Diabetes Screening Young People Uae Health And Social Care Essay

Diabetess is a debatable wellness disease in the UAE. The proportions in the population are lifting at an dismaying rate. There are many factors giving rise to it, such as fleshiness, incorrect diet, unhealthy life styles and more. The authorities and health care institutes are seeking to do people cognizant of the dangers of diabetes, both for those who have it and those predisposed to it. This paper will look at a possible wellness publicity program of testing for diabetes and pre-diabetic conditions for immature people in the UAE. The Ottawa Charter for Health Promotion ( 1986 ) can be straight related to the wellness publicity and wellness instruction undertaking of testing for diabetes and pre-diabetic conditions for immature people in the UAE. There are five distinguishable countries related to this. Building of healthy Public Policy: This means that the authorities and the related wellness sections should be cognizant of the impact of the relevant policies and determinations with respect to their determinations every bit far as diabetes are concerned. All of these include better resource use, Torahs, societal policies and joint and combined action to raise consciousness and Foster better health care for diabetes. Obstacles to the publicity of the diabetes testing procedure demand to be removed and the manner cleared to implement the program easy. Creation of Supportive Environments: The complexness and interrelation of the UAE society demand to be acknowledged. Health issues, particularly diabetes, are connected to the people, life styles and the environment. There is a demand to follow healthy life styles and strike a balance between work and leisure. Peoples will be made cognizant that they can non merely work, but need to exert excessively, as exercising plays an of import function in diabetes control. The community needs to be educated in this respect. Strengthen Community Actions: For an effectual diabetes undertaking, it is indispensable that the community has ownership and duty in the procedure. In the UAE the populace must hold full entree to information, instruction chances and funding with respects to the diabetes wellness programme. Developing personal Skills: The diabetes wellness publicity program must learn people every bit good as provide acquisition chances about the unwellness so that people will be cognizant of their diabetic status and have the ability to move on it and so hold more control over their wellness and determinations sing it. Reorient Health Services: This is the shared duty between persons, community groups, wellness professionals, wellness service suppliers and establishments and the UAE authorities which will work together to set up the showing procedure for diabetes. ( Scribd. ; WHO, The Ottawa Charter for Health Promotion, 1986 ) . The Ecological Approach in Planing a wellness undertaking for the Screening for Diabetes and Pre-Diabetic Conditions for immature people in the UAE: In the design of the proposed wellness publicity undertaking, the â€Å" ecological attack † of Sallis et Al. ( 2006 ) , will be used. The ecological attack is connected to multilevel intercessions. These are based on ecological theoretical accounts and mark persons, societal environments, physical environments and policies, all of which must be implemented to accomplish population alteration in physical activity. In public wellness, ecological theoretical accounts are those connected to people ‘s interaction with their physical and socio-cultural milieus. In this regard the proposed diabetes undertaking of wellness publicity will utilize these thoughts. As in the Sallis et Al. ( 2006 ) survey, the thought of physical activity will be promoted as portion of the diabetes programme. It has been shown through research that vigorous exercising, such as jogging or aerophilic exercising, for at least 20 proceedingss at a clip, three or more times per hebdomad, can assist in advancing wellness every bit good as prevent many chronic diseases. Subsequently, in the mid- 1990s, the thought evolved in the 30 proceedingss of moderate activity, such as alert walking per twenty-four hours to supply wellness benefits. This construct of activity will be the 1 that will be promoted to the populace in the UAE. All the benefits of such sustained activity and its associated benefits will be advertised and passed on to the populace. It will organize portion of a sustained educational procedure related to diabetes and show people how they can pull off the disease if they have it, or how to forestall it. In order for this to be effectual, and the people to follow an attitude of ‘active and healthy ‘ life, multiple intercessions are necessary. The countries to be addressed are: persons, societal environments, physical environments and policies. Persons: people must be made cognizant ( educated ) about the dangers of a sedentary life style. Inactivity has more negative than wellness benefits. Peoples need to travel and acquire approximately. It has been proven that those with diabetes can keep a better wellness position ( Deakin et al.2005 ) . Ecological theoretical accounts are of import for physical activity publicity. In a public wellness scene, ecological theoretical accounts are the people ‘s interaction with their physical and socio-cultural milieus. This includes the environmental and policy variables that will act upon behaviour. Whereas the environment is clear, the policy relates to the authorities ‘s role- therefore the UAE authorities has a large function to play in providing the fiscal resources for the promotional program of instruction and interventions, every bit good as the substructure, such as recreational Parkss, walking paths, swimming pools and other exerting installations. As portion of the diabetes promotional program for the UAE some requirements are needed in the ecological theoretical account: Safe, attractive and convenient topographic points for physical activities Execution of motivational and educational plans for the usage of the exercising topographic points Involving and use of mass media and community organisations to educate and alter societal norms and civilization ( educate about diabetes- intervention, direction and bar ; benefits of exercising ; healthy feeding & A ; weight direction ) . The four chief countries in the planned publicity program will be as follows: Policy Environment: This involves the wellness Departments, diversion installations, Government, schools, media and all other substructure and policies. Behaviour Settings: The handiness of walking installations, wellness attention, vicinity, school environment and others impacting individuals. Behavior: Active Life Spheres: diversion, place activities, transit, occupation activities and how these associate to people. Perceived Environment: safety of the country, attraction, convenience and handiness, which will play a function in the intercession of diabetes and the direction of it ( Scibd. ( n.d. ) .Theory behind the Health Promotion Plan:The plan will be based on theory of community edifice every bit good as community organisation theory. The plan is intended to be led by users and ordinary people, in coaction with aid from wellness professionals and wellness institutes and authorities. Peoples will be shown how to authorise themselves and to better their quality of life. The community will be empowered, and will work on specific issues linked with other groups. A corporate action will come about through political and societal action ( Ottawa Charter, 1986 ; Sallis et al.2006 ) .LITERATURE REVIEW:A survey by Murdoch and Townsend, UAE University, Al Ain, reflects on the incidence of diabetes in the UAE, and specifically in Fujairah. They argue that efficient diabetic attention involves primary, personal and go oning attention as critical parts of a conjunct attempt to better the results for patients with this upset. The direction of cardiovascular hazard factors of high blood pressure, fleshiness, and coffin nail smoke are relevant ends in primary attention. Harmonizing to them, diabetes patients necessitate self-care and good primary wellness attention. Overall, the direction rests with the patient, health care institutes and a chiseled national wellness policy. The best advice must be available to patients and primary wellness attention bringing. In the UAE, there are 260 familial diseases reported. The Centre for Arab Genomic Studies, based in Dubai, identified another 16 upsets in the Arab population. Of these, diabetes is a prevailing 1. The familial testing signifiers portion of the national policy to demo whether persons have an familial temperament to a certain disease. This would besides assist for those meaning to acquire married in order to find if the kid might be affected by the disease ( Khalaf and Underwood, 2010 ) . Harmonizing to a United Nations Health Study, figure of type 2 diabetes in the United Arab Emirates ( UAE ) is amongst the highest in the universe. It is projected that by 2020, approximately 32 % of the grownup population ( age 20-79 ) , including both UAE subjects and exiles, may hold diabetes or pre-diabetes. The costs could surge to about $ 8.52 billion ( USD ) , the equivalent of AED 31.27 billion, over the following decennary if current tendencies continue. This means that one in three grownups from all degrees of UAE society will hold diabetes. However, most of the of instances of pre-diabetes and about 35 % of instances of diabetes in the UAE remain undiagnosed, stand foring lost chances to avoid the costs and complications of a mostly preventable disease. The survey continues to state that Type 2 diabetes which is a common, chronic and potentially crippling disease, affects a wide scope of persons. It affects anyone regardless of cultural or socioeconomic background. It has been shown that weight is a large job in diabetes. Peoples do non cognize that fleshiness, pre-diabetes and diabetes is related conditions that create a unsafe, yet preventable, wellness jobs. Harmonizing to the World Health Organization, approximately 73 % of big adult females and 66 % of work forces are fleshy or corpulent in the UAE. Through this the state is in the top five worldwide in the fleshiness bets. Medical costs attributable to diabetes and pre-diabetes in the UAE are forecast to increase to possibly $ 1.04 billion ( AED 3.82 billion ) by 2020, stand foring a 58 % addition from an estimated $ 657 million ( AED 2.41 billion ) in 2010 ( UNH 2009 ) . This outgo is confirmed to make $ 250 million by 2012, by another survey ( free Press Release, 2010 ) . Fortunately, the figure of diabetes instances can be reduced by early, aggressive intercession. Screening trials, lifestyle alterations and disease direction can assist forestall Type 2 diabetes for those who have it and forestall it for those who are screened to demo that they can acquire it.Mesbah ( 2010 ) studies that the latest figures ( July 2010 ) from the International Diabetes Federation, show that 18.7 % of the UAE grownup population is affected by diabetes, the 2nd highest prevalence worldwide after the Pacific Ocean island of Nauru. This is harmonizing to Dr Maha Taysir Barakat, OBE, Medical & A ; Research Director and Consultant Endocrinologist at Abu Dhabi ‘s Imperial College London Diabetes Centre ( ICLDC ) . A call was made on the authorities to step in in advancing an consciousness and educational run to raise consciousness of the dangers of being fleshy and to exert more. Peoples were to be encouraged to keep a healthy weight and to do usage of the Parkss and r ecreational Centres every bit good as spell for walks on the Corniche countries, such as in Dubai and Abu Dhabi. However, any signifier of exercising, and particularly, walking which is easy to transport out, was to be encouraged. Along with this is the lifestyle alteration and diet consciousness. This would debar a diabetic epidemic and set less emphasis on health care installations and healthcare outgo.In 2007, the Dubai authorities started an enterprise to raise diabetes awareness and lifestyle alteration. AMEinfo ( 2007 ) reported that the UAE Ministry of Health ( MoH ) and BinSina Pharmacy have joined forces to protect UAE subjects and occupants from high blood force per unit area, cholesterin, diabetes and fleshiness via a multi-phase, countrywide run.As portion of the consciousness run, an one-year walk has been organized by the Imperial College London Diabetes Centre. In Abu Dhabi, on November 26 2010, the biggest crowd of all time was led by His Highness Sheikh Tahnoon bin Saeed bin Saif Al Nahyan. More than 15,000 people walked on the five kilometers trek around the F1 path at Abu Dhabi ‘s YAS Marina Circuit. This was, Walk UAE 2010, portion of the award-winning public wellness consciousness run under the backing of Her Highness Sheikha Fatima bint Mubarak ( Batnagur 2010 ) . A voluntary showing for diabetes was held in 2009 at a Mall in Dubai to find diabetes. Baxter ( 2009 ) studies that every individual voluntary who took portion in a UAE Ministry of Health testing trial for diabetes, was found to be overweight. This raised serious concerns about the province of the UAE ‘s wellness. Every individual out