African American Adolescents Future Education Orientation Essay - 13

African American Adolescents Future Education Orientation - Essay Example In the articles that have been presented, it is clear that the authors have used Krumboltz’s Social Learning Theory to assess the students and the plan are based on this assessment. In the article of Utah’s School counseling, the authors have included some essential elements like the demographic information like sex, race, creed and other relevant information based on which the authors have suggested a plan based on the explanation provided by Krumboltz. The goals that have been set down in the paper are based on the acquisition of self-knowledge and the required skills for negotiating in a world where the level of uncertainty is always high. The decision made in this article also highlights the need that people tend to make poor decisions if the learning opportunity is presented to them, and it is essential to explain the importance of the decision making by career counseling. The article has also highlighted that the Utah schools have adopted counseling where the stud ents to counselor ration should account for 350: 1. However, in the schools of Utah, the schools tend to only use the counselors for specific counseling activities and not for any other activities (Bitner, -Stevenson and Burnham). This allows more effectiveness and concentration of the counselors on the student needs and requirements. A similar situation for a more specific group of students has been presented in the other article. Here again the authors have taken into account the various aspect like race, creed, age and sex of the students and planned a career development plan in an appropriate manner to assist these student develop and have also included an essential factor of the perceived parental support as well (Kerpelman, Eryigit and Stephens).

Marketing and Research Problems Essay Example | Topics and Well Written Essays - 500 words

Marketing and Research Problems - Essay Example The lack of experimental data and precise inputs represents a major research problem for the firm. The organization in theory could decipher the formula to create the new product. If this occurred a potential marketing problem the firm faces is that the new products might cannibalize other existing products the company offers its customers.† Product cannibalization occurs when a company decides to replace an existing product and introduce a new one in its place, regardless of its position in the market† (Komrinos, 2002). Another con is that the firm would have to spend a lot of money on research and development to introduce this product to market. The college faces a major problem associated with the inability of the organization to attract young talented college students. In the past the recruiting rate of the college was 90%, but now it has dipped to a troubling and alarming rate of only 25%. The fundamental source of the problem is the reputation and public image of the college. The academic regimen of the university became so stringent that students through word of mouth advertising hurt the reputation of the college. The public relations problem the college faces can be fixed, but the college has to be willing to be flexible in order to improve the reputation of the academic institution. The college has to make a decision on whether is willing to lower its academic requirements to attract more students into its campus. The college benefits the most when it has full tuition enrolment to fulfill the capacity of the campus. A research problem the college faces is to determine the appropriate primary research method to obtai n the information it needs. The use of questionnaires is a technique that can be very beneficial for this college. Chocoholic Candy Company faces the challenge of implementation of an expansion plan, while maintaining the same level of service it provided at the

