Wednesday, April 8, 2020
Truss Essay free essay sample
Truss Essay If I was building a 10 pitch roof I would use a roof truss rather than using a rafter. A roof truss is a rigid, strong frame work made up of wood members, such as 2â⬠X 4â⬠s, fastened and held together by metal connector plates. A roof truss consists of one or more triangular units constructed of straight pieces that are connected at the ends by joints. Personally roof trusses are superior due to its number of different designs, they are very strong, and lastly they are installed quickly. Wood trusses come in variety of different designs. They are used to make almost any building in the world because of its vast designs. When using trusses I would be satisfied with my house because I get to have the roof of my choice. Trusses also give an advantage to uniqueness in a house because they all wonââ¬â¢t look the same. We will write a custom essay sample on Truss Essay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page That is why I would prefer a truss rather than a rafter. Trusses are designed to be very strong. They have a high level of strength and capacity. Using a truss roof will allow me to safely place weight on the roof. Having a strong roof is a benefit of a good roof that will last a couple of years. Trusses are so strong they can bare a fire since it takes a long time to burn out and since all the pieces are spaced out it will take a longer time to fall apart giving the people who live in the house time to evacuate. Lastly, another advantage of installing a truss roof is that they are installed quickly. The quicker the process is the less amount of labor cost it takes to spend. Also, trusses arenââ¬â¢t messy the come prefabricated they just need to be installed causing the job site to be much cleaner than a standard job site. If I use a roof truss it will take less time to be put up and if I need to work on other things around the house I will have time, therefore this is another advantage of a truss. In conclusion I would use a roof truss because they are very handy. They come in vast designs causing me to have a say in what choice of roof I want. They have a high level of strength and capacity providing a safe strong roof over my head that will last a couple of years, will bare fires and any other damages. Lastly they are installed very quickly causing the cost of labor to be reduced and less mess on job site. Roof trusses are prefabricated roof frames designed to provide a fancy strong roof that is quickly installed.
Monday, March 9, 2020
Global Warming Essay
Global Warming Essay There is plenty of research on Global Warming issues, however, scholarââ¬â¢s over the world are far from unanimity on its root causes and ways of prevention. Global warmingà is a climatic process, which is related to what seems to be ââ¬Ëan insignificant increase of global temperatureââ¬â¢. At glance theà differenceà seems trivial indeed ââ¬â Earthââ¬â¢s mean surface temperature has increased by some 0.8 since the early 20th century, however, this has triggered a chain reaction and contributed to glacier melting in the Arctic and the Antarctic Penninsula. This, in turn, is leading to the increase of the ocean heat content, which spurs a whole new series of climatic changes. Most of these changes are believed to be human-induced and are most typically contributed to deforestation and carbon dioxide emissions. There is plenty of research on Global Warming issues, however, scholarââ¬â¢s over the world are far from unanimity on its root causes and ways of prevention. Most scientists, with a 90% probability, tend to agree, that it is a process that is directly related to human activity. To substantiate their claim, they pull out the so-called ââ¬Ëhockey stickââ¬â¢ graph, which was first introduced by Michael Mann in 1998 and is since widely used by worldââ¬â¢s climatologists. GLOBAL WARMING IS Aà MYTH The graph reads as follows: during the last nine centuries, global temperature has remained relatively unchanged (which is likened to the shaft of the stick), while during the last century (with the advent of the industrial revolution) the graph curve escalated dramatically (the part that resembles the blade). Such arguments look quite convincing if you compare temperature fluctuations during the nine-hundred-year span to those of the last century. The hockey stick graph has also spurred debate on the validity of the datasets and their interpretation and has lead to the so-called ââ¬Ëhockey stick controversyââ¬â¢, in which some environmental scientists questioned data and methods used by Michael Mann. Mannââ¬â¢s model ended up being reviewed and analyzed by the National Academic of Sciences, who supported Mannââ¬â¢s initial hypothesis, saying that current temperature levels were unprecedented until at least 1000 years. In years that followed, this model was tested by other scholars who used more sophisticated data sets and statistical methods, and they too confirmed that Mannââ¬â¢s initial model was accurate. More sophisticated data sets and improved methods of research were able to extend the ââ¬Ëhockey shaftââ¬â¢ as far as 11000 years back, only confirming the initial hypothesis ââ¬â global warming is a result of human irresponsibility. This essay is a short stub on the extensive topic called ââ¬ËGlobal Warmingââ¬â¢. If you need an article written on the topic, feel free to contact us for a custom written essay on any of the global warming issues. We would be happy to find a writer with a background in climatology/ecology who will come up with a top-notch quality product on any of the ââ¬Ëglobal warmingââ¬â¢ subtopics.
