Thursday, December 26, 2019

Government Is Involved Too Much Into Health And Human...

I personally believe that government is involved too much into health and human services. When I see the percentage of the funds that go into health and human services it’s nice to see that the government recognizes the importance of keeping its citizens healthy and taking action to provide citizens with Medicaid and Medicare. The issue I have is the complexity and aggravation it causes the majority when they go a little to overboard. In my opinion its perfect when the government focuses on significant issues that affect the masses that helps everyone. In the past it would have been acceptable for state and local government to direct a huge portion of its funds into dealing with hookworm, an infection that in places like Georgia affected a total of 51.7 percent of people. This was a disease that affected everyone no matter what social status or life choices you had, in that time period. It was effective that they completed public work projects and worked on providing everyone with sanitary conditions and hospitals. Personally I think it’s the governments job to protect the people even if it is not an economically smart decision. When government is getting to personal and aggressive by forcing people to pay for Medicare or Medicaid in which if the person doesn’t not get Medicare or Medicaid results in them getting a separate tax to being doing a little too much. I think that the government crosses the line some times in the amount of benefits that they are giving out to theShow MoreRelatedMedicare Funding Crisis1692 Words   |  7 PagesDonnie Tatar University of Michigan HSM544: Health Policy and Economics As the newly appointed chief of staff I have been tasked with responding to a proposal for reducing Medicare expenditures by enrolling participants in HMO. I understand that we have some key questions must be addressed and that we must justify our position on either economic efficiency or equity grounds. Outlined below are some of the questions that must be answered in order address this issue properly. Is Medicare inRead MoreA Brief Note On The Health Care System1080 Words   |  5 Pages The U.S Health Care System is very complex industries that are filling with lots of challenges that will need to be fixing and restructure before comparing themselves with other develop countries. Health Care system is referred when it have various features, components and services, the U.S Health Care delivery system it’s not a true system unfortunately, the reason is the delivered system continuously it’s undergoing with periodic changes regarding concerns with cost, access and quality. TheirRead MoreHealthcare History Of The United States1355 Words   |  6 PagesShould the United States government give everyone free health care? Millions of Americans have lost their health insurance. In Canada, and many countries in Europe, health insurance is guaranteed. Some experts here argue that universal health insurance can be successful. Other equally well qualified people counter that it would be too expensive or claim that the care would be poor. They believe that mar ket forces will fix any shortcomings of the U.S. health care system. Health insurance in the UnitedRead MoreHuman Trafficking And The United States962 Words   |  4 Pagesfrightened to believe they can accept help without owing something back. Some survivors are too afraid because they fear their traffickers too much to accept any services. Furthermore, it aggravates victims to find out that the time is takes for cases to be prosecuted and to gain protections is very extensive. Intensifying the existing laws to better defend human trafficking victims is critical.The United States Government, in 2000, certified the Victims of Trafficking and Violence Protection Act. This actRead MorePaper878 Words   |  4 PagesThe state having to repay Medicaid may mean a cut in billable services for Nebraska DD providers. In a staff meeting at Nebraska-DHHS, DD Director Courtney Miller, â€Å"the proposed plan is to allow 35 billable hours of Day Habilitation per week instead of 40. This should save money and pay what is owed to Medicaid-CMS† (Miller, per sonal communication July, 2nd, 2017). However on problematic billing issue with Medicaid, the Omaha World Herald article mentions, â€Å"it’s more instability to a system that’sRead MoreDemocracy Plays A Major Role Americans Everyday Life981 Words   |  4 Pagesrole Americans’ everyday life. Democracy is a type of government where a person can stand up for what they believe in and not be scared. This form of government has helped with schools, health services, and infrastructures. However, Thailand, Egypt, and Saudi Arabia are all third world countries that seem to have failed with this form of government. There are many key points to maintaining a strong democracy government for instance a government needs a strong military to enforce the law, and a separationRead MoreTheoretical Framework For Nursing Practice1672 Words   |  7 Pagesand acceptance of the theory also happens in our wards. (4) The financial constraint is another barrier in our theoretical development (5) Time, money and reward are some of the barriers, knowing that as a nurse or healthcare professionals, we are too busy to think about theoretical and framework development while this requires budgeting, especially in data collection. However, all this led to the utilization of theoretical importance, knowing that theory development is required according to theRead MoreThe State Of Healthcare System1412 Words   |  6 Pagesthe system. Far too many Americans are unable to afford the basic human right of health care because of corporate greed and poor policy making by the government. I think there needs to be a complete overhaul of the healthcare system so that Americans can afford to be healthy, and not have to worry about losing everything when they get sick. This new healthcare system needs to focus on preventative measures in order to drive the cost of healthcare down and to improve the overall health of everyone. TheRead MoreThe Importance of the Health Workforce to Health Care1353 Words   |  5 PagesThe importance of the health workforce to health system cannot be underestimated. It is widely accepted that, for effective health system performance, the availability as well as quality of the health workforce improves the global health equalities (Jensen, 2013). Yet, challenges of staffing, and having the right skill mix continue to impact on health systems of many counties, particularly in sub-Saharan Africa, and this ultimately undermines the achievement of MDGs. This problem is escalated byRead MoreEthical and Legal Concepts in Healthcare1019 Words   |  4 Pagesï » ¿Ethical LEGAL CONCEPTS in HEALTH CARE By (Student Name) DELETE THIS SLIDE AFTER YOU READ IT Why is This Important? Access and funding for health care, both private and public, is a huge concern with many Americans (if not most) Many of the government health care frameworks and questions face major long-term questions of viability and direction (SSA.gov) Opinions on the topic are far from monolithic and even further from being settled Statement of Problem There are a number of questions

Wednesday, December 18, 2019

Importance of Computer Literacy - 3014 Words

Students` Attitudes towards Computer: Statistical Types and their Relationship with Computer Literacy Diana Saparniene Siauliai University, Lithuania Gediminas Merkys Kaunas University of Technology, Lithuania Gintaras Saparnis Siauliai University, Lithuania ABSTRACT. The results of the diagnostic analysis on students’ computer literacy are presented in the article. The study involves students from Lithuanian universities and colleges (N=1004). Based on the study results attempts are made to identify and define the existing statistical types of students in connection with their attitudes towards a computer (emotional – motivational relationship with a computer) as well as to disclose some link with the factual computer†¦show more content†¦Otherwise, students’ positive feelings (enthusiasm, pleasure, satisfaction, etc.) help to do difficult tasks and achieve good academic results. The analysis of the scientific literature has proved that the impact of besides the analysed non-cognitive personality traits on computer literacy level has not been sufficiently studied. No research has been aimed at answering the question whether significant identification of statistical types in the student’s population is based on differences in computer literacy and other important variables. Mainly this article deals with the scientific problem related to the hypothetical presumption on the impact of non-cognitive personality traits - attitudes on the peculiarities of computer literacy in the system of higher education. The article deals with the study of students’ computer literacy one of the aims being – to identify and define the existing statistical types of students in connection with their attitudes towards a computer (emotional – motivational relationship with a computer) as well as to disclose some link with the factual computer literacy using multidimensional statistical methods. RESEARCH METHODOLOGY AND CHARACTERISTICS OF EMPIRICAL BASIS The empirical-experimental part of the present study is based on the series of diagnostic studies with the total number of 1004 surveyed students. They represented 4Show MoreRelatedImportance Of Computer Literacy994 Words   |  4 PagesWhy computer skills are important As someone with extensive computer literacy, I understand the importance of being able to be efficient with the use of computers. Whether it is at school, or at the workplace, the struggles and inefficiency I see people have with computers results in a lot of wasted time and effort. The internet, and computers, play such a giant role in the day-to-day life of human beings that if computers were all wiped out tomorrow, humans would have a very difficult time in adaptingRead MoreImportance of Computer Literacy1567 Words   |  7 PagesImportance of Computer Literacy Computer literacy is having up to date knowledge of computers and their capabilities. One of the more popular aspects of the computer is the use of the internet. The internet is a worldwide collection of networks that links millions of businesses, government agencies, educational institutions, and individuals. It was originally started by the Pentagon for scientists and military to put information and their studies on a network that was easily shared with one anotherRead MoreDigital Literacy Essay1297 Words   |  6 Pagesï » ¿ Digital Literacy ENG122: English Composition II Angela Temple January 20, 2014 In today’s world it is a requirement to be digitally literate in order to be able to function in a capacity that enables one to be more successful whether it is at home, school, at our jobs or even looking for a job. Over the last few decades our environment has evolved into a digital environment. Being or becoming digitally literate is essential in being successfulRead MoreThe Digital Literacy Training Program Essay1623 Words   |  7 PagesGoals and Objectives The module served as an introduction to basic computer skills. All students completing this course will be able to operate a computer, familiarize themselves with computer terms, usage and get acquainted with core areas of computer software. The students will have a better working knowledge in regards to the concepts and techniques of computer operations. Students will be better prepared to enter into the labor market and or be better prepared for today’s employment demandsRead MoreInformation Literacy and Scholarship, Practice, and Leadership in It Management1337 Words   |  6 PagesInformation Literacy and Scholarship, Practice, and Leadership in IT Management R. Dannels University of Phoenix IT (Information Technology) management entails all the routine issues faced by any type of business manager in addition to the issues of software development, technology purchasing (not necessarily physical items), systems integration, the limits of technology and the related budgetary issues. General information literacy is important for any level of IT manager, as he or sheRead MoreWhat Ive Learned about Literacy Essay example943 Words   |  4 Pagesaffirmed knowledge gained both from my undergraduate studies as well as additional research I have independently completed on literacy. The first week of this class required me to think about how I define literacy. I believe that know that I have completed this course, I am better able to summarize and identify my definition of literacy. Like Tompkins (2010), I define literacy as the ability to read and write inside and outside of the classroom. Comprehension is a large piece of reading. Many studentsRead MoreLanguage Differences Between Language And Language1247 Words   |  5 Pagesthemselves have an unintentional bias when interacting with students of different economic status thus not affording the same opportunities to all students, resulting in the status of one student’s achievement being disadvantaged. (REFERENCE). The importance of the teacher is then to focus on individual student’s background and knowledge and use that as a starting point to begin their education, all the while incorporating their cultural and social status into their educational journey to ensure thatRead MoreNew Media Lit eracies in the Classroom Essay1532 Words   |  7 Pagesfirst used, ‘literacy’ had a very traditional meaning: the ability to read and write (â€Å"Literacy,† 2011). Being literate was the norm, it was required for all and it distinguished race and class. However, as times change and culture emerges and grows, people acquire new knowledge, such as technology, that can very well be identified as literacy, or media literacy. As technology leads the 21st century, students are now expected to excel and master media literacy as well textual literacy (Jenkins, ClintonRead MoreEssay about Intercultural Communication 1725 Words   |  7 Pagesintercultural communicate both locally and globally. People now can get the information from any spots on the planets easily through many televisions channels. Also, gaining huge amount of knowledge from every part around the world is provided by computer networks. Computer networks facilitate the communications as well. Beside cr eate new opportunities, technological and demographic evolutions provide significant challenges to the people. Communicating successfully in another language depends on shifting theRead MoreThe Causes And Effects Of Computer Literacy940 Words   |  4 PagesAs someone with extensive computer literacy, I understand the importance of being able to be efficient with the use of computers. Whether it is at school, or at the workplace, the struggles and inefficiency I see people have with computers results in a lot of wasted time and effort. The internet, and computers, play such a giant role in the day-to-day life of human beings that if computers were all wiped out tomorrow, humans would have a very difficult time in adapting to life afterwards. Individuals

