Relationship Between Gender and Health

Relationship Between Gender and Health Sex, Gender and Health Introduction One of the main objectives of the National Health Service set out in the 1940’s was â€Å"To ensure that everybody in the country-irrespective of means, age, sex, or occupation-shall have equal opportunity to benefit from the best and most up to date medical and allied services available (Ministry of Health, 1944). Although the words equity and equality do not feature in documents from the early days of the NHS, there are many reasons to conclude that the service was intended to provide equal access or actual treatment for those in equal need (Delamothe, 2008). This concept had been refined since then, and an equitable health service is understood to mean â€Å"one where individuals’ access to and utilisation of the service depends on their health status alone.† (Dixon et al., 2003). There are many explanations for factors attributable to differences in the equity of care, such as income, income inequality, social connectedness, and social capital, which have al l shown some association with health and illness (Berkman Syme, 1979; Fiscella Franks, 1997; Kawachi et al., 1997; Lomas, 1998; Naidoo Wills, 2000). This paper shall examine the meaning of gender as another of these determinants of health. The differences between the terms sex and gender shall first be discussed. Secondly pathways through which gender effects health shall be examined, paying particular attention to risk behaviours, gender roles, and gender discrimination. Finally, the differential exposure and differential vulnerability hypotheses shall be discussed. Sex and Gender Raymond Williams argued that vocabulary involves not only ‘the available and developing meaning of known words’ but also ‘particular formations of meaning-ways not only of discussing but at another level seeing many of our central experiences’ (Williams, 1983 p15). Language in this sense embodies ‘important social and historical processes’ in which new terms are introduced or old terms take on a new meaning. Often ‘earlier and later senses coexist, or become actual alternatives in which problems of contemporary belief and affiliation are contested’ (Williams, 1983 p22). The introduction of ‘gender’ in English in the 1970s as an alternative to ‘sex’ was to counter the implicit and explicit biological determinism pervading scientific lay language (Krieger, 2003). Sociologists describe sex as the relatively unchanging biology of being male or female, while gender refers to the roles and expectations attributed to men and women in a given society, roles which change over time, place and life stage (Phillips, 2005). Genetic profile and hormone profile are both examples of sex, a constant set of biological characteristics that remain the same across societies, whereas expectations about the imperative to bear children, the nature of parenting, or the status of being a mother are more to do with gender roles and expectations. Gender has an impact on health in a variety of ways. Gender inequalities in health While women generally experience poorer health than men, the pattern of gender differences in health is varied (Arber Cooper, 1999). Women have lower rates of mortality but, paradoxically, report higher levels of depression, psychiatric disorders, distress and a variety of other chronic illnesses than men ( McDonough Walters, 2001). The direction and magnitude of gender differences in health vary according to the symptom/condition and phase of life cycle (Denton et al., 2004). Female excess is found consistently across the lifespan for distress, but is far less apparent, even reversed, for a number of other physical conditions and symptoms (Matthews et al., 1999). Gender inequalities in income and wealth make women especially vulnerable to poverty. In some parts of the world this makes it difficult for them to acquire the necessities for health, especially during the reproductive years when family needs are greatest (Doyal, 2001). Social norms about the diversions of responsibility mean that many women have very heavy burdens of work, especially those who combine employment with domestic duties, pregnancy and child rearing (Naidoo Wills, 2001). Often, women in the house receive very little support and many are abused by their family members. It has been estimated that 19% of the total disease burden carried by women aged 15-44 in developed countries is the result of domestic violence and rape (World Bank, 1993). Further to this, anxiety and depression are reported more in women than in men in most parts of the world, yet there is no evidence that women are constitutionally more susceptible to such illness (Doyal, 2001). In Africa, powerlessne ss and lack of control underlie much of the exposure to HIV/AIDS amongst the female population. Disproportionate barriers (relative to men) in access to resources such as food, education and medical care disadvantage women in much of the developing world. In males risk taking behaviour is the norm amongst males in the developing world. Risk taking behaviour and its effects on male health There are now many links on the interaction between masculinity and health emerging (Schoefield et al, 2000). The development and maintenance of a heterosexual male identity usually requires the taking of risks that are seriously hazardous to health (Doyal, 2001). One of the most obvious examples of this regards the working environment. In many societies it is traditional for the man to assume the role of the provider, thus putting males at risk of dying prematurely from occupational accidents (Waldron, 1995), and although there are more women in the labour force, men from the poorest communities still do the most dangerous jobs. Further to the risks of the workplace, men often feel compelled to engage in risky behaviour to â€Å"prove their masculinity†, thus they are more likely than women to die in a car crash or dangerous sporting activities (Canaan, 1996). Men are also more likely than women to drink to excess and smoke, which increases ones physiological predisposition to early heart disease and other related problems (Doyal, 2001). They are also more likely than women to desire unsafe sex. A study in Ontario, Canada examined the causes of male deaths between birth and age 45. There reported 1,812 male deaths, of which 1,372 (76%) are due to motor vehicle accidents, suicide, and AIDS, leaving 440 deaths unrelated to behaviour. Although the male excess of deaths from car accidents may, in part be attributable to greater distances driven and not behaviour while driving, the male relationship with the automobile is almost certainly another aspect of gender roles. Only 308 (33%) of the 936 female dea ths are explained by such behaviour. When non-risk taking causes of death are isolated from the data, women under age 45 have a mortality which is 1.43 times that of mens. Over age 45 the leading causes of death for