Public Awareness of Stroke Risk Factors and Warning Signs

Public Awareness of Stroke Risk Factors and Warning Signs Introduction Stroke is defined as a sudden neurological deficit caused by impairment in perfusion to the brain (M. Bornstein, N 2009). The WHO estimates that by year 2030, 80% of all strokes will occur in low and middle income countries and high quality of health statistics are essential for planning and implementing health policy in all countries. Of all neurological diseases, stroke is the most preventable. The need to increase public awareness of stroke risk factors and warning signs has been identified as critical to addressing the large gaps in knowledge. An important aspect of improving understanding of stroke was to prevent strokes from occurring in the first place, by increasing public awareness of the risk factors (Britain, G 2009). Act F.A.S.T(face, arm, speech, time) campaign was laughed and organized by MOH in most of the countries and which has been effective in improving the public’s recognition of the symptoms of stroke . There are a lot of researches had been done to know the effectiveness of campaign and programs. This paper will review two articles to test the stroke awareness and risk factors in general population. Methods Two articles were chosen from Bio Med Central, using key words of stroke, awareness, risk factors, warning signs. The criteria were established with articles of data collection strategies, identification of the main study, full text and up to date published in between 2007 to 2008. Abstract The abstract is a brief description of the study placed at the beginning of the article about 100 to 150 words and it allows readers to assess whether to read the full articles of the report (POLIT, D. F., BECK, C. T 2010). Both articles illustrate background objective, method, results and conclusions in one paragraph clearly and concise, which stimulates the reader to read full articles. In (W Wahab, K. et al. 2008) article, author conducted the cross sectional study of ability to identify one risk factor of stroke warning sign at Irrua Specialist Teaching Hospital in southern Nigeria whereas in (Hickey, A. et al. 2009) article, discovered lack of public awareness about stroke warning signs and risk factors which contribute to reducing mortality and morbidity from stroke. Introduction/Research problems Successful fundraising professionals reveal that only 10 percent of their time is actually spent soliciting major gifts whereas the other 90 percent is spent researching prospects and developing strategies. For that reason, it is extremely important for an organization to allocate resources to establish a prospect research program (Ciconte, B. and Jacob, J 2009). (BASTABLE, S. B. 2006) said an introduction should provide the reader with an understanding of how the study fits into what is already known about the research topic and provides a justification as why this particular piece of research is important. Central phenomena, concepts, the study purpose, the hypotheses (POLIT, D. F., BECK, C. T. 2010) were briefly described in these two articles. In Hickey, A. et al. (2009) article, the author has discussed needs of increase public awareness of stroke risk factors and warning signs in older adults, at higher risk for stroke with relevant references and the study was conducted across two jurisdictions the republic of Ireland and northern Ireland. In (W Wahab, K. et al2008) article, author has discussed due to the spite of high case fatality rate from stroke in Nigeria, the study was designed to assess the knowledge of warning signs in patients with hypertension, diabetes mellitus or both conditions that are modifiable risk factors for stroke. Research question Both articles have been introduced in a general way at the end of the introduction, it is worth restating it before the methods section to refocus the reader’s attention though there is no actual research question is posted nor hypothesis. Literature review (Gliner, J. and Morgan, G 2000) explained that in most journals, the introduction and literature review are together in one section which is untitled in APA format, but some journals will separate these two titles. As can see, there are no subtitles of literature review in these two articles. However, the reader felt that both articles used primary sources briefly summarize the existing knowledge, which provided a state of evidence and solid basic. Some of the studies mentioned in the literature review for both articles were consider up to date as the oldest reference is dated as 1998. Research Approach Both articles, study were conducted using questionnaire by interviewers. In Anne article mentioned the reason why this approach was adopted. (POLIT, D. F., BECK, C. T 2010) stated that quantitative researchers use several criteria to assess the quality of a study, referred to as its scientific merit. Quantitative research is identified with traditional scientific method that gathers data objectively in an organized, systematic, controlled manner so that the findings can be generalized to other situations, population which can find in these two articles. Research Design Both articles used experimental research; which maintains the greatest control over the research settings and takes the form of randomized controlled trails (RTC) where participants are randomly selected into the different groupings. The RTC is generally considered the ‘gold standard’ of study designs (Kirch, W 2008). In (Hickey, A. et al 2009) article, study involved a cross sectional survey of randomly selected community based older people in the republic of Ireland and Northern Ireland. (Houser, J 2012) described that the quantitative studies, the design will detail how the subject will be selected and assigned to groups, the way the intervention will be applied, a measurement strategy, and a plan for data analysis. Ethic approval has been granted and informed consent was provided in both articles. Sample In both articles, researches used simple random sampling, which is the most basis form of probability sampling (REIS, H. T., JUDD, C. M 2000). The sample size was enough in these two studies. However (Offredy, M. and Vicker, P 2010) concludes that there are no simple rules we can apply that is the correct size sample for the research. Sample size depends largely on aims and purpose of the research, as well as the current time and methodology used to undertake the research study (SMART, J. C. 2009). In (W Wahab, K. et al 2008) article, the study was conducted at the Irrua specialist teaching hospital from January to march 2007 with 225 eligible patients was approached for the study. All participants were recruited with a diagnosis of hypertension, diabetes mellitus or both were interviewed about knowledge of stroke warning signs by attending doctors. In (Hickey, A. et al 2009) article, the study involved 2033 