Thursday, December 26, 2019

Evaluation Of The Intervention Program Essay - 1579 Words

In the abstract the problem is described as a need to establish whether there was desired outcome from the intervention program CARE (Creating Avenue for Relative Empowerment) which seeks to enhance outcomes for older citizens hospitalized and their kindred caregivers. A total of 407 family caregiver-patient dyad was randomized into CARE and attention categories. The CARE group was subjected to the test parameters whereas the attention group received unspecified information (Li et al., 2012). This was the method employed as per the abstract. The results yielded non-significant statistical variations on patient or family caregiver and called for an additional investigation on CARE workings and its effectiveness. The stated question seems unambiguous, it is the testing of the CARE intervention program that aims at increasing the participation of family members in caregiving of their elderly members after hospitalization. This comes about due to various aftermath conditions such as falls, confusion and general health deterioration. The problem is easily identified based on the statistical information provided in the report on percentages of elderly people affected by hospitalization. Having relatives take care of the elderly enables them to be comfortable, relaxed and have a sense of freedom, this is significant in nursing since the patient recovers faster where applicable. Testing of the CARE program matches the need to increase the number of family caregivers taking care ofShow MoreRelatedEvaluation Of The School Intervention Program987 Words   |  4 Pages A needs assessment was completed on Baker Middle School’s After School Program. The after school intervention program is for students that scored an Approaching Basic level or Basic level on the previous school year’s state assessment in reading, math, or both according to the Louisiana Educational Assessment Program(LEAP) or Integrated Louisiana Educational Assessment Program (ILEAP). Once students have taken the LEAP or ILEAP testing, the general education teacher analyzes the data. If aRead MoreEvaluation Of An Obesity Intervention / Health Promotion Program776 Words   |  4 Pagesdrugs. 4. Studies will carry out in westernized, developed country people at California Baptist University. Limitation: This study will be limited by the following: Participants will not take part in any form of part of an obesity Intervention/health promotion program. They should not be having any underlying diseases specially thyroidism. Assumptions: The assumptions of this study are as under, 1. The hypertensive subjects are overweight so they are expected to have high neck circumference, abdominalRead MoreEvaluation Of A Program Evaluation1262 Words   |  6 Pageswould evaluate your program relative to each of the components. Linnan and Steckler (2002) describe the following key process evaluation components: Context-aspects of the larger social environment that may affect implementation; Reach-the proportion of the intended audience to whom the program is actually delivered; Dose-delivered-The amount of intended units of each program component that is delivered; Dose-received-the extent to which participants engage with the program; Fidelity-the extentRead MoreHealth Issue : Adolescent Tobacco Cessation1319 Words   |  6 Pageswould evaluate your program relative to each of the components. 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Formative evaluation Process Evaluation Attendance list and program feedback form are theRead MoreProgram Being Evaluated. The Program Being Evaluated In1277 Words   |  6 PagesProgram Being Evaluated The program being evaluated in this paper is an intervention program that is used with Tier 2 students who need more intensive reading instruction. The program is called Enhanced CORE. It is designed to correlate with the district purchased reading curriculum called Journeys published by Houghton Mifflin Harcourt. The program is designed to pre-teach students skills that they will be learning during the core instruction time period in order to give them extra exposure toRead MoreEvaluation Of A Program Evaluation1300 Words   |  6 Pagesyou would evaluate your Program relative to each of the components Linnan and Steckler (2002) describe the following key process evaluation components: Context-aspects of the larger social environment that may affect implementation; Reach-the proportion of the intended audience to whom the program is actually delivered; Dose-delivered-The amount of intended units of each program component that is delivered; Dose-received-the extent to which participants engage with the program; Fidelity-the extentRead MoreEssay on Hsm/270 Week 6 Checkpoint1205 Words   |  5 Pagesorganization starts to make decision about the programs it will offer they have to start thinking about the processes and outcomes they want to use and achieve through their program. They need to find the best ways to run their program that follows their mission and produces outcomes that help support that same mission. Process and outcome evaluations in a human service setting help the organization to better understand the outcomes of their programs and the processes in which the outcom es came. (YuenRead MoreProgram Evaluation And Measurement Tools1480 Words   |  6 PagesProgram Evaluation and Measurement tools Hypertension (HTN) is a chronic illness that serves as a main risk factor for cardiovascular disease (Hanus, Simoes, Amboni, Ceretta, Tuon, 2015). Although medication can manage HTN appropriately, lifestyle modifications make a substantial difference as well. However, many patients go through behavior stages in which he or she contemplate on making the necessary changes to improve their health. One solution to the problem is the development of an educationalRead MoreHealth Program Evaluation: Northern Territory Emergency Response 1146 Words   |  5 PagesIntroduction: This evaluation is based on the outcome of the Northern Territory Emergency Response (NTER) program which was aimed at examining whether specific measures had been effective and comprehensive and led to improved and sustainable outcomes in safety, health, education and employment of indigenous people in Australia(1). The evaluation of NTER was carried out by a group of experts from different fields. This assignment will focus on the interventions such as Child Health Check Initiative

