Tuesday, December 24, 2019
Analysis of Capital, inequality and injustice in Latin...
Human rights is the most important gift given at birth. It allows us to speak and commit legal and constitutional acts freely. But when a strong term such as this is protested for, we must ask ourselves if all humans are allowed to practice it in every country. If so, to what extent? The main focus of human rights writers and activists is in concern to the extent of unlawful treatment such as conquering of land from indigenous people in most if not all third world countries. We have learned that most problems in the world are blamed on one word, globalization, but it takes several words to fix the ongoing problem of globalization and its affects. The capital and injustice in Latin America has shown to be one of the reasons for suchâ⬠¦show more contentâ⬠¦The origination of westernization began from Columbuss voyage to the Americas. With the settling of slaves, animals and western ideas, Latin America would soon become a fulfilled dream of Europe, but now it has affected indige nous groups such as the Zapatistas of southern Mexico. Their land, culture and society has been practically erased by the settlers. The affects of the settling provided Mexico and other southern countries with close to nothing in royalties and little to nothing in cultural awareness. Considered as one of Harriss most disturbing realities, inequality in Latin America is thought to be best revealed as the inequality of income between the upper and lower income-earners(5). While only 20 percent of people own that large amount of land, the rest of the population is considered the lower class that receives low wages, little to no health care affordability and the lack of basic fundamentals such as sewage systems or running water. The rates of illiteracy and infant mortality are unacceptably high (particularly in rural areas). In a general study, it was found that the rural population exhibits rates of illiteracy that was found 50-75 percent greater than that in urban areas. Harris then explains the reasons for the extent of poverty that has increased in the largest cities as a result of recent wage declines, downsizing in the private sector,Show MoreRelatedOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words à |à 656 PagesOral History and Public Memories Tiffany Ruby Patterson, Zora Neale Hurston and a History of Southern Life Lisa M. Fine, The Story of Reo Joe: Work, Kin, and Community in Autotown, U.S.A. Van Gosse and Richard Moser, eds., The World the Sixties Made: Politics and Culture in Recent America Joanne Meyerowitz, ed., History and September 11th John McMillian and Paul Buhle, eds., The New Left Revisited David M. Scobey, Empire City: The Making and Meaning of the New York City Landscape GerdaRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words à |à 1573 Pagesreproduced, with permission, in this textbook appear on the appropriate page within text. Copyright à © 2013, 2011, 2009, 2007, 2005 by Pearson Education, Inc., publishing as Prentice Hall. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright, and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopyingRead MoreDeveloping Management Skills404131 Words à |à 1617 Pagesappear on appropriate page within text. Copyright à © 2011, 2007, 2005, 2002, 1998 Pearson Education, Inc., publishing as Prentice Hall, One Lake Street, Upper Saddle River, New Jersey 07458. 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Fundamentals of Human Resource Management Tenth Edition David A. DeCenzo Coastal Carolina University Conway, SC Stephen P. Robbins San Diego State University San Diego, CA Tenth Edition Contributor Susan L. Verhulst Des Moines Area Community College Ankeny, IA John Wiley Sons, Inc. Associate Publisher Executive Editor Senior Editoral Assistant Marketing Manager Marketing Assistant Production Manager Senior Production Editor Freelance DevelopmentRead MoreProject Mgmt296381 Words à |à 1186 PagesLeadership Chapter 2 Organization Strategy and Project Selection 1.4 Projects and programs (.2) 1.4.1 Managing the portfolio 1.4.3 Strategy and projects 2.3 Stakeholders and review boards 12.1 RFPââ¬â¢s and vendor selection (.3.4.5) 11.2.2.6 SWAT analysis 6.5.2.7 Schedule compression 9.4.2.5 Leadership skills G.1 Project leadership 10.1 Stakeholder management Chapter 11 Teams Chapter 3 Organization: Structure and Culture 2.4.1 Organization cultures [G.7] 2.4.2 Organization structure
Monday, December 16, 2019
Cheap Term Paper for Sale Explained
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Sunday, December 8, 2019
Shortage Of Labor Essay Example For Students
Shortage Of Labor Essay One of the major concerns of todays companies is the shortage of labor,especially in management. The baby boomers are nearing retirement age in theUnited States and the birth rate is dropping. These circumstances, coupled withthe booming economy are the main causes of the labor shortage. There is a highdemand for labor but the once seemingly bottomless pool of employees andmanagers that companies drew from has started to dry up. What are the factorsthat contributed to the problem and how are todays corporations going to handlethis problem? The type of labor needed in todays society has been undergoing aconstant change. There is an increase in demand for workers but there is a muchgreater demand for educated white-collar workers, especially managementmaterial. Projections state that the growth in managerial positions willincrease 20% by the year 2010 yet the population aged 35-50 will decrease nearly10%. What these figures say is the already diminishing supply of executives isgoing to dwindle even more over the next 10 years. There is a shortage ofblue-collar workers now and there will also be an even greater shortage of themin the future. In order for employers to find people who are willing to performunskilled, repetitive jobs they are going to have to be willing to raise thelevel of compensation offered to employees. If McDonalds needs someone to fliphamburgers they better be prepared to pay double to triple minimum wage. Thereare a wide variety of employment opportunities and todays workforce can affordto be selective when choosing a job. The demand for employees is high while