Monday, December 30, 2019

Business Economics Problemset - 1887 Words

Business Economics Problem Set 1 1. The Social Security system provides income for people over age 65. If a recipient of Social Security decides to work and earn some income, the amount he or she receives in Social Security benefits is typically reduced. A. How does the provision of Social Security affect people’s incentive to save while working? The provision of Social Security will decrease people’s income after tax this leads to people not to save incentives while working. B. How does the reduction in benefits associated with higher earnings affect people’s incentive to work past age 65? The people’s incentive to work past age 65 will be decreased because the income after tax is reduced when they work past age 65. 2. Imagine†¦show more content†¦D. What is the range of prices at which trade can occur? (Please see the opportunity cost table of number 2-B) It’s obvious that the Boston will export white socks in exchange for red socks. 1 red socks will be traded for no more than 1 white socks ( the upper bound) and no less than 1/2 white socks(the lower bound). The Chicago will export red socks in exchange for white socks. 1 white socks will be trade for no more than 2 red socks( the upper bound) and no less than 1 red socks(the lower bound) 4. Are the following statements true or false? Explain in each case. A. â€Å"Two countries can achieve gains from trade even if one of the countries has an absolute advantage in the production of all goods.† : True – Because each country have a comparative advantage in producing some good. B. â€Å"Certain very talented people have a comparative advantage in everything they do.† : False – Because no one can have a comparative advantage in everything. Comparative advantage reflects the opportunity cost of one thing in terms of another. (It means that we must have a comparative disadvantage in the other thing) C. â€Å"If a certain trade is good for one person, it can’t be good for the other one.† : False – Because trades cannot occur if both sides do not benefit. D. â€Å"If trade is good for a country, it must be good for everyone in the country.† : False – Exporting and importing

Sunday, December 22, 2019

Othello A Symbiotic Relationship - 1403 Words

Iago + Othello: A symbiotic relationship William Shakespeare’s ‘Othello’ is one of the most emotionally fraught and psychologically intense of all of Shakespeare’s tragedies. The deeply psychological ideas it explores such as the nature of narcissism and psychopathy become a concentrated concoction of jealousy, hatred, insecurity, rage and repressed sexual desires within their isolated setting on the Island of Cyprus. When one applies a psychoanalytic lens to the play the internal workings of the human mind bubble to the surface with an intensity that is difficult to ignore. This is best expressed by analyzing the characters of Othello, a clear example of a narcissist and Iago, an id driven psychopath, and the way in which the two influence and psychologically feed off each other. Othello is at his essence a deeply insecure man, and his narcissistic tendencies make him vulnerable to influence by Iago. According to literary critic Rosenberg, Othello is â€Å"self-deceiving, irritable, hasty, dependant and insecure†, all traits of a classic narcissist. Although a successful soldier, Othello believes himself to lack in all other areas of life as he exemplifies himself when he claims â€Å"haply for I am black / and have not the soft parts of conversation†¦. I am declined / into the vale of years†. Due to these insecurities, Othello has an inflated sense of self importance and is obsessed with his status in Venetian society. He clearly views himself as the honourable and noble man weShow MoreRelatedAnalysis Of Shakespeare s Othello, By William Shakespeare1040 Words   |  5 PagesWhen pairs of texts are considered together, their universal themes and ideas lead to greater understanding, appreciation and insight of both the old and the new. The texts Othello, William Shakespeare (1600) and Othello, Geoffrey Sax (2001), ring true for this statement. Despite the differing contexts and ages, the universal themes of racism and betrayal bring new meaning to each of the texts. The primary meaning from the juxtaposition of the two is that of the human condition, and how the problemsRead MorePopular Culture And Social Media Essay2299 Words   |  10 Pagespopular culture from the way they dress and represent themselves to the way they interact with the peers and adults around them. It is clear now that attempting to separate the student from pop culture is the equivalent of forcefully ending a symbiotic relationship: you might be able to successfully separate them through force, but there will be side effects, in this case a loss of interest in classes. Popular Culture can be Effectively Integrated in Lessons Despite limited exposure to pop cultureRead MoreTask 33583 Words   |  15 Pages * Identify and pursue synergistic opportunities between the two companies This merger process involves the combining of cultures, operations, administration, staff, leadership, vision, direction, and missions of each organization into one symbiotic entity. When any type of merger takes place it is paramount to evaluate where each individual company values fall in relation to the above depicted Values Framework. To create a synergy between the two companies moving forward we should evaluateRead MoreGp Essay Mainpoints24643 Words   |  99 Pageshaving their reputations significantly smeared, were unfairly compromised by actions which had nothing whatsoever to do with their professional career †¢ Psychological stress on public figures when stories of their families and their romantic relationships are thrust into the public eye †¢ British Tabloid reports on John Terry and the former girlfriend of his former teammate, Wayne Bridge heaped much pressure on the already struggling player and even called into question his ability to continue

