Alcoholic drinking age should be lowered to 18 in the U.S

The drinking age in the United States can be considered as a controversial issue because people possess a dubious attitude in legalities of drinking age. In 1980 the minimum age of drinking in the United States was raised from 18 to 21.The intent was to reduce the consumption rates of alcohols and drunken driving among young adults. Age-21 law was implemented at that time and the sale of alcohol to the underage was strictly prohibited (Wiseto Social Issues).These laws are strictly implemented but teenagers are continuing to buy alcohol and drink illegally with fake identification cards. The law is implemented in the United States but it hasn’t stopped underage individuals to stop drinking. Researches and many individuals have stressed on the fact that drinking age must be lowered to 18 in the United States. In this paper we will discuss the arguments that are in favor of lowering the age limit from 21 to 18.Young adults should be allowed to drink in controlled environments lik e pubs, official functions, taverns etc. Their legal drinking age must be lowered to 19 or 18 and through controlled environment the phenomenon of responsible drinking can be taught. Role modeling and educational programs must be initiated and through these programs a sensible drinking behavior can be expected from young adults.There are many factors like seat belt and air bag usage, education concerning drink oriented programs etc that are responsible for driving problems and accidents during driving. Purchase age is not always responsible for driving problems and accidents during driving.An individual who is 18 years old in America possess the right to marry, the right to vote etc. That is the reason why drinking age must be lowered to 18 because an 18 year old individual is considered to be an adult in United States because 18 is the legal age of adulthood in United States. Dan Levine stresses on the point that an 18 year old individual can serve the military then why he or she c annot drink. Dan Levine states that â€Å"If you can toss a grenade, you should certainly be able to toss back a shot of tequila† (Wiseto Social Issues).People who are 18 years old must be legally allowed to drink and buy alcohol because this would reduce the element of binge drinking (Wechsler and Wuethrich).Through this approach teenagers would not break the law and this would indulge them in adult beverage. The legal age of drinking in every country except United States is 18 or younger. Every year millions of dollars are spent on twenty one year old drinking law and this law is promoted and enforced by the government (Kirk) that could be saved.A Michigan research suggests that in the year 2006, 72.2% of the twelfth graders were reported to drink alcohol at some point in time in their lives. The National Center on Addiction and Substance Abuse claimed that the 20% of the alcohol revenues come from underage drinking.   Similarly, they added that the amount of alcohol cons umed individuals of 21 years and above have remained constant for about forty years (Aretha).In the United States most of the teenagers consume alcohol for the sole purpose of getting drunk. It must be used as a compliment to a meal but teenagers don’t follow this attribute of alcohol. Binge drinking in the United States is getting famous and people are adopting this dangerous habit in which they have unsupervised environments which can be a deadly problem for these young adults.The standards that are set for drinking in the United States have not stopped teenagers from drinking alcohol. Alcohol misuse in the country shows increasing trends and researchers suggest that out of four nearly one full time medical student nationwide met the medical threshold for substance abuse (Brown).Many people in the United States believe that lowering the drinking age is not a viable option because it would actually result in drunken driving fatalities. This might be considered as a truth bec ause a huge number of people are killed in United States because of drunk drivers but United States claims that it has the safest roads in the world. Moreover, 69% of the accidents are from individual who are 21 or above (Merino).

City of Kelsey Budgeting

Tiera Bristol November 19, 2012 Policing in Kelsey: Budget Report Professor Charles McClelland Abstract Working as the budget director for the mayor of the city of Kelsey, we have recently been getting numerous complaints from the citizens about an increase in crime and also an issue of the public demanding for more police officers. With the population of the city growing daily, the increase of crime is continuing to progress as well.The mayor has informed us that this past year is the highest increase in crime in the city’s history, that the federal government has reduced the federal pass-through money for the state and that the budgeting group needs to revamp the budget for the coming year. Within this document as the Budget officer, we will take a close look at the present budget to determine the changes that need to be made in order to come up with a solution that is politically feasible.In doing so we will examine numerous things in depth which includes looking at how the changes affect the fiscal cycle of your budgeting, how the preparation, execution, and evaluation of the budgeting cycle would change, our budgeting approach based on the changes and the reasons, differences of the chosen budgeting approach from those not used, a plan to address the crime issue, and lastly a summary of the cost-benefit analysis of your plan. Main According to Apollo Group (2007), â€Å"Kelsey is nestled in the hills of the Northwest Valley.With a population of 625,000 Kelsey offers the amenities of the big city, but still retains its small town charm† (para. 1). In addition to the limited budget, there has been a recent budgetary reform at the federal level, which has put additional pressure on local police agencies to use the federal money before it expires. The state Chiefs of Police Association is lobbying the state for a 15% public safety tax for a temporary 3-year period in order to make up the deficit. The state legislature and local governments are wa ry of adding any additional new taxes on citizens.In addition, the state’s Sierra Club organization is putting pressure on state and local government to hire less police officers, build more prisons, and develop the state’s infrastructure. There are different types of budgeting that businesses typically use and those include Operating budgets, Capital Budgets and there are many subtypes that exist because a budget can also be created for special events, the recruitment and retention of new staff, and to manage the advertising expenses and return on investments for a business (Demand Media, 1999-2012).According to Demand Media (1999-2012), â€Å"An operating budget outlines the total operating expenses and income for the organization, typically for the period of a fiscal year. Capital budgets evaluate the investments and assets of the business, and a cash budget shows the predicted cash flow in and out of the business over a period of time† (para. 2 ). According to the Cost-Benefit Analysis (2012), â€Å"Capital budgeting has at its core the tool of cost-benefit analysis; it merely extends the basic form into a multi-period analysis, with consideration of the time value of money.In this context, a new product, venture, or investment is evaluated on a start-to-finish basis, with care taken to capture all the impacts on the company, both cost and benefits. When these inputs and outputs are quantified by year, they can then be discounted to present value to determine the net present value of the opportunity at the time of the decision† (â€Å"Cost-Benefit Analysis,† 2012).In taking steps to resolve these issues in the city of Kelsey and coming up with a solution that is politically feasible we will use the cost-benefit analysis which is the process of determining costs and benefits for programs, decisions, and projects and making a true yet equal determination for an end result. This process in my opinion is almost like a predict ion for what the end result will look like†¦ â€Å"In governmental planning and budgeting, the attempt to measure the social benefits of a proposed project in monetary terms and compare them with its costs† (â€Å"Cost-Benefit Analysis,† 2012).When it comes to looking at different Business decisions that would use the cost-benefit analysis, the reasoning could be, but not limited to â€Å"whether or not to add employees, introduce a new technology, purchase equipment, change vendors, implement new procedures, and remodel or relocate facilities† (â€Å"Cost-Benefit Analysis,† 2012). According to the Cost-Benefit Analysis (2012), â€Å"Cost-benefit analysis is the exercise of evaluating an action's consequences by weighing the pluses, or benefits, against the minuses, or costs.It is the fundamental assessment behind virtually every business decision, due to the simple fact that business managers do not want to spend money unless the resulting benefits are expected to exceed the costs. As companies increasingly seek to cut costs and improve productivity, cost-benefit analysis has become a valuable tool for evaluating a wide range of business opportunities, such as major purchases, organizational changes, and expansions† (â€Å"Cost-Benefit Analysis,† 2012).In coming up with a plan that demonstrates how the preparation, execution and evaluation of the budgeting cycle would change would look like this, according to the Cost-Benefit Analysis (2012), â€Å"A formal cost-benefit analysis is a multi-step process which includes a preliminary survey, a feasibility study, and a final report. At the conclusion of each step, the party responsible for performing the analysis can decide whether continuing on to the next step is warranted.The preliminary survey is an initial evaluation that involves gathering information on both the opportunity and the existing situation. The feasibility study involves completing the information gathering as needed and evaluating the data to gauge the short- and long-term impact of the opportunity. Finally, the formal cost-benefit analysis report should provide decision makers with all the pertinent information they need to take appropriate action on the opportunity.It should include an executive summary and introduction; information about the scope, purpose, and methodology of the study; recommendations, along with factual justification; and factors concerning implementation† (â€Å"Cost-Benefit Analysis,† 2012). When it comes to coming up with ideas to address the issue of crime there are no set strategy that can be deemed perfect. Instead it is a good idea to proactive, alert and daily trying to come up with new ideas to address this issue.Crime is on the rise and everyday criminals are getting smarter and coming up with new tactics and ways for committing crimes, therefore it is critical for law enforcement, as a unit to put just as much time and effort, if not more, in coming up with new/advanced approaches, tactics, plans and policies to deter crime. Through research I found that Governor Snyder’s plan to fight crime in the State of Michigan to very interesting. After examining the Governor’s plan we feel that it would also be a good idea to look at some of the same things within the city of Kelsey around coming up with a plan to address the current crime issues.According to Michigan Radio Newsroom (2012), â€Å"Secure Cities Partnership (provide local assistance and coordinate teams of local, state and federal law enforcement officers to direct patrols and provide investigative resources), Fire and first responders (forming an advisory council that will recommend ways to provide better emergency services statewide with a long-term, sustainable cost model), Prosecutorial support (investment for prosecutorial support in distressed cities), Mental health courts (They can require individuals to comply with treatment, whi ch may keep them from committing crimes), Drug courts (Drug treatment courts address the revolving-door cycle in which drug and alcohol offenders move in and out of the justice system; a high-risk, high-need drug court initiative that expands drug court programming), Human trafficking (protects victims and goes after the individuals who profit from this crime), New paths for young people (help teens from urban areas realize that promising opportunities exist), Removing abandoned buildings (Abandoned buildings often are havens for illegal activity. orbid individuals with unpaid taxes or who own blighted properties from buying any more property at auction), Truancy (placing more social workers within public schools)† (para. 3). Conclusion Throughout this document we have analyzed ways to come up with a solution that is politically feasible in making corrections to the budget. Using the cost-benefit analysis tool is essential and highly beneficial in determining what will stay an d what organizations will be dismissed. We have looked at the Governor of Michigan plan and approach to address the crime issues and of those mentioned and described, would be necessary to analysis within the city of Kelsey. Reference Apollo Group. (2007). The City of Kelsey. Retrieved from

