Skin Cancer Essays (1375 words) - Dermatologic Surgery, Carcinoma

Skin Cancer Every hour one American is killed by skin cancer and every thirty seconds one American gets skin cancer. Cancer is a deadly disease that alters the DNA of a skin cell and causes it to reproduce at a rapid pace. This overproduction of cells can be harmful and in many cases deadly. Out of these cancers the most common is Basal cell carcinoma. Many steps have been made in the treatment of Basal Cell Carcinoma, some have been very successful and some not. The cells that have the altered DNA are called malignant or cancerous cells. These cells are found in the outer layers of the skin. The skin's main job is to protect the body from infections and to insulate the body to keep it at the proper temperature. The first layer of skin is called the epidermis. This is the layer that is closest to the surface of the skin. There are three types of cells in this layer. The first is the squamace. The squamace cells are flat and scaly and are located closest to the surface of the skin. Second are the basal cells and finally are the melanocytes, which give the skin its color. The second layer of skin is the dermis, which is much thicker than the epidermis. This layer contains sweat glands, nerves and blood vessels. The dermis also contains follicles, which are tiny pockets from which the hair grows. The most common malignant cells are the basal cells. Cancer in the basal cell is called nonmelanoma cancer. This means that the cancer did not start in the melanocytes located in the epidermis. Basal Cell Carcinoma is caused by overexposure to the sun. The sun gives off ultraviolet rays, which are harmful to the human body. Basal cell carcinoma will affect body parts such as the eyes, ears and nose. If it is detected before it gets deep into the skin there will most likely be no problem treating the cancer. A problem will occur if it isn't detected quickly enough and it has progressed into the deep portions of the tissue. If Basal cell carcinoma is left untreated it can be very hard to treat and may even cause death. The common methods of treatment involve the use of Mohs micrographic surgery, radiation therapy, electrodesiccation and curettage, and simple excision. Each of these methods is useful in specific clinical situations. Depending on the case, these methods have cure rates r anging from 85% to 95%. Mohs micrographic surgery, a newer surgical technique, has the highest cure rate for surgical treatment of both primary and recurrent tumors. This method uses microscopic control to determine the extent of tumor invasion. Although Mohs micrographic surgery method is complicated and requires special training, it has the highest cure rate of all surgical treatments because the tumor is microscopically outlined until it is completely removed. While other treatment methods for recurrent basal cell carcinoma have failure rates of about 50%, cure rates have been reported at 96% when treated by Mohs micrographic surgery. Mohs micrographic surgery is also indicated for tumors with poorly defined clinical borders, tumors with diameters larger than two cm, tumors with histopathologic features showing morpheaform or sclerotic patterns, and tumors arising in regions where maximum preservation of uninvolved tissue is desirable, such as eyelid, nose and finger. Next there is a treatment involving simple excision with frozen or permanent sectioning for margin evaluation. This traditional surgical treatment usually relies on surgical margins ranging from three to ten millimeters, depending on the diameter of the tumor. Tumor recurrence is not uncommon because only a small fraction of the total tumor margin is examined pathologically. Recurrence rate for primary tumors greater than 1.5 cm in diameter is at least twelve percent within five years. If the primary tumor measures larger than three cm, the five year recurrence rate is 23.1%. Primary tumors of the ears, eyes, scalp, and nose have recurrence rates ranging from 12.9% to 25%. Third there is electrodesiccation and curettage. This method is the most widely employed method for removing primary basal cell carcinomas. Although it is a quick method for destroying tumor, adequacy of treatment cannot be assessed immediately since the surgeon cannot

7 Unique Valentines Day Gift Ideas

7 Unique Valentines Day Gift Ideas Valentines Day can instill fear into the heart of even the best gift-givers. But as a college student, your funds and options might be limited. What can you give your girlfriend or boyfriend that still gets your message across without seeming too boring and traditional? 7 Unique Valentines Day Gifts Serve breakfast in bed:Â  Instead of a dinner out, surprise your boyfriend or girlfriend with breakfast in bed. It can be as simple as hot coffee and a muffin or as fancy as homemade pancakes and bacon.A picnic with your favorite foods: Does your boyfriend or girlfriend love cereal, for example? Pack their favorite kind in a bag along with some milk, 2 bowls, and 2 spoons, and voila. Youve got yourself one amusing but sweet Valentines Day picnic.Handmade paper flowers:Â  The usual flowers are, of course, a sweet gesture, but they do die after a week or so and can be outrageously expensive around Valentines Day. Instead, make your own flowers out of paper (some craft stores even have kits) for a present that will last a long time and remind your partner how much you care.Buy a kids book with a sweet message: While kids books are, of course, written mostly for kids, they can have sweet messages about loving someone. Find one that works well with your particular relationship for a uni que present that will undoubtedly be cherished for a long time. Make a donation to charity: If your partner isnt into traditional gifts but you want to get them something anyway, consider making a donation to charity. It can be a donation to a local organization, Doctors Without Borders, or even Heifer, which allows you to give enough money so that someone in a developing country can, for example, buy a flock of chickens. (Because who doesnt like getting chickens for Valentines Day?)Bake something homemade: Everyone loves homemade goods; luckily, even if youre not good in the kitchen, you can still give a unique homemade good with a little coordination. You can always order something from a nice local bakery or even make something from a box/mix that you got at the grocery store. Add a little of your own decorations and youll be good to go.Pack a huge box filled with lots of tiny things:Â  Does your partner love a certain kind of candy bar? Little boxes of cereal? A certain kind of cookie? Find the smallest sizes you can of your boyfriend or gir lfriends favorite treats, wrap them all up individually, and then present them all in a big box. Opening up that many presents, even if theyre all similar products, will definitely be one Valentines Day to remember.

