The Impact of Reforms within the Milk Sector in 1984 Research Paper

The Impact of Reforms within the Milk Sector in 1984 - Research Paper Example Milk is sold either through contract or cooperatives. The ratio of cooperatives in total milk production is different in the individual member countries of the EU because of differing systems of agriculture. The ratio of cooperatives is the lowest in Spain and Greece (18 and 20 percent), and is the highest, in Denmark, Ireland, Finland, Sweden and the United Kingdom (96-100 percent). Within the UK, milk and dairy products are mainly distributed through cooperatives. The milk production scenario in the UK is not just limited to distribution factors but also to its production which seem to determine the general outlook of the milk sector4. The milk sector in UK is a large one and there are around 12 million cattle in the UK mainly reared for beef or milk production. Department of Environment, Food and Rural Affairs or Defra is responsible for UK milk production and marketing policy. Defra has the responsibility for sponsorship of the dairy industry in the UK and helps to sustain the industry. The Common Agricultural Policy5 and milk quotas and UK policy on dairy are controlled and implemented by the Defra. Defra thus upholds global Milk and dairy policies and also represents UK interests at the EU Management Committee for Milk and Milk Products6. The pre-1984 scenario in the dairy sector showed higher production quantities and as there were no quota constraints, the more efficient producers could expand on a large scale whereas the least efficient ones had to leave milk production. Milk production quotas that were introduced by 1984 tend to thwart these market patterns and even allow the least efficient milk producing units to stay in business putting a check on the more efficient ones who have competitive advantages. There was an excess milk production in the pre-1984 scenario and the export facilities or even the disposal facilities were time consuming, expensive or even insufficient or unavailable7. What made the EU reform' The additional production quota, introduced in 1984, has been designed to reduce the imbalance between supply and demand for milk and milk products and consequently the resulting structural surpluses8. Thus with the quota system, excess production and surpluses could be handled more efficiently. Some of the factors responsible for introduction of quotas include budgetary pressures, over or excess supply of milk when productivity increased much more than the consumption and also external pressures. According to the Defra, the milk quotas system was introduced by the European Community in April 1984 in which member EU states were allocated a national quota of milk production and supply. This was done to curb excess production of dairy products and also to reduce expenditure on the disposal of surplus milk and milk products9. Pre-1984, expenditure on support and removal in the dairy sector had reached 5.2 billion euro that was 30% of the total agriculture budget10. Reform - The use of quotas/ super levies as the main instrument The quota limits were in place for EU milk production since 1984, and individual milk producers were subject to these policy changes. Following the

Organisational Behaviour and Development-Assessment Task No 2 Essay

Organisational Behaviour and Development-Assessment Task No 2 - Essay Example These are the questions we will seek to address in this report and attempt to provide solutions based on various researches. Emotions in the workplace have a profound effect on everything we do as it affects thoughts and behaviors. On the other hand, attitudes are a representation of beliefs, feelings and behavioral intentions towards a person, object or event and involve conscious logical reasoning unlike emotions which occur as events often without awareness. Emotions affect workplace attitudes. In the workplace as we interact with co-workers, individuals experience a variety of emotions that shape our feelings towards the company, the job itself and our bosses. The most common of this attitude researched about in the work place are job satisfaction and organizational commitment (Workplace emotions and attitudes, n.d). From our case study, Fran’s Hayden suffered significant adverse effects at Dairy engineering arising substantially from job satisfaction and job role expectat ions. Job satisfaction represents an individual’s evaluation of their job and work content (Workplace, n.d). Frans expectations were affirmed from Peter Bruton her boss, Rob the chief accountant and herself. First we learn that Fran’s was interested in a position in the dairy engineering in the hope that she will gain practical experiences in addition to the higher salary. She was offered a position she knew she will not enjoy but still went ahead and accepted it. she was told her work will entail compiling the monthly report known as â€Å"big brother† but later she found her work was entirely clerical which made her wonder why MIS needed her yet she had very little to do in that department. Obviously Fran’s expectations of practical experience were not met. The other problems identified from the case study that made it unbearable for Fran is the poor organizational structure of dairy engineering. Every organization has components that require profession al and