Salmonella in USA Essay Example for Free

Salmonella in USA Essay I want to educate the public, farmers and individuals that are at risk of contracting this deadly disease called Salmonella. At risk individuals such as the elderly, infants, and those with impaired immune systems are more prone to getting a severe illness such as salmonella. Objective and Goal The objective is to educate the general public, farmers, and consumers of grocery stores, owners of grocery stores, consumers of restaurants, owners of the restaurants, cooks, chefs, food handlers, and educational institutions about the health risks of the bacteria disease Salmonella. My goal for this public educational plan is that the public take the information and learn from it and take the precautions to avoid salmonella. Salmonella disease it’s transmitted to humans by contaminated food of animal origin or water. Salmonella disease affects the entire human population but the people at more risk are children because their immune systems are immature and the elder’s because their immune system are declining also people with immunocompromised diseases. People who leave in poor conditions are also in risk of contracting salmonella. After 12 to 72 hours of infection common symptoms of salmonella are fever, abdominal cramps and diarrhea; usually the illness lasts 4 to 7 days. However in some cases the diarrhea may be so severe that the patient needs to be hospitalized if the person it’s not hospitalized it can lead to death. (CDC) Historical Outbreaks Spanish- American war (1898) in all, 20,738 recruits contracted the disease  82% of all sick soldiers, 1590 died. A significant number of these deaths actually occurred at training area in the southeastern United States. (History of typhoid fever (salmonella)) South African war (1899-1902) outbreak in British camps- British troops lost 13,000 men to salmonella the outbreak was due to unsanitary towns and farms throughout Africa. (History of typhoid fever (salmonella)). In the early 1900’s in New York Mary Mallon was the first famous carrier of typhoid fever in the U.S. Mary Mallon was a chronic carrier of salmonella; she was hired as a cook at several private homes, she work for 7 different families 22 cases of salmonella where reported and one death. (History of typhoid fever (salmonella)) These early outbreaks can be attributed to unsanitary living conditions and the bacterial tainting of food and water supplies. 1985 Chicago United a Chicago dairy was involved in a salmonellosis outbreak involving 6 states with 16,000 confirmed cases.(CDC) More recently reported outbreaks in the U.S. involve different kinds of salmonella strains, predominantly S. Enteritidis and S. Typimurium. The center for disease control and prevention has a page with reports of selected salmonella outbreaks for this year it has at least 9 reports. Salmonella infections has increase by 10% in U.S. in the last 15 years it’s estimated that 2 to 4 million cases of salmonellosis occur in the U.S. annually reported and unreported. (CDC) On January 2011 a FDA Food safety modernization act was sing in to law; this act establish standards for safe produce, regulates food facilities, oversee imported foods and recalls of contaminated foods. (FDA) Also salmonella can be controlled by proper preparation of poultry and eggs and avoidance of contamination of other food with uncooked poultry products. Investigation and research studies by the government to mitigate the impact of salmonella Research 1- Inactivation of salmonella on tomato stem scars by acidic sanitizing solutions. Investigating stem scar sanitation may represent a worst case scenario model for inactivating salmonella from externally contaminated tomatoes. This study was conducted to investigate the efficacy of antimicrobial coating for inactivation of salmonella on the surface of tomato stem scars. (Agricultural Researc services) 2- Biofilm formation by salmonella SPP on cantaloupe surfaces The research demonstrates that cells of Salmonella do not exist as single, solitary organisms, but instead  organize together into biofilms. These biofilms form quickly on melon surfaces and are difficult to inactivate or remove. The formation of biofilms by cells of Salmonella is likely responsible for the limited efficacy of sanitizers. (Agricultural Researc services) 3- Microbial quality and safety of X-ray irradiation. The research shows that irradiation destroys at least 99% of common foodborne pathogen within approved dosage. These pathogens such as salmonella are associated with poultry, meat and fresh produce contamination. (Agricultural Researc services) The governments of many countries are playing their roles to mitigate the impact of salmonella. In United States the USDA (US Department of agriculture) and the FDA (Food and Drug Administration) has done coordinated efforts to address salmonella problems. They have given some recommendation for the safety of the consumers from salmonella. 