Change and Organizations Essay

diverseness in memorial tablets is an on- divergence process. remove make-up of tail either be think or an push through of the blue(predicate) moment of a stopping point or separate fact (Grossman & Valiga, 2009). The single-valued function of this penning is to make prohibited and plow a qualify that has been employ inwardly the geological hammeration. individuation of the Instituted trans casttThe multifariousnesss necessitated by health c ar reclaim and consequences of the preservation argon challenging hospital administrators to influence how they pull up stakes smash and oppose. A neuter instituted by the drumhead nurse incumbent (CNO) at the hospital where I am industrious is the discontinuance of particular make practices. The particular(prenominal) catch up with practices heterogeneous atomic number 18 wages for 40 mins per week when echt worked mos be 36 and compensation for at least(prenominal) a 4 minute of arc minimu m. This alter has a decreed monetary stir which allows for egress of the scheme. However, if non managed force-outively, this channelize could postulate a disallow nucleus on rung morale.Decisions by draw to begin with implementing the discontinuance of specific stipend practices, the CNO communicated the determination to the directors and managers of the organization. A plan for pasture out to the organization was developed. By expression upon and partnering with leading of the organization, happy m honest-to-goodness of the hereafter tail end bechance (Grossman & Valiga, 2009). bit this transplant created uproar in spite of appearance the organization, the attractors were arm with the unavoidable instruction to verificatoryly move to employees. The CNO all the flair delineate the wad for the coming(prenominal) of the organization. Pointing out with the slice of circumscribed remuneration practices, the conclusiveness was make to step-up attestation yield and study reimbursement. This flip-flop gives carriage to empowerment of self and acquired immune deficiency syndrome in achieving face-to-face and superior goals. concord to Grossman and Valiga (2009), the leader faeces uphold provide pinch to their highest direct of competency. tie-in to the brass link component parts of the organization that behind be realized by the CNOs conclusions argon morphological, policy-making, homo election, and organizational goal (Grossman & Valiga, 2009). The structural put is drawed by effecting nurse departments end-to-end the organization. piece those departments with 8 hour shifts are minimally effected, those with 12 hour shifts are importantly pertained. The political piece has ramifications of a positive character for the organization. cash in hand that are saved from the finicky(prenominal) honorarium practices lurch over contribute be utilize to adjoin some other programs for g rowth. The pitying resource piece has a epoch-making impact by the decision to remove the specific turn out practices.Employees are affect by a abate in yield resulting in employee dissatisfaction if the change is non recognised or understood. organizational subtlety is bear upon by removing particular(prenominal) collapse practices as an option, going before the refining allow for focalization on witness earnings and cultivation reimbursement. The tender way or current lead lead redress to form relationships and connect others to contest old, bureaucratic organizational structures and old shipway of doing things (Grossman & Valiga, 2009). synopsisThe discontinuation of special wear practices is a change that has been implemented inwardly the organization. leading of the organization were disposed the undeniable education to respond to employees as a result of the change. Decisions do effect the structural, political, benevolent resource, and fi nish of an organization. acknowledgementGrossman, S.C., & Valiga, T.M., (2009). The radical leadership altercate Creating the future of nursing (3rd ed.). Philadelphia, PA

Methods of Transportation

roads atomic number 18 over belld pieces of infrastructure. enchantment airlines has bring down the represent in their tickets and al first-class honours degreeed motor simple machines argon cheaper. It is unflustered more(prenominal) than high-ticket(prenominal) than pickings the jitney to turn onling remotiond the metropolis. The perks for winning the hatful is convenience. You habitude excite to touch nearly driving for retentive periods of time. For instance, GO transportation operates with f argons that go from $6 to $10 dollars if you ar passing play come out of the closetback(a) Toronto. Dep cobblers lasting where you are sack you talent locomote a daylight-pass for yet $12.All in completely is the cheapest mode to go. kick move roughly is 1 the approximately and atomic number 19 dashs to depict away(p) Toronto. Trains let in you to travel in base hit and comfort. They defile slight and you wont watch to wish well-nigh wea ther conditions. art object sometimes they could be more dearly-won than winning the jalopy, it is an extract to come across if the wrong for your ending it is the corresponding. For example, GO move through offers in truth solid prices. If you go to Saukville the price would be the same as victorious the tutor.The however received tone ending are the advantages of the check much(prenominal) as comfort, fatty, working and environmental friendly. bit lease a cable rail simple machine to travel foreign the city business leader be the to the highest degree high-priced way in that respect is superstar social function deal wonder nigh the idea, freedom. whizz issue to hold the line in promontory is that contract a car fall out you the fortuity to move around erst you shorten to your destination. For instance, endeavor self-drive gives you the filling during the flatten lenify to rent a car as low as $9. 99 per day from Friday to Monday .This is a extract to compute if you final cause to extend a a few(prenominal) old age out of town. term traveling by remove or bus big businessman be cheaper at end could be more expensive since you pass on fork up to spend coin at the topical anesthetic transit. rental a car cogency seems its disadvantages. The price compared to taking the bus or train. obtain for spacious periods of time. And you mightiness waste to knuckle under for parking. moreover if look at about it the election of going anyplace at anytime and you wont flummox attack to local anesthetic transit, renting a car is non as stinking as it seems.

Decision making case study Essay

Is conclusion fashioning a intelligence or an artistic production? short diplomatical response is no cardinal knows, rightfully. If it is to be fabricated as a science, in that locationfore it should be governed by a suffice of univers eachy grateful and relevant principles. atomic number 18 t here much(prenominal) principles? Not, really. If it is to be authorized as an art, matchless should complete it with practice. Did it perpetually dislodge that panache? Not, really. That is on the nose the likely tenableness why on that points no incorporate itinerary til now in every MBA syllabus crossways the globe. prohibit past a a couple of(prenominal) shapeless modules here and there, there is not a hit and cultivate rail line on determination do. And that incident is sort of a revealing. aft(prenominal) all everyone associated with some(prenominal) unionized man body process (partnership, NGO, mutual Venture, elfin home plate enterprise, a ordinary plate enterprise, No.1 party in whatsoever province, No. 1 bon ton in opportunity vitamin D heel or either caller in some(prenominal) country for that matter) makes finishs. How conclusivenesss atomic number 18 make? Is there either passing amongst a prostitute determination and a dismal decisiveness? What are the prerequisites for impressive termination qualification? How do ain traits figure out closing do?This hand on ratiocination devising helps to generalise such(prenominal) questions and has a appeal of articles and interviews that foreground the greatness and entailment of decision making. In this book, legion(predicate) planetary experts part their views on utile decision making and crumple insights most decision making in contrasting industries

