CEO Compensation Essay Example | Topics and Well Written Essays - 500 words

CEO Compensation - Essay Example y, the works that are expected for the CEO to perform, and the economic status of the company, if it is gaining much for a certain period that will qualify whether the CEO deserved the amount of pay. As noted by Solomon (2007), survey says that the CEOs in the US are really overpaid because there is â€Å"an absence of objective ways to measure an executive performance†. Secondly, much is expected from an American company so these companies live up with the expectations. Tough competitions set in, and to stay on â€Å"top†, companies must hire the â€Å"best† CEO to run their company. And the â€Å"best way† to have the â€Å"best† CEO to come and stay in the company is to lure them with excessive salaries and benefits even before they will produce results as what most CEOs in the US enjoy now. Japanese CEOs generally received much lower levels of compensation compared to their counterparts in the US. As reported by Wiseman and Del Jones (2009) in the USA Today, CEOs of big companies only earned an average of $809, 000 in 2003, with a difference of $11.4 million compared with the CEOs of the US. This fact alone, however, is not sufficient to imply that U.S. CEOs are overpaid. It is because big companies in Japan are generally smaller compared to big companies in the US. Relatively, it is unfair to compare the compensation received by CEOs of small companies to big companies. On the other hand, the practices of US companies in encouraging CEOs to join them are not being practiced in Japan. As Wiseman and Del Jones (2009) noted â€Å"Japanese firms rarely poach talent from rival firms, outbidding each other for management superstars†. Usually, CEOs of companies in Japan were previously rank-and-file employees of the company they are working with who worked hard for th e company for several years until they reached the top position. Chief executive officers of US companies are very much benefited when there is an increase if the company’s value within a certain period.

Body Image and Self-Awareness among Young Women Coursework

Body Image and Self-Awareness among Young Women - Coursework Example I plan to do this through using several somatic modalities, which include breath, movement, posture, and guided imagery. The motivation to participate in these workshops is to participate in a fashion show. Project MY WAY provides women with an opportunity to use all the resources they gained through being educated on somatic modalities. The participants will work towards a healthy self-image through education about nutrition, yoga, authentic movement, breath work, and being able to be apart of a creative vision. Finding out more about their strengths through their creations will provide them with proof of their potential. Doesn't everybody have an issue with his or her body Why is it that people are more likely to criticize their bodies versus compliment Why is our society so obsessed with the body yet at the same time so disconnected Although these questions may be perceived by many as rhetoric or absolutely abstract, they are as vital and up to date as one may think. The existing scholarly research from a range of disciplines convincingly demonstrates the issues raised in each of the queries directly relate to the most precious and essential asset of human being - health. Therefore, the recent explosion of public and scholarly attention toward the problems of self-esteem, body-image, and prevention and treatment of eating disorders is absolutely logical and unsurprising. The upward trend in eating disorders among teenagers, adolescents and adults in the US and other countries across the globe forced the researchers reconsider many traditional notions associated with etiology and treatment of disordered eating. Thus, statistics shows that during the 1970s - 1990s " the majority of individuals with eating disorders have been young, female, white, and from middle to upper-class families in Western countries and Japan. Girls with anorexia have traditionally been academically successful, first or second-born children and often work as dancers or athletes" (Halmi, 1997: 507). The traditional assumption that that indigence is the source of numerous eating disorders in girls from comfortably situated middle-class families seems poorly unjustified. Instead, the concepts of self-esteem and body-image emerged as the predominant factors associated with eating disorders in the related research. Self-esteem refers to an individual's mental perception of their personal qualities; it is one of the most frequently mentioned concepts in the psychological literature (James, 1890, cited in Rodewalt & Tragakis, 2003). The contention that low self-esteem is a distinct characteristic pertaining to eating disorders, including anorexia, has been confirmed by many credible studies. Schupak-Neuberg (1993), Rosen and Button (1993) employ various strategies and questionnaires to show that low self-esteem occurs very commonly in patients with eating disorders. Silverstone (1992) believes the evidence for this relationship is sufficient to consider low self-esteem a necessary prerequisite for disordered eating. The core features of low self-esteem - insecurity, excessive concern over weight, negative mood, feelings of inadequacy, negative

Total Knee Arthroplasty Essay Example for Free