1- Wash surface and hands often; 2- no cross contaminate; 3- cook to safe temperature 4- refrigerate immediately. President Obama signs the FSMA (Food safety modernization act) into law on January 2011. This act gives FDA new and improves authorities and mandates to protect consumers and promote public health. Responsibility for food safety is managed by a complex network of federal, state, local and territo rial agencies (Food safety) The Centers for Disease Control and Prevention (CDC) †¢ Oversees the country Salmonella infections frequency †¢ Supports the state and local health departments in outbreaks investigation and elaborates control measures. (Salmonella) The Food and Drug Administration (FDA) †¢ All foods imported are inspected †¢ Monitors inspections of all plants dedicated to milk pasteurization †¢ Recommends new techniques for better preparation of foods in food processing plants and restaurants †¢ Controls turtle’s sales. (Food safety) The US Department of Agriculture †¢ Overseas animal health issues †¢ Inspect all plant dedicated to pasteurization of eggs †¢ Is responsible for the quality of processed and slaughtered meat. (Foodborne Illness and disease) The US Environmental Protection Agency †¢ Monitors and regulates drinking water supplies safety. Data Collection Template Name of the disease: __Salmonella____ Etiological agent: __Salmonella_ Symptoms Mode of transmission Causes Contributing factors Age/gender/behaviors that may put individuals at risk Recent cases of outbreak Factors leading to recent outbreak Treatment Preventive measures *fever *abdominal cramps *diarrhea *chills *nausea *vomiting *muscle ache Water and food (animal food, vegetables, fruits) Uncooked chicken or unwashed fruits or vegetables Poor or unsanitary conditions Own a bird or reptile Entire human population more risk children and elders and people with immunocom promised diseases 10 reports during 2012 See below (2012 salmonella outbreak) Animal feces Growing conditions Antibiotics Good diet a lot of fluids and antimotilitydrugs Good hygiene practice Washing vegetable and fruits Adequate cooking of meats and eggs Salmonella enteric bacteria it’s a bacteria that causes diseases in the intestinal tract; the bacteria attacks the intestinal wall and inflammation occurs. The symptoms include nausea, chills, abdominal pain, vomiting, muscle aches and fever. Salmonella affects the body by three clinical forms of salmonellosis 1) gastroenteritis (S Typimurium) 2) septicemia (S. choleraesius) and enteric fevers. Clinical identification of salmonella it’s done by laboratory test such as biochemical and serological test a stool or blood specimens are planted on an agar media to determine the presence of salmonella also a phenol red test it’s used. Salmonella treatments are Antimotility drugs to stop the diarrhea and in case that it’s suspected that salmonella bacteria it’s in the blood antibiotics are prescribe to kill the bacteria. Also drinking a lot of fluids to prevent dehydration and eating a healthy diet. During this year (2012) the centers for diseases control and prevention has 10 reports of selected salmonella outbreak investigations a total of 1307 individuals are reported infected 264 are hospitalized and 5 deaths. Each of these cases had or still been investigated by CDC to find the origin cause of the salmonella outbreak I only going to mention the last 5 of the reports. Salmonella outbreaks 2012 1- Reported on August 29, 2012 Mangoes- salmonella braenderup In 16 states 105 persons infected 25 hospitalized 0 deaths Investigation: state public health officials are conducting interviews with ill persons; 70% of the ill persons reported eating mango during a week before getting ill. 2- Reported August 17, 2012 Cantaloupe-salmonella Typimurium In 21 states (Georgia state included) 178 persons infected 78 hospitalized 2 deaths (Kentucky) Investigations indicated the chamberlain farms produce, Inc. from Indiana it’s the source of this outbreak 3- Reported July 23, 2012 Ground Beef- salmonella Enteritidis In 8 states, 40 persons infected 11 hospitalized 0 deaths Investigations indicate that ground beef produced by Cargill meat solutions it’s responsible for this outbreak 4- Reported July,23, 2012 Live poultry salmonella hadar In 11 states 37 persons infected 8 hospitalized 0 deaths Investigation: results from laboratory test and trace back findings link a company from Idaho. 5- Reported June 21,2012 Live poultry-salmonella Montevideo In 22 states (Georgia state included) 76 persons infected 17 hospitalized 1 death Investigation: Estes Hatchery in Springfield, Missouri it’s responsible for this outbreak TyphoidalandNontyphoidalSalmonellaStages of SymptomsCauses to lead to outbreaksSymptoms of diseases Cause and EffectSalmonellaFeverChillsPet animals such as reptilesFood contaminated by animal fecesUnsanitaryleaving1-Fever, headache and cough2-High Fever 104 degrees, red spot on the chest diarrhea4-Symptoms start subsiding during this stageNauseaAbdominal painVomitingMuscle pain3-Symptoms become prominent (most dangerous stage) Causes of emergence and reemergence of salmonella 1- Globalization of food supply: (2000- 2002) Cantaloupe from Mexico was associated with a multistate outbreaks of S Ponna infection. 