Critically discuss the nutritioal management in treating type 2 Essay

Critically discuss the nutritioal management in treating type 2 diabetes mellitus - Essay Example Type 1 DM where the pancreas fails to produce sufficient amounts of insulin. In Type 2 DM, the body cells insulin response is defective. Type 2 DM is often referred to as non-insulin-dependent diabetes mellitus (NIDDM) since it may be treated without insulin injections. Management of diabetes involves physical exercise, pharmacotherapy and nutrition therapy. Diabetes management aims to control metabolism of the patient. Nutrition therapy refers to the modification of nutrient intake as a form of disease treatment. Nutrition therapy is individualised as no one eating pattern fits all patients (He et al., 2010). Nutrition therapy aims to promote healthful eating to attain individualised glycaemic, blood pressure and lipid goals, as well as attaining a desired body weight, which helps prevent complications of diabetes. The risk of microvascular complications is reduced by managing glycated haemoglobin (HbA1c) levels. This alongside management of blood pressure and lipid profiles also reduce the risk of cardiovascular disease (Jenkins et al., 2011). The prime focus of glycaemic management in medical nutrition therapy is carbohydrate intake control. Carbohydrate intake directly affects postprandial blood glucose levels and hence insulin effect. Nutritio n therapy also focuses on energy balance and hence weight control. Effective management of type 2 diabetes requires pharmacotherapy, nutrition therapy and physical activity. Energy balance is an essential aspect of nutrition therapy for patients with Type 2 diabetes. Individuals suffering from Type 2 diabetes are often overweight and obese. Weight loss is recommended to manage the disease. It has been associated with improved glycaemia, blood pressure and desired lipid profiles (Estruch et al., 2013). Nutrition therapy promotes weight loss by decreasing energy intake by the patient while maintaining healful eating patterns. Reduction of adiposity results in improvement in insulin resistance.

Political Ethics Essay Example | Topics and Well Written Essays - 500 words - 1

Political Ethics - Essay Example Elders, usually male and heads of households, have religious authority, as well as powers to decide on aspects of community life. In the case of chiefs and regional or national leaders, there is a mixing of political, religious and moral authority which makes them very powerful indeed, and able to influence the life of those underneath them for good or for evil. Culture, laws and history are traditionally preserved through oral means, which entails a lot of reciting of material, and listening, as well as ritual performances of various kinds which serve to remind those present of essential underlying principles which are used to pass judgement on particular cases. Another major difference between Western and African ways is that societal groups in Africa are usually very much smaller scale, so people actually know those who are leaders, and have some sort of relationship through kinship with them. Hereditary social structures create bonds which last over generations, and ensure a certain stability in society. Ancestor worship is an extension of the strong ties that exists within and between clans and tribes in the present time. The whole system is hierarchical, with each layer courting the approval of the one above, from the king or chief at the top right down to the family unit where the child is subordinate to the father. The main values of African societies are â€Å"good company, dignity, display, decency and wisdom,† (Magesa, 1997, p. 258) and these are embodied in the leaders in a system that the author calls â€Å"relative gerontocracy† (Magesa, 1997, p. 265) Conflict resolution is done in a consultative way, with several people sitting in judgement, and an audience listening to complaints and defences. By making the preserving of human life the main point of moral behavior, Magesa argues that African

Commercial Landlord and Tenant Law Term Paper Example | Topics and Well Written Essays - 1750 words

Commercial Landlord and Tenant Law - Term Paper Example He says that if Mr Jagger wants to take the room the shortest term he will agree is one year, and he requires Mr Jagger to sign an agreement (which he produces and gives to Mr Jagger). Mr Jagger likes the room, and says he's 'happy with a one-year deal', but also says he wants to look at the form of agreement and possibly take advice on it before signing it, but he does need to move in immediately. He offers Mr Richards a month rent 'upfront'. Mr Richards accepts this, and allows Jagger to move in immediately. He says, however, that Jagger's occupation will be on the terms of 'that agreement in your hand unless we agree something different', and they agree that in due course they will formalise the arrangement by signing an appropriate document. Mr Jagger looks at the agreement. It is headed 'Licence', indicates a 'licence period' of one year, a weekly licence fee of 75 and states (amongst other things) that Mr Richards is at liberty to require Mr Jagger to share the room with any third party whom Mr Richards wishes to put into occupation. Explain, by full reference to the background law, the status of the interest (if any) which Mr Jagger has in the room in Mr Richards' house and how such interest came to be (or failed to be) created and whether, in consequence, it is open to Mr Jagger to leave without further liability either immediately or at some point prior to the expiry of a year after he moved in. Answer In regards to common law, the licence is not legally binding because Mr Jagger did not sign it. Mr Jagger holds a licence to use the assigned room in Mr Richards home. A licence is only a personal permission, not transferable and is not binding. If Mr. Jaggar would be a tenant, he could have a legal estate which can be inherited or transferred, and is binding on third parties. A tenancy will have a great deal of statutory protection, particularly relating to security of tenure; a licence can be terminated easily (subject to any contractual agreement) and even the residential licensee has only minimal statutory protection under the Protection from Eviction Act 1977, not amounting to security of tenure. Mr Jagger's interest came to be when he and Mr Richards verbally agreed to a "one year deal". A licence is merely permission to use the premise it is not a lease. If no contract were created at all, it would still be considered a licence because the grantor obtains the right to use the entire premise. The giving and accepting of rent does not define a tenancy. Since this is only a licence to use the premise Mr Jagger has no further obligation to Mr Richards. If it is a tenancy it would be created formally by deed (unless within the exceptions under Law of Property Act 1925 S.54). If

