Thursday, October 31, 2019
PACKAGING FUNCTIONS Essay Example | Topics and Well Written Essays - 250 words
PACKAGING FUNCTIONS - Essay Example Products are at high risk of these damages when they are transported from place to place and are subjected to climate or temperature change. Products such as fruits require a more rigid packaging such as a laminated container so its freshness is preserved. Second, a good packaging puts the product together and avoids it from spilling. This function of packaging is more directed to the protection of the item itself such as in preserving its shape & size. Also, packaging protects a product from being confused with another. This is very important and useful especially because it differentiates one brand from another, carries the description of what a product is and includes the nutritional facts. Though most people would not realize the importance of which, having a packaging with poor labeling can cause major repercussions especially for consumers with health concerns/issues (The Functions of Packaging,
Tuesday, October 29, 2019
Conflict Management Styles Essay Example for Free
Conflict Management Styles Essay Conflict usually occurs when individuals within a group or organization has differences in opinions. When individuals are in a disagreement about something like policies and procedures or even the overall direction of which an organization or company is heading it can become very frustrating. As we all know conflict the process of conflict usually begins when an individual or party has perceived the other part and it has showed a negative impact or will affect something that another party cares about. According to the readings in Chapter 15 the early approach of conflict saw that all conflict was labeled to be bad. Conflict then had a negative vibe and was used often to be linked with such terms as violence, destruction, or irrationality as reinforcement to its negative association. There are several types of conflict from the integrationist point of view that includes functional and dysfunctional conflict. Functional conflict usually arises during when the goals of a group are supported and the performance rises. On the other hand dysfunctional conflict is conflicts that hinder the performance of the group as a whole. The conflict process consists of five stages that include potential opposition, incompatibility, cognition and personalization, intentions, behaviors, and outcomes. In my workplace the most common form of conflict management is potential opposition and incompatibility. I have worked for Viking Range Corporation for 10 years now and I enjoy my work there. My Supervisor is always open for communication but this is one of the most vital parts that bring about conflict in my organization. Most of the times communication plays a huge role in the effectiveness of the company. Communication is the biggest problem that we have as a whole throughout the facility because there always seem to be conflict that arises between departments on part outages, and department personnel. Conflict is something we canââ¬â¢t avoid whether at home or at the workplace. Conflict will be present in just about every human interaction that we come across and this can make the strategies that we use for conflict management very important. According to (Conflict Management Home-versus-work) ââ¬Å"Conflict management strategies vitally increase the performance and effectiveness of an individual and in turn the effectiveness of the organization as a whole. â⬠I am an individual that canââ¬â¢t handle or try to avoid conflict. I have been a part of a lot of confrontations and I try to avoid them at all costs. ââ¬Å"In the same article Rahim and Bonamaââ¬â¢s (1979) categorization of the styles of settling interpersonal conflict is based on two facades, first when a person considers himself and his own concerns and the second when a person considers others and the concerns of others. Their styles for handling conflict include an integrating style in which a person considers his style and the styles of others. Secondly would be the avoiding style in which the individual has no concerns for their self as well as others. Thirdly would be obliging in which the individual posses a concern for others but not himself. The next one is the dominating style in which the individual has high concerns for himself for low concerns for others. Lastly we have the compromising style in which the individual possess some consideration for himself and some for others. I can relate more to the dominating style because in my organization every department is usually out for themselves meaning they like to maintain a high standard by any means. However, one thing that I have learned that is being a part of the business world there will always be some form of conflict and differences of opinions will arise so it is best to handle the situation immediately. By acknowledging that there is conflict present and communication has come to a standstill we can decrease the problems that unsolved conflict can bring about in any organization. One way that we deal with conflict in our organization is by acknowledging the goals of each department as well as the employees. The Supervisor over our department does not handle conflict well and he tries to avoid any altercations at all costs. With me being next in line he will usually push things of this nature off for me to handle. I often deal with the situations by bringing the employees into the office to see what the problem is in forms of communication and what caused the problem to begin with. I have tried to encourage my Supervisor to deal with situations in the future before they occur and he has taken steps on his own to deal with situations where he sense conflict. He can actually sense when there is a lack of communication and conflict is about to arise so he stops it before it starts by bringing both individuals into the office to try and get to the root of the problem before something major happens. This same occurrence can happen between male and female management personnel that canââ¬â¢t seem to see eye to eye and have issues that lead to conflict. According to (Conflict Management Modes and Leadership Styles) ââ¬Å"most individual characteristics have an impact on the instruments analyzed, for example: younger managers are more task-oriented, while older managers are typically relationship- oriented and avoid conflicts, women are more collaborative and avoid conflicts less and men tend to use the accommodating mode more than women. ââ¬Å"Rather surprisingly, according to our survey, women appear to be more competitive than men. The compromising style of conflict matches my personal preference tremendously, because I can relate to this style in my organization on a day to day basis. Being in my field of work there will always be a competition between the male and female employees as well as male and female management personnel. I look at this as something that will be unavoidable because there will always be a power struggle between the genders. So I try to look at things from a bigger perspective and consider both parties involved because there will always be differences in opinions.
