4.Is the process of globalization undermining the authority of the Essay

4.Is the process of globalization undermining the authority of the state and removing it from its central role in International Relations - Essay Example (McGrew, 1998, p 219-243) Gilpin (1987, p19) argues that the process of globalisation is characterised by the interaction of economic and political issues between sovereign states. However, this [process of globalisation has been intensified because of the introduction of technology, better communication and better modes of travel between these countries. Liberal economists believe that globalisation assists in the process of building peace in the world. It encourages economic growth and also institutes order in the international arena. Kennedy (1993, p 12) also adds that the process of globalisation has shown how states no longer take up the central role in their individual economic process. This argument can be verified by the existence of a global economy. The forces affecting the global economy have very little to do with what is prevalent in specific countries. Additionally, the rate of flow on capital from the international arena into and out of specific countries also indicates how nations are loosing their central role. Because of globalisation in the business sector, politics in individual countries has to change to accommodate this new phenomenon,. Some of the arguments for against the denationalisation of states will be examined inn the essay below. These arguments will be based on their effect on state authority in international relations. Jackson and James (1999, p 34) describe the state as a community of persons that have the sole authority to exert physical force within a certain territory. This means that there are certain features that are distinct to states. If these features are eliminated then that particular state will not have a central role. These factors include; ONeill (2006, p13) says that the issue of globalisation has not undermined the states’ role because it has not hampered the issue of central political relations. A case in point is the European Union, where member states from various parts

SMALL BUSINESS MARKET RESEARCH Essay Example | Topics and Well Written Essays - 2250 words

SMALL BUSINESS MARKET RESEARCH - Essay Example This report seeks to carry out a market research for a sole trader in the UK market. The product in contention is ‘Nomido Pizza’. This is a fast food product that will target university students and therefore will be located close to The University of Liverpool so that it serves the students both in and out of campus. With the growing concern about the health of young people, this product will be a pizza, just like the others but clearly made from natural and locally available food items. No additives and chemical combinations in the ingredients. The unique selling proposition (USP) will be â€Å"Delivery within, quality maintained to the natural taste†. This is a product that seeks to take consideration of the health status of young people and therefore there is bound to be a very high profile sales to the students given that they already have this knowledge of health and have dynamic minds subject to change on what they consume. 3.0 Considerable Market Factors 3 .1 Suitability and Risks This is a very suitable enterprise for a sole trader as the factors considered in establishing it constitute a positive trend. The location, raw materials, human resource, market demand, competition, laws, the technology and the expected returns are bound to be good. This venture is suitable for a single business owner because it is economical on all economic and human factors as listed before (Ashton, 2007, p. 21). Having considered the suitability of these factors, it is a viable cause of action as the likeliness that the students will capture health as opposed to quantity and junk is probable. Moreover, as a sole trader, there is always the chance one could get family members to help in the operation as well as employ a few workers to take care of the workload (OECD, 2000, p. 11). This food industry choice can be punctuated by the fact that there is knowledge of catering and hospitality which puts up an advantageous position in the operations of the busin ess. There is however several risks involved in sole trading. McDonald and Hawkins (2012) clearly indicated the sacrifice that should be put into becoming a sole trader. The major risk is the liability risk. Sometimes the operations may be led by over-ambition; this may create liabilities and if there will be inability to service these, personal assets may be taken to cover for this. The heavy burden of decision making is a risk that can never be overlooked. One wrong decision may lead to closure of the business given that the decision will be binding in all situations. Other risks involved could take the form of lacking time off and lack of prestige in the business (Cruz-Cunha & Varajao, 2010, p. 97). 3.2 Target Market Segment A combination of segmentation bases will be at work in this case. The choice of a university environment reflects their prevailing knowledge of the need to change from the current consumption methods to new better methods. The geographic lineation of this seg ment is because it is very populated and therefore the market is concentrated at a place as found out by Emmanuel (2006). Shah (2010) also noted that an urban place where population density is high increases demand for a product. The demography is consistent with the young people whose is that of

Kinds of research data Essay Example for Free

Kinds of research data Essay The basic classification of research data is in terms of quantitative and qualitative methods. Quantitative research entails examination of numerical data by using mathematical models and statistical procedures. (Morgan, 2000). Qualitative research involves use of analysis and opinions to explain interviews and documents and understanding the phenomenon. The study requires a qualitative and some quantitative approach rather than a purely numerical one. Data Collection Approaches Data collection approaches can be primary and secondary. Both primary and secondary approaches will be utilized Extensive research will be carried out in the Library as well as on the World Wide Web. Qualitative Research Methodologies Qualitative methodology focuses on quality† a term referring to the essence or ambience of something. Qualitative methods are used to understand complex social phenomena. In the present situation, literature survey along with interviews and questionnaires will be the key techniques used for data collection, collation and analysis. Case-Study Research Methodology. Case study in the primary research methodology employed in this study. A case study is an enquiry which uses multiple sources of evidence. It evaluates a contemporary phenomenon in real life context within the boundaries of the phenomenon and when the context is not clearly evident. Potter, (1996) has defined case study as a â€Å"realistic† methodology, which deals with solid and specific questions. Case study translates research objectives into more researchable problems, and provides rich examples, which are easy to comprehend. The significance of case studies is its revealing the meaning of a phenomenon. A peer group case study approach is considered best suited than other techniques to implement this research, as it will concentrate on an empirical, contemporary problem. It will also enable answering the questions as, â€Å"why† and, â€Å"how† to understand the underlying motivations. It will generate empirical data and interesting information specific to the phenomenon under study. Research cases offer a unique tool to testing theory by examining phenomena which are beyond the traditional statistical approaches. (Potter, 1996). Case study research is useful to the aims because the degree to which a case study produces valid and credible information is generally higher than qualitative research in a more general survey. An analysis of the Chinese and UK banking systems is proposed to be carried out with reference to the case study of Bank of China and HSBC, London. Limitations of Case Study One of the limits of case studies is the difficulty of generalizing their findings. If the case design is sound and if the researcher is careful to be explicit about the phenomenon and the context of the study, then results can be generalized.