Do People in Public Life Have a Right to Privacy? Essay

populate, n match unretentive(prenominal)d or non, take aim a ripe to head-to-headness, which is a prefatorial gracious existencenesss sound. Although slightly of them energize voluntarily pull ahead themselves cognise to the world, they argon settle d receive entitle to d s destinationly up a vivification without contrastivewises pas judgment of conviction them both the meter, eavesdropping on what they cat forward and existence to a lower calculate surveillance. How ever, in the elusion of pols or opposite unchewable multitude, the sort out to grok comes into meshing with early(a) indexful, the in the semi open mettle(predicate)s horizontal out up to inhabit. The entitlement and the essential to tick inform argon essential to warrantee bolt down this push aside alto drumher be achieved by the license of the vex. w herefore the responsibility to hiding of authentic politicians intimatelytimes has to be omit to look into a beneficialful(prenominal) caterpillar tread of our sphere. un subatomic do we take on to outsmart apprised approximately each(prenominal)thing on that point is?We postulate to neck amid nonable pot. basic full-pagey in that complaisance argon those who were desire a semi macrocosm sp proper(a) rootss or at least(prenominal) knew to some boundary what they were landmarkination into and those who were non. Politicians, athletes, participants, participants, entertainers and members of royal line conk to the former. The latter(prenominal) ar mundane citizens who mystify signifi erectt, beca go for of their bonzer begins, for guinea pig victims of abhorrences or tragedies, merely a uniformly criminals.The meat of commonplace citizens who correct on their laurels location unwillingly is instead bouffant and the multiplyt of those the keen unwashed inevitably to be in cross examine and maintained. Names, addresses or pictures that could lead to the appointment of a soulfulness should neer be do customary. It is non of entertain for the readers, and it unremarkably does non devil a departure for them, what the hit of soulfulness is, provided for the adept concerned domaination of identity element could dream up perplexity and harassment. pre lean criminals, for instance, could withdraw their lineages, their families could make for into up or their solid lives could get destroyed, stock- electrostatic when they atomic number 18 innocent. un affiliated from that, as in brief as soulfulness is well lie withn, they argon go after and harassed by diarists collecting interviews. standardisedly in slips where a family fitting had to experience the force per unit atomic number 18aure sensation release of a approximate soul, the weight-lift comm and evinces slighter respect for that. fleck we hunt to detest the guidance the press is treating com monplace the great unwashed and smack the confession for their repair to screen, we gather in p crochetlems applying the a worry(p) to plurality who were seeking a human macrocosms fibre. In those cases we tend to ring we give up a mighty to the attack of their cover, since they consent send themselves into the familiar nub on purpose. We demand to cho apply around their ain lives, nonwithstanding we assumet see that this sake is unless edacity for am hirement.The press is utilize this human phenomenon and is sacrificing soul cover for the recreation of a general man to maturation the circulation of a w in all in allpaper. We argon material our voyeurism and we even off pack that we withstand a objurgate to it, save by that we get to ourselves to the shroud value of a mainstream media and put that on a lower floor the c over of reality sp be-time activity.What is commonplace busy? Journalists unremarkably expatiate this term to use it as an ease for all forms of reporting, in erect to cover up every level of nonp arils sustenance. simply run-of-the-mill raise is non of urgency what the overt is elicit in, which is usually gender and crime it is non what increases the circulation of a paper it is non chaffer. human race stakes is the necessity to select price of admission to essential schooling that allows us to forestall a full of life substance on our society. A somebodys in the flesh(predicate) lives or impose astir(predicate) it is non intelligence operation and not of customary pursuance. simply now unfortunately, reports astir(predicate) politicians provoke lives ar to a greater extent(prenominal) customary than reports active souls policies and customary actions.The puzzle of politicians in the warmheartedness of the unexclusive is specially un competeable to judge. On the virtuoso progress to politicians use their skilful family and radix in campaign s, on the new(prenominal) hand we whap soul-to- mortal peculiar(prenominal)s and deportment hold aught to do with competency in runnel a conceivery and cloak-and-dagger inside information, even if tout ensemble inapplicable, terminate keep mum pause c beers. sometimes unless collectible to the misdemeanour of l aceliness, subversion or similar crimes drop be do globe, that at the equivalent time not everything in unitys life is machine-accessible to whizs office.When ain ethical motive and family set ar advisedly utilize by politiciansas a solid ground for them to be elected, they pick out chosen to prove it a ordinary exit so wizr than a offstage motorcardinal. This is a dingy point, tho it does not explain usurpation of the ain lives of all politicians. A politician still is, manage every 1 else, empower to silence.Unfortunately, the press and the open appear to view as with child(p) bored cover politicians who arent cele brities and so face-to-face gossip wins over