thesupply is low. The figures on the change in average population ages and growthin industrialized nations is beginning to make the corporate world stand up andtake notice. If the trends continue as they have been for the past thirty years,the shortage of labor is going to continually get worse with each year thatpasses. The predictions from the United States Census Bureau state that b etween1990 and 2000 the increase of the American population over 60 will be 10.5% butin 2010 to 2020, the increase will be 32.5%. The change in the 60 pluspopulation in the United States is projected to nearly triple in thirty years. Compare these figures to the increase in under sixty-year-old population. From1990 to 2000, the increase in under sixty year olds will be 6.5% and it isprojected to drop to 2.8% by 2010. If you look at the changes in the workplaceyou will see that the average age of an employee is steadily rising as theaverage age of retirement continues to drop. The projected increase in 55-64year olds in the workforce from 1996 to 2006 is a staggering 54%. The projectedchange in the 25-34 year old bracket is -8.8%. These trends are not only true inthe United States. Japan is also going to be coping with similar problems. Todaythe people over age 65 compose 16% of Japans population, but by the year 2020it is projected that percentage will soar to 26.3%. Japan, just like the UnitedStates is going to have to attempt to retain some of this group in the workforceto compensate for the continually falling birthrate in their country. Thisproblem is very true in Europe too. Since 1995 Germany, France and It aly haveexperienced a continual fall in working population ages 15-64. This trend isprojected to continue into the year 2000. Our aging population is also choosingto retire much earlier than they once did. This is a factor contributing to thestrong economy we are enjoying now. The old are growing older, living longer andthey are healthier than ever. Breakthroughs in medicine have enabled people tolive much longer. The advancements our pharmaceutical companies research anddevelopment departments have made are staggering. Diseases that once were adeath sentence are curable. Organs that are failing in the human body can bereplaced or rebuilt. There are even some types of cancer that are consideredcurable. These things were not true twenty years ago. There also is a trend inthis country towards remaining healthy. Americans are taking much better care ofthemselves; there is a genuine concern towards health. People are not smoking asmuch as they did in previous decades and there is a tren d towards exercise. Wetake vitamins, we go out for a weekend run or bike ride and we are eatinghealthier. All these factors contribute to a longer life expectancy and a risingdemand for products and services. Another major contributor was the big push inthe eighties, out with the old, in with the new school of thought,forcing the older management and executives into early retirement has left thecompanies of today in dire need of top caliber people. This coupled with thefact that each year more and more baby boomers decide to retire early. The gainsthe baby boomers stand to receive far outweigh the costs in most cases. Their401k plans and stock options have sky rocketed in value because of the strongeconomy we have been experiencing for nearly twenty years now. Todays olderworking population has the choice to continue working or retire because for themost part, they are financially sound. Many are choosing the retirement option. Acl Injuries In Athletes (1675 words) EssayBibliographyGrey Dawn by Peter Peterson Center for Strategic andInternational Studies Newsweek magazine Business Week magazine The Economistmagazine St Petersburg Times Newspaper The United States Census Bureau CNN.comEconomics
Sunday, December 1, 2019
Symmetrical family Essay Example
Symmetrical family Paper The family is the basic structural unit of society. The detailed structure of the family varies enormously due to circumstances such as social class, ethnic background and cultural influences. The family system in Britain is sometimes loosely referred to as patrilineal. This is down to surnames and titles are inherited from our fathers not our mothers, but there is no moral code in Britian that says a mothers family is not important, it is usually down to personal preference. Britain can be best described as multi-lineal system. All though Britain is not strictly patrilineal some people believe we still live in a patriarchy society, where men have more power than women. And some feminists believe there is still the patriarchal family. Where the family is dominated by the male and women are classed as inferior and have no equality. This paper is going to look at the way relationships between men and women have changed within the family in Britian. Firstly it will look at the way structures of men and womens roles within the family have changed with time and the social and demographic occurances for these changes. We will write a custom essay sample on Symmetrical family specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Symmetrical family specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Symmetrical family specifically for you FOR ONLY $16.38 $13.9/page Hire Writer It will look at the research on family life in London by Willmott and Young and their theory that there was a rise in the symmetrical family. The paper will then move onto the feminists views of the Symmetrical family and review Oakleys own research onto shared conjugal roles within the family which provided evidence against Willmott and Youngs theory. Moving then to look at other research carried out by Pahl, Edgell, Yeandle which like Oakleys research was to measure the symmetry in roles within the family. The structure of familys and relationships between husband and wife have changed considrebly over the years. Sociologists divided these changes into phases. About 150 years ago before britian became based on industry, most people worked in argriculture. Husband and wife were generally equal. This phase 1 pre-industrial family was characterized by shared purpose of economic production where home and work was one. Although husband and wife relied upon one another, sociologists have stated they didnt have close relationships. 