Monday, September 30, 2019

Wellness Perspectives Of Obesity Health And Social Care Essay

It has been observed that those with high abdominal splanchnic adiposeness or huge sums of splanchnic adiposeness in general ( fleshiness ) are at increased hazard for the metabolic syndrome. This is due to effects of inordinate fat shops on the vasculature and on endothelial map. Per Bjorntorp offered grounds to back up that hormonal instabilities, specifically of hydrocortisone and sex endocrines, are of import in the pathogenesis of insulin opposition, which is besides a lending factor to increased hazard for the syndrome. Genetics plays an implicit in function in the forecast of the metabolic syndrome, every bit good. Restrictions of utilizing the metabolic syndrome in clinical scenes as a diagnostic tool include concluding such that it ‘s non clearly understood which individual or combination of status ( s ) described above ( ATP3 diagnostic standards ) really are responsible for increasing hazard or doing any cardiovascular or metabolic upsets in the long tally, and the fact that the arbitrary figure ( 3 ) of conditions met measure up a patient for holding the syndrome. Metabolic syndrome is besides a gray country in foretelling wellness result due to the manner wellness professionals approach intervention – some tackle one status at a clip while others prescribe a general life style intercession. The metabolic syndrome has evolved into its name from â€Å" Syndrome X † over the old ages ; Syndrome X addressed a bunch of symptoms associated with insulin opposition and when cardiovascular abnormalcies were added to the diagnosing the name changed to the â€Å" metabolic syndrome † . There is a disagreement as to whether or non the construct metabolic syndrome should be dismissed, due to the obscure nature of its being as neither a true disease nor a true syndrome. 2. Describe why the metabolic syndrome is sometimes depicted as a syrupy rhythm. ( 10 points ) We live in a society where sedentary life styles are common and nutrient is aplenty, two factors that addition likeliness for positive energy balance. When genetic sciences and constructs like the â€Å" thrifty cistron † theory are factored into the equation the likeliness for weight addition is raised even more. Once an single becomes obese they are at hazard for certain features that represent the metabolic syndrome – or all of them – harmonizing to ATP3 guidelines. They besides may meet some of the emotional effects of being overweight, such as depression or deficiency of ego esteem – both can potentially originate and fuel â€Å" nerve-racking feeding † and take to farther weight addition and wellness complications. This cycling mentioned so far is merely in footings of weight, which sets the phase for farther jobs in association with the metabolic syndrome. At the cellular degree, one thing tends to engender another, whether it ‘s an aggravation of one factor or the induction of a different 1. For illustration, as insulin opposition is brought on by hapless dietetic and exercising wonts ( but particularly the self-contradictory free fatso acid flux associated with fleshiness[ 2 ]) , it causes greater insulin opposition. Besides, insulin – being a growing factor that can advance adipogenesis – has the possible to heighten production of ectopic fat in its ability to heighten lipoprotein lipase ( LPL ) activity and suppress hormone-sensitive lipase ( HSL ) activity. This ( over ) production causes inflammatory markers to be called upon to assist relieve the state of affairs, and their presence in and of itself serves to decline insulin opposition. Girod et al 20032 explains this rhythm in great item in a superb article. The diagram below was taken from the article and depicts the rhythm ‘s chief flow and major points. 3. Define weight cycling. Discuss the grounds about weight cycling being â€Å" risky † to wellness. ( 10 points ) Weight cycling is insistent weight loss and recover over clip. It is besides referred to as â€Å" yo-yo † dieting, and is normally measured by how many witting dieting efforts an person has made. Cycling is in regulation with Elfhag ‘s belief that losing weight and maintaining it off is highly hard.[ 3 ]She and several others stand steadfastly behind the impression that weight care is disputing. Despite the increased prevalence of weight cycling and the increasing figure of rhythms carried out per individual, diet crazes and weight loss plans are at full steam with new constructs and â€Å" advanced † merchandises being placed on the market continually. Though the mechanisms are non good understood weight cycling appears to hold an association with increased all-cause and cardiovascular mortality.[ 4 ],[ 5 ]There are several factors that may turn to this job. It may hold to make with the evident alterations in organic structure composing related to loss and regain ; those who regain tend to recover mass in the signifier different types of fat – chiefly splanchnic fat – and it appears to roll up mostly around the middle of the organic structure.[ 6 ]Two specific factors are at drama here for increased hazard for cardiovascular issues, one is the high sum of splanchnic fat and the 2nd is the accretion of this fat around the center, increasing waist perimeter. Both of these are besides mostly involved with the oncoming of insulin opposition, another reported complication of weight cycling.[ 7 ]The addition in cardiovascular mortality may besides be a consequence of the changeless fluctuation of certain markers that affect endothelial map, which include blood force per unit area, serum glucose and serum lipoids ( lessenings in HDL are associated with weight cycling[ 8 ]) .[ 9 ]Kidney map is besides affected during cycling by a fluctuating glomerular filtration rate.[ 10 ]One more factor is the pronounced alterations in sympathetic nervous system activity during the restriction/overfeeding cycling, which significantly insult blood force per unit area and bosom map and finally impacts overall cardiac burden. To farther support that weight cycling is â€Å" risky † , Hooper et Al observed pronounced additions in appetite-stimulating endocrine profiles ( increased ghrelin, lower glucose, and lower androgen degrees, specifically ) in postmenopausal adult females who reported a history of repeated turns of weight cycling[ 11 ]– this would increase the likeliness for weight regain. It has besides been reported that weight cycling is associated with an increased prevalence of eating disorders/disordered feeding, bone breaks, malignant neoplastic diseases, type 2 diabetes, high blood pressure and psychological upsets. 4. Define and depict what is meant by chronic emphasis. ( 10 points ) Chronic emphasis is continual exposure to certain stimulations that elevates and maintains a degree of allostatic activity in the organic structure. Chronic emphasis can originate from a figure of state of affairss, whether environmental or internal. The â€Å" stress response † refers to the manner the organic structure reacts under emphasis, and it depends on the strength and continuance of the abuse. When an person is under chronic emphasis, the allostasis involves alterations in energy flow which affects several factors such as appetency, energy storage mechanisms and alimentary use. Stress endocrines such as hydrocortisone, corticotropin-releasing endocrine ( CRH ) , epinephrine and norepinephrine are released in effort to restart stableness in a fight-or-flight- or defeat reaction-type state of affairs that has been imposed on the organic structure, via either the hypothalamic pituitary suprarenal gland ( HPA ) axis or the sympathetic-adrenomedullary ( SAM ) system. Chro nic emphasis has been linked to increased hazard for going corpulence or corpulent. 5. Describe how chronic emphasis it is related to splanchnic fleshiness and clinical manifestations of the metabolic syndrome. Define and depict the part of the SNS system, the HPA axis, and wellness behaviours on splanchnic fleshiness and metabolic syndrome. ( 30 points ) . The HPA axis is a cardinal control hub of the emphasis response cascade, located in the hypothalamus and encephalon root, and regulated by CRH. It runs on a feedback system, in which adrenocorticotropic endocrine is secreted from the anterior hypophysis and Acts of the Apostless on the adrenal cerebral mantle to excite cortisol secernment ; in bend hydrocortisone studies back to the encephalon to close off production of more hydrocortisone. The SAM works in concurrence with the HPA axis to run the emphasis response and is located in the venue ceruleus on the Ponss – though it is typically called upon in state of affairss where the emphasis abuse is non perceived as overly-threatening. During the response to chronic emphasis, the presence of adrenaline serves to close down digestive procedures and diverts all attending to the sympathetic activity in an effort to supply the organic structure with the ability to get by with the emphasis. Cortisol release, nevertheless is associated with eating and increased feelings of hungriness. Chronic elevated hydrocortisone degrees is besides known to do splanchnic fat accretion and deposition ; a good known factor of fleshiness and the metabolic syndrome. Adipose tissue – particularly intra-abdominal – contains more glucocorticoid ( hydrocortisone ) receptors, which finally yields greater glucocorticoid metamorphosis in the abdominal country compared to other parts. Within splanchnic adipose tissue, in the presence of insulin the hydrocortisone serves to forestall lipid mobilisation for usage and supports fat accretion alternatively, in either of two ways: one, through stimulation of lipoprotein lipase activity or two, through the repressive effects hydrocortisone has on growing endocrine, which promotes lypolitic activty when permitted to work freely. Cortisol besides suppresses the consumption and usage of glucose in musculus tissue, and at the same time promotes the dislocation of protein in an attempt to originate gluconeogenesis in the liver. Epinephrine and noradrenaline are received and processed by sympathomimetic receptors. Two types of receptors exist, alpha and beta. Alpha receptors initiate a cascade consequence to let go of free fatty acids, while beta receptors inhibit this cascade and therefore the release of free fatty acids and alternatively advance fatty acerb storage. When free fatso acids are released into the portal system, unless they are used right off ( i.e. , to back up energy demands of physical activity ) they remain in circulation and it can be risky to hepatic metamorphosis and insulin sensitiveness. Both of these complications are markers associated with the metabolic syndrome. The presence of hydrocortisone stimulates hunger which can take to â€Å" nerve-racking feeding † and, accordingly, weight addition particularly in the signifier of splanchnic adipose via mechanisms mentioned above. The more hydrocortisones released in response to emphasize the higher the inclination to eat more of calorically heavy nutrients. There is grounds to propose that consumption may be affected by neuropeptide Y, CRH and leptin every bit good as opioid and endocannabinoid signaling in concurrence hydrocortisone activity.[ 12 ]In footings of the theoretical account of reward-based feeding, cognitive restraint of indulging in a peculiar nutrient outputs a signifier of emphasis that increases hydrocortisone concentrations which impact NPY, insulin and leptin degrees ; hunger work stoppages hard while the wages tracts are initiated and while the individual gives in and devour the point the circulating endocrines and hydrocortisone act to heighten fatty acerb storage in th e signifier of splanchnic adipose and supress insulin sensitiveness. Currently-overweight females and those with a history of high dietetic restraint are most likely to digest this destiny. Repeated Acts of the Apostless of this step will finally take to increased hazard for weight addition and farther, the metabolic syndrome. 6. Using the Obesity Atlas and/or other resources, describe and compare the function and influences of biology/genetics, physical activity behavior/ eating behaviour and environment on the etiology of fleshiness. Which of these facets has the strongest impact? Why? Which of these may be the most promising to prosecute for bar or intervention of fleshiness. Why? ( 30 ) The etiology of fleshiness can non be represented by any one individual factor ; alternatively there are a battalion of influences on energy balance and weight fluctuations that are really loosely grouped into: biological science and genetic sciences, physical activity/inactivity, dietetic wonts, and the psychosocial influences from the envrionment. While physiology and familial make-up are the strongest forecasters of phenotype, they are about impossible to alter after creative activity of a human being. On the other manus, the physical universe around us and our concsious daily determinations are extremely dynamic, and therefore these are the 1s that should be targeted for intercession and intervention. There is grounds to back up that genetic sciences work in concurrence with the environment to lend to obesity on a planetary degree. Research has shown there are specific internal biological and physiological procedures that can be influenced by heritable traits ; one such illustration set Forth is the thrifty cistron hypothesis ( Neel, 1961 ) with which it was proposed that the organic structure can be predisposed for extremely efficient food hive awaying mechanisms, therefore seting them at a disadvantage for increased hazard of weight addition compared to the non-thrifty-gene-carrying population. Another illustration is the set point theory ( Bennet et al, 1982 ) , which entails that an internal control system dictates and regulates how much fat a individual carries throughout their life-time. Geneticss have besides been linked to weight loss as good – Shin et Al, 2006 found that certain SNPs in the ADIPOQ cistron ( influences alterations in go arounding adiponectin degrees ) can find how good, or ill, one responds to dietary & amp ; exercising intercessions. Mager et Al, 2008 observed mutants in the ghrelin receptor cistron which were associated with fleshiness and glucose metamorphosis in people with impaired glucose tolerance, and found that specific SNPs in this cistron besides influenced how one responds to burden loss intercessions. However, good beyond the negligible sum of research behind the familial part to fleshiness is the other, good established offender – the external environment in which we live and its afloat pool of abuses. The society we are constructing around us begets eternal options and short cuts – 1s that were non available in the times of our early ascendants ; therefore, they are non contributing to proper direction of our organic structures the manner nature intended. The grounds is all around us, from McDonalds Dollar Menu to the Dollar Store and from wireless cyberspace to Segway scooters ; it ‘s all about money and ease these yearss. And so to prod us while we ‘re down after lading up on cheap, high fat nutrient we have the amusement industry, which has drawn voluminous sums of attending to an overdone image of the â€Å" perfect organic structure † over the old ages, making this mute criterion of and spliting line between how we should and should n't look . Now the sudden rush in diet and weight loss pills, plans and regimens has left us in even more of a dither, scared to look one manner or the other in fright of being stared at, smirked at, laughed at, judged or ridiculed for the manner we appear on the exterior. So we stagger on, and our caputs down and custodies in the bowl of comfort. emphasis could ne'er be the exclusive cause of and be an effectual mark for intercession and intervention for the rise in fleshiness. There are merely excessively many extra confounding factors – genetic sciences and hapless dietetic and exercising wonts are the major wrongdoers. The construction of American society is by no agencies conducive to easy, healthy life, with widespread economical instability and far, far excessively many cutoff options. You ‘re stressed at work so you mindless make for the tremendous bowl of Halloween confect in the common country ; you are short on hard currency so you head into McDonalds for their dollar bill of fare choice ; you do n't experience like walking the stat mi to work so you get into your auto or hop on the coach.

