Thursday, December 26, 2019

Learning to Write Chinese Characters by Hand

Learning to write Chinese characters is one of the most difficult aspects of learning Mandarin Chinese. There are thousands of different characters, and the only way to learn them is by memorization and constant practice. In this digital age, it’s possible to use a computer to write Chinese characters, but learning how to write Chinese characters by hand is the best way to gain a thorough understanding of each character. Computer Input Anyone who knows Pinyin can use a computer to write Chinese characters. The problem with this is that pinyin spellings can represent many different characters. Unless you know exactly which character you need, you will likely make mistakes when using the computer to write Chinese characters. A good knowledge of Chinese characters is the only way to write Chinese correctly, and the best way to gain knowledge of Chinese characters is by learning to write them by hand. Radicals Chinese characters may seem incomprehensible to anyone who doesn’t know the language, but there is a method to constructing them. Each character is based on one of 214 radicals —  the basic elements of the Chinese writing system. Radicals form the building blocks of Chinese characters. Some radicals can be used as both building blocks and independent characters, but others are never used independently. Stroke Order All Chinese characters consist of strokes which should be written in a specific order. Learning the stroke order is an important part of learning to write Chinese characters. The number of strokes is used to classify Chinese characters in dictionaries, so an added benefit of learning strokes is being able to use Chinese dictionaries. The basic rules for stroke order are: left to right and top to bottomhorizontal before verticalhorizontal and vertical strokes which pass over other strokesdiagonals (right-to-left and then left-to-right)center verticals and then outside diagonalsoutside strokes before inside stokesleft verticals before enclosing strokesbottom enclosing strokesdots and minor strokes You can see an example of stroke order in the illustration at the top of this page. Learning Aids Workbooks designed for writing practice are widely available in Chinese-speaking countries, and you may be able to find them in cities with a large Chinese community. These workbooks usually illustrate a character with the proper stroke order and provide lined boxes for writing practice. They are intended for school children  but are useful for anyone learning to write Chinese characters. If you can’t find a practice book like this, you can download this Microsoft Word file and print it out. Books There a several books about writing Chinese characters. One of the better ones is Keys to Chinese Character Writing (English).

Wednesday, December 18, 2019

Improving Performance of the Work Team - 2053 Words

IMPROVING PERFORMANCE OF THE WORK TEAM 1.1 My company has defined expectations of Team Members which are given to each employee in the form of a job description backed up with a work contract signed by each employee when they join the company. These expectations include, a timekeeping policy which requires the individual to be at work at the stated shift start times and to contact the Team Leader within 30mins of that start time with any reasons why this can’t be achieved. This will allow the Team Leader time to call in help to keep production on target. Absenteeism and sickness are also closely monitored using a system called the Bradford Scale. This concentrates more on the number of occasions when an employee is off rather than the†¦show more content†¦If a team member is constantly late or sick this will also put the team under unplanned pressure to meet any set targets. A four man team with one man out sick is down 25% in man hours which usually means most targets will need to be adjusted or missed. This then has a knock on effect in the next department who will be only receiving 75% of the product that they were planning for, and that effect depending on the ability to catch up on lost hours may go all the way to a customer in the form of a late delivery of a promised order. This reflects badly on customer relations and could at worse mean lost or cancelled future orders. Also a team member who does not put enough effort into their work can cause ill feeling and conflict in the team possibly leading to arguments and low team moral. This will have a drastic effect on the capabilities of the team sometimes causing other team members to reduce their efforts also. Underperformance of team members is a serious issue in a target driven environment and needs to be taken seriously by team leaders. It may be the case that outside of work influences are causing a team member to under perform so a friendly chat and understanding approach may be all that’s needed to encourage the team member to improve. Team members who perform above expectations can also boost the performance of a team in a positive way. These team members can motivate others to increase there efforts also. This results inShow MoreRelatedManagement And Team Skills ( Ilm ) : Improving Performance Of The Work Team1584 Words   |  7 PagesLEVEL 2 CERTIFICATE IN LEADERSHIP AND TEAM SKILLS (ILM) IMPROVING PERFORMANCE OF THE WORK TEAM UNDERSTAND THE ORGANISATION’S REQUIREMENTS IN RELEATION TO TEAM PERFORMANCE 1. The organisation’s requirements of the team include following the many different company policies. Team member’s need to follow the company’s standards of procedure. For example everyone should set up a table in the restaurant in the same way as each other, in the way that we have been told to do so. They also need to followRead MoreRob Parson Case Study1733 Words   |  7 PagesManagement of People at Work Rob Parson Case Study 1 Case Overview The internal environment at Morgan Stanley was one of teamwork, employee development, dignity and respect. Morgan Stanley had developed a way of building consensus rather that individualism. Rob Parson was thrust into this environment – not sure of what was expected of him and with only one objective in mind – improving the performance of the Capital Markets division. He went about doing this ruthlessly without much care aboutRead MoreTeam Development Process And Steps1596 Words   |  6 Pagesï » ¿Effective Team and Performance Management Table of Contents Abstract †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 3 Introduction †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 Task 1 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 4 Task 2 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 5 Task 3 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 6 Task 4 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 8 Conclusions †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 8 Reference list †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 9 Abstract The following pages focus on presenting the performance of teams and some ofRead MoreRob Parson Management Case Study Essay1712 Words   |  7 Pagesconsensus rather that individualism. Rob Parson was thrust into this environment – not sure of what was expected of him and with only one objective in mind – improving the performance of the Capital Markets division. He went about doing this ruthlessly without much care about the organization and its existing practices. While his performance was stellar, he developed a hostile environment around him. On joining there was a tacit agreement with him and his boss that he would be given the position ofRead MoreImproving Leadership Effectiveness And Characteristics Of An Empowered Workplace1393 Words   |  6 PagesImproving Leadership Effectiveness In this paper, the reader will learn about improving leadership effectiveness. Principles and characteristics of an empowered workplace, importance of communication, high performance in the workplace, team concepts and member roles, problem solving styles, and the stages in the life of a group will be discussed as well as applied to the case study The Chattanooga Ice Cream Division. The reader will learn about the point of the case study, and how it illustratesRead MorePhilips Improvement to Job Analysis and Design1531 Words   |  6 Pagesand design result in poor job performances of employees and organizational performances. This essay is based on Philips’ changes in its workplace design in a factory. In the past, the factor’s old operation line had generated poor employee and organizational performance such as low morale of employees, high rate of turnover, and poor quality control. While redesign its operation line, Philips has gained a high productive workforce , such as building self-management teams, enriching employee’s spiritRead MoreReflection on Leadership1795 Words   |  7 Pagesemotions, understand their perspectives and take dynamic interests in their concerns. My duties include maintaining connections among the top management and local work teams. Thorough open and honest communication, I am able to promote mutual trust between subordinates and supervisors. When working with my team, I always encourage the team to work towards the vision of the organization. Self-assessment To understand my leadership abilities better, I applied Hill’s and Lineback’s (2011) self-assessmentRead MoreManagement Department At Baylor Medical Center1506 Words   |  7 Pagessatisfaction. So the leaders and managers are setting up plans for the improvements to the customer service in the emergency room. Baylor customer services need to improve performance by using the patient satisfaction surveys to ensure the patient’s continuing interacting with the hospital. Baylor Medical Center managers will focus on improving quality services by using a different quality improvement plans and strategies. Management Department at Baylor Medical Center will select tools that help improvementsRead MoreSelf Improvement Within A Group1129 Words   |  5 Pagesbe accomplished by improving organization and time management skills; along with being well rounded in many facets. Understanding that enhancing a group’s performance can always be done will, only better th e outcome of their products. Self-improvement tools are helpful and often only save time in the long run. It is often overlooked because it is time consuming and seems extraneous. To run a business sometimes takes meticulous skills, therefore making it important to always work to improve the talentsRead MoreImproving the Performance of Quality Improvement Teams Essay1732 Words   |  7 PagesImproving the Performance of Quality Improvement Teams Introduction Within every company there is a customer, regardless of what your line of business is it is being done for the consumer albeit an external consumer or the internal consumer. The customer’s needs and expectations should be the driving force behind the decisions we make and the problems we solve†¦the customer, not our own personal or monetary gain. As quality improves we have to make sure that we are improving what matters to our

