The Community Needs For Santa Rosa - 1183 Words

The demographics in Sonoma County are quite diverse. The county itself is a land filled with urban homes as well as rural farm lands that span a total of nine cities. There is an estimated population of 487,011 people which is considered to rise 8.3% in the next four years as stated by the California Department of Finances [citation]. At 64.2%, a large number of the residents in the county are either white or non-Hispanic while the remaining 25.6% are Hispanic. As stated in the Santa Rosa CHNA report, among the nine cities in Sonoma County, Santa Rosa is the largest and is one of the two cities expected to grow the fastest. There are many health needs that must be focused on in order to promote better health to all of those residing in Santa Rosa. The main health needs for Santa Rosa include: healthy eating and physical fitness, gaps in access to primary care, access to substance use disorder services, barriers to healthy aging, access to mental health services, disparities in educat ional attainment, cardiovascular disease, adverse childhood experiences study, access to health care coverage, tobacco use, coordination and integration of the local health care system, disparities in oral health, and lung, breast and colorectal cancer. (Kaiser Permanente, 2013, Community Health Needs Assessment, License #11000213, Santa Rosa) Of the numerous health disparities in the county, I am choosing to focus on healthy eating and physical fitness, gaps in access to primary care, access toShow MoreRelatedRelief Of All Of The Special Needs943 Words   |  4 PagesNeed for the Study If this research is never conducted, ensuring the evacuation of all of the special needs individuals who need assistance will turn out to be a disaster in itself. 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Can Religion and Science be Compatible - 1326 Words

Can Religion and Science be Compatible? Accepting the compatibility between science and religion is a tactic used by those who instinctively fear that a manifest conflict between the two areas would endanger the future of science. They are worried about the possibility that scientists would not receive any financial support or that science classes in schools might be replaced with hours of religion. A huge number of atheist scientists are aware of the negative role, that they have irrational ideas supported by the religion of the future of science. If there is an unreported truth, is that science and religion are incompatible, not in the sense that they cannot coexist in the human mind, but in the sense that there can be no consistency between the two forms of addressing reality. However, attempts to reconcile science and religion do not stop, and that is because the reconciliation never really occurs. 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Cultural Assessment - Nursing free essay sample

