One Today- Poem Analysis Essay

Richard Blanco is a Cuban- American poet who was given the oppurunity to write an inaugaration poem for Barack Obama’s second swearing-in. He wrote a poem titled â€Å"One Today† that praised the good and unique things about the United States and also the everyday people who’s daily routines help to make America the proud country that it is. Blanco uses several rhetorical devices throughout â€Å"One Today†, more so in the first few stanzas. An example of figurative language he used was the repetition of certain words or similar words in order to create a flow within the poem. My face, your face, millions of faces in morning’s mirrors† is a line in the poem that best represents this. Blanco also uses personification to give a better description of the beauty that he is describing, such as â€Å"plum blush of dusk†. Another use of figurative language found in stanza four is the repetition of the word â€Å"hands† which he uses to represent the many hard-working hands of America and the things they do to contribute to the well-being of the country. The word choice in the poem is a big part of what I think ties the whole poem together, and creates a theme that carries through each stanza. As you read the poem you will notice the excessive use of the word â€Å"one† which is most often featured at the beginning of a stanza and followed by something that connects everyone in the country together. An example of this is the first line in the fourth stanza of the poem, which reads â€Å"One ground. Our ground, rooting us to every stalk of corn, every head of wheat sown by sweat and hands†¦ . Another example is the use of words that represent movement. â€Å"Rose, charging, crescendoing, teeming, launching, jetting† are all words used throughout the poem that outline the daily movement that occurs in the lives of American citizens. In the sixth stanza of the poem Blanco gives examples of the many different ways that you may hear U. S residents say hello. I think that he did this to represent the many different cultures that make up the population of the United States, and the vast amount of languages that they speak. I think the tone and voice that this poem has is that of pride and patriotism. The author does this by outlining the good qualities that the United States has to offer. However he does this is in such away that it does not sound like bragging, because he does not boast about all of the beauty or things that America is known for but rather the people who work to make it this way and how these things bring them together. â€Å"One Today† is of course written in a formal manner because of the occasion that that it was written for. That is why it does not contain any humour, abbreveations or informal language. I think that the voice that the author used in this poem fit the occasion perfectly because it was straight forward, easily understandable and relatable to any American citizen. The sentence structure of this poem is unlike a lot of poems that you might see where the lines are of equal length and contain the same amount of sylables. Rather than taking that approach, Blanco’s poem contained senteneces, and lines that were all of different length. For example, in the second stanza blanco included two very long lines that included dashes and comma’s because he was creating a list. Some of the very short lines feautured throughout the poem occur beacause the sentence was too long to fit into the line before and was continued in the next line. After I applied all of these craft techniques to the poem â€Å"One Today† it helped me to better understand why the author wrote it the way that he did.

Manchester United: Brand of Hope and Glory Essay

Identify who you believe to be Manchester United’s key stakeholders and evaluate their influence in relation to the ethical stance taken by the company. Ethical stance defined by Johnson and Scholes as: ‘the extent to which an organisation will exceed it minimum obligations to stakeholders and society at large.’Four possible ethical stances exist and are stereotypes for any organisation. The first ethical stance is short-term shareholder interests; a company who stick very close to laws and regulations which are in place. They give and do only what they are obliged to, this usually causes problems with long-term financial decisions. The second stance is longer-term shareholder interests – a company who are very focused on building and maintaining reputation in relation to its financial success. They take into consideration all stakeholders and how they can effect the organisation in the future. The third stance is multiple stakeholder obligations – relating to a company taking wide consultation with all stakeholders. This is a very slow process and not a good stance for a fast moving and growing company. The last stance is shaper of society – companies who focus on communities and want to build them up; this stance puts the financial interest second and is usually related to charitable organisations. Manchester United matches the second stance – Longer-term shareholder interests. They are focused on building reputation using players, clothing, technology, media and many other ways to promote their team and brand. They are known globally using strong marketing methods and this has greatly aided their financial goals. As a global organisation they have a number of stakeholders, each of these can be categorised into the amount of power and interest they have, using stakeholder mapping. This model is called the Power/Interest matrix (shown below) and indicates the type of relationships held or should be held between stakeholders and the organisation. INSERT DIAGRAM AS DISCUSSED ABOVEManchester United’s stakeholders can be considered as the following:†¢Managers†¢Owners/shareholders†¢Employees†¢Customers†¢Suppliers†¢Partners/Sponsors†¢Players †¢Supporters†¢Community groups†¢Investors†¢Media †¢GovernmentsStakeholders within segment A are of very little power and interest, Manchester United can keep these stakeholders informed but are not of high importance. Segment B contains stakeholders of high interest yet low power. They will need to be kept informed and also to a certain degree, need to be kept interested in the teams actions. Segment C contains stakeholders who have high power and low interest, they are at times content with what is going on but like to be kept informed, at any time these stakeholders can make a drastic change and merge with Segment D. Segment D are the key players who need to be of high importance to Manchester United, they need to be well informed and satisfied at all times. They will have very strong pulls on decisions and changes being made. Each stakeholder has individual expectations of the club and a certain degree of power. Not all stakeholders will have power or interest in the team, but they do fit into the Matrix appropriately. I will look at each stakeholder individually and stated where and why they below in the segment they are placed. Taking into appreciation that the ethical stance, which Manchester United is seen to have, (Longer-term shareholder interests) it’s easier to place each stakeholder within the matrix. Manchester United work on building a positive and well known reputation and in turn this builds their financial frontier. Manager’s this includes managers on the football pitch and in stores selling team merchandise. They may have high power within their own domain but within the wider view of the matrix they can have low power and high interest. This places them in segment B. Their interest will be related to performance in their particular areas. The main reason for this interest could be related to promotion and salary. Owners and shareholders have high interest and high power as they are the main source for profit, falling into segment D. Without the shareholders there would be very low financial statuses and they would not be able to fund their reputation. They have high power in making final decisions and are most important to influence, when looking at corporate governance. Employees can have very low power and at times low interest in reputation and management. At this stage they would be categorised as segment A. Generally the employees who would fall into this segment would be those who consider the job as a way to pay their bills. They have no real value in the job; if they didn’t work for Manchester United then they would work elsewhere. Football players as employees of the organisation have high power and interest depending on their famous status. For example in the case study David Beckham would have been placed in segment D as he is a landmark player wanted by almost every football team imaginable. He can use this to his advantage influencing decisions and other stakeholders to his way of thinking. Investors, Suppliers and community groups are seen, to be kept informed but have little if no power (segment B). Investors in particular want to know if their investment will produce a return, so at times they are not interested in using power or having much interest. Suppliers have little power as the team have a strong demand from others wanting to supply their needs. Just by them being linked to Manchester United makes them more desirable to other  companies. Customers and Supporters are one of the team’s main sources of revenue; most will pay ridiculous amounts for season passes to games home/away and will spend more on memorabilia. They have a high interest in their team and as a result of this they have high power (segment D). Manchester United knows if they make a change that customers and supporters wouldn’t support that it’s not a positive alteration to be made. Partners and sponsors want to be kept informed of the team’s progress and financial status as they are linked to the reputation of the team. Such partners and sponsors of Manchester United are Vodafone, Nike, Budweiser, Air Asia, Audi and AIG. These companies are related to Manchester United for marketing and financial reasons. They all have high power and high interest. They want them to promote their products in a good light and on a global scale, and they use the team to do so. If they see the team facing a downfall they can remove themselves and choose another team to promote. This gives them a very high power over the team and influence over decisions (Segment D)The media are highly important stakeholders to keep interested and informed at all times. Media are there to inform all stakeholders about the good and bad even though this can be manipulated at times. This results in the team keeping them very satisfied and informed at the same time (segment D). After taking into consideration all key stakeholders it’s clear to see, who have the strongest power and or interest, in relation to the ethical stance of Manchester United. Each stakeholder will have their own reasons for using their power and interest and it’s highly important for Manchester United to make sure these stakeholders are kept informed and satisfied with the way the team is managed in all areas of their ethical stance. The stakeholder mapping is can change at any time and needs to be kept in close consideration before and after alterations. Q2. Critically evaluate how the key cultural characteristics of Manchester United (including values, beliefs and taken for granted assumptions) may  have changed from pre -1990 until today. What are the implications of these changes for current and future strategies?After extensive research of Manchester United it’s clear to see a big change in their cultural characteristics from the day they began playing football, to this present day. The team began in 1878 as a group of workers from Lancashire and Yorkshire railways and they began to play for local leagues and competitions. In 1902 they became an independent organisation called Newton Heath F.C. Looking at the organisations culture past and present it can be broken down into four layers, shown below:INSERT DIAGRAM AS DISCUSSED ABOVEThis breaks the organisation the Paradigm, Behaviours, Beliefs and Values; looking at each Manchester United has changed dramatically over time. The early years seen values and beliefs built on players and local communities, concentrating on the game itself and building a reputation for winning against local rivalries. At this time their only taken-for-granted assumptions were that they could win games and not worry about finance resulting in them almost going bankrupt. From the beginning it’s apparent they loved the game itself and were clearly not financial focused. Brian Oliver commented in a newspaper article online saying â€Å"Before 1990 there was no such thing as a sports supplement, it was just about the game and the fans. It was just strong relationship between fans, their families and the players†. This comment proves the team were focused on less material objects; they were there to entertain and have fun. Their determination was proven after a number of set backs, such as one presented in the case study – The Munich plane crash. This had a huge impact on performance, but they showed they were strong-minded about the game and keeping it alive. Using the Strategy Lenses theory of Design, Experience and Ideas it’s apparent at this stage the lenses most concentrated on where ideas and  design. This was by becoming an independent team and designing the kit and colours which were then modified year’s later. Looking at the culture web of Manchester United we see a representation of the taken-for-granted assumptions of the organisation and the physical side of their culture (diagram below), this concentrates on the two inner layers of the four layer diagram previously mentioned. Come 1990 the whole culture of Manchester United changed, they became very focused on the financial side of the game. A real Madrid spokesperson commented â€Å"football clubs are marketing brands, not teams†¦it’s no longer a case of doing well on the pitch; the more merchandise you sell, the better.† Manchester United began to focus on building a global reputation through players, such as David Beckham; so to build a brand. Over the years less and less players from the local communities where being brought on the team and today most players on the team are not from England. The team no longer focused on building the local communities and their young players. As stated in the case study ‘Manchester United is now marketed as the national team – which has taken it away from the roots and its local community. Football should be a love affair otherwise you are just a business. The big clubs have forgotten their roots and are isolating themselves.’ Also comments of concern regarding the local schools and junior football teams being the next generation of players were being forgotten by the big teams. This information is related to the stories section of the culture web and shows just how the culture has moved form being relaxed to being very fast pace. The symbol of the team is their kit and logo which can be found anywhere, from online to in your local stores. From 1990 on this symbol has become one of the most recognisable symbols globally. The power structures have changed from being the team players to becoming the stakeholders which in question one fall into the Matrix in section D. These stakeholders have power over the organisation and the way they are run and how their reputation is perceived. The Organisational structure is a typical hierarchy and uses a formal structure of command. The control systems in Manchester United are focused on finance and go by a corporate governance structure. This is monitors by a number of agents and involves presenting each stakeholder with the correct information at all times in regards to shares, profits and expenditures. The ritual and routines of Manchester United before 1990 were focused on the players and the game itself, making it a family orientated sport. After 1990 the game was about raising revenue and building the best football reputation. This is well illustrated in the case study, by stating the financial figures and share prices and how they have risen. The future of the team as the case study shows, ‘plans are well advanced in new-media technology, principally the internet and mobile telephone potential.’ They have previously advanced in the service industry by using BSkyB to launch their own satellite channel (MUTV), they have produced a premiere movie, provide banking facilities, introduced sports and leisure facilities along with a clothing brand to match, opened a cafà ©, allow weddings on their own Old Trafford grounds and launched an official website. Outside of the case study the future of Manchester united looks positive, with player transfers and progressing into new markets. In conclusion the cultural characteristics of Manchester United have changed over the years has changed dramatically and in relation to the industry it has evolved very fast. They are a club who works on building a high reputation and keeping it superior to all other clubs who are seen as their rivalries. This was the main focus in the beginning of the organisation but in a different light compared to today, as discussed previously. Their future is aimed towards staying with the ideas and design culture and as for experience it seems to be held on the pitch! References BooksJohnson, G. Scholes, K (2004). Exploring Strategy Change. 2nd ed. England: Pearson Education Limited. Pgs136-138. Johnson, G. Scholes, K. Whittington, R (2005). Exploring Corporate Strategy. 7th ed. England: Pearson Education Limited. Pgs56-57, Pgs164-170, Pgs179-211. Lynch, R (2006). Corporate Strategy. 4th ed. England: Pearson Education Limited. Pg5, Pgs416-423. WebsitesMind Tools Ltd. (2007). The Cultural Web: Aligning your organization’s culture with strategy. Available: http://www.mindtools.com/pages/article/newSTR_90.htm. Last accessed 22 November 2007. Unknown. (2007). Stake holder mapping: Aligning your organization’s culture with strategy. Available: http://www.12manage.com/methods_stakeholder_mapping.html. Last accessed 12 November 2007. Wikimedia Foundation, Inc. (2007). Manchester United F.C. Available: http://en.wikipedia.org/wiki/Manchester_United_F.C. Last accessed 11 November 2007. Unknown. (2007). Manchester United football. Available: http://www.manchesteronline.co.uk/manchester/united/. Last accessed 13 November 2007. Electronic report/articlesPeter Berlin. (1997). Survivors of ’58 Plane Crash Recall a Special Team: Manchester’s Darkest Loss. Available: http://www.iht.com/articles/1997/05/29/soccer.t_17.php. Last accessed 13 November 2007. Hamil, S. Holt, M. Michie, J. Oughton, C. Shailer, L. (2004). The corporate governance of professional football clubs. The corporate governance of professional football clubs. 4 (2), Pgs44-51.

