Weight management Article Example | Topics and Well Written Essays - 500 words

Weight management - Article Example One shortcoming of the research is that, much of it is concentrated on the behaviors that lead to weight decrease , but less study is findings has been provided for weight loss maintenance. The work has concentrated on broader issues (e.g., calories consumed), but data are scant on behavioral schemes related to weight maintenance. One broadly acknowledged idea is that successful and sustainable weight decrease needs paying vigilance to both sides of the energy-balance equation: power intake through nourishment and drink and power expenditure through physical undertaking . The influence of the blended strategy of consuming fruits and vegetables and engaging in normal physical activity has not been widely studied in mature persons thriving at heaviness decrease maintenance. A population-based approach was used to examine behavioral schemes used by those who were successful in weight loss. Such parameters as racial and ethnic dissimilarities in men and women were analyzed and described the combined dietary and physical activity behavior amidst U.S. adults who were trying heaviness loss upkeep. It was set out to analyze whether the combined tendency of consuming higher amounts of low-energy–density fruits and vegetables and engaging in regular physical undertaking is affiliated with successful heaviness loss upkeep. In addition, behaviors of respondents dining outside their homes were also considered and self-assurance in their proficiency to enlist in behavioral strategies that support successful weight decrease maintenance. In this study, men and women thriving at weight management described distinct one-by-one behaves. Amidst women who described consuming five or more crop and vegetable servings on the previous day, one-third were thriving at heaviness loss maintenance. Among women who described consuming less than five fruit and vegetable servings, one-fourth were thriving. Although,

