Sunday, October 6, 2019
Health and Safety in the Construction Industry Essay
Health and Safety in the Construction Industry - Essay Example The requirements could be in the form of legal provisions of the state, environment protection measures or in the form of the stipulated needs of the customer. In order to safeguard the interests of the workers, the respective governments come out with measures safeguarding the interests of the employees. The Health and Safety at Work etc Act 1974, also known as HASAW or HSW, is one such legislative measure adopted by the government of UK, which covers occupational health and safety in the United Kingdom1. A company requires able people to carry on with the business in the best possible manner. Therefore, the relationship between the two parties is of mutual benefit and for the relationship to work, both parties have to agree to certain terms of agreements. The construction industry is no exception. The construction industry is known as a labour intensive industry with people from different skill levels contributing their bit towards the project. There are the labours who might not be educated enough to know about what's happening around them. Quite often, while working against time to meet tight deadlines or to save on the costs, the workforce happens to be at a disadvantage. The agency carrying out the construction activity and the company having accepted the terms for the project are required to manage the project in such a manner that the project is completed and handed over to the customer within the stipulated time period, without any untoward incident/s. Project Management as such is the planning, organizing, directing and controlling of company resources for a relatively short-term objective that has been established to complete specific goals and objectives (Kerzner, 1995). Producing high levels of productivity and quality and low levels of uncertainty additionally are objectives of project management. The uncertainty arises mostly out of ill planning and unwarranted delays on account of a reasons like disputes or accidents. The successful construction project management will therefore be the management of all the factors that surround and enable the construction as well as the technical work to be accomplished. This form of management as such is a set of principles, practices, and techniques applied to lead project team and control project schedule, cost, and performance risks in order to delight the customers. The customer will feel delighted when the project management team displays its expertise in the planning and successful i mplementation of the project and hands over the finished product in a hassle free manner. In one of its report the National Audit Office (NAO) has enlisted some barriers which need to be overcome and bring about changes in attitudes within the construction industry towards improving the health and safety performance. The NAO report states that, "Under health and safety legislation those who create risk are legally responsible for controlling and managing that risk" (NAO, 2004). This specifies that the responsibility of coming out with measures for controlling and management of the risk lies with everyone involved in the supply chain. In fact in today's context when globalisation and competition happens to be a rule rather than exception, every company desires to retain the best working hands while making all efforts to remain out of controversies. The reach and impact of media
Saturday, October 5, 2019
First Ancient Civilizations Essay Example | Topics and Well Written Essays - 500 words
First Ancient Civilizations - Essay Example Religion is of crucial importance to society since it facilitates the guarding of morals in society. The word Mesopotamia in the Greek language means ââ¬Ëthe land between two riversââ¬â¢, because the civilization began between the Tigris and Euphrates rivers. It was in the Eastern Mediterranean, had the Zagros Mountains to the northeast and the Arabian Peninsula to the southeast, and corresponded to the present-day Iraq, most parts of Iran, Turkey and Syria. It was called Al Jazira by the Arabs and has been termed to as the Fertile Crescent. This civilization is the earliest in world history and, one which lasted for the longest time having begun around 3500 BC and ended in (Chadwick, 2005). It had much influence in western civilizations and most of these civilizations laid their foundations based on its example. Unlike other civilizations, Mesopotamia was a collection of various cultures, which were only bound together by their gods, writing and how they treated women. Mesopotamia is regarded as the cradle of civilization because it was the first to build cities, use the potterââ¬â¢s wheel, to develop writing, to organize armies, use large quantities of bronze and is called the place where history began. The yellow river civilization in china began in 4000 BC in China. Since water is known to play a critical role in the development of a civilization, the yellow river civilization owed its origin and development to the yellow river. The yellow river occupies a place of importance in china and has been known as the mother river of china. Just as the Egyptians credit their existence to the river Nile, the Chinese also attach great importance to the yellow river, referring to it as the cradle of Chinese civilization. The yellow river population was the centre of politics, economy and culture of the Chinese. It was also the center of science and technological advancement. It existed for 2000 years, covering the period
Friday, October 4, 2019
Discussion Board Post Response Essay Example | Topics and Well Written Essays - 250 words - 30
