IT - Bit Torrent Essay Example | Topics and Well Written Essays - 1000 words

IT - Bit Torrent - Essay Example The partners of BitTorrent have been segregated into different categories which include venture capital, technology and device. The partners of the company in relation to venture capital include Accel, DCM and DAG Ventures. The technology related partners include Virgin Media, Opera Software and ESA Flash Components. The device associated partners of the company include D-Link, I-O Data and Buffalo. The aforementioned partners intend to work with BitTorrent with the intention of moving ahead in the business market competition (BitTorrent Inc., â€Å"Partners†). Thesis Statement The paper intends to make a detailed analysis about a particular technology i.e. BitTorrent DNA which is used by a peer-to-peer file sharing based company namely BitTorrent while transmitting large files through the medium of internet to its several viewers. The purpose of implementing the abovementioned technology along with its various implications will be taken into concern in the discussion. Discuss ion An Overview of BitTorrent DNA It has been apparent to the fact that there lies the necessity of developing as well as implementing efficient technologies in order to perform various technological related operations such as sharing, allocating and delivering huge files through internet. ... sourceful content delivery based technology which is acknowledged as BitTorrent DNA for the reason of considerably reducing particularly the bandwidth costs which are involved during distributing, sharing as well as delivering the large files. This particular technology contributes towards improving the working performance as well as the scalability of the websites on behalf of the company (BitTorrent Inc., â€Å"Company Overview†). Purpose of Introducing BitTorrent DNA The company constantly desires to share and deliver large files such as streaming video and music files among others to its several partners. In order to fulfill this desire, BitTorrent has introduced an innovative service based technology i.e. BitTorrent DNA which is also recognized as BitTorrent Delivery Network Accelerator that assists the company in sharing along with delivering large files to its large base of users. The technology successfully generates a virtual network of the computers of the viewers an d thus enables to speed up the download of popular files from the servers which can be easily shared amid the users. The crucial facet of this technology is that it performs the aforementioned act with more transparency. Moreover, the significant characteristic for which BitTorrent utilizes the technology is that it reduces the bandwidth costs by a considerable extent through which the company can earn maximum revenue along with making huge savings (AOL Inc. â€Å"BitTorrent DNA: Torrenting No Longer A Dirty Word†). The other major purpose of implementing the technology of BitTorrent DNA by the company is to gain superior customer satisfaction by enabling to make downloads of the large files at a higher speed. The downloadable options mainly include streaming videos, music files, downloading

Ecotourism & people Essay Example for Free

Ecotourism people Essay Ecotourism is a branch of tourism which seeks to extend the concept of sustainability to the tourism industry. In recent years, concerns such as the planets sustainability, preservation of its natural resources, balancing human activities with Mother Natures needs and so on, have reached all-time highs. It is exactly concerns such as these which have led to the development and growth of ecotourism. There is no single universally accepted definition of ecotourism. Indeed, several researchers, tourism providers, environmental agencies and local bodies have formulated different definitions, which vary slightly in their scope and breadth. However, three key elements are central to most of the definitions encountered in a review of the existing literature, namely: sustainability of the ecotourism location; creating an appreciation among ecotourists of the need to preserve the natural environment; creating respect and/or contributing to the development of the local cultures (Eastwood, 2009). These characteristics of ecotourism quite obviously place it into sharp contrast with traditional mass tourism. Mass tourism often attracts tourists to locations that have been extensively developed in terms of infrastructure, facilities, communication networks and so on. In doing so, the natural and physical environment of such locations is dramatically altered, in ways that are irreversible. Moreover, large amounts of energy may be consumed to sustain such establishments. In contrast, ecotourism seeks maximum preservation of the natural environment of designated locations. Indeed, the very charm for an ecotourist lies in visiting a location that still remains largely untouched by modern development. Mass tourism also makes no claims to educate tourists with regard to the environment. The main offering of mass tourism is typically entertainment and leisure. Individuals availing this form of tourism typically use their holidays to take a temporary break from their commitments, choosing to relax and unwind during the interval before returning to their routine lifestyle. Unless the tourists specifically choose to embark on an educational journey in areas of personal interest, most journeys do not have serious objectives, and this factor is reflected in the marketing appeals used by mass tourism providers. Finally, while tourists in the realm of mass tourism are most certainly exposed to different cultures and people, this interaction is generally viewed as more of an exotic exposure rather than anything more meaningful or substantial. There is no pressing need felt by the tourists or the mass tourism providers to contribute to the different communities visited or to be concerned about their development. On the other hand, most genuine ecotourism initiatives are geared to the development of host communities, with long term planning and financial resources being channeled towards this objective (Schellhorn, 2010). Part Two: The Ecotourist Experience The unique aspects of the ecotourist experience and its implications for host communities are explored next. Motivations are not homogenous: It would be misleading to assume that all tourists visiting ecotourism locations have the same motivations. An analysis of tourists at Al Maha, an ecotourist resort in Dubai, revealed that the average tourist is simply motivated to come and enjoy the desert setting more than anything else. Many of the tourists are rich individuals, primarily businessmen and women, who simply desire an exotic temporary accommodation as an alternate to hotels in the city. While at the resort, such individuals do not sever ties with their corporations, or typically immerse themselves in the indigenous culture as the ideal ecotourist is expected to do. Another segment of tourists at this resort consists of honeymooning couples looking for a romantic getaway – again, not the stereotype of the dedicated ecotourist (Ryan Stewart, 2009). Since the motivation itself is lacking, the Al Maha ecotourist resort is hardly able to change the tourists perceptions regarding sustainability or the need to preserve and appreciate the natural environment and local cultures. Scale of development: The Al Maha resort example discussed above also raises an import concern: the scale of development within ecotourism locations. Al Maha is extensively projected as an ecotourist destination; however, it has been extensively developed, almost resembling a luxury resort! The resort also consumes vast amounts of energy in maintaining its facilities, which runs somewhat contrary to the concept of sustainability of resources. Those in support of large scale ecotourist destinations claim that expansion of such projects is almost a prerequisite if such projects are required to have a substantial impact globally (Buckley, 2009). Tourist behavior may be counter-productive: A study conducted at three ecotourist destinations in the Himalayas revealed that, in some instances, so called ecotourists were actually creating compounding problems of pollution by littering and improper disposal of non-biodegradable items. Ironically, the management of hotels was doing no better either – discharge of untreated waste water was rampant (Batta, 2006). Such behavior is in complete violation of the spirit of ecotourism. It not only spoils the experience of true ecotourists who may also be frequenting such resorts, but is also a social issue since it creates discomfort for the local residents. New income may not be channeled in sustainable activities: Whereas income generation for the local community members at ecotourism locations is an expected and desired outcome, this new income may defeat the objectives of sustainability if it is channeled in undesired activities. For example, a case study conducted in Brazil and Peru revealed that locals used the income generated from employment at ecotourism locations to engage in needless, extravagant consumption of goods. Moreover, earning income from this means did not deter them from engaging in activities such as hunting or unsustainable exploitation of natural resources (Stronza Pegas, 2008). This study highlights the need to educate the local communities involved in ecotourism initiatives if the full benefits of these initiatives are to be realized. The negative impacts of overcrowding: The ecotourists experience is most fulfilling if the location is perceived to offer a serene, calm environment, where one can get away from hustle-and-bustle and really connect with nature. This is precisely the reason why overcrowding can seriously deter the ecotourists enjoyment of his/her experience (Ormsby Mannle, 2006). Managers of ecotourism locations are placed in a quandary, particularly if they are aiming to generate significant amount of funds from attracting tourists. On the one hand, they want their destination to become popular and attract the optimal level of tourists; on the other hand, if overcrowding occurs, then the destination loses its appeal for true ecotourists. Ethical dilemmas: In her article entitled Ethics and ecotourism: connections and conflicts, Stark (2002) proposed a series of questions pertaining to ethical concerns in the realm of ecotourism. A few summarized questions, pertinent especially to those in the tourism industry who provide travel packages claiming to be ecotours, are as follows: What is the carrying capacity of a specific site (or in other words, how many tourists it can support), beyond which the local environment would be prone to harm? Is ecotourism simply being projected as a fashion statement or something which is in? Are local cultures simply being objectified rather than truly appreciated? What are the net costs and benefits of ecotourism activities? Do local communities benefit, and are they involved at each level of implementation? Is care being taken, particularly in developing countries, that sites which have rich traditional or cultural heritage are not being exploited for commercial purposes? These are just some of the numerous questions which come to the fore when choosing a destination for ecotourism and designing and implementing a strategy which is ethically sound. It is an accepted fact that the development of any form of tourism, even ecotourism, has long-lasting impacts on local communities. Therefore, it is vital for ecotourism development agencies to take the locals on board and determine in advance what nature and level of changes are acceptable to them (Butcher, 2006). Unsuitable nature of education provisions: Stem et. al (2003), in an article entitled Ecotourism and education for sustainability: a critical approach, that most of the insights and educational experienced provided at ecotourism locations currently are not up to par and sufficient to generate a proper understanding of sustainability and environmentally friendly activities among tourists. Some tours provide theoretical data, others provide adventure and thrill, whereas still others merely encourage tourists to immerse themselves in their surroundings and appreciate natural beauty. What is lacking is the kind of education which would motivate attitudinal and behavioral change among tourists, not only while they are on tour but something which they can appreciate, act upon and tell others about as well once the tour has ended. Longitudinal studies could be employed to find out whether ecotourists actually change and maintain their changed behavior over an extended period of time after a given trip, but such studies have largely been lacking to date (Buckley, 2009).

grendelbeo Epic of Beowulf Essay - The Monstrous Grendel :: Epic Beowulf essays

The Monstrous Grendel  of Beowulf   It is true that Grendel is monstrous. He is not only a deadly enemy to Hrothgar and Herot, but to the Geats in general. Grendel seems to take his only pleasure from assaulting Herot and destroying the warriors inside. He is a bane to all those that live under Hrothgar's rule. They hate him. He is called the â€Å"enemy of mankind† (29) and rightly so. However, because of Grendel’s actions, they cannot see the other part of Grendel that makes him do the evil he does. Grendel, like the Angels before and the Geats soon after, is symbolic of displaced races/peoples and not simply a mindless monster. When Adam and Eve had children, they had two boys. Their names were Cain and Able. When Cain killed Able, God â€Å"banished him far from mankind† (29). From Cain came trolls, elves, monsters, and giants. Grendel is a descendant of Cain, so he shares Cain’s banishment. Cain may have been the first displaced person after Adam and Eve were thrown out of the Garden. G rendel shares his ancestor’s sentence. He is displaced not only from whatever land or wealth he would have if he were â€Å"human† but he is also displaced form God. It is this displacement that causes Grendel to destroy. Since he cannot â€Å"approach the throne† (28) like other people, he chooses to try to destroy the throne, because he has â€Å"no love for him (God)† (28). This is the main reason Grendel is symbolic of displaced peoples. After all, he is a direct descendent of the very first displaced people, Adam and Eve. However, unlike Adam and Eve, Grendel is doomed to an eternity of banishment from God’s light because of Cain’s sin against his brother. That is why Grendel kills, because he cannot be in the light, because he is at war with God. Grendel is not only banished from God’s light, but from the light in general. Throughout the text, references are made to Grendel as â€Å"the walker in darkness† (36), and †Å"the dark-death shadow† (29). This kind of imagery further shows how displaced Grendel has become. The text refers to him as a â€Å"creature deprived of joy† (36). The text also refers to Grendel’s dwelling as â€Å"his joyless home† (37). It is no wonder Grendel was considered so monstrous. Like other displaced peoples, he has nowhere that is a refuge to him, because he has been removed from his home, or in Grendel’s case, the love of the Lord.

