Saturday, August 31, 2019

Action Plan of the cooperative food Essay

What do they do about their plan.The plan will take according to year ahead. That means when any employee join in the organization they will be sitting with the manager they have to make a plan about their targets. Target means what is their vision and objectives. When they set their plan they would be planning on that.After that they do. Do refers what r u going to do and how are u going to do? So its like whatever their vision and objective. Accordingly their employee they have to do their work and they done their vision and objective. Next they will be reviwed that means where are they and what trac are they? And are they satisfying their customer or customers giving feedback. Those things are rivewed. And later it will be evaluated. On evaluation overall performance will be evaluated. According to how they have treat customers support and customers satisfaction. Every company has some strengths and weekness. Cooperative has also some proble. In Amstrong theory we find that compan y concentrate on their mission,vision and objective. In cooperative they have vision and objective but they don’t have mission. They calculate vision is a mission. Because they don’t know what is their mission? They have something lacking. They don’t care of their employee they always concern about their company that means customers. If we consider Blake Mouton Theory we will find that manager never follow middle of the road management. Manager follow impoverished management. In this particular theory company gives more concentrate on production not on the employee. Amstrong want to manageing people but cooperative follow their own style,because their thing is customer is more important than employee. They want to be best cooperative store in the uk. That’s what they want to expand their company. They concernless about their employee. For example. If any employee are going to out of the org they wont identified him or they wont recognized him. If any employee claim that,I stayed here three years,but I did not get any promossion or I did not get anything. They will said ok,if u r not happy u can go out. They never consider about their employees hardwork only they consider how employees cooperative with cus tomer. And what are the feedback from the customer and the productivity.They always want to finish their work just on time. They always gives emphasis on service and availability so that customer offer and great service is delivered.

Accountable Practitioner Essay

As registered nurses you are legally and professionally accountable for your actions, irrespective of whether you are following the instructions of another or using your own initiative (Griffith and Tengnah, 2010). The consideration of what accountability means in nursing practice is a key part in the foundation of nursing, some would say that being accountable means being responsible, and as a consequence taking the blame when something goes wrong. To be accountable is to be answerable for your acts and omissions, this is the approach adopted by the Nursing and Midwifery Council (NMC) the nursing regulatory body. It states within its code â€Å"You are personally accountable for your actions and omissions in your practice and must always be able to justify your decisions† (NMC, 2008). Therefore accountability is being answerable for your acts to a higher authority with whom you have a legal relationship. A wider view of accountability is defined as an inherent confidence as a professional that allows a nurse to take pride in being transparent about the way he or she has carried out their practice (Caulfield, 2005). In order to provide maximum protection to the public and patients against misconduct of registered nurses, four areas of law are drawn together which individually hold you to account. These are society through public law, patient through tort law, employer through the contract of employment and profession through statute law, such as the NMC. This assignment will reflect on the work and study carried out within the Accountable Practitioner module including lectures and facilitated group sessions in which reflective diaries were completed [see appendix I-IV]. By completing a Root Cause Analysis (RCA), a system used to find flaws and opportunities for improvement of health care, on the Pamela Scenario, it was highlighted that the theme ‘consent’ was an area of concern (Transition to Practice, 2012). I will therefore be looking into the three pillars of accountability which are professional, legal and ethical and relating each of these to my chosen theme and applying this to the Pamela Scenario. Professional Accountability Professional accountability consists of an ethos in nursing that is based on promoting the welfare and wellbeing of patients through nursing care. This all comes together within the heart of nursing. Within our group sessions we discussed who registered nurses are accountable to, these being through the provisions of the Nurses, Midwives and Health Visitors Act 1997 and the Nursing and Midwifery Order 2001. The NMC was established under these provisions in 2002 to protect the public by establishing standards of education, training, conduct and performance for nurses to ensure these standards are maintained (Nursing and Midwifery Order, 2001). Professional accountability allows nurses to work within a framework of practice and follow principles of conduct set out by the NMC that maintain the patients trust in the individual nurse and nursing as a whole (Caulfield, 2005). Obtaining consent affirms the patient’s right to self-discrimination and autonomy. The NMC code of professional conduct has a separate section on consent (NMC, 2002). Clause 3 requires that ‘as a registered nurse, midwife or health visitor you must obtain consent before you give any treatment or care’. The professional duty recognises the value of autonomy in clause 3.2 and states that a refusal to receive treatment must be protected even where this may result in harm or death to the individual. The professional duty also requires that the nurse gives information that is accurate and truthful and this must be presented in a way that is easily understood (Bowman, 2012). Within the Pamela scenario there is no suggestion as to whether consent was gained. At the beginning of her care, when she was admitted to an orthopaedic ward they suggested a skin traction should be applied to the affected limb, however no consent was gained and the staff on the ward took it upon themselves to determine whether this was the best action. Within our group we discussed that at this point Pamela was mentally capable of giving informed consent [see appendix II]. Pamela later became very agitated and confused and was eventually referred for a CT scan which showed findings of Alzheimer’s disease. From this point onwards there is no evidence to suggest that consent was gained from someone with capacity following the Mental Capacity Act (2005) where they state â€Å"a person is unable to make a decision for themselves if they are unable to: understand information given to them, retain that information, use or weigh that information as part of the process in making a decision and communicate that information†. In this instance it is not possible to determine whether Pamela was able to give informed consent herself or whether any family members gave this for her. Professionally the staff within the ward that made this decision on her behalf would be held accountable. Legal Accountability The law is a major area of accountability for nursing practice. The law is a set of rules, regulations and cases that provide interpretation of the rules and regulations that apply to society. There are very clear penalties for anyone, including nurses, who fail to follow the rules set out by law. Within our group sessions we discussed the two systems of law within the UK [see appendix I]: civil law and criminal law, each one consists of its own structure and different rules apply for each system (Young, 2008). The types of civil law that affect accountability in nursing practice include disputes with employers, cases of patients suing due to allegations of negligence and cases where a nurse sues her employer due to injury at work. All these cases are heard in civil courts and the judge can award compensation. Criminal law is the system designed to assess that rules set out by parliament are followed. The acts of parliament deal with issues such as medicines, suicide, organ and tissue donation, mental health and decisions about health care where a person does not have the capacity to make their views known. Criminal penalties include fines or imprisonment (Caulfield, 2005). The law recognises that adults have a right to determine what will be done to their bodies. Touching a person without consent is generally unlawful and will amount to infringe to the person or, more rarely, a criminal assault. Unlike other civil wrong doings such as negligence which requires harm, any unlawful touching is actionable despite whether being done with the best of motives (Tingle and Cribb, 2007). When obtaining consent, you must ensure that the patient agrees with all the treatment intended to be carried out. Proceeding with treatment that the patient is unaware of, or has refused to agree to will be a trespass to the person and actionable to law. Nurses must therefore take care to explain all the treatment or touching that will occur when obtaining consent from a patient and ensure that any additional treatment is subject to further consent (Savage and Moore, 2004). â€Å"Consent is an expression of autonomy and must be free choice of the individual. It cannot be obtained by undue influence† (Griffith and Tengnah, 2010, p.82). In law, undue means that the influence must remove the patient’s free will and be so forceful that the patient excludes all other considerations when making their choice. It is an established part of law that no treatment may be given to an individual, whether it be clinical or nursing unless the patient has consented (Johnstone, 2009). Therefore as consent was not gained within the Pamela scenario when deciding whether to apply traction to her leg the doctors and nurses involved in making the decision on her behalf would be held legally accountable and could face criminal prosecution. Within our facilitated group sessions we discussed the following established principles which must all be satisfied before consent is sufficient [see appendix III]: ‘consent should be given by someone with capacity’. Within the scenario it is stated that Pamela was diagnosed with Alzheimer’s disease, however the family were not asked to consent on her behalf following the Mental Capacity Act (2005). ‘Sufficient information should be given to the patient’ is the second principle. Pamela’s family state they were unaware of what was happening with her care and within the complaints letter, Pamela’s daughter states staff did not give her relevant information even when Pamela was  diagnosed with Alzheimer’s. The third principle ‘the consent must be freely given’, due to the staff not gaining any consent and taking the decision into their own hands this principle like the previous two was also not followed. The negligence and consent alone within this scenario would place the staff involved directly into legal accountability. Ethical Accountability Accountability is an important ethical concept because nursing practice involves a relationship between the nurse and the patient (Fry, 2004). Within our group sessions we discussed Beauchamp and Childress (2001) who developed a framework which offers a broad consideration of ethical issues. This consists of four principles: respect for autonomy which means respecting the decision-making capacities of autonomous persons; enabling individuals to make reasoned informed choices. Beneficence,  this considers the balancing of benefits of treatment against the risks and costs; the healthcare professional should act in a way that benefits the patient. Non maleficence, this means  avoiding the causation of harm, the healthcare professional should not harm the patient. All treatment involves some harm, even if minimal, but the harm should not be disproportionate to the benefits of treatment. And finally, justice, this includes distributing benefits, risks and costs fairly, the notion that patients in similar positions should be treated in a similar manner. Consent is a moral and legal foundation of modern health care. Treatment that proceeds without consent of the patient immediately requires a thorough moral investigation. Despite the fact that consent may have been given it is important to ensure this means more than the mere fact a form has been signed. The main role of consent is to protect patients and in particular to protect their status of autonomy and enable them to remain in control of their own lives (Fry and Johnstone, 2008). In ethical terms, consent is important because it demonstrates respect for autonomy, therefore through participating in a consent process the person’s autonomy may be further enhanced by having the choice to accept or decline care. For some individuals their ability to consent may be compromised by their position within their cultural group. For example, women within certain cultures might have the capacity to consent but would not expect to have the right to  determine what happens to them (Chadwick and Tadd, 2003). If consent was not gained and treatment was carried out on a person within an ethical group who did not agree to the treatment, then that person would be held ethically accountable. In the scenario, nurses did not apply skin traction to Pamela’s leg despite the admitting doctor suggesting that it be applied. Ethically, this related to non-maleficence as it can be assumed the traction was not applied due to the treatment having a conservative nature and the nurses believing it would be of no benefit to Pamela in regards to pain relief. Also a large majority of care was carried out after Pamela was diagnosed with Alzheimer’s which leaves her vulnerable to treatment being carried out without consent from her or her family. Conclusion Throughout the module I have developed my awareness of the professional, ethical and legal issues that are associated with providing accountable health and social care. I was able to reflect on my own learning and development as an accountable practitioner and participate in the facilitated group sessions. I have increased in confidence and developed communication skills by having the opportunity to speak and voice my opinion in front of other colleagues; this will enable me to participate in handover and various team meetings whilst out in practice. Analysing the scenario in groups enabled me to gain a clearer understanding into the issues raised and this allowed the assignment to be completed with confidence. I was able to strengthen my ability to appraise and use related evidence based literature to back up my statements which were from a variety of sources. Finally, being able to choose our own theme from the scenario enabled me to have a greater awareness of consent which will benefit me when out in practice. Part B I shall be using the Gibbs Reflective Cycle (1988) to reflect upon a critical incident that I have witnessed out during a ward based placement. The Gibbs reflective cycle suggests that theory and practice supplement each other in a never-ending circle which was coined from Kolb’s experiential learning  cycle. By using the Gibbs reflective cycle I shall be looking into how I felt during the time, what I felt and thought after the incident and most importantly what I would do differently next time. Event The incident I will be looking back on occurred whilst on placement within an orthopaedic ward when I was given the opportunity to assist a registered nurse on her drug round. I had previously assisted her on drugs rounds she was happy for me to administer the medication which was Enoxaparin on this particular patient. As I joined her with the drug round part way through, due to helping another patient she had already confirmed the patients name and date of birth and the patient had verbally consented to the administration and therefore I was told me to just administer it. I followed all the relevant policies and procedures whilst administering the medication however I did not understand why the registered nurse would allow me to administer the drug without myself gaining consent from the patient to ensure he was happy for a student nurse to carry out the administration. I therefore explained to the patient that I was a student nurse and I had previously carried out an administration of enoxaparin but explained to him that I would not be offended if he was not happy for me to administer the drug myself. I had been looking after this patient over a number of days and had therefore gained his trust so he verbally consented to me administering the drug and allowed me to continue. Thoughts and Feelings Whilst I was administering the medication I felt very confident as I had administered a number of these previously and also having a patient who was happy for me to carry this out enabled me to complete this competently. The patient also spoke to me throughout about his personal life so I was reassured that he was not feeling worried or anxious and therefore placed me in a confident frame of mind. The registered nurse was also shadowing me whilst I administered the drug so I was happy I was not going to make a mistake. Evaluation There was nothing bad about this experience apart from the confusion of the registered nurse telling me not to follow protocol and double check his date of birth and consent, however I felt I did the correct thing. I enjoyed administering the Enoxaparin as I felt it would enhance my experience and it was good practice for me, especially as this drug was a very common drug used within most hospital wards. Analysis Although I felt confident administering the Enoxaparin, I did not feel all that confident when asked to administer the medication without checking the patient’s name and date of birth and gaining consent which is a vital protocol of administration of medicines set out by the NMC (2010). Looking back I should have voiced my concerns and asked why she did not want me to confirm these; however I did not want to question my mentors’ experience or authority. A number of accountability issues were raised within this practice in which I later discussed with my mentor so I could confirm I did the correct thing. The Nursing and Midwifery Council (NMC) states that the administration of medicines is a vital aspect of professional practice for registered nurses which are to be performed in strict compliance with the written prescription of a medical practitioner requiring exercise of professional judgement (NMC, 2010). The NMC (2010) also state within their consent code â€Å"To make the care of people their first concern and ensure they gain consent before they begin any treatment or care† I did carry out this principle although asked not to by the nurse I was working with. If I did not carry out these checks although only a student nurse I would still be held accountable for my actions when I knew this was against protocol. Conclusion As a student nurse it is acceptable to assist with drug ward rounds and administering medications, however when I was asked to administer the medication without the patients identity confirmed and consent gained I should have said I did not feel comfortable with the task as it was not working in conjunction with the NMC’s standards of medicines administrations  but I would observe. When teaching a student and to improve general practice overall the nurse in question should have asked me to confirm the patients name and date of birth and gained consent before administering the medicine. Although there was no issue with administering medicine to the wrong patient or any ethical issues due to not gaining consent on this day, this could have been a very big nursing error causing a potentially big problem with accountability on my behalf. Action Plan As a student nurse it is important to take opportunities to learn new skills when following a mentor that you might not necessarily feel entirely confident with however ultimate responsibility remains with me if I do not feel confident in the situation that I have been assigned. Although I was confident with the task in hand I was not happy with the way I was asked to carry out this procedure by missing out vital NMC code protocols. The only thing I would have done different in this situation would be to say I did not feel comfortable with administering medication to a patient without carrying out the relevant checks and I should have confronted the nurse in question and asked why she did not tell me to ask for these details. Although she had carried these out previously she did not explain to the patient that I was a student nurse and this could have gone very wrong. If placed in this situation again I would not change anything which I personally did myself, I would still follow the NMC guidance on medicines administration (NMC, 2010) which therefore takes me out of the accountability question if anything was to go wrong, however I would confront the nurse and ask why these checks were asked to be skipped. References Beauchamp, T and Childress, J. (2008) Principles Biomedical Ethics. 6th ed. Oxford: Oxford University Press. Bowman, D. (2012) Informed Consent: A Primer for Clinical Practice. Cambridge: Cambridge University Press. Caulfield, H. (2005) Accountability. Oxford: Blackwell Publishing. Chadwick, R and Tadd, W. (2003) Ethics and Nursing Practice: A Case Study Approach. Hampshire: Palgrave Macmillan. Fry, ST. (Ed.) (2004) Nursing Ethics: Encyclopaedia of Bioethics. 3rd ed. New York: Macmillan. Fry, ST and Johnstone, MJ. (2008) Ethics in Nursing Practice; A Guide to Ethical Decision Making. 3rd ed. Oxford: Blackwell Publishing. GIBBS, G. (1998) Learning by Doing: A Guide to Teaching and Learning. London: FEU Griffith, R and Tengnah, C. (2010) Law and Professional Issues in Nursing. 2nd ed. Exeter: Learning Matters Ltd. Johnstone, MJ. (2009) Bioethics: A nursing perspective. 5th ed. Sydney: Elsevier. Nursing and Midwifery Council (NMC) (2002) Code of Professional Conduct. London: NMC. Nursing and Midwifery Council (NMC) (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC. Nursing and Midwifery Council (NMC ) (2010) Standards for Medicine Management. London: NMC. Nursing and Midwifery Council (NMC) (2010) Regulation in Practice: Consent. London: NMC. Nursing and Midwifery Order (2001) Article 3. London: NMC. Savage, J and Moore, L. (2004) Interpreting Accountability. London: Royal College of Nursing. Tingle,J and Cribb, A. (2007) Nursing Law and Ethics. 3rd ed. Oxford: Blackwell Publishing Transition to Practice (2012) Root Cause Analysis Steps. [online] Available at: http://transitiontopractice.org/files/module4/QI%20-%20Root%20Cause%20Analysis%20steps.pdf [Accessed 12 September 2012]. Young, A. (2008) Review: The legal duty of care for nurses and other health care professionals. Journal of Clinical Nursing. 18: pp. 3071-3078. Bibliography Confidentiality Act (1991) Great Britain. London: HMSO. Data Protection Act (1998) Great Britain. London: HMSO Hendric, J. (2000) Law and Ethics in Nursing and Health Care. Cheltenham: Stanley Thornes Ltd. Nursing and Midwifery Council (NMC) (2006) Standards of Proficiency for Nurse and Midwifery Prescribers. London: NMC Royal College of Nursing (RCN) (2006) Nurses and Medicines Legislation: An Information Paper. London: NMC. Reeves, M and Orford, J. (2002) Fundamental Aspects of Legal, Ethical and Professional Issues in Nursing. Wiltshire: Mark Allen. Tschudin, V. (1996) Ethics: Nurses and Patients. London: Bailliere Tindal. Watson, R. (1995) Accountability in Nursing Practice. London: Chapman and Hall. Appendices Appendix I Personal Diary Sheet 1 (25/06/12) Appendix II Personal Diary Sheet 2 (09/07/12) Appendix III Personal Diary Sheet 3 (16/07/12) Appendix IV Personal Diary Sheet 4 (23/07/12)

