Movie - Good Night and Good Luck Essay Example | Topics and Well Written Essays - 2500 words

Movie - Good Night and Good Luck - Essay Example During the 1950s, totalitarianism was evident in the government rule as they exercised absolute power without justice. The authorities held absolute control over the private and public social activities (Linz 234). The authority used propaganda as a way of manipulating and instilling ideas into people’s minds. The political leaders used to act charismatic, publicly displaying emotions of; kindness, generosity, and love for the people. The authority created slogans and policies that would instill fear in the public ensuring that people do not stand against the government. Those who tried to oppose these actions were called traitors, communists or simply disloyal. The government used secret forces like storm troopers to eliminate opposing subjects through covert methods like arranged accidents (Lewis 74). Totalitarianism ruled as the governments disregarded any consideration for public accountability, thus maintaining one-party state. People struggled to counter this aspect of totalitarianism by using mass communication. Journalists portrayed the negative side of the government. The government, on the other hand, claimed that media was nothing but profit hungry machine. A segment of the population even started believing it. The government kept pressurizing TV networks to change the news and alter words to fit their criteria. This is evidence that the media is a force to be reckoned with and its fear pressurizes the government to exercise utilitarianism in order to prevent dissent (Hans Maierc 104). The governments also realize that this tool can be used in their favor. In Good Luck and Good Night, the media aims to expose government’s corruption. The iconic journalist, Murrow is one of those aiming to expose the government and perceives the acts of the government as deceitful and manipulative (Griffith 116).

Leadership and darwin Essay Example | Topics and Well Written Essays - 500 words

Leadership and darwin - Essay Example Indeed, human beings are known to be highly adaptable to their external environment so as to optimize their success within the given paradigm of work environment. In the highly competitive business of contemporary times, the workforce continuously strives to creatively evolve skills and strategies that would optimize the intended output. The organizational culture that facilitates learning environment and promote shared learning is able to gain competitive advantage. It helps the workers with wider scope to improve his skills and core competencies for improved performance outcome. Thus change is not an inherent part of development but also serves as vital input for motivating people to adapt to challenging environment. Most interestingly, Darwin’s theory becomes critical ingredient of organizational leadership. Leadership primarily refers to people who are able to bring about changes within the society. Indeed, effective leaders are able to inspire people to adopt more accommo dating approach to changing dynamics of environment. The inherent traits of leaders are important paradigms that support Darwin’s theory of natural selection.

Job Description: Operations Manager in Echocardiography Lab

Job Description: Operations Manager in Echocardiography Lab Based on the week 1 final project paper, the position for this assignment is the Operations Manager for the Echocardiography Lab. Job descriptions identify the key tasks, duties, and responsibilities of a position. They detail what, why, where, and how responsibilities are done (Flynn, Mathis, Jackson, Langan, 2006, p. 102). The general summary within a job description is a brief statement of general responsibilities and components that make the position unique from others. The essential functions section of a description is a set of precise statements specifying major tasks, duties, and responsibilities performed. The job specifications portion of the job description details specific qualifications needed to perform the job acceptably. This would include details such as required skills, education, experience, and physical requirements of the role (Flynn, Mathis, Jackson, Langan, 2006, p. 102). Standard and complete job descriptions can drive performance standards and competencies. They provide a platform to demonstrate what the position accomplishes and how performance is measured in relation to key areas of the job description. In fact, JCAHO standards require healthcare organizations to combine the job description with performance and competency assessment (Flynn, Mathis, Jackson, Langan, 2006, p. 103). If employees are familiar with the expectations, performance measurement, and required competencies, there is a far greater opportunity for satisfactory performance. The job description should be tailored to the specific need a position satisfies. The tasks to be performed and the outcome expected are pivotal. Critical competencies should include those that are integral for the job. They should reflect the ability to produce specific or minimum outcomes in a safe, timely manner (Patton, 2013, p 143). This ensures that every employee in the same role has a standard description and identical expectations. Each employee can then be gauged against those requirements. Position Overview: This role is responsible for coordinating the operations of allied health staff in the outpatient, inpatient setting for the echocardiography lab within the Division of Cardiology. The employee will manage the department in alignment institutional and division missions, visions, and objectives. This person will serves as a key member of the leadership team with a primary focus on planning and implementation of policies and systems. In addition, the position will require facilitates project management while leading a multidisciplinary team including financial analysis, problem solving, and team collaboration. This team member will regulate staffing in accordance with fluctuating workload. The position requires project management in support of institutional and divisional projects, staff recruitment, policy implementation, and serves as a primary resource for issues and communications. This person will performs duties independently and initiate sound judgment in handling a variety of management issues. Organizational Relationships: The hierarchy of this position is pretty straight forward. The operations manager reports to the Cardiology Medical Director and an Operations Administrator. Thus, there is physician and administrative oversight. Ultimately, the position would be directly responsible for several supervisors, including the managers of the outreach practice, education and quality, the program chair of the echocardiography school, the lab, and the administration office for the department. The position falls within the Cardiology Department, which is part of the Department of Medicine of the organization. Ultimately, Jeffrey Bolton, the Chief Administrative Officer and Dr. John Noseworthy, the President and CEO of Mayo Clinic are at the top of the organizational structure (Mayo Foundation for Medical Education and Research, 2013). Candidates will be required to work cooperatively with department/division leadership and multidisciplinary teams, supervisors, administrators, physicians, and personnel both w ithin and outside the organization. There is a number of staff that would directly report to this manager, including sonographers, nurses, administrative personnel, and various supervisors. Educational Requirements: The preferred educational background for this position is a Masters degree in Business or Healthcare field and two years healthcare management experience. Required Skills: Candidates should have strong leadership, team building, and problem-solving skills as well as demonstrated ability to work collaboratively with multiple disciplines. The candidate must have excellent communication, organizational and human relation skills. This position requires excellent decision-making and judgment capabilities. Candidates must have broad based knowledge of office support and computer systems along with software knowledge and installation. In addition, the candidate must have business acumen with experience with accounting practices for budgetary responsibilities. This job is unique based on the limited number of comparable echocardiography labs in the area and even the nation. There are certainly other management positions both within and outside the organization, but very few would provide the ability to manage such a world-class department. In addition, this position would provide a solid networking opportunity. The manager would have the opportunity to work alongside physicians and administrators, gain professional experience, and showcase skills. This position may be a on-the-job interview for future positions in the leadership hierarchy. The course text indicates that effective compensation programs should focus on four primary objectives, including legal compliance, cost effectiveness for the organization, equity for staff, and performance enhancement for the organization (Flynn et al., 2006). There are two components of any compensation package, direct and indirect. Direct compensation is essentially the pay for work achieved. Indirect compensation entails compensating employees with a tangible value without receiving monetary gain. Examples of indirect compensation are benefits such as health insurance, vacation pay, or retirement pension, which are provided to employees regardless of performance (Flynn et al., 2006). There must be a balance between compensation and cost that ensures competitiveness and rewards employees for experience, knowledge, skills, and performance. The organization should provide a comprehensive compensation package in order to recruit, retain, and reward performance. According to Hariharan (2014), a well-planned approach to recruitment will improve a healthcare organization’s leverage in recruiting the most talented individuals. Treating those employees with respect for the duration of their tenure will ensure retention. By recognizing what is important to a potential employee and offering competitive compensation and personal development opportunities, the organization can attract the best candidates and use the newfound intellectual capital to enhance organizational performance. Based on benchmarking similar positions within the organization and comparable academic institutions, the compensation package should be at the 50th percentile of the market. The salary range would be dependent on education, experience, and internal tenure. Preference for the position should be provided internally before the position is posted outside the organization. References: Flynn, W., Mathis, R. L, Jackson, J. H., Langan, P. L. (2006). HealthcareHuman Resource Management [VitalSouce bookshelf version] Retrieved fromhttp://digitalbookshelf.southuniversity.edu/books/9781133614395/id/ch03 Hariharan, Selena,M.D., M.H.S.A. (2014). Physician recruitment and retention: A physicians perspective.Physician Executive,40(2), 44-6, 48. Retrieved from http://search.proquest.com/docview/1518114883?accountid=87314 Patton, M. T. (2013). Avoiding Common Job Description Mistakes.AMT Events,30(3), 142-144.

