Trans-Cultural Counseling Essay Example for Free

Trans-Cultural Counseling Essay One of the greatest challenges in counseling today is being able to deliver services that respond to the social developments that translate to responsive and effective psychological care. Hand in hand with globalization, people are not only having to deal with the social changes but also have to deal with the accelerated pace of these developments. Growing cultural diversity, economic challenges and globalization are a few of the major factor shaping society today. D’Ardenne and Mahtani, (1989) were among the ones to raise awareness regarding the issues that highlight the needed competencies and review of previous standards and approaches for counseling services. According to the article published by the Clinical Psychology Forum, â€Å"Racially and Culturally Appropriate†, recognizing culture and ethnicity are essential to create programs that consider the overall perspective of the individual and the circumstances of conditions that reflect a realization the pressures that individuals and groups because of the developing social scenarios. This is to provide emotional and psychological support for those that are most challenged which are often also are cultural minorities, the economically challenged, the youth and the elderly. Trans-Cultural Challenges Continuing research in to the nature of human psychology and mental health is now providing mental health care professional more insights to develop treatment, therapy and rehabilitation that is more sensitive to the needs of patients but also considers more the reality of patients’ lives. Particularly since the 1970’s, mental and psychological health services have begun to realize the need to revolutionize the treatment of mental illness. Developments in technology and health care services are changing the field of mental health nursing. Concurrent researches in the fields of psychology and sociology have revealed the importance of mental health and the programs that promote and support the same objectives. These developments have considered more factors of the state of human condition and the realities that they contend with. And what is most critical in understanding the human condition is understanding the individual in terms of his history, culture and experience. Mahtani and Marks (1994) point out that the valuation trans-cultural issues must be rooted in the most basic approaches and perspectives of counselors and psychiatrists. Their opinion is that psychology services must not just equate it as a factor in dealing with their clients, but rather see it as a pervasive and everlasting component of the individual. It is then prescribed that services should be able to address not only known conditions but also those that are yet recognized or have yet to develop. The objective is not just to be able to recognize trans-cultural issues but also to develop proficiency in dealing with related issues in the future. The influence of trans-cultural issues is both direct and indirect. It develops form social conditioning, experience and perception. Though it is a very significant influence to individuals, they are not reliable in terms of establishing standards for approaches. Therefore, one should consider them as theoretical precepts that have to be proven true first before being considered a factor in the case or session (Davies Neal, 1996). In the edition of Gender and Power in Families edited by Perelberg and Miller, they site that in the case of genre roles in the family, there are unique dynamics that contribute to the roles assigned to each of the member that influence how the manner by which individuals’ roles in other groups or situations in work, their personal lives or generally in society. However they also mention that though individuals are molded by these roles, the new groups or scenarios that they encounter other than their families may encourage the development of similar roles or discourage them equally. Counseling and Culture   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   How does culture impact counseling? It affects by its very foundations: the definition of normality depends significantly on the perspective by which it is defined. The problem of defining normalcy and any subsequent counseling or treatment is because it is so closely associated with conformity that it becomes difficult to universalize considering differences in norms which is greatly defined by the cultural majority (Mahtani Marks, 1994). For example, the utilization of normality is critical in theorizing the cause of mental disorders. Aside from creating serving as standard to measure deviation, it can also