Saturday, August 31, 2019

Gang Resistance Education and Training Essay

Gang Resistance Education and Training (G. R. E. A. T) is a national program that educates elementary and middle school children how to avoid becoming a gang member. The program is instructed by police officers and is part classroom instruction and other learning activities. â€Å"The goal of the GREAT program is to teach youth how to set goals for themselves, how to resist peer pressure, how to resolve conflicts, and how gangs can affect the quality of their lives. (Ramsey, Rust, & Sobel, 2003) The program also teaches the youth personal empowerment, among other things, that prevent them from getting into any gang activity. Originally the program was based off a nine lesson middle-school curriculum. The beginning of the G. R. E. A. T. program started in early 1992 in Arizona. The program was so successful that in 1993 it ballooned across the nation and was supported by congress as a part of the Alcohol Tobacco and Firearm’s project outreach. G. R. E. A. T. became one of the primary prevention programs. In 1995, the G. R. E. A. T. Program underwent a comprehensive five-year longitudinal evaluation and study by the National Institute of Justice (NIJ), in conjunction with the University of Nebraska at Omaha, to measure the impact of the program. † (Board, 2011) The report showed that those involved in the program had â€Å"lower rates of victimization, more negative views about gangs, more favorable attitudes toward law enforcement, reduced risk-seeking behaviors, and increased association with peers involved in prosocial activities. (Board, 2011) In 2000 the program underwent a curriculum review as a result of this review the program revised their core curriculum and used a random field trial where classrooms were randomly assigned to be control and test groups. The field test spanned thirty-one schools among seven cities and about four thousand students. The results showed that after one year, students from the test group had lower gang membership as compared to the control group. This was due to the lessons that the program was teaching the students. The lessons that G. E. A. T. mainly focused on provided life skills to student in order to make it possible for them to avoid violence and delinquent behavior. The program consists of thirteen, one hour sessions. The program is also facilitated by a summer program combined with a family training component. The main focus of this program was to keep the youth out of the criminal justice system. One of the benefits of the program was that the youth detention centers received less youth offenders arriving at their facility. This benefit is a result of educating the youth about gangs. Reactions to the term, gang, elicits a mixed response due to the media, music, movies, and personal experience. The questions that remain regarding the recruitment of gang membership are: why is the number of gang members raising when the information is out there about the violent and destructive behavior of the gangs? The other aspect that should be asked is why do prospective members overlook the violence that is required of them during a gang war with rival gangs. These questions can be answered by looking at how the gangs recruit. The success of the gang’s recruitment can also be their undoing. The success of a crime prevention program is higher when they are led by the students or peers. This is also how the gangs recruit, using the prospective members peer group to recruit them to join the gang. The prevention programs are shown to help the community by making the school safer, which ultimately gives the students an advantage in improving their chances to be successful and a contributing member of society. These programs also increase the social bonds like the ones seen in control theories and social learning. Recruiting gang members is a problem in America but this is only the start of the problem. One of the main problems identified in cities across the United States as it’s progressed to the twenty-first century is gang violence. A person can see a link between the individual’s interaction and the social learning theories with regards to gangs. This is why the goals of G. R. E. A. T. are to stop gang involvement, violence, and prevent youth crime. They do this by providing a pathway to develop relationships with their family, other young people, and most importantly law enforcement officials in order to create a safer environment for the youth. In order to make a bigger impact, the program is taught in two different school levels. The G. R. E. A. T. program is taught to the youth starting in elementary and continuing until middle school. The elementary program and middle school program are both skill based learning. The elementary program is designed as an introduction course to the middle school program. The elementary program sets the foundation that begins to teach the youth skills that are needed for the more intensive program that is taught in middle school. All of this is done while they develop the bond between the youth and law enforcement officials. These bonds continue to develop once the students move onto the middle school program. The curriculum of the middle school program is more in depth in an attempt to cement the good behaviors of the students. This is done by enhancing their knowledge of their actions and consequences. These courses are taught to the sixth and seventh grade students. They are based on scenarios in order to show the student how to avoid engaging in violent behavior. At the middle school level the youth should have a good foundation based on the elements of the program. This program would not be possible or successful without the devoted teachers. The classes are taught by specially trained law enforcement officials. These instructors learn how to teach the key skills that they will give the students. These skills help the youth to avoid joining gangs and refrain from getting in trouble with law enforcement. The G. R. E. A. T. rograms success is based on the fact that the officers that are associated with the program still commit time to the youth of the program the semester immediately following the training sessions. The G. R. E. A. T. program requires an enormous amount of obligation from the law enforcement officers. The officer’s commitment begins with a one or two week training program. This training requires the officer to prep heavily for the training out of the classroom environment. In order for the officers to receive their training certificate they much attend all the classroom sessions. The classroom portion of the training requires the officer’s to perform both informal and formal presentations to the class. The officers are also required to maintain standards, failure to maintain these standards are grounds for dismissal from the program. Another requirement of the officer is that their records and work history most be clear of any type of disciplinary incidents. The program is fairly successful, but there are concerns. The concerns about the program are that the youth by the time they are in the program have already been exposed to a lot of the activities that the program teaches to avoid. However, the ones that teach the program feel this is an invaluable program because any action to prevent criminal activity is worth it. This is a valued point, but only if they can get to the youth before they are completely corrupted. It is hard to break a habit that has been part of your life for a long time. That is why the earlier the youth is when entering into the program, the better the chances for change. â€Å"The impact of the intervention must obviously be measured when the delinquent behavior usually appears, that is, no earlier than preadolescence. Clearly, we must expect interventions that aim to change the course of human development will have long-term effects. † (Esbensen, Osgood, Taylor, Peterson, & Freng, 2001) During the program the youth learn that influences in and out of school cause them to do things that are not socially acceptable. It is at this moment when the officers know they can reach the youth and effect change. The program ultimately teaches the youth their good and bad behaviors, giving them an opportunity to identify their behavior and become productive members of their society. The younger youth are oblivious to the fact that their peers are convincing them to commit criminal acts. For this reason, the lessons taught in the elementary program is beneficial to prevent the manipulation of the youth. The youth are exposed to multiple topics that give them the needed skills to resist gang recruitment. The sessions are designed to be interactive which give the youth an opportunity to learn and practice good behaviors that will assist them throughout their lives. Both the elementary and middle school program share the same key aspects. One of the aspects of the G. R. E. A. T. rogram is the teaching of life skills which is what the main structure of the program is based on. â€Å"G. R. E. A. T. instruction focuses on providing life skills to students to help them avoid delinquent behavior and resorting to violence to solve problems. † (What is G. R. E. A. T.? , 2012) This program is designed to prevent youth violence, delinquency, and gang membership. These skills are important to be taught before the youth hits the desired age for the gangs to recruit and to prevent delinquency. The program also benefits communities that do not have gang problems by preventing youth violence and delinquency. The program attempts to stop the bad behavior of the youth by reaching them at an early stage of development. The earlier the interaction with the youth, the easier the transition is going to the middle school program. There are four components to the program which are taught in thirteen sessions. The components are the elementary program, middle school program, summer program, and family training. The elementary and middle school component are both integrated with National English language arts standards and national health education standing and is based on effective research practices. (Elementary School – G.  R. E. A. T. Program – Gang Resistance Education And Training, 2012) (Middle School – G. R. E. A. T. Program – Gang Resistance Education And Training & , 2012) The elementary program is intended for fourth and fifth grade students. This program gives the elementary and middle school students a better chance in preventing behavioral problems. Its success has ballooned over the years making it a national treasure as well as spreading outside of the United States. â€Å"Since the G. R. E. A. T. Program went nationwide in 1992, many law enforcement agencies and schools from all 50 states, the District of Columbia, U.  S. territories of Guam and Puerto Rico, Bermuda, Canada, Central America, England, and military bases in Japan and Germany have implemented the program. † (Organization – G. R. E. A. T. Program – Gang Resistance Education And Training, 2012) The program is now being taught by the dedicated law enforcement officers in over 500 communities across the nation. The continued success of the program depends on the programs ability to maintain its â€Å"strong organizational structure to regulate decisions and program or curricula changes. † (Organization – G. R. E. A. T.  Program – Gang Resistance Education And Training, 2012) Since the program started in 1991, thousands of students have graduated from the program. G. R. E. A. T. has achieved great and expected positive results. â€Å"The evaluation survey was first administered to youths when they were in 7th grade and re-administered annually through 11th grade. Results show that G. R. E. A. T. was able to successfully change several risk factors (e. g. , peer group associations and attitudes about gangs, law enforcement, and risk-seeking behaviors) associated with delinquency and gang membership. (Esbensen, 2004) The reason for the success of this program is the dedication of the program to elicit the change of the students. They do this by teaching the youth the social skills that lead them into feeling confident enough to be able to refuse to participate in their previous delinquent behaviors and become a contributing member of society. The continued success of the program relies on many things. The future of the program depends on the commitment of the law enforcement officials who run it. If the pattern continues since the inception of the program, the program will continue to gain steam and grow stronger. The changes that should be implemented to the program are small tweaks, but would improve its success. The first change that should be implemented is the program should start the youth in the program at a younger age. This would ensure that the youth would gain skills to avoid the gangs before they experience any gang activities. This would ultimately ensure the youths success in gaining the skills to refuse the gangs advances and delinquent behaviors. Other aspects of the program should include ride along programs, jail or prison visits, and make the youth more active in the middle school program. Gaining these aspects will give the youth the feel of responsibility as well as teach them where continuation of their actions could lead them eventually if they do not change their ways. The results from the program show that the students that have gone through the program have shown a more optimistic feeling about law enforcement officials. The kids that are enrolled in the G. R. E. A.  T program develop an understanding that make the gangs less a desirable life and give them skills to reject gang membership. The youth that are enrolled in the program have shown a resistance to the pressures from their peers and are less likely to act out with violence. The youth also find a way to disassociate with the peers that originally led them to begin their delinquent behavior. The youth find themselves exerting less anger and those that graduate from the program have low affiliation to gangs. The G. R. E. A. T. program is very successful at helping youth resist gangs.