Display Todays Date on Your Website

Display Today's Date on Your Website Server-side PHP scripting gives web developers the ability to add features that change  to their websites. They can use it to generate dynamic page content, collect form data, send and receive cookies and display the current date. This code only works on pages where PHP is enabled, which means the code displays a date on pages that end in .php. You can name your ​HTML page with a .php extension or other extensions set up on your server to run PHP. Example PHP Code for Todays Date Using PHP,  you can display the current date on your website using a single line of PHP code. Heres How It Works Inside an HTML file, somewhere in the body of the HTML, the script starts  by opening the PHP code with the symbol.Next, the code uses the print( ) function to send the date it is about to generate to the browser.The date function is then used to generate the current days date.Finally, the PHP script is closed using the ? symbols.The code returns to the body of the HTML file. About That Funny-Looking Date Format PHP uses formatting options to format date output. The lower case L- or l- represents the day of the week Sunday through Saturday. F calls for a textual representation of a month such as January. The day of the month is indicated by d, and Y is the representation for a year, such as 2017. Other formatting parameters can be seen at the PHP website.

SWOT Conversion Essay Example | Topics and Well Written Essays - 1000 words

SWOT Conversion - Essay Example They thus provide impetus for strategic changes within the managerial and marketing processes for improved performance. As Marketing Manager of Tesco Plc, I would be evaluating the SWOT analysis tools of Tesco against that of its competitor, IKEA, UK, in its furniture segment. Overview of Tesco Tesco Plc. is one of largest global supermarket chains with workforce of 472000 strong people in more than 4811 outlets across 14 countries (tesco, 2010). As a leading food and non food supermarket, it has created a niche market position in UK and across the globe. Its non food segment, especially the furniture segment directly competes with IKEA which is a leading home furniture retailer with a global presence. Though a relatively recent entrant into this area, Tesco has been able to make significant inroad into this market and compete with the market giant like IKEA through sustained efforts to diversification based on changing preferences of people. Tesco strength lies in its strategic plan ning that has effectively relied on marketing tools like SWOT and Porter’s five force analysis to gain leverage against its competitors in the field. Critical analysis of SWOT theory vis-a-vis IKEA SWOT analysis IKEA’s major strength is its global brand with emphasis on sustainable business practice and cost consciousness. It extensively uses renewable materials through design innovation, reducing wastage and promoting environment conservation in its supply chain management. Tesco, on the other hand has long since been a promoter of sustainable development and has continuously strived for highly indigenous techniques for carbon footprints. It has increasingly introduced organic food and non food item in its ever widening product lines. It is committed to carbon neutral policy by 2050 and diligently helps its customers to considerably reduce their carbon footprints by 2020 (ibid). Tesco has also been a leader in providing its customers with quality products at very comp etitive prices. Tesco’s Clubcard is testament of its huge database of satisfied and committed clientele which boasts of over fifteen million active members! Clubcard is a unique way of rewarding its customers through discounts vouchers and reward points. It has in fact become one of major elements of competitive advantage against IKEA. The IKEA’s KPI or key performance indicator broadly relies on its IWAY process for defining its social and environmental compulsions for its products and its various supply chain partners. Tesco has formulated stringent guidelines under ETI or ethical trading initiatives that promote sustainable practices across all its business partners. IKEA’s design initiatives for its furniture and furnishing, is highly creative. NORDEN and LACK tables, OGLA chairs etc are exemplary examples of waste management. It has also refined its transportation logistics to reduce carbon footprints. TESCO’s ergonomically designed state of the art furniture are cost effective but it nevertheless needs to improve its waste management policies on production through more creative inputs. Not many of its items are made from waste but introduction of products made from paper mache has increasingly become popular amongst the masses. Tesco believes in forging alliances with local

Management Research Proposal Assignment Example | Topics and Well Written Essays - 1000 words