Sunday, October 27, 2019
Effects of Redbull on Performance of Male Athletes
Effects of Redbull on Performance of Male Athletes Executive Summary Consumption of supplements and energy drinks has become a norm among athletes now. However, there are different studies in support as well as against the energy drink consumption for athletes, on whether it has a positive effect on the performance or not. The aim of this research was to investigate the acute effects of an energy drink (Red Bull) on the performance difference levels in male athletes. Thirty male athletes were selected from different backgrounds to participate in this study.. The subjects were randomly divided into two groups; Group A (experimental) Group B (non-experimental). Measurements of their running times were taken and the average was calculated. In the second session, group A was given an intake of 250 ml of Red Bull energy drink, while all the members of group B were not given any energy drink. The experiment was carried out again. The differences between the teams as well as between the two sessions were taken into account. Introduction Although in recent years, athletes have improved their performance levels, they shareà the same quest with their historical counterparts: success and victory at the Olympicà Games. So every time, very different methods were tried by athletes to achieve this aim. In this way, consumption of energy drinks by athletes has become increasingly popular. Athletes believe that energy drinks can be used to enhance their performance duringà training and competition due to their potentially ergogenic ingredients such as carbohydrates, caffeine, sodium and taurine, among others. Background Energy drinks have become more and more popular since the late nineties. The manufactures claim that these drinks improve physical endurance, reaction speed and concentration. The main ingredients of energy drinks are caffeine, sugar, taurine and glucuronolactone. According to the manufacturers, the stimulating effects of these drinks are due to interaction between the various ingredients. Sport drink consumption is recommended for most sports and not all of the sport beverages are the same. They differ in type and concentration of carbohydrates, electrolytes, flavors and other constituents. Some simply replace carbohydrates and electrolytes; others provide added protein, specific amino acids, and even fat, while still others provide herbs, vitamins, and caffeine. Literature Review Energy or power drinks (e.g., Battery, B52, Dark Dog, Jess, Red Bat, Red Bull,à Rhinos) are beverages designed and consumed for purposes other than for improvingà athletic performance: for instance, to reduce the depressant effects of alcohol on the central nervous system. On the other hand, sports and fluid-electrolyte replacement beverages (e.g., Gatorade, Powerade) are designed and consumed to enhance athletic performance or to reduce the deleterious effects of dehydration during athletic competitions (Carvajal- Sancho, Moncada- Jimà ©nez, 2005). It should be noted that, although energy drinks have been sold worldwide for moreà than a decade, unfortunately only a few studies have apparently been published to test theà effectiveness of these beverages on the physical or cognitive performance in athletes (Alford, Cox, Wescott, 2001; Baum Weib, 2001; Carvajal- Sancho Moncada-Jimà ©nez, 2005). So far, no data is available in regard to the effectiveness these beverages on anaerobic power and the delay of blood lactate accumulation. Some scientific studies with similar topics will cited later on. Nevertheless, in mostà cases, their topics were not directly related to anaerobic power or delaying blood lactateà accumulation. Alford et al. (2001) investigating the effects of an energy drink (Red Bull) onà psychomotor, anaerobic and aerobic performance (anaerobic performance was measuredà by a 20s cycle ergometer test), reported that the Red Bull group improved aerobic andà anaerobic performance by 9% and 24%, respectively. Similarly, Carvajal- Sancho à Moncada- Jimà ©nez (2005) studied the acute effect of an energy drink on physicalà performance (100 m sprint, hand dynamometer and standing long jump) and indicated no significant changes in physical and cognitive variables. In another research, the influenceà of a multivitamin/mineral supplement on anaerobic exercise performance (a 30-secondà cycle sprint test and one set of squat exercise) was studied by Fry et al. (2006) and a decreased rate of fatigue was noted for both exercise tests. In addition, Olson and Seifert (2004) carried out a study to determine if consumption of a carbohydrate-protein drink could improve skating performance. The results showed that, in the experimental group, speed performance improved by 8% and reaction time improved by 12%. Kipp et al.(2003) also investigated the influence of a carbohydrate/protein sports drink on soccer sprint performance (four speed trials with 5 min of rest in between). In the carb-protein group, speed was improved between the first and last sprints by 1.1 seconds, while the other group slowed down by 2.2 seconds. There are many types of energy drinks which can be purchased over the counter byà everyone and their producers have claimed a variety of benefits in their advertisements. In the case of an intensively working skeletal muscle, this means a delay in the fall inà intramuscular pH to the critical level at which glycolysis is inhibited (OoÃâà ¨pik et al., 2003; MacDougall et al., 1991). On the other hand, with regard to controversial reports about the effects of alkalinizing agents in the case of acute administration (Stout Antonio, 2002; Aschenbach et al., 2000; Bishop et al., 2004; Marx et al., 2002; McNaughton et al., 1999; Ball and Maughan, 1997; Wilkes et al., 1983), it is unclear whether the consumption of energy drinks can have such effects. PROBLEM STATEMENT Does the intake of Red Bull (energy drink) effect athletic performance of male athletes or not? Energy drinks are believed and marketed in a way to show that they enhance mental and