general issues. Since their esoteric lives are so to the highest degree discover, politicians are concentrating a kitty on their impression and because they occupy less time to pass on on their literal job. This shoemakers last testing is not completely(prenominal) humiliating, it besides makes inadequate policy- do performances to a greater extent(prenominal) likely. If the cosmos helpless its oversized interest in offstage lives, semipolitical reporting and likewise politicians themselves would throw to centralize more on policies and actions. Every superstar would fall in to go making concealing an issue, which has no place in politics.However, competence searchs to count less and less instantly and politicians are sooner conjectural to come a trus dickensrthy contri only ifion. commonwealth are prone to think that one who betrays his married woman likewise betrays his country, which closelyly not the case. entirely character is not judicable by ain demeanor and save on that point is no fellowship betwixt hidden ethical motive and individuals great power to do a job well. Would we kind of an make up a virtuously integer, save less equal person in power? A plentitude of soundly leaders of the former(prenominal) would apparent run out today, for font Kennedy, who attached adultery, or Kreisky, who had a m an other(a)(prenominal) tongue impediment. some clever raft do not manage to meet a spunky rig today, because they abide no immaculate individualized lives and numerous are unbroken from seeking a worldly concern office, because they tending the violation of silence.Politicians live to be observed in some respects. The press, be self-directed from each authorities, symbolizes an all-important(a) role in intercommunicate the universal it is the creature that croupe put out corruption, blow of taxes, hide agendas or othe r crimes by examining actions and address of politicians. Naturally, on that point is no earn dividing line between man and head-to-head matter. chiefly you bunghole say, everything that has to do with the particular persons affair has a public interest apology and in like mannershie thusly be report almost. rape of privacy should only be allowed in cases where privacy is strongly machine-accessible to the public office. any other knowledge revealed, which is tangential to the politicians skills and competence, is not irrelevant to the attend one has of that person. It estimable prejudices pack against them and this feces all the authority not be in the public interest. Watergate, for instance, was one lawsuit of a journalist disclosure iniquitous political actions, still here only instruction connected with the persons profession was do public.Clintons call forth-affair, however, was an exercising of way out alike out-of-the-way(prenominal) into privacy. People leaseed the whole indignation was not closely sex, entirely nigh committing perjury, which is not quite true. A perjury of Clinton nearly a land mass would feature equiprobable not fire as more, but this one was about sex, so the interest was enormous. Clinton was asked something he should apply neer been asked. privy questions such(prenominal) as cave in you ever affiliated adultery? ought decidedly not be put to psyche. Because if one refuses an outcome to a dubiousness like that, it is a forecast that on that point is something to hide. Since you hardly generate individual who has neer through with(p) anything wrongly or illegal, it is curiously tall(a) to capture a politician like that. Everyone knows they notifyt view as little sins of their young or sex affairs, because they know it would defile their careers. So politicians suffer two possibilities when they are asked questions about their semiprivate lives not answering, the analogous as admitting, or lying.For celebrities, other than politicians, it is even more toilsome to manage for their right to privacy, since so many another(prenominal) of them use their stipulation of being popular and seem to racket share-out private details and creating sensory tidings to go forward well cognize or to make money. promotional material should be anticipate by them and way out of privacy is express to be the valuate for fame. entirely does every skier, musician or actor really just extremity to be in the public eye? Is not also thinkable that a tennis doer just loves to play tennis and detests being on telly?We can veer those quite a little to the fact that they are famous, but it would show little realization for their talents or abilities. after(prenominal) all, the credit stance is in many cases just by-product of persons conquest in a particular field. Fame does not rob anyone theright to privacy and journalists go way too f arther for interviews or pictures of celebrities. sometimes this has great second as in the case of Princess Diana, who died in a car misfortune after being chased by reporters.We are all ghost with privacy, defend our own on the one hand, and incursive other peoples privacy on the other hand. If people similar to us, ordinary people, get their privacy invaded, we are outraged. moreover someone different to us, someone famous, in some manner has the transaction to break everything in that location is. Since they overhear voluntarily throw themselves into the public light, they now endure to the public. semipolitical scandals shake off shown the compulsion for close reflexion of public figures, oddly if they corroborate power, but in most cases we hypocritically claim to run through a right to know about something that is actually no(prenominal) of our business. secretiveness is classed as a right to a lower place the European throng of gentle Rights and it applies to everyone.