Tuesday, December 10, 2019

Effectiveness of Nonpharmacological Interventions for the Management

Question: Discuss about the Effectiveness of Nonpharmacological Interventions for the Management? Answer: Identification of the themes In a research carried out by KayeErvin and colleagues carried out a broad research on the barriers which are important to manage the psychological and behavioral symptoms regarding dementia. This particular study was carried out from the perception of the staffs of the medical facilities. In a study related to such behavior and prospective of the relatives and staffs, carried out by Duxbury and his colleagues regarding the relatives and staffs perspective regarding the aggression during the period of dementia at care units are needed to be seriously researched In a study by Liat Ayalan and colleagues have suggested that the general pharmacological interventions for the treatment of neuropsychiatric symptoms and for the treatment sometimes increase the risk of death of the patients They also suggested that these drugs are comparatively more risky for the treatment of older adults. In their study, they reviewed psyc-INFO, relevant published bibliographies, Cochrane library and MEDLINE along with the guidelines of American Psychological Association. In a research article by Ann Kolanowski and colleagues, the main purpose of the research was to provide the people with a strong evidence base that it will indicate that the cultural change in the medical facilities and nursing homes can provide an impact in case treatment of dementia. Like other researchers, they also conducted the study through the implementation of a focus group study In a study carried out by Jiska and colleagues, a broader comparison was made between the physicians, nurse practitioners and psychologists. This study can be considered to be one of the most important one as it differentiates the role of different medical intervention providers. The main aspect of the study is the different background and training of the personnel who treat the behavioral issues or problems in residents. In a study carried out by Farooq Khan and Martin Curtice rgarding the same topic suggested that the self reported knowledge regarding the common mental health problems and the dementia has increased in facilities such as care home staff at the very end of this particular project by a margin of seven percent and eleven percent respectively. A study regarding this topic was carried out by Audyery Deudon and colleagues. The article was mainly focused on the behavioral and psychological symptoms of dementia also known as BPSD and the effectiveness of the staff education intervention in order to manage BPSD in the older people who are suffering from dementia. A study carried out by Jiska and Barbara regarding the knowledge of the nursing home physician and their attitudes help to collect more knowledge regarding this particular aspect. They suggested that the frequency at which the behavioral problems regarding dementia were attributed to the psychological and environmental causes only suggest that there are a large number of cases where non pharmacological interventions could be and should be implemented. In another article by Kristie and her colleagues, factors regarding which the success of the management program can be promoted is broadly discussed.; the authors suggested that use of multiple non pharmacological interventions are often associated with the likelihood of the success of the management program. In an article by Hazelhof and colleague, the author suggested that educating the nursing staffs effectively play a vital role. In some cases it is observed that the right intervention or techniques is often not used at the right time. In an article by Ervin and his colleagues, it is observed that in many facilities, the staffs taking care of the patients possess a sound knowledge of the possible underlying causes regarding the BPSD. But in many cases it is also observed that the poor ability to understand the effective methods for the management and the resources available to them. Critical analysis of themes In order to complete any sort of literature review, it is very important to critically analyze the entire selected article and their themes for the better understanding of the subject and matter as well. From all the articles mentioned earlier, it can be stated that the important themes which are highlighted are the residential facilities for the aged persons are nowadays increased the usage of pharmacological interventions to manage the BPSD events such as antipsychotics. Though there is a very little amount of scientific proof that these pharmacological are effective, irrespective of these fact, the facilities are using such interventions. Another aspect on which the author emphasized is that the different non pharmacological approaches for the management of these behavioral and psychological symptoms of dementia which is also known as BPSD. From this particular study it can be noted that there are several residential aged care facilities which do not favor such non pharmacological interventions irrespective of their effectiveness. Through the different case studies regarding dementia, one phenomenon which should be highlighted and kept in mind is the aggressive nature and behavior of the older people at the time of suffering from dementia. In terms of this particular aspect there is the phenomenon or incidents where the behavior of the staffs and relative with respect to these situations also changes. In a study related to such behavior and prospective of the relatives and staffs, carried out by Duxbury and his colleagues regarding the relatives and staffs perspective regarding the aggression during the period of dementia at care units are needed to be seriously researched. In these studies, they have interviewed various nursing staffs and relatives of the patients in the different care homes of the United Kingdom. Through the usage of a combine approach of one to one interview procedure, and different focus groups, the authors explored the views of the each individual. Implementing a thematic analysis they found that the views of both the staffs and the relatives can be categorized in two different categories. As a result they figured out that non pharmacological interventions such as can reduce the behavioral problems significantly in comparison with the pharmacological intervention. They also concluded that, the cumulative research till date regarding the effects of non pharmacological intervention for purpose of treating neuropsychiatric symptoms or NPS among the patients suffering from dementia indicated that intervention which addresses behavioral issues along with unmet needs, bright light therapy can be more effective than the conventional pharmacological methods. They also concluded that, in order to be sure regarding such proposals, a further broad amount of study is needed on this particular topic (Ayalon et al. 2006). That changing landscape, behaviors of the residents, reaching out to the patient of dementia along with dif ferent educational aspects for the proper training of the nursing home staffs are also needed and may play a vital role. They concluded that the successful usage of non pharmacological intervention requires the right amount of skilled and trained staffs to yield the best positive outcome from the intervention. If the staffs are not well enough trained and the vulnerability of the framework of the entire intervention model will be exploited and this entire situation will do no good for the patient. One which should be also kept in mind with respect to this particular context is the, the effect change in the facilities like nursing home, implementation of staff patterns which can allow the staffs to make a difference with the help of BPSD and development of an effective educational program can play an important role (Kolanowski et al. 2010). The amount of reported confidence in the management of the behavioral problems has increased about nine percent among the care home staffs at the end of their final project. They carried out regular monitoring during the time of project regarding the psychotropic medications as well. The article also provided some vital guidelines regarding the non pharmacological interventions for the management of BPSD. It also included different relaxation techniques, needs led therapy, reminiscence work, reality orientation programs, music therapy, distraction techniques etc (Khan and Curtice 2011). at the end of it, physical restraints should be categorized as the last resort. In many cases, the patients are often restrained for the completion of the intervention. They suggested that it is not a good practice and in most of the cases such actions should be avoided. They also suggested that large physical aggression in both men and women are often suspected to be psychiatric comorbidity which are often difficult to manage. In such cases family involvement and their support play an important role and in certain cases they should be used a s well for the betterment of the patient (Hazelhof et al. 2014). As a result the outcome of the intervention is not as desired and the situation of the patient also does not get better. For overcoming such phenomenon, the authors of this particular article suggested that proper training and education to the nurses is the most vital aspect in case treating the patients of dementia with no pharmacological intervention (Ervin et al. 2012). Discussion and knowledge/research gap identified From all the above mentioned articles and their research themes, it can be stated that all of them emphasized on the fact that there is a huge need of non pharmacological interventions for the treatment purposes of BPSD. Along with all these aspects, another thing which is highlighted is that there is also a lack of knowledge among the medical staffs and care providers regarding the non pharmacological interventions. Another aspect which is also mentioned with respect to the current scenario is that there is lack of execution capability among the staffs as well. Adding to this it can be also stated that there are some evidenced found from the research articles that non pharmacological interventions are actually more effective than conventional pharmacological intervention. It is also observed that the conventional pharmacological drugs which are used to treat in the normal BPSD patient treatment possess a great amount of threat regarding the side effects. Along with all of these posi tive aspects, there are some negative aspects of all the articles mentioned above. Another thing which is needed to be addressed is that from this article it can be said that the management of the interventions are important so as the role and mindset of the nurses and family relatives as well. All of these articles have suggested that the non pharmacological interventions are more helpful and applicable in case of treating the patients suffering from BPSD. But they have not been able to suggest proper guidelines and structure to apply non pharmacological methods and monitoring procedures as well. Along with this another thing which should be mentioned is that they did not provide any evaluation processes as well. As a result, the only outcomes of the above mentioned articles can be pointed out as, Non pharmacological interventions should be applied in case of treating patients suffering from BPSD Most of the drugs which are used to treat people suffering from BPSD are causing severe side effects Most of the medical staffs and care givers such as nurses either have lack of knowledge or lack of execution power in order to apply non pharmacological procedures The articles hav not provided any such guidelines or protocols which are needed to be followed for implementing non pharmacological interventions Articles are unable to suggest any new and effective non pharmacological interventions. Conclusion In recent times, dementia has been considered to be one of the major diseases which cause memory loss and hamper the daily life of an individual. In order to overcome this situation the main aspect is needed to be identification of the behavioral changes and different physiological symptoms regarding dementia. Another aspect which is needed to be considered is that the relatives of patient should play an important and supportive role to the patient as the disease can demoralize the patient. As a result the support coming from the medical staffs also play an important in order to provide hope to the patient. There are several forms of intervention for the purpose o remedy of dementia. These forms can be categorized into pharmacological intervention and non pharmacological intervention. In recent times, maximum medical experts are emphasizing on the use of non pharmacological intervention in comparison with the pharmacological intervention. The main reason behind such choice is that it is both effective and does not cause any side effects to the patient. One of the major reasons for fascinating this method of medical intervention is that it emphasizes on the cognitive behavioral method. This is considered to be one of the most effective non pharmacological interventions for the treatment of the patients suffering from dementia. The purpose of this literature review is to highlight the aspects of above mentioned factors with respect to the findings of different scientists into their journals or research articles (Ervin et al. 2014). From all these aspects and information, it can be said that the training and the education of the staffs that are associated in the nursing homes and other care facility for the purpose of providing care to the patients who are old and suffering from dementia is needed. Another aspect which is highlighted through all these studies is that the family and relatives of the patients should also be supportive to the non pharmacological inte rvention. Non pharmacological interventions are still now considered to be effective than the pharmacological intervention and has a broader aspect in the treatment process as well. References Ayalon, L., Gum, A.M., Feliciano, L. and Aren, P.A., 2006. Effectiveness of nonpharmacological interventions for the management of neuropsychiatric symptoms in patients with dementia: a systematic review.Archives of internal medicine,166(20), pp.2182-2188. Cohen-Mansfield, J. and Jensen, B., 2008. Nursing home physicians' knowledge of and attitudes toward nonpharmacological interventions for treatment of behavioral disturbances associated with dementia.Journal of the American Medical Directors Association,9(7), pp.491-498. Cohen-Mansfield, J., Jensen, B., Resnick, B. and Norris, M., 2012. Knowledge of and attitudes toward nonpharmacological interventions for treatment of behavior symptoms associated with dementia: a comparison of physicians, psychologists, and nurse practitioners.The Gerontologist,52(1), pp.34-45. Deudon, A., Maubourguet, N., Gervais, X., Leone, E., Brocker, P., Carcaillon, L., Riff, S., Lavallart, B. and Robert, P.H., 2009. Non pharmacological management of behavioural symptoms in nursing homes.International journal of geriatric psychiatry,24(12), pp.1386-1395. Deudon, A., Maubourguet, N., Gervais, X., Leone, E., Brocker, P., Carcaillon, L., Riff, S., Lavallart, B. and Robert, P.H., 2009. Non pharmacological management of behavioural symptoms in nursing homes.International journal of geriatric psychiatry,24(12), pp.1386-1395. Duxbury, J., Pulsford, D., Hadi, M. and Sykes, S., 2013. Staff and relatives' perspectives on the aggressive behaviour of older people with dementia in residential care: a qualitative study.Journal of psychiatric and mental health nursing,20(9), pp.792-800. Ervin, K., Cross, M. and Koschel, A., 2014. Barriers to managing behavioural and psychological symptoms of dementia: Staff perceptions.Collegian,21(3), pp.201-207. Ervin, K., Finlayson, S. and Cross, M., 2012. The management of behavioural problems associated with dementia in rural aged care.Collegian,19(2), pp.85-95. Foley, K.L., Sudha, S., Sloane, P.D. and Gold, D.T., 2003. Staff perceptions of successful management of severe behavioral problems in dementia special care units.Dementia,2(1), pp.105-124. Hazelhof, T.J., Gerritsen, D.L., Schoonhoven, L. and Koopmans, R.T., 2014. The educating nursing staff effectively (TENSE) study: design of a cluster randomized controlled trial.BMC nursing,13(1), p.1. Khan, F. and Curtice, M., 2011. Non-pharmacological management of behavioural symptoms of dementia.British journal of community nursing,16(9). Kolanowski, A., Fick, D., Frazer, C. and Penrod, J., 2010. It's about time: use of nonpharmacological interventions in the nursing home.Journal of Nursing Scholarship,42(2), pp.214-222.

Monday, December 2, 2019

Neural Stem Cells, Viral Vectors in Gene Therapy and Restriction Enzymes

Neural Stem Cells The nervous system is comprised of specialized type of cells called Neural Stem Cells (NSCs). These cells undergo differentiation and proliferation resulting to a mass of undifferentiated cells. This progeny then undergoes differentiation into the many cells of the nervous system. From neural stem cells, cell of central nervous system such as astrocytes, neurons, ependymal cells and oligodendrocytes are formed.Advertising We will write a custom assessment sample on Neural Stem Cells, Viral Vectors in Gene Therapy and Restriction Enzymes specifically for you for only $16.05 $11/page Learn More Developmental versatility of plasticity of neural stem cells is important in formation of these different neural cells. A NSC can either be embryonic stem cell of adult stem cell. Embryonic stem cells are fully versatile and can form any cell type. On the other hand, adult stem cells have no versatility to form any cell type but replace multipotent cells when they wear out or die. In this regard, embryonic stem cells can either be totipotent, pluripotent or multipotent. Totipotent stem cells are the most potent cells and can therefore give rise to any type of body cell. Pluripotent stem cells can give rise to body tissues but lack full potency to give rise to any cell type. Multipotent stem cells are the least plastic cells and can only form certain cell types. Neural cell division (neurogenesis) is an important process in brain development but it needs to be regulated during adulthood development. The best understood neural cell differentiation pathways are sparked by growth factors. Certain set of growth factors are optimal for development of certain stages of neural stem cells. For instance, fibroblast growth factors (FGF) are selective for development of early neural stem cells. This means that in absence of FGF, there occurs a significant reduction in the number stem cell divisions. For the purposes of studies, multipote nt stem cells can be isolated from brain tissue or embryonic stem cells. This can be achieved through co-culture of embryonic stem cells in stroma or conditioned medium. These cells can then be preserved for use in studies together with other cell type-models. These cells and models have enhanced the understanding of the processes involved during brain development. Stem cell isolation from embryonic cells in central nervous system and in periphery nervous system is achieved through direct means. A neural puncture is usually made and the cells cultured in medium. Apart from stem cell isolation from brain, other regions (hippocampus and ventricular zone) can be used during isolation of adult stem cell. Viral Vectors in Gene Therapy Gene therapy refers to a medical application of genetics where genetic transformations are utilized in therapeutic functions. This field has objectively transformed medical fields especially in treatment of chronic disease which are hard to cure by use of c hemotherapy e.g. cancer.Advertising Looking for assessment on biology? Let's see if we can help you! Get your first paper with 15% OFF Learn More This exercise requires transfer of target genes into target cells of the patient. In so doing, a transfer agent called a vector is important. Viruses have lately been found useful as vectors. A good example of a virus that has been used in gene therapy is Adenovirus. It has been found out that this genus of viruses have a good profile to transfer target genes to target cell. They have been used substantially in cancer gene therapy and in biomedicine. Replication-defective adenovirus has extensively been used as a vector to transfer transgenes to targeted cancerous cells and tumors. On the other hand, oncolytic adenoviruses which have capacity to replicate have been used to kill or transfer therapeutic genes to infected target cells. Viral vectors have been developed through altering the viral genome making its expression impo ssible. For instance alteration of E1A gene of Adenovirus genome led to a replication-defective strain. E1A gene is important in ensuring that viral genome is expressed and therefore it can induce its multiplication of host cell. Replication-competent adenoviruses are made by integrating a therapeutic gene in their genome. Restriction Enzymes Restriction enzymes are an important part in many genetic applications. They enable genome excision by recognizing specific recognition sites along a genetic strand. Excision is important as it allows formation of recombinant genetic strands. A major source of restriction enzymes is bacteria. Bearing in mind that bacterial genetic material has similar properties to any other genetic material; one may wonder why their DNA remains intact in presence of restriction enzymes. This is possible because restriction enzymes have a way of differentiating between self DNA and non-self DNA. This is possible because Bacterial DNA has other groups attached t o their nucleotide sequences. These may be methyl group and/or carbohydrates. Restriction enzymes were discovered way back in 1952. Their mode of functioning was however not well known until 1960 when Wemer Arber presented his findings with the help of Dussoix at the First International Biophysics Congress. Their research was accompanied by two theories that there was an enzyme in host bacterial cell that cuts its DNA at specific sequences and that host DNA was unaffected due to the presence of methylase. The research earned them the Plantamour-Prevost prize. Restriction enzyme was first isolated in Escherichia coli by Meselson and Yuan. The enzyme was essentially seen to offer protection of the DNA from the viral DNA which would infect the cells.Advertising We will write a custom assessment sample on Neural Stem Cells, Viral Vectors in Gene Therapy and Restriction Enzymes specifically for you for only $16.05 $11/page Learn More This assessment on Neural Stem Cells, Viral Vectors in Gene Therapy and Restriction Enzymes was written and submitted by user Chaim Foreman to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Wednesday, November 27, 2019