Friday, February 21, 2020
The four management functions in relation to operation management Essay
The four management functions in relation to operation management theory - Essay Example The paper tells that there are four functions that a manager accomplishes in a business organization. These four functions are known as planning, controlling, organizing, and leading. This section of the paper will look at these individual functions closely. Planning involves the "ongoing process of developing the business' mission, and objectives, and how they will be accomplished." The planning process can be used in a broad sense to take into account the whole organization. This will include devising the company's mission and vision. It can also be applied in a specific situation such as the formulation of a strategy to increase the company's market share. Organizing, on the other hand, refers to the creation of the company's organizational structure. This involves determining the functions to be done as well the resources to accomplish them. Organizing also includes how processes will be managed and coordinated. In summary, the organizing function encompasses how managers distrib ute tasks to job holders and focus on division of labor, coordination, control of tasks, and flow of information within the organization. The third managerial function is leading to other writers refer to this function as directing. Leading "is influencing people's behavior through motivation, communication, group dynamics, leadership, and discipline." The real essence of leading is for the manager to equip the employees with their needs to realize the organization's objectives while giving them room to achieve their respective career objectives. Controlling is the managerial function which necessitates the identification of the company's specific goals. Controlling is a "four-step process of establishing performance standards based on the firm's objectives, measuring and reporting actual performance, comparing the two, and taking corrective or preventive action as necessary." Put simply, the controlling function of management is the check and balance system which tries to reveal th e inefficiencies in the strategies employed in realizing the goals of the organization. Controlling is very significant as it tells the managers the loopholes and enables them to correct their systems in order to enhance the company's performance. The operation is one of the functional areas of an organization. Operations management is essentially the area which carefully manages the processes of the company's value chain in order to efficiently produce and distribute its products and servicesÃ'Ž Operations management is indispensable in the functioning of any business organization may it be a small start-up entity or a large manufacturing firm. Operations management deals with the management of the company's core activity. Therefore, the functions of operations managers vary with the major activity of a business entity. The operation manager of a company engaged in the manufacture of childrenââ¬â¢s toys is basically tasked to oversee the firmââ¬â¢s value chain from the procu rement of raw materials, assembly, sales, and after sales services such as handling of complaints and warranties. On the other hand, the operations managers of a service company like a spa handles day to day activities like management of workforce to service the customers.
