temperature in the skin.It is clear that if the brain itself has a defect, the probability of which we cannot be certain, every bit of the knowledge that one would get would be untrue. Even when it is true, and so to argue the rationalists, the brain sorts out the small bits of information it gets according to the relationship with some prior knowledge, innate knowledge they call it. ——————†”———————– [ 1 ]. http://www. thefreedictionary. com/belief [ 2 ]. http://plato. tanford. edu/entries/berkeley/ [ 3 ]. Definition gotten from hand-out given in class [ 4 ]. A condition that causes people not to get the tone of voice in speech and have to rely entirely on their ability to read body language to get in information. From class hand-out [ 5 ]. A condition that causes people not to make out complex pictures to be able to read body language. From class hand-out [ 6 ]. The allegory of the curve from hand-out in class [ 7 ]. From Biology text book

Personal Statement My Goals and Why Essay

This paper introduces you to my world. It explains my professional goals, including why I am pursuing my Bachelor of Science in Nursing (BSN). This paper addresses my current role as a registered nurse (RN) at St Mary’s hospital on the Neuro Trauma Intensive Care Unit (NTICU). I will explain how I got where I am today. I will inform you of my understanding of importance of integrity. I will express my importance of how ethics play a role in my life and how Fowler (2010) broadened my understanding of ethics. Lastly, I will cover why professional writing and communication is so important to the profession of nursing. Keywords: Bachelor of Science in Nursing, registered nurse, neuro trauma intensive care unit Personal Statement My Goals and Why I Am Pursuing My BSN My long term goal goes farther than just accruing my BSN. I potentially want to acquire my Certified Registered Nurse Anesthetist (CRNA). I need to have achieved my BSN to apply for CRNA School. Regardless, if I planned on furthering my degree, I feel a BSN in needed in my profession as a nurse. A BSN opens doorways to climbing the clinical ladder, more leadership roles, and increasing responsibilities. A nurses’ back is quick to wear out doing constant patient care, having a higher degree will give me more options in my career. I currently work at St. Mary’s hospital on the NTICU. I spend my nights assessing my critically ill patients, carrying out nursing care, communicating with doctors and other nurses, and constantly using my critical thinking skills. New trauma patients I find most interesting. The adrenaline starts flowing and the fight and flight response takes over. Often in these moments I surprise myself. The knowledge horded in the back of my brain and life saving skills take over. This makes for an awarding and self gratifying night. Not all traumas end the way we intend them to. We are often reminded we are not the ones in totally control. I love my job and my current position but eventually I will have to move on. I graduated from St. Mary’s School of Nursing in December 2011. Previously I was enlisted in the United States Army. I served four years as a combat medic. I left for the army right out of high school. This decision was based on the fact I was living on my own and did not have any guidance in my life and knew this decision would set me off in the right direction. Not only did my enlistment open my eyes to the medical field but I also gained my values which I have displayed thru my life. The seven core values I was thought were as follows: loyalty, duty, respect, selfless service, honor, integrity, and personal courage. I would not be where I am today without the army in my life. This experience was the molding of who I am today. My service to the army instilled my beliefs, morals, and ethics. Integrity and ethics play a valuable in my everyday life at home and at work. Integrity to me is to do what is right and expected of me, legally and morally. To understand integrity I had to understand my own beliefs and morals. The code of ethics for nurses is the profession’s public expression of those values, duties, and commitments (Fowler 2010). To uphold integrity and ethics to my work place I have be familiar with hospital policies, code of conduct, and my scope of practice. I have to educate myself on changes, make sure my certifications are up to date, and constantly continue my education. I have learned thru my experience as I strengthen these qualities I acquired more trust from others and have more trust in myself. Professional writing and communication is so important to the profession of nursing because in my profession it is used in many ways, unclear communication leaves room for error and all treatment is carried out by communication. As a nurse I communicate to coworkers, doctors, patients, and family members. I receive orders from doctors written and verbally, it is important I understand exactly what he is ordering. Written medical orders have their own universal formula to leave room for minimal mistakes. Verbal orders should be wrote down and read back to the physician. Along with receiving orders as a nurse I am the physician eyes, ears, and brain when they are not around. I have to be able to pick up on changes, new data, and intervene appropriately. I have to paint a clear and concise picture for the physician so that treatment can be done. I also communicate with the patient and family so that I have a clear understanding of what treatment my patient does or does not want. In my communication with the patient and family a lot of times I have to step out of the medical profession and explain things in different terms, so that they can develop a clear understanding. Communication with my coworkers is in a clear, respectful, and constant manner. I always keep my coworkers involved in patients as well as where I stand on finishing my tasks, so that I may be of help to others. I am beginning my journey to acquire my BSN and tackle my lifelong goals. I hope to by the end of this journey become a CRNA. With my understanding of the importance of integrity and ethics in my profession, and the promise to carry them out I should not have any problems meeting my goal. I have an understanding for the importance of communication as well and will continue to practice it as well. Overall, I want to continue to better myself and my knowledge in all aspects and know that if I apply myself thru this course and other I will gain exactly that. Reference Fowler, M. D. M. (2010). Guide to the code of ethics for nurses. (p. xiii). Siliver Spring, MD: American Nurses Association.

Leadership and Organizational Behavior Essay

Introduction The organization that will be the topic of my discussion in my final project paper will be Pratt Industries Inc. The company started as a recycling paper company in Australia and US, but today they could close the entirely process of recycling incorporating companies that create paper from recycling paper, the energy that the company use is coming burning trash recycled, the company sale cardboard boxes and recycled paper to big detailed companies as Home depot and Walmart, the company create their own design to send their products (recycled paper based) to our homes, the company has their own recycle trucks to pick the recycle products from homes and companies. The company has the all cycle of recycling closed; they pick the recycling trash up, they process it and make new products, they sale it and send it to our homes and the process start again picking the trash up. The company has more than 70 locations where they can create clean energy, recycle and create paper, make cardboard boxes, make the own designs and for other companies also, and other activities as retail recycling products. Problem Statement I am IT support on the IT department of the company, I was hired to improve the department capacity of support due the company was growing up and the department started to get issues supporting the computer’s users. We used to have a very friendly work environment; we use to go out to celebrate birthdays, we got good payment improvement every year, our IT manager use to take the department to do some outside activities as a group. The company benefits are placed as the best comparing them with companies with the same quantity of employees, but the company started to buy other small companies and they started to make savings to invest on the new acquisitions. A  year ago HR managers started cutting health benefits and changing them backward and the salaries are not been increased as before, neither we go out as a group to celebrate birthdays nor go outside to do any extras activities. My group of work is great and the environment of work still friendly, I keep some of the good company benefits (like University tuition help) and it is why I still working on the company. The company started to cut benefit plans, expect more output from each employee, and they are keeping the new employees as a contacted people to avoid include them into the benefits plans. Some of those employees are not giving their most on their work, per example some of them never come on time every morning, they don’t give their best on their work and they don’t care if they finished their job but they leave on time or before the end of their time to leave. I scare this situation will be viral and creates the same feelings to the old department workers sending the company down because IT is one of the most important to keep the company working 24Ãâ€"7 during the 365 days of the year. I will do my best researching and writing a plan to create the steps to return the company as the leader of the recycling business on US. I would like to receive support to make the IT department an HPO and shows to the other company department how to keep the company growing up always improving the employees benefits instead trying to cut them due the employees are the most important key. Preliminary Solutions Managers have to make closed call to employees that are not following the company statements. The staffing company the company use to hire temporary employees must increase the pre-hired background check. Company has to review what they are cutting about employees benefits. Managers have to look for a way to show the employees what level of satisfaction they have with the employees dedication they show on their work. Analysis of leadership The company is passing through big changes on the executive management area; managers are being moved to different new locations that the company is merging after Pratt bought them. HR is trying to absorb those employees and it is creating an stressed environment when new employees are been hired  to replace another and when the company is using a staffing company to hire new employees without the certified classification. The company managers have to improve their level of relationship with their employees showing them they are valuable for the company and letting them know they work is highly appreciate. Reference Prive, Tanya. Top 10 Qualities That Make A Great Leader. Forbes [Serial Online]. December 2012;19@11:00. Accessed May 9, 2014. Professor de Waal, Andrà © A. MBA. The Secret of High Performance Organizations (HPO’s). HPO CENTER [www.hpocenter.com]. Non Dated. Accessed May 10, 2014. Robbins, Stephen P., Timothy Judge. Organizational Behavior, 15th Edition. Pearson Learning Solutions, 01/2012. VitalBook file. Mehrotra, Vivek. Is money the best motivator?. www.vivekmehrotra.com. Non dated. Accessed May 17, 2014.

Stress

The stress analysis of a imple suspension system of car is done in this report which not only provides the reader with the stress calculations but also gives an insight of how proper stress analysis of real life problem can be done by using simple engineering formulas and techniques. Only one member of complete assembly is analyzed in ANSYS and the results were really promising. Acknowledgement:- We are thankful to Dr. Khalid Rehman for teaching us so well that we were able to do the stress analysis of a real life problem.Without his teachings nothing in this report could be done. We are thankful for his time and help which he always gave during time of any confusion or problem. 1 . Introduction†¦ 2 2. Problem 33. CAD Model Statement † 34. Manual Solution 7 4. 1. Force Analysis 7 4. 2. Stress Analysis ? 10 4. 3. Failure Analysis 11 4. 4. Deformation Analysis †¦.. 12 5. ANSYS Analysts 13 5. 1. Messing . 13 5. 2. Procedure 15 5. 3. Results 21 6. Conclusion 25 1.Introduc tion:- The deciding step that passes any particular design is its stress analysis which gives the designer an insight that particular design would work or not, whether or not the esign is feasible for fabrication or further improvements are required. Stress analysis of any design not only includes the basic force and stress calculation in members but also the failure, deformation analysis of the complete assembly. Stress analysis can be done manually or by using any CAD tool like ANSYS etc.The results obtained from both solutions should match each other but there is always variation in the results. The variations can be due to ideal approximations in the manual calculations or any other assumed data. The report includes the stress analysis of a imple suspension system of a car; various assumptions are being made which are mentioned in respective sections of the report. The solution was done both manually and by using ANSYS and the results were really promising. The report includes f orce and stress analysis, failure analysis and deformation calculations.The report not only provides the reader with the stress calculations but also gives an insight of how proper stress analysis of real life problem can be done by using simple engineering formulas and techniques. Stress analysis of a simple suspension system of car. 3. CAD model:- The first step of any design is to make its CAD model which in our case is done by using CREO VI . 0. The Cad models are shown as follows: (Fig 3. 1 complete assembly) (Fig 3. 2 complete assembly) The above fgures show the cad model of whole assembly. The individual member models are also shown below: (Fig 3. 4 Hub) (Fig 3. 5 Connecting arm) (Fig 3. 6 spring) (Fig 3. Suspension arm) 5. ANSYS 5. 1. Messing: The details are provided according to ANSYS 13. 0 Mechanical APDL. Mesh size: smart size 1 5. 1. 2. Element type: PLANE182 2-D 4-Node Structural Solid 5. 1. 3. Element Description PLANE182 is used for 2-D modeling of solid structures. The element can be used as either a plane element (plane stress, plane strain or generalized plane strain) or an axisymmetric element. It is defined by four nodes having two degrees of freedom at each node: translations in the nodal x and y directions. The element has plasticity, hyperelasticity, stress stiffening, large deflection, and large strain capabilities.It also has mixed formulation capability for simulating deformations of nearly incompressible elastoplastic materials, and fully incompressible hyperelastic materials. The geometry and node locations for this element are shown in Figure 182. 1. The element input data includes four nodes and the orthotropic material properties. The default element coordinate system is along global directions. Element loads are described in Node and Element Loads. Pressures may be input as surface loads on the element faces as shown by the circled numbers on Figure 182. 1. Positive pressures act into the element. 5. 1. 4.For triangular element s where the or enhanced strain formulations are pecified, degenerated shape functions and a conventional integration scheme are used. 5. 2. Procedure:- Filter GUI for analysis of structural members (Fig 5. 2. 1) Select element type plane quad 4 nodes 182 (Fig 5. 2. 2) Select Linear, Elastic and Isotropic material type (Fig 5. 2. 3) Input youngs modulus of elasticity and Poisson's ratio to define material in Ansys (Fig 5. 2. 4) Mesh the area using the finest mesh for accurate results (smart size 1) (Fig 5. 2. 5) Apply Pressure on line and Restrict DOF for some nodes at the center to compensate Stress Stress Stress is the body reaction to a change that requires a physical, mental or emotional adjustment or response and this in turn can be linked to other fact Oars in any sporting situation. Some people may become more aggressive and others may find that levels of arousal are increased. ; Excitement or suspense can lead to tension. If this is happens before taking part in the activity it can result in tightness in the muscles which then could have a physical effect. Anxiety can make you feel uneasy and apprehensive both before and during our performance.When you are too anxious you can make mistakes. Some find some level of anxiety necessary to focus and prepare. ; Nervousness can add to your tension levels, making you feel more tense and even agitated to the point where a physical effect can take place e. G being sick or shaking. ; Motivation will almost certainly decrease Nearly everyone who has taken part in a physical activity has experienced some type of stress. Stress is more common when the focus is on one person. Stress