2nd phase industrial family saw women lose their independence. Equality laws which were put in place restricted the hours women could work. Roles between Husband and wife became segregrated. Men were the sole breadwinners and were the ones whom would take charge within the family. The role of mother and housewife became the norm for women. There was however a difference between the working and middle class. The middle-class women were not expected to do any work only to supervise the cleaning lady or nanny, while the husband would go out to work to provide for the family. In the working class child-rearing and household chores were solely the responsibility of the women. The men would work all day then socialize outside the home. The women was increasingly home centred and often close to other females members of their family. Phase 3 the contemporary family happened between 1930s and 1950s. There was a significant change between the relationship between middle-class husband and wife. They had a more closer relationship, made joint decisions and enjoyed leisure activities together . This marked a move towards equality. The wife was still responsible for housework and child-rearing but the husband would help. (Moore, 159) Now that we have briefly looked at the changes in the history of families the paper will now look at Wilmott and Young studies. They researched family life in London and found that family life in britian was becoming increasingly symmettrical. Abbott, pg140) The family is home centered and there conjugal roles are similar. The ideal-type symmetrical family is balanced. Both husband and wife work, each contributing to the family income. Domestic roles along with caring for children are shared. (Wilson, pg 64) The rise in Symmetrical family is down to social and demographic changes. Contraception meant women could choose to limit having children. There was better living conditions aswell which meant home was more attractive with men choosing to stay at home watching television. (Moore, pg 185). There were a number of legal changes also which some say brought women near equality to men particurly in the employment sector. There was the Equal Pay Act in 1970, Sex Discrimination Act in 1975 and Employment Protection Act also in 1975. Women gained financial independence from their husbands by working. (Wilson, pg58) Other legal changes that which could of affected men and womens relationships was the 1969 Divorce Reform Act which introduced new grounds for divorce aswell as changing the way people looked upon women who divorced. Marriage was now seen as mutual commitment rather than legal enforceable contract (Allan, Crow, pg 24) Feminists argue that the family is not Symmetrical. They state that household roles are not joint and it is still regarded as the womens duty to look after the children, cook, do house hold chores and go out to work. With men only helping occassionnaly and then being seen as good husbands. (Moore, pg 185) Feminist Ann Oakley critisised Willmott and Youngs theory that husbands help around the home is not accurate, as could just mean washing up once a week. She conducted her own research on 40 housewives aged 20 30. She found that middle-class husbands did help with some domestic chores the majority was left to their wives. Only a quarter of them helped to a high level with childcare. In Oakleys view even though there has been an increase in women working being a housewife is still seen as there primary role. Yeandle (1984) argues women now face a double burden of responsibility by contributing to the family budget, childrearing and domestic chores. Women seem to have less time to concentrate on their careers as they are never off duty. The domestic division of labour does have its critics. Oakleys investigation may have overlooked tasks which men generally seem to do such as DIY, fixing the car and decorating. This approach also ignores that a women may get satisfaction from keeping a home, being a mother and going to work. Also Oakley only interviewed wifes therefore making her claims bias as the husband got no say as to what jobs he did. Another approach to measuring the symmetry of the family is to examine the division of decision making. Pahl (1993) interviewed 102 couples with children. She focused her study on each partners financial contribution to the family income and whether it effects who makes the decisions within a family. His results showed that the most common result was that the money was shared but the husband had the most control over it and the wife had a lower income. The least common result was where the women had most control. Overall in some couples there was equality but most cases it was the men who had more patriarchal power. Stephen Edgell (1980) conducted research on middle-class and professional couples. He found that women had the bulk of decision making responsibilities such as buying food, clothing and decorating whereas the men dominated important decisions such as moving home, holidays or major purchases such as a new car. His theory for this was that men usually earn more than their wifes, meaning they are financially dependant on their husbands which means they have a smaller right in decision making. From all this evidence it shows that all though womens employment opportunities have increased it has little affect on conjugal roles. It backs up the theories of Marxist and Feminists who see womens domestic labour as exploitation. Radical feminists see their biological role of childbearing as the reason for oppression by men whereas Marxists see economic power as their oppression. After looking at the above it does show that there has been a move forward to equality between men and women. It would seem there is still quite a way to go before there is real symmetry between family roles as shown by Edgell, Pahl. Yeandle and Oakley. From the studies though it does show that men are becoming more involved at home within the family and the relationship between husband and wife has greatly improved in terms of decision making, its the roles of domestic housework which seems largely segregated. All though there is still some patriarchal power it is nothing like it once was.