Sunday, September 29, 2019

Pregnant Women Essay

In my opinion, pregnant women should be punished for partaking in legal behaviors such as taking fertility medication, smoking, and drinking, all of which can cause harm to the fetus. I think a woman should subordinate her right to control her life when she decides to become pregnant or does become pregnant. Anything which might possibly harm the developing fetus should be prohibited and all things which might positively affect the developing fetus should be mandated under penalty of law, be it criminal or civil. Since anything which a pregnant woman does or does not do may have an impact, either positive or negative, on her developing fetus, any act or omission on her part could render her liable to her subsequently born child. While such a view is consistent with the recognition of a fetus’ having rights which are superior to those of its mother, such is not and cannot be the law of this state. A legal right of a fetus to begin life with a sound mind and body assertable against a mother would make a pregnant woman the guarantor of the mind and body of her child at birth. A legal duty to guarantee the mental and physical health of another has never before been recognized in law. Any action which negatively impacted on fetal development would be a breach of the pregnant woman’s duty to her developing fetus, Mother and child would be legal adversaries from the moment of conception until birth. If a legally cognizable duty on the part of mothers were recognized, then a judicially defined standard of conduct would have to be met. It must be asked, by what judicially defined standard would a mother have her every act or omission while pregnant subjected to state scrutiny? By what objective standard should a jury be guided in determining whether a pregnant woman did all that was necessary in order not to breach a legal duty to not interfere with her fetus’ separate and independent right to be born whole? In what way would prejudicial and stereotypical beliefs about the reproductive abilities of women be kept from interfering with a jury’s determination of whether a particular woman was negligent at any point during her pregnancy? Nevertheless, some argue that the drug-addicted pregnant woman should be treated as if her drug use is the same as child abuse and at least one state Supreme Court has apparently accepted that view. The Supreme of South Carolina, distinguishing itself from courts in twenty-four other states, has declared that at least inside the borders of South Carolina a viable fetus is a person and a pregnant woman who endangers its health can be found guilty of child abuse. The South Carolina court could not fathom the difference between a stranger who attacks a pregnant woman and the woman herself. The court argued if the fetus is not treated as a child under the law, then, â€Å"there would be no basis for prosecuting a mother who kills her viable fetus by stabbing it, by shooting it, or by other such means, yet a third party could be prosecuted for the very same acts. † The truth is that we do not have to pit the woman against the fetus to promote healthy pregnancies or to value life. In fact, creating fetal personhood hurts both women and the possibilities for healthier pregnancies. We could treat addiction for what it is, a health problem. We could fund programs designed to meet women’s needs not only during pregnancy, but throughout their lives because we value women as whole persons. We could respect people’s different values regarding fetuses without creating the legal fiction that fetuses are separate persons.

Saturday, September 28, 2019

Supervisory techniques

The word counseling can be defined as the process of helping persons who are fundamentally psychologically healthy or otherwise resolve developmental and situational issues. Supervisory techniques are essential and incorporate some advances that may not be themselves referred as counseling such as creative problem solving but have similar aim. A successful counselor has a mature and well balanced state of mind and temperament and places him/her self in the shoes of the counselee, and has the ability to respect their (counselee) opinions, thoughts, feelings and emotions.After evaluating the story as described, a realistic, practical solution can be developed individually at first if this is beneficial, and then jointly to encourage the participants to give their best efforts at orienting their relationship with each other. It must be noted that the change in situations like financial status, physical health, and the influence of family members and friends can have an adverse negative influence on the conduct, responses and actions of the those counselee.The scope of counseling covers a wide and diversified field of study as it includes what one would imagine far and beyond these identified topics;- Abortion counseling, Brief therapy, Career Counseling, Christian counseling, Counseling psychology, Credit counseling, Cross-cultural counseling, Disaster counseling, Disciplinary counseling, Ecological counseling, Family & marriage counseling, Genetic counseling, Grief & trauma counseling, Marriage counseling, Pastoral counseling, Relationship counseling , Rehabilitation counseling, Sexual trauma counseling, Suicide intervention etc. 1.0) Pregnancy Options and Abortion counseling This provides information and support for a pregnant woman who is considering between the choices regarding the continuation of the pregnancy. The choices include continuing the pregnancy for parenting or adoption and pregnancy termination. In reality, qualified advisors take the information with certainty and encouragingly that helps each woman make the best decision for her. Counselors require up-to-date knowledge of local and national laws governing women's pregnancy choices, especially concerning adolescents and their rights to make such decisions.The tie between forced abortion and mental health is no more associated with psychological danger than carrying an unwanted pregnancy to term. Psychological effects of abortion It was noted that adverse emotional reactions to the abortion are influenced by pre-existing psychological conditions and other negative factors and, furthermore, that well-being was separately and positively related to employment, income, and education, but negatively related to total number of children. The kind of stress and the amount of stress women experience varies from culture to culture.Emotional distress may occur in a majority of women who are contemplating or have had an abortion due to a number of factors, including pre-existing mental health problems, the status of the woman's relationship with her partner, poor economic status, poor social network, or conservative views held on abortion. The term â€Å"post-abortion syndrome† was used as it was stated that it had been observed post-traumatic stress disorder which developed in response to the stress of abortion.While some studies have shown a correlation between abortion and clinical depression, anxiety, suicidal behaviors, or adverse effects on women's sexual functions for a small number of women, these correlations may be explained by pre-existing social circumstances and emotional health and various factors, such as emotional attachment to the pregnancy, lack of support, and conservative views on abortion, may increase the likelihood of experiencing negative reactions. Abortion might mean a selection of women at higher risk for suicide because of reasons like depression.The study concluded that compared to other women in the group those who had an abor tion were subsequently more likely to have â€Å"mental health problems including depression, anxiety, suicidal behaviors and substance use disorders. 1. 1) Career Counseling Career choices are based on matching personal traits (aptitude, abilities, resources, personality) with job factors (wages and environment for success. This framework contains three sections: a) Acquaintance with the necessary requirements and conditions of achievement, positive and negative effects, returns, opportunities, and prospects in different area’s of work.b) A true reasoning of the relations of these two groups of facts 1. 2) Christian counseling Christian counseling is carried out by a qualified counselor who upholds Christian ethics values, beliefs and philosophy. The uniting element is the therapist, who has integrated a combination of Christianity, psychology, and psychotherapy into the applied program. Counselees look at Biblical guidance and counseling as a perfect relationship with a ca ring counselor directed toward increased awareness of themselves, others, the societies and cultures in which they live, and their understanding of the Christian God.The therapy may take an ad-hoc approach, focusing simply on the therapy session itself. Clients may be more comfortable with a Christian counselor, and they may feel such a person's advice is more sensitive to their personal or religious needs. Some clients also wish to use the Christian Bible as a reference for their counseling sessions and therapy. 1. 3) Disciplinary counseling A disciplinary counseling is a session or a meeting between an employer and an employee or a supervisor and his/her junior employee.It may focus and put more emphasis on a specific work place scenario or in carrying out a performance appraisal. The counseling process may be scheduled, initiated and executed by the supervisor and is not considered disciplinary. It is conducted in ultimate privacy, and is intended to have a constructive goal of p roviding feedback to the employee to correct the problem. 1. 4) Pastoral counseling Pastoral or Biblical counseling is a branch of therapy in which ordained ministers, rabbis, priests and others provide therapy services.These include Marriage and Family Counselors. Pastoral counseling is essentially a non-licensure. Counselees often will not pay for pastoral counseling of counselors without state licensing which is often synonymous with pastoral care that include Christian Counselors, Clinical pastoral education.. 1. 5) Rehabilitation counseling This type of counseling takes interest on assisting those with disabilities to achieve their personal, career, and independent living goals through a counseling process.Though educational programs have began to appear, it is not until the availability of adequate funding for rehabilitation counseling programs that the profession begun to grow and establish its own identity. 1. 6) Suicide intervention Counseling Suicide intervention is an eff ort to stop or prevent persons attempting or contemplating suicide from killing themselves. Individuals who utter the intention cause harm to self are routinely determined to lack the present mental capacity to refuse treatment, and can be transported to an emergency department against their will.Medical advice pertaining people who attempt or consider suicide is that they should immediately go or be taken to the nearest emergency room, or emergency services should be called immediately by them or anyone aware of the problem. Modern medicine treats suicide as a mental health issue. According to medical practice, severe suicidal ideation, that is, serious contemplation or planning of suicide is a medical emergency and that the condition requires immediate emergency medical treatment. Those suffering from depression are considered as high-risk group for suicidal behavior.When depression is a major factor, successful treatment of the depression usually leads to the disappearance of sui cidal thoughts. However, medical treatment of depression is not always successful, and lifelong depression can contribute to recurring suicide attempts. 1. 7) Career Counseling A career was initially taken as a course of successive situations that make up a person's work life. One can have a sporting, musical or any other without being a real professional athlete or musician, but most frequently â€Å"career† in the 20th century referenced the series of jobs or positions by which one earned one's money.Career Assessments are tests that come in a variety of forms and rely on both quantitative and qualitative methodologies and helps individuals to identify and better articulate their unique interests, values, and skills. These type of advisors evaluates major interests, values and skills, of the client and also help them explore career options and research graduate and professional schools. This field is vast and includes career placement, career planning, learning strategies a nd student development.Typically when people come for career counseling they know exactly what they want to get out of the process, but are unsure about how it will work Career counselors work with people from all walks of life such as adolescents looking to explore career options or with experienced professionals looking for a career change. Career advisors normally have psychology, vocational psychology, or industrial/organizational setting. The approach of career counseling varies by practitioner, but generally they include the completion of one or more assessments. 1.8 Credit counseling It is also known as debt counseling. This is a process offering education to consumers about how to avoid incurring debts that cannot be repaid. This process is actually more debt counseling than a function of credit education. This type counseling involves discussing with lenders in ascertaining a debt management plan (DMP) for a consumer. A DMP may help the debtor repay his or her debt by worki ng out a repayment plan with the creditor. DMPs, set up by credit counselors, usually offer reduced payments, fees and interest rates to the client.It merely gives a fresh start and an opportunity for the client to begin building a positive credit history. Criticism for credit counseling These sharp increases of credit counseling activity also created other, more serious issues in the industry and they include: a) Exploitation by most credit guidance organizations are so significant which leads to criticism of the entire industry. b) Another common criticism of credit counseling is the assertion that participating in a Debt Management Plan will ruin a consumer’s credit.d) Severally many credit advice firms hire untrained staff to do credit counseling. References 1) Swanson, J. L. and Parcover, J. A. (1998). Annual Review: Practices and Research in career counseling and development — 1997. The Career Development Quarterly. 47, 2, 98-135. 2) Kim, B. S, Li, L. C. , and Li an, C. T. (2002) Effects of Asian American client adherence to Asian cultural values, session goal, and counselor emphasis of client expression on career counseling process. Journal of Counseling Psychology, 49, 3, 342-354.