2- New geographic areas: unavoidable introduction of pathogens 3- Travelers, refugees and immigrants expose to unfamiliar foodborne hazards 4- Changes in microorganisms: evolution of new pathogens, development of antibiotic resistance, the capacity to survive in different environmental conditions. 5- Human population changes: population of highly susceptible people is expanding, more likely to succumb to bacterial infections. 6- Lifestyle: great amount of people eat prepared meals. In some countries, the food service establishments don’t follow the food safety and control regulations. (CDC) Recent outbreaks of salmonella infections suggest that the bacteria are not exclusive to poultry and have infiltrated other areas of the food industry. The most commonly reported serotypes, in history and present of salmonella are: S. typhi, S. enteritides an d S. typhimurium. Outbreaks in the past are largely due to unsanitary water and food supplies and unsanitary way of leaving. Since improvements in food handling, piped and filtered water supplies as was as water/sewage treatment have been made, enteric fever has become relatively rare in developed countries such as United States. Historically, chickens and their eggs are been associated with salmonella; in the mid to late 20th century, eggs where the main sources of salmonella enteritidis this is less common now because of the  high hygiene measures in production of eggs and laying hens are been vaccinated to prevent salmonella colonization. (CDC) The similarities between the past and present outbreaks of salmonella are from animal food sources such as meat, poultry and seafood also the unsanitary ways of preparing them. The symptoms are the same showing a step ladder pattern it begins with sudden onset of high grade fever, dry cough and headache and it keeps going to a second, third and fourth stage the most dangerous stage it’s the third stage where the symptoms become more prominent. A big difference now it’s that we have more effective treatments to control salmonella. Today three types of typhoid vaccines are available 1- inactivated whole-cell vaccine 2- ty21a 3- vi polysaccharide vaccine these vaccines have been shown be 70- 90% effective. (Salmonella symptoms) Salmonella are a group of bacteria that normally live in the intestinal tracts of animals and birds. The bacteria are usually transmitted to people when they eat foods contaminated with animal feces. Contaminated foods are often of animal origin, such as poultry, beef, eggs or milk. But all foods, including vegetables and fruits, can become contaminated. In order to reduce salmonellosis a food safety approach it’s necessary staring from the farms to the consumers table. Industry, farmers, retailers, food inspectors, food workers and consumers are critical links in the food safety chain. The center for disease control and prevention reported 11 cases of salmonella outbreak during this year 2012. 3 of those cases are from live poultry. ( Salmonella) Diseases control plan for poultry Farmer food safety plan (prevention, control and hygiene) 1- Salmonella control has to start at the farms. 2- Pest control sanitation, properly chlorinated water and biosecurity are crucial for controlling salmonella. A. Restricting access †¢ Vehicles †¢ People †¢ Animals B. Biosecurity †¢ Dedicated clothing and boots †¢ Disinfectant boot dip 3- Vaccination of hens used in breeding 4- Eggs should be collected and placed in clean or new disinfected trays. 5- Testing A. Dust sampling- collecting dust from dust on equipment in the poultry building B. Faecal sampling from poultry animals C. Sampling of boots that walk around the poultry building D. Frequency of testing before and after laying eggs its extremely important 6- Use good sanitation practice A. Enforce employee hygiene Salmonella continues to be an issue in poultry processing plants and farms. Each plant /farm is unique and must determine the best way to control salmonella in their operation. Salmonella testing should be done on a regular basis to validate control measures are working. (Controlling salmonella in poultry plants ) Preventions for consumers 1- Clean- wash hands and surface before handling any food 2- Avoid cross-contamination- separate raw poultry, meat and seafood from other foods 3- Poultry and eggs should be refrigerator 4- Cook- do not eat raw or undercooked meat, eggs or poultry (Salmonella questions and answers) The plan explains the measurements need to be taken by farms or plants by outlining procedures on how to avoid salmonella also prevention and control are monitored by Good agricultural practices and hazard analysis critical control point. By following the guidelines mention the farm and plants owners will reduce health risk to the consumers and prevent future outbreaks of salmonella. Consumers need to be aware of Salmonella reports and practice the prevention tips to avoid been contaminated with the diseases. Also this plan shows the public/consumer the precautions taken by the farms and plants to keep the poultry salmonella free. Feasibility report Salmonella it’s a diseases that can be prevented just by practicing good hygiene; the educational plan makes emphasis on the following subjects: all the historical outbreaks where due of unsanitary way of