Bells palsy Research Paper Example | Topics and Well Written Essays - 1000 words

Bells palsy - Research Paper Example Sudden weakness that affects one side of the face causing it to droop. This is the most crucial symptom of Bell’s palsy. The difficulty arises in closing the eye of that side of the face. 2. Eye becomes dry or produces excessive tears. Sense of taste is also impacted. Bell's palsy also affects saliva production. 3. Numbness is another symptom that is found in the affected side of the face. 4. Sometimes, it pains behind the ear to the affected side of the face. 5. Difficulty in smiling, or in creating facial expressions. 6. Eating and drinking problems on the affected side of the face. 7. Twitching on the affected side of face. Causes and Risk Factors The cause of Bell’s palsy is not quite clear; however, it is believed that herpes infection may cause Bell’s palsy. Viral infection also may cause this disease. Viruses that cause diseases such as chickenpox, respiratory illnesses, rubella, mumps, flu, hand-foot-and-mouth disease may also be responsible for causing B ell's palsy. Other conditions that may be behind this disease are Lyme disease, HIV infection, Sarcoidosis, or middle ear infection. The Bell's palsy occur due to swelling of facial nerve due to any internal or external cause (PubMed Health, 2012). The people who have an upper respiratory infection often are also considered prone to the disease. Pregnant women carry risk during the last trimester and in the first week after giving birth. Statistics reveal that people in their 40s are more prone to the disease. The people with family history are prone to Bell's palsy. Bell's palsy is often a frightening experience when it occurs creating a feeling of stroke; however, stroke symptoms are much more intense unlike Bell’s palsy that usually vanishes after some time. Stroke generates symptoms such as difficulty speaking, numbness in legs and arms, severe headache and dizziness, and blurred vision. Bell's palsy may also cause difficulty in speaking but then the cause is purely muscu lar and nothing related to brain functioning. Bell's palsy may cause some long term complications too that may occur a few months after onset of the disease and that include permanent tightening of the facial muscles and tearing of eye during eating (PubMed Health, 2012). Diagnosis A complete physical examination may diagnose Bell’s palsy. If the condition is due to some brain tumor then MRI or CT scan may be necessary. These tests help ensure if the cause of pressure on facial nerve is tumor or skull fracture. Sometimes, balance test is done to find out if balance nerves are associated. Similarly, hearing tests become necessary if nerve damage has caused damage to inner ear or hearing mechanism. In wider complications, a lumbar puncture test involving cerebrospinal fluid (CSF) is carried out so as to eliminate the possibility of autoimmune disease, meningitis or any malign growth of a tumor. Otherwise, Nerve Conduction Test and Electromyography (EMG) may identify Bellâ€℠¢s palsy (Wood, 2012). Nerve Conduction Test The Nerve Conduction Test is done to find the extent of nerve damage by measuring how fast signal moves through nerve. Electromyography (EMG) The test is used to determine the nerve damage and its severity by measuring the electrical activity of a muscle such as speed of conduction through stimulation. Usually, this test is employed along with Nerve Conduction Test. Epidemiology Bell's palsy is not found to show gender predilection. Female teenagers are found to be affected more but males suffer in large numbers once they cross