Tuesday, December 10, 2019

Sugar and Mood in Children free essay sample

White and Wolraich study based on reports that dietary sucrose and sweetener aspartame produce hyperactivity and behavior problems among children. Conclusion- no impact of increased intake on behavior or cognitive function, some may have idiosyncratic or rare allergic reactions. Even studies using children diagnosed with ADD showed no differences in activity, behavior and cognitive performance in response to increased sugar. In summary, clinical investigations have not demonstrated significant effect of sucrose on aggressive or disruptive behavior, motor activity or cognitive performance in children. Then how does sugar intake affect mood? Food-Mood link – Every dip or rise in moon, every hunger pang every thought, every response is orchestrated by these nerve cells and their neurotransmitters. At least 70 neurotransmitters have been identified that regulate nerve function, including memory, appetite, mental function, mood, movement and the wake-sleep cycle. For eg, too little norepinephrine causes depression, too little acetylcholine results in memory loss, insulin increases food intake, opioids (endorphins) increase fat intake, dopamine inhibits appetite, serotonin – low –increases carb intake, high-decreases carb intake, estrogen – increases food intake. These neurotransmitters housed in central regions of the brain such as the hypothalamus also regulate reproduction and communicate closely with other brain centers such as amygdala that control emotions. Our food preferences, desires, cravings and loves are hardwired into our basic survival instincts for survival, safety and love. What you eat directly and indirectly affect all these nerve chemicals which inturn influence moods, energy level, food cravings, stress levels, and sleep habits. For eg, nerve chemical histamine is built from the amino acid histadine. Histamine is imt in regulating alertness, brain energy metabolism, release of hormones; appetite and coordination. Vitamins and minerals work as assembly line workers in the manufacture of neurotransmitter. Some neurotransmitters become more or less active depending on dietary intake. Either overconsuming or dramatically restricting a particular food such as fats or carbs can trigger imbalances in neurotransmitters that can contribute to depression, irritability, food cravings, mood swings, and thinking problems. Nutrients such as protein, zinc, vit B6, iodine, folic acid, and vit B12 are essential for the normal development of the nervous system. Food additives such as MSG an chemicals such as tyramine found in aged cheese can influence brain activity and result in mood changes or interfere with the manufacture or release of neurotransmitters. Others can block or alter†¦ and can affect mood and thinking. The manufacture of most neurotransmitters is controlled by the brain. But some are directly influenced by what you eat, especially amino acids. Eg tryptophan found in meat and milk, is a building block for serotonin and dopamine and norepinephrine are influenced by the amt of tyrosine in the diet. Eg a person consumes a protein rich snack or mean, blood level of all amino acids rise, blood amino acids compete for entry into the brain, only moderate amt of serotonin are made and stored, person feels depressed, irritable and or carves a carb rich snack. In contrast, a carb rich meal triggers the release of insulin from the pancreas. This hormone causes most amino acids floating in the blood to be absorbed into the body’s cells, except tryptophan which remains in the bloodstream. With competition removed tryptophan enters the brain freely causing serotonin levels to rise. High serotonin levels increases feelings of calmness or drowsiness, improve sleep patterns, increase pain tolerance, reduce cravings for carb rich foods. Binge eating is often linked to stress. A person is stressed, follows a restrictive diet or skips meals. The adrenals release corticosterone. Corticosterone reaches the hypothalamus, hypothalamus releases NPY (neuropeptide Y), a person craces carb rich stratches and sweets. Elevated endorphins also contribute to a pregnant woman’s longings for certain foods (inconjunction with the female hormone progesterone) uncontrollable cravings the 2 wks before her period, sweeth tooth during times of stress, cravings of alcohol in an alcoholic, overeating in obese people, bing eaters and bulimics. The nerve chemicals that dictate your food preference and mood are not housed exclusively in the brain. Some are located in the digestive tract, pancreas, adrenal glands and fat tissue. Cholecystokinin (CCK) is a hormone found in both the brain and the small intestine that aids in digestion and contributes to a feeling of satiation. Estrogen in women enhances CCK effectiveness. More CCK released, the slower you digest food and faster you feel full so less you eat. Studies indicate low levels of CCK in people with eating disorders such as bulimia. In contrast AIDS patients have high level of CCK and low endorphin levels so they lose their appetites. It is likely that enterostatin, serotonin, galanin and endorphins work in concert to raise and lower cravings for fatty foods from salad dressing and mayo to meat and chocolate. Numerous scientific studies have shown that the menstrual cycle influences food intake. Healthy women consume 90-500 kcal/day during the luteal phase than during the follicular phase- increase in carb, fat and protein intake. Vit c consumption is lower and increase of intakes of vit D, riboflavin, potassium, phosphorous, and magnesium have been reported. A low-fat diet has been associated with decreased bloating. Caffeine consumption has been associated with an increased prevalence and severity of premenstrual symptoms. There is some evidence that a high-carb low protein meal will improve mood in women with PMS, but few data show that this same effect will occur in healthy women or in women with psychoogic disorders such as depression. Nutritionists in particular should help women focus on managing their food cravings and incorporating the craved foods into a balanced, healthful diet. Numerous biologic factors are postulated to cause food craving. Evidence exists that food deprivation, including self-imposed restriction such as dieting leads to craving. However, decreased cravings have occurred in obese people on low caloric or very low caloric diets. Food cravings have also been attributed to a requirement for a specific nutrient lacking in the diet. For eg Craving of chocolate can be attributed to its magnesium content, although scientific experiments do not generally support this view. It has been suggested that certain foods are craved because they contain substances that influence brain neurochemistry to create a feeling of well-being. Bioactive substances such as tryptophan and carbohydrate both thought to increase brain serotonin levels. Chocolate contains several biologically active compounds including the methylxanthines caffeine and theobromine, precursors phenylaline and tyrosine and biogenic amines phenylethylamine and tyramine. After evaluating the literature in this area, Rogers commented that serious reviews have found little support for the hypothesis that chocolate craving is related to psychoactive constituents. So what does chocolate do to us – It has been suggested that chocolate consumption may elevate mood because it contains several biologically active compounds. Chocolate is a rich source of antioxidants the substances that can block cellular and arterial damage caused by oxidation reactions that go on endlessly in the body. According to researchers at the University of Texas Southwestern Medical Center in Dallas , the same antioxidants called Flavinoids found in red wine that protects from heart disease and cancer. Chocolate contains other chemicals that have brain activity tryptophan, the building block of serotonin, a relaxation-inducing neurotransmitter and phenylethylamine, a stimulant related to amphetamine that can improve mood in some depressed people. Phenylethylamine is the chemical released in the brain when people become infatuated or fall in love, and it has bestowed upon chocolate the aura of an aphrodisiac. – New York Times article Valentine to Dark Chocolate, but go easy. Sweet Taste of Beating Sugar Habit – Hubert Herring – I should note that many experts pooh pooh the idea of sugar addiction. It is â€Å"hard to conceive of an ‘addiction’ to a chemical that occurs naturally in all of us,† says Dr Walsh, professor of psychiatry at Columbia. But a sweet taste is certainly â€Å"rewarding† he said â€Å"the brain circuits that are involved in the recognition of reward are the same ones (or at least overlap with the ones) that are involved in addiction† Carb Craving – double blind placebo controlled test of self medication hypothesis – Corsica, Spring Every third testing day, participants were asked to self administer the beverage they preferred based on its previous mood effect. Results showed that, when rendered mildly dysphoric, carbohydrate cravers chose the carbohydrate beverage significantly more often than the protein-rich beverage and reported the prior produced greater mood improvement. The carb beverage was perceived as more palatable by the carbohydrate cravers, although not by independent taste testers. This study supports the existence of a carbohydrate craving syndrome in which carbohydrate self administration improves mildly dysphoric mood. The carb craving syndrome is often defined as a disorder of disturbed appetite and mood, irresistible desire to consume sweet or starchy foods in response to negative states (Wurtman 1990). Mood improvement following carb ingestion is thought to occur via a typtophan mediated increase in brain serotonin potentially alleviating a functional deficiency in brain serotonin and thus serving as self-medication (Spring, Wurtman etc) A significant design flaw in many studies has been that the high carb and high protein foods have differed not only in macronutrient content but it in hedonic and sensory value with the carb options perceived as being more hedonically appealing. A final important design flaw has been the failure to standardize the timing of testing in relation to the female menstrual cycle. Menstrually related effects on mood, appetite and food craving are well-documented and represent a potential confound to the study of macronutrient effects on mood. Carb craving appears to be a predictor of poor response to weight loss treatment – need to understand the mechanisms associated with overweight as well as difficulties with weight loss and weight loss maintenance – many people attribute their weight management difficulties to carb craving, carb craving has been associated with weight increase (spring.. ), there is an epidemic of overweight and obesity in the US. Carbohydrate cravers chose to self administer carb significantly more often than the taste caloric matched protein rich balanced nutrient alternative- according to Corsica, Spring study. The effect of the mood manipulation was analyzed via repeated ANOVA with POMS dysphoria score as the deoebdebt variable and time.. Dysphoria at manipulation check was significantly associated with increased carb craving across all testing days. We tested whether individuals who self-describe as carb cravers and met rig criteria for carb craving would demonstrate carb preference and mood enhance in a double-blind.. trial. Our results demonstrate that in a highly controlled environment, the carb craver appears to successfully and saliently self-medicate mildly dysphoric mood via carb ingestion. Study included participants who were depressed or binge eaters because we believe that this enhances the generalizability of these findings to the population of carb cravers, although this may also introduce additional variability and a potential confound. Post hoc analyses showed that binge eaters didn’t not contribute mood, choice, hunger or palatability data that was significantly different than the other participants. CONCLUSION –disturbed mood and eating patters have consistently been observed among individuals labeled â€Å"carb cravers† The self- administration of carb may be reinforced in car cravers by reduction of unpleasant mood states or possibly by perception of palatability, a pattern that with repetition may result in overweight and obesity. These findings suggest a need to assist carb cravers in identify alternative ways of alleviating dysphoric mood or discomfort other than high caloric carb intake. Chose low calorie carb rich snack foods, increase physical activity or employ cognitive behavioral techniques to reduce dysphoric mood (Spring et al. 1997) Carb craving has been viewed from a biological perspective, it has been suggested that cravings are an expression of an energy or specific nutrient requirement, or that addiction is explained by the presence of a naturally occurring psychoactive compound in the food. Study explains an overview of appetite control and dietary restraint as background to an integrated â€Å"biopsychosocial† perspective on food craving and addiction (chocoholism) Individuals vary in their vulnerability to addiction due to factors such as socioeconomic circumstances and inherited traits – evidence og genetic predisposition to alcoholism and substances vary in their addictive potential according to their capacity to produce positive psychoactive effects and neuroadaptive changes that occur with continued substance use. Why chocolate and other foods might have a relatively high addictive potential. Psychoactive constituents of chocolate- Food craving and self-reported food addiction and cognitive influences of eating. Ambivalence about certain foods that leads to attempts to resist eating them and the heed to provide explanation of why this is difficult and sometimes fails. This does not mean that we regard biological effects of eating are unimportant but merely these form only part of the determinants of human eating behavior and the experiences accompanying eating. Chocolate â€Å"Nice but Naughty† – considered unhealthy food, lacking in nutritional value and stigmatized with overeating and obesity. Attribution – Call me chocoholic, or I am addicted etc.. makes it ok to eat it. Moreishness – â€Å"Causing a desire for more†. There is also a wide overlap of the brain mechanisms underlying the rewarding effects of food and drugs and foods are, like drugs of abuse, strong reinforcers. It may reasonable to label the compulsive eating seen in bulimia and binge eating disorder to addiction, however vast majority should not be viewed that way. Crucially eating does not appear to produce powerful neuroadaptive effects, including associated withdrawal effects, which are central to drug addiction. Self report food craving and â€Å"addiction† gives a prominent role to the psychological processes of ambivalence and attribution, operating together with normal mechanisms of appetite control, the hedonic affects of certain foods and socially and culturally determined perceptions of the appropriate intakes and uses of those foods. – Rogers and SMIT article Megan Brooks article – According to researchers several nutrient factors that could be linked to mood, such as increased caffeine, fat, carb and energy intake, bore no significant correlation with mood symptoms, suggesting relative specificity of chocolate finding. Gordon Parker, MD, PhD, of the School of Psychiatry, University of New South Wales, Australia †¦these personality styles that underpin chocolate cravings reflect â€Å"neuroticism or what we would call emotional dysregulation† Study by Parker, Parer and Brotchie on Mood effects of chocolate suggest that chocolate can provide its own hedonistic reward by satisfying cravings but when consumed as a comfort eating or emotional eating strategy is more likely to be associated with prolongation rather than cessation of a dysphoric mood. Eg – Chocolate has the capacity to lift spirits to create highs and make people feel good. In an earlier review of atypical depression and its constituent feature of hyperphagia (Parker et al) we noted the capacity of carb, including chocolate, to have a comforting effect to also promote ‘feel good’ sensations through the release of multiple gut and brain peptides. Others have argued that carb craving in atypical depression and in seasonal affective disorder is a form of self medication and in having an impact on brain neurotransmitters have antidepressant effects. Orosensory properties of chocolate and the pleasure principle – morishness – once you start you cant stop. Palatability is determined by innate responses such as inborn taste preferences for sweets, fat and salt but a dislike for bitter tastes, and by learning. Post ingestive effects increase gradually with the amount eaten and eating stops when they outweigh the orosensory effects. Craving is experienced during abstinence but ‘moreishness’ is experienced while eating. Heightened responsiveness to increased palatability is often cited as a major factor in the development of obesity and even rats on a highly palatable high-fat or ‘supermarket’ diet will overeat to the point of obesity. Chocolate provides preferred tastes and texture they have innate appeal and the combinations increase the hedonic rating challenging the satiety ceiling that might otherwise apply. Orosensory properties of chocolate outweigh more simple explanations of its role in appetite and satiety. If the appeal is the unique sensory combination of chocolate then chocolate is the only way to satisfy that craving (Michener and Rozin) Another view regards craving for chocolate and carb as a homeostatic response to dietary deficiencies. Emotional eaing – Lyman (1982) has observed that food preference is altered across a range of mood states with preference for ‘junk food’ increased during negative mood states and preference for healthy foods during increasing during positive mood states. A review by Ganley indicated that stress associated eating is more common in those overweight or obese but that mixed results in the research means that direction of association is unclear. Natural tendency during stress is decreased food intake reflecting activation of the sympathetic nervous system (Schachter et al) whereby blood is diverted from the digestive system and other systems not required for defense. Evidence- Meisel et al showed a marked increase in body weight in female Syrian hamsters when socially stressed by being caged, finding greatly enlarged adrenal glands. Morely et al. showed increase in sucrose ingestion in response to stress. Although eating when stressed is inconsistent with the intrinsic physiological stress reponse, t occurs in real life and is supported empirically with stress thought to disrupt restraint and post-ingestional satiety feedback. Finally a review by Reid and Hammersley examining all studies on human subjects since 1983 dealing with the effects of carbs on arousal found half the studies reported some effect on alertness after consumption of a carb snack with individuals feeling relaxed or sleepy, but no specific effect on mood. In summary, it appears that emotional eating fails to produce any real or lasting benefit to psychological and mood states and that increased or repeated emotional eating may actually contribute to mood dysphoria. Chocolate craving is driven by a desire for hedonic reward and dopamine (responsible for reward) is the predominant neurotransmitter released after eating chocolate for the purpose of a pleasurable sensory experience. In contrast emotional eating is characterized by carb craving and is motivated by desire for the comforting effect of opioids (endorphins) to alleviate dysphoria and other negative states. Evidence that infusing antagonist naloxone reduced caloric intake in binge eaters, as well as the taste preference for sweet high-fat foods such as biscuits and chocolate in both binge eaters and in controls. Benton (2002) reported that poor mood stimulates eating of palatable high carb food leading to endorphin release. No chocolate substitute when crave chocolate (Rozin) but when crave carb hen any sweet fat food was consumed. Chocolate produces unique effect