Extended families are making a comeback in many countries around the world Essay

Family is one of the most valuable and irreplaceable things that one is blessed with in a lifetime. A family is the foundation to everyone’s life. The outcome of your life is dependent on your family. Morals and values are obtained from your family circle. There are many types of family that exists in today’s society, each important to the upbringing of children. The most common type of families found in Maldives are extended family and nuclear family. Nuclear family is a family unit consisting of a mother and father and their children. Extended family is a family group that consists of grandparents, parents, children, siblings and their immediate family, uncles and aunts living together in the same house. According to Population and Housing Census, 2006 (2007), roughly 80 percent of Maldivian households consists of a single nuclear family composed of a married couple and their children rather than an extended family. Nevertheless, Male’ city, the capital of Maldives is flourishing with more extended families living in the households. In fact, this development is due to people migrating to Male’ for better health facilities, quality education, job opportunities and many more luxurious facilities. However, extended families living together in Male’ has many benefits and drawbacks. Many people who have extended families find that due to several generations living under the same roof, there are plenty of role models for the children of the household to look up to and learn from, with many elder family members being able to pass down certain traditions to the younger members. In today’s world where people talk about equal opportunity as well as high living costs, where both parents have to work in order to provide all the necessities for the children, grandparents take care of the younger children. They see to that the child has nutritious food and keep an eye on them thus preventing them from getting into bad habits. Also they talk to the children or share stories from their past which develops a strong bond between them. Being in a bigger family with more people to talk to help a child develop quicker. For example, with more voices in the house, toddlers may start talking quicker, also this helps children their language development. According to What influences child development? (2012), the family that invests time, energy and love in raising a child will see the most positive growth. On the other hand, different experiences and beliefs each generation grew up create barriers between generations. Grandparents have difficulty enjoying grandchildren’s fashion, works situations, future plans or use of new technology. Grandchildren have difficulty in understanding their grandparents because they feel that their privacy is being invaded, and their grandparents intervene in their life by setting limits. Hence it develops conflict among the old generation and the young generations. Furthermore, living in Male’ very expensive. According to the Vulnerability and Poverty Assessment 2004, renting households across all income groups paid around 45 percent of their income on rent. Thus sharing the rent and expenses among all the members resulted in many family members living in small households congested with a lot of family members. Even though expenses of rent, utility bills and foods is shouldered by all members, misunderstanding and conflict arises on how members contribute to foot the bills and how they get to maximize the use of things which are bought to the household. For example, a computer system bought by one sibling may be used more by a child of another sibling and may not be available for use when in need. These kinds misuse of facilities available create sibling rivalry. These kinds of conflicts leads to fallout among members which take longer to forgive and arguments can reignite very easily. On the other hand in an extended family you can find a stronger feeling of security being surrounded by family and knowing that there will be someone to support you when in need. Like everyone being able to support one another through a crisis such as one of the family members losing their job. In these cases, all extended family work together to support each other until a new job can be found. Extended families also give the feeling of belonging because we see people who have a link to us through origin, making them feel something bigger than just themselves. According to Population and Housing Census 2006 (2007), the capital Male’ with an area of about 2 sq. km. accommodates 35 percent of the country’s population of 298,968. In short this means that Male’ which has always been the center of all development in the country results in overcrowded housing units. Vulnerability and Poverty Assessment 2004 explains that between 1997 and 2004, the proportion of people living in houses with 40 square feet or fewer of housing areas per person has increased from 17 to 22 percent and the percentage of houses with a compound has decreased from 57 to 39 percent hence making the capital city much more crowded. As a result members living in a household have less personal privacy and weak family relationships. Most of the time during weekends people want to be on their own, but in an extended family these types of freedom are not possible. It is certainly disturbing that somebody is playing cards or PS-3 or watching television while others are working at home or studying for exam or just relaxing. If kids are fighting and elders have a misunderstanding then in these families people will not have a peaceful environment. Parents find it difficult to spend quality time with their children on an individual basis and also find it impossible to have private time away from them. Lack of privacy is linked to depression and other negative psychological outcomes like physical health. First household crowding can produce stress that leads to illness. Second, through shared physical proximity, household congestion contributes to the spread of communicable disease. A significant body of research, conducted primarily in affluent countries, has documented the unfavorable effects of housing conditions on a range of illnesses, including various contagious diseases. On the other hand, where most of the family are working to earn a better income, household chores becomes easier as it is shared among all members. Humans are social, in terms of nature and thus they cannot live alone. Therefore, people’s character and ethics are grown and strengthened through family. It is proven that an extended family is a better economic unit because it consumes lesser resources and provides more role models for behavior of values. In conclusion living in extended family is tough because you lose a significant amount of freedom and is forced to sacrifice a lot for your family. But realize the value of having family to help and support when in need. Taking the country as a whole extended families will out win advantages over disadvantages. But regard to the capital city, Male’, disadvantages outweighs advantages of extended family.