be used to establish statistical characteristics and tendencies for the population. Davies and Neal consider the case of homosexuality. Though it has been taken off the list of psychological and even a general acceptance, there still a significant amount of negativity attached to it. And this is not just by religions or societies that still consider it an abnormality. Perceptions attached to homosexuality are a cause of identification even in societies that have accepted it. Either way, it is an important factor in evaluating patient problems, expected outcomes of mental illnesses and the needed rehabilitation and treatment according to Perelberg and Miller. Undeniably, a person is a product of his self and the manner by which his environment affects him. In all theoretical models regarding the development of a personality, the conscious person is supposed to be motivated by internal interactions within his person. These two levels of personality interact with his environment and affect him individualistically developing his unique personality and psychological identity (D’Ardenne Mahtani, 1989). In both levels, culture has a role: the definition of the internal person is influenced by his culture and at the same time, the society he moves in responds to culture as well. Professional Implications   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The sensitivity to cultural issues are critical in being able to asses and develop treatment for conditions. Thus, the recognition of cultural issues and their consideration in the development of programs should become a priority of every institution and professional. This, from the   work of Mahtani and Marks, includes the need to identify what the cultural perception and influences of patients and psychologist, counselors and other metal health professionals are. This must then be communicated to the educational and training of professional.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There should be a realization that the insensitivity to these issues can result to the alienation and disenfranchisement or members of the society. D’Ardenne and Mahtani believe that there can be debilitating effects: it deters those with culture related issues from being able to be productive members of the society because they feel that they are not part or valued by society. This stems from their inability to access social and economic opportunities regardless of their availability. Professionals’ continuing education is one of best strategies to keep at pace with these researches and developments. Authorities in the field judge that there is a need to appraise model for continuing professional development not just to ensure that patients get the best care but also to afford career enrichment for professionals. Studies have indicated that most professionals are given very little opportunity, motivation or alternatives for professional development regarding cultural issues which has limited the professional development and skills regarding the issue. Therefore, efforts to alleviate whatever conditions that contributes to negative effects or limiting effects of cultural should be a priority concern. This involves the resolution of the issues not only from the perspective of clients but also just as importantly on the part of the counselor. Counselors are aware that they should remain impartial but there should now greater realization if perceptions of clients are being influenced by the counselor’s own cultural perspectives. Conclusion Multiculturalism is not just about culture, its core objective is to be able to incorporate different heritages to create a society that celebrates all the richness of humanity. It is the mark of a society that embraces the world and lives unafraid of the unknown. It is the foundation of a just and broadminded society. The development of a multicultural society is a reflection of true social progress. Most of the conflicts in human history were initiated by forms of cultural intolerance. A comprehensive understanding of the significance and principles of how trans-cultural issues influence diagnoses, conditions and treatment is a knowledge base that all professionals should have. There are many issues that can effect trans-cultural issues among them are disabilities, gender, social class, educational attainment, cultural notions and age. These factors create a great range of treatments and patient needs. At the same time, it also creates a wide range of possible treatment outcomes and interventions. Regardless of the issues, it should be understood that if trans-cultural issues are not fully addressed or responded to, there can be no comprehensive progress in communicating with the subject. Sensitivity to theses issues afford better mental and psychological health and have the potential of increasing greater awareness and sensitivity in society as a whole.

