Friday, September 20, 2019

Shakespeares Language in his Works Essay -- essays research papers

Shakespeare's plays are full of references to what is now obscure- classical myth, falconry, astrology, or the theory of 'humors' that were thought to determine personality within so many of his characters (?S??Far?). Shakespeare wrote about themes and events we can relate to even now nearly 500 years later. 'He wrote about us-you and me, our friends, our families, the people we work with and play with and argue with and go to bed with, the characters we see on the evening news and elect to public office' often times comparisons are often scary (Seder iii). Shakespeare also liked to make fun of many of his characters. His plays show that he can be funny and has a humorous personality, often times even in his tragedies in which tears would flow from not only depression but from laughter. 'Shakespeare is full of humor, not only the broad clowning of the likes of Falstaff, but the deft little jabs and needles, sly and subtle jests' found in his vocabulary (Seder iv). The meanings of words Shakespeare used have changed and some have totally disappeared. The word ?bootless to Shakespeare did not mean lacking footwear, but useless or meaningless? (?So?..Far?). In our time we use expressions like LOL and IDK that stand for ?laugh out loud? and ?I don?t know or understand? when writing text messages or instant messages. If these expressions were during Shakespeare?s time the people would not have understood their meaning. Another such expressions could be ?Cool beans!? that basically means ?this is neat.? Terms that Shakespeare used have either fallen out of use or have different meanings, thus confusing the reader if he or she is not familiar with the Shakespearean style of writing. A great example of a word meaning chan... ...iting letters or messages and sometimes you will hear a person say ?tis?. It is amazing to look at the influence that he has contributed to our world and language today. He even has influence on current plays and movies and even poems. Shakespeare also uses themes in his plays. For example the main themes in Romeo and Juliet would be love and fate. Most people have at least heard of Romeo and Juliet and know it is a love story. Women and girls think Romeo is the perfect man or husband, so today girls are looking for their Romeo. In Romeo and Juliet fate just would not let them be together. There were problems arising all through the play with the fighting families and the tragic deaths of Romeo and Juliet. We knew there were going to be problems or death in the beginning when they say "A pair of star-crossed lovers take their life" (Glencoe McGraw-Hill).

Thursday, September 19, 2019

Color Blindness and Testing in Children Essay -- Vision Sight Disorder

Color Blindness and Testing in Children In a world of many technological advances, color perception has become a very important issue. One of the main advances pertains to color technology. An increased emphasis on color technology has raised awareness of the issue of color blindness. Many people are not aware of the origins of color blindness and the different types, although many people are affected by it. One in two hundred females have this defect while in males the defect occurs in one and twelve ( Lewis, Reitzammer & Amos, 1990). That is about two percent of the female and eight percent of male populations (Sewell, 1983). It is important to look at the prevalence of colorblindness in children and identify the problems associated with it. Color deficiencies can take many forms but are generally grouped together and known as colorblindness. The different types of color blindness include protanopia, deuteranopia, and tritanopia. Individuals with protanopia perceive short-wavelength light as blue, and when the wavelength is increased, the blue becomes less and less clear until it is perceived as gray at 492 nm (Goldstein, 1999). Deuteranopia causes a person to perceive blue at short wavelengths and see yellow at long wavelengths with a neutral point at 498 nm. The most rare form of color blindness is tritanopia. These individuals perceive blue at short wavelengths and perceive red at long wavelengths with a neutral point at 570 nm (Goldstein, 1999). Protanopia and deuteranopia are commonly referred to as red-green blindness. These forms of colorblindness are sex linked; the gene responsible is on the X-chromosome, with the dominant gene passed by the mother. With the female (XX), the anomalous locus on one X chromosome.. . ... Psychology, 14, 196-218. Goldstein, B. E. (1999). Sensation & Perception, Fifth Edition. Pacific Grove, CA: Brooks Cole Publishing. Knowlton, M., & Woo, I. (1989). Functional color vision deficits and performance of children on an educational task. Education of the Visually Handicapped, 20, 56-62. Lewis, B.A., Reitzammer, A., & Amos, J.F. (1990). color vision defects: what teachers should know. Reading Improvement, 27, 31-33. Pease, P.L. & Allen J. (1988). A new test for color screening color vision: concurrent validity and utility. American Journal of Optometry and Physiological optics, 65, 729-738. Sewell, J.H. (1983). Color counts too! Academic Therapy, 81, 329-37. Waggoner, T. L. (2000, February 6). New pediatric Color Vision Test for Three to Six Year Old Pre-School Children. [Online], Available. http://members.aol.com/nocolorvsn/color5.htm

Wednesday, September 18, 2019

Criticism of Bryants To a Waterfowl :: Poems of Bryant

The poems of Bryant may be classed, with regard to their subjects:--those expressing a universal interest, relative to the great conditions of humanity, types of nature symbolical of these, as the Winds; poems of a national and patriotic sentiment, or expressive of the heroic in character, as the Song of Marion's Men. Of these, probably the most enduring will be those which draw their vitality more immediately from the American soil. In these there is a purity of nature, and a certain rustic grace, which speak at once the nature of the poet and his subject. Symbolic images of nature abound in his verses. Here I ¡Ã‚ ¯d like to share some of my observation of some of the poem  ¡Ã‚ °to a waterfowl ¡Ã‚ ±. Whither, 'midst falling dew, While glow the heavens with the last steps of day, Far, through their rosy depths, dost thou pursue Thy solitary way? Whither ¡Ã‚ ªto what place. We have to read the whole stanza to complete the question. The author delays the meaning so long by putting in the description of time and place to create a feeling of distance to the destination. And "thee, thou, thy"--these are all poetic ways of saying "you" in the singular form. In a sense, focusing on a single distinctive "you" with no possibility of it being the plural "you." So, maybe it is more than just poetic diction, but the emphasis of solitude. Seek'st thou the plashy brink Of weedy lake, or marge of river wide, Or where the rocking billows rise and sink On the chafed ocean side? Rubbed away by friction, constant irritation. Here are three different possible destinations for the waterfowl. they have something in common. There is a Power whose care Teaches thy way along that pathless coast,-- The desert and illimitable air,-- Lone wandering, but not lost If he is speaking of God (what kind of god?), why does he call him a Power? Birds migrate because of natural instincts--what is the connection to a Power here? He might imply that Nature and God are identified Again, notice the emphasis on Lone. In the fifth stanza, cold thin atmosphere, stoop, weary," and "welcome land" contrast sharply. which adds to the picture of the bird both concretely and symbolically. this bird's flight is beginning to represent the lonely and lifelong struggle of the writer himself in hope of finding his welcome land . Thou'rt gone, the abyss of heaven Hath swallowed up thy form; yet, on my heart