Wednesday, December 18, 2019

Comparing Maturation in Catcher in the Rye and Red Badge...

Maturation in Catcher in the Rye and Red Badge of Courage The Catcher in the Rye and The Red Badge of Courage detail the gradual maturation of two immature boys into self-reliant young men. The steady speed at which Salingerà ­s and Craneà ­s language streams enables the reader to see the independent events that lead up to the ultimate rite of passage for both Henry and Holden. Although the pinnacle of maturity Holden reached concerned his pessimistic view of the world and Henryà ­s was a unifying moment of bravery, both boys experienced an epiphany over the course of their respective tales. Holden came to a realization in the timeless peace of an Egyptian tomb that forced him to reevaluate his immature and selfish views. His new†¦show more content†¦Salinger follows up Holdenà ­s epiphany with several supporting events. Holden has a nervous breakdown because he now knows with an abrupt and sickening certainty that he is unable to stop both evil and maturation. His emotional outpouring at the merry-go-round further sustains his prior reasoning that he cannot stop maturation. All the kids kept trying to grab for the gold ring, and so was old Phoebe, and I was sort of afraid shed fall off the goddam horse, but I didnt say anything or do anything. The thing with kids is, if they want to grab for the gold ring, you have to let them do it, and not say anything. If they fall off, they fall off, but its bad if you say anything to them. He knows that he cannot catch them with his net spun of dreams- they will eventually have to experience a fall. Ità ­s part of growing up. Upon seeing this, Holden himself has developed. Henry Fleming enlists as a youth with heroic fantasies of battle lingering in his mind and walks off the place of blood and wrath three days later a serene veteran of battle. He came from hot plowshares seeking a Homeric Iliad, timid and anxious about his potential and what others think of him. He ponders a great dilemma: will he run from battle? He is reassured after asking the tall soldier his question. His friend tells him that he would do what the rest of the regiment was doing. Henry is not an individual yet, he is a