Free Essays on Exports Of Columbia, South America

On March 1, 1996 and again on February 28, 1997, President Clinton made the decision not to certify Colombia as fully cooperating with the U.S. or taking adequate steps on its own to meet the objectives of the 1988 UN Convention on drugs. The U.S. concluded that there was a lack of effort at the top levels of Colombia's government to push for legislative and judicial reforms to strengthen Colombian government institutions' ability to fight narco-trafficking. Under the certification legislation, the U.S. Government was required to halt non-humanitarian and non-counternarcotics aid to Colombia and to vote against loans to Colombia by certain multilateral development banks. U.S. law provides for the discretionary imposition of economic sanctions, which were not imposed. On February 26, 1998, the President determined that the vital national interests of the United States require that U.S. assistance to Colombia be provided to meet the increasing challenges posed to counternarcotics efforts in Colombia. The President thus granted Colombia a national interests certification, which waives the restrictions of decertification and allows for broader U.S. engagement with Colombia in the fight against illegal narcotics. Colombia, along with other drug producing and drug transit countries, will be reviewed for counter-narcotics performance again at by March 1, 1999 and each successive year.... Free Essays on Exports Of Columbia, South America Free Essays on Exports Of Columbia, South America On March 1, 1996 and again on February 28, 1997, President Clinton made the decision not to certify Colombia as fully cooperating with the U.S. or taking adequate steps on its own to meet the objectives of the 1988 UN Convention on drugs. The U.S. concluded that there was a lack of effort at the top levels of Colombia's government to push for legislative and judicial reforms to strengthen Colombian government institutions' ability to fight narco-trafficking. Under the certification legislation, the U.S. Government was required to halt non-humanitarian and non-counternarcotics aid to Colombia and to vote against loans to Colombia by certain multilateral development banks. U.S. law provides for the discretionary imposition of economic sanctions, which were not imposed. On February 26, 1998, the President determined that the vital national interests of the United States require that U.S. assistance to Colombia be provided to meet the increasing challenges posed to counternarcotics efforts in Colombia. The President thus granted Colombia a national interests certification, which waives the restrictions of decertification and allows for broader U.S. engagement with Colombia in the fight against illegal narcotics. Colombia, along with other drug producing and drug transit countries, will be reviewed for counter-narcotics performance again at by March 1, 1999 and each successive year....

Saturday, November 23, 2019

6 Ways to Handle Employment Gaps on Your Resume

6 Ways to Handle Employment Gaps on Your Resume Have you had to bounce around a bit? Worried your recent job history will appear a bit erratic to potential employers? Though job hopping is becoming less and less stigmatized, and more and more employers and recruiters will be sensitive to the particular challenges of the marketplace and the current economy, there are still some situations wherein it’s best to downplay all your job activity. Here are 6  ways to minimize the damage of having employment gaps on your resume1. SummarizeIf you don’t already have a summary paragraph at the top of your resume, now’s the time to add one. Use it to define yourself, and then to guide the recruiter through the bullet points and information she’s about to take in. Use it to show how best to interpret your multiple recent job changes, and what narrative to take away from that. If you give a recruiter a greater narrative, that should stick with them. And, if you’re worried that recruiters might think youâ€⠄¢d be a flight risk? Emphasize in your summary that you are looking for a long-term position, or to be somewhere for the long haul. Get out in front of the story, as they say in the media.2. FocusOn three or four of your recent jobs and flesh them out in more detail than you normally would. Then make a more summarized section on previous employment, including multiple jobs within those dates, to minimize the feeling of having hopped around from job to job during that time.3. Find coherenceIf you can find a through-line to connect all of your hopping, then you’re golden. Perhaps these were all positions within the same field, or in hopes of rocketing up the ladder, or learning new skills. Or if you’ve hopped from industry to industry, emphasize instead the work you do, and how you’ve been trying to hone in on the perfect niche for it. Make your job hopping an asset by making it tell a story.4. Be honestIf you were laid off as the result of a merger or acquisitio n, or you were a contract worker, then some of your hopping was not at all your fault. It is totally okay to explain this on your resume. A quick parenthetical (formerly X Company) next to the company name will be a good start. Your summary paragraph will also help here.5. Fudge the monthsIf you can get away with taking out the months in your dates, and just leaving the years, then you can give the illusion of having worked at a place longer than you did. Using years only helps you to smooth over short-term gigs. You can also put the dates to the right of the job headings, rather than the left, to deemphasize them.6. Try a hybridIf all else fails, the hybrid resume might be for you. This is a new way of thinking about the resume, emphasizing your skills first, and your bulleted, chronological history second. Choose four to five responsibilities or skills or job facets that you’ve excelled in, across all of your jobs, and sell yourself as a primo candidate. By the time the hir ing manager gets to the second page with your list of actual job experience, she’ll already be convinced you can do the job.

Thursday, November 21, 2019

Civil Engineering Structural Concentration Essay

Civil Engineering Structural Concentration - Essay Example Basically, the properties and characteristics of a polymer depend upon its structure. The strength of the plastics can be determined from a measurement known as the Young’s modulus. Young’s modulus is the ratio of stress over strain, i.e. elasticity and is measured in units of Pascal (Pa). Unfilled plastics usually have a Young’s modulus of less than 3.5 GPa at room temperature (â€Å"Characterization and Failure Analysis of Plastics†, 53). Their strength is also temperature sensitive and can be affected by environmental factors as well. The strength can be improved by using fillers and fibers as reinforcements in order to enhance the mechanical properties of the plastic. The tensile strength of most plastics is less than 35 MPa. A lesser tensile stress means a lesser rigidity (MatWeb, n.pag.) but this can be increased by using resin of higher Young’s modulus so as to provide with better reinforcements. The designing of the plastic also has a signif icant role in improving the strength of the plastic (â€Å"Characterization and Failure Analysis of Plastics†, 53). Lower quality or recycled plastics have a lower tensile strength and can break at a very low magnitude of stress. This is because after recycling the plastics are â€Å"down cycled† causing them to become less rigid and more amorphous thereby causing them to break at a lower stress level. The load on the above hanger is caused by hanging clothes. In this case the force or load is caused by the weight of the clothes which depends upon the thickness of the fabric. On average clothes weigh about 2 to 5 pounds (lbs) with the weight being centered at the middle point of the hanger. Continuous weight on one point of the hanger results in breakage. The fracture shown in Figure 1 illustrates that breakage has occurred midway along the length of the hanger leaving 18.5 cm on both sides. The hanger being

Tuesday, November 19, 2019

Foreign Direct Investment can have both positive and negative impacts Essay

Foreign Direct Investment can have both positive and negative impacts on both the host and home country - Essay Example These can be in the form of outright acquisition of a firm or a joint venture or construction of a facility. It can also include an association with a local company to gain rights for attendant input of technology (P. Graham and R. Barry Spaulding, n.d.). â€Å"It was twenty years ago that the late Stephen Hymer wrote his seminal thesis on Foreign Direct Investment (FDI) and multinational enterprises (MNEs). Since then the literature on these subjects has increased substantially and taken different directions, placing the multinational firms at the crossroads of many disciplines and of many debates as well†. (A.L. Calvet, p.43) Foreign direct investments of larger magnitude have deep effects on the economy of both the entities. Here with the help of real examples, it will be discussed how these effects can be positive as well as negative. As for this purpose we are focusing on both the host and home countries separately, so the advantages and disadvantages will be considered s eparately as well. But for the record it must be highlighted that these advantages and disadvantages are not fixed but, on the contrary, they are relative to both the host and home countries and their collective policies. HOST COUNTRY: ADVANTAGES The biggest advantage that a host company can derive from foreign domestic investment (FDI) is the globalization of its operations. Many large countries are focusing on it, e.g. China is the largest FDI host in the developing world. To compensate for the advantages that could be derived from these foreign investments, China has undergone significant changes with respect to its policies related to the FDIs. Until the mid 1980s FDIs were focusing on the construction sector involving the construction of hotels and apartments in the tourism and service industry. In 1986 China issued a new policy which encouraged the FDI into various other technically advanced sectors. These included manufacturing enterprises whose main focus was export and some basic industries such as new materials and agricultural. After these changes approximately 60% of the total foreign investments were part of the manufacturing sector of China (Yingqi Wei, Xiaming Liu, 2001). But from 1994 onwards, the investment boom in China seemed to go downhill. The statistics for foreign direct investments in terms of projects and contractual agreements turned negative and the growth rate of realized FDI also fell. The trend continued till 1999. But then in 2000 China recovered and since then it has closely monitored the inflows and outflows related to the foreign direct investments into its entities (Yingqi Wei, V. N. Balasubramanyam, 2004). Similarly Chile has been a FDI friendly-nation in Latin America. An agency of United Nations in Chile named The Economic Commission for Latin America and The Caribbean (Eclac) reported an inflow of USD 8.03 billion making Chile the third largest foreign direct investment in South America. FDI in Chile is mostly focused in the sector of mining. A survey by UNCTAD has shown that inward FDI in the developing countries has risen from $481 billion in 1998 to $636 billion in 2006. Among China and Chile other countries benefiting from foreign direct investments include Singapore, Philippines and India in Asia and other