Bronfenbrenner’s Ecological Model Paper

As a child develops, the surroundings and people they interact with can have an impact in their development. Bronfenbrenner is a developmental psychologist who created the bioecological model of human development. The purpose of Bronfenbrenner’s model is to analyze the different connections humans make in the process of socialization. The bioecological model consists of four main areas â€Å"in which relationships and interactions take place to form patterns that affect human development† (Berns, 2013, 2010). The patterns that are formed from the relationships an interactions being created can be either positive or negative influences that can affect human development. The first system is the microsystem; in this system children are directly affected by the interactions they encounter â€Å"in a particular small setting† (Berns, 2013, 2010). For instance, family, school, peers, media, and their community are part of a child’s microsystem. The second system is the mesosystem; in this system the mesosystem is reflected in the microsystem due to the connections it creates with the child’s small settings. An example of this can be the child’s community collaborations which influences the child’s development. The third system is the exosystem; in this system the settings in which the child is not directly involve, yet the child is still affected in their microsystem. For instance, the child’s parents’ work can affect the child do to financial problems or stressed. The fourth system is the macrosystem; in this system â€Å"the society and subculture to which the developing person belongs, with particular reference to the belief system, lifestyles, patterns of social interaction, and life changes (Berns, 2013, 2010). For example, being part of a religion influences your life and therefore your human development as well. Indeed, Bronfenbrenner’s bioecological model depicts the human development in these four basic structures. This essay will explain my own reflection of my childhood and the influences from each of the ecological systems. Microsystem: As Berns states, â€Å"the family is the setting that provides nurturance, affection, and a variety of opportunities†¦the primary socializer of the child in that it has the most significant impact on the child’s development † (Berns, 2013, 2010). In my case, my biological mother was not able to provide â€Å"nurturance, affection, and a variety of opportunities† and therefore affected my development. My mother’s inability to provide these essential elements affected my stability in my life. Berns explains that â€Å"this early disadvantage will persist and even worsen as the child progresses through school unless intervention, such as that provided by some quality child-care programs, can modify the opportunities at home and in school† (Berns, 2013, 2010). My personal stability worsen as I developed, but it was able to get modified at some point in my life do to my adoption. My adopted parents were able to provide those essential elements and therefore helped me established a normal stable life. Further, Bern claims that â€Å"teachers encouraged the development of various skills and behaviors by being role models and by providing motivation for children to succeed in learning† (Berns, 2013, 2010). My ninth grade teacher, Miss. Dotson influenced my life directly. She was able to provide motivation in my life in the sense of being able to succeed in my learning in order to attend college and receive good grades. She became my role model and I wanted to be just like her, a teacher. I began to realize that having an education was essential as my life developed because without one, my life would be a disappointment. Due to her support and motivation, I was able to become the student that I am today. Moreover, Bern states that â€Å"the community, or neighborhood on a smaller scale, is the main setting in which children learn by doing† (Berns, 2013, 2010). Growing up, I did not live in the safest community which influenced my views of where I lived. I remember that the only thing I wanted to do was to move to a safer place. The noises of sirens and police caused feared in me and I did not want to conform to continue leaving in an environment like that. As I grew older, I knew that I wanted to move away as soon as I was able to. When I had the chance to do so, I did and I was able to experience a safer community and a better life. From this, I learned that the communities we reside in can have significant influences in our lives. Mesosystem: Schools ability to bring forward guest speakers can have influences in the students. For instance, while attending an ASB camp, I was able to meet this great guest speaker who influenced my own life. I may not remember his name, but I do remember the words he said that inspired me to change my life around. He was the product of abusive parents and although he went through some hardships while growing up, he decided to change his life around and not end up in drugs, gangs, or any kind of trouble. His speech thought me that although I was abused; I had the chance and power to change my life around too. I was able to become a successful young woman in my academic development and I am still striving for the best. What I learned from this experience was that guest speakers and schools connection to my life was very influential in my development. Having the opportunity to attend my fifth grade field trip-science camp, I realized that it had an impact in my development. Being away from home for a couple of days, made me realized how important the care of my family was at that time. Going to school for a couple of hours a day was different than being away from home for a couple of days. The interrelationship between my family, the school, and the field trip was interesting because I did not know how it felt to be away from my family. The realization of this instigated me to appreciate both my family and my school more than I thought I did. As Bern states, â€Å"the more numerous the qualitative links or interrelationships between the child’s microsystems, the more impact they have on socialization† (Berns, 2013, 2010). Therefore, the impact of appreciation of my microsystem also made an impact in my socialization skills as to what situations to appreciate at certain times. After leaving my house for college, I had to move in with one of my aunts in San Diego. Although I was no longer living at home, I still visit my family. During this change, I had to cope with two different life styles. For instance, living with my aunt I had different duties and responsibilities that I did not have at home. However, when both families got together I knew how to behave in both scenarios. This experienced helped me understand behavior in my life. I no longer behave one certain way because I developed ew behaviors depending on the setting I was in. Exosystem: As Berns states, â€Å"the exosystem refers to settings in which children are not active participants, but that affect them in one of their microsystems† (Berns, 2013, 2010). In my case, my father’s job was something that affected me. For instance, his stress level was always high and therefore he tended to be upset most of the time. Also, he did not have enough play time with me like I would of like to. Although I never went to his job, it still affected my development. I remember while growing up, my sister and I tended to avoid my father since we did not have that connection with him like we did with our mother because she was a homestay wife. As seen, parent’s jobs can have major impacts in a child’s microsystem. Another example that also affected my microsystem was school budget cuts. Although I was not directly involved with the school board, their decisions affected my microsystem. For instance, my freshman and sophomore year of high school the school did not hired a professional cheer coach due to budget cuts. This affected our ability to learn new techniques and therefore compete. During this time, we had to teach ourselves what we knew and the overall performance of our squad was not to the standards of a high school cheerleading team. From this, I learned that outside decisions of our school board really had an impact in our school, but most importantly us, the students. Furthermore, social services impacted my life in the sense of the process of my adoption. For instance, having to go through the hardships of getting adopted was already a struggle, but the process itself was even harder. In addition, I remember just wanting to have a family to love and care for me, yet I had them in front of me and I could not be with them. Social services were not something I directly had a connection with, yet they still impacted my development throughout those years. During that time, my emotions were unstable because I knew the family that was trying to adopt me loved me, but the process was too long to wait for. Macrosystem: Berns explains that â€Å"the fourth basic structure is viewed as patterns, or sets of instructions, for exosystems, mesosystems, and microsystems† (Berns, 2013, 2010). For instance, when I started my freshman year of college, I was persuaded into joining a sorority on campus. When experiencing the different things that one has to do in order to be part of their subculture, I notice that I was beginning to develop new beliefs, different social interactions, different lifestyle, and most importantly my life was changing dramatically. These changes were beginning to affect my other systems. The person I was becoming was someone I did not expect to be and therefore, I decided to drop out of it and enjoy the person that I truly am. Another example that was part of my exosystem was when I was part of my high school cheerleading squad. Being part of this subculture I developed a whole new lifestyle. I remember saying that cheer was what I woke up to, did most of the day, and dreamed all night about. It sure was not easy being a cheerleader since I also had to manage my academic achievement and my role as a daughter. At times, cheerleading affected my ability to communicate with my parents because I would leave early in the morning and did not get back home till about eight or nine o’clock at night. As seen, our macrosystem can have significant influences in our other systems due to its connection it creates. As a Latino woman, we identify ourselves with our race and culture. We share similar characteristics and beliefs that other races and cultures don’t. Due to this, being Latino is part of my macrosystem. Growing up I knew my family was different than some of my classmate’s families. For instance, some of my classmates did not speak Spanish and did not eat the same things that I did. Also, they did not celebrate the same things I did. For this reason, my race made me different and I learned to appreciate who my family and I were. Conclusion: Indeed, Bronfenbrenner’s bioecological model depicts the four systems that help our human development. Overall, I learned that depending on the child’s life, their socialized abilities can either be broken or created, but at the end each interaction they make affects the socialization skills they develop throughout their lives. Reflecting upon the different systems and how they directly impact one’s life, has changed my views in the way socialization takes part in our lives and how I develop new interactions with others in my development as a human being.