Qatari and Bahraini conflicts over Hawar Islands in ICJ (international Term Paper

Qatari and Bahraini conflicts over Hawar Islands in ICJ (international court of justice) - Term Paper Example Despite their proximity to Qatar, the islands belong to Bahrain. As a matter of fact, these islands were the subject of a dispute between Bahrain and Qatar. Official claims on Hawar Islands by both countries started in 1935. This occurred after oil had been found in Bahrain ten years earlier. An armed conflict then ensued in August 1937. In year 1939, the British Resident in Manama decreed that the island of Hawar belonged to Bahrain. Qatar, however, continued claims on the islands in the year 1960. The Emir of Qatar criticized the 1939 agreement and tried to purchase the islands. Eventually, the Qatari cost guards prohibited the fishers from Bahrain to enter the waters surrounding Hawar Islands. Bahrain, on its part, answered with naval maneuvers and was accused by Qatar of violating its territorial waters. On twenty sixth day of April 1986, the troops from Qatari captured 29 Bahraini workers, who were nevertheless later released. Due to these incidents, Saudi Arabia and the Gulf Co operation Council attempted to mediate between the two parties. As a result, Bahrain claimed the Zubara area, which had previously belonged to the Khalifa family, ruler of Bahrain, and Qatar claimed the Hawar islands. However, Bahrain took a tighter grip when its oil stocks started to dwindle. On 17 April 1992, Qatar declared new territorial water borders extending over 12 miles, and claimed a 22-mile area in which it could exert sovereignty. Bahrain immediately litigated these borders and applied the case to the International Court of Justice (ICJ, The World Court) in The Hague. There were complex legal issues involved in this dispute. It includes the legitimacy of the 1939 colonial-era decision. It also took cognizance of standards regarding territorial integrity vs. real power of territory. In this dispute, Qatar based its claim to the islands on its main concern of title and on the principle of proximity and territorial unity. They claim that the islands all lie within 12 nautic al mile of the Qatari coast, and most lie within a three nautical mile limit. Thus, they deduce that islands are an integral part of the coast of Qatar. On the other hand, Bahrain based its claim on a 1939 British decision granting them to Bahrain. It claimed that it had exercised sovereignty over the Hawar islands for over two centuries. They alleged that Qatar never exercised any competing authority. In addition to citing proofs and facts of Bahraini relations with the islands through the years, it more importantly relied on the decision given by the British of 11th of July, 1939 giving the islands to Bahrain. To give light on the said decision, it came about after Qatar charged Bahrain of illegally occupying the islands in 1937. Both the two sides requested to the British to settle the issue and the latter ruled in favor of Bahrain. Bahrain insisted that such amounted to an arbitration award. Thus, Bahrain maintained that since 1939, it had indeed maintained continuous occupation and exercised sovereignty on the islands. On the contrary, Qatar rejected the 1939 decision because it was done by the colonial power without Qatari acquiescence. Qatar has set out in clear and concise terms the basis of its claim of sovereignty over the Hawar islands. Qatar relies upon the fact that the majority of the islands and islets constituting the Hawar islands lie wholly or partially within a three-mile territorial sea limit from Qatar’s mainland, which was a limit recognized by Qatar and Great

How do you plan to fit the Wharton MBA Program for Executives into Essay

How do you plan to fit the Wharton MBA Program for Executives into your busy schedule over the next two years What will pose the greatest challenge and how will you deal with it - Essay Example Fitting a rigorous academic program into an already vigorous professional and personal life, however, is not a new or novel experience for me. During 2002 to 2004, I managed to study and finish the MSc (Investment Management) program at the HKUST (Hong Kong), while working full-time at my company. To be sure the challenge was tough; my time was taken up with extensive readings of technical textbooks, long hours in discussion with my classmates on group projects, a heavy workload from a typical Asian audit firm, as well as frequent travel between Hong Kong and cities in China. At the beginning, I felt challenged in keeping up with all the demands from both sides. However, I gradually realized that by applying better time-management skills, I could manage both of them rather well. I don't view time-management strategies in the abstract sense; quite the contrary, I utilized concrete time-management strategies such as listing out all the tasks for study and work, prioritizing these tasks according to different criteria, and focusing on the important issues rather than becoming bogged down by minor details or peripheral matters. In the final analysis, I managed to succeed in handling a busy schedule.

Student Survival Guide Essay Example | Topics and Well Written Essays - 1000 words

Student Survival Guide - Essay Example As a result, a student must learn how to manage and find information with little time and energy spent on the search and which produces a maximum return on their efforts. To use a simple word picture, in the classroom, the information is a pool, or a small lake from which to draw. In the workplace, the river of information is always moving, and attempts to put up a dam in order to measure and quantify the amounts of water simply will not be successful. A student must learn to paddle the boat, and gather information from the moving stream all at the same time. While internet searches have become less arcane over the past few years, a student cannot expect to find everything he or she needs from a Google.com search or a stop at Wikipedeia.com. A student should find and subscribe to a few favorite online libraries and databases which will provide depth of information. Two of my favorite online libraries are www.questia.com and www.highbeam.com. These online libraries contain scholarly journals, complete book transcripts as well as newspapers and magazine articles. These web sites can often provide all the background and research materials for the successful internet enabled student. Unfortunately, with the availability of electronic versions of data, the temptation to copy and paste information, and thereby plagiarize another's work is strong. The mass amounts of data which are available, and the time crunch under which today's students must produce results create the perfect envelope in which to commit intellectual robbery, and pull someone else's ideas. In order to maintain intellectual honesty, and uphold academic standards of integrity, the student should take this mantra as his own personal guide. "If the idea is not mine, I should cite the source." By applying this standard, the student can steer his boat around the whirlpools, rocks and rapids which will quickly capsize his boat should he begin to copy others work and call it his own. Material which comes from another's published works, whether taken in summary, or repeated word for word - if the material contains an idea from another person's published work, it must be cited as such. Developing Effective Study Skills Effective study skills in the online learning environment are somewhat different from those which a student needs in the traditional classroom. In the traditional classroom, many elements co-exist as part of the learning process. These elements go beyond simply inhaling information and exhaling assignments and tests. In the traditional classroom, a learning community already exists. The learners are able to draw encouragement, inspiration, and fellowship from one another. In the traditional classroom, one person can set the pace somewhat unconsciously, a level to which other students are drawn toward as they set their own goals. In the online learning environment, the students are individualized and compartmentalized. The online community still can, and must exist in order to create an effective learning environment. However, the students must seek out that community, and become a part of electronic tools such as chat rooms, group discussions, and list serve email digests in order to form the e-learning community. If the student only reads lessons and turns in assignments, he or she will be missing

Modern Art Movement in Russia Essay Example | Topics and Well Written Essays - 2750 words

Modern Art Movement in Russia - Essay Example The essay "Modern Art Movement in Russia" investigates Russian modern art movement. Modernism thus, broadly defined all the significant social changes pertaining to arts, culture, literary writings, architecture, and religious beliefs that rebelled against the theory of realism and all other conservative traditions, which took place at the turn of the nineteenth century. The proponents of this theory felt that all traditional forms of art, architecture, religious and social norms were losing relevance in the modern industrial age, and thus must be changed. Modernism to some extent rejected the philosophy of Enlightenment, and completely denied the existence of the powerful creator, God. It questioned all the theories of the past era, and believed in the theory of self consciousness. It is this belief that led to various experiments in the field of art and led to the formation of what is known as ‘abstract art’. In Russia, this wave of modernism in the world of art, is al so known as avant-garde, and it broke away from all traditional and old forms, creating a new style that was more connected to the daily lives of the common people, encouraging works on folk art and icon painting. Till the 1910s, the Russian avant-garde movement focussed itself primarily on village life, religion, urban life; but later on as social movement became more oriented towards bringing about reforms for the industrial workers, the Russian avant-garde artists moved towards the factory settings and the frantic pace of the urban lives.

Fundamental of International Buisness Essay Example | Topics and Well Written Essays - 500 words

Fundamental of International Buisness - Essay Example It describes the increase of trade and investing due to the falling of barriers and the interdependence of countries, particularly trade liberalisation or "free trade" (Globalization, 2005). So, the main driven forces of the Southeast Asia market include political, social and economic changes. Political driven forces were caused by changes in political doctrines. Primarily, a struggle between socialist and capitalist countries is over (Buckley, Ghauri, 1999). If we assume that "the essence of globalization is a subordination of human rights, labor rights, consumer right" (Ralph Nader), we should accept the view that trade and market relations is nothing more than subordination of human rights. But it is not true. To support this point of view, it is possible to use the theory of Adam Smith who wrote that markets function without conscious control because individuals take their private decisions in response to publicly-known signals (Himmelweit, et al. 2001). It is possible to agree t hat American and European companies create jobs overseas at the expense of domestic jobs, which does not break the rights of workers from the poorest countries. In addition, the globalization of industries has created surplus production capacity on a massive scale. Proposition of quality products which compete with the national brands does not humiliate consumers rights.

Meteorites Evidence in Support of Solar Nebular Hypothesis Research Paper

Meteorites Evidence in Support of Solar Nebular Hypothesis - Research Paper Example This theory has been widely accepted because it is thought to provide a worthwhile explanation of the orbital properties of the solar system and the way planets orbit less or more in the same plane (Abruzzo 44). According to this theory, originally, there existed a big cloud of gas and dust, which became unstable, probably because of the shock waves originating from the nearby density waves or supernova. The part of the cloud, which was the densest begun collapsing under the force of gravity. This force of gravity, then pulled the gas and dust towards the center point of the cloud. The cloud was forced to take a spherical shape, thereby becoming a protostar. Increased centrifugal force or rotation of gas and dust caused this cloud to form a flattened shape or accretion disk around it (Abruzzo 46). According to this hypothesis, this explains why the rotating disk if gas and dust is solar Nebula. A number of studies have sought to confirm this hypothesis, however, the practically of th is hypothesis has never been illustrated as it has been illustrated in the American Museum of national History (AMHH). American Museum of Natural History (AMNH) has been one of the world prominent scientific institutions, known for its exhibitions and collections, which illuminate of the Earths evolutions, right from the origin of the present planet to its present form. AMNH is New York Icon. I have always wondered how everything came into being. The mystery of life and therein has been a closely contested subject. Besides, it has always been my dream to visit AMNH and learn of the scientific evidence located in meteorites supports Solar Nebula Hypothesis. Recently, I made my way into the AMNH. The Museum is located at Central park West on the 79th Street and is easily accessed by public transport. Driving to the museum, I got inclined to give a benefit of doubt, though I had no basic grasp of the real evidence for the Solar Nebular Hypothesis. The main entrance to the Rose Center for Earth and Space is situated at 81st Street between the Columbus Avenue and Central Park West. Although I have a perso nal car, I chose public transport perhaps to evade the huge parking fees. When I arrived at 10 am, I was surprised to find many uniformed police at the entrance, directing traffic. The heavy police presence depicted the 9-11post security situations. Perhaps, this shows the importance of the structure under close security. I marveled at the structure  it was huge yet with a modern style. While, at the museum, I sought direction to the Arthur Ross Hall of Meteorites. The hall is situated on the far end of the AMNH bordering Sacker Educational library to the south and The Hall of Minerals to the East. First, we watched a movie in the Meteorite Theater, located in the Hall along the Planet Wall display. The movie was breathtaking. It brought into perspective the events that took place million years ago. In essence, the film presented the role of meteorites and their connectedness to the history of the solar system. This offered a solid foundation for the understanding of the concepts later presented in the exhibition. I came across one of this displays which stated that meteorite were rocks from space, which had survived their passage in the universe to land to the surface of the Earth. Some meteorites, are often heard or seen, when they fall and are collected afterwards while other are discovered later. The size of meteorites varies, in that some are large to cause craters upon falling while others are small and one need a help magnifying equipments to vie them. They take different forms, where some resemble igneous rocks, and others are metals. Despite their variation in terms of appearance, size, and manner of discovery, they are all pieces of different bodies in space,