of the 400 voluntaries who took portion in the trials at Mall of the Emirates in Dubai, were found to be overweight, and weighed more than their recommended organic structure mass index ( BMI ) . The company, Sanofi-aventis, which conducted the trials along with the ministry, reported the consequences and said that it was â€Å" distressing † . All voluntaries were potentially at hazard from diabetes or bosom disease. This was due to the high BMI. The general director of the company said that the people needed to be educated more on eating healthily every bit good as exercising. As portion of the authorities ‘s enterprise of the battle against diabetes, Saberi ( Gulf News, 2010 ) reported that Dr.Razzaq Al Madani, the caput of the Emirates Diabetes Society, has called for a nation-wide diabetes testing programme. This was necessary to maintain path of this disease. The programme was aimed at testing the whole population. Although this was an ambitious program, the value, could non be underestimated. It will affect all physicians and all wellness attention installations, clinics and infirmaries. A month-long run organized by ExHealth, was opened by His Excellency Dr. Hanif Hassan Ali Al Qassim, UAE Minister of Health, as portion of the World Diabetes Day programmes in Dubai as portion of the Know Diabetes. This is a month-long run organized for the 3rd consecutive twelvemonth ( Middle East Events, 2010 ) . From the above it is clear to see that the authorities, every bit good as pharmaceutical companies is actively involved in raising the consciousness of diabetes among the occupants of the UAE. The exhibitions, awareness runs every bit good as large walks which involved 1000s, will certainly do people more cognizant. The lone job is that people still need to take duty for their wellness conditions.The PRECEDE- PROCEED Model:The PRECEDE-PROCEED theoretical account ( Green & A ; Kreuter, 1991 ) , provides a comprehensive construction for measuring wellness and quality-of-life demands. This theoretical account is utile for planing, implementing, and measuring wellness publicity. It can besides be used for other public wellness plans to run into the different demands. PRECEDE ( Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation ) outlines a diagnostic planning procedure. It assists in the development of a focussed public wellness plan. PROCEED ( Pol icy, Regulatory, and Organizational Constructs in Educational and Environmental Development ) guides the execution and rating of such plans which are designed by utilizing PRECEDE. PRECEDE consists of five stairss or stages ( Green & A ; Kreuter, 1999 ) . Phase one involves finding the quality of life or societal jobs and demands of a given population. Phase two consists of placing the wellness jobs and demands. Phase three involves analysing the behavioral and environmental issues of the wellness jobs. Phase four relates to the factors of the behaviours and life styles which are identified. Phase five involves determines which wellness publicity, wellness instruction and/or policy-related intercessions would best be suited to promoting the desired alterations in the behaviours or environments and in the factors that support those behaviours and environments. PROCEED is composed of four stages. the intercessions identified are implemented. procedure rating of those intercessions. measuring the impact of the intercessions on the factors back uping behaviour, and on behavior itself. last stage comprises outcome evaluation- checking on the ultimate effects of the intercessions on the wellness and quality of life of the population ( Green & A ; Kreuter, 1999 ) .Execution:With the Proceed-Precede theoretical account ( Green & A ; Kreuter, 1991 ) will be utilized in be aftering the procedure of the diabetes testing program. The targeted people will be assessed. By utilizing this theoretical account, the multiple determiners of wellness will be recognized. The plan will be started by making an appraisal of the quality of life and societal jobs of the people in the UAE, of which wellness is a conducive factor. In this instance the effects of diabetes on the lives of the people in the UAE will be studied. The whole thought of the wellness publicity program is the awareness-making of the state to the necessity of the showing for diabetes and pre-diabetic conditions of immature people in the UAE. Social, environmental and educational appraisal will be done to understand the demands of the community in the UAE ; prioritising them and puting plan ends. Administrative and policy assessment- Information gathered from the old stairss will be used to place the cardinal resources needed, every bit good as policies and ordinances that can impact the plan. Evaluation- this is a important measure: Procedure evaluation- the plan will be evaluated before the execution of the diabetes testing program Outcome evaluation- did the proposed diabetes testing program affect the patient ‘s cognition and wellness state of affairs ; did it hold the awaited consequence ( Scribd. ( n.d. ) . With the proposed program of diabetes testing, it is indispensable that the plan constituents are matched with the degrees of the persons, organisational and community alteration. Interventions need to be matched. A following stage will be to make the pre-test of elements that have non been tested before in the proposed age group in which the showing will be done. The 3rd stage takes into history the demands of the plan that will be aligned with other factors to from a blended, cohesive and comprehensive plan. This will take factors of administrative, organisational, regulative and policy position every bit good as alterations where needed, into history ( Green & A ; Kreuter 1991, p.191 ) .Schemes:The programme will be one of publicity of the benefits of showing.Secondary prevention- arrest advancementCommunity wellness publicity can besides be portion of the programme to demo how Diabetess can be managed -Diabetes Self direction Education Program- ( DSMEP ) .The first scheme will concentrate on the publicity and benefits of testing. Early sensing will take to early intervention and halting of the disease. For those identified with pre-diabetes, a wellness program can be devised. All the thoughts of the disease will be passed on top the people. This means educating the people. Secondary bar means placing those who have already developed the disease. The purpose is to halt the advancement. The whole population will be targeted. The end of the Diabetes Self Management Support Program ( DSMEP ) will be to authorise people in the community. It will be based on utilizing the hazard and wellness oriented attack to avoid post-complications of the diseases ( Deakin et al.,2005 ) .This plan will supply cognition, information and support for the development of necessary direction accomplishments. Patients can join forces with wellness professionals and wellness facilitators. All of the above will be accompanied by an consciousness plan. Life manner alterations and a supportive environment all through community bases will be emphasised. The premiss is that the right instruction programmes can assist people to cut down blood-pressure, organic structure weight, better quality of life and aid with their ain wellness intervention. If the wellness publicity program and showing are effectual, so the incidence of diabetes can be reduced ( Deakin et al. , 2005 ) . Existing spouses and cardinal stakeholders will besides be identified. These will be engaged in the plan. Different interest holders could be: Young Peoples in the UAE Residents with type 2 diabetes ; those with pre-diabetic conditions Established diabetes instruction and general programmes Doctors and Clinical Assistants and Nurses Health professionals from Diabetes Centres in the UAE Community wellness workers Other Local and National diabetes organisations Community leaders, and Schools UAE media ( telecasting, wireless, newspapers, cyberspace ) ( Scribd. ( n.d. ) .Other determiners of wellness:Thingss that can act upon wellness: Social factors – Age, sex, familial factors Personal factors – smoke, physical inaction, work & A ; school emphasis Social and community factor- faith, household, equal group Housing & A ; Living conditions – entree to wellness services, entree to leisure installations, regional location General economic, cultural and environmental conditions – Environment-good, friendly? Ad, Housing installations.Program Type:The plan will concentrate on the showing. Once patients have been identified, so they need to be advised approximately intervention every bit good as how to better wellness and the care of it. A focal point will be accomplishments constructing activities. Here life manner alteration, exercising and care of organic structure weight will be of import. The benefits of a healthy diet and abstention of smoke will besides be highlighted. If this goes down good, so the opportunities of developing diabetes type-2 will be minimized. Furthermore, the programme will learn those with diabetes how to pull off it.Structure and range of the planOther self-care activities in the program will be: Healthy feeding wonts Physical exercising and activities Monitoring of blood sugar degrees Medicine: the pickings of it Possible Problems of the above self-care activities: Social norms: To hold an inactive life style in the UAE has about become an acceptable â€Å" societal norm † . Most people here spend their leisure clip as a sedentary 1. A batch of people merely go to the Malls, sit at place feeding and watching Television, or those who go to parks, travel at that place to sit and eat once more. Merely a few are serious about exercising in the Parkss or on the beach. Then there is the instance of people driving everyplace they go ; people barely walk to stores or other topographic points. Personal factors: In the instance of aged people, they might non be able to walk. Even younger people do non walk a batch or want to be driven someplace. Merely a few immature people play athleticss. External factors: The environmental factors can hold an consequence on the activity degree of people. If the Parkss, walking paths or the beaches are excessively far, so less people, immature and old, will non travel and exercising ( Sallis et al.,2006 ; Scribd. ( n.d. ) ) . Social interaction: Some people will be more active if they are in a group or with active, like-minded people. Young people will play easier as a portion of a squad than as an person. Program Timetable: A timetable with timeframes will be devised. Specific sections will hold to be drawn up viz. :Needs appraisal of people involvedScreening plan of peopleProvision of self direction instruction for those with diabetesFollow up of planOutcome Evaluation of planEvaluation methods: ( Mulcahy et al. , 2003 ) In any plan, rating is really of import. This can be through studies and feedback based on specific inquiries: Is the testing procedure traveling as planned? Are all the stakeholders involved as set out at the planning phase? Is the plan participants ‘ representative of the mark audience? What is the degree of engagement? Has it decreased over clip? What are the budgetary costs? Can the plan be sustained? Outcome Evaluation: this refers to the appraisal of plan ends to find if noticeable alterations to behaviour, attitudes, or cognition have been attained as a consequence of the intercession ( Mulchay et al. , 2003 ) . Have participants achieved their self-identified duty ends ( e.g. , discontinuing baccy usage, eating less sugary things, taking a 10-20minute walk every twenty-four hours, specified taking stairss to cut down emphasis, practising proper unwritten wellness ) ? To what extent have participants improved on things such as weight, blood force per unit area, cholesterin, blood glucose degree? Make participants rate any or an betterment in their overall quality of life as a consequence of plan engagement? Challenges to Evaluation of the Plan: ( Green & A ; Kreuter, 1999 ) The Cost Challenge: Plan rating can be dearly-won The Time Challenge: Evaluation demands clip The Expertise Challenge: Experts are needed to make an analysis of the informations collectedDecision:From the scope of literature covering diabetes in the UAE, it is clear to see that there is a general concern about the disease of diabetes. It can be assumed that developing for self-management schemes in people with type-2 diabetes can be effectual in decelerating down complications. The value of a broad showing procedure for diabetes and pre-diabetic conditions for immature people can assist and help in the debilitating consequence the disease has on the UAE population. However, to implement this every bit good as a general wellness publicity program against diabetes will non be an easy one. The possibility exists that there can be several institutional, socioeconomic or political structural factors that could organize barriers to making so. This might be farther complicated by cultural and personal factors and beliefs. The proposed plan can be really successful when it can go por tion of bing programs of a national conjunct attempt taking into history wellness policies and the economic and political constructions of the UAE as a whole.