participants of a cross sectional survey of randomly selected aged of 65 + in the republic of Ireland and Northern Ireland. Interviews were conducted in participant’s own homes asking knowledge and warning signs of stroke by trained market researchers. This article did not mention duration of the study has been conducted. Both articles declared ethical considerations and consent taken. Data Collection and Analysis In both articles, the researchers used the questionnaire that was used and re corrected in pilot study to collect the data. In (Hickey, A. et al 2009) article, no information is given as when the data was collected. But the researcher has clearly explained the appropriateness of the methods and survey data was statistically adjusted prior to analysis to avoid potential bias. Descriptive and comparative analyses were carried out using the Stata version 8.2. The chi square test was used to examine differences between the Republic of Ireland and Northern Ireland in recognition of stroke risk factors and warning signs. Logistic regression analysis was used to examine the effects of demographic variables and the presence of risk factors on stroke. In (W Wahab, K. et al 2008)article, researcher excluded those who participated in the pilot and history of stroke to avoid bias as they have been primed to seek for information. Researcher failed to describe the appropriateness of methods. Data was analyzed with statistical package for the social sciences version 11( SPSS Inc), a very widely used computer program designed to aid the statistical analysis of data in the course of research (KEMP, R., SNELGAR, R 2006) , means and standard deviations were determined. Means were compared using Chi-Square Test to analyze variances. A multivariate logistic regression analysis was done to determine independent predictor of ability to identify warning sign from among baseline variables. Reliability and Validity Validity is the one if the obtained results are truthful and believable. In order to determine the validity, the researcher generally poses a series of questions, and will often look for the answers in the research of others to know the measurements accurately.( Kirk and Miller 1986) identified three types of reliability referred to in quantitative research, which relates to: (1) producing the same results under same measurement conditions (2) the stability of a measurement with respect to time; and (3) the similarity of measurements in a given time period. This has not been discussed by the researchers in both articles. Results Overall, both articles results was statistically analyzed and presented in a way that average reader could understand. Tables are clear and promote clarity of the text. (Hickey, A. et al 2009) article’s table 1 showed significant demographic differences between the samples. Adjusted odds ratio analysis indicates that higher levels of knowledge were significantly associated with having second level education or grater and geographic location. Less than half of the population correctly identified stroke risk factors in table 2. In (W Wahab, K. et al 2008) article, table 1 results showed that primary education was the highest educational attainment in 30.2% of the respondents. In table 2, no warning sign was identified by 60.4% while 39.6% was one sign identified. Gender (Male), 11 or more years of education emerged as the independent predictors of ability to identify at least one warning sign in table 3 on multiple logistic regression analysis. Discussion In(W Wahab, K. et al 2008) article, the authors have interpreted the findings and made comparisons with India, Australia and Developed countries studies. The authors have discussed the finding related to research questions, aim clearly and stated that their study has potential limitations as its cross sectional and hospital based nature that the results might not be completely generalized to the community. They also suggested for further community based study to ascertain the generalizability of their results and there is no obvious bias seen in the discussion. In (Hickey, A. et al 2009) article, the discussions were clearly explained the findings related to research hypotheses and analyze with US and mass media campaigns to be more effective. Limitations of their study is possible bias however the research team sought to minimize the possibility by having all interviewers receive the same training and work from a standardized script. Also suggested that need more longitudinal study investment in future. The authors had brought attentions to the National Health Service in UK system to provide a similar program me in Republic of Irelands. Conclusion The authors had suggested the need for substantial population health education with regard to stroke prevention and management is critical to a future reduction in Anne article. Recommendations were clear, relate to findings and encouraged for further study in (Hickey, A. et al 2009) article. In (W Wahab, K. et al 2008) article,conclusion were mentioned clearly includes the finding, suggestions related to aims. Also recommended to do regular community education programs through mass media, radio and television using the appropriate local language. Both articles references were accurate and well written for overall. Implementation Time is brain, May is the National stroke awareness month, a month dedicated to raise awareness about the nation’s fourth leading cause of death and disability (Stroke.org 2013). This annual event is sponsored by the National Stroke Association, intended to engage individuals, community organizations and business in the effort to educate the public about how to prevent stroke through risk factor management, response to stroke symptoms and spread hope from stroke recovery. I am working in an acute local hospital; medical unit specialized of gastro logy and neurology. From my experiences, most of the family members are not aware of stroke. Today, patient education is a topic of significant interest to nurses in every setting in which they practice. As teaching is a major aspect of nurse’s professional role, I do explore information to patient or family members regarding the stroke and awareness of stroke, risk factors provide with booklet from the hospital. There are also stroke specialize nurses in my hospital, who are giving moral support, needs for the patients and family members. Health promotion role of hospital nurses was to emphasize the need to influence, and help patients modify health beliefs and lifestyle together with disease related teaching (Piper, S 2009) The focus of care is on outcomes that demonstrate the extent to which patients and their significant other have learned the knowledge and skills necessary for independent living (BASTABLE, S. B. 2006). It is important for every nurse to teach public and learning will continue to increase in this era of healthcare reform.

