Managing People at Work County Medical Society

Question: Talk about the Managing People at Work for County Medical Society. Answer: Presentation This report presents the situation at County Medical Society Answering Service where a worker named Grace Reed is confronting issues to deal with her subordinates in the wake of being elevated to a move administrator. The report presents about the proposals for better comprehension of those subordinates inspiration. Such proposals are required to reestablish the great relationship among Grace Reed and her companions who are at present her subordinates. A conversation on a cooperative choice creation method has been explained here. A few recommendations are been given to build up the initiative capacities so Grace Reed can all the more likely handle her subordinates alongside improving her passionate insight to comprehend them in better manner. Body Recommendations for better comprehension of the workers inspiration The different inspirational speculations give a way to Grace Reed for understanding the inspiration of her subordinates in a superior manner. It has been understood that the relational connections and oversight are the indispensable sparks for workers in an association. The scholars of inspiration have informed that individuals ordinarily are roused through personal circumstance for the monetary increase for giving necessities throughout their life (Shayganfar, Rich Sidner, 2016). Inspiration is the stressed participation between the work and the board for expanding the benefit. It makes the portrayal of the explanations behind the activities, wants and needs of the individuals. It can likewise coordinate a people conduct or make him to do the conduct more than once. Elegance Reed needs to cause an appropriate use of the factor so she to can remake a decent connection with her subordinates to cause them to adhere to her directions loyally without having any complaints. The Maslows need chain of importance hypothesis says that an individual gets inspired if the requirements of that individual are satisfied from lower to higher requests (Schunk Zimmerman, 2012). The regard needs of a representative on the off chance that gets satisfied, at that point he can be inspired to work and move to satisfy his self completion need. Subsequently, on the off chance that Grace Reed assesses the presentation of her subordinates whatever they do, at that point it can rouse them to give a superior conveyance onwards. The presumptions of McGregor states that individuals of two sorts can be persuaded by lower and higher request needs separately. The primary class that accomplishes negligible work, needs aspiration, resistive towards change is egotistical. They are persuaded by Theory X. Hypothesis Y gives the suppositions to inspire the individuals who are not impervious to change, inherently capable for performing and subject to the administration for the sign of execution (Derlaga Berg, 2013). Elegance Reed ought to apply those suspicions to comprehend her subordinates to order them and give work as needs be. The Herzbergs two factor hypothesis expresses that specific elements in the work environment lead to work fulfillment yet on the off chance that they are absent doesn't result to disappointment in a representatives mind. They are helpers and cleanliness factors separately (Patrick Williams, 2012). The sparks, for example, testing work, duty or acknowledgment gives positive fulfillment though the cleanliness factors, for example, professional stability, pay or incidental advantages whenever become missing at that point results to demotivation. Elegance Reed should think to give difficulties and extra obligations so her subordinates get propelled and furthermore offer great compensation with added advantages to stay away from discouragement. The most recent thoughts on inspiration states about eustress, which makes a consolation of expectation, wellbeing and positive thinking (Derlega Grzelak, 2013). It really encourages an individual to control his reaction to a circumstance, which is now out of his control. The individual gets spurred from their own psychological vitality and makes an economical exhibition. This vitality is required for Grace Reed as she is as of now in a circumstance, which is out of her control. The social trade and value hypothesis expresses that the different social procedures can impact human inspiration while Adams hypothesis of disparity expresses that engaging in the circumstances, which are unjustifiable makes individuals to be persuaded (Hwang Lin, 2012). Effortlessness Reed has likewise gotten propelled as she is right now engaged with a circumstance, which is basic and she needs to assemble a decent social relationship with her subordinates to spur them. She should make techniques to evacuate the imbalances through defense. Vrooms hope hypothesis expresses that individuals have desire results from their exhibition and conduct. The keys of the hypothesis are valence, anticipation and instrumentality, which expresses that exertion, prompts execution which is identified with remunerations. Much in the wake of applying those speculations in the circumstance, Grace Reed will in any case find persuasive issues in a portion of her subordinates who accept that their exertion won't cause an improvement of execution or will to not give them rewards (Xia, Xu Chen, 2013). It will likewise cause her to understand that ethical development makes individuals to follow morals though juvenile individuals will carry on egocentric inspirations. Conversation of a collective choice creation method for helping a group There are a few methods that can be utilized for collective choice creation which incorporate Nominal Group Technique, Brainstorming and Delphi Technique. The Nominal Group Technique is considered here for conversation where the individuals don't make the conversation of the issue and the expected arrangements in verbal terms (Chai, Liu Ngai, 2013). It is a procedure, which includes recognizable proof of the issue, age of the arrangement and settling on a choice. This procedure says the accompanying strides to continue, Express the subject to be conceptualized. Make the explanation of the explanation which is required until everybody has a legitimate comprehension about the issue. Each part thinks in a quiet way and notes down their most extreme thoughts in a given time period (Saaty Peniwati, 2013). The individuals expand their thoughts in their turn which is recorded by the facilitator. The thoughts can be from the part composed rundown or from further reasoning. The individuals can pass his turn on the off chance that he has not to express anything pertinent to the issue. He can give thoughts in the ensuing turns. The procedure will have a continuation all through the gathering till the finish of the settled upon time where all individuals give their perspectives (Yu, 2013). Every thoughts recorded ought to be examined thus. The wording of those thoughts can be changed uniquely on the understanding of the thoughts originator. The individuals should expect to talk about for explanation of the implications of each announcement. They ought to intelligently investigate and clarify each issue. They should bring up and answer the issues with respect to understanding or contradiction of suppositions. There ought to be an equivalent equalization of the considerable number of thoughts in the conversation and the facilitator should control the conversation for not being to be a contention (Liu, 2013). All the thoughts ought to be made obvious in numerous flipcharts around the space to everybody. Elegance Reed ought to apply this procedure to talk about the issues in regards to defiance of her subordinates with her bosses to determine the issue. Recommendations on the improvement of initiative aptitudes based on an administration hypothesis Lewins hypothesis of administration goes under the conventional social speculations which expresses that initiative is of three styles. The first is the totalitarian style, which makes the pioneers to utilize solid, controlling and order activities for authorizing the exercises, guidelines, rules and the connections (Nohria Khurana, 2013). In such case, there is an ostensible impact of his adherents or subordinates. The subsequent one is the law based style, which makes the pioneer to be collective with his adherents in performing activities. In such circumstance, the adherents have an impact of further extent. The third one is the Laissez-Faire style where the pioneer becomes disappointment for tolerating his positional duties (Dinh et al., 2014). In such cases, he makes a tumultuous circumstance in the earth where he works. The model of administrative lattice depends on social hypothesis, which gives five distinct styles that a pioneer can receive for accomplishing his objective. Figure 1: Diagrammatic portrayal of administrative network model (Source: Liu, 2013) The five styles incorporate nation club style, devastated style, widely appealing style, create or die style and group style (Parris Peachey, 2013). Those styles are named based on the worth mixes of the pioneers worry for creation and individuals. To build up any of the authority aptitudes, Grace Reed initially needs to comprehend the circumstance appropriately and the idea of her adherents or subordinates. In the event that she feels to command those individuals because of their defiant nature to make them work under her watch then she ought to be an absolutist chief no doubt (Druskat, Mount Sala, 2013). On the off chance that she sees that there are chances to make a cooperative conversation with them to sift through the issues then she ought to be majority rule. In such case, she should let her subordinates to put their conclusions for making an answer, for example, giving paid leaves during nonappearance or paying additional compensation for extra time work (George, 2012). On the off chance that she sees that a chaotic circumstance has occurred which is crazy then she should search for Laissez-Faire style where she won't take her duties because of her inability to control them. As indicated by the administration network model, Grace Reed ought to embrace the initiative style which will make an appropriate exchange off of her anxiety towards the individuals and creation of her association. Recommendations for development of passionate insight for better administration of workers The passionate knowledge is a basic pointer, which demonstrates the capacity of a director for managing a contention (Druskat, Mount