Tuesday, November 26, 2019
Technology Has Changed the Live of Teen Agers Essay Example
Technology Has Changed the Live of Teen Agers Essay Example Technology Has Changed the Live of Teen Agers Essay Technology Has Changed the Live of Teen Agers Essay DOI: 10. 1111/j. 1464-5491. 2006. 01868. x Glycaemic control Review Article 23 0742-3071Publishing, alcohol Diabetic Medicine and2006 consumption D. Ismail et al. DME UK Oxford, article Blackwell Publishing Ltd Social consumption of alcohol in adolescents with Type 1 diabetes is associated with increased glucose lability, but not hypoglycaemia D. Ismail, R. Gebert, P. J. Vuillermin, L. Fraser*, C. M. McDonnell, S. M. Donathâ⬠and F. J. Cameron Abstract Department of Endocrinology and Diabetes, Royal Childrenââ¬â¢s Hospital, Melbourne, *Wimmera Base Hospital*, Horsham and â⬠Clinical Epidemiology and Biostatistics Unit, Royal Childrenââ¬â¢s Hospital, Melbourne, Australia Accepted 10 June 2005 Aims To determine the effects of social consumption of alcohol by diabetic adolescents on glycaemic control. Methods Fourteen (five male) patients aged 16 years were recruited from the diabetes clinic at the Royal Childrenââ¬â¢s Hospital. The continuous glucose monitoring system (CGMS) was attached at a weekend when alcohol consumption was planned for one night only. For each patient, the 12-h period from 18. 00 h to 06. 00 h for the night with alcohol consumption (study period) was compared with the same period with non-alcohol consumption (control period) either 24 h before or after the alcohol study night. Thus, each subject was his /her own control. Glycaemic outcomes calculated from continuous glucose monitoring included mean blood glucose (MBG), percentage of time spent at low glucose levels (CGMS 4. 0 mmol/l), normal glucose levels (CGMS 4. 0ââ¬â10. 0 mmol/ l) and high glucose levels ( 10. mmol/ l) and continuous overall net glycaemic action (CONGA). Results The mean number of standard alcohol drinks consumed during the study period was 9. 0 for males and 6. 3 for females. There was no difference in percentage of time at high and normal glucose levels in the study and control periods. During the control period, there was a higher percentage of time with low glucose levels compared with the study period (P 0. 05). There was an increas ed level of glycaemic variation during the study time when compared with the control period. Conclusions In an uncontrolled, social context, moderately heavy alcohol consumption by adolescents with Type 1 diabetes appears to be associated with increased glycaemic variation, but not with low glucose levels. Diabet. Med. 23, 830ââ¬â833 (2006) Keywords adolescence, alcohol, glycaemic control Abbreviations CGMS, continuous glucose monitoring system; CONGA, continuous overall net glycaemic action; MBG, mean blood glucose; RCH, Royal Childrenââ¬â¢s Hospital Introduction Adolescents with Type 1 diabetes frequently engage in risk-taking activities [1]. Amongst these activities is the social Correspondence to: Dr Fergus Cameron, Deputy Director, Department of Endocrinology and Diabetes, Royal Childrenââ¬â¢s Hospital, Flemington Road, Parkville, Victoria 3052, Australia. E-mail: fergus. [emailprotected] org. au consumption of alcohol, frequently as underage drinkers [2]. Whilst the effects of alcohol consumption upon glycaemia have been well described in a controlled setting [3ââ¬â 6], little is known about the impact on glucose levels of alcohol consumption by adolescents within an ambulant, social context. The purpose of this project was to utilize continuous glucose monitoring to study the impact of social alcohol consumption on glycaemic control in a group of alcohol-using adolescents. à © 2006 The Authors. 830 Journal compilation à © 2006 Diabetes UK. Diabetic Medicine, 23, 830ââ¬â833 Review article 831 Patients and methods This study was approved by the Human Ethics Research Committee of the Royal Childrenââ¬â¢s Hospital (RCH). That approval was contingent upon the fact that the investigators should not be seen to encourage underage drinking in adolescents. Consequently, we only approached adolescents who we knew were drinking socially and, despite our previous counselling, elected to continue to drink alcohol on a semi-regular basis. We recruited 22 adolescents with Type 1 diabetes from the RCH diabetes clinic. The adolescents were considered eligible only if 16 years old and parental/patient consent was obtained. HbA 1c (Bayer DCA 2000 immunoagglutination method, Calabria, Barcelona, Spain) was measured, and diabetes duration