Discussion Board Post Response - Essay Example Conversely, this statement show that the current level of skills have been rendered ineffective in managing chronic illnesses and managing available resources. Therefore, nurses with a BSN a better positioned to manage resources and as well address chronic illnesses due to their high level of skills and knowledge. Kimberly, I concur with your discussion that the use of social media is a current trend in healthcare. Over the recent past, there has been colossal advancements in the field of technology in particular the use of the internet and social media. In reference to your discussion, I agree that social media has made it easier for patients to search for physicians of their choice and access information and current research relating to their medical problem. To the organization, I concur that organizations are able to share information in particular their vision, mission, and philosophies with potential clients at no extra costs. It is worth noting the current trend relating to rising costs of care as postulated by Ursell (2011). The ability of a healthcare organization to share information such as vision and mission at no extra cost is also of benefit to the clients as no extra charges will be added on the cost of care to cover for the extra
Thursday, October 3, 2019
The ideal teacher Essay Example for Free
The ideal teacher Essay What characteristics should a teacher possess? What Makes a Good Teacher? Video ââ¬â Effective Teacher â⬠¢ An effective teacher can be seen in the following video: Introduction What does being a teacher mean? â⬠¢ Having a vocation for the teaching profession. â⬠¢ Being dedicated. â⬠¢ Being surrounded by a large number of diverse students, each with their own baggage and unique character. Knowledge 1st Characteristic of an effective teacher â⬠¢ Should be transmitted in a unique and fun manner. â⬠¢ One should move from the known to the unknown. â⬠¢ It is not how much one knows, but how much one can deliver. Knowledge Observation 1 â⬠¢ At a particular Boysââ¬â¢ Area Secondary School, it was noticed that the boys had a low IQ. â⬠¢ A highly motivated Maltese teacher used a practical example to help them learn. â⬠¢ He compared the Maltese language to a cocktail. ââ¬â The different drinks symbolized Italian, Arabic and English. â⬠¢ As a result the children remembered the example more. Adaptation 2nd Characteristic of an effective teacher â⬠¢ One should get to know oneââ¬â¢s students to cater for them accordingly. â⬠¢ Scaffolding activities accordingly, ensures maximum learning. ââ¬Å"The wise adapt themselves to circumstances, as waterà moulds itself to the pitcherâ⬠ââ¬â Chinese Proverb Environment 3rd Characteristic of an effective teacher â⬠¢ Creates a non-threatening and welcoming environment. Environment ââ¬â Observation 1 â⬠¢ A Maths lesson in a Boysââ¬â¢ Area Secondary School ââ¬â The teacher greeted the students by the words ââ¬Ëhurry up because you are wasting precious timeââ¬â¢. ââ¬â The students were not very friendly towards her and imitated her. ââ¬â Whilst going out for recreation these students were heard echoing the teacherââ¬â¢s words to their peers who dawdled on their way out. Theory of Observational Learning â⬠¢ The studentsââ¬â¢ picked up theà teacherââ¬â¢s habit and used it to their advantage. â⬠¢ This can be applied to Albert Banduraââ¬â¢s theory of observational learning. Theory of Observational Learning â⬠¢ Bandura established 4 steps ââ¬â Attention ââ¬â characteristics instilled within a person that will affect the way in which he is influenced. ââ¬â Retention ââ¬â the ability to remember what one sees and transforms it into visualizations or verbal expressions. ââ¬â Reproduction ââ¬â the ability to transform what one has retained into definite behaviour. ââ¬â Motivation ââ¬â one has to be given a reason or incentive to reproduce what he has observed and retained. Organisation Good Organisation 4th Characteristic of being an effective teacher â⬠¢ Having good organisational skills. â⬠¢ In order to keep the students focused, the explanation should be sequential to avoid confusion. â⬠¢ The teacher should always follow a lesson plan. Bloomââ¬â¢s Taxonomy for Learning Domain â⬠¢ The last two domains ââ¬â Synthesis ââ¬â Evaluation focus on the importance of having a lesson plan as a guidance for the lesson. Importance of a Lesson Plan â⬠¢ A lesson plan is important ââ¬â to make the lesson sequential. ââ¬â to ensure the objectives devised were reached. ââ¬â to assess whether students understoodà or not. Conducting a Lesson â⬠¢ The teacher starts off the lesson by correcting the home work, ââ¬â the students participate and say their answers. â⬠¢ Introduces the topic that will be tackled. â⬠¢ The teacher may write down some notes on the whiteboard. â⬠¢ Class work is given so as to make sure that the students understood the topic. Organisation ââ¬â Observation 1 â⬠¢ A particular maths teacher at a girlââ¬â¢s school, applied very good organisational skills in her lesson. â⬠¢ She stated the aims of the lesson at the beginning of the lesson in a very clear way. â⬠¢ She managed to do all the things she hadà planned. â⬠¢ On repeated observations, it was noted that she always had a well-planned lesson. â⬠¢ Students were always motivated to learn. Organisation ââ¬â Observation 2 â⬠¢ Another class that was observed in the same school was a Maltese literacy class. ââ¬â It aids students who find it difficult when it comes to reading and writing. â⬠¢ She involved the students by asking them to continue reading from where she stopped and corrected them wherever they made a mistake. â⬠¢ At the end, she gave them some pages to read at home. Classroom Layout 1 â⬠¢ In the previous incidents mentioned, the desks wereà neatly placed and organised in twos. ââ¬â Students can help each other with any difficulties they might have. â⬠¢ The teacherââ¬â¢s desk was facing the studentââ¬â¢s desks. â⬠¢ On some occasions, the teacher may still need to separate desks to avoid misbehaviour and interruptions before starting the lesson. Classroom Environment â⬠¢ When