Literature in contemporary societies Essay Example for Free

Literature in contemporary societies Essay The art of literature in contemporary societies has always led to more critical discussions between man and himself and between man and his neighbor. Literature pushes us to rethink our stance on normal societal norms and beliefs. Sula is such a work of art. It is the based on two women living at the Bottom in Ohio, a predominantly black community. Helen Wright is a socially conscious and quite a conservative woman. She has one daughter; Nel. Hannah Peace a beautiful flamboyant and a woman with many men at the Bottom is the mother of Sula. Sula is raised with Eva Peace, her grandmother who does not stifle her granddaughters freedom unlike Nel who comes from a restrictive household. Nel and Sula develop quite an inseparable and good friendship, a friendship that does not settle well with Helen who possesses grave misgivings due to the reputation of Sulas mother however she does not object openly after her realization that Sula is a very polite house guest. After High School these two great friends diverge ways for 10 years. Sula goes to college where she experiences a new wave of sexual promiscuity much like her mother. Nel On the other hand is married by a Bottoms resident, Jude Green. Their separation last for period of three years before Sula comes back from the college and their relationship resumes without any hindrance. However, this relationship is cut short when Nel learns of the relationship between Sula and Jude. This affair ends both the relationship between Jude and Nel as well as that of Nel as Sula who leaves the bottom for three years. Nel is forced to raise her two children alone and she doesnt communicate with Sula for the three years that she goes away. Their next meeting occurs when Sula is terribly sick and almost dying. Their last conversation before Sula dies constitutes the literary wealth of this masterpiece; it is the discussion between good and bad. She dies and is buried at the Bottom cemetery. Thereafter, Nel visits Eva Peace who is quite old and is kept in a nursing home where she tries to retell the moments she had together before Sula died. While walking home she begins to feel the loss of the relationship with the death of Sula, her single and true friend. Her judgment of Sula as bad begins to haunt her as she recalls an incident that happened when they were friends; the Chicken Little incident. Chicken little was a young boy who also lived at the Bottom. When playing on a tree, Sula lost grip and the child plunged in the river and drowned. They kept this secret for the whole of their lives. These are the memories that unsettled Nel emotionally, she begins to challenge the concepts of good and bad and the choices and sacrifices people make in life. Later on, she kills her drug addict sun as she struggles to raise his family single handedly. Sadly, we see her sitting and crying over Sulas grave at then cemetery as the story comes to an end. The story questions the decisions that people make in life; the calls for a rethinking of common societal problems. Critics mention the humor in the novel. For example the place called bottom is actually at the mountain top. The creation of binary oppositions in the novel not only makes it too interesting and informative but also lets the reader glance at the depth of common conventions in the community and the effect these societal conventions have on the lives of children who are supposed to be brought up in a comparatively free world where people are supposed to make free will. Satire as a theme is also developed in the story and it fuse well with the binary notion. The complexity of characters in the story conveys an account of human flaws in decision making and in the way we relate to other people in the community. While parents do everything in their power to ensure that their children justifiably lead a good life, little is done in ensuring that the children also get freedom. This makes the children not to acquire their own experiences in life but only proceed to copy the characters of their parents and grandparents. The fact that Sula turned out to be an exact replica of her mother and grandmother is an attestation to this fact. The book is feminine masterpiece and there is also an element of female chauvinism. This can be justified by the fact that all the major characters in the book are women and their actions are affected by men in a very little sense. Jude, Chicken Little and Nels son who became a drug addict after leaving the army are all victims of the women’s stereotyped dispositions. Shadrack being physically and emotionally scarred fro the experience of war is disowned and almost excommunicated by the community without the community fully understanding the reasons behind his behavior. Let us now give a critical analysis of Sula, the main character. Sula is the major influence on his friend Nel. Sula has been influenced by her mother leading to the passage of what can be argued to be a bad character trait through generations. Eva is a strong woman. She has endured loneliness, abject poverty but she is proud and unrelenting. Sula is quite an extraordinary woman, she is energetic but she has no suitable outlet to release her energies. This makes her potentially dangerous in that that she has no knowledge of wrongdoing. She does not understand that she sins when she sleeps with men and carelessly tosses them aside. Her sin is unintentional. The community, however do not understand the context of her upbringing or they simply do not care. They despise her but tolerate her. One very interesting aspect is that Sula is quite independent in her isolation, she does what she pleases and she simply does not care what everybody else does. She lives her the way it pleases her effectively earning her isolation from the community. After her death the rules shift suddenly, there is a renewed sense of acceptance, of defining right and wrong, good and bad. It is important to try and delve into the reasons why Nel and Sula united even after Sula betrayed their friendship by having an affair with Nels husband, Jude. Nel realizes that Sula was neither good nor evil; she was just indifferent to everything and everybody. Wives had to put extra effect in making sure that their husbands do not fall into bed with Sula, children were treated better so that they dont grow into adults who are indifferent and uncaring like Sula. This is good fortune to the bottom community because they were held together in the rethinking process. Remember the National Suicide day? After Sulas death the community did not have any productive outlet to channel their energies, they could not just sit and talk and so they become enraged and tear up the tunnel the result of unfocused energy. This eventual realization went a long way in ensuring that the residents of Bottom engaged in productive work for their survival. If Sula would have directed her energy to something else, maybe something a little more worthwhile would have resulted. Racial prejudice is highlighted when Jude is denied a chance to engage in the building of anew bridge, because of the color of his skin; he is denied the opportunity even though he is willing to do something productive. He stands in line for six days while the white boys get an opportunity to build the new River Road, his job at the hotel is demeaning and an insult to his masculinity. The scarcity of job opportunities remains to be the why Eva and Hannah had very little chance of gainful employment. They had to contend with the injustices being meted out on them because they were females and most importantly black. To escape the pangs of hunger in the winter, they have to prepare canned food in the summer. The life of Sula Peace, her childhood and her death in 1941is surrounded by the inability of the environment to shape her into a good woman The black community residing in Medallion; the bottom is judgmental but not in any way assisting to solve the crisis within itself. Sula’s life story shows us how the community and family can shape somebodys identity. She not only displays how children are nurtured but also her later relationship with the same community who natured her. She is a strong independent character but the community does not see her positive potentiality. To go against these societal norms she is not married and she sleeps around. The Peace family has been frowned upon by the Bottom community. This could have elicited an element of antagonism from Sula because she does not follow accepted societal conventions but in this case she is the protagonist and not the community. The novel poses her as the central character and the community constitutes only bits and pieces that seem to knit her life together in a predetermined fashion from the time of her birth to death. If change is to take place the community remains the playing field and Sula undoubtedly remains one of the players in the field. Whether she deserved to be rewarded for fearlessly instigating the rethinking process is not a matter of discussion as it is evident that her one and truly friend had in her own way knowingly or unknowingly lent credit to her stance in life by crying over her grave at the cemetery after realizing what Sula stood for. The character Sula is structure less, that any character interaction with her only invokes an element of structurelessness. This is because philosophically her evil is not her own but a reflection of what had been unknowingly imparted in her. Fortunately, her story is one where what is regarded as evil triggered change in the society. In analyzing one of the important masterpieces in the history of black American writing it is prudent to expunge on the growth of protagonism and non conformism in the society. The society’s vilification of the heroine Sula who does not fit into the society’s conformation of a heroine is a classic example of the inability of a people to look within themselves and try to solve the problems within its own structures. Works Cited Daniel Dawkins: A Character Analysis of Sula; Considering Morrisons Main Character as the Protagonist. 2008http://african-american fiction. suite101. com/article. cfm/a_character_analysis_of_sula Black Community Racism Racist Essays. http:www. 123helpme. com/preview. asp? id=87608 Solomon O. Iyasere and Marla W. Iyasere. Understanding Tony Morrisons Beloved and Sula: Selected Essays and Criticisms of the works of Nobel prize winning author. 2000

Weekly News from the Arab World Essay Example for Free

Weekly News from the Arab World Essay The Arab World is facing various issues this week regarding the situation of the countries within it as well as important matters that also affect the whole world. Based upon the leading newspapers and news Web site the Middle Eastern region is dealing with affairs in different realms, which are mainly about politics, economics, as well as peace and order. As such, these events should be given due attention and consideration because the situations in the Arab World do not only affect the Middle Eastern region but it also has implications upon the international community. Most countries in the Middle East are rich in petroleum products. The presence of this kind of natural resources in these countries is the primary backbone of their economies. They are also responsible in exporting a huge percentage of oil and petroleum products in the international market. Being the case, the supply of oil coming from the Arab World is very important in order to sustain the needs for this product in the whole world. However, based upon the recent reports in Amman, Jordan the leading refinery in the country is having difficulties in meeting the increasing demand for oil. The Jordan Petroleum Refinery Company (JPRC) said that gas station orders have already quadrupled as compared to the previous days when the oil prices are still high. The CEO of JPRC Ahmad Rifai said that the decrease in the price oil has been the primary reason the refinery received 898 orders to provide gas station with 18, 392 tones of various fuel products. Unlike, the orders before that only amounted to 311. Nevertheless, Rifai added that their company is working round-the-clock to attend to all the demands of the gas stations in time. Moreover, he also assured the public that the supply of the company is sufficient enough for the needs of the consumers (Hazaimeh, 2008). The matter of peace and order in the region is still a primary concern especially in the country of Iraq. This has been become more evident when the Iraqis held an anti-US rally this week. The supporters of the Shia cleric Moqtada Sadr staged a mass demonstration wherein they marched from the eastern suburb of Dasr City towards the country’s capital, Baghdad. This was there way of showing their disagreement and disappointment in the plans of extending the U. S. mandate in the country. There were about 50,000 protesters that chanted the slogans â€Å"Get out occupier! † The opposition of these militants is based from the United Nations mandate that U. S. -led coalition forces are finish by the end of the year (BBC, 2008). On the brighter side of things, Israel’s defense Minister Ehud Barak expressed the country’s leaders in considering the plan that was proposed by Saudi Arabia, which offers comprehensive peace among Israel and the Arab world. Barak said that it is just timely to pursue an overall peace deal because there is little progress in individual negotiations. The peace plan stipulates that Israel will be recognized by its Arab neighbors in exchange for the country’s withdrawal from the lands in the West Bank, Gaza Strip, East Jerusalem as well as the Golan Heights captured in the 1967 Middle East war. Barak also said that he had a discussion with Tzipi Livni, the Kadima party’s leader wherein they are considering a response with regards to the peace plan. This is regarded as a good start in establishing a comprehensive regional peace (Aljazeera, 2008). The aforementioned events discuss the major current situations that are happening in the Arab world. These reported incidents show the challenges that the region is facing and the corresponding reasons behind it. Nevertheless, despite the problems that the Middle East is encountering there are still developments towards addressing these issues. The Arab world is not merely stagnant in its usual dilemmas because they are also moving forward towards the betterment of their respective countries and their region as a whole. References Aljazeera. (2008). Israel weighing Saudi peace deal. Retrieved October 19, 2008, from http://english. aljazeera. net/news/middleeast/2008/10/20081019234422358867. html. BBC. (2008). Iraqis stage mass anti-US rally. Retrieved October 19, 2008, from http://news. bbc. co. uk/2/hi/middle_east/7677551. stm. Hazaimeh, H. (2008). Refinery struggles to meet soaring demand on fuel after prices lowered. The Jordan Times. Retrieved October 19, 2008, from http://www. jordantimes. com/? news=11457.

