Tuesday, December 31, 2019

Pros and Cons of Taking a Year Off Before College Essay...

It’s your senior year of high school. It is time for you to decide what you want to do after you graduate. You have a few possible things that you could do. You could start applying for colleges, get accepted to one, and then go to college right out of high school; or you could do the same thing, but take a year off. This brings up the argument of whether or not a student should take off a gap year before they begin college. There are both, pros and cons to taking a gap year prior to starting college. In this paper, you are going to read about some of the benefits of taking a gap year before college, as well as some of the negative affect of taking a gap year before college. Students should take a gap year before starting college;†¦show more content†¦Since the student is currently learning some independence, this is a great time where they can get to know themselves better. During a gap year, students have the opportunity to get to know them as well as learn what they want to do in life (Ma, 2014). Back in 2013, there were interviews given to many students at different universities, about their experience with a gap year. A student by the name of Eden Full, Princeton University, stated that since he was young, he was always on the path to success. With a gap year, it had given him time to learn some new skills and explore some new interests that he had never had before (Lazaro, 2013). Another student by the name of Tiffany Yanagida, a computer science major at University of Nebraska-Lincoln, stated that a gap year had given her some time to find out her future career path. This was something that she had no idea about at the young age of 18 (Lazaro, 2013). This is a great time to have fun, build up your social network, and go out and enjoy the world. It is true that as the years go by, the cost of college is increasing. But as of October 2013, it was revealed that the rate of cost increase is falling in slow increments: 8.5% in 2011 to 4.5% in 2012 to 2.9% in 2013 (Ma, 2014). This is all thanks to there being better grant and tax benefits. This might mean that it is a great idea to wait to go to college, until the lower priceShow MoreRelatedPersuasive Speech : Benefits Of Taking A Gap Year868 Words   |  4 PagesAlondra Aviles Gallegos Persuasive Speech Gap Year Introduction I. Attention Getter A. Do you ever think about all the years you have spent in school, and about the years waiting for you to graduate? B. It can be pretty frustrating for those people who are struggling with grades, or for those whose careers take FOREVER to complete. II. Establish Credibility A. After doing extensive research, I found an interesting, fun, and adventurous way to get rid of all the stress caused by school. III. 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This idea of a class without actually having to step into classroom has both pros and cons, as many things do. One of the major pros of taking online classes is as mentioned before, flexibility. The flexibility of online classes allows for students with jobs to work around their busy schedules and still gain an education. Working at your own pace is again one of the other major pros because it allows students to learn good work ethic becauseRead MoreWhy People Do Bad Things Essay1282 Words   |  6 PagesWe grow up imagining who and what we would become in life, but never truly comprehend the day we are graduating college and are about to take on our dreams. I can remember the first time I realized that I wanted to become a Forensic Psychologist and those feelings are still just as strong today. It never gets old seeing the reaction on the faces of people who ask me what I want to do after I graduate, â€Å"you want to be a what...† they say. 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Monday, December 23, 2019

Activity 1.2 Discussion Forum ( Fever ) - 1074 Words

Activity 1.2 DISCUSSION FORUM – FEVER Based on the clinical information provided: 1. What is the most likely cause of this patients fever? As stated on the clinical assessment, Sam has recorded a temperature of 37.8oC, â€Å"body temperature averages 37C +/- 0.5C and with a range of 35.8-38.2C† as published in (Marieb Hoehn, 2011, p950), so I would assess Sam’s temperature as initially a low grade fever. As the majority of fevers in hospitals are due to infections (Marshall, 1993, p208). Low-grade fevers can occasionally accompany serious medical conditions with symptoms such as Sam’s difficulty breathing, confusion, decreased levels of consciousness and rapid heart rate. http://www.healthgrades.com/symptoms/low-grade-fever The case study states Sam’s has a condition of insulin dependent diabetes and her complaint to her friend, of burning and frequency when going to the bathroom, we could provisionally diagnosis a probable urinary tract infection as a underlying trigger for the fever (Marshall, 1993, p274). With two arterial blood gases attended and some of the results listed. These results are showing a more acidosis level and with our pH low the PaCO2 low and also HCO3 low, Sam’s decreased level in the glascow coma scale and tachycardia we could consider a hyperglycaemic metabolic or ketosis acidosis and commence corrective treatment immediately( Roman,M,2008, p268). 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Sunday, December 15, 2019

