As For Me and My House essays

As For Me and My House essays "As For Me and My House" is a very complex novel by Sinclair Ross. The novel is told to the reader as journal recordings of Mrs. Bentley. The main character consist in the journal are Mrs. Bentley's husband Philip, a school teacher Paul, choir girl in church Judith and abandon child Steve. Because the story is told as a journal, so everything is in a view through Mrs. Bentley's eyes and is in her point of view. The setting of the story is in a small town Horizon located in the Canadian prairies. The novel opens the Bentleys arrival to Horizon. This is the fourth small town to which Philip has been moved. Being a Minister was not easy, they have to face the community's stereotypes. The things they do would be monitor by the towns people, that is why the Bentley would put on a false font to give the town's people an impression that they are traditional Christians or the image that the people wants to see. Although the relationship between Mrs. Bentley and Philip has grown into merely a roommate relationship, they would show little love towards one another. I argued that Mrs. Bentley usage of false fronts towards Philip has saved their marriage. The Bentley has been married for twelfth years. In her journal Mrs. Bentley recalls that how Philip became a minister. After Philip's graduation, he married a music student, who was Mrs. Bentley, but unfortunately Philip was force to work for the United Church as a minister because of the expenses incurred with the birth of the stillborn child and also the debts has piled up. Although Philip's dream was to become an artist, he is now trapped himself in the small town he was trying to escape from. The life in the small town and their own hypocrisy has driven the Bentleys apart. In Mrs. Bentley's diary you can see how Philip's feel towards his job and towards Mrs. Bentley "After all, could the pebbles of his disbelief do and real harm to and institution like the church"(25). Mrs. Bentley and ...

CoSchedule For Agencies The Way to Organize Client Projects

For Agencies The Way to Organize Client Projects Ahh†¦ the double-edged sword of managing multiple clients. More clients = more positive growth  ($$$) 💠°Ã°Å¸â€™ °Ã°Å¸â€™ ° but it also means Keeping track of MORE  projects†¦ more  goals†¦ more  industry guidelines + brand standards†¦ AND more  deadlines! All of which you must  become intimately acquainted with  and orchestrate  with precision Introducing, your NEW secret weapon: for Agencies. Manage All Your Clients In One Place. Eliminate the need for spreadsheets, email threads, and multiple platforms! Get all your clients under one roof. Simplify Your Team’s Workflows Collaboration. Easily facilitate real time collaboration with your clients, stay on track with client tasks, and execute on projects faster. Create Campaigns Social Content For One Client (Or Many). Schedule dozens of social messages in seconds + streamline the collaboration process between your internal and client teams with everything in one place. Improve Client Retention With Data. No more warm fuzzies! Prove the value of all your hard work with real data! Utilize ’s Social Engagement Report to measure your success and improve client retention. Customize To Fit Your Client’s Needs. is designed for flexibility. As your clientele grows, so should your tool. With the Agency pack, you’ll get ’s Multiple Calendars feature; allowing you to create unique calendars + analytic reports for every client. The Growth Plan + Agency Pack gives you (and your team) the tools to keep track of every client and every project in one place.

Assignment Essay Example | Topics and Well Written Essays - 500 words - 46

Assignment - Essay Example This is called differentiation. Marketing lets business leadership find a valuable or innovative feature of a product or service and then promote to customers why this product should be purchased over similar competitor products. Marketing is also about cost controls using different metrics to measure whether a promotional campaign is meeting with success. For example, it might be discovered through market research that making a product costs the organization far too much with the operations budget. This would have an impact on the price to customers so that the company does not lose money in production. Marketing activity lets a business see all of its expenses and make changes to build a more productive manufacturing system. Controls in business strategy are very important to be successful and discover if the business can be more effective. The question as to whether or not marketers should continue to market cigarettes is an ethical issue. If there is consumer demand for the product and it is considered a legal substance, there really is no reason why marketers cannot continue to promote the product. Consumer safety is a big issue in marketing and general business, but in the case of cigarettes, it is consumers that are responsible to make decisions that are good for their health status. Governments and many different special interest groups have provided society with scientific knowledge about the dangers of cigarettes. There are likely few people in the world today, both young and old, that are unaware that cigarettes cause cancer and other serious illnesses and health problems. If consumers continue to buy the product, it is not likely because of tobacco company promotions, but because they enjoy consuming the product. Ethics differ from culture to culture so there is no one universal set of beliefs and values that should be forced on cigarette marketers. Then the answer is yes,

Bibliography Annotated Example | Topics and Well Written Essays - 500 words - 1

Annotated Bibliography Example Individuals who were forced to be admitted and who had a pacemaker were not made part of the sample size. When the patients were first admitted to the healthcare center, they experienced higher level of dehydration. Different physiological factors were considered while identifying hydration levels including: systolic blood pressure levels and dryness of the tongue. The study was descriptive in nature and for a descriptive study a sample size of 15 is enough, while the study employed 43 individuals and this means that the sample size was enough. The statistical power of 95% has been mentioned that means that the sample size is adequate for the study. The study was well designed as it followed all the requirements of a descriptive study such as the requirement of the minimum sample size. The study even contained various factors that were related to the purpose of the study. The relevant outcomes of the prevalence as well as the measures and factors of measuring dehydration were clearly mentioned. These outcomes were relevant to the purpose of the study and that is why they were reported. The study included only patients who aged over 60 which is mostly the benchmark age of older adults in most of the nations. This means that the findings of the study can be generalized in people belonging to other nations and this why the eligibility criteria was appropriate. The older adults were experiencing higher levels of dehydration as compared to the dehydration levels assessed by the hospital. This study helped in identifying parameters that are being considered globally to assess the level of dehydration. The study has provided some new measures of identifying the levels of dehydration among older adults and these measures can be utilized in clinical settings to perform the same analysis. This can help in better care of the patient as nurses should know whether their patients are taking appropriate amount of fluid

