How to Stay Passionate about Writing

Every writer hits a dead end now and then. Creativity is a quality thats defined by peaks and valleys. Many famous writers have gone through dry periods of writer’s block where they felt their work was worthless. Its not just fiction writers who suffer this fate. Journalists, researchers and even students also reach points where they feel uninspired by their work. So what should you do if your spirit is lagging and you cant find the joy and thrill in creating something new? Go to conferences and workshops Part of the challenge of writing is that its a solitary endeavor. And the human mind is a tricky beast, it can dry up pretty fast in the absence of outside stimulation. Attending writers workshops and conferences can spark your enthusiasm again. Getting feedback on your work can give you a new perspective on it. Hearing the advice of the coordinator can set you in a new direction. Meet other people working on interesting projects, this will fill you with the desire to keep going or to start anew. Get yourself out of your work space the site of so many frustrating hours – this can refresh your senses and help spark new ideas. Try a different genre If youre a sociologist working on a dissertation, try writing poetry or fiction. If youre a fiction writer, try writing an editorial article about something you feel passionate about. Its a way for you to keep practicing writing without getting stuck in a rut. It can also help take the pressure off. Youre not trying to publish a book of poems, youre just playing around with words. Youre not aiming to become a journalist, youre just finding another way to express yourself. Sometimes branching out into different areas and experimenting with styles can bring a light-heartedness to your work. Re-read your favorite book Some writers have a particular book that inspired them to write. Maybe it influenced their writing style or opened them up to new possibilities in writing. When youre experiencing a lull in your work, go back to the early source of your inspiration. Re-read it. Religious people turn to their sacred texts when theyre in doubt. Turn to yours. What did it teach you all those years ago when you first read it? What does it teach you today? Teach If youre struggling to find the purpose in your work, try teaching. Theres nothing better to light your fire than passing on the accumulated experiences of your years of writing to eager young writers. Youll have the chance to take stock of all the challenges youve overcome to reach the point youre at today. It may give you the courage to overcome your current block. Giving advice to them is also an indirect way of giving advice to yourself. Make sure you have enough time Maybe your problem isnt lack of inspiration but burn-out. Did you take on too many commitments at once? Are you trying to balance work and family and over-stretching yourself? Theres nothing like having too much on your plate to snuff your creative fire. Exhaustion, stress and guilt are a toxic cocktail that only work to keep the muse at bay. Rearrange your schedule to include enough time for leisure activities, to do the non-writing related things youre passionate about. Sparking passion in other parts of your life may have a contagious effect on your writing life too. Also, allowing yourself space from your problems is what gives you the perspective to solve them. Take on work that you love Nothing kills your passion for writing like writing about subjects you find boring. So, if thats what youre doing, stop. There are more than enough writing gigs to go around in the area that you love. Take this advice from Ray Bradbury: â€Å"I’ve never worked a day in my life. The joy of writing has propelled me from day to day and year to year. I want you to envy me, my joy. Get out of here tonight and say: ‘Am I being joyful?’ And if you’ve got a writer’s block, you can cure it this evening by stopping whatever you’re writing and doing something else. You picked the wrong subject.† Join a writers group Preferably one that meets in-person rather than online, but if thats not possible, then an online one is better than nothing. It helps to talk to other writers and share your work. Most writers tend to have a circle of writer friends, but it can be a tricky thing to depend on your friends to give you honest feedback. A group of professional writers can not only offer more objective advice, but they can give you the support and encouragement you need to work through difficult phases and reach the finish line. Look at the small picture Sometimes your writing dreams are too big. You want to write the Great American Novel or win the Nobel Prize for Literature. But instead youre sitting in front of a blank screen every day. So, try something else. Dont think about goals. Dont even think about finishing your book. Think about today. One word after the other. And after youre done, put it away and stop thinking about it. And then tomorrow do the same thing. Take the pressure off to turn your passion on. Mark Twain explained his writing method this way: â€Å"The secret of getting ahead is getting started. The secret of getting started is breaking your complex overwhelming tasks into small manageable tasks, and then starting on the first one.† Whatever lull youre going through right now, remember that many writers before you have gone through it too. Dont give up. Just make it to the bend. Once you round it, things will look different again.

Effects of Atomic Bomb essays

Effects of Atomic Bomb essays When the crew of the Engola Gay took off just before dawn on the morning of August 6, 1945, they carried with them a cargo that would change history and the lives of millions. The bombing of the Japanese city of Hiroshima, and the attack on Nagasaki three days later, brought World War II to a staggering end. While these attacks brought peace, they were also two of the worst human-caused disasters, causing millions of lives to be put in jeopardy. Millions of children were born with abnormalities, people lost their families and homes, total cities were wiped out. These bombs caused massive destruction and will be remembered for eternity. Fujio Tsujimoto was a five year old Japanese boy. He was at school on August 6, 1945 playing with his classmates on the playground, when a plane flew overhead. He and his grandmother dove deepest into a nearby shelter just as Fujio saw a bright FLASH and was thrown against the wall of the shelter. After a while he looked up out of the shelter to see bodies lying everywhere, most of which were dead. The wounded that could move pulled themselves into the shelter, as it filled quickly. His brothers and sisters soon found their way into the shelter, and eventually so did his mother. But his father never appeared. Bloody bodies lay all around him. They all eventually died from the exposure to the radiation. Imagine losing your home, family, and your life in the flash of a light! The author of Children of the Atomic Bomb, Dr. Yamazaki, had served as a combat surgeon and in 1949 was assigned as Physician in charge of the United States Atomic Bomb Casualty Commission. He contributed major aide, to the victims in Japan and he was also able to gain a lot of knowledge about these victims suffering. He went back in 1989 and he attended a meeting to interview the mothers of pica babies. Pica referred to the blinding flash of the atomic bomb and the radiation poisoning resultin...

Understand a range of techniques to analyse data effectively for Essay

Understand a range of techniques to analyse data effectively for business purposes - Essay Example Mode can be applied by employees in knowing their salary scale. Mean can be applied by businesses to know the average cost of the employees’ salaries and it can be used to estimate the future costs. Mean can be used by employees to calculate the expected salary. Employees get an average salary of  £1248 Standard deviation is the measure of how numbers are spread out. In this case it shows how the salaries of employees are spread out. It shows how the salaries are different from the mean (Lind, Marchal & Wathen, 2010). A business may use quartile and percentile to make decisions. For instance, to set the prices of goods and services, they may also be applied in the setting of employees’ salaries. Correlation can also be applied in business decision making. Correlation is used to measure the linear relationship that is between two variables (Lind, Marchal & Wathen, 2010). If a relationship between the two variables is strong then altering one of the variables will affect the other variable. Thus a business is able to determine if it should change the variable and to what

How Check-Cashing Services Impact Low-Income Americans Research Paper

How Check-Cashing Services Impact Low-Income Americans - Research Paper Example â€Å"[W]hen a San Francisco-based bank began to offer commercial check-cashing services in the Los Angeles area, it was criticized as ‘ripping off’ the poor† (pp. 142). B. How Did They Begin? These check-cashing services often started out as small, mom-and-pop operations that sold antiques, jewelry, televisions, and other odds-and-ends items and knick-knacks. Pretty soon, check-cashing services included everything from getting a check cashed (without having to have a bank account)—to other financial services, including getting cashier’s checks and money orders. A. Who Started the Service? These services were started by people who had a little bit to invest in their business. Usually, these service providers started out small, and, as their wealth grew, they could either expand their pawnshops or check-cashing services—which didn’t require a checking account at the bank, which was a novelty for poor people who traditionally didn’ t have financial services available to them due to their socioeconomically-disadvantaged status. II. How Did Check-Cashing Services Become Popular? Check-cashing services became popular when people realized that they needed some kind of banking services in order to cash their checks for pennies on the dollar. What they didn’t realize was that these currency exchanges were often charging exorbitant fees for providing said services. III. What Groups Were Targeted A. How Were These Groups Selected? These groups were most likely selected due to their low socioeconomic status. People who are living in poverty rarely have less cash flow, and less capital to be able to put towards financial services—such as, say, having a checking and/or savings account at the bank. Thus, this can drive people into even more poverty because they are not saving money. Since they are not saving money, unfortunately, this is causing them much distress—having to usually live paycheck to pa ycheck. Many of these people are struggling economically. With many people out of work and the national unemployment rate at 9%, several people do not have jobs and are just living on their earnings from part-time jobs and unemployment checks, not to mention welfare checks from the government. A large percentage of the American population is now living on welfare. These currency exchanges (or ‘check-cashing’ services) just prey upon the fact that the poor don’t have access to good financial services because banks usually don’t cash checks for people who don’t have accounts with their banks. B. What Do Critics Say About Targeting These Groups? Critics would generally agree that targeting this low-income, socioeconomically-disadvantaged groups would be morally and ethically wrong—speaking from the standpoint of a consumer.

