Sunday, May 24, 2020

Gomennasai Versus Sumimasen in Japanese

Both Gomennasai and Sumimasen are used when you have made a  mistake or inconvenienced someone. Sumimasen is also used when expressing a feeling of gratitude, but Gomennasai cannot be used in such situations. For the most part, it comes down to a matter of personal preference whether to use either Sumimasen 㠁™ã  ¿Ã£  ¾Ã£ â€ºÃ£â€šâ€œ or Gomennasai 㠁”ã‚ Ã£â€šâ€œÃ£  ªÃ£ â€¢Ã£ â€ž, but there are a few subtleties to be aware of. Sumimasen is a little more formal than Gomennasai.When you apologize to the higher or the senior, Sumimasen is used in general.Among the family members or close friends, it is common to use Gomennasai. Gomen ne or Gomen can be used in a more casual case.Older people tend to use Sumimasen more than younger people. Gomennasai can be used when apologizing to someone with whom you have a close relationship. But when speaking with superiors or people with whom one is not very close, Sumimasen or Moushiwake arimasen are used instead, since Gomennasi can have a childish ring to it.

Wednesday, May 13, 2020

Social Media And Health Behavior - 930 Words

Social Media and Health Behavior Social media is affecting all age groups and contributes to how the nation shares and receives information, including vital topics such as their health. The correlation between the use of social media and health behavior is valuable to nurses and patients alike. It can be manipulated to provide accurate health information, influence healthier lifestyle changes, and reach a larger audience about specific events in the community. Social media can hinder health behaviors in individuals with little guidance and lack the knowledge to sort through credible information, because they may not feel the need to seek medical help. With nurses available to reach the vast majority through technology, they can guide a more positive health attitude and prevent a negative outlook. With social media applications expanding, seizing the opportunity to spread a wealth of material at the click of a button can play a role in managing positive health behaviors. The following information focuses on how social media can promote health conscious behaviors in many patients and individuals while exploring the overall impact, the role of the nurse, and controversy with this technology. Social media is a common vector for searching, sharing, and receiving all types of information. Due to hand held accessibility, many opt to search for health care topics via applications on the Internet or cell phone. As 85% of Americans are using the Internet in some way, a large amountShow MoreRelatedSocial Media s Influence On Mental Health And Overall Quality Of Life1707 Words   |  7 PagesSocial media usage by adolescents must be limited in order to improve mental health and overall quality of life. Adolescent social media activity continues to grow, creating technology dependence in younger generations. Technology remains in its prime throughout the twenty first century with advancements in internet and smartphone capabilities. 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Mass media posts needRead MoreEssay on Transtheoretical Model and Chronic Stress Management1537 Words   |  7 PagesThe behavior I would like to change is the management of chronic stress. Chronic stress is a precursor for most health problems in today’s society. If we look at the start of most health problems, we can likely trace it back to chronic stress. Chronic stress releases levels of cortisol higher than normal. Cortisol is a hormone released from someone with chronic stress, which can which can negatively affect the body’s ability to function. Getting sick is another negative factor of being overlyRead MoreSocial Media And The Negative Outcomes1531 Words   |  7 Pagesin studies between the use of social media and the negative outcomes it imposes on young adults. Some examples include increased anxiety, depression, loneliness, and worthlessness. These potential negative effects raise concerns about young adults’ increased usage of social media within the past decade. Lenhard, Purcell, and Smith (2010), assert in their journal the following: â€Å"93% of young adults between the ages of 18 and 29 go online; 72% of young adults use social networking websites; and one-thirdRead MoreSocial Networking Sites ( Sns )1207 Words   |  5 PagesHave you heard of Facebook, Twitter, Instagram, Snap Chat, or Myspace? It is probably safe to say most of us have heard of one of these, if not all of these social networking sites (SNS). If by chance, you are unfamiliar with SNS, they are online based social exchange websites. Anyone can get a profile on anyone of the sites mentioned above with a valid email address, unless under the age of thirteen. (Phillips, 2007) SNS give an individual an area to create a profile, that allows them to place

