Sunday, September 8, 2019
Follow the instruction and do the questions Essay
Follow the instruction and do the questions - Essay Example In his narrative or pamphlet, Common Sense; he talked about the distinction between the origins of society and origins of government. Paine drew the attention of people towards general facts and common senses by telling them that a society is formed because of their wants. He hoped that people understand that they are all dependent on each other for the satisfaction of their wants, as no person alone is sufficient. There is a chain as one depends on another and that another on some other and so on. They donââ¬â¢t need government for their safety but people themselves can do it. All they need is common consent and clear conscience as, they as a society are independent on each other and these needs never cease to exist. This belief on our own selves and on each other is weak, and that is the reason that people are still under the slavery of government who regulates their lives, rather than them taking charge of their own. 2) In Mark Twainââ¬â¢s ââ¬Å"?1,000,000 Bank Note,â⬠Henry Adams agrees to assist Lloyd Hastings in his investment venture in London. Henry tells Lloyd he does not want to buy mines; instead he wants to ââ¬Å"keep my capital moving, in a commercial center like Londonâ⬠(76). Of course, having no assets, Henry cannot afford any investments. Yet what does it mean in Twainââ¬â¢s short story to keep oneââ¬â¢s capital flowing? In fact, Henry amply succeeds in moving his capital, much to Lloydââ¬â¢s and othersââ¬â¢ benefit. How does the story conceive ââ¬Å"capitalâ⬠? The story ââ¬Å"$1,000,000 Bank Noteâ⬠by Mark Twain conceives money or capital as the most powerful object which can derive everyone and everything with its power. It can rotate the world on its axis. Henry Adams was a poor, lonely person who didnââ¬â¢t even have enough means to make his ends meet, but this 1000,000 note changes his life from a nobody to a socially high-class man. Even though he could not use or cash this note, just the word about him having such wealth made him an upper class and wealthy person. The story defines capital as a controlling force which gives a fame and era of authority to Henry just with the illusion of him being a wealthy person. Such was the supremacy of money that even others like Lloyd could benefit from this illusion created. The plot of the story is basically teaching the lesson that money is everything for the capitalist world and just the assumption of having wealth is enough for anyone to achieve success, fame, acceptance and love in this society. 3) Explain what Thorstein Veblen means by the term ââ¬Å"pecuniary emulation.â⬠Why does the emulative ââ¬Å"habit of thoughtâ⬠engender ââ¬Å"chronic satisfactionâ⬠? Pecuniary means anything related to wealth, and emulation means to make an effort or to have an ability to surpass others. Together the term ââ¬Å"Pecuniary emulationâ⬠according to Veblen means to make an effort to surpass others in status as measu red by wealth. Veblenââ¬â¢s theory of the leisure class focused on the distinction of society between two classes, one who exploits and does not work and are called the leisure class, and other, a class of people who works in industry and produces goods. The thirst for wealth is never satisfied and gets only multiplied because of the power of wealth as a status symbol. Wealth brings a sense of accumulation, reputation and honor, which makes it impossible that the desire for wealth or
Saturday, September 7, 2019
Paul Tillich and His Theology Essay Example | Topics and Well Written Essays - 1500 words
Paul Tillich and His Theology - Essay Example Even brief analysis of the political and cultural contexts that surrounded Tillich during his life and career reveals how strongly those contexts affected his theological views. à Born on August 20, 1886, in a little village called Starzeddel, Germany, Paul was introduced to religion early in life. His father was a Lutheran minister and his mother was brought up as a more liberal Calvinist. Paul received his Ph.D. from Breslau in 1911 and was ordained as a Lutheran minister, like his father, in 1912 (Pauck & Pauck, 1976). The period from Tillichââ¬â¢s birth to the First World War was the time when his theological system only started to develop. Born in the last quarter of the 19th century, Tillich spent his young years surrounded by the spirit and traditions of Romanticism, the dominant movement in the European culture of that period. The Romantic protest against the rationalization of nature, coupled with the stress on the emotional aspects of existence and, of course, confronting the sublimity of nature could not but affect the way Tillich perceived his relation to the surrounding world (Henderson, 1986). à Tillich's perception of the world was put to the severe test during the years of World War I. Tillich headed toward the front ââ¬Å"â⬠¦.filled with nationalistic fervor and even enthusiasm over the opportunity to serve both God and country as a military chaplainâ⬠(Henderson 1986, p. 143). However, the realities of war almost immediately undermined Tillichââ¬â¢s belief in ââ¬Å"â⬠¦a nice God who would make everything turn out for the bestâ⬠(Pauck & Pauck, 1976, p.40). One of his duties was to bury the dead and soon the young chaplain found himself spending more time digging graves than fulfilling his direct duties (Henderson, 1986).