Friday, August 30, 2019

Registered Nurse Career Research Essay

Ever since I was a little girl I always wanted to be a nurse and help people who were ill. As I got older, I got more information and decided that I wanted to become a Registered Nurse (RN). Registered nurses care for patients and educate them on health issues to prevent future illnesses. Along with technical skills necessary for the medical profession, registered nurses must have people skills to work closely with patients and their families. Becoming a RN entails formal education from a state-approved nursing school and state licensure. There are generally three educational approaches to becoming a registered nurse. Registered nurses usually train by completing a bachelor’s or associate’s degree program in nursing. Less commonly, registered nurses prepare for the occupation by earning a diploma in nursing. Graduates of any of these programs are generally eligible for licensure and entry-level employment as registered nurses. Nursing students may choose from a variety of education options to become a registered nurse. Some teaching hospitals offer 3-year diploma programs in nursing; however, these programs are rare. Most RN’s earn associate degrees or bachelor’s degrees in nursing. The skills needed for this job are people skills, emotional stability, CPR, First Aid and a second language would also help. I plan on taking French throughout the university so I’ll be considered trilingual and I plan on updating my CPR and First Aid yearly. San Diego City College’s nursing  education program offers associate’s degrees for students who want to become RNs, as well as a program for LVNs seeking RN certification but not the degree. Students learn through classroom study and clinical experience in health care facilities. It will take two years with open admission and the tuition for in-state is $898. San Diego State University’s School of Nursing offers programs that train entry-level RNs as well as provide working professionals   with advanced studies to continue their education and careers. All bachelor’s degree students must take part in an international learning experience. It’s a four years with a 30% acceptance rate an d the tuition for in-state is $6,578. There are four general duties a RN does on a daily basis. The first duty is evaluating a patient’s physical, mental and emotional health. Also an RN’s job is to take vital sings. The second duty is designing and carrying out a treatment plan for the patient. Also bandaging wounds, giving medicine and injections that need to be given. The third duty is to monitor the results of the patient’s treatment to make sure it’s working and the patient is happy with it. Also a RN tells patients about they’re medical options and health issues such as nutrition and personal hygiene. The last duty is to complete and organize records about the patients. RN’s job opportunities are in hospitals, nursing homes, clinics and basically any public health building. Also there are many organizations that recruit nurses to go to other countries. England and the U.S are two of the many countries that do this. The salary for a full-time nurse is $35,000 to $60,000 a year. Benefits include paid holidays, paid sick days and dental care. Casual (on call) nurses earn $17 to $35 an hour. Nurses work in hospitals, nursing homes, walk in clinics, prisons, schools, ect. Hazards of the job include contracting an infectious disease from a patient and injury from instruments, chemicals or gases. Nurses also get injured from violent patients and their families. They work irregular hours, nights, evenings and holidays with 12-hour shifts. Job demand is high because of the storage of nurses in Canada and people are always getting sick. People will always get sick therefore nurses will be part of the future. According to national data  published by the U.S. Bureau of Labor Statistics (BLS), employment for nurses is expected to increase 26% by 2020, which is much faster than the average occupation. The BLS further states that registered nurses with at least a Bachelor of Science in Nursing (BSN) are expected to have the best job opportunities. Prospective students are encouraged to conduct   independent research to determine actual job growth rates, which vary according to location, education and experience. Many employers have instituted hiring policies which require all RNs to have BSN degrees. Others will employ RNs without a BSN, but require new RNs to complete their BSN degree within a certain amount of time. My goal is to become a registered nurse and to dedicate my life to helping people. I’m determined to ​  become a nurse to touch lives not only as a provider of health care but also as a teacher. I am committed to excelling personally and professionally in all that I do and to serve as a role model by leading a healthy lifestyle. I came to this goal as a result of my family background and my life experiences. I have a strong work ethic. I am very loyal and trustworthy and always the person my friends, family and co-workers would go to for advice or to empathize. I love helping people and have a big heart. I am the kind of person who will give you my lunch to someone who has no money to eat. I’ll take that extra five minutes and listen to a patient when I am pressed for time because health care is not only to provide treatment, but it’s also expressing patience and being a great listener. When I was looking into career options, nursing attracted my attention for a variety of reasons, you could go anywhere, work with adults, children, in public health, prisons, physicians’ offices, schools, factories, and were only limited by your level of education; I found that nursing could be whatever I wanted to make of it. People need nurses in all aspects of life. If I were to ever feel â€Å"expended out† in one area, I could educate myself and expand into another field of nursing. If I needed to move to another country, I could transfer and easily find my niche there. The sensation that you feel when you know you accomplished your goal to aid an individual is priceless. The potential is endless in this field, from specialty areas to general population, and from  newborns through geriatrics. Nursing is probably the most personally rewarding job there is. Bibliography Occupational Outlook Handbook. â€Å"Registered Nurse.† [Online] Available http://explorehealthcareers.org/en/Career/21/Registered_Nurse_RN January 12, 2015 Registered Nurses [Online] Available http://www.bls.gov/ooh/healthcare/registered-nurses.htm​ January 12, 2015

Thursday, August 29, 2019

Explain ‘Natural Moral Law’ Essay

Natural Law can be traced back into the Ancient Greek and Roman worlds. In Sophocles’ play ‘Antigone’, Natural Law is very apparent throughout and the writings of the Greek Philosopher; Aristotle. In his works – ‘Nicomachean Ethics’ – he wrote; â€Å"The natural is that which is everywhere, is equally valid, and depends not upon being or not being received†¦that which is natural is unchangeable, and has the same power everywhere.’ The Ancient Stoics emphasised the importance of Logos, or rationality, that governs the world and sees human nature as one natural order. They considered natural law as a law of ‘right reason’. In his letter to the Romans, St Paul wrote about a law that is ‘written in the hearts’ of Gentiles. It is therefore clear that throughout the ancient world, although there is differing terminology, there seems to have been a consensus over the existence of a natural moral law, which dictated the rightness or wrongness of an action that was not dependent upon the laws created by society. St. Thomas Aquinas developed a fuller account of this ‘natural law’ in the thirteenth century. This theory is both deontological and absolutist and so his resulting work is focused upon the ethicacy of actions. In his work ‘Summa Theologica’, Aquinas described natural law as a moral code, which exists within the purpose of nature and was created by God. He says that it is present in every human being. Natural Law exists to aid humans, directing their actions in such away that they might meet their eternal destiny. He argued that there was a basic law, from which all the other natural laws derived. This was to pursue good and avoid evil. For Aquinas, both the intention and the act are important, this is because his theory is based on a mainly deontological view. The only end that he values is God as He is intrinsically good. He believed that acts are intrinsically good or bad because when human beings act in accordance with their ultimate purpose, God is glorified. Aquinas followed the line of thought that human beings are intelligent and therefore should be able to direct him or herself, this therefore meaning that they can take responsibility for knowing and doing  what God intends for them. Whether or not an act leads towards God depends on whether it fits the purpose that humans were made for. For Thomas Aquinas, the main purpose of human life is to preserve the self and the innocent, to reproduce, worship God, acquire knowledge and live in ordered society.. He names these the primary precepts – acts that are in accordance with these precepts are good and those, which do not, are bad. He also names them the secondary precepts – which are rulings about things that we should or should not do because they uphold a primary precept. The theory of Natural Law as put forward by Aquinas, is based upon the religious view that God created the world, establishing in it a sense of order and purpose, which is a direct representation of His will. In the natural law approach to ethics, the action itself can either be natural or unnatural, and is judged on that basis. It does not depend for its moral law justification upon any results. Therefore, according to natural law, an action can be deemed good in itself, even if it brings about suffering. In conclusion, Natural Moral Law enables to establish rules in order to structure a community. It gives a concrete reason to be moral and a firm basis from which to refuse to step over moral boundaries. It provides justification and support for certain core ideas and it judges actions, irrespective of consequences. Natural Moral Law isn’t just simply a set of rules, but a way of living. It gives guidance on everyday questions on how to live and links them to the fundamental principles of life. It provides a complete system of moral living in step with what it is to be human.