athletic performance. Therefore, the concern of our research has been to find out whether the ingredients of one of the most used energy drink (Red Bull) effect the metabolism of human body in such a way that there in an increase in the physical athletic performance or not. Theoretical Frame Work Dependant Variable: Athletic Performance Independent Variable Red Bull Intervening Variable Uneven tracks, diseases to the athletes. Uneven tracks can be a big factor which can be controlled by carefully selecting an even and smooth running track. While the intervening variable of diseases to the athletes can be taken care of in the athlete selection process. In the initial questionnaire results, the athletes with some serious health disorders can be filtered out. Hypothesis The researcher intends to test the following hypothesis using their research: Alternative Hypothesis (HA) There is a relation between the intake of Red Bull with the athletic performance of male athletes. Null Hypothesis (Ho) There is no relation between the intake of Red Bull with the athletic performance of male athletes. The Theoretical Framework Performance of Athletes/Players Intake of Red Bull Independent Variable Dependent Variable Uneven track Diseases Intervening Variables Methodology The name of the research methodology is non-manipulative as in our research we have control on our independent variables and it is a field experiment. Participants: In order to be eligible to participate in the study, subjects had to meet the following inclusion criteria which were obtained by means of a questionnaire: a) to train/play for at least four days per week (approximately 30 min in each session); b) not to be on medication or nutritional supplementation; and c) not to consume energy drinks regularly. Potential participants were excluded from the study if they: a) presented psychiatric or neurological diseases; b) were sensitive to any ingredient contained in the energy drink; c) were under any nutritional supplementation regimen that included either caffeine, sugar, taurine and glucuronolactone; e) had evident cardiac problems. Thirty regular male football players (age: 24.34Ãâà ±1.74years, height: 183.26Ãâà ±7.66 cm, weight: 81.37Ãâà ±6.85 kg) volunteered to participate in this study. The volunteers read and signed an informed consent form with a medical history questionnaire before beginning the study. Then, the nature of the study was explained to the subjects, and they were given an opportunity to ask questions about anything that was unclear. APPARATUS We used questionnaire as our research tool for the initial screening of athletes. While stethoscope and blood pressure sphingo-meter apparatus were used to measure the heartbeat and blood pressure respectively. A stop watch was used to note down the sprint timings. PROCEDURE Procedure: The aim of this research was to investigate the acute effects of an energy drink (Red Bull) on the performance difference levels in male athletes. Thirty regular male athletes (soccer players) (age: 25.34Ãâà ±1.74years, height: 182.26Ãâà ±7.66 cm, weight: 78.37Ãâà ±6.85 kg and BF%: 13.2Ãâà ±2.7%) were selected from different backgrounds to participate in this study. This research was conducted on two separate sessions with four days of rest in between. Two experimental conditions were tested: a) control (no drink); b) energy drink. The subjects were randomly divided into two groups; Group A (experimental) Group B (non-experimental). In the first session, both the groups were assigned to run on a 100m track without any liquid intake. Measurements of their running times were taken and the average was calculated. In the second session, group A was given an intake of 250 ml of Red Bull energy drink, while all the members of group B were not given any energy drink. The experiment was carried out again. The differences between the teams as well as between the two sessions were taken into account. One week before the data collection took place. The participants were instructed on how to perform the whole experiment and underwent a familiarization session. The subjects were instructed to avoid alcohol, nicotine and other stimulants and also avoid strenuous activities and sudden changes in food consumption (including any nutritional supplementation products) the day before the experiment. In addition, they were asked to maintain regular physical activities during the days prior to the experiment, as recommended by Carvajal-Sancho and Moncada-Jimà ©nez (2005). Moreover, they were asked to wear comfortable, loose-fitting clothing and get an adequate amount of sleep (6 to 8 hours) the night before the test (Byars et al., 2006). The clothing, shoes, as well as all equipment used, were consistent for each subject and were recorded to establish controlled experimental conditions. APPARATUS VALIDITY Apparatuses used in our study were stethoscope, blood pressure apparatus (sphino-meter), stop-watch, pen and paper. The heartbeat rate (bpm) was measured with the help of stethoscope, blood pressure with the help of blood pressure apparatus and the running time were measured by the stop watch. The apparatus was duly checked by the hospital authorities and confirmed to be in valid functional conditions. RESULTS The results show that the group A, after the intake of Red Bull energy drink did show an almost negligible good performance, thus not supporting the hypothesis. The experiments, apart from giving out the main results also gave some very interesting facts. For example; Group A (experimental) showed increase in the time to exhaustion, which is ultimately related to the ingredients of Red Bull. Hence, we will select, HA(alternative): There is a relation between the intake of Red Bull with the athletic performance of male athletes. As it is clear to see the difference through the results. This proves that after the intake of Red Bull, the athletic performance increases. Discussion The aim of this study was to investigate the effectiveness of Red Bull energy drink on the performance of male athletes. Results of this