Tuesday, December 10, 2019

Traditional Method of Sham Acupuncture-Free-Samples for Students

Question: Discuss about the randomised controlled trial of acupuncture for osteoarthritis of the knee. Answer: Introduction: The article from the Arthritis care and research on A randomised controlled trial of acupuncture for osteoarthritis of the knee: Effects of patient-provider communication is taken as conflicting evidence exists on the efficacy of the traditional method of Chinese acupuncture as well the role of placebo effects. A trial consisting of three months and randomized was conducted in order to find the impact of communication styles of acupuncturists. The article illustrates the results of the study as well as the validity of the analysis methods and techniques used. Several steps were performed. A three month randomised clinical trial was conducted. The aim was to compare efficiency of TCA with the sham acupuncture to examine the communication styles. The training of the acupuncturists was conducted and they were asked to interact in two or more information styles. The results connect to the effects of the conducted acupunctures. Acupuncture is a traditional Chinese method of inserting needles into the body in order to relieve people of the pressure. Evaluation of introduction Section: One of the most important forms of Chinese medicine is acupuncture. Human health is often ignored and several diseases occur as a result. Body pain is extremely common in case of elderly but it is also found in case of the youngsters as well. Health is maintained with the help of the vital energy flow through the paths called meridians. In case this flow of vital energy is obstructed diseases are caused. Due to cure of pain, it can be said that the evolution of the acupuncture technique has been huge. The modes of acupuncture have changed gradually from manual stimulation of the past to the electro acupuncture. The number of clinical randomised trials in the theory of efficacy of acupuncture is only two in number. The impact of acupuncture in case of knee arthritis is very varied. There may be expectations of improvement in the fields of acupuncture. There are two communication styles discussed in the question. In order to understand the contribution of the different communication st yles corresponding to the responses which are therapeutic in nature, a randomised trial was performed. A nested factorial design was also used to understand the effects of the communication styles of the acupuncturists. Evaluation of methods section: The methods section has been segregated into several parts which clearly explain the methods utilised to determine the effects of the behaviour of the persons practicing acupuncture as well as the patients responses to the different natures of the Chinese medicine. The aim is also to clearly understand the differences between the two different modes of the medicine. At first for a basic assessment of the people, the patients were divided into three groups consists of waiting list, high expectations or neutral expectations. To ensure that the results were genuine, six special acupuncturists were trained as well as their experiences were also checked. After this the randomisation of the patients were again performed and they were asked to be treated in any one of the two styles of either the Traditional Chinese or the Sham Acupuncture. It is also to be noted that all the techniques and methods used were appreciated by the Review Boards as well as special and genuine health care centres. Randomisation: Randomisation is basically a statistical procedure of choosing statistical participants in a random manner. Treatments are also randomly assigned to the participants. In random techniques every individual has an equal chance of being selected. Randomisation was done in unequal blocks. Sealed and opaque envelopes were consecutively numbered in order to assign each method of the acupuncture to each of the participants. Subgroup analysis was also conducted to better understand the effects of communication styles on the placebo effects. Participants and participation criteria: Only those individuals are chosen who are more than 50 years of age and have certain problems in the knee. Also the people have knee osteo-arthritis participated in the trial. People who took stable treatment with non-steroidal anti-inflammatory drugs as well as analgesics were considered. That is, it formed part of the inclusion criteria. Also people who would participate should not have taken any intra-articular injections in the past 2 months. A few other criteria were also kept in mind while choosing the participants. Communication Style intervention: The possibility of individual patterns of communication for the acupuncturists was bound to be different. So the acupuncturists were also randomised with a different expectations style were randomised as well. One of them had to leave in order to make the design balanced. The numbers of acupuncturists participating in the second half of the survey were four in number. High expectations: The acupuncturists who performed a high level of performance as well as high expectations of improvement were included in the high expectations style. The results for those people which were good contributed to this section. Neutral expectations: Those acupuncturists who conveyed uncertainty were included under this category. A brochure with the requirements for neutral impacts was also provided to the participants. Those participants also had an advisor who was also a research coordinator. He or she was trained in the neutral expectations style. After the completion of the