Blood-brain Barrier and the Sodium-potassium Pump

Blood-brain Barrier and the Sodium-potassium Pump Jocelyn Brown-Eaton The blood-brain barrier and the sodium-potassium pump have many similarities and differences. Similarities include the fact that they both function to maintain a balance and that they both are selectively permeable. Differences includes the way the mechanisms carry out those functions and what kind of balance they maintain. The blood-brain barrier is a mechanism that isolates the central nervous system neurons from chemicals coming from the rest of the body. It is made up of the walls of brain capillaries that are tightly joined together, other capillaries in the rest of the body do not align themselves so close together and they do allow chemicals to pass from the blood into the areas of the body they are flowing through. In contrast, the sodium-potassium pump is a protein in the membrane of cells that helps maintains the difference of electrical charges inside and out of the cell, keeping the cell polarized along with the difference in permeability of sodium and potassium within th e rest of the membrane (Khan Academy 2010). The resting potential is maintained before an action potential arrives and then is restored when the action potential is over. Comparatively they are both maintaining balances. The blood-brain barrier is balancing chemicals and protecting the brain neurons from harmful substances since these neurons do not regenerate, but the sodium-potassium pump is keeping an ionic balance. Selective permeability is also a similarity of the two mechanisms. The blood-brain barrier is only a barrier for water soluble molecules and selectively allows lipid soluble molecules to pass, while the sodium-potassium pump only deals with sodium and potassium. The sodium-potassium pump takes in two potassium ions for every three sodium ions it pushes out. Transporter proteins control the movement of these substances. The difference is that with the blood-brain barrier there is a separate protein that actively transport the selected chemicals, while the sodium-potass ium pump is a protein in itself. There are areas of the blood-brain barrier that are more permeable than the rest in order to allow the function of those specific parts of the brain. One such area is the area postrema. The area postrema detects toxins in the body and initiates vomiting. Khan Academy. (2010). Correction to Sodium and Potassium Pump Video. [Online Video]. 11 July 2010. Available from: https://www.youtube.com/watch?v=ye3rTjLCvAU. [Accessed: 25 February 2017] Before an action potential arrives, there is a balance between the extracellular fluid (on the outside of the cell) and the intracellular fluid (on the inside of the cell). This difference in the electrical charge is called the membrane potential.ÂÂ   The membrane potential is created by diffusion of ions and electrostatic pressure. Diffusion refers to the process of molecules evenly distributing themselves. Molecules push away from areas that they are more concentrated in. Electrostatic pressure is the force that comes from the attraction or repulsion of ions. Positive charges repel other positive charges, negative charges repel other negative charges, and positive charges attract negative charges. The ions involved in these forces are organic anions, potassium ions, chloride ions, and sodium ions. Organic anions (A-) are negatively charged and found in intracellular fluid. These ions remain in the intracellular fluid because the membrane is impermeable to them. Potassium ions (K+) are positively charged. They try to get out of the membrane because of diffusion, there is a higher concentration of them inside than out. Electrostatic pressure, however, pushes back against them because extracellular fluid is more positively charged inevitably keeping the ions where they were. Chloride ions (Cl-) are negatively charged. They try to get into the membrane due to diffusion but electrostatic pressure keeps them where they are as well. Sodium ions (Na+) are positively charged and get pushed into the membrane due to diffusion. Unlike the other ions sodium is not pushed back by electrostatic pressure. Instead, they are attracted in because the intracellular charge is more negative. The sodium-potassium pump helps maintain the resting potential, which is on average -70 mV. The sodium-potassium pump trades three sodium ions to the outside of the cell for two potassium ions to bring into the cell. During an action potential, a signal is sent to the membrane the membran e to become more permeable to sodium ions increasing the intracellular charge. The membrane potential reaches its threshold and a depolarization spike occurs. Depolarization is when the internal polarization of the cell increases; when it gets closer to zero. Voltage dependent sodium channels, triggered by the depolarization, open allowing sodium to enter at a faster rate. At a higher level of depolarization voltage dependent potassium channels open and potassium flows away from the more positively charged interior. Voltage dependent potassium channels are less sensitive than the sodium channels are. Next sodium channels close and go into a refractory state, preventing them from opening again until the resting potential is restored. The cell goes through hyperpolarization, where the intracellular charge drops in order to get back to normal. When hyperpolarization goes lower than the resting potential it is called the undershoot. When the undershoot is reached it signals the potassiu m channels to close and resting potential is closer to normal. After that all passes the sodium potassium pumps slowly help the resting potential return and everything is back to its original state. Neurotransmitters open ion channels in two ways, directly and indirectly. Directly opening the ion channels occur when there are ionotropic receptors. When a neurotransmitter binds to an ionotropic receptor the ion channel immediately opens and let ions flow freely through. With metabotropic receptors, when a neurotransmitter binds to its binding site it starts a chain of chemical events (Carlson and Birkett, 2017). These chemical events involve the G protein being activated, which in turn activates the second messenger system. The second messenger travels to the nearby ion channel and signals it to open. Metabotropic receptors got their name because they require extra steps that uses up some of the cells metabolic energy. The important differences between ionotropic receptors and metabotropic receptors are the speed of effect and the duration of effect after their activation. Ionotropic receptors are faster because when a neurotransmitter binds to it the ion channel is opened immedi ately and triggers a postsynaptic potential. The whole process happens very quickly. Metabotropic receptors are slower because the signal to the ion channel is transferred between a sequence of different molecules to get to the ion channel and activate it. This process causes a delay in effect, they take longer to begin but they also last longer. Serotonin has both ionotropic and metabotropic receptors. All but one receptor, the 5-HT3 receptor, are metabotropic. The 5-HT3 receptor is ionotropic and it controls a chloride ion channel, therefore producing inhibitory postsynaptic potentials. This receptor plays a role in nausea and vomiting. Because ionotropic receptors act quickly, if the receptor is bound to by an agonist, which would open the ion channel, it would induce vomiting or nausea right away. An example of this would be when a person smells something rotten and immediately feels nausea. Antagonists of this receptor are used to treat the side effects of chemotherapy and radi ation treatments. Serotonin is used for mood regulation, and that happens in the metabotropic receptors. This means that the effects take longer but will last longer. If this happened rapidly then there would be no transitions between our moods. It allows the drugs for mood regulation (like SSRIs) to have compound effects and build up in our system by inhibiting the reuptake of serotonin. Carlson, N. R., Birkett, M. A., (2017). Physiology of Behavior, 12th Edition. [BryteWave]. Retrieved from https://shelf.brytewave.com/#/books/9780134517858/

Eugene ONeills Long Days Journey into Night Essay -- Long Days Jou

Eugene O'Neill's "Long Day's Journey into Night" As the fog descends around the Tyrone’s summer home, another fog falls on the family within. This fog is that of substance abuse, in which each of the four main characters of Eugene O’Neill’s play, Long Day’s Journey into Night face by the end of Act IV. Long Day's Journey into Night is a metaphoric representation of the path from normalcy to demise by showing the general effects of substance abuse on human psychology and family dysfunctions through the characters Mary, Jamie, Edmund and Tyrone. Mary Tyrone makes the transition most clearly throughout the entire play. In Act I, her hands move restlessly, and she seems to be quite nervous. When she appears in Act II â€Å"one notices no change except that she appears to be less nervous, †¦ but then one becomes aware that her eyes are brighter and there is a peculiar detachment in her voice and manner† (O’Neill 58). These subtle signs of her relapse back to chemical dependency continue until the final scene, where she is most obviously under the influences of a chemical substance. The morphine seems to make her reminiscent of the past. In Act III, she talked about her two childhood dreams of becoming a concert pianist or a nun. By Act IV, she has dragged her old wedding dress from the attic and attempted to play the piano again. This presents a psychological reasoning for her relapses. She considers herself to be growing old and ugly, and often refers to the how she was at one time young and beautiful. †Å"To her, the ugliness of the hands is the ugliness of what she has become over the last twenty-five years, which is why she uses the pain of the rheumatism in them as her reason for the morphine† (Chabrowe 181). Thus, it can be correlated that at one time she used the morphine to escape pain, and when she realized that it made her feel youthful again she became addicted. Her failure to desist is also connected with her interfamily relationships. When she was accused of relapsing she said, â€Å"It would serve all of you right if it was true† (O’Neill 47)! This suggests that she is seeking justification to continue her drug addiction by using her family’s suspicions as a reason to relapse (Bloom 163). Not only are her actions influenced by her family, but they also influence the men, namely Edmund. He is quite aware of his diminishing health, and suspects that he ... ...with a sense of what the future holds for the Tyrone family, the book tends to be repetitive. Thus, one can assume that the play marks one day, one relapse for Mary, one trip for Jamie to the whorehouse, one more drink Edmund takes to forget the past, and one more drink that Tyrone takes to help himself cope. Yet, it will not be the first, or the last. It will be just one more. Night will journey into morning and it will all happen again. Such is tragedy. Works Cited American Lung Association. â€Å"Who Get’s It.† Tuberculosis (TB.) On-line. Internet. 1 March 2001. Available: <a href="http://www.lungusa.org/diseases/lungtb.html">http://www.lungusa.org/diseases/lungtb.html Chabrowe, Leonard. â€Å"Rituals and Pathos: The Theatre of O’Neill.† Twentieth-Century Literary Criticism. Bloom, Steven F. â€Å"Empty Bottles, Empty Dreams: O’Neill’s Use of Drinking and Alcoholism in Long Day’s Journey Into Night.† Critical Essays on Eugene O’Neill. 1984 ed. Collins, R. Lorraine, Kenneth E. Leonard, and John S. Searles. Alcohol and the Family. New York, London: The Guilford Press, 1974. Hinden, Michael. Long Day’s Journey into Night: Native Eloquence. Boston: Twane Publishers, 1990.

Illegal Immigration to the United States :: Economy Immigrants Work Essays

What is largely fueling the underground economy, experts say, is the nation's swelling ranks of low-wage illegal immigrants. The government puts this population at 8.5 million, but that may represent a serious undercount. Robert Justich, a senior managing director at Bear Stearns Asset Management in New York, makes a persuasive case in a forthcoming paper, "The Underground Labor Force Is Rising to the Surface," that illegal immigrants actually number 18 million to 20 million. If true, the economic implications are profound and could help shape debates slated in Washington this year over both immigration policies and tax reform. Measuring the size of the underground economy is, of course, more art than science, since most of its denizens seek to remain anonymous. But convincing anecdotal evidence and a number of credible academic studies suggest that it is expanding briskly -- probably by an average of 5.6% a year since the early 1990s, edging out the real economy. [Underground illustration] In the process, the underground economy is undermining the effectiveness of the Internal Revenue Service, which is highly dependent on employees' withholding taxes. If the IRS could collect all the taxes it says that it is owed from the underground economy in a given year, then the current budget deficit would disappear overnight. And if the IRS could collect these taxes every year, then the nation would have surpluses as far as the eye can see. The IRS has estimated that its tax gap -- the estimated amount of taxes owed minus the amount collected -- is around $311 billion in any given year. The agency will produce a new estimate in 2005, and it could be as high as $400 billion, says former IRS Commissioner Donald Alexander. Now a lawyer in Washington, he cites a rise in private contracting and the opportunities it affords for not reporting income. The gap number measures only a portion of the underground economy. Because the number is extrapolated from audited returns, it makes no allowances for criminal enterprises that report no income, and it even fails to capture some garden varieties of nonreporting. The unreported wages of illegal immigrants alone could be costing the government another $50 billion a year, says Justich. Growth of the underground economy is partly a result of corporate downsizing, which has forced many former employees to go out on their own. "We have had an 85% taxpayer compliance rate," says Nina Olson, the IRS's taxpayer advocate.