Tuesday, September 17, 2019

Cola Wars Continue: Coke vs. Pepsi in the 1990s Essay

Question 1 The concentration producing industry has one buyer and through its value chain. Instead, costs for advertising, promotion, market research, and bottler relations were significant. On the other hand, bottling industry is the mid-way player in the soft drink industry. There are two suppliers and one buyer involved in its value chain (Exhibit 1). Whether two industries are profitable depends on soft drink consumption, which had increased for more than 20 years and plateaued in the 1990s. The economics of the CP and bottling is very different from each other in terms of number and size of rivals, and the scope of competitive rivalry. There are two giants competing head to head on the CP industry, smaller national producers, such as Seven-Up and Dr Pepper, are relatively trivial. There are a lot of players of same size in the bottling industry. Unlike the furious competition between Pepsi and Coke, no sense of competition can be felt in bottling industry. Reasons are that, first, Pepsi and Coke control the majority of bottlers in 1990s; second, intrabrand competition is restricted by the franchise agreement, which is protected by ‘Soft Drink Interbrand Competition Act’. From the view of capital requirement, it is easier for others to enter the CP industry than to enter the bottling industry, since comparing to $30-$50 million dollars requirement to establish a bottling plant covering only one 80th of ability to serve the entire US market, the requirement for one CP plant with a nation-wide capacity is only $5-$10 million dollars. In addition, brand loyalty is low in the CP industry since consumers are sensitive to price and there is little switching cost. There are many substitutes for soft drinks, such as tea, beer, and milk. There is no substitutes existing in the bottling industry, and no customer loyalty and switching costs for bottlers since they could only use packages authorized by the franchiser, which means no distributors can tell the difference of the same brand provided by two bottlers, and easily switch among different bottlers. Cost and financial structures of a CP and a bottler illustrate that high cost of sales is one of the major reasons behind the relative low profitability of the bottling industry. The ratio of cost of sales over net sales is 40% higher than that of CP. One possible reason is that bottlers heavily depend on CPs, and thus, CPs use bottlers to diversify expenses. Another reason is that bottlers hold much more inventory than CPs do since bottlers receive soft drink concentrates according to its processing capacity, while they sell products based on selling capability. Also, bottlers have plant and equipment that are ten times more than that of CPs, and a good will that is roughly 45 times more, which means that bottlers have to deduct more depreciation from gross profit than CPs do. One of the reasons why bottlers are backward integrated by CPs is that, as the Cola-war heating up, small bottlers were no longer able to handle CPs’ goals and thus they would not be chosen as Pepsi and Coke’s partners. Most of them were merged or driven out of the market by larger ones adopting the DSD method, which is the only delivery category that provides a positive net profit per unit. Other driving forces for Pepsi and Coke to integrate bottlers are that, by doing this, they can narrow down the number of packagers they deal with, lower costs of negotiation with bottlers, and set up barriers to find buyers for other smaller national CPs. Question 2 Bargaining power of buyers is the weakest competitive force for CPs. On the other hand, the strongest competitive force for the bottling industry is bargaining power of suppliers because of the interactional relationship between the two industries in question. Both of the two industries would like to weak each other’s bargaining power, however, CPs take the initiative in the negotiation. First, it is CPs who build franchise networks. CPs understand how the bottling process works, while the bottlers don’t know how to run a soft drink brand. Second, CPs negotiate with bottlers’ other suppliers to secure reliable supply, faster  delivery, and low price. Also, franchise agreement between CPs and bottlers has been becoming more favorable to CPs. So it is safe to say that bottlers have been affiliated to CPs to a deeper degree than CPs to bottlers. Finally, the bottling industry does not have giants who are able to penetrate into the CP industry. On the other hand, the CP industry has Pepsi and Coke to integrate bottlers. Threat of new entrants is the second weakest force for the CP industry. One of the major reasons is that it is difficult to access a bottler since like Pepsi and Coke are taking control of most of the packagers. Another reason is, although capital required to establish a soft drink concentrate plant with the capacity of serving the entire US market is low, costs for advertising, promotion, market research and bottler relations are a heavy burden and specialized know-how, such as brand management, is a natural barrier to penetrators. However, the fact that customers’ loyalty is becoming weaker makes the force not as weak as bargaining power of buyers. The bargaining power of suppliers to CPs also seems weak in the case since, as the advent of diet soft drinks, the expiration of the patent to aspartame, and oversupply of aluminum on the world market, suppliers to CPs are losing bargaining power. However, there is no detail of suppliers industry given to provide us with confidence to say that it is the weakest force. Threat of substitutes, and competitive rivalry among the incumbents are relatively weak for the CP industry. Comparing to its substitutes, such as beer, milk, and bottled water, soft drink is and will continue to be performing outstandingly (Exhibit 2). Type of competition in the CP industry is duopoly, two giants, Pepsi and Coke are competing with each other head to head. Other CPs are confined to a market share that is lower than 30%. The unsystematic competition makes competitive rivalry less intense when consider the industry as a whole. Threat to new entrants for bottling industry is weak since, unlike the CP industry, bottling industry has a high capital requirement, from $30 to $50  million, to build a plant of five lines with one 85th to one 80th of the national volume. There is even no profit margin for small bottlers because they are not big enough to be engaged in the DSD to make a positive profit. Bargaining power of buyers is the third weakest force for the bottling industry. To bottlers, they receive volumes of concentrates at the level of their processing capacity; while at the other end of value chain, number of cases they can sell depends on bottlers’ marketing capability. To retailers, they don’t have switch costs since Pepsi Cola from bottler ‘A’ is the same as that from bottler ‘B’. However, continual brand availability and maintenance is crucial to CPs, they don’t want to see that too much inventory held by packagers erode relationship with each other. So, CPs have to help bottlers work on marketing and how to deal with retailers. Threat of substitutes, and competitive rivalry among the incumbents are the weakest. First, there are no substitutes for packages. Second, there is no competition among bottlers in that not only is intrabrand competition restricted, but also competition among brands are concerned by CPs since the bottlers are heavily controlled by concentrate suppliers nowadays. Question 3 The reason why the Cola-War does not escalate out of control is that both of Pepsi and Coke understand the importance of keeping its rival alive. Strategically, they are vital to each other’s maintenance. There are three possible results of the Cola-war, monopoly, duopoly, and near prefect competition. All players in this industry are dreaming to be the king of monopoly. However, under current situation, it is difficult to defeat each other without harming themselves for both of Pepsi and Coke. Launching plans and actions aiming at eliminating its competitor will probably result in the third result, near prefect competition, in which the industry would only have players bearing the same size as nowadays Seven-Up and Dr Pepper. Obviously, duopoly is the best and easiest choice for the big two. First, as risk avoiders, they can maintain current size and dominant position in the market, keep small national brands at an inferior level. Second, they can keep business environment nearly unchanged. The duopoly situation has been lasting for more than two decades. It is the one they are familiar to. No matter whoever is driven out of business or both of them lose the dominant position, they have to re-evaluate the industry and re-plan their strategic plan. Third, they can lower the possibility of making mistakes by observing what each other are doing. Based on above reasons, Pepsi and Coke choose not to wage a war that is out of control. Methods Coke and Pepsi adopt to keep the war within ‘bounds’ are focusing on key success factors, following each other’s actions selectively, and realizing gap in international market. There are three KSFs in this industry, brand differentiation, relationship with packagers, and developing new beverages. Focusing on KSFs enable both of Pepsi and Coke stay in the right track leading to higher level competition of duopoly. Following each other’s actions selectively prevents them from distracting to dangerous actions. They both followed closely each other’s actions based on KSFs, such as launching marketing plans, vertical integrating bottlers, and develop new products. They also distinguish bad actions from good ones. For instance, Pepsi gave its employees one-day brake when it received the information that Coke decided to change its Coca-Cola’s formula. Pepsi has admitted that Coke is much stronger on international market. It is very important that it uses ‘guerilla warfare’ in selected international market instead a frontal attack with Coke everywhere, which would entrap Pepsi in the quicksands of international market. Question 4 Over the last century, firms specialized in tobacco, food, and restaurant, such as Philip Morris, Hicks & Haas, Triarc, R.J. Reynolds, and Cadbury Schweppes, tried to penetrate into the soft drink industry through purchasing small national CPs like Dr Pepper, Seven-Up, and Royal Crown Cola, however, few of them survived. Reasons for this fact fell with the faulty strategic planning process. Those who entered but do not end up with success failed to recognize three key success factors in this industry in the beginning, building brand recognition, developing packaging networks, and changing distribution channels. First, Pepsi successfully competed with Coke through adopting brand differentiation. In responding to Pepsi’s attack, Coke spent even more money on advertising, which gained two companies world wide fame, heated up the war between them, and shaped their capacity to remain as top players. However, other CPs did not cash in on the brand differentiation strategy, which can be illustrated by a compare of dollar amount spending on advertising by brand in the US. (Exhibit 3) Second, there was no evidence that small national CPs tried to secure packagers to build their bottling network. Instead, they had to resort to bottlers owned by Pepsi and Coke, while small bottlers do not have the capacity to handle national distribution. Costs for new entrants to maintain bottler relations or organize small bottlers are so high that may eat up gross profit. Finally, as discount retailers such as Wal-Mart and K mart prospered during the 1990s, CPs are facing pressures on lowering their wholesale price. Besides, it seems only Pepsi and Coke were involved in Door-Store Delivery method, CPs that sell products to private label and warehouse would be facing less distributors due to negative net profit/unit.