Chronic Disease In St Lucia Health And Social Care Essay Free Essays

string(67) " affects people worldwide and is one of the oldest diseases known\." Chronic disease is a disease of a long continuance and by and large slow patterned advance ( WHO, 2010 ) . The U.S. We will write a custom essay sample on Chronic Disease In St Lucia Health And Social Care Essay or any similar topic only for you Order Now National Center for Health Statistics states that a chronic disease is one enduring 3 months or more. These chronic diseases usually can non be prevented by vaccinums or cured by medicine, nor do they merely disappear. Chronic diseases are chiefly caused by three major hazard factors – baccy usage, hapless eating wonts and physical inaction. Majority of these hazard factors are themselves worsened by hapless socioeconomic determiners, such as deficiency of instruction and poorness. Most frequently these determiners are a indicant of the chief forces driving societal, economic and cultural passage, including globalization, urbanization and an ageing populations. Chronic diseases are impacting population wellness as the epidemiological passage advancements and are the lead cause of mortality worldwide and pose increasing jobs for the load of disease and quality of life in developed and developing states ( WHO, 2003 ) . Non catching diseases include a wide scope of conditions, including cardiovascular disease, diabetes, malignant neoplastic diseases, chronic respiratory disease, mental-health jobs and musculo- skeletal upsets. The first four mentioned above history for about 50 % of mortality globally, and portion behavioral hazard factors, such as extra Calorie ingestion, diets high in saturated and transfatty acids, inordinate consumption of intoxicant, physical inaction, and baccy smoke. Approximately 35 million people have died from bosom disease, shot, malignant neoplastic disease and other chronic diseases in the twelvemonth 2005. The loads of these diseases are every bit shared among work forces and adult females, and are more prevailin g in people under the age 70 ( WHO, 2004 ) . 80 % of chronic disease deceases occur in low and in-between income states. Figure 1: Global distribution of entire deceases ( 58 million ) by cause in 2005. The age-specific decease rates between the old ages 2005 – 2015 are projected to fluctuate somewhat, Nevertheless, the ageing populations will ensue in an overall addition in chronic disease decease rates for all ages combined. In 2005, all chronic diseases account for 72 % of the entire planetary load of disease in the population aged 30 old ages and older. The entire lost old ages of healthy life due to chronic diseases, as measured by DALYs, are greater in grownups aged 30-59 old ages than for ages 60 old ages and older. More than 80 % of the load of chronic diseases occurs in people under the age of 70 old ages. Table 1: Projected planetary deceases and load of disease due to chronic disease by age 2005- 2015 Deaths ( Million ) DALYs ( 1000000s ) Deaths per 10000 DALYs per 100000 2005 2015 2005 2015 2005 2015 2005 2015 0-29 old ages 17 15 220 219 48 40 6320 5994 30-59 old ages 7 8 305 349 311 297 13304 13375 60-69 7 8 101 125 1911 1695 27965 26396 a†°?70 20 24 99 116 6467 6469 32457 31614 All ages 35 41 725 808 549 577 11262 11380 World Health Organization undertakings that, globally, NCD deceases will increase by 17 % over the following 10 old ages. The greatest addition of 27 % and 25 % severally will be seen in the African part and the Eastern Mediterranean part ( WHO, ) 1.2 Types of chronic diseases 1.2.1Cardiovascular disease Cardiovascular disease CVD is the term used by the scientific community to encompass non merely conditions of the bosom [ ischaemic bosom disease ( IHD ) , valvular, muscular, and inborn bosom disease but besides high blood pressure and conditions affecting the cerebral, carotid, and peripheral circulation. The hazard of CVD is related to diet, physical activity, and organic structure ( ) . The forms of nutrient supplies and of nutrient and nutrition that modify the hazard of CVD are besides good known. Whereas CVD was one time mostly confined to high-income states, it is now the figure one cause of decease worldwide every bit good as in low- and middle-income states, where 80 per centum of the universe ‘s 13 million one-year CVD deceases occur. And at least 21 million old ages of disability-adjusted life old ages ( or DALYs, a step of future productive life ) are lost globally because of CVD each twelvemonth. The huge bulk of CVD can be attributed to conventional hazard factors such as baccy usage, high blood force per unit area, high blood glucose, lipid abnormalcies, fleshiness, and physical inaction. Cardiovascular diseases are major cause of chronic disease decease and were accounted for of 17 million deceases in 2002. It is estimated that by the twelvemonth 2030, 24 million will decease of CVD, of which 80 % will happen in low and in-between income states ( 5 ) . 1.2.2 Cancer Cancer is a major and turning disease load worldwide. The figure of new malignant neoplastic disease instances is projected to increase from 10 million in 2000 to 15 million in 2020, 9 million of which would be in developing states. The epidemiology of malignant neoplastic disease in developing states clearly differs from that in developed states in of import respects. While developed states frequently have comparatively high rates of lung, colorectal, chest, and prostate malignant neoplastic disease ( some of which is tied to tobacco usage, occupational carcinogens, and diet and lifestyle ) , up to 25 % of malignant neoplastic diseases in developing states is associated with chronic infections. Seven types of malignant neoplastic diseases account for about 60 per centum of all freshly diagnosed malignant neoplastic disease instances and malignant neoplastic disease deceases in developing states: cervical, liver, tummy, esophageal, lung, colorectal, and chest. 1.2.3 Respiratory Diseases Chronic grownup respiratory diseases-such as chronic clogging pneumonic disease ( COPD ) and asthma-are a major and turning load in footings of morbidity and mortality in the underdeveloped universe. COPD ( which includes emphysema, chronic bronchitis, and clogging air passages disease ) is mostly linked with coffin nail smoke every bit good as exposure to unvented coal-burning cookery ranges ; it accounts for 2 per centum of lost DALYs on a world-wide footing. 1.2.4 Diabetes Mellitus Diabetes affects people worldwide and is one of the oldest diseases known. You read "Chronic Disease In St Lucia Health And Social Care Essay" in category "Essay examples" There are two common types of this disease: type 1and type 2 diabetes. Type-1 diabetes histories for 5-10 % of all diagnosed diabetes. Type-2 diabetes is the most common signifier of diabetes. It accounts for 90-95 % of diagnosed diabetes. The World Health Organization ( WHO ) estimated the world-wide prevalence of diabetes in grownups to be around 173 million in 2002 and predicted that there will be at least 350 million people with Type 2 diabetes by 2030. At present about two-thirds of individuals with diabetes live in developing states and the bulk of new instances will arise from these countries. The planetary addition in the incidence of diabetes is related to high degrees of fleshiness associated with a alteration from traditional diets, decreasing degrees of physical activity, population ripening and increasing urbanisation. Diabetess Mellitus is the most prevailing signifier of diabetes on the planetary graduated table ( 6 ) . For the past few decennaries, Diabetes Mellitus has reached epidemic proportions in many parts of the universe. The World Health Organization ( WHO ) has predicted the planetary prevalence of all Diabetes will increase from 194 million in 2003 to 330 million in the twelvemonth 2030 ( 7 ) . 1.2.5 High blood pressure Another normally happening chronic disease is high blood pressure. High blood force per unit area increases the hazard of bosom disease and shot. Hypertension is sustained high blood force per unit area ( a†°?140/90mmHg ) . Blood force per unit area itself is the force per unit area exerted by the blood on the walls of the blood vass. Each clip the bosom beats ( about 60-70 times a minute at remainder ) , it pumps blood into the arterias. Blood force per unit area is at its highest when the bosom beats, pumping the blood. This is called systolic blood force per unit area. When the bosom is at remainder, between beats, blood force per unit area falls. This is diastolic force per unit area. Blood force per unit area itself is non harmful – it is indispensable as it is the force that drives blood through the blood vass to provide O and foods to the organic structure ‘s variety meats and tissues and transport off godforsaken stuffs. However, when blood force per unit area becomes excessively high it has detrimental effects on about every portion of the organic structure and can take to serious unwellness and decease. Hypertension is an of import public wellness challenge worldwide because of its prevalence and its function as a hazard factor for cardiovascular disease. Some of the hazard factors of high blood pressure include fleshiness, intoxicant, household history, and smoke. There are two types of high blood pressure, viz. primary high blood pressure and secondary high blood pressure. Primary high blood pressure is more common, happening in 90-95 % of the high blood pressure population. There is no identifiable cause and it develops bit by bit over many old ages. Secondary high blood pressure occurs in 5-10 % of the high blood pressure population. ( ) In the twelvemonth 2000 it was estimated that the entire figure of grownups with high blood pressure was 972 million. Of these, 333 million were estimated to be in developed states and 639 million in developing states ( 0 ) . Kearney PM et al. , predicted that by the twelvemonth 2025, the figure of people with high blood pressure will increase by about 60 % to a sum of 1.56 billion. ( Kearney PM et al. , 2005 ) the grounds are the go oning population addition and alterations in life style, which includes a diet high in sugar and high-fat processed nutrients and sedentarism. 