These include, but are not limited to, knowing one’s own personal heritage, the heritage of the nursing profession, the heritage of the health care system, and the heritage of the patient (Jarvis, 2008). When performing a cultural assessment of an individual one must take into account five important aspects of the individual’s heritage. These aspects will give the nurse an idea of the patient’s heritage consistency. First, is the individual’s culture. Everyone has a culture. There are four basic characteristics of culture. First, it is learned; from birth one is learning the language and socialization of that culture. Second, it is shared. All the members of the same group share that culture. Third, it is adapted. Culture adapts to environmental and technical factors, as well as the groups availability to natural resources. Finally, it is dynamic. Meaning, it is always changing (Jarvis, 2008). The second aspect of one’s heritage is ethnicity. We will write a custom essay sample on Cultural Assessment Nursing or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This is a group within the social system that have a common geographical origin, race, religion, values, traditions and food preferences. The term ethnic is tricky in the United States (US) because of how large the US is, and the large diversity of ethnic differences it has. Religion is the third aspect of one’s heritage. Religion is extremely important because an individual’s religious beliefs play a huge part in one’s health-related behaviors and how someone perceives illness and death. There are roughly 1500 different religions in the United States which is why this aspect is so important when performing an individual’s cultural assessment (Jarvis, 2008). The fourth aspect of one’s heritage is socialization. When someone is raised in a specific culture, the person naturally acquires the characteristics of that group. Many people in the United States are bicultural, acquiring certain customs and traditions of the United States while staying loyal to their traditional culture as best they can. Time orientation is the fifth and final aspect of one’s heritage. Every culture has a different understanding of each other’s perception of time. Depending on the individual’s heritage, that person may focus on the past, the present, the future, or a combination of the three. It is important for the nurse to recognize the individual’s perception of time to gain a better understanding of how to individualize a plan of care. To gain a better understanding of cultural assessment and how it relates to health care and being culturally competent, a sit down interview was performed with an 84 year old female of German-American heritage, who believes that any belief or view differing greatly from hers are strange, and usually wrong (Riley, 2008). In order to preserve her right to privacy, she will be referred to as G. E. Heritage Assessment Cultural Group G. E. is 84 years old and was born and raised in the United States. She considers herself an American who is extremely proud of her German heritage. She is 100% of German decent. She had one older sister who is deceased. Her immediate family was all born in rural Illinois. Her father built a house in Coal Valley, IL when she was very young, where she lived until she was married at the age of 18. Her paternal grandparents were both born in Germany. It is unknown what city or village in Germany they came from, other than the northern part of Germany. They immigrated to the United States shortly before her father was born. She remembers her grandparents speaking little to no English, then, eventually broken English. Her father spoke English as a first language and some German. Her mother, her sister and she ever learned the German language. English was the only language spoken in the home. Her father was a coal miner and her mother took care of the home. In her culture, each generation lived in separate homes, whereas in some cultures, multiple generations live in the same household. However, her grandparents and extended family members did live nearby, so she s pent a lot of time playing with her cousins, and saw her grandparents, aunts and uncles on a regular basis. They would all get together on Sundays after church, and have lunch together. She lived at home until she married at the age of 18. G. E. ent to public schools, then to secretary school after graduation. Her husband was also 100% of German decent. They had two sons and a daughter. Both of her sons live close by, but her daughter lives in Nebraska. Her daughter and she talk on the phone every day. Her husband was in the US Navy during WWII and her husband and she were very patriotic. Like she has stated earlier, she is an American. Other than that, she did not know much about the war or Hitler or just did not remember. What she did remember when asked about this subject was the fact that a few of her husbands’ ancestors were drivers for Hitler during his reign. Ethnic Group G. E. ’s ethnicity focuses around her family and church. Even though her father’s parents were born in Germany, there is no indication that they were passing down many values, traditions, or food preferences to the new generations. By all accounts, they wanted to completely immerse themselves into the American way of life. The only German recipes that were passed down to her were for sauerkraut, German pigs-in-a-blanket, which included sauerkraut, and German potato salad. Her family also eats a lot of beef, pork, and chicken. Potatoes are also a staple of her diet. For many years, G. E. and her husband would grow a big garden and produced enough vegetables for the entire winter months. Traditions are very important to G. E. For many years her family would come to her house after church for Sunday lunch and also for Thanksgiving. The day after Thanksgiving the grandchildren would come over to decorate the Christmas tree. She still has her family over every Christmas Eve. She says she does not cook a meal anymore, she orders a meat and cheese tray, and makes some side dishes. The other family members bring over the desserts. She also used to have a birthday party for her children and grandchildren. She baked a cake and the family would come over and eat dinner. The birthday person got to pick the dinner, and would then open presents. Her grandchildren bring her great-grandchildren to see her at least once a month. She says she enjoys it when they come to visit. She really enjoys seeing the great-grandchildren. She says that it makes her feel proud. Religious Group Religion is the most important aspect of G. E. ’s life besides her family, and always has been. G. E. and her family are Protestants. Knowing that most of her ancestors came from the northern part of Germany, this is interesting because in Germany, Protestantism is practiced predominantly in northern Germany (Fuller amp; Vossmeyer, 2004), which is where her ancestors lived. This is proof that their religion has been passed down through the generations and still continues to be practiced. Her husband and his family, who are all deceased now, shared the same ethnic and religious background as her family. She regularly attends a Presbyterian church at least once a week and is a very active member of the church. Her husband would fill in as pastor when the regular pastor could not. She practices her religion in her home every day by praying and reading the Bible. G. E. celebrates all of the holidays of her religion which are Easter, Thanksgiving, and Christmas with her family. She states that her religion has no influence on her diet or health practices. G. E. believes in heaven and hell, which is common to many German religions (Fuller amp; Vossmeyer, 2004). She insists that younger family members who do not go to church attend church with her at least once a year. She does not like the fact that her other family members do not attend church. She feels in order to get into heaven one has to attend church occasionally. Social Group Most, but not all, of her friends share the same ethnic and religious background. She also has a few Hispanic friends whom she enjoys spending time. She still lives in her home in the same neighborhood in which she has lived for over 50 years. The neighborhood is located close to the church and most of her neighbors are close in age. Most of them attend the same church and are of the same ethnic background. She has always had a very active social life which can contribute to her excellent health. She goes to a senior activities hall twice a week to play bingo and has a swimming class twice a week to exercise and socialize with friends. She goes to have her hair done every Saturday which she has done for many years. She regularly goes out to lunch and to watch a movie with friends once or twice a month and is on the phone a lot with family and friends. She made sure to mention is that she absolutely does not like to travel and has never been outside of the United States. When her children were young they would take camping trips to Wisconsin and Minnesota. That was pretty much the extent of her travels. As a result, her sons do not like to travel much either but her daughter enjoys traveling. Her daughter has been to many countries and G. E. does not understand why she enjoys it so much. Time Orientation G. E. ’s time orientation focuses on the present and the future with little to no focus on the past. She feels at her age, focusing on the past is a waste of time. She says, â€Å"I just move on† (G. E. 2011). She does not like to dwell on the past. She says, â€Å"what’s done is done†. Although she misses her husband very much she believes she will meet up with him in heaven one day. She enjoys the thought of that. She does not think of health care in terms of the past either. She follows her doctor’s advice and is open to new treatments and medications. This is another reason she is in excellent health for an 84 year old woman. She does not like the thought of a doctor not knowing the latest in medical technology and treatments. She also is not bothered if health care personnel are not culturally sensitive to her heritage since she sees herself as an American who is proud of her German heritage. G. E. is uncomfortable with doctors who are not Caucasian. She also does not like to be cared for by male nurses or other male caregivers who are not doctors. Health Related Beliefs and Practices G. E. has health insurance and Medicare, so she is able to see the doctor on a regular basis. Lack of insurance coverage is not a factor for her. She never goes without her medication because of lack of prescription coverage. Also, with the money she and her husband saved over the years, plus both of their retirement packages and social security benefits, she lives comfortably and does not have to worry about not having enough money to live out the rest of her life in the lifestyle she leads. Developmental Situation G. E. remembers things her mother did when G. E. was a child to maintain and protect her health. She had to wash her hands regularly, especially before and after meals and after using the bathroom. She always had three meals a day which consisted of foods from all of the food groups. In the winter she could not go outside until she was bundled up. When she did get sick, she had to stay home in bed until her mother thought she was feeling better. This was solely the job of her mother since her father worked long hours in the coal mines. She states that her mother was the stereotypical strict, but loving, German mother. When she started her own family, she ran her home in the same manner. She was raised during the Great Depression and was raised to be hard working and to appreciate what one has, which G. E. has instilled in her children. G. E. is accomplishing all the developmental tasks of her age group and has successfully resolved Erickson’s last ego stage, which is the psychological conflict of ego integrity versus despair. In this stage, â€Å"resolution to this final conflict occurs when the adult accepts one’s one and only life cycle as something that had to be and that, by necessity, permitted of no substitutions† (Jarvis, 2008, p. 8). Causes of Illness G. E. describes illness as not being able to do the things she normally does and she defines health as having no aches or pains. She rates her health as good to excellent for a woman of her age. She has never smoked, however, her husband smoked a pipe for years. She does not use any devices to help her get around and she still goes up and down the stairs to do laundry. She states she has fallen a few times but has never broken a bone as a result, and was able to get back up on her own. She has never been hospitalized as a result of an illness, only for an occasional elective surgery. What she believe causes illness are environmental change, God’s punishment, grief and loss, stress and anxiety, incorrect food combinations, poor eating habits, smoking, inactivity, and viruses and bacteria. Cultural Practices in Healing and Health She maintains