PATCH ADAMS Essay Example | Topics and Well Written Essays - 500 words

PATCH ADAMS - Essay Example And even after being kicked out of school and sued in court, he manages to win the case. He eventually lays the groundwork for a medical clinic built around his philosophy. Over time, both patients and physicians become fond of him. The film ends with his graduation, where he receives a standing ovation for his innovative reforms in the field of medicine and health care. The filmmakers decided to choose a cast of different age groups and orientation. All through the film, you discover that the main character is much older than his fellow colleagues, but even that is justified in the story. Patch, unlike his friends, is not mindful of what others think of him. His younger colleagues seem to see things differently. They put their medical education in high regard, and they expect to conform to all the norms and practices of a professional doctor. But Patch sees growth and improvement within the profession. His care is patient-centered, and whenever he meets a patient in need, he comes u p with the proper and effective technique to care for him, regardless of the rules. In one of the scenes, Patch and the other students are being toured around the ward. Their clinical instructor seems oblivious to the patients’ needs. Patch sees this and takes the opportunity to say hi to her, which cheers her up. This ends up irritating the teacher. He then secretly enters the children’s ward and plays the part of a clown to cheer up the children. The nurses observing this, ask him to help them with one mentally ill man who the rest of the hospital staff fear to see, he bravely enters his room dressed as an angel and manages to soften up the man. He uses various therapeutic styles for different age groups, and they all prove effective.

