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What is diabetes type 2? Diabetes type 2 occurs when the body produces too little insulin or is unable to use the insulin correctly. (Jen Grogan and Ruth Suter 2008 p. 2.1.13) Diabetes is a chronic disease where there are high levels of glucose in the blood as it cannot leave the bloodstream and cannot enter cells without the assistance of insulin. (Jen Grogan and Ruth Suter 2008 p. 2.1.9) What causes Diabetes type 2? Common risk factors for diabetes type 2 are being overweight, a lack of exercise, if someone has had gestational diabetes, having a family history of type 2 diabetes, high Cholestrol, high blood pressure, increasing age, having a diagnosis of polycystic ovary syndrome or metabolic syndrome, non-Caucasian ethnicity (Brind'Amour, K, 2012) and a diet which is high in fats, sugars and over processed foods. (Jen Grogan and Ruth Suter 2008 p. 2.1.13) Simple carbohydrates which break down quickly during digestion can cause a dangerously high level of glucose in the blood. Complex carbohydrates release glucose more steadily into the bloodstream and help prevent dangerously high levels of glucose in the blood. (Jen Grogan and Ruth Suter 2008 p. 2.1.13 – 2.1.13) What kind of a diet causes diabetes type 2? †¢ High-sugar foods such as sweets, biscuits, syrup, and soda which cause a remarkable spike in blood sugar levels and can also contribute to weight gain. both of these effects can worsen diabetes complications. †¢ Eating concentrated sugar such as raisins or other dried fruits may be a better option than snacking on cookies, but it'll still spike your blood sugar because during the dehydration process, fruits' natural sugars become very concentrated, causing an unhealthy elevation in blood sugar when they are quickly... ...0 IU daily supplement of vitamin D3. Vitamin B12 is found naturally only in animal foods so vegetarians must include three servings of B12 in their daily diet: fortified soy or rice beverage, nutritional yeast, fortified breakfast cereal or fortified soy or meat.( Beck, L, 2011) Conclusion A vegan diet is a low in sodium and that is high in fruits, vegetables, and low fat dairy products which can help manage blood pressure. A Vegan diet is low in Saturated fat and trans fat contribute to coronary heart disease and has a variety of monounsaturated and polyunsaturated fats that are relatively healthy for diabetics. A vegan diet is also high in whole grains and fibers which help maintain the blood glucose level thus a vegan diet is beneficial to diabetics although a vegan diet must be aided with multi vitamins etc to compensate for the lack of certain nutrients.

Patient Interview Essay

There are many components to consider a patient interview to be effective. During the workshop week in Toronto, I have learned those basic yet very essential components through the enactment presented. Firstly, it is really important to establish a good rapport when dealing with patients. A good rapport can create a relationship that is built on trust and commitment. Through this, patient can share private medical information without hesitations. An example of this was when the pharmacist greeted the patient and asked how can she be of help. She also showed empathy when she found out that the patient was in pain and told the patient she’d prepare the prescription right away. Listening is also an essential component. As a health care provider, listening gives the opportunity to know their needs and concerns. Acknowledging what the patient is really saying, maintaining eye contact, and recognizing and using body language are some of the things that I need to consider. If these are all effectively met, I think that this would help patients in becoming more involved with their medications/treatments, thus producing a positive patient outcomes. The probing or the way I ask question to patients also plays a vital role. It is important that I ask questions in a sincere way to obtain needed information or to just simply clarify something. Asking open-ended questions will help elicit relevant answers from the patient and not just â€Å"yes/no† answers. An example would be when she asked for allergies and asked for the specific kind of reaction that she had. Lastly, feedback is a must. Before ending the interview, asking for a feedback will allow me to check if the patient really understands what was taught. . An example of this was when she asked the patient how she would be taking the medication. This will help to reinforce adherence and make the patient to be involved in the treatment, reducing or eliminating chances of non-compliance. Patient interview is very important for a positive treatment outcome. It is not a simple process but I do hope that as I go along, I would be able to utilize all these components and achieve an effective patient interview.