CASE: Pizza USA †An Exercise in Translating Customer Requirements Into Process Design Requirements Essay

Production & Operations Management Pizza USA is a chain of pizza restaurants that currently offers sit-down and take-out service. Many customers have said that they would buy more pizzas from Pizza USA if it offered a delivery service. This exercise is in two parts. In Part I, you play the customer. In Part II, you play the manager at Pizza USA who is responsible for developing the pizza delivery process design requirements. PART I To start with, you have to think like a customer. This should be easy since you probably have experience with ordering pizza to be delivered. Put that experience to work! Make a list of the attributes of pizza delivery that are important to you AS A CUSTOMER! As we said, this should be easy. Right? Or is it? In devising your list, consider the following: What must a pizza delivery service accomplish so that you are reasonably satisfied? Beyond your being reasonably satisfied, what could a pizza delivery service do that would make it really unique and create a differential advantage? In other words, what could a pizza delivery service do that might cause you to ALWAYS order from one particular service (and, perhaps, to pay more for the privilege)? Assume that this pizza restaurant can make whatever kind of pizza (and side items) that you want. PART II Now, put on your â€Å"Pizza USA manager’s hat.† For this part of the exercise, you will NOT be teamed with some other students. First, using the lists of all of your team members, create a master list. Next, try to group the items on your list under a series of major headings; for example, â€Å"condition of the delivered pizza† or â€Å"quick, on-time delivery† or â€Å"order accuracy,† and so on. Finally, make a list of the â€Å"pizza delivery process design requirements† that your pizza delivery process will have to meet. As you do this, think about measurable standards; in other words, what would you measure in order to ensure that your process is operating effectively and efficiently? Why do you think that these measures will be useful? Here’s an example of how a part of this analysis could go. One customer requirement may be that the pizza should be hot when it is delivered. The fact is that  as soon as the pizza comes out of the oven, it starts to cool. So, how could you keep the pizza from dropping below some minimum temperature before you hand it to your customer? †¢ Make sure that in question 3, you identify quantitative measurements. (See the second paragraph of Part II.) ASSIGNMENT 1 Make a list of pizza delivery attributes that are important to you as a customer. 2 Categorize your list of items under a series of major headings. 3 Make a list of pizza delivery process design requirements. Associate with each requirement a measure that would ensure that the process meets the requirement. CASE: Pizza USA – An Exercise in Translating Customer Requirements Into Process Design Requirements 1. Make a list of pizza delivery attributes that are important to you as a customer. Quick order taking: is important that when calling the restaurant to place the order, they answer and take the order in a timely manner. Pizza arrives on time: customers want their delivered as soon as possible. Pizza is hot: is important for the pizza to be kept hot as it arrives. 2. Combine your list with the lists of a few other class members and categorize the items under a series of major headings. Good customer service Good food quality Fast delivery service 3. Make a list of pizza delivery process design requirements. Associate with each requirement a measure that would ensure that the process meets the requirements. Customer call (take order) Failure: Incorrect order Poka-yoke: Double-check order with customer before proceeding Place order and process payment Failure: system failure/cannot process payment Poka-yoke: provide cash payment option Prepare pizza Failure: delay during preparation Poka-yoke: notify customer and provide a discount/ extra product (i.e. free dessert) Deliver pizza Failure: delay during delivery Poka-yoke: provide discount coupon 4. Design a process that meets your requirements. Describe it by using a flowchart similar to those shown in Exhibits 7.4, 7.5, and 7.6. Stage: 1: preliminary activities Stage 2: Customer ServiceStage 3: Work performance

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Envalue the Auditor Independence Provisions - Essay Example The audit committee and the Charter of Audit usually offers independence of code of ethics and management of the company which assist in guiding the clients, third parties or suppliers on theories and concepts of independence (Federation of European Accountants, 2013). The independence of external auditors signifies freedom from those parties that have increase in the consequence published in the financial statement of the entity. The external auditors should be supported by the Audit committee of the company, and reference should be drawn from the public accounting codes and standards. The external and internal concerns are complicated when the nominally self-regulating divisions of the company offer consulting and auditing services. In order to solve this complication, Sarbanes – Oxley Act of 2002 is a legal solution. In case of statutory audit the most significant principle is regarded as objectivity. Before considering any non-assurance or assurance engagement, audit or en tering into any relationship with the client, the auditor should consider all the threats to their independence that might hinder principle of objectivity (ICISA, 2004). Regulations in the European Union There are various regulations within EU in relation to auditor independence. The major enforcement in case of auditor independence is directed through the Companies Act of 1985, and Companies Act of 1989. The Companies Act of 1985 states that it the accountability of the shareholders to appoint auditors rather than the directors at the annual general meeting. This theory has been stated so that the directors cannot influence the auditors by... This essay summarises the concepts, that are used today in the legal regulatory framework, and identifies the conceptual framework of auditor’s independence. Apart from this the regulations for auditor independence that also are discussed in the essay by the researcher, with respect to European Union, as this will assist in analysing how the auditors can keep their personal interest aside and focus towards an unbiased and flawless audit report. Audit firms and auditor must maintain their independence for the reports of the auditors to be free from any external, personal and organisational impairment. There are various ideas and assumptions present regarding the future development of auditing in context of independence. In US the audit control procedure states that the audit reports should be reviewed by another company once in three years. The researcher mentiones that this essay discussed all those factors which were enough to discuss how auditors can keep aside their persona l objectives and interests in order to support the quotes that have been mentioned at the beginning of this study. Auditors today are like examiners who check the annual performance of the companies in order to assist them in forecasting and decisions making. However, the researcher also concluds that if code of ethics and laws are not followed, then companies would function on wrong guidelines, and there are many examples that can be drawn from the recent financial crisis to describe how faulty judgement can lead to bankruptcy.

MPH502 - Introduction to Public Health Module 4 - Case Essay

MPH502 - Introduction to Public Health Module 4 - Case - Essay Example Health indicators involve a careful analysis of mortality and morbidity rates of various groups (ethnic, racial or others), their life expectancy, standards of life, birth rates, records of prevalence of specific diseases, information about the access of a particular group to medical and health facilities, financial backgrounds of groups, educational standards and so on. The health disparities that exist between various groups are mainly the result of genetic variations, environmental factors and specific health behaviors. These are the most influential and useful indicators of health disparities that prevail in the ethnic and racial groups in the US. The causes of these differences also involve the lack of healthcare facilities available to a particular group, discrimination on the basis of gender, race, financial and social grounds etc. inadequate knowledge and educations, environmental differences and other reasons of this type. The diverse population of the United States requires careful attention to be managed properly when it comes to such delicate matters as health and life. In order to improve the health conditions, it is important to eliminate the health disparities that exist. Some ways are to utilize the information of death rates of groups and improve policies in order to eliminate the factors that are causing deaths in that particular group. Moreover, the accessibility to healthcare facilities must be available to all groups regardless of their racial, religious and cultural differences. Education is a must to improve the long term conditions of health for such a diverse population. Hence, educational facilities and their availability with proper guidance to the parents and students is also a factor to consider. There are certain environmental factors which are leading to adverse health outcomes in certain racial and ethnic groups. These environmental issues (both physical and social) are difficul t to be handled

Business intelligence and health care Research Proposal

Business intelligence and health care - Research Proposal Example Application of business intelligence in healthcare facilitates in streamlining raw data into meaningful and useful information for fostering better decision-making (Hennen, 2009). Thus, paper would be studying hospitals to evaluate how business intelligence is applied to identify healthcare imperatives that impact healthcare delivery for patients and financial benefits for the healthcare organizations. The increasing cost of healthcare consumes nearly 18%of the current US GDP (Ramsey et al., 2013). The healthcare reforms have considerably expanded the umbrella for health insurance coverage of all Americans including those with pre-existing diseases. The increasing burden on the healthcare institutions for providing quality care at affordable cost has become a huge concern because the interests of the payers and providers get directly linked to the quality of treatment and health outcome. Mettler and Vimarlund (2009) insist that technology can significantly contribute to the delivery of quality healthcare with economic transparency and real-time availability of critical information. Thus, business intelligence becomes pertinent issue in healthcare for exploiting information to manage patient care, improve quality and control costs for defined population or individual. Business intelligence in healthcare can broadly be described as leveraging information about patients for optimizing health outcome (Ferranti et al., 2010). Creating database of pertinent information regarding various aspects of healthcare serves as important mechanism for making decisions for optimal patients’ outcome. The information can be used judiciously by the hospital to reduce cost in repeating tests, facilitate analysis of clinical data and proactively involving patients in managing self-care. Most importantly, BI promotes transparency on real-time basis and therefore considerably reduces fraudulent practices and sub-standard quality of healthcare