Proposal for Callingyou Inc Essay Example | Topics and Well Written Essays - 1750 words

Proposal for Callingyou Inc - Essay Example The Company provides 24 / 7 support, staff rotates in shifts, centralized administration is recommended to configure multiple accounts on each workstation, and this enables every employee to log in the computer with his / her own credentials. Topology is the framework of any network. Star topology is recommended for the current network design. It is the most widely adopted topology. The star topology supports the centralized provision of network resources and services. The support staff can manage the network administrative and troubleshooting tasks centrally. Star topology helps to implement centralized security architecture for improved and enhanced security of the network. The network implementation cost can be saved by provisioning the core systems located centrally. The security controls and backup systems are also located centrally for better troubleshooting and management. Data communication network requires a carrier for transportation of data. A simple definition is available on ‘www. T1definition.com’ that says â€Å"A T-1 line is a dedicated data line that transmits data at the speed of 1.544 megabits per second (mbps). This translates to a speed that is 27 times faster than a 56k dial-up modem, which means that multiple people can access the Internet simultaneously†. T1 consists of total 24 channels that can be used as 24 different channels for voice or data. However, 24 simultaneously logical connections can be established. A dedicated T1 line can support up to 50 to 100 users on the network. The dedicated T1 carrier is implemented to synchronize traffic within the two remote sites for Calling You Inc. Furthermore, another carrier is requisite for internal communication of the network. Data transmission is conducted on a Category 5 cables for the current network design. CAT-5 is in the form of twisted pairs. However, the cable consists of 4 copper wire pairs, connecting the

Research Project Paper Example | Topics and Well Written Essays - 1250 words - 1

Project - Research Paper Example It was in line with this that the Obama government attempted a health care policy that will absolutely overhaul of the U.S. healthcare system. The product of this was the Patient Protection and Affordable Care Act (PPACA) (Husky, 2011). Indeed, the intended impact of the PPACA is clearly spelt out in its name. First, it is expected that health care delivery will take a patient centered approach whereby the interest of the patient comes first in the delivery of health care. Meanwhile, patients visit the health care facility with an intention of receiving quality health care. Secondly, it is part of the idea that the quality of health care that is received will come at a much reduced cost. This means that the exchange for quality must not necessarily be high cost. No-cost preventive services as a mainstay feature of the PPACA One major challenge that had for long prevented the health care system from achieving the goal of quality health care delivery is the pressure that the system has in handing the needs of too many people at a go. Most often, the pressure on the system results in situation where health providers are too few for the health users or health facilities are inadequate to cater for the health needs of the people (Cuellar, 2012). Through an intensive study therefore, there was an aspect of the PPACA that focused mainly on how to reduce the burden on health care system so that delivery could be improved. What was born out of this was the need for there to be enough preventive care services that ensures that health conditions are prevented rather than cured. It was for this reason that no-cost preventive services were made part of the mainstream PPACA. Currently, preventive care takes care of aspects of health care delivery such as immunizations, shots, screening, yearly check-ups and tests (Morrisey, 2007). These preventive services have been made free because the cost benefit effect of leaving them to be optional and at a cost to patients would be wo rse off. For example if people are made to pay to receive health services that could easily be prevented, they may feel reluctant to do so, only for their health conditions to get deteriorating to a level that will demand more cost from service providers to treat. As far as statistics is concerned, the no-cost preventive service can be said to have three major categorizations of beneficiaries. These are adult services, Women's Preventive Services ObamaCare, and Children's Preventive Services ObamaCare. The table below gives a detailed presentation of the health conditions that are covered under each of the no-cost preventive services. Adult Services Women's Preventive Services Children's Preventive Services 1 Abdominal Aortic Aneurysm one-time screening 2 Alcohol Misuse screening and counseling 3 Aspirin use 4 Blood Pressure screening for all adults 5 Cholesterol screening 6 Colorectal Cancer screening for adults over 50 7 Depression screening 8 Diabetes (Type 2) screening 9 Diet co unseling 10 HIV screening 11 Immunization vaccines 12 Obesity screening 13 Sexually Transmitted Infection (STI) prevention counseling 14 Syphilis screening 15 Tobacco Use screening 1. Anemia screening 2. Breast Cancer Genetic Test Counseling (BRCA) 3. Breast Cancer Mammography screenings 4. Breast Cancer Chemoprevention counseling 5. Breastfeeding comprehensive support and counseling 6. Cervical Cancer screening 7. Chlamydia Infection screening 8. Contraception 9. Domestic and interpersonal violence

What does it mean to describe both the First World War and the Second Essay

What does it mean to describe both the First World War and the Second World War as total wars - Essay Example It is characterized by the calculated, methodical conflation of the civilian and military scopes of industrial warfare. From these definitions, describing the First and Second World Wars as total wars mean that the two wars entailed military conflict where the participants mobilized military and civilian resources to accomplish victory; they were wars of extremes. In both the wars, States had to mobilize all the intellectual, moral, and material resources of the civilians; everyone was legitimate to the wars. There were widespread deaths like no other. For instance, one can relate Act II of the Total War to explain the dramatic increase in civilian casualties. In the First World War, it was estimated that more than 6 million civilians and over 9 million soldiers lost their lives. Second World War on the other hand led to a loss of 45 million civilians and 15 million soldiers. These were extreme cases of life loss in the wars. In the first WWI, the Trench warfare, which was expected t o be fought peacefully and quickly, came to be a prolonged war, which caused too much harm. In the WWII, the war fought at sea resulted in extreme losses of arms and lives. Until the entry of Russia in 1942, British fought a naval war, with the support of several technologies such as aircrafts. The U.S navy was so big in size, with Britain’s seconding it. From 1940 to 1943, Germany fought with Britain over the Atlantic. Germany submarines strangled British trade and reinforcement of the Far East and the Mediterranean. With few vessels, but capable of breaking the British naval codes, German submarines attacked areas where groups would not be shielded by aircrafts. Consequently, submarines sank 2,000 British ships in 1941, with a total of 8 million tons. British trade was limited as compared to pre-war times. In the WWII, civilians were forced to do anything for the sake of the War. The Home front involved majorly of industrialization, where women were totally succumbed to har dships and suffering. In Germany, more than seven million forced workers were forced to provide labor at the point of a gun, while slaves were literally overworked to the extents of death. War posters were placed in open places, contradicting the portrayal of women. For example, women portraits showed Germany and Japan in America as destructive and bestial enemies who were to destroy the unique culture that maintained the well-liked sense of superiority. The two wars could also be described as â€Å"Total Wars,† when looked at in the perspective of the oppressive and powerful Nazi states. For instance, Hitler’s ideas of the Second World War utilized short campaigns where targeted nations would be conquered individually or in portions before they were well prepared. Hitler wished to sustain the living standards of the civilians. Even after the conflict before Moscow, he resisted huge changes in economic policies. The situation was not the same after the tragedies in Nor th Africa and Stalingrad, where Germany was defeated. Hitler feared being seen publicly. This led Goebbels, the propaganda minister to announce that Germany would fight a â€Å"total war.† This was in his long speech in 1943, and he demanded that German people make real sacrifices immediately the Allied Strategic Bombing campaign effected. Germans faced big armies and war efforts that Soviets, British, and Americans could muster. Just like Germany,

How business work Assignment Example | Topics and Well Written Essays - 250 words

How business work - Assignment Example Secondly, one must appoint the corporate initial directors and then go ahead to pay a filing fee that varies from $100 to $800 after compiling the â€Å"articles of incorporation† (lifford and Ralph 35). Forming a corporation also requires those involved to create the corporate â€Å"by –laws† that help set forth the working regulations of the corporation. After that, holding the first board of director’s meeting is a requirement, which is followed by issuing of stock certificates to shareholders and finally obtaining permits and licenses required for the corporate to start. The articles of incorporation require information such as the name of the corporation, at times the names of the directors, and the principle office of the corporation. In some states such as Delaware and Connecticut, people refer to it as the certificate of incorporation while other states also use different names. It appears that, every state in the US has its corporate income tax rate. For instance, Ohio’s corporate income tax rate is 0.26 percent of every individual’s gross revenue commonly referred to as the Commercial Activity Tax (CAT) (51). The corporate fees and taxes for states differ from one another. My state’s corporate taxes and fees differ from others in terms of the gross revenue. Some states have a minimum payment of $150 per entity even of the fact that it is either a Corporation or a

Job description Essay Example | Topics and Well Written Essays - 1000 words

Job description - Essay Example responsible for the management of social media sites by tracking and monitoring the companys presence in the social media including Facebook, Twitter, Google plus and others. He or she ensures that only valuable and engaging information is shared to the social sites. He or she monitors the changing social media trends to ensure that the company stays on top of its competition. He or she bears the responsibility for designing and writing protocols, report forms for cases and consent forms used in clinical trials. He or she approves the Ethics committee, develops recruitment strategies for the increment of patient randomization into trials, and manages clinical trials. He or she ensures compliance of the Good clinical practice (GCP) by providing training during start-ups and initiation meetings for the clinical trials. He or she is responsible for the planning and implementation of activities necessary for conducting and monitoring clinical trials. He or she coordinates monitoring of trials by selecting and managing qualified personnel. He or she keeps CVs and training materials for each protocol, and also submits documents that are necessary for initiating the study including CVs and Food and drug administration forms. He or she identifies audit procedures and ensures that only clean data is entered into the clinical database in the appropriate time (Clinical research manager). Social media director can work with the head of human resource department in management of staff within the company. The social media director is responsible for the identification of the companys social media staff and thus may work in the Human resource department as recruitment manager or in the interviewing panel. The human resource department is responsible for personnel activities including the staffing, development, training, rewarding and performance evaluation in every department of the company. The social media director works with the human resource department to ensure that