Crucible Essay Free Essays

Considerably subsequent to doing those things the harassers despite everything end up to blame for whatever transpired, however in spite of all that, they had the option to recapture their lost trustworthiness. In Miller’s play it very well may be seen that characters were allowed the chance to w cap was correct which they utilized, anyway it was anything but a simple for them to make the definitive on of coming clean. A case of this is when John Proctor won't sign his name on an association. We will compose a custom paper test on Cauldron Essay or on the other hand any comparative theme just for you Request Now The explanation Proctor won't do so is on the grounds that he esteems his notoriety and more than anything he needs to keep his great name. Since it is my name! Since can't have another in my life! Since I falsehood and sign myself to lies! Since I personally do not merit the residue on t he feet of them that hang! How may live without my name? I have given you my spirit; leave my name. † (Act 4 page 143. ) In this statement it is seen that Proctor is making a decent attempt to keep his name clean, and keeping in mind that doing so he couldn't care less about what the future outcomes would be. Simi Larry Reverend Hale has residents who admire him which places him as a more significant position authority. Implore you, somebody take these† (Act 1 page 36. Here it is indicated that Hale has p rower over the hissy fits and that he isn't worried about the others around. Anyway tow grants the end the two characters lose whatever power they had which makes them be consistent wit h twentieth blunders and come clean and gain back their lost honesty. At the point when the opportunity arrived Proctor acknowledged he en deed to vindicate himself. â€Å"A man may think God rests, however God sees everything, know it no w. I implore you, sir, I beseech you see her what she is†¦ She thinks to hit the dance floor with me on my wife’s grave ! Also, well she may, for I thought of her delicately. Lord have mercy on me, I yearned, and there is a guarantee in such perspiration. Be that as it may, it is a whore’s vengeance†¦ (Act 3 page 110. ) Here Proctor at long last concedes y o performing infidelity and admits to his past errors, despite the fact that it has cosseted him his life e. Likewise Hale does likewise, he admits to his slip-ups and comes out with whatever fact was toward the back to be told. â€Å"Let you not botch your obligation as I mixed up my own. † (Act 4 page 132. ) Hale after quite a while at last concedes that he abused his capacity and he recaptures his lost uprightness while e attempting to spare the lives of guiltless individuals. Likewise all through the play it very well may be seen that there is change between character s whether it be simply the character changing or helping different characters change. A genuine case of this would be from the earliest starting point of the play, when it is seen that Proctor is did gradually to his significant other Elizabeth. â€Å"Baby, I may consider you delicately every once in a while. Be that as it may, will remove my hand before I’ll ever go after you again. Wipe it out of brain. We never contacted, Baby† (A CT 1 page 23). This here shows that Proctor is unfaithful to his significant other and that he is likewise attempting to eradicate the past and keep reality with regards to his infidelity in obscurity. Interestingly while Proctor w s unfaithful, Hale was being spurred by bad behaviors. â€Å"Why is everything basic. I come to accomplish the devil’s work. I come to guide Christians they ought to give a false representation of themselves. There is blood on my head. Would you be able to see the blood on my head† (Act 4 page 131). Here Hale is indicating that he has been inspired by the fiend to foul up things. He here accepts that he is doing the devil’s w ark. Never the less considerably in the wake of showing such ugly qualities both character’s figured out how to chi outrage themselves and again procure back any lost trustworthiness. The most effective method to refer to Crucible Essay, Essays