Effectiveness of Time and Financial Management Essay Example for Free

Effectiveness of Time and Financial Management Essay Chapter 1 I. Introduction A. General Statement to the Effectiveness of Time and Financial Management on selected scholars of Adamson University 1. Profile of the Selected Scholars B. Statement of the problem ( How can they cope up with the demands of their respective courses? C. Objectives of the study D. Relevance of the study E. Definition of terms Chapter 2 II. Survey of Related Literature A. Foreign studies 1. Working Students/Student Assistants 2. Scholars B. Local Studies 1. Working Students/Student Assistants 2. Scholars Chapter 3 III. Methods on how to measure effectiveness of time and financial management A. Results of Survey/Questionnaire to the Selected Scholars of Adamson University 1. Graphical Representation 2. Analysis of the results IV. Conclusion Chapter 3 Methods on how to measure Effectiveness of Time and Financial Management The researchers chose 7 different scholars to conduct a survey about the chosen topic. Most of the respondents came from student assistant’s category and the others came from the category of academic scholars. These scholars were given scholarships from Ozanam Study Grant Program and Megaworld Foundation. On the range of their ages, 17-22 years old were the students who were given an opportunity they wanted to have. The scholars being interviewed have a daily allowance of more or less 150 pesos. On the Graph 1.1 being shown below are some of the expenses of the following students. Graph 1.1 A little number of respondents said that they stay in boarding houses that cost them Php 1,600 to Php 1,700. Literally, the cost was being solved by their parents. 3 out of 7 students said that both of their parents are self-employed. 1 respondent said that his/her parents run a business and another corresponds to unemployed parents. The rest of the students match up on other answers like their father/mother neither is an overseas Filipino worker, a tricycle driver, a plain housewife nor was deceased. Researchers proceed to the monthly income of their parents in able to measure the financial background of each and every respondent. Graph 1.2 illustrates the possible monthly income of the parents of these learners. Graph 1.2 As you can see, there is an equality of 14,000 and lower and 15,000-20,000 income. It is based on the survey being conducted by the researchers and from the occupation of their parents. On the part of their financial management, they spent the biggest part of their allowance for their food (50%) followed by their transportation and some other expenses. This shows that food is very important especially for the scholars like them. Food is an essential and they must not ignore because of the responsibilities they have in the university. The primary reason of the pupils asked in preferring themselves in being a scholar of Adamson University is that because they wanted to help their parents in decreasing the expenses. In this reason, an individual can determine that financial or money matters are the first basis in order for them to have financial management. Other reasons are for them to gain independency. The effectiveness of financial management is measured by proper usage of money and thinking a creative way of using up money.  The researchers also find ways on evaluating time supervision of scholars. Because of a more number of student assistants being interviewed, most of their time is allotted on their duties. Here is Graph 1.3 that shows how long an ordinary scholar uses his /her time in the university. Graph 1.3 Take a look of the graph that has been illustrated by the researchers. Student D and F are academic scholars. According to the information gathered from the survey, these students are academic scholars. As academic scholars, their worlds are focused on studying. They usually spend time in resting, studying and even have a time for leisure. On the other hand, the remaining students (A, B , C and E) make use of their time in duties and offices. Equalizing time in each activity of a student like them is not easy to do. Like on the Graph 1.3, student assistants are divided in different opinions. Some of them were able to balance their time and others cannot. Same answer was derived by academic scholars. However, they also answered it depends on the situation. Situations are unpredictable and make equalization of time in different planned activities. Somehow, all of them have a time for rest and have a break after long hours from school. Lastly, as a scholar, grade is the most important or basis in acquiring scholarships. Grades of these scholars are not affected by activities being done in school. Therefore, these learners have a good strategic measures in managing their time and studies. Chapter 4 Conclusion Based on the presented and interpreted data above, the following conclusions were drawn: 1. That most of the scholars spend their money more on food  for it is an essential need. 2. That most of the scholars wanted to help their parents to reduce the number of expenses. 3. That most of the scholars allot their time to school by doing different duties but assures that grades of them will not be affected. Chapter 2 Survey of Related Literature

Media Violence Essay Example for Free

Media Violence Essay Television has been considered as part of entertainment of the society. Mass media has been recognized as the giver and provider of the information needed by the public. These two terms have too many influences and greatly affects the lives of the people in the society which make them important elements in this post modern world. From gaining knowledge to entertainment, media has been having the reputation of providing all the information needed by the public. However, the society also points out the mass media as the greatest influence of aggressive behavior of the viewers. Through the movies and television shows that are being released by the media, people learn to conform and adopt the attitudes that are portrayed by the characters. The constant changing society has challenge the culture and values of the people around the world. The popular culture has been very influential making the society conform to the new trends. However, there are some factors in the society that are not changing regardless of the transparency of its effects. In other words, these are the aspects that affect the lives of the people negatively but still considered as adequate because of the acceptance of the mainstream. Media violence is one of the negative elements of the society but still existing despite the evident effects to the people. The Viewers and the Media Violence The behavior of the person shows the kind of television program he or she watches (Science Daily). Apparently, media violence does not affect only those who already understand the language and actions of a certain movie or television show. In fact, even the toddlers are being affected by these aggressive behaviors on screen. The people learn based on what they could see in their environment. Undeniably, mass media is one of the most influential factors that is present in this post modern world. The values that people adapt from their surroundings help in developing their personalities as they grow older. Since media has been the easiest tool in gaining information, it has also become an instrument to learn and adapt the culture of the society. The children that are just starting to learn in the society is being trained and influenced by the behaviors that are being portrayed in movies and television programs. Everyday, a home is being penetrated not only by thousands of advertisers that persuade every member of the family to buy a certain product. In fact, the television serves as the bridge of the people to the fictional world that are perfectly created by the mass media. Thousands of scenes from television shows and advertisements are being portrayed and most of them are adopted influencing the mind and personality of an individual. Countless murders and other acts of violence are shown making the audience feel the danger present outside their homes. The martial arts battle, shootings, knifings, fistfights, and exploding cars are just few of the scenes that can be watched on movies or television shows. These acts of violence are usually done by the heroes and villains who often serve as the role models for the young adults in the society (Freedman 4). The aggressive behaviors that the children often see on screen are committed by the live actors or even animated figures that appear in the best movies as well as the worst. On the other hand, the existence of violence in the society has not created by the media themselves. In fact violence has been in the society even before television was invented, movie houses were constructed, and video games were released. Aggression is a nature of man and it has been present even before the technology enter the scene. The public has been blaming the media for the aggression that their shows cause to the people especially to children; however, the media has been firm on telling that their aggressive shows represent the violence of the society. This issue has been at the heart of debate in the society. The presence of media relies on the elements of the society while the society relies on the information that are being offered by the mass media. Effects of Media Violence As the child becomes older, he or she is being accustomed with the information available in his or her surroundings. The internet, television shows, video games, and advertising are the sources of information of children nowadays (Wintour). The presence of media has undeniably influenced the young adults as they grow up to be mature individuals. The aggressive behaviors that they can see on television, movies, or even video games are being adapted and accepted to their own construction of reality. The child learns to hit his playmate when he gets mad, throw things when he is irritated, and shout when somebody did not pay attention to him. These are all examples of aggressive behaviors which may appear to be simple and normal attitude of a child. Oftentimes, the society fails to notice these simple behaviors as a problem that needs to be solved before it gets worse. The video games that are sold in the market with a goal to teach children to stand diversity has undeniably created an impression that it would enhance the knowledge of the young adults in technology and eliminated the idea that this would trigger the aggressive behavior of the player. The children will play as the main character that is given a task to protect a territory and kill the animated figures that would hinder him to win the game. The concept of this game sets the mind of the young players to fight with the use of guns and knives (O’Hehir) Frequently, learning to behave aggressively is the tested effect of media violence. This effect is also referred to as instigation of aggressive impulses, disinhibition of socialization against aggressive behavior and imitation of violence (Potter, 25). The child may not show an aggressive behavior after watching series of violent shows but the child would definitely think that aggression is acceptable in the society. Moreover, the child may not imitate the actions that were portrayed by the media, but the scenes may create fear to the young minds of the viewers. Since the information on media sources are the most accessible source of knowledge, the viewers may accustomed them and accept them as part of reality. Media violence produces short-term increases by priming existing aggressive scripts and cognitions, increasing physiological arousal, and triggering an automatic tendency to imitate observed behaviors. Media violence produces long-term effects via several types of learning processes leading to the acquisition of lasting (and automatically accessible) aggressive scripts, interpretational schemas, and aggression-supporting beliefs about social behavior, and by reducing individuals normal negative emotional responses to violence (Anderson et al. 81). Apparently, mass media gives all the necessary information that the people need in order to function well in the society. The media may represent the events that often occur in the society but those should not also be the basis of the messages that are being conveyed to the audience. The real events are filmed and added with more spices to make the viewers buy what the media has prepared for them. Although aggression is long associated to human, there are still factors in the society that provoke people to behave aggressively. Mass media sells products to the public. These products do not consist only of the consumer goods that the society needs in order to survive. The television programs that are being shown to the public are products of mass media that the society willingly buys. Unquestionably, the media is an influential and powerful tool to make the society a better place; however, mass media sources have been very consistent in telling only the truth to their customers. The element of the society that should help the people to lessen the societal problems become an instrument to pass the negative aspects of the society from generation to generation. However, the people can still select the products carefully. Buying violent products is telling the media to produce more (Edgar 59). The society needs to be wiser in selecting the program that would portray less aggression and help the people to participate more on salient topic in the society rather than the fiction stories that affect negatively to the lives of the viewers. Works Cited Craig A. Anderson, Leonard Berkowitz, Edward Donnerstein, L. Rowell Huesmann, James D. Johnson, Daniel Linz, Neil M. Malamuth, Ellen Wartella. The influence of media violence on youth. Psychological Science in the Public Interest. USA: Association for Psychological Science. 2004. Volume 4 Issue 3 pp. 81-110 Edgar, Kathleen. Everything you need to know about media violence. New York: The Rosen Publishing Group, 2000 Freedman, Jonathan L. Media Violence and Its Effect on Aggression: Assessing the Scientific Evidence. Canada: University of Toronto Press, 2002 O’Hehir, Andrew. The Myth of Media Violence. March 17, 2005. Daily Newsletter. 11 March 2009. http://dir. salon. com/story/books/feature/2005/03/17/media/index. html Potter, James W. On Media Violence. USA: SAGE, 1999 Rutgers University. Media Violence Cited As Critical Risk Factor For Aggression. ScienceDaily 20 November 2008. 11 March 2009 http://www. sciencedaily. com ¬ /releases/2008/11/081119122632. htm. Wintour, Patrick. 5 September 2007. The Guardian. 11 March 2009 http://www. guardian. co. uk/politics/2007/sep/05/uk. media