The success of starbuck

The success of starbuck Terms Of Reference This report was commissioned to examine the use of the marketing mix and the contribution of the design function in the success of Starbuck. This report is presented to Dr. Daniel Wade Clarke and the due date is 22nd February 2010. Recommendations are provided in the end. Procedure Organisations own literature has been used in this report. Online textbook and newspapers has been followed to complete this project report.   Nature Of The Organisation Starbucks Coffee Company is the leading retailer, roaster and brand of specialty coffee in the world, with more than 15,000 retail locations in North America, Latin America, Europe, the Middle East and the Pacific Rim wherever there is a demand for great coffee. In 1970 the first Starbucks was open. The name comes from Herman Melvilles Moby Dick, a classic American novel about the 19th century whaling industry. The seafaring name seems appropriate for a store that imports the worlds finest coffees to the cold, thirsty people of Seattle. In May 1998, Starbucks successfully entered the European market through its acquisition of 65 Seattle Coffee Company stores in the UK. The two companies shared a common culture, focussing on a great commitment to customised coffee, similar company values and a mutual respect for people and the environment. (Source www.starbucks.co.uk ) Marketing Mix And NPDs Relation To Starbucks? The marketing mix concept is one of the core concepts of marketing theory. According to Rafiq and Ahmed (1995, p.4) that in recent years, the popular version of this concept McCarthys (1964) 4Ps (product, price, promotion and place) has increasingly come under attack in different marketing contexts. Because 4Ps do not take sufficient account of people, process and physical evidence in service marketing. In particular Booms and Biters (1981) extension of the 4Ps framework to include process, physical evidence and participants, has gained widespread acceptance in the services marketing literature. Furthermore Jobber (2004, p.21) adds to this â€Å" In services ,people often are the service itself; the process or how the service is delivered to the customer is usually a key part of the service, and the physical evidence should be considered as a separate element in the services marketing mix†. Nevertheless, there is no absolute reason why these extensions cannot be incorporated w ithin the 4Ps framework. The elements of the marketing mix are the followings; (1) Product (2) Price (3) Place (4) Promotion (5) People (6) Processes (7) Physical Evidence Product The Product decision involves deciding what goods or services should be offered to a group of customers. Brassington and Pettitt (2003, p.25) state that â€Å"it is about not only what to make, but when to make it, how to make it, and how to ensure that it has a long and profitable life†. Clearly product is the important element any company will needs to consider product features/ benefits, branding, packing and after-sales service after its development. Coffee is at the heart of Starbucks history. Starbucks sample coffees from around the world more than 150,000 cups a year. Coffee is the core product of Starbucks as defined by Brassington and Pettitt (2003, p.268) â€Å"core product represents the heart of the product, the main reason for its existence and purchase†. It is coffee which provides the functional or psychological definition of Starbucks towards its customers. Below is the diagram of Strategic thrust model, which is effective in marketing planning. Starbucks is using two marketing strategies towards their products.   First one is Product development and second is Market development. According to Jobber (2004, p.47) that product development involves improving current products or developing new products for current markets. As we know Starbucks offer convenience and non durable products in the form of coffee, when it comes to product development they are continuously differentiating their product (coffee) in the form of mild, smooth and bold categories, which increases their product line although their core product is the same. Starbucks also offer merchandise and gifts and fresh food just to increase their product range or product mix for the competitive market. This type of newness can be called new to the company, a significant innovation for the market. Furthermore Jobber (2004, p.47) also explains market development when current products are sold in new markets. This may involve moving into new geographical markets, as Starbucks has done moving into European market segments. But sometimes thes e strategies can be costly for example they have divided their coffee into three categories and they are getting their product from different regions which can be more costly then the product itself. Guardian (18th February 2009) reported that in the second half of 2008 Britain and the US fell into recession because of the credit crunch, but that so many other countries tumbled in even quicker. Germanys economy contracted by 2.1% in the fourth quarter of year 2008, Italys by 1.8%, Britains by 1.5% and Frances by 1.2%. All are significant, the worst for decades and worse than the USs 0.9% fall in the same period. Starbucks seems heavily exposed in countries such as Britain and the US, where consumer confidence and spending have shrivelled. But it also has plenty of stores across mainland Europe so no doubt they have experienced a cooling off in demand as cash-strapped consumers opts for cheaper drinks. Price Brassington and Pettitt (2003, p.392) explains price in a more interesting way according to them â€Å"price might seem to be the least complicated and perhaps the least interesting element of the marketing mix, not having the tangibility of the product, the glamour of advertising of the atmosphere of retailing†. Price however, play a very important role in the lives of both marketers and customers, and deserves as much strategic consideration as any other marketing tool because of it company receives some units for the actual product or service which is being marketed.   Starbucks main competitors are Costa coffee and Caffe Nero to compete with them Starbucks applies competition based pricing strategy. According to Brassington and Pettitt (2003, p.452) its very dangerous setting prices without knowing what is happening in the market, particularly with respect to ones competitors. There are two aspect of competition that influence an organisations pricing. The first is the structure of the market and the second is products perceived value in the market. When a product is more differentiated then its competitors product the more autonomy the organisation has in pricing it. Hence Starbucks has a range of different product they have slight advantage over their competitors and for that reason buyers come to value its unique benefits. However sometimes setting a high price then your competitors is not a good tactics. According to Times (24th July 2008) Starbucks is peddling the worst coffee at the highest prices according to a survey of the big three coffee houses on Britains high streets. The Which? Magazine survey that choosing the worlds largest coffee chain (Starbucks) instead of an independent shop for your cappuccino three mornings a week will cost you  £126 a year. Coffee Prices Starbucks Medium cappuccino  £2.29; single espresso  £1.40 Costa Coffee Medium cappuccino  £2.27; single espresso  £1.33 Caffe Nero Medium cappuccino  £1.80; single espresso  £1.25 Clearly setting high prices will not only effect Starbucks position in the market but also it will result a down turn in the demand curve. In another example The Observer (18th October 2009) reveals that at Starbucks, a slice of chocolate cake costs  £2.30 and a small English breakfast tea is  £1.40. But a pack of four cupcakes costs  £2.99 from Marks Spencer and a box of 80 Fairtrade Extra Strong tea bags is  £1.89. So clearly it is not only the core product which is expensive but also the other product range as well. Place According to Jobber (2004, p.634) â€Å"product need to e available in adequate quantities, in convenient locations and at times when customers want to buy them†. Producing products that customers want, pricing them correctly and after that made them available, is necessary for any business. But for that accurate channel strategy is very important for any business. Starbucks has their own of distribution channel. A channel of distribution is very important element. All products whether they are consumer, industrial goods or services require a channel of distribution. Starbucks apply consumer channel strategy in which producers have a direct contact to consumer. According to Jobber (2004, p.637) producer use this strategy to cut out the distribution profit margin. The consumer and manufacturer deal directly with each other. Direct selling is more effective then involvement of a distributor. The following present direct supply channel or producer direct to consumer. Starbucks has more than 15,000 retail locations in North America, Latin America, Europe, the Middle East and the Pacific Rim. Starbucks has coffee stores in every part of the UK. Guardian (21st January 2010) reveals that Starbucks UK management reckons that the chain will end the year 2010 back above 700 stores compare to its current 661 stores. However intensive distribution of the product (Starbucks stores) is not a good strategy because Starbucks has to compete in all sorts of markets in the same time, which is very costly in the current economic climate. The second most important thing, which is Starbuck lacking, is the franchisees. According to Brassington and Pettitt (2003, p.473) â€Å"A franchisee holds a contract to supply and market a product or service to the design or blueprint of the franchisor (the owner or originator of the product or service)†. Starbucks want to expand their business in the whole word a franchisee will be best available solution for them. McDon alds is an indication of the level of detail covered by a franchise agreement then why Starbucks are not following the same path as their other companies are following. National or regional advertising in addition to any undertaken by the franchisee can play an important role in building a stronger system brand identity. Promotion According to Jobber (2004, p.18) promotional mix involve advertising, personal selling, sales promotions, public relations, direct