Connection to the World

A male Emperor penguin struggles to keep his egg warm as the harsh, icy, wind blows around him on the vast icy tundra. A group of penguins huddled at his back are struggling to do the same as they wait for their female mates to return from a two month hunting trip. The scene then switches to a news reporter speaking on the Issue of North Korea and the recent threats to attack the U. S. With nuclear-tipped missiles. If not through television, how else would a regular person witness the majesty of the emperor penguin on a snowy tundra or learn of the threats coming room North Korea?Not all people have Internet, but most do have cable television. Television Is more beneficial than harmful In that It offers entertainment and a respite for the everyday hardworking person and a safe way experience certain life situations. Television Is educational, circulates Information, and provides relaxation. The first reason television Is beneficial Is because It can be educational. Children's shows t oday prove statement. For example, shows Like Dora the Explorer and IN Hay Kale-Lana are teaching the younger generation new foreign languages such as Spanish ND Chinese.From my own personal experience working at a pediatrician's office where the television was constantly playing shows like In Hay Kaolin and from sitting there with it playing in the background for so long, I ended up learning a lot of words in Mandarin and I wasn't even paying attention. How much more can children learn when they actually are interested and watching? In addition to teaching younger children other languages shows like Sesame Street, teach children the basics in our own English language, colors and letters.In fact, most cartoon shows roved â€Å"life lessons† through their stories varying from â€Å"don't lie† to teaching a child the value of friends and family. Another great example is the show Wishbone. This show gets children familiar with famous literature or folklore. Wishbone was a television show which aired from 1995 to 1998 that featured a Jack Russell Terrier. The main character, a talking dog named Wishbone, lives with his owner Joe Tallboy in the fictional modern town of Cockade, Texas.As he tends to daydream about being the lead character of stories from classic literature, drawing parallels between the Tories and events in the lives of Joe and his friends, he was known as â€Å"the little dog with a big imagination†. The show follows his daydreams, as Wishbone acts out a famous story from literature or folklore. † However, television isn't educational just for the younger crowd; shows for adults have become more complex and Intricate. Television series shows today require a lot more attention and are more cognitively demanding than they once were.To understand the a majority of the television shows today, one would have to make Inferences and follow multiple story lines and rack shifting social relationships. In Dalton to Glenn our minds a little â€Å"exercise†, television allows the everyday person to safely witness and experience a multitude of life experiences they normally wouldn't be able to which In turn, teaches. There are also educational shows such as National Geographic, which allows people to see and learn about other places In the world they normally would not have been able to afford to visit themselves.But Animal Planet and National Geographic aren't the only beneficial channels: network teen dramas can serve as a free sex-deed lesson for teens. N unintended pregnancy said they would be more likely to practice safe sex, a study from the University of California Santa Barbara found. This is an example of being able to witness and in a way, experience a life situation safely with no sacrifice. Television isn't Just educational; it's a way of effectively circulating information. Television is a medium of mass communication.Through news channels such as CNN and FOX news, the public is made aware of situations and politics from around the world. It allows people to become involved and aware of other cultures. However, those traditional news channels do hold back information at times due to professional constraints and what is or isn't appropriate. In his essay â€Å"Fake† News versus â€Å"Real† News as Sources of Political Information, Jeffrey Jones provides evidence to prove that mainstream Journalism is in a state of crisis such as the fact that the mainstream news media is in a certain agreement with the government on what to and not to release to the public.The authenticity of the content is questionable because a majority of the information is manipulated. Late night talk shows, otherwise known as â€Å"fake† news shows, such as The Daily Show makes certain unreleased video clips relevant by pointing out how to interpret and read a person through them. For example one video clip of former president George W. Bush showed his tendency to lie, or in ano ther video clip showed Seeker's inability to commit to anything. I do agree that these videos hold relevance and that no information should be withheld from the public.Finally, in addition to being educational and circulating news, television provides relaxation and respite from hectic everyday life. It's a small mental getaway, of sorts, when a real vacation is not affordable (whether the currency is time or money). It is a way to relax without being bored. Like I mentioned before, television allows people to safely experience and witness certain situations. For instance, under normal circumstances would a person get a chance to witness and be part of a zombie apocalypse?One would hope not, but the exhilaration and entertainment a television show like The Walking Dead can provide, without being harmed is priceless. It's a chance to space out for a while and be in another world. Many people know of the excitement one feels when a new episode of a favorite television is being release d, it almost feels like a holiday when that Joyous moment arises where all the questions from the previous episode are answered. It's a time where people can forget their problems and be part of another world.Television cable series shows are getting more and more popular these days, for instance Showtime Dexter was able to draw in 2. 4 million viewers for the premiere of its seventh season, Hobo's Troubled with nearly 5. 1 million viewers who tuned in for the premiere of the third season, Mac's Breaking Bad with a total of 3. Million viewers for the premiere of the fifth season, and many more popular television series are cable television shows On the physical level, studies have shown that people who were watching TV reported feelings passive and relaxed.The EGG studies show less mental stimulation, as measured by alpha brainwave production, during viewing than during reading. In Cubebs article â€Å"Television Addiction is No Mere Metaphor†, he mentions â€Å"a body at re st tends to stay at rest† (124) However, the sense of relaxation ends when the set is turned off, but the feelings of passivity and ordered alertness continue. Enough credit for all its benefits. It can teach, inform and entertain. It's a method of getting away from the world for a little while. In addition it helps us all connect to each other.

Bandwagon and Snob Effect

Write an essay on topic â€Å"Bandwagon and Snob Effect†. Find an example for both effects, describe situation and explain reasons for such effects. In The Theory of Consumers’ Demand, there are three importants and different items: the Bandwagon , Snob and Veblen Effects. Today we will discuss just about the Bandwagon and Snob Effect. Faced with a new need, the consumer is confronted with a choice: to purchase or not this good or service, depending on its value, its usefulness, its attributes and operation consequences.But consumer choice will also be affected by his social environment. Specifically, scarce products are generally deemed valuable, independent of the utility that their attributes deliver. This effect has been found in several studies, and we can identify two distinct routes through which scarcity can increase product choice. A person’s demand may be affected by the number of other people who have purchased the good. If this is the case, a network externality exists and can be positive or negatives.A positive network externality exists if the quantity of a good demanded by a consumer increases in response to an increase in purchases by other consumers. And negative network are just the opposite. * The first way examines scarcity due to high demand. Consumers see that others have bought the product, and this may induce them to follow that behavior. Consumers may also extract information about the value of a product from the buying behavior of others. When consumers are unsure about the value of products, information on the valuation of others can help refine their own valuations.Therefore, scarcity due to excess demand increases inferences of product popularity and quality. This is the bandwagon effect, the desire to be in style, to have a good because almost everyone else has it, or to indulge in a fad. This is the major objective of marketing and advertising campaigns ( cf toys, clothes .. ) For example, the influence of foo tball players on the young men ( shoes, haircut, attitude ). * If the network externality is negative, a snob effects exists. The econd route concerns scarcity due to insufficient supply, where product exclusiveness leads to generalization of product quality. Consumers value the exclusivity of possessing rare products, and may see these products as a means to emphasize their uniqueness. Being one of the few who own a particular product may increase the product utility. It refers to the desire to own exclusive or unique goods. The quantity demanded of a â€Å"snob† good is higher the fewer the people who own it. For instance, the luxury goods as Rolex watches and long lines at the ski lift.To finish, we can say that the bandwagon and snob effects are two opposites cases , the first refer to the extent to which the demand for a commodity is increased due to the fact that others are also consuming the same commodity. In this case, we appear to be â€Å"one of the boys. † This is some form of integration and sociability And the second effect refer to the extent to which the demand for a consumers' good is decreased owing to the fact that others are also consuming the same commodity, so this represents the desire of people to be exclusive, but it can be dangerous to the person, since it is a kind of isolation.

Being Self-Employed vs. Working for Someone Else

Being self-employed vs. working for someone else Self-employment and working for someone else has many of the same benefits and disadvantages. Although self-employment will allow a person to be his or her own boss and have endless financial possibilities, it also can be harder than working for someone else. Just because a person is able to work for their self, it does not mean that it will be any easier than working for someone else or even be more successful. Self-employment allows individuals to create his or her own schedule, allowing flexibility in the time that will be spent working.The flexible schedule of a self-employed individual is a good benefit. However in order to be successful at it, a lot of time has to be invested in it. If time is not put into the job, it will be difficult to maintain it. Having a flexible schedule allows the individual to have more time at home and also enable’s the person to work the hours convenient for their schedule. People normally find it easier to be self-employed because they feel that the freedom of working whenever they want or feel the need to may make the individual feel like they have power and authority they would not have working under a supervisor.However, good time management is essential to for self-employment. It is imperative that a person who is self-employed manages their time wisely and maintains themselves organized. It may take some time to get organized properly, but if the person practices how to best maintain organization with time, they will eventually come up with a work routine that best fits their work. Discipline is the key to being self-employed. If not, they run the risk of disorganization to the point where they will no longer be able to run their business or continue with their work.Without discipline and disorganization, the chances of financial success will be slim. Self-employment can be a financial success. There is the possibility of living very well when owning a business or si mply just work on your own. It also depends on what type of business or career path the person chooses in order to work for them selves. A person must consider that there are sometime’s many cost’s in initiating a self-owned business. Maybe start-up materials, hardware and financial management software to keep track of finances will often be needed when a person is self-employed.Organization and financial responsibility is crucial when owning a business or being self-employed. If the person that is self-employed does not manage money well, they run the risk of losing their business due to mismanagement. This will be a great disadvantage because not only is the person not able to be self-employed but they might have been out of the work field for a long time and did not gain much experience in a field that they would go out and try to work in after they figure out that working for themselves is not going to work for them.When the person tries to find a job and the hirin g manager sees how long they have been out of work and not enough experience, they may be hesitant to hire the individual. Working at a place of employment for someone else also has many benefits. For the most part, the employee will have a set schedule weekly and the employee will have to follow that schedule. Normal business hours are 8:00 a. m. to 5:00 p. m. unless of course the person works part-time, they work at a restaurant, a retail location, or maybe just a job that will schedule the employee when they are needed.In this case however, the employee does not set their own schedule, their supervisor, or boss will be responsible for that. There is not much flexibility with the schedules at a place of employment. While working for someone else, he or she is normally working under someone that they need to answer to and flexibility is very rare in the corporate world. A supervisor however, will take any time off needed as in vacation time, personal and sick time. Employees are en titled to the time off when working at a place of employment.Depending on the work field and if the individual is a full-time or part-time employee, the time off will be paid by the employer. The rate of pay at work place may not always be what the employee needs or is looking for. It could just be enough to make ends meet but it can also be exactly what the individual is looking for. Many companies require college degrees in order to make what the individual needs or should make with regards to their salary. Along with having a college degree, experience is absolutely necessary to earn top dollar.A degree does not necessarily mean that a person will be the most qualified to do the job but it does give the hiring employer that the employee they are considering has a sense of discipline, responsibility and knowledge that comes from a person with a college degree. Without the requirements, it will not be easy to obtain the type of salary the person wants. There are instances where eve n if the person meet’s the requirement’s needed to obtain a high or decent salary, some small companies are not able to pay these high salaries even if they wanted to.That is when individual either settle for what they are offered, continue searching for a job that meet’s their expectations, or become self-employed. Being self employed vs. working for someone else has many of the same advantages and disadvantages. To be self-employed, an individual needs to make sure they are organized and are prepared for the overhead cost’s that come with either owning a business or possibly just providing for your self and not having to answer to someone else. Working for someone else is not bad.A person has to be prepared and make every effort they need to in order to be successful at their place of employment. People in life have to make choice with regards to their careers. Do they work for themselves or do they work for someone else? In the end, he or she must choo se what makes the most sense and what he or she will know they can handle or not. Just because someone works for themselves, it does not necessarily mean that it will be easy. It can be just as hard as working for someone else.

