`` The Kind Of Nightmarish Dystopia By Harrison Bergeron

When Equality is No Longer Equal â€Å"The year was 2081, and everybody was finally equal. They weren t only equal before God and the law. They were equal every which way. Nobody was smarter than anybody else. Nobody was better looking than anybody else. Nobody was stronger or quicker than anybody else.† Equality. One word with one million different definitions. When you hear the word equality, what thoughts come to mind? Do you think of the Civil Rights Movement and Women’s Suffrage, or do you think of the kind of nightmarish dystopia written about in Harrison Bergeron? As a child, my thoughts regarding equality were simplistic and idealistic. Equal everything sounded amazing! I mean, we all deserve the exact same chance at life, and none of†¦show more content†¦But they obviously hadn’t taken a second to ask themselves what talent actually is. If we could all sing like Freddie Mercury or play guitar like Slash, then what they do wouldn’t phase us at all. If we were all equal, t hen talent would not exist. We would all be equally capable of doing nothing at all. Life would be cookie cutter and boring. I don’t know why anyone would wish for us to all be the same, our strengths are found in our unique or strange qualities. Let’s move on to the next ways inequality can be a good thing, which are the incentive to better yourself and the struggle that goes along with it. An example of this in Harrison Bergeron is when George and Hazel are watching TV and the announcer has a very severe speech impediment. ‘That s all right- Hazel said of the announcer, he tried. That s the big thing. He tried to do the best he could with what God gave him. He should get a nice raise for trying so hard.’ Now this TV announcer has no incentive to improve himself. He is getting raises for trying, not for achieving. I wonder how far we would be as a people if we had a society structured in this way during the renaissance or some other period of discovery/learning. Brunelleschi would have never finished the Duomo, and therefore never sparked the match that began the fire that was the Renaissance. He would have been commissioned for simply trying and would have no reason to achieve more. It is human nature to be lazy, selfish,

Pros And Cons Of Single Family Homes - 1436 Words

People prefer single family homes as they are the ideal place to raise a family and live the American dream. As 80 percent of people prefer single family homes, 87 percent consider privacy in owning a single family house and 45 percent say that privacy is a must and a major key point in owning a home. In which the city can’t provide such thing and the suburbs and places around the city do. Choosing to live in the suburbs and not the city is a dream, as it brings more to families than the city like better education in which public schools in cities are not that educational, friendly neighbors where in city everyone is busy and there is no time to be friendly, and in the suburbs it is a safe place for the kids to grow and play around. And†¦show more content†¦As it is a hill side house it offers a deck to an outdoor area. It is a move in ready house for potential buyers that are looking for a house that doesn’t need any minor or major work done to it. the neighbo rhood is 64.1 percent rented, 5.7 percent vacant and and 30.2 percent owned and occupied by the owners. The neighboring houses in the area are majorly owned by people of the age of 35 and the educational index is at it lows as the area doesn’t have a family friendly environment. The work force of the area is majorly blue collar at 70 percent and the rest which is 30 percent is white collar. And the highest crime index is personal robbery. And in North of LA county is Van Nuys, the ad says tit he dream house for an investor. As it is close to a gated private neighborhood park, schools and shopping centers. And it has a private backyard with a lemon tree and greenery, with an attached private garage. The ad also shows each part of the house inside and out. Houses in the neighborhood are owned by people of the age 32. Employment and the work force is majorly blue collar with 68 percent. In South of LA county is Long Beach, the real estate ad is straight forward. Telling the buy er how big the house is, and what’s been recently painted and what is changed around theShow MoreRelatedDifferences Between Foster Care And Adoption1352 Words   |  6 PagesAt John Adams Foster Care Home located in Columbia, SC there was this beautiful infant baby boy name John Thomas Beuler born with cerebral palsy. John was a very small little boy, but had a smile that would have melted your heart. One- day Mr. and Mrs. Tinsdale from Lexington, SC came to visit the John Adams Foster Care Home in Columbia, SC not knowing they was going to fall in love with John Thomas Beuler. After the visit to the Foster Home the Tinsdale are undecided also whether they wish to fosterRead MoreU.s. Health Care System1329 Words   |  6 PagesU.S. Healthcare Policy Shaquita Jefferson MHA 620 Dr. Rhonda C. 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Health Communication Strategies To Inform Health And Social Care Essay Free Essays