preparing food and way of leaving. The emergence and reemergence of salmonella it’s due to several factors including the growing of population and population lifestyle but today improvements of food handling and good sanitation makes harder for  the food to be contaminated with salmonella. (Salmonella) The government has done many different research to diminish the impact of salmonella in the country; food safety it’s managed by different agencies such as The center for disease control and prevention (CDC), The food and drug administration (FDA), the US department of agriculture, and the US environmental protection agency each of this agencies has a specific job to do. (Salmonella) The educational plan highlights the symptoms, how the disease it’s trans mitted, who its more at risk of contracting the disease; also the precautions that consumers need to take and also the treatments used by the health care department again this diseases. Consumer are inform of the different stages of the diseases and which stage it’s the more dangerous; the health care department has specific laboratory test to determine the presence of salmonella treatments are also mention such as antibiotics, a lot of fluids and antimotility drugs and now there are 3 types of vaccines for typhoid salmonella available for the consumer. (Salmonella symptoms) The disease control plan discusses strategies which are not economically expensive and easy to follow by the farm and consumers. The farm will benefit by following each strategy which will help to prevent salmonella and by having salmonella free poultry the farm will not suffer any economic loss; the consumer will gain social growth by reading the educational plan and practicing the preventions listed to avoid salmonella also by reading the many strategies used to prevent and control salmonella in poultry farms. The plan encourage consumers to practice safe preparation and cooking of food specially raw food such as poultry and eggs; by practicing the preventions the salmonella bacteria can be kill and stop from spreading. The farms are encouraged to maintain and practice good sanitation in all areas of the plant staring with their employees. In the farms the early interventions are done by following different testing methods and vaccination of hens. The plan presents prevention and control; if each farm follows and practices all the strategies this will reduce future salmonella outbreaks from poultry. (Controlling salmonella in poultry plants) Overall the plan presents a good detail safety plan for farmers to prevent salmonella by following this plan salmonella outbreaks will be avoid in the future. The consumers need to educated themselves in this type of diseases and practice the preventions to avoid been contaminated with this diseases call salmonella. Annotated  bibliography Davis, C. P. (n.d.). What is salmonella. Retrieved from medicinenet: www.medicinenet.com/salmonella/article.htm This article discuss everything about salmonella: what is salmonella? How is transmitted to humans, what are the symptoms, how its diagnose and what are the treatments and preventions. Multistate outbreak of salmonella braenderup infection associated with mangos. (2012, August 29). Retrieved from CDC: http://www.cdc.gov/salmonella/braenderup-08-12/index.html CDC investigation of multistate outbreak of human salmonella braenderup infection linked to mangos Multistate outbreak of salmonella typhimurium infection linked to cantaloupe. (2012, August 17). Retrieved from CDC: http://www.cdc.gov/salmonella/typhimurium-cantaloupe-08-12/index.html CDC investigation of multistate outbreak of typhimurium salmonella associated with cantaloupe Multistate outbreak of salmonella enteritidis infection linked to ground beef. (2012, July 23). Retrieved from center for disease control and pre vention: http://www.cdc.gov/salmonella/enteritidis-07-12/index.html Investigation of multistate outbreak of human salmonella enteritidis associated to ground beef Multistate outbreak of salmonella hadar infection linked to live poultry. (2012, July 23). Retrieved from center for disease control and prevention: http://www.cdc.gov/salmonella/hadar-live-poultry-07-12/index.html Investigation of multistate outbreak on hadar infection associated with live poultry. Multistate outbreak of salmonella montevideo infection linked to live poultry. (2012, June 21). Retrieved from center for disease control and prevention: http://www.cdc.gov/salmonella/montevideo-06-12/index.html Investigation of multistate outbreak on montevideo infection associated with live poultry. Report of selected salmonella outbreak investigations. (2012, August). Retrieved from center for disease control and prevention: http://www.cdc.gov/salmonella/outbreaks.html Investigation reports of specific outbreaks of salmonell a during this year. References: Agricultural Researc services. (n.d.). Retrieved from www.USDA.gov. CDC. (n.d.). Salmonella. Retrieved from www.cdc.gov. Controlling salmonella in poultry plants. (n.d.). Retrieved from USDA: www.fsis.usda.gov Davis, C. P. (n.d.). What is salmonella. Retrieved from medicinenet: www.medicinenet.com/salmonella/article.htm Food safety. (n.d.). Retrieved from www.FDA.gov. Foodborne Illness and disease. (n.d.). Retrieved from www.USDA.gov. FDA. (n.d.). The new FDA food safety modernization act. Retrieved from www.fda.gov. History of typhoid fever (salmonella). (n.d.). Retrieved from www.globalsecurity.org. Salmonella symptoms. (n.d.). Retrieved from www.salmonellatreatment.org. Salmonella questions and answers. (n.d.). Retrieved from USDA: www.fsis.usda.gov Salmonella. (n.d.). Retrieved from www.