study indicated that ingestion of Red Bull prior to exercise testing is effective on the athletes performance. In the present study it was observed that Red Bull energy drink caused an 11.78% decrease in the blood pressure and a 15.86% increase in the heartbeat rate (bpm). The 100m sprint performance time in the group A(experimental group) showed improvement, even after repetitive attempts. Potentially, caffeine could have a number of actions that affect skeletal and heart muscle. It can increase sympathetic activity, and has direct intracellular action. The increase in heartbeat rate (bpm) may be attributed to ingredients such as caffeine,taurine, glucuronolacton. Caffeine has been shown to have desirable effects for performing athletes fighting fatigue and increasing energy. The stimulant effect of caffeine could make it effective for increasing alertness while performing in a fatigued state. Taurine is also famous to aid in the contractile function of skeletal muscle and for providing increased ability of the muscle to contract, amplifying muscle force generation. In this study it was found that Red Bull energy drink caused up to 10.5% increase in time to exhaustion. However the previous researches and the current results, both support the fact that the ingestion of Red Bull energy drink does not have a significant enough impact on the performance of athletes, that it be strongly recommended to athletes for increased and better performance. No reports were identified of negative effects associated with the amount of taurine found in most energy drinks. Commonly reported adverse effects seen with caffeine in the quantities present in most energy drinks are insomnia, nervousness, headache, and tachycardia. Four documented case reports of caffeine-associated deaths were found, as well as four separate cases of seizures associated with the consumption of energy drinks. Acknowledgements First of all thanks to Allah Almighty who blessed me the strength and devotion to complete this research. I would thank my college fellow Adil Khan, who has helped me in the selection of the male athlete subjects. I would also like to thank Haider Behzad who helped me immensely with the research work. Moreover, I am also very thankful to all the people, who were part of the research and gave me their precious time. Without their help, it wouldnt have been possible to complete this research project. AND LAST BUT MOST IMPORTANTLY, I would like to thank my instructor, my mentor for the course, Mr. Humair Hashmi for pushing me forward, motivating me with his masterly tactics and enabling me to carry out the research in a professional manner. Appendix The sample of the questionnaire is below; INSTRUCTIONS KINDLY ANSWER ALL QUESTIONS MARK ONLY ONE OPTION IN THE SEGMENT OF ANSWERS NAME:______________ AGE:_____________ Q1> How many days do you exercise in a week? 4days 5days 6days Q2> Do you use any kind of drugs? Yes No Q3> Your preference towards exercise/workout? Gym Swimming Soccer Running Q4> Do you carry any breathing disease or any major disease? Yes No Q5> Do you use any kind of supplements? Yes No
Friday, October 25, 2019
Medical Technology Essay -- Healthcare, Technology
What is medical technology? Medical technology is procedures, equipment, and processes by which medical care is delivered. It is also any scientific discovery that finds its application in delivering health care. As technology advances the ability of providers to diagnose, treat and prevent health problems also increase, as stated by the Congressional Budget Office ââ¬Å"the Congressional Budget Office (CBO) defines technological advances broadly to include any changes in clinical practice that enhance the ability of providers to diagnose, treat, or prevent health problems.â⬠(CBO). The use of medical technology has an important role in the health care system and how the FDA plays a role in it, these issues will be discussed later. Medical technology comes with many Pro's and Con' s that effect our health industry and these Pro's and Con's will also be discussed. We use medical technology in our health care every day; we use this technology in clinics, hospitals and other medical facilities. The technology we use is used for equipment, devices, Pharmaceutical, and in medical and surgical procedures. We also incorporate technology to make our medical database for patients through information system, and this helps us manage and organize data. Some of the information technology applications are clinical information system, administrative information system, decision and support system, and internet and e-health applications. A lot more physicians and patients are using internet and e-health because, certain applications can make physicians more productive like virtual visits appropriate for monitoring and follow up. The U.S. is one of the leading countries in developing technologies because we as Americans demand that the most advanced... ... growth of health care spending. (n.d.). Retrieved from http://www.cbo.gov/ftpdocs/89xx/doc8947/MainText.3.1.shtml (FDA) "U.S. Department of health and human services." FDA U.S. Food and Drug Administration. N.p., 12/1. Web. 22 Nov 2011. . (ABC news) More americans using high-tech medicine, cdc finds. (n.d.). Retrieved from http://abcnews.go.com/Health/Wellness/technology-medicine/story?id=9864930 (MAAW) What does it mean by to much?. (n.d.). Retrieved from http://maaw.info/ArticleSummaries/ArtSumBastRueWesbury93.htm (WHO) World health organization. (n.d.). Retrieved from http://whqlibdoc.who.int/publications/2011/9789241501361_eng.pdf (KFF) kaiser, H. (3/8/). How changes in medical technology affect health care costs. Retrieved from http://www.kff.org/insurance/snapshot/chcm030807oth.cfm
Thursday, October 24, 2019
Gene Therapy: Lab Report