Wednesday, May 6, 2020

Type 2 Diabetes Free Essays

string(74) " on a daily basis but still finds it hard to start healthy eating habits\." Living with Type 2 Diabetes Introduction Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood sugar. Hyperglycemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body’s systems. We will write a custom essay sample on Type 2 Diabetes or any similar topic only for you Order Now No cure has been found for this disease. However, an important part of managing diabetes is maintaining a healthy weight through a healthy diet and exercise plan. Olokoba, Obateru, Olokoba, 2012) Type 1 diabetes (previously known as insulin-dependent, juvenile or childhood-onset) is characterized by deficient insulin production and requires daily administration of insulin. The cause of type 1 diabetes is not known and it is not preventable with current knowledge. Symptoms include excessive excretion of urine (polyuria), thirst (polydipsia), constant hunger (polyphagia), weight loss, vision changes, and fatigue. These symptoms may occur rapidly. Mosorovic, Brkic, Nuhbegovic, Pranjic, 2012) Type 2 diabetes (formerly called non-insulin-dependent or adult-onset) results from the body’s ineffective use of insulin. Type 2 diabetes comprises 90% of people with diabetes, and is largely the result of excess body weight and physical inactivity. Symptoms may be similar to those of Type 1 diabetes, but are often less obvious. As a result, the disease may be diagnosed several years after onset, once complications have already arisen. (Mosorovic, Brkic, Nuhbegovic, Pranjic, 2012) Diabetes is the seventh leading cause of death in the United States, affecting 25. million people of all ages (8. 3 percent of the U. S. population). Of the 25. 8 million affected people, 7. 0 remain undiagnosed. Diabetes is the leading cause of heart disease, stroke, kidney failure, lower-limb amputations, and new cases of blindness among adults in the United States. (http://diabetes. niddk. nih. gov) Meet Mrs. M, who was diagnosed with type 2 diabetes at the age of 35. Mrs. M is now 57 years old. She has learned that although there is no cure for type 2 diabetes, it can be managed. She is aware that in order to better manage this disease she needs to eat well, exercise, and maintain a healthy weight. Mrs. M has graciously agreed to be interviewed. We will learn more about her, how she copes with this disease, and her struggle in maintaining a healthy weight by incorporating healthy cooking in her lifestyle. I will use the five holistic variables within the Neuman Systems Model (NSM) to identify how Mrs. M’s internal and external environment are affected. I will also assess Mrs. M’s learning needs and provide a trustworthy and reliable resource from which she can benefit from. Physical Variable Mrs. M was diagnosed with type 2 diabetes at the age of 35 when she became pregnant with her last child. During a routine doctor’s visit, it was noticed Mrs. M was gaining a significant amount of weight. Around her 24th week of pregnancy, the doctor ordered she have a glucose test. The test showed a high level of sugar in her blood. The test was repeated and once again, it showed that her glucose level was higher than normal and there was also sugar in her urine. At that point, the doctor diagnosed her with gestational diabetes. In 1990, the only thing that was prescribed was that she begin administering a daily injection of insulin. This came as a completely shock to Mrs. M. She had never even heard of this thing called â€Å"diabetes†. Even more disturbing was the fact that she, and her unborn baby, was now carrying this disease. The doctor advised Mrs. M that although the glucose could reach and affect her baby, the insulin would not cross over to the baby. She was pleased with the news that once she delivered the baby, she would return to her normal diabetic state. The doctor informed Mrs. M the importance of checking her blood glucose and maintaining a healthy diet after the birth. This would help to reduce her chances of developing type 2 diabetes. Despite the recommendations, Mrs. M ended up developing type 2 diabetes. For the past 22 years, Mrs. M has been living with this chronic disease. Her medication has been changed several times throughout the years. At the moment, she is taking Glucophage 500mg and 4 units of Humilin in the morning. From the last time Mrs. M was seen by her primary care physician, these were her results: she weighed 170 pounds, blood pressure was 122/78, average blood sugar was 125 mg/dL, average hemoglobin A1c test (HbA1c) average was 5. 