first half of the training the advisors were trained again. The acupuncturists contributed an important part to the trial and its results. Acupuncture intervention: Electro acupuncture was chosen as the modality of choice as the method is the most commonly used where transcutaneous electrical nerve stimulation equipment was used. In many cases TCA is performed taking samples of many students. In order to get standardised results on the analysis a well-suited panel is appointed to understand the procedure well. Discussion: A figure is provided where the points which are chosen for the Chinese acupuncture are given. These are shown both for the Chinese acupuncture as well as for the sham acupuncture. There are certain very subtle differences between both the methods. The details of the needles which are provided for the acupuncture methods are also given. All the necessary steps to be taken are conducted with utmost accuracy. Outcome measures: The outcome measures were collected at baseline, then four weeks, six weeks and finally three months after treatment. The point worth noting regarding this analysis is that no stone was left unturned to ensure the unbiasedness of the procedure. The key words were not used in order to obtain an unbiased approach. The patients after several periods of treatment were asked whether they noticed positive effects from the treatments they received or not. One of the most accurate measures of statistical analysis namely ANOVA or the analysis of variance was conducted to assess the changes over time and this was done repeatedly over different time periods. Evaluation of Results Section: In the results section we are provided with several tables indicating the statistical results of the conducted surveys as well as the experiments. The total sample number denoted by n has the value of 580. Out of this total number the number of participants randomised in the high expectations group was 238. The number randomised in the neutral expectations group was 242 and finally in the waiting list group the number was 80. The subsequent removals as well as additions were also mentioned. The first table shows the baseline demographic as well as the clinical characteristics of the participants as well as their division into various groups was shown. This was done on the basis of educational degree, the nature of origin, educational level as well as the nature of the medications given. It can been seen that not much of a significant difference was observed between the two acupuncture groups. The next table shows the measures of outcome by the acupuncture treatment group. Every nature of collected outcome for specific time periods including baseline, 4 weeks, 6 weeks as well as 3 months were divided into two categories namely the TCA and the sham method of acupuncture. The table and a close study of the two columns under each of the time periods shows that there is no significant difference between the two methods namely the sham and the TCA. All the results are statistically significant as the p-vale is less than or equal to 0.05. The results are statistically significant. Thus it can be said that the conducted results are appropriate. The third table shows the outcomes by the style of communication groups. This table also has the 4 subdivisions in terms of the time after which the participants are examined. Each segment has two subdivisions, namely the high and the neutral communication groups. In case of the baseline, 4-week and the 6-week time periods it was seen that the neutral responses were more in values. Only in case of the 3-month time period the high-response time was higher. Finally it can be said that the results of all the values are genuine. The outcomes of the communications received are unbiased as well as the analysis results, statistically significant. The tables are lucid, clearly understood and the results of the outcomes clearly visible to the statistician. From the detained write-up of the study the results linked to the analysis and the numbers and figures in the tables as well as their significance are clearly understood by the layman as well. Hence the conducted experiment is very scientific as well as lucid. The method is genuinely interesting as well. Conclusion: This study was one of a kind in estimating the efficacy of the TCA with sham acupuncture in the knee while controlling as well as measuring the effects of the patient provided interactions in the acupuncture responses. Very few surveys of this kind, in fact none at all were conducted in the earlier times. In a way, the survey can be said to be one of a kind in understanding the impact of the traditional as well a new method of acupuncture for the people suffering from arthritis. The impact of treatments as well as the time gaps after which the patients are tested also helps to analyse the elapsed times effect on the mindsets of the people. The two major findings in this unique survey comprise the following: firstly it can be said that that the traditional method of sham acupuncture which was practised was is no way superior to the sham methods of acupuncture. Secondly, the communication intervention had a small but definitely a significant effect in the satisfaction levels as well as the alleviation of pain in case of the participants. The needling of meridian points in the human body was not more effective than the sham procedure. The communication styles of the acupuncturists were statistically significant and the accuracy of the calculations was high. Thus acupuncture is definitely a safe option and the results received after the treatment are also genuine and closely felt by the patients.