effective management. The key components of an organization are people and structure. Formal organizational structures are hierarchical with people at each level having their own objectives and people at the lower levels report to higher level managers. This system has the principle of unity of command inbuilt in it. This determines the efficiency of the organization which depends on the free flow of information, efficient communication system, well defined authority and responsibilities supported by detailed policies, rules and regulations. An organization must have outlined systems that are understood by everyone in the organization (Ashraf, n.d.). Looking at the Fran scenario in the dairy engineering, there was no formal on boarding process in place. On her first day of work, she was accompanied by a colleague who introduced her to the rest of the team then her boss explained to her what her duties are and she started working. A formal new hire process ensures that new emp loyees like Fran are given the same information with respect to company policies, expectations and procedures that ensures consistency and accuracy (Plowman, 2010). When Fran boss went on leave, Fran took orders from Rob the chief accountant who gave her the opportunity to attend a management workshop in Auckland. When Fran got back, her boss Burton was furious that he had not been consulted and he felt his authority was being undermined.Fran is not to blame since all she did was do as she was told. The

The Life Of Wolfgang Amadeus Mozart History Essay

The Life Of Wolfgang Amadeus Mozart History Essay One of historys most tragic figures, Wolfgang Amadeus Mozart begun his performing career as a child prodigy. He played the piano, harpsichord, organ, and violin beautifully and was taken by his father on a number of concert tours through several European countries. The young performer delighted his noble audiences, who rewarded him, however, with flattery and pretty girls rather than with fees. (Copied straight from the book and should be in quotes.) Mozart was fun loving, sociable, and generous to a fault, but he never learned the art of getting along with others. Fiercely independent, he insisted on managing his own affairs, apparently without great success: though recent scholarship reveals that he earned substantial sums, he was chronically short of money. (Quotation marks?)(Ferris, 2010) Mozart was born in Salzburg, Austria; Wolfgang Amadeus Mozart was a multi-instrumentalist who started playing in public at the age of six. Over the years, Mozart aligned himself with a variety of European venues and patrons, composing hundreds of works that included sonatas, symphonies, masses, concertos, and operas, marked by vivid emotion and sophisticated textures. (Quotation marks?) (Wolfgang Mozart. Biography) In the summer of 1781, it was rumored that Mozart was contemplating marriage to Fridolin Webers daughter, Constanze. Knowing his father would disapprove of the marriage and the interruption in his career, young Mozart quickly wrote his father denying any idea of the marriage. By December, he was asking for his fathers blessing. Wolfgang Amadeus Mozart married Constanze on August 4, 1782. Mozart and Constanze had six children, though only two survived infancy, Karl Thomas and Franz Xavier. (Copied from page 3 of website: Wolfgang Mozart. Biography) Karl Thomas Mozart (1784 1858), a skillful pianist, did not perform professionally. He became an Austrian government official and never married. With his death, the direct Mozart lineage ended. The youngest child, Franz Xavier Wolfgang Mozart (1791 1844), was known as Wolfgang Amadeus, Jr. Born only five months before his fathers death, he remembered nothing of him. In a classic case of a fathers fame intimidating a gifted child, the son showed early promise as a composer of depth and originality, but the image of the father he never knew loomed over his career with a stifling effect. (Copied from the indicated source.)(Famous family history) Mozarts father Leopold (1719 1787) was one of Europes leading musical teachers. His influential textbook Versuch Einer Grundlichen Violin Schule, was published in 1756, the year of Mozarts birth. He was deputy Kapellmeister to the court orchestra of the Archbishop of Salzburg, and a profile and successful composer of instrumental music. Leopold gave up composing of instrumental music. Leopold gave up composing when his sons outstanding musical talents became evident. They first came to light when Wolfgang was about three years old, and Leopold, proud of Wolfgangs achievements, gave him intensive musical training, including instruction in clavier, violin, and organ. Leopold was Wolfgangs only teacher in his earliest years. A note by Leopold in Nannerls music book, the Nannerl Notenbuch records that little Wolfgang had learned several small Andante and Allegro, written in 1761, when he was five years old. (Copied from Indicated source). (Wolfgang. Biography) Mozart firmly believed that supreme element of opera was music, which the text must always serve; never the other way around. He wrote serious as well as comic operas, and some of his works are a curious combination of styles. The Magic Flute, for example, is a German opera with both serious and comic implications, and Don Giovanni is a serious Italian opera that includes several comic episodes. The Marriage