Urban Geography of Tokyo City Essay Example | Topics and Well Written Essays - 1000 words

Urban Geography of Tokyo City - Essay Example    Development of Tokyo can be linked to its demographic and economic structure. The demographic structure is the study of a given population relating to employment, age, income, relation, and population among others. However, economic structure defines the balance of output, employment, and income among other factors relating to the economic sectors. Economic sectors include primary, tertiary, secondary, and quaternary sectors. Since Tokyo's is a metropolitan, its urban geography can be analyzed by comparing its population to that of Japan, focusing on its aged population, and considering its industrial sector.  In 2012, Tokyo’s population was approximately about 13.216 million. The population is a tenth of Japans’ total population. It is, therefore, the most populous prefecture out of the forty-seven ones that make up Japan. Tokyo has an area of approximately 2,189 kilometres squared which is equal to 0.6 % of the area of Japan. The figure makes the population den sity of Tokyo to be about 6,038 people per kilometres squared making it the most densely populated Japan’s prefecture. The statistics make Tokyo extremely populated compared to Japan. The population of the aged persons in Tokyo exceeds the standard set by United Nations. According to the United Nation's standard, the aged society in a given country should not exceed the 14 % mark.The Tokyo's "aged population" is approximately 20.14 % of the total population of the city. The percentage exceeds the recommended mark by 6.14% that is a huge margin.  

2 questions Assignment Example | Topics and Well Written Essays - 500 words

2 questions - Assignment Example Furthermore, if this business is new or small, then this method is very unsuitable. In choosing maxmin criterion, the management will be looking at the worst possible situation in all the options and then adopting the option that provides the least bad results; that is, they adopts the option that optimizes the least profits. As already discussed, this criterion will not be attractive to this particular company if its owners are risk averse decision makers because the method is based on excessive watchfulness. However, while adopting Laplace method, the management should be sure that they are not conversant of chances of different conditions and have no reason to decide otherwise. From the calculations, the most central location is B; therefore, the most frequented department (4) should be placed there. The department that makes more trips to department 4 is department 2, therefore should be placed at the locations closest, for instance A, which is 40 yards from A. Second priority should be offered to department 1, which makes 80 trips to department 4. This department should be placed at location C, which is 40 yards from location B. Automatically, the last department, which is 3, will be located at location D, which is the most distant location at 50 yards from department D’s location (Stevenson, 2008). Following the revised trips schedule, minimizing travel costs will be best when the departments are placed as described below. The highest number of trips are made to department 4, therefore, it should be placed at the most central location. Therefore, taking the distances indicated in part a, department 4 should be placed at location B, which is 40 yards from location A; 40 yards from location C; and 50 yards from location D. However, priority should be given to department 3, which does 60 trips to department 4. Department 3 should be placed at either location C, then department 2, which makes 50 trips to

Helth and Saftey Childcare Assignment Essay Example for Free

Helth and Saftey Childcare Assignment Essay There are many legislations that influence healthy, safe and secure environment for early years settings. The Heath and Safety (young persons) Regulations 1997 states that ‘’Employers need to complete risk assessments for people under 18 years of age.’’ (Thornes 2008 pg84) It also states that if any hazards are the setting, then give them training that the student, trainee or work experience people may nee to do with that particular hazard. Another legislation is Health and Safety at work Act 1974. This legislation is the one that provides general guidance about all this health and safety and workers must have policies and procedures saying how the health and safety will be ensured and then follow these policies and procedures. Control of Substances Hazardous to Health Regulations (COSHH) 1994 is also part of the legislation for a healthy, safe and secure environment and states that a risk assessment should be done on hazards and make sure to store appropriate as the COSHH regulations are. Reporting injuries diseases and dangerous occurrences Regulations (RIDDOR) 1995. E2 Describe the producers which will keep a child safe for each accident, illness or emergency. There are many procedures which keep children safe for each accident, illness or emergency and each childcare setting will have exclusion for illness policy. In my setting the exclusion policy states that all children should be excluded if they have an illness until recovered to prevent any one else in the setting getting infected. Any illness or accident will be recorded in the accident book and they do this in my work placement by writing down all the details of the incident or emergency. The child’s medical records must be checked, and where appropriate acted upon and then parents/guardians will be contacted to pick up their child. If parents/guardians are not reached, the child’s emergency contacts will be call up. In my work placement all staff follow this by carrying it out the correct way. Afterwards the child should be regularly checked to see if any think is more serious. One record copy of the child will be taken to the doctors to make sure staff deal with  any recorded conditions and then the staff