Friday, September 6, 2019
Michaelââ¬â¢s Reflective Paper Essay Example for Free
Michaelââ¬â¢s Reflective Paper Essay * Who am I? What life experiences made me who I am today? Was it my family, my social environment where I went to school, the groups, or organizations that I belonged to, or was it certain life events that shaped me? * This paper is my attempt to show that my family and social environment, my life experiences from childhood to present influenced me to be the person that I am today and who I will be in the future. As I reflect upon my life, at the age of forty-nine, I have come to the conclusion that my family and social environment when growing up, surviving cancer in my twenties, and getting married in my thirties are the main social influences and life events that have shaped who I am today and who I want to become in the future. Every one of these experiences has given me something: learning to be independent from family attitudes; dealing with the state of uncertainty, which comes with the disease; responsibility of marriage; and the importance to find the field of expertise for effective work. All these insights can be described as building effective relationships with people and developing self-understanding on different levels. * To understand my family life, and why I feel that their negative attitudes to me shaped me to be a better person, I first have to give you some background on my family and me. The background of my family clarifies how important for me was to be independent from this alienating environment. My mother died when I was only a year old and my father raised my older brother Kevin and me by himself until he met my stepmother. My father remarried and had my two stepbrothers William and Robert. My father was a strict disciplinarian, racist, drank a lot, and worked as a machinist at a refinery plant. My stepmother was a homemaker as my father did not approve of her working and felt that she needed to be at home taking care of the children. My stepmother came from an orphanage, had polio in her left hand. She was also an alcoholic, meaning that she was nasty when drunk; in addition, she was a chain smoker. Kevin was the oldest son one and a half years older than me (and my fatherââ¬â¢s favorite one), I was the middle child, William was five years younger than me and was diagnosed at an early age as having severe attention deficit hyperactive disorder (ADHD); Robert was the youngest. Witt and Mossler (2010) quote the longitudinal research study which has shown that the attitudes of parents towards children rather than the practices of raising children shape our personality in adulthood (Ch. 1, p. 11). It is evident that lack of my fatherââ¬â¢s attention has influenced me a lot, stimulating me to attract my parentsââ¬â¢ attention, for better or for worse. The authors also stress on the importance of the environment of growing up, both social and physical (Witt Mossler, 2010, Ch. 1, p. 13). We lived in a relatively low middle class white community in Beaumont, Texas next door to my fatherââ¬â¢s brother and his family. The area where we lived in was close to the outskirts of Beaumont and was nestled back in the woods, so the woods were our playground. This could create the feeling of abandonment, but it was also empowering somehow, as I learned by these circumstances to rely on myself. Palkovitz, Marks, Appleby, and Holmes (2002) treat the relationship between parents and children as a complex unit consisting of father factors, co parental factors, mother factors, child factors, and contextual factors (p. 8). It is evident that in my family, there was disintegration in a sense on all levels. It was interesting to discover that, according to the study by Palkovitz, Marks, Appleby, and Holmes (2002), my fatherââ¬â¢s attitude was shaped by his experience in romantic relationships and then projected upon children (p. 8). I had to develop independence from this painful emotional context. My relationship with my father caused me to be non-racist, disciplined, and extroverted, as my father was a strict disciplinarian, controlling, and racist man. He gave all his attention to my older brother and ignored me unless I did something that angered him. His treatment of me caused me to crave his attention and to seek to please him until I reached my teenage years and decided that I did not want to be like my father. I rebelled against his control upon me. He tried to control what I did after school, how I wore my hair, how I thought, and what I wanted to be when I graduated high school. I was deeply afraid of him when I was a child, and only when I became a young adult did I see that what he was doing to me was wrong. I started standing up for myself. I started seeking attention outside my family and I got a job after school so that I started earning my own money. That allowed me to purchase my own clothes, get my haircut how I wanted, and purchase my first car that gave me the freedom to escape from my dysfunctional family on a daily basis. My first car and earning my own money gave me the ability to distance myself from my family. However, later circumstances of my life taught me that people can also be supporting and self-reliance is not enough. When I was in my early twenties working and going to college, I developed Hodgkinââ¬â¢s disease that has also changed my personality. Hodgkinââ¬â¢s is a form of cancer that affects the lymphatic system. Like other forms of cancer, it is believed to cause the feelings of uncertainty, lack of control, anxiety, isolation, discomfort, and ââ¬â last but not least ââ¬â re-definition of goals and roles (Halldorsdottir Hamrin, 1996, p. 34). On one hand, one feels that he has to re-define his place in the society; on another hand, people care about those with the disease more and help more (at least they are supposed to do so). I experienced how it was not to have the control upon my life, but also how it was to be cared for by others. Anyway, when one is ill and so evidently dependent upon the society, the natural question comes: ââ¬Å"Did I do anything wrong? And what was it? â⬠Often cancer is associated with suppressed anger and a desire to please other (or at least attract attention) (Broderick, 1996, p. 14), and this really could be