Psychotropics in Paediatrics or Adolescents

Psychotropics in Paediatrics or Adolescents Introduction Psychotropic drugs are medications and chemical formulations that cross the blood brain barrier to act on the central nervous system to stimulate the change of mood and behaviour of an individual. Schatzberg and Nemeroff (2009) underscore that it is important to note that these medications are not curative but rather palliative, and although they may improve symptoms associated with various mental disorders, they do not cure the primary cause of the disorders. According to Perry (2007), psychotropic medications include antidepressants, antipsychotic or neuroleptics, attention deficit hyperactivity disorder (ADHD) drugs, and antimanic or anxiolytics among others. This paper aims at discussing the physiological implications of using psychotropic medications in paediatric and adolescent populations with a bias on neuroleptic/antipsychotic, anxiolytic/antianxiety and ADHD drugs. While there may be reservations regarding the use of psychotropic medication in children and the physiologic effect of these drugs on young people’s central nervous system development, leaving mental disorders untreated is not a viable option as evidently supported by medical literature. This is because untreated mental illness may cause paramount long-term morbidity and even irreversible deficits in socio-emotional and cognitive functioning. Regardless of ethical and legal reservations surrounding the use of psychotropic drugs among paediatric and adolescent patients, analyses of data on their use reveals fast changing trends pointing to increased use. According to Hsia and MacLennan (2009) there was a three-fold increase of the number of children/adolescents taking any psychotropic drug between 1987 and 1996. Adolescent visit to physicians significantly increased psychotropic prescriptions as evidenced by an increase to 8.3% of the prescriptions in 2001, up from 3.4% in 1994 (Hsia MacLennan, 2009). In 2001, psychotropic prescriptions made up 8.8% of all psychopharmacological prescriptions among patients aged between 6 and 17 years (Hsia MacLennan, 2009). In terms of gender, more male paediatrics and adolescents are on these medications compared to their female counterparts. Due to increased incidences of anxiety, depressive, manic, and other psychotropic disorders in paediatrics and adolescents, there has been an increased acceptance and need for use of neuroleptics, anxiolytics and antidepressant drugs in these patients. Neuroleptics and their implications on paediatrics/adolescent Neuroleptics, also known as major tranquilizers or antipsychotic drugs are used primarily to treat psychoses and symptoms. In paediatrics and adolescents, they are also indicated in the treatment of other non-psychotic psychiatric disorders. They are the drugs of first choice in treatment of autism and schizophrenia in children and adolescence. Kalyna and Virani (2007) explain that neuroleptics are used in treatment of paediatrics and adolescents with severely aggressive conduct disorders, Tourette’s disorder, and chronic motor or vocal tic disorder. Antipsychotic drugs are also used in the treatment of ADHD but their use has decreased due to increased use of stimulant medications which are more effective for this disorder. Examples of antipsychotic drugs include haloperidol, chlorpromazine, molindone and fluphenazine. Newer formulations include olanzepine, clozapine, quetiapine, risperidone and ziprasidone (Hamrin, McCarthy Tyson, 2010). The use of neuroleptics on paediatrics and adolescents has several implications. Side effects associated with long-term use of these medications in this population include akathesia, acute dystonic reactions, parkinsonian symptoms, tardive dyskinesia, anticholinergic symptoms and sedation. They also lower seizure threshold in susceptible subjects and drugs such as Chlorpromazine should not be used in such patients. Tardive dyskinesia is a grave concern and has been reported in about 1 to 20% of paediatrics and adolescents on long-term use of neuroleptics (Kalyna Virani, 2007). It may occur as early as 5 months after commencement of treatment or may delay to up to 3 years. Since paediatrics and adolescents have more dopamine receptors than adults, they are more sensitive to side effects affecting the central nervous system. Long-term use of neuroleptics should be avoided in this population but †¦.contends that low doses may be recommended in selected difficult cases. Other side effects associated with neuroleptics include weight gain, irregular menses and breast enlargement in adolescents. Doran (2013) documents that second-generation anti-psychotic (SGA’s) drugs can cause metabolic disturbances and weight gain in paediatrics and adolescents even during first-time treatment. For instance, in a trial of treatment of schizophrenia with olanzapine, 30% of the paediatric/adolescent subjects gained weight compared to 6% in adult subjects (Doran, 2013). Other SGAs such as risperidone, quetiapine and clozapine also posted similar results with the paediatric/adolescent subjects gaining between 0.9 to 16.2 kilograms (Doran, 2013). Withdrawal of neuroleptics or lowering of the dosage may lead to withdrawal emergent syndrome with resultant aggravation of psychotic symptoms. This has been reported in paediatrics and symptoms include ataxia, vomiting and nausea. In a study by Vitiello (2008) as high as 51% of the paediatric patients showed the withdrawal symptoms, usually occurring after few days to few weeks after drug withdrawal. Clozapine has been associated with deaths of two paediatric patients with the mechanism being linked to sudden cessation of treatment (Vitiello, 2008). Haloperidol has been demonstrated to interfere with the children and adolescent’s daily routine including social and school activities. Neuroleptics increase sedation, lethargy and somnolence in paediatrics and adolescents than in adults; for instance, this was demonstrated in 30% to 49% of paediatric patients being treated with Risperidone in contrast to 7% of adults taking the same drug for bipolar mania (Hamrin, McCarthy Tyson , 2010). Anxiolytics and their implications on paediatric/adolescents Anxiolytics are psychopharmacologic drugs used to treat anxiety disorders in paediatrics and adolescents. Other conditions for which they may used include sleep disorder, aggressive behaviours and psychosis. They include selective serotonin-reuptake inhibitors (SSRIs) benzodiazepines, tricyclic antidepressants (TCAs) and busipirone. Anxiety disorders are greatly predominant in adolescence; between 6 and 20% of children have a type of anxiety disorder (Kalyna Virani, 2007). Doran (2013) documents that use of benzodiazepines in paediatrics and adolescents has tripled over the last 10 years. Anxiolytics are recommended to be used only after an aftermath of an event e.g. traumatic event and should be used for short periods (not more than two weeks) to avoid the risk of developing addiction or diminished efficacy. A recent review shows that SSRIs have become the preferred pharmacological intervention for paediatric anxiety disorders. They have very potent anxiolytic effects and their tolerance among paediatrics and adolescents is high. However, this class of psychotropic drugs has been associated with increased suicidal ideation. A well-documented controversy in paediatric and adolescent psychopharmacology occurred in 2003 when FDA issued public alert warning prescribers of increased ideation and attempts of suicide among patients below 18 years on anxiolytics (Vitiello, 2008). This contributed to a substantial drop in rates of diagnosis and prescription of these drugs among paediatric and adolescent population. Later, after a meta-analysis of numerous clinical trials of nine drugs in this class, it was demonstrated that there was only a marginal increase (0.7%) increase in the suicidal ideation with no actual increase in completed suicides (Schatzberg Nemeroff, 2009). However, this has led to adoption of a multidisciplinary approach towards management of paediatric and adolescent depression to encompass both pharmacological and non-pharmacological interventions. Cardiovascular adverse effects are often reported with most anti-anxiety medications because these drugs act on the autonomic system. Such side effects include increase in heart rate and changes in blood pressure. Although these side effects are generally not of major clinical significance while taking psychotropic medications, tricyclic antidepressants (TCAs) such as desipramine have been inconclusively linked to sudden death among paediatric patients (Kalyna Virani, 2007). Therefore, it is imperative for the prescribing physicians to take a comprehensive patient history, as well as monitor the electrocardiograms, heart rate and blood pressure changes of the paediatric and adolescent patients before and during treatment with psychotropic agents such as TCAs. Lamotrigine manifestly increases the risk for severe skin reactions and hives in paediatrics and adolescents (Dulcan, 2010). Another critical consideration in anxiolytic use of drugs in these subjects is drug interactions. Drugs that inhibit the cytochrome P450 enzyme system could have adverse effects on the subjects if concomitantly administered with anxiolytics (Perry, 2007). Antifungal drugs and some antibiotics such as erythromycin when co-administered with SSRIs such as fluoxetine can cause cardiac arrhythmias (Perry, 2007). Others such as imipramine and Lamotrigine can cause toxic delirium (Hamrin, McCarthy Tyson, 2010). The prescribers must document all medications that may have drug-drug interactions with psychotropics as well as those that have direct or indirect effect on the cytochrome P450 enzyme system. ADHD drugs and their implications on paediatrics/adolescents Stimulants used in management of ADHD are some of the most used psychotropic drugs among paediatrics and adolescents. However, trepidation persists due to concerns of the adverse effects of these drugs on the growth rate in paediatrics. Use of stimulant psychotropic drugs has been associated with stunted growth rates. The Multimodal Therapy of ADHD study demonstrated that stimulant psychotropic drugs, especially in high doses, reduce growth velocity and weight (Gelder et. al, 2009). This is due to appetite loss, a common adverse effect associated with these stimulant drugs. However, in most cases normal growth seems to rebound once the psychostimulant agents are withdrawn with no significant suppression of ultimate height attained. Nevertheless, some studies have revealed that pyschostimulants continue to suppress growth in early and late adolescence. Rosenberg and Gershon (2002) explain that pyschostimulants such as methylphenidate may permanently cause stunted growth by affecting e piphyseal closing of long bones if used between ages 17 and 21 years. However, Cheng and Myers (2010) outline that suppression of growth could be because of the underlying mental disorder, for instance, ADHD rather than the treatment. One disconcerting physiological implication of ADHD drugs especially in paediatrics being treated for hyperactivity or outbursts is the aggravation of the condition with the medication, a phenomenon referred to as paradoxical response. Doran (2013) explains that in a small number of paediatric/adolescent patients may severely increase nervousness and agitation instead of reducing it (disinhibition). These subjects may become giddier, act sillier or even manic. Similarly, some younger patients may be more depressed after being put on antidepressants. Studies have shown paediatrics and adolescents getting more moody and agitated after receiving mood treatment psychotropic drugs in ADHD treatment (Kalyna Virani, 2007). Others on stimulants may become more hyperactive and fail even to respond to sleep-inducing drugs. Research by Hamrin, McCarthy and Tyson (2010) shows that if a paediatric or adolescent patient shows paradoxical effect to one class of psychotropic drugs, there is a 50% o f similar reaction if he or she is given another drug of the same class. Paediatrics and adolescents have a lower albumin binding capacity and reduced adipose compartment, leading to a higher percentage of unbound compound than adults. Similarly, their drug biotransformation rates are higher, and this could reduce the half-life of the drugs relatively increasing the risk for toxic metabolite levels. This may contribute to physiological rebound effect where the paediatric and adolescent patients present with exacerbation of symptoms than original symptomatology (Dulcan, 2010). This often occurs when drug plasma levels decrease due to increased hepatic elimination and subsequent renal excretion. The subjects show symptoms such as hyperactivity, irritability, insomnia, over talkativeness, excitability and non-compliance (Dulcan, 2010). Schatzberg and Nemeroff (2009) explain that this can be remedied by adding a small afternoon dose or using slow-release preparations. The physician may also opt to use short- and long acting medications. Other implications of ADHD drugs on paediatrics and adolescents are the drug’s adverse effects. In a meta-analysis review, 32% of the doctors were concerned with decreased appetite and loss of weight association with these drugs. Half of them raised concerns about disturbed sleep while 22% were apprehensive of the increased anxiety. Other physicians indicated that they were concerned about possible diversion of ADHD drugs and felt burdened by prescribing these controlled drugs for paediatrics and adolescents. There is a high potential for abuse of controlled stimulant drugs used in ADHD treatment which can be achieved by crushing and snorting the medication. However, this abuse potential has been addressed through extended release formulations and introduction of skin patches which are less susceptible to abuse. Conclusion Psychopharmacological treatment in paediatrics and adolescents is an area of on-going ethical discussion, as these subjects affected by mental disorders are a vulnerable class of patients. The use of psychotropic drugs in children below 8 years is under-researched; this is because most of these drugs are developed and researched in adults. In addition, it could also be due to existing ethical and legal considerations that hamper access of research to such studies. Paediatrics and adolescents with psychotic disorders will classically be put on psychotropic drugs while those with other disorders will be put on non-pharmacological treatment. Sometimes, both approaches may be used simultaneously. Logically, the benefits of pharmacological intervention must outweigh potential risks associated with use of these drugs in these young people. An important consideration is the proof of the efficacy and safety of the drug for the age of the patient and the specific disorder. Psychopharmacothera py in paediatrics and adolescents requires a holistic, multidisciplinary approach. Pharmacovigilance in use of psychotropic agents among these subjects as well as their long-term efficacy and adverse effects are indispensable. It is evident that paediatric and adolescent patients are, to say the least, more vulnerable to adverse effects of psychotropics than adults are. With the increasing adoption of psychopharmacological interventions in treatment of paediatrics and adolescents with mental disorders, novel research is vital to come up with clear evidence-based recommendations on use psychotropics in these subjects. References Cheng, K. Myers, K. M. (2010). Child and Adolescent Psychiatry: The Essentials. Philadelphia: Lippincott Williams Wilkins. Dulcan, M. K. (2010). Dulcan’s Textbook of Child and Psychiatry. Arlington, VA: American Psychiatric Publishing, Inc. Doran, C. M. (2013). Prescribing Mental Health Medication: the Practitioner’s Guide. Oxon: Routledge Publishers, Inc. Hamrin, V., McCarthy, E. M. Tyson, V. (2010). Paediatric psychotropic medication initiation and adherence: a literature review based on social exchange theory. Journal of Child and Adolescent Psychiatric Nursing, 23, pp. 233-242. Hsia, Y. MacLennan, K. (2009). Rise in psychotropic drug prescribing in children and adolescents during 1992-2001: A population-based study in the UK: European Journal of Epidemiology, 24(4), pp. 211-216. Rosenberg, D. Gershon, S. (2002). Pharmacotherapy for child and psychiatric disorders. New York: CRC Press. Gelder, M., Andreasen, N., Lopez-Ibor, J. Geddes, J. (2009). New Oxford textbook of Psychiatry. Oxford: Oxford University Press. Kalyna, Z. B. Virani, A. S. (2007). Clinical Handbook of Psychotropic Drugs for Children and Adolescents. Boston, MA: Hogrefe Publishing GmbH. Perry, P. J. (2007). Psychotropic Drug Handbook. Philadelphia: Lippincott Williams Wilkins. Schatzberg, A. F. Nemeroff, C. B. (2009). Textbook of Psychopharmacology. Arlington, VA: American Psychiatric Publishing, Inc. Vitiello, B. (2008). An international perspective on paediatric psychopharmacology. International Review of Psychiatry, 20, pp. 121-126.