both men and women are chronic diseases. Men die of heart disease in equal numbers but at a younger age than do women. With increasing age the number of deaths for women creeps upward to equal that of men (Phillips, 2005). Differential exposure and differential vulnerability hypotheses Since gender is a measure of both biological and social differences, it is likely that the health inequalities between men and women reflect both sex-related biological and social factors, and the interactions between them (Denton et al., 2004). There are two general hypotheses that account for these gender based inequalities in health. The differential exposure hypothesis suggests that women report higher levels of health problems because of their reduced access to the material and social conditions of life that foster health (Arber Cooper, 1999), and from greater stress associated with their gender and marital roles. Many studies have shown that women occupy different structural locations than men: they are less likely to be employed, work in different occupations, and are more likely to be on lower incomes, and to do domestic labour and to be a single parent than men (Denton Walters, 1999). There are also gender differences in exposure to lifestyle behaviours, such as those prev iously mentioned (that men are more likely to smoke, consume alcohol) as well as having an unbalanced diet and being overweight, while women are more likely than men to be physically inactive (Denton Walters, 1999). De Vries and Watt (1996) also suggest that women report higher levels of health problems because they are exposed to a higher level of demands and obligations in their social roles, as well as experiencing more stressful life events. Women also have lower levels of both perceived control and self esteem than men (Turner Roszell, 1994), though women report higher levels of social support (Umberson et al., 1996). The differential vulnerability hypothesis on the other hand suggests that women report higher levels of health problems because they react differently than men to the material, behavioural and psychosocial conditions that moderate health (Denton et al., 2004). Multivariate analyses have shown that men and women differ in vulnerability to some, but not all, of the social determinants of health (Denton et al., 2004). That is, the moderating effect of gender is determinant specific. Having a high income, working full time, caring for a family, and having good social support have been shown to be more importance predictors for predicating health in women than men (Prus Gee, 2003). Smoking and alcohol consumption are more important as discussed previously, are more important determinants of health for men than women, while body weight and being physically inactive are more important for women (Denton Walters, 1999). Furthermore, the effects of stress may be experienced and personified b y men and women in a variety of different ways. The literature appears to show that women react more to ongoing strains than men do, and are more likely to report and react to stressors experienced by others (Turner Avison, 1987), while men are more likely to mention and react to economic stressors (Wheaton, 1990). Zuzenak Mannell (1998) argues that women have a greater vulnerability to the effects of chronic stressors on health due to the greater stress associated with their family and marital roles. Denton et al., (2004) used multiple indicators of health and its social structural, behavioural, and psychological determinants to gain a comprehensive understanding of the role that social factors play in determining health. They report that women’s poorer health is partly due to the reduced access, on average, to the material and social conditions of life that foster health, to their differential exposure to stressful life events and to everyday stressors associated with a women’s social roles. Men’s health also seems to be reduced by their greater likelihood to partake in risk taking behaviours such as smoking and excessive drinking. These, as well as physical activity are more important to men’s health. Conclusion Gender is a social construct, and sex is a biological construct. They are each distinct, and are not interchangeable terms. The use of the term gender facilitates discussion of the effects of social norms and expectations on the health of both males and females. It is clear that gender has many effects upon health and well being, and that this is a complex issue, with behavioural and psychosocial determinants of health growing out of the social context of peoples lives. This paper has discussed the social and structural context of peoples lives for health benefits – clearly a strong and well studies theme in the literature (Denton Walters, 1999; Denton et al., 2004). It seems that behavioural determinants play less of a role in predicting health, yet there effects also tend to be mediated by social structure (e.g. those with a low income are more likely to smoke, drink excessively, and be overweight and inactive. These factors can then, collectively, lead to chronic health pr oblems later on in life. It also seems reasonable to conclude that men and women suffer from different types of stressor. They also both cope in different ways. For example, the exposure hypothesis proposes that gender-based health inequalities are the result of the differing social location between men and women. There different life style behaviour’s and the differing number of chronic stressors and life experienced by men and women. The vulnerability hypothesis proposes that women’s health differs from men’s because they also react in different ways to factors that determine health. It seems then, that although there are many other sociological factors that can have an impact on health, there are many gender differences to account for also, making this a very complex issue. References Arber, S., Cooper, H. (1999). Gender differences in health in later life: the new paradox? Social Science and Medicine , 66 (6), 61-76. Bank, W. (1993). World development report 1993: investing in health. New York: Oxford University Press. Berkman, L., Syme, S. (1979). Social networks, host resitance and mortality: a nine year follow up study of Alameda County residents. American Journal of Epidermology , 109, 186-203. Delamothe, T. (2008). Universality, equity and quality of care. British Medical Journal , 336, 1278-1282. Denton, M., Walters, V. (1999). Gender differences in structural and behavioural determinants of health: an analysis of the social production of health. Social Science Medicine , 48, 1221-1225. Denton, M., Prus, S., Walters, V. (2004). Gender differences in health: a Canadian study of the psychosocial, structrual, and behavioural determinants of health. Social Science and Medicine , 58, 2585-2600. De-Vries, B., Watt, D. (1996). A lifetime of events: Age and gender variations in the life story. International Journal of Aging and Human