Leaf-cutting Ants Essay examples -- essays research papers fc

One of the most little known species of ants in North America is the leaf-cutter ant. This is mainly because it lives in tropical environments and it is not aggressive to animals or humans if not disturbed. The leaf cutting ant is a social insect. Alone the ant is virtually helpless but with the colony it can be a thing feared by animal and human alike. The leaf-cutting ants have a very important role in the tropical forest. They create and manipulate the environment around them. They also can do major damage. The leaf-cutting or fungus-growing ants are distributed from northern Texas to central Argentina. These ants are injurious since they cut the green vegetation from trees, shrubs and crops, and carry it into the nest, where they cultivate fungi on it. They have been known to denude a tree or ornamental plants in one night. It has been estimated they do $1 billion damage per year in North and South America today, these ants still cause millions of dollars in crop losses in many South American countries. Although primarily an agricultural pest, this insect on occasion may invade the home for cereals. In the United States, the Texas leaf-cutting ant, Atta texana , occurs in Texas and Louisiana. This ant is believed to cause a total yearly loss of $5 million in the United States (unison services. 1998).There are about 9,500 named species of ants. These ants are divided into 16 sub families and 300 genera, all which belong to the family called Formicidae, the family of ants (Hoyt. 1996). The leaf cutting ant belongs to the genus called Atta. There are fifteen different species of Atta and all are limited to the new world (Holldobler & Wilson, 1994). The leaf-cutter ant looks pretty much like a regular ant in North America except that it is a little bigger than most ants. Looking at the ant in the untrained eye a person usually perceives that it is a primitive organism. Looks can be deceiving. The leaf-cutter ant is a complex superorganism unique social, environmental, and food gathering behavior.The anatomy of the leaf-cutter ant is pretty simple. It has a one segment "waist" (pedicel) between thorax and abdomen. Sharp spines on waist and backward from head. Antennae 11-segmented very long and elbowed without distinct club. The legs are very long. This ant can be light to dark reddish brown (Smith. 1997).The leaf-cutter at is just li... ...vailable : <a href="http://entowww.tamu.edu/extension/bulletins/uc/uc-033.html">http://entowww.tamu.edu/extension/bulletins/uc/uc-033.htmlUnison Services. "The Leaf Cutting Ant or Fungus-Growing Ants." 4 Jan. 1998. Available : <a href="http://www.unisonservices.com/leafcuttingant.html">http://www.unisonservices.com/leafcuttingant.html.Vasconcelos, H.L. 1997. Foraging activity of an Amazonian leaf-cutting ant: responses to changes in the availability of woody plants and to previous plant damage. Oecologia 112: 370-378Vasconcelos, H., and Cherrett J. 1997. Leaf-cutting ants and early forest regeneration in central Amazonia: effects of herbivory on tree seedling establishment, Journal of Tropical Ecology 13: 357-370Weber, V.A. (1972) Gardening Ants, the Attines. American Philosphical Society. Philadelphia.Whitehouse, M., and Jaffe, K. 1996. Ant wars: combat strategies, territory and nest defense in the leaf- cutting ant Atta Laevigata. Anima l Behavior 51: 1207-1217Wirth, R., Beyschlag, W., and Ryel, J. 1997. Annual foraging of the leaf-cutting ant Atta colombica in a semideciduous rain forest in Panama. Journal of Tropical Ecology 13: 741-757

Alabama Immigration Law Essay

Policy Analysis I Paper CJA 463 Policy Analysis I Paper The new Alabama Immigration Law has set a new get tough standard for immigration law and policies. The law â€Å"[outlaws illegal immigrants from receiving any state or local public benefits, bars them from enrolling in or attending public colleges, and prohibits them from applying for or soliciting work]†. (Fausset,  para. 11) The Alabama Immigration Law also forbids the harboring and transport of illegal immigrants. The law also outlaws them from knowingly renting any type of facility or property and does not allow them to work any where in the sate. If a company has an illegal person on their payroll then it makes it an illegal practice to not hire a legal resident. A big issue that has come up in many debates is the fact that schools now have to verify the legality of students in their schools. It does not ban students from attending the school but it does require that the schools keep a report and send it in to the state board of education. Another issue is that the police department must detain any person that can no provide documentation of being a United States Citizen. The Governor of Alabama, Robert Bentley, initiated this bill into congress and it was passed. The bill takes effect on September 1st 2011. Opponents of the bill state that it is unconstitutional. Some of them even saying that it is going back to the pre civil rights era. People are afraid that students will be afraid to attend school in case they are found out to be illegal. If they are found to be illegal then their parents and family could be kicked out of their home, fired from their jobs and they could lose any benefits that they may have making it impossible for them to live. The fear is also that they will be harassed by other kids at the school making it hard for them to attend and learn. The constitutional issue that arises is the discrimination factor. Illegal immigrants are being discriminated against because of their background. It is against the constitution to do that. This has many people angry and looking to overturn the laws in Alabama because of this. This law is more of a regulatory policy because the government of Alabama passed the law to ban illegal immigrants from the state and the laws to enact this ban are going to be taken into effect. The policies and laws surrounding this new act will affect many people and organizations. The illegal immigrants are going to be affected but the police department will have to make a special unit to handle the illegal immigrants or the suspected illegal immigrants that are stopped and detained. This will cost the taxpayers more money and will cost the police department more money because they will have to build bigger facilities, hire more work force and ensure that everyone is multilingual that works on these task forces. Those that do not have the funds to build bigger holding facilities will have to incur the costs to transport the illegal immigrants to other facilities within the state to hold until another unit comes in and verifies their status. The schools will have to hire a whole team that counts and ensures legal status for all children in the school. This unit would need to be multilingual to help with the needs of the illegal immigrant children and to ensure they knew what to do with these statistics. The school system will incur many costs because the unit will have to research and prepare a report stating their findings to the state board of education in Alabama. The state as a whole will be affected because employers will be afraid to hire anyone that does not â€Å"look† American. The employers have to hire another set of employees just to handle the paperwork involved in the e-verify system and to ensure all of their employees are legally authorized to work in the United States. This will cost the employers more money and will leave them little to no room to give incentive raises or merit based raises because of the new jobs this will entail. When new jobs are added, more taxes and insurance is required causing some places to maybe even shut their doors.

Dementia: Cerebrum and High Blood Pressure

DEMENTIA AWARNESS 1. Understand what dementia is 1. 1 Explain what is meant by the term ‘dementia' A syndrome due to disease of the brain, usually of a chronic progressive nature in which there are multiple disturbances of higher cognitive function. These include impairment of memory, thinking and orientation, learning ability, language and judgement. 1. 2 Describe the key functions of the brain that are affected by dementia The key functions of the brain that are affected by dementia are the temporal lobe, frontal lobe, parietal lobe, occipital, cerebrum lobe and the hippocampus.Temporal lobe- responsible for vision,memory, language, hearing and learning Frontal lobe- responsible for decision making, problem solving, control behaviour and emotions Parietal lobe- responsible for sensory information from the body, also where letters are formed, putting things in order and spatial awareness. Occipital lobe- responsible for processing information related to vision Cerebrum lobe- i s responsible for for the biggest part of the brain its role is memory, attention, thought and our consciousness, senses and movement.Hippocampus- responsible for memory forming, organizing and storing and emotions 1. 3 Explain why depression, delirium and age-related memory impairment may be mistaken for dementia Because they both manifest with similar symptoms. Depression coupled with age related memory impairment looks the same as dementia to the untrained eye. The difference is that depression delirium responds to treatment with anti depressants, once you get on top of the depression you can put age related memory loss into perspective.If it is genuine dementia it won't get any better. 2. Understand key features of theoretical models of dementia 2. 1 Outline the medical model of dementia The medical model focuses on the impairment as the problem and focuses on a cure, these may be dependency, restriction of choice, dis empowering and devaluing individuals 2. 2 Outline the social model of dementia This is personal centred, focusing on the rights of the individual, in turn empowering the individual, promoting independence, giving choice and looking at what the individual is able to do. . 3 Explain why dementia should be viewed as a disability Individuals who have dementia are not aware of requirements for living, they can forget to do the essential things that are vital. Taking medication,hygiene and even eating are often forgotten. They can get lost or hurt and not understand what is necessary to correct a situation. Individuals cannot act in the manner of a responsible adult which is why dementia should be viewed as a disability 3. Know the most common types of dementia and their causes 3. List the most common causes of dementia Alzheimer disease This is the most common cause of dementia, during the course of the disease the chemistry and structure of the brain changes, leading to the death of brain cells. Vascular dementia If the oxygen supply to the brai n fails, brain cells may die, this can happen from a strokes or over time through series of small strokes Lewy body disease This form of dementia gets its name from tiny spherical structures that develop inside nerve cells, there presence in the brain cells leads to the degeneration of brain tissue. . 2 Describe the likely signs and symptoms of the most common causes of dementia Alzheimer's disease is a progressive condition, symptoms include minor memory problems, difficulty saying the right words, disorientation personality changes and behavioural changes Vascular dementia may develop suddenly and quickly, symptoms include memory loss depression, visual hallucinations, low attention span and periods of mental confusion.Lewy bodies develop gradually and gets more severe over the years, symptoms include memory loss, visual hallucinations, delusions, muscle stiffness. 3. 3 Outline the risk factor's for the most common causes of dementia The risk factor's for Alzeheimers is age, famil y history and genes Vascular dementia is increasing age, history of heart attacks, strokes or mini strokes, high cholesterol, high blood pressure and diabetes Lewy bodies is advanced age, it appears to affect more men than women, having a family member who's had it and a unhealthy lifestyle 3. Identify prevalence rates for different types of dementia The established prevalence rates for different types of dementia are 40-64yrs 1 in 1400 65-69yrs 1 in 100 70-79yrs 1 in 25 80+ 1 in 6 4. Understand factors relating to an individuals experience of dementia 4. 1 Describe how different individuals may experience living with dementia depending on age, type of dementia, and level of ability and disability Depending on the form of dementia people's ability and disability will be different. People with ementia may not necessarily always be forgetful, their memory may remain intact but their personality and behaviour could be noticeably changed. However the level of ability and disability depe nds on an individuals age and condition of dementia, people who are living with dementia in earlier age such as 60's-70's are less likely to be as dependable on others than people living with dementia at the age of over their 70's-80's. People also have different levels of stamina at different ages so their ability and disability may vary and the level of support they require will be varied as well. . 2 Outline the impact that the attitudes and behaviours of others may have on an individual with dementia People who suffer from dementia can feel excluded if people aren’t giving them enough time to finish there conservation or tasks, which can lead them to being treated differently and can cause more illness such has anger, depression and frustration , so therefore there is good combination of general awareness of the existence of dementia but poor detailed understanding of its causes, progression and implications tends to lead to inaccurate assumptions.

Bush Summary essays

Bush Summary essays In Bush Redux appearing in the January 22, 2001 issue of U.S. News and World Report, journalist Kenneth T Walsh points out the differences and similarities between George W. Bush and his father. Now that hes on the verge of power-in effect, taking over where his father left off- the big questions are how his leader ship will compare with his namesakes and how much the second Bush Presidency will amount to a restoration of the first. Both father and son are deeply committed to public service as a noble calling. The younger Bush recognized this mission much later in life than his father, but both share the conservative belief that governments role should be minimized in society. Both also insist on loyalty, good management, and good manners from those around them. There is no better evidence of the younger Bushs respect for his fathers approach than the fact that he is reassembling many of his fathers presidential advisers in his own administration. The son is a more engaging politician than the father, building on his natural gregariousness and the backslapping skills he honed as a Texas oilman. Perhaps most important, the son emphasizes domestic issues rather than the foreign policy concerns that absorbed Bush the elder. Anyone who doubts that the new president will consult regularly with his president will consult regularly with the predecessor doesnt understand the Bush way. Staying in touch with f amily and being humble enough to ask for help when its needed is part of the code. Above all Bush wants to accomplish the five goals he set forth in running for the White House: winning approval for a big across-the-board tax cut; improving education by requiring schools to regularly test student performance and offering vouchers to let parents remove their children from failing schools; bolstering Social Security by allowing pe ...