Tragic Flaws in Oedipus the King Essay example -- Oedipus the King Ess

Oedipus the King, Sophocles’ classical Greek tragedy, presents tragic flaw(s) as the cause of   the near-total destruction of the life of the protagonist. This essay examines that flaw. In his essay â€Å"Sophoclean Tragedy† Friedrich Nietzsche agrees that there is an â€Å"error† within the protagonist, but refrains from specifying exactly what it is: The most pathetic figure of the Greek theatre, the unfortunate Oedipus, Sophocles takes to be a noble man called to error and alienation in spite of his wisdom, yet called too, in the end, through monstrous suffering, to radiate a magic power rich in a blessing which works even after he passes on. . . . these very actions attract a higher, magical circle of influences which ground a new world upon the rubble of the old (16-17). Not all critics believe that there was â€Å"error† within the protagonist. Some critics, like Herbert J. Muller in his essay â€Å"How Sophocles Viewed and Portrayed the Gods,† believe that Oedipus had no tragic flaw, that he was an innocent victim of the gods: Nor is there in Oedipus the King the deep sense of outrage that modern readers may feel. None of the characters, including the chorus, complains that Thebans are suffering for no fault of their own, in this plague sent by the gods; they simply assume that Thebes must be properly purified of its defilement. Although technically innocent, Oedipus accepts his â€Å"guilt†. . . .(56) This reader, however, disagrees with the above critic, and agrees with Aristotle’s analysis. In his essay â€Å"On Misunderstanding the Oedipus the King,† E. R. Dodds takes the reader back to Aristotle in his consideration of this question of the flaw: I shall take Aristotle as my starting point. . . . From the thirteenth chapter of... ...clean Tragedy.† In Sophocles: A Collection of Critical Essays, edited by Thomas Woodard. Englewood Cliffs, NJ: Prentice-Hall, Inc., 1966. Nietzsche, Friedrich. â€Å"Sophoclean Tragedy.† In Sophocles: A Collection of Critical Essays, edited by Thomas Woodard. Englewood Cliffs, NJ: Prentice-Hall, Inc., 1966. Segal, Charles. Oedipus Tyrannus: Tragic Heroism and the Limits of Knowledge. New York: Twayne Publishers, 1993. â€Å"Sophocles† In Literature of the Western World, edited by Brian Wilkie and James Hurt. NewYork: Macmillan Publishing Co., 1984. Sophocles. Oedipus the King. Transl. by F. Storr. no pag. http://etext.lib.virginia.edu/etcbin/browse-mixed new?tag=public&images=images/modeng&data=/texts/english/modeng/parsed&part=0&id=SopOedi Van Nortwick, Thomas.   Oedipus: The Meaning of a Masculine Life. Norman, OK: University of Oklahoma Press, 1998.

Morbid Obesity The Problem Health And Social Care Essay

Fleshiness is a medical status in which unnatural surplus fat has accumulated in our organic structure. Obesity has reached epidemic proportions in populations. Harmonizing to the Food and Agriculture Organization of the United state, 850 million people worldwide were undernourished in the old ages between 1999 and 2005. Genes and unhealthy life style do play a function in the development of fleshiness. Obesity besides associated with several comparatively common diseases such as diabetes, high blood pressure, bosom disease ( CVDs ) , and some malignant neoplastic diseases. So, I feel that is of import to hold an effectual intervention that can assist them lose weight for good. I am traveling to discourse the a possible solution for this job in this study.BMI = Weight in Kilograms / Square of tallness in metres.Obesity-image001 SoA A BMI = Kg / square MS. orA A A BMI = Weight ( pound ) * 703 / tallness ( inches ) 2 BMI is indexed as follows for mention: BMI A & lt ; 18.5 A = A Underweight BMIA 18.5 – 24.9 A =A Normal weight BMI A A 25 – 29.9 = A Overweight BMIA A 30 – 39.9 =A Corpulent BMIA A & gt ; 40 = A Severely corpulent Table 1: Body mass index ( BMI ) is the most simple and utile index to gauge organic structure fat. Overweight is the index people are being corpulent. hypertext transfer protocol: //www.obesity-cause-symptoms-treatment-cure.asp.htm ( 207 words ) bmiCompGraphSimple_-1661997252_Small Graph 1: Graph of BMI & gt ; 30kg/m2 by differents state for ages 15+ in 2005, harmonizing to the research made, the figure of people acquiring fleshiness is increase along the old ages in many state. hypertext transfer protocol: //www.who.com/obesity/BMI Based on the graph, the prevalence of fleshiness is increase dramatically in all Europes