Criminal Justice System Term Paper Example | Topics and Well Written Essays - 3500 words

Criminal Justice System - Term Paper Example There has been the tremendous interest of late into the political, social and commercial realities of the victims of crime. This is encompassed within a broad-ranging view concerning the changing role of victims within the criminal justice process, their needs and rights, as well as victimological theories which help to explain and understand the process of victimization.   In tandem to this, there has been a parallel interest in the political, social and commercial realities of the perpetrators of the crime which lead to a set of factors that spurred the happening of the crime events.   These augmenting factors if tackled and resolved effectively would help reduce crime. This, in fact, is the preventive approach to crime. Different criminal justice systems the world over have different core orientations. For instance, the US criminal justice system views itself as following a â€Å"systems" approach to criminal justice, with improved coordination among law enforcement, courts, and correctional agencies. (Walker,1992) The 1967 President's Commission on Law Enforcement and Administration of Justice termed the criminal justice system as the means for society to "enforce the standards of conduct necessary to protect individuals and the community".(President’s,1967) The criminal justice system in the United Kingdom ,on the other hand, focuses on the post-crime concepts of the quantum and justice meted out and the quality of such justice   and has the objective of crime reduction   â€Å" by bringing more offences to justice, and to raise public confidence that the system is fair and will deliver for the law-abiding citizen.†(Criminal Justice) Whereas in the neighboring nation to the US i.e. Canada, the criminal justice system has been oriented and balanced to attain the goals of crime control and prevention, and dispensation of predefined justice (equity, fairness, protection of individual rights) (Schmolka) A British counterpart in Europe, i .e. in Sweden, the focused goal for the criminal justice system is to reduce crime and increase the security of the people.

International Trade & Business Essay Example | Topics and Well Written Essays - 1000 words

International Trade & Business - Essay Example In most Asian countries it is opposite. In that respect most Europeans are much closer to the Asians than to the Americans. A company might need to establish an overseas organization, which is much different from what they are used to. An Indian company which might want to establish a branch in Scandinavia will never succeed with a hierarchical organization because the Scandinavians are very autonomous, egalitarians and demand a high degree of individual freedom. We have seen a lot of examples where northern European companies have failed in India because they didn't change the organization and management style to apply to the Indian norms and values. A project-based organization just doesn't work in India. Let's say a British Company has become very successful in Britain by rewarding its top performing employees with incentives and promotions. In India they replicate this successful motivation and reward system - and it doesn't work. Sales drop and the employees are leaving the company. When something works in one culture, but not in another we define it as cultural friction. For international companies to become successful they should locate and minimize the cultural frictions. This is not an easy task, because it can be hidden in so many places and it requires a lot of intercultural skills and the right tools to deal with these frictions. The frictions arise because there is a conflict between the national and the corporate culture of an international company. Very often we experience, that senior management who is responsible for the global operation is focused on financial performance and making sure that everybody (employees) globally apply to the same rules within the same organizational setup. This is only natural and most of the global operating companies are very proud of their corporate culture. The only problem is that it suppresses the national cultures of the employees, which unfortunately leads to cultural friction, which inevitable leads to poorer corporate performance due to demotivated employees and inefficiency. An area of great interest is motivation. I spend a fair portion of my time discussing motivation and reward with executives in multinational companies. Motivation and reward is so closely linked to our national cultures and multinational companies ought to review their strategies in these areas very carefully for the following reasons: If they don't and they (continue to) motivate and reward their staff globally in the same unified way - they will in the best case waste a lot of money, and in the worst case harm their business seriously. A lot of money can be saved at the same time as employee satisfaction and operational performance increases. Let's take an American IT consulting company as example. They have several locations in US, Europe and Asia. It is company policy that all managers and staff directly related to sales have at 20% of their salary as a bonus dependent on the quarterly sales. This makes sense in the US, because Americans in general are motivated by money and by individual recognition. However this is not universally true. To many Asians and Europeans money is nice, but it is not the

LAN Networks Essay Example | Topics and Well Written Essays - 500 words

LAN Networks - Essay Example According to Cache et al., some of the features, in terms of contrast purposes, are problematic due to the lack of a standardized criteria for comparison, such as the security needs of the transmission media format. They include factors such the different type of costs (purchase, maintenance and installation) and the security needs of the medium. This is because there are different types of security threats and each medium of transmission is susceptible to different risks. Some security threats pertain to the mode of intrusion detection or authentication and verification (Cache, J., & Liu, V. 2007). According to White, in terms of data transmission speed from the highest to the lowest with regards to fiber optic cable, twisted pair, satellite, coaxial cable and microwave, they are as listed below:- As an expert, I would advise the entrepreneur wishing to institute a global satellite radio framework in his business to purchase not less than two satellites (GEO). The GEO satellites would then be suspended in a strategic location to ensure adequate connection and data transmission. In addition, the strategic location will ensure that signals transmitted from the satellites are received by the radio satellite. If placed strategically, frequency the transmission frequency will be around 20 GHz and the satellite will orbit almost exponentially if there are no mechanical problems. The most appropriate analogy for a synchronous connection and how it functions is a lift and how it halts in each floor to allow people to enter or exit from the ground floor to the top most floor. Just like a lift, a synchronous connection has a large information amount (passengers entering the lift) in addition to the required data (passengers already in the lift). If the lift has fourteen floors, then the first six floors represent the input messages while the last eight floors are set aside for data

Human Resource Management of Sonoco Company Assignment

Human Resource Management of Sonoco Company - Assignment Example The paper tells that in around 1990, there was the problem of globalization which resulted to growth and competitive challenges. This globalization made heavy manufacturing to move from United States to countries where there was cheap labor. By that time, countries like China and India had cheap labor. Consolidation was another major problem. This was brought about by United States overcapacities which lead to increase of the market share of packaging companies from 40 % to 60 %. Consolidation also led to segmentation of domestic consumer markets which in turn led to products being tailored to the preferences of distinct groups of consumers. The beverages and food industries were highly affected by this. In addition, more attention was being given to packaging’s role in branding. To some extent, this led to standardization of seven to eight versions of products instead of one or two. As a matter of fact, in traditional retail, advertising was less influential as compared to pa ckaging. Packaging was considered to retain and woo more customers when compared to advertisement. A strategy was to be set in order to give the packaging companies the responsibilities of equipping themselves to changes in dime. This would ensure the packaging companies to compete towards use of new or emerging technologies and application of innovative tools as well as ability to speed development. This made many of the packaging companies to use sophisticated equipments in investment in order to handle abrupt changes in product design. By that time, many manufacturing companies started using one- stop- shop concept in order to consolidate their stables of suppliers. This led to a great improvement. Some companies like Hershey had spent many years on hundreds of packaging suppliers but after the concept, 80 % of their packaging needs were met by only 20 suppliers. This helped the company in the human resource management because of shortened production and delivery cycle (Case stud y task two). Impact of changes to Sonoco’s strategy These changes will help Sonoco follow sophisticated and coordinated marketing strategies. The approach will ensure a single point of contact within the firm to coordinate all the business needs of large customers. These will also result to satisfaction of the public and large customers e.g. Procter & Gamble, and Nestle. Sonoco has a great problem in supply management. Through the changes, they will manage to reduce the numbers of the suppliers and hence good management of human resource management in the company. If they adopt one- stop- shop concept, they will be able to consolidate their stables to suppliers. In addition, the company will compete with other companies in speeding development through the use of new or emerging technologies and application of innovative tools. Just like other company, Sonoco will be able to use sophisticated equipments in investment and hence handle abrupt changes in product design. Sonoco Co mpany will also increase its market share and hence a good chance of increasing its production. This will mark a good start for expansion making the company come up with strategies of improving the human resource management due to increased employees. Addition of employees calls for removal of manipulations in terms of performance ratings.

Digital Equity Assignment Example | Topics and Well Written Essays - 250 words

Digital Equity - Assignment Example For this reason, the provision of free laptops or home computers has a little help in reducing the academic gap between the haves and the have-nots. From a research conducted by Pew, students in rural areas spend up to $80 per month on internet connection while those in the urban areas spend $36 per month. Although these figures might be small for the rich, the poor cannot afford such expensive connection. Consequently, they have limited access to information, class notes, and often late with their assignment completion and submission. The solution for educational gap does not depend on internet access but rather on the educational policies. The government should introduce a program to ensure that each student has equal access to educational materials regardless of their financial status. Your assertion that technology is an important instrument in facilitating the access to educational material and a communication tool where educators can distribute learning material to the student is compelling. In addition, your acknowledgment that limited access to the internet due to high connection prices provides the reality of the matter as it affects the poor students. Finally, the proposal you make to ensure all students complete and submit their assignment on time shows a high level of consideration. Specifically, this is because you have considered the situation of various students within the society and offered a solution that can help in improving their academic

Assignment Week Two Term Paper Example | Topics and Well Written Essays - 500 words

Assignment Week Two - Term Paper Example arch is being carried out in different parts of the world, thus no one can claim that he is not a learner or he knows everything on any specific topic. Yes, one who evolved any principle theory on any subject and the theory is recognized scientifically worldwide, he can only claim to be the owner of that particular idea until and unless his idea / theory is challenged , changed, rejected or improved. If this is done that once again that individuals becomes a learner on the topic. The next idea that I liked a lot is the idea of five disciplines discussed in the â€Å"Training Guide† because I had been involved in training people and had been imparting training on various topics frequently. Since, personal mastery involves a huge exposure on the topic therefore, it helps out the trainer to share his knowledge and experience, and also enables him to reply each and every question satisfactorily quoting examples from what he practically dealt with. While involving participants in two way talks, we ultimately share a lot of knowledge and personal experience of each other and thereby understand counter productivity. The shared vision certainly brings a lot of new ideas for every one especially for the leader and enables him to satisfy his topic of lecture more satisfactorily. I similarly do agree with the third discipline ‘Mental Model’. During all trainings, I myself frequently adapted this discipline and obtained a lot of new ideas to make the topic of lecture more satisfying and more useful. Every participant, who had some experience on the topic and could share his own mental model, was also making contribution that added to the knowledge base. This is important discipline and I always used it extensively. Team learning and system thinking are also deeply experienced in all training sessions. I always have taken opportunity of team learning by making two separate teams of equal participants and thereafter presenting ideas of each team to summaries the topic