Soul Food flim analysis Essays

Soul Food flim analysis Essays Soul Food flim analysis Paper Soul Food flim analysis Paper Throughout this film learning life lessons and how significant it is to cherish family is important This is a comedy, romance film with a whole lot of drama. Big Mama Joe, acted by Irma P. Hall, is one of the main characters in this film, shes the rock that keeps theses family to getter; as she said in this quote, One finger pointing the blame, dont make no impact, but you b all up all me fingers into a mighty fist, and you can strike a mighty blow, and this family has got to be that fist. (Irma p. Hall). George Italian Jar the writer and director based this film on his own life experience of a closeness family (Italian). Soul Food argues that not all Africanizing alms have to be about negative situations, they can have a positive perspective e, and be about the importance of cherishing families. Soul Food is a film that wants to show the add mince the importance of cherishing family. 1 OF 7 is full Of captivating special moments involving delicious soul food. The wonder rueful part about this film is that it never falls into monotonous moments; all of the scenes are very Perez 2 intriguing. Even though in some parts it gives you forewarning that something regretful later in the film is going to happen, but that is what makes this film more interesting. This is a great storytelling film that talks about the importance of family. As critic Frederic m mentioned, An African American drama about the importance of ritual in holding families tog ether, (Frederic and Mary Ann Breast). Overall this review epitomizes the point of this film, b cause in the film they want to keep the longed tradition alive, and all Mad wants is for the family to stick together. What George Italian Jar is trying to argue in this film, is that not all Ai recriminate films have to be about negativity: they can have a bigger meaning. He wants t do something positive to reach out to the audience about an African American family going t wrought rough times, but still tries to remain strong. All the scenes in this film are well put to getter, so there is not going to be a time where the film has got away from the point It is trying t o make. All the actors are very well played, and it is very clear that the actors know who the p errors is their playing. The organization of this film was well put together, it does not start in the pas t, but Mad tells stories of how they spent their Sunday dinners, and how everyone came down from all over for the holidays. This film has a very good beginning, a heartbreaking yet intriguing middle, and a powerful and beautiful ending. As the film begins, Mad intro educes the actors to the audience; as the setting took place at Birds, and Elms wedding which is A whams aunt and his new uncle. I think the setting is very significant to the beginning of this film , because all Of the main characters are together celebrating; and It made the setting perfect I miming to introduce the main characters. Big Mama Joe plays a very huge part in this movie, and try SE to keep the peace in the Joseph family as Mad said, She always knows how to set thing s right. Perez 3 (Mad). A longed tradition started down in Mississippi, and Big Mama Joe kept the tradition of eating soul food dinner every Sunday when she moved to Chicago with her husband. Soul food dinner was a chance for the whole family to enjoy themselves, and t heir meals while sharing their ecstasy and sorrows. Mad has learned from Big Mama Joe that t, Its on e of the things thats missing from Africanizing families nowadays. (Irma p. Hall). All of this is explicate through the point of view of Mad. Mad dispenses the film with a positive attitude, expresses the emotional part of this film, and shows wisdom. When Sunday dinners would come around, there was always a lot of hostility between the two sisters Term acted by Vicar A. Fox, and Maxine acted by Vanessa Lynn Williams. Term is the most cultivated, and oldest. She became a successful lawyer with the tend once of letting people know that she pays for everything its an attempt to make her sister Jew aloes. Term is married to Miles, he is acted by Michael Anthony Beach, Miles wants to pursue his dreams, and do music as a fulfillment job. Term wants what is best, and wants him to keep his b as an attorney, so they can make twice the money, but Miles is not very happy about it. The o only person that seems to care about Miles music was Faith acted by Gina Ravel, she comes e earlier in the film. She is Big Mama Joeys niece and like people said she is huge trouble. Maxine i s the second oldest, she gave up school at the age of nineteen, and is the strongest out of he three daughters. In reality Term is jealous of the basic life Maxine odors and Ammines beatific re kinship with Kenny acted by Jeffrey D. Sam, which was Titers exhibitioner back in the day. They would say Maxine stole Kenny from Term, and since then they have not got along. This is where the most tension is in the family. As drama and arguments enter Big Mama Joe would Sways know how to put a stop to it. The youngest daughter is Serene, who is nicknamed Bird, ND is acted by Nina Perez 4 Long she stays out of the drama that goes in between her sisters. She is very inexperienced, and is always trying to make smart choices but does not really know how, so she test herself into a ad situation. Bird is married to Elm acted by Meeker Third prefer which was a drug dealer before, and did some time in prison. Elm tries to be a responsible husband, ND take care of his responsibilities, but when Bird tries to help it does not end well. He feels that his manhood is taken away from him. As the film enters into a heartbreaking stage the family has to stay strong for Big Mama Joe. The family starts breaking apart over a small argument that happened be teen Term, and Maxine, that they themselves can not fix. Mad the young narrator of this if m brings a lot to is presentation, honesty, love, and strength. His facial expressions explain TTY e way he feels throughout this film, and gives you an idea about what he is going say next. A wham plays two roles; you primarily see the film in Mad the narrators eyes; so it is like you re seeing the movie through the eyes of the narrator. It gives you a feel bayou being part o the film, and the ability to understand the way the narrator feels, and the things that he expert encase. An unanticipated meaningful moment suddenly happens, while Mad is taking a ride in Elms truck. While talking Mad finds a gun in the glove compartment Of Elms t KC; this is a presage of something to happen. Mad knows something is yet to come, he gives Elm a little advice, Big Mama always tells me you have to love yourself, (Mad) remarks. Maybe you should try that. (Mad). The really big picture behind is best explained by the food itself. As Big Mama Joe said in this film, Soul food cooking is BBC t cooking from the heart. (Big Mama Joe). It is about being thankful for what you have; and bout you appreciating your family, also about showing appreciation about what gets t aught to the table. Perez 5 Mad has been giving the job Of bringing the family together, as he takes TTL e footsteps of his grandmother. The family was at their breaking point, and Mad was the or hope that could bring the family together. Overall, George Italian Jar succeeds in fulfilling the meaning of this film. After watching this film it makes you realize the true image that Italian is trying to show an reach out to you with. Italian intentions were to say that an Africanizing film can be bas d on something positive, instead of something negative. This film is really worth seeing, it tall bout real life situations, and played by the actors that truly understand these people. As t p critic Kevin Thomas said, Italian drew inspiration from his own Milwaukee family, his E loved grandmother in particular. Humor, sentiment and melodrama strike a Balkan e as he brings to life nine major characters and a host of others as well. (Kevin Thomas). We folly w these characters through the rough times, and good times, through their laughs, fights, cries, ND struggles, but most importantly the love of life. Perez 6 Work Cited Soul Food . Dir. George Italian Jar. Per.

Essay Writing Advice Structure It Up!

Essay Writing Advice Structure It Up! Essay Writing Advice: Structure It Up! If you are looking for essay writing advice, look no further. Writing an essay requires that you include the basic elements of a five paragraph essay. Even if your writing task is a bit more involved, the same elements must be included. Introduction When you are writing your introduction you want to pay attention to the exact word choice you have. This is your first and, in some cases, your last opportunity to leave a positive impression on your reader. This is not only where you talk about your subject for the first time, but where you also explain to the reader how you are going to talk about your subject. You should be putting a higher level of energy into your introductory area, totaling about 20% of your overall writing efforts. And if you do this you will be rewarded positively. Body Paragraphs The second step is a body paragraph where you need to present your 1st strongest argument or your best illustration or example. Much like the previous section of your writing assignment, the first sentence needs to have a hook which naturally transitions from the hook located at the end of the previous paragraph. The subject of this paragraph or the main idea needs to be presented in the topic sentence immediately after. You want to make sure that you relate the main idea here to your thesis statement much the same as you did in the previous section. And finally, once you have done this you need to include your transitional hook in order to help the reader move along once again to the 2nd body paragraph. The 2nd body paragraph is where your weaker argument is located and it should be followed after the transitional hook with your topic sentence. Once again the evidence and support that you present need to relate back to your thesis statement. Never assume that the reader will know what you intend to say or will be able to pick up on what you are hinting at. Instead, make sure that you state your purpose explicitly. Once this is done you need to end. With a transitional hook which signals that your final point has been made and that they will now reach the end of your document. Conclusion The conclusion is the end of your writing but it does not serve as an afterthought. The final paragraph is the final opportunity you have to restate your case and it needs to be very rigid in its format. You want to try and paradoxically think of the conclusion as the second introduction because it will contain many of its features. You want each sentence to be well-crafted and you want to make sure you have an effective concluding transition after which you restate your thesis. Remember, the best essay writing advice revolves around laying out each component of the traditional writing tasks, including introductions, body texts, and conclusions. These make up the basic structure of your work. By incorporating all of these components, you can enjoy a well put together essay.