Managerial Economics Chapter 5 and 6 Homework Essay Example for Free

Managerial Economics Chapter 5 and 6 Homework Essay

Patient Outcomes for Fibromyalgia Treatments

Patient Outcomes for Fibromyalgia Treatments Busch et al. (2011) describes fibromyalgia as chronic condition that exhibits symptoms that include widespread pain, non-recuperative sleep and fatigue. Fibromyalgia can affect anyone of any age but is most prevalent in women aged 50 or older (Traska, Rutledge, Mouttapa, Weiss, Aquino, 2010). Currently, the etiology of fibromyalgia is not understood. Fibromyalgia also has no specific diagnostic tests or cures (Becker, Stuifbergen, Taxis, Beal, Pierini, 2009). Diagnosis is established with guidelines set by the American College of Rheumatology (Gore, Sadosky, Zlateva, Clauw, 2009). Gore, et al. (2009) states that the guidelines stress the incidence of pain and tenderness at least 11 of the 18 defined tender points. Treatment for fibromyalgia, according to Zhao, Sun, Watson, Mitchell, and Swindle (2011), is palliative measures that include pharmacological treatment, behavioral modifications, physical and exercise therapy, and alternative medicines. This literature review is an examination of both pharmacologic and non-pharmacologic treatments for fibromyalgia and the effectiveness of the treatments. The following text will review and analyze several pieces of literature that provide information and statistics regarding the different methods of controlling the symptoms of fibromyalgia. The conclusion of this review will present suggestions and recommendations for enhancing and expanding the current body of research. Literature Review Pharmacologic Treatment Pharmacologic treatment for fibromyalgia includes many classes of medications. Medications include analgesics, antidepressants, anticonvulsants, opioids, and dopamine agonists (Zhao, Sun, Watson, Mitchell, Swindle, 2011). The pathophysiology of fibromyalgia is not well understood, but is believed to be the result of an increase in pain signal transmission of the central nervous system (Gore, et al. 2009). Gore, et al. (2009) focused attention on the medications gabapentin and pregabalin. A commercial database was used to study identifying traits among patients newly prescribed gabapentin and pregabalin that included clinical characteristics, healthcare resource use, and pharmacologic therapy (Gore, et al. 2009). Statistics were limited to those with at least one healthcare encounter during 2006 and 2007 with a diagnosis of fibromyalgia and naive to both gabapentin and pregabalin. The sample was majority female (85%) and greater than 70% over the age of 45 (Gore, et al. 2009). Results indicated that pregabalin users in the cohort study saw statistically significant reduction (p values A systematic literature review of 14 studies revealed a decrease in healthcare access among Latinos in the US as compared to Caucasian Americans (Timmins, 2002). Fifty-five percent of these studies indicated significant negative effects to healthcare access for Latino individuals with LEP (Timmins, 2002). Cancer screenings, mental health evaluations, and reproductive care among Latino populations were substantially lower (Timmins, 2002). The reason for this decline was primarily linked to poor health education and promotion as a result of linguistic barriers (Timmins, 2002). Communication barriers also hindered therapeutic rapport that potentially contributed to decreased access to care (Timmins, 2002). Shi, Lebrun, and Tsai (2009) conducted descriptive and comparative research on a national health survey that involved 29,868 participants. The purpose of this research was to determine the influence of LEP on healthcare access (Shi et al., 2009). Analysis showed that respondents with LEP were more inclined to waive needed medical care and less inclined to have healthcare visits (Shi et al., 2009). In particular, unadjusted analysis showed 58% of respondents with LEP and adjusted analysis revealed 34% of those respondents were more likely to have reduced healthcare visits (Shi et al., 2009). This study revealed multivariable impacts upon healthcare access; however, strategic analysis allowed for variable isolation in order to fully assess the effect of language barriers alone upon healthcare access. In a descriptive study, DuBard and Gizlice (2008) examined responses from 45,076 Hispanics in a randomized national health survey. The study indicated that healthcare access was substantially limited for Hispanics with LEP than Hispanics with English proficiency. The results showed 55% of Hispanics with LEP had no health insurance; whereas, 23% of Hispanics who spoke English were uninsured (DuBard Gizlice, 2008). An additional comparison revealed that 58% of Hispanics with LEP had not obtained a primary doctor, while 29% of English-speaking Hispanics were under primary physician care (DuBard Gizlice, 2008). Hispanics with LEP were also less likely to have annual health visits and preventative services, such as immunization, dental, and screening care (DuBard Gizlice, 2008). These results have implied a prominent influence of language barriers upon access to healthcare. Multivariate analysis disclosed limitations to healthcare access for all Hispanics, but a substantial decrease in access to health services was observed for Hispanics with LEP (DuBard Gizlice, 2008). Safety and Quality of Care In his systematic review, Timmins (2002) reported that 86% of studies indicated a definite negative effect of linguistic barriers upon the quality of care for Hispanics with LEP. In comparison to Hispanics that were proficient in English, one study revealed Hispanics with LEP were significantly (P Masland, Kang, and Ma (2011) conducted a study that assessed medication prescription comprehension in the following five ethnic minority groups: (a) Mexican, (b) Central American, (c) Chinese, (d) Korean, and (e) Vietnamese. Limited English proficiency inhibited