Luncheon Analysis

â€Å"The Luncheon† Jeffrey Archer She waved at me across a crowded room at the St. Regis Hotel in New York. I waved back, realizing I knew the face but unable to place it. She squeezed past waiters and guests and had reached me before I had the chance to ask anyone who she was. I racked that section of my brain that is meant to store people, but it transmitted no reply. I realized I would have to resort to the old party trick of carefully worded questions until her answers jogged my memory. â€Å"How are you, darling? she cried, and threw her arms around me, an opening that didn’t help, since we were at a Literary Guild cocktail party, and anyone will throw their arms around you on such occasions, even the directors of the Book-of-the-Month Club. From her accent she was clearly American, and she looked to be approaching forty but thanks to the genius of modern make-up may even have overtaken it. She wore a long white cocktail dress and her blonde hair was done up in o ne of those buns that looks like a brioche. The overall effect made her appear somewhat like a chess queen.Not that the cottage loaf helped, because she might have had dark hair flowing to her shoulders when we last met. I do wish women would realize that when they change their hairstyle they often achieve exactly what they set out to do: look completely different to any unsuspecting male. â€Å"I’m well, thank you,† I said to the white queen. â€Å"And you? † I inquired as my opening gambit. â€Å"I’m just fine, darling,† she replied, taking a glass of champagne from a passing waiter. â€Å"And how’s the family,† I asked, not sure if she even had one. â€Å"They’re all well,† she replied.No help there. â€Å"And how is Louise? † she inquired. â€Å"Blooming,† I said. So she knew my wife. But then, not necessarily, I thought. Most American women are experts at remembering men’s wives. They have to be , when on the New York circuit they change so often it becomes a greater challenge than the Times crossword. â€Å"Have you been to London lately? † I roared above the babble. A brave question, as she may never have been to Europe. â€Å"Only once since we had lunch together. † She looked at me quizzically. â€Å"You don’t remember who I am, do you? she asked as she devoured a cocktail sausage. I smiled. â€Å"Don’t be silly, Susan,† I said. â€Å"How could I ever forget? † She smiled. I confess that I remembered the white queen’s name in the nick of time. Although I still only had vague recollections of the lady, I certainly would never forget the lunch. I had just had my first book published, and the critics on both sides of the Atlantic had been complimentary, even if the checks from my publishers were less so. My agent had told me on several occasions that I shouldn’t write if I wanted to make money.This created a dilemma, because I couldn’t see how to make money if I didn’t write. It was around this time that the lady who was now facing me and chattering on, oblivious to my silence, telephoned from New York to heap lavish praise on my novel. There is no writer who does enjoy receiving such calls, although I confess to having been less captivated by an eleven-year-old girl who called me collect from California to say she had found a spelling mistake on page 47 and warned that she would call again if she found another.However, this particular lady might have ended her transatlantic congratulations with nothing more than good-bye if she had not dropped her own name. It was one of those names that can, on the spur of the moment, always book a table at a chic restaurant or a seat at the opera, which mere mortals like myself would have found impossible to attain given a months notice. To be fair, it was her husband’s name that had achieved the reputation, as one of the world’s most distinguished film producers. â€Å"When I’m next in London you must have lunch with me,† came crackling down the phone. No,† said I gallantly, â€Å"you must have lunch with me. † â€Å"How perfectly charming you English always are,† she said. I have often wondered how much American women get away with when they say those few words to an Englishman. Nevertheless, the wife of an Oscar-winning producer does not phone one everyday. â€Å"I promise to call you when I’m next in London,† she said. And indeed she did, for almost six months to the day she telephoned again, this time from the Connaught Hotel, to declare how much she was looking forward to our meeting. Where would you like to have lunch? † I said, realizing a second too late, when she replied with the name of one of the most exclusive restaurants in town, that I should have made sure it was I who chose the venue. I was glad she couldn’t see my forlorn face as she added airly, â€Å"Monday, one o’clock. Leave the booking to me—I’m known there. † On the day in question I donned my one respectable suit, a new shirt I had been saving for a special occasion since Christmas, and the only tie that looked as if it hadn’t been previously used to hold up my trousers.I then strolled over to my bank and asked for statement of my current account. The teller handed me a long piece of paper unworthy of its amount. I studied the figure as one who has to make a major financial decision. The bottom stating in black lettering that I was in credit to the sum of thirty-seven pounds and sixty-three pence. I wrote out a check for thirty-seven pounds. I feel that the gentleman should always leave his account in credit, and I might add it was a belief my bank manager shared with me. I then walked up to Mayfair for my luncheon date.As I entered the restaurant I noticed too many waiters and plush seats for my liking. You can†™t eat either, but you can be charged for them. At a corner table sat for two sat a woman who, although not young, was elegant. She wore a blouse of powder blue crepe-de-chine, and her blond hair was rolled away from her face in style that reminded me of the war years and had once again become fashionable. It was clearly my transatlantic admirer, and she greeted me in the same â€Å"I’ve known you all my life† as she was to do at the Literary Guild cocktail party years later.Although she had a drink in front of her, I didn’t order an aperitif, explaining that I never drank before lunch—and I would have liked to add, â€Å"but as soon as your husband makes a film of my novel, I will. † She launched immediately into the latest Hollywood gossip, not so much dropping names as reciting them, while I ate my way through the potato chips from the bowl in front of me. A few minutes later a waiter materialized by the table and presented us with two large e mbossed leather menus, considerably better bound than my novel.The place positively reeked of unnecessary expense. I opened the menu and studied the first chapter with horror; it was eminently put-downable. I had no idea that simple food obtained from Covent Garden could cost quite so much by merely being transported to Mayfair. I could have bought her the same dishes for a quarter of the price at my favorite bistro, a mere one hundred yards away, and to add to my discomfort I observed that it was one of those restaurants where the guest menu made no mention of the prices.I settled down to study the long list of French dishes, which only served to remind me that I hadn’t eaten well for more than a month, a state of affairs that was about to be prolonged by a further day. I remembered my bank balance morosely reflected that I would probably have to wait until my agent sold the Icelandic rights of my novel before I could afford a square meal again. â€Å"What would you like? à ¢â‚¬  I said gallantly. â€Å"I always enjoy a light lunch,† she volunteered. I sighed with premature relief, only to find that â€Å"light† did not necessarily mean inexpensive.She smiled sweetly up at the waiter, who looked as though he wouldn’t be wondering where his next meal might be coming from, and ordered just a sliver of smoked salmon, followed by two tiny tender lamb cutlets. Then she hesitated, but only for a moment, before adding â€Å"and a side salad. † I studied the menu with some caution, running my finger down the prices, not the dishes. â€Å"I also eat light lunch,† I said mendaciously. â€Å"The chef’s salad will be quite enough for me. † The waiter was obviously affronted but left peaceably. She chatted of Coppola and Preminger, of Pacino and Redford, and of Garbo as if she saw her all the time.She was kind enough to stop for a moment and ask what I was working on at present. I would have liked to have replied, à ¢â‚¬Å"On how I’m going to explain to my wife that I have only sixty-three pence left in the bank,† but I actually discussed my ideas for another novel. She seemed impressed but still made no reference to her husband. Should I mention him? No. Mustn’t sound pushy, or as though I needed the money. The food arrived, or that is to say her smoked salmon did, and I sat silently watching her eat my bank account while I nibbled on a roll. I looked up only to discover a wine waiter by my side. Would you care for some wine? † said I, recklessly. â€Å"No, I don’t think so,† she said. I smiled a little too soon: â€Å"Well, perhaps a little something white and dry. † The wine waiter handed down a second leather-bound book, this time with golden grapes embossed on the cover. I searched down the pages for half-bottles, explaining to my guest that I never drank at lunch. I chose the cheapest. The wine waiter appeared a moment later with a large silve r bucket full of ice in which the half bottle looked drowned, and, like me, completely out of its depth.A junior waiter cleared away the empty plate while another wheeled a large trolley to the side of our table and served the lamb cutlets and the chef’s salad. At the same time a third waiter made up an exquisite side salad for my guest that ended up bigger than my complete order. I didn’t feel I could ask her to swap. To be fair, the chef’s salad was superb—although I confess it was hard to appreciate such food fully while trying to work out a plot that would be convincing if I found the bill to over thirty-seven pounds. How silly of me to ask for white wine with lamb,† she said, having nearly finished the half bottle. I ordered a half bottle of the house red without calling for the wine list. She finished the white wine and then launched into the theater, music, and other authors. All those who were still alive she seemed to know, and those who we re dead she hadn’t read. I might have enjoyed the performance if it hadn’t been for the fear of wondering if I would be able to afford it when the curtain came down.When the waiter cleared away the empty dishes he asked my guest if she would care for anything else. â€Å"No, thank you,† she said—I nearly applauded. â€Å"Unless you have one of your famous apple surprises. † â€Å"I fear the last one may have gone, madam, but I’ll go and see. † â€Å"Don’t hurry,† I wanted to say, but instead I just smiled as the rope tightened around my neck. A few minutes later the waiter strode back in triumph, weaving between the tables holding the apple surprise in the palm of his hand, high above his head.I prayed to Newton that the apple would obey his law. It didn’t. â€Å"The last one, madam† â€Å"Oh, what luck,† she declared. â€Å"Oh, what luck,† I repeated, unable to face the menu and discover the price. I was now attempting some mental arithmetic as I realized it was going to be a close-run thing. â€Å"Anything else, madam? † the ingratiating waiter inquired. I took a deep breath. â€Å"Just coffee,† she said. â€Å"And for you, sir? † â€Å"No, no, not for me. † He left us. I couldn’t think of an explanation for why I didn’t drink coffee.Then she produced the large Gucci bag by her side and a copy of my novel, which I signed with a flourish, hoping the head waiter would see, and feel I was the sort of man who should be allowed to sign the bill as well, but he resolutely remained at the far end of the room while I wrote the words â€Å"An unforgettable meeting† and appended my signature. While the dear lady was drinking her coffee I picked at another roll and called for the bill, not because I was in any particular hurry, but like a guilty defendant at the Old Bailey, I preferred to wait no longer than the judge’s sent ence.A man in a smart green uniform whom I had never seen before appeared carrying a silver tray with a folded piece of paper on it, looking not unlike my bank statement. I pushed back the edge of the bill slowly and read the figure: thirty-six pounds and forty pence. I casually put my hand into my inside pocket and withdrew my life’s possessions, then placed the crisp new notes on the silver tray. They were whisked away. The man in the green uniform appeared a few minutes later with my sixty pence change, which I pocketed, since it was the only way I was going to get a bus home.The waiter gave me a look that would have undoubtedly won him a character part in any film produced by the lady’s distinguished husband. My guest rose and walked across the restaurant, waving at, and occasionally kissing, people I had previously seen only in glossy magazines. When she reached the door she stopped to receive her coat, a mink. I helped her on with the fur, again failing to leave a tip. As we stood on the Curzon Street sidewalk, a dark blue Rolls-Royce drew up beside us and a liveried chauffeur leaped out and opened the door.She climbed in. â€Å"Goodbye, darling,† she said as the electric window slid down. â€Å"Thank you for such a lovely lunch. † â€Å"Goodbye,† I said and, summoning up my courage, added: â€Å"I do hope when you are next in town I shall have the opportunity of meeting your distinguished husband. † â€Å"Oh, darling, didn’t you know? † she said. â€Å"Know what? † â€Å"We were divorced ages ago. † â€Å"Divorced? † said I. â€Å"Oh, yes,† she said gaily, â€Å"I haven’t spoken to him for years. † I just stood there looking helpless. â€Å"Oh, don’t worry yourself on my account,† she said. â€Å"He’s no loss.In any case, I recently married again† –another film producer, I prayed—â€Å"in fact, I quite expected to bump into my husband today—you see, he owns the restaurant. † Without another word the electric window purred up and the Rolls-Royce glided effortlessly out of sight, leaving me to walk to the nearest bus stop. As I stood surrounded by Literary Guild guests, staring at the white queen with the Brioche bun, I could still see her drifting away in that blue Rolls-Royce. I tried to concentrate on her words. â€Å"I knew you wouldn’t forget me, darling,† she was saying. â€Å"After all, I did take you to lunch, didn’t I? †

Cancer Essays - RTT, Anatomical Pathology, Free Essays, Term Papers

Cancer Essays - RTT, Anatomical Pathology, Free Essays, Term Papers Cancer Cancer Of all the diseases and viruses that are known to man, no other can strike fear in so many peoples hearts, as the word cancer. What is cancer? Cancer is a new growth of tissue resulting from a continuous proliferation of abnormal cells that have the ability to invade and destroy other tissues.1 Cancer may be found in any type of cell or tissue in the human body. Cancer is not found in just humans, but also in animals and plants. Cancer cells can grow where ever normal cells grow or divide. Cancer is not one disease but many single diseases classified under one name.2 In our bodies we produce many thousands of new cells everyday. We produce these cell in order to grow until we reach adulthood. When we reach adulthood, these cells reproduce primarily to heal wounds and to replace the cells that have died.3 When we look at a cancerous cells, we see that it divides endlessly. As the cell divides and multiplies, it takes up more and more of the space that the healthy cells once had to work in. These cells will take up more and more space until they are able to move into new areas of the body or the organism in which they live dies. This process of moving to new sites within the body is called metastasis.4 1. Robert A. Weiberg, Racing to the Beginning of the Road,Random House 1996, pg. XI. 2. Excerpted from Comptons Interactive Encyclopedia,1994,NewMedia, Inc. 3. R. Grant Steen, The Basic Science of Cancer, Plenum Press, 1993, pg. 31. 4. Steven A. Rosenberg, The Transformed Cell G.P. Putnams Sons, 1992, pg. 341. 1. There are many different types of cancer. Out of the hundreds of different types of cancer, there are three sub types to help classify the different types of cancer. First, Sarcomas, arise from connective and supportive tissue such as bone, cartilage, blood vessels, muscle and fat. Second, Carcinomas, which include the most frequently occurring forms of human cancer, arise from epithelial tissue, such as the skin and the lining of the body cavities and organs, and the glandular tissue of the breast and prostrate. Carcinomas with a structure resembling skin are termed squamous cell carcinomas. Those that resemble glandular tissue are called adenocarcinomas. Third, Leukemias and lymphomas include the cancers that involve blood forming tissues and are typified by the enlargement of the lymph nodes, the invasion of the spleen and bone marrow and the over production of immature white cells.5 The only number greater than the number of different types of cancer is the number of people found to have these deadly diseases. One million new cases of cancer are diagnosed in the United States alone each year. Five hundred thousand die each 5. Excerpted from Comptons Interactive Encyclopedia, 1994. 2. year from this disease. It is also estimated that about 30% of the Americans living today, or 76 million Americans will develop cancer in their lifetime.6 As scientist search to cure this terrifying disease, with the help of millions of dollars in donations, we still do not even know what causes cancer to invade. We do understand that the diseases likeliness to form is heightened with the different environments that people live in. Researchers see that with constant contact with carcinogens, substances that promote the development of cancer, is almost a guarantee that the person will develop cancer at some point in their life. Chemicals, radiation and viruses are the main types of carcinogens. Constant exposure to these carcinogens cause gene abnormalities that can be inherited or induced in a body cell. These cells can also be damaged by outside sources. After many mutations from these carcinogens, it is thought that mutations will occur and will produce a malignant cell that will copy itself into many cancerous cells. Viruses are the cause of about 15% of all cancers. The virus is able to invade cells and cause them to synthesize new viral particles; viruses carry oncogenes that can 6. Excerpted from Encarta Encyclopedia, 1997. 3. infect cells and cause malignant transformation. Chromosomal structure change has been observed in 90% of all human cancer. Chromosomes are the repository for all genetic information required to build a cell. 7 Chromosomal changes are now considered as common

