Health Education and Promotion Models Assignment

Health Education and Promotion Models - Assignment Example On the contrary, the participatory design is aimed at creating successful community health promotion interventions. In addition, the Precede health promotion program planning model has eight phases as discussed. The first phase involves defining the ultimate outcome. It focuses on what the community wants and needs. It may seem unrelated to the issues of phase one. Phase two is for identifying the issue. In this phase, one looks for the issues and factors that might cause or influence the outcome identified in phase one. Phase three involves examining the factors that affect behaviour, lifestyle and responses to the environment. In this period, factors that will create the behaviour and environmental changes in phase two are. Step four identifies best practices and other sources of guidance for intervention design, as well as administrative, regulation and policy issues that influence the implementation of the program or intervention. Phase five is all about implantation. This step i nvolves doing just that setting up and implementing the interventions that have been planned for. Step six is for process evaluation. This phase is about the procedure but not results. Impact Evaluation is for stage 7. One begins by evaluating the initial success of the efforts. Step 8 is for Outcome Evaluation. The interventions must be working to bring about the outcomes the community identified in step 1.Proceed health promotion planning model has four assumptions. In this model, it’s assumed that health and other issues are essentially quality-of-life issues. It that health and other issues must be looked at in the context of the community. Health is also a constellation of factors that add up to a healthy life for individuals and communities. It that behaviour change is by and large voluntary, health promotion, is more likely to be effective if it’s participatory (Green and Kreuter2005). Health belief model is also a

Summary article Essay Example | Topics and Well Written Essays - 500 words

Summary article - Essay Example â€Å"Was it not something of the similar order that took place in New York on September 11?† (p 15) The effects of the multi-national capitalism and the culture created by the Hollywood popular fantasies resulted in the actions to be seen as images entered and shattered in our social reality. To read the reality within the WTC attacks in the lights of Lacanian psychoanalysis, the people who are immersed in reality have turned to be â€Å"fully identifying oneself with the fantasy – namely, with the fantasy which structures the excess that resists our immersion in daily reality.† (p 17) The approach of Zizek points out the need for seeing things as they are rather than missing the roots in the fantasy-driven world or the â€Å"artificially constructed universe.† He wants the people to yield to the â€Å"irresistible urge to ‘return to the Real’, to regain firm ground in some ‘real reality.’†(p 19) The Real has a compelling image of nightmarish apparition which is compelled to enter our reality and â€Å"the compelling image of the collapse of the WTC was: as image, a semblance an effect’, which at the same time, delivered ‘the thing itself,’† not the fantasized version of the reality. The same psychoanalytic view of reality that â€Å"we should not mistake reality for fiction,† means that â€Å"we should discern which part of reality is ‘transfunctionalized’ through fantasy, so that, although it is part of reality, it is perceived in fictional mode.† (p 19) The Lacanian view that unlike the animals which can â€Å"deceive by presenting what is false as true† humans â€Å"deceive by presenting what is true as false.† (p 20) The reality behind the WTC attack has been presented and viewed in the same manner, making the real as fantasized notion. â€Å"Not only were the media bombarding us all the time with the talk about the terrorist t hreat; this threat was also obviously libidinally