Necrotizing Ulcerative Gingivitis Essay Example | Topics and Well Written Essays - 1250 words

Necrotizing Ulcerative Gingivitis - Essay Example When affected these tissues are covered with a dirty yellow to gray smear. The gingiva is extremely red, swollen, inflamed, and excruciatingly painful. On examination, the patients may present the hallmark of the disease, necrosis and crater-like ulceration of the affected interdental papillae. These irritated tissues will induce salivation, and the offensive exudates can be seen and perceived by halitosis. In some cases, spontaneous hemorrhage is also encountered. This discrete clinical picture makes the feasibility of easy diagnosis by clinical examination alone. However, this simplicity is not always the case, where the disease may be generalized within the oral mucosa, rather than being generalized, and sometimes, acute oral pain is also associated with systemic symptoms of fever and malaise. Quite frequently, involvement of the regional lymph nodes is also seen in the form of painful lymphadenopathy. Generalized disease due to contiguity may involve the other areas of buccal muc osa. When involved, most commonly the oral mucosa opposite the third molar is involved. Although rare, sometimes this encompasses tongue, lips, palate. It has been shown that there is an association between plasma ascorbate deficiency and disease risk. When this clinical presentation happens as a part of necrotizing ulcerative stomatitis, it is better to err on the side of HIV infection and rule it out. In this article, the relevance of the condition to dental practice will be explained and explored based on evidence from current literature (Melnick, S. L., Alvarez, J. O., Navia, J. M., Cogen, R. B., and Roseman, J. M., 1988). Melnick and coworkers investigates the susceptibility of necrotizing ulcerative gingivitis and in doing so they build up their study on the knowledge that impaired immune defense mechanisms and genetic factors play a role in susceptibility of this disease. In the concise literature review, the authors summarize the current literature on this disease. Although oral anaerobic bacteria have been implicated in this disease, the exact role played by them has not been elucidated. The question whether this disease is etiologically related to a genetic basis, is still unanswered, although the authors mention a familial constellation of cases. Many factors such as poverty, stress, and malnutrition have been suggested, but these have not yet been established conclusively. Numerous other associated conditions have been described in the literature, and they are important from the clinical point of view as far as the practice of dentistry is concerned, since they may alert the clinician to take a dequate preventive measures when such patients are encountered. Many such conditions pathologically are related to impaired immune defense, and they are chronic cyclic granulocytopenia, agranulocytosis, cyclic neutropenia, and Down's syndrome. In all these conditions, there is either defective polymorphonuclear leukocyte functioning or secondary neutrophils deficiency. It has been suggested that these deficiencies result from presence of abnormal complement components. These complement defects are genetically controlled, and therefore, it can be inferred that these defects in complement synthesis, C3 and C4 may play some role in pathogenesis of necrotizing ul