Saturday, December 14, 2019

Chemical element Free Essays

True The half-lives of unstable isotopes vary from milliseconds to billions of years. The combining of atoms is known as nuclear fusion. Multiple choice (271)mints) The man responsible for discovering that the atom is mostly space is: Rutherford false statement concerning matter is: All matter contains mass. We will write a custom essay sample on Chemical element or any similar topic only for you Order Now The true statement concerning the atomic nucleus is: It is made up of electrons only. The element has how many protons? 7 has how many neutrons? 146 Which statement is true? Isotopes of a given element have very similar chemical properties. The atomic number of an atom is equivalent to the number of: protons Rutherford coined the term used for the simplest positive charged particle and called it the: neutron An alpha particle is: an electron Select all that apply. In the vertical columns of the periodic table: All the physical properties are identical. The number of positive charges in the nucleus of an atom is equal to: its atomic number Most of the mass of an atom is made up of: The protons and neutrons Movement of electrons about a central nucleus is a concept by: Boor Periodicity is best defined as: The repeating nature of physical and chemical properties with increasing The last element in any period always has: eight electrons in the outermost energy level The maximum number of electrons in a p sub-level is: 3 The 3 in up represent TTS: the number of electrons Name the element that corresponds to the following electron configuration. 2 , as , up neon 22 61 What does the p mean in Is as the p shell What causes the lines in the spectrum for elements? None of the above What is the maximum number of electrons found in any shell of the known elements? 8 A principal quantum number refers to: The numbered energy levels starting from the nucleus outward 2 2 The electron configuration of En is: Is In the vertical columns of the period ic table, as the atomic numbers increase: The numbers of electrons in the valence shell increase. How to cite Chemical element, Papers

Friday, December 6, 2019

Patient Self-Determination Act free essay sample

Checkpoint: Patient Self-Determination Act The law is intended to encourage possible life-sustaining treatment in the event that they become seriously ill or injured and are not able to specify their desires at that time. According to this law; all hospitals, nursing homes, home health agencies, and hospice programs receiving federal Medicare and Medicaid are now required to create formal procedures that provide written information at admission to patients about decision making a treatment refusal rights in their healthcare. It means that atients have the right and ability to make their own choices and decisions about medical care and treatment they will receive as long as those decisions are within the limits of the law. It would make living wills much more important to have done to protect patient rights. I think records management has gotten stronger due to this act that was passed. They must make sure they are doing everything by the law and not missing any steps involved in this process. We will write a custom essay sample on Patient Self-Determination Act or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This is to help the state, the patient and the doctors office, nursing homes, etc. t to make sure they are covering all aspects of someones life. With this act in place patients have to right to decide what they want to do with their life if they were put in a certain predicament. Offices must make sure they are noting everything someone says in their files so they have proof on what this person is talking about in case someone comes along and wants to see what this person was saying. Sometimes a patient will have a third party involved and all this information must be noted in the patients file.

Friday, November 29, 2019

Air Pollution in Colombia. Essay Example

Air Pollution in Colombia. Essay Example Air Pollution in Colombia. Paper Air Pollution in Colombia. Paper Essay Topic: Air pollution Air pollution has become one of the most important concerns of the local authorities of Latin- American cities. Bogota, like as other urban centers in South America such as SAA Paulo, Mexico City and Santiago De Chile, shows significant levels of air pollution, levels that may represent a high risk for the populations health and certainly a reduction in the quality of life of its inhabitants. Bogota, capital of Colombia, is one of the largest cities of Latin America; with a population of around 6. Lion and an annual growth rate of 2. 081 percent it is the largest urban center in Colombia; it also has the highest rates of environmental deterioration of the country. Air pollution has increased dramatically lately, due mainly to the uncontrolled increase in the number of vehicles in the city. Although air pollution has been monitored in Bogota since 1 967, it wasnt until 1 990 that the monitoring stations were spread widely throughout the city. At that time the Secretary of Health of the District with the collaboration of the Japanese International Cooperation Agency (CIA) pursued a study in order to determine the air quality of the city. This study concluded that the most important source of pollution in Bogota was automobiles; 70% of the pollution could be attributed to cars. Another very important source of pollution was found to be bricks and battery plants, among others. The study conducted with the support of CIA identified for the first time the imposition of air pollution in Bogota and its principal components. These were identified to be the following: Sulfur Dioxide (SYS), Nitrogen Oxides (Knox), Total Suspended Particles (TTS), Carbon Monoxide (CO), Hydrocarbons (HOC), and Ozone (03). It was estimated that 75% of the pollutants annual emissions correspond to Particulate Matter. The study determined that the levels of CO, HOC, SYS and Particulate Matter were not above the limits defined as safe by the WHO. This led to CIA s inclusion that: in 1990-1991 air pollution in Bogota did not reach levels of concern to the local authorities. Nevertheless, the rapid growth in the number of cars in Bogota during the last decade originated additional interest in this matter.