Management Research Proposal - Assignment Example Being able to increase profit margins has been one of the main points of interest among most shareholders (Moynihan 2012). Top managements of organizations have found themselves in the state of concentrating their attention towards profit maximization, as desired by shareholders. However there is one important aspect of management that need to be given attention by shareholders, management and other members of staff in an organization. Both non-profit and profit making organizations need to identify monitor and benchmark their operational activities. The progress of organizations can not just be measured in terms of profits made only but a thorough understanding of key performance factors has to be considered (Ngo 2013). Various assessment techniques need to be used by organizational management in determining the progress as well as impacts brought about by their operational activities. Managers ought to determine all relevant factors detailing the progress made by their organization (IÅŸÄ ±k 2013). Since the visions, missions and goals are aimed at outlining activities as well as offering guidelines on the desired actions to be undertaken by organizations, managers need to keep track of progress attained (Luo 2012). Therefore, this research proposal will seek to determine the need for organizational managers to embrace performance indicators in assessing the level of progress achieved (PopoviÄ  2012). The main reason leading to selection of the role of performance indicators towards success of business an organization was as a result of interacting with managers from different organizations. Most of them were concerned about identifying approaches that could enable them monitor the progress registered by their organizations as well as gauging achievements that can be clearly presented to both internal and external clients. Almost every successful business organizations apply performance indicators.

Medical Assisting Essay Example for Free

Medical Assisting Essay Medical Assistants are crucial people in the medical field. â€Å"Medical Assistants are multi-skilled members of the health care team who perform administrative and clinical procedures under the supervision of a licensed health care provider such as a nurse or doctor.†(American Association of Medical Assistants, Library) Medical Assistants do have a variety of different duties that they have to perform on a day to day basis. As a medical assistant, a person will have administrative and clinical duties; work with nurses and doctors, and comply with OSHA and HIPAA guidelines. Some of the administrative duties a person might have to perform as a medical assistant include: â€Å"greeting patients, handling correspondence, scheduling appointments, answering telephones, creating and maintaining patient medical records, handling billing and insurance processing, and performing medical transcriptions.† (K. Booth, L. Whicker, T. Wyman, S.M. Wright 2008-2011) All of these administrative duties that a medical assistant does, they must remember to follow HIPAA guidelines and privacy of the patient. (HIPAA stands for Health Insurance Portability and Accountability Act.) If a medical assistant fails to follow these guidelines they could possibly face legal charges such as: fines, imprisonment, and/or loss of job. There was a case in Kansas were a man was suspended for unknown causes but, did have to go to court to see if an immediate danger to the public health, safety, or welfare requiring immediate state agency action. said presiding officer Dr. Nancy Welsh. Some of the clinical duties a medical assistant might have to perform include: â€Å"assisting the doctor during the examination of a patient, infection control, performing tests (urinalysis, blood work, ECGS(Electrocardiogram)) , preparing and giving injections and medications, phlebotomy (blood work), disposing of contaminated supplies, preparing patient for examination, vital signs and medical histories, preparing the exam room before and after examination of a patient, removing of sutures or changing dressings on wounds, and sterilizing equipment.†(K. Booth, L. Whicker, T. Wyman, S.M. Wright, 2008-2011) With all of the clinical duties, as well as the administrative duties, a medical assistant must remember to follow the HIPAA guidelines. Depending on the office a medical assistant works in will depend on the clinical duties they will be preforming. For example, if a medical assistant is assisting a surgeon or a surgical technician they might have duties like: sterilizing e quipment, making sure the operating room is stocked properly with supplies(gauze, medical tape, suture kits), and talking with the patient about the procedure. As a medical assistant there are certain values or qualifications that you need to have. These qualifications might include: critical thinking skills, time management, empathy, attention to detail, flexibility, professionalism, neat appearance, positive attitude, remaining calm in a crisis, team work, proper judgment, and good communication skills. (K. Booth, L. Whicker, T. Wyman, S.M. Wright, 2008-2011) Such things as time management, empathy, attention to detail, neat appearance, and positive attitude are extremely important in the medical field. No patient wants to be taken care of by someone who is rude, has a negative attitude, does not exhibit proper hygiene, or who just plainly doesn’t care about the patient. In the medical profession, professionalism is something that a person must have! The difference between a CMA and an RMA is: a CMA is a certified medical assistant and an RMA is a registered medical assistant (www.aama-ntl.org). A certified medical assistant has only a state wide certification. In order to practice in another state a person would have to transfer their certification to that state. It is different for a registered medical assistant. For a registered medical assistant it is nationwide, which means a person does not have to transfer anything. A person with a RMA can practice anywhere in the U.S., but a person with a CMA would have to transfer their certification first before they could practice in that state. The current issues that medical assisting face is that they are a â€Å"new breed† into the medical field. Which means that a person with a degree in medical assisting; might find it hard to find a job right now. The job field for medical assisting is growing and according to the Bureau of Labor Statistics the field is to grow 31% in the years to come. (Bureau of Labor Statistics; Publications; Job Outlook 2010-20). So, in the next few years, medical assisting should be as common as certified nursing assistants are today. The median average pay for medical assistant right now is around $28,860 a year or around $13.87 per hour. For more information about Medical Assistants you can visit the following websites: www.aama-ntl.org ( American Association of Medical Assistants), www.caahep.org (Commission on Accreditation of Allied Health Education), www.amt1.com (American Medical Technologists), www.jcahpo.org (Joint Commission on Allied Health Personnel in Ophthmology), and www.aspma.org (American Society of Podiatric Medical Assistants). These websites have helped me a great deal with not only research but, questions that I have had about my degree as a Medical Assistant. I know that they have helped me and I hope that they will help others with either questions they have or concerns that they might have about the medical assistant degree or duties. Becoming a Medical Assistant takes hard work and dedication. Working as a Medical Assistant takes even more hard work. Medical Assistants do a lot to help doctors and nurses every day. Some of the things they do for them are: answering the phone so that patients can make or cancel appointments or to answer a question they might have, preparing the patient and the room for the patient, doing blood work for the doctor or nurse, handling insurance paperwork, giving medication or getting it ready for the nurse, and cleaning up after the doctor is done with the patient’s examination. Medical Assistants are a very important part of the everyday duties in the medical field. REFERENCES Bureau of Labor Statistics; summary; job outlook. American Association of Medical Assistants website (www.aama-ntl.org); become a CMA. Medical Assisting: Administrative and Clinical Procedures with Anatomy and Physiology, 4e; Kathryn A. Booth, Leesa G. Whicker, Terri D. Wyman and Sandra Moaney Wright; Pages 9,26-38 License of medical assistant suspended Hutchinson News, The (KS), Apr 07, 2012 Newspaper Source; Kaplan Library