Monday, December 2, 2019

jack the ripper Research Paper Example

jack the ripper Paper It all started in the East End of London in 1888, from Augest 7 till November 10. All killings occured within one mile area and involved the districts of Whitechapel, Spitalfields, Aldgate, and the city of London proper.The man I am refering to is no other then the natorious Jack the Ripper, the Whitechapel, or the Leather Apron. Jack the Ripper is signifacant and popular, not just because he was a serial killer, but because he was thefirst to appear in a large metropolis at the time when the general puplic had become literate and the press was a force for social change.The Ripper apperaedwhen there was a tremendous political turmoil and both leberals and social reformers, also the Irish Home rule partisans tried to use the crimes for their own ends. Its hard to beleive that this has only happened twelve years ago.Everyday there would be an editorial or a chronicle in the newspaper about the activities of the Ripper or the police.Many of you remember this and reading about the Ripper and know what I am talking about.The press was a big part of the whole case because we informed the public of the killings and it seeemed that this was all new to everyone only because it was the most publisized case.This type of thing has happened before, but no one knew about it and now you know the real world.The press had created the boogey man and many The Ripper was thought to know a great deal about anatomy because the bodys were slashed at the throat and the way the bodys were mutelated suggest that.The victims all prostitutes all slashed at eh throat and mutilated.The bodys were found out in the open were everyone could see them.Many officers and junior officers beleive there are anywhere from five to nine murders by the Ripper. 1)Mary Ann Nichols, murdered Friday, Augest 31, 1888.