Wednesday, February 5, 2020
Write up Essay Example | Topics and Well Written Essays - 500 words - 1
Write up - Essay Example fasalt and marble schiet which according to Erickson were formed through heat and pressure that made them to melt miles below the sea level (Erickson 59). The rain energy played a leading role in transporting these grains. The age of this fountain formation is 300 million years and its height is approximately 10000 feet high. At the Morrinson, there were the lyons and lykins formations that were formed about 251 million years ago. With respect to color the formations comprise of green, gray and maroon clay stone as well as mudstone. This formation was necessitated by movement and deposition of grains. There is also the presence of fossil deposits including dinosaur bones. This is exemplified by their wavy layers of muddy limestone that is indicative of stromatolites. The movement of the grains is attributed to rain energy that is also responsible for the weathering process. Their size according to Erickson is 400 feet thick (Erickson 59). With respect to the period of formation, it is a bit difficult to tell because this is largely depended on the kind of sediment carried in suspension as well as how well this is deposited. A walk through the Dakota formation offered useful insights regarding sandstone formation. In this, there was a continuity of various sandstone beds located at distinct spots along the road. Also, there were different sedimentary structures. These variations in the layers imply that the process of formation is continuous and not static. Notably, each layer was formed during a specific period with the bottommost layer having been formed earlier than the topmost layer. This shows that the process of deposition is continuous and being experienced even today. This is because the rain energy that necessitated previous depositions is still being experienced in the region. This structure also offers useful information about the deposition rate experienced in distinctive years. Notably, the layers differ considerably in size. This shows that the
Tuesday, January 28, 2020
Ebola Virus: Structure, Pathogenesis and Treatment
Ebola Virus: Structure, Pathogenesis and Treatment Named after the river valley in Zaire, now known as the Democratic Republic of Congo, where it was first recognized, Ebola began its publicity in the spotlight of an epidemic. It is one of two members of RNA viruses called Filoviridae. Filoviridae were first discovered 9 years before the initial outbreak of Ebola, in 1967, in workers who were exposed to blood from African green monkeys imported from Uganda that had the Marburg virus [6]. The family Filoviridae constitutes, together with the families Paramyxoviridae and Rhabdoviridae, the order Mononegavirales. Within the family there is a single genus, filovirus, and a separation into two sero-/genotypes, Marburg and Ebola [6]. Filoviruses are classified as Biological Level 4agents [5] based on their high mortality rate, person-to-person transmission, potential for aerosol infectivity, and absence of vaccines and chemotherapy [6]. There are five identified subtypes of the Ebola virus. Four of the five have caused disease in humans: Ebola-Zaire, Ebola-Sudan, Ebola-Ivory Coast and Ebola-Bundibugyo. The fifth, Ebola-Reston, has caused disease only in primates [2]. In 1976, the first subtype of Ebola was discovered, Ebola-Zaire. A local was admitted to a hospital in Zaire with a fever. The nurse assumed he had malaria and gave him a quinine shot. When the patient went home he died and a traditional African funeral was organized. In preparation, the woman from his family removed the blood from his body with their bare hands; most of the women died shortly after [4]. Meanwhile, the nurses at the hospital reused the needle for the quinine injection without sterilizing it, spreading the virus to everyone who came in contact with it. A doctor was called in to show how to sterilize their needles, purify their water, and give tips on how to bury the bodies that were now piling up. Quarantine followed after an autopsy was performed on a corpse and was held until every person who had contracted the virus had died [4]. Ebola-Zaire spread through the hospitals through reused needles and dead bodies, claiming an average 82.6% fatality rate from 1976 to 2003 [5]. The Zaire strain claims the most outbreaks and highest fatality rate of any strain of Ebola virus, although, it is not the only strain to take lives. As the Ebola-Zaire strain was being discovered the Ebola-Sudan strain also emerged. The first case appeared in a worker exposed at a cotton factory. The second case caused the death of a nightclub owner when he was introduced to an unsterilized needle [4]. Scientists were able to isolate these events, but a reemergence in the same location cased a smaller epidemic to occur just 3 years later in 1979. It rested at an overall 53.76% fatality rate spanning from 1976 to 2003 [5]. Ebola-Reston caused disease in a group of Macaques; some of the people exposed to the virus developed antibodies and none became ill [1]. The Ebola-Ivory Coast strain has only one known case of infection, that of a scientist dissecting a wild chimpanzee in 1994. The scientist fully recovered from the strain. Given the low infection rate, Ebola virus natural habitat s to this day remain unknown [2]. Structure Seen through an electron micrograph, the Ebola virus appears as long rods, 800-1000 