Mental Health: Concepts of Race and Gender

Mental Health: Concepts of Race and Gender Mental distress/disorder as a function of the society we live in: implications for the practice of mental health social work in terms of gender and race Introduction Mental illness/disorder/distress is a rather ambiguous umbrella term for describing a wide range of diverse disorders of the mind. According to the Oxford Medical Dictionary, mental illness is â€Å"a disorder of one or more of the functions of the mind (such as emotion, perception, memory, or thought), which causes suffering to the patient or others† (Oxford Medical Dictionary, 2007). The global burden of mental illness was estimated at 12.3% at the beginning of the millennium and is expected to rise even further in the next decade (Murray and Lopez, 1997; Patel et al, 2006). Critical perspectives that refute the biological definitions of mental illness started to arise in the 1960s. Szasz (1961) and other critical theorists have continually challenged the classification of normal and abnormal behavioural categories, and focused instead on the role of social factors on the development of mental illness (Martin, 2003). Key among these factors are gender, race and ethnicity, sexual preference, age and class. Apart from several medical theories that explain the aetiology of mental illness with neurological chemical imbalances, the actual causes of such psychological disorders are largely unknown. However, as outlined above, there are myriad known factors that trigger or prompt such mental impairment. Work stress and work-related psychosocial conditions, for example, plays an important role in self-reported mental health (Kopp M et al, 2008). Furthermore, gender is generally accepted as a significant risk factor for the development of mental distress. The World Health Organization acknowledges that a large majority of common mental health diseases are more frequently reported in the female gender than in their male counterparts. As an example – common psychological disorders such as depression and anxiety are predominant in women. Conversely, there are other disorders of the mind that are more common in men. These include, but are not limited to, substance misuse (including alcohol dependence) and antisocial personality disorder (The World Health Organization). Nevertheless, there are no reported differences in the incidence of some severe mental disorders, like schizophrenia, in men and women. In addition to the gender-related differences documented in the incidence of these disorders, there have also been reported differences in terms of the epidemiology and severity – age of onset, symptom frequency, soci al adjustment, prognosis and trajectory of the illness. The World Health Organization proffers possible explanation for the observed differences between genders – men and women have differential withstanding power over socioeconomic determinants of their mental health, social position, status and treatment in society and their susceptibility and exposure to specific mental health risks (The World Health Organization). Similarly, race could also be a determining factor for the development of mental illness. In addition, mental illness in some races, e.g. black and minority ethnic (BME) groups can be further exacerbated by alleged discrepancies in the mental health services available to this potentially vulnerable groups of patients (Ferns P, 2008). A possibly rational explanation for the reason behind any disparities in mental health across diverse races could be the societal differences that are inherent to various cultural backgrounds. The main objective of this paper is to analyse the social factors that can prompt mental distress, especially in women and people from BME populations, and to rationalise how these factors may actually pathologise the discourse of mental health. Mental Illness in Women The natural subordinate role of women and gender stereotypes in most societies makes them prone to disorders of the mind. Psychoanalytic theories believe that patriarchy-based communities are associated with a higher rate of mental illness in women (Olfman S, 1994). These supremacy-governed organisations in which men are largely in control leave women with a consistent feeling of repression, which could culminate in mental distress. Indeed, in some extreme societies, women with more independent views who express anger or dissatisfaction with the standard patriarchal social structure are often seen as having psychological problems (Martin, 2003). According to The World Health Organization, gender-specific roles, negative life occurrences and stressors can adversely affect mental health. Clearly the impact of the latter factors (i.e. life experiences and stressors) is in no way exclusive to the female gender. However, it is the nature of some events that are sometimes commonplace in women’s lives that could account for the documented gender-related differences. Risk factors for mental illness that mainly affect women include women-targeted violence, financial difficulties, inequality at work and in the society, burdensome responsibility, pregnancy-related issues, oppression, discrimination, and abuse. There is a linear correlation between the frequency and severity of such social factors and the frequency and severity of female mental health problems. Adverse life events that initiate a sense of loss, inferiority, or entrapment can also predict depression (The World Health Organization). Furthermore, in a domino-effect way some female factors can also lead to mental illness, not just in the individual concerned, but also in subsequent generations and/ or interacting family and friends. For example – maternal depression has been shown to be associated with failure of children to strive in the community, which in turn could culminate in delays in the developmental process and subsequent psychological or psychiatric problems (Patel et al, 2004). In the past three decades, the debate of women and mental health illness and their treatment in mental health services has been quite controversial (Martin J, 2003). From a social constructionist point of view, it is believed that some women are wrongly labelled as ‘mentally ill’ merely because they do not accept certain (usually unfair and unfounded) gender-related stereotypical placement in the society. In this often-cited and somewhat controversial book chapter by Jennifer Martin (Mental health: rethinking practices with women) she expresses great concern for the biological explanations of mental health which have the tendency to lay undue emphasis on the female reproductive biology