Monday, November 25, 2019

Acquired Immune Deficiency Syndrome essays

Acquired Immune Deficiency Syndrome essays Acquired Immune Deficiency Syndrome (AIDS) can be a result of two cy Virus types HIV-1 and HIV-2. A number of primate species carry similar viruses known as Simian Immunodeficiency Viruses, or SIV. Chimpanzees can carry a virus related to HIV-1, but sooty mangabeys, a type of monkey found in West Africa, can carry a virus similar to HIV-2. Humans are thought to have become infected with HIV-1 from sooty mangabeys. Baboons in Tanzania and patas monkeys in Senegal seem to have cross-infected each others species with SIVs. A local species of green monkey carries a virus called SIVAGM, which is related to the SIVs that the baboons and patas monkeys seem to have contracted. However, the odd thing about these baboons and patas monkeys is that they are not usually infected with SIVs. A subtype of HIV-1, called subtype B, was initially found in North America and in Europe, but it is hardly ever found in sub-Saharan Africa. Next, HIV is usually transmitted through four different ways. The first mode of transmission is through sexual contact; this is either vaginally or anally. The second mode of transmission is through contact with infected blood, usually through a blood transfusion or through an open wound on the skin. The third mode of transmission is through shared needles; this is usually from a drug user that is infected with HIV. The fourth mode of transmission is through breast-feeding, where HIV is passed from the mother to the baby. The percentages of these modes of transmission are as follows; 75% of HIV infection is from sexual activity, 10% is passed through breast-feeding, and 10% is passed through intravenous drug use. The other 5% are passed through contact with infected blood. As of June 1999, about one million people in the United States have HIV, and around 45,000 more people contract HIV every year. HIV does not kill a patient, what kills a patient is infections caused by different pathogens, which then leads ...

Thursday, November 21, 2019

REGIME CHANGE Essay Example | Topics and Well Written Essays - 1500 words

REGIME CHANGE - Essay Example Coup de tat involves forceful transition where a leader comes into office by overturning or rebelling against the government. In such a case, the leader has authority, but lacks legitimacy/ claim to his or her title. In most cases, regime changes towards an authoritarian regime are characterized by totalitarian actions which inhibit peoples’ freedoms (Goerman, et al., 2009). The other one involves external forces, which are characterized by external pressure from non governmental bodies such as the United Nations and NATO. The UN may pass into law interventions that are aimed to kick out a certain regime in a country (Gilligan & Sergenti, 2008). A good example is the global communities’ involvement in ousting the current regime in Syria, which is being accused of going against its peoples’ wishes and lacking legitimacy. Examples of significant regime changes across the globe include Iraq, Egypt, Tunisia, Libya and even Syria. Political history of Libya Libya has a real distinct history, which dates back to the 16th century with the decline of the Berbers dynasties, to the takeover by the Turks, then the French, and then under Italy in 1912; up to the time they gained independence in 1951 (History World, 2012). During the Italian rule between 1914 and 1945, there was the introduction of fascism, which should be noted distinctively as a new method of administration of Libya back then. Italy appointed fascist governors who operated with extremes measures to the point of setting up concentration camps to subdue resistant from two major Libyan areas. Major regimes in Libya After the second world war, and under a United Nations resolution the three major regions of Tripolitania, Cyrenacia and Fezzan come together to form the present day Libya, under the leadership of King Mohammed Idris I. His term in the throne was a huge shift from the fascist rule embraced by Italy during the colonial period. His style of governance involved ruling Libya as an old fashioned monarch. This meant that democracy was thrown out of the window. This kind of rule was retrogressive to the economy of the region since the royalty used up most of the resources impoverishing the population. Eighteen years into his rule as king, King Mohammed was deposed in a bloodless military coup by the then twenty seven year old Muammur Gadaffi, a captain in the air forces. He immediately becomes the commander in chief of the armed forces. Gadaffi ruled Libya with a firm grip, creating a reputation of being a hard stance dictator who was very unpredictable, and the world over. He developed a philosophy which he used in governing Libya which he wrote in a book titled ‘The Green Book’ which was published in two volumes, one in 1978 and the other in 1980.The book highlighted a political philosophy based on Islam, Arab nationalism and socialism. Gadaffi’s reputation on the international stage suffered a significant blow due to his unpredictable nat ure. He was many times accused of supporting financially extremist groups across the globe. The use of Libya’s oil wealth in meddling in other countries affairs made the international community set up measures of controlling his influence. In April 1986, in his government’s commitment against international terrorism, Ronald Reagan the then president of the United States authorized airstrikes in Libya,