The effects of entertainment on culture Research Paper

The effects of entertainment on culture - Research Paper Example Today’s entertainment target particular groups of people basing on modalities such as gender, age, occupation, social standards and even physical abilities. Sadly, today’s fast growing entertainment industry has not come without its share of blame, particularly with regard to culture erosion. Here, culture is taken as the collective belief, customs, and social behaviors of a particular people in a given geographical region. Such is the case that culture function as a tool to identify a group of people simply put as â€Å" totality of a people socially transmitted pattern of thought, manifested in the way they live, worship, relate with each other and perceive humanity† (Macionis & Linda 53). Entertainment is an important part of every culture, a factor that makes it part of both the past and today and even future generations. Such is the case that as the world changes so doe’s entertainment with its effect which is usually reflected on culture, sometimes i n harmful ways. This works details Entertainment impact on culture which is often depicted by audience thought of the people involved, the communication style used, and content of the entertainment, place and time of the entertainment. Generally, audiences are influenced through entertainment into taking new patterns of socializing, thinking and response to inter-cultural communication. Entertainment results to culture clash, an effect that is experience across the globe, particularly following the internet era. Here, cultural interactions in the name of intertainment have resulted to a wide range of outcome, some good and others bad. For instance, Pop culture, widely associated with American entertainment industry is a trend that attracted large audience across America and other regions of the world. This culture that is associated with particular consumer clothing,

Australia's Bushrangers Essay Example | Topics and Well Written Essays - 1000 words

Australia's Bushrangers - Essay Example A little over a century ago, Mark Twain remarked that "Australian history does not read like history, but like the most beautiful lies" (cited in Gerster, 2001). The elevation of bushrangers, such as Ned Kelly, to the status of mythical heroes and national legends, incited that remark. Australian history, as opposed to legend, sentimental national memory and selective or revisionist recollections of the past, incontrovertibly establish the criminality of the nineteenth century bushrangers. They were murderers, thieves and outlaws and even their staunchest supporters have been unable to defend them against these claims (Seal, 1980). Within the parameters of the stated, the more fundamental question pertains to the evolution of criminals into figures of heroic legend and, more precisely, the secret of the appeal of bushrangers like Ned Kelly to the Australian national memory. In response to the questions raised, the argument shall illustrate that the bushrangers became figures of heroi c legend and assumed mythical proportions within national memory as an immediate outcome of the nation's historical circumstances, its status vis--vis Britain and, most importantly, consequent to the fact that the bushrangers' defiance of the law, withstood retelling as rebellion against British domination, and their capacity to survive in the country's harsh and expansive outback lend to the myth of the formation of nation, through the taming of the wild. The very formation of Australia, insofar as many of its "founding fathers" were the outcasts and victims of British society and justice, significantly contributed to the later evolution of the bushman as hero (Jupp, 2001, p. 16). In his overview of the demographical characteristics of the nineteenth century Irish and British convicts who were transported to Australia, James Jupp (2001) , observes that the majority were poor and marginalised. Not withstanding or denying the fact that they had a criminal background and were convicted felons, the fact was that a significant percentage were first-time felons and that he majority were guilty of non-violent crimes such as larceny and theft. In other words, studies and historical records indicate that the British and Irish convicts, transported to Australia for their crimes, were not the dangerous criminals they have often been depicted as but, more often than not, poor and marginalised members of the lower classes, whose crimes did not war rant transportation to a penal colony (Jupp, 2001). Within the context of the mentioned, one begins to realise that the country was gradually being peopled with settlers whose very circumstances, whether the experience of social marginalisation or harsh/blind justice predetermined, not only the evolution of an outlaw culture but, support for outlaw-ism insofar as it withstood interpretation as rebellion against the British and against injustice. The status of Australia vis--vis Britain further contributed to the readiness to elevate the bushmen into national icons and heroes, rather than simply dismiss them as outlaws and criminals. As may be inferred from David Neal's (1987) account of the emergence of Australian nationhood, Australia was perceived of as a convict society and penal colony. Irrespective of the validity of this perception, the fact remains that the stated coloured societal relationships and the distribution of power therein. Quite simply stated, society was consequently comprised of a free class, which wielded both wealth and power, and the convict and slave classes (Neal, 1987). As may be inferred from Neal's (1987) analysis, it was a society characterised by inequality and insofar as a significant proportion of its members were not free, not to mention the status of the country itself as a penal colony, as opposed to a sovereign and independent nation, Australia and Australians were not free. Instead, the c ountry was subject to British domination, on the one hand and, the majority of society was under the domination of the minority, on the other (Evans and