Total Knee Arthroplasty Essay Etiology and Pathology   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The knee functions as a type of biological transmission whose purpose is to accept and transfer range of loads between and among the femur, patella, tibia, and fibula without causing structural or metabolic damage. Arthritic knees are like living transmissions with worn bearings that have limited capacity to safely accept and transmit forces. Arthritis of the knee can be restricted to a monoarticular clinical manifestation, or it may be a part of an oligo-or polyarticular disease. A careful anamnesis and clinical examination will allow the clinician to classify the clinical presentation of arthritis of the knee into disease groups such as osteoarthritis, rheumatoid arthritis spondyloarthropathy, or miscellaneous arthritic diseases. Infectious arthritis presents typically as an (sub) acute inflammatory monoarthritic disease. Up to 90 % of infectious arthritis cases present as monoarthritis. The only exception is gonococcal arthritis, which presents more commonly as a migratory polyarthritis. If the condition is unrecognized, joint destruction will occur rapidly. In confronting the athlete who will undergo the operation it is important for me to discuss a working hypothesis and ultimately critical to arrive to the most likely diagnosis. The clinical history of the patient is to be well studied it is a demanding task and a lot of circumstantial evidence can evolve from a full history of the current problem , past medical conditions, and the family history. Kinds of Pain The nature of the pain that he might encounter and the reason he needs to undergo TKA belongs to â€Å"the basics†, whether it is mechanical, inflammatory, neuropathic, or poorly defined.   Mechanical pain occurs when the joint is used; walking becomes difficult and especially climbing stairs causes problems. On resting, there is less pain. Starting pain and stiffness are very characteristics of a more advanced mechanical pain pattern. Inflammatory pain typically presents at night. More specifically, the second part of the night become troublesome, and patients need to go out of bed and move. They experience morning stiffness for at least one hour, and this stiffness diminishes progressively as the pain begins to move. When pain is neuropathic in origin, a typical distribution pattern corresponding to the innervations’ is found. Psychosomatic pain has no typical presentation or distribution. Complaints are always more impressive than the clinical findings.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Consider asking the patient of how long the knee problem has existed, when pain and swelling have been present for less than 6 weeks, the problem is acute. Beyond 6 week’s duration, the term chronic is used and implies that spontaneous healing of the arthritis is unlikely.   It is also important to look for circumstantial evidence. Did the trauma occur just before the knee swelling began? Did the patient have an episode of fever such as angina, gastroenteritis, or arthritis? Does the patient have other clinical conditions that could be linked to the knee arthritis, such as skin problems (psoriasis, erythema nodosum), chronic diarrhea as seen inflammatory bowel disease, and eye problems such as uveitis or scleritis? In this setting a complete familial history can also add useful information. Advantages of Total Knee Arthroplasty Consistent reproducible results Correction of mechanical alignment Addressing all knee compartments Long term (greater than 90%) 10 year survivorship Drawbacks Postoperative pain which can endure for months Prolonged recovery sometimes inferior Patient satisfaction With extensive exposure required to align and implant the total knee arthroplasty, there is significant damage to the quadriceps muscle both in cutting into the musculature itself as well as damage with eversion of the patella and prolonged stretch to the quadriceps mechanisms intraoperatively. Muscle damage is permanent and can limit postoperative strength and/or function. Surgical Procedure   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Before the surgery is performed usually blood count, electrolytes, APTT and PT to measure blood clotting, chest X-rays, ECG, and blood cross matching for possible transfusion. Accurate X-rays of the knee are needed to measure the size of components which will be needed. Medications such as warfarin and aspirin will be stopped some days before surgery to reduce the amount of bleeding. The athlete may be admitted on the day of surgery if the pre-op work up is done in the pre-anesthetic clinic or may come into hospital one or more days before surgery. Recent improvements in technology have led to a confusing spectrum of choices for both the patient and surgeon in treating monocompartmental knee arthritis. The obvious need to get the surgery done right, there are now pressures to â€Å"do it quickly† and with a minimal scar and reduced disability time. The combination of patient’s demands and expectations with actual surgical possibilities may be challenging. To this end, a logical structuring of options is in this order: Osteotomies Unincompartmental knee arthroplasty Total knee arthroplasty The indications and more importantly, the contraindications of the surgical procedures often results in overlap of options that must be considered for any given clinical situation. The appropriateness of any of these procedures should be considered in light of their relative indications and problems. These include patient age, activity level, expected longevity of the procedure, reliability of the procedure to bring about the expected goal, and ease of revision in the event of failure. Of equal importance are the contraindications to the procedures including contracture, deformity, ligament contracture or insufficiency, and bone deficiency. The relative value of an osteotomy stands in inverse proportion to the patient’s age. Younger patient’s demands on an implant that will not stand the test of time, with failure due to wear or fixation failure. Considering that the patient is an athlete, athletic activities after the operation such as jumping and running are associated with surface loads in excess of the limits of the polyethylene.   