my case. I must admit that this understanding came along with serious heart problems. Still, illness did not prevent me from shouldering responsibility in work and family life, as well as from the joys of both. I met my wife during my thirties when I was changing my careers from being a technician to a salesperson. Interestingly, psychologists nowadays view professional development of an individual as an ongoing process (not limited to certain age group), the first stage of which is exploration (Smart Peterson, 1997, p. 59). So, I was engaged in a kind of ââ¬Å"double explorationâ⬠, searching for new ways in professional life as well as personal, consciously or not. In addition, like a career, marriage is a serious responsibility that implies both joyful outcomes and stress together with work on oneself. This personal responsibility has changed me a lot, teaching how to meet the needs of another person with whom I have been living day by day for a long time. I find the recommendations given by Witt and Mossler (2010, Ch. 3, p. 37) helpful, though challenging sometimes. People are happy in marriage when they support each other materially and emotionally, not forgetting to be positive, share feelings, thank each other, express affection, and do certain tasks together. In prolonged perspective, my family life and work taught me how to be productive and understanding in relationships with people and how to maintain stability in the changing world around and in the situations when inner conflicts arise. That is why in my future, I want to pass on the knowledge that my occupation as a sales manager has given to me. Perhaps I will start organizing some training sessions. This may also help to deepen my competence in the field of sales and on the level of personal communication, as people may share their valuable experience with me on the trainings. As I reflect upon my life now, from quite a distance, I have concluded that several events were the strongest in making me the person I am at present. They were my family and social environment in childhood, surviving cancer in my twenties, and getting married in my thirties. My family life stimulated me to earn living independently, cancer survival was essential in understanding my own potential and the ability to help of the people around, and marriage has given me the notion of responsibility. The dark years and events turn out to be ambivalent in the sense that they have given me certain experience and understanding of myself. Those main social influences and life events that I described in this paper have shaped my present personality and my thoughts about the future.
Thursday, September 5, 2019
Use Of Power In Organizations
Use Of Power In Organizations Personal power is power that resides with an individual, regardless of his or her position in the organization. Someone usually exercise personal power through rational persuasion or by playing of followers identifications with him or her. An individual with personal power often can inspire greater loyalty and dedication in followers than someone who has only position power. The stronger influence from the fact that the followers are acting more from choice than from necessity and thus will respond more readily to request and appeals. Of course the influence of a leader who relies only on personal power is limited, because followers may freely decided not to accept his or her directives or orders. The distinctions between formal and informal leaders are also related to position and personal power .A formal leader will have , at minimum, position power. And an informal leader will similarly have some degree of personal power. Just as a person may be both a formal and an informal leader, he or she can have both position and personal power simultaneously. Indeed such a combination usually has the greatest potential influence on the action of others. An individual with both personal and position power will have the strongest overall power. Likewise , an individual with neither personal nor position power will have the weakest overall power. Finally when either personal or position power is high but the other is low, the individual will have a moderate level or overall power. The Uses of Power in Organizations Power can be used in many ways in an organization. But because of the potential for its misuse and the concerns that it may engender, it is important that the mangers fully understand the dynamics of using power. In using expert power, managers aware of their education, experience, and accomplishments as they apply to current circumstances. But to maintain credibility , a leader should not pretend to know things that he or she really does not know. A leader whose pretension are exposed will rapidly lose expert power. A confident and decisive leader demonstrate a firm grasp of situations and takes charge when circumstances. Managers should also keep themselves informed about development related to tasks that are valuable to the organization and relevant to their expertise. A leader who recognizes employee concerns works to understand the underlying nature of these issues and takes appropriate steps to reassure subordinates. For e.g. , if employees feel threatened by rumors that they will lose office space after the next move, the leader might ask them about this concern and then find out just how much office space there will be and tell the subordinates, a leader should be careful not to flaunt expertise or behave like a he know everything. Suppose a manager has asked subordinates to spend his day finishing an important report. Later, while the manager is out of the office, the manager boss comes and ask the subordinates to drop that project and work on something else. The subordinates will then be in the akward position of having to choose which of two higher-ranking individuals to obey. Exercising authority regularly wil reinforce its presence in the eyes of subordinates. Verifying compliances simply means that leaders should find out whether subordinates have carried out their request before giving rewards otherwise subordinates may not recognize the linkage between their performance and subsequent reward. The request that is to be rewarded must be both reasonable and feasible, of course, because