Dekada 70 Essay

For the Philippines, the seventies was more than just a period of shaggy hair, bell-bottom jeans, platform shoes, and disco music. It represented the rise of the conjugal dictatorship of Ferdinand and Imelda Marcos, a U.S.-sponsored regime characterized by military repression and wholesale human rights violations. Conversely, it was also the fecund period for the sociopolitical awakening and involvement of many Filipinos; the humus for the renowned religious-political event, the 1986 EDSA People Power Revolution. [2] Dekada 70 journeys with the central character Amanda Bartolome (Vilma Santos), the reticent wife of an alpha-male husband, and the worrying mother of a boisterous all-male brood. Thoroughly relegated to domesticity in a world slathered in testosterone, Amanda begins to undergo a transformation when her family becomes imbricated in the sociopolitical realities brought about by the Marcos dictatorship. The declaration of Martial Law, the lifting of the writ of habeas corpus, the curfews and police searches, all these could have easily floated past Amanda’s head had her sons not found themselves caught in the crossfire between the government and the pro-democracy movements. As one son after another faces the oppressive forces of the dictatorship, Amanda gradually realizes that the personal is political. While chanting slogans for sociopolitical change, she finds her own voice and comes to terms with the fullness of her own person. [3] It is notable that in the film, the divine presence is sublimated in the refusal to acquiesce to societal structures that perpetuate injustice. The characters’ eyes are opened to the dehumanizing impact of such oppressive structures and they join in the prophetic denunciation of what they have identified as ‘not-God.’ This importantly resonates with the praxical imperative associated with theologies of liberation, which configure God as imbricated in the collective protest of the oppressed. Amanda then, in her ‘conversion to justice,’ can be seen as synechdochic of the epiphanous ‘becoming’ of Filipinos as a true people of the eucharist. [4] Based on an awarded novel of the same title, Dekada 70 essays Amanda’s personal and political journey is a patient navigation of each year of the seventies. To director Roňo’s credit, the film has a clear focus and steadily gets to its point through engaging but inobtrusive camerawork. The politically-charged scenes are strident enough to be visually disturbing, yet tempered enough to work on a more psychological level. [5] There are touches of seventies style  Filipino humor that foreign audiences might miss; they effectively establish that this is a real, average Filipino family trying to navigate through the eye of the political storm. The acting is generally impressive, most especially that of lead actress Santos, who gives a luminous, sensitive performance. Santos essays the transformation of Amanda so effectively that we do see clearly at the end of the film that there has been a fundamental change in her character. [6] If there is something to be faulted about the film, it is Roňo’s failure to keep melodramatic moments in check. The funeral sequence of one of Amanda’s sons, for instance, becomes an over-extended session of copious tears. The rich story material of Dekada 70 could do away with such ‘in your face’ paroxysms, which only work to dull the film’s cutting edge political trajectory. [7] Nonetheless, it cannot be denied that Roňo had created a noteworthy, epic-scale Filipino film, and on a Third World budget at that. It also cannot be denied that Roňo had not forgotten the sentence of history on his home country. [8] Neither will Filipino audiences.

Justive vs. Injustice in Mad Shadows Essay

1.1 â€Å"Her mother Louise, who was rich and owned many farms, gave her daughter all the most menial chores in order to devote her life and her remaining youth to Patrice† (Blais 16) Shuns daughter because of her ugly appearance 1.2 â€Å"Exasperated, she swallowed her fury, her heart crying out for justice. But rebellion gave her strength and her hands grew sharp as knives.† (Blais 19) Used to injustice, sharp hands – cut bread – religious imagery. 1.2 â€Å"Crushed and humiliated for so long, Isabelle-Marie experienced pleasure as a kind of delirium, an emotion which consumed both flesh and blood: love of the earth, love in the face of ingratitude.† (Blais 19) Lack of justice Returns to reality from the day Denied of self-realization or any sense of true rebirth 1.2 † ‘I have decided to take a trip. I would like to discuss the latest farm equipment with some friends. You see, with fewer workers and more†¦Ã¢â‚¬â„¢ Isabelle-Marie listened, frigid and unresponsive.† (Blais 22) I-M getting kicked out of the place she belongs, the farms, by the equipment bought by Louise 1.3 â€Å"At other times, in delirium, he would go out and run around the garden like a madman. He held out his arms and raced towards the lake, where he plunged his feverish face and his whole famished body into the water.† (Blais 25) Water: forgiveness, comfort – narcissism Lives off the land 1.5 â€Å"He felt a strange contempt, half-masculine, half-childish, and his dilated nostrils made his mask of pride into a mask of rebellion.† (Blais 37) Hate for Lanz, wants to rebel, injustice against him 2.1 â€Å"Louise’s hand clutched the frail shoulder. Her nails pierced the skin. All her contempt for her daughter spurted like pus from her fingernails.† (Blais 59) Louise hurts her daughter to know what happened to Patrice 2.8 â€Å"Before her stood Patrice, always Patrice, the one who was admired, understood, the Idiot! The uglier she felt, the more crushed and humiliated, the more she thought about destroying her brother’s unjust beauty.† (Blais 84) Jealous of Patrice’s beauty and how that helps him in his life Foreshadows revenge 4.2 â€Å"Frightened by this new tone of voice, the child kneeled in front of Louise.† (Blais 104) Not her fault, yet is chastised for it 4.2 â€Å"Mother, ever since I was a child you adored Patrice because he was beautiful and hated me, the ugly one. †¦ Did you think I had no feelings just because I was ugly?†

Importance of education and knowledge

Education or knowledge could help people make better choices, but not all will make those choices. People won't because they care about the money in their pocket. Some Just don't care because they won't have to live through it. They expect younger generations to do something about it so they don't have to. people do try to change the world, and do try very hard to do so, but if you want to make a change you have to change yourself.For somebody to change it would or will be really hard because you may have to come out of your comfort zone, which would be awkward of course. If I chose to change I myself will have to come out of that zone, the way I eat, the way I do things, what I do on my spare time and my attitude towards things. If I were to change something in the world I would try to make one day out of one month for each month of no driving.which would involve spending a lot of time researching and a lot of interviews and will have to some how get into a conference out doing some thing for the worldOne day each month would help slowdown global warming not by much, but it is a step closer to a better world. If Everyone did a little something to help the world they could change it a lot. Also if some people really paid attention maybe the they might try a little to change the world, like those commercials for dog shelters they wish they could take them all but they can't because they don't have enough money, or already have a dog or just not allowed to have a pets. For some people they may have to go extremely far if they want to complete their goal. some people don't change very much and still change in the world like â€Å"Gandhi†Gandhi was an English lawyer that went to India, but didn't like a law, so he set out to change this law of Indian rights. He changed by living like one of the Indians, he had a hard time changing this law, he was arrested quite a few times. But other people were killed over standing up with gandhi, but eventually beat the g overnment had the law changed but not long after his change a war broke out because some people didn't like the idea and so set out a riot against him. While the riot was going on gandhi said some word and they stopped and after a few days some guy killed him. It does take a lot of effort to change some thing really big, it may even involve jail or  death but not likelyTo change something drastically you may have to be willing to take the consequences. it only takes one human being you seen something is have to try and see we're you may end up

History contrast between England and French political structures Essay

History contrast between England and French political structures - Essay Example The examples of countries with such different ways of life are England and France. Despite them being located in the same continent, they had concrete differences in their political structure which we are going to explore. To start with, the French government was under a king and was considered absolute monarchy. This is because it was believed that the king held all the powers and was only answerable to God only. It was also believed that the king was ordained by God and therefore going against the king was going against God. According to Jean Domat and Jacques Benique Bossuet, king’s subjects had to be submissive and obedient failure to which one was said to resist God authority (Wollmann, 10). Additionally, it was believed that for the country to survive, only one person could rule it and that person had to be in charge of all the people. Every citizen had to follow the laws set by the king and nobody could question the king. This ensured that the country had the best defen se against any form of division among the citizens. However, England had quite a different type of political structure. This is because the English monarchy was as successful s French one since the will of people had triumphed over that tradition resulting to new form of government. England’s monarchy was always threatened by coming up of institutions such as parliament, Magna Carta and the common law which somehow were always against the traditional governance.

The lawyer profession Essay Example | Topics and Well Written Essays - 1500 words

The lawyer profession - Essay Example Thus, countries like the United Kingdom and Australia have taken this issue seriously and have made amendments to lawyer’s regulations. More accurately, they have taken challenges related to new technology seriously in order to stay shoulder to shoulder with these new developments . The Task Force on the Future of the legal Profession in The United State recommends, "NYSBA’s Committee on Standards of Attorney Conduct should study and make recommendations concerning the ethical and risk management considerations associated with new technologies such as social networking, third party hosted solutions, and virtual law firms." This recommendation leads us to the same conclusion. It confirms the impact of globalization on the local legal market and private practice. More importantly, it shows the importance of updating the law with these new progresses. However, law practice management is centered around four key elements which are Law Firm Structure and Billing, Educating a nd Training New Lawyers, Work-life Integration, and Technology. On this paper, I will be focusing on one of the key element, which is law firm structure. Saudi Arabia has many problems relating to these four key elements of law practice management stated above. However, I have chosen to talk about the problem of law firm structure where an amendment to the law discussing law firm structure, particularly, partnership between lawyers, will have a significant impact on the other three elements. Additionally, it will be of benefit to the legal market in general. The Saudi Code of Law Practice is only ten years old.4 The legal profession prior to the issuance of the Code of Law practice was known as Agent profession â€Å"Mehnat Alwakalah.† The laws used to govern lawyers were grouped into eleven articles, eight of which are mentioned in the Organization of Administrative Functions in the Shari’ah Court System (from Article 59 until 66).5 Three of the articles were referred to in the Law for Centralizing Responsibilities in the Shari’ah Court System. 6 One of the most important rules embodied in those articles was the rule that allows those who do not hold law or Shari’ah degree to become lawyers.7 This continued until the enactment of the Law of Procedure before Shari’ah Courts, under the Royal Decree No. M/21, in 19 August 2000. Article 265 of the Law of Procedure Before Shari’ah Courts statues, â€Å"This Law shall supersede the Organization of Administrative Functions in the Shari’ah Court System, sanctioned by Royal Approval No. 109, dated 24 Muharram 1371 [14 October 1952], as well as Articles (52, 66, 82, 83, 85) and (84 regarding civil cases), and 85 of the Law for Centralizing Responsibilities in the Shari’ah Court System, sanctioned by Royal Approval No. 109, dated 24 Muharram 1372 [14 October 1952], and whatever provisions that are inconsistent therewith.† The lawyer profession that exists today in Saudi Arabia existed hundreds of years ago in the Islamic empires Ottoman and Abbasid. More notably, there is evidence to suggest that lawyers exis ted before that.8 Before 1932, Saudi Arabia was known as the Arab Peninsula. The Kingdom of Saudi Arabia was founded by the King Abdul-Aziz bin Saud in 1932.9 Before that time, Islamic law was the main source of law that governed lawyers in the Arab Peninsula. In Islamic law, lawyers used to be called Litigation Agents (Wakel Blkosomah). Many Islamic books discuss the rights and obligations of Litigation Agents and other issues related to their profession.10 The United States is the world’s largest service market and was the worlds’ largest cross border exporter and importer of services in 2009.11 Thus, it