students are already inside the classroom, the teacher should make his / her presence felt. â⬠¢ On the contrary, when students change class, the teacher can alter the classroom layout to suit his/her approach to teaching. Disorganisation â⬠¢ When the teacher is disorganized he/she willà not be able to deliver a well-balanced lesson. ââ¬â This was noticed in an observation where the class only managed to read a small paragraph from a textbook throughout two whole double lessons. ââ¬â The rest was random, out of point discussions. â⬠¢ There was poor classroom management together with a lack of discipline. Observation Disorganisation â⬠¢ During a Home-Economics practical session a disorganised teacher was observed. â⬠¢ The teacher did not guide and assess the students. â⬠¢ They ended up asking each other what to do next and did not learn any skills. Discipline Behaviourism â⬠¢ Constant motivation isà compared to behaviourism ââ¬â researched by B. F. Skinner. â⬠¢ He called his research ââ¬ËThe Operant Conditioning Theoryââ¬â¢. â⬠¢ Theory states that a particular behaviour can be increased by positive / negative reinforcements (praise / punishments). Bad Discipline Observation Ineffective Teacher â⬠¢ Observation A particular teacher, instead of correcting the students in a gentle manner and explaining what was wrong, the teacher sent the students out of class together with their desk and chair. â⬠¢ It was observed that most of the teachers reprimanded the students whenever they got something wrong. â⬠¢ Students are demoralized and in consequence show no interest in learning. Albert Bandura â⬠¢ Throughout our observations, one thing was particularly noticed. â⬠¢ When a teacher scolds students, their actions turn out to be counterproductive as that same action is repeated by the students. â⬠¢ This is backed up by the Social Cognitive Theory researched by Albert Bandura. â⬠¢ The Bobo-Doll experiment ââ¬â Children imitated what was seen both verbally and physically. Influential Teachers â⬠¢ A teacherââ¬â¢s behaviour contributes to classroom management . Henry Adams once stated: ââ¬Å"A teacher affects eternity; one can never tellà were the influence stops. â⬠Good Discipline Observation ââ¬â Effective Teacher 5th characteristic of being an effective teacher â⬠¢ Keeps the same discipline methods with all students regardless of their gender, race, ability or religion. â⬠¢ Positive reinforcement: praises students and corrects their mistakes. â⬠¢ Greets the students. â⬠¢ Prepares the things needed for the lesson beforehand and waits for the students to settle down. â⬠¢ Goes around the students to check whether everyone is paying attention. â⬠¢ Removes distracting materials such as any irrelevant writing on the board will be rubbed off. Communication of Ideas 6th Characteristic of being an effective teacher â⬠¢ Ability to communicate ideas effectively. â⬠¢ This is done through the use of a variety of resources. â⬠¢ This is explained in Benjamin Bloomââ¬â¢s book ââ¬â Taxonomy of Learning Domains. Resources Motivation â⬠¢ A teacher should always motivate students in a fun way ââ¬â that is what keeps them going; Albert Einstein once said: ââ¬Å"It is the supreme art of a teacher to awaken joy in creative expression and knowledge. â⬠Observation â⬠¢ During a science lesson, one of us observed one such characteristic, â⬠¢ The science teacher used a variety of interestingà resources such as: ââ¬â ââ¬â ââ¬â ââ¬â PowerPoint presentations Worksheets Information handouts Textbooks â⬠¢ These resources enabled students to be enthusiastic and motivated. Importance of Resources Something commonly observed: â⬠¢ Very few teachers made use of resources, â⬠¢ Most of them used the traditional resources; white board and textbooks, â⬠¢ Students ended up bored and disinterested throughout the lesson. Edgar Dale â⬠¢ In the 1960ââ¬â¢s he put forward the theory: â⬠¢ Students retain more information by what they ââ¬Å"doâ⬠as opposed to what they ââ¬Å"hearâ⬠, ââ¬Å"seeâ⬠or ââ¬Å"observeâ⬠. â⬠¢ He devised the ââ¬ËCone of Experience. ââ¬â¢ â⬠¢ ââ¬Å"Learning by doingâ⬠is nowadays known as ââ¬Å"experiential learningâ⬠. Cone of Experience Ineffective Resource 1 Textbooks â⬠¢ By time, textbooks become outdated. This means that more money has to be forked out by the school and parents to update them. â⬠¢ Textbooks should be used as a reference for studying, revising or even further notes. Ineffective Resource 2 Whiteboard â⬠¢ Teachers still rely on such a sole type of pedagogy application, â⬠¢ Disadvantage: The teacher may not write clear and big enough for the students to read, â⬠¢ There can be cases of impairment; eyesight problems. Positive Environmentà 7th Characteristic of being an effective teacher â⬠¢ The ability to create a positive classroom environment. â⬠¢ A positive classroom environment is boosted further by using: ââ¬â the appropriate type of humour ââ¬â at the appropriate time. Humour â⬠¢ Teachers should foster the praxis of using humour as it is an effective technique. ââ¬â This removes any tension in the relationship between the teacher and the student. ââ¬â This leads to a better performance in the studentsââ¬â¢ academic life. Negative Attitude â⬠¢ Students will learn less if the teacher uses a negative attitude towards them. â⬠¢ This includes factors such asà sarcasm. Sarcasm â⬠¢ Sometimes teachers confuse good humor with sarcasm. ââ¬â The use of sarcasm may harm the teacherstudent relationship since what some think as funny others may find to be offensive. ââ¬â Sarcasm is humiliating for students. What makes a bad teacher? Video ââ¬â Ineffective Teacher â⬠¢ An ineffective teacher can be seen in the following video: Conclusion â⬠¢ A teacher should be a life-long learner which is committed to the teaching profession striving to reach and teachââ¬â¢ students. Plato claimed that ââ¬Å" The direction in which education starts a man will determine his future lifeâ⬠.
