The Elements of Multidisciplinary Approach Addressing the Needs of Essay

The Elements of Multidisciplinary Approach Addressing the Needs of Female Offenders - Essay Example Reports revealed that most women offenders are mothers, and females who have experienced some form of abuse, with broken homes, big financial problems or unable to sustain stable jobs, addiction to drugs and alcohol, psychological distress, with low self-esteem, with a history of severe emotional and verbal abuse, and a lot more. There is then a need to continuously educate the public in supporting and even intervening to prevent or at least minimize these increasing problems, especially the juvenile. The school, family, and community are avenues where the government and non-government agencies should focus on. As they say in medicine, prevention is better than cure. It does apply to our community as well that before making the multidisciplinary approach in addressing the needs of female offenders, it is quite proper to first identify and treat the causes. It is harder to come up with solutions when females already became offenders and eventually are in jail. Strip-search and â€Å" squat and cough† are only among the procedures undergone by every female offender before entering their prison cells which could be really humiliating and completely no privacy. Then there’s booking, mugshots, fingerprints, medical screening, shower (with no doors) and changing into a jail uniform. After this, the female offender is taken to her cell where the worst things can happen. Many women are abused while in prison and can be subjected to conditions which not only revictimize them but are below international human rights standards which the United States has endorsed (Belknap). This should be then another concern of the government to re-evaluate available treatment programs in correctional institutions and do some program revisions as needed. It is the responsibility of the criminal justice system starting from the police, prosecutors, defense attorneys, and corrections to come up with a multidisciplinary approach exclusively designed for them. Women, as describe d are far more emotional. Emotions make women whole people; without emotions, women would be machines (Booher 17).  

Multiculturalism in Britain Essay Example | Topics and Well Written Essays - 750 words

Multiculturalism in Britain - Essay Example Any perfect society embraces and cherishes the notion of cultural diversity and it encourages interactions between members of different cultures. In Britain, multiculturalism, when it was developed in the 1970s, had inter-cultural integration as its main objective. The foundation of the policy was based on â€Å"commitment to equal respect and an interpretation of equality as meaning that non-assimilation is acceptable† (Parekh 5). This means that the policy would ensure that communities lived harmoniously in the country without having to loose their identity and cultures. The multiculturalism policy in Britain has resulted in the presence of composite and hybrid identities that are not really common in other European countries. However, some groups in the country have taken advantage of the flexibility of this policy to advance their own personal and mainly selfish agendas. This has seen the rise of extremists groups in the country and a large portion of the population blames multiculturalism for giving extremists a chance to carry out their terrorist activities within the country. This has raised a lot of confusion and caused a lot of tensions with some communities being specifically targeted by others for deportation from the country. Multiculturalism, while its intentions are noble, has its own drawbacks that include freedom and possibility limitations (Slack). It is also seen by many as a means of legitimizing racism, hence the notion that it is divisive (Murray). In the past government efforts to bring national cohesion were compromised by attempts to bring up the question of xenophobia and racism within the populace. It remains to be seen what exactly it is that the coalition government led by Cameron will achieve in terms of putting in place measures to preach peaceful co-existence and acceptance in different communities that are represented in the country (Parekh 23). Cameron’s remarks that multiculturalism policy has failed should have b een accompanied by suggestions on how to make the situation better. The government has been for the last few years been at the forefront in condemning the actions of extremist groups, especially Islamic extremists who are out to cause mayhem and panic among Britons. There have been a number of successful crackdowns on these groups, but there is widespread fear that the entire Islamic community is being targeted. The government can do better to ensure that no one feels threatened by these crackdowns or by the extremists. The Labour Party has its own Prevent Strategy which seeks to prevent violent extremism in Britain. The question is whether such a policy would enhance cohesion or cause even more tension in a country that already has reservations about accepting certain people in its midst. Many Muslims in the country have discredited the Prevent Strategy which they claim is being used as a spying mechanism on them (Modood 97). It is clear that the Prevent strategy would not really w ork at the moment since a lot of communities would feel targeted. What Britain needs is a well planned integration policy that encourages communities to live together without prejudice. 2002 Home Office White Paper stated that â€Å"

International Banking Assignment Example | Topics and Well Written Essays - 1500 words

International Banking - Assignment Example Monetary policy A lower monetary policy increases the bank’s risk taking. When the monetary policy is low, it impacts on the loan industry’s ability to lend and give mortgage. It also impacts on the consumer and the business loan interests. These insufficient considerations to protect the losses that could be incurred through loan defaulters, just served to increase the inappropriate usage by the loan borrowers. This created a need to put into place the measures that reduced the misuse of these funds. Therefore, a well laid down strategy integrating the mode of pay and the borrower’s loan thresh hold and ability to service it had to be established (Jaffee, 2010). This measure was meant to eliminate the motivation that encouraged the borrowers to take higher risks of unplanned for huge sum borrowing. Executive compensation arrangements is an arrangement that enabled the executive to get huge cash amounts of equity based and bonus compensation before the long-term consequences of decisions are realized. This motivated the executive to only pay attention to the short-term outcomes and fail to focus on the long-term adverse effects this had on the shareholders. This therefore called for the implementation of adequate legislation that would minimize the chances of the executive undertaking activities that exposed the banks to higher and excessive levels of risk taking. There has been found to have a need to instill into the banks management a good system of eliminating these risks. Secondly, internal Investment is another strategy that was applied by most of these banks. There was a high tendency of the executives of these banks to invest heavily on the shares of the banks they headed. Consequently, this tendency made them disregard the possibility of falling into the crisis. They only perceived the upward trend of investing more and more to increase their share holding in their companies. According to Calomiris and Mason (2004), it is against t his background, that a need to regulate the executive pay was realized. This move is to ensure that the executives’ financial capacity is strongly linked to the shareholders interest. This being he case, the executive is hindered from possessing the great ability of investing highly into the organization they are heading. This ensures a reduced executive’s ambition, and consequently instills a sense of vigilance and supervision of lending activities by their banks. Bank performance Inflow of foreign currency Banks total assets in millions AGRI BANK 39866.5 47007.4 52264.0 63285.8 66143.3 AMEGY 9351.94 10359.2 11836.1 12354 11089.3 ALLIANCE 9490.5 10601.1 9368.8 8503.5 172313.0 Years 2005 2006 2007 2008 2009 There was an influx of foreign currency from other continents. It is this influx of these foreign currencies that resulted to relaxation of the lending terms by the banks. This served to enable business community to invest in the housing market. Later, the value of the houses greatly declined and consequently there were greater losses incurred by those who had invested in homes. These loses in turn enhanced the high rate of defaults in loan repayments, which in to a large extent minimized the financial stability of the banks. The banks instability affected the overall performance of the economy by slowing

The Character & Flick Webb Essay Example for Free

The Character Flick Webb Essay The poem is built around the character of Flick Webb. He is the one referred to as the ex-basketball player. Flick was once a basketball superstar in his county and a record setter. â€Å"In ’46, He bucketed three hundred ninety points, A county record still. †¦ I saw him rack up thirty eight or forty† (lines 14,15) . The narrator describes how well Flick played basketball that his record of 390 points for a season has not been surpassed. He was like Kobe Bryant who was averaging 31 points per game and at a time scored 52 against the Houston Rockets. (Kobe Bryant Bio 2007) Almost a decade after the glorious high school days, Flick was not able to continue his career as a basketball player. Instead he became a gasman at Berth’s Garage. â€Å"He never learned a trade, he just sells gas, Checks oil, and changes flats. † (lines 19,20) Although Updike did not make any judgment of Flick’s career as a gasman, whether his situation is good or bad, there were suggestions in the last three stanzas that Flick and the people in the community are not happy with what he has become. â€Å"Off work, he hangs around Mae’s Luncheonette. Grease-gray and kind of coiled, he plays pinball, Smokes those thin cigars, nurses lemon phosphates. † (lines 25-27) These lines suggest that Flick is still a bachelor and nowhere to go but a luncheonette; whiles away the time, not at all socializing. â€Å"Flick seldom says a word to Mae, just nods Beyond her face†. (lines 28,29) He must be attracted to Mae who is the owner of the luncheonette but is apprehensive probably because he has nothing to offer the lady. The Style Ex-Basketball Player is a narrative poem; it tells a story. The narrator is presumed to be the author who could have been a witness to the life of a once popular high school basketball player. The poem is set in free verse so that there is no pattern of measure in the lines and the stanzas. The first stanza has one line, the next has two, followed by five lines for the third and the rest of the stanzas have no pattern. Updike also has a style of leaving the line unfinished and is continued in the next stanza. Like the line â€Å"At Colonel McComsky Plaza. Berth’s Garage† (line 4) is in a separate stanza followed by â€Å"Is on the corner facing west, and there† (line 5). Updike’s style seems to pre-empt the idea before it comes in the next stanza allowing smoother flow of ideas. The style is effective because separating the line did not distort the message intended. Imagery â€Å"Poetry communicates experience and experience comes to us largely through the senses (seeing, hearing, smelling, feeling, and touching)†. (Reuben, p. 4) These are expressed through imagery. Updike used a lot of imagery in this poem. Irony was evident in the line, â€Å"Flick stands tall against the idiot pumps†. (line 7) Flick standing tall is contrasted to the idiot pumps. It is like saying Flick is proud because he rises above the idiots or he is better off than the other idiots. Updike wants to express how sad it is that the basketball career is over through the description of the location of Berth’s Garage, â€Å"Bends with the trolley tracks, and stops, cut off Before it has a chance to go two blocks. † (lines 2,3) He uses the line â€Å"cut off before it has a chance†. (line 2) This means the future of the basketball star was cut off before the man had the chance. Updike even makes a part appear as a puzzle when he described the â€Å"nostrils with two S’s and the eyes with an E and O† (lines 10,11) , and he simply means that it is an ESSO gas station. This also reveals the era of the poem because ESSO was most popular in this decade. â€Å"His hands were like wild birds† (line 18), refers to Flick’s quick hands when it comes to handling the basketball, but this is contrasted by the line â€Å"His hands are fine and nervous on the lug wrench† (line 23), which this time criticizes his unskilled hands when it comes to changing flat tires. The two contrasting lines talk about the same hands. This shows that Flick was just good at basketball and nothing else. Figurative Language Aside from the symbolisms and imagery, the use of personification is very effective. Personification is a figure of speech that â€Å"gives the attributes of a human being to an animal, on object or a concept†. (Reuben, p. 5) Personification is evident in the description of the gas pumps in Berth’s garage. Updike refers to the pumps as â€Å"idiot pumps† (line 7) as if the pumps have brains. It actually means that the pumps have to be guided by the gasman all the time. The pumps also have â€Å"their rubber elbows hanging loose and low. One’s nostrils are two S’s, and his eyes An E and O† (lines 10,11). The pumps have rubber elbows and have nostrils and eyes too. It can mean that the pumps are among Flick’s very few friends left. These are the only ones that can look up on him now that he has become a nobody. On the other hand, another phrase personifies the ball as loving, â€Å"the ball loved Flick† (line 16), referring to Flick’s expertise in shooting and dribbling the basketball. At Mae’s luncheonette, Flick looks beyond Mae’s face through the â€Å"applauding tiers of Necco Wafers, Nibs and Juju Beads†(lines 29,30) . The line up of wafers, nibs and beads were applauding means that Flick cannot even look directly towards the girl he likes. He does not have the confidence to talk to a girl; too shy and awkward to even look at her so that his attention drifts to the wafers and nibs at the background. The use of personification has been very effective in portraying Flick’s character as well as in contrasting the happy mood of the past and setting the melancholy mood of the present. Personifying the pumps, the ball, the tiers of wafers, nibs and beads added to the loneliness in Flick’s life, as if there is nobody else to give comfort to him but his pumps, his basketball and the wafers at the background of the luncheonette.

The Reproductive System Essay -- Papers

The Reproductive System The male and female reproductive systems are different with both having specific roles. The Male Reproductive System ============================ The main structures of the male reproductive system are the testes, the penis and several glands. Male sperm carries genetic information and are produced continually from the start of puberty. The primary spermatocyte divides by meiosis make two secondary spermatocytes and then four, which have half the amount of chromosomes as the mother cell (46 in humans) therefore sperm (spermatozoa) has 23 chromosomes (genetic information). Sperm produced in the testes in a sac called the scrotum is 3Â °C cooler than normal body temperature as they hang down between the legs. Sperm does not develop well at 37Â °C. Seminiferous tubule coiled tightly in the testes make up several hundred compartments and here sperm cells are produced by the sertoli cells. It takes two months for the full production of a sperm cell and several hundred million are made each day. Those that are not ejaculated are broken down and absorbed into the body. Testosterone is secreted from cells in the testes. All cells in the testes for normal function require hormones, these are a combination of pituitary hormones called FSH (follicle-stimulating hormone) and LH (luteinizing hormone). After its manufacture sperm is delivered to a long coiled tube called the epididymis where it matures and stays there for at least 18 hours before their mobility develops. Once this has taken place sperm then passes along to another tube called the vas deferens where it is stored. During intercours... ...enta, the lifeline between mother and offspring. Through this organ the foetus gains all its needs and disposes of all its waste. Extensive changes occur in almost all of the systems in a woman's body during pregnancy. If conception does not occur preparations, in the form of a series of changes each month, are abandoned. The materials that are produced each month are scrapped and a fresh cycle begins, preparing again for conception. This regular sequence is termed the menstrual cycle because of the discharge of fluid (menses) occurring via the vagina at regular intervals. The events of this cycle are divided into four stages: - 1 Menstrual 2 Follicular 3 Ovulatory 4 Luteal Phase 3, which is mid cycle, is the time that the ovum is released from the ovary (this is what is known as ovulation).