communication and understanding of prescriptions in all ethnicities except Vietnamese (Masland et al., 2011). In particular, limited English proficiency in the Mexican, Central American, and Korean groups tripled the chance of misinterpretation and quadrupled the chance for the Chinese group (Masland et al., 2011). Poor communication and unavailability of prescription labels in native languages were associative reasons that inhibited prescription understanding and ultimately compromised client safety (Masland et al., 2011). However, most all ethnicities greatly benefitted from having language concordant physicians (Masland et al., 2011). As a result of physician/patient communication barriers, patients with LEP had an increased probability of undergoing more diagnostic testing (Pares-Avila et al., 2011). Studies reported physicians unnecessarily ordering an array of tests to determine or rule out health problems (Pares-Avila et al., 2011). This action not only potentially contributed to poor patient satisfaction but also promoted delays in care services (Pares-Avila et al., 2011). Health Status and Management According to DuBard and Gizlice (2008), 39% of Hispanics with LEP reported fair or poor health status; whereas, 17% of Hispanics who were English proficient conveyed fair or poor health condition. Timmins (2002) added that negative health status and outcomes could be attributed to language barriers. Misdiagnosing and prescription errors were found in one study to have contributed to negative health outcomes, yet limited English proficiency was not clearly isolated as a specific cause (Timmins 2002). Another study alluded to a casual association between language barriers and negative health outcomes, which potentially promoted declines in health status (Timmins, 2002). Wisnivesky et al. (2009) conducted a cohort study to analyze asthma control and quality of life. Upon comparing English proficiency levels, Wisnivesky et al. (2009) discovered major language barrier impacts. Latinos with LEP had statistically significant (P Fernandez et al. (2010) examined data from the 2005-2006 Diabetes Study of Northern California, a well-designed cohort of insured clients, to determine diabetes management of Hispanic individuals with LEP. Although this study’s multivariate analysis examined other variables that could have contributed to ineffective glycemic control, limited English proficiency was identified as the primary â€Å"independent predictor† (Fernandez et al., 2010, p. 170) of poor glycemic management among US Hispanics. Analysis further revealed statistically significant improvement (P Future Research and Practice Recommendations Literature has confirmed the existence of multivariable elements that compound, exacerbate, and/or lead to healthcare disparities among minority populations. Ongoing research is needed to explore all potential variables, to analyze the impact each variable has upon healthcare, and to discover best methods to improve healthcare for minority groups. A substantial amount of literature has corroborated language barriers as a major source contributing to negative healthcare management; therefore, this appraiser has considered this evidence indicative of poor professional practice that insufficiently bridges language barrier divisions and compromises patient healthcare. Nurses should be proactive in employing interpreter services and finding best practice measures to effectively communicate with patients. Pares-Avila et al. (2011) reported that patients with LEP are often not informed of their legal rights to have interpreters; hence, nurses must be client advocates and inform patients of this entitlement. Furthermore, quality improvement measures and future research should be implemented to continually evaluate interpreter service use and effectiveness. In the US, rapid expansion in language diversity has not mirrored the available diversity among healthcare workers (Pares-Avila et al., 2011). Literature has reflected improvements in healthcare directly related to having language concordant physicians, yet accessibility of language concordant providers has not adequately complemented the increasing number of patients with linguistic diversities. This literature review lacked studies that addressed or assessed the impact of nurse language concordance. However, this appraiser values language agreement between nurse and patient, perceiving it a powerful measure to ensure affective communication and promote health. More research is needed to analyze the effect of language unity between nurses and clients. With a growing diverse nation and competitive work arena, nurses should envision secondary language acquisition as the â€Å"edge† toward professional success and patient satisfaction. References Becker, H., Stuifbergen, A., Taxis, C., Beal, C. C., Pierini, D. M. (2009). The use of goal attainment scaling to facilitate and assess individualized change in a wellness intervention for women with fibromyalgia syndrome.Journal of Holistic Nursing,27, 232-240. doi: 10.1111/j.1365-2702.2010.03501 Busch, A. J., Webber, S. C., Brachaniec, M., Bidonde, J., Bello-Haas, V. D., Danyliw, A. D., . . . Schacter, C.L. (2011).Exercise therapy for fibromyalgia.Current Pain Headache Reports, 15, 358-367. Gore, M., Sadosky, A. B., Zlateva, G., Clauw, D. J. (2009).Clinical Characteristics, Pharmacotherapy and Healthcare Resource Use among Patients with Fibromyalgia Newly Prescribed Gabapentin or Pregabalin.Pain Practice,9, 363-374. doi: 10.1111/j.1533-2500.2009.00292 Traska, T. K., Rutledge, D. N., Mouttapa, M., Weiss, J., Aquino, J. (2010). Strategies used for managing symptoms by women with fibromyalgia.Journal of Clinical Nursing,21, 626-635. doi: 10.1177/0898010109339525 Zhao, Y., Sun, P., Watson, P., Mitchell, B., Swindle, R.(2010). Comparison of medication adherence and healthcare costs between duloxetine and pregabalin initiators among patients with fibromyalgia.Pain Practice,11, 204-216.