Communication Skills Reflection: Patient Interaction

Communication Skills Reflection: Patient Interaction This essay will examine the interaction between myself and the mother of a child who has recently been diagnosed with diabetes mellitus (Mrs X). Before examining the interaction in specific detail I would like to consider some of the more general elements that are relevant to the topic of communication between healthcare professionals and their patients. There are many definitions of communication and Wilkinson offers one definition which describes a complex process of both sending and receiving messages in different formats (both verbal, non verbal or more commonly a mixture of both elements). This interchange typically allows for an exchange of information, feelings, needs and preferences. Typically the two protagonists in a communication exchange will encode and decode messages in a cyclic pattern. Each making an analysis and response to the preceding gambit. (Wilkinson SA et al. 1999) Bugge enlarges on this definition by putting it in a context of professional nursing and suggesting that â€Å"its purpose is generally manifold but will include the means of establishing a nurse-patient relationship, to be a tool for expressing concerns or interest in the patient’s circumstances, to elicit information relevant to the patient’s condition and to provide healthcare information.† (Bugge E et al. 2006) It is an essential part of the whole process of successful communication that both parties achieve a shared understanding of meaning. This is validated by the process of feedback interpretation which indicates if the actual meaning of the message was interpreted as it was originally intended. (Coiera E et al. 1998) In this essay I should note that communication can be considered on many different levels. In this instance we are specifically considering the mechanisms of information exchange between a healthcare professional and a client which, in the broadest sense will ultimately determine many of the parameters of treatment (and also possibly patient compliance) (Stewart M 1995). Although we are specifically considering one interaction here, this does not mean that the other elements of communication are ignored. Hogard (E et al. 2001) writes extensively on the importance of communication between healthcare professionals which can cause huge problems in terms of patient management if they are anything less than optimal. I would hope that any information that I would be able to glean from a patient could be communicated to the rest of a multidisciplinary healthcare team efficiently so that appropriate management decisions could be made. If we consider an overview of a typical communicative interchange it can generally be categorised by both type and level. In the specific context of nursing, the various levels could be considered as â€Å"Social† which is considered to be safe and non-contentious, â€Å"Structuredâ€Å", which is typically utilised for situations of teaching and patient interviews and â€Å"Therapeutic† which has the characteristic of being specifically patient focussed, purposeful and generally time limited. (DAngelica M et al. 1998) Heinmann-Knoch (et al. 2005) considers the process in greater detail. If this initial interaction is successful it can develop further characteristics such as the nurse comes to regard the patient as a unique individual and begins to understand their motivations, and the patient develops a trust in the nurse. It is within this communication context that the nurse is generally able to try to provide care and, more importantly in some instances, help patient identify, resolve, or adapt to health problems We will also briefly consider the elements of both verbal and non-verbal communication. Verbal communication requires, by definition, the conscious use of the spoken or written word. The nature, grammar and syntax and context of the words chosen are important in that they can reflect the patient’s mental age, their education, their culture and in some cases their mental state and feelings of the moment. In a clinical context inferences can be made from the way the words are delivered such as their choice, their tone or pace of delivery. The characteristics most favourable for efficient and effective communication are that the words should be â€Å"simple, brief, clear, well timed, relevant, adaptable, credible†. (Philipp R et al. 2005) Non-verbal communication by contrast, relies on the interpretation of facial expressions, hand gestures, and body language. This can be an extremely subtle means of communication and can give credence (or otherwise) to the spoken word. In the nursing context, non-verbal communication can be manipulated to the nurse’s advantage to help to elicit information that may otherwise not have been forthcoming. It has been estimated that non-verbal communication accounts for up to 85% of information transfer between communicating adults. In the professional nursing context it requires both systematic observation and careful assessment and interpretation to derive the full meaning of what the patient wishes to convey. Most importantly, the nurse should be aware of incongruity between the verbal message and the non-verbal cues. The patient who smiles while describing a terrible pain is one such example. (Musselman C et al. 1999) Specific examples If we now consider elements of communication from the transcript. Clearly there is no evidence of non-verbal communication on the transcript but I was very conscious of the mother’s initial reticence in her opening exchanges with me. She initially sat in a â€Å"closed† position and largely avoided eye contact. As the conversation unfolded she clearly became more relaxed and trusting. She adopted a more â€Å"open† and relaxed posture and started to express herself with appropriate hand gestures. (Hulsman R L et al. 1999) I particularly recall the jabbing gestures she made to emphasise a point relating to giving injections. I have to observe that the environment that was used for the interview was very contrived and I believe that this may have had an influence on both myself and the client. I think that, in a real situation I would be able to allow the conversation to be far more fluid and relaxed. I can analyse some of the techniques used to elicit or reinforce information During the interview I purposely made a point of asking open questions to try to draw out the client’s response So it sounds as if, it has obviously upset you..? It sounds as if you were almost blamed yourself for it as well..? Generally its quite a healthy family as well..? >From the terminology you’re using there is sounds as if you know what you’re talking about, you sound quite confident..? Mrs X. was clearly at ease after a while and even when closed questions were asked she would answer them Yes or No and then go onto both expand what had been said and volunteer other information. I had varying degrees of success in eliciting the information that I was after. Trying to establish whether it would be difficult to get the patient to comply with his diet I touched on the subject of diets and Mrs X clearly has a major psychological difficulty in coming to terms with her own diet. I allowed her to express her views about her obesity before trying to bring the conversation back on track. After Mrs X’s outburst about her â€Å"serious morbid obesity† I made three attempts to both empathise and sympathise with her feelings in order to gain her trust by asking supportive and non-contentious questions before returning to the point relating to injections with the question â€Å"So how did you feel with the injections, because obviously for me that was quite a scary experience, seeing someone so young giving an injection to themselves..?† Phrasing the question in this way appears to show considerable empathy for Mrs X’s situation and allows her then to offer her opinion. (Richards T 1999) There were several instances where I needed to summarise what was said in order to be sure that I had understood the thrust of Mrs X’s comments Easy to understand, em, there was no panic mongering in them and things like that. If I’d have looked on the websites, I might have found some information I didn’t want to see at this stage. So I was advised not to look and I didn’t. So would you be a bit. . So if you read something that was sort of like false information or mis-information that scared you a little bit, is that what you’re trying to say? It probably would have scared me because it’s my child, but I wouldn’t have been into histrionics about it, I would have been probably saying well that†¦Ã¢â‚¬ ¦. problems. Paraphrasing was a useful technique to ensure that I had understood what was being said. Yes, and you know, instead of buying biscuits and things for the biscuit tin in the house, I’ll be buying fruit, huge varieties of fruit, and that’ll be their options now. So you say you’re going more toward the healthy lifestyle and keeping, would you,? Direct questioning helped to elicit specific answers Prodigy websites? Off the websites, yes, they were very good because they were no nonsense. Do you mean they were easy to understand? Easy to understand, em, there was no panic mongering in them and things like that. If I’d have looked on the websites, I might have found some information I didn’t want to see at this stage. So I was advised not to look and I didn’t On occasions it was useful to reflect on the implications of Mrs X’s answers and to try to elicit further information from her So it sounds as if, it has obviously upset you..? Does that it sounds as if you were almost blamed yourself for it as well..? Empathising is a useful technique particularly when dealing with difficult issues such as the problems with diets. (Stewart M . 1995) Especially being teenagers, its all.. They eat chocolate, they eat crisps and all things that are bad for them and if they’re restricted in what they can eat it makes them want it more in a way. I know if I couldn’t have chocolate or sweets.. On reflection I believe that I made a reasonable attempt in the circumstances to get as much information from Mrs X as I could. By the end of the interview Mrs X was getting tired and losing concentration so I believe that it was correct to terminate the interview at this time. (Wilkinson S et al. 1999) I am aware that I frequently asked incomplete questions or stopped in the middle of a sentence. This may be an indication that I was not in control of the situation This whole exercise has been a useful analytical and learning experience for me. I believe that I shall have gained a great deal of experience from the episode and will use that to further inform my practice in the future. References Bugge E and I. J Higgins on (2006) Palliative care and the need for education Do we know what makes a difference? A limited systematic review. Health Education Journal, June 1, 2006 ; 65 (2) : 101 125. Coiera E and Vanessa Tombs (1998) Communication behaviours in a hospital setting: an observational study. BMJ, Feb 1998 ; 316 : 673 676. DAngelica M, Kathy Hirsch, Howard Ross, Steven Passik, and Murray F. Brennan (1998) Surgeon-Patient Communication in the Treatment of Pancreatic Cancer. Arch Surg, Sep 1998 ; 133 : 962 966. Heinmann-Knoch, Korte, Heusinger, Klunder Knoch (2005) Training of communication skills in stationary long care homesthe evaluation of a model project to develop communication skills and transfer it into practice. Z Gerontol Geriatr. 2005 Feb ; 38 (1) : 40-6. Hogard E and Roger Ellis (2006) Evaluation and Communication: Using a Communication Audit to Evaluate Organizational Communication. Eval Rev, Apr 2006 ; 30 : 171 187. Hulsman R L, Ros W J G, Winnubst J A M, et al. (1999) Teaching clinically experienced clinicians communication skills: a review of evaluation studies. Med Educ 1999 ; 33 : 655 – 68 Musselman C and C Tane Akamatsu (1999) Interpersonal communication skills of deaf adolescents and their relationship to communication history. J. Deaf Stud. Deaf Educ., Winter 1999 ; 4 : 305 320. Philipp R and P. Dodwell (2005) Improved communication between doctors and with managers would benefit professional integrity and reduce the occupational medicine workload. Occup. Med., Jan 2005 ; 55 : 40 47. Richards T. (1999) Chasms in communication. BMJ 1999 ; 301 : 1407 – 8 Stewart M . (1995) Effective physician-patient communication and health outcomes: a review. CMAJ 1995 ; 152 : 1423 – 33. Wilkinson S, Bailey, J. Aldridge, and A. Roberts (1999) longitudinal evaluation of a communication skills programme. Palliative Medicine, June 1, 1999 ; 13 (4) : 341 348. Appendix Self in blue italics Mrs X in black print How has xxxx diabetes since coming into hospital? Well it’s come as a terrible shock obviously, that he’s got diabetes, because he’s a healthy boy. It’s still a shock. I think the staff have tried to help us over it as much as they can. Do you feel as if they’ve given you enough information about diabetes..? I think we’ve been inundated with information, I think that it was good that one particular member of staff dealt with us mainly, and they listened very closely to what we had to say. We’ve had a lot of conflicting information but ultimately it all meant the same thing which caused a little bit of confusion. And did you feel as if that that was a bit of overkill? Or a bit too much information too soon? Probably, but between the bits of information that we run off the PC, off the.. Prodigy websites? Off the websites, yes, they were very good because they were no nonsense. Do you mean they were easy to understand? Easy to understand, em, there was no panic mongering in them and things like that. If I’d have looked on the websites, I might have found some information I didn’t want to see at this stage. So I was advised not to look and I didn’t. So would you be a bit. . So if you read something that was sort of like false information or mis-information that scared you a little bit, is that what you’re trying to say? It probably would have scared me because it’s my child, but I wouldn’t have been into histrionics about it, I would have been probably saying well that†¦Ã¢â‚¬ ¦. problems. Yes I had a little bit of knowledge about diabetes before this happened, but sometimes a little bit of knowledge is a more dangerous thing. Is that because of the work that you’re doing? Yes, and you know, what Ive actually learned now †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. had diabetes, so. And do you think †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ how it’s going to change your lifestyle? Definitely going to change the lifestyle. Having a big family its going to mean that.. How many people in the house sorry? In the house there’s 6. Cooking Sunday dinner yesterday, there were 11 of us for Sunday dinner yesterday.. That’s a lot of people.. Yes, and you know, instead of buying biscuits and things for the biscuit tin in the house, I’ll be buying fruit, huge varieties of fruit, and that’ll be their options now. So you say you’re going more toward the healthy lifestyle and keeping, would you, Yes, yes Would you all the bad things, would you keep them out of the house or will you still buy them in for.. I won’t be buying them because my children will need to make their own decisions about that. I don’t have small children who are going to feel deprived if they don’t have a chocolate biscuit. They’re old enough to make a conscious decision, â€Å"okay Mum’s given us that, but I fancy this so I’m going to go and buy it.† They’ve got their own resources so they can go and do it themselves. And they’re quite happy about that are they? Yes, and they’re happy, apart from one, about the healthier way of cooking things if you like and em, wasn’t a terribly bad diet in the first place. Have they all agreed to sort of, give their responses to diabetes or are they sort of laid back about it? They seem quite laid back.. They are very laid back. They’ve even, I mean it sounds absolutely terrible but they’ve even been cracking jokes about it. Three of my children have got asthma and I mean he was joking â€Å"well mine’s worse than yours† and .. So they’re all quite light hearted about it and taking it in their stride. Yes. Matthew, my eldest boy, was, because he’s a Nurse I think, he was absolutely devastated but he is better about it now. But in the first instance he was absolutely gutted. I mean xxxx he was gutted obviously.. Well this is it, he seems quite calm about it from what Ive seen and a very relaxed family in general. Yes. I mean if we were any more laid back we’d need †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. on a night to keep us going because we don’t really let things bother us. So it sounds as if, it has obviously upset you..? Yes, very much. I kicked right off. I didn’t kick off in front of him, but when I got home I kicked right off to everybody and anybody that would listen. I even had texts from friends that didn’t even know, and I was ranting to them Does that it sounds as if you were almost blamed yourself for it as well..? I did wonder, you know, initially I wondered if it was because they’ve always been allowed to have sweets. Ive never made sweets into a reward or a treat, you know, they’ve always been an everyday matter of fact, because I didn’t want them to grow with my problems, obesity problems, because they weren’t allowed sweets. I didn’t ever want them to ever think sweets were something really special. Because they’re not, they’re just another thing that, they’re a foodstuff, and they’re a bad source of.. Especially being teenagers, its all.. They eat chocolate, they eat crisps and all things that are bad for them and if they’re restricted in what they can eat it makes them want it more in a way. I know if I couldn’t have chocolate or sweets.. Well that’s just my life experience you know, being denied things and then leaving home at 16 and eating all of that stuff and becoming at one point seriously morbidly obese I don’t want that for my children. Obviously they might have a predisposition to do that. I don’t want that to happen so, let’s not make sweets and biscuits em, a reward or a treat so they never have been. So then I wondered if possibly they’d had too much. None of them are overweight, none of them are fat, none of them have got bad teeth and cavities and things. None of them has ever had a filling. Generally its quite a healthy family as well.. He hasn’t seen a doctor for 7 years. So it must be a complete shock for you that this has suddenly happened.. and changed everything that has been happening in your home. So how has the rest of the family been coping, have they been..? Very supportive, except for one.. Ah, except for one, is that the elder one or the younger one? He’s 18 just turned, and he’s got an appalling diet, all I can do is advise him. I can put his meals in front of him and if he chooses not to eat them and go and buy rubbish then, all I can do is advise him. So how did you feel with the injections, because obviously for me that was quite a scary experience, seeing someone so young giving an injection to themselves.. I knew he could do it. Of all of this, that’s the bit that doesn’t faze him. Does it faze you at all? It doesn’t faze me. Em, when I was asked to give him an injection here, and staff knew I could do it †¦Ã¢â‚¬ ¦said you might not be able to do it because he’s your son.. But its not like that is it? If he goes into a hypo and he needs me to inject him, I’m not going to start you know, â€Å"oh my god! his life depends on it, get him injected, how†¦Ã¢â‚¬ ¦..† From the terminology you’re using there is sounds as if you know what you’re talking about, you sound quite confident. Yes. I am. I mean†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.but, at the end of the day its your child and you’re not going to, going to, you wouldn’t hesitate, just get on with it, you just do it. And do you feel that that’s the attitude that you’re whole family’s going to have as well? Yes. They’re all, you know, when he’s doing his bloods they’re all there watching, hovering over him, when he’s sticking a needle in they’re â€Å"ooh, where are you going to stick it now?† you know. Nobody’s squeamish, nobody’s terribly fazed by it, I think they’re all pretty pleased because it’s not them that’s got diabetes. But at the end of the day †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.but be supportive, can’t ask any more really. Yes. Can you see yourself coming in regularly to see all the diabetes nurses? Even if he’s in complete control of his diabetes will you still come in and visit just to make sure everything’s alright? Yes, as long as he wants me to come with him, then I will come with him. I mean, when he turns 18 if he wants me to come to the diabetes clinic with him then I’ll come with him. Is he independent anyway? Very. Fiercely independent. Still like, on the phone its still like Mum †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ So when you go away today do you think you’ll feel as if you’re going to have everything that you need for the next, lets say two weeks, or week, to be happy with.. Yes I still need to ask about when I should make an appointment for †¦Ã¢â‚¬ ¦.. him to see his GP. I still need to ask little questions.. When he turns 18 is the insulin free, or does he have to pay for it like everybody else, with the prescription charges Yes †¦Ã¢â‚¬ ¦.. aren’t they? Its quite expensive as well isn’t it? Well asthmatics don’t get their inhalers free, they have to pay.. When you think about it you’ve got your insulin, your sticks you†¦. It’s the keytones as well, they haven’t been completely explained to us. They’re in the leaving pack anyway which†¦ I mean I understand what the keytones are, but†¦ What are they? Because I don’t fully understand, I know they’re a by-product .. Keytones are a waste product that your kidneys filter out of the blood and pass out in the urine. Obviously they’re in your blood for your kidneys to pull them out, filter them out, but if his blood sugars are high and remain high you should test his urine for keytones. There are sticks to test his urine. If there are a lot of keytones in his urine then he should probably do a test on his blood which is just another stick that goes in Have you got them? No. Then you would phone the ward. But we know we can phone the ward anytime. So you feel reassured at having that point of contact that you can phone up anytime†¦? Absolutely, yes. There’s still going to be stuff that comes up and â€Å"what can you do about that?† There’s going to be stuff that comes up all the time. I’m sure you’re going to have peaks and troughs a little bit where you’re unsure what’s happening and if you’re concerned he’s not controlling his diabetes properly, we’re only a phone call away. Yes. And if its not being controlled I don’t think it would be anything he’s doing deliberately wrong.. You said earlier, he knew about what his level was. I think at one point yyyy asked him â€Å"what level do you think you’re at†.. Yes, he was very close. Mm, very close And that was only on day two or three, day three maybe He’s had a couple of lows on his blood pressure as well which I think he’s realised because he’s felt the effect that it’s had on him He knew yesterday afternoon that he was low because he said look at me and he showed me and there was just ever such a slight tremor in his hands. Did that concern you or reassure you? It reassured me because he knew and I said, he said I need to test my blood and I said why and he said because I think its low and he said look and he showed me. For him it was low, it’s the lowest it’s been. Well that’s fantastic I wasn’t worried because I knew that all he had to do was have the glucose or eat something or both and em, when he goes back to school I know that he’s †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ You take home glucose tablets as well don’t you? I think you can buy them from the shops now.. Yes. You can just at the supermarket so they’re easy to carry about. Very nice sweets as well. Anyway I think that’s about enough so thank you for your time. I hope it helps. I’m sure it will. ############################################################### 17.04.07 word count 2,112 PDG