and insulin doses were recorded. The MiniMed continuous glucose monitoring system (CGMS) was attached to the study patients over a weekend period. Patients were required to have an alcohol-free period for at least 24 continuous hours during the weekend trace period. A diary was kept of activities during the trace period (insulin injections, meal, snacks, dancing, alcohol consumption, sport). There was no change in insulin doses between study and control periods. In the evening when alcohol was consumed, patients were asked to recall how many and what type of drinks were consumed and how inebriated they became. Patients recall of alcohol consumption was converted to ââ¬Ëstandard drinksââ¬â¢ (one standard drink contains the equivalent of 12. ml 100% alcohol) using The Australian Alcohol Guidelines [7]. CGMS data was recorded between 18. 00 and 06. 00 h on the evening when alcohol was consumed (the study period) and between 18. 00 and 06. 00 h on the evening when no alcohol was consumed (the control period). CGMS data were only analysed if there had been regular calibrations with intermittent capillary blood glucose readings at a maximum of 8-h intervals. Each CGMS trace was qualitatively and quantitatively analysed using mean glucose values, per cent time in glycaemic ranges and ontinuous overlapping net glycaemic action (CONGA) [8]. CONGA values were calculated to assess glycaemic variation over 1-, 2- and 4-h intervals. Low glucose values were defined as CGMS values 4 mmol/ l, normal glucose values when CGMS values were 4ââ¬â 10 mmo/ l and high glucose values when CGMS values were 10 mmol/ l. Each patient acted as their own control with study periods and control periods being compared. Inter-individual values were grouped for comparison. Differences between study and control periods were analysed using paired t-tests. Analyses were done in Stata [9]. ales and nine females. The mean age was 18. 5 years (range: 17. 4 ââ¬â 19. 5). The mean duration of diabetes was 9. 4 years (range: 3 ââ¬â 16. 3). Six of our subjects took four insulin injections per day and eight took two injections daily . The mean insulin dose was 1. 1 units /kg/day (range: 0. 7 ââ¬â1. 8), and the mean HbA1c was 9. 6% (range: 8. 2 ââ¬â 10. 8). Activities during the study period Thirteen subjects had dinner before drinking and only one subject did not consume any food before going out. Three subjects ââ¬Ëdanced a lotââ¬â¢ and six subjects went dancing but did not dance a lot. Ten subjects had something to eat after drinking. Alcohol consumption during the study period The mean number of alcohol drinks consumed on the study night was 9. 0 (range 3ââ¬â16) for males and 6. 3 (range 3ââ¬â14) for females. All the females consumed pre-mixed sweetened alcohol drinks (5% alcohol), with only one consuming beer and one consuming wine. Four of the males consumed mixed spirits, one mixed spirits and beer and one beer only. Forty per cent of the males had more than seven standard drinks during the study and 67% of the females had more than five drinks. In total, 80% of the subjects had pre-mixed sweetened alcohol drinks at some point during the study period. Forty-three per cent of the subjects reported that they became inebriated and 14. 3% consumed alcohol to the point where they became physically sick. None of the subjects lost consciousness or took recreational drugs during the study period. Comparative CGMS data between study and control periods Results Patients There was no significant difference between the overall mean glucose levels of patients when comparing study and control periods (Table 1; P = 0. 43). Similarly, there were no significant differences in the amount of time spent with either normal or high glucose values between study and control periods (Table 1). A larger proportion of time was spent with low glucose values during the control period when compared with the study period (1. 9 vs. 16. 8%, P = 0. 