and protects her health by washing her hands regularly, taking her prescribed medications, staying active, eating a well-balanced diet based on the food pyramid, taking vitamin supplements, seeing her doctors regularly, staying inside when it is too hot or too cold, avoids people who are sick, and does not take on more than she thinks she can handle. When she does get sick she does not make a big deal out of it and does not feel the need to worry family members. She stays at home because she fears getting others sick as well, especially her great-grandchildren. She takes care of herself by getting enough rest, keeping herself hydrated, not eating certain foods she knows will make her feel worse, taking needed medications, and calling her doctor when she feels she needs to be seen. When G. E. feels she needs some lab work done, other tests, or has any concerns, she immediately calls her doctor. She trusts in her doctor’s advice and always follows his or her orders. It is because of all of this, she believes she is still living an active and healthy life. G. E. is also extremely concerned with the health and well-being of her family. When her children, grandchildren and great-grandchildren are sick, she worries about them and calls them regularly to check on them. She also prays for them to get well. Cultural Expressions of Illness G. E. does whatever her doctor suggests and does not believe he would do anything to jeopardize her health. However, as far as family and friends go, she will not outwardly express indications of pain. She states that it is because she does not want people to worry about her. G. E. believes this is due to her strict German up-bringing and growing up during the Great Depression. She believes one can never work too hard, so pain is seen as a weakness to her. The more she expresses pain or illness, the weaker she is seen, and possibly unable to effectively take good care of herself. Alternative assisted living is not an option G. E. needs at this point. G. E. feels she does not need it, and she absolutely will not burden her children with having to care for her. Cultural use of Alternative Therapies G. E. sometimes uses home remedies when she is ill. When she was a child her mother would use some vapor rub then put a sock around G. E. ’s neck. G. E. ’s mother would feed her chicken soup and give her juice or hot tea to drink, and keep her in bed. G. E. believes that healing and curing are the same and believes that praying, following the doctors orders, getting recommended treatments and taking prescribed medications brings healing. In the past few years G. E. has used alternative therapies to help with pain and arthritis. She gets acupuncture once a week, and sees a massage therapist occasionally. She admits, ten years ago she would have never done these types of alternative therapies, but her daughter is a nurse, and recommended it as an alternative to pain medication. She also admits that it does help, or she would not pay to go, but she feels it does not cure anything. She still has to supplement the pain with medications from time to time. Summary G. E. ’s interview was conducted at her home, and it took about an hour and a half. She would often change the subject, so having to restate questions happened often. She felt comfortable being in her home answering these questions, but often asked why an assessment of this type was so important. She has no issues with cultural sensitivity, or nurses being culturally competent, and has had little experience with other cultures. G. E. does not understand the need for such learning. Her views are ethnocentric, and at 84 years old, that will probably not change. During the interview, both open-ended and close-ended questions were used to gain the most information. She was very open to doing the interview, but stated she did not think she had much to contribute. She states she has lived a wonderful, privileged life with a loving husband, and a great family. She has never been disappointed by her family and is extremely proud of them. The only regret she has, has to do with her sister. They lived about five properties apart from each other, and some land next to her sister that G. E. owned, her sister planted a garden there for years. Well, G. E. gave the property to her daughter and son in-law to build a home. Her sister got extremely upset, which ended up with their families not talking for years. Then she received word that her sister was diagnosed with breast cancer, and G. E. called her up, and they reconciled. Unfortunately, she died shortly after that. G. E. has never gotten over that. Because of that, she is continually telling her family not to bicker over the small stuff, and that one’s family is all one has, and the people who love them the most in this world. Even though G. E. will not openly express pain to anyone except her doctor, the rest of her family will openly talk about any illness they have or pain they are experiencing. This is something she practically requires of them. She says it is like â€Å"do as I say, not as I do†. This goes back to her not wanting to be a burden on anyone, yet she has to know that her family is alright. It is perfectly fine for her family to be a burden on her, because to her it is not a burden. She sees it as her responsibility. She states that her family always tells her she will never be a burden, but she is too stubborn to listen to them. She is the mother and she knows best. She says her family jokes to her that they are 50 something year old adults, yet they still feel like children when they are around her and have to do what their mother says or there will be trouble. She finds this very amusing. She does not believe in cremation and plans to be buried alongside her husband. She has all of her final arrangements already planned and paid for, again, as not to burden her family. Many members of her family plan to be cremated and she cannot understand why. She believes one’s soul will not go to heaven if the body is cremated. There were no communication barriers while interviewing G. E. It was a very easy and pleasant interview. G. E. enjoyed talking about her heritage and family. G. E. is a very active and healthy woman for her 84 years, and she cannot wait until she can reunite with her husband in Heaven. She prays to her husband every night. Personal Reflection Writing a cultural assessment about someone from a different generation was very interesting for me. While some of the information I received during the interview was similar to my own personal beliefs, most were not. Being two generations younger than G. E. makes a huge difference in certain beliefs. My mother is 100% Swedish and my father was a Vietnam veteran who is 50% German, with some English, French and more German. Growing up, my family did not follow any ethnic traditions and had no heritage related beliefs other than being American. We were a middle class family and as a child I thoroughly enjoyed life. I have one younger sister, and we, for the most part, were spoiled. I think that has to do with having baby boomers for parents. We took dance classes and I was a gymnast through junior high school. We had a whole neighborhood of other children our age. We were outside from morning until evening, especially in the summer. Both of my parents worked and provided us with whatever we needed. My parents made me attend Sunday school every week until I was about 12. After that, I attended church only a few times a year. Religion does not play a big role in my culture. Even at Sunday school, it did not make much sense to me, but I was too young really understand. My parents and grandparents always had a strong work ethic and I also do as a result. My parents wanted me to be my own person and choose my own path as long as it was an honest path. I live within a mile from my parents and from my sister so we see each other frequently. My parents help out my husband and me with our children. I have two sons and a daughter who are ages three, four, and six. One thing that differs from G. E. and me is that I like to know about the past as well as the present and future. One thing that we agree on is that we see our doctor regularly and rely on the latest in medical technology and medications. When we are both ill, we tend to use the same methods to take care of ourselves. However, I am not one to hide any pain or illness I have from my family; when I am sick or in pain, everyone knows about it. Also, the way we in which we raise our children is different. G. E. raised her children in a loving, but more strict, manner. I do not raise my children in such a strict manner. I raise them like my parents raised me. They are very different styles, but I do not know that one is better than the other. They both have positive and negative parts to them. In G. E. ’s generation the woman usually stayed home to take care of the family. In my generation I feel many women enjoy getting an education and usually find it a necessity to work outside of the home. I know I would enjoy the best of both worlds, to contribute to the family income, yet limiting my work outside the home to part time until the children are older. One thing about religion I also learned was how important it was to G. E. Other than her family, her religion was most important to her life, which is very different from me. As I stated earlier, religion has virtually no importance in my life. Also, I do not consider myself to be ethnocentric. I have yet to meet a person whose religion, culture, ethnicity, or heritage shocked or bothered me. As long as I do not feel that I am being pushed into one belief or another, I am fine. Everyone needs to find the path that makes one happy, healthy, and whole. I want to be a nurse because I like people. I feel I can make a difference in this career by letting my patients know that I genuinely care for their well-being and want them to lead the best possible life they can. I have been a Certified Nursing Assistant for the last 6 years and I enjoy it. I think by becoming a nurse I can do even more to help them. It is an awful experience to go to see the doctor, and feel like cattle being shipped in and out of the office at record speed. I like the thought of, as nurses, we take a holistic approach to healing that I feel doctor’s lack. Patients need to feel they can openly discuss their problems and that someone is actually listening to them and taking time to talk about it with them without judgment or prejudice; to come up with a plan of care that suits everyone involved, as much as possible. I realize since I do work in a hospital that there will not always be a happy ending. Some patients can be difficult to care for, but as a nurse, I need to understand that they are there because they are ill, which has an effect on their personality and mental status. I must have empathy for them, as difficult as that may be sometimes. I know that when I am not feeling well, my personality changes, as does everyone’s. I feel the issues I need to work on most is the language barriers when they arise, and patient’s family dynamics. The diverse and often complex dynamics of a patient’s family is extremely difficult to understand. It will take time to develop a way to handle these often difficult situations. No family has the same relationship, so as a nurse I must go in prepared for anything, and keep an open, non-judgmental frame of mind while performing a cultural assessment on the patient. Writing this paper has made me even more sensitive to people’s cultural differences. No matter what background one comes from, most people essentially want similar things when it comes to healthcare. One wants to be seen as an individual, rather than a number. We want compassionate care. We want to be listened to. We want to get well. We do not want to be judged or belittled. We want to be understood and we do not want to be dismissed as just another â€Å"crazy patient†. Nobody reacts well to negativity especially when there is no need to be. These are the things I must keep in mind while doing cultural assessments in the future. References Alexopoulos Y. (2007). Illness, Culture, and Caring: Impact on Patients, Families, and Nurses. In Chitty, K. K. amp; Black, B. P. (Ed. ), Professional nursing concepts amp; challenges (5th ed. , pp. 237-269). St. Louis, Missouri: Saunders. Baxter, A. (2001). In search of your German roots, A complete guide to tracing your ancestors in the Germanic areas of Europe (4th ed. . A. Baxter (Ed. ), Baltimore, Maryland: Genealogical Publishing. Carter R. (2008). Cultural competence: Cultural care. In Jarvis, C. (Ed. ), Physical examination amp; health assessment (5th ed. , pp. 35-53). St. Louis, Missouri: Saunders. Downing J. (2008). Understanding each other: Communication and culture. In Riley, J. B. (Ed. ), Communica tion in nursing (6th ed. , pp. 46-62). St. Louis, Missouri: Mosby. Santos S. (2004). In Fuller, B. amp; Vossmeyer G. (Ed. ) Cultures of the world, Germany (2nd ed. ). Tarrytown, New York: Marshall Cavendish.