Health communicating encompasses the survey and usage of communicating schemes to inform and act upon single and community determinations that enhance wellness. It links the spheres of communicating and wellness and is progressively recognized as a necessary component of attempts to better personal and public wellness ( National Cancer Institute ( NCI ) , 1989 ; Jackson and Duffy, 1998 ; Piotrow, et al. , 1997 ) . We will write a custom essay sample on Health Communication Strategies To Inform Health And Social Care Essay or any similar topic only for you Order Now Health communicating can lend to all facets of disease bar and wellness publicity. For persons, effectual wellness communicating can assist raise consciousness of wellness hazards and solutions provide the motive and accomplishments needed to cut down these hazards, assist them happen support from other people in similar state of affairss, and affect or reinforce attitudes ( NCI, 1989 ) . Health communicating besides can increase demand for appropriate wellness services and decrease demand for inappropriate wellness services. For the community, wellness communicating can be used to act upon the populace docket, advocator for policies and plans, promote positive alterations in the socioeconomic and physical environments, better the bringing of public wellness and wellness attention services, and promote societal norms that benefit wellness and quality of life ( Piotrow, 1997 ) . It is used to forestall morbidity and mortality and to advance a impression of holistic wellness and well-being ( Nova, 2008 ) . Communication in wellness takes topographic point on many degrees, including single, group, administration, community or mass-media. Health practicians have an of import function in the betterment of single, group, or community wellness by â€Å" encouraging people to get down or increase wellness advancing behaviors and to discontinue or diminish wellness damaging behavior † ( Jones and Donovan, 2004 ) .Communication procedure is a multi-dimensional dealing ( Nova,2008 ) . Health publicity aims to cut down inauspicious wellness hazards in an full population by aiming those at high, low and no hazard. Review of the literature suggests that mass media communications runs addition consciousness, information seeking, cognition and purpose to alter behaviors, better attitudes and consequence in behavior alteration ( Freimuth and Taylor, 1996 ) . Theory is defined as a set of interconnected constructs, definitions, and propositions that present a systematic position of phenomena by specifyA ­ing dealingss among variables, with the intent of explicating and foretelling the phenomena ( Kerlinger, 1973 ) . It presents a systematic manner of understanding events or state of affairss. Using theory as a foundation for plan planning and development is consistent with the current accent on utilizing evidence-based intercessions in public wellness. For the intent of this assignment, I will be turn toing the issue of arthritis concentrating on the theoretical and practical direction, leading and communicating issues to be addressed for the effectual executing of a wellness run to forestall arthritis and promote lifestyle alteration, including physical activity, weight loss, and decrease in ingestion of concentrated fats and intoxicant. Background to the wellness issue Definition of Arthritis Arthritis and other arthritic conditions are among the most common chronic conditions and the taking cause of disablement in the United States ( CDC, 2003a ) .These conditions often lead to restrictions in work, diversion, and usual activities, including basic self-care. Three of the most common signifiers of arthritis are osteoarthritis, arthritic arthritis, and fibromyalgia. aˆ? Osteoarthritis or â€Å" degenerative articulation disease. Degeneration of joint gristle and alterations in underlying bone and back uping tissues lead to trouble, stiffness, motion jobs, and activity restrictions ( CDCP, 1999 ) . aˆ? Rheumatoid arthritis is characterized by chronic redness of the joint liner. Symptoms include hurting, stiffness, and swelling of multiple articulations. This lead to bone and gristle eroding, joint malformations, motion jobs, and activity restriction ( CDCP,1999 ) . aˆ? Fibromyalgia is a hurting syndrome affecting musculus and musculus attachment countries. Common symptoms include widespread hurting throughout the musculuss of the organic structure, sleep upsets, weariness, concerns, and cranky intestine syndrome and happen more normally in adult females than work forces ( ( Helmick et al. , 2008 ) . Planing Rationale The Arthritis Burden Approximately 27 million people in United State have degenerative arthritis, 5 million have fibromyalgia, and another 2.1 million have rheumatoid arthritis ( Helmick et al. , 2008 ) .In add-on, arthritis has a important consequence on quality of life, non merely for those who experience its painful symptoms and ensuing disablement, but besides for their household members and attention givers. Arthritis prevalence additions with age. Prevalence of arthritis is higher among adult females ( 28.3 % ) than work forces ( 18.2 % ) ( CDC, 2003b ) . Arthritis yearly consequences in 36 million ambulatory attention visits, 744,000 hospitalizations, 9,367 deceases, 19 million people with activity restrictions ( Helmick et al. , 2008 ) . Therefore, arthritis has become one of the most urgent public wellness jobs in the universe, a job that is expected to decline unless prompt and responsible action is taken. Effectss of arthritis: Arthritis is a menace to a individual ‘s physical, psychological, societal, and economic well-being. It frequently deprives people of their freedom and independency and can interrupt the lives of household members and other attention givers. Physical symptoms of arthritis include hurting, loss of joint gesture, and weariness. Psychological emphasis, depression, choler, and anxiousness frequently accompany arthritis. Social wellbeing is affected by arthritis. Peoples with arthritis often experience decreased community engagement, troubles in school, and sexual jobs. Economic deductions of arthritis include unequal entree to care, and fiscal loads due to wellness attention costs and income loss ensuing from work restrictions. Arthritis is 2nd merely to bosom disease as a major cause of lost work. ( La Plante, 988 ) . Hazard factors for arthritis Three of these factors are: non-modifiable female sex, older age, and familial sensitivity. Although these factors can non be changed, cognition of their presence helps place groups at higher hazard for arthritis so that intercession attempts can be targeted consequently. aˆ?Women aged 15 old ages and older history for 60 % of arthritis instances. At least 26.4 million adult females have arthritis, the taking chronic status among adult females, ( Callahan et al. , 1996 ; CDC, 1995 ) . aˆ? Age is besides associated with increased hazard of arthritis. One-half of the aged population is affected by arthritis, and hazard additions with age. aˆ? Genetic sensitivity. Certain cistrons are known to be associated with a higher hazard of some types of arthritis. Modifiable hazard factors are besides associated with increased hazard of arthritis. These include aˆ? Obesity. ( CDC, 1996 ) aˆ? Joint hurts. aˆ? Infections. aˆ? Certain businesss ( for illustration, agriculture, heavy industry, and businesss with insistent knee-bending ( Felson et al. , 1991 ; Felson and Zhang, 1998 ) . Health publicity Approach This construct encompasses three degrees: aˆ? Primary bar is designed to forestall a disease or status ( arthritis ) from happening in the first topographic point. Physical activity to cut down the hazard of arthritis is an illustration of primary bar step. aˆ? Secondary bar efforts to place a disease in its earliest phase so that prompt and appropriate direction can be initiated. Successful secondary bar reduces the impact of the disease. aˆ?Tertiary bar focal points on cut downing or minimising the effects of a disease once it has developed. The end of third bar is to extinguish, or at least hold, the oncoming of complications and disablement due to the disease. Primary bar schemes that exist for arthritis Merely a few primary bar schemes are considered effectual for arthritis. These include: aˆ?Weight control: Keeping an appropriate weight or cut downing weight to a recommended degree lowers a individual ‘s hazard for certain common signifiers of arthritis. Obesity is a hazard factor for degenerative arthritis of the articulatio genus ( Felson and Zhang, 1998 ; Roubenoff et al. , 1991 ) . aˆ? Occupational hurt bar: Taking safeguards to avoid insistent articulation usage and ensuing joint hurt in the occupational scene can assist to forestall arthritis ( Felson, 1991 ) . aˆ? Sports hurt bar: Exploitation recommended injury bar schemes ( for illustration tune-ups, beef uping exercisings, and appropriate equipment ) aid to avoid joint hurts and harm to ligaments and gristle, all of which can increase the hazard of degenerative arthritis ( Felson and Zhang, 1998 ) . The secondary bar schemes for arthritis status aˆ? Early diagnosing. Early diagnosing of all types of arthritis is of import ( Rao et al. , 1997 ) aˆ? Medical intervention. Antibiotic intervention for early Lyme disease can forestall subsequently phase disease ( Steere, 1990 ; Schoen, 1994 ) . Decrease of uric acid degrees in urarthritis and early usage of disease modifying anti-rheumatic drugs ( DMARDs ) for rheumatoid arthritis can better long-run results. The third bar schemes for Arthritis status Third bar schemes can cut down hurting and disablement, increase a individual ‘s sense of control, and better quality of life. aˆ? Self-management aˆ?Weight control and physical activity: are of import constituents of a disease direction plan. Being overweight is associated with increased hazard of degenerative arthritis, and weight loss reduces the hazard of articulatio genus degenerative arthritis ( Felson, 1992 ) . PACE ( Peoples with Arthritis Can Exercise ) is one such community-based recreational exercising plan. aˆ? Education: is another effectual self-management intercession for people with arthritis. aˆ? Rehabilitation services: Physical and occupational therapy can rectify damages and diminish activity restrictions. aˆ? Medical and surgical intervention: Many different drugs are used to handle arthritis. Medicines for some types of arthritis can restrict disease patterned advance, control symptoms, and prevent serious complications. Joint replacing therapy is most appropriate for people with chronic, terrible hurting or activity restrictions. Schemes for the success of the communicating plan The undermentioned activities will be carried out to guarantee the success of the communicating plan: Thorough state of affairs analysis This is one of the first stairss in planing an effectual communicating plan. Determination of the current load of arthritis, the degree of consciousness of the wellness issue by the populace, and the sort of communicating scheme in topographic point are critical. Besides, a thorough apprehension of the mark audience is necessary. It is of import to cognize their demographic, societal, political, cultural and economic features. This can be carried out through cardinal interviews, observations, and concentrate group treatments studies. Strategy Goal The overall end of this Plan is to excite and beef up a national co-ordinated attempt for cut downing the happening of arthritis and its attendant disablement. Specific ends are to aˆ? Establish a solid scientific base of cognition on the bar of arthritis and related disablement. aˆ? Increase consciousness of arthritis, its impact, the importance of early diagnosing and appropriate direction, and effectual bar schemes. aˆ? Implement effectual plans to forestall the oncoming of arthritis and its related disablement. Scheme Purposes aˆ? Increase public consciousness of arthritis as the taking cause of disablement and an of import public wellness job. aˆ? Promote early diagnosing and appropriate direction for people with arthritis to guarantee them the maximal figure of old ages of healthy life. aˆ? Minimize preventable hurting and disablement due to arthritis. aˆ? By developing and accessing the resources they need to get by with their disease. aˆ? Ensure that people with arthritis receive the household, equal, and community support they need. Scheme Aims The aims must be SMART that is it should be specific, mensurable, accomplishable, realistic and clip edge ( Naidoo and Wills, 2009 ) . The aims will include: To increase the degree of consciousness and cognition of arthritis To advance positive attitudes towards lifestyle alteration. To better activities of day-to-day life and rehabilitation. Execution Communication Schemes for the Public This mark audience, the broadest of the three, includes all Americans. These precedence audiences include ( CDCP,1999 ) aˆ? Peoples with arthritis symptoms. aˆ? At-risk populations ( for illustration, cultural groups, medically underserved populations, and groups with low socioeconomic position ) . aˆ? Family members of people with arthritis. aˆ?Women. aˆ? Non-traditional spouses ( for illustration, colleagues, neighbors, faith communities, Meals on Wheels plans, and local merchandisers ) . aˆ? Federal, province, and community authorities leaders. Three major schemes should be used to present these messages to the precedence public audiences: 1. Promote partnerships to present consistent messages that reach full populations. Because of the comprehensiveness of the audience necessitating arthritis-related messages and the diverseness of subpopulations within that audience, administrations and bureaus must pool their resources and attempts to present a consistent message. aˆ? Identify national and province alliances that address hazard factors for arthritis. aˆ? Strengthen coactions among authorities bureaus, voluntary wellness bureaus, and professional organisations. aˆ? Coordinate a communicating run on behalf of all partnership web members. aˆ? Seek and construct on dependable beginnings of arthritis information, actions, and services. 2. Behavior market research to determine the messages. Because arthritis potentially affects all community members, arthritis-related messages and bringing channels need to be tailored to appeal to different sections of the community. This grade of specification requires market research to both determine the message and bringing channels and prove their effectivity as consciousness runs are developed. aˆ? Identify subpopulations within mark groups for arthritis messages. aˆ? Design and implement behavioral research to find the wellness patterns and media penchants of each mark group. aˆ? Develop and trial arthritis and disablement messages for physical activity runs, nutrition and weight control plans. aˆ? Develop messages about the importance of weight care and physical activity. aˆ? Produce stuffs that can be used by bureaus and administrations that serve mark groups. 3. Increase consciousness throughout all communities. It touches people throughout the community: kids in schools, employees in the worksite, participants in senior Centres, members of all religions, and stray persons populating entirely. . aˆ? Tailor messages and develop runs to make people with undiagnosed arthritis and to motivate them to seek early diagnosing and appropriate direction. aˆ?Tailor messages about community norms for weight and physical activity. aˆ? Develop messages about hurt bar. aˆ? Add to bing physical activity runs messages about the function of physical activity in minimising arthritis disablement. aˆ? Increase consciousness of the nexus between arthritis and weight control, physical activity, and nutrition. aˆ? Ensure that messages efficaciously counteract predominating misconceptions. aˆ? Include arthritis bar messages in wellness education/healthy lifestyle plans in schools and workplaces. Incorporate arthritis into chronic disease bar, wellness publicity and instruction, and other plans of province and local wellness sections. Several bar schemes for arthritis are similar to risk-factor decrease schemes for other chronic conditions. Many province and local wellness sections already have plans directed toward increasing physical activity, advancing a healthy diet, and cut downing fleshiness. All of these plans could be modified to integrate an arthritis-specific message. In add-on, province and local wellness sections have the chance to plan plans directed at cut downing arthritis disablement through appropriate bar messages. aˆ? Encourage province and local wellness sections to do arthritis patient instruction stuffs available at all intervention sites. aˆ? Facilitate partnerships between public wellness bureaus and managed attention administrations to supply appropriate arthritis instruction across the natural disease spectrum, from prediagnosis through disablement direction, and in all types of attention scenes ( for illustration, community-based attention, and in-home attention ) ( CDCP,1999 ) . Communication Schemes for Health Professionals This audience includes all clinical, community, and public wellness professionals who potentially affect the wellness and wellbeing of people with or at hazard for arthritis ( CDCP,1999 ) . Subgroups of the wellness professional audience include aˆ? Primary wellness attention suppliers, including baby doctors, who see the bulk of arthritis patients. aˆ? Rheumatologists, physiatrists, orthopedic sawboness, pediatricss, rheumatologists, and other doctors. aˆ? Nurses. aˆ? Physical healers and occupational healers. aˆ? Social workers and mental wellness workers. aˆ? Chiropractors. aˆ? Chiropodists. aˆ? Exercise and fittingness professionals, instructors, and managers. aˆ? Alternative medical specialty practicians. aˆ? Pharmacists. aˆ? Public wellness community members ( for illustration, pedagogues, public wellness nurses, and plan directors ) . Although the specific message will change for different types of suppliers, all of these professionals must cognize aˆ? The prevalence of arthritis and its impact on disablement and quality of life. aˆ? The most common myths about arthritis and accurate information to chase away them. aˆ? Preventive schemes. aˆ? The importance of early diagnosing of the type of arthritis and appropriate direction schemes. aˆ? Referral beginnings ( that is when and where to mention ) . aˆ? Beginnings of support. aˆ? The value of self-management and other non pharmacological intercessions. To be able to step in early and suitably to cut down disablement, wellness professionals must hold accurate, up-to-date information about arthritis. The undermentioned attacks should be tailored, based on behavioral research, to each type of wellness professional ( CDCP,1999 ) . Better the cognition, attitudes, and patterns of primary attention practicians and other doctors through undergraduate and alumnus instruction, go oning medical instruction, and in-service instruction. Better the cognition, attitudes, and patterns of other wellness professionals through undergraduate and alumnus instruction, go oning instruction, and in-service instruction. Widen the range of arthritis-related messages by utilizing communicating vehicles such as province and county medical societies, province and national professional organisations, professional newssheets and conferences, and web sites of professional organisations and protagonism groups. Evaluation and Feedback A baseline appraisal would be carried out and indexs would be set. For illustration, the plan may be assessed based on alterations in the degrees of consciousness, and the proportion of people with arthritis who can now pull off the symptoms on their ain. This will function as provender back for betterments in future intercessions. Decision Although wellness communicating is an built-in constituent of quality attention ( Vahabi, 2007 ) , developing and pull offing an effectual wellness communicating run is no easy undertaking. In visible radiation of empirical grounds back uping the benefits of wellness publicity and the premiss that effectual wellness communications can impact preventative wellness patterns ( Vahabi, 2007 ) , and in the context of wellness publicity pattern moralss, it is indispensable to guarantee that the bringing of optimum wellness communicating is deemed a high-priority wellness publicity issue. By contrast, hapless wellness communicating taking to less-than-optimal attention bringing and results ( Aitkens et al. , 2005 ) and unequal apprehension of self-care behaviors can ensue in legal branchings and decreased life quality ( Betancourt et al. , 2000 ) . Vahabi ( 2007 ) stated that miscommunications or failures to pass on wellness hazards can besides endanger people ‘s safety and their well ness position. In add-on, disbursement clip on some issues and non on others and non taking people ‘s capacities or state of affairss into history may impact their ability to entree wellness attention and their self-respect and rights to the benefits of optimum wellness instruction. A thorough apprehension of the theoretical issues underlying behavioral alteration and the assorted schemes for effectual execution are of import issues to see. However theory entirely can non vouch the success of any plan. An effectual director must besides understand the practical issues involved and cognize how best to cover with these issues for successful results. Besides equal plan planning is indispensable, but even the best laid programs may non be good executed if the people do non hold the right managerial accomplishments. Development of effectual leading and direction accomplishments are hence of import and must besides be considered in the success of the plan. How to cite Health Communication Strategies To Inform Health And Social Care Essay, Essay examples