and United States. This observation is support in the book Obesity, Etiology Assesement Treatment and Prevention preface by Jack.H.Wilmore and edited by Ross E Andersen. ( 308 words )A possible solutionAfter making some research, I have found that bariatric surgery is the most effectual method in assisting those who are holding fleshiness. There are two types of bariatric surgery that are most common usage which are cut downing the volume of the tummy ( e.g. by adjustable stomachic stria and perpendicular banded gastroplasty ) , which produces an earlier sense of repletion, and cut downing the length of intestine that comes into contact with nutrient ( stomachic beltway surgery ) . Adjustable stomachic stria. MMPE_01NUT_06_01_eps Figure 1: Laparoscopic Adjustable Gastric Banding ( LAGB ) Restrictive processs [ 24 ] A silicone set is puting around the top of the tummy utilizing cardinal hole surgery. It so making a little pouch and a narrow transition into balance of tummy. No film editing or stapling of tummy involve. It will cut down the tummy gap where the gorge and tummy meet. The size of gap can be adjusted or controlled by increasing and diminishing the volume of saline solution inside it, through a port placed under the tegument. Patients usually can travel place after 1 or 2 after surgery [ 22 ] . ( 485 words ) Roux-en-Y stomachic beltway surgery. MMPE_01NUT_06_02_eps Figure 2: Laparoscopic Gastric Bypass Malabsorptive processs [ 25 ] The tummy is divided and a little pouch which limits Calories is formed silmutaneously as the bulk of the tummy is sealed of. A part of the little bowel is so divided and sewn to the freshly created little tummy pouch. It can be performed as the unfastened surgery or laparoscopic surgery [ 23 ] . †Forty per centum are utilizing the set and 30 per centum are utilizing are utilizing the marker † By Dr. Mal Fobi top bariatric sawbones Actually, it is based on the sawbones on taking the most appropriate type of bariatric surgery for the patient. ( 592 words )Effectiveness OF Bariatric SurgeryBariatric surgery is effectual in dainty fleshiness by lose their weight. It besides said have less complication therefore do it most suited as a intervention. †I do n't desire to be chesty, but I popularized the fleshiness surgery in America † By Dr Mal Fobi top bariatric sawbones Figure 3: Singer actress Jennifer Holliday, weighing 340 lbs is shown in this 1982 file exposure with the Tony award she won for her work in the Broadway knock Dreamgirls. In 1989 Dr. Fobi done beltway surgery on her and she lost 200 lbs until today she managed maintain her weight. [ 32 ] Graph 2: Shows decrease in organic structure mass index over clip ( B ) and percent surplus weight lost over clip ( degree Celsius ) after laparoscopic duodenal switch and concurrent processs [ 31 ] . ( 719 words ) I have found the effectivity of bariatric surgery based on the research done in the 1995 in Florida. The research included 34 patients who had undergone either a stomachic beltway ( RYGBP ) ( N=30 ) or a perpendicular banded gastroplasty ( VBG ) ( N=4 ) . The mean follow up period was 6 old ages. The per centum weight loss ( % EWL ) was 66 % . †When asked, most patients agreed that if they had to make it over once more they would ; merely two said they would non † based on research done in Florida in 1995 [ 32 ] . All the informations above are dependable beginnings since the informations are all in different beginnings but still shows about the same consequence in the effectivity of bariatric surgery. The writers of these beginnings are good known people that had done their research on bariatric surgery. Although, all the surveies showed the old ages that can be see out to day of the month comparison to now but this proven that the engineering in that clip is possible in overcome fleshiness by surgery. Therefore, now we have advanced in engineering which makes surgery go more effectual in dainty fleshiness. For illustration, now we have laparoscopic technique instead than open surgery which minimize the cut on the tegument and complication during carry out the surgery. ( 918 words )Social and economic deductionsSOCIAL EFFECTSWhen people are acquiring fleshiness it is really the beginning towards many fatal diseases particularly cardiovascular disease ( CVDs ) . This may take to the unhealty society in a large figure. Since people acquiring disease from the consequence of fleshiness that can likely do a patient bash non capable to execute their day-to-day activities particularly go to work and do a big load to their households and friends particularly their loved 1s. In the movie of play series †Manjalara † in TV3 which illustrates a