Emerging Media Strategy for Stakeholders- myassignmenthelp.com

Question: Discuss about theEmerging Media Strategy for Stakeholders. Answer: Face book: one of the important applications of present day social media Face book is the second most popular and widely visited site in the world. This is such a form of social media that has become immensely popular and thus, it was seen that this can be used by many organizations and companies as a means of marketing and sell their products and thus, earning extra profit by expanding their business (Thompson et al 2014). Hence, face book also uses several applications of the new social media strategy for expanding their business and their customer base. It has also used this new media strategy for Increasing its customer base by activating the stakeholders Increasing the customer loyalty through social media is an important aspect of the emerging new media strategy. The influences of social media can be seen through features like options for commenting, reacting, sharing and re sharing of posts and twitters (Ju, Jeong, and Chyi 2014). Good Networks It is also because of this new media strategy that one can build good networks, as more posts are shared on face book, more people can engage in communicating over the different posts that are shared on face book. As the users are re sharing and re tweeting these posts, it means that the number of udders multiplies and thus increases the visibility. As a result of which, the number of people visiting Facebook increases and thus, the customer base is made strong. There are also some steps that one needs to follow while evaluating the post, like- tracking the total number of followers of the brand, making a review of those in the friendliest who are already followers of the brand, also identifying how many post comments and likes the posts on monthly basis. Creating content quality content is very crucial to any marketing campaign, and it is through the help of social media that the influencers can create great content that strikes a chord with the audience, they might also they often help in creating some very useful and creative content for marketing the brand, like some may also post reviews of several products that they have used and how they liked it and might also suggest and recommend them to others (Bonsn, Royo and Ratkai 2015). The navigation app can be a very good example of the emerging media strategy, this is highly useful if one ever loses his way, there is this app that will help out by giving the correct direction f routes along with the correct location of the desired destination point. The only thing that is needed is a proper internet connection (Tsimonis and Dimitriadis 2014). Bluedot This app is also one of the major advantages of social media which helps in spreading proper health and safety awareness among people. Big Daa Analytics helps to amalgamate and integrate both public health and clinical medicine together so that health awareness can also be spread among the uneducated people. Forbes This is a very useful social media app used by the entrepreneurs who can use this to convert their deans into real life. Another important and rather the most useful software in business applications is the Microsoft PowerPoint. It is through colorful and aesthetic presentation slides, that the organizations often aim at attracting their targeted audiences (Ems and Gonzales 2016). Challenges faced and their solution Authentic connection with the audience A major challenge is connecting with the audiences on an individual and personal level as it helps in brand recognition and constructing the real authentic relationship. solution monitoring all social media challenge and responding to each comment in a more authentic way, this can be done by asking questions, linking to blog posts, offering help etc. Getting content to a large social audience Gaining the attention of people is one of the major concerns of the social media. The good thing is that if any content is enjoyed by a few people on the blog then there is a high chance that it will also be enjoyed by many other people on social media but the problem is to reach them (Parsons 2013). solution The best solution is to actively seek out the people by mailing to friends, family, and colleagues Republishing content to Medium joining Linkedin groups or online forum Asking questions and responding to comments on Quora Reference List Bonsn, E., Royo, S. and Ratkai, M., 2015. Citizens' engagement on local governments' Facebook sites. An empirical analysis: The impact of different media and content types in Western Europe.Government Information Quarterly,32(1), pp.52-62. Ems, L. and Gonzales, A.L., 2016. Subculture-centered public health communication: A social media strategy.new media society,18(8), pp.1750-1767. Ju, A., Jeong, S.H. and Chyi, H.I., 2014. Will social media save newspapers? Examining the effectiveness of Facebook and Twitter as news platforms.Journalism Practice,8(1), pp.1-17. Parsons, A., 2013. Using social media to reach consumers: A content analysis of official Facebook pages.Academy of Marketing Studies Journal,17(2), p.27. Thompson, A.J., Martin, A.J., Gee, S. and Eagleman, A.N., 2014. Examining the Development of a Social Media Strategy for a National Sport Organisation A Case Study of Tennis New Zealand.Journal of Applied Sport Management,6(2). Tsimonis, G. and Dimitriadis, S., 2014. Brand strategies in social media.Marketing Intelligence Planning,32(3), pp.328-344.

How has Baz Luhrmann made Romeo and Juliet accessible and interesting for a young contemporary audience Essay Example