of Figaro is a delightful romp that nevertheless addresses serious political concerns of the emerging middle-class audience of late eighteenth-century Vienna. (Copied from Indicated source). (Ferris, 2010) Mozarts operas teem with love and anger, with humor, wit, pathos, and revenge. Yet Mozarts emotional expression is always under firm control for no matter how unlikely the plots or improbable the resolutions of his operas, he never abandoned classical restraint. Soaring melodies and attractive harmonies, presented in a wide range of orchestral and vocal timbres and effects, provide unfailing entertainment in these masterpieces of Music Theater. Although primarily a secular age, the Classical period was still strongly influenced by the church in some areas of Europe, and many eighteenth-century composers contributed to the repertoire of sacred-Catholic or Protestant-music. (Copied from Indicated source). (Ferris, 2010) Haydn and Mozart, both Catholics, continued the well-established tradition of writing Masses, oratorios, and other religious compositions for church and for concert performance. Haydn, profoundly moved by Handels Messiah, in his last years wrote two beautiful oratorios of his own, The Creation and the Seasons. Both Mozarts and Haydens Masses contain passages for solo voice and for small vocal ensembles, alternating with magnificent choruses all accompanied by organ and orchestra. The solo passages are sometimes quite operatic, but the emphasis in these religious works is on the choral sections. The irrepressible Haydn, criticized for writing religious is on the choral sections. The irrepressible Haydn, criticized for writing religious music that was too happy, replied that he did not believe the Lord minded cheerful music. (Copied from Indicated source). (Ferris, 2010) Mozarts years in Vienna, from age twenty-five to his death at thirty-five, cover one of the greatest developments in a short span in the history of music. In these ten years Mozarts music grew rapidly beyond the realm of many of his contemporaries; it exhibited both ideas and methods of elaboration that few could follow, and to many the late Mozart seemed a difficult composer. (Wolfgang. Biography) In the years 1763 1766, Mozart, along with his father Leopold, a composer and musician, and sister Nannerl, also a musically talented child, toured London, Paris and other parts of Europe, giving many successful concerts and performing before royalty. The Mozart family returned to Salzburg in November 1766. The following year young Wolfgang composed his first opera, Apollo ET Hyacinthus. Keyboard concertos and other major works were also coming from his pen now. (Mozart Biography) In 1769, Mozart was appointed Konzertmeister at the Salzburg Court by the Archbishop. Beginning that same year, the Mozart made three tours of Italy, where the young composer studied Italian opera and produced two successful efforts, Mitridate and Lucio Silla. In 1773, Mozart was back in Austria, where he spent most of the next few years composing. He wrote all his violin concertos between 1774 and 1777, as well as Masses, symphonies, and chamber works. Toward the end of the 1780s Wolfgang Amadeus Mozarts fortunes began to grow worse. He was performing less and his income shrank. Austria was a war and both the affluence of the nation and the ability of the aristocracy to support the arts had declined. By mid 1788, Mozart moved his family from Central Vienna to the suburb of Alsergrund, for what would seem to be a way reducing living costs. But in reality, his family expenses remained high and the new dwelling only provided more room. Mozart began to borrow money from friends, though he was almost always able to promptly repay when a commission or concert came his way. During this time he wrote his last three symphonies and the last of the three Da Ponte operas, cosi fan tutte, which premiered in 1790. During this time, Mozart ventured long distances from Vienna to Leipzig, Berlin, and Frankfurt, and other German cities hoping to revive his once great success and the familys financial situation, but he did neither. 1788 1789 was low point for Mozart, experiencing in his own words black thoughts and deep depression. Historians believe he may have had a cyclothymiacs personality with manic depressive tendencies, which might explain the periods of hysteria coupled with spells of hectic creativity. Between 1790 and 1791, now in his mid thirties, Wolfgang Amadeus Mozart went through a period of great music productivity and personal healing. Some of his most admired works. The opera, The Magic Flute, The final piano concerto in B-flat, the clarinet concerto in A minor, and the unfinished Requiem to name a few were written during the time. Mozart was beginning to revive much of his public notoriety with repeated performances of his works. His financial situation begun to improve as wealthy patrons in Hungary and Amsterdam pledged annuities in return for occasional compositions. From this turn of fortune, Mozart was able to pay off many of his debts. However, during this time both Wolfgang Amadeus Mozarts mental and physical health was deteriorating. In September, 1791, he was in Prague for the premier of the opera La clemeza di Ti to, which he was commissioned to produce for the coronation of Leopold II as King Bohemia. Mozart recovered briefly to conduct the Prague