Sunday, November 17, 2019

Ethics - Terms to know Essay Example for Free

Ethics Terms to know Essay WorldviewThe way the world is seen made sense of; framework of individual understanding. e.g. Deism God abandoned creation Nihilism Reality has no value; traditional values unfounded Existentialism Life has no meaning but what we give it Eastern Pantheism Polytheism, i.e. Hinduism Naturalism Secular humanism / modernism; God is irrelevantnothing exists but natural world New Age Pantheism All is one; no distinction between plants, people; all are God Judeo-Christianity There is only one God who created universe; God is involved w/ creation Post Modernism God is dead; truth is a social construct; relativism prevails EthicsThe explicit, philosophical reflection on moral beliefs and practices. (The difference between ethics and morality is similar to the difference between musicology and music. Ethics is a conscious stepping back and reflecting on morality, just as musicology is a conscious reflection on music). Descriptive EthicsStating actual moral beliefs. Normative EthicsStudy of what is really right or wrong. MetaethicsStudy about field of Ethics. Metaethics Theories ObjectivismThere are correct and incorrect answers. SubjectivismThere are no correct or incorrect answers. AbsolutismAll moral rules hold without exceptionthere is only one truth; opposite of relativism, contrasts with consequentialism. RightsJustified claims upon other(s) for actions or non-actions. Negative Obligation (Right)An obligation to refrain from something or entitlements to do something without interference from other people. See also autonomy. Positive Obligation (Right)An obligation to perform / provide, etc., or entitlements that obligate others to do something positive to assist you. In remUniversal rights (obligations fall on all moral agents). In personamRestricted rights (obligations fall on selected individuals). General Obligationsmoral requirements of all moral beings. Role-related Obligationsmoral requirements of specific roles, e.g. MD, priest, etc. Strong PaternalismForced acts of beneficence on person able to decide. Weak PaternalismForced acts of beneficence on person unable to decide. Negative PaternalismRefraining from doing something to/for someone. 4 Main Ethical Principles / Values NonmaleficenceDo no harm; (Primum non nocere first, do no harm); a negative right. BeneficenceDo good; promoting the welfare of others; actively avoiding harm; a positive right. AutonomyNon-interference with others choices and freedom to make choices / self determination. Justice / Social JusticeEqual treatment for all. Ethical Systems Theories (*Related concepts) *ConsequentialismThe end justifies the means; the rightness or wrongness of any action depends on its consequences. *Utilitarianism (act)To act in a beneficial way based strictly on the good consequences for the most people; case-by-case analysis of each act. *Utilitarianism (rule) To act in a beneficial way (with good consequences for the most people) based on moral rules; categorical imperative? DeontologismIts not whether you win or lose, its how you play the game; some actions are right or wrong regardless of their consequences; contrasts with consequentialism. Relativismit all dependsall points of view are equally valid. Also: When in Rome, do as the Romans do (cultural relativism). Beauty is in the eye of the beholder (personal relativism). *Doctrine of Double Effectintention is everything; concerns only intended means or ends, not actual means or ends even if predictable (i.e. chemo side-F/Xs). Patient Relationship Models Engineering ModelJust the facts, maam; healthcare professionals as scientists presenting factspatients make decisions based on these facts. Paternalistic ModelDo what I say; decisions are made by healthcare professionals. Contractual ModelLets make a deal; healthcare professionals give informationassist patients in decision-making by making recommendations. ConfidentialityNot divulging information which another has revealed on condition of secrecy; patients right to privacy (of information). Deontological Argument for the Obligation of ConfidentialityRespecting confidentiality respects patient autonomy. Consequentialistic Argument for the Obligation of ConfidentialityRespecting confidentiality protects and promotes well-being of patients. 3 Accepted Exceptions for Divulging a Patient ConfidencePatient not competent, required by law, protect public interest. Truth Telling (Veracity)Obligation to tell the truth. Consequentialistic Case for Telling and Withholding the TruthDo what will most benefit/least harm patient; truth-telling / withholding truth context dependent. 3 (actually 4) Possible Exceptions to the Truth-Telling RuleFamily request, patient request, for the good of others (less so now), avoiding disastrous consequences (extreme cases). 5 Elements of Informed ConsentCompetence, information disclosure, understanding, voluntariness, and authorization.

Thursday, November 14, 2019

The Philosophy of Simone Weil Essay -- Philosopher Simone Weil Essays

The Philosophy of Simone Weil In the final entry to her London notebooks, Simone Weil writes "Philosophy is exclusively an affair of action and practice. That is why it is so difficult to write about. Difficult in the same way as a treatise on tennis or running, but much more so." (Allen, p. 157) In these next few pages I will try to relay the basic ideas contained in Simone Weil's works. Because of the extensiveness and complexity of her work, I will be using her words exactly, as often as possible. Simone Weil was a trained philosopher and a teacher of philosophy. She was a political theorist and activist, a revolutionary, a laborer in the French fields and factories and toward the end of he life, she was a mystic. She believed in the transcendent powers of God. Much of her writing dealt with the ways in which God touches our lives, and the ways we can "find" or open ourselves to him. In her works, she spent a good deal of time defining and describing terms such as beauty and affliction, and describing solutions to social ills. First and foremost it is important to understand the relationship the Weil had with God. She had many mystical experiences in her life in which she walked and talked with God. One of these experiences in particular is described in volume two of her notebooks in a brief essay called "Come With Me." In this essay she recounts a story in which God comes and visit her. He takes her up to the attic of a church where they live for three days, eating only bread and drinking only water. But she had interesting notions about him and his existence; not notions that would seem consistent with having met with him. She explains that God is "everything that we are not" (Little, p. 57 ). But she goes on to ... ...egin. I suppose this is an issue Gardner faced in the beginning of his search as well; the abyss of the unknown. But it is an area I am interested in, even more so that the other frames we have studied, and I look forward to thinking in these terms as I further my studies in philosophy and spirituality. Works Cited: Allen, Diogenes and Springsted, Eric O. Spirit, Nature and Community. State University of New York Press. Albany, New York. 1994. Indinoplulos, Thomas A. and Knoppzadorsky, Josephine. Mysticism, Nihilism, Feminism. Institute of Social Sciences and Arts. Johnson City, Tennessee. 1984. Little, J.P. Simone Weil. St. Martin's Press. New York, New York. 1988. McFarland, Dorothy Tuck. Simone Weil. Fredrick Unger Publishing Co. New York, New York. 1983. Panichas, George A. (ed.) Simone Weil Reader. Moyer Bell Limited. Mt Kisco, New York.1977.

Tuesday, November 12, 2019

Barriers in Classrom Communication Essay

1. Listening Barriers * Effective listening is one of the most important factors in classroom communication. Take the time to listen to what the other person is saying. When someone is speaking, you should not be thinking of your next response. Negative emotions may occur when certain words or body language is used. A teacher must also take care to keep emotional reactions to a minimum and focus on what the speaker is saying. Outside noise such as telephones, email or construction noise can sometimes make listening difficult. This outside noise should be minimized in the classroom. Perception Barriers * Perception may be a barrier to effective communication in the classroom. Different people may receive and hear the same message but interpret it differently. Paying attention to detail is also important. Important aspects can be missed by not covering a subject in depth. A teacher should also learn to focus on both positive and negative aspects of a conversation. By having a distorted focus, a teacher may only focus on the negative aspects of a conversation. * Sponsored Links * Communication Define a clear and efficient media strategy with Capgemini Consulting www.capgemini-consulting.com Oral Barriers * Communication barriers in the classroom may exist if oral communication is not clear. Communication only occurs when the listener hears and understands your message in the way you meant for it to be received. Some problems in oral communications include using words with ambiguous meanings. The teacher must make sure the students clearly understand the meanings of words. Another problem in oral communications is using generalizations and stereotypes. Classroom communication should be specific to the topic and without bias. A teacher must also take caution not to make a premature conclusion before she has all the facts about a topic or situation. Finally, a teacher must overcome any lack of self-confidence and deliver the message with assertiveness and clarity. Cultural Barriers * Cultural differences can be a barrier to effective communications in the classroom. It is possible for both a teacher and a student to have predisposed ideas about behavior based on what the other person’s culture is. Messages are often misunderstood if they are delivered in a way that is unfamiliar to the student’s culture. It is important to dispel assumptions or biases based on cultural differences in a classroom . Sponsored Links Read more: Barriers to Effective Communication in the Classroom | eHow.com http://www.ehow.com/list_7350208_barriers-effective-communication-classroom.html#ixzz2JLH5z6cY

Sunday, November 10, 2019

Theory Of Evolution

I have always believed that it can take one person to get the ball rolling, but it takes a group to make an impact. Therefore, the concept of evolution via natural selection was a group effort. Darwin didn’t work on scientific evolution alone. Within, the seven years Darwin was thinking and analyzing about his theory, others were working on it themselves. Darwin is certainly the father of evolution, but our current understanding of evolution [DNA, natural selection, genetics, etc. ] has evolved through the scientific understanding of others. As with natural evolution, our understanding of hereditary transfer/natural selection has also evolved as well. Theories have been introduced since Darwin that have been proven both true and false [scientific natural selection]. However, would it have been proposed to the world if not for Wallace? No theory can be proven true, unless somebody else takes the report and repeats the research and comes up with same result. Wallace was a deep thinker, as was Darwin, so it’s no shock that they both concluded the same theory of evolution. Although, should Wallace have not assured Darwin of his theory we might have never known of a thing called evolution? Evolution was just the starting point for many new theories soon to be thought of. From evolution there arose natural selection. Together again, Darwin and Wallace created this theory. In order to verify their theory of natural selection, they had to dispute with Lemarck about variation. They both borrowed information from each other to better understand what they were trying to propose. Darwin new that, † variation already existed, however he was unsure where this variation came from† [Park 1998:33]. But by seeing what Lemarck had already concluded Darwin could continue on with his theory with knowledge from another source. In order to be valued, two parties must verify the results. In the process of re-examining a study, new knowledge is gained, theory is formed, and principals evolve. Darwin was the starting point for many new theories, before he passed away. After Darwin was gone, there came Mendall, who showed us the unit of heredity and modern syntheses. Mendall thought of theories far beyond Darwin, but to gain this knowledge he had to start with what Darwin had already concluded. In order to have theories evolve you need more than one mind. Knowledge of genetics and DNA has grown massively over the years, partly in response to technology. Of course, the basis of our knowledge came from Darwin, Wallace, Lemarck, and Mendall, but to capitalize on these theories we use our technology sources today. We are now capable of manipulating genes to possible altar evolution. When Darwin, Wallace, Lemarck, and Mendall were around they didn’t posses the technology we have today. Since, technology we have been able to discover many new theories, as mentioned above. Many people in this world start theories or discoveries, but in order to better understand them or draw a conclusion, you need more input from others. By giving or taking input other than your own you’re able to see other people’s nature of science. Take cars, for instance, the first car did not have a hood, nor could it even go over twenty-five miles per hour. Henry Ford knew he created something that could forever change the world, but it was also just a starting point. Fords basic idea of transportation has been built on for years. Cars these days are completely different. They are finer, more reliable, and they have hoods! However, in order for cars to evolve to the way they are today, we needed input or suggestions from others. Sometimes the best ideas are by those who just sit back and observe. It is like learning how to ride a bike. You can sit and watch someone get up on his or her bike and fall, knowing that if they would have just kept their balance evenly distributed they would have not fallen. So knowing the information, when you get up on your bike you remember to keep your weight balanced, subsequently you do not fall. Scientific discovery is the social process. Had Darwin acted on it alone, our understanding of evolution would be far less. However, our current concept is far more comprehensive, this is entirely due to the contribution of several minds over an extended period of time.