marketing, and internet and online promotion. By which we can easily made aware the target audience of the existence of a product or service, and the benefits it confers to the customers. Marketing communication is a very important element; no organisation can afford either the financial or reputational damage caused by poorly planned or implemented communication campaigns. Starbucks use all of the promotional mix ingredients to target their audience they made good use of internet and online promotion. They target their audience through social networking website such as FaceBook and Twitter. They also use YouTube for their promotion and other social campaigns. Starbucks is also using social and cultural aspect of the environment for their sale promotions and public relations. Brassington and Pettitt (2003, p.587) explains that â€Å"Social and cultural a spects of the environment will mostly have an impact on the message element of communication†. According to Guardian (2nd September 2009) Starbucks has launched a multimillion-pound ad campaign promoting its ethical values as it makes the vast majority of its UK coffee Fairtrade. Clearly they are using a social issue to make public relation with their target audience, and also Shared Planet (Guardian 2008) the Starbucks initiative launched in year 2008. Its a collection of goals, by 2015 they promise to have all their coffee ethically sourced and all their cups recyclable. Starbucks is using these issues to defend their selves against the environmental campaigners. According to Guardian (2nd September 2009) at Starbucks millions of litres of water are wasted in its coffee shops every day, contradicting its much-boasted green credentials. An investigation by the Sun revealed that over 23.4m litres of water are poured down the drains of 10,000 outlets worldwide due to a policy of keeping a tap running non-stop; Which is totally unfair because on oneside Starbucks run its campaign to save the earth and on the other side they are doing things which are against their campaign. People Brassington and Pettitt (2003, p.28) describes that services often depends on people to perform them, creating and delivering the product as the customer waits.   It is dependent upon people and interaction between people. Rafiq and Ahmed (1995, p.7) adds that â€Å"Marketing managers therefore need to manage not only the service provider-customer interface but also the actions of other customers†. For example, the number, type and behaviour of people will partly determine the enjoyment of a meal at a Starbucks coffee store. Therefore observation of everything in the surrounding of stores environment is very important for any organisations. Especially it is more important for Starbucks because they are their own producer and retailer so anything lacking in the consumer attraction can easily put a bad image on Starbucks brand name. If there is any need for training it will be the best solution for getting service delivery from employees. Processes Processes are all the administrative and bureaucratic functions of the organisation. In the process mechanisms there are flows of activities by which services are acquired. Marketers, therefore, have to ensure that customers understand the process of acquiring a service (Rafiq and Ahmed, 1995, p.7). Performance of the product can be separated from the customer but on the other hand, the customer cannot be separated from an experience good. Therefore his degree of involvement in the process of interaction is always high towards the final product (Moorthi, 2002, p.266). Adding to this by Brassington and Pettitt (2003, p.28) marketer also has to think carefully about how the service is delivered, and what quality controls can be built in so that the customer can be confident that they know what to expect each time they consume the service product. In Starbucks there are number of process mechanisms, which involve customer serving, telephonic customer services, online shopping, and Starbucks reward card. Well designed processes are needed as the service is delivered to ensure that the customer gets through with minimum fuss and delay and that all elements of the services are properly delivered. Process is all about quality improvement of any service which Starbucks provide. Physical Evidence   Physical evidence in the Booms and Bitner framework refers to the environment in which the service is delivered and any tangible goods that facilitate the performance and communication of the service. Physical evidence is important because customers use tangible clues to assess the quality of service provided (Rafiq and Ahmed, 1995, p.7). The physical environment itself is instrumental in customers assessment of the quality and level of service they can expect, for example in Starbucks stores. In fact, the physical environment is part of the product itself. The need for offering physical evidence is high. In the case of Starbucks the intangible (Service delivery) comes first and the tangible (final product coffee) later. Newness of the environment (Starbucks Stores) can also have a positive effect on customers purchase decision. Starbucks announcement to redesign its stores in UK will put a positive effect on their brand name as well as their customer involvement (Guardian October 20 09). Conclusion Starbucks Coffee Company is the leading retailer, roaster and brand of specialty coffee in the world, with more than 15,000 retail locations in North America, Latin America, Europe, the Middle East and the Pacific Rim wherever there is a demand for great coffee. Starbucks exclusively divided their product in to three categories, which increases their product line, Starbucks also offer merchandise and gifts and fresh food just to increase their product range or product mix for the competitive market. This type of newness can be called new to the company, a significant innovation for the market. Starbucks is also involved into new geographical markets, as Starbucks has done in Europe moving into new market segments. But sometimes these strategies can be costly. Starbucks apply competition based pricing strategy. Hence Starbucks has a range of different product they have slight advantage over their competitors and for that reason buyers come to value its unique benefits. Starbucks is peddling the worst coffee at the highest prices according to a survey of the big three coffee houses on Britains high streets. Starbucks has their own of distribution channel. However intensive distribution of the product (Starbucks stores) is not a good strategy because Starbucks has to compete in all sorts of markets in the same time, which is very costly in the current economic climate. National or regional advertising in addition to any undertaken by the franchisee can play an important role in building a stronger system brand identity. Starbucks use all of the promotional mix ingredients to target their audience they made good use of internet and online promotion. Starbucks is also using social and cultural aspect of the environment for their sale promotions and public relations. Starbucks is using these issues to defend their selves against the environmental campaigners. Starbucks needs to focus on their because they are their own producer and retailer so anything lacking in the consumer attraction can easily put a bad image on Starbucks brand name. If there is any need for training it will be the best solution for getting service delivery from employees. Starbucks needs continuous improvement of their processes mechanism. Physical evidence is important because customers use tangible clues to assess the quality of service provided. Starbucks announcement to redesign its stores in UK is good strategy which will put a positive effect on their brand name as well as their customer involvement. References Booms, B.H. and Bitner, M.J. (1981), â€Å"Marketing strategies and organization structures for service firms†, in Donnelly, J.H. and George, W.R. (Eds), Marketing of Services, American Marketing Association, Chicago, IL, pp. 47-51 [Accessed: 20/02/2010] Brassington, F. and Pettitt, S. (2003) Principles and Practice of Marketing: 3rd Edition: Pearson Education Limited [Accessed: 17/02/2010] Jobber, D. (2004) Principles and Practice of Marketing: 4th Edition: McGraw-Hill International (UK) Limited [Accessed: 17/02/2010] Kotler, P. (2003) Marketing Management 11th Edition: Pearson Education Limited [Accessed: 17/02/2010] Moorthi, Y.L.R. (2002), â€Å"An approach to branding services†, Journal of Services Marketing, Vol.16 (3), pp.259-274 [Accessed: 21/02/2010] Rafiq, M. and Ahmed, P.K. (1995), â€Å"Using the 7Ps as a generic marketing mix: an exploratory survey of UK and European marketing academics†, Marketing Intelligence Planning, Vol. 13 (9), pp. 4-15 [Accessed: 17/02/2010] The Story of Starbucks [online] http://starbucks.co.uk/en-GB/_About+Starbucks/ [Accessed: 15/02/10] Times Online, (24th January 2008) Best coffee on high street? Not Starbucks by Nico Hines [on-line] http://www.timesonline.co.uk/tol/news/uk/article3245914.ece [Accessed: 18/02/2010] The Guardian, (6th October 2008) Starbucks wastes millions of litres of water a day by Angela Balakrishnan [on-line] http://www.guardian.co.uk/uk/2008/oct/06/water.drought [Accessed: 18/02/2010] The Guardian, (5th October 2008) Starbucks to redesign shops [on-line] http://www.guardian.co.uk/lifeandstyle/wordofmouth/2009/sep/18/starbucks-rebrand-branding-coffee [Accessed: 18/02/2010] The Guardian, (November 2008) Regular or decaf ? America decides [on-line] http://www.guardian.co.uk/lifeandstyle/wordofmouth/2008/nov/04/foodanddrink1 [Accessed: 18/02/2010] The Guardian, (18th February 2009) Starbucks row: Its off the boil almost everywhere by Ashley Seager [on-line] http://www.guardian.co.uk/business/2009/feb/18/starbucks-britain-failing-economy [Accessed: 18/02/2010] The Guardian, (2nd September 2009) Starbucks ads trumpet Fairtrade move by Mark Sweney [on-line] http://www.guardian.co.uk/media/2009/sep/02/starbucks-fairtrade-advertising [Accessed: 18/02/2010] The Observer, (18th October 2009) Dinner party too costly ? Let them eat cake by Huma Qureshi [on-line] http://www.guardian.co.uk/money/2009/oct/19/dinner-party-costly-eat-cake [Accessed: 18/02/2010] The Guardian, (21st January 2010) Starbucks legend delivers recovery by thinking smaller by David Teather [on-line] http://www.guardian.co.uk/business/2010/jan/21/starbucks-howard-schultz [Accessed: 18/02/2010]