Stereotypes, Stereotyping and Teen Pregnancy :: Exploratory Essays Research Papers

Teen Pregnancy and Stereotypes Teen pregnancy is increasing yearly. According to the March of Dimes, teenage birth rates have decreased steadily in the country since 1991. Teenage birth rates in the United States remain relatively high compared to the more developed countries. According to the March of Dimes, "nearly thirteen percent of all births in the United States were teens ages fifteen to nineteen. Almost one million teenagers become pregnant each year and about 485,000 give birth (Teenage 1). Babies, as well as the teenage mothers, face long-time problems may face long-term problems from the pregnancy. These problems may include school failure, poverty, and physical or mental illness. Babies born to teenagers are at greater risk for neglect and abuse than those of a woman. Teenage mothers may feel like they are being demanded to do the job and they may take their frustration out on the child (When 1). Why are so many teenagers having children at such a young age? What are the parents doing about it? For a long time now, I have thought about these questions. I am a teenager, why aren't I pregnant? Teenage girls feel pressure from their peers. Peers may say to you "Everyone is doing it." You may feel that you need to be part of the group to be "cool". Sometimes you may even feel that you know what you are doing. You think that nothing is going to happen to you until one day, and then you are delivering a baby. Parents are not as smart as they used to be in the sex education area. Many parents are afraid to speak with their children. Some may feel that their children are learning about it in school so why should they say it again. Many teenagers are sent to foster homes because the parents are too busy to take care of their responsibilities. Neglect is a cause for teenagers to get pregnant. They feel that if they have a child that they can be loved. Teen pregnancy, in my opinion, is awful. I feel that young women should not be having children at such a young age. I feel that these teenagers that are having babies are children themselves, and do not know how to take care of them as well as an older, more mature person might.

Demonstrative communications

Demonstrative communications occurs when someone uses ways to communicate other than their voice. This is done by facial expressions, body language, eye contact, or gestures. When someone discusses communication the first thought is generally speaking or verbal communication. What people say without words can be more informative than the words they speak. When a person speaks him or her says more with nonverbal communication than they are even aware of, such as with arm and hand gestures, head positions, and facial expressions as well s with body language (Non-verbal communication says a-lot, 2010).Effective communication is a reciprocal process that includes listening. Successful listening requires eye contact, objective processing and feedback to the speaker. Active listening may involve asking clarifying questions or restating what was heard to assure that the intent of the message sent was correctly received. Active listening becomes particularly important when the communication includes emotional content. An individual's body language is the most important factor in how a message is received.It would not matter what an individual may intend to say with words, because it involves communicating not with words, but with facial expressions, gestures, eye-contact, and posture. Body language that is consistent with the verbal message improves understanding. Body language that is inconsistent with the verbal message creates a question in the mind of the listener about the real message. For example, someone may be saying, â€Å"l really want to hear your opinion on this. However if the person is looking away, has his arms folded or is typing a text essage at the same time, his body language communicates an entirely different message. Effective communication requires that content and body language give the same message. The benefit of using nonverbal communication is that by watching and listening for signals, it can be easy to interpret the mood, actions, and rea ctions of other people.Nonverbal communication can help determine if someone is lying, telling the truth, under stress, or being sincere. A person can also use nonverbal communication to communicate with others if using words is too difficult or if he or he needs to communicate in a crowded or noisy room. If one individual is doing more talking than listening or more listening than talking, they are communicating ineffectively. To become more effective, it needs to be a two-way street for the sender and the receiver.The sender needs to double check with the receiver that the message is clear and understandable, while the receiver should confirm clarity by asking questions about the information that is not clear to them or who has not fully comprehended the information. The disadvantages of trying to interpret nonverbal ommunication are that there may be cultural differences or physical conditions that can contribute to misinterpreting someone's body language or tone or pitch of voic e.Another disadvantage to nonverbal communication is that it is as easy to read reactions as it is to be read by others. Anyone who pays attention to the nonverbal communication signals can have an advantage. In most cases a person may want others to find his or her actions and reactions to show they are being honest in a situation, in other cases he or she may not want others to be able to determine their houghts or emotions (Powell, 2011).In conclusion, verbal and written communication skills are important to learn, although much can also be learned from the demonstrative communication used by others. Sometimes the body language, facial expressions and the tone of voice a person uses can tell you more about a person's thoughts and emotions than then the words they use, and in some cases these signals can be a more accurate indicator. The benefits of effective communication will help businesses and people succeed.

Leadership Profle: Mother Teresa

Leadership Profile: Mother Teresa Mother Teresa is a fine example of a leader in today’s culture. Her profound ways of humble and servant leadership has forever shaped the way this world looks at those who live without. Her prime example of ethical use of power has become an example to those who have a great deal of persuasion in this world. The example being, that one does not need money, power, an office, staff, an overbearing voice, or a tottering society, to change the world. Instead, all that is needed is a conviction, a heart of humility, and a life of devotion.Born Agnes Gonxha Bojaxhiu on August 26, 1910, in Skopje, Macedonia, she was the youngest of three children. In her teens, Agnes became a member of a youth group in her local parish called Sodality. Through her involvement with their activities guided by a priest, Agnes became interested in missionaries. At age 17, she responded to her first call of a vocation as a Catholic missionary nun. She joined an Irish orde r, the Sisters of Loretto, a community known for their missionary work in India. When she took her vows as a Sister of Loretto, she chose the name Teresa after Saint Therese of Lisieux. the Patron Saint of missionaries) In Calcutta, Sister Teresa taught geography and catechism at St. Mary's High School.In 1944, she became the principal of St. Mary's. Soon Sister Teresa contracted tuberculosis, was unable to continue teaching and was sent to Darjeeling for rest and recuperation. It was on the train to Darjeeling that she received her second call — â€Å"the call within the call†. Mother Teresa recalled later, â€Å"I was to leave the convent and work with the poor, living among them. It was an order. I knew where I belonged but I did not know how to get there. Mother Teresa started a school in the slums to teach the children of the poor. She also learned basic medicine and went into the homes of the sick to treat them. In 1949, some of her former pupils joined her. The y found men, women, and children dying on the streets who were rejected by local hospitals. The group rented a room so they could care for helpless people otherwise condemned to die in the gutter. In 1950, the group was established by the Church as a Diocesan Congregation of the Calcutta Diocese. It was known as the Missionaries of Charity.In 1952 the first Home for the Dying was opened in space made available by the City of Calcutta. Over the years, Mother Teresa’s Missionaries of Charity grew from 12 to thousands serving the â€Å"poorest of the poor† in 450 centers around the world. Mother Teresa created many homes for the dying and the unwanted from Calcutta to New York to Albania. She was one of the pioneers of establishing homes for AIDS victims. For more than 45 years, Mother Teresa comforted the poor, the dying, and the unwanted around the world. Mother Teresa gained worldwide acclaim with her tireless efforts on behalf of world peace.Her work brought her numer ous humanitarian awards, including: the Pope John XXIII Peace Prize and the Nobel Peace Prize in 1979. In receiving this award, Mother Teresa revolutionized the award ceremony. She insisted on a departure from the ceremonial banquet and asked that the funds, $6,000 be donated to the poor in Calcutta. This money would permit her to feed hundreds for a year. Beginning in 1980, homes began to spring-up for drug addicts, prostitutes, battered women, and more orphanages and schools for poor children around the world.In 1985, Mother Teresa established the first hospice for AIDS victims in New York. Later, homes were added in San Francisco and Atlanta. Mother Teresa was awarded the Medal of Freedom, the highest U. S. civilian award. On February 3, 1994, at a National Prayer Breakfast sponsored by the U. S. Senate and House of Representatives, in Washington, DC, Mother Teresa challenged the audience on such topics as family life and abortion. She said, â€Å"Please don’t kill the ch ild. I want the child. Give the child to me. Mother Teresa traveled to help the hungry in Ethiopia, radiation victims at Chernobyl, and earthquake victims in Armenia. Her zeal and works of mercy knew no boundaries. Mother Teresa was a leader in both the political realm as well as the business realm, though she would have never claimed as being so. She never campaigned for any kind of office, nor did she ever start a business to make money. Instead, she became a leader in the world that she was born into, the world that she lived in. Mother Teresa was a leader, as unit one explains, someone who knew who she was and where she was going.Her perception of self was that of someone who grasped the truth; the only way to solve a problem was to work for it. Her perception of self was that of a simple servant. She was perhaps a leader that will forever live for her examples of service and the unique ability to lead those who have given their lives to the Lord, and those even just searching. She was able to attain and sustain the people that chose to join her in her life’s mission by continually convicting them of the need of these works to be done in a world that is starving for such. And she did it by jumping in first.Physical danger or diseases never compromised her mission and vision. She always passed and presented that risk to those who joined her, and convinced to live fearlessly and with trust is the Lord, which compelled more people to follow. She was a leader that presented, to herself and followers, a new way to view and care for the poor, dying, hungry, and naked. A view that was Truth. A view that slowly convicts the hearts of today’s world and convicts us to not be bound by fear for our own beings, but to recklessly do good in this world for those who are in need.She had the quality of a leader that could stir things up in this culture and create conflicts that led to boundless resolutions. Resolutions that would forever be marked and lived o ut by generations to come. Mother Teresa is a fine example and definition of what it means to be a â€Å"Servant Leader†. She was a servant leader in ways this world needs more of. She was someone that did not work for money, fame, power, or immortality, but rather she worked to change the world that she lived in. Mother Teresa was able to acquire followers that were not seen as followers, but fellow missionaries.Some of these people were even students that she had taught in the past. These fellow missionaries joined her because of the example that she set before the world. They were not following her for what they were hoping to receive malleably from the world, but to change it. Mother Teresa did not lead by asking or demanding, but instead by challenging and loving. She was a leader in community. First, it was a community of just a couple of people living with the same convictions, and then quickly grew to worldwide communities.She always expressed something that is very i mportant for any servant leader to express– Unlimited Liability. She showed this to those who had joined her, but most of all, to those of whom she was devoting her life to. She knew that her mission was to serve those In need. And in order to fully apprehend this, she lived the life of those of whom she was serving. She never separated herself, or put herself at a level that was unattainable for those who she lived for and with. If the people that she served had no heater in the winter, then she would live with no heater.Above all the traits and unique qualities that Mother Teresa was blessed to posses in order to lead such movements in both political and business realms, her vision is truly what had convicted the world. And will continue to convict generations of missionaries and laity in the future. Her vision was something that she held close to her heart. A vision that was a matter of life for her, but at the same time, was attainable for anyone who wished to follow. She lived a vision that brought life to those who are forgotten.It is a vision that brings dignity to all forms and stages of life. At the same time, a vision that brings dignity to the very life of who is participating in this vision. It is a vision that one must be devoted to, and as the devotion continues, as does the weight of the vision in this world. A change that is brought about through, rather than by, one person at a time. Mother Teresa passed on September 5th, 1997. She has been appointed for Canonization, and is now Beatified and referred to as Blessed Mother Teresa.