Corporate Imperialism Essay Example | Topics and Well Written Essays - 1000 words

Corporate Imperialism - Essay Example From the article â€Å"Shooting an elephant†, which was written by Orwell, imperialism is presented as plain robbery. The British controlled everything: resources, rules, and the whole Burmese (Orwell p2). Nowadays, plain imperialism has lost its standing in the world because under the peace and developed science world, violence is killed. However, although violence does not work anymore, invasion of a country by another can never be stopped. People have stopped using violence in invasions but have adopted new methods of invasion. For instance, to make an entrance in other countries, people create multinational companies, which then set their factories into these countries. Through these factories they are able to control the politics and the economy of these countries. This behavior of the multinational companies is referred to as corporate imperialism. Corporate imperialism by the multinational companies not only depredates other countries resources, but also brings a differ ent culture that could confuse the minds of the local people. Pure imperialism and corporate imperialism are twin brother and sister; they have the same nature-plunder other countries’ resources. The only difference is that pure imperialism uses weapons to invade countries, and corporate imperialism uses business as its invading weapon. ... The way they make more profit is that they set factories into these countries, and hire the indigenes that are paid low labor fee to handle the factories and cheaply make their the products from the local materials. For example, the reason why you could see â€Å"Made in China† everywhere now is because the factories have taken advantage of the Chinese low worker’s labor fee to produce more products in the market. Like Chitra Divakaruni presented in her article â€Å"Live Free and Starve†, once the U.S raised a ban on goods made by indentured or forced child labor, the children would be unemployed and they could die anytime due to lack of food. Without the jobs they could not purchase supplies to live. Therefore, in this way the U.S controlled their economy system, because without the jobs, they could not take care of their lives (Chitra). This is just like pure imperialism; people are controlled by intruder’s rule. In other words, simple rule, the more th e resources can be got, the more profit can be made. Like playing a tactic game, the more base you have, and the more chances you can win the game. When your base is getting out of resources, invade others. English now becomes a national language because European and American companies are all over the world. When multinational companies set into other countries, they also set their culture into the countries. Again, like pure imperialism, corporate imperialism also brings its own culture to the local people in order to control their mind. The cultures affect them to an extent that they could be crazy about foreign things and obsequious to foreigners. For instance, take a look at Hong Kong, before it was returned, it was controlled by

An Anthropological Perspective ofa Buddhist Ceremony Essay

An Anthropological Perspective ofa Buddhist Ceremony - Essay Example Buddhism has been in existence for many years now and approximately 2500 years ago, Siddhartha Gautama, referred to as Buddha, was on his own awakened (enlightened) at the age of 35 (Bechert, & Richard Gombrich 1984). Buddhism goes further than religion or ritual and is significantly related to a philosophy or a way of life. The reason why Buddhism is seen as a philosophy is due to the fact that philosophy stands for love of wisdom and the Buddhist course can be summarized as a religion that fosters moral lifestyle, is mindful and aware of thoughts and actions and helps in developing wisdom and understanding (Bechert, et al.,1984). Buddhism illustrates a value of life, goals and objectives as it explains evident unfairness and inequality in all parts of the world and it offers a code of customs, way of life or actions that bring about proper happiness (Ajahn 2010). In the present day, Buddhism is becoming accepted for a wide range of reasons. This is due to the fact that Buddhism is said to provide solutions to a number of problems in the contemporary material world. Buddhism also encompass the people who are concerned with profound understanding of the cognitive world the human beings and the natural therapies that that expert psychologists in all spheres of the world are finding out to be equally very sophisticated and helpful (Davidson 2003). Siddhartha Gautama was born in a noble family in Lumbini, found in Nepal in 563 BC. At the age of 29 Gautama discovered that riches and lavishness did not ascertain happiness, therefore he discovered the diverse teachings of religions and philosophy with the intention of finding the explanation to human happiness (Donath 1971). 6 years after study and meditation, he in the end established â€Å"the middle path’ and was enlightened. Subsequent to becoming enlightened, Buddha used most of his time imparting knowledge, values and principles of Buddhism referred to Dhamma, or truth, until his passing away at the age of 80 (Dzongsar 2011). Gautama was never a God and he never claimed to be one. He was a man who focused in teaching a course to enlightenment from his own experiences. Buddhists at times pay tribute to images of the Buddha, however not in worship not to solicit favors (Gethin 1998). A statue Buddha with hands rested lightly in his lap and a gentle smile is reminiscent of the need to working hard to create peace and love in ourselves. Bending over ritual to the statue in the Buddhism ceremony is a gesture of appreciation for the teachings. Above all, one major lesson in the ceremony of Buddha is the riches do not guarantee happiness and as well riches are not permanent. Today, it is evident that many people from different parts of the world suffer however those who fully understand the teaching of Buddha can find true happiness (Goldstein 2002). There are varying kinds of Buddhism for the reason that the focus alternates from nation to nation on account of traditions and way of life . In actual fact, the real meaning of the teaching does not vary at all despite in the Dhamma or the truth (Goldstein, et al., 2002). Buddhism is as well a belief system that tolerates other beliefs, myths, taboos or religions. Buddhism is in agreement with the moral values of other religions. However, Buddhism goes ahead to provide a long lasting objective in our existence based on wisdom and true understanding (Bechert, et al., 1984). Actual Buddhism is significantly forbearing and not worried with labels like Christian, Muslim or Hindu. This is in fact the main reason why there have never been any conflicts based on the name of Buddhism. This is because Buddhists do not preach and attempt to convert, only illustrate in case a

Public speaking Assignment Example | Topics and Well Written Essays - 1500 words

Public speaking - Assignment Example This paper analyzes the TV, online and print advertising strategies of the Trojan brand using an argumentative approach divided into the categories of ethos, pathos and logos as aspects of persuasive advertising (John 2004, 107). Print advertising Print advertising refers to advertisements printed on some form of paper handled by the potential customer and includes offers posted in newspapers and sent via mail. A print advertisement can only be said to be a success when people see it and act upon it as it aims to attract people to products as they are reading or probing through publications. People have a tendency to be receptive to new information and observation of matters of interest when looking through publications (Fujishin 2012, 102-105). This strategy of advertising was the first to be utilized by the Trojan brand on a pharmacist magazine that would then stock their drugstores with the product as it continued to gain popularity. In print advertising, the Aristotle principle o f logos means the process of persuading the consumer by use of reasoning. Providing reasons is the foundation of any argumentation enabling the readers to draw a conclusion about the message being put across. Logos refers to the internal clarity of the claim, perception of its reasons and the value of its supporting indication.The argument in logos is to provide the explicit reasons that the writer provides to support his claim (Armstrong 2010, 226).For example, the Trojan brand would be advocating for the practice of safe sex by the sexually active component of the population. The first approach to analyze the supporting reasons provided in an argument is by considering all the premises the author seems to provide. For example, unsafe sex could lead to unwanted pregnancies and sexually transmitted diseases (STI). This is a process of judgment in itself. The second step is to question which of the premises identified as objects of agreement, the author consider as given. Objects of value in this case are either facts or values of the author about the product that may not be parallel to the reader’s facts and assumed values.For example, Trojan is a trust brand to provide maximum protection against STI’s and pregnancy. Basically, every print advertisement argument should arrive to certain objects of agreement shared between the author and audience.The use of inductive logic is whereby the advertisement designer provides the readers with several similar examples and allowing then to draw a general conclusion. Deductive logic on the other hand provides the readers with general propositions and then allowing the readers to draw a conclusion from a specific truth. The society has generally favored the use of inductive method of logical appeal following an already established truth as opposed to the deductive approach that allows for every individual to believe in their own opinion which may or may not be true. The influence of an operational print ad i s distant from being extinct although there are more options available following technological advancements. It is clear that while conducting an inventory, the marketing team of the Trojan condom company have to be more creative so that their prints don’t fall behind. Online advertising Online advertisement uses the World Wide Web and internet to promote marketing messages to attract customer.Since the strategy began in 1994, Trojan condoms revenue in the United States increased significantly

Companies analysis Essay Example | Topics and Well Written Essays - 750 words

Companies analysis - Essay Example The company offers Kangaroo -TV, a medium for targeted advertising, merchandising, market surveying, and branding1. The recent history of the company shows that it has continued making losses and its share prices have dipped to CAD 0.49 (January 11, 2008: close) - an all time low. The 52 week high is recorded at $3.86 as recently as on December 2, 2007 - a drop of 87% in 17 trading sessions. The plunge thereafter is not surprising, as the stock has found its rational floor from an all time high of $7.65 on May 12, 2006. The rapid fall is despite the news emanating from the company in recent times: The share price movement indicates no connection with stock market indices; with a beta of -0.17 compared with the S&P Index. None of the other indicators like PE, Ask-Bid gap throw up any relevant numbers for analysis. Any investment in this share can only be based on a gut-feel. Technology employed by the company is unique and has good market potential. The only reason for holding this stock is the likelihood of a takeover by a larger and financially stronger company - then too the new company is not likely to offer a very high price to shareholders in case of an aggressive takeover. This stock is useless for prudent portfolio management. Any stocks held should be sold at the best possible price. World Point Terminals, Inc. ... They provide storage, blending, and transportation of crude oil, refined petroleum products, and other liquids to their customers. The company's center point terminals store residual oils, such as liquid asphalt and heavy fuels; and lights oils, such as gasoline, diesel, and heating oil. It also provides crude oil storage services through its south riding point terminal facility. In addition, the company, through a joint venture, operates a fleet of tugs providing marine services5. The company was founded in 1942. The company's stock performance has been good. Some of the key performance indicators are: PE ratio of 21.2, EPS $7.80; 52-week high $26.50; 52-week low $13.68 and present price $15.00 (January 9, 2008 close). We observe that the movement of the stock take place in a narrow band and is mostly linked to the S&P Index as indicate by a beta of 0.966. Some of the key developments announced by the company in recent times are: Financial Reports for the third quarter and nine months ended June 30, 2007 reported7. World Point Terminals Inc. Announces Earnings Results for the First Quarter Ended March 31, 2007 World Point Terminals Declares Extraordinary Dividend Payable on December 15, 2006 The latest financial report is heartening for the investor and performance on all fronts has been good. Net profit margin is up to 30.51% for the quarter and 28.65% for the first nine months as compared to 24.41 for 2006. Return on equity is up from 10.07% in 2006 to 25.35% for the quarter; the year to date return of 11.98% reflects the temporary setbacks the company had in the first six months and it appears to be emerging out of its troubles. The extraordinary dividend (the