premier of The Magic Flute. Mozart fell deeper into illness in November and was confined to bed. Constanze and her sister Sophie came to his side to help nurse him back to health, but Mozart was mentally preoccupied with finishing Requiem, and their efforts were in vain. Wolfgang Amadeus Mozart died on December 5, 1791 at age 35. The cause of death was uncertain, due to the limits of postmortem diagnosis. Officially, the record lists the cause as severe miliary fever, referring to a skin rash that looks like millet seeds. It was reported that his funeral drew few mourners and he was buried in a common grave. Because he was buried in an unmarked grave, it has been popular assumed that Mozart was penniless and forgotten when he died. In fact, though he was no longer as fashionable in Vienna as before, he continued to have a well paid job at court and receive substantial commissions from more distant parts of Europe, Prague in particular. He earned about 10,000 florins per year equivalent to at least 42,000 US dollars in 2006. Wolfgang Amadeus Mozart death came at a young age, even for the time period. Yet his meteoric rise to fame and accomplishment at a very early age is reminiscent of more contemporary musical artists whose star had burned out way too soon. Constanze sold many of his unpublished manuscripts to undoubtedly pay off the familys large debts. She was able to obtain a pension from the Emperor and organize several profitable memorial concerts in Mozarts honor. From these efforts, Constanze was able to gain some financial security for herself and allowing her to send her children to private schools. At the time of his death, Mozart was considered one of the greatest composers of all time. His music presented a bold expression, of ten times complex and dissonant, and required high technical mastery from the musicians who performed it. His works remained secure and popular throughout the 19th century, as biographies were written and his music enjoyed constant performances and renditions by other musicians. His work influenced many composers that followed most notably Beethoven in its complexity and depth. Along with his friend Joseph Haydn, Mozart conceived and perfected the grand forms of symphony, opera, string ensemble, and concerto that marked the classical period. His seven year old son, Karl, noted that a few days before Mozart died his entire body became so swollen that the smallest movement was almost impossible. He also noted that there was an awful stench, which after death made an autopsy impossible. It was also observed that upon death the corpse did not become stiff and limbs were able to be bent, which is often the case when someone is poisoned. So was Mozart poisoned or was it disease that killed him? The poisoning theory is interesting in the Mozart himself started these rumors by telling his wife, I am only too conscious that my end will not be long in coming, for sure, someone has poisoned me! For a long time poisoning had been suspected. Who could have done it? The first suspect was his rival Antonio Sallieri, chief composer to the court of Emperor Joseph II. Mozarts wife blamed Salieri, and in his later years, suffering from dementia, Salieri, himself took credit for poisoning Mozart. This has been discredited as Salieri had no reason to murder Mozart. Salieri was in a position of power and esteem with a handsome stipend, and Mozart was of little threat to him. Some maintained that Mozart poisoned himself by treating his syphilis with mercury and using larger than recommended doses. Others felt the Freemasons did him in because his Magic Flute challenged their doctrines and revealed their secret rituals. An early 20th century German neuropsychiatrist, Mathilde Ludendorff, put forward one of the most bizarre theories that the Jews, Masons, and Catholics collaborated together to poison Mozart. Mozart was a studiously hard worker, and by his own admission his extensive knowledge and abilities developed out of many years close study of the European musical tradition. In particular, his operas display an uncanny psychological insight, unique to music at the time, and contuie to exert a particular fascination for musicians and music lovers today.

Interactive Media and Its Effects on Copywriting Essay -- Communicatio

Interactive Media and Its Effects on Copywriting Interactive media and the World Wide Web have become an entirely new medium for advertising copywriters. As new innovations in computer technology arise, copywriters find the best ways to utilize interactive media for marketing their products, and sometimes, themselves. They have discovered several key marketing methods including hypertext, JAVA, and accuracy of information. According to Duif Calvin, author of "The Nintendo Generation," hypertext is the most important marketing tool for advertising on the web. Hypertext is any type of link to another web site containing relevant information about a given topic. It has become very useful to marketers within the past few years. (www.jaderiver.com/glossary.htm). Hypertext allows markets to meet their audience's needs in very specific ways. For example, Ford Motor Company may have a site on the web devoted to the 1999 Ford Mustang. With the use of hyperlinks, Ford can provide detailed information about the car's warranty on a separate site. People who are interested in knowing m...