Mission, explicit policy Essay

Mission, explicit policy and explicit policy are element of ethical climate around which the client works.   Each has varying degrees of impact on the behaviors of the employee People base behavior on values and are less affected by a set of rules and regulations as elucidated in the implicit and explicit policies; they are influenced more by what they know is of paramount value to their service to the client and company they service. In this vein, the mission statement provides the greatest influence to the employee behaviors, impacting it for positive outcomes. It is customary to specify these mission statements to the employees in the letter of appointment as well as ht terms and conditions guiding their employment and service to the company including its clients. Of all, what stays and is closest to the staff is the mission statement, hung at a specific location in the company. It is usually accessible and easy to understand. On the basis of its omnipresence, it influences the character of members of staff to work, their attitude to their responsibilities at the duty post is constantly checked and twisted at the sight of short concise and easy to memorize sentence[s]. Usually, this statement becomes the foundation for making right decisions during unfavorable situations, the impetus for proposing innovative ideas and implementing them for the good of the colony. It helps to improve the [performance of status by encouraging them to take initiatives as at when appropriate and suiting for the situation.   It is one of the tools that link the employee strength and service to the employer’s goals and values.   This link creates a productive environment for effective delivery of services and goods to customers/clients. It clarifies thoughts and make the arduous decision-making mechanism an adventure.

My Leadership Style Essay

I consider myself a democratic leader because I am relationship- and people-oriented. I believe that policies and decisions made in a group setting are best for all involved. Democratic leaders emphasize theme work and are willing to share responsibilities. I like to lead through cooperation, not by bossing around others. This means that I would seek to promote policies through group discussion, and place strong emphasis on teamwork. I believe that an effective manager not only encourages, but listens to input of the workers; an effective manager not only instructs the worker, but shows how the instruction should be carried out; the effective manager eliminates inspectors, and instead teaches the worker the value of doing their own inspection, fostering their own self-worth on the job and their part in making the company works. Effective leadership thus enhances job satisfaction, efficiency and work production (Huber, 2006). Leadership Theory I believe that I would be a good leader because I believe that all effective leaders recognize that their power to achieve organizational objectives comes from having a motived workforce who shares in the organization’s vision. In addition to my ability to establish clear visions and identifies ways to achieve goals, I am a people-oriented individual who believe that people perform at their best when the work that they do enables them to achieve their highest potentials both as human beings and as employees. This means that I do not take an authoritative approach to leading. Rather, I believe in empowering every employee. For these reasons my leadership style is best reflected in the transformational model of leadership. By  definition, a transformation leader is a â€Å"leader who motivates followers to perform to their full potential over time by influencing a change in perceptions and by providing a sense of direction. Transformational leaders use charisma, individualize d consideration, and intellectual stimulation to produce greater effort, effectiveness and satisfaction in followers† (Huber, 2006, p.19). According to Robins and Davidhizar (2007), health care organizations need to constantly evaluate individual nurse managers to promote transformational leadership qualities because positive transformational changes in nursing produce a beneficial trickle-down-effect health care delivery. Huber (2006) indicates that the transformational leadership concept is vital to the nursing practice because it promotes the development of a culture of excellence and that organizations with transformation leaders have traits such as â€Å"pride and satisfaction in the work, enthusiasm, team spirit, a sense of accomplishment, and satisfaction† (p.21). McGoldrick, Menschner and Pollock (2001) state that transformative learning helps nurses to change the way they think about themselves from a professional standpoint because transformative learning aims to refrain the thinking of the individual to self-reflection. Robins and Davidhizar (2007) found, for example, that employees who work with managers who lead in a positive and encouraging manner become more contented and satisfied with positions, which translates into increased patient satisfaction. This is due largely to the four main activities in which the transformational leader engage: establishing a vision, providing meaning for employees through the building of a social architecture, maintaining organizational trust and placing emphasis on the importance of building employee self-esteem (Huber, 2006). Assessing My Decision-Making and Problem-Solving Style Problem-solving/decision-making is a very important aspect of the leadership process. Sullivan and Decker (2005) point out that leaders must be able to use critical thinking skills effectively when making decisions or attempting to solve problems. This means, being able to make assumptions, interpret and evaluate data, explore alternatives, identify information, and analyze and question implications for each solution. When I am faced with a problem, I have a tendency to make decision based on my intuition and experience. For example, if I had a patient who was agitated and my care plan is not meeting  the needs of the patient, I would be tempted to solve the problem by asking for help from a supervisor or a coworker. In some cases, I would also rely on past experiences and try methods that I have used with other patients. On one occasion I had a patient who had a pressure ulcer and complained a lot about lying on her side. However, I could not allow the patient to lay on her back because it would make her condition worse. To solve this problem, I tried other methods such as distracting her through the television, talking, use a pillow or reading a story to get her to minimize and not focus on the discomfort. In some cases, I also engage in trial-and-error for some patients for whom the normal care procedure may be insufficient in achieving desired results. However, I also used an organized method to solve problems that do not require immediate action. For example, if I am having problems with a co-worker, I would define the problem, identify the source of the problem, and then choose a number of solutions that would best address the problem. For each solution, I would also assess the alternatives, the advantages/disadvantages of each solution and their short-term and long-term implications. Assessing My Ability to Set Priorities Setting priority is an important facet of everyday life, whether dealing with families, work or play. I believe that I am proficient in setting priorities because I set priorities based on whether the decisions I make will achieve the intended goals. For example, during my college years, I decided that it was crucial for me to work while attending school. While my larger goal is to earn a degree so that I can achieve upward mobility, my number one priority is to be efficient on the job and fulfil my work responsibilities. This means that if my school schedule should conflict with my job responsibilities, I would rather make the necessary change to my school schedule. This is because school is a long-term goal whereas my current employment facilitates that long-term goal by providing me with an income as well as experience that would enhance my future endeavors. Thus, one way that I set priorities is based on the importance of activities, tasks or responsibilities. I also set priorities based on the time-sensitiveness of the task. Because I set priorities based on the utility of the task, action or event to my short-term and long-term goals, I tend to rely more on strategy than on emotions when prioritizing. However, I  am able to modify my plans based on extenuating circumstances. Refining a plan, for example, may become necessary when an earlier plan does not go as intended. I am therefore open to reassessing my plans and making revisions to make them more effective and goal-oriented. Assessing My Delegation Skills Sullivan and Decker (2005) define delegation as a â€Å"process by which responsibility and authority for performing a task (function, activity, or decision), is transferred to another individual who accepts that authority and responsibility† (p.144). Delegating a task is an indication to the other person that you are placing your confidence in him or her regarding their competence and trustworthiness to effectively perform the task. When I am about to delegate a task to someone there are a number of questions that I ask myself. These include: what is the task to be delegated? What is the complexity or simplicity of the task? How much decision making is involved in completing the task? I possess excellent critical thinking skills and is able to analyze information effectively. For this reason I believe that I am good at delegating task. I usually consider the individual experience with the specific issue, the individual’s background with similar tasks, the personâ€℠¢s reliability and on-task behavior as well as the emotional maturity required for the task. Assessing my Communication Skills To facilitate team work in the transformational leadership setting, it is important to have an effective communication system that provides complete and accurate exchange of information that guides decision (Conrad & Poole, 2005). Tate (2005) observes that to be proactive, the leader needs to use clear language when interacting with coworkers and knowing how to listen to others, including staff and patients (Tate, 2005). Tomey (2004) indicates that communication is a process which involves giving and receiving information through verbal exchanges, gestures, writing, and the use of technology. I consider myself to be fairly competent in the area of communication. For example, I have good interpersonal communication skills. I can read body language, facial expression and can use these modes of communication to get desired results. I am also competent in oral and written communication. I am able to articulate my ideas and have sufficient vocabulary to have meaningful exchanges with others. I am also good at  making others understand my stance on certain issues. I am also able to use technology such as a computer and a phone to communicate. For example, I can send e-mails, use an online chat room, send a text message. Assessing my Conflict Resolution Style According to Sullivan and Decker (2005), conflict management is a time consuming and difficult process. To resolve conflicts, management has to listen to both sides of the issues and identify compatible solutions. Based on this assessment, I believe that I possess good conflict resolution skills since I am always willing to listen to others’ position before reacting. I am also good at negotiating. Sullivan and Decker (2005) indicate that the purpose of negotiation is to achieve agreement. My desire to avoid confrontations that can be distracting and unproductive, provides with a keen sense of looking for common grounds on which people can find agreement. Also, I emphasize the importance of diversity when dealing with others so that people can understand that having different ideas or ways of thinking does not have to cause conflicts. As a result my key strategy is to use collaboration in which I encourage others to find ways of working together to achieve shared goals. Identifying Strengths and Weaknesses / Plan of Action Two areas in which I consider myself to be proficient or competent are decision-making/problem solving and delegation. However, I have deficits in the area of communication and conflict resolution. In the area of communication, I have difficulty in the transmission of the message due to having a strong accent which makes my speech difficult to understand at times. To address this issue, I will see a speech therapist to assist me with pronunciation and speech rate. This is very important because a leader has to work in a fast-paced multidisciplinary healthcare environment that requires others to quickly understand what he or she has to say. In the area of conflict resolution, I tend to take the â€Å"flight into fantasy† approach, which involves thinking about something else in order to be protected from stress. The consequence of this is that it does not address the needs of the parties. To overcome this problem, I will try to incorporate the confrontation approach. This approach allows the leader to deal with the  issue and put it to rest (Sullivan and Decker, 2005). As a democratic leader ,I will effectively seek to bring together the synergy of my subbordinates in order to achieve our specific objectives.It is imperative that as a leader I strive to approach my leadership style in a comprehensive and transformational manner.My decision making will aplly critical thinking skills in order to solve problem.Priority setting,goal delegations and conflict resolution are pertinent to my leadership style and objective. References Conrad, C. & Poole, M.S. (2005). Strategic Organizational Communication in a Global Community (6th ed.). Belmont, CA: Thomson Wadsworth. Huber, D.L. (2006). Leadership and Nursing Care Management (3rd ed.). Pennsylvania: Saunders Elsevier. McGoldrick, T.B., Menschner, E.F. & Pollock, M.L. (2001). Nurturing the transformation from staff nurse to leader. Holistic Nursing Practice (16)1, 16-20. Sullivan, E.J. & Decker, P.J. (2005). Effective Leadership & Management in Nursing (6th ed.). New Jersey: Pearson Education, Inc. Tate, C.W. (2005). Leadership in Nursing. New York: Churchill Livingstone. Tomey, A.M. (2004). Guide to Nursing Management and Leadership (7th ed). St. Louis, Missouri: Mosby.

Chinese Influence to Japan and Korea essays

Chinese Influence to Japan and Korea essays Chinese Buddhism was introduced into Korea in the fourth century, and from there taken to Japan two centuries later. In this paper, I would like to compare what are the Chinese influences to Korea and Japan in the temples of Buddhism field. In addition, does Chinese really directly influence these two countries? The reason that I pick Korea and Japan as a comparison is because I have been to these two countries and visited some temples of them. My feeling is that even though those temples have some similarities but unique. I think it may be interesting to introduce the transformation of the temples. In addition, my grandfather is a Buddhist and I actually got some useful information form him about the paper. Historically, Japan has been subject to sudden invasions of new and alien ideas followed by long periods of minimal contact with the outside world. Over time the Japanese developed the ability to absorb, imitate, and finally assimilate those elements of foreign culture that complemented their aesthetic preferences. For example: Even though Japanese temples are influenced by China and Korea, it still keeps its original ideas and having its own style. On the other hand, while the foreign influence on Korean art cannot be ignored, it is almost impossible to appreciate the real value of Korean art without properly understanding the underlying context of Korean history and culture. This obvious truth has more often than not been overlooked Buddhism was first brought from China to the Korean Peninsula in 372 CE. The first Korean temples to be built, according to records, were Songmun-sa (or Ch'o-mun-sa) and Ibulran-sa. A Buddhist temple compound is far more than just a collection of buildings. First of all, the land is chosen according to the ancient science of geomancy which considers the shape of the mountains, position of water and the cardinal directions. Next the Main Hall is built, accompanied by special ceremonies. The oth...