New Discoveries in Biogeograph essays

New Discoveries in Biogeograph essays About thirty years ago, two men, Robert H. MacArthur and Edward O. Wilson began a journey to test a theory of biogeography. They developed their theory by observing how on an island when one species of ant becomes extinct, a new one replaces it. From this they concluded that large islands have more species than small islands and that remote islands have fewer species than less remote ones. As part of their investigation, they wanted to test their theory on an existing island. They chose to predict at what number a species of birds would be at equilibrium on the island of Krakatau. They estimated that it would be about thirty different species. Their prediction was very close to the actual amount of twenty-seven. The birds are at equilibrium because the same number of species will be maintained even if conditions changed MacArthur and Wilson developed a different approach to the distribution of life. Scientists did not directly accept their theory. However, their discoveries led to more studies in biogeography and a better understanding of it. ...

World War II Timeline From 1939 to 1945

World War II Timeline From 1939 to 1945 World War II (WWII) was a long and bloody war that lasted about six years. Officially beginning on September 1, 1939, when Germany invaded Poland, World War II lasted until both the Germans and the Japanese had surrendered to the Allies in 1945. Here is a timeline of major events during the war. 1939 Sept. 1 may be the official start of World War II, but it didnt start in a vacuum. Europe and Asia had been tense for years prior to 1939 because of the rise of Adolf Hitler and the Third Reich in Germany, the Spanish Civil War, the Japanese invasion of China, the German annexation of Austria, and the imprisonment of thousands of Jews in concentration camps. After Germanys occupation of areas of Czechoslovakia not previously agreed to in the Munich Pact and its invasion of Poland, the rest of Europe realized it couldnt try to appease Germany any longer. The United States tried to remain neutral, and the Soviet Union invaded Finland. August 23: Germany and the Soviet Union sign the Nazi-Soviet Non-Aggression Pact.September 1: Germany invades Poland, starting World War II.September 3: Britain and France declare war on Germany.September: Battle of the Atlantic begins. London after an air raid during the London Blitz, 15th October 1940. Central Press/Getty Images​ 1940 The first full year of the war saw Germany invading its European neighbors: Belgium, the Netherlands, France, Denmark, Norway, Luxembourg, and Romania, and the bombing of Britain lasted for months. The Royal Air Force undertook nighttime raids in Germany in response. Germany, Italy, and Japan signed a joint military and economic agreement, and Italy invaded Egypt, which was controlled by the British, Albania, and Greece. The United States shifted to a stance of nonbelligerancy rather than neutrality so it could find ways to help the Allies, and the Lend-Lease Act (the exchange of materiel aid then for 99-year leases on property to be used for foreign military bases) was proposed late in the year. Popular opinion still didnt want Americans in another war over there. The Soviet Union, meanwhile, took part of Romania and installed Communists in the Baltic States, later annexing them. May: Auschwitz is established.May 10: Germany invades France, Belgium, and the Netherlands.May 26: Evacuation begins of Allied troops from Dunkirk, France.June 10: Italy declares war on France and Great Britain.June 22: France surrenders to Germany.July 10: Battle of Britain begins.September 16: The United States begins its first peacetime draft. German soldiers with Russian prisoners, Russia, 1941.   Print Collector/Getty Images 1941 The year 1941 was one of escalation  around the world. Italy may have been defeated in Greece, but that didnt mean that Germany wouldnt take the country. Then it was on to Yugoslavia and Russia. Germany broke its pact with the Soviet Union and invaded there, but the winter and Soviet counterattack killed many German troops. The Soviets next joined the Allies. Within a week of the Pearl Harbor attack, Japan had invaded Burma, Hong Kong (then under British control), and the Philippines, and the United States was officially in the conflict. March 11: U.S. President Franklin D. Roosevelt signs the Lend-Lease bill.May 24: The British ship Hood is sunk by Germanys Bismarck.May 27: The Bismarck is sunk.June 22: Germany invades the Soviet Union (Operation Barbarossa).August 9: Atlantic Conference begins.September 8: Siege of Leningrad begins.December 7: The Japanese launch a sneak attack on Pearl Harbor, Hawaii.December 11: Germany and Italy declare war on the United States; then the United States declares war on Germany and Italy. Aircraft Carrier Yorktown Being Hit by Japanese Bomber during Battle of Midway. Bettman/Getty Images   1942 U.S. troops first arrived in Britain in January 1942. Also that year, Japan captured Singapore, which was Britains last location in the Pacific, as well as islands such as Borneo and Sumatra. By the middle of the year, though, the Allies started gaining ground, with the Battle of Midway being the turning point there. Germany captured Libya, but the Allies started making gains in Africa, and Soviet counterattacks made progress as well in Stalingrad. January 20: The Wannsee ConferenceFebruary 19: Roosevelt issues Executive Order 9066, which allows the internment of Japanese Americans.April 18: The Doolittle Raid on JapanJune 3: The Battle of Midway begins.July 1: First Battle of El Alamein begins.July 6: Anne Frank and her family go into hiding.August 2: Guadalcanal Campaign begins.August 21: Battle of Stalingrad begins.October 23: Second Battle of El Alamein begins.November 8: The Allies invade North Africa (Operation Torch). German POWs in Stalingrad in 1943. Historical/Getty Images   1943 Stalingrad turned into Germanys first major defeat in 1943, and the North Africa stalemate ended, with the surrender of the Axis powers to the Allies in Tunisia. The tide was finally turning, though not fast enough for the people in the 27 merchant vessels sunk by Germany in the Atlantic in four days in March. But Bletchley codebreakers and long-range aircraft inflicted a serious toll on the U-boats, pretty much ending the Battle of the Atlantic. The autumn of the year saw the fall of Italy to Allied forces, prompting Germany to invade there. The Germans successfully rescued Mussolini, and battles in Italy between forces in the north and south drug on. In the Pacific, Allied forces gained territory in New Guinea- to attempt to protect Australia from Japanese invasion- as well as Guadalcanal. The Soviets continued expelling Germans from their territory, and the Battle of Kursk was key. The end of the year saw Winston Churchill and Josef Stalin meeting in Iran to discuss the invasion o f France. January 14: Casablanca Conference begins.February 2: The Germans surrender at Stalingrad, Soviet Union.April 19: The Warsaw Ghetto Uprising begins.July 5: Battle of Kursk begins.July 25: Mussolini resigns.September 3: Italy surrenders.November 28: Tehran Conference begins. 1944 American troops played a big role in battles to take back France in 1944, including landings on Normandy beaches that caught the Germans by surprise. Italy was finally liberated as well, and the Soviets counterattack pushed the German soldiers back to Warsaw, Poland. Germany lost 100,000 soldiers (captured) during the battle in Minsk. The Battle of the Bulge, however, postponed the Allies marching into Germany for a while. In the Pacific, Japan gained more territory in China, but its success was limited by the Communist troops there. The Allies fought back by taking Saipan and invading the Philippines. January 27: After 900 days, the Siege of Leningrad is finally over.June 6: D-DayJune 19: Battle of the Philippine SeaJuly 20: Assassination attempt against Hitler fails.August 4: Anne Frank and her family are discovered and arrested.August 25: The Allies liberate Paris.October 23: Battle of Leyte Gulf begins.December 16: Battle of the Bulge begins. ors Survivors of Auschwitz leaving the camp at the end of World War II, Poland, February 1945. Galerie Bilderwelt/Getty Images 1945 Liberation of concentration camps, such as Auschwitz, made the extent of the Holocaust clearer to the Allies. Bombs still fell on London and Germany in 1945, but before April was over, two of the Axis leaders would be dead and Germanys surrender would soon follow. Franklin D. Roosevelt also died in April but of natural causes. The war in the Pacific continued, but the Allies made significant progress there through battles at Iwo Jima, the Philippines, and Okinawa, and Japan started to retreat from China. By mid-August, it was all over. Japan surrendered shortly after the second atomic bomb was unleashed on the island nation and Sept. 2, the surrender was formally signed and accepted, officially ending the conflict. Estimates put 50 million dead around the world, including 20 million Russian civilians, and 6 million Jews, one-third of their worldwide population. February 4: Yalta Conference begins.February 13: Allies begin bombing Dresden.February 19: Battle of Iwo Jima begins.April 1: Battle of Okinawa.April 12: Franklin D. Roosevelt dies.April 16: Battle of Berlin begins.April 28: Mussolini is hanged by Italian partisans.April 30: Adolf Hitler commits suicide.May 7: Germany signs an unconditional surrender.July 17: Potsdam Conference begins.August 6: The United States drops the first atomic bomb on Hiroshima, Japan.August 9: The United States drops a second atomic bomb on Nagasaki, Japan.