Marketing Mix Strategies for Apple-Free-Samples-Myassignment

Question: Discuss about the Marketing Mix Strategies for Apple Watch Singapore. Answer: Product The Apple watch was manufactured to be a limited edition in the smartwatch market in Singapore. The model component has been crafted using a bragging 18-karat gold. The product development was made to top the luxurious market. The target market of the Apple watch comprises of the middle age and those aged above. The Watch is formed to be highly covetous to tap the wealthy(Constantinides, 2016). The group had been left out in the smartphone market for a long time. The watch is a complete brand with a series of products from the of the company which has a high level of customer loyalty. It has a functionality to monitor health conditions and track performance of activities with an inbuilt GPS. Price The Apple watch was given a local pricing option to retail at $549. The variables are leading to this price range from the functionalities of the watch, the brands, and the physical product. Changes in price drivers of the watch cause a consequent alteration in the price. Prices have often changed with time with that during the launch being the highest. Introduction of other series has always caused a drop in the price of older products. Advertising and marketing costs have been a great player in the pricing decisions. The positioning of the product in the status-compelled working population and the targeting of the older people who are sensitive with their health being also directed the exclusive pricing of the product. The prices of the brand aimed at creating a new niche away from the competitor prices. Sales discounts are always popular in particular selling outlets in an objective to increase sales(Constantinides, 2002). Place Apple watch products are premium hence sold in select stores. The distribution channels of the products are few due to high prices. The manufacturer distributes to the select sellers who avail the product to the final consumer. Almost all the population can purchase the products. Singapore is a developed free economy which is highly oriented in trade. The watches are sold in selected resellers authorized by the company. Apple online store in Singapore is the biggest seller in the nation. The working population in the country is tech-savvy and forms more than a third of the total population. The economy is open in a politically stable country with high per-capita income, and its business tax rates are low. Inflation rates in Singapore are as low as even 1% indicating an unusual economic stability and an estimated unemployment rate of 2% in 2015. Property rights, integrity, and freedom in business, labor, monetary, trade, pecuniary, investments, and financials are high scoring more tha n 80%(Saltzman, 2015). Promotion Advertising Advertising of Apple watches creates increased awareness of the products in the Singapore market. Advertisement strategies used include billboards, social media ads, and website postings. The focus is on prospective users to avoid targeting casual audience and to keep costs lower. Advertising promotion informs the potential buyers of the benefits that come with apple watches above the other available products in the market. Sales promotion Promotion strategies for the company have a lot of dependence on the watches and their pricing. Apple watches are final consumer goods, and the sales promotion strategies are directed at the user variables of prices. Products are tailored to provide value to the users. The details of products, prices, and locations of sellers are made known to the consumers through newsletters and point of sale descriptions(Lee, 2009). Equity of brands has necessitated higher prices and expansion of select sellers base to access a wider market. References Constantinides, E., 2002. The 4S web-marketing mix model. Electronic Commerce Research, 1(1), pp. 57-76. Constantinides, E., 2016. The marketing mix revisited: Towards the 21st-century marketing. Journal of marketing management, 3(4), pp. 407-438. Lee, C., 2009. A review of marketing mix: 4Ps or more?. International journal of marketing studies, 1(1), p. 2. Saltzman, M., 2015. Apple Watch For Dummies. 1 ed. New York: John Wiley Sons.

Operations Management in Midas

Can a Recruiter Help You Find the Perfect Healthcare Job

Can a Recruiter Help You Find the Perfect Healthcare Job Graduation is over, and now you are looking for a job in health care. There are jobs available. and your credentials are great. Getting the job is one third training, one third hard work and one third moxie. Looking to people who are trained to put you in the job market may seem like a good idea. Many recruiters have a background in human resources and the contacts that are necessary to find work. However, having a recruiter is not for everyone, and deciding where you fit in is key. Needing a RecruiterNot everyone needs a recruiter. There are great job search sites available that let you search for yourself. Jobs that are more complex might benefit from a recruiter’s input. Deciding whether it is right for you takes forethought.Connecting With Your RecruiterFinding a recruiter that wants to know what you want in a job, how you feel about doing the work you do and what sort of work/life balance you are looking for is essential. This is a two-way street; however, and keeping you r recruiter informed and up to date is important. A good recruiter will answer your questions honestly no matter if the truth is difficult to take. If a recruiter treats you professionally, that is a plus. If the recruiter becomes aggressive on the phone, it is not a good sign.Looking for the Right RecruiterChecking out a recruiter can be done online. Looking at the recruiter’s website may tell you how successful he or she is. Many recruiters will post a client list and where they found jobs for their clients. Although some health care jobs are attained by promoting from within, not all companies do that. Finding a recruiter who knows people at a hospital might mean that when a job for which you are qualified becomes available, the recruiter will hear about it early on and mention it to you.Getting referrals for a recruiter is a good idea. Friends, family or a source book helps you choose. Send your resume to several recruiters, then call them. This gives you and the recruite r an introduction to one another, and it’s simpler to see how well you sync with them.Determine the Recruiter’s EmployerThere are two types of recruiters: internal and external. An internal recruiter works directly for a company. It’s easy to spot since their email will most likely note that. Remember, this type of recruiter is like meeting with corporate, so dress and act appropriately for a meeting. External recruiters usually work for a recruiting company. Other external recruiters are independent, and checking out their experience and training is necessary.Check to See If the Recruiter Is ReputableChecking out the recruiter is easier than many job seekers think. Looking at the recruiter’s credentials or on LinkedIn might give you an idea how long he or she has been in business. It can also reveal a history of working with different companies, and the jobs the recruiter might have available. Remember, a recruiter does not try to find jobs for someone s eeking employment. Rather, a recruiter tries to find the right employee for a particular job. Sometimes, recruiters work on commission, causing them to become aggressive, which could dash the job seeker’s employment chances. Ask the recruiter about their experience and how often a job match was found for employers and employees. It’s also important to find out if the recruiter is representing an employer directly or is trying to approach an employer with candidates.Choosing TheJobNetwork is one way to search for jobs without complications. Whether you are looking for health care jobs or others, this job search site works for you 24/7 as it searches through job listings until it finds jobs that meet your wishes and job skills. This free job search platform makes sure you receive an email notice of jobs as soon as the opportunity becomes available.