Wednesday, November 27, 2019

Free Essays on Revelation

â€Å"Revelations† by Flannery O’Conner is the story of Ruby Turpin’s journey towards the revelation depicting the reality she had not come to grips with. The main character, Mrs. Turpin, doesn’t think twice before judging people, yet, when she herself is judged she is astounded and stunned. â€Å"I haven’t done anything to you. [Girl who judged Turpin].† (396), Mrs. Turpin thinks to herself, without realizing that she too judges before the victims get a chance to prove themselves. Then, when the hired help tells her that nothing bad has happened, you just had a little fall, it almost satires the fact that Turpin thought she had taken a fall comparative to an over exaggerated plummet towards death. The comment’s suggestive language, implies that the incident was not a â€Å"bad† thing but a vital revelation. The character Turpin’s life is run solely by her own ego. In fact, her hobby is to classify others according to her standards of acceptability; placing them in her foreseen categories. Turpin clings to her good works and her social class as a insignia of her merit; separating herself as a dignified being from blacks, poor white trash, freaks, and lunatics. When the tables turn, and Mrs. Turpin becomes the subject of judgment, she is thrown from her perch of judgment, and placed in a vulnerable position. The fat girl with acne, that had been idly sitting beside Mrs. Turpin in the doctor’s waiting room, seemed to have had enough of Mrs. Turpin’s attitude. She violently threw her book at Mrs. Turpin, and then attempts to strangle the life out of her as well. Then the girl looked directly into the eyes of Mrs. Turpin and said, â€Å"Go back to hell where you came from, you old wart hog†(402). Mrs. Turpin is horrified by this comment, and can’t seem to get it off her mind. She feels as if the comment was a blow to her very being; turning her life completely upside down. When she tells her awful story to the black hire... Free Essays on Revelation Free Essays on Revelation â€Å"Revelations† by Flannery O’Conner is the story of Ruby Turpin’s journey towards the revelation depicting the reality she had not come to grips with. The main character, Mrs. Turpin, doesn’t think twice before judging people, yet, when she herself is judged she is astounded and stunned. â€Å"I haven’t done anything to you. [Girl who judged Turpin].† (396), Mrs. Turpin thinks to herself, without realizing that she too judges before the victims get a chance to prove themselves. Then, when the hired help tells her that nothing bad has happened, you just had a little fall, it almost satires the fact that Turpin thought she had taken a fall comparative to an over exaggerated plummet towards death. The comment’s suggestive language, implies that the incident was not a â€Å"bad† thing but a vital revelation. The character Turpin’s life is run solely by her own ego. In fact, her hobby is to classify others according to her standards of acceptability; placing them in her foreseen categories. Turpin clings to her good works and her social class as a insignia of her merit; separating herself as a dignified being from blacks, poor white trash, freaks, and lunatics. When the tables turn, and Mrs. Turpin becomes the subject of judgment, she is thrown from her perch of judgment, and placed in a vulnerable position. The fat girl with acne, that had been idly sitting beside Mrs. Turpin in the doctor’s waiting room, seemed to have had enough of Mrs. Turpin’s attitude. She violently threw her book at Mrs. Turpin, and then attempts to strangle the life out of her as well. Then the girl looked directly into the eyes of Mrs. Turpin and said, â€Å"Go back to hell where you came from, you old wart hog†(402). Mrs. Turpin is horrified by this comment, and can’t seem to get it off her mind. She feels as if the comment was a blow to her very being; turning her life completely upside down. When she tells her awful story to the black hire...

Saturday, November 23, 2019

cantos V essays

cantos V essays The portion of Canto V that I focused on revolves around two different stories that share similarities. The first story focuses on a man and his wife. The second is about two brothers. The first story begins with a man, Poicebot, who becomes lustful and leaves his wife in search of other women. While Poicebot is gone a knight from England seduces his wife. The knight leaves her after eight months and she too decides to leave her house. Poicebot, coming from Spain and still searching for other women goes into a brothel. The first woman presented to him was his wife. The second story is about two brothers. In the book it starts with the line And Pieire won the singing, Pieire de Maensac, This is describing what happened with Pieire de Maensac and his brother Austors de Maensac. Both men were troubadours. They tossed a coin to see who would get the castle and who would continue being a troubadour. Austors got the castle, therefore Pieire was still a troubadour. Pieire fell in love with Tyndarida, the wife of a man named Bernart de Tierci. Tyndarida left de Tierci and stayed with Pieire. Ezra Pound is juxtaposing the two stories. Hes trying to display the opposing attitudes of Poicebot and Pieire towards things like sex and property. Poicebot, whose only concern is his property and sex, ends up losing his wife and his property. In contrast to Poicebot is Pieire. Pieire is a troubadour that is careless of property and in the end keeps the woman that he loves. ...

Thursday, November 21, 2019

Should Art Galleries or Museums or Heritage Sites Avoid Controversy or Essay

Should Art Galleries or Museums or Heritage Sites Avoid Controversy or Not - Essay Example Museums should steer clear of controversies. Controversies contribute to unnecessarily unfavorable images of the museum. The museums display artifacts representing different civilizations and cultures. Some quarters criticise the items displayed in the museum’s shelves. Controversies may unexpectedly appear. Individuals have different interpretations of the works of art. For a priest, nude painting is not an acceptable art alternative. The nude painting creates a vivid picture that the artist used a naked female model to finish the artwork. Museums should avoid controversies. Controversies trigger an unfavorable museum image. The word controversy equates to conflict. A conflict occurs when different sides have opposing views. Conflicts may lead to court cases. In other situations, a conflict creates animosity between the disagreeing parties. The news reports of controversies will not be good on the image of the affected museums. The above Rosetta Stone artifact is one example of a museum controversy. The controversy creates an unfavorable image that Our British Museum stole the Egyptian artifacts. In the controversy between the British Museum and Egypt, Egypt demands that the British Museum should return the Egypt artifacts. Egypt claims that Egypt is the owner of the artifacts displayed in the British Museum. This claim creates an impression on the public that the British Museum holds stolen property. Consequently, Egypt bombards the news outlets with statements that damage the reputation of the British Museum.   Further, the controversy states Egypt wants the Rosetta Stone returned to Egypt. However, our British Museum refuses to comply with Egypt’s demand. Similarly, Egypt insists that the Neues Museum should return Nefertiti’s Bust. The Neues Museum is located in Berlin, Germany.  

Wednesday, November 20, 2019

Applied Workplace Practice Personal Statement Example | Topics and Well Written Essays - 2500 words

Applied Workplace Practice - Personal Statement Example The second part, on the other hand, will be dedicated to my three-week journal. In this light, each weekly journal shall narrate the critical happenings I have encountered and how my team and I were able to come up with sound solutions to solve them. Emphasis will also be placed on the essential insights I have gathered in relation to business management and people empowerment. Jim’s Cleaning is dedicated to â€Å"providing its Franchisees with the safest workplace practicable, taking into consideration state legislative requirements, information from current Australian Standards and industry best practice† (Jim’s Cleaning Group, 2012, p. 1). Safety, therefore, becomes the core value of Jim’s business operations. In this regard, the company has concretized this vision by developing strict guidelines on safety, as embodied in its health and safety policy that outlines safe work methods and procedures to protect not just the lives of the client being serviced, but more importantly of the employees working. It is in this mindset that the company also recognizes the need to ensure that its operations do not place the community at risk of injury, illness, or property damage, in order to also ensure the preservation of the surrounding environment (Jim’s Cleaning Group, 2012). Jim’s Cleaning believes that the realization of these goals rely heavily on the concerted efforts of its franchisors, franchisees, and employees. Thus, constant communication and coordination is being strictly implemented throughout the company. It is through this emphasis on the proper alignment and enforcement of operational health and safety (OHS) that the company was able to develop its standard procedures and processes. For one, Jim’s Cleaning ensures to render proper induction and training to its newcomers for them to understand their