Cultural Diversity Essay -- School Education Diverse Essays

Cultural Diversity Children should be exposed to all segments of society. Youngsters learning with children of different races, nationalities, and religions tend to be more tolerant and accepting of individual differences. They learn customs, beliefs and rituals of classmates that maybe quite different from what they have been taught. Youngsters learning in an environment of diversity are well prepared to deal more effectively in society after they complete their education. A mutual respect and understanding of other cultures removes barriers and stereotypes. Individual differences need to be threatening. In fact, knowledge of other cultures helps a person realize and appreciate the similarities more than the differences. It is most important that the teacher is trained to teach about and respect individual differences. A diverse group of youngsters can add a great deal to the classroom environment. Interaction between children, handled effectively, can promote a climate of curiosity, mutual respect an d acceptance. Nina Rees addressed the topic of teaching styles at both public and private school systems. She suggested students achieve greater results in an environment in which competition and different religious and cultural backgrounds exist. (Rees 93). Although students may have a different religion, culture, race and socio-economic level, they all deserve an equally outstanding education. There is a national attempt to give parents the option of a public or a private education for their youngsters. "There is also such a thing as a Voucher System. In "PUBLIC SCHOOLS, PRIVATE SCHOOLS, SPECIAL NEEDS, AND VOUCHER SYSTEMS- A GENERAL REVIEW OF BASIC PRINCIPLES," the author writes, "the idea of the voucher system is that parents ... ...iling grades coming from the students, they are remaining open and continue to be rewarded with extra funding. Viadero,D. Increased choice found to have modest impact on school improvement. Edweek. Retrieved October 7,2002 from Edweek.com Greene,J.P. (2001). The surprising consensus on school choice. Public interest,144,pp.19. Retrieved November 22,2002 from britannica.com Rees,N.S. School choice: a report card. World & I, 15 (9),pp.28. Retrieved November 23,2002 from britannica.com Private vs. public schools. www.internetcampus.com Public schools,private schools,special needs,and voucher systems. www.angelfire.com School choice programs: what?s happening in the states? www.heritage.org/schools/ Schoolreformers. www.schoolreformers.com Test scores: public vs. private schools. http://osx.soc.uh.edu/~bmoeller/kpftnews/092002story6.html Cultural Diversity Essay -- School Education Diverse Essays Cultural Diversity Children should be exposed to all segments of society. Youngsters learning with children of different races, nationalities, and religions tend to be more tolerant and accepting of individual differences. They learn customs, beliefs and rituals of classmates that maybe quite different from what they have been taught. Youngsters learning in an environment of diversity are well prepared to deal more effectively in society after they complete their education. A mutual respect and understanding of other cultures removes barriers and stereotypes. Individual differences need to be threatening. In fact, knowledge of other cultures helps a person realize and appreciate the similarities more than the differences. It is most important that the teacher is trained to teach about and respect individual differences. A diverse group of youngsters can add a great deal to the classroom environment. Interaction between children, handled effectively, can promote a climate of curiosity, mutual respect an d acceptance. Nina Rees addressed the topic of teaching styles at both public and private school systems. She suggested students achieve greater results in an environment in which competition and different religious and cultural backgrounds exist. (Rees 93). Although students may have a different religion, culture, race and socio-economic level, they all deserve an equally outstanding education. There is a national attempt to give parents the option of a public or a private education for their youngsters. "There is also such a thing as a Voucher System. In "PUBLIC SCHOOLS, PRIVATE SCHOOLS, SPECIAL NEEDS, AND VOUCHER SYSTEMS- A GENERAL REVIEW OF BASIC PRINCIPLES," the author writes, "the idea of the voucher system is that parents ... ...iling grades coming from the students, they are remaining open and continue to be rewarded with extra funding. Viadero,D. Increased choice found to have modest impact on school improvement. Edweek. Retrieved October 7,2002 from Edweek.com Greene,J.P. (2001). The surprising consensus on school choice. Public interest,144,pp.19. Retrieved November 22,2002 from britannica.com Rees,N.S. School choice: a report card. World & I, 15 (9),pp.28. Retrieved November 23,2002 from britannica.com Private vs. public schools. www.internetcampus.com Public schools,private schools,special needs,and voucher systems. www.angelfire.com School choice programs: what?s happening in the states? www.heritage.org/schools/ Schoolreformers. www.schoolreformers.com Test scores: public vs. private schools. http://osx.soc.uh.edu/~bmoeller/kpftnews/092002story6.html

The Judgment of Paris and The Miracle of the Fishes Artwork Essay

How often do we see things in life that require a double-take, a second glance, a follow-up look, or even multiple subsequent studies? The answer is quite simple: everyday. The things we often look at a second time are often not intellectually worth the look, whether it be an irrational teenager attempting some outrageous skateboarding stunt, a monkey drinking its own urine, or even a two-headed cat, people have stopped spending their second or third glances on things that are meaningful and sensible. As a result people have lost the appreciation of evaluating and scrutinizing art and often don’t think of looking at it a second or third time to really â€Å"look† at it. Sure people go to museums and galleries, but nowadays, how many of them actually try and conceive the painters’ thoughts or motivation for the paintings? Upon my search two paintings really stuck out to me and required second and third inquiries, The Judgment of Paris and The Miracle of the Fishe s; both making me return to make a suitable judgment of my own. By looking at paintings multiple times in person a viewer can see different details and aspects of the painting they’re looking at or studying—making their observations more accurate and varied— upon a second or third scrutiny. In these two paintings by Jacob Jordaens, The Miracle of the Fishes and The Judgment of Paris, there are many similar and contrasting ideas. From a first glance they are quite different; The judgment of Paris is centered on the three Goddesses and their surrounding aura that is the bright center of the painting while The Miracle of the Fishes seems to have a rather dark and almost gloomy center. However, upon a second examination or a more thorough look one begins to notice an abundance of... ...utinize both paintings multiple times I was able to gather enough information to make accurate analyses. Even without seeing every miniscule detail a decent analysis can be made if an adequate amount of details is observed, whether the observation is in person or from a picture. Seeing a painting in person and being able to get close and look at the minute details allows a person to more accurately describe or analyze a painting. Works Cited 1. Julius S. Held and Donald Posner. 17th th century art; baroque painting, sculpture, and architecture, New York: H.N Abrams, 1971 2. â€Å"Jacob Jordaens.† The Artchive. 28 Sep. 2006 http://artchive.com/artchive/J/jordaens.html 3. Malcolm Gladwell. Blink, New York: Little, Brown and Company, 2005 4. â€Å"Jacob Jordaens.† The Getty. 28 Sep. 2006 http://www.getty.edu/art/gettyguide/artMakerDetails?maker=359