Effect of Obesity on Children

Effect of Obesity on Children Chapter One: Introduction Overweight and obesity have turn out to be the most serious health problem in children, adolescents and adults. â€Å"Overweight in children and adolescents was defined as ≠¥ 85th percentile according to BMI-for-age growth sex-specific charts, whereas obesity ≠¥ 95th percentile of the BMI-for-age growth, sex-specific charts â€Å"(Ogden et al., 2010). In the United States and Canada, 30% of adolescents were obese or overweight while the percentage doubled in adult (Anis et al., 2010). Obesity in adolescents’ population tripled in the last 30 years at both countries (Ogden et al., 2002). Several chronic conditions such as cardiovascular disease, diabetes, and cancers were observed in obese adults (Panel, 1998). Adipose tissue is composed of subcutaneous and visceral adipocytes (Chowdhury et al., 1994). Visceral fat accounts for 20% of total body fat in men compared to only 6% in premenstrual women (Krotkiewski et al., 1983). The etiology of visceral tissue dispositi on in humans is still indistinct (Samaras et al., 1999, Batra and Siegmund, 2012). In the last decade, blood pressure increased among children and adolescents (Muntner et al., 2004). Furthermore, children with high BMI are more probable to have elevated blood pressure and lipid profile (Freedman et al., 2007). Additionally, premature mortality is attributed to elevated blood pressure by increasing the incidence of cardiovascular disease (Stamler et al., 1993, Vasan et al., 2001).On the other hand, treatment of childhood obesity initiates reduction in blood pressure among adults which leads to cardiovascular disease prevention(Freedman et al., 1999). In 2008, Khader and colleagues estimated that 28.1% of north Jordanian adult men were obese. Whereas, in 2009 the obesity rate, as regards to studies conducted on children in north Jordan, was 18.8% of the targeted population(Khader et al., 2008, Khader et al., 2009). Comparing those studies, there is domination of obesity among adults rather than adolescents which leads to a prediction of escalating the obesity problem by age in north Jordan. This study aims to estimate abdominal and total fat among Jordanian adolescents and its relation to blood pressure. Many studies have shown that blood pressure is associated with being overweight in children and adolescents of Western countries (Genovesi et al., 2005, Ebbeling et al., 2002). Therefore, the aim of this study aims to estimate abdominal and total fat among Jordanian adolescents and its relation to blood pressure. Chapter Two: Literature Review. High body mass index is usually associated with elevated blood pressure (Cercato et al., 2004). Relation of trunk, waist circumferences and visceral fat with blood pressure were considered predictor indicators in children and adolescents for cardiovascular mortality (Welborn and Dhaliwal, 2007). The prevalence of hypertension among adolescents population has not been acknowledged as in adults. Adolescents with elevated blood pressure (BP) can develop several chronic diseases and body organ damage also they will increase risk of cardiovascular disease in adulthood. Therefore, prevention of obesity will help to limit the disease burden due to hypertension (Lande et al., 2006, Must et al., 1992). In several studies conducted in Western countries, prevalence of high blood pressure among children ranged from 7 to 19% (Sorof et al., 2004, Paradis et al., 2004). However, few studies have been conducted in adolescence at developing countries (Mehdad et al., 2013, Abdulle et al., 2014, Abolfotouh et al., 2011). Fat accumulation especially in abdominal region: More than one third of obese children remained obese at adulthood (Serdula et al., 1993). A study showed that 77% of obese adults was related to overweight in childhood (Freedman et al., 2001). Another longitudinal study pointed that only1.6% of adolescents’ in the transition to young adulthood shifted from obese to non-obese, while 9.4% remained obese (Gordon-Larsen et al., 2004). Presence of abdominal fat was observed among non-obese children (Goran et al., 1995) and adolescents (Fox et al., 1993, De Ridder et al., 1992). In the topic of obesity, especially the android type of obesity , an observation of high mortality rate was recorded among the Danish population in a study with 27178 men and 29875 women. Mortality rate was 10% higher among 136 men than 130 women who were having increased waist circumferences. A similar observation was detected among smokers, overweight or obese participants (Bigaard et al., 2005). A study was in Morocco on 167 adolescents aged from 11- 17 years (123 girls and 44 boys) were, 42% overweight and/ or obese in addition to 58% were at normal weight. Significant relation between BMI and each of fat mass percent body fat in both genders. Waist circumferences could be predictor tool for fatness among adolescents (Neovius et al., 2004, Wang et al., 2007). In Kuwait, a study on adolescents 4,219 participants aged from 11 to 