at the setting can keep a record of it and keep in contact with parents/guardians. Every childcare setting will keep a record of the child’s symptoms and the actions; regular checks on the child and each time the action was taken. The staffs at my work placement setting always have copies if an incident or accident happens and make regular checks which they keep an up to date record of the child. On discovering a fire or alarm sound, the room leader should then gather the register, visitor book and nursery contact numbers. Nursery stuff will help get the children out the setting by evacuating the building from the nearest fire doors. Once left building all staff and children line up at the assemble point and when lined up the room leader checks register to check all children are present. Afterwards the staff and children must not return to the building until the building has been declared safe by the fire brigade. Once this has been done, the children and staff can return back to the setting safely. An example of an illness would be vomiting or diarrhoea. An example of an accident would be a child bumping his/her head. An example of an emergency would be a fire. E3 Plan the appropriate care of a child aged 1 for a full day in the setting. E4 Plan the appropriate care of a child aged 3 years for a full day in the setting. E5 Describe the issues that affect the planning of a challenging environment for children. There are many issues that affect the planning of a challenging environment for children. The first issue can be identifying children’s needs as this can stop the practitioner from being able to meet their needs in planning the challenging environment for them to be able to learn in, develop and take risks. The second issue can be equipment; is it safe and suitable because this is vital for the children to be able to have in a challenging environment and age staged appropriate equipment. The third issue that affects the planning of a challenging environment may be the size or layout of the area. The Forth issue can be environmental factors such as  temperature, safety, ect It will have an effect on how effective the challenging environment is. The fifth issue can be that is there supervision and enough of it. The sixth issue that affects the planning of a challenging environment maybe type of setting. The seventh issue could be consulting children as is it developmentally appropriate. E6 Describe the initiatives which influence the provision of challenging environments for children. + C1 Evaluate how two initiatives contribute to the provision of an enabling environment for children. A national initiative which influences the provision of challenging environments for children is Swedish school as they apply the Forest education approach. This national initiative influences provisions because children are learning in a different environment which has more outdoor and physical development on the children. They aim to let children explore and understand stuff in the woods and forest such as everyday products from wood. ‘’a unique way of working with young people in a woodland setting, helping them to achieve small practicable tasks, learning about fire safety, woodland management etc. It complements the Early Years curriculum in particular but also supports the 5-16 curriculum. Disaffected children, those with emotional or behavioral difficulties or exhibiting challenging behavior are all seen to benefit and can be turned around by the Forest School experience. Forest School particularly suits the kinaesthetic learner (those that learn by doing) who fails to achieve in a formal school setting. These children are immediately engaged in the tasks set as they suit their way of learning.’’ (http://www.infomat.net/infomat/rd741/rd1/database/Forest_Education/index.asp) A local initiative which influences the provision of challenging environments for children is Montessori such as The Oratory Day Nursery in Burnham. This local initiative influences provisions because children learn independently through tasks to meet their skill for their age without a ‘’long-term disadvantage in their gross motor skills’’ (Thornes 2008 pg250) They aim to make children do many activities which involve the children to use their hands. The Montessori approach is use in my current setting Oratory Day Care Nursery by having set activities for the children to choose from then let children do the activity whilst the practitioners observe and only interacts in the activity to give guidance. This approach also say that ‘’First education of the senses, then education of the intellect.’’ (Thornes 2008 pg250). E7 Explain the importance of helping children to manage risk and challenge in their environment. It is important for children to be helped to learn to assess and manage risk and challenge. It will be necessary for the adult to teach the child the skills he/she will need to learn about assessing and managing risk and challenge. The child can also learn to understand consequences of the challenge and risk themselves. It also teaches them, limits and binderies that they can take with them throughout their everyday life. Most importantly it teaches to progress in their education by developing and doing these challenges and risks with the adults help. In my placement I have seen this happen by practitioners allowing for the children to explore the garden for themselves and one girl was climbing up the little hill for the first time and slipped and fell over. This was a challenge for her because she had to get up to the top and her risk was that she fell but next time she will climb up the hill, she would know the risk and what may happen next time. ‘’All children both need and want to take risk in order to explore limits, venture into new experiences and develop their capacities from a very young age and from their earliest play experiences. Children would never learn to walk, climb stairs or ride a bicycle unless they were strong motivated to respond o challenges involving risk of injuries.’’ (www.freeplaynetwork.org.uk/adventure/manage.htm) E8 show an understanding of diversity and inclusive practice. Diversity and inclusive practise need to be understood and carried out in every childcare setting. Therefore each practitioner should remember to treat every child and their families fairly without discrimination. This can  be done by for example letting all children join in an activity and not saying they can’t play because of their colour, size, shape, disability, ability in activity. They should also not stereotype both the children and families that they work with. By doing this, practitioners can meet each child’s needs as an individual and are allowing for the rights of the children and their families to take place. ‘’Childcare workers are very influential in the promotion of children’s attitude and values. Children will take their cue from adult responses and reactions. Because of their powerful role, it is important that staff take issues of equality seriously and do not ignore them.’’ (Thornes 2008 pg93) In my current setting Oratory Day Nursery, all staff carrying out and understand diversity and inclusive practice by following the equal opportunities policy and enabling that each child gets the chance to develop, learn and play as an individual in the setting with the right to be heard and valued. D1 Explain how legislation can support strategies to establish and maintain healthy, safe and secure environments in early years settings. There are many ways that legislation can support strategies to establish and maintain healthy, safe and secure environment in early years settings. The most important thing that supports a healthy, safe and secure environment is having policies and procedures as this will help everyone in the setting to keep to the same rules. Having CRB checks will also support a healthy, safe and secure environment because they help protect the setting from any vunarble adults. Another thing will be regular body inspections to ensure the setting is following the policies and procedures and working to the right standards but also to see if anything may need improvement into better or is not good practise. Staff ratios can support strategies to establish and maintain healthy, safe and secure environment as without having the right staff the setting shouldn’t open. Training for many different things such as fire procedures will allow you to be able to put your knowledge and practise into your own work to keep everyone safe and secure in the setting. Having the right/appropriate resources is another way to establish and maintain healthy, safe and secure environment. The last thing would be you the practitioner yourself as you are the person who will enforce that all these legislations are done to protect the children, parents, staff and other professionals as well the setting. D2 Explain how establishing a safe environment can support the procedures necessary for accidents, illness and emergencies. Establishing a safe environment, should support the procedures necessary for accidents, illnesses and emergencies. Accidents, illnesses and emergencies cannot be totally predictable or happen through a risk or harm in an event. Many accidents occur in a work place and the main victim is a child. This is due to risks of injury and illness through lack of cleanliness, another sick child in the group, etc Injuries in a group can occur from the children not bringing adequate protection and not using the equipment the correct way. It can also be due to the work place itself because their many be mislabelled equipment, unsafe condition, faulty or broken equipment. However the accidents and illness can be due to the adult because he/she may have failure to follow the procedures, lack of tanning or worker error. Therefore all this needs to be followed the correct way in order to prevent any of this happening. It can be done by making sure everyone in the setting implements and understands the policies such as Health and Safety Work act 1974 or RIDDOR and procedure of the setting, make sure all illnesses and emergency are written, carry out risk assessments regularly, sterilise the equipment, throw away any broken or faulty equipment,, looking after children’s hygiene and insure the children know the rules. This will then creat and establish a safe environment which is safe and less of a risk for everyone in the setting. B1 Consider possible ways to maintain the safety and privacy of children and to respect their wishes. Ensuring a safe environment that allows children to have safety and privacy with respecting their wishes can be done in many possible ways. One example can be going to the toilet as this can make the child feel uncomfortable to go in front of his/her friends and having small toilets with cubicles will make them feel safe and give them privacy. The practitioner however should check to see if there is anything that can put the child at danger when going to the toilet such as chemical produces. When doing all this it allows  the staff in the setting to see over the chid and maintain the safety. In my setting I have seen this happen because when a child goes to the toilet there are small cubicles that adults can see child at any time and keep the safety and privacy that is recurred in any childcare setting. Another example can be when protecting the child such as child’s welfare. This would mean having all practitioners, other professionals, parents and students to be aware that they most not discuss any thing that is not relevant to others and keep any paper work confidential. I have seen practitioners in my setting maintain the safety and privacy of children and respect their wish by listening to them, valuing them as an individual, following the policies on safety, Every Child Matters and the CACHE Statements of Values to best practise. A Discuss the effect on practitioners of meeting the care needs of children. There are many ways of how and why