Micro and macroeconomics Essay Example | Topics and Well Written Essays - 750 words

Micro and macroeconomics - Essay Example There are numerous concepts, that specifically comes under the ambit of economics and the name of cost efficiency is one of them, in fact quite important as well. There are number of concepts that define about cost efficiency in total and putting the first thing on the first step is one of the most integral ones. There are certain environmental laws that prohibits the EPA to not to put the same against the cost, but there are number of companies which are doing the same. Organizations always strive and thrive hard for economic prosperity and there are number of things on which the entire productivity of an entity depends upon (WIERENGA). Theoretically, an organization is places which have been arose and surrounds with number of different departments in total. Considering the cost to develop and initiate through a specific period is prohibited in different law making functions. This thing could in regular touch with the cost of the company as a whole. This is basically a sort of waste for the companies to put things first as compared to other things. It is basically a waste of resources and it should be prohibited. Self Test Exercise Ans-1) Current Level of Enforcement Activity is $ 7.50 Marginal Cost per Gallon is $ 5.50 The current level of enforcement activity is marginally higher than that of the cost of per Gallon, representing an increase of $ 2. If the number s are correct, then the Coast Guard should be increased in order to meet with the current level of Enforcement Activity (EA), otherwise the resources would get wasted. Cost per gallon in this particular scenario should be increased accordingly in order to do the things all along. The main reason to analyze is to make the cost according to the current EA in total. Ans-2) Risk Reducing Program = $ 100,000 to $72 billion a) Risk is the name of uncertainty and it is extremely important for the companies to reduce the level of risk from their production. Statistics is one of the most important fields whic h has its importance and recognition in number of things. The field of statistics has been found among number of things in total and it is found in forecasting as well. Organizations have to consider number of things in order to bring economic propensity to the consumption. If the values have been considered as correct, then the programs should be continue for a long span of time, because it relates to the economic efficiency of the organization as a whole. b) Government could play a vital role to stabilize the economy or to stabilize a certain method or path of a country or an organization as a whole. Government could play an important role to equalize the marginal cost life saved across all the live saving programs. In this section it is analyzed that Government could also play an important role in this analysis as well and cost per save life will certainly enhance with the same activity. Risk could also be minimized accordingly with the help of this section. 3.a) Risk reduction i s an important activity which should be there for a organization as a whole. Premature risk reduction should be decrease accordingly. = 1/100,000 = 10/1000, 000 If the population is 4 million then the statistics could be like this, = 40/4,000,000 = 0.001% The proportion of the same is quite low as it relates to the risk reduction activity. The cost associated with the same is = 50* 4,000,000 = 2, 000, 000, 00 3.b) 6/100,000 To 2/100,000 The maximum that could be found from the same is 8/1000,000 Chapter-5 Discussion Question-1 The term environmental sustainability comprise of decision power and the implementation of such measures that plays an

Back Pain Treated with Massage Therapy Research Paper

Back Pain Treated with Massage Therapy - Research Paper Example The search included Medline, Embase, Cinahl, and Cochrane Central Register of Controlled Trials. Inclusive were studies that compared massage therapy to other treatments for back pain and excluded was research studies done without a control and studies done with patients on pain medications. The results yielded 20 articles that met the criteria for this review. Positive effects from massage therapy as primary treatment were shown in all but one study. In that study, when compared to acupuncture, this researcher had better results with the acupuncture. There are still some unknowns that need further studies but there is evidence showing that massage is a good primary therapeutic choice. Back pain is one of the most costly and common musculoskeletal problems in modern society. It is the primary reason patients seek massage therapy and the second reason that a patient visits a physician with pain. Most primary care physicians will see at least one patient with low back pain per week. The economic impact of this back pain is great, including loss of work, treatment costs, and disability payments. In 1998, total health care expenditures incurred by individuals with back pain in the United States reached 90.7 billion dollars and total incremental expenditures attributable to back pain among these persons were approximately 26.3 billion dollars. On average, individuals with back pain incurred health care expenditures about 60% higher than individuals without back pain (3,498 dollars vs. 2,178 dollars). (Luo, Pietrobon, Sun, 2004). The primary goal in treating back pain is to improve the pain and return function. The patient and his physician have a number of treatment choices for this care. These choices include surgery, medication, acupuncture, exercise therapy, multidisciplinary rehabilitations programs, massage, and spinal manipulation as well as combinations of these. Most patients with chronic low back pain do not benefit from having surgery (Last, Hulbert, 2009). Chiropractic, massage, acupuncture and meditation have become more popular recently (Pengal, Herbert, 2003). Yet only recently has there been evidence-based investigation into treatments that are alternative to medication and surgery. This research will attempt to determine whether massage is a good treatment for the back pain. Literature Review Background Studies In 1997 the first full systematic review of studies was done by VanTulder, Marits, and Koes et.al. (1997). This was a review of randomized control trials completed up to 1997. The aim of that original literature review was to assess the effectiveness of alternative types of care for back pain. Many options were available at the time. A pain scale was used to rate the back pain in studies at that time and all of the studies included had participants with back pain that was rated between 7 and 9. The trials were then rated for validity and 35% of those trials reviewed were considered of high validity while 5% were considered not valid. Many flaws were noted in the studies, which included the use of medication during the trials and short-term effects were not considered in any of the studies. Only long-term effects were validated. Considering these things, the overall adequacy and validity of early control trial was poor. In 2005 VanTulder, Marits

Basel III Essay Example | Topics and Well Written Essays - 2000 words

Basel III - Essay Example When the housing bubble collapsed before the financial crisis, the asset-backed securities loss value and many banking firms faced insolvency and required federal bailouts. This paper will review the Basel Accords and the economic impact on banks because of the Basel Accords. Basel I and II background Basel I, which centered mainly on credit risk, came into existence in 1988 and became legally enforceable in the G10 nations in 1992 (Barron, J 2011). The goals of Basel I was to mandate that banks preserve enough capital to absorb losses without creating universal difficulties. Basel I was criticized for being inadequate in its assessment of assets to risk categories because assets with different risk composition would be categorized into the same risk groups. The Basel III established the amount of reserves required by banks to avert losses and cushion the financial industry against possible future financial catastrophes. Basel II was created in June 2004 after concerns arose with Bas el I because of the regulatory arbitrage. Basel II was seen as a more risk-sensitive standard that applied bank’s own approximates of risk in deciding minimum capital demands. Basel II placed measures on the amount and usage of a bank’s capital to cover the risks they experienced. One of the fundamental modifications suggested by Basel II is the heightened sensitivity of a bank’s capital obligations to the risk of its assets: the quantity of capital that a bank has to capture is to be directly associated to the riskiness of its underlying assets (Drumond, I 2009). Because Basel II connected the riskiness of banking institution lending with the funds it held, basically making higher risk transactions have elevated reserve requirements than lower risk ones (Barron, J 2011). A chief concern of the Basel II imitative was the practice of securitization. Banks grouped risky loans into asset-backed securities and sold the securities to investors. This practice allowed the banks to move the risky assets off their balance sheets. This process allowed financial institutions to decrease their capital obligations, take on increasing risks and augment their leverage ('FOCUS: The Business Impact of Basel III' 2010).

How video games affect teenagers nowadays Essay

How video games affect teenagers nowadays - Essay Example (2008) did a test concerning means changes in heart rate and respiration rate in the experimental conditions while playing high violence and low violence video games, and also the means of the average standardized electrodermal reaction into the two types of stimuli for the high- and low-violence groups. The results indicate that the higher level of violence players manifested greater aggression than the low level violence video game players. On the other hand, video games have also been found to have positive effects. For example, the study of Reinecke (2009), it was indicated that video and computer games are engaging media and are capable of alleviating players’ stress. A model has been deduced from empirical data to support this assertion, depicting the associations among recovery experience, work-related fatigue, daily hassles, emotion-focused coping, problem-focused coping, and playing games for recovery from stress and strain, with social support acting as moderator. Given these initial literature, the researcher was compelled to investigate what has thus far been found about the influence of video games on teenagers’ cognition, affect, and behaviours. The study shall be beneficial for a thorough understanding of both advantages and repercussions of playing video games, especially amongst teenagers. Both objectives shall be achieved through a critical review of related literature and interviews with teenagers who avidly play video games. Thus, both primary and secondary data collection shall be undertaken for the purposes of this study. The review of related literature has been conducted by gathering materials from online journals, newspapers, and websites. On the positive influences of video games, Reinecke (2009) pointed out that â€Å"Accordingly, as video and computer games are a very absorbing media environment, they are likely to foster feelings of relaxation and to support recovery from stress and strain.† Moreover, he had drafted out a model

Food Analysis Technique Assignment Example | Topics and Well Written Essays - 1000 words

Food Analysis Technique - Assignment Example According to the paper microarray technique is a technique that allows expansion of the DNA significantly in terms of number of DNA that can be analyzed simultaneously. It is used in food analysis by enabling microbial analysis of pathogens in food substances in a single array assay. It is relevant because it detects infectious microbial pathogens in food so that they can be eliminated and ensure the food product is safe. Histology is another analytical technique useful in food analysis. The paper approves that this technique is uses a microscope to observe the morphology of a tissue. Environmental toxins and veterinary drugs have an effect on the morphology of a tissue and this can be observed under the microscope. Spectroscopic techniques is one of the food analysis techniques used are shown in the paper. This techniques include mass spectrometry, infrared, nuclear magnetic resonance and atomic spectroscopy. Hyphenated techniques is another analytical technique for food analysis. (Malik, Blasco and Picà ³, 2010) state that this technique combines at least two analytical techniques for instance liquid chromatography coupled to tandem spectrometry or mass spectrometry. There are a wide variety of application of this technique in food analysis. The paper shows molecular species which contain a unique set of energy levels depending on its molecular and atomic structure. Electromagnetic waves are particles of energy moving through space and these waves consist of oscillating electric and magnetic fields.