Sunday, November 17, 2019

Famous Psychologist Essay Example for Free

Famous Psychologist Essay Throughout psychologys relatively brief history, there have been many famous psychologists who have left their mark both on psychology and on the world at large. While some of these individuals do not necessarily fit todays definition of a psychologist, a term which indicates a doctoral-level degree in psychology, their influence on psychology is without question. Learn more about psychologists by browsing through this list of some of the most famous thinkers in psychology history. Alfred Adler Public Domain Alfred Adler is known as one of the most influential thinkers in psychology. While he was initially a member of the Vienna Psychoanalytic Society, Adler eventually departed from Freuds theories and developed his own perspective, which he called Individual Psychology. He had a strong influence on a number of other eminent psychologists, including Carl Rogers, Abraham Maslow and Karen Horney. Mary Ainsworth Mary Ainsworth was a psychologist best known for her research on attachment theory and the development of the strange situation assessment. Her work played an important role in our understanding of child development and has influenced other fields including education. Gordon Allport Gordon Allport was a psychologist perhaps best-known as one of the founding figures of personality psychology. He also developed a trait theory of personality that described three broad categories of personality traits. Solomon Asch Solomon Asch was a pioneering social psychologist. His famous conformity experiments demonstrated that people will claim that something is correct when it obviously is not due to social pressure from peers. Asch also had an important influence on psychologist Stanley Milgram, whose own obedience experiments were inspired by Aschs work. Albert Bandura Albert Bandura is a psychologist known for his famous Bobo doll experiment as well as his concepts of self-efficacy and social learning. Bandura’s work is considered part of the cognitive revolution in psychology that began in the late 1960s. His theories have had tremendous impact on personality psychology, cognitive psychology, education, and therapy. Alfred Binet Public Domain Alfred Binet was a French psychologist famous for his development of the first widely used intelligence test. He is often described as one of the most influential thinkers in psychology history and his original test still serves as the basis for modern measures of intelligence. Mary Whiton Calkins Mary Whiton Calkins was the first female president of the American Psychological Association. She studied at Harvard with famous teachers including William James and Hugo Munsterberg. Despite completing all of the requirements for a doctorate degree in psychology, Harvard refused to grant her degree simply because she was a woman. James McKeen Cattell Image courtesy Library of Congress James McKeen Cattell was the first U.S. psychology professor. He is an important figure in psychology thanks to his work in intelligence, his use of quantitative methods and his focus on establishing psychology as a legitimate science. Raymond Cattell Image from Wikimedia Commons Raymond Cattell was a pioneering thinker who is perhaps best known for his use of multivariate analysis and his 16-factor personality model. Mamie Phipps Clark Mamie Phipps Clark was a pioneering psychologist known for her important research on child development and self-concept among minorities. As the first black woman to graduate from Columbia University, she faced discrimination because of her race and her gender. Her research with her husband, Kenneth Clark, played a major role in the Supreme Courts decision in the pivotal Brown vs. Board of Education case. Mihaly Csikszentmihalyi Hes an important contemporary psychologist, but one of your first questions is probably How do you pronounce his name? (Its me-HIGH chick-sent-me-HIGH-ee, by the way.) Learn more about his work and contributions to modern psychology in this brief biography. John Dewey Image courtesy Wikimedia Commons John Dewey was an American psychologist, philosopher, writer and educational theorist. His work had a vital influence on psychology, education and philosophy and he is often considered one of the greatest thinkers of the 20th-century. His emphasis on progressive education has contributed greatly to the use of experimentation rather than an authoritarian approach to knowledge. Erik Erikson Public Domain Erik Eriksons well-known stage theory of psychosocial development helped generate interest and inspire research on human development through the lifespan. An ego psychologist who studied with Anna Freud, Erikson expanded psychoanalytic theory by exploring development throughout the full lifespan, including events of childhood, adulthood and old age. Hans Eysenck Image from the Wikimedia Commons / Sirswindon at en.wikipedia Hans Eyesenck was a very prolific psychologist, publishing more than 75 books and 1600 journal articles. Prior to his death in 1997, he was the living psychologist most frequently cited in scientific books and journal articles. He was also a very controversial figure, and his outspoken views of subjects ranging from psychotherapy to intelligence made him the subject of criticism. Leon Festinger Leon Festinger was an influential social psychologist who is well-known for his theory of cognitive dissonance as well as his social comparison theory. Anna Freud Anna Freud began her career influenced by the theories of her father, Sigmund Freud. Far from living in her fathers shadow, Anna made important contributions of her own to psychology. She founded child psychoanalysis and summarized the egos defense mechanisms in her book The Ego and the Mechanisms of Defense (1936). Sigmund Freud Public Domain Sigmund Freud may be one of the best known figures in history, but he is also one of the most controversial. He was the founder of the school of thought known as psychoanalysis. The legacy of his life and work provokes both impassioned acclaim from his supporters and disdain from his detractors. While some view him as a cultural icon and others see him as a pseudo-scientific charlatan, there is no question that Freud left an indelible mark on psychology as well as other disciplines. Erich Fromm Liss Goldring / Erich Fromm Estate Erich Fromm was a neo-Freudian psychoanalyst who had a major influence on humanistic psychology. Today Fromm is remembered for his concept of freedom as a fundamental component of human nature.

Friday, November 15, 2019

The Awakening :: essays research papers fc

Suicide in The Awakening 	What is suicide? "(Suicide is) the act of self-destruction by a person sound in mind and capable of measuring his (or her) moral responsibility" (Webster 1705). "No one really knows why human beings commit suicide. Indeed, the very person who takes his (or her) own life may be least aware at the moment of decision of the essence of his (or her) reasons and emotions for doing so. At the outset, it can be said that a dozen individuals can kill themselves and "do" (or commit) 12 psychologically different deeds" (Encyclopaedia Britannica, 385). Suicide is written about in a variety of novels, short stories, and movies. Suicide moves like an undercurrent in the sea of themes of The Awakening. The possibility of suicide and even the idea of death darkens the story, making Edna's emotional ups and downs dangerous - her occasional misery leads her to subconsciously think of suicide. She holds the hopelessness at bay by moving out and getting her own apartment, while trying to find a man who will accept her, but in the end she succumbs. 	Edna's closest physical brush with death occurs one night at the beach, when the summer residents decide to take a midnight swim. Despite having had a hard time learning to swim, she realizes her ability and swims farther out than she ever had before. She overestimates her power and almost doesn't make it back. She has a "quick vision of death". The experience scares her, but she has tested her limits and survived the sea for a while. Metaphorically, she has come close to death but resisted it. 	Falling asleep can be associated with the idea of death as well. Whenever Edna falls asleep, it is noted in the story; across the bay at church and the first night once her husband has left are examples. Each time there is a suggestion of drifting off to sleep and never waking up. When she is across the bay, once she wakes up, she likens her nap to a hundred years' sleep. However, each time Edna does awaken; it is only at the very end when she finally drifts away. She could have chosen sleeping pills as her method of death, but she returns to the beach because of its memories of the summer, and the men in her life. Her near-death experience in the summer left an impression on her that influences her choice of escape from life.

Tuesday, November 12, 2019

Change Speech -Kite Runner, Poem, Article Essay

One can perceive change within themselves in various ways and through various mediums. Today I stand before you, ladies and gentleman to discuss with you three significant Changing Self texts I believe, strongly connect in their own ways with the Representations of Changing Self expo. Change can be an immediate process or it can be a series of events over a prolonged period of time like it is in Hosseini’s novel The Kite Runner, published in 2003. However, using different texts The Kite Runner and perhaps a poem, like The Door, by Miroslar Holub for example, can represent change of self not only in a different format, but also connecting ideas that change can be triggered by a certain event or experience in history which can leave a lasting impact on the present and future. At times we need to be coached or pushed into change, however in other instances we are called to embrace the opportunity as it arises. Sometimes we come across change unknowingly, by innocence or fear of circumstances as of a true story of an Indian boy named Saroo who unknowingly was driven through the process of change. Changing Self can be a very difficult process to acknowledge and to accept. This idea is significant in The Kite Runner; a ‘deeply moving’ novel demonstrates how a horrific experience of one unforeseen event can change the present and future of a young life. Amir slowly develops realisation with age that another change is required to bring about a new beginning or ‘a way to be good again’, as Rahim Khan said presented as a ‘one time’ opportunity . As discussed in the beginning of the novel we are revealed with a component of the past which reflects the choice of future Amir is faced with. The result of Amir’s dreadful experience of watching his servant friend, or not-so-much friend, Hassan being raped and the fact that he didn’t do anything about it, or step in and fight Asef before any commotion began fills Amir with unsound guilt and remorse which he proved unable to hide away from, ‘it was my past of untatoned sins† as quoted. This guilt is too powerful for him to acknowledge, so much so that he takes the course of trying to change the way things ran around his home, by getting rid of Hassan from his life. Amir runs away, metaphorically and literally from the environment and surrounds in hope to seek a better mind and reality. Using the literal ‘running’ from Afghanistan to America to seek safety, he does this metaphorically as he tries to run away from the guilt he cannot let go of. The symbolic use of the cleft lip is a significant detail in the novel used to classify that a person can be identified through specific events and choices, positive or negative. By this whereas Hassan had a cleft lip as a child, this same scenario is changed around as Amir embraces the opportunity to ‘become good again’ and save Sohrab, Hassan’s son, and Amir’s own nephew, from Asef. Amir changes his old cowardice to courage, stepping fourth to fight a losing battle with Asef, a noted, ‘cathartic’ experience, relieving himself from pain, with pain from the blows of Asef, leaving Amir with a cleft lip also. Only to be saved by Sohrab with the repeated symbolic use of the slingshot, this was also used to save Amir from Asef by Hassan years before. Amir feels as though he has positively changed for the better by embracing opportunity and new attribute of courage, filling in the gaps of his stained past. Changing self may be presented as a door of opportunity or experience we may be called to open. The Door, an influential, yet daring poem by Miroslar Holub emphasises in an imperative tone of urgency and pushiness that any change is better than no change at all. Therefore, one must embrace any change as the opportunity presents itself. The symbol of the door is an indicator of opportunities, and the need for them to be open, just as Rahim Khan was a door of opportunity for Amir to open and experience the ‘drought’ or movement of change willing to take place, good or bad. The words, ‘if there is a fog, it will clear’ demonstrates how this presented opportunity for Amir to relieve his life of guilt with be finally removed with action of ‘opening the door.’ The repetition of ‘go and open the door’ is not only encouraging but coaching and emphasising that if all doors are opened and even if so many are negative, there will still be a positive movement because the door was opened and ‘at least there will be a draught,’ or rather, at least you will have tried to do something about an awful event or experience with an unseen future and not remain in the same position, dealing with the guilt and regret, which cannot escape. As long as the door remains shut, the air will remain stuffy and uncomfortable to breathe in, so coming fourth and opening the door will let fresh air and new opportunities to evolve. The writer explains the positives of change which is used to entice or urge the reader to want to experience a new change of air. Changing circumstances in one’s life can erratically change and impact one’s life within a series of events contained by a short span of time. This concept is represented in the deeply touching true story of an Indian boy, named Saroo which was published in the Sydney Morning Herald back in March this year. Throughout 25 years, young Saroo went through an array of unforseen events which lead him away from lifelong poverty and his mother to where he is today, amongst the rich living in Australia. Just as the Herald Sun writes, ‘Australia’s very own, slum dog millionaire!’ Why was this so? Many say it occurred because of fate. When Saroo, whom at the time was only five years old- awoke alone and very frightened at one of India’s very many train stations very late in the evening after he had fallen asleep waiting for h is brother to return. At this part of Saroo’s life, he had very little and was uneducated. Was it fear or was it God or a mixture of the both who persuaded young Saroo to pursue looking for his brother in the closest train simply because, ‘he might be in there.’ This simple child’s thought shunted and altered his life away from anything he ever knew†¦ one unforseen event, encouraged by fear, taking the opportunity to open the doors which lead to a train, almost leaving to go to Australia. The Sydney Morning Herald describes this event as ‘the night his young life’s course was altered forever.’ This change of self is represented by the innocence of a young boy. This concept is characterised by Saroo explaining how the reality of trying to get home became a dead end, just like, all the trains he road, to try and reach home, only to meet with another dead end. Various aspects of Saroo’s life were in fact ‘dead ends’ but when it came to his life depending on it, just as Amir depended on the opportunity from Rahim Khan, as unforseen at the time as it was both boys embraced their opportunities to find something, whether a brother or second chance. They opened the door. Saroo’s door opened eventually to a family from Australia whom adopted him, suddenly and strangely out of his life course, he landed himself in Hobart. In conclusion, we can gather that changing self can be a difficult process, yet also an unforseen process which may take place over a series of events. These three researched texts have shown connecting and similar views that we must make use of experience and opportunity of change as it arises. Through these views, we are challenged that ultimately it is up to ourselves via thoughts or actions or a mixture of both to decide the course of change we are willing to take. In the Kite Runner, it is up to Amir to choose to put himself in danger to make up for his guilty past, The Door commands us to take opportunities, and yet in the Sydney Morning Herald’s feature Story illustrates that with physical experience change is forever impacting. Each of these demonstrates in their own way how change can somewhat be forced upon a person and ultimately deliver them into a new direction.