Patho Pharm Concepts Diabetic Research Health And Social Care Essay

Type 1 diabetes can happen at any age. However, it is most frequently diagnosed in kids, striplings, or immature grownups. Hazard factors include: A household history. Anyone with a parent or sibling with type 1 diabetes has a somewhat increased hazard of developing the status. Geneticss: The presence of certain cistrons indicates an increased hazard of developing type 1 diabetes. In some instances – normally through a clinical test – familial testing can be done to find if person who has a household history of type 1 diabetes is at increased hazard of developing the status. Geography: The incidence of type 1 diabetes tends to increase as you travel off from the equator. Peoples populating in Finland and Sardinia have the highest incidence of type 1 diabetes – approximately two to three times higher than rates in the United States and 400 times that of people populating in Venezuela. Possible hazard factors for type 1 diabetes include: Viral exposure. Exposure to Epstein-Barr virus, Coxsackie virus, mumps virus or CMV may trip the autoimmune devastation of the islet cells, or the virus may straight infect the islet cells. Low vitamin D degrees. Research suggests that vitamin D may be protective against type 1 diabetes. However, early imbibing of cow ‘s milk – a common beginning of vitamin D – has been linked to an increased hazard of type 1 diabetes. Other dietetic factors: Omega-3 fatty acids may offer some protection against type 1 diabetes. Drinking H2O that contains nitrates may increase the hazard. Additionally, the timing of the debut of cereal into a babe ‘s diet may impact his or her hazard of type 1 diabetes. One clinical test found that between ages 3 and 7 months appears to be the optimum clip for presenting cereal. Some other possible hazard factors include if your female parent was younger than age 25 when she gave birth to you or if your female parent had pre-eclampsia during gestation. Bing born with icterus is a possible hazard factor, as is sing a respiratory infection merely after you were born. ( Mayo Clinic, 2012 ) Insulin is a endocrine produced by particular cells, called beta cells, in the pancreas. The pancreas is found behind your tummy. Insulin is needed to travel blood sugar ( glucose ) into cells, where it is stored and later used for energy. In type 1 diabetes, beta cells produce small or no insulin. Without adequate insulin, glucose physiques up in the blood stream alternatively of traveling into the cells. The organic structure is unable to utilize this glucose for energy. This leads to the symptoms of type 1 diabetes. This type needs insulin. The exact cause of type 1 diabetes is unknown. ( Medicine Plus, 2011 ) However, type 1 diabetes normally develops as a consequence of autoimmune pancreatic beta-cell devastation in genetically susceptible persons. Up to 90 % of patients will hold autoantibodies to at least one of 3 antigens: glutamic acid decarboxylase ( G AD ) ; insulin ; and a tyrosine-phosphatase-like molecule, islet auto-antigen-2 ( IA-2 ) . Beta-cell devastation returns sub-clinically for months to old ages as insulitis ( redness of the beta cell ) . When 80 % to 90 % of beta cells have been destroyed, hyperglycaemia develops. Insulin opposition has no function in the pathophysiology of type 1 diabetes. However, with increasing prevalence of fleshiness, some type 1 diabetic patients may be insulin immune in add-on to being insulin deficient. Patients with insulin lack are unable to use glucose in peripheral musculus and adipose tissues. This stimulates the secernment of counter-regulatory endocrines such as glucagon, epinephrine ( adrenaline ) , hydrocortisone, and growing endocrine. These counter-regulatory endocrines, particularly glucagon, promote gluconeogenesis, glycogenolysis, and ketogenesis in the liver. As a consequence, patients present with hyperglycemia and anion spread metabolic acidosis. Long-run hyperglycemia leads to vascular complications due to a combination of factors that include glycosylation of proteins in tissue and serum, production of sorbitol, and free extremist harm. Microvascular complications include retinopathy, neuropathy, and nephropathy. Macrovascular complications include cardiovascular, cerebrovascular, and peripheral vascular disease. Hyperglycaemia is known to bring on oxidative emphasis and redness. Oxidative emphasis can do endothelial disfunction by neutralizing azotic oxide. Dysfunctional endothelium allows entry of LDL into the vas wall, which induces a slow inflammatory procedure and leads to atheroma formation. ( Best Practice, 2012 ) The definition of type 2 diabetes mellitus, antecedently termed noninsulin-dependent diabetes mellitus, was late modified by the American Diabetes Association. Several standards may be used independently to set up the diagnosing: 1 ) a 75-g unwritten glucose tolerance trial with a 2-h value of 200 mg/dL or more, 2 ) a random plasma g lucose of 200 mg/dL or more with typical symptoms of diabetes, or 3 ) a fasting plasma glucose of 126 mg/dL or more on more than one juncture ( Wingard, and Barrett-Connor, 1995 ) . Fasting glucose values are preferred for their convenience, duplicability, and correlativity with increased hazard of microvascular complications. The term impaired fasting glucose has been defined as fasting plasma glucose of 110 or more and 125 mg/dL or less ( ( Wingard, and Barrett-Connor, 1995 ) . ) . Impaired glucose tolerance ( IGT ) is defined as a 2-h plasma glucose value of 140 or more and of less than 200 mg/dL during an unwritten glucose tolerance ( American Diabetes Association, 1997 ) . Persons with impaired fasting glucose and IGT are considered to be at high hazard for the development of diabetes and macrovascular disease ( Knowler, Martor, and Selander, 1997, and Alberti1996 ) . Although one tierce of these patients will finally develop diabetes, dietetic alteration and exercising can tak e down the hazard of patterned advance from impaired glucose tolerance to type 2 diabetes ; and may besides forestall the development of IGT in nondiabetic persons at high hazard ( Alberti, 1996 ) . Pharmacological agents may besides be of benefit in restricting the patterned advance from IGT to diabetes ( Knowler, Martor, and Selander, 1997, and Antonucci, Whitcomb, McClain, and Lockwood, 1998 ) . Type 2 diabetes mellitus is a heterogenous upset with changing prevalence among different cultural groups. In the United States the populations most affected are native Americans, peculiarly in the desert Southwest, Hispanic-Americans, and Asian-Americans ( Harris, Courig, Reiber, Boyko, Stern, and Bennet, 1995 ) . The pathophysiology of type 2 diabetes mellitus is characterized by peripheral insulin opposition, impaired ordinance of hepatic glucose production, and worsening I?-cell map, finally taking toI? -cell failure. The primary events are believed to be an initial shortage in insuli n secernment and, in many patients, comparative insulin lack in association with peripheral insulin opposition ( Reaven, 1998, and Olefsky, 1989 ) . I?-Cell disfunction is ab initio characterized by an damage in the first stage of insulin secernment during glucose stimulation and may predate the oncoming of glucose intolerance in type 2 diabetes ( Ward, Beard, and Porte, 1986 ) . Initiation of the insulin response depends upon the transmembranous conveyance of glucose and yoke of glucose to the glucose detector. The glucose/glucose detector complex so induces an addition in glucokinase by stabilising the protein and impairing its debasement. The initiation of glucokinase serves as the first measure in associating intermediary metamorphosis with the insulin secretory setup. Glucose conveyance inI? -cells of type 2 diabetes patients appears to be greatly reduced, therefore switching the control point for insulin secernment from glucokinase to the glucose conveyance system ( Leahy, 199 1, and Porte 1991 ) . This defect is improved by the sulfonylureas ( Luz, DeFronzo, 1989, and Groop, Latheiser, and Luzi, 1991 ) . Later in the class of the disease, the 2nd stage release of freshly synthesized insulin is impaired, an consequence that can be reversed, in portion at least in some patients, by reconstructing rigorous control of glycemia. This secondary phenomenon, termed desensitisation or I?-cell glucotoxicity, is the consequence of a self-contradictory inhibitory consequence of glucose upon insulin release and may be attributable to the accretion of animal starch within the I?-cell as a consequence of sustained hyperglycaemia ( Malaisse, 1996 ) . Other campaigners that have been proposed are sorbital accretion in the I?-cell or the nonenzymatic glycation ofI? -cell proteins. Other defects in I?-cell map in type 2 diabetes mellitus include faulty glucose potentiation in response to nonglucose insulin secretagogues, asynchronous insulin release, and a reduced transiti on of proinsulin to insulin ( Porte, and Kahn, 1989, and O`Rahilly, Turner, and Matthews, 1988 ) . An damage in first stage insulin secernment may function as a marker of hazard for type 2 diabetes mellitus in household members of persons with type 2 diabetes mellitus ( Groop, and Botazzo, 1986 ) and may be seen in patients with anterior gestational diabetes ( Nicholls, Chan, Ali, Beard, and Dornhorst, 1995 ) . However, impaired first stage insulin secernment entirely will non do impaired glucose tolerance. Autoimmune devastation of pancreatic I?-cells may be a factor in a little subset of type 2 diabetic patients and has been termed the syndrome of latent autoimmune diabetes in grownups. This group may stand for every bit many as 10 % of Norse patients with type 2 diabetes and has been identified in the recent United Kingdom survey, but has non been good characterized in other populations ( Groop, and Botazzo, 1986 ) . Glucokinase is absent within the I?-cell in some households wit h maturity-onset diabetes of immature ( Nicholls, Chan, Ali, Beard, and Dornhorst, 1995 ) . However, lacks of glucokinase have non been found in other signifiers of type 2 diabetes ( Matchinsky, Liang, and Kesevan, 1993 ) . Hazard factors for diabetes II include: Weight. Being overweight is a primary hazard factor for type 2 diabetes. The more fatty tissue you have, the more immune your cells become to insulin. Fat distribution. If your organic structure shops fat chiefly in your venters, your hazard of type 2 diabetes is greater than if your organic structure shops fat elsewhere, such as your hips and thighs. Inaction: The less active you are, the greater your hazard of type 2 diabetes. Physical activity helps you command your weight, uses up glucose as energy and makes your cells more sensitive to insulin. Family history: The hazard of type 2 diabetes additions if your parent or sibling has type 2 diabetes. Race: Although it ‘s ill-defined why, people of certain races â€⠀œ including inkinesss, Hispanics, American Indians and Asian-Americans – are more likely to develop type 2 diabetes than Whites are. Age: The hazard of type 2 diabetes additions as you get older, particularly after age 45. That ‘s likely because people tend to exert less, lose musculus mass and addition weight as they age. But type 2 diabetes is besides increasing dramatically among kids, striplings and younger grownups. Prediabetes: Prediabetes is a status in which your blood sugar degree is higher than normal, but non high plenty to be classified as type 2 diabetes. Left untreated, prediabetes frequently progresses to type 2 diabetes. Gestational diabetes: If you developed gestational diabetes when you were pregnant, your hazard of developing type 2 diabetes subsequently additions. If you gave birth to a babe weighing more than 9 lbs ( 4.1 kgs ) , you ‘re besides at hazard of type 2 diabetes. ( Mayo Clinic, 2012 ) Mr. Jenaro has type II diabetes. The fasting plasma glucose ( FPG ) trial, besides known as the fasting blood sugar trial, steps blood sugar degrees and is used to name diabetes. Relatively simple and cheap, the trial exposes jobs with insulin operation. Prolonged fasting triggers a endocrine called glucagon, which is produced by the pancreas. It causes the liver to let go of glucose ( blood sugar ) into the blood stream. If a individual does n't hold diabetes, his or her organic structure reacts by bring forthing insulin, which prevents hyperglycaemia ( high blood sugar ) . However, if one ‘s organic structure can non bring forth adequate insulin or can non suitably react to insulin, fasting blood sugar degrees will remain high. How the Fasting Plasma Glucose Test Is Done? The trial consists of a simple, noninvasive blood trial. Prior to being tested, a individual must non to eat for 12 to 14 hours. Because of this fast, the trial is normally done in the forenoon. Understanding the Results of the Fasting Plas ma Glucose Test: Doctors interpret trial consequences by looking at glucose degrees in the blood. Diagnosis classs include the undermentioned, measured in mgs per decilitre ( mg/dL ) : In the fasting plasma glucose trial, 70 mg/dL to 99 mg/dL is considered within the normal scope. A reading of 100 mg/dL to126 mg/dL suggests prediabetes, bespeaking an increased hazard in developing matured diabetes. A reading above 126 mg/dL is the threshold at which diabetes is diagnosed. Blood glucose degrees lower than 70 mg/dL imply an episode of hypoglycaemia, in which blood sugar is perilously low. If the consequences are marginal, other trials might be done, including the unwritten glucose tolerance trial or the postprandial plasma glucose trial. ( Close, 2008 ) Random Plasma Glucose Test: The random plasma glucose trial is a simple Blood sugar trial. The patient does non necessitate to fast for the RPG, which means if can be taken even if he/she has merely had something to eat or imbibe. This is normally performed in the exigency room or when a physician does non desire to wait to hold a fasting blood sugar trial performed. The trial is simple and can be performed in the infirmary or physician ‘s office by taking a blood trial and holding the degrees analyzed by a research lab. Consequences are normally processed within 24 to 48 hours if they ‘re being sent out to an independent lab. Hospitals can acquire a reading much quicker. A normal Blood glucose degree reading, without fasting first, of under 200 mg/dl is considered normal. At that point, if symptoms are present, the physician will get down looking at other grounds for the unwellness. However, a degree of over 200 mg/dl, particularly with symptoms of frequent micturition, inordinate thirst, etc. will bespeak a strong possibility of diabetes. ( Diabetes Info, n.d. ) Two hr postprandial serum glucose: The most common glucose tolerance trial is the unwritten glucose tolerance trial ( OGTT ) . Before the t rial begins, a sample of blood will be taken. The patient will so be asked to imbibe a liquid incorporating a certain sum of glucose ( normally 75 gms ) . The patient`s blood will be taken once more every 30 to 60 proceedingss after you drink the solution. The trial takes up to 3 hours. A similar trial is the IV glucose tolerance trial ( IGTT ) . It is seldom