Evaluation Of A Research Study On Diabetes Incidence And...

The research objective was explicit and includes a clear description of the population studied as well as the intervention and outcome of interest. In addition, the VIP had a large sample size with a high response rate; the intervention was representative of the study population and sufficient to answer the research question of this study. Also, the authors clearly described variables, measures and the process of data analysis. The study is a prospective cohort design which is appropriate for documenting diabetes incidence and establishing causal relationship from exposure to the intervention and time sequence in which incident cases of diabetes occurs. In the program, individuals with prevalent cases diabetes at baseline were appropriately excluded however, there was no explicit explanation why incident cases that occurred in the year following the baseline VIP assessment was excluded, since the primary outcome of the study was to determine incident type 2 diabetes cases between baseline VIP assessment and follow-up over 10 years. The program used objective measurements such as OGTT (from capillary plasma), and a majority of the diabetes diagnoses were confirmed according to WHO recommendations. Hence, objective measurements supported the subjective methods of determining the presence or absence of disease which included self-report of diabetes or self-report of diabetes medication, therefore researchers properly captured incident cases of diabetes. On the other hand,Show MoreRelatedCommunity Health Nursing Final Exam Study Guide Essay15874 Words   |  64 PagesHealthy People 2010 box on pg. 426* 2. What is mental health? (pg. 433) Mental health: being able to engage in productive activities and fulfilling relationships with other people, to adapt to change, and to cope with adversity. (by Healthy People 2010) It is an integral part of personal well-being, of both family and interpersonal relationships, and of contributions to community or society. How can nurses help families cope with the many conditions characterized by alterations in their thinkingRead Morepreschool Essay46149 Words   |  185 Pages978-8011-1708-4 Ordering Information Copies of this publication are available for sale from the California Department of Education. For prices and ordering information, please visit the Department Web site at http://www.cde.ca.gov/ re/pn or call the CDE Press Sales Office at 1-800-995-4099. An illustrated Educational Resource Catalog describing publications, videos, and other instructional media available from the Department can be obtained without charge by writing to the CDE Press Sales OfficeRead MoreDeveloping Management Skills404131 Words   |  1617 Pagesmymanagementlab is an online assessment and preparation solution for courses in Principles of Management, Human Resources, Strategy, and Organizational Behavior that helps you actively study and prepare material for class. Chapter-by-chapter activities, including built-in pretests and posttests, focus on what you need to learn and to review in order to succeed. Visit www.mymanagementlab.com to learn more. DEVELOPING MANAGEMENT SKILLS EIGHTH EDITION David A. Whetten BRIGHAM YOUNG UNIVERSITY Read MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pages10.5/12 ITC New Baskerville Std Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on the appropriate page within text. Copyright  © 2013, 2011, 2009, 2007, 2005 by Pearson Education, Inc., publishing as Prentice Hall. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright, and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrievalRead MoreAppraisal Techniques of Public Investments and Projects62994 Words   |  252 PagesKyambadde, is an economist, and a business and development consultant working with PPM Consulting Limited. PPM Consulting is a local management and development consulting firm with headquarters in Kigali, the nation’s capital. In addition, officials from the Ministry of Finance and Economic Planning provided invaluable input on government priorities and requirements to complete the manual. Disclaimer The Training Manual is made possible by the support of PITT management and staff. The contents

Essay about Stephen Crane and The Civil War - 895 Words

Stephen Crane and The Civil War One year after the publication of The Red Badge of Courage Crane released a continuation to the narrative in the form of a short story. â€Å"The Veteran† characterizes an elderly Henry Fleming who recalls his first exposure to the experience of war. Of the battle he remembers, â€Å"That was at Chancellorsville† (Crane 529-531). While Crane never explicitly states the name of the battle in The Red Badge, the incidents mentioned in â€Å"The Veteran† indicate that the protagonist of each is one in the same (website). Memories of his reasons for flight and sad recollections of the memory of Jim Conklin, the â€Å"tall soldier,† mirror the episodes mentioned in Crane’s second novel. Studies have shown that the source†¦show more content†¦Many of the men who witnessed the events that occurred on this battlefield came from this town and served as sources of inspiration for Crane’s final draft (website). Despite his evident utilizat ion of these sources, Crane purposefully failed to mention the actual battle in his publication of The Red Badge of Courage. As a novel that aspired to be a psychological portrayal of fear, neglecting the historical framework became an intentional stylistic technique without which the underlined theme would inherently have been lost. Had Crane concretized Henry’s experience with a named battle, the reactions to the novel would