nanometers in length. The filamentous structure is often found in a distinguishing U-shape arrangement, but is pleomorphic; meaning it can take on many shapes. Other shapes include branched, circular, or a 6 shape. The outer envelope of the virion is covered in small spikes, made of virally encoded glycoproteins [12]. These spikes are 7nm long, spaced 10nm apart, and allow the virus to attach itself to host cells. Ebola virus is an enveloped negative-sense RNA virus which is associated with zoonotic infections in humans [8]. Its genome consists of a single-stranded molecule of non-segmented, negative-sense RNA. The RNA is noninfectious, not polyadenylated, and complementary to polyadenylated viral subgenomic RNA species [6]. Gene signals are distinct by transcriptional start signals at their 3à ¢Ã¢â ¬Ã ² (3à ¢Ã¢â ¬Ã ²-CUNCNUNUAAUU-5à ¢Ã¢â ¬Ã ²) and the termination signals at their 5à ¢Ã¢â ¬Ã ² (3à ¢Ã¢â ¬Ã ²-UAAUUCUUUUU-5à ¢Ã¢â ¬Ã ²) end [6]. The RNA is enclosed by a capsid known as the nucleocapsid. The nucleocapsid is formed by viral proteins, primarily VP24 and VP35. The space between the outer viral envelope and the nucleocapsid is known as the matrix space. Several viral proteins are located in the matrix space. Although little is known about the molecular mechanics of filoviruses, scientists focus on the mechanics of viral proteins as they are thought to function p rimarily as immune antagonists. Viral protein 24 (VP24), functions primarily to inhibit a signaling pathway known as JAK-STAT. The JAK-STAT pathway is a secondary method of transmitting information from chemical signals outside the cell, through the cellular membrane and into the cell. By inhibiting this signaling pathway, several cellular activities are disrupted including transcription. Studies have identified several regions within VP24 that are important for nucleocapsid formation [8]. As part of the bodys first line of defense against viral infections, interferons, which are released by lymphocytes during a non-specific immune response, disrupt a viruss ability to replicate. Viral protein 35 (VP35) is thought to play a central role in the synthesis of viral RNA, serving as an interferon antagonist [12]. The degree of interferon antagonist production is said to determine the pathogenicity of the virus and may account for the varying degrees of virulence among different strains of the Ebola virus [12]. Additionally, VP35 is critical for viral replication, suppression of RNA silencing, and nucleocapsid formation [8]. The viral protein 30 (VP30) is known to act as a transcription activator. Studies have suggested that VP30 halts the host cell transcription complex at its start site allowing the Ebola virus transcription to begin [13]. A nonstructural glycoprotein has only been discovered with viruses of the Ebola type. This protein, designated sGP, shares ~ 300 N-terminal amino acids with glycoprotein, but has a different C terminus (~70 amino acids) containing many charged residues as well as conserved cysteines [6]. Ebola virus glycoproteins, specifically the envelope-glycoprotein and the secretory-glycoprotein, play critical roles in the pathogenesis of the virus. The envelope-glycoprotein is responsible for receptor binding and fusion of the virus with host cells. Because Ebola is an enveloped virus, cleavage activation of membrane glycoproteins is essential for fusion between the viral envelope and the host cell membrane. This fusion allows the virus entry into host cells. The secretory-glycoprotein is secreted from infected cells [12]. Glycoproteins can also produce cytotoxicity by inducing cell rounding and detachment of cell surface integrins [9]. Specific cells targeted by Ebola virus differ depending on the strain of virus. Studies have shown glycoproteins of Zaire Ebola virus induced pathogenic changes in endothelial cells in both human and primate cells, where Reston Ebola virus glycoproteins induced similar effects in the primate cells but not in the human cells [12]. Endothelial cell dysfunction is thought to explain hemorrhagic characteristic of filovirus infections [12]. Often the proteins target the endothelial cells lining the blood vessel wall, which eventually leads to internal bleeding. Replication Replication of RNA viruses differ from that of DNA viruses in several ways. One important difference is that replication occurs in the cytoplasm of the host cell, and not in the nucleus. The virion then releases an enzyme into the cytoplasm, known as RNA-dependent RNA transcriptase, to begin transcription of positive-RNA. This positive strand of RNA then acts as the template for viral protein translation [7]. The virus proceeds to integrate itself into the DNA of the host cell allowing the viral RNA to become part of the host cells genetic material. The virus (at this point called a prophage) now can replicate every time the host cell replicates. Ebola virus replicates via both lysogenic and lytic phases. The lysogenic cycle is a process in which the virus enters the host cell but doesnt immediately destroy it. The virus enters through endocytosis in which the entire encapsidated virion is engulfed and released into the cytoplasm of the cell. After some time, the prophage is excised from the chromosome and the cell reenters the lytic phase, where the host cell lyses and newly assembled virions are released. At this point, symptoms of viral infection become evident [13]. Pathogenesis and Manifestation The Ebola causes