GREGGS Bakers. A Short-term Digital Marketing Communications Plan Essay

GREGGS Bakers. A Short-term Digital Marketing Communications Plan - Essay Example These competencies reflect the company’s corporate values of being enthusiastic, supportive, honest, open, appreciative, fair, considerate and respectful. These values are not only meant for the customers but also for the employees who are an integral part of the company’s successful run. The company’s product portfolio includes: breakfast items, bread and rolls, sweets, savouries, sandwiches, and drinks. About two-thirds of the sales are generated by the company’s sandwiches category (Greggs). GREEGGS Bakers strongly believe in the role they play in the society. In order to support the society and pay back what the business owe to the society the foundation for GREGG Trust, later to be called GREGG Foundation, was laid by Ian Gregg in 1987. Also the company is strongly focused on creating more jobs in the society. In this endeavour the company plans to open 500 more stores and create 6000 new jobs in the economy (Greggs). As GREEGGS Bakers plan to improve their presence on the online market and enhance their online presence, there have been some important reasons identified that are the cause of low traffic and therefore a need for an e-marketing plan has been created. With the trend of online industry growing in the last few years, it has become increasing important for different firms to capitalise on these opportunities in order to remain competitive as well as satisfy customers. In addition to this, there has been an increasing number of customers buying food products online therefore GREEGGS Bakers need to understand this situation and capitalise on this opportunity. Environmental analysis Before coming up with a well thought and effective marketing plan it is first important to analyse the internal and external environment thoroughly (Fill, 2009). This in turn allows the company to come up with more related and successful marketing strategies (Gay, Charlesworth, and Esen, 2007). With reference to the online and digital marketi ng it is important for the organisation to evaluate the different trends and consumers’ preferences in order to build more strong relationships (Peterson, Koch, Grone, and Vo, 2010). There are several factors which should be considered while devising digital marketing strategies for example the security concerns (Flavian & Guinaliu, 2006). The social technologies have transformed the whole marketplace (Li and Bernhoff, 2011) Trends on the Online Marketplace: Internet has changed the whole scenario of the market place (Fox, 2010). It is important to come up with proper internet and online strategy (Porter, 2001). In order to

Discussion Board Assignment Example | Topics and Well Written Essays - 500 words

Discussion Board - Assignment Example This highlights the importance of several types of task analysis such as procedural analysis and concept analysis. Procedural analysis, as the name connotes, is a type of task analysis that focuses on procedures. It is "used to identify the sequential steps for completing a psychomotor or cognitive task (Luppicini, 78)." The nature of this method makes it appropriate in identifying the contents that causes problems, hence, the information necessary in solving them as well. For example, an analysis is broken down into several steps, the first being deconstructing a task being examined into several units. Structures are then determined using tools such as those performance-related matrices. Based on these structures, an evaluation can finally be performed. This demonstrates that, as with the traditional task analysis, procedural analysis is focused on the sequential approach in completing its analytical objectives. On the other hand, concept analysis is a type of cognitive task analysis that is used to represent the structure of an experts thinking (Jonassen, Tessmer and Hannum, 201). It sequences concept characteristics that relate to the concept or concept hierarchy (Olrich et al., p.143). These mean that this particular tool is particularly appropriate in analyzing tasks that are knowledge-based. This characteristic should differentiate it from the manner by which procedural analysis works. It operates through several approaches such as conceptual graphs or concept maps. By articulating knowledge through a systematic visual structure, relationships, issues, questions, problems, and new information, among others are revealed. For instance, a conceptual graph depicts these through nodes that include actions, events, and goals, wherein a specific set of relations exists for a specific type of node (Jonassen, Tessmer and Hannum, 201). Concept analysis can also

The True Place of Confucianism in Everyday Life Essay

The True Place of Confucianism in Everyday Life - Essay Example Even so, Confucianism was gradually growing, and various communities accepted it so quickly in what would later turn out as an almost complete takeover from Legalism. Prior to this though, Confucianism was temporarily faced out by Buddhism and Taoism, which turned out to be more dominant at the time. This temporal shake was so violent that, when Confucianism returned later, it had to develop using the models of the two doctrines. The Confucianism then was baptised ‘neo-Confucianism’ which comprised of Buddhism and Taoism. It is neo-Confucianism that came to later take over the society and become the foundation for imperial exams, as well as the central philosophy of the scholar-official class. So succinct yet so intensive, Confucianism acted as some constitution to the Chinese at that time. Following closely and abiding strictly by the doctrines contained within, Ruism was a major determinant in pre-1949 Chinese’s life. The first role of this system was to define the relationship between men and women. Right from creation according to Christians, the relationship between men and women was lucid; women were to revere and worked under the supervision of men. Conversely world over, women are regarded as subjects to men. Similarly, Confucianism contained the guidelines with women viewed as a lesser sex. Precisely, Confucianism contained strong dictation of women’s subordination to men, worse yet; the doctrines indicated that women are not allowed to work. For instance, women were considered as ‘yin’ and men were seen as ‘yang’. By nature, ‘yin’ was soft, tranquil and passive while ‘yang’ was by every dimension, an opposite of the latter; being regarded hard and dominating. Unfortunately, this was the basis of the present-day level of gender-related discrimination witnessed in China. Secondly, it is in Confucianism that the Chinese found their religious consolations. Apparently a range of temples were built throughout China, Beijing