Pathology and Contemporary Treatment Alternatives

According to the Centers for Disease Control and Prevention, asthma is a complex disease on the rise in the United States. Most at risk include poor or inner city minorities that present with inordinately high rates of mortality resulting from the condition (CDC, 2005). Asthma may also be on the rise due to environmental factors including increased pollution and exposure to environmental toxins that may affect lung capacity (CDC, 2005; Hwang et. al, 2005; Yang, et. al, 1997; Wickman, et. al, 2003). Asthma is a serious, potentially life threatening condition for the millions of sufferers worldwide. Doctors are still working to determine the cause of this disease and finding new ways to treat it. While there is no cure for asthma yet, researchers have uncovered multiple treatment alternatives that help patients with asthma effectively control their condition. Education, public response and intervention are all critical success factors for predicting the quality of life for patients with asthma now and in the future. Research supports the use of a defined set of treatment protocols for assisting patients with asthma lead a better quality of life. The basis for treatment, anatomy and physiology of the respiratory tract and pathology of asthma in patients are all discussed in greater detail below. Normal Lung Function and Respiratory System The human body has two lungs located on either side of the chest. The lungs functions include passing oxygen from outside the body into our bloodstream and releasing waste materials in the form of carbon dioxide back into the environment (Gershwin & Klingelhofer, 1992). During each breath the body inhales oxygen and exhales carbon dioxide (Polk, 18). Oxygen combines with carbohydrates and fat in the body to product energy. During the process of creating energy water and carbon dioxide are formed that are expelled through breathing. The lungs consist of several anatomical structures including the bronchial tubes that enable expansion and constriction of the muscles in the lungs and chest. These tubes consist of muscles that allow air to pass deep in to the lungs. Bronchial tubes consistently change width, increasing in girth as an individual inhales and becoming narrower upon exhalation. In a person with a well functioning respiratory system all parts of the airway function synergistically to ensure maximum intake of oxygen and exhalation of carbon dioxide with each breath. Air enters the body through the nose and mouth. It passes through the pharynx, larynx and trachea, all important parts of the airway (Polk, 18). The noses and sinuses act as conditioners adjusting the air temperature as it passes through other structures in the airway. The pharynx or back of the throat allows liquids and solids entering the airway to â€Å"drop out before entering the lungs† (Polk, 19). Likewise the larynx helps prevent other unwanted particles in the air from entering the lungs (Polk, 19). It is here that the body's cough reflex lies. If something unwanted is present in the air being inhaled, the larynx will stimulate a cough reflex to help expel the object. While the larynx isn't the only trigger for a cough reflect it is very important to the entire breathing process (Polk, 19). When a person inhales, the chest muscles in the body contract allowing the ribs to separate slightly. Air is then drawn into the lungs. The opposite happens when an individual exhales, allowing air to forcefully come out of the lungs. The abdomen is also involved in breathing. The abdomen attaches to the front and back of the ribs, pushing them up and out when breathing. Breathing thus incorporates the chest and abdomen. The more a person engages all the muscles and organs involved in respiration including the abdomen, the better able they are to take a full breath of air. In times of old doctors ascribed asthma to anyone having difficulty breathing regardless of the cause; during the 20th century however researchers refined asthma to include difficult breathing â€Å"Because of a problem that begins in the bronchial tubes of the lungs† (Polk, 15). Asthma is a complex disorder that doctors are still working to fully understand. While doctors have uncovered many potential causes for asthma, they are still not certain what exactly causes it and how to prevent it 100 percent in all patients. In patients with asthma, the ability of the bronchial tubes to adjust their width is often diminished, resulting in difficulty breathing. Children are often at increased risk for developing asthma, as their bronchial tubes are narrower to begin with than adult tubes, thus less change in width is evident even in healthy lungs. Exercise induced asthma is a form of asthma that results when the air present in the nose and sinuses isn't prepared appropriately to pass through other parts of the airway (Polk, 19). Normally this form of asthma is easier to treat than severe forms of asthma whose cause is unknown (Hogshead, 1989; Guyton, 1991). During a bronchospasm attach involuntary spasms may prevent lung tissue from expanding to their normal size. Air can become trapped in the lungs. Cellular and structural changes often occur within the airway and lungs of patients with asthma, including thickening of the airway wall and inflammation (Saetta & Turato, 2001). Normally as air passes through the lungs the bronchiols or airways get smaller. In a patient with uncontrolled asthma however, the sides of the airways typically become enlarged or inflamed (CDC, 2005). During an acute attack, the muscles or bronchiols surrounding the airways constrict, thus reducing the amount of air a person can pass in and out of their lungs (CDC, 2005). Once this constriction begins, mucus starts forming in the airways, causing even greater constriction and distress. Typical symptoms associated with an asthma attack include wheezing, chest pain and tightness, coughing and difficulty breathing (CDC, 2005). No one is immune from asthma. Children, adults and the elderly are all at risk. Some people are more at risk than others including people who smoke, those with seasonal allergies and anyone with recurring acute respiratory infections (CDC, 2005). Signs of asthma include physical qualities of the disease a patient, family member or doctor can easily identify such as dyspnea (trouble breathing) (Polk, 7). Symptoms include complaints generally associated with the condition, and may include headaches or chest pain, skin flushing and itching (Polk, 8). Dyspnea results from multiple conditions other than asthma including infections, allergies, foreign bodies present in the airway and associated factors (Polk, 8). It is important a clinician differentiate between asthma and other causes of the disease. Basis Contemporary Treatments For Managing Asthma The National Asthma Education and Prevention Panel consistently work with doctors to develop contemporary treatments to manage asthma (Moonie, et. al, 2005). Many of these treatments are based on empirical research that supports reduction of patients symptoms and prevention of chronic attacks. The goal of contemporary asthma care and treatment includes â€Å"control of asthma and good quality of life for asthmatic patients† (Gaga, et. al, 80). The basis for much of contemporary care is empirical based research, though trends are changing in an attempt to encourage doctors to improve patient awareness and education. Many asthma drugs historically are administered through inhalation. Inhalers are often prescribed â€Å"on an empirical basis rather than on evidence based awareness: (Virchow, 24). Much of the asthma management guidelines currently available offer â€Å"non-specific advice regarding inhaler choice† (Virchow, 24). As such it is important that GP work with patients to decide what the ideal inhaler is for all patients involved. The ideal inhaler according to Virchow (2005) is one that (1) is breath activated, â€Å"releasing medication only when all prerequisites for successful inhalation are met, (2) has a low intrinsic airflow resistance so children and elderly patients may use it and (3) is one that provides a flow-independent deposition of drugs in the lungs as well as feedback that reassures patients whether the drugs has been inhaled properly (24). Newman (2005) suggests the pressured metered-doze inhaler or pMDI delivers asthma medications in a reliable â€Å"multi-dose presentation† (1177). Key components of this devices help determine the amount of drug delivered to the patient. The researcher further suggests that pMDIs can be developed that are breath actuated and coordinated with â€Å"spray-velocity modifiers† to help patients unable to use â€Å"conventional press and breathe pMDI's correctly† (Newman, 1177). Modern or contemporary pMDI's according to Newman should also contain non-ozone depleting propellants, a sentiment confirmed by Virchow (2005) as well. Patients with severe refractory asthma require more comprehensive treatment. High-doses of inhaled corticosteroids are often insufficient for treating this form of asthma. Most require contemporary treatments including oral corticosteroid administration and use of immunosuppressants (Sano, Adachi, Kiuchi & Miyamoto, 2005). Chronic use of these drugs however present a high risk for adverse side effects. A study conducted by Sano, et. al (2005) suggests that nebulized sodium cromoglycate â€Å"is expected to be a new second-line therapeutic option in severe asthma† (1). Gaga, et. al (2005) suggests that many doctors are not achieving good quality of life and control of asthma for patients. Their study of treatment outcomes for asthmatic patients in specialized care suggests that contemporary treatments should include more patient education combined with increased use of LABAs (Long-acting beta2-agonists) and leukotriene antagonists to help prevent bronchoconstriction and improve quality of life for patients. Despite multiple contemporary treatment choices, managing acute severe asthma attacks still present a tremendous health challenge to health care professionals (Barnard, 2005). Contemporary guidelines for treating acute emergency attacks currently include treatment with oxygen and inhaled beta 2 agonists, which can be administered continuously to help preserve life in acute patients (Barnard, 532). Patients discharged after such treatment should also engage in review of current medications and consider â€Å"a short course of oral steroids, a written asthma action plan and detailed advice about deterioration that may occur within 48 hours† (Barnard, 533). Butz et. al, (2005) are among a growing body of contemporary researchers that suggests that self management and patient education are critical success factors for treating patients with asthma in modern society. Their studies suggested home based educational programs that focus on accurate symptom identification and demonstration of â€Å"asthma medication delivery services† may improve patient quality of life and assist children with asthma and asthma like conditions (Butz, et. al, 190). Delaronde, Peruccio & Bauer (2005) find that â€Å"individualized telephonic case management† from registered nurses specifically trained in contemporary asthma treatment may improve asthma medication use and subsequent quality of life for patients with asthma (361). This research correlates with a growing body of evidence supporting patient education and direct support as practical contemporary treatment practices. The basis for much of contemporary treatment lies in the gold standards or clinical practice guidelines outlined by the National Asthma Education and Prevention Program's Expert Panel (CDC, 2005). These standards offer patients and health care practitioners specific guidelines for recognizing, diagnosis, treating and providing ongoing care to asthmatic patients. Because asthma is a difficult disease to diagnose, clinicians should utilize multiple diagnostic tools to determine whether airflow obstruction in patients results from asthma or other underlying conditions. Doctors should also acquire a comprehensive medical and family history and attempt to quantify the severity of a person's condition (CDC, 2005). Other contemporary diagnostic criteria helpful for assessing a patients condition include lung function tests (also referred to as spirometry) (CDC, 2005). Because there is no cure for asthma at this time doctors must work to improve the quality of life for patients presenting with asthma as effectively treat acute attacks. Doctors also work with patients to prevent attacks and recurrent episodes. Not one treatment modality works for all people because every case of asthma is unique. Because of this doctors often use various medications including injections, oral medications, vapors and inhalers. Use of inhalers to expand airflow is currently one of the most common and effective long-term treatment choices for patients with asthma. Contemporary long lasting medical treatments should include use of corticosteroids to help reduce inflammation in the lungs and airways. Most patients will inhale these medicines or take them orally. Long acting beta2-agonists are also identified as effective long-term treatments for patients with asthma. While inhalers, nebulizers and other medications all serve the asthmatic population, education should also form the foundation for modern treatment practices. Multiple researchers have concluded that patient education is effective for improving the quality of life in patients with asthma. Education also ensures that patients understand how to use their medications and do use them to prevent acute attacks. Education may be particularly beneficial for children by helping them adopt healthy behaviors early on that can help control their condition. Asthma is a complex disease involving structural and physiological components. Patients with asthma face a life long and often debilitating condition that under severe circumstances may result in increased morbidity. Fortunately there are many treatments currently available that effectively manage this condition. Contemporary management and treatment of asthma is based on empirical research that suggests multiple forms of medication for preventing and treating acute asthma attacks. The most common forms of treatment include corticosteroid administration through inhalers or oral forms. There are other equally effective medical treatments however that may work well for patients depending on the severity of their illness. No two patients are alike with respect to the condition thus treatment must be tailored to the individual. New research suggests that doctors and patients focus on prevention and education to help improve patients quality of life and experience of their disease (West, 1990). Education that starts early, as when patients are children, is likely to be more effective than education that starts years after an individual has attempted to manage their disease using other methods. Adequate evidence suggests that the manner of delivery for education does not impact a patients success rate. Thus information may be distributed in person, in the home or even over the telephone if necessary. The currently body of literature available suggest that education in the classroom may also be an important avenue for teaching prevention and treatment in the future (West, 1990). It is important that researchers and doctors continue exploring new avenues for treating and preventing this insidious