Origins of the Spanish Abbreviation Vd. for Usted

Origins of the Spanish Abbreviation Vd. for Usted To understand why usted is abbreviated as Vd.we need a quick lesson in the etymology  of the word, and the story of that pronoun also answers another question about Spanish, namely why the second-person pronoun usted  (those used when talking to somebody to refer to that person) uses third-person verbs (those used to refer to someone other than the speaker and listener). Why Usted Is Abbreviated Usted had its origins during the colonial era, where it was common to address nobility and other people held in esteem (or people who thought they were held in esteem) as vuestra merced, meaning your mercy. Vuestra merced was used in much the same way as your honor is used in English today, with third-person verbs, i.e., we say your honor is rather than your honor are. It began as an extremely formal type of address, eventually becoming the standard way of addressing people in higher positions as well as persons who arent friends or family. As is often the case with much-used terms, vuestra merced became shortened over the centuries. It changed to vuesarced to vusarced and eventually to vusted, which you may still hear, especially among older speakers, in some regions. Vd. was adopted as an abbreviation for that word or earlier forms and remains in use today, although Ud. is more common. Spanish speakers tend to soften their consonants, so vusted eventually gave way to todays usted (which in some areas has its last letter softened so it sounds like ustà ©). Like the earlier vuestra merced, it still uses third-person verbs (i.e., usted es for the formal you are but tà º eres for the familiar/informal you are). As all living languages do, Spanish continues to change, and these days usted itself is being heard less often. In a change that has its parallels in English, much Spanish usage is becoming more informal or egalitarian. Whereas at one time, strangers were frequently addressed as usted, it is common in some areas, especially among younger people, for peers to immediately address each other as tà º. On the other hand, there are areas in which usted is used even among family members, and others where vos is preferred over tà º for family or close friends.

Quality Improvement Initiatives Research Paper Example | Topics and Well Written Essays - 2750 words

Quality Improvement Initiatives - Research Paper Example It is evidently clear from the discussion that the changes that have largely inspired the need to improve quality of service in the healthcare to include advancement in technology, the need to increase effective use of resources amidst the rising cost of health care, changing patient needs due to new infections or new guidelines. Quality in health care institutions is a product of a number of factors, which are related either directly or indirectly to health care procedures. These factors do not work independently but jointly to determine the quality of health care that an institution gives, therefore, the quality of healthcare will be affected depending on the number of factors that directly affect it. One of the factors that affect the quality of healthcare is the management of health institutions; institutions that enjoy good management are likely to provide quality healthcare compared to the institutions with poor management. Institutions with visionary and proactive leaders who are genuinely involved in the affairs of the facilities they are in charge usually report higher levels of customer satisfaction in comparison to those whose leadership adopts a hands-off approach. This can be attributed to the fact that a leadership that is actively involved in running the affairs of the institution motivate other employees to work toward achieving the objectives of providing quality health care. However, some scholars argue that the management of healthcare institutions does not affect the quality of health care that is provided since they are not directly involved in treating or nursing the patients, therefore the people who affect the quality of care that patients receive are those who directly handle them such as nurses and doctors. The validity of this claim has been put into doubt since the motivation of the doctors and nurses depend on how the management handles their issue.

Project Management in IT Industry Essay Example | Topics and Well Written Essays - 2250 words

Project Management in IT Industry - Essay Example An information technology project has four dimensions referred commonly as Four P’s. These four dimensions include people, process, product and project. People are the human beings used in the project activities. They are organized into effective teams, motivated to perform top quality work and coordinated to fulfill effective communication. Process is the methodology used for managing the activities and getting the tasks completed on time to achieve the set goals and objectives. Product is the needs of the customers constituted into tasks and positioned for action by the software team. Project is the IT enabled services or organization that enables success of the product, process and people (Ahmed 2009)There are three factors which are traded in the management of project. The first factor is time, second is cost and the third is performance. A project is successful only if it is completed on time, meets the performance requirements and it is well within the budget. There are three constraints in managing an IT project that impacts the quality; the project scope, time and cost. All the three constraints determine the quality of the project Appendix A gives illustration of trade-off amongst these three constraints to achieve the quality in the form of a triangle.It is not only important to manage project scope, time and cost but also it is essential to manage the project quality, communication and risks. Quality is the attainment of product or service as per defined specifications.... Product is the needs of the customers constituted into tasks and positioned for action by the software team. Project is the IT enabled services or organization that enables success of the product, process and people (Ahmed 2009) There are three factors which are traded in the management of project. The first factor is time, second is cost and the third is performance. A project is successful only if it is completed on time, meets the performance requirements and it is well within the budget. There are three constraints in managing an IT project that impacts the quality; the project scope, time and cost. All the three constraints determine the quality of the project Appendix A gives illustration of trade-off amongst these three constraints to achieve the quality in the form of a triangle (Ahmed 2009) It is not only important to manage project scope, time and cost but also it is essential to manage the project quality, communication and risks. Quality is the attainment of product or se rvice as per defined specifications. Communication is the exchange of messages amongst the project stake-holders. Risks are the uncertainties associated with the project scope, time and cost (Ahmed 2009) Scope Management Project Scope is the area of work bound by cost and time. The success of the project mostly depends on the understanding of the tasks to be included and excluded from the work-load of the project. It is therefore essential that the scope of the project or in simple words the work-load to be done in a project is well defined and properly comprehended (Warner 2010) Defining scope of the project is the first thing in project management. The quality, cost, time, risks and communication depend heavily on the description of project

Economical changes during 2008-09 financial crisis Essay

Economical changes during 2008-09 financial crisis - Essay Example to analyze the evolvement of the current financial crisis, its effects on the economy of United States as well as its financial market, some of the problems the United States may face in the future and also to discuss some of the short term and long term solutions. According to Taylor (2008) financial crisis is the result of monetary or any other form of excesses, which leads to a boom and results in a bust. It can also occur when financial institutions or assets lose its value (Kindleberger and Aliber (2005). It is also characterised by the reduction in flow of credit to the businesses and households (Jickling, 2008). During the period from 2000 to 2007 the monetary policy by the Federal Reserve was highly flexible and easy to follow. Loans and mortgages were easily available even when there was no evident means to repay it. The Federal Reserve lowered the interest rate compared to those prevalent at the time before crisis. They even explained that the lowering of the interest period would be only for a short period of time and that after that time the interest rate would be restored to normal by slowly increasing it at a fixed rate. Thus it is quite evident that the lowering of the interest rate, which resulted in monetary excess, was actual ly a wrong decision by the Federal Reserve. The reason they gave for such an action was to avoid the occurrence of a deflation that occurred in Japan in 1990’s (Taylor, 2008). Sub prime mortgages were designed actually to make each and every citizen of US, a homeowner. These mortgages were given to those people who were having a very high-risk profile and were on variable interest rates. Most of the banks did this based on the assumption that housing price would continue to rise. This nature of these mortgages resulted in foreclosure of loans when the house prices began to fall. The fall of price of houses resulted in loss of asset value of most of the banks. The housing boom and bust that followed not only affected the

Article about Walmart by using Prahalad&Hamel1990 materials and Assignment - 1

Article about Walmart by using Prahalad&Hamel1990 materials and stratigies - Assignment Example Its low-cost merchandise and services include groceries section. It offers health and wellness services. It has an e-commerce section and offers diverse financial services. It offers entertainment services. Besides, it offers hardliners. Wal-Mart has an apparel section at its stores. It also has home furnishings and housewares. It operates mobile commerce applications used by its customers. With the current advancement in technology, the company has incorporated the latest techniques in business such as the E-commerce services to promote its growth. Wal-Mart Company is anticipating significant growth in its subsidiaries locally and globally stretching its customer’s base. The advancement of the social media network exposes the company to extensive online order placement increasing its annual growth rate to ii percent. The company would like to maintain and increase the rate of reputation it enjoys now and in future as a giant retail corporation internationally. Products sold are environmental friendly and affordable to customers at Wal-Mart as compared to other retailers. Goods sold at Wal-Mart are safe for consumption since they pass quality control department within country. Customers at Wal-Mart pride in the exceptional service offered to them at the shop. The low prices of products and services at Wal-Mart attract customers. Centralization and decentralization chronologically analyses the company management organizational structure. Wal-mart performs the top-down management procedure having its big headquarters in Arkansas all the subsidiaries are managed from a central point. Wal-Mart’s central management deals with supervision and the delegation of duties to junior employees at their international outlets. The company’s corporate culture and the management structure are centralized including procurement and supply chain services. Its top-down management strategy enhances the delivery of orders to employees and the suppliers to maintain the

Cultural anthropology Essay Example | Topics and Well Written Essays - 750 words

Cultural anthropology - Essay Example They say it looks like a small grasshopper but is brown in color. It feeds on rice seedlings roots causing the seedlings to die so they also consider it as a pest and like other farm insects, they also eat it. I smiled because I thought that the farmer was just joking but I realized that he was serious when he continued talking. He said that they dig the mud using their feet to look for mole crickets and collect them in a container. He even added that it is best sautà ©ed with tomatoes. While hearing this, I visualized how it looked like and I cant imagine how they could eat that kind of thing. I dont know to react so I just nodded and acted like it was normal. After a while, the farmers arrived with the mole crickets they have collected. I wanted to ask why they have to eat these insects while there are a lot of normal foods to choose from but I was hesitant because it might offend them. Good thing, one farmer finally shared a story about it. He said that there was a time when one farmer has nothing to eat. Then, he thought of cooking the mole crickets he collected from his field and eating it. He liked the taste and shared the story to other farmers. From then on, they eat mole crickets occasionally, especially when they dont have anything to eat. The story-telling was interrupted when the sautà ©ed mole crickets was finally served. For me, it smelled like any other sautà ©ed food. The farmers started eating once the plate was put in the table. One farmer demonstrated how it should be eaten. He removed the insects head and then put the remaining parts to his mouth. He said that the head is the hard part and is irritating to the throat. However, other farmers prefer to just eat it the way it is. When I saw all of them eating the cricket, it felt normal to me and thought that maybe I could eat it too so I tried eating one when they offered me. Honestly, I liked it and I found myself eating it like I was used to eat