1.3 Impact of chronic disease in the Caribbean Caribbean states are in epidemiological passage, where non merely nutritionary lacks have well declined but infective diseases have besides been vanishing. However, over the last 30 old ages, nutrition-related chronic non-communicable diseases have easy emerged as the major public wellness jobs. Non-communicable diseases ( NCDs ) have bit by bit displaced catching diseases in the Caribbean. Ratess of chronic non-communicable disease such as diabetes, high blood pressure, cardiovascular disease and malignant neoplastic disease have been increasing in the Caribbean and are the taking cause of mortality and mobility in the part ( Ragoobirsinghet al. , 1995, 2002 ; Wilkset al. , 1998, 1999 ; Figueroaet al. , 1999 ; Rotimi et al. , 1999 ; Cruickshanket al. , 2001, Figueroa, 2001 ; Sargeantet al. , 2001 ; Henniset al. , 2002a, B ; Corbinet al. , 2004 ; Wolfeet al. , 2006 ) . Of concern is the fact that while the prevalence and mortality rates of these diseases are highest in the aged, they are non restricted to any one age group. An estimated 10 % to 20 % of the Caribbean population over 20 old ages of age suffers from diabetes and high blood pressure, severally, with prevalence more than duplicating at older ages ( Hennis et al. , 2002a, B ) . High blood pressure and diabetes rank as the two taking chronic upsets among Caribbean populations and are besides major hazard factors for other diseases such as cerebrovascular disease ( shot ) and coronary bosom disease. Prevalence of chronic diseases in the Caribbean part over the base on balls 3 decennaries Another dramatic epidemic among the Caribbean population is the high prevalence of fleshy [ organic structure mass index ( BMI ) gt ; 25 kilogram ma?’2 ] and fleshiness ( BMI gt ; 30 kg ma?’2 ) . Approximately half of the grownup Caribbean population is fleshy and 25 % of big Caribbean adult females are corpulent ( Henry, 2004 ) . The intensifying tendency in fleshiness is considered to be a major causative factor in chronic disease prevalence in the part. The increasing fleshiness degrees, chiefly among adult females, possibly associated with the alterations in traditional diets and the acceptance of sedentary life styles. In some the islands more than half of big adult females are reported to be corpulent. Datas from Barbados highlights the importance of fleshiness as a hazard factor in chronic diseases. Based on available grounds, corpulent individuals, ( BMI gt ; 30 ) of 40-79 old ages had a 2.6 times greater hazard of high blood pressure than individuals with BM I lt ; 25, and corpulent adult females had 5.2 times the hazard of developing diabetes. It is estimated that cut downing fleshiness in the Barbadian population could cut down high blood pressure and diabetes by 30 % and 33 % severally. 1.4 Impact of chronic disease in St. Lucia St. Lucia has undergone a important demographic passage in the last 3 decennaries ( Wilks, et al. , 1998 ) . Some characteristics of this passage include the rise in the average age of the population from 20 old ages to 15 old ages between 1970 and 2010, the doubling of the proportion of individuals older than 60 old ages old from 5000 to over 17,000 and the addition in life anticipation at birth from less than 50 old ages in 1950 to greater than 73 old ages in 2010 ( World population prospectus, 2008 ) . As a consequence, the chief causes of unwellness and decease in St. Lucia and many other Caribbean islands and parts at a similar province of development are the chronic non-communicable diseases ( Sargeant et al. , 2001 ) . There is an increased prevalence of diet-related chronic non-communicable diseases, such as cardio-vascular diseases, diabetes and fleshiness. ( Wilks et al. , 1998 ) . Between 1992-1999 in St. Lucia, preventable chronic diseases such as cardiovascular and circu lative systems accounted for 20.8 % of deceases, with the major causes being cerebrovascular disease, ischaemic bosom disease, and hypertensive disease. Other major causes of decease were malignant neoplastic diseases ( 14.5 % ) , disease of the digestive system ( 8.7 % ) , and diabetes ( 7.2 % ) ( 8 ) . Approximately 1,304 deceases were due to diseases of the circulatory system and was accounted for 33 % of all reported deceases, decease due to cerebrovascular was ( 35.9 % ) , hypertensive disease ( 14.8 % ) , and ischaemic bosom disease ( 13.6 % ) ( Health in America, 1998 ) . There were 731 deceases due to cardiovascular disease from 1996 to 1999, accounting for 19 % of all deceases and 53 % of deceases ratio of 5.8:1. Most ( 21 or 62 % ) occurred in the 15-44 old ages age group, and had a male-female ratio of 9.5:1. Cardiac apprehension caused 268 cardiovascular deceases ( 37 % ) , ischaemic bosom disease 174 ( 24 % ) , pneumonic circulation and other signifiers of bosom disease 134 ( 18 % ) , and bosom failure 153 ( 21 % ) . Females accounted for 359 ( 49 % ) of deceases due to cardiovascular disease, and individuals 60 old ages of age or older accounted for 588 deceases ( 80 % ) . ( WHO statistics ) . Based on PAHO statistic St. Lucia is the 10th taking island in the Caribbean with high rates of non- catching chronic disease, accounting for about 63 % . Over the old ages prevalence of non catching diseases have been increasing, in a study done by the Kairi advisers limited in association with the national appraisal squad of St. Lucia concluded the undermentioned findings for the twelvemonth 2005 to 2006 for the distribution of chronic disease in St. Lucia. Irrespective of per capita ingestion quintile, high blood force per unit area was the most prevailing lifestyle disease impacting individuals with diseases in St. Lucia. In every quintile group, it besides shows that the prevalence of diabetes ranks second to high blood force per unit area as a life clip disease impacting individuals with diseases in St. Lucia. In each of the quintile groups, more than three fifths of the individuals with diseases reported enduring from high blood force per unit area while more than one one-fourth reported enduring from diabetes. In the twelvemonth 2007 diabetes and Hypertension were the two the most permeant and declining wellness jobs confronting the island of St Lucia. The diseases afflict a wide swath of people, immature and old. St. Lucia has a population of about 160,000 thousand people, and of this 28.1 % of the population have abnormal blood glucose or high blood sugar and 8.1 % have diabetes ( Graven et al. , 2007 ) . 20 % of people over 40 old ages of age suffer with the disease ( the ministry of wellness 2007 ) . At least 35 % of those with Type 2 Diabetes Mellitus do non cognize that they have the status ( The Ministry of Health, 2008 ) . In rural country of St. Lucia the proportion with undiagnosed diabetes is well higher ( St. Lucia Diabetic Society, 2008 ) . At the clip of diagnosing, every ten percent individual with diabetes has already developed one or more micro- or macro-vascular complications ( Ministry of Health, 2008 ) . Diabetess is among the taking cause of decease. If inadequately treated, diabetes can do sightlessness, kidney disease, nervus disease, amputations, bosom disease, and shot. Even painstaking and well-treated diabetics often suffer from these complications and have above-average medical costs. If observed, the Native St. Lucian has many barriers to wellness instruction, which fundamentally involves their civilization, life style, handiness and socio-economic position. For case, St. Lucian is presently sing a crisis of poorness. Peoples from lower socioeconomic position have poorer wellness than those in higher socioeconomic places. Assorted surveies have reported the relationship between low socioeconomic position and the development of chronic disease ( ( Lynch et al, 2000 ; Stelmach et Al, 2009 ; Supriya et Al, 2009 ) . Recent poorness appraisals in St. Lucia estimation that 18.7 % of families and 25 % of the population live in poorness. Income inequality is high, with 26 % of the population characterized as inveterate hapless ( MPDEH, 2003 ) . That same study estimated that a decennary subsequently in 2005/06 the poorness rate had increased to 28.8 % of the population ( Government of St. Lucia ( GOVST ) , The appraisal of Poverty volume1, 2006 ) .The highest poorness rates in2005/06 were in the territories of Anse La Raye/Canaries ( 44.9 % ) , Micoud ( 43.6 % ) , Soufriere ( 42.5 % ) and Laborie ( 42.1 % ) . The poorness spread and poorness badness besides occurred in these same territories ( GOVST, 2006 ) Furthermore, because of poorness and life in rural countries, most people consume less expensive and frequently high fat nutrients, and less fruits and veggies ( Henchy et al, 2000 ) . Brown et Al, ( 2005 ) described how socioeconomic place influences wellness among individuals with diabetes. Diabetes is twice more prevailing in low income populations compared to wealthy populations ( Stelmach W et Al ; 2009 ) . Some accounts for this increased hazard among people of low-income or resource-poor countries include increased emphasis, low entree to medical and preventative attention, and hapless environment. 1.5 Diet, nutrition and chronic diseases There are clear associations between the assorted biomedical and behavioral chronic disease hazard factors, and it is good established that diet quality and healthy feeding patterns play an of import function in both preventing and pull offing chronic diseases and the factors that increase their hazard ( Kant A.K, 2004 ) . The links with nutrient and nutritionary position are particularly strong in the instance of cardiovascular disease, diabetes and their hazard factors ( metabolic syndrome, fleshiness, high blood pressure and lipemia ) . The nutrient we eat, in all cultural choice, defines one ‘s wellness, growing and development. Hazard behaviors, peculiarly smoke and sedentarism, alter the consequence ( ) . All this takes topographic point in a societal, cultural, political and economic environment that can worsen the wellness of populations. Diet is a cardinal constituent in predisposing to chronic disease, chiefly where diet is energy dense doing positive energy balance and fleshiness. Adoption of western diet which are high in fats, aminal protein, refined saccharides and low in fiber, fruits and vegetable can farther increase one hazard of developing no of more chronic disease ( ) . Several surveies have demonstrated a prudent diet rich in fruits, veggies, fish and wholegrain to be associated with a diminution in chronic disease hazard such as diabetes ( Van Dam et al. , 2002 ; Anne-Helen Harding et al. , 2004 ) Carbohydrates Carbohydrates nutrient beginning are the most of import beginning of Calories for the universe ‘s population chiefly because of their low cost and broad handiness ( ) . Although Carbohydrates is easy accessible and widely eaten saccharide is a cardinal dietetic constituent impacting insulin secernment and postprandial glycemia and is implicated in the etiology of many chronic diseases ( Brand-Miller JC et al. , 2004 ) . Both the measure and type of saccharide eaten have effects on insulin secernment and postprandial glycemia. Foods with a rich glycemic index ( or glycemic burden ) produce high rates in blood glucose.A Diets including big measures of high GL nutrients increase the hazard of diabetes, chest malignant neoplastic disease, colorectal malignant neoplastic disease, endometrial malignant neoplastic disease, and overall chronic disease ( Barclay AW et al. , 2008 ) . Dietary fibers Epidemiologic grounds has shown that nutrients rich in fiber aid glycaemic control in diseases such as type 2 diabetic patients ( ) . A diet high in fiber helps in control blood sugar degrees in those with type 2 diabetes. It besides helps with colon wellness as the high fiber diet with smoothing the stool and facilitates to burden loss ( ) . Fats Dietary fat is one of the most influential foods in wellness. Fats