Heritage and Production of Archaeological Data The WritePass Journal

Heritage and Production of Archaeological Data WRITEPASS CUSTOM ESSAY WRITING EXAMPLE ESSAY Heritage and Production of Archaeological Data ; Gibbon, 2014; Jones, 2002). Case studies on heritage and production of archaeological data A case study that may be cited in this paper is the Lodenice project in central Bohemia in the early 1990s, which is also known for a Viereckschanze (rectangular enclosure) excavation. This project identified an Iron Age settlement and remnants of decorative arm rings dating from 2nd to first centuries BC. This project, which produced a Celtic carved rag stone head, used an analytical fieldwork survey and multivariate mathematical analysis, combined with geographical information system (GIS) (Hicks et al., 2007). This example demonstrates the extent to which the production of archaeological data aims to be as objective as possible, for the archaeologies may simply assume the nature of data collected, but lack of definite measurements and other objective applications would place the whole investigation into mere assumptions. Another case that may be cited is the Bylany Project in Norway (1990s). Grants were used to finance archaeological research, enabling the excavation of Neolithic circular enclosures of Bylanys complex. The integration of National Heritage Institute with rescue excavation administration has been a pending situation, which can negatively impact long-term archeological research in the Kutna Hora region. This archeological research is currently on systematic monitoring (Biehl and Prescott, 2013). The production of archaeological data informs of their use for future research and knowledge production as well as their objective and systematic production, reinforcing the idea that these data are always objective. Moreover in England, a data standard for the Sites and Monuments Records (SMRs) was established in the 1990s, facilitated by what is now known as the English Heritage’s National Monument Record. This data standard acknowledged the importance of records, including the activities of people involved in studying the resource, the sources of such information, and information on the process of managing the resource. This is to enable the successful management of the archaeological and historic environment within which archaeological data are derived (Barrett, Dingwall, Gaffney, et al., 2007). This manner of record-keeping for the production of archaeological data reveals the importance of objectivity. Worthy of discussion is the Tsodillo rock art in Botswana, which was the focus of intensive survey programme and recording by the Botswana National Museum during the late 20th century. The rock art holds the archaeological evidence that human settlement once existed in the landscape (Hicks et al., 2007). The recording and survey carried out by the Museum indicate the pursuit for objectivity in the investigation of the Tsodillo landscape. These case studies discuss what heritage demonstrates about the production of archaeological data being systematically acquired and processed, and thus entail the collaboration of specific government organisations in charge of heritage and archaeological data management. Thus, despite the perceived artistry of heritage, it is largely governed by some objectivity and system-specific characteristics in the production of archaeological data. Conclusion This critical analysis essay has discussed what heritage demonstrates about the production of archaeological data. It has focused on whether the production of archaeological data is always objective, illustrating the answer through cases studies. This brief claims that such production is indeed always objective, as reinforced by the extant literature denoting such objectivity and systematic stances. These data must necessarily be consistent in order for them to be of viable use in the future; hence, subjectivity has no room in their production. Moreover, archaeological data are material, enabling them to become inherently knowable and controllable and are thus definable, discoverable, recordable, manageable, and conservable. Case studies are provided, aiming to serve as evidence for the objectivity of the production of archaeological data. References Barrett, G., Dingwall, L., Gaffney, V., Fitch, S., Huckerby, C., and Maguire, T. (2007) Heritage Management at Ford Hood, Texas: Experiments in Historic Landscape Characterisation. England: Archaeopress. Biehl, P. F. and Prescott, C. (2013) Heritage in the Context of Globalization: Europe and the Americas. NY: Springer. Binfold, L. R. (2009) Debating Archaeology: Updated Edition. CA: Left Coast Press, Inc. Cobb, H., Harris, O. J. T., Jones, C., and Richardson, P. (2012) Reconsidering Archaeological Fieldwork: Exploring On-Site Relationships Between Theory and Practice. NY: Springer. Ferrari, A. (2010) The 8th Framework Programme of the European Commission and the Safeguard of Cultural Heritage: The EACH Project.   Italy: CNR, Institute of Chemical Methodologies. Gibbon, G. (2014) Critically Reading the Theory and Methods of Archaeology: An Introductory Guide. Maryland: AltaMira Press. Habu, J., Fawcett, C., and Matsunaga, J. M. (2008) Evaluating Multiple Narratives: Beyond Nationalist, Colonialist, Imperialist Archaeologies. NY: Springer. Hicks, D., McAtackney, L., and Fairclough, J. (2007) Envisioning Landscape: Situations and Standpoints in Archaeology and Heritage. CA: Left Coast Press, Inc. Hodder, I. (2004) Theory and Practice in Archaeology. NY: Routledge. Jones, A. (2002) Archaeological Theory and Scientific Practice. UK: Cambridge University Press. Robertson, E. C., Seibert, J. D., Fernandez, D. C., and Zender, M. U. (2006) Space and Spatial Analysis in Archaeology. Alberta: University of Calgary Press. Smith, L. (2004) Archaeological Theory and the Politics of Cultural Heritage. London: Routledge. Waterton, E. and Smith, L. (2009) Heritage, Communities and Archaeology. London: Bloomsbury Academic.

Definition and Examples of Exclusive We

Definition and Examples of Exclusive 'We' In English grammar, exclusive we is the use of first-person plural pronouns (we, us, our, ours, ourselves) to refer only to the speaker or writer and his or her associates, not to the person(s) addressed. For example, Dont call us; well call you. In contrast to inclusive we, exclusive we does not include the audience or the reader. Often (but not always), exclusive we occurs when the first-person plural is used in the company of a second-person pronoun (you, yours, yourself, yourselves).   The term clusivity was recently coined to denote the phenomenon of inclusive-exclusive distinction (Elena Filimonova, Clusivity, 2005). Examples and Observations: Im especially fond of the inclusive and exclusive we. Thats a distinction between Were going to the movies. Are you ready yet? and Were going to the movies. See you later!- in other words, between being invited to the party and being a third wheel.Its particularly useful when you want to switch back and forth between the two: Im writing to you on behalf of my colleagues. We (exclusive) are wondering if youd be interested in collaborating with us (exclusive). We (inclusive) could accomplish great things together! We (exclusive) hope to hear from you soon about the future of us (inclusive)!(Gretchen McCulloch, Four Features From Other Languages That We Wish English Had. Slate, October 24, 2014)Defenders of Earth: we have come for your natural resources to rebuild our damaged planet. When we have transported all we need, we will leave your world in peace. For such peace to exist, you must immediately exile the Autobot rebels you have harbored. Non-negotiable! Renounce the rebels. We awa it your reply.(Leonard Nimoy as the voice of Sentinel Prime in the movie Transformers: Dark of the Moon, 2011) All we ask is that you make use of these ships. Sail them back to Westeros where you belong, and leave us to conduct our affairs in peace.(George Georgiou as Razdal mo Eraz in The Bear and the Maiden Fair. Game of Thrones, 2013 Khrushchev: Many things youve shown us are interesting, but they are not needed in life. They have no useful purpose. They are merely gadgets. We have a saying: if you have bedbugs you have to catch one and pour boiling water into the ear.Nixon: We have another saying. This is, that the way to kill a fly is to make it drink whiskey. But we have better use for whiskey.(Soviet premier Nikita Khrushchev and American president Richard Nixon in the Kitchen Debate, July 24, 1959. Richard Nixon: Speeches, Writings, Documents, ed. by Rick Perlstein. Princeton University Press, 2008Well, all along, I guess, I thought we didnt have much of a life. You know, I felt wewell, not you, but the rest of uswere rejects. In fact, they actually had me believing that I was totally undeserving, and I was supposed to be missing out on even the basics.(Sky Lee, Bellydancer. Raincoast Books, 2002 For the present, let us return to the experiment with the opium. We have decided that you leave off the habit of smoking from this moment.(Wilkie Collins, The Moonstone, 1868You heard Santos-Dumont talking about going to St. Louis and winning a prize? Im damned if he will, not while weve got time to build an airship of our own.What do you mean we?Why Fitz, you dont think wed leave you out? Were letting you in on the ground floor as our first investor, and youll get your share of the prize money in St. Louis.(Walter J. Boyne, Dawn Over Kitty Hawk: The Novel of the Wright Brothers. Forge, 2003) The Top-Down Approach - Exclusive we . . . excludes the reader since it suggests an us-them relationship. Its use may make a text appear authoritarian as it underlines opinions of or actions undertaken by a group external to the addressee.(Anne Barron, Public Information Messages. John Benjamins, 2012)- The exclusive we implicitly sets up a hierarchical power relation and points to the top-down approach in instituting change.(Aaron Koh, Tactical Globalization. Peter Lang, 2010) Combinations of Inclusive We and Exclusive We Biber et al. (1999: 329) assert that the meaning of the first person plural pronoun [we] is often vague: we usually refers to the speaker/writer and the addressee (inclusive we), or to the speaker/writer and some other person or persons associated with him/her (exclusive we). The intended reference can even vary in the same context. Inclusive and exclusive we can be used to create a perspective of: I the speaker you the addressee(s) in the immediate context (inclusive we) and I the speaker someone else not in the immediate context (exclusive we). . . . Understanding speaker identity is crucial to understanding context . . .. (Elaine Vaughan and Brian Clancy, Small Corpora and Pragmatics. Yearbook of Corpus Linguistics and Pragmatics 2013: New Domains and Methodologies, ed. by Jesà ºs Romero-Trillo. Springer, 2013) Grammatical Features Associated With Inclusive We and Exclusive We [A]lthough the distinction between an inclusive/exclusive  we is not morphologically marked in English, Scheibmanns (2004) analysis of conversational utterances in the first person plural has shown that different referential values of we may be signaled by the differential employment of other formal features of the utterance. More specifically, an inclusive interpretation of we was found to favor employment of present tense and modal verbs, while exclusive interpretations of we appear more frequently with past tense and fewer modal verbs. (Theodossia-Soula Pavlidou, Constructing Collectivity With We: An Introduction. Constructing Collectivity: We Across Languages and Contexts, ed. by Theodossia-Soula Pavlidou. John Benjamins, 2014) Read More Discourse Analysis Editorial  We,  Inclusive  We, and  Royal  We First-Person Point of View  and  First-Person Pronouns PragmaticsSociolinguistics