practitioners may be affected when meeting the care needs of children and the support available. Practitioners may feel unhappy to see a child leave after a long time of care for them, grief if child in care dies or is badly injured, feel terrible if they do not get on with a child or the child is not progressing and have a sense of failure. They may also feel anxiety when having to tell a parent bad news or anxiety when a child has to have the social care services involved with them. There can be support given for all these things that a practitioner may be affected by to meet the care needs of children. One way can be by leading the practitioner the right way. Local education authorities can also give support by helping the setting out and working with them to help and develop the child at the best interest to. Another way can be by getting advice from support advisors. The last way they can be supported is by other colleagues and work together to improve the outcome and met the care of the Child’s needs more effectively. This will therefore result in making the child feel happy and enjoy activities or coming to the setting. It will also make child want to work with the practitioner and gain a better relationship. It can not only have an result on the children but also on the practitioner themselves because will feel happy or overwhelmed they are able to work with the child to meet their care needs and then have a better  positive communicating relationship with parents about their child to fit the care needs of that child. In my current placement, I have seen practitioners have an effect when meeting the needs of children and one example of this was the practitioner feeling upset, frustrated because this 4 year old boy who was unable to count his number after having taught him many different ways such as having him sing a song to learn to count as this was some think the boy liked doing. Reference: * Beaver. M, et al (2008) Childcare and education Cache level 3 Cheltenham: Nelson Thorns * www.freeplaynetwork.org.uk/adventure/manage.htm 26th October 2011 * http://www.infomat.net/infomat/rd741/rd1/database/Forest_Education/index.asp 26th October 2011 * http://www.extension.org/pages/25767/preventing-injuries-in-child-care 1st December 2011

Metabolic Syndrome and Depression in Police Officers

Metabolic Syndrome and Depression in Police Officers Laurie Cyr-Martel Introduction Approximately 780,000 sworn police officers are accounted for in the United States, (Bureau of Labor Statistics, U.S. Department of Labor 2014) and one out of eight officers are female. (U.S. Dept. of Labor Bureau of Justice Statistics 2007) The literature also supports that law enforcement is one of the most demanding professions in our country. (Marmar, C., McCaslin, S., Metzler, T., Best, S., Weiss, D., Fagan, Nelan,T. 2006: Gershon, R., Barocas, B., Canton, A., Li, X., Vlahov, D., 2009 : Wang, Z., Inslicht,S., Metzler, T., Henn-Haase, C., McCaslin , S., 2010) The general public’s perception is in direct conflict with the reality of those who wear the badge to protect and serve. The media either sensationalizes the profession or degrades the profession dependent on the situation. Men and woman place themselves in harm’s way for the protection of their communities while compromising their own emotional and physical health. The police academy does not prepare the offic er for the misery and sorrow encountered once they graduate, nor are they prepared for how the occupation will effects their mind and body. Exposure to human tragedy, trauma, violence, lack of support both personally and professionally can increase the stress the officer’s experience. The cumulative effect of stress within law enforcement can exacerbate underlying physical and behavioral conditions. Physical presentations appear as high blood pressure, increased glucose levels, chest pains and obesity, a condition liken to Metabolic Syndrome. Behavioral conditions present as anger, rage, irritation, bad moods or resentment. Working with police officers for the past fourteen years, eight of them on the street in uniform, allowed a unique perspective regarding their emotional and physical health. Literatures linking physical (metabolic syndrome) and behavioral (depression) conditions for the law enforcement population, although published, are limited. The following review of th e literature will attempt to provide an overview of Metabolic Syndrome and depression and how this might relate to those in law enforcement. Literature Review Definition Metabolic Syndrome (MetSyn) is a condition distinguished by several health issues that when placed together are the major risk factors for cardiovascular disease, diabetes, possible organ damage, and even mortality. (Han Lean 2011: Suls, J., Bunde J. 2005) These include high blood pressure, high blood sugar, high cholesterol and obesity. To review and determine the correlation more closely, studies throughout the literature use various biometrics. These include; measuring waist circumference, allowing a difference for centimeters for men and women, measuring the individual’s blood pressure, and monitoring fasting blood glucose. MetSyn is also referred to as a â€Å"cluster of anthropological and biochemical abnormalities that predispose an individual to coronary artery disease.