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Mortality The weight of one's mortality and the complexities of life and death are introduced from the beginning of Hamlet. In the wake of his father's death, Hamlet can't stop pondering and considering the meaning of life — and its eventual ending. Many questions emerge as the text progresses. What happens when you die? If you're murdered, then will you go to heaven? Do kings truly have a free pass to heaven? In Hamlet's mind the idea of dying isn't so bad. It's the uncertainty of the afterlife that frightens Hamlet away from suicide, even though he's obsessed with the notion. A turning point for Hamlet occurs in the graveyard scene in Act V. Before, Hamlet has been appalled and revolted by the moral corruption of the living. Seeing Yorick's skull (someone Hamlet loved and respected) propels Hamlet's realization that death eliminates the differences between people. The sheer number of bodies at the end of Hamlet can be misleading. Even though eight of the nine primary characters die, the question of mortality is not fully answered. The questions about death, suicide, and what co...

Toyota Organizational Development Leadership Issues

As I watched the hearings and read the Press Telegram, April 12, 2010 † AP probe reveals n Toyota cases, evasion became tactic† regarding the sudden acceleration issue with several models of Toyota vehicles I would have to say it is scary to say the least. Testimony Included stories from victims of the problem – In one case, an entire family was killed. With such disastrous consequences and huge liabilities and ruining of a once great brand know for quality, it provides a platform to look at how companies, and leaders, address ethics, leadership issues and crisis. When faced with crisis, leaders need to make important decisions quickly.That involves surveying their direct teams, and in many cases several levels below to get answers. It's not apparent If CEO Toyota did this given the criticism they received for their slow reaction time to consumer complaints. Once a leader is engaged in addressing a critical issue, what should they do to make sure they respond adequ ately? Here are a few ways leaders can cope with rapidly changing circumstances: 1 . Focus on a few key elements and build a plan. Often emotional tensions are so high that seepage of minor issues explodes upward as the most important issues.A leader has to determine critical touch points that – addressed properly – cascade down to fix other issues. It's not the lowest hanging fruit argument, but a strategic view of the top 3-5 issues that need immediate attention. For a business this is usually shareholder and customer communication of what's happening, operational analysis of essential work processes, and key legal considerations/regulatory interests. Toyota executives were late to the game in some of these areas. This could have reduced the level of exposure and amount of crisis to handle (e. Notifying people of other models that had the problem, etc). 2. Communicate constantly. Crisis management requires immediate updates as new information is available. To facilit ate this exchange, networks need to be created that can share pertinent details to different parts of the organization and to external interests. Sometimes creating internal e-information or discussion boards helps with this process and ensures that appropriate business units are talking to each other. In the hearings, CEO Toyota said he was not aware of key meetings addressing the implants 3 Roll tongue seacoast KS. Ten ten TLS Ideas aren't ten best – they are solutions meant to get certain actions in place. They require modification on-the-fly as the situation unfolds. These initial actions may prove to be failures or they do not capture the full scope of the problem resulting in negative backlash. Toyota thought the problem was solved with adjusting floor mats, then sticky brake pads, and now the problem appears to be in the software. While consumers were not pleased with these initial measures, Toyota has continued to signage the problem and issue offer different solution s.Leaders often make the mistake that after pouring so much effort into initial solutions, they have to adhere to them no matter what. Toyota did this with the floor mat issue for a long time – blaming driver error if this solution was not the fix. A confident leader will accept imperfection in initial approaches and make sure the team is ready to change quickly and respond with new approaches. The leader has to stay calm and focused when this happens to avoid worsening the crisis. 