the disease Ebola hemorrhagic fever. Within the first week of contracting the virus, mild headaches occur. The headaches intensify and flu-like symptoms, backache and chills are present. Fever, diarrhea, fatigue, and nausea then set in. Vomiting may occur within the first two weeks. By the end of two weeks, coughing and vomiting of blood occurs. Late symptoms arise. Blood purges from the mouth and rectum; eyes, ears, and nose follow. The eyes begin to inflame and the genitals swell. Rash overtakes the body, often containing blood. Seizures, coma, and delirium ensue. Death commonly comes from shock rather than blood loss [10]. Hemorrhaging is generally found macroscopically in most organ systems in human death scenarios. Focal necrosis in the liver, lymphatic organs, kidneys, testes, and ovaries are observed under a microscope. Incubation of the virus ranges from 2 to 21 days depending on the strain; the subtype Zaire is 4 to 16 days [6]. Treatment There is no known cure or standard treatment for Ebola hemorrhagic fever. Antivirals generally given to fight similar viral infections do not work well against the Ebola virus. Those who are infected can only receive supportive treatment for their symptoms until their body is able to fight off the virus. Most importantly, the patients blood volume and electrolytes are maintained to prevent the patient from going into shock. Fever, blood pressure, and oxygen levels are also monitored. The best option is to prevent infection through early diagnosis and isolation when outbreaks occur. Although cases are rare, vaccines can be a vital tool. Filoviruses can be harvested from wild monkeys in possibly infected areas to process for future vaccines. Epidemiology and Avoidance Since the natural reservoirs are unknown, prevention is merely suggestion. Wearing protective equipment such as gloves, masks, goggles, gowns, and practicing sterilization is recommended when in contact with the virus. When traveling to epidemic areas, its important to wear such equipment, and learn of possible symptoms as a preventive measure. The goal is to avoid contact with blood or secretions of any patient, as person-to-person contact is the main route of infection in human outbreaks. Premise concludes an infected animal is the primary determinant for contracting Ebola virus. Transmission can occur from direct contact with blood and/or secretions prevalent when caring for the infected [3]. History of the virus shows that nosocomial transmission provides high outbreak potential when sterilization is not practiced consistently. In lab setting, research suggests Ebola has the ability of spreading through airborne particles, but this type has not been documented among humans in a real-world setting [2]. In the case of a diagnosis, several infectious diseases need to be considered before making a proper diagnosis of filovirus. Detection can be done in the lab by measuring the host-specific immunological response to the infection, or by detecting viral antigens and genomic RNA in the infected host [6]. Conclusion The Ebola virus poses significant threat to humans and animals. Although the incidence of outbreak is low, the infection is very serious and often fatal. So far, Ebola has been confined and isolated but there is always a risk of it spreading rapidly to the rest of the world. Without effective treatment and prevention the threat is enhanced. More extensive knowledge is needed to understand how the virus spreads and its development, specifically Ebolas natural reservoir. Therefore, while traveling the world, people should be aware of the threats from the Ebola virus in order to avoid infection, and hopefully scientists will do their best to develop a treatment and vaccination. McDonalds in Beijing: Localization of Americana McDonalds in Beijing: Localization of Americana Summary: According to me the Author talks about the recent changes in the Chinese society and the new tendency to adopt the foreign culture influences and transform them into local institution which was restricted by the Chinese political system during the Maoist era. The important points made in the article are as follows: Acceptance of foreign culture influences. Beijing customers are the active partners in the process of localisation. Representation of McDonalds as Americana and the promise of modernisation. People patronize McDonalds to experience a moment of equality. Making experience at McDonalds restaurants exotic, American, and to a certain extent, modern. Genuineness of McDonalds food that is being identical to its American counterpart. Attraction to McDonalds by its American style rather then its food. McDonalds interpretation of its food as a foreign form of xianbing. The culture of fast food attracting the Beijing consumers. A way to take part in transnational cultural system. At McDonalds, eating environment is considered as romantic and comfortable. McDonalds experience is treated as a chance to explore American culture and give their young one a special treat. McDonalds representation as a symbol of American Culture has led them to accept new patterns of behaviour. Willingness to accept the exotic culture and social behaviour in general. McDonalds treated as a place to gain status. Efforts made to adapt Chinese cultural settings. McDonalds as a place to hang out McDonalds creating a family atmosphere for Beijing customers. Personal interaction with customers. Beijing customers want their children to learn