Life is beautiful

The main aspects that the film covers are the importance of love and family, the role f imagination and the resilience of the human spirit. Therefore, in the movie â€Å"Life is Beautiful† the director shows Guides personal commitment to being both a protector of innocence for Joshua and a loving husband to Dora that is, at times, essential to filter other people's prejudices in order to be true to who you are. The director shows through Odor's character on how we present ourselves, gets taken in two different ways by people, either in a positive or negative way. Some could be against the prejudice or for it that despite on who's in charge.To Dora, Guide was a hero, but to he Nazis he was nothing more than a dog. To Guide, the Nazis were of no consequence; only the lives of his beloved concerned him. Guides Interests were Dora and making her life into something that no one will ever expect; a magical life full of happiness. For Instance, the romantic, funny scene where Guide o nly looks at Dora instead of the Opera show, shows how Guide forgets everyone around him and only stares at the one he loves, Just like how he did not care what happens to him the moment he needed to find Dora before the German guards did.He did not care what he Nazis did to everyone but all Guide needed to do was find Dora and protect his son, like any husband or father will do for his family. Nazis were only brutal because they were following the orders of their superiors and a leader who was showing hatred towards the Jews; but Dora was not because she was her own person and she Is not the type of person to hate other people because of their culture, which Is why Dora was not that much worry on what happens about being married to a Jews.She wanted to be happy, that Is what Guide made sure that Is what happens In Odor's life very day. Racism, negative comments, Ignorance and hatred affects not Just one's moral values but also their Identity. Many times Individuals struggle while d ealing with prejudice and end up causing self-harm. In this film however, we experience Guilds character In a complete opposite way. Guide Is the type of person who does not choose the path of self- harm but bottles up his emotions Just to see his family alive and happy.For Instance when, he Is forced to carry anvil up the stairs on a dally basis at the camp, he knows that If he asks for a reprieve, he will be killed, and as a season, fall his son and everything he Is working for. Even though he Is weak and dreadfully tired every day, Guide still puts on a smile and carries on the facade whenever Joshua was near. He never allows his son to get the sense that something Is horribly wrong. Guide wouldn't react to pain and he wouldn't show his sorrows whenever Joshua was near.He was suffering deep wealth him but due to his love for his son, he managed to laugh even while In Immense pain. Even when Guide was being taken to the corner to be shot, Guide still managed to march â€Å"playfu lly so as to the game. Guide never let any opportunity occur where his son can start to question his true intentions and reason for lying; he never even let on to Joshua that he was lying. Through the feeling that Dora, his wife, knew that Guide would never allow for their son to face any challenges alone.During the scene where Guide and Joshua speak over the speakers, it was a way to assure Dora that they are both safe and that Guide has fulfilled all the duties as a father by making sure that Joshua is protected from the Germans. Guide was always seen as a hero to Dora, even if others did not UT that did not let Guide stop from believing what is right or wrong. Humans show their true colors and emotions to those who understand its value. However, this differs from age to age.When it comes to children, they tend to be kept hidden from the surrounding negativity only to protect their very innocence that is cherished by all. Throughout the train ride and upon arrival at the dismal ca mp, Guides only aim was to protect his son from the horror which surrounded them. He invents an elaborate game, requiring silence and complete dedication in order to gain the mints necessary to win. Guide didn't want Joshua to know the full truth of racism and hate that occurs on a regular basis around them but instead wants him to know that everyone is equal despite their beliefs.All Guide wanted was to show to his son that nothing is different between Jews and the supposed Aryans. Aryans were considered the supreme beings for having blond hair and blue eyes and free of all external disease, whereas a person with the same internal characteristics but different external appearance were considered less of a human. Once they reach the bunks at he concentration camp, and an opportunity presents itself to Guide to preserve Joshua innocence, he leaps at the chance.He is asked to translate for the German Nazi the rules of the camp, although he doesn't speak German; instead makes it appear to his son that the guard is explaining the rules of the supposed game. This was extremely risky for Guide, as it could land him straight in front of the barrel of a gun, but his intention was primal and he was concerned only of his son's safety. He hid the true reality and their predicament from Joshua for the sole reason of reserving his innocence, and hopefully provide a chance at survival.If Joshua truly knew of the events that occurred all around them on a daily basis, he would have started to hate his father for the wrong reasons. One of the motives Guide could have had for his actions may have been his desire to not have his son, his flesh and blood hate him – for being a Jew, and passing that on to his son. He wanted Joshua to love him for who he is as a human being and not for the faith he believes in. Guide intention was to fulfill the role and responsibilities as a father towards his son.Guide is scared of the concentration camp and the Nazis but he holds himself together for the benefit of his son, demonstrating courage and heroism when dealing with fear. He loves his son so much that he shields him from the harsh reality of life at that time. This shows that love has the power to conquer all. In conclusion, â€Å"Life is Beautiful† is an inspirational film that shows the cruel and hate of many Aryans towards the Jews. Throughout the film you see the different ways racism, and negative comments are being spread towards the Jews as a way to make them feel sees important.It's also about the power of one individual to filter out other people's thoughts and negatively comments in order to be true to who you really are. Just how even though she could have stayed back due to her religious, she choice to be where her family is. The director also shows through Guide the power of being protective to his son and a lovely husband to Dora, at the same time flattering out negative comments around him for the better of his family. â€Å"Life is b eautiful â€Å"has touched the hearts of many viewers and continues to do so.

Fiction Analysis of a&P and the Lesson

The theme of desire has been portrayed in many novels and stories. Perhaps the most well-known depiction of desire can be found in the Bible. In the Book of Genesis, a snake tempts Adam and Eve to eat the forbidden fruit of the Tree of Knowledge after he convinces them that they will gain God’s knowledge of good and evil and be protected from death. Despite God’s word to not eat of the fruit, Adam and Eve did so anyway. Surely, this story portrays temptation; however, beyond the theme of temptation lays the theme of desire.Knowing it was wrong, Adam and Eve ate the fruit because they had the desire for what the snake promised them. Similarly, Toni Cade Bambara and John Updike also display the theme of desire in their short stories. In â€Å"The Lesson† by Bambara and â€Å"A&P† by Updike, character, setting, and point of view are utilized to project the theme of desire. Though â€Å"The Lesson† and â€Å"A&P† take place in vastly different en vironments, a ghetto in New York and a quaint New England sea-side town, respectively, little separates the symbolic meaning of the setting.The protagonists of both short stories really have no yearn to be in their current surroundings. Sylvia in â€Å"The Lesson† describes her neighborhood as foul smelling. It was so bad â€Å"you couldn't halfway play hide-and-seek without a goddamn gas mask† (Bambara 1). Likewise, Sammy in â€Å"A;P† compares the costumer at his checkout lane to a witch. Within the first few paragraphs of both stories, one can tell that both Sylvia’s and Sammy’s atmospheres are not what they wish. Both the ghetto in which Sylvia lives and the grocery store in which Sammy works symbolize misery.Through the tone of the characters, one can gather that neither is happy and they wish for something greater. Without these particular settings that Bambara and Updike chose, the stories would have no meaning. For instance, if Bambara set Sylvia in a prestigious and wealthy neighborhood, there would be no narrative. â€Å"The Lesson† then would be a useless tale of a girl’s trip to a toy store. No underlying themes or symbols would be present. The setting is very important in both stories in that it defines not only the plot, but the characters themselves.Sylvia and Sammy are products of their environments. Being in an unpleasant environment would definitely put any individual on edge. Because both characters are unhappy with their surroundings, both are quite cynical. Aside from comparing one customer to a witch, Sammy also refers to others as â€Å"sheep† and points out â€Å"house-slaves in pin curlers† (Updike 3). Sylvia is also cynical in the way she talks of Miss Moore. At a point, Sylvia states that she is a â€Å"nappy-head[ed] bitch†, which in no means is a proper way for anyone, let alone a child, to speak (Bambara 1).Despite being so cynical, the reader finds that both ch aracters have another side as well. When faced with desire, Sylvia’s and Sammy’s mannerism changes. The reader sees Sylvia in a whole new way when she sets eyes on the fiberglass sailboat. In fact, Sylvia’s entire persona changes. Not only is she dumbfounded by the price of the sailboat, but she is awestruck by its greatness. She grows quite mad about the price; nonetheless, this is the beginning of the change of her character and train of thought. This is where she realizes the economic imbalance of the world.Similarly to how Sylvia was taken by the sailboat, Sammy is captivated by the girls’ physical appearance, especially Queenie. This is made evident by the imagery of the text from his physical description of them. Bambara and Updike especially, quite effectively use the characters’ point of view to further engage the reader to explore for theme. In â€Å"A;P† and â€Å"The Lesson†, both protagonists narrate the story in first per son. This is especially important because the reader better connects with the character. One can better relate when they feel as if they are part of the plot.With Updike’s combination of first person point of view and powerful imagery, one not only feels like they are there, but they can picture it as well. The reader can visualize the girls walking through the maze of isles in the store. Every detail Updike sketches is important, even the â€Å"two smoothest scoops of vanilla† Sammy sees in Queenie’s top-piece (Updike 6). This tells the reader that Sammy is not an experienced lover. He is running wild with his thoughts and can barely control himself. Sammy is enthralled by Queenie and the other girls.So much, in fact, that he quits his job after Lengel, the manager, ridicules the girls about wearing proper attire when entering a grocery store. This particular event shows the true desire Sammy has for these girls and their attention. Likewise, Sylvia has a true desire to change her ascribed status. The reader sees this when Sylvia states â€Å"ain't nobody gonna beat me at nuthin† at the end of the story (Bambara 6). Sylvia becomes a dynamic character with this statement. Influenced by her desire for the Fifth Avenue world, like purchasing the sailboat, Sylvia makes a vow that she is going to change.She has the desire to leave the ghetto, to be something greater than the ghetto. She is going to strive for the rewards of Fifth Avenue she so much desires. Although the central theme of â€Å"The Lesson† and â€Å"A&P† may be something more than desire, Updike and Bambara definitely portray it through setting, character, and point of view. Perhaps even more interesting are the characters themselves. They seem almost life-like because of their relatability. It is conceivable that the protagonists in these stories by Updike and Bambara are the authors themselves.Toni Cade Bambara grew up in Harlem, a setting very close to th at found in â€Å"The Lesson† (Schirack) and John Updike lived in a seaside-town in Massachusetts, eerily similar to the setting of â€Å"A&P† (Moyer). It is very possible that these short stories contain characters based off the authors. It is also quite possible that these stories are actual life events that occurred while the two were still living. It is certainly very interesting to think about the fact that the characters could be linked to the authors in some way and what other influences life events may have had on other pieces by the authors.Works Cited Bambara, Toni Cade. â€Å"The Lesson. † Blackboard. ed. ENG 102-329. Ed. Gina Yanuzzi. Mount Laurel: BCC, Spring 2013. 1-6. Electronic. Moyer, Steve. â€Å"John Updike Biography. †Ã‚  Neh. gov. N. p. , n. d. Web. 07 Mar. 2013. Schirack, Maureen. â€Å"Toni Cade Bambara. †Ã‚  Voices From the Gaps, University of Minnesota. Ed. Lauren Curtright. N. p. , 11 Aug. 2004. Web. 07 Mar. 2013. Updike, John. â€Å"A&P. † Blackboard. ed. ENG 102-329. Ed. Gina Yanuzzi. Mount Laurel: BCC, Spring 2013. 1-8. Electronic.