98%, her cholesterol and triglyceride levels were within normal limits, her kidneys were working well, and no obvious sores or infections of her feet or skin. Her last optometry visit showed no problems with her vision. She knows dental exams and cleaning are important and makes sure to visit the dentist every six months. In assessing Mrs. M’s physical variable, I determined that the lack of knowledge about diabetes as a major stressor. Mrs. M’s doctor visits have been a major resource. Socio-cultural Variable She is a traditional Mexican woman and her cooking or eating habits have never been a concern. She has always cooked traditional Mexican dishes, which are high in fat. She never learned to cook or eat healthy. It is a belief of Mrs. M that anything that is â€Å"low fat†, â€Å"nonfat†, or essentially â€Å"healthy† must not taste good. Mrs. M was recently laid off and is unemployed, leaving her with no insurance. She does not want to visit the doctor’s office because she says that it is too expensive. Not only does she have to pay for her medication, but also the doctor’s visit and the laboratory bill. This has given her motivation to try to lose weight. She does realize that if she loses weight, she could possibly be able to get off the medications she is on. At this point, she is walking on a daily basis but still finds it hard to start healthy eating habits. You read "Type 2 Diabetes" in category "Essay examples" She would like to learn how to maintain a healthy diet that she and her family can benefit from. It is hard for her to break free from all the foods she has loved all her life. However, she realizes it is necessary to make this drastic change in order to help her lose the weight. In assessing Mrs. M’s social-cultural variable, I determined that the lack of insurance as a major stressor. Mrs. M’s motivation and willingness to lose weight are major resources. Psychological Variable Just like everyone else, Mrs. M has good days and bad days. On most days, she feels motivated and hopeful that she will be able to better control her diabetes and get off her medicine. She goes on daily walks and really enjoys it when her daughter goes with her. She says that when her daughter goes on these walks with her, it makes the time go by fast and she really enjoys the time they spend together. These walks serve not only to lose weight but also as a distractor. Mrs. M uses this time to talk about her day and about life in general. However, there are days that are not so good for Mrs. M. There are days where she feels defeated and burned out by her diabetes. She feels like she is â€Å"old† now and her health is slowly declining. She has had this disease for so long now and doesn’t see any improvement. It has been a stagnant process for her and that really frustrates her. There are days when she gets angry that she can’t eat certain foods and that she has to take medications to be able lead a semi normal life. Some days, she feels like just giving up and letting God decide her faith. In assessing Mrs. M’s psychological variable, I determined her feeling of defeat is a major stressor. Mrs. M’s daily walks with her daughter are a major resource. Spiritual Variable Mrs. M is a devoted Catholic. She has complete faith in God, the Catholic Church, and the power of prayer. Mrs. M feels our whole universe isn’t controlled by human beings, but by God. Her life, past and future, lies solely in God’s hands. There is no question in her mind that there is an afterlife, where her soul and spirit will rise to and will go to a better place. She is not scared of death. She looks forward to the day when she will be at peace and free of worries and pain; a place where she will live eternally, full of happiness and joy. She anticipates the day when she can reunite with her father and be able to see him, talk to him, and hold him again. Mrs. M feels she has lived a gratifying and good life. She says she has been blessed to have had the opportunity to live and experience this thing we call â€Å"life†. She knows her disease has many health consequences and feels that if something happens to her, God made it happen for a reason. He controls her life and she is willing to accept what he has decided for her. In assessing Mrs. M’s spiritual variable, I determined that there is no stressor involved. Mrs. M’s faith in God is a major resource. Developmental Variable Stage of development Generativity vs. Stagnation is Erik Erikson’s second psychosocial development stage of adulthood and happens between the ages of 25-64. During this time, we establish our careers, settle down within a relationship, begin our own families and develop a sense of being a part of the bigger picture. We give back to society through raising our children, being productive at work, and becoming involved in community activities and organizations. By failing to achieve these objectives, we