Analysis of protocol for Management of Hypertension in Adults Research Paper

Analysis of protocol for Management of Hypertension in Adults - Research Paper Example A decision to embark upon antihypertensive therapy effectively commits the patient to life-long treatment, hence it is vital that blood pressure (BP) monitoring and management be taken seriously by pursuing the set norms and protocols to safeguard individuals from numerous predicaments (High Blood Pressure). The present article is an analysis of the Protocol For Management Of Hypertension in Adults to have a deeper understanding for hypertension measurement. Blood Pressure Measurement "Protocol For Management Of Hypertension In Adults" is based on the guidelines of National Institute of Clinical Excellence (NICE) for the hypertension management in adults in primary care. The protocol lays emphasis on the accuracy and precision of the blood pressure management, appropriate training of the health care provider and periodic review of the individual suspected or confirmed with the condition of hypertension. This holds true because precision is imperative in measurement of blood pressure. Any inaccuracy in the measurement of blood pressure may turn out to be overwhelming. Measurement of blood pressure is the most prevalent assessment in clinics, interpretation or analysis of the results or outcomes procured are responsible for future implications, an imperative step for the individual whose BP is measured. Any error in the reading or ignorance in taking the exact reading or taking a low reading than actual, may deprive the individual from taking medication at the right time and thereby enhances the susceptibility of the person for stroke or heart attack. Alternatively, if the person is normal and the measurement of the blood pressure is taken high the individual may be exposed to the BP lowering medication without any basis. These may result in serious implications, therefore, it is highly imperative to get an accurate measurement of blood pressure (O’Brien, et al, 2010; Hypertensive Crises: Recognition and Management). The current protocol emphasizes on the appropriate servicing and calibration of the equipment. As blood pressure is a hemodynamic variable, to get an accurate reading of blood pressure it is highly essential to have a validated measuring device in clinical settings in order to prevent erroneous outcomes. As per the protocol routine blood pressure measurement must be performed at least every 5 years until the age of 80 years, under normal circumstances, every individual who is around 40 years of age or above must get the BP checkup as a routine in 5 years to avert morbidity and mortality caused due to hypertension (National Institute for Health and Clinical Excellence, 2011). However, the current protocol does not mention that treatment and care should consider individual requirement, i.e. care should be person-centred care, which is well explained in the protocol of National Institute for Health and Clinical Excellence, (2011). The current protocol does not lay emphasis on development of excellent communication skill, wh ich is essential for better compliance and prognosis and is also encouraged by evidence- based research studies. The protocol provided by National Institute for Health and Clinical Excellence, (2011) on the other hand, facilitates individuals to accomplish learned decisions about their care all. The current protocol further emphasize the fact that individuals with above normal values with the range of 135-139/85-89

Why is 21 the drinking age and is it in fact the the real age limit Essay

Why is 21 the drinking age and is it in fact the the real age limit - Essay Example Plenty of European countries are extremely negligent about it, and 12 year-olds are drinking more responsibly than many 23 year-olds in the States.(Grossman, 2006) When I say drinking responsibly, I mean drinking socially, such as dropping by somewhere and having a few mixed drinks or a couple of beers or something. The irresponsible drinking is drinking just to get drunk, meaning power-hours, taking 13 shots of 151 in half an hour (not fun), and just being, well, irresponsible. The latter type of drinking, from what I've seen, is mostly done by people who have little or no experience in drinking, and the availability of it is just too enticing to pass up, since you can inebriate yourself on a weekly or nightly basis. I have nothing personal against this type of drinking, especially since I partake in it. (Dombroski, 2004) The interesting thing, to me, is that there is no argument about the health effects of alcohol. Nobody is talking about liver and kidney failure, o r mental health problems due to legal alcohol consumption. I haven't seen anyone mention of drunk driving. The only things really being talked about are binge drinking, parental involvement, being old enough to fight for the country, and violence. In order to make this a complete discussion, the topics that are talked about need to be more complete. (Grossman, 2006) A lot more questions need to be asked. ... What I'm trying to point out is that while alcohol is a major contributor to a lot of violent crimes, health problems, and accidents, Federal, State, and local governments maintain that alcohol is still "legal" even if the age limit is kept at 21. (Dobkin, 2007) I have interviewed several university and college students concerning this issue of whether 21 should be the legal drinking age or is it a real age when people should start drinking. This is the report that I collected from four types of data which are relevant to the study of the effects of the increase in the drinking age. The data are from surveys of drinking and drinking problems among high school students; (Flynn, 2007) The 21 year old drinking age is an abridgment of the age of majority. By 18, Americans are legally adults and are entitled to all the rights and responsibilities that come with that role but one; the freedom to choose whether or not to consume alcohol.(Gever, 2006) The 21 year old marginalizes the role of parents in the process of teaching and encouraging responsible decisions about alcohol use. There is clear consensus cross introducing their children to responsible alcohol use. The 21 year old drinking age effectively eliminates this important parental role forcing parents to either break the law by serving their underage.(Grossman, 2006) Drinking isn't only something to do - it's something everyone can do together. It's how freshmen begin meeting people. "You don't know anybody, and then somebody hands you a beer and pretty soon you're hanging out with a bunch of guys," says Simon, a 19-year-old sophomore, remembering his first days in college. Freshmen drink hard early on: A 1995 Harvard study of college

Preparing a comprehensive case analysis, Part 2 Assignment

Preparing a comprehensive case analysis, Part 2 - Assignment Example He further notes that since the inflation and the Gross National product (GNP) have a substantial impact on the market growth, they are included an index. The range is divided between two divisions: high growth depicting industries and firms growing and expanding faster than inflation and the gross domestic products and are shown above the line while low growth depicts those industries and firms growing slower and at a less than inflation rate or GNP rate. Headley (1977) notes that the horizontal axis (x) shows the relative market share. The share is computed relative to the largest competitor in the market. Consequently, both the range and the division are arbitrary. He incorporated the scale of 1.0 to show the line where market leadership will occur. This implied that market leadership would occur where the market share exceeded 1.0 As put forward by David (2011) and Headley (1977), the BCG Growth/share matrix is divided into four quadrants, each representing a particular type of b usiness. The circles represent products. Therefore, the size of the circle reflects the relative significance of the product to group sales. Furthermore, its development reflects the profit contribution to each division and occasionally represents in the pie segments within the circle. The Boston Consulting Group’s Growth Share Matrix Fig 2 (DISASTER SEQUENCE AND SUCCESS IN PRODUCT PORTFOLIO STARS QUESTION MARKS CASH COWS DOGS The disaster sequence moves from the dogs to stars to dogs in that order while the success sequence moves from the dogs to stars. Key Y AXIS – MARKET GROWTH RATE X AXIS – RELATIVE MARKET SHARE Disaster sequence (anticlockwise) The clockwise is the success sequence a) THE QUESTION MARKS These product or businesses compete in high growth markets, but where the markets share of the firm is relatively low. For instance, a new product launched into a high growth market and with an existing market leader is normally considered a question mark. B usiness firms with such products normally align themselves with either of the following intensive or divestment strategic options in order to improve the competitive position, sales volume and reputation of the firm: market penetration, market development and product development (David, 2011; Headley, 1977) b) THE STARS These are successful question marks (David, 2011). However, as Headley notes an investment is still normally required to maintain growth and defend the leadership position of the firm. As noted by Headley (1977), occasionally, they are marginally profitable products. However, as they achieve a more mature status in their life cycle and growth levels, they appear more attractive. He further notes that these products provide a basis for the long-term growth and profitability for the firm. During this business period, the firms normally adopt some strategic options such as market penetration; market and product development, joint ventures and integration. These defensiv e strategies are aimed at defending the market share and the leadership position from its competitors (David, 2011). C) THE CASH COW These are characterised by a relatively high market share in low growth industries. As the market matures, the need for the investment reduces due to a reduction in operating costs. As noted by the David (2011) and Headley (1977), these products are the most profitable products in the business portfolio. In addition, usually the market situation is boosted by the economies of scale

Persuasive Speech Assignment on seat belt Essay Example | Topics and Well Written Essays - 750 words

Persuasive Speech Assignment on seat belt - Essay Example I also referred to my speaker notes occasionally and glance at the presentation regularly to ensure that I was presenting the right content for each slide. So as to make the presentation more interesting, I ensured that I gesticulated. I also made use of my other body parts in application of whatever I have previously learnt about non-verbal communication. One of the things that make the audience get bored during a presentation is monotony. However good the content of the presentation may be, the audience will be distracted by a monotonous voice. In order to ensure that my presentation overcame monotony, I varied my tone and volume. My presentation was well organized. Each slide was not overcrowded with words. Also, each slide was dedicated to a subtopic. Essentially, this was done to ensure that my presentation and speech was well organized and flowed seamlessly. I believe that my presentation was a great

Team Motivation Essay Example | Topics and Well Written Essays - 750 words

Team Motivation - Essay Example This study highlights that  individuals encounter various decisions they need to make, providing them with opportunities for overcoming fears associated with certain consequences. The issue of motivation is subject to both complexity and simplicity, meaning that it offers explanations with respect to observing what characterizes human behavior, while complexity emerges whenever contradictions emerge. For example, the desire by individuals to nourish themselves is usually strong, making them engage in extreme action. Hence, it is appropriate to understand what motivation entails to allow us lay notable emphasis to general principles that characterize motivation, allowing us to apply it to different aspects of life. With a better understanding of these principles, it would be possible to enter into a highly rewarding experience.From this paper it is clear that  when a person wishes to serve as part of a team, there are certain questions that one should ask himself or herself, espec ially when one receives an invitation to serve as a member of a given team. These would help guide one as to whether he or she should serve as a team member. However, there are certain times whereby people lack the opportunity for participating in a team, such as when an organization or workgroup restructures itself in a manner whereby teams direct themselves. In these cases, individuals are capable of understanding as to why they need to serve as teams or groups.