The hazards of heavy or repetitive loading, deep knee bending and the lifting activities that accompany a variety of occupations and activities may loosen or damage prosthesis. Research Probability on Different methods on Knee Surgery Long term results of osteotomy show a gradual decline in function and recurrence of deformity. Hungerford et al reported that on ninety-two knees with a good or excellent rating after osteotomy at two years. At ten years only fifty-eight knees (61%) maintained this level 13. Parvizi et al reported on fifty-eight patients with a mean fifteen year follow up. There were only 55% good to excellent results. Twenty-six patients formed subsets that have been reviewed previously. At eight years, there were 73% good to excellent results, declining to 46% at eighteen years. Technical Problems   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Technical problems of total knee arthroplasty after closing wedge osteotomy include: difficulties in gaining exposure, bony deficiencies necessitating grafts or wedges, difficulties in attaining ligament balance, prolonged surgical time and increased blood loss. Lonner et al recommended reserving the procedure for young, active overweight patient only 15.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Justification for the procedure in high demand patients is more difficult. Bellemans and Co author have reported range of motion between 120 and 130 degrees with enhanced functional potential for activities of daily living including stair climbing and transfer function.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Osteotomy has some contraindications including: various deformities greater that 10 degrees, flexion contracture more than 20 degrees, limited range of motion, ligament insufficiency including the anterior cruciate, and patellofemoral (Kurtz, 2004). Unicompartmental arthroplasty shares similar contraindications. Surgical treatments include tissue repair approaches, arthroscopic lavage and debridement, osteotomy, and unicompartmental and total knee replacement. There is little or no evidence that surgical reconstruction of torn cruciate ligaments or the meniscus prevents the development of the knee OA. It remains to be seen whether cartilage repair procedures prevent or slow down knee OA. The combination of tissue repair, such as the repair of cartilage defects, with an osteotomy, performed on the right patient and by a trained surgeon. In the case of knees with advanced degenerative arthrosis which undergo joint replacement surgery, the principle of functional restoration may be more properly stated as maximization of the functional capacity of the knee. As effective as current joint replacement techniques are at achieving pain relief and often associated increases in muscle strength and control, knees that have had joint replacement surgery do not replicate the functional status of a healthy, uninjured, adult joint. After the joint replacement the patient should avoid in running marathons or play tackle football. The structure of the knee is complex, and its behavior can be unpredictable even in the most experienced hands. However, the task of replacing the bone surfaces and balancing the ligaments can be made manageable by following a logical plan based on correct alignment throughout the arc of flexion and ligament release based on the function of each ligament. Optimal knee function requires correct varus-valgus alignment in all positions of flexion. This requires reliable anatomical landmarks for alignment both in flexion and extension. The long axes of the femur and tibia and the anterior and posterior axis of the femur are highly reliable and provide the guidelines for establishing stable alignment of the joint surfaces by placing the tibia and patellar groove correctly in the median anterior-posterior plane trough the entire arc flexion.   Knowing their function and testing their tension provides the information necessary to release only the ligaments that are excessively tight, leaving those that are performing normally. Fractional release does not destabilize the knee, because other ligaments are retained, and because the peripheral attachments of the ligament to other soft tissue structures such as the peristeum or synovial capsular tissue allow the released ligament to continue to function. Ligament release does not cause instability. Failure to align the knee and release the tight ligaments, however, does not cause instability, unreliable function, and excessive wear. With this knowledge, good instruments, and sound implants, the surgeon can align, balance, and stabilize the knee even when severe bone destruction and ligament contracture are present. CT scanning is an accurate way of measuring the component malrotation. Assessment of the rotatory alignment of the femoral component and the axial rotational relationship of the femoral and tibial components is part of the Perth CT protocol which is used routinely in total knee replacement surgery. The athlete will have preoperative clinical investigation and a radiological examination with standardized coronal long leg stance X-ray and standard lateral X-rays, adapted from the technique. Intraoperative complications will be recorded. The radiological evaluation was repeated between the 6th and 12th postoperative weeks by an independent observer at each center. The athlete should perform straight leg raises by the first postoperative day, by the second postoperative day research shows that 90% of patients have straight leg rise which suggest s good control of the quadriceps mechanism. On the third postoperative day the athlete should be able to independently transfer from a bed to a chair and on fourth postoperative day the athlete is able to navigate up and down stairs with assistance, and the mean postoperative discharge is 2.8 days.   