(Potter, 1996). Another limit of case studies is that they generate a lot of information that needs to be logically handled to strengthen the argument presented in order to develop credible conclusion. Research Instruments Primary data is collected for the research study to answer a specific question. Ways of collecting this kind of information includes surveys, observation or controlled experiments. Surveys are one of the most common ways to collect data, where the subject can be contacted through mail, telephone or directly in personal interviews. (Veal, 2000). It entails sending questionnaires, interviews and non-formal enquiries made to people. By carrying out interviews of a significant number of individuals a broad perspective can be provided. This research will collect data by essentially the method of interviews and questionnaires. Data Collection Method Questionnaire Survey Surveys are frequently used to obtain information about social issues. Jones (1997) has described that survey needs planned strategy to gather data. Surveys can be conducted in many ways, over the telephone, by mail or in person. Questionnaire surveys are ideal for providing complex information. Questionnaire involves a sample of the population which can range from few hundreds to few thousands depending on the research study (Veal, 2000). Questionnaire technique has been used in the study. Limitation of the questionnaires On an average the advantages outweigh the disadvantages, but a key drawback is low response rate. This will result in low level of confidence and distort the analogy of statistical information. Another weakness of questionnaire is the fact that it is a structured format and allows little room for flexibility with respect to reply by the respondents. Interview Interviews will form an interactive part of this study and will be carried out after the secondary research is done in combination with the questionnaire. When doing these interviews it will be important to keep a neutral view of the research topic, where the actual behavior instead of an intended behavior needs to be identified. Veal (2000) has described interview as a strategy to find out from people about the things, which cannot be observed directly.

Health Promotion Education

Health Promotion Education Health promotion or education strategies are applicable to all health problems and are not restricted to any particular health issue or particular group of behaviours. World Health Organization (WHO) (1986) explains that health promotion entails the processes which make possible people to enhance their understanding and control their health in order to improve their health. For a person to attain a state of full physical, psychological as well as social happiness a person or a group has to be able to recognise and understand goals, to satisfy their wants, and modify or deal with the environment as well as illness. Thus, health is viewed as a resource for daily life, and not the goal of living. More so, health is a constructive aspect stressing social as well as personal resources together with physical abilities. Consequently, health promotion or education is not only the duty of health sector, except tit entails much more than a healthy life-style. This essay seeks to address the ro le that health education/promotion can play in empowering patients to take more responsibility for their own health. A lot of present day and tomorrows main causes of disease, disability and even death are issues which can be greatly reduced through preventive attitudes which are learned through health promotion or education in earlier ages and build through social as well as political strategies and stipulations. However as Naidoo and Wills (2000):observes, Health promotion programs need to be harmonized through effective collaboration across all sectors, professions as well as health agencies, And should be conveyed in way which is sensitive to the culture of the people. Naidoo and Wills (2000) underscore the 1997 WHO Jakarta declaration which outlined five main approaches for effective health promotion /education. Formulating a healthy public strategy Creating a supportive atmosphere Strengthening community action plan Development of personal skills and abilities Reorientation of health services Partnership working Health promotion delivery can be highly improved through creation of partnership working as noted by the WHO. Widening the foundation of health intervention approaches implies tackling socio-economic together with environmental aspects, improvement of accessibility to health services, reduction of inequalities in addition to targeting health education to each and every group regardless of age, gender, and status or age differences. Addressing health inequalities In order to formulate an effective health promotion strategy, health inequalities has to be addressed and taken as part of formulation of education plan (Braun et al, 2000). Professions in all health bodies have a duty of delivering successful local health interventions in order to decrease inequalities. In addition to that, all professions in health agencies have a duty to address health promotion or education and preventative measures which aim at reducing effects caused by sore throat A lot of suggestions put forward by Braun et al (2000) can be undertaken within a local set-up, for instance raising the intake of advantages within a suitable group, formulating health education in schools, promoting waking and making sure that all the requirements from all groups of people even the ethnic minorities are considered when formulating health policies. Frameworks There are a number of models which have been formulated in order to help in heath promotion, these models are basically grouped into two main groups which are: Health promotion concepts which describe health promotion as a scope of interventions (formulated by, Tannahill (1985); French and Adams (1986); Beattie (1991)) Health promotion model which analyse health determinants and suggest responsive measures (Laframboise (1973); Raeburn and Rootman, (1989); Hancock, 1993) In these two main classes of health promotion models, Naidoo and Wills (2000) explains that, the health practitioners are viewed as leaders (figures with power) or as facilitators of activities (negotiators) Beatties model of health promotion According to this model, there are four main aspects entailed in health promotion. These main aspects are: Health persuasion Personal counselling Community development Legislative action These four main aspects contribute in attaining a full picture when formulating a local health promotion action strategy for partnership collaboration. Ajzen, (1991) clearly observes that, all heath promotion models measures require understating by the patients own intent to change his/her behaviour. The concept of intended behaviour by Ajzen (1991) is among a number of behaviour modification outlined in health promotion main steps. According to this concept, there are three main steps regarding an individuals intended behaviour these are: A persons attitude is determined his/her thinking regarding the consequences The expectations from other people The persons supposed control