Friday, August 30, 2019

Zach Galifianakis

I chose Zach Galifianakis because he is my favorite actor, why? Dear reader that’s what you are about to know. I think he is exstremely funny and when he acts in movies or tv shows he acts like a child, that’s why I like him, he reminds me of me. He has a magnificent humour and a nice looking curly hair. He is called Zach but his real name is Zacharius Knight Galifianakis. He was born in Wilkesboro, North Carolina in 1969 October the first. He had a mother named Mary Franecs who ran a community center for arts, and a father named Harry Galifianakis who was a heating oil vendor. He had two siblings a younger sister named Merrit and a older brother Greg. Zach went to college, but he failed class with by one point and moved to New York. He started his career in the back of a hamburger joint in Times Square as a comedian. But his career in television began i 1996 when he played the recurring role of a stoner named Bobby in the short lived sitcom Boston Common. He had his own comedy show called Comedy Central Presents that first came out in September 2001. He acted some small roles like in the films Corky Romano, Below, Bubble Boy, Heartbreakers, Into the Wild, Super High Me, Little Fish Strange Pond, and Largo. He is most known for playing in the â€Å"Hangover† movies as Alan an annoying brother, â€Å"Due Date† as Ethan an annoying and stupid stalker and â€Å"It’s a kind of a funny story† as Bobby and depressed old man. Today he is forty years old and famous actor that has his future in front of him. First I thought he was 20-30 years old because of how he acts and his looks. It’s like he is always the same character in movies. I have much faith in him and I hope he becomes even more famous and better in the future.