Development , 42 (2), 81-102. Dixon, A., Le Grand, J., Henderson, J., Murray, R., Poteliankoff, E. (2003). Is the NHS equitable? A review of the evidence . Londone: London School of Economics. Doyal, L. (2001). Sex. gender, and health: the need for a new approach. British Medical Journal , 323, 1061-1065. Fiscella, K., Franks, P. (1997). Poverty or income inequality as a predictor of mortality: Longtitudinal cohort study. British Medical Journal , 314, 1724-1728. Kawachi, I., Kennedy, B., Lochner, K., Prothrow-Smith, D. (1997). Social capital and health: Implications for public health and epidemiology. Social Science and Medicine , 87, 1491-1498. Lomas, J. (1998). Social capital and health: implications for public health and epidermology. Social Science and Medicine , 47, 1181-1188. Naidoo, J., Wills, J. (2000). Health Promotion-Foundations for Practice. London: BailliereTindall. Phillips, S. (2005). Defining and measuring gender: A social determinant of health whose time has come. International Journal for Equity in Health , 4 (11), 1-4. Prus, S., Gee, E. (2003). Gender differences in the influence of economic, lifestyle and psyhco-social factors on later life health. Canadian Journal of Public Health , 94 (3), 94-102. Schoefield, T., Connell, R., Walker, I., Wood, J., Butland, D. (2000). Understanding mens health and illness: a gender relations approach to policy, reseacrh and practise. Journal of the Amercian Colege of Health , 48, 247-258. Scotland, M. o. (1944). A national health service. London: HMSO. Turner, J., Avison, W. (1987). gender and depression: Assessing exposure to life events in a chronically strained population. Journal of Neurons and Mental Disease , 77 (8), 443-455. Turner, J., Roszell, P. (1994). Psychosocial resources and the stree process. In W. Avison, I. Gotlib, Stress and mental health: Contemporary issues and prospects for the future. New York: Platinum Press. Umberson, D., Chen, M., House, J., Hopkins, K., Slaten, E. (1996). The effect of social relationships on psychological well-being. Are men and women really no different? Sociological Review , 61, 837-857. Waldron, I. (1995). Contributions of changing gender differentials in behaviour to changing gender differentials in mortalitly. In D. Sabo, G. Gordon, Mens health and illness: gender, power, and the body. London: Sage Publications. Wheaton, B. (1990). Life transitions, role histories, and mental health. American Sociological Review , 55, 209-223. Williams, R. (1983). A vocabulary of culture and society. Revised edition. New York: Oxford University Press. Zuzanek, J., Mannell, R. (1998). Life-cycle squeeze, time, pressure, daily stress, and leisure participation: A Canadian perspective. Society and Leisure , 21 (2), 513-544. 1

Mrs.Daas

Interpreter of Maladies Good Evening, My name is Trisha Hariramani. A student of The Cathedral Vidya School Lonavala Batch IBDP1 doing my English SL in the A1 course shall be presenting my individual oral presentation on the Character of Mrs. Das in the short story of The Interpreter of Maladies. The collection of stories deals with the everyday lives of Indians abroad (mostly Bengali immigrants), as they go out into the New World with their Indian Diasporas at hand. Jhumpa Lahiri tells us tales of complicated marital relationship, infidelity and the powers of survival.Her short stories, Interpreter of maladies, the blessed house, Mrs. sen, and the treatment of Bibi haldar, are exclusively about women perceived through the eyes of a third person. Each of these female characters has the common motif of exclusion and to a certain extent the pursuit for fulfilment. I am going to be solely focusing on Mrs Das’s character, her traits and personality. In this story of cultural shock , the opening sentences which describes a bitter quarrel between Mrs.Das and her husband over who would take their daughter, Tina, to the bathroom, convey to the reader that not only does she have constrained marriage but also that her children are an obligation to her. Jhumpa Lahiri expands on this initial impression of disgust and depicts Mrs. Das to be self engrossed. She is portrayed to be indifferent to her surroundings. For instance when the men at the tea stall try and tease or entice her by singing Hindi love songs she doesn’t pay any mind at all. Her lack of understanding of the language reveals her cultural obliviousness. To add to this prevalent obliviousness the author describes Mrs.Das’s physical appearance and sense of clothing intently. By doing so she evokes Mrs. Das’s American background and upbringing. â€Å"Her hair was shorn a little longer than her husband’s† as opposed to the long black hair of a stereotypical Indian woman, th is indicates that she is modern and doesn’t have a traditional Indian mindset. Lahiri explicitly portrays the ignorance of Indians abroad towards their homeland as well as the negligence of their cultural values. Jhumpa Lahiri could probably relate or has observed this because she was born and raised outside of India.Instances such as the little boys’ amusement towards the picture of â€Å"the elephant god† commonly known as Ganpati, who is one of the deities best-known and widely worshipped in India depicts how unaccustomed the Das’s were to their Hindu faith. Another example is when Mr. Das inquires about his wife to Tina and refers to Mrs. Das by her first name , this is a confined to be disrespectful in India. The Das’s were evidently tourists in their own country and hadn’t maintained their Indian Diasporas; these close observations are made through the eyes of Mr.Kapasi, their tour guide. Mr. Kapasi empathises with Mrs. Das and easily identifies symptoms of the couples strained marriage. Every relationship goes through hardships but theirs was prolonged, and this played like a broken record in Minas’ mind. She was convinced that she had fallen out of love with her childhood sweetheart and it dawned on her that she may have missed out on what life had to offer. She reflected her life day in a day out eventually falling out of love with life as well. Mrs. Das was gravely depressed. We could relate her eating habit with this). She believed that her husband didn’t suspect or sense their strained marriage but I reckon he did, he just refused to acknowledge or accept the fact.Their marital problems are revealed through their constant bickering, frustrated tones, the indifference towards one another as well as the protracted silences. More than that is their total disregard for each other’s opinion. For instance, Mrs. Das had thought Mr. Kapasi second job to be romantic. â€Å"Mr. das craned to loo k at her. â€Å"What’s so romantic about it? His tone was vexing. The essence of her maternity is alas implicit. There are several instances where she displays an unruly temperament as a mother. For example; Not holding Tina’s hand as they walked to the restroom, nor did she call on the carpet when Tina fiddled with the lock of the car door. While applying