has many maps in the human organic structure, Equally good as to supplying more than twice the energy supplied by saccharides and proteins and providing indispensable fatty acids, fats slows digestion of saccharides in order to fuel the encephalon he fats serve as bearers for fat soluble vitamins ( A, D, E and K ) and as parts of cell membranes ( ) . The overconsumption of fat, chiefly saturated fat, has been linked to six of the 10 prima causes of decease worldwide ( ) .Coronary bosom disease and malignant neoplastic disease ( ) .There is a strong nexus between dietetic fat ingestion and hazard of chronic diseases such as malignant neoplastic disease, such as colon, chest, prostate, and ovary malignant neoplastic disease ( ) . Several surveies over the past 30 old ages have verified the relationship of high dietetic fat intake with higher mortality due to assorted malignant neoplastic diseases ( ) . Some saturated fatty acids raise blood cholesterin degrees and, therefore, increase the hazard of coronary artery disease ( ) . High fat, consumption is a chief cause of fleshiness, high blood pressure, diabetes, metabolic syndrome and gall bladder disease ( ) . Surveies have show that states with higher per capita consumptions of fat, particularly carnal fat, have higher incidence rates of certain malignant neoplastic diseases, including chest, colon, prostate, and pancreas. [ 41 ] Migrational surveies show that when persons move from a state of low fat consumption to one of high fat consumption, the hazard of some malignant neoplastic diseases increases [ 42 ] . A Vitamins Vitamins are indispensable foods hey are required in little sums, but have of import and specific maps such as advancing growing, reproduction and the care of wellness. Nutritionally, they form a cohesive group of organic compounds that are required in the diet in little sums ( mcgs or mgs per twenty-four hours ) for the care of normal wellness and metabolic unity. They are therefore differentiated from the indispensable minerals and hint elements ( which are inorganic ) and from indispensable amino and fatty acids, which are required in larger sums. Vitamin lack nevertheless, may increase the hazard of chronic diseases ( ) . Suboptimal folic acid degrees, along with suboptimal degrees of vitamins B ( 6 ) and B ( 12 ) , are a hazard factor for cardiovascular disease, nervous tubing defects, and colon and chest malignant neoplastic disease ( ) and low degrees of the antioxidant vitamins ( vitamins A, E, and C ) may increase hazard for several chronic diseases. . Nutritional Passage There are now about 350 million corpulent and more than 1 billion fleshy people in the universe, populating in both developed and developing states. Previously, developing states grappled with undernutrition. Now many of these states like St. Lucia are in a transitional province and are covering with the twin immoralities of under- and over nutrition. In the Caribbean states between the 1970s and 1990s, the prevalence of overweight/obesity increased from 7 % in work forces and 20 % in adult females in the 1970s to 22 % in work forces and 58 % in adult females ( Ragoobirsingh D et al. , 2004 ) . The planetary prevalence of fleshy amongst preschool kids is estimated at 3.3 % . Within the Caribbean part and St. Lucia has one of the highest incidences for this age group with St. Lucia holding 2.5 % of the 0-5 yr. population ( De Onis M et al. , October 2000 ) .Obesity in kids and striplings is known to hold important impact on both physical and psychosocial wellness, these surging rates of fleshiness leads to an addition in lipemia, high blood pressure, insulin opposition and unnatural glucose tolerance subsequently in life ( Reilly et al. , 2003 ; Weiss et al. , 2004 ) . Urbanization, industrialisation and transmutation procedures have been the chief cause of this public wellness achievement. In modern civilizations, demographic factors interact with societal and economic factors and lead to alterations in the forms of wellness and diseases as hypothesized by Omran ‘s epidemiological passage theory in the early 1970s ( Orman et al. , 1971 ) . Omran ‘s theory describes the altering form of mortality from the predominant catching diseases to the emerging non-communicable diseases. In his survey, Omran defined three phases of epidemiological passage, i.e. ‘the age of plague and dearth ‘ , ‘the age of withdrawing pandemics ‘ , and ‘the age of degenerative and semisynthetic diseases ‘ ( Orman et al. , 1971 ) . 1.6 Dietary wonts of St. Lucians Food wonts reflect the plantation past: the typical diet contains a batch of starches, carnal protein content that varies by location, and until late, small in the manner of green veggies. Starches include assorted sorts of yams, taro, taro, bananas and plantains, Sweet murphies, manioc and Artocarpus communis. Most of these are boiled, served with some sort of boiled fish or meat, and accompanied by a sauce. Pepper ( pepper ) sauce is ever present at the tabular array, as most dishes are non prepared spicy hot. Animal protein beginnings reflect the historical scarceness of this component: porc Rhine wines, hog tail ( fresh and salted ) , chicken back, and saltfish, ( pod ) salted beef, fish ( tuna, winging fishing, ruddy center, barracuda, sharke, pilchards, doodly-squat fish ) . Most of the dishes are prepared with fats such as ; coconut oil, lards, xanthous butter. Equally much as St. Lucia has a broad assortment of fruit they are merely eaten Fruits such as ; Mangifera indicas, a ureate apple, papaia, Citrus paradisi, oranges, cherries, Anacardium occidentale, sugar apple ( love apple ) .Main dishes are accompanied by veggies such as, alligator pear, calaloo, Spinacia oleracea, tomatoes, okras, carrots, pigeon peas and lentils, Imported processed nutrients have been available for decennaries, but more late account for larger parts of many repasts. Foods such as pasta, rice, 1.7 Cause for chronic non-communicable diseases in St. Lucia Chronic diseases have legion hazard factors, which function at different degrees, from the most proximal ( i.e. biological ) , to the most distal ( i.e. structural ) . These hazard factors can be classified as ‘modifiable ‘ and ‘non-modifiable hazard factors ‘ . Modifiable determiners include factors that can be altered, such as single and community influences, life and on the job conditions and socio-cultural factors, non-modifiable determiners include those factors that are beyond the control of the person, such as age, sex and familial factors. 1.7.1 Biological factors Some populations are susceptible to chronic disease because of familial cistrons. In a south Africa a tribal group â€Å" Afrikanders † have been found to hold familial hypercholesteremia, a rare familial upset, characterised by really high low-density lipoprotein, cholesterin and early cardiovascular disease. ( Steyn K et al.,1996 ) . Familial and lifestyle factors are considered to be the chief subscribers in doing type 2 diabetes ( O’Rahilly et al ; 2005 ) . The familial make-up of a individual is every bit indispensable to the development of the disease but a individual life style and environmental factors can lend significantly. Some of the major lending factors include fleshy, abdominal fleshiness and physical inaction and to lesser extent intrauterine and early childhood factors ( Alberti et al, 2007 ) 1.7.2 Early life beginning The clip between intrauterine growing and the development is the most vulnerable period in the life rhythm and topographic points major physiological, metabolic and psychological demand on the female parent to back up the growing and the development of the foetus ( Allen, 2001 ) . Good growing and development is dependent on a sufficient supply of energy and foods. Under nutriment during gestation is linked with hapless gestation and neonatal results which can hold negative long term deductions for the baby such as a decrease in intelligence, growing upset, low unsusceptibility, increased morbidity, mortality and the development of a scope of diseases during maturity ( Rasmussen, 2001 ) It is proposed that type 2 diabetes consequences from comparative intrauterine malnutrition and the latter leads to lifelong scheduling ( Baker et al ; 1986 ) . Children with low birth weight are most likely to see growing restraint, whether due to intrauterine nutritionary limitation or familial sensitivity to low birth weight ; similar associations of low birth weight have been made for the development of diabetes ( Lindsay et al ; 2001 ) . Babies who are born low birth weight tend to turn fast after birth ‘catch-up growing ‘ , frequently become fleshy as immature kids. They are most likely to develop high blood force per unit area and unnatural blood glucose degree early in life, which future increase their hazard of developing chronic diseases, such as bosom disease and diabetes ( Barkeret al. , 1997 ) . The prevalence of Low Birth Weight ( LBW ) is about 6 and 9 % in the Caribbean. The association between low birth weight and grownup disease makes pressing the concer n of these high LBW prevalence rates in the Caribbean ( Henry ; 2000 ) . An under-nourishes kid is usually a smaller and shorter kid ( 0 ) Acrobatics is an indicant of long standing mal and under-nutrition and is frequently accompanied by fat deposition, peculiarly around the abdominal subdivision when faced with nutrient in copiousness. Predisposing persons to fleshiness in maturity. ( ) Similarly kids who are born to big female parent and are big for their gestational age are most likely to bring on insulin opposition and type 2 diabetes subsequently in life ( Bennett et al ; 2002 ) . In Jamaica kids shortness at birth and increased current weight are independent forecasters of insulin opposition ( Bennett et al ; 2002 ) . There is important sum of grounds, chiefly from developed states, that states intrauterine growing deceleration is connected with an increased hazard of coronary bosom disease, shot, diabetes and elevated blood force per unit area ( WHO, 2002 ; Godfrey et al. , 2000 ; Forse et al. , 2000 ) . It may be the form of growing, i.e. restricted foetal growing followed by really fast postpartum catch-up growing that is critical in the implicit in disease tracts. Likewise, big size at birth is besides associated with an increased hazard of diabetes and cardiovascular disease ( McCance DR et al. , 1996 ; Leon DA et al. , 1998 ) . Behavioural hazard factors ( lifestyle factors ) Lifestyles play an of import function in finding chronic diseases and lifestyle alterations are likely to be responsible for a important proportion of their addition over clip. 1.7.3 Poor diet Nutrition is a major modifiable determiner of chronic diseases, with scientific grounds back uping the position that alterations in diet have effects on wellness result of a individual. Non-communicable diseases are linked to high ingestion of energy dense nutrients, made of carnal beginning and of nutrients processed or prepared with added fat, sugar and salt. ( ) St. Lucia is undergoing rapid nutritionary passage ( Boyne, 2008 ) . There has been an addition of fast-food eating houses, and an increased in the ingestion of repasts high in fat, sugar, and salt and a decrease in the ingestion of cereals, grains, fruits, veggies, tubers, and leguminous plants ( Jacoby et al.,2008 ) . The increased ingestion of imported nutrients high in fat and Na has led to a diminution of the wellness position of people throughout the part, with an addition in wellness jobs such as fleshiness and diabetes ( Report from WHO, 2003 ) . 