19, Boys who had waist circumference ≠¥ 90th percentile account 8- 30.3%, mean of waist circumference was higher in boys than it was in Kuwaiti girls. Also, increase in percentage of boys who had ≠¥ 90th percentile observed in boys unlike girls (Jackson et al., 2010). Peeters and colleagues (2003) detected a remarkable decrease in life expectancy by 7.1 and 5.7 years in nonsmoking males and females respectively at 40 years old. While, a lower life expectancy of 13.3-13.7 years identified in obese smoking females and males respectively (Peeters et al., 2003). Relation between smoking among adolescents and excessive fat in abdominal region young adults (men and women) has been investigated (Saarni et al., 2009). Intra-abdominal fat increases cardiovascular risks such as hypertension and dyslipidemia. Cardiovascular disease risks rise when accompanied with smoking which leads to modifications in the physiological functions of adipokines, endothelial, insulin and proatherogenic status (Ritchie and Connell, 2007). Other studies confirmed the association between abdominal obesity and smoking. Both abdominal fat and smoking were at tributed to the same risk factors, which were unhealthy dietary behavior (Wingard et al., 1982, Keski-Rahkonen et al., 2003), low education (Pierce, 1989, Green et al., 2007) and low physical inactivity (Aarnio et al., 2002, Escobedo et al., 1993), the etiology of this causal link remained unclear. The reason could be related to the change in glucocorticoid metabolism and psychosocial stress that has been caused mainly by smoking (Cohen et al., 2006, Lahiri et al., 2007, Rohleder and Kirschbaum, 2006) may be in charge with abdominal fat (Bjà ¶rntorp and Rosmond, 2000, Bjà ¶rntorp, 2001). Visceral tissue were more sensitive to lipolytic stimuli than other fatty tissue make fatty acid from triglycerides turnover increased in blood stream by portal vein, this led to, increasing hepatic fatty acid release make liver exposing to fatty acid also increased hepatic gluconeogenesis and secretion of LDLs moreover to inhibit hepatic role of insulin riddance to develop hyperinsulinemia and insulin resistance (Bjà ¶rntorp, 1992). Studies showed that ischemic heart disease, independent lipid level changes (Desprà ©s et al., 1996) and metabolic abnormalities were associated to patients with fasting hyperinsulinemia (Haffner et al., 1992). A hypothesis studied by Randle suggested a reduction in insulin resistance and glucose uptake because of reduce the need for glucose oxidation when fat oxidation increased (Randle et al., 1963). Dietary effects on visceral fat, a study on white non-obese men, explains visceral and subcutaneous fat and dietary effect. Fat intake explained only 1.4% of the variance in subcutaneous fat and no variance in visceral fat. On the other hand, 2% of the variance appear in total adiposity, which make dietary factors have a minor role in total adiposity and with no effect on visceral fat (Larson et al., 1996). In Bogalusa Heart Study, children and adolescents aged from 6-18 years demonstrate that high fat in truncal region associated with elevated LDL and VLDL cholesterol concentrations (Freedman, 1995). Total and visceral fat were inversely affected by dietary fibers intake; that effect was significantly observed among adolescent boys without a significant effect on girls in sample aged 14-18 years old in total participants of 559. Moreover, it linked between dietary fiber intake and inflammation markers include adiponectin and C-reactive protein (Parikh et al., 2012). Aerobic exercise among adolescents for 8 weeks had significant effect on decreasing total fat 700 g by (0.6 %); the majority of the lost fat was observed in abdominal region, but, no significant changes were noticed in subcutaneous fat to alteration in body compositions (Watts et al., 2004). Risk for elevated blood pressure and it’s relation to total and abdominal fat: Hypertension raised atherosclerotic cardiovascular disease outcomes by 2 to 3 folds. Moreover, Hypertension is the most influential accompaniment with cardiovascular disease that leads to death in a prospective longitudinal analysis (Kannel, 1996). In Bogalusa Heart Study, prevalence of adult patients with hypertension who were diagnosed clinically, they were significantly higher in those who had elevated blood pressure at childhood (Bao et al., 1995). In young boys, an increase in blood pressure from pubescence to 18 years was observed (Cornoni-Huntley et al., 1979). Relation between blood pressure and fat distribution had a marked variance upon sexual difference among adolescents. Boys had an elevated blood pressure associated to adiposity that was enhanced by visceral and peripheral fat, unlike girls where blood pressure was affected by peripheral adiposity but no significant effect by visceral adiposity (Pausova et al., 2012). Low averages at cognitive test scores were observed among 5077 children and adolescents from 6 to 16 years when systolic blood pressure were ≠¥90th percentile and diastolic ≠¥ 90th percentile (Lande et al., 2003). In adolescents, 9-17years old, cardiovascular risk factors associated with fat accumulation areas, which was analyzed by Dual-energy X-ray absorptiometry (DEXA) (Daniels et al., 1999). Android type of obesity and cardiovascular disease risk factors as blood pressure produced a powerful relation among African-American and Caucasian children (He et al., 2002). Abdominal fat distribution that was measured by DEXA and skinfold- thikness among 920 healthy children and adolescents (American, Asian, and Caucasian aged from 5 to 18 years) was predictor for blood pressure in boys but not in girls (He et al., 2002). Systolic and diastolic blood pressure relation to total fat and fat distribution by using DEXA on 127 adolescents aged from 9-17 years, systolic blood pressure have significant relation to total body fat and fat distribution but diastolic blood pressure was significant with total body fat but was not with fat distribution (Daniels et al., 1999). Evidence approved that truncal fat was associated to high cardiovascular risks such as hypertension compared with peripheral fat (Kannel et al., 1991, Sardinha et al., 2000). Adolescents with left ventricular hypertrophy were associated with high rate of essential hypertension; those who developed severe hypertrophy and abnormal left ventricular geometry were in high degree of the risk to cardiovascular disease and increase in morbidity rate (Daniels, 1999). Abdominal fat could be estimated by using waist circumferences as a better indicator for abdominal fat rather than waist to hip ratio among children and adolescent because waist to hip ratio reflected changes in fat amount less than bones and muscular changes when children and adolescent were growing (Kissebah and Krakower, 1994). Waist circumference had relevance to blood pressure adolescents of both sexes and showed, by a study applied on multivariate models instead of visceral fat, no association between blood pressure and visceral fat, which made waist circumference an inappropriate tool to evaluate visceral fat in adolescents (Pausova et al., 2012). Adults, who deposited fat viscerally, rather than elsewhere in the body, were at a higher risk for hypertension (Hayashi et al., 2003, Fox et al., 2007). This relationship was shown to be stronger in men than in women (Fox et al., 2007). Insulin absence, resistance and hyperinsulinemia were associated to obesity chiefly in abdominal region. insulin was responsible to elevated blood pressure due to obesity. One of the mechanisms to protect body from gaining weight, hypothesized by Landsberg, was activating the sympathetic nervous system when consuming high calories which lead to increasing thermogenesis (LANDSBERG, 1986). Mikhail and Tuck. 2000 observed an alteration in artery structure include thickness and artery flexibility in hemodynamic effects of insulin. Abdominal obesity related to increased plasma renin activity is the possible key to blood pressure elevation (Licata et al., 1994). Strong evidence showed that management of hypertension was related to obesity by block renin-angiotensin system (RAS), which was active in obese subjects (Sharma, 2004). In mice, adipocyte differentiation and growth effect by adipocyte-derived angiotensinogen which secreted into the bloodstream, redounding blood pool of angiotensin ogen (Massià ©ra et al., 2001). It was recently found that mice have greater angiotensinogen gene expression in visceral fat at variance with other fat tissue when it was on high fat diet to induce obesity (Rahmouni et al., 2004). Patients who accumulated fat, especially visceral fat, were associated with elevated plasma aldosterone (Goodfriend and Calhoun, 2004). Elevated blood pressure could be induced by aldosterone by effect on mineralocorticoid receptors situated on tissue as in brain, kidney and vasculature to make Aldosterone have a significant relation on obesity-hypertension (Rahmouni et al., 2005). Aldosterone relation to obesity-hypertension, explained by De Paula, showed blocking mineralocorticoid receptors with the specific antagonist eplerenone. A remarkable blood pressure increase was inhibited without development of weight on dogs even on the high fat fed ones (de Paula et al., 2004). Vasculature health preservation depended on endothelium status when nitric oxide was released which was characterized by antiatherogenic properties (Vita and Keaney, 2002). Exercise was one of interventions that could be applied to improve nitric oxide dilator function (Maiorana et al., 2000, Maiorana et al., 2001), considering cardio-protective factors. Normalizing in vascular function and alteration in body compositions by increasing muscular strength were results for exercise training to minimize cardiovascular disease in future. Detection and treatment of endothelial dysfunction for 19 obese subjects aged 14.3  ± 1.5 in early stages were known as primary strategy role to prevent to prevent adolescents who were susceptible from developing cardiovascular disease in adulthood (Watts et al., 2004).