Friday, November 8, 2019

More than a Rose †English Literature Essay

More than a Rose – English Literature Essay Free Online Research Papers More than a Rose English Literature Essay Society has a way of determining what it wants people to be. To an extent certain ethnic or racial groups are told by society that they aren’t to have certain jobs or live certain places. Television and movies hardly ever show black doctors living in Beverly Hills. There are rarely white men who challenge for the heavyweight boxing title, and even fewer women in each of those categories. In the same way, a person’s family might put a mindset into that person just because of what that family is. Some of these alien sources can be changed and some will probably always have a negative influence on people. These factors affect the way a person is perceived and how that person behaves. In William Faulkner’s â€Å"A Rose for Emily†, a town gives its account of one of its oldest citizens. The town expresses a dislike for Miss Emily Grierson when actually all of Emily’s problems come from sources alien to her. The first source of Emily’s problems lies in the town itself. The town causes the beginning of Emily’s problems by granting her the right to not have to pay taxes. The town says that Miss Emily is a burden on them when it says â€Å"Alive, Miss Emily has been a tradition, a duty, and a care; a sort of hereditary obligation upon the town, dating from that day in 1894 when Colonel Sartoris†¦remits her taxes†¦Ã¢â‚¬  (Faulkner 377). If Colonel Sartoris had not given Emily the privilege of not paying her taxes, they would not have the problem of the rest of the town being jealous of that privilege. Emily becomes accustomed to not having to pay taxes, which is a right legally granted to her. When asked if she received a notice to pay her taxes, she replies â€Å"I received a paper, yes. Perhaps he considers himself the sheriff†¦I have no taxes in Jefferson.† (Faulkner 378) Then the Board of Aldermen says â€Å"But there is nothing on the books to show that, you see. We must go by the†¦Ã¢â‚¬  (Faulkner 378). It is the town’s own fault for not having proper records of who has to pay taxes and who does not have to pay them. The whole problem of Emily not paying her taxes is put on her by the town and then made worse by the town when they try to change their mind on Emily’s tax status. The next thing that the town does to cause Emily’s problems is to pry into her personal life and try to change it. The town says, â€Å"At last they could pity Miss Emily. Being left alone, and a pauper, she had become humanized.† (Faulkner 379) Her being inhuman is a matter of their thought, not hers. Then they say â€Å"Poor Emily† (Faulkner 380) when she starts being seen with Homer Barron and they think she might marry him. The town should have no reason to pity her, as she seems to be in love with a good man. They don’t like the man because he is a northerner, which is another problem altogether for the town. The town then begins to think it is wrong for Emily to be seen with Homer, as they say â€Å"Then some of the ladies began to say it is a disgrace to the town and a bad example to the young people† (Faulkner 381). So the town forces its will upon their minister who goes to talk with Emily. The town says â€Å"He would never div ulge what happened during that interview, but he refuses to go back again† (Faulkner 381). Once again the town tries to force its ideas upon Emily. The people of the town should just let her live her life the way she sees fit. The other source of Emily’s problems is her family. Her father chases away any men that came to try to court Miss Emily. The town says, â€Å"We remember all the young men her father had driven away†¦Ã¢â‚¬  (Faulkner 379). They also say â€Å"The people in our town†¦believe that the Griersons hold themselves a little too high for what they really are† (Faulkner 379). The town forms its opinion of Emily from how it sees her family. Then the town says of her cousins â€Å"We were glad because the two female cousins were even more Grierson than Miss Emily had ever been† (Faulkner 381). The town is once again assuming that Emily is like her family, when they don’t even know her. Had Emily not been born to the Grierson family, she probably would have a much more normal lifestyle. Emily’s problems come from the town and the precedents her family has set. Emily is only acting the way she thinks everyone expects her to act. â€Å"[Faulkner wishes] to force the reader to look behind the words to the hidden, more profound meaning that is nowhere expressly embodied in the writing† writes Claude-Edmonde Magny (144). In society today children of the poor are often seen as growing up to be poor, and therefore many of them do. Treating them in this way only contributes to their demise, just as treating Emily the way the town and her family do contributes to hers. Faulkner is saying in his subtle way that society should open its mind. Faulkner, William. â€Å"A Rose for Emily.† Fictions. Eds. Joseph F. Trimmer and C. Wade Jennings. 3rd ed. Orlando: Harcourt Brace, 1994. Magny, Claude-Edmonde. â€Å"Faulkner, or Theological Inversion†. Contemporary Literary Criticism 18 (1981): 143-145. Research Papers on More than a Rose - English Literature EssayWhere Wild and West Meet19 Century Society: A Deeply Divided EraNever Been Kicked Out of a Place This NiceThe Effects of Illegal ImmigrationCapital PunishmentTrailblazing by Eric AndersonThe Spring and AutumnHonest Iagos Truth through DeceptionInfluences of Socio-Economic Status of Married MalesBook Review on The Autobiography of Malcolm X

Tuesday, November 5, 2019

Moral vs. Ethical

Moral vs. Ethical Moral vs. Ethical Moral vs. Ethical By Maeve Maddox A reader has asked for a discussion of the adjectives moral and ethical: I have been writing professionally for 40 years and I still cannot get these straight. There seems to be more than a casual or preferential distinction. One difference between the adjectives moral and ethical is that moral has been in the language longer. A similarity is that moral is a translation of the ancient Greek word ethikos from which the adjective ethical derives. Both words refer to human character and behavior. Moral entered English in the 14th century from Old French moral: â€Å"pertaining to character or temperament.† It derives from the noun moralis, from the Latin noun mos in its genitive form (moris): â€Å"one’s disposition.† The adjective ethical entered English in the 16th century with the meaning â€Å"pertaining to morality.† Note: The plural of mos gives us the word mores: â€Å"the shared habits, manners, and customs of a community or social group.† Greek philosopher Aristotle used ethikos as the title of a treatise on the branch of knowledge dealing with moral principles. Clearly, the two words, moral and ethical, are closely related in meaning. In the 14th century, moral meant â€Å"morally good, conforming to moral rules.† Moral stories taught moral behavior. Everything Chaucer’s Oxford student said was â€Å"filled with moral virtue.† The first definition of the adjective moral in the OED gives ethical as a synonym: moral (adjective): of or relating to human character or behavior considered as good or bad; of or relating to the distinction between right and wrong, or good and evil, in relation to the actions, desires, or character of responsible human beings; ethical. Both words, moral and ethical, describe human behavior in reference to right and wrong. Modern usage assigns moral to behavior dictated by internal standards and ethical to behavior dictated by external standards. Sometimes the two types of behavior coincide. For example, taking a child away from abusive parents is both moral and ethical. Sending a child back to abusive parents for legal reasons is ethical, but not moral. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Misused Words category, check our popular posts, or choose a related post below:Dialogue Dos and Don'tsThe Possessive Apostrophe6 Foreign Expressions You Should Know

Sunday, November 3, 2019

Book Report Essay Example | Topics and Well Written Essays - 1000 words - 2

Book Report - Essay Example She is the Director of Family Achievement Clinic in Cleveland, Ohio, and a clinical professor at Case Western Reserve University School of Medicine. She has twenty years of clinical work experience, working with families and concerned parents (Rimm, 1996). In an era where there exists varying family set-ups, such as families with gay or lesbian parents, single-parent families, step families and traditional two parent families, Dr. Sylivia wrote this book to provide a parenting blueprint, especially to parents who are not in a position to meet her or attend her talks in person. She employs her compassionate, yet no-nonsense style in presenting basic strategies to parents, for guiding children from birth to adulthood (Rimm, 1996). Exceptionally arranged, this book comprises of cornerstone as an alternative of chapters. Questions are grouped per cornerstone, and answers provided at the end. To facilitate skimming, innovative skills are placed in margins, to enable those seeking advice on issues such as bedtime battles, attention deficit disorder and shyness find answers easily(Rimm, 1996). This book covers a wide area of everyday family life. Its covers issues on common annoyances and deeper issues. Sensitive topics which are rarely discussed, such as immigrant’s parents, grand parenting, and marital problems between husband and wife and its’ impacts on children are discussed respectfully. The book considers it necessary for parents to review their difference and avoid quarreling in front of their children because this kind of approach impacts them negatively. Another material covered by this book is selection of appropriate rewards and punishments, aiming at decreasing arguments and power struggles. Dr. Rimm encourages independence of parents without over empowering the children. In her book, Dr. Sylvia provides practical guides to parents on how to form a united front, how they should cooperate with school and the teachersto

Friday, November 1, 2019

The Brain All You AreIs Here Essay Example | Topics and Well Written Essays - 500 words

The Brain All You AreIs Here - Essay Example Through the use of fMRI, which is a non-invasive scan as compared to the X-ray, brain tumors are detected. It can also detect brain activities such as blood flow which is helpful recognizing brain activity according to the article. The article also suggests that the prefrontal cortex contains the sense of â€Å"self† in the young child. But as people mature, this â€Å"self† maybe located in different regions of the brain especially when higher order thinking skills are involved. Synapses also play a crucial role in brain development since they are points of contact during the exchanges of neurons firing to one another. These synapses grow or develop inside the brain of a fetus. Long-term memories are believed to be stored in the hippocampus ( part of limbic system) which is not yet fully developed on a child. Likewise, the amygdala can also hold â€Å"highly emotional memories† ( The Mind,p.12). Interestingly a research made by the NIMH in Maryland reveals that is during puberty period that the brain experiences another round of growth. The basic functions as well as sensory processing usually develops first in the extreme back and front portions of the brain. Next to develop in the parietal lobes of the brain are language functions and spatial orientation. This is also the reason why curriculum in the educational system is attuned to the level of development of the brain. Students in lower levels cannot process higher thinking activities unless their brain is developed. Last to develop is the prefrontal cortex where most decision making are processed. This meant weighing alternatives , making short term plans or even checking one’s self on e thical conduct is involved. Indeed, such complex mental functions can only be given to mature individuals. This just attests to the fact that people’s brain gradually develop and mature through adulthood. Aside from experiencing development, certain

Wednesday, October 30, 2019

Change Model Assignment Example | Topics and Well Written Essays - 1000 words

Change Model - Assignment Example How change is introduced in an organization greatly determines how it will be accepted by the employees which will contribute to organizational success. Companies want to grow and expand in the long run but the problem arises where change is an intimidating step among the management and employees since the outcome is unknown and since they are moving out of their comfort zone (Van de Ven & Sun 2011). For change to be effective, a detailed plan has to be made in advance, implementation has to be slow and steady and most importantly is that the people it affects have to be consulted and involved in the change process rather than being by- standers. The change has to be measurable, ideally achievable and realistic. Some important questions need to be answered before introducing the change; what is it that we want to attain from the change, how will we know that we have attained the change we long for, who are the people that will be directly affected by the change and what is their expe cted response? It is by answering these questions that will form the basis of how to explain to the employees of the reasons for the change and help them understand and contribute positively towards the achieving the change (Van de Ven & Sun 2011). ... Since opening up the shop in Shanghai is for a short time, the organization may be testing the waters to see how well their company will respond to international change where the people as well as their culture are different. In the first stage of unfreeze, the organizations tries to break the status quo by explaining that these changes are necessary and should be accepted for the company to grow. The key to this stage is to develop a compelling message to the employees of the need for change perhaps due to worrying financial results, poor customer satisfaction, or just the need for improvement and expansion of the company for it to grow (Van de Ven & Sun 2011). For the change to be successful, it is important that the employees be prepared psychologically by changing their core beliefs and attitudes about the organization. If the company wants to go global, there is need to change the mindset of the employees, stopping them from looking at the company in its regional state but as an international company. For goals to be achieved, they have to be foreseen before they are worked towards achieving them. The first part is very hard and stressful since when change starts, people have to start adapting to the new ways of doing things which pushes them off balance. It is for this reason that during early stages of the new store would seem slow and progress to be almost none. If this phase is not handled carefully, rebellion is likely to be seen among the employees (Mariana & Violeta 2011). The second phase is the change part where people are inculcated into the new radical ways of doing things. People have to see that the change is meant to benefit the entire company.