Monday, September 16, 2019

Love and Entire Emotional Spectrum Essay

The main subject of â€Å"Editha† is war. Editha blindly and ignorantly believes in the heroic romanticism of war and is totally oblivious to the real consequences of battle, and Howells shows his dislike in his portrayal of Editha though the plots. From the earliest of moments in the story, Editha is shown as one who has embraced the jingoistic claims of nationalism in a time of war. Editha sees war as a romantic pursuit, one in which there is no complexity. For Editha, when the nation has committed to war, there is no question of its authenticity and little room for doubt in terms of individuals paying heed to its call: â€Å"But don’t you see, dearest,† she said, â€Å"that it wouldn’t have come to this, if it hadn’t been in the order of Providence? And I call any war glorious that is for the liberation of people who have been struggling for years against the cruelest oppression. Don’t you think so too?† Editha views war in terms of providential design, â€Å"glorious† in its notion of â€Å"liberation,† and an exercise in which there can be no ambiguity. For Editha, war is an exercise of Romantic valor, something expressed to George in a letter to him in which her love of the â€Å"adventure† in war is almost secondary to the affection of a beloved: â€Å"I shall always love you, and therefore I shall never marry anyone else. But the man I marry must love his country first of all, and be able to say to me, â€Å"‘I could not love thee, dear, so much, Loved I not honor more.’ â€Å"There is no honor above America with me. In this great hour there is no other honor.† â€Å"Honor† is something that Editha defines externally. George defines himself in a very different manner. For George, â€Å"honor† is internal, adhering to a conception from within. In response to Editha’s zeal about war, George responds, â€Å"†But war! Is it glorious to break the peace of the world?† For George, the action of war is not honorable. George sees the world possessing doubt, something that he feels is present when he â€Å"differs† from Editha. In contrast to Editha’s certainty, George sees doubt and confusion. It is because of this that he is swayed to join the war effort, joining something in which he has doubt and uncertainty. It is in this point and counterpoint in which Editha and George operate. They function in relation to one another because they represent the entire emotional spectrum about love, war, and commitment.