have altered considerably. Inevitably people would associate imagery from the actual battle with The Red Badge of Courage, a process that would ultimately shift the perspective from Henry’s experience to the war itself. Crane avoided these types of reactions by allowing the battle to remain nameless in the narrative. The website quotes a more practical reason stating, none of the characters in the novel—certainly not lowly privates like Henry Fleming—would have known that the battle they were fighting in was to be called Chance llorsville. Civil War reports and memoirs reveal that the men fighting the war very seldom knew where they were, as they often fought on unfamiliar territory and had infrequent communication with field commanders. (As in Red Badge, the regiments often knew only rumors.) By keeping the battle anonymousShow MoreRelatedEssay about Stephen Crane and The Civil War1780 Words   |  8 PagesStephen Crane and The Civil War   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   While merely speculative, some biographers claim that Crane began The Red Badge of Courage in response to a challenge made by an acquaintance urging him to write a war novel that exceeded the quality of Emile Zola’s Le dà ©bà ¢cle.   Crane, shortly thereafter, undertook the task and researched various articles in Century magazine on battles and leaders in the Civil War.   In several personal letters he writes of the process he underwent in producing the narrativeRead MoreInfluences on Stephen Cranes The Red Badge of Courage1445 Words   |  6 Pageshave on the world. Stephen Crane was greatly impacted by the time period in which he lived. One such influence was the popular literary style of Realism. Realism is the trend in which literature is based on the true nature of everyday occurrences devoid of any fantasy or romance. It is the raw depiction of what life and society is actually like. This literary style can be found in many of Ste phen Crane’s novels. Religion also had a significant impact on the way Stephen Crane wrote his novels.Read MoreEssay on A Brief Biography on Stephen Crane1345 Words   |  6 PagesStephen Crane was one of America’s most influential nineteenth century writers of realism. He was credited for being a novelist, short-story-writer, poet, and journalist. He was born on November 1, 1871, in Newark, New Jersey, as Stephen Townley Crane. Stephen was the youngest sibling of fourteen children (â€Å"Stephen Crane Biography†). His writing inspiration came from his family. His mother dedicated her life to social concerns, while his father was a Methodist minister. Two of Crane’s brothersRead More The Red Badge of Courage: A Coming of Age Novel Essay1652 Words   |  7 Pagesagainst his own in a civil war. Many of the experiences and feelings are the same. Have you ever wondered what it is like being a solider? Have you ever wondered about a soldiers feelings a s he faces battle for the first time? Stephen Crane shows us in The Red Badge of Courage, a character, Henry Fleming, an average young recruit in the Civil War. Fleming comes to realize that when it comes to war what he expects is different from what he must come to except. Stephen Crane was born shortly afterRead MoreThe Red Badge of Courage by Stephen Crane1809 Words   |  7 PagesRED BADGE OF COURAGE BY STEPHEN CRANE â€Å"The Red Badge of Courage† written by Stephen THE Crane was a great example of the works that the author penned. Stephen Crane was born in New Jersey on November 1, 1871. Crane was the youngest of fourteen children and attend a few different preparatory schools and colleges before deciding that he wanted to be a journalist and an author. He wrote first of things that had happened in New York City, but once he decided for sure that this was what he wantedRead MoreCritical Review of The Red Badge of Courage1013 Words   |  5 PagesStephen Crane’s The Red Badge of Courage, talks about a young boy becoming a man, through the ways of war. In the story Henry joins the war in search of adventure and courageousness. Henry comes face to face with new friends and foes in the story, along with looking death in the eye on more than one occasion. Stephen Crane does an excellent job in writing this book. After reading this story one general stated that â€Å"he recalle d fighting in the war with Crane† (Overview). On November 1, 1871 StephenRead MoreThe Civil War : America s Historical Consciousness1401 Words   |  6 Pagesone that stands out the most in the bloody history that is American war, is the Civil War; but what is the Civil War? Dr. James McPherson, in his article entitled â€Å"A Brief Overview of the American Civil War,† states that, â€Å"The Civil War is the central event in America s historical consciousness. While the Revolution of 1776-1783 created the United States, the Civil War of 1861-1865 determined what kind of nation it would be. The war resolved two fundamental questions left unresolved by the revolution:Read MoreA Critique Of Stephen Cranes Use Of Symbolism In Red Badge Of Courage And An Episode Of War1194 Words   |  5 Pages(A critique of Stephen Crane’s use of symbolism in Red Badge of Courage and An Episode of War) A tortured man who wrote beautifully tortured tales, Edgar Allan Poe, wrote in his one and only novel, â€Å"...words have no power to impress the mind without the exquisite horror of their reality†. No writer creates reality better than Stephen Crane (1871 -1900). Crane is greatly commended for his naturalistic style of writing, which has the goal of writing the most realistic representation of events withRead More The Red Badge Of Courage -- Essay847 Words   |  4 Pages The Red Badge of Courage Time Period The Civil