Teenagers Essays

Teenagers Essays Teenagers Essay Teenagers Essay Teenagers are a big subject of todays media. We hear about them on the radio while were driving and on the TV at home. The media represents teenagers In a way that comes across as them being reckless alcoholics who are breaking the law. This Is not always the case with the youth of today. There are many well-behaved teenagers out there. The following quote from Plato, I believe is false What is happening to our young people? They disrespect their elders, they disobey their parents. They ignore the law. They riot in the streets inflamed with wild notions. Their morals are decaying. What is to become of them Plato. As In past generations, todays young people are often Imagined as out of control deviants in need of discipline or as highly vulnerable victims susceptible to outside corrupting influences. As it turns out, todays youth are not the first to be characterized as self centered, out of control and disrespectful. Teenagers are not the first to be viewed as society moral decay. Every generation says that in their day they were better behaved than the generation after them. Each of them, from hippies to gothic teenagers to punks, has or will complain, that In my day people were more oral and young people respected their elders The news program A Current Affair covered a story about young teenage girls getting cosmetic surgery, this news report was very one sided. The program only showed us a small group of teenage girls who where not completely happy with their body and the way they look. Most teenage girls care about the way they look and want the perfect body, but they dont Just Jump Into getting surgery to change that. Firstly, Its the medias representation of teenage girls In the modern world that Is over exaggerated, and secondly only a small number of girls would actually go wrought with a really painful and money draining operation like the ones that are shown on TV programs. Most teenagers live In families were they have to act responsibly and are taught to show respect to adults and others around them. Most teenagers do their chores and look after their younger siblings. The media plays a big role in the representation of groups of people in society, especially teenagers. A lot of people find it intriguing when they see teenagers on the news getting up to no good. Many news reports are based on young people and how they wander the streets and cause riots. Most young people are blamed for everything negative that goes on in the community, when adults play a big role In this as well. Most teenagers are involved In the community and enjoy helping out. Not all young people are rebellious, alcoholics that dont have a future. Around 70% of teenagers are actively involved in community sporting and recreation groups. I believe that young people that belong to outside of school extra-curricular activities from football to dancing are more down to earth and responsible. Young have an even more responsible role to their sporting club. Belonging to a sporting lube, means you are counted on to be reliable and loyal. Each teenager in that sporting club has the role of being a leader. Another good thing about young people belonging to a sporting club, is that they are more concentrated on achieving in their sport whereas their friends go out partying every weekend. Being involved with a sporting club makes you more aware of these things and youre not only doing what you enjoy but also getting the exercise you need to stay fit and healthy. It seems that every generation thinks that the next is more out of control and morally corrupt than they were. This has been said throughout history going back sasss of years, an example of this is from the quote from Plato and this quote was from the 4th Century! All of todays youth cant be generalized into a one ball, sure there are some that are out of control but that has always been the case. People born in the asss would have been frowned upon by people born in the asss, this is how it is and always will be. Times change and people change and basically there is nothing we can do about this. Children have never been very good at listening to their elders, but they never failed to imitate them. This is a quote from James Baldwin.

History of Computer Printers

History of Computer Printers The history of computer printers started in 1938 when  Chester Carlson  invented a dry printing process called electrophotography commonly called a Xerox, the foundation technology for laser printers to come. In 1953, the first high-speed printer was developed by Remington-Rand for use on the  Univac  computer.   The original laser printer called EARS was developed at the Xerox Palo Alto Research Center beginning in 1969 and completed in November  1971. Xerox Engineer Gary Starkweather adapted Xerox copier technology adding a laser beam to it to come up with the laser printer. According to Xerox, The Xerox 9700 Electronic Printing System, the first xerographic laser printer product, was released in 1977. The 9700, a direct descendant from the original PARC EARS printer which pioneered in laser scanning optics, character generation electronics, and page formatting software, was the first product on the market to be enabled by PARC research. IBM Printer According to IBM, the very first IBM 3800 was installed in the central accounting office at F. W. Woolworth’s North American data center in Milwaukee, Wisconsin in 1976. The IBM 3800 Printing System was the industry’s first high-speed, laser printer. It was a laser printer that operated at speeds of more than 100 impressions-per-minute. It was the first printer to combine laser technology and electrophotography according to IBM. Hewlett-Packard In 1992, Hewlett-Packard released the popular LaserJet 4, the first 600 by 600 dots per inch resolution laser printer.   In 1976, the inkjet printer was invented, but it took until 1988 for the inkjet to become a home consumer item with Hewlett- Packards release of the DeskJet inkjet printer, priced at a whopping $1000.   The History of Printing The earliest dated printed book known is the Diamond Sutra, printed in China in 868 CE. However, it is suspected that book printing may have occurred long before this date.   Before Johannes Gutenberg, printing was limited in the number of editions made and nearly exclusively decorative, used for pictures and designs. The material to be printed was carved into wood, stone, and metal, rolled with ink or paint and transferred by pressure to parchment or vellum.  Books were hand copied mostly by members of religious orders. Gutenberg  was a German craftsman and inventor. Gutenberg is best known for the Gutenberg press, an innovative printing press machine that used movable type. It remained the standard until the 20th century. Gutenberg made printing cheap. Ottmar Mergenthalers invention of the linotype composing the machine  in 1886 is regarded as the greatest advance in printing since the development of moveable type 400 years earlier. Teletypesetter, a device for setting type by  telegraph, was  developed by F.E. Gannett of Rochester, New York, W.W. Morey of East Orange, New Jersey, and Morkrum-Kleinschmidt Company, Chicago, Illinois The first demo of Walter Moreys Teletypesetter took place in Rochester, New York, in 1928. Louis Marius Moyroud and Rene Alphonse Higonnet developed the first practical phototypesetting  machine. The phototypesetter that used a strobe light and a series of optics to project characters from a spinning disk onto photographic paper. In 1907, Samuel Simon of Manchester England was awarded a patent for the process of using silk fabric as a printing screen. Using materials other than silk for screen printing has a long history that begins with the ancient art of stenciling used by the Egyptians and Greeks as early as 2500 B.C.

A restaurant Essay Example | Topics and Well Written Essays - 500 words

A restaurant - Essay Example The first point of interest to me in that situation would immediately be the safety of myself and of my friends; with the safety of other restaurant patrons being included in this overall level of concern as well. Secondly, I would most likely get down and instruct all of those around me to get on the ground and maintain a low profile; i.e. in other words not allow the shooter to have any type of discernable target to focus his fire upon. The second thing that I would do is try to organize a fast exit for my friends and the other people within the restaurant. Although it is helpful to get down low and try to present the shooter with a small of a target as possible, an even more important factor will be to evacuate the place as soon as humanly possible. Due to the fact that it is unknown what the shooter ultimately intends on doing combined with the fact that sitting around and waiting for the worst is foolish. The third item that I would attempt would be dependent upon the situation and overall proximity that I had to the shooter in the case in point. If I was in a situation in which I could throw something, distract, or otherwise incapacitate the shooter I would do so as both a means to protect myself and as a means to seek to provide a necessary element of distraction to allow others the opportunity to escape. Fourthly, I would seek to find help as soon as possible by contacting the authorities. This fourth point has waited until later in this analysis due to the fact that time is of the essence with regards to seeking to rapidly evacuate the premises and ensure that the other steps which have herein been detailed are adequately followed prior to taking the time to open the phone, dial the authorities, and explain the situation as it is unfolding. Although the level of discussion that has been described is speculative, there is truly no way to describe to anyone how I would ultimately a ct in a situation such as the one described; regardless of the

Becoming Animal, or Animals Become Us Essay Example | Topics and Well Written Essays - 1000 words

Becoming Animal, or Animals Become Us - Essay Example As a child her main character creates a friendship with a horse and throughout the friendship she is kind to the horse. One day, she sees that the horses eyes look lonely. Later, the horse is happy because it has a companion and she finds out that Blue (the horse) is actually only there as a stud. At this point, she notices that once his companion is gone, Blue also stays away from her as a human. This is significant because as Walker says, "Blue was like a crazed person†¦" (866) and she admits he was like that to her and then his attitude changes towards her when he "realizes" that his friend will not be back. "†¦I took apples to him, he looked at me. It was a look so piercing, so full of grief, a look so human, †¦to think there are people who do not know that animals suffer" (867). She wants humans to know that animals do indeed suffer and this horse suffered in the way that someone who was enslaved would suffer as their family was taken from them and sold. This was a very poignant parallel for her to draw because the reader was able to see the connection between animal and human. "Everything you do to us will happen to you; we are your teachers, as you are ours. We are one lesson" (866) is the point of the entire story which points to a partnership or "oneness" between human animals and other animals. Merchants writing is interesting because in some respects she sees a constant struggle between male domination and female natural instinct. She says that women are the nature aspects of life and actually sees the struggle between Adam and Eve continues throughout all of what we are doing to this day. As an example, she gives many ideas from other writers about how they felt it was possible for man to conquer nature. She quotes Thomas Huxley as saying that there should be a situation where a new Eden would be born and in it "every plant and every lower animal should

Summarize an article Example | Topics and Well Written Essays - 250 words - 1

Summarize an - Article Example In support of this prediction, when participants in a lab experiment were frequently interrupted by instant messages, they reported greater stress and frustration while working on another task (Mark, Gudith, &Klocke, 2008). Reducing stress by checking email less often may have broader implications for well-being. People who experience more day to day stress report lower productivity and less meaning in life. This pattern of indirect effects points to the conclusion that checking email less frequently might have broader downstream consequences for well-being by reducing stress. Furthermore, lower stress is associated with other positive outcomes including higher mindfulness, self-perceived productivity, and sleep quality. Recent research suggests that some people feel stressed by email in part because others expect them to reply quickly (e.g., Gillespie, Walsh, Winefields, Dua, & Stough, 2001).I believe checking emails less often reduces stress directly and indirectly in our lives thu s affecting our well-being. E.g. in work place like of supply job, one has to constantly keep on checking mails to see who is ordering goods and this is very stressful in fact when you have a lot of clients. Therefore frequency of checking emails affects individual’s well-being. Because one will not be able to note the work overload, they will not have to reply to the emails immediately thus reduced psychological stress results to positive well-being for an

Development in the Hardware and Software Industries Tapped by GIS Appl Assignment

Development in the Hardware and Software Industries Tapped by GIS Applications - Assignment Example Hardware and software industries have catered to the needs of various areas defined in the marketplace. Software that is used to integrate geographical information with people and events, help in producing knowledge useful in the industrial operations and a basis of research outcomes. Examples are the GIS software and hardware used for libraries, museums, and schools that facilitate management, demographic/market analysis, asset mapping and inventories (Educational License Options n.d.).   Specific applications include ArcGIS for Desktop, Explorer, Mapping, Server, Server Image Extension and many others. In the case of Botanical Gardens and Zoological Parks, a software was developed specifically designed as a data model for mapping facilities and plant collections. It is called ArcGIS Public Garden Data Model. The hardware developments kept up with the industry standard or what was required for efficient data capture of GIS components. The digitizing tablets allowed the operator to record coordinates and scanners which convert analog source documents into digital raster form (Jackson and Woodsword 2012). GIS has been integrated into social networking. Ushahidi, for example, is a software that is used to collect information from multiple channels such as text messages, email, and Twitter (Dumbill 2010). It has been found useful in reporting disasters such as floods and aggregating reports from citizen journalists. The trend analysis provided by GIS in a combination of social data resulted in quick and effective disaster management. It has used information from social networking as sensors of the pending disaster, enabling the authorities to respond accordingly.