Sunday, September 15, 2019

Diabetes and Cardiovascular Disease in New Zealand

Cardiovascular disease (CVD) and diabetes are major health issues for Maori, Pacific and south Asian people. The impacts of these diseases are increasing hospital admissions and readmissions hence increasing with an aging population. (Kaitiaki Nursing, New Zealand, 2013, pg. 20). Diabetes mellitus has been well pronounced as a cardiovascular risk factor in New Zealand and people with diabetes are 2-4 times more likely to suffer from CVD hence is a leading cause of death in diabetic patients (ministry of health, 2011, pg. 2). Diabetes mellitus type 2 is a preventable and reversible condition giving rise to a range of serious complications associated with nerve and blood vessel damage that bring on blindness, limb amputations, kidney disease, and increased risk of infection (Powers, 2005). According to Diabetes New Zealand (2008), people with diabetes increases the risk of developing narrowed, thickened or completely occluded arteries (atherosclerosis) due to an elevated blood sugar level. Insulin resistant diabetes (type 2) or a complete absence of insulin (type 1) increases serum lipid levels as cells try to break down fats and protein to form energy. Lipids are released as the bio-product which then travels in blood increasing the risk for occlusion in blood vessels. Hyperglycaemia, insulin resistance and altered serum lipid levels are responsible for formation of coronary plaque and blood clot in vessels. This leads to health issues such as ischaemic heart disease, stroke, hypertension myocardial infarction etc. (Lewis, 2012, 1388-1389). In New Zealand Maori, Pacific Islanders and South Asians are at a higher risk of developing diabetes, increasing chances of dying of cardiovascular diseases. Modifiable factors such as nutrition, physical inactivity, smoking, alcohol consumption and body size influence the risk of getting affected by diabetes and CVD. According to Ministry of Health (2008) diabetes occurs earlier in Pacific and Maori peoples, about 10 years before Europeans which contributes to an increased risk of chronic health conditions and mortality rate. It is appraised that due to demographic trends and projected growth in obesity, the number of diabetes cases will increase and the increase will be greater within the Maori, Pacific, and south Asian populations (Ministry of Health, 2008d). 5% of adults in New Zealand meet the criteria for obesity due to lifestyle, unhealthy nutrition and increased physical inactivity (eg. 42% of Maori and 63. 7% of Pacific peoples meet the criteria for obesity). The New Zealand Medical Journal, 2006 states that Asian new Zealanders especially Indians show a very high percentage of diabetes and CVD which is similar to Maori people (A meratunga, Rasanathan, Tse, 2006). According to the Ministry of Health (2009), more Maori, South Asian and pacific people died from the year 1987- 2006 when compared to non-Maori. Obesity is primarily caused by poor nutrition and sedentary lifestyles (Ministry of Health, 2008e). The New Zealand sport and physical activity surveys (conducted in 1997/98, 1998/99, and 2000/01) by Sport and Recreation New Zealand (SPARC) found that Pacific, Maori and south Asian children had higher levels of inactivity than other groups. Additionally, a healthy diet is a key determinant of health outcomes and is particularly important for the growth and development. With regards to ministry of health (2003), Maori, south Asian and more of pacific people in new Zealand tend to eat more unhealthy food as it came cheaper and children skipped breakfast due to lack of parental supervision. Smoking is seen to be another lifestyle adaptation amongst the New Zealand community and the leading risk factor for many forms of cardiovascular disease and diabetes. More Maori and Pacific individuals’ smoke (45 percent and 31 percent, respectively) compared with the total New Zealand population (20. percent) (Ministry of Health, 2008k). The Youth 2007 Survey found that twice as many Pacific students are regular smokers when compared to European students. Furthermore, level of economic resources available to the pacific and south asian people is another important social determinants of health. Asians generally do not show increased health issues statistically but south Asian particularly Indians are at a very high risk. Despite high levels of disease, Indi an New Zealanders are rarely presumed as a priority group in current diabetes strategies. For example, â€Å"Let’s Beat Diabetes Strategy† by Counties Manukau District Health Board fails to mention Indian people specifically but considers the general Asian population. Another possibility for the disproportionate effect on south Asian and pacific people could be higher levels of unemployment and lower income as a group (ministry of health, 2006). This is partly due to a lack of effective settlement strategies for migrant Asians and pacific people to New Zealand. Lack of employment and difficulties settling into the host community are associated with negative health effects and reduced accessibility to health care facility (Ameratunga, Rasanathan, Tse, 2006). The risk associated with diabetes and cardiovascular disease can be reduced and these conditions only respond well if managed with appropriate care. Evidence proposes that many Pacific individuals are often ignorant of the government services offered to them (Koloto & Associates Ltd, 2007; Paterson, 2004). This demonstrates ineffective communication by health information services and providers. Primarily, nurses need to build a trusting therapeutic relationship via therapeutic communication techniques such as active listening, paraphrasing etc. It facilitates client autonomy, creates a non-judgmental environment and provides the professional with the holistic view of the client for better management. With reference to the case study by Counties Manukau DHB (Ministry of Health, 2011, pg. 6) the diabetic patient (Mr Cooper) found it difficult to follow instructions given by the doctor therefore his diabetes nurse helped him with all the information he needed. He verbalised ‘I learned a lot from the nurse. I learned how serious diabetes is and how it is not going to go away, but also