Computers Impact on Physically Challenged :: Argumentative Persuasive Papers

Computers' Impact on Physically Challenged Have computers positively impacted society of the physically challenged? The answer to that question is yes. Computers have helped physically challenged people to become more independent and have better and fuller lives. The Internet has been a useful tool for these people because they can buy, sell, or read objects on the web pages. They can buy their groceries and read the newspaper on-line. Without the Internet and computers the physically challenged would have to depend on other people to help them do their shopping or reading. This paper will discuss speech and language impairments, hearing impairments, visual impairments, and mobility impairments and how computers have positively impacted each of these groups of people. First of all speech and language impairments are usually due to defects of articulation, voice production and rhythm, cleft palate speech, delayed speech development, and disorders connected to hearing impairments ("Speech", p.1). Computers have helped these people through software and hardware designed specifically for speech disabilities. One device, called a speech synthesizer, is connected to a computer or incorporated into the software. This can be useful as a training and teaching aid and also it can be used as a voice output for a non-vocal person ("Speech", p.1). This device allows a person who cannot speak, communicate to another individual through the computer. The computer speaks the words for the speech-disabled person. If the main desktop computer is not available for this purpose a portable communication aid can be used. This portable communication aid is an electronic device that has a speech synthesizer and it may be operated with a switch ("Speech", p.1). Another use of computers for the speech and language impairments is cognitive rehabilitation software. This software identifies and treats people who have suffered a stroke or some type of brain injury. The software is designed to concentrate on the detection and retaining of language function ("Speech", p.1). Michigan Memory Series of Software, provided by IBM, is a series that is useful for adults with stroke defects, closed head injuries, and other neurological problems. This series of software is also useful for children with learning disabilities, communication disorder, reading disorder, autism, mental retardation and other speech impairments ("Speech", p.1). Computers have positively impacted the speech and language impairments of people because these people can learn and communicate with others due to computers. Second, computers have positively impacted people who are hearing impaired.

Lines of Color, Sex, and Service: Sexual Coercion in the Early Republic by Sharon Block Essay

