Review Of Related Literature Essay

Excessive intake on the quantity and quality of food could result to an increase in weight and obesity. Individuals are less likely to suffer from heart disease, diabetes, stroke, some cancers, and other chronic diseases if they consume foods which are rich in fruits and vegetables (http://www.uwec.edu/Watershed/research/upload/HealthyEatingPoster2012-2.pdf). Research also shows that children in poor diet contributes to overweight by eating on fast food restaurants including fatty snacks which led to an increase in calorie intake (Hofferth & Curtin, 2003). Some studies support the idea that students might not be eating the right kind of foods at school. Students attending fast food restaurants are not going with a healthy in mind even though some offer healthier options. Previous research has shown the most important factors to food choices are: taste, cost, nutrition, convenience, pleasure, and weight control (Glanz, Basil, Maiback, Goldberg, & Snyder, 1198). The 2012 Nutritional Guidelines for Filipinos have similarly advised the consumption of more fruits and vegetables in the Filipino diet and limit the intake of foods that are high in fats, sugar and salt. Several studies indicate that the majority of college students eat less than the recommended levels of fruits and vegetables needed to obtain the benefit of healthy living (Boyton Health Service, 2010; Deshpande et al., 2009) Many previous studies have shown people often establish taste preferences and eating habits while they are young (Birch, 1999: Drewnowski & Hann, 1999). One leading factor leading to obesity in Philippines is increasing the domestic food prices, forcing restaurants to increase the purchase of unhealthy processed food over healthy foods. Fast food is definitely a problem that concerns us today. Because modern food is composed of artificial ingredient, flavors, preservatives and chemicals that has a long term effect on the health of the students. This explains why diseases such as diabetes, hypertension, and other nutritional imbalance sicknesses are afflicting people at even younger ages. Moreover, many  students today spend most of their hours on computer seated instead of engaging in physical activities that could help burn food. The result is fat lazy children that is not familiar with any household chore. As people enters adolescence, more people tend to do eating decisions. The transition to independent living during the university days is an important event (http://www.ncbi.nlm.nih.gov/pubmed/19408181). College and universities should be encourage to have healthy eating through educational programming because results of a study in the Philippines on childhood obesity, showed that students in private schools are prone to obesity because they are exposed to calorie-rich foods at home and in school (Tanchoco et al., 2006). The media, the government, the school authorities should be involved regarding fast food influences and consequences to their communities (http://fastfoodinfluence.blogspot.com/2011/11/literature-review.html). National Nutrition Survey (NNS) also found that overweight and obesity prevalence among children is 5%, while for Filipino teenagers, it is 8.3%.

Nvq Unit 303 Supporting Children Through Transitions

Unit 303 Supporting children through transitions Transitions occur when a child moves from one care situation to another. Children of all ages experience transitions. 0-3 years Children attend a setting for the first time – a nursery, pre-school, creche, and childminder’s home. Move within a setting – from the baby room to the toddler room, or change childminders. To help and support the children through the transition you could: †¢Ensure all registration information has been received before the child attends, so that practitioners are prepared to meet the child’s needs. Have a key worker allocated to the child †¢Combine visits with parents, shorter stays before longer ones. †¢Tell children and adults that a new child is coming and encourages them to make the child welcome. †¢Give the child a warm welcome. †¢Encourage children and parents to say goodbye to one another. †¢Show the child around and explain the routine, where to hang up coats etc. †¢Remain supportive. †¢Provide ways to involve families in the child’s experience, to assist the transition from the setting to home. 3-7 yearsTransitions are periods of change which generally involve a loss of familiar people in a child’s life. Different children respond differently to transitions, children attending pre-school or juniors, a child moving within a setting. Children have new living arrangement or maybe even a stay in hospital. To help and prepare for change you could: †¢Communicate with the children about the transition. Talking about what will happen as well as listening to the child’s concerns. †¢Arrange a visit to a new setting prior to the transition with parental supervision. Ensure all documentation about the child is organised in advance. †¢Communicate with the children continuously to see and monitor their progress. 7-12 years Children and babies are naturally motivated to lean until the age of seven or eight. At this age school work may become taxing and the eagerness to discover may fade. To promote development of self- motivation in children you could: †¢Encourage children to be optimistic †¢Encourage children to value persistent effort and to expect success when they try †¢Teach children the value of overcoming failure Encourage children to celebrate and enjoy achievement †¢Give children opportunities to master their world †¢Make learning relevant to the individual child’s interest †¢Teach children in ways that appeal to their styles and learning. 12-16 years Some children experience multiple transitions. This may be due to frequent family breakdowns or perhaps the nature of the parents work. You should allow relationships to form gradually with friends and peers with such children, taking care not to overwhelm them.Social services recognise the problems of multiple transitions. As a child develops they still need support and encour agement with change. Children either changing school or class my still need guidance. Sometimes children enjoy solving their own problems and should be allowed to do this. The move to secondary school can be a quite big change for children. Children often have common anxieties about transitions, such as will I make friends, will I like my teacher, and will I get much homework, what happens at lunch time. Parents and carers should be aware of the child’s new surroundings †¢Get involved in the move by talking and communicating both with the child and teachers. †¢Encourage time to chat with the child to keep a good understanding of what is going on and how the child feels about the change. †¢Allow for emotional change as the child develops. †¢Support the child as they make physical and emotional changes. †¢Support and give good guidance to the rules and disciplines of both the home life and school.