that supposedly leads to a predisposition to mental illness. Such sexist notions tend to disproportionately highlight female conditions such as pre-menstrual tension, post-natal depression and menopause, in a bid to foster the notion that women are at higher risk of developing mental distr ess (Martin J, 2003). Instead of this allegedly short-sighted approach to the medicalisation of mental health in women, feminist theorists focus on female mental illness as a function of the lives they are made to live within patriarchal, and often oppressive, societies. Women are disadvantaged – both socially and psychologically – by these unreasonably subservient role expectations (Martin J, 2003). Mental Illness and Race The United Kingdom (UK) is a home to a very diverse and multicultural population, and BME communities make up approximately 7.8% of the total UK population (Fernando S, 2005). There are innate differences in the presentation, management and outcome of mental illness between the different races and ethnic groups (Cochrane R and Sashidharan S, 1996; Coid J et al, 2002; Bhui K et al, 2003). In a recent policy report for the UK Government Office of Science, Jenkins R et al, (2008) explained that while some mental disorders appear to be more common in the BME populations, others are not. In addition, incidence rates of different mental disorders also vary among different ethnic groups within the BME populations. For example, depression is increasingly common in the Irish and Black Caribbeans, but not necessarily in the Indian, Pakistani and Bangladeshi sub-populations (Jenkins R et al, 2008). In the UK, the risk of suicide also varies by gender as well as ethnicity, with Asian men and Black Carribeans having lower rates than the general UK population, and Asian women having higher rates. Similarly, the incidence of psychoses is not uniformly elevated in all BME groups – the highest incidence is seen in Black Caribbean and Black African groups in the UK, (4 – 10 times the normal rates seen in the White British group) (Jenkins R et al, 2008). In a retrospective case-control study of a representative sample of more than 22,000 deceased individuals, Kung et al (2005) highlighted important disparities in mental health disorders, such as substance misuse, depressive symptoms and mental health service utilisation as possible determinants of suicidal behaviours and/ or attempts. Also, clear associations have been demonstrated between racism and the higher rates of mental illness among BME groups (McKenzie K, 2004). The rising incidence of suicides in some developing countries, as seen with Indian farmers, South American indigenes, alcohol-related deaths in Eastern Europe, and young women in rural China, can be partly attributed to economic and social change in these nations (Sundar M, 1999; Phillips M et al, 1999). Pre-, peri- and post-migratory experiences can be major stressor determinants for the development of mental health illness (Jenkins R et al, 2008). Therefore, in order to understand the differences in these populations, it is of utmost importance to gain some insight into their cultural backgrounds and the happenings in their countries of origin all of which could be determinants of mental health. There is a direct relationship between social change and mental health and, in the recent past, many developing countries have undergone incomparable, fast-paced social and economic changes. As Patel et al (2006) have pointed out, such economic upheavals commonly go hand-in-hand with ruralà ¯Ã¢â€š ¬Ã‚ ­urban migration and disruptive social and economic networks. Furthermore, it is noteworthy that The World Health Organization has acknowledged that such changes can cause sudden disruptive changes to social factors, such as income and employment, which can directly affect individuals and ultimately lead to an increased rate of mental disorders. Also Alean Al-Krenawi of the Ben-Gurion University of the Negev has extensively explored how exposure to political violence has influenced the mental health of Palestinian and Israeli teenagers (Al-Krenawi A, 2005). Al-Krenawi goes on to emphasise that the concept of mental health in the Arab world is a multi-faceted one and is often shaped not only by the socio-cultural-political aspects of the society, but also by the spiritual and religious beliefs. In addition, the perception of racial discrimination has been identified as a significant contributory factor to poor mental and overall health in BME groups – even more important that the contribution of socio-economic factors (Jenkins R et al, 2008). It is disheartening to note that institutionalised and/ or constitutional racism is rife in the conceptual systems that are employed in the provision of mental health services (Wade J, 1993; Timimi S, 2005). Implications for the Practice of Mental Health Social Work In general, people suffering from mental illnesses receive substandard treatment from medical practitioners both in the emergency room and in general treatment, and insurance coverage policies are usually unequal compared with their mentally balanced counterparts (McNulty J, 2004). For BME populations, especially Black and Asians, access and utilisation of mental health services are very different from those recorded for White people (Lloyd P and Moodley P, 1992; Bhui K, 1997). Exploring the pathway to care in mental health services, Bhui K and Bhugra D (2002) highlight that the most common point of access to mental health services for some BME groups is through the criminal justice system, instead of their general practitioner, as would be the case in their White counterparts. Major areas in which institutional racism is rife in the provision of mental health services to BME patients include mental health policy, diagnosis and treatment (Wade J, 1993). For example, Black patients with mental illness are more likely to be treated among forensic, psychiatric and detained populations (Coid J et al, 2002; Bhui K et al, 2003) and are also disproportionately treated with antipsychotic medication than psychotherapy (McKenzie K et al, 2001). Having said this, it is important to differentiate between racial bias and the consideration of racial and ethnic differences. In fact, ignoring these essential differences could actually be seen as a different type of bias (Snowden L, 2003). Already, members of the BME population face prejudice and discrimination; this is doubled when there is the additional burden of mental illness, and is one of the major reasons why some of these patients choose not to seek adequate treatment (Gary F, 2005). As such, stigma arising from racism can be