Sunday, November 10, 2019

Comparison of Healthcare Policies between France and the US

Introduction This essay aims to critically discuss social policies on healthcare between France and the US. Similarities and differences on the social policies of these two countries will be discussed. The first part of this essay aims to explore how public funding for healthcare services in both countries address health inequalities. A critical discussion on healthcare services available in both countries and the extent to which universal access to healthcare services is practiced shall also be made. The second part presents the challenges that both countries face in addressing healthcare issues. Healthcare policies that address these issues will also be critically appraised. The third part provides an analysis on whether France and USA are ‘converging’ or following ‘path dependence’ on their healthcare policies. A brief conclusion summarising key points raised in this essay will be presented in the end. Healthcare Services and Public Spending for Healthcare The healthcare system in France is described as a mix of private and public insurers and providers (Cases, 2006). This means that almost the whole population is covered by public insurance, which in turn are funded by employers and employees. In addition to public health insurance, a minority also purchases private insurance to complement existing public health insurances. Private providers support outpatient care while public providers provide inpatient care in hospital settings (Cases, 2006). France enjoys relatively good health compared to the US. The Organisation for Co-operation and Development (OECD, 2013) Health Statistics in 2013 reveals that life expectancy in France is high at 82.2 and is currently ranked third amongst OECD countries. In contrast, life expectancy in the US is amongst the lowest at 78.7 (OECD, 2013). The difference in life expectancy in both countries is a cause of concern since the US has one of the most expensive healthcare systems in the OECD and yet fares worse in health outcomes, including life expectancy(Baldock, 2011). The OECD (2013) notes that compared to France and other large OECD countries, the US spends twice as much per individual on healthcare. Interestingly, public health expenditure for health is highest in the US compared to all OECD countries. However, it does not practice universal healthcare coverage with the public supporting only 32% of the total healthcare cost (OECD, 2011). Individuals eligible for Medicaid include the elderly, families with small children and those with disabilities (Rosenbaum, 2011). Approximately 53% of the US population is covered through the Patient Protection and Affordable Act or Obamacare (Rosenbaum, 2011). Under this Act, employers are required to purchase health insurances for their employees. Only a small portion of businesses pays for full coverage with majority requiring their employees to share in the cost of their health insurances (Rosenbaum, 2011). The OECD (2009a) states that 46 million people in the US are left without public or private health insurance. This could place a significant burden to the US healthcare system that is struggling in providing equitable access to healthcare services in the country. The World Health Organization (2014) explains that equitable access is achieved when individuals, regardless of their socioeconomic status, enjoy the same type and quality of healthcare. This is not achieved in the US where statistics (OECD, 2009a) continues to show that high-income groups enjoy better health and appropriately covered by healthcare insurances while those in the lower socioeconomic status continue to have poorer health status. This disparity in health status and healthcare insurance coverage continues to be a challenge in the US. Public spending per capita in the US continues to be the highest in the OECD countries even with the increased participation of the private sector in financing healthcare in the country (OECD, 2013). In recent years, the OECD (2013) observes that public spending across OECD countries continue to decline. On average, healthcare spending of these countries only grew by 0.2% in the last 4 years. While there is a variation on the decrease of public spending, the major reason for the slowdown is due to drastic cuts in health expenditures. In France, the Statutory Health Insurance (SHI) currently covers almost all residents. Until 2000, SHI covered 100% of all residents (Franc and Polton, 2006). Today, almost all of the residents are still covered under SHI. However, a few have purchased private health insurances to complement SHI. Public spending for healthcare is 77.9% while France spends 11.9% of its GDP in healthcare (OECD, 2011). This is in contrast with the US where public spending for healthcare accounts to only 47.7% but spends 17.9% of its GDP on healthcare (OECD, 2011). Interestingly, SHI covers both legal and illegal residents in France. This is opposite in the US where illegal residents are not covered by publicly funded healthcare insurance. There are approximately 21 million immigrants in the US with most having an illegal resident status (Moody, 2011). Health coverage remains to be a concern for this group since they work on jobs that pay very low wages and with no healthcare coverage. Hence, this group is three times more likely to have no healthcare coverage (Stanton, 2006). Currently, this group comprises 20% of the total uninsured population in the US (Moo dy, 2011). The lack of universal coverage in the US suggests that healthcare policies in the US may not be inclusive as opposed to France where almost all residents have private or public health insurance coverage. Rosenbaum (2011) explains that the Patient Protection and Affordable Act or Obamacare is expected to boost healthcare coverage for legal immigrants who are in low paying jobs. However, only legal immigrants who have been in the US for at least five years could qualify for Medicaid or purchase state-based health insurances. Currently, all states in the US have expanded Medicaid coverage to low-income groups. Specifically, a family of four with a combined annual income of $33,000.00 and an individual with $15,800.00 yearly income are now eligible for Medicaid. This legislation provides health coverage to approximately 57% of the uninsured population in the US (CDC, 2011). For legal immigrants who have not reached five years of stay in the US or are earning more than the Medicaid limit are allowed federal subsidy when purchasing state-based health insurances (CDC, 2011). As opposed to France where illegal immigrants enjoy the same healthcare coverage as legal immigrants and citizens, those in the US on illegal status remain uninsured and could not purchase state-based health insurances (CDC, 2011). Healthcare access for this group is limited to community health centres across the country. It is noteworthy that only 8,500 community health centres are in existence today and yet they cater to at least 22 million people each year (CDC, 2011). Almost half of those who access primary health centres are the uninsured. While hospitals are required by law to provide emergency care for all individuals regardless of their resident status, those who are uninsured do not have health coverage to sustain their long-term healthcare needs (Rosenbaum, 2011). Current healthcare policies in the US might actually promote health inequality since it only provides primary basic healthcare services (CDC, 2011) to the marginalised group, which may include low-income and ethni c groups. In France, The Bismarckian approach to healthcare has been used for several decades but in recent years, there is now an adoption of the Beveridge approach (Chevreul et al., 2010). In the former, health coverage tends to be uniform and concentrated while in the latter, the single public payer model is promoted. In the Bismarckian approach, everyone should be given the same access to healthcare services while the Beveridge model allows for stronger state intervention (Chevreul et al., 2010). This also suggests that tax-based revenues are used to finance healthcare. The mix of both models is necessary to respond to the increasing demands for healthcare in the country and to regulate the increasing cost of healthcare. Chevreul et al. (2010) emphasise that the SHI is now experiencing deficit due to increasing rise of healthcare expenditure in the country. The French parliament, through the Ministry of Health regulates expenditure by enacting laws and regulations. Importantly, France regulates prices of specific medical procedures and drugs (Chevreul and Durand-Zaleski, 2009). This development is crucial since failure to regulate prices could further drive up healthcare costs. However, regulation of prices of medical devices remains to be poor. In a survey (OECD, 2009b), expenditures for medical devices is high and amounts to ˆ19 billion annually. Although it comprises 55% of the pharmaceutical market, increased demand for medical devices have also increased SHI expenditures on these devices (Cases and Le Fur, 2008). It should be noted that only 60% of the medical devices are covered by SHI (Cases and Le Fur, 2008). Regulation of the prices of these medical devices is not as strong as the market for drugs and other major medical equipment. This implies that increasing healthcare costs of medical devices could have an impact on publ ic health spending policies in France. Healthcare Issues and Challenges One of the major issues in both countries is the rising healthcare expenditure. As noted by the OECD (2013), there is a disparity between healthcare expenditure and rising healthcare costs in OECD countries. The average increase in healthcare expenditure only amounts to 0.2% and yet healthcare cost continues to rise. In France, this disparity has promoted the Ministry of Health to increase private insurance of its members to help cover healthcare services not normally covered by the SHI. In the US, the debate on Obamacare and the reluctance of the government to cover illegal residents continue to be a challenge in providing equitable healthcare Meanwhile, high costs of medicines could have an impact on healthcare, especially amongst those who are covered by Medicaid and those who could barely afford state-subsidised healthcare insurances (Moody, 2011). This is in contrast to France where cost containment is in place for medicines. To illustrate the lack of healthcare costs regulations, the US spends more on developing medical technologies, which only benefits a few of the patients. The country is also burdened with high administration and pharmaceutical costs. Doctors in the country are also amongst the highest paid in the OECD countries (Greve, 2013). Moody (2011) argues that cost containment remains to be a problem since lowering down prices of medicines or healthcare costs for beneficiaries of Medicaid would lead to doctors’ reluctance to treat Medicaid patients. The lack of priorities in healthcare spending in the US has resulted in higher spending on certain areas and low spending on others. However, this does not translate to better health outcomes for the whole population. Elderly care is one area where there is high spending but the amount of spending does not necessarily translate to better health outcomes. As noted by Haplin et al. (2010), the elderly are more vulnerable to chronic healthcare conditions, such as dementia, cardiovascular diseases, type 2 diabetes. Hence, healthcare costs for this group are relatively higher compared to other members in a community. In a report published by Stanton (2006), approximately 40% of US healthcare expenditure is devoted to elderly care, but this group only comprises 13% of country’s population. It is projected that in the succeeding years, healthcare cost for this group will continue to rise with the ageing of the US population (Stanton, 2006). The same issue is also seen in France, where increasing healthcare cost for the elderly is also expected in the succeeding years (Franc and Polton, 2006). Both countries also lack coordination of care and gatekeeping for the elderly. Although there is an emphasis on elderly care in both countries, lack of continuity of care often leads to poor quality care, duplication of healthcare, waste and over-prescription (Franc and Polton, 2006; Evans and Docteur and Oxley, 2003; Stoddard, 2003). In France, this issue was first addressed through the creation of