Wednesday, October 2, 2019
Effect of Phototherapy on Sleep Disorders
Effect of Phototherapy on Sleep Disorders In the natural world, the light ââ¬â dark cycle entrains our rhythm. Light is a very effective ââ¬ËZeitgeberââ¬â¢. In the presences of environmental time cues, sleep-wake physiology, and gene expression continue to exhibit a near-24-hour circadian rhythm regulated by the Suprachiasmatic Nucleus in the Hypothalamus. Phototherapy is an accepted modality for non- pharmacological management of Circadian Disorders such as Delayed Sleep Phase Syndrome, Insomnia etc. This review discusses the physiological principle and highlights evidence based literature of phototherapy and its management in Sleep Disorders. Introduction; Living organismââ¬â¢s exhibit a biological periodicity, this rhythm when occurs on a 24 hour cycle is known as ââ¬ËCircadian Rhythmââ¬â¢. A rhythmic biological cycle that displays an endogenous entrainable oscillation of less than 24 hours in known as ultradian rhythm. and that last for more than 24 hours is known as Infradian rhythms. Circadian Rhythms generate rhythmic cycling of sleep patterns, food intake, sexual behavior, core body temperature and secretion release of hormones such as ACTH, Prolactin, Gonadotorophin and Melatonin. Circadian Rhythms are generated by the Suprachiasmatic Nucleus (SCN) of the Anterobasal Hypothalamus. Pineal gland regulates the rhythmic production and release of melatonin. The duration, phase and amplitude of melatonin and cortisol secretion, are influenced by changes in light-dark cycles. The plasma levels are low during day time and are high at night. This rhythm is maintained by the SCN and is entrained by the light-dark cycle. Low light intensities like 100 to 500 lux also have been shown to suppressed levels of melatonin. Phototherapy or light therapy utilizes light boxes which are typically LED square bright lights, ranging from 8-12 x 12-24 inches that emit 10,000 Lux (highest Lux) light, cool color temperature light acts as natural sunlight without the harmful effect of UV rays. This mode of entraining the sleep wake cycle is an accepted modality and mainstay treatment in the non-pharmacotherpeutic management of Circadian Rhythm Disorders. Principles of Phototherapy The goal of the Circadian Rhythm is to maintain a bridge between sleep patterns and the internal clock that is set at a optimally synchronized time. This results in a normal sleep-wake pattern. The Biological Model-Phase response curve The Phase Response curve is modulated by two efficacious modalities i.e. light and melatonin, both of which are exploited to entrain the circadian cycle. Bright light is very helpful in synchronizing the human rhythms and the melatonin serves as a ââ¬Ëââ¬Ëdark pulseââ¬â¢Ã¢â¬â¢ helping to induce night-time behaviors. Bright morning light advances circadian rhythms; bright evening light delays them. Melatonin in the evening advances circadian rhythms; melatonin in the morning delays them. Circadian Disturbances and Insulin Resistance Type 2 Diabetes Mellitus is a multifactorial disorder, of which Circadian Disturbances is one of the lifestyle factors that contribute to it. Sleepdisturbances including sleep insufficiency, sleep loss, sleep fragmentation, are connected to abnormal Glucose Metabolism and thus, increase the risk of Type 2 Diabetes Mellitus. Studies in rodent models suggest that disruption of Circadian Rhythms leads to impaired glucose homeostasis and beta-cell failure, culminating in increased susceptibility to Type 2DM. Disturbed Circadian Rhythm is causative factor in the recent epidemic ââ¬Å"Obesityâ⬠. In controlled clinical studies, acute 1-3 week circadian misalignment (alone) or in combination with sleep restriction results in dysregulation of glucose homeostasis and consequent glucose intolerance attributed in part to loss of beta-cell function as well as decline in insulin sensitivity. CIRCADIAN RHYTHM PROBLEM CONTRIBUTES TO INFLAMMATORY DISEASES. Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohns disease (CD), is a chronic and recurrent inflammatory disorder of the intestinal tract. Study says that sleep disturbances are one of the main reasons of pathogenesis of the patients with IBD. In addition melatonin plays a vital role in regulation of inflammation as well as immune system and antioxidant system in the intestinal disorders. (16, 17) CIRCADIAN RHYTHM and visually Impaired Bright light has been shown to suppress Melatonin secretion even in visually impaired subjects which substantiates the fact that non-visual photoreceptors in the eye mediate the Circadian Rhythm regulating effects of light CIRCADIAN RHYTHM AND IMMUNITY Sleep restriction and sleep deficit increase your vulnerability to disease. The immune system is connected to the sleep regulatory system and actions of the immune system to fight disease.Sleep is regulated partly by immune system components called cytokines. Blood counts of T-cells and levels of proinflammatory cytokines are high during the night while leukocytes and the anti-inflammatory cytokine IL-10 go up during daytime. Changes in the immune system seem associated with the onset of narcolepsy, which has a neurological cause (brain cell death) inflammatory diseases increase cytokine levels and make people feel fatigued. This is a good thing during a short-term injury or illness, as it drives the person to rest. For those with chronic inflammation, however, the immune system keeps them tired for long periods, which may explain symptoms of fibromyalgia and chronic fatigue disorder. The trouble in sleeping that