Wednesday, November 20, 2019

Transport Operations (Shipping) Essay Example | Topics and Well Written Essays - 2000 words - 1

Transport Operations (Shipping) - Essay Example At the same time, intermodal transport refers to a system of transport where by more than one mode of transport is used to move the same loading unit in an integrated way. This paper will critically analyse how short sea shipping may influence multimodal and intermodal transport planning. Multimodal transport contains a chain of process and steps such as multiple storage and handling stages which require a thorough control. Hence, this mode of transport will not be effective if various phases of the transport are not controlled properly. As Devia (2008) points out, the main difficulty associated with the carriage of goods is that there is no international regime in force regarding various modes of transport. As a result of this lack of uniformity in regulation, the determination of the law depends on a specific transport process when different modes of transport are deployed. As Sturley (2007) reminds, there may arise some problems in the transport of goods between countries located at different continent if the goods in transit are damaged. In such cases, it is very difficult to identify the places or stages where the damages occurred so that the liability of the carrier varies in relation to the court where he is sued. The absence of a unified law for the multimoda l transport of goods caused the emergence of some regional, sub regional and national regulations, which in turn caused great difficulties for the international transport of goods. Similarly, intermodal transport systems face different types of threats from terrorists. From different experiences, it has been observed that railroad freight is extremely vulnerable to terrorist attacks. In addition, issues associated with modular service offerings, transport chain coordination, and network technologies impinge on the scope of intermodal transport systems. In short, it is necessary to establish well planned multimodal and intermodal

Monday, November 18, 2019

Catering for a variety of learners Essay Example | Topics and Well Written Essays - 500 words

Catering for a variety of learners - Essay Example With the tremendous pace of globalization it is seen that multilingual students exist all over the world and this has created a subject for research. It is believed by many that these multilingual students are at a loss if they do not excel in the primary language which is being used in schools and universities. However this belief is denied by many when it comes to excellence and perfection. This essay would further analyze the works of Cummins and Clarkson in relation to these aspects (Cummins 2006; Clarkson 2006). Multilingual and Bilingual students are able to speak two or more languages which gives them an edge over others who can speak only one language. English is primarily used for educational curriculums and hence these multilingual students are encouraged to excel in that specific language. In many schools English as a language is promoted for these multilingual students whereby their mother language is ignored. The teachers in these schools believe that English as a primary language is more important than other languages when it comes to studies. However this is denied by several researches done by Cummins and Clarkson. It is seen that Cummins in his researches is denying these beliefs and stating that it is necessary for students to learn all the languages and excel in them accordingly. According to his researches it is seen that students who have a grip on different languages are able to build up excellent rational critical techniques (Cummins 1979; Cummins 2006) These techniques he lp them to excel in education and further improve their base. Clarkson affirms this view by researching on Australian Vietnamese students and how their bilinguals help in developing their rationality of mind. Mathematics is a subject of thought and being bilingual helps these students to think even more. The research by Clarkson showed that students who had a grip on many languages showed more positivity when it came to studying mathematics in the

Saturday, November 16, 2019

Are Treaties a Better Source of International Law?