War officially started in 1861, yet problems between the North and the South date back as far as the early 1830s. The North was infuriated over slavery after a woman by the name of Harriet Beecher Stowe published her book Uncle Toms Cabin. Stowes book analyzed the life of a slave in an astonishing and realistic way. It caused many people to join the Union. Then the war began in July of 1861 when a Confederate army met with a Federal army at ManassenRead More Stephen Crane Essay666 Words   |  3 Pages amp;#9;Stephen Crane was one of the United States foremost naturalists in the late 1800’s (amp;quot;Stephenamp;quot; n.p.). He depicted the human mind in a way that few others have been capable of doing while examining his own beliefs. Crane was so dedicated to his beliefs that one should write about only what they personally experience that he lived in a self-imposed poverty for part of his life to spur on his writings (Colvert, 12:108). Crane’s contribution to American Literature is larger

Change Management for Journal of Intellectual -myassignmenthelp

Question: Discuss about theChange Management for Journal of Intellectual Capital. Answer: Introduction Focus of this paper is to identify the issues related to change management and obstacles brought up by these at the time of conceiving, planning and implementing change in an organisation. At present time, organisations over industries are facing challenges in their operation that requires to be altered for gaining greater performance by developing greater workplace environment. These issues are further hindering in the process of change implementation. Hence, the research primarily developed on the ground of identification of the issues holding the organisation from implementing change. The important contributor in this field are Chapman and Ferjola, Bolman and Deal, and Kreitner and Kinicki, whos work will be of primary sources of knowledge. Moreover, several change management models available can be implemented for actualising systematic change in the organisation. Hence, the paper further evaluates the change management process and identifies the most effective change management model applicable for bringing change. Issues in change initiation Different scholars over time contributed in identifying the issues that are restricting the organisations from conceptualising, planning and implementing change. They proposed various perspectives on the issues and viewed it from different angles. Chapman and Ferolja Chapman (2001) argued the issue is a result of poor learning that develops imperfect mental model, which ultimately leads to their utilisation in the hazardous situation. The authors further pointed out that development of flawed mental model is comprised of the experiences gathered from the world. This can be compared with the abstract of the worlds experience. This again restricts the individuals to identify common issues in the organisation. The example of Moura Mine disaster used by the authors helps shedding light on the influence of mental model where the workers failed to identify the issues in the mines that resulted in the accident. Further focus has been given on the poor education received that contributes in development of flawed mental model. Kuipers et al. (2014) supported the impact of mental model in managers decision-making process. The managers attitude towards the change greatly influences the change planned. Hence, the change in the organisation is the direct result of managers perception. Possibility remains that the change brought in the organisation might be flawed. In other words, the change perceived by the decision maker with flawed mental model is likely to hold no rational and the actual need of change. Hence, the direction of change itself might be flawed in tat case. Additionally, the change necessary in the organisation is often overlooked due to the less experience of the managers. This concludes the validity of Chapman and Feroljas perception and influence of mental model in change management. Bolman and Deal (1991) on the other hand denied the concept of mental model and its impact on change management. According to their concept, experience acquired by the managers may not always be proportional with the quality of decision made in change management. They commented that highly experienced managers could also overlook the issues in the organisation. This is further related to the cluelessness. The managers might think of some issues as common factors that might have greater implication in reality. Ramazani and Jergeas (2015) opposes the idea and communicates that the greater experience brings greater visibility to identify success as the experience gained helps the managers in identifying and comparing issues from a multiple perspectives. However, Bolman and Deal (1991) in their four-frame model highlighted the influential factors that influence thinking pattern of the managers. They are structural, human resources, political and symbolic factors. Structure is the focus o f a manager in prioritising organisational structure in the process. Manager considering human resource on the other hand focuses on understanding of people involved in the organisation. Political on the other hand helps focusing on the views the competitive areas of the organisation, and lastly the symbolic factors focus on the meaning and faith. Hence, an experienced manager requires to has greater understanding and consider the entire mentioned factor in identifying requirement of change, as well as planning and implementation of change required. Hence, manager with experience in particular frame is likely to fail making necessary decision