Body Image and the Media Article Example | Topics and Well Written Essays - 1250 words

Body Image and the Media - Article Example The magazine is complex, reaching out to many people of different ages. With that in mind, the publishers have to devise a marketing plan that would cater to the people who read the magazine and these readers have a lot of age difference. Therefore, their ads and their articles must be generic enough to accommodate African-American women of all ages. However, they must also be specific enough to cater to African-American women and enable them to identify themselves with the magazine. The magazine also caters to the fact that people of another color would be wanting to read the specific title. This paper attempts to analyze the contents of the magazine. How it is formatted to fit into the tastes of the readers. The first ten pages of the magazine are more on advertisements. As the magazine is catered for American-American women, the advertisements are geared towards women and are mostly of beauty products. Hair product advertisements are also numerous, as it is known that African-American women value their hair a lot. The advertisements feature black women as well. The black women models project the image of being successful, beautiful and having it all. There is also an ad that features a non-African-American woman, but that is the only advertisement that features a non-colored model. It was an advertisement for Loreal. Skin products are also advertised, such as lotions and baby oils. These products promote skin moisture. The skin of African-Americans is quite prone to dryness, and when the skin gets dry, ash-like substances appear on the skin. Thus, the advertisement is understandable as its major clientele needs the product as part of their grooming. There are at least three skin moisturizing products that are advertised in the first ten pages of the magazine.

Food Analysis Technique Assignment Example | Topics and Well Written Essays - 1000 words

Food Analysis Technique - Assignment Example According to the paper microarray technique is a technique that allows expansion of the DNA significantly in terms of number of DNA that can be analyzed simultaneously. It is used in food analysis by enabling microbial analysis of pathogens in food substances in a single array assay. It is relevant because it detects infectious microbial pathogens in food so that they can be eliminated and ensure the food product is safe. Histology is another analytical technique useful in food analysis. The paper approves that this technique is uses a microscope to observe the morphology of a tissue. Environmental toxins and veterinary drugs have an effect on the morphology of a tissue and this can be observed under the microscope. Spectroscopic techniques is one of the food analysis techniques used are shown in the paper. This techniques include mass spectrometry, infrared, nuclear magnetic resonance and atomic spectroscopy. Hyphenated techniques is another analytical technique for food analysis. (Malik, Blasco and Picà ³, 2010) state that this technique combines at least two analytical techniques for instance liquid chromatography coupled to tandem spectrometry or mass spectrometry. There are a wide variety of application of this technique in food analysis. The paper shows molecular species which contain a unique set of energy levels depending on its molecular and atomic structure. Electromagnetic waves are particles of energy moving through space and these waves consist of oscillating electric and magnetic fields.