Innocence of Children in Hawthornes The Scarlet Letter Essay -- Scarl

Innocence of Children in Hawthorne's The Scarlet Letter In The Scarlet Letter, Hawthorne does an admirable job of expressing the true nature of his characters. Nowhere in his story is this more obvious than in his portrayal of the children. Children, in their innocence will say or do anything, for unlike adults, they are not constrained by societal expectations. They are oblivious to most manners and politics and therefore, are less reserved than the adults when it comes to questioning things or speaking their mind. Pearl, the leading child in the novel, is an excellent example of childish innocence combined with almost preternatural perception. Her willpower and imagination make her a blessing and a curse to her mother, who has paid such a dear price for her child. "After testing both smiles and frowns, and proving that neither mode of treatment possessed any calculable influence, Hester was ultimately compelled to stand aside, and permit that the child be swayed to her own impulses" (Hawthorne 82). Pearl could not be controlled by anyone, nor did she easily establish relationships with others. The other children in town would often tease her and gang up on her, berating Pearl and her mother. Pearl's anger, however, was released in fits of fury as she screamed and flung things at her opponents. These heathenish qualities and unintelligible screams made many of the townsfolk believe her to be a witch (Hawthorne 85-86). In one of the final chapters, Mistress Hibbins, a confirmed witch, proclaims Pearl to be the daughter of the Prince of the Air, another term for Satan (Hawthorne 222). Pearl is never, in the entire book afraid to speak her mind. Her mother, embarrassed by many of these outbursts, tries in vain to... ...t of humanity. Maturity and responsibility come with time, but so do the restraints that humans put on their actions, tongues, and hearts. Children, however, are very perceptive, and Hawthorne makes this very clear. Their eyes and ears are always open, yet no one notices a child. Pearl's wisdom and innocence are infuriating and lovable aspects of her personality, and in many ways, she voices what Hester only thinks. Adults in The Scarlet Letter, especially Mr. Dimmsdale, keep their thoughts, feelings, and emotions to themselves, sometimes with disastrous results. In truth, only children can be trusted to tell the complete and utter truth, for they do not understand the tact of white lies, the manners with which we must conduct ourselves, or the politics of society. Work Cited Hawthorne, Nathaniel. The Scarlet Letter. 1850. New York: The Modern Library, 2000.