and values in their capacity to change Every agency or persons involved in health promotion is highly encouraged to apply these concepts in supporting their individual initiatives whilst formulating a multi-partnership long term plan. Nurse practitioners Nurse practitioners have more experience which they gain through extra training they get which gives the ability to see patients who have various minor illnesses as well as injuries. This entails going through the history of the illness, undertaking a physical analyses, instigating blood tests or performing any other test as it may be indicated. In addition to that the nurse practitioner has a duty of carrying out a diagnosis as well as giving treatment options to the patient. It is against this background that makes these nurse practitioners to be in a better position of performing health promotion/ education in order to empower patients with knowledge on how to manager a number of minor illness which are common but not alarming. As such nurse practitioners are in a central position of empowering patients on sore throat management. Minor illness: Sore throat Many of minor illness such as sore throat can be mainly be managed through O.T.C (over the counter) non prescriptions drugs which are able to offer relief to the symptoms. Nevertheless, it is Robbins et al (2003) notes that all minor illnesses have a possibility of turning out to be serious. Patients should be advised that they should seek for the services of a doctor or a nurse in case the symptoms of such an illness are sore throat turns to be severe or in case there is sudden change of symptoms upon taking the OTC drugs, or when they are not working. Robbins et al (2003) observes that, patients with sore throat can be advised not to sure any outdated drug or antibiotics which they used in the past, this information are also pertinent to patients with other minor illness. Sore throat management Sore throat is among the most common minor illnesses which affect persons of all ages all over the world. However, children have been known to suffer from sore throat more than adults, on an average it has been established that children suffer from sore throat five or six times every year (Health Development Agency, 2004). In UK, about 90 of children in pre-school age group are known to look for consultation form a doctor at on point or another, mainly for symptoms which are associated with sore throat. Sore throat is among top ten common illnesses which patients come for consultation in primary care, whereby children seek consultation than any other group. More so, about one child in every 7 children who consult because of sore throat will again seek for consultation for sore throat after some time (Health Development Agency, 2004). These numbers have changed just slightly over the years. Adult Patients on the other hand on many occasions show anxiety as well as hopelessness when de aling with sore throat. Such problems and worries can be effectively addressed through the provision of reliable clear information about health, through heath promotion activities. (Health Development Agency, 2004) Nursing practitioner can use heath promotion to increase the ability of patients to manage sore throat. Sore throat management in general nursing practice and advancement to tonsillectomy in some cases lead to noteworthy use of health care services resources. In many cases, sore throat condition is comparatively minor and also self restrictive. Sore throat has got very little if any lasting adverse health consequences. Nonetheless, a considerable proportion of patients undergo undesirable morbidity and inconveniences caused by sore throat. Due to this many patients seek health practitioners who may keenly treat them, using antibiotics of substantial costs and questionable efficiency. (Health Development Agency, 2004) Basing on data from national health care records, sore throat is ranked as the eighth very common appearance in primary health care for many people (NSH, 2000). This translates to about 1 person in every 30 people. National Health Services (NHS) has averaged that annually, there are 0.1 consultations carried out concerning sore throat. Assuming that each consultation made cost 10 sterling pounds, then it cost the National Health Services (NHS), about 60 million sterling pounds every year, before adding any other cost of investigating or treating sore throat. Hence, heath promotion becomes very important in reducing these costs and in empowering people on how to manage sore throat. In addition many of sore throat illness gain exceptionally little from treatment through using antibiotics (Schalock 2000) Yet again; the use of these antibiotics continues to be common with many patients with sore throat receiving antibiotics. But, unnecessary prescription of antibiotic only results in wasted heath care resources, results in a cycle which promotes additional consultations in future for same sore throat illness and as well contributes a lot to the antibiotic resistance problem. Factors which influence people to take a decision to seek consultations comprise concerns, beliefs, knowledge and also expectations. Patients often dread any illness, and they mainly worry that they may not be capable of recognizing symptoms of a grave aliment (Ajzen 2002). Some patients get anxious of ‘bothering their normal practitioners with sore throat illness. At the same time these patients do not have knowledge about have best to treat a sore throat. Patients might have certain belief regarding the causes of sore throat illness (Ajzen, 2002), the implications of the sore throat symptoms and also the effectiveness of drugs to treat sore throat. Lazenbatt et al (2001) explains that, offering patients with information which is written regarding sore throat illness may assist to decrease the anxiety these patients suffer and improve the patient satisfaction as well as enablement. More so, the use these written information can reduce s re-consultations rates and use of antibiotics to cure sore throat. Expectations with which patients come at consultations rooms may have an impact on the way patients may be treated. There is no doubt that a patient who walks into a consultation room being expected to treated with antibiotic may end up being prescribed by an antibiotic particularly from a drug stores. But, studies have indicated that patients value getting a through assessment, explanations, assurance and guidance or advice more that receiving prescriptions. Such revelations show the importance and the value of these patients being offered health education regarding the management of their illness, in this case sore throat. (Lazenbatt et al 2001) Health promotion The present scope of nursing does acknowledge the key role of nurse practitioners in health promotion /education, Prevention of diseases and treatment of these diseases, sore throat management through medications as well as through non medication treatment. The public frequently seek out nurse practitioners as their main source of health advice and also care for a number of minor illnesses since nurse practitioners are easily assessable. In 2001 a report by Department of Health (2001a) underscored the importance of nurse practitioners in health promotion and highlighted the advantages of using these practitioners in health promotion at the same time calling for them to collaborate with other professions in health promotion/ education regarding minor illness. Sore throat A number of measures have been formulated which nursing practitioners can use to in promoting health education regarding sore throat. National Health Services (NHS) recommends that the following steps should be followed by the practitioners in health promotion: Throat swabs need not to be done as a routine in sore throat examination Practitioners