03). A significantly larger degree of glycaemic variation was seen in the CONGA values in the study period when compared with the control period (Table 1). The difference in CONGA values were consistent and independent of whether glycaemic variation was assessed over 1-, 2- or 4-h intervals. Of the 22 subjects recruited, eight were excluded because their CGMS traces did not have sufficiently frequent calibration points with intermittent capillary measures of blood glucose. Of the 14 subjects remaining, we were able to obtain study period data on 14 patients and matched control period data on only 12 patients. The study period occurred on the night prior to the control period in nine subjects. There were five Discussion It has long been recognized that a prohibitionist approach is usually ineffective when counselling adolescents who engage in risk-taking behaviours [10]. Many centres today, ourselves included, have instead adopted a harm minimization approach in dealing with such behaviours. An important component à © 2006 The Authors. Journal compilation à © 2006 Diabetes UK. Diabetic Medicine, 23, 830ââ¬â833 832 Glycaemic control and alcohol consumption D. Ismail et al. Outcome measure Mean difference between Study period Control period study period and mean value mean value control period (95%CI) P-value 10. 6 16. 8 58. 6 24. 6 2. 1 3. 2 3. 7 1. 2 (? 2. 1, 4. 4) ? 14. 9 (? 28. 1, ? 1. 8) ? 0. 8 (? 27. 3, 25. 8) 15. 7 (? 4. 5, 35. 8) 0. 6 (0. 2, 1. 0) 1. 1 (0. , 1. 9) 1. 8 (0. 4, 3. 1) 0. 43 0. 03 0. 95 0. 12 0. 006 0. 01 0. 01 Table 1 CGMS outcomes, study and control periods Blood glucose levels (mmol/l) 11. 8 Per cent time low glucose 1. 9 Per cent time high glucose 57. 8 Per cent time normal glucose 40. 3 CONGA1* 2. 7 CONGA2* 4. 3 CONGA4* 5. 5 *CONGA calculated at 1-, 2- and 4-h intervals. CONGAn is the standard deviation of different glu cose measures n hours apart for the duration of the CGMS trace. of counselling using a harm minimization approach is that the information provided be credible and reflective of ââ¬Ërealââ¬â¢ or ââ¬Ëlivedââ¬â¢ circumstances. Continuous glucose monitoring provides a technique whereby the glycaemic consequences of various behaviours can be documented in an ambulant or non-artificial setting. Adolescents with Type 1 diabetes frequently consume alcohol in a social context [11]. Alcohol is known to inhibit the gluconeogenic pathway, to inhibit lipolysis, impair glucose counter-regulation and blunt hypoglycaemia awareness [3,4]. Previous studies in young adults with Type 1 diabetes have shown that moderate consumption of alcohol in the evenings without concomitant food intake may cause hypoglycaemia the following morning [5]. Consumption of alcohol after a meal, however, has shown no similar adverse effects on glucose [6]. It is reasonable to assume, therefore, that alcohol consumption may be a significant risk factor for hypoglycaemia in adolescents with Type 1 diabetes [5]. Studies of the glycaemic effects of alcohol consumption in an ambulant adolescent/young adult population can be difficult. This is because such behaviours are uncontrolled, often spontaneous and usually in the context of other social activities (parties, dancing, etc. ). In order to ensure that we only reported accurate CGMS data during these activities, capillary blood glucose calibration was considered vital and those patients who failed in this regard were excluded from analysis. Just over 60% of the patients recruited were able to successfully wear and calibrate a CGMS unit during these activities. Given that patients who experience hypoglycaemic symptoms are more likely to perform capillary self measures of blood glucose, we feel that it is unlikely that those patients excluded from the analysis had a greater frequency of hypoglycaemia than those patients reported. We were unable to record our subjectsââ¬â¢ alcohol consumption in a contemporaneous fashion and hence were reliant upon their recall. It is possible that their remembered patterns of consumption were not entirely accurate. This potential inaccuracy should not be seen as a weakness of this study, as we only set out to determine patterns of glycaemia in adolescents engaging in spontaneous and uncontrolled alcohol consumption. We neither specified the type nor the amount of alcohol to be consumed (our ethical approval was contingent on this not occurring). The data as to amount of alcohol consumed have been included for descriptive purposes only. The results of this study show that alcohol consumption by adolescents in a social context is associated with a greater degree of glycaemic variation and less time spent with low glucose values than evenings where no alcohol is consumed. Whilst the second of these findings appears counter-intuitive, there may be several possible explanations. Firstly, the vast majority of our study group ate a meal prior to going out and ate upon their return before going to bed. These are practices that we have instilled as harm minimization strategies to avoid alcohol-induced hypoglycaemia in our clinic. Secondly, most of the alcohol consumed was as pre-mixed spirit and sweetened, carbonated beverages. Finally, alcohol consumption was only associated with vigorous exercise (dancing) in a minority of our study group. All of these factors could have combined to negate the hypoglycaemic effects of alcohol. In a previous study of glycaemia during alcohol consumption in adult men [5], hypoglycaemia occurred most often 10ââ¬â12 h after wine consumption when the evening before ended at 23. 