how it is possible to live a normal life if you manage what you eat, etc. ’ This specifies that nurses are the closest health professionals who spends the most time with patients and so can work with the patients in partnership. In order to manage diabetes and CVD effectively (Ministry of health, 2011, pg. 2), it is very important for nurses to educate their patients about the risk factors and what needs to be done to improve early detection and management of diabetes and CVD. Adherence to therapies anticipated to control risk factors such as lipid levels or blood pressure for patients with type 2 diabetes is seen to reduce major cardiovascular complications and increase survival (Barrat, Butow, Caldwell, Davey & Travena, 2006,pg. 13-23) . One probable way to improve patients’ metabolic control is to help them understand the risks of the disease and the likely benefits of available therapy options. Research has shown that information on the potential benefits of improving modifiable risk factors may assist both health professionals and patients in making treatment decision. This may increase patients’ willingness to accept management strategies recommended by their doctors and nurses. In fact, nurses as health educators can use diverse formats (e. g. decision aids, brochures, verbal advice) increasing patients’ knowledge and understanding (Barrat, Butow, Caldwell, Davey & Travena, 2006, 13-23). However, as suggested by the New Zealand Guidelines Group (2003) nurses and other health professionals need to make use of an evidence-based practice in the management of diabetes as well as assessing the risk of cardiovascular disease. However, despite CVD and diabetes assessments being developed, uptake is often low. A possible reason for this is that many Pacific and Maori people do not prioritise health and generally would not seek any help unless they have physical symptoms such as pain or discomfort. With reference to nursing council of New Zealand competency 3. 2 forming partnership with the client and raising awareness for example informing and referring Maori patients about management programmes such as â€Å"Get Checked† which provides free annual check-up for people with diabetes. This programme focuses on physical health, lifestyle and disease management. According to Robson and Harris (2007), Maori enrolment in get checked programme in 2006 was lower than non-Maori. This is a clear indicator of moari people’s lack of knowledge about services being provided. However, nurses as professionals should practice nursing in a very culturally safe manner by acknowledging patients values beliefs and attitude towards health care. For example Maori people believe in â€Å"kanohi te kanohi† meaning face to face communication therefore nurses need to have more in person communication (Reid & Robson, 2007). Nurses should also inform clients about initiatives for example â€Å"one heart many lives† which allows Maori and pacific men to get their hearts checked, improve awareness of heart disease and lifestyle habits. Furthermore, CVD assessment allows an early detection of the number of people being at risk of cardiovascular disease. The sooner it is detected the earlier these issues can be controlled as stated in the document published by the ministry of health (2011). The practice nurse is the key person to co-ordinate care for instance after reviewing a diabetic patient he or she may decide to refer the patient to the dietician. This way the patient is given an efficient holistic care with appropriate information (Kaitiaki Nursing, New Zealand, 2013, pg. 27) Nurses need to collaborate with the clients, agree on patient centered health goals such as promotion, prevention and early management of diabetes and cardiovascular disease by setting achievable and measurable goals. For example, ministry of health national health information Board launched a Shared Care Plan in 2011 which was in response to increasing number of deaths due to poor management of chronic illnesses. This programme aims to improve care of patients by increasing patient involvement (Kaitiaki Nursing, New Zealand, march, 2013, pg. 26). The New Zealand Cardiovascular Risk Chart shows that diabetic people who smoke are at much higher risk of developing CVD when compared to a non-diabetic and non-smoker (New Zealand guidelines Group, 2009). According to Solberg (2006) there is evidence that professional advice given by the health care provider helps patients to quit smoking. Nurses can effectively use the ABC tool provided by the ministry of health (2007) to help patients to quit smoking. Nurses need to inform clients about the advantages of being a non-smoker financially and health wise and provide alternative as to how nicotine replacement therapy helps minimise the urge to smoke. A practice nurse is responsible for most of patients’ assessments and health education, therefore nurses need to understand the standpoint of her patient and what does being healthy means to them. Establishing relationships and understanding their culture and customs. For example food plays a big role in pacific, Maori and south Asian culture. Family involvement in care plan is very important in shaping attitudes and activities as family plays an important role in their lives also explaining the effects of unhealthy and sedentary lifestyle. Nurses should use plain language and ensure the patient and their family understands what changes they need to make and why they need to make them. They should also make sure that the patient and family are fully informed about the care plan and any procedures being done to maximise care (Blakely, 2007). In conclusion it can be said that patients are fully dependant on nurses with regards to any health issues they have. Nurses are the first form of contact to patient in primary and secondary care setting who provides them with accurate information. It is very important for nurses to be aware of the fact that Maori, Pacific and South Asian New Zealander are more proned to diabetes and CVD therefore more emphasis should be given to them. During the assessment nurses should always consider patients socio-economic inequality, access to and quality of health care, and health risk factors such as tobacco, diet, and other lifestyle factors.