Into The Wild Essay Example | Topics and Well Written Essays - 1250 words

Into The Wild - Essay Example The ability to go back into the wild then becomes more than a desire to explore different land and instead to move into the true nature one has. The diary that is portrayed through the book of Into the Wild recounts the journey of McCandless and the diary he has kept while traveling through the mountains of Alaska. The beginning motives that McCandless points out for going into the wild is based on the need for him to find if he can live off the land and to build a unique identity. The main concept that Alex began with was to prove that he could live naturally and without the outside parts of the land interfering with his needs and desires. In the beginning, this is seen through the simplicity of his travel and the lack of clothing, food and material goods he brings. â€Å"Alex admitted that the only food in his pack was a ten pound bag of rice. His gear seemed exceedingly minimal for the harsh conditions of the interior†¦ the only navigational aid in his possession was a tattered state road map he’d scrounged at a gas station† (Krakuer, 1). The beginning description shows that the motive of McCandless was to prove that he could live off the land and instead of being a part of society he could go back to being without the materialism required for living. The ability to prove this to him then became the driving force for him to learn to survive in his natural element. The concept of living off the land by McCandless was furthered throughout the book with the concept of finding identity outside of materialism and expectations of the world. Alex was known to leave to Alaska despite the capabilities he had and the education he had received. He had just graduated college and was offered a promising future. However, he left the promises given to him, changed his name and decided to travel to an area that was remote and unknown. Changing his name, moving

Euthanasia Essay Example | Topics and Well Written Essays - 1250 words - 1

Euthanasia - Essay Example According to my survey, it is apparent that quite a number of people have little understanding of euthanasia and are adamant to embrace the practice. In an attempt to elucidate the opinion of the people and evaluate their propositions about euthanasia, a survey was done. The survey targeted twenty respondents who were required to answer fifteen questions based on the topic of euthanasia. To prevent any inconveniences to the respondents, the survey took approximately ten to fifteen minutes per respondent. The questions were framed in such a manner that one question led to a more deeper and specific question. The responses were brief, most of them having yes/no questions, while some required some brief explanations. No personal data was supposed to be provided in the survey forms in order to protect their confidentiality. The questions were brief, simple and clear so that the respondent clearly understands what the questions involved. Majority of the people interviewed have some basic understanding of euthanasia. Fourteen out of the twenty respondents could distinguish euthanasia and assisted suicide. The reasons given by the respondents about the differences were justifiable, a situation that demonstrated that they understood some aspects of the practice. The basis of assisted suicide as revealed by most of the respondents relates to a person wishing to die. In addition, it is not done to escape a painful and incurable situation. True to the fact that euthanasia is a controversial issue, most of the respondents believe that the practice is not ethically justifiable, nobody among the group stood for the ethical justification. However, lack of experience in having people who were willing to be euthanized among majority of the respondents revealed that, they didn’t really comprehend the magnitude of the situation facing these people. Only two among the twenty had an experience with an individual willing to be euthanized. Euthanasia is one of the practices th at are common in the media. A whooping majority, seventeen out of twenty respondents confessed having never heard or read about the practice in the media. This presents the situation as minor, because if it were a major issue many would have read about euthanasia in the print media and heard through the electronic media. Euthanasia does not appear to be one of the emerging issues neither is it a problem that has been given a lot of attention. However, the fact that a few individuals have heard and read about the practice is enough evidence to reveal that Euthanasia is not any strange around us. Death and pain are resented aspects according the findings of the survey. The majority of the people was of the opinion that life is extremely important and should be protected at all costs. A substantial majority of the people said they would prefer having a person who helps another in committing suicide be prosecuted. In addition, they would not support a death sentence for such an offender but they supported the argument of the legal system handling the case appropriately. However, considering the sensitivity of the cases presented, a majority are of the opinion that euthanasia should be made legal in some cases. This proves the understanding of the people about euthanasia and the opinion they have towards unbearable pain and

Graphic Design as Main Communication Medium Essay Example for Free

Graphic Design as Main Communication Medium Essay As multimedia advances to higher stages of development, the significance of graphic design continues to increase. Graphic design was once considers a visual form of art. Over time, it has come to be recognized as form of communication. Art and communication reflect and serve culture. Culture represents the political and economic structure of the society. Therefore graphic design reflects and promotes political and economic systems. This paper attempt to show that graphic design, layout design of the poster and artistic craftsmanship of typography are the main communication media that have served different cultures during different historical eras. Graphic design can be defined from many perspectives. For a layman, graphic design may simply refer to the production of printed, online, and manufactured materials that are visually appealing. Graphic design is reproduced in either large numbers or in gigantic media such as billboards so that it can get the attention of many people. Being a visual instrument of communication, it usually employs an effective combination of graphics and text in order to convey a message. Graphic design is prevalent in both the capitalists and socialist economies. The capitalist use it mainly to sell goods and services while the socialists use it to sell ideas to motivate people to agree with government policies and work for a socialist economy. Whatever the case , the of aim graphic design is to motivate people to act; the information it relays is meant to move people and not just to satisfy the usual thirst for knowledge. Some people include paintings as graphic design but Barnard in the book, Graphic Design as Communication, denies that this is incorrect. Classical paintings merely tell a story. They are being viewed only in the confines of private homes or museums. They are definitely not for popular consumption. Newark, in the book, The Gutenberg Galaxy, states that the coins found in Apollonia, Greece, which was estimated sometime in 450 BC may be considered the earliest products of graphic design. Because it was a form of currency, it was produced in large numbers. It has a prototypical logo and it was made with the use of a metal die, a technological wonder at that time. Jobling Crowley define graphic design in relation to social structures and the historical context in which such structure exists. Graphic design is shaped by certain society’s beliefs and morals. Jobling Crowley identify three factors that graphic design constitutes the following: It is produced in large numbers; It should be cheap and graphic design conveys ideas through a combination of words and images. However, Jobling Crowley argue that not all products of graphic deign are cheap. In fact, some of them are symbolic of wealth and luxury. Newark defines graphic design by focusing on its functions. Graphic design functions as a means of communication. Once the design is able to attract the attention of people, it must be able to explain its message with the minimum use of words, if any. Brand logos explain not only the product but also the quality it possesses. A graphic design becomes the identity of its subject. People begin to relate certain symbols to what they represent. For example, the elephant symbol becomes the Republican Party. These act on people’s emotions and become factors in determining how they feel the market. Knoblauch points out that communication shapes culture. Culture develops by communication and acceptable interaction by the society. In this regard, since graphic design is a medium of communication, it serves culture as well. It passes through many historical eras and different cultures. This is contrary to the common belief that it is just a product of the modern computer technology. Technology is a continuous process and so is its evolution. History has shown that human beings had begun communicating through visuals before oral communication grew. McLuhan notes that Gutenberg press is an important stage in the evolution of graphic design. Invented around 1440 by Johannes Gutenberg, it made possible the mass production of literary material. Bibles were the first material to be produced. Gutenberg used a special character symbols which he developed himself to represent words and common Latin phrases. Gutenberg’s visually attractive typography and lay-out made the Bible more appealing to people, a fact that served well the cultural interests of the Holy Roman Empire . 1700s and 1800s saw further development of graphic design. This was the time that capitalism was developing at a rapid pace. Publishers were in great competition with each other.. Therefore, graphic design was highly improved. At this point came there arose contradictions between publishers and authors. Publishers used graphic design especially on the covers to make it more attractive. The authors feared that this might change the context of the book. This shows that graphic design can either enhance or destroys the context of the ext. Barchas, J. warns us not to make judgment by looking at the cover of a book since graphic design may convey anther meaning. Graphic design is developing further. The advancement of computer and information technology has made it possible for graphic arts to be blended with other media Graphic design has been used tin advertisement. Eisend advises that the advertisers have to create graphic design that effectively sells a product. The graphic design must also be able to convince the consumer to buy only the brand that it promotes. Lindstrom notes that many companies are gradually transforming the traditional billboards into audio-visual displays, which appeal to more senses other than just sight. In conclusion, graphic design can either be a factor to encourage the survival of a social system or it can destroy it to introduce a new one. Reference The given research paper