used, and ne'er used to name diabetes. In this trial, glucose is injected into the patient`s vena for 3 proceedingss. Blood insulin degrees are measured before the injection, and once more at 1 and 3 proceedingss after the injection. However, the timing may change. How to Fix for the Trial: Make sure that the patient chows usually for several yearss before the trial. Make non eat or imbibe anything for at least 8 hours before the trial. The patient can non eat during the trial. How the Test Will Feel: Some people feel nauseated, sweaty, faint, or may even experience short of breath or swoon after imbibing the glucose. However, serious side effects of this trial are really uncommon. When the acerate leaf is inserted to pull blood, some people feel moderate hurting. Others feel merely a asshole or cutting esthesis. Afterward, there may be some pounding. Normal Consequences: Normal blood values for a 75-gram unwritten glucose tolerance trial used to look into for type 2 diabetes in those who are non pregnant: Fast: 60 -100 mg/dL, 1 hr: less than 200 mg/dL, and 2 hours: less than 140 mg/dL. Note: mg/dL = mgs per decilitre Between 140 – 200 mg/dL is called impaired glucose tolerance. The patient`s physician may name this â€Å" prediabetes. † It means the patient is at increased hazard for developing diabetes. A glucose degree of 200 mg/dL or higher is a mark of diabetes. However, high glucose degrees may be related to another medical job ( for illustration, Cushing syndrome ) . Hazards: Veins and arterias vary in size from one patient to another and from one side of the organic structure to the other. Obtaining a blood sample from some people may be more hard than from others. Other hazards associated with holding blood drawn are little but may include: Excessive hemorrhage, Fainting or experiencing faint, haematoma ( blood roll uping under the tegument ) , and infection ( a rebuff hazard any clip the tegument is broken ) . Considerations: Factors that may impact the trial consequences: Acute emphasis ( for illustration, from surgery or an infection ) , vigorous exercising, several drugs may do glucose intolerance, including: Atypical antipsychotic medicines, including aripiprazole, olanzapine, quetiapine, risperidone, and ziprasidone, Beta-blockers ( for illustration, propranolol ) , Corticosteroids ( for illustration, Orasone ) , Dextrose, Epinephrine, Glucagon, Isoniazid, Lithium, Phenothiazines, Phenytoin, Salicylates ( including acetylsalicylic acid ) , Thiazide water pills ( for illustration, Microzide ) , Triamterene, and Tricyclic antidepressants. ( Medicine Plus, n.d. ) A1C: The A1c trial and eAG computation are used to supervise the glucose control of diabetics over clip. The end of those with diabetes is to maintain their blood glucose degrees as near to normal as possible. This helps to minimise the complications caused by inveterate elevated glucose degrees, such as progressive harm to organic structure variety meats like the kidneys, eyes, cardiovascular system, and nervousnesss. The A1c trial and eAG consequence give a image of the mean sum of glucose in the blood over the last few months. They can assist you and your physician know if the steps you are taking to command your diabetes are successful or need to be adjusted. A1c is often used to assist freshly diagnosed diabetics find how elevated their uncontrolled blood glucose degrees have been. It may be ordered several times while control is being achieved, and so several times a twelvemonth to verify that good control is being maintained. The A1c trial may be used to test for and name diab etes. However, A1c should non be used for diagnosing in pregnant adult females, people who have had recent terrible hemorrhage or blood transfusions, those with chronic kidney or liver disease, and people with blood upsets such as iron-deficiency anaemia, vitamin B12 anaemia, and hemoglobin discrepancies. Besides, merely A1c trials that have been referenced to an recognized research lab method ( standardized ) should be used for diagnostic or screening intents. In these instances, a fasting plasma glucose or unwritten glucose tolerance trial may be used for testing or diagnosing. Presently, point-of-care trials, such as those that may be used at a physician ‘s office or a patient ‘s bedside, are excessively variable for usage in diagnosing but can be used to supervise intervention ( lifestyle and drug therapies ) . Depending on the type of diabetes that you have, how good your diabetes is controlled, and your physician, your A1c may be measured 2 to 4 times each twelvemo nth. The American Diabetes Association recommends proving your A1c at least twice a twelvemonth. When person is foremost diagnosed with diabetes or if control is non good, A1c may be ordered more often. For diagnostic and screening intents, A1c may be ordered as portion of a wellness medical examination or when person is suspected of holding diabetes because they have marks or symptoms of increased blood glucose degrees ( hyperglycaemia ) such as: Increased thirst, increased micturition, weariness, blurred vision, and slow-healing infections. For supervising glucose control, A1c is presently reported as a per centum, and it is recommended that diabetics aim to maintain their A1c below 7 % . The study for your A1c trial besides may include an estimated Average Glucose ( eAG ) , which is a deliberate consequence based on your A1c degrees. The intent of describing eAG is to assist you associate your A1c consequences to your mundane glucose monitoring degrees. The expression for eAG con verts per centum A1c to units of mg/dL or mmol/L so that you can compare it to your glucose degrees from place monitoring systems or laboratory trials. It should be noted that the eAG is still an rating of your glucose over the last twosome of months. It will non fit up precisely to any one daily glucose trial consequence. The American Diabetes Association has adopted this computation and provides a reckoner and information on the eAG on their web site. The closer a diabetic can maintain their A1c to 6 % without sing inordinate hypoglycaemia, the better their diabetes is in control. As the A1c and eAG addition, so does the hazard of complications. In testing and diagnosing, some consequences that may be seen include: A nondiabetic individual will hold an A1c consequence between 4 % and 6 % . Diabetes: A1c degree is 6.5 % ( 47 mmol/mol ) or higher. Pre-diabetes ( increased hazard of developing diabetes in the hereafter ) : A1c is 5.7 % – 6.4 % ( 39 – 46 mmol/mol ) . The A1c trial will non reflect impermanent, acute blood glucose additions or lessenings. The glucose swings of person who has â€Å" brickle † diabetes will non be reflected in the A1c. If you have a haemoglobin discrepancy, such as reaping hook cell haemoglobin ( hemoglobin S ) , you will hold a reduced sum of haemoglobin A. This may restrict the utility of the A1c trial in naming and/or supervising your diabetes. If you have anemia, haemolysis, or heavy hemorrhage, your trial consequences may be falsely low. If you are iron deficient, you may hold an increased A1c measuring. If you have had a recent transfusion, so your A1c will be falsely increased ( blood preservative solutions contain high glucose degrees ) and non accurately reflect your glucose control for 2 to 3 months. ( Lab Trials Online, 2009 ) Diseases do non ever show the usual or â€Å" authoritative † marks and symptoms in the aged. Physiologic changes over the old ages of a long life seem to be responsible for damage of ordinance or map of many organ systems. Since map frequently is measured in clinical medical specialty by research lab testing, physicians often face hard clinical determinations as to the demand for farther rating of a patient based upon a laboratory trial consequence received. For the most portion, the research lab values obtained in aged individuals seem to fall into our traditional or alleged normal scopes, and small grounds supports the demand for separate sets of mention scopes for the aged. A few patients do demo abnormalcies on specific trials, and a few trial values can be expected more often than others to be out of line in healthy aged persons, specifically: serum alkaline phosphatase ( lifts to about 2.5 times the normal ) fasting blood glucose ( up to 135 to 150 mg/dl ) postprandial blood glucose or unwritten glucose tolerance trial ( increased supra normal to 10 mg/dl per decennary of age ) normal serum creatinine with the being of markedly decreased cre atinine clearance higher erythrocyte deposit rates ( up to 40 mm/hr ) haemoglobin ( lowest acceptable degree is 11.0 gm/dl in adult females ; 11.5 gm/dl in work forces ) BUN ( up to 28 to 35 mg/dl ) The presence of multiple diseases in aged patients, every bit good as the many medicines frequently taken, will no uncertainty be more of a beginning of confusion and alarm in the clinical correlativity of laboratory trial consequences than the deficiency of equal mention ranges specifically compiled for the aged. The inquiry â€Å" What trial consequence is important and raises intuition of disease? † will stay a portion of that all important integrating and correlativity of the information available to the doctor for the diagnosing and intervention of the patient. ( Kelso, 1990 ) Functions of Insulin: In add-on to its function of modulating glucose metamorphosis, insulin besides: Stimulates lipogenesis, diminishes lipolysis, increases amino acerb conveyance into cells, modulates written text, changing the cell content of legion messenger RNAs, stimulates growing, DNA synthesis, and cell reproduction. ( Diabetes Information Hub, n.d. ) Several endocrines oppose the action of insulin and, hence, will increase blood glucose. The chief endocrines that mediate this consequence are glucagon, growing endocrine, catecholamines, and corticoids. The addition in blood glucose can happen through suppression of insulin release, stimulation of glucose-yielding tracts ( glycogolysis, gluconeogenesis ) , or lessening of glucose consumption or usage by tissues. Jointly, additions in these endocrines can bring on a province of insulin opposition. Insulin opposition can besides be mediated by inflammatory cytokines ( TNF-alpha ) , fleshiness and gestation. Inflammatory cytokine s are thought to be responsible for insulin opposition observed in sepsis. Hyperglycemia in critical attention patients has been associated with a hapless result and has prompted the usage of glucose monitoring in such patients in human and veterinary medical specialty. In gestation, endocrines such as Lipo-Lutin can do insulin opposition ( this is thought to be mediated through growing endocrine release ) and consequences in gestational diabetes in worlds. Pregnancy-associated endocrines may besides lend to insulin opposition and hyperlipidemic syndromes in pregnant Equus caballuss, ponies and camelids. Glucagon: Glucagon causes an addition in blood glucose, by exciting gluconeogenesis and glycogenolysis and easing glucose release from hepatocytes. Low blood glucose is the chief stimulation for glucagon release from alpha cells in pancreatic islets. Catecholamines ( epinephrine/norepinephrine ) : Epinephrine from the adrenal myelin Acts of the Apostless via beta-adrenergic receptor s, whereas norepinpherine is released from nerve terminations and Acts of the Apostless on alpha2-adrenergic receptors. Norepinephrine and adrenaline have somewhat opponent effects on insulin release ( norepinephrine inhibits, epinephrine stimulates ) , but the net consequence of both is increased blood glucose. This occurs via stimulation of glycogenolysis and release of glucose from hepatocytes ( adrenaline ) , and indirectly through suppression of insulin release ( noradrenaline ) , and release of growing endocrine ( adrenaline ) and ACTH ( which increases hydrocortisone ) . The addition in glucose in response to catecholamines is normally transeunt ( chiefly due to intermittent release of catecholamines ) and can be rather pronounced in cats, cowss and camelids. Growth endocrine ( GH ) : This increases blood glucose by suppressing glucose uptake by cells. It besides promotes glycogenolysis in musculus tissue. Progesterone may do insulin opposition by exciting secernment of GH. G rowth endocrine is released from the pituitary by growing hormone-releasing endocrine, which is secreted by the hypothalamus normally in response to low blood glucose and adrenaline. Corticosteroids: These increase blood glucose by bring oning glucose release from hepatocytes and suppressing glucose uptake by cells ( through diminishing GLU-4 ) . Corticosteroids besides stimulate gluconeogenesis and glucagon secernment ( which besides increases blood glucose ) . ( Cornell University, n.d. ) The prevalence of type 2 diabetes, which represents approximately 90 % of all diabetes, additions with age and affects 18-20 % of people over age 65 in the United States ( with a significant per centum of these instances being undiagnosed ) . ( National Diabetes Data Group, 1995 ) Recent recommendations to test all grownups over 45 old ages of age for elevated glucose degrees, with retesting every 3 old ages, should well cut down the figure of undiagnosed diabetic patients. ( American Diabetes Association, 1997 ) In add-on to the 20 % of the aged population with blunt diabetes, another 20-25 % fit standards for impaired glucose tolerance, a province that is associated with a double addition in the incidence of macrovascular complications. ( Abrass, and Schwartz, 1998 ) I found an interesting survey about the prevalence of diabetes in the aged. This survey states: To measure the prevalence of diabetes, separating between aged persons with diabetes diagnosed in in-between age ( â€Å" middle age-onset diabetes † ) from aged persons with late diagnosed diabetes ( â€Å" elderly onset diabetes † ) and to measure the load of complications and control of cardiovascular hazard factors in these groups. Research and methods: We analyzed informations from 2,809 aged persons from the 1999-2002 National Health and Nutrition Examination Survey, a cross-sectional nationally representative study of the civilian noninstitutionalised population of the U.S. Consequences: Among grownups aged a†°?65 old ages, the prevalence of diagnosed diabetes was 15.3 % , stand foring 5.4 million persons in the U.S. The prevalence of undiagnosed diabetes was 6.9 % or 2.4 million persons. Aged persons with in-between age-onset diabetes had a much greater load of microvascular disease but have a similar load of macrovascular disease compared with persons with aged oncoming diabetes. Aged persons with in-between age-onset diabetes had well worse glycemic control ( proportion of persons with HbA1c & gt ; 7 % = 59.9 % ) compared with either aged oncoming ( 41.6 % ) or nonelderly persons with diabetes ( 55.3 % ) . Persons with aged oncoming diabetes were besides less likely to be taking glucose-lowering medicines. Decision: In this survey, we documented a high prevalence of diabetes among aged persons and high rate of hapless glycemic control in this population. Persons with in-between age-and aged oncoming diabetes appear to stand for distinguishable