Ethics in Group Counseling Essay

Ethics is also termed as philosophy, which is a branch of philosophy that includes the systematizing, defending and recommending concepts of the right and wrong conducts. There are three major field of study within ethics that involves Metha-ethics that concerns with the theoretical meaning that are used to reference of moral propositions and their truth-values that can be determined, the normative ethics that concerns with the practical means of determining a moral course of action. Lastly is the applied ethics that concerns with what an individual is obligated to do in an appropriate situation or at a particular domain. This research paper can explore the various ethical issues that arise during a group session. There are certain ethical conditions that should be upheld in the panel session from the initial stages of the formation of the group to the working phase of the group. The group leader should be able to uphold definitive ethical, moral codes. Thus, the paper can enlighten the various ways that a group leader should act in the midst of a conflict as well as confidentiality within the group. In focusing on the ethical responsibility of members of a group it necessary to concentrate on the following topics that are explained as follows. Ethical Responsibility Ethical responsibility is the duty that follows the moral correct paths. The ethical responsibilities of the group entail that each member has the responsibility to be honest with other group members so that to be able to make decisions in the group sessions. It is necessary that there must be a clear moral standard from the outset. For instance, create and enforce a code of conduct that ensures that group members are treated fairly to avoid the appearance of unethical behaviors. The group leader should be able to ensure that there is transparency when dealing with group members. Also the ethical that you might feel you have, you should consider how the group‘s morality could affect the group productivity. Ethical Communication in  Small Groups Dealing with small groups work we major on focusing on getting the job done while maintain a reasonable relationship among group members. Ethics in a small group involve three levels whereby we have the individual group member, the group, and the group environment. Thus using ethics in a small group, it enhances the moral aspects of the group interaction. The ethical communication enables the human worthiness and the dignity by fostering the truthfulness, fairness, responsibility and enhancing the personal integrity. Thus, ethical communication in small groups is used for caring and accountability for oneself and other group members. Some other principles that are more applicable to small group communication involves: the truthfulness ,accuracy, honesty and provision of the integrity of communication, endorse freedom of expression and diversity of perspective together with the tolerance of dissent to be able to achieve the informed and responsible for making decision making fundament al to a civil society. Unethical communication causes threats to the quality of all communication and the consequently of the well-being of the individuals and the society. In addition, as a manager be able to create a promotion communication climate of caring and mutual understanding that exist with respect and uniqueness needs and characteristics of individual’s communicator and be able to accept responsibilities for the short and long-term consequences. Ethics is more easily discussed than putting into real practice as demonstrated by San Jose Mercury stated that the increasing trend in an organization to integrate a code of ethics for daily activities. Ethical communication requires that an effective critical thinking skills, recognizing the importance of the diverse perspectives and respect for the well-being of self and other taking the responsibility for individual and the group actions and reflecting on the choices the group members can make.. Ethics in Group Counseling During the session of group counseling, consist of the psychiatric care that many patients meet more at therapist at a time. Each group has different topics that they wish to tackle for the growth that enhances the distinction of the financial issue that an individual counseling can be able to create.  The financial tights limit the delivery of the community agency for individual counseling. Focusing on the Barlow Research stated that group-counseling sessions are more successful than the individual ones. Thus by evaluating the various facts that the states that group counseling benefit more patients at one time as well as being used more than the individual counseling. Through McCarty studies, they were able to answer questions that were concerning the indicator of the importance of group counseling as compared to individual counseling. They described the positive aspect of the group counseling as well as stipulating the negative side of the group counseling. The positive results of the group counseling involve the developing of the social skills among the group due to a safe environment in which the group members can share their thoughts feelings and ideas. In addition, the aspect that concerns the patients to be able to receive a positive feedback from their own group mate as well as various perspective on a similar issue, the group members can enhance to learn new ways in order to see a particular problem. Considering the negative aspects of the group therapy involves the clients were not speaking during a group therapy session since they are too shy to share their views in the front of other individuals. The other aspect consists of group settings and the benefits that are more important in the individual setting. The other aspect involves the issue of time which is limited and the group and the group sessions do not have flexibility date setting, thus any session that is placed by the counselor should be mandatory and set in the panel settings Characteristics of an Ethical Leader During the group, counseling session there must be proper individuals that are trained and equipped in an efficient manner to lead during the session. The individual that lead the session is considered as a leader who addresses the various issues that arise during the session. Some research that was done by Kalshoven and Hugh wanted to determine the individual characteristics that a leader requires that to lead an effective a counseling session. They stated that the major features of the ethical leader were both agreeable and conscientious. In their study, they proposed that a leader possess the traits whereby the manager requires the features to ethical standards in the counseling session. Another study that was done  by Riggio stated that the two important moral emotions that a leader must possess is the empathy for their clients as well as compassion for the individual wellbeing. Jacobs in his literature book stated strongly that leaders in group counseling must be at a state to have skills in organizing and planning the counseling sessions in order to keep orders and maintain the structure of the group. As a counselor, he/she must be able to answer the challenging question that can arise and ensure a complete knowledge understanding. The counselor should be able to understand the counseling theory to enhance proper training that can assist in the implementation of the ethical foundations. Primary Planning The counselor should be given proper training in advance with the aim of ensuring an effective ways in the counseling session. Thus, the counselor is required to attend a counseling session to have the insight to the future issues and the dilemmas they might face. Thus in the participation of that session it allows them to coin and gain the understanding and the perspective. According to Corey, the study suggested that for a minimum of 10 hours of observation and taking notes of the session. This paramount process enables the counselor to be involved in ethical decision-making and well-organized knowledge. The area of jurisdiction must be satisfactory to the counselor by screening the patients before joining the group, in a move to avoid disruption and hurting the whole group at the end of the process. During the screening session, it entailed answering, unsettled questions at the stipulated time. Further, there must be an alignment with the purpose of the group as well as make the t eam leader who will be able to meet the needs of the client as much as possible. The process of planning entails alignment of the client and counselor so that the customer will be free to the counselor to give out and share the deep and times emotions. Once the process of screening is finished, there is an informed consent section. The client that discusses what issues they will be able to encounter during the counseling sessions. The preliminary role of these step, it enables the disclosure of information to the group members to inform the clients the pros and cons of joining the group. It is also suggested that the informed consent section has potential risks that the members might face while in a group therapy session. It is well explained by the Corey survey, which  states that some clients might experience their privacy, which is a guarantee that the other member will respect their privacy The informed consent is usually presented to customers in a written and oral manner so that the clients can be completely informed of what they will encounter so that to avoid surprises when the sessions begin. In the consent, the clients are required to contain the role expectations of colleagues and the leader, the policies and the procedures that are governing the mandated group, the documentation requirements and the procedures for the consultation between group leader and the group members. Open or Closed Group It is stated that it beneficial to choose the group counseling since it is better to make a decision. There are supportive reasons to those suggestions that cause the more efficient counseling method. At first, the counselor can reach out a larger group of people. Instead of focusing much time on one person, we assist the lives of many other than concentrating on a single individual. Through group counseling, it benefits both the client and the counselor since it creates a great way to build a community and stimulate the counseling session. Secondly, the group counseling is more effective since the counselor can build his/her leadership skills this is created because of the counselors can encounter various problems and through making mistakes, they can become stronger and efficient leaders as the session progresses. The third reason it beneficial for both the counselor and the group since the counselor can be able to raise his revenue through obtaining a group counselling session as compared to one person and the member of the group can save money as well. Also, the cost of individual counseling is expensive as compared to the panel session The last reason to consider the group session is such that it is much effective since the counselor can continually learn experiment and strive to make a difference in the life of a client. Group Processes According to Corey, he stated that in-group counseling the issue of conflict within counseling in a group is common. The topic at times is inevitable within the group when you have personal clashing and perspectives within the group. However, according to Jacobs warned that the issues that are dealing with the denominator, negative member, and the overwhelming chronic talker,  and some issues of asking a member to leave are expected to arise in the counseling setting. Thus, it is important to note that some of the problems do not solely happen in the group setting but may happen as well in the personal counseling setting session. Therefore, the most important issue about conflict is not the conflict itself but how the counselor will be able to deal ethically with the issue when it arises. Thus, a great tool that one should use is to list all the conflict issues that they may arise and then gain the insight as to how to solve the issue ethically. In addition, it is desirable to seek advice from other colleagues about the tactics that may be used in the sessions to resolve the issues. The counselor is supposed to develop either an open or closed session group setting. Whereby in the public group setting session the members of the group are allowed to go and come at their own pleasure. Nevertheless, in the closed group sessions the member is required to be a continuance of the attendance throughout the designated sessions. Close relationship should be built on the counselor as well as a close relationship in-between the other group members as stated by the Forsyth who stated that the aspect of cohesion when conducting the issue of evaluation the leader must activity gain the virtue to keep the group in a cohesiveness mode. The ethical questions that arise from a closed group therapy sessions show the ability for the client to leave at any point. According to Corey, stated that a member should choose to leave the counseling session then that must openly let the group and the counselor must know that they wish to exit and the reason they exiting the group. It can be done in order not to harm the homeostatic environment of the group. Thus when the team member does not do this, it can harm the rest of the group and disrupt the growth process that there is among the group. It leads to a critical ethical topic that must be addressed in the every counseling group that is the issue of com fidelity. As a counselor it safe to uphold the confidentiality of the group members, this can lead to the group members being shy about sharing certain area their lives. There are certain aspects that the counselor can break in the confidential barriers While in the individual counseling, it involves talking personal feeling thoughts and behaviors and the things that are troubling and spend time in talking about the individual relationship with others. Your counselor will work with you to be able to set goals and the things you require to be accomplished  together. The counselor assists you to develop different strategies that can assist you to be able to reach the personal goals. In some cases, it could mean changing the pattern of thinking, learning new skills, changing the behaviors, and shifting the way you feel and express the emotions. References American Psychological Association. Publication manual of the American PsychologicalAssociation (Current ed.) Washington, DC: American Psychological Association. Association for Specialists in Group Work. (2007). Best Practice guidelines 2007 revision. Retrieved from http://asgw.org/pdf/Best_Practices.pdf Baurhan, S., Smith, J., Steen. S.(2008). The preparation of the professional school counselors for group work. The Journal for Specialists in Group work, 33(3), 253-269 DOI 10.1080/01933920802196120 Booker, B., Henfield M., Steen S. (2014).The achieving success everyday group counseling model: implication for professional school counselors. The Journal for Specialists in Group work, 39(1), 29-46. DOI 101080101933922.2013.861886 Brigman, G., Campbell,C.(2005). Closing the Achievement Gap: A structured approach to group counseling, The Journal for Specialists in Group work, 30(1) ,67-82. DOI 10.1080/01933920590908705 Corey, G., Corey, M., & Haynes, R. (2014). Groups in action: Evolution and challenges (2nd ed.). Belmont, CA: Brooks/Cole. ISBN: 9781285095059 Cornish, M., Post, B., & Wade, N. (2014). Religion and spirituality in group counseling: beliefs and preferences of university counseling center clients. Group Dynamics: Theory, Research, and Practice. 18(1), 55-68 DOI 10.1037/a0034759 Hartman, D., & Zimberoff,D.(2012). Ethics in heart-centered therapies. Journal of Heart Centered Therapies, 15(1). Jacobs, E. E., Masson, R. L., Harvill, R. L., & Schimmel, C. J. (2012). Group counseling: Strategies and skills (7th ed.). Belmont, CA: Brooks/Cole. Petrini, C. (2013). Professional ethics between the individual and society. Physical TherapyReviews, 18(2), 142-143. Stuckton, R. (2010). The art and science of group counseling: The Journal for Specialists in Group work, 35(4), 324-330. DOI 101080101933922.2010.515904

User modeling Essay Example | Topics and Well Written Essays - 1000 words

User modeling - Essay Example User modeling is one of the main techniques regarding assessment of user requirements, needs and features that they want in the new system. In several systems we need to embed some features those are targeted to only that particular class of the users. This report is also targeting a particular class of users to module, design, and develops the system. The user model holds the intact data and information that the system recognizes regarding the user. It is normally initialized either by means of default values or through questioning the user. After that, it is retained through the system, while the user can be capable to weigh up as well as edit their profile. User procedures and actions at a variety of abstract levels, like that task achievement, mouse clicks as well as requirements for assistance, are described through the user interface or foundation user application to the client profile. An analysis of these attributes incorporates the user profile using further models of the system to get hold of innovative or new "facts" regarding the user. This analysis is able to renovate the user profile by means of the resulting particulars or start an accomplishment in the application (Tecnodiscap, 2004). User modeling corresponds to the latest built user interface design. Equally spotlight on user requirements, as well as normally employ a wide-ranging research for the project domain. In customary user idea design, though, the effect is a particular user interface specified at system design time, while user modeling intended for adaptive edges construct a set of rules and models for building the user interface on run time. At the time of the system development, system designers model the system user individuality to be captured with the discrepancy of the user interface (Martà ­nez-Normand, 2007). In this section I will develop a user model for a particular user. Here we will assume that person facing difficulties in using a computer. Here I will create a

How far was St. Augustines mission a key turning point in the Coursework

How far was St. Augustines mission a key turning point in the conversion of Britain 550-700 - Coursework Example This mission was referred to as the Gregorian mission. This mission led by Augustine marked the turning point for the Anglo Saxons pagans; the mission spread to the regions spontaneously and later merged with the Celtic mission.1 The activities that preceded the arrival of St Augustine to Kent changed the history of the regions. With the Kent kingdom being powerful at the time, the conversion of the King ushered in immense success for the kingdom of Kent. St. Augustine Mission Background In 410, the province of Britannia was left by the Roman legions; this left the people of the Britannia to defend themselves from the attacks led by the Saxons. The Britannia was already converted to Christianity before they left. After the Legions withdrawal, non Christians settled on the island’s southern parts. The inhabitants of the western part of Britain which was beyond the Anglo Saxon’s rule remained Christian dominated. These were Celtic Christians who developed slowly in comple te isolation from Rome. The calculation of Easter and the style of the haircut of the Celtic clerics were different from that of the church in Rome. 1Bede, translated by Leo Sherley-Price, A History of the English Church and People, Penguin Classics, New York, 1988. Evidence of Christianity survival in Eastern Britain during the time exists. However, evidence on the issue of the conversion of native Christians to Anglo Saxons is unavailable. The Saxons invaded the province and destroyed the remnants of the Roman civilisation, economic and religious structures. It was during the era of King Ethelberht who married Bertha, a Christian princess; this was under the condition that she will be allowed to remain Christian that the St. Augustine mission. Before the year 588 Pope Gregory the first decided to send the Gregorian Mission to convert Anglo Saxons to Christianity. Augustine arrived on the Isle of Thanet and entered the Ethelberht’s main town of Canterbury. With the influence of his Christian wife the king was converted to Christianity. The conversion of the King prompted him to give the missionaries freedom to preach the word freely; in addition he gave them land which resulted to founding of a monastery. Augustine was ordained as bishop and many of the Kings subjects were converted, it was during the same year of 597 in the Christmas Day that mass baptism was held, thousand of the people in Kent were baptised. The baptism of the king and his 2000 servants marked the turning point of the medieval history because the church gained grounds to penetrate the region. The mission of Augustine Augustine was at that time, accompanied or escorted by Laurence of Canterbury and a group of 40 companions who comprised of monks. On landing in Kent the mission had great initial success. The success was marked by the conversion of Ethelberht. During the early medieval period, religious conversion was more successful with the conversion of the ruler. The subjects could then easily emulate the ruler. This hierarchical approach was liked by many people. Bede Portrays Augustine as aggressive and conformist. Augustine triggered the conversion of the Anglo Saxons, he is portrayed as conformist due to believe he held which he had about the Roman Church, these believes were affirmed by Wilfred in the Whitby Synod. The region of Kent played key role in the conversion of Britain in the period dating 550-700 due to number of reasons. Kent was by the then the reigning regime in the south eastern

International Security in the Global Era Essay Example | Topics and Well Written Essays - 2000 words

International Security in the Global Era - Essay Example of invulnerability of the basic vital interests of the global community, the interests, for protecting of which it will rather start the war, than look for compromises. In other words, global security is a strategy, directed at providing the vitally important interests of the global community. This is the classical realistic approach to the issue. (Buzan 2003, p. 11) It should be reminded, that from the viewpoint of political realism, international relations always exist in the shadow of the war. Thus, the main means of achieving and protecting international security in realism and neorealism is supposed to be force (in its military and political dimension) and the main instrument for guaranteeing international security – is the balance of forces. (Lawrence 1998, p. 49) There also exists and is developed the understanding of the international security based on the liberal-idealistic paradigm. One of the central notions of this paradigm is the idea of international cooperation, based on universal values and general human interests. From these positions, the threat is presented by those participants of international relations, which refuse from cooperation and break the generally accepted moral and legislative norms. Collective security is the only way for overcoming the security dilemma, which goes through creation and strengthening of international institutions, further improvement of international law and following the generally accepted moral norms. (Buzan 2003, p. 44) The notion of collective security is the main and the most operational in the total security complex. Collective security is the situation, under which all members of certain community refuse from applying force in relations with each other and agree to give any assistance to each participating state, which has been attacked by any state of the mentioned community. International security at present time should meet a number of conditions, which are very difficult to accomplish. They may be