that hinders the change management process. Kreitner and Kinicki (2006) further related the issues in change management and individual development. These individuals can be both managers and employees. Hence, success of a change depends on both the parties involved. The authors identified six individual perceptions that resist change in an organisation. These factors are adaptability to change, fear of change, and fear of failure, job insecurity, peer pressure and success. These factors have greater influence over the change conception, planning and implementation. Negative perception in these factors can potentially hinder in organisational change. Important change strategies Number of scholars has proposed various models for implementing and managing change in the organisation. This provides opportunity for the organisations to adopt necessary change management strategy according to the organisational need. The models that are widely use by the management of contemporary organisations are namely Lewins model, Kotters Eight Step model and Organisational Development model. Lewins model on change identifies three primary stages of change that an organisation undergoes during the change process. The stages as mentioned by Lewin are unfreezing, changing and refreezing. The firs stage identifies the need of change and formulates the idea of change the organisation will be directed towards. Change is the second change in Lewins model, which is the planning and actualisation stage of change. Lastly, the change is stabilised in the freezing stage where the management marks the benefits being achieved for stabilising he change and make it permanent (Shirey 2013). However, scholars like Hossan (2015) criticises Lewins model of change due to its over-simplified structure. According to the author, the model proposed by Lewin hardly identifies the necessary phases of change and puts them under three broad phases that barely defines he change in the organisation. The second common model of change prioritised by the organisations is the Kotters eight-stage model of change. Many scholars like Neumeier (2013) recognises this model of change as the modified Lewins model of change. The stages recommended by Kotter through which an organisation goes are building urgency, creating guiding coalition, development of vision and strategy, communication of change vision, empowerment broad-based actions, generate short term wins, consolidate gains and produce greater change, and lastly to finalising new change in the organisation. The model proposed by Kotter provides greater understanding to the management of an organisation and helps them in recognising act ions required to bring change in the organisation. Last important model of change available and mostly utilised by the organisation is the organisational development. This is the most complex change management model, which interests the organisation. This is comprised with four inter related stages. They are diagnosis, intervention, evaluation and feedback (Kreitner and Kinicki 2006). The feedback is again associated with every single stage of the organisational development model. The diagnosis stage identifies the problem prevailing in the organisation, which is followed by the feedback. The next stage is to identify the change required in the organisation that will satisfy the need. This is again evaluated in respect to the diagnosis conducted earlier. The last stage is the evaluation that recognises the effectiveness of change implemented in the organisation, which again undergoes feedback to recognise its synchronisation with the earlier stages. Both the Kotters model and organisational development model shows high level of efficiency in bringing and managing change. However, the complexity and cost of implementation of organisational development model is comparatively higher, which makes Kotters eight-stage model more preferable to the organisations. Conclusion The argumentative discussion conducted above can conclude that there are various hindrance, which significantly influence change in the organisation. The issues can distract the management from identification of the change required and mislead the operations. However, implementation of Kotters model can successfully guide the organisation in implementation of change starting from the identification of the change required that is compromising the performance. Reference Bolman, L.G. and Deal, T.E., 1991. Reframing organizations. Chapman, J.A. and Ferfolja, T., 2001. Fatal flaws: the acquisition of imperfect mental models and their use in hazardous situations.Journal of Intellectual Capital,2(4), pp.398-409. Hossan, C., 2015. Applicability of Lewins change management theory in Australian local government.International Journal of business and Management,10(6), p.53. Kinicki, A. and Kreitner, R., 2006.Organizational behavior: Key concepts, skills best practices. Columbus, OH: McGraw-Hill/Irwin. Kuipers, B.S., Higgs, M., Kickert, W., Tummers, L., Grandia, J. and Van der Voet, J., 2014. The management of change in public organizations: A literature review.Public administration,92(1), pp.1-20. Neumeier, M., 2013. Using Kotter's change management theory and innovation diffusion theory in implementing an electronic medical record.Canadian Journal of Nursing Informatics,8(1-2). Ramazani, J. and Jergeas, G., 2015. Project managers and the journey from good to great: The benefits of investment in project management training and education.International Journal of Project Management,33(1), pp.41-52. Shirey, M.R., 2013. Lewins theory of planned change as a strategic resource.Journal of Nursing Administration,43(2), pp.69-72.