Instant Transmission Essay Example | Topics and Well Written Essays - 500 words

Instant Transmission - Essay Example Moritz identifies that the professional codes have been negatively affected by the environmental changes in the digital world. Technology is the cause for such concerns due to the high demand of news coverage from the public. The author collected sufficient data about the topic from interviewing reporters, photographers, videographers, editors, producers, and school administrators (Gross et al., 72). Moritz convincingly argue that the ability to distribute news is highly influenced by the available technology (Gross et al., 72). In addition, she argues that the same technology is accessible to both media professionals and non-professionals. In her interviews, she convincingly concludes that the media hold the highest form of accountability to the content distributed to the public. In addition, the general public has a responsibility towards spreading information that is confirmed and accurate. Moritz successfully concludes her findings by stating, â€Å"Both accuracy and control are sacrificed for speed of delivery† (Gross et al., 92). She arrives at such a conclusion from the manner in which news networks covered the infamous incident. The news network transmitted disturbing images that were considered as not fit for the public. It is evident that the demand for news surpasses the supply. It is for this reason that media networks utilize any news-making opportunity to ge nerate news that would ensure that the customers get what they demand. The author explains how technology limits the control and accuracy of news content distributed to the public. She acknowledges that technology is accessible to both professionals and non-professionals. In the contemporary world, everyone can express their views on the World Wide Web. The speed in which media houses release news content results in premature, and at times sensitive information reaching the public. In addition, the public is at liberty to either access or distribute subjective information that is

Cultural anthropology Essay Example | Topics and Well Written Essays - 750 words

Cultural anthropology - Essay Example They say it looks like a small grasshopper but is brown in color. It feeds on rice seedlings roots causing the seedlings to die so they also consider it as a pest and like other farm insects, they also eat it. I smiled because I thought that the farmer was just joking but I realized that he was serious when he continued talking. He said that they dig the mud using their feet to look for mole crickets and collect them in a container. He even added that it is best sautà ©ed with tomatoes. While hearing this, I visualized how it looked like and I cant imagine how they could eat that kind of thing. I dont know to react so I just nodded and acted like it was normal. After a while, the farmers arrived with the mole crickets they have collected. I wanted to ask why they have to eat these insects while there are a lot of normal foods to choose from but I was hesitant because it might offend them. Good thing, one farmer finally shared a story about it. He said that there was a time when one farmer has nothing to eat. Then, he thought of cooking the mole crickets he collected from his field and eating it. He liked the taste and shared the story to other farmers. From then on, they eat mole crickets occasionally, especially when they dont have anything to eat. The story-telling was interrupted when the sautà ©ed mole crickets was finally served. For me, it smelled like any other sautà ©ed food. The farmers started eating once the plate was put in the table. One farmer demonstrated how it should be eaten. He removed the insects head and then put the remaining parts to his mouth. He said that the head is the hard part and is irritating to the throat. However, other farmers prefer to just eat it the way it is. When I saw all of them eating the cricket, it felt normal to me and thought that maybe I could eat it too so I tried eating one when they offered me. Honestly, I liked it and I found myself eating it like I was used to eat

Tourism individual report Essay Example | Topics and Well Written Essays - 3000 words

Tourism individual report - Essay Example This means a lot more has to be done in different areas to achieve this dream. This report is going to analyze the economic, social and political contexts in the development of Hong Kong as a tourist destination, evaluate and come up with recommendations as to the future opportunities and challenges facing Hong Kong. The report will include the manner in which Hong Kong has responded to impacts of the named development factors and the policies in has put in place. Table of Context 1. Introduction ........................................................................................................4 2. Literature Review................................................................................................7 3. SWOT Analysis .................................................................................................10 a. Strengths and Weaknesses†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦..10 b. Challenges and Opportunities†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦.11 4. Future of Hong Kong...........................................................................................13 5. Conclusion............................................................................................................14 1. ... The overall visitors flocking into the city was over 36 million in 2010. Of this number, long-haul arrivals were approximated to be 4.8 million and mainland arrivals to be 8.2 million. The destination has witnessed a string growth when it comes to the number of visitors from the Mainland as well as both the short and long-haul markets which have doubled over the years. The long-haul visitors mainly come from Africa, Europe, and the Middle East making Hong Kong the leading performing market. Hong Kong has been facing stiff competition from Macau and other Mainland cities and the Hong Kong Tourism Board has reacted to this by working close with the trade and authorities to ensure that Hong Kong remains a multi-itineraries destination. It intraregional tourism has witnessed a rapid increase over the years as it has been receiving more regional short-haul tourists. In addition, the rapprochement between China and Taiwan as well as the China’s economy that has been booming over the years have led to desirable changes in the visitor’s arrivals composition to the destination. However, the political environment and the switch in sovereignty to China from Britain have impacted its current markets and are expected to continue impacting its future strategies and position. Travel and Tourism is now considered as a strategic industry in Hong Kong and is being developed to become a socialist’s market economy. The current situation at Hong Kong has taken more than two decades of development and has yielded hard lesions and positive experiences. Hong Kong is still searching for better strategies of coming up with a strong tourism industry that will be able to successfully compete in both global and regional markets. Hong Kong has faced many challenges and