Are Treaties a Better Source of International Law? International treaty obligations are founded upon the maxim pacta sunt servanda (â€Å"pacts must be respected†). This is expressly recognised in the Preamble to the Vienna Convention[1] which â€Å"notes† that the principles of free consent and good faith and the pacta sunt servanda rule are â€Å"universally recognisedâ€Å". However, it might be argued that such a Convention is more a recognition of the status quo than an innovative development in international law. Article 2(1)(a) of the Convention defines a treaty as â€Å"an international agreement concluded between States in written form and governed by international law, whether embodied in a single instrument or in two or more related instruments and whatever its particular designation [emphasis supplied].† This immediately draws attention to the fact that the term â€Å"treaty† is more generic than specific and covers a range of international agreements which might equally be referred to by such terms as protocols, covenants or conventions. The impact of treaties upon domestic legislation varies according to jurisdiction. The contrast is frequently drawn between the position in the US and the UK. In the former, the treaty-making power is vested under the Constitution in the President but he requires the â€Å"advice and consent† of two-thirds of the members of the Senate present and voting. In the United Kingdom it is argued that the making of treaties is an exercise of prerogative power. This is controversial: it might be suggested that prerogative power can only be exercised by the Crown. However, the preferred approach might be that of Dicey who suggests that a prerogative act is any act of government that is not authorised by statute. However, it should be noted that there is a degree of Parliamentary control. First, there exists the so-called â€Å"Ponsonby Rule† which applies to treaties which have been negotiated and signed but have not come into effect because they have not in terms of internationa l law been ratified by the parties. Under this rule, the government must notify Parliament of the treaty and must not ratify it save in cases of urgency until 21 parliamentary days have elapsed. Second, Parliament may restrict the power of the executive to enter into treaties by expressly providing that they require parliamentary consent. Finally, the making of a treaty does not automatically ensure its application in domestic law. It was held in A-G for Canada v A-G for Ontario[2] that â€Å"the making of a treaty s an executive act, while the performance of its obligations, if they entail alteration of the existing domestic law, requires legislative action.† Further, it was held in Rayner (Mincing Lane) Ltd v Department of Trade[3] that â€Å"except to the extent that a treaty becomes incorporated into the laws of the United Kingdom by statute, the courts†¦have no power to enforce treaty rights and obligations at the behest of a sovereign government or at the behest o f a private individual†. This analysis reveals treaties as having a somewhat uncertain foundation when it comes to their implementation in the states involved. This dilemma was illustrated in the controversial instance of the Maastricht Treaty on European Union and led to a challenge to the treaty-making power of the executive in R v Secretary of State for Commonwealth Affairs ex p Rees Mogg[4]. The treaty was to come into effect upon ratification by the Member States. In the UK there was substantial opposition to the treaty on all sides of the House and the issue raised in the litigation was whether the government had the power to ratify the treaty without such approval. The British government took the allegedly â€Å"safe† course of not referring the treaty under the Ponsonby Rules arguing instead that its ratification was an exercise of prerogative power. The Queen’s Bench Division held that this decision was not susceptible to judicial review. By contrast it might be argued that customary law is a far more amorphous concept. In international law, customary law refers to the legal norms that have developed through the regular exchanges which have occurred between states over time. Such norms gain their acceptance from agreement upon certain universal values. Two easily cited examples might be genocide or slavery which are generally held to be unacceptable behaviour by civilised nations. However, Alder[5] is sceptical: â€Å"The influence of customary values is not necessarily benevolent and custom may become dead wood but still inhibit legal change.† He cites as an example the fact that although an extension of the franchise took place during the late nineteenth century, the advance of female suffrage was inhibited by the fact that the courts refused to interpret the legislative use of the word â€Å"person† as including women. It is therefore submitted that the attempt to determine whether treaties are a better source of international law than custom is misguided. As might be observed from the above argument, treaties while possessing a high-sounding title are often little more than an attempt to formalise customary obligations that already exist between states. The division is further blurred if one pauses to consider the manner in which treaties are interpreted. Article 31 of the Vienna Convention is framed in extraordinarily wide terms: â€Å"1. A treaty shall be interpreted in good faith in accordance with the ordinary meaning to be given to the terms of the treaty in their context and in the light of its object and purpose.† Article 32 which deals with â€Å"supplementary means of interpretation† broadens the scope of interpretation still further: â€Å"Recourse may be had to supplementary means of interpretation, including the preparatory work of the treaty and the circumstances of its conclusion, in order to confirm the meaning resulting from the application of Article 31, or to determine the meaning when the interpretation according to Article 31: (a) leaves the meaning ambiguous or obscure; or (b) leads to a result which is manifestly absurd or unreasonable.† This blurs the distinction between treaties and custom still further since it leads to a situation in which a treaty can be interpreted so widely as to allow almost any meaning to be placed upon it thus further undermining its status as a definitive document. Finally, a further respect in which the status of treaties as an authoritative source of international law is undermined stems from the manner in which treaty obligations can be ended. Obligations in international law are regarded as arising from the consent of the contracting parties rather than from externally established norms that can be held to be permanently binding. Part IV of the Convention regulates the â€Å"Amendment and Modification of Treaties† and makes it clear that consensus is required for a treaty to remain in force. However, Article 43 is, it is submitted, highly significant: â€Å"The invalidity, termination or denunciation of a treaty, the withdrawal of a party from it, or the suspension of its operation, as a result of the application of the present Convention or of the provisions of the treaty, shall not in any way impair the duty of any State to fulfil any obligation embodied in the treaty to which it would be subject under international law independently of the treaty [emphasis supplied].