Smallpox Essay Example | Topics and Well Written Essays - 1500 words

Smallpox - Essay Example Even when not fatal, the disease can cause significant disfigurement and scarring. It was once the scourge of mankind, wreaking havoc across the European continent for centuries. Fortunately, modern medicine has determined the variola virus to be the only known cause of smallpox, making it possible to contain the illness by eliminating the variola virus. Uncontrolled, a smallpox outbreak can be expected to infect approximately 30 percent of those individuals exposed to it. Approximately 30 percent of these can be expected to die from the infection. The potential of the illness for use as a biological weapon has been proven in the past with its introduction to the ‘new continent’ and its use in decimating the American Indian tribes while more recent research suggests it retains a highly dangerous potential in the modern world setting. According to Henderson (et al, 1999), â€Å"researchers estimate that only 10-100 virus particles are necessary to infect someone† w hile inoculation supplies and efforts are insufficient to meet the challenge. An understanding of the history of the illness illustrates the importance for the nation’s healthcare workers to be familiar with the symptoms, diagnosis and treatment, prevention efforts and gaps in information regarding this illness. For centuries, the smallpox virus plagued mankind, regularly decimating populations in Europe and Asia as the virus was passed from person to person throughout the world on a continuous basis. Smallpox does not survive in animals nor is it known to be a carrier disease, in the sense that individuals might carry the illness without suffering its ill effects, so it can only survive as long as there are humans to suffer from it and more humans for these to pass it along to. With all the devastation that the illness caused, it wasn’t until 1796 before the first experimental vaccine against the illness was

E-goverment Essay Example | Topics and Well Written Essays - 1000 words

E-goverment - Essay Example E-government not only helps provide service to citizens, it is use a system of ICT hardware and software to improve internal and external government functions. Even though some countries have found improved systems and efficiency using e-government tools, there are many problems with design and implementation that are both internalized and externalized. These problems range from improper systems emphasis, changing visitor needs at the citizen level, interoperability problems between different software packages, outsourcing issues and problems with procurement. The research literature suggests that implementation of e-government services poses challenges even for more developed country. The subject is a fast-growing one with important consequences for national economies and competitiveness. In a sense, it represents a revolution in the way that services are provided to citizens. E-government is a fast growing industry. Like all such things that expand rapidly, there are great gains to be made, but also periodic setbacks. For example, in India, a country with a well-established governmental system, e-government has posed problems with regards to the process of electronic procurement. This country has a bidding system for purchase of governmental goods and services and the e-procurement system has increased average bidders from three to 4.5 (Payne, 2006). By moving governmental procurement to the Internet, it has managed to complicate the supply chain, therefore leading to the need for more database storage ability and more information technology support. This example is a useful illustration of one of an important issue relating to e-government. In the United States, e-government has created a need for internal organizational changes that demand decentralization, rather than its traditional top-down leadership hierarchy. In a decentralized structure, decision-making is filtered throughout the organization instead of in a

Anonymity and Networks Essay Example | Topics and Well Written Essays - 2250 words

Anonymity and Networks - Essay Example Though anonymity is a desirable security feature, it has certain disadvantages. Anonymity can be achieved through various security protocols like Single Socket Layer (SSL) protocol, Secure Hyper Text Transfer Protocol (SHTTP) and Transport Layer Security (TLS) protocol among others. Security protocols allow the establishment of secure channels across two communicating parties that are linked through an insecure network. Though the various protocols have many similarities, each of the security protocols has inherent strengths, weaknesses and vulnerabilities. While encryption offers some anonymity, there are certain limitations. The major challenge is the possibility of eavesdropping by local ISP or a local system administrator. The internet security protocols allow transfer of some networking information like the traffic flow route and the source-destination pair which is revealed through traffic analysis. Traffic analysis allows transmission of times data packets. The challenges asso ciated with internet security protocols can be overcome by utilizing authentication and key agreement (AKA) protocols which provide a random-shared key that can be used to uphold confidentiality and anonymity and have less vulnerabilities. ... .13 Section VI: Proposed solutions to the challenges of internet security protocols†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦14 Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..15 Works Cited†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦16 Introduction In the wake of increasing dominance of internet as the preferred mode of communication, there has been a lot of interest on the use of anonymity as a means of ensuring user privacy and security. The unprotected nature of internet networks makes them vulnerable for eavesdropping by unauthorized persons. Though anonymity can exist without the internet, the increase in internet us age has made it easier for distribution of anonymous messages. The free information flow facilitated by increased internet communication poses potential security risks to individuals, businesses and government departments as well as the entire nation. As a result, various software and hardware security features have been suggested to address the issue of anonymity. This paper examines the issue of anonymity during internet use with focus on why, how, what and when anonymity should be exercised. The paper critically examines different security protocols involved in anonymity on the internet with regard to the hardware and software components involved. Additionally, the potential problems arising from anonymity and the possible solutions shall also be addressed. Section I: Anonymity in the context of internet communication: what does it imply? One of the major concerns in internet use is the extent to which their privacy shall be

Evaluation of Apple Store Assignment Example | Topics and Well Written Essays - 750 words - 1

Evaluation of Apple Store - Assignment Example This makes the reader interested to know the various items found in the apple store. The article has described apple commodities as those which as combined with technology and are easy to use. By touching on the issue of technology most readers, both young and old will like to know more about the commodity because the world is technology oriented. Â  The article has used amazing pictures for advertising apple commodities. Readers are likely to have the first-hand experience and understand the commodities found in an apple store. The article has also explained how the commodities are used and in case of difficulties, they have illustrated how to get a solution to the problem. The language applied to this piece of writing is simple and easy to understand since it explains everything in details. A subdivision in subtopics prepares the reader for what he is reading under the subtopic. Â  The article has used bright colors in its pictures that are appealing. This makes a reader interested to read on what is being offered in the apple store. It is one strategy for advertising apple products. The background of the picture is also bright; hence, readers do not have to strain while reading the article. Pictures are large enough to pass the intended message clearly (Apple store, Pp 8). The pictures are put at the center for customers get a clear illustration of apple commodities. Â  The article has done a tremendous job of explaining how apple commodities work. They have clearly illustrated to the reader how an individual makes a movie through the iPhones. This is captivating to teenage readers since they are interested in this kind of staff. This is a strategy of catching the attention of a larger population (Apple store, Pp 9). The article has used a technique where pictures change constantly to show the diversity of the apple store commodity.

Psychological influences on health and wellbeing Case Study

Psychological influences on health and wellbeing - Case Study Example Anna’s late biological development, in her puberty, is another biological factor to her condition. Delayed development in her body induced a sense of inferiority complex and developed a social barrier between her peer and her. Poor interpersonal potentials, low self-steem, and inferiority complex are however social factors to her condition. She was not able to relate with her peer at school, had a poor self-opinion about her, and these caused a social gap that induced the condition. One of the effects of Anna’s cognitions of her state during high school was acceptance and ownership of the problem. In identifying anxiety with her uncle, other relatives, and her sister, Anna perceived it as a normal thing, at least within her family, and this could have reduced her efforts in dealing with the problem. When she identified anxiety and alcoholism in her uncle that led to his mobility across jobs, Anna perceived fault in her uncle’s drug problem and not the anxiety problem, an indicator that she overlooked associated problems with anxiety because of the condition’s existence in her family. Recognizing that she was cognitively and physically fine is another factor that contributed to her problem at early adulthood by limiting her from external help. This is because she believed that based on her cognitive potentials into outstanding academic performance and active engagement in physical activities; she could solve the anxiety problem on her own. Anna’s decision to be excluded from physical education identifies one of the interactions between her emotions and her lifestyle. Feelings of inferiority complex from which she identified herself as awkward and unskilled influenced her decision to seek her parents’ intervention so that she could not participate in physical education, and hence physical activities. Anna also led a quite lifestyle in school, especially in class, and her emotions caused this. Based on her delayed physiological

Evaluation of Apple Store Assignment Example | Topics and Well Written Essays - 750 words - 1

Evaluation of Apple Store - Assignment Example This makes the reader interested to know the various items found in the apple store. The article has described apple commodities as those which as combined with technology and are easy to use. By touching on the issue of technology most readers, both young and old will like to know more about the commodity because the world is technology oriented. Â  The article has used amazing pictures for advertising apple commodities. Readers are likely to have the first-hand experience and understand the commodities found in an apple store. The article has also explained how the commodities are used and in case of difficulties, they have illustrated how to get a solution to the problem. The language applied to this piece of writing is simple and easy to understand since it explains everything in details. A subdivision in subtopics prepares the reader for what he is reading under the subtopic. Â  The article has used bright colors in its pictures that are appealing. This makes a reader interested to read on what is being offered in the apple store. It is one strategy for advertising apple products. The background of the picture is also bright; hence, readers do not have to strain while reading the article. Pictures are large enough to pass the intended message clearly (Apple store, Pp 8). The pictures are put at the center for customers get a clear illustration of apple commodities. Â  The article has done a tremendous job of explaining how apple commodities work. They have clearly illustrated to the reader how an individual makes a movie through the iPhones. This is captivating to teenage readers since they are interested in this kind of staff. This is a strategy of catching the attention of a larger population (Apple store, Pp 9). The article has used a technique where pictures change constantly to show the diversity of the apple store commodity.

