Wednesday, November 27, 2019

The History of Obesity in America essays

The History of Obesity in America essays Obesity is a multilayered and complex disease that has affected millions throughout the world. Scientists have struggled to find successful treatments to alleviate the problem. Obesity is a relatively new problem, as this global disaster was not a prevalent issue or a public health concern until the mid-20th century. The widespread obesity around the world came about so swiftly and profoundly that the only way it can be explained is that it must be an ecological, social, and cultural issue rather than an evolutionary occurrence. The specific causes for why there was a sudden increase in obesity have not yet been established; however, the underlying causes for obesity-excessive eating and lack of exercise- have always been known. [1] The obesity pandemic is indeed a new occurrence, but obesity has been a part of many societies since prehistoric times. Societal perception has shifted dramatically in the past century from the belief that obesity was primarily a cosmetic issue to an understanding that obesity is a medical and physiological issue. Despite public health efforts to educate and influence society, the obesity rate increased enormously due to factors leading to an increasingly sedentary lifestyle and deleterious dietary changes. Obesity can be dated back to over 20,000 years and the meaning behind obesity and societal perception changes frequently. Sometimes, overweight people were viewed in a positive light and sometimes they were viewed in a more pejorative fashion. For the majority of history, there was not usually an abundance of food and when someone was corpulent, they had survival advantages. During the renaissance period, fat people were perceived to be high class and affluent. On the contrary, studies of royal Egyptian mummies suggest that there were middle class fat and stout people; however, at this time, obesity was regard as objectionable and offensive. In An...

Saturday, November 23, 2019

Develop Delphi programs in Windows API (Without VCL)

Develop Delphi programs in Windows API (Without VCL) About the course: intermediate The course is written by Wes Turner, brought to you by Zarko Gajic Overview: This Guide is about developing Delphi programs without the Forms and Controls units or any of the Component Library. You will be shown how to create windows classes and windows, how to use the Message Loop to pass messages to the WndProc message handling function, etc... Prerequisites: Chapters: Introduction: The file size of a standard Delphi application is at least 250 Kb, due to the Forms unit, which will include a lot of code that may not be needed. Without the Forms unit, developing in API means that you will be coding in the .dpr (program) unit of your app. There will not be a usable Object Inspector or any components, this is NOT RAD, it is slow and there is no visual Form to see during development. But by learning how to do this you will begin to see how the Windows OS operates and uses window creation options and windows messages to do things. This is very useful in Delphi RAD with the VCL, and almost essential for VCL component development. If you can find the time and patients to learn about windows messages and message handling methods, you will greatly increase your ability to use Delphi, even if you dont use any API calls and only program with the VCL. CHAPTER 1: When you read the Win32 API help, you see that the C language syntax is used. This article will help you learn the differences between the C language types and the Delphi language types. Discuss about questions, comments, problems and solutions related to this chapter! CHAPTER 2: Lets make a formless program that gets user input and creates a file (populated with system information), using only Windows API calls. Discuss about questions, comments, problems and solutions related to this chapter! CHAPTER 3: Lets see how to create a Windows GUI program with windows and a message loop. Heres what youll find in this chapter: an intro to Windows messaging (with a discussion on message structure) ; about the WndMessageProc function, handles, the CreateWindow function, and much more. Discuss about questions, comments, problems and solutions related to this chapter! More coming...

Thursday, November 21, 2019

New Media & International Communication Essay Example | Topics and Well Written Essays - 2500 words