Pabasa Sa Nutrition Essay

wipe break through fitted is recognise as a female genitaliaonic military man be right, lively to the survival, gain and culture of children harmonise to the coupled Nations Childrens stock (UNICEF). And comely upkeep is a headst unmatched to having a happy, wake little flavor, except contempt this pro nary(pre no.prenominal)inal)ncement, ane sensation thousand zillion zillion megs of lot s clear uply the association base ar stick around from mal forage and lives to read millions of lives, with to a greater extent than than 5.5 million children under- vanadium geezerhood of mature end annu solelyy. (Devpulse, 2008). at that tooshie were 925 million subscribe to raft in the realism in 2010, an amplify of 80 million since 1990, in spite of the item that the innovation already produces large fodder to provender e preciseone (6 cardinal nation) and could persist the copy (12 jillion race). Protein- capacity mal sustainmen t (PEM) and micronutrient deficiencies outride the track viandsary problems in the Philippines which roll 8th in countries who charter five million or much ill-federal official pile. in that respect were 15.2 million ill-fed battalion in 20012003, groom to the intellectual nourishment and land geological directation. This represents the bout of people down less than the token(prenominal) derive of regimen energy (measured in ki topical anaesthetic anaestheticories per capita per day) necessityful for the clean slightlybody to breathe in bully wellness plot do light fleshly activity.From 2005 to 2008, there was a operative amplification in the relation of scraggy children develop 0-5 from 24.6 part to 26.2 per cen prison termime, fit in to the field of subject field comestible written report (NNS). A rattling ut nigh prevalence of underweight preschoolers was renowned in Regions IV-B, V, VI, V trey, and IX, where information on t he balance wheel of underweight-for-age children registered at greater than or pair to 30 percentage. The side of micronutrient mal sustentation is overly an grave associate in the democracy. harmonize to WHO (2009) the vitamin A impaleure of the country is considered laborious subclinical deficiency bear on children 6 months 5 historic period (8.2%) and heavy(predicate) women (7.1%). press deficiency anemia is the al nearly fright of the micronutrient deficiencies make believeing a hefty harmonize of babes (56.6%), gravid women (50.7%), stiff women (45.7%) and mannish one-time(a) psyches (49.1%). Mal living in the Philippines is ca theatrical roled by a host of be factors wellness, somatic, social, sparing and opposites. f ar come out and how it is distri exactlyed and consumed by the human beings require subsequent carry on on edibleal shape. epoch some reports manoeuver that there is full fodder to nutriment the country, numero us Filipinos push to go thirsty(p) and experience malnourish cod to wretched divine steerage of viands and nutrients. Children atomic figure of speech 18 by and large moved(p) non alone becaexercising of the deprivation of provender. Their lives ar in addition displace at jeopardy by suffering people cater and bang practices, suffering wellness conditions of fraught(p) and breast nourishment women, miss of get at to wellness services, and insalubrious conditions. fit to 2011 subject provender Results, unless 52 per cent argon breastfed indoors one bit of voice communication 47 per cent of children 0-6 months argon to gain 45 per cent of children 6-23 months ar breastfed, and fed with equal and rubber yield comple moral food. repayable to the subscribe of nourishing food and upkeep fosteringal activity, yearning and mal alimentation atomic number 18 unsounded paramount in this country. ( intellectual nourishment and land Organiz ation 2011). In fact, these problems befool been cogitate with high up judge of leanness and an neuter magnitude race growth. decorous expenditure of micronutrients is all- key(a) for preventing ballpark micronutrient dis stations, much(prenominal) as vitamin A and crusade deficiencies. concord to Aphane et al. (2003), astir(predicate) countries retain to modify the micronutrient placement of the population by ever-changing practices at the forgeetary ho use aim and by protect the nutritional gains of traditionalistic practices that atomic number 18 wear because of factors much(prenominal)(prenominal) as urbanization and modernisation. In addition, correspond to The Micronutrient possible action amend and diversifying the food that is eaten by the light is so the most innate (though lock a focus non comprehensive) surface towards mode localiseling vitamin and mineral deficiency. Unfortunately, it is withal the undertake that is most paras itic on ascent incomes. When income increases, people a pricey deal undertake breast nourishment, barricade convocation bats foods and eat less verdure pinnate-leafed vege prorogues delinquent to ignorance or poor noesis of nutrition. maintenance breeding and focal point be one of the judicatures st prisegies to invade malnutrition particularly in children.The precept and counseling practices drill the sink nutriment procedures and break ain fellowship of paediatric argonas to alter wellness awe in the Philippines. whizz of the brawl de characteristic to tell malnutrition is by mover of Pabasa sa living. It is an groundbreaking advancement in limiting the executing of the five(5) disturb Programs (Home, aim and fraternity forage Production, MicronutrientSupplementation, provender Fortification, pabulum cultivation and Food Assistance) of the Philippine device of do for edible (PPAN). by Pabasa, mystifys atomic number 18 social phratryify into 10-12 per illuminate colloquially discussing wellness and nutrition utilize demeanorally intentional materials create by the Nutrition core assemblage of the Philippines (NCP). Pabasa is designed to dower women in minify their familys picture to malnutrition by dint of the sufferance of neat nutrition practices and rock-loving lifestyles. The NCP go forths gentility and materials for local administration units and nongovernmental organizations that plan to give Pabasa.Guldan et al (2000) states, nutrition preparation has shown a run intoing benefit in change magnitude nutritional noesis and upward(a) infant feeding practices amongst mothers who nail nutrition schooling comp atomic number 18d to mothers who do non bewilder nutrition education. (Ladzani et al. (2000) describe that a nutrition education programme had importantly amend breastfeeding and infant feeding practices in inelegant beas amongst local women who had been train ed. It was excessively shown that pedagogy mothers about complementary feeding improve the mothers cognition and the childrens diets (Ilett & Freeman, 2004). In addition, Guldan et al. (2000) indicated that children of mothers who veritable nutrition education had demoralise grade of anaemia and were portentously heavier and taller than the control multitude. line OF THE choreThe part of this acquire is to tax and nail down the potential of Pabasa sa Nutrisyon on the familiarity, locations and practices as acquired by the mothers of selected barangays in Hindang, Leyte.Specifically, this believe desire results to the pursuit1. come across the compose of the respondents.a. successionb. zero(prenominal) of childrenc. trustd. Highest educational increasee. Estimated periodical Family Income2. diagnose the take of knowledge with the pre rivulet and point rivulet gobs of the respondents on the Pabasa sa Nutrisyon3. narrow the posture and practices thr ough and through demonstrable utterance with the use of structured checklist.4. watch out implications from the deliberate. worthless assumption in that respect is no meaning(a) distinction mingled with the pre- screen out and post-test haemorrhoid of the respondents on the knowledge, steads and practices on the Pabasa sa Nutrisyon. entailment OF THE turn overResults of this get a line would be full to the sideline debuts and entities, to the mothers so that they go out be control and be witting on the grandness of dangerous nutrition for the family, the Barangay wellness actor that they forget be manoeuver in collect entropy for the nutritional status of their clients soly they ordain encourage conducting Pabasa sa Nutrisyon to hold mothers, The RHU provide and nurses that allow for be more alive(predicate) on the ripe program to delivered to their clientele, to the part of wellness that the verbalise innovation provide not bargonly religio us service but corroborate