Thursday, August 29, 2019

Case Study 2 Research Paper Example | Topics and Well Written Essays - 1250 words

Case Study 2 - Research Paper Example This part of the strategy is in keeping with low cost merchandise. Costco also only purchases certain sizes, colors, and fast moving inventory. This part of the design is to avoid keeping inventory that customers will not be interested in buying. In doing this inventory will always be moving out of the door and thus the company will always have a high inventory turnover. Not only is Costco specific in terms of choosing the characteristics of the products but Costco actually keeps a small amount of products on hand in order to avoid an inefficient number of products that are slow-moving or become unable to move. One part of the model that is concerning is that there is a lack of serious competitors in the membership warehouse business. I would be concerned with the possible effect of new competition and the growth of current firms like Sam's Club and BJ's Wholesale. Another concern I would have with Costco is the large holding of the land and warehouses. Certainly this could be though t of as a benefit for the company but with the recent drop in real estate prices the value of the property could fall and thus be less able to sell in the future with 150,000 sq. ft. warehouses on the land. On the other hand the land is purchased on low priced land, not necessarily in high traffic areas which would be a positive if the real estate price dropped, since it would be less likely to drop significantly. This is a a great business model because not only is the company able to sell a high amount of inventory in a short amount of time, but Costco is also able to finance inventory purchases through their vendors, thus avoiding long term debt. This allows them to pass on the discounts to the customer which in turn causes the volume and higher revenue. 2. What are the chief elements of Costco’s strategy? How good is the strategy? Volume Purchasing is one of the main elements of Costco's strategy. By purchasing in large amounts Costco is able to realize discounted prices from vendors. Not only that, due to discount pricing Costco is able to sell all of the merchandise before payment is due. By doing this Costco can realize their profit before paying for merchandise while avoiding the need for financing. The Costco vendors are actually financing the sale of the merchandise which is the advantage of this strategy. Treasure-hunt merchandising which is a Costco phenomenon where Costco purchasing agents search for deals that the Costco members would find desirable and stock the shelves with this product that will sell out quickly. The merchandise is purchased from wholesalers and retailers who are struggling and need to move old inventory. The inventory comes in deeply discounted even though the products are brand name products. By selling this deeply discounted merchandise Costco is able to lure in customers who love brand name products. Not only will customers purchase this merchandise but members will most likely be on the look out for such deals thus increasing the likelihood of a quick sale of the merchandise. Costco's business strategy also calls for less marketing through expensive channels such as television and radio. Instead Costco utilizes direct marketing which is not only less expensive but also very personal. The company opens up a store and directly calls companies, individuals and employee's in big

Wednesday, August 28, 2019

Financial services for corporate clients ( Financial analysis + Speech or Presentation

Financial services for corporate clients ( Financial analysis + financial calculations) - Speech or Presentation Example It may be because the inventory turnover was lower and it increased the cost of sales therefore they should focus on their supply chain management. All the businesses need to finance their operations in order to make it a going concern otherwise it will be liquidated or bankrupt. Short- term financing refers to financing the day to day operations or expenses such as purchase of raw materials, paying administrative and rental expenses or paying electricity bills. Since as it can be seen from the net cash flow from operating activities table, that the firm has a positive net cash flow from operating activities therefore it can meet those operating needs easily thus short term financing needs could be easily met by the business if it generates sufficient sales in the future. The company can utilize trade credits by using discounts since they already have positive cash flows and can save a great deal of amount. Medium term financing requirements generally expand from a period exceeding one year but have a time horizon of lesser than five years. These types of financing are used to modernize the machineries or equipment or used to improve the facilities. The company needs to incur medium term costs but it is self sufficient and it can finance its medium term needs from its positive cash flows. Long term financing is used to finance fixed assets or used for capital budgeting purpose. To expand its operations, Gulf trading needs long term financing and it can use the various options available to it. Since it has a positive profitability with an average debt-equity ratio, it would be a feasible option to finance through bonds. It can raise debt since it has a very higher time to interest ratio than the industry implying that it can redeem its dues in a timely manner. However, it should be understand that the debt to equity ratio should not exceed the

Tuesday, August 27, 2019

National Drug Control Strategy Structure Research Paper

National Drug Control Strategy Structure - Research Paper Example There is a need to re-evaluate the approach that is in use. In order to be able to deal with this problem, several issues have to be looked into. The most fundamental is the availability of treatment, stigma related issues and availability of financial recourses. Although treatment for addiction is available in many places, in the United States, challenges still exist when it comes to accessibility and quality of services rendered. It is disturbing to note that those charged with the responsibility of treating substance abuse and addiction often criticize others that do not use methods similar to theirs (Califano, 2007). It should be noted that people need to be treated using different approaches depending on their level of addiction (USDHHS, 2009). High-end treatment centers tend to look down on public programs. Nonresidential programs/outpatient looks down on residential programs terming them unnecessary, expensive rip off programs (Califano, 2007). Every treatment center wants its’ approach to treatment to be considered the best. This should not be the case. Encouraging such behavior deals a serious blow to the fight against drug addiction. It is also not encouraging to those addicts that are willing to come out and seek help. The perception that the quality of treatment is not the same at different treatment centers should be eradicated (Ortiz, 2011). Treatment should be available to all patients regardless of the approach they use in seeking treatment. Whether public, private, inpatient or outpatient, the goal should be to ensure that the addict gets assistance to become clean. The government should subsidize the cost for treatment of drug addiction as much as possible. Organizations such as the Drug-Free Communities which is a support program can be used as treatment centers besides implementing anti-drug abuse strategies (Kerlikowske, 2011).

Monday, August 26, 2019

The unique challenges of managing services supply chain Essay

The unique challenges of managing services supply chain - Essay Example tween a manufacturing and service sector supply chain is that manufacturing operations require lots of inventory, while in service operations there is none or little miscellaneous inventory such as office supplies. There is a difference in terms of how the labor is utilized in each supply chain. In manufacturing labor is used for procuring, transporting, and handling physical material, while almost all service industries labor is used to manipulate information and develop relationships. SCM includes supplier relationships, supplier network, and supplier collaboration (Sengupta, Heiser, Cook). Logistics and transportation costs in the supply chain of manufacturing companies are high, while service firms do not incur in these types of costs. The inventory category in manufacturing firms is subdivided into finished goods, work in process, and raw materials. None of those inventory accounts categories exist in the service industry. The service supply chain has more human involvement whic h makes it harder to standardize solutions to problems since they are resolve on case by case basis. In manufacturing lines processes are standardized. Take for instance the service that is provided by a barber. Each individual hair cut service is different because each human on earth has a different set of hair. In order to improve the supply chain of a service company the managers have to divide their strategy into three levels: strategic, tactical, and operational level. The service supply chain is more visible at the operational level. A fast food restaurant can improve its operational level offering by always having three cashiers instead of one taking orders from the customers. Such a strategy would reduce the waiting time of the customers by eliminating the long lines. At the tactical level a service organization such as the global managing consulting firm Accenture can begin recruiting its new batch rookie college graduates a year become the students graduate. Giving these

Sunday, August 25, 2019

Macro and Micro economics research Essay Example | Topics and Well Written Essays - 1000 words

Macro and Micro economics research - Essay Example Competitors sell products and services of the same description. A public is any group that has a potential interest on the ability of a company to achieve its goals and objectives. Macro environment Macro environment factors are also external to the firm and cannot be controlled. These factors hardly have any effect the marketing capability but affect the decisions of marketing within the company. Macro environmental factors may include the following: Cultural and Social Forces: This idea is considered in marketing literature as a substitute to the concept of marketing. The social forces try to make marketing as a practice that is socially responsible. This implies that companies ought to eradicate products that are socially harmful and only produce what may be valuable to society. Legal and political forces: Development in the legal and political field highly affects the decisions of marketing. Marketing decision may not be taken without considering the political parties in power, g overnmental agencies and laws regarding land. These variables often develop remarkable pressures on management of marketing. Laws often affect promotion and pricing, product design, capability and product capacity. In almost all the countries, the government always intervenes in the process of marketing despite their political beliefs. Demographic forces: In this situation, the marketer examines the population since the people create markets. Economic factors: The economic environment is made up of macro level factors that relate to a distribution and production means that affects the business of a company. Physical forces: These include the renewable and non-renewable resources of the earth. Renewable forces include food products and... Cultural and Social Forces: This idea is considered in marketing literature as a substitute to the concept of marketing. The social forces try to make marketing as a practice that is socially responsible. This implies that companies ought to eradicate products that are socially harmful and only produce what may be valuable to society. Legal and political forces: Development in the legal and political field highly affects the decisions of marketing. Marketing decision may not be taken without considering the political parties in power, governmental agencies and laws regarding land. These variables often develop remarkable pressures on management of marketing. Laws often affect promotion and pricing, product design, capability and product capacity. In almost all the countries, the government always intervenes in the process of marketing despite their political beliefs. Demographic forces: In this situation, the marketer examines the population since the people create markets. Economic factors: The economic environment is made up of macro level factors that relate to a distribution and production means that affects the business of a company. Physical forces: These include the renewable and non-renewable resources of the earth. Renewable forces include food products and the forest. Non-renewable resources include minerals, coal and oil. These components often change the level of resources that are necessary for a marketer.

Saturday, August 24, 2019

Why study of Economy hsitory is important and why it has privilages Essay

Why study of Economy hsitory is important and why it has privilages U.S.Social or International history - Essay Example In addition, the lack of experience has led to fundamental errors and omissions caused in the present times. Furthermore, the study of economy history is important as it allows the students to understand how the economic and the non-economic facts are related to one another. In summary, the importance of economy history study is that it is an excellent economic foundation and base for those who study it. Economic history has significant privileges in the U.S International History. It provides modern day students and scholars with a background of understanding the economic events that have shaped the U.S. history. For instance, the modern economic student cannot explain the 2008-2009 economic crisis without intimate understanding of the Great economic depression that occurred in 1929. Nevertheless, economic history addresses the gains the U.S economy contributed to the world. For example, the innovations in transport that included the steam engine revolutionized the movement of goods and people. Fast, efficient and easy movement of goods by railroad bolstered trade not only domestically but also internationally (Cameron and Neal,

Friday, August 23, 2019

Analysis of A Phenomenological Investigation of Good Supervision Essay

Analysis of A Phenomenological Investigation of Good Supervision - Essay Example Through a phenomenological interview, the researchers were able to garner considerable results for the process of completion. According to the study of Worthen and McNeil, â€Å"phenomenological inquiry is very similar to the interviewing techniques central to the training of counseling psychologists† (p 120). As a result, the researchers of the study were able to find the most convenient source of understanding that lead to their formulation of the elements forming a â€Å"good† supervision event based on the gathered informations gained from the interview procedures handled by the researchers. (p.134) Likely, the problem of supervising issues among psychologists who practice the process of observing and understanding the situations of their clients is the main focus of this particular study. Upon interviewing the eight trainees who were observed to have been involved in examining the supervising procedures handled by their superiors upon clients that they needed to deal with at the time, it could be observed that â€Å"inquiry into the experience of supervision events is a natural methodological extension of researchers’ precious training experiences† (p. 120). Making important implications as to how their superiors handled the situation taught then various values that defined good supervision practices. Through the interpretation of Worthen and McNeil with regards the gained results from the said process adapted for the proving of the ideas suggested by the study that they are aiming to portray for better application in the field of psychological procedures. Several experts in their own field to be able to solve certain issues do researches and also to create possibilities in discovering or even inventing new things based from possibilities and probabilities of the things that exist in the society. Most likely, â€Å"research† as the word defines itself

