The inpact of immigration on the construction industry Essay

The inpact of immigration on the construction industry - Essay Example Immigration will lead to increased population in a country and this leads to an increase in the demand for social amenities and this indirectly affects the construction industry. This paper discusses the effects of immigration workers in the UK who work with the construction industry, the construction industry in the United Kingdom has over 250 thousand firms and the industry employs over 2 million people, the paper analysis the effect of immigrant workers with reference to health, skills, communication and infrastructure. The construction industry in the UK is termed as the biggest industry because it employs over 2 million people, it is also termed as the most risky job because in the past 25 year over 2,500 people have died from accidents in construction work, further there has been reports of many illnesses and injuries caused in the work process. The construction industry has a large number of injuries and illnesses compared to other industries. This is because in the industry the workforce is exposed to more physical activities. The immigrant workers in the UK are mostly from Bulgaria and Romania, these immigrants work in the most dangerous tasks and for this reason they account for more injuries and deaths in the construction industry. The immigrants however have been considered to be beneficial to the economy in that they have reduced the tax burden of the natives. Immigrants have differing cultural and social background and this shapes their attitude and their expectations in the work place. The high levels of injuries and deaths of the immigrants in the workplace can be attributed to the following factors; The immigrants have little or no training regarding safety and health in the workplace, for this reason therefore there is an increased occurrence of injuries and deaths in the construction industry which employs most of these immigrants. The immigrant workers who work in the

Egypt and Mesopotamia before 3000 BC Essay Example | Topics and Well Written Essays - 500 words

Egypt and Mesopotamia before 3000 BC - Essay Example Ancient Egypt and Mesopotamia were ruled by kings at a time before 3000 BC; they were also ruled by priestly castes during this period. The powers of ruler ship were shared amongst a few erudite elites. The economies of these two civilizations were slave-driven as slaves formed the major manpower for their productions. Their societies were formed into status groups as they formed castes based on status and it was the privileged people that were at the upper end of the caste system. The religious edifices and palaces of Ancient Egypt and Mesopotamia civilizations were constructed for governmental and ceremonial purposes. Division of labor was also the basis of production of Ancient Egypt and Mesopotamia. The Ancient writings of Mesopotamia and Egypt also influenced modern day writings. 1 In the political system of the two civilizations, the Egyptian civilization was ruled by a powerful centralized government, while Mesopotamia was ruled by the governments of regional city-states. The literary tradition of the Mesopotamians was greater than that of the Egyptians. In architecture, the Egyptians built more monumental structures than the Mesopotamians and this was also due to the belief of the Egyptians in the afterlife as they built these structures to honor the dead.

Formation of an Alkene by Alcohol Dehydration Essay Example for Free

Formation of an Alkene by Alcohol Dehydration Essay Beer’s Law is an empirical relationship that relates the absorption of light to the properties of the material through which the light is travelling. In turn, absorbance is proportional to concentration and the higher the concentration, the higher the absorbance. This experiment incorporated Beer’s Law and is focused on determining the stress that various alcohols have on biological membranes. Using five solutions of differing alcohol concentration for each of the three alcohols; methanol, ethanol, and 1-propanol and a small slice of beet, the stirred solution was placed into a plastic cuvette and then into a spectrophotometer and the absorbance of alcohol solutions were determined in order to conclude which alcohol and concentration of alcohol had the greatest effect on biological membranes. The results showed that the most non-polar of the alcohols being tested, 1-proponal, caused the greatest damage to the biological membrane, the beet cell’s vacuole. INTRODUCTION The boundary between any cell and its environment is the plasma membrane, composed of a matrix of phospholipids molecules with many different kinds of proteins. Membranes have different properties and a variety of functions, in large part determined by the specific proteins within the membrane. The purpose of this experiment is to observe the effects of various alcohols on biological membranes, to determine the stress that various alcohols have on biological membranes and to conclude which concentration of alcohol has the greatest effect on biological membranes. The central plant vacuole of plant cells contains water and solutes, including water-soluble pigments. Its membrane, the tonoplast, is normally poorly permeable to water. The central plant vacuole of the root cells of beet contains a water-soluble red pigment, betacyanin, which gives the beet its characteristic color. Since the pigment is water-soluble and not lipid soluble, it remains in the vacuole when cells are healthy. If the tonoplast and the plasma membrane are damaged, the vacuole’s contents will leak out into the surrounding environment. Membrane disruption generally occurs when the cell is dead. Methanol, ethanol and 1-propanol are very similar alcohols, differing only in the number of carbon and hydrogen atoms within the molecule. One possible reason why these alcohols are so toxic to living organisms is that they might damage membranes. The polarity of methanol, ethanol, and 1-propanol comes from the OH group where the electrons are affected. The longer the R group the less the attraction. If 1-propanol is the most non-polar alcohol of the alcohols being tested, then 1-proponol will cause the greatest damage to the biological membrane, the beet cell’s vacuole. The effect of three different alcohols, methanol, ethanol, and 1-propanol, were tested on the beet vacuole membranes in this experiment. A measure of absorbance was collected using a conductivity probe. If a beet cell’s vacuole membrane (the tonoplast) was damaged, the red pigment, betacyanin, leaked out of the cell. The more red pigment that leaked out into the surrounding environment and the more intense the pigment, the greater the absorbance and the amount of cellular damage sustained by the beet. RESULTS The absorbance of methanol, ethanol, and 1-propanol were collected after the alcohol solutions of differing