Saturday, September 14, 2019

Pscychological Effects of Ragging on Student and Counteractive Measures for Prevention Essay

Ask any college student what he or she was most nervous about on the first day of college and the answer will most probably be the same — ragging. But what is ragging? Who does it and why? There is no clear definition of ragging (or hazing), but it is generally understood to be the act of college seniors subjecting juniors to teasing or practical jokes. The term includes a relatively harmless prank such as asking a junior to roll a coin around the basketball court to more serious or dangerous acts like sexual abuse and torture. Ragging initially began as an innocent tradition to get new students acquainted with each other but has gradually become a method by which anti-social elements of the institute assert their dominance on the campus. Although ragging can happen in any college, it is most prevalent in medical and engineering colleges. The reason being most students live on campus and are thus soft targets. What to do if you are ragged Ragging can assume any form — abusive language directed at the student or his family, making juniors run errands for seniors, sexual abuse, forcing freshers to strip or speak obscenely about professors in front of other students. Basically, any form of abuse against juniors amounts to ragging. If any of this is happening to you, inform your family about it first. Going against one’s college seniors can be stressful for a fresher, so make sure you have all the support you can get from your family and friends. The second step is to approach the institute’s authorities. Inform them of the goings-on and the names of the culprits. Most colleges have an anti-ragging cell — an association of professors and students who track down and take disciplinary action against students indulging in ragging. If the college authorities seem unwilling to take action, and the severity of the offence is great, you can even approach the police. Ragging has been recognised as a cr ime in India and the police are legally obliged to investigate the matter. Frehsers entrance test Ragging is meant to faimilarise the seniors with the juniors. In the media it is portrayed that ragging is normal event in a student life, seeing TV many seniors develop new ideas to conduct ragging. In the news they tell about the event how a sudden namely ___ got ragged commited suicide or got  affected, but they fail to tell the outcome punishment on the raggers. Demiralise the student: Demoralise the student and will develop phobia and lose interest in studies, leave their goals aspirations, leaving them helpless for rest of their life. Inaction or ineffective action on part of the concerned authority only encourages the mindset of te accused to indulge in such action again. The accused senior gains confidence as being right and will traumatize someone else or same one again. How to deal with being ragged Sometimes, intervention may come too late. In a number of cases, students have succumbed to the humiliation of ragging, and fall victim to bouts of depression and lack of interest in academic pursuits. Extreme abuse has even caused some students to attempt suicide. It is recommended that students grappling with the humiliation of ragging seek help from a trained counsellor. Parents and teachers must take it upon themselves to safeguard the mental health of students by keeping all the channels of communication open. Every effort must be made to help a victim deal with the incident and move on. So, don’t let the fear of being ragged prevent you from pursuing a happy and fruitful college career. Remember, it is as much a crime to tolerate oppression as it is to subject someone to it. Timely action can help change your freshman year from a nightmare into a dream come true. There are 3 types of ragging verbal, physically and sexual. The acts of abuses are making u dance, sing, propose to girl or boy, go kiss a girl or boy, all this acts which the so called seniors will not or r not bold enough to do they do it in form of ragging through the juniors. Teasing or abusing of playing Practical joke on, or causing hurt to any student. or (b) Asking any student to do any act, or perform any thing, which he/she would not, in the ordinary course, be willing to do or perform. It is the animal hidden Instinct. The urge to dominate the neighbour, especially when one has more leisure.It happens not only in colleges/educational Institutions but also in jails and such other Institutions. They want respect from juniors. †¢ they want to show that they  r the SENIORS, and another reason may be that they want to repeat what had happend with them when they were juniors†¦. Please keep in mind the following things and advise your college going friends too. * Ragging is a crime. Do not engage in it or support it * Even petty ragging is against fundamental human rights * There needs to be zero tolerance for any form of ragging * Being senior does not give anyone any right to pull up others for anything * If you see any ragging, immediately inform authorites and even the police * Just pick your phone and call police if anyone rags you even in a small way * Make sure your college has an active anti-ragging cell * If college authorities don’t take small ragging complaints seriously, complain to your parents and the university * As responsible citizens of India we need to elimiate ragging in everyway * Please share this message with all your college going and other young friends Anti-Ragging Act, 2010 and under sections 377, 511, 504, 506, 384, 341 and 323 of the IPC, How Ragging Affects The Victim: 1. An unpleasant incident of ragging may leave a permanent scar in the victim’s mind that may haunt him for years to come. 2. The victim declines into a shell, forcing himself into ignominy and alienation from the rest of the world. 3. It demoralizes the victim who joins college life with many hopes and expectations. 4. Though incidents of physical assault and grievous injuries are not new, ragging also simultaneously causes grave psychological stress and trauma to the victim. 5†¦. WHAT IS RAGGING †¢Teasing, manhandling, ill-treating with rudeness any Fresher. †¢Psychological harm that raises fear in the mind of fresher. †¢Asking the fresher to perform any act, which has the effect of causing or generating a sense of shame so as to adversely affect his/her physique/psyche. RAGGING IS REPREHENSIBLE ACT †¢No act of ragging shall be tolerated. †¢Any act of ragging shall not go unnoticed and unpunished. PUNISHMENT MAY INCLUDE: †¢Expulsion from hostel. †¢Fine with public apology. †¢Withholding a scholarship or other benefit. †¢Debarring from representation in events or campus placement. †¢Adverse entry in Character Certificate. †¢Suspension from the institution. †¢Expulsion from the institution. PROCEDURE OF DISCIPLINARY PROCEEDINGS: †¢If the appropriate authority is satisfied that a prima-facie case exists against the boarder he may be suspended from the hostel, pending a final enquiry. What constitutes Ragging: – Ragging constitutes one or more of any of the following acts:  3 a. any conduct by any student or students whether by words spoken or written or by an act which has the effect of teasing, treating or handling with rudeness a fresher or any other student; b. indulging in rowdy or undisciplined activities by any student or students which causes or is likely to cause annoyance, hardship, physical or psychological harm or to raise fear or apprehension thereof in any fresher or any other student; c. asking any student to do any act which such student will not in the ordinary course do and which has the effect of causing or generating a sense of shame, or torment or embarrassment so as to adversely affect the physique or psyche of such fresher or any other student; d. any act by a senior student that prevents, disrupts or disturbs the regular academic activity of any other student or a fresher; e. exploiting the services of a fresher or any other student for completing the academic tasks assigned to an individual or a group of students. f. any act of financial extortion or forceful expenditure burden put on a fresher or any other student by students; g. any act of physical abuse including all variants of it: sexual abuse, homosexual assaults, stripping, forcing obscene and lewd acts, gestures, causing bodily harm or any other danger to health or person; h. any act or abuse by spoken words, emails, posts, public insults which would also include deriving perverted pleasure, vicarious or sadistic thrill from actively or passively participating in the discomfiture to fresher or any other student; i. any act that affects the mental health and self-confidence of a fresher or any other student with or without an intent to derive a sadistic pleasure or showing off power, authority or superiority by a student over any fresher or any other student. 