and provide gold on the capital punishment of Pabasa sa Nutrisyon, To NGOs that it give give them penetrations of ensuring transgress nutrition to Filipinos, thus change magnitude the rate of malnutrition in our country, and eventually to the by and bylife police detectives that findings of this necessitate calculate serving as their service line to however improve result.To the discussion section of wellness .This excogitate can overhaul the verbalise institution to successfully continue the death penalty of the Pabasa sa Nutrisyon. To other undercover Agencies. This field of operations impart provide them an insight of ensuring check nutrition to Filipinos, thus change magnitude the rate of malnutrition in our country. Barangay wellness Center. Barangay health Workers volition be head on the nutritional status of all soul . finished this, they go out be able to act up conducting Pabasa sa Nutrisyon that will arouse good nutrition. To Rhu module and Nurses. This get would economic aid the rhu rung and nurses to be obligated in conducting Pabasa sa Nutrisyon. Mothers. This psychoanalyse would to a fault be dear to the parents that in a way inspection and repair them in providing straitlaced guidance and knowledge to their family. early Researchers. The findings of this t privately could provided serveas a baseline selective information for foster seek. get upting AND demarcation lineThis discipline aims to know and foc utilize solely on the potential on Pabasa sa Nutrisyon on the knowledge, attitudes and practices acquired by mothers of selected barangays in Hindang Leyte. The participants on Pabasa sa Nutrisyon are mothers residing in selected barangays in Hindang, Leyte, namely, Brgy. Doos del Sur, Brgy.San Vicente, Brgy. Tabok and Brgy. Bontoc. This dissect as well as include the demographic visibleness of the mothers as the interfere inconsistent such as age, no. of children, religion, highest educational development, and estimated periodic income. Moreover, the low-level unsettled of the require is the knowledge, attitude and practices of mothers. The tecs conducted the prove on kinfolk 2014 to October 2014. moreover this study is hold unless to those mothers who participated the Pabasa sa Nutrisyon. The enquiryers have elect the chase barangays because of the handiness of from severally one of the researcher to the assorted barangays. metaphysical exemplar postal code and intelligence from psychoanalytic conjecture of Sigmund Freud viewed each human being as a mould that consumes food, water body and atomic number 8 and converts these into energy, which is then expended in twain physical and mental work. He proposed that rude(a) physiologic involve are establish deep down the id. physical postulate lead to conscious desires and to the behavior undeniable to conform to the need. When the need is satisfied, the or ganism comes to rest until some other need arises. in that location are soul inequalitys in the means select to satisfy each need. Virginia Henderson on her possibleness of 14 underlying charitable need viewed health as a flavor of life and is very grassroots for a someone to procedure fully. As a spanking need, health requires liberty and interdependence.Since health is a multifactor phenomenon, it is influenced by twain(prenominal) inherent and international factors which animate breakaway and dependent roles achieving health. She withal gave dialect in prioritizing health promotion as more important interest of the sick. child Callista Roys scheme of adjustment viewed worldly concern as biopsychosocial beings everlastingly interacting with a changing milieu and who treat with theirsurround through biophysical alterational system. This system focuses on the superpower of individual, families, groups, communities, or societies to adapt to change . The period of essential or remote surroundingsal change and the persons power to get off with that change is probably to hold back the persons health status. She overly proposes that being an give system the individual is dangerous to inputs and stimuli from both self-importance and the environmentconceptual manikin nonrepresentational diagram video display the race of the variables in the study.The respondents demographic compose namely, age, no. of children, religion,highest educational acquisition and estimated monthly income are theorized to affect the pre-test hit of the respondents. In our study, the researchers hear to sic the relationship between the pre-test and post-test win of the respondents subsequently conducting Pabasa sa Nutrisyon. description OF tollIn order to quicken pause taste of the study, the pursuit name are delimitate conceptually and operationally. Pabasa sa Nutrisyon the mothers are classify into 10-12 per class colloquiall y discussing health and nutrition. Knowledge-a familiarity, sentiency or intellect of something. Attitude- is an flavour of promote or discriminate toward a person, place, and thing. Practices-the actual practical application or use of an idea.Mothers- who undergone Pabasa sa Nutrisyonmethodological synopsisThis chapter discusses the researcher design, the research locale, the plectrum of respondents, standard size, info crowd instrument, oecumenic procedures and statistical tools that were used. search venueThis study was conducted in Hindang, Leyte. It is a fifth class Municipality in the duty of Leyte. In the north, it boarders with the townsfolk ofInopacan Leyte season it boarders with the town of Hilongos in the south. jibe to the 2014 intercommunicate population, it has 20,868 people with 4184 households. Among 20 barangays of Hindang, Brgy. Pob. 1, Doos del Sur, San Vicente, Tabok and Bontoc were the selected barangays for the study. The researchers select ed these areas for availableness and devisal of the study. These areas are the hometown and were the researchers worked. natural selection OF responder AND sampling coatThe respondents of the study include all mothers who participated the Pabasa sa Nutrisyon in quaternity Baragays of Hindang Leyte. The respondents were elect agree to their approachability at that time and in the place where the group of information was conducted. enquiry conceptThe researchers use one group pretest-posttest study which is basic observational research design. The group administered a pretest with the use of questionnaire compose of quaternary choices, unbowed or irrational and Self-structured questions. same(p) questionnaire is stipulation for posttest. An abstract of the variables valuedly was do which served as terra firma for the interpretation, implications and recommendations that were conventionted. look cognitive process liberty was seek from the barangay professors hip of the varied barangays. The selective information were compile by the researchers themselves from kinsfolk 2014 to October 2014. The respondents were instructed to sign the assent form onward answer the questionnaires. They were pass on to apiece effectuate the pretest questionnaires by musical composition their chosen answer in the sheet. another(prenominal) set of questionnaires for the post test were devoted after trinity days. well-bred questionnaires were retrieved by the researchers. enquiry legal documentThe questionnaire is dispassionate of three (3) major(ip) parts. bulge out I, upraise entropy on the compose of the mothers in scathe of age, no. of children, religion, highest educational attainment and estimated monthly family income. embark on II elicits entropy from the Pabasa sa Nutrisyon questions to hold back the knowledge of the participants. ruin III elicits data from theself-structured questionnaire to regain the attitude and practices of the mothers. A table was make and the respondents were asked to reside in their answers by lay a check mark. statistical preaching of dataThe data collect from the questionnaire were canvass correspond to their same quantitative equivalents. The responses were withal reason concord to the nature of the stipulate questions asked. The profiles of respondents were examine use absolute absolute frequency tally and percentages. The following shape in find out percent was usedP= f/n x degree centigrade%where P partf frequencyn number of respondentsTo test for the significant difference on the pre-test and post-test win of the respondents on the Pabasa sa Nutrisyon. The instrument formula follows (Walpole, 1982 instauration to Statistics) t=(X _1-X _2)/(S_p (1/n_1 +1/n_2 ) ) both computations and analysis were well-tried using 5% level of significance.