1.7.4 Physical inaction Physical inaction and sedentary life style is linked with increased degrees of fleshiness, chest malignant neoplastic disease, colon malignant neoplastic disease, osteoporosis, emphasis, anxiousness and depression ( Hardman et al. , 2001 ; Warburton et al. , 2001 ) , and one of the chief implicit in causes of mortality in the universe. 1.7.5 Smoke Smoke of baccy is one of the most modifiable hazard factors and preventable causes of decease in the universe. The World Health Organization ( WHO ) attributes to about 4 million deceases a twelvemonth to tobacco usage. It has been responsible for 22 % of cardiovascular diseases in industrialised states, and for the huge bulk of some malignant neoplastic diseases and chronic respiratory diseases ( WHO, 2002 ) . It is projected by the 2030 smoke will kill one in six people globally, if the present tendencies persist. ( WHO, 2002 ) . This anticipation of decease will include about 7 million people in developing states ( Mackay, WHO ; 2002 ) Smoke has been linked with premature mortality amongst users, with cardiovascular disease ( i.e. shot and bosom onslaught ) doing most deceases and is closely followed by chronic lung diseases, such as chronic bronchitis, emphysema and lung malignant neoplastic disease. ( Bjartveit et al. , 2005 ) . Alcohol maltreatment is deemed to be the beginning of 8 % -18 % of the entire load of disease in work forces and 2 % -4 % in adult females. The Rate of smoking in among work forces in St. Lucia is at its highest therefore addition the hazard of chronic diseases. 1.8 Social determiners of wellness The societal determiners of wellness incorporate implicit in causes of wellness jobs which includes environmental factors, working position and lodging and life conditions and socio-cultural factors that have an consequence on the wellness of a population. These factors besides increase the hazard of an single developing non-communicable disease. 1.8.1 Urbanization and globalization Urbanization is a cardinal hazard factor in the development of non-communicable diseases epidemic, as the economic system grows and develops into a more ‘modernised ‘ society and the populations easy migrate from rural to urban countries. In St. Lucia, the per centum of people populating in urban countries has increased from 43.3 % in 1996 to 47.5 % in 2001, ( ) . Surveies have shown that urbanization leads to dietetic alterations towards acceptance of the alleged ‘western diet ‘ , which is high in carnal proteins, fat and sugar. ( 20 ) This is frequently accompanied by lifestyle alterations including intoxicant ingestion, coffin nail smoke and physical inaction increasing the population ‘s hazard for non-communicable diseases. ( 34 ) 1.8.2Environmental factors 1..8.3 Obesogenic environment The function of the media plays a really important function in advertisement, selling and advancing the ingestion of high energy dense nutrients and fast nutrients mercantile establishments with big part sizes. In a survey to place major beginnings of nutritionary information among urban Black South African adult females, found that telecasting was the most extremely believable beginning of information. This influenced nutrient picks based on gustatory sensation, household penchants and price.35 Other factors associated to hapless eating patterns include, easy entree to cheap unhealthy nutrients compared to the high monetary values of healthy nutrients. 1.8.4 Structural environmental factors Structural environmental factors include environmental factors that might move as an obstruction to take parting in physical activity, such as a deficiency of playing Fieldss, Parkss, proper pavements and exercising installations, every bit good as the being of offense and force on the streets. 1.8.5 Socio-cultural factors Beliefs and attitudes about organic structure image of some persons have been found to increase the hazard for developing non catching diseases. The belief that tenuity is associated with personal jobs and illness, particularly HIV and AIDS, seems to be a barrier to keeping normal organic structure weight in some persons ( ) . Attach toing beliefs about organic structure weight are socio-cultural factors related to nutrient consumption, which partially contributes to fleshiness in some persons. ( ) 1.9 The economic impact of chronic diseases in ST. Lucia Chronic diseases have had and continue to hold a major economic impact on persons, households, and the wellness system in St.Lucia ( ) . Since chronic diseases affect the immature and people in their productive old ages, they cut down productive labor and gaining capacity at a family degree. Treatment of chronic diseases puts much strain on the already overburdened wellness system, because of the extra resources required. The load is non merely on the wellness attention system but besides but besides indirectly causes loss of productiveness from the disable, absenteeism and early decease. Rationale Chronic diseases such as bosom disease, malignant neoplastic disease and diabetes negatively affect the general wellness position and quality of life of persons, and there is an absence in the literature of surveies looking at the wellness position of individuals in St. Lucia with chronic non-communicable diseases. It is against this background that this survey was undertaken. This survey is designed to research and reexamine the association between diet, lifestyle and chronic non-communicable disease in St. Lucia. This comprehensive systematic reappraisal seeks to analyze the association between diet, lifestyle and hazard of chronic disease among St. Lucians. Aims To analyse the form of chronic disease hazard factor distribution in a well defined population in St. Lucia To analyse or critically measure the 30 most normally nutrient eaten in St. Lucian To analyze dietetic forms, nutrient picks and wonts of St. Lucian To synthesise qualitative findings diet, lifestyle and chronic diseases Research Question The Prevalence and incidence of chronic diseases is really high in St. Lucia and is the chief cause of decease in the island. Does St. Lucian diet and lifestyle contribute to additions figure of chronic diseases in the state? Hypothesiss Null hypothesis: St. Lucian diet and life style has no direct impact on the prevalence of chronic diseases in St. Lucia Alternate hypothesis: St. Lucia diet and life style has an impact on the prevalence of chronic disease Chapter 2 2.0 Methodology . This research will be b? °N†¢ed on N†¢ecnd? °ry informations collected from assorted reliable beginnings and used to bring forth new informations as a footing for analysing the life style and 30 most normally eaten nutrients in St. Lucia in relation to chronic diseases. This type of research will non affect human topic. The literature hunt scheme is described in a drumhead in Figure. The information was taken from journal articles and published bkN†¢ . By definition, secondary research describes information gathered through literature, publication, broadcast media, and other non-human beginnings. Literature hunt scheme Figure 1 Literature hunt scheme and survey design The hunt, covered publications between the old ages 1985 to 2009. The undermentioned beginnings were included in the hunt procedure. Electronic library databases To increase the fullness of the research and cut down the ambiguity, cardinal words were used merely when mapped capable headers and the Thesaurus were non available for a peculiar hunt database. Chronic disease was used as the chief hunt term and combined with extra footings deemed relevant to the cardinal inquiries. These extra footings were identified, nutrition, diet, lifestyle. Databases searched included the followers: MEDLINE, PreMEDLINE, CINAHL ( Cumulative Index for Nursing and Allied Health Literature ) , CDSR ( Cochrane Database of Systematic Reviews ) , ACP Journal Club ( American College of Physicians Evidence Based Medicine ) , CCTR ( Cochrane Central Registry of Controlled Trials ) Health Star, PAIS ( Public Affairs Information Service ) , Proceedings First, Population Index, Proquest Digital Dissertations, Science direct, Pub Med. Hand hunts A manus hunt of the International Journal of Chronic disease for the old ages 1985 to July 2009 was conducted. Mention lists from studies were manus searched for other eligible studies. Internet The cyberspace hunt. foremost, involved utilizing the hunt engine, Google, with the footings ‘Chronic disease ‘ and ‘diet ‘ and either ‘lifestyle ‘ , ‘prevalence ‘.To eliminate irrelevant sites, the research was limited to hunts utilizing predefined standards based on several ushers for happening dependable information from trusty beginnings on the Internet. Sites were eliminated if ( I ) they were clearly merely commercial ; ( two ) they did non look to be trusty or dependable beginnings ( i.e. personal home pages ) ; and/or ( three ) had small to no relevant information. Inclusion/exclusion standards The hunt was limited to English studies, which included columns, and theoretical reappraisals, PhD thesis and other grade plants, sum-ups of conferences, historical documents and book reappraisals. Letterss to the editor, columns were excluded. Documents selected for retrieval were assessed in a two-stage procedure. In the first phase, documents were selected based on reading of rubric and abstract. The 2nd phase involved reading of the full text of the articles selected, to set up the grade to which the paper satisfies inclusion/exclusion standards. Critical Appraisal: The research worker used the QARI ( Qualitative Appraisal and Review Instrument ) critical assessment instrument from the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information bundle ( SUMARI ) ( see Appendix 1 for difficult transcript ) . Data extraction: Data was extracted from documents utilizing the QARI informations extraction procedure which aggregated findings and seeked to classs and synthesis. Data was extracted manually utilizing the standardized informations extraction tool in QARI ( see Appendix 1 for difficult transcript of extraction tool ) and contained within the Joanna Briggs Institute System for the Unified Management, Assessment and Review the Information bundle ( SUMARI ) . Where meta-synthesis was possible, qualitative research findings were pooled utilizing the Qualitative Assessment and Review Instrument ( QARI ) . This procedure involved the collection of findings and categorized to bring forth a set of synthesized statements that represent such collection. How to cite Chronic Disease In St Lucia Health And Social Care Essay, Essay examples