Research on Education in China Essay Example | Topics and Well Written Essays - 1000 words

Research on Education in China - Essay Example China’s view on education had its first beginnings with the teachings of Confucius who taught them that it is important to try something to be able to learn something (Hanyoe, R., 1984). Today, this was translated to the significance they put in reading books and scholarly materials to give them knowledge starting from a very early age (â€Å"China Education, Educational System, Teaching and Learning†, n.d.). Indeed, leaders in China serve as very significant influencers in standardizing educational goals for the whole country. As leaders, they are expected not only to do exert leadership but to serve as social ambassadors of change and success. Currently, China’s educational system is one of the largest and is one that is run by the state or the Ministry of Education. This is the institution that makes sure everyone abides in the nine-year education for all citizens. Basic education in China involves three levels: Pre-school education, primary education, and regular secondary education (â€Å"Primary, Secondary and Higher Education in China†, n.d.). Preschool starts accepting children ages three years old until six and usually lasts up to three years, where the academic year is divided into two semesters. Primary and Secondary education in China have been implemented as the 9-year compulsory education since the promulgation of the â€Å"Compulsory Education Law of the People’s Republic of China†. Secondary education is divided into either academic secondary education or specialized/vocational/technical secondary education. This would give their citizens more freedom and opportunity to enhance th eir skills and interests and use this to better Chinese society all in all (World Bank, W. B., 1997). What happens in academic secondary education is that one would have to go through academic lower and upper middle schools where graduates can have the

Discuss the impact of globalisation on the international hotel Essay

Discuss the impact of globalisation on the international hotel industry - Essay Example Everyone related with business tries to make an effort at gaining possible new markets internationally but at a risk worth taking. No company would like to grow beyond means and afford losses be it for a single month, no matter. Trying to go global and market at the international level is one risk which has to be taken with the bosses and shareholders being very calculated as there is a potential chance of falling back to the old ways the business carried out before it went global. There are certain risks and issues when an organization tries to go the international way as it has to take a global stance by becoming worldwide. The goal of international business is basically to create important value by taking care of its products and services or other items in a hard line approach whereby the business attached with it continuously prospers and grows beyond means for the better. No company can afford a business doing the opposite of it, extracting losses for all and sundry and thus pushing the business to the wall. The international business of a particular company will then remain only a dream and the shareholde rs will hardly hope for a miracle to change their business. Domestic businesses are so much easier to understand and thus run. (Rusher, 1996) International businesses change the course of working methodologies in an instant fashion. The hotel industry is no such exception to this dictum. Without a doubt, the hotel industry of the world is a booming market. Such is the related state of affairs that it is taught as a separate discipline in different curriculums of the world. The future growth is predicted by the industry gurus and they know it best when it comes to gain an understanding of the hotel industry and more than that providing luxurious service to the guests globally. The future of the hotel industry or we might want to rephrase it as the hotel development

To What Extent Was Truman's Decision to Drop the Atomic Bomb Justified Research Paper

To What Extent Was Truman's Decision to Drop the Atomic Bomb Justified - Research Paper Example The first atomic bomb was dropped over Hiroshima by a B-29 war craft on august 6 1945, resulting in the destruction of the city and instant deaths of over 90,000 people. It is still not clear why japan hesitated in surrendering after the damage and carnage in Hiroshima as the Truman administration did not give them much time to respond. On august 9 1945, the second atomic bomb was dropped over Nagasaki, a secondary target, to avoid poor visibility due to bad weather in Kokura, the primary target. The bombing of Nagasaki resulted in over 60,000 instant deaths. The Truman administration was planning on further attacks, but japan surrendered 5 days after Nagasaki bombing. These actions exposed Truman to sharp criticism, with many people referring to the bombings as barbaric. The main aim of this report is to use various primary and secondary sources to determine the level to which Truman’s actions were justified. Primary sources include official documents, eyewitness accounts and excerpts from harry Truman’s speeches and diaries, and secondary sources include textbooks and journal articles supporting or opposing Truman’s actions. ... In any case, the American public was getting weary of war and Truman wanted to conclude it to prevent the countless deaths that were happening at the hands of the Japanese2. In addition, Truman was not enjoying the public perception that he was too soft on the Japanese3. Russia had the intentions of taking over the Japanese territory and something had to be done about it; and Truman figured that the United States had to show its power to the world to prevent the Soviet Union from emerging as the world’s super power4. Truman thought that if Russia gained any more power than it had, then it would resort to enforcement, spread and strengthening of communism5. The atomic bombs seemed to be the ideal tool to show America's superiority over the Soviet Union; and Truman showed the Soviet Union that he had the bombs and was ready to use them6. Japan only acted as a demonstration board since the United States was neither in good terms with japan, nor with the soviet union. However, Tru man did not expect to cause deaths of innocent civilians, in fact, he believed that the two cities he ordered bombed were military bases7. In addition, Japan, USSR, and Germany were developing nuclear weapons; it was only a matter of the country that could use theirs first, which was mainly the reason why the United States joined hands with Canada and United Kingdom to pursue the Manhattan project8. To avoid the possibility of a nuclear war, Truman decided to use the means at his disposal to instill fear to the other countries developing the weapons. The other reason cited for Truman's use of the atomic bombs was to end the war as quickly as possible so that he could save countless of lives, including American9, Japanese, and

Relationship Between Goals and Objectives

Relationship Between Goals and Objectives Goals and the objectives are included as parts of the process. What a company expects to accomplish throughout the year is described by goals and objectives. These goals and objectives are essential to the company as a whole, departments, employees and customers. Once the company reach certain goals, it is typically struggle for even loftier goals. Goals and objectives pressures to get a communication in the company, so all the staffs in the company can work in synch in achieving them. Goals are realistic,specific and measureable. Business policies are usually show the ways which facilitate the ability of a company or organization to reach predetermined objectives formulated by top-level management. Business policies are the endpoints related with plans designed to reach company goals. Both policies and business objectives maybe added into plans as determined by a business organisation. The objective is the end to a plan and policy is served as a mode and manner used to reach each ob jectives. Those are the relationship between goals, objectives and policies. Referring to the case study, the Scotia Airways objective is to introduce the flight to major European tourist destinations and goals is to expand the major business centres in Eastern Europe and the Middle and Far East. In order to accomplish those goals and objectives, Scotia Airways try to change its policy which can make Scotia Airway to successfully expand and compete in a challenging market. To effective managerial performance, keep moving the Scotia Airway with this present managing system and need to be more formal and precise than the present. The main principle of Open System Theory The main principles of the open system is that many environmental changes and influences that impacted the efficiency of organisation. It means the newfound belief that all organisation are perfect in part because of the unique environment in which they operate and that they should be structured to accommodate unique problems and opportunities. All in all Open system is try to live in or struggle to the effect or sudden change of the surrounding or environment. In this case study, Scotia Airway going to expand into international Airlines from domestic markets, thus the current managing system will be changed soon and the requirements of skillful new workers who can control the international airlines and the current staffs might be fired or replaced their seats by them. This is the effect on the change of the organisation. The another example is that the government of EU and UK government relax their control over the licensing of airline provision. When the situation is changed or it comes like a huge chance or Scotia Airways, the airline decided to expand their destinations from covering eight destinations. This can be called the change according to the change of situation or environment. The main differences between the formal and informal organisation within Scotia Airways The differences between the formal organisation and informal organisation can be seen obviously. The formal organisation consists of the formally recognized and established statues of the members. The relationship between the members is more a status relationship than a personal relationship. The informal organisation consists of role rather than statuses. The relationship between the members is more a personal relationship or role relationship than the status relationship. There is authority in formal organisations hence there is super ordination ad subordination. Individuals are valuable because of their status and prestige. A leadership can be found in formal organisation hence dominance and submission can be found. The roles and esteem of individuals are valuable. Formal organisation may have long history of their own. Informal organisations are not comparatively more inflexible. It is not easy to bring change in them for example it is difficult to bring change or amendment in th e constitution. Informal organisations are more flexible. There is no rigidity there. Changes can be bought forth easily. It require only the change in attitudes of the members. Referring to the case study, Scotia Airway is planning to expand and new staffs are going to be appointed. There will be informal organisation and informal organisation during the change. If the old staff afraid to do new tasks, they are going to be left behind and all the old staffs might be in a group and will be formed as an informal group. In the other hand, the new staffs combine and together and finally a formal group will be found. Four primary stakeholders of Scotia Airways The primary stakeholders of the Scotia Airways are shareholders, suppliers, government and competitors. They do interest in and influence on the organisation. à ¯Ã¢â‚¬Å¡Ã‚ · Shareholders Shareholders have authority in the organisation and they interested every single action of the orginisation does because when the organisation gain a profit, the shareholders can earn moneys and verse versa they invest a lot of money into the organisation. So the shareholders need to know whethere the organisation get profit or facing with failure and get loss. à ¯Ã¢â‚¬Å¡Ã‚ · Suppliers For the suppliers, they also take part in a list who interested company the most. Scotia Airway use the aeroplanes provided by suppliers. They need to know whether the company still using their products planes or using the others. Although they interested in the organistation, they don’t have any authority on the organisation. à ¯Ã¢â‚¬Å¡Ã‚ · Government Government is placed at the top of the list which is the collection of people who interested in to theorganisation. The government do interest the company because he is the most powerful person who has authority and even he can shut down the company or to make improve. If the organization earns profits, he can collect tasks from the organistion. à ¯Ã¢â‚¬Å¡Ã‚ · Competitors The competitors also tracing and listening the news of one of its competitors, the Scotia Airway. They need to focusing on the Scotia Airways about its news such as promotions, services etc. They don’t have any authority to the Scotia Airways. Control Strategy After drawing up preliminary plans for the expansion, the management team of Scotia Airways is needed to track whether the desired result will be come out or not. Strategic controls help analyzing the Scotia Airways and its ability, strengths and opportunities. The four kinds of strategic controls are premise control, implementation control and special alert control. à ¯Ã¢â‚¬Å¡Ã‚ · Premise control It is based on an assumed premise of how things will take place in the future. It allows the Scotia Airways to inspect whether this assumption still holds true when the plans are being built as action. That may be influenced by environmental factors such as inflation, interest rates, social changes or by industry factors of competitors, suppliers and barriers. These controls can adapt the strategy accordingly when changes of premise occurred. à ¯Ã¢â‚¬Å¡Ã‚ · Implementation control Not to do the adjustment to the strategy, implementation control has to be used. The two basic forms of implementation control are monitoring strategic trusts and doing milestone overviews. The former can be used in order to gain market share from planning and the latter for conducting a full-scale assessment of Scotia Airways. à ¯Ã¢â‚¬Å¡Ã‚ · Special alert control The mechanisms are required in place to assess the position of Scotia Airways in the case of sudden events such as natural disasters. It allows to reconsider the relevancy of the plan or strategy in light of new event. Bibliography Carpenter, M., Bauer, T., Erdogan, B. (n.d.). The nature of goals and objectives. Retrieved from 1. http://www.catalog.flatworldknowledge.com/bookhub/5?e=carpenter-ch06_s01 Organisation theory. (n.d.). Retrieved from 2. http://www.referenceforbusiness.com/small/Op-Qu/Organisation-Theory.html Williams, J. (n.d.). Control Strategy. Retrieved from http://www.yourbusiness.azcentral.com/four-types-strategic-control-24352.html MULLINS, L. (2010). MANAGEMENT ORGANISATIONAL BEHAVIOUR (NINTH ed.). PEARSON.