Case Nestle

Settle CASE STUDY Nestle is one of the most established of every single global business. The organization was established in Switzerland in 1866 by Heinrich Nestle, who set up Nestle to convey â€Å"milk food,† a sort of baby nourishment he had imagined that was produced using powdered milk, prepared nourishment, and sugar. From its initial days, the organization sought different nations for development openings, setting up its first outside workplaces in London in 1868. In 1905, the organization converged with the Anglo-Swiss Condensed Milk, along these lines widening the company’s product offering to incorporate both consolidated milk and newborn child formulas.Forced by Switzerland’s little size to look outside’ its outskirts for development openings, Nestle set up dense milk and baby nourishment handling plants in the United States and Britain in the late nineteenth century and in Australia, South America, Africa, and Asia in the initial three many yea rs of the twentieth century. In 1929, Nestle moved into the chocolate business when it gained a Swiss chocolate producer. This was followed in 1938 by the advancement of Nestle’s most progressive item, Nescafe, the world’s first dissolvable espresso drink.After World War 11, Nestle kept on venturing into different territories of the nourishment business, essentially through a progression of acquisitions that included Maggi (1947), Cross and Blackwell (1960), Findus (1962), Libby’s (1970), Stouffer’s (1973), Carnation (1985), Rowntree (1988), and Perrier (1992). By the late 1990s, Nestle had 500 industrial facilities in 76 nations and sold its items in a stunning 193 countries pretty much every nation on the planet. In 1998, the organization created deals of near SWF 72 billion ($51 billion), just 1 percent of which happened in its home country.Similarly, just 3 percent of its-210,000 representatives were situated in Switzerland. Settle was the worldâ€⠄¢s greatest creator of baby equation, powdered milk, chocolates, moment espresso, soups, and mineral waters. It was number two in frozen yogurt, breakfast oats, and pet nourishment. Around 38 percent of its nourishment deals were made in Europe, 32 percent in the Americas, and 20 percent in Africa and Asia. The executives Structure Nestle is a decentralized association. Obligation regarding working choices is pushed down to neighborhood units, which regularly appreciate a high degree f self-sufficiency with respect to choices including valuing, circulation, promoting, HR, etc. Simultaneously, the organization is sorted out into seven overall vital specialty units (SBUs) that have duty regarding significant level key choices and business advancement. For instance, a vital specialty unit centers around espresso and drinks. Another spotlights on dessert shop and frozen yogurt. These SBUs take part in by and large system advancement, including acquisitions and market section technique. As of late, 66% of Nestle’s development has originated from acquisitions, so this is a basic function.Running in corresponding to this structure is a territorial association that partitions the world into five significant land zones, for example, Europe, North America and Asia. The provincial associations aid the general methodology advancement process and are answerable for creating territorial procedures (a model would be Nestle’s technique in the Middle East, which was talked about before). Neither the SBU nor local supervisors, be that as it may, engage in nearby working or key choices on something besides an extraordinary basis.Although Nestle utilizes neighborhood directors to sew its assorted overall tasks together, the organization depends on its â€Å"expatriate armed force. †Ã¢ This comprises of around 700 chiefs who spend the heft of their vocations on remote assignments, moving starting with one nation then onto the next. Chosen principally based o n their capacity, drive and readiness to carry on with a semi migrant way of life, these people regularly work in about six natiosn during their vocations. Settle likewise utilizes the executives advancement programs as a key apparatus for making anâ esprit de corpsâ among managers.At Rive-Reine, the company’s global instructional hub in Switzerland, the organization unites, supervisors from around the globe, at various stages in their professions, for extraordinarily targetted improvement projects of a few weeks’ span. The goal of these projects is to give the supervisors a superior comprehension of Nestle’s culture and methodology, and to give them access to the company’s top administration. The innovative work activity includes a unique spot inside Nestle, which isn't unexpected for an organization that was built up to market inventive foodstuffs.The R&D work contains 18 distinct gatherings that work in 11 nations all through the world. Settle sp ends roughly 1 percent of its yearly deals income on R&D and has 3,100 workers devoted to the capacity. Around 70 percent of the R&D spending plan is spent on improvement activities. These activities center around creating items and procedures that satisfy showcase needs, as recognized by the SBUs, working together with local and neighborhood supervisors. For instance, Nestle moment noodle items were initially evolved by the R&D bunch in light of the apparent needs of neighborhood working organizations through the Asian region.The organization likewise has longer-term improvement extends that emphasis on growing new mechanical stages, for example, non-creature protein sources or rural biotechnology items. A Growth Strategy for the 21st Century Despite its undisputed achievement, Nestle acknowledged by the mid 1990s, that it confronted huge difficulties in keeping up its development rate. The huge Western European and North American markets were full grown. In a few nat ions, populace development had deteriorated and in a few, there had been a little decrease in nourishment consumption.The retail condition in numerous Western countries had gotten progressively testing and the level of influence was moving endlessly from the enormous scope producers of marked nourishments and drinks, and toward across the nation general store and rebate chains. Progressively, retailers wound up in the new situation of setting up to contend with one another †producers of marked nourishments, along these lines dealing down costs. Especially in Europe, this pattern was improved by the fruitful presentation of private-name marks by a few of Europe’s driving grocery store chains.The results included expanded value rivalry in a few key portions of the nourishment and refreshment showcase, for example, grains, espresso and sodas. At Nestle, one reaction has been to look toward developing markets in Eastern Europe, Asia and Latin America for development prospect s. The rationale is straightforward and clear †a mix of monetary and populace development, when combined with the across the board reception of market-arranged financial strategies by the legislatures of many creating countries, makes for appealing business opportunities.Many of these nations are still generally poor, yet their economies are developing quickly. For instance, if current financial development estimates happen, by 2010, there will be 700 million individuals in China and India that have salary levels drawing closer those of Spain in the mid-1990s. As salary levels rise, all things considered, buyers in these countries will begin to substitute marked nourishment items for essential staples, making an enormous market open door for organizations, for example, Nestle.In general, the company’s procedure had been to enter developing markets early †before contenders †and manufacture a generous situation by selling fundamental nourishment things that intri gue to the nearby populace base, for example, newborn child recipe, consolidated milk, noodles and tofu. By narrowing its underlying business sector center to only a bunch of vital brands, Nestle claims it can disentangle life, decrease hazard, and concentrate its advertising assets and administrative exertion on a set number of key specialties. The objective is to construct an ordering market position in every one of these niches.By seeking after such a technique, Nestle has taken as much as 85 percent of the market for moment espresso in Mexico, 66 percent of the market for powdered milk in the Philippines, and 70 percent of the business sectors for soups in Chile. As pay levels rise, the organization logically moves out from these specialties, presenting increasingly upscale things, for example, mineral water, chocolate, treats, and arranged groceries. Despite the fact that the organization is known worldwide for a few key brands, for example, Nescafe, it utilizes neighborhood ma rks in numerous markets.The organization claims 8,500 brands, yet just 750 of them are enlisted in more than one nation, and just 80 are enrolled in excess of 10 nations. While the organization will utilize the equivalent â€Å"global brands† in numerous created markets, in the creating scene it centers around attempting to advance fixings and preparing innovation to nearby conditions and afterward utilizing a brand name that resounds locally. Customization as opposed to globalization is the way in to the company’s methodology in developing markets. Executing the StrategySuccessful execution of the system for creating markets requires a level of adaptability, a capacity to adjust in regularly unanticipated manners to neighborhood conditions, and a drawn out point of view that puts assembling a practical business before momentary benefit. In Nigeria, for instance, a disintegrating street framework, maturing trucks, and the threat of brutality constrained the organizatio n to reexamine its customary appropriation strategies. Rather than working a focal distribution center, just like its inclination in many countries, the country.For security reasons, trucks conveying Nestle products are permitted to travel just during the day and regularly under-furnished watchman. Showcasing additionally presents difficulties in Nigeria. With little open door for commonplace Western-style promoting on TV of boards, the organization recruited neighborhood vocalists to go to towns and towns offering a