Wednesday, August 28, 2019

Earth and Space Science Essay Example | Topics and Well Written Essays - 2000 words

Earth and Space Science - Essay Example Instruments connected to aircrafts and space based platforms of satellite devises perform the function of remote sensing with the analysis of the electronic data recorded during the emission of such radiation for the establishment of forecast ideas. This is a process involving the transmission of radio waves of different frequency through different zones of the atmosphere, some of whom are absorbents of the radiation with the presence of atmospheric gases such as water vapor, carbon dioxide and ozone (Remote sensing, n.d.). Therefore the areas of electromagnetic spectrum where these gases are present are known as absorption bands. Absorption bands are represented by a low transmission value associated with specific ranges of wavelengths. On the other hand, the electromagnetic spectrum of the atmosphere with little or no absorption of the radiation due to the absence of atmospheric gases is called atmospheric windows. They are transparent to radiation and allow the transmission of spe cific wavelengths to the earth’s surface. The instrumentation of new devices is of great effect with the aviation and weather forecasting as they collect data from the reflections of sunlight from a line-of-sight with an object as well as record the frequency modulations on the basis of presence of carbon dioxide and other gases. ... The essential purpose of this classification is meant for the optimum use of all the brightness levels available in the data. The photo integrated wavelength data are classified into two categories; supervised classification and unsupervised classification. The former is used for extracting quantitative information from remotely sensed photo data in order to separately allocate the available data into different known pixels to produce agent parameters for separate classes of interest. Most scientists use the MLC (maximum likelihood classification) classification with advantage of the mean vectors and multivariate spreads of each class. The effectiveness of supervised classification under MLC depends largely on the reasonable levels of accurate estimation of the mean vector m and the covariance matrix for arriving at each spectral data. The problem posed by this classification tool is that the accuracy of the estimation depletes when the classes are of a multimodal distribution (Liu, n.d.). The other classification model is the unsupervised classification. The basic feature of this classification is its independence to human interface by using some clustering algorithm to classify the image data. This classification model is essential for the identification of the number and location of the unimodal spectral classes on the basis of the image data. MMC or migrated means clustering classifier is the tools used in this model for labeling each pixel to unknown cluster centers with intend to move the pixel form one cluster center to another for accurate analysis of the image (ibid). 3. The radiation used for image analysis of the remote sensing function falls subject to the interaction between electromagnetic radiation and the

Tuesday, August 27, 2019

Debate on the causes of global warming Essay Example | Topics and Well Written Essays - 1500 words

Debate on the causes of global warming - Essay Example While a dialectic method is used, it is used poorly, and there are almost no attempts at synthesis. The main topoi used by all sides are scientific data, but they are used poorly. There are three separate arguments made in the debate. One group of scientists claims that global warming is not occurring, another group claims that global warming is occurring because of natural changes in the earth's climate such as an increase in the level of solar radiation reaching the earth or changes in the patterns of winds, ocean currents, or volcanic activity, and another group claims that global warming is occurring because of an increase in carbon dioxide in the atmosphere due to the large scale combustion of fossil fuels by humans that started during the time of the first industrial revolution and continues up to the present day. There are several different types of arguments used by scientists that deny the existence of global warming. The three main scientific arguments used by that side of the debate are claims that temperatures in the upper atmosphere have fallen in the last few decades, an argument that meteorological data from the last century is inaccurate because of the heat island effect, and a claim that differences in the way that average temperature is measured today cause average temperatures today to appear higher than they were in earlier decades. The claim that the temperatures in the upper atmosphere have fallen in the last few decades is the weakest of the three because there is no scientific proof that temperatures in the upper atmosphere have any correlation with ground temperatures. The temperature data was also slightly modified for scientific reasons in the survey, and scientists who claim that global warming is happening say that it was modified incorrectly. The argument that the heat island effect; or the effect of thermometers in weather stations being in highly developed areas where there are many heat-retaining ground coverings, such as buildings, concrete, and asphalt; is the cause of the observed rise in temperatures is a better argument, but there have been no attempts to analyze the effects of increasing urbanization quantitatively or show the exact levels of new development around each weather station. The claim that average temperatures appear higher because temperatures are now taken four times each day instead of twice is an even better argument, because the temperatures taken at the two other times are usually closer to the daily high than the daily low, and that causes the average daily temperature for each day to appear higher. However, it has been claimed that average highs and average lows have both risen in the past few decades, making this argument seem less convincing. Nonscientific arguments made by scientists and others that claim that glob al warming is not occurring include an argument that there is a global conspiracy against capitalism or the United States by socialists or internationalists using environmental junk science and the argument that most environmentalist scientists thought that there was a pattern of global cooling and the risk of a new ice age in the 1970s. Both arguments are ad hominem attacks. While many of the scientists that support the theory of human-caused Global Warming are extreme environmentalists, there is

Material Appropriate to Pathophysiology Term Paper

Material Appropriate to Pathophysiology - Term Paper Example As stated before, pathophysiology necessitates the use of knowledge of basic physiology and anatomy, and it based on the loss or change in the normal functioning and structure of the body. Majority of the disorders affecting a certain organ or system display common symptoms and signs that are directly related to the organ’s normal function and structure (Dyer and Gould 2). Shock Shock is a common term used to define the state of poor perfusion of oxygen-rich blood into the tissues. The poor perfusion happens if one of the three major elements of circulatory system are compromised, that is, the capability of the heart to pump blood into circulation, the vascular system integrity, and the volume of blood in the circulatory system. A chain of events will start if the condition is not treated, and it may be fatal. The three elements mentioned can be affected resulting in impaired delivery of oxygen-rich blood and a decrease in blood pressure (Myers, Neighbors, and Tannehill-Jones 92). Shock is classified into four classes, which include hypovolemic shock, cardiogenic shock, vasogenic shock, and septic shock. Hypovolemic shock is as a result of loss of plasma or loss of blood from the circulating blood. In patients with burns, the inflammatory reaction results into edema with shift of protein and fluid from blood into the neighboring tissues, and constant loss from burn wound region because of skin loss. Peritonitis causes hypovolemia when inflammation and infection in the peritoneal membrane lead to fluid shift from the blood into a different compartment. Dehydration can minimize circulating blood pressure and blood volume. Cardiogenic shock is linked with cardiac impairments such as arrhythmias or left ventricle acute infarction. Obstructive shock (a subcategory of cardiogenic shock) is caused by pulmonary embolus or cardiac tamponade that blocks or obstructs blood flow through the heart (Dyer and Gould 317). Vasogenic shock (or distributive shock) causes c an be classified in a variety of ways such as vasogenic (neurogenic) shock and anaphylactic shock. Neurogenic shock develops from fear, drugs, pain, or the loss of SNS (sympathetic nervous system) stimuli resulting from spinal cord injury. This type of shock can also be caused by metabolic dysfunction like insulin shock, severe acidosis, and hypoglycemia. Anaphylactic shock develops from rapid general vasolidation because of the large amounts of histamine released in severe allergic reactions. Septic shock can occur in individuals with severe infections, especially infections with gram-negative endotoxins, such as Pseudomonas, Klebsiella pneumoniae, and Escherichia coli (Dyer and Gould 317). Shock state is defined as a syndrome instigated by acute systemic hypoperfusion that result in vital organ dysfunction and tissue hypoxia. All types of shocks are characterized by insufficient perfusion to fulfill the tissues’ metabolic demands. End organs do not get adequate blood flow, therefore, initiating cellular hypoxia, and eventual organ damage. This phenomenon is well defined by the multisystem organ dysfunction syndrome. Organs of vital importance include the kidneys, heart, and the brain. A decrease in higher cortical function shows diminished perfusion of the brain. This leads to changed mental status, which ranges from agitation and confusion to flaccid coma. The heart plays a significant role in circulating shock. Cardiac dysfunction is worsened by depressed coronary perfusion and global perfusion.

Monday, August 26, 2019

Financial statement analysis Assignment Example | Topics and Well Written Essays - 1500 words

Financial statement analysis - Assignment Example The company aims at creating a great guest love hotel with over 6,76000 hundred rooms in approximate 4600 hotels in one hundreds countries (Intercontinental Hotel Group, 2013). Additionally, the directors report indicates that Intercontinental Hotel and Group provide employment to more than345, 000 people globally for instance, in 2011 the company provided employment opportunities to more than people 7,956 (Intercontinental Hotel Group, 2013). In above connection, the company owns nine brands of distinguished hotels in different countries. Additionally, Intercontinental Hotel and Resort consist of leisure and business hotels operating in more than sixty cities (Intercontinental Hotel Group, 2013). Connectively, the company operates in three basic ways namely; franchising, manager and owned/lease (Intercontinental Hotel Group, 2013). The company further operates an approximate of 3,934 hotels under franchise and 658 hotels under management mode of business operation (Intercontinental Hotel Group, 2013). Additionally, the company has placed a lot of emphasis on franchising mode of business operation (Intercontinental Hotel Group, 2013). ... orne hotel operate as a public limited company and reported a net operating income of one hundred and ninety nine million dollars as at 2011(Millennium Hotel and Resort, 2013). The comprehensive income statement indicates that the company had a net income of one hundred and sixty five million dollars by the end of 2011(Millennium Hotel and Resort, 2013).Connectively, the company operates via an inter-link of various portfolios as well as ensuring there is efficient cost control (Millennium Hotel and Resort, 2013). Connectively, the company operations are highly decentralized making it easier to respond to market demand. The company operates the following brands: Grand Millennium hotel, Capthorne and Kingsgate to name just but a few of the brands (Millennium Hotel and Resort, 2013). 2. Analyze the Operating profit margin (Intercontinental Hotels Group PLC is the main object of analysis, Millennium & Copthorne Hotels PLC is its rival firms, please contrast the two companies). Operating profit margin indicates the amount of revenues/income a company makes after paying its variable overheads (Warren, Reeve, Duchac & Warren, 2012). It is important to not that some items are excluded when computing operating profit margin among the items excluded are; good will amortization, interest to mention just but a few (Vasigh, Fleming & Mackay, 2010). Therefore, operating profit margin may be computed using the formula below; Operating profit margin= Income after tax ? Sales Based on comprehensive income statement for Intercontinental Hotel Group year ended 31st December 2011, 2010, 2009 and 2008 the operating profit margins were 0.29355, 0.2156, 0.171 and 0.19364 respectively (Intercontinental Hotel Group, 2013). This indicates that in 2011 operating profit margin was higher as

Sunday, August 25, 2019

Application for admission middle school Essay Example | Topics and Well Written Essays - 250 words

Application for admission middle school - Essay Example One is the Doing the Right Thing Award given after I fed a quadriplegic student every day during lunch hour for one year. The second is Student of the Month awarded to me by teachers for assisting fellow students to excel in their homework. The third is Team Spirit Award scooped for helping fellow students to perform to their full potential through my encouragement. In addition to the above, I am a volunteer at the Humane Society and Food Panty and a member of my school’s Volunteering Committee. I am also an elected member of the Students Council and a teachers-elected Safety Patrol for 2 years. My teacher also has selected me to be helping young students in their performance during and after school. I believe that in Middle School I will offer these and more so as to improve the lives of others while excelling in my studies. Works cited Richards, Keith and Fox, James. Life. Little, Brown and Company, 2010.