Plastic Water Bottles Essay

Specific Purpose: To persuade the audience to stop using plastic bottles because of the health concerns and its harmful effects on the environment. Introduction: How many people know that in the Pacific Ocean there’s a huge island consisting of plastic bags, bottles, and even toys that’s estimated to be twice the size of Texas? For those you didn’t know now you do, environmentalists refer to this island as the Great Plastic Vortex. As plastic use increases, the vortex will only grow more and more. In 2007 8. billion tons of bottled waters were sold, so the number of plastic water bottles is only increasing and ends up accumulating to the great plastic vortex. We can start helping the environment by stopping the usage of plastic water bottles. Thesis statement: Plastic water bottles are being questioned about their safety to both our health and our environment as well. Preview: Today, we will discuss the problems that come about with plastic water bottles and the causes and solutions to help our health and our environment as well. Body: I. There are multiple problems with plastic water bottles, which include danger to people’s health and the harmful effects to our environment. A. Plastic bottles contain a toxin called BPA, which can be a danger to our health. 1. According to Kate Barrett from ABC News, retrieved on April 15, 2008, a report found that exposure to this toxin could have effects on young children and infants by causing changes in the brain development. 2. As we are being exposed to this toxin at younger ages, we stand a higher risk of diseases and health problems. B. There are several ways in which plastic bottles are harmful to the environment. In an article on October 29, 2007 issue of Blast Magazine, Jack Bell says and I quote plastic generates toxic emissions and pollutants that contribute to global warming. 2. As a result of this, promoting the usage of plastic bottles will only create more chaos to our environment. Transition: The problems of the BPA’s potential to harm people combined with the dangerous effects of plastic water bottles on the environment can be associated with two main causes, which we will now go into. I. The two specific causes can be identified as: consumer’s ignorance and the producers lack of responsibility. A.  Consumers have certain habits that don’t even faze them; it is in fact second nature to them. 1. Plastic water bottles are meant for one time use only, yet tons of people reuse them. Most of us think using the same bottle again helps the environment as well as saves us money, but it may be costing us our health. 2. According to the â€Å"Time Magazine†, Lisa Cullen says, plastic bottles are meant for disposable and for one time use only. Reusing them causes bacteria to build up, spreading it throughout the mouth. B. The food and drug administration has deemed BPA safe, but studies and research doubt their decision. 1.  According to the â€Å"Time Magazine†, Bryan Walsh states this toxin might be linked to a variety of diseases, such as cancer and reproductive problems. 2. Even though the FDA has been unintentionally endorsing the use of this chemical, they have been effectively exposing people. Transition: Now that we have explored the causes, we examine the solutions we can do ourselves personally. II. Most of the solutions have to do with a little bit of self -effort. A. One solution is to write to the members of congress, the FDA, and/or the governor to urge for stricter regulations for bottled water labeling, public disclosure, and safety. .The Natural Resources Defense Council (NRDC) recommends writing to producers to display information about whether it has been approved by the Environmental Protection Agency. 2. According to the natural resources defense council there approach will be to write about setting strict limits about contamination and bacteria. B. Another solution is to try to use a non-plastic water bottle. It is recommended that people try to change to either stainless steel or aluminum water bottles. Conclusion: I. Conclusively, now you are aware of the dangers of plastic, more importantly plastic water bottles. With a better understanding of what is causing these problems-consumers ignorance as well as the producers lack of responsibility- we can concentrate on solving this threat. II. As more and more water bottles are disposed, they are only adding to the already giant land fields of plastic bottles. As more and more people drink from water bottles, it is only causing a higher risk for health problems. III. We can take from this as a realization- we need to start doing our part to help save our environment as well as our health.

Aberfan Mining disaster – 1966

At 9.15 on Friday 21 October 1966, Aberfan in Merthyr Tydfil, South Wales, was the centre of the world's media. A waste tip from the mine slid down the mountainside destroying a farm cottage killing all of the occupants. At Pant Glas School, the children were returning to their classrooms from morning assembly when a few of the children heard a rumbling sound coming from the valleys then they noticed an avalanche of mud hurtling towards them from the hills, and before anybody could get out, the school was underground. The school along with 20 other houses in the village were engulfed. There was total silence, so silent that you could hear a pin drop. The disaster was so horrific that everyone wanted to do something. Hundreds of people threw their shovel into their car and drove to Aberfan to help with the rescue operation. The trained and untrained rescuers worked hard to remove the