people with those conditions experience is not due to just the discomforts of the illnesses, but because the sleep regulation system is affected. The different phases of sleep are responsible for different functions within our bodies. The first and second phases involve settling in, resulting in rhythmic breathing and a lowered body temperature. The third and fourth stages are when our bodies are working to restore themselves. During this time our muscles relax and the blood supply going to them increases. Our bodies use this time to repair tissue damage and grow new tissue. Important hormones are released and our energy is renewed. These stages appear to be a critical factor in maintaining a healthy immune system and any sleep disturbance that impacts them, impacts our health. It is becoming increasingly evident that disruption of daily rhythms, such as from sleep deprivation, affects the immune response. Toll-like receptor 9 (TLR9), is an immune system protein that can sense bacterial and viral DNA Role of Phototherapy Cognitive Impact Light intensity has a direct impact on cognitive performance and alertness and on the subjective feeling of sleepiness. The researchers found that volunteers subjected to higher light intensity during the afternoon were more alert all the way into the early evening than those who were not. But when subjected to light intensity 10 times weaker, they showed signs of sleepiness and obtained lower scores on the memory tests. Artificial light is used to phase shift circadian rhythm and help improve performance, sleep, and well-being during shiftwork simulations , this was proved in study designed for NASA personals during t he prelaunch week. The treated subjects were self exposed to 10, 000 Lux. The treated personnel showed a positive result reporting better sleep, performance, and physical and emotional well-being than control subjects and rated the treatment as highly effective for promoting adjustment to their work schedules for the study. Nocturnal alertness, performance, and daytime sleep could be improved by light exposure of tolerable intensity and duration in a real work place. This was proved in a cross-over design study conducted on 12 night Shift nurses with three different treatment procedures: Room Light (RL) exposure in the night followed by a 1hr sunlight or 10,000 lux light next morning(08:30 to 09:30), Bright Light (BL) a 4-hour nocturnal light exposure of 4,000-6,000 lux (from 01:00 to 05:00) and Bright Light with Sunglasses (BL/S) the same nocturnal light exposure as in BL was done with light attenuation in the morning. Nocturnal alertness was measured by a visual analog scale. Daytime sleep was recorded with actigraphy. Nocturnal alertness was the highest in the BL/S. The improvement was maximized by attenuating morning light. Sun-Downing phenomenon Sundowning is a clinical phenomenon characterized by the emergence or increment of neuropsychiatric symptoms such as confusion, disorientation, anxiety, agitation, aggression, pacing, wandering, resistance to redirect screaming, yelling and so forth observed late afternoon, evening or at night and occurs among cognitively impaired, demented, or institutionalized elderly patients. In a 6-week, double-blind, placebo-controlled, cross-over trial the effects of bright light therapy combined with melatonin on motor restless behavior in demented patients had been evaluated. This study concluded that bright light therapy (10,000 lux bright light) has a positive effect on motor restlessness in subjects with dementia. Mood disturbances Manic-Depressive Illness (MDP): MDP is recurrent illness in which episodes of Mania and Depression occur and remit spontaneously. Several clinical studies say that disturbance in the Circadian Rhythms play a crucial role in its pathophysiology. Melatonin secretion shows abnormal levels in some bipolar patients (MDP). Patients with MDP exhibit circadian sleep wake rhythm in which patients spent one complete sleepless night in between two nights of normal sleep. In a study, 143 patients with a major depressive episode in the course of bipolar disorder (DSM-IV criteria) treatment with 3 consecutive totalsleepdeprivation cycle (each composed of a period of 36 hours awake followed by recovery sleep), light therapy, and lithium rapidly decreased the depressive suicidality and prompt antidepressant response in patients with drug-resistant major depression in the course of bipolar disorder. Borderline personality disorder (BPD) is typically characterized by instability and impaired behaviour , affectivity, interpersonal relations and lifestyle. This open study assessed 13 female patients for the effectiveness of the application of bright light (10,000 lux, 6:30 to 7:30 a.m. for 6 weeks) added to SSRIs in drug-resistant depressed patients with comorbid BPD who did not show any improvement to 6-week administration of antidepressants. The participants were regularly evaluated using the CGI, HAMD and MADRS scales and the BDI and BDI self-report inventories. All the assessments proved that the application of Bright light leads to a significant improvement. SAD: Phototherapy acts through Retinal Melatonin or Rhodopsin, which regulates Dopamine release in the eye where it acts as the main neurotransmitter. The retina-SCNvpineal gland forms a link, which is disturbed in SAD. By suppressing retinal Melatonin, Phototherapy has been suggested to correct the underlying biochemical abnormality seen in SAD and thereby inducing clinical remission.In Non- Demented people, light therapy is an accepted and validated treatment for