Saturday, December 7, 2019

More Than a Sport Essay Sample free essay sample

Brotherhood is indispensable for the development of most work forces. From concerns to athleticss. we all go through hardships in life. Most need a small push to give them that other initial measure to make their possible. Majority of others are born leaders in which they lead the blind into the visible radiation to see what honor that will harvest on the other side. Football is more than a athletics. it is an intuition built on edifice character and bonds that can non be broken. Pure silence and deep contemplation clouded the cabinet room as we prepared for the resulting conflict against our challengers. Simpson Academy. As our defensive secondary manager. Coach Raley. began to reexamine over our defensive assignments. I walk outside. The heat of the Sun on my face felt great as I walked to the football field. Hands in my pocket. I wander aimlessly around the north terminal end station glade my caput and reviewing over the address that I was fixing to give as the secondary’s captain. We will write a custom essay sample on More Than a Sport Essay Sample or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Kneeling to the Earth. I rest my caput on my custodies and recited a supplication. After several proceedingss passed by. I returned to the cabinet room. Walking towards my cabinet I begin to strap on my equipment. After my teammates and I were to the full dressed. we all gathered together for a chant. After the chant I began to give my teammates a address about bravery. hardship. and brotherhood. After the address I looked into the eyes of every captain and teammate that stood before me and declaim this quotation mark from Ray Lewis. â€Å"You take five fingers. Individually. I can trap any one of them. but if I pin them together. it’s darn near impossible to turn this around† . We all raised our custodies as I stood in the center of the powwow and as we separated the reverberations of brotherhood bounced off the concrete walls in the cabinet room. Soon after our caput manager. Mac Barnes. gave us an emotional address and we all bowed our caputs hold oning one another’s manus declaiming the Lord’s Prayer. Lining up. the squad and I walked through the doubles door as we touched a commemoration of a former participant. Drew Denney. who died one twenty-four hours after pattern that was above the door. Troting onto the field. the crowd erupts with cheer interrupting sound dBs. Simpson jogs on the field to the sounds off hoot and disgust. As the cheers subside. the captains from each squad made their manner to focus on field with disgust and hatred filmed over their eyes. As the referee flipped the coin. we elected to postpone the kickoff. The conflict was about to get down. As the particular squad and I made our manner onto the field. I bury my cleats deep beneath the Earth as our kicker raised his manus and ran towards the ball. Prisoner of war! I jumping out of my stance go forthing spots of Earth behind as the ball spiraled downfield. Catching velocity. I made the resulting fierce tackle on the Simpson participant directing his helmet winging off at the four pace line. The crowd erupts. After Simpson’s three and out on discourtesy. they punt the ball. Our discourtesy makes their manner to the field. Quarterback receives the drama from the manager. gives the drama to the d iscourtesy. and stands under centre. Detecting the defence and doing his pre catch hearable and the centre hikes the ball. Droping back into his violative pocket. he scans the field for a broad unfastened receiving system and he finds one. Cocking back his arm. he launches the ball to the right out of bounds to a broad unfastened receiving system. Touchdown. the observer announces from the imperativeness box. The crowd erupts once more in a deafening boom of cheer. After that first drama. our discourtesy began to snap single-footing up 28 points in the first half as our smothering defence held them to zero points. After the halftime doorbell sounds. we make our manner to our respected cabinet suites. Excited and hyped up we run into the cabinet room with cheer and animalistic chants. Our manager. concealing his exhilaration. quiet us down and state us that we still have concern to take attention of. After the halftime celebrations. we made our manner back to the field to get down stretching and warming ourselves back up from being stationary. Simpson kicks the ball off to us. As our discourtesy makes their manner to the field. we are confident that we can non be stopped ; Unfortunately. Simpson had other programs in head as their defence intercepts a base on balls thrown to the center of the field to our running back and runs it to the terminal zone. Frustrated. I go to the out of bounds and state our discourtesy that we have to pick up our drama. The following several thrusts Simpson was ruddy hot from the field. Our defensive line began to pall as Simpson violative line drove them back and do our secondary choice up the slack. Missed tackles and blown assignments carried us into a deeper hole to delve ourselves out of. At the terminal of the game. the concluding mark was 35-28. Taking off my helmet in defeat and daze. my squad and I showed sportsmanship agitating Simpson teammate’s custodies. As we made our manner back to the cabinet room. heavy suspirations and emotions seeped throughout the full cabinet room. Our managers came in and gave us some motivational words to convey our liquors up. After the managers made their addresss. I got up and made my manner to the centre of the cabinet room. Angered. I made an emotional address about get the better ofing hardship and brotherhood. Bringing each one another up from a rough state of affairs and larning from you errors and how to get the better of those hardships if we of all time encounter them once more. After the address. I brought t he squad in for a chant and we went to our respected places. Football is non merely a game but. it teaches us finding and teamwork. You go through a batch of ups and downs and wins and losingss. You will hold to convey up some teammates and convey out the best in others. Your squad becomes non merely becomes a squad. but a brotherhood that can non be broken. In kernel. no affair what life throws your manner nor hardships and tests and trials that you may meet. remain strong and manner out the storm to see the rainbow on the other side.

Friday, November 29, 2019

J B Priestleys use of language, character, and setting for dramatic effect in An Inspector Calls Essay Example