a significant barrier to treatment and well-being, and interventions to prevent this should be prioritised. It is therefore also of utmost importance that institutional racism be eliminated. As far back as 1977, Rack described some of the practical problems that arise in providing mental health care in a multicultural society. These include, but are not limited to: language, diagnostic differences, treatment expectations and acceptability. Some effort has been made to address some of these problems in England, by the development of projects for minority ethnic communities both within the statutory mental health services and in non-governmental sector (Fernando S, 2005). In addition, overcoming language barriers should help in eliminating racial and ethnic disparities towards achieving equal access and quality mental health care for all (Snowden L et al, 2007). The World Health Organization also draws attention to similar bias against the female gender in the treatment of mental disorders. Doctors are generally more likely to diagnose depression in women than in men, even with patients that present with similar symptoms and Diagnostic and Statistical Manual of Mental Disorders (DSM) scores. Probably as a result of this bias, doctors are also more likely to prescribe mood-altering psychotropic drugs to women. Considering that immigrants and women separately face challenges with the provision of mental health care, it is expected that immigrant women would have even more setbacks, owing to their double risk status. Using Kleinman’s explanatory model, O’Mahony J and Donnelly T (2007) found that this unfortunate patient group face many obstacles due to cultural differences, social stigma spiritual and religious beliefs and practices, and unfamiliarity with Western medicine. However, the study did also highlight some positive influences of immigrant women’s cultural backgrounds, which could be harnessed in the management of these patients. To effectively target and treat the diverse population that commonly present with mental illness in the UK, it is necessary to promote interculturalisation, i.e. â€Å"the adaptation of mental health services to suit patients from different cultures† (De Jong J and Van Ommeren M, 2005). Hollar M (2001) has developed an outline for the use of cultural formulations in psychiatric diagnosis, and advocates for the inclusion of the legacy of slavery and the history of racism to help understand the current healthcare crisis, especially in the Black population. Conclusion As we have discussed extensively in this paper, females and patients of BME origin are commonly disadvantaged in the treatment of mental illnesses. Mental healthcare professionals need to eliminate all bias in the treatment of these patients, while at the same time, taking into consideration their inherent differences to ensure that mental health services provided are personalised to suit the individual patient. References Al-Krenawi A. Editorial: mental health issues in Arab society. Israeli Journal of Psychiatry and Related Sciences 2005; 42 (2): 71. Bhui K. Service provision for London’s ethnic minorities. In London’s Mental Health, London: King’s Fund (1997). Bhui K and Bhugra D. Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes. Advances in Psychiatric Treatment 2002; 8: 26 – 33. Bhui K, Stansfeld S, Hull S, Priebe S, Mole F, Feder G. Ethnic variations in pathways to specialist mental health care: a systematic review. The British Journal of Psychiatry 2003; 182: 5 – 16. Cochrane R and Sashidharan S. Ethnicity and health: reviews of the literature and guidance for purchasers in the areas of cardiovascular disease, mental health, and haemoglobinopathies. York: University of York, 1996: 105 – 126 (part 3). Coid J, Petruckevitch A, Bebbington P, Brugha T, Brugha D, Jenkins R, et al. Ethnic differences in prisoners. 1: criminality and psychiatric morbidity. The British Journal of Psychiatry 2002; 181: 473 – 480. De Jong J and Van Ommeren M. Mental health services in a multicultural society: interculturalisation and its quality surveillance. Transcultural Psychiatry 2005; 42 (3): 437 – 456. Fernando S. Multicultural mental health services: projects for minority ethnic communities in England. Transcultural Psychiatry 2005; 42 (3): 420 – 436. Ferns P. The bigger picture. If racism exists in society, then surely it must influence mental health services. Mental Health Today 2008 March; 20. Gary F. Stigma: barrier to mental health care among ethnic minorities. Issues in Mental Health Nursing 2005; 26 (10): 979 – 999. Hollar M. The impact o0f racism on the delivery of healthcare and mental services. Psychiatric Quarterly 2001 Winter; 72 (4): 337 – 345. Jenkins R, Meltzer H, Jones P, Brugha T, Bebbington P, Farrell M, Crepaz-Keay D and Knapp M. Foresight Mental Capital and Wellbeing Project. Mental health: Future challenges. The Government Office for Science, London (2008). Kopp M, Stauder A, Purebl G, Janszky I, Skrbski A. Work stress and mental health in a changing society. European Journal of Public Health 2008; 18(3): 238 – 244. Kung H, Pearson J, Wei R. Substance use, firearm availability, depressive symptoms, and mental health service utilization among white and Africa-American suicide decedents aged 15 to 64 years. Annals of Epidemiology 2005; 15 (8); 614 – 621. Lloyd P and Moodley P. Psychotropic medication and ethnicity: an inpatient survey. Social Psychiatry and Psychiatric Epidemiology 1997; 27: 95 – 101. Martin E ed. (2007). Oxford Concise Colour Medical Dictionary. Oxford University Press; 4th edition, page 445. Martin J (2003). Mental health: rethinking practices with women in Critical social work: an introduction to theories and practices. By Bob Pease, June Allan, Linda Briskman. Published by Allen Unwin, 2003 ISBN 1865089079, 9781865089072. McKenzie K, Samele C, Van Horn E, Tattan T, Van Os J, Murray R. Comparison of the outcome and treatment of psychosis in people of Carribean origin living in the UK and British Whites. Report from the UK700 trial. The British Journal of Psychiatry 2001; 178: 160 – 165. McKenzie K. Tackling the root cause: there are clear links between racism and the higher rates of mental illness among ethnic minority groups. Mental Health Today 2004; 30 – 32. McNulty J. Commentary: mental illness, society, stigma and research. Schizophrenia Bulletin 2004; 30 (3): 573 – 575. Murray C, Lopez A. Alternative projections of mortality and disability by cause 1990 – 2020: global burden of disease study. The Lancet 1997; 349: 1498 – 1504. O’Mahony J and Donnelly T. The influence of culture on immigrant women’s mental health care experiences from the