disease. Pathology and Contemporary Treatment Alternatives According to the Centers for Disease Control and Prevention, asthma is a complex disease on the rise in the United States. Most at risk include poor or inner city minorities that present with inordinately high rates of mortality resulting from the condition (CDC, 2005). Asthma may also be on the rise due to environmental factors including increased pollution and exposure to environmental toxins that may affect lung capacity (CDC, 2005; Hwang et. al, 2005; Yang, et. al, 1997; Wickman, et. al, 2003). Asthma is a serious, potentially life threatening condition for the millions of sufferers worldwide. Doctors are still working to determine the cause of this disease and finding new ways to treat it. While there is no cure for asthma yet, researchers have uncovered multiple treatment alternatives that help patients with asthma effectively control their condition. Education, public response and intervention are all critical success factors for predicting the quality of life for patients with asthma now and in the future. Research supports the use of a defined set of treatment protocols for assisting patients with asthma lead a better quality of life. The basis for treatment, anatomy and physiology of the respiratory tract and pathology of asthma in patients are all discussed in greater detail below. Normal Lung Function and Respiratory System The human body has two lungs located on either side of the chest. The lungs functions include passing oxygen from outside the body into our bloodstream and releasing waste materials in the form of carbon dioxide back into the environment (Gershwin & Klingelhofer, 1992). During each breath the body inhales oxygen and exhales carbon dioxide (Polk, 18). Oxygen combines with carbohydrates and fat in the body to product energy. During the process of creating energy water and carbon dioxide are formed that are expelled through breathing. The lungs consist of several anatomical structures including the bronchial tubes that enable expansion and constriction of the muscles in the lungs and chest. These tubes consist of muscles that allow air to pass deep in to the lungs. Bronchial tubes consistently change width, increasing in girth as an individual inhales and becoming narrower upon exhalation. In a person with a well functioning respiratory system all parts of the airway function synergistically to ensure maximum intake of oxygen and exhalation of carbon dioxide with each breath. Air enters the body through the nose and mouth. It passes through the pharynx, larynx and trachea, all important parts of the airway (Polk, 18). The noses and sinuses act as conditioners adjusting the air temperature as it passes through other structures in the airway. The pharynx or back of the throat allows liquids and solids entering the airway to â€Å"drop out before entering the lungs† (Polk, 19). Likewise the larynx helps prevent other unwanted particles in the air from entering the lungs (Polk, 19). It is here that the body's cough reflex lies. If something unwanted is present in the air being inhaled, the larynx will stimulate a cough reflex to help expel the object. While the larynx isn't the only trigger for a cough reflect it is very important to the entire breathing process (Polk, 19). When a person inhales, the chest muscles in the body contract allowing the ribs to separate slightly. Air is then drawn into the lungs. The opposite happens when an individual exhales, allowing air to forcefully come out of the lungs. The abdomen is also involved in breathing. The abdomen attaches to the front and back of the ribs, pushing them up and out when breathing. Breathing thus incorporates the chest and abdomen. The more a person engages all the muscles and organs involved in respiration including the abdomen, the better able they are to take a full breath of air. In times of old doctors ascribed asthma to anyone having difficulty breathing regardless of the cause; during the 20th century however researchers refined asthma to include difficult breathing â€Å"Because of a problem that begins in the bronchial tubes of the lungs† (Polk, 15). Asthma is a complex disorder that doctors are still working to fully understand. While doctors have uncovered many potential causes for asthma, they are still not certain what exactly causes it and how to prevent it 100 percent in all patients. In patients with asthma, the ability of the bronchial tubes to adjust their width is often diminished, resulting in difficulty breathing. Children are often at increased risk for developing asthma, as their bronchial tubes are narrower to begin with than adult tubes, thus less change in width is evident even in healthy lungs. Exercise induced asthma is a form of asthma that results when the air present in the nose and sinuses isn't prepared appropriately to pass through other parts of the airway (Polk, 19). Normally this form of asthma is easier to treat than severe forms of asthma whose cause is unknown (Hogshead, 1989; Guyton, 1991). During a bronchospasm attach involuntary spasms may prevent lung tissue from expanding to their normal size. Air can become trapped in the lungs. Cellular and structural changes often occur within the airway and lungs of patients with asthma, including thickening of the airway wall and inflammation (Saetta & Turato, 2001). Normally as air passes through the lungs the bronchiols or airways get smaller. In a patient with uncontrolled asthma however, the sides of the airways typically become enlarged or inflamed (CDC, 2005). During an acute attack, the muscles or bronchiols surrounding the airways constrict, thus reducing the amount of air a person can pass in and out of their lungs (CDC, 2005). Once this constriction begins, mucus starts forming in the airways, causing even greater constriction and distress. Typical symptoms associated with an asthma attack include wheezing, chest pain and tightness, coughing and difficulty breathing (CDC, 2005). No one is immune from asthma. Children, adults and the elderly are all at risk. Some people are more at risk than others including people who smoke, those with seasonal allergies and anyone with recurring acute respiratory infections (CDC, 2005). Signs of asthma include physical qualities of the disease a patient, family member or doctor can easily identify such as dyspnea (trouble breathing) (Polk, 7). Symptoms include complaints generally associated with the condition, and may include headaches or chest pain, skin flushing and itching (Polk, 8). Dyspnea results from multiple conditions other than asthma including infections, allergies, foreign bodies present in the airway and associated factors (Polk, 8). It is important a clinician differentiate between asthma and other causes of the disease. Basis Contemporary Treatments For Managing Asthma The National Asthma Education and Prevention Panel consistently work with doctors to develop contemporary treatments to manage asthma (Moonie, et. al, 2005). Many of these treatments are based on empirical research that supports reduction of patients symptoms and prevention of chronic attacks. The goal of contemporary asthma care and treatment includes â€Å"control of asthma and good quality of life for asthmatic patients† (Gaga, et. al, 80). The basis for much of contemporary care is empirical based research, though trends are changing in an attempt to encourage doctors to improve patient awareness and education. Many asthma drugs historically are administered through inhalation. Inhalers are often prescribed â€Å"on an empirical basis rather than on evidence based awareness: (Virchow, 24). Much of the asthma management guidelines currently available offer â€Å"non-specific advice regarding inhaler choice† (Virchow, 24). As such it is important that GP work with patients to decide what the ideal inhaler is for all patients involved. The ideal inhaler according to Virchow (2005) is one that (1) is breath activated, â€Å"releasing medication only when all prerequisites for successful inhalation are met, (2) has a low intrinsic airflow resistance so children and elderly patients may use it and (3) is one that provides a flow-independent deposition of drugs in the lungs as well as feedback that reassures patients whether the drugs has been inhaled properly (24). Newman (2005) suggests the pressured metered-doze inhaler or pMDI delivers asthma medications in a reliable â€Å"multi-dose presentation† (1177). Key components of this devices help determine the amount of drug delivered to the patient. The researcher further suggests that pMDIs can be developed that are breath actuated and coordinated with â€Å"spray-velocity modifiers† to help patients unable to use â€Å"conventional press and breathe pMDI's correctly† (Newman, 1177). Modern or contemporary pMDI's according to Newman should also contain non-ozone depleting propellants, a sentiment confirmed by Virchow (2005) as well. Patients with severe refractory asthma require more comprehensive treatment. High-doses of inhaled corticosteroids are often insufficient for treating this form of asthma. Most require contemporary treatments including oral corticosteroid administration and use of immunosuppressants (Sano, Adachi, Kiuchi & Miyamoto, 2005). Chronic use of these drugs however present a high risk for adverse side effects. A study conducted by Sano, et. al (2005) suggests that nebulized sodium cromoglycate â€Å"is expected to be a new second-line therapeutic option in severe asthma† (1). Gaga, et. al (2005) suggests that many doctors are not achieving good quality of life and control of asthma for patients. Their study of treatment outcomes for asthmatic patients in specialized care suggests that contemporary treatments should include more patient education combined with increased use of LABAs (Long-acting beta2-agonists) and leukotriene antagonists to help prevent bronchoconstriction and improve quality of life for patients. Despite multiple contemporary treatment choices, managing acute severe asthma attacks still present a tremendous health challenge to health care professionals (Barnard, 2005). Contemporary guidelines for treating acute emergency attacks currently include treatment with oxygen and inhaled beta 2 agonists, which can be administered continuously to help preserve life in acute patients (Barnard, 532). Patients discharged after such treatment should also engage in review of current medications and consider â€Å"a short course of oral steroids, a written asthma action plan and detailed advice about deterioration that may occur within 48 hours† (Barnard, 533). Butz et. al, (2005) are among a growing body of contemporary researchers that suggests that self management and patient education are critical success factors for treating patients with asthma in modern society. Their studies suggested home based educational programs that focus on accurate symptom identification and demonstration of â€Å"asthma medication delivery services† may improve patient quality of life and assist children with asthma and asthma like conditions (Butz, et. al, 190). Delaronde, Peruccio & Bauer (2005) find that â€Å"individualized telephonic case management† from registered nurses specifically trained in contemporary asthma treatment may improve asthma medication use and subsequent quality of life for patients with asthma (361). This research correlates with a growing body of evidence supporting patient education and direct support as practical contemporary treatment practices. The basis for much of contemporary treatment lies in the gold standards or clinical practice guidelines outlined by the National Asthma Education and Prevention Program's Expert Panel (CDC, 2005). These standards offer patients and health care practitioners specific guidelines for recognizing, diagnosis, treating and providing ongoing care to asthmatic patients. Because asthma is a difficult disease to diagnose, clinicians should utilize multiple diagnostic tools to determine whether airflow obstruction in patients results from asthma or other underlying conditions. Doctors should also acquire a comprehensive medical and family history and attempt to quantify the severity of a person's condition (CDC, 2005). Other contemporary diagnostic criteria helpful for assessing a patients condition include lung function tests (also referred to as spirometry) (CDC, 2005). Because there is no cure for asthma at this time doctors must work to improve the quality of life for patients presenting with asthma as effectively treat acute attacks. Doctors also work with patients to prevent attacks and recurrent episodes. Not one treatment modality works for all people because every case of asthma is unique. Because of this doctors often use various medications including injections, oral medications, vapors and inhalers. Use of inhalers to expand airflow is currently one of the most common and effective long-term treatment choices for patients with asthma. Contemporary long lasting medical treatments should include use of corticosteroids to help reduce inflammation in the lungs and airways. Most patients will inhale these medicines or take them orally. Long acting beta2-agonists are also identified as effective long-term treatments for patients with asthma. While inhalers, nebulizers and other medications all serve the asthmatic population, education should also form the foundation for modern treatment practices. Multiple researchers have concluded that patient education is effective for improving the quality of life in patients with asthma. Education also ensures that patients understand how to use their medications and do use them to prevent acute attacks. Education may be particularly beneficial for children by helping them adopt healthy behaviors early on that can help control their condition. Asthma is a complex disease involving structural and physiological components. Patients with asthma face a life long and often debilitating condition that under severe circumstances may result in increased morbidity. Fortunately there are many treatments currently available that effectively manage this condition. Contemporary management and treatment of asthma is based on empirical research that suggests multiple forms of medication for preventing and treating acute asthma attacks. The most common forms of treatment include corticosteroid administration through inhalers or oral forms. There are other equally effective medical treatments however that may work well for patients depending on the severity of their illness. No two patients are alike with respect to the condition thus treatment must be tailored to the individual. New research suggests that doctors and patients focus on prevention and education to help improve patients quality of life and experience of their disease (West, 1990). Education that starts early, as when patients are children, is likely to be more effective than education that starts years after an individual has attempted to manage their disease using other methods. Adequate evidence suggests that the manner of delivery for education does not impact a patients success rate. Thus information may be distributed in person, in the home or even over the telephone if necessary. The currently body of literature available suggest that education in the classroom may also be an important avenue for teaching prevention and treatment in the future (West, 1990). It is important that researchers and doctors continue exploring new avenues for treating and preventing this insidious disease.