J B Priestleys use of language, character, and setting for dramatic effect in An Inspector Calls Essay This essay shall examine the way in which J. B. Priestley uses dramatic effect in his 1945 play An Inspector Calls. The play is centred on an Inspector who gatecrashes the Birlings engagement party to their daughter Sheila and her Fiance Gerald croft, by announcing that earlier in the day a girl called Eva Smith, also known as Daisy Renton, committed suicide by drinking a bottle of disinfectant. The Inspector slowly makes his way around each of the Birlings and Gerald and asks them each a series of questions which results in each of the characters being convinced that they are to blame for her death. In this essay I will delve into the period and context of when the play was written, analyse the language used as well as the use of characters, the setting and the genre of the play. An Inspector Calls was written in 1945, but set one week before the Titanic set sail in 1912 the late Edwardian Era. I feel that this was done deliberately because J. B. Priestley may have intended to convey his optimism about World war one and how he thought a World War wouldnt begin. After World war two, I feel it was appropriate to release An Inspector Calls just for a simple morality play of which the morals could be not everything is what it seems and you never know what is going to happen. I feel this is due to dramatic irony as from the curtain opening there are many references towards disasters throughout history like the Titanic sinking in the middle of the Atlantic Ocean, after crashing into an Iceberg. Priestley conveys his optimism here as Mr. Birling says; the Titanic she sails next week. We will write a custom essay sample on J B Priestleys use of language, character, and setting for dramatic effect in An Inspector Calls specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on J B Priestleys use of language, character, and setting for dramatic effect in An Inspector Calls specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on J B Priestleys use of language, character, and setting for dramatic effect in An Inspector Calls specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Another reason of which I feel that the playwright was a good release at the time was for the distinctions between the upper and lower classes within society. In 1912, there were strong divisions between the upper and lower classes, but after World War one, and World War two, the Holocaust, the Titanic sinking, and the Atom bomb, there was a great want for social change between the upper and lower classes for the country to stick together in the event of another disaster occurring. As this social reform had taken place, the effect on the audience was likely to be huge, and would make both the upper and the lower class audiences realise just how bad the upper class treated the lower class during the pre-war period. Throughout the play, the upper class audience should have perceived that they took great advantage of the lower class population. I therefore feel that one of J. B. Priestleys intentions for writing the play was to convey how the lower class were treated before the first World war, and he does this by portraying Eva Smith as vulnerable, weak and average. This is able to gain maximum impact on the audience as Evas character is built up slowly and emotionally throughout the play. This concept is shown as the Birlings and Gerald Croft take advantage of her and thus takes her own life. Throughout the playwright, J. B. Priestley uses many dramatic techniques and communicates these effects well. One way that the tension is sustained is by using dramatic irony. This is an occasion when a character makes predictions about the future now the past and the audience know that these predictions have been proven untrue, an example being when Mr. Birling says The Germans dont want war. Nobody wants war, except some half civilised folks in the Balkans, but the audience already know that the Germans did want a war and was dubbed World War one. Now the audience are likely to think that Mr. Birling is a completely over-opinionated plank. This allows the audience to engage and become involved in the play by answering back and saying oh, but yes that has happened you fool! I also feel the reason that Mr. Birling says these sentences is because J. B. Priestley is conveying his optimism through Mr. Birlings grand speeches to get his points over. Another technique used to keep tension throughout the performance is by the way that each member of the family seems to have had some involvement with Evas death. This tension leads to a pattern of new pieces of information being submitted, therefore developing the story and making the audience interested in how each character reacts to the revelations involved in the play. I feel that one of the most dramatic effects is created when the Inspector is introduced to the Birlings. Inspector Goole is very abrupt and gets straight to the point for example when hes describing Evas graphic death; Two hours ago a young woman died in the infirmary burnt her inside out of course. This quote is repeated about three times in the play, and is a good means of maintaining the tension within the play, by indicating that something substantial is going to happen rather soon whether this is something that someone is going to say or something that someone is going to do. The Inspector doesnt give any clues away about her death, but he makes sure that tension is kept by making a statement and making the Birlings finish off the story, telling him what has been going on. This makes the audience watch the play attentively to the end. I also feel that the Inspectors role is important as he keeps the pace of the plot running smoothly. This is done as he deals with one line of enquiry at a time, and Evas life is unravelled before the audiences eyes making sure that each of the characters of the play has an equal amount of blame placed upon each of them for her death. By the end of act one, the Inspector is in complete control of the family and the situation that theyre in. He does this gradually from his entrance. His entrance is effective, and he speaks very little at the beginning, and makes Mr. Birling feel anxious. As Mr. Birling asks the question; Some trouble about a warrant? the Inspector ominously replies No, Mr. Birling. The third line of this conversation is when Mr. Birling begins to get annoyed at the Inspectors small communication with him, and he asks Well, what is it then? ith a trace of impatience. This is just one of the many occurrences when the Inspector uses only a few words for a sentence, and makes the audience feel that the Inspector is going to rely on the Birlings and Gerald to do most of the talking unless he is asking a question. The Inspector controls the family by making out that he knows everything that has gone on. He seems to be an experienced Inspector as he knows how to get the information that he needs. The way that he seems to know everything that has gone on makes the other characters act irrationally and as a result the audience will enjoy the play even more than they would have if they didnt think he knew what he was talking about. I believe that the playwrights plot unravels extremely well. The tone of voice of the characters is crucial towards the play because it is one way that the audience gets to see the characters cracking and it shows us that theyre hiding things that the Inspector isnt meant to hear. This is quite important because unlike other plays this play doesnt contain soliloquys, which give an insight towards the thoughts and the feelings of the characters. The most important part of the play is when the phone rings and it echos that a girl has just died in the Infirmary, and that an Inspector will be calling in shortly to question them about her death. This is effective as the audience have already heard the sinister story and will then feel that the Birlings either got what they deserve, or will sympathise with them feeling that they shouldnt be put through all of the questioning again. Language in this specific play has a proficient impression on the audience. The sentence structure of the play is crucial. This includes the length of sentences within the play, the vocabulary, and the underlying meaning implied by the characters. The language in this play is vital towards the development of the story. Mr. Birling speaks in long, spaced out speechs and at the beginning, hes quite confident in his long speeches to the family, although Mr. Birlings confidence is soon enough replaced with apprehension and self justification though I feel that he is anxious for the wrong moral reasons, as he only seems to care about his knighthood and not the fact that a girl has died because of his family. I therefore feel that Mr. Birlings speeches depend on how much hes in control of a situation and how happy he is. This is indicated as he acts like a temperamental child if he gets wound up, hell storm out, which is visible on page twenty one of the play as the Inspector says Thats more or less what I was thinking earlier today asty mess somebodys made of it. Mr. Birling who is Provincial in his speech uses very gallant vocabulary on a day-to-day basis he doesnt use the simplest of terms for things. The vocabulary he uses wouldnt be used too freely in todays society, nor too frequently in the nineteen forties so insisting Mr. Birlings aim is to be on the upper part of the upper class, when all he is, is Middle Class (I will disc uss social class later in my essay). This vocabulary also speeds up the confrontations in the room throughout the play, because without realising, he is digging a larger and larger hole to get out of. The use of colloquial terms is effective nonetheless in the play, for example, squiffy could be perceived as meaning drunk, and by jingo could be perceived as meaning oh God when youre in a fluster, but these terms wouldnt be used nowadays. This is vital because it adds towards the character development in the play perhaps indicating that the Birlings feel the need to use these terms because they think that theyre better than others, and feel the need to speak in these colloquial terms. The language used is effective on the audience, in the way that theres virtually always an underlying meaning somewhere in each point brought up in the play in relation towards Evas death, and the Inspector nearly always brings about a confrontation somewhere along the line. The use of language during Mr. Birlings speeches are strong because he always seems to know what hes talking about, however the use of dramatic irony in the play is crucial to make the audience think Ha! What an idiot! Two examples of this dramatic irony are when Mr Birling makes the quotes about the war I say there isnt a chance of war and the Titanic; the Titanic she sails next week and unsinkable, absolutely unsinkable. This quote leads me to believe that hes too pessimistic about the world around him, and leads the audience to think that his heads too far up in the clouds and he believes anything that hes told. This is adding towards character development, as it shows that Mr. Birling is quite naive. Its necessary to have this use of language to develop the characters social status within the play. Although Mr. Birling would disagree with me, I feel that he and his family are of Middle class status, as he has a business that has only been open for a minority of years, and at the beginning of the show, Mr. Birling is confident in himself, as he says sentences about himself and his business like the following; and I speak as a hard-headed business man, however in great comparison, the Crofts business has been open for centuries, and therefore this leads me to the conclusion that the Crofts are of a high social status. This leaves no question of why Mr. Birling is happy about tonight, as he assumes that the Crofts will work together with the Birlings as he feels that they will be family and perhaps we may look forward to the time when Crofts and Birlings are no longer competing but working together I also feel that the use of language used is necessary by means of retaining authenticity. The language is therefore significant to both the effects on characters, and the audience. The effects on the characters will be varying from character to character, for example the use of language used by the Inspector may be harsh and impolite in Mr. Birlings eyes as hes very abrupt, but from Sheilas point of view, he could be speaking calmly and politely towards the family. This has an effect on the audience using drama, because it will be dramatic for them as the Birlings and Gerald may react in differing ways to the Inspectors language. Priestleys use of character and character development in the play is crucial towards the play just as it is within novels; however there are two main divisions between characters in the play both directly and non-directly. These divisions are between the adults in the play with the younger members of the theatrical production and there is also the division of different social classes within the play. The youngsters in the play are Gerald, Sheila, and Eric, each of whom in turn are helpful towards the Inspector by being truthful about what happened nearly all of the time. This makes me believe that they arent as scheming and are influenced more by the Inspector than Mr and Mrs Birling are. This connotation is based upon how Sheila realises that the Inspector only wants the Birlings to build a bigger wall between themselves therefore shed rather tell the truth. It is also apparent when the Inspector says We usually do on the younger ones, that the Inspector knows that hell have an affect on the younger members of the family. The division between the adults and the youngsters becomes apparent when Mr and Mrs Birling begin to cover up their tracks immensely, however the Inspector knows what hes doing he knows how to get down to the bottom of things, and by the end the audience are left in ore by the way that the whole truth has come out, without any ends being left untied. By the end of the play there have been visible divisions within each member of the family, for example, Sheila and Gerald wont be the same again by the way that Geralds little secret has come out in front of his fiance. From the entrance of the Inspector to the end of the play its visible hes there to forewarn the family of the real Inspectors trail of thinking and also to warn them not to lie to the Inspector as it will only work out to the Inspectors advantage, because he knows most of the facts anyway. Although An Inspector Calls is not the most ha-ha funny play that Ive read, it is fun to read in the way that the characters keep digging themselves into a larger more riveting hole, and by the end they become embarrassed by the lies that theyve told the Inspector, thus meaning more enjoyment for the audience. Most of the humour used in An Inspector Calls is conveyed through dramatic irony, and is a humour that makes the viewers think ah, I like what youve done there. This means that the plot line is mentally stimulating for the audience, and yet again the audience are able to become involved in the play. Having said that, there are some occurrences when there are some ha-ha funny sentences, one of which is when the Inspector says An hour ago, a girl was taken into the Infirmary after drinking a bottle of disinfectant, and Sheila replies Oh, was it an accident. My simple answer would be are you stupid girl? This would be perceived as funny as someone can hardly drink a bottle of disinfectant by accident misplacing it for a cup of Tea! When Sheila finds out what happened to Eva, it shows that she has a conscience, by sympathising with her. When she finds out who she was and she finds out her story, her empathy for Eva grows, and she solely feels to blame for her suicide even though I feel she had the smallest part to play in her suicide. The same goes for Eric and Gerald who feel great sympathy for her too, but they seem to have had much more to do with her suicide. Whilst watching the play, the audience notice that the oldest members of the family Mr. and Mrs. Birling give very little sympathy for Eva throughout the play. This brings me to the conclusion that the younger members of the family have much more sympathy for other people, and that they are influenced much more easily by the Inspector, unlike Mr. and Mrs Birling who show very few signs that the Inspector is influencing them with his questions unless you look at the way that they act, which changes dramatically within the play. This gives the impression that the youngsters are more in touch with their senses too. One of the main reasons that the characters have been developed in these ways is to get the audience involved, by making them feel annoyed at the characters who you are supposed to feel annoyed at, for example Mr. and Mrs. Birling are the characters in this play who are meant to make the audience feel annoyed at them because they take no responsibility for Evas death, which is rather cowardly of them. I feel that Eric has been placed in the play to be funny, however, he still has many sides to him which are like his parents like the way that he runs away from the truth. I feel that the audience are meant to feel inspired and sympathetic towards Gerald and Sheila because of their honesty towards the Inspector and the way that they stand up in front of each other and tell the brutal truth of the way that they see Evas death, and Sheila unlike the rest of her family doesnt run away once. The way that they are inspired by the couple is mainly because of their honesty in front of each other. Similar couples wouldnt have the guts to admit what theyd done to themselves, never mind their partner. This is therefore a good situation to place the sympathetic couple in. I feel this because itll be the best day of their lives so far together, so people will think awww, what a shame but in relation to what Eva must have been put through other people would think that they deserve it. The use of setting in the play is very necessary to this play and therefore this essay. When the Inspector is introduced to the play the lighting changes drastically, from an intimate pink colour to a much harsher, harder colour, thought to be red. This immediately affects the audience because it indicates that the inspector will have a huge impact on the play. From the beginning of the play, there are many references towards stage directions and setting which are vital, for example on page three of the play it quotes Half playful, half serious to Gerald. This builds up the atmosphere that Sheilas excited for her engagement party, but it also adds to the early character development within the play. The fact that the play is set in one room may be boring for some viewers, however I feel that it is rather effective towards the play in order for the tension to be kept within the playwright, and also so it doesnt turn into some sort of wild Goose chase for the Inspector. This is effective in the way that the Inspector can ask each of the characters, in turn, questions without having to ask where they are in the household and find them, which would get boring and expensive for theatre companies in a society still recovering from two World Wars. This therefore gives the effect of an interrogation room for the characters. There are many entrances and exits within the play, and this is extremely effective in the way that the audience get to find out that the characters are under pressure by the Inspectors questions. When characters leave the room, we find out even more about the characters involvement in her death, which leads up to tension, because the audience begin to get an adrenaline for the next entrance of that character. When the Inspector arrives its nothing short of fantastic. I feel this is because of the way that the happy atmosphere has been built up fantastically, and then an Inspector walks in with the news that a girl died earlier in the day after drinking a bottle of disinfectant, therefore when the Inspector arrives the atmosphere drastically changes. This therefore proposes the notion that the play is made successful by the use of entrances and exits of characters. I wouldnt particularly say that this play is typical of a morality play or of a detective play in terms of the setting however it does create the sense that it has been created as a morality play as it is quite emotional I feel its emotional in the way that it illustrates how badly the lower class were treated by the upper class before world war one. I therefore feel that this play is good in terms of the genre and the setting within the play. I feel that J. B. Priestley has used the correct media type in a play, as the audience build up an affinity with each of the characters (especially Eva though shes not directly involved in the play), as they are seeing it being made more dramatic by terms of acting which wouldnt be as effective if it were portrayed in a novel or poem. This is definitely meant to be performed for an audience.