E commerce Project Essay Example | Topics and Well Written Essays - 3000 words

E commerce Project - Essay Example SWOT analysis on BinHendi Company SWOT is grouping of the company’s information into internal and external factors. It entails looking into the strengths, weaknesses, opportunities and threats that has an impact on the company’s operation and productivity. Strengths The main force that affects the business positively lies with their ability to offered unmatched quality, luxury, elegance and their strong and professional business acumen. Many companies and business have always failed in their judgment of the market and the result of this is always a low turn over in the sales as there is lack of demand for the goods and services offered by the targeted audiences(Gulf Business 85).. However, Binhendi Company has been accurate in most of its judgment about the market and the targeted audiences and this has played a crucial role in sustaining them in the highly competitive market. The company has also worked to provide a diverse portfolio of the world prestigious brands of fashion, watches, jewelry, accessories, furniture, and fine dining among others that are rarely provided by other companies. In addition, it has established good strategic associations with their suppliers and their customers and this has greatly contributed to their reputable brand image in both the local and the international market. Weaknesses The expansion of the company has majorly relied on the direct control of its operation. It has based all its operation within one country and this has denied the opportunity to fully exploit the international market. Using Dubai as its center of operation, the company has thus concentrated in the local market as would be the case when they are having major branches in other countries. Thus the international market has been neglected allowing it to be controlled by other rival companies. The company has also concentrated a lot in price elasticity affecting loyal customers who are price oriented (Gulf Business 79). Opportunities The fashion i ndustry is largely populated as different companies and producers are flocking the market with new products and services daily. However, the company has successes in the industry because of its opportunity of employing a highly efficient staff who work round the clock to provide customers purchasing from the company exclusive products that are different from those being provided by other companies. They have also established their operations in the area as they have overwhelming divisions in the area helping in the sales and marketing of their products to the large population in the region and to retailers who make purchases and sells them to other neighboring regions. In addition, their incorporation of various brands in the market like Baituti brand has significantly helped in the expansion of their market in the region especially in Dubai as the new brands and strategies has been enthusiastically been received by their audiences in the market. Lastly, the business enterprise with their dream of creating new dream avenues of marketing their products in shopping malls as these areas are always renowned for the high number people paying visits with different objectives like shopping or conducting businesses in mind (Gulf Business 79). Threats The threat facing the company is the high competition present in the region. This has

Data Mining In Tracking Customer Behavior Patterns Essay

Data Mining In Tracking Customer Behavior Patterns - Essay Example The computing power is increasing at the rate specified by Moore's law, doubling every eighteen months. The technology upgrade to parallel processing has vastly contributed to more powerful machines. There have been a number of statistical applications and algorithms that were waiting for larger computing power to arrive. Data mining makes use of these algorithms to enable data mining possibilities. In addition to these, data is being collected on a very large scale at all levels. More the data better the data mining exercise has been the watchword of most of the work that is carried out. All these combine to make data mining. Using this data and applying appropriate models, the results of the data mining is obtained. This would enable businesses to identify buying behavior patterns from customers; identify customer demographic characteristics and predict customer response to emails. Most of the cases, both commercial and scientific establishments report a condition where there is a large quantity of data which is collected and stored. But there is hardly any information for the people to make use of. In its basics, the data mining efforts start with employing appropriate data models that would help in understanding the system and its behavior (Hand D J, 2001). This would further help in augmenting the nature of work executed and the future of the object becomes more predictable. This is possible to do only if the object is understood well and the modeling is realized to the closest possible accuracy. A number of modeling tools help in data mining. Typically, Decision Trees, Rule Induction, Regression Models and Neural networks. All these contribute to extracting needed data from the databases using data mining tools. These are not simple straight forward SQL statements. Qualitative analysis is possible with the predicate data that would use this to identify and get an objective visualization of the object being modeled. Whereas in quantitative analysis, the data is used for automatic processing based on specific input data or time. Based on the model the information and data available in the system are extracted to meet the requirements. In the case of the banks, this would help them in identifying and detecting patterns of fraudulent credit card usage. The banks might like to identify loyal customers and those who might change their loyalty even with a minor issue. It also helps in identifying credit card spending by customer groups and finding any specific correlation between different financial indicators.

T-Bags Essay Example | Topics and Well Written Essays - 2500 words

T-Bags - Essay Example T-Bags is a specialty teahouse concept offering a broad and creative selection of tea beverages and accompaniments at convenient and accessible locations in the Metropolitan areas. The company provides its customers with a new tea experience by creating a new context for the traditional idea of "afternoon tea". T-Bags is different to other tea-based businesses in the U.K. market today. Most teahouses in the U.K. are usually family businesses (passed through generations) located in the countryside, or if they are in the city area, they are upscale and are housed in high-end hotels. Essentially, T-Bags is based on the specialty espresso bar concept (like Starbucks) which is already rampant throughout the country. Like the espresso bar concept, the specialty teahouse has a strong product focus - tea. However, unlike the other traditional teahouses, T-Bags offers an usually wide menu range in an environment where customers are encouraged to explore different tea flavorings and blends brought in from all over the world. In the short term, The Company's goal is to implement this concept, first, in a retail outfit of less than 800 square feet. The Company's medium term goal will then be to pursue an aggressive expansion strategy in London and other major Metropolitan areas in the U.K. to create a strong brand identity. In the long term, The Company's goal is to become the leading brand of specialty teahouses in the U.K. Although The Company's key selling point is its wide product offerings, The Company is aware that other teahouses in the market today are also able to follow this product strategy. However, The Company's unique selling point which encompasses wide product offerings, a unique customer experience and customer loyalty cannot be easily copied. The following five elements will differentiate T-Bags from its competitors and foster customer loyalty. High Quality Product Offerings. T-Bags has scoured the best places in the world that produces quality tea leaves and the products offered are uncompromising. To complement the tea-drinking experience, T-Bags also offers high quality accompaniments like sweets and pastries sourced from the same regions as the tea in order to provide a consistent experience. Customer Service. Since this business concept is new to the U.K., it is important that first purchases from customers are followed by repeat businesses. Therefore, it is crucial that all employees understand the concept of the business in informing customers of the

My impression of Commercial Radio in Asia Essay Example for Free

My impression of Commercial Radio in Asia Essay A very significant impression that commercial radio in Asia makes is the strength of commercial radio in the region through the years, especially in comparison with other multi-media platforms. Before the era of the internet, the tri-media through sociological aspects have directly or indirectly created a balance that made the relationship of the three media platforms evenhanded. There are advantages and disadvantages found in print, television as well as in radio, even when there are times that social factors alter the balance temporarily, like the television ad ban and newspaper ad limitations set in Indonesia before which favored commercial radio, income-wise (Anderson, 1984, p. 180). For radio, as well as for the rest of the other forms of media, they managed to thrive by making the most out of their advantage over the other forms. Radio’s advantage rests on the accessibility and mobility of information through use of radio as well as the presentation of more real-time information compared to television and print. This is one of the particular strengths commercial radios demonstrated in Asia, the reason why many of its patrons remained loyal to radio despite the improvement in television and print and the entry of the internet. Asia is one of the regions that serve as hotbeds of radio even when in many places radio patronage have dwindled because of the change in sociological factors affecting media use and impact. This can be attributed to the fact that most Asian countries are still comprised heavily by rural areas that have not fully embraced modern technology, relying on the more traditional means, particularly the cheap and accessible radio. In these rural areas, print media finds it difficult to thrive because of socio economic and political reasons, and television is mostly reserved in living rooms, for those who are fortunate to have one. Most people in the rural areas of third world or lower class countries in Asia can only manage a radio for their source of information and this advantage is being used to the hilt by commercial radio owners and operators. The demand created by social conditions are favoring commercial radio immensely even today, particularly in Asia, and for its part, commercial radio has not abandoned its responsibility to those who depend on it. Another significant impression made by commercial radio in Asia is the new role that it plays in modern day culture. While there are factors from the past that still affect or characterize commercial radio today like the traces of previous commercial radio cultures like dependency on commercial radio for new songs and top of the charts lists radio listeners from India and other Asian countries (Kasbekar, 2005, p. 134), radio and its role in modern day culture no doubt transformed and metamorphosed, proving that radio is indeed characterized by â€Å"timeliness (Applegate, 2004, p. 120)† as well as timelessness. Before, the design was one-way information channeling, radio anchors and disk jockeys provide information and entertainment which the listeners consume, and the focus, particularly of AM stations, are largely political. â€Å"A vital part of the cold war between Taiwan and China is radio broadcasting (Wood, 1999, p. 163). † Today’s radio (despite the handicap of absence of visuals) manages to incorporate interactivity in its scheme of things. DJs and anchors interact more with listeners and callers, making the relationship more personal. Because of the shift in age demographic, commercial radio is enjoyed by different age brackets and has involved itself more in lifestyle and culture. Besides news and music and radio programs, the content now include sports, gossip, entertainment, lifestyle, and a wide range of other interests, allowing radio to be appreciated in a new light. Commercial radio has also been an important proof of the change in lifestyle, both in rural and urban places in Asia. Political and social changes lead to change in culture and attitude, and how individuals continued supporting commercial radio is proof of this change. â€Å"The number of local youths listening (in Asia) listening to the radio primarily because it is a foreign-language station is testament to its attraction in this regard (Shoesmith, Rossiter, 2004, p. 57). † This shows that the strength of commercial radio and its success rests largely on its ability to adapt to new environment and culture. Bibliography Anderson, M. H. (1984) Madison Avenue in Asia: Politics and Transnational Advertising. Fairleigh Dickinson University Press. Applegate, E. (2004) Strategic Copywriting: How to Create Effective Advertising. Rowman Littlefield Publishers, Inc. Kasbekar, A. (2005) Pop Culture India! : Media, Arts and Lifestyle. ABC-CLIO, Incorporated. Shoesmith, B. , Ned R. (2004) Refashioning Pop Music in Asia: Cosmopolitan Flows, Political Tempos, and Aesthetic Industries. Taylor Francis, Inc. Wood, J. (1999) History of International Broadcasting, Vol. 2. Institution of Engineering Technology.