The God Of Small Things by Arundhati Roy Essay -- God Small Things Aru

The God Of Small Things by Arundhati Roy Before going into the theatre â€Å"to see The Sound of Music for the third time† (35), Estha â€Å"[completes] his first adult assignment† (93). He goes to the bathroom on his own, while Ammu, Baby and Rahel accompany each other to the ladies room. This little detail about going to use the restroom foreshadows another instance where Estha will be forced from being a child into manhood. Ammu tells Estha to â€Å"shut UP!!† (96) because he was singing along to the words of the movies. Instead of shutting up, he leaves the theatre on his own account, because â€Å"he couldn’t help† (96) but sing along to the words he knew. After completing his first adult assignment, his childlikeness comes out in having to sing the lyrics in â€Å"a nun’s voice† (96). He did not know that this act of immaturity, in acting his own age, he would be shoved into yet another adult assignment, something that he kept as a small thing, but ended up as a Big Thing inside him. The Orangedrink Lemondrink Man scolded Estha for â€Å"[disturbing]† (97) him with his song. As soon as he is done scolding him, his â€Å"yellow piano key† (97) teeth offered him a free drink. As Estha came, the Orangedrink Lemondrink Man already knew what he had in store for Estha. The Man asked him questions, and Estha, being a man and a child, had to answer. Where did he live? What did his family do? The Man â€Å"handed Estha his penis† (98) and made Estha masturbate him while he drank his lemon drink, and he had to, because the Man â€Å"knew where to find [him]† (104). After the Man was done with Estha, he sent him back into the theatre. Estha knew from this time that he would be love a little less if anyone knew what he had done with the Orangedrink Lemondrink Man. So he told no one. But in his head, a conversation was taking place between himself and Baron von Trapp, the father in The Sound of Music. Would von Trapp love him even though he was not white? Even though he â€Å"[blew] spit bubbles†¦[shivered] his legs†¦ held a strangers’ soo-soos?† (101). Was he still acceptable to obtain a Baba’s love? He knew that it was â€Å"out of the question. [He could not] love them† (102). No father could ever love him. They leave the theatre because Estha the child, Estha the man, is sick. When they exit the theatre, the Orangedrink Lemondrink Man smiles at Rahel and offers her candy. She goes toward him, and is... ...lowing it to be made into another myth or to be erased by the present. The time was â€Å"painted† on to the wrist-watch that was buried under the History House. When that watch was left to become one with the grass and the dirt, it captured many things. It made time stand still. It took away the desire to speak. This affected Ammu and Estha in everlasting ways. Ammu went mad before she died. Ammu treated Rahel as though she were still seven, when she was actually eleven, saying, â€Å"It was as though [she] believed that if she refused to acknowledge the passage of time, if she willed it to stand still in the lives or her twins, it would† (152). Estha changed dramatically as well. When â€Å"childhood tiptoed out† and â€Å"silence slid in like a bolt† (303), they went to where the watch was, buried with Ammu’s mind. In the ground of the History house, the time would remain at â€Å"ten to two† (121). Ten to two; two small people against ten big people. Rahel and Estha â€Å"trapped in†¦ a story† (224) against Mamachi, Baby, Chacko, Margret, Sophie, Ammu, Velutha, Kochu Maria, Pillai, and the Orangedrink Lemondrink Man. Ten. Ten to Two. Where the God of Small Things, â€Å"if he fought he couldn’t win† (207).

Integrating the Philosophy of Socrates into the Engineering Curriculum

Academic institutions in America have a difficult task, being primarily responsible for the education of the population. Higher education institutions play the largest role in developing individuals and helping them find their roles within society. It is then necessary to look into how the best institutions in the country are educating and developing the minds of the next generation of leaders. In particular, a great focus should be placed in the rising responsibility of STEM (Science Engineering Technology and Mathematics) graduates and their education due to the growing demand of STEM professionals in this era. Engineering curriculum's, for the majority, follow specific criteria to define what is necessary and important for an engineering student to learn. This criteria is set by ABET, the Accreditation Board for Engineering and Technology, which has identified eleven (11) student outcomes upon graduation of an engineering Baccalaureate level program. Among these eleven outcomes, are three outcomes that involve something broader than technological knowledge, design and methods, and they are: (1) the broad education necessary to understand the impact of engineering solutions in a global, economic, environmental, and societal context (2) a recognition of the need for, and an ability to engage in life-long learning (3) a knowledge of contemporary issues. In order to accomplish these outcomes, it is necessary to implement ancient philosophies from one of the greatest philosopher that ever lived, Socrates. Socrates had a lot to say about knowledge, wisdom and education. He is famously known for the ideas that â€Å"the only true wisdom is in knowing you know nothing,† â€Å"the unexamined life is not worth living, † and â€Å"education is the kindling of a flame, not the filling of a vessel. † Many students and professors in the school of engineering do not realize how little they know. For students, when accepted into a high ranked four-year institution, they might believe they are already among the best and the brightest, and this happens more often in the school of engineering. Students tend to think they have four more years of education left (typically) since they've made it so far already and don't realize that their learning has just begun. For professors at top higher institutions in Engineering, many have earned at least Master's degree or better. It is common that most professors hold Ph. D's at top research universities. With vast amount of knowledge these professors gain, they feel as if they know more than the students. Professors readily admit that they don't know everything. There are not many opportunities to question the curriculum that is assigned. More professors can benefit the student's learning experience by providing an environment to learn beyond what is required. Both professor and students are at fault for not acknowledging their own ignorance, which hinders the students in their intellectual growth. Moreover, once students and professors can come to realize how much more there is to learn this can open a world of knowledge for them. Socrates highly valued curiosity and wonder stating that life should not go unexamined. So how does one go about ensuring the outcomes ABET outlines? They implement a philosophical approach to technical education. Although this is present in some courses it is not enough. Most syllabi outline in detail what you are going to learn from concepts to chapters to homework problems to exams on day one. Learning is structured and more about following the rules. There is not a lot of encouragement to seek knowledge in other disciplines. The importance of concepts and ideas about other topics such as philosophy, politics, and education is not usually taught in engineering courses. Yet it is required by ABET for students to have that board exposure to be great engineers. For example, the an aerospace student who is looking to work in the industry after college needs to study the economy and politics. That student needs to understand how the economy stands regarding consumer spending and analyze the possibility of their country going to war. These factors can determine whether or not there is a need for commercial airplanes and/or a demand for defense airplanes. That student can then have a better understanding of what real engineering problems he will encounter and start thinking of ways to provide solutions by studying more applications of such problems. It is also important to know where that industry is head and looking into trends from the past to predict future ones and have a clearer vision of where to seek employment. This education, however, is not covered in your typical engineering course. Faculty and staff needs to put a bigger emphasis and link to education outside of STEM. It is the curiosity and wonder of the students that will lead them to self-educate themselves on these broader topics outside of their curriculum that they are expected have learned upon graduation. This leads to the issue that higher education has developed as a compartmentalized learning system, seen more evident in the engineering schools. In my experience at a leading four-year, private, research university, it felt as if the engineering professors were concerned about what the students know as opposed to how they processed thoughts and ideas. This is contrary to the belief that Socrates had, â€Å"education is the kindling of a flame, not the filling of a vessel. † With the focus to memorize formulas and problem solving methods students are just being filled with information and are then tested on how well they can recreate what they learned in lectures and texts in an exam. When asked, most alumni admit that they have retained very little from the concepts and formulas they learned in class. They state what they really acquired out of engineering school was the problem solving ability. This makes sense, since books and the internet are available to an engineer as a professional; there is no need to memorize the content. Practice with concepts and methods are necessary yet it is more important to understand how these concepts came to be. Socrates would encourage students to ask more about the who, what, why, how, and when in the midst of their learning experience. Developing a critical mind should be the focus of teaching not how well a student can memorize. Engineering programs across the nation don't place enough of an emphasis on critical thinking and self-education of concepts outside of engineering. Engineering education is not just about the practice of engineering methods; it's about recognizing hidden principles, patterns of learning and developing a desire for lifelong learning. With the teachings of Socrates, students will realize what they don't know and start to become more curious and begin to self-educate themselves outside of the classrooms to become individuals that live fulfilling lives as professionals and members of society community.

The Battle For The Cherokees Land essays

The Battle For The Cherokees Land essays (Rough Draft on History of Cherokee Indians) On August 23rd, 1838, the first of thirteen parties of Cherokee Indians began their forced march to the west, toward the land that was designated as Indian Territory. The forced removal of the Indians began as early as the first day the Pilgrims arrived in the New World. As the population of whites grew, so did the need for land; this began the removal of the Cherokees. There were as many people in favor of the removal of the Indians as those opposed. This paper will examine each side and present a discussion of the decisions made. Andrew Jackson became president of the United States in the year of 1829. His view was that the Native Americans should be removed from the land on which they lived to make room for the new white settlers. The Cherokees lifestyle before the first settlement arrived was one of peace. They were divided into three major groups: the Lower Towns, along the upper Savannah River in South Carolina, the Middle Towns along the Little Tennessee River and in western North Carolina, and the Overhill towns in eastern Tennessee and extreme western North Carolina (120, Chapter 6). Women were very active in helping with farm duties such as planting and gathering crops, while the men hunted and caught fish. The Cherokees built their towns around extended families and lands were passed down on the mothers side. There were no leaders, save for the older adults who led by example. The Cherokee women were allowed to voice their opinion in town matters. The Cherokees government was more advanced in democracy as this point in history than some European societies. This soon would change. Upon their arrival in the New Land, the Europeans brought with them the diseases of measles and smallpox; to which the Cherokee had no immunity. The European goods were things the Indians could trade for, such as fabrics, tools, firearms and alcohol. Unfortunately, in ...