Business Management - Marks and spencer plc Essay

Business Management - Marks and spencer plc - Essay Example Marks & Spencer (M&S) is a major British retail store chain, founded in 1884. In the year 2008, it was ranked the 43rd largest retailer in the world. M&S was ranked 17 in The Times' "Top 100 Graduate Employers 2008". Apart from selling clothing and food, most of its domestic stores have started expanding into home wares, furniture and technology. The company made a pre-tax profit of about 1 billion pounds, though a few years after that, it sunk into a crisis which lasted for many years. Since the late 1990s M&S has experienced serious business insecurities and has made a lot of attempts to revive its business. In 2004, M&S was in the news of an attempted takeover by Arcadia Group & Bhs boss, Philip Green. A recovery plan was declared involving selling off the financial services business to HSBC Bank plc,.The takeover bid was withdrawn after failing to get adequate backing from shareholders. A lot of reasons could have contributed to it but now we will look at the technological aspect of the company.

Nursing in the Community Essay Example for Free

Nursing in the Community Essay In this assignment the topics discussed is a nursing problem related to a medical diagnosis taking from an example of a patient dealt with while the nursing student was out on clinical placement. For this assignment the patient has a diagnosis of Type 1 Diabetes Mellitus. Kevin Brophy (pseudonym) is a 9 year old boy that had come into the Paediatric Unit. He is of the Roman Catholic religion. He lives with only his mother and she is educated about his disease of Diabetes. His mother’s sister is a nurse also and knew how to manage his Diabetes and looked after him if his mother was busy. The multidisciplinary team have been treating him for the condition for 4 years. He gets hospitalized often to regulate his blood sugar levels and monitor his insulin intake. The nursing problem associated with his diagnosis is related to his diet and nutritional status and being able to monitor these with caution and ease. The nurse had a form for filling out what had he eaten that day and what time this had happened at in the ‘end of bed’ chart which was with his other documentation such as his vital signs and also the fluid balance intake and output chat. There was also a section in this form for documenting what level his blood sugars were and was directed to take record of them after every meal. The nurse then had an idea  of what sort of food he was eating and also a report of his blood sugars which were monitored closely throughout the day. The nurses primary responsibility was to ensure this boy was eating correctly and following the dietary guidelines of a Diabetic patient. The model of assessment/care used to treat Kevin was devised from Roper, Logan and Tierney (1980). The Roper, Logan and Tierney’s’ activity of living (AL) model of nursing consists of twelve activities of living. According to Aggleton Chalmers (2000 P46), â€Å"Each AL specifies a relatively distinct type of human behaviour related to meeting a particular need.† Information was obtained from a booklet containing facts and advice on Diabetes and Healthy Eating from the Department of Health and Dietetics in Waterford Regional Hospital. This has described diabetes as a condition where the body is unable to control the amount of glucose i.e. sugar in the blood. Everyone’s blood has some glucose in it because your body needs glucose for energy. Normally your body breaks food down into glucose and sends it to the bloodstream. Insulin, a hormone made by the pancreas, helps to get the glucose from the bloodstream into the cells to be used for energy. In people with Type 2 Diabetes, the pancreas is not making enough insulin or is unable to use the insulin properly, or both. In people with Type 1 Diabetes, the pancreas is unable to make insulin full stop. Without insulin in the body, the blood glucose rises (Department of Nutrition and Dietetics, Waterford Regional Hospital 2006). To manage diabetes in paediatrics is primarily challenging and m uch more complicated than dealing with the diagnosis in adults with Diabetes (DH Diabetes Policy Team 2007, Christie et al 2009). Nurses have to educate and facilitate the self management of Diabetes and also introduce skills to gain the best possible control over the patient’s blood sugars i.e. glycaemic control. If these skills are not executed properly then diseases such as micro-vascular e.g. nephropathy or retinopathy or cardiovascular diseases (macro-vascular), which decreases the quality of life and a reduced life span (The Diabetes Control and Complications Study Group,1994). The nurses and patients responsibility is to monitor and control the intake of food and also be educated on what can have a negative or positive effect on the body. This is a major nursing problem associated with the Diabetic patient and  intervention by the nurse is necessary throughout. In doing so, the nurse must follow the Nursing Process in relation to their diet. Assessment Patients diagnosed with type 1 Diabetes are assessed for signs of Diabetic Ketoacidosis, including ketonuria, Kussmaul respirations, orthostatic hypotension, and lethargy. The patient is asked about symptoms of DKA, such as nausea, vomiting, and abdominal pain. Laboratory results are monitored for metabolic acidosis (i.e. decreased pH and decreased bicarbonate level) and for electrolyte imbalance. If the patient exhibits signs and symptoms of DKA, the nursing care first focuses on treatment of these acute complications, as outlined earlier. Once these complications are resolving, nursing care then focuses on long-term management of diabetes. The patients emotional status is assessed by observing his or her general demeanour (e.g., withdrawn, anxious) and body language (e.g., avoids eye contact). The patient is asked about major concerns and fears about diabetes; this allows the nurse to assess for any misconceptions or misinformation regarding diabetes. The nurse is also assessing th e vital signs of the patient such as temperature, respiration, blood pressure etc. and develops a baseline of these results. In this case the patients normal vital signs were as follows : Temperature- 36.4ââ€" ¦, Blood Pressure- 114/70, Respiration rate- 18 breaths per minute. Nursing Diagnosis Based on the assessment data, the main diagnoses the nurse must adhere to are as following: Risk for fluid volume deficit in relation to polyuria and dehydration, imbalanced nutrition related to imbalance of insulin, food, and physical activity. The main ones that are focussed on in this essay are the imbalance of insulin and the patient’s diet. Planning The major goals for the patient may include maintenance of fluid and electrolyte balance, optimal control of blood glucose levels. The nurse would plan suitable charts and regimes for the patient to follow. Intake and  output are measured. IV fluids and electrolytes are administered as prescribed, and oral fluid intake is encouraged when it is permitted. Vital signs are monitored hourly for signs of dehydration (tachycardia, orthostatic hypotension) along with assessment of breath sounds, level of consciousness, presence of oedema, and cardiac status. If the patient agrees with the diet plan and increases his fruit and vegetable intake this can highly optimise nutritional health, promote a healthy image and reduce the chances of obesity (Lock et al., 2005). In Diabetes, diet is a chief obstacle in the control of the condition (Watson et. al 1997). The patient’s goals in agreeing with a healthy diet for their Diabetes are as follows: 1) To regulate and sustain lipid levels an d blood glucose back to their normal state. 2) To avoid fluctuations in their blood glucose levels during the day. 3) To manage and control a desirable body weight. 4) To prevent or hinder the growth or advancement of renal, neurological or cardiovascular difficulties (Watson et. al 1997). The nurse should introduce a dietary plan for the patient with the Diabetes. This controls the amount of calories that are needed for each day and the magnitude of these calories to be assigned to carbohydrate, protein and lipids. This is determined by a person’s age, weight, gender, activity and their dietary intake before they discovered the disease. In general, the amount of targeted calories allocated to each food type is in the region of 50-60% carbohydrate, 10-15% protein and under 30% of fat (Rees and Williams,1995). In the diet, the concentrated sugars should be strictly limited e.g. sweets, jam, cake, and should only represent a minute part of a meal to prevent rapid increase in the blood sugar levels. The unrefined carbohydrates such as whole-meal bread, fruit and vegetables, and also fibre-rich f oods, should be consumed as an alternative to the refined carbohydrates as mentioned before. Implementation Meal planning is put into practice, with the control of glucose as the primary goal. The nurse must consider factors before beginning to intervene such as the patients lifestyle, cultural background, activity level, and their food preferences. A suitable caloric intake allows the patient to achieve and maintain the desired body weight. The nurse would encourage the  patient to eat complete and wholesome meals including snacks that have been prescribed in the diet that the team has devised for Kevin. The nurse needs to take into consideration of the fluid intake and keeps records of IV and other fluid intake, also record urine output measurements. Hypoglycaemia is the most dreaded acute difficulty in the disease of Diabetes, and can be a major factor in the hindering of the metabolic control in the body. Night-time hypoglycaemia states, more common in the paediatric side of Diabetes, places an immense worry for the child themselves but also the parents, as it more likely to go unnot iced and care for (Nordfeldt S, Ludvigsson J 2005). Hypoglycaemia may occur if the patient skips or delays meals, does not follow the prescribed meal plan, or greatly increases the amount of exercise without modifying food intake and insulin. In addition, hospitalized patients or outpatients who fast in preparation for diagnostic testing are at risk for hypoglycaemia. Juice, milk, or glucose tablets are used for treatment of hypoglycaemia. The patient is encouraged to eat full meals and snacks as prescribed in the meal plan. If hypoglycaemia is a recurring problem, the whole dietary plan must be looked over and improved if needed. The risk of hypoglycaemia with rigorous insulin routines, it is of the utmost importance for the nurse to review with the patient the signs and symptoms, possible causes, and measures for prevention and treatment of hypoglycaemia. The nurse should emphasise to the patient and family the importance of having information on diabetes at home for reference. Evaluation After putting this plan into practice, the nurse found that it helped in the treatment and care of Kevin Brophy in managing and controlling his Diabetes. After following the Roper Logan and Tierney model of Nursing it helped understand his Activities of Daily Living and how the patient could work his new dietary plan into these ADL’s and control his blood glucose to prevent hypoglycaemia. Kevin will also be able to be knowledgeable of and carry out duties in a way to control his diabetes mellitus and also maintain adequate fluid volume in the body. He will be able to monitor his blood glucose periodically throughout the day, administer his own insulin, increase his own fluid balance and monitor his urine output. He should demonstrate a participation in activities that include having a proper diet, exercise and  lifestyle (Palandri, M.K. 1993). He also should be wary of and identify community, outpatient resources for obtaining further diabetes education. Conclusion To conclude, Kevin will need continuous assessment and advice on managing and controlling his Diabetes diagnosis. He will need support from his mother and also help from the multidisciplinary team that works with him and his mother in the hospital. In following the Roper Logan and Tierney model he will then be able to manage his ADL’s better and be more understanding with the condition of Diabetes. He will be able to control his dietary intake and follow a routine throughout life to deal with his diagnosis. References Aggleton, P., Chalmers, H. (2000)Nursing Models and Nursing Practice. (2nd edn). London: Macmillan. Lock, K., Pomerleau, J., Causer, L., Altmann, D.R. McKee, M. (2005) The global burden of disease attributable to low consumption of fruit and vegetables. Bull. World. Health. Organ. 83, 100–8. Nordfeldt S, Ludvigsson J. Fear and other disturbances of severe Hypoglycaemia in Children and Adolescents with Type 1 Diabetes. J. Pediatr. Endocrinol. Metab. 2005; 18: 83–91. Palandri, M.K. and Sorrentino, C.R. (1993). Black and Matassarin – Jacobs, Pocket Companion for Luckmann and Sorensen’s Medical Surgical Nursing: A Psychophysiologic Approach. 4th Edition. W.B. Saunders. The Diabetes Control and complications Study Group (1994) Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial Research Group. J. Pediatr. 125, 177–188. Waterford Regional Hospital (2006) Department of Nutrition and Dietetics Watson et. al (1997) Clinical Nursing and Related Sciences 5th edn. Bailliere Tindall, 24-28 Oval Road, London NW1 7DX. Patricia Power Sorcha Dineen Miriam Cass 20053881 Patricia Chesser Smyth Nursing in the Community Module Leaders