Sunday, October 27, 2019

Nutrition And Childrens Learning

Nutrition And Childrens Learning Abstract Does what our children eat affect their learning attainment and achievement? And if yes how serious is the effect? Those serious questions have been matters of concern among parents, educators, and health professionals. Prior studies provided evidences on the strong relationship between nutrition and education progress. This research paper is intended to highlight and consolidate the various factors that implicate learning. Also, it illustrates the negative effects of imbalanced diets on childrens health and academic future. This research suggests the serious relationship between prenatal mothers eating habits, breast feeding, anemia, mineral deficiencies, socioeconomic status, malnutrition and obesity from one side and the childrens learning outcomes in the other side. Numerous serious educational issues are addressed in this paper. Including, but not limited to, attention span problems, information processing impairment, information retention issues, cognitive growth complications, and working memory impairment conditions. Eating habits affect equally the childrens physical and mental growth. Therefore, introducing balanced meals to children, especially breakfast, is recommended to ensure healthy growth. Introduction Cognitive development, represented in thinking and learning abilities, is implicated notably by the interaction between nutrition, hereditary genes and the surrounding environment. All these components/factors combined implicate the cognitive growth of children. The role of nutrition in children physical and mental development starts during the early years of their life. Many studies have focused on the relationship between nutrition and childrens mental and physical health. Behavior also is implicated by the quality and quantity of nutrients the child receives. The role of health and nutrition in promoting child development and educational outcomes is increasingly being recognized(Bundy, 1997; Bundy Guyatt, 1996). Research findings tie the mothers nutrition during pregnancy to the childrens brain health and development after birth and during the first two years of life. The childrens cognitive development starts before birth. Furthermore, some researchers suggested that breast feeding augments healthy cognitive development and higher IQ levels. Breakfast is the most important meal especially for preschoolers. Any nutritional disorder, especially during the early stages of life, can lead to serious mental and cognitive issues. Malnutrition and obesity, both, disturb the mental and physical development of children equally. Proper nutrition has always been linked to progressive cognitive development. Malnutrition can results from administrating unbalanced meals or can be secondary to certain medical conditions. Malnutrition leads to deficiency in some essential minerals and other elements. Iron and zinc depots are always depleted by malnutrition. Therefore, malnourished children are always susceptible to recurrent infections which impede their school attendance and thus their learning progress. Moreover, it affects the childrens behavior and social interaction with others. If under-nutrition was evaluated as a negative health risk, overfeeding is viewed as health jeopardy as well. Overfeeding leads to obesity which interferes with the childrens various aspects of growth. Parents should promote healthy eating habits among their children to enhance their mental as well physical growth. Literature review The core of literature on child nutrition and its projecting implications on school performance are addressed in five major areas: (1) nutrition during pregnancy and its prenatal effects on fetuses (2) socioeconomic and medically-induced food insufficiency and malnutrition, (3) essential elements deficiency such as Iron and zinc, (4) effect of eating breakfast, and (5) obesity and its health and educational implications. Extensive research work suggested that chronic hunger, iron deficiency, and poor breakfast patterns are frequently interrelated (Taras, 2005, p 199). Pregnancy is a crucial phase of development. Improper nutrition during pregnancy affects the newborns more than their mothers. Imbalanced supply of certain nutrients during pregnancy leads to serious fetal developmental or congenital malformations. For instance insufficient dietary folic acid or B9 during pregnancy results in motor disabilities and cognitive impairment in offspring. Vitamin B9 is essential in the proper functioning of brain as well central and peripheral nervous systems. Lower levels of B9 have been connected to chronic depression and other mental disorders, as well as in birth defects that affect the neural tube cells (NutritionalSupplementsCenter.com, 2005). Those fore-mentioned serious health defects are found to forgo schooling and engaged in activities besides learning at schools. Moreover, interrupted sleep is one of symptoms of folic acid deficiency. Interrupted sleep is one of the major issues that negatively implicate childrens learning. Interrupted sleep lowers their attention, retention and concentration levels. Therefore, it can be concluded that lower levels of Folic acid insult the children learning process directly. Whether in the form of interrupted sleep issues or manifest itself as mental retardation and/or emotional instability. In the postnatal life, it was suggested that breast feeding is interrelated to IQ levels. Studies in this regard involved more than 3,000 breast-fed infants in New Zealand and England. This study revealed that breast feeding is responsible for increasing the average IQ with around 7 points. However, the same studies indicated that this IQ spurt can only take place under certain hereditary conditions. Breast-fed infants who carry special gene called FADS2 have great chances to have higher IQ than their counterparts who dont have it. Studies suggest that IQ scores are somehow correlated to school performance. Students with above average IQ typically do well in school especially in achievement tests. However, their scores might not be conclusively attributed to their intelligence. Certainly, intelligence does play a significant part in school achievement, but many other factors are also involved. Motivation, quality of education and family socioeconomic status; are all among the other factor involved in elevating the IQ. Conversely, some research studies pointed that for some reason some students dont perform well in the classroom although they have high IQ scores. Meanwhile, other students achieve at higher levels than it would anticipated from their IQ scores alone (J. E. Davidson, 2003; p. 155-156). Balanced healthy meals in the early childhood, especially in the first two years of life, are required to meet their accelerated mental and physical growth development. Therefore, it is their adult partner responsibility to provide them with a variety of nutritional diet array after the age of two. Nutritional meals should include whole grain, dairy products, protein, vegetables and fruit. Excessive intake of carbohydrates, salt and saturated fat should be avoided as possible. Whole grain is an important source of minerals and fibers. Mineral and fibers are essential for healthy growth and development. Healthy balanced diets help developing healthy strong children both physically and behaviorally. Nutritionally rich diets notably improve the childrens attitude. As children grow their share of healthy nutrition should proportionally increase to meet the growth spurt they experience. Their diet should include all the elements that support their physical growth. That includes plenty of Calcium for stronger bones and teeth as well vitamin C. raising healthy children in the early childhood guarantees successful learners in the adulthood. Sound body sound mind has proven to be true. Let alone balanced healthy meals help children establish positive relationships with their counterparts and peers; it affects their readiness to school. Poor nutrition may have knock-on effects for their educational achievement and attainment (Jukes, 2006. P14). Negative effects of malnutrition, for the most part, on brain development are manifested as cognitive impairments and/or emotional issues that last throughout their education time. Physically febrile students are subjected, more than others, to frequent sickness attacks. Therefore, they dont attend school regularly and miss more school days than average. Consequently, they miss, in total, long periods of learning. Socioeconomic status as well the general health condition can lead to malnutrition. Regarding the socioeconomic status, information provided by research about the extent of learning disabilities in low-income communities is still not enough. However, research evidence suggests that a significant number of children are affected (Jukes, 2006. P16). For example, studies have found prevalence of serious mental retardation ranging from 5 children per 1000 in Bangladesh, to 17 per 1,000 in Jamaica, 19 per 1,000 in Pakistan (Durkin, 2002). Worth noting, mental retardation is one of the serious developmental cognitive disorders that affect the early childhood. Children with mental retardation have lower to slim chances to enroll in the regular educational system. What seriously hinders their enrollment is their deteriorated mental health condition and/or the parents schooling decision. Socioeconomic status is not the only contributor to malnutrition. Some medical issues impair the absorption of certain essential elements such as Iron and Zinc. Whether Iron and/or zinc deficiencies were medically-induced or due to other etiologies, they lead to major chronic and sometimes fatal complications. Anemia is one of the most commonly wide spread malnutrition disorders. It affects mostly children and young adults. Studies on anemic children indicated that anemic children showed delayed responses than non-anemic Iron-replete children. The research findings reveled that children with iron deficiency respond after repeating orders or stimuli at least twice. However, there was no difference in the IQ level between anemic and non-anemic children. Iron deficiency anemic children were neither able to categorize information nor able to solve problems quickly. They displayed delay in their ability to solve problems than their iron-replete counterparts. All these complications were found to be attributed to iron deficiency. Iron constitutes major element in the CNS composition. Moreover, studies revealed that anemic children suffer from impaired vision. Impaired vision affects the learning process of visual learners. When iron was administrated into the anemic childrens regular meals they showed improvement in their academic performance, attitude and general health conditions. Zinc is an example of another essential element needed for children and adolescents healthy growth. Zinc is very essential for working memory. Research work disclosed that malnourished children suffer from severe information retention issues. Furthermore, they showed inability to focus their attention normally in any given task. Accordingly, they experienced severe learning impairment and performed poorly at school. Researchers concluded that zinc-related learning impairment was mainly due to their inferior attention span than normal children. Breakfast is not only the most important meal that feeds body with most energy but also it contributes to most nutrients adequacy. Breakfast consumers are more likely to have better overall diet quality and micronutrient and macronutrient and fiber intakes that more often align with current dietary recommendations (US dept. of Health, 2005). Studies revealed that breakfast skippers are more susceptible to obesity. Moreover, they are less likely to be engaged in any physical activities. Several studies support the benefits of breakfast intake. Research findings revealed that constant intake of breakfast meal enhances the childs cognitive functions; academic performance; academic achievement; school attendance rates; psychosocial condition; and mood. Breakfast consumption could impact cognitive performance by alleviating hunger the prevalence of which is well documented and has been associated with emotional, behavioral, and academic problems in children and adolescents (Rampersaud, G. ; Pereira M.; Girard, B.; Adams, j.; Metzl, J.; 2005). Studies revealed that socioeconomic status as well breakfast composition, are among the factors that interfere or augment the magnitude of academic performance. There is extensive proof that daily breakfast intake affect greatly the health condition of children and adolescents. Healthy breakfast should include variety of food groups. Studies indicated that breakfast skippers show low performance compare to others. Decreased attention and other memory related issues were also reported among breakfast skippers. Attention and retention impairment were also reported. Weight gain and its physiological and academic complications are among the health hazards associated with skipping breakfast. Overweight is another crucial factor which impacts the learning process equally to malnutrition. Researchers have studied the relative relationship between birth weight and weight gain during the first two years of life for learning outcomes. The study findings suggested strong relationship between learning expectations and weight gain. Abnormal weight gain increases the risk of failing at least one grade in school. Moreover, further studies indicated that child oversize causes impaired cognitive development and poor academic achievement. Researchers attributed poor academic achievement in obese children to the lack of self-confidence and motivation. Psychological burden associated with obesity is another main factor that implicates the overweight children academia. Conclusion Childrens performance in school is impacted by many etiological factors. Children are expected to perform well in school until some interfering factors disturb their progress. Prenatal nutrition can affect the childs adult life either positively or negatively. Improper nutrition during pregnancy can lead to both serious developmental and congenital defects. These defects are responsible for cognitive and physical growth delay or cessation in severe cases. Children with such defects are expected to perform very poorly in school. In the same time, they are not expected to achieve what they suppose to attain in their corresponding age time frame. Breast feeding was suggested to positively alter the childrens IQ levels. However, studies showed that it does affect it only if the favorable hereditary variable was present. FADS2 is the genetic variable that helps absorb fat in the mothers milk and provide the brain with all the fat needed for healthier growth. Thus, breastfeeding does elevate the childrens IQ by 7 points only in the presence of FADS2 gene. Socioeconomic status interferes with providing healthy comprehensive meals. Therefore, children from low socioeconomic classes are more susceptible to malnutrition disorders. Malnutrition and imbalanced meals can lead to behavioral disorders, memory impairment, delayed cognitive response and emotional disorders. Anemia can also develop as a secondary complication to certain health/medical issues. Whether Anemia was due to malnourishment or secondary to medical issues, it depreciates the academic performance and impairs the childrens progress in school. Moreover, it interferes with their ability to comprehend, process, and retain any introduced knowledge. Iron and zinc are major elements for healthy brain growth and properly functioning working memory. Children with zinc and iron deficiencies showed remarkably delayed responses to any given instruction, behavioral abnormalities and disturbed working memory. Furthermore, they suffered from sleeping disorders which aggravated their academic status. Visual disorders were reported among anemic children. Visual disorders negatively impact visual learners. Breakfast intake is the most important meal of the day, especially for children. Breakfast is important for the childrens daily performance and behavior at school. Studies revealed that breakfast skippers are more susceptible to obesity when they grow up. Skipping breakfast alters the glucose supply to the brain and put it into the energy saving mode. Consequently, this conservative mode disturbs the memory and the ability to stay focused. Overweight is another burden that traumatizes the childrens academic achievement. Due to the psychological inferiority which obese people experience, they suffer from lack of self-confidence. Low self-esteem, lack of motivation and inability to participate in various activities create unfavorable learning conditions. These conditions, by turn, hinder their academic progress and schooling outcomes. Abnormal weight gain increases the risk of failing at least one grade in school.

Friday, October 25, 2019

Physical Therapy :: Cheathouse Essays

Physical Therapy â€Å"Where am I? How did I get here?† is what many stroke patients say after recovering from an acute or severe stroke. A stroke is also known as a cerebrovascular accident, a life-threatening event where the brain is deprived of adequate oxygen. A physical therapist’s duty is to provide assistance and education that will help patients rehabilitate and return to a normal routine. As of today, there is a new treatment called treadmill training with partial body weight support that facilitates recovery of a patient’s ability to walk sooner after a surgery. Is the expense for treadmill training with partial body weight support which includes expensive equipment and constant physical therapy supervision worth it if it decrease the amount of time it takes a person to get better? Is it ultimately more efficient than traditional physical therapy? My argument will state that treadmill training with partial body weight support is worth the expense and provides better tec hniques than traditional physical therapy. After a stroke, patients are usually referred to physical therapy to begin the recovery process. There are many types of physiotherapy treatments for different types of strokes and injuries. The two kinds of strokes are ischemic stroke which occurs when the blood supply to the brain is interrupted by blood clots. The blood clots are caused when the arteries harden and a cluster forms which then limits blood and oxygen supply to the brain. The second kind of stroke is a hemorrhagic stroke, which occurs when there is bleeding into or around the brain. If one of the two strokes were ever to occur, getting oxygen and blood to your brain immediately is very important because permanent tissue damage and death could even occur. Physical therapists help not only stroke patients but a large variety of people who have physical limitations. A new treatment approach that is being studied involves â€Å"treadmill training† with partial body weight support. In this approach a physical thera pist patterns the movement of the involved or weak leg while the patient is supported in a sling type apparel while walking on a treadmill. This is a new technique that is showing good results. However, there are no long term studies as of yet. I believe that treadmill training is very beneficial to stroke patients because it helps them regain speed and strength in a short amount of time. Treadmill training is very costly, but increases your chances in walking by about three to four weeks faster than regular physical therapy.