The Meaning of Lives Essay Example for Free

The Meaning of Lives Essay In her article The Meaning of Lives, Susan Wolf, a moral philosopher and philosopher of action, investigates whether meaning can exist in lives without postulating the existance of God. Wolf establishes her position on this philosophical question from an agnostic perspective and rationally argues that such a question can in fact â€Å"fit within a negative or agnostic view about the meaning of life† (Wolf 63). With this paper, I will first summarize the prominent points of Wolf’s article then highlight and expound upon areas of her argument that contradict her line of reason. Lastly, I will introduce the theistic perspective on meaningful lives along with presenting Wolf’s reason and argument as supporting evidence for the theistic view. In the Meaning of Lives, Susan Wolf opens briefly with an evaluation of the philosophically ambiguous question, â€Å"What is the meaning of life? † She argues this particular question is impossible to rationalize because it dependents upon a postulation for the existence of God. Wolf claims it is necessary to postulate the existence of God in order to argue this original question because if God does exist, then He â€Å"may have created us for a reason, with a plan in mind†(Wolf 63). Thus, if God exists then there would be purpose and meaning to human existence dependent upon the creator God. Wolf does not deny the existence of God; she simply suggests that a divine existence is improvable. Therefore the question of a grand purpose and meaning in life is an unnecessary and an improvable argument to find an answer to, due to the improvable nature of God. However, she does believe that meaning in lives is not contingent upon the existence of God stating, â€Å"Meaningfulness is an intelligible feature to be sought in life† and that â€Å"a positive view about the possibility of meaning in lives can fit with a negative or agnostic view about the meaning of life†(Wolf 63). She expounds on this argument in three distinct sections. The first part of Wolf’s argument observes three different examples of meaningless lifestyle. Wolf articulates that learning from three paradigms of meaningless lives, one can construct an understanding for meaningfulness. She begins with a lifestyle she labeled the Blob. The Blob is defined by a lifestyle that â€Å"is lived in hazy passivity†¦ unconnected to anyone or anything, going nowhere, achieving nothing† (Wolf 64). Wolf deduces from the Blobs meaningless lifestyle, that in order to attain a meaningful life one must be engaged in a project, which can include relationships. The second meaningless lifestyle, in contrast to the Blob’s lifestyle of passivity, is regarded as the Useless life; â€Å"a life whose dominant activities seem pointless, useless or empty† (Wolf 65). After reviewing the lifestyle of the Useless life, a life void of worth, to achieve meaning â€Å"one must be engaged in a project or projects that have some positive value† (Wolf 65). The final category of a meaningless life would be the lifestyle of the Bankrupt, â€Å"someone who is engaged or even dedicated, to a project that is ultimately revealed as bankrupt, not because the person’s values are shallow or misguided, but because the project fails†(Wolf 65). Ultimately, Wolf concludes that in order to achieve meaningfulness one must not only be engaged in a project of positive value but that project must be in some way successful. After providing a working definition for a meaningful life, Wolf raises the question as to what constitutes â€Å"positive value† and who has the right to objectively determine value. Similarly to Wolf’s construction of meaningfulness, she argues reasons for why an individual is incapable of objectively determining positive value. This incapability for determining objective value is due to the individual’s subjectivity and â€Å"interest in living a life that feels or seems meaningful†(Wolf 66). Therefore, because an individual is incapable of distinguishing objective positive value from interest, it is unlikely that the individual can distinguish what is required for a meaningful life. She argues that objective value is determined and achieved through observing value in other people’s lives. Wolf clarifies that the objective good she is referring to is not compared to moral goodness, â€Å"benefiting or honoring humanity† (Wolf 67). Wolf claims that meaningfulness is not contingent upon moral value. Instead, Wolf suggests that while there are examples of lives exhibiting great moral value, such as Mother Teresa and Gandhi, that are full of meaning; there are also examples of other lives, such as â€Å"artists, scholars, musicians and athletes†, that possess great meaning, not based upon their moral value. These lives are considered valuable and meaningful due to their ability to â€Å"develop our skills and our understanding of the world† which â€Å"give meaning to our lives- but they do not give moral value to them †(Wolf 67). A greater understanding of our own worth and the Universe is what Wolf constitutes for lives to have meaning. The final stage in Wolf’s argument poses the question â€Å"what is the good, after all, of living a meaningful life†(Wolf 67)? Wolf does not wish to define goodness, but rather discusses the advantages for living a life full of meaning. Wolf makes the final stand, that in order to grasp meaningfulness and understand how one can achieve it in their life; an individual must become enlightened to their status in the world as â€Å"a tiny speck in a vast universe† (Wolf 69). This description of where an individual lies in relation to the vastness of the Universe, provides the reality that meaning in lives cannot logically be contingent upon the desires and benefits for the individual, due to humanities insignificance. It seems illogical to Wolf, that a person who seeks to find meaning in their life could conclude that is dependent upon their independent happiness claiming, â€Å"to devote oneself wholly to one’s own satisfaction seems to me to fly in the face of truth, to act as if one is the only thing that matters, or perhaps, more, that one’s own psychology is the only source of (determining) what matters† (Wolf 70). The truth, to which Wolf refers, is the reality that individuals have very little significance in relation to the value of the vast Universe. It is because of this truth that a self-center and egocentric life goes against of logic after such a truth is realized. Wolf argues that instead of egocentric priorities to achieve meaning, an individual should alternatively be focused on the needs of the Universe and others. She understands that â€Å"you are just one person among others, equally real- is the source of practical reason-in this case, it gives you reason to take the pains of others to constitute reasons for action†¦reason to care about the pain of others that is grounded, not in our own psychologies, but a fact about the world†(Wolf 70). In this section, I will address three areas of Wolf’s reasoning I find to be inconsistent with her argument as a whole. A concern that I have regarding Wolf’s argument is her use of the word â€Å"meaning†, in regards to the meaning of lives. A very different connotation of the word â€Å"meaning† suggested by the philosophical question, â€Å"What is the meaning of life? † Wolf states that the question, â€Å"What is the meaning of life? † requires an individual to postulate the existence of God because it implies their ultimate aim â€Å"to find a purpose or a point to human existence†(Wolf 63). However, Wolf also argues, â€Å"whether or not God exists, the fact remains that some objects, activities and ideas are better than others. Whether or not God exists some ways of living are more worthwhile than others†(Wolf 72). At the beginning of Wolf’s argument about the meaning of lives, suggests that she neither denies nor rejects the existence of God. She argues this as true because she believes the question behind the meaning in lives can be answered as â€Å"an intelligible feature to be sought in life and that it is at least sometimes attainable but not everywhere assured†(Wolf 63). Wolf reduces the meaning of lives to that which can be determined by human reasoning a finite measurement of this transitory world. Thus Wolf, who has neither denied nor rejected the existence of God has unreasonably eliminated the question of origin of lives, as irrelevant to meaning in lives. She focuses how certain types of lives merit significance in existence and consequently refers to the word â€Å"meaning† as synonymous with value. Finally, Wolf argues that there is value in human lives that â€Å"can fit with a negative or agnostic view about the meaning of life†(Wolf 66). This statement is far less controversial than her attempts to argue that meaning in lives is achievable without the postulation of God. Logically, to explore meaning in lives, one must consider the beginning of life, which must have been constructed either by accident or by a creator. Meaning cannot be cited as more or less significant at a particular point in an individual’s life. Thus, the point that one comes into existence must be regarded for defining meaning within an individual’s life. The second problem in Wolf’s argument comes in her evaluation of what is considered a project of positive value. An individual who is engaged in a project of positive value is central to Wolf’s definition of a meaningful life. Although, projects of positive value can add to meaning in an individual’s life, Wolf’s reasoning as to â€Å"who is to decide which projects have positive value† is vague and inconsistent with her earlier positions (Wolf 66). Wolf concludes that individuals are incapable of objectively deciding what has positive value, due to subjective interests, which skew their understanding of objective value. Wolf deduces that in order for an individual to understand projects of positive value, which will eventually adds meaning to heir lives, they must experience an â€Å"epiphany†¦ to the recognition that our life to date has been meaningless† (Wolf 66). This comment is completely inconsistent with Wolf’s fundamental goal to acquire an understanding of meaning in lives from an intelligible process of reason. The understanding for projects of positive value through an epiphany is inconsistent with her pervious arguments because it depends she suggests that understanding meaning comes from an unintelligible source of knowledge. Who is to say that that epiphany is not guided by a supreme higher being? The irony of Wolf’s conclusion about the necessary epiphany, is that her statement â€Å"It is the sort of experience that one might describe in terms of scales falling from ones eyes†, compares closely to the allusion found in Acts 9:18 (Wolf 66). The verse reads â€Å"And immediately something like scales fell from his eyes, and he regained his sight. Then he rose and was baptized† (NIV 1000). The language of scales falling from the eyes in order to gain true understanding is regarded in both versions as an act depended upon a supernatural entity enabling the change. This very interesting comment by Wolf, suggests that understanding how an individual recognizes truth through epiphany is beyond the capabilities of human control and intellect. Her attempted arguments about how a meaningful life is realized are sound up until the point about epiphany. Lastly, Wolf’s argument for meaning in lives lacks any discussion of immortality as a necessary property for meaning. Wolf reasons that there are certain lifestyles that are more meaningful than others. This argument for certain lifestyle having greater meaning has limited relevance because as she rationalizes, lives are finite and temporary as are the lives of others whom we must focus in our acknowledgement of the truth that we are just a â€Å"speck in the vast Universe†(Wolf 69). Wolf does a fine job at articulating the insignificance and temporary state of human life. However, she fails to recognize that in her attempts to construct a logical framework for meaning in finite lives she disregards the possibility for immortality to give further meaning to lives. Thus, she reduces the idea of meaning as an avoidance of an egocentric lifestyle and recognizes insignificance and meaning within an individuals’ life alone. Wolf’s claim that meaning is attainable through certain actions only satisfies temporary lives for a finite amount of time. This argument surrounding meaning as dependent upon an inward realization of insignificance manifesting into outward actions, is simply a cycle of meaningless people helping other meaningless people, and causes only a temporary impact. In an argument for the importance of immortality to meaning in lives, Gianluca Di Muzio states, â€Å"If a human being dies and her actions have no lasting effect, because the world itself perished, then her life was meaningless. If, in the end, all comes to nothing, then it does not matter in the first place whether a particular person existed or not† (Di Muzio 2). In order for actions and lives to be meaningful, they must have a lasting impact or something to gain, and provide for others in a way that is not reducible to the finite and temporary world. Thus, achievable immortality must exist for meaning to be possible. Although she attempts to determine the meaning in lives for an agnostic world, I would argue that Wolf’s argument actually supports many theistic views regarding the meaning of lives. Though many of Wolf’s arguments do not adequately provide understanding for meaning in lives from an agnostic perspective, many of her points parallel to the theistic view of â€Å"purpose theory. † Before I expound on these similarities, an understanding of the theistic view regarding the meaning of must be addressed. According to Borchert, the theistic view argues that, â€Å"life is meaningful insofar as one fulfills a purpose that God has assigned† (Borchert 295). In â€Å"Confession†, Leo Tolstoy discusses meaning in life from the theistic perspective and claims â€Å"now I see clearly that my faith-my only real faith-that which apart from my animal instincts gave impulse to my life- was a belief in perfecting myself† (Klemke 2). Tolstoy sought such perfection in artistic achievements and loving his family. In trying to find meaning in family and people, Tolstoy ultimately realizes that â€Å"My family — wife and children — are also human. They are placed just as I am: they must either live in a lie or see the terrible truth† (Klemke 10). In other words, Tolstoy realizes that if meaning resides in the finite and temporary nature of humanity, meaning too will die along with the life. Tolstoy further suggests that meaning cannot reside within artistic modes when he writes Art, poetry? Under the influence of success and the praise of men, I had long assured myself that this was a thing one could do though death was drawing near — death which destroys all things, including my work and its remembrance; but soon I saw that that too was a fraud† (Klemke 10). This declaration further supports Tolstoy’s theistic belief that everything of and in this world cannot be the ultimate source of meaning in lives. Although, the substance of this world may increase value within life, it cannot supply ultimate, enduring meaning. Tolstoy finally declares, â€Å"To know God and to live is one and the same thing. God is life- Live seeking God, and then you will not live without God† (Klemke 11). This passage concludes with his theistic assertion that without a â€Å"divine plan for the world, then all efforts come to nothing, because everything comes to nothing. Hence our lives are meaningless without God† (Metz 293). Though Wolf attempts to support an agnostic view for the question, â€Å"is there meaning in lives? † her central points mirror those of the theistic view and supports many of its claims. This final section will concentrate on central points within Wolf’s argument that support a theistic view for understanding meaning in lives. To begin, she claims that a life has meaning insofar as it is â€Å"engaged in a project or projects that have some positive value† (Wolf 65). Although this statements seems logical, Wolf fails to provide an intelligible source for acquiring knowledge about whether or not a project has positive value and which projects do not. She betrays the agnostic attempt to provide an understanding of meaning in lives through reason, by suggesting that realization of projects with positive value relies upon an epiphany. The concept of an epiphany for realization is inconsistent with her attempts to rationalize. However, when Wolf’s definition is placed against the theistic view, it is logically consistent with theological beliefs. Theists believe that an individual must be actively engaged in positively affecting peoples lives with in the world, while ultimately contributing to God’s divine plan in order for their lives to have meaning. This concept is articulated beautifully in Gianluca Di Muzio’s argument: Theism and the Meaning of Life, in which he states, â€Å"In order to have meaning, our lives must make a difference to a higher scheme. And theism sees human action as doing a sort of double duty. On one hand, they affect other people and events in this world, on the other, they further or hinder God’s ultimate plan† (Di Muzio 2). This statement suggests that humanities actions in projects have the ability to have two different forms of significance, both relative and ultimate. Relative significance refers to the theistic perspective that, â€Å"actions and events have relative significance when they only influence other actions and events†(Di Muzio 3). Ultimate significance is when our actions and events â€Å"contribute to God’s plan† (Di Muzio 3). Both of these forms contribute to theistic view, however Wolf’s argument focuses solely on relative significance. The theistic understanding of relative significance is paralleled to Wolf’s understanding of meaning in lives. She believes that when individuals realize their insignificance and begin to seek beyond themselves for meaning by actively engaging in projects of positive value, they can acquire meaning. Though this insignificance is transient, it supports the theistic belief that, â€Å"human beings have access to value† without having to postulate the existence of God, because â€Å"existence affords the opportunity to attain the kinds of goods that make a human life worthwhile and fulfilling† (Di Muzio 5-6). Wolf’s profound point that human life is just a â€Å"speck in a vast universe† lays the foundation for the theistic belief in ultimate significance (Wolf 71). Theists believe that there is A fundamental disproportion between aspirations and reality is a powerful source of the idea that our lives are absurd and meaningless. We think we matter, and yet we don’t. The world is not intoned with our hope, desires and projects. The possibility of out destruction looms everywhere; and human suffering, however enormous, seems to be nothing but a passing accident, a byproduct of the presence of sentient creatures in a world that merely tolerates them for a short time. (Di Muzio 9) This understanding of human insignificance plays a vital role in the theistic belief that despite human fragility, purpose and significance are achievable within the most tragic circumstances. Wolf’s recognition of our insignificance implies our need to look beyond our own lives for meaning. If a life of meaning depends upon recognizing the truth about our insignificance and continuing to be â€Å"actively engaged in a project of positive value†, and one cannot perform these projects due to tragic circumstances, then within Wolf’s reasoning their life can not have meaning. Wolf’s understanding of meaning depends upon individual human performance. In trying times of suffering, whether great or small, this concept of looking outside of ones own circumstances is hard to accomplish and in some circumstances impossible, thus in such cases meaning cannot be unachieved. The theistic view of ultimate significance provides a hope that a life of suffering can have meaning and purpose too in that, â€Å"the idea of God and hope for immortality can help us look again at the world and our fragile lives as meaningful†(Di Muzio 9). The project of participating in God’s divine plan is the only project that has lasting and unwavering value for meaning in lives. Wolf’s central argument concerning meaning in lives provides many logically convincing and sound points. However, Wolf’s definition of a life of meaning is both disconnected from her original argument and lacks a consistent, authoritative source and process for achieving meaning. She attempts to suggest that meaning is an â€Å"intelligible feature to be sought in life†, then provides the solution for achieving this insight of through the unintelligible source of epiphany. Secondly, Wolf’s argument for the realization of insignificance as the truth, unlocks the need for an individual to look beyond serving his or her own self-centered desires for meaning. However, though her point about insignificance seems valid, Wolf fails to provide examples or an understanding of how an individual can objectively determine how to look outside of themselves. In total, Wolf produces an understanding of meaning that depends upon an individuals abilities to undergo an epiphany and properly manifest their understanding of the need to look outside one’s self and recognize Universal needs. The problem with this stance is that focusing on the Universe provides no lasting impact, or meaning to a particular life because the things of this Universe are finite and temporary. The individual’s life will eventually end along with the actions and events they affected. Though existence can provide an opportunity for value, as understood in Wolf’s argument and the theistic view, meaning is dependent upon a infinite being whose performance can not be temporary. An individual must not be reliant on their personal performances and finite experiences to obtain meaning, but rather is actively engaged in an eternal project of positive value, determined by an infinite and constant authority, God. Works Cited Borchert, Donald M. Theism. Encyclopedia of Philosophy. 2nd ed. 10. Detroit: Gale, 2006. Web. 25 Apr 2012. Di Muzio, Gianluca. Theism and the Meaning of Life life’s meaning? Ars Disputandi . 6. (2006): 1-12. Print. Klemke, E. D. â€Å"The Meaning of Life†. 2nd. New York: Oxford University Press, 2000. Print. Metz, Thaddeus. â€Å"Could God’s purpose be the source of life’s meaning? † Cambridge Journals. (2000): 293-311. Print. Wolf, Susan. The Meaning Of Lives. 62-73. Print.