Application of the PRECEDE PROCEED Model to Fit Kids Fit Families FKFF Youth Physical Activity Campaign Essay

Obesity among American youths has become a national epidemic. Both developed and developing nations face a crisis of rising trends of obesity and overweight among adolescent youths (Centers for Disease Control and Prevention, 2004). Approximately 10 % of school children are overweight with US alone reporting 25 % of overweight children while 11 % of them are obese (Centers for Disease Control and Prevention, 2004). Preliminary data from the National Health and Nutrition Survey (NHANES), strong evidence of overeight and obesity is linked to increased mortality and morbidity in United States. Likewise, Houston Department of Health and Human Sciences reports that the prevalence of overweight and obesity among youths of ages 14-18 is 34.4 % compared to the Hispanic youths of 37 % and African American at 23.5 % of similar age group (Centers for Disease Control and Prevention, 2004). As such, the Fit Kids Fit Families has launched a national social marketing to provide awareness of physica l activity as a preventive measure of obesity and overweight. Fit Kids Fit Families group was founded in 2003, purposefully for promoting optimal weight and improving life quality among the African American people. The FKFF has selected activity as the target behaviour with the middle school youths as the target audience. The group mimics the PRECEDE-PROCEED model in several ways to provide physical activity intervention. As such, this paper describes the efforts of the group within the context of PRECEDE-PROCEED model as described by Green and Kreuter (2005). Phase 1: Quality of Life Diagnosis Youths suffer numerous consequences of obesity due to increased overweight and obesity. Polhamus, Dalenius, Thompson, Scanlon, Borland, Smith & Grummer- Strawn, (2003) writes that the excess body calories are converted into fats and finally stored in adipose tissue thus accumulates in the body of the youth. The individual is likely to develop a poor big body due to additional weight that adds more flesh. The children suffering from obesity are at risk of contacting multiple adverse health complications, some of which are fatal. Previous studies observe that high blood pressure while childhood is a weak predictor of premature death; however, high cholesterol had no relationship with early bereavement. Besides, health experts admit that factors causing obesity and high cholesterol were easier to control through exercise and medication. Researchers have identified children as the rapidly growing demographic in the global overweight population. For instance, approximately 31.9 percent of African American youths in have body indices that categorize them as overweight. Also, Polhamus et al. (2003) reports that 12 percent of obese people are likely to suffer from anxiety, impaired social interaction 17 %, and depression 34 %. Phase 2: Epidemiological Diagnosis The challenge of overweight and obesity epidemic is not limited to concerns about weight and bulk. According to Polhamus et al. (2003), 7 % of cases of obesity have resulted into disabilities through physiologic and psychological points of view. The increased waist to hip girth ratio is linked to increased risk of hyperlipidemia, cardiovascular disease, diabetes and hypertension. Likewise, obesity and overweight has been related to elevated risk of cancer, sleep apnea, musculoskeletal disorders, gallbladder disease, diverticulitis, and intracranial hypertension. Research shows that the prevalence of obesity among American youths has increased from 5 % to 12.4 % in this time period and the age group of 14 – 18 years it has increased from 6.4 % to 17 % (CDC, 2009). From the viewpoint of health, 20 % of youths have been reported to exhibit clinical obesity and overweight characteristics. Phase 3: Behavioural and Environmental Diagnosis In December 2014, NHANES provided FKFF with summary of current data to assist them narrow to the target behaviour and audience for social marketing intervention. Therefore, FKFF decided to prevent obesity among youths that were segmented into pre-school, middle school, elementary school, and high school. Since obesity has numerous environmental and behavioural determinants and because appropriate interventions may differ between the groups, it was significant to narrow the focus. Data presented by NHANES provides that 15.3 % of pre-school, 13.9 % of elementary school, 22.8% of middle school and 13.6% of high school youths are either slightly overweight or overweight. Also, 12.5 % of pre-school, 15.9 % of elementary school, 3.2 % of middle school and 10.5 % of high school youths are extremely overweight or overweight Polhamus et al. (2003) reports. Because the FKFF was aware that they would be using social marketing for obesity prevention, the information concerning developmental and cognitive characteristics of every age group assisted in narrowing to the high school as the target group.Further, FKFF chose physical activity as the target behaviour. The potential behavioural objectives were based on the objects set by health People 2010 related to physical activity. According to Health people 2010, national behavioural objectives of physical activity were to increase the youth proportion that participates in moderate physical activity for at least 30 minutes, 3-5 times a week. Secondly, it aimed to increase the proportion of youths engaging in vigorous physical activity that promotes cardiorespiratory fitness 4-5 times a week for 20 minutes per occasion. Lastly, Healthy People 2010 supports the increase in proportion of adolescent