Saturday, August 24, 2019

Neo-Localism in Texas Article Example | Topics and Well Written Essays - 250 words - 1

Neo-Localism in Texas - Article Example In these micro-breweries, the style of making beer is similar to that used in the United States up until the mid-1800s, whereby top-fermenting yeast was used to produce ales, stouts, and porters (Flack 199). Â  According to Flack, one such microbrewery is the Spoetzl Brewery in Texas, which survived the effects brought about by the globalization of beer, and until today continues to produce local ales for the Texas community (201). The character of the town of Texas, the people, and the Spoetzl Brewery are inextricably linked, a link that has been there for over 75 years. This link is exemplified by the fact that most employees have worked in the brewery for over 20 years, and the Shiner High School anthem is about the brewery (Flack 204). Â  Apart from the brewing industry in Texas, there are other industries that have also demonstrated a sense of neo-localism. The food festivals in Texas symbolize a historic connection between the food item and the cultural identity and geography of the town of Texas. For example, in April, the Dallas-Fort Worth Metroplex (DFW) celebrates a food festival in form of a three-day long street party in which indigenous food, music, drinks, art, and many more are on offer for free. This food festival is an effort to shift Away from global practices and focus on the uniqueness of Texas, particularly the culture of DFW. Â  

Friday, August 23, 2019

Moral Significance of Personhood Essay Example | Topics and Well Written Essays - 2750 words

Moral Significance of Personhood - Essay Example It was John Locke who cut loose the conceptual strands that held together the personal and biological dimensions of humanity in his essay, Of Identity and Diversity. It was this along with his assumption that not all human beings may be persons that launched the debate in regard to the human ascendancy over other beings. The teleological argument has been largely done away with as advances in reproductive technology, medical genetics, and treatments continually assail the rationality of God and his hand in the affairs of the humans. As biological science discover the marvels of the human body, scientists and modern philosophers are emboldened to deny the Creator-variable and the soul, citing the brain as fundamental in the existence of the human reason. Michael Tooley (2001) presented the functional definition of personhood with his dissection of the brain. Here, he outlined that the brain is scientifically divided into two regions and that the upper part is mainly responsible for the personhood of a person: The upper brain†¦ contains the neuron-psychological basis not only of higher mental functions such as self-consciousness, deliberation, thought and memory but also of consciousness of even the most rudimentary sort. (p. 117) The destruction of this region, say in an accident or as a result of a disease, is tantamount not just to the destruction of certain general capacities but of states that underlie personal identity as well. This basis of personhood follows a utilitarian or functional approach.

Thursday, August 22, 2019

Cultures in Conflict Essay Example for Free

Cultures in Conflict Essay The pleadings of the Duncc-za and Cree Indians on a fiduciary claim on January 12th 1987, which is known as â€Å"Aspassin versus the Queen†, basically evolved from Robin Riddington’s (1988) case presentation. In this regard, the article, Cultures in Conflict: the Problem of Discourse, laid down the question as to whether the court should resolve the case or just reproduce it. Basically, this paper will examine and analyze the underlying circumstances in the presented case. Review of Literature The Aspassin v. The Queen lawsuit was a legal claim from the Government of Canada by two Indian Chiefs, Joseph Aspassin and Gerry Attachie, who served as representatives of Blueberry River and Doig River bands of the Duncc-za and Cree Indian tribes. The claim historically referred to the Indian Act, Treaty No. 8 of 1899 (Riddington, 1988). The claimant’s counsel pleaded the Court to merit the fiduciary obligation emanating from the September 22nd 1945 meeting proceedings of authenticated documents from British Columbia to corroborate the evidence that suggested that the Department of Indian Affairs deviated from the proper transferring of title to the legal claimants and instead was awarded by the Veterans Land Administration to the soldier’s settlement program. Based on the decision of Justice Dixon of the Supreme Court of Canada, it was concurred that a breach of fiduciary obligation of the Federal Crown has resulted in the failure the granting of the estate to its legal claimants and real heirs. The claim was incorporated with the legal claimant’s and heirs’ uncompromised land use of the estate wherein the Indians’ primitive economic sourcing are fishing, hunting, and trapping only. In effect, a surrendering requirement for the land use must be enjoined and be recognized by the Court. However, on November 4th 1987, the claim became futile by the Court’s dismissal for the reasons that the Indians were grossly handicapped to be able develop the estate for a progressive and sustainable economic base. Testimonial Findings The September 1945 occupancy of the IR-72, Indians’ land, which called as a place where happiness dwells, was purposely for exploration of mineral resources, wherein the band of Indians area were promised by the government to be compensated with a initially payment of $10 each. The governments has then continuously engaged in oil and gas mining and expanded areas of exploration all throughout Fort St. John by encouraging Indian families to sell their landholdings. Moreover, the trial has extensively addressed the pleadings on the problem of discourse as it may affect to the Court’s interpretation of the issue. In addition, the cross-examination of the witnesses, involving elders of the Duncc-za and Cree Indians, have supported and merited the articulation of their counsel. In effect, the Supreme Court has derived its decision together with its recognition on the breach of fiduciary obligation by the Federal Crown, as likewise addressed to the Canadian Government being the liable government entity in the transition of estate’s the transfer to the questioned beneficiaries. Merits of Articulation The merits of articulation of the claimant’s counsels, Leslie Pinder and Arthur Pape, was supplemented in the case proceeding and substantiated the Supreme Court decision, which was acknowledged as a matter of legal inquiry and argument on the fiduciary obligation of the Federal Crown, so that the Canadian Government would recognize the â€Å"surrender requirement† in the Indian Act in order to prevent further mediation and meddling with the claimant. In other words, the Federal Crown has duly surrendered the claim without compromise of conveyance and meddling over the claimant’s disposition for the use of the estate that has been re-claimed. Further implied on the merits of articulation by the claimant’s counsels was their presumption that a problem of discourse was â€Å"central† to the case. It implied that the discourse, as a matter of understanding, traverses with different recognition, interpretation and way of thinking from cultural perspectives. In this connection, the Supreme Court has interpreted and understood the merits of articulation on the land use with inadequate consideration to the cultural life of the Indians. In other words, the Supreme Court’s decisions was solely meant for the Indians to able live their economic lives in what they called â€Å"the place where happiness dwells†, as referred to the estate being an economic base for fishing, hunting, and trapping. Adverse Claim The Supreme Court decision in dismissing the claim favors the government’s occupancy to landholdings of ancestral domain. It may be noted that the estate, upon deviation of land transfer to the soldiers land program by the Veterans Land Administration, has had oil reserve dated back from 1950’s to 1960’s. In which case, the merits of articulation on surrendering the land without prejudice to claimants has an adverse claim on Supreme Courts decision in dismissing the case that was causal to the reason of Indian’s inability to develop the being claimed estate. Obviously, meriting the â€Å"surrendering requirement† could isolate the chances of pre-disposal to government’s exploration of land resources. Furthermore, a conflict of interest may result from the adverse claim of the Supreme Court. The litany of the claimant’s counsels, Pinder and Pape, on the issue of â€Å"discourse† has long been acknowledged by the Supreme Court as a matter of pleading and interpellation of various witnesses and has exposed the conflict of cultures from the social lives of Indians as they were found to be unable defend themselves in legal disputes being illiterates. In short, this exposition may have further given the Court a leeway to recognize the problem of discourse and therefore discovered the incapability of Indians. The adverse claim of the Court may be interpreted in both legal and moral perceptions in social perspective. On the first ground, acknowledging the plea of breach in fiduciary obligation of the Federal Crown, which was a disadvantage of the Canadian Government, has basically merited the claim. On the succeeding legal argument, the plea may have been in accordance to the jurisprudential aspects of claim on the issue of discourse, but upon recognition, it has resulted in the adverse claim. It may be perceived that the Court studied well the merits of articulation—from the day the trial ended on March 27th 1987 until the Court rendered decision on November 4th 1987— which is about 8 months. To give contrast to the adverse claim, as previously presumed above, the moral obligation of the Court may have contested the issue of discourse for the reason that the Indians may be imposed with challenges on their capability to promulgate stewardship of the land, in which the witnesses have found the ability to recall or remember events then may determine how far the ability to acquire skills of making the land more productive is possible. With this pretext, the merits of articulation may have gone far from treatise on issue of discourse. Conclusion The case of ancestral domain reclamation is a continuing issue in most countries where governments insatiably and constantly expand economic occupancy, political jurisdiction, exploration of land resources and nationalizing the overall geopolitical system. These ancestral domains are descendants of communities that have outlived the inhabitants of present societies. The tribal communities and indigenous culture pose the problem of discourse specifically brought about by conflicts of cultural heritage. Throughout the overall discussion on this paper, the problem of discourse is presented in a complex environment of representation as it evolved in a court proceeding. The testimony of characters, as depictive of their roles, has long argued the issue of discourse, and yet the bottom line was the long struggle of the native Indians to have their place of happiness in a land taken away from them in 1945. Being native and indigenous people who have been drenched by the Whiteman’s conquest, the native Indians likewise seek their cultural identity in a land they only borrowed from their children. Because it is the children that will continuously dwell in their place of happiness. What the trial resolve is the merit of articulation on the issue of discourse. It was conclusive that the adverse claim of the Supreme Court has been founded upon the exposition of the articulation, with so much evidence that the Indians were incapable of tilling and giving welfare for their land. The stewardship of the land may oppose the preservation of ecology—in which the Indians’ source of living depended on fishing, hunting and trapping. Thus, it may be perceived from the Court’s decision was its moral authority that may however lie beneath the advantage of the Whiteman. Upon resolving the issue of discourse, the merit of articulation was judged by the historical struggle of the Indians in pursuit of the place where their happiness dwells. References Riddington, R. (1988). Cultures in Conflict: The Problem of Discourse. Page 273-289, International Summer Institute for Structural and Semiotic Studies (ISISSS), University of British Columbia.