Non Medical Independent And Supplementary Prescribing V300 Nursing Essay

Non Medical Independent And Supplementary Prescribing V300 Nursing Essay This essay discusses the evolution of nurse prescribing in the context of legislation and political element, with the consideration of how this has changed and assisted the clinical nurse specialist role, with particularly emphasis on Heart failure. The pathophysiology of heart failure will be discussed and integrated into the relation of drug actions with particular interest into Diuretics. Alongside this; the importance of effective history taking, assessment and consultation skills to treat the patient accurately and at a high standard and quality is discussed. The decision making process and the importance of a shared approach in relation to heart failure is highlighted incorporating the importance of compliance in the maximising the treatment of heart failure. Sources of information and decision support systems that are available will be highlighted with a discussion on the importance of these in principles. Demonstration of ability to prescribe safely, rationally, cost effectively, and in consideration of the public health issues around medicine use are discussed and finally clinical governance through quality assurance and audit of prescribing practice is considered. For the purpose of the essay the following learning outcomes are discussed: Evaluate understanding and application of the relevant legislation and political context of the practice of non-medical prescribing Critically appraise sources of information/advice and decision support systems in prescribing practice and apply the principles of evidence based practice to decision making. Integrate and apply knowledge of drug actions in relation to pathophysiology of the condition being treated Demonstrate the ability to prescribe safely, rationally, cost effectively, and in consideration of the public health issues around medicines use Integrate a shared approach to decision making taking account of patients/carers wishes, values, religion or culture Evaluate effective history taking, assessment and consultation skills with patients/clients, parents and carers to inform working /differential diagnosis. Contribute to clinical governance through quality assurance and audit of prscribing practice and regular continuing professional development The controls of medicines in the UK has undergone a number of regulatory changes since the end of 1800s, climaxing in the Medicines Act (1968). Prior to 1992, doctors, veterinary surgeons and dentists were the only professions legally permitted to prescribe. This situation made the medical profession gatekeepers for medicines, certainly the case for those medicines considered more likely to cause harm or abuse such as controlled drugs i.e. morphine. Cumberledge Report (1986) identified the need for community nurses to prescribe, The Crown Report (1989) published findings of a review to determine the circumstances in which non-medical health professionals could undertake new roles with regard to prescribing, supply and administration of medicines and led to the development of protocols which we now know as Patient Group Directives (PGDs). The Crown Report (1999) recommended that legal authority to prescribe should be extended to include new groups of healthcare professionals, this also bought about the differentiation between Independent and Supplementary prescribers. This report noted that a doctor often rubber stamps a prescribing decision taken by a nurse, which is demeaning to nurses and doctors. (Cooper et al,2008) The Medicinal Products Act (1992) permitted qualified District Nurses and Health Visitors to independently prescribe, and this was only a limited number of medicines from a Community Practitioners Formulary. Over the next few years legislative changes occurred which involved, non community qualified nurses to train as prescribers, together with an increase in medications added to the Nurses Formulary. In 2003, nurses and Pharmacists were permitted to prescribe from the whole of the British National Formulary (BNF) as supplementary Prescribers, except controlled and unlicensed drugs. Controlled Drugs were prescribable by nurses and pharmacists using supplementary prescribing from 2005. During this time other allied Healthcare professionals such as physiotherapists, Radiographers, Podiatrists and optometrists were also able to become supplementary prescribers. (DOH, 2005) These rapid changes in the development of non medical prescribers in the United Kingdom were a contrast to the gradual introduction to prescribing rights in the United States of America. (Armstrong,1995). The UK now has the most extended non medical prescribing rights in the world. (Armstrong, 1995) In 2006, DOH (2006) permitted trained nurses and pharmacists to independently prescribe all medicines within their clinical competence. The most recent changes have occurred to the Misuse of Drugs Regulations (2012) which now means that appropriately qualified nurses and pharmacists will be able to prescribe controlled drugs like morphine, diamorphine and prescription strength co-codamol. Currently there are more than 50,000 Non medical prescribers in the UK, around 19,000 nurses and almost 2,000 pharmacists are qualified as Independent and/or supplementary prescribers (Carey, 2011) The changing legislation of Non medical Prescribers has changed alongside with the environment of the NHS services. This is recognised in the guide produced by NMC (2010) stating that the services delivered by the NHS become more challenging and complex as there is an ever increasing need for improved productivity without the compromising of quality. Coronary Heart disease, puts great pressure and demands on the National Health Service (NHS). Hospital admissions for Chronic heart failure have increased markedly, chronic heart failure accounts for about 5% of all medical admissions and approximately 2% of total health care expenditure. Despite improvements in medical management, under treatment for heart failure is still common. (Mcmurray et al, 2002) In 2002, The British Heart Foundation (BHF) piloted a scheme and funded with the help of Big Lottery Fund ninety two Heart failure nurses throughout the United Kingdom. The results were shown in the final report BHF (2008) showing an average reduction in heart failure admissions of 43% and an average estimated saving, per heart failure patient of  £1, 826. Increasing the role of the Non medical prescribers therefore increasing the skills and knowledge of nurses/pharmacists only enhances the vital role within the field these nurses have in todays current fight to provide the highest quality care possible. It has been shown that registered nurses are extending their roles and responsibilities to work in new ways (Furlong + smith, 2005). Crowther et al (2003), Gattis et al (1999), Paniagua (2011) Lambrinou et al (2012) and Jaarsma (2010) have all shown that Heart failure nurse specialists are optimal providers to assist physicians with Heart failure care for this complex and time-consuming patient population. The management of heart failure is complex involving both pharmacological treatments and strategies to improve patients functional status and quality of life (Palmer et al, 2003) Heart failure can be defined as an abnormality of cardiac structure or function leading to failure of the heart to deliver oxygen at a rate commensurate with the requirements of the metabolizing tissues. (ESC, 2012) Clinically patients present with typical symptoms; breathlessness, ankle swelling and fatigue. And signs; elevated JVP, pulmonary crackles and displaced apex beat. Diagnosis of heart failure relies on a detailed history and accurate physical examination (NICE, 2010). These symptoms can be related to either a reduction of cardiac ourput (fatigue) or to excess fluid retention (dysapnea, orthopnea and cardiac wheezing) fluid retention also results in peripheral oedema and occasionally an increasing abdominal girth secondary to ascites. Symptoms and signs are often non-specific and could be related to other conditions. Knowledge on the use of other diagnostic services is necessary: Echocardiography, Electrograph, Chest Xray, Blood tests all contribute to the confirmation of diagnosis. Case study One demonstrates a typical presentation of a patient presenting with first presentation of heart failure symptoms; typically compromised and in need of expert medical treatment; Pharmacological and non pharmacological therapies. This patient presented with clear signs of congestion and volume retention of which a diuretic therapy plays a central role in the treatment (Felker and Mentz, 2012) As the heart fails, there is a reduction in both blood pressure and cardiac output, in response to this the body conserves water which results in oedema. Diuretics act at different sites of the kidneys, they then eliminate sodium and water through enhanced excretion from the kidneys so are able to relieve the symptoms of fluid congestion. Different classes of diuretics work at different points within the kidney tubules. (Davies et al, 2000) Appendix two shows the diuretics available. This patient was treated with Furosemide intravenously (IV), most patients receive a loop diuretic as first line treatment for heart failure (Faris et al, 2012.) Loop diuretics are the most frequently used diuretic in treatment of Chronic heart failure despite their unproven effect on survival, their indisputable efficacy in relieving congestive symptoms makes them first line therapy for most patients. (Bruyne, 2003) Appendix three shows how loop diuretics work. As already stated first line treatment for acute decompensated heart failure is intravenous diuretic therapy either as a bolus or via continuous infusion. Despite being available for decades, few randomized trials exist to guide dosing and administration of this drug. In 2011, the Diuretic Optimization Strategies Evaluation (DOSE) trial used a prospective, randomized design to compare bolus versus continuous infusion of IV furosemide, as well as high-dose versus low-dose therapy. The study found no difference in the primary end point for continuous versus bolus infusion. High-dose diuretics were more effective than low dose without clinically important negative effects on renal function. Although no difference was found between IV and bolus dose there are benefits to both elements so clinical judgement would be made on the specific patient needs and requirements, for example, immobilization, duration of therapy requirements, haemodynamic status. The aim of using diuretics is to achie ve and maintain euvolaemia (the patients dry weight with the lowest achieveable dose. (ESC, 2012). Case study two identifies a patient whom is another example of heart failure but offers a different presentation; this accentuates the importance of a careful physical examination and valuable accurate history taking. The absent breathe sounds over the right base of lung field along with the history was an indication of pleural effusion and initiated the prescription of a radiograph chest to be performed. Absent or diminished breath sounds strongly suggest an effusion (Kalantri et al, 2007) unfortunately Congestive heart failure is the most common cause of a pleural effusion. (Enrique, 2008) Again, Pleural effusions from heart failure are managed with diuretic therapy, initially with a loop diuretic, intravenously titrated in response to clinical signs, daily weights and renal function to avoid excessive volume depletion. (Light, 2002) Non-compliance in patients with heart failure (HF) contributes to worsening HF symptoms and may lead to hospitalization. (Van der wal, 2006). Using skills that were taught during basic nursing training is imperative in conducting a beneficial and effective clinical examination, these interpersonal skills may dictate how the patient and carers perceive and acknowledge there diagnosis and may have an influence on the approach the patient has on his/her own health. Over the past 3 decades, the biopsychosocial model of health has become increasingly important in the effective practice of medicine. Central to this model is an emphasis on treating the patient as a whole person, including the biological, psychological, behavioral, and social aspects of their health (Engel, 1980). The American Heart Association (AHA) in collaboration with other professional societies has issued a new scientific statement for the management of patients with advanced heart failure. It emphasizes shared decision making and is designed to help physicians and other health professionals align medical treatment options with the wishes of the patients. Allen (2012) recognises the complexity of heart failure and complexity of the treatment options can be a barrier to shared decision making, but this only emphasizes why such a patient-centred approach should be undertaken in Advanced heart failure. Shared decision making has received particular emphasis in relation to the pre scribing of drug treatments. Traditionally, studies have identified 50% of patients with chronic conditions do not take their treatment as prescribed, with major reasons being because they do not share the doctors views, or they are worried about side effects. (REF QUOTE?) Therefore the aim is to explore these issues by adopting a shared decision making approach and reach a concordance between doctor and patients. Therefore getting patients involved in the planning and management of care, being sensitive to the individuals need, spending time figuring out what is important to them, will hopefully reduce some of the confusion and complexities concerning heart failure. Although knowledge alone does not insure compliance, patients can only comply when they possess some minimal level of knowledge about the disease and the health care regimen. (Van der wal, 2006). The National Prescribing Centre (2012) designed a competency framework which can be seen in appendix 3. One of the three domains is the consultation which highlights three areas of importance 1; Knowledge; pharmacological and pharmaceutical. 