that participate in daily school physical education. The FKFF underwent formal environmental diagnosis in where the community researchers collected data to determine places youth say they participate in physical activity. Phase 4: Educational Diagnosis Green et al. (2005) described that enabling factors, predisposing factors, and reinforcing factors are the three major broad categories of factors influencing health behavior. The predisposing factors include motivation, desire for competition, parents and peers. Likewise, the barriers to physical activity included poor body image and desire not to mess up makeup hair. The influencing enabling factors included the availability of facilities and the opportunity to showcase talent while barriers of enabling factors were homework and V and computer games. Lastly, influencers of the reinforcing factors were active people on TV and peers while the barriers included self-concept and poor body image. Phase 5 & 6: Policy and Administration Diagnosis and Implementation The goal of intervention alignment is to try and fit the components of intervention program with various micro and macro-ecological levels of community. The key terms in this PRECEDE-PROCEED model are mapping. Matching, pooling, and patching where the ecological levels are matched to intervention components, where evidence is lacking, interventions that show promise are patched to fill the gaps, practice-based intervention programs are mapped to health problem determinants and evidence-based intervention are pooled and reviewed (Polhamus, Dalenius, Thompson, Scanlon, Borland, Smith & Grummer- Strawn, 2003). Therefore, the FKFF pooled and reviewed numerously existing physical intervention programs. The administrative assessment includes resource assessment needed to implement the program, incorporating timeline developmental and budget. FKFF personnel reviewed the steps of community –based prevention marketing and communicated time involved in the development of evidence-based intervention. Likewise, the committee prepared a one-year budget with consultation from the healthy people department. The appraisal of the organization implementing the program highlighted the commitment of FKFF consistency in obesity intervention program. The scorecard pilot program of FKFF is in the beginning stages of implementation. The members of the group continue to actively recruit members who will in turn provide incentives for youth to participate in physical activity through the reduced cost programs. www.fkff.com has been developed to provide information to the youth. Also, the local radio network has ben contacted for media coverage of the program. Finally, YMCA locations are set for free in the country to promote cool, fun opportunities for youths to be active. Recently, FKFF staffed fresh graduates from universities to provide a cool appearance and direct the youth fun and creative activities as well as providing ideas on creating fun without sports equipment. The programs for local events are underway with the recreation and parks department commencing the summer scorecard with youth beach run. Phases 7, 8, & 9—Process, Impact, and Outcome Evaluation The quantitative component of the evaluation seeks to provide answers for number of youths recruited, website hits, and youths registered, local events, and youths that participated in the grand finale. The group designed impact evaluation to determine if the behavioural objectives set are being met and will consist of the qualitative component. Impact evaluation addresses the level of a moderate increase in moderate and vigorous physical activity among the youths. Likewise, it will determine the level of physical education among the youths. This provides the achievements of health objective through quantitative measures. This provides answers for decrease or increase of risk for overweight among the youths. The baseline data obtained from the Healthy People 2010 will be used to conduct a follow-up on particular youths for the program.ConclusionThe PRECEDE-PROCEED model adopted by Fit Kids Families First in designing the obesity prevention intervention is beneficial for summarizing t he work done and insert what might have been done within the PRECEDE-PROCEED model framework. In particular, the explicit priority and objective setting was an essential proponent of the model. The model further assisted in determining the facets of the program evaluation. References Centers for Disease Control and Prevention. (2004). Obesity campaign overview. Retrieved April 16, 2006, from http://www.cdc.gov/youthcampaign/overview.htm.Green, L.W., & Kreuter, M.W. (2005). Health program planning: An educational and ecological approach (4Th ed.). New York: McGraw-Hill. Polhamus, B., Dalenius, K., Thompson, D., Scanlon, K., Borland, E., Smith, B., & Grummer- Strawn, L. (2003). Pediatric Nutrition Surveillance 2001 Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Retrieved March 2004 from http://www.cdc.gov/nccdphp/dnpa/pdf/2001_ped_nutrition_report.pdf. Source document

Bariatric Surgery