4. Recognize what is working. The bright spot at the end of the tunnel can be elusive in the early going of crisis management.Everyone is in a quagmire with moving forward so it becomes difficult to notice how solutions are taking root and reducing issues. Leaders who have created the right communication channels will be able to flag good results and use those results to strengthen ongoing efforts. This facilitates morale and shows progress against the crisis mitigation plan. Toyota made the right move to halt new car production in January which saved more potential accelerator problems from going to market. . Maintain a good pace. Leaders need to be mindful of the pressures coming from all directions to solve problems quickly and â€Å"perfectly. If a strong plan is in place, backed up by the right communication channels, and a focused team, resolution activities will eventually balance out. This has nothing to do with perception or reputation damage control – that can take much longer as Toyota is sure to experience. Pacing decisions around good solutions and re-working as needed provides a sense of ethics and crisis management. Reacting to everything all the time is chaotic and soonest endear a leader as professional and deserving of the higher position.Leadership must maintain honesty to their team and key stakeholders at all times. They must be ready to calm nerves for weeks or months depending on the issue and never waver from a methodological and reasoned respo nse to crisis situations. Only time will tell if Toyota is pacing their crisis management properly and what that will mean in order for them to regain global consumer confidence. In my opinion, perhaps the leadership of Toyota can implement organizational change by utilizing en of the DO theories, specifically Linen's basic change model of unfreezing, changing, and refreezing.This model could be used as a theoretical foundation upon which change theory with their organization could be built soundly. The key, of course, would be to see that human change, whether at the executive, individual or group level would be a profound emotional dynamic process that involved painful unlearning without loss of ego identity and difficult relearning as the company cognitively attempts to restructure its thoughts, perceptions, feelings, and attitudes.

Differences Between The Roman And Han Dynasty - 1289 Words

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This is described in one passage by Sima Qian, a Han historia n, where he describes the first emperor of the Qin dynasty. In these writings he describes the first emperor, Qin Shihuangdi, as a very cruel despot who burned important writings, imposed cruel penalties, and was very arrogant.(FOOTNOTE). However, even Sima Qian acknowledges that he unified China through the appointment of officials to rule provinces, and standardizing their measurements and writing system.(FOOTNOTE). When the Qin dynasty ended in 202 BCE, however their bureaucratic system survived through the Han dynasty.(FOOTNOTE). This is significant because even though the Han viewed the Qin dynasty very poorly, they still enacted a bureaucracy that was very similar. The unique attributes of this bureaucracy was that it was more centralized, and cohesive then that of the Roman empire. Also, as mentioned earlier, it was better staffed and more equipped. 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Are You a Good Communicatior Essay - 854 Words

Are you a good Communicatior HCA/230 April 14, 2013 University Of Phoenix Are you a good Communicator? Effective Communicator is a vital in the healthcare workplace. It’s the welfare of others and the fundamental that focus and effective communication that is between colleagues that can make the difference in quality and the consistency of care that is delivered to the patients. When people consider themselves to be good communicators, and Identifying the effective communication process it helps to make the determination. (Cheesebro, O ‘Connor amp; Rios, 2010). Effective Communication is a process of sending and receiving messages. Good Communicator means it would be effective in both listening and responding to appropriately. So,†¦show more content†¦Some of these things can make the patients feel very more comfortable with their physicians. When providing for any healthcare services it is best to be very sensitive to the needs of the patients. The general rules, are when patients are vulnerable and abuse they need the health care service. The quality of healt hcare services provided the highest qualified and the dedicated of professionals and the exceptions of the general rule. Say, When a person walks inside an office for the first time, He or She will have a background on the office staff and there performing and duties. This is parted of effective communication. Remember, office employees must be aware of the ambiance and their workplace because it can reflect on what kind of workers they can be. â€Å"Description means information can be transmitted and reflect thoughts, points of view, and desires. Problem Orientation can refer to the natural and original of communicating with the sincerity. The empathy refers to ability to put someone in another’s person shoe to show the values, respect, and belongingness. Equality refers to the value and respects that despite the different status in lives. Provisionalism refers to open-minded and innovative ideas that coupled with new sets of action plan and the solution guides†. (Cheesebro, O’Connor, amp; Rios, 2010). Physician News Gigest (2001) website that states the