Wednesday, August 21, 2019

Hydrochloric acid and magnesium Essay Example for Free

Hydrochloric acid and magnesium Essay The temperature raised considerably on the other 4 due to the quickness of the reaction. This heat would quicken the reaction due to the fact that the molecules would be vibrating and therefore colliding more often (as explained before).   Sometimes the magnesium floated on the top of the acid. This was not a problem in most cases because the bubbles over lapped the magnesium so it also reacted from the top. However, due to the 0. 5 mole slow reaction, this did not happen. Because of all these inconsistencies, it is difficult to say how reliable my results are. I think that because the results are what I expected, and because I carried out the experiment with care, also the fact that I repeated the experiment many times makes it highly unlikely that the results are inaccurate enough to not be able to draw a valid conclusion from. Evaluation This was a good experiment because it clearly showed my prediction, and where it didnt I was able to spot the errors and am now able to make the experiment better. I worked as I kept a fairly high degree of accuracy, and the experiment had a high margin of error, due to the length of time some of the results could to take. My results were fairly accurate but my error in the rate of reaction of the 0. 5 mole acid could have been down to accuracy, but I seriously doubt it, as I asked around to see if other people had encountered the same problem. Everybody had. I have several theories of why the 0. 5 mole acid did not react as expected.   The temperature raised considerably on the other 4 due to the quickness of the reaction. This heat would quicken the reaction due to the fact that the molecules would be vibrating and therefore colliding more often.   Sometimes the magnesium floated on the top of the acid. This was not a problem in most cases because the bubbles over lapped the magnesium so it also reacted from the top. However, due to the 0. 5 mole slow reaction, this did not happen. To make my experiment more accurate I could have Weighing the magnesium instead of just measuring the length of it. This was an obvious problem as I think my spread of results for the end amount of hydrogen given off was too high. I would have preferred if it were only 1 or 2 ml. But it was 4. 33ml   Setting up another system for getting the magnesium into the acid. When I did the experiment I just dropped the acid in and attached the gas syringe as quickly as possible. The disadvantages with this were:   It was inaccurate   The start of the reaction would be when most gas was given off. The time of attaching the gas syringe was always different.   The gas syringe often jumped forward slightly when I put it on.   Repeated the experiment more times.   Used more acid. This would shop the temperature problem as the temperature would be less likely to change, due to the increase in energy it would take to heat the water. Because of all these inconsistencies, including the 0.5 mole acid result, it is difficult to say how reliable my results are. They are not accurate enough to study the experiment in-depth, however for a general hypothesis such as Aiming to find out whether the concentration of acid effects the speed at which gas is given off, between hydrochloric acid magnesium ribbon and because the results are what I expected, and I carried out the experiment with care, also the fact that I repeated the experiment many times, it is reasonable to presume that I can draw a simple conclusion like, the higher the concentration, the quicker the gas will be given off. If I were to do the experiment again I would change the way I inserted the magnesium into the flask. I think I would have a double chambered flask that would be able to have the wall removed. See diagram. I could combine this idea with the alternative way I could do the experiment, as described in my planning. The method would be to: Place magnesium and the acid in a flask, which is then plugged with cotton wool, to prevent any liquid splashing out, during the reaction. Next, the flask is weighed, then tipped up to let the reactants mix and a clock is started. The mass is noted at regular intervals, until the reaction is complete. I would use the same volumes for all the chemicals in the new experiment, as I see no good reason changing them. I would expect the graph for the result to be much the same, but obviously with different axis labels and values. For example In conclusion, the experiment did prove my prediction that the rate of reaction doubles with when the acid strength doubles. Daniel Hill 10S Rate of Reaction Between. doc Page 1 of 8 Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Patterns of Behaviour section.