0 h. We analysed our data to see if a similar phenomenon occurred in this study and found that the per cent of time spent with CGMS readings 4 mmol/l between 06. 00 and 12. 00 h on the morning after the study period (i. e. the morning after the drinking night) was only 1. 1%. Notwithstanding the fact that our cohort frequently consumed alcohol later than 23. 00 h, the facto rs that impacted upon glycaemic control during the study night appear to have carried over to the ââ¬Ëmorning afterââ¬â¢. The findings in this study highlight the importance of ambulant testing. It is important to note that the findings of the group studied here may not be seen in adolescents who drink non-sweetened alcoholic drinks or in those adolescents with better underlying metabolic control. Whilst alcohol consumption in isolation may reasonably be thought to cause hypoglycaemia, alcohol consumption by adolescents in the context of meals, sweetened mixers and little activity did not result in more hypoglycaemia than an alcohol-free evening. Whether the increase in glycaemic variation seen on an evening à © 2006 The Authors. Journal compilation à © 2006 Diabetes UK. Diabetic Medicine, 23, 830ââ¬â833 Review article 833 of alcohol consumption has negative clinical outcomes remains an area for further investigation. Competing interests CMM was a Novo Nordisk research fellow. FJC received fees for speaking at conferences and funds for research from Novo Nordisk. References 1 Cameron F, Werther G. Adolescents with diabetes mellitus. In: Menon, RK, Sperling, MA, eds. Pediatric Diabetes. Boston: Kluwer Academic Publishers, 2003: 319ââ¬â335. 2 Frey MA, Guthrie B, Lovelandcherry C, Park PS, Foster CM. Risky behaviours and risk in adolescents with IDDM. J Adol Health 1997; 20: 38ââ¬â45. 3 Avogaro A, Beltramello P, Gnudi L, Maran A, Valerio A, Miola M et al. Alcohol intake impairs glucose counterregulation during acute insulin-induced hypoglycaemia in IDDM patients. Diabetes 1993; 42: 1626ââ¬â1634. 4 Kerr D, Macdonald IA, Heller SR, Tattersal RB. Alcohol causes hypoglycaemic unawareness in healthy volunteers and patients with type 1 diabetes. Diabetologia 1990; 33: 216ââ¬â221. 5 Turner BC, Jenkins E, Kerr D, Sherwin RS, Cavan DA. The effect of evening alcohol consumption on next morning glucose control in type 1 diabetes. Diabetes Care 2001; 24: 1888ââ¬â1893. 6 Koivisto VA, Tulokas S, Toivonen M, Haapa E, Pelkonen R. Alcohol with a meal has no adverse effects on postprandial glucose homeostasis in diabetic patients. Diabetes Care 1993; 16: 1612ââ¬â1614. 7 National Health and Medical Research Council. Australian Alcohol Guidelines: Health Risks and Benefits. DS9. Available from: http://www7. health. gov. au/nhmrc/publications/synopses/ds9syn. htm. 8 McDonnell CM, Donath SM, Vidmar SI, Werther GA, Cameron FJ. A novel approach to continuous glucose analysis utilising glycaemic variation. Diab Tech Therap 2005; 7: 253ââ¬â263. 9 StataCorp. Stata statistical software. Release 8. 0. College Station, TX: Stata Corporation, 2003. 10 Kyngas H, Hentinen M, Barlow JH. Adolescents perceptions of physicians, nurses, parents and friends: help or hindrance in compliance with diabetes self-care? J Adv Nurs 1998; 27: 760ââ¬â769. 11 Patterson JM, Garwick AW. Coping with chronic illness. In: Werther, GA, Court, JM, eds. Diabetes and the Adolescent. Melbourne: Miranova Publishers 1998, 3ââ¬â34. à © 2006 The Authors. Journal compilation à © 2006 Diabetes UK. Diabetic Medicine, 23, 830ââ¬â833
Friday, November 22, 2019
Back-Channel Signal Definition and Examples