The athlete is discharged to physical therapy which he will perform on his own home. Athlete should be averaging 10 days on a walker, 1 week on a cane, and independent ambulation is averaging approximately 3.5 weeks.    Rehabilitation Protocol To have the ability to perform physical actions task, and activities related to self-care is improved: Care is coordinated with patient, family, and other professionals.   Case is managed throughout episode of care   Integumentary integrity is improved   Knowledge of behaviors that foster healthy habits its gained Placement needs are determined   Risk factors are reduced   Risk of secondary impairments is reduced   ROM is increased   Standing balance is improved, stress is decreased To achieve this outcome, the appropriate intervention for this patient is determined. This will include coordination, communication, and documentation.    Is there evidence of total contact? If the person has a pelite liner, total contact maybe checked by putting a little ball of play dough at the end of the socket, the patient stands and bears weight and the displacement of the play dough indicates the extent of total contact, Too little contact may cause may cause distal end skin problems and a stretching pain. Too much may cause excessive pressure at the end of the stump and pressure pain. Is suspension maintained when patient’s lifts leg off the floor? Check that there is no excessive movement of the prosthesis away from limb when weight is removed. On weight bearing, make a small pencil mark at the anterior socket brim or, if sleeve or shuttles locks suspension, place lightly at edge of socket. Too much movement between residual limb and socket creates abrasions and may lead to toe drag on swing. CONCLUSION   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Joint replacement surgery is designed to expand the entire envelope of function of symptomatic arthritic knees as safely and predictably as possible. Properly utilized, total knee replacement surgery is capable of substantial increases in the functional capacity of a given arthritic joint, but it is not designed to restore the full physiological function of a normal, uninjured adult knee. Future developments in the therapeutic management of arthritic knees may eventually involve biological approaches that could result in further improvements in maximizing the post treatment envelope of function over what can be achieved with the current technique of using artificial components. By tracking the loss of osseous homeostasis in knees starting at a time prior to the development of overt radiography identifiable degenerative changes Most patients can easily readily grasp the concept of the envelope and therefore can have a better understanding of what function is to be expected postoperatively. By this method they can more readily understand the joint replacement surgery is not designed to restore a knee to full, normal physiological function. Patients have responsibilities, as well to do all they can ( by participating in pre- and post operative physical therapy, for example_ to maximize their envelope and, once3 this is achieved, to not exceed the functional capacity of the joint following surgery by avoiding activities associated with supraphysiological loading. Cited Literature Hungerford MW, Mont MA. 2000. Nonoperative treatment of knee arthritis. In Insall JN, Scott NA (ed.). The Knee. CV Mosby, NY. Robertsson O. 2000. Unicompartmental arthroplasty. Results in Sweden. Orthopade 2000; 29 Suppl 1:S6-8. Lonner JH, Hershman S, Mont M, Lotke PA, 2000.Total knee arthroplasty in patients 40   Ã‚  Ã‚  Ã‚  years of age and younger with osteoarthritis. Clinical Orthopedic pp. 380:85-90. Mont MA, Chang MJ, Sheldon MS, Lennon WC, Hungerford DS, 2002. Total knee arthroplasty in patients less than 50 years old. J Arthroplasty 17: pp. 338-343. Romanowski MR and Repici JA. 2002. Minimally invasive unicondylar arthroplasty. Eight year follow-up. J Knee Surgery 15: pp. 17-22. Parvizi J, Hanssen AD, Spangehl MJ, 2003.   Total knee arthroplasty following a prior proximal tibial osteotomy. A long-term study identifying risk factors for failure. J Bone Joint Surgery (In Press). Hungerford, D. S. Kenneth A., Krackow, Kenna R.V. 1994. Total Knee Arthroplasty: A Comprehensive Approach. Williams and Wilkins. Kurtz, S.M.   2004. The UHMPE Handbook Ultra-High Molecular Weight Polyethylene. Academic Press. Rodriguez, E. C. 2003. The Haemophilic Joints: New Perspective. Blackwell Publishing. Delloye, C. and Bannister, G. 2004. Impaction Bone Grafting in Revision Arthropplasty. Published Informa Health Care. Bono, J.V., Scott, R.D. 2005. Revision Total Knee Athroplasty. Springer. Dutton, M. 2004. Orthopedic Examination, Evaluation, and Intervention. Mc Graw Hill Professional. Sculco, T.P., Martucci, E.A., 2001. Knee Arthropplasty. Springer Publising. Moffat, M. Rosen, E. Rusnak-Smit S., 2006. Muscuskeletal Essentials: Applying the Physical Therapist. SLACK Incorporated. Callaghan, J.J., 2003. The Adult Knee. Contributor Harry E. Rubash. Lippincott Williams Wilkins.