† It may be argued that this provision fatally undermines the status of treaties: in effect, while treaties might rise and fall effectively at the will of the participating states, international legal obligations remain. It may be questioned, therefore, whether treaties should enjoy any real legal status or whether they should more accurately be regarded as a species of diplomacy and little more than a temporary statement of intent within the prevailing foreign policy of the parties. In conclusion, therefore, it may be suggested that while treaties have become a commonplace within international law, they should not be accorded the status with which domestic legislation, for example, is regarded. If this premise is accepted, the role of custom in international law becomes more prominent. As has been seen, it is custom that truly informs international law. Indeed, it is possible to argue that so-called â€Å"international law† is no more than the recognition of established norms between sovereign and independent states. International law cannot be regarded as stemming from any recognisable international legislature and is enforceable only as a result of the acquiescence of the states involved. In the final analysis, it might be better to dispense with the concept of â€Å"international legislation† and concentrate instead upon the agreed rules of behaviour between states. In this regard, custom becomes far more influential in determining international obligations and treaties for all their written formality and supposed authority should be regarded as little more than a written record of customary rules. Bibliography Alder, J., General Principles of Constitutional and Administrative Law, (4th Ed., 2002) Allen, M. Thompson, B., Cases and Materials on Constitutional and Administrative Law, (7th Ed., 2003) Barnett, H., Constitutional and Administrative Law, (5th Ed., 2004) Bradley, A. Ewing, K., Constitutional and Administrative Law, (13th Ed., 2003) International and Comparative Law Quarterly Merrills, J., International Dispute Settlement, (4th Ed., 2005) United Nations, Vienna Convention on the Law of Treaties, (1969) Westlaw Footnotes [1] United Nations, Vienna Convention on the Law of Treaties, (1969) [2] [1937] AC 326 at 347 [3] [1990] 2 AC 418 at 477 [4] [1994] QB 552 [5] Alder, J., General Principles of Constitutional and Administrative Law, (4th Ed., 2002), p.42 What Is Public Health Health? What Is Public Health Health? Wanless (2004, p.27 [online]) defines public health as the science and art of preventing disease, prolonging life and promoting health through the organised efforts and informed choices of society, organisations, communities and individuals. From this definition we can establish that the main focus of public health is to reduce health inequalities with the key concepts being to protect the public from transmissible diseases, improving service provision and to promote the health of the population (Naidoo and Wills, 2005, p.8). Health promotion and public health are intricately linked as the idea behind health promotion is to encourage individuals to have greater control over the decisions that affect their overall health. Health is a difficult term to define as people have different perceptions of what being healthy means and it is linked to the way people live their lives. The most common definition of health was set by the World Health Organisation (WHO) in 1948, which suggests that health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity (WHO, 2003 [online]). This definition suggests that health is the achievement and maintenance of physical fitness and mental stability however, each individual is unique so the term health varies from person to person and can therefore be a number of ideas that people have in their minds at different times of their lives (Pearson, 2002, p.45). Discuss the following key concepts in public health: Health inequalities The particular challenges that clients living in poverty face in relation to improving their health. Health inequalities can be described as the variation in the health status or the health gap between the socio-economic classes. Evidence suggests that there is a link between health and wealth, where people in the upper socio-economic classes have more chance of avoiding illness and living longer than those in the lower socio-economic classes and as a result, mortality rates are greater for the lower social classes than for the higher social classes (Marmot, 2010, p.16 [online] ; Acheson, 1998 [online]). Mortality rates are a useful indicator when assessing health inequalities because of its sensitivity to social conditions and even though the life expectancy years of individuals have increased, the life expectancy gap between the social classes has continued to exist (Marmot, 2010, p.45 [online]). The contributing factors to this life expectancy gap includes issues such as poor diet, obesity, smoking and higher drug and alcohol consumption (Marmot, 2010, p.37 [online]) and despite the reduction measures previously taken, this health gap between the wealthiest and the poorest continues to increase (Triggle, 2010 [online]). Access to health care services have also been reported as uneven (Acheson, 1998 [online]) however, an individuals health can be adversely affected by more factors than just the availability of healthcare and these other factors include gender, ethnic groups, religion, age, geographical location, residential deprivation, education, occupation and economic conditions (Marmot, 2010, p.39 [online]). Many of these factors can independently affect health however, those in the lower socio-economic classes tend to be disadvantaged by most, if not all, of them and the combination of these factors can lead to a significantly higher health burden for those who are living in poverty (DoH, 2010, p.15). Poverty is when individuals, families and groups do not have the income needed for the minimum standard of living and poverty can be measured as relative or absolute (Alcock, 2006, p.64). Relative poverty is when the income received is less than the average income for the country, where access to goods and services are limited compared to the rest of society and absolute poverty is where the level of income is below the required amount to afford a decent living or be able to sustain human life and as a result, only the bare minimum levels of food, clothing and shelter can be afforded (Alcock, 2006, p.64). Without sufficient money, people are less able to provide themselves and their families with adequate housing, nutrition, clothing and heating. People who live in poverty are also less likely to have the means to travel to specialist clinics and hospitals which may mean that they are less likely to attend appointments or take advantage of health screening opportunities (Kozier, 2008 , p.133). Identify a contemporary public health issue and describe its health consequences. Obesity is a term which is used to describe a condition where an individual is carrying excess body fat (WHO, 2011 [online]). It is a complex modern health problem facing society today which has both personal and economic consequences. In the UK alone the economic cost of obesity prevention, management and its consequences such as, premature death and employment absence is estimated at up to  £4.2billion per annum and is continuing to rise (DoH, 2010, p.20). As such, obesity prevention has become a public health priority, with significant focus being given to childhood obesity (DoH, 2008, p.27). Children who are obese are likely to suffer both short term and long term adverse health effects, such as increased blood pressure and hyperlipidaemia (NOF, 2011 [online]). They are also at greater risk of developing diabetes, coronary heart disease or even metabolic syndrome prematurely (WHO, 2011 [online]) and as a result, they tend to have a shorter life expectancy (DoH, 2008, p.2). Obese and overweight children also have a tendency to suffer poor psychosocial health and are therefore particularly susceptible to emotional stress, stigmatisation, discrimination and prejudice (NOF, 2011 [online]), which also increases the chances of children suffering with low