even the promise of a reward will not motivate a subordinates who thinks a request should not or cannot be carried out. The same can be said for a request that seems improper or unethical. Among other things, the follower may see a reward linked to an improper or ethical request. Finally if the leader promises a reward that subordinates know she or he cannot actually deliver , or if they have little use for a reward the manager can deliver, they will not be motivated to carry out the request. Further , they may grow sceptical of the leaders ability to deliver rewards that are worth something to them. Bases of Power Leaders are not automatically endowed an unlimited amount of power over subordinates . leaders also differ in terms of the sources of bases upon which power over subordinates can be exerted. There are five different powers that affect leadership which include expert power, referent power, legitimate power, reward power and coercive power. The first base of power is labelled coercive power. The basis of the influence is the fact that one person can punish another. Thus , a subordinates may do what a leader request because the leader has the power to fire the subordinates. Although the threat of punishment may give a leader considerable power over subordinates ,coercive power generally is not a very efficient base of power. The second power base described by French and Raven is labelled reward power. This is essentially the opposite of coercive power. That is subordinates do what the leader wants because the leader has the ability to reward them in some way. For example, a subordinates may comply with a leader request that he or she work overtime because the leader has the power to grant this employee a larger pay increase when raised are given out. The Third power base is labelled legimate power. This power emanates from the position that one holds in an organization. In most organization settings, the fact that one employees is another employee is another employees supervisor means that the supervisor has a legimate right to make request of the other person. Note that this legitimate right is independent of the person holding the position. The Fourth power base is expert power. This is power based on the fact that an individual is perceived as an expert on something to ask a group of subordinates to work on a weekend may bring the group before making the request. When exchange is used as an influence tactics, the leader offers subordinates something in return for complying with the request, or perhaps offers them a share of the benefits that accrue when a task iis accomplished. The fifth is Pressure. This involves the use of demands ,threats ,or persistent monitoring to make subordinates comply with a request . Suppose a supervisor wants to make sure a subordinates is on time every morning. One way to do this would be check the persons desk to see if he or she is present by the required time. Although pressure may at times get leader the behaviour they desire, this almost always comes in the form of compliance on the part of the employee. Leadership Good leaders are gifted, everyone cant lead it . If you have the desire and willpower, you can become an effective leader. Good leaders develop through a never ending process, of self-study, education, training, and experience. To inspire the workers to a higher levels of teamwork, there are certain things to, know, . It do not come naturally, but when we acquired through continual work and study. Good leaders practices are continually works and studying to improve their leadership skills. Before we get started, lets define leadership. Leadership is a process by which a person influences others, the objective and directs the organization in a way that makes it more cohesive and coherent. The most popular definitions is that leadership is a quality of the persons possess that allows them to rule, and lead other people. That quality consists of a persons charisma, power of thought, intellectual potential, organizational talents, and sense of responsibility. Other leadership essays examples give a different definition: leadership is concrete knowledge of psychology and social interaction, anyone can certainly develop the ability to be a leader. We have seen someone ordinary leading a company or an organization. We have seen someone who is leading a country, but has no charisma, no special skills. There is little doubt youll answer no. We can give the example of Hitler whenever he gives the speech everyone claps he was just a amazing person but the secret is whenever he comes in the stage he used to practice in front of mirror .Unfortunately, there are so many people in our world who are in the top positions, who have influence and power, although nobody really sees a real leader in them. Perhaps being a leader simply means being in a position over other people. Of course, their are some strategy to lead someone is to have the skills to make someone undertake what you want. Although it does not signify that this someone has no other solution. A real leader is someone who is respected by other people and due to this respect is followed by them. Being a leader demands something distinctive should be there in a person something that makes him or her special, something stronger, and probably better than others so he compete with others. Thats why its not correct to think its virtually anyone can easily be a leader but not the perfect. Of course, to be a good one, we should improve our self, gain more and more practical knowledge as well as the experience, although with effort the leadership potential we can become a good leader. The Power of Leadership What is leadership? What is power? We define the two as a cornerstone of any successful team, organization, or for any successful country. If there to analyze the U.S. we could see this very clearly. The U.S. is the leader and one of the most dominating countries in the world, hence being called world power. What we estimate that leadership compliments from power, and power compliments leadership. When these two qualities are used in a responsible manner success soon and follows the right path . If we refer to the history books, we can come to the conclusion that wars are won by good leadership