concentrations were placed in the plastic cuvette and then into the spectrophotometer. The absorbance of methanol, ethanol, and 1-proponal followed a general trend; the absorbance of the alcohol increased in relation to the rise in concentration of each alcohol solution. Figure 1. The graph depicts five solution of differing alcohol concentrations for each of the three alcohols; methanol, ethanol, and 1-propanol. The alcohol with the highest measurement of absorbance was the non-polar 1-proponal. (Figure 1) DISCUSSION The results (Figure 1), in general, support the original hypothesis that if 1-propanol is the most non-polar alcohol of the alcohols being tested, then 1-proponol will cause the greatest damage to the biological membrane, the beet cell’s vacuole. Hence, 1-proponal had the highest absorbance. The polarity of methanol, ethanol, and 1-propanol comes from the OH group, where the electrons are effected. The longer the R group the less the attraction between the molecules. In turn, methanol, ethanol, and 1-propanol are arranged from most polar to non-polar. At concentrations of 20% methanol, 10% and 20% ethanol, and 20% 1-propanol, the absorbance did not follow the general trend of data. This is due to sources of error in this experiment. There proved to have many sources of error in this experiment given the data gathered in this study and the evidence to this point. Sources of error include the size and surface area of the beat, cross contamination, and puncturing the beet during the stirring of solution. If the size and surface area of the beet slices were not uniform, bigger slices of beets had the potential to secrete a larger quantity of red pigment and a greater intensity in color in turn, increasing the absorbance. If the alcohol solutions were not stirred in order from lowest concentration to highest concentration, cross contamination would have occurred. If lower concentrations of alcohol are diluted with higher concentrations of alcohol, the absorbance of the lower concentration of alcohol will increase. If the beet was punctured during the stirring process, a greater amount of red pigment leaked out into the surrounding environment and in turn, the absorbance is increased. Beer’s Law is an empirical relationship that relates the absorption of light to the properties of the material through which the light is travelling. Beer’s Law is represented as A = ? bc (1) Where A is equal to the absorbance, ? is equal to the molar absorbtivity, b is equal to path length, and c is equal to concentration. In turn, absorbance is proportional to concentration and the higher the concentration of the red pigment that leaks out into the surrounding environment, the higher the absorbance of the alcohol.

Prochaska and Di Clemente Stages of Change

Prochaska and Di Clemente Stages of Change The transtheoretical model of change is one of several models of health promotion used by health care professionals in an effort to recognise and foresee health behaviours. The model is supported by various authors as a successful tool and framework within health education. (Warner 2003) This assignment will introduce the model and briefly discuss its input to health promotion together with further developments since its beginning. A concise account of its use in present health education will be given and referred to where applicable. The assignment will go on to discuss the relevance of the transtheoretical model of change within nursing practice and provide an understanding of the model by explaining the main theories. In addition the assignment will discuss and provide further information on what areas impact on how the model is used and why. Further discussion will take account of the strength of the approach used by this model and include theories on why it is used giving consideration to the patient as well as the health care professional. It is recommended that successful health education models can be used to asses goals in order to engage in pre-emptive behaviour and consequently it is crucial that the model is explained in order to take full advantage of its use. (Downie et al. 1997, Ogden 2004) The approach will be investigated in order that the reader can form an opinion on its use and why it is needed within health education. It is acknowledged that nursing and health care practice should be established on the most current and reliable research available and nurses must practice in partnership with equally the patient and other health authorities (NMC 2008). The writer hopes to establish the reader with the necessary information that satisfies these requirements and gives further discussion on how the transtheoretical model of change can be applied to clinical practice. This will include criticisms and challenges against the model and look at how the model is included within broader professional health care such as current health promotion campaigns. Finally a conclusion will be provided which will summarise the findings of this assignment and emphasise any significant features that add to the validity of the model and its use within health care. The transtheoretical model of change was developed by Prochaska and Di Clemente (1983) and grew from systematic integration of more than 300 theories of psychotherapy, along with analysis of the leading theories of behaviour change (Prochaska and Velicer, 1997). Consequently following the inception of public- health programmes this model has been implemented and is used within current health promotion. (Wood 2008) Health promotion is defined by the World Health Organisation (WHO 1986) as the process of enabling people to increase control over, and to improve, their health. Health education is considered an approach of health promotion which also includes many theories, beliefs and concepts in regards to effective intervention. (Tones 2001) The transtheoretical model of change focuses on the decision-making abilities of the individual rather than the social and biological influences on behaviour as other approaches tried (Velicer, Prochaska, Fava, Norman, and Redding, 1998; Scholl, 2002). This model was developed to provide a framework for understanding how individuals change their behaviours and for considering how ready they are to change their substance use or other lifestyle behaviour. The stages and processes by which people change seem to be the same with or without treatment these include the individuals perceptions of susceptibility to illness, severity of illness, barriers to changing behaviour, benefits to changing behaviour and finally action and maintenance. Although the model has been adapted and modified to include further components for the purpose of this assignment it is necessary to explain the theory behind the original before discussing modifications. (Ogden 2004, Bennett and Murphy 1997, Naidoo and Wills 2000) In addition it is suggested that by using these concepts in the transtheoretical