New Media & International Communication - Essay Example The media influences with sports apparel are created through various forms of communication that are based on commercialization. The types of media are inclusive of more traditional forms of media, such as print ads, newspapers, magazines and TV advertisements. These forms of commercialization are known to carry a specific number of advertisements or highlights that are based on sports apparel. There are also newer forms of advertisements through the dispersal of information on the Internet, specifically which creates a different relationship with potential customers interested in sports apparel. These various forms of communication become the most essential components of media influences as well as the relationships which are created with sports apparel. The main association with each of these is to transform the ideas of sports apparel into one which becomes attractive to those who are interested in sports of various forms.... For example, many of the sports coverage that is available come through television and sponsoring organizations. These include live coverage of specific games that may be more important to a group of individuals. The exposure continues with endorsements and sponsorship of top athletes for commercialization, specifically based on the performance of the games played in the past. These two interlink to news related stories that highlight the sports games and the top players. The news stories, coverage and responses then continue with social media and Internet exposure that highlights and creates responses with what is happening. Each of these build a different type of exposure through the media and interlink where the commercial aspects relate directly to exposure of the games and the fan base that identifies with this (Uhler, Lanter, 2008: p. 52). Communication of Sports Apparel The use of media and communication for sports apparel is unique because of the characteristics it holds and the type of consumers interested in the apparel. The main association is based on forms of advertising that are associated with adventure and living in the extreme. Through a recent study (Puchan, 2005, 171), it was found that sports activities have vastly increased in the last 20 years. This increase in sports is one which is directly related to the media sport and the world of sports that are associated with ideas of sports. Remaining healthy, living for adventure and having extreme associations then creates a different sense of communication. Sports apparel then links to communication that targets individuals interested in specific activities. The forms of media which are used will target these individuals and will communicate this specific message while showing

Tuesday, November 19, 2019

Immigration and education Research Paper Example | Topics and Well Written Essays - 750 words

Immigration and education - Research Paper Example om transportation to unofficial immigrants under 31 years of age; arrived in the United States earlier of age 16; have always been in the country for at least five years of residence; having not been sentenced for any crime, presently in school, having advanced from high school, or functioned in the U.S army. Thus the Obama administration is better to move on with immigration reforms which included: the immigration reform system legalized so as to function more successfully, taking precise response to labor market, thus, enhancing U.S effectiveness. Reinstates the reliability of immigration laws through an implementation system which disheartens managers and workers from their external action of the lawful system, safeguards Americas boundaries, and charges substantial consequences in touch with those who disrupt the guidelines; Proposes a just, caring, and arranged technique to permit numerous of the coarsely millions of migrants presently residing unlawfully in the U.S to receive the legal rights of living in the country. This is worth implementation since the immigrants could aid in increasing the U.S economy as they are very hard working persons, Registration of these immigrants with contextual authorizations would certify that we know who is here and will allow the U.S powers to pay attention to implementation properties on criminal essentials and safety pressures instead of meticulous intimate memberships. The possibility for getting a national policy failure sometimes can be explained by partisan actions. The September 11 outbreaks still a possible immigration reform package in its ways. Before the outbreak, President George W. Bush meeting with Mexican president, Vicente Fox, a number of times discussing about the Latinos becoming the significant individuals of swing voters known for nowadays ,hence calling for consensual immigration reforms. Subsequent to the bomber attacks, nevertheless, immigration implementation turn out to be identical with

Sunday, November 17, 2019

Why Race, Class, and Gender Still Matter Essay Example for Free

Why Race, Class, and Gender Still Matter Essay The critical issues mentioned in â€Å"Why Race Class and Gender Still Matter† are how inequalities are going to be spoken about in the book â€Å"Race Class and Gender† and about how race, class, and gender still effect society today. Another critical topic in this chapter is Hurricane Katrina and how that brought the poverty level and status of minorities in the country to light. Lastly, this chapter explains how the author expects the reader to look at race, class, and gender as they read the rest of the book and to look at the experiences of every group from that particular perspective. This book was intended for under-graduate and graduate sociology or political science students. The purpose of chapter one was to explain the point of the book. It was an expository introduction that told why race, class, and gender needs to be examined and studied. According to this book race, class, and gender â€Å"shape the experiences of all people in the United States.† There are ways in which different groups can be both privileged in one way while disadvantaged in another. Americans have started describing these different groups using the term diversity. Diversity awareness has started initiatives to prove diversity is pleasing and important, and that it should be celebrated. One more important topic discussed in this chapter is the directions to study exploitations and exclusions of some groups along with the inclusion of others. The thesis of â€Å"Why Race Class and Gender Still Matter† is that developing knowledge of how the progressively universal center of society effects the configuration of race, class, and gender interactions will inspire inclusive outlooks in the United States. The author’s language ability is voice-intimidating. The author uses very advanced language. Specific words I found difficult to understand were matrix, salient, domination, and framework. The author provides evidence when talking about Hurricane Katrina and the damage that hurricane did. However, most statements are not backed up with evidence of studies or statistics. The author employs the logic of problematic. I found this reading to open my mind up for what is to come in the future weeks of this class. Since it was only the opening chapter I did not find anything to be implicit or explicit. My biggest question is what is meant by a matrix of domination? This chapter says â€Å"we use the approach of a matrix of domination to analyze race, class, and gender.† I realize that it refers to levels in the social structure of the U.S. but how are these levels defined and what makes one disadvantage worse than another?