Health care services and mental health services Research Paper

Health care services and mental health services - Research Paper Example Mental health promotion and mental illnesses’ diagnoses and treatment are essential components of family medicine in the American health care. Family physicians receive continued medical education and residency training in order to better manage mental health problems in people of all age groups. Early recognition of problems is made possible with the help of continuity of care inherent in the family medicine. Family physicians are best-suited to recognize the problems and make adequate interventions in the family system since they treat the whole family. Family physicians are particularly important because they are also in a position to give treatment to the individuals who tend to avoid the traditional mental health services due to social stigma linked with the treatment of mental illnesses. Many mental health issues are neither recognized frequently nor they are treated adequately. Therefore, mental illnesses’ recognition and treatment are some of the significant challenges for the primary care physicians that are responsible for most services related to mental health care. Results of a national mental health care survey suggested that up to 18 per cent of the people surveyed with or without a mental health disorder DSM-IV’s diagnosis were treated in a one year period and 52 per cent of the visits took place in the sector of all primary care or general medical care (Pincus et al., 1998). Primary care patients with a psychiatric disorder are between 11 per cent and 36 per cent (AAPF, 2015) and a survey of mental health conditions in the practices of urban family medicine suggests that more than 40 per cent of the research participants met the conditions set for a mental health disorder (National Ambulatory Medical Survey, 2008). Traditionally, mental health services are carved out by the managed care organizations from the primary care. They place the mental health services in

Van Gogh and Braque Research Paper Example | Topics and Well Written Essays - 750 words

Van Gogh and Braque - Research Paper Example Vincent van Gogh is a post-impressionism artist who first practiced the impressionist styles of using bright colors as reflected in nature. Like any other post impressionist, he wanted to explore other forms of expressing himself in his artworks by going beyond what is generally seen and experiment on changing the colors or combining them to come out with the desired combinations or contrasts. His painting entitled The Church at Auvers 1890 which is a subject in this paper is said to have been drawn during the late years of the artist when he was struggling with his mental health. Georges Braque on the other hand is a cubist who started the era with Pablo Picasso who in the early years of the twentieth century was experimenting on his artwork with the same idea as that of Braque. They were greatly influenced by Paul Cezanne who advised them that artist should approach their works with spheres, cylinders and cones. Comparing the The Church at Auvers with Braque’s Woman with a Guitar, it is observed that the colors are not as bright as other artists use in contrast to the impressionists as mentioned earlier as well as the romantic artists who believed in depicting nature as they are visually observed with its natural colors unchanged. The primary colors and the combination of which were used in both works of art inclining the hues to be of the darker shade. Unlike the bright colored paintings, the two may not be those which easily attract audiences with untrained eyes for arts rather would most probably be noticed by those who have some knowledge of the beauty and differences in artworks. The lines used in the aforementioned works are short, The Church at Auvers shows one of the passions and reasons why the post impressionists moved from their contemporaries, which is the use of short broken lines, not really following the normal lines which are seen in the natural things. Woman with a Gu itar on the other hand uses short lines but not in the way used by the impressionists which still gives a nearly photographic appearance but are used in order to have the appearance of a picture with cubes cut from it. The objective of the cubists in ‘cubing’ their paintings is not only for them to analyze artworks but to engage their audiences in the analysis. It could be said that they have been successful in this through their arts because indeed, one has to look more intently at the paintings in order to decipher what the image is all about. Lines in both paintings have been very essential in the expression of the artists’ thoughts because an audience who looks closer can see deeper to the thoughts of the painter. For instance, the cubes, spheres, straight and curved lines used by Braque show his interest in the mathematical aspect of his passion while van Vogh’s lines show mental state when he was working on his piece. Although the two artists used oi l in canvass for their paintings, Braque also used charcoal which defined the darker shades of color in his art. First glances of the two artworks already show their differences. Drawn by artists who were of different eras, the paintings tell the story of their existence. Von Vagh used soft contours in his painting and though did not follow the romantic style with the photographic effect of his paintings it still clearly shows what the picture is all about. The bird’s eye view shows at once the subject of the painting which in this paper is also the title of the painting, the church at Auvers. The details however give a different story like the lines used, the colors and the subject itself as related to the painter. The size of the objects in the artwork is normal where the church looks bigger than the woman going towards it, reflecting the influence of impressionism as compared to the size of objects in the works of Dadaists who make their subjects have extreme sizes. Althou gh the painting is two-dimensional, it reflects a picture that is almost