Importance of Information Management Essay Example | Topics and Well Written Essays - 1000 words

Importance of Information Management - Essay Example This is important in that it would assist the management plan on better ways of servicing its client. This supports the arguments form the paper that states that information management forms the basis for improving the students’ satisfaction and learning experience. Information is the only way through which management or the administration can interact with the students. I also realized that a channel linking the academic staff and the teaching staff or the teacher and the student is very important. Consequently, there must be a channel that should link them. It is clear that information presented in the paper support the claims made by Erlanger (2005)that states that knowledge management or information management impacts on innovation and organizational performance directly and indirectly (through an increase on innovation capability). This is because the acquisition of the right information from the clients, for this case, students would enable the management or the school a dministration to plan for the best strategies to adopt towards improving the performance of the students (Levy, 2003). Information management provides the basis for improving the performance of the employees. Based on the discussion from the paper, it is clear that in school setting, the performance of the teachers can be enhanced through course unit evaluation. Course unit evaluation is where the students fill a form that targets at exploring whether the teacher or the tutor is doing as expected. The paper reveals that although the course unit evaluation is important, most people especially the students take it lightly and hence fail delivering comprehensive information to the academic staff. This would prevent the staff from coming up with appropriate intervention measures. The paper affirms that it is possible to resolve this by imposing a forceful feedback into the system. This would make the student take the issue seriously. The time for evaluation is also very important. It is undisputable that if the evaluation is done at the end of the course, then the respondent, or rather the students may not benefit because the kind of changes that would be adopted would be possibly implemented in the next session. Because of this, it is true that appropriate and effective evaluation should be carried out in the middle of the course (Babcock, 2004). Appropriate and effective information management provides the basis for improving the performance of the client. Grading, for example, is an example in which this point becomes relevant. It is clear that grading is a means through which the management can meet the students’ needs. Just as the paper puts it, it is true that appropriate grading system should be able to motivate the student and not just to give them grade. The paper affirms that comments are imperative because it offers detailed, personalized feedback that would help in measuring progress towards strategic targets (Kanyengo, 2009). Additionally, the paper gives an insight of significance of using the online quizzes and homework tasks on blackboard. I wholly support this fact because adoption of online quizzes and homework task on blackboard would be time-consuming and also it allows provision of grade or a few generic statements of feedback. A study that was done by Liu & Cavanaugh (2011) reveals that teacher’s comments and feedback on the student’s assignments as well as teacher-student interaction are very

Assess any ONE or TWO modern interpretations of the doctrine of Essay

Assess any ONE or TWO modern interpretations of the doctrine of original sin - Essay Example 3). Modern interpretations of the doctrine of original sin typically come to the conclusion that given the involuntary nature of inherited sin, it is reasonable to conclude that sin is not necessarily an evil or moral wrong, but also an explanation for the correct path to follow (Couehoven, 2009, p. 567). Modern philosophers such as Emmanuel Kant set the stage for later expansions on the interpretations of the doctrine of original sin. Kant argued that sin is connected to an individual’s will. In this regard, an individual sins when the individual acts on impulse as opposed to rational reasoning. The freedom to choose between impulse and rational reasoning is the origins of sin (Hastings & Selbie, 2003, p. 563). Modern philosopher G.W.F. Hegel also argued that the doctrine of original sin merely recognizes that man can only be presumed to have the potential to be good and that man is not naturally good (Hastings & Selbie, 2003, p. 563). Modern interpretations of the doctrine o f original sin have focused on attempts to understand and conceptualize sin. For example Gustafson, in his conceptualization of sin argues that sin is â€Å"an ancient religious symbol†, therefore suggesting that sin is an inherited phenomenon (Gustafson, 1977, p. 156). This conceptualization of sin essentially provides a new understanding and interpretation of original sin. Rather than a literal interpretation suggesting that mankind inherited the actual sins of Adam and Eve, Gustafson’s conceptualization of sin indicates that man is inherently sinful. Gustafson accomplishes this by arguing that man is by nature, culture and society driven by self-interest (Gustafson, 1977, p. 156). According to Gustafson (1977), man’s pursuit of self-interest alone is not a sin. It is the rationale and motivation for pursuing self-interests that is sinful. Man by nature and circumstances in a world with increasing political, natural, scientific and economic complexities grow p articularly anxious. In the absence of â€Å"confidence in an ultimately reliable sovereign power† man copes with anxieties by â€Å"securing† â€Å"narrow self-interests† (Gustafson, 1977, p. 156). In this regard: Sin is a human condition which leads to actions that seek security in the protection of narrow self-interests, actions that thus deny God... (Gustafson, 1977, p. 156). Thus according to Gustafson (1977), the doctrine of original sin must be interpreted by reference to how sin and more especially original sin can be conceptualized. This conceptualization of sin does not focus on the actual sins of Adam and Eve, but rather refers to the activities of Adam and Eve in ways that symbolize human conditions, nature and experiences. Gustafson (1977) argues further that human activities are constrained by the what man has become. Man evolves out of natural capabilities and experiences together with specific conditions in which man is presented with options. Hu man beings are thus agents within the life course and are therefore able to react to specific situations in ways that either maintain those conditions or change them (Gustafson, 1983, p. 167). According to Gustafson (1983), the doctrine of original establishes the origins of human sin and dictates that man has choices in certain situations. The ability to feel guilt and to determine appropriate responses is borne out of human

Philosophy of Morality by David Hume Essay Example | Topics and Well Written Essays - 1500 words

Philosophy of Morality by David Hume - Essay Example The present research has identified that according to Hume, we naturally approve of actions and qualities which we find either immediately agreeable or useful. Wit and eloquence are examples of the former; industry and honesty are examples of the latter. Although these sentiments of approbation and blame arise internally; they are by no means primarily self-centered or relative to each individual. Hume avoids these pitfalls by suggesting that human beings possess a general feeling of sympathy. Not to be confused with universal benevolence or generosity, sympathy allows us to share in the happiness and misery of those around us. Hume contends that the "minds of all men are not similar in their feelings and operations, nor can anyone be actuated by any affection, of which all others are not, in some degree, susceptible. As in strings equally wound up, the motion of one communicates itself to the rest; so all the affections readily pass from one person to another, and beget corresponden t movements in every human creature". In his more mature writings, Hume describes this sympathetic impulse as a sentiment of humanity. He points out that the very notion of morals implies some "sentiment common to all mankind, which recommends the same object to general approbation, and makes every man, or most men, agree in the same opinion or decision concerning it. It also implies some sentiment, so universal and comprehensive as to extend to all mankind and render the actions and conduct, even of the persons the most remote, an object of applause or censure, according to as they agree or disagree with that rule of right which is established. Without this ability to appeal to common sentiment, to recognize the fundamental likeness of human beings, man would be nothing but a "fancied monster," indifferent to others and totally incapable of making regular moral judgments. It is this sympathetic impulse, this shared sentiment of humanity that serves as the foundation of all moral co ncord. Although the sentiment of humanity is "kneaded into our frame" and diffused so widely that "no man is absolutely indifferent to the happiness and misery of others", Hume is well aware that human beings do not live in conditions of universal benevolence and amity. His History of England is filled with examples of callousness, cruelty, and moral confusion. However, Hume avoids this apparent contradiction by suggesting that our sentiment of humanity is frighteningly fragile and can be perverted by external factors. Although the most prevalent and powerful of these factors is religion, it would be a serious mistake to conclude that Hume considers all forms of religion morally destructive. While some religions--those described by Hume as superstitious or enthusiastic--tend to undermine the common sentiment of humanity, Hume recognizes that religion is sometimes capable of promoting our recognition of similitude and bolstering the fragile moral sense. It is the latter species of re ligion that Hume recommends for the public establishment.

Analsysis of the Hero by Siegfried Sassoon Essay Example for Free

Analsysis of the Hero by Siegfried Sassoon Essay Analysis- The Hero Brief Summary of Content-In the Poem The Hero Sassoon has presented the hardships that a soldier goes through in the war through the use of the soldier’s death. He also shows the pain of the families left behind by showing the mother’s pain after she finds out that her son as died on the battle fields. The first stanza is introducing the mother at the moment that she finds out her son has died. The mother reads a letter that a Colonel wrote for her and she hides her true feelings about her son’s death because she believes that if she is upset she will dishonour his memory. In the second stanza the brother officer is introduced and he has lied to the mother about how her son had died. The brother officer is patronising to the mother in this stanza because he lies straight to her face about how her son had died and he is doing it so she would not suffer anymore. In the last stanza the brother officer is remembering how Jack had behaved in his last days. The brother officer portrays Jack as being a coward in his last days on the battlefields and this contradicts what he told the mother. The last stanza also shows that Jack tried to get home because of the hardships of war but died before he could. The last stanza also shows that no one cares about what happened to Jack except his mother the ‘Lonely woman with white hair’. Themes and Issues raised in poem- Sassoon has included realistic issues in his poem ‘The Hero’. He clearly portrays the death, and pain associated with war. He also shows the fear associated with fighting through Jack’s attitude in the poem.