Discussion Board Case Study Example | Topics and Well Written Essays - 500 words

Discussion Board - Case Study Example As a reader, the immediate question that comes to mind seeking clarification from Driscoll is why he characterizes as feminine all the things he identifies as evil, dirty or weak. The book makes apparently misguided and poorly translated references to the biblical book of first Timothy about the role of senior pastors not belonging to women. The actual writings simply state that women can only ask questions after the church service is over but does not explicitly bar them from taking on leadership roles. Agreeably, the teachings of the bible should guide the activities of the church and more so, the leadership style. But, on the other hand, Driscoll must understand that times are changing and including women in leadership positions is inevitable. From the context of his book, he needs to clarify to the reader that he is actually not objectifying women. He clearly acknowledges that the head of the Church is Jesus and elders are made up of human leaders who follow in his footsteps and get others to do the same (Driscoll, 2008). Then, with such understanding that leaders are humans, why exclude women? Why would he go further to claim that he was specifically called by God to train men and not women? It is ironical for Driscoll to say that it is a sin for any Christian not to actively love their Christian brothers and sisters as faithful church members, yet segregate them on gender basis. Why would he say that human leadership in the church is about qualified Christians that follow Jesus and encourage others to do the same but still believe that women do not have the qualification? When he likens leaders to good sheep that follow their shepherd Jesus Christ, what rationale informs him that women are incapable of following the teachings of Jesus? When he talks of Paul teaching Christians to be imitators of him as he was of Christ, does he not realize that Paul was addressing

Development in the Hardware and Software Industries Tapped by GIS Appl Assignment

Development in the Hardware and Software Industries Tapped by GIS Applications - Assignment Example Hardware and software industries have catered to the needs of various areas defined in the marketplace. Software that is used to integrate geographical information with people and events, help in producing knowledge useful in the industrial operations and a basis of research outcomes. Examples are the GIS software and hardware used for libraries, museums, and schools that facilitate management, demographic/market analysis, asset mapping and inventories (Educational License Options n.d.).   Specific applications include ArcGIS for Desktop, Explorer, Mapping, Server, Server Image Extension and many others. In the case of Botanical Gardens and Zoological Parks, a software was developed specifically designed as a data model for mapping facilities and plant collections. It is called ArcGIS Public Garden Data Model. The hardware developments kept up with the industry standard or what was required for efficient data capture of GIS components. The digitizing tablets allowed the operator to record coordinates and scanners which convert analog source documents into digital raster form (Jackson and Woodsword 2012). GIS has been integrated into social networking. Ushahidi, for example, is a software that is used to collect information from multiple channels such as text messages, email, and Twitter (Dumbill 2010). It has been found useful in reporting disasters such as floods and aggregating reports from citizen journalists. The trend analysis provided by GIS in a combination of social data resulted in quick and effective disaster management. It has used information from social networking as sensors of the pending disaster, enabling the authorities to respond accordingly.

Contract law Essay Example | Topics and Well Written Essays - 1250 words - 1

Contract law - Essay Example However, the restaurant is concerned about the underlying liabilities in the event that clients collide with the skating waiters and waitresses. Another point of concern regards loss of client property whilst at the restaurant’s premises. Following these two concerns, two exclusion clauses could be drafted for the purpose of limiting or excluding altogether the restaurant’s liability under the two aforementioned circumstances. It is fundamental to ensure that the restaurant’s business aspect is not adversely affected by the move. The Caddy Shack restaurant enters into business-client contracts with its clients. It is in the best interest of the restaurant to maintain functional relations with its clientele, even as it strives to reduce potential liabilities under the two circumstances of concern. The exclusion clauses that Caddy Shack restaurant needs will ultimately impose restrictions to its clients. It is also important to highlight that the move is likely to be seen as one that favours Caddy Shack’s business welfare, while reducing its potential liability obligations to the clients. In this respect, these two issues must be provided for and balanced in the drafted exclusion clauses. First exclusion clause: Caddy Shack will not be held liable for any losses or injuries that arise as a result of violation of the rules and regulations within the Caddy Shack restaurant’s premises. Clients are urged and reminded to strictly use the designated client sidewalks to avoid collision with the roller skating waiters and waitresses. The system is clearly marked to ensure that both clients and staff strictly remain in their respective right areas. Eventualities emerging from failure to abide to the set rules and regulations, and the skating system requirements shall not hold Caddy Shack responsible. Moreover, Caddy Shack shall not take responsibility for ignorance and/or negligence arising from

Typs Of Paragraphs Essay Example for Free

Typs Of Paragraphs Essay A Comparison of two athletes   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the history of the National Basketball Association (NBA), two players who have a lot of similarities are Michael Jordan of the Chicago Bulls and Kobe Bryant of the Los Angeles Lakers. Michael Jordan led the Bulls 3 consecutive championships from 1991 to 1993 and another 3 from 1996 to 1998 while Kobe Bryant steered the Lakers to a similar title reign from 2000 to 2002. However, while the two are both superb basketball players who have a number of accomplishments under their belts, they also differ in a lot of aspects. The most notable difference between the two athletes is their individual awards in the NBA. Jordan was named league Most Valuable Player for 5 seasons while Bryant was never given the award. Moreover, Jordan entered the NBA from college while Bryant came straight from high school. Despite their differences, two athletes are, without a doubt, two players whose names will forever be remembered in the world of basketball. Raise the Punishment for Drunk Driving   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In almost every country, one of the most common causes of car accidents is drunk driving or driving under the influence of alcohol. However, more than just disturbing the flow of traffic and injuring themselves, drunk drivers most of the time also cause accidents that harm and sometimes even kill other people such as other drivers on the road or even bystanders simply walking along the road. People arrested for drunk driving are usually fined and imprisoned for a certain number of days and are then released. The problem with this type of penalty system is that a lot of drunk drivers never learn their lesson unless they cause serious damage, like accidentally claiming the life of another person. Considering the dangers that drunk driving poses to society in general, it is necessary to raise the punishment imposed on drunk drivers. The penalty should include years and not simply days of imprisonment as well as heavy fines similar to those imposed on more severe crimes like murder. This way, people would think twice before even considering driving while under the influence of alcohol. Classification Paragraph on Animals   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Animals can be classified according to the food they eat as herbivores, carnivores, and omnivores. Herbivores are basically animals that who eat only plants, which are also their main source of energy. Examples of herbivores include cows, sheep, gazelles, antelopes, and goats, among others. On the other hand, carnivores are basically a group of animals that obtain their food from hunting, killing, and eating other animals, hence the name â€Å"meat-eaters.† Examples of carnivores include lions, leopards, wolves, cheetahs, tigers, snakes, panthers, jaguars, and bears, among others. Lastly, omnivores are animals that get their energy from eating either animals or plants. The best examples of omnivores are human beings since we both eat the meat of other animals and plants. In addition, animals such as pigs, raccoons, hedgehogs, badgers, gulls, and piranhas, are also classified as omnivores. Some animals are scavengers that will only eat dead matter while others will eat the eggs of other animals.