perspectives of health care providers. Issues in Mental Health Nursing 2007; 28 (5): 453 – 471. Olfman S. Gender, patriarchy, and womens mental health: psychoanalytic perspectives. The Journal of the American Academy of Psychoanalysis 1994; 22: 259 à ¯Ã¢â€š ¬Ã‚ ­ 271. Patel V, Rahman A, Jacob K, Hughes M. Effect of maternal mental health in infant growth in low income countries: new evidence from South Asia. The British Medical Journal 2004; 328: 820 à ¯Ã¢â€š ¬Ã‚ ­ 823. Patel V, Saraceno B, Kleinman A. Beyond evidence: the moral case for international mental health. The American Journal of Psychiatry 163: 8; 1312 – 1315. Phillips M, Liu H, Zhang Y. Suicide and social change in China. Cultural Medical Psychiatry 1999; 23: 25 – 50. Rack P. Some practical problems in providing a psychiatric service for immigrants. Mental Health Soc 1977; 4 (3à ¯Ã¢â€š ¬Ã‚ ­4): 144 – 151. Snowden L. Bias in mental health assessment and intervention: theory and evidence. American Journal of Public Health 2003; 93 (2): 239 – 243. Snowden L, Masland M, Guerrero R. Federal civil rights policy and mental health treatment access for persons with limited English proficiency. American Psychology 2007; 62 (2): 109 – 117. Szasz (1961) in Martin J (2003). Mental health: rethinking practices with women in Critical social work: an introduction to theories and practices. By Bob Pease, June Allan, Linda Briskman. Published by Allen Unwin, 2003 ISBN 1865089079, 9781865089072. Sundar M. Suicide in farmers in India. The British Journal of Psychiatry 1999; 175: 585 – 586. The World Health Organization. Gender and womens mental health: Gender disparities and mental health: The Facts. [WWW] Available online at http://www.who.int/mental_health/prevention/genderwomen/en/ (Accessed Friday November 15th 2008). Timimi S. Institutionalised racism lies at the heart of the conceptual systems we use in psychiatry. Mental Health Today 2005; 21. Wade J. Institutional racism: an analysis of the mental health system. The American Journal of Orthopsychiatry 1993; 63 (4): 536 – 544. Cervical Cancer: Types, Causes and Cures Cervical Cancer: Types, Causes and Cures By: Omar Abdulle What is Cervical Cancer? Cervical cancer is a disease that affects the cervix of the female reproductive system. The cervix is located in the lower part of the uterus; it connects the vagina to the uterus. Cervical cancer can be classified to two types, Squamous cell carcinomasand Adenocarcinomas. Squamous cell carcinomas account for 80-90 % of all cervical cancer cases. Meanwhile, Adenocarcinomas in found in the glandular cells of the cervix makes up for 10-20% of cervical cancer cases.1 Most cervical cancer starts in the cells in the transformation zone. The cells do not immediately change into cancer. The normal cells of the cervix slowly develop benign tumours that turn into cancer. Only some of the women with pre-cancerous tumours in the cervix will develop cancer. It normally takes several years for benign tumours to turn into malignant tumours. Statistics indicate that 1,500 Canadian women will be diagnosed with cervical cancer in 2016. An estimated 400 will die from it.2 Causes Most cases of cervical cancer are caused by a high-risk type of HPV. HPV is a virus that is passed from person to person through genital contact, such as vaginal, anal, or oral sex. If the HPV infection does not go away on its own, it may cause cervical cancer over time.3 The viruses in the sexual transmitted (HPV) trigger abnormal behavior in the cervical cells causing pre-cancerous conditions. Risk factors Many sexual partners. Early sexual activity. Weak immune system. Smoking. Detection and Diagnosing Detecting Cervical cancer that is detected early can be treated successfully. Doctors recommend regular screening to detect any abnormal cells in the cervix. During screening Doctors will conduct Pap tests to find out the DNA of the cervical cells. The purpose of Pap test is to spot the cancer cells in the cervix. If not diagnosed with cervical cancer, doctors highly suggest continuing screening as risks of getting cervical cancer are high. Diagnosing If cancerous cells are found in the cervix, Doctors will perform the following tests to examine the cervix. The tests are; Punch Biopsy Involves a sharp tool to pinch off cervical tissue for further examination. Endocervical curettage small spoon-shaped instrument to brush a tissue sample from the cervix. The final stage of detecting and diagnosing cervical cancer is called staging. At this point, Doctors have determined you have cervical cancer. Staging can be divided in to for sub-sections. They are: Stage I Cancer is restricted. Stage II Cancer is existent in the cervix and upper vagina. Stage III Cancer is moving. Stage IV Cancer has spread to other nearby organs and parts of the body. Precautionary steps Taking precautionary steps is the right path to reduce the risk of contracting cervical cancer. Experts suggest; Avoid exposure to Human Papilloma Virus (HPV). Get a HPV vaccine. Avoid smoking. Forms of Treatment Just like other forms of cancer, cervical cancer can be treated through the main forms of treatment. I.e. Surgery, Chemotherapy, Radiation therapy, and Targeted therapy. Surgery Determines how far the cancer has spread. Treats cancer successfully during the early stages. Radiation Treats cancer that has spread excessively. Chemotherapy Treats cervical cancer that returns after treatment. Targeted therapy Drug used with chemo to stop cancer growth. This method is still in process Current research and Potential Cures Doctors and scientists are working hard to find out the best ways to prevent and best treat cervical cancer. These methods will improve the functionality of the treatments method, detection and diagnosing. Improvements are being to screening and detection methods. Another innovative and also potential cure is called Immunotherapy, also known as biologic therapy. This is designed to boost the bodys natural defenses to fight the cancer. It uses materials either made by the body or in a laboratory to improve, target, or restore immune system function.5 References Types of Cervical Cancer | CTCA. (0001, January 01). Retrieved March 02, 2017, from http://www.cancercenter.com/cervical-cancer/types/ Cervical cancer statistics Canadian Cancer Society. (n.d.). Retrieved March 02, 2017, from http://www.cancer.ca/en/cancer-information/cancer-type/cervical/statistics/?region=on EPublications. (n.d.). Retrieved March 02, 2017, from https://www.womenshealth.gov/publications/our-publications/fact-sheet/cervical-cancer.html Cervical Cancer: Latest Research. Cancer.Net. N.p., 10 June 2016. Web. 02 Mar. 2017.