Friday, September 27, 2019

Discussion Questions and Participation Questions Essay - 1

Discussion Questions and Participation Questions - Essay Example The energy usage of the company should be reduced by 15% by the year 2012. The company is going to have to develop its renewable energy program further to achieve this goal. The CO2 should be reduced by another 10% by the year 2012. A popular product at Coca Cola is its 20z bottles soft drinks. These bottles are used for the classic coca cola and for other soft drinks the company sponsors. The product is currently in its mature phase of its product life cycle. An environmental lifecycle assessment of this product shows that the packaging material utilized by the company is causing great harm to the environment. The company sells every year over 2 billion bottles of these products. That is lot of plastic that is being wasted to package the bottle. The company recognized the existence of this problem which is contributing to the depletion of the crude oil natural resource. Coca Cola invested $60 million to create the world largest recycled bottling plant. The end state goal of the company is to achieve 100% usage of plastic recycled material. This plant will enable the company to come closer to the goal. Water scarcity is major problem the world is facing. There are regions in the planet that are facing major issues due the lack of water. One of the most affected regions in the world is Sub-Saharan Africa. The water stewardship program at Cola-Cola goes beyond setting operation agendas on how to reduce water consumption and improve the quality of water. The program also raises awareness worldwide about water scarcity in poor communities. You mentioned the importance of reducing green house emissions. This goal is essential in order to reduce air pollution. CO2 emissions are the top contributor that is causing global warming. You also mentioned that the company is using hybrid technology in its selection of its truck fleet. The ground transportation vehicle fleet of the company is an area in which the company could improve by replacing all of its

Thursday, September 26, 2019

The environmental issues associated with producing unconventional oil Research Paper

The environmental issues associated with producing unconventional oil and gas - Research Paper Example The US Government, federal regulatory authorities, the industry operators, NGO’s along with environmentalists are therefore engaged in discussions as to the best way forward into this relatively new field, by addressing the concerns of all the stakeholders involved. Introduction Recent advances in technology have made it possible to drill natural gas from deep reservoirs located in energy rich areas of the United States. These fuels are being termed unconventional fuel sources and contribute to around 25% of the fuel consumed in the US. This unconventional source is comparatively a cleaner fuel and produces less greenhouse gas emissions. However data collected in the recent past demonstrate that prolonged GHG emissions have implications on health and environment apart from increasing the carbon footprint. Studies conducted have lead to a new method of calculating GHG emissions and these are now being used by the US Environment Protection Agency, post 2011.These calculations wi th its additional factors have increased the GHG emissions count significantly but are still quite ‘green’ when compared to other energy sources. To an extent these emissions are being controlled by various methane mitigation strategies. Various programs under the EPA framework are also being brought in to persuade operators in emission control. However lack of concrete data as to the extent of emissions has meant that scientists are still trying to ascertain the impact of these unconventional energy sources on health and environment. Source: Ritter Karin and Emmert Amy, US natural gas production history, 2013 Techniques in natural gas production Different types of geologic formations present different types of oil reservoirs. Porous rock allow for easy flow of oil into a conventional reservoir while shale and sandstone prevents the same because of its low permeability. These kinds of hard rock formations entraining oil and gas can sometimes be located up to 11000 feet beneath the surface. Baken in North Dakota has significant reserves located deep underground its shale formations which cover large basins of geologically depressed areas. (GAO, 2012) Comparing it to the conventional sources, extracting unconventional oil and gas calls for robust technical knowhow and complex knowledge of horizontal drilling and hydraulic fracture techniques. Some of the activities involved in extracting unconventional oil and gas are similar to those carried in conventional drilling. Source: GAO, Horizontal drilling and Hydraulic fracturing in unconventional shale formations, 2012 Siting and site preparation involves identifying a potential site for drilling and clearing the area of vegetation. (GAO, 2012) Access roads are laid out and pipelines laid for transport of this gas to an interim containment. In case of abundance of deposits storage tanks may also be built at site for storing of the drilled oil. Drilling, casing and cementing involve installing the steel pipe called casing into the drilled hole and cementing it into place. The drilling is carried out progressively and with each depth additional steel pipe is lowered. The casing is intended to prevent the contents in the well from coming into contact with the outer water table which might lead to contamination. (GAO, 2012)

Critically discuss the empirical evidence that there are sex Essay

Critically discuss the empirical evidence that there are sex differences in intelligence - Essay Example There are facts proving that such an inequality results in economic stagnation connected with decreasing labour productivity. (Appold, S. et. al., 1998, np) Gender inequality actualises also other, non-economical problems of poverty: lack of security, rights, resources and opportunities. In fact, there are no â€Å"gender neutral† phenomena in any sphere of social life: any change in it tells substantially upon the status of citizens (both women and men) in the society, and that is why many social phenomena have been studied nowadays taking into account their gender aspect. When speaking about the inequality of genders in any county, we usually mean the violation of women’s rights. Sandra Bem is sure that in the modern society with its patriarchal culture domination, women have constantly been oppressed, as well as a sexual minority, and it makes sexism related to heterosexism. (cited from: Lott, 1994, np) There has been a lot of research in psychology concerning the issue of gender inequality. Gender psychology aims at explaining the inequality of genders not as the result of biological differences between sexes but analysing different social, cultural and economic factors. Moreover, gender sociology states that the personality of any woman is precious in itself, and women have all the right to choose their own life paths, either accepting or breaking traditional stereotypes. Women being considered inferior to males has many facets: from the inequality of salaries and unequal division of family duties to violence, pornography, lack of political rights, etc. The modern society is still of patriarchal character, therefore this issue is topical, and a lot of factors contribute to it, from cultural beliefs and traditions to scholarly theories that claim that there are sex differences in intelligence, and therefore women should only perform particular duties in the society and are not welcome to do anything that is historically attributed to

Wednesday, September 25, 2019

Renaissance Period Essay Example | Topics and Well Written Essays - 750 words

Renaissance Period - Essay Example Mother and child is a recurring image in all religions because this image is the most powerful visual sign that takes the beholder to the roots of his/her origin. The drawing, reliefs, and sculptures of mother and child by Michelangelo stand out among numerous works based on the same theme with their unconventional approach. Art critics† have observed, †Michelangelo reinforces the unity of mother and child through their shared nakedness,† referring to the drawing in which both Madonna and the child are depicted naked. The emotions that exude in all these works have been described as divine greatness and exalted grief. In the sculpture by Michelangelo, with the same theme, the mother looks down sadly as if she knows about the fate of her child. This was a departure from the earlier works on the same subject in which the mother invariably smiled upon the child. In â€Å"The Four Seasons†, it seems Vivaldi is painting with poetry and singing with the sounds of n ature. In the spring sonnet, we hear the birds, the streams, the wind, the thunderstorms, the rustling leaves and of course the silences in between. The rustic bagpipes are sounded then predicting the arrival of summer, the festive season. In the summer sonnet, the cuckoo’s voice is heard as a cool breeze that passes by over the scorching pines, sweltering men, and flocks and the blazing sun. The north wind indicates an upcoming season change again. Wiping away the anticipation of devastation, then, autumn arrives.

Tuesday, September 24, 2019

Impact Of Music File Sharing On The Production Of New Music Essay

Impact Of Music File Sharing On The Production Of New Music - Essay Example The modern trend of business provides a great deal of importance to capitalize over cultural aspects that are integrally associated with social upbringing of an individual. Music is one such medium that incorporates within its scope diverse aspects of the social existence and acceptance, popularity or support for an artist or for a particular form of music varies according to the extent of using cultural traits and their commercialization in the modern business scenario. Compared to the earlier time, though music and various forms of performing art remained as a source of income or doing business since time immemorial, it never took form of an organized business industry as that of the recent situation. The post Industrial Revolution era witnessed a general trend provided a spontaneous impetus to the humankind to find all possible means to accumulate financial capital and encourage capitalism. Such capitalist aggression also blocked the natural right of common people to enjoy and con sume the products of their respective cultures and it also suggested that if such rights are to be obtained, an individual is required to pay certain amount of price. Interestingly, the process of such prohibition also received legal acknowledgment in terms of protecting rights of an artist and encouraging the production of cultural artifacts: â€Å"Cultural production, like other areas of production, underwent a transformation as the Industrial Revolution gathered steam. It became possible to mass-produce cultural artifacts† (Giese, 2004, p. 348).