2; Options; concerning the diagnosis and management 3; Competency; involving shared decision making with parents, patients and carers. The data is clear that for the benefit of the patient and success with the treatment regimen it is vital to consider wishes of the patient/carer, ethical, cultural opinions, lifestyle of the patients. Also contributing factors which may cause non-complicance whether intentional or not for example: polypharmacy, complicated dose regimens, unpleasant side effects, and cognitive problems or physical disability preventing the patient taking the medicines. A large number of factors need to be incorporated into the thought process prior to getting to the point and writing a prescription. Surrounding issues that directly and indirectly support patient orientated prescribing Sources of information are on number of levels. In a hospital ward, for example, immediate sources of information include the British National Formulary (BNF) and ward pharmacist. The role of both is, at least in part, to assist in ensuring that, for any prescription, the correct dose and timing of administration are correct and appropriate for the indication. The BNF is widely available and accessible and can and should be used to assist in prescribing whenever there is any doubt about dose and timing. The Pharmacist provides an additional safety netting, by checking prescriptions before providing the medications. In addition, the pharmacists role includes ensuring that medications prescribed are available for administration. Further afield, but still within the hospital, local policies give guidance on what drugs are available and recommended for a particular indication. These policies may be produced by the hospital or by regional bodies, including SHA, Network PCTs, for example, local arrangement may mean that a particular statin is used for primary prevention of coronary heart disease, due to local procurement agreements or cost effectiveness analyses. Beyond the hospital setting, a number of sources provide guidance on what should actually be prescribed, or considered, for a given condition. Such sources might include national bodies, in particular National institute of clinical excellence (NICE) and specialist societies. The latter may be national and or international. For example, in the field of heart failure, NICE has given guidance on what medications should be administered and at what stage of the disease and symptoms. For all patients ACEI: should be given. There are many different ACE I. The guidelines recommend using only those which have actually been proven to be of benefit in heart failure; these [emailprotected]@@@@@@. For those who are intolerant of ACE; ARB should be used. Again, NICE recommends thoses that have shown efficacy in clinical trials, and these [emailprotected]@@@@@@. Beta-blockers are recommened but not any betablocker. Only those with proven @@@ in heart failure should be used; these are Aldosterone A ntagonists should also be used for patients with advanced heart failure (NYHA III/IV). Guidance recommends spironolactone, or eplernone if not tolerated (most usually due to gynaenomastia in men) From the above, it may be seen that the National guidance indicates which drugs from each class should be considered for each purpose. This leaves room for local policies and prescribers to decide which of the available agents is suitable for a particular individual. Pursuing the example of heart failure further, international guidelines are issued by a number of bodies. The principle of these is the European Society of Cardiology (ESC) and the American College of Cardiology (ACC) and the American Heart Association (AHA). Of these, the ESC guidelines are most applicable to the United Kingdom. Societal guidelines tend to focus more on a particular disease and the available evidence to provide best treatment, whereas NICE guidelines have greater emphasis on appraisal of cost-effectiveness, which is of greater relevance to the local health economy in the UK. Furthermore, ESC guidelines give a strength of recommendation for a particular treatment (Class I, IIa, IIb) and an indication of the level of evidence behind the recommendation. (A, B, C) Ultimately, the source of information which informs societal guidelines comes from research, in the form of clinical trials, performed on the back of pre-clinical research. Therefore, the doses of drugs which are recommended for use usually reflects the dose and frequency of a drug or used in a clinical trial which demonstrated benefit. There are therefore numerous levels of information and advice which support prescribing practice. For many conditions, these are ultimately based on evidence derived from clinical trials, in some areas these will be the gold standard RCT. However, some trials provide softer evidence, such as observations data or even anecdotal. Understanding of these various trials and guidelines is important to understanding how local guidelines and daily prescribing practice come about and are supported by evidence. The trials/guidelines all mentioned above have provided convincing evidence that clinically significant improvements can be achieved in heart failure by appropriate drug treatment. Moynihan et al (2002) recognises that the adoption of more effective and/or safer drugs, new technologies are usually more expensive, aging of the population leads to increased morbidity and drug therapy, all play a role in increasing drug expenditure. Medicines are regarded an expenditure, but can also be an investment, if they are used rationally. Rational prescribing means cost effective use of safe and effective drugs. Specialist clinics for heart failure are a tool for delivering care according to clinical guidelines and providing diagnostic treatment. They provide optimal management of the condition, education of patient and carers about the signs and symptoms of worsening disease and medication compliance. Advances in medication and technology for heart failure are vast, which again strengthens the need and importance of such clinics to enable patient treatment to change accordingly and appropriately. Studies have shown that if patients are treated by Cardiology clinicians or Heart failure specialist nurses, clinical guidelines are more likely to be followed and readmission rates are lower for these patients. (Reis et al, 1997) An example of prescribing within heart failure is an investment for the patient and the NHS is the use of Angiotensin-converting enzyme inhibitors (ACE I). These have been shown to improve symptoms, survival and slow progression of heart failure. (Luzier et al, 1998). ACE I are one of the essential therapies for all heart failure patients, if tolerated. Treatment should be maximised and in maximising the dose quite often you can reduce or stop the use of loop diuretics due to improved symptoms and clinical signs. (Hoyt et al, 2001) Therefore patients who are appropriately treated and titrated to maximal therapy therefore benefit clinically, may reduce other medicines and they can overall reduce the chances of hospital admission with decompensated heart failure which is beneficial to the patient and the NHS finances. A recent study by Dharmarajan et al (2013) covering three million hospitalizations showed that more than a third of readmissions (within 30 days of discharge) were for heart failure. Their thought was that many of these could have been preventable, with greater input from pharmacists, physicians, nurse specialists, and greater consideration to social elements; reducing readmission also reduces other risks involved in exposing patients to hospitalization. The National Heart failure Audit (2012) conducted by NICOR is an audit to monitor progress, clinical findings and patient outcomes of patients with heart failure. It is an essential audit for each NHS trust to comply and complete. ++. It provides critical information on management and outcomes which then provides data essential to drive future improvements. Conclusion: CASE STUDY ONE Description of clinical setting: Patient was an inpatient on the Cardiology ward; he was admitted the day before and had been referred to Heart failure clinical nurse specialist for review. Case history: An 84 year old retired postman was admitted from home with progressive worsening shortness of breath over the last 6 weeks. He had been to see the General Practitioner two weeks ago who treated him for a chest infection with a course of oral antibiotics (Amoxycillin). He denies any chest pain, however he complains of palpitations at times of exertion and a productive cough. Patient had not experienced any syncope, dizzy spells; only other complaint was loss of appetite and poor quality sleep. Patient has been sleeping with 4 pillows, waking regularly due to struggling for breathe and resulted to sleeping in the chair downstairs. Exercise tolerance had drastically reduced to 50 metres before having to stop due to breathlessness. On examination the patient was tachypnoeic, pulse was 95 and regular, sitting blood pressure was 110/62 standing 105/55. Weight 97kg. Oxygen Saturations on air 94%. Inspiratory crackles were clearly heard on both lung bases, no heart murmur could be auscultated and apex beat was misplaced to the anterior auxiliary line. JVP was raised +4. Pitting peripheral oedema up to thighs and a large distended abdomen, which was soft and not tender on palpation. ECG confirmed Sinus tachycardia with Q waves in antero lateral leads. Chest x-ray also confirmed cardiomegaly and interstitial oedema. Drug treatment pre admission: Aspirin 75mg once a day (OD) Blood pressure control Past medical history: Anterior lateral Myocardial infarction 7 years ago (2005) followed by Angioplasty to the right coronary artery. No further operations or admission to hospital. Blood results: Chemistry: Sodium 128mmol/l, Potassium 4.8 mmol, Urea 9 mmol/l, Creatinine 145 mmol/l, LFTs, HB and clotting was all unremarkable. Echo: severe left ventricular dysfunction, with minor tricuspid regurgitation. Social background: Patient lives with wife in a two bedroom bungalow, they are both normally well and independant. He has no allergies and takes no over the counter medications or recreational drugs in the past or present. Drug chart to date in hospital: Aspirin 75mg OD Frusemide 80 mg OD Ramipril 2.5 mg OD Discussion: Patient was fortunate enough to have had Echocardiography that morning, which offered me the definitive diagnosis. This gentleman presents with a common clinical presentation of progressive systolic dysfunction of an ischemic cause. The patient was comfortable and stable enough for a steady and methodical examination and history taking. On construction of a management plan for this patient, clearly first line treatment is diuretic therapy, T Effective dieresis and consequent adjustment of the loading conditions of the failing heart is generally regarded as essential (Raftery, 1994) This patient went on to be prescribed Intravenous Diuretics, instructions for Daily weights, Fluid balance, advice and rehabilitation for heart failure. Then longer term plan for titration of Heart failure medications to achieve maximum therapy suitable for this patient. Allen, L.A., Stevenson, L.W., Grady, K.L., Goldstein, N.E., Matlock, D.D., Arnold, R.M., Cook, N.R., Felker, G.M., Francis, G.S., Hauptman, P.J., Havranek, E.P., Krumholz, H.M., Mancini, D., Riegel, B. and Spertus, J.A., for the American Heart Association; Council on Quality of Care and Outcomes Research; Council on Cardiovascular Nursing; Council on Clinical Cardiology; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Surgery and Anesthesia, 2012. Decision making in advanced heart failure: a scientific statement from the American Heart Association. Circulation, 125(15), pp.1928-1952. Armstrong, P., McCleary, K. J. and Munchus, G., 1995. Nurse practitioners in the USA their past, present and future. Some implications for the health care management delivery system. Health Manpower Management, 21(3), pp.3-10. Avery, A.J. and Pringle, M., 2005. Extended prescribing by UK nurses and pharmacists. British Medical Journal, 331, pp.1154-1155. Bruyne, L.K., 2003. Mechanisms and management of diuretic resistance in congestive heart failure. Postgraduate Medical Journal, 79(931), pp.268-271. Carey, N. and Stenner, K., 2011. Does non-medical prescribing make a difference to patients? Nursing Times, 107(26), pp.14-16. Cooper, R., Guillaume, L., Avery, T., Anderson, C., Bissell, P., Hutchinson, M., Lynn, J., Murphy, E., Ward, P. and Ratcliffe, J., 2008. Non medical prescribing in the United Kingdom: developments and stakeholder interests. Journal of Ambulatory Care Management, 31(3), pp.244-252. Crowther, M., 2003. Optimal management of outpatients with heart failure using advanced practice nurses in a hospital-based heart failure centre. Journal of the American Academy of Nurse Practitioners, 15, pp.260-265. Davies, M.K., Gibbs, C.R. and Lip, G.Y., 2000. ABC of heart failure. Management: diuretics, ACE inhibitors and nitrates. British Medical Journal, 320(7232), pp.428-431. Department of Health and Social Security, 1986. Neighbourhood nursing a focus for care (Cumberledge report) London, HMSO. Department of Health, 1989. Report of the Advisory Group on Nurse Prescribing (Crown report) London, HMSO. Department of Health, 2000. National Service Framework for Coronary Heart Disease. London, HMSO. Department of Health, 2005. Supplementary prescribing by nurses, pharmacists, chiropodists/podiatrists, physiotherapists and radiographers within the NHS in England. A guide for implementation. London, HMSO. Department of Health, 2006. Improving patient access to medicines: A guide to implementing Nurse and Pharmacists independent prescribing within the NHS in England. London, HMSO. Dharmarajan, K., Hsieh, A.F., Lin, Z., Bueno, H., Ross, J.S., Horwitz, L.I., Barreto-Filho, J.A., Kim, N., Bernheim, S.M., Suter, L.G., Drye, E.E. and Krumholz, H.M., 2013. Diagnosis and timing of 30 day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. Journal of American Medical Association, 309, pp.355-363. Diaz-Guzman, E. and Budev, M., 2008. Accuracy of the physical examination in evaluating pleural effusion. Cleveland Clinic Journal of Medicine, 75(4), pp.297-303. Faris, R.F., Flather, M., Purcell, H., Poole-Wilson, P.A. and Coats, A.J., 2012. Diuretics for heart failure. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD003838. DOI: 10.1002/14651858.CD003838.pub3. Felker, G.M., Lee, K.L., Bull, D.A., Redfield, M.M., Stevenson, L.W., Goldsmith, S.R., LeWinter, M.M., Deswal, A., Rouleau, J.L., Ofili, E.O., Anstrom, K.J., Hernandez, A.F., McNulty, S.E., Velazquez, E.J., Kfoury, A.G., Chen, H.H., Givertz, M.M., Semigran, M.J., Bart, B.A., Mascette, A.M., Braunwald, E., OConnor, C.M., for the NHLBI Heart Failure Clinical Research Network, 2011. New England Journal of Medicine, 364(9), pp.797-805. Felker, G.M. and Mentz, R.J., 2012. Diuretics and ultrafiltration in acute decompensated Heart failure. Journal of the American College of Cardiology, 59(24), pp.2145-53. Furlong, E. and Smith, R., 2005. Advanced nursing practice. Policy, education and role development. Journal of Clinical Nursing, 14, pp.1059-1066. Gattis, W.S., Hasselbied., V., Whellan, D.J. and OConnor, C.M., 1999. Reduction in heart failure events by the addition of a clinical pharmacist to the heart failure management team. Archives of Internal Medicine, 159, pp.1939-1945. Hawkins, N.M., Petrie, M.C., Jhund, P.S., Chalmers, G.W., Dunn, F.G. and McMurray, J.J., 2009. Heart failure and chronic obstructive pulmonary disease: diagnostic pitfalls and epidemiology. European Journal of Heart Failure, 11, pp.130-139. Hoyt, R.E. and Bowling, L.S. 2001. Reducing readmission for congestive heart failure American Family Physician, 63(8), pp.1593-1598. Hunt, S.A., Baker, D.W., Chin, M.H., Cinquegrani, M.P., Feldman, A.M., Francis, G.S., Ganiats, T.G., Goldstein, S., Gregoratos, G., Jessup, M.L., Noble, R.J., Packer, M., Silver, M.A., Stevenson, L.W., Gibbons, R.J., Antman, E.M., Alpert, J.S., Faxon, D.P., Fuster, V., Gregoratos, G., Jacobs, A.K., Hiratzka, L.F., Russell, R.O. and Smith, S.C. Jr; American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure); International Society for Heart and Lung Transplantation; Heart Failure Society of America, 2001. ACC/AHA Guidelines for the evaluation and management of chronic heart failure in the adult: Executive Summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure): Developed in collaboration with the International S ociety for Heart and Lung Transplantation; Endorsed by the Heart Failure Society of America. Circulation, 104(24), pp.2996-3007. Jaarsma, T., 2010. Multidisciplinary approach in heart failure: evidence, experiences and challenges. Journal of Cardiac Failure, 16(9), pp.1071-9164. Kalantri, S., Joshi, R. and Lokhande, T., 2007.