The Health Needs Assessment

The Health Needs Assessment This assignment is a quasi-report on a health need assessment (HNA) which is being prepared, as part of this module summative assessment, in order to gather information on the basis of designing and implementing a programme, on a limited scale, of health and health care acceptable, accessible and identified in Southwark based on evidence of cost-effectiveness and is beneficial to the needs of this practice area. The aim of the report is to demonstrate a critical understanding of HNA and HNA policy at the community level. The use of local and national data in identifying health met and unmet needs by demonstrating an understanding the handling and interpreting local and national data. Using policies context of increasing exclusive breastfeed and using the right evidenced based intervention by emphasising on the advantages of increasing exclusive breastfeeding to infants up to six months old. The intervention of increasing exclusive breastfeeding is through the introduction of fathers as an initiative will be discussed in depth. In order to succinctly focus the critical analysis of the assignment the Hooper Longworth (1998) five steps theory of HNA will be used. Step 1) Getting started Step 2) Identifying the Health Priorities for the Population Step 3) Assessing the Health Priority Step 4) Planning for Health Step 5) Evaluation As stated above this is a limited assignment therefore not all the steps will be used. Health Needs Assessment (HNA) Definition Health Development Agency (HDA) (2004) define HNA as a way of identifying the health needs and inequalities being experienced by a specific population groups in Southwark and identifying their priorities for professional and service development to improve the health of that target population or individuals to reduce health inequalities. The HNA assist the HVs in identifying the wider determinant of health of the population and appropriate intervention put in place to meet that needs. Needs or who will be benefiting from the intended intervention must be identified and it must be cost-effective. Bradshaw (1994) identified four different needs which is termed the Taxonomy of Needs it is Felt needs what the individuals want, expressed needs what is demanded, normative which consists of both the met and unmet needs, and à ¢Ã¢â€š ¬Ã‚ ¦ In this report the normative needs will underpin the HNA as both the met and unmet needs are going to be identify. Marmot (2003) suggests it is important for people to be in control of their lives and exercise autonomy instead of them being told what they have to do; this is a way of tackling health inequalities (DH 2003). It is Government national priority as resources were allocated to it. HV should make time to find their priorities and preferences and working with their community to achieve their goals. This is a way to achieve health equality and built social capital. Social capital is the way that HV could work with mothers and fathers in improving community relationships and trust which has a direct and positive effect on increasing breastfeeding continuation up to six months. Research indicates that peer education by lay people is sometimes more important than getting information by experts who are coming from a level of power. HMSO (2012) Healthy Lives Healthy People White Paper is an overarching document responding to Marmot Review Fair Society Healthy Live (Marmot 2010) is providing a framework in tackling the wider social determinant of health and health inequalities. It aims to build peoples self-esteem, confidence and resilience right from conception and into older age with stronger support for early years. It is underpin by the White Paper Liberating the NHS (DH 2010) providing the framework in commissioning services that has an impact on the health of the most needy in the community thereby helping in reducing health inequalities. Demography of Southwark Health inequality is defined as providing equal health to all across the different boundaries (reference). Southwark in a central London borough and is ranked 12th as the most deprived London Borough and 41st most deprived in England according to the Index of Multiple Deprivation in 2010 (reference). Pocket of extreme deprivation are concentrated in the centre of the borough. Data from the Charity Shelter UK (2012) reveal that Southwark are among the most vulnerable London Boroughs with 1 in 46 households are at risk of losing their homes. According to the 2010 census (NAO 2012) it has a diverse multicultural, multilingual and multi-ethnic population and 51% of the Southwark population is from the British minority ethnic (BME) group. This is a challenge In Southwark 4.1% compared to 3.1% in London of the households are homelessness and one is four households are overcrowded living in overcrowding homes (Shelter 2005) putting extra pressure and stress on families relations. However, the coalition government has recognised the overburden on the housing stock and in the process of funding new home building across England (). This will not relieve the housing situation in the sort term. children living in poverty 16986 (32.3%) (21.9% England and 29.7% London average) First time entrant to young justice 402 (0.7% or 4.8%) (Eng. 57291; London 8349) 16-18 NEET 330 (4.37%) (4.50% London 6.13% England) homelessness 510 (4.11%) (London 3.14%; England 2.03%) 4136 (90.56%) babies initiated breastfeeding after birth compared with 74.08% in England and 87.06% in London. 