Why cloning and selling meat without FDA approval is unethical Research Paper

Why cloning and selling meat without FDA approval is unethical - Research Paper Example Society is struggling with the issues of how much is really known about cloning, how much society really wants to know about cloning and what is there to know about cloning if there was full disclosure (Brizek et al, p.1) Cloning is a highly controversial topic in the world at present. Many people are of the view that cloning should not be conducted among living things including animals since it is against the principles of nature. They are of the view that the natural principles which sustain life on earth would be changed if cloning is accepted as an option for the betterment of life. Most of the religions are also against cloning citing ethical reasons. At the same time, there are many people who support cloning because of their belief that cloning may enhance human life further. In any case, cloning on animals is going on at present and cloned food items are available large in number in stores at present. Cloned food items such as meat, milk etc are entering the American market m ore rapidly at present. Lots of food products are produced out of cloned meat and milk which are used by the public unknowingly. Since the society still reserves severe concerns about the ethics and morality of conducting cloning, many people are of the view that cloned foods should not be allowed to enter the market. Consumers have still many illusions and opinions about the safety of using cloned food items because of the misleading information they received from different Medias about cloned foods. This paper analyses the morality of using selling cloned food items without the approval of FDA. One of the study conducted by FDA pointed towards the increased practices of cloning by food companies, as well as the limited public knowledge and information of the practice (Brizek et al, p.4). In other words, people are getting cloned foods from stores at present without their knowledge. No food manufacturers are putting any labels on cloned food items in order to differentiate it from other normal food items. Consumers have the right to know about the origin of the food they are purchasing. By selling cloned foods, food companies are cheating the public which is unethical. If all the consumers have no problem in using cloned foods, then there is no necessity to put labels on cloned food items. However, majority of the public have many concerns about using cloned foods and under such circumstances selling of cloned food without labels is unethical. â€Å"In January of 2008, after results of numerous studies proving the scientific safety of food and food products from cloned animals or genetically modified food crops, the FDA declared that it would not require any special labeling on such foods† (Brizek et al, p.6). Even though many of the tests conducted by FDA and other authorities with respect to the safety and security of using cloned foods revealed positive results, it should be noted that these tests cannot be 100% reliable. Most of these tests analyse s the fat or acidity levels of the cloned and normal foods. Even though, some studies found slight differences in the acidity levels, all the other parameters of cloned foods and normal foods remained almost same. However, it should be note that these tests cannot predict anything about the possibility of genetic contamination among cloned foods. Cloning is a process which relies heavily on genetic engineering. The defects of genes used to make cloned foods cannot be identified easily. In other words, it is difficult to test the genetic components involved in cloned food items. According to one FDA official, although others disagree, cloned animals are more likely to have birth defects and health problems when they are young, but after 50

Human relations Essay Example | Topics and Well Written Essays - 2750 words

Human relations - Essay Example A strike (or industrial action less than a full stoppage of work) will be in breach of the contract of employment for two reasons. Firstly, the striker is failing to perform the contractual obligations to work and to obey lawful instructions. Secondly, by seeking to 2 cause disruption to the employer’s business, the striker is breaching the â€Å"implied term to serve the employer faithfully within the requirements of the contract†.It is to be noted that the taking of strike action is a breach of the employee’s contract of employment, even where all the obligations imposed on the trade unions by Part V of The Trade Union and Labor Relations (consolidation) Act 1992 have been fulfilled. Not only is a strike in breach of the worker’s contract of employment, we find that the breach is far reaching as we see in Secretary of State v. Aslef ICR 19, the inevitable breach of the duty of faithful services, that virtually all other forms of industrial action will br each the contract of employment, or refusing to carryout some aspects only of contractual duties. Such as in work slow downs. Further in Miles v. Wakefield MDC [1989] ICR 368 at 389, Lord Templeman states: â€Å"Any form of industrial action by a worker is a breach of contract which entitles an employer at common law to dismiss the worker. Also we find in Wiluszynski v. Tower Hamlets IBC [1989] IRLR 259, that in the event of an industrial action, the employer can also refuse to pay wages. Further in NCB v. Galley WLR 16, we find in the event of industrial action the employer can sue for damages. ... (Gibson LJ) It is to be noted that the taking of strike action is a breach of the employee's contract of employment, even where all the obligations imposed on the trade unions by Part V of The Trade Union and Labor Relations (consolidation) Act 1992 have beenfulfilled. Not only is a strike in breach of the worker's contract of employment, we find that the breach is far reaching as we see in Secretary of State v. Aslef (N0.2) [1979] ICR 19, the inevitable breach of the duty of faithful services, that virtually all other forms of industrial action will breach the contract of employment, or refusing to carryout some aspects only of contractual duties. Such as in work slow downs. Further in Miles v. Wakefield MDC [1989] ICR 368 at 389, Lord Templeman states: "Any form of industrial action by a worker is a breach of contract which entitles an employer at common law to dismiss the worker. Also we find in Wiluszynski v. Tower Hamlets IBC [1989] IRLR 259, that in the event of an industrial action, the employer can also refuse to pay wages. Further in NCB v. Galley [1958] WLR 16, we find in the event of industrial action the employer can sue for damages.Under current law in the UK, recognition is a matter of fact and not a legal status. There is no legal means by which the worker or the union can compel the employer to reach an agreement, and, in particular, no right on the part of the worker or the union to compel the employer to submit to arbitration. The employer can seek emergency interlocutory relief. This procedure does not

The Reign of Henry VII Essay Example for Free

The Reign of Henry VII Essay The lineage of her house of York Margaret of Burgundy was guiding and educating Warbeck of his family ancestry, he was to understand the Yorkist rebellions and the perspective in England if he is to be a convincing threat of opposition. Their recent disaster Cornish rebellions had been appalling, the revolts of the peasants against the new King had failed. Warbeck knew of the uprising to strike again and saw this as his perfect opportunity to attack alongside, with such support he could easily have worried Henry. Document B shows evidence that Warbeck had little support in Scotland and was loosing it within Ireland, possibly due to the bonds and act of attainder. Henry had previously had the nobility sign. He learnt of a forthcoming attack from the Cornish, and so made his way to help them in their battle. It is not suggested that he was invited or that he even had support, until he was ashore. Document C suggests that he must have been invited because he had so little men and once in port had the aid of over 8,000 peasants. It is in Cornwall that he was acclaimed King Richard. Document D appears to paint a similar picture but yet different perspective to why Warbeck left Scotland. It states that Warbeck was the cause of the whole war between the Scotch and English. With this in mind, and the idea of the problem Warbeck could pose for Scotland, it is possible that he was enforced to look for support elsewhere rather than cause a battle. Document A impresses the reader with Warbecks strong qualities and his participation on the duping of King Henry VII. He is both willing and strong-minded and partakes in the education Margaret of Burgundy provides for him on his ancestry and his role within England. His actions suggest he is comfortable with portraying on opposition to the King, despite his threat being false. With this in mind, the evidence in Document E is contradictory in its approach. It should be noted that this source is written by Warbeck himself and might have been writing to depict a used and exploited young man, rather than the strong character he was thought to be. Document E describes in detail the ordeals Warbeck was dutiful in, but the tone implies his actions occurred against his will. Looking at both Documents, it is apparent that both relay a chain of events. However, the fact that both have different perspectives suggests that further resources are needed to analyse the character of Warbeck and therefore show the reliability of the extracts. Perkin Warbeck was a serious threat to Henry VII only because of the backing he gained outside England. Warbeck found foreign support when the British people failed to assist him in his attack on the crown. Henry had previously placed bonds and acts of attainder of the lords of England and offered pardons to rebels as a way of ensuring that when there was trouble, there would be a lack of support. Margaret of Burgundy chose to support Warbeck as she had previously done in 1486-1487 with Lambert Simnel, in hope to regain her status over the King, who had killed her brother Richard of York. Warbeck also had support from Charles V of France, who had lost support from England and had disputes over Brittany. However, when Henry and Charles agreed to resolve their differences, and sign the Treaty of Etaples, which stated that rebels could not be concealed, Warbeck was dismissed. Warbeck then returned to Margaret, who had given the control of Burgundy to Archduke Philip. When Henry protested of the harbouring of Warbeck, Philip ignored him, this resulted in a trading ban from England. Warbeck also had support from Maximillian, who he promised could be his claimant if he should die before reaching the crown. Despite all his foreign backing, which was probably the most important reason he was such a dangerous threat, the support Warbeck received within England itself was equally as major in possibility. In 1494 Henry learnt of conspiracies within his own Government. The discovery that Sir William Stanley had been conversing with Warbeck reminded Henry that inside help was still a problem. It also became apparent that English authority within his kingdom needed addressing. Stanley had been almost second in command. Henry tightened his reign and lost all confidence and trust in those who surrounded him. An English supported attack was also visibly dangerous, as it would have been easier for Warbeck to gather together troops and supplies. Warbecks threat lasted between 1491 1499, which could suggest he was either a large threat or a relatively small one who simply couldnt form enough support to attack the King. From the evidence in the Documents, Warbeck moved from country to country, city to city suggesting that he never had a firm base of support in any particular place. Document C is the only source, which seems to imply English support, and this was from the Cornish who were already rebelling. Therefore Documents A, B, D and E, back the proposal that Warbecks main threat came from his foreign support. However, Henry over came this by his Treaties and Truces. The execution of Warbeck demonstrated to both the English and foreign leaders that Henry was secure upon the throne and remained so until his death in 1509.

Exposure to Stereotypes Essay Example for Free

Exposure to Stereotypes Essay â€Å"Stereotypes are stubborn beliefs, overgeneralizations, myths, and distorted information about groups of people that shape people thinking and form the basis of prejudice. Stereotypes are projected through the media, become part of the collective consciousness, and are used to justify discrimination (York, 2006). † The media plays a huge influence on stereotypes, whether it is pertaining to race, gender, culture, or even socioeconomic status it is still influencing the views of those who are exposed. As I researched for this paper I realized that I have been so overexposed to these stereotypes that I may have never recognized them without it being pointed out. This paper will discuss the influence that the media has on stereotypes, and strategies that could be used to counteract these influences. Children between the ages of 2 and 5 spend an average of about 32 hours a week in front of the television watching movies and television, and children between the ages of 6 and 11 spend about 28 hours a week in front of the television (No Author, 2010). With that being said, I think that our biggest influence on children is television and movies. Although children’s television shows seem to be making a more conscious effort when it comes to equality among race, there are still subtle influences that many parents may not recognize are being taught to their children. I think that the biggest stereotypical area I have seen on television have to do with gender. Even 30 second commercials can make a lasting impression on children. When thinking of commercial about teddy bears and toy cars it is easy for most people to determine which commercial girls would play in and which commercial boys would play in. As children grow and remember what is presented to them they begin to believe that girls and boys are different and that they deserve different things. Learned stereotypes extend into the school setting, and, if not recognized and handled early on, can also extend into adult life and the work atmosphere. Teachers often see stereotypical events play out in their classroom daily. Children may not want to play with their peers because they are a boy, or because they speak differently, or because they look different. This can have a huge impact in the classroom on social skills including self-esteem, problem solving skills. At this young age students are learning which of their peers are the bullies and which are the bullied. They are learning which students have power, and which students are powerless. In a study on gender stereotypes within the classroom there is evidence that stereotypical influences are not just found on the television screen, they are also found in the classroom in textbooks, and even sometimes presented by teachers. In this study a woman named Erinosho analyzed 76 science textbooks. In the pictures found in the textbooks 75. 6% showed males, and 24. 4% showed females. Erinosho observed that females were often presented as hairdressers or secretaries, while males were often presented in professions like doctors or engineers (). Exposing children to these subtle stereotypical pictures only make it more difficult to overcome issues with stereotypes in the school setting. There are a few great strategies that teachers can use inside of the classroom in attempt to counteract the stereotypes that children are regularly exposed to throughout their daily lives. Teachers can make subtle moves such as adding culturally diverse materials to the classroom, ensuring that housekeeping areas are appealing to both males and females, and adding dolls to the classroom that present our differences. Teachers can also put up pictures in the classroom of different cultures, races, and genders working together equally to achieve a common goal. In my opinion the best way to counteract stereotypes is to take the bold move and openly talk about our differences and similarities as a class. Students should have the chance to discuss their cultures and beliefs openly amongst their peers. As educators we can oversee the discussion and ensure that the children are learning from each other and not taking the opportunity to put each other down. As children learn they are different they will quickly learn that they are also very similar in more ways than one. It also may be beneficial to involve parents. Having educators, students and parents working together to accomplish is usually very helpful to any situation. No matter what precautions we take children are going to be exposed to stereotypes regularly. Parents and teachers can work together so that children are also exposed to the idea that through our differences all people are people and deserve to be treated and thought of as the same.