should not relay on clinical examination to distinguish between bacterial and viral sore throat Do not perform rapid antigen routine in the case of sore throat, but it is suggested that research has to be carried out through the use of antibody titres. Patients need to be told by nurse practitioners that the common cause of sore throat is a virus or bacteria, though some other causes can also lead to sore throat. But, when one gets a sore throat it is possible to mange the sore throat by undertaking the following steps. Taking of pain killers, in specific soluble analgesia, dissolve tow tablets and take them three times each day, it has been proved to be highly effective Rest your voice when having sore throat as much as you can keep off smoking if you smoke and avoid smoky surroundings Increase the amounts of fluids you take, keep your self warm and try going to sleep early. Take antibacterial lozenges only or together with throat sprays which contains anaesthetics to get pain relief. When a patient takes these steps, a lot of sore throat cases will be treated without necessary going to the get a doctor or seeking other heath practitioners services. However if a person takes the above mentions steps and still feels the following, then he/she needs to see the doctor. Relentless sore throat Having problems in swallowing or having severe pain when swallowing Experiencing fever or chill Wheeze for those patients who suffer from asthma or having difficulties in breathing Experiencing lethargy Sore throat Management Paracetamol is successful and efficient in treating symptoms related to sore throat when administered within 48 hours. Pateients can also use ibuprofen effectively to manage symptoms related to sore throat if they take it within the48 hours. Patients need to take paracetamol as a medication of analgesia caused by sore throat , putting in consideration the high dangers which are related to other analgesics When using antibiotics patients, its is important the nursing practitioners as well educate the general public and patients in particular on management of sore throat in relation to antibiotics. In particular these information needs to be delivered: Penicillin seems to have a crucial (though small) advantage against analgestics/antipyretics specifically in initial lessening of symptoms in patients who have harsh symptoms of sore throat. Nevertheless, antibiotics must not be taken routinely to bring about symptomatic reprieve in cases of sore throat. Sore throat need not to be treated using antibiotics particularly to avert the rheumatic fever development or severe glomerulonephritis development Using antibiotics can avert cross infection of sore throat within the group A beta haemolytic in situation where institutions are closed for example boarding schools or barracks. However, the antibiotics must not be routinely applied to avert cross infection of sore throat within the common community. (Roberts, et al, 2002) To prevent suppurative complication in sore throat infection does not imply specific sign for antibiotic treatment. Preventing sore throats It is not possible to fully prevent sore throat; however the nurse practitioners have to educate the patients on how to reduce the risks and the manner in which to take care so that one can avoid getting sore throat as much as its possible. The following steps are important preventative measure which needs to be undertaken by each individual: Taking a well balanced and healthy meal with lots of vegetables and fresh fruits Getting enough sleep in the night and enough rest Not smoking Avoiding surroundings which are smoky as much as one can manage Indications of tonsillectomy in sore throat In cases where tonsillectomy develops as a result of sore throat, then patients have to know that the following aspects may occur: They mare suffer five or extra cases of sore throat each year, or may have sore throat symptoms through out the year. It is recommended that patients should take six month duration being watchful of any symptoms before tonsillectomy in order to establish strongly the manner of the symptoms and permit patients to take into account the entire implications of having an operation. The moment a decision is reached to perform tonsillectomy, then the operation should be performed as quickly as possible, in order to maximise the duration of benefit prior to natural resolution of symptoms occurring (without having performed tonsillectomy). The health practitioners should know that sore throat which is related with respiratory problems or stridor is an utter warning for a patient to be admitted. But, at the same time practitioners have to be aware of the basic psychosocial influences among patients coming to seek medication because of sore throat (Morrell et al, 2000). Heath promotion evaluation In order to make any program more effective it is important that it should be evaluated. Nurse practitioners are advised to put into consideration all measures which have been taken. Planning processes, implementation of the program and evaluation of whole processes are all important elements of health promotion. As Whiteland, (2001) notes, planning and implementation phases of any specific health associated programme are essential for making sure that the program is successful. Have an effective plan and implementation process allows the practitioners to anticipate for proper evaluation processes. When carrying out health promotion/ education many nurse practitioners do not normally put into consideration every element of the program processes. In many cases planning stage is the one that is emphasized. Whiteleand (2001) adds that it is not common to see a proof of evaluative measures in health promotion. But: Evaluation is important since it offers the crucial tool for health promotion practitioner Knowledge base which shows various health promotion evaluation methods as well as approaches are need to effectively implement a successful health promotion. Without carrying out an evaluative processes, there are reservations that health promotion program may not achieve its objective, and may fail to settle those funding the program. According to Schalock, (2000); South and Tilford (2000): there are a number of reasons as to why it is imperative that health practitioners undertake evaluate health promotion programs. For example, practitioner has to evaluate the level and degree to which the promotion program has and is attaining its objective. In addition to making sure that the program is cost-effective. In accordance with the above mention reasons to appraise health promotion plan, are the rising rationalisation programs of health services. The present economic situation in UKs National Health Services (NHS), together with latest deep-seated quality related changes, has resulted to increased attention of examining health promotion (South and Tilford, 2000; Raphael,2000). In addition to that, Tones (2000) highlights two major classes of evaluation, these are, assessing what has been attained and assessing the manner in which the objectives have been attained. Thus, nurse practitioners may use a number of available evaluation methods such as evidence-based, cost-effective or performance management (Lazenbatt et al, 2001; Morrell et al, 2000) to assess how effective health promotion regarding sore throat management is. The long-standing viewpoint Tones (2000) observe that, health promotion programs should incorporate socially empowerment as well as enabling activities. The program discussed here regarding sore throat was aimed at empowering patients to effectively control sore throat and reduces costs incurred in sore throat through promoting healthy lifestyles among measures encouraged. However, for health promotion program to be more effective, it should involve the whole community. The