Challenges facing mental health problems

Challenges facing mental health problems Abstract The purpose of this study was to evaluate and access the challenges facing mental health consumers to retain or rebuild a meaningful and valued life. The study was based on looking at mental health statistics, examining current trends in mental health services, treatments, pharmacology, and dual diagnosis management, and rehabilitation, vocational, educational, and transitional services. This paper is based partially on a report that came out of an invigorating collaboration between Surgeon General David Satcher, M.D., Ph.D., Substance Abuse and Mental Health Services Administration (SAMHSA), and (NIMH) who strive to improve the availability, accessibility, and quality of mental health services and support; conducting research on mental illness and mental health. This thesis gives my understanding of what this challenge involves, how this can be facilitated by supports within society at large, while evaluating the current policies and service provisions that are available. By exemplifying the current non-governmental organizations (NGO) that are already in place, I then give a synopsis of what agencies/services and resources would be required to necessitate rebuilding a meaningful and valued life for mental health patients. One in four Americans; people of all ages, races, incomes and social stratus will suffer from some form of mental illness in their lifetime. During the course of a year, more than 54 million Americans are affected by one or more mental disorder. (NMHA Tellioglu, 2009) An estimated 22.1 percent of Americans ages 18 and older suffer from a diagnosable mental disorder in a given year (NIMH, 1998) while an astonishing 5.4 percent of adults have severe mental illness. (Surgeon General, 1997). The number of people in Ireland admitted to psychiatric hospitals has dropped by 28% since 1997 with an increase in people treated in community psychiatric facilitiesà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬numbering 20,000 30,000 a year. (Irishhealth.com, 2009) Such statistics only begin to capture the level of pain and disruption in individuals, families, and communities for which mental illness is responsible. What is the definition of mental illness? According to the criteria in the American Psychiatric Associations Diagnostic and Statistical Manual of mental disorders (DSM-IV) it is a diagnosable illness that results in functional impairment that substantially interferes with or limits one or more major life activities. Some diagnoses are considered more severe such as schizophrenia, bipolar disorder, and major depression. Disability refers to the degree of limitation an illness imposes on the ability to function in life areas, such as relationships, work, independent living, and managing finances and medical care. People with mental disorders used to be thought of as a detriment to society and were removed from the community; kept in institutions and psychiatric hospitals. Patients were heavily sedated, given electroshock therapy, forgotten by professionals and family, and their condition further deteriorated, giving little or no hope of recovery. More recent research on long term recovery of individuals with mental illness shows a much better prognosis. Seven major retrospective studies done in Germany, Switzerland, Japan, and the U.S. show recovery rates of 46 68% for those with severe forms of mental illness without being institutionalized. (Harding, Zahniser, Zubin and Strauss 1984-1987) Recovery is defined as people with mental illness regaining the ability to work, live independently, maintain meaningful relationships, and contribute to their communities in a variety of ways. (Continuum, 1997) Neuropsychiatric disorders are the second greatest cause of burden of disease after cardiovascular disease, accounting for 40 percent of chronic disease. Serious mental illness can be fatal with suicide as the cause of death among adults second only to traffic accidents. More than 90% of people who kill themselves have a diagnosable mental disorder, (Baylor study, 2009) although not all with mental disorders will necessarily commit suicide; but the pain, hopelessness, and disordered thinking can lead to suicide and the impact is immeasurable. Our nations physical healthà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬as a wholeà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬has never been better. Cancer and HIV/AIDS once termed as terminal are increasingly distinguished as treatable, survivable, and curable ailments. Medical research proves the inextricably intertwined relationship between mental health, physical health and well-being. (David Satcher, 1999) Fortunately, leaders in mental health, intensely devoted advocates, scientists, government officials, and consumers have been insistent that mental health flow in the mainstream of health. With the progress the medical profession has made with disorders of the mind such as dementia and Alzheimers there has also been improvement in understanding mental illness. Dementia is a loss of cognitive function with an inability to think, learn, or perceive due to changes in the brain caused by trauma or disease with blood vessel disease due to illnesses such as diabetes and hypertension as the biggest risk factors. If the illness/illnes ses are treated the dementia can be reversed. Dementia is caused by a condition whereas Alzheimers is a particular physical condition. Some of the early signs of Alzheimers and dementia can include depression. Many medical problems mask as, co-occur with, or exacerbate psychiatric crises. Any patient exhibiting psychiatric symptoms needs a medical evaluation since physical illness can masquerade as mental illness. What many people fail to understand is that dementia, Alzheimers, diabetes, and mental illness are all diseases that a person has no control over. The primary contribution of modern-day mental health research is the degree to which its mended the destructive split between mental and physical health. Researchers recognize the brain is the integrator of thought, emotion, behavior, and physical health. Yet, despite research and unprecedented knowledge about the brain and human behavior, mental health is often disregarded and ailments of the mind remain masked in ignorance and misunderstanding. The challenges involved with retaining or rebuilding a meaningful and valued life for persons with mental illness are innumerable. The closing of mental health institutions, psychiatric wards, community mental health centers, residential facilities and diversion programs has reflected a trend for the entire nation stemming partly from the governments policy of treating the mentally ill in the community, rather than in institutions. (Independent News Media. 1997) Since 1970, 90 percent of public psychiatric hospitals have closed; available beds in NHS psychiatric wards alone dropped by 50,000 since 1980. (Sheriff, 2007) Even when there are adequate mental health facilities patients need to have medication and continual therapy to retain stability. With the closing of mental health systems clients will need additional support in finding a way to continue their treatment regimens. This is especially true for those with bi-polar and schizophrenic disorders who need to be monitored for treatment compliance. With a devastating loss of mental-health services throughout the world, individuals have relapsed, scores of patients have been forced to reside in local nursing homes, become homeless, or end up in correction systems. In 1996, E. Fuller Torrey, prominent psychiatrist/mental health advocate, stated, Quietly but steadily jails and prisons are replacing public mental hospitals as the primary purveyors of public psychiatric services for individuals with serious mental illness in the U.S. With federal funding cuts agencies who could offer services spend more time worrying about who is going to pay for what, rather than how to prevent relapse or suicide. With an inadequate supply of mental health services and providers there is a presence in society of at risk people manifesting mental disorders leading to destabilizing conditions that affect society as a whole. Alcohol and illicit drug use is associated with violence, criminality, antisocial behaviors and the inability to develop into pr oductive citizens of countries and communities. With the lack of mental health dual diagnosis treatment, patients often develop behavior that places them into the legal system; jailed or imprisoned, causing an interruption in their treatment that can lead to radical decline in functioning. Detective Tony Morales, Phoenix Police Department says, all our officers have to be part-time psychiatrists. Gabe Morgan, Sheriff of Newport News, Virginia says, Acute care for the mentally ill was once provided by psychiatric hospitals but many who are severely ill are living in our communities, where the burden of managing symptomatic and psychotic behaviors often falls on law enforcement. Jails were never intended to be treatment facilities but they are replacing psychiatric hospitals. Markowitz, Northern Illinois University reports results of an influential study on how psychiatric hospital capacity impacts crime rates. Data from 81 cities around the country showed communities with greater acc ess to psychiatric beds have lower rates of arrests and crime. (Sheriff, 2007) While troubled individuals are more likely to seek help from their physician than a psychiatrist, (Kiesler, 1980) countless physicians are not trained to deal with mental problems nor willing to spend time listening to anything other than physical symptoms. (Eisenberg, 1977; Engel, 1977; Knowles, 1977; Reiser, 1981). Another challenge is that emergency rooms are becoming the most utilized form of care for those in crisis because mental health service providers are unavailable after hours and on weekends and the ER is not allowed to turn people away. Badly equipped to handle respite/mental health care patients become unnecessarily hospitalized or are medicated until they can see a psychiatrist if available. Mental health consumers who find adequate in-patient treatment often face a void when trying to bridge the gap between relapse or hospitalization and living life in the community. In their quest to achieve recovery, they find little or no intermediate services available. While pharmacotherapy can treat the symptoms of mental illness when taken as directed it cannot restore a sense of value of self nor lift the burden carried by the patient. With no way to progress through rehabilitative therapies and develop coping and life skills a person who has been hospitalized, imprisoned or institutionalized will have little hope reintegrating into society and their mental health will only decline. Often, the result is the revolving door phenomenon with a cycle of deterioration, relapse and re-hospitalization or being arrested for petty crimes, released and arrested again. (Psychiatric Services, November, 2003) Another very real and insidious challenge is the impact of stigma, shame, and isolation associated with mental illness constituting a major barrier against seeking treatment. The graphic portrayal of those labeled with a mental diagnosis confronts the patient living with a serious mental illness to try to navigate beyond the arduous challenges presented by the illness itself. Strides have been made against stigma, yet too frequently mental health is spoken of in whispers and shame. Stigma and an unwarranted sense of hopelessness for recovery from mental illness have erected barriers. These barriers have made their way into churches where those with severe mental illness have turned to seek assistance from their local pastor. Some well meaning Christians throw bible verses or phrases such as if you had enough faith or just give it to God in an effort to solve the problem by fixing the person with mental illness because of their lack of knowledge or understanding. The mentally ill may get support for awhile with prayers, talks on faith, loving and trusting God, but if the person is not progressing as they had hoped then any interest in helping may wane. Serious roadblocks arise when those with mental illness try to find encouragement from their church and get no support or try to talk to their therapist about their faith or religious beliefs and he/she responds in a negative or unsupportive way when hearing about God. Having a relationship with Jesus Christ can give great comfort and hope and provides strength for working through spiritual issues which is an essential part of healing and rehabilitation. God works through people who are willing to help a person to rebuild their life. If a church fails to give support many mental health consumers then make serial