Globalization: Indigenous Peoples and World

Globalization is the process in which the world becomes connected through communication, trade, and migration. Globalization can transform cultures and the identity of people within those cultures. One of the primary factors that leads to globalization in the advancement of technology In 1980 Dr. Knauft began to study an indigenous group of people deep in the forests of Papua New Guinea. This group of people had no contact with the outside world until the 1960’s, they were cut off from everything. They had a language and a name that was unknown to Anthropologists at the time. They were virtually invisible to the outside world. When Dr. Knauft arrived he met the Gebusi people, and began his study. He watched as they preformed ritual dances and wore traditional costumes. The Gebusi people lived their lives according to tradition and beliefs and were not affected by the outside world. The truth is no one can hide from globalization, not even the secluded Gebusi people. With in a matter of only 18 years they were transformed, most of them willingly converted to Christian beliefs, and they became focused on politics, economics, religion and nationalism. They were caught up to speed with the rest of the world due to globalization. The culture of the Gebusi people and their identity was drastically changed due to globalization. They were now on the same page as the rest of the world, and were now connected with the outside world. Trade organized groups such as NAFTA and the WTO make globalization easier to obtain for the smaller â€Å"developing† countries. For the countries that are a part of these groups goods, and ideas are much easier to share. With groups such as these and other factors globalization is inevitable so there is no sense in fighting it. If it were embraced rather then rejected everyone would be much better off. I understand that it can interfere with older cultures and traditions of developing countries, but it’s eat or be eaten in today’s world and you need to do what you need to do in order to compete with other countries and to survive within your own. Globalization exposes who ever it effects to a variety of new and different opportunities that must be taken in order for that group to survive. It can be compared to having to evolve, or becoming extinct. A lot of people see globalization as a bad thing, but its essential for survival in today’s world, and with out it we would be totally secluded from the rest of the world and that would just make everything extremely hard. It also helps keep the world balanced with power. Without globalization one country, or one group of people could easily be way ahead of others, and that could lead to wars and many other conflicts. The positives of globalization strongly out weigh the negatives and I’m not sure why anybody would be against it.