Symbols in Cat and Mouse Essay -- Mouse

Symbols in Cat and Mouse Symbols are very important in the story "Cat and Mouse" by Lisa Metzgar. Lisa tells the story of a woman dealing with issues from a small mouse in her house, to not wanting to be married. Animals are used throughout the story to symbolize underlying issues. The reason for the story being called what it is instead of just plain 'mouse' is because both the cat and the mouse represent Marcy at one point. The mouse is a symbol of her in that it is trying to escape the traps that are out for it. This is the same way that she is trying to avoid being tied down by the people in her life. The cat can also represent Marcy after it has taken the poison, symbolizing what will happen to her if she allows others to determine her happiness. When the story opens, Marcy seems to have only one problem, and that is the fact that she has a mouse in her house. However, it isn't until she starts thinking about the mouse that she, "cannot help thinking about all the other things that are wrong with her life" (Metzgar, 67). The first problem for her is that her parents are in the beginning of a divorce and they both seem to want to pull her in their corner. Her father wants her to get to know (and eventually like) his new girlfriend Helen, while her mother wants Marcy to hate her. The other (and definitely the biggest) problem is her relationship with her boyfriend Tom. She didn't really want a serious relationship when the two first started dating but didn't want to hurt him either. Now she fears that he is smothering her and worries that he will propose. The mouse represents Marcy in that like her, it is being hunted. The difference between the two is that she is the one trying to de... ... main character. The mouse, which is scurrying around Marcy's house, can represent her free self that does not want to be tied down. The traps that the mouse repeatedly escapes are representations of the traps that Marcy herself escapes when dealing with people throughout the story. The lazy cat that has nerve damage from eating the rat pellets can represent Marcy if she allows herself to be controlled by the people around her. Although, the reader can see the link between the main character and the animals, it isn't until the end of the story that Marcy realizes that the mouse is really warning her of what will happen if she gives in to the 'traps'. By physically seeing the mouse being caught by the nose in the trap and seeing the misery on its face, she realized that this is the same way that she will be if she allows her spirit to be controlled by others.

Maya Angelou Biographical Approach Essay

Maya Angelou has remarked, â€Å"I’m always inspired by men and women who rise†¦That ability to rise is nobleness of the human spirit.† Write an essay in which you analyze Angelou’s beliefs about the human spirit, as reflected in the four works you just read. Before you begin, consider what Angelou has to say about her work: â€Å"I speak to the black experience, but I am always talking about the human condition—about what we can endure, dream, fail at, and still survive.† Writing Your Essay As you plan, draft, and revise your essay, keep the following tips in mind: †¢In the introduction, or the beginning of your essay, include a specific thesis statement that presents the key point you will prove in your essay. †¢Support your ideas with evidence from the four selections. Be sure to analyze how Angelou’s tone and use of stylistic devices contribute to the expression of her themes or main ideas. †¢Make sure that every paragraph has unity and coherence. All the sentences in the paragraph should relate to one main idea and help develop that idea. †¢End your essay with a conclusion in which you summarize your main points. Include a new, but related, closing insight or reflection. Create a one-page document that shows you have understood the book with the 2 parts below: †¢Part 1: First, think of the symbols in the book. Then, find pictures using â€Å"Google images† or â€Å"Clip Art† and paste them into the document. Then give a 1-2 sentence reason for the symbol. †¢Part 2: Write a book review. Make sure you convince me you have read it thoroughly! It should be no more than 1-2 paragraphs.

Egyptian goverment essays

Egyptian goverment essays The Egyptian government was the very first government. There were many reasons why the Egyptians had a good government. One example was that they were surrounded by natural boundaries to help them keep their land. Another is how they were excellent scientists. They had the Nile River, it was the reason they could grow 4 crops a year. There life was based on agriculture Egypts location help them a lot them from being conqured. All the cities and villages were along the Nile River because it was hard for them to be attacked. Also to the north they had the Mediterranean sea, to the west they had the Libyan desert, to the south they had more desert and to the east they had the red sea. All of these are reasons why they had such a great civilization for 1000years. The Egyptians were very smart people. They had many things that we have today, they had a solar calendar, they were excellent astronomers (365 day calendar), they used geometry to build they huge pyramids, they knew how to set broken bones. They knew how to take to chemicals and combine them or the chemical proceses, they produced their own natural medicines. Basically the Egyptians came up with a lot of stuff we use today. The Nile River was the base of the Egyptians culture, with out it they could not have a civilization. They Egyptians were the first civilization to be able to grow crops year around. They always had a crop growing no madder if it was hot or cold. It helped their exporting a lot. The Egyptians economy was based on agriculture. They grew wheat, barley, flax, raising sheep and cattle. They imported ivory, species, copper, and wood, they exported glassware, linen, and clay vases. They agriculture was very good for their time they dominated all other cavitations for 1000 years Those four examples are just some of the many reasons why Egypt had a conquering government for 1,000 years. Egypt was in the right place at the right time, they ha...