Brian s Current State Of Health Essay - 1542 Words

Describe Brian’s current state of health and indicate what conclusion the GP would make. Justify the advice that would be given to him in terms of self management and possible treatments. From Brian’s check up with the GP, we are able to make a few inferences regarding his current state of health. Brian is a 58 year old man, working as an accounts manager, who has reported being breathless after climbing 1 flight of stairs. His family history shows a trend of premature death from cardiac arrest in his Uncle and father. He is 1.68m tall and maintains a stable weight of 96kg, from which we can calculate his BMI to be 34kg/m2. Despite being a non-smoker, the patient described his exercise level as low. This paired with his low activity job makes leads us to assume his PAL is low. The GP ran common health check tests to help them conjecture towards the nature of his problem. The patients’ blood pressure was 164/92. He had a fasting blood glucose of 8.3mmol/l and a UDL cholesterol level of 0.87mmol/l. From this information we can identify issues within Brain’s state of health. Exercise As said previouly, Brian told the GP he takes very little exercise. Exercise has been clinically proven to improve various physiological systems, such as the Cardiovascular, skeletal muscle and metabloic (Kenney and Larry, 2015 and Gillen and Gibala, 2013). As little as moderate exercise has been said to reduce the risk of developing disorders and diseases such as Heart disease and evenShow MoreRelatedEmergency Custody Through C P Of Ryan754 Words   |  4 Pagesbe left in the hotel unsupervised, and Ryan and Bria were staying alone in the room for five days. This was deemed concerning for the two children to not have an appropriate caregiver. When the Department was made aware of the situation father Brian Scopa s whereabouts were unknown to the Department. 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Opinion and Position Writing-Free-Samples for Students-Myassignment

Question: You are required to analyse the short opinion piece "Enough with the moral panic over smartphones. The kids are all right | Catharine Lumby | Opinion | The Guardian" (Attachment 1) using the terms and ideas discussed in the readings and lectures. Answer: Language The above stated article by Catherine Lumby is an opinion piece that opposes the common global concern that smart-phones are one of the major causes of depression among teenagers. The article provides a view into the personal considerations of the author in the articles context. The author of the article uses words like I, you, we, us that makes the article essentially an opinion piece. The language used by the author is informal and personal providing a view of her own thoughts on the concern of smart-phones being a cause of depression among teenagers. Moreover, the author has made use of colloquial expressions and phrases that render the piece strictly as an opinion piece. The expressions of the author in the article can be said to be qualitative to some extent if not completely, based on her occasional use of words like may, more, many, large and likewise. The language of the article is more assertive and instructive rather than being informative. Structure The structure of the article is moderately coherent. The paragraph lengths are inconsistent. In fact, there are paragraphs that are not more than two sentences long. Hence, it can be argued that the structure of the article is informal as well. However, though there are certain areas within the article where the author tries to argue a position, most of the article is based on her views clustered in an informal structure. The author provides very little evidence for her claims. She begins the article by mentioning the article of Jean M. Twenge that presents smart-phones to be a cause of teenage depression and then goes on to demonstrating her own views trying to refute Twenges views. Finally, she concludes trying to invoke an ironically humorous tone in the end. The author mostly draws on examples and hypothetical situations even though she bases some of her views on the research she claims to have done on the relationship of teenagers with the online and social media and its effects on them in formation of their social relationships and identities. Claims The claims of the author of the article are mostly directed towards opposing the views of Twenge, a research scholar in psychology whose findings correlate teenage depression, suicidal tendencies and low self-esteem with the rise in digital evolution through smart-phones. The author claims to have done some research on the relationship of teenagers with the online and social media and the effect it has on the formation of their social relationships and identities (Lumby 2018). Moreover, the