The Changes of Canadian Children Since the 1800s Essay examples -- Ca

The Changes of Canadian Children Since the 1800's   The world has experienced many changes in past generations, to the present. One of the very most important changes in life had to be the changes of children. Historians have worked a great deal on children’s lives in the past. â€Å"While we try to teach our children all about life, our children teach us what life is all about.†- Author Unknown Children were strong and ambitious. They were the money makers of the family. This paper will argue how the mindset of a child has advanced in Canada, through the 1800s to the present era, in representing a different perspective of how a child evaluates the perception of how they approach life. Canada holds many histories of the past. The differences with children from to the past to the present are that children worked and produced a lot of labor, to keep the families from starving through the 1800s, present children rarely need to work. The educational system of the past has differed a great deal from the system they have created thought out the times that have developed. Children would use their imagination to create games and play, until the generation of television came into effect. Times have changed and children are one of the many. The social construction of childhood from the 1800s is a whole lot different from the construction of childhood from the 1970s. The agenda of chil dren have changed and adults are not concerned with children working because the standard of living in families has developed a whole new concept, for how families should live life.   Ã‚  Ã‚  Ã‚  Ã‚  The childhood of the past has changed through many eras of time. The labor work of children is not needed in a great deal no more. The 1800s was a time of labor for children. Families would have more children than now, because without a child many families could not survive. Children were needed to bring home money and feed the family. The girls were used to do the chores around the house, while the boys were used to do outside work, like cut wood. Children were influenced to do labor. They would not believe in an education, both rural and urban children. Through the industrialization children started working in family farms or in small workshops. Boys and girls would find work at mines or large factories. Children were seen as the important economic survivals to their families. By the 1890s, Canada ... ...om starving. The educational system of the past had differed a lot from the system they have created for the present. Children would use their imaginations, until the generation of television had came into effect. The children have experienced many changes. And childhood will always be a different story to tell for generations to come. Bibliography MLA Format Prochner, L. & Howe, N. (2000). Early Childhood Care and Education in Canada. Vancouver & Toronto: UBC Press. Sutherland, N. (1997). Growing Up: Childhood in English from the Great War to the Age of Television. Toronto: University of Toronto Press Incorporated. Sutherland, N. (1978). Children in English-Canadian Society. Toronto: University of Toronto Press Incorporated. Parr, J. (1982). Childhood and Family in Canadian History. Toronto: McClelland & Stewart Limited. Ashworth, M. (1993). Children of the Canadian Mosaic: A Brief History to 1950. Toronto: The Ontario Institute for Studies in Education. Parr, J. & Janovicek, N. (2003). Histories of Canadian Children and Youth. Canada: Oxford University Press. Ishwaran, K. (1979). Childhood and Adolescence in Canada. Canada: Mcgraw-Hill Ryerson Limited.