self-esteem, depression and eating disorders (BMA, 2005, p.8 [online]). One of the biggest concerns of childhood obesity is that it is likely to continue on into adulthood (Coleman, 2007, p.71). Select a health promotion model and discuss how it applies to your chosen public health issue. The prevention of obesity is easier than the treatment and prevention relies heavily on education, therefore for this issue the education model will be used. The aim of this approach is to give information to ensure that each individual has the knowledge and a basic understanding about obesity, which allows the individuals to make informed choices about their own lifestyles (Ewles and Simnett, 2003, p.44). A good example of this approach is the school health education programmes, which not only increases the childs knowledge but also helps the child to the learn skills of healthy living (Ewles and Simnett, 2003, p.44). Educational programmes could also be targeted at the parents and could involve the promotion of breastfeeding, the delaying of weaning onto solid foods to infants and building an awareness of the types of foods that are available within home. Parental education could also focus around building the self-esteem of the child and an understanding of how to address the childs psychological issues. Education in early childhood could also include information about healthy diets, workshops (which could include food tasting) and physical activity (NICE, 2006, p.75 [online]). Identify public health strategies relating to this public health issue at the following levels: Local National and Global The rise in obesity combined with the increased public awareness has prompted new public health initiatives. The white paper Healthy weight, healthy lives, in conjunction with the National Institute for Clinical Excellence (NICE) guidance, sets out guidelines for action on obesity (DoH, 2008 ; NICE, 2006 [online]). Policies and strategies were introduced following the recommendations outlined in these papers and were developed with the main focus being to assist in the prevention and management of obesity and to encourage healthy eating and physical activity (NICE, 2006 [online]). These strategies include school based educational and physical activity programmes and public health messages through the media such as, television, radio, poster campaigns and leaflet distribution. Local authorities have developed strategies which tackle obesity from a local level. A great example of a local initiative within the northeast is Medal Motion, which encourages children to walk or cycle to school whilst also working towards preventing obesity (Local Motion, 2011 [online]). Each locality has different needs and local strategies that are in place have been developed in conjunction with government initiatives and influenced by national policy such as, healthy schools. National interventions include the five a day scheme which encourages people to eat more fruit and vegetables, extended from this is the school fruit and vegetable scheme which helps increase the childs awareness of the importance of eating fruit and vegetables (NHS, 2011 [online]). Change4life is another example of a nationwide initiative which was launched to improve childrens diets, increase their physical activity and which, in turn, improves their chances of living longer, healthier lives (NHS Northeast, 2011 [online]). The national child measurement programme is a national strategy which requires school nurses to weigh and measure all four to five year olds and ten to eleven year olds annually, this monitors prevalence and evaluates obesity reduction strategies (DoH, 2011 [online]). Other national initiatives include Sure Start, school sports programmes, simplified food package labelling and the regulation of television advertising on childrens channels. The WHO has launched a major consultation into the diet-related disease and stated that their global strategy would focus on diet, physical activity and health (WHO, 2004 [online]). This global preventative strategy includes reducing the childs energy intake and improving their intake of nutritional foods, increasing physical activity and reducing time spent in sedentary behaviour, such as watching television (WHO, 2004 [online]). The WHO developed a framework and implementation toolkit which is used to monitor and evaluate their Global Strategy on Diet, Physical Activity and Health (WHO, 2008 [online]). Following on from this framework, the WHO called on governments to take action against food marketing to children and to regulate marketing messages that promote unhealthy dietary practices (WHO, 2007, p.9 [online]). Give an example of how nurses can improve health for this issue The recent white paper called Healthy Lives, Healthy People (DoH, 2010) sets out guidelines for healthcare professionals to support individuals to make their own decisions and choices about their health. Nurses can optimise their role by offering health promotion to individuals who seek help and support in relation to obesity, whilst acting as an advocate for healthy lifestyles and ensuring the clinical environment supports and encourages children to make healthy choices. Healthcare professionals, especially school nurses, are ideally placed to identify if a child is overweight and screening, parental support and health promotion activities should be routinely addressed where possible. Children and families should be offered support to manage weight sensibly, by discussing small incremental changes in family behaviours, and by making any necessary referrals for specialist investigation, psychological help or specific dietician advice (NICE, 2006, p.49 [online]). It is vitally important that the nurse possesses the necessary skills and adequate knowledge on healthy eating in order to educate children and their families (NICE, 2006, p.44 p.101 [online]). Additionally, the necessary resources should be readily available such as advice leaflets, to pass on to parents to aid in the communication and teaching process. Evidence suggests that when talking to children and families about obesity and food behaviours, that problem-solving techniques can have some success (Ewles, 2005, p.95) and as such, nurses can interpret when and where eating patterns become an issue and can therefore offer advice and guidance on how to manage in difficult situations (NICE, 2006, p.148 [online]). Why do people find it difficult to engage in health improvement interventions? A number of factors can inhibit access to healthcare such as language, age, attitudes to healthcare, disabled access, financial barriers and geographical location (Kozier, 2008, p.133). A geographical barrier can be that some patients may have to travel long distances for certain services or to receive specific treatments. The travel costs for these services may be relatively high and access to transport may also be limited. There is also the issue of the postcode lottery of healthcare services where some treatments are only available in certain parts of the country and not in others, such as the Herceptin postcode lottery (Kozier, 2008, p.133). Cost also affects most individuals as some services are not free, such as dental treatment and eye tests and some individuals also have to pay prescription charges which can lead to illnesses being left untreated, as some people afford to pay for their prescriptions. Additionally, due to limited income, some individuals may not have access to the internet and therefore may not be able to access certain services such as Choose and Book, which is primarily an internet based appointment booking service. Other issues that can inhibit access to healthcare include the cost of health insurance, lack of knowledge and awareness and lack of a support network.