American culture. Finally the author concludes saying, McDonalds has transformed into middle class family establishment, where people can enjoy their leisure time and experience a Chinese version of American culture. Critical Review I think that the article is relevant in todays world and the localization process mentioned by the author in the article. For any multinational company it is necessary that they try to adopt the home countrys culture i.e. tries to bring the home culture in their goods and services. As said by Mingsheng Li, a senior lecturer in the Department of Communication, Journalism and Marketing at Massey University in Wellington, New Zealand, the degree of localization largely determines the degree to which a business succeeds or fails in a given country. The more the company works toward localization, the more likely it will be successful. It is necessary to understand ones culture and traditions and respect their tastes. But what is localization? To attract the target market, a product is made linguistically and it is culturally appropriate. When a company plans for global expansion, it is involved in the process of communication with local customers. Therefore it is necessary for the company to get familiar with local culture, study different customs, and make proper adjustments to their strategies according to the varied response of customers. The best example would be McDonalds in India. Majority of people in India are vegetarian. So McDonalds introduced range of vegetarian food in their outlet with the added flavor of American culture in it. McDonalds also priced their product according to the income of common people in India. Indian consumers were aware f the fast food culture, but the fast food in India was unhealthy and unhygienic. Introduction of McDonalds in India brought about the change in the fast food culture of India. The burgers were priced at Rs 20 which was affordable for an average middle class family. If McDonalds did not adopted localization strategy in China i.e. if they did not adopted the Chinese culture and traditions and the consumers taste, it was a failed project and the people of china would have banned it just like the French company Carrefour, hypermarket chain with more than 100 stores in major cities in China. The company had donated a large sum of money to the Dalai Lama. Calling for a boycott against French goods, Chinese nationals also called for a boycott against tourist travel to France. (Mingsheng Li, a senior lecturer in the Department of Communication, Journalism and Marketing at Massey University in Wellington, New Zealand). According to the article presented by the author it talks about the recent changes in the Chinese society and the new tendency to adopt the foreign culture influences and transform them into local institution which was restricted by the Chinese political system during the Maoist era. I strongly agree with the article and its process of localization strategy. The brand name of McDonalds was already there in the minds of Beijing customers. And before the McDonalds entered the Chinese market, the people of Beijing were fond of the American style and its culture. They were keen to learn the American or the Western culture. And when McDonalds entered the Chinese market on 23rd of April 1992, it served more than 40000 customers on the first day. This shows that the Beijing consumers were waiting for such kind of change in China, where they can experience the American or the Western culture. McDonalds has always been a fast food restaurant. The fast food in China was expensive and unhealthy. As mentioned in the article, in the eyes of the Beijing customers McDonalds represents Americana and the promise of modernisation. People also patronize McDonalds to experience the moment of equality. But McDonalds mad sure that they follow Chinese culture and Tradition and also keep up with the taste of the consumers to be successful in Chinese market. Some of the strategy adopted by McDonalds to attract the customer is Online chats Madden, Normandy; Wentz, Laurel. Advertising Age, 7/31/2006. For its its growth strategy in mainland China, McDonalds has created a live online chat series with the popular portal Sina and Askme.com.cn, a website launched by McDonalds in the mainland. Consumers can interact with leading sports, entertainment and business figures. The first one-hour episode Aug. 1 in Beijing will feature Houston Rockets basketball star and Shanghai, China, native Yao Ming, who signed a multiyear global partnership deal with McDonalds in 2004. The online initiative has no target age group, The program aims to provide consumer-focused education and encourage active, balanced lifestyles, but also be seen as an effort to ward off potential concerns about the nutritional content of fast food in general in China. Opens drive-through in China Madden, Normandy, Wentz, Laurel, Advertising Age, 00018899, 1/30/2006. Chinas rapid transformation into a car culture had led McDonalds to open drive thru in China. Drive-through sites, which account for a large proportion of McDonalds sales in the U.S., reflect Chinas rapid transformation into a car culture. With almost 6 million automobile sales last year, China has surpassed Japan and is now second only to the U.S. in annual car sales in the year 2006. This kind of strategy is a sign of bringing the American culture in China. But they are keeping in mind about the culture and traditions of China.