model of change it will predict the likelihood that behaviour will or will not change depending on the individuals perception. The idea of anticipating behaviour and therefore adjusting intervention is supported by various researchers who suggest that using cognitive models can assist in how individuals perceive health by conscious thought as to the behaviours and the cost of those behaviours. (Yarbrough and Braden 2001, Roden 2004a, Wood 2008) This supports healthcare professionals to allow the patient to change behaviours based on their own awareness as opposed to medical tactics to health promotion that have been used previously. Ewles and Simnett (2003) recommend that using a client centred approach empowers the patient to change behaviour and independently manage behaviour and as a result the health care professional becomes a facilitator instead of an instructor. Using a client centred approach does not discount the benefits of the medical approach as it may require various tactics depending at what stage of the model the individual is identified as being at. However by using an effective health promotion model, it encourages the patient to become an active participant and more responsible for their health related decisions. Ogden (2004) describes the concept of an individuals perception of control on their health as the Health locus of control which will be discussed later within this assignment. Based on the understanding of individual perceptions influencing behaviour it reinforces the use of the components previously discussed and by looking at these separately it is hoped that health care professionals will be able to detect the risks of behaviour and the probability of change. (Naidoo and Wills 2000, Ogden 2004) The previous mentioned components can be identified in the Transtheoretical model of change; these include pre-contemplation, contemplation, action, and maintenance. However the aspect that makes the transtheoretical model of change unique is the theory that change occurs over time, an aspect generally ignored by other models of change (Prochaska and Velicer, 1997; Velicer et al., 1998; Scholl, 2002). This temporal dimension of the theory suggests that an individual may progress through five stages of change when trying to adjust their behaviours (Prochaska and Di Clemente, 1983; Prochaska et al., 1992; Prochaska and Velicer, 1997). In the transtheoretical model of change, behaviour change is treated as dynamic, rather than an all or nothing phenomenon. This distinction is considered one of the theorys strengths (Marshall and Biddle, 2001). The first stage of change within the transtheoretical model of change is the precontemplation stage, where individuals have no intention of taking action within the next six months (Prochaska et al., 1992; Prochaska and Velicer, 1997; Scholl, 2002). Individuals at this stage may or may not be aware of the consequences of their behaviour (Prochaska et al., 1992;Scholl, 2002) or may have tried to modify/change their behaviour and failed several times and as a consequence are dejected and unwilling to have another attempt (Prochaska and Velicer, 1997). Prochaska et al (1992) propose that the main characteristic of someone in the precontemplation stage is that they struggle to accept that they have problem behaviour and as such they cannot move on from this particular stage of the model. In order for the individual to move on they must experience cognitive dissonance which is acknowledging that there are negative aspects to continuing with this behaviour (i.e. smoking and the possibility of contracting lung cancer as a result) (Scholl, 2002). Following on from precontemplation, contemplation is the individual trying to make significant changes within another six month period, this includes evaluating any benefits or disadvantages to the individual changing their behaviour (i.e. cost of smoking, as opposed to loss of social activity) as a consequence many people stay within this stage for longer (Patten et al., 2000; Prochaska et al., 1992; Prochaska Velicer, 1997; Velicer, 1997; Velicer et al., 1998). Therefore the behaviour may seem more attractive than the change needed to be made (Scholl, 2002). This is known as chronic contemplation or behavioural procrastination (Prochaska and Velicer, 1997). Whilst within this phase the individual will still continue with the risky behaviour despite being aware of the consequences that this behaviour could cause (Patten et al., 2000). However it is widely accepted that someone within the contemplation stage is genuinely trying to resolve their problem behaviour (Prochaska et al., 1992) and as a result will only move on to the next stage when the positive aspects of change outweigh the negative aspects of remaining the same (Scholl, 2002). Preparation proceeds contemplation and in this area of change the time scale for the individual to modify their behaviour reduces to within the next month (Patten et al., 2000; Prochaska et al., 1992; Prochaska and Velicer, 1997; Velicer et al., 1998). An individual in this stage has tried to change or adjust their behaviour within the last year and has been unsuccessful however this has not discouraged them from continuing to i.e. binge drinking, smoking, or misuse of drugs. As a result of this the individual is at a loss as to how to proceed with any changes and if they are ultimately able to make these changes given that they have up until now failed (Scholl 2002). In this instance a plan of action can be produced by the healthcare professional in order to identify how to reduce or eliminate the problem behaviour and therefore give the person the opportunity to choose between alternative solutions i.e. smoking 10 cigarettes as opposed to 40 cigarettes a day or to stop smoking with the help of nicotine patches (Prochaska et al., 1992; Prochaska and Velicer, 1997; Velicer et al., 1998). Consequently when an individual feels confident and in control of the situation and has identified a suitable plan of action they will naturally move on to the next stage of the model (Scholl, 2002). The action stage follows on from preparation and as a result efforts have been made to adjust the individuals, behaviours, experiences, or environments over the previous six months in order to conquer their predicament. This stage requires a considerable amount of time and energy and is the stage where the individual receives the most amount of attention from others because of their obvious hard work (Patten et al., 2000; Prochaska et al., 1992). However it should be noted that research has stated not to mistake trying to change with actual change, this only occurs when the criteria is reached for the individual and will reduce the risks associated with their particular problem behaviour (Prochaska et al., 1992; Prochaska and Velicer, 1997; Velicer et al., 1998). Prochaska, DiClemente, and Norcross (1992) suggest that the main ways