Essay --

Who Am I? A look inside Holden, Seymour, and Salinger from three acclaimed works. After World War II J.D. Salinger joined the ranks of the exceptionally adept authors that came about after the heinous second world war. Salinger, fueled by his experiences from the war, addressed many concerns and issues, most of which are timeless. Due to many of his astounding pieces, and his fresh outlook on society, is considered a phenomenal, classic, American author. One that is responsible for many renowned, coming of age novels, as well as a number of agonizing critiques of the society that has been cultured. The Catcher in the Rye and, â€Å"A Perfect Day for Bananafish† are two of his most acclaimed works, both wrestling with the concept concerning the conservation of innocence, a main talking point of Salinger. This is visible through many similarities between the two works. In The Catcher in the Rye, â€Å"A Perfect Day for Bananafish,† and, J.D. Salinger: A Life the characters share common internal conflicts regarding the people that they have become, thi s central conflict aids in conveying Salingers overwhelming claim that when faced with great ordeals, any figurative wounds attained, affect a person in every aspect of life. In The Catcher in The Rye Holden wrestles with the concept of the person that he has turned into. The colossal amount of struggles he has faced, and the lacerations he has gained have remained by his side, altering his everyday, mundane actions. Holden remarks on the painful transition between childhood and adulthood when he is in the Natural History Museum, he says that the, â€Å"best thing, though, in that museum was that everything always stayed right where it was.... Nobody's be different. The only thing that would be ... ...today. Salinger gained many mental and physical wounds during his time in the army, both affected his views on innocence and affected him as a person. Both The Catcher in the Rye, â€Å"A Perfect Day for Bananafish†, and J.D. Salinger: A Life have similar views on innocence, however, the way in which the protagonists experienced their realization on the topic was utterly different. In The Catcher in the Rye and, â€Å"A Perfect Day for BananaFish† as well as J.D. Salinger: A Life, Holden, seymour, and Salinger both find themselves with similar internal conflicts regarding the people they have become, in relation to their innocence. The self exploration the three underwent was due to the accumulation of anguish and grief. both The Catcher in the Rye and, â€Å"A Perfect Day for Bananafish† share similar insights, because of Salingers similar themes and his experience in the war.