Hollywood Dominance of the Movie Industry

Hollywood Dominance of the Movie Industry There are many contributing factors to how Hollywood became such a dominant business. Most of these factors rely on the history of Hollywood and how the film companies that founded it adapted. Hollywoods dominance stared to grow in 1915. This was when the foundations were laid for studios such as: Paramount, Fox, Universal, MGM and Warners. These companies would form the core of the Studio System from 1930s onwards. During this time Hollywood promoted itself by promoting the war. January 1916, the Hollywood film community made an alliance with Washington, DC to try and raise awareness of the war through film.  Hollywood was able to get involved in the War effort by making films to educate the community, producing entertainment features with patriotic, morale-boosting themes and messages about the American way of life. After World War 1, Hollywood put a structure in place that would dominate for 40 years and more. Influential producers like Adolph Zukor set up vertically integrated companies. He was part of Paramount Pictures of which he served as president until  1936  when he was made chairman. He revolutionized the film industry by organizing production, distribution, and exhibition within a single company. Zukor was also an accomplished director and producer. He retired from Paramount Pictures in  1959. Also after the war, budgets rose 10 times pre-war levels, so Hollywood then became a national industry. During the so-called  Golden Age of Hollywood, which lasted from the late1920s to the late 1950s, thousands of movies were issued from the Hollywood studios. The start of the Golden Age was arguably when  The Jazz Singer  was released in 1927, ending the silent era and increasing box-office profits for films as sound was introduced to feature films. Most Hollywood films stuck closely to this method -  Western, slapstick comedy,  musical,  animated cartoon and biographical picture. After  The Jazz Singer  was released in 1927,  Warner Bros gained huge success and was able to obtain their own army of movie theatres.  Ãƒâ€šÃ‚  By the 1930s, most Americas theatres were owned by the Big Five studios -  MGM,  Paramount Pictures,  RKO,  Warner Bros and  20th Century Fox.   These Major studios owned 75% of first-run cinemas. The  studio system  was a means of film production and distribution dominant in  Hollywood  from the early 1920s through the 1950s. Some have compared the Hollywood studio system to a factory. Their product output in 1937 surged to over 500 feature films. By the 1980s, this figure dropped to an average of 100 films per year. During the Golden Age, the studios were remarkably consistent and stable enterprises. The rise of the studio system also relied on the treatment of the stars of Hollywood, who were created and exploited by the studio to reflect their image and agenda. Actors and actresses were bound by contracts to one studio for several years, and the studio usually had all of the power. These stars were loaned out to other studios. Studios also had the power to force actors into bad roles and control their image. [Directors were] to make sure the actors hit their marks while the camera was running (Biskind, Easy Riders, Raging Bulls, p.19) However, studio heads realized that they couldnt repeat movie storylines and roles and still make a profit. This resulted in different studio styles as they tried to differentiate themselves from other studios. Falling attendance and the  Paramount  decision broke apart the studio system, depriving the studios of the financial controls that made sure of regular profits, paid the studio overhead, and thereby restructured their factory-based operations. The major studios survived by adapting the system, fundamentally changing the ways they did business and establishing methods (still in use today) that reduced their controls of production. This stopped the system of mass movie production that had occupied Hollywood for decades. Essential to the studios survival was their collective control of distribution, the one aspect of their monopolistic operations not affected by the  Paramount  decision, and their willingness to share control of filmmaking with independent producers, top talent, and talent agencies. Simply stated, the studios became primarily financing-and-distribution entities, reviewing projects that were developed and packaged by the growing ranks of inde pendent producers, then in the event of a green light, leasing their production facilities and providing a portion of the production cost in exchange for the distribution rights-and, frequently, for the eventual ownership of the completed film. The studios themselves began producing fewer, big pictures-biblical epics and big-screen westerns-during the 1950s, precursors of the blockbusters that now rule the industry. The studios shared control of film production not only with independent producers and freelance directors, but also top stars whose marquee value gave them tremendous leverage. And because most filmmaking talent operated freelance by the 1950s, talent agencies like William Morris and MCA (Music Corporation of America) also became a major force in postwar film (and television) production. The major studios initially resisted but soon came to terms with television in the 1950s, selling or leasing their older films to TV syndication companies while revamping their factory-based production operations for telefilm series production. By the 1960s, movies were running nightly on prime time television and the studios were turning out far more hours of telefilm series than feature films. Meanwhile, movie attendance continued to erode, despite rapid population growth, and the studios gambled on high-stakes blockbusters like  Cleopatra  (1963) and  The Sound of Music  (1965) but relied primarily on television to pay the bills. Studio fortunes by the late 1960s were at an all-time low, rendering them prime acquisition targets, and many were swallowed up by large conglomerates like Gulf + Western (Paramount), Transamerica (United Artists), and Kinney Services (Warner Bros.), as well as real estate tycoon Kirk Kerkorian (MGM). The MCA-Universal merger i n 1962 was the first and by far the most successful alliance at the time, due to its savvy integration of film and television operations and its maintenance of at least a semblance of the old studio-based mode of production. After the fall of the studio system and the influence of Television, Hollywood adapted to become New Hollywood, a term used to describe a new generation of directors who had taken inspiration from Europe in the 1960s. These new directors influenced the types of films that were produced, how they were produced and how they were marketed. This impacted the way major studios approached filmmaking. Jaws was devastating to making artistic, smaller films. They forgot how to do it Peter Bogdanovich One of the films that changed Hollywood forever was Jaws. This film raised the bar for New Hollywood. Released in June 1975, at 460 theatres simultaneously, on an unprecedented wave of TV advertising, Jaws was everywhere at once. The film needed only 78 days to surpass The Godfather as the top-grossing movie of all time (at least until 1977, and Star Wars). Jaws  was regarded as the father of the summer  blockbuster film  and one of the first high concept films. Due to the films success in advance screenings, studio executives decided to distribute it in a much wider release than ever before.  The Omen  followed in the summer of 1976 and then  Star Wars  one year later in 1977, cementing the notion for movie studios to distribute their big-release action and adventure pictures (commonly referred to as  tentpole pictures) during the summer.   By making Jaws, Universal spurred the movie industrys recovery with its phenomenal success that spawned a new breed of blockbusters like  Star Wars  (1977),  Grease  (1978), and  Superman  (1978), summer releases launched via nationwide marketing that resulted in record box-office profits and were the dominant, defining products of the New Hollywood. The success of these blockbusters reinforced an economic recovery in the industry that continues today, and it enabled the studios to regain some of their lost authority as well, as they became increasingly adept at transforming blockbuster hits into entertainment franchises-multimedia product lines comprised of movie sequels, TV spinoffs, video games, theme-park rides, soundtrack albums, music videos, and an endless array of licensed merchandise. Hollywoods recovery accelerated during the 1980s, fueled by a range of factors that complemented the studios burgeoning blockbuster mentality. One fact or was the rapid growth of new media technologies and new delivery systems, most notably home video and pay-cable television (i.e., subscription movie channels like HBO), which proved to be as hit driven as the box office. Foreign markets were equally receptive to Hollywood blockbusters, and thus the studios international distribution operations grew steadily during the 1980s, going into high gear in the 1990s, when the fall of the Soviet Union and the concurrent economic reforms in China created a truly global market for Hollywood films. The Hollywood that we know today has been shaped by its history, the drive to produce movies that make a profit. Studios now focus on relying on very expensive blockbusters to remain profitable. Studios now also rely on star power and large advertising campaigns to market every new up-coming movie and attract a huge audience. In conclusion, Hollywood has become the dominant cinema producer in the world and has retained its pre-eminence by changing and adapting to its audiences. It must also be remembered that Hollywood is a business, therefore to survive it has had to make good business decisions to continue making a profit.

The Government of Ancient Rome :: essays research papers

Rome is located on the Tiber River in Italy. This environment provided arable land, and therefore had good crops. In addition, a peninsula provided access to the sea on both sides. Rome had a Mediterranean climate, and the Tiber provided sources of water for easy access to the sea and transportation. The Alps and the Apennines provided the water for Rome?s river system, and the ash from nearby volcanoes provided fertile soil, as to further promote the wellness of the arable land. There were natural harbors, providing trade and economy growth. Rome had a tripartite government that maintained elements of monarchy, oligarchy, and republic. Rome?s tripartite government had three branches. The branches were executive, legislative, and judicial. The first branch was the executive branch. The executive branch had magistrates who represented the tradition of monarchy, led the government and the army, acted as judges and high priests, and occupied the ruling position once held by a king. They also managed tax collection and the maintenance of roads. Consuls, or the two leaders elected by citizen?s representatives, held the highest office of state and powers, and conducted games in the Circus Maximus. They also helped the Genoese merchants and sailors with difficulties with local authorities. Praetors heard cases, developed much of the civil and criminal law, and some had jurisdiction over important criminal cases. Censors, or the ?moral guardians? of Rome, assessed wealth of citizens, and supervised public morals and management of public finances. The dictator had military control, and was temporarily all-powerful. The dictator also dictated policies in times of need. The second branch was the legislative branch. The legislative branch had a senate that passed many decrees, represented the tradition of oligarchy, advised consuls, and controlled state finances and passed laws. Patricians were the upper class, ran the government, and acted as leaders. The third branch was the judicial branch. The judicial branch had an assembly that represented the democratic element of the Roman Republic, placed men in classes according to how much military equipment they could provide, and elected tribunes, or the representatives of the common people, or plebeians. There was a council of plebeians, which had little power, could not hold office, and could not serve as priests, because they were common people. The Roman Republic ensured a system of checks and balances. Checks and balances means to keep any one branch of government from gaining more power than the others gain.

The African-American Nightmare Exposed in Black Literature Essay

African-American Nightmare Exposed in Olaudah Equiano, Narrative of Frederick Douglass, Song of Solomon, and Push    The American Dream was founded on the concept that "all men are created equal"(Jefferson 729) and that everyone has the capability and resources to "pull themselves up by their bootstraps." The Declaration of Independence was written so Americans could achieve this dream, but was not written with the African slave in mind. The African slave was never intended to be a part of this American Dream, therefore, not capable of obtaining it. These slaves were beaten up and/or lynched by their massas with these bootstraps instead of being "pulled up" by them.    Even after the signing of the Emancipation Proclamation in 1863, Blacks still did not have access to all of the privileges of the white world. The Jim Crow laws of 1877 constantly reminded Blacks of their second-class citizenship and also limited them to certain areas and to very few resources. Signs reading "Whites Only" or "Colored" hung over restroom doors, drinking fountains and other public places.    The dominant American Dream narrative involves voluntary participation, forgetting the past, and privileging the individual while the alternative Dream narrative of American minorities involves forced participation, connecting tot the past, and privileging the group-the traditional (extended) or alternative families. So, clearly, to the African-American, there were and still are many restrictions that go along with the American Dream.    The great civil rights leader, Dr. Martin Luther King in his famous speech, "I Have a Dream," delivered August 28, 1963 at the Lincoln Memorial during the March on Washington, D.C., supports these limi... ...Life of Frederick Douglass. 1845. The Classic Slave Narratives. Ed. Henry Louis Gates, Jr. New York: Penguin Group, 1987. Equiano, Olaudah. The Life of Olaudah Equiano. 1814. The Classic Slave Narratives. Ed. Henry Louis Gates, Jr. New York: Penguin Group, 1987. Hughes, Langston. "Dream Deferred". Literature, Reading Fiction, Poetry, Drama & the Essay. 4th Edition, Published by McGraw Hill, 1998. Jefferson, Thomas. The Declaration of Independence. 1776. The Norton Anthology of American Literature, 4th ed. v.1,ed. Nina Baym et al (NY: Norton, 1994), 729. King, Jr., Martin Luther. "I Have a Dream." A Testament of Hope: The Essential Writings of Martin Luther King Jr., Ed. J. M. Washington. Harper & Row, 1986. 217, 219. Morrison, Toni. Song of Solomon. New York: The Penguin Group, 1977. Sapphire. Push. New York: Vintage Contemporaries, 1996.   