In 1995, I decided to volunteer as a missionary fo Essay Example For Students

In 1995, I decided to volunteer as a missionary fo Essay The r my church. On the application form, there was no space for suggestions as to where in the world I would like to serve as a missionary. Church leaders assign missionaries to the place they feel we should go. I was surprised with the assignment to serve in Taiwan, speaking Mandarin Chinese. I had no previous experience with Chinese people or their language, so I felt fortunate that the church provides 2 months of intensive language training before the missionary even gets on the plane. During my 2 months in the language-training center, I found out just how different Mandarin Chinese is from my native language. The time went by quickly, and after obtaining a very tenuous grasp on the basics of Mandarin, I got on the plane and flew to Taiwan. Upon arriving there, I was assigned a companion who had been in Taiwan for just over a year and a half. From my first day in Taiwan, I was expected to dive headfirst into the task of teaching people about the church. I found that although at the Missionary Training Center I had learned to put together basic sentences, there was a whole other level of the language that I still needed to considerthe discourse level. The pursuit of clear and fluent discourse has been a focus of mine ever since. I always hoped that I would eventually pick up the finer points of Mandarin Chinese purely through contact with the people. The church did provide us with some study aids. However, these study aids amounted only to vocabulary lists and a few grammar hints which were either very basic or not altogether accurate. I discovered a trend, which has been accurately pointed out by Bourgerie (1997:107); those who made our study aids seemed to assume that there are classes of items that are beyond the realm of normal pedagogy. It seems they assumed that mastery of these items would be obtained through everyday contact with the people. I found, upon returning home a year ago, that I still hadnt picked up many of these items. While my speaking ability had reached a point that native Chinese people clearly understood my pronunciation and tones, my mastery of those items that had not been clearly taught to me sometimes caused major communication breakdowns. Frustrated, I decided to isolate these parts of speech that were giving me so much trouble, look them up in reference grammars, and figure out once and for all how to use them like a native Chinese person. It was this search that raised the questions that I will attempt to answer in this paper. The part of Chinese I chose to examine for this paper is the perfective aspect (PRV) -le particle. I will analyze and compare how various grammars, textbooks, and studies describe and explain this particle. Because most of the descriptions and explanations of this particle seem to be based mainly on the theories and ideas of the authors of these analyses, it seemed that a survey of native Chinese speakers would provide a good standard by which to judge these theories. Li and Thompsons book, MANDARIN CHINESE A Functional Reference Grammar (1981) is widely used to teach learners of Chinese how to use the PRV -le particle. That is why, for this paper, I chose to put Li and Thompson up against the standard a survey would provide. By looking at data from 27 Chinese Mandarin speakers use of PRV -le in discourse against Li and Thompsons prescription of how the particle should be used, I will attempt to find out how accurate that prescription is when compared to how native speakers actually use the particle. Next, I present the results of the study. Finally, I discuss the implications of the results for learners of Chinese. THE PRV -LE IN CHINESE GRAMMARS, TEXTBOOKS, AND LINGUISTICS JOURNALS. .u32d78ad1537f0516b340f4c58cf81a5e , .u32d78ad1537f0516b340f4c58cf81a5e .postImageUrl , .u32d78ad1537f0516b340f4c58cf81a5e .centered-text-area { min-height: 80px; position: relative; } .u32d78ad1537f0516b340f4c58cf81a5e , .u32d78ad1537f0516b340f4c58cf81a5e:hover , .u32d78ad1537f0516b340f4c58cf81a5e:visited , .u32d78ad1537f0516b340f4c58cf81a5e:active { border:0!important; } .u32d78ad1537f0516b340f4c58cf81a5e .clearfix:after { content: ""; display: table; clear: both; } .u32d78ad1537f0516b340f4c58cf81a5e { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u32d78ad1537f0516b340f4c58cf81a5e:active , .u32d78ad1537f0516b340f4c58cf81a5e:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u32d78ad1537f0516b340f4c58cf81a5e .centered-text-area { width: 100%; position: relative ; } .u32d78ad1537f0516b340f4c58cf81a5e .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u32d78ad1537f0516b340f4c58cf81a5e .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u32d78ad1537f0516b340f4c58cf81a5e .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u32d78ad1537f0516b340f4c58cf81a5e:hover .ctaButton { background-color: #34495E!important; } .u32d78ad1537f0516b340f4c58cf81a5e .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u32d78ad1537f0516b340f4c58cf81a5e .u32d78ad1537f0516b340f4c58cf81a5e-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u32d78ad1537f0516b340f4c58cf81a5e:after { content: ""; display: block; clear: both; } READ: Secret Essay As far as my experience goes, in the classroom setting, PRV -le was never taught in-depth. In doing the research for this paper, Ive found that this lack of treatment in the classroom was not because of a lack of theoretical literature on the subject. In fact, the theories as .