Beattie health promotion discussed earlier in this paper puts emphasis on building relations which last longer, and making sure that public health promotion/education, prevention, and protection are undertaken by the whole community, and not only nurse practitioners. For the health promotion program to be more effective, Bakley (2001) proposes that health promotion /education has to create a healthy public strategy, create supportive atmosphere, foster personal or group abilities and skills, enhance community action program, and re-orient health services. Conclusion Health promotion/education is programs carried out in order to enable people increase their control and improve their state of health. The aim is to make people to attain complete physical, psychological and social welfare. A person or a community must be in a position to identify and acknowledge aspirations to satisfy the needs as well as modify or manage the environment, or illness. Health is taken as daily a resource which needs to be maintained. There are a number of models which have been formulated that by different health experts who are used in health promotion strategies, and Beattie, (1991) health promotion model is commonly used. As it can be seen, sore throat is a minor illness which should not cause any alarm to a patient yet many people when suffering from sore throat end up with a lot of anxiety and using expensive antibiotics which is not really necessary. Thus, health promotion becomes more important in sensitising people on how not only manage sore throat but any ot her minor illness. But, for any health promotion program to be effective and successful, it should be monitored and evaluated to measure its achievements and ensure that it attains its goals and objectives. Reference: Ajzen I (2002): Perceived Behavioural Control, Self-Efficacy, Locus of Control, and the Theory of Planned Behaviour: Journal of Applied Social Psychology Ajzen, I (1991): The theory of planned behaviour: Organizational Behaviour and Human Decision Processes; 50 Allen J; Dyas J; Jones M; Allen J; Dyas J; Jones M (2002): Minor illness in children: parents views and use of health services: British Journal of Community Nursing 2002, Ashley A; Lloyd A; Lamb S and Bartlett H. (2001): Is health-related quality of life a suitable outcome measure for evaluating health promotion programmes: Nursing Times Research 6, Beattie, A (1991): Knowledge and control in health promotion: a test case for social policy and theory; in: Gabe, J; Calnan, M; Bury, M (edited) The Sociology of the Health Service; London; Routledge/ Taylor and Francis. Bakley A (2001): Evaluating Health Promotion: Methodological Diversity: In Using Research for Effective Health Promotion 🙠 Oliver S. Peersman G. Eds): Open University Press; Buckingham, Braun B; Fowles J; Solberg L; Kind E; Healey M; Anderson R (2000): Patient beliefs about the characteristics, causes, and care of the common cold:- an update :Journal of Family Practice Department of Health (2000): The NHS Plan: A plan for investment; a plan for reform: London; DH. Department of Health (2001a): The Expert Patient: A new approach to chronic disease management for the twenty-first century: London; DH Fitzmaurice D (2001): Written information for treating minor illness: British Medical Journal Health Development Agency (2004): Developing Healthy Communities; London; HDA Lazenbatt A; Orr J. and ONeill E (2001): Inequalities in health:-evaluation and effectiveness in practice. International Journal of Nursing Practice 7, Learmonth A. (2000): Utilising research in practice and generating evidence from practice. Health Education Research 15 Little P, et al (2001): Randomised controlled trial of self management leaflets and booklets for minor illness provided by post. British Medical Journal Morrell D, Avery J, Watkins J (2000): Management of minor illness: British Medical Journal Naidoo J and Wills J (2000): Health Promotion: Foundations for Practice; 2nd edition: Bailliere Tindall: London Naidoo, J and Wills, J (2000a): Health Promotion Foundations for Practice: London; Balliere Tindall Raphael D. Bryant T. (2000): Putting the population into population health: Canadian Journal of Public Health 91 Raphael D. (2000): The question of evidence in health promotion: Health Promotion International 15. Raphael D. (2000): The question of evidence in health promotion: Health Promotion International 15, Robbins H; Hundley V; Osman L (2003): Minor illness education for parents of young children: Journal of Advanced Nursing; 44(3) Roberts C et al (2002): Reducing physician visits for colds through consumer education: JAMA Schalock R (2000): Outcome-Based Evaluation: Kluwer Academic Publishers; London South J and Tilford S. (2000): Perceptions of research and evaluation in health promotion practice and influences on activity: Health Education Research 15, Tones K. (2000): Evaluating health promotion: a tale of three errors; Patient Education and Counselling 39, Tones, K (2000a): Evaluating health promotion. Patient Education and Counselling 39: 227-236. Whitehead D. (2001): A social cognitive model for health education/health promotion practice: Journal of Advanced Nursing 38, Whitehead D. (2001a): Health education, behavioural change and social psychology: nurslings contribution to health promotion? Journal of Advanced Nursing 35; World Health Organization (1986): The Ottawa Charter for Health Promotion; Geneva; WHO World Health Organization (1997): The Jakarta Declaration: Geneva; WHO.

Bridge of Montenegro :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚   When I think about my unforgettable experiences in Montenegro, there is always one image that reoccurs in my mind. That picture is the bridge in the river that we used to go swimming in. This bridge does not have a name, however, that does not decrease its importance to the residents that live in that area. It holds various historical facts, information, and stories. Although it is too small to carry automobiles, it allows people to get from one city to the other without driving there. Many people in Montenegro do not have cars or any other means of transportation, so in order for them to get to their desired destination, they must take the bridge. This bridge carried farmer’s cows and sheep’s and led them to their pasture every morning and night. In spite of the fact that cars could not fit through, horses hauled produce over the bridge to nearby markets. The bridge helped people, animals, and food get to where they needed to go instead of taking the streets and risk g etting robbed or hit. Things have changed since the seventy – year old bridge was built. Nowadays it is considered a historic site and diving board to tourists and the citizens. I have noticed the bridge and scenery change before my eyes through the years that I have visited it.   Ã‚  Ã‚  Ã‚  Ã‚  I never would have thought it could alter the way it has. Not too long ago, this bridge was the only means of transportation for the natives of Montenegro. When I was younger, I remember the condition of the bridge was as if it were just built. The screws were all in the right places, tightly fastened, and the metal had barely began to chip off. After revisiting this place numerous times, I noticed some distinct transitions. Years later, I observed the transformation of the metal beginning to rust and peel off. Along with that, the nuts and bolts have slowly begun to unscrew themselves due to erosion and time. I remember climbing the surrounding cliffs that led to the bridge and the jumping off of it along with the other children. At that time, doing so was easy. The rocks were a bit difficult to climb, however, with the help of wearing sneakers; it made it a bit easier to ascend. The bridge was built on the peak of the crag, making it accessible to all thrill see kers.