groups with differing loads of disease and perchance differing intervention ends. Future surveies of diabetes in aged persons may necessitate to see stratification based on age of diagnosing. ( Selvin, Coresh, and Brancati, 2006 ) . Risks of Diabetic Complications in Older Adults With Type 2 Diabetes. Before reexamining the benefits of specific curative intercessions, it is of import to see the magnitude of the hazards associated with type 2 diabetes in older grownups. Macrovascular disease: The morbidity and mo rtality associated with macrovascular events far outweigh the hazards of microvascular complications in older people with diabetes. In the United Kingdom Prospective Diabetes Study ( UKPDS ) , 9 % of type 2 diabetic patients developed microvascular disease after 9 old ages of followup, compared to rates of 20 % for macrovascular complications. ( Turner, Cull, and Holman, 1996 ) A In the United States, where diabetes is the 4th most common cause of decease, atherosclerotic macrovascular disease histories for every bit much as 75 % of all mortality in type 2 diabetes. ( Geiss, Herman, and Smith, 1995 ) A recent prospective survey indicated that patients with type 2 diabetes without a history of anterior bosom onslaught have equal, if non greater, hazards of myocardial infarction ( MI ) compared to those without diabetes who have had anterior bosom onslaughts ( 20.2 % vs. 18.8 % incidence of MI, severally, over 7 old ages ) . ( Haffner, Lehto, Ronnemaa, Pyorala, and Laasko, 1998 ) A Al though non from an intercession test, these informations suggest that older diabetic patients should be treated as sharply for diabetes and cardiovascular hazard factors as the secondary bar attempts presently aimed at people with known cardiovascular disease. Microvascular disease: Diabetess is the most frequent cause of sightlessness and nephritic failure in the United States, and the microvascular complications of diabetes rise with increasing continuance of disease and declining glycemic control. ( Klein, Klein, and Moss, 1996 ) A Although bettering glycemic control clearly reduces microvascular complications, it is of import to acknowledge that the incidence of terrible or end-stage microvascular complications is much lower for type 2 diabetic patients than for type 1 patients, presumptively because of their older age of oncoming and increased viing hazards for decease. ( Vijan, Hofer, and Hayward, 1997 ) Estimates of the life-time hazards of developing sightlessness due to diabetic retinopathy or of come oning to end-stage nephritic disease show the diminution in these hazards with progressing age of oncoming of type 2 diabetes. ( Vijan, Hofer, and Hayward, 1997 ) These estimations are similar to the ascertained rates of nephritic failure in the UKPDS test s but are slightly lower than ascertained rates of sightlessness, in portion because UKPDS rates included all causes of sightlessness instead than merely instances in which sightlessness was due to diabetic retinopathy. ( UK Prospective Diabetes Study, 1998 ) Arteriosclerosis: It is seen in patients of both Type 1 and Type 2 Diabetes mellitus Arteriosclerosis of the appendages is a disease of blood vass characterized by contracting and hardening of the arterias that supply the legs and pess. It consequences in lessened blood flour which can take to injury of nervousnesss and other tissues. Normally the consequence is seen in the legs and pess. Pain occurs in the legs while walking and is relieved with remainder. Numbness of legs or pess may happen while at remainder. There may be cold pess or leg. Muscle hurting may be felt in thighs or calves. There may be loss of hair on the legs and alteration in coloring material of the legs. Pulse is weak or absent in the limb. Arteriosclerosis is normally associated with ulceration, calcification and thrombosis. Calcium sedimentations in the walls of the arterias leads to contracting and stiffness of arterias. It is normally seen in patients above 50 old ages of age. The sick effects of accelerated coronary artery disease in diabetes are early oncoming of coronary arteria diseases, soundless myocardial infarction, intellectual shot and sphacelus of the appendages is 100 times more common in diabetes than in non-diabetes. Diabetic Nephropathy: Kidney harm from diabetes is called diabetic kidney disease. It is besides known as Diabetic glumerulosclerosis. In this a peculiar type of nephritic lesion is seen which may be diffuse or nodular. The diffuse lesion occurs chiefly due to generalised thickener of the cellar membrane of glomerular capillaries. The nodular lesion is in the signifier of rounded multitudes of hyaline stuff which are superimposed upon the diffuse lesion. These lesions are known as kimmelsteil Wilson orga nic structures. Initially, Diabetic kidney disease that is, diseased little blood vass in the kidney leads to leakage of protein in the piss. As the disease progresses, the kidney stops cleaning and filtrating blood. This leads to accretion of toxic waste merchandises in the blood. So, patient is kept on dialysis machine, which serves the intent of filtrating and cleaning the blood. Kidney organ transplant is done if the patient is non willing to travel under dialysis. Diabetic Retinopathy: Retinopathy is the commonest long term complication of diabetes. It is taking cause of sightlessness. These are diseased little blood vass in the dorsum of the oculus which causes the escape of protein and blood in the retina. Disease in these little blood vass may besides do the formation of Micro aneurisms. They appear as minute, discrete, round, dark ruddy musca volitanss near to the retinal vass. They look like ting bleedings. These are besides formation of new, brickle blood vass. Sudden hem orrhage from the new and brickle blood vass can take to retinal scarring and retinal withdrawal, therefore impairing the vision. Soft exudations are seen. But the difficult exudations are more common and are characteristic characteristic of Diabetic Retinopathy. They are xanthous in coloring material, have irregular, aggressively defined borders and may change in size from little pinpoints to big round spots. Besides, Retinopathy-diabetics are besides prone to cataract and Glaucoma. Diabetic Microangiopathy: It is characterized by cellar membrane thickener of little blood vass and capillaries of assorted variety meats and tissues such as the tegument, oculus, skeletal, musculus, kidney, etc. Similar type of cellar membrane inspissating many besides be seen in nonvascular tissues such as Peripheral nervousnesss, nephritic tubules etc. Diabetic microangiopathy chiefly occurs due to recurrent hyperglycaemia. Diabetic Neuropathy: It involves impermanent or lasting harm to steel tissue. Nerve tissue gets injured chiefly due to reduced blood flow and rise in blood glucose degrees. Approximately 50 % of patients, enduring from diabetes from last 10-20 old ages, develop Diabetic neuropathy. Some patients develop nerve harm earlier while few patients do non develop nerve harm. Diabetic neuropathy affects all parts of the nervous system but peripheral nervousnesss are most normally affected. It affects cranial nervousnesss or the nervousnesss from spinal chord or their subdivisions. Nerve hurt usually develops in phase. In earlier phases, prickling esthesis or intermittent hurting in celebrated peculiarly in the appendages such as pess. But in ulterior phase, the hurting is uninterrupted and terrible. At last, a painless neuropathy develops, that in there is loss of hurting esthesis in an country. The increases the opportunity of terrible tissue hurt because hurting does non alarm the patients to injury. Therefore, the common symptoms of diabetic neuropathy are Numbress , Tingling, Decreased esthesis to a organic structure portion, Diarrhoea, Constipation, Loss of vesica control, Impotence, Facial drooping, Drooping palpebra, Drooping oral cavity, Vision alterations, Weakness, Speech damage, etc. These symptoms normally develop bit by bit over old ages. Infections: Diabetics have increased susceptibleness to assorted infections, such as TB, pneumonias, pyelonephritis, carbuncles and diabetic ulcers. This may be due to hapless blood supply, reduced cellular unsusceptibility or hyperglycaemia. Heart Disease And Stroke: Patients with diabetes are four times more prone to develop Heart disease than those who do non hold diabetes. They may endure from Heart Attack, Chest Pain or Angina, High Blood Pressure, Stroke, etc. Patient with diabetes may develop soundless Heart Attacks that is bosom attacks that take topographic point without demoing any specifics symptoms. It is because in diabetics there is damaged nervus, so the patient does non experience an y chest hurting, and therefore is non cognizant of the oncoming bosom onslaught. ( Diabetes mellitus, n.d. ) To suit Mr. Jenaro`s linguistic communication barrier, a transcriber may be the perfect option. Other options are to supply Mr. Jenaro his instruction stuff in Spanish. There are several Web pages from which instruction stuff can be provided. When the patient is ill, he/she is under emphasis. To cover with this emphasis, the patient`s organic structure releases endocrines that help it fight disease. But these endocrines have side effects. They raise blood sugar degrees and interfere with the blood sugar-lowering effects of insulin. As a consequence, when the patient is ill, it is harder to maintain his/her blood sugar in your mark scope. Ketoacidosis taking to a diabetic coma can develop, peculiarly in people with type 1 diabetes. Peoples with type 2 diabetes, particularly older people, can develop a similar status called hyperosmolar hyperglycemic nonketotic coma. Both conditions are unsafe and can be dangerous. Making a Sick-Day Plan: Fix a program for ill yearss in progress. Work with his/her physician, or a diabetes pedagogue. The program will include when to name his/her diabetes squad, how frequently to mensurate blood sugar and urine ketones, what medicines to take, and how to eat. Besides, attach to his/her program a list of phone Numberss for his/her physician, diabetes pedagogue, and dietitian. Make certain he/she besides knows how to make them at dark and on weekends and vacations. Then when unwellness work stoppages, he/she will be ready. When to Name the Diabetes Team: He/she does non necessitate to name his/her squad every clip he/she has a snuffle. But he/she will likely desire to name if certain things happen. For illustration: He/she has been ill or hold had a febrility for a twosome of yearss and are n't acquiring better, he/she has been purging or holding diarrhoea for more than 6 hours, he/she has moderate to big sums of ketones in his/her piss, his/her glucose degrees are higher than 240 even though he/she has taken the excess insulin his/h er sick-day program calls for, he/she take pills for his/her diabetes and his/her blood sugar degree climbs to more than 240 before repasts and corsets at that place for more than 24 hours, he/she have symptoms that might signal diabetic acidosis or desiccation or some other serious status ( for illustration, his/her thorax injuries, he/she is holding problem external respiration, his/her breath odors fruity, or his/her lips or lingua are dry and cracked ) , he/she isn`t certain what to make to take attention of him/herself. He/she should be ready to state what medicines he/she has been taken and how much, how long he/she has been ill, whether he/she can eat and maintain nutrient down, whether he/she has lost weight, and what his/her temperature, blood sugar degree, and urine ketone degree are. To be prepared, maintain written records of all these things every bit shortly as he/she becomes ill. Keep his/her Notebook Handy: No affair what sort of diabetes she/he has, step his/her blo od sugar and urine ketones more frequently than usual. If he/she has type 2 diabetes, look intoing blood sugar four times a twenty-four hours may be plenty. He/she might merely necessitate to mensurate ketones if his/her blood sugar is higher than 300. If he/she does non hold a metre, talk to his/her diabetes educator about acquiring one. Diabetes Medicines: When sick, he/she will still necessitate to go on medical specialty for his/her diabetes. Even if he/she is throwing up, do n't halt his/her medical specialties. He/she need them because his/her organic structure makes excess glucose ( sugar ) when he/she are ill. If he/she has type 2 diabetes, he/she may be able to take his/her pills, or he/she may necessitate to utilize insulin for a short clip. In either instance, work with his/her diabetes team to develop his/her sick-day program. Food: Eating and imbibing can be a large job when he/she is ill. But it ‘s of import to lodge to his/her normal repast program if he/she can . In add-on to his/her normal repasts, drink tonss of non-caloric liquids to maintain from acquiring dehydrated. These are liquids like H2O and diet soft drinks. It ‘s easy to run low on fluids when he/she is purging or have a febrility or diarrhoea. Excess fluids will besides assist acquire rid of the excess sugar ( and perchance, ketones ) in his/her blood. But what if he/she ca n't lodge to his/her normal repast program? His/her sick-day program should incorporate a repast program. Try to take in his/her normal figure of Calories by eating easy-on-the-stomach nutrients like regular ( non-diet ) gelatin, crackers, soups, and applesauce. If even these mild nutrients are excessively difficult to eat, he/she may hold to lodge to imbibing liquids that contain saccharides. Aim for 50 gms of saccharide every three to four hours. His/her sick-day program may include regular ( non diet ) soft drinks. Other high-carbohydrate liquids and almost-liquids are juice, frozen juice bars, sh erbert, pudding, creamed soups, and fruit-flavored yoghurt. Broth is besides a good pick. To fix for ill yearss, have onhand at place a little stock of non-diet soft drinks, stock, apple sauce, and regular gelatin. Medicines to Watch Out for: He/she may desire to take excess medical specialties when he/she is ill. For illustration, if he/she has a cold, he/she may desire to take a cough medical specialty. Teach the patient to ever look into the label of nonprescription medical specialties before he/she purchase them to see if they have sugar. Small doses of medical specialties with sugar are normally all right. But to be on the safe side teach the patient to, inquire the druggist or his/her squad about sugar-free medical specialties. Many medical specialties he/she take for short-run unwellnesss can impact his/her blood sugar degrees, even if they do n't incorporate sugar. For illustration, acetylsalicylic acid in big doses can take down blood sugar degrees. Some antibiotics lower blood sugar degrees in people with type 2 diabetes who take diabetes pills. Decongestants and some merchandises for handling colds raise blood sugar degrees. Teach the patient that if he/she must travel to the exigenc y room or see a different physician than usual, to be certain to state that he/she has diabetes, or that he/she should hold his/her designation watchband in apparent position. ( Diabetets.org, n.d. )