Tuesday, August 20, 2019

Promoting Rights of Health and Social Care Users

Promoting Rights of Health and Social Care Users Introduction: Social and health care is now a corner of interest for all the citizens. Some human are born with disease, some are having after birth and some has nothing but age. Age related diseases are now having various dimensions. Diabetic, dementia, frail, cancer like diseases is infecting the elders pretty quickly. So they need medical and individualized care which is best served in the health and care service organizations. In this situation all employees are needed to be trained and motivated to do this important job. LO1 Understand how the design and review of services promotes and maximises the rights so users of health and social care services 1.1 Explain how current legislation and sector skills standards influence organisational policies and practices for promoting and maximising the rights of users of health and social care services. Legislation: There are many laws that are applied and effective in the social and health care sector in the recent years. But the most revolutionary laws about the health and social care are stated below. Modernising Social Services The Modernising Social Services were published on the 1.1.1998. It emphasizes on the public protection, ensuring the best quality service, option of service and availability for adult and children. The key features of the law are Service should be provided to the individual with respect and freedom. People don’t have to match their life with the social care system to get their desired service. People should have a say about what is his needs and how it can be met. Services should meet the asking issues and collaborate with the housing, education, health and social care or any other help that are needed by the customer. In UK all the part of the country should be under the same service coverage and the care must be financed fairly. Special Children that can stay on their home should have their opportunities to make a successful life like the normal kid. All the receivers of the service should be assured about the staff are well trained and the staff should be devoted enough to uphold their commitment, high quality standards of training.(Tudor-Hart, 2005) To protect the people from the discrimination of gender, colour, race, ethnic origins, nationality and disability there is a strong legal structure. The main pillars of these structures are Amendment Regulations 2003 Race Relations Act 1976, Amendment 2000. Disability Discrimination Act 1995, Amendment in force from October 2004. Disability rights Commission Act 2000 Employment Equality Regulations 2003 Employment Rights Act 1996 and the Employment Relations Act 1999. Equal Pay Act 1976 European Race and Employment Directive 2000 Human rights Act 1998 Protection from Harassment Act 1997 Sex discrimination Act 1975, Amendment 1982, 1999. Sexual Orientation Regulation 2003 (Legislation England) These are the legislation that is the pathway of the organization to work in the UK. Policy and the organizational practice need to be same as these laws. UK governments put these laws in front of the people to make them safe and assure about the social and health care service they intend to receive. The politics and the ministry are mainly dependent on social care and the public have a careful interest about how the government is working on the issues. So the government is very sincere about social care and health service. Sector Skills Standards The transformation of the social care workforce strategy body into Skills for Care happened in 2005, April 1st. This organization is concerned about the adults and their social care. But the children issue is not left. Another organization is assigned to that matter and the name of that organization is Children’s workforce Development Council. These two organizations are interrelated by â€Å"Skills for Care and Development† and its working rage is spreader not only in UK but also in Scotland, Wales, and Ireland. (www.topssengland.net/) Skills for Health were started in April 2002 with the direct support from the four health department in UK. In October 2001 The Social Care Institute for Excellence was launched with an intention to provide knowledge about the good social care practice. Social care for the adult and children, social work education are the objectives of the SCIE. This government controlled organization to make the quality service available from the social care service providing organization. Sector skills standards are maintained by these organizations. These organizations work as the tools of government to make the development, monitor the service, evaluate annually and control the policy and practice of the organization. Mass people’s complaints about the service, their feedback and the satisfaction level of their family are the concern of the organizations. To make the best outcome possible from the social service is the aim of this organization. So the individual who are receiving the social and health care are now feel relax and safe about the service they are having and this sets the standard bar even higher. 1.2 Analyze factors that may affect the achievement of promoting and maximising the rights of users of health and social care services. The factors that can influence the achievement of the best possible of the users of health and social care services are given below: Problem in communications: For providing information and the service there is a vas importance of the communication skills. Understanding among the service providing organization and the customer is relied on this. Sometime the customer cannot know what is best for his or her conditions. Customer sometime cannot choose the way of having the service. Organization can fail to give update service for its customers for the communications problem. Some disable persons need special language like sign language, body language or Braille. Legislation and the instruction need to be in understandable form for the customer. So the communication can appear as the obstacle for the customer or user of specific service. Aggression: Some patients become aggressive for their illness. They don’t like the attitude of the service provider and they don’t show enough patience to know what is best for him or her. For this situation service or the rights can be very difficult to apply. Culture and belief: Patient’s cultural need can be ignored by the health care provider. Different cultural patterns, attitudes, expectations and beliefs are belonged to the people, coming from different culture and country. So not able to understand the cultural value can appear as the barrier in the achievements. Education and income: Asking unnecessary information about their income and education is taken offensively sometime by the patients. Sometime the patients need pay the bill though they are not interested in paying. (Coiera, 2011). 1.3 Analyze how communication between care workers and individuals contribute to promoting and maximising the rights of users of health and social services. The people who are having the health and social services are having problem in communicating with others. Sometimes they cannot understand the simple words. There can be a violent situation if the words from the speakers are working inversely. So before working along the customers the words should be chosen fairly and respectfully. There are some methods of communications and they are. Awareness while speaking: The care giver should be careful about their body language and voice tone while they are interacting with the patients. To make the patients more feel safe and healthy the care giver should communicate politely. The care giver can gain trust of the patient by behaving politely. Mentioning name: Patient likes to know their care giver. So care giver must state his or her name at the initial time of the conservation. Critical patient can find some relief by having a conversation about the home town. Questioning: Care giver or doctor should ask patient about the condition of his or her. During the questioning long sentences should be avoided. One short question at a time is eligible procedure at this type of situation. Some it is very convenient to ask questions that have only yes or no as answer. (Christensen and Silvestre, 2010) LO2. Understand how to promote the participants and independence of user of health and social care service. 2.1 Explain factors that may contribute to loss of independence, non participants and social exclusion for vulnerable people. There are some factors that can cause loss of independence and social exclusion. They are dependent to care taker and sometime avoided in the decision making even when the decision is about the patient’s treatment or welfare. Dependency: Vulnerable adults or children are subjected to independency and social ban because of their dependency to the care giver. These vulnerable are sometime not allowed to live their daily life for inability or life threat. According to the service user’s mental and physical condition they are not sometime not permitted to spend their time and money on own willing. So the outcome is predictable, they lose their minimum ability to live their own life. This also makes them insulted as they don’t like to attend any social ceremony because of their dependency. Keeping away from decision making: Usually the patients or vulnerable persons are not allowed to make their own decision as it can make some unusual problem. This situation creates frustration among the individual and him or her become more minor. Constraint: This is the main cause of becoming dependent. Constraints become threat when the vulnerable person is bound o think like the normal people. So the adult vulnerable should be allowed to live their daily life but not all the work can be done by them. So the individual should be aware of his own inability and assisted to do some daily fundamental work. This will prevent the frustration, dependency and the bitter taste of reality. (Appleby, Raleigh, Frosini, Bevan, Gao and Lyscom, 2011) 2.2 Analyze how organizational systems and processes are managed to promote participation and independence of users of health and social care services. Organization can promote participation and independence of individuals by providing training to staff, collection of feedback, monitoring and open resource of information for every individual. Empowering individuals All the service receivers should be appreciated and get the chance of empowering their hidden potentiality. Empowering the vulnerable can develop the quality and quantity of the service and its delivery. But there should be a guideline of working to participate with their potentiality. So the organization must make a statement to the service receivers about the benefit that can be done by their empowerment. Measurement of individual’s performance: The organization should available that all the staff is coping with the changes so they can perform well in the service. This will change the service quality and the service receiver will be satisfied than ever. When the staff discovers that their good hard work is changing the service receiver and the company they will do extra organizational work. Information sources: Employee and the service receiver should have open and free access to the data so that they can know about the problems and find a suitable solvency. All the weakness and strength can then become a clear picture in the mind of the staff and receivers. This will make them as the part of the organization and everyone can feel their duty to this organization. This will encourage them to participate and work independently. (Buchanan, Fitzgerald and Ketley, 2007) To maximize the independence and participation there should be empowerment of needs based on social, physical and emotional, intellectual factors, information access, confidentiality measurement, taking part in the decision making. Providing them the right: They can keep their secrets, safety and security. Letting them to take risk: This can only be done after the risk assessment. If the risk is greater than the expectation then that can be barred. Giving them the opportunities to communicate and relate to anyone they like. Permitting them to personalized care, responsibilities. Individuals must be given chance to take their own decision and make choices for them. Decision making ability must be practiced and they should have their own choice. Information should be available for the individuals. Every service receiver should have the right to take part in their own religious and cultural activities. Providing a range of options from which they can make choices options should be there to make a choice. The service receiver should be encouraged to face their own problem and solve it successfully in near future. (Improvement and Development Agency, 2010) 2.3 Analyze the tensions that arise when balancing the rights of individual to independence and choice against the care provider’s duty to protect. Many issues can raise the tensions while providing the service to vulnerable person. For example patients of dementia or frail intend to go some places by themselves. Service provider then put in some trouble. Dementia patients may loss their path and can’t return to the expected place. So they can harm themselves at that position and their aggressive behaviour makes it more difficult to retrieve them. Frail patients may loss their conscious easily and cause danger for themselves. When the patients are in that type trouble the service provider is accused of negelency. So the service provider should prevent the patient from doing anything that can bring danger. In that very time the individual has his humanitarian right to live independently. So this create the tensions between the relatives vs. customer, customer vs. staff, staff vs. employee, kid vs. parents, parents of the kid vs. service provider and employee vs. Employee. So tensions can bear at the place where the right a nd choice are conflicting over balance. The care provider should be keeping in mind that the client’s security is first than his independence. (Kizer, 2001) 3.1 Use a case study from a health or social care setting to identify the extent to which individuals are at risk of harm. We assume a scenario that Mr. S had harassed eight elder citizens in health care organizations. His customers have faced a life threat for this abuse. Now the risk of harm for this abuse is stated below: In the scenario a 78 years old lady pours cold water on her head. Researches shows that cold water shower is good for normal aged people’s health but it can injurious to the older people. Cold water in shower for the older persons can lead to heart attack, choking and even death. Paralysis is also a byproduct if he or she survives death. If there is some sexual harassment then there is the issue of shame. The lady must feel guilty and sorry that can push her to the suicide. The physical and mental stability can be hampered for this incident. No service provider can use force to make someone or the client to do something. He or she can only be asked or requested to do that. A 96 year old was forced to eat her food when she was not interested in eating. Mr. S also forced 81 years old to take sherry and that can lead to serious choke and the dying. This force implementation can cause vomiting and loss of appetite. Mr. S‘s clients were the patient of dementia and other psychological problem so most of memories can be vanished and they may take their experience as the treatment. So that is a physical and mental abuse. For the clients who are on wheel chair can’t make them safe or move quickly to a safer place. Not only their appropriate care was neglected but also they have experienced some hateful and regretful treats. 3.2 Analyze the effectiveness of policies, procedures and managerial approach within a health or social care setting for promoting the management of risks. Organizations have their policies, procedures to run their ventures effectively and to complete their objectives along with the governmental policy and laws. For example every health care centre has some law and rules according to the expected and unexpected risks, safeguarding from the unexpected risk, measuring and recording risk, take part in the abuse free working environment, procedures of gathering feedback, leadership pattern, policy about whistle blowing according with the sector skills standards. Management risks can be prevented by the assessment of risks, pattern of leadership and complain processes. A health care should have enough equipment to treat the patients. Early discovering of possible harassment, picturing the staff, complain with proper process, getting evaluation from the clients, monitoring the client’s financial, physical and psychological issues are also steps to avoid management risks. (Addicott, 2011) 4.1 Review current legislation, codes of practice and policy that apply to the handling of medication. There are some law, rules and regulations to handle medicine. The laws are Public Health Regulations 2002, Drug Misuse act 1986, Medicine Act 1968, Poisons and Therapeutic Goods regulations 2008, Drug Act 2005, Poisons and Therapeutic Goods Act 2002. According to the upcoming only a certified individual can handle the management of medicines to ensure the quality of care in the care institutions. It provides safety for the admin of medication with the personal care staff and in the organization. Doctors, pharmacists, surgeons, suppliers and nurses are capable of handling the medicine within a legal framework which is possible for the Medicines Act 1968. According to this law some medicines are cramped to sale, provide and handle. A licensed drug handler can only prescribe a medicine. This license has to be renewed after a certain year. Misuse of drug act 1986 and Drug act 2005 are the strong law to restrict the handling and misusing of drug. A supplier has to prove that the medicine has an honest and valid intention to supply drugs. Supplier can be assumed by court if he has more drugs than he have licensed for. Safe handling of the drugs is assured by the legislations, guidance and policies. (Christensen and Silvestre, 2010) 4.2 Evaluate the effectiveness of policies and procedures within a health and social care setting for administrating medication. The policies and procedures can help to achieve the best result for administrative drugs and care institutions. Care home are run by the policies and procedures and that can lessen the threat of medication. There is a record for all the medication to avoid the risks in future and this is done by the policy of the medicine administration. Side effects of the drugs are evaluated on the internet and the third party comments are regarded as most fair evaluation. Medication that are ordered must have some key features and that are Clear mentioned name Dose Time when the drug to be administrated Pattern of the administration. Reason behind the medication For these features all medicines are taken at the appropriate time. Nurses are responsible for any misuse of the medicine or any type negligence about the medicine. Hospitals use secret coded language for the prescription which can only be understood by the medical professionals. This is time saving and the care service has gained speed. Care homes are now having the implementation of medicinal administration which decreases the overall death less than 7000. Every care providing personnel have the guideline about accurate timing of dosage, medication, patient, route. The medical administration has the only goal and that is the best result and service for service receivers. (Christensen, Bohmer and Kenagy, 2000) Conclusion