provider networks and increasing the gate-keeping roles of the general practitioners (GPs). However, the latter was largely unsuccessfully and finally abolished with the introduction of the 2004 Health Insurance Act (Franc and Polton, 2006). In this new legislation, patients have the freedom to choose their own healthcare providers or primary point of contact. Most of the primary points of contact are GPs. This scheme is successful in F rance due to incentives offered to the patients and GPs. This scheme has been suggested to improve the quality of care received by the patients since there is more coordination of care between GPs and specialists (Naiditch and Dourgnon, 2009). This scheme also drives up the cost of visits to specialists and could have influence healthcare financing policies (De Looper and La Fortune, 2009; Naiditch and Dourgnon, 2009). Another issue common to both countries is the competition between hospitals for patients who can afford private healthcare. Consumer demands for healthcare in the US have increased. Hospitals respond by increasing their services to separate them from their competitors (Moody, 2011). For instance, by-products of this competition results to increasing the size of the patient rooms and providing in-house services such as full kitchens, family lounges and business service. All these have not been related to improved health outcomes of the patients. In France, the differences in healthcare costs between publicly funded hospitals and private for-profit hospitals spark a debate on whether common tariffs are the solution to cost containment (Chevreul et al., 2010). Despite the implementation of common tariffs, there is still a growing difference on the healthcare costs between the private and public sectors. Currently, the reform plan Hospital 2007 (Chevreul et al., 2010) states that the obj ective of introducing a common tariff for public and private hospitals has been withheld until 2018. This shows that healthcare policies respond to current trends in health provision in France. ‘Convergence’ and ‘Path Dependence’ Starke et al. (2008) explain that history and institutional context all play a role in influencing healthcare policies in a welfare state. Healthcare policies that tend to be resistant to change illustrate institutionalist or ‘path dependence.’In the event where changes are needed, those that follow ‘path dependence’ change their policies but do so within the boundaries set in the original healthcare policies. On the other hand, healthcare policies that follow the ‘convergence’ pathway or functionalist perspective tend to integrate best practices and are more responsive to social, political and economic changes. Healthcare policies in France and the US tend to follow the ‘convergence’ pathway. The historical context of France reveals that a unitary presidential democracy was established in 1958 (Cases, 2006). In this system, the central government retains sovereignty and policies implemented in local or regional levels are approved by the central government. Despite the practice of central dirigisme, many regions in France have practiced coordination and decenstralisation. Political parties elected to the French government all have a common goal in financing the healthcare system in France. It practices cost-containment by regulating healthcare costs, reducing healthcare demands and restricting healthcare coverage (Chevreul and Durand-Zaleski, 2009). All these cost-containment policies have generally been met with public discontent. In recent years, the introduction of Supplementary Health Insurance enabled the French government to still deliver quality care at reasonable cost. Further, the introduction of direct payment, although reimbursable, also discourages wasteful consumption of healthcare (Chevreul and Durand-Zaleski, 2009). Although changes in healthcare policies tend to be restrictive more than three decades ago, France is now taking the ‘convergence’ pathway in its healthcare system. This suggests that healthcare policies are more responsive to social and economic changes. France also regards its people as equal but retain their freedom to choose a healthcare provider and hospital. The manner of healthcare financing in France allows service users to choose from competing healthcare professionals. Service users could also access specialists due to little gatekeeping in the country (Naiditch and Dourgnon, 2009). All these changes in the France’s healthcare system reflect ‘convergence’ rather than ‘path dependence’. Convergence in healthcare is also shown in both countries through its policies on increasing personal contributions of service users for healthcare (Mossialos and Thomson, 2004). There is also an increasing reliance on private health insurers to bridge the gap in public healthcare delivery. The increasing public-private mix exemplifies convergence. There is also a trend towards community healthcare and decentralisation of healthcare (Baldock, 2011; Chevreul et al., 2010; Blank and Burau, 2007). This trend relies on community healthcare practitioners to provide care in home or community settings. This has been practiced in other developed countries where patients with chronic conditions receive care in their own homes (Chevreau et al., 2010). This approach is also applied when caring for the elderly. Similar to other Welfare states, the US and France are experiencing population ageing. The proportion of the elderly in both countries is expected to rise in the succeeding years (Chevrea u et al., 2010). As mentioned earlier, this translates to increases in health expenditures and cost for this group. Marked increases in health expenditures for this group would mean further reduction on public spending or cost containment. All these could have an impact on public spending in the future and might increase insurance premiums of individuals. There is also the possibility of raising SHI contributions in France or reducing healthcare coverage of Medicaid in the US. Both strategies could fuel public discontent, increase the gap between the rich and the poor and promote health inequalities (OECD, 2008; Starke et al., 2008; Stanton, 2006). Since the main aim of the policies in both countries is to achieve optimal health for all, the realisation of this aim might be compromised with an ageing society. It is also noteworthy that since public funds are bankrolled by taxes, increasing number of elderly could mean reduction in number of employees who are economically productive. This could also lead to lower tax collections and decreased public funding for healthcare. As shown in both countries, healthcare policies are becoming more responsive to the social and economic changes. This does not only suggest a direction towards ‘convergence’ but suggests that this pathway could be the norm for many OECD countries. Conclusion Healthcare policies in the US and France have been influenced by social and economic changes in recent years. Although both aim to achieve universal coverage, it is only France that has achieved this with almost 100% of its citizens covered with healthcare insurance. The US is struggling to meet the healthcare needs of its citizens with almost 46 million still uninsured. Its Obamacare is still met with criticism for its failure to provide public healthcare coverage for most of its citizens. Only the poor and those unable to afford basic healthcare services are covered under Medicaid. In Obamacare, those with marginal incomes could purchase federal-subsidised healthcare insurances. Both countries are also faced with the challenge of an ageing society. The inequitable allocation of healthcare services to this group also promotes social discontent. Almost half of public expenditure is channeled to the elderly, which only comprises 13% of the whole population. The heightened demand for e lderly care, lowered public expenditure on healthcare and increasing healthcare costs have all influenced healthcare policies in the US and France. Finally, the recent changes in the healthcare policies of this country suggest convergence rather than path dependence suggesting that healthcare policies continue to be influenced by social and economic changes in both countries. It is recommended that future research should be done on how ‘convergence’ helps both countries respond to increasing complexities of healthcare in both countries. References: Baldock, J. (2011). Social policy, social welfare and the welfare state. Oxford: Oxford University Press. Blank, R. & Burau, V. (2007). Comparative health policy. London: Palgrave. Cases, C. (2006). ‘French health system reform: recent implementation and future challenge’. Eurohealth, 12, pp. 10-11. Cases, C. & Le Fur, P. (2008). ‘The pharmaceutical file’, Health Policy Monitort, May [Online]. Available from: http://www.hpm.org/survey/fr/all/2 (Accessed: 27th April, 2014). Center for Disease Control and Prevention (2011). NCHS Data Brief: Community Health Centers: Providers, Patients and Content of Care [Online]. Available from: http://www.cdc.gov/nchs/data/databriefs/db65.htm (Accessed: 27th April, 2014). Chevreul, K., Durand-Zaleski, I., Bahrami, S., Hernandez-Quevedo & Mladovsky, P. (2010). France: Health System Review 2010. France: The European Observatory on Health Systems and Policies, WHO Regional Office for Europe, World Bank, European Commission, UNCAM, London School of Economics and Politic Science, and the London School of Hygiene & Tropical Medicine. Chevreul, K. & Durand-Zaleski, I. (2009). ‘The role of HTA in coverage and pricing in France: toward a new paradigm?’. Euro Observer, 11, pp. 5-6. De Looper, M. & La Fortune, G. (2009). Measuring disparities in health status and in access and use of healthcare in OECD countries. Paris: OECD (Health working paper 43) [Online]. Available from: http://www.oecd-ilibrary.org/social-issuesmigration-health/measuring-disparities-in-health-status-and-in-access-and-use-of-healthcare-in-oecd-countries_225748084267 (Accessed: 27th April, 2014). Docteur, E. & Oxley, H. (2003). Health-care systems: lessons from the reform experience. Paris: OECD (Health working paper 9) [Online]. Available from: http://www.irdes.fr/Publications/Qes/Qez133.pdf (Accessed: 27th April, 2014). Evans, R. & Stoddard, G. (2003). ‘Consuming research, producing policy?’, American Journal of Public Health, 93, pp. 371-379. Franc, C. & Polton, D. (2006). ‘New governance arrangements for French health insurance’. Eurohealth, 12, pp. 27-29. Glyn, A. (2006). Capitalism unleashed. Oxford: Oxford University Press. Greve, B. (2013). Routledge Handbook of the Welfare State. London: Routledge. Halpin, H., Morales-Suarez-Varela, M. & Martin-Moreno, J. (2010). ‘Chronic disease prevention and the new public health’. Public Health Review, 32, pp. 120-154. Moody, K. (2011). Capitalist care: Will the coalition government’s ‘reforms’ move the NHS further toward a US-style healthcare market?’. Capital and Class, 35(3), pp. 415-434. Mossialos, E. & Thomson, S. (2004). Voluntary health insurance in the European Union. Copenhagen, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies [Online]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0006/98448/E84885.pdf (Accessed: 27th April, 2014). Naiditch, M. & Dourgnon, P. (2009). The preferred doctor scheme: a political reading of a French experiment of gate-keeping. Paris: IRDES. OECD (2013). Health at a glance 2013: OECD Indicators, Europe: OECD Publishing [Online]. Available at: http://dx.doi.org/10.1787/health_glance-2013-3n (Accessed: 27th April, 2014). OECD (2011). Human Development Index and its components. Europe: OECD. OECD (2009a). Society at a Glance 2009: OECD Social Indicators. Europe: OECD. OECD (2009b). Health data 2009. Paris: OECD. OECD (2008). Are we growing unequal[Online]. Available at: www.oecd.org (Accessed: 17th April, 2014). Rosenbaum, S. (2011). ‘The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice’. Public Health Reports, 128(1), pp. 130-135. Stanton, M. (2006). The high concentration of U.S. healthcare expenditures: research in action, issues 19. Rockville, MD: Agency for Healthcare Research and Quality. Starke, P., Obginer, H. & Castles, F. (2008). ‘Convergence towards where: in what ways, if any, are welfare states becoming more similar?’. Journal of European Public Policy, 15(7), pp. 975-1000. World Health Organization (WHO) (2014). Health Systems: Equity [Online]. Available at: http://www.who.int/healthsystems/topics/equity/en/ (Accessed: 27th April, 2014).