debris. The first live victim of the disaster was rescued at 11am on that day. Almost a week later, all of the bodies had been discovered. Gaynor Minett, an eight year-old survivor in the school described the landslide as â€Å"a tremendous rumbling sound and all the school went dead you could hear a pin drop† she said that â€Å"everybody just froze in their seats†. People were so sad about the disaster that they wrote poems etc about the disaster. Reverend Dr Emlyn Davies who witnessed the disaster wrote a poem entitled ‘Aberfan'. The beginning of the poem gives the image of a little â€Å"unknown village in the vale† where the children â€Å"played and sang†. This image changes drastically as the poem progresses. The poem sort of tells a story of how this village, from being peaceful, changed to being a centre of the world and a very well known village. The descriptions are very in depth and this adds to the overall effect of the poem on me. To me, the poem has enlightened the effect of mankind on nature, this epidemic wouldn't have happened if the slag heaps weren't made. I would have never known this â€Å"secluded village†. The poem its self is well structured because each stanza is like a paragraph and contains information from each aspect of the disaster and is structured similar to a story. The use of metaphors is very effective in our understanding, â€Å"the mine became a tomb†. The adjectives used â€Å"Weight immeasurable, Force irresistible, Crushing all before† are very descriptive of the force of the landslide. The overall mood of the poem is very miserable but powerful in making us understand the consequences of human disrespect to countryside. Rev. Emlyn Davies wrote this poem to show people what really happened, he was there, he was the reverend of the church. Mike Jenkins wrote two poems about the disaster at a much later date. He was influence to writing one of them ‘He loved light freedom and animals' when he visited Aberfan. He was walking through a graveyard and he noticed one of the headstones and it read ‘He loved light, freedom and animals' he was touched by the inscription and wrote a poem with the caption as the heading. The victim was very young when his life was taken. This poem is more descriptive than a story. The first verse resembles an overview of this child who seemed to be happy, â€Å"waving an answer like a greeting†. The second stanza is similar to the first. Mike Jenkins uses a literal fact â€Å"Buried alive† and imagines the little boy to be â€Å"skimming stones down the path of the sun† on the river, which would be stereotypical of a child of that time. The use of metaphors and similes make the poem more interesting and free flowing. There is a contrast of images from the first two stanzas through to the rest; the first two are nice images of the little boy playing besides the river, but then the representation goes darker and describes this â€Å"tumour on the hillside† bursting â€Å"black blood† it sound really violent and aggressive. The poets thoughts and feelings come into play now, he â€Å"gulp[s] back tears because of the notion of manliness† I think he placed this in his poem because he is in the graveyard, trying to paint a picture of what happened and he comes back to reality and realises that the person buried beneath him is this little boy that he is imagining. As the poem unfolds, the descriptions get more vague. He seems to be highlighting the main features of his imagination. The gravestone that he found hugely inspired Mike Jenkins. I think that his purpose was not to persuade people to accept his views but just to let them envisage what he felt. The second Mike Jenkins poem is called ‘Among the Debris'. It is written in a completely different style to ‘He loved light freedom and animals'. He uses a local dialect, however, it is hard to understand but it adds a good effect. The first stanza tells us about a teacher who used to tell stories to the children â€Å"about is time in the navy, playin cards underwater† The second verse reveals that the teacher wasn't in control of his emotions. It seems to me that he had been through an experience that had mentally scarred him, because â€Å"ee'd go mental, throw a wobbly†. The metaphors that Mike Jenkins uses in this poem are very effective, â€Å"is screams pick-axin into ower yer-drums† all of the references to the teacher's actions are very detailed. After the teacher had thrown a â€Å"wobbly†, he â€Å"passed a bagful o' sorries round† I feel sorry for the teacher at this point because it seems that he cannot control his actions. The last stanza is described in-depth. It is at the part when the landslide is coming down the hill it was â€Å"a slow, unnatural thunder†. When the slide had ended, the teacher â€Å"wuz searchin fer them lost children, buryin is ands in slurry† the last two lines are the best in the poem, â€Å"till ee found us, sitting among the debris† this means that the teacher had ‘snapped out' of his â€Å"wobbly† and had came back to reality to the class that he was teaching. The images in this poem are quite disturbing but are effective in describing how some people were affected by the disaster. For Mike Jenkins to write this poem, he must have been hugely saddened by the gravestone that he saw to urge him to write ‘He loved light, freedom and animals' and this poem, ‘Among the debris'. If Mike Jenkins and Reverend Dr. Emlyn Davies were affected so much to write these poems, I wonder how many other people saw the destruction of the landslide and were upset for all of those children in the â€Å"unknown village in the vale† that lost their lives.