Learning Through Play: School Development

Learning Through Play: School Development Introduction Children in a pre school are aged around five to six years old. How can they learn something through play in Pre School? How effective is learning through play and its value to their development? With this kind of notion, it gives me the courage to explore on what play is all about to children especially for those who are in Pre School. Most teachers and parents believe that young children learn best through play. This is supported by the Early Childhood Education Reform (ECEF) (1998:52) that children in the Foundation Stage learn best through play, experience and conversation. In this essay, I will explore on different types of play, which are usually used in a pre school classroom. Most importantly, I will explore on how play relates to the childrens development in terms of their physical, cognitive, language, social and emotional development with the supports from acknowledged theorists. I will also point out the importance and benefits of play and how it can be effective with the help of teachers. Moreover, I will also give out examples from Brunei context based from my experience throughout my teaching in Brunei Pre School which relates their learning through play in their school curriculum. Definition of play According to Isaacs (1954:23), he states that play is the childs means of living and understanding life. It proves that learning through play is essential for young childrens development in which they can they can gain experience, and knowledge in this life as it enables them to make sense of their world as they learn through exploration and experimentation. Moreover, play can also make a significant contribution to the childs mental health and social well-being (Miller et al., 2005). Conversely, Dodds (2009) argues that many authors and researchers would agree that it is nearly impossible to try and explain the difference between work and play as well as to try and define the notion of play or even categorise different forms of play. Play is a non threatening thing. Bennett et al (1997:51) state that there is a contrast between play and work where play is seen as being fun and enjoyable, whereas work is serious and even onerous. Meanwhile, Hughes (1999:3) states that play differs in a number of ways from what is usually regarded as work. Both play and work is enjoyable. However, play is intrinsically motivated while work is extrinsically motivated (Hughes, 1999). The Plowden report (DES, 1967) also states that adults who criticize teachers for allowing children to play are unaware that play is the principal means of learning. Types of play It is possible to classify different types of play which represent, and contribute to progress in different areas of development (Sheridan, 1999). As revealed by Miller et al. (2005), they argue that children can be seen playing in all types of different situations. Consequently, what they do when they play has many common features in spite of the context, materials and equipment available. Therefore, in light of the above, they also believe that practitioners use a number of different terms to describe types of play. Although some may appear self-explanatory, but it is necessary to understand what each involves in terms of the relationships between them and the value of their contribution to the childs growth and development both as an individual and a learner (Miller et al., 2005). In a Pre school, teachers use different types of play which relevance to the school curriculum and have an effect to the childrens development. Basically, with these types of play, it can help teachers to observe and understand better what is happening to the children when they play. Play is often categorised in a number of ways but is normally grouped into four different categories. There are creative play, physical play, manipulative play and imaginative play (Tassoni et al., 2007). Most of these plays are practiced in Pre schools. Firstly, creative play encourages children to experiment and explore the world around them. If the children are given a wide range of activities, they can develop in all areas as well as gaining an immense deal of satisfaction from the play itself as it can actually increase their confidence and self-esteem. Although it also supports the childrens creativity, it is important not to make the children worry about the end product and there should not be any competition. This is due to the childs sense of self-worth which can easily be destroyed if their creation is not praised or is questioned in some ways. They also supported that in that way, it will enable children to enjoy the process rather than the end of product (Tassoni et al., 2007). As supported by Duncan and Lockwood (2008), they state that creative play is all about creative arts play such as painting, drawing, music, dance and model making in which are the ways of expressing ideas and feelings. They are also a form of communication. Basically, they also argue that children discover the medium in which they learn how it works and what they can do with it. Secondly, Tassoni et al., (2007) believe that physical play encourages children to use their large muscles and exercises their body in which they learn to control their muscles and develop coordination. This is also supported by Miller et al., (2005:87), they define that physical play is rough and tumble which is a fun, free flowing and physical and children can develop their physical abilities and refine their motor control. Meanwhile, Lindon (2001:42) who defines that rough and tumble is such a close encounter play that is playful and obviously enjoyed by children. It is actually a type of play that is not genuine fighting where children can use the involvement of touching, tickling and chasing in activities given. Moreover, Duncan and Lockwood (2008:99) argue that physical play is a kind of play that often predominates in outdoor provision. Thirdly, a manipulative play is a type of play which concentrates upon how a child uses his or her hands. Sight and touch are the essential part of this play with hand-eye coordination. It is primarily divided into gross and fine manipulative play whereas in the gross manipulative play such as throwing a ball, climbing or kicking a ball and in the fine manipulative play is where children discover to use their fingers independently such as unscrewing a lid and using a pencil (Tassoni et al, 2007). Fourthly, an imaginative play is vital for the development of cognitive competence (Duncan and Lockwood, 2008: 98). They also believed that children can go beyond the here and now; they can pretend to be someone else, to act out adult roles. This is also argued by Bergen (2002) that there may be negative consequences for intellectual development in the long term if children do not have the opportunity of imaginative play. Moreover, Tassoni et al., (2007) support that children can act out situations spontaneously by taking on the role of other people or situations. By providing provide a number of imaginative play activities and support by adults can allow children to safely explore their own feelings and the world around them. They also argue that there are four terms that connect with imaginative play, and there is pretend play, fantasy play, socio-dramatic play and symbolic play. As for symbolic play, Miller et al. (2005:86) states that it provides children with opportunities to explore and extend their world as well as materials and objects are used to represent all kinds of things and people. This shows that in this kind of play, objects, actions and functions take on responsibilities. Meanwhile, Lindon (2001:42) states that symbolic play allows children to exercise control and explore without the risk of being out of their depth. For instance, a piece of wood may symbolize a person. A socio-dramatic play involves interaction and communication with others as children can act out stories on their own and with others. This can actually allow them to explore the nature of the role, adapting and modifying it as a result of interacting with others (Miller, et al., 2005:87). As for a pretend play, Tassoni et al, (2007:277) argues that it is a play that considers how children act out in a range of ways such as going shopping or cooking a meal. On the other hand, according to Miller et al., (2005:87), they define that a fantasy play is a form of role play where children produce their own stories and challenge accepted norms and expectations which involves make-believe, where objects and people take on new, innovative functions and roles. This is supported by Lindon (2001:43) by giving an example of children may fantasise about flying an aeroplane or being incredibly rich. The effect of play in childrens development Learning through play can be influenced by all aspects of childrens development. This is supported by Tassoni et al. (2007) as they state about how children develop through play in terms of their physical, social, emotional and behavioural, intellectual and communication and language development. However, according to Duncan and Lockwood (2008:61), they state that progression and regression in one area will impact on the others. As for the Physical development, children actually develop both physically and intellectually through movement that they make. As stated below, they argue that: Through repetition of action, connections are made in the brain. The more complex the movement or pattern created, the greater the cognitive process. Children explore their environment, manipulate tools and learn new skills, with greater control and dexterity. Their ability to plan and organize their movements influences their ability to write, draw and manipulate fine objects as well as develop their gross motor skills. This gives them the opportunity to represent language in symbols for themselves. By repetition and practice children also master control over their bodies, thus developing physical competence and spatial awareness. (Duncan and Lockwood, 2008:61) On the other hand, in terms of the language and cognitive development, children express their ideas and feelings as well as describing their experiences through language. This is because that the role of language in the development of thinking in which they can use it to control the world around them, recognize meaning and represent their understanding. Moreover, positive relationships encourage communication and are the important factor in language development and thinking. Language accompanied by action helps children to understand what is being said (Duncan and Lockwood, 2008). Lastly, the social and emotional development which also gives effect to the childrens learning. As stated by Duncan and Lockwood (2008), they argue that sociable children can interact properly in order to learn from their peer group, parents and other adults. This means they have the essential skills to cooperate in a group situation where they are able to stick to decisions made and take both a lead and subsidiary role in decision-making. They are sensitive of the needs of others and can understand different viewpoints and perspectives and how one event may affect another. They can also learn to develop socially acceptable behaviour in different circumstances. Conversely, Goleman (1996) argue that there are five abilities associated with emotional intelligence and there are self-awareness, managing emotions, motivating oneself, recognizing emotions in others and handling relationships. Duncan and Lockwood (2008:63) also believed that emotional upheaval at sometime in childrens lives may impact negatively upon learning, which in turn may affect their self-esteem. The influence of theorists about childrens play Basically, no one theory has ever been able to explain completely the significance of play in childrens development. Hughes (1999:16) argues that theories must be seen as only tentative models, helpful frameworks within which child development and behaviour can be better understood. I will focus on three theorists in whom they think that play as part of childrens thinking and there are Jean Piaget, Lev Vygotsky, and Jerome Bruner. It proves how effective play is in the childrens cognitive development where they can actually understand ideas and learn to think. Lindon (2001) states that the theory developed by Jean Piaget has been hugely influential for early years practice in United Kingdom. However, other theorist such as Lev Vygotsky has shown contrasting perspectives that can support adults in an effort to understand childrens thinking and how it relates to play. Jean Piaget believed that child as an active learner and proposed that children were active participants in their own learning. He also proposed that through a series of stages that unfolded in a definite sequence, the childrens cognitive development progressed. He also interested in childrens play activities in order to support his theory about their language and thinking. He did not focus on other aspects of childrens development such as communication, social interaction or emotional development. Piagets theory that children constructed their own understanding led him to emphasise that adults should create environments in which children could discover for themselves. Self discovery by children has sometimes been interpreted to mean that adults should scarcely intervene at all in childrens play (Lindon, 2001). Moreover, according to Maynard and Thomas (2004), they state that Vygotsky was interested in a mastery play where children can take up information from the world around them and shape it to fit in with their own understanding and experience as well as changing their actions to meet the demands of their personal world. These processes are called assimilation accommodation. Similar to Vygotsky, he believed that by observing a child at play, the adult gained much knowledge of the childs stage of development. He categorised three stages of the development of intelligence and there is sensory motor which corresponds to mastery play, pre-operational which corresponds to symbolic or pretend play, and lastly operational which corresponds to games with rules. Since I am exploring about children in Pre schools, I would use the information from Piagets developmental model which argues on the stage of symbolic play which takes place between the ages of two and seven years which relevant with the pre-operational stage. This is where the children transform themselves or objects into something else. For instance, a child engaged in pretend play about pirates and may pick up a cardboard cylinder and use it as a telescope. For the child, it has become a telescope and the transformation is a very real one (Maynard and Thomas, 2004). Basically, it shows that using the view from Piaget; pretend play emerged spontaneously at a stage well into the pre school period. However, according to Maynard and Thomas (2004), it is only relatively recently since the translation of Vygotskys work and through the writing of more recent researchers, that this view has been challenged and argued that pretend play is considered to be the product of social collaboration rather than a developmental process. Meanwhile, in the contribution of Vygotsky to the childrens learning through, Lindon (2001:31) states that he placed greater emphasis than Piaget on the social context in which children explored and learned. He also focused on language as a vital social tool and described learning within social interaction. Lindon (2001:31) also states that Vygotsky felt that early language, during the years when children speak out loud to themselves in play, was an important instrument of their thinking. Moreover, Vygotsky believes that in terms of the role of play, he emphasized: The ingenuity of children as active participants in their own learning and creative users of play from whatever was available. He felt that play led childrens development. In their play activity, children could step outside the restrictions of their real lives and explore meaning free from the constraints of what was possible as a child. Vygotsky also believed that all forms of play had some imaginary component and that play was rule bound within those imaginary elements. (Lindon, 2001:31). It shows that play is important for childrens learning, but of course there are barriers such as risk, safety and both the childrens social and emotional are needed to be focused on. As supported by Vygotsky, he did not see play as the only way that children learned and warned against the risks if adults focused too much on the possible intellectual content of play and ignored the emotional content (Lindon, 2001). Hughes (1999) also states that Vygotsky believed about the importance of the social context. He believes about his zones of proximal development. If a child is asked to work independently on a problem, such as sorting objects according to shape or function, he will display a particular level of performance for the childs performance may not reflect his or her true potential. However, if the same child is allowed to work with other children on the problem or is given even a small amount of direction by an adult, he or she might perform at a higher level than when working alone and potential ability in a different social context is the zone of proximal development. Obviously, the social context can do more than provide information about development as it can also facilitate the development by allowing children to achieve their true potential (Hughes,1999). In terms of play, Maynard and Thomas (2004) state that Vygotsky stresses that in childrens development in the earliest years of life, the role of pretend play is important. He placed play in the socio-cultural context where the context in which childrens play can and should be extended and nurtured by both adults and peers. This is also further supported that pretend play provides an inimitable context within which children can reach for and attain increasingly higher levels of cognitive development (Maynard and Thomas, 2004). Vygotsky believed that pretend play is a major means by which young children can extend their cognitive skills, and they can also learn about the social constructs of their own culture at the same time by the encouragement given by adults for them to become active participants in the social world around them. He also believed that by identifying the main features of play, the observer is able to understand how it influences childrens development (Maynard and Thomas, 2004). Lastly, about Jerome Bruner who was actually influenced by Vygotskys ideas and developed the idea for the concept of the spiral curriculum. According to Lindon (2001), he states that Bruner described how children learn through discovery with the direct help of adults and by repeating to the same materials or ideas. He also proposed that children were able to broaden their understanding over a period of years, and they could build on what they had learned previously and through sensitive help from adults in the later learning. In terms of play, whereas Piagets developmental theory minimalists the role of the adult in childrens development, Bruner similar to Vygotsky who considers the role of the adult in nurturing childrens development through play to be critical. He also argues that children learn from modelled adult behaviour rather than over-directed intervention (Maynard and Thomas, 2004). Moreover, according to Maynard and Thomas (2004), Bruner identifies two major functions of play. First, play situations allow children to test out and modify the consequences of their actions which provide them with a meaningful situation in which they can learn about things without risk of fear and failure and second, it gives children an opportunity for them not to engage in behaviours if under adult pressure. Like Vygotsky, Bruner also subscribes to a socio-constructivist theory of play in which he emphasizes the important of symbolic or pretend play. This is a type of play which enables children to work through difficulties, and fulfil secret desires at a make-believe level as well as helping children to learn how to cope with rules and social conventions at the same time (Maynard and Thomas, 2004). Overall, according to Maynard and Thomas (2004), they state that Vygotsky and Bruner subscribe to the socio-constructivist theory of play that it needs to be scaffolded by sensitive and intelligent adult intervention. In order for children to progress to higher levels of cognitive functioning, there must be social interaction with peers. However, Piaget argues that that play was developmental and that it took place at a particular stage regardless of adult intervention. It shows that Piagets theory is in contrast to the socio-constructivist view of the play. Despite their differences, the classical theorists emphasise the vital importance of pretend play to childrens development. Since pretend play presents a much greater cognitive challenge than non-pretend activities such as puzzles and jigsaws, young children who have ample time to engage in it do enjoy enhanced intellectual development. The importance and benefit of play It is believed that play can help children to understand life and their surrounding. This is supported by Duncan and Lockwood (2008), they state that through play, children have a natural instinct to learn about the world. Moreover, Hughes (1999:20) states cognitive theorists regard play a stool for facilitating intellectual growth. In addition, play is spontaneous as children can engage in it from choice (Moyles, 1994). This is further supported by Jerome Bruner (1972) and Brian Sutton-Smith (1967) cited in Hughes (1999:20), they state that play provides a comfortable, and relaxed atmosphere in which children can learn to solve a variety of problems. They also believe that later, when children are confronted with the more complex problems of the real world, the learning that took place during play is of great benefit to them. Play affords the opportunity for intellectual and social development as well as for emotional release (Hughes, 1999). In the studies of Bruner (1960) cited in Maynard and Thomas (2004), he states that similar to Piaget and Vygotsky; he examines the way in which children are able to explore hopes and anxieties and trying things out safely in pretend play as well as attributing to it a cathartic function. According to Maynard and Thomas (2004: 192), they state that when one observes children at play, certain common characteristics emerge. First, play is fun, children enjoy engaging in it. It maybe accompanied by laughter, talk, propose indeed, none of these things. It may be solitary or involve groups of children; it may also involve adult participation. Although an episode of play may lead to significant learning outcomes, these are not planned at its outset. True play is an impromptu experience and other than the intention of having fun, its outcomes do not exist in childrens minds when they initiate it. However, parents often misunderstood about play and early childhood educators notice it as a natural part of childhood but one that has little developmental value (Hartley, 1971). Moreover, David (1996) cited in Nutbrown also highlights the way in which increasing fears for childrens safety is understandably causing parents to confine and restrict their children more. According to Hughes (1999), he argues that it is understood that children should play as it affords the opportunity for intellectual and social development as well as for emotional release. Meanwhile, as stated by Gammage (2006) argue that childrens learning has led to some misunderstanding in which children are not just investments for the future, but they have a right to freely chosen opportunities for play and self-directed exploration as well as structured play activities rather than being made to follow a restricted or narrow curriculum. Other feature of learning through play is that it helps the children to develop their language by expressing their ideas and feeling and describe their experiences (Duncan and Lockwood, 2008). Moreover, Moyles (2005:235) states that children are in control of the way in which they want their play to develop and give themselves tasks in their play, not really for an outcome, but to shape the play-process itself. Hughes (1999) states that Vygotsky argued that there is a number of acquired and shared tools that aid in human thinking and behaviour-skills that allow us to think more clearly than if we did not have them and to better understand our own thinking processes. He also stated about the importance of the social context. This is his belief in zones of proximal development. If asked to work independently on a problem, such as sorting objects according to shape or function, a child will display a particular level of performance. However, Vygotsky believed that the childs performance may not reflect his or her true potential. If the same child is allowed to work with other children on the problem on the problem, or is given even a small amount of direction by an adult, he or she might perform at a higher level than when working alone and potential ability in a different social context is the zone of proximal development. Role of adults and their intervention to make a play to work effectively Teachers need to be supportive as children should enjoy it. Lindon (2001) identifies some possible roles for Pre school teachers in play such as the teacher as companion, learner and observer, facilitator, provider, a model, mediator as well as safety officer. Miller et al., (2005:92) state that play is vulnerable that it is important to provide appropriate experiences, activities and resources that will help children to develop their ability to play and learn. Moyles (1994) argues that it is practitioners who are best placed to observe and channel the value of childrens play into powerful contexts for learning. Moreover, by observation it is important for childrens learning through play. This is supported by Duncan and Lockwood (2008:21) who believe that observation will give you information about childrens learning through play and about the learning environment. Johnston et al., (2010) state that through play, children can develop intellectually, creatively, physically, socially and emotionally. By providing well planned experiences in both indoor and outdoor which are based on childrens spontaneous play are an important way which practitioners support young children to learn with enjoyment and challenge. Furthermore, observation also gives feedback on management issues, the effectiveness of resources and the play environment and information about diversity, inequalities, prejudices and stereotyping (Duncan and Lockwood, 2008:20). There are many ways in supporting and reflecting childrens play in extending specific areas such as language and communication. As stated by Bruce (2001) in supporting play are to establish a conducive environment, an adult must have interest and be part of the play in a background way as well as to be alert on how to manage things during the play without intervene it. However, those with learning difficulties and disabilities may need more specific and specialised help in playing and communicating with others. There is a place for scaffolding childrens understanding of and ability to play, just as there is for scaffolding their learning, to take account of their diverse life experiences (Bruner, 1972). Moreover, Vygotsky stated on how adults could best help children to learn and on the other hand, he also believed that children could and did help each other through play. He used his concept of the zone of proximal development to explain how childrens learning could be supported. The zone of proximal development is the area of possibilities that lie between what individual children can manage on their own and what they could achieve or understand with some appropriate help. He also argues that focused help could come from wither an alert adult or from another child whose understanding or skills were slightly more mature (Lindon, 2001). The impact of learning through play in Brunei context on Pre School children Based from where I came from, Pre schools in Brunei also practice learning through play in part of the school curriculum. As stated by the Curriculum Development Department (CDD) of the Brunei Ministry of Education (2009), the Pre school syllabus emphasises on the implementation of the instructional activities which are provided following the educational field and skill levels as well as abilities in accordance with the development of their learning. The educational field is divided into five developments. There is personal and social development, cognitive development, the development of aesthetics and creativity, physical development and ICT development. On the other hand, some teachers tend not to focus on the childrens learning through play as they believed that it is just a waste of time and rather follow in meeting the curriculum demands and syllabus given. This is argued by the Plowden report (DES, 1967) that although the play is the central activity in all schools but it often leads to accusations that children are wasting their time in school in which they should be working. Principals in Brunei Pre Schools encourage Pre class teachers to modify and decorate their classrooms where they accommodate the class with varieties of learning corners areas such as a book corner, kitchen corner, block corner and drawing corner. This is suitable for dramatic play, books and literacy, block and construction play and manipulative play.ÂÂ   These areas can help the pupils to develop their skills needed. The class teachers make sure that the play activities are relevant to the development of the pre school pupils. Most importantly, the teachers provide plenty of open space area for them to play independently. This can lead the pupils to be engaged in learning through play effectively. Basically, class teachers in Brunei use primitive materials for some of the play activities such as sand, water and clay where it can attract the pupils and evoke their interest and concentration. This is supported by Hughes (1999:198) who highlights that a number of play materials and activities have been identified as being highly likely to stimulate intellectual growth. Hughes (1999:211) states that certain types of play materials and activities have been found to be helpful in encouraging social integration. Moreover, the use of materials in play can develop pupils confidence in learning with others. Moyles (2005) states that the activity which develop their confidence and actually demonstrate their understanding to groups of children even if they are unfamiliar with as they can start their conversation and friendship. Most importantly, the toys and play materials are kept on low sized shelves so that they can reach them easily. Most teachers do use the outdoor play but this is only when they are having a Physical Education. Basically, children must also have opportunities to play out door since outdoor has a large space with nature. The pupils can play freely which can sometimes pose a threat for risk and accidents. As stated by Gill (2007:16), he summarizes that by undertaking risky activities carries beneficial side effects for childrens health and development. Based from my teaching experience, the pupils in my class love to play during their Break time. It could be observed that it was the time when they are having fun especially at the playground. Although children play, they actually learn something. For instance, th