The LIEU gene Is a linear fragment that does not notation an Autonomous Replication Sequence, so it could not replicate on its own and needed to be integrated by homologous recombination. The TRIP gene was a circular plasmid that contained an EARS, which allowed for it to act as an extra chromosome In the gene. The objective was to insert a ââ¬Å"wild geneâ⬠and replace the defective genes and then grow them on a medium that does not contain TRIP or LIEU to prove that the genes had been cured.To help determine if recombination took place in the LIEU gene, and to compliment negative data from the 431 LIEU drop out medium, the ââ¬Å"curedâ⬠LIEU gene was compared to the ââ¬Å"diseasedâ⬠ELISE gene. The expectation was that the ââ¬Å"curedâ⬠LIEU gene would be a different size from that of the ââ¬Å"diseased,â⬠which would be proven through a PC run of the two DNA strands after they were replicated under the same in vitro conditions. The purpose of the PC w as to show what kind of mutation occurred in the mutant to cause It to lose Its LIEU function.Methods Yeast Transformation Procedure Both hands and bench tops were sterilized by 10% ethyl alcohol and were continually wiped down at various times throughout the lab. Gloves were also worn for the duration of the lab to help prevent contamination. The first step was to obtain doth strains of yeast, AY 235 and AY 431, with the fat end of a sterile tooth pick from an augur plate and place them into two separate Offender tubes.The Offender tubes were filled with poll of solution 1 (50 ml sterile water) before the yeast was added to them. The tubes were then spun in a centrifuge for four seconds to separate the excess water from the pellet that formed from the yeast. The supernatant were discarded and the pellets were suspended in poll of solution 2 (0. MM Lilac; 0. 01 M Tries, 8. 0; 0. MOM DEED). The solution was once again spun for four seconds in the centrifuge and the supernatant were d iscarded. The pellets were re- suspended in 1 Pool of solution 2.
Tuesday, October 22, 2019
Windshield Survey
According to Stanhope and Lancaster (2008) defines a community as: ââ¬Å"A social group determined by geographic boundaries and/or common values and interests. Its members know and interact with one another. It functions within a particular social structure and exhibits and creates norms, values, and social institutionsâ⬠(World Health Organization [WHO], 1974, pg. 7). Stanhope and Lancaster (2008) defines community health as having: ââ¬Å"three common characteristics, or dimensions: status, structure, and process. Stanhope & Lancaster (2008) also go on to say: ââ¬Å"Each dimension reflects a unique aspect of community health: (pg. 45). Community health in terms of status, or income, is the most well known and accepted approach; it involves biological, emotional, and social parts. The biological (or physical) part of community health is often measured by traditional morbidity and mortality rates, life expectancy indexes, and risk factors profileâ⬠(pg. 345). The communit y is the client if a nurse is helping individuals even one at a time in the community. Stanhope and Lancaster (2008) states: ââ¬Å"The community is the client only when the nursing focus is on the collective or common good of the population instead of on individual healthâ⬠(pg. 44) and ââ¬Å"Although the nurse may work with individuals, families or other interacting groups, aggregates, or institutions, or within a population, the resulting changes are intended to affect the whole communityâ⬠(Stanhope and Lancaster, 2008, pg. 344). One Healthy People 2020 health indicator that applies to this particular area, which is Oklahoma City, would be ââ¬Å"Quality of life and well-beingâ⬠(Healthy People 2020 at a glance. (2010). There is a large population of poverty level residents. Many people in the community of the south side Oklahoma City are living in homes that are not safe or are unclean. Additional aspects will be discussed in the Window Survey of south Oklahoma City. The boundary for the north part of Oklahoma City runs almost parallel to interstate I-44 from the east to the west. It is located in the central metro area of the state of Oklahoma, with boundaries east of the cities of Mustang and Yukon, and west of the cities of Spencer and Del City. The southern boundary of Oklahoma City overlaps interstate I-240 that runs from east to west and is north of the cities of Moore and Norman. The economic boundaries for the southern part of Oklahoma City can run the ambit from residents below poverty level to those that would be considered to be upper-class in their monetary value. There are neighborhoods that many would not feel comfortable after dark because there has been a rise in crime to those areas. The zoning of these homes are single story, quarter acre lots that are approximately one thousand to fifteen hundred square feet. These impoverished areas have small, o lder homes that are two to three bedroom homes that are unkempt and, at times, are cockroach infested. The houses are built closely side by side and do not have much open space throughout the neighborhood. Most of these homes show signs of decay related to the amount of repairs that need to be made to the home. Many of the residents are renting and cannot afford to make the necessary repairs or have landlords that are unwilling to comply with the safety of their occupants. The stores in the south part of Oklahoma City are ones that cater to a lower income, such as, Payday loans, Buy For Less, Ross, Payless shoes, Wal Mart, etc. Race representation in this area of south Oklahoma City is a majority of Hispanic, black, white, and Native American. When driving through this community, there are men and women who can be seen each day standing on the corners of busy streets holding various cardboard signs which ask for help and state they are out of work. The houses have childrenââ¬â¢s toys laying in the front yards and dogs can be seen in the backyards roaming or on chains. The transportation for many, are cars that range from 1980ââ¬â¢s to the 2000ââ¬â¢s. They appear to be in need of repair in many cases. Since many of the residents in this area have little money, there are service centers, such as Auto Zone, and Midas that aide in ââ¬Å"do it yourselfâ⬠repairs. However, there is a divide in the income level because within five