Monday, September 23, 2019

Analysis of Literary Criticism about Oranges of Gary Soto Research Paper

Analysis of Literary Criticism about Oranges of Gary Soto - Research Paper Example In his narrative, the poet actually steps in adolescence when he buys something for her girl by taking a chance. He offers an orange and a nickel to the saleslady for the bar of chocolate that the girl chooses. This is a critical point in the life of the boy and the climax in the poem because it creates uncertainty whether the saleslady will accept it or not. Once his offer is accepted, the boy comes out of the superstore triumphantly and enjoys his time with the girl. Although his courage is impressive, the risk was also a safe and intelligent bet: If the saleslady had refused to honor his orange for payment, he would still have the two oranges to share with the girl on their way home. Either way, he proves himself and impresses the girl which was the goal in the first place, and he is rewarded for his bravery by being allowed to hold her hand on the walk home. (White, 123) The poem is divided into two parts- before and after going in the superstore. The tone of the poem and the att itude of the boy have drastically changed. The tension or coldness between them is replaced by warmth and the scenery transforms dramatically. â€Å"Someone might have thought/ I was making a fire in my hands.† (55-56) the poet’s wish has been granted and suddenly the dullness of December as signified by fog and old coats is brightened up with the oranges. The color of orange stands out sharply in contrast to gray December; in fact it even looks like fire. Fire is the antithesis of frost, which was mentioned in the first part of the poem. Frost and crackling ice represent the absence of emotions or passions; but by the end of the poem, the boy earned warmth which is represented by the color of the oranges. In the first part of the poem, when the boy is entering the superstore, he notices a â€Å"used car lot† (18) which represents emptiness and stillness. The emotional state of the boy is empty and still. This condition is transformed in the second part of the p oem where â€Å"A few cars hissing past† (43) denote the movement or transition in the stage of life of the boy. He moves on in life without looking back at it with awkwardness, as he â€Å"finds a new sense of confidence and independence.†(White, 121) The poetic language used in the poem is simple and based on a trivial, everyday experience of a young boy. The language is also kept simple because it is stored in the memory of a person, when he was young- merely 12 years old. His memories are captured in a rather simple manner that makes it easy for the readers to compare or relate their experiences with his. Imagery and symbolism are used extensively by Soto to describe the entire scenery and situation. The boy recalls his vivid memories of walking for the first time with a girl. This shows how important it is for anyone at this age to feel love for the first time. The poet is aware of the external scenes and captures them in his memory- he is aware of all the sights and sounds of the gray December and slowly he starts noticing the various colors that light up his mood and his surroundings. The yellow light in the porch, the color of rouge on the cheeks of the girl, newly planted trees are some of the things that visually describe the scenery. Apart from this, sound imagery also brings to life the entire scene to the readers, as they read the phrases: Frost cracking; a dog barked; the tiny bell; and a few

Sunday, September 22, 2019

An Integral Part Of A Democratic State Essay Example for Free

An Integral Part Of A Democratic State Essay Elections are an integral part of a democratic state. The argument is sometimes put forward that participatory democracy should be the basis for a whole political system, a replacement for parliamentary democracy. Representative institutions based on one person one vote determine the principles and general direction of an elected government. Participatory democracy can monitor the work of the executive and state apparatus. The importance of process Take waste. The same principles of daily and ongoing democratic processes could be applied to education, transport, and social services. Formally, representative democracy does have the final say. Participatory democracy, in a complementary relationship to electoral power, thus has the potential to move societies further towards the democratic ideals of popular control and political equality. I believe that a strong and aware civil society keeps their elected representatives on their toes, by asking questions through organized interest groups all of whom press their causes on government, sometimes through political parties and through independent lobbies. Participatory democracy provides a real alternative, or complement, to elected power: a distinct and organized public sphere in which the demands of the people can be articulated, developed and negotiated between each other, and finally negotiated with the local or other relevant state institutions. Conditions for participatory growth In order for participatory democracy to attain legitimacy and reinvigorate democratic politics as a whole, certain conditions need to be in place. The aim for participatory institutions is essentially to share decision-making power with government, to exercise some control over the work of state institutions and to monitor the implementation of governments decisions. The process must get results; in the sense that these parties are able to use their electoral legitimacy to emphasize the importance of the participatory process. If participatory democracy spreads, the institutions of representative government may lose some power to the new participatory sphere. The new systems of managing public resources through a combination of electoral and participative democracy bring an overall gain in democratic legitimacy and as a result, potentially, in democratic power. I believe that participatory democracy and the election process should be in the forefront in advocating transparency among government officials and their constituents. It is also important that citizens should be more aware and involved because the main argument of a democracy is the constant participation of people with regards to political debates and decisions. Without the people’s involvement, government leaders will not hold positions of power in the first place. Grassroots parties that are well represented inside the halls of congress should not just advocate the things that they think are important, but they also should stand as role models for the people who do not have the chance everyday to sit in a position of power. It is inevitable in a democracy that sometimes elections become an issue in itself. With this in my mind, I believe that people who go out to vote and those who pass on the opportunity to vote must always respect the final verdict whether it favors them or not. Yes, it is an issue because sometimes it is very easy for people to point fingers and start up a rumor that an election is fixed. For me, the only solution for this issue is to improve the way elections are being held. As a voter myself, it would also help if we encourage our society to go out and vote. Apathy sometimes can backfire on us. We should take care of our rights as citizens and voters to be more aware of the situation and act accordingly. By doing so, we protect ourselves from being short changed by the very institution, which the sole purpose is to protect us.

Saturday, September 21, 2019

Role of Nursing Informatics in Health Care

Role of Nursing Informatics in Health Care The Role of Nursing Informatics at Cleveland Clinic Foundation The Informatics system at the Cleveland Clinic Foundation (CCF) plays an essential role in supporting the delivery of quality patient care and to improve patient satisfaction, features that are very important to maintain the Magnet Status achieved by the Clinic. As the CCF mission statement highlights, the goal of the Clinic is to support nursing care and achieve good outcomes along with patient satisfaction. This goal was reached by creating an informatics system that allows an easy access to data information, ensures easy communication between health care providers and promotes nursing and patient education. The mission of CCF is to support evidence-based nursing practice and improved patient outcomes with technology solutions that enhance nursing communication, documentation and efficiency ( Nursing Informatics: Nursing past, present and future section, para. 1). Cleveland Clinics Nursing Informatics implemented an electronic medical record system, called Epic System that is using high technology and considers professional and clinical experience to manage the patients information, to improve work, and to deliver higher quality health care for its clients. Nurses and Physicians have easy access to the system, being able to view data and collect necessary information, provide quality client care and document the patients condition. health care professionals can document through the electronic medical record system the medical care that was provided to the patients and the patients responses to the care given. The Epic System is used not only by nursing professionals, but by a large variety of allied health care departments, too. For example respiratory therapists can document aerosol treatments administered to their patients, adjustments in ventilator settings and the patients response to these interventions. The pharmacy department uses the i nformation system to access patients data such as medical reconciliation, medications profile, including current and home medications , demographics, health history and medical diagnosis. In this way it will be reducing significantly medication errors. The physicians consider Epic System to be very useful for them, because allows them to easily find their patients file in the system, allowing access to the patients prior doctors visits and health information, laboratory results, radiology test results as well as interdisciplinary consult results and recommendations. The physicians orders for medications and treatments can be easily entered into the system through the computerized physician order entry feature of the system (CPOE). This has high significance in reducing medication errors and in delivering care in a timely manner. The CCF website presents a clear explanation about the Informatics systems role in obtaining and maintaining the high standard achieved by the clinic: Nursing Informatics, in collaboration with the Information Technology Division, is  Implementing an electronic medical records system from Epic Systems of Madison,  WI.   Electronic documentation of the patients medical record is transforming  clinical practice for nursing, allied health and medical practitioners at the Cleveland  Clinic. After using Epic Care successfully in ambulatory outpatient services for two  years, the Clinic is currently undergoing a phased implementation of the Epic  system in the inpatient setting-enabling health care providers to examine any  patient record across the entire continuum of care in all Cleveland Clinic facilities  (Nursing Informatics: More information about the Nursing Informatics specialty  section, para. 4). Another important aspect of the Informatics system in the nursing care provided at CCF is that it contributed significantly to the improvement of communication between medical professionals by improving the accuracy and the speed of communication. It comes very convenient for the physicians to access the computer system from any location, either inpatient or outpatient locations, or either from the comfort of his or her home or office or even while on the golf course or at the mall (Hebda, Czar Mascara, 2005, p.126), to enter orders for the patient. By doing so, the system alerts all departments to carry out physician orders. For example when ordering a chest X-ray for the patient, the radiology department will automatically place a transportation order for the patient, to be transported from the nursing floor to the radiology department. Through the nursing communication tool, the physician can communicate to the nursing staff about withholding diet or medications as preparation for specific tests or even surgery. The same way, the physician, can interpret radiological results in a timely manner, by checking the radiography evaluation report placed in the computer system, without the need to walk to the radiology department to read the film. In this way it could be saved precious time that could save another patients life. A different feature of the Informatics System used at the CCF is that provides a large variety of choices for patient and nursing education, offering multiple educational resources at different levels. For patient education purposes, the CCF intranet has a link called patient education that consists of information edited in a simple language, easily comprehensible for non-healthcare personal. This site provides information about specific medications, including their side effects, indications and contraindications; also gives information about diseases or home going discharge instructions, regarding activity, diet, signs and symptoms of complications and many other subjects. The CCF television channel has information about diabetes, advice for smoking cessation, anti-coagulation administration, or techniques to reduce and manage stress, etc. This way patients can be easily educated towards a better understanding of the healing process and can actively participate to their care. At the same time, the CCF Intranet provides valuable information for physicians and nurses that improve their knowledge related to medical diagnoses, policies and procedures as well as giving them the chance of updating themselves with the newest technologies used. The CCFs Alumni Library has commonly used medical sites like Up to Date, Medline that are handy to use when more information are needed about a healthcare related issue. The COMET helps nurses and nursing aids to maintain an updated level of nursing education, reinforcing policies and standards required by the clinic. According to its definition, the Nursing Informatics has a primary role in delivering high quality nursing care,  Nursing Informatics is a specialty that integrates nursing science, computer science,  and information science to manage and communicate data, information, and  knowledge in nursing practice. Nursing informatics facilitates the integration of  data, information and knowledge to support patients, nurses and other providers in  their decision-making in all roles and settings. This support had been accomplished through  the use of information structures, information processes, and information  technology (ANA Scope and Standards of Nursing Informatics Practice, 2001, pg vii). The convenience of the Informatics system of the Cleveland Clinic Foundation is represented, by easy access to patient data, and resources for patient and nursing education. The valuable communication tool between health care providers, contributed tremendously in attaining high standards in patient care and their satisfaction. All these features are essential factors that helped the Cleveland Clinic to achieve the great award of Magnet Hospital.