The Contemporary Family as More Democratic and Equal Essay -- Sociolog

The Contemporary Family as More Democratic and Equal In the course of this essay I shall be looking at the role of the family. In doing so I shall be examining various studies carried out, showing what the role of the family should be. This will include views by Willmott and Young, and contrasting ones of such authors as Ann Oakley, a feminist. The family is often looked upon as a social institution, a bond that joins individuals into families. This bond is reinforced by marriage, economic co-operation and sexual activity leading to the eventual conception of new life. This is typical of the viewpoint taken by functionalists such as Murdock, who saw that each member of the family had a role to play in order for it to be a success. This was a positive outlook for the family, however feminists such as Oakley believed this was not the case. From the late nineteenth century until the 1950’s traditional relationships between a man and his wife could best be described as male dominated. This â€Å"Patriarchy† was based around the view of this era that the father was the undoubted head of the household. Whatever his viewpoints, values and needs were these would always be listened to and met. The views of women on the other hand were very much repressed. Fletcher, pointed out that both women and children were frequently exploited both inside and outside the family and conditions within the home were deplorably inadequate. (â€Å"The family and marriage of Britain†) Women therefore were regarded as inferior to men and their main roles were as housewives looking after the home, mothers looking after the children, and as wives looking af... ... available. This is why this important issue is being recognised more and more. In contemporary society too, let’s not forget the fact that family life is moving further away from what was the norm, being the nuclear family consisting of a male and female and their children. Nowadays the rise of divorce rates, pregnancy outside marriage and co-habiting are all major issues in contemporary family life. Also the more recent upsurge and proliferation of gay and lesbian relationships and marriages cannot be ignored. All these issues show how family life in the twenty-first century has radically changed. BIBLIOGRAPHY PAUL TAYLOR ,SOCIOLOGY IN FOCUS JOHN J MACIONIS AND KEN PLUMMER, SOCIOLOGY, A GLOBAL INTRODUCTION FLETCHER, THE FAMILY AND MARRIAGE OF BRITAIN OAKLEY, HOUSEWIFE, 1974 WWW.SOCIOLOGY.ORG

Monday, August 19, 2019

The Purpose Of Life - Lifes Journey :: miscellaneous

The Purpose Of Life - Life's Journey "Blessed be the God and Father of our Lord Jesus Christ, which according to his abundant mercy hath begotten us again unto a lively hope by the resurrection of Jesus Christ from the dead, To an inheritance incorruptible, and undefiled, and that fadeth not away, reserved in heaven for you, Who are kept by the power of God through faith unto salvation ready to be revealed in the last time... Wherefore gird up the loins of your mind, be sober, and hope to the end for the grace that is to be brought unto you at the revelation of Jesus Christ; As obedient children, not fashioning yourselves according to the former lusts in your ignorance: But as he which hath called you is holy, so be ye holy in all manner of conversation; Because it is written, Be ye holy; for I am holy." ~ 1 Peter 1:3-5, 13-16, King James Version In a dream, I received a message from God saying, "Life is a journey to holiness." This is truth, for we have been taught the same by our Lord Jesus Christ who said, "Be ye therefore perfect, even as your Father which is in Heaven is perfect." (Matthew 5:48) And we know that the Heavenly Father is all that is good, beautiful, great, and holy, therefore we must aim to possess such qualities of The Lord. Though we will never reach perfection, we must strive for it with all our heart – in other words, with all our love for God. For it is written, "Thou shalt love The Lord thy God with all thy heart, and with all thy soul and with all thy mind." (Lord Jesus Christ Quote, Matthew 22:37) Our Lord Jesus Christ is to whom we are to compare ourselves to, for He is the Ideal. He lived the perfect life, and He is therefore the one we must strive to resemble. He is God in the flesh, representing the way we ought to live – for it is written, "And the Word [that is, God] was made flesh [that is, Jesus], and dwelt among us, (and we beheld his glory, the glory as of the only begotten of the Father,) full of grace and truth." (John 1:14) Now, my heart has not always been striving for God, for my heart was torn between good and evil – between the ways of God and satan.

Sunday, August 18, 2019

evilmac Protagonist Becoming Evil in Shakespeares Macbeth :: Macbeth essays

Macbeth: Protagonist Becoming Evil The story Macbeth is like no other in plot and poetry. It sets itself apart from the rest by having a protagonist becoming evil. What makes Macbeth such a complicated character is the way his outlook keeps on changing throughout the play. This essay will prove that Macbeth is an evil man and was not overpowered by ambition to get what he wanted. This essay will also determine that certain characters like the witches did not force him to do evil; they simply triggered it. In the beginning of the play, Macbeth is shown as a hero in the Scottish army, that is ironic because Macbeth has defeated a traitor and he will become one. We feel that a person of his loyalty could never commit evil unless he had a good reason or if he would be provoked. After Macbeth's first meeting with the witches, we learn from his aside that he has thought about killing Duncan " My thought, whose murder yet is but fantastical" 1(Macbeth 1.3.152). Macbeth also says " If chance will have me king, why, chance may crown me Without my stir." 2(Macbeth 1.4.157-159) which means that maybe he does not have to murder the king to gain that title. Luck has been very generous to him and might continue and make him king. Macbeth's true evil thoughts about being king are first shown when he finds out that king Duncan has named his son Malcolm as Prince of Cumberland. He now shows his evil and his true feelings. " Stars, hide your fires; Let not night see my black and deep desires. The eye wink at the hand; yet let that be Which the eye fears, when it is done, to see." 3 (Macbeth 1.4.57-60) Macbeth is actually seeking help from the dark and supernatural. Macbeth is saying that he does not want to see the evil that he will commit until it is done. It is now known that Macbeth is capable of evil and would commit it. Upon meeting Lady Macbeth, we can assume that any evil done by Macbeth would be contributed by her influence. Lady Macbeth is a very powerful women and she has a-lot of power over Macbeth's decisions. After Lady Macbeth reads the letter from Macbeth, she says that he is in fact too noble to kill Duncan in cold blood but he would like to. " It is too full o'th'milk of human kindness To catch the nearest way. Thou wouldst be great, Art not