Attachment Theory and Community Development Theory

Attachment Theory and Community Development Theory The Practical and Theoretical Applications of Attachment Theory and Community Development Theory in Social Work Social work theories are extremely helpful in placing certain problem situations in context, and dealing with those situations. Two theories, Attachment Theory and Community Development Theory, will be particularly helpful in analyzing the case of Dave and Jenny, a married couple in their early twenties, who live on a London housing estate with their two children, Sean (aged four) and Sarah (aged two). Dave works irregularly as a labourer, and spends a good portion of his wages each week at the pub and at the bookies. This causes tension in their marriage, including repeated rows and occasional violence. The family have rent arrears and hire purchase debts, and they recently received a letter from a loan company threatening to repossess some of their property. Most of their problems are about money, and each blames the other for Sean’s willful and aggressive behaviour at the local day nursery. A mother and toddlers group was offered for Sarah, but was never taken up. Both Dave and Jenny would like help with their financial difficulties, and Jenny would like their relationship to improve. Dave claims that the only thing wrong with their relationship is their lack of intimacy since Sarah was born. The family was referred by the Health Visitor, who felt the familys problems were affecting Sarah. The first theory is question is Attachment Theory. Intimate relationships with others are the context in which we discover who we are, learn how others feel about life’s important issues, and how to bridge differences (Waters, Merrick, Treboux, Crowell and Albersheim, 684). The emotional security and warmth derived from a loving parent provides us with a foundation from which we can take the risks that are inevitably part of life (Bornstein and Tamis-LeMonda, 1990). In short, close relationships between babies and their caregivers are central to human life, and the theory of attachment is about these relationships: how they are formed, what happens during the relationship with the nurturing parent, and what the consequences are for later development (Ainsworth, 969 ) If we begin life with an experience of successful closeness, we are better able to create closeness in our relationships with friends and partners. The connection between caregiver and child ensures the two will remain near each other physically, but at the same time, the security of this closeness creates the courage the child needs to venture forth into the world (Waters etc. et al., 686). Secure attachment therefore actually facilitates independence as well as the formation of an autonomous self (Weinfield, Sroufe and Egeland, 687). Attachment theory proposes that the maintenance of bonds, particularly the bond between a mother and her young child, is essential to the survival of the human species and a compelling individual need (Belsky and Nezworski, 1988). An attachment may be defined as an affectional tie that one person or animal forms between himself and another specific one a tie that binds them together in space and endures over time (Ainsworth, 989). Secure attachment provides the foundation for positive growth. It is therefore essential that all children have the opportunity to enjoy such relationships. The key factor for the caregiver is â€Å"sensitive responsiveness† the ability to attune to the child and respond to their signals (Caruso, 121). The child’s responsiveness is also an important contributor to the process. Attachment problems are more likely to arise with â€Å"difficult† babies. Research has established a clear link between secure attachment and other developmental processes, in particular language development, exploratory behaviour and socially appropriate behaviour (Belsky and Nezworski, 1988). The desire to gain the approval of adults is a powerful motivation in learning to control equally powerful but less desirable urges (Bornstein and Tamis-LeMonda, 1990). For children learn to take care of themselves only as well as they have been cared for, and attentive care fosters self regard, se lf protection and self control, fostering a view of the world as responsive and caring (Weinfeld, etc. et al., 200). The securely attached child has formed the mental image of the self as a â€Å"cared about person in conjunction with the mother or other partner as a caring person, which enables the child to tolerate being separated from the caregiver, both physically and mentally, without anxiety increasing enough to disrupt play† (Rutter, 267). In the simplest terms, securely attached toddlers are more independent than insecurely attached ones. Attachment is the â€Å"laboratory of human connection, the experience that prepares us for a life in which we have the opportunity to thrive† (Bowlby, 1988). As part of our general duty to protect the young, we must support them in these early important relationships and do whatever we can to preserve the family relationships that support them. The attachment process is based on fine-tuning the relationship between caregiver and child, and multiple difficulties may arise in any situation. Separation due to illness, depression, stress and tension within the family may make it difficult for the primary caregiver and/or child to respond to each other (Ainsworth, 1009). Where the environment is chaotic and the primary caregiver is not available to the child secure attachment will not be possible. Failure to accomplish the goals of the parent-child relationship will result in an inadequate attachment relationship, placing the child on a pathway to relationship difficulties through out life (Bornstein and Tamis-LeMonda, 1990). Here is where our case study comes into play. The problems Sean is having at the day nursery (willful and aggressive behaviour) could very easily be derived from a lack of attachment at home. As evidenced in the preceding paragraphs, Attachment Theory is particularly applicable to â€Å"difficult† children, and there is a direct correlation between secure attachment and appropriate behaviour. This behaviour, in combination with the ability to act independently, is not evidenced by Sean, and, while there is not enough data to support it, could very well be applied to Sarah as well. After all, the reason the family was referred by the Health Visitor was out of concern for her. Furthermore, if Sean isn’t receiving the secure attachment he needs, then probably neither is Sarah. It is therefore safe to assume that the tension and chaos of the home environment is having a detrimental affect on Sean and Sarah, especially looking at it from a theoretical standpoint. And unfortu nately, while Sean at least has the opportunity to forge positive relationships at the day care centre, without the proper foundation at home, such relationships are not likely to succeed. Bringing an Attachment Theory standpoint to the attention of Dave and Jenny would be the first step in addressing these problems, followed by a comprehensive plan of action to redress the problems derived from a lack of secure attachment. Another theory that will be useful in assessing our case study is Community Development Theory. Since the late nineteenth century, the use of the term community has remained to some extent associated with the â€Å"hope and the wish of reviving once more the closer, warmer, more harmonious type of bonds between people vaguely attributed to past ages†(Hoggett, 1997). Before 1910 there was little social science literature concerning community, and it was really only in 1915 that the first clear definition emerged, which was coined by C. J. Galpin in relation to delineating rural communities in terms of the trade and service areas surrounding a central village (Harper and Dunham, 19). A number of competing definitions of community quickly followed. Some focused on community as a geographical area, some on a group of people living in a particular place, and others as an area of common life. Community development as a theory and practice centers on community work, organization and participation. As a child needs guidance to develop correctly, communities, too, need mature guidance from experts to ensure the proper developmental trajectory (Almond, 1970). Community development (or building) presents an image of â€Å"continual improvement and grassroots efforts, using a combination of mental and manual work, with a division of labor within the community, not between the community and the outsiders† (Cook, 1979). Community building implies a broad set of participants and a shared vision of what the community should be like in the future, looking at the whole and not just a few parts. When community residents are addressed in terms of what they can offer rather than what they need to receive, they become active participants in the process of change (Almond, 1970). While a community is made up of individuals, it is more than the sum of its individual parts. A healthy community is able to use the skills, knowledge and ability of all the people in it to take initiative and to adapt in the face of constant change (Morgan, 1942). It requires there to be relationships and communications both inside and outside of the community. There is a generally recognized set of characteristics distinguishing community development, which include: Focus on a unit called â€Å"community.† Conscious attempts to induce non-reversible structural change. Use of paid professionals/workers. Initiation by groups, agencies or institutions external to the community unit. Emphasize public participation. Participate for the purpose of self-help. Increase dependence on participatory democracy as the mode for community (public) decision-making. Use a holistic approach (Lotz, 69) There are many ways to define community. Each of the standard definitions may be sufficient in most situations, but here is a general operational definition: A community is a particular type of social system distinguished by the following characteristics: People involved in the system have a sense and recognition of the relationships and areas of common concerns with other members. The system has longevity, continuity and is expected to persist. Its operations depend considerably on voluntary cooperation, with a minimal use (or threat) of sanctions or coercion. It is multi-functional. The system is expected to produce many things and to be attuned to many dimensions of interactions. The system is complex, dynamic and sufficiently large that instrumental relationships predominate. Usually, there is a geographic element associated with its definition and basic boundaries (Christenson and Robinson, 1980). In the context of community development, development is a concept associated with improvement. It is a certain type of change in a positive direction. The nature and direction of development can only be made by people according to their own values, aspirations and expectations (Wade, 116). In the case of community systems, this must be a collective judgment. Since people are different in many ways, the chances of finding unanimity about what constitutes improvement are slight (Lotz, 71). Community development builds from this proposition (people are different). Each is distinguishable from all others, indicating that each has something unique about him or her. It also takes the position that each person probably has some bit of information or insight not available to anyone else. While it is impossible to collect and process â€Å"all the bits of intelligence embodied in the population, it is possible to collect and evaluate more of the diverse intelligence that does exist† (C ook, 1979). Community development theory involves certain assumptions about people and the community system. These include the following: People are diverse. Community systems can organize to take advantage of that diversity. Community systems are not totalitarian. People have life spaces outside of the community structure. Breadth of experience, intelligence, information and energies represented in a population far exceed that which the community system takes into account. People learn from participation in community systems and community systems learn from the participation of people. People are capable of exercising a considerable degree of autonomy, while exercising self-restraint required for social order. People have the capacity for a significant level of empathy with others that permits tolerance and voluntary relationships within the community systems. While people prefer justice and fairness in community systems, they often perceive it differently. Imperfections will mark every community system. A degree of inequity will exist in every community system. Resorting to absolutes is likely to stand in the way of finding practical accommodations within the community system. Working from the principle that everyone affected by a decision has a right to participate helps the community system locate areas of difficulty and expands the range of potential intelligence available to the system with which to address the situation (Wade, 118). As the situations faced by community systems become more complex and subject to change, there is need for more and greater variety of intelligence to govern the system (Christenson and Robinson, 1980). Members of the community have been, and are, an underused source of intelligence and information. â€Å"Open democratic processes give the system access to this reservoir. Participants learn and the system learns. Learning is the requirement for, and the product of, the community development process† (Botkins, Elmandjra and Malitza, 1979). And here is where this applies to our case study. Dave and Jenny are new to their community, and don’t know anyone. Therefore, they feel isolated. However, if they were more involved, either with those in their immediate environment, or with their greater surroundings, they would feel more welcome and more â€Å"part of a whole.† With more friends, and more of a sense of community and belonging, they would feel happier, which would no doubt affect their relationship and, subsequently, their relationship with their children. In addition (and more importantly), they would have an incredible resource at their disposal: the other members of their community. While the phrase â€Å"it takes a village† is perhaps something of a clichà ©, or something that belongs in rural Africa, it is entirely applicable to countless situations and in a modern context. The fact is, over time, the only way progress has been made is collectively. People, working together, pooling their resources, have been able to make extraordinary pr ogress, the kind which could not have been done alone. And on the surface, while this kind of progress, along with Community Development Theory itself, may seem to apply to big, societal projects like keeping the streets safe or the streets clean, it is relevant to families as well. Raising kids is hard work, and even with systems in place like day care, it is sometimes impossible to do so in ways that are healthy and productive. However, by utilizing one’s community, which is chock-full of â€Å"underused sources† (babysitters, teachers, tutors, social programs, civic organizations, churches, etc.), everyone can benefit. And in this case, the advantages for Dave, Jenny, Sean and Sarah are obvious. Issues of family, community poverty and violence are as old as recorded history. Millions of reports of child abuse and neglect are made each year, and these statistics and others reinforce the long held-concerns of the effects of poverty and stress on children’s development. However, the task of discovering familial and societal causes and consequences are enormously important not only scientifically but morally and practically. They are also among the most difficult types of social work. Both Attachment Theory and Community Development Theory, though vastly different in terms of their goals, applications and functions, are extremely useful in looking at ways to assist and comprehend Jenny and Dave and people like them. Whether at home through secure attachment, or outside the family unit via the community at large, help (and understanding) is at hand. Bibliography Ainsworth, Mary D.S. Object Relations, Dependency, and Attachment: A Theoretical Review of the Infant-Mother Relationship. Child Development, Vol. 40, 1969. Almond, G. A Functional Approach to Comparative Politics. The Politics of the Developing Areas. Princeton: Princeton University Press, 1970. Belsky, J. and Nezworski, T. (eds.). Clinical Implications of Attachment. Hillsdale: Lawrence Erlbaum Assoc., 1988. Bornstein, Marc, and Tamis-LeMonda, Catherine. â€Å"Activities and Interactions of Mothers and Their Firstborn Infants in the First Six Months of Life: Covariation, Stability, Continuity, Correspondence, and Prediction.† Child Dev, 1206 (1990). Botkins, James W., Elmandjra, Mahdi and Malitza, Mircea. No Limits to Learning. New York: Pergamon Press, 1979. Bowlby, J. â€Å"Attachment and Loss: Retrospect and Prospect.† American Journal of Orthopsychiatry, 52(4), October, 1982. Bowlby, J. A Secure Base: Parent-Child Attachment and Healthy Human Development. New York: Basic Books Inc., 1988. Caruso, D. A. â€Å"Attachment and Exploration in Infancy: Research and Applied Issues.† Early Childhood Research Quarterly, 4, 1989. Cook, James B. â€Å"Advocacy of Grassroots Citizenship.† Journal of Community Development Society. Fall, 1975. Cook, James B. â€Å"Democracy and Rural Development.† University of Missouri-Columbia. Department of Community Development, June 1979. Christenson, James A., and Robinson, Jerry W., Jr. (eds.). Community Development in America. Ames: Iowa State University Press, 1980. Harper, E. H. and Dunham, A. Community Organization in Action: Basic Literature and Critical Comments. New York: Association Press, 1959. Hoggett, P. Contested Communities. Experiences, Struggles, Policies. Bristol: Policy Press, 1997. Kopp, Clair B. â€Å"Trends and Directions in Studies of Developmental Risk.† In Threats to Optimal Development: Integrating Biological, Psychological, and Social Risk Factors. Nelson, Charles, (ed.). Hillsdale: Lawrence Erlbaum Associates, 1994. Lotz, Jim. â€Å"Training in Community Development.† Community Development Journal, 1970. McKnight, John L. â€Å"Looking at Capacity, Not Deficiency.† In Revitalizing Our Cities. Lipsitz, Marc (ed.). New York: The Fund for an American Renaissance and the National Center for Neighborhood Enterprise, 1985. Morgan, Arthur E. The Small Community: Foundation of Democratic Life. New York: Harper and Bros., 1942. Rutter, M. Scientific Foundations of Developmental Psychiatry. London: Heineman, 1979. Schmidt, E. and Eldridge, A. â€Å"The Attachment Relationship and Child Maltreatment.† Infant Mental Health Journal, vol. 7. No. 4, Winter 1986. Sroufe, L.A. and Fleeson, J. â€Å"Attachment and the Construction of Relationships. In Relationships and Development. Hartup, W. and Rubin, Z. (eds.). Hillsdale: Earlbaum, 1986. Wade, Jerry. â€Å"Felt Needs and Anticipatory Needs: Reformulation of a Basic Community Development Principle.† Journal of the Community Development Society 20, 1989. Waters, E., Merrick, S., Treboux, D., Crowell, J. and Albersheim, L. â€Å"Attachment Stability in Infancy and Early Adulthood: A 20-Year Longitudinal Study. Child Development, 71, 2000. Weinfield, N., Sroufe, L. A. and Egeland, B. â€Å"Attachment from Infancy to Early Adulthood in a High Risk Sample: Continuity, Discontinuity, and their Correlates.† Child Development, 71, 2000.