Friday, September 20, 2019

JB Hi-FI Corporate Social Responsibility (CSR) Report

JB Hi-FI Corporate Social Responsibility (CSR) Report Ming Chak Ip Report: Part A For JB Hi-FI there are 4 types of corporate social responsibility to report. The environmental section must be included and it provides information on actions the company is taking to meet carbon footprint requirements. Second are Philanthropic responsibilities stating how the company supports charities through funding. Third is ethical involves workplace safety or the employee health and mainly involves the welfare of employees at the workplace. Lastly are the ethical responsibilities. They are responsibilities of the company to do what is right and without any obligation. Part B On the CSR initiatives employed by JB HI-FI is the Helping Hands program. It is a philanthropic initiative whereby directors, executives and employees offer donations towards the financial gain of community partners and has already raised $10 million for their charity partners (page 15). JB HI-FI also has donation boxes in their stores where customers donate at the point of sale. JB Hi-FI is also a member of Employer Leadership Group (ELG) that creates awareness of workplace giving to support the charitable sector (page 15). JB HI-FI has also disclosed its environmental sustainability statement. Some initiatives include the carbon disclosure project that monitors and reports annual energy consumption/emissions. There is also the Smarter Choice Program for advice on energy efficiency of commodities. JB HI-FI is a signatory to the Australian Energy Packaging Covenant hence commits to reduced effects of packaging on the environment. Others include the mobile phone recycling and re-uses that helps lower entry of mobile phones into landfill, the Cartridge 4 Planet Ark for re-cycling used printer cartridges and recycling of paper, cardboards and old appliances (page 14). Third in CSR are ethical responsibilities. JB HI-FI code of conduct specifies respect accorded to employees, there rights and freedoms, professional ethics and adherence to laws and regulations (page, 10). In the ethics statement, they state responsibility to respect suppliers, employees and customer and protect their personal sensitive information. The firm is committed to a safe working environment to its employees and there is also a diversity statement whereby JB HI-FI fully values diversity of skills, gender, experience and background of its employees (page 9). Part C Various theories support CSR. There are instrumental theories. JB HI-FI tries to maximize shareholder value and thats the reason the company uses the Helping Hands program where employees try to meet social demands. It also involves strategies for competitive advantages. For example, recycling is cost saving to the firm in addition to protecting the environment hence creates competitive advantages. Instrumental theories also involve cause-related marketing. For instance, JB Hi-FI has partnered with charitable firms where it makes donations and in turn builds its brand. The second CRS theories are political theories. JB HI-FI has made major interactions with the society hence had gained corporate citizenship through partnerships. The social contact with environmental bodies and charitable firms mandates the firm to give back to the community as demonstrated by its philanthropic initiatives. Last theory is Integrative theories. The community has social demands that offer the firm some legitimacy (Garriga, Melà ©, 2004). Since greenhouse gas emissions are a social demand, JB HI-FI has to meet such social demands to attain greater social acceptance. It validates the environmental sustainability initiatives implemented by the company. References List www.jbhifi.com.au. (2016). Annual Report JB Hi-Fi. [online] Available at: https://www.jbhifi.com.au/Documents/2016%20JB%20Hi-Fi%20Annual%20Report_ASX.pdf [Accessed 23 Mar. 2017]. Garriga, E., Melà ©, D. (2004). Corporate social responsibility theories: Mapping the territory. Journal of business ethics, 53(1), 51-71.

Thursday, September 19, 2019

Questar Company Risk Analysis Essay -- essays research papers fc

INTEROFFICE REPORT Questar Corporation: Energy Company Three segments of Questar operations cover resources and regulated services. Follows is the risk assessment for Questar: Resources, Lack of internal control in estimating reserve(s) revenue, Financial analysis and the market, New land developments, and the Environment. Most of the company's operations are located in the Rocky Mountain region of Wyoming, Utah, Colorado, Texas, Oklahoma, and Louisiana (5). Distribution is throughout the United States. QUESTAR OPERATIONS A multi-faceted holding company formed through reorganization in 1984 into an energy company to distinguish non-utility services (5). Crude resources from fossil fuels (oil, natural gas) are developed through drilling for interstate transmission, storage and distribution. The resource division involves gas, oil, natural gas for marketing, cost analysis of gas development, risk management, and distribution for the wholesale/retail industry (5). 1.  Ã‚  Ã‚  Ã‚  Ã‚  Market Resources is the major producer of income driving segments of the business. Natural gas (nonregulated) is 86% of its focal point on evaluating crude resources for process through â€Å"gas management† (5). 2.  Ã‚  Ã‚  Ã‚  Ã‚  Questar Pipeline (regulated) is responsible for transportation and storage. This includes the development of pipeline. Business is dependent on acquiring leases and the use of land. Operations at well sites can have a life of 20-40 years. 3.  Ã‚  Ã‚  Ã‚  Ã‚  Questar Gas (regulated) involves retail distribution. Sales are based on seasonal usage and economic factors such as the market’s going rate (5). RISK ASSESSMENT Resources: Price Risk and Land Opportunity †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Crude resources are a distinct global market. Questar is a profitable and reliable enterprise with all three segments highly revenue driven, secured by federal and state government regulations. Wholesale figures fluctuate within the industry by a minimal amount for distribution nationwide, but this type of commodity requires prices to be set by the market nationwide and not the company. †¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Competition in this industry is the ability to secure land rights for drilling. Government regulations have restricted areas containing crude resources for development by 40% (7). 90% o... ...rve%20Valuation.pdf> (8 October 2004). Industry changes that may affect energy resources financial reporting. External 10)  Ã‚  Ã‚  Ã‚  Ã‚  Kieso, Donald E., Weygandt, Jerry J., Warfield, Terry D. Intermediate Accounting. Hoboken, NJ: Current Developments for Audit Committees 2002. Pricewaterhouse Coopers analysis on recognizing revenue. External 11)  Ã‚  Ã‚  Ã‚  Ã‚   â€Å"Natural Gas Market Prices.† California Energy Commission. 2 April 2003. http://www.energy .ca.gov/2003_price_spikes/2003-04-02_natgas_execsum.html> (8 October 2004). Executive summary on 180% increase within two days on the national spot market for natural gas. External 12)  Ã‚  Ã‚  Ã‚  Ã‚   â€Å"Questar Goes Live with the SPL Customer Care and Billing Solution.† Factiva Online September 2004. http://80-global.factiva.com.libproxy.sdsu.edu/en/arch/display.asp> (8 October 2004). Accounting changes in billing customers. External 13)  Ã‚  Ã‚  Ã‚  Ã‚  Standard & Poor’s. Register of Corporations, Directors and Executives. 2003 ed. New York: McGraw-Hill Companies, 2003. The energy sector as a whole. External   Ã‚  Ã‚  Ã‚  Ã‚  

Wednesday, September 18, 2019

Effects of Radiation Therapy and Chemotherapy Essay -- Essays Papers

Effects of Radiation Therapy and Chemotherapy Throughout the years of my life, I have had to deal with people that I love dearly suffer from cancer. When I was 10 years old, I lost my father to cancer. It was a devastating blow to my life, even though I was young and didn’t really understand what was going on, the impact that it played made on me, made me think what was the point of living. As time went on many people that played a special role in my life died of cancer, and many survived and fought the dangerous disease. Just a year ago, another person to me that meant the world to me told me that they had cancer, and that was my mother. The first thing I thought, death, and how was I going to cope with it. My mother always taught me to think positive before negative, but the word cancer makes you think of death being the fact that it’s a deadly disease. Eventually my mother overcame the disease and is doing well, despite some things that she can’t do anymore due to the effects of radiati on. Radiation has not changed my mother at all, but it has made her a wiser person, and she is not ashamed to tell anyone her story. Cancer is a group of diseases characterized by uncontrolled growth and spread of abnormal cells. Cancer is caused by both external and internal factors. â€Å"More than 175,000 women were diagnosed with invasive breast cancer in 1999 and approximately 44,000 died of the disease† (Kasper and Ferguson 1). Many people with diets that include a high-level of fruits, vegetables, and fiber may lower the occurrence of some forms of cancer. â€Å"Statistically about 547, 000 people will die of cancer† (Cook 5). This is nearly 1, 500 people will die per day. â€Å"In the United States, brea... ...mes suicide. Most people can’t deal with the fact that they can’t go back living their normal lives. Some people won’t admit the guilt, resentment, anger that they feel. Family is a good source to turn to talk about your feelings, and how to cope with the issues your facing. In addition to family, religion is strength for a person to turn to. â€Å"There has been a steady rise in the cancer mortality rate in the United States in the last half-century† (Cook 5). The future of cancer has nowhere to go but up. With all the treatments that helped people overcome the dangerous disease, there will never be a cure for cancer, and if there is than we’ll just be in suspense. Many people survive and beat the disease, but 1 out of every 10 people that beat the disease, will experience the disease again, maybe in the same form, but often in a more serious stage.