Comparison of Male and Female Hormones

Comparison of Male and Female Hormones Gonadal sex hormones also known as steroids, hormones or androgen and estrogen receptor interaction vertebrate steroids. The consequences are mediated by nuclear receptor mechanisms and slow the genome associated membrane receptors and signaling cascades through rapid non-genomic mechanisms. The term sex hormone nearly always is synonymous with sex steroids. Produce Natural sex steroid hormones (testis or ovary, performance), liver or adrenal glands, fat, or other organizations in the conversion of other hormones. Synthesis of sex steroid hormones There are also many synthetic sex steroids. Androgen often referred to as anabolic steroids. Estrogen and progestin contraceptive use synthetic hormones. Ethinyl estradiol is a semi-synthetic estrogen. Specific compounds, partial agonist activity of steroid receptors, so act like a natural steroid hormone, cell type, medical conditions, need for steroid treatment are in use, but if the whole body systemic effects of specific steroids are the only a desirable within certain limits.Species In many cases, two kinds of male steroid hormones and estrogen, testosterone, estradiol, this is the most important human derivatives, respectively. Other that sex hormones, androgen and estrogen, because in addition to the third category include progestagen. Natural progesterone is the most important is people progestagen. In general, the male hormones male hormone of consideration, because they have a masculine influence, while estrogen and progestagens female hormone, despite the different levels of different sex, but consider. Sex hormones, including: Male hormones: anabolic steroid androstenedione dehydroepiandrosterone dihydrotestosterone testosterone Estrogen: estradiol estriol estrone Progestagens: progesterone striker progesterone Androgen Also known as the male androgen hormones or testoids, any natural or synthetic compounds is a common term, usually steroid hormone, to stimulate the male hormone receptor or a combination of the development and maintenance of male characteristics in the control of the spine. Supporting male sex organs and male secondary sexual characteristics, including development activities. Androgen was first discovered in 1936. Reduction of male hormone precursors of anabolic steroids and all estrogens, the female sex hormone. First of all, the most famous is the male hormone testosterone. Androgen ablation as an effective treatment for prostate cancer may be used. Species A subset of the male hormone, adrenocorticotropic hormone, 19 carbon adrenal cortex, adrenal cortex adrenal (gland closed mesh band inner district) include a synthetic steroid, steroids, steroids or earlier, the weak feature, androstenedione dehydrogenation DHEA (DHEA), the dehydroepiandrosterone sulfate (DHEAs S), and are also included. In addition, testosterone, male hormones, including: (DHEA) Dehydroepiandrosterone: a steroid hormone production of cholesterol in the adrenal cortex. The main precursor of natural estrogens. Also known as dehydroepiandrosterone or dehydroandrosterone. (Andros) Androstenedione: A testicular androgens, adrenal steroids produced by the ovaries. The testosterone and other hormones androstenediones digestion conversion, which is the basic structure of estrone. As an athlete or fitness supplement androstenedione use has been banned in the International Olympic Committee and other sports organizations. Androstenediol: gonadotropin secretion by steroid metabolites are considered as the main regulatory body. DHEA: A chemical classification of androgen or progesterone during the creation of derivative products, but a minor seventh strength also affected masculinising testosterone. Plasma and urine of men and women, found that approximately the same number. (DHT) in the DHT: testosterone metabolites, and a more powerful male hormone testosterone, because it more closely than the androgen receptor. It is the manufacture of the adrenal cortex. Androgen Male development The formation of testis In mammalian development, ovarian or testicular gonad to become either the first time. In humans, about 4 weeks when the embryo is beginning gonadal mesoderm in the middle of the current adjacent to the development of kidney. About 6 weeks, the testis epithelium, gender lines, including developing countries and germ cells as they migrate to the gonads. In males, certain Y chromosome genes, including early bipotential gonad to testis, especially in the SRY gene conversion, male phenotype development control. The full development of the gonadal sex of the man climbing wires. Androgen production The development of Sertoli cells, epithelial cells derived from the mesoderm cells to form sperm sex string, which will be support acts. Small population of non-epithelial cells occurs during embryonic development of human renal tubular 8 weeks. This is the Leydig cells. Soon after, they separated Leydig cells begin to produce male hormones. Androgen As a paracrine Sertoli cells of androgen hormones are necessary to support sperm production. They also constitute the development of the penis and scrotum with men (to the male fetus). Under the influence of androgens, mesonephron remnants, Wolf tube, epididymis, vas deferens and seminal vesicle development. The action of androgen is a hormone from Sertoli cells (Mullerian inhibiting hormone) MIH, the fallopian tubes and other women in the male reproductive tract in the fetal Mà ¼llerian tissue to prevent the developing fetus. MIH and testicular androgen scrotum, so that normal movement cooperation. Spermatogenesis In adolescence, androgen, LH and FSH increase in production and hollow out the wires, so that seminiferous tubules and germ cells start to differentiate into sperm. In adulthood, testosterone and FSH collaborative features to support cell to support the production of sperm. Exogenous testosterone as a male contraceptive. Use of elevated androgen can suppress androgen production by the Leydig cells LH blocks the production of endogenous androgen levels. Since the local production of high levels of male testosterone hormone no Leydig cells, seminiferous tubule degeneration can lead to infertility. For this reason, many transdermal androgen patches applied to the scrotum. Inhibition of fat deposition More men than women are usually less adipose tissue. Some recent results show that the androgen signaling pathway potential of fat cells, fat cells by blocking the normal function of a one-stop support for lipids. In addition, androgen, not estrogen, ÃŽ ±, ÃŽ ² adrenergic receptors, and low growth adrenergic receptors, leading to increased levels of adrenaline / 2 ÃŽ ± receptor negative feedback, the lack of norepinephrine and adrenaline fat / norepinephrine acting on lipolysis induced by the lack of accumulation of ÃŽ ²-receptor. Muscle More women than men usually musculoskeletal. Androgens promote the growth of skeletal muscle cells, and even an integrated way to work in a variety of skeletal muscle cells work. To convey a type of muscle cell signaling leading to hormone is myoblasts. High levels of male hormones increase the expression of androgen receptor lead. Myoblast myotube fusion is a process, is the level of androgen receptor, is generated. Brain Circulating androgen levels affect human behavior because some neurons may be sensitive to steroids. Androgen levels of people involved and the regulation of aggression. In fact, in many species composition change in brain testosterone in rats and mice have the ability, and primates, including the construction of gender. However, those who determine the potential of androgen or estrogen into changes in neural anatomy dry a bit difficult, several reports have stressed that it can change the brain structure of male hormones, so that (U.S. female hormone, estrogen or other estrogen) a group of steroid compounds, the estrus cycle in the importance of the name, and as the main female hormones, their names / (breeding period of female mammals oistros projects) + general / = gonos produce. Estrogen oral contraceptives as part of a number of estrogen replacement therapy on postmenopausal women, women in the anti-hormone replacement therapy. Like all steroid hormones, estrogen easily diffuse throughout the cell membrane. Once inside the cell, and give them a combination of regulation of estrogen receptor expression in the activation of many genes. In addition, estrogen has been shown an activation of G protein-coupled receptor GPR30. Kind Steroid Three women in the natural estrogen estrone (E1) to estradiol (E2), and (estriol E3),. Estradiol (E2) a large non-pregnant women produce estrogen in menopause, pregnancy, and estriol is the major estrogen. Institutions, through the action of these enzymes in the production of male hormones is. From menarche to menopause, estrogen is mainly 17ÃŽ ²-estradiol. Postmenopausal women estrogen estradiol exist. estradiol testosterone and androstenedione to estrogen by aromatase. estrogen is weaker than estradiol. Premarin, an estrogen commonly prescribed drugs, steroidal estrogens equilin, also equilenin, including sulfate, but because of their health risks, more genetic progynova (estradiol valerate) Estrogen hormone requirements require more frequent. Non-steroidal A series of synthetic and natural materials have been identified with estrogenic activity. synthetic substances, such as xenoestrogens are known. known as the estrogenic activity of phytoestrogens of plant products. mycoestrogens those of known fungi. Estrogen produced by different mammals, these substances are not necessarily steroids. Biosynthesis Steroid hormones, showing the pink triangle in the lower right corner to estrogen. Primary follicles in the ovaries of estrogen, luteal Fund and produced by placental growth. Luteinizing hormone (LH) to stimulate ovarian production of estrogen. Any estrogen liver, adrenal glands produce a small amount of other organizations, such as breast cancer. These secondary sources, in particular, is an important estrogen in postmenopausal women. Fat cells produce estrogen, are more likely to lead to weight loss or weight is a risk factor for infertility benefits. In women, ovarian estrogen synthesis in the beginning in the international theca cells, the synthesis of cholesterol and androstenedione. Androstenedione is a mild male hormone substances. Granulosa cells surrounding the campus, such as estrogen or estrogen, testosterone, either directly or through a rotation through the basement membrane. Conversion of testosterone estradiol, estrone, and androstenedione that aromatase in the society. Estrogen in menstrual cycles, through the highest, and level before ovulation. Function The estrogen found in men and women, they will usually significantly higher than women of childbearing age are present. Female secondary sexual characteristics such as breast growth-promoting, regulating the menstrual cycle, endometrial thickening, and other aspects of the work. In men, the effect of estrogen on reproductive sperm mature critical system control functions may need a healthy sex drive. In addition, there are many other functions, in addition to other structural changes caused by estrogen. Dental, gums, and hyperkeratinization reduce vascular permeability, increased exudation, and edema [edit]. Structure the formation of female secondary sex characteristics, and promote The slow growth of O-height accelerate the metabolism (fat burning) reduce muscle stimulation of the endometrium increase uterine growth increase in vaginal lubrication vaginal wall thickening blood vessels and skin care reduce bone resorption, increase bone formation Morphic rings the changes (endomorphic -> liquid crystal phase -> ectomorphic) protein synthesis increased hepatic production of binding proteins Settings 2,7 growth factors, circulating levels of 9,10, plasminogen antithrombin deficiency increase in platelet adhesion fat to increase high-density lipoprotein cholesterol, triglycerides low LDL, fat deposition fluid balance salt (sodium) and water retention [edit] Hormones increase in cortisol, sex hormone binding globulin gastrointestinal tract reduce bowel movement increase the bile cholesterol melanoma increase in pheomelanin, eumelanin in Cancer O support the hormone-sensitive breast cancer lung function the promotion of alveolar support (mouse, but perhaps in humans). Estrogen levels, rather than the level of sexual desire is dependent on androgen. Fetal development In mice (male hormone estrogen in the brain from the smell of which is local) to play an important role in psychological differentiation, for example, by the masculine territory, the same is not true of humans. In humans, behavioral effects of prenatal androgen masculinity (and other organizations, with the possible exception of bone) through the androgen receptor function, in particular, appear. Therefore, the study of human psychological differentiation of murine challenge model. Medical Applications Oral contraceptives FSH and LH levels of estrogen in the blood circulation to reduce the negative feedback loop, most oral contraceptives contain a synthetic estrogen and progesterone synthesis together, because a. LH response to male hormone estradiol in the main, not testosterone. Hormone replacement therapy As more and more detailed article in the hormone replacement therapy, estrogen and other hormones in postmenopausal women are discussed, in order to prevent osteoporosis and hot flushes, vaginal dryness, urinary stress incontinence, feeling of cold treatment menopausal symptoms such as dizziness, fatigue, irritability, and sweating. Cervical spine, wrist fractures, and 50-70% in 3 years, the incidence and menopause, estrogen therapy increased spinal bone mineral density of women ~ 5% of 5-10 years, then decrease. Conjugated equine estrogen and further understanding of specific threats, such as the standard combination of Premarin treatment of 0.625 Ma (mg day estrogen / a) of the. There are, however, the risks associated with horses combined with estrogen therapy. Older postmenopausal womens health association (WHI) initiative, oral conjugated equine estrogen supplement some of the risk of women in the study increased the risk of blood clots was found to be associated with. WHI study of estrogen supplement, conjugated equine estrogen (Premarin and medroxyprogesterone only as a high dose of Prempro type of use). By the U.S. National Institutes of Health, a study proved that estrogen esterification health risks is not the same horse estrogen. The beneficial effects of hormone replacement therapy on serum cholesterol levels, and immediately started after menopause can reduce the incidence of heart disease, although this hypothesis has not yet been tested in randomized trials. Effects of estrogen on atherosclerosis seems to be a protective effect: it lowers LDL and triglycerides and increase high-density lipoprotein levels and endothelial vasodilation properties, coupled with anti-inflammatory ingredients. Ongoing study to determine whether the risk of estrogen use are the same for all distributions. Specifically, the different spectrum of side effects than estrogen Hormone Local applications may be oral, transdermal estrogen and not affecting coagulation, because they are directly absorbed into the systemic circulation, first through the liver metabolism of therapy. Thus, route of administration of thromboembolic disease as womens history. Estrogen for the treatment of vaginal atrophy was, hypoestrogenism hypogonadism, castration, or as a result of (primary ovarian failure), amenorrhea, dysmenorrhea, and oligomenorrhea. Breastfed babies can be used to suppress estrogen. Breast Cancer About 80% of breast cancer, once established, depending on the supply of growth hormones estrogen: hormone sensitive or hormone receptor-positive cancers are called. Inhibition of estrogen production, which is a cancer in the body. Researchers recently found that the common table mushrooms may be the anti-estrogen anti-aromatase properties, and so the. Clinical trials have begun in the United States mushrooms can look at the table to prevent breast cancer in people. A recent study pointed out the importance of the study. 2009, 2018 womens eating habits, case-control study showed that women who eat mushrooms are about 50% lower incidence of breast cancer. Women who consumed the mushrooms and green tea, 90% lower incidence of breast cancer. Hormone receptor-positive breast cancer by inhibiting the production of estrogen in the body is processing. In breast cancer treatment technology, to varying degrees known as hormone therapy, hormone therapy or anti-estrogen (hormone replacement therapy to treat not to be confused). Even some foods such as soy proliferation of estrogen hormone therapy to suppress can be used as substitutes. Prostate cancer In some cases, estrogen treatment of men with prostate cancer may also be used. Miscellaneous In humans and mice, estrogen promote wound healing. For some time, due to attenuation of estrogen tall girls has been increasing. Recently, estrogen controversy Ashley growth attenuation was used as part of their treatment up to adult size of the girls living with developmental disabilities. Recently, estrogen treatment of patients suffering from bulimia as an experimental research approach is cognitive behavioral therapy, which provides standards for the treatment of bulimia cases, unless. The study suggested that estrogen may be related to hormonal imbalance in disease of the brain. Estrogen is also research showing that it is an effective drug use in the treatment of traumatic liver injury may be used. Health risks and warning labels Hyperestrogenemia (high levels of estrogen), estrogen or estrogen-like substances, the result of exogenous administration, may be or may lead to pregnancy, such as physical condition. All of these factors with increased risk of thrombosis. U.S. warning label boxed product, if not only progestagen unopposed estrogen (estrogen) therapy may increase the risk of endometrial cancer were included. Review of the data based on the WHI, January 8, 2003 the U.S. Food and Drug Administration for postmenopausal women using estrogen and estrogen with all of the progesterone-related product labeling, including the heart and other risks of a new boxed warning has changed. The WHI estrogen alone would likely more than 50 years of age over 65 years old and postmenopausal women at increased risk of dementia in postmenopausal women, stroke and deep vein thrombosis (DVT) risk of 0.625 mg of Premarin report uses the combination of horse estrogen (CEE). WHI estrogen plus progestin, the probability will be 50 years of age or older and postmenopausal women 65 years of age increased risk of dementia in postmenopausal women with myocardial infarction, stroke, invasive breast cancer, pulmonary emboli, deep vein thrombosis form and report the threat or Prempro progestin medroxyprogesterone (MPA) of 0.625 mg and 2.5 mg of the old Eastern Europe. Cosmetic Some hair shampoo market, including estrogen and placental extract, some containing phytoestrogens. Case reports of young children, exposure to these shampoo is to develop breasts. September 9, 1993, FDAs decision, all the local application of hormone containing non-prescription drug products for human use, safe, effective and are misbranded generally recognized. With the proposed rule related to cosmetics, and concluded that natural estrogen in a new product without the approval of cosmetics made of any drug use, any cosmetic ingredients identified in their text or in his statement, a term used requirements implied hormone drugs, subject to regulatory action of this product. Also posted false labeling of drugs, including placenta extract can also be regarded as misbranded cosmetics claims that it is considered biologically active substances and other placental hormones have been removed, the material extracted if the extraction of proteins prepared. FDA proposed to identify the substance by another name than placental extract and describe its structure, more accurate, because consumers will be known as the use of certain biological activity of a treatment with placental extract Progestagen Progestagens (also shows progesterone or gestagens) are a group of hormones, including progesterone. Steroids Progestagens five main parts, estrogen, androgen, mineralocorticoids, the glucocorticoids. All the basic features of progestagens carbon skeleton is 21 pregnant skeleton (C21 in) is called. Similarly, estrogen a estrane (skeleton have C18s) and androgen, a andrane (Block C19 skeleton). Progestagens for their work (Pro has been designated as the maintenance of pregnancy, pregnancy), although the other stages of estrus and the menstrual cycle exists. A hormone progestagen and pregnant all the steroid skeleton, that is, both natural and synthetic, exogenous or synthetic hormone commonly referred to as progesterone are included. Action Other steroids, as traders Progestagens Steroid biosynthesis, the first phase of cholesterol into pregnenolone molecule (fifth). Progestagen class P5 and other members of steroid precursors, as all the other steroids, estrogen, androgen, mineralocorticoids, including glucocorticoids. Xiao Wu, a small four-, 17ÃŽ ±-hydroxy, 17ÃŽ ±-hydroxy and both endogenous middle. Therefore, all steroid production organization, adrenal gland, ovary and testis should be able to produce progestagens. In some organizations, all of the enzymes required for the final product is not located in a cell, for example, in the follicle, cholesterol, androstenedione, testosterone conversion theca cells, further into estrogen effects in granulosa cells. Some species, fetal adrenal gland, which is a small four-fifth of estrogen into the production of the placenta (see below). In humans, fetal adrenal fifth dihydroepiandrosterone production line. Progestagen production of ovarian Progesterone (P4) led all mammalian species progestagen produced by the Fund corpus luteum. Luteal cells have the necessary enzymatic conversion of cholesterol Pregnenolone (fifth), and later became a Small 4. P4 of the estrous cycle is the highest proestrus phase of the project. Progestagen produced by the placenta   progestagen production in the role of the placenta in different species. Sheep, horses and took over most of the human placental progestagen production, while other varieties remains the main source of funding luteal progestagen. In the sheep and human, small four major placental progestagen. A variety of shoes progestagens, the main 5ÃŽ ±DHP and 20ÃŽ ±5P, 60 day reasons. Luteo placental transfer of 120-150 days throughout the year. Use Family planning Main article: Hormonal contraceptives progesterone progestin pills alone or combined with oral contraceptives, contraceptive patch is the use of estrogen, birth control pills and vaginal rings. Medroxyprogesterone acetate (German-Polish Proveras) Norethisterone Enanthate and acetic acid (Noristerat) is a long-acting injection. Etonogestrol subcutaneous implants (Implanon) releases. Norplant implants and Jadelle release of levonorgestrel. levonorgestrel intrauterine system IUS  ® (Mirena) release. Antiandrogen Main article: Anti-androgen Luteinizing hormone deficiency Progestinic compounds (LH) levels, etc., in the womens and men cisgender, will reduce the testicular LH stimulation is due to the nature of anti-androgen. A common example of a progestinic cyclopropane drug is an effective anti-androgen, androgen receptor antagonist progestinic think it is more advantageous to reduce the level of LH. Progesterone withdrawal bleeding In a normal menstrual cycle, progesterone levels fall, menstruation triggers. Norethindrone (brand name Aygestin) medroxyprogesterone acetate (brand name progesterone) induced the synthesis of progesterone withdrawal bleeding, can use the [edit]. Cachexia syndrome More information: cachexia Many people who suffer from a solid malignant tumors, especially in the stomach and pancreatic cancer, progestagens to improve appetite, reduce waste can be used. Usually, they prefer to use dexamethasone in combination with other steroids. The result is a clear need for a few weeks, but still relatively extended compared to those of corticosteroids. Further, they just increase lean body mass has been recognized as a drug. Cachexia Megestrol responsible for managing the Groups lead drug. Adverse effects Adverse effects of progestagens, breast discomfort, premenstrual syndrome, menstrual cycles and weak male action breakthrough bleeding, acne, edema, weight changes, depression include changes in sexual desire. In addition, a pair of an increased risk of thrombosis.