connections with church after church trying to find respite and may stop going to church and even worse; turn away from God. Those whose mental illness is dismissed by clergy are not only being told they d ont have a mental illness; theyre also being told they need to stop taking their medication which can be a very dangerous thing. (Baylor, 2008) The unique internal pain of those who have a serious mental illness is only exacerbated when a pastor or members of a congregation fail to understand their condition, or even resents them or their illness because they are unable or unwilling to accept them like Jesus would. Support is essential for recovery of mental illness. Where does a person go when there is little or no treatment available, nor support from family, friends, church or therapists? People who seek God find what they need in time of hardship. Individuals can find support on the internet from mental health forums, blogs and websites. Too many other people that have no answer have given up and have died needlessly. Formidable financial barriers impede needed mental health care from too many people both those with adequate health insurance or one of the 44 million Americans who lack health insurance. If they do not have medical insurance or have other financial problems it can be difficult for the mentally ill to obtain medical care, counseling or medication. Even if they do have medical insurance, many insurance policies either do not cover the cost of treatment for mental illnesses or they only allow a minimum of 12 30 sessions of counseling a year, depending on the insurance policy. Unlike some physical diseases which may be cured with antibiotics or surgery, mental illnesses may need consistent management. For example, there is no cure for schizophrenia. Without continual treatment, these clients decline and may become homeless or worse. For those mental disorders that can be resolved such as post traumatic stress disorder, 12 sessions are not sufficient. It is not feasible to expect a vete ran who has been in active combat for 3 years to heal in three months or a woman who has been abused for most of her life to recover with so few therapy sessions a year. Patients need consistent ongoing treatment without their progress being impeded by financial and insurance restrictions. Some insurance companies have made exceptions through managed care to trade inpatient days for outpatient days to accommodate the patient needing more therapy and psychiatric sessions but this is usually limited to amending the policy for one year at the most. There is substantial research indicating that the majority of the chronically mentally ill can function outside of institutional settings where mental health services are available. A number of community support services were positively evaluated showing evidence patients can be effectively maintained in non-institutional community placement. (Kiesler, 1982) A wide range of non-governmental organizations and community support interventions vary across a spectrum from crisis clinics designed to prevent rehospitalization (Formenhaft, Kaplan, Langsley, 1969) to small self governing communities (Fairweather, 1980) such as mental health drop in centers and psychosocial clubhouses. (Taber, 1980) Primary health care physicians that are able to identify common mental disorders are facilitating and advocating support and treatment for mental health consumers, providing basic medication and psychotherapeutic interventions, while referring complex cases to community mental health services. Other provisions include 24 hour crisis hotlines offering support and encouragement; helping move the person from a state of crisis/feeling suicidal to empowering them to develop and rely on coping skills. In many countries, community mental health teams provide home-based crisis intervention services through 24 hour mobile outreach, assisting in stabilization, visiting people, helping consumers at high risk for hospitalization; providing one-on-one intensive case management, rehabilitation, and follow up. In many countries hospital diversion programs redirect people in crisis to community-based facilities such as mental health crisis shelters, family based crisis homes, apartments with in home-like milieu, or hostels as alternatives to hospitalization helping hundreds of people each year stay in the community and avoid the expense, stigma and trauma of hospitalization. Many provide the same recovery model as psychiatric inpatient treatment facilities and have found with proper support, compassion, understanding, professional mental health, and peer counseling the need for hospitalization is diminished or greatly reduced. Some hospitals have dispositional care, an alternative to hospital stays, adjacent to the ER to facilitate a short stay with discharge as the goal, offering short term acute treatment for psychiatric and substance abuse issues. Outpatient day-treatment is available in a highly structured environment and offer support services upon discharge. A study shows that 80% were successfully diverted from the hospital at considerable savings. Treatment was comparable to those admitted to psychiatric hospitals. Vocational/rehabilitation services help mental health consumers attain independent living skills necessary to move into or remain in more independent level of housing within the community. These programs teach skills such as cooking, nutrition, personal grooming, using public transportation, job skills, budgeting money, health and dental care and assistance achieving a job and/or academic education. While the goal is to stay out of crisis and prevent hospitalization these programs are primarily designed to help consumers reenter society and/or achieve a full community life. Clients take responsibility for their care with moderate support from community-based case managers who make weekly in-home visits to monitor progress and provide assistance. These particular models vary from country to country depending on various factors including the sociocultural context, how health services are organized and the availability of financial and human resources. For success, psychiatric treatment and rehabilitation needs to have integrated, seamless approaches aimed at restoring persons with major mental disorders to their best possible level of functioning and quality of life. How can this be facilitated by supports within society? Effective treatment of serious mental illness goes far beyond inpatient hospitalization and offers individuals the opportunity for community reintegration. (American Psychiatric Association, 2004) Inpatient treatment facilities would be available only for those with severe needs or those at risk to themselves or others. Hospitalization would be brief, minimally disruptive and rehabilitation services within the community could be seamlessly implemented as quickly as possible. (American Psychiatric Association, Kopelowicz and Liberman, 2003) Clients would move through a care continuum including psychiatric diagnosis and treatment, pharmacotherapy, dual diagnoses/addiction treatment, physical assessment, behavioral modification, neurocognitive science, 12-step recovery programs, employment, housing, criminal justice, education, and relapse prevention. Rehabilitation would include teaching life and coping skills, managing symptoms, dealing with memory, decision making, problem solving, and management of anger and stress. Community based programs would include residential services, crisis intervention, hospital diversion and relapse preventative resources, mental health research, and other service providers designed to reintegrate the mentally ill into society. Patients would be educated about their illness to grasp management and proper use of psychiatric medications. The perfect model would include guaranteed access to necessary medicines for people with mental health problems at a cost that the health care system and the individual can afford in order to achieve appropriate prescription and use of these medicines. Having an adequate number of psychiatrists and counselors for outpatient treatm ent in areas that formerly had only a few or none is essential. There is a need to improve coordination between health care providers and governmental and private mental service providers along with community based programs for the mentally ill to advance and improve the referral system and evaluate if the needs of mental health consumers are being met. The government could support mental health consumers by creating laws that restrict discrimination of treatment among insurance providers. Mental illness needs to be viewed as equal to other form of physical disabilities. Mental illness is not a lack of willpower. Medication for depression is just as vital as insulin is for the diabetic. The threat of suicide for mental illness is as dangerous as a heart attack is for heart disease. Promoting good mental health for people of all countries will require scientific know-how but, even more importantly, a societal resolve that we will make the needed investment; not for budgets but for each of us to educate ourselves and others about mental health/illness, and to confront the attitudes, fear, and misunderstanding that remain as barriers before us. (David Satcher, M.D., Ph.D., Surgeon General) To remove the stigma and secrecy surrounding mental illness families, churches and others who once offered no support need to sustain those who suffer in shame. There is still a long way to go with reintegrating and rebuilding the lives of those with mental illness. I have learned however that mental health consumers grow emotionally during this process we call recovery through enhanced self esteem, meaningful work, connections to others, a sense of hope and empowerment. They grow physically through increased fitness, improved diet and nutrition, and better health care. They grow intellectually through a better understanding of their disability, effective coping mechanisms, and the development and implementation of personal goals. They grow spiritually through pastors and churches that are willing to offer support, understanding and biblical counseling. It is through our connections with people who are experiencing mental illnesses that we will continue to learn and to grow in our knowledge about mental illness and recovery and have some of the best, richest relationships we could possibly have. In conclusion, the World Health Organization predicts that in the next 20 years more people will be affected by depression than any other cause of ill health worldwide. With this knowledge I would like to challenge the world, our nation, our countries, our cities, our communities, both physical and mental health care models, researchers, our employers, and our citizens to take action to collaborate with mental health consumers. There is no health without mental health and mental health is fundamental to quality of life and to the most creative and productive life that people can live. (Indian Journal, 2006) References Mental Health America Resource Center. 800-969-6642. http://www.nmha.org/ Neugeboren J: Imagining Robert: My Brother, Madness, and Survival. New York, Morrow, 1997 Hall LL: Review of Imagining Robert: My Brother, Madness, and Survival. Psychiatric Services 48:1470-1471, 1997 Harding, Zahniser, Zubin and Strauss (1984 1997). Mental Health Statistics. Continuum, 4, 3-15. Tahir Tellioglu M.D., APA, AAAP (2009). Mental Health Rehabilitation. National Mental Health Association Unknown (2003). Psychiatric Services. American Psychiatric Association, 54, 1491-1498. Alex Kopelowicz, M.D. and Robert Paul Liberman, M.D. Integration of Care: Integrating Treatment with Rehabilitation for Persons with Major Mental Illness. William D. Spaulding, Mary E. Sullivan, and Jeffrey S. Poland, New York, Guilford Publications (2004). Treatment and Rehabilitation of Severe Mental Illness. Am. J. Psychiatry, 161, 937 Alex Kopelowicz, M.D. and Robert Paul Liberman, M.D. (2003). Integration of Care: Integrating with Rehabilitation for Persons with Major Mental Illnesses. American Psychiatric Association, 54, 1491-1498. David Satcher, M.D., Ph.D. Surgeon General (1999). Collaboration between (SAMSHA) Substance Abuse and Mental Health Services Administration and (NIMH) National Institute of Mental Health Report. Surgeon Generals Response to Mental Health. Healthy Living Clinic. Irish Health. Retrieved 2009, from http://www.irishhealth.com/clin/healthliv/health_ire.html#s6 H. Russel Searlight and Paul J. Handal with Kramer, Kiesler, Flomenhaft, Kaplan Langsley, Fairweather, Taber (September 1986). Psychiatric Deinstitutionalization: The Possibilities and the Reality. Psychiatric Quarterly, Volume 58, 3. S; Steven. Mental-health policy: Iowa doesnt get it. 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