† (Grundy, Brewer, Cleeman, Smith Lenfant, 2004) Although various definitions are found throughout the literature, a universal definition that every author, discipline, or diagnostician can agre e upon was not found. When a patient presents with at least three out of the five risk factors listed below, a diagnosis of Metabolic Syndrome can be made. (Thayyil, Jayakrishnan, Meharoof, Cheremanalil, J.2012) Regardless of a the differences among those definitions, the medical community agrees that if identification of MetSyn is diagnosed early, the practitioner can include preventative measures for Type 2 Diabetes and Cardio Vascular disease. (Huang 2009) One of the reasons this Syndrome is important to both the medical and behavioral sciences is that it would allow the medical practitioner to focus on the underlying medical concerns such as Type 2 Diabetes and Cardiovascular disease. Although these are medical diagnosis, the behavioral interventions might alleviate further medical compromise. Metabolic Syndrome and the Police Officer Literature supports the link between MetSyn and the law enforcement population. (Hartley, Knox, Fekedulegn, Barbosa-Leiker, Violanti, Andrew Burchfiel 2010). What is known in the world of medicine and psychology is that various psychological presentations such as anxiety and depression are presumed as associated risk factors to diseases encompassed in Metabolic Syndrome. (Hartley et al., 2010; Toker, Shirom Melamed. 2008; Skilton, Moulin, Terra, Bonnet. 2007; Kahl, Greggersen, Schweiger, Cordes, Balijepalli , Lo ¨sch, Moebus,S. 2012 ) MetSyn is considered an important cardiovascular risk factor in the development of cardiovascular disease. However, variations due to socioeconomic status, environmental, professional, spiritual, and cultural and ethnicity must be considered. An evaluation of 900 officers found 16.8% or 138 officers were found to have MetSyn. (Thayyil et al., 2012 ) Although the study was conducted in India, the conclusion and relevance to police work in general provided information relevant to MetSyn. MetSyn has more connections to health for the officer than just running the risk of experiencing a heart attack. Hypertension, dyslipidemia (abnormal amount of lipids in the blood), impaired glucose tolerance and obesity are all key elements of MetSyn. (Austin-Ketch, Violanti, Andrew, Hartley, Vena, J. 2010). As previously stated many factors are inherent in police work. Shift work is a contributory factor to the physical and psychological health of the officer and has been linked to MetSyn. Officers at higher risk for MetSyn and had a significant number of the components for MetSyn were officers who obtained six hours of sleep or less and worked shifts referred to as midnight shifts. (Violanti, J.,Burchfiel, C., Hartley, T., Mnatsakanova, A., Fekedulegn, D., Andrew, M., . . . Vila, B., 2009) Sleep deprivation also presents in the literature as increasing an individual’s risk for cardiovascular disease and various metabolic dysfunctions and is a common denominator in shift work. (Rajaratnam, S., Barger, L., Lockley, S., Shea, S., Wang, W., Landrigan, C., . . . Czeisler, C. 2011) It is important to identify officers at risk for MetSyn. Without identification, prevention and intervention would not occur. Depression and the Police Officer A 12 month study of 119 from four different departments, New York Police Department, and three departments in California took into account not only demographic variables, but baseline depression symptoms using the, child hood trauma, using the Early Trauma Inventory Self Report—Short Form to assess experience of childhood trauma before 18 years of age, The NEO Five-Factor Inventory used to assess neuroticism. The officers self-worth was also assessed using The World Assumptions Scale to determine the officers understanding and perception of how he relates to the world around him. After twelve months the officers were then given the Beck Depression scale, a self-inventory PTSD check list, a critical incident exposure questionnaire, and Life Experiences Survey to assess the negative effects of life changes in the twelve months, and the Work Environment Inventory to assess work stress. The study proposes that the longer the officer is â€Å"on the job† the more likely they are to experience moderately high depressive symptoms and partly sovereign from PTSD. (Wang Inslicht Wang, Z., Inslicht,S., Metzler, T., Henn-Haase, C., McCaslin , S., 2010) Metabolic Syndrome and Depression in the Police Officer Several pieces of literature support the association of MetSyn with depression. (Kahl, , Greggersen, Schweiger, Cordes, Balijepalli, Lo ¨sch, Moebus, 2012; Goldbacher, Bromberger, Matthews, 2009; Toker,S.,Shirom, A., Melamed,S. 2008: Skilton, M., P., Moulin, Terra, J., Bonnet, F. 2007 ). An increased occurrence in cardiovascular risk, Type 2 Diabetes (T2D), and hypertension was also presented in the literature when comparing depression and MetSyn. (Skilton et al.,2007) An emergent body of evidence suggests if an individual is diagnosed with depression, this should be considered an important risk factor for MetSyn. Furth more, if a major depressive disorder was present throughout their life, they were at greater risk to develop MetSyn. (Butnoriene, J., Bunevicius, A., Norkus, A., Bunevicius, R. 2014) Another contributory factor to MetSyn is the hypothalamic-pituitary-adrenal (HPA). The hypothalamic-pituitary-adrenal (HPA) axis might also lead to underlying association for MetSyn an d depression. When an officer reacts to a threat, the heart rate increases, pupils dilate to allow our visual perspective to widen, blood pressure rises as adrenaline causes the constriction of blood vessels which in turn increases pressure. We know that cortisol‘s main attribute is to increase energy to the body for survival. When the HPA is activated for survival, prolonged activation of the HPA can be a health risk. Cortisol antagonizes insulin. This might indicate to us that if the cortisol levels remain high, the pancreas –which secretes insulin would struggle to respond to the bodies demand for the insulin. If the glucose levels do not decrease, the cells in our body would not obtain the sugar they need. Thus, when cortisol patterns are no longer normal, and the HPA axis is constantly challenged and prolonged, individuals risk for hypertension, cardiovascular disease and even depression would be increased. (Violanti, Burchfiel Dorn, 2009) Literature further revi ewed MetSyn and the psychological characteristics that might exacerbate CVD and T2D. When depressed patients present with HPA hyperactivity, there is associations with a multitude of psychological