Wednesday, November 13, 2019

Who Wants To Be Next In Line :: essays research papers

WHO WANTS TO BE NEXT IN LINE? In Greek words translated as I obey actually mean I get myself persuaded. For a man there is perhaps always something a little shameful about obeying someone – as if allowing yourself to be persuaded is a thing a warrior or hero would be embarrassed to find himself happening to him. The common goal of the Periclean Age was to establish a nation that was built on freedom and beauty, however the methods by which to achieve such a democratic state were and continue to be as individual as the people residing in Greece. Pericles (493 BC – 429 BC) was a statesman of Athens, Greece during this time of political exploration and expansion. He led the Athenians to remain extremely proud of their city and like all statesmen his words had an extremely influential impact on the appetite for progress of the democracy. An example of such an oral masterpiece is the address he made after the first battle with opposing Grecian city Sparta. This civil war in Greece had created chaos and sparked worry in the Athenians. Pericles’ Funeral Oration was a reminder to them. The great speech was a pep-rally to restate the original reason for which they were fighting; to honor the noble soldiers that died while they were free and to boldly request the people honor such fine men by following in their footsteps. It was the main purpose of this speech, to remind Athenians what their loved ones had been dying for in the battles with Sparta. Pericles wanted to instill national pride in the city along with a zest to fight for Athens and fight for her boldy. The oration reminds Athenians of their greatness because of the fact that they, as warriors, had more to fight for: they have more to lose because they live in freedom. Pericles was extremely proud of the nation that he lived in. His speeches were filled with motivation to instill justice in Athens by praising the people. He persuaded the people of Athens to join him by keeping faith in the maturiy and development of the state. â€Å"Choosing to die resisting, [Sparta] rather than to live submitting, they fled only from dishonor, but met danger face to face; in one brief moment, while at the summit of their fortune, they escaped from fear and embraced their glory.† Pericles’ Funeral Oration. With this attitude, Pericles made it conceivable that this was the way towards a bright future.