of identifying a person within the action stage is by the individuals obvious lifestyle changes i.e. healthy eating and documented weight loss to a more acceptable criterion level. Progress into the final stage happens when the individual perceives positive changes to their lifestyle, health and as a result feels better whilst also receiving encouraging feedback from family, friends and health professionals (Scholl, 2002). Lastly the transtheoretical models maintenance stage is where people work to prevent a relapse and only after six months of being free of the problem behaviour can it be recognised as the criteria of an individual being within the maintenance phase. Research also recognises that maintenance is a continuation of change not an absence of it (Patten et al., 2000; Prochaska et al., 1992; Prochaska and Velicer, 1997; Velicer et al., 1998). Consequently individual perception is referred to the threat of illness and modifying factors can be referred to as behavioural response. In addition the likelihood of action is influenced by environmental cues. As a result the behaviour change occurs because of a threat to illness and therefore the behaviour changes or is adapted. Mc Clanahan et al. (2007), Warner (2003) and Clark (2000) all describe the threat as an individuals susceptibility to illness or disease. If an individual believes they are open to the illness or disease they may identify this as a danger to their health. This is only applicable if there is a significant risk factor such as smoking, diet, alcohol or drugs misuse. If an individual does not take into consideration their own vulnerability then it is unlikely that the transtheoretical model of change will be successful in predicting associated behaviour. Ogden (2004) suggests that perceived susceptibility can not be used as an effective predictor of behaviour change. Furthermore consideration must be applied to adolescents who are more likely to expose themselves to risks but be less aware of the consequences to their associated health. Naidoo and Wills (2000) suggest that health promotion can be challenging when dealing with young people in regards to risk behaviour as risk taking is essentially a part of adolescence. On the other hand it is usually accepted that if an individual perceives themselves to be vulnerable to a disease (i.e. lung disease from smoking) they will also consider the severity of that disease. (Daddario 2007, Simsekoglu and Lajunen 2007) The perception of severity or seriousness of a disease is subjective depending on the individuals understanding of the potential threat. Browes (2006) refers to the variance of perceived severity in relation to sexual health. The severity can vary from the belief that most diseases can be treated to the belief that sex can result in contracting potentially fatal diseases such as HIV. Therefore it may be necessary for the health care professional to encourage learning in relation to the severity of conditions in relation to the susceptibility. Finfgeld et al (2003) outline that to facilitate learning effectively it may be necessary for the health care professional to apply a more direct attitude which would involve the nurse addressing the increase of behaviour (susceptibility) as well as identifying potential risks (severity). However with this intervention the approach becomes nurse led as opposed to patient led which may compromise empowerment and likelihood that risk behaviour will return when the intervention is reduced. As a result the delivery of the necessary information to the patient may result in feeling of fear or guilt. Although it is suggested that fear and guilt can be effective in changing behaviours , it is criticised as it does not change behaviour long term and can contribute to feelings of denial and therefore affect the relationship between both patient and healthcare professional. (Naidoo and Wills 2000) Based on perceived susceptibility and severity the transtheoretical model of change believes that behaviour change will take place if the benefits outweigh the barriers to changing behaviours. However it is expected that potential benefits may be small compared to the barriers that prevent changes to behaviour. (Daddario 2007) Then again as previously discussed the transtheoretical model of change has had several modifications made to it in order to maximise its use within healthcare in order to apply it to other more complex health conditions. The psychologists who developed the stages of change theory in 1982 did so in order to compare smokers in therapy and self-changers along a behaviour change continuum. The idea behind this was to allow health care professionals to adapt a plan of action for each individual and as a result their therapy would be tailored to their particular needs. This process was then added to by a fifth component (preparation for action) as well as ten processes that help predict and motivate individual movement across the stages of the continuum. In addition, the stages are no longer considered to be linear; but are components of a cyclical process that varies for each individual (Diclemente and Norcross 1992). Used correctly and by incorporating the various modifications to the model, it is recognised that the transtheoretical model of change can assist health care professionals in health education. However as a psychological theory, the stages of change focuses on the individual without assessing the role those structural and environmental issues may have on an individuals ability to enact behaviour change. In addition, since the stages of change presents a descriptive rather than a causative explanation of behaviour, the relationship between stages is not always clear. Consequently each stage of change may not be appropriate for characterising every population. An example of this would be the study of sex workers in Bolivia which highlighted that very few of the participants were actually in the precontemplative, contemplative stages with regards to using condoms with their clients (Posner, 1995). However mass media campaigns can motivate individuals to change behaviours by highlighting the benefits of safer sex by the use of condoms. The use of positive messages as opposed to negative messages within mass media campaigns increases the likelihood of retaining the relevant information for longer. (Bennett and Murphy 1997) Naidoo and Wills (2000) also suggest individuals may have personal experiences of illness and disease within their family or friend network therefore this will influence how the benefits are perceived.These modifying factors will influence the likelihood of action and therefore determine if behaviour will change. As a result research conducted by Charron-Prochonwnik et al. (2001) found that changes to individual sexual behaviour correlated to the consideration of modifying factors such as social support, culture and positive attitudes resulting in