Effect of Bicarbonate Supplement on Kidney Function

Effect of Bicarbonate Supplement on Kidney Function Bicarbonate Supplementation Slows Progression of CKD and Improves Nutritional Status Ione de Brito-Ashurst, Mira Varagunam, Martin J. Raftery, and Muhammad M. Yaqoob  Lay Abstract Chronic kidney disease (CKD) is the long-term damage of the kidney. Symptoms only start presenting when the disease is progressing towards the advanced stages. It is a disease of the elderly population, and with the UK’s ageing population, cases are likely to increase in the near future. Metabolic acidosis (MA) is a common complication of CKD and treating this has been thought to slow down the decline in kidney function. Bicarbonate supplementation has previously been used as an experimental treatment on rat models to correct the MA but results have been inconclusive. There is also a lack of long-term trials investigating the effect on humans. The results showed bicarbonate supplementation was beneficial to kidney function and nutritional status of patients, while causing minimal side effects. More clinical trials need to be performed to consolidate these findings and to look at alternative treatment regimens before being implemented into clinical practice. Background Information and Rationale for Carrying Out the Work Chronic kidney disease (CKD) is the long-term decline in kidney function. It is defined as kidney damage resulting in a GFR ≠¤ 60 mL/min/1.73m2 for more than 3 months, or kidney damage for more than 3 months with evidence of structural or functional abnormalities, with GFR not necessarily reduced (1). In advanced stages it can lead to metabolic acidosis (MA) due to a decreased tubular bicarbonate secretion, which has been known to cause protein catabolism and increased insulin resistance (2), and impaired ammonium excretion (3). The lesser stages of CKD are quite common in communities but ESRD is quite rare in populations. CKD is a disease of the elderly with around 30-40% of the population > 75 years having CKD at stages 3-5 (1). It is usually asymptomatic until the later stages of the disease and during ESDR, the only possible life supporting treatments are transplantation or dialysis (4). Obesity is associated with an increased risk of CKD by over 2.5 times (5). With obesity, type 2 diabetes and hypertension all on the rise (6-8) , there is likely to be a boom in the number of CKD cases within the next couple of decades. There is clearly a need to address this future burden on the healthcare system. Correction of MA in dialysis patients has shown to slow down protein degradation in a small number of short term clinical trials (9, 10). Studies on rat models have shown inconsistent evidence where MA has been shown to slow down progression of renal failure (11). Due to the short term nature of these studies, there has been inadequate evidence on the impact of renal function. There have been very few studies investigating the correction of MA in CKD in humans and also the lack of long term studies of the effect on pre-dialysis patients, which were the main motives for carrying out this study. Approaches to the Question and Key Results The research question raised was whether bicarbonate supplementation to patients with MA in CKD could slow its progression and improve nutritional status. A single-centre, open-label, randomised, parallel-group study was carried out to investigate this question. The inclusion and exclusion criteria were stated explicitly. 134 eligible patients were randomly assigned to either routine standard care or oral sodium bicarbonate tablets 600mg TID which was increased as necessary to maintain bicarbonate ≠¥ 23mmol/L. The treatment assignment procedure was done by an external statistician and involved block stratification, then randomisation carried out within each stratum of men, women, diabetics and non-diabetics. This method helped to balance each of the patients’ covariates and ensured adequate concealment. As a result, 67 patients were assigned to the control group and 67 patients to the treatment group. To reach a power of 90% which would allow an absolute difference of 30% to be detected, 63 patients in each group would have to be studied, but to allow for non-compliance, this was increased to 67. Calculation of statistical power ensured a large enough sample size. The 2 groups had similar baseline characteristics (Table 1) and ap art from the bicarbonate supplementation, they were both treated equally. Patients were followed up every 2 months for 2 years for the primary outcome measurements while nutritional assessments were carried out at 0, 6, 12, 18 and 24 months by a single dietician. All patients were able to be analysed with none of the patients being lost to follow up or discontinuing the intervention, however 5 withdrew before receiving the treatment. Intention to treat analysis was performed. The investigators, statisticians and the single dietician were blinded to the initial group assignment as they were directly involved in assessing the outcomes, but since the trial was open-label, it suggests that patients and external clinicians were not. The outcomes were focused on the research question and were measured in a standard way. The primary outcomes were the decline in renal function, the number of patients with rapid progression of renal failure, and the development of ESRD that required dialysis. After 12 months, the rate in decline of CrCl was lower in the treatment group at 1.88 ml/min per 1.73 m2 (95% [CI] 0.39 to 4.15 ml/min per 1.73 m2) than the control group at 5.93 ml/min per 1.73 m2 (95% confidence interval [CI] 4.19 to 7.76 ml/min per 1.73 m2) (P Secondary outcomes were measurements of changes in normalized protein nitrogen appearance (nPNA), dietary protein intake (DPI), serum albumin and mid-arm muscle circumference (MAMC) to identify the nutritional status of patients. Results showed an increase in DPI (P Likely Impact of Research Outcome The fact that there was both a slowdown of the decline in kidney function and a reduction in the number of patients progressing to ESRD is clinically beneficial. However, the confidence interval for the treatment group is quite large (0.39 to 4.15 ml/min per 1.73 m2) and the upper limit is close to overlapping with the confidence interval of the control group at the lower limit (4.19 to 7.76 ml/min per 1.73 m2) for the rate in decline of CrCl. Statistically, the treatment may only offer a marginal improvement over the control, but the bicarbonate supplementation clearly does offer some benefit to stage 4 CKD patients. There are also significant nutritional benefits to CKD patients. Poor nutrition leads to protein energy wasting (PEW) and a low serum albumin which increase morbidity and mortality in dialysis patients (12), but this can be easily reduced with bicarbonate supplementation. The patients studied in this trial are not 100% representative of the population. This trial had to exclude 30 out of 184 potential subjects due to eligibility criteria. The exclusion criteria included morbid obesity, congestive heart failure, chronic sepsis, malignant diseases, cognitive impairment or uncontrolled hypertension so findings will not apply to patients that fall into these categories, however the findings will be important for the majority of patients with CKD. The trial was only a single centre study on patients at the Royal London Hospital in the East End of London. The demographic in this area of London is likely to vary from demographics in other parts of London and the UK. I think all the outcomes of interest to the patient were considered before the trial. Side effects of worsening hypertension and oedema that required an increase in therapy and loop diuretics respectively were minimal (Table 3). Blood pressures rose and oedema worsened more in the treatment group but these were not statistically significant (P=0.17 and P=0.5). The single main issue was that 6.5% of subjects experienced a bad taste taking the tablet of the sodium bicarbonate, which was then switched to a powder form. In the long term I think this trial will form the basis of a future change in clinical practice. The change will not be immediate as this is the first RCT on pre-ESRD patients with MA and more clinical trials need to be carried out in this area, with a subsequent systematic review and meta-analysis. Overall, the bicarbonate supplementation does offer an advantage over standard treatment, and the fact that bicarbonate itself is simple and very cheap to source and produce with minimal side effects also works in its favour. Future Work and Conclusion There are some changes I would make to the trial. The confidence interval for the treatment group is quite large (0.39 to 4.15 ml/min per 1.73 m2) and the upper limit is close to overlapping with the confidence interval of the control group at the lower limit (4.19 to 7.76 ml/min per 1.73 m2) for the rate in decline of CrCl. So statistically, the treatment may only offer a marginal improvement over the control. In order to achieve a more precise CI, a larger sample size could be used, and a multi-centre trial could be conducted so that the findings can be applied to a wider population. I think the accuracy of the outcomes would also benefit from the use of a placebo and double-blinding. This study focused only on patients in stage 4 CKD. While these patients are likely to experience MA, it may also be beneficial to study the effect on patients in stage 3 CKD. Patients especially in stage 3b CKD (GFR 30-44 mL/min) are at risk of slipping into the stage 4 category and bicarbonate supplementation has potential to act as a preventative treatment. The serum bicarbonate level in the treatment group was maintained at 23 mmol/L or greater. There was no upper limit for the bicarbonate level and considering that the normal range of serum bicarbonate is 22-28 mmol/L, we can see that the trial looked at the lower end of the reference range. I think a future clinical trial should look at the effect of bicarbonate supplementation on stage 4 CKD patients when serum bicarbonate is controlled within a middle range of 24-26 mmol/L and at the upper end range of 26-28 mmol/L. It is encouraging to see that there have been more RCTs investigating the positive outcomes of bicarbonate supplementation on CKD (13-15), however further investigations still need to be carried out to reach an optimal and definitive treatment plan. References 1.Barratt J, Topham PD, Harris KPG. Nephrology. Oxford: Oxford University Press; 2009. 2.Kopple JD, Kalantar-Zadeh K, Mehrotra R. Risks of chronic metabolic acidosis in patients with chronic kidney disease. Kidney Int Suppl. 2005(95):S21-7. 3.Bailey JL. Metabolic acidosis: an unrecognized cause of morbidity in the patient with chronic kidney disease. Kidney Int Suppl. 2005(96):S15-23. 4.Smart NA, Dieberg G, Ladhani M, Titus T. Early referral to specialist nephrology services for preventing the progression to endà ¢Ã¢â€š ¬Ã‚ stage kidney disease. 2009. 5.MacLaughlin HL, Hall WL, Sanders TA, Macdougall IC. Risk for chronic kidney disease increases with obesity: Health Survey for England 2010. Public Health Nutr2010. p. 1-6. 6.Klahr S, Morrissey J. Progression of chronic renal disease. Am J Kidney Dis. 2003;41(3 Suppl 1):S3-7. 7.Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4-14. 8.Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH. The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health. 2009;9(1):88. 9.Graham KA, Reaich D, Channon SM, Downie S, Goodship TH. Correction of acidosis in hemodialysis decreases whole-body protein degradation. J Am Soc Nephrol. 1997;8(4):632-7. 10.Williams AJ, Dittmer ID, McArley A, Clarke J. High bicarbonate dialysate in haemodialysis patients: effects on acidosis and nutritional status. Nephrol Dial Transplant. 1997;12(12):2633-7. 11.Jara A, Felsenfeld AJ, Bover J, Kleeman CR. Chronic metabolic acidosis in azotemic rats on a high-phosphate diet halts the progression of renal disease. Kidney Int. 2000;58(3):1023-32. 12.Lowrie EG, Lew NL. Death risk in hemodialysis patients: the predictive value of commonly measured variables and an evaluation of death rate differences between facilities. Am J Kidney Dis. 1990;15(5):458-82. 13.Kovesdy CP. Metabolic acidosis and kidney disease: does bicarbonate therapy slow the progression of CKD? 2012. 14.Abramowitz MK, Melamed ML, Bauer C, Raff AC, Hostetter TH. Effects of oral sodium bicarbonate in patients with CKD. Clin J Am Soc Nephrol. 2013;8(5):714-20. 15.Gaggl M, Cejka D, Plischke M, Heinze G, Fraunschiel M, Schmidt A, et al. Effect of oral sodium bicarbonate supplementation on progression of chronic kidney disease in patients with chronic metabolic acidosis: study protocol for a randomized controlled trial (SoBic-Study). Trials. 2013;14:196.