â€Å"Lines of Color, Sex, and Service: Sexual Coercion in the Early Republic† by Sharon Block is based on two women who were mistreated by their masters. Rachel Davis, a white woman, was a servant to William and Becky Cress when she was 14-years-old. Harriet Jacobs, an enslaved black woman, was a slave in James and Mary Norcom’s household. When the women reached ages 15 and 16, both their masters made sexual overtures to them, in which the women had to try and over power. Becky Cress, William’s wife and Mary Norcom, James’ wife were women who could not control their husband’s actions. Since both Becky and Mary suspected that their husbands were having a sexual relationship with their servant, they insisted that the servant left the house immediately. Even though Rachel and Harriet were removed from their master’s household, their masters continued to visit them at their new home trying to have sex with them. When Mary had Harriet sleep with her so her husband could not and so she could â€Å"protect† Harriet, Harriet said, â€Å"she whispered in my ear, as though it was her husband who was speaking to me, and listened to hear what I would answer. (140) When Mary confronted her husband about the issue, he did not stop his sexual overtures. After Becky heard William trying to kiss Rachel in the cellar, Rachel said, â€Å"she had caught him & he wd deceive her no longer, but William denied any wrongdoing and Becky left in tears. These verbal confrontations apparently did not alter William’s behavior; he continued to force himself sexually upon Rachel. † (140) These two wives show that they had no power over their husband. They confronted their husbands about the situation and all they did was deny their behaviors, which lead to Becky and Mary not undertaking any actions to put their husband’s sexual overtures to an end. If Becky and Mary really wanted their husband’s sexual relationship with their servant to end, why didn’t they remove their husband from the house? Or why didn’t they just divorce their husband? This shows how men over powered women during this time by talking their way out of dilemmas and how women did not have the courage to stand up for themselves and prove that they are right and their husband are wrong. By Rachel Davis being a white woman she had more of an opportunity to over power her master than Harriet Jacobs. â€Å"The master of the white servant was sent to prison, while the black slave imprisoned herself to escape her abuser. † (136) â€Å"In 1807, Rachel’s father found out what had occurred and initiated a rape prosecution against William, who was found guilty and sentenced to ten years in prison. † (136) Since Rachel had her father’s support and also because she was white she was very fortunate that her master ended up in jail. Even though Rachel and Harriet’s rape incidents by their masters were very similar, â€Å"enslaved women ordinarily did not have access to the protection offered by a patriarchal figure. † (143) This is unfair to Harriet because she doesn’t get the local legal system to form a criminal prosecution like they did for Rachel because she is black. Harriet also went through rougher times than Rachel. Rachel was demanded out of the household right when her mistress suspected the sexual relationship. For Harriet, Mary demanded that she left the house when she found out Harriet was pregnant. Harriet had to do this so she could get away from her master and show her mistress that what her husband was doing to her was factual. Harriet didn’t have anyone to help her end her master’s sexual overtures on her, she had to became a runaway slave, and hide in her free grandmother’s attic. Even though both the masters treated Rachel and Harriet the same way, Harriet’s grandmother could not help her lead to legal intervention like Rachel’s father did for her. During this time, women were treated with no respect just as if they were nothing, especially the black women.

Free Essays on Total Quality Management in Foodservice

TQM in Foodservice Introduction One of the most important industries overall is the food industry. The food industry consists of everything from food processing plants to fast food restaurants. The food industry affects nearly every living person. Most people don't realize how important this industry is and how it affects their everyday lives. That is why it is so critical that the products of this industry are at their highest quality, are free of bacteria and ensure that the consumer will not face any detrimental consequences. Total Quality Management (TQM) plays a big role in promising these results. Total Quality Management seems to be a confusing term for the layman. TQM is a philosophy advocated by Dr. Edward Deming, a world renowned quality guru. It was widely accepted by Japan from 1950 onward. They used this principle for continuous refinement of an organization-wide quality system. Since then many organizations around the world have adopted TQM or similar methodologies. There have been many successes and many reported failures. Success of the system depends on the total commitment of the people to quality from top to bottom within the organization. TQM implementation is based on team work and the philosophy of continuous improvement. Statistics need to be used extensively to analyze and reduce the variation in the process. In the food industry, continuous improvement is vital to the survival of a specific company or restaurant. The customer is constantly purchasing the products of competitors and any decline in quality will equal a decrease in gross profits. There are several areas that a restaurant may focus on for quality improvement such as menu offerings, hospitality, service, cleanliness, and over all food quality. All of these aspects will be covered in this paper concerning Total Quality Management. Summary Employee & Product Quality Various well known companies such as Ritz-Carlton Hotels a... Free Essays on Total Quality Management in Foodservice Free Essays on Total Quality Management in Foodservice TQM in Foodservice Introduction One of the most important industries overall is the food industry. The food industry consists of everything from food processing plants to fast food restaurants. The food industry affects nearly every living person. Most people don't realize how important this industry is and how it affects their everyday lives. That is why it is so critical that the products of this industry are at their highest quality, are free of bacteria and ensure that the consumer will not face any detrimental consequences. Total Quality Management (TQM) plays a big role in promising these results. Total Quality Management seems to be a confusing term for the layman. TQM is a philosophy advocated by Dr. Edward Deming, a world renowned quality guru. It was widely accepted by Japan from 1950 onward. They used this principle for continuous refinement of an organization-wide quality system. Since then many organizations around the world have adopted TQM or similar methodologies. There have been many successes and many reported failures. Success of the system depends on the total commitment of the people to quality from top to bottom within the organization. TQM implementation is based on team work and the philosophy of continuous improvement. Statistics need to be used extensively to analyze and reduce the variation in the process. In the food industry, continuous improvement is vital to the survival of a specific company or restaurant. The customer is constantly purchasing the products of competitors and any decline in quality will equal a decrease in gross profits. There are several areas that a restaurant may focus on for quality improvement such as menu offerings, hospitality, service, cleanliness, and over all food quality. All of these aspects will be covered in this paper concerning Total Quality Management. Summary Employee & Product Quality Various well known companies such as Ritz-Carlton Hotels a...