Monday, January 20, 2020
Essay --
Diabetes mellitus is a chronic metabolic disease characterized by high blood glucose levels (hyperglycemia) due to absolute (Type 1 diabetes) or relative (Type 2 diabetes) deficiency of insulin hormone (World Health Organization, 1999). Diabetes affects almost every organ system in the body due to metabolic problems caused by hyperglycemia, especially in undiagnosed or uncontrolled individuals (World Health Organization, 1999). Until recently it was believed that diabetes affected mainly developed countries, but recent research reveals an increase in the number of type 2 diabetes cases in developing countries (Chuang, 2002; Kinra, 2010; Narayanappa, 2011). Diabetes is associated with complications such as cardiovascular diseases, renal failure, loss of vision and neurological impairment, which can lead to a chronic disease state and even death (American Diabetes Association, 2004). The World Health Organization (WHO) estimates that more than 350 million people worldwide have diabetes. Almost 80% of deaths caused by diabetes occur in countries with low income. According to WHO, India is currently the country most affected by this disease with more than 32 million diabetic patients (Mohan, 2005). Background Insufficient response to insulin in what causes diabetes. The pancreas, an accessory gland of the digestive system, is the organ that produces insulin (ref Human Biology Book). The pancreas has a dual function because it features as both an endocrine and an exocrine gland. The part of the pancreas with endocrine function is organized in cell clusters called islets of Langerhans, which contains four main cell types that can be classified according to their secretion: alpha cells secrete glucagon, beta cells secrete insulin, del... ...cose multiple times each day and dealing with the various highs and lows (both physical and emotional) of life with diabetes can make all the difference. Conclusions To prevent diabetes related morbidity and mortality, there is an immense need of dedicated self-care behaviors in multiple domains, including food choices, physical activity, proper medications intake and blood glucose monitoring from the patients. Though multiple demographic, socio-economic and social support factors can be considered as positive contributors in facilitating self-care activities in diabetic patients, role of clinicians in promoting self-care is vital and has to be emphasized. Realizing the multi-faceted nature of the problem, a systematic, multi-pronged and an integrated approach is required for promoting self-care practices among diabetic patients to avert any long-term complications. Essay -- Diabetes mellitus is a chronic metabolic disease characterized by high blood glucose levels (hyperglycemia) due to absolute (Type 1 diabetes) or relative (Type 2 diabetes) deficiency of insulin hormone (World Health Organization, 1999). Diabetes affects almost every organ system in the body due to metabolic problems caused by hyperglycemia, especially in undiagnosed or uncontrolled individuals (World Health Organization, 1999). Until recently it was believed that diabetes affected mainly developed countries, but recent research reveals an increase in the number of type 2 diabetes cases in developing countries (Chuang, 2002; Kinra, 2010; Narayanappa, 2011). Diabetes is associated with complications such as cardiovascular diseases, renal failure, loss of vision and neurological impairment, which can lead to a chronic disease state and even death (American Diabetes Association, 2004). The World Health Organization (WHO) estimates that more than 350 million people worldwide have diabetes. Almost 80% of deaths caused by diabetes occur in countries with low income. According to WHO, India is currently the country most affected by this disease with more than 32 million diabetic patients (Mohan, 2005). Background Insufficient response to insulin in what causes diabetes. The pancreas, an accessory gland of the digestive system, is the organ that produces insulin (ref Human Biology Book). The pancreas has a dual function because it features as both an endocrine and an exocrine gland. The part of the pancreas with endocrine function is organized in cell clusters called islets of Langerhans, which contains four main cell types that can be classified according to their secretion: alpha cells secrete glucagon, beta cells secrete insulin, del... ...cose multiple times each