nail polish her daughter’s immaterial demand to have some put on her as well was turned down. â€Å"Leave me alone,† she said turning her body slightly. â€Å"You’re making me mess up. † Once again expressing her selfish demeanour.Indirectly implying to the reader to the reader that a bottle of nail paint was more important to this woman than the one she so lovingly conceived her daughter Tina , how the value of love is lost to the realms of a materialistic object which in reality is unimportant, valueless and temporary. In strong comparison, Mr. Das was more of a father figure. He made a n effort to mind the children and answer their dewy-eyed queries. â€Å"What’s Dallas? † Tina asked. â€Å"It went off the air,† Mr. Das explained. â€Å"It’s a television show. † This shows us that Mr. Das doesn’t ignore his children and that he disciplines them when needed. Don’t touch it† Mr. Das warned Ronny. He could see that the little boy was fascinated by the goat and was tempted to go play with it. Unfortunately, when the child rushed over to play with the goat he just frowned and didn’t intervene. Mr. Kapasi finds it hard to believe that the Das’s were regularly responsible for anything other than themselves. This is subjective because this may be strange to someone who has been brought up in India but to an American it could be completely normal. In the story, Lahiri distinctly puts it across to the reader that they weren’t ready to take on the role of parents, and that they were too young.Mrs. Da s sounds more like a teenager being dragged for a family vacation by her parents. Rather than a mature parent aware of her responsibilities. She came out of hiding behind her dark brown sunglasses only when Mr. Kapasi revealed his second job as an interpreter. The attention that Mr. Kapasi received intoxicated him and made him delirious. Little did he know that her sudden interest in him wasn’t genuine and that she had an ulterior motive . Her intentions, which were to relieve herself of her burdensome secret, were blatantly put across when the two were left alone in the car. Mr.Kapasi reads Mrs. Das like an open book at this point. She confesses to him her adultery, and justifies her doings. Her overwhelmed youth being taken from her, having no one to confide in after a bad day, loneliness, this gives me a sense of why she behaved the way she did and had her unconventional feelings to throw everything away. She was expecting a remedy for the way she had felt, unfortunately M r. Kapasi had failed to meet her expectations, she also felt insulted by what he had to say to her. This is depicted by the glare that she gives him. She then turns her back to him and gets out of the car. Is is really pain you feel, Mrs Das, or is it guilt? †Mr. Kapasi certainly hadn’t provided her with a remedy for her ail, but he got to the heart of the matter. After all he was only an Interpreter of Maladies. I found Mrs. Das’s character particularly appealing because of how the story manifested her selfish and egotistical behaviour. Until the very end of the story the reasons for her bad behaviour is a mystery to the reader. As one reads on you are able to empathize with her as she justifies her behaviour and expresses her agony and frustration that she has been suppressing for over a decade. I’d like to end with a quote;

Chief Lieutenant Essay - 1661 Words

In A Chief Lieutenant, Jackson recovers the lived experience of oppression in Mississippi during the early-twentieth century. While cognizant of the extraordinary brutality that lay beneath the legal apparatus of segregation, he focuses upon the constraints institutionalized racism imposed upon a black middle class that nevertheless strove to make Mound Bayou a haven. His depiction of Charles Banks, an admiring one, confirms historian Robert Kenzers observation that successful African Americans in the South were forced to live very public lives in which they faced constant scrutiny not only from other blacks but also from whites.[2] As for Mound Bayou, it is worth remembering that those who fought for African American empowerment saw†¦show more content†¦Founded in 1887 as an all-black community with the support of the Louisville, New Orleans, and Texas Railroad, Mound Bayou was a haven for African Americans as violence against them rose precipitously in the last years of th e nineteenth century. By the early-twentieth century, Washington could look upon Mound Bayou as an exemplar of his famous injunction to cast down your bucket where you are.[4] Subsequent chapters explore Bankss activities in Mound Bayou through his connection to the Tuskegee Institute and Booker T. Washington. For the purposes of this review, most may be summarized briefly. Chapters 3 and 4 explicitly describe Bankss connection to the Tuskegee Machine. Having met Washington at the inaugural meeting of the National Negro Business League (NNBL) in 1900, Banks rapidly became a trusted correspondent. Washington and his secretary, Emmett Scott, relied upon Banks for information about Mississippi affairs. Through his connection to Tuskegee, Banks was able to obtain for Mound Bayou a farm demonstration agent from the Department of Agriculture in 1907. He was also instrumental in planning Washingtons 1908 tour through Mississippi. Chapter 5 focuses upon the National Negro Business League (NNBL) as well as the state affiliate established in 1905 by Banks, the Mississippi Negro Business League (MNBL). Banks served as first vice-president of the NNBL from 1907 until 1923. ChapterShow MoreRelatedChief Lieutenant Of The Tuskegee Machine Essay1842 Words   |  8 PagesThe Tuskegee Machine by David H. Jackson Jr. The Chief Lieutenant of the Tuskegee Machine by David H. 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October Writing Prompts for Classroom Journals

October begins with students and teachers still happily enjoy the summer holidays and ends with the excitement of heading back to school. Feel free to use these writing prompts for each day in October as daily warm-ups or journal entries. October Holidays Adopt-a-Shelter-Animal MonthComputer Learning MonthFamily History MonthNational Dessert MonthEnergy Awareness Month Writing Prompt Ideas for October October 1 - Theme: World Vegetarian DayAre you a vegetarian? Why? If not, would you ever consider becoming one? Why or why not?October 2 - Theme: Peanuts Comics Strip First PublishedWhy is your favorite character from Peanuts: Charlie Brown, Snoopy, Linus, Peppermint Patty, or another character? Explain your answer.OR October 2- Theme:  International Day of Non-ViolenceNon-violence has been used to bring about social change.Read up on Gandhi. What social change would you suggest should be brought about?October 3 - Theme: Family Television DayIs there any television show that you watch together as a family? If so, what are they? If not, explain which TV show is your favorite.October 4 - Theme: Toot Your Own Flute DayWhat is something that you are really proud about? What are you good at? For todays writing assignment, brag about yourself.October 5 - Theme: Fast Food (Ray Krocs Birthday)What is your favorite fast food restaurant? Why?OR October 5 - Theme: World Teachers DayEstablishe d by the United Nations Organization for Education, Science and Culture (UNESCO) in 1994.Write a teacher from your past (or present) a heartfelt â€Å"thank you† letter or card.October 6 - Theme: Thomas Edison Showed the First Motion PictureExplain how movies have changed the world OR consider the economics of the motion picture industry (MPAA).  