Henry David Thoreau Civil Disobedience Research Paper - 1

Henry David Thoreau Civil Disobedience - Research Paper Example In addition to that, the slavery which caused intense issues in England motivated Thoreau to write this article. After seeing and experiencing the intolerable environment, Thoreau first gave a speech in 1848. This speech later took form of an essay and then was known as the â€Å"Civil Disobedience†. According to Thoreau, a man’s own opinion matters a lot and is in no way derogatory to the political decision. If a political decision is taken for the mankind, a man’s own decision is also very important for himself and his loved ones. So it is wrong to nullify that personal decision in order to bring their (governments’) own perspective. As Thoreau says: â€Å"[i]t is not desirable to cultivate a respect for the law, so much as for the right. The only obligation which I have a right to assume is to do at any time what I think right... Law never made men a whit more just; and, by means of their respect for it, even the well-disposed are daily made the agents of injustice† (Thoreau). Thoreau goes on to say that an individual should not be tagged as a traitor or rebel only because he disagrees with the government’s point of view because he has the right to have his own opinion and to practice his own beliefs. Thoreau’s writing style, when it comes to this essay, is quite blunt and straightforward. Moreover considering the political upheaval of that time, the American Mexican War and the issue of slavery, writing this essay was a gigantic and a bold step. In his essay, Thoreau also gives references to the Massachusetts environment and writes: â€Å"who (people of Massachusetts) are more interested in commerce and agriculture than they are in humanity, and are not prepared to do justice to the slave and to Mexico,  cost what it may... There are thousands who are in opinion opposed to slavery and to the war, who yet in effect do nothing to put an end to them† (Thoreau). Thoreau shares his opinion about the

Thursday, August 22, 2019

Creative Photography Essay Example for Free

Creative Photography Essay This paper would seek to provide a comparative analysis between some of the most talented and creative photographers ever introduced to this genre of arts by examining their individual creative sense and sensibilities. Annie Leibovitz, Diane Arbus and lastly Richard Avedon. All three had three equally different styles and were truly exceptional in their own styles. Annie Leibovitz established herself as a photographer who was truly experimental as was indicated by her images and hence, was widely recognized as someone who was not afraid to portray what she truly believed in. In fact her sudden rise to fame and popularity at the tender age of 20 resulted in her being one of the most revered photographers of the modern times. One of her most famous photos was that of John Lennon as it highlighted Lennon as he was; an unpretentious image who was unfazed by all the popularity and success and hence, this image showcased Leibovitz’s ability to capture the â€Å"inner† sense of people-to go beyond the mere public image. Her bold and modern images such as that of John Lennon and his wife were an indicator of Leibovitz’s ability to capture the essence of emotions and relationships; a highly intriguing concept for this photographer. This image represented the strong connected between the pair and was a landmark in the sense that it allowed the viewer to connect with John Lennon and his wife’s emotions. Throughout her career, Leibovitz has always been considering something of a controversy as a result of her ability to capture images under a theme of subtle nudity. This very ability allow this artist to portray an image of honesty and over time, this same creative talent has been inconsistent as she moved across different forums and themes but there has always been a need to capture the inner honestly and emotion. In comparison to this, Richard Avedon was a photographer who was more interested in the way images could be used to highlight the soul and the personality of the person in question. His main source for taking cameras was his 8 by 10 camera which became sinuous with his name and he was widely recognized for his ability to take large images of famous faces. He focused more on people who made up the list of commoners and hence, his work titled the American West was criticized for showing a negative imagery of American cultural system. Audrey Hepburn was his muse and this signifies the extent to which Avedon’s talent was appreciated by his peers and other people alike and he himself however, felt that he could not translate Hepburn’s personality on camera due to its immense height. The last photographer who would be analyzed and compared would be Diane Arbus, who represented a totally different creative sense from the other two; one who believed in capturing the emotions while the other wanted to capture the inner soul. The mediums used by both were quite different as were their focuses as while Annie focused more on the capturing the famous faces, Richard showed an extensive interest in the commoners. Diane Arbus however, showed an entirely different creative sense as she focused more on capturing the relationships between specific people and a bond was highlighted which was not considered to be in tune with the normal bonds. She has been perceived as one of the most influential members of the photography genre as a result of her unfailing ability to capture a side of her subjects which seemed to want a sense of understanding on the behalf of the viewer. John Szarkowski ‘s exhibition of her works made Diane Arbus one of the most recognizable faces of photograph and her eventual suicide portrayed the tragedy of a woman who seemed incline to capture the more tragic aspect of her characters unlike the aforementioned artists who were in touch with other aspects of their subjects. Works Cited Farley, Christopher John. â€Å"Shooting to Thrill. † Retrieved from Dow Jones Company. 27 Apr 2009. http://s. wsj. net/article/SB122670139623729593. html. Leibovitz, Annie. â€Å"John Lennon. † Retrieved from RealNetworks, Inc. 27 Apr 2009. http://www. rollingstone. com/news/coverstory/10247676/1/John_Lennon. Bosworth, Patricia. 2005. Diane Arbus: A Biography. W. W. Norton, 2005. Diane Arbus: Revelations. Random House, 2003. PBS American Masters, Richard Avedon: Darkness and Light, Directed by Helen Whitney, 1995