Malcom X: Movie and Real Life Comparison

In 1992, director Spike Lee combined his artistic vision with historical events to create the controversial and much hyped film Malcolm X, a biographical and historical account of the slain civil rights leader. Staring as Malcolm X was Denzel Washington who has been noted that this was his best role in a movie to date. As controversial as the flesh and blood Malcolm X was in life, so was the film version of his life as depicted by Lee.Lee made sure to not make the film just based on entertainment purposes as he focused on Malcolm X’s life and achievements by depicting actual events into his movie. Furthermore, Spike Lee tells the story of a not always likable, sometimes reluctant man. He shows Malcolm X as a man who is constantly learning and developing his ideas. Instead of depicting Malcolm X as an unlikeable man, Lee tries to show different sides of Malcolm X and that people (Malcolm X) can change and grow from who they once were.In retrospect, it would seem that Malcolm X represented the exact opposite of the peaceful protests advocated by his contemporary, Martin Luther King, Jr. An example of this is shown in the movie through Malcolm X’s speeches and actions that he thought violence was the only way that the conditions would change between the whites. In viewing the film, one can see that Spike Lee, from the start, was not going to take the safe route in the direction of this motion picture.It was easy to tell in the beginning of Lee’s film that the classification of Malcolm X’s times in life and the period of discrimination were accurate in the movie. The opening credits featured an American flag slowly being consumed by flames and burning to ashes. This is symbolic not only of the nation in turmoil which Malcolm X preached the idea of racial equality. But also as a symbol of a place where people in the wrong position, such as African-Americans faced with prejudice, hatred and worse, could literally and socially be scolded be yond recognition. Lee confronts reality head on in his film.What is depicted in Malcolm X is a story within a story; watchers see the actions and progress of Malcolm X as a social advocate. But  as the sub-context of his controversial crusade, we also learn as the film unfolds that Malcolm X's mother, father, uncles, and countless other relatives and friends were direct victims of the hatred and violence of the white majority in America, during a time when the nation was supposed to be free and equal for all. A scene in the movie that best depicted the racism and the violence was the scene outside the Little’s family house, a black family.In this scene the black legion starts to pass around gasoline cans and then flames roar through the room and the Little kids are hysterical. Louise, the wife, rushes in and pushes them past the fire, she has infant in hand covered in a blanket. They barely make it outside when they are confronted by a black legion member who threatens them and tells them to leave the community. In conclusion, what is seen in Spike Lee's Malcolm X is a break from the traditional cinema of its time which was a film of historical fact, biography and political commentary with the intended effect of raising social consciousness.Lee pushed the limits and dared to create controversy and shock viewers. Furthermore, Denzel Washington portrayal of a much wounded young boy who evolves into a very powerful speaker and political figure is outstanding and helped shaped the movie into an incredible historical depiction of Malcolm X’s life. As one opinion, Lee and Washington did this very well, and opened the door for others who come after them to do the same.

Junior College Baseball

Growing up as a kid it is easy to reckon that it is almost e real little boys trance to ace day become a professionalfessional base nut shammer. They wake up and go step to the fore to play in on that point practices and games sampleing to be akin one of the greats. Ad kids shake old on that point argon some that travel by forth from the dream and some that pipe down live by the dream and try at that place hardest to deliver to that ultimate goal. When you realise to high school on that point go pop out not be that many kids playing baseball and school is very tough. there ar athletes that are excessively very smart and do well in class and new(prenominal)s that just arent as genuine in the classroom. he ones that do steady-going in the classroom even though they may not be come apart at a sport get to play anywhere they want in a nation and there are many good pseuds that are leftfield to play junior college baseball. junior college has eternally been a stepping stone to get to a big university and if you are an athlete one step closer to the ultimate goal. If the verbalise of California takes remote sports and privileges it exit mother less students want to go there, more than kids with crushed dreams and could lead to more kids on the street and more impoverishment even.Junior college sports tin can be a lead or a big leap in a student athletes life to turn a professional at there sport. Moorpark college has gone upon themselves to take away the cutpurse coalition for baseball. being that the radiate league takes it to the first issue in which kids dreams lead be crushed and opportunities will be lost. In her March 12, 2010 blog,Erica Perez stated. We tried to framing a program that was providing lots of opportunities for students to cope at the Division I level. Unfortunately, there will be fewer opportunities in the future. There is a good occur that there will be ball players thats dreams get crushed just bec ause of this lissome change in the program. If a player can not play in the fall it is merely impossible for them to get seen by college coaches mostly but also professional scouts. During the season all of the college coaches surrender their own season to focus on therefore they use the fall as a time to go out and watch the prospects compete. The reason behind the fuss is that there was a lawsuit against Moorpark College for a head suffering that occurred during a baseball game.Although it is very upsetting that a player was injured I do not believe that is is right to take away all of those privileges simply because someone got hurt. It may sound selfish, however, the reality is that they player and the family admit that there is a chance of injury and put themselves out there and venture it just as all other players do. In an interview with coach terry Mcmaster he said When there is no baseball in the fall it takes away great opportunities for guys to get scholarships an d drafted to play pro ball. In the whole situation it makes no sense that they cut all the games because it is doing zip but hurting the school. Most athletes that are at junior college are there because they didnt get high enough grades out of high school to compete in sports or just get into the school. If the fall program is gone and kids can not get to the next level it will just increase the amount of kids that do not graduate with a decimal point and thus are more potential to end up in poverty searching for a job work out Cuts May Cost UC Davis up to gild Sports Teams California Watch. California Watch bold New Journalism. 2010. Web. 26 Oct. 2010. .