Geometry in Everyday Life - Free Essay Example

Geometry in everyday life Geometry was thoroughly organized in about 300bc, when the Greek mathematician, Euclid gathered what was known at the time; added original work of his own and arranged 465 propositions into 13 books, called Elements. Geometry was recognized to be not just for mathematicians. Anyone can benefit from the basic learning of geometry, which is to follow the lines reasoning. Geometry is one of the oldest sciences and is concerned with questions of shape, size and relative position of figures and with properties of space. Geometry is considered an important field of study because of its applications in daily life. Geometry is mainly divided in two ; Plane geometry It is about all kinds of two dimensional shapes such as lines,circles and triangles. Solid geometry It is about all kinds of three dimensional shapes like polygons,prisms,pyramids,sphere and cylinder. Role of geometry in daily life Role of geometry in the daily life is the foundation of physical math ematics. A room, a car, a ball anything with physical things is geometrically formed. Geometry applies us to accurately calculate physical spaces. In the world , Anything made use of geometrical constraints this is important application in daily life of geometry. Example: Architecture of a thing, design, engineering, building etc. Geometry is particularly useful in home building or improvement projects. If you need to find the floor area of a house, you need to use geometry. If you want to replace a piece of furniture, you need to calculate the amount of fabric you want, by calculating the surface area of the furniture. Geometry has applications in hobbies. The goldfish tank water needs to have a certain volume as well as surface area in order for the fish to thrive. We can calculate the volume and surface area using geometry. Geometry is an important field of study because of its applications used in daily life. For example, a sports car runs in a circular path and it uses th e concepts of geometry. One more example is , Stairs are built in your homes in consideration to angles of geometry and stairs are constructed at 90 degrees. When you throw a round ball in the round basket, it is also a role of geometry. Moreover, geometry is widely applied in the field of architecture. The very most interesting example is that nature shows of geometry shapes in all nature things. Geometry is also applied in modern day Astronomy. Astronomy are used to form many pattern using points, lines, and angles formed through stars. The role of Geometry can also help you find coordinates within a map. Whenever you build something, you will encounter geometry. Professions such as carpentry and engineering make regular use of geometry problems. Computer aided drafting and computer graphics for video games and video clips use geometry extensively. The computer do a lot of the maths for us now, but the calculations they use to do their work is deeply rooted in geometry. Geom etry is used in the medical field for imaging, modelling, and more. Everywhere in the world there in geometry, mostly made by man. Most man made structures are in the form of geometry. How you ask? Well some examples would be a CD, that is a 3D circle and the case would be a rectangular prism, when we throw a round ball in a round basket, it is a concept of geometry, buildings, cars, rockets, planes, are all great examples.

The Effects Of Stress On Health And Wellness - 2129 Words

When looking at stress as it pertains to health and wellness, one must have a clear understanding as to what stress is and how it can affect a person. Stress can be caused due to something physical, psychological, or behavioral that the person has encountered. A person can experience stress that is both good and bad. Good stress can help a person boost their energy and give them more alertness. A baseball player may experience good stress. This stress can make them more alert and actually help them make a better play. Unfortunately, not all stress is good and if the bad stress goes untreated, it can be very harmful. If a person allows stress to go untreated, it can make the person develop health problems such as heart disease and/or anxiety problems. Stressors are the things that cause a person to have stress. Stressors can be events that either threaten or challenge the person. Some of the stressors can be having to make a difficult decision, natural disasters, or even gett ing married. A stress response is something that is the reaction to the stressors. Some examples of a stress response could be the inability to concentrate, anxiety, depression, muscle tension, and headaches (Cherewatenko, 2003). The connection between the stressors and the stress response is not as straight forward as a person may think. There are many factors that can affect that connection. Some of the factors that can effect that connection can be just how the person handles theShow MoreRelatedThe Wellness Plan For Nurses1064 Words   |  5 PagesWellness Plan Nurse anesthesia school is 27 months of stress, deadlines, studying, more stress, exams, and papers. While tackling the challenges of this marathon called anesthesia school you forget to care for yourself or maintain the rest of life’s necessities. 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Essay on Cultural Competency and Health Disparities

The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse†¦show more content†¦Without these methods, the work of public health practitioners would be inadequate. The first step to achieving complete cultural competency is valuing diversity. It is a process that requires cultural humility. Unlike competency, cultural humility goes beyond simply being knowledgeable of differences, but having a humble desire to ensure a lifelong commitment to intercultural exchange (Tervalon Murray-Garcia, 1998). I have witnessed some Americans oppose the idea of immigration and strongly believe that American services should not cater to immigrants. They believe that all foreigners should learn English and the United States should not accommodate their linguistic needs. These same people are aware of the cultural differences that exist in America, but lack cultural humility and appreciation for diversity, making it difficult for them to attain complete cultural competency. A public health professional cannot go into a community, assuming that everyone thinks and behaves like them. They must be open-minded, flexible, empathetic, and aware of the differences and similarities that exist. Therefore, cultural humility is a prerequisite in achieving cultural competence. 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It is beneficial to establish cultural competency skills in students to prepare them for future work in the health sector especially as there continues to be growth in the minority population. Cultural comp etencies must be meaningfully incorporated into the curriculum to show student for how important it is for their community to be able to help people of different ethnic backgrounds (Knox and Haupt, 2015). Cultural competency can be incorporated intoRead MoreThe Culturally Competent Health Care Workforce949 Words   |  4 PagesThe Culturally Competent Health Care Workforce Reduces Disparities Cultural competence is the knowledge, skills and attitudes of the individual health care professionals when they treat individual patients who are from different race, ethnicity, and religion and diverse backgrounds. In the U.S, some patients receive equal treatment in the health care facilities, but others receive unequal treatment because they are from diverse backgrounds. In the article, â€Å"Cultural Clues† Melissa Hansen focusesRead MoreNational Health Care Quality and Disparities Report Essay602 Words   |  3 PagesThe National Healthcare Quality and Disparities Report (NHQDR) (2012) identified three key themes. The themes are health care quality and access are suboptimal, especially for minority and low income groups; overall quality is improving, access is getting worse and disparities are not changing; and urgent attention is warranted to ensure continued improvements in: quality diabetic care, maternal and child health, adverse events, disparities in cancer care and quality care among the states in theRead MoreThe American Association Of Nurse Practitioners1631 Words   |  7 Pages(SFCAPN, 2015). Core Competencies and Certification Requirements The curriculum for nurses in advance practice requires that every APRN is academically prepared by adhering to the seven core competencies for APRNs. Moreover, NP students of all specialty tracks and population foci, have to meet a set of criteria and academic standards developed by the National Organization of Nurse Practitioner Faculties (NONPF). This framework, known as the Nurse Practitioner Core Competencies, is comprised of nineRead MoreGlobal Health Competency Among Advanced Practice Nurses1515 Words   |  7 PagesThere is no documentation of global health competency among advanced practice nurses, specifically for Nurse Practitioners in current health related literature. Global health competency is an issue of increasing importance as we face an era of immense globalization, migration, immigration, and widening income gaps. It is widely accepted that lower income status, ethnic and racial disparities place persons at risk for increased morbidity and mortality globally and locally. Additionally, advancedRead MoreCultural Influences On The Health Care Delivery System1482 Words   |  6 Pagesand health practices within various cultural groups (Riegelman, Kirkwood, 2015). These diversities influence patient interactions in the health care delivery system. Consequently, cultural influences have led to various disparities in healthcare. A culturally competent healthcare organization is one that recognizes the influences of culture and the subsequent disparities created. These organizations have focused efforts which tailor their delivery of care in order to meet the cultural, socialRead MoreHealth Care Delivery System Of The United States877 Words   |  4 PagesHealth Care Delivery System The health care delivery system of the United States is unique compared to the other developed countries. The health care system of United States relies on the development and implementation of new health care technology. The use of new technology in the field of health care will help to provide services with increased quality and efficacy (Shi Singh, 2015). The external forces affecting the provision of health care delivery also has an inevitable role in the functioning