Translation And Its Role In India English Language Essay

Translation And Its Role In India English Language Essay Questions such as, what is translationà ¢Ã¢â€š ¬Ã‚ ¦wherein lies its complexity? have been asked ever since literature stopped being restricted to one target readership and moved beyond the boundaries of language. The term translation technically connotes the art of recomposing a work in another language without losing its original flavour, or of finding an analogous substitute. Its complexity lies in it being like the transfer of perfume from one bottle to another. As careful as you are, some fragrance is lost but the challenge remains to capture the essence. All things in nature are subject to change and so is all cultural matter. Translation is always a shift, not between two languages but between the two types of cultural matter. India is a linguistic galaxy of unparalleled richness. Few contexts could be better suited than the Indian for a discussion of the processes of translation within a spectacular stellar setting. How does one common idea of India make itself available to a Bengali, Tamil or a Marathi in any way save that of translation? Translation provides a cognitive map of Indias linguistic world in all its interrelatedness as well as estrangement. All texts and all readers are both monolingual and multilingual. A text, obviously written literally in one language in a given manifestation faces a multi lingual reader and thus reaches out to a much larger base, unifying experiences and opinions as it expands. English has to be admitted as a vast reservoir of translation in contemporary India. It may no longer be a colonial language, but it is increasingly a conduit language. This filter language, as Khubchandani terms it, has today a certain inescapable presence. More English translating have been published in India in recent times than ever before, but our awareness of the need to ensure quality in translation has not heightened the same extent. Who should judge a translation somebody who can read the original or somebody who cannot? A person who was able to read the language, and enjoyed the original may find no translation satisfactory, whereas someone who cannot is likely to regard readability in English is the prime requisite. It seems unarguable that the only way in which the ideology of unity can be explored in a multilingual society like ours is by accepting both the need for, and the problems of, translation. The Sanskritised term we currently use for translation in many Indian languages is  anuvada   which literally means after speech so it seems wrong in the first place to discuss it in an Introduction. It also stands in contrast to  anukaran, which implies aping or slavish imitation, but there ought to be a more to the word than just the suggestion that it could involve creative license of a kind? Any discussion of translation leads automatically to the question: who is an ideal translator? The writer himself, or someone who has not been involved in the primary creative art? The task of the translator is to unfreeze the shapes that thought took in one language and refreeze them into another. A translator must take into account rules that are not strictly linguistic but cultural. Translators, even when trying to give us the flavor of the language, are in fact modernizing the source. As far as translators in India are concerned, most Indians who grow up in urban conditions and go to school and college tackle shifts from one language to another so often and so comfortably that translation seems second nature to them. TRANSLATION STUDIES The Pedagogy of Translation  by Vanamala Viswanatha Translation Studies is a young discipline still in the process of mapping its territory. Attempts have been made to define its boundaries and develop its terrain by scholars working in disciplines as varied as Anthropology, Comparative Literature, Culture Studies, Linguistics and Literary Theory. Viewing translation as a transaction between two languages, the dominant linguistic paradigm has treated it merely as a matter of transfer from the Source Language to the Target Language. There can be two ways of translating: Transliteration and Transcreation. Transliteration or literal translation is word-to-word, phrase-to-phrase or sentence-to-sentence carrying over from the Source Text into the Target Text. This means that the words and terminologies would either require exact equivalents in the Target Language or would have to be put as it is into the Target Text. It may be ideal for texts falling under technical registers. But they would prove extremely difficult when done on cultural texts. The aim of the translation is to reproduce meanings of the Source Text and the immediate effect it produces on the native audience for the readers and audience of another culture in whose language the text is to be translated. But, say, every Hindi word cannot have a counterpart in English because of its vast language and cultural differences in certain connotations and structures. Hence, the literal translation of cultural/literary works would be like forsaking the duty of a translator. On the other hand, transcreation or cultural translation means a partial or complete freedom to the translator in dealing with the Source Text. The translator has to render the Source Text in a recreated form in the Target Language. It involves reading every word and sentence carefully, but it is not only or simply a literal rendering. Another step in translation is termed as Transfer. It is the stage in which the analysed material is transferred in the mind of the translator from the Source Text to the Target Text. The final stage is restructuring the transferred material. The basic structural elements have to be transferred to the Target Language. It has to be ensured in the process of transformation that the same effect the Source Text had should be achieved for the Target Text for its readers. When the translation produces the same effect as on the original audience then the translation can be considered equivalent to the Source Text. PROBLEMS OF TRANSLATION The translator has to deal with the problem of finding equivalent words and expressions in the Target Language, which though cannot be substitutes for the expressions in the Source Language, but can come close to it, can raise similar feelings and attitudes in the readers and audiences of the Target Text. Literary and cultural texts suggest rather than describe meanings. Cultural meanings are very specific and their connotations vary with words in other languages. Therefore, it is really difficult to expect equivalence between the texts of two languages separated by two different cultures. The translator has to interpret and analyse the connotative and suggestive of the Source Text and on the basis of his knowledge of the culture of the Target Text; he has to recreate the meanings in the new language. Figures of speech, extended metaphors, idioms, proverbs and allegories pose a great challenge to the translator. Even translating dialogues, forms of dressing, different kinds of food can be difficult when it has strong cultural roots. For example, words like saree, churidar, pan, pallu  cannot have an English counterpart. In India, there is a specific word for every familial relationship. For instance,  chacha, mama, phupha, tauji  are all called uncle in English, similarly nana-nani  and  dada-dadi   are simply grandparents. Also, the suggested meanings of these relationships can never be translated into any other language. To show how the differences in cultural facts can cause difficulties in the translation of metaphors we may look at the symbolic meanings of certain words in different cultures. Owl in English is the symbol of wisdom whereas it symbolizes ill-fortune in Persian and is associated to superstitious beliefs in India. Also, pig, hog and swine are different words for the same animal but these small variations can create big differences in metaphorical meanings: Sam is a pig. Sam is a hog. Sam is a swine. The languages which do not have separate words for these different categories would fail to represent the difference between the discoursal value of the above metaphors. Thus, a literal translation may lead to Target Language metaphors with different and sometimes completely opposite discoursal values.   TRANSLATED WRITERS We are now going to talk about a few writers who have brought out very vividly the different cultures of India through their writing in vernacular languages. The languages we are going to focus upon are Hindi, Urdu, Marathi, Bengali, Assamese, Tamil and Kannada. It is the voice of this marginalized section writing in vernacular languages, especially of the women regional writers, which needs to be heard. This is possible only through translation, which gives them recognition all over the world. RABINDRANATH TAGORE Tagore was the first Indian Nobel Laureate. He won the Nobel Prize in 1930 for his translation of the  Gitanjali. His best known works are  Gora  and  Ghare Baire. His works verse, short stories and novels are acclaimed for their lyricism, colloquialism, naturalism and contemplation. Of Tagores prose, his short stories are perhaps most highly regarded indeed he is credited with originating the Bengali language version of the genre. His short stories mostly borrow from the deceptively simple subject matter: common people. The translation of his works into various languages has given people across cultures a glimpse of the world of the Bengali common man. Given below is Robi Duttas translation of his poem Urvashi: No mother thou, no daughter thou Thou art no bride, O maiden fair and free O inhabitant of Nandan Urvasi! GULZAR Sampooran Singh Kalra  better known as Gulzar is an  Indian  poet,  lyricist  and  director.  Gulzar  primarily works in  Hindi-Urdu  and also works in Punjabi, several dialects of Hindi like  braj bhasha,  khadi boli,  Haryanvi  and Marwari. Gulzar has received many awards including the Padma Bhushan and the  Academy Award  for his song Jai Ho. He has been widely translated into English and other languages. During the Jaipur Literary Festival, Pawan Varma, an eminent IFS officer who has translated Gulzars poetry, said that he faced a difficulty translating phrases like tip tip and tap tap and Gulzar replied abhi to humne kabutar ki gutar goon shuru bhi nahi ki hai. Sunjoy Shekhar, who has also translated Gulzar calls himself a smuggler trying to surreptitiously smuggle the feelings evoked by Gulzars lyrics across an impermissible, alien wordscape. To give a flavor of the translation of his poetry, given below is a song of his along with its translation: basa cand kraoD,aoM saalaaoM maoM saUrja kI Aaga bauJaogaI jaba AaOr rak, ]D,ogaI saUrja sao jaba kao[- caaMd na DUbaogaa AaOr kao[- ja,maIM na ]BarogaI tba zMDa bauJaa [k kaoyalaa saa TukD,a yao ja,maIM ka GaUmaogaa BaTka BaTka mawma Kiksa~I raoSanaI maoM maOM saaocata hUM ]sa [emailprotected] Aga,r kaga,ja, po ilaKI hu[- naj,ma khIM ]D,to ]D,to saUrja maoM igaro tao saUrja ifr saoo jalanao lagao In a billion years when The suns fire dwindles And ash blows across its surface Then the moon will no longer wane And the land not rise When like a cold, burnt out piece of coal This earth revolves Lost in its gyre Trailing a dying, sepia glow I think then If a poem written on a piece of paper was to waft along And perchance land on the sun The sun would ignite again. AMBAI C. S. Lakshmi was born in  Coimbatore,  Tamil Nadu  in 1944. Some of her works   A Purple Sea  and  In A Forest, A Deer  (2006) have been translated English by  Lakshmi Holmstrà ¶m. In 2006, she (along with Lakshmi Holmstrà ¶m) won the Vodafone-Crossword prize. For her contributions to Tamil literature, she received the 2008  Iyal Virudhu. Her work is characterized by her feminism, an eye for detail, and a sense of irony. Exploration of space, silence, coming to terms with ones body or sexuality, and the importance of communication are some of the recurring themes in her works. VIJAYDAN DETHA Vijaydan Detha  also known as  Bijji  is a noted writer from  Rajasthan  and a recipient of  Padma Shri  award(2007). He has also received several other awards such as  Sahitya Akademi Award  and  Sahitya Chudamani Award. He has more than 800 short stories to his credit, which are translated into English and other languages. He is co-founder of  Rupayan Sansthan  with late  Komal Kothari, an institute that documents Rajasthani folk-lore, arts and music. His literary works include Bataan ri Phulwari (garden of tales), a fourteen volume collection of stories that draws on folk-lore and spoken dialects of Rajasthan. His stories and novels have been adapted for many plays and movies including  Habib Tanvirs  Charandas Chor  and  Amol Palekars  Paheli. He once said If you do not want to be a mediocre writer, you should return to your village and write in Rajasthani. 5.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  SALMA Born in 1968 in Tamil Nadu,  Salmas first poetry collection shocked conservative society where women are supposed to remain silent. In 2003, Salma along with three other Tamil women poets faced obscenity charges and violent threats. Salma is now head of the panchayat (local level government body) of Thuvarankurichi, near Trichi in Tamil Nadu. The government of Tamil Nadu has appointed her Chairperson of the Tamil Nadu Social Welfare Board.   Her novel, translated as Midnight Tales  focuses on the inner world of Muslim women in the conservative society of Tamil Nadu in south India. It gives us an insight into what actually goes on in the households of this section of the society and brings it out very effectively. The novel was also long-listed for the Man Asian Prize of 2007. Translating these texts into more widely spoken languages like Hindi and English has taken their voice to a much wider range of readers.