Bariatric Surgery Indication: No studies evaluate the commonly used indications for bariatric surgery. Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m(2) or with BMI >35 kg/m(2) and 1 or more significant co morbid conditions, when less invasive methods of weight loss have failed and the patient is at high risk for obesity-associated morbidity and mortality (strength of recommendation: C, based on consensus guidelines). Types:There are two basic types of weight loss surgery — restrictive surgeries and malabsorptive/restrictive surgeries. They help with weight loss in different ways. Restrictive surgeries:  work by physically restricting the size of the stomach and slowing down digestion. A normal stomach can hold about 3 pints of food. After surgery, the stomach may at first hold as little as an ounce, although later that could stretch to 2 or 3 ounces. The smaller the stomach, the less you can eat. The less you eat the more weight you lose. Malabsorptive/restrictive surgeries:  are more invasive surgeries that work by changing how you take in food.In addition to restricting the size of the stomach, these surgeries physically remove or bypass parts of your digestive tract, which makes it harder for your body to absorb calories. Purely malabsorptive surgeries — also called intestinal bypasses — are no longer done because of the side effects. Specific Types of Weight Loss Surgery There are many different surgical procedures for weight loss, and each has several variations. Adjustable Gastric Banding Gastric banding is among the least invasive weight loss treatments.This surgery uses an inflatable band to squeeze the stomach into two sections: a smaller upper pouch and a larger lower section. The two sections are still connected; it's just the channel between them is very small, which slows down the emptying of the upper pouch. Gastric banding physical ly restricts the amount of food you can take in at a meal. Most people can only eat a ? to 1 cup of food before feeling too full or sick. The food also needs to be soft or well-chewed. There are several brands of adjustable gastric bands available. They include LAP-BAND and REALIZE. Pros.The advantage to gastric banding is that it's simpler to do and safer than gastric bypass and other operations. It's routinely done as minimally invasive surgery, using small incisions, special instruments, and a tiny camera called a laparoscope. Recovery is usually faster. You can also have it reversed by surgically removing the band. Because the band is connected to an opening just beneath the skin in the abdomen, it can be easily loosened or tightened in the doctor's office. To tighten the band and further restrict the stomach size, more saline solution is injected into the band.To loosen it, the liquid is removed with a needle. The Cons. People who get gastric banding often have less dramatic we ight loss than those who get more invasive surgeries. They may also be more likely to regain some of the weight over the years. The Risks. The most common side effect of gastric banding is vomiting, a result of eating too much too quickly. Complications with the band aren't uncommon. It might slip out of place, or become too loose, or leak. Sometimes, further surgeries are necessary. As with any surgery, infection is always a risk. Although unlikely, some complications can be life-threatening.Sleeve Gastrectomy This is another form of restrictive weight loss surgery. In the operation, which is usually done with a laparoscope, about 75% of the stomach is removed. What remains of the stomach is a narrow tube or sleeve, which connects to the intestines. Sometimes, a sleeve gastrectomy is a first step in a sequence of weight loss surgeries. It can be followed up by gastric bypass or biliopancreatic diversion, if more weight loss is needed. However, in other cases, it might be the only s urgery you need. The Pros. For people who are very obese or sick, standard gastric bypass or biliopancreatic diversion may be too risky.A sleeve gastrectomy is a simpler operation that allows them a lower-risk way to lose weight. If needed, once they've lost weight and their health has improved — usually after 12 months to 18 months — they can go on to have a second surgery, such as gastric bypass. In people with high BMIs, sleeve gastrectomies result in an average weight loss of greater than 50% of excess weight. Because the intestines aren't affected, a sleeve gastrectomy doesn't affect the absorption of food, so nutritional deficiencies are not a problem. The Cons. Unlike gastric banding procedures, a sleeve gastrectomy is irreversible.Most importantly, since it's relatively new, the long-term benefits and risks are still being evaluated. The Risks. Typical surgical risks include infection, leaking of the sleeve, and blood clots. Gastric Bypass Surgery (Roux-en-Y Ga stric Bypass) Gastric bypass is the most common type of weight loss surgery. It combines both restrictive and malabsorptive approaches. It can be done as either a minimally invasive or open surgery. In the operation, the surgeon divides the stomach into two parts, sealing off the upper section from the lower. The surgeon then connects the upper stomach directly to the lower section of the small intestine.Essentially, the surgeon is creating a shortcut for the food, bypassing a section of the stomach and the small intestine. Skipping these parts of the digestive tract means that fewer calories get absorbed into the body. The Pros. Weight loss tends to be swift and dramatic. About 50% of it happens in the first six months. It may continue for up to two years after the operation. Because of the rapid weight loss, health conditions affected by obesity – such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, heartburn, and other conditions — often improve quickly.You'll probably also feel a dramatic improvement in your quality of life. Gastric bypass also has good long-term results; studies have found that many people keep most of the weight off for 10 years or longer. The Cons. By design, surgeries like this impair the body's ability to absorb food. While that can cause rapid weight loss, it also puts you at risk of serious nutritional deficiencies. The loss of calcium and iron could lead to