The 'What' and 'Why' of Employee Engagement Research Paper

The 'What' and 'Why' of Employee Engagement - Research Paper Example An engaged employee is aware of the business and works closely with the peers to improve the organizational performance (Buchanan and Huczynski, 2010). Scope of the study The present study has been confined in order to analyze the key issues related to the topic of employee engagement as well as to explore the importance of the employee engagement. The study also looks to identify the key factors influencing the level of employee engagement (Sekaran and Bougie, 2009). Over the course, the research study conducted by Dale Carnegie and MSW research has been referred in order to find out the importance of the employee engagement in the context of the organizational performance as well as to find out the key factors influencing the employee engagement programs in an organization ((Mullins, 2010). Add to this, in order to get a more holistic view, various employee engagement programs undertaken by various major organizations round the globe has also been referred to (Buelens, Sinding, Wal dstrom, Krietner and Kinicki, 2011). Research Question What is Employee Engagement and what is the importance of employee engagement in the context of the organizational performance? Literature Review Employee engagement overview Engagement at work place has been conceptualized by Kahn as the harnessing of the organizational member or employees with respects the roles and responsibilities towards the organization (Boselie, 2010). In case of engagement, the people may actually employ and express the feelings towards the workplace cognitively, physically and also emotionally (Boxall and Purcell, 2007). Another related construct to employee engagement happens to be the notion of the flow mentioned by Csikszentmihalyi (Csikszentmihalyi, 1990). According to Csikszentmihalyia flow is the state in which there are very little distinction between the individual and the overall organizational environment (Simons, 2011). In this way employee engagement can be defined as the level of involvemen t and commitment that an employee exhibits towards the organization and the values of the organization (Bowditch and Buono, 2001). An engaged employee is always aware of the business perspective of the organization and work closely with the colleagues to improve individual, team as well as organizational performance (Redman and Wilkinson, 2006). Therefore the organization must look to nurture and develop engagement which needs a two way relationship between the employee and the employers. In this way it can be said that employee engagement is actually a barometer that shows the level of association of a person with the organization (Bhattacharya, 2009). Employee engagement is quite closely related to the existing structure of the job involvement. Job involvement can be described as the degree to which the job situation is matching the individual and his or her personal identity. Some researchers actually believed that the job involvement is a cognitive state of the psychological rec ognition. Job involvement depends upon both job satisfaction and saliency (Senscombe, 1998). The HR practitioners feel that engagement has a lot do with what the employees feel about the work. The engagement is also related to the way the employees are being treated in an organization (Alderfer, 1972). There would always be the presence of people who would not give the best effort

Strategic management Essay Example | Topics and Well Written Essays - 4000 words - 4

Strategic management - Essay Example Henry Ford founded the company with many innovations introduced to the ways products were manufactured. One of these is the best-known model T of mass production, the moving assembly line – which is actually composed of conveyor belts – where time of work was reduced (Goh & Garg, 2008, p. 57). Ford revolutionized the car industry, paid higher wages to factory workers, and made cars affordable to anyone. (Purvis, 1997) Ford became a multinational corporation in 1970 but was predominantly operating in North America with subsidiaries in major markets in countries like Britain, Germany or Australia. These subsidiaries however have their own manufacturing plants. In Britain, the most popular Ford in the Cortina. With intense globalisation, the Ford organisation started to restructure internationally. In Europe, Ford was consolidated with further product development and designs which were originally European. Ford manufactured cars of different designs. (Grant, 2005, p. 440) In the UK, Ford is the biggest in the automobile industry with over 550 dealers across the United Kingdom and employing about 35,000 people. In its website, it says that it currently sells 440,000 vehicles annually, with Ford Focus as the car most Britons love. (Ford Motor Company, 2010) In the United States, Ford is now best known for its cars, trucks, crossovers and SUVs (Ford, 2010). In 2008, Ford was adjudged by Standard and Poor’s as the world’s second largest motor vehicle manufacturer, producing cars and trucks, including plastic and glass parts of the cars they make, and including replacement parts. Ford has a 33% stake in Mazda Motor Corp. Financial services include Ford Motor Credit (automotive financing and insurance) and American Road Insurance. Ford has a big share in the world market. It has ventured in many countries, trying to feel its presence even in China, which is the fastest growing market in the automobile