Essay on How marketing strategy can build customer loyalty

Essay on How marketing strategy can build customer loyalty Essay on How marketing strategy can build customer loyalty Essay on How marketing strategy can build customer loyalty  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Today the hotel industry is considered to be a global industry because customers and producers can be found in all parts of the world. For many customers, such services and hotel facilities as guestrooms, restaurants, bars, spa centers and a wide range of wellness services are â€Å"no longer considered a luxury† (Carev, 2008, p. 10). Marketing strategy aimed at building customer loyalty plays an important role in the hotel industry. Researchers believe that â€Å"in the last decades, demand for supply of hospitality services beyond that of traditional services intended for travelers have escalated the growth of the hospitality industry globally, leading to intense competition in the marketplace† (Carev, 2008, p. 11). Recent studies of the effectiveness of the hotel industry point out to the fact that it is necessary to improve loyalty of customers by â€Å"promoting interpersonal service encounters to build long-term relationships between customers and hotels† (Wang, 2007, p. 23). Today researchers provide massive opportunities for the successful marketing operations in the hotel industry. Hotel organizations face considerable challenges caused by the increased rate of competition. According to researchers, â€Å"competition has major implications for the customer, providing increased choice, greater value for money and augmented level of service† (Carev, 2008, p. 11). This study discusses how marketing strategy can build customer loyalty in the hotel industry.Research objectives  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The major research objectives include:To explore the role of marketing strategy in building customer loyalty in the hotel industry;To assess the proper strategies aimed at expanding customer loyalty;To find the proper ways to measure customer loyalty in the hotel industry.Rationale of the studyThis study is focus ed on exploring one of the most significant issues in the hotel industry marketing – the role of customer loyalty in the hotel industry. Marketing strategy can effectively build customer loyalty, providing benefits to customers and making hotel organizations more appealing due to price discounting. Hotel organizations should be focused on the delivery of high quality services to ensure customer satisfaction, which has a strong impact on the loyalty of customers (Liu, 2008).Definition of the key termsCustomer loyaltyCustomer satisfactionCustomer valueLiterature review  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This section reviews the literature on the role of marketing strategy in building the loyalty of customers in hotel industry. Marketing strategy specially developed for customer loyalty programs in the hotel industry guarantees success if the loyalty of potential customers is properly measured and expanded.Building customer loyalty is crucial in the successful implement ation of marketing strategy in the field of hotel industry. According to researchers, â€Å"since the beginning of the 1990s, customer loyalty has gained importance both in relationship marketing research and in business†(Cahill, 2006, p. 6). In the hotel industry, the loyalty of customers can be attributed to the increased role of changing competition environments. Marketers should assess the potential value generated by the loyalty of customers (Cahill, 2006). In other words, they should assess how loyal are the consumers of their products and services. The relationship marketing approach allows finding the proper strategies to expand customer loyalty (Cahill, 2006).Besides, it has been found that there is a close relationship between customer loyalty and the organization’s profitability. As a result, marketing strategy plays an important role in building customer loyalty, which affects the hotel organization’s profitability (Carev, 2006). Researchers state th at â€Å"when a company retains just 5 percent more of its customers, profits increase by 25 percent to 125 percent† (Carev, 2006, p. 3). Marketers need the appropriate information to develop effective marketing strategies aimed at loyal customers.In addition, customer loyalty can be recognized as the key factor in the development of any business organization.   Kandampully and Suhartanto (2000) explore the relationship between customer loyalty, customer satisfaction, and the company’s image. The researchers have identified the key factors of the company’s image and customer satisfaction that have a positive relation to the loyalty of customers in the hotel industry (Kandampully Suhartanto, 2000). They provided the information taken from the chain of hotels located in New Zealand. It has been revealed that â€Å"hotel image and customer satisfaction with the performance of housekeeping, reception, food and beverage, and price are positively correlated to cus tomer loyalty† (Kandampully Suhartanto, 2000, p. 346).It is very important to understand that in order to expand customer loyalty, it is necessary to increase customer satisfaction. According to researchers, â€Å"low quality service leads to low satisfaction, discouraging guests form returning†(Carev, 2006, p. 1).   Actually, this assumption is taken into consideration by many hotel owners who are focused on expansion of loyalty (Carev, 2006). In other words, a hotel organization should provide high quality services to gain customer satisfaction and expand customer loyalty. Researchers suggest that hotel managers and hotel executives should use the proper strategies to influence the quality of services, brand loyalty, brand image and brand awareness in the hotel organizations, taking into consideration the relations between customer loyalty and brand equity (Kayaman Huseyin, 2007).In addition, hotel organizations aimed at expanding customer loyalty have more chance s to avoid certain challenges caused by competition. Service quality is the key factor that helps to expand the loyalty of potential customers. Hotel organizations provide effective loyalty programs that can be viewed as marketing strategy aimed at enhancing customer loyalty (Kayaman Huseyin, 2007; Wang, 2007). According to researchers, â€Å"corporate image is influenced both by service quality and customer satisfaction, which in turn influences customer loyalty† (Kandampully Hu, 2007, p. 434). In other words, the key to expanding customer loyalty is to foster the image of the hotel organization through improved service quality and an increased number of satisfying customers (Kandampully Hu, 2007).Measuring loyalty stands for measuring the loyalty factors that includes the following aspects:saying positive things about the hotel;recommending the hotel to other customers who need the advice in this field;encouraging other customers to use the services of this hotel;conside ring the hotel the best option to buy services or products;maintaining business relationships with the hotel in the next years (Carev, 2008, p. 16).As customer loyalty helps to protect the hotel organization from the effects of direct competition, measuring loyalty guarantees positive outcomes. It is very important to place emphasis on the dynamism of competition forces to assess customer value and its impact on the loyalty of customers. In general, marketers can measure customer loyalty by assessing the intention of customers to repurchase the services provided by the hotel organization, as well as by assessing customer satisfaction (Brennan et al., 2010; Carev, 2008). Those hotel organizations that are aimed at measuring the loyalty of their customers are focused on measuring customer satisfaction (Pearson, 2012). In some cases, they may face serious challenges because customer satisfaction is considered to be â€Å"the Trojan horse of loyalty† (Pearson, 2012, p. 56).   H otel organizations should develop the proper marketing strategy that will make investment in the so-called loyal customers, who will promote enduring relationships in the field of the hotel industry (Pearson, 2012). Besides, customer loyalty can be measured by â€Å"environmental attribute, managerial attribute and social attribute† (Liu, 2008, p. 49). These attributes give explanation to customer behavior and the intention to repurchase products and services. Marketers should take into consideration the changing tastes of customers in order to improve the quality of products and services (Liu, 2008).Marketing strategy should be focused on building the relationship with customers. According to recent research â€Å"inspired by the airlines’ success, most major hotel chains have developed loyalty programs that reward customers for repeat business†(Hu et al., 2010, p. 128).   The effectiveness of reward programs in building the relationships with loyal customers help to alter certain patterns of their behavior. The timing of rewards has a strong impact on customer loyalty for the hotel industry due to the moderated customer satisfaction (Hu et al., 2010).Research questionsThere are several research questions that help to discuss the importance of customer loyalty in the hotel industry:Is customer loyalty really critical to doing a successful business in the hotel industry field?What value does a satisfied customer may return to the hotel organization?Critical discussion of data /evidence required  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The key factors that influence the development of customer loyalty in the hotel industry should be properly assessed. It has been found that the most important determinant for customer loyalty is customer satisfaction (Carev, 2008, p. 10). The main issues for the discussion should be focused on quality of services which may encourage customers’ satisfaction and make customers perform the repeating visits to the same hotel organization (Rosenbaum et al., 2005). The required data or evidence is valid and can be effectively used in the research. Critical review of different studies on the role of marketing strategy in building customer loyalty has been done based on the useful evidence-based sources.