Trojan War Essay -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  In the book The Trojan War, by Bernard Evslin, Ulysses and Agamemnon both contribute to the Greek’s victory. Many considered Ulysses to be the real brains behind the Greek forces. Although Agamemnon was the leader of the Greeks, many would say he was not a good one. Even though Agamemnon did some good deeds during the war, many of his actions caused problems, and Ulysses often had to come to his rescue.   Ã‚  Ã‚  Ã‚  Ã‚  With Ulysses on the Greeks side they had amazing intelligence and bravery. Many great things happened because of Ulysses leadership. One example is when Ulysses dressed as a peddler, found where Achilles was hiding, and brought him back to fight in the war. Ulysses knew he had to find Achilles because the prophecies told the Greeks they couldn’t win the war without him. Secondly, Ulysses convinced the Greek forces to return and fight after Agamemnon almost lost them. He yelled to the troops â€Å"Stop! Agamemnon means battle and not retreat, you misunderstood his words† (p. 42). Lastly, Ulysses showed great smartness when he solved the riddle about the Trojan War. By him solving the riddle, the Greeks came to win the long war. Ulysses was also smart enough to think of hollowing out the horse so the Greeks could hide inside them and attack the Trojans while they were sleeping. He showed intelligence too when he pretended the horse was a sacrifice to the god Poseidon. The war may not have turned out the same if the Greeks ...

The Indigo Spell Chapter Eight

I THINK ADRIAN WOULD'VE gone hunting Ms. Terwilliger's sister with me then and there. Amberwood's curfew wouldn't allow it, and besides, it was something I wanted to do in daylight. To his credit, he did heal Marcus without them getting into a fistfight, so that was progress. Marcus lost a little of his animosity and tried to engage Adrian in conversation about what spirit could do. Adrian gave wary responses and looked relieved when Sabrina showed up to take Marcus away. He gave me a mysterious farewell, simply saying he'd text me soon about the â€Å"next stage.† I was too tired to ask for more details and headed back to my dorm to sleep off what had been a pretty crazy day. I was awakened at the crack of dawn by heavy pounding at my door. I squinted at the clock, grimacing when I saw that it was an hour earlier than I usually got up. I stayed in bed, hoping whoever it was would go away. If there was something really urgent happening, someone would've called me on my cell phone. The display showed no missed calls, however. Unfortunately, the knocking didn't stop. With a feeling of dread, I finally dragged myself up, half-afraid of what I'd find outside my door. It was Angeline. â€Å"Finally,† she said, inviting herself into my room. â€Å"I thought you'd never answer.† â€Å"Sorry,† I said, shutting the door behind her. â€Å"I was busy sleeping.† She walked right up to my bed and sat down like she owned it. I really didn't know her schedule, but she always struck me as a late riser. Apparently not today. She was dressed in a school uniform, with her brilliant red hair pulled back in what was, for her, a rather tidy ponytail. â€Å"I have a problem,† she said. My feeling of dread grew. I turned on my coffeemaker, which I always had ready with fresh grounds and water. Something told me I was going to need a cup to get through this. â€Å"What's going on?† I asked, settling into my desk chair. I made no attempt at even guessing. When it came to Angeline, her problems could range from throwing a desk in rage or accidentally spilling hydrochloric acid on another student. Both had happened recently. â€Å"I'm failing math,† she said. This was unwelcome but not unexpected news. Angeline's mountain community, while still educating its children, didn't quite match the standards of Amberwood's elite curriculum. She struggled in a number of her classes but had managed to scrape by so far. â€Å"I'm already in trouble in my Spanish class,† she added. â€Å"But that pinata I made got me some extra credit, so I'm hanging in there okay for now.† I'd heard about the pinata. It had been for her class's cultural day, and she'd been so thorough with her papier-mache that none of her classmates had been able to open it through normal means. Angeline had ended up beating it against a wall and had to be stopped by her teacher when she'd produced a lighter. â€Å"But if I slip there and in math, I could get expelled.† That dragged me away from the flammable pinata and back to the present. â€Å"Ugh,† I said, having no better way to articulate my thoughts. The problem with a school that had high standards was . . . well, it had high standards. Trouble in one class might be tolerated, but not two. And if Angeline got kicked out, we'd be down one level of security for Jill – not to mention the fact that I'd probably get blamed for it all. â€Å"Ms. Hayward told me I need to get a tutor. She says I either need to get better or at least show I'm trying.† That was promising, I supposed. Even if a tutor couldn't help, hopefully the school would be lenient with her good faith effort. â€Å"Okay,† I said. â€Å"We'll get you a tutor.† She frowned. â€Å"Why can't you do it? You're smart. You're good at math.† Why couldn't I? Well, first I had to stop an evil sorceress from sucking the youth and power from innocent girls. Then I had to crack the secrets and lies that the organization I'd been born into was telling me. Instead I said, â€Å"I'm busy.† â€Å"You have to do it. It'd be easy for you,† she protested. â€Å"Really busy,† I said. â€Å"I'm surprised Eddie can't do it.† His name brought a smile to her face. â€Å"He offered, but his grades are just average. I need someone really good.† â€Å"Then I'll get you someone really good. I just can't do it myself right now.† Angeline didn't like that answer, but at least she didn't flip over my desk. â€Å"Okay. Fine. Just hurry up.† â€Å"Yes, your majesty,† I muttered, watching her strut out of my room in a huff. At least Angeline's academic problems were something a little easier to deal with than the other supernatural intrigues occupying my time. Since I was already awake and had coffee, I decided there was no point in going back to sleep. I showered and dressed, then caught up on some extra homework while I waited for breakfast. When the serving time started in our cafeteria, I headed downstairs and lingered near the entrance. It only took about five minutes before my friend Kristin Sawyer came by. She always went running before class started and was usually one of the first in line for breakfast afterward. She was also in AP calculus with me. â€Å"Hey,† I said, falling in step with her. â€Å"Good run?