become stagnant nd feel unproductive. Mrs. M is in the Generativity stage. (Craven, Hirnle, 2009) Tasks of developmental stage Mrs. M is married with 4 grown children, and will celebrate her 36th wedding anniversary on December 14, 2012. Mrs. M was born in Jalisco, Mexico and moved to the United States when she was 21 years old. Her ideas and customs still remain traditional to the Mexican culture. Mrs. M was rais ed with the idea that family should come before everything, even herself. Mrs. M put her education on hold to be able to provide for her family, leaving her to work low paying jobs. She has worked her whole life to give her children the most and best she can. This has included working 12 to 14 hour shifts and then rushing home to make sure her kids had dinner and did their homework. She has always strived to keep her family happy, safe, and united. Her children are grown now and she maintains a good relationship with them. Now that her children are grown, she feels a sense of emptiness. She admits to feeling an overwhelming amount of sadness when thinking of how her house was once filled with her children’s laughter and now is so â€Å"empty†. There have been days when she feels she may be depressed. On these days she has to force herself to get out of bed and doesn’t feel like eating. She knows this is not good for her and affects her diabetes. She has noticed when she is feeling this way, her blood sugar drops. On the other hand, remembering all the precious times she has lived with her family brings a smile to her face. Mrs. M has always made her kids her number one priority and feels they have not let her down. Knowing that her kids are positive and productive members of society gives her a sense of accomplishment. She has a glow on her face every time she speaks of her kids. It makes her feel proud, loved, and special to know she has a family she can depend on, regardless of the situation. In assessing Mrs. M’s developmental variable, I determined that the depression she deals with is a major stressor. Mrs. M’s family is a major resource. Health Learning Needs After speaking with Mrs. M, her main concern is incorporating healthy meals and eating habits into her lifestyle. She feels cooking healthy is something she has always struggled with and would like to get more information as to how to cook healthy meals. Mrs. M has made it clear that she is a visual and hands on learner. She needs to †first see it and then do it† in order to better understand a task. Due to this information, I believe Mrs. M would benefit from a website that plays videos and has live demonstrations. Learning resource My recommendation to Mrs. M is that she visits the American Diabetes Association website at www. diabetes. org. This website has a lot of information that is helpful to anyone with type 2 diabetes. Mrs. M would benefit from the â€Å"Food and Fitness† tab. Under this tab she can find information on what type of foods she should be eating, healthy recipes, and helps in planning meals. There is also information about fitness and weight loss. There are great exercise ideas which will help Mrs. M get motivated to lose weight. This website offers live videos which will help with her visual learning need. Conclusion In summary, the NSM aims to promote a client’s optimal wellness. This model helps us see beyond just the objective clinical manifestations, which we are trained to observe. It helps us understand our clients on a whole new level, an interpersonal and holistic level. By completing an accurate NSM assessment, we see how culture, economic resources, spirituality, and family affect a client’s disease process. With the help of the NSM, I was able learn more about Mrs. M, assess her learning need, and provide a trustworthy and reliable resource from which she can benefit from. The www. diabetes. org website will teach her how she can maintain a healthy weight by incorporating healthy cooking in her lifestyle. References Olokoba, A. B. , Obateru, O. A. , ; Olokoba, L. B. (2012). Diabetes Mellitus: A Review of Current Trends. Oman Medical Journal, 27(4), 269-273. oi:10. 5001/omj. 2012. 68 Mosorovic, N. , Brkic, S. , Nuhbegovic, S. , ; Pranjic, N. (2012). Quality of life of people with Diabetes Mellitus. Healthmed, 6(7), 1076-1080. Demirbag, B. (2012). Neuman system model as a conceptual framework for community-based nurses when working with patients. Healthmed, 6(7), 2438-2445. Craven, R. F. , Hirnle, C. J. (2009). Fundamentals of Nursing. Philad elphia: Lippincott Williams and Wilkins. National Diabetes Information Clearinghouse (NDIC) (February 2011). Fast fact on Diabetes. Retrieved from http://diabetes. niddk. nih. gov/dm/pubs/statistics/#fast How to cite Type 2 Diabetes, Essay examples