Strategies for Dietetic Communication

Strategies for Dietetic Communication Abstract This report contains information about the academic discourse, history, resources used, and communication skills, which make up an important arena for a professional in the dietetic profession. A brief explanation of the AMA style manual used in the dietetic profession is also outlined and compared to the APA style manual. There is a shared understanding of language and terminology that must exist in the dietetic profession, along with knowledge of the ever-changing nutrition world that a professional works in. It is important to know the history of the profession that a person works in to fully appreciate how it evolved to what it is today and who the people are that deserve credit for their hard work and determination. Many resources are involved in gaining knowledge and producing materials that will teach others as well. From journals to magazines, there are many sources that provide up to date, valuable information that can enhance the professional career of a dietetic profession al. Communication skills are the most important characteristic of a dietetic professional. The many ways a dietetic communicates is reviewed in this report. There are many areas to explore in the dietetic profession and that is what is being presented here. Dietetic Profession DISCOURSE A certain language and style of communication that is common among groups of people can be described as discourse. Ideas and rules are shared within a profession community to effectively communicate and comprehend the intended message. A functional structure is learned and becomes common language for those who are involved a certain profession. The discourse of dietetics involves many areas of study of which one must become familiar with in order to communicate effectively with other professionals in the field. A certain vocabulary and terminology must be researched, studied, understood, and communicated between members of this educated community. It is necessary to engage in the values, vocabulary, forms, and manners of the language to be able to effective communicate with those involved in Dietetic profession (1). Learning the discourse of Dietetics begins with the desire to become a professional in the field. One has to be open to learning the required material and master it. There is no end to the learning; it is a constant demand to keep oneself up to speed with what is going on in the current time. There are always more sources, advancements, and newer interests being sparked amongst professionals who desire to make a difference. A person who desires to work in the Dietetic field may have an interest in working with the community in a public health setting, in a clinic or hospital, long-term care, or possibly in food service management. The required curriculum is relative for all of the mentioned and provides a base for a good understanding of nutrition, interpersonal communication, and the health of those that seek Dietetic services. While the classroom sets the stage for what a student seeking a Dietetic degree needs, there is so much that is also learned while performing on-the job training and internship requirements. An important aspect of Dietetic coursework is having an understanding of multiple sciences. It is a challenging biological field and demands attention in the areas of nutritional and food sciences (2). Chemistry is important to study and understand how the human body breakdowns and uses energy. The food that goes into a persons body has chemical properties that are used as energy. It is necessary to complete human anatomy and physiology courses with a firm understanding of the bodys systems and how they work. Without a clear understanding of how the body works, there would be great mystery as to how the body receives, uses, and disposes of nutrients that are consumed. Communication skills are as important as any other skill when working with other professionals in dietetics, clients, and customers. It is necessary that dietetic workers have open communication with other professionals in different fields to ensure that proper treatment and education will be delivered to the client. A common language and terminology is necessary between members of the medical and nutritional field. It is necessary to have access to Merck manuals and medical terminology manuals as a desk reference. There is a difference in presentation when considering whom the audience will be. If a Dietetic professional is presenting to others in the field, it would be appropriate to use tables and graphs that display research finding on the new diabetes medication and its effects on certain ethnic groups. In this case, medical terms and treatment plans can be discussed using words and descriptions that might not be easily recognized by a client or someone unfamiliar with medical terms. It is very important to consider any communication barriers that may be present when counseling and discussing treatment plans with clients. Therefore, it is necessary to be flexible, have, and recognize the different levels of understanding of all different kinds of people. Mathematics is actively part of the day-to-day routine of dietetic personnel. Whether it is tallying up a clients caloric intake for the day or calculating how many kilocalories a certain patient might need in accordance to their body mass index, basic math and algebra come into play each day. If a dietetic professional takes the position of food service manager, that professional has the responsibility of budget preparation, employee hours, wages, training hours, and many other areas that require the use and implementation of mathematics. Most facilities use designated computer applications and programs to keep everyone involved organized and up to date with the care plan and treatment of patients. Altru Health Systems uses Carex and Affinity computer programs to aid in assessment, charting, implementing diet orders, tracking dietary intake, room service and meal management, and for the convenience of shared information between all disciplines that have access to the programs. This is a very useful and accurate way for everyone involved to stay on the same page and therefore be able to deliver better service to the patient. Problem solving skills are tested everyday as new health conditions and medical treatments are constantly changing. Each person who walks through the door requiring dietetic services is unique and needs assessment and screening to determine the best method for treatment and care. What works for one person, may not work for the other. Each care plan is tailored to the individual for any specific needs that may be present. There may be a point when a physician refers someone to nutrition health services for treatment and while assessing the patient, something does not quite match up or a new diagnosis may be necessary. In cases like these, all health professionals need to be up to date with testing and treatment procedures. Keeping up-to-date with the advancements and knowledge of the field through joining the American Dietetic Association can offer a variety of resources and opportunities to stay involved with the profession (3). There are quarterly meetings and continuing professional education (CPE) credits that professionals can take to keep up with the latest research. Health Magazines and newspapers are also great ways to keep up with what is going on in the profession. Someone who is working in a food service management position may not know what kinds of new medications are being used in combination with nutrition therapies and vice a versa. Experimentation is happening all of the time, especially if working as a clinical dietician. Finding the right diet fit for each individual takes trial, error and patience. With the obesity epidemic, Celiac disease, and other dietary related health highlights, it is necessary for the dietetic professional to be open to new ideas and trials of treatment. Research on how the body uses certain macronutrients, vitamins, and minerals can help professionals understand why certain things affect different people, while others may not be affected at all. Sanitation and food safety is key in providing healthful food to all people, especially those who already in a compromised state. September is National Food Safety Education Month, which was created to heighten the awareness of the importance of food safety (4). Proper hand washing, sanitation of workspaces, avoiding cross-contamination, proper cooling methods, and ensuring food is cooked and held for service at the appropriate temperatures must be implemented. A Serve Safe certification is necessary to obtain prior to completion of the outlined curriculum for the dietetic program. This certification is good for five years and needs to be renewed before expiration; otherwise, the course must be repeated to obtain a new certification. The Food Guide Pyramid was developed by the US Department of Agriculture to be used as a visual tool to help people make healthy food choices (5). This is a helpful guide for Dietetic professionals to use when counseling patients and designing meal plans. There is also a specific Food Guide Pyramid for patients with diabetes. The exchange system, in regards to carbohydrates, needs to be considered when preparing a healthy meal plan for this community of people. There are many sources, which can be accessed to aid members of this community in learning and developing a professional and working knowledge of the required technical language and methods used for effective communication. Reading academic journals, attending ADA meetings, joining committees, networking within, attending conferences and workshops, and reading health and nutritional magazines can all be great sources to discover the language used and the format in which the message is delivered. Dietetic Practice Groups (DPG) provides opportunities to increase knowledge through newsletters, publications and continuing professional education credits (6). People who have a shared interest in a more specific area of the profession set up these groups. The goals and interests of the ADA are upheld as new issues are explored and focused on. These groups can help members network and be part of a smaller group within a larger group, of which they become the expert on a specific topic or issue. The AMA style manual is used in the Dietetic profession and provides the appropriate format for citation and professional writing. The manual provides a guide for abbreviating and referencing materials that are commonly used in the writings of professional works. The ADA website, www.eatright.org, is a great place to find important communication information, ranging from sample letters to forms, to application assistance. The discourse of Dietetics is complex and takes time and interest to become the expert in. HISTORY The history of food and nutrition dates back as far as the beginning of recorded history. In the era of hunters and gathers, people knew that they had to eat in order to survive. The teachings and techniques that were used to obtain food at that time came from trial and error. It was up to the people to figure out which foods were suitable and which could possibly cause illness or even death. The importance of food, specific dietary patterns and disease prevention were observed in the Indian Ayurvedic tradition, dating back to 2500 BCE (7). Looking beyond the medieval era, western science and medicine developed ways of thinking about food and health between 600 BCE and 300 CE (7). Societies throughout each era have looked at diet and nutrition as a means of healthy living and survival. Through the Renaissance and up to the eighteenth century, reports have noted that diet and nutrition were an integral part of having a fulfilled life (7). Many documents from ancient and historical times have evidence that inventions for food processing were becoming common knowledge and new foods were being discovered. In this time, food was mostly produced and consumed entirely within the local area. A familys nourishment was provided by the food that was grown and prepared within the family and exchanged with nearby neighbors. Cooking and preservation techniques at this time were not necessarily safe but were evolving towards more advanced processes. During the Industrial Revolution, the introduction of railroads and wagon roads made the transfer of goods possible at greater distances. This shift began to affect the foods that people had access to and what they ate (8). The science of nutrition began to emerge in the early to mid nineteenth century. During this time, both Europe and the United States were influenced by their governments to increase the yield of food from plant crops and animal herds (7). Food production held a very important role in nourishing the soldiers who were fighting in the war. Safe food was soon found to be the key for survival of troops, especially those who had been wounded and needed proper nourishment to fight illness and infection. Dietetics as a profession can be linked back to the evolution of home economics (9). The early evolution of food and nutrition science was explored to feed soldiers in battle and to also to provide necessary nutrition to those who were preparing to become young soldiers. Nutrition and appropriate food choices were demonstrated to young families to ensure healthy individuals. World War I brought food shortages. Those who were knowledgeable in dietetics encouraged others to plant gardens and learn how to develop recipes for home and hospital use. Both world wars experienced the creation of dietetics as a profession (9). Many important people deserve credit in the history of Dietetics. Far more than five people contributed to its development. Dietetics is largely applied by the use of chemistry. It is necessary to recognize Antoine Lavoisier, who is known as the Father of Chemistry. Lavoisier was born into an upper class, Paris family in 1743. He was able to obtain a law degree at the College Mazarin, though he never practiced law. He had more interest in mathematics and science and gained membership into the Academy of Sciences at 25 years old. (10). Lavoisier had many contributions, which include the assistance in establishing the metric system, to naming 33 elements of periodic table. He died at 51 from literally losing his head. He was found guilty of conspiracy against the people of France. Wilbur Olin Atwater, an American chemist, was born May 3, 1844 in Johnsburg, New York. Atwater is known for his studies in human nutrition and metabolism. He pursued an undergraduate degree at Wesleyan University in Connecticut and later went on to obtain his PhD from Yale Universitys Sheffield Scientific School in agricultural chemistry (11). Atwater invented a device called the respiration calorimeter that measured human metabolism balance by analyzing the heat produced and metabolic rate by a person performing certain activities. This new invention aided many new studies in dietary evolution and food analysis (7, 8, 11). Energy and protein sources were studied and measured to determine that certain foods provide different amounts of nutrients and energy than others. The fat, protein, and carbohydrates of all different kinds of foods were observed and soon there was an awareness of the food calorie. Atwater continued to lead research teams on the discovery of nutrient requirements, food composition and consumption, and consumer economics (12). Throughout his discoveries, Atwater determined that Americans eat more unhealthful foods than desired and do not exercise enough. Florence Nightingale, born 1820 in Tuscany into an upper class family, needs to be mentioned as a contributor to Dietetics as she was the one who acknowledged the need for safe and nutritious food for soldiers