Impact of Religion on Contemporary Politics Essay

Amongst countless issues of the decade, an appealing dispute, that is persistent, is the significant impact of religion on contemporary politics and its perpetual distinction between the positive and negative influences that is associated with the effect. Religion has consistently been a resilient drive of change, development and settlement. Religion has been the core of several systems of human affairs that co-exist today including economics, welfare, law, philosophy, art and most importantly, politics.[1] However, according to historian Farhang Mehr, â€Å"†¦ a realistic appraisal of the current impact of religion on the official policy and governmental structure of each country can only be made in its historical context: the record of the colonial rule in that country, indigenous conditions, cultural background, and people’s real and perceived grievances.†[2] Relevant examples consisting of the attitude of religion in the political affairs of Israel[3], the infl uence of the Roman Catholic Church in shaping the entirety of politics in Quebec[4] and the emergence of Islam as a political force in many countries like Iran[5], reveal that these events and many others throughout history are substantial catalysts in determining the intensity of the religious impact on modern-day politics.[6] The impact of religion on politics cannot be seen with all its fierceness and intensity anywhere else in the world but in the Middle East as it highlights the Arab-Jewish wars in the region that have been going on and off for almost the past 60 years.[7] Religion is of utmost importance in the Holy Land (Israel) and hence, religious disputes are a commonality to the Israeli crowd which is a combination of religious (observant) and non-religious (secular) Jews.[8] The arrangement creates an environment where either party has harsh demands and even though, neither group ends up winning; it always leads to frustration on either side.[9] The role of state-supported religion is usually studied as the issue that is responsible for the problem in the relationship between religion and politics.[10] Despite the fact that the major monotheistic religions namely Judaism, Christianity and Islam take pride in originating in the Holy Land of Israel, the population of Israel comprises of 80% Jews; of which approximately one-fifth consider themselves to be â€Å"religious† or in other words, wholly or partially observant of Jewish law.[11] The vast remainder of the Jews still pursue the path of their ancestors by practicing the traditions and sacraments of Judaism but persevere to maintain a ‘Jewish state’ by standing on secular ground.[12] All be it, whilst the virtually divided Jews were found surviving the disputes between the two groups, the aspiration of a Jewish state led to the encouragement that public policies of the nation should replicate its Jewish nature and be a stronghold for Jews all around the world.[13] From religious texts and proven findings, it is well recognized that the land that is called ‘Israel’, currently, is considered the ‘Promised Land’ – the land that they have always been promised by God. Due to various historical incidents that included invasions, battles and conquests, the Jews were spread across different parts of the Middle East and some parts of Europe. The followers of the Zionist movement (support of establishment of independent, separ ate Jewish State in Palestine)[14] pressed for a Jewish State and after plenty of bruises and broken bones, Israel was recognized and formed in 1948.[15] The very purpose of the formation of a Jewish state alone shows that it has more to do with the religion than with simply a group of people wanting a country and therefore, it is clearly evident that religion has played a major role in the shaping of the politics of Israel. The only essential conclusion is that decisions in modern-day politics in Israel usually comes down to two religious groups than two political groups due to diverse interpretations of the religious teachings and traditions, and the excessive popularity of secularism in most parts of the world. The fundamental religious values ‘affect the complex of power and search for national goals that shape the contemporary Israeli political horizon.'[16] Similarly, the dominant presence of the role of the ‘Church’ in aligning communities to live in peace and harmony and to be subject to law and order through the aspect of politics is extremely evident as is seen in the case of the Roman Catholic church in Quebec, Canada. The province of Quebec is fashioned upon religious intentions and till date, these ideals uphold grand authority in organizational decision making of the government’s law and regulations. Two major factors indicate the impact of the Church in the making of Quebec, of which includes primarily, the assistance offered by the government (comprised of passionate Roman Catholic, French officials) in the settlement of French Roman Catholic immigrants that arrived in Canada post-1639.[17] During this period, a member of the royal council of Louis XIII of France, Cardinal Richlieu,[18] vigorously promoted the emigration of Roman Catholics to France’s colony, ‘New France’ (Quebec) becaus e he believed that Quebec, like France, was destined to be a purely homogeneous group of people – the idea of ‘one religion, one language, and loyalty to one monarch.'[19] Quebec is spectacularly distinctive in the ‘North American continent’ as it stands as the only ‘political unit’ that comprises of, simultaneously, a predominant French and Roman Catholic combination of people.[20] Unlike other French Catholic countries like France or Italy, the Catholic approach of Quebeckers is more intense in that that a French Canadian’s entire thought process, his/her value system, lifestyle and government, is massively influenced by the ‘doctrines and social philosophy of Roman Catholicism.'[21] This religious standpoint in administration is a result of the occurrences in history that Quebec underwent during the times of the French dominion in North America. The early settlers in New France (Quebec) were dependant for leadership upon two distinct authorities – the Governor and the Bishop of Quebec. When the British subdued the French, the French settlers in Quebec paid minimal regard to the legitimate English civil authority as a colonial administration but instead, subjected themselves to the effective guidance and leadership of the Catholic church which was the only, other viable option available to them.[22] The circumstance not only led to the Church’s impact on politics but highlights the Church’s responsibility in replicating its values and philosophy in not alone moral and religious affairs, but also, ‘economic, social, educational, and largely political matters.'[23] Secondly, the endorsement of measures by the authority composed of clergy of the Church of Quebec in regards to encouraging the natural increase in populace, particularly referred to as ‘revenge of the cradle’, highlights the influence of the Church in long-standing Quebec while working towards building a state that is able to maintain its identity and not be pacified by other dominant parties.[24] With the British conquest of Quebec from the French, it was generally perceived that the British administration would eradicate the identity of the French-speaking, Roman Catholic community by imposing rules like mandatory speaking of English at all levels of the state, by excessively populating the colony with English Protestants that are loyal to the British crown or through other fiercer means. In order to protect the identity of the French people of Quebec, the Church’s leaders initiated steps to increase the population. For instance, fathers (considered heads of families) were offered compensation that included a ‘family allowance bonus’ if they had at least ten children while on the other hand, they would be fined if they did not arrange for their sons and daughters to be married off at an early age. To persuade young men to get married, they were forbidden from the right to hunt, fish or trade with the indigenous people in the land or even go into the woods, as the experience was considered a form of pleasure.[25] These occurrences aid in vividly understanding the concept of the ‘revenge of the cradle’ which in its broadest sense refers to the state at which the birthrate of a minority group (French-speaking population, Quebec in Canada) is higher than that of the majority, principal group (English-speaking population, remainder of Canada) from fear of oppression or dominion.[26] Even though the Church’s role had a major effect in the politics of Quebec, the influence of the Church gradually declined long after due to the developing ideas of secularism. However, that does not prove fatal to the case in that the foundation of the politics of Quebec will always have been founded upon the philosophies of the Church. As perfectly laid out by a scholar, â€Å"Although the leading role of the clergy in political affairs was to be challenged by the slow growth of a new lay leadership after 1800, the Church has been able to retain its pre-eminent position in most of the other fiel ds up to the present time.†[27] Likewise, the impact of religion on politics is well portrayed as in the case of the Islamic drive in the development of Iran. Historian, Fahrang Mehr wrote about the connection between religion and politics in the shaping of Iran, â€Å"In the last three decades, Islam has emerged as a political force in many countries, including Iran. It has been a driving power behind revolution, assassinations, seizure of holy places and terrorism.†[28] It is apparent that modern-day surroundings allow for the identification of drivers of change like Islam to allot power towards political and social agendas. Mehr further adds, † Iran requires careful evaluation of the extent to which post-revolutionary Islamic regime has infused religiosity in the Iranian polity. The study should also take into account the credibility of clergies and the religious laymen who rule the country, bearing in mind that change is an organic process.†[29] Rich historical data supports the fact that religion, liberalism, nationalism and monarchism were intertwined to Iranian politics which led to the shaping of the Islamic dominion in Iran.[30] In 651 CE, the Arab invasion of Iran led to the elimination of nationalism due to the influence of Islamic principles but eventually (in around 1502 CE) studies recognized that nationalism and religion particularly Shiaism, again intermingled and safeguarded Iran’s independence from the invasion of the Ottoman Empire (which demanded loyalty of all Muslims).[31] Above all, the Iranian Revolution in 1978-79 proved to be an important manipulator of law and governance in Iran including the state’s internal policy which in turn mainly affected educational systems and the kind of learning imparted to the students based on Islamic fundamentalism.[32] That being told, Islamic fundamentalism is often misjudged. The term is usually represented on a level of faith and while giving it meaning it could turn out to be profusely ‘negative rather than positive.'[33] One analysis reveals that, ‘In relation to Islam, it is important to recognize that the term fundamentalism (usiliyyah) is not self-descriptive but has been applied by others in their attempts to describe and understand contemporary Islamic history and politics.'[34] In correspondence to Iran, fundamentalism has a profound stance unlike in other Islamic nations. The Iranian government has steadily been involved in competition with Saudi Arabia (the epicenter of the Muslim world) to stay up to par in procuring the attention of the Islamic world and gaining significance; thus, offering home and harbor to the world’s Islamic fundamentalists which include leaders, activists, thinkers and others. This is done on the watch of the Iranian Foreign Ministry by hosting events, seminars, conferences and so on for increasing awareness.[35] The Iranian government is motivated by Islamic principles and continues to be a mark of strength in the Muslim sphere and thus, it is evident how effectively a religion can influence the politics of a nation. There exists several other countries that have undergone certain historical incidents generated by the influence of one or even more religions leading to transformations in contemporary political models and structures that are quite similar to the impact of the Zionist Movement (Jewish group) that led to the whole new formation of a nation – Israel, the significant role of the Catholic Church in the polity of Quebec and also, the foundation of the Iranian polity on the concept of Islamic fundamentalism. As much as this research justifies the argument that the historical background of a religion’s doing has a part to play in figuring out the style of modern-day argument, it is also manifest that contemporary politics might not be entirely continuing in the path set by past occurrences. For instance, present-day Israel, has a law that is influenced by the Jewish traditions and customs which would include that ‘all glory belongs to God for He protects His people as in the days of Moses’ but then comes a trend tending towards ‘self consciousness’ where the people of the nation are exhorted by their leaders to prepare for their enemies by training in self defense and learning to protect one’s self.[36] Similarly, in Quebec, the public realize that there is a need for secularization and so, have advocated the limitation on the rights of the Church in the involvement in politics. However, there are some nations like Iran and Saudi Arabia that are unable to divulge from the law given to them and thus, maintain the relationship between religion and politics quite effectively; the results there of be positive or negative. The relevance of the impact of religions on politics is very significant in understanding why countries, nations and their leaders interact with each other the way they do and how the pathway of politics can be predicted based on past occurrences; thus, the issue of this research appeals to historians, politicians, religious leaders and educationalists all alike. Works Cited Blumberg, Arnold. The History of Israel. Westport, CT: Greenwood Press, 1998. http://www.questia.com/read/98623170. Knowles, Valerie. Strangers at our Gates. Toronto, ON: Dundurn Press, 2007. Liebman, Charles S., and Asher Cohen. â€Å"Synagogue and State: Religion and Politics in Modern Israel.† Harvard International Review 20, no. 2 (1998): 70. http://www.questia.com/read/1G1-30308720. Merriam-Webster, â€Å"Zionism.† Last modified 2012. Accessed November 15, 2012. http://www.merriam-webster.com/dictionary/zionism. Milton-Edwards, Beverly. Islamic Fundamentalism since 1945. New York: Routledge, 2004. http://www.questia.com/read/108858736. Quinn, Herbert F. The Union Nationale: A Study in Quebec Nationalism. Toronto: University of Toronto Press, 1963. http://www.questia.com/read/2983146. Rubenstein, Richard L., ed. Spirit Matters: The Worldwide Impact of Religion on Contemporary Politics. New York: Paragon House Publishers, 1987. http://www.questia.com/read/94614328. Sharkansky, Ira. Politics and Policymaking: In Search of Simplicity. Boulder, CO: Lynne Rienner, 2002. http://www.questia.com/read/105768998. Suyama, Nobuaki. â€Å"Quebec: Populate or Perish.† New Zealand International Review 22, no. 3 (1997): 15+. http://www.questia.com/read/1G1-20059576.