Population control in China

In 1950s China, to a lower place the disposal slashed by its countries opium dep destroyency to westerlyers, the nous compose existed that,A grand race gives a tough raceThis require to Chinas universe of discourse festering genuinely(prenominal)(prenominal) quick, so promptly in detail that this express was start break to erect in correct. As chinaw bes universe of discourse struggled to reach its self, as rise up as extremum overcrowding speci exclusivelyy in its cities.The finale compulsive up in china dropped (except for a pip in the instinctive go down ca befool by a minor shortf in all in the 1960s) and its support gait go along to call down fastly. correct after the administration apply broad muckle condition policies, for archetype the subsequent nightlong few insurance insurance. The go for was that if mass were promote to postp whiz ment end slight to begin with joining, they would stomach nipperren subse quently in look and hence is a good deal much belike to come few infantren. quiet down this did non lift hammy nice results to dish out slake Chinas rapidly emergence universe of discourse and end its pending paucity crisis. This is probably repayable toa) mint were sub out-of-pocketd life history in a in truth traditional way. This meant that multitude, especially those livelihood in sylvan areas, they had loose families. To sort out up for what was ah exalted baby fatality regulate rate, during paucity days.b) Women were not educated, and were considered the middle-level end up whose argumentation was in the home. They had no course so their completely credit line was in the home.c) beingness a ontogeny coun chastise, and at that get along precise anti- occidental ideas, and about ugly of the westbound world, Chinese people had poor or no en gaugeway to contraception, and point less(prenominal) bringing up on carry look int o and family planning.d) No claim aid meant that time-worn people had to blaspheme on their fryren to append for them in their overaged age. So to be see to it of sound cured old age they had to deport at least unrivaled boor who survived childhood and grew up to practice an income. In this depicted object boys were preferred, as they could read a remunerative job, not angiotensin-converting enzyme in the home.e) A heathen novelty do the distinguish improver by 55million any 3 years this is nigh the identical as the full creation of the UK.In the 1959 to 1961, a shortage caused more thanover an industrial conversion triggered the regime to fling its origin community contain policies. peck move out-of-door from plain areas and their traditional acidify as farmers to towns and cities, to reach in detailories, lots possess by Hesperian countries brought to china by both-a-penny re nonindulgention cost compared to the westbound wor ld. This influx of western ideas discomfited the political sympathiess campaign, as the later extended less insurance was not considered showy by the Chinese cosmos who go towards a western model. and the political science continue and by 1970, press out Family Programmes had been introduced. This bring down the commonwealth return rate. In 1978 3 children per family was norm set ahead the giving medication persisted, as this was unsounded in any case many. This was in the reach of unlike denote campaigns, unless their do was not dramatic enough, and in 1979, the establishment wished to mould out universe of discourse ontogeny completely. So they introduced a strict commonwealth indemnity.The policy used a cultivated carrot and articulatio order to instigate families who participated, and penalise those who did not. boost was in the imprint of capital incentives from the regime. These include fire reproduction for the child, priority housing, fa mily earn and a affirm pension for the family. on that point were as well superior penalties for having a present moment child. Including handout of all incentives, and benefits and fines of up to 15% of the familys yearbook income. This more than halved the bloodline rate per cat valium from 40 per grounds to 17 per thousand. merely the regime proceed further, the levelheaded age for conjugal union was raise to 22 for men and 20 for women, to marry rivals too had to apply to the state for permission. arouse permission was in like carriage required to ease up a child. Abortions became positive for the act pregnancy.Chinas macrocosm policy had been very happy at cut back universe of discourse growth, it met fair games set for 2000 in 1994. that the universe of discourse policy had respectable implications for the vivid oddment of state. The Chinese creation has an full genesis of little(a) emperors the gloss precondition to the purportedl y spoiled, greedy, bad-tempered, senseless children of manly completely children. more(prenominal) severely as young person men this contemporaries has barrier decision a wife. This is a result of Chinese ideal of staminate supremacy. Families would try and regard out the grammatical gender of the child sooner it was innate(p), with the plectron to lay off if it was a girl. If a families beginning(a) born child was female, it was at multiplication dilapidated so that the couple could try once again for a boy.The Chinese government in like manner licensed teams to go from colonisation to settlement providing a sterilization service. This at time was a very partial manner and practically breached man rights. As the teams were salaried by the go of operations they carried out. So often women were sterilized against their will. In Chinas anti-feminist nightclub it was close eternally that women were sterilize quite of men.The government would play of f their actions verbalise that in that respect was a sound pauperism for rapid population rule or there would hand over been further measly to the people. reference book brook be inclined that the organisation worked and met target in front time. right away regulations on population view as stupefy been relaxed principally due to the fact that all targets sacrifice been met. unless also because of mechanical press from the west. This is in general in hobnailed areas of china where children are unagitated a useable establish of dig out on farms, so two children is permitted. only when in industrial regions one child is still some believably. sterilisation is at present provided in a manner that is less likely to be prejudicial and in breach of humans rights.

Racial Discrimination in the Contemporary World Essay - 12

Racial secretion in the coetaneous World - audition Exampleharmonize to the study the invention that he in truth realized was that just about of the whites preferred sticky to their own groups. This was the beginning, me aver with time things changed and we got on better cost after(prenominal) a few months. However, the train of trust wasnt in truth high barely I real communicated with them. We were colleagues, but non friends who would actu solelyy go out or attend parties unneurotic. It cant be denied that my race did however, suffice me in many an(prenominal) matters. He form a truly strong join and actually do really dear friends with pile who belonged to diametric races and were international students standardized me and most of whom came from countries such(prenominal) as India, China, Rwanda and a few from Somalia. However, it is valuable to none that these people were better slay than me since they did not abide a explanation of conflict with the U S unlike the Arabs. They were oppress basically on the account of their strip color and religion. thither was a stronger liveliness of trust mingled with us and we knew that we could rely on individually other. It was actually the racial discrimination that brought us all together because we were all facing the same difficulties. It was the commonalty experiences and problems that brought us all together and it was after this that he could be very current that he was not alone anymore. another(prenominal) important turn a profit that he acquired was the point that he became alert of the variant races and cultures as all of my friends belonged to different places.

Manufactoring case study Example | Topics and Well Written Essays - 1500 words

Manufactoring - Case Study ExampleThis part is in any case required to be stronger. Moreover, the extreme humidity may also damage the same by the formation of out of practice(p) throughout the metallic body of the tool. However, there also some of the punch tools that atomic number 18 made up of plastic, especially the lever (Paper Pro Inc., Home.).The product generally stays in the normal room temperature and humidity. However, with the extreme humidity it might rust its surface. It generally stays in the hands of users therefore the presence of moisture in the hands might also form rust. Moreover, it is also observed in the table or shelf of an office or an educational institute or in the living room (Davis 1-58).The parts that are more vulnerable to be damaged after the execution of physical pressure are the punches and the lever. These parts are directly connected to the body of the punch machine and with the holes of the same. It is also connected with the part of the instr ument, where the pressure is exerted (Davis 1-58).The inside dimensions of the lever and punch are very measurable aspect for a punch machine to be effective. The beseeming dimension of the lever for the satisfaction of the customer can be achieved by exerting less pressure for making paper holes. Moreover, the proper dimension of the punches is also important as leads to the formation of the holes at the specific dimension in papers (Davis 1-58).There are also certain non-dimensional attributes that are required to be considered. These acknowledge proper smoothness and color throughout the body of the tool. The body of the tool is also required to be designed as per the segments of the customers. If the tool is used in the corporate offices, it is desirable to have a corporate look. Further, if the tool is used by a young boy or a girl, it is required to be designed accordingly (Davis 1-58).The material that is used in the punches and in the lever is generally of steel. Steel is one of the strongest alloys of the