5. Measures for prevention of ragging:- It shall be mandatory for every technical Institution, University, deemed to be University imparting technical education to take following measures for prevention of ragging at such institutions. 1. The advertisement issued for admission by a technical institution, University including Deemed to be University concerned and/or the admission authority/ affiliating University/State Govt./UT/Central Govt. as the case may be, shall clearly mention that ragging is totally banned and anyone found guilty of ragging and/or abetting ragging is liable to be punished. 2. The ‘Prospectus’ and other admission related documents shall contain directions of the Supreme Court Affiliating University/admission Authority/State Govt/Central Govt. shall make it mandatory for the institutions under their jurisdiction to compulsorily incorporate such information in their ‘Prospectus’. These Regulations shall be printed in the brochure of admission/instruction booklet for candidates. 3. The application form for admission/enrolment shall have a printed affidavit, preferably both in English and Hindi and/or in one of the regional languages. The affidavit should be filled up and signed by the  candidate to the effect that he/she is aware of the law regarding prohibition of ragging as well as the punishments, and that he/she, if found guilty of the offence of ragging and/or abetting ragging, is liable to be punished appropriately. 4. The application form shall also contain a printed affidavit, preferably both in English and Hindi and/or in one of the regional languages and the affidavit should be signed by the parent/guardian of the applicant to the effect that he/she is also aware of the law in this regard and agrees to abide by the punishment meted out to his/her ward in case the latter is found guilty of ragging and/or abetting ragging. 5. The application for admission shall be accompanied by a document along with the School Leaving Certificate/Character Certificate which shall include a report on the behavioral patter of the applicant, so that the institution can thereafter keep intense watch upon the student who has a negative entry in this regard. 6. A student seeking admission to the hostel shall have to submit another affidavit along with his/her application for hostel accommodation that he/she is also aware of the law in this regard and agrees to abide by the punishments meted out if he/she is found guilty of ragging and/or abetting ragging. 7. Every technical institution, University including Deemed to be University imparting technical education shall maintain a proper record of the affidavits obtained to ensure its safe up keep thereof,including digital copies of the affidavits and such digital copy should be made available to the AICTE or to an Agency identified/nominated by AICTE. 8. The AICTE or an Agency identified/nominated for the purpose and affiliating Universities and Directorate of Technical Education of the concerned State Govt./UT shall maintain an appropriate data base of the affidavits in the digital form obtained from every student at the time of admission to the technical institutions, Universities including Deemed to be Universities imparting technical education. 9. Each batch of freshers should be divided into small groups and each such group shall be assigned to a member of staff. Such staff member should interact individually with each member of the group on daily basis to ascertain the problems/difficulties, if any faced by the freshers in the Institution and extend necessary help. 10. Incase of freshers admitted to a Hostel it shall be the responsibility of the teacher incharge of the group to co-ordinate with the warden of the Hostel and to make surprise visits to the rooms in the hostel where the members of the group are lodged. Freshers should be lodged in a separate hostel block wherever possible and where such facilities are not available, the college/institution shall ensure that seniors’ access to freshers’ accommodation is strictly monitored by wardens, Security Guards and Staff. 11. Every institution should engage or seek the assistance of professional counselors at the time of admissions to counsel ‘freshers’ in order to prepare them for the life ahead, particularly for adjusting to the life in hostels. At the commencement of the academic session the Head of the technical Institution, University including Deemed to be University imparting technical education shall convene and address a meeting of various functionaries/agencies, like Wardens, representatives of students, parents/guardians, faculty, district administration including police, to discuss the measures to be taken to prevent ragging and steps to be taken to identify the offenders and punish them suitably. 12. Every fresher admitted to the technical Institution, University including Deemed to be University imparting technical education shall be given a printed information booklet detailing when and whom he/she has to turn to for help and guidance for various purposes (including Wardens, Head of the institution, members of the anti–ragging committee, relevant district and police authorities), addresses and telephone numbers of such persons/authorities, etc. 13. The technical institutions, University including Deemed to be University imparting technical education through the information booklet mentioned 6  above shall explain to the new entrants the arrangements for their induction and orientation which promote efficient and effective means of integrating them fully as students. 14. The information booklet mentioned above shall also tell the freshers about their rights as bona fide students and clearly instructing them that they should desist from doing anything against their will even if ordered by the seniors, and that they have nothing to fear as the institution cares for them and shall not tolerate any atrocities against them. 15. The information booklet mentioned above shall contain a calendar of events and activities laid down by the institution to facilitate and complement familiarization of juniors with the academic environment of the institution. 16. To make the community at large and the students in particular aware of the dehumanizing effect of ragging, and the approach of the institution towards those indulging in ragging, big posters (preferably with different colors for the provisions of law, punishments, etc.) shall be prominently displayed on all Notice Boards of all departments, hostels and other buildings as well as at vulnerable places Some of such posters shall be of permanent nature in certain vulnerable places. 17. The technical Institution, University including Deemed to be University imparting technical education shall request the media to give adequate publicity to the law prohibiting ragging and the negative aspects of ragging and the institutions ‘s resolve to ban ragging and punish those found guilty without fear or favor. 18. The technical Institution, University including Deemed to be University imparting technical education shall identify, properly illuminate and man all vulnerable locations. 19. The technical Institution, University including Deemed to be University imparting technical education shall tighten security in its premises, especially at the vulnerable places. If necessary, intense policing shall be resorted to at such points at odd hours during the early months of the academic session. 20. The technical Institution, University including Deemed to be University imparting technical education shall utilize the vacation  period before the start of the new academic year to launch wide publicity campaign against ragging through posters, information booklets, seminars, street plays, etc. 7 21. The faculties/departments/units of the technical Institution, University including Deemed to be University imparting technical education shall have induction arrangements (including those which anticipate, identify and plan to meet any special needs of any specific section of students) in place well in advance of the beginning of the academic year with a clear sense of the main aims and objectives of the induction process. 