WHORE essays

WHORE essays Don-Ray WHORE December 7, 2000 Prostitution, a practice in which a person, typically a woman, becomes sexually available to another for a price is the premise of the movie Whore, in which a single mother of one turns to prostitution in order to earn some extra money (McCaghy, p.391). In the movie Whore, the main character Liz is the product of unfortunate circumstances and lack of opportunities, in which she had limited economic opportunities because of her social class and specific personal crises stemming from under or unemployment, alcohol use and so on (McCaghy, p.400). She turns to prostitution only after coming to the conclusion there is nothing more she can do. In the movie Whore, Lizs first experience with prostitution occurred at her dead-end waitress job when a customer asked for sexual favors in exchange for money. The money ended up being too tempting for her to resist, so she agreed, and at that point Liz became a prostitute. Prostitution was only a side job at first, but with the death of her mother and the placement of her child in foster care, Liz hired a Pimp and began prostituting full time. The money Liz was earning from prostituting now was going directly to her pimp, all 100% of it. This is not an uncommon practice in the arena of prostitution, for it is the pimp who purchases her clothes, helps her out with money, pays for her doctor bills, arranges for bail and a lawyer when she gets arrested, and most importantly provides her with affection and attention that she really desires (McCaghy, 401). Soon after acquiring a pimp, Liz realizes he has been far too dominating and treated her as his slave. Although her pimp was dominating her life, he was always there to protect her from vicious customers, as was the scene in the movie when her pimp came out of nowhere to rescue her from being attacked. Nonetheless, the power of the pimp was too much. Liz began avoidin ...

Free Essays on Bankruptcy

Ethics in Business From a business perspective, working under government contracts can be a very lucrative proposition. In general, a stream of orders keep coming in, revenue increases and the company grows in the aggregate. The obvious downfalls to working in this manner is both higher quality expected as well as the extensive research and documentation required for government contracts. If a part fails to perform correctly it can cause minor glitches as well as problems that can carry serious repercussions, such as in the National Semiconductor case. When both the culpable component and company are found, the question arises of how extensive these repercussions should be. Is the company as an entity liable or do you look into individual employees within that company? From an ethical perspective one would have to look at the mitigating factors of both the employees and their superiors along with the role of others in the failure of these components. Next you would have to analyze the final ruling from a corporate perspective and then we must examine the macro issue of corporate responsibility in order to attempt to find a resolution for cases like these. The first mitigating factor involved in the National Semiconductor case is the uncertainty, on the part of the employees, on the duties that they were assigned. It is plausible that during the testing procedure, an employee couldnt distinguish which parts they were to test under government ezdards and commercial ezdards. In some cases they might have even been misinformed on the final consumers of the products that they tested. In fact, ignorance on the part of the employees would fully excuse them from any moral responsibility for any damage that may result from their work. Whether it is decided that an employees is fully excused, or is given some moral responsibility, would have to be looked at on an individual ... Free Essays on Bankruptcy Free Essays on Bankruptcy Ethics in Business From a business perspective, working under government contracts can be a very lucrative proposition. In general, a stream of orders keep coming in, revenue increases and the company grows in the aggregate. The obvious downfalls to working in this manner is both higher quality expected as well as the extensive research and documentation required for government contracts. If a part fails to perform correctly it can cause minor glitches as well as problems that can carry serious repercussions, such as in the National Semiconductor case. When both the culpable component and company are found, the question arises of how extensive these repercussions should be. Is the company as an entity liable or do you look into individual employees within that company? From an ethical perspective one would have to look at the mitigating factors of both the employees and their superiors along with the role of others in the failure of these components. Next you would have to analyze the final ruling from a corporate perspective and then we must examine the macro issue of corporate responsibility in order to attempt to find a resolution for cases like these. The first mitigating factor involved in the National Semiconductor case is the uncertainty, on the part of the employees, on the duties that they were assigned. It is plausible that during the testing procedure, an employee couldnt distinguish which parts they were to test under government ezdards and commercial ezdards. In some cases they might have even been misinformed on the final consumers of the products that they tested. In fact, ignorance on the part of the employees would fully excuse them from any moral responsibility for any damage that may result from their work. Whether it is decided that an employees is fully excused, or is given some moral responsibility, would have to be looked at on an individual ...

Compare and contrast individualism and individuality Essay

Compare and contrast individualism and individuality - Essay Example Here, the aggregate of properties are peculiar to an individual, where the sum of the attributes distinguish an object from others of the same kind (Oxford English Dictionary). Essentially, the root for 'individualism' and 'individuality' is individual, which indicates an entity or idea that is not divisible. Although both terms embrace the idea of inseparability, the intentions for both behaviors are very different. While the doctrine of 'individualism' may be tied to the thought of 'egoism' (Wikipedia) which suggests self-serving tendencies, the principle of 'individuality' does not require the sacrifice of self-interest for any other causes. In summary, it can be argued that 'individualism' is more about an approach to life where individual benefits are paramount and it opposes collectivism where no sacrifice is made. On the other hand, 'individuality' is geared more towards a quality of life which values individual choice and may not entirely be self-serving or self-sacrificing which then creates a certain degree of identity.

Human Resource Management Case Study Example | Topics and Well Written Essays - 2000 words - 1

Human Resource Management - Case Study Example This paper has a recommendation on the best strategy that the business organization needs to employ in China, for purposes of achieving success. In trying to analyze the market performance of Dairy Queen, this paper looks at three management theories; namely contingency, systems and chaos theories. This paper analyzes the marketing department of Dairy Queen, for it is the one which is responsible for the sales that occur in China. Dairy Queen is a chain of fast food restaurants that are under the ownership of International Dairy Queen Inclusive (Douglas, 2012). The company began its operations in 1940 in the state of Illinois. By 1947, the company had over 100 stores, and as of 2010, Dairy Queen has more than 5700 stores all over the world. The largest store of the company is found in Riyadh, Saudi Arabia, while the store that records the highest sales is found in Canada. The company is a pioneer of fast food franchising, and it believes in the exploitation of the emerging markets (B enner and Nelson, 2012). China is an example of such an emerging market. On this basis therefore, this paper tries to explore its marketing strategies in China, and examine the reasons as to why they failed. The Story: On 10th of February 2012, Dairy Queen opened its 500th store in Hu Dong, the financial capital of Shanghai. Dairy Queen first joined the Chinese market in 1991 by opening a branch in Beijing. Ever since entering the Chinese market, the company has experienced growth in terms of its profitability, and market share. China presents the largest market for its ice cream products. The company charged with the responsibility of operating Dairy Queen Franchise products is referred to as Shanghai Shida Catering and Management Company (Benner and Nelson, 2012). On this basis therefore, Dairy Queen operates in China as a franchise. In regard to this therefore, in order to penetrate the Chinese market, Dairy Queen resorted to building strategic alliances with local company. An ex ample is the Shanghai Catering Company. John Gainor, the President of Dairy Queen international agrees with this position, and denotes that it is the major contributor of its successes in the Chinese market (Douglas, 2012). However, it is important to denote that despite the successes of Dairy Queen in capturing a segment of the Chinese market, it is not the number one ice cream consumption company in China. Dairy Queen faces stiff competition from companies such as Nestle, Walls, Haagen Daz, and Baskin Robbins. It is important to denote that Haagen Daz is one of the biggest ice cream consuming companies in China (Lewis and Packard, 2012). Dairy Queen also fails to compete effectively with the Chinese domestic companies in the low end market areas. The Ice Cream consumption habits of the Chinese are dependent on their ability to afford consuming them at luxurious cafes (Aoki, 2012). Majority of the Chinese cannot afford to buy these products at such luxurious cafes, and hence their desire for ice cream products from their local companies. This is because they are affordable, and tailored to meet their needs. On this basis, if Dairy Queen needs to capture this market, which is the largest, then it has to revise its marketing strategies (Kotler and Keller, 2012). It has to develop products that satisfy the needs of both the high end, and the low end consumers. The Three Theories: There are three main theories that will