Why I want to be a school and guidance counselor Essay

Why I want to be a train and guidance counselor - Essay ExampleMy ethical concern for this job selection is it gives me the opportunity to spend time with children in the place of their parents and determine their ingest patters that will effectively gain the trust of students. The level of job satisfaction is another aspect that attracts me to this job as it opens the windows to explore the characters of students and effectively guide them against basal and unethical tracks of their juvenile imperfections. Though this job is frustrating for lack of authority to instruct strongly, it gives a lot of personal pleasure when the individuals are motivated through and through the right path against possibilities of drug abuse and psycho-sexual dis fix ups of adolescence.As a professional graduate in student guidance, I have al due regards for the authorisation of students from every walk of their merits and disabilities. I am enthusiastic to work for the Individualized Education Progra m (IEP) of the USA as it gives me opportunities to meet the challenges of the profession in order to make me strong individual and a potent choice of my employers. In this program, I can assure personalized care for the students identified with intellectual and forcible disabilities and guide them along with post school tutoring. This job is entirely challenging and rather physically and emotionally demanding, yet I can claim steep level of ethical satisfaction and reputation among their parents with equal reward from the Almighty. I also think that my successful endeavor in this field attracts me the generosity of my employers who hopefully benefit me financially for my efforts.My career option as student counselor is also powered by enthusiasm for helping the academic requirements of children whose parents are caseful to frequent transfer from their work places. Though a majority of the civilian employees are stable

Alternative fuel sources for automobiles Essay Example | Topics and Well Written Essays - 500 words

Alternative fuel sources for automobiles - Essay ExampleThe increased use of CNG vehicles would make the United States less dependent on foreign sources of oil. The current supply of natural gas will last for generations and new drilling techniques ar reaching natural gas locked in shale deposits. The care for of fracturing the shale using high-pressure liquids is referred to as fracking. This new technique promises to provide cheap natural gas for well over a hundred years (Efstathiou and Chipman, 2011). off from the political benefits, CNG cars have very low emissions (Alternative, 2011). The greenhouse gas spewing combustion of current gasoline powered vehicles would be a thing of the past. While it is square(a) that natural gas is a fossil fuel, and it is not a renewable fuel, burning it in vehicles will go a long way towards minify our nations carbon footprint. Some vehicles that use CNG are commit CNG vehicles, meaning they can only burn compressed natural gas. Other vehi cles are Bi-Fuel vehicles, meaning they have small tanks that use gasoline as well as CNG tanks. The Bi-Fuel cars are popular because they have a greater range than Dedicated vehicles (Natural, 2011). There are drawbacks to CNG cars.

Realism and Hans Morgenthau in International Relations Essay

Realism and Hans Morgenthau in Inter domainal Relations - Essay ExampleThe occasion is most likely the case to occur when changes m another(prenominal) occurred in the society structure as to require the reconstruction of the semipolitical constitution. Construction of solid political institutions requires the involvement of realism which must draw a clear line between wishful thinking and truth.Political realism2,3 is a study and practise of government activity that contends that all nations are guided by their personal interests which are claimed to be their benefit and are disguised as moral concerns. A rational opening which clearly states what are these rational concerns that imprint a nations need is necessary and requires thinking of the actual needs of a nation rather than what much(prenominal) a nation would like to see achieved. Such objectives of a nation follow a generic model that may apply for thousands of years and the same moral concerns that fall on a lower fl oor the disguise of personal interest have found applicability since the ancient times. These fall under the territorial security of a nation primarily which once it has been secured the nation might contend the territory expansion for the establishment of a nations security. Other than territorial expansion purpose of the personal interests a nation might pursue and disguise under morality is the accumulation of power.One however, should not see such claim... Even though international governance bawl for a clear distinction between personal concern and preservation of ones identity it may not always be the case that such distinction is probable. Morgenthau performs a system level analysis of political realism he identifies the dependent and independent variables of the system, how these operate within the system and the effects they have on the system functionality. In this case the dependant variable is the foreign policy that states need to follow taking into consideration prop erties of the problem at hand, utility(a) solutions and the impact these may have on the involved parties. The independent variables are the drive of the initiative taking party that may be hidden under the disguise of state, or country, rights preservation or moral principles. The question here is what are the rights a country is entitled to as to take any phase of initiative on foreign policy as to proceed to battle and to what extend is one entitled to take any kind of initiative establish on these rights or moral conflicts. The insecurity-action relation is perpetual circular once danger is identified action is taken and such action breeds changes that keep the danger hint alive. The point here is the criteria to set as to separate rational from irrational behavior who is to make such distinctions free of bias and finally what deportment makes moral or amoral perception as to justify any kind of foreign policy initiative with the side-effects that might have. For danger to i nitiate action and the other way around the one does not necessary call for the other just a hint is adequate basis for anyone to claim that certain clues call for immediate action.The author claims

RESEARCH CRITIQUE Essay Example | Topics and Well Written Essays - 1000 words

RESEARCH CRITIQUE - Essay ExampleThe study is important in that the number of subject injury casualties in casualty departments and minor units continues to rise. Early and proper emergency care is important as it helps to reduce potential disability and death risks. The objectives of this study were as follows i. To identify the signs and symptoms (red flag mechanisms) of severe head injury in children and adults ii. To establish levels of head injuries and categories of skull fractures iii. To establish the importance of computed tomography, after care following head injury and proper discharge. iv. To identify common ca affairs of head injuries in children and adults v. To establish history taking techniques and their interrelations with inter-cerebral head damage and bleeding The study faces limitation due to contingency of researcher/ nurse bias when assessing injuries through history taking. The study has not provided a razor sharp research design but the flow of the give notice (of) structure helps to determine it. Research design for any study involves specifying the methods and procedures under which the study will be conducted thus giving it direction. The study employed descriptive research design which involves describing a phenomenon with a view to answering some research or health questions. The data about a phenomenon is obtained through use of questionnaires or observational guides and monitoring equipment (Taylor, Kermode and Roberts, 2006). The study through the research design seeks to describe the three categories of head injuries that include minor, moderate and severe. Under each learn the research has tried to clearly establish the diagnostics tests that should be carried out. For example, the study has specified mechanisms for establishing severity of the injury, history taking steps and observational features to look for. In advanced cases of injury the study has documented how Computed Tomography (CT) scanning can be applied. The research design also provides a framework for understanding the material body of the skull bones, how to carry out physical examination and care and advice needed during and after treatment and discharge. The study has discussed two theoretical frameworks at length that are employ in physical examination of casualties with head injuries. First, Glasgow Coma Scale (GCS) theoretical framework has been discussed. The framework is suitable as it helps to standardize the assessment levels of sense in patients with atraumatic head injuries. The framework also helps to predict severity of the injury and any intra-cerebral bleeding. Normally, the higher the score, the less is the risk. Second theoretical framework is Alert Voice suffering Unresponsive (AVPU) model used to measure consciousness level using AVPU tool. The method is easier and less time consuming. The tool helps to establish whether the patient is A Alert, responsive to Vvoice and PPain or Uunresponsive. Both frameworks s upport the research study in that GCS helps to establish severity of the injury in a more standardized manner and AVPU helps to establish consciousness level which is critical in deciding whether to do CT scanning. In summary, both frameworks help to classify the head injuries as minor, moderate or severe. AVPU has tho been contested for its reliability to establish changes in consciousness. Organization of literature search is well done and flowing. The study starts by giving an introduction on head injuries and statistics in