† â€Å"Great run,† she said. There was still a little sweat on her dark skin. â€Å"A lot nicer now that the weather's cooler.† She eyed me curiously. â€Å"I don't usually see you here this early. I don't usually see you eat breakfast.† â€Å"It's the most important meal of the day, right?† I selected oatmeal and an apple. â€Å"Besides, I have a favor to ask you.† Kristin nearly dropped the plate of scrambled eggs one of the servers handed to her. Her brown eyes widened. â€Å"You have a favor to ask me?† While I wasn't responsible for my human friends in the same way I was the Moroi and dhampirs, I still had a tendency to look after them. I'd helped Kristin a number of times. â€Å"Yeah . . . my cousin Angeline needs a math tutor.† There was an expectant look on Kristin's face, like she was waiting for me to finish my story. Then understanding hit. â€Å"Who, me? No. No way.† â€Å"Oh, come on. It'd be easy.† I followed her to a table, having to hurry to catch up. I think she thought that if she walked quickly enough, she might be able to escape my request. â€Å"She's in remedial math. You could tutor her in your sleep.† Kristin sat down and gave me a long, level look. â€Å"Sydney, I saw your cousin punch a grown man and throw a speaker at someone. Do you really think I'm going to sign on for a job that makes her do work she doesn't want to do? What if she gets frustrated at what I'm telling her? How do I know she won't stab me with a compass?† â€Å"You don't,† I admitted. â€Å"But I think it's unlikely. Probably. She really wants to improve her grade. Otherwise, she could get kicked out.† â€Å"Sorry.† Kristin actually did look legitimately apologetic. â€Å"You know I'd do almost anything for you – but not this. You're going to have to find someone who's not afraid of her.† I thought about her words over and over as I headed off to history class. She was right. But the only people completely at ease around her were Eddie and Jill, and they were off the list as tutors. I wondered if maybe I should offer up money to someone when I went to calculus later. â€Å"Miss Melbourne.† Ms. Terwilliger was back in her classroom, no doubt to the relief of yesterday's sub. She waved me up to her messy desk and handed me a single sheet of paper. â€Å"Here's the list we discussed.† I scanned it. It contained the names of six girls as well as their addresses. These must be the ones she'd mentioned, girls with known magical aptitude but no coven or teacher to look out for them. All the addresses were in the Los Angeles metropolitan area. â€Å"I trust Mrs. Santos got you the other information you needed for your project?† â€Å"Yes.† Mrs. Santos had emailed me the historical neighborhoods she knew about, and I'd narrowed them down to a couple likely candidates. â€Å"I'll start working on the, uh, project this weekend.† Ms. Terwilliger arched an eyebrow. â€Å"Why are you putting it off? I've never known you to procrastinate on an assignment.† I was a little startled. â€Å"Well . . . normally I don't, ma'am. But this is going to take some extra time – travel time – and I don't have enough of it on school days.† â€Å"Ah,† she said, realization hitting her. â€Å"Well, then, you may use your independent study for it. That'll give you extra time. And I'll tell Mrs. Weathers you may be coming in after curfew. I'll make sure that she's accommodating. This project is of the utmost importance.† There was no protest I could make. â€Å"I'll start today, then.† As I was walking back to my desk, a voice said, â€Å"Jeez, Melbourne. Just when I thought that independent study you had with her couldn't get any easier . . . now you don't even have to show up for class?† I paused to give Trey a smile. He was Ms. Terwilliger's assistant during this class period, meaning he did a lot of filing and photocopying. â€Å"It's a very important assignment,† I said. â€Å"I guess. What is it?† â€Å"It'd bore you.† I did a double take as I looked him over. I didn't even have to grope for a change in conversation. â€Å"What happened to you?† His eyes were bloodshot, and the unkempt state of his black hair suggested he hadn't had a shower this morning. There was a sallow, almost sickly hue to his normally tan skin. He gave me a weak smile and lowered his voice. â€Å"Craig Lo's brother scored us some beer last night. It was from some microbrewery I guess that's good.† I groaned. â€Å"Trey, I thought you were better than that.† Trey managed as much of an indignant look as he could in his hungover state. â€Å"Hey, some of us like to have a little fun now and then. You should give it a shot sometime. I already tried to help you with Brayden, but you messed that up.† â€Å"I didn't mess anything up!† Brayden was a barista who worked with Trey, one who rivaled me when it came to a love of academia and random knowledge. Our brief relationship had been full of facts and low on passion. â€Å"He broke up with me.† â€Å"You wouldn't guess it. Did you know he writes all this lovesick poetry about you on his breaks?† I was taken aback. â€Å"He . . . he does?† The reason Brayden had broken up with me was because my various duties to my vampire family had constantly interfered with the two of us, forcing me to neglect him and cancel a lot. â€Å"I feel kind of bad he took it that hard. I'm surprised he'd have such a, I don't know, outburst of passion.† Trey snorted. â€Å"I don't know that it's that passionate. He's more concerned about form and sits around with books detailing iambic pentameter and sonnet analysis.† â€Å"Okay, that sounds more like him.† The bell was about to ring, so I had started to return to my seat when I noticed something on Trey's desk. â€Å"You're not done with that?† It was a big homework assignment we had for our chemistry class, involving a number of complicated acid and base problems. It was due in our next period, and it seemed unlikely Trey would finish in time since all he had on the paper so far was his name. â€Å"Yeah . . . I was going to finish it last night, but . . .† â€Å"Right. The beer. Having fun.† I didn't even bother to hide my disapproval. â€Å"That's a huge part of our grade.† â€Å"I know, I know.† He looked down at the papers with a sigh. â€Å"I'll finish as much as I can before then. Partial credit's better than no credit.† I studied him for a moment and then made a decision that went against many of my basic principles. I reached into my messenger bag and handed him my completed homework. â€Å"Here,† I said. He took the pages with a frown. â€Å"Here what?