safer behaviour. Additionally there are other features of the Transtheoretical Model of Change that are not easily applied to non-addiction type clinical problems. Howarth (1999) noted that the application of Transtheoretical Model of Change has promise in the field of eating behaviours but the translation is made difficult because the goal of smoking intervention is cessation whereas eating interventions is reducing intake of some foods and increasing the intake of others. Also in smoking interventions the main aim is to stop and is clearly understood by everyone. However in eating interventions the main aims are not so easily understood. Whereas in smoking research the outcome variables are reasonably simple compared to eating research where outcomes are more complex and the results variable. Ultimately smoking interventions target one behaviour whereas eating interventions focus on multiple behaviours. Furthermore there is the degree of difficulty in discontinuing smoking in the initial stages but as time progresses things get easier for the individual whereas eating more healthily can be easy at first but hard to maintain. Moreover when smoking discontinues it produces immediate physiological changes but eating interventions in the early stages only produce distant and subtle changes. As a result behaviour change will not only be on the basis of potential benefits but may also be subject to internal and external cues. As previously mentioned campaigns can promote changes to behaviour and this would be considered an external cue, the individual is motivated by the message that is projected. (Naidoo and Wills 2000) However internal cues may also influence behaviour, this may be a change in physical health or psychological wellbeing which encourages the individual to ask for help from health care professionals. Daddario (2007) suggest that internal cues are most likely to change behaviour in individuals that are over weight. Clarke et al, (2000) further suggest that with the incorporation of self-efficacy, health models can be more effective in predicting behaviours; this concept was developed by Bandura (1977) and can be described as an individuals confidence in their ability to complete a task. Finfgeld et al. (2003) also acknowledge that nurses can promote self-efficacy alongside models of health by reinforcing the importance of the contribution of individual capability in changing behaviours and can be used within educational and client centred approach to health education. In addition to self-efficacy Hughes (2004) considers the concept locus of control in order to maximise the use of various models of health. Locus of control refers to how the individual perceives control over their life and physical health. An individuals beliefs may be based on the idea that their health is subject to internal actions such as diet, lifestyle and as a result able to be changed. However in contrast others may believe that health is subject to external factors such as bad luck or fate. Just as important is the belief that religion and culture can contribute to the belief that health is predetermined and therefore cannot be influenced by behaviour changes. (Niven 1994, Naidoo and Wills 2000) Consequently Syx (2008) suggests effective questioning technique to establish where an individual places the locus of control, which should then determine how likely they are to engage in health education behaviours. In conclusion despite conflicting evidence for the transtheoretical model of change Macnee McCabe (2004) do not have conceptual concerns regarding this, but question the applicability of the model to specific populations. Sutton (2001) also suggests that there are some serious problems with the existing methods used to measure the stages of change. For example, stage criteria are not consistent across studies that use the approach. Some studies do not include questions about past attempts to change, and various time frames are used as reference points which alter distribution of people across stages (Lerner, 1990; Nigg et al., 1999; Stevens Estrada, 1996; Weinstein et al., 1998). Finally, Littell and Girvan (2002) suggest that a continuous model of readiness for change may be more integrated with related concepts from other theories. It is also documented that healthcare professionals be able to distinguish readiness for change from readiness to participate in particular treatments, and that change may come about quickly as a result of life events, or external pressures. Accordingly at this time there is an increase in the number of studies criticising the model over conceptual, methodological analytic concerns. On the other hand there is an equal amount of evidence supporting the model, verifying the constructs, and showing support for application to modifying health behaviour. Therefore the benefit of understanding this model and maximising it to its full potential can support nurses and other health care professionals to practice in accordance to guidelines set out by both clinical and academic bodies. The NMC (2008) outline the responsibilities of nursing professionals to work in a professional manner and ongoing research provides evidence in how the model can be used with modifications to suit different needs. (Roden 2004a, 2004b) REFERENCE LIST Bandura, A. (1977) Self-efficacy; toward a unifying theory of behavioural change. Psychology Review, Vol. 84, no.2, pp. 191-215 Bennett, P., Murphy, S. (1997) Psychology and health promotion, Open University Press: Buckingham. Browes, S. (2006) Health psychology and sexual health assessment. Nursing Standard, Vol. 21, no. 5, pp. 35-39 Charron-Prochownik, D., Sereika, S., M., Becker, D., Jacober, S., Mansfield, J., White, N., Hughes, S., Dean-McElhinny T., Trail, L. (2001) Reproductive health beliefs and behaviours in teens with diabetes: application of the expanded health belief model. Paediatric Diabetes, Vol. 2, no. 1, pp. 30-39 Clark, A. V., Hildegarde, L., Williams, A., Macpherson M. (2000) Unrealistic optimism and the health belief model. Journal of Behavioural Medicine, Vol. 23, no. 4, pp. 367-376 Daddario, D. (2007) A review of the use of the health belief model for weight management. Medsurg Nursing, Vol. 16, no. 6, pp. 363-366 DiClemente, C., Prochaska, J. (1982) Self-change and therapy change of smoking behaviour: A comparison of processes of change in cessation and maintenance. Addictive Behaviours, Vol. 7, pp. 133-142. Downie, R., S., Tannahill, C., Tannahill, A., (1996) Health Promotion Models and Values, Oxford University Press: Oxford. Ewles, L., Simnett, I. (2003) Promoting health: a practical guide, 5th ed., Balliere Tindall: Edinburgh. Finfgeld, D.L., Wongvatunyu, S., Conn, V.S., Grando, V.T., Russell, C.L., (2003) Health belief model and reversal theory: a comparative analysis. Journal of Advanced Nursing, Vol. 43, no.3, pp. 288-297 Hughes, S. A. (2004) Promoting self-management and patient