seasonal affective disorder, but has also been reported to be effective in Non ââ¬âSeasonal Depression (15). Recently it has been noted that exposure of SAD patients to natural sunlight in the morning hours resulted in complete remission of depressive symptoms. In the study, N=24(12 SAD patients and 12 controls) were exposed to morning light therapy in the winter and the melatonin profiles being sensitive to light were measured before and after treatment. The SAD Patients showed a phase advance of melatonin rhythms in response to phototherapy which showed an association between phase position and phase shift in the SAD patients. This instability may be secondary to impaired serotoninergic function in the afferent pathways to the suprachiasmatic nuclei. This seems to be a significant advancement in the etiology of SAD that links light with Mood Disorders. In Seasonal Affective Disorder (SAD) is common when vitamin D stores are typically low. wavelengths between 280-320 nm which are Broad-spectrum light therapy that allow the skin to produce vitamin D. In a prospective, randomized controlled trial was conducted N=15 subjects with SAD (8 subjects-100,000 I.U. of vitamin D and 7 subjectsââ¬âphototherapy). At the onset of treatment and after 1 month of therapy subjects different depression scale were administered. Vitamin D status improved in both groups (74% vitamin D group, p ADHD Morning bright light therapy is associated helps reduce both subjective and objective measures of core ADHD pathology, improves mood symptoms, and phase advance in circadian preference. Multiple regressions showed that the shift toward an earlier circadian preference with LT was the strongest predictor of improvement on both subjective and objective ADHD measures. In the Elderly The risk of developing depression increases with old age. The occurrence of a major depressive episode in Alzheimerââ¬â¢s disease is as high as 20-25%and minor depressive symptoms occur in an additional 20-30% (9, 10). In a randomized double-blind placebo-controlled trial, patients with early Alzheimerââ¬â¢s Disease (AD), Mild Cognitive Impairment (MCI) and Subjective Memory Complaints (SMC)(N=79, Age = between 50 75). Patients were exposed to ~10,000 lux for two years, the active condition or ~300 lux in the placebo condition, daily, for two half-hour sessions at fixed times in the morning and evening. Neuropsychological, behavioral, physiological and endocrine measures are assessed at baseline and follow-up every five to six months. The evaluation showed long-term daily bright light prevented worsening of sleep-wake rhythms and depressive symptoms in elderly people with memory complaints. Elderly experience increased difficulties with sleeping, and thus could be one of the contributing factor for mood problems.(11) Factors contributing in Aging process Aging process | | Impaired Ocular light transmission due to age related eye deficiencies | | Requires high demand of light intensities inorder to maintain a sufficient input to SCN | | Diminished SCN input | | Arrhythmia in the Sleep Wake cycle Studies report that it is possible to reactivate the SCN and improve ââ¬ËSleep ââ¬âWake Rhythmââ¬â¢ by applying extra light. Light therapy provides a safe treatment option (13).Itââ¬â¢s reported that, bright light therapy is decreasing common health issues (14). In 10 Alzheimers patients with sundowning behavior and sleep disturbances were studied for a week who received 2 hours/day of exposure to bright light between 7:00 p.m. and 9:00 p.m. The results showed that the proportion of total daily activity occurring during the nighttime decreased during the light-treatment week. The relative amplitude of the circadian locomotor activity rhythm, a measure of its stability, increased during the light-treatment week. This kind of effect mediated through a chronobiological mechanism. Artificial light is used to phase shift circadian rhythm and help improve performance, sleep, and well-being during shiftwork simulations , this was proved in study designed for NASA personals during t he prelaunch week. The treated subjects were self exposed to 10, 000 Lux. The treated personnel showed a positive result reporting better sleep, performance, and physical and emotional well-being than control subjects and rated the treatment as highly effective for promoting adjustment to their work schedules for the study. In study bright light exposure improved sleep quality in 7-18% subjects, the study consisted of 13 interventional studies with 1154 participants. Jet lag causes distress to the number of travelers impairing sleep, mood and cognitive performance. Timed exposure to bright light and melatonin administration can help to reduce symptoms. Specific recommendations using bright light and melatonin for eastward and westward travel before and after departure are provided for time zone changes of up to 6, 7ââ¬â9 and 10 or more hours. Timed bright light and melatonin administration, by helping to adjust underlying circadian rhythms to the new time zone, can serve to mitigate the symptoms of jet lag. Reducingthe symptoms of jet lag by this methods can lessen the mood, cognitive and behavioral symptoms resulting from these desynchronized rhythms.(
Motivation: Reward System and the Role of Compensation :: Papers Management Business Essays