Tuesday, August 20, 2019

Advantages and Disadvantages of Chromium Complexes

Advantages and Disadvantages of Chromium Complexes Chromium is one of the transition metal in periodic table that is known for its ability in improving one’s health condition by preventing diseases and gives treatment. However in human body, only very small amounts of chromium are required and they are often regarded as the essential trace element in human body. Back in 1950s, the uses of chromium as nutritional and medical enhancement to glucose metabolism was started when brewer’s yeast was suggested to contain a glucose tolerance factor (GTF) that prevented diabetes in experimental animals. (Schwarz k, Mertz W, 1959). It was only then this factor finally taken into consideration to be a biologically active form of trivalent chromium that could substantially lower the plasma glucose levels in diabetic mice based on studied done by Tuman RW and Doisy RJ in 1977. According to Fernando Guerrero and Martha Rodriguez-Moran, 2005, trivalent chromium (Cr3+) is an essential trace element required for the maintenance of normal glucose and fat metabolism. Because chromium potentiates the action of insulin, it was named from its recognition in the late 1950s as the glucose tolerance factor term that emphasizes its importance in glucose metabolism. Chromium is present in many foods, especially in liver, Brewer’s yeast, American cheese, w heat germ, vegetables such as carrots, potatoes, broccoli, and spinach, and is also present in alfalfa, brown sugar, molasses, dried beans, nuts, seeds, mushrooms, and animal fats. An organically dynamic type of chromium takes part in glucose digestion system by improving the impacts of insulin. Insulin is produced by particular cells in the pancreas in light of increasing blood glucose levels, for example, after eating. Insulin binds to insulin receptors on the surface of cells, which actuates the receptors and invigorates glucose uptake by cells. Blood glucose levels are prevented from being elevated when insullin interact with insulin receptors whereby insulin will provides cells with glucose. Apart from affecting carbohydrate (glucose) metabolism, metabolism of fat and protein is also influnced by insulin. Impaired glucose tolerance or type 2 diabetes which is also known as non-insulin dependent diabetes mellitus may occur as the consequences of decrease response to insulin or decreased insulin sensitivity. Type 2 diabetes is characterized by elevated blood glucose levels and insulin resistance. The precise structure of the biologically active form of chromium is not known. Recent research suggests that a low-molecular-weight chromium-binding substance (LMWCr) may enhance the response of the insulin receptor to insulin. The following is a proposed model for the effect of chromium on insulin action. First, the inactive form of the insulin receptor is converted to the active form by binding insulin. The binding of insulin by the insulin receptor stimulates the movement of chromium into the cell and results in binding of chromium to apoLMWCr, a form of the LMWCr that lacks chromium. Once it binds chromium, the LMWCr binds to the insulin receptor and enhances its tyrosine kinase activity. The ability of the LMWCr to activate the insulin receptor is dependent on its chromium content. The LMWCr may be released from the cell in order to terminate its effects when insulin levels drop due to normalization of blood glucose levels. More recent studies have indicated that chromium enhances insulin action by increasing the insulin-stimulated translocation of glucose transporters to the cell membrane (Chen G, Liu P, Pattar GR, et al, 2006). Apart from type 2 diabetes, effects of chromium supplementation on gestational diabetes had also been examined. Gestational diabetes occurs in about 2% of pregnant women and usually appears in the second or third trimester of pregnancy. Adverse effects on the developing fetus must be prevent by tightly control the blood glucose levels in the body. Glucose tolerance usually turns back to normal after delivery. However, according to study, 30% to 40% of women who have had gestational diabetes develop type 2 diabetes within 5 to 10 years. An observational study in pregnant women did not find serum chromium levels to be associated with measures of glucose tolerance or insulin resistance in late pregnancy, although serum chromium levels may not reflect tissue chromium levels. Women with gestational diabetes whose diets were supplemented with 4 mcg of chromium per kilogram of body weight daily as chromium picolinate for eight weeks had decreased fasting blood glucose and insulin levels com pared with those who took a placebo. However, insulin therapy rather than chromium picolinate was required to normalize severely elevated blood glucose levels. Trivalent compounds (Cr III) do not cause any serious damage to body tissue, in fact, it is an important component of a balanced human and animal diet and its deficiency is detrimental to the glucose and lipid metabolism in mammals. The limitation of chromium in its application in human health is that it may cause different side effect to different person. The controversy surrounding chromium supplementation is due to the variability of the results gain from the evaluation of the effect of chromium in patients with diabetes and without diabetes. Some of them experienced positive improvement but some are only indicate little or no benefit at all. Most of the concerns regarding the long-term safety of chromium supplementation arise from several studies in cell culture, suggesting chromium (III), especially in the form of chromium picolinate, may increase DNA damage. Several studies have demonstrated the safety of daily doses of up to 1,000 mcg of chromium for several months. However, t here have been a few isolated reports of serious adverse reactions to chromium picolinate. Kidney failure was reported five months after a six-week course of 600 mcg of chromium/day in the form of chromium picolinate, while kidney failure and impaired liver function were reported after the use of 1,200-2,400 mcg/day of chromium in the form of chromium picolinate over a period of four to five months. Individuals with pre-existing kidney or liver disease may be at increased risk of adverse effects and should limit supplemental chromium intake. In addition, the use of the supplements of chromium over a prolonged period of time may result in a risk of chromium poisoning. This is due to chromium’s nuclear affinity, tending to result in its accumulation within cells. High doses of chromium which is about 600-2400 ÃŽ ¼g will makes rare side effects may occur such as damage to the liver, kidney, and bone marrow as well as rhabdomyolysis and psychiatric disturbances in some cases. The y have also been related to chromosomal damage and increased incidence of cervical arch defects as they are capable of cleaving DNA. Similar complex coumpound with Chromium Chromium vs vandium and zinc Apart of chromium, other transition metal that is found to have ability to be used as anti diabetic agent is vanadium and zinc. More than 2 8% of world’s population is suffering from diabetes (Wild et al., 2004). It is a condition in which body do not produce a hormone called insulin which is necessary for the absorption of glucose in cells (Rother, 2007). Scientists are looking for alternative approaches for the treatment of diabetes (Nahas et al., 2009). The glucose level in the blood plasma is controlled by uses of vanadium and zinc in form of inorganic salts. Research shows that undesireable side effets often associated with the elements that are poorly absorbed in their organic forms and required high doses. Research has been conducted to prove that vanadium complexes with organic ligands to be less toxic with improved solubility and lipophilicity. Thera are a few number of vanadium complex which posses the insulin-mimetic properties that have been produced. The molecular mechanism responsible for the insulin-like effects of vanadium compounds have been shown to involve the activation of several key components of insulin-signaling pathways. It is interesting that the vanadium effect on these signaling systems is independent of insulin receptor protein tyrosine kinase activity, but it is associated with enhanced tyrosine phosphorylation of insulin receptor substrate. Chromium supplementation significantly improved glycemia among patients with diabetes but do not show any significant effect on glucose metabolism in healthy individuals. Higher zinc intake has also been associated with a slightly lower risk of type 2 diabetes in women. Besides chromium and vanadium, there is also a strong connection between zinc and insulin. In fact, people with diabetes frequently have lower levels of zinc than those without diabetes. One reason for this is that diabetics tend to have increased excretion of zinc. Additionally, high blood sugar levels create significant oxidative stress. The use of antioxidants has been shown to help improve oxidation, while also enhancing the body’s response to insulin. Unfortunately, the risk of cardiovascular disease among diabetics is more difficult to address. Coronary heart disease is a major cause of death among people with type 2 diabetes. This, of course, is due in large part to obesity, but also to risk factors such as high blood pressure, high LDL cholesterol levels, and an imbalanced ratio of LDL to HDL cholesterol. Like chromium and vanadium, the body also can’t make zinc, so it must be taken from food sources. Zinc is stored in the muscles, blood cells, retina of the eye , skin, bone, kidney, liver, pancreas, and in men, prostate. Interestingly, zinc has long been an ingredient used in â€Å"older† insulins, such as Regular, NPH, and Lente. Zinc is also necessary for the formation of insulin in the pancreas’s beta cells. For these reasons, researchers have looked at the role of zinc supplementation in the prevention and treatment of Type 2 diabetes. Research shows that zinc, an essential trace element responsible for over 300 enzyme functions, can aid in normalizing the negative effects of diabetes mellitus. According to the study, zinc has been shown to mitigate the harmful effects of diabetes by improving glycemic control in type I and type II diabetes. Many of the enzyme systems in which zinc is a necessity for are involved with the metabolism of blood sugar, and therefore make zinc a natural catalyst for insulin secretion. The pancreas is an endocrine gland responsible for producing hormones like glucagon, somatostatin, and insulin. The beta cells that secrete insulin in the pancreas are also highly stored with zinc. The beta cells will suffer without the high concentrations of zinc. Fortunately, beta cells are equipped with their own special transporter called zinc transporter 8, which makes it easy for the beta cells to store the zinc. However, it is known that any metamorphosis of the genes in the zinc transporter 8 causes type 2 diabetes. It is also now known that antibodies against the zinc transporter are present in type 1 diabetic patients, which means that these antibodies are associated with type 1 diabetes. It is no wonder why zinc is as popular as it is for supplementation. In addition to mending the difficulties brought on by diabetes, zinc also serves to maintain a healthy immune system, controls hair loss, halts impotence, improves brain function, prevents loss of taste or smell, and much more. References Guerrero-Romero, F.; Rodrà ­guez-Morà ¡n, M. (2005). Complementary Therapies for Diabetes: The Case for Chromium, Magnesium, and Antioxidants. Archives of Medical Research 36 (3): 250–257 Massey, P. (2013). Diabetes and the Role of Dietary Supplements. Bioactive Food as Dietary Interventions for Diabetes. pp. 17–94. Schwarz K, Mertz W: Chromium (III) and the glucose tolerance factor. Arch Biochem Biophys 85: 292–295, 1959 Tuman RW, Doisy RJ: Metabolic effects of the glucose tolerance factor (GTF) in normal and genetically diabetic mice. Diabetes 26:820–826, 1977 Vincent JB. Elucidating a biological role for chromium at a molecular level. Acc Chem Res. 2000;33(7):503-510. Chen G, Liu P, Pattar GR, et al. Chromium activates glucose transporter 4 trafficking and enhances insulin-stimulated glucose transport in 3T3-L1 adipocytes via a cholesterol-dependent mechanism. Mol Endocrinol. 2006;20(4):857-870. Pattar GR, Tackett L, Liu P, Elmendorf JS. Chromium picolinate positively influences the glucose transporter system via affecting cholesterol homeostasis in adipocytes cultured under hyperglycemic diabetic conditions. Mutat Res. 2006;610(1-2):93-100 Wang H, Kruszewski A, Brautigan DL. Cellular chromium enhances activation of insulin receptor kinase. Biochemistry. 2005;44(22):8167-8175.

Monday, August 19, 2019

The Celebration of the Lizard Essay -- Analysis, Jim Morris

It was 1968's album Waiting for the Sun that marked the appearance of a new aspect of Morrison's image, the Lizard King. A poem entitled â€Å"The Celebration of the Lizard,† in which he pronounced â€Å"I am the Lizard King,† was printed on the album jacket. Morrison later claimed that this poem was meant to be partly in jest, but it took on a life of its own and would play an important role in Morrison mythology. In a 1970 interview, Morrison respond to a question about being called a Lizard King: Stevenson: How do you feel about some of the magazine articles that used to come out calling you the Lizard King and things like that? Morrison: Oh, I liked it! I enjoyed it! I thought it was, you know, I always liked reptiles, I always had a fondness for them . . . We did evolve from reptiles . . . I used to see the universe as a mammoth peristaltic snake and I used to see all the people, objects and landscapes as pictures on the facets of their skin, their scales. I think the peristaltic motion is the basic life movement: swallowing, digestion, the rhythms of sexual intercourse. Even your basic unicellular structures have this same . . . Stevenson: Fluidity and motion? Morrison: Yeah!14 Morrison used the attribution of Lizard King to expand on his image, as seen in this interview, by molding it to his ideals of proximity to the earth, suggesting that the motion of a reptile mimics the basic motion of all life. He further used the Lizard King image in the theatricality of his on-stage performances and, whether consciously or sub-consciously, to contribute to his own, as well as the band's, image. At best, it is possible to distinguish between Morrison as shaman and Morrison as the Lizard King,... ... difficult to confirm the cause of his death. Was it suicide? Murder? This uncertainty may have contributed to a Morrison-like image and myth. Now, that his physician has been convicted of negligence, the uncertainty is reduced. We will have to wait and see what develops. It is the public discourse, after the death of a celebrity, which results in the emergence of an icon. In books, films, and other media content about the celebrity, various narratives and central values become associated with the celebrity. After several years of continued public interest in the dead celebrity, the image and values associated with the celebrity become more significant than, and transcend, the factual details about the historical existence of the individual. The following section will outline elements contributing to the construction of the image of a celebrity, after their death.

Sunday, August 18, 2019

Cause and Effect Essay - The True Cause of School Shootings

Most of us learned when we were very young that we should not judge by appearances. But, in the aftermath of massacres in schools everywhere, a sane person has to take seriously what the material world shows - and pass judgment. After all, a lack of judgment and subsequent action may lead to further youth violence. This event has been thoroughly dissected by a whole herd of politicians and pundits over a period of some months. But they have, unfortunately, failed to reach the heart of the matter. For the heart of the matter is theological, a category that does not often appear in American public discourse. Instead, we hear talk about psychology, community, exclusion - the narrow, modern litany of cause and effect. David Mandel, a psychologist who has studied the Goth subculture - one of the causes being invoked - wrote last year, "It is not sinister, but tongue in cheek." And he continued: "People who are really into it use it to construct meaning in their lives. . . . They really find beauty in the dark things much the way others find beauty in bright, happy things" (Mandel...