Advantages of Social Networking for World Wide Connectivity

Question: Discuss about theAdvantages of Social Networking for World Wide Connectivity. Answer: Advantages of Social Network Impact World wide connectivity The different social Medias like Face book, Twitter, Pinterest, LinkedIn are influencing peoples life in a huge way. With the help of these platforms, people staying at one corner of the globe are able to make friends with those living in another end. Not only does it helps in maintaining of proper contact but also helps in maintaining overseas business relations (Agrawal, Catalini and Goldfarb 2015). Figure1: Social media networking (Source: Google Images) Commonality of interest Social networking platforms like blogs help people to share their views about different political, economic, legal and entertainment aspects and the opinions are counter commented by other blog users which creates options for online communication between different individuals (Atzori, Iera, and Morabito 2014). They are able to exchange information and opinions with such a vast number of people. This helps in recognizing various areas of common interest between people living in different parts of the world. It also helps people in enriching their knowledge regarding many things. Targeted Advertising Social networking sites are very useful for the modern organizations. They can advertise and promote their products through online campaigns. They can also open their own consumer forums where they can directly communicate with their targeted customers, and get their feedbacks. They can also develop their online web pages and apps that help in increasing the customer satisfaction level (Atzori, Iera, and Morabito 2014). Increased News Cycle Speed Social networking sites have also made it easier for people to gain an easy access to the different news and other information. The news channels often rely upon sites like face book, Gmail, Gtalk to share the links of the news. This also helps people to keep a track of whatever is happening around them within their busy daily schedules (Agrawal, Catalini and Goldfarb 2015). References Agrawal, A., Catalini, C. and Goldfarb, A., 2015. Crowdfunding: Geography, social networks, and the timing of investment decisions.Journal of Economics Management Strategy,24(2), pp.253-274. Atzori, L., Iera, A. and Morabito, G., 2014. From" smart objects" to" social objects": The next evolutionary step of the internet of things.IEEE Communications Magazine,52(1), pp.97-105.

Nurse Ratched free essay sample

A sexless, rigid caricature of a nurse, Nurse Ratched imposes discipline on her ward with all the fervour of an Army Nurse, which she had been. Large, with huge breasts only partially disguised by her ultra-stretched white uniform, she nevertheless has a pretty, delicate face that belies her cruelty. Manipulative to the core, the only thing that really matters to Ratched is her desire to control everything around her – the environment, the staff, and the patients. She has rendered the staff doctor who is in charge of the ward helpless and ineffectual. Her methods are subtle: she speaks with the calm voice of reason, dealing with patients as though they are children. Her group therapy sessions are intentionally humiliating to patients. Her agenda clearly is to turn the group members against each other. That protects her from any unified action against her rules and her dominating role. As long as everyone stays in line, she retreats to her safe place – a glassed-in office overlooking the ward. We will write a custom essay sample on Nurse Ratched or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Chief sums her up mentally as follows: â€Å"So after the nurse get her staff, efficiency looks the ward like a watchman’s clock. Everything the guys think and say and do is all worked out months in advance, based on the little notes the nurse makes during the day. This is typed and fed into the machine I hear humming behind the steel door in the rear of the Nurses’ Station. † Small wonder that McMurphy becomes the ultimate threat to her tight, close little domain. He demands that the patients be given rights. She believes they only the rights she decides to give them. Cruel in the extreme, she plays repetitious loud music over the ward’s speaker system, successfully drowning out normal conversation. As her battle with McMurphy intensifies, his hatred of her leads him to aggressive actions against her. Finally he can stand no more. In his last battle against reasonless authority, he tries to strangle her. That may be the end of both of them, not just McMurphy, for his example inspires several of the inmates to check themselves out of the ward and out of her power. Nurse Ratchet’s character has been subject of much critical discussion and even controversy, for several observes consider her a sexist stereotype of the controlling female. History Electroshock therapy, or ECT, was discovered in 1937 by two Italian psychiatrists who thought to apply an electrical charge directly to the brain. Despite the harsh stigma that has been unfairly associated with this type of treatment – in Kesey’s novel it is seen as a means of punishment rather than a cure – the use of electroshock therapy has proven immensely successful in cases involving moderate to serve bouts of depression. Others argue that its side effects make it one of the more barbaric forms of legal medical procedures in the modern age. Another possible reason for some peoples strong anti-ECT views may stem from Keseys work, One Flew Over the Cuckoos Nest (5). A passage from this piece was quoted earlier in this paper. The work depicts the earlier developments of this treatment and not the ECT of today, or even two decades ago. However, this work left a deep impression on the public that ECT is a painful, humiliating, inhumane procedure used to control unruly patients in mental institutions. The early abuses of electroconvulsive therapy where patients were shocked up to 12 times a day in an effort to regressing the patient to an infantile state ·[to allow] restructuring his or her behavior (5) undoubtedly left an appalling vision of this therapy in patients and their families. However, this restructuring hypothesis has been abandoned. There is also a small, but vocal group of ECT patients who attack the therapy, perhaps because of feeling violated by the memory loss. Mental illness impairs judgment and it is possible that the patients forgot how sick they were before the treatment But by the end of the 1960s, electroshock had almost vanished from the psychiatric scene. The film â€Å"One Flew Over the Cuckoo’s Nest† was released in 1975. Jack Nicholson played the unforgettable character who is given unwanted and unnecessary electroshock treatments and his fellow patients on the ward were portrayed as lobotomized-looking, hollowed-out souls who had trouble recognizing friends and family. Their capacity for speech and language had been damaged and they often ended up needing to be institutionalized. Cuckoo’s Nest played a major role in discrediting ECT. Quotes The Shock Shop, Mr. McMurphy, might be said to do the work of the sleeping pill, the electric chair and the torture rack. Its a clever little procedure, simple, quick, nearly painless it happens so fast, but no one ever wants another one. Ever. The Electroshock Therapy Table The electroshock therapy table is explicitly associated with crucifixion. It is shaped like a cross, with straps across the wrists and over the head. Moreover, the table performs a function similar to the public crucifixions of Roman times. Ellis, Ruckly, and Taber—Acutes whose lives were destroyed by electroshock therapy—serve as public examples of what happens to those who rebel against the ruling powers. Ellis makes the reference explicit: he is actually nailed to the wall. This foreshadows that McMurphy, who is associated with Christ images, will be sacrificed Legal Summation Good morning gentleman of the jury and your honour. Before we begin I would like to take a few minutes of your time and so I ask if you would close your eyes and think for a minute. Imagine if you were strapped to one of those cold hard Electro-shock Therapy tables, your hand and feet pinned down, numbness creeping in, circulation getting slower, you can hear the blood pumping through your veins and you see someone being amused by this suffering and distress, a cold hard sneer of joy plastered on a hard steel emotionless face and revelling in the torture that is being bought to you. Ladies and gentleman this is what is happening in this institution as we speak. Ms Mildred Ratched also called the â€Å"Big Nurse† has been accused of Grievous bodily harm through Electro-shock Therapy under the pretence to punish patients instead of curing them. The Electroshock Therapy table can be explicitly associated with crucifixion. It is shaped like a cross, with straps across the wrists and over the head. Moreover, the table performs a function similar to the public crucifixions of Roman times. Walter Henry Ellis, Arthur Stanley Ruckly, and Maxwell Wilson Taber who were Acutes whose lives were destroyed by electroshock therapy—serve as public examples of what happens to those who rebel against the ruling powers. Ellis makes the reference explicit: he is actually nailed to the wall. According to mental illness specialist Dr. Thompson, the Electro-Shock Therapy is a painful, humiliating, inhumane procedure used to control unruly patients in mental institutions. Gentleman of the jury this is what Nurse Ratched was manipulating every patient who underwent that procedure. Humiliating and controlling mentally ill patients, this is outrageous, why punish a man, who sometimes has no control over his actions, why punish and manipulate someone to such an inhumane procedure which in the eyes of leading medical professionals has no benefits. How can you gentleman of the jury possible let a rigid portrait of a nurse, manipulative to the core, the only thing that really matters is her desire to control everything around her, be a nurse to these mentally ill patients. Gentleman of the jury she is a heartless, emotionless, inhumane, manipulative human being. Who punishes her patients and laughs at them. When one thinks of a nurse what comes to mind. I read an interesting article about the health care profession a while back and what really struck me was how people view nurses. The majority of patients view a nurse as their main primary care giver. Usually a nurse is the first face you see in the morning and the last before you go to sleep. The nurse is your voice in the hospital system. In the article patients were asked several questions about care, hospital procedures and about nurses. One of those questions asked was â€Å"How did the rostered-on nurses treat you as a patient† and a whopping 95% answered that the nurses treated them with respect and dignity. 95% that’s amazing. Okay what about the rest of the 5% of patients, those 5% hopefully didn’t encounter Nurse Ratched or somebody similar while they were in care. But to be realistic I think Nurse Ratched is one of a kind and being one of a kind we can unite and eliminate this cruel and inhumane being. So much sorrow and tears have been shed and lives altered. When can we say enough is enough? So gentleman of jury and your honour I have put forth to you my findings concerning this case. Let’s bring justice to those in need and stop this torture once and for all. The prosecution rests your honour.