teenage miss holding an fleshiness, it conveys the palpably existent hurting of household and loved 1s. Sometimes she besides being humilliated by others particularly by some of her relations and friends. The surgery done do work-albeit with side effects-and she are acquiring better after that [ 2 ] . Furthermore people with fleshiness tend to acquire emphasis when they are strive to cut down their weight. Some of them seek many medical specialties including pills, herb teas, and even utmost manner by non eating or others likes holding binge-eating syndrome and aneroxia nervosa syndrome of fearing acquiring weight addition that cause an inauspicious effects in their wellness. Some of Herbal weight loss pills are non regulated by the Food and Drug Administration. So there are no limitations to go around hazardous and unsafe herbal weight loss pills in the market [ 3 ] .Economic EffectsMedical costs associated with corpulence and fleshiness may affect direct and indirect costs ( Wolf and Colditz, 1998 ; Wolf, 1998 ) . Direct medical costs may include preventative, diagnostic, and intervention services related to fleshiness. Indirect costs relate to morbidity and mortality costs. Morbidity costs are defined as the value of income lost from decreased productiveness, restricted activit y, absenteeism, and bed yearss. Mortality costs are the value of future income lost by premature decease [ 4 ] . Corpulent air riders demand the offering of wider seatsA in the aircraft. A survey reveals that corpulent riders are bing air hoses and other clients an estimated $ 75,000,000 US dollars a twelvemonth [ 3 ] ( 1242 words )Benefits and hazardsSurgeryOne survey of bariatric surgery, found a weight loss of between 14 % and 25 % ( depending on the type of process performed ) at 10A old ages, and a 29 % decrease in all cause mortality when compared to standard weight loss steps. A pronounced lessening in the hazard of diabetes mellitus, cardiovascular disease and malignant neoplastic disease has besides been found after bariatric surgery. Marked weight loss occurs during the first few months after surgery, and the loss is sustained in the long term. The most common perioperative complication is wound infection ( in approximately 3 % ) ; the most common late complication is anastomotic tummy stricture ( in approximately 5 % ) . Patients should be monitored every 4 to 6 hebdomad while weight loss is rapid ( normally about the first 6 minute after surgery ) , so every 6 to 12 minute. Weight and BP are checked, and eating wonts are reviewed [ 8 ] . ( 1472 words ) Type of comparing Gastric Bypass Gastric Band Duration of processs 1 – 4 hours 0.5 – 2 hours Length of twenty-four hours 2-3 hours A 1 – 2 yearss Postoperative addendums MVI, Fe, Ca MVI, Ca Estimated weight loss 50-75 % EBW 40 – 60 % EBW Side effects Dumping syndrome Vomiting Short term complications DVT/PE, anastomotic escape, pouch escape, GI hemorrhage DVT / PE, port-site infection, esophageal perforation Long term complications Gasterojejunostomy stricture, Fe lack anemia, Ca lack, B12 lack, fringy ulcer, internal hernia set slippage, device escape, eroding into stomach/esophagus, pouch expansion, device infection Mortality rate 0-1 % 0-1 % Table 2: Comparison between Gastric beltway and Gastric set ( bariatric surgery ) hypertext transfer protocol: //www.jpma.org.pk/full_article_text.php? article_id=638Alternate solutions1.Anti-Obesity Drugs/MedicationBesides surgery drugs, medicine besides can be utile to handle fleshiness. Most weight-loss medicines are â€Å" appetite-suppressant † medicines. Appetite-suppressant medicines promote weight loss by diminishing appetency or increasing the feeling of being full. These medicines decrease appetite by increasing 5-hydroxytryptamine or catecholamine — two encephalon chemicals that affect temper and appetite [ 13 ] . There are two types of drug intervention which are individual drug intervention and combined drug intervention.GENERIC NameTrade NAME ( S )Phentermine Adipex-P, Fastin, Ionamin, Oby-trim Sibutramine Meridia Table 3 – Prescription Weight-Loss Medication, illustration of drug intervention approved by the U.SFoodAndDrugAdminstration ( FDA ) for short term and long term usage. hypertext transfer protocol: //www.athealth.com/prescription medical specialties.html Proactol is one of the new drug which is clinically proved and recommended by the professional. ( 1612 words ) †It is hence encouraging to see that a merchandise like Proactola„? offers a healthy manner of doing it easier to take charge of your weight and eating wonts. It besides turn toing issues beyond weight direction, such as take downing cholesterin and equilibrating blood glucose