Saturday, August 17, 2019

The language of fashion magazines

Overture The significance of print media has been getting bigger and bigger as the time progress all over the world. Magazine is one of the popular forms of print media worldwide. There are different types of magazines with different features and attributes. They are mostly periodic- monthly and quarterly magazines are most common. The magazines generally focus a particular area and they target a particular group of people as their target readers.Such as business and economics oriented magazines are designed mostly for the business people, Science and genealogy for the young people and students, art and literature for the readers who particularly possess interest towards art and literature. Sports magazines target the young and enthusiastic sports lovers and fashion and lifestyle magazines are for the people who are concerned pretty much about their living style and modern days fashions. In this report we have selected such two fashion and life style magazines, one local and one inte rnational. Instill† the international one, published as British version and Mirror- the Bangladesh magazine regarded as one of the most rumoring and classic fashion magazine of the country. Both the magazines follow English as their media language and are published monthly. We will try to identify the approach of these two commonly oriented magazines. Both the magazines target the today's modern women with their independence and glamorous. In the next section we shall be introduced with these magazines. 1. Mirror; at a glance: Name: Mirror Magazine Nature: Monthly Magazine Type: Fashion & Life style Established (First Issue): 2003, Dacha Editor: Quasi Changer Lam Number of publication: 24,000 (2013) Language: English Company: Mirror Group (Bangladesh) 1. 3 Instill; at a glance Name: Instill Established (First Issue): June, 1994 Editor: Ariel Fox Number of publication: (2011) Company: Time Inc. (US) EPIC Media (I-J) part: TWO 2. 1 PURPOSE STATEMENT This paper has been intended as an academic purpose of the students of M. A. In English Program.It aims to find out a comparative analysis of both the magazines in literal as well as structural sense. This comparison will reveal both the similarities and dissimilarities between the two magazines each possess supreme popularity in their own platform. The other purpose of the study is to analyze the style of language of English and what techniques are used in the magazines. This paper also tries to find out how to use language in print media 2. 2 Methodology For a constructive comparison time frame and contextual frame should be pretty much same and identical.Here two magazines have been selected with same nature and categorical similarities. In order to maintain the time frame, the particular number of the magazines for analysis was kept concurrent. The Bangladesh magazine â€Å"Mirror† was taken of volume 10, which is the July-August Edition of the rent year and an Did Fashion Special. On the other hand, the I-J based international Magazine â€Å"Instill† was taken of Volume 20, number 5 and it was the edition of the month of May of this going year. Thus, from the time frame perspective, both have same platform.In order to maintain the contextual frame, the two magazines taken from the similar taste and target readers. Both are fashion and life style magazines particularly designed for the progressive modern ladies. It is important to mention that the comparison was not made from all the numbers of the magazines, rather the two given numbers mentioned earlier. In the next section, we will begin with the comparative analysis of the magazines. Part: THREE Comparative discussions on the two magazines The previously mentioned numbers of each magazine were brought under the observation of the readers.We have tried to point out similarities and dissimilarities found in their writing styles, literal values and presentations. 3. 1 Point of Similarities: 3. 1. 1 Presentation of the C over Page: Both the magazines feature their cover page with the photos of two very beautiful and glamorous celebrities. The one at the left is the cover page of the Bangladesh gagging â€Å"Mirror† which features Biddy Sinai Mim, a very promising and one of the top models of current times of the country. On the right top, we have the cover page of the British tabloid â€Å"Instill† which features the global celebrity Emily Blunt, a very popular international actress.This similarity is quite an evident and a very common method for the fashion magazines to feature a photo of a beautiful looking celebrity with her distinguishes appeals and glamour. This similarity is not true for these two numbers of the magazines, bull almost all numbers of all fashion magazines. 3. 1. Domination of Photos of the models at pose: This is perhaps the most significant similarity and feature of the fashion magazines. They use the photos more than words. In fact, in the two numbers of the mag azines, almost 80 percent of the pages contain photo of the glamorous models at their beauty pose.Thus, the language of fashion magazines are predominately visual and not word oriented. This has been found in both the magazines case. 3. 1. 3 Presentation of Commercial Advertisements Both the magazines preach quite a heavy volume of advertisements. The advertisements are found to be similar in nature. The advertisements are mostly of the beauty products and colorful photos are used in form of commercial advertisements. This reveals that both the fashion magazines use their commercials as like their features as the magazines features models and their beauty styles.Thus the advertisements seem like the magazines own features. 3. 1. 4 Similar presentation of articles: Both the magazines publish few articles in their magazines apart from the photos. The articles are mostly short, generally contains less than 250 words. The British tabloid of May, 2013 featured few articles regarding Osca r programs and activities of he international celebrities. The local tabloid featured with beauty instructions and tips and promotes latest fashions through their articles. In each case, the language is short, easily understandable and free from literal complicity. . 1. 5 Similarity in Language and writing style: Due to the light nature, both the magazines follow short and simple writing styles. They use simple worlds, short speeches and the articles are mostly free from articulate and literal beauty. 3. 2 Point of Dissimilarity: 3. 2. 1 Contextual Dissimilarity: Despite of their similar nature of fashion and life style, the magazines differ in their approach too. â€Å"Instill† exhibits its high interest in the life style of the celebrities whereas â€Å"Mirror† focuses more on the fashions of the progressive ladies.The photos and the features of the magazine â€Å"Instill† uses the international celebrities to preach the activities of the celebrities. Mirror- the Bangladesh Fashion tabloid on the other hand, focuses more on the fashion and glamour of the local celebrities. 3. 2. 2 Difference in the theme: it has seen that the local fashion magazine focuses on the impact of culture and seasons. For instance, the selected edition was an Did special. There were previous editions on summer bride, pupas special, bookish special etc. This suggest that the local magazine focuses on the cultural impact in the world of fashion.The international tabloid focuses on the life of the celebrities, their activities are the elements of interest. The impact of culture and season was not found to be strong. 3. 2. 3 Difference in Approach: The British magazine provides short article and information though small news in columns which has been completely missed out in the beggarliness magazine. Bangladesh magazine on the other side focuses on the physical beauty of their local liberties (mostly models) and the pattern of their latest fashions thought the exhi bition of a series of photos.Part Four Findings of the language of Fashion Magazine: The noticeable findings of the language of fashion magazines are It shows how linguistic techniques such as puns and presuppositions are used by magazines to capture our attention It examines how image and text combine to produce meaning It discusses how ideological messages are conveyed It analyses how the appeals are constructed through language It looks at how magazines relate to culture part FIVE Conclusion The language of fashion magazines is lively.Furs are to-die-for', colors are ‘drifts dreamy and looks are ‘leotard simple. The last three decades have witnessed a reevaluation of fashion, both in terms of its credibility as an area of academic investigation and its importance in Western culture, which has caused its reconsideration within popular culture. Today, fashion can be found when flipping through art and fashion magazines. The art press, however, locates fashion within wid er social and cultural dialogues, reflecting upon the social, cultural, psychological ND economic implications of dress.As women's fashion magazines have critical role in the maintenance of cultural values and representation of the gender identity, we will be able to investigate how English language relates to gender identity through fashion in Bangladesh. Even though synergies effect of fashion and language as symbolic capital is very interesting subject to study. This habitation of two is neutralized as to create mythology of the modern society is hard to deconstruct. To demythologize the fusion of English language and fashion more profound research will be needed.

Mary Seacole

Mary Seacole Mary Seacole was born in 1805, in Jamaica. She nursed soldiers during the Crimean war which started in 1854. Her mother was Jamaican and her dad, a Scottish soldier. Her mother was also a nurse and used herbs for medicines and treatments. At the age of 12, she had already started to behave like a nurse because of the help she provided to her mother with the sick and wounded. When she was older, Mary opened a hotel in Jamaica to help care for the sick. Mary wanted to help those soldiers involved in conflict in Europe.She travelled to England in the UK but no one was interested in taking up her offer to help the ill and wounded soldiers. She instead stayed in England, paying her own fares and eventually setting up another hotel. There, she sold goods and clothing for the soldiers in the hotel. She would cook, clean and care for the soldiers. Mary tried to enlist her help for the Crimean war but was not chosen by Florence Nightingale who was in charge of caring for the woun ded. Mary instead travelled to the battlefield alone (covering 4,000 miles).She helped on the battlefield, sometimes even during cannon fire. Mary cared for the men very lovingly. The wounded men loved Mary and called her ‘Mother Seacole’. Florence Nightingale was unimpressed by Mary Seacole's work in Crimea, and accused her of intoxicating soldiers and running a brothel. If you ask someone ‘Do you know who Mary Seacole is? ’ they might say ‘No’ this is because Florence Nightingale got more recognition than Mary Seacole. Mary Seacole did just as much as Florence Nightingale, which is why, I think Mary Seacole should have a day to be remembered.