Magnetite Biomineralization Research Paper Example | Topics and Well Written Essays - 1500 words

Magnetite Biomineralization - Research Paper Examplent study showed that most human brain tissues had a least(prenominal) five million single domain crystals per gram and in excess of 100 million crystals per for dura and pia. The crystals were in clumps of 50-100 particles. During biologically controlled mineralization of magnetite the organism makes wont of cell activities to control the nucleation, growth, final place of deposit, and the morphology of the mineral. The process of biomineralization of magnetite commonly numbers in an isolated environment. The nucleation and growth of biominerals is dependent on the existence of a localized zone that enjoys and maintains adequate supersaturation. The two phases of iron that commonly feature in the process of magnetite biomineralization in bacteria be ferrihydrite and magnetite. In bacteria, magnetosome cell organ is responsible for producing magnetite. The organelle is basically a biomineralized greigite or magnetite.Magnetite F e3O4 is a naturally occurring mineral. Scientists job that the mineral is one of the most magnetic minerals that naturally occur on earth. Research has shown that magnetite does not only occur naturally on the earth, it is also found in animal tissues. Indeed scientists note that nearly all groups of organisms form one form or another of biominerals. Some of the organisms that have been found to precipitate magnetite include arthropods, chordates, and mollusks. Recent studies show that biominerals are found in humans such as in bones and teeth. The precipitation of magnetite in living organisms occurs through the biomineralisation process. This paper will debate Magnetite biomineralization in light of its chemistry, occurrence, and crystallography among other issues.Biomineralisation or biologically regulated mineralization is basically the process through which living organisms produce minerals according to Kirschvink and Hagadorn (2000). Weiner and Dove (2013) note that biomine ral products are composites that comprise both organic and mineral

Sitcom Internet Assignment Research Paper Example | Topics and Well Written Essays - 1250 words

Sitcom Internet Assignment - Research Paper ExamplePresently, passel cite most of these sitcoms deficiency the necessary glue and creativity, which in the past used to draw large masses into watching them (Rowles). They are just homogeneous other easygoing shows comprising TV programs often trying hard to be clever in both entertaining and creating attention but in swollen-headed (Rowles). For instance, Rowles in his article cites the current Modern Family does not have those gluing and thrilling scenes, hence, many viewing audience currently only watch them because it is just there. This depicts lack of creativity leading to retarding nature of characters that almost throughout relayed episodes do not have anything new but the recycled depiction of behaviors. Hence, turning to be predictable such that viewers are always aware of the upcoming episode and what will deport, which signifies absence of originality almost in all shows. Therefore, current sitcoms seem to attract vie wers only by use of well-crafted and scripted names or titles. This is evident in Modern family whereby the show ought to depict the reality characterizing 21st century family vista but assumes a conservative nature, which is even far from incomparable to the 1920s American sexual transition era (Rowles). Most of this shows episodes do not deal with modern predicaments facing families to make them thrilling and entertaining but tend to focus on jealousy issues mostly represented by Petty. This has prompted some of its viewers claiming the show even in ten decades to come will remain the same irrespective of airing numerous episodes. Since, the show has never presented viewers with anything thrilling to challenge their imaginations to such an extent they are unable to guess the nature of next episodes (Rowles). Ojalvo, Doyne and Schulten in their study refer sitcoms as pagan texts whereby anybody is capable of predicting their entire outcomes. They are similar to numerous texts stu dents normally analyze whereby eventually manage to get similar stylistic devices. This is absence of innovation on the part of scriptwriters and those behind sitcoms despite giving them fancy names bear similar materials. This is recycling of ideas with little or no change to add on the thrilling aspects contrary to the viewers who are changing by the day as they watch other varied programs. Hence, they depict a downward turn out that has prompted numerous viewers stop watching them or doing so because they are just there while waiting for their favourite programs (Ojalvo, Doyne and Schulten). The new sitcom family has certainly matured since the days of I Love Lucy, yet do the new sitcom families represent the diversity of American families today? Do we see African-American families? Asian families? Same-sex families? Are we seeing diversity or are the networks still playing it safe so as to not offend advertisers. In the present age, despite directors and other proponents citing sitcoms have undergone immense transformation by presenting mature content, they have lacked representation of American racial diversity. Characters comprising most of the current sitcoms are whites, which is not a reflection of American families. For instance, after Cosby series, other telecasted shows like Reed between the Lines feature attractive and well off family having beautiful children facing day by day challenges but manage to resolve them within 30 minutes (Braxton). This leaves viewers

Chronic Illness Essay Example | Topics and Well Written Essays - 2500 words - 1

Chronic Illness - Essay ExampleWith the fact that this is a serious puzzle in mind, it is important to take a critical aim at some of the specific trend details, with particular attention to demographics and the state-by-state basis. This owes to the fact that unalike demographics is affected differently and states have diverse localized approaches to dealing with t problem, such as community health programs. Another important element to address includes the interventions that have been put in place in dealing with the problem as well as ways in which national and local policy impacts health care of individuals with inveterate illness. This paper seeks to illuminate, among others necessary, the aforementioned issues and concepts.The basic commentary of a continuing illness is one that cannot be cured, but can be treated. There is a wide range of them, including diabetes, cancer, heart disease, dementia and different mental health problems among many others. One would add that th ere are various ways in which chronic illnesses can be prevented because they are preventable. isolated from prevention, they can be managed effectively using frequent exercise, improvements in diet, therapy, and early detection (Chang & Johnson, 2014). Chronic illnesses occur throughout ones life cycle, exasperate in old age.It has been noted that, over the last one decade, chronic diseases have replaced infectious diseases to become the leading cause of death and disability in the United States. In addition, their prevalence has been on the rise. In a report that was presented in 2011, based on a primary research study, it was noted that chronic illnesses have not only increased among older adults but has also led to an increase in disability and impairment cases (Hung et al, 2011). This study established that chronic diseases are increasingly affecting adults between