author claims that it is the universal and global custom for the adults and parents to panic every time a technological discovery emerges. Supporting her claim she states an example of the eighteenth century when people used to be concerned with young girls being corrupted for their indulgence into romantic fantasies (Lumby 2018). However, today parents practically boast of their teenage girls reading books. The author says that the teenagers are well aware of the risks that come with the social m edia such as cyber bullying and other cyber-crimes (Das and Nayak 2013). However, she mentions that social media has made it easier for teenagers to communicate. Supporting her claim she provides the statement of a young teenage boy who finds it easier to talk to people especially girls over Facebook rather in person (Lumby 2018). Moreover, depression and anxiety may be one of the effects of social and online media but there are factors that should be considered as well (Becker, Alzahabi and Hopwood 2013). Over the years, people have grown to be more aware of the mental illnesses and have been more prompt to address such problems especially in children while previously, the children and young teenagers suffered more from mental illnesses for suppressing their feelings (Whitley, Smith and Vaillancourt 2013). Social media has exposed the true nature of the society that is biased towards classes, cultures and gender (Tynes, Rose and Markoe 2013). Social media acts as a clear mirror tha t brings in front of us the real and discriminating nature of the society. The author also goes on to claim that social media has merged the public and private lives of people and that this is a result of the teenagers following on the footsteps of their parents who drink too much and later spills too many of the beans. However, the author acknowledges the ugly side of the social media as well. It is a fact that massive amounts of racism, sexism and cyber abuse functions within the social media (Dubrofsky and Wood 2014). It is a fact that teenagers must be rationally taught to find a balance and manage efficiently the smart-phones and social media. However, the change should be brought into the parents at first who equally tend to be inefficient in managing smart-phones that poses them to be hypocritical in front of their teenage children. Changes Required to Turn the Article into a Position Piece The language, structure and the nature of the article, as has been stated above, essentially make the present article and opinion piece. However, there can be made certain changes that can establish a position of the authors view within the article. The first change required is in the language. A position piece is characterized by formal language (Brick 2009). Hence, the article has to be written in third person removing the usage of words like I, you, we, me and likewise. The tone of the writing should also be more formal that requires not using colloquial expressions and phrases (Hay et al. 2012). Second, the article needs to have a more coherent structure for it to be a position piece. Third, the article must be more informative rather than instructive and assertive. Fourth and most importantly, the claims of the author require to be supported by clear and relevant premises along with strong academic evidence (Allen 2004). That is to say, for the present article to be a position p iece, the claims cannot be based on any hypothetical situation and the claims require to be supported by strong academic evidence that the author of the article under discussion has not provided. References Allen, M., 2004. Smart thinking: Skills for critical understanding and writing. Becker, M.W., Alzahabi, R. and Hopwood, C.J., 2013. Media multitasking is associated with symptoms of depression and social anxiety. Cyberpsychology, Behavior, and Social Networking, 16(2), pp.132-135. Brick, J., 2009. Academic culture: A student's guide to studying at university. Macmillan Education AU. Das, S. and Nayak, T., 2013. Impact of cyber crime: issues and challenges. International Journal of Engineering Sciences Emerging Technologies, 6(2), pp.142-153. Dubrofsky, R.E. and Wood, M.M., 2014. Posting racism and sexism: Authenticity, agency and self-reflexivity in social media. Communication and Critical/Cultural Studies, 11(3), pp.282-287. Hay, I., Bochner, D., Blacket, G. and Dungey, C., 2012. Making the grade: A guide to successful communication and study. Oxford University Press. Lumby, C., 2018.Enough with the moral panic over smartphones. The kids are all right | Catharine Lumby. [online] the Guardian. Available at: https://www.theguardian.com/commentisfree/2017/aug/10/enough-with-the-moral-panic-over-smartphones-the-kids-are-alright [Accessed 1 Mar. 2018]. Tynes, B.M., Rose, C.A. and Markoe, S.L., 2013. Extending campus life to the Internet: Social media, discrimination, and perceptions of racial climate. Journal of Diversity in Higher Education, 6(2), p.102. Whitley, J., Smith, J.D. and Vaillancourt, T., 2013. Promoting mental health literacy among educators: Critical in school-based prevention and intervention. Canadian Journal of School Psychology, 28(1), pp.56-70.