Friday, November 8, 2019

The Enviromental Impact of the Gulf War essays

The Enviromental Impact of the Gulf War essays Environmental Impacts of the Gulf War Our countries recent endeavor into Iraq has shown that it has learned and will try to control the destruction that has devastated Iraqs natural habitat. In the first Gulf War our world became aware of the true impact that armed conflicts can have on the environment. Even though earlier instances in history surely had an equal or greater negative impact on our environment this was the first that was not obscured by the conflict itself. The first Gulf War was an international disaster to the environment with the extinction of two species and the toxic pollution of natural habitats and wildlife resulting from the 650 oil wells that were left ablaze, 76 that were pouring out crude oil, and another 99 that were damaged. Along with oil pervading the soil of the Iraq inland, the coast was not left undamaged but was stricken with the largest marine oil spills in history with a total of 6-8 million barrels of crude oil that poured into the Arabian Gulf severely polluting 560 kilometers of coastline. Inter tidal ecosystems were completely destroyed and oil slicks covered the shores. Over 30,000 wintering seabirds were killed which included the globally threatened Socotra Cormorant whose numbers continue to dwindle. Before the near-total destruction of the Mesopotamian Marshlands due to the oil spills between 1991 and 2001, the marshlands formed one of the most extensive wetland ecosystems in Eurasia. The Marshlands extended for over 15,000 square kilometers and included freshwater lakes, marshes, and floodplains, now after the war the remains of the marshland is down to 50 square kilometers. The United Nations Environment Program (UNEP) reported that the destruction of the marshlands had a significant negative impact on both wildlife and the human population surrounding the area. . A spokesman from the UNEP stated. With significant implications to global biodiversity from Sib...

Tuesday, November 5, 2019

Learn How To Paraphrase Properly With The Best Online Guide

Learn How To Paraphrase Properly With The Best Online Guide Learning to Paraphrase: A Step-By-Step Guide Paraphrasing is often not taken seriously both by students and teachers, while students think it is the easiest task ever, and teachers, in turn, assume that every student knows well how to do it. There is a good reason for the professors to think so. In our daily speech, each of us paraphrases several times a day, for example, various morning or talk show conversations or phrases, friends, parents, blogs, etc. We all live and communicate. Every day we render something said earlier by one person to another person or party, and we don’t do that word for word. So, paraphrasing is a natural way for all humans to convey information. Thus, if we do it so often, it’s possible to assume everyone knows well how to do it well. However, it’s crucial for students to know how to do it in order to avoid plagiarism. Besides, mastering this skill will allow you citing someone’s ideas without a need of a word for word quotation. When you are able to paraphrase pro perly, you have a chance to make your writing diverse and show how you mastered the material. What Is Paraphrasing? Paraphrasing means to keep the meaning of the original text without copying its exact wording. Massachusetts Institute of Technology defines paraphrasing as taking the words of another source and using your own vocabulary to restate them. A paraphrase is actually swapping the keywords not to parrot the author and render his main idea at the same time. Yes, it may sound really simple, however, there are so many students having troubles with it. The problem is that when paraphrasing, they misinterpret the main idea of the original text. Linguistic scholars define full paraphrase and quasi-paraphrase. According to Bhagat Hovoy, it can cause very subtle but still very essential meaning, implication, and point of view differences. Bhagat Hovoy define paraphrasing as phrases or sentences rendering almost the same meaning through using different words. The Difference Between Paraphrasing and Plagiarism The main difference between paraphrasing and plagiarizing is very simple, correct paraphrasing usually has a source attached or cited. When citing someone else’s source you show that you do not try to produce someone’s work for your own. Ideas are really valuable in academia, so if you try to pass off someone’s idea as your own, it is perceived as stealing. And there is a good reason for that, while some academics spend much time on their studies to come up with those ideas, and stealing them is a serious offense. They might be just phrases or words for you, but those ideas are the result of someone’s hard work. When paraphrasing, you don’t only change the main words but also the sentence structure, and at the same time, you give some new life to the text. According to some experts, if a paraphrase has seven or more words from the original source and it is not acknowledged properly, it is considered to be plagiarism. It is necessary to save the meaning and intent of the original idea as much as possible, but the words and vocabulary, in general, have to be different. It is a sort of following a recipe and at the same time, substituting each ingredient by something else and getting the same dish at the end. And don’t forget to state the original author in the reference. The Difference Between Paraphrasing and Summarizing When summarizing, you can gather all the main ideas of another thinker or author in their core concepts. There is a very small difference between a summarized paragraph and a paraphrased one. A paraphrased paragraph, as a rule, is aimed to give the main idea of what it is referring to. A summarized paragraph is intended to show the main points and ideas of the initial source. Both of them must have citation and references to the original source. It is very possible to make a properly paraphrased summaries and even plagiarized summaries. A summary that is paraphrased properly should restate a written summary via new vocabulary and structure. It also requires correct in-text citation. A plagiarized summary will restate the same original summary’s ideas using many the same keywords. And it is not referred to the original author. How to Paraphrase It requires some skills and practice to paraphrase a point, argument, or idea of another person. The following tips will help you master this skill the soonest. The order of the words and sentence has to be adjusted. Before thinking of new words for your sentence, you should change the whole structure of the sentence. A new sentence should start at a different place than the original one. This way, you will have to make wording changes. For example: The meeting was rescheduled while the deputy had to go to the head office. – The deputy head to go to the head office, so the meeting was rescheduled. So, you just restructure your sentence and can start substituting the words to paraphrase your own sentence. Such restructuring impacts the tone, too, it brings freshness to the original idea. Sometimes paraphrasing allows making the ideas of an academic more understandable and readable, especially if you make the sentence structure easier. When restructuring, you are free to change the length of the sentence. You can make too long sentences shorter, and vice versa, combine few short sentences into a longer one. The writing manner of some academics requires the readers to read the sentence over again in order to understand it, so you can restructure it and make it easier and accessible to your reader. Substitute new words. This step is one of the most crucial to write a proper paraphrase. When using new vocabulary, you show your ability to understand everything that was said by the author and at the same time, choose the synonyms conveying the same meaning. Too complicated and esoteric words can be replaced with easier ones. And vice versa, too generic words can be replaced with those that express the main idea better. If you want to use some set phrases, you can still do it. If you want to refer later to the original turn of the author’s phrase, you can also keep it. If necessary, add the definition of terms. One of the best paraphrasing benefits is the opportunity to improve the original work. If the author didn’t provide any illumination, you can do it. Review the paraphrased sentence and check if you didn’t change the meaning drastically. It is crucial for paraphrasing. Sometimes, it is necessary to simplify the tone of the original expert to show your understanding of the material and ensure that you didn’t just alter the original meaning. Some synonyms may alter the original meaning of the text, so make sure to choose the proper ones. Paraphrase Example Original: â€Å"The world has a great writer in Erich Maria Remarque. He is a craftsman of unquestionably first rank, a man who can bend language to his will. Whether he writes of men or of inanimate nature, his touch is sensitive, firm, and sure.† (The New York Times, 2007). Paraphrased: Erich Maria Remarque is a great writer of the world. He is a first rank mater who is able to make the language obey his will. His touch is always sensitive, confident, and sure, no matter what he writes about. (The New York Times, 2007). How to Cite a Paraphrase MLA Format The MLA format requires to state the name of the author and the number of the page within parenthetical. For example: (Dickens, 25). However, if you mention the name of the author in the paraphrase, you have to use only the page number at the end. For example: According to Dickens, †¦(25). APA Format This format requires you to use the name of the author and the date within a parenthetical. For example: (Dickens, 1843). In case the author is cited within the paraphrase, just state the data at the end. For example: According to Dickens, †¦ (1843). Chicago Format This format requires you to use the footnotes for referring to a citation within the text. It’s necessary to state the full name of the author, the work title, the date of publishing, the year published, and the page numbers. For example: Charles Dickens, A Christmas Carol, (London, 1843), 25. If you refer to the work for the second or more times, then use the abbreviation of the citation For example: Dickens, Christmas, 25. Paraphrasing Tools Fortunately, modern technologies develop fast and make students’ life even easier. Such tools help not only finds variants for their writing but also check it for various spelling and punctuation mistakes. You can also use various plagiarism checking programs to make sure your work is unique. Conclusion Anyone possesses the ability to paraphrase. It will be very helpful for you to master these skills to improve your writing abilities and make them more diverse. With the help of paraphrasing, you don’t seem to be dependent on the expertise research. The more you practice, the easier it will be for you to paraphrase.