Tuesday, September 17, 2019

Educating ESME Comprehensive Reflection

Every teacher’s worst nightmare – that is the setting to which Madame (whatever you do don’t call her Mrs. ) Esme Raji Codell stepped into as her first job fresh out of college. In this sink or swim world Esme, unknowingly, became a lifeguard to thirty youngsters, as she seemed the only one who could protect the children from the rough waters that are inner city Chicago. Through studying her very candid and personal diary, I am awe stricken by her extraordinary display of pedagogy as she exemplifies what it truly means to be a teacher.Esme’s proficiency in her dealings with situations surrounding equity, creating a safe, relaxed and positive classroom environment, expectations as a teacher, gender, diversity learning, multicultural competence and accommodation are, at times, straight out of a teacher’s workshop. Some might argue with her protocol, as she is both sharp-tongued and downright stubborn, but none can call to question her motive or incapa city for complacency.As every teacher goes into the workplace, first year, or twenty-fifth, and despite any subconscious fear you might possess of the hideous class you might be challenged to educate, there is always a certain comfort in knowing that, regardless the case, you have the support of your administration to uphold most any rational expectation you place on your students. As the school year drew near, I’m sure this was the case even for Madame Esme, as she seemed eager to start her first year of teaching. She set her expectations high in all aspects and from day one seemed determined to see her students achieve accordingly.She maintained her ideals throughout the year, though, it becomes more evident that her superiors might not share such idealistic values. No case more true than is seen on May 4th. After trying to reach a male student, B. B. , who seems to be having behavioral problems related to his home life, Esme finds herself separating her student from a â₠¬Å"big pounding fight on the playground† (Codell, 1999). In the aftermath which followed, Esme receives a tongue lashing from B. B. in which he directly calls her a bitch. Outraged, Codell storms into the office of her incompetent principal, Mr.Turner, and continues to share with him her disgust of the issue. Full of remarks which any rational person would have left to thought, she gladly gave to Mr. Turner in words. Summoned up, her venting stood strongly on the fact that she didn’t get paid to be called names of that sort, and she both didn’t have to, and wouldn’t tolerate such. Reasonable†¦ justified†¦ maybe, maybe not? All the same, nothing in my (and hopefully anyone else’s) study of education could have prepared me, or apparently her, for his unprecedentedly repulsive response. â€Å"You don’t understand.They’re black†¦ It’s just the way black people are. The black child is different. They deal with so much . Drugs, gangs†¦Ã¢â‚¬  (Codell, 1999). How can one articulate the hopelessness of such a situation? I am deeply saddened at the thought that this is based on the account of a real conversation, which took place at a real school, concerning the expectations of real kids. Profound knowledge directly linked to the situation can be found in the Pygmalion Study (Rosenthal, 1992) where student achievement was found to be directly proportional to the expectations placed on them by teachers and administrators.Knowing that this was the standard set for students school wide, one may only speculate at the vast number of children who fell victim to such complacency and negativity. As I am only able to imagine how detrimental it must have been to Esme’s moral in that moment to hear such foulness reign down from your superior, I commend her in the highest fashion for the manner in which she handled herself before him. I only hope that I have the courage to stand so boldly should I fi nd myself under such circumstances. The months of April and May seem to be full of touching moments in Madame Esme’s first year.I found myself rather moved in taking stance from an omnipresent perspective. On tax day, Codell finds herself frustrated with Latoya, a young black girl in her class, seeing as it was the fourth consecutive day she had been a half hour late (Codell, 1999). Bound by her own pledge to professionalism in educating the kids she is so blessed to have, Madame shows sign that she might possess human qualities, after all, when she admits that she was inclined to yell at Latoya as she was becoming frustrated on having to repeat herself, consecutively.However, Esme is able to withhold her wit and refrains from doing so as she has vowed to talk and listen privately, as of late. Upon speaking with the student alone in the hall, Latoya calmly informs her that â€Å"they are in the shelter this week and [she] must drop her little sister off and take the train ov er†¦ it takes longer than [expected]† (Codell, 1999). Stepping back a moment to gain perspective, these are fifth graders. The same one where you look forward to daily recess freshly removed from the ideas that the opposite sex have ‘coodies’ and light up sneakers are cool.Remember? Oh, yeah! And you walk your sister to drop her off in the mornings before school and then jump on the inner-city Chicago train to get to school, yourself. As a teacher, you’re taught that your students will live very different lives and of the necessity to make accommodations accordingly. Students’ backgrounds cover a vast spectrum, and in order to achieve equity in your classroom, you must accommodate these students and cater to their specific needs so that, they too, have an opportunity to be successful.Latoya’s story, in particular, strikes me a little too close for comfort. In fact, it is unsettling to know that these situations are not the exception in su ch areas, but can be found, all too, commonly when the teacher takes a closer look. Is it because, like many, my childhood was so very contrasting to what you find, time and again, throughout the diary? I was pleased with the mild temperament in which Esme handled the situation. She made it clear that Latoya had done a good thing and that she appreciated it, followed by a means of accounting for any work that she might have missed.I find it especially significant that she reflected clearly reflected on the matter, and how close she had come to scolding the student who in all actuality, deserved praise. â€Å"I still burned with shame at the thought of what I almost said and at all the occasions I have spoken harshly† (Codell, 1999). These are words which should be heard as an echo in the minds of every teacher following his or her sharp tongue. As a boy, myself, I will attest based on my personal account that boys are in crisis.Though, I was clearly not in a state of mind to fathom it at the time, I (and most other boys alike) struggled with the restraints of public school. Sitting in a desk for an hour or so at a time with, but, five minutes to use up all of my energy in the hallways before my next bound session was rough to say the least. It is trying on a boy’s soul. Comprehending what the teacher is scribing on the board is the least of your worries, so paper folded in some fashion or another becomes a common means of passing time. Other days, it’s the kid sitting next to you.Meanwhile, you, likely those around you, are missing out on the entire point of being there – education. Esme seemed to have mastery understanding of this early on whether she fully knew the science behind it, or not. Though, she makes just a small note, a few words says it all. In what appeared to be Esme, merely, jotting down a few random observations for her diaries’ sake she hit on something rather insightful. â€Å"June 4th†¦ Kyle performs better in math if I let him stand on his head whenever he wants. † (Codell, 1999). Now what does this mean?The fact of the matter is, when you let boys get their raw physical energy out they are significantly more receptive to the idea of sitting at a desk and learning, as well as more proficient in doing so (Slocumb, 2004). Girls learning styles and general behavior are more in tune with the establishment of the public school system, when compared to boys. These are gender specific issues that you must be aware of in the classroom. As anyone who has ever been through grade school knows, being different can create a problem for you among peers, and a grand one at that.Whether that difference be the way you dress, your intelligence, speech patterns, race, ethnicity, customs, physical trait, the way you act or any of the other items which fall into such an infinite classification, that difference is enough to land you on the wrong end of someone’s jokes. While, we have l earned that regardless of their likeness, there are as many differences within groups of people as can be found between one another. Thus, there are no real grounds to single anyone out under the premise that they are different.However, this is a concept far, too, fetched for fifth graders†¦ usually. Early on in the year, September 27th, Madame Esme read the story The Hundred Dresses by Eleanor Estes to her class. The plot of the tale is about a little girl who claims to have one hundred dresses, despite wearing the same one to school every day. After being teased, endlessly, the poor girl moves away. Then her peers come to find that she truly does own a beautiful hundred dresses like she had said†¦ one hundred drawings of dresses.The story is significant because following its closure, Ashworth, a boy in class stood up and whispered to Madame that he had something to share with the class. Esme speaks aloud to the class to give him their attention, as expected; then, she ad ds â€Å"I hope you will keep in mind The Hundred Dresses when he tells you. † Stuttering, Ashworth gets out â€Å"I†¦ I only have nine and a half fingers. Please don’t tease me about it. † (Codell, 1999). In her journal, Codell is quoted in describing the moment as macabre (Codell, 1999).After the silence which she captures eloquently, students speak out to defend him one after another with claims that they’ll kick anyone’s ass who says something. If you’ve ever witnessed someone publicly disclosing something truly personal about themselves such as this before, then perhaps you can grasp what a spectacular moment this must have been. As a teacher, you know this is a victory. This is one of those extraordinary moments that pay back to the nth degree, but can’t be found via pay stub on Friday. As a teacher, there’s not much that you can do here. This is, in a way, above you.You don’t create these moments, they happen . You do, however, create a safe, positive, comfortable environment where the students can relax and learn. Madame monitored the situation as best she could in the moment, but the true credit here, she began earning the first day when the students walked in. She earns it daily with her greeting, â€Å"Trouble Basket†, and word exercises as the students enter her classroom. Further, she is helping to break down the walls between individuals and helping them to come forth with their problems, all via her classroom environment.While we have gathered that we are all so, very, different in our many personal traits and attributes, gender, and even the background that we come from, the same holds true for our learning styles in the classroom. If there is any single thing which Madame Esme might have gotten most right, it must be her diversity in teaching styles. This is so intrinsically related to many principles of teaching associated with differences. Students learn in different w ays just as they do all others things differently and to varying degrees from one another.Esme has been deemed crazy over the course of the year for her outrageous methods including the way she dresses, herself, at times. In a list from June ninth, â€Å"†¦ we made light-up quiz games†¦ put on shadow puppet shows†¦ built an accurate castle†¦ had a bubble festival†¦ made sushi†¦ made video commercials†¦ had a book character masquerade party†¦ went to an outdoor Beethoven concert†¦Ã¢â‚¬  (Codell, 1999). The previous is even an incomplete list of the interesting lessons she remembers doing. It doesn’t include any of the larger activities which she discussed in depth, over the course of her diary.The point is that the more diverse your teaching techniques, the more effective you are as a teacher. This is evident in the beginning of the same journal entry in which Esme notes that the results from her kids Iowa reading and math scores were the best in the school and virtually every student jumped at least one year in their performance from previous tests (Codell, 1999). What else do you say to this? Cliche as it may seem, â€Å"talk is cheap. † These results explain it all, as they are a testament to the effectiveness of diversity teaching and learning methods.In evaluating Madame Esme Raji Codell, one must understand that any findings would be incomplete so long as they didn’t include accreditation for her work regarding multicultural competence. In this country, we have had a real problem accommodating cultures other than our own. Oh, how quickly we forget that our nation was started by a diverse group whom had all made the voyage to the new land from their parent countries, alike. Over the last few hundred years, America developed foul sense of self pride which demanded others become like us. When in all actuality, it would be impossible to concretely define what we are.Thus, the justly concept o f multicultural pluralism and multicultural competence have since been born. Esme, the poster child for such innovative practices, exemplifies everything which the terms stand for. Madame wore a sari, a type of scarf, given as a gift to her by a student from another country (one of three) without much more thought than to show her gratitude, it seemed (Codell, 1999). The next day, she had four girls waiting on her, all dressed in customary fashion from the native land, seemingly inspired by the window of opportunity Codell had given them the day prior.In another instance, she allowed her female student to perform a cultural dance, which the student began without asking during class. Such was allowed. It was merely the girl looking to express herself and in the process everyone else enjoyed it. When studying the Mexican-American War Madame brought in a native Hispanic man to lecture on Mexico’s perspective of the war. This is multicultural competence. I commend her for, in the midst of her diversity teaching and learning styles, she includes these fine principles, which in turn, encourages cultural pluralism and combats assimilation of culturally diverse students.They are more fluently understood for their practices and, consequently, increasingly accepted among fellow students. In studying this diary†¦ this epic monologue†¦ this compilation of pedagogy†¦ I wonder now, What do you conclude from this? What is the one thing that you can take with you from this? It’s an answer so vast that it cannot be defined in this, mere, manuscript. What is my conclusion you ask? My conclusion is this: what more might I add that Madame Esme Raji Codell has not already taught us? In my eyes, she is the model for twenty-first century teachers in America. She is motivated to educate, not just teach.She is determined to succeed, rather than participate. She strives to make a difference, rather than be a part of the problem. And, may God have mercy on t he incompetent individual who stands in her way. These dispositions compiled with a hunger for knowledge, an inclination to reflect, a conscience to admit when wrong, and a sense of humor to laugh about it at the end of the day are the ingredients for success in the teaching profession. Such are the characteristics of a fine fifth grade teacher by the name of Madame Esme and such are the very reasons why her name will not be forgotten.