The Ins and Outs of the Madreporite

The Ins and Outs of the Madreporite The madreporite is an essential part of the circulation system in echinoderms. Through this plate, which is also called a sieve plate, the echinoderm draws in seawater and expels water to fuel its vascular system. The madreporite functions like a trap door through which water can move in and out in a controlled manner. Composition of the Madreporite The name of this structure came from its resemblance to a genus of stony corals called madrepora. These corals have grooves and many small pores. The madreporite is made of calcium carbonate and is covered in pores. It also looks grooved like some stony corals.   Function of the Madreporite Echinoderms dont have a circulatory system of blood. Instead, they rely on water for their  circulatory system, which is called a water vascular system. But the water doesnt flow freely in and out - it flows in and out through a valve, which is the madreporite. Cilia beating in the pores of the madreporite bring the water in and out.   Once the water is inside the echinoderms body, it flows into canals throughout the body. While water can enter a sea stars body through other pores, the madreporite plays an important part in maintaining the osmotic pressure needed to maintain the sea stars body structure. The madreporite also may help protect the sea star and keep it functioning properly. Water drawn in through the madreporite passes into   Tiedemanns bodies, which are pockets where the water picks up  amoebocytes, cells that can move throughout the body and help with different functions.    Examples of Animals With a Madreporite Most echinoderms have a madreporite. Animals in this phylum include sea stars, sand dollars, sea urchins and sea cucumbers. Some animals, like some large species of sea stars, may have multiple madreporites. The madreporite is located on the aboral (top) surface in sea stars, sand dollars, and sea urchins, but in brittle stars, the madreporite is on the oral (bottom) surface. Sea cucumbers have a madreporite, but its located inside the body. Can You See the Madreporite? Exploring a tide pool and find an echinoderm? If youre looking to see the madreporite, it is probably most visible on sea stars.  The madreporite on a  sea star  (starfish) is often visible as a small, smooth spot on the sea stars upper side, located off-center. It is often made up of a color that contrasts with the rest of the sea star (e.g., a bright white, yellow, orange, etc.). Sources Coulombe, D.A. 1984. The Seaside Naturalist. Simon Schuster. 246pp.Ferguson, J.C. 1992. The Function of the Madreporite in Body Fluid Volume Maintenancy by an Intertidal Starfish, Pisaster ochraceus. Biol.Bull. 183:482-489.Mah, C.L. 2011.  Secrets of the Starfish Sieve Plate Madreporite Mysteries. The Echinoblog. Accessed September 29, 2015.Meinkoth, N.A. 1981. National Audubon Society Field Guide to North American Seashore Creatures. Alfred A. Knopf: New York.

Explore the issues of community cohesion, community exclusion and Essay

Explore the issues of community cohesion, community exclusion and marginalisation with specfic reference of young people - Essay Example and Lowe, G, 1999, P. 9) Social change in sociological context involves the alteration of mechanism within the social structure and is characterized by changes in cultural symbols, rules of behavior, social organization or values. (Form, William, 2011) To explain social change in society, sociologists have borrowed various models of social change from other disciplines. Among the first model was the concept of evolution which was used initially to understand biological change and idea of social change. Other sociological model such as structural functionalism came later to shed more light on the issue of social change. This theory explains on the existence of certain basic institution such as kinship relations and division of labor which often determine social behavior in the community. This is owed to their nature of interrelatedness as change in one institution affects other institutions. According to an article entitled ‘social change’ by Form, the various theoretical schools emphasizes in different aspects of change. Marxist theorist for example, suggests that changes in models of production can lead to changes in modes of production can lead to changes in class systems. This can either incite new forms of change or class conflict. Other theorists inclined to conflict the model, emphasizes on conflict an element which is inevitable in every society, which brings about changes that promote social integration. Social change in society can emanate from various societies. The causes of social change affect every aspect of the society in the world. On macro scale, they shape all major institution including economics, politics, religion, family, education, science and technology, military and legal system. On the micro level of society, they shape society’s values, attitudes, beliefs and behaviors. (people.uncw.edu, 2011). Major social changes in community include; (a) Technological and economic changes such as agricultural advancement (b) Ind ustrialization- The process of moving from an agrarian based economy in which the primary products is food to an industrial or post industrial economy in which primary product is goods. Also the process of changing from a manual labour force to a technology driven lobour force in which machines play a great role. c) Modernization: The process of moving from an agrarian to industrial society. Characteristics of modern societies include,  larger role of government in society and bureaucracy to run government, Large, formal organizations and division of labor based on specialization of skills and abilities into occupation,  forming of social institutions to regulate behavior,  laws and sanctions to regulate behavior, Control over and management of environmental resources: oil, water, land, animals,  larger role of science in society to produce knowledge to advance society, larger role of education and universities, improved quality of life, ability to buy good and services, mor e recreational time, better public health, housing   and self-efficacy   d) Urbanization where large populations live in urban areas rather than rural areas. Usually results from economic opportunities, either people move to a city for jobs, or rural areas become the sites of large businesses which leads to population growth.

Adopting Lean Manufacturing System and Six Sigma Quality System Dissertation

Adopting Lean Manufacturing System and Six Sigma Quality System - Dissertation Example This dissertation demonstrate that management systems are very important to any company as it enables a firm to get better the quality of service and performance delivered. Continuous development programs go through constant adaptation and modification, which is dependent on the need to improve a firm's overall performance. A variety of methodologies and techniques have been initiated, most of which are usually used in private organizations. Such processes can be properly handled through the help of methodical systems or approaches that are considered to progress a company's processes. Two of the most popular and high-effective approaches are the Lean Manufacturing System and the Six Sigma Quality Management System. Both can actually be applied at the same instance, though implementing these methodologies entail a series of modifications that can be difficult for a company. Lean Six Sigma is a combination of Lean Manufacturing and Six Sigma Productions. These two well-known approaches have been extensively used separately by several companies, but the integration of both present few published literature. ‘Adopting Lean Manufacturing System and Six Sigma Quality System’ has been conducted to analyze and evaluate the definition and implementation of Lean and Six Sigma in a manufacturing company. In evaluating both methods, the author demonstrate that Lean and Six Sigma have its similarities and differences, though the objective for both systems is to improve a firm's quality and performance rate. ... Continuous development projects and practices would generate a higher degree of success rate through Lean's waste reduction principle and Six Sigma's defects elimination principle. Glossary DMADV - A Six Sigma process that involves the following elements: Define, Measure, Analyse, Design, and Verify. DMAIC - A Six Sigma process that involves the following elements: Define, Measure, Analyse, Improve, and Control. Flow - The sequential processes of an operation within a firm. Lean - A quality management system that focuses on the elimination of waste to increase value for continuous development. Sigma units - Measurement units or metrics that are used to assess quality and performance. Six Sigma - A strategic management system that evaluates and monitors sigma measurement units to reduce variation and attain company objectives through Six Sigma methodologies applicable to the conditions. Value - A product or service that customers purchase. Waste - Variables in the organization process es that increases the costs spent by the company that does not generate value. 1. Research Question â€Å"Recent high profile failures such as Toyota’s Brake fiasco have highlighted the need for more robust quality management systems and improved production tools in large organisations. From the perspective of an operations manager in a large manufacturing firm, present a case to the board of directors for adoption of Lean Production Systems and 6 Sigma Quality Management System.† 1.1. Project Aim This research aims to critically evaluate and present a business case for implementing Lean Production and Six Sigma systems into an organisation. 1.2. Project Objectives A. To critically evaluate the Lean Production and Six Sigma Quality

Family Planning among Teenagers Term Paper Example | Topics and Well Written Essays - 1250 words

Family Planning among Teenagers - Term Paper Example The provision of family planning services to a minor depends on the legal concept of â€Å"personal representative.† According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) of the U.S. Department of Health and Human Services (2003), a personal representative is a person who has the legal authority to make health care decisions on behalf of the individual as in the case of minors (n.p.). Parents are often the personal representatives of minor children; thus, parents have the right to obtain health information about a minor child. However, the Privacy Rule specifies three circumstances in which certain minors can obtain specified health care without parental consent such as when the State or law does not require parental consent when obtaining particular health services (e.g., mental health treatment), when the court determines other authority rather than the parents to make treatment decisions for the minor, and when the parent to confidential relat ionship between the minor and the physician (U.S. Department of Health and Human Services, 2003, n.p.). In the case study presented, the 14-year-old teenager in an unemancipated minor with parents acting as the legal authority. ... A physician can prevent the transfer of billing/insurance information to reach parents by letting the minors use the option of requesting restrictions on disclosure of confidential communications. 2. What is the normal age range for menarche? According to Pillitteri (2009), the normal or usual age range for menarche is 9 to 17 years with average age of onset at 12.4 years (p. 99). The 14-year-old female in the case study experienced menarche at age 13 and thus, falls within the normal range. 3. What are some common treatments for dysmenorrhea? In the case study presented, the teenager stated that she experiences pain when she has her menses. The teenager also stated that the pain is occasionally bad enough that she misses school. The teenager suffers from a condition called dysmenorrhea or painful menstruation where treatment measures are geared towards pain relief and development of coping strategies. Treatment measures are grouped into three, namely: administration of low-dose oral contraceptives or Depo-Provera to suppress endometrium, administration of prostaglandin inhibitors or nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain, and initiation of lifestyle changes. Patients treated with NSAIDs are usually prescribed to take Ibuprofen 400-800 mg or Naproxen 250-500 mg both three times a day (Ricci & Kyle, 2009, 94). In addition, patients treated with NSAIDs must be advised to take it with meals, cautioned against taking with aspirin or alcohol, and watched for signs of GI bleeding. Meanwhile, low-dose contraceptives are taken daily with advice to take active pills for an extended period of time to reduce the number of monthly cycles while the 150 mg of Depo-Provera is administered intramuscularly every 12th week with information that one could be