3446 (75.69%) breastfeed until six to eight weeks compare with England 47.02%; London 67.32%. Smoking status at time of delivery 202 (4.38) compare with England 13.19%; London 6.02% Under 18 years old conception 679 (61.5%) compare with 38.1% and 40.9% Infant mortality 79 (5.3%) England 4.6% and London 4.5% compared to England, 49 percent of the population is white British descent. The largest minority ethnic groups are Black African and Black Caribbean. Southwark has a young population. Overall the health profile of Southwark population is poor. Deprivation, crime, teenage pregnancy, and children living in poverty rates are higher than England average (Reference). Rationale The rationale is to identify the role of fathers in motivating and promoting their partners to breastfeed their babies as part of public health initiative thereby reducing health inequalities for both mother and infant. Furthermore, it will explore the health benefit of breastfeeding and the potential health risks factors to babies and mothers if exclusive breastfeeding is discontinued after six to eight weeks postpartum. Evidence has shown that exclusive breastfeeding infants until they are six months old greatly reduce childhood obesity and prevent them from acquiring other health problems when they are adults. Reducing smoking and increasing life expectancy are among Southwark health priorities together with the reduction of children obesity (Reference). In order to reduce childhood obesity research has shown that mothers should be highly encouraged to exclusively breastfeed their babies up to six months () and fathers are well-placed to encourage mothers whilst breastfeeding (). This underlines the reason Breastfeeding is among one of the Southwark health priorities as it an important factor in the reduction of child obesity. Such as reducing smoking and increasing life expectancy most importantly is the reduction of child obesity. Research has shown that breastfeeding up to six months is an important intervention to reduce children obesity. The rationale Data In 2010 there were 5131 live births, the highest birth rate in London, out of which 226 were young mothers under the age of 18 years old (National Office of Statistics (NAO) (2011) and Department of Health (2012) Links bf rates and health inequality The breastfeeding initiation rate was 73.9percent in 2012/13 Quarter 2, which is just less than the annual percentage for 2011/12 (74.1percent) and slightly higher than 2010/11 (73.7percent). The prevalence of breastfeeding at six to eight weeks 92% of mothers in Southwark initiate breastfeeding postpartum until 6-8 weeks. 1 in 4 mothers breastfed their babies 6 months, the remainder either revert to mixed feeding or exclusively formulae-feeding. decrease by 66% thereby coming down to a ration of 1 in 4 babies are breastfed by 6 months and over (Bolling et al 2007; NICE 2008). Initiation and duration rates of any breastfeeding rates are lowest among families from lower socio-economic groups, adding inequalities in health and continuing to the perpetration of the cycle of deprivation. BF rates are low in the UK for several generations, and professionals, childbearing women, families and the public at large have all been exposed to formula feeding as the norm. This is one of the reasons that mothers are encouraged by the midwives and HVs to continuously breastfeed their babies until six months and up to two years. It seems that most mothers discontinue breastfeeding their babies after six to eight weeks reverting to formula feeding which is classified as health inequalities. The intervention by fathers is important motivators in supporting mothers to increase breastfeeding rates up to six months thereby prevent health inequalities. The 2012 data in England, London and Southwark on initiation and continuation of mothers breastfeeding from two hours to six to eight weeks postpartum identified a slight increase from 76% in (year) to over 90% in 2013. The discontinuation of breastfeeding after six to eight weeks is as a result of either mothers are returning to work, feeling pain at breastfeeding or lack of family support. Fathers involvement by midwives and Health Visitors (HVs) from antenatal is an important intervention in supporting their partners to breastfed their babies until six months postpartum. The drive placed on mothers by midwives and Health Visitors (HVs) to continuously breastfeed are underpinned by International, National and local policies The determination placed on mothers by the Government and Health Visitors (HVs) to exclusively and continuously breastfeed their babies until six months postpartum is an important and effective measure that can protect their health and that of their babies with specific contributions and motivations from babies biological fathers. Healthy Child Programme (HCP) (2009) recommends that fathers are involved However, the HCP has conflicting information from the UK government which flexibly recommends formula or mixed feeding could be introduced after four months (17 weeks) however with the caveat it should be delayed until six months. This is giving conflicting information to both the mothers and Health Visitors (HVs) who tends to follow the UNICEF BFI UK guidelines. Risk Factors Ip and colleagues (2010) conducted a systematic review of the evidence on the effects of breastfeeding on short- and long-tem infant and maternal health and suggested that breastfeeding reduces the risk of diarrhoea and chest infection; atopic dermatitis and asthma; obesity and type I and type II diabetes (Sherburns-Hawkins et al. 2008); childhood leukemia; sudden infant death syndrome (SIDS) and necrotising enterocolitis. According to Breastfeeding also confers benefits on the mother by regulating fertility (WHO 2010) Employment, housing and income are primary determinants of health and health inequalities4. They affect individuals, families and society both