Fashion Evolution :: essays research papers

Fashion evolution through the years Who didn’t have been heard something about the most representative eras of the fashion, like 50s, hippie’s age, disco fever, or grunge? All these ideologies had been make an important change through the time. There exists a great evolution through the fashion of the 40s to the 90s, and it involves different ideologies, dress trends, shoes and hairstyles. I’m going to mention only the most representative eras of the fashion that marks a significant change in our culture, and that made history. The 40s were the era of feminine glamour in fashion. Women used to use long elegant dresses and hats of every shape and size. All that things were fashionable. The most popular colors were the dark conservative ones. The 50s were the shirtwaist era, when the rock and roll causes a change in the fashion. This era was represented perfectly at Grease movie, when we can see the different fashions between the social groups. The women used crinolines and shirtwaists. Men used jackets and blue jeans, with grease in their hair. And women used the hair over the shoulders. The 60s were the time of a revolution. The hippie clothes, psychedelic ones, and groovy elements were fashionable. The hippies used a natural or ethnic style, love-ins, flowers, and free-flowing hairstyles. The 70s era involves different styles of fashion. By one side the hippies continued such at as 60s. And by other side, the disco fever and platforms got to occupy an important place in the fashion. The flared line of bellbottoms was common. Platform shoes experienced its most playful and colorful look, and Afro’s hairstyle was fashionable. The 80s and 90s don’t have a representative trend. The old fashion, combined with the costumes of others cultures, make the fashion that we use now. The use of hippie or grunge clothes is common in some places, or Japanese influenced ones too. The hair with different colors, platforms, metallic color clothes, and colorful makeup are fashionable now.