Thursday, November 14, 2019

Free College Essays - The Raven by Edgar Allan Poe :: Poe Raven Essays

The Raven The Raven written by Edgar Allan Poe is a very famous poertry. "The most obvious symbol is the Raven its self. Poe uses the non-reasoning raven because he wants to make us wondering why he had chosen the raven from all the other birds., and frustrate us by wondering why the raven is repeating the word nevermore. He is surprised to hear the bird speak and he thinks that no living human has ever had a bird just sit there and talk to him, and with such a name as Nevermore. This might be the point where he realises that he is dying. It is also important that the answers to the questions are already known, but in a way it helps to illustrate the self-torture the narrator exposes himself to. Another symbol is the Pallas. . It seemed that the bird had a purpose for being there. In the whole room the raven decides toperch on the Greek Goddess of Wisdom, because in a way or another he is trying to make us believe that the raven speaks from wisdom? Or was Poe just using a word only some could interpret? "And the Raven, never flitting, still is sitting, still is sitting On the pallid bust of Pallas just above my chamber door; And his eyes have all the seeming of a demon's that is dreaming, And the lamp-light o'er him streaming throws his shadow on the floor; And my soul from out that shadow that lies floating on the floor Shall be lifted NEVERMORE." Through this quotation the bird has disobeyed him and is just sitting above the door staring at him. His soul is caught under the bird shadow as he passes away and it is lifted up to heaven and his fair Lenore. Poe uses midnight and December for the time the story takes place because both represent an end to something, and alsothe anticipation of something new. A new year comes after midnight, also a new day; and December represents the end of a year. Finally when I picture the room the narrator is positioned in and remembering the past, remembering how weak and weary he felt. He remembers himself he was like a lonely and sorrowful, and the richly furnished room reminds him of his lost love,