What is the significance of this industry that employs roughly  2.1 million jobs while paying out $49 billion to local businesses across the country?October 7 - Theme: Computer Learning MonthAre you a gamer? A coder?  On a scale of 1-10 with 10 being the highest, how would you rate your skills using a computer?October 8 - Theme:  Columbus Day  -(celebrated)Should Columbus Day still be celebrated as a national holiday?Explain your answer.October 9 - Theme: Explorer Leif Erikson DayCelebrate the explorer who found America!No, not Columbus. The other explorer, the Viking, Leif Erikson, who beat Columbus by 400 years. Why do yo u think we do not celebrate this explorer?October 10 - Theme: Cakes (Cake Decorating Day)If you could have any cake for your birthday, what would it be?Describe the type of cake, the type of icing, and how it would be decorated.October 11 - Theme: Eleanor Roosevelts BirthdayEleanor Roosevelt was born on this date in 1884. She is considered one of the most influential First Ladies. In your opinion, what kind of influence should the First Lady have on the government?October 12 - Theme: Indigenous Peoples Day (traditionally Columbus Day)Indigenous Peoples Day  began as a counter-celebration to  the U.S.  federal holiday  of  Columbus Day.  Indigenous Peoples Day is intended to celebrate North and South American peoples, and to bring attention to  Native Americans who  continue to practice their cultures today. Do you know which indigenous peoples are associated with your town, city, or state?October 13 - Theme: Train Your Brain DayAre you a fan of crosswords, sudoku, or other mind games? Why or why not?OR  October 13 - Theme: National MM DayThere are over 340 million MMs produced daily.Which  is your favorite kind of MM candy? (plain, peanut, etc) If they had to invent a new MM, what would you suggest?October 14 - Theme: Chocolate Covered Insect DayThe  U.N. Food and Agriculture Organization notes that  there are more than 1,900 edible insect species on Earth. Insects may be one way to feed the world population in the future.Would you ever consider eating a chocolate covered insect? Why or why not?October 15 - Theme: National Poetry DayT. S. Eliot said, Genuine poetry can communicate before it is understood. What do you think he meant by this?October 16 - Theme: Dictionary DayBased on the life and times of Noah Webster of the Merriam-Webster Dictionary, this day celebrates words. Over 800 words are added annually to our language.  Look up some of the new additions or make a suggestion for the adoption of a new word.October 17 - Theme: We ar Something Gaudy DayDescribe the gaudiest outfit imaginable. Would you wear it?OR October 17 - Theme: Chess​In 1956, a 13-year old Bobby Fischer won the a chess match against the  26-year-old champion Donald Byrne  in what is called the chess Game of the Century.Do you play chess or other strategy games (board or video)? Do you think age makes a difference in who is a champion in a game of strategy? Why or why not?October 18 - Theme: Adopt-a-Shelter-Animal DayAccording to the ASPCA, approximately 6.5 million companion animals enter U.S. animal shelters nationwide every year.If you were to buy a dog or cat, would you go to a shelter to adopt one or buy from a breeder? Explain your reasons.October 19 - Theme: Thomas Edison Demonstrated the Electric LightA survey taken at the end of the 20th Century found that Edison was the most influential figure of the millennium..... Do you agree or disagree?  Describe at least five things that would be different about life if there were no electric lights.October 20 - Theme: Sweetest DayDescribe at least three nice things that you can do for someone you care about.October 21 - Theme: Reptile Awareness DayReptiles can an  alternatives for people who are allergic to furry  or feathery animals. There are some drawbacks, however, as there are many species of  Ã‚  reptiles that will bite. Some species are venomous.Would you own a snake or other reptile as a pet? Why or why not?October 22 - Theme: National Color DayWhat is your favorite color? How would you describe your favorite color to a blind person?OR October 22- Theme: RiskOn  this day in 1779, the French balloonist Andrà ©-Jacques Garnerin was the first person to use a parachute when he jumped out of a balloon over Paris using a silk parachute that he made himself.What is the riskiest thing you have ever done? Would you do it again?October 23 - Theme: Mole DayMole Day is an unofficial holiday for chemistry enthusiasts celebrated between 6:02 a.m. and 6:02 p.m., or 6:02 10/23 (a measuring  unit in chemistry).What are three ways in which chemistry has made the world a better place?October 24 - Theme: United Nations DayIn 1971, United Nations General Assembly recommended that the day be observed by Member States as a public holiday.If you could visit one foreign country, which would it be and why?October 25 - Theme: Sarcasm (Sarcastic Month)Are you a fan of sarcasm? Are you personally sarcastic? Explain your answers.October 26 - Theme: Make a Difference DayPick an area of your life: family, school, work, friends, or society. Explain 5 ways you can make a positive difference in that area.October 27 -Theme:  US Navy DayThe US Navy was created  by the Second  Continental  Congress  passed a resolution  but it was not until 1794 after an engagement with Barbary pirates in the Mediterranean that the Navy showed its prowess. What do you know about this branch of the military? Would you ever consider a career in the militar y?October 28 - Theme: Statue of Libertys BirthdayThe Statue of Liberty, or Liberty Enlightening the World, was a  symbolic gift from the people of France to the people of the United States in 1886.What does this the Statue of Liberty symbolize today?October 29 - Theme:  National Cat Day68 percent of all households in the United States own  a pet cat, making the number of pet cats close to  95.6 million.Are you a cat pet person or are you a dog pet person? Or do you even want a pet? Why or why not?October 30 - Theme: National Candy Corn DayWhats your favorite Halloween candy? Why?October 31 - Theme: HalloweenThe National Retail Federation estimates that over $9 billion dollars will be spent on Halloween. Do you plan on spending money for Halloween? Do you like Halloween? Dressing up? Why or why not?

Clinical Assessment And Circumferential Treatment Of...