directly or indirectly through wider social and economic factors, e.g. child poverty, educational attainment of children, social isolation, etc. London is arguably disproportionately affected by employment, housing and income as determinants of health due to demographics, higher living costs and the nature of its housing and employment markets Reference Lists Custworth L. Bradshaw J. (2007) A comparison of policies to enhance child well-being. Special Policy Research Unit, University of York. Hooper, J. and Longworth, P. (1998) Health Needs Assessment in Primary Health Care. Huddersfield: Calderdale and Kirklees Health Authority. Downloaded on the 23rd November 2012 www.geocities.com/HotSprings/4202/ hnawrk.html Shelter UK (2005) Full house? How overcrowded housing affects families. Downloaded on the 24th December 2012 http://england.shelter.org.uk/__data/assets/pdf_file/0016/66400/Full_house_reportL.pdf Stevens A. Gilliam S. (1998) Needs assessment from theory to practice. British Medical Journal 316, 440-444. Tate A., Lloyd T., Sankey S., Carlyon T., Marshall G., Jefferys P., Williamson K and Chung S. (2012) The housing report 2012: The coalition midterm review. Shelter, London. DH (2007) Implementation plans for reducing health inequalities in infant mortality: a good practice. The Stationery Office, London. DH (2003) Infant feeding recommendation. The Stationery Office, London. www.chimat.org.uk. www.ic.nhs.uk/pubs/ifs2005 www.london.nhs.uk/publications/tools-and-resources/pct-perfromance-quick-guides

Reasons Youth Join Gangs Essay -- Why Young People Join Gangs

Deviance in Gang Involvement Reasons Youth Join Gangs The problem of gang activity is not a new one facing our country. Ever since the beginnings of human existence gangs have served as a means of protection for humans. The issue of gang activity has recently, however, come to the forefront of dilemmas facing our nation. While cities like Chicago and Los Angeles are chronic gang sites, other cities such as â€Å"Miami, Portland, Columbus, Dallas, and Milwaukee have only recently (within the last decade) had what they termed as a gang problem† (Conly 7). Gang numbers have, without question, skyrocketed over the past 10 to 20 years. Los Angeles, for example, has recently been estimated to have as many as 90,000 gang members (Conly 14). The importance of these numbers cannot be overlooked. However, to fully understand the problems that gangs may pose to society, the term gang must be defined. Without a definition the impact of gang maliciousness on society may be lost. Throughout its history the term â€Å"gang† has possessed a diverse usage, being linked to outlaws in the â€Å"wild west† and organized crime groups among others (Decker and Van Winkle 2). Due to this, a clear-cut definition of a gang does not exist. However, most agree that a gang is a group of mostly males that engages in delinquent activities. However, the definition goes much further than that. A police officer, for example, may call a gang â€Å"an on-going, organized association of three or more persons who individually or collectively engage in or have engaged in criminal activity† (Conly 5). Notwithstanding, this definition is terribly obscure. That definition could include a group of boys who occasionally drink alcohol. On the other hand it could also includ... ...bliography: Conly, Catherine H., et al. Street Gangs: Current Knowledge and Strategies. Washington: Dept. of Justice. Office of Justice Programs and National institute of Justice, 1993. Decker, Scott H., and Berik Van Winkle. Life in the Gang: Family Friends and Violence. New York: Cambridge Up, 1996. Dickersen, Debra. â€Å"Cease Fire in Simple City.† U.S. News and World Report 16 Mar. 1998: 22-25. Korem, Dan. Suburban Gangs: The Affluent Rebels. Texas: International Focus Press, 1994. Sanders, William B. Gangbangs and Drivebys: Grounded Culture and Juvenile Gang Violence. New York: Walter de Gruyter Inc, 1994. Spergel, Irving A. The youth Gang Problem: A Community Approach. New York: Oxford Up, 1995. Trump, K. S. Youth Gangs and School: The Need for Intervention and Prevention Strategies. Cleveland: Urban Child Research Center, 1993.

Adolescent Nutrition Essay -- Health Nutrition Pyramid Diet

During adolescence there is a high susceptibility to nutritional deficiencies and poor eating habits. This may lead to problems later on in life such as osteoporosis, obesity, hyperlipedemia, sexual maturation delays, and final adult height. The development of eating disorders is also prominent during this time. Adolescents require extra nutrients due to a growth spurt, which girls experience during the ages of 10 or 11, reaches its peak at age 12 and is completed by about age 15. In boys, it begins at 12 or 13 years of age, peaks at age 14 and ends by about age 19. Adequate amounts of iron and calcium are important as the adolescent body undergoes the growth period. At the ages of 9 to 18 years, both males and females are encouraged to have a calcium rich diet in order to have proper calcium deposits in the bones. This may help reduce obtaining osteoporosis in later years. Eating disorders are also common among teens whose food choices are influenced by society’s pressures to have the ideal look. Some eating disorders are classified as anorexia, bulimia, compulsive overeating or binge eating. Both anorexia and bulimia can lead to convulsions, kidney failure, irregular heartbeats, osteoporosis and dental erosion. Adolescents suffering from compulsive overeating disorder are at risk for heart attack, high blood pressure and high cholesterol, kidney disease, arthritis, and stroke. Healthy eating during adolescence is important because an individual's nutritional and dieta...