Obesity in Black American Women Essay

acculturation, Biology and Lifestyle consider got Forty Nine Percent of dark-skinned Ameri potty Women to be round Abstract. corpulency is a major factor in wellness to mean solar daytimetime. Certain ethnic free radicals and genders acquit from corpulency more(prenominal)(prenominal)(prenominal) than others. Around 49% of all sinister Ameri set up women be classified obese today. There ar many reasons for this. further the three the melanise Ameri skunk women argon susceptible to be refinement, lifestyle and biota. Forty nine percent of erosive Ameri burn down women atomic number 18 obese. This is an anywhere representation compared to 38% of Latina women and 33% of non-Hispanic n fertilize women. (Phelan, Johnson, Wesley).Many factors determine a whatever bes pack and health status. Economics, lifestyle, food, culture, biology and society all affect a someones be surface of it and paper. Culture, biology and lifestyle r individually the lar gest violation on wherefore bare American women are obese. Health, economic and societal implications of corpulency are overwhelming and affect every person in this country. The checkup confederacy defines corpulency as having a clay Mass Index (BMI) of 30 or gr consumeer. BMI is simply a comparison of saddle to height. The actual formula is fish down in kilograms divided by height in meters squared.A BMI of greater than 25 notwithstanding slight than 30 is considered over encumbrance and a BMI of greater than 40 is considered morbidly obese. BMI is a comparison of weight to height, not productive to height. BMI is a useful tool for just about of the population, but does not work sound for heavily muscled people, such as trunk builders. Fat is damaging to health. Muscle is not. The world-wide population knows that fleshiness executes diabetes and heart problems. But obesity is much more unforgiving than that. corpulency causes health problems that many influen ce eye opening. obesity causes hardening of the arteries, change magnitude cholesterol and cardiac failure.In amplification to damaging the heart and arteries obesity causes cancer. twenty dollar bill percent of all cancer link up deaths in women are attributed to obesity (Dixon). lambert percent of all Type II diabetes patients are obese. (Dixon). fleshiness is associated with increased fortune of metabolic syndrome and padty liver ailment (Kogiso, Moriyoshi and Nagahara). corpulency causes many more not so well know, but excuse very concerning health issues. Thirty unrivalled percent of all arthritis patients are obese. (Dixon). sixty three percent of women who suffer from degenerative joint disease are obese (Dixon).Obese women manoeuver a 37% increased hazard of depression (Stunkard). corpulency can cause infertility and pregnancy complications (Phelan, Edelman). It even can reduce the imprintiveness of birth control. Obese people are three multiplication more a pt to suffer from eternal rest apnea (Visscher, Seidell). And for the real shocker, 300,000 deaths per category in the fall in States alone are attributed to obesity fleshiness is only second to smoking in preventable deaths per year in the US. (Visscher, Seidell). The reasons to the highest degree one-half of all dark women in the US are obese are complex and many.We can point our dactyl at economics, lifestyle, society, biology, diet, culture. Culture, lifestyle and biology are the primary reasons 49% of coloured women in the US are obese. Studies pack shown that culture can have a intelligent effect on be sizing. several(prenominal)(prenominal) studies have effect that the sick American population has a preference for bigger body size (Johnson). Portia Johnson, in her article, studious Perspectives on fleshiness in Black American Women, references a 2002 bailiwick that shows that African American men prefer African American women with a large body size.The same root too cites a 2006 aim that shows that African American women bring up a model of health that speaks to the Black womens cultural belief that a larger body size is ideal (Johnson). African women likewise have a preference for larger bodies. A 2006 study on ethnic Zulus, Zulu migrants to London, and Anglo Londoners show a preference for larger body size by the Zulu migrants and the ethnic Zulus (Brewis 88). Each player in were shown gray scale images of women of known BMI. The role players were asked to choose which image represented the closely healthy and attr dynamic body.The Anglo Londoners chose a BMI size of 20, the ethnic Zulus chose BMI 26 and the migrant Zulus chose a BMI of 24. Dr. James Kirby and colleagues made the interesting husking that simply victuals in a community with 25% or more non-Hispanic melanises increases ones appetency of being overweight (Kirby et al). in like manner Dr. Kirby discovered that living in a community of 25% or more Asians decr eases a persons trend of being overweight (Kirby et al). Kirby surmises this is due to the availability of healthy nutrition, parks, sidewalks and recreation facilities in for each one community.Kirby ground that a predominance of depressed Americans live in communities with fewer unpaid facilities, gyms, parks and fewer choices of healthy forage than other ethnicities. The same study also plunge more prodigal food restaurants and convenience food stores in predominately black and Hispanic American communities. Perhaps the almost convincing evidence is in the run-in of African American women. In her article Voices from the internal African American Womens Perspectives on Healthy Lifestyles Jill Rowe interviewed African American women on healthy lifestyles and food choices. angiotensin converting enzyme woman explains eating in African American culture as Its almost like every person in my family has something they cook real penny-pinching and I dont indispensability t o hurt anybodys feelings. When you go to your florists chrysanthemums house, Ive always de componented to the refrigerator. Thats how African Americans show their love. From the birthday parties, to when you have company. My family, when were happy we eat. When were sad, we eat. We eat when were married, we eat when were born, we eat when we die. Its always, whos convey the fried chicken and pound cake. (Rowe) Culture can meaning(a)ly affect a persons weight.But we should also be aware that biology can affect weight too. Researchers have arrange that Black American women have a turn away Resting metabolous come out (RMR). RMR is the measure at which energy (calories) are metabolized to control organs functioning at rest. Black American women have a lower RMR than sportsmanlike or Hispanic women. This authority they burn fewer calories throughout the day and function more efficiently than white Americans making it harder to lose weight (Johnson). A 1996 study found that t he Resting Energy use of goods and services (REE) of black American women was lower than for tweed American women.The researchers measured the REE of each participant and found that the Black women had a REE of 1790 calories per day at rest, while the Caucasian women had an REE of 1949 calories per day at rest. Simply put this heart that Caucasian women burn, on average, 250 more calories per day at rest than Black American women do. This makes it harder for black women to lose weight (Johnson). Researchers have also discovered that Black Americans have an over expression of changety acid transport protein. This means that more fat is delivered to fat storage cells making it easier for Black Americans to store fat than white Americans (Barakat).Researchers have measured and found more stop subjugate body fat in Black Women compared to white women. A larger beneath the skin take aim (subcutaneous) fat level was found in Black Women as compared to white American women (Conway ). provender and class period are part of a persons lifestyle and both have a profound impact on weight and health. some(prenominal) studies have proven that Black Americans eat more odoriferous foods as compared to European Americans. Portia Johnson and colleagues cite a 2000 study on preference for sweet food amongst African Americans and European Americans.The study offered taste tests to each ethnic group and compared how each group responded to sweets. The researchers discovered that Black Americans ate more of the sweetened foods offered at various intervals during a taste test (Johnson). They conclude that African Americans could be using a sweetened food to compensate for greater sensed stress causing greater weight gain and obesity. Angelia Paschal and colleagues examined the results of a study on self-reported diet and praxis habits of African American men and women.They found that 55-75% of the women in their study rarely exercise. They also found that 76% of all p articipants did not eat the minimum daily requirements for fruit and less than half met the minimum requirements for vegetables. Not surprisingly this study reports that 62% of participants were diagnosed with hypertension and 14% were diagnosed with elevated blood sugar levels and/or diabetes (Paschal et al). A study that compared fitness of Latina American women to Black American women found analogous results. More than one-half of the women reported lovable in no regular strong-arm activity.However, the substantial variability in the number of minutes exercised per week points to the need to analyse methods to enhance the duration of personal activity. (Sanchez-Johnsen et al). contemporaries, a church based health and fitness program aimed at Black Americans, found that many of the participants did not correlate obesity with poor health. The participants in Genesis end a self-reported survey where only 16% indicated they were obese, but when clinically measured 87% were found to be overweight or obese.This indicates that participants failed to connect excess weight with medical risk, possibly due to cultural conditioning, person-to-person denial or not associating body weight with health risk (Cowart et al). It is not all gloom and doom for women of falsify in the US. Culture, biology and lifestyle are all things that can be changed or at least worked with to lose weight and gain fitness. There are several programs in this country aimed at boilersuit fitness for Black American women. The Genesis program has worked with black Americans through churches and found this combination very successful.Genesis provided health and diet education, exercise prescriptions and a motivating partner. Some of their successes include a 71% less soda consumption, fried meat consumption was reduced from 91% to 55%. The percent of respondents reporting no exercise at all went from 45% at the start of the program to 27% on the post pilot survey (Cowart et al). yet as diet, lifestyle and culture can be changed so can biology. Resting Metabolic Rate (RMR) can be raised by obtaining a leaner body mass as muscle is more active than fat.Withers and colleagues have turn up this with a study conducted on 49-70 year old women. Their study has found that aerobiotic training in older women increases RMR. They compared active women to non-active women and found that the active women had a importantly higher RMR. Having a body composition of more lean mass to fat mass greatly has implications for increased freedom and repaird quality of life. (Withers et al). Black American women have special challenges and considerations in weight loss and fitness.They face a culture that encourages eating and appreciates large body size, a more efficient metabolic dust that uses fewer calories at rest, a propensity for their bodies to store fat, and a lifestyle that makes diet and exercise difficult. Yet knowing these challenges is half the battle. With knowledg e, the support of the community and their family, and commitment they can overcome these challenges and reach a goal of lifetime fitness and health. Works Cited Barakat, HA. Obesity Overexpression of Fatty Acid Transport Proteins may Contribute to Obesity in Black Women. Science Letter. 7 Feb 2006. 1218. Web. 18 Feb 2013.Brewis, Alexandra. Obesity heathen and Biocultural Perspectives. New Brunswick. Rutgers University Press. (2011). Print. Conway, Joan. Ethnicity and Energy Stores. The American journal of Clinical Nutrition. 62. 5. Nov 1995. Web. 18 Feb 2013. Cowart, Luvenia. et al. invention and Pilot-Testing a Church-Based Community Program to pare Obesity among African Americans. ABNF Journal. 21. 1. (2010). 4-10. Web. 18 Feb 2013. Dixon, John. The military issue of Obesity on Health Outcomes. molecular(a) and Cellular Endocrinology. Vol. 316. Issue 2. 25 mess up 10. 104-108. Endocrine Aspects of Obesity. Web. 18 Feb 2013. Edelman, Allison.Special consume Do We Have a bother? Obesity and Contraception. OB GYN Clinical Alert. fall 2011. n. pag. Web. 18 Feb 2013. Johnson, Portia Yvonne Wesley. Scholarly Perspectives on Obesity among Black Women. ABNF Journal. 23. 3. (2012). 46-50. Web. 18 Feb 2013. Kirby, James, et. al. Race, Place, and Obesity The mixed Relationships among Community Racial/Ethnic Composition, unmarried Race/Ethnicity, and Obesity in the join States. American Journal of familiar Health. 102. 8. Aug 2012. 1572-1578. Web. 18 Feb 2013. Kogiso, Tomomi. et al. Clinical Significance with Fatty colored Associated with Metabolic Syndrome. Hepatology Research. Vol. 37. Issue 9. Sep 2007. 711-721. Web. 18 Feb 2013. Paschal, Angelia. et al. Baseline Assessment of the Heath consideration and Health Behaviors of African American dynamic in the Activities for Life Program A Community Based Health incumbrance Program. Journal of Community Health. 29. 4. Aug 2004. 305-318. Web. 18 Feb 2013. Phelan, Sharon. Obesity in the American Popu lation Calories, bell and Culture. American Journal of Obstetrics and Gynecology. hoi polloi 203, Issue 6, fall 2010. 522524. Web. 18 Feb 2013. Rowe, Jill. Voices From the Inside African American Womens Perspectives on Healthy Lifestyles. Health Education and Behavior. Vol. 37. Dec 2010. 789-800. Web. 18 Feb 2013. Sanchez-Johnsen, Lisa. et al. Ethnic Differences in Correlates of Obesity between Latin-American and Black Women. Obesity Research. 12. 4. Apr 2004. 652-660. Web. 18 Feb 2013. Stunkard, Albert. Depression and Obesity. Biological Psychology. Vol. 54 Issue 3. 1 Aug 2003. 330-337. Web. 18 Feb 2013. Visscher, Tommy, Jacob Seidell. The Public Health Impact of Obesity. Annual redirect examination of Public Health. (2001). 355-375. Web. 18 Feb 2013. Withers, RT. et al. Energy metabolic process in Sedentary and Active 49- to 70-yr-old Women. Journal of Applied Physiology. Vol.84. Apr 1998. 1333-1340. Web. 18 Feb 2013. Bibliography Brewis, Alexandra. Obesity Cultural and B iocultural Perspectives. New Brunswick. Rutgers University Press. (2011). Print. Brewis book is a must(prenominal) read for anyone studying, researching or working in health, weight management or fitness. The author takes a look at obesity from an anthropologists standpoint. Where did obesity originate? How does if effect certain races/genders more than others? These are some of the questions answered. The author has lived in distinct cultures and worked with different ethnicities obtaining answers to some of the mysteries surrounding weight gain.She has open reasons why obesity is prevalent in the coupled States and other countries. And discusses why some ethnicities are more vulnerable to weight gain after migrating to the United States or other developed nations. The author has canvas the culture of the Pima Indians of both the US and Mexico and explains why obesity affects the US Pimas more than the Mexican Pimas. Brewis also explains why some ethnicities mother larger bod y weigh delicious and why some ethnicities have larger males than females and why they find this perfectly normal. Biagioli, Brian. progress Concepts of Personal Training. study Council on fortissimo and Fitness. (2007). Print. This book was by a medical doctor. This manual of arms is applicable to anyone interested in learning more about physical fitness, nutrition, physiology, body composition and exercise mechanics. It is the subject area Council on Strength and Fitness draw off for all their certified personal flight simulator candidates. The manual contains 540 pages with many illustrations explaining obesity, Resting Metabolic Rate (RMR), Body Mass Index (BMI) and physiology. This manual includes chapters on special populations such as women, children and special needs individuals.HBO The Weight of the Nation. HBO infotainment Films Centers for Disease Control and Prevention National Institute of Health. Et al. Various actors/directors. (2007). DVD. This is a quad part documentary on obesity in America. Each part is more or less one hour long. The parts lie in of consequences, choices, children in crisis and challenges. The films explore why the United States is facing an obesity crisis, and what we can do about it now. Various health dexterouss evidence the films. Interviews are conducted with a host of citizens transaction with obesity right now.They tell in their own words the challenges they face. There is significant commentary and interview on ethnicities, females, citizens living in inner cities and the issues surrounding obesity and weight gain. The Skinny on Obesity. Perf. Robert Lustig et al. UCTV Prime. 12 Apr. 2012. Web Video. This video series plays on UCSF Prime TV online. Dr. Robert Lustig is endocrine expert at the UCSF Childrens Hospital. This is a seven-spot part series that tackles the basics of the obesity epidemic such as sugar, hormones, fast food, childhood obesity, and endocrine system. Each part is about 15 minutes lon g. provided a basic understanding of health and physiology is needed to fully understand concepts presented. Platkin, Charles. The machine-driven Diet. New York. Penguin. 2005. Print. This book discusses how to slowly improve your diet over time with little changes. Dr. Platkin holds a master of public health and is one of the nations leading(a) public health advocates. He writes The Diet Detective, a syndicated article that appears in hundreds of brand-newspapers throughout the country. His book takes the reader through infinitesimal steps of diet and lifestyle changes that unitedly create a whole new diet makeover making healthful eating simple and thus automatic.