Ecological Self :: essays research papers

Diversity is a whirlwind of color through a society. There are no two people in the world that are exactly alike. Individuality distinguishes one person or thing from others (Landau, 364 Ed). A person’s environment as a whole: an interaction with others, experiences, and time, makes a collage of traits that distinguishes someone as an individual. David Sibley’s theory of the â€Å"Ecological Self† or Identity is bound by his determents of social, cultural, and spatial context. Sibley believes that class, race, gender, and nation shapes our identity, it is a single concept that is molded by our experiences from the world. I do not agree with this claim because people are individuals, not a development of their surroundings. Identity is not a single concept, there are many factors that shape it, environment cannot just effect identity. Sibley is a British sociologist that has dedicated his life to the studies behind the â€Å"Ecological Self.† Sibley claims that the â€Å"Ecological Self† is not internal, it cannot be separated from the physical. â€Å"The social positioning of the self means that the boundary between self and other is formed through a series of cultural representations of people and things which frequently elide so that the non-human world also provides a context for selfhood (Sibley, 250).† The â€Å"other,† that is being spoken of, is also known as the â€Å"Generalized Other.† This is when we cannot separate from the physical and consider it to be the norm.   Ã‚  Ã‚  Ã‚  Ã‚  How do I know who I am? Where do I fit in? Internal and external forces mold our sense of self. Heredity and personal moral are examples of internal forces. Children are often most effected by this. â€Å"The forces of physical inheritance takes place mainly in childhood, though even as adults we have the possibility of dealing in our personal development (Grunewald, 2).† Environment also plays an important role in the formation of self-identity. The surroundings, which can include people, places, and experiences, mold an individual into whom they become. The past shapes our identities, and builds from our experiences. â€Å"It is our memories which help us make the connections, gives us the insights, and provides us with the sense of continuity, which is so important for our personal identity (http://ozcountry.com/life/tip5.html).† â€Å"When we go through times of crisis, massive changes, serious illness, deep conflicts or stress, our sense of sel f can be seriously challenged, particularly if we have not faced such experiences before. Ecological Self :: essays research papers Diversity is a whirlwind of color through a society. There are no two people in the world that are exactly alike. Individuality distinguishes one person or thing from others (Landau, 364 Ed). A person’s environment as a whole: an interaction with others, experiences, and time, makes a collage of traits that distinguishes someone as an individual. David Sibley’s theory of the â€Å"Ecological Self† or Identity is bound by his determents of social, cultural, and spatial context. Sibley believes that class, race, gender, and nation shapes our identity, it is a single concept that is molded by our experiences from the world. I do not agree with this claim because people are individuals, not a development of their surroundings. Identity is not a single concept, there are many factors that shape it, environment cannot just effect identity. Sibley is a British sociologist that has dedicated his life to the studies behind the â€Å"Ecological Self.† Sibley claims that the â€Å"Ecological Self† is not internal, it cannot be separated from the physical. â€Å"The social positioning of the self means that the boundary between self and other is formed through a series of cultural representations of people and things which frequently elide so that the non-human world also provides a context for selfhood (Sibley, 250).† The â€Å"other,† that is being spoken of, is also known as the â€Å"Generalized Other.† This is when we cannot separate from the physical and consider it to be the norm.   Ã‚  Ã‚  Ã‚  Ã‚  How do I know who I am? Where do I fit in? Internal and external forces mold our sense of self. Heredity and personal moral are examples of internal forces. Children are often most effected by this. â€Å"The forces of physical inheritance takes place mainly in childhood, though even as adults we have the possibility of dealing in our personal development (Grunewald, 2).† Environment also plays an important role in the formation of self-identity. The surroundings, which can include people, places, and experiences, mold an individual into whom they become. The past shapes our identities, and builds from our experiences. â€Å"It is our memories which help us make the connections, gives us the insights, and provides us with the sense of continuity, which is so important for our personal identity (http://ozcountry.com/life/tip5.html).† â€Å"When we go through times of crisis, massive changes, serious illness, deep conflicts or stress, our sense of sel f can be seriously challenged, particularly if we have not faced such experiences before.