The Similarities and Differences Between Thor and God

Thor and the Life of Christ can be looked in the same way. There are similarities between the two people and there are also many differences. There is a common theme between both Thor and the Life of Christ. Prominence, humility, suffering, and exaltation, in that order, are themes that happen to both Thor and Jesus. There are many similar relations that connect to both of these people but are presented in different way. Prominence was big in both of the people. Thor was the Norse god of thunder that everyone bowed down to. This relates to Jesus because he is also a high figure that Christians praise and worship.The level of prominence that these two people have is very similar to each other. Thor lives in a place called Asgard. This is the home of the gods and is very similar to Heaven. Heaven and Asgard may look different but they serve the same purpose. They are both places of High Divine and a place of peace. This is a similarity between the two story lines. One difference betwee n the amounts of Prominence that each one had was that Thor thought too highly of himself. He was very arrogant in the beginning of the movie and even defied his own father’s orders.The difference between Thor and Jesus is that Jesus did not count himself equal with God. This is told in Philippians 2:5-11. Although Jesus was in the form of God he did not count equality with God therefore, he became a mortal and was born in the likeness of men. Unlike Jesus, Thor was cast down to Earth as a punishment. He was punished because he disobeyed his father’s command and went to Jotunheim and started war. Because he did this, Odin relinquished him of his powers and banished him to Earth. This is a contrast between Thor and Jesus because Unlike Thor’s banishment, Jesus did it out of love.These acts brought humility to each person. Thor’s punishment was being stricken from his powers and becoming a mortal. This means that he can no longer fly or has the mighty power of his hammer. He is only human. This brings a type of humility because he has been degraded down from a god to a weak human. He must learn to cope with his human body. Thor no longer had the strength of a god but had the strength of a human which was really weak compared to his god form. This is very similar to Jesus because he was also born through the likeness of men. This means that Jesus was no longer the all-powerful being that people worshiped.Instead he was a mortal that lived upon men. He had limitations as well and faced many temptations in his life as a human. Humility was present because of the suffering and rejection that Jesus received and accepted from people. Many people made fun of Jesus. When Jesus did miracles he was made fun of. He was rejected by his own people and was beaten and mocked by the Roman soldiers. The most painful humiliation that Christ received was his crucifixion. This is humiliation and suffering to Jesus. Although Thor did not receive as painfu l humiliation that Jesus received his still received his own form of humiliation as a mortal.An example can be seen when Thor went to get his hammer. After beating up all of the guards, he ultimately could not pull out his own hammer. This gives an example of humiliation because he was not able to pull out his hammer even though he had finally found it. This shows the suffering that Thor had to endure because he could not take the hammer even though it was in his grasp. This is the ultimate source of humiliation because Thor could not get the one thing he desired most. The humiliation between both people leads to suffering. Jesus Christ and Thor both suffer tremendously throughout their journeys.It is incredible to see how much they can both endure despite how much pain they go through. Jesus suffered a lot as his time of being a human. He was made fun of and was also beaten upon by the Roman soldiers. This is suffering because Jesus went through pain. Throughout Jesus’s suff ering, He was able to stay obedient to God until his death on the Cross. It says this in Philippians. Jesus did stay obedient despite all of the suffering that he had went through. It was basically torture for Jesus but he was able to stay obedient. All of Jesus’s pain that he took was an example of suffering and he did it all to save people’s sins.This suffering also relates to Thor because he also suffered during his time as a human. Thor suffered because he had to watch his friends get tossed around by the destroyer. The destroyer resembled death in the movie. The destroyer came for Thor when Loki ordered to kill Thor. Thor experienced suffering from the Destroyer and in the end faced death. Thor accepted death and faced it face to face and ended up dying. He was willing to die in order to save his friends. This relates to Jesus because he was able to die and go on the cross in order to save His people and the people’s sins.Jesus did not care at all what peop le did to him. When Jesus was on the Cross He said, â€Å"Father, forgive them, for they do not know what they are doing. † Jesus was able to find sympathy until the very end of his suffering. Thor follows the same storyline as Jesus because he also dies in order to save his friends. Although the deaths are different it gets the same point across that both people went through suffering in order to save the people they cared about. This suffering finally leads to exaltation. The exaltation of Jesus is similar to Thor as well. When Jesus was dying He said, â€Å"It is finished. Thor, in the time of his death, also said, â€Å"It is done. † This shows that they have both accomplished in what they were sent on Earth to do. Thor was able to grow as a person and was able to sacrifice his own life in order to save others. Jesus was able to be obedient until the end was able to die on the Cross just so he could save the world of its sins. This leads to exaltation because Thor ends up getting the hammer and resurrects. He becomes a god again and defeats the destroyer also known as death. Jesus rises after the third day and ascended into Heaven. Jesus also conquered death.These are very similar because they both came back to life after their deaths and went back to their original high positions. Jesus was with God in Heaven and Thor got his god powers back. This is exaltation because they have been praised with the sacrifices they have made and have been rewarded. Before Thor returns to Asgard he tells that he will come back for Jane. This is similar to Jesus’s saying of how he will return for his people. The Tagline of these two movies is two worlds: one hero. Both Thor and Jesus fit this tagline. Thor is the hero of two worlds. The two worlds are Asgard and Earth.Jesus is also the hero of two worlds. Instead of Asgard it is Heaven and Earth. He is a hero to the people of earth because he was able to save the world of their sins. This leads people to look for the hero for guidance. In Thor, Jane looks for Thor every day and make it’s her goal to see Thor again. This is similar to followers of Jesus. The followers of Jesus want to know Jesus more and are always finding ways to find him and get closer to him. The tagline of Thor and Jesus Christ are very similar. Although they are told in some different ways the ultimate view of each are the same.