How has Baz Luhrmann made Romeo and Juliet accessible and interesting for a young contemporary audience? Essay Romeo and Juliet is a romantic tragedy set in Verona in Elizabethan times. Two families, the Montagues and the Capulets, both noble households, continue their ancient feud, the play starting with a small skirmish in the town centre. However when some young Montagues gatecrash a Capulet party, dishonouring their enemy, Romeo meets Juliet, and the next day they secretly marry. Tybault, Juliets cousin, goes looking for Romeo, seeking revenge for the damaged pride Old Capulet had suffered, and when Romeo arrives on the scene, Tybault offers a duel to him, which fatefully ends in Mercutio, Romeos best friends, death. Romeo then continues to kill Tybault and is exiled to Mantua. By her fathers will, Juliet is bound to marrying Parris, a noble friend of the family. A plot is hatched to fake Juliets death and Romeo should carry her away to Mantua. However a mix up leaves Romeo in the dark, and as he arrives on the scene to find Juliet apparently dead, he poisons himself. In his dieing moment s, Juliet awakens, and she too commits suicide. In this story, fate and destiny play large parts, ending in an agreement between the two households to end their feud. In the script there is quite a lot of wordplay between the characters, for instance the first scene dialog about coals. Shakespeare also mixes use of prose, rhyme and iambic pentameter. For example when speaking about Rosaline, his love, Romeo uses a poetic rhyming verse, whereas in Act one Scene two Shakespeare uses rhyming couplets to show comedy, and also parodies the eloquent ornate prose used by people in the sixteenth century. Shakespeare would entertain his audience using different language and verse to show different moods whether it be comedy, romance or desperation. Baz Luhrmann, then a little known director, has taken this 16th century text and transformed it into a dazzling and accessible film aimed at the young, contemporary audience of today but how has he done this? He has used many different methods to achieve this, the biggest point is that now, Romeo and Juliet, a classic story, is set in contemporary America. Luhrmann has used many technical film methods, types of editing, sound tracks, length and angles of shots, and special effects. But he has also, short of rewriting the script, completely transformed the play, into this dazzling film. He has changed parts of the plot, cut out large portions of text and even swapped members of the households around. But the film is still exactly the same story, told in a different way, without any new dialog or text. He has stretched the limits Shakespeare had when writing the script, and taken them to new heights in creating this amazing film. We will write a custom essay sample on How has Baz Luhrmann made Romeo and Juliet accessible and interesting for a young contemporary audience? specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on How has Baz Luhrmann made Romeo and Juliet accessible and interesting for a young contemporary audience? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on How has Baz Luhrmann made Romeo and Juliet accessible and interesting for a young contemporary audience? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer When Shakespeare wrote Romeo and Juliet, the theatre he had, was a stage, with smaller balcony above it. Shakespeare had to work around this, and you can see particularly in Act three Scene one where Mercutios body would clutter up the relatively small stage; Shakespeare instead kills him off stage, the balcony scene, where Romeo is below the window and balcony where Juliet is, and also in other places. These scenes could have been written differently for a bigger stage, as they were adapted for Baz Luhrmanns film, but that was the theatre Shakespeare had available. Luhrmann had quite a large budget for his film; the 20th Century Fox logos showing high production value. He used both high value studios and filmed out of doors, which is an expensive way of capturing a setting. However to partly balance this, the large cityscapes, gas station and other out door scenes were filmed in South America to push down the production cost. The city used is merely a generic cityscape, denoting the contemporary United States of America not any particular American city. Luhrmann has modernized the setting, but still in keeping with the text. For instance the gas station in the first scene replaces a communal town square. The gas station is a public place like the square and fighting would certainly not be allowed in either of them. Luhrmann has used a variety of different issues, relevant in todays society and intertwined them into the story of Romeo and Juliet, without changing any of the original text. He has mainly done this using visual images and diegetic sounds. For example there is a connection with drug use in Act one Scene one, where Mercutio gives Romeo a small tablet with a heart on. There is no mention of this from Shakespeare; it is merely an invention of Baz Luhrmann. Another example of using contemporary issues is the fact that all of the characters carry around guns. When Shakespeare wrote the play, guns had only just been invented and were unreliable, inaccurate and hard to get hold of, but most people would carry around swords. In Luhrmanns film, it would not of made sense to have such a contemporary scene with people walking around with swords. To get around this each of the guns has a model name, which reflects its mention is the text. For instance Benvolio uses a Sword 9mm Series and Capulet calls for his Long Sword, which is replaced by a large gun named Longsword. As the setting of the film is contemporary America, this issue is well handled, as there is a growing arms problem in America today. The reason Luhrmann has added these issues into the film is because of audience uses and gratifications. For instance, personal identity with the characters as an example Tybault as a rebel or Romeo as a lover, or personal identity with any of the range of issues like drug use, and guns. Another value is gaining an insight into the circumstances of others, or social empathy. If you automatically condemned anyone who used a gun, you may change your view seeing this film because for example, the Montagues use theirs in self-defence, and without their guns would be shot by their enemy. The guns issue is also related to the strong mafia connections in the film. The two families are shown as rival gangs, with both legitimate and illegitimate sides of business. There is a certain hierarchy to the families, for instance Old Capulet at the top with Tybault beneath him and Abra at the bottom. There is a similar hierarchy for the Montagues. The Montagues and Capulets own rival construction firms, and the mafia have always been associated with this, for instance the tale that if you cross the mafia you will find yourself cemented to the underside of a bridge. The two gangs are very different in style. For example in the first scene alone, the Montagues are shown as rowdy punks, unorganised but still deadly because of their unpredictability. The Capulets arrive in a suave navy car, and are dressed more formally. They move differently to the Montagues as well. With planned, stylish moves compared to the Montagues rushed, panicky ones. A good example of this is how the two gangs show their weapons in the first scene. The Montague boys frantically rip their shirts away showing their guns. The Capulets, Abra and Tybault slowly draw back their coats to reveal their weapons. Even the way the Capulets talk is very different to the Montagues. Tybault speaks slowly showing he is not scared and is calm and collected. It would seem the Capulets are more deadly with precision and organization. However, the unpredictability of the Montagues makes them just as dangerous. This juxtaposition is deliberate, because the split in the two families or gangs has to be very obvious to show the feud is serious. Servants are not commonplace in America today, so the servants of the houses are shown as simple gangs members at the bottom of the hierarchy. The nurse is portrayed as a South American woman, likely to have been hired to look after Juliet, as a servant, but the lines where Lady Capulet refers to her in this way, have been cut out. During the prologue mainly, Luhrmann creates a sense of narrative progression from the fast moving montage of images, even though they are not necessarily in chronological order in the script. He does this using editing, changing speeds of edits from one scene to the next, and also anchoring each image to a voice over. Also in the prologue, and throughout the film there is intertextuality. For example I think the still images in the prologue showing the Capulets and the Montagues along with a piece of text introducing them, relates to the television series Dallas. This shows early on, in case you havent already caught on, that the film is very contemporary. One other way of using of intertextuality is the use of different genres in the film. For instance the western genre is used extensively in the first scene. The whistling wind when Tybault speaks and the way his metal-heeled boots clink on the ground, as well as the squeaking petrol station sign, all have strong connotations of the western genre. Another genre used in the first scene is action. Explosions, guns and special effects all show this. There are also comedy aspects throughout the film. The two Montague boys other than Benvolio joke continuously throughout the film, and in the first scene, are almost slapstick in their movements. For instance one of them falls backwards into the car, and the way he handles the lady hitting him over the head with a handbag. There are several ways in which the director has added realism. Firstly he uses women actors. In Shakespeares time young boys whose voices had not broken played all women characters. Another way of increasing the realism in the film is the use of sound bridges. These are sounds that bridge two or more shots together. This happens in real life so increases realism. In Shakespeares time you heard what you saw all of the time. Luhrmann had a large enough budget to go on the search for some high value stars to act in his film. Leonardo Di Caprio, one of the top earning American actors, plays the main character. Though Claire Danes was unknown to the film world, this was her first big film, Luhrmann decided she fitted the act well and chose her over bigger stars. Big stars automatically bring audiences and so are an asset to the film, not only because of their greater acting skills, but also because of their previous track record and fans they will bring as audience. A lot of the props were created from scratch with incredible attention to detail. All of the guns are original designs by the props department, each bearing its own name and brand. The precision goes down to each gun even having an identifying serial number. Every single different coin and note in the films world was designed and created even though they were seen only a couple of times. This attention to detail is consistent throughout the film, which gives a good sense of reality. Shakespeare could not show weather on the stage, the theatre was open air and the weather did what it pleased. To get around this, the characters say what the weather is doing. For example Benvolio says in Act three lets retire: the day is hot. The changing weather in the film is a big part of the realism created. For instance the wind and the storm in Act three Scene one. Although the storm adds realism, it also builds with the story, as it gets more intense. Mercutios death brings high winds and the rain begins to fall when Romeo goes after Tybault and the storm reaches its climax, with thunder and lightning when Romeo shoots Tybault. As well as not being able to show weather, Shakespeare had no electricity or source of controllable light. As a result of this, most plays were performed in the daytime when it was light. Luhrmann has used different amounts of light in the film quite a lot. There are a lot of daytime scenes, which although filmed outside would need extra electric lighting as well for the cameras to pick up a good picture. Likewise the church scene in Act five with candles. The candles dont give off enough light for the cameras on their own, so the light was boosted using filler lights. These extra lights allow the director to have dark scenes like the balcony scene at night, without the viewer not being able to see the action. In the first scene of act one the shots start long as the mood is relaxed and fun, but towards the end of the scene as the tension rises to a climax the shots get closer and closer. For instance at the start of the scene there are long shots over the whole gas station for instance where Abra shouts Hubble, Bubble, Toil and Trouble. However at the climax of the tension, there are extreme close up shots of Tybault and Benvolios eyes, staring each other down. This is one method Luhrmann has used to create tension. Another way he creates tension is by speeding up the editing. For instance in the prologue, it starts off with a long shot of the television slowly zooming in. By the end of the prologue the images are flashing past your eyes so quickly you barely have a chance to take them in. This is the unique selling point of the film. That there are so many intense images and fast moving scenes; it bombards you with a mass of sound and visual awe. Baz Luhrmann also uses visual imagery to enforce things already in the script, and he cuts out pieces of script to show the meaning visually instead. For instance instead of the joking and punning about the word coals in the very first scene, you have the Montague boys shouting and messing around in their car. This is because of the Elizabethan wordplay, which a contemporary audience would not find particularly funny. Again in the original script, Sampson and Gregory joke about raping the women of their rivals household. However in the film, there is only a short sequence where one of the Montague boys makes a gesture at a group of nuns. One other way Luhrmann uses imagery to enforce the script is where Tybault points his gun at a boy showing that Tybault is a rebel and lawless. This is shown again when he lights his cigar in front of the no smoking signs. This is meaning is connotated by his actions in the play but is not actually in the script. There are lots of other cuts in the script, partly to shorten the running time of the film, and partly because sixteenth century language is not easy to understand at full speed in large blocks. Most of the long speeches have been cut in length; the Queen Mab speech for instance is cut to only ten lines or so, from forty lines in Shakespeares script. In the original text, Romeo goes to the apothecary to buy some poison. Instead of this in the film, Romeo buys the vial of poison from an old man, the pool halls owners house. Romeo would not be able to buy it from an apothecary or chemist because it would be illegal for them to sell him poison. There is also no Friar John in the film. Instead friar Lawrence uses the mail service. This is a simple modernization of the script. Sycamore Grove in the original sixteenth century text was an orchard of sycamore trees. In the film, this grove is transformed into a run down beach funfair, with a derelict stage, a procenium arch, which turns out to be the stage for Mercutios death. Another scenery change is the entire concept of Verona. In the play it is a slightly high-class city in Italy. In the film however, Verona is Verona beach, a run down derelict holiday resort in west coast North America. Another major plot change is that Romeo does not kill Paris in the film. This is to do with making the film public friendly. Romeo is made out in the film to be the good guy, whereas in the script he is more neutral. Having Romeo murder an innocent man is supposed to show desperation. However in todays society, killing a man is a very serious crime and would not make Romeo a popular hero. Instead the director chose to have Romeo take a hostage, showing the same amount of desperation. The only person Romeo is shown to kill in the film is Tybault, who is portrayed as the evil character. Also Romeo killed Tybault in blind rage at Mercutios death, which partly justifies it, especially in the viewers eyes. In the film, Samson and Gregory are the Montague Boys, whereas in the original text, they are servants of the house of Capulet. Likewise Abra, Abraham in the script, and Balthasar, unnamed, are Capulets whereas in the script they are Montagues. This makes no difference to the plot, but the way Luhrmann has arranged it works excellently, without changing the plot at all. Abra is named what he is instead of Abraham in the film, because in America Abraham is recognised as a Jewish name, whereas Abra has the accent, and appearance of a South American man. Baz Luhrmann uses both diegetic and non-diegetic music in the film, to give a sense of the emotion of the scene. For instance the non-diegetic music in act two scene two where Romeo and Juliet are in the pool shows the romance, and the diegetic music in act one scene five from the female singer and piano again shows the romance. Another mood shown by diegetic music is in Act two scene one of the film, where The Montague boys are leaving the party. They are singing with the car stereo We are a pretty piece of flesh. This shows they are in an aggressive, intimidating mood. So these are some of the many ways in which Baz Luhrmann has turned William Shakespeares Romeo and Juliet into a contemporary film.