independence. Nursing Standard, Vol. 19, no. 10, pp. 47-52 Lerner, C. (1990) The transtheoretical model of change: Self-change in adolescent delinquent behaviours. Psychology. Kingston, RI, University of Rhode Island. Littell, J.H., Girvan, H. (2002) Behaviour modification. Available from. http://www.bmo.sagepub.com Macnee, C., McCabe, S. (2004) The Transtheoretical model of behaviour change and smokers in southern Appalachia. Nursing Research, Vol. 53, no.4. pp. 243-250 Marshall, S., Biddle, S. (2001) The Transtheoretical model of behaviour change: A meta-analysis of applications to physical activity and exercise. Annals of Behavioural Medicine, Vol. 23, no.4, pp. 229-246 McClannahan, C., Shelvin, M., Adamson, G., Bennett, C., ONeill, B. (2007) Testicular self-examination. A test of the health belief model and the theory of planned behaviour. Health Education Research, Vol.22, no. 2, pp. 272-284 Naidoo, J., Wills, J. (2000) Health promotion foundations for practice, 2nd ed., Bailliere Tindall: Edinburgh. Nigg, C.R., Burbank, P.M., Paddula, C., Dafresne, R. (1999) The Gerontologist. Available from. http://www.oxfordjournals.org Niven, N. (1994) Health psychology: an introduction for nurses and other health care professionals, 2nd ed., Churchill Livingstone: Edinburgh. Nursing and Midwifery Council. (2008) Standards of conduct, performance and ethics for nurses and midwives, Nursing and Midwifery Council: London. Ogden, J. (2004) Health Psychology A Textbook, 3rd ed., Open University Press: Maidenhead. Patten, S., Vollman, A., Thurston, W. (2000) The utility of the transtheoretical model of behaviour change for HIV risk reduction in injection drug users. Journal of the Association of Nurses in AIDS care, Vol. 11, no. 1, pp. 57-66 Prochaska, J., DiClemente, C. (1983) Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, Vol. 51, no. 3, pp. 390-395 Prochaska, J., DiClemente, C., Norcross, J. (1992) In search of how people change: Applications to addictive behaviours. American Psychologist, Vol. 47, no.9, pp. 1002-1114 Prochaska, J., DiClemente, C., Velicer, W., Ginpil, S., Norcross, J. (1985) Predicting change in smoking status for self-changers. Addictive Behaviours, Vol. 10, pp. 395-406 Prochaska, J., Velicer, W. (1997) The Transtheoretical model of health behaviour change. American Journal of Health Promotion, Vol. 12, no.1, pp. 38-48 Roden, J. (2004a) Revisiting the health belief model: nurses applying it to young families and their health promotion needs. Nursing and Health Science, Vol. 6, no.1, pp. 1-10 Scholl, R. (2002) The transtheoretical model of behaviour change. Available from. http://www.cba.uri.edu/Scholl/Notes/TTM.html Stevens, S.T., Estrada, A.L. (1996) Journal of Drug Issues. http://www.ncjrs.gov Sutton, S. (2001) Back to the drawing? A review of applications of the transtheoretical model to substance abuse. Addictions, Vol. 96, pp. 175-186 Syx, R., L. (2008) The practice of patient education. The theoretical perspective. Orthopaedic Nursing, Vol. 27, no. 1, pp.50-54 Tones, K. (2001) Health promotion: The empowerment imperative. In Scriven, A., Orme, J. (ed) Health Promotion professional perspectives, 2nd ed., Palgrave: New York. pp. 3-16 Velicer, W., Prochaska, Fava, j., Norman, G., Redding, C. (1998) Smoking cessation and stress management: Applications of the Transtheoretical Model of behaviour change. Homeostasis, Vol. 38, pp. 216-233 Warner, P. (2003) Factors influencing intentions to seek a cognitive status examination: a study based on the health belief model International Journal of Geriatric Psychiatry, Vol. 18, no. 9, pp. 787-794 Weinstein, N.D., Rothman, A.J., Sutton, S.R. (1998) Stage theories of health behaviour: Conceptual and methodological issues. Health Psychology, Vol. 17, pp. 229-290 Wood, E.M. (2008) Theoretical framework to study exercise motivation for breast cancer reduction . Oncology Nursing Forum, Vol. 35, no.1, pp. 89-95 World Health Organisation. 1986. Ottawa charter for health promotion. (policy statements) [Online]. Available from. http://www.euro.who.int/aboutwho/policy Yarbrough, S.S., Braden C.J. (2001) Utility of health belief model as a guide for explaining or predicting breast screening behaviours. Journal of Advanced Nursing, Vol. 33, no.5, pp. 677-688

Journey of Self-Discovery in Thomas Pynchons The Crying of Lot 49 Ess

Journey of Self-Discovery in Thomas Pynchons' The Crying of Lot 49 Â   Thomas Pynchons' The Crying of Lot 49 challenges the readers' perception of the world by enfolding his readers, through a variety of means, within the intricate workings of his narrative. It centers around would be heroine Oedipa Maas whose life is turned upside down when she discovers that she has been made executor of the estate of old flame and entrepreneur Pierce Inverarity. When she is imposed upon to travel to the fictional city of San Narcisco, where Inverarity is said to have numerous real estate holdings, in order to carry out her task, Oedipa stumbles upon a muted post horn; the first of many clues leading her deep into the impenetrable conspiracy surrounding Trystero, an underground postal system shrouded in mystery and intrigue; opening her eyes to an alternative way of life. This post modern work of literature infuses dark humor and irony instigating a metamorphosis of intellectually challenging material; subsequently luring us, his readers who have unknowingly become a part of the conspiracy, into the methodical chaos of The Crying of Lot 49. Well known for incorporating the basic ideas of philosophy and physics into all of his writings, Pynchon states that the "measure of the world is its entropy" (The Grim Phoenix, pg.2); an assertion that extends into the worlds he has created within the covers of his books. The structure of observation that Pynchon has constructed for the viewing of his creation has two distinct levels focused on those of his characters, particularly Oedipa Maas, who's world is restricted to the confines of the composition and also that of the reader who stands on the outside looking in; but who is also affected by (h... ... our inability to interact personally with the characters in the book, are bound to a bewildered cicerone who cannot see well enough to point us in the right direction. Although Oedipa never uncovers' the hidden truth as to whether or not there really exist a statewide conspiracy involving Trystero, in the end she gives herself over to the paranoia innate to never knowing for sure. Like the reader she has come to the conclusion that it would be a better practice to know that she's paranoid and accept it as a part of life in that society, then to deny its existence and live in doubt for the rest of her life. Choosing to embrace the new self she has unearthed in her journey, like the reader Oedipa is reintroduced to the world at large and with eyes wide open. Works Cited: Pynchon, Thomas. The Crying of Lot 49. New York: HarperCollins Publishers, Inc. 1965.