Motivation: Reward System and the Role of Compensation The design and management of reward systems present the general manager with one of the most difficult HRM tasks. This HRM policy area contains the greatest contradictions between the promise of theory and the reality of implementation. Consequently, organizations sometimes go through cycles of innovation and hope as reward systems are developed, followed by disillusionment as these reward systems fail to deliver. Rewards and employee satisfaction Gaining an employee's satisfaction with the rewards given is not a simple matter. Rather, it is a function of several factors that organizations must learn to manage: 1. The individual's satisfaction with rewards is, in part, related to what is expected and how much is received. Feelings of satisfaction or dissatisfaction arise when individuals compare their input - job skills, education, effort, and performance - to output - the mix of extrinsic and intrinsic rewards they receive. 2. Employee satisfaction is also affected by comparisons with other people in similar jobs and organizations. In effect, employees compare their own input/output ratio with that of others. People vary considerably in how they weigh various inputs in that comparison. They tend to weigh their strong points more heavily, such as certain skills or a recent incident of effective performance. Individuals also tend to overrate their own performance compared with the rating they receive from their supervisors. The problem of unrealistic self-rating exists partly because supervisors in most organizations do not communicate a candid evaluation of their subordinates' performance to them. Such candid communication to subordinates, unless done skillfully, seriously risks damaging their self-esteem. The bigger dilemma, however, is that failure by managers to communicate a candid appraisal of performance makes it difficult for employees to develop a realistic view of their own performance, thus increasing the possibility of dissatisfaction with the pay they are receiving. 3. Employees often misperceive the rewards of others; their misperception can cause the employees to become dissatisfied. Evidence shows that individuals tend to overestimate the pay of fellow workers
Tuesday, October 1, 2019
Prospero and Ariel Essay
à She just wants to be. This is why I want Lady Macbeth to show her emotions quite clearly when she is telling the spirits to take her emotional ways. I want her to be yelling these things and perhaps crying as she says to take all these things away from her. As soon as she says ââ¬Å"Come, you spiritsâ⬠I want her to drop to her knees with her hands spread out above her head, beckoning them to come to her. Lastly when she says ââ¬Å"to cry, ââ¬ËHoly, hold,ââ¬â¢ I want her to just cry silently holding herself tightly, her head down. This would have intrigued both Elizabethan audience as well as today; all though she wants to be apart of evil spirits and kill someone who in Elizabethan times would have been chosen from God, which would be a sin above all sins, not only to kill, not only to trust the witches but to kill somebody appointed from God would be blasphemy. But she would still have emotion showing that she is still human. After this soliloquy I want fog to immerse her to represent the evil that is folding around her and I want the lights to go out. When the lights come back on I want her to be in perfect condition, like it had never had happened. This is when Macbeth will enter. In this first section of the play there are certain words I need the actress to put extra emphasis on. We know that Lady Macbeth is controlling, evil, power-hungry, and a temptress. This is why during this scene I want her to say ââ¬Å"Thus thou must do, if thou have itâ⬠hissing the words, and grinning slightly to herself. This represents how she is plotting her evil ways to kill Duncan. Also when she says ââ¬Å"bear welcome in your eye, your hand, your tongue: look like the innocent flower But be the serpent under ââ¬Ëtâ⬠I want her to have one hand on Macbethââ¬â¢s face tracing over it and another hand around his waist, very close into him. I want her to make serpent loud and very clear for it is very important. Elizabethans are very religious as noted before, but the serpent is a representation of the serpent in Adam and Eve. Where it deceives Eve and makes her eat the apple. Elizabethans would be fearful of snakes and they would have dark and evil aspects associated with this animal. Which is why their must be great emphasis on it. I do this to emphasize her control over Macbeth, by touching him and to show him how to manipulate his face, but also how she uses her sexuality to make him do so. Lady Macbeth has the last words in this scene, this shows her power over Macbeth and how she is the one leading. Now Shakespeare tends to keep the last lines a rhyming couplet to summarize the scene. This one though does not fit this pattern, it ends with ââ¬Å"Leave all the rest to me. â⬠This is to emphasize that Lady Macbeth is going to be the one to kill Duncan. This sentence is very important for she also cuts off when Macbeth says ââ¬Å"We will speak further,â⬠this shows how Lady Macbeth is controlling Macbeth; she is giving him no choice. This relationship bond would have also intrigued Elizabethans at this time. Not only was she condemning herself to eternal damnation she also was being the man in a relationship. Woman Elizabethans would have been thought to just smile and give men children, while cooking and cleaning. Lady Macbeth defies this view on woman, for she controls her husband and tells him exactly what to do. While in todayââ¬â¢s society this would be almost considered normal that she had some power in the relationship. Later on in the play we see a gradual change in Lady Macbeth. The scene where I feel there is the most contradictory