be all you can be essays

be all you can be essays Be all that you can be in the Army. Earn up to $40,000 for college, get valuable training, and have your health at risk for the rest of your life, and dont forget the 30 days paid vacation. I know you all have heard that slogan before, or maybe you should have. That is what the Army should tell you on all of those commercials since they made it mandatory for every soldier to be vaccinated against the deadly illness, anthrax. But, if you refuse the vaccination then you are out of not only a job but also you could serve jail time. Soldiers should not be put in a position where they have to choose between risking their health or losing their job. There are many problems with the vaccine itself. The vaccine has never undergone long term test, so even the Department of Defense has no idea what this could possibly do to soldiers down the road of life. That right there tells you that the Generals in the Pentagon dont care about your life at all. I wonder if our friends, the leaders of our armed forces were also forced to take this vaccine. When the vaccine first became mandatory for all personnel, I was stationed in Korea. Due to the fact that we were overseas, we had the opportunity to be the first troops to receive it. I however was exempt from taking the vaccine because I was leaving the country in the next two months and time wouldnt allow me to receive the shots in proper order. What I witnessed my colleagues go through was enough for me to swear never to except the shots. I saw a large group of people break out in hives and actually had the opportunity to watch one soldier have a seizure. Now, the Army wont say whether or not the seizure had anything to do with the shots but I was fairly certain. The Anthrax vaccine was administered during the Gulf War to soldiers that went over to the Middle East to fight. Now there is an undiagnosed disease called the Gulf War disea ...

Fiber Optic Cable use in the European Market Annotated Bibliography

Fiber Optic Cable use in the European Market - Annotated Bibliography Example Moreover, the study has also found that the technology has been improved since the use of fiber optic cables was first introduced. Fiber optic cables have also been the favored choice of communication for Europeans as it has been found that they are able to handle all forms of services with optimum efficiency1. This article says that the optic fiber cable network in Europe offers speeds of up to 10 gbps and is capable of providing as many as 80 channels per cable. The additional motivation behind the heavy use has been the provision of closer spacing of transmission signals both within the frequency as well as the time domains. Fiber optic cables are also capable of transmitting over very long distances (in the range of 500-1500 kilometers) without the need for any form of regeneration midway. In fact, the study of Electronicast suggests that it is the pressure for increasing bandwidth that as been fueling the need within networking companies to opt for the fiber cabling option. The article further states that the trend has also been encouraging fresh research into developing and producing cables with higher speeds and bandwidths2. This article from min... This article from mindbranch has highlighted that the increase in demand for fiber optic cables within Europe has put a huge stress on the supply capability of manufacturers and delays up to periods of up to 1-1.5 years of less are very common. However, in anticipation of this demand and supply imbalance, some of the major network companies have entered into agreements with cable manufacturers that assures them of a periodic and timely supply of fiber optic cables during the agreement period. This has in a way helped the major industry players in getting over the problem of cable shortage. Network service providers in Europe have also sensed this problem and have given importance to the future increase in network traffic. In order to be able to cut down on the costs, they have resorted to using only a portion of the network bandwidth and have left the other parts unutilized so that they can provide for cables with higher speeds in the future without any major overhaul of the existing cabling. With an increasing demand, the total worth of optical fiber cabling in Europe will rise to $20 billion by 2010, up from the $10 billion as on 20053. Yankee (2006), a long look at optical transport: Ultra long haul and submarine systems. New York: Yankee group. It is also worth mentioning about a short article from the Yankee group that has provided information on the nature and volumes of optic fiber cables in Europe. According to them, the total length of fiber optic cables installed in Europe has increased tremendously, with Western Europe accounting for a 22% increase, which was even more than the whole of north America put together. This suggests that the use of fiber optic cables has been more preferred in Europe. Estimates put the rate at 10% by