General Information And The History Of Beer

General Information And The History Of Beer Beer is the oldest and most widely consumed alcoholic drink in whole world and the third most popular drink overall after water and tea. Beer is produced by the brewing and fermentation of starches, mostly produced from cereal grains and usually malted barley, and also wheat, corn wheat and rice may be used as well. Almost all beers are flavored with hops. Hops are also used to add bitterness to the beer and be as a natural preservative. Although there are deferent beers with flavored with herbs or fruit smell. Beer has appeared between 9,000 and 14,000 years ago, being as old as the civilization. Beer is one of the oldest products of civilization, and may even have been a stepping-stone to the invention of leavened bread. The grain, from which beer is made, was the first domesticated crop that started the process of farming during the nomadic times. By that time the beer was cloudy and not filtered, and people were using à ¢Ã¢â€š ¬Ã… ¾drinking straws when drinking beer, in order to avoid brewing residue in the mouth (Wikipedia, 2011). In ancient times beer was mostly used as barter, instead of being sold and a Babylonian King had even introduced a daily norm of beer per day. A normal worker received 2 liters, civil servants 3 liters, administrators and high priests 5 liters of beer per day. The Egyptians also have taken part in the history of beer brewing. They have been experimenting with unbaked bread dough and were improving the taste of beer. Beer is an especially important drink in countries such as Belgium, Germany, Ireland , and the UK, with nations such as France, the Scandinavian countries, the Czech Republic, and others having strong and unique brewing traditions with their own history, characteristic brewing methods, and styles of beer producing. RELATION BETWEEN GERMANY AND BREWING The most widely known event in the history of brewing is the establishment of standards for brewers by the Germans. They decided that to the production of beer, only four ingredients should be used: water, malted barley, malted wheat and hops. It is emphasize that beer was for the first time brewed on German soil. Germans brewed beer not just for God sacrifices, but also for their own enjoyment. Germans started to open even brewery family businesses. Beer is in Germany a major part of their national culture. Germany has more breweries than in any other country. There are almost 1,300 businesses producing beer. Figure 1 German Beer Statistics % Age of European Production: 26.5% Total beer consumption: 107,800,000 hectoliter Consumption per head: 131.7 l Number of breweries: 1294 Beer exports: 8,539,000 hectoliter Beer imports: 2,168,000 hectoliter Draught beer percentage: 22% Notes: The only countries with which Germany has a trade deficit in beer are Belgium, the Czech Republic and Mexico. MARKET STRUCTURE On the one hand, Germans are beer drinking nation. Their consumption per/capita is almost 60% higher than the western European average consumption and the beer market from Germany is still the largest in the world. Even if there are 1,300 breweries in Germany, therefore Germanys beer market is highly competitive. Their output is only around a third of the whole beer production in EU. On the other hand German consumers started to move away from the alcoholic drinks, the desire of a healthier way of leaving is rising, and German is tend to consume more mineral water, juice and coffee. The result of this is 7% drop in the beer consumption in Germany since 1998. Even though Bavarian-style beer continued to grow, and beer-based mixed continue to have high demand. Young generations of consumers are trying to discover new and different types of drinks, such as beer mixed with lemon-lime soda or cola etc. Imported beer is account only 5, 9% of the total beer consumption in Germany. This is due to the fact that domestic breweries created a strong preference among the consumers. The import share remains more or less constant in spite of several major international breweries that previously sold their products through exports now producing under license in Germany. Pils is the dominant segment in Germany with a market share of some 60% in total. In addition, there are a number of special German beer types such as Weizen, Alt and Kà ¶lsch. EVALUATION OF MAJOR BREWERY COMPANIES IN GERMANY BECKS BREWERY is a brewing company in the north part of Germany, in city of Bremen, since 1873. Becks was first owned by a local family, and later it was sold to InterBrew. Becks beer is famous of it quality and world-wide known brand, drunk by millions of consumers every year and is ranking number 5 among the most selling beers in Germany. By exported volume, Becks is on the first place among German Beers, and it is sold in more than 100 countries in the world. The largest markets for Becks outside Germany are the United Kingdom, the USA, the Ukraine, Australia, Italy, Romania, and Russia (Brauerei Beck Co, 2011). Products of Becks Brewery Becks the main brand, a pilsner Becks Blue (Alcohol Free) Becks Premier Light Becks Gold Becks Green Lemon Becks Green Lemon Alcohol Free Becks Chilled Orange Becks Level 7 Becks Ice Becks NEXT Becks Dark Becks Oktoberfest Becks VIER Becks Brewery is an attraction of the city, because the company organizes tours in the inside the brewery and gives sample of finished products and afterwards visitors can enjoy food at the Becks cafà ©, or browsing for beer-related souvenirs. Besides the organizing tours, the company also uses other ways to advertise its products. The sponsor various sport events, festivals and have more advertisements on TV and magazines. OETTINGER BREWERY is the best selling beer brand in Germany since 2004 with an output of almost 6.61 million hectoliters sold annually. Moreover a big factor that contributes to this big amount of sales is the low-price strategy. Oettinger appeared in the market, by using a gap from it industry. The brewery started to sell cheap beer in big volumes, so that people would afford it and would have a beer they just wanted for the lowest price and relatively good quality. In order to avoid competition, Oettinger bought the beer brand 5.0 Original and the corresponding brewery in Braunschweig. Braunschweig was his competitor, a brewery from the same segment of market (The Oettinger Group, 2011). Oettinger uses different ways to maintain the beer price as low as possible: No advertisement and promo campaigns. Concentrating only one the one brand, compared to other breweries which have twenty and same times even more brands. Direct delivery from brewery to stores, no intermediaries. The brewing process is highly automated only few employees are needed for production. PORTER 5 FORCES ANALYSIS Force 1: Supplier power Suppliers have small bargaining power in the brewing business, which works in technique brewers goodwill. There are a lot manufacturers and suppliers who provide brewing equipment. Brewers can also buy used or refurbished already existing equipment. Many of the companies that supply brewing equipment do not focus just on that area, they also offer other products and services and the brewing equipment is just one phase of their operation. Supplier concentration is low, which can possibly increase the sustainable profits. As far as supplier substitutes, the ingredients that go into the brewing of beer cannot be replaced. Those ingredients are necessary for the production. Brewing must have malt, hops, barley, yeast, and water. The beer brewing industry relies heavily on supplier input. Especially the ingredients that are in beer, consequently the suppliers are in constant need to keep this industry operational. Which means there is a threat of supplying integration; the larger brewing companies produce enough capital to possibly buy plots of land to grow their own malt, hops, or barley (Beer Brewers Industry Analysis, 2008). Force 2: Buyer power The main buyers of beer in the brewing industry are distributors. There are over 1,900 beer distributors nationwide servicing approximately 320,000 retail businesses. Bargaining power of buyers increase when: there are few distributors in the market; the distribution industry is increasing very fast than the manufacturers industry; and when new competition cannot emerge. The distributors are the ones with all the connections to the consumers retailers, thus the distributor control the prices based on what income margins they require. The distributors are consolidating and increasing in power. Moreover, distributors are limiting new competition. So, overall the Porters force of Buyer Power is a negative for the Beer Brewing Industry (Beer Brewers Industry Analysis, 2008). Force 3: Substitutes Figure 2 Beverage Consumption Category % Of Beverage Consumption Soft drinks 49.0% Beer 19.4% Fruit beverages 13.2% Bottled water 12.2% Sports drinks 1.8% Wine 1.7% Rtd tea 1.6% Spirits 1.1% Total beverages 100.0% Beer has a lot of substitutes as you can see from Figure 2 some of them are wine, spirits, wine cooler, and specialty drinks. But also soft drinks, water, fruit juices, tea, and sports drinks may be considered as its substitutes. According to the figures from the Beverage World Publications Group, Beer constitutes for 19.4% and soft drinks account for 49.0%. This makes beer consumed more than bottled water, fruit juices, sports drinks, wine, spirits and tea. These factors increase the threat of substitute goods for the beer industry, which has a negative effect on industry profits (Beer Brewers Industry Analysis, 2008). Force 4: Rivalry Rivalry is the extent to which companies compete with one another for customers. Rivalry can be price-based or non price-based (Michael Porters Five Forces, 2009) Rivalry is measured by the concentration level of the industry; the more concentrated the industry, the less rivalry. Other factors that increase rivalry are large capital asset requirements and high switching costs. This industry is experiencing significant concentration effects, which decreases rivalry. Also, there are significant barriers to exit, which increases rivalry. The proposed joint venture MillerCoors would act to decrease rivalry overall. Therefore, the overall effect of rivalry on this industry is neutral (Beer Brewers Industry Analysis, 2008). Force 5: Entry Barriers In the Germany beer brewing industry there are a substantial amount of entry barriers that protect the firms currently in the industry from the new entrants. Price competition combined with increasing vertical integration and the inherent production economy of the market leaders makes it very difficult for an inefficient major brewer to compete on a national scale. (CNBC, 2011 Liquor Sales Slow Along With Econom) Overall the German brewing industry faces a large amount of barriers to entry as there are economies of scale, brand loyalty and large capital requirements, product differentiation effects, possibly limited access to distribution channels, and large amount of government regulations. All of these factors reduce the threat of entry into the national beer brewing industry which in turn raises the industrys potential for sustained profits (Beer Brewers Industry Analysis, 2008). 5 FORCE SUMMARIES Force Key Drivers Effect on Industry Profit Bargaining Power of Suppliers Small suppliers relative to brewers + Bargaining Power of Buyers Consolidation of industry; distribution connected to retailers Substitutes Growing substitute industry; low switching cost Rivalry High concentration; high innovation Entry Barriers High capital requirements, economies of scale, closed distribution channels, high government regulation. + Conclusion In conclusion I would like to emphasize that beer market in Germany is very product differentiated and diverse. The competition forces are high and in parallel, customers have different offers from what to choose. Germany is the biggest exporter of beer in the world and has the most breweries. Beer has various substitutes, even though it is on the second place among other drinks. Each brewery is trying to gain competitive advantage. Oettinger lowers the prices and Becks uses more advertising channels.