Free Essays on Ozone Layers

egnegnbeOzone Ozone derives from the greek word ozein which means to smell. It was first discovered in 1839 by Christian Friedrick Schonbein who noticed it because of its distinctive acrid smell. He discovered this at the University of Basel in Switzerland. Ozone is merely oxygen, but not the type we breath. Ozone, O3 has three compounds while oxygen has only two. Ozone is reac- tive, meaning it does not stay still, and wants to go back to its original state, with two compounds, O2. This is why ozone is harmful. Ozone always wants to let go of its third compound, and if this compound reacts with other substances, it could be damaging, especially to humans. When discussing with the ozone layer, one should know the four major atmosphere levels on earth. The troposphere which is between zero and fifteen kilometers in altitude and has tempera- ture ranges from two hundred to two hundred ninety kelvins. The second is the stratosphere which ranges from fifteen to approxi- mately fifty kilometers in altitude and has temperature ranges from two hundred to two hundred fifty kelvins. The third level in the atmosphere is mesosphere. This level ranges from fifty to eighty-five kilometers in altitude and has temperature ranges between one hundred eighty and two hundred fifty kelvins. Finally, the thermosphere is the final level in the atmosphere. It's range is eighty- five to one hundred forty kilometers and also temperatures as high as four hundred sixty kelvins. Society has been widely addressed with the many problems that we are having in our environment today. A major problem is that of CFCs. CFC stands for Chlorofluorocarbons which are found in many of the aerosol spray cans. In December of 1973, Rowland and Molina discovered that CFCs can destroy the ozone in the stratosphere. In June 1975, the Natural Resources Defence Council (NRDC) sued the Consumers Product Safety Commis... Free Essays on Ozone Layers Free Essays on Ozone Layers egnegnbeOzone Ozone derives from the greek word ozein which means to smell. It was first discovered in 1839 by Christian Friedrick Schonbein who noticed it because of its distinctive acrid smell. He discovered this at the University of Basel in Switzerland. Ozone is merely oxygen, but not the type we breath. Ozone, O3 has three compounds while oxygen has only two. Ozone is reac- tive, meaning it does not stay still, and wants to go back to its original state, with two compounds, O2. This is why ozone is harmful. Ozone always wants to let go of its third compound, and if this compound reacts with other substances, it could be damaging, especially to humans. When discussing with the ozone layer, one should know the four major atmosphere levels on earth. The troposphere which is between zero and fifteen kilometers in altitude and has tempera- ture ranges from two hundred to two hundred ninety kelvins. The second is the stratosphere which ranges from fifteen to approxi- mately fifty kilometers in altitude and has temperature ranges from two hundred to two hundred fifty kelvins. The third level in the atmosphere is mesosphere. This level ranges from fifty to eighty-five kilometers in altitude and has temperature ranges between one hundred eighty and two hundred fifty kelvins. Finally, the thermosphere is the final level in the atmosphere. It's range is eighty- five to one hundred forty kilometers and also temperatures as high as four hundred sixty kelvins. Society has been widely addressed with the many problems that we are having in our environment today. A major problem is that of CFCs. CFC stands for Chlorofluorocarbons which are found in many of the aerosol spray cans. In December of 1973, Rowland and Molina discovered that CFCs can destroy the ozone in the stratosphere. In June 1975, the Natural Resources Defence Council (NRDC) sued the Consumers Product Safety Commis...

Research paper Essay Example | Topics and Well Written Essays - 2000 words - 6

Research paper - Essay Example The difference here is that the Fences represents an African-American family while the Death of a Salesman is a story of the middle class American Caucasian of the 1940s. The story of Death of a Salesman centres around the disillusioned Willy Loman’s inability to stay focused on things and is replete with flashbacks. Willy’s family is struggling to survive and Biff, the son is unemployed and constantly fighting with Willy. There is a constant failure in jobs. The flashbacks reveal that Biffs career was jeopardized in high school when Biff finds his father having an affair. Eventually Biff accepts himself for what he is, but his father is unable to come to terms with failure and kills himself. Fences though written in was written in 1986 portrays a family of the fifties. It is a play that portrays the life of an African-American family living in a difficult period when Africans were being segregated. Byungho Han (2001) describes the setting of the play thus: â€Å"The setting of Fences intends to reveal their dreams of happiness, and subsequent sense of loss, and frustration in the fifties of America.†Ã‚   This play tells the life of a middle-aged African American, Troy Maxson, who struggles to raise his son, keep his family together in an ever changing society. Laura Hitchcock while comparing him with Willy Loman says, â€Å"Like Willy Loman in Death of a Salesman, Troy Maxson is one of the most recognizable anti-heroes of the American stage. Hes monstrous, honourable, and a huge charismatic presence in the life of his family†. He has survived a brutal childhood and a prison term and works as a garbage man. Troys son, Cory, wants to play football and get a college scholarship. Troy believes that the whites will not allow his son to play. He also feels that football will interfere with Cory’s job at a grocery store. He makes Cory leave football for his job as he wants Cory to become

Internet and social media Article Example | Topics and Well Written Essays - 500 words

Internet and social media - Article Example I know a friend of mine, since childhood who used to remain very quiet in the classroom until few years ago. His name is John. He used to speak very rarely, and did not participate in group discussions. He remained silent and kept observing others. I seldom saw him speak in gatherings. I always found him more defensive than expressive in his speech. He could not bear someone contradicting his points of view or pass an indecent comment as friends normally do. This is perhaps the reason John did not participate in group discussions. But this John is completely different from the one I have in my friends list on facebook. John is too expressive in the virtual world. One day, I asked John the reason behind the disparity between his real world social interaction and that in the virtual world. He told me that he felt more protected while interacting in the virtual world. One reason why he thinks so is that he does not have to come up with prompt answers to the nasty comments made by his fr iends. When someone sends him a message on facebook and criticizes him in anyway, he has more time to select the most rational answer from a variety of choices. I have personally noticed that his responses to others’ comments on facebook are much more objective, well synthesized and well reasoned than what he normally makes in the real world conversation.