and a responsible use of power. Whenever we mention the word Power most of the people will think that power is evil, corrupt, self-serving, manipulative and hurtful. When we used power is in an ethical and in purposeful way, there is nothing evil about it. Leadership is interpersonal influence, exercised in a situation, and directed, through communication process ,and it is an attainment of a specified goal or goals. If we would delegate responsibility to someone, we need to analyse that person with the power as well. Managers and leaders always commit the mistake of giving people responsibility, and not giving them the actual power so that they can execute their responsibilities well. How many people have we met that they are frustrated with their jobs simply because they had job responsibilities that they did not have much power to fulfil. They try their very best, but they gave resigned or frustrated because they realize they simply do not have the better resources; decision making power; time to fulfill it. In other words, they were given a task, but they were not given the resources to complete that task. Leadership, power and influence is a theme within management or the organization that is constantly developing. Leaders are now a days developing new and innovative ways to empower themselves and the followers in order to get the best out of them they follow the leaders to become like him or her the advantage is that the work is done properly and the followers. We have decided to look at the assumption that what leadership is based on,and the different types of relationships between the people, rather than the skills and abilities of just one person. We know this theory allows for a large network of interaction of people from all walks of life, they have the ability to shape these people through the influence and power of the leader. So the objective was to examine the forms of power and the relationships of different power. There are five sources of power that are commonly referred to when describing leadership. The different approaches with supporting evidence gathered from successful leaders. They demonstrated the challenges experienced it face the reality and how they have overcome from the situation ,these obstacles through the use of leadership, power and influence. Different leadership patterns are applicable to different genders, while these behavioral strategies note above present unique solutions for men and women. It is believed that females as a rule would have softer leadership styles related to care, nurture and sensuality rather than to ruthless and aggressive search for the implementation of the corporate objectives. Females as a rule stress the importance of relationship while men stress the importance of a task. Still, there are many examples of task oriented females and caring males. Also it is believed that females in the organizations are likely to gain authority only if the company deals with people and relations rather than with some dry figures and statistics. Leadership, as one can say involves the following four things Motivating other people. Some leaders and some must be followers. The leaders comes front in time when needed or crisis and present innovative solution. Leaders know what they want, to achieve and what is their ambition. The behavioural theory of leadership was created after the followers of the trait leadership theory could not find enough traits to explain why some people choose good leaders and why some could only be followers. The reason is the most logical way was to explore how the leaders behaved in their daily activities and especially towards their followers. The leadership would makes group of different behavioural patterns and activities together and then put a label on them calling them in styles. Concern for task. This behaviour of leaders is represented by tangible and calculable achievement linked which improved productivity of the organization of labor and motivation the personnel. Concern for people. This behaviour of leaders is represented by the tangible concern for people who works in the organization and have desire to establish proper relations rather than to treat them as units of production and corporate overhead. In this manner the leader establishes the group called the old boy club where each worker would become very much comfortable. Thus, if needed, each worker will give their best to do even more to make other friends happy. Directive leadership. This behavioural leadership style is represented by the leaders taking continuously and takes the decisions for other, and expecting the others rather to follow the instructions. Participative leadership. This behavioural leadership style is represented by the leaders goals to engage people make them busy to the task and increase their commitment by allowing them to make decisions for the company they work for. As a rule the leadership would use any two of the four general leadership styles shown above, they redesign them or rename them, plot them on some graph and then establish mixed strategy. Many others leadership would use other combinations and plot other leadership styles and schemes based on the leadership behaviour. Speaking about some practical situation, it is believed that those leaders engaged in participative and people-oriented leadership, they can enjoy better employee motivation and satisfaction leadership styles. Conclusion The power and bases of leadership is the day to day needs of human beings, and what i found while doing these assignment is Leader didnt came in the earth by god gifted. They make them self to become a good leader the one who have desire to become a leader he or she should work on it, give effort, gain knowledge, and practically do some research so that he or she could lead others. The leader should have the quality to motivate others make himself the brand image so people follow him or her.It is not the easy task to lead a country or a followers the courage should be build on him/her so that he/she could utilize the power of the leader. He/she should have decision making abilities and he/she should take the decision which will give them fame .Finally i would like to conclude by saying that everything is possible if you have the goals.