Intervention to Reduce Progression of Diabetes

Intervention to Reduce Progression of Diabetes Developing an Intervention to Reduce Progression and the Development of Complications from Diabetes Mellitus in Adults in Glasgow. Introduction Type 2 diabetes is a serious medical condition that is increasingly prevalent in developed countries (International Diabetes Federation, 2013) and the most common variants of the condition are Types I and II. Type I patients have a deficiency in their pancreatic beta cells which leaves them unable to produce insulin. Thus in these individuals, some control over the condition can be achieved using insulin therapy (Schilling, 2007). Type II diabetics, have cells that have become resistant to the effects of insulin resulting in a delayed reduction in blood glucose (Skrha et al., 2010). There are additional types of diabetes; gestational, and a variety of Type III diabetes, however, the overwhelming majority of cases are of Type II with a significant minority of type I cases (Hardt et al., 2008). Complications of Diabetes Regardless of the underlying aetiology, the long-term complications of diabetes are similar. Excess blood glucose is thought to drive increases in oxidative stress both directly and via the derangement of mitochondrial energy pathways (Cade, 2008). Long term macrovascular damage will inevitably increase the risk of coronary heart disease (CHD), and ischaemic heart disease, with diabetics estimated as having a 3 and 5-fold increased risk of CHD mortality for men and women respectively (Loveman et al., 2008). Cerebrovascular disease is also a consequence of the chronic macrovascular damage with similar increases in stroke risk (Naci et al., 2015) Since each organ has its own microvascular supply, chronic hyperglycaemia also results in diffuse and widespread damage to a variety of body organs. As a result, diabetic complications include visual disability due to diabetic retinopathy; the leading cause of blindness in working age adults in the UK (Fowler, 2008; Kempen et al., 2004). In addition, patients suffer end stage renal disease from diabetic nephropathy (Adler et al., 2003), diffuse impairments of autonomic and somatic neural function, including pain perception, due to diabetic neuropathy (Stirban, 2014; Voulgari et al., 2013). Furthermore, the combination of microvascular damage, and reduced pain sensation, usually in the lower limb, results in many patients developing ulceration and necrosis of the inferior surface of the foot, the most common cause of non-traumatic amputations in the UK (Elraiyah et al., 2016). Costs of Diabetes In addition to the significant cost to the individual suffering with diabetes in terms of reduced personal health and quality of life, there are significant financial costs in treating the condition. In 2010-11, the total cost of diabetes to the UK was estimated at  £23.7bn (Hex et al., 2012). This was comprised of  £9.8bn in direct costs related to treating the disease, and  £13.9bn in indirect cost (e.g. lost productivity through absenteeism, early retirement or unemployment, (Hex et al., 2012)). More recently, the direct costs were estimated at  £13.7bn in 2012 (Kanavos et al., 2012). Within these direct costs, only around a quarter is directly spent on treating diabetes its self, and the remaining three quarters is spent on treating the complications following from the disease, (e.g. CHD, retinopathy, liver failure, diabetic foot, neuropathy (Kanavos et al., 2012)). Risk Factors for Diabetes There are a variety of factors that have been identified that places individuals at risk of developing type II diabetes, these include; having a family history of diabetes, obesity assessed using body-mass index, hypertension, visceral adiposity, adverse blood lipids, smoking, and impaired fasting glucose control (Lyssenko et al., 2008). Notably, several of these risk factors, including blood lipids, BMI, hypertension and visceral adiposity, are shared risk factors for CHD, which may in part explain the elevated risk of CHD in diabetics (Haffner et al., 1998). Indeed the clustering of these risk factors has been shown to be predictive of both CHD and diabetes (Haffner et al., 1998) and are collectively referred to as the metabolic syndrome. Moreover, these risk factors, appear to primarily be related to obesity in general, and excessive visceral adiposity in particular (Wozniak et al., 2009). Early work by West and colleagues (1978) demonstrated a strong positive association between rates of obesity and rates of diabetes with a variety of populations. Since then, the epidemiological link between excess body fat and risk of developing type II diabetes in particular has been repeatedly supported. For example, in the Nurses Health Study (Chan et al., 1994) females who had a BMI of greater than 35 kg.m-2 had a risk of diabetes 95 fold higher than those with a BMI of less than 21 kg.m-2 . Epidemiology of Diabetes The incidence and prevalence of diabetes have increased dramatically in the last two decades. Currently, the World Health Organisation estimates that diabetes effects around 9% of the adult global population (International Diabetes Federation, 2013) with variations in prevalence ranging from 26.4% in Kiribati to 1.54% of the population in Manin (International Diabetes Federation, 2013). Overall the UK ranks relatively favourably; in the same data from 2014, the UK had a prevalence of 3.9% (172nd out of 193 countries). Despite this relatively low ranking, the UK, in line with many developed countries, has experienced a rapid growth in the proportion of the population suffering with diabetes. Between 2007 and 2015 the number of patients diagnosed with diabetes increased by 75% from two to three and a half million cases (Diabetes UK, 2015). There are also an estimated half a million undiagnosed individuals at any one time. Indeed, the absence of overt symptoms in the early stages of the disease means that it is not uncommon for patients to have had the disease for several years prior to diagnosis, and confounds attempts to accurately calculate prevalence rates. Scotland has experienced similar increases, with the number of individuals diagnosed with diabetes increasing markedly over the last decade. The Scottish Diabetes survey (2014) demonstrated that the number of individuals with diabetes doubled from approximately 100,000 to 200,000 individuals between 2002 and 2007 despite a stable population of 5 million. Currently estimates for Scotland indicate that there are 276,500 diabetics in Scotland resulting in an overall prevalence that is a third higher than the UK average at 5.2% (NHS Scotland, 2014). Diabetes and Deprivation While the reasons that link indices of deprivation to diabetes are likely multifactorial, they undoubtedly exist. Individuals living in the most deprived areas of the UK are 2.5 times more likely to suffer from diabetes than those in the least deprived areas (Diabetes UK, 2006). Moreover the complications arising from diabetes such as CHD and stroke are more than three times higher in the lowest socio-economic groups and those with lowest educational achievement are twice as likely to have heart disease, retinopathy and poor diabetic control (Diabetes UK, 2006; International Diabetes Federation, 2006). The cause of the increased risk is not clear, however many of the risk factors such as obesity, smoking and physical inactivity, are also higher in those areas with the greatest degree of deprivation (Diabetes UK, 2006; International Diabetes Federation, 2006). From the data outlined above, the development of diabetes is a serious chronic medical condition that can result in early morbidity and mortality and is associated with significant personal and healthcare costs. Despite many of the risk factors for its development being modifiable, it remains a significant and increasing health risk that has a disproportional focus on the areas of greatest deprivation. Given that there is strong evidence that Glasgow has higher rates of both deprivation and type 2 diabetes than the rest of the UK, the aims of this paper are to discuss methods of describing the degree of the problem in Glasgow, as well as identifying, implementing and evaluating initiatives designed to reduce the burden of Type 2 diabetes within that area. Epidemiological Investigation of Diabetes in Glasgow The Centre for Disease Control defines public health research as consisting of four phases, public health tracking, public health research, health intervention programmes, and impact and evaluation (CDC, 2015). Thus before designing and implementing a diabetes focused health initiative, it is necessary to first establish that there is a public health need within Glasgow. This can be undertaken using primary or secondary data sources. Although secondary data sources are repositories of data that have been collected for some purpose other than the investigators main research question, Bailey et al. (2012) suggest that secondary sources also have several advantages. Typically, they are large data sets, and their use is highly cost efficient, as the data collection has already taken place. In terms of this investigation into Diabetes prevalence in Glasgow, there are a number of possible secondary data sources. The most directly relevant data is from the Scottish Diabetes Survey, the most recent data for which covers 2014 (NHS Scotland, 2014). In the most recent report, there is evidence that diabetes is a specific public health concern in Glasgow. For example, while it is not surprising is that Glasgow has the highest number of diabetics, around 22% of Scotlands diabetic population, since it is also the most densely populated region. However, this also translates to the region having the highest age adjusted prevalen ce of diabetes within Scotland at 5.8%. Furthermore the Greater Glasgow and Clyde (GGC) NHS board is criticised as falling behind other NHS health boards within Scotland, in its system of managing and screening its diabetic population in order to limit the progression of the disease. In addition, the Scottish Public Health Observatory (SPHO) provide a number of secondary data sources which may be valuable in triangulating conclusions and include; mortality rates, primary care information from GP practices, the Quality Outcomes Framework (QOF) detailing the performance of GP practices in dealing with key health issues, the Scottish Diet and Nutrition Survey, and the Health Education population survey (Scottish Public Health Observatory, 2015). In addition, both English and Scottish governments produce databases of indices of multiple deprivation (IMD), which can be useful when attempting to standardise the degree of a public health issue by deprivation level. This secondary data should be supported with primary evidence of the population of interest. While there are a number of research designs that could be used to collect primary data on Glasgow residents with diabetes, in this instance a cross-sectional observational design would be most useful. This method has several advantages, it is cost effective, requires only a single group, and each participant is only required to be assessed at a single time-point. This means that it becomes feasible to assess relatively large numbers of people (Bailey Handu, 2012). The limitations of this method are that it represents a single point in time and as a result, cannot be used to determine the sequence of events for a given set of exposures and outcomes. Therefore, it is not possible to infer causality from cross-sectional data. This type of research is most useful for determining prevalence rates for a specific condition (Bailey Handu, 2012).. An ecological study design might also be used, however, in this case, there are wide variations in income levels and deprivation levels within specific postcodes. Thus the possibility for the data to be affected by unknown confounding variables is significant. Similarly a case control study design has some additional control regarding possible confounders, but is again limited in being retrospective in nature and is predominantly used for rare diseases, which type 2 diabetes is not (Greenfield, 2002). Experimental designs such as prospective cohort studies or randomised control trials are the most internally valid designs to attribute causation of a condition to a specific exposure. However, they would not be appropriate in this instance, as they time consuming, expensive, and typically include far fewer individuals. Thus in order to use this type of study, the cost would be greater than the cost of any proposed intervention. In addition, while such designs are internally valid, they often lack ecological validity. That is, while the exposure and outcome can be linked in the study, at the population level, individuals may experience exposure to several predicating factors, and several protective factors. Thus, it is not always straightforward to transfer the findings from a highly controlled study to individuals (Peat et al., 2008). In order to undertake the cross-sectional survey, would require defining a series of areas (e.g. roads or school catchment areas) within specific post-codes to act as the sample frame. The survey data would be collected on these areas. The main problem with collecting this kind of data is a low response rate (Levin, 2006), and the possibility that individuals may responder or not due to the influence of some other factor introducing some systematic bias into the data. The main protection from this is to maximise the response rates. This is best done using