Personal Training Case Scenario Essay Example for Free

Personal Training Case Scenario Essay Please type your response in paper format, double spaced. Paper should include questions and detailed answers and should be 6-8 pages in length. Citing is not necessary as it will be assumed that all of the information obtained will be from the NSCA Essentials of Personal Training text. Papers will be due April 19th and will be 20% of your grade. You have just been contacted via telephone by Jane Doe, a 40 year old female who would like to meet with you to discuss the possibilities of obtaining your personal training services. Please describe the consultation process that you will use. (Client-trainer compatibility should be a main component here). Jane Doe called me on the phone one day while I was at the Community Center working at the help desk. We set up the initial interview for the following day. The importance of the initial interview is for the personal trainer and the client to assess compatibility, develop goals, and establish a client-trainer agreement. When Jane first arrives for the interview I will provide a description of the services available and that I can provide her. I will explain to her that I am certified through the National Strength and Conditioning Association as of May 2012 and I have completed an Essentials of Personal Training class for credit at Northern Michigan University. I will explain to her the mission statement of the Community Center (mission statement of NSCA is to unify members and facilitate a professional exchange of ideas in strength development as it relates to the improvements of athletic performance and fitness) unique features to the program, and where and when services are available. I will then need to evaluate her readiness for fitness by assessing her level of motivation and commitment. I will ask her to discuss her past experience with exercise, time management skills, and possible obstacles that would prevent her from meeting with me. I would have her complete an attitudinal assessment which helps me understand her relationship with fitness. It is also important for me to explain for her and to understand roles, r esources, expectations and boundaries of the program. I will try to get an understanding in what kind of training that Jane is interested in and if I think that my abilities would allow us to make a good match. After establishing compatibility I would discuss with Jane her goals and objectives as it relates to motivation. I would help explain that developing specific goals are important that they are able to be measurable, realistic, and time sensitive. If her idea in losing weight is 15 pounds a week, I will have to explain to her that it is simply not a realistic goal, because a more fitting objective would be 1-2 pounds per week. After establishing goals, a very important part of the initial interview is the client-trainer agreement. I will then present Jane with a written document describing the services, people involved, expectations of those people, cost structure and payment process. It will also include termination policy and other issues that may be pressing. I would give J ane the document and ask her to read it so she understands everything and we would discuss it thoroughly so there is no miscommunication; once it is signed by both of us it becomes valid. After meeting with Jane, she has decided she would like you to be her personal trainer. You have scheduled a fitness assessment with Jane for the following day. Please describe what information you will need to tell her to so that she is prepared for the assessment. I will let Jane know that the purpose of the assessment is to gather baseline data and provide a basis for developing goals and effective exercise programs. I want to choose tests that will match with her goals. I will tell Jane to dress in comfortable athletic clothing and to wear appropriate tennis shoes. I will make sure that before she comes to the fitness assessment that she needs to make sure she gets adequate rest, that she stays hydrated throughout the day and brings water with her, and that if she eats it should be at least a c ouple hours before our meeting. Her goals are: * Lose 30 pounds * Decrease body fat * Increase overall health * Increase muscular strength and endurance * Increase mobility * Increased cardiovascular capacity * Better eating habits Jane has arrived for her assessment. Which paperwork will you complete with her and why? Based on her goals, which fitness tests will you perform? Will nutrition advice be included in your assessment process? Why or why not? Some paperwork I will have Jane complete is a health appraisal screening. This is to help identify known diseases and possible risk factors associated with coronary artery disease and question if Jane may need medical referral before starting the exercise program. I would have Jane fill out a Par-Q (physical activity readiness questionnaire) form which identifies if individuals are healthy enough to start training or if they need additional medical attention. Another form I would have her fill out is the health/medical questionnaire. This form identifies any diseases, personal medical history, health concerns, medication and lifestyle management. I would then proceed to ask Jane questions to gather a lifestyle inventory so I can understand some of her daily habits and figure if she has any behaviors that are positively or negatively impacting her health. I would ask questions about her diet, stress management, physical activity, and sleep pattern. I would then give Jane a document on informed consent which gives her information about the content and process of the program delivery. I will evaluate all this information and collect all the paperwork and keep it in a personal file for Jane Doe so I can keep a record of my client. After filling out paperwork we will began some of the fitness testing. I will start with some of the rest tests (blood pressure and resting heart rate) first, because if Jane wants to improve her cardiovascular capacity and overall health, it is important to take note of how her exercise affects her blood pressure (exercise is proven to lower BP) and if her resting heart rate decreases after the program (that would mean the program was effective). To asses her body fat and weight I would perform two body composition tests on Jane to make the assessment more valid. I would use the waist to hip ratio, and then I would perform the skinfold test because it directly measures thickness of fat tissue. This test is valid and can be reliably measu red properly and this test you can easily see results. I would use waist to hip ratio instead of body mass index because that is not always accurate and it doesn’t account for muscle weight (muscle weighs more than fat). After the resting tests I would have Jane move on to some flexibility tests for reasons that she wants to increase her mobility. I would have Jane perform a sit and reach test because it measures hip and low back flexibility. Since Jane wants to increase her muscular strength and endurance, I will have her complete the muscular strength test last so it won’t tire her out before the muscular endurance tests. I will have her perform the one-minute sit-up test because it measures abdominal strength and hip flexor muscle groups. I will also have her perform the push-up test because it uses her own body weight. For muscular strength I will have her complete a 1-repetitions maximum bench press and leg press to see where her maximum strength is in her arms and legs. To asses for cardiovascular endurance, I will have Jane complete the YMCA step test because it measures the heart rate recovery response immediately after the test. I will also have Jane complete the Rockport walking test which estimates the VO2 max for older men and women and it requires only walking at a fast pace. I will give general nutrition a dvice to Jane to address misinformation and advice as it relates to physical performance, disease prevention, weight loss and weight gain. I can refer Jane to a dietician if I believe she has a disease state affected by her eating, but I should only give information on nutrition after assessing Jane’s diet, and I can give her recommendations that can match to Jane’s dietary goals. I can help asses Jane’s diet through dietary recall, diet history, and ask her to keep a diet record. I am not certified to prescribe anything to Jane, but if I recognize more complicated nutrition issues, I am only here to guide her diet, be a source of credible information, and refer her to someone when necessary. During the assessment, Jane explains to you that she suffers from anxiety, stress and mild depression. How will you educate her regarding exercise and its effects on these conditions? I will explain to Jane that the benefits of exercise are endless and that there is evidenc e that participation in physical activity has significant mental health benefits, which include a reduction in anxiety and depression, decreased reactivity to psychological stress, and enhanced cognition. Many workout routines for continuous periods of time can be relaxing, and many routines are rhythmic which can be calming to the central nervous system and this can cause a quieting of the cognitive activity associated with anxiety or stress. Along with anxiety, research evidence consistently reveals that physical exercise yields significant effects for men and women who suffer from depression and less severe forms. Exercise offers an appropriate and effective means of coping and feeling better, while also increasing ones overall health. When exercising, your brain releases serotonin (neurotransmitter with antidepressant effects) and the levels are elevated during and following the activity. Being socially interactive that occurs in an exercise setting or forming a sense of accomplishment after a workout makes people feel a sense of independence and decreased feelings of helplessness. Therefore, being physically active not only helps you to look better, but it helps to make you feel better on the inside as well. Explain to Jane some of the resistance and aerobic training adaptations she can expect to see as a result of her training program. Why would it be important to someone starting an exercise program to understand these training adaptations? Acute responses to exercises are changes that occur in the body during and shortly after an exercise bout. And chronic responses to exercise are changes in the body that occur after repeated training bouts and persist long after the training session is over. During the initial phases of resistance training there is a dramatic increase in the activation of motor units and improvements in strength are due to neural adaptations. Resistance training leads to muscle hypertrophy but it is usually not measured until 8-12 weeks after the beginning of the program. A lot of neurological responses, muscular and endocrine changes will be seen in resistance adaptation. An example of a neurological change would be the number of motor units recruited. An endocrine change includes an increase in epinephrine which increases fat and carb breakdown by the cell for more ATP (energy) production. Some chronic adaptations include after about 1-2 months most strength increases due to hypertrophy and skill of movement. Women tend to build stronger and thicker bones and high volume resistance training may induce glycolitic enzymatic adaptations that increase muscle endurance. Resistance training programs increase fat-free mass, improving body composition. Resistance training programs increase metabolic rate, due to the high metabolic activity of muscle. The effects of aerobic exercise are regulated by the intensity, frequency, and duration of the activity. If one exercises at a greater heart rate, then the training adaptation will be greater. Heart rate and stroke volume increases because the cardiac output is increased, yet the heart also becomes stronger in size because it has to pump more blood (decreased resting heart rate). The energy systems in t he body also become better at producing energy and stored energy in the form of fat is utilized during aerobic training which leads to a change in body composition. Body increases the available fuel sources as well as the enzymes responsible for utilizing those fuel sources. The respiratory changes include increased lung capacity and blood flow. It is appropriate to know this so the client won’t over train or detraining. Changes are the exact opposite of what occurs during training programs. Some common markers for overtraining include decreased performance, decreased body fat, decreased maximum oxygen uptake, increased muscle soreness and increased sympathetic stress response among other things. It is important for Jane to recognize the changes her body will be making as a result of exercise so she can see improvement and stay motivated. During your assessment, you find the following: * Height: 62 inches * Weight: 180 lbs. * Body Fat: 30% * Blood