Tuesday, November 12, 2019

Patient Confidentiality in the Emergency Department Essay

Confidentiality and privacy are words used interchangeably in the medical world when they have very different meanings. Confidentiality is in line with protection of patient information from unauthorized users and privacy is in line with protection of the patient’s physical body from unauthorized users. In the emergency department (ED) this is a lofty and constant task that requires vigilance from staff, in all departments, involved with the patient. This student will report on the issues with confidentiality in the ED. Describe the issue and the population it affects most. There are many issues with confidentiality in the ED but this student believes that the overcrowding and â€Å"the growth in the subspecialty of Hallway Medicine† (Freeman, 2003, p. 1) is an enormous problem facing emergency department’s (ED’s). Hallway medicine happens when an ED has full rooms and the hallway gets employed as a waiting or staging area for the overflow patients. Emergency room visits by patients are not just for emergencies anymore. The ED is becoming more like an urgent care setting. As more patients cannot pay for the medical care, they need a higher utilization of the ED is happening because the ED cannot refuse to treat a patient. This is causing an influx of patient volume. Because most ED’s have not had the opportunity to rebuild or redesign the patient rooms to single person rooms the use of curtains separating patient’s is still widely used. Some precautions have been instituted by widening the space between beds and using portable dividers there is still an issue with maintaining patient’s confidentiality. Poor division between patients and overcrowding of ED’s can create a sense of no privacy for the necessary communication between patient and provider to happen. Patients will use the ED for a variety of ailments. If the patient feels that they may be overheard by someone other than his or her provider, he or she most likely will withhold medical history or information that the provider would need to help diagnose and treat the current problem. Supporting facts According to Moskop, Marco, Larkin, Geiderman, and Derse (2005), â€Å"Of the 104 patients in the latter study reported that their expectations for privacy in the ED were met, 4 patients (all in curtained treatment areas) reported withholding part of their medical history, refusing part of their examination, or both because of privacy concerns† (Moskop et al 2005, p. 1). When patients believe that someone who is not providing care directly to them can hear the intimate details of his or her medical issue he or she will most likely not share the entirety of the details. If the patient is a celebrity, he or she will not want to share too much information for fear that the ED visit information will be sold or leaked to the press or paparazzi. Possibly, there is a family member with the patient. This person does not need to know the full extent of the patient’s medical issues. These are valid confidentiality concerns that hamper the ability of the ED physician to treat the patient. Ethical and Legal Issues The ethical issues are never-ending when dealing with patients’ confidentiality while in the ED. The emergency department has some slightly different issues to deal with in emergent or trauma situations the need to maintain the patients’ confidentiality are still prevalent. ED physicians have to be wary of several possibilities that can affect the course of an ED visit. The safety of patients and staff is always a top priority. Depending on mental status, the severity of the injury or illness, placing the patient in a single person room or closer to the nurses’ station may be necessary to maintain safety. Law enforcement officers may need to have access to the patient to get the details of an accident or retrieve evidence. The officers have, in some instances, the ability to access the patients because the transportation to the ED by law enforcement. Protecting the medical record is of high importance. No matter who has access to the patient the medical record must be kept confidential and not laying around for anyone to see. Legal issues around confidentiality can be just as important. Patients can record the actions of the staff in the ED. Smart phones have increased the patient’s or family member’s ability to document what is said and the actions made by the providers. This may help a legal case if the patient has a valid complaint. The facility also has to make the medical record safe and confidential. If the medical record is on paper, then there needs to be restricted access to the area where the records are. If the medical record is electronic, safeguards in the computer programming need to shut down and lock the screen after a short period on inactivity. Managerial responsibilities related to administrative ethical issues In the article, there was no relation to managerial responsibilities. This student believes that education to the staff as regularly as possible is the best way to make sure all staff understand the high level of confidentiality to be maintained in the ED. There should be no compromise when accessing the patients’ medical record. Regular training for the staff will be a big step in the right direction. Reaching out to ancillary departments and outside resource, law enforcement officers, to coordinate the teaching of confidentiality within patient access would also create a unity between the different people who may have access to the patient. Solutions Proposed solutions for maintaining confidentiality in the ED begin with making the patient feel that the space he or she are in during his or her ED visit is an audibly secure. This becomes a challenge for established older ED where curtains are still used to create a privacy barrier. One solution would be to use all individual rooms first, before using the curtained rooms. This removes any confidentiality issues at the beginning of the visit. If only curtained rooms are available space the patients in every other curtained room until it is necessary to start using the rooms in between. Another solution may be to have portable walls that roll into place to give an added layer of sound barrier. â€Å"In an area where multiple patient-staff communications routinely occur, use of cubicles, dividers, shields, curtains, or similar barriers may constitute a reasonable safeguard† (â€Å"Using barriers,† 2002, p. 6). Conclusion In the emergency department, a patient’s visit can be very hectic and have different people discussing the patients care and care needs to be taken to ensure the patient’s confidentiality. The patient needs to feel comfortable to share his or her health history so that the physician can make the best informed decision for the patient’s treatment. The patients’ medical record needs to be kept secure whether in a restricted area or with software that shuts down after not used for a short period. Creating an audibly secure area for the patient will help create a better ED visit for the patient.