buy custom The Mexican American Generation essay

buy custom The Mexican American Generation essay During the Second World War, there were about 500,000 Mexican American men who were drafted into or who volunteered to serve in the American army. The Mexican Americans who served in the American army won the highest number of Congressional Medal of Honors that any minority group in America had ever won. This showed the dedication with which the Mexican Americans served the American Army. The Mexican American women also worked in the home front and they supported the war effort and at the same time made money for themselves and their families (Rivas-Rodriguez 32). Many Mexican Americans also found jobs in factories in the US through the Bracero program. This helped sustain the American economy during the war. The memory of Mexican Americans who served in the war was preserved as their names were written on ships and in parks, among other places. There were however different kinds of discrimination against the Mexican American veterans, including discrimination in housing, employment and education. The Mexican Americans however had several reasons why they supported the American Army during the War, one of them being that they wanted to prove their patriotism. Mexican Americans and the Second World WarMexican Americans participated in the home front and in the military front during the Second World War. In this way they contributed to the victory of the US in the Second World War. Bellafaire explains that during the War several Mexican American Women joined the Women Accepted for Volunteer Emergency Services (WAVES) and the Womens Auxiliary Corps (WAACs). In these organizations the women served as nurses and administrators, mostly helping wounded American soldiers. The women also worked in factories where war ammunitions were manufactured. They also worked in shipyards where they repaired cargo ships. Some women even worked as airplane mechanics. There were also Mexican American entertainers who entertained the troops in order to boost their morale. Mexican Americans also migrated to urban areas such as California in order to do more war related jobs. There were also about 200,000 Mexican Americans who came into America through the Bracero s program (Gamboa 378). This program was negotiated between the US and Mexican governments, in the Bracero Treaty and it saw thousands of Mexicans immigrate to America in search of greener pastures. The Mexicans who came in through the program mainly worked in the agricultural sector. This meant that America still had food despite the war. In the different military units there were approximately 500,000 Mexican Americans who were serving therein. Hundreds of these soldiers won Congressional Medals of Honor and Silver and Bronze Stars for their braveness. Those Mexican Americans who could not afford to reach recruiting stations to enlist to join the army, borrowed money from their families and travelled all the way to the nearest cities in order to enlist. Thousands enlisted in cities such as Chicago, Detroit and Milwaukee, and most young Mexican Americans from the Midwest served in the army. The young Mexican American men influenced each other to join the Army, Marines and Navy thus increasing the number of troops. It is stipulated that some young men lied about their age in order to be able to serve in the military. Many of the Mexican Americans who served in the American army identified themselves as defenders of democratic organization. There are several reasons why the Mexican Americans helped the US win the Second World War. First of all many of those who had immigrated into the country wanted to prove that they were patriotic to America. They also wanted to be afforded civil rights just like the whites. The Mexican Americans also wanted to acquire voting rights, new homes, better employment and education. This is because as the Mexicans wer migrating into America they were not recognized as equals to the whites in the country. They were paid low wages and worked under extremely dire conditions. By fighting in the war, the Mexican Americans wanted to show that they did deserve to be called Americans and furthermore that they had earned the right. Most Mexican Americans wanted to enjoy the American dream, seeing as conditions in Mexico were not as conducive as they were in America. After the bombing of Pearl Harbor the Mexican government also sympathized with America and gave them support. This saw many Mexican Ame ricans also support the American army. The Mexican Americans had a lot to gain from the victory of the United States. They mostly depended on the economy of the US with most Mexican Americans working in America. They therefore saw that it was necessary to assist in the victory by enlisting and volunteering to join the army. Mexican American veterans and youth unfortunately faced racial discrimination during the Second World War. The discrimination was from the employers and also the locals. The most memorable form of discrimination against Mexican Americans was seen in the Zoot-Suit Riots of Los Angeles. The term Zoot-Suit came from the clothing that was worn by most Mexican Americans in the 40s. The Zoot-Suit Riots began when a dispute arose between some Caucasian sailors and a group of Mexican Americans and the Mexican Americans set upon the whites. This sparked a spree of attacks on Mexican Americans. For a period of several days soldiers, civilians and sailors set upon Mexican Americans beating them up, stripping their clothes and shaving their heads. It was reported that the police did not arrest the situation; instead of arresting the attackers, they arrested the Mexican Americans who had been beaten up. The military eventually intercepted the violence and one newspaper, The Eagle Rock Advertiser, was reported to bemoan the interference of the military, stating