fluctuations. † † ( Dr. J GruenWald had to state about Proactola„? ) clinical_study Graph 3: The graph shows how the proactol works to adhere the fat. hypertext transfer protocol: //www.proactol.com Proactol drugs can adhere up to 28 % of our day-to-day fat consumption, lower blood cholestrol and act as of course supressing your appetency. Proactol drugs have been trial and passes all of the guidelines set by the EU Directive ( MDD/93/42/EEC ) . It is 100 % side effects free [ 14 ] .2.Screening procedureNowadays we have dedicated pysicians, dieticians, physical therapist to assist those who have obesity by talk to those who are expert.Initial testing procedure include: Individual audiences with our physicians Nutrition reding including anthropometric informations assemblage and organic structure fat appraisal Behavioral alteration therapy ( 1768 words ) Physical activity guidance and exercising prescription [ 5 ] In order to contend and get the better of fleshiness one should non contend and stand entirely since they need support and aid from others.3.Social theraphySocial therapy is the therapy that involved the action taken by household, authorities and society in overcome this job either among themselves or others. What are you making about the environment? The city manager has outlined a program to hold a park within a 10-minute walk of all New York City occupants. This is portion of an attempt to make an even more walkable and bicycle-friendly metropolis. ( New York City and the Public Health Interview with Thomas R. Frieden, M.D. , M.P.H. Commissioner of the New York City Department of Health and Mental Hygiene Interviewed by Xavier Pi-Sunyer, M.D. ) [ 6 ] . †Prof Anthony R. Leeds † †¦ For each kilogramme of weight lost, there is some metabolically active thin tissue lost with it. ( 1919 words )LocationStairss to Help Prevent and Decrease Overweight and ObesityHomeReduce clip spent watching telecasting and in other sedentary behaviours Build physical activity into regular modus operandisSchoolsEnsure that the school breakfast and tiffin plans meet nutrition criterions Supply nutrient options that are low in fat, Calories, and added sugarsWorkCreate more chances for physical activity at work sitesCommunityPromote healthier picks including at least 5 helpings of fruits and veggies a twenty-four hours, and sensible part sizes Create chances for physical activity in communities Table 4: Stairss to assist prevent and overcome fleshiness in different topographic points. [ 4,7 ]( 2026 words )3. Using Devicess: Palm runing system and PocketPC 2003 Treat overweight and fleshiness harmonizing to the Clinical Guidelines on Overweight and Obesity in Adults with this free synergistic plan for usage on Palm runing system and PocketPC 2003 devices of your manus that allows you to instantly bring forth individualised and evidence-based appraisal and intervention recommendations for each patient at the point-of-care that mention to the Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: the Evidence Report and the Practical Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults [ 9 ] . Features include Body Mass Index computation, appraisal of cardiovascular disease hazard factors, and finding of demand for intervention. ( Palm OS devive and Pocket Personal computer 2003, National Heart Lung and Blood Institute ) .PDA imagesFigure 4: Palm OS devive and Pocket Personal computer 2003, National Heart Lung and Blood Institute ( 2174 words )EvaluationProactol have been found to cut down fleshiness efficaciously since it is clinically proved and 100 % side effects free based on the mention hypertext transfer protocol: //www.proactol.com/side effects or are at that place practol side effects.htm. It besides been recomended by many physician and dietitions therefore make it a dependable beginnings. It besides shows equal reviewed consequences and certified by many administration such as UK vegetarian society and France ECOcert SAS. I have besides found the other beginnings ( Win control information web ( WIN ) coaction with national institutes of wellness and U.S section of wellness and human services and besides information services of national institute of diabetes and digestive and kidney diseases ( NIDDK ) .prescription.htm ) . This web gives the information about the side effects of drugs taken. It explain about the usage of label and which drugs are aprroved by nutrient and drug adminstration. It is a dependable beginnings since the information are from national and many other administrations. ( 2331 words )BibiliographyWebsitehypertext transfer protocol: // hypertext transfer protocol: //www.obesitytherapy, /a turning job for United Kingdom