22. Mobile Phones and other communication devices may be permitted in residential areas including hostels to provide access to the students particularly freshers, to reach out for help from teachers, parents and Institution authorities. Monitoring mechanism in technical institution, University including Deemed to be University imparting technical education:- a) Anti-ragging Committee: Every institution University including Deemed to be University imparting technical education shall constitute a Committee to be known as the Anti-ragging Committee to be nominated and headed by the Head of the Institution, and consisting of representatives of civil and police administration, local media, Non Government Organizations involved in youth activities, representatives of faculty members, representatives of parents, representatives of students belonging to the freshers’ category as well as senior students, non-teaching staff; and shall have a diverse mix of membership in terms of level as well as gender. b) It shall be the duty of the Anti-Ragging Committee to ensure compliance with the provisions of these Regulations as well as the provisions of any law for the time being in force concerning ragging; and also to monitor and oversee the performance of the Anti-Ragging Squad in prevention of ragging in the institution. c) Anti-Ragging Squad: Every institution University including Deemed to be  University imparting technical education shall also constitute a smaller body to be known as the Anti-Ragging Squad to be nominated by the Head of the Institution with such representation as may be considered necessary for maintaining vigil, oversight and patrolling functions and shall remain mobile, alert and active at all times. Provided that the Anti-Ragging Squad shall have representation of various members of the campus community and shall have no outside representation. d) It shall be the duty of the Anti-Ragging Squad to be called upon to make surprise raids on hostels, and other places vulnerable to incidents and having the potential for ragging and shall be empowered to inspect such places. 8 e) It shall also be the duty of the Anti-Ragging Squad to conduct an on-the-spot enquiry into any incidents of ragging referred to it by the Head of the institution or any member of the faculty or any member of the staff or any student or any parent or guardian or any employee of a service provider or by any other person, as the case may be; and the enquiry report along with recommendations shall be submitted to the Anti-Ragging Committee for action. Provided that the Anti-Ragging Squad shall conduct such enquiry observing a fair and transparent procedure and the principles of natural justice and after giving adequate opportunity to the student or students accused of ragging and other witnesses to place before it the facts, documents and views concerning the incidents of ragging, and considerations such other relevant information as may be required. Actions to be taken against students for indulging and abetting ragging in technical institutions Universities including Deemed to be University imparting technical education:- 1. The punishment to be meted out to the persons indulged in ragging has to be exemplary and justifiably harsh to act as a deterrent against recurrence of such incidents. 2. Every single incident of ragging a First Information Report (FIR) must be filed without exception by the institutional authorities with the local police authorities. 3. The Anti-Ragging Committee of the institution shall take an appropriate decision, with regard to punishment or otherwise, depending on the facts of each incident of ragging and nature and gravity of the incident of ragging. 4. a) Depending upon the nature and gravity of the offence as established the possible punishments for those found guilty of ragging at the institution level shall be any one or any combination of the following:- (i) Cancellation of admission (ii) Suspension from attending classes (iii) Withholding/withdrawing scholarship/fellowship and other benefits (iv) Debarring from appearing in any test/examination or other evaluation process (v) Withholding results (vi) Debarring from representing the institution in any regional, national or international meet, tournament, youth festival, etc. (vii) Suspension/expulsion from the hostel (viii) Rustication from the institution for period ranging from 1 to 4 semesters (ix) Expulsion from the institution and consequent debarring from admission to any other institution. (x) Collective punishment: when the persons committing or abetting the crime of ragging are not identified, the institution shall resort to collective punishment as a deterrent to ensure community pressure on the potential raggers. b) An appeal against the order of punishment by the Anti-Ragging Committee shall lie, 11 i. In case of an order of an institution, affiliated to or constituent part, of the University, to the Vice-Chancellor of the University; ii. In case of an order of a University, to its Chancellor. iii. In case of an institution of national importance created by an Act of Parliament, to the Chairman or Chancellor of the  institution, as the case may be. 5. The institutional authorities shall intimate the incidents of ragging occurred in their premises along with actions taken to the Council form time to time. 9 Action to be taken against the technical Institution, University including Deemed to be University imparting technical education which fail to take measures for prevention of ragging:- 1. Role of the concerned technical institutions, Universities including Deemed to be Universities imparting technical education shall be open to scrutiny for the purpose of finding out whether they have taken effective steps for preventing ragging and action taken against provision indulged and/or abetting ragging. The Council shall constitute Committees to inspect technical institutions, Universities including Deemed to be Universities imparting technical education to verify the status of anti ragging measures and to investigate specific instances of ragging and take appropriate action. 2. The technical Institution, University including Deemed to be University imparting technical education should submit an affidavit along with its compliance report submitted to AICTE annually with details of measures taken for prevention of ragging in technical institutions. The Compliance Report should also contain the details of the instances of ragging and action taken against students, and others for indulging and abetting ragging. 3. All Letters of Approval issued by AICTE such as extension of approval letters, letters issued for additional courses/increase in intake and letters issued for new technical institutions, release of grants, letters of approval issued to integrated campus, second shift etc. shall contain a specific clause of prevention of ragging. 4. The AICTE shall, in respect of any institution that fails to take adequate steps to prevent ragging or fails to act in accordance with these Regulations or fails to punish perpetrators or incidents of ragging suitably, take one of more of the following measures, namely; i. No admission/Withdrawal of approval granted under section 10(k) of AICTE Act. ii. Withholding any grant allocated. iii. Declaring the institution ineligible for consideration for any assistance under any of the general or special assistance programmes of the AICTE. iv. Informing the general public, including potential candidates for admission, through a notice displayed prominently in the newspapers or other suitable media and posted on the website of the AICTE, declaring that the institution does not possess the minimum academic standards. v. Taking such other action within its powers as it may deem fit and impose such other penalties as may be provided in the Act for such duration of time as the institution complies with the provisions of these Regulations. 5. As regards the Universities including Deemed to be Universities imparting technical education the actions proposed to be taken such as stopping release of grants, withdrawal of approval/recognition will be sent to University Grants Commission (UGC), Ministry of Human Resource Development (MHRD), Govt. of India and the concerned State Govt./UT. The UGC, MHRD Govt. of India, and the State Govt./UT concerned shall initiate immediate action on the recommendations of the Council.