Lymphedema is the swelling of soft tissues as a result of the accumulation of protein-rich fluid in the extracellular spaces. Secondary lymphedema is precipitated by an event causing blockage or interruption of the lymphatic vessels. It is a potential complication that may affect quality of life of patients treated for breast cancer. Life-long risk factors of post-breast cancer lymphedema are related to the extent of axillary node involvement, type of breast surgery, and radiation therapy, as these factors decrease lymphatic drainage and increase stasis of fluid in the areas of skin and subcutaneous tissues that drain to those regional lymph nodes. Breast cancer- related lymphedema (BCRL) can involve the arm and hand, as well as the†¦show more content†¦In addition to invasive breast cancer, 60,290 new cases of in situ breast cancer weare expected to occur among women in 2015. Moreover, an estimated 40,290730 breast cancer deaths weare expected in 2015 [2]. However, as a result of advances in early detection and treatment, compared to today breast cancer patients can expect survival that is similar to age-matched women without the disease, [3]. Tthe 5-year relative survival for women diagnosed with localized breast cancer has increased from 80% in the 1950s to 899% today [2]. Although breast cancer treatments, including surgery, radiotherapy, chemotherapy, and hormonal therapy, have improved patients outcomes, they cause patients to potentially suffer from substantial adverse effects [34]. One complication of these treatments is lymphedema, a chronic health problem, troublesome to both patients and health professionals [5]. Lymphedema describes a set of pathological conditions in which there is an accumulation of protein-rich fluid in soft tissues as a result of the interruption of lymphatic flow [46, 7]. It is most commonly found in the extremities; however, it also can be found in the head, neck, abdomen, lungs, and genital regions [58]. Although the incidence of breast cancer-related lymphedema is unclear due to differences in diagnoses, the different characteristics of the patients studied, and

Iron Crowned Chapter 16 Free Essays

string(71) " nervous note in his voice, mirrored by the others’ expressions\." Kiyo asked no questions when I called Enrique back and told him I’d be out of town and out of contact for a while – but that I trusted him to carry on. Really, Kiyo said little at all as we hurried back to my house. Within minutes, I had a small satchel packed, and then we were off to the Otherworldly crossing. We will write a custom essay sample on Iron Crowned Chapter 16 or any similar topic only for you Order Now No matter what ups and downs had occurred in our relationship, he knew me well. He knew I had to act on this immediately. The questions began once I reached my castle. â€Å"How the hell,† I began, â€Å"did this happen?† I was in one of the receiving rooms, Kiyo by my side as I stared down Shaya and some of the soldiers who manned the grounds. Rurik was with them, which gave me mixed feelings. I was glad he was back from Dorian’s. I trusted him more than any other military guy around here. That being said, there was a petty part of me that held him responsible. How could someone as capable as him have let this happen? He grimaced, as though guessing my thoughts. â€Å"A small group sneaked onto our grounds, overpowered her guards †¦ and took her.† He hesitated. â€Å"She only had two with her, Your Majesty. As you’ll recall, her escort was lightened. Still. There is no excuse.† I hadn’t witnessed this kind of diplomacy and respect from Rurik since †¦ well, actually, I’d never really witnessed it. With Dorian? Yes. Not with me. Jasmine’s abduction had really gotten to Rurik, no question. I was pretty sure he was taking it personally. But I’d also caught the slight meaning in his carefully worded comment about her lightened guard. That had been my call. I had done it in response to her good behavior and had let her outside more. I’d known it was a potential security risk – but not one that involved her leaving against her will. â€Å"We’re at war,† I said. â€Å"Regardless of her guard, this whole place should have been under lock-down.† He nodded, face growing grimmer. â€Å"As I said, there’s no excuse. I take full responsibility.† I waved a hand dismissively. â€Å"It’s too late now. I know you’re doing your job. Don’t lay yourself out for the slaughter. Volusian said there was a note?† Shaya handed me a piece of rolled parchment. Kiyo leaned over my shoulder as I read it silently to myself: To Eugenie, Usurper Queen of the Thorn Land, Daughter of Tirigan Stormi, King: As you no doubt know by now, I have your sister within my custody. If you wish her returned to you alive, you and the Oak King will surrender unconditionally to me. You will cease hostilities immediately, withdraw your armies, and cede your lands. Additionally, you will turn over the alleged Iron Crown to me. If you do not comply with these terms, your sister will be executed at noon, three days from the receipt of this letter. For now, she is alive, and I have given her into the keeping of my nephew Cassius. I await your response. Sincerely, Katrice, Queen of the Rowan Land, Beloved of the Gods I looked up at the many watching eyes. â€Å"‘Given her into the keeping of my nephew Cassius.’ Does that mean what I think it does?† Shaya grimaced. â€Å"That is the nephew she wanted you to marry.† â€Å"Why execute Jasmine then?† I demanded. â€Å"Why not marry her off to Cassius? Isn’t that a waste of one of Storm King’s daughters?† â€Å"Katrice hates you,† said Kiyo softly. â€Å"At this point, she probably doesn’t even care about the prophecy. She wants to get back at you, hurt you, and if that means killing Jasmine, then it’s probably an acceptable loss – especially if she tries to then give you to Cassius after this ‘surrender.'† â€Å"So I’d get to live?† Kiyo shrugged. â€Å"Longer suffering.† â€Å"Why choose her as a hostage though?† I didn’t know why I was arguing the logic here. None of it mattered. Only the outcome did. â€Å"Everyone knows we don’t get along.† â€Å"Everyone also probably knows that’s been changing a little,† said Kiyo. â€Å"You brought her to Dorian’s.† â€Å"And,† added Shaya, â€Å"a royal family member usually makes the best hostage in these situations.† These situations. For a moment, I nearly swayed on my feet, wanting to close my eyes and pass out. It had nothing to do with the heat. It was this. All of this. This situation always repeating itself. Me and Jasmine, cursed by our blood, always to be used and captured as possessions in a greater game. I’d hated Aeson, but at least he’d lured Jasmine into some pretense of love before taking advantage of her. But what about this Cassius? He’d make no attempts at kindness. This was all about punishment and revenge, after all. Had he already raped Jasmine? Was he doing it now? A sickening memory of Leith came to mind, one sharp and clear in spite of the drugged state I’d been in during my ordeal with him. Moments later, it was replaced by an image of this faceless Cassius lowering himself over a cowering Jasmine†¦. I pushed my weakness aside, steadying myself and bringing the world back into focus. I turned to Rurik. â€Å"How far are our armies spread out? How soon could we get them together and march on her? I want to raze that bitch’s lands and burn her castle to the ground! I want to have the fucking wrath of heaven rain down on her and – â€Å" I cut myself off, as startled at my words as the others were. Where had that rage come from? Well, the situation, obviously. I wouldn’t want anyone thrown to Katrice’s nephew before facing execution. But it occurred to me in that moment that my reaction was also †¦ personal. Somewhere, in the ups and downs of our dysfunctional family, I’d come to care about Jasmine. My anger came from the loss of her. â€Å"Easy, Eug,† said Kiyo, resting a hand on my arm. There was a nervous note in his voice, mirrored by the others’ expressions. You read "Iron Crowned Chapter 16" in category "Essay examples" I’d once been told that when I was angry, I resembled my father. I took a deep breath and pushed back any further outbursts. â€Å"Leading a massive army in – while deserved – wouldn’t be †¦Ã¢â‚¬  Rurik was still treading lightly, still choosing words carefully. â€Å"Well, Katrice was already in wartime mode, heavily guarded. After this? The lands outside her home probably have triple the guard they did before.