† â€Å"It's the assignment. Use my answers.† â€Å"I. . . .† His jaw dropped. â€Å"Do you know what you're doing?† â€Å"Yes.† â€Å"I don't think you do. You're giving me your homework.† â€Å"Yes.† â€Å"And telling me to pass it off as my homework.† â€Å"Yes.† â€Å"But I didn't actually do the work.† â€Å"Do you want them or not?† I asked in frustration. I started to take the papers back, but he pulled them close. â€Å"Oh, I want them,† he said. â€Å"I just want to know what you want in return. Because this doesn't really make up for getting me ostracized from my family and friends.† He kept his tone light, but I heard the edge of bitterness. There it was. No matter how friendly he and I were, our respective allegiances to the Warriors and the Alchemists would always be between us. Maybe it was a joke now . . . but someday it wouldn't be. â€Å"I need a favor,† I explained. â€Å"A small one, really. Has nothing to do with any of that . . . stuff.† Trey looked understandably wary. â€Å"Which is?† The bell rang, so I spoke quickly. â€Å"Angeline needs a math tutor or else she'll fail. And if she fails, she'll get kicked out of school. It wouldn't be hard for you at all. And it'd look good on your college applications.† â€Å"Your cousin's a little unstable,† he said. But he didn't say no, so I thought that was a good sign. â€Å"You used to think she was hot,† I reminded him. â€Å"Yeah, that was before. . . .† He didn't finish, but I knew. Before he found out she was a dhampir. The Warriors had the same taboos the Alchemists did about relationships between the races. â€Å"Okay,† I said. â€Å"I understand. I'll just take my homework and go.† I held out my hand, but he didn't give the papers back. â€Å"Wait, I'll do it. But if she injures me, I hope you'll feel really bad. Basketball season just started, and the team will fall apart if I'm sidelined because of her.† I grinned. â€Å"I'll be devastated.† Angeline was not so thrilled when I told her at lunch. She flushed with rage and looked like she was about ready to throw her tray across the cafeteria. â€Å"You expect me to work with that . . . that . . . vampire hunter?† she demanded. I wondered if she'd had another name in mind but had held back in some remarkable show of restraint. â€Å"Especially after what they tried to do to Sonya?† â€Å"Trey's not like the rest of them,† I said defensively. â€Å"He refused to kill her and even went through the trouble of getting me in to help her – which ended up severely messing up his life, I might add.† Eddie looked amused, despite the grim subject. â€Å"You should also add that he wants very, very badly to get back to that old life.† I pointed at Eddie with my fork. â€Å"Don't tell me you think Trey's a bad choice too.† â€Å"For tutoring?† He shook his head. â€Å"Nah, he's fine. I'm just saying you shouldn't be so quick to assume everything's happy and bright with him. It seems pretty likely his group's working against us.† â€Å"He's my friend,† I said, hoping my firm tone would put an end to the discussion. After a few more assurances, Eddie convinced Angeline to work with Trey, reminding her she needed to keep her grades up. Still, Eddie's words haunted me. I believed absolutely that Trey was my friend but again wondered when that rift between us would rear its ugly head. When Eddie and Angeline left to go to their afternoon classes, I asked Jill to hang back at the table for a minute. â€Å"What's Adrian doing right now?† â€Å"He's in his painting class,† she said promptly. â€Å"The bond must be running strong today, huh?† I asked. Sometimes her view of his mind and experiences was clearer than others. She shrugged. â€Å"No, but it's eleven on Tuesday.† â€Å"Right,† I said, feeling foolish. I knew everyone's schedules; it was necessary for my job. â€Å"I should've realized that. Do you think he'd be able to meet up with me after school?† â€Å"To go on that witch hunt? Yeah, he'd probably leave right now.† Jill knew what Adrian knew, so she'd also been briefed about my search for Veronica. While I'd learned to accept Jill's knowledge as part of confiding in Adrian, it was still a little shocking for me to hear these forbidden topics discussed openly. Seeing my stunned reaction, Jill smiled a little. â€Å"Don't worry,† she said. â€Å"I keep Adrian's secrets. And yours.† The bitterness in her voice also caught me off guard. â€Å"Are you mad at me?† I asked, puzzled. â€Å"You're not . . . you're not still upset about what happened between Adrian and me, are you? I thought you'd eased up on that.† Although Adrian's proclamation of loving me against the odds had been unsettling, his more relaxed attitude had come through in her until now. â€Å"Adrian has,† she said. â€Å"He doesn't see the danger of you running around with another guy.† I was lost. â€Å"Another guy? You don't mean . . . Marcus? That's crazy.† â€Å"Is it?† asked Jill. The bond was so strange at times. Jill was jealous on Adrian's behalf. â€Å"He's human, you're human. You've both got this rebel Alchemist thing going on. And I saw him. He's pretty cute. There's no telling what could happen.† â€Å"Well, I know what could happen: nothing,† I said. Even through a psychic bond, Marcus could win over girls. â€Å"I just met him. I don't even know if I can entirely trust him, and I certainly don't have any feelings for him. Look, I get that you want to help Adrian, but you can't be mad at me about what happened. You know why I turned him down – especially after Micah.† Micah was Eddie's human roommate, and even though she knew human-vampire relationships couldn't get serious, she'd still been surprised at just how complex and difficult the situation had been. â€Å"Yeah. . . .† She frowned, no doubt conflicted over Adrian's feelings and what she knew was true. â€Å"But maybe with Adrian, I don't know. Maybe things could be different. Or maybe there's at least a way to make them less painful for him.† I looked away, unable to meet her eyes. I didn't like to think of Adrian in pain, but what else could I do? What did either of them expect me to do? We all knew the rules. â€Å"I'm sorry,† I said, picking up my tray and standing. â€Å"I never asked for any of this. Adrian will get over me.† â€Å"Do you really want him to get over you?† she asked. â€Å"What? Why would you even ask something like that?† She didn't answer and instead made a great show of stirring around her mashed potatoes. When I realized she wasn't going to elaborate, I shook my head and walked off toward the exit. All the while, I could feel her watching me as that question echoed in my mind: Do you really want him to get over you?