Monday, December 2, 2019

The Next Industrial Revolution

The Next Industrial Revolution depicts the ideas of Michael Braungart and William McDonough in their attempts to transform the relationship between business and the environment or nature. The two have worked with the leading corporations such as Nike and Ford in redesigning their products, processes and buildings to meet the environmental needs. The two observe that a beneficial economic growth must conform to nature’s rule.Advertising We will write a custom essay sample on The Next Industrial Revolution specifically for you for only $16.05 $11/page Learn More The idea is to present beneficial economic growth by taking care of nature. Therefore, The Next Industrial Revolution depicts economic scenarios that inspire business people to consider environmental matters seriously. Likewise, they must also realign their current institutions and businesses to conform to the rule of nature and reconsider the current business actions, consumers, and the pub lic to enhance a new and a sustainable relationship with nature (Sarandon 2002). Authors of Green to Gold, Esty and Winston note â€Å"the economy and the environment deeply intertwine with each other† (Esty and Winston 11). This is the same idea the movie presents. The authors explore some of the paradigm shift in successful companies and how these companies are shifting their methods of conducting business and environmental relations. At the same time, they also highlight how organisations are focusing profit growth, and cost reduction, increasing market share with the environmental sustainability. Modern corporations face several challenges in relation to sustainability of the environment. Consequently, firms have begun to implement environmental changes in their value chains. These changes include customers’ demands for environmental friendly products, responses to depletion of resources, concerns for waste disposals, safeguarding of brand names, and reduce the cos t associated with the environmental lawsuits. Modern organizations must meet the varied demand of their customers in order to keep their position in the marketplaces. This calls for responsibility not only for corporate firms, but also for end-users of their products. Organizations of today must adopt a strategy of sustainability to guide their success. As both Esty and Winston and the film depict, organizations must put their business and environment their top priorities. Thus, the top management of firms must formulate such policies for employees to adopt. Henry Ford clearly demonstrated this principle through his writings that â€Å"You must get the most out of the power, out of the material, and out of the time†. These principles created lean and clean operating procedures in Ford Motors. Top management must also resist any attempts to block changes that enhance environmental sustainability. A company’s stand on environmental conservation may damage its reputation among stakeholders and possibly attract lawsuit from environmentalists. Therefore, Gold to Green and The Next Industrial Revolution encourage organizations to adopt sustainable strategies in their pursuit for business.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The Next Industrial Revolution shows that organizations that have adopted environmental protection strategies are constantly redesigning their services and products, and supply chains to fit the needs of nature. Therefore, sustainability becomes a part of organizational culture, and promotional strategies meant to drive revenue growth. Organizations that have adopted nature demands as a part of their corporate culture have found new markets and increased their business revenue. In other words, environmental sustainability efforts have created new markets, and new consumers that constantly need environmental friendly products. Th ese firms also save resources in terms of efficiency, waste reduction, product design, risk reduction, and cut in expenses but ultimately increase their revenues and profit. Marketing conditions such as environmental policies, ever increasing costs of energy and raw material, growing global population and intensive use of limited resources influence the conditions of contemporary companies in production of goods and services. In addition, factors such as globalization, rapid developments in IT, products innovations and evolving market requirements control companies’ decisions on productions regarding environmental sustainability. Sustainable developments focus on how companies can meet the demands of today’s consumer without interfering with the future generations. The concept of green solutions emanates from the ecological changes and processes that have occurred in the economy and society. Sustainable economy requires innovative products and processes in value chains and networks linked to the natural environment. Sustainable development follows the value chain from the product manufacturer to customer and proceeds up to the final stage of disposal of products and handling of materials in the processes of lifecycles. Decisions regarding the planning and design of products and processes form part of the integrated value chain in sustainable development. This implies that technical, economic and ecological perspectives must be incorporated into one approach. An organization, which ignores incorporating its green agenda in its marketing strategy, does not have the interests of its stakeholders. This is because by creating social and environmental values, sustainability marketing strives to create and increase consumers’ values. The idea of sustainability marketing focuses on consumers’ needs and wants. Companies try to develop sustainable products to provide solutions to modern customers through products value, prices, distributions, and promotion to the target groups. Organizations must reconsider current actions of businesses, consumers, and the public to enhance a new, sustainable relationship with nature. This will create a situation whereby organizational prosperity will continue, and economic activities will increase. Sustainability or eco-efficiency aims at changing organizations from consuming and wasting trends witnessed in the past into a system that inculcate environmental concerns, consumers’ needs, and economic. Most organizations consider sustainability as the business strategy for change.Advertising We will write a custom essay sample on The Next Industrial Revolution specifically for you for only $16.05 $11/page Learn More Environmental pundits have stressed the importance of sustainability for organizations that want to remain competitive, successful and sustainable. In fact, some analysts predict that it would be impossible for some organizations to conduct business if they do not respond to the rules of nature. Organizations must add value by consuming fewer resources, release low amount of wastes, and sustain the environment. Past trends indicate that sustainability is gaining recognition among industries. A number of organizations are increasingly committing themselves to sustaining the environment such as Walt Disney, UPS, and Johnson Johnson, among others. Most of these organizations adopt the using and recycling methods to sustain nature. This trend is also gaining acceptance in both homes and workplaces because it has both eco-friendly and economic advantages. Reduction in energy consumptions, resource use, pollution, and wastes will translate into economic benefits for the value chains. This sense of eco-efficiency and sustainability of the environment has reduced fearful concerns for the future. Organizations and the public admire sustainability as a well-intended idea. However, the challenge is that is sustainability a life -long strategy for a success. Therefore, organizations that focus primarily on the profits may have challenges in implementation of a sustainability agenda into their corporate cultures. We are relying on organizations that caused the problem to bring changes in environmental conservation. These industries will slowly and persistently continue depleting resources, and make environmental conservation efforts illusions. Works Cited Esty, Daniel and Andrew Winston. Green to Gold: How Smart Companies Use Environmental Strategy to Innovate, Create Value, Build Competitive Advantage. New Haven, CT: Yale University Press, 2006. Print. The Next Industrial Revolution. Dir. William McDonough and Michael Braungart. Perf. Susan Sarandon. Earthome Productions, 2002. Film.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More This essay on The Next Industrial Revolution was written and submitted by user Kenley Walter to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.