Monday, September 16, 2019

Utility Analysis

During the first three decades of the 20th century, there were many great leaders in the area of Industrial and Organizational Psychology whose contributions have been largely documented in historical records. Leaders are not born they are made, and true leader leads by example. Sometimes people influence the way we live our lives. This could be a pastor, teacher, friend or manager. In any event, leaders must take the extra step and reach out to others.In order to be effective, a leader must be able to initiate and develop his or her alliances in the quest for achieving common goals and objectives (Bills, 1925). Thus, leaders have the ability to influence, guide, direct and control the behavior of others while leading with dignity and respect. Dr. Bills’ studies, exemplified characteristics of true leadership. She became a legendary figure in a scientific research to understand and resolve personnel issues within organizations (Koppes, 2007). In one case study, Dr. Marion A.Bi lls illustrated important duties for managerial position and how essential they are to the success of the organization. MARGINAL UTILITY ANALYSIS AND HRM VALUE Marginal utility is an economic concept that is used in determining the additional satisfaction that one obtains as he consumes additional amount of a particular commodity (Samuelson and Nordhaus, 2001). As applied to the management of human resources, it may be equivalent to the additional product that an employee can contribute to the attainment of organizational goals and objectives.The additional product that an employee can contribute to the company or the additional value that it could provide will be the basis of determining the compensation or the pay that must be given to him. The concept of marginal utility may then be used by a human resource manager in wage and salary administration particularly in determining the salary for a new worker. The management must determine what the new employee is capable of contributi ng to the value of the company by analyzing his qualifications as to knowledge, skills, and abilities.The salary that would be given must at least be equal to the marginal product to ensure that hiring the employee would add value to the firm. If the salary that would be paid is higher than his marginal product (may be equivalent to marginal utility), hiring him would not do good for the company or would not add to its value. REFERENCE: Samuelson, Paul A. and Nordhaus, William D. (2001). Economics. McGraw- Hill Companies, Inc.

Sunday, September 15, 2019

Journal Rnheals

When you do nothing, you feel overwhelmed and powerless. But when you get involved, you feel the sense of hope and accomplishment that comes from knowing you are working to make things better. As we start again our duty in the Rural Health Unit, we came into and agreed upon that we would be having our rotational schedule so that we would be convenient enough in rendering our services to our clientele.We have this attitude of being lazy sometimes because of this tiredness given by this paper works and so many tasks outside the Rural Health Unit, so to avoid pinpointing to our colleagues it is better to have this weekly rotational task to balance everything the situation inside and outside the Rural Health Unit, and to have a well-organized and effective quality of service to our patients.We have different areas in the Rural health Unit: Public assistance desk wherein we caught the attention of our incoming patients, ask the names who needs our service, gets the weight, height, give th e numbers in order, and give consideration to Senior Citizens, Pads and Pregnant women; Admission area: we sees the patients situation carefully , ask his/her chief complaint and conduct NC profiling regularly; Records Section: secures the family folder of the patient; Vital signs: Takes Blood pressure, respiratory rate, pulse rate, temperature; Call Center: Organizes the folders by number giving consideration for emergency cases, and calls the patient's name; Treatment area: Carries out Doctor's order, gives the right medications as ordered same as gives instructions and health teachings, assists in minor cases like suturing lacerated wound, does wound dressing; Special Lane:prioritize the senior citizens, pregnant women and Pads.And as we continue our service in the community we are again preparing for our monthly Family Development Secessionist our ACT families. Preparation arises when we had the schedule of our respected catchments. And for this month we guesthouse in Dengue, wh ich is incorporated this rainy season and it is one of the programs of the Department of Health. Basic information regarding dengue were taught to them, most especially the AS Contra DENGUE, which includes: Search and Destroy, Self- Protection Measures, Seek Immediate Consultation and Say NO to Indiscriminate fogging. That time, my ACT families together with my partner bargain were attentive enough in the discussion proper because somehow they have an idea regarding Dengue.Before the discussion proper happened, it is also our responsibility to check on their materials, especially their notebooks, ball pens, and of course their ACT Cards, and Totalitarian because this will serve as their attendance sheet to our Municipal Link, as a proof that they attended their monthly Family Development Allendale of activities for this month, which includes: National Kidney Month, No Smoking Month, Prostate Cancer Awareness Month 14 – World Blood Donor Day 14-18 25 26 – Safe Kids Week – DOD Anniversary – National Patient Safety Day – International Day Against Drug Abuse and Illicit Trafficking. These information were dispensed for them to be aware and be prepared for such circumstances.Since we are now part of the RAH family we need to have a thorough communication between our staffs and us Renewals especially with regards to work proper. It was hen that AMA May called our attention and our Midwives to have a convergence. She reminded us the tasks that we are expected to do inside the RAH and in the community that we should know how to balance and prioritize everything. Next, we had this so called open forum with our head nurse, AMA Myra because she was out for almost three weeks and she was not there to check on us. This open forum was done to listen to our colleagues on what was in their minds regarding our attitudes; the positive and negative ones.We speak out our issues and concerns with each there and naturally we settled all by giving one another a chance to talk and explained his/her part. Independence Day had come and we were invited in the Tree Planting Program of the Municipal Level at Bargain Amputation, Gallium's, ‘locos Sure. The companions we had were; Mayor Bilingual, the municipal staff, our police officers, and the RAH staff. There are three kinds of seedlings that we planted; we had this Mahogany tree, Melinda Tree, and the Coconut seedling. We were given attendance sheet by the representative of the EDEN to ensure that we had done the program. Management Meeting, held last June 20, 2013 at the old SUB-Municipal Hall.The meeting was composed of the different Bargain Captains, Chairman Committee on health in each bargain, Municipal Link-AMA Crisping Securing, DILL outgoing-AMA Amelia Roding, representative of CHAT partners, Bargain Health Worker president, Midwives, Renewals, RAMP, DOD Representative-AMA May Belabor and Doctor Santos, our Municipal Health Officer. This meeting was intended to giv e some reports and reviews regarding the KIP Project of the Department of Health and to present the efferent problems we had encountered during our community work especially during the Family Development Session and when it comes to the voluntary work of our CHAT partners, we asked questions and gave them answers and vice versa.Likewise, we had presented the different activities and accomplishments during our six month stay in the RAH and in the community. Despite of the stress and hard works in the Rural Health Unit and in the community, we always find time to make ourselves free from those stresses, find time to enjoy and make a day of fun. Time to share happiness and fun with our family in the Rural Health Unit. LEARNING INSIGHTS Responsibility walks hand in hand with capacity and power. Lam unpredictable, I never know where I'm going until I get there, I'm so random, I'm always growing, learning, changing, I'm never the same person twice. But one thing you can be sure of about m e; is I will always do exactly what I want to do.With our six month stay in the RAH we had so much things to enjoy and learn, it was then that I realize and questioned myself if I learned anything, well, I am proud to say hat YES I learned a lot in my stay at the RAH. I always dreamt to have a work in the hospital but this opportunity came through and I never neglected accepting this Job. During our meeting with AMA May and our Midwives, it reminds me with the work we should do, balancing everything and proportioning is very important because we have those days that we really need each other's help, and there is nothing wrong with that particularly in rendering patients care in the RAH level.During my Family Development Session with my ACT families, it was then that my attendance and value of communication was given to them. I had the chance to confront them together with my CHAT partners and I ask them frankly why they can accomplish their reports correctly and the forms were not c ompletely filled up. And have a schedule in doing the profiling, I will be accompanying them going to the houses of the NETS-PR families in their bargain so that there will be no reason again that they will not be able to comply. In order to enjoy the companion of others, we must have these characteristics; know how to share your experiences with others, respect one another, trust him/her, coprolite/give and take attitude, and have a mutual enjoyment.We are all born unique and with that uniqueness we are different individuals and we all have different personalities that we can share to the people around us. As we grow everyday, we cannot assure ourselves and others that we can't commit mistakes, we all have lapses and differences that we can't avoid to happen but be sure that those things were not intended to make yourself down and to hurt others; this will serve as your guide to make yourself better and uplift the people that surrounds you. With hat open forum, AMA Myra reinforced us again with our duties and responsibilities as individuals that we came to forget at times because we are already crossing the line. Everyday is a chance of learning.If we need to ask, we ask, don't Just do the thing without consulting others, and if you really want to learn don't be afraid to ask, we are not all equipped with others knowledge but by asking them we would be able to know and make things right without worsening it, avoiding mistakes, and lessening anomalies. Remember, we are dealing with people's lives. To be an initiator is your tipping stone to be a good leader, we are all leaders and we all have the right to listen with others thought and suggestions. Uplift the moral of others and learn to accept mistakes and change for the better not for worst because in the end still we are one. Being involved in the Tree Planting Program shows your love, concern, care, and respect in your environment. I was really hoping that I will be enjoying this event and I was not failed . I had fun and enjoyed, get to know with other municipal staffs and police officers.We Joined together as we plant the seedlings of different kinds, this ill serve as our contribution in conserving and protecting our mother earth and we will gain the statement of â€Å"Anglicanism ay Cayman†. Stress, stress, stress! That's my word to our DOD Representative 0. Preparation arises for the KIP and CHAT Management Team Meeting, pinpoint tasks to my colleague and work on different reports. Every now and then AMA May would call me, Angel do this, Angel check on this and so on. But that time made me not to think of tiredness and not give up because I wanted to make this meeting successful in part of the RAH staff, DOD, and other agencies involved.This had been a big break for me to see and challenge myself in managing such convergence as this. Cooperation was needed at this time and we had it, although some of my colleagues were talking some negative words still we came up into a su ccessful and meaningful meeting. Having initiative, being efficient and cooperative enough would be of great help in doing your responsibilities perfectly and absolutely. A big applause to each one of us! As the statement says, â€Å"KANANGA-KAYAK GUNG SAM-SAM! † With the said meeting regarding the problems in the community, here are some mints that we had noted: 0 Financial problems: The money given by the government were spent to other things.It makes the reason that they have no money for transportation to go in the RAH for their immediate consultation and Just wait for their health situation to worsen and needs treatment on higher facility. And for the reason that they have no money in giving birth in a birth facility they would still prefer to give birth in their home. 0 Consultations:still there are parent's who are not complying in the immunization of their child wherein they all know that it is very important and that's one of the best gift that they can give to them. Onto pregnant women, some of them were not having their prenatal check- ups, still there are hard- headed which may cause them the risks on pregnancy.