that the locals were enjoying teaching the Mexicans a lesson (McWilliams 169). During the migration of the Mexicans during the Bracero program many Mexican Americans moved to America and were engaged in among other things building of the railroad. The Mexican Americans who worked on the railroad were living in squalor in box car camps and they were segregated from the rest of the population. The Mexican Americans were also not able to access quality healthcare, legal aid, education or housing. Mexican American soldiers who were returning from abroad were denied equal opportunities in education, housing and voting rights. The Mexican Americans who did not speak English also had a problem since there were no translators. Another problem was that Mexican Americans were only given temporary contracts to work in America. The Mexican Americans were expected to go back to their homes in Mexico at the end of their contracts. The American army was also segregated and most Mexican Americans veterans recounted their experiences stating that they were treated harshly by the drill instructors. When the Mexican American soldiers returned from war they faced worse discrimination than they had previously experienced before they left. Lopez (12) explains that Mexican Americans workers were only paid 2 dollars per day while their white counterparts were paid up to 18 dollars. In some areas in Texas, eating places were marked with signs that emphasized that no Mexicans were allowed in. The famous case of Felix Longoria demonstrated the unfortunate discrimination that Mexican American veterans underwent (Guglielmo 1212). Felix Longoria was a Mexican American who fought in the Philippines. When he was killed there, his remains were brought back to Texas. The director of the funeral home in Texas refused for Longorias mass to be held in the chapel as he alleged that there had been previous disturbances by Mexican Amer icans. He was also rreported to have claimed that the whites in the neighborhood would not like it if the funeral mass for Private Felix Longoria was held in the chapel. This case caught the attention of then Senator Lyndon B. Johnson, who later became US President. The Texas House of Representatives also organized a committee to look into the Longoria case. The report from the Committee however concluded that there was no discrimination on the part of the funeral director. This was clearly a misjudgment as discrimination had clearly been manifested. It was also noted that there was segregation at the Three Rivers Cemetery in Texas such that the place where Mexican Americans were buried was fenced with barbed wire. Between 1940 and 1965 acts of anti Mexican discrimination were widespread. This is because the Mexicans began fighting for their civil rights. The Mexicans believed that they had earned the right to be in America through their hard work during the Second World War. Most Mexican Americans had also proved their loyalty and most people began to notice this especially in the southwest. This was shown by the Congressional Medal of Honors that had been awarded to the Mexican American veterans who had served in the Second World War. The efforts of the veterans were recognized and it was noted that the Mexican Americans ought to be embraced instead of being discriminated against. The GI Forum civil rights organization also contributed to more acts against Mexican discrimination in the southwest. This is because this organization advocated for civil rights of Mexican Americans. The organization was established in Texas where there was a majority of immigrants who had settled there. The GI Forum was initially formed to demand for medical services for the Mexican American veterans, but it later spread to demanding for voting rights, education and jury selection (Guglielmo 1213). The GI Forum first campaigned against the discrimination that was expressed towards Felix Longoria. In 1954, the court ruled in Hernandez v Texas that Mexican Americans were entitled to equal treatment under the 14th Amendment of the US Constitution. By the 1940s enough Mexican Americans had fought in the Second World War and there was more awareness of their patriotism in the military and hard work in the home front. By the late 50s and 60s there were civil rights movements all across t he globe. Minority groups were demanding for equal treatment. The black civil rights movement headed by revolutionary figures such Malcolm X and Dr. Martin Luther King saw the passing of the Civil Rights Act of 1964 and the Voting Rights Act of 1965. These pieces of legislation also applied to Mexican Americans. After World War II was over, most Mexicans who had settled in most parts of the southwest more so Texas decided to settle permanently in America. This saw a huge population of Mexican Americans in the southwest. The Mexican Americans rallied and demanded for their rights and this is why there were acts of anti Mexican discrimination in the area. The Mexican Americans played a huge role in the American army during the Second World War. They sacrificed time with their families and came out in large numbers to serve the country in the war. They did this in the home front as well as in the military. The women and men of Mexican ethnicity dedicated their lives to serving the United States in order to prove their loyalty. The Mexican American also faced acute discrimination during the War. They were segregated from most of the social facilities afforded to the whites such as education, housing, legal aid and employment among others. As the number of Mexican Americans increased in the southwest they began demanding for more rights especially through the GI Forum. Discrimination against Mexican Americans then reduced considerably as there was more representation of Mexican Americans in government. Buy custom The Mexican American Generation essay