Poetry Analysis Essay Example | Topics and Well Written Essays - 750 words - 2

Poetry Analysis - Essay Example ‘Your absence distributed itself†¦ When I sat down in the armchair The silent memories of the departed soul have made a strong impression on the poet who was pregnant at that time. She has expertly used the imagery in the text to capture the soul stirring emotional gap that is evident in the place and time that was once inhabited by him. ‘Friends and relatives kept coming, trying to fill up the house†¦ the green hanger swang empty/ and the head of the table/ demanded a plate’. People and acquaintances come voluntarily to visit the place and pay homage to a person who is so patently loved and who is present despite his physical absence. The poet’s use of the figurative speech, has correctly reflected the acute sense of loss one and all. Another very important feature of the poet’s text is that she has beautifully associated the death with the beginning of life that is growing inside her body. According to her, the inevitability of the death and inconsolable loss has brought for the ultimate truth of the universe. Death is final and one is totally helpless in front of it. The poet has compared this feeling of helplessness to that of the child who is still growing inside the womb of the mother and is totally dependent on her for his survival. Indeed the allegory of death and life is the philosophical reminder that it is a cycle that must be encountered by all. ‘I lay down in the cool waters/ of my own womb/ and became the child/ inside, innocuous/ as a button, helplessly growing’. The stark realities of the life are beyond our control and the poet has succeeded in expressing this ideological philosophy through the simple words by ending the poem with ‘I slept because it was the only/ thing I could do. I even dreamed/ I couldnt stop myself’. ‘Those Winter Days’ by Robert Hayden, is a poem that shows that death has a strange way of acknowledging love that

Inflammatory Bowel Disease: Types, Causes and Treatments

Inflammatory Bowel Disease: Types, Causes and Treatments The digestive system plays a huge role in the survival in all living animals and our digestive system, through a series of physical and chemical changes, breaks down the food we eat into molecules that are absorbed and used by the cells in our bodies. Like many things in life, we often take advantage of the systems in our body and do not take proper care of our bodies. We only seem to pay attention to them when something is going wrong. Inflammatory bowel disease, also known as IBD, is one of many common diseases that affect hundreds of thousands of people in North America every year. Inflammatory bowel disease is not a disease in itself; rather it is a name for a group of similar disorders. The two main types of inflammatory bowel disease are known as Crohns disease and Ulcerative colitis. Both disorders cause parts of the digestive tract (most commonly the large or small intestines) to become inflamed. This paper will outline some details about inflammatory bowel disease including its causes, diagnoses treatment, life style changes made when diagnosed, and some other issues. Causes of IBD Doctors and scientists have been researching the cause, but they are still not certain as to what exactly causes them. It is believed that the inflammation caused by IBD is contributed to by three main factors. These factors are the genes one inherits, ones immune system, and a foreign substance (an antigen) in the environment. It is believed that this foreign substance is either directly causing the inflammation or the antigen triggers the bodys immune system. Once the immune system is triggered it begins to produce inflammation as an attempt to destroy the antigen, but in cases of IBD inflammation can not be controlled. Though the patients immune system begins to defend the body, it does not know how to properly stop at the correct time which may cause extreme damages to the digestive tract due to inflammation and eventually will cause ulcers (sores) 1. Other causes of IBD have to do with ones genetic make up. It is believed that IBD can be linked to ones race, family history and genes. IBD can affect some ethnic groups more than others. IBD was first believed to only affect Caucasians but recent reports have changed that view. There is a rate of 149/100,000 Caucasians that are infected in America, but Jews of European descent living in North America are 4-5 times more likely to contract the disease than people of other ethnicities2. There are also reports of higher cases of IBD in those of African descent, but there are lower infection rates in Asians and Hispanics. Studies also show that 10-20% of people who are affected by IBD will have a family history of having the disease. This means that greatest possible risk to contracting IBD is if someone in your family has been diagnosed with it before. Those who have family members who have been affected are 10 times more likely to be infected and if the infected relative is a brother o r sister, chances of getting IBD increases 30 fold3. Scientists also have come to believe that the NOD2 gene may be linked with IBD Symptoms Inflammatory bowel disease is not curable and will affect patients sporadically through out their lives. Symptoms vary from person to person when it comes to IBD and will flare up and die down at different times in a patients life. The most common symptoms are diarrhea, cramps and rectal bleeding. IBD can also affect ones joints, eyes, and skin and some children who suffer from Crohns may experience delayed growth and sexual development. IBD is a disease that will affect a patient for many years and symptoms will come and go, sometimes more severe than other times. Along with typical symptoms patients may feel other complications as well. Common complications in patients of IBD include intestinal blockages caused by swelling. The blockage will lead to narrower intestinal passages and thicker bowel walls. Medication can be used to remove these blockages, but if they are serious they may need surgery. Nutrional deficiencies may also be a complication often occurring in those who have b een diagnosed with IBD for a very long time. Their bodies will have troubles with absorbing proteins and vitamins, which may lead to a deficiency. Vitamin supplements may be needed in these cases. Sores and ulcers are also a common complication. The ulcers may cause a fistula (a hole that leads from one loop of the intestine to another) to develop. These holes may lead to the bladder, vagina or skin and may become infected. If small enough, fistulas may be treated with drugs, but if serious enough surgery may be required.5 Chrons Disease There are 5 main types of Crohns disease based on the general area that is being affected. The complications and symptoms of Crohns are different depending on what area of the intestines are inflamed. Ileocolitis: This is the most common form of Crohns disease that affects the ileum. The symptoms that come with ileocolitis include pain in middle of the abdomen, cramping, and diarrhea. Ileocolitis can also cause weight loss. Ileitis: This form of Crohns only affects the ileum, but results in the same symptoms as ileocolitis. Gastroduodenal Crohns disease: Occurs in the stomach the duodenum. Symptoms may include loss of appetite, nausea, and weight loss Jejunoilletis: Jejunoiletis causes patchy areas of inflammation in the jejunum. Symptoms include cramps following meals, diarrhea and include pain in the abdominal region that ranges from mild to severe. Crohns colitis: This form of Crohns only affects the colon and causes diarrhea, rectal bleeding, and other diseases around the anus including ulcers.6 Ulcerative Colitis There are also many form of ulcerative colitis, but they have almost the exact same symptom as some forms of Crohns disease. Ulcerative Procitis: The inflammation in located in the rectum and in mild cases, rectal bleeding may be the only symptom. In more serious cases one may feel sudden urges to go to the bathroom and tenesumus which is a term describing painful and ineffective bowel movements. Proctosigmoiditis: Inflammation is located in the rectum and the last section of the colon (sigmoid colon). The symptoms are the same of those that come with ulcerative procitis. Left-sided Colitis: Inflamation in the left side of the colon (rectum, sigmoid colon, and descending colon). Also called limited or distal colitis. The symptoms caused by left-sided colitis are pain on the left side of the abdomen, weightloss and diarreah.7 Diagnosis According to the Crohns Colitis Foundation of Canada by fall of 2008, about 200 000 Canadian8 and according to the Crohns Colitis Foundation of America about 1.4 million Americans9 have been diagnosed with IBD. IBD tends to infect those who are between the ages 15-35 years of age, but is not limited to those few. It can also occur in younger children and people as old as 70. A staggering 10% of those who are affected by IBD are under the age of 18. Because of the high rate of IBD it is important to have the disease properly diagnosed. Inflammatory bowel diseases symptoms are very similar to many other diseases so doctors must be careful when diagnosing the disease and it may take a long time. Some common tests to diagnose IBD include endoscopies examining the colon, the sigmoid colon, esophagus, or the liver and pancreatic duct. Different types of radiology test can be used as well including x-rays, CT scans, MRI, white blood cell scans, and ultrasounds. Sometimes a small piece of tissue from the infected area may be cut out for closer analysis. This can further help doctors diagnose IBD.10 Treatment As of now, there isnt any known cure for IBD. Once a patient is diagnosed IBD it is important to properly treat the disorder in order to keep ones symptoms in check. The most common form of treatment is the usage of medication. There are many types of drugs used to treat patients with IBD. Aminosalicylates are one type of drug used that are meant to subside inflammation caused by IBD and is usually used to treat mild symptoms. Asacol, ® Colazal,. ® Dipentum, ® orPentasa, ® are all examples of aminosalicylates. Corticosteroids, the second type of drug which is usually used in moderate to severe cases, are given to patients to suppress ones immune system. Prednisone and methylprednisolone are the types of corticosteroids and they can be dangerous because they may cause some long-term side effects. The third type of drug used to treat IBD are immune modifiers. These are used to heal fistulas in the intestinal tract and to help reduce ones dosage of corticosteroids. Azathioprine (Imuran ®), 6-MP (Purinethol ®), and methotrexateImmune modifiers are some examples of this. Just like many other diseases IBD can also be treated with the use of Antibiotics. Antibiotics like metronidazole, ampicillin, and ciprofloxacin, are just a few of the types that can be used. Also biological therapies can be used to treat IBD. There are many types and each serves a different purpose. For example Inflixmiab (Remicade ®) is a drug made of 75 percent human, 25 percent mouse protein and is an antibody. This antibodies function is to block ones immune system. This blockage stops the immune system from making a chemical called tumor necrosis factor-alpha (TNF-alpha), a chemical that is made by the bodys immune system to intensify inflammation within the body. By stopping the immune system from making TNF-alpha, inflammation caused by IBD can be prevented.11 Eventually medicine will not be enough to control the symptoms of IBD. 66%-75% of people diagnosed with Crohns will eventually need surgery in their lives. Surgery may be needed to repair a fistula, clear blockage in the intestines, or to remove a section of the intestines. In cases of IBD, surgerys main function is to try and keep as much as the bowels intact and helps patients live a high quality life.12 Societal issues and Life Style Changes Along with proper medication certain lifestyle changes can be made in order to reduce ones symptoms and improve overall health. Special care should be taken to make sure one is receiving a healthy diet. Often those who are diagnosed with IBD have a loss of appetite because of nausea which may lead to an improper amount of food intake. The disease also increases the amount of calories needed by the body. Also IBD causes diarrhea and is linked to problems with absorption of protein, fat, carbohydrates and water. All of these take away essential nutrients from the body and proper nutrition can help return those nutrients to the body. Also when experiencing some of the symptoms of IBD one should avoid eating any high-fiber and spicy foods because they may cause even more discomfort.13 Inflammatory bowel disease is very common among people in North America and because of this people may feel emotionally stressed when they find out they are diagnosed with IBD. This is a major societal issue because of how common IBD is. People may struggle to cope with the chronic pain accompanied with IBD. It will begin to really affect ones quality of life. Ones physical and emotional well being, self-esteem, and ability to function in social groups may be affected. Patients who are diagnosed with IBD should try to receive emotional support from their families and doctors. Though psychiatric help is not mandatory it may also be a good idea to talk to a therapist. Stress plays a role in IBD. One should try reducing stress to help avoid a flare in their symptoms. Regular Exercise, yoga, and listening to music are just a few ways to relieve stress.14 Environmental Issues Researches do not know why, but IBD is more common in areas that are more developed. Cases of IBD are usually found in the U.S. and Europe. IBD is more common in northern climate and in urban areas, rather than southern climates and rural areas.15 Societal Issues As previously stated Crohns and Ulcerative Colitis do not have a known cure and are a life long disease. IBD is treated with numerous types of medications and surgery. The problem with this is that those who are uninsured and are diagnosed with IBD must pay thousands of dollars over the courses of their life in order to pay for medicine and surgery. In fact reports from the market research firm GlobalData states that in 2008 $1.4 billion in revenue was made from sales of medication related to Crohns That number is expected to go up to $2.1 billion by 2015.16 Ethical Issues There have been cases where people with Crohns have received stem-cell transplantation. One boy was diagnosed with Crohns disease when he was 13 and had received regular treatment for Crohns. He eventually developed non-Hodgkins lymphoma when he was 20 and received a stem cell transplantation to fight the lymphoma.. He did not receive the stem cell for his Crohns, but for 7 years after the transplantation he did not have any symptoms for Crohns17.This raises a question whether or not stem cell research should be used to treat IBD. Stem cell research has raised many debates on how ethical it is. There have been many debates whether or not stem cell research should be allowed or not. Conclusion There currently is not a cure for IBD, but those who have been diagnosed should be aware of symptoms, causes, and the all the possible things they can do to improve their lives. Research is being done and scientists have been working hard to try and improve treatment for IBD and eventually find the cure. People who have been diagnosed will face some challenges, but they should go on to live long healthy and happy lives.