† â€Å"But if our force was large enough †¦Ã¢â‚¬  I began. Rurik nodded. â€Å"True. It’s possible. Especially if †¦ especially if my lord Dorian’s armies were involved.† He looked uneasy at mentioning Dorian, but I could see a considering look on Rurik’s face. I had a feeling we shared the same puzzle. Would Dorian lend forces to help me? Possibly not, not if his anger overrode any devotion to me. On the other hand, Dorian was still in this war, and I knew him well enough to think he might welcome a full-out march on her castle. Rurik knew that too. â€Å"With his forces, it’s possible,† Rurik said at last. â€Å"But Katrice’s would be defending. It would be bloody. It would be ugly.† He didn’t sound opposed to that, per se. He was a military man; ugly battles were the way of the world. But we all knew that wasn’t ideal. My mind spun. Part of me wanted that large force to beat on Katrice because I thought she deserved it. This was about more than revenge, however. It was about Jasmine. I needed to go with the plan most likely to get her back, and an invading army wasn’t it. It would take a smaller group, just as she’d no doubt sent here, one that could slip in. We were heavily guarded, but with the assorted petitioners and refugees always coming and going, it was no wonder Jasmine’s kidnappers had slipped in. Katrice undoubtedly had a similar stream of people coming to her in these times, but she’d probably be on high alert with them too. â€Å"Imanuelle,† I said, realizing too many moments of silence had passed. â€Å"Can you get me Imanuelle?† It was this, finally, that took the group’s eyes off me – because they all exchanged astonished looks. Kiyo’s face grew troubled. â€Å"That’s your plan?† Kiyo asked. â€Å"Assassinate Katrice? Eugenie, you’re better than that.† He’d apparently heard of Imanuelle. â€Å"I am,† I agreed. â€Å"And smarter. Get her for me.† That was to Shaya, who nodded and then shot a look at a hovering servant. He gave a hasty bob of his head and darted out of the room. â€Å"Ready to repeat history?† I asked Kiyo. â€Å"It’ll be like raiding Aeson’s all over again.† â€Å"You’re going †¦ No. Eugenie, you can’t go there.† I gestured to Rurik and began moving for the exit. â€Å"You heard him. We can’t get in with a large force – not easily.† â€Å"Yes, I get that,† said Kiyo, following after me. â€Å"But you can’t go.† â€Å"I have to go,† I countered. Rurik had hurried along after us. â€Å"He’s right. Send someone else. I’ll go. We’ll sneak in and take her.† I came to an abrupt halt, nearly causing both men to run into me. â€Å"I’m going. This is my responsibility. Besides, who else around here can match me magically?† I peered back and forth between their faces, daring them to challenge me. â€Å"Even so,† said Rurik, â€Å"if you’re discovered, you’ll be outnumbered. And you’re an enemy queen. In wartime. Walking right into your enemy’s stronghold. I can’t allow this.† â€Å"It’s not your place to allow me to do anything!† I snapped. â€Å"Or you either.† I turned to Kiyo for that, guessing his words. â€Å"We won’t be discovered. Not if Imanuelle’s as good as she claims.† I was so tired of men telling me what I could and couldn’t do. I left them and stalked off down the hallway toward my bedroom. Neither followed me right away, but I just barely heard Rurik mutter to Kiyo, â€Å"Well, if she’s caught, she will get a massive army descending on Katrice, at least. My lord Dorian wouldn’t permit anything less.† The flaw in my plan, as it turned out, was waiting on Imanuelle. After our last meeting, she’d left my kingdom, and finding her wasn’t easy. You couldn’t just openly summon a famed assassin. Girard was at my court, however, and apparently had secret ways of sending messages to his sister. I didn’t ask any questions about his means, so long as she showed up. Waiting for her gave us time to plan strategy. Once my advisors grudgingly accepted that I’d be going personally – and once Rurik accepted that he would not be accompanying me – they fell in line to pool their knowledge about Katrice’s castle. I’d joked earlier to Kiyo about this being like our break-in to Aeson’s †¦ but really, it was true. This time, we had no guide personally to take us in. We had to rely on anecdotal knowledge from those who had been there and could make best guesses at where Jasmine might be held. And that was presuming Katrice was actually keeping her on-hand. Perhaps the most surprising part of all of this was Kiyo’s acquiescence. I’d expected protests about my safety or perhaps a diplomatic solution. But, no. He realized the importance of saving Jasmine. And he too knew this was probably our best shot – at least on such short notice. â€Å"You should know,† Rurik told us later, â€Å"that you aren’t going to be able to bring Volusian.† He, Kiyo, Shaya, and I were in my bedroom, which I’d made my makeshift war headquarters. â€Å"Why not?† I asked. That was a surprise. I’d been counting on his muscle, something I had to admit I’d missed while fighting for the crown. What was the point of an undead minion if I couldn’t put him to good use? â€Å"He can go in with us invisibly.† Rurik shook his head. â€Å"Everyone knows about him. Katrice does. She’ll have people on-hand who can sense him. She’ll also probably have those with the power to banish him. Enough of them united together could.† â€Å"You have a lot of faith in her,† I noted dryly. Volusian was hard to banish – I couldn’t do it – but Rurik had a point. Get enough magic-users together, and they could eventually pull it off. He gave me a twisted smile. â€Å"She’s not stupid. And she has advisors. Not as good as yours, of course, but they would have thought everything over before kidnapping Jasmine.† A knock on the door interrupted any response I might have made, and after I called entry, a servant showed Imanuelle in. â€Å"Finally,† I said. She swept in, clad in billowing red silk pants and a matching, midriff-showing top. The assassin arched an eyebrow and gave me an amused look as she put her hands on her hips. â€Å"I don’t wait around on your every command, Thorn Queen. And last time we spoke, you made it pretty clear, you didn’t want me around. Have you finally come to your senses? From what I hear, now’s a pretty good time to get rid of Katrice.† Imanuelle paused carefully. â€Å"Although, getting rid of her before now would have been even better. Would have saved you and your sister a lot of trouble.† I bit off any snide remarks. â€Å"We can’t have Katrice killed. I’m pretty sure the instant her people found her dead, Jasmine would be next. I need you to sneak in and get Jasmine out of there.† Imanuelle’s cocky smile dropped. â€Å"That’s not what I do. I kill. I don’t rescue.† â€Å"I’ll do the rescuing. You need to get me and Kiyo in. Disguise us with this so-called power you keep bragging about. Or is masking more than one person out of your skill-set?† â€Å"I can do it,† she said, narrowing her eyes. â€Å"But it’ll cost you.† â€Å"We can afford it,† I said, trying to ignore the pained look crossing Shaya’s face as she no doubt added up mental ledgers. Imanuelle said nothing for several moments as she pondered it all. â€Å"Just you two?† â€Å"Yes. And you, of course,† I added. â€Å"Do you have any idea where you’re going in there?† she asked. Kiyo and I exchanged looks. â€Å"Kind of,† I said. â€Å"Kind of.† Imanuelle snorted. â€Å"Fine. I’ll do it. But I’m only there to disguise you. I’m not fighting if you get caught.† â€Å"You don’t have to,† I assured her. â€Å"We’ll protect you.† This brought another scoff and a haughty curl of her lip. â€Å"If they detect us, I can get myself out of there, believe me. You’ll be on your own.† How to cite Iron Crowned Chapter 16, Essay examples