Medical Advancement And Predatory Criminals Essay Example

Medical Advancement And Predatory Criminals Essay Example Medical Advancement And Predatory Criminals Paper Medical Advancement And Predatory Criminals Paper Anthropological research data has shown the violence is an inherent conduct among the primate species (Walker, 2001). In society, criminal violence is a common occurrence and legislators have suggested that the behavior of criminals be analyzed in order to identify any psychological patterns that are consistent among these particular types of individuals. In the past few decades, neurobiologists have proposed that an individual’s condition, which encompasses empathy, morality and free will, is holistically influenced by the frequency of stimulation and assembly of the neurons of an individual. Such notion is contradictory to the concept of Cartesian dualism, which states that the brain and the mind are two independent entities that coordinate with each other. To date, the accumulation of research reports from the field of neuroscience is gradually affecting the concepts and effectivity of the justice system because of the shifting in the concept of human behavior and response to different stimuli. Neuroscience has influenced our current understanding of the multiple factors that govern violent behavior among criminals. The 19th century classic report of Phineas Gage regarding the anti-social behavior that emerged after massive damage of the prefrontal cortex of his brain from a railroad accident is now considered as the birth of the field of forensic neurology (Harlow, 1848). Today, computerized imaging of his fractured skull has shown that the autonomic and social nerve systems are the specific damages that were affected, thus resulting in a totally different individual. Such observation, together with research results gathered from war veterans, has led to the conclusion that violent criminal behavior is caused by injuries to the frontal lobe of the brain. It has then been proposed that injury to the prefrontal cortex of the brain causes a condition that has been coined as acquired sociopathy or pseudopsychopath (Blair and Cipolotti, 2000). It is interesting to know that there is an 11% reduction in the size of the grey matter of the prefrontal cortex among patients diagnosed with anti-social personality disorder (APD) (Raine et al. , 2000). A related observation has also been observed between intelligence and alterations in the grey matter of the prefrontal cortex. The temporal lobe of the brain has also been determined to influence an individual’s emotional response and aggression, wherein lesions in the amygdale of the temporal lobe result in an individual’s failure to recognize fear and sadness among the faces of other people (van Elst et al. , 2001). The connection between the decreased expression of the monoamine oxidase A enzyme and reactive violence has already been established (Caspi et al. , 2002). Monoamine oxidase A is responsible for the catabolism of monoamines such as serotonin (5-HT). The working hypothesis currently accepted is that the prefrontal-amygdala connection is altered, resulting in a dysfunctional aggressive and violent behavior, resulting in criminality in particular individuals. In a recent study conducted by Young et al. (2007), the association between an individual’s opinion and his corresponding actions was proven using neurobiological support that an area of the brain was responsible for such behavior. This particular area of the brain, the right temporoparietal junction (RTPJ) was observed to play a major role in an individual’s beliefs and further classifies these notions as either negative or neutral. The negative beliefs that are generated in this section of the brain thus triggers whether an individual would want to cause harm in another individual. This revolutionary concept of acknowledgment of belief is the first form of neurobiological data that describes the connection between the brain and moral judgment. Four states of mind were described to be influenced by the activation of the RTPJ, of which 3 states were harmful and 1 was neutral in outcome. The 3 harmful states of mind included intentional injury, attempted mischief and unintentional damage. In addition, the report described that an increase in the stimulation of the RTPJ generally resulted in an individual either attempting or purposely causing harm to another individual. Such stimulation of that particular of the brain is thus responsible in an individual’s judgment of morality and behavior in society. The recent report of Young et al. (2007) has motivated scientists to develop a microchip to may be surgically introduced into the brain of an individual in