Essay --

Manufacturing sector is the third largest sector of Pakistan after service and agriculture. It is playing a vital role in the economy of Pakistan; the 18.7% GDP of Pakistan is contributed by manufacturing sector (Ministry of finance, 2012). However, due to contemporary forces of globalization, technological changes and changing customer’s demands for better quality, this important sector of Pakistan is now facing intense competition. Corporate governance is the main key to survive in this turbulent environment. According to Shleifer and Vishny(1997), corporate governance is the controlled mechanism which protects the interest of investors by handlingagency problems. In other words, corporate governance is the system of check and balances on management actions (Larcker, 2011). A number of studies provided the evidence between independence and ownership structure and firm performance. But the results are mixed and cannot be generalized. For instance, several studies stated that opportunistic actions can be taken due to privileged information in case of stock ownership (Yermack, 1997; Bartov and Mohanram, 2004). And many other studies suggest that managerial ownership increases the shareholder wealth by removing the agency problem. Similarly, the results of the literature focusing on linkage of independence and ownership structure with capital structure are mixed (Krishnamoorthy&Maletta, 2012; Larcker, 2011). Considerable research work has been done on linkage of corporate governance structure with firm performance and capital structure, particularly, in developed countries. However, there has been modest research on the influence of corporate governance variables such as board independence, audit committee independence, managerial... ... annual reports of respective companies. Other financial data is collected the â€Å"Balance Sheet Analysis of Joint Stock Companies Listed at Karachi Stock Exchange† published by State Bank of Pakistan. Data for share price were collected through from website of KSE. 3.3. Research models and methodology Following equations are to be tested: EPSit = ÃŽ ²0 + ÃŽ ²1BIit+ ÃŽ ²2ACIit+ÃŽ ²3OCit+ÃŽ ²4MOit + ÃŽ µit Eq. 01 MBit= ÃŽ ²0 + ÃŽ ²1BIit+ ÃŽ ²2ACIit+ÃŽ ²3OCit +ÃŽ ²4MOit + ÃŽ µit Eq. 02 DRit = ÃŽ ²0 + ÃŽ ²1BIit+ ÃŽ ²2ACIit+ÃŽ ²3OCit +ÃŽ ²4MOit+ÃŽ µit Eq. 03 Where firm performance either measured by MB or EPS. MB is Market to Book Ratio, EPS is Earnings per Share andcapital structure is measured by debt ratio,ÃŽ ²0 is the intercept, ÃŽ ²1, ÃŽ ²2, ÃŽ ²3 and ÃŽ ²4are regression slope coefficients. As data used for study is of panel type, so we used panel data estimation methods. Fixed effects model is used to test the relationships.

Presence Of Angels :: essays research papers

There is a certain mystery that lies within the meaning of angels. It is known that angels are among us. They are carriers of the messages from God (Gasparri 14). However, little is known about what and who angels are, why they are present, and even what they look like. They everything that human want to be and more (Stevenson 1). Angels go above and beyond the limitations of humans to give hints of what life is like in heaven or even hell. What are Angels?   Ã‚  Ã‚  Ã‚  Ã‚  There are three creatures created by God. Humans, created with free will that can be used for good or can be used to cause hurt and destruction, are the first of these creatures. Second, come angels and devils. Angels are creatures of God with free will that chose to accept God’s love and goodness. Devils are the exact opposite of angels. They used their free will and chose to go against God. The last of the creatures are animals. (Gasparri 75-77)   Ã‚  Ã‚  Ã‚  Ã‚  Angels are divine beings chosen by God to deliver His love and goodness to humans. They are “entities'; of goodness and holiness (Stevenson 4). Angels are equipped with supernatural powers that allow them to rarely be seen by the human eye. Any scientific terms or proof cannot explain their existence. Those who believe in the existence angels are those who have already experienced their presence (Stevenson 5). The Catholic Perspective on the Kinds of Angels   Ã‚  Ã‚  Ã‚  Ã‚   Catholics believe that angels have a special role of praying to God on behalf of humans. They are “messengers';, carrying hints or signs from God to his kingdom (Stevenson 195). Four angels are recognized in the Catholic Church. They are referred to as the archangels: Michael, Gabriel, Raphael, and Uriel. There are many stories about the works of Michael, Gabriel, and Raphael, however, little is known about Uriel. The Bible also recognizes a number of groups of angels with different functions and attributes called the hierarchy. Different faiths recognize the different groups. The groups include seraphim, cherubim, thrones, dominions, virtues, powers, the principalities, archangels, and angels (Stevenson 20). All together, the groups are known as the choir because they are said to praise God through song and music (Stevenson 21).   Ã‚  Ã‚  Ã‚  Ã‚   While the Bible does not recognize the functions of each of the groups, each group has its own unique character and purpose. Seraphim are the angels who are considered to be closest to God.