to ten miles there are neighborhoods with homes that are valued from a quarter of a million to half a million dollars. These upper class neighborhoods are surrounded by brick walls with gates that require codes for entrance. One higher class neighborhood is called Rivendale. Surrounding these areas are higher end shopping centers, such as Chasity Square. This particular shopping center has stores called Mannââ¬â¢s Best Friend that provides all natural dog food and baked goods for pets. In both of the low income areas and higher income areas, there are many churches of various religions that are represented, including Catholic, Baptist, Non-denominational, Methodist, Lutheran, and Jehovahââ¬â¢s Witness. These are common meeting places for many in both communities. Aspects that would affect the health in this community, would be alcohol, tobacco, and drug abuse. For those in the low income areas, stress of everyday life in which they struggle would draw them to these vices, for those in the higher income areas, it would be the stress of working to maintain their lifestyle. Other health concerns would be obesity of those who cannot afford healthy eating habits, high blood pressure affects both low and high incomes for different reasons, diabetes, and for the low income, lack of preventative care. There is Planned Parenthood for well woman checks, organizations that provide blood pressure checks and diabetes screening, and the YMCA works on a sliding scale of income for membership to the gym to help prevent obesity. Media is covered by local news stations and the Daily Oklahoman. ? References Healthy People 2020 at a glance. (2010). PT in Motion, 2(6), 22-23. Retrieved From EBSCOhost. Stanhope, M. & Lancaster, J. (2008). Population-Centered Health Care In the Community. (7th ed. ). St. Louis, MO: Mosby Elsevier. World Health Organization: Community health nursing: report of a WHO expert committee, Geneva, 1374, World Health Organization. Windshield Survey A windshield survey is an assessment and evaluation of a community performed by traveling throughout the community in a car or public transportation to make observations about a community. The data gathered will help identify health care strengths and weaknesses in the specified community. A community is a social group established by geographic boundaries or common values and interests. Its members know and interact with one another and function in a particular social structure and exhibit and create norms, values and, social institutions (Stanhope, 2008). Community health has three mutual traits, or aspects: status, structure, and process. Community health in terms of status or outcome, is the most familiar and received approach; it involves biological, emotional, and social parts (Stanhope, 2008). The biological or living part of community health is often measured by established morbidity and mortality rates, life expectancy indexes, and risk factor profiles. The emotional part of health status can be measured by consumer satisfaction and mental health indexes. Crime rates and functional levels refl ect the social part of community health. Other status measures, such as worker absenteeism and infant mortality rates, reflect the effects of all three parts. Community health, when perceived as the structure of the community, is commonly explained in terms of services and resources. Measures of community structure incorporate demographics, such as socioeconomic and racial distributions, age, and educational level. (Stanhope & Lancaster, 2008) The community is the client only when the nursing emphasis is on the common good of the population instead of on an individualââ¬â¢s health. When focusing on the community as client, direct clinical care can be a part of population focused community health practice. This type of care decreases the risk of an epidemic in the community. The community client also highlights the complexity of the change process. Implementing changes which, will improve the community client often occur at a number of levels, extending from the individual to society (Stanhope, 2008). Healthy People 2020 maintains tradition with the launch on December 2, 2010 of itââ¬â¢s 10-year agenda for improving the Nationââ¬â¢s health. Healthy People 2020, 2011) A society in which all people live long, healthy lives is the mission statement of Healthy People 2020. (Healthy People 2020, 2011) A health indicator that applies to my specialty area is substance abuse. Substance abuse produces control on an individuals life and creates havoc among the families and communities. The effects of substance abuse are increasing, drastically contributing to costly social, physical, mental, and public health problems(Healthy People 2020, 2011). According to Healthy People 2020, (2011) some problems include:teenage pregnancy, Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), sexually transmitted diseases (STDs), domestic violence, child abuse, motor vehicle crashes, physical violence, crime, homicide, and suicide. A role nursing would perform in affecting this indicator would be education in the community. Adolescent abuse of prescription drugs, such as prescription pain relievers Vicodin and OxyContin, has remains on the rise and continues to devastate lives and families involved (NIDA InfoFacts: Understanding Drug Abuse and Addiction, 2011). The accessibility of prescription drugs is growing from several places, including the family medicine cabinet, the Internet, and doctors. Drug addiction is a needless disease. Results from NIDA-funded research have shown that prevention programs including families, schools, communities, and the media are successful in decreasing drug abuse. Although countless events and cultural influences affect drug abuse trends, when youths sense drug abuse as harmful, they reduce their drug taking. NIDA InfoFacts: Understanding Drug Abuse and Addiction, 2011) Education and outreach programs are essential in assisting communities to understand the risks of drug abuse. This is a Windshield Survey of Philadelphia, PA, 19154 completed