order to regulate the response of the RTPJ and ultimately prevent an individual from committing harmful acts. The plan of requiring the surgical insertion of this microchip into the brains of criminals and using the presence of this microchip as main basis for release or parole of a convicted criminal is unethical because this can be perceived as a form of eugenics. This field of genetics involves the active selection of individuals with appropriate features that are deemed worthy of being included in society. For several decades, there have been several attempts in selecting which individuals will be allowed to survive around the world. The principle of eugenics is mainly based on picking specific physical and anatomical features that are classified as good or bad and those individuals with poor or bad features are treated with biomedical tools in order to change their features. An extreme form of eugenics is the mass destruction of certain populations in society by another group of individuals, as was evident in Hitler’s eradication of the Jews. An advocate of the biological connection of criminality would employ the concept of eugenics in screening individuals that show a potential to show criminal and anti-social behavior. To make things more complex, the features that were described to be triggered in the brain, such as the RTPJ, may also be used as criteria in admission to schools and workhouses. An extreme reaction would even result in construction of facilities that would enclose candidates or suspects for criminal behavior. A biological discrimination would thus be observed and this unfair basis of screening individuals would create more chaos in society. Eugenics may also be translated as a screening tool in picking which criminals will be kept in prison and which individuals will be freed and this action will be mainly based on the biological features of whether the criminal may be rehabilitated or transformed into a normal non-aggressive person. The so-called degenerate individuals would be kept off the streets in order to prevent interaction with non-degenerate individuals, as well as to prevent future crimes in the community. In addition, society would be introduced to the option of strictly selecting partners for marriage because they will be taught to pick partners that show obvious physical differences from the consensus physical features of criminals. It is thus inappropriate and unethical to require criminals to have the microchip surgically inserted into their brain unless the criminal himself volunteers for this procedure. Should the criminal be given the choice, the surgical insertion of the microchip may be possible, yet the ultimate role of microchip usage in the determination of freedom of a human being is still questionable. The criminal may opt for the microchip because he knows that he will be released soon after the procedure is completed. However, knowing that all biological species evolve through time, another section of the brain may develop capabilities in triggering criminal behavior and after several decades or centuries this problem of criminality will still be around because a new region of the brain is not stimulated to cause criminal behavior among individuals. More importantly, there are also research reports that contradict the microchip concept, wherein the RTPJ is not the sole brain regions that controls the mind (Mitchell, 2008). This contradictory report thus suggests that there more research and investigations should be performed in order to better understand the connection between the brain and the theory of mind and moral judgment. References Blair RJ and Cipolotti L (2000): Impaired social response reversal. A case of ‘acquired sociopathy’. Brain 123:1122–1141. Caspi A, McClay J, Moffi tt TE, Mill J and Martin J (2002): Role of genotype in the cycle of violence in maltreated children. Science 297:851–854. Harlow J (1848): Passage of an iron bar through the head. Boston Med Surg J 13:389–393. Mitchell JP (2008): Activity in right temporo-parietal junction is not selective for theory-of-mind. Cereb Cortex 18:262-271 Raine A, Lencz T, Bihrle S, LaCasse L and Colletti P (2000) Reduced prefrontal gray matter volume and reduced autonomic activity in antisocial personality disorder. Arch Gen Psychiatry 57:119–127. van Elst LT, Trimble MR, Ebert D, van Elst LT (2001) Dual brain pathology in patients with affective aggressive episodes. Arch Gen Psychiatry 58:1187–1188. Walker PL (2001): A bioarchaeological perspective on the history of violence. Annu Rev Anthropol 30: 573–596. Young L, Cushman F, Hauser M and Saxe R (2007): The neural basis of the interaction between theory of mind and moral judgment. Proc Natl Acad Sci USA 104(20):8