face-to-face interviews with individuals in the sample frame (Levin, 2006). Diabetes Interventions The evidence for the type of behaviours that are useful in limiting the adverse complications of diabetes, have been the subject of several large scale epidemiological studies. In the UK the UK Prospective Diabetes Study (UK Prospective Diabetes Study, 1998) and its 10 year follow up (Holman et al., 2008) evaluated the effect of managing type II diabetes through diet alone, versus aggressive management aimed at restricting blood sugar concentrations. The data from the study indicated that while both the aggressive intervention only lowered blood sugar for one year, this translated into significantly lower rates of complications at the 10-year follow up. In the US, the Diabetes Control and Complications Trial (DCCT, 1993) and its 10 year follow up (the Epidemiology of Diabetes Interventions and Complications EDIC (Nathan et al., 2005)) also demonstrated that limiting increases in blood sugar, by maintaining concentrations within strict individualised limits, reduced the incidence of c omplications at the 10 year follow up by 57%. Similar reductions in adverse outcomes have also been found when diabetics have measures of blood lipids, blood pressure, nephropathy, retinopathy and diabetic foot complications assessed at regular intervals. It is also noteworthy that the Greater Glasgow and Clyde NHS region regularly performed in the lowest quartile of Scottish NHS authorities for implementing each of these evaluations (Scottish Diabetes Survey 2014). In long-term conditions such as Type 2 diabetes, the most appropriate strategies to control and manage the condition is for patients, to recognise themselves as stakeholders in their own treatment and to take ownership of the critical aspects of their care such as pharmacological treatment, dietary modifications and physical activity recommendations (National Institute for Health and Care Excellence, 2015). There have been several interventions that have aimed to use patient education to allow for a greater degree of self-management with a resulting closer control of risk factors for diabetic complications. Most recently Minet et al. (2010) evaluated the efficacy of 47 RCT studies aimed at improving diabetic patient education, and found that there was a significant reduction in the degree of hyperglycaemia experienced by the patients at the 6 and 12 month follow up time points. Similar meta analyses have supported the role of education in reducing the incidence of nephropathy and dia betic foot (Elraiyah et al., 2016; Loveman et al., 2008). Given that the UKPDS (1998) demonstrated that even short term reductions in blood glucose can reduce the numbers of patients who progress to sever complications, and given that the majority of the financial burden in treating type 2 diabetes is related to complications rather than the disease its-self. It seems clear that patient education could significantly improve the prognosis of diabetics as well as reduce the costs of future treatment. Implementing an Intervention in Glasgow Having identified a suitable educational intervention, the next stage is to ensure its faithful and appropriate replication within patients with Diabetes in Glasgow. A limitation of much of the available research is that interventions are predominantly applied in academic settings, and the effectiveness of interventions in community and primary care settings are frequently lower than anticipated from the scientific literature. This is a continuing challenge for implementing evidence-based strategies for public health issues. Kilbourne et al. (2007) recommend the REP framework, which although originally devised for faithful implementations of HIV educational programmes has been evaluated and found to help improve the effectiveness of other public health interventions. In order to use the REP framework for educational programmes aimed at Diabetics in Glasgow, the four stages of the REP framework would be developed. Pre-condition requires the identification of a suitable educational intervention. In this phase it is important that the chosen intervention is both feasible and appropriate for the setting in which it will be used. Pre-implementation requires that all staff involved in the intervention undergo training not only in the interventional educational curriculum, but also in the underpinning theories that shaped the original intervention. Implementation requires the educational programme is rolled out to diabetics within Glasgow, and that feedback is sought from stakeholders including patients undergoing the education. In this way it is possible to modify the intervention to better fit the situation, while still remaining faithful to the initial conceptual design. Finally, maintenance and evaluation requires further feedback regarding the effe ctiveness of the intervention, as well as ongoing support for partners who are delivering or helping ensure the continuation of the intervention. Monitoring an Evaluation For the proposed educational intervention, the evaluation would use the RE-AIM framework. This is the most widely adopted model for evaluation of public health interventions originally proposed by Glasgow and Colleagues (1999). This framework proposes the evaluation of five key elements of the intervention. Reach assess the number of individuals from the target population who received the interventions. Efficacy evaluates the degree to which the education intervention improved patients ability to manage their condition (e.g. better control of blood glucose, maintained or lowered blood pressure). Adoption would focus on the number of patients receiving the educational intervention whose behaviour was altered as a result. Implementation attempts to assess the degree to which the intervention was faithful to the evidence base upon which it was designed or was there pragmatic or other issues that meant the interventions was poorly delivered, or delivered in a manner not originally envisa ged. Maintenance attempts to quantify the degree to which the intervention becomes self-sustaining. This can be at an institutional level, i.e. does the health authority feel the programme is sufficiently successful to continue its development. However, it can also be at the individual level, were patients value the intervention and it becomes part of the persons habitual processes. Conclusion The aim of this paper was to investigate an intervention aimed at reducing the complications of type 2 diabetes in individuals diagnosed with the condition, living in Glasgow. It has established that in order to implement any such strategy, it is necessary to evaluate the degree of the problem using secondary and if required primary sources of data. In addition, any intervention should be evidence based, and attempt to replicate those interventions that have been demonstrated to be successful. This should be attempted in a strategic and structured manner in order to ensure high fidelity conversion from research evidence to intervention. The intervention its-self needs robust evaluation to determine if it was effective, and if not was it because of a failure of the underpinning theories or a failure in delivery. Unless they are well managed, individuals with Type 2 diabetes are at a significant risk of serious and life threatening complications. Educational interventions may be one wa y to provide effective strategies to enable better outcomes and reduced personal and financial costs. References ADLER, A.I., et al., 2003. Development and progression of nephropathy in type 2 diabetes: the United Kingdom Prospective Diabetes Study (UKPDS 64). Kidney International. 63(1), pp. 225-232. BAILEY, S. and HANDU, D., 2012. Introduction to epidemiologic research methods in public health practice. Jones Bartlett Publishers. CADE, W.T., 2008. Diabetes-related microvascular and macrovascular diseases in the physical therapy setting. Physical Therapy. 88(11), pp. 1322-1335. CDC. 2015. Public Health Cycle [Online]. [Viewed 4th April 2016]. Available From: http://www.cdc.gov/ncbddd/hearingloss/publichealth.html. CHAN, J. M., RIMM, E. B. COLDITZ, G. A. 1994. Weight gain as a risk factor for clinical diabetes mellitus in women. Diabetes Care, 17, 961-9. DIABETES CONTROL AND COMLICATION TRIAL RESERCH GROUP, 1993. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl j Med. 329(14), pp. 977-986. DIABETES UK 2006. Diabetes and the disadvantaged: reducing health inequalities in the UK World Diabetes Day 14 November 2006. A report by the All Parliamentary Group for Diabetes and Diabetes UK. https://www.diabetes.org.uk/Documents/Reports/Diabetes_disadvantaged_Nov2006.pdf. DIABETES UK. 2015. Diabetes Facts and Stats November 2015 [Online]. [Viewed 20th March 2016]. Available From: https://www.diabetes.org.uk/Documents/Position statements/Diabetes UK Facts and Stats_Dec 2015.pdf. ELRAIYAH, T., et al., 2016. A systematic review and meta-analysis of adjunctive therapies in diabetic foot ulcers. Journal of Vascular Surgery. 63(2), pp. 46S-58S. e2. FOWLER, M.J., 2008. Microvascular and macrovascular complications of diabetes. Clinical Diabetes. 26(2), pp. 77-82. GLASGOW, R.E., VOGT, T.M. and BOLES, S.M., 1999. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. American Journal of Public Health. 89(9), pp. 1322-1327. GREENFIELD, T. 2002. Research Methods for Postgraduates, London, Arnold. HAFFNER, S.M., et al., 1998. Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. New England Journal of Medicine. 339(4), pp. 229-234. HANLON, P., et al., 2005. Why is mortality higher in Scotland than in England and Wales? Decreasing influence of socioeconomic deprivation between 1981 and 2001 supports the existence of a Scottish Effect. Journal of Public Health (Oxford, England). 27(2), pp. 199-204. HARDT, P.D., BRENDEL, M.D., KLOER, H.U. and BRETZEL, R.G., 2008. Is pancreatic diabetes (type 3c diabetes) underdiagnosed and misdiagnosed?. Diabetes Care. 31 Suppl 2 pp. S165-9. HEX, N., et al., 2012. Estimating the current and future costs of Type 1 and Type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabetic Medicine. 29(7), pp. 855-862. HOLMAN, R.R., et al., 2008. 10-year follow-up of intensive glucose control in type 2 diabetes. New England Journal of Medicine. 359(15), pp. 1577-1589. International Diabetes Federation 2006. Diabetes, deprivation and outcomes in a wealthy world. Diabetes Voice, 51, 37-40. INTERNATIONAL DIABETES FEDERATION. 2013. IDF Diabetes Atlas [Online]. [Viewed 20th March 2016]. Available From:https://www.idf.org/sites/default/files/EN_6E_Atlas_Full_0.pdf: IDF. KANAVOS, P., VAN DEN AARDWEG, S. and SCHURER, W., 2012. Diabetes expenditure, burden of disease and management in 5 EU countries. LSE Health and Social Care. KEMPEN, J.H., et al., 2004. The prevalence of diabetic retinopathy among adults in the United States. Archives of Ophthalmology (Chicago, Ill.: 1960). 122(4), pp. 552-563. KILBOURNE, A.M., et al., 2007. Implementing evidence-based interventions in health care: application of the replicating effective programs framework. Implementation Science. 2(1), pp. 1-10. LOVEMAN, E., FRAMPTON, G.K. and CLEGG, A., 2008. The clinical effectiveness of diabetes education models for Type 2 diabetes: a systematic review. Health Technology Assessment. 12(9), pp. 1-136. LYSSENKO, V., et al., 2008. Clinical risk factors, DNA variants, and the development of type 2 diabetes. New England Journal of Medicine. 359(21), pp. 2220-2232. MINET, L., et al., 2010. Mediating the effect of self-care management intervention in type 2 diabetes: a meta-analysis of 47 randomised controlled trials. Patient Education and Counseling. 80(1), pp. 29-41. NACI, H., et al., 2015. Rethinking the appraisal and approval of drugs for type 2 diabetes. BMJ Open. 351(h5260),. NATHAN, D.M., et al., 2005. Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research Group: Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. N Engl J Med. 353 pp. 2643-2653. NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE, N. 2015. Type 2 diabetes in adults: management: NICE guidelines [NG28] [Online]. [Viewed 20th March 2016]. Available From:https://www.nice.org.uk/guidance/ng28: NIHCE. NHS SCOTLAND 2014. Scottish Diabetes Survey 2014. Scottish Diabetes Survery Monitoring Group. PEAT, J., BARTON, B. ELLIOT, E. 2008. Statistics Workbook for Evidence-Based Health Care, Wiley-Blackwell. SCHILLING, J. A. 2007. Diabetes Mellitus: A guide to patient care, Ambler, USA, Lippincott. SCOTTISH PUBLIC HEALTH OBSERVATORY. 2015. Overview of Key data sources [Online]. [Viewed 4th April 2016]. Available From: http://www.scotpho.org.uk/publications/overview-of-key-data-sources/introduction. SKRHA, J., CERIELLO, A. GITT, A. K. 2010. Chapter 6 Microvascular and Macrovascular Complications. In: HALAN, P. (ed.) DIAMAP 1 : Roadmap for Diabetes Research in Europe. http://www.diamap.eu: European Union. STIRBAN, A., 2014. Microvascular dysfunction in the context of diabetic neuropathy. Current Diabetes Reports. 14(11), pp. 1-9. UK PROSPECTIVE DIABETES STUDY (UKPDS) GROUP, 1998. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). The Lancet. 352(9131), pp. 837-853. VOULGARI, C., PAGONI, S., VINIK, A. and POIRIER, P., 2013. Exercise improves cardiac autonomic function in obesity and diabetes. Metabolism. 62(5), pp. 609-621. WEST, K.M., 1978. Epidemiology of diabetes and its vascular lesions. Elsevier. WOZNIAK, S.E., GEE, L.L., WACHTEL, M.S. and FREZZA, E.E., 2009. Adipose tissue: the new endocrine organ? A review article. Digestive Diseases and Sciences. 54(9), pp. 1847-1856.