on June 16, 2010. The information collected in this survey displayed basic ideas about this community and identified needs for a certain population in the community. Housing and zoning- The homes and buildings were builtafter 1950. The homes and buildings are constructe d from brick, vinyl siding and are a mix of row and single homes and the homes are in excellent condition. These homes vary in size and land. | Transportation- The most common means of transportation 19154. area include driving a car alone, carpooling and public transportation SEPTA(Southeastern Public Transportation Authority)During observations in the community, many bus stops werehad 6-8 people waiting. Somewere in their school uniforms, some work attire, and others were casually dressed. Theconditions of the roads need minor repairs most are newly paved. | Race and ethnicity- The chief ethnic group in the 19154 is a heavily populated, urban zip code in Philadelphia, Pennsylvania. The population is largely white, and mostly married couples. Total Population: 35,606 White Population: 31,896 Black Population: 1,678 Hispanic Population: 1,030 Asian Population: 812 Hawaiian Population: 13 Indian Population: 48 Male Population: 17,313 Female Population: 18,293 Median Age: 36. 2 Median Age of Males: 34. 9 Median Age of Females: 37. 6. (Neighiborhood Link National Network, 2011) . | Open space- There is not much open space, but the areas around the Dunksferry Rd and Academy and Knights roads are designated for the athletic teams and school sports. | Service centers-19154 has several service centers. On Southampton Rd there is the VA. Community Center, S. P. I. N. (Special People in the Northeast, mentally challenged individuals), W. I. C. offices and Social Security center. There are many schools, High school, grade school (public and Catholic) and headstart programs in our community. Also off Academy Rd. there is a health center and a dental facility. There are 3 major hospitals and several medical facilities in the community. | Religion and politics- In our community the primary religion is Catholic with a mix of protestant and Jewish. The primary party is republican. | Boundaries- The geographical boundaries for 19154 include Interstate I-95, Route 1 and the PA Turnpike. The income is middle class. The estimatedmedian income is $60,000 per year. Theneighborhoods are named and identified by street names. Some of theneighborhoods include Parkwood, Liberty Bell, Chalfont, Comly, Somerton, Morrell Park and Bustleton. | Stores and street people-Major stores in the community are Kohlââ¬â¢s, Target, and Wal-Mart, many grocery stores such as, Pathmark, Reddners and Acme Markets. There is not any type of street people as in homeless in the community. The community is primarily devised of law enforcement, fire fighters, teachers and healthcare providers. Health and morbidity-Substance abuse is increasing by our youth and adults in this community. There are no obvious drug dealings going on in the community but, there are dealers. Observations made were several people smoking on the bus stops, very young looking, and other smokers of appropriate age. There are several fast food restaurants in the area as well as finer restaurants, which may have resulted in the large number of people living in this area living with cardiac issues. Other observations made were the adolescents in the streets during school hours and some looking as if they were under the influence. Commons-In 19154 there are several churches, the park and recreational facilities restaurants and clubs. off Southampton Rdis the Community College of Philadelphia and off Street Rd there a several tech schoolsLocal eateries such as Chickie & Peteââ¬â¢s. Chiliââ¬â¢s. Carrabaââ¬â¢s, Outback Steakhouse, Texas Roadhouse, Friendlyââ¬â¢s, Applebeeââ¬â¢s, Nifty fifties and TGI Fridays. There are a number of fast food restaurants, such as McDonaldââ¬â¢s, KFC, and Burger Kingwhere many people like to hang out. There is also a few -11, Wawa and playgrounds that teens usually hang out. These gathering areas are easily identified by signs. They are open to everyone and usually people with the same interests gather in these areas. | Signs of decay- There are no evident signs of decay, although at some playgrounds there were several graffiti tags on the buildings. | Media- The local newspaper is the Philadelphia Inquirer and the community newspaper is The Northeast Times. The TV news stations are ABC 6, Eyewitness News and NBC 10 news. The internet is a source of the major attributes of the media and the common providers are Verizon and Comcast and the cable providers are Comcast, Verizon Fios, The Dish and DIRECTV. References: (2011). Retrieved June 18, 2011, from Neighiborhood Link National Network: http://www. neighborhoodlink. com/zip/19154 Healthy People 2020. (2011, February 22). Retrieved June 18, 2011, from Healthy People: http://www. healthypeople. gov/2020/about/default. aspx NIDA InfoFacts: Understanding Drug Abuse and Addiction. (2011, March). Retrieved June 18, 2011, from National Institute of Drug Abuse: ht tp://www. drugabuse. gov/infofacts/understand. html Stanhope, M. L. (2008). Public Health Nursing. St. Louis: Mosby Elsevier. Windshield Survey Keyes, California is a census-designated town in Stanislaus County. Keyes is located off Highway 99 in the California Central Valley. This small town is unknown to many due to its 2. 8 mile radius (ââ¬Å"City dataâ⬠). Numerous health concerns plague this small town due to its size and population. A windshield survey and internet research provides information on the people, the land, and the health of those living in this small community. The People According to the 2010 census, Keyes has a population of 5,601 residents with a 50/50 male to female ratio (ââ¬Å"City dataâ⬠).The median age of these residents is 29. 5 years old. The majority of the Keyes population has a household annual income of $29,943 for a family of 4. Annual income is just above or right at the poverty line. In 2011 it was recorded that 32. 1% of the population was living in poverty. A staggering 12. 