Robert A. Millikan :: biographies biography bio

Robert Andrews Millikan was born on the 22nd of March, 1868, in Morrison, Ill. (U.S.A.), as the second son of the Reverend Silas Franklin Millikan and Mary Jane Andrews. He led a rural existence in childhood, attending the Maquoketa High School (Iowa). After working for a short time as a court reporter, he entered Oberlin College (Ohio) in 1886. During his undergraduate course his favourite subjects were Greek and mathematics; but after his graduation in 1891 he took, for two years, a teaching post in elementary physics. It was during this period that he developed his interest in the subject in which he was later to excel. In 1893, after obtaining his mastership in physics, he was appointed Fellow in Physics at Columbia University. He afterwards received his Ph.D. (1895) for research on the polarization of light emitted by incandescent surfaces - using for this purpose molten gold and silver at the U.S. Mint. On the instigation of his professors, Millikan spent a year (1895-1896) in Germany, at the Universities of Berlin and GÃ ¶ttingen. He returned at the invitation of A. A. Michelson, to become assistant at the newly established Ryerson Laboratory at the University of Chicago (1896). Millikan was an eminent teacher, and passing through the customary grades he became professor at that university in 1910, a post which he retained till 1921. During his early years at Chicago he spent much time preparing textbooks and simplifying the teaching of physics. He was author or co-author of the following books: A College Course in Physics, with S.W. Stratton (1898); Mechanics, Molecular Physics, and Heat (1902); The Theory of Optics,with C.R. Mann translated from the German (1903); A First Course in Physics, with H.G. Gale (1906); A Laboratory Course in Physics for Secondary Schools,with H.G. Gale (1907); Electricity, Sound, and Light,with J. Mills (1908); Practical Physics - revision of A First Course(1920); The Electron(1917; rev. eds. 1924, 1935). As a scientist, Millikan made numerous momentous discoveries, chiefly in the fields of electricity, optics, and molecular physics. His earliest major success was the accurate determination of the charge carried by an electron, using the elegant "falling-drop method"; he also proved that this quantity was a constant for all electrons (1910), thus demonstrating the atomic structure of electricity. Next, he verified experimentally Einstein's all-important photoelectric equation, and made the first direct photoelectric determination of Planck's constant h (1912-1915). In addition his studies of the Brownian movements in gases put an end to all opposition to the atomic and kinetic theories of matter.

Mathe N Science in English

TEACHING MATHES AND SCIENCE IN ENGLISH OR BAHASA MALAYSIA As I read through a lot of articles on teaching Mathematics and Science in English (The Star, New Straits Times and New Sunday Times), I found two major advantages of this education approach. The first advantage of teaching Mathematics and Science in English is to allow the students to play on global platform. English has now established itself as the most important language for trade as well as learning. That is why the exposure of English should be wider and more sufficient. LearningMathematics and Science is necessary as English is now spoken by 1. 8 million in all sectors especially accountancy and medical professions. Some reject the policy because of the poor performance of rural students, following an adherent stumbling block created. However, this has been discussed by Hashim Adnan, a president of National Union of Teaching Profession. He suggested that students should be taught subjects in English from a very early ag e, so nobody will be left behind. So, our government has done so by making learning English Grammar since students are in primary school.In fact, Science is introduced to fist year students of primary school to study in a very early age. Moreover, the subject is taught in English, as well as Mathematics. For example, in China, where people once had poor command of English, usage of the language was improving by leaps and bounce. It was not just happening in Vietnam where the schoolchildren were already conversation in English. This shows that learning English in especially universal subjects like Mathematics and Science would benefit the students as they will have to converse in English for at least several topics or labels in the subjects.Therefore, it is necessary to learn Mathematics and Science in English allows the students to stand on worldwide stage. What is amazing about being able to learn subjects in English is the students can cope with their further studies well especial ly in Science field. Hence, it is a significant advantage to learn Mathematics and Science in English. This strongly supported because a lot of feedback from previous students who were in era where Science and Mathematics were not taught in English. A numbers of interviews have been done involving many Malaysia students who are still now studying in several universities abroad.Most of them claimed that they feel regret because they did not have a chance to study Mathematics and Science in English. This is because most of them are now major studying in the field of Science; so, most of the reference books are written in English. Even though their English are good, they feel that it would be easier to cope the terms and labels of either Mathematics on Science during their first year if they have studied both subjects in English. Furthermore, it also helps them in their future career.If a local student is going to be a scientist, or at least work in medical professions, he cannot expla in the findings to the world as he does not know the knowledge of Scientific English. A businessman also needs to use the Mathematics terms in English, otherwise he possibly cannot expand to the outside world. Therefore, it is a very significant advantage to learn Mathematics and Science in English as the students can cope with their further studies well especially in medical sector. Therefore, Malaysians should accept this approach in order to face a lot more education barriers towards Vision 2020.