Consolidation of Learning

I have come to understand that in order for a student to develop professional nursing skills, he or she needs to have the ability to apply knowledge from theory into practice. This I believe is a fundamental key to the success of becoming a competent nurse. My practice and the invaluable experiences I have gained from my placement, as a nursing student, have enabled me to reflect on the dimensions of nursing practice. I can testify that clinical practice is really an essential component of learning process for any nursing student. My Clinical practice has allowed me to have direct experience with the real world of nursing, to practice the clinical skills required for the job and to learn about the responsibility of the nurse. Reflecting back at my previous semesters, I can begin to say that my acute clinical experience has served as a wonderful and memorable learning opportunity for me to practise some of the skills that I have learned. I had a lot of mixed feelings going into this clinical because I did not know if I was going to make a difference. And little did I know how much this experience would impact me. As I reflect on this experience, I realised that I finished my clinical not only with more experience than when I started, but with a different aspect of nursing all together. In this paper, I will discuss an in-depth factual experience on my role in caring for a hypertensive patient. I will critically analyze my actions, feelings and strategies that I used to deal with the situation. I will also present how I was able to connect the knowledge that I had gained from my nursing classes and clinical laboratory. Over the course of my clinical placement, I was assigned to different patients with different illness. Caring for these patients has deepened my understanding of the need to develop my intellectual capacity for good clinical judgement and safe decision making. While caring for these patients, I encountered situations that were both positive and negative. Regardless of the outcome of these situations, I believe I have learned one or two things from them. There was a particular event that really stood out for me among the patients that I cared for. The reason why this event stood out is because of the impact it had on my learning. This event helped me to start pulling information from all the resources available to me right on the spot. THE SIGNIFICANT NURSING EVENT I was on an evening rotation on this fateful day. I had done my patient research and ready to carry out my care plan for my patient. Unfortunately, I was not able to implement this care plan because my patient assignment was changed due to staffing issue. An undergraduate nurse was the primary nurse of the same patient that I was assigned to. Due to the policy that I have to be monitored by a registered nurse, my patient assignment was changed. I was then assigned to an eighty two year old woman diagnosed with acute renal failure with history of hypertension. I had very little time to quickly research my patient diagnosis; my primary nurse just gave me brief information on her status. I had to quickly go in to do my initial assessment and take her vital signs. As I approached her room, I was prepared for all reactions, but my patient responded with soaking kindness. I introduced myself, asked her how her day was going and informed her of the care that I will be providing for her. Then I began to perform a head to toe assessment and I explained the rationale of each test and action. My patient would always smile and respond with â€Å"I know that you are a student just do what you gotta do†. Then I began to check her vital signs and realised that her blood pressure was way over the normal range120/80. I was startled, so I decided to check the blood pressure on the opposite arm, just to reaffirm the data obtained previously. This time around I knew I had obtained the same data, which were 180/ 98. I auscultated her lungs fields bilaterally and there was an adventitious sound. I palpated her peripheral pulses for their strength and equality and auscultated her apical pulse rate to check for the rhythm and the quality of heart sound and I could hear an abnormal sound of blood rushing. In this paragraph, I will discuss on my feelings and thinking that took place in the event. Based on my knowledge about the implications of high blood pressure and knowing that she is hypertensive and over eighty years old, that would increase her risk of having stroke or heart attack. I was fearful of handling this patient being my first time of experiencing this situation. Reflecting in action, I began to have a therapeutic conversation with my patient. Understanding my own values and beliefs I composed myself and tried not to sound scared, while I was asking questions regarding how she was feeling. I used all my senses of perception to assess her and asked if she was having chest pain or feeling light headed. My patient complained of being fatigue, a little bit dizzy, and that she was finding it hard to breathe, and then I knew something was certainly wrong. This can be supported by (Quote) At the same time I did not want her to panic or aggravate the situation. I knelt down and checked if there was any urine in her Foley catheter bag, but there was nothing. I asked her when was the last time that her bag was drained and she replied that she was not sure if it was early in the morning or at midnight. Then I noticed that she had edema in her lower extremities, I inspected her legs and palpated the areas of edema, noting the tenderness and pitting. I went on to ask her if she had been going for a walk around the unit and if she knew her blood pressure baseline, and she responded that it’s been very high lately, but for me I was not really satisfied with the data. Certainly my patient was having fluid retention, and other symptoms which might be as a result of her kidney failure or hypertension. Given the assessment and further investigation this was a possible indication of stroke or heart attack. While reflecting in action, I told myself that I needed to act fast as soon as possible because I could not tell what the outcome will look like. According to the Canadian Nursing Association (CNA, 2008) state that nurses should provide safe, compassionate, competent and ethical care. Instantly I knew I had to quickly determine my goal of care for my patient because I was certain that something was wrong. I came up with three goals, firstly I have to make sure that her blood pressure get lowered and controlled. Secondly, make sure that she was having adequate urine output and lastly, encourage her to go for a walk in order to increase her blood flow. In order to achieve these goals I had to find a way to get hold of my primary nurse or instructor, to inform them on what was happening to the patient. Carper, (1978), notes that it is of paramount importance to understand the clinical situation, act timely and appropriately for the good of the patient. This was an opportunity to take what I had learned from my courses and in lab and apply to real situations. I was not really prepared but I was very excited to use my skills and knowledge that I had gained so far from the nursing courses and laboratory. At the same time, I always had it at the back of my mind to always make sure I stay within my scope of practice and also critically think about the care I want to provide to the patient. I excused myself and told my patient that I needed to see my primary nurse. I quickly logged in to the SCM to check her flow sheet and realised that her previous data was 139/85. I checked to see if there was any order or medications if her blood pressure gets beyond certain parameter. I found that an order was made and that if her blood pressure get above 180/100, hydrazaline should be given every four hours and patient should be monitored continuously. I researched the drug class, it usage, side effect and contraindication of hydrazaline, so that I know what I am giving my patient and what I need to watch out for after administration. My findings deepened the knowledge about implications of high blood pressure and what I thought and knew. In response to my findings, I knew for sure that she was having the signs and symptoms of stroke or heart attack. I was really eager to pass on this new information to my primary nurse and instructor. I really felt that I had paid full attention to my patient while performing my head to toe assessment. Tanner (2006) stated â€Å"that clinical judgement is more influenced by what the nurse brings to the situation than the objective data about the situation at hand† (p. 204). I hurried quickly and informed my primary nurse on what was happening, and she came with me to get the medications. As we approached the room the nurse took the patient vitals again, I believe that she needed to confirm the data herself. My nurse got the same data and asked me to administer the medication to the patient. My primary nurse then asked me what my goal of care was for the patient and I responded with what I had planned earlier. I began to evaluate if my intervention was achieved by monitoring my patient’s blood pressure and ensuring that her other vital signs were all in the normal range. About fifteen minutes later, I asked my patient if she was still having the signs and symptoms that she mentioned to me earlier, and she replied that she was feeling much better. Brunners & suddant stressed that educating the patient on self care is a therapeutic regimen that is the responsibility of the patient in collaboration with the nurse. I began to educate my patient on the importance of lifestyle changes and medications to control the blood pressure. I emphasized on the concept of controlling her blood pressure, rather than curing it. I encourage her to develop a plan for weight loss, limit food high in salt and fats and increase intake of fruits and vegetables. It was all a new experience getting to see the symptoms and effects in first hand. Everything makes so much more sense when you get to connect the dots yourself. Although I did not have enough time to research on my patient diagnosis, this experience really impacted my learning because I realised that in the real nursing world, nurses do not have any knowledge about the patient that they will care for. This has really made me reflect on my actions and my future practise. It also made me to really value the learning from the class, clinical labs and evidenced based research. Above all, knowing my patient was very integral to my practice and this event raised some questions for me.

Juvenile Offenders Essay

Steinberg states that there are some issues which are very challenging to the society concerning the nature of human development and justice when it comes to serious juvenile crimes (para, 1). This is due to the fact that people do not expect crimes to be committed by children let alone children being criminals. The unexpected connection between childhood and criminality brings about a dilemma that is hard to resolve (Steinberg para, 1). Some of the ways out of this dilemma are: trying to redefine the offense as something of less magnitude than a crime and redefining the offender as somebody who is not actually a child. For almost a century now, the American society has chosen to redefine an offense as something less than a crime (Siegel and Welsh p, 211). Hoge, Guerra and Boxer states that most juvenile offenses have for long time been treated as delinquent acts that need adjudication within a separate justice system for juveniles (p, 154). This system is designed in such a way as to recognize the exceptional needs as well as the immature condition of young persons and stresses more on rehabilitation over punishment. Steinberg asserts that the two guiding principles that have prevailed concerning young people are that: they have different competencies as compared to adults, which necessitates adjudication in a different type of system, and that they have different potential for change and therefore qualify for a second chance as well as an attempt at rehabilitation (para, 4). The operations of juvenile courts are carried out under the presumptions that offenders are immature meaning that their development is incomplete, their judgment is immature, and their character is still undergoing development. However, in the recent past as Steinberg states, there has been a tremendous shift concerning the way crimes committed by juveniles are treated by policymakers as well as the general public (para, 6). This shift has resulted in great changes concerning policies that deal with the way juvenile offenders are treated. Gale argues that instead of choosing to defend offences committed by young people as delinquent, the society has opted to redefine them as adults and transfer them to the criminal justice system that deals with adult crime (p, 76). Some proponents in society have come to agree that there are those young offenders who should be transferred to the adult criminal justice system due to the fact that they pose a serious threat to the safety of the society where other juveniles live (Siegel and Welsh, p. 214). Proponents, as Hoge, Guerra and Boxer illustrates, argue that the magnitude of the offense committed by these youth deserves a relatively more harsh punishment (p. 174). They also argue that the history of repeated offenses do not augur well for definitive rehabilitation of juvenile offenders. This however, does not describe the large number of young people who are currently being put on trial in the adult criminal justice system. Steinberg argues that majority of these have been charged with crimes that are not as violent to merit such a harsh punishment (para, 7). When this transfer of juvenile offenders to adult system begins to become a rule instead of an exception, it characterizes a primary challenge to the very ground that the juvenile system was anchored in- that young people are different from adults. Debates concerning transfer policies can be viewed from different angles. Developmental psychologists would ask whether the differences drawn between people of various ages under the law are rational in light of what is known concerning age variation in different aspects of social, emotional, and intellectual functioning (Hoge, Guerra and Boxer, p. 79). One major issue based on developmental psychology that emerges is about the creation of a boundary between young people and adults in matters of criminal justice. Developmental psychology seeks to identify the scientific reasons that justify the separate treatment of adults and young people within the criminal justice system, especially with reference to the age bracket, 12-17 years, highly under political analysis currently (Steinberg para, 9). First and foremost, this age bracket is an intrinsically intermediary phase. It involves swift as well as dramatic changes in individual’s social, intellectual, physical, and emotional capacities. It is a phase where a line concerning competence and incompetence of individuals can be drawn. Secondly, teenage years are a period of potential flexibility (Gale p, 98). Young people are heavily influenced by experiences in school, at home, as well as other social settings. To the level that flexibility is possible, transfer of young people into a criminal justice system that rules out a rehabilitative response may be an unrealistic public opinion (Siegel and Welsh, p. 11). Adolescence is a decisive phase through which numerous developmental trajectories are firmly set up and increasingly hard to change. Numerous experiences that adolescents go through have devastating cumulative impacts. Irrational decisions and poorly formulated policies relating to young offenders may have unpredictable harmful outcomes (Gale, p. 104). According to Steinberg, mitigating factors such as mental illness, emotional stress and self defense should be critically evaluated when trying a young person (para, 14). A punishment that is fair to an adult may be unfair to a young person who was not aware of the penalties of his/her actions. It would therefore be unethical to give life sentences to juvenile offenders. The way laws are interpreted and applied should vary when dealing with a case in which a defendant understanding of the law is limited by intellectual and emotional immaturity. The repercussions of administering long and severe punishment are very different when the offender is a young person as compared to when he/she is an adult (Steinberg, para. 17).