9% of Keyes residents are unemployed as of July 2013. About 18% of Keyes residents work in construction, agriculture, or retail. Keyes is a predominately Hispanic community accounting for 60. 9% of its residents.Whites average 34. 3% of the population followed by 2% Asian and 0.4% Black. The residents of Keyes are 54% Catholic in faith followed by 5% Baptist and 5% Mormon. Keyes lacks a municipal government but is a part of Stanislaus County (ââ¬Å"City dataâ⬠). The Land Keyes, California is located between Ceres and Turlock off Highway 99. The townââ¬â¢s appearance is unattractive at first look. No landscaping or sidewalks are provided in most of the community. The majority of homes are enclosed by a fence and most do not have a driveway. Although the homes are aged and tattered, many of them have nice yards with minimal refuse.Homes in this location were built in the 1980ââ¬â¢s. The average price of a home located in Keyes, Ca is $89,952 (ââ¬Å"Zillowâ⬠). Few people were out walking in the community. The residents of Keyes had a wide range of dogs in almost every y ard. A large park is located in the eastern part of the town. Hatch Park has a walking path and a playground for children. The park is relatively new, according to its residents. Safety does not appear to be an issue before dark. The park is open from sunrise to sunset, although, it is not patrolled by police.There is no police department located in Keyes. Stanislaus county sheriff responds to calls for this small town. The fire department is located in the southern end of the city. According to Paramedic Rhodes of the Keyes Fire Department, there are an average of 20 calls per week 85% being medical, 10% motor vehicle accidents, and 5% fire. Most medical transports are sent to Emanuel Medical Center in Turlock located 5 miles southeast of the town. There are no doctors offices or urgent careââ¬â¢s located within Keyes. There are no pharmacies or dentists located in the immediate area.Neighboring cities have these services within five to eight miles. Stanislaus Regional Transport (START) provides bus services to Keyes (ââ¬Å"Stanislaus regional transportâ⬠). There are four bus stops in Keyes all located near the freeway and the schools. The buses stop about every two hours from 5 am to 9 pm (ââ¬Å"Stanislaus regional transportâ⬠). The bus stops had several people waiting and appeared to be used in the community by various age groups. There is a local post office with P. O. Boxes. Keyes does not have a postman to deliver mail to individual homes (ââ¬Å"USPSâ⬠).Stores located in this little community consist of two convince stores and one grocery store consisting of a limited supply of fresh fruits and vegetables. The nearest full service grocery store and pharmacy are located 3. 8 miles away in Turlock, California (ââ¬Å"Google mapsâ⬠). No chain fast food restaurants were note during the survey however there are several taco trucks located in the area. Minimal businesses are present. Local businesses consist of construction companies of various sorts. Schools are present in this community. The local Elementary school teach students years K-8.Keyes to Learning Charter School instructs students K-12. The Stanislaus County Library has a branch located in Keyes for students of all ages. The Health Overall health is a concern in this community. No access to medical, dental, or pharmacies directly affects these residents. Locals may have access to healthcare but they may not have access to transportation to and from doctors appointments in neighboring cities. Low socioeconomic status prevents many from seeking necessary treatment for medical conditions. The inability to pay for prescribed medication can lead to worsening health conditions.Limited access to a full service grocery store can limit the amount of fresh fruits and vegetables consumed by these residents. In Stanislaus County the rate of diabetes is 1. 6% greater than the California average and the rate of obesity is 6. 7% greater (ââ¬Å"City dataâ⬠). D iet and exercise plays a role in these statistics. Although there is a local park it is not widely used. A sedentary lifestyle is common in this community. It is concerning to have such high incidents of obesity and diabetes in a town where the average householder is younger than 30 years old.A large percentage of the community is considered vulnerable (ââ¬Å"Cdcâ⬠). The community health status indicators displays that Stanislaus County has a large vulnerable population. A vulnerable population includes 39% of individuals without a high school diploma and a 12. 9% unemployment rate. The county has a total of 23,378 people diagnosed with major depression and 38,337 involved with drug use in the last month (ââ¬Å"Cdcâ⬠). Many other factors are affecting this townââ¬â¢s health including; smoking associated heart disease, cancer and respiratory illnesses (ââ¬Å"Cdcâ⬠).As a goal, Healthy people 2020 is seeking to improve maternal, infant, and child health. Education is a crucial aspect in improving health in all stages of life. Mothers who are educated about their health and the health of their families can in turn make choices that can positively affect their families future. Nurses in the community could arrange classes at the local schools after hours to provide education on diet, exercise, and disease prevention. These classes could be taught in English and Spanish to better meet the needs of the community.Keyes, California is a small community with no access to many basic needs. The health of the community is deteriorating due to the lack of proper nutrition and healthcare. This town is living at or below the poverty line. The needs of the community outweigh the resources made available by Stanislaus County. More research should be conducted within the central valley to determine the needs of this vulnerable population. Keyes can become a healthier place to live in the future with help from the surrounding cities, local governments, and he althcare providers.
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