Assessment And Management Of Diabetic Ketoacidosis

Assessment And Management Of Diabetic Ketoacidosis Diabetic Ketoacidosis: Diabetic ketoacidosis (DKA) results from absolute or relative deficiency of circulating insulin (Kitabchi AE, Umpierrez GE, Murphy MB, Kreisberg RA, 2006). DKA is characterized by severe depletion of water and electrolytes from both the intra and extracellular fluid compartments. Despite their dehydration, patients continue to maintain normal blood pressure and have considerable urine output until extreme volume depletion and shock occurs leading to a critical decrease in renal blood flow and glomerular filtration. Assessment: Perform a clinical evaluation to confirm the diagnosis and determine its cause. Carefully look for evidence of infection. Also weigh the patient. Assess clinical severity of dehydration. Assess level of consciousness using Glasgow coma scale [GCS]. Management: Laboratory blood glucose should be measured at diagnosis. An ECG monitor should be applied until the patient is stable. Consulate the Diabetes Team as soon as possible for a decision on continuing management. Transfer to subcutaneous (SC) insulin one the patient is able to eat and drink properly. Do not stop the IV insulin until SC insulin has been given. Patient with known diabetes should go back to their previous insulin regimen. If possible identify the precipitating cause of DKA. Always inform the Diabetes Team so that education can be given to reduce the risk of future episodes of DKA. Hyperosmolar non ketotic coma (HONK): Type 2 diabetes, usually in patients over 60 years. This condition is characterized by hyperglycemia and high plasma osmolality without significant keton-uria or acidosis (Pinies JA, Cairo G, Gaztambide S, et al.1994). Assessment: Same as Diabetic ketoacidosis (DKA) but look for precipitating medical condition, e.g. sepsis, myocardial infarction etc Management: Management of Hyperosmolar non ketotic coma is same as DKA . Also the insulin infusion rate should be halved as paradoxically these patients can be quite insulin sensitive. Elderly patients are more likely to need a CVP line to optimize fluid replacement. Risk of thromboembolic disease is high anticoagulant fully if no contraindications. Most patient can be managed with oral hypoglycemic agents or diet, but recovery of insulin may take time and insulin may be required for few weeks. Hypoglycemia: Hypoglycemia is the result of a mismatch between insulin dose, food consumed, and recent exercise and is rarely, if ever, a spontaneous event (Kovatchev BP, Cox DJ, Farhy LS, Straume M, Gonder-Frederick L, Clarke WL,2003).Because it can be accompanied by unpleasant, embarrassing, and potentially dangerous symptoms and because it causes significant anxiety and fear in the patient and their caregivers, its occurrence is a major limiting factor in attempts to achieve near normal BG levels (Clarke WL, Gonder-Frederick A, Snyder AL, Cox DJ 1998,Cryer PE 2002). Assessment: Each hypoglycaemic episode should be assessed carefully to determine its cause evaluating the insulin action profile (time of insulin administration, peak insulin action and intensity of insulin action). Check the recent food intake (timing and amount of carbohydrates eaten and peak BG effect on recent food. Also check recent physical activity (timing, duration and intensity). Also check and missed signs and symptoms of early hypoglycaemia. Management: Management of hypoglycemia involves immediately raising the blood sugar to normal, determining the cause, and taking measures to hopefully prevent future episodes. Initially Glucose 10-20 g is given by mouth either in liquid form or as granulated sugar (2 teaspoons) or sugar lumps (Smeeks FC, 2006). If hypoglycemia causes unconsciousness, or patient is unco-operative, 50 mL of glucose intravenous (IV) infusion 20% can be given. Alternatively, 25 mL of glucose intravenous infusion 50% may be given, but this higher concentration is viscous, making administration difficult; it is also more irritant. Once the patient regains consciousness oral glucose should be administered as above. References : Kitabchi AE, Umpierrez GE, Murphy MB, Kreisberg RA. Hyperglycemic crises in adult patients with diabetes: a consensus statement from the American Diabetes Association. Diabetes Care 2006 Dec: 29(12): 2739-48. Hanas R, Lindgren F, Lindblad B. A 2-yr national population study of pediatric ketoacidosis in Sweden: predisposing conditions and insulin pump use. Pediatr Diabetes 2009 Feb: 10(1): 33-7. McDonnell CM, Pedreira CC, Vadamalayan B, Cameron FJ, Werther GA. Diabetic ketoacidosis, hyperosmolarity and hypernatremia: are high-carbohydrate drinks worsening initial presentation? Pediatr Diabetes 2005 Jun: 6(2): 90-4. Rewers A, Klingensmith G, Davis C, Petitti DB, Pihoker C, Rodriguez B, et al. Presence of diabetic ketoacidosis at diagnosis of diabetes mellitus in youth: the Search for Diabetes in Youth Study. Pediatrics 2008 May: 121(5): e1258-66. Pinies JA, Cairo G, Gaztambide S, et al. Course and prognosis of 132 patients with diabetic non ketotic hyperosmolar state. Diabete Metab 1994; 20: 43-48. Kovatchev BP, Cox DJ, Kumar A, Gonder-Frederick L, Clarke WL. Algorithmic evaluation of metabolic control and risk of severe hypoglycemia in type 1 and type 2 diabetes using self-monitoring blood glucose data. Diabetes Technol Ther 2003: 5: 817-828. Kovatchev BP, Cox DJ, Farhy LS, Straume M, Gonder-Frederick L, Clarke WL. Episodes of severe hypoglycemia in type 1 diabetes are preceded and followed within 48 hours by measurable disturbances in blood glucose. J Clin Endocrinol Metab 2000: 85: 4287-4292. Clarke WL, Gonder-Frederick A, Snyder AL, Cox DJ. Maternal fear of hypoglycemia in their children with insulin dependent diabetes mellitus. J Pediatr Endocrinol Metab 1998: 11(Suppl. 1) : 189-194. Cryer PE. Hypoglycaemia: the limiting factor in the glycaemic management of type I and type II diabetes. Diabetologia 2002: 45: 937-948. Strategies for Dealing with the Psychological Issues such as Fear and Anxiety Associated with Diagnosis of Cancer, and How These Can Improve Coping A diagnosis of breast cancer is a great shock. Women report that they fear breast cancer more than heart disease, even though they have a better chance of surviving breast cancer, and dying of stroke or heart failure. Breast cancer has been with us since the early Egyptians, and fear of this disease as well as the treatments for it, seems to be inherent in women all across the world. Normal Emotions and Breast Cancer Here are some normal emotions that you may experience at diagnosis and during treatment. Fear, shock Denial Anger Depression Sadness Anxiety Stress Guilt Loneliness, alienation Hope Physical Responses to Strong Emotions As you begin to deal with diagnosis and treatment, your body will be reacting to emotions as well as surgery and drugs. Your physical responses to the overall stress may be: Fear trouble sleeping, headaches, body aches Anger change in blood pressure Depression fatigue, crying, feeling moody Stress pain, irritability, tension Unresolved or Unexpressed Emotions May Lead to Other Problems You are not alone with your diagnosis or your emotions. Expressing your feelings can give you quite a bit of relief, helping you move forward in your journey. Not all of us are freely expressive, but there are safe and creative outlets for your feelings. Letting out your emotions will help you get support and heal more quickly. Your bottled-up emotions may lead to: Loneliness, withdrawal from others Frustration Hopelessness Feeling out of control Emotional Concerns and Breast Cancer When youve accepted your diagnosis, you may be facing other emotional concerns. The loss of a breast, or part of a breast, has an impact that goes beyond the physical fact. If aggressive treatment is required, it might have long-term impact on your health. It is normal to be concerned about: Fear of recurrence Loss of attractiveness Difficulty with sexual function Loss of fertility Coping With and Surviving Breast Cancer You can improve your emotional health and reduce your physical symptoms with good coping strategies. A study published in the Journal of Psychosocial Oncology reports that women who get help with pain and emotional distress have lower levels of anxiety, fatigue and depression. Here are some ways to cope with your emotions: Communicate with family and friends Maintain intimacy (if you have a partner) Visit with a counselor or spiritual director Join a support group Express your needs and ask for help Report your symptoms to your healthcare team Keep a log of medical visits, save test results, keep receipts Educate yourself about your cancer and treatments Exercise Make plans for a crisis Getting Help for Emotions Is Not a Sign of Weakness You may feel under pressure to be strong or act brave when you least feel that way. Perhaps you dont easily share your feelings with others. You may be in a position of responsibility and trust, and feel like you must contain your fears and hide your disease or the effects of treatment. Sharing these feelings and struggles may make you feel vulnerable. A study published in the Journal of Personality shows that women with breast cancer who do express their anger, fear, sadness, and affection in a group setting live longer than women who suppress these emotions. Here are some ways to express your emotions and boost your emotional and physical health: Make time to talk to family members Communicate with friends and coworkers Attend a support group, or join an online support list Find a good therapist and commit to regular visits Take-Home Message Your feelings about breast cancer and its affect on your body, family, relationships, finances, and mortality are valid and normal. Expressing your emotions and needs will help boost your mental and physical health. Letting it out lets you live longer! Sources: Journal of the American Geriatric Society. Effect of depression on diagnosis, treatment, and survival of older women with breast cancer. Published January 2004. Journal of Psychosocial Oncology. Examining the influence of coping with pain on depression, anxiety, and fatigue among women with breast cancer. Published 2005. National Institute of Health. Womens Fear of Heart Disease Has Almost Doubled in Three Years, But Breast Cancer Remains Most Feared Disease. Published 2008. National Cancer Institute. Support for People with Cancer Taking Time. Published 2005. California Breast Cancer Research Program. Does Change in Emotional Expression Mediate Cancer Survival? Final Report Published 1999. Breast cancer is an uninvited and life-altering event frequently associated with a rapid entry into a challenging treatment regimen and a long process of learning to cope with significant physical, practical, and emotional challenges (Boehmke Dickerson, 2006). Boehmke, M., Dickerson, S. (2006). The diagnosis of breast cancer: Transition from health to illness. Oncology Nursing Forum, 33(6), 1121-1127. Breast cancer can engender negative emotional and interpersonal responses throughout the continuum of cancer care (including the phases of diagnosis, treatment, survivorship, and end of life) (Ganz et al., 1996). Support groups have become central