Diabetes In India And Belgium Health And Social Care Essay

â€Å" Today, diabetes and other non catching diseases ( NCDs ) that portion the same hazard factors represent a taking menace to wellness and human development. An estimated 8 to 14 million people die prematurely every twelvemonth in developing states due to preventable NCDs – chiefly cardiovascular diseases, diabetes, malignant neoplastic diseases, and chronic respiratory diseases. These people are deceasing excessively immature as a consequence of increased exposure to the common hazard factors for NCDs: unhealthy diets, physical inaction, baccy usage and the harmful usage of alcohol. † ( WHO ) . Type 2 Diabetes Mellitus consequences from insulin opposition, a status in which cells fail to utilize insulin decently, sometimes combined with absolute insulin deficiency. ( Wikipedia ) . Diabetes is recognized as a group of heterogenous upsets with the common elements of hyperglycaemia and glucose intolerance, due to insulin lack, impaired effectivity of insulin action, o r both ( IDF ) .Epidemiology of T2DMDiabetess mellitus is one of the most common hormone upsets impacting about 6 % of the universe ‘s population. [ 1 ]Etiology of Diabetes mellitusThe causes of diabetes mellitus are incompletely understood. It has now been widely accepted that the cause of diabetes mellitus is multifactorial and that both familial and environmental factors play a conducive function. [ 1 ] Asiatic populations are multiracial and have multi factorial causes of type 2 diabetes. The mechanisms implicit in development of the disease are complex and varied, even within these populations. The major aetiologic constituents of type 2 diabetes are impaired insulin secernment and impaired insulin action, which are aggravated by the presence and grade of glucotoxicity. Both constituents might besides be genetically predetermined. [ 2 ]Definition of T2DMThe definition of diabetes may be given in different footings but the significance of the definitions is the same, as diabetes has become an endemic Non catching disease non merely in developed states but besides increasing prevalence in developing states. This displacement in the from traditional Healthy diets to western The Indian nutrient points are usually rich in fats and the method of the readying of a individual nutrient point differs from one individual to the other. The street nutrient peddling units and the wont of eating outside the place has mostly affected the normal nutrient forms in India. The street nutrients which include get downing from breakfast point like vada, poori etc has increased ingestion in the Indian population to the tiffin points and flushing bites which include mirch bajji, aloo bonda and confab bhandar nutrients has increased ingestion due to miss of clip to fix clip at place households are largely depending on the nutrient available outside the place. ( besides the Indian fast nutrient is bad: think of Vada-Pav ) fast nutrient diets, deficiency of regular physical activity, unable to keep a normal organic structure weight and increasing usage of baccy both in work forces and adult females are the nucleus causes for diabetes happening. I truly can non notice on this statement as I read it in one of the below listed articles ( Do you truly believe so? ! Where have you read this? Not right ) .EthnicitiesHarmonizing to the Journal article of Nepal Medical Association by Battarai MD [ 3 ] , Ethnicity is considered to be an of import factor in diabetes development with higher rates being reported in Asians, Hispanics, African Americans and autochthonal peoples of the USA, Canada, Australia and Pacific parts ( IDF ) . However the term ethnicity appears to transport the impression of prevailing familial component, which we can non alter. With increasing fleshiness, diminishing physical activity, and lifting life anticipation of population, prevalence of diabetes additions. Prevalence of ‘diagnosed ‘ diabetes in the USA increased increasingly from 0.9 % in 1958 to 5.9 % in 2006.Beginning: CDC.The universe broad statistics of diabetes from different cited articles suggests that, In Canada age adjusted addition in prevalence was from 4.4 % in 1986 to 6.6 % in 1991.11 Similarly in Iceland the prevalence in males was 2.8 % in 1970-1972, 4.5 % in 1979-1984 and 5.0 % in 1985-1990. The comparative diabetes prevalence estimations for 2007 in North America an d Europe are about 4-9 % . ( IDF ) . In the USA there is progressive addition in fleshiness and an estimated 66 % of grownups were fleshy or corpulent in 2003-2004. ( NCHS ) . Similar rise in fleshiness was seen in Europe. ( WHO ) The grownup average organic structure mass index ( BMI ) degrees of 20-23 kg/m2 were found among the general population in Africa and Asia, while degrees were 25-27 kg/m2 across North America and Europe in 2002. The proportion of entire estimated figure of people with diabetes in 2007 in 20-39, 40-59 and 60-79 age groups are 7-10 % , 36-45 % , and 46-57 % in European and North American parts severally and 23-33 % , 42-52 % and 25-30 % in African, South-East Asian and Eastern Mediterranean and Middle East parts severally. ( Bhattarai MD ) Prevalence of diabetes among grownups above 20 old ages in urban India was about 1 % in 1960 which increased steeply making to about 12 % by 2005. Similarly, analysis of old tendencies of age adjusted prevalence rates of diabetes in different urban countries reveals 7.7 % in 1990 and 8.9 % in 1995 in Hong Kong, 8.1 % in 1993 in Singapore and 11 % in 1995 in Taiwan ; 4 5 % in 1994 in urban Sri Lanka, 9.7 % in 2004 in urban Cambodia and 4.5 % in 1997 and 8.1 % in 2005 in Dhaka 9.5 % in Latinos and 13.3 % in Africans in 2005 in the USA and 15.2 % in Bahrain and Qatar and 19.4 % in the United Arab Emirates in 2007 ( Bhattarai MD )GENETICS OF T2DMType 2 diabetes is a disease characterized by impaired i-cell secernment of insulin, in combination with opposition to insulin in its mark tissues. Both insulin secernment and insulin sensitiveness are influenced by familial and environmental factors. [ 4 ] Although monogenic signifiers of diabetes have been found ( Table 1 ) [ 5 ] , the bulk of instances of type 2 diabetes do non demo heritage as a Mendelian trait, but instead as a genetically complex upset in which familial discrepancies predispose persons to develop the disease. The environmental factors, such as extra nutrient and limited physical activity. The rapid rise in diabetes prevalence over the last few decennaries strongly suggests that familial discrepancies involved in type 2 diabetes are interacting with environmental factors.Table 1. Genes Associated with Diabetess: Overview of their Target Tissue1, Function2, and Related Medication3DiabetessGeneProposed DiabetessTarget Cell Type / Tissue1MonogenicDiabetes4Type 2Diabetes5Proposed Function ( s ) for Gene Product2Drug ( s ) Affecting theSame Pathway as theDiabetess Gene3ABCC8 Pancreass i-CellTen– B-cell ion homeostasis and insulin secernment ; ATP-binding cassette transporter that modulates ATP sensitive K channels and insulin release Sulfonylurea derived functions ADAMTS9 UnknownTen– Cleavage of proteoglycans Unknown CDC123 Pancreass i-CellTen– Cell rhythm ordinance Unknown CDKAL1 Pancreass i-CellTen– Growth and development – Proinsulin to insulin transition Unknown CDKN2A Pancreass i-CellTen– Cell rhythm ordinance Unknown CEL unknownTen– Glycoprotein that is of import in ordinance of cholesterin Metamorphosis Unknown Terrorist organization hypothalamusTen– Associated to fleshiness Unknown GCK unknownTen– Catalyzes reaction from glucose to glucose-6- Phosphate Unknown HHEX Pancreass i-CellTen– Growth and development ; written text factor Unknown HNF4i Pancreass i-CellTen– Growth and development ; written text factor Unknown IDE Pancreass i-CellTen– Termination of the response to insulin Unknown IGF2BP2 Pancreass i-CellTen– Growth and development Unknown JAZF1 Pancreass i-CellTen– Cell rhythm ordinance ; transcriptional represser Unknown KCNJ11 Pancreass i-CellTenTen– B-cell ion homeostasis and insulin secernment Sulfonylurea derived functions KCNQ1 Pancreass i-CellTen– B-cell ion homeostasis and insulin secernment Sulfonylurea derived functions KLF11 unknownTenunknown Unknown NEUROD1 Pancreass i-CellTen– Growth and development ; written text factor that activates several cistrons including insulin and is of import for early i-cell development Unknown NOTCH2 Pancreass i-CellTen– Growth and development ; written text factor ; receptor for membrane edge ligands Unknown PDX1 Pancreass i-CellTen– Growth and development ; atomic protein that acts as a transcriptional activator of several cistrons including insulin and is of import for early i-cell development Unknown PPARG AdipocytesTen– Nuclear receptor ( transcription factor ) that regulates adipocyte distinction Thiazolidinediones SLC30A8 Pancreass i-CellTen– B-cell ion homeostasis and insulin secernment ; cellular outflow of Zn2+ ions – Proinsulin to insulin transition Sulfonylurea derived functions TCF1 Pancreass i-CellTen– Growth and development ; Transcription factor that forms a complex with the merchandise of TCF2 of import for Wnt signaling Unknown TCF2 Pancreass i-CellTenTen– Growth and development ; written text factor that forms a complex with the merchandise of TCF1 of import for Wnt signaling – Cell rhythm ordinance Unknown TCF7L2 Pancreass i-CellTen– Wnt signaling – Proinsulin to insulin transition Unknown THADA Pancreass i-CellTen– Apoptosis Unknown TSPAN8 UnknownTen– Glycoprotein involved in the mediation of signal Transduction Unknown WFS1 Pancreass i-CellTenTen– Apoptosis ; Endoplasmic Reticulum emphasis tract activation UnknownGenes included in the list are involved in type 2 diabetes, Maturity Onset Diabetes of the Young ( MODY ) , or Permanent Neonatal Diabetes Mellitus ( PNDM ) . The cut-off p-value for the inclusion of type 2 diabetes cistrons identified by GWAS is 1 ten 10-8 ( frayling TM et Al, Hiroyuki Unokil et Al, zeggini E et Al ) . The 3rd and 4th columns of the tabular array show whether a cistron is involved in monogenic4 or complexly inherited type 2 diabetes5.Other T2DM susceptibleness cistronsTCF7L2 joins a instead short list of cistrons that have been reproducibly associated with T2D. The strongest extra campaigners for this list include the E23K discrepancy of KCNJ11 and the P12A discrepancy of PPARG. Both of these associations have been replicated in several samples, and the cumulative grounds has long surpassed genome-wide significance. The past two old ages have witnessed an acceleration in our apprehension of both monogenic and multi factorial signifiers of diabetes. There are really strong evidences for believing that the following moving ridge of fresh diabetes-susceptibility discrepancies will flux from the genome-wide association surveies that are presently underway. As with TCF7L2, we can anticipate these to present important new penetrations into the pathogenesis of T2D and the allelomorphic architecture of complex traits in general. [ 6 ] Genome-Wide Association Studies ( GWAS ) Recent progresss in genotyping techniques and the aggregation of big, type 2 diabetes patient cohorts have made it possible to execute hypothesis-free genome-wide association surveies ( GWAS ) to place common familial discrepancies that increase susceptibleness to type 2 diabetes. It has been estimated that, in a Caucasic population, measuring 500,000 SNPs will observe around 80 % of the common familial fluctuation. The genome-wide attack has been really successful for type 2 diabetes, taking to the designation of over a twelve common familial discrepancies associated with the disease lying near cistrons that had non antecedently been associated with a diabetic phenotype. [ 4 ] WC Cut-offs for Asiatic Indians: a. Action level 1: Work force: 78 centimeter, adult females: 72 centimeter. Any individual with WC above these degrees should avoid deriving weight and maintain physical activity to avoid geting any of the cardiovascular hazard factor. These action degree 1 cut-offs demand to be researched farther. B. Action level 2: Work force: 90 centimeter, adult females: 80 centimeter. Capable with WC above this should seek medical aid so that obesity-related hazard factors could be investigated and managed. [ 7 ]Diet and T2DMDietary fat and insulin opposition Dietary polyunsaturated fatty acids ( PUFAs ) : An impressive organic structure of grounds has established the nexus between dietetic lipoids, membrane lipoids and insulin opposition in carnal surveies. Overall, surveies have shown that dietetic I†°-3 PUFAs addition EPA and DHA content of phospholipids membrane, better lipoid profile and have either a good or no consequence on insulin sensitiveness. Dietary saturated fatty acids ( SFAs ) : Consumption of SFAs is a important independent forecaster of fasting and postprandial insulin concentrations. Overall consumption of dietetic SFAs is positively related to insulin opposition. Replacing SFAs with MUFAs or PUFAs in dietetic fat may be a utile dietetic intercession to forestall metabolic impairment. Dietary glandular fever unsaturated fatty acids ( MUFAs ) : Overall, high MUFAs diets have shown good consequence in direction of T2DM but its influence on insulin opposition, although appears good, is still inconclusive. Dietary trans fatty acids ( TFAs ) : Dietary TFAs consumption has been found to be associated with dyslipidaemia and addition hazard of T2DM and CVD, but the relationship between dietetic TFAs and insulin opposition has been ill investigated. Overall, limited informations suggest that dietetic TFAs consumption, although associated with dyslipidaemia and addition hazard of T2DM and CVD, may non impact insulin sensitiveness particularly in healthy persons. Conjugated linoleic acid ( CLA ) : CLA is a mixture of positional and geometric isomers of LA ( 18:2n-6 ) normally found in beef, lamb and dairy merchandises. Overall, limited informations suggest that dietetic TFAs consumption, although associated with dyslipidaemia and addition hazard of T2DM and CVD, may non impact insulin sensitiveness particularly in healthy persons. Dietary saccharide consumption and insulin opposition Sucrose/fructose: high sucrose/fructose diet additions organic structure weight and hazard for T2DM and its influence on insulin sensitiveness, although appears hurtful, is still inconclusive. Low glycaemic index nutrients: Prospective surveies have shown that ingestion of low dietetic GI nutrients is associated with a lower hazard of T2DM, proposing a preventative function of low GI diets. [ 8 ] . A low GI diet improves blood glucose control as manifested by lowered day-long glycaemia, lowered glycosylated haemoglobin concentration and improved glucose tolerance. A retrospective meta analysis of randomized controlled clinical tests comparing low and high GI diets in the intervention of T1DM and T2DM. They found that low GI diets globally reduced HbA1C by 0.43 per cent points compared to high GI diets in surveies with both T1DM and T2DM topics. [ 9 ] Whole grain consumption: In sum-up, whole grain consumption is associated with lower prevalence of the metabolic syndrome, BMI values, entire cholesterin, and LDL-C degrees and improves insulin sensitiveness. Asiatic Indians in India consume comparatively more saccharides ( ~60-67 % of the energy consumption ) as compared to the migratory Asiatic Indians in UK ( ~46 % of the energy consumption ) and USA ( ~56-58 % of the energy consumption ) . Sevak et Al found that carbohydrate consumption ( as a per centum of entire energy ) was reciprocally correlated with insulin sensitiveness ( i.e. , entire saccharide and sucrose were positively correlated with insulin opposition ) , with a stronger correlativity for sucrose than for amylum. The same form was seen for fasting insulin, but the correlativity was weaker [ 10 ] . Data suggest that dietetic I†°-3 PUFAs addition EPA and DHA content of phospholipids membrane, better lipoid profile and may hold good consequence on insulin opposition. Dietary SFAs consumption is positively associated with insulin opposition. Replacing dietetic SFAs with PUFAs or MUFAs can hold positive effects on insulin sensitiveness. High sucrose/fructose diet addition organic structure weight, and hazard for T2DM, and may hold hurtful consequence on insulin sensitiveness. Evidence suggests that high saccharide diets increase concentrations of plasma triglycerides and diminish HDL-C and LDL-C and do postprandial hyperinsulinaemia. However, it is still non clear from the available informations whether the clinical public-service corporation of increasing the fibre content or diminishing the GI of low-fat/high-carbohydrates diets is preferred to merely replacing saturated fat with unsaturated fat and diminishing saccharides intake to diminish insulin opposition. [ 10 ] Familial sensitivity, dietetic wonts, quickly altering life style, physical inaction and migration are conducive factors for high prevalence of insulin opposition in Asiatic Indians compared with white Caucasic and in-depth probes on these issues are required. Asiatic Indians and South Asians have higher consumptions of saccharide and I†°-6 PUFAs, lower consumptions of I†°-3 PUFAs and fi ber, and higher I†°-6/I†°- 3 PUFAs ratio as compared to white Caucasians. Recently, our group has reported that dietetic I†°-6 PUFAs consumption is signifi cant independent forecasters of fasting hyperinsulinaemia in immature Asiatic Indians. ( Change in wonts )MANAGEMENT OF TYPE 2 DIABETESThe corner rock for diabetes direction still lies in diet and exercising [ 11 ] . There is besides a easy spread outing list of drugs being used to handle type 2 diabetes, all of which act through one of the tracts of import in diabetes pathophysiology. However, neither alterations in lifes tyle nor the usage of medicine are sufficient to bring around diabetes, although both intercessions can detain the patterned advance of disease. [ 12 ] There is hence an pressing demand to develop new medicines or schemes to counter the immense addition in instances expected in the hereafter. Since the direction of type 2 diabetes with either lifestyle alterations, medicine or both, is more effectual when started at an early phase, bettering the techniques for early diagnosing and the chances for early intercession will greatly better the effects of current ways of pull offing type 2 diabetes.IMPLICATIONS FOR PREVENTION AND TREATMENTFamilial Screening for Prediction and PreventionThe effectivity of current type 2 diabetes direction is greatly improved when it is started at an early phase of the disease. If familial testing could be used to foretell type 2 diabetes, preventative steps could be taken and diabetes could potentially be managed more easy. However, the discrepancies assoc iated with type 2 diabetes that have been identified so far merely explicate a little per centum of the entire familial fluctuation that is thought to be present [ 13-14 ] . It is hence non yet possible to execute accurate prognostic familial testing but, in the close hereafter, research should supply more penetration into the chances for such testing. Common discrepancies in type 2 diabetes cistrons associating to cell rhythm events and programmed cell death, and stand foring different allelomorphs than those associated to type 2 diabetes, are besides associated with assorted malignant neoplastic diseases. [ 4 ] . ( This above article from mention 4 ) In the survey by Leitzmann M F, et Al, revealed that diabetes was reciprocally associated with early phase prostate malignant neoplastic disease but it showed no relation with aggressive prostate malignant neoplastic disease. But there was an association between diabetes and aggressive prostate malignant neoplastic disease in the subgroup of work forces with a low BMI. [ 15 ] Both a high proportion of organic structure fat and a predomination of cardinal fleshiness are associated with insulin opposition. A high proportion of Asiatic people have both these features, and might besides hold pancreatic I?