Wednesday, September 4, 2019
Epidemiology in relation to health promotion
Epidemiology in relation to health promotion This assignment will define epidemiology, list and describe some of its main aspects and assess the significance of those aspects for their effect on health promotion. The example of lung cancer will be used throughout. Definition Epidemiology is the study of how diseases are distributed among populations and the factors that affect this distribution. Epidemiologists try to predict risk factors that may lead to a particular disease and identify strategies that could be used to prevent its occurrence. (Naidoo Wills 2008: 4) The following questions drive epidemiology: Who becomes sick or is most likely to be affected? Why do particular people become sick? When are people most likely to be affected? Where has the disease occurred or is most likely to occur? How effective are available treatments and preventative strategies? (Crichton Mulhall in Naidoo Wills 2008:74) Epidemiology has the following main aims: To describe patterns of disease in the population, or the disease distribution, across age, gender and geography. To indentify the aetiology, or determinant, of the disease: risk factors or prior events associated with the appearance of the disease or condition. To analyse frequency, or how many cases occur, over a given period. To provide the data needed for the planning of preventative measures and treatment. Epidemiology is concerned with rates: the focus is on groups rather than individuals and aims to highlight trends. (Naidoo Wills: 2008:74) Epidemiology has two main approaches: Descriptive Epidemiology is concerned with the patterns of distribution of disease according to people, place and time and uses mortality and morbidity statistics as well as population data. Analytical epidemiology explores cause and risk factors and asks why did it happen? Successful prevention rests on identifying risk factors which can be reduced or eliminated. (Hubley Copeman, 2008:40) History In the past epidemiology has helped to explain the transmission of diseases, such as cholera and measles, by discovering factors shared by individuals who became sick. Modern epidemiologists have contributed to an understanding of factors that influence the risk of heart disease and cancer, which account for most deaths in developed countries today. Epidemiology has established the causal association of cigarette smoking with heart disease and lung cancer; shown that AIDS is associated with certain sexual practices and demonstrated the value of mammography in reducing breast cancer mortality. (Sci Tech, 2009) Aspects of Epidemiology An aspect is a part or facet of a particular subject area. Aspects of epidemiology which will be assessed are as follows: mortality and morbidity rates, statistical analysis, cohort studies, correlation, causation and questionnaire/survey. Mortality and morbidity rates. Mortality rate is a measure of the number of deaths (in general, or due to a specific cause) in a population. Data is collected from the compulsory registration of death and its cause. Cause is the disease or injury which initiated the train of events leading to death. Information can be divided according to age, gender and cause. Morbidity rates are either the number of new cases of a disease (incidence) or all cases at a point in time (prevalence). Data is collected from hospitals and GPs and includes: cancer registrations, notification of infectious disease, sexually transmitted disease, HIV/AIDS and congenital anomalies. (Tones Green: 2008:45). A central tool of epidemiology is rate comparison: population data collected by census is used for this purpose. Lung cancer: figures confirm that lung cancer has an enormous impact on national mortality and currently accounts for 7% of all deaths and 22% of all deaths from cancer in the UK Incidence rates: Lung cancer UK Males Females Persons Number of new cases (UK 2006) 22,381 16,646 39,027 Rate per 100,000 population* 60.8 37.1 47.4 Number of deaths (UK 2007) 19,637 14,872 34,509 Rate per 100,000 population* 51.5 31.3 40.1 One-year survival rate (for patients diagnosed 2004-2006**, England) 27% 30% Five-year survival rate (for patients diagnosed 2001-2006**, England) 7% 9% (Cancer Research UK) Cohort studies A sample of people is followed overtime and their lifestyle and exposure to hazards and the incidence of disease is monitored. A cohort of people has a characteristic in common e.g. the same disease or the same employer. Causation The investigation of a relationship between one event and another by weighing up a body of evidence. A number of methods are used to investigate causation including cohort studies. Relative risk is the ratio of the rate of a disease to the number of those exposed to a risk factor. It indicates how likely it is that an individual exposed to a particular environmental or lifestyle factor will go on to develop a particular disease. Lung cancer The most famous example of a cohort study was the British Doctors cohort study. Dr Richard Doll enlisted forty thousand male Doctors and followed them for fifty years. The results published in the 1950s showed that many more Doctors who smoked went on to develop lung cancer than those who did not.. The study provided clear evidence for a causal link between smoking and lung cancer. (Hubley Copeman: 2008) . Correlation Correlation is a statistical measurement of the relationship between two variables. Lung cancer research has shown a correlation between smoking and social class with people of less affluent groups smoking more. Correlation has also been demonstrated between the smoking habits of close family members: young people are more likely to take up the habit if their parents smoke.(Ewles:2005) Questionnaire and survey A set of questions addressed to a statistically significant number of subjects as a way of gathering information. Lung Cancer: The 2005 general household survey indicated that manual workers start to smoke at an earlier age, with 48% of men and 40% of women in manual occupations regularly smoking by 16, compared with 33% of men and 28% of women in managerial and professional occupations. (Cancer Research UK) Statistical analysis Used to determine likelihoods or probabilities. Lung Cancer Statistical Analysis provides a wealth of data and information. Available smoking statistics include incidence of cancer linked to number of cigarettes smoked per day and history of smoking. Also smoking statistics by age, socio-economic group, ethnic group, geographical variations and children are published. As an example, this graph illustrates the prevalence of smoking by age over three decades and shows the decline following the linking of smoking with cancer and the subsequent health promotion programme. Today, tobacco