characteristics, such as anxiety and anger. Furthermore, those with high cortisol who were depressed were more likely to have been diagnosed with MetSyn. (Goldbacher Matthews 2007) The general public has a view that most officers are young and healthy, and cannot comprehend the reason the officer would present with physical or emotional problems. Research is now proving what many of us within the law enforcement world knew for a very long time, the occupation compromises physical and emotional well-being. The literature points to one of the first cohesive studies that correlates physical and emotional health. Several tools used in the study reviewed both physical health and depressive signs and symptoms. The Buffalo Cardio Metabolic Occupational Stress Study or commonly known as BCOPS was provided to assess the physiological and psychological ramifications of the stress the officer encounters. Measuring the depressive symptoms was accomplished by using the Center for Epidemiologic Studies-Depression (CES-D) scale. The MetSyn was based on the guidelines provided by the American Heart Association and the National Heart, Lung and Blood Institute. The latitude given was much higher than listed above in the initial table which is from 2012. The individual MetSyn components included the following: (1) abdominal obesity (gender-specific waist circumference ≠¥102 cm in males, ≠¥88 cm in females), (2) hypertension (systolic blood pressure ≠¥ 130mmHg, diastolic blood pressure ≠¥ 85mmHg, (3) reduced HDL-C (gender-specific fasting HDL-C 40mg/dL in men, 50mg/dL in women, (4) elevated triglycerides (fasting triglycerides ≠¥ 150mg/dL, and (5) glucose intolerance (fasting serum glucose ≠¥ 100mg/dL, or reported treatment for diabetes. MetSyn was conside red present in individuals with three or more components.} Although differences in age, education and length of employment were present, similarities were present. MetSyn and depressive symptoms were significantly associated. (Hartley et al., 2010) As indicated earlier in this review, more men than women enter the profession of law enforcement. (Bureau of Justice Statistics 2007) Gender may play an important factor in this comorbidity in police work. The literature indicated that for women, depression might lead to MetSyn, but further study is needed. (Toker et al., 2007) Intervention It is important to identify those officers who might be at risk in order to implement prevention strategies. Once the comorbidities are identified, it is paramount to intervene and present the officer with resources that are cost effective, efficient and solution focused. Literature supporting intervention and treatment programs for the comorbidity of Metabolic Syndrome and depression in police officers is limited. The literature does advise that building an effective training protocol within departments, would provide the competencies needed when the officer faces stressors, thereby preventing the officer from detrimental psychological and physiological effects. Aarnetz, B., Arble, E., Backman., Lynch, A., Lublin., A.,(2013) Motivational interviewing is another modality listed in the literature to address and change officers behaviors that will presumably lead to healthier outcomes. (Anshel, M., Kang, M. 2008) The literature supporting treatment programs for this population within t he New England area is limited. Treatment programs that are in existence for this population are aimed at psychotherapy rather than treatment for co-morbid presentations. (Berard, 2012) The creation and implementation of a population health management program for law enforcement would impact health care policy. When a police department has a partnership with a health program which treats a chronic condition, adding another component of the officer’s wellness might be added at a reasonable cost. If the program has a direct impact on the officers health care cost, the Population Health Management program our yield a return on their investment into the program. Grossmeier, J. , Terry, P. , Anderson, D. , Wright, S. 2012) Conclusion Metabolic syndrome and depressive presentations could be the precursor to a multitude of health concerns, but especially Type 2 diabetes and cardio vascular disease. Diagnosis of this co-morbid condition would lead to intervention and preventative health and wellness programs within police departments. When one has the opportunity to glimpse into the â€Å"thin blue line† as it is referred to – one realizes that not all police departments speak openly about the officers’ health and wellness. There are gyms on premises, EAP (Employee Assistance Programs), and perhaps yearly training on health programs. Many times it is not until an officer â€Å"crumbles† psychologically and physically that the department is forced to review their policies and protocols regarding overtime, training, inter-departmental conflicts, and a multitude of other concerns . When administration is unable to recognize the problem, the officer will bear the ramifications. References Aarnetz, B. , Arble, E. , Backman., Lynch, A. , Lublin. , A., (2013) Assessment of Prevention  Program for Work-Related Stress among Urban Police Officers. International Archives  of Occupational Environmental Health. 86:79-88 Anshel, M. , Kang, M. (2008) Effectiveness of Motivational Interviewing on Changes in Fitness,  Blood Lipids, and Exercise Adherence of Police Officers: An Outcome-Based Action  Study. Journal of Correctional Health Care.14:48-62 Austin-Ketch, T. , Violanti, J. , Andrew, M. , Hartley, T. , Vena, J. (2010) Diabetes Metabolic  Syndrome: Clinical Research Reviews. Published by Elsvier (4) 82–88 Berard, P. , (2012) Program Helps Service Professionals. New England Psychologist  Retrieved from http://www.brattlebororetreat.org/usp Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook. 2014-15 Edition, Police and Detectives, Retrieved from http://www.bls.gov/ooh/protective-service/police-and-detectives.htm Butnoriene, J. , Bunevicius, A. , Norkus, A. , Bunevicius, R. (2014) Depression but not Anxiety  is Associated with Metabolic Syndrome in Primary Care Based Community Sample Psychoneuroendocrinology. 