PENN Surname Meaning and Origin

PENN Surname Meaning and Origin The Penn surname has several possible meanings: a topographical  name for someone who lived near a fold or hill. From the Breton/Old English word penn, meaning hill and pen, fold.a habitational name from various places called Penn, such as Penn in Buckinghamshire and Staffordshire, England.an  occupational name for an impounder of stray animals, from the Old English penn, meaning (sheep) pen.as a German surname, Penn may have originated as a nickname for a short, stocky person, from  pien, meaning tree stump. Surname Origin: English, German Alternate Surname Spellings: PENNE, PEN Where in the World the Penn Surname Is Found While it originated in England, the Penn surname is now most prevalent in the United States, according to surname distribution data from Forebears, but most common in the British Virgin Islands, where it is the 3rd most popular surname. Around the turn of the 20th century, the Penn surname in Britain was most common, based on the percentage of the population with the surname, in Northamptonshire, England, followed by Hertfordshire, Worcestershire, Buckinghamshire, and Oxfordshire. WorldNames PublicProfiler, on the other hand, indicates the Penn surname is most frequent in the United Kingdom, especially in southern England, plus Cumbria in the north and Stirling in Scotland. It is also common in the Eferding district of Austria, especially in Freistadt and Urfahr-Umgebung. Famous People with the Last Name Penn William Penn - an  English Quaker is best known for founding the colony of Pennsylvania as a place for religious freedom in AmericaSean Penn - Academy-award winning American actorKal Penn - American film and television actor, who has also served several roles in the Obama administrationArthur Horace Penn  - member of the British royal householdHarry Penn - African-American civil rights activist and dentistRobert Penn -  African-American sailor, recipient of the Medal of Honor during the Spanish–American War Genealogy Resources for the Surname Penn The Family of William Penn, Founder of Pennsylvania, Ancestry and Descendants: A digitized copy of a book on the ancestors and descendants of Sir William Penn, published by Howard M. Jenkins in Philadelphia, Pennsylvania in  1899. Free on Internet Archive.Penn Family Genealogy: A website tracing the descendants of  John Penne,  born in 1500 in Minety, Gloucestershire, England.Penn Family Crest - Its Not What You Think: Contrary to what you may hear, there is no such thing as a Penn  family crest or coat of arms for the Penn surname.  Coats of arms are granted to individuals, not families, and may rightfully be used only by the uninterrupted male-line descendants of the person to whom the coat of arms was originally granted.FamilySearch - PENN Genealogy: Explore over 500,000 historical records and lineage-linked family trees posted for the Penn  surname and its variations on the free FamilySearch website, hosted by the Church of Jesus Christ of Latter-day Saints.PENN Surna me Family Mailing Lists: RootsWeb hosts several free mailing lists for researchers of the Penn surname. DistantCousin.com - PENN  Genealogy Family History: Explore free databases and genealogy links for the last name Penn.PENN Genealogy Forum: Search the archives for posts about Penn ancestors, or post your own Penn query.The Penn  Genealogy and Family Tree Page: Browse genealogy records and links to genealogical and historical records for individuals with the popular last name Penn from the website of Genealogy Today. References Cottle, Basil.  Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967.Dorward, David.  Scottish Surnames. Collins Celtic (Pocket edition), 1998.Fucilla, Joseph.  Our Italian Surnames. Genealogical Publishing Company, 2003.Hanks, Patrick, and Flavia Hodges.  A Dictionary of Surnames. Oxford University Press, 1989.Hanks, Patrick.  Dictionary of American Family Names. Oxford University Press, 2003.Reaney, P.H.  A Dictionary of English Surnames. Oxford University Press, 1997.Smith, Elsdon C.  American Surnames. Genealogical Publishing Company, 1997.