Managerial Application of Information Technology Assignment

Managerial Application of Information Technology - Assignment Example Also age can be a good example of data as different age groups prefer different types of movies. The information most likely to be collected is the types, class of movies people are most interest in and the type of movies children, youths, middle-aged and the elderly like watching. 2) Better bodies can state the wide range of services they provide in a site where interested individuals can log in view. Moreover these services can be provided online. This means that with a certain subscription amount, a client doesn’t have to go the gym if he/she has the necessary equipments. He/she has to follow instructions as will be provided. This will be very attractive to a huge number of people hence gaining competitive advantage over rivals. ... These are some of the information that will be gathered and stored into the database which is very essential. 4) This is a situation where no restriction exists on internet access of all sites available in the internet. This where one can access any site and there is no barriers to browsing. Some people strongly support this type of network freedom to be adopted while others strongly reject and oppose this idea. In my opinion I would oppose this idea; this is because without restrictions, internet crime levels would be so high especially those caused by hacking. Many peoples information would be insecure, can even be altered causing serious damages and many more other kinds of misuse would prevail. To avoid all these, restrictions are best appropriate put in place. This would even help when considering the factor of morality where children may be exposed to pornographic materials. 5) In Croydon visiting Nurse services, CRM systems would be of the best help. Considering all tasks are manual and paper based, CRM systems are meant to reduce the paper work considerably by far. All the data to be stored is recorded in the database systems and retrieval of data incase of client need would be fast and time saving. Moreover the systems has a larger storing capacity hence can hold large number of data of clients to almost infinity. The nurses can also communicate with each other through the system from one office to another or from one point to another thereby erasing any inconveniences that may arise due to time wastage and finding one another in numerous rooms. To make it better, it’s cheaper to acquire the system as well as to maintain

The Wife of Bath from the Canterbury Tales Essay Example for Free

The Wife of Bath from the Canterbury Tales Essay Powerful Women What would you think of someone who has been married five times, and uses their body as a bargaining tool to get what they want from their husbands? Would you consider that to be trashy and of low morals or smart and powerful? Or would you compare them to the modern day celebrity? The Wife of Bath from â€Å"The Canterbury Tales† is an older woman who lived sometime in the middle ages, who loves to argue and be right. Elizabeth Taylor is a stunningly beautiful 1950’s actress who was the type of person that †got around a lot† and was sexually scandalous. The Wife of Bath and Elizabeth Taylor relate to each other very closely. The Wife of Bath and Elizabeth Taylor are both women of high class and sophistication. They are also very experienced in the field of love. The Wife of Bath and Elizabeth Taylor were both considered to be very classy women from their time period. In â€Å"The Canterbury Tales†, The Wife of Bath is described to be someone of high fashion, wore expensive clothing, and was materialistic. â€Å"Her hose were of the finest scarlet red and gartered tight; her shoes were soft and new. Bold was her face, handsome, and red in hue. A worthy woman all her life† (Chaucer 466 – 469). Even though the Wife of Bath is not seen as being very attractive, the clothing she wore and her attitude towards people makes her seem like a woman of high class. In comparison, Elizabeth Taylor was famous and known for being astonishingly beautiful. â€Å"Early on, scouts were riveted by the astonishingly lovely child with violet eyes and a sultry, almost adult, beauty. † (Rosen). Taylor, being a famous actress, could afford to wear name brand clothing. Taylor was also very well mannered and the carried herself with high class. Furthermore, the Wife of Bath is known to be the â€Å"experienced† expert on love and sex. During her prologue, she insists on arguing with the pardoner and proves her point until she wins. She â€Å"knew the remedies for love’s mischances, an art in which she knew the oldest dances. † (Chaucer 485 -486). The Wife of Bath, being married five different times, asserts herself to be the know-it-all expert on love. Elizabeth Taylor was also very experienced in the field of love. Taylor was married eight times to seven people. â€Å"The melodrama of Taylors life includes 8 marriages to 7 different men, 4 children, widowhood, affairs†¦Ã¢â‚¬  (Rosen). During the course of her life, Taylor had numerous affairs and scandals. Constantly being watched by the public, nothing she did was kept private. In conclusion, The Wife of Bath from â€Å"The Canterbury Tales† and the actress, Elizabeth Taylor are very closely related. They both are experienced in the field of love. The Wife has been married five times and believes that she is the expert when it comes to love and marriage. She loves to argue with the other travelers and prove that she is right. Elizabeth Taylor has been married eight different times, has been involved with multiple affairs and scandals over the course of her life, and has been in the view of the public eye. They also are considered women of high class. The Wife wears only the finest clothing made of the finest materials. The way she carries herself, she almost thinks she is more worthy and more educated than everyone else. Elizabeth Taylor was famous for and known for being one of the most beautiful women in the country. Since she was an actress, she obviously could afford to wear the most expensive clothing she could find. Overall, the Wife of Bath and Elizabeth Taylor were very similar in a few ways Works Cited Chaucer, Geoffrey. â€Å"The Canterbury Tales.

Judgement Day :: Free Essay Writer

Judgement Day â€Å"They’re freaks.† These words, however small, were used to abuse two young men in life, and denounce them in death. After years of inner turmoil and over twelve months of meticulous planning, 17 year old Dylan Klebold and 18 year old Eric Harris unleashed a rampage that would cause over 5 million dollars worth of damage, ruin the lives of countless people, and send the entire nation into a state of shock. April 20 1999 started out as a normal day at Columbine High School in Littleton, Colorado. The only thing that seemed out of place was a cryptic message displayed at the end of the Columbine video announcements, reading â€Å"I bet you wish you weren’t here today-4-20-4-20-4-20†. At the time, students thought nothing of it. Now, the mention of this message will send chills up the spines of students as they picture what this warning foreshadowed. At 11 AM, Dylan and Eric carried two 20-lb propane tank bombs into their school cafeteria. The plan was to have these explosives go off at 11:17, the start of the first lunch period, and send students fleeing into the parking lot, where Dylan and Eric would be waiting with guns ready. Instead, the explosives did not go off at all. The two gunmen were frustrated that their original plan had failed, and they began to arbitrarily shoot in the cafeteria, killing three. 11:27 AM. Eight minutes had passed since the first shots were fired. Dylan and Eric entered the school library. Students huddled in fear under tables. A teacher called 911 but dropped the phone. The dispatcher listened for the next nine minutes as Dylan and Eric shot round after round. The sound of the gunmen’s laughter could be heard of the steady stream of gunshots. After killing 7 students, Eric and Dylan left the library and returned to the cafeteria. The two young men fired their guns at the bombs, trying to set them off. At 11:57 the boys returned to the library. Here this tragedy will come to an end. After placing their last bomb on a table, Eric Harris pointed the gun at himself and fired. Seconds later, Fate’s vengeful eye turned on Dylan Klebold as he shot himself in the left temple, his Red Sox hat galling on Harris’ legs. Official time of death: 12:03 PM. After the deaths of Eric Harris, Dylan Klebold, and 13 victims, investigators searched the young men’s rooms.