Backs .In conversation, a back-channel signal is a noise, gesture, expression, or word used by a listener to indicate that he or she is paying attention to a speaker. According to H.M. Rosenfeld (1978), the most common back-channel signals are head movements, brief vocalizations, glances, and facial expressions, often in combination. Examples and Observations Fabienne: I was looking at myself in the mirror.Butch Coolidge: Uh-huh?Fabienne: I wish I had a pot.Butch Coolidge: You were lookin in the mirror and you wish you had some pot?Fabienne: A pot. A pot belly. Pot bellies are sexy.(Pulp Fiction, 1994)We .. show we are listening and do not wish to interrupt by giving back-channel signals, such as yes, uh-huh, mhm, and other very short comments. These do not constitute turns or attempts to take the floor. On the contrary, they are indications that we expect the speaker to continue.(R. Macaulay, The Social Art: Language and Its Uses. Oxford University Press, 2006)Karen Pelly: Brent might learn a little lesson if his security camera got stolen.Hank Yarbo: Yeah.Karen Pelly: By someone.Hank Yarbo: Hmm.Karen Pelly: Someone he trusts.Hank Yarbo: Yeah, I suppose.Karen Pelly: Someone he would never suspect.Hank Yarbo: Yeah.Karen Pelly: Plot the cameras motion and approach from a blind spot. You could pull it off.(Security Cam, Corner Gas, 2004) Facial Expressions and Head Movements The face plays an important role in the communication process. A smile can express happiness, be a polite greeting, or be a back-channel signal. Some facial expressions are linked to the syntax structure of the utterance: eyebrows may raise on an accent and on nonsyntactically marked questions. Gaze and head movements are also part of the communicative process. (J. Cassell, Embodied Conversational Agents. MIT Press, 2000)And here Mrs. Aleshine nodded vigorously, not being willing to interrupt this entrancing story.(Frank R. Stockton, The Casting Away of Mrs. Lecks and Mrs. Aleshine, 1892) A Group Process Turn-taking and suppressing signals are given by the current speaker; they are used to defend the right to continue speaking on the same subject or with the same level of emphasis. ââ¬â¹Back-channel signals are communication acts by others, such as a person agreeing or disagreeing with the speaker. The types of signal and the rate at which they are used relate to the underlying group process, particularly the group regulatory forces. Meyers and Brashers (1999) found that groups use a form of participation reward system; those who are co-operating with the group receive helping communication behaviors and those in competition are received with communication-blocking behavior. (Stephen Emmitt and Christopher Gorse, Construction Communication. Blackwell, 2003)
Thursday, November 21, 2019
Censorship in a Liberal Society Research Paper Example | Topics and Well Written Essays - 1000 words
Censorship in a Liberal Society - Research Paper Example This research will begin with the statement that censorship is the expression or writing repression, which is considered coarse, lewd and excessively controversial. All over history, various societies practiced multiple forms of suppression or censorship in the community beliefs and practices that were responsible for individual molding. Society censorship is the oppression or restriction of mass communication and expression that is labeled offensive, disastrous and objectionable. Various forms of community censorship occur such as moral, religious, public and socio-political. Yet, censorship is a controversial act within largely organized communities and therefore, it is crucial for people to analyze the limitations, advantages, and effects of censorship in the society. The discussion will investigate society censorship as a violation of peopleââ¬â¢s rights and justice.à Society censorship in the modern perspective is linked with enormous, complex metropolitan societies with an increased level of federal authority and technical strategies of efficiently reaching the public domain. It includes the determination of things that can or cannot (culturally and legally) be expressed or communicated to the wider public in the light of a certain socio-political, spiritual, artistic and traditional standards, (Roleff 52). Society censorship may entail suppressing, revising or altering existing information and preventing the creation of such information. In order to withhold or prevent the material from the wider audience, offensive, indecent and harmful content to the public welfare is repressed or controlled. This act infringes peopleââ¬â¢s freedom to receive and access vital information concerning their society and lives. Any societal or cultural level of the rule, whether customary or codified, prohibiting self-expression (such as nudity, hairdos, facial expression, figure or body beautification, use of language) or repression and surveillance of individual c ommunication ( through email or mobile phone) is expressed as a censorship form. This act compromises the liberty and right to free expression and infringes personal privacy, (Hyland and Neil 13).
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