consumption is recognised as the UKs single greatest cause of preventable illness and early death with more than 114,000 people dying each year from smoking-related diseases including cancers. Ã (Cancer research UK, 2009) Before the dangers of cigarette smoking were widely known, smoking prevalence varied little by socio-economic group. Today there are clear differences due to the differential decline in smoking by social class that occurred in the 1970s and 1980s. By 2007, 25% of adults in manual occupations smoked compared to 16% of those in non-manual occupations. (Cancer research UK) The influence of these aspects of epidemiology on health promotion using lung cancer and smoking as an example. The World Health Organisation (WHO) defines health promotion as the process of enabling people to increase control over and to improve their health. The mortality rates for cancer in general, and in particular lung cancer, highlight this as a health issue of significant importance and worthy of focus and resources. The Doll cohort study demonstrated the correlation between smoking and lung cancer. Naidoo Wills in Key Topics in Public Health say, The single most critical area for action to reduce cancer is smoking. It is estimated that 1 in 2 smokers will die of a smoking related illness. If current smokers can be encouraged to quit mortality will be reduced: discouraging young people from starting to smoke will reduce smoking-related deaths during the second half of the twenty-first century. (Cancer Research UK) Health promotion to reduce the levels of lung cancer has therefore focussed on smoking cessation. Health promotion strategies have three components: education, service improvement and advocacy. Using lung cancer and its correlation with smoking as the example again: Education involves increasing awareness of the risks, the benefits of quitting and practical ways of stopping. Service improvement involves actions of primary care such as clinics and availability of nicotine patches. Advocacy involves enforcement of controls such as laws preventing sale of cigarettes to under 18s and the ban on smoking in public places. (Hebley Copeman, 2008) Statistics show which groups are more likely to smoke and the greater degree of risk they face. The correlation between smoking and social class, indicated by the Household survey, highlighted that smoking rates are highest amongst manual workers. The need to target this group is recognised in the Government white paper Choosing Health: Making Healthier Choices Easier which sets a target for reduction of smoking prevalence in this group. Smoking is a key contributory factor to health inequalities between socio-economic groups in the UK and accounts for a major part of the differences in life expectancy between manual and non-manual groups and is a key focus of the current government. (Department of Health, 2009) Other current priorities are; the very young who are at risk of uptake and the problem of passive smoking. Evidence suggests a correlation between young people smoking and the smoking habits of their parents. People who start to smoke in their teens do so because they adopt the social pattern of their family. The habit quickly becomes an addiction, which is very difficult to break. It is easier to stop a young person from starting to smoke than getting someone to quit. Specific measures are in place to focus on the very young including the banning of sales to under 18s. This group is also highly influenced by advertising and as a result TV advertising has been outlawed. The effects of passive smoking on children, in particular, have been highlighted in a graphic T.V. campaign which demonstrates to parents the harm they are causing their children. Examples of other, current, health promotion initiatives aimed at smoking cessation include: * Point of sale promotion has been severely restricted. * In July 200, the advertising of cigarettes at sporting events, including Formula 1, was banned. * On July 1st 2007, it became illegal to smoke in a public place or workplace including pubs. * All cigarette packets must carry a health warning covering a specific percentage of the front and back of the packet. * Media campaigns have been graphic and disturbing. The fish hook advert highlighted the controlling nature of tobacco. Primary Care Trusts run cessation programmes, one to one support, group sessions, quit smoking helpline, education events in schools and provide free nicotine patches. The government levies ever increasing taxation on cigarettes to increase prices and give a financial incentive to individuals to quit. (Ewles, 2005:63) October 2009, MPs agreed a ban on cigarette vending machines. (BBC News, 2009) Annual no-smoking day. (Nosmokingday,2009) Epidemiological research also confirms the success, or otherwise, of health promotion strategies. Between 1970-2000, British men experienced the most rapid decrease in death rates from lung cancer in the world as a result of the success of the health promotion measures and smokers quitting the habit. (Ewles: 2005) Ã In the early 1900s, lung cancer was a rare disease causing fewer than 10 male deaths annually in every 100,000 men. By the 1950s, the lung cancer death rate had risen six-fold, prompting the first epidemiological study that linked tobacco smoking and lung cancer in Britain. By the 1980s, the death rate for lung cancer was over 100 per 100,000 men. From the early 1980s onwards, following extensive focus of efforts on smoking cessation, the male lung cancer mortality rates have fallen continuously. The striking mortality trends by age over the past fifty years for men in England and Wales are shown below: (Cancer Research UK) Conclusion By identifying factors that increase the risk of disease, epidemiologists provide crucial input into the formulation of public health policy. (Sci Tech, 2009) Measuring health is important for health promotion as it establishes priorities, assists in planning, enables prioritization of actions with high-risk groups, justifies use of resources and demonstrates the efficiency (or otherwise ) of health promotion initiatives. (Naidoo Wills, 2009). In many studies a categorical answer is never produced as there is never 100% proof of the outcomes, only evidence to suggest. For example, not everyone who smokes will contract lung cancer and some non-smokers do contract the disease. (Naidoo Wills, 2005) The epidemiological research which proved the link between smoking and lung cancer, and the subsequent health promotion strategies, have reduced the prevalence of smoking and consequently the incidence of lung cancer significantly over the last thirty years. Health promotion priorities and strategies are continually reviewed as new evidence to suggest is produced from ongoing epidemiological research.