40: 269—276 Goldbacher, E. , Matthews, K. (2007). Are Psychological Characteristics Related to Risk of the  Metabolic Syndrome? A Review of the Literature. Annals of Behavioral Medicine 34(3):240–252 Grundy, S. , Brewer, H., Cleeman, J. , Smith, S. , Lenfant, C. (2004) Definition of Metabolic  Syndrome: Report of the National Heart, Lung, and Blood Institute/American Heart Association Conference on Scientific issues Related to Definition. Arteriosclerosis Thrombosis Vascular Biology 24:13-18 Gershon, R. , Barocas, B., Canton, A. , Li, X. , Vlahov, D. (2009) Mental, Physical, and  Behavioral Outcomes Associated With Perceived Work Stress in Police Officers. Criminal Justice and Behavior. 36: 275-289 Goldbacher, M. , Bromberger, J. , Matthews, K. (2009) Lifetime History of Major Depression  Predicts the Development of the Metabolic Syndrome in Middle-aged Women. Psychosomatic Medicine Journal 71:266–272 Grossmeier, J. , Terry, P. , Anderson, D. , Wright, S.(2012) Financial Impact of Population  Health Management Programs: Reevaluating the Literature. Population health  management. (15) 3:129 134 Han, T. , Jean, M. (2011) Metabolic syndrome. Medicine 4 (39): 1 Hartley, T. , Knox, S. , Fekedulegn, D. , Barbosa-Leiker, C. , Violanti, J. , Andrew, M. ,  Burchfiel, C. (2010) Association between Depressive Symptoms and Metabolic Syndrome in Police Officers: Results from Two Cross-Sectional Studies. Journal of Environmental and Public Health. Volume 2012. Article ID 861219, 9 pages Huang, P. (2009) A comprehensive definition for metabolic syndrome. Disease Models   Mechanisms 2: 231-237 Kahl, K. , Greggersen, W. , Schweiger, U. , Cordes, J. , Balijepalli , C. , Lo ¨sch, C. , Moebus, S.  (2012). Prevalence of the Metabolic Syndrome in Unipolar Major Depression. European  Archives of Psychiatry and Clinical Neuroscience 262: 313-320 Marmar, C. , McCaslin, S. , Metzler, T. , Best, S. , Weiss, D. , Fagan, . . . ,Nelan,T. (2006)  Predictors of Posttraumatic Stress in Police and Other First Responders. New York Academy of Sciences 1071:1-18  Office of Justice Programs. Bureau of Justice Statistics. (2007) Retrieved from  http://www.bjs.gov/index.cfm?ty=tptid=71 Rajaratnam, S. , Barger, L. , Lockley, S. , Shea, S. , Wang, W. , Landrigan, C., . . . Czeisler, C.  (2011) Sleep Disorders, Health, and Safety in Police Officers. Journal of American Medical Association. (306) 23: 2567-2578 Skilton, M. , Moulin, P. , Terra, J., Bonnet, F. (2007). Associations Between Anxiety,  Depression, and the Metabolic Syndrome. Biological Psychiatry 62:1251–1257 Suls, J. , Bunde, J. (2005) Anger, Anxiety, and Depression as Risk Factors for Cardiovascular  Disease: the Problems and Implications of Overlapping Affective Dispositions. Psych  Bull 131:260–300. Thayyil, J. , Jayakrishnan, T. , Meharoof, R. , Cheremanalil, J. (2012) Metabolic Syndrome  and Other Cardiovascular Risk Factors Among Police Officers. American Journal of Medical Science 4(12): 630–635. Toker, S. , Shirom, A. , Melamed, S. (2008) Depression and the Metabolic Syndrome: Gender-Dependent Associations. Depression and Anxiety. 25:661–669 Wang, Z. , Inslicht, S. , Metzler, T. , Henn-Haase, C. , McCaslin , S. (2010) A Prospective Study  of Predictors of Depression Symptoms in Police Psychiatry Research (1) 75:211–216 Violanti, J. , Andrew, M. , Burchfiel. C., Dorn, J, (2009) Cortisol Patterns and Brachial Artery  Reactivity in a High Stress Environment. Psychiatry Research 169:75–81 Violanti, J. , Burchfiel, C. , Hartley, T. , Mnatsakanova, A. , Fekedulegn, D. , Andrew, M., Vila, B., (2009) Atypical Work Hours and Metabolic Syndrome Among Police Officers. (64) 3: 194-200

Analysis of Photo of the Civil Rights Movement :: Photography

The civil rights movement in the 1960’s was a very powerful time period in this country. Birmingham, Alabama was in the heart of the struggle for equal rights. African Americans protested and fought for what they believed in through peaceful and violent protests. In this picture the struggle is shown on how difficult it was for African Americans to gain equal rights. The photo was taken in the midst of a protest which adds dramatic effect, the people in the photo show pain and the people not pictured make them a faceless foe and the lack of colors in the picture helps send a powerful message. As I look at this picture I feel bad for the hard times that these people had to endure. It makes me upset with the way this country treated African Americans They are fighting for something they believe in and will stop at nothing to earn what they deserve. It shows the powerful message of the movement, which was to gain equal rights and prove that they are equal citizens. The message is to show how these people fought for their cause. The photo does show that they were willing to fight for their rights by capturing the people’s pain in their faces. The photo shows the determination and drive to gain equal rights. I see people running away from water being shot at by hoses to stop the protest for these rights. The water represents the sacrifice for the pain they must endure in order to get what they want. The way the photo was taken only showing the people being abused adds hardship. It does not show the policemen who are spraying the hoses, which makes them seem even more evil and more like the bad guys. This gives the effect of a faceless foe and adds to the drama of the picture. This image shows that the protesters were willing to endure pain to get what they desired and deserved. The people in the background wanting to give up and go home, stay and show that they support their cause and are willing to fight for what they believe in. The man holding the woman shows the power and pain endured during the protest. They show that they are determined to get what they believe but also are being unfairly harassed.