DBQ Atomic Bomb Essay

In August of 1945, the United States launched two atomic bombs on Japan; the first, in Hiroshima on August 6, and the second in Nagasaki a few days later. Despite the obvious diplomatic advantage to implementing one of the most intimidating weapons of that time, the United States’ tactics and goals behind dropping the atomic bombs were purely military oriented; the political benefit was merely an added bonus. The atomic bomb was necessary due to the Japanese’s refusal to surrender and the hundreds of thousands of lives at stake. Although there were attempts at peace, Japan showed no signs of agreement towards a peaceful and unconditional surrender. Japan’s reluctance to stop fighting could have left to months more of fighting and thousands of more deaths. The atomic bomb ensured an enormous display that could quickly end the war. As Cuhrchill proclaimed, â€Å"the end of the Japanese war no longer depended upon the pouring in of their armies for the final and perhaps protracted slaughter†¦ this nightmare picture [has] vanished†¦ in its place the vision of the end of the whole war in one or two violent shocks† (Doc E). Churchill summed up the gist of America’s reasoning for implementing the bombs. The United States did not have to depend on the slaughter of millions of people in bloody, messy fights, and , instead, â€Å"a speedy end to the Second World War† could be reached with one machine (Doc E). However, once the first bomb was dropped on Hiroshima, the Japanese continued to resist. It wasn’t until a second bomb was dropped that Japan surrendered with a simple stipulation that their emperor remain in his position. This alone proves the military necessity of the bombs. Despite the attack on Hiroshima, Japanese still wished to continue their war. If not for the second bomb, who know how many lives would have been lost. In Document B, General H. H. Arnold mentions that, even before the atomic bombs were dropped, Japan was already in a state of disarray and on the verge of collapse (Doc B). His argument was that Japan would not have lasted much longer and would not have been able to â€Å"carry on a large-scale war† (Doc B). However, despite this, the Japanese refused to surrender, and, though they may have been on the verge of a complete depletion of supplies and resources, there is no way to determine how long Japan could have or would have continued fighting. This could have meant months more of fighting and  Americans dying. As of July 1945, the Japanese army surmounted to over 5 million men (Doc A). Had the Japanese not surrendered- which they showed no inclination towards doing so u ntil after Nagasaki was bombed- Americans, and possibly the Soviets, would have been â€Å"faced with the enormous task of destroying an armed force of 5 million men† in unfamiliar terrain with 5 thousand suicide bombers overhead (Doc A). According to Henry Stimson, if the United States had continued with their original plans, – a combination of naval blockades and land invasions- the war could have lasted until â€Å"the latter part of 1946† (Doc A). The atomic bombs obviously affected diplomatic relations after implemented, but, despite the obvious benefits, the United State needed this advantage of nuclear weapons to win the war. Had the bombs not been implemented, Japan would not have surrender so quickly and peacefully, and hundreds of thousands of lives could have been lost in the fight for peace. Had the United States not come out with the bomb, Germany would have undoubtedly discovered it, and the results of Germany using the bomb would have been much more devastating than the results of America’s excursions. The bombs were definitely a military strategy to win the war and any diplomatic advantage was simply an added benefit that ensured future peace.

Domestic Contract on International Laws and Customs Essay

Addressing International Legal and Ethical Issues Simulation Summary In January 2007, CadMex developed a technique for the quick manufacture of some medical agent. Gentura also developed a technique called ProPrez, which is an anti-diabetic agent. Gentura is located in Candore, which is a dictatorship. CadMex decided to go into business with Gentura that would give them global marketing right to ProPez. The contract needs to have measures in place to protect CadMex interest concerning property rights and potential dispute. There are issues that are involved in resolving legal actions against a foreign business. One issue that is involved is the legal system. When dealing with a case, they may want to finish the case quickly rather than handling it with quality. Doing so may lead to evidence not being analyzed. Another issue may be the different laws between the two countries. Not having any written documents may also be another issue if contracts are done over the phone. Some practical considerations of taking legal action against a foreign business based in another country are whether they have patent law and trademark laws. Factors that could work against CadMex decision to grant sublicensing agreements would be the lack of patent rights and the fact that they did not go through the proper court process in Candore. When local customs and laws conflict with customs and laws of an organization, operating abroad the local law and customs should prevail because that is where the contract was based. The host country should have manufactures rights. For example if the United States and China goes into a contract in regards to Chinese traditional attire and there is a dispute, the Chinese should win because it is a part of their tradition and the United States assumed the risk. The issues in the simulation compares to the issues discussed in week one in terms of law, ethics, and different ways to dispute, as well as litigations. Companies should resolve domestic and international issues differently by honoring domestic and international laws and customs. Before entering into contracts both parties must agree to all the terms and ensure that the country’s legal system support those terms. Domestic contracts should be written and be on an individual basis. International contracts need to be translated if necessary and should include patent laws where possible. References Contemporary Business Law 1. (2011). Retrieved from https://ecampus.phoenix.edu//aapd/vendors/tata/UBAMSims/business_law1/intl_legal_etical/business_law1_intl_legal_ethical_frame.html Melvin, S. P. (2011). The legal environment of business: A managerial approach: Theory to practice. New York, NY: McGraw-Hill/Irwin.