Thursday, October 24, 2019

Describe and Evaluate Two Approaches to the Treatment of Self-Defeating Behaviour

Word count – 2553 Describe and evaluate two approaches to the treatment of self-defeating behaviour. Module Five Jane Ovington May 2012 Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 1 of 9 Introduction This essay aims to describe and evaluate two approaches to the treatment of self defeating behaviour. To do this I am using the description of Anorexia Nervosa as a self defeating behaviour, one which has far reaching consequences.I will include possible origins, causes and maintenance of Anorexia and describe two of many ways in which a therapist may help with this condition whilst weighing up the strengths and weaknesses of each. Main essay What is self defeating behaviour? Self defeating behaviour could be described as behaviour that when compared to other possible courses of action, it is never the best possible action for that individual. A self defeating behaviour will at some point have been used successfully as a coping strategy to get thro ugh a difficult situation.This course of action is then stored in the subconscious by that individual as something that ‘worked’ and therefore the behaviour will be re-produced again in times of perceived trouble. The self defeating behaviour will by its very nature actually serve to ensure that the fear or consequence that the person is trying to avoid will in fact come to pass. (Chrysalis Year 2 Module5) What is Anorexia? Anorexia is an eating disorder whose main feature is excessive weight loss and obsessive exercise.A very low weight is achieved which is then maintained abnormally low for the patients age and height. The sufferer develops an intense desire to be thinner and an intense fear of becoming fat. Their body image becomes completely distorted and their body weight and shape become the main or even sole measure of self worth as maintaining an extremely low weight becomes equated with beauty, success, self-esteem, and self-control. It is not seen as a problem by the sufferer. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 2 of 9Contrary to popular belief this psychological and physical condition is not usually about food. It is a self defeating behaviour used as a way of taking control and trying to make life better and is accompanied by a variety of changes in behaviour, emotions, thinking, perceptions, and social interactions. The name Anorexia nervosa is somewhat misleading as it literally means â€Å"nervous loss of appetite. † However, for people with this disorder all waking thoughts are dominated by food, weight, and body image and incredible levels of self control are used to fight feelings of intense hunger. http://ehealthmd. com/content/what-anorexia-nervosa) Approximately 95% of those affected by anorexia are female and most often teenage girls. Higher incidence of anorexia is often seen in environments where thinness is deemed to be especially desirable or a professional requirement, such as athletes, models, dancers, and actors. In order to enter the state of Anorexia Nervosa, a person must lose weight. The majority set out to do so deliberately because rightly or wrongly they feel that they are too fat.For most people, dieting to lose weight is a struggle. Most dieters ‘cheat' or give up before they lose all the weight which they had intended to shed and for those who do reach their intended weight there is a measure of satisfaction and re-education of eating habits which allow them to maintain a healthy weight. In contrast, the soon to be anorexic finds slimming easy, rewarding and something they can be good at from the start, something they can control which brings feelings of success, power and triumph.The sense of satisfaction gained from the suppression of hunger and the level of self denial required to be successful is frequently reported by anorexic sufferers to be very empowering and so here we see how effective this behaviour may be viewed by the su fferer as a coping strategy. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 3 of 9 My own experience of this condition was one that arose when my best friend died at the age of 17. I knew for many months prior to her death that death would almost certainly be the outcome of her condition. I felt ‘out of control’ there was nothing I could do to change the course of events.The one thing I could control however was what went into my mouth. This gave me a comforting sense of taking control of something. Something I turned out to be good at, something I could focus on to make all the other uncontrollable feelings subside. Once these feelings arise, a fear of losing control prevents the sufferer from resuming normal eating habits. Their experience is dominated by these ‘feel good feelings' of control and power but it is perceived by the sufferer to be precarious and vulnerable and therefore threatened by any behaviour that may cause unwante d weight gain.The sufferers preoccupation with maintaining this new postition begins to distort all other interests, concerns and relationships. In some cases the current position is never enough and weight loss progresses until it becomes life threatening. In most cases it seems that the anorexic starts out with similar behaviour and similar intention to the ordinary slimmer but something goes wrong and the slimming behaviour is inappropriately prolonged (My own experience). Ironically, while Anorexia starts out as a feeling of taking control, it rapidly descends into a fear of losing the control the sufferer perceives themselves to have taken.All the while the condition is actually controlling the sufferer. While the media definitely plays a role in how we view ourselves, anorexia is a way of coping with what’s going on in a teen’s life. Stress, pain, anger, acceptance, confusion and fear can all become triggers for this debilitating eating disorder. The goal is one of trying to make their whole life better. Families can play a huge role. Some families are over protective and smothering which can create a need or rather a demand for independence. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 4 of 9Some families are critical of weight gain, academic or sporting accomplishments or are rigid and even abusive. Some younger people do not feel safe in their own homes, they don’t know where to turn or what to do and the need to find a way to deal with what’s going on in their lives. Life transitions such as a break up, a divorce, death of a loved one, failure at school or at work are all stressful incidents that need to be dealt with. Genetic factors can also play its part in contributing – anorexia in teenage girls occurs eight times more often in people who have relatives with the disorder. Anorexia – a guide to sufferers and their families R. L Palmer 1980). My own Mother was grossly overwe ight at the time of my condition and I viewed her as someone who was completely out of control with no respect for herself. This was a very negative view, one which I could not see in myself at the other end of the spectrum! Effects on families and friends For parents and others who are close to a person who is trapped inside the condition of anorexia, there can seem like there is no escape. It is difficult for them to understand and empathise with self destructive behaviours.It becomes extrememly distressing to see a loved one wasting away whilst refusing offers of food which seem such a tantalisingly simple solution to the problem. Feelings of helplesness and guilt set in, along with frustration, anger and despair. (Quote from my Mum from 1991). My Mother set about criticising my ‘ridiculous behaviour’ in a bid to scare me into eating this only served to make me more determined to empower myself with what had turned from self defeating behaviour into self destructive behaviour and ultimately formed a self defeating behaviour in my Mother. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 5 of 9Treatment The idea of being ‘cured’ of Anorexia by the sufferer is usually completely undesirable because what that ‘cure’ implies is that they will eat more food, put on more weight and become fat, the very thing they are trying to avoid! Therefore, Anorexia has to be acknowledged as a problem by the sufferer before effective treatment can take place. Traditionaly the disorder is treated with a combination of individual psychotherapy and family therapy to look beyond the basic issue of food intake and address the emotional issues that underpin the disorder using a psychodynamic approach. Important ethical considerationsIt is important for therapists to consider that Anorexia Nervosa, although starts out as a self defeating behaviour, it’s consequences lead to many serious medical conditions which can range from malnutrition, loss of concentration and loss of periods to total organ failure and death. Therefore a therapist should never aim to treat the condition alone, but any psychological intervention to treat the underlying causes should take place alongside appropriate medical care. Any therapists working with an anorexic client would always need written medical consent and specialist supervision and should be experienced in this field of work.However, members of the sufferers family and close friends may also benefit from therapy to address any stress, anxiety and guilt surrounding the issue and in the absence of any other contraindications, medical consent for this group would not be necessary. The psychodynamic approach The psychodynamic approach will view the clients behaviour as being derived from some internal conflict, motive or unconscious force. Once it is discovered where this conflict began the therapist can set about working through those issues to a resolutio n. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 6 of 9Generally, it is believed that if behaviours are discontinued without addressing the underlying motives that are driving them, then a relapse will occur. During my battle with Anorexia, I was hospitalised and fed to increase my body weight. I ate willingly and was quickly considered cured and discharged from the hospital. However, I had deliberately manipulated the situation with the view that the sooner I could ‘escape’ the quicker I could get back on with the job. Taking control, to bring back the feel good feelings and the sense of empowerment that meant even more to me after having been ‘overpowered’ in the hospital.Clearly this treatment was very ineffective. Later I sought help through a therapist who, using a psychodynamic approach, was able to take me back through the death of my friend and deal with the grief in an appropriate way. This eventually helped me to let go of controlling my food intake as a way of dealing with these suppressed emotions. Behavioural symptoms in the psychodynamic approach are viewed as expressions of the patient's underlying needs. Often issues can disappear or lie dormant with the completion of working through these issues.However, a psychodynamic approach to anorexia is not all encompassing. During the recovery process, anorexics will frequently suffer from feelings of panic as they learn to lessen their control. As weight is gained, they will feel anxious much of the time and suffer from low self esteem or perhaps even feel that they are a ‘bad' person and have to become a ‘people pleaser' to make up for it. Anorexics are very often perfectionists and can be very harsh on themselves. All these things combined can make the process of recovery a very stressful, anxious and self deprecating experience (My own experience).A cognitive behavioural therapy approach may best meet the needs of a client feeling this way. Anorexics are often not fully aware of the initial cause of the condition and therapy may be a way to Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 7 of 9 lift the lid off of buried emotions to enable sufferers to deal with their underlying emotions. During the grip of the disorder the over-riding emotion felt is fear and this fear over rides the body's natural wisdom around food and eating, the sufferer distrusts themselves and fears that their ‘secret greedy self' may emerge and they will lose control completely.The sufferer will hate their ‘secret greedy self' and cognitive behavioural therapy would be a valuable tool in rebuilding self trust, improving self esteem, and overcoming fear and anxiety that arises through the process of recovery. Cognitive behavioural therapy (CBT) is a time-limited and focused approach that helps a person understand how their thinking and negative self-talk and self-image can directly impact their eating and negative behaviours. CBT usually focuses on identifying and altering dysfunctional thought patterns, attitudes and beliefs that may perpetuate the sufferers restrictive eating.A researcher in the early 1980’s by the name of Chris Fairburn developed a specific model of CBT to help in the treatment of Anorexia, using the traditional foundations of CBT therapy – helping a person understand, identify and change their irrational thoughts (the ‘cognitive’ part) and helping a person make the changes real through specific behavioural interventions such as promoting healthy eating behaviours through rewards. (http://psychcentral. com/lib/2006/treatment-for-anorexia/all/1/) Strengths and weaknessesIt is clear to see that both approaches are somewhat lacking and a multi-model approach should be taken to ensure success. The psychodynamic model will uncover the initial cause of the behaviour and addressing these issues will go a long way toward a successful outcome. However, it does not address the subsequent negative thought processes that keep the sufferer a prisoner within the condition. This is something that a CBT approach can successfully address but a CBT approach could fail to prevent a relapse if the underlying reasons for the negative self talk are not uncovered.Both treatments together will hold more strength in long term success, but neither seeks to address nutritional issues, food related symptoms or deep seated behavioural rituals of the eating disorder. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 8 of 9 Summary Anorexia although initially can be viewed as a self defeating behaviour, is a complicated and mulit-faceted field and I would expect a consistent and long course of therapy that may focus on a psychodynamic approach alongside person centred counselling, alongside cognitive behavioural therapy, alongside appropriate medical intervention.Hypnotherapy may also be used to improve sel f esteem, reduce stress and anxiety, coping with panic and confidence building to help the sufferer relax levels of control and resume a more healthy relationship with themselves. As the anorexic begins to regain trust in themselves and their body, they can begin to feel back in control of their emotions and thoughts, thus lessening their levels of anxiety and helping toward a successful recovery. Ultimately, the pace of therapy has to be set by the client and the client has to admit to the problem in the first place before any type of therapy can begin.References: I personally suffered from this disorder from the ages of 17-21 and some of the information used has been based on my own experiences and that of my Parents. (Chrysalis Year 2 Module 5) R. L Palmer – Anorexia Nervosa. A guide for sufferers and their families. Penguin Books 1980 (http://ehealthmd. com/content/what-anorexia-nervosa http://psychcentral. com/lib/2006/treatment-for-anorexia/all/1/) Jane Ovington  œ Chrysalis North2A – Tutor , Steven Lucas, page 9 of 9 any type of therapy can begin. has to be set by the client and the client has to admit to the problem in the first place before Describe and Evaluate Two Approaches to the Treatment of Self-Defeating Behaviour Word count – 2553 Describe and evaluate two approaches to the treatment of self-defeating behaviour. Module Five Jane Ovington May 2012 Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 1 of 9 Introduction This essay aims to describe and evaluate two approaches to the treatment of self defeating behaviour. To do this I am using the description of Anorexia Nervosa as a self defeating behaviour, one which has far reaching consequences.I will include possible origins, causes and maintenance of Anorexia and describe two of many ways in which a therapist may help with this condition whilst weighing up the strengths and weaknesses of each. Main essay What is self defeating behaviour? Self defeating behaviour could be described as behaviour that when compared to other possible courses of action, it is never the best possible action for that individual. A self defeating behaviour will at some point have been used successfully as a coping strategy to get thro ugh a difficult situation.This course of action is then stored in the subconscious by that individual as something that ‘worked’ and therefore the behaviour will be re-produced again in times of perceived trouble. The self defeating behaviour will by its very nature actually serve to ensure that the fear or consequence that the person is trying to avoid will in fact come to pass. (Chrysalis Year 2 Module5) What is Anorexia? Anorexia is an eating disorder whose main feature is excessive weight loss and obsessive exercise.A very low weight is achieved which is then maintained abnormally low for the patients age and height. The sufferer develops an intense desire to be thinner and an intense fear of becoming fat. Their body image becomes completely distorted and their body weight and shape become the main or even sole measure of self worth as maintaining an extremely low weight becomes equated with beauty, success, self-esteem, and self-control. It is not seen as a problem by the sufferer. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 2 of 9Contrary to popular belief this psychological and physical condition is not usually about food. It is a self defeating behaviour used as a way of taking control and trying to make life better and is accompanied by a variety of changes in behaviour, emotions, thinking, perceptions, and social interactions. The name Anorexia nervosa is somewhat misleading as it literally means â€Å"nervous loss of appetite. † However, for people with this disorder all waking thoughts are dominated by food, weight, and body image and incredible levels of self control are used to fight feelings of intense hunger. http://ehealthmd. com/content/what-anorexia-nervosa) Approximately 95% of those affected by anorexia are female and most often teenage girls. Higher incidence of anorexia is often seen in environments where thinness is deemed to be especially desirable or a professional requirement, such as athletes, models, dancers, and actors. In order to enter the state of Anorexia Nervosa, a person must lose weight. The majority set out to do so deliberately because rightly or wrongly they feel that they are too fat.For most people, dieting to lose weight is a struggle. Most dieters ‘cheat' or give up before they lose all the weight which they had intended to shed and for those who do reach their intended weight there is a measure of satisfaction and re-education of eating habits which allow them to maintain a healthy weight. In contrast, the soon to be anorexic finds slimming easy, rewarding and something they can be good at from the start, something they can control which brings feelings of success, power and triumph.The sense of satisfaction gained from the suppression of hunger and the level of self denial required to be successful is frequently reported by anorexic sufferers to be very empowering and so here we see how effective this behaviour may be viewed by the su fferer as a coping strategy. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 3 of 9 My own experience of this condition was one that arose when my best friend died at the age of 17. I knew for many months prior to her death that death would almost certainly be the outcome of her condition. I felt ‘out of control’ there was nothing I could do to change the course of events.The one thing I could control however was what went into my mouth. This gave me a comforting sense of taking control of something. Something I turned out to be good at, something I could focus on to make all the other uncontrollable feelings subside. Once these feelings arise, a fear of losing control prevents the sufferer from resuming normal eating habits. Their experience is dominated by these ‘feel good feelings' of control and power but it is perceived by the sufferer to be precarious and vulnerable and therefore threatened by any behaviour that may cause unwante d weight gain.The sufferers preoccupation with maintaining this new postition begins to distort all other interests, concerns and relationships. In some cases the current position is never enough and weight loss progresses until it becomes life threatening. In most cases it seems that the anorexic starts out with similar behaviour and similar intention to the ordinary slimmer but something goes wrong and the slimming behaviour is inappropriately prolonged (My own experience). Ironically, while Anorexia starts out as a feeling of taking control, it rapidly descends into a fear of losing the control the sufferer perceives themselves to have taken.All the while the condition is actually controlling the sufferer. While the media definitely plays a role in how we view ourselves, anorexia is a way of coping with what’s going on in a teen’s life. Stress, pain, anger, acceptance, confusion and fear can all become triggers for this debilitating eating disorder. The goal is one of trying to make their whole life better. Families can play a huge role. Some families are over protective and smothering which can create a need or rather a demand for independence. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 4 of 9Some families are critical of weight gain, academic or sporting accomplishments or are rigid and even abusive. Some younger people do not feel safe in their own homes, they don’t know where to turn or what to do and the need to find a way to deal with what’s going on in their lives. Life transitions such as a break up, a divorce, death of a loved one, failure at school or at work are all stressful incidents that need to be dealt with. Genetic factors can also play its part in contributing – anorexia in teenage girls occurs eight times more often in people who have relatives with the disorder. Anorexia – a guide to sufferers and their families R. L Palmer 1980). My own Mother was grossly overwe ight at the time of my condition and I viewed her as someone who was completely out of control with no respect for herself. This was a very negative view, one which I could not see in myself at the other end of the spectrum! Effects on families and friends For parents and others who are close to a person who is trapped inside the condition of anorexia, there can seem like there is no escape. It is difficult for them to understand and empathise with self destructive behaviours.It becomes extrememly distressing to see a loved one wasting away whilst refusing offers of food which seem such a tantalisingly simple solution to the problem. Feelings of helplesness and guilt set in, along with frustration, anger and despair. (Quote from my Mum from 1991). My Mother set about criticising my ‘ridiculous behaviour’ in a bid to scare me into eating this only served to make me more determined to empower myself with what had turned from self defeating behaviour into self destructive behaviour and ultimately formed a self defeating behaviour in my Mother. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 5 of 9Treatment The idea of being ‘cured’ of Anorexia by the sufferer is usually completely undesirable because what that ‘cure’ implies is that they will eat more food, put on more weight and become fat, the very thing they are trying to avoid! Therefore, Anorexia has to be acknowledged as a problem by the sufferer before effective treatment can take place. Traditionaly the disorder is treated with a combination of individual psychotherapy and family therapy to look beyond the basic issue of food intake and address the emotional issues that underpin the disorder using a psychodynamic approach. Important ethical considerationsIt is important for therapists to consider that Anorexia Nervosa, although starts out as a self defeating behaviour, it’s consequences lead to many serious medical conditions which can range from malnutrition, loss of concentration and loss of periods to total organ failure and death. Therefore a therapist should never aim to treat the condition alone, but any psychological intervention to treat the underlying causes should take place alongside appropriate medical care. Any therapists working with an anorexic client would always need written medical consent and specialist supervision and should be experienced in this field of work.However, members of the sufferers family and close friends may also benefit from therapy to address any stress, anxiety and guilt surrounding the issue and in the absence of any other contraindications, medical consent for this group would not be necessary. The psychodynamic approach The psychodynamic approach will view the clients behaviour as being derived from some internal conflict, motive or unconscious force. Once it is discovered where this conflict began the therapist can set about working through those issues to a resolutio n. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 6 of 9Generally, it is believed that if behaviours are discontinued without addressing the underlying motives that are driving them, then a relapse will occur. During my battle with Anorexia, I was hospitalised and fed to increase my body weight. I ate willingly and was quickly considered cured and discharged from the hospital. However, I had deliberately manipulated the situation with the view that the sooner I could ‘escape’ the quicker I could get back on with the job. Taking control, to bring back the feel good feelings and the sense of empowerment that meant even more to me after having been ‘overpowered’ in the hospital.Clearly this treatment was very ineffective. Later I sought help through a therapist who, using a psychodynamic approach, was able to take me back through the death of my friend and deal with the grief in an appropriate way. This eventually helped me to let go of controlling my food intake as a way of dealing with these suppressed emotions. Behavioural symptoms in the psychodynamic approach are viewed as expressions of the patient's underlying needs. Often issues can disappear or lie dormant with the completion of working through these issues.However, a psychodynamic approach to anorexia is not all encompassing. During the recovery process, anorexics will frequently suffer from feelings of panic as they learn to lessen their control. As weight is gained, they will feel anxious much of the time and suffer from low self esteem or perhaps even feel that they are a ‘bad' person and have to become a ‘people pleaser' to make up for it. Anorexics are very often perfectionists and can be very harsh on themselves. All these things combined can make the process of recovery a very stressful, anxious and self deprecating experience (My own experience).A cognitive behavioural therapy approach may best meet the needs of a client feeling this way. Anorexics are often not fully aware of the initial cause of the condition and therapy may be a way to Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 7 of 9 lift the lid off of buried emotions to enable sufferers to deal with their underlying emotions. During the grip of the disorder the over-riding emotion felt is fear and this fear over rides the body's natural wisdom around food and eating, the sufferer distrusts themselves and fears that their ‘secret greedy self' may emerge and they will lose control completely.The sufferer will hate their ‘secret greedy self' and cognitive behavioural therapy would be a valuable tool in rebuilding self trust, improving self esteem, and overcoming fear and anxiety that arises through the process of recovery. Cognitive behavioural therapy (CBT) is a time-limited and focused approach that helps a person understand how their thinking and negative self-talk and self-image can directly impact their eating and negative behaviours. CBT usually focuses on identifying and altering dysfunctional thought patterns, attitudes and beliefs that may perpetuate the sufferers restrictive eating.A researcher in the early 1980’s by the name of Chris Fairburn developed a specific model of CBT to help in the treatment of Anorexia, using the traditional foundations of CBT therapy – helping a person understand, identify and change their irrational thoughts (the ‘cognitive’ part) and helping a person make the changes real through specific behavioural interventions such as promoting healthy eating behaviours through rewards. (http://psychcentral. com/lib/2006/treatment-for-anorexia/all/1/) Strengths and weaknessesIt is clear to see that both approaches are somewhat lacking and a multi-model approach should be taken to ensure success. The psychodynamic model will uncover the initial cause of the behaviour and addressing these issues will go a long way toward a successful outcome. However, it does not address the subsequent negative thought processes that keep the sufferer a prisoner within the condition. This is something that a CBT approach can successfully address but a CBT approach could fail to prevent a relapse if the underlying reasons for the negative self talk are not uncovered.Both treatments together will hold more strength in long term success, but neither seeks to address nutritional issues, food related symptoms or deep seated behavioural rituals of the eating disorder. Jane Ovington – Chrysalis North2A – Tutor , Steven Lucas, page 8 of 9 Summary Anorexia although initially can be viewed as a self defeating behaviour, is a complicated and mulit-faceted field and I would expect a consistent and long course of therapy that may focus on a psychodynamic approach alongside person centred counselling, alongside cognitive behavioural therapy, alongside appropriate medical intervention.Hypnotherapy may also be used to improve sel f esteem, reduce stress and anxiety, coping with panic and confidence building to help the sufferer relax levels of control and resume a more healthy relationship with themselves. As the anorexic begins to regain trust in themselves and their body, they can begin to feel back in control of their emotions and thoughts, thus lessening their levels of anxiety and helping toward a successful recovery. Ultimately, the pace of therapy has to be set by the client and the client has to admit to the problem in the first place before any type of therapy can begin.References: I personally suffered from this disorder from the ages of 17-21 and some of the information used has been based on my own experiences and that of my Parents. (Chrysalis Year 2 Module 5) R. L Palmer – Anorexia Nervosa. A guide for sufferers and their families. Penguin Books 1980 (http://ehealthmd. com/content/what-anorexia-nervosa http://psychcentral. com/lib/2006/treatment-for-anorexia/all/1/) Jane Ovington  œ Chrysalis North2A – Tutor , Steven Lucas, page 9 of 9 any type of therapy can begin. has to be set by the client and the client has to admit to the problem in the first place before