Movement in an Idealized Dam-break Configuration

Movement in an Idealized Dam-break Configuration For doing the research of the fluid dynamics with the open channel flow, to derive and understanding different waves equations in partial differential approximation with conservation form such as the explicit centered convection approximation and the explicit upwind convection approximation in different condition. Trying to substitutive the values into the equations to derive the appropriate method base on the finite- volume method in the fluid dynamics and using the software to calculate the flux and the stability which will depend on the direction of the wave and must be under the distance travel must not exceed the step way condition. The aim is staring to go through the details of the equations, get the brand new Flux functions which called lax Wendorff burgers equation scheme and Dam break scheme, based on those approximation to estimate the wave direction, wave speed, height, density and momentum in the certain and instant time for the water wave and at different conditions property and combinations. Putting the values to get the approximate results with those two methods and compare with each other. Plot the appropriate graphs. Abstract The purpose of this study is to model the flow movement in an idealized dam-break configuration. One-dimensional motion of a shallow flow over a rigid inclined bed is considered. The resulting shallow water equations are solved by finite volumes using the Lax-Wendroff schemes. At first, the one-dimensional model is considered in the development process. With conservative finite volume method, splitting is applied to manage the combination of hyperbolic term and source term of the shallow water equation and then to promote 1D. The simulations are validated by the comparison with flume experiments. Unsteady dam-break flow movement is found to be reasonably well captured by the model. The proposed concept could be further developed to the numerical calculation of non-Newtonian fluid or multilayers fluid flow. All the calculations, data and graphs represent are all through MATLAB programming with an individual code and all the units and symbols were labeled in the code. A. Units and constant for the approximations Equations Theory Partial Differentials Partial differential equations are complicated method to solve as they contain more than one variable and instead are used to Describe problems involving the parameters in use which can be solved using the variation of schemes. They describe the certain rate of change of variables which are related to each other, in this project, the first convection are the wave equation in conservation form which are to approximate the velocity of the flow in different directions and the flux approximation with changing time. Two different methods are considered which are the explicit upwind convection approximation and explicit centered convection approximation respectively. When dt = 0 and dx = 0, Discretization Schemes Explicit centered convection approximation and explicit upwind convection approximation, these methods include finite volume method which approximating the variables around discrete nodes with dissected into too many small elements that are approximated. Finite-Difference Approximation Finite-difference approximations are one of the most derivative methods for solving differential equations. The system can approximate the solution with the necessary boundary and initial conditions imposed, providing an accurate solution for the previous unfathomable equation. They are of particular use in aerodynamics as their time and space dependent nature lends itself to computing shock wave propagation or other energy transfer flows. Their approach uses discretization to approximate the differential, by applying a finite grid, of points at which the variables are estimated, with the process continuing as the local points govern their approximation values from the neighboring nodes. Iterative approximation in this manner produces an obvious error, known as the discretization or truncation error, diverging from the true value. The key to the principle is, like anything, minimizing this error in the system. Monitoring this error then is something of paramount importance and through the implementation of the Taylor Series. In addition, there are three critical properties that any approximation of a partial differential should maintain, which are consistency, stability and convergence. Forward-Time, Backward-Space Scheme The form of approximation method is a backward, explicit, hyperbolic system which means that at the next set of results are only calculated from the nodes immediately behind them geometrically, in relation to their pervious counterparts, for examples, When dt = 0 and dx = 0, This also gives the system an inherent advantage as this encourages convergence, through the fact that the approximation method has a domain of dependence which are include the initial data, shared by the partial differential at t = 0, only apply on the first set of data. Also, further information gathered from the equation itself shows is a first order method and most suitable to simple differential approximations. Lax Scheme This kind of approximations are most likely the previous is explicit hyperbolic in nature, however, it is a scheme which to demonstrated that all the velocity of the water flow terms are either side of and is first order accurate for u, and also approximate the accuracy for x. When dt = 0 and dx = 0, Moreover, the stability of the method has to be considered as the Courant-Friedrichs-Lewy (CFL) condition is a necessary condition for convergence while solving certain partial differential equations usually hyperbolic numerically by the method of finite differences. It arises in the numerical analysis of explicit time integration schemes, when these are used for the numerical solution. As a consequence, the time step must be less than a certain time in many explicit time-marching computer simulations, otherwise the simulation will produce incorrect results. Lax-Wendroff Scheme This scheme is a common numerical method for the solution of hyperbolic partial differential equations like the previous schemes which are based on the finite differences to accurate for both space and time apparently. There are two different cases are going to consider and approximate which are the 1st for the linear case, while , where a is a constant which to define the direction of the flow and u is the wave speed, when, the flow is to the right, and to the left when a is negative. As two different approximations have considered, for the centered method For the upwind method Or Or And for the Lax-Wendroff in first-order Predictor, Corrector, For the 2nd case, Centered method For the upwind method Or Or And for the Lax-Wendroff in first-order Predictor, Corrector, Calculate for the half grid points and time steps approximation as different predictors first and then recalculate the scheme by the value of half grid points and time steps into same Corrector which putting a two steps approximation rather than a single step to make it more accurate. This is a feature unique for the Lax-Wendroff method. Also, the stability of CFL condition is the same as the previous scheme. Taylor Series The Taylor series is a form of evaluating and representing partial differentials, as an infinite sum of its terms at a single point, in form of series expansion. The use of the series has many applications in engineering, with its main being the approximation of functions through the expansion to the necessary number of terms. Through collating the appropriate number of terms and then truncating the series a valid approximation of the function can be made. The act of truncating the series generates an error, although as the expansion continues the effect of each term dwindles, a characteristic that allows the truncation after a certain term number. The truncation error can also be computed and gives an indication as to the validity and performance of the initial approximation made using the series expansion. B. Dam break schme The simplest situations will first be considered, of mass, momentum and energy conservation laws in primitive form, so stripped of all energy-diffusing terms, such as bed slope , resistance, change of section. Governing Equations The mass entering t element in time dt is While the amount leaving is For the mass For the momentum For the simplest case, X1 Figures and Tables Figure 1 Figure 1 shows the relationship of the velocity against the postion of the flow in linear first-order which (f = a*u) , where a is 1, Lax-Wendroff is used for approximation, and it shows a steady flow with a certain time and positions with the input data, there are 50 nodes in total and the grid spacing are 400 as the detla time was 0.0015s, so the grid spacing should have to take a really large value to maintain the CFL. Figure 2 Figure 2 shows the relationship of the velocity against the postion of the flow in non-linear first-order which (f = u2/2), Lax-Wendroff is used for approximation, and it shows a steady flow with a certain time and positions with the input data, there are 50 nodes in total and the grid spacing are 30 as the detla time was 0.0015s, the grid spacing take a really smaller value to maintain the CFL. Figure 3 Figure 4 Figure 3 Figure 4 shows the relationship between the height against the spacing and the momentum against the spacing respectively, dam break scheme is used with base on a Lax-Wendroff approximation and for Figure 3, the running time is 10 seconds which is shorter then Figure 4 and the depth of the dam wall sets as 0.2m and break at 30m while Figure 4 sets as 0.5m depth and break at 50m. As the results show, the longer running time it takes, the stability and convergence of the approximation comes out. Also, both of the results withdraw the boundary which take an error while plot graph. So, a function for boundary condition has to be considered as well. References Guymon, Gary L. A Finite Element Solution Of The One-Dimensional Diffusion-Convection Equation. Water Resources Research 6.1 (1970): 204-210. Web.