Friday, August 16, 2019

Better Communication Essay

Effective communication is the key in the health care critical for health care professionals. The key foundation of any coworkers is being able to communicate clearly. With the help of effective communication people are able to define and understand goals and shear and receive the information better. When there is a lack of communication in the health care industry it can cause a poor medical care and mistakes in patent’s medical history. Therefor; clarity is a must in the health care industry. Active listening is also a part of better communication skills. The supportive and defensive communication is everywhere and lasting. In the health care environment supportive communication is appropriate then defensive communication. Supportive communication expresses encouragement and understanding when communicating with others while during defensive communication the individual feels defended, anxious or threatened. During communication as a individual becomes defensive they are les s able to recognize the values and senders emotions Interpersonal communication is the interaction between two or more people. Good interpersonal communication skills are essential in the creation and maintenance of relationships with others. Dwyer (2009, p.62) explains that ‘in any context, our relationships are built through our interpersonal communication.’ Self concept, emotional intelligence, assertive behaviour, empathy and the ability to actively listen and provide feedback are all desirable interpersonal communication tools considered necessary to maintain relationships and aid in conflict resolution. Dwyer (2009, p. 152) states that ‘Conflict arises when needs are not met. Those needs can be physical, financial, social, educational, intellectual, recreational or spiritual, tangible or intangible. However, even in a situation of conflict, it is possible, by finding areas of common ground, to remove some of the differences and to emphasise the similarities while tackling the conflict and working towards the solution’. Good interpersonal communication skills help to create an understanding between persons in conflict whereby they can make common ground and have a better understanding of whe re the other party is coming from. Dwyer (2009, p. 175) explains that ‘Conflict expressed and addressed in ways that respect relationships and consider as many needs as possible is positive and constructive’. In order to achieve common ground, emphasise similarities and work towards conflict solutions, the communication climate must be positive and both parties must be willing to resolve the issue. The role of Interpersonal Communication in Conflict Resolution In order to communicate effectively with others a sound understanding of your own self concept is required. Self concept can be described as your â€Å"self image†, it is the mental picture that you have of yourself. Yahaya, Azizi, Ramli and Jamaludin (2009) explain that ‘Self-concept refers to the totality of a complex, organized, and dynamic system of†¦ Interpersonal communication is defined by Brooks and Heath (1993) as â€Å"the process by which information, meanings and feelings are shared by persons through the exchange of v erbal and nonverbal messages (as cited in Dickson and Hargie, 2003, p.1). In order to demonstrate my understanding of effective and non-effective communication skills I have chosen to analyse a dialogue between a seasoned policeman and a hardened criminal taken from the movie Heat. It is deep and meaningful interaction between two adversaries. After much deliberation I have narrowed down my analysis to the use of rapport building, self-disclosure and empathy, verbally and non-verbally. I will also attempt to identify the barriers to communication in this dialogue and explore the reasons why these skills were used ineffectively, and suggest how they could have been improved upon. Rapport-building is defined by Robbins (1986, p. 207, as cited in Study Guide) as ‘the ability to enter someone else’s world, to make him feel that you understand him, that you have a strong common bond’ I think it is at the very core of effective interpersonal communication because it ‘is one of the most important features or characteristics of unconscious human interaction’ and without it the purpose of the interaction cannot be achieved. It is ‘commonality of perspective, being in â€Å"sync†, being on the same â€Å"wavelength† as the person with whom you are talking’ (http://www.inspirationalsolutions-lp.co.uk/theimportanceofrapport.pdf). Following that line of thinking it is essential to establish rapport as soon as possible in a didactic interpersonal conversation, whatever the purpose of the discussion is – to learn, to relate, to play or to help (De Vito, p.80). The very first sentence that Hanna says demonstrates an attempt to establish rapport â€Å"Howya doing?† (he does not wait for an answer and continues talking) â€Å"Whaddaya say I buy you a cup of coffee?†. He is wearing casual jeans and a white sweatshirt. First and foremost, congratulations of your engagement. I am very excited that you chose to reach out to me for advice in understanding interpersonal communication with each other before you get married. After taking classes for interpersonal communication Nicholas Epley explained the differences this way, â€Å"Our problem in communicating with friends and spouses is that we have an illusion of insight. Getting close to someone appears to create the illusion of understanding more than actual understanding† (2011 para. 8). There are a lot of books that one could read but in all actuality a successful relationship is based on the two people entering the communion and realizing that marriages take hard work and dedication, no matter how easy it looks. I will advise you on how to mold the following steps such as learning your role in the marriage, actively listening, opening up to your partner about your feelings, and choosing your words wisely into your everyday life which can produce a successful relationship; all this and effective communication is completely up to you. My first major topic for you to always remember is that you must listen to your partner. You probably find yourself asking over and over are you paying attention to me. Did you hear anything that I said? Do not fret over that because every person in a relationship has asked the same question. You may not like what he or she has to say but to have a positive relationship you must listen actively, critically, and empathically. Now please allow me to explain to you what I mean by those terms. Kathy Sole tells us that listening is important to the conversation because it creates meaning between both people (2011). When you want to have an in depth conversation with your spouse, you need to eliminate all noise, make eye contact, actively listen means to truly think about what you hear. Critically listening ties into actively listening because you understand what your spouse†¦ Assertiveness Assertiveness is a simple skill that requires a lot of practice to perfect. Basically, assertiveness requires us to speak our minds, to do so in such a way that the meaning of our communication is clear. Hopefully our expressed wish is acknowledged, but this is not necessary for us to be assertive. To achieve assertive communication, we have to state what is in our minds; that is, our thoughts and feelings. Advanced assertiveness is when we ask for what we want regardless of whether the â€Å"recipient† understands what we communicate, and regardless of whether or not we get what we want. Complete assertiveness requires both levels intellectual and emotional communication. The workplace presents both a challenge and potentially some relief when it comes to being assertive. On the one hand, we work with others, usually often, so there is some sense of familiarity. Yet, we do not live with them. There is a certain built-in interpersonal distance. With acquaintances at work, the challenge is to ask for what we want or at least state our opinion, more or less at intellectual, pragmatic levels. We tend to leave out the personal side, because our relationships are not that personal. From this standpoint, assertiveness is easier because there are less personal consequences. We can state our case and others likely will not take our message so personally. This is truer if the issue at hand is small. It is also more likely to be true of communications among co-workers of equal status. If there are other good elements; that is, more interpersonal warmth, bonding and empathy, talking to the boss can be assertively successful. But we need some slightly deeper personal connection to the boss to make this work, to grease the wheels of information exchange. The workpl ace presents a challenge to being more interpersonally intimate with co-workers who may not really be so friendly. The same is true with bosses that have different levels of power†¦. An Interpersonal relationship in the health care environment is based off the relationship between the people you work with, such as the staff, patients, and doctor. Your interpersonal relationship between you, the coworker, and patients is very important and crucial within the health care environment, you must be able to â€Å"treat your clients with respect†, â€Å"do not be rude or ever shout at them†, never disclose any type of information about a patient to a client†, and â€Å"have feelings for the patients† (2004)(1.3.8). In order for the patients to feel comfortable you must treat them with a certain level of respect and make them feel as comfortable as possible, such as have close relationship with all the patients and staff. For example ask how their day is going, or give them positive feedback about any questions they might have or need help with so he or she is always satisfied with the service. Your â€Å"perspective† in the health care industry is very important and crucial to your coworkers and clients, and you always want to provide them with the best â€Å"quality of care†. Next, a supportive relationship rather than a defensive relationship in the health care environment is more appropriate, and I say this because to be defensive with the coworkers, patients or staff will make that person feel â€Å"uncomfortable†, :†guilty†, or even hostile. On the other hand, a supportive relationship is something you want to have with the clients, staff, and patients because you always want to be able to support them with positive feedback, such as are â€Å"supportive† when a patient asks for advice or a particular type of treatment show â€Å"recognition†, â€Å"acknowledgement†, and â€Å"endorsement†. Supportive is more of a positive feedback and defensive is negative feedback, and defensive or negative feedback is som ething you do not want to happen, you always want to remain supportive, positive, and assertive with people at all times. Assertive style and its appropriateness in health care†the preferred†¦ Course Hero has millions of student submitted documents similar to the one below including study guides, practice problems, reference materials, practice exams, textbook help and tutor support. communication1 Interpersonal Interpersonal Communication in your Relationship Christy Fobert COM 200 Instructor Youngs 6/22/11 Interpersonal communication2 Dear Jason and Amber, I am writing in response to your request asking for some advice on interpersonal communication in your relationship. As you know my husband and I have been attending classes that help with communication in relationships. We also believe we can give you some dire advice based on our own personal experience since we have six years behind us. Being a newly engaged couple and asking for advice before marriage lets us know you are both serious in committing to one another. This also makes it seem you are both committed to keeping your relationship alive and well. The best advice I can give you is to keep your communication alive and well. In this letter I will give you some advice on the concepts of good interpersonal communication. I will explain what we have been learning in our classes and also what I can explain to how we have experienced this in our relationship. The first basic but important skill to communication is listening. Listening to each other shows that you both respect one another and care about what the other is saying. There are three important types of listening and they are: active, critical, and empathetic. The first skill that we will discuss pertaining to the listening is actively listening. Active listening is assertive communication that develops a sense of trust. In my personal relationship letting your spouse know that you are listening lets them feel important and build trust within your relationship. Actively listening in your communication will allow you to build trust because of the openness that it builds. Openness within active listening makes your spouse feel a†¦ Effective communication in healthcare is essential to deliver good patient care. When delegating tasks to co-workers, one needs to be clear and precise. When people have a full understanding of what their job is, they will perform better and patients will get better outcomes. Without effective communication we are setting up our fellow co-workers for failure and our patients as well. Effective communication is necessary to convey the importance of instructions and task to co-workers so they can fully understand the importance of their task and the steps necessary to manage the task. Effective communication is also necessary to be able to understand what our patients are telling us, and how to better listen and relate to them. Rashad is attending the team meeting and is being assertive in trying to clarify his role as assistive personnel. He is showing that the nurses would be able to rely on him to help with their patients during the shift for hygienic care and toileting. He is using an assertive form of communication with speaking up during the meeting. This assertiveness is quickly shot down by the aggressive communication of RN, Robin. Her comments of calling Rashad only an aide is belittling and then stating that those cares are the role of a RN farther the belittling. Robin continues to say that Rashad is not expected to think but to do as told is not uplifting at all and developed into feelings of resentment. These feelings are expressed in Rashad’s new goal; of developing a plan to make Robin pay for her comments. Robin’s comments established a tone of superiority and dominance as she shows her expectations that only the nurses know how to think and that the aides should be more like robots to her commands. This aggressive style of communication hurts others and is used to set someone up to overpower†¦ Interpersonal communication is the type of communication that people use to communicate their ideas, thoughts, ideas and feelings to one another person. In Interpersonal Communication, you are dependent upon another person for the communication to be effective. With that being said I thought that I would have great interpersonal communication skills but sadly I do not. I thought I that I would have great interpersonal communication skills because most of the time I can tell how a person is feeling, try to understand how they feel, and what is driving them to feel that way. That is the reason why I wanted to become a social worker but I am glad that I am taking this class to understand my interpersonal communication skills better. I never really thought of interpersonal communication skills as being as important as they are. Whether we like it or not interpersonal communication a key skill for personal and professional relationships. What you say and what you don’t say both carry a lot of weight in communication. Having effective interpersonal communication means that you use both of these forms to your advantage and remain aware of your behavior throughout a conversation. With that being said there are three key points that I feel that I need to do a great deal of improvement on and they are overcoming my fear to speak, my eye contact, and being aware of my adaptors that I use and how I use them. The first thing I feel that would help my interpersonal communication skills is to overcome my fear to talk people that I do not know. I have to overcome this fear because if not I will never be able to become the great social worker that I can become. I feel that a great way for me to overcome this fear is by talking to strangers at work. By not saying anything or acknowledging my co-worker that I do not know is not sending a message good message to them. If I want to have effective interpersonal communication, I have to get†¦ Effective communication is important for psychological well-being for a number of reasons. Communication allows conveying our needs and feelings to others, as well as to respond to and respect the needs of others. Social supports are an important factor to decrease anxiety and depression. Communication helps to develop significant relationships with friends and family, as well as with romantic partners. Developing skills that allow communication between p eople that we trust allows for expression of emotions, as well as the ability to get feedback and support. Three very important skills are needed for communication. They are assertiveness, conversational or verbal communication skills and nonverbal communication skills. Two attitudes are important in developing communication skills that are effective. These skills are being proactive and thinking win/win. Proactive means taking responsibility for your life. A person can choose to be happy and successful. In the win/win situation, society has labeled life as either a clear winner or a loser. In business, the goal is to provide the best service or product to maximize profits and beat the competition. This plays a major role in why society thinks that in interpersonal interactions it too is a game in which there is a clear winner and loser. A mature and confident way to approach human reactions is thinking win/win. This approach allows for both parties to succeed and achieve goals. Being assertive is one of my greatest assets. I have learned that a closed mouth will never get fed. When being assertive it is not necessary to raise our voice or shout at other people. Being threatening is not assertive either. Many people confuse aggression with assertion. Being assertive allows speaking in normal tones, respecting personal distance and the ability to state opinions needs or wants.