Search for Freedom in Incidents in the Life of a Slave Girl, Song of So

Search for Freedom in Incidents in the Life of a Slave Girl, Song of Solomon, and Push       Many minority authors write about an individual's search for self which culminates in the realization of personal freedom. This has been an important theme in African-American literature beginning with the slave narratives to modern poetry and prose. The concept of freedom has a myriad of meanings which encompasses national political liberty to an individual's own personal freedom. Personal freedom is the ability to ignore societal and familial influences to find the true sense of self. Individuals are truly liberated when they are physically, mentally, and spiritually free. Sense of self is the enlightenment we possess when we psychologically realize and accept our true qualities and limitations. Attaining personal freedom is not a simple affair. It is a lifelong journey which is tedious and demanding with obstacles and setbacks which must be conquered. The search for personal freedom is exemplified in the following three novels, Incidents in the Life of a Slave Gi rl by Harriet Jacobs, Song of Solomon by Toni Morrison, and Push by Sapphire. The main protagonists, Linda Brent, Milkman and Precious, respectively, achieve personal freedom through attainment of knowledge, by confronting their families, and by overcoming the prejudices of society. Moreover, although the search for personal freedom is an individual journey, it cannot be achieved without assistance.    Knowledge is a primary factor in the attainment of personal freedom. This includes not only scholarly education but also awareness of historical heritage and familial legacy. Henry Louis Gates, Jr., in his introduction to The Classic Slave Narrativ... ...Carmean, Karen, Toni Morrison's World of Fiction, Troy: The Whitston Publishing Company, 1993. Jacobs, Harriet. Incidents in the Life of a Slave Girl, Written by Herself. 1861. The Classic Slave Narratives. Ed. Henry Louis Gates, Jr.. New York: Mentor, 1987. 332-515. Morrison, Toni. Song of Solomon. New York: Plume, Peach, Norman. Modern Novelists Toni Morrison. Ed. Norman Page. New York: St. Martin's Press, 1995. Sapphire. Push. New York: Vintage Contemporaries, 1996. Storhoff, Gary. "'Anaconda Love': Parental Enmeshment in Toni Morrison's Song of Solomon." Style 31 No. 2 (Summer 1997). 290-309. September 18, 2001 <http.//p26688.cl.uh.edu:2071/cgi-bin/web>. Willbern, David. "Reading After Freud." Ed. G. Douglas Atkins and Laura Morrow. Contemporary Literary Theory. Amherst: University of Massachusetts Press, 1989. 158-179.   

Important factors shaping social relationships under the French

Social relationships were important components of the French absolute monarchy. Historians agree that to achieve supreme control and national unity, Kings relied heavily on military strength. There is little question that absolutist France came to posses the largest standing army Europe had ever seen. Armies made France a powerful state, and the King a powerful ruler. However kings also controlled through non military means, establishing bureaucratic and legal systems and developing an absolutist culture with the King at the centre.These manifestations of absolutism, at raying degrees of significance, helped shape social relationships, and in turn, enforced the absolutist regime. Contrastingly, other historians maintain that the absolute system worked within pre-existing social codes, which were more influential in shaping social relationships. Historians herald the significance of these different factors because they take a variety of historiographer's approaches. Absolutism redefin ed the socio-political structures and language of court society. Court cabals and courtesies became important factors that influenced social relationships.Emmanuel Eel Roy Ladies uses the court memoirs of Duct De Saint Simons, to explain the system of court cabals. Ladies explains how the King placed himself at the top of the court hierarchy, and held a number of favorites. L Lower courtiers would group around these powerful Individuals, such as King Louis Xiv wife Madame De Imitation, to gain power, wealth, status and other privileges through association. 2 Saint Simony's court memoirs are a more traditional historiographer's source, detailing friendships, marriages and patronage relationships that formed and separated court cabals. However Lauder himself admits the limitations of the source, stating that It has a tendency to be subjective with some bias, and Inaccurate facts. 4 But as Ladler states, his purpose was not statistical detail, but to present a ‘model' for the net work of social relationships in court society, and to reveal that they placed the king in an enormous position of influence to determine courtier's social standing. 5 Rest Raman consults similar sources and concludes that courtesies were a new political language that redefined the way courtiers socialized and communicated, while also being a political tool for negotiating the cabal system.Raman analyses Theodore Goddesses Grand Ceremonial De France from 1619, one of the many courtesy manuals written for courtiers. 6 Absolutist monarchies did not invent courtesies, but Raman argues that these manuals justified and systematized these social codes. 7 Courtesy rules dictated the nature of social affiliations and interactions, becoming a vital political language in court society, as a means of showing or denying respect or favor to individuals and cabals. For example â€Å"hat doffing†¦ And lowered eyes† became the language of respect that carried on along the hierarchy, with the King at the top. Ere â€Å"insults to God himself, † enforcing enormous regal authority. 9 Moreover, under Louis XIV, all topics except frivolous small talk, were branded ‘discourteous,' in an attempt to repress uprisings. 10 Both historians analyses similar sources and share the conclusion that absolutism created a new social order, designed to enforce the Kings power. Sarah Hanley however, argues bureaucratic models, established by the absolutist state, were important factors shaping family and gender relationships.Hanley investigates the ‘Family State Compact,' revealing that it enforced distinct gender oleos and enshrined the patriarchal family model in legislation. This model was in turn used to explain and Justify absolutism. 11 Hanley approaches her study with an â€Å"ethnographic† perspective. 