Hispanic American Diversity Essay Example for Free

Hispanic American Diversity Essay In identifying the linguistic, political, social, economic, religious, and familial conventions and statuses of Hispanic groups living in the United States (US); the following remain as the center of attention: Mexican Americans, Puerto Ricans, Cubans, and Columbians. While there is distinctiveness in each groups culture, their language categorizes them in one of two large groups known as Latino or Hispanic Americans. The Spanish language is communal between these groups, though all have exclusive dialects that set them apart. The commonalities and differences are not limited to just language, but span across every aspect of Mexican American, Puerto Rican, Cuban and Columbian way of life. Today in the US millions of people classify themselves as Mexican Americans (2005). The intricate and affluent Mexican American multicultural heritage is a direct reflection of influences from such places as Spain and Mexico (2005). The unique language of Mexican Americans is no exception to influences as it is derived from a combination of Mexicos national language, Spanish, and the national language of the US, English. Although sometimes described as an under-represented group in US politics, Mexican Americans were very active in the Mexican American Civil Rights movement. This movement included a wide-rang of issues, from rights for farm workers to the right to vote (2000). As with their political status, socially Mexican Americans continually battle to fit in. Their want of having the American dream burns bright within the hearts and minds of all Mexican Americans and makes their social battle seem that much more important. Throughout the immigration history of Mexican Americans, little advancement has been made for progress from immigrant standing to mainstream social status. This is largely due to the lack of education provided and the vast amount of discrimination they received (2006). In education, another battle for Mexican Americans arises. Richard Alba (2006) stated, Huntington presents data that appear to show very low levels of Mexican-American educational advancement beyond high school, regardless of generation. A full comparison of high school education completion broken down by Hispanic origin. Note. From Bernstein, R. Bergman, M. (2005). Young, diverse, urban. United States Department of Commerce News. Retrieved March 1, 2008, from http://www. census. gov/Press-Release/www/2003/cb03-100. html Similar to the struggle noted with education, economically, Mexican Americans struggle for fair pay. During the Mexican American Civil Rights movement Mexican American economics came from the shadows to become one of the many issues faced. Today this harsh reality still burdens most all Mexican Americans. The one bright light may be their religious beliefs. Although, not always true, most churches today deliver separate mass for Spanish speaking parishioners. Religion remains a very strong factor in Mexican American family and culture. As with their religion, family remains quite strong in the lives of Mexican Americans. They have strong ties to not only immediate family in the US but family living in Mexico as well. This bond is so deep that some families continue to send money to their loved ones in Mexico. Similar to Mexican Americans, Puerto Ricans speak a derivative of Spanish as their main language. Politically, Puerto Ricans like Mexican Americans are under-represented in US politics. In fact their start in politics held them back from individualizing themselves. The progression of politics into Puerto Rican life in the US has gone from focusing on social and cultural issues in the 1950s to electoral participation and lobbying becoming the mainstay of their political ground (2003, p. 6). With all the strides Puerto Ricans have made politically, socially they have grown as well. They have integrated themselves into society, by fighting the same battles all Latinos fought: racism and discrimination. Although, they have a higher percentage of people graduating high school than Mexican Americans, they still maintain less than three quarters of Hispanic origin people. As with education and politics struggles with economics also faced most Puerto Ricans. They struggled for fair wages and equal opportunities just as all Latinos did. Today that struggle has become less but still lingers in areas where there is still racism and discrimination. Very similar to Mexican Americans, religion remains a very strong factor in the family and culture of Puerto Ricans. Again most churches conduct separate mass for Spanish speaking parishioners, making it easier for Puerto Ricans to practice their faith. As with their religion, family remains quite strong in the lives of Puerto Ricans. They have strong ties to not only immediate family