-cell secretory defects. [ 16 ]Diabetess and other complications because of diabetesA epidemiological survey estimated the prevalence of anaemia to be 12.3 % in persons with type 2 diabetes mellitus, above the age of 40 old ages ; no gender differences were observed. Persons with anaemia were 1.80 times more likely to develop diabetic retinopathy than persons with no anaemia. In work forces, the hazard of developing diabetic retinopathy increased to 2.05 times. A salient determination was the association between the continuance of diabetes and the prevalence of anaemia. Persons with continuance of diabetes of more than 5 old ages have 1.56 times higher hazard of developing anaemia than those with diabetes for less than 5 old ages. These observations suggest that anemia rating should be considered in the everyday direction of individuals with diabetes and should be treated to minimise the hazard of microvascular complications such as nephropathy and retinopathy. ( Anemia and Diabetic Retinopathy in Type 2 Diabetes Mellitus, Padmaja Kumari Rani )T2DM Is a Familial Disease: Classical Evidence1. The spectrum of T2DM prevalence in different cultural groups ‘ The prevalence of T2DM varies widely among populations, but the disease prevalence varies well among cultural groups that portion a similar environment supports the thought that familial factors contribute to disease sensitivity. 2. Familial collection: Other than cistrons, households portion environments, civilization and wonts, yet familial collection of the disease is another beginning of grounds for a familial part to the disease. 3. Twin surveies: Multiple surveies of duplicate harmony rates have been undertaken in T2DM. Estimates for harmony rates have ranged from 0.29 to 1.00 in monozygotic ( MZ ) twins, while in dizygous ( DZ ) twins the scope was 0.10-0.43. In malice of several cautions in duplicate surveies, the high harmony in MZ twins and the 50 % autumn in DZ twins provides compelling grounds for a familial constituent of T2DM. 4. Heritability of intermediate phenotypes: Insulin sensitiveness and insulin secernment deteriorate in analogue in most human T2DM.Oxidative Metabolism and the Pancreatic I?-CellInsulin secernment by the pancreatic I?-cell is modulated by multiple stimulations. Oxidative mitochondrial metamorphosis and adenosine triphosphate ( ATP ) coevals is indispensable to glucose stirred insulin secernment. The increased ratio of ATP to adenosine diphosphate ( ADP ) in the I?-cell triggers a series of events: suppression of the cell ‘s ATP/ADP-regulated K channel ( KATP, encoded by cistrons KCNJ11 and ABCC8 ) , plasma membrane depolarisation, gap of a voltage-gated Ca channel, Ca inflow, and conveyance and binding of insulin granules to the cell surface [ 17 ] . The ATP/ADP ratio is in bend altered by UCP2, an built-in mitochondrial membrane protein that permits protons to leak across the mitochondrial inner membrane, therefore decoupling of glucose oxidative metamorphosis from ATP produc tion. By diminishing the sum of ATP generated from glucose, UCP2 look negatively regulates glucose-stimulated insulin secernment. Over-expression of UCP2 in I?-cells in vitro lessenings glucose-stimulated insulin secernment [ 18 ] . Glucose homeostasis: the cardinal nervous system. Degrees of glucose in the blood are regulated by a complex interplay between the visual aspect of glucose from both enteric soaking up and hepatic production and its disappearing through insulin-dependent and insulin independent glucose consumption in a assortment of tissues. After the nightlong fast, glucose is mostly produced by animal starch dislocation and gluconeogenesis. About 80 % of this glucose released by liver is metabolized independent of insulin by encephalon and other insulin-independent tissues ( intestine, ruddy cells ) . The median hypothalamus, a major planimeter of nutritionary and hormonal signals, plays a polar function non merely in the ordinance of energy balance but besides in the transition of liver glucose end product.The I?-Cell and Type 2 DiabetessDamage of insulin secernment from pancreatic I?-cell is besides a major constituent of T2DM pathogenesis. Analysis of mutants involved in six different adulthood onset diabetes of the immature ( MODY ) cistrons have revealed the of import function of written text factors in the insulin secernment. Many mec hanisms lending to T2DM may trip I?-cell programmed cell death and decreased I?-cell mass or ability to counterbalance for insulin opposition [ 19 ] Cost of diabetes in India. Figure 1-Expenditure incurred by urban and rural topics in relation to the figure of complications. The x-axis shows the prevalence of complications, and the y-axis shows the outgo incurred in Indian Rs. In a survey Ramachandran A et Al, [ 20 ] indicated that the economic load of diabetes care on households in developing states is lifting quickly, even after accounting for the rising prices. The highest addition in per centum of family income devoted to diabetes attention was in the lowest economic group ( 34 % of income in 1998 vs. 24.5 % in 2005 ) . There was a important betterment in urban topics in medical reimbursement from 2 % ( 1998 ) to 21.3 % ( 2005 ) . So the survey concludes that Urban and rural diabetic topics spend a big per centum of income on diabetes direction. The economic load on urban households in developing states is lifting, and the entire direct cost has doubled from 1998 to 2005. [ 20 ]High Prevalence of Diabetes and Cardiovascular Risk Factors Associated With Urbanization in IndiaThis survey studies alterations in diabetes prevalence based on population studies in Southern India. The prevalence of diabetes in the metropolis and the town was similar. IGT decreased in all countries, most markedly in the metropolis, accompaniment with an addition in diabetes. High prevalence of diabetes in the metropolis and the town and a rapid addition in the PUVs could mostly be due to urbanisation. Urbanization in India is expected to make 46 % by 2030 ( WHO Demographic tendencies ) ; hence, in the hereafter a larger part to the diabetic population would be from rural countries. The most unexpected findings in the survey were the pronounced addition in prevalence of diabetes in the PUVs and a crisp decrease in IGT in all countries. One of the restrictions was that comparings were made of surveies done in different PUV locations. Therefore, temporal alterations and geographic differences could hold contributed to the differences. Demographic and population features of the survey populations were similar in these country [ 21 ] In a survey by Ramachandran A et Al fleshiness, female sex, parental history of type 2 diabetes, and pubertal age appeared to be strongly associated with the disease in Asiatic kids. Unlike in the kids with type 1 diabetes who had acute oncoming of the disease with terrible symptoms and ketoacidurias, thin organic structure weight, and deficiency of familial collection, the type 2 diabetic kids showed characteristics similar to authoritative grownup onset type 2 diabetes. Obesity was present in lone half of the probands seen by them. Insulin opposition is a common characteristic even in nonobese Asian-Indian topics. Type 2 diabetes in kids is an entity that needs to be recognized and looked for, particularly in corpulent kids of diabetic parents in India. Asymptomatic nature may detain the diagnosing in many as it normally does in grownup type 2 diabetic topics. [ 22 ]Treatment of T2DMA survey by Knowler WC, et Al revealed that Lifestyle alterations and intervention with Glucophage b oth have reduced the incidence of diabetes in individuals at high hazard. It besides stated that lifestyle intercession was more effectual than Glucophage. [ 12 ] In the farther surveies by Molitch M E, et Al, showed the incidence of diabetes was reduced by 58 % with the lifestyle intercession and by 31 % with Glucophage, compared with placebo. These effects were shown to be similar in work forces and adult females, and in all racial and cultural groups. [ 23 ]Research Design and Method:In India population-based survey for patients with Diabetes Type 2 were indiscriminately sampled who reported to the General doctors at 2 Super forte Hospitals in Hyderabad metropolis, Andhra Pradesh were taken as a portion of survey, 30 topics with T2DM for non more than 2 old ages were included in the survey. ( Split the sentenceaˆÂ ¦ . Should do a clear sense ) These people ( what do you intend mostlyaˆÂ ¦ . Is it hard to see in a group of 30 people what age they have? were between 28- 65years of age without any gender specifications. The patients with anterior assignment of physician in the outpatient ward and the patients admitted in the inpatient ward of the infirmary with some wellness jobs and ready to dispatch were included in the samp le. ( Decide which tense you want to utilize and lodge to it. ) The research worker had clearly explained the intent of the survey to the respondents in the local linguistic communication. Consent signifier had been obtained by the Researcher in the presence of either the General Physician or the Dietician in the several Hospitals. The physician and the Dietician encouraged the patients to register in the survey, the patients who had been detected as diabetic were sent for HbA1c scrutiny. The research worker had personally administered a questionnaire framed in English but to cut down the measuring error the questionnaire had been administered in the local linguistic communication which includes the Personal Information of the respondent, Family history of Diabetes, Medical unwellness for the past few old ages before the oncoming of T2DM and before diagnosing of T2DM, anterior operations, ( from the clip the patient had the disease, the happening of a peculiar disease ( s ) in the p atients wasaˆÂ ¦aˆÂ ¦..need rectification ) ( howmany ) oncoming of T2DM and Anthropometric Measurements were performed. Weight and Height were measured to enter Body Mass Index shortly called as BMI. ( Give a fullform of BMI excessively ) BMI was recorded as weight ( kgs ) divided by tallness ( metres ) squared. Waist and hip perimeters, Physical activity type, both recreational and occupational, and continuance was assessed by the validated questionnaire. Last the Food ingestion form of the respondent was assessed, the questionnaire was subdivided into 7 chief nutrient groups as per the guidelines of ‘Nutritive value of Indian Foods ‘ . Eating wonts were assessed on a hebdomad footing of all nutrients. In Belgium the patients with 2nd hourly OGTT value ( Oral Glucose Tolerance Test ) of & gt ; 200mg/dl are termed to be diabetic. Personal information, past unwellness and wellness position, medical history of the patient is ( mind your tense please ) recorded by the Dietician. The existent nutrient consumptions of the respondent and dietetic advice given were taken into consideration for survey. The patient with diabetes type 2, detected non more than two old ages old have been selected for the survey ( mind your tense ) ( this sentence is non clear: make you intend diabetes detected in last two old ages?Literature reappraisal:Diabetess mellitus is characterized by elevated glucose in the plasma and in some patients leads to episodic diabetic acidosis. In terrible diabetes mellitus with an early oncoming ; characterized by polyuria and inordinate thirst and increased appetency and weight loss and episodic diabetic acidosis ; diet and insulin injections are required to command the dis ease ( compare your this sentence with your sentence in pink on the following page ; contradiction! ! ! ! ! ! ) . Additional symptoms of diabetes mellitus include inordinate thirst, glucosuria and lipaemia. If left untreated the disease can take to fatal diabetic acidosis. Diabetess mellitus is a heterogenous clinical upset with legion types. Type 2 diabetes is one of them. I mean Diabetes Mellitus is of different types Eg: Type 1, Type 2 and Gestational Diabetes and Type 2 is one of them. ? ? ? ? ? ? ? ? ? ? ? what? Is type 2 diabetes a cause of DiabetesaˆÂ ¦ ? ? ? Type 2 diabetes is characterized by insulin opposition and comparative insulin lack, either of which may be present at the clip that diabetes becomes clinically manifest. The diagnosing of type 2 diabetes normally occurs after the age of 40 old ages but could happen earlier, particularly in populations with high diabetes prevalence. Type 2 diabetes can stay undetected, i.e. symptomless, for many old ages and the diagnosing is frequently made from associated complications or by the way through an unnatural blood or urine glucose trial. Type 2 diabetes is frequently, but non ever, associated with fleshiness, which itself can do insulin opposition and lead to elevated blood glucose degrees. It is strongly familial, but major susceptibleness cistrons have non yet been identified. There are several possible factors in the development of type 2 diabetes. Some Peoples with type 2 diabetes are non dependent on exogenic insulin and are non ketosis-prone, but may necessitate insulin for control of hyperglycemia if this is non achieved with diet alone or with unwritten hypoglycemic agents. The lifting prevalence of type 2 diabetes is associated with rapid cultural and societal alterations, ageing populations, increasing urbanisation, dietetic alterations, reduced physical activity and other unhealthy life styles like extra intoxicant ingestion, debris nutrient ingestion and behavioural forms like urban nerve-racking life. ( like what? ) The statistics suggests from WHO on planetary prevalence of Diabetess from estimations for twelvemonth 2000 and projections for twelvemonth 2030 suggests that figure of people with diabetes is expected to duplicate between 2000 and 2030 ( WHO data and statistics ) . India will stand in the first topographic point of diabetes patients. Most of these expected population will be from the urban population. The projections of the WHO data reveals that India has ( tense ) 31,705,000 million in twelvemonth 2000, but by twelvemonth 2030 they are expected to be 79,441,000 million ( WHO ) which shows the badness of the prevalence. It was besides estimated that the age group between 45-64 years are more likely to develop diabetes in developing states by 2030. Concentrating on the Indian scenario on Diabetes the first national survey on the prevalence of type 2 diabetes in India was done between 1972 and 1975 by the Indian Council Medical Research ( ICMR, New Delhi ) .Screening was done in approximately 35,000 persons above 14 year of age, utilizing 50 g glucose burden. Capillary blood glucose degree & gt ; 170 mg/dl was used to name diabetes. The prevalence was 2.1 per cent in urban population and 1.5 per cent in the rural population while in those above 40 year of age, the prevalence was 5 per cent in urban and 2.8 per cent in rural countries. [ 24 ] The above mentioned informations from ICMR survey between 1972 and 1975 clearly shows that there is a drastic addition in Type 2 diabetes from early 80 ‘s and continuously started increasing in the consequent old ages in the urban and the rural population. ( unusual decision without informations for comparing ) On the other side Belgium, the trade capital of the European Union has 317,000 people with Type 2 diabetes in the twelvemonth 2000 and they are expected to increase to 461,000 by the twelvemonth 2030 ( Prevalence of diabetes in WHO European part ) CODE-2 survey [ 25 ] was the first big coordinated effort to measure patient attention together with the cost of patients with Type II diabetes throughout Europe. The CODE-2 survey measured the criterion of attention and entire health care costs in eight European states – Belgium, France, Germany, Italy, the Netherlands, Spain, Sweden and the United Kingdom utilizing a prevalence-based design and affecting over 7000 patients. The chief aim was to mensurate the entire health care costs of people with Type 2 diabetes in each of the specified states. Secondary aims included finding the current quality of attention for Type 2 diabetes patients and benchmarking current clinical pattern against glycaemic, lipid and blood force per unit area marks? ? ? ? The CODE 2 survey provinces that the above mentioned primary and secondary aims have to be taken into consideration to cut down the incidence of diabetes in the 8 European states. The clinical patterns against glycaemic, lipid and bl ood force per unit area marks were recommended by current European diabetes pattern guideline. The 1999 European Diabetes Policy Group ( EDPG ) intervention guidelines were used in this analysis as an up-to-date European benchmark against which the CODE-2 information was compared. The 1999 guidelines were selected as the mark European benchmark for diabetes direction because information for the CODE-2 survey was collected between November 1998 and May 1999. [ 25 ] High proportion of patients with hazard factors for diabetes-related complications are non adequately controlled. Improvements in disease direction and monitoring are hence required to guarantee that guideline marks are met, therefore cut downing the long-run complications of Type II diabetes [ 26 ] Another survey suggests that Health Related Quality of Life is an of import issue in Type 2 diabetes which can diminish the patterned advance of T2DM. [ 27 ] ( Your sentenceaˆÂ ¦ ! ! ! ) A diary by Fleming D M et Al revealed that Diabetes mellitus prevalence rates Belgium per 1000 by age and gender are 1.1 ( 0-24y ) , 6.3 ( 25-44y ) , 54.6 ( 45-64y ) , 112.5 ( 67-74y ) , 122.3 ( & gt ; 75y ) , with entire of 30.9 ( males ) and for females 1.5 ( 0-24y ) 6.6 ( 25-44y ) , 42.8 ( 45-64y ) , 95.9 ( 67-74y ) , 137.1 ( & gt ; 75y ) , with entire of 34.0 ( females ) [ 28 ] This survey besides suggested that the prevalence in Belgium measured in all ages and in 45 old ages and over males and females was higher than in the seven other states. This sentence was exact text from the cited article [ 28 ] ( Your sentence does non do much sense. ) The challenges that India faces are non alone. Lending factors in prevalence of type 1 and type 2 diabetes include: alterations in traditional diet, progressively sedentary life styles, general and splanchnic fleshiness, increased life anticipation and better interventions for other dangerous diseases. [ 29 ] The survey by Shetty, P.S, et Al on nutrition passage of India indicated that the demographic alterations, rates of urbanization and alterations in dietetic forms are lending to the altering tendencies in chronic disease in India. There is clear grounds of a demographic, epidemiological and nutrition passage in India that is fuelling the epidemic of chronic diseases and fleshiness, peculiarly in the urban countries. [ 30 ]