Sunday, May 3, 2020

The Dirty Little Secret of Childrens Television free essay sample

A discussion of the negative influence of childrens TV shows on the modern child. This paper looks at childrens television and its negative influence on children today. The first section starts off the paper with a view into the positive side of childrens television. Television isnt entirely evil, so this section helps the reader understand that you arent completely against television. The second section describes how children are emotionally and mentally influenced by television shows. The third section relates how a childs increasing violent nature could be the result of the violence that they view every day in their shows. The fourth section discusses how the media is involved, primarily on a consumer basis. The fifth and final section refers to what the parent can do to in a world that is surrounded in television. Televisions shows that are directed primarily towards a child audience are to a large degree responsible for the controversial decline in development that is visible in todays youth culture. We will write a custom essay sample on The Dirty Little Secret of Childrens Television or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Through this medium children are exposed to vast quantities of violence and negative themes. These shows contribute to the breakdown of family as well as the lessened emotional development of children. Not only has television proven detrimental on a child-to-child basis, but in addition has greatly influenced the overall standards of our consumer culture and quite possibly made us more so. While childrens educational television shows are given high notoriety for making a positive contribution to a childs education and development, the problem lies in the fact that parents oftentimes neglect to research or take an active interest in their childrens viewing. Due to the fact that they consider the programs directed mainly towards children to be either education or purely for the basis of entertainment parents do not seriously scrutinize them. In effect they fail to suspect these shows as being a major contributor to the upbringing and future of their children and the younger generation .

Friday, March 27, 2020

Romeo & Juliet Essays (635 words) - English-language Films

Romeo & Juliet Romeo and Juliet is one of Shakespeare's plays about tragedy. It is about two lovers who commit suicide when their feuding famillies prevent them from being together. The play has many characters, each with its own role in keeping the plot line. Some characters have very little to do with the plot but some have the plot revolving around them. Friar Lawrence does not have very much time on stage but the time he does have is crucial to the plot line. Through his words Friar Lawrence demonstrates the he is a good intentioned, yet sometimes short-sighted, man who is not afraid to take risks to help others One of Friar Lawrences most favourable traits is how good intentioned he is. He may do something out of the ordinary if he thinks the outcome will help someone he cares for. For example, when he says "In one respect I'll thy assistant be; for this alliance may so happy prove, to turn your households rancour to pure love."(Act 2, Scene 3), he is saying that the only reason he will marry Romeo and Juliet is because he hopes that the marriage will end the hostilities between the two houses. When he says "Shall Romeo by my letters know our drift, and hither shall he come; and he and I shall watch thy waking, and that very night shall Romeo bear thee to Mantua." (Act 4, Scene 1), he tells Juliet how everything will be all right. Unfortunately, for all his good intentions the play still ends in tragedy. Friar Lawrence is a man who is not afraid to take risks when he feels it is neccesary to help someone. For example in Act 2, Scene 6, when he marries Romeo and Juliet, he is risking his reputation as a Friar so he can help the two lovers. Also, when he says "Take thou this vial, being then in bed, and this distilled liquor drink though off;" (Act 4, Scene 1), he is suggesting that Juliet drink a potion so that she might feighn her own death and avoid marrying Paris. This is an extremely risky thing to do because anything might happen to Juliet while she unconscious. Even after all Friar did to help Romeo and Juliet the play still ended in tragedy because of Friar Lawrences' short sightedness. When the Friar married Romeo Juliet in secrecy, he did not think of all the complications that would arise but instead went on with the marriage because at that time he thought it was the right thing to do. In Act 4, Scene 1, he gave Juliet a sleeping potion without thinking of the possible outcomes of such an outrages plan. He admits that much of the fault of the tragedy lies in his hands when he says "And her I stand both to impeach and purge myself condemned and myself excused", and when he say "Her nurse is privy; and, if aught in this miscarried by myself..." (Act 5, Scene 3). Although Friar Lawrence does not have an especially large role, his role is none the less important. It is because of his good intentions that he was willing to help his friends that Romeo and Juliet were married - a key event in the play. It is because of his willingness to take risks for his friends that Juliet aqquired the sleeping potion - another key event in the play. Finally, it was the shortsightedness of his actions that in part led to the deaths of the two lead characters. This demonstartes that Friar Lawrence was a man who was a man with good intentions who was willing to take risks to help his frieneds. If he had been any other way, the play might not have turned out the way it did.