The Deep Vein Thrombosis Health And Social Care Essay

What is Deep Vein Thrombosis or good known as DVT. Did you of all time heard about blood coagulum? A status which a blood coagulum thrombus signifiers in a vena is known as venous thrombosis. Blood flow through the vena can be limited by the blood coagulum, ensuing in swelling and hurting. Most commonly occurs in the deep vena in the legs, thigh or pelvic girdle but it can still go on elsewhere in the organic structure ( Pai and Douketis, 2012 ) . The larger venas that go through the musculuss of the calf and thigh are deep leg venas. They are non the venas that we can see merely below our teguments, neither are the same as varicose vena. Deep Vein Thrombosis is most common in grownups over age 60 but it can go on at any age every bit good. DVT normally can do intercalation when a portion or all of the blood coagulum in the vena breaks off from the site where it is formed and travel along the venous system. DVT can take to long lasting job. It can damage the vena and do the leg to br eeze through, swell, alter colour and leg sores after old ages. What cause deep vena coagulums to organize? Blood coagulum can organize in venas when you are inactive. For blink of an eye, coagulums can organize if you are paralyzed or sit while on a long journey. Surgery, hurt and malignant neoplastic disease besides can damage your blood vas and lead to blood coagulum. If DVT remain in the legs it can do a few complications including phlebitis and leg ulcer besides can take to pneumonic intercalation. Phlebitis is a status which blood coagulums with redness in superficial vena was seldom cause serious job but if blood coagulum in deep venas go on require instant attending because it can take to intercalation. Deep Vein Thrombosis can do the blood flow in the vena is partly or wholly blocked by the blood coagulum. The common site for DVT is in calf vena and a thigh vena is less normally affected while DVT is seldom happen in other deep venas. There are few alternate names for DVT such as thromboembolism, post-phlebitic syndrome or post-thrombotic syndrome. A pneumonic intercalation is a dangerous complication and long-distance flights may lend to the hazard of DVT or besides known as economy-class syndrome. Coronary bosom disease, being overweight or corpulent, coffin nail smoke, gestation, household history of DVT or recent surgery or hurt besides can take for DVT to go on. A DVT is frequently merely a one-of event after a major operation has been done. However, some people who develop a DVT have an on-going hazard of a farther DVT. If have a blood curdling job or continued stationariness, so everybody are advised to seek for a medical attention or take anticoagulation such as heparin inj ection ( after which they are prescribed Coumadin ) to avoid farther complication.LITERATURE REVIEW2.1 Histopathology Histopathology refers to the microscopic scrutiny of tissue in order to analyze the manifestations of disease. Examination of a biopsy or surgical specimen by diagnostician, after the specimen has been processed and histological subdivisions have been topographic points onto glass slides besides can good depict about the histopathology. Sing with DVT, its histopathology is rather complex to understand. Differential diagnostic considerations prior to thrombolytic intervention and surgery should include tumors. Definitive diagnosing can be achieved by a biopsy but CT and MRI besides bring rather a function in naming DVT. However, CT and MRI merely such a waste when the disease is at an advanced phase because any of these scrutinies should be done in the early phase of disease. Based on Phlebol ( 2006 ) , soleal vena was the most frequent site of DVT. At first, primary thrombi would be formed at soleal venas, so its will propagate to proximal venas. The proximal venas would be occluded by fresh thrombi, thenceforth secondary thrombi were made at non-drainage calf venas. Paterson and McLachlin found that most venous thrombi consisted of two parts. One of it is composed preponderantly of fibrin and trapped red blood cell while the other one are composed largely by aggregative thrombocytes. The fibrin-rich parts that attached the thrombi to the vas wall, while the platelet-rich parts localized farther from the site of fond regard. These show that activation of curdling system come before thrombocyte activation and aggregation during the formation of venous thrombi ( Lopez et al, n.d ) . Based on that inf ormation, we know that the usage of anti-platelets drug in venous thrombosis is really limited. Histopathology grounds in DVT shows that coagulation occurs on or nearer to the endothelial surface. When curdling starts on the endothelial surface, thrombocytes may be regrouped to the fibrin coagulum rich in thrombin through adhesive interactions and it will ensue to farther thrombus growing. Based on everything that stated above, we can state that the thrombocyte aggregation localize to parts of the coagulum that are far off from its site of attachment and anti-platelet drugs such as acetylsalicylic acid has prove that it can cut down the hazard of DVT in our cherished life. 2.2 Causes and Risk Factors Deep Vein Thrombosis occurs when a blood coagulums signifiers in a deep vena in our organic structure. DVT ever go on in the legs but it can still go on in your weaponries, thorax, or other countries of your organic structure. The blood coagulum can barricade our circulation or Lodge in a blood vas in our lungs, bosom, or other portion of our organic structure and can do terrible organ harm and can take to decease. This subject will uncover about every causes and hazard factors that can take to DVT. There are many causes and hazard of DVT. Some of that are: A individual will hold DVT when a vena & A ; acirc ; ˆâ„ ¢s inner liner is damaged. There are many factors that can take to this hurt. For instant it can be cause by physical, chemical, or biological factors. Besides, surgery, serious hurts, redness and immune responses besides can be the causes to it. DVT can besides go on when the blood flow is sulky or slow. Stationariness or deficiency of gesture can do sulky or slow blood flow. This status ever occurs after the surgery, bed remainder for a long period and holding a long journey that take a long clip. A status which blood is thicker or more likely tend to coagulate than normal ( thrombophilia ) besides can ensue in DVT. This is due to familial status such as V Leiden factor that increase the hazard of blood curdling. Apart from that, endocrine therapy or birth control pills besides can increase the hazard of blood coagulum. The preventive pill and endocrine replacing therapy ( HRT ) has little increased hazard of DVT since the oestrogen in it can do the blood to coagulate somewhat more easy. Peoples with malignant neoplastic disease or bosom failure can besides increase the hazard for DVT. Usually, probe looking for the cause of DVT may demo malignant neoplastic disease to be the implicit in cause. Older people over the age 60 old ages besides probably to hold DVT peculiarly if they have hapless mobility or holding a serious unwellness that can halt them to make a batch of action. Pregnancy besides increased the hazard for DVT to go on. Normally, within six month after they give birth or while they are pregnant. Dehydration will increase the opportunities for DVT because the blood becomes more gluey an apt to coagulate. As a male, safeguard should be taken because work forces tend to develop a DVT more frequently than adult females. Bing an corpulent individual besides can take to DVT. There are many causes and hazard of DVT that we are incognizant of it for the certain time.DVT can go on anyplace in our organic structure portion and besides can assail everybody in different ages but older people are more vulnerable to it. The most hazardous patient to hold DVT is after holding a surgery because the blood can easy coagulate if it non cared in a good ways. Lack active individuals besides are in a high hazard of DVT since it will do the blood to flux easy and easy to coagulate. DVT besides can be inherited and incorrect pill intake besides can ensue in DVT. In easy word, there are many causes and hazards that can take to DVT and every citizen around this universe should take every safety safeguard to avoid DVT. 2.3 Incidence and Comparison There are many people around this universe that have experience DVT. About 2 million Americans have experienced DVT each twelvemonth without they are recognizing it. Based on Convenient option for DVT ( 2012 ) , the exact incidence of DVT is still unknown in Malaysia but there is turning grounds that DVT is non uncommon in Asians. Based on necropsy surveies, hospital audits of admittance to major infirmaries and besides subclinical DVT in high hazard state of affairss such as after major joint surgeries show that there is increase of the incidence. Harmonizing to Prof Hatem Salem, Head of Department, Australian Centre for Blood Diseases, there is sedate misconception that DVT is rare in Asians because he finds out that Asians excessively are at hazard of DVT ( Convenient option for DVT, 2012 ) . Normally, DVT happen after post-surgeries and a few studies have appeared with high incidence of DVT in orthopaedic patients comparable to Western survey. Dhillon, Askander and Doraisamy ( 19 96 ) suggest that the present pattern of keep backing everyday prophylaxis against thromboembolism in Asiatic patients undergoing bad orthopedic process should be reconsidered. In Western states, DVT occurs in 45 % to 84 % of patients after hip and articulatio genus surgery in the absence of prophylaxis ( Stulberg et al, 1984 ) but there is a steadfast belief that the complications is rather rare in Asiatic patients. Lack of consciousness in Asia of a status that become one of the chief slayer factors in West is due to the religion that thromboembolic disease is rare in Asia. Since DVT ever have been linked with post-operative so every patient that have undergoes surgery should take a good attention of their wellness to avoid DVT. However, there are few sentiments that stated DVT is rare in Asians and the first study was made by Tinckler in 1964 stated that there is rareness of post-operative DVT and pneumonic intercalation in Asians ( Tun et al, 2004 ) . A survey that has been made in a few Asians state like Malaysia, Hong Kong and Japan besides show that there is low incidence post-operative DVT has happened around this state. A few incidences in Asiatics can be taken to do a comparing with the Western to demo differences in frequence of DVT in this universe. In developed states of the Western country show that DVT and attendant pneumonic intercalation is still becomes the figure one menace to post-surgery while in Asian specifically in Malaysia show that there is still low incidence of DVT after the operation done. A survey has been made in United Kingdom to stand for Western hemisphere and Malaysia as Asian & A ; acirc ; ˆâ„ ¢s representator. In UK, Sandler and Martin found that 9 % of patients admitted to a general infirmary died and 10 % of these deceases were due to pneumonic intercalation that originated from DVT of lower limb. Based on a survey made in Hospital Universiti Sains Malaysia, Malaysia on 45 patients, merely one positive DVT confirm among 45 patients that have been observed. There is merely 2.2 % and this good consequence show incidence of DVT among patient in Asia is still low ( Tun et al, 2004 ) . In a nut shell, the incidence of postoperative DVT in Asiatic patients is non low as is normally believed and besides it is non high like we know. Larger surveies are needed to settle this contention and happen out all the true fact sing this affair. Based on survey that has been made above, everyday pattern of keep backing prophylaxis in Asiatic patients undergoing bad orthopedic process should be reconsidered. We can reason that DVT is still low in Asians but we should be cognizant of DVT in the hereafter because it is excessively hazardous to take this affair as little things. 2.4 Mortality and Morbidity If DVT is left untreated, there are many bad effects can go on and some of that can ensue in mortality and morbidity. There is short-terms morbidity in DVT such as cardiorespiratory effects that may detain ablactating from mechanical airing and there is besides long-run morbidity like patient-centered effects such as chronic venous inadequacy. Based on Vascular Medicine ( 1998 ) , short-run mortality for DVT patient is reported to run between 7 % and 15 % merely while long-run mortality has record a great figure of deceases for patient with DVT. In a Dutch survey of 355 patients, 90 died during follow up. Patients with a DVT are at hazard for morbidity and mortality since a fragment of the thrombus can embolize to the lungs. Anthony and Bon ( 2004 ) , suggested that about one half of patients with an untreated proximal DVT will develop a pneumonic intercalation within 3 months. In the yesteryear, contrast venography has been used to govern out DVT. Nevertheless, due to some job such as outgo of work force and clip, infinite and equipment and most significantly is it besides associated with morbidity, it was been terminated and been replaced with other machine that can get the better of this job. There are many indicants of short-run mortality of patients with DVT such as malignant neoplastic disease, pneumonic intercalation and major hemorrhage. There are besides many caused that can take to long-run mortality such as malignance, pneumonic intercalation, acute myocardial infarction, ischaemic shot and decoagulant related to bleeding. 2.5 Pathophysiology 2.6 Signs and Symptoms There are few symptoms to acknowledge DVT but frequently DVT occurs without any symptoms. The symptoms of DVT are related to obstructor of blood returning to the bosom and doing a pooling of blood in the leg. Patient with DVT will undergo puffiness of the affected leg and the leg may experience warm and look ruddy. Apart from that, patient calf or thigh may hurt or experience stamp if it is been touch or squeezing or when base or move. There are no symptoms appear if the blood coagulum is little and for some instances, Pulmonary Embolism is the first mark that confirm for DVT. Basically, it can be difficult to observe DVT since some of the symptoms are same with other wellness jobs. Sign and symptoms entirely are non plenty to find the DVT but when hazard factor is take under considerable, so it can assist to find likeliness of DVT. Some of the common mark and symptoms of DVT: Pain Swelling ( hydrops ) Tenderness Inflammation or tegument colour alterations Skin heat Stain Dilatation of venas surface Discomfort when the pes is pulled upward Leg weariness Signs and symptoms occur vary depending on the badness of the status and non all of these symptoms have to happen with deep vena thrombosis. 2.6.1 Conditionss That May Cause Similar Symptoms Patient is advised non to do any early premise in holding Deep Vein Thrombosis if they are undergo the symptom that stated above since there are a figure of different conditions that can do the same mark and symptoms like DVT. Some of the conditions are: Muscles achings and cryings Superficial thrombophlebitis ( blood coagulum that forms in an inflamed portion of a vena near the surface of the organic structure ) Varicose venas ( blood vass that are abnormally conceited and distorted Blood coagulums in arterias Arthritis ( redness of the articulation ) Cellulitis ( infection in tissue under the tegument ) Bone break Lymphedema ( swelling in the custodies and pess caused by extra unstable keeping ) Since DVT symptoms are rather same like other wellness job, patient demand to undergo specific process and particular trial to corroborate the diagnosing or regulation out the other job.Imagination MODALITIES3.1 First Line Evaluation 3.2 Second Line EvaluationIMAGES FEATURE OF PATHOLOGYTREATMENT AND PREVENTIONPrognosisDecision