Saturday, September 14, 2019

Anti-Discrimination CASE NOTE Essay

INTRO The Anti-Discrimination Act 1991 (Qld) aims to ensure equality among society yet it appears the recent amendment specifically allows discrimination.1 This judgement will be assessed on the basis for the appeal application, the judgements and the issues and questions which this case raises. I FACTS GK was a self-employed sex worker. GK periodically stayed at the Drovers Rest Motel at Moranbah for the purposes of sex work. Mrs Hartley, director of Dovedeen Pty Ltd and manager of the motel, denied GK, the respondent, further accommodation because she was aware GK was performing sex work. Mrs Hartley advised her that she would have to stay somewhere else. GK acknowledged that the refusal to accommodate her at Drovers rest was not because of who she was but because of what she was doing. Mr Hartley, also director of Dovedeen Pty Ltd, gave evidence that his understanding was that legally he could not allow people to conduct a business in the motel and under the Liquor Act 1992 (Qld). GK complained of direct discrimination on the basis of her engagement in ‘lawful sexual activity’. A leave for appeal against the Appeal Tribunal’s decision has now been applied for by Dovedeen Pty Ltd and Mrs Hartley proceeding on the 19 March 2013. II JUDGMENTS Fraser JA states that it was an error of law that the Appeal Tribunal held that the prohibition in the Anti-Discrimination Act 1991 includes ‘the treatment of a person less favourably because he or she carries on lawful sexual activity on †¦ particular premises.’2 The initial trial concluded that any person wishing to carry out such activities as prostitution would be refused accommodation and therefore GK was not treated less favourably than any other who was not a lawfully employed sex worker seeking a room for the same purposes.3 For this reason GK was not the subject of direct discrimination. Upon an internal appeal it was rather found that the conduct of Dovedeen Pty Ltd and Mrs Hartley did in fact violate the Anti-Discrimination Act 1991, suggesting that it was incorrect to imply that  the relevant provision in the act was so limited as to mean that a person is only protected if they are treated less favourably where they are not carrying out the activity bu t have the status, character, or reputation of being a sex worker which is such that different treatment of that person is justified.4 The notice of the new Appeal includes six grounds of appeal of which two were found to challenging findings of fact: i) ‘The Tribunal erred in finding that there was no distinction between a person’s status of a lawfully employed sex worker and the engagement of sex work by that sex worker. ii) The Tribunal erred in finding the appropriate comparator was a person who was seeking to use the motel for any lawful purpose’5 III ISSUES ON APPEAL The attribute of ‘lawful sexual activity’ is defined as ‘a person’s status as a lawfully employed sex worker, whether or not self-employed’6 in the Schedule of the Anti-Discrimination Act.7 Between having the status of a sex worker and performing the work of a sex worker, The Court noted, there is a distinction and established that it is the status that is protected in the relevant Act. This definition of status within the Anti-Discrimination Act is deemed applicable except in circumstances where the context would indicate differently. There appears to be no such indication, coupled with the fact that the attributes outlined in Section 7 are central to the operation of the Act. Section 28 is the only other place in the Act where ‘lawful sexual activity’ is used, and refers to an exemption which permits discrimination in work with minors where it is reasonably necessary to take into consideration the whole context and circumstance of the c ase, including the person’s actions.8 Hence, activity is a relevant circumstance rather than the attribute itself. Without the definition being included within the Act, the Act could be interpreted as prohibiting discrimination in the provision of accommodation as a result of the person being engaged in lawful sexual activity on the premises. The inclusion on the Act of the definition prevents such an interpretation, due to the fact that it is only a person’s status as a sex worker that is protected. There are four attributes that involve ‘activity’, namely ‘breastfeeding’, ‘political activity’, ‘trade union activity’ and ‘religious activity’.9 The Court compared the definition  of ‘lawful sexual activity’ with these four, and found that only religious activity is defined in the Act. Such a definition implies that religious activity has categories of activity or non-activity, whereas lawful sexual activity has no such definition and is defined only in the form of ‘status’. Hence, it may be concluded that the attribute cannot be extended beyond ‘status as a lawfully employed sex worker’10 to include the category of activity – the engaging in prostitution on the premises. Thus the Appeal Tribunal erred in this regard. In applying the test in section 10(1)11 one must identify the characteristics relevant in the comparator. The court applied Purvis,12 and state that ‘circumstances that are the same or not materially different’13 include ‘all of the objective features which surround the actual or intended treatment’14 of the claimer. It was viewed that the Tribunal identified the incorrect comparator due to the notion that a person who intends to use a room for purposes of prostitution is not necessarily a person without the attribute15. Additionally the Appeal Tribunal was also viewed as incorrect in the identification of a comparator as an individual who was seeking accommodation for the use of any lawful purpose excluding lawful sexual activity or prostitution. This is due to the disregard that description includes of the activities which were intended to be conducted by GK, therefore the circumstances are not ‘the same or materially different’16 as required in section 10(1)17. The most suitable comparator when applying section 10(1)18 was an individual who was not a lawful sex worker but wanted accommodation for the purpose of conducting a series of separate sexual encounters with different others at various times.19 At this point one must consider then if a sex worker who is less busy or successful would be in a conceptually different position to either the decided comparator or to the Complainant. 20It was the occurrence of prostitution in the motel that was the object of refusal rather than the multiple sexual encounters.21 Therefore should the comparator be determined by ‘reference to the number of sexual encounters expected to be engaged in?’22 Section 8 of the Anti-Discrimination Act 1991 includes the definition of discrimination on the basis of an attribute. An argument was made that  lawful sex work conduct is a characteristic of the attribute in consideration; ‘lawful sexual activity’. This was rejected by the Court and argued that The work done by a person in any remunerative occupation is not properly described as a ‘characteristic’ or typical ‘feature or quality’ of the person’s status as a worker in that occupation; it is simply the activity done by the person to earn remuneration. Section 8 does not extend the reach of the Act in the way for which GK contended.23 There remains the unresolved issue with regards to the interplay between the two Acts – the Anti-Discrimination Act 1991 and the Liquor Act 1992. The appeal did not consider this aspect, and both the tribunal in the first instance and the Appeal Tribunal concluded differently. Section 152 of the Liquor Act24 prohibits a business being conducted on licensed premises, other than that authorised specifically by the licence. On the other hand, Sections 82 and 83 of the Anti-Discrimination Act25 prohibits discrimination in the accommodation and pre-accommodation areas of a premise. The tribunal in the first instance identified this as an inconsistency, and referring to the Attril v State of Queensland, upheld the more recent Act (the Liquor Act) in regards to this inconsistency. However, this finding has been overturned by both the Tribunal and the Court of Appeal. The distinction between ‘a business’ and the conduct of ‘a business activity’ was raised, th ereby establishing that Section 152 of the Liquor Act 1992 26was not inconsistent with any section of the Anti-Discrimination Act 1991 which pertains to the providing of accommodation to a person who may then engage in lawful sexual activity in that place27. Under the QCAT Act, the Tribunal made orders to protect the privacy of GK by use of initials. Orders of this nature do not apply to the proceedings in The Court of Appeal where they have been made by the Tribunal. The Court of Appeal does have power to make these orders however an application must be made. It was assessed in reference to Russell v Russell 28that the nature of the courts and their proceedings are transparent referencing that ‘publicity is the authentic hall-mark of judicial as distinct from administrative procedure.’29 It was noted that despite the majority’s sympathy they would not allow to pass a pseudonym order however the circumstances where the  court may exercise its power to make such an order were not closed30. V OUTCOME Leave to appeal granted, appeal allowed and decisions and orders made by the Appeal Tribunal of QCAT to be set aside. The appeal to the Appeal Tribunal against the decision of QCAT made on 25 Oct. 2011 should be dismissed. Finally, parties are allowed to make submissions as to the costs of proceedings in Court of Appeal and of the appeal to the Appeal Tribunal in the QCAT. Legal reasons for the concluding decisions are that that there were errors in the previous trial which were established The Tribunal identified inconsistency in Section 152 of Liquor Act 31and section 82 and 83 of the Anti-Discrimination Act32 which was overturned with the conclusion that there was no inconsistency. There was error found in the conclusions made in reference to the attribute of ‘lawful sexual activity’ with the establishment that the attribute, in fact, cannot be extended beyond status as a lawfully employed sex worker to include the category of activity. Additionally it was found that the comparator disregard the description used includes of the activities which were intended for the room hired. These facts can be noted as the ratio decidendi. A noteworthy obiter dictum includes the consideration of orders protecting the privacy of GK. Extensive discussion occurred in relation to this issue considering fundamental reasons why courts are designed to be transparent and public and weighing those factors with the implications of publishing of GK’s name for her and her young children. IV IMPACT AND IMPLICATIONS It is only legal to engage in sex work in Licensed brothels, which are often unsafe and harmful places, or on your own where accommodation services not only protected your privacy but constitutes a safe environment.33 This case was one that brought lawful sex workers from across the state together to rally for their rights as it is clear this case was not just about GK. There was ample support from individuals and also groups such as the support group Respect Queensland to help GK pay for her legal bills. The decision to allow  appeal and, upon a loss to GK, many in the industry will be affected.34 Furthermore it affects not only those in the industry but the Queensland society and law; ‘It would seem that potentially the decision†¦ or the changes have quite alarmingly entrenched this idea in legislation that it’s okay to discriminate against a particular type of lawful sexual activity.’35 There are now fears that this may push sex workers onto streets in o rder to earn their livelihood. This case sets an important legal precedent. It is the first time Queensland has specified this issue. Before the complaint to the Commissioner, the accommodation industry either looked past the fact individuals were using their rooms for sex work or would make payments for prostitutes to stay away.36 It was found that there were many other cases of similarity waiting for the verdict of this case in order to rely in its precedent value. Following the final hearing of this case, the Anti-Discrimination Act 1991 (Qld) has now been amended to ensure clarity that discrimination on the basis of lawful sexual activity in providing accommodation, complaints will not succeed. VI CONCLUSION A summary analysis would seem to reveal the importance of assessing the intersections between relevant Acts (such as the Liquor Act and the Anti-Discrimination Act) and the contextual interpretation of such concepts as ‘status’ and ‘lawful activity’. The legislation also brings a community and democratic and political dimension to bear. It is clear this case has many implications for the Queensland society. A precedent such as this ‘suggests that anti-discrimination laws have a really long way to go to protect people who are engaging in lawful sexual activity’.37 This case highlights the difficulty in some areas distinguishing between the person and their occupation and the requirements for undertaking their occupation. BIBLIOGRAPHY 1. Articles/Books/Reports Anti-Discrimination Commission Queensland, Dovedeen Pty Ltd v GK [2013] QCA 116 (2013) Elise Worthington ‘Qld Court rules prostitution was not discriminated against’ (2013) ABC. Melbourne University Law Review Association, Melbourne Journal of International Law; Australian Guide to Legal Citation, 3rd Ed. (2010) Richard Krever, Writig a Case Note, Mastering law studies and law exam techniques, Butterworths, %th ed (2001) pp. 13-22 Richard Krever, amended by Micheal Quinlan, Guide to Reading a case and to preparing a case not (2014) Survive Law, How to write a case note (2010), 2. Cases Dovedeen Pty Ltd & Anor v GK [2013] QCA 116 (2013) (17 may 2013) Dovedeen Pty Ltd & Anor v GK[2013] QCA 194 (19 July 2013) GK v Dovedeen Pty Ltd and Anor [2011] QCAT 441 (22 March 2011) GK v Dovedeen Pty Ltd and Anor (No 2) [2011] QCAT 445 (15 September 2011) GK v Dovedeen Pty Ltd & Anor (No 3) [2011] QCAT 509 (25 October 2011) GK v Dovedeen Pty Ltd and Anor [2012] QCATA 128 (31 July 2012) Lyons v State of Queensland (No 2) [2013] QCAT 731, ( 1 December, 2013) 3. Legislation Anti-Discrimination Act 1991 (Qld) Liquor Act 1992 (Qld) 4. Other Survive Law, Dovedeen Pty Ltd & Anor v GK [2013] QCA 116 (2013)