Crime Prevention Coalition of America Essay

Crime Prevention Coalition of America is the crime prevention program that this paper will cover. During this paper I will attempt to discuss what Crime Prevention Coalition of America is and what their philosophy is. It will also show the element or elements of the crime triangle that the Crime Prevention Coalition of America program seeks to address. This paper will analysis how the Crime Prevention Coalition of America works, it will also including statistical support, of the success of the program in affecting crime. A critical analysis of the effectiveness of the Crime Prevention Coalition of America. Commentary on the impacts of societal factors that deals with the Crime Prevention Coalition of America. Then I will attempt to make a prediction concerning the technological advancements of the program and the resulting success or failure based upon those advancements. â€Å"The Crime Prevention Coalition of America is a nonpartisan group of more than 400 national, state, federal, and community-based organizations united to promote citizen action to prevent crime. Established in 1980, its members include youth development organizations, municipalities, law enforcement agencies, federal and state government representatives, state crime prevention associations, and community-based groups† (NCPC, 2012). The Crime Prevention Coalition of America works with all these groups to ensure a way to make safe communities. â€Å"The philosophy of the Crime Prevention Coalition of America believes that: Preventing Crime Is * Everyone’s business * More than security * A responsibility of all levels and agencies of government * Linked with solving social problems * Cost-effective Preventing Crime Requires * A central role in law enforcement * Cooperation and collaboration by all elements of the community * Education * Tailoring to local needs and conditions * Continual evaluation and improvement† (NCPC, 2012). Under the philosophy of Crime Prevention Coalition of America it is everyone’s job to help prevent and control the criminal element. This group believes that each of us should do are part in preventing crimes and making sure that the people who are committing crimes are held accountable. The Crime Prevention Coalition of America brings the community and law enforcement together, because this group knows that law enforcement can’t control the criminal element alone. The crime triangle is made up of three different things they are: target, desire, and opportunity. All of these have to be present of a crime to be successful. The element or the elements of the crime triangle that the Crime Prevention Coalition of America are all three of the elements that make up the triangle. â€Å"The first element of the crime triangle is desire. That is the criminal’s drive, intent and motivation. There is nothing you can realistically do to curtail or eliminate that desire. Once he has the desire, he is looking for a target and an opportunity. A target is anyone who appears to be an easy victim. A target appears not to be aware of their surroundings and appears easy to overtake or overpower. An easy target, by definition, will not put up any resistance. The next element is opportunity. You control this by paying attention to your environment. Are you in a bad area of town? Are you walking in an unlit area? Are you in a secluded area? Are you letting strangers in too close to ask questions – not defining personal boundaries? Limiting opportunities is about being aware of your environment and your intuition to remove yourself from a questionable environment once you sense danger† (Women’s Self-Defense Institute, 2002-2012). With the knowledge that the Crime Prevention Coalition of America gives people in the community and the knowledge that it gives to the law enforcement group it allows people to be aware of the three elements of the crime triangle and it allows you to remove the ones that you are capable of changing. Of the three elements of the crime triangle you can’t do  nothing about the desire part because that is all up to the criminal, however you can change the way you are looked at as a target and the opportunity of becoming a victim. These two parts of the crime triangle you can be taught to manage and be aware of. The way that this program can teach you about the desire part of the crime triangle is that it teaches you to the observation of the people around you. With knowing who is around you, you will be able to see how a person who is acting weird and maybe up to no good. The Crime Prevention Coalition of America works to prevent crimes in many ways; it will also show the statistical support to show how effective they are in this area if there is proof and with the success of the program in affecting crime and crime rate. â€Å"In October 2007, the National Crime Prevention Council, in partnership with the Crime Prevention Coalition of America and the U.S. Department of Justice, hosted the 8th National Conference on Preventing Crime: Helping Build Safer Communities, in Atlanta, GA. CPCA members received a member discount of $50 off their registration fees for the conference. The conference offered more than 65 educational sessions presented by the nation’s leading crime prevention specialists on topics such as emerging trends in crime prevention, bullying, Internet safety, community preparedness, Neighborhood Watch, gang prevention, fraud prevention for senior citizens, and more. The conference provided a forum and training for all crime prevention practitioners to identify and learn about emerging trends and issues and ways to address them; to network with colleagues from across the country, sharing experiences and successes; and to renew commitments to prevention as a priority in reducing crime. The National Conference on Preventing Crime has proven to be a driving force in disseminating crime prevention information nationwide and promoting crime prevention issues to policymakers at the national, state, and local levels†( The Crime Prevention Coalition of America, 2007). â€Å"The Crime Prevention Coalition of America has developed a number of strategies to help carry out its mission of making crime prevention a grassroots community movement and a national priority. The Coalition has worked to * Develop and implement a crime prevention action initiative to enlist individuals, businesses, faith communities, community groups, and governments to implement prevention strategies, tactics, and programs, building on the success of the National Citizens’ Crime Prevention Campaign * Identify, develop, and promote  community-level programs, projects, policies, and approaches that have proven successful in reducing crime * Establish substantive themes for community action initiatives * Foster shared responsibility among Coalition member organizations to encourage prevention-focused reporting on crime * Enhance the structure and operations of the Crime Prevention Coalition of America to help its member organizations provide leadership in the effort to reduce and prevent crime * Create Coalition member task groups to focus on specific issues of concern to member organizations * Strengthen the National Crime Prevention Council, the secretariat of the Crime Prevention Coalition of America, to be the nation’s primary source for crime prevention information† (NCPC, 2012). These are the strategies that the Crime Prevention Coalition of America has put into place to try to get its message across and away to provide people with the knowledge to keep themselves and their love ones from becoming a victim of criminal active. According to the Bureau of Justice Assistance there are still things we don’t know about the effectiveness of these programs and if they are the true cause for the drop in the crime rate â€Å"While there is some evidence of the effectiveness of some community-based programs, there is still much to learn about the impact of these programs on crime. To date, there are relatively few methodologically rigorous evaluations of these programs. As a result, researchers have often not been able to establish whether the program or other factor(s) were responsible for the observed outcomes. Isolating a community crime prevention program’s effect has been particularly difficult due to factors such as: * program evaluation costs; * identifying appropriate comparison areas; * implementation of multiple programs in a community; * small samples; * individualized nature of the intervention; and * Data collection problems (e.g., refusal of stakeholders to support data collection efforts). Despite some positive results to date, evidence of crime reduction or prevention attributable to community-based crime prevention programs is limited. Until more methodologically rigorous evaluations are conducted, it is not possible to determine whether the lack  of positive results is due to flawed program theory, weak evaluation designs, or poor program implementation†(2008). So with this evidence it is hard to determine if the program works or not. There is a lot that goes into a successful program and it is like anything else that is successful in this world, it is going to be a lot of hard work and it will require a lot of time to go into it to make it a success. There is an old saying that anything worth having is worth working for and nothing comes easy. This includes crime free communities to have a crime free community you have to work hard at it. Societal factors that deals with the Crime Prevention Coalition of America are the fact that normal everyday people are willing to stand up and hold people accountable for their actions whether it be someone you know or a person that is a complete stranger to you. â€Å"Citizens need to work closely with local law enforcement serving as the eyes and ears of the community. Dr. Warr suggests three ways to better align perceptions with actual risk: 1) Educate people about the context of crimes that are reported in the media 2) Educate them about the facts surrounding likelihood of victimization 3) Address the environmental cues to danger All these efforts are mainstays of crime prevention, which the Crime Prevention Coalition of America defines as â€Å"a pattern of attitudes and behaviors directed both at reducing the threat of crime and enhancing the sense of safety and security, to posi tively influence the quality of life in our society, and to help develop environments where crime cannot flourish.†(Crime Prevention Matters, 2008). The prediction concerning the technological advancements of the Crime Prevention Coalition of America and the resulting whether they will be successful or failures based upon these advancements. â€Å"Under the umbrella of the new strategic plan, NCPC will continue to supply resources, tools, and training to reduce the opportunities for crime. In the fall of 2007, through the support of the Bureau of Justice Assistance, U.S. Department Justice, NCPC released Volume 3 of Crime Prevention Presentations, a CD-ROM for use by CPCA members. These presentations are in PowerPoint format and cover topics such as online predators, preventing violence in the workplace, prisoner reentry, and keeping information safe in the technology age. Volumes 1 and 2, which include presentations on 15 crime prevention topics, are available free online. Each presentation is designed to educate, increase awareness, and teach prevention strategies. These presentations are  ideal for CPCA members who are not able to travel to training events due to budget or personnel constraints†( The Crime Prevention Coalition of America,2007). With their program changing to stay up with the advancements in technology the program seems to me like it has insured its survival for now. As long as you can change your program just enough to adapt to the changes in the world around you then you will ensure the life of your program. With the every change world of technology and the evolving world of crime these crime prevention programs will have to continue to change to stay up with the changes in our every changing lives. The Crime Prevention Coalition of America is a crime preventing program that has been around for a while now and with its longevity it has partnered up or help create other organizations to help people prevent or fight crime in their neighborhoods. The Crime Prevention Coalition of America was established to teach people and to show people what will and can happen if crime sets up shop in their communities. This program is a successful one because it not only focuses on prevent crimes but it also can help people who have been victims regain control of their lives. â€Å"He who does not prevent crime when he can, encourages it.†Ã¢â‚¬â€Roman philosopher, Seneca (Crime Prevention Matters. 2008). References Bureau of Justice Assistance. (2008). BJA. What Have We Learned From Evaluations of Community-Based Crime Prevention Programs?. Retrieved 10 December 2012, from https://www.bja.gov/evaluation/program-crime-prevention/cbcp2.htm. Crime Prevention Matters. (2008). NCPC. Crime Prevention Matters. Retrieved 10 December 2012, from http://www.ncpc.org/resources/files/pdf/misc/crime-prevention-matters.pdf. NCPC. (2012). National Crime Prevention Council. About. Retrieved 9 December 2012, from http://www.ncpc.org/programs/crime-prevention-coalition-of-america/about NCPC. (2012). National Crime Prevention Council. Crime Prevention Coalition of America. Retrieved 9 December 2012, from http://www.ncpc.org/programs/crime-prevention-coalition-of-america. The Crime Prevention Coalition of America. (2007). NCPC. Mobilizing the Nation to Prevent crime, Violence and Drug Abuse. Retrieved 10 December 2012, from