day and dealing with the various highs and lows (both physical and emotional) of life with diabetes can make all the difference. Conclusions To prevent diabetes related morbidity and mortality, there is an immense need of dedicated self-care behaviors in multiple domains, including food choices, physical activity, proper medications intake and blood glucose monitoring from the patients. Though multiple demographic, socio-economic and social support factors can be considered as positive contributors in facilitating self-care activities in diabetic patients, role of clinicians in promoting self-care is vital and has to be emphasized. Realizing the multi-faceted nature of the problem, a systematic, multi-pronged and an integrated approach is required for promoting self-care practices among diabetic patients to avert any long-term complications.
Sunday, January 12, 2020
The Messenger Eulogy
I Father Oââ¬â¢reilly am privileged to have gathered amongst you all today, to give another perspective of a man who was not ââ¬Å"just Edâ⬠. He never gave himself great value but in my eyes he was a saint walking among us. I will never forget the moments and favours that Ed has shared with me. Ed, as many would say was a useless cab driver but in truth, I would say he was more of an inspiration and certainly it was an honour to have met this young gentleman. I still remember the day when I first met Ed. It was just a usual lonely night, when this young man showed up at my doorstep.I must say my first impressions of Ed were certainly very unique. Firstly the state of his jacket and not to mention the fact that he put four sugars in his coffee which made me slightly concerned. I never really got to ask Ed what he thought of me, I sort of knew he considered me a bit different to the rest especially being a priest and talking the way I do. There was that something about Ed whic h made him very special, I donââ¬â¢t know whether it was his innocent face or just the way he spoke but it seemed as if he had a passion to make things right in life.Words cannot describe how appreciative I am to this young boy, he has provided me a new perspective on how to live life. Ed visited me on a couple of occasions sometimes with his two friends Audrey and Marv. It didnââ¬â¢t take him long to realise that there werenââ¬â¢t many people who would visit my church. Ed took this matter into his own hands and it seemed as if he was determined to find a way to fix my problem. It was only a couple of days after visiting me on Sunday when Ed came barging through the front door with an idea on how to get people into my church.I must say I was shocked when I first heard the idea providing free beer in the church. I still remember the first thing I said to Ed was that I donââ¬â¢t have the money to cover the costs of such an aactivity. Ed ironically said to me ââ¬Å"just ha ve a little faithâ⬠and walked away. I wondered at this point as to why he is doing so much for me when I barely even knew him from a bar of soap. There was certainly something which was pushing Ed to do all this for me but I never tried to interfere with his reasons. The next time I met Ed was on the day of the party at the church.I donââ¬â¢t know how many faces Ed has put a smile to, but one thing I can say for sure is that the happiness I achieved from that one day alone was something I doubt will ever come along in my life again. The number of people I saw in my church that day was never to be seen before, although the most important moment for me was when I reunited with the one man who I was longing to talk to. If I had the chance to change one thing with Ed, then that would be letting him know how grateful I am of all he has done for me. Besides what Ed has done for me, I have also heard about what he has done for others.The one I have heard about the most is the ice cream he bought for a lonely mother. It is certainly great to see that there are still people out there who are willing to go out of their way to help others. From the bottom of my heart I again would like to thank you for everything you have done for me Ed. Others may call you average, ordinary or even useless but to me you will always remain a saint. I still donââ¬â¢t know what your motivation was behind all that you have done for me Ed, but all I will say is that may there be more men like you in this world. May your soul rest in peace, god bless.
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