populations.html, herbal weight loss pills.htm, not medical consequences.htm hypertext transfer protocol: //www.CDC.gov Centre for Disease Control and Prevention/economic consequences.htm Sime Darby Healthcare.com/Obesity_Clinic.aspx.htm The Expert Weighs In New York City and the Public Health/October 2007 Obesity Management DOI: 10.1089/obe.2007.0063 Obesity treatment.htm Fleshiness and metabolic syndrom: Merck Manual Home Edition.html NHLBI Health Information Network at NHLBIInfo @ nhlbi.nih.gov www.obesity-cause-symptoms-treatment-cure.asp.htm hypertext transfer protocol: //www.WHO/obesityandaverweight.index.html hypertext transfer protocol: //www.wikipedia.com/obesity.htm hypertext transfer protocol: //www.athealth.com/prescription medicines.html Proactol % 20Side % 20Effects.htm Fleshiness and corpulence for professional: informations and statistics: U.S fleshiness tendencies Genomicss, resources, diseases, fleshiness editorial.htm hypertext transfer protocol: //www.obesitypanacea.com obesity.htm hypertext transfer protocol: //www.obesitystockphotoimages.com free fleshiness pictures.html hypertext transfer protocol: //www.wikipedia.com/obesity.htm 10 Healthy Dieting Tips Obesity Therapy.htm Good primary attention is the fleshiness medicine.htm International diary of fleshiness: 10 Healthy Dieting Tips _ Obesity Therapy.htm A © 2009 Nature Publishing Group, a division of Macmillan Publishers Limited. All Rights Reserved. spouse of AGORA, HINARI, OARE, INASP, CrossRef and COUNTER hypertext transfer protocol: //patentdocs.com utilizations of egfr inhibitors to forestall or handle fleshiness hypertext transfer protocol: //www.weightlosssurgerymalaysia.com/weight-loss-surgery-laparoscopic-adjustable-gastric-banding-sleeve-gastrectomy-gastric-bypass-laparoscopic-bilio-pancreatic-d hypertext transfer protocol: //www.umm.edu/weightloss/roueny.htm Heisler, J 2009. What is The LapBand Weight Loss Surgery. Available from: hypertext transfer protocol: //www.surgery.about.com/od/proceduresaz/a/AdjGastrBanding.htm. Heisler, J 2009. Understanding Gastric Bypass Weight loss Surgery. Available from: hypertext transfer protocol: //www.surgery.about.com/od/proceduresaz/a/RouxEnYWLS.htm.TelevisionMedia Prima telecasting web in Malaysia ( TV3 play series MANJALARA ) , showed in 7 Mei 2007 with 75 episodes directed by Khabir Bhatia.BooksPearson instruction limited 2008, edexcel AS biological science. International edition, Campbell, reece, 6th edition publish by pearson instruction. Fleshiness, Etiology Assesement Treatment and Prevention preface by Jack.H.Wilmore and edited by Ross E Andersen, right of first publication by Human Kinetics Publishers in 2003 Surgery: A basic scientific discipline and clinical grounds, by Jeffrey A. Norton, A Philip S. Barie, A R. Randal Bollinger, publish by Springer in 2008 ( 2nd edition ) Fleshiness surgery: Principle and pattern by Cid Potombo 417 pages on page 385 article written by Robert A. Rabkin, MD, FACS, published by Mc Graw Hill Professional 2008. Laparoscopic bariatric surgery volume 1 by William B. Inabnet, Eric J. de Maria, Sayeed Ikramuddin,333 pages on page 300, published by Lippincot Williams and Wilkins 2004.Magazines33. JET,15 Dec 2003,64 pages vol 104 No 25, page 33-34, Surgeon Dr Mal Fobi †Revolutionizes Weight Loss Surgery with Fobi Pouch Operation for Obesity † , published by Johnson Publishing Company

The Westminster System and Corruption - 828 Words

Evaluate Whether the Westminster Model System of Government Adopted by English Speaking Caribbean Countries Accommodates Corruption as a Way of Governance. The Westminster System is a democratic system of government modelled after that of the United Kingdom, as used in the Palace of Westminster, the location of the UK parliament. The system is a series of conventions and procedures for operating a legislature. Between 1962 and 1983, the majority of Britain’s Caribbean colonies gained independence. Yet while the colonial power had formally departed, it left in place political institutions and norms based on Britain’s Westminster model of government. The essential features of the system are: ï‚ § The Government is chosen by the†¦show more content†¦Criticisms Cabinet members do not have much independence to actively disagree with government policy, even for productive reasons. A cabinet member may be forced to resign simply for opposing one aspect of a governments agenda, even though they agreed with the majority of other proposals. Westminster cabinets also have a tendency to be very large. As the cabinet is the chief organ of power and influence in the government, members of parliament may actively lobby for a position in cabinet once their party