12 She states that conventional historiography has always been a uniform process of selecting documents to confirm a point, but more recent scholarship on social history now seeks to gain greater scope and depth by viewing a range of non-traditional sources. 3 From these historians may distill messages about social life. 14 Hanley use of primary government legislation and court case documents, are examples of expanding historical sources. The Marriage Regulations, Reproduction Rules and Marital Separation Arrangements ensured family finances remained under paternal authority, helped guarantee the legitimacy of children and made it harder to break up marriages and families. 1 5 But as Hanley indicates, the underlying purpose of these laws was to constitutionalism patriarchal control over all family affairs. 6 It was a key bureaucratic factor that helped enforce male social and economic dominance, within the family. Furthermore, the patriarchal family worked to Justify and naturalist the appointment of an absolutist ruler, who could be seen as he â€Å"husband† and â€Å"father† of the state. 17 Furthermore, Hanley exam ination of court cases exposes legal limitations on female political and economic privileges within their marital and civic relationships.Women gained social and economic status through marriage and childbearing, but the Compact put men in greater control these activities, disemboweling women and forcing them to break laws for economic and social survival. 18 In the Diagram- du Piqued case for example, Barber- Francoise Diagram was charged with â€Å"supposition attendant† because she faked the birth of a child to avoid becoming a childless widow and losing socioeconomic status. 9 Furthermore, this source reveals that legal structures shaped collaborative relationships between women of different social classes, as Barber sought the assistance of midwifes, paupers and a prostitute. 0 Thus while primary accounts such as Saint-Simony's Memoirs explain social and genealogical connections at their surface, Handless wider variety of social records reveals in greater depth, the gend ered social constructions that defined social relationships in the absolutist monarchy, as well as unexpected cross-class relationships. Cultural manifestations of absolutism in art, gardens and entertainment were further significant factors shaping social relationships. Diverging from traditional and social historiographers, Peter Burke, Chancre Muskier and Craig Callously take an art historical concepts to court social life.He argues that the language of allegory, hyperbole and euphemism in songs, literature, sermons, painting and other mediums communicated a lofty ‘high style' that associated the King with exalted figures and ideas. 21 For example Louis XIV was pained as SST John the Baptist and Apollo. 22 Courtiers learnt these references and conducted themselves accordingly, with grandeur and dignity. 3 In turn, this new language displayed, magnified and rationalized the King as a sublime and spiritual ruler. 24 In contrast, Muskier applies geopolitical concepts to unders tanding social relationships.Muskier references historian Michel Faculty's theory that 17th century society began to view material possessions as indicators of wealth and power. 25 Increasing trade, scientific and technological innovations made material items more prominent in social gatherings and conversations. 26 Muskier argues absolutism worked within this materialist culture, valuing land the most as a material item. 7 In a geopolitical way, Kings enforced power by appropriating and manipulating land into formal gardens. In turn, this established material ownership as a language of power. 8 Material goods came to dominate social and political relationships during the 17th century. 29 Callously similarly seeks specialized research on theatre and festivals, alongside primary accounts. However he argues the political purposes of nocturnal entertainment were significant factors shaping court life. 30 For example, Baroque night time theatre developed and through its illusionist's li ghting, performances such as Louis Xiv Ballet De la Unit,† physically presented Louis as a ‘radiant' King. 1 Furthermore, court diaries from Versailles reveal an increase in concerts, balls, and billiards, offering different opportunities for solicitation. 32 Nocturnal activities changed and began to characterize social life. 33 Memoirs by Louis XIV and absolutist critic Jean De La Buyer (1645-96) also divulge that night time entertainments were deliberate distractions from political issues. 34 Callously maintains Kings communicated and secured their power through nocturnal spectacles, which consequently transformed court social relationships. 35However unlike other historians discussed, James Afar argues social relationships were shaped by concepts of ‘Honor' that pre-dated absolutist expressions of power. Like other historians, Afar relies on a primary source: Farther Lame's eye witness account of the trial and execution of disgraced nobleman Philippe Group. Unco nventionally, Group did not confess his crime, thus preserving honor but damning his soul. 36 More important to him was maintaining honor for his family and young son. 37 Honor defined people's positions of power and status. 38 It was treated as an item that could be appropriated through displays of respect. Lame's text, confirmed by trial records, reveals Group bowed and spoke respectfully to colleagues and onlookers, to earn back some of the honor he had lost. 40 Through displays of respect, Group also sought favor with his patron the Prince of Condone, who could gain him a Kings pardon. 41 Fear's study revises primary documents and challenges past historians such as Ladies and Rest, previously discussed. Courtesy codes, and court cabals were not Just to gain political power, but were part of a possible, albeit largely speculative, that Kings consciously manipulated this established framework of honor to their political advantage.But what Group's trial reveals is honor was a preci ous commodity, and was central to the way people conversed and connected. The majority of historians discussed, agree that the most important factors shaping social relationships under the absolute monarchy, were essentially the absolute monarchy itself. Absolutism established a new laws, social customs, entertainment and art that had a dramatic impact on social relationships involving gender, class, marriage, family ties and friendships. But in contrast, historians also argue that, as in any society, there were already complex social codes that absolutism worked within.