Strategic Marketing Management of Wal-Mart Case Study

Strategic Marketing Management of Wal-Mart - Case Study Example As a result, it's British subsidiary ASDA, which already was proficient in the Britain, has made a successful business in U.K. Presently, the ASDA-Wal-Mart supercenters stand at the second level in the supermarket chain of U.K. It covers a huge market share of 17% in the U.K. After the takeover by Wal-Mart in 1999, the retail company has flourished by leaps and bounds. In 2004, ASDA operated a large number of stores in Scotland and employed a number of employees. The total number of store operated by ASDA in 2004 was 259 and the employee strength was 122000 (ASDA/WAL-MART: A Corporate Profile, 2004). The key to ASDA-Wal-Mart's colossal success is its strategic marketing management policies. The company has implemented some highly calculated and effective marketing strategies. It has always made an effort to render the best product to the customers in terms of quality and price. Simultaneously, it has imparted a feeling of associate partners to all its employees. Strategic marketing is a complex management technique for the identification of proper marketing opportunities. It aims to offer better values to the most profitable areas of the business without harming customer interests. The core marketing concepts are concerned with customer needs, customer-client relationship and supply of quality products at affordable prices. This includes a sophisticated market research that rests on customer feedback. A company is directed to build a competitive-edge for long-term activities with the application of various management techniques. The objective of strategic marketing management concerns with a wide array of activities. It involves an aggressive approach to capture the market share rapidly. While performing such kind of marketing management activity, a company needs to focus on the product diversity, the various geographical regions in which it is operating, the role of branding, the marketing channels it is using and the product quality it is offering. All such areas of marketing are required to improve for strategic marketing management. A giant retailer like Wal-Mart will need to re-focus all these issues to find the drawbacks and improve its service by correcting them (Strategic Marketing Management, 2009). The domain of strategic marketing management is vast and it includes internal as well as external analysis of the company. This report focuses only on the external analysis of the company. There are various models that have been put forward to express the external analysis of a company. Porter's five forces model is the most popular among them. The task of strategic analysis involves a high level of expertise and experience. The analysts must possess both the qualities to conduct a strategic analysis with ease. When an analyst uses Porter's five forces model, the planning process consists of a chain of steps. The

Multiculturalism in canada Essay Example | Topics and Well Written Essays - 1000 words

Multiculturalism in canada - Essay Example According to Bertrand, this commission was formed with the aim of investigating the existence of different cultures and ethnic groups in the country, and to devise recommendations on how the government can incorporate all of them in all walks of life in the country. The commission was also to take into account the cultural enrichment that the other ethnic groups provided in the country and find measures that could be taken to safeguard that contribution (Bertrand, par 3). Although it seems as though multiculturalism is a phenomenon that confers some advantage to a country, this essay outlines some of the damaging effects it expedites. It would be worthwhile to investigate how multiculturalism in Canada has promoted the creation of "segregated racial and ethno-cultural enclaves within local communities," (Garcea), leading to a country where the people are divided into numerous ethnic groups with different cultural backgrounds instead of uniting them. Garcea continues in this article t hat though the government tries hard to concentrate "immigrants with similar racial or ethno-cultural backgrounds," into the same location, multiculturalism "promotes and supports the creation of ethno-specific secular and religious institutions to serve the needs of each major ethno-cultural community." Clearly, immigrants to Canada do not automatically adopt the same national identity that the locals share, but they retain their own sense of identity and culture that they bring along from their own native country. Banting and Kymlicka have found that multiculturalism actually leads to feelings of alienation among the immigrants, and they quote that " racial minorities are less confident they fully belong," (Banting and Kymlicka, 54). Multiculturalism has also been blamed for resulting in discrimination and racism. Banting and Kymlicka claim that these minorities are " clearly are victims of racism," (Banting and Kymlicka, 64), and that they are more likely to be discriminated upon and face racist situations in the country. Banting and Kymlicka also state that " in comparison with white immigrants, minority immigrants have a greater sense of discrimination and vulnerability," (Banting and Kymlicka, 55). Additionally, "multiculturalism fosters competition and inequality between ethno-cultural groups," and also, "after some period of struggle a very clear group hierarchy will emerge and thereafter life chances will again be a direct consequence of ethnic background," (Garcea). He further states in his article that "this inequality results from the political dynamics between the relationships of the leadership of ethno-cultural groups and some political parties whereby the former seek political status and financial resources to advance the group's and personal interests, and the latter seek various forms of support to win elections," (Garcea). Clearly, multiculturalism does not lead to the creation of an equal and egalitarian society where everyone has the same chances of success in life regardless of their ethnicity; it instead promotes the creation of a hierarchal system, based on one's ethnicity. Multiculturalism has also led to the creation of conflicts between the different ethno-cultural gr