The Theory and Medical Treatment of ADHD

For the past several decades the terms learning disorders, learning dysfunctions, learning disabilities, learning differences, and attention-deficit disorders have made the rounds in the educational, medical, and psychological journals. The concepts have been studied routinely and thoroughly with similar and distinct differences. Some theoreticians and educators include the concepts of dyslexia, hyperactivity, interrupted concentration, anxiety, perceptual dysfunction, and a host of other variables as belonging to the definition of what should be called a learning puzzle rather than a dysfunction. If the perception of a piece is placed before the recognition of the whole, then treatment is item specific and not supportive of the entire structure. In other words, learning, and the process whereby it is completed or interrupted, must be viewed in relation to the whole structure rather than identified by its parts. The learning puzzle can be properly described as an intricate formation of a human's neurological, physiological, psychological, and sociological systems (parts) blended together to produce a healthy functioning individual (whole). The â€Å"act† of learning is accomplished optimally when all parts of the puzzle are functioning without interruption. However, when learning is interrupted through external or internal stimuli the puzzle cannot be completed and negative results occur. The lack of puzzle completion is brought about both environmentally and medically. For example: A lack of educational opportunity, poor self esteem, and even peer pressure (environmental leaning interruption) can help to erode the puzzle structure and produce a dysfunctional situation in the learning process (Jourard, 1959). Similarly, should there exist a malfunction in the body (medical part) disruption in learning can occur as well; thus preventing the puzzle from becoming complete. The focus, therefore, of this paper will be to report on that which causes learning to be disrupted through a medical variable (hyperactivity) and the treatment that can be applied to permit learning to take place on a much more normal basis. The literature is replete with references to Attention-Deficit/Hyperactivity Disorder (AD/HD) and the learning consequences. Generally speaking AD/HD is characterized by developmentally inappropriate impulsivity, attention, and hyperactivity. It is a neurological disorder (DSM-IV-TR, 2000; Breggin, 2000) that has serious consequences including school failure, problems with relationships, conduct disorder, substantive abuse and job failure (Bagwell, 2001; Cepeda, 2000). More specifically AD/HD refers to a family of related chronic neurobiological disorders that interfere with an individual's capacity to regulate activity level (hyperactivity), inhibit behavior (impulsivity), and attend to tasks (inattention) in developmentally appropriate ways. Treatment for the disorder runs the gambit from behavioral therapy (Rabiner, 2003), to herbal remedies (Chan, 2000), to medication (Biederman, 1999). For the most part the drugs used to treat AD/HD are those, which must be prescribed by a physician. Regardless of the drug prescribed the most effective way to treat AD/HD is to use a combination of drugs and therapy. The most common, as well as most familiar, prescriptive medications used for the treatment of AD/HD in children are those stimulants known as methylphenidates (Ritalin, Concerta, Metadate-ER) and amphetamines (Dexedrine, Dexedrine Spansules, Adderall. (Breggin, 1998; Watkins and Brynes, 1999). However, administering these particular drugs to AD/HD children reportedly has some rather severe ramifications such as drug dependency, changing brain chemistry, suppressing appetite, and disrupting the growth hormone. Stimulant medications commonly used to decrease distractibility by increasing focus and concentration, are Ritalin, Dexedrine and Cylert. The general misconception is that this type of medication is used to control hyperactivity. However, the decrease in observable hyperactivity is actually the result of increased ability to concentrate. On the other hand there are even some researchers and practitioners who believe that Ritalin can also lead the way to the use of other narcotics and drugs as the child gets older. Yet there are those who believe that even though the use of Ritalin should be discontinued, they believe the AD/HD child can be placed in a more compliant or submissive state with medications that will permit the child to gain control over the disruptive behavior and learn more (Pelham, Carlson, Sams, Vallano, Dixon, & Hoza, 1993; Runnheim et al. 1996; Barkley, R. A. ,1990). Just because an AD/HD child may have a positive reaction to medication is not indicative that medication is all that is required to produce the desired learning and behavioral results. The medications do not cure the disorder; they only control the symptoms while the medication is in the system. Knowing that medications may help a child pay better attention they do not improve the child's academic skills or increase the child's knowledge. What is most often recommended for lasting improvement is to combine a medical management program with other treatment modalities such as behavioral therapy, emotional support, and parental and educational involvement. The concern today is that everyone is looking for a miracle cure for AD/HD children. Successful treatment of AD/HD requires specifically dealing with several problems in terms of hyperactivity, impulsivity, inattention, and poor motivation. In fact the more the treatment digresses from the aforementioned performance points, the less successful the treatment becomes. Knowing that proper nutrition, exercise and a healthy lifestyle is important for everyone, including ADHD children, there is extremely little scientific evidence that any homeopathic or herbal preparations will lessen or eliminate the symptoms of AD/HD in children. In addition there is little evidence as well treating an AD/HD child with vitamin and mineral supplements, biofeedback, or acupuncture will have any long-lasting affect. The life of an AD/HD child can only change for the better through a combination of careful assessment, proper counseling, family involvement, and appropriate medical treatment.

Classic Quotes From Stand-Up Comic Jim Gaffigan

Jim Gaffigans comic timing is impeccable. He knows how to tickle your funny bone. Self-deprecating humor never fails to elicit laughs, and  Gaffigans a master at it.   This Indiana native who got a big lift from late-night host David Letterman in 1993 has several trademarks. Besides his self-deprecation, he also regularly voices the internal monologue of his audience and makes constant jokes about food and strawberry blond hair. Hes one funny guy. Here are some samples. Food Pie can’t compete with cake. Put candles in a cake, it’s a birthday cake. Put candles in a pie, and somebody’s drunk in the kitchen. We’re never satisfied when it comes to food. You know what’d be good on this burger? A ham sandwich. Instead of a bun, let’s use two doughnuts. That way we can have it for breakfast. Look out McGriddle. Here comes the doughnut-ham-hamburger! There is the vegetarian Hot Pocket for those of us who dont want to eat meat  but would still like diarrhea. Im a big eater. I mean, a lot of my stand-up is about food, and you write about what you know, and thats the only thing I know. I dont know anything else. Whenever Im out of town for at least a week, I feel like I should write a postcard or something, but you can be a genius, you try and write a postcard you come across like a moron anyway: This citys got big buildings. I like food. Bye. Self-Deprecation Actually, the reason I look like this is because my father was from Sweden and my mother was  Elton John. The only advantage to wearing glasses is that you can do that dramatic removal. But in  Indiana, its not like New York where everyones like, Were from New York and were the best or Were from Texas and we like things big; its more like Were from Indiana and were gonna move. I love how New York is so multicultural. I wish I was ethnic. Im nothing. Because if youre Hispanic and you get angry, people are like, Hes got a Latin temper! If youre a white guy and you get angry, people are like, That guys a jerk. My whole comic persona is that of a guy who explores the id: I romanticize gluttony, I romanticize laziness, and people identify with that. Everything Else I come from a very big family ... nine parents. Ever wonder what people got Jesus for Christmas? Its like, Oh great, socks. You know Im dying for your sins, right? Yeah, but thanks for the socks! Theyll go great with my sandals. What am I, German? I was watching the Animal Planet. Did you know that the male seahorse has the baby? Why dont they just call that one the female? Whenever you are single, all you see are couples, but whenever you are a couple, all you see are hookers.