Saturday, August 17, 2019

Cognitive Appraisal and/or Personality Traits

Suggested APA style reference: Li, M. (2009, March). Cognitive appraisal and/or personality traits: Enhancing active coping in two types of stressful situations. Paper based on a program presented at the American Counseling Association Annual Conference and Exposition, Charlotte, NC. Cognitive Appraisal and/or Personality Traits: Enhancing Active Coping in Two Types of Stressful Situations Paper based on a program presented at the 2009 American Counseling Association Annual Conference and Exposition, March 22, Charlotte, North Carolina Ming-hui Li Ming-hui Li, EdD, LPC, LMHC, is an assistant professor in the Department of Human Services and Counseling at St. John’s University, Queens, NY. His areas of specialty include stress-coping and resilience development. College students frequently experience stressful situations (Dungan, 2002; Li, 2006). Some college students actively cope with stressful situations while others become victims of the situations. The researcher has been interested in exploring factors that lead college students to actively cope with stressful situations. Enhancing these factors may facilitate college students to employ active coping. The term active coping in the study refers to people’s coping responses that are characterized by solving problems, seeking social support, and non-avoidance. The purpose of this study was to explore effective predictors of active coping in two major types of stressful situations among college students: relation and work. Results of this study may provide information for counselors to help students adapt better to college life by enhancing specific factors in different stressful situations. Theoretical Framework Researchers have not reached an agreement on the nature of coping. For example, process-oriented researchers (e. g. , Albinson & Petrie, 2003; Lazarus & Folkman, 1984; Olff, Langeland & Gersons, 2005) proposed that cognitive appraisal determines the responses individuals adopt to cope with stressful situations. In contrast, diathesis-oriented researchers (e. g. , Abela & Skitch, 2007; Li & Yuan, 2003; Wagner, Chaney, Hommel, Andrews, & Jarvis, 2007) suggested that a match between personality traits and stress types decides coping responses. The present study explored the extent to which a combination of these two theoretical approaches can determine college students’ employment of active coping. Process-oriented researchers (e. g. , Albinson & Petrie, 2003; Lazarus & Folkman, 1984; Olff, Langeland & Gersons, 2005) proposed that coping is a process (instead of a mere trait) in which personal factors, such as beliefs, and environmental factors, such as novelty, work together to affect coping responses through cognitive appraisal. These researchers argued that personality traits and environment are insufficient to determine coping responses. Cognitive appraisal, they believe, is what determines individuals’ coping responses. From their perspective, coping responses can be decided only after individuals have cognitively considered (a) how their lives are influenced by the situation and (a) what they can do to deal with the situation. In contrast, diathesis-oriented researchers (e. g. , Abela & Skitch, 2007; Li & Yuan, 2003; Wagner, Chaney, Hommel, Andrews, & Jarvis, 2007) advocate that individuals’ personality traits influence coping responses in specific contexts. They argued that personality traits influence coping responses most in stressful situations that are closely related to those traits. For example, individuals’ self-efficacy (a task-related trait) has great influence on their coping responses to task-related stressful situations, such as looking for a part-time job. In contrast, individuals’ secure attachment (a relation-related trait) is powerful in influencing coping responses to relation-related stressful situations, such as getting along with new roommates. Both approaches have been supported by previous studies. However, little attention has been drawn to the possibility of combining the two approaches. The present study addressed this possibility. The study was aimed to explore the extent to which a combination of these two theoretical approaches influences people to actively cope with stressful situations. Cognitive appraisal and three traits (self-efficacy, secure attachment, and resilience) were included in the combined model. According to the process-oriented approach, cognitive appraisal was expected to predict active coping across the two stressful situations. Based on the diathesis-oriented approach, self-efficacy was expected to predict active coping in work-related stressful situations such as looking for a part-time job; and secure attachment was expected to predict active coping in relation-related situations such as getting along with new roommates. In addition, the researcher hypothesized that resilience can predict active coping in both relation-related and work-related stressful situations because this trait reflects individuals’ general ability to moderate the negative effects of stress (Benetti & Kambouropoulos, 2006). Cognitive appraisal, self-efficacy, secure attachment, and resilience were applied to predict active coping in two types of stressful situations (relation, work), in order to detect the effectiveness of the combined model. The two hypotheses tested in the study were: Hypothesis 1: In relation-related situations, secure attachment, cognitive appraisal, and resilience can effectively predict active coping. Hypothesis 2: In work-related situations, self-efficacy, cognitive appraisal, and resilience can effectively predict active coping. Methods Participants were 126 students recruited from a college in Taiwan. Their age ranged from 18 to 23 years old. The mean age of this sample was 19. 6. Participants were categorized into two groups—a relation group and a work group, based on their self-reported stressful situations. The numbers of participants in groups of relation and work were 76 and 50, respectively. The researcher administered a questionnaire to participants when they were waiting for a class. Participants signed informed consent forms before they responded to the questionnaire. Data was collected using a questionnaire containing the Resilience Scale (Wagnild & Young, 1993), the Revised Adult Attachment Scale (Collins, 1996), the Coping Strategy Indicator (Amirkhan, 1990), the Chinese Adaptation of General Self-Efficacy Scale (Zhang & Schwarzer, 1995), and category I (cognitive appraisal) of the Student-Life Stress Inventory (Gadzella, 1991). All of the instruments have been used to study college students and have demonstrated adequate validity (construct or concurrent validity) and reliability (Cronbach’s coefficient alpha range from . 6 to . 93). All of the instruments except the Chinese adaptation of General Self-Efficacy Scale were translated by the researcher from English into Chinese. Two bilingual Psychology professors and four bilingual doctoral students examined the translated instruments. A bilingual undergraduate student, who was blind to the original English instruments, back-translated the Chinese versions into English. The original instr uments and the back-translated instruments were very close in meaning, indicating correct language transference. Internal consistency estimates of reliability (Cronbach’s coefficient alpha) were computed for each of the instruments used in this study. The values for coefficient alpha were . 89, . 90, . 75, . 87, and . 81 for the Student-Life Stress Inventory (SSI), the Resilience Scale (RS), the Revised Adult Attachment Scale (AAS-Revised), the General Self-Efficacy Scale (GSS), and the Coping Strategy Indicator (CSI), respectively. The alpha values for the three sub-scales of the Coping Strategy Indicator (CSI) were . 86 (problem-solving), . 88 (seeking social-support), and . 68 (avoidance). In addition, the alpha value for the category I (cognitive appraisal) of the Student-Life Stress Inventory (Gadzella, 1991) was . 84. The research design of this study was a correlational design with four independent (predictor) variables and one dependent variable. The four independent variables were cognitive appraisal, resilience, secure attachment, and self-efficacy. The dependent variable was active coping. This research design consisted of two separate multiple regression procedures that were used to test the proposed model in two types of stressful situations. Data Analysis and Results The data were analyzed by using SPSS 14. 0. Two procedures of multiple regression were applied to test the two hypotheses. The step-wise method was used because the available literature does not provide direction as to how the variables in this study should be entered into a multiple regression equation. By using the step-wise method, the researcher allowed the computer to select the model with the best statistical â€Å"fit. † Correlations among predictor variables and between predictor variables and the dependent variable were examined in order to meet the requirements of multiple regression. The outlier was removed so it did not impact the accuracy of data analysis. The criterion used to screen outliers were (a) a Cook’s distance greater than 1, and (b) a standardized residual greater than 3. Hypothesis 1 was supported while Hypothesis 2 was not supported. Results showed that (a) cognitive appraisal and resilience can predict active coping in stressful situations associated with relation, and (b) secure attachment can predict active coping in work-related stressful situations. Tables I and II showed the results. Table I. Summary of Regression Analyses of Resilience, Secure Attachment, and Self-Efficacy Predicting Active Coping in Relation-Related Stressful Situations ____________________________________________________________ _____ Variable B ? R[pic]Change p ____________________________________________________________ ______ Resilience . 13 . 29 . 09 . 00 Cognition – 2. 56 – 4. . 18 . 001 ____________________________________________________________ ______ Table II. Summary of Regression Analyses of Resilience, Secure Attachment, and Self-Efficacy Predicting Active Coping in Work-Related Stressful Situations ____________________________________________________________ _____ Variable B ? R[pic]Change p ____________________________________________________________ ______ Secure Attachment . 50 . 1 . 17 . 003 ____________________________________________________________ ______ Discussion The study was aimed to test the effectiveness of the model combining two approaches to coping. Results i ndicated that this model is effective in stressful situations associated with relation. In stressful situations associated with relation, individuals who less engage in cognitive appraisal (i. e. , lower levels of cognitive appraisal) and are able to moderate the negative effects of stress (i. . , higher levels of trait resilience) tend to actively cope with the situations. This finding is consistent with Kulenovic and Busko’s (2006) finding that cognitive appraisal and personality trait simultaneously influence individuals’ coping responses to stressful situations. It seems that when people are in the initial stage of coping with a relation-related stressful situation, the less they evaluate the situation and the stronger their trait resilience becomes, the more likely they can cope with the situation actively. A possible explanation of the finding that cognitive appraisal and trait resilience simultaneously influence individual’s coping response to relational stressful situations is that cognitive appraisal leads people to respond to situational factors such as how the romantic relationship ended and who wanted to end the relationship (Bouchard, Guillemette, & Landry-Leger, 2004) while trait resilience directs people to respond to any situation that causes stress such as breaking-up with a boy/girl friend and losing a job (Li, 2008). In work-related situations, those who hold positive attitude toward social interactions (i. e. , high levels of secure attachment) tend to actively cope with work-related situations. It seems that when individuals are in the initial stage of coping with a work-related stressful situation, the more they believe they can get along well with people in the workplace, the more they become willing to take action to deal with the situation. Conclusion While re searchers have proposed different theoretical approaches to explain coping, no adequate efforts have been made to test the possibility of combining different approaches. This study addresses this issue by combining two existing approaches into one model and tests the effectiveness of the model. Results of the study not only expand our knowledge about coping but also provide useful information for counselors to help clients deal with stressful situations. When clients are in the initial stages of coping with relation-related stressful situations, counselors can help the clients by engaging them in reflection of their previous positive coping experiences rather than urging them to cognitively appraise the situations. When clients are in the initial stage of coping with work-related stressful situations, counselors can help the clients by enhancing their person skills. References Abela, J. R. Z. ; Skitch, S. A. (2007). Dysfunctional attitudes, self-esteem, and hassles: Cognitive vulnerability to depression in children of affectively ill parents. Behaviour Research and Therapy, 45, 1127-1140. Albinson, C. B. , & Petrie, T. A. (2003). Cognitive appraisals, stress, and coping: preinjury and postinjury factors influencing psychological adjustment to sport injury. Journal of Sport Rehabilitation, 12, 306-322. Amirkhan, J. H. (1990). A factor analytically derived measure of coping: The coping Strategy indicator. Journal of Personality and Social Psychology, 59, 1066-1074. Benetti, C. , &; Kambouropoulos, N. (2006). Affect-regulated indirect effects of trait anxiety and trait resilience on self-esteem. Personality and Individual Differences, 41, 341-352. Bouchard, G. , Guillemette, A. , & Landry-Leger, N. (2004). Situational and dispositional coping: An examination of theire relation to personality, cognitive appraisals, and psychological distress. European Journal of Personality, 18, 221-238. Collins, N. L. (1996). Working models of attachment: Implications for explanation, emotion, and behavior. Journal of Personality and Social Psychology, 71, 810-832. Dungan, D. E. (2002). Five days of stress and coping in the lives of college students. (Doctoral dissertation, Texas Tech University, 2002). Dissertation Abstract International, 62 (10-B), 4827. Gadzella, B. M. (1991). Student-life Stress Inventory. Library of Congress, Copyright. Kulenovic, A. & Busko, V. (2006); Structural equation analyses of personality, appraisals, and coping relationships. Review of Psychology, 13, 103-112. Lazarus, R. S. , & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. Li, M. H. (2006). Stress, traits of resilience, secure attachment, and self-efficacy as predictors of active coping among Taiwanese students (China). (Doctoral dissertation, Texas Tech University, 2006). Dissertation Abstracts International, 67(4-A),1233. Li, M. H. (2008). Relationships among stress coping, secure attachment, and the trait of resilience among Taiwanese college students. College Student Journal, 42, 312- 325. Li, X. , & Yuan (2003). The relationship between junior middle school students’ diathesis, and life stress with mental health. Chinese Journal of Clinical Psychology, 11, 287-288. Olff, M. , Langeland, W. , & Gersons, B. P. R. (2005). Effects of appraisal and coping on the neuroendocrine response to extreme stress. Neuroscience & Biobehavioral Reviews, 29, 457-467. Wagner, J. Chaney, J. , Hommel, K. , Andrews, N. , & Jarvis, J. (2007). A cognitive diathesis-stress model of depressive symptoms in children and adolescents with juvenile rheumatic disease. Children's Health Care, 36, 45-62. Wagnild, G. M. , & Young, H. M. (1993). Development and psychometric evaluation of The resilience scale. Journal of Nursing Measurement, 1, 165-178. Zhang, J. X. , & Schwarzer, R. (1995). Measuring optimistic self-beliefs: A Chinese adaptatio n of the General Self-Efficacy Scale. Psychologia, 38 (3), 174-181.