When Harry Met Sally and Mark Knapp's 10 Stages of Relational Movie Review

When Harry Met Sally and Mark Knapp's 10 Stages of Relational Development - Movie Review Example This research will begin with the statement that a relationship between two individual always passes through different phases. Rob Reiner's romantic comedy When Harry Met Sally  is a movie which gives an idea about how a relationship can grow between two strangers, what are the different phases their relationship can pass through and what are the common characteristics that a relationship can have. When Harry Met Sally is a romantic movie directed by Rob Reiner, released in 1989. The main two characters of the movie Harry and Sally were played by  Billy Crystal and Meg Ryan. The movie begins with two unfamiliar persons Harry and Sally, newly graduated from the University of Chicago jointly travel in a car from Chicago to New York, a place where they would find their living. In this movie, for a period of 11 years, during the basic stage of their relationship, both Harry and Sally debated about a common fact and that was can a man and women be a non-sexual friend or not. If we ana lyze both the characters, Harry give the impression of carefree attitude, but is doubtful enough to â€Å"read the last page of a book first†; in case he dies, he says, â€Å"at least he'll know how it ends. And know-it-all Sally insists that Ingrid Bergman really wanted to leave Humphrey Bogart. From the dialogue of Sally, ''I don't want to spend the rest of my life in Casablanca with a guy who owns a bar† her attitude towards life becomes very clear and also clearly represents who she is at that point of time. It presents the story of ten years down the line when Sally had a break up with her boyfriend and Harry’s wife left him and they again become best friends. Mark Knapp's 10 stages of Relational Development and the movie Harry Met Sally: To analyze the relationship development, Mark Knapp discussed10 different stages associated with it. Adler and Rodman in their book discussed all these stages. Although it is not an interpersonal theory still according to his concept the ten stages of an interpersonal relationship are â€Å"Initiating, Experimenting, Intensifying, Integrating, Bonding, Differentiating, Circumscribing, Stagnating, Avoiding, and finally Terminating†. If one analyzes the movie When Harry Met Sally, it is very clear that relationship development not always follow Knapp’s 10 stage of development. If we analyze the movie then it is clear that out of first five stage of relationship development initiating was started when they first meet, then they were trying to find out whether a friendship among boys and girl can happen without any sexual relation, that is the experimenting phase. Later on, their friendship intensifies but it was split asunder after a spur-of-the-moment night of passion when she was upset about an ex-marrying someone else. The flow of the movie also resembles the way Adler and Rodman mentioned in their book about the flow of stages of relationship development among them. Their relationships have the stages of initiation, then integration of their thought process, and then they slowly started to like each other as their bonding grew. The main thought process which they were thinking about was related to whether friendship only related to sex or not. As they started to get involved in own personal life, slowly their interaction decreases, as mentioned by Adler and Rodman, it was the circumscribing stage. This was followed by avoiding. But when in their own life both of them separated from their partners they meet again, and during that time they do not have the necessity to start the relationship from the first stage again. Another key point associated with this movie is the self-disclosure. Self-disclosure is a key part of the integrating stage of the relationship development. When any couple reaches the integrating stage they are already very close to one another.

Ottershaw branch of Zinns Burgers and Pizza Essay

Ottershaw branch of Zinns Burgers and Pizza - Essay Example set of values, personalities, norms, assumptions, behaviors, beliefs, ideas and tangible and intangible signs of the organization in its internal and external environments of business conduct. Such tangible and intangible artifacts include organizational goals such as mission and vision. Culture is a tool for the manager to inculcate a set of values, beliefs and ideas in the employee whose vision is then transformed into that that of the organization’s vision. Thus it’s clear that at the Ottershaw branch of Zinn’s Burgers and Pizza the restaurant chain is faced with a number of organizational culture related problems. All beliefs, behaviors, values, vision, mission, personalities and so on have become outmoded. In fact it requires an overhauling sooner. According to Edgar Schein organizational culture is â€Å"A pattern of shared basic assumptions that the group learned as it solved its problems of external adaptation and internal integration, that has worked well enough to be considered valid and, therefore, to be taught to new members as the correct way you perceive, think, and feel in relation to those problems" (Schein, 2004). Schein has provided one of the most thought provoking definitions to organizational culture and goes onto claim that of all the attributes of the organization, culture is perhaps the most difficult to transform. He identifies three attributes in the organization culture. Thus the restaurant needs to revamp its organizational culture related practices and initiatives. Next Geert Hofstede identified five dimensions as the basis for organizational culture (2005). A number of other scholars such as Deal and Kennedy (2000) and Handy produced their theories on organizational culture and have had considerable influence on the subsequent writings and developments on the subject. These theoretical perspectives apart there is a considerable amount of empirical evidence to suggest the significance of various elements of the evolutionary