to psychosocial interventions for cancer patients because they provide a confidential atmosphere where cancer patients can discuss their challenges and insights with each other. Compared to control groups, patients who participate in support groups have fewer self-reported physical symptoms, lower cortisol levels, better immune system function and quality of life, and longer survival time (Winzelberg, A. J., Classen, C., Alpers, G. W., Roberts, H., Koopman, C., Adams, R. E., et al. (2003). Ganz, P. A., Coscarelli, A., Fred, C., Kahn, B., Polinsky, M. L., Petersen, L. (1996). Breast cancer survivors: Psychosocial concerns and quality of life. Breast Cancer Research and Treatment, 38(2), 183-199. Winzelberg, A. J., Classen, C., Alpers, G. W., Roberts, H., Koopman, C., Adams, R. E., et al. (2003). Evaluation of an internet support group for women with primary breast cancer. Cancer, 97(5), 1164-1173. However, face-to-face groups, as noted above, have improved well-being, but often pose barriers to people with limited mobility or who live a distance from where they are held. A growing number of patients use online support groups, which are available anytime in the privacy of ones home Eysenbach, G. (2003). The impact of the internet on cancer outcomes. Cancer Journal of Clinicians, 53, 356-371. Understanding how cancer patients use online support groups is an important factor in determining the value of Internet-based services to support cancer patients. Research that characterizes communication patterns can enhance our understanding of the mechanisms that facilitate positive coping with cancer diagnosis, treatment, survival, or death. A growing body of research on online support group messages suggests that qualitative analysis is a valuable method for categorizing patient cancer-related experiences and concerns, identifying existing gaps in knowledge, and guiding priorities for future research (Eysenbach Till, 2001) Eysenbach, G., Till, J. E. (2001). Ethical issues in qualitative research on internet communities. British Medical Journal, 323(10), 1103-1105. Belinda has just had her right breast removed, and she is not feeling alright. In fact, she has not been feeling alright since the moment the doctor told her she was symptomatic. Even if it turns out the mastectomy was completely successful and she becomes a survivor, Belinda will probably still continue to feel psychological anxiety about the possible recurrence of her cancer, not to mention embarrassment about the aesthetic change to her body. The key to helping Belinda is a strong social support network, connections to her ordinary life and high quality nursing communication. Depression Mood Disorder occurs within 10 25% of cancer patients, and physical reactions include palpatations, high blood pressure (seen in Belinda), anxiety and depression. Depression and anxiety can lead to social regression, poor medical compliance, and even suicide. If Belinda becomes depressed she is likely to stay in hospital longer, and complain more of adverse drug effects. Depression makes patients highly sensitised, meaning they are more likely to experience vomiting, nausea and anorexia than a patient in a more positive frame of mind, and their discomfort may eventually cause them to stop treatment. Strategies for battling this sensitisation include fully informing patients of adverse drug symptoms ahead of time, explaining that all drugs have adverse symptoms but not all patients experience them, and that having a positive attitude can have a big impact. (Zhou, Duan, Zhou, Cai, Huang, Zeng Zu, 2010). Patient fear begins the moment the patient is informed that they have cancer. While being told she was symptomatic, Belinda would have struggled to take in more complex information (Gunderman Brown, 2010). In most cases it is important to organise a follow-up appointment a few days following so that the cancer can be fully explained. Disbelief can be exacerbated if Belinda was feeling completely healthy at the time. (Gunderman et al., 2010). Additionally, fertility preservation needs to be discussed early in fertile patients, as chemotherapy can lead to infertility a fact that can be extremely upsetting later on (Wilkes, Coulson, Crosland, Rubin Stewart, 2010). For Indigenous patients of Cherbourg, while cancer occurrence in Indigenous Australians is lower than the overall population, cancer mortality is higher because many Indigenous Australians distrust westernised health facilities and will only present when they are very unwell. Many Indigenous Australians link cancer with curses, imminent unstoppable death and contagion, and dont seek treatment or hide symptoms because they believe they have done wrong, deserve illness, the outcome is already decided, they feel ashamed of their wrong-doing or they fear ostracism. These beliefs are prevalent in urban as well as rural populations (Shahid, Finn, Bessarab Thompson, 2010) and bush medicine is widely used. Encouragingly, Indigenous health care workers can find a successful balance between traditional and westernised medicine. Developing this balance in Indigenous Australian patients will allow them to participate in their own care. Nurses can consciously bring up the subject of traditional medicines and discuss these with the patient and family, as well as provide information about cancer in plain language so that patients can make informed decisions. (Shahid et al., 2010). In the case of younger Cherbourg cancer patients, teenaged and young adult cancer patients often feel quite out of place as they are either the oldest in paediatric unit or the youngest in an adult unit at the hospital. Additionally they are developing into independent adults, but are suddenly thrown back into a dependent role as cancer patients. They require high levels of social networking support. These dilemmas have been battled by a hospital in Denmark where teenaged and young adult (15 22 years) cancer patients are placed in a dedicated youth unit and are involved in specialised care appropriate to their age and needs. This includes network meetings involving the patient, family, friends the patient selects, and health care workers involved in the patients care. These meetings allow the nurse to be the voice for the patient, letting friends know the patient needs support and might find it hard to ask, and letting the parents know the patient may need some parent-free hours. Th e nurse can also make the space youth friendly, offering friends chips and soft drink when they visit so that they will return and helping them schedule so that at least one friend visits each week. (Olsen Harder, 2011). Generally, the key with all cancer patients, including Belinda, is to encourage a strong social support network, encourage them to be involved in their normal lives as much as possible, and communicate both information and empathy. Getting patients involved in their own treatment, such as encouraging them to research their disease, and encouraging them to return to work if they can are also positive strategies. (Gunderamn et al., 2010). Interesting Topics for Further Exploration: Honesty, particularly with late or terminally ill patients, is a controversial issue as some families may want to withhold information, while generally health workers support full disclosure. (Locatelli, Piselli, Cicerchia, Raffaele, Abbatecola and Repetto, 2010). The psychological affect of treatment-induced infertility or sexual impotence Anticipatory grieving in parents of children with cancer Religious coping and its advantages and pitfalls The psychology and struggles of cancer survivors Coping With and Surviving Breast Cancer You can improve your emotional health and reduce your physical symptoms with good coping strategies. A study published in the Journal of Psychosocial Oncology reports that women who get help with pain and emotional distress have lower levels of anxiety, fatigue and depression. Here are some ways to cope with your emotions: Communicate with family and friends Maintain intimacy (if you have a partner) Visit with a counselor or spiritual director Join a support group Express your needs and ask for help Report your symptoms to your healthcare team Keep a log of medical visits, save test results, keep receipts Educate yourself about your cancer and treatments Exercise Make plans for a crisis Getting Help for Emotions Is Not a Sign of Weakness You may feel under pressure to be strong or act brave when you least feel that way. Perhaps you dont easily share your feelings with others. You may be in a position of responsibility and trust, and feel like you must contain your fears and hide your disease or the effects of treatment. Sharing these feelings and struggles may make you feel vulnerable. A study published in the Journal of Personality shows that women with breast cancer who do express their anger, fear, sadness, and affection in a group setting live longer than women who suppress these emotions. Here are some ways to express your emotions and boost your emotional and physical health: Make time to talk to family members Communicate with friends and coworkers Attend a support group, or join an online support list Find a good therapist and commit to regular visits Take-Home Message Your feelings about breast cancer and its affect on your body, family, relationships, finances, and mortality are valid and normal. Expressing your emotions and needs will help boost your mental and physical health. Letting it out lets you live longe Eliza, you have given a prefect picture of emotion and stress which Belinda is facing. Now a days diagnosis of breast cancer is a great shock. Today women fear breast cancer more than heart diseases, even though they have a better chance of surviving cancer than dying to stoke or heart failure (National institute of Health 2008). As the women being to deal with diagnosis and treatment of breast cancer, their body automatically start reacting to emotions. Their physical response to overall stress may be fear (trouble sleeping, headaches or body aches), Anger (Change of blood pressure), Depression (fatigue, crying. Feeling moody), stress (pain, irrtability, tension). Also once women accept her diagnosis, they may also face another emotional concern. The loss of breast or part of breast has a deep impact that goes beyond the physical fact. Moreover if aggressive treatment is required, it may also be long term impact on the health. The fear of recurrence. Loss of attractiveness, difficulty in sexual function and loss of fertility also plays important role to increase the stress. Every woman who is facing this situation should understand that getting help for emotion is not the sign of weakness. There are certain ways to cope with this emotion. The best is communicate with family and friend, maintaining intimacy with your partner, visiting the counselor or spiritual person, joining the support team are some of the sign which will make great difference to tackle emotions. In term of health care practice, Report any symptoms or change to the healthcare team. Always maintain a log of health visit, test result etc. educating yourself about the cancer and the treatment and having regular exercise along with plan for crisis make a huge impact.