Self-Made Misery in Blake’s London Essay -- Blakes London Essays

Self-Made Misery in Blake’s London  Ã‚  Ã‚  Ã‚   The poet William Blake paints a picture of the dirty, miserable streets of London in his poem, "London". He describes the wretched people at the bottom of the society, the chimney-sweeps, soldiers, and harlots. These people cry out from their pain and the injustices done to them. The entire poem centers around the wails of these people and what they have become due to wrongs done to them by the rest of society, primarily institutions such as the church and government. Are these people really wronged, however? The poem seems to suggest that the injustices they have been subjected to are of their own making. In Blake's poem he says that as he passes through London he sees a "mark in every face [he] meet[s]/ Marks of weakness, marks of woe." (3-4) He talks about how everywhere he hears cries of fear and suppression. The church seems to be ignoring the cry of the poor chimney-sweep in lines nine and ten. The soldier dies on the palace walls with a sigh. These are examples of the wretchedness of the lives that people lead. The central ide...

INDUSTRIAL ATTACHMENT AT SUNYANI REGIONAL HOSPITAL Essay

I express my sincere gratitude to the Almighty God for his protection and guidance through the attachment period. I will humbly acknowledge the management and staff of Sunyani Regional Hospital Records Department, especially to Mr. Peter Amponsah Manu, Madam Elizerbeth kyeraah as the Supervisors at Medical Records Department and Mr. Sanyo, the senior manager of Live Records for their guidance, encouragement and also the knowledge impacted which has been a great help. Finally, I would like to thank my parent and family for your support both in prayers and financially throughout this attachment period, for your encouragement and all who helped in diverse ways to make this attachment successful. I say God richly bless you. DEDICATION I dedicate this report to Jesus Christ for his divine inspiration and motivation. Secondly, I dedicate this report to my mother Madam Grace Akosua Krah and loved ones who through their cordial relationship made this attachment and report a success. CHAPTER ONE INTRODUCTION Industrial attachment is one of the requirements needed in order to obtain the Higher National Diploma (HND) Certificate as instituted by the National Accreditation Board. It is a well structured skill training programme forming part of the approved academic standard intended for students to involve themselves, gain practical, managerial and or hand-on experience that pertains the area of course of studies. It also gives the student chance to solve real world problems. For the first two years in school, students have to spend their second semester vacation going through the industrial attachment. Students are required to cumulatively spend a minimum of 24 weeks on the practical industrial training in order to qualify as HND graduates. OBJECTIVE OF THE INDUSTRIAL ATTACHMENT As part of the education reform programme, the polytechnics are upgraded to a tertiary level to provide training and the needed skills to meet the nation’s professional, scientific and technological needs. However, industrial attachment programme has been attached to the academic curriculum where Higher National Diploma (HND) students are allowed to undergo industrial training to enable us to be more enlightened with what is happening in our present day environment to build upon what has been learnt in school. Hence HND students of the Polytechnics are required to serve an attachment with various organizations and write a report to the institution. This attachment in one way or the other creates job opportunities if the participant puts up their best behavior and efforts during their stay in the organization which they could be recommended for a company after their three year courses. It is for this reason that I undertook an industrial attachment at Sunyani Regional Hospital, for two months (from 27th May 2013 to 26th July 2013) at the Medical Records Department. BRIEF HISTORY OF SUNYANI REGIONAL HOSPITAL Sunyani Regional hospital is an ultra- modern hospital which was established in May 2003 and it is located on the Barracks-Techiman road. The hospital was initially opened in 1928 but its bed capacity was around 150. From 1969 to 1972, the then Busia government realized the need for a larger and structurally better hospital the Region and started the construction of the Doctors bungalows, Nursing training college and Nurses quarters to secure the human resource requirement. Dr. Asare said â€Å"after the exist of Busia government in 1972 the project laid of f. In 1983 and 1990 Nanasunyanihene and Dr. C.J Oppong sent several memos and petitions to the succeeding minister of Health on the need for a new Regional Hospital.† Regional capitals like Cape Coast, Ho and Sunyani were announced by the N.D. C government in 1993 to be built to standard and their aim was achieved in 2003 but was named after Prof. John Evans Atta Mills. The hospital is situated on a leveled ground and share boundaries with Penkwase in east and Nkwabeng North in the north. It covers about 450 hectres of land. VISION STATEMENT OF R.H.S To provide a model secondary health care facility for best clinical practice in the country and beyond and also provide the highest quality health care consistent with the service standard. â€Å"We hope to maintain the equipment, estate and other facilities in the hospital to gain the accolade as one of the cleanest, neatest and customer-friendly hospital in Africa.† Said by Dr. Mohammed Bin Ibrahim the Regional Director of Ghana Health Service. MISSION STATEMENT OF R.H.S The main thrust of the health care delivery over years has been to â€Å"improve the overall health status and reduce inequalities in health outcome of the people†. DEPARTMENTS / SECTIONS/UNIT ADMISTRATION. The administration is headed by the administrator who is the next in command after the medical doctor. He administers or checks the  incoming and outgoings of all working and non working staffs of the hospital, new and old suppliers, etc. His ascent on needed requested item or letter permits a transaction between the hospital(procurement unit, account office and suppliers) or activity to take place at the hospital ACCOUNT DEPARTMENT The account unit is responsible for the payments business transactions approved by the doctor and the administrator and the proper accounting of all moneys received or sent out of the hospitals account. The calculation of the total bills of drugs and non drugs to patients after quality health care delivery to enable the hospital claim their money from the government(national health insurance scheme Centre PHARMACY. The pharmacy is where drugs are been distributed to all patient with and without national health insurance card based on the drugs being prescribed by either the doctor or the health assistance in the hospital . LIVE RECORDS. This is where patients folders are stored , retrieved, filed and analyzed in the hospital for easy identification of patient folder , sickness and total turn out of patients at the hospital within a period of time. OUT- PATIENT DEPARTMENT. This is also the place where all patient with and without the insurance cards check their blood pressure before they see the doctor or the health assistance of the hospital. PROCUREMENT/STORES Lastly, this is where the procurement officers/store keeper invites quotation, evaluate and appraise suppliers with the help of the doctor, administrator . Purchases of items are also done by this department and later issues are made to the various departments within the hospital based on their requisitions in their order books according to their needs to the stores department. It  is also responsible for the control and management of all stock. MAJOR ACTIVITIES The hospital provides the following services to staff and their families as well as other organizations and the organizations the general public: a. Outpatient. b. Inpatient. c. Laboratory. d. Dispensary. e. Maternity and delivery. f. Medicare. g. General surgery. h. A N C/P N C. i. Ultrasound Scan. j. Family planning. k. Public health services. l. Ophthalmic care. m. E N T. n. Ambulance. o. Child welfare clinic. p. Ophthalmic Care. CHAPTER TWO NATURE OF WORK DONE AT MEDICAL RECORDS DEPARTMENT / OUT – PATIENT DEPARTMENT (O.P.D) During my industrial attachment at Sunyani Regional Hospital, I was posted to Medical Records Department which constitutes the Out -Patient Department (O.P.D), Filing room and Live Records. At those Departments, the descriptions of nature of work done are categorized under the following: a. Entering patient data in temporal cards. b. Entering information in folders. c. Detecting barcodes of folders and O. P. D numbers. d. Detecting active and inactive insured patient. e. Retrieving of patients folders. f. Registration of new patients. g. Registration of private companies. h. Arranging and sorting of folders on the shelves. i. Tallying of Out-Patient Department attendance. j. Entering daily ward states in Microsoft excel. k. Entering the monthly statistical diagnosis in Microsoft excel. l. Filling of claim forms. DETAILED ACCOUNT OF THE TRAINING/WORK PERFORMED BY THE STUDENT. ENTERING PATIENT DATA IN TEMPORAL CARDS [T.C]: This are cards issued to patients as their first visit in hospital to take medical treatment, with their names, ages, date of birth, contact address, insurance numbers etc and also they are giving Identification cards with numbers to have access to their temporal cards. ENTERING PATIENT INFORMATION FOLDERS: Patients who’s Temporal Cards are full with history, are assigned by Doctors to retrieve folders from the Out- Patient Department (O.P.D) before treatment which was my duty. DETECTING BARCODES OF FOLDERS AND O.P.D NUMBERS: Internet application software likes e-Archive and Hams are used at the Out-Patient Department (O.P.D) in detecting the barcodes of folders when patient issue their Identification Cards with O. P. D numbers. When patient displace their cards, I use their insurance numbers or sur names to search for their O. P. D numbers for them to reach their fol ders before medication. DETECTING ACTIVE AND INACTIVE INSURED PATIENT: All patients insured are to issue their National Health Insurance I.D cards for verification of either active or inactive by using Oracle internet application software at the O. P. D before they consult the Doctors. RETRIEVING OF PATIENT FOLDERS: This involves picking of folders of patient from the folder shelves using their barcodes and Out Patient Department (O.P.D) numbers on their hospital cards. After picking the folder, you enter the name of patient and the O.P.D number in the Admissions and Discharges register before you give the folder to the patient and later proceed to make entries into the computer at the filing room. REGISTRATION OF NEW PATIENTS: Patients who has just come to the hospital for the first time are registered  by the use of HAMS. Their details like their names, gender, age and Home address are recorded in the new case records book. Also, through interviews, relevant information like date of birth, marriage status, religion, contact number, Postal address, including others are recorded in the folder and given an O. P. D number folder number. A hospital card bearing the patient name, O.P.D number, date of registration is made, added to the new folder and handed over to p atient only when he or she comes to the hospital. A SAMPLE OF PATIENT OF FOLDER REGISTRATION OF PRIVATE COMPANIES. Currently, Sunyani Regional Hospital has approved services to private Insurance companies such as Premier Health Care, MEDI- X Health System, Nationwide Mutual Health Care, Newmont Gold Ghana Limited, and among other private insurance company. Registration of patients with private insurance card is done by recording the name of the patients, date of birth, insurance number ,age, gender, name of scheme , claim number, Hospital Record number of patient are recorded in private insurance form or claim form book before a company patients can received a Medical Services. ARRANGING AND SORTING OF FOLDERS: Sorting of folders implies arranging folders in order by using their barcode numbers and O. P. D numbers on the shelves in the filing room after the patients has been treated. TALLYING OF OUT- PATIENT DEPARTMENT ATTENDANCE: This process was done at the Live Records to assist the hospital know the number of patients attendance. The Tally Sheet is categorized into male and female and ages, t hus 0-4years, 4-10years, 10-18years, 18-30years,†¦ 60years and above including the total on sheet before entries are made Microsoft Excel. ENTERING DAILY WARD STATES IN MICROSOFT EXCEL :The Daily Ward State like number of Admissions, Discharges, Bed occupancy in wards such as Accident and Emergency (A and E),Male/Female medical, Male/Female surgical, Male/Female ward etc were entered in Microsoft Excel spreadsheet at Bio-statistics/Live records. ENTERING THE MONTHLY STATISTICAL DIAGNOSIS IN MICROSOFT EXCEL: After the summary of Diagnoses recorded at each ward or clinic in the monthly morbidity book, the data is entered in Microsoft excel spreadsheet, the sheet is grouped into  gender, age and in diseases like Eye cataracts, Reflective eye, U T I, Malaria, Anemia in pregnancy, polio, scrotal diseases, cardio respiratory diseases etc, after the is data cross examined it is link to Ghana Statistical web. CHAPTER THREE A. NEW KNOWLEDGE/SKILLS ACQUIRED, AND CHALLENGES ENCOUNTERED NEW KNOWLEDGE/SKILLS ACQUIRED AT MEDICAL RECORDS DEPARTMENT. My presence at the Medical Record Department, I acquired so many skills and new knowledge of which are helpful in my studies. Among these are: (a) I develop a good human relationship with staffs and patients. (b) The programme made my typing speed to increase when entering data. (c) It enhances my technology when workings with Microsoft excel spreadsheet especially dealing with calculations. (d) I had ability to work overtime and withstand any pressure with presence or absence of staffs. (e) I acquire knowledge and experience in working different internet application soft wares. (f) More skills were gain in filling of different claim forms and how to register prisoners before medication. CHALLENGES ENCOUNTERED AT MEDICAL RECORDS DEPARTMENT. Sometimes, three or four staff from various sections may come to the Health record room at a go all requesting for their folders. Since I was not perfect with the location of almost all the folders in the room, I had to struggle in other to serve them. I had to adjust to sitting and working at the same place for eight hours which was quite difficult and stressful because I had to follow strictly to the procedure at work by reporting very early and closing in the evening. My shirts get dirty anytime I work in the filing room. The folders are always dusty so when retrieving and filing them on the shelves makes my shirts become dusty. I had to wake up at dawn in other to join the company’s bus; if I miss the bus then I have to use my own money as transportation. Feeding was a big  blow on me, because the staffs were fed whilst the attachment trainees were not. B. CONTRIBUTION OF STUDENT TO ORGANIZATION During my industrial training Sunyani Regional Hospital, I participated in almost every activity that was undertaken at the medical record department which included; Issuing barcodes numbers on newly patient folders. Filing of folders into their respective position on shelves at the filing room. Filling of claim forms at the O. P. D. Entering of daily ward states in Microsoft excel.  Books, folders and other necessities needed at out-patient department to record data were pulled on wheel from the stores. C. GENERAL COMMENTS, OBSERVATION AND IMPRESSION GENERAL COMMENTS. Upon all the challenges I adopted new skills in working overtime with both senior and junior staffs. I had ability to work without anybodies supervision at the field of work. More experience and technology was attained in any section or department I was posted to. OBSERVATIONS. I observed the following during my period of attachment that: The management of the hospital for instance the Medical Record Department is keeping good records. Computers available at their disposal, those not meet the so called â€Å"standard computerized hospital.† The compound of the Hospital is enticing especially the lawns, building structure and location of the Nursing Training College. Quality food is given to the patients on sick bed with good health care delivery. Marketing of shoes, perfumes, ladies tops etc is done by some staffs, and feeding is inadequate to meet all staffs. Mixing of patients folders. After treatment all folders are kept in the filing room but patients may be after their folders for treatment but can not find them. IMPRESSION. I was so impressed of how the supervisors welcome me and trained me to be equipped on the field of work. Also, I wonder how the staffs socialized themselves with me; patients may think I am a permanent staff. CHAPTER FOUR CONCLUSION School authorities should create more avenues for attachment trainees because it aid students to be well equipped in the field of work. It also serves as a field where students put into practice of the theoretical aspect leant from school. It should be encourage as far as Higher National Diploma is concerned. RECOMMENDATION. I recommend that staffs who market at the hospital should be prohibited. Attachment trainees should be motivated. I also recommend that proper measures should be taking in keeping patients folders. Lastly, food should be equally distributed to all staffs at the Hospital.