osteoporosis and anemia. You'll have to be very careful with your diet — and take supplements — for the rest of your life.Another risk of gastric bypass is dumping syndrome, in which food is â€Å"dumped† from the stomach into the intestines too quickly, before it's been properly digested. About 85% of people who get a gastric bypass have some dumping. Symptoms include nausea, bloating, pain, sweating, weakness, and diarrhea. Dumping is often triggered by sugary or high-carbohydrate foods, and adjusting the diet help s. However, some experts actually see dumping syndrome as beneficial, in that it encourages people to avoid foods that could lead to weight gain. Unlike adjustable gastric banding, gastric bypass is generally considered irreversible.It has been reversed in rare cases. Therefore, getting this surgery means that you're permanently changing how your body digests food. The Risks. Because these weight loss surgeries are more complicated, the risks are higher. The risk of death from these procedures is low — about 1% — but they are more dangerous than gastric banding. Infection and blood clots are risks, as they are with most surgeries. Gastric bypass also increases the risk of hernias, which can develop later and may need further surgery to fix. Also, a side effect of rapid weight loss can be the formation of gallstones.Biliopancreatic Diversion This is essentially a more drastic version of a gastric bypass, in which part of the stomach — as much as 70% — is r emoved, and even more of the small intestine is bypassed. A somewhat less extreme version of this weight loss surgery is called biliopancreatic diversion with a duodenal switch or â€Å"the duodenal switch. † While still more involved than a gastric bypass, this procedure removes less of the stomach and bypasses less of the small intestine. It also reduces the risk of dumping syndrome, malnutrition, and ulcers, which are more common with a standard biliopancreatic diversion.The Pros. Biliopancreatic diversion can result in even greater and faster weight loss than a gastric bypass. Studies show an average long-term loss of 70% to 80% of excess weight. Although much of the stomach is removed, the remainder is still larger than the pouches formed during gastric bypass or banding procedures. So you may actually be able to eat larger meals with this surgery than with others. The Cons. Biliopancreatic diversion is less common than gastric bypass. One of the reasons is that the risk of nutritional deficiencies is much more serious.It also poses many of the same risks as gastric bypass, including dumping syndrome. However, the duodenal switch may lower some of these risks. The Risks. This is one of the most complicated and high-risk weight loss surgeries. According to National Institutes of Health, the risk of death from the duodenal switch ranges between 2. 5% and 5%. As with gastric bypass, this surgery poses a fairly high risk of hernia, which will need further surgery to correct. However, this risk is lower when the procedure is done laparoscopically. Reference: News release Allegran.ACP Medicine: â€Å"Endocrinology Chapter X: Obesity. † American Society for Bariatric Surgery web site: â€Å"Brief History and Summary of Bariatric Surgery. † American Society for Metabolic and Bariatric Surgery web site: â€Å"Bariatric Surgery: Postoperative Concerns. † National Institute of Diabetes and Digestive Kidney Diseases: â€Å"Gastrointestina l Surgery for Severe Obesity. † Obesity Action Coalition web site: â€Å"Gastrointestinal Surgery (Bariatric Surgery),† Laparoscopic Sleeve Gastrectomy. † Reviewed by Melinda Ratini, DO, MS on May 29, 2012  © 2012 WebMD, LLC. All rights reserved.

The shrinking welfare state essays

The shrinking welfare state essays Welfare has been the topic of much controversy over the past few years. The welfare program has been important for many people. The purpose of welfare is to assist people who are jobless or cant make ends meet financially. One of the stated purposes of the Personal Responsibility Work Opportunity Reconciliation Act of 1996, popularly known as welfare reform was to end the dependence of needy parents on government benefits by promoting job preparedness, work, and marriage. To this end, this federal legislation, along with many other changes in state policies before and after passage, has increased incentives and requirements for families receiving benefits to move into work and eventually off welfare. After reading the article on the Shrinking Welfare State the question I asked myself was should there be a welfare reform? Personally I think welfare reform is more reasonable and feasible rather than abolishing welfare altogether. For one, the redistribution of wealth is necessary to maintain equality among the economic classes. The gap between the rich and the poor is widening each day, and welfare aids the redistribution of wealth. Secondly, doing away with welfare altogether would further impoverish those who are currently under it support. There is still a need for welfare, but amendments to its policies would reduce the cost of its upkeep as well as reduce welfare fraud. Such amendments to its policies can include a voluntary savings plan to reduce the amount of taxes paid or a limitation on the duration support. To do away with welfare altogether would increase the poverty level in the U.S. Though proponents of this movement site that many people take advantage of welfare, their argument is only half valid. No one denies, that welfare fraud exits, but doing away with welfare away altogether would hurt those residents who truly have a need for the support. Welfare reform can reduce fraud an...