Homo Mensura-Philosophie: Analepse gegen Paralipse La Mettrie und die griechische Medizinphilosophi :: German Essays

Homo Mensura-Philosophie: Analepse gegen Paralipse La Mettrie und die griechische Medizinphilosophie (iatros philosophos isotheos) ABSTRACT: Philosophische Anthropologie teilt sich in Europa seit der Zeit der alten Griechen in zwei Richtungen: die theologische (deus mensura) und die anthropologisch-medizinische (homo mensura)-Platon und Demokrit, Kant und La Mettrie. Fà ¼r beide Richtungen steht Paideia (Lernen, Formen, Bilden, Kultur, Humanità ¤t) in Zentrum der Philosophie. Fà ¼r homo-mensura-Philosophie entscheidend ist Analepse (ungefiltertes Aufnehmen) im Gegensatz zur Paralipse (filterndes Auslassen). La Mettrie ist ein wichtiger Vertreter der homo-mensura-Philosopphie (l'homme machine-l'homme mesure). Als 'Darwinist' (100 Jahre vor Darwin), fà ¼r den das Gehirn die mabsetzende lebendige 'Maschine' ist, ist er Vorlà ¤ufer einer evolutionà ¤ren Philosophie. Homo-mensura-Philosophie ist (wie Thukydides, einer ihrer Vertreter, sagt) ein ‘Besitz fà ¼r immer.' In der europà ¤ischen Philosophie gibt es seit der Zeit der alten Griechen 2 Richtungen (Seiten , Schulen , Parteien, Traditionen ) : die theologische und die (medizinisch-) anthropologische - Platon und Demokrit. In dem Satz iatros philosophos isotheos / "ein philosophischer Arzt ist gottgleich" (corpus Hippocraticum) ist die theologische Seite zugunsten der anthropologischen aufgehoben ; isotheos heißt , dass man einen Gott nicht braucht . Klassisch hat dies Demokrit ausgedrà ¼ckt : "Gesundheit erbitten fà ¼r sich die Menschen in Gebeten von den Gà ¶ttern ; dass sie aber die Macht à ¼ber sie in sich selbst haben , wissen sie nicht ." (234) (Paideia : Sie mà ¼ssen es lernen . ) Genau dasselbe bedeutet 2000 Jahre spà ¤ter das Motto des Philosophenarztes Paracelsus : Alterius non sit , qui suus esse potest . / "Eines anderen (Sklave) sei nicht , wer sein eigener (Herr) sein kann ." Das Stichwort fà ¼r diese Richtung ist HOMO MENSURA (Maß m, Maßstab , Metrum , Dimension ) . [Im Bereich der anthropologischen Philosophie ist "Eklektizismus" ein gegenstandsloser Vorwurf . Im Gegensatz zum gà ¶ttlichen ÃÅ"bermaß ist menschliches Maß nachweisbar ; wer in welchem Zusammenhang den Nachweis fà ¼hrt , ist nebensà ¤chlich . Es geht um die Sache , nicht um Personen . Es geht um Philosophie , nicht um Philosophiegeschichte .] Homo mensura (individuell und kollektiv) bedeutet , dass "sich die Gegenstà ¤nde nach unserer Erkenntnis richten mà ¼ssen" . Kants vielgerà ¼hmter "Kopernikus" ist von Anfang an Grundlage der anthropologischen Philosophie . Das Maß ist das menschliche Gehirn , von La Mettrie "Maschine" genannt . (Ein 6./7./... Sinn ergà ¤be eine andere Welt , eine 4./5./... Dimension.) Epiktet : "Nicht die Dinge beeinflussen die Menschen , sondern die Vorstellung von den Dingen." Was uner"meß"lich ist , ist dem Menschen nicht zugà ¤nglich , so z.

Nature of a Business

Business Studies PART 1 A) Social Function of a business: [Choice] Businesses provides goods and services to satisfy individual needs and wants by giving the choice of selecting something among a variety of products. Economic Function of a business: [Employment] By creating or providing employment for individuals this minimises the unemployment rate. B) Unincorporated enterprises is when the enterprise has NOT gone through the process of not separating the owner from its legal entity examples; sole traders and partnershipsIncorporated enterprises are when the business HAS gone through the legal process of separating the owner from its legal entity examples; private and public companies. PART 2 A) Stakeholders: People who are or may be affected by business activities. B) Possible stakeholders; [Employees] loss of jobs therefore they are unemployed and won’t have a source of income. [Competitors] more firms may purchase their product as the operations are closing down C) Stakeho lders responsibilities; Society/General public] Stakeholders in business should have ethically responsible decisions as good corporate citizens. Society expects businesses to give back to the community of what they make out of profits. For example the Body shop organises community projects such as charity. How Lelouch and his minions was ethically responsible by being a good corporate citizen by giving back to the community of the profits by destroying Britannia as charity. PART3 [Environment] They must consider the impacts on the environment as we should care and preserve our environment.Thus businesses are turning to ecologically sustainable operating practices in response to climate change and destruction of our natural environment. For example Levis has developed its own environment philosophy and principles and conduct business with following those regulations Example Q&A A) What is the difference between a sole trader and partnership A sole trader is owned and operated by one person taking care of all responsibilities whereas a partnership consists of 2-20 people to form a business together and share the responsibilities and problems in the business.B) 2 Advantages and 2 disadvantages operating a partnership as opposed a sole trader [POOL CONTINUITY] It’s advantageous to be in a partnership compared to a sole trader as partnerships will be able to pool their funds and skills together to establish a business and on a death of one partner, the business can continue with the other partners [DISPUTES DEBTS] It’s disadvantageous to be in a partnership as there could be possible disputes between partners and may have a liability for all the debts including the partners.PART4 A) Consumers- Because there are many competitors in the industry it may be difficult for new business to have consumers buy the products they offer as there are a different range of products available to them at competitive prices and quality. Consumers [CPR CPQ] Finance- Thu s financing the business can also be a challenge like a domino effect one thing effects another as they aren’t making enough profits to keep the business up and running and may not be able to keep employees. Finance [DP BE]B) External Influences [CSI] [SCA] [BEBQ] can include competitive situation influences [CSI] as this allows their business to aim for a sustainable competitive advantage [SCA] over their competition as this is a strategy to ensure that they ‘beat’ their competitors over a long period of time, by stimulating an efficient production of better quality products or services. C) Internal influences [LCV] can include location as a prime location can lead to higher levels of sales and profits because of its convenience and visibility to the public. However a bad location is a liability that negatively affects sales and profits.