to what we first see of her is in act 5 scene One. In this scene we see Lady Macbethââ¬â¢s mental state be torn and how she goes into madness. She is sleep walking, and dreaming of the murder of Duncan. Before Lady Macbeth even enters the stage, she is already being talked about behind her back, by people who had once been a lower status then her. This immediately shows Lady Macbeth has lost her status, and control. When Lady Macbeth enters the room, she is holding a candle. This is very significant because it shows how Lady Macbeth is afraid of the dark, and in this case the dark is associated with evil. For this reason I want Lady Macbeth to be holding the candle very close to her bosom and protecting it from the wind or any draft. She must seem very close to it and must not let it out of her sight. When she says ââ¬Å"Hell is murkyâ⬠I want her to say it extremely slowly with her eyes closed and her face in pain while her hands wrapped around herself. I pay close attention to this because it now shows how Lady Macbeth who once did not care of hell, is now scared of it. I want her hands wrapped around her for this particular sentence to show how she is alone and vulnerable as well as her eyes closed. This further proves that she does have a conscience. This scene is very significant to the audience to see such a change in Lady Macbeth. I would need Lady Macbeth to not look at anyone straight in the eyes; she would have to seem in another world. For she is, she is dreaming. Her hair would probably be tousled to further indicate her inability to keep up with reality, slowing falling into her own little world. We see her trying to rub the blood off her hands (which in reality is not there), we know this for the gentlewoman says ââ¬Å"washing her hands; I have known her continue in this a quarter of an hourâ⬠and Lady Macbeth says ââ¬Å"Yet hereââ¬â¢s a spotâ⬠. By spot Lady Macbeth refers to Duncanââ¬â¢s blood on her hands and in her mind she cannot get it off, itââ¬â¢s a stain on her conscience. Her conscience is controlling her, doing exactly what she didnââ¬â¢t want to happen in the first place. She wanted control; she wanted to be able to do this without caring about the death of men yet she goes into madness from doing it. This part is also in straight relation to when Macbeth killed Duncan, for he had said that there was blood on his hands, ââ¬Å"Will all great Neptuneââ¬â¢s ocean wash this blood Clean from my hand? â⬠But at that point of time Lady Macbeth had taken it literally, and told him to wash his hands, ââ¬Å"A little water clears us of this deed;â⬠. While now she now seeââ¬â¢s how it never goes away no matter how much she scrubs. Lady Macbeth feels as if she is a murderer and what she has done cannot be undone. But also to this self hatred and regret she also believes she has made a monster as well. She says ââ¬Å"Thane of Fife had a wife: where is she now? â⬠Shakespeare draws immediate attention to this sentence for itââ¬â¢s a rhyme. Shakespeare is emphasizing how Lady Macbeth knows Macbeth killed her, and that this killing had also helped with the tearing of her conscience. She feels that she created this beast and that it is her fault that the wife of the thane of fife is dead. I want her to say these words shaking her head and crying, to show how much that this one death has affected her more because she did not want her to die. During this scene Lady Macbeth now speaks in prose. This shows how Lady Macbeth has a loss of control and status. It is also very highly punctuated this forces the actress to speak in a broken fashion, which reflects Lady Macbethââ¬â¢s state of mind. I want the actress to embrace this and speak with lots of different paces and pitches. I donââ¬â¢t want her to speak with anything flowing, every word should b disjointed almost, especially when she repeats what she said in the earlier scenes such as ââ¬Å"Fie, my lord ââ¬â fie! A soldier and afeardâ⬠and also ââ¬Å"Hereââ¬â¢s the smell of the blood still: all the perfumes of Arabia will not sweeten this little hand. Oh! Oh! Oh! ââ¬Å", which related to what Macbeth had said before ââ¬Å"Will all great Neptuneââ¬â¢s ocean wash this blood Clean from my hand? No, this my hand will rather The multitudinous seas incardine, Making the green one red. â⬠I perceive this as a very sad scene. The Doctorââ¬â¢s last words in the scene make us pity Lady Macbeth. Elizabethans would have seen Lady Macbeth almost as a devil, today even we would have seen Lady Macbeth particularly evil, but in this scene this perception of her transforms into pity and sorrow for her. We see her being tortured by her wrong doing. The Doctor says ââ¬Å"Still keep eyes upon herâ⬠, he talking about God to take care of her and to forgive her of her wrong doing and make her soul at peace. The Doctor knows what she has done, for Lady Macbeth in her dream state is spilling the murder. Even with this he asks for God to look down upon her and protect her from herself. These lines he speaks would have to be much emphasized with a lot of sadness in his tone of voice. Perhaps after his lines Lady Macbeth could drop to her knees and start frantically rubbing her hands with desperation to further make the audience have a touch of heart for Lady Macbeth. All though I think todayââ¬â¢s audience might only slightly pity Lady Macbeth, while in Elizabethanââ¬â¢s times not at all. Elizabethanââ¬â¢s would be glad that Lady Macbeth is in pain and is suffering from her wrong doing, and they would of thought that if you do evil, God will punish you.
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