Healthcare †HR Class Essays

Healthcare – HR Class Essays Healthcare – HR Class Paper Healthcare – HR Class Paper Healthcare benefits are an important part of the benefits and services provided to employees. Currently, employees have access to several different types of insurance packages. Each healthcare insurance package has certain benefits and limitations. To better understand the essence and implications of healthcare insurance, the three major types of healthcare insurance packages should be reviewed in detail. These include medical care programs, wellness programs, and employee assistance programs. Medical Care Programs Conventional insurance Conventional insurance represents non-managed type healthcare insurance. â€Å"With conventional health insurance, the insurer pays your bill after treatment has been rendered† (Salley, 2005). Some conventional healthcare insurance packages require that insurers provide properly filled forms to guarantee reimbursement. Different types of out-of-pocket expenses are the participant’s responsibility; these include fees that are not covered by a particular insurance package, copayments, and the fees that are considered unreasonable by the insurer. Health Maintenance Organizations (HMOs) The central idea and the essence of HMOs is in offering the so-called centralized primary care: patients have one primary care physician who knows them well enough to provide them with complete care (Folland, 2006). Those enrolled into HMO packages are obliged to pay monthly fees, combined with fees for each visit of prescription. Other specialists cannot be visited without the primary physicians referral. The strongest benefit of HMOs is in low costs and a wide range of deductibles; HMOs are strongly interested in keeping their patients healthy, and provide participants with extremely effective preventive care. Preferred Provider Organizations Under Preferred Provider Organizations, participants are motivated to visit one specific healthcare provider. PPOs require paying deductibles. Participants are offered discounts when visiting specialists and hospitals covered by health insurance plan. Here, patients have more freedom to decide, what facility and what specialists they want to visit from the list of those covered by the plan. However, seeing physicians outside the PPOs networks is mostly unaffordable (Folland, 2006). Point of Service Plans POS or Point of Service Plans is a hybrid managed care option similar in most respects to both PPOs and HMO plans and can be considered as something of a cross between the two (Salley, 2005). POS participants are required to choose one primary care physician, who will later refer them to other specialists. PPO’s provide their participants with the full list of benefits within the covered network of specialists and healthcare units. Although participants are able to choose specialists outside their insurance network, their coinsurance rates will be somewhat higher (Folland, 2006). Consumer Driven Plans Consumer Driven insurance packages allow their participants choosing their own physicians and healthcare providers. CDP provide participants with sufficient freedom to control their healthcare expenses and benefits. CDP usually involve a three-tier structure of healthcare payments; those who did not have healthcare expenses during a year have a chance to save their money. CDP also offer a full set of support systems that help participants choose the best healthcare provider and monitor their expenses (Salley, 2005). Employee Wellness programs The primary purpose of employee wellness programs is to enhance employee wellbeing, and to increase employee awareness about the importance of healthy lifestyle. It is widely admitted that wellness programs substantially decrease employer healthcare expenses and costs (Hodge, 2007). Wellness programs offer a wide range of preventive measures, including seminars, screening procedures, exercise and relaxation classes, etc. These programs do not provide employees with any insurance guarantees, but ensure that employees do their best to prevent all types of possible health complications. Employee assistance programs â€Å"Employee Assistance Program is a confidential, short term, counseling service for employees with personal problems that affect their work performance† (Folland, 2006). EAP’s cover all possible types of personal issues, including stress, harassment, violence, or parenting issues. All employees are provided with an opportunity to contact an EAP representative. EAP is another bright example of a well-developed set of preventive measures that decrease healthcare risks and prevent various health complications. References Folland, S. (2006). Economics of health and health care. Prentice Hall. Hodge, J. (2007). Lowering healthcare premiums by increasing staff wellness: a staff wellness plan increased the return on investment. Nursing Homes, 55 (11): 66-70. Salley, H. (2005). Health-care benefits and insurance trends. American Business Journal, 44 (7): 14-22.

Enhancing E-Learning Experience Assignment Example | Topics and Well Written Essays - 3750 words

Enhancing E-Learning Experience - Assignment Example In terms of Prensky’s transitional imperatives referred above, games and simulations, do offer all the significant features required in the 21st-century learning paradigms. As Ardell and Andresen point out, games and simulation sparkle interest through interesting storytelling narratives, thereby enhancing engagement; but to be effective, learning content in games have to be relevant and woven around strong context. Exploring the effectiveness of learning content, Schank (1997) opines, that people remember situations that turn out to be different from what they expected. Failing in interesting ways, Schank suggests, should be a goal of any learning intent. And, where else, then through games and simulations, can a facilitator embed failure-modes in learning?  The research problem embodies the research study, both in its scope and depth, and unambiguously defined (Fouche, 2005).   In this study, the research problem is centered on studying the impact of games and simulation in e-learning, in terms of effectiveness in learning content, and engagement in learning delivery. Klaus Mogensen (2009) states that the future of learning would revolve around: improved technology, virtual reality, augmented reality, and future competencies. The technologies would include intelligence (smart), interactivity, individualization, and inclusion. Virtual classrooms, second life, situational encyclopedias, Wikipedia, open source and YouTube would become the order of the day. The scope of this dissertation would include the impact of such emerging technologies on e-learning and their adaptation to games and simulation.

Introduction to Business Law Essay Example | Topics and Well Written Essays - 2500 words - 1

Introduction to Business Law - Essay Example While the historical methods of resolving the disputes e.g. civil litigation etc. are still very much intact and effective but their limitations have also been highlighted in modern age. This has given rise to the idea of finding alternate methods of dispute resolution or alternate dispute resolution (ADR). In this paper we will look at what is ‘Alternate Dispute Resolution’, what are its types, how it evolved and what is its effectiveness towards access to justice. We will also see if there are any challenges confronting alternate dispute resolution. When a dispute is resolved through non-conventional methods it is knows as alternate dispute resolution. It â€Å"can be defined as the resolution of disputes other than rendered by the judicial system†. (Rosa, Santa, 2009) There are many ways in which a dispute can be alternatively resolved but following are the most commonly used ones: When the parties to a dispute appoint a neutral referee to hear their dispute and make the decision it is knows as arbitration. The person working as the referee is known as the arbitrator. There can be one or more arbitrator in arbitration. Arbitration is mostly used when there is an arbitration clause in contract between two parties stating that in case of a dispute both parties would go to the arbitrator instead of going through the tradition legal forums. (Lew, Mistelis and Kroll, 2003) Mediation is a system to reach a consensus among conflicting parties. In mediation a mediator is appointed with the consent of all parties. The mediator tries to talk to concerned parties both in the presence of each other and alone as well. Mediation, as a process of reaching a decision, falls short of arbitration as the status of mediator is only to facilitate the dialogue between parties and not make a final decision regarding the dispute. (Stitt, Allan, 2004)