Thursday, August 15, 2019

Bowen Family Systems, Structural, and Strategic Models Essay

Bowen Family Systems, Structural, and Strategic Models Theory Application The case study of Ana will be analyzed using the Bowen Family Systems Theory Approach. Bowen Family Systems Theory is a theory of human behavior that views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit (Kerr, 2000). This paper will discuss the concepts of the theory that is appropriate for this case study; the reason this theory was chosen over the other ones; counseling goals and intervention strategies in accomplishing those goals; and designation of short or long term counseling. This paper will also discuss the counselor’s role with Ana; the client’s role in counseling; the population this theory is most appropriate for as well as addressing the social and cultural needs of the client; any additional information that might be helpful to know about this case; and what are the risks, if any, of using this approach. What concepts of the theory make it the most appropriate for the client in the case study? Include at least five concepts. There are five concepts that would make this theory appropriate for the client in the case study. The first concept in this Bowen Family Systems Theory Approach is triangles. What is a triangle? According to Kerr (2000), a triangle is a three-person relationship system. This triangle is a part of a bigger emotional system because a triangle is the smallest stable relationship system. These triangles involve, according to Murdock (2013), two people that are the â€Å"in† group and one person that is the â€Å"outside† group. Triangles form when the anxiety levels rise in a relationship or family (Titelman, 2008). Individuals (or families) with low levels of differentiation are more likely to triangle because more emotion is involved (Kerr, 1981). As a counselor, it is best to pay attention to your client and if they seem to react repeatedly to others, then you can suspect that a triangle has been activated (Murdock, 2013). As for Ana, there is a triangle  that has formed here. She is worried about surviving without her husband being around and figuring out how to make things meet because she is unemployed. The second concept of this theory is differentiation of self. According to Murdock (2013), differentiation deals with the individual as well as the family; however, according to Kerr (2000), the differences between an individual and family reflect the different levels of differentiation to self. A person who has low levels of differentiation are said to react and adjust their way of thinking to better suit the situation that they are in (Kerr, 2000). A person who has a high level of differentiation can keep their cool when conflicts arise (Kerr, 2000). Bowen (1978), refers a low-differentiated individual’s tendency to fuse as a â€Å"common self with others† and is most clearly seen in intimate relationships such as marriages. Titelman (2008), spoke of a pattern called underfunctioning-overfunctioning dynamic where the weaker individual in the family system is the weaker of the two and is more likely to develop symptoms. Ana is the weaker individual in the family since she does not have a job and she feels worried about how to continue with her life. She is hopeless and does not know what to do (Grand Canyon University, 2014). The third concept in this theory is the Nuclear Family Emotional Process. According to Kerr (2000), this concept describes four basic relationship patterns that govern where problems develop in a family. The four problems are marital conflict; dysfunction in one spouse; impairment of one or more children; and emotional distance. In a marital conflict, according to Kerr (2000), as family tension increases and the spouses get more anxious, each spouse ends up focusing on the negative issues about each other. In a dysfunction in one spouse problem, according to Kerr (2000), one spouse pressures the other spouse to think and act one way and then the other spouse yields to that pressure. If anxiety levels rise in these problems, psychiatric, medical, or social dysfunction may develop (Kerr, 2000). In impairment of one or more children problems, according to Kerr (2000), the spouses focus their anxieties on one or more of their children and the children focus their anxiety on them which can ultimately impair school performance, social relationships, and even health (Kerr, 2000). In emotional distance problems, according to Kerr (2000), people distances themselves from others to reduce the intensity of the relationship, but risk  isolation from each other. The fourth concept of this theory is the family projection process. This concept describes the primary way parents transmit their emotional problems to a child (Kerr, 2000). This process can impair the functioning of one or more children and can increase their clinical symptoms. Some problems that children inherit from their parents include the need for attention and approval; difficulty dealing with expectations; the tendency to blame oneself or others; feeling responsible for the happiness of others or that others are responsible for one’s own happiness; and acting impulsively to relieve the anxiety of the moment rather than tolerating anxiety and acting thoughtfully (Kerr, 2000). Parents have different roles in this process: mothers are the primary caretakers and experience more emotional involvement with one or more child and fathers experience the outside of the triangle, except in high level of tensions among the mother and child (children) (Kerr, 2000). Even though Ana’s son is only one years old, problems may arise in him later on in life because of the problems going on at home right now and with the father being deployed. The fifth concept of this theory is multigenerational transmission process. This process describes how small differences in the levels of differentiation between parents and their offspring lead over many generations to marked differences in differentiation among the members of a multigenerational family (Kerr, 2000). Why did you choose this theory over the others? The Family Systems Theory was chosen for the evaluation of Ana’s case study because this theory focuses on the family not just the individual alone. Even though Ana went in for a counseling session alone, there are underlying issues that most likely involve her family as well. What will be the goals of counseling and what intervention strategies are used to accomplish those goals? The goal of the Bowen Family Systems Theory (BFST) is to help an individual or individuals separate from the family (Titelman, 2008). According to Murdock (2013), an individual must remember that this separation does not mean that he or she needs to cut their family from their life. This theory should help an individual alter the way they reactive in relationships and change the way they handle stress (Murdock, 2013). There is an intervention strategy that can help accomplish the goal of the BFST. This strategy is process questioning. According to Murdock (2013), the questions that are asked help an individual avoid the emotion that is associated with content questions. Is the theory designed for short- or long-term counseling? The BFST is designed for long-term counseling. Treatment of an individual can potentially take years to complete, however, it does depend on the individual and well they advance and overcome their treatment goals (Withers, 2012). What will be the counselor’s role with this client? A BFST counselor remains detriangled in this type of counseling session by presenting themselves as objectively and unemotionally (Kerr, 1981; Murdock, 2013). The counselor is there to teach the client about the operation of family systems (Murdock, 2013). In order to effectively treat an individual, according to Murdock (2013), a counselor should undergo their own BFST therapy himself. What is the client’s role in counseling? In a BFST counseling session, a client is assigned the task of journeying home to observe family interactions; put the principles that were learned into effect; and change how he or she interacts with the family (Murdock, 2013). For what population(s) is this theory most appropriate? How does this theory address the social and cultural needs of the client? BFST is contrary to the norms of many cultures because they tend to support separation of individuals and families (Murdock, 2013). BFST approaches cannot really treat close-knit Latino families or African-American families because of their close family relationships with one another (Sue & Sue, 2008; Falicov & Brudner-White, 1983). What additional information might be helpful to know about this case? Some additional information that might be helpful to know about this case is how Ana feels about bringing her family in to counseling sessions to see if there are any underlying issues that need to be resolved. What may be a  risk in using this approach? After researching this theory, â€Å"some aspects of this theory seem to be operationalizable and testable† (Murdock, 2013, p. 451). Even empirical tests of the BFST have produced promising results in areas such as relationships among differentiation; anxiety; relationship satisfaction; and psychological dysfunction (Murdock, 2013; Miller, Anderson, & Keala, 2004). Bowen’s prediction of individuals choosing partners with similar levels of differentiation received mixed results in the literature, with studies confirming and others disconfirming (Murdock, 2013; Day, St, Clair, & Marshall, 1997; Greene & Mabee, 1992; Kosek). However, when BFST is dealt with family or couples processes, research is less supportive. The Bowen Family Systems Theory was the theory chosen for this paper to analyze the case study of Ana. This paper discussed the concepts of the theory that is appropriate for this case study; the reason this theory was chosen over the other ones; counseling goals and intervention strategies in accomplishing those goals; and designation of short or long term counseling. This paper also discussed the counselor’s role with Ana; the client’s role in counseling; the population this theory is most appropriate for as well as addressing the social and cultural needs of the client; any additional information that might be helpful to know about this case; and what are the risks, References Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aronson. Day, H. D., St. Clair, S., & Marshall, D. D. (1997). Do people who marry really have the same level of differentiation of self? Journal of Family Psychology, 11 doi: 10.1037//0893-3200.11.1.131 Falicov, C.J., & Brudner-White, L. (1983). The shifting family triangle: The issue of cultural and contextual relativity. In J.C. Hansen & C.J. Falicov (Eds.). Cultural perspectives in family therapy. Rockville, MD: Aspen Systems. Greene, G.J., & Mabee, T. F. (1992). Differentiation of self and marital adjustment of clinical and nonclinical spouses. In B.J. Brothers (Ed.), Couples therapy, multiple perspectives: In search of universal threads. New York: Haworth Press. Grand Canyon University (2014). Case study analysis. Kerr, M.E. (1981). Family systems theory and therapy. In A.S. Gurman & D.P. Kniskern (Eds.), Handbook of family therapy. New York: Brunner/Mazel. Kerr, Michael E. (2000). One Family’s Story: A Primer on Bowen Theory. The Bowen Center for the Study of the Family. Retrieved from http://www thebowencenter.org/theory Miller, R.B., Anderson, S., & Keala, D.K. (2004). Is Bowen theory valid? A review of basic research. Journal if Marital and Family Therapy, 30, doi: 10.1111/j.1752.0606.2004.tb01255.x Murdock, N. (2013). Theory Is a Good Thing. In Theories of counseling and psychotherapy: A case approach (Third ed., p. 4). Upper Saddle River, N.J.: rill/Prentice Hall. Sue, D. W., & Sue, D. (2008). Counseling the culturally diverse: Theory and practice (5th Ed.). Hoboken, NJ: Wiley. Titelman, P. (2008). The concept of the triangle in Bowen theory: An overview. In P. Titelman (Ed.), Triangles: Bowen family systems theory perspectives New York: Routledge. Withers, R. (2012). A comparative study of Bowenian system theory and cognitive-behavioral family therapy. Retrieved from http://www.counselinginsite.com