Friday, March 6, 2020


AMERICAN INDUSTRIAL REVOLUTION essays During part of Thomas Jefferson and Jacksons presidency, what we now call the American Industrial Revolution took place. It was an era filled with bursts of technology and immigration. This era seemed to hurt the young country, however. But for the most part, the American Industrial Revolution forever benefit the well-being of the young nation. There were many aspects of the industrial revolution that came into part and played major roles in determining the success (or to some, failures) of this era. One might remember this revolution to be famous for factories, womens rights and other social changes, and economic changes in trade. It is true that this era was famous for these (or to some, infamous), and although not all effects of the revolution were good, it is a firm belief that the good everlasting effects definitely outweighed the bad. With that said, the Industrial revolution benefit the United States to a great extent that surpassed what was hurt in the process. For much of the people that lived during that era, it was very common for one to work in the factory. And there is no denying that the workplace was a horrendous environment. It was unsafe. During that time, it did hurt the people because they lived in lowly places and had long hours with little pay. But time and time again, we will see that we need to fall in order to get up and become stronger. For you see, factories benefit us greatly. It increased mass manufacturing, which in turn helped feed the masses of immigrants that flocked to the United States. Through companies such as the Lowell Factory, they were able to mass produce cotton cloth by power machinery in a building. That was the first time in world history. Factory workers and factories during this revolution are practically the roots of where our mass production of goods come from. If factories did not become so popular, the nation would not have been as industrialized. If the na...

Wednesday, February 19, 2020

Impact of Management Style Essay Example | Topics and Well Written Essays - 750 words

Impact of Management Style - Essay Example A manager’s action can directly or indirectly affects guests’ dining experience. They can be listed below; Manager should initiate to design a code of ethics for his firm. Code of ethics to a business means the set of principles and concepts that is designed to achieve the proposed objectives and goals by ensuring the collective effort of all employees, managers, and other individuals. It has great significance in the food and hospitality service too. The main focus of the code should be the requirements of community, law, employees and shareholders. As part of the ethical concern, the manager has to ensure the quality of products and services offered to the customers. Employees should be made convinced of the importance of their ethical compliance in order to acquire customer satisfaction. Legal compliance is one of the most important aspects of food and beverage operation. Managers need to ensure that their firms maintain the required legal standards especially on quality of food, service, and sanitation (Jones P. & Merricks P, 1994, p.164). Commitment to legal compliance would force employees to adhere to the manager’s instructions; and it will indirectly enhance customer satisfaction. Manager has to heed his/her genuine attention to employ selection process. Effective workforce is the asset of every business organization. While recruiting employees to food and beverage service, candidates with academic background on hospitality management have to be given priority. Potential candidates from the required quality area will ease manager’s effort to operate the business. In addition to selection, they should be given adequate training on their assigned duties. Manager needs to evaluate the performance of his employees frequently and reassign their roles if necessary. It not only improves employees’ level of performance but also enhances the customer’s dining experience. If a manager is not bothered how