Applied Project Management for Enterprise Resource- myassignmenthelp

Question: Discuss about theApplied Project Management for Enterprise Resource System. Answer: An Enterprise Resource System(ERP) is nothing but a software package which allow an organization for efficient management of its available resources which is inclusive of material, people and lastly equipment. PMBOK is not defined by a rigid life cycle instead of that it is defined by a sequence of phases which consists of following phases like initiation, Planning, Execution, monitoring and closing phase. The implementation of ERP system has become new way to achieve supply chain management and to have competitive advantage from it. PMBOK stands for project management body of management of knowledge which is used by various project managers for analyzing different success factors which take place during the implementation of a project. The critical factor generally consists of planning and involvement and commitment of various higher management and stakeholder management (da Silva Gomes, 2013). As per PMBOK, project management generally focuses on the application of knowledge and pr oper tools to activities on project to meet the needs of various project. Scope management is important in a project because it helps in checking the scope of project in a proper and define way and it helps project managers and executive to provide the right quantity of work which is required for successful implementation of a project (Gomes, 2013). PMBOK state project scope as the right amount work which is needed to be completed for providing the right amount of work, services with proper function. There are three phases of project scope management that are planning, controlling and lastly closing. There are two steps involved in management of scope of project that are defining the requirements of project and understanding the needs of the project. The needs of a project are an important factor for setting up of timeline of the project and having goals of project. For proper defining of scope, it is essential for establishing the requirements of a project. The steps involved in defining the scope of project are project of objectives, goals, sub-phases, resource, budget and schedule. Scope can be controlled by checking the particular ERP product, explaining in details that how the features of product will help the business activity (da Silva Gomes, 2013). A scope is generally less valuable if the project team and various stakeholders related to the project do not get an idea that how ERP will support the business. There may be cases in which the features of ERP product is in scope with limited functionality. ERP market has grown a lot in recent years and a number of manufacturing firms like automotive, oil and pharmaceutical organization have already adopted ERP solution and making ERP ruling over the various organization. In the early days various ERP solution like finance and accounting and manufacturing are the most popular ERP modules (Gomes, 2013). On the contrary various domains like plant maintenance, HR and service module have also started using ERP. Various industrial sectors like cement, power and food have implemented ERP solution for satisfying their needs. SME are considered to be the largest user of ERP in the current market all around across the globe. SME segment mainly aims in providing low cost ERP solution like eresource ERP which mainly work in country specific location and providing large pool for skilled and technical talents (da Silva Gomes, 2013). Many times these benefits are quite difficult to prove on grounds of statistics as they impossible to calculate in practical. Soft benefits are inclusive of transparency, comfort in work life, change in attitude. Various organization must set their objectives before the implementation which is followed by calculating the achievements after ERP implementation. For fulfilling the needs of ERP system the following tools must be integrated in it. These tools are data management, data warehouse, information management, Application and interface with proper permission control, workflow management, reporting, communication, analytical, resource allocation and task scheduling tool. Data management/ data warehouse / information management tool: Data storage and management of information with proper workflow in various departments are considered as a backbone of any ERP system. Various solution and tools are available for proper storage of data which is inclusive of databases from various organization like Oracle and Sybase (da Silva Gomes, 2013). As per the needs of an industry an appropriate one is selected. A manufacturer can easily transactional database to be more useful as the transaction moves through different status on the contrary a content writing company can find CMS repository system with version control for satisfying their requirements. Application and interface with suitable permission control: Data storage and management mainly requires read only or process of editing to access the process of data. After the manufacturing of item, it is marked as inventory and after that stock management team marks it as ready for sale (Gomes, 2013). For achieving this easy use of application and interface are proved to be an important part of ERP system are used which have definite control and permissions. In a similar way a content ERP tool is used by editor to make any changes in the content for review and only the editor has the right to make any changes. Workflow management tool: An ERP system consist of multiple modules of data where data updates and actions tends to follow a logical sequence which can satisfy the needs of business. Workflow works in a similar way as the mind controls the various functions of body. A workflow with proper access at many levels is considered to be important for any ERP solution. Communication tool: Communication is considered to be a mandatory tool for any system working in various departments. ERP systems offer various tools which works on the principle of instant messaging, chat and generation of mail. Analytical tool: Analytical tool can be integrated with an ERP system for achieving business intelligence, prediction of analysis and analysis related to data mining. These tools are used for achieving better decision with available data. References da Silva Gomes, R.M., 2013. Contributions of the PMBok to the Project Management of an ERP System Implementation.Revista de Gesto e Projetos,4(2), p.153. Gomes, R.M.D.S., 2013. Contributions of the PMBOK to the Project Management of an ERP System Implementation.