The Evolution of Public Administration in American Society Essay exampl

Public administration as a field of study and as a practice has continually evolved with American society. The United States has survived and thrived through major cultural shifts, varying degrees of economic climates, and both civil and world wars. Through out all these changes in our country, one thing has always remained the same, the fact that we are an ever evolving and always changing nation. Theories and forms of practice of public administration have also evolved parallel with the history of the United States. There have been numerous events in American history have lead to changes in society and the practice of public administration has both led and followed in the adaptation process of such monumental changes. Public administration formally became a recognized academic and professional field in the late 19th century. Many public administration scholars contend that the start of public administration becoming a field of study was the 1887 Political Science Quarterly article â€Å"The Study of Administration† by a young Woodrow Wilson. (Shafritz, Russell, & Borick, 2011, pg. 28) Woodrow Wilson was classified as being a member of the Progressive Movement. The Progressives were a varied group of politicians, academics, advocates and activists who sought to abolish what they saw as the corrupt practices of the patronage system and to reform the new industrialized society that America had become. They objected to the pervasive corruption of government and sought to do away with the political machines that had become the standard of the time. The study of public administration only continued to grow over the course of the next two decades. As the study of public administration expanded, so did the development of s... ...ice of public administration will continue to change with the further advances in society. Already there are many of issues that tomorrow’s public administrators will be dealing with. These issues will be varied and complex and will concern the ongoing development of computers, possible advancements in health care and science, and even major social and legislative shifts. â€Æ' Works Cited Jay M. Shafritz, E.W. Russell, Christopher P. Borick. "Introducing Public Administration" Pearson. 7th Edition, 2011. Florida Department of Law Enforcement "Florida Domestic Security Strategic Plan" https://www.fdle.state.fl.us/Content/Domestic-Security/Domestic-Security-Documents/2015-2017DomesticSecurityStrategicPlan.aspx United States Census Bureau "Computer and Internet Use in the United States: 2013" https://www.census.gov/history/pdf/acs-internet2013.pdf The Evolution of Public Administration in American Society Essay exampl Public administration as a field of study and as a practice has continually evolved with American society. The United States has survived and thrived through major cultural shifts, varying degrees of economic climates, and both civil and world wars. Through out all these changes in our country, one thing has always remained the same, the fact that we are an ever evolving and always changing nation. Theories and forms of practice of public administration have also evolved parallel with the history of the United States. There have been numerous events in American history have lead to changes in society and the practice of public administration has both led and followed in the adaptation process of such monumental changes. Public administration formally became a recognized academic and professional field in the late 19th century. Many public administration scholars contend that the start of public administration becoming a field of study was the 1887 Political Science Quarterly article â€Å"The Study of Administration† by a young Woodrow Wilson. (Shafritz, Russell, & Borick, 2011, pg. 28) Woodrow Wilson was classified as being a member of the Progressive Movement. The Progressives were a varied group of politicians, academics, advocates and activists who sought to abolish what they saw as the corrupt practices of the patronage system and to reform the new industrialized society that America had become. They objected to the pervasive corruption of government and sought to do away with the political machines that had become the standard of the time. The study of public administration only continued to grow over the course of the next two decades. As the study of public administration expanded, so did the development of s... ...ice of public administration will continue to change with the further advances in society. Already there are many of issues that tomorrow’s public administrators will be dealing with. These issues will be varied and complex and will concern the ongoing development of computers, possible advancements in health care and science, and even major social and legislative shifts. â€Æ' Works Cited Jay M. Shafritz, E.W. Russell, Christopher P. Borick. "Introducing Public Administration" Pearson. 7th Edition, 2011. Florida Department of Law Enforcement "Florida Domestic Security Strategic Plan" https://www.fdle.state.fl.us/Content/Domestic-Security/Domestic-Security-Documents/2015-2017DomesticSecurityStrategicPlan.aspx United States Census Bureau "Computer and Internet Use in the United States: 2013" https://www.census.gov/history/pdf/acs-internet2013.pdf

Essay --

Late 2010, early 2011, a series of demonstrations and protests began to rise in the Arab world. These protests have become known as the "Arab Spring†, or, as someone else called it, the â€Å"Arab awakening†. Those Arab uprisings had removed many authoritarian leaders from their positions; on the other hand, some governments faced this problem using repression and some fake promises toward their people. The Arab world was living a difficult economic and social situation as in Europe in 1848. Poverty, rising food prices, inflation, human rights violation, and high unemployment were the main phenomena the Arabs were facing. In addition there was much corruption of Arab leaders as shown by some of the WikiLeaks diplomatic cables. The main reasons of the Arab revolts are not limited to internal causes, so it is important to analyze the international causes such as the failure of the war on terror, the Iraqi war and the U.S.A - European strategy of the imported democracy. The protests witnessed in some of the Arab countries are somehow an expression of dissatisfaction with the economic situation. This also creates a political tension resulting from the absence of people say in power. The Tunisian revolution that took place in the self-immolation of Mohamad Bouazizi on 18 December 2010 in protest of police corruption and ill treatment, has shaken authoritarian leaders across the Arab world in areas such as Egypt, Libya, Yemen, and Bahrain. The article, which appeared under the title "A prayer for the health of the rais," began by stating that "of all the world's statesmen, the one closest to Prime Minister Benjamin Netanyahu is Egyptian President Hosni Mubarak". Thanks to Mubarak, Egypt became a strategic ally of Israel, as well as Israel'... ...opean origins. The important fact is that the way Islamism, communism and secularism have experienced many various signification with its national, regional and religious context. Applying this to secularism, Jakobsen and Pellegrini Fenella cannel have suggested to talk about secular traditions rather than secularism, secularization, or â€Å"the secular† in india, turkey, france, and many other countries with more or less homogenous histories of secularizations and debates about secularism. If we apply this approach to the Arab Region, it might be possible to identify some interconnected secular traditions in the Levant, the gulf, and North Africa. Reactions on the need for a secular state firstly appeared in the late ottoman period, or in the arab cultural movement known as the Nahda. In the early 20th century, many ideological currents influenced Arab intelligentsias.

Educating Rita Essay

Discuss the Success of this Introduction to the Play’s Characters and themes. Do you think Willy Russell has successfully made his opening Dramatic and Entertaining? I think that Willy Russell has made the introduction of the play, Educating Rita, dramatic and entertaining because he uses techniques such as: Just two characters Set in just one room Humour Similarities between Rita and Frank – both read books, and smoke etc. Similarities between Rita and Willy Russell – both from Liverpool, both hairdressers and from working class backgrounds. Educating Rita is a stage comedy written by Willy Russell which premià ¨red at The Warehouse, London, in 1980. The two characters are: Frank – an unsuccessful, upper class man who is in his fifties, writes poems and is a university lecturer. He is tired and jaded and has not looked out of his large bay window or looked at his nude, religious picture for about ten years. Frank is an alchoholic who pulls out a book at the beginning of the play and behind it appears a bottle of whisky. He then pours a large slug into a mug. He only works so he can buy more drink. Rita – A young 26 year old, working-class hairdresser, who is loud, inquisitive and uses lots of slang – â€Å"I’m comin’ in, aren’t I? It’s that stupid bleedin’ handle on the door. You wanna get it fixed!† This is the first time Rita speaks and she doesn’t appear to be very formal. Rita lives with her husband Denny but when he finds out that Rita is still on the pill he rips up all her papers and books and burns them and tells Rita that she either gives up her education or she will be forced out of her home and marriage. Rita wanted to get an education first and then look at her options so then she can decide whether or not she wants a baby so, therefore, she decides to have an education. The scene is a room on the first floor of a Victorian-built university in the north of England. Frank decides he needs to earn some extra money, so he agrees to tutor an Open University student who is Rita who has just decided to get an education. Rita’s entrance to the room is not a normal one; she struggles to get into the room and then the door swings open. As soon as the play starts, we find out that Frank is an alcoholic. He has a bottle of whisky hidden behind some books which he takes a large slug of and before Rita enters he is on the phone. Whilst he is on the phone he mentions the word ‘pub’ four times. Then Frank asks Rita who she is and instantly Frank knows how much work he is going to have to put in to get Rita an education Frank: â€Å"You are?† Rita: â€Å"What am I?† Frank: â€Å"Pardon?† Rita: â€Å"What?† Frank: â€Å"Now you are?† Rita: â€Å"I’m a what?† Later on Frank asks Rita what her name is. She says it is Rita even though her real name is Susan. Frank says that on her admission paper it says Mrs S White. Then Rita tells him that her real name is Susan but she changed it after reading the book ‘Rubyfruit Jungle’ which was written by Rita Mae Brown. Rita wanders around the room a lot noticing the large bay window and the nude picture. She shows that she is inquisitive by asking lots of questions about the nude, religious picture. In this bit Willy Russell adds a bit of humour: â€Å"Y’ don’t paint pictures like that just so that people can admire the brush strokes, do y’? â€Å" A bit later on Rita shows her slang language â€Å"He gets pissed an’ stands in the street shoutin’ an’ challengin’ death to come out an’ fight. It’s dead good. This is totally different from the way Frank speaks for example he says â€Å"It’s supposed to embrace a more comprehensive studentship, yes.† Before this Rita asks if she can smoke and then when Frank asks her if she wants a drink of Scotch she says: â€Å"Y’ wanna be careful with that stuff, it kills y’ brain cells.† Like if you smoke you won’t be killing your brain cells. Rita is not very optimistic. Whilst she is looking around the room inquisitively, she picks up a book called Howard’s End which she thinks is filthy so she borrows it off Frank and says that if she decides to pack the course in she will post it back to him. â€Å"If I pack the course in I’ll post it to y’.† Frank seems shocked when she says this and starts asking her why she had decided to enrol onto the course in the first place. She thinks the book is written by E.M. Foster when it is really written by E.M. Forster. This is because she sees the brand of lager Fosters so often she assumes that’s who the book is by. Rita appears to be very lively and confident but when Frank says that she is asking lots of questions she says that she does when she gets nervous. Rita shows her drink addiction and lack of knowledge again when Frank says: Frank: â€Å"Do you know Yeats? Rita: â€Å"The wine lodge?† As soon she hears Yeats mentioned, she immediately thinks of drink again. There is a clash of cultures when Rita was trying to think of someone Frank could have been named after, she says a name that Frank had never heard of – Elliot Ness the police man who caught Al Capone but Frank would not no anything him as he is totally oblivious to the world around him. Frank assumed she meant T.S. Eliot and Rita would not know anything about poets. Rita then shows that she is a quick thinker as she says that she try’s to sell her customers a wig when she messes up people’s hair. Rita presumes that Frank is the kind of man that would watch documentaries whereas Rita watches light-hearted programs such as ITV. However of course, Frank wouldn’t watch TV. Towards the end of the scene Rita seems to be very determined to keep Frank as her tutor. This is different to earlier in the play when she was saying that she would post the books back to Frank. In conclusion, I believe Willy Russell has made Act 1 Scene 1 dramatic and entertaining by the use of humour, comparisons and the similarities between himself and Rita.