Monday, November 25, 2019

The 10 Best Culinary Schools in the US

The 10 Best Culinary Schools in the US SAT / ACT Prep Online Guides and Tips If you want a career as a chef, just trying out new recipes at home isn’t going to cut it. You’ll need to hone your skills through education, experience, or both. One of the ways to become a chef is by attending culinary school. In this article, we’ll outline what culinary schools are, who should attend them, and provide a list of the ten best culinary schools for prospective chefs. What Are Culinary Schools? Culinary schools provide professional, accredited courses related to cooking, creating recipes, decorating food, and more. When you attend culinary school, you’ll learn all aspects of food preparation and service. Culinary schools have different degrees and certificates based on what you studied. What Degree Do You Get at a Culinary School? You may associate culinarycolleges with becoming a chef, but these schools actually offer a range of degrees. But what types of degrees can you get at a culinary school depends on the school you attend and the program you enroll in. Some of the most popular culinary school programs include: Culinary arts Culinary management International cuisines Baking and pastry arts Hospitality management Restaurant management Students with a culinary school degree have many job opportunities. You can become a chef, a baker, a food and beverage director, a resort manager, or something else entirely. That being said, is a culinary school degree necessary to work in the food and beverage or hospitality industries? Do You Need to Go to Culinary School to Be a Chef? In short, no. It’s not mandatory to go to culinary school to become a chef. In the culinary world, experience goes a long way. Many chefs get their start by accumulating industry experience as line cooks or other kitchen helpers. That being said, going to culinary school has its benefits. After graduating, you’ll have a degree that demonstrates your preparation and education. Having a culinary school degree can help open doors for you as you try to get a job as a chef. 10 Top Culinary Schools If you’re looking to get a degree from a culinary school, these ten schools are the best of the best. #1: Culinary Institute of America at Hyde Park The Culinary Institute of America was founded in 1946 and is one of the best culinary schools in the world. With campuses in New York, California, and Texas, it has many options for students across the country. The school offers a number of degree programs, including bachelor’s and associate degrees. There are also professional development programs, as well as certificates for food and wine enthusiasts. #2: Institute of Culinary Education With campuses in Los Angeles and New York, the Institute of Culinary Education is a good option for a culinary degree. The Institute of Culinary Education offers diplomas in hospitality management, pastry and baking arts, culinary arts, and more. ICE has multiple degree programs of different lengths, so you can craft an education that meets your goals. With more than 14,000 graduates, ICE is one of the most renowned culinary degree programs in the United States. #3: L’Academie de Cuisine Despite the French name, L’Academie de Cuisine is located near Washington DC. Founded by fabled chef Francois Dionot, L’Academie is known for its rigorous approach to food education. There are just two degree programs here: pastry arts or culinary arts. Each program has three phases, the final one being a paid apprenticeship at a fine-dining establishment. #4: Johnson and Wales University Johnson and Wales University has locations in Florida, Denver, Charlotte and Providence and offers ten different culinary programs to choose from. Program options include culinary arts, culinary nutrition, culinary science, baking and pastry arts, restaurant, food and beverage management, and more. The breadth of degree programs at Johnson and Wales provides a good option if you want to study the culinary arts, but aren’t exactly sure what you want to specialize in yet. #5: Metropolitan Community College: Omaha, Nebraska Metropolitan Community College in Omaha, Nebraska has one of the best culinary programs in the country. The programs here are focused on helping you become a restaurant manager or a chef through a combination of education and experience. Low tuition prices and the chance to build a strong culinary portfolio make this school a great option. #6: Auguste Escoffier School of Culinary Arts The Auguste Escoffier school teaches techniques developed by the â€Å"King of Chefs,† Auguste Escoffier. This program offers small class sizes, as well as unique opportunities like the three to ten week â€Å"Farm to Table† experience that brings students out of the kitchen and onto the farm. Students learn state-of-the-art techniques and receive valuable paid internship opportunities. #7: Sullivan University National Center for Hospitality Studies Given an â€Å"exemplary† rating by the American Culinary Federation, the Sullivan University National Center for Hospitality Studies offer associate’s degree programs that students can finish in eighteen months. Graduates of the program have gone on to work as chefs, nutritionists, food scientists, and more in a number of different places. #8: New England Culinary Institute The private, for-profit New England Culinary Institute has many options for wannabe chefs, including associate's and Bachelor's degrees. Both degree programs require internships, so students will have plenty of hands-on experience. NECI also offers a number of options for career placement, like career counseling, professional development workshops, and and networking opportunities. Celebrity chef Alton Brown is an NECI alum, so if you're a "Good Eats" fan, you might want to apply here. #9: San Diego Culinary Institute The San Diego Culinary Institute focuses on practical application, with over 80% of the program occurring in the kitchen. Programs are typically completed in eight to eleven months and have both full and part-time options. As part of your work at the San Diego Culinary Institute, you’ll complete a paid internship that helps you get on the ground experience. #10: Culinary Institute of Savannah The Culinary Institute of Savannah caters to students at all stages of their careers, from total beginners to experienced. Students learn both international and American cooking techniques and can earn degrees in Culinary Arts or Culinary Baking and Pastry Arts. All degree programs require extensive time in the kitchen. Culinary Schools: Final Thoughts It’s not necessary to go to culinary school to become a chef, but if you want a culinary degree, there are tons of options for good schools out there. Consider what you want to study and how much hands-on experience you’d like when deciding which culinary school to apply to. What's Next? Not sure if a graduate degree is the right move for you? Then take a look at our in-depth guide on what grad school is and how to determine whether you should go as well as our specific guide to master's degrees. Not that into cooking and more interested in the arts? Then perhaps you'll want to take a look at our picks for the best performing arts schools and the best creative writing programs.

Friday, November 22, 2019

Frankish-Muslim Relations during the Crusades Essay

Frankish-Muslim Relations during the Crusades - Essay Example Inter-Religious wars manifest in the nature of arguments between Muslims and Christians and their mode of reference to each other. For example, the Franks are enemies to the Muslims and at the same time their property owners. The essence of the crusade period is the inferior consideration that each member of the two distinct religions gave to each other. Apparently, the arguments about the episodes of the interactions between Muslims and Christians are judgmental because the two authors Ibn Jubayr and Ibn Manqidh were both Muslims. They majorly present the Christian Franks as the dominant group, inflicting suffering and misconduct against the Muslim community. It very rarely mentions the incidents where Muslims did injustice and unfairness. From the two accounts, the only exceptional case of Christian virtue demonstrated by the Frankish community was where a knight defended a Muslim Merchant from a crowd that was planning vengeance on him (Munqidh 38). This was after another knight w oman alleged that the Muslim had murdered her brother. 2. Research Questions The research is based on two major questions: 2.1. Question 1: How were the Muslims and the Frankish Community relating and how was their interaction? 2.2. Question 2: Was the Crusade Period a war or one community was dominating the other? 3. Discussion To answer the questions, the interaction between the two communities was full of interreligious isolation. The Christian Franks showed many discriminative alignments against the Muslims as is evident in the boundaries between the two religious groups. A good example is the â€Å"The Tree Measure†. Further discussion will reveal more details to validity the responses to the study questions. 3.1. Segregation or Interaction Interreligious separation as discussed by the two authors present the Franks and Muslims as two different communities, living in total separation. In fact, not even a meal can bring them together except where one party compromises his or her faith. In this regard, there were farms belonging to the Muslim Community, such as Tibnin. The rightful ownership the Farms were controlled by the Frankish community (the property owners). However, Ibn Jubayr acknowledges that in that settlement, the Muslims and Christian Franks were living peacefully. This is ironical since at the same time, he claims that Muslims had to surrender part of their harvests to the Franks as poll tax. The perpetrators of racial and religious injustices were majorly the Franks, who forced the Muslims to observe the conventional laws developed by their own government (the Franks). This robbed the Muslims of their freedom and rights. The Franks, as Ibn Jubayr claims, robbed the Muslim habitats and spared the Frankish side (Jubair 52). In Syria, there is a very clear example of religious discrimination and isolation, where the Frankish merchants grabbed mosques and turned them into Churches, much to the disappointment of the Muslims. They turned the areas previously used by Muslims for worshipping, into abomination by erecting Christian crosses, slaughtering pigs and defiling them with excrement. In all this, Ibn Jubayr claims that Muslims could only weep with their eyes full of tears of pain. 3.2. Points of Interaction The points of interaction between Muslims and Christians were the trading points such as Acre in Syria. This was the unloading point for ships. The Muslims and Christian Franks from all regions gathered in this place and interacted but of course, with