in the US but family living in Puerto Rico as well. The fact that all Puerto Ricans are US citizens makes family all that more important. As with Mexican Americans and Puerto Ricans, Cuban Americans main language is Spanish. Similar to Mexican Americans politically Cubans are under-represented in US politics. Most are just so happy to get out of the Dictatorship they lived in Cuba they would rather not get caught up in politics at all. The strides they have made politically have helped to advance them socially, economically and in their education. Out of the Hispanic origins Cubans are the second highest only being beat by other Hispanics for High school completion. According to Jason Cato (2003), In rising to dominate the centers of power in Miami, Cuban-Americans have reversed the traditional cycles of assimilation and acculturation. Seeking freedom from the oppression of Cuba has not removed the strong ties they have to their homeland. These ties have caused Cuban Americans to adapt parts of the US culture to their own. Striving for conventional culture is not a focus. Religiously, Cuban Americans like both Puerto Ricans and Mexican Americans are devout to their religion as it is a very strong factor in their family and culture. Again most churches conduct separate mass for Spanish speaking parishioners, making it easier for Cubans to practice their faith. As with their religion, family remains quite strong in the lives of Cubans. Family is their way of holding on to cultures and traditions from Cuba. As with Mexican American, Puerto Rican and Cuban, Columbians also speak Spanish as their principal language. Columbian Americans are a very poor. Most migrated to the US to flee war and poverty seen within Columbia. They are often looking for work so that they can send money to their family still living in Columbia. Columbians rarely get involved in politics as they are very focused on family and making money. Work related interaction is the limit, except for other Columbians, of their social standing in the US. As with politics Columbians have very little interest in US culture. Most are here to work to send money home. With work being their main objective while in the US, they do not have time for anything else. They live on very little money and scrape to send as much over to Columbia as possible. Their wages are very low and they work long and mostly very hard hours just to get by. Similar to Mexican Americans, Puerto Ricans and Cubans, Columbians are very strong in their religion. They have an opportunity to go to mass that is conducted in Spanish as well as practice their religion on their own. Family is so very important in a Columbian Americans life. Everything they do is to better their familys life. They have deep ties to family not only in the US but in Columbia as well. This helps them to keep their culture and heritage as strong today as it was yesterday. Everything in their culture revolves around their religion and family. When comparing different Hispanic groups, the commonalities out way the differences in almost every scenario. The Similarities range from language, religion, and family to the reasons they came to the US. They also all care deeply and have very strong ties to their homeland and continue to focus on that rich heritage. The differences are few but stem more from social status and the want to be part of the mainstream. Politics, economic and social standings all differ for each group. This is largely due to assimilation and the different level of strides that have been made over time. The groups that have had more success politically have had the opportunity to advance socially and economically. These three combined in any order lead to an opportunity of the other. The strides and struggles that these four Hispanic groups have made has cleared a path for other Hispanic origin groups to make the same journey. References Alba, R. (2006). Mexican Americans and the American Dream. Political Science Politics. Retrieved March 1, 2008, from www. apsanet. org/imgtest/PerspectivesJun06Alba. pdf Bernstein, R. Bergman, M. (2005). Young, diverse, urban. United States Department of Commerce News. Retrieved March 1, 2008, from http://www. census. gov/PressRelease/www/2003/cb03-100. html Cruz, J. (2003). Puerto Rican politics in the United States. Centro Journal. Retrieved March 1, 2008, from http://redalyc. uaemex. mx/redalyc/pdf/377/37715101. pdf. Cato, J. (2004). Becoming American in Miami: reconsidering immigration, race and ethnic relations. Center for Latin American Studies. Retrieved March 1, 2008, from socrates. berkeley. edu:7001/Events/fall2003/11-20-03-stepick/index. html Mendoza, V. , Chicano! History of the Mexican American Civil Rights Movement. (2000). , The Journal for Multimedia History. Retrieved March 1, 2008, from www. albany. edu/jmmh/vol3/chicano/chicano. html.