is elected to power. The Prime Minister, who is also party leader, will have an active interest in promoting as many of these members from their own party as possible. Westminster governments usually do not have a very strong tradition of separation of powers, in practice (apart from the separation between the executive/legislature and the judiciary). Though the head of state, be it governor-general, monarch, or president, will have nominal powers to check those of the prime minister, in practice these individuals are usually regarded as little more than figureheads who are expected not to actively intervene in day-to-day politics. Prime ministers under any Westminster system have ample freedom to appoint aShow MoreRelatedAustralia vs China Political Structures Essay1339 Words   |  6 Pagesjudiciary (law enforcing and dispute resolving function) is vastly different between the two nations as can see when we compare and contrast the underlying principles of each system of government. Firstly, both nations claim to uphold the concept of the rule of law, although due to corruptive forces surrounding the Chinese court system, this concept is often t hwarted and equality before the law is not upheld. 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In Reformation of Church and Dogma Pelikan says, â€Å"Although they conceded that the system was liable to corruption and had been invented to compensate for the decline in Christian devotion, the opponents of the Reformation retorted that the indulgences were, for that very reason, neededRead MoreThe During World War II1567 Words   |  7 Pagesconquered and occupied by the Japanese Empire from 1942 to 1945. British Military Administration was formed to govern the island until March 1946. Much of the infrastructure had been destroyed during the war, including electricity and water supply systems, telephone services, as well as the harbor facilities at the Port of Singapore. There was also a shortage of food leading to malnutrition, disease, and rampant crime and violence. 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If the Westminster Government showed that it could solve their problems, the Irish would realise that they benefitted from the Union and would stop looking for independence. Steps had been taken by the Tory government to win Irish approval with the 1885 AshbourneRead MoreThomas Paines Political Influence During the 1700s629 Words   |  3 PagesIn April 1775, during the battles of Lexington and Concord, Paine viewed, that the Colonies had all the right to revolt against a government that imposed taxes on them but which did not give them the right of representation in the Parliament at Westminster. But he went even further: for him there was no reason for the Colonies to stay dependent on England. On January 10 1776 he namelessly published the best-selling American title of that period named Common Sense, signed as â€Å"Written by an Englishman†Read MoreThe Effects of Military Governance in Nigeria Essay1442 Words   |  6 Pagesnegatively affected the livelihood of the Nigerian people. The struggle for power has been a toss-up between civilian governments and militaristic dictators, each fighting to gain control of the lucrative oil reserves. As the military seeks to rid corruption from the ruling body, it has brought additional struggles to everyday life in Nigeria. Military governments in Nigeria have proven to be detrimental to the political strive towards democracy, the economic struggle to eliminate debt, and the livelihoodRead MoreA Book On God s Sovereignty846 Words   |  4 PagesW.’s sanctification doctrine. Dear brother, I have come out of a lot of doctrinal error. Just being delivered from the Arminian errors was and is a wonderful blessing. Understanding more about the exceeding sinfulness of sin and the extreme corruption of my sin nature has helped my spiritual understanding and appreciation of God’s grace, greatly. Just the other day, I was reading Hebrews 12 and I saw the importance and vital necessity of God’s discipline and afflictions--is there not hereRead MoreGlobal governance institutions, from the International Monetary Fund to the World Trade900 Words   |  4 PagesOrganization, are little loved. They are often perceived as bastions of sclerotic mediocrity at best and outright corruption at worst. In the wake of the 2008 financial crash, Daniel W. Drezner, like so many others, observed the smoking ruins of the global economy and wondered the extent to which global governance institutions have affected the post-recession, international system. In The System Worked, Drezner contends that despite the massive scale and reverberations of this latest crisis (larger, as