Tuesday, September 3, 2019
Muhammad Ali Is NOT a Hero Essay -- Sports Argumentative
Muhammad Ali Is NOT a Hero To be a hero, someone could save others, respect their country, and care. The firefighters from the Fire Department of New York have all of these characteristics, even thought they aren't perfect. Everyday, they risk their lives to save others. They show their patriotism even on the trucks they drive through the cities. Most of all they don't just do it because it's their job; they do it because they care. Unlike the people at FDNY, Muhammad Ali is violent, separatist, and rude. The first reason Muhammad Ali isn't a hero is because he is violent. For almost all of his life he fought in boxing matches that all started when he was a boy because he wanted to beat up the kid who stole his bike. For 14 years, on-and-off, he was heavyweight champion and before that a lightweight champion. To do this, you had to have the rage to hurt your opponent. Muhammad Ali even said, ââ¬Å"I believe in the eye-for- an-eye business, I got no respect for a man who wonââ¬â¢t hit back. You kill my dog, you better hide your catâ⬠(Myers 36). Now, in his 60ââ¬â¢s,...
Monday, September 2, 2019
The Joint Commission: National Patient Safety Goals for Medicare Based
The Joint Commission: National Patient Safety Goals for Medicare Based Long Term Care The Joint Commission is a nonprofit organization that focuses on improving the Healthcare system. They do this by regulating and evaluating health care organizations, helping them improve and give a more effective and safe care (The Joint Commission, 2012). The National Patient safety goals are ways in which the joint commission strives to improve the way health care is provided (The Joint Commission, 2012). Effective on January 1, 2012, the Joint commission came up with new ways to improve the Care of Medicare Based Long term Care facilities and provided Safety regulations to be followed. In order to better understand the impact that this regulations have in the healthcare, it is necessary to identify and describe the purpose of each regulation, and emphasize on the impact that falls in particular, can have among the geriatric patients. Safety Goals and Purpose â⬠¢ Identifying patients correctly when providing Care: Nurses are supposed to have two resident Identifiers when trying to care for a patient for the first time and after that, one identifier is acceptable. Identifiers such as Room number or location are not acceptable. To ensure this is carried out correctly nurses must ask for two identifiers in situations such as specimen collection, when providing treatments or when collecting blood for clinical testing (containers must be labeled in front of the patient). The Purpose of this guideline is to ensure that the patients are been properly identified and that they are receiving the right treatments and medications (The Joint Commission, 2012). â⬠¢ Using Medications Safely Reduce Harms associated with Anticoagulant Therapy: This goal e... ...m, and taking these basic precautions will take health care to the next level. References Jones, D., & Whitaker, T. (2011). Preventing falls in older people: assessment and interventions. Nursing Standard, 25(52), 50-55. Jr, K. R., & Barber, C. E. (2011, August 29). Preventing falls in the elderly. Retrieved from http://www.ext.colostate.edu/pubs/consumer/10242.html Peel, N. M., Travers, C., Bell, R. R., & Smith, K. (2010). Evaluation of a health service delivery intervention to promote falls prevention in older people across the care continuum. Journal Of Evaluation In Clinical Practice, 16(6), 1254-1261. doi:10.1111/j.1365-2753.2009.01307.x The Joint Commission. (2012, January 01). National patient safety goals: Medicare based long term care. Retrieved from http://www.jointcommission.org/assets/1/6/NPSG_Chapter_Jan2012_LT2.pdf
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