pressure: 138/85 mmHg * Resting HR: 70 * Upper body endurance: average * Lower body endurance: poor * Rockport walk test 18 minutes * Sit and reach: 16 inches Jane has committed to training with you two days per week and three times on her own. Based on your fitness testing and her stated goals, what will be some of the short-term and long-term goals you will set at the end of the assessment? Why is it important to set goals? What are some important characteristics of goal setting? Goals are important to set because they keep the client motivated to not only work out with the trainer but also make sure they are making the program effective by working out on their own too. It is important to have something to work towards because there is always room for improvement and once achieved, setting a goal gives you a sense of accomplishment. Some easy goals I would first start out with are that Jane commits to show up to train with me two days a week for at least one month, three on her own, and that she aim to work out 5 days a week total. Another short-term goal is that Jane aim to lose about a pound a week. A long-term goal for Jane would be to have a 10% reduction in body weight at the end of 6 months, so her goal would be to lose 18 pounds in 6 months. According to Jane’s BMI she falls in the class one obesity, and has a very high blood pressure which puts her at risk for heart disease and diabetes, so it would be an important goal to drop her blood pressure to about 130/85 at the end of 6 months. Her Rockport walk test also fell in the range of poor so a long-term goal would be to get her time down to 14 minutes instead of 18 which would help improve her Vo2 max which ultimately helps increase her cardiovascular capacity and aerobic endurance. A short term goal would be to drop about 12 seconds off of her time each week. Some general goals would be to increase her upper and lower b ody muscular strength and endurance. A nutritional goal I will first start out for Jane is to eat a healthy breakfast every morning after she wakes up and to drink at least six cups of water every day. A long-term goal is to eventually have Jane eat 2-3 cups of fruit and veggies, 5 ounces of lean/low-fat meat and poultry, 3 ounces of whole grains, and about 3 cups of low/non-fat dairy every day (recommendations are referenced from choosemyplate.gov). Some characteristics of goal setting include that they should be specific, measureable, and observable. It’s important to clearly identify time constraints. By beginning with goals that are simple to achieve, the personal trainer can create a sense of achievement and self-confidence for the client so they can eventually make their goals more challenging. Goals should be recorded, monitored, and evaluated. Short-term goals should be set first to achieve long-term goals, and they should also be prioritized so the most important one s are first. Describe your resistance training program in detail and why you have chosen this plan for this specific client. Jane is a beginner when it comes to resistance training. Topics to include are: Since Jane is a beginner in resistance training I will have her meet with me for an over an hour on Mondays and Thursdays. Her main goal is muscular endurance so I will alternate the upper and lower body exercises. Bench Press (free weight) 2 sets x 15 reps at 50 pounds Leg Press (pivot based machine) 2 sets x 15 reps at 140 pounds Seated row (cam based machine) 2 sets x 15 reps at 30 pounds Leg curl (cam based machine) 2 sets x 15 reps at 20 pounds Shoulder press (cam based machine) 2 sets x 15 reps at 15 pounds Squat (FW) 2 sets x 15 reps (try without any weights and then slowly add bar or dumbbells) Bicep curl (FW) 2 sets x 15 reps at 30 pounds Standing calf raise 2 sets x 15 reps Triceps pushdown (pivot based machine) 2 sets x 15 reps at 15 pounds Stability ball abdominal crunch 2 sets x 15 reps * Exercise choice: I used a mixture of free weights and machine based exercises because Jane is a beginner. The core exercises I chose are bench press, leg press, squats, seated row, and shoulder press because those work major muscle groups. The assistance exercises are leg curl, biceps curl, calf raises, triceps pushdown and abdominal crunches which work small muscle groups. * Frequency: Because Jane is a beginner, she is only meeting with me two times a week and I want to make sure she has proper form when weight training so I would prefer she did her resistance exercises with me in the gym so I can coach her. The days are spaced out evenly so Jane has enough recovery time in between. * Order: It is important to alternate upper body and lower body exercises so that Jane doesn’t get too fatigued. She will complete one set of each exercise and then repeat because muscular endurance goals call for between 2-3 sets. * Load: Because Jane is a beginner I used percent of body-weigh t testing protocol for a guideline. Her weight is 180 pounds but I used the maximum 140 pounds as an average to get a good idea on how much weight she should be lifting. I used table 15.5 to help with body weight factors and used the calculation to estimate how much weight Jane should be lifting. * Repetitions: Because Jane’s goal is muscular endurance it is important to do 2-3 sets within 12-15 repetitions to get good results. * Volume: (total number of repetitions times the weight lifted per repetition) If I calculated all the repetitions times the weight lifted in a given day, Jane is lifting around over 5000 pounds. * Variation: Jane is only working out with me for two days out of the week and the only variation I will use is alternating upper body and lower body. * Progression: 2-for-2 rule: if a client can complete two more repetitions than the repetition goal in the final set for two consecutive training sessions then I will add on more weight depending on the exercise and the amount of weight Jane can lift in the first place. Jane is inexperienced in weight training so for every exercise I show her how do it first and then see if she can do it with no weight. Then I will add on a third of the set weight and have her do 12 reps and then if she can complete that with proper form then I will have her complete the actual exercise. After about two weeks I will start progressing Jane and adding more weight so she can slowly increase and improve her performance. After a few months I will slowly increase the frequency and exercise choice to add variation so Jane’s muscles don’t get used to the same workouts and to also see improvement. Describe your cardiovascular plan in detail and why you have chosen this plan for this specific clien t. Topics to include are: When Jane meets with me on Mondays and Thursdays I will also have her do some aerobics but a light workout because those are also the days she will be lifting. * Exercise mode: On Mondays Jane will be on the machine (treadmill) and then on Thursdays the bike. On the treadmill Jane will be walking, and on the bike Jane will be biking. On Wednesdays and Saturdays Jane will not be using a machine she will just be walking, and then she will use stairs at her home to do stair stepping. On Sundays Jane will be doing stretching and flexibility exercises. * Exercise intensity: Jane’s maximum heart rate is 190 bpm. Her HRR is 120. Because one of Jane’s main goals is to lose weight and burn fat, she should aim to be in the fitness zone which targets fat burning and her heart rate target should be 114-133 bpm. Since Jane is still a beginner, her exercises should be low to moderate intensity, she should still be able to hold a conversation and talk while exercising. * Exercise duration: 20-30 min for five days a week is a good goal to have for Jane. Although on the days she meets with me on Mondays and Thursdays her aerobic exercise will only be duration of 10 minutes so she doesn’t become too fatigued. On Wednesdays and Saturday s Jane will walk for 20 min and do stair stepping for 10 min for a total workout of 30 min. * Exercise progression: After a few months and losing weight and after Jane becomes more experienced, I will evaluate her and one of her goals will be to slowly move to the aerobic zone and her target heart rate will become 133-152 bpm. Every two weeks I will add five minutes to her walking time on Wednesdays and Saturdays so in two weeks instead of walking for 20 min she will be walking for 25 min and so on. I will also increase the intensity at which Jane walks on the treadmill and bikes on the bike by very small increments every two weeks. * Which types of aerobic training programs will you choose? Why? Jane’s goal here is weight loss and aerobic improvement, so progression is a very important component to this aerobic training program. Because Jane is still a beginner and needs to improve her Rockport Walking Test score, I chose walking as a main exercise. Using the treadmill at the gym will help give Jane an idea as to what pace and intensity she should be walking at so it makes it easier for her to walk on her own. I also chose biking because cycling is also a good way to get your heart rate up and improve your cardiovascular endurance. On her days not at the gym I also chose for Jane to do stair steppi ng because she can easily do it at her home and it is also a good activity to get your heart rate up and it works on coordination, leg muscles, and improves cardiovascular endurance. On Sundays Jane should have an easier day but it is still important for her to stretch and work on flexibility. Some exercises I will have her do include lunge walk, butterfly, arm circles, side lunges, behind neck and back stretch, semi straddle, wall stretch, and walking knee tuck. It is important for Jane to get her blood flowing before performing any stretches and for every workout it is also important that Jane have a five minute warm-up and cool down. I will show Jane how to do each stretch and then I will give her a sheet that explains and gives pictures and a specific order on how to do them so she can perform them on her own. Jane would like to set up an exercise area at her home. What are some SPECIFIC guidelines and recommendations you could give her regarding which equipment to purchase and the logistics of setting up an exercise area? Some guidelines and recommendations I would give Jane regarding setting up an exercise area in her home would include that it is imperative that any exercise equipment purchased will fit into the home (think about ceiling height, door width, space of room). Cost is an important factor, and the equipment should not be kept out of sight because this might hinder the client being motivated to work out. The safety issues of a home exercise area includes keeping children and pets away from electrical outlets, running treadmills, free weights, bike pedals etc. A see-through gate around the area is always a good idea for a safer environment. When the equipment is not in use it should be turned off or locked or disabled or put into a different room. Other factors to think of are available electricity outlets and their safety, adequat e lighting, air circulation, mirrors, and protective flooring and celling. All the equipment should be placed along the perimeter of the room close to the walls. Another thing to consider is to allow 25 to 49 square feet for activities such as aerobic dancing, free body weights etc. It is also good to think about allowing enough space for a TV, DVD player, or music system for exercise tapes or listening to music. A home exercise facility that has good lighting and air circulation, and good entertainment is more desirable to work out in. How would your overall approach to the program change if Jane was 30 years old and 3 months pregnant? If Jane were three months pregnant there are definitely some different guidelines that I would use to be cautionary and safe. First and foremost I would check with her healthcare provider to make sure that exercising would be safe and beneficial to Jane. After the first trimester I would not have Jane lie in any supine position for any exercises and I would have her use more weight machines because it changes the center of gravity, but non-weight bearing activities are favored because this would reduce the risk of injury and body weight is always an effective way of working out. I would adjust the program according to avoid training at high levels of fatigue and be careful with balance and agility exercises. I would avoid any activity that would increase the risk of falling or trauma to the abdomen. 30 minutes or more of moderate exercise is very beneficial for most days of the week and abdominal and pelvic floor strength is emphasized. Large increases in body temperature should be minimized as well. I would definitely still have Jane continue her walking and stair stepping and most of her stretches. I would decrease the amount of weight she would be lifting for her resistance training and I would get rid of any of the lifts where she has to lie down. I would make sure she didn’t become too fatigued and I would closely m onitor for proper form.