Behavior Change Plan to Prevent Coronary Heart Disease

Behavior Change Plan to Prevent Coronary Heart Disease Maintaining a Healthy Lifestyle Behavior to Prevent a Reoccurrence of Coronary Heart Disease James J. Speen Introduction Justification for choosing the health behavior I am a 57 year old male, diagnosed with diabetes mellitus II, and cardiovascular disease stemming from atherosclerosis. In March of 2006, I experienced an acute angina pectoris attack while testing for a brown belt in Tae Kwon Do. The angina attack led to an emergency department visit at a local health facility and ultimately culminated in a quadruple coronary artery bypass graph (CABG). My healthcare providers are continually stressing the importance of making healthy choices and maintaining a healthy lifestyle in order to prevent a reoccurrence of coronary heart disease (CHD). Further, supporting my physician’s opinion, Ferris, Kline, and Bourdage (2012) state that â€Å"biopsychosocial health displayed no direct relationship to CHD risk, but positively predicted a healthier lifestyle. A healthier lifestyle was related to lower levels of CHD risk.† Over the past 6 months, I have strayed from my regimen of healthy eating and daily exercise and am beginning to feel the negative effects of weight gain, sore joints, and decreased endurance during physical activity. It is now behavior modification time. This will be accomplished by discontinuing my current unhealthy behaviors and resuming a healthy lifestyle consisting of a regimen of eating heart healthy foods and exercise. Justification for the behavior change plan I used the Theory of Planned Behavior (TPB) model, as outlined in our textbook, Health Psychology A Biopsychosocial Approach (Straub, 2012) to evaluate my current behavior. First, I determined that continuing my behavior would eventually lead to another CABG or even worse my death. Secondly, after considering my doctor’s views regarding CHD prevention through lifestyle modification; I chose to comply with my healthcare provider’s advice. And finally, I rea lized that I am the only one who can manage my controllable health risk factors. Method Materials and Procedure I monitored my pre-change caloric intake, blood glucose, and physical exercise levels for seven days. My caloric intake and amount of exercise was recorded using the MyFitnessPal mobile application. Blood glucose levels were measured each day with a OneTouch Ultra 2 blood glucose meter. Glucose measurements were performed twice each day at 6:00a.m. and at 10:00p.m.. This data was used to establish my base line cardiac healthy lifestyle compliance. After this period, I enacted a behavior change plan to regain control over my controllable cardiac health risk factors. I added the use of a H o Medics model KS-701 digital dietary scale to accurately measure my food portions and increased the amount of water that I consumed daily. Additionally, 1 hour of cardiovascular and strength training exercises was added to the daily regimen. Caloric intake and exercise activity were recor ded using the MyFitnessPal mobile application and blood glucose was measured with the OneTouch Ultra 2 blood glucose meter. Nutritional data consisting of caloric intake, carbohydrates, fat, protein, cholesterol, sodium, sugar, and fiber from the MyFitnessPal application along with blood glucose data, was imported into an Excel spread sheet for data comparison and analysis. Average daily values for each category were computed for both the pre-behavior change and behavior change periods.

Women in James Bon films from a feminist perspective Essay

Women in James Bon films from a feminist perspective - Essay Example Some of the Bond women and Bond female characters are now seen as more than sexual interest for the lead character, but as characters also toting guns, karate chops, heroism, and villainy (Garland, 2009). Still, Bond women are viewed in general by society as simply entertaining eye-candy. This paper shall present an analysis of women in James Bond films from a feminist perspective, using some of the thoughts laid out by feminist philosopher Luce Irigaray. An analysis of the evolution of these female roles shall also be evaluated, mostly determining how the perspectives have changes and how feminism has impacted on how these female roles have been portrayed in the films. According to Jenkins (2005), the James Bond films have a persistent appeal based on the fantasy world from its parade of attractive female Bond characters. Such distinct female roles are often crucial to the story being told including the overall feel of these films. Each Bond movie has numerous female characters who are usually meant to distract and also help Bond in his spy mission. More often than not, there is one distinct, strikingly beautiful and, svelte Bond girl who is presented as a potential love interest for Bond; she is usually cunning, and judging from the name she goes by (Pussy Galore, Honey Ryder, Holly Goodhead), also self-assured (Rubin, 2003). Bond girls have become a staple in Bond movies and the casting of such female role has often attracted major global attention, with the chosen female often gaining much media attention even before the films start to shoot (d’Abo and Cork, 2003). The dominant preference of the Western culture for the lead female charac ter in the Bond films to comply with such attractive and often sexist parameters have been viewed by feminists with much disdain (Carpenter, 2000). Through the many incarnations