during the Crimean War (13). She was actually a pioneer nurse in her time and was determined to improve the living conditions at the camp hospitals and made an effort to clean and organize facilities where patients were cared for. Her contributions helped spread awareness of the necessity for clean, safe, and nutritious foods. There is a long history of health and nutrition and the involvement and contribution of many people and their discoveries has made great progress. Most of the progress has been made in the last 100 years, as new technologies have been a great asset to nutritional health and implementation. Scientific advances, social and economic factors, and military conflicts are contributors to the advancement of the dietetic profession as well. The most important contribution would have to be the determination and dedication by early dietitians who knew that there was a difference to be made and that they were the ones who would be able to make that difference. The understanding and importance of good eating habits was not common, not known, or perhaps just not understood by most of society. Scientific experiments were documented and scholarly journals written about nutrients, but they were almost impossible to understand by anyone who was not in the dietetic profession. Alice Blood was the one who would be able to put all of the difficult works into something that could be understood by large public audience. She translated science-based nutrition information into easy-to-read pamphlets in an effort to educate people on good nutrition. Alice Blood obtained a bachelors degree from Massachusetts Institute of Technology and a PhD in biochemistry from Yale. She also held the title of director at the School of Household Economics at Simmons College in Massachusetts (14). Many changes came about in 1917 for the dietetics profession and many women contributed to these changes. A new organization, the American Dietetic Association [ADA], was born in the fall of 1917 when more than 100 women organized a meeting in Cleveland to discuss multiple issues within dietetics. Lulu Graves, a dietician in Cleveland, held a strong position that dietitians play an important role of the medical team and that when nutrition services are offered to patients, money is saved (14). This is a time when dietitians had the primary role of feeding the wounded and sick in hospitals. The doctors were the ones who could prescribe special diets for treatments and dietitians were like the physicians assistants. At this point, doctors were primarily male and all dietitians were female. Graves stressed the importance of scientific training for dietitians and knew that the future of dietetics would be assured. Lulu Graves was elected the first president of the ADA (15). At the first meeting, many issues were discussed especially concerning food conservation and global food needs. This was an important time for the Association to come together, as World War I was still in full. The annual meeting to follow had greater attendance and included more states involvement. By the sixth annual meeting, which was held in Indianapolis in 1923, insulin was presented as the new treatment for diabetes (15). Insulin was discovered and isolated at the University of Toronto in 1921-1922 by Dr. Frederick Banting (16). Insulin is a hormone that is produced in the pancreas and is necessary to keep glucose levels in the blood at a safe and functional level. This was a major event in dietetic history, as the diagnosis and treatment of type 1 and type 2 diabetes continues to be largely addressed. Food technology was on the rise going into the 1930s. Refrigerators, toasters, canned goods, frozen vegetables, sliced bread and many other developments were introduced. These new preparation and storage methods provided more convenience for keeping food on hand. Obesity became a health concern, which was the topic of discussion towards the end of the 30s. Soon to follow would be the opening of the first McDonalds and Dairy Queen in the early 1940s (15). If what was known then about the negative health affects Americans would experience from frequenting fast food chains, one has to wonder if there would be any earlier changes in the way food is processed and produced for these places. Martha Lewis Nelson was a pioneer in exploring total education of dietitians (14). The original dietetic program was a four-year course at a University with a major in food and nutrition with a six-month dietetic internship. In 1942, Lewis was the director of Medical Dietetics at Ohio State University and she redesigned the internship program, making it possible to earn a Master of Science degree along with the internship (14). Many institutions today use this curriculum to develop education programs for dietetics. In 1966, nutrition and diet therapy services were included in comprehensive medical care programs. Clare Forbes, a Massachusetts delegate to the ADAs House of Delegates, was the force behind this movement (14). Forbes is credited for developing future state legislative programs and guiding the development of the ADAs mission statement (14). Twenty-six years ago, in 1982, the ADAs capacity to reach the public on food nutrition, and health concerns was forever changed. A new resource center, National Canter for Nutrition and Dietetics, was funded through a capital fund program (15). National Nutrition Month is one of the outreach programs that are very active today. The purpose of National Nutrition Month is to help make people aware of necessity of a healthy lifestyle and diet. Many more factors go into health other than just what a person eats. Diet and exercise go hand in hand. If it were not for the good old girls Blood, Graves, Lewis Nelson, and Forbes, the American Dietetic Association may not exist today. It is up to those in the profession to get the message out to the public about good health and nutrition so that money and lives can be saved in the end. Over the past 20 years, many new diet fads have been introduced. Some of these diets have proven to be effective and safe while others are affective and unsafe. Most often the results are temporary, as the people get bored with the same food or routine and then end up failing. Reading nutrition labels and ingredient lists on foods has become more popular in the past couple of years as people now have a better idea of what they are looking for. There are multiple commercials, newspaper articles, and health magazines that give health alerts to new findings in the food that people eat. With all of the sources in which nutrition facts and health information can be found, Americans are far more educated now than they ever have been before. The image is to get into shape and live healthier lifestyles. The advancements in medical technology have expanded the role of the dietetic professional on so many levels. Special diets, mechanically altered foods, and diagnosis of new disease conditions have forced nutritional professionals to test and experiment with new ways of feeding patients and ensuring that they are receiving appropriate nutrition. RESOURCES From academic journals to informational web sites, dietetic professionals look to many sources each day for updated health information and new discoveries. As a dietetic technician, registered dietician, nutritionist, or educator of dietetics, it is necessary to have many resources readily available. Educating and keeping up to date with the latest and greatest is the responsibility of each individual to ensure that they are providing the best possible care to patients. Since there are different focus areas in the dietetic profession, it is necessary to identify the best possible resources in which to keep each self informed and to continue learning day to day. The first major reference that is read and referred to regularly is the Journal of the American Dietetic Association. This journal covers practice applications, research that has been conducted, a calendar of events, new products and services, and a list of periodicals abstracted. Any area of study in the dietetic profession will be able to find useful information is in the journal. There is also a listing of job opportunities and advertisement for education at the back of the journal. Contact information is provided for non-dietetic professional to contact those who are in the profession (17). Elsevier Inc. in New York, NY publishes the Journal of the American Dietetic Association monthly. The copyright belongs to the American Dietetic Association with all rights reserved (17). Journals can be ordered from the publisher, found in public and school libraries and accessed online. There are certain journals that will most often be on the desks or bookshelves of those in the dietetic profession. The American Journal of Clinical Nutrition is a publication of the American Society for Nutrition (18). The major focus of this journal is to provide information from clinical studies that have been conducted on basic human nutrition. This is a wonderful source to keep professionals up to date with the newest results from experiments and findings that have been performed by researchers and scientists. Using this journal as a reference is important, as all research is relevant to those in the profession. This journal is published monthly with two volumes per year in Bethesda, MD (18). Print and online subscriptions are available to both members and non-members of the dietetic profession. This journal can also be found in libraries. The Journal of Nutrition provides professionals with information on experiment nutrition, controversial issues in nutrition and critical reviews of nutrition scientists. This journal began circulation in 1928 as the official publication of the American Society for Nutrition. The journal publishes manuscripts that advance the understanding of nutritional mechanisms in the human population (19). This journal is also published monthly in Bethesda, MD. Anyone who has a membership in the American Society for Nutrition has access to the online version of the Journal of Nutrition. The journal can be found in the library and subscribed to through the publisher. Another journal, Nutrition, is designed as both an open access online journal and as a hardcopy version published by Elsevier. The interest of the journal is to publish results from clinical trials performed by physicians and scientists of all fields that aim to find better ways of determining treatment and diagnosis. Research articles, case studies, and peer reviews are all included in this journal. BioMed Central is the independent publisher of Nutrition journal online. Once articles are accepted and published by BioMed Central, they are also accessible at PubMed Central and MEDLINE (20). Access to BioMed Central can be achieved by using the URL: http://www.biomedcentral.com. Nutrition Research journal is An International Publication to Advance Food and Life Science Research (21). The journal is another one of many publications that is from Elsevier. Dietetic professionals refer to this journal for the latest articles and reviews of basic and applied nutrition, global communication of nutrition, and research on food and health. The purpose of the journal is to provide an advanced understanding of nutrients and how dietary components improve health conditions in humans. The publication of Nutrition Research began in 1981 (21). There is a Nutrition Package that can be purchased which includes the fore mentioned Nutrition Journal and the Nutrition Research journal, which is available through Elsevier. The American Journal of Health Behavior is the official publication of the American Academy of Health Behavior. PNG Publications in Star City, WV publish this journal bimonthly. Members of the American Academy of Health Behavior receive the journal as part of their membership. Online access to the journal is included in the membership (22). The journal provides valuable information on maintenance, restoration, and improving health using multiple methods. Information on how behavior causes health affects and how health care programs can and have been implemented can be found in this journal as well. This journal is a valuable tool for dietetic professionals, as the studies included give information that can be used when educating patients and designing diet plans and healthy lifestyle outlines. A professional in dietetics who wishes to become an educator would find it a good idea to become part of the Society for Nutrition Education [SNE]. With a membership to SNE, professionals have access to the Journal of Nutrition Education and Behavior. Elsevier in New York, NY publishes the journal bimonthly (23). Journal articles and abstracts are accessible online at MEDLINE and www.jneb.org. Information that is found in the journal and online is beneficial for all levels of education. From school-aged children learning about the food groups to parents learning about appropriate feeding patterns, this resource will help educators with all levels of cliental. Four major magazines most often appear on the desks or end tables in the offices of dietitians and other nutrition professionals. Todays Dietitian is the most popular magazine subscription, which includes a wide range of health topics such as diabetes management, food allergies, research updates, and long-term care information. Great Valley Publishing Co., Inc. in Spring City, PA publishes this magazine (24). This magazine is very informational and easy to navigate to find exactly what a person is looking for. Todays Diet Nutrition offers expert information on issues such as eating right, exercising and getting results. Like the Todays Dietitian magazine, Great Valley Publishing Co. Inc. publishes Todays Diet Nutrition in Spring City, PA (25). Food, fitness, knowledge, and balance are all important aspects in living a healthy life and this magazine has valuable information to help the health-conscious person achieve what they are looking for and working toward. This magazine is published bimonthly. Most libraries carry this subscription and it can be purchased at Barnes Noble and many other retail outlets. A magazine that offers the newest information on fad diets and newly discovered functions of nutrients is Nutrition Today, published by Lippincott Williams Wilkins in Philadelphia, PA (26). The magazine covers topics of nutrition science, obesity and behavior, nutritional guidelines, and the business of nutrition and roles of the nutritional professional. Information found in this magazine is from credible sources, which includes scientists and nutritionists who back their reports and findings with evidence. This is a very good source to reference when seeking information about the latest diets and up-to-date controversial issues in dietetics. Continuing education and keeping oneself up to date is extremely important in the dietetic profession. Registered dietitians and technicians can complete Continuing Professional Education (CPE) credits in a number of ways. One great resource for this is the Topics in Clinical Nutrition magazine, published in Philadelphia, PA by Lippincott Williams Wilkins (27). New and updated issues are addressed and current research results are provided to keep professionals up to speed with the ever-changing world of nutrition. Members of the American Dietetic Association can become part of Dietetic Practice Groups (DPG), which focus on certain areas of nutrition and health. Newsletters are printed monthly or quarterly, depending which group the member is involved in. These newsletters are available online as well as hard copy. Copyright belongs to the American Dietetic Association and is published by Elsevier Inc (28). The Nutrition Research Newsletter is a monthly newsletter published by Technical Insights/Frost Sullivan in San Antonio, TX (29). The latest developmen