Appalachian Culture and Health Awareness Essay Example for Free

Appalachian Culture and Health Awareness Essay According to Kruger et al. (2012), the Appalachian region, consisting of 13 states along the east coast border, is a high risk area for cardiac, pulmonary, and cancer conditions related to smoking and coal mining. This rural population has ultimately higher rates of heart disease, stroke, COPD, asthma, lung cancer, and diabetes. Substantially higher rates of smoking, as well as the relevance of coal mining, are two major contributors to the increased risk of morbidity and mortality amongst this large population (Kruger et al. , 2012). Insufficient education, poor behavior choices, and lack of adequate health care are major contributors to the overall unhealthy lifestyles of these individuals. Unfortunately, this begins at a young age. According to Short, Oza-Frank, and Conrey (2012), there are major differences regarding preconception health awareness amongst Appalachian women as compared to non-Appalachian women. Appalachian women have higher rates of smoking, diabetes, and obesity than do non-Appalachian women. These women have poorer rates of prenatal care and higher rates of birthing and congenital complications, such as pulmonary hypertension, insufficient lung development, and cardiac abnormalities. Often due to lack of insurance, these mothers often lack appropriate health care and health awareness, thus increasing their child’s risk of further cardiac and pulmonary conditions down the road. Unfortunately, these babies grow up in an environment that, as a population, has inadequate health care, low income, and poor health. This detrimental sequence of events is what has maintained the subpar health status of the Appalachian population (Short et al., 2012). As these children grow into their teens, poor behavioral choices further substantiate detrimental risk factors. A study by Pettigrew, Miller-Day, Krieger, and Hecht (2012), conducted research study of primary and secondary health prevention in Appalachian adolescents. According to this study, this population has higher rates of smoking, drinking, and drug use as compared to non-Appalachian adolescents. These risky behaviors are so prevalent because of lifestyles these children have grown to know; these behaviors are considered normal in many homes. As do their parents, many of these children lack insurance and health care (Pettigrew et al., 2012). Obesity and diabetes is also substantially high in the Appalachian population as compared to the rest of the nation as shown in a study by Wenrich, Brown, Wilson, and Lengerich (2012). The authors pinpoint Appalachia as a low-income group of individuals who receive poor nutrition, thus further contributing to the preexisting risk factors of cardiovascular disease. Poor health, along with behavioral risk factors, have ultimately led to detrimental health status. Yes, we love the STEELers, but steel mills and coal mining has only contributed to these health risks. The Appalachian culture is at risk for obvious reasons. Unfortunately, these risk factors will not decline quickly. Primary prevention and health awareness programs would make a huge impact on this population. Low income is a struggle that will not be overcome easily. However, primary prevention and health awareness are often available at low cost and are highly efficient measures of decreasing risk factors by focusing on healthy lifestyles. Smoking cessation would obviously be of major importance, but compliance would be of great struggle (Kruger et al., 2012). References Kruger, T., Howell, B., Haney, A., Davis, R., Fields, N., Schoenberg, N. (2012). Perceptions of smoking cessation programs in rural Appalachia. American Journal of Health Behavior, 36(3), 373-84. Pettigrew, J., Miller-Day, M., Krieger, J., Hecht, M. (2012). The rural content of illicit substance offers: a study of Appalachian rural adolescents. Journal of Adolescent Research, 27(4), 523-50. Short, V., Oza-Frank, R., Conrey, E. (2012). Preconception Health Indicators: A comparison between non-Appalachian and Appalachian women. Maternal Child Health Journal, 16(1), 238-49. Wenrich, T., Brown, J., Wilson, R., Lengerich, E. (2012). Impact of a community-based intervention on serving and intake of vegetables among low-income, rural Appalachian families. Journal of Nutrition Education Behavior, 44(1), 36-45.

Why Can’t We Be More Like Canada? :: Essays Papers

Why Can’t We Be More Like Canada? The National Rifle Association has gone too far in defending the right to bear arms because the safety of schools is in jeopardy. The tragic events that occurred at Columbine High School in early 1999 with the killing of 13, including 12 students and one teacher while wounding many more, put much greater focus and awareness on violence in schools. The upward trend of violence in schools beginning in the early 1990’s got national attention because of the shootings that took place just outside of Denver. The tragedy at Columbine seemed to be the last straw for anti-gun activists, politicians, the media, and parents of children in schools to take action to protect America’s young from death in a place where kids are supposed to be safe. The NRA is not stepping back from their fight to protect the second amendment, but changes need to be made to protect kids growing up in society today. School violence, especially school shootings, has kept pace in recent years since the Columbine shootings. According to the National School Safety and Security Services there have been 116 total deaths in the past 5 years that occurred in schools. Of the 116, 45 have been caused by shootings. Just within the past three months of this new school year, there have been 13 school shooting deaths (fig. 1 and 2). That is an average of nine deaths caused by guns per year for the last five years since Columbine startled society to this devastating problem. The obstacle is in front of all of American to have the incidents of shooting deaths in schools decrease to where they are non-existent. In the state of Colorado, where the world’s media attention was drawn due to Columbine and still is, they have some of the loosest guns laws in the nation. A fact sheet was released by the Violence Policy Center on the same day as the shooting at Columbine High School for some related background information. The press release shows that citizens of Colorado do not have licensing or registration requirements with firearm purchase or possession. There is no waiting period for the purchase of handguns, shotguns, or rifles. There are no age restrictions with the possession of rifles or shotguns, but no person under the age of 18 can have a handgun.

Useful Phrases for Structured Structured Monologue

Useful Phrases for Structured Structured Monologue M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Structuring When delivering a structured monologue, one of the ways to begin your presentation is to outline its structure, using one of the following phrases: I’ve divided my presentation/speech into three (main) parts. In my presentation/speech I’ll focus on three major issues. M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Effective Openings In order to grab the attention of the audience you may employ one of the following devices: Rhetorical questions;Interesting facts; Stories and scenarios; Problems to think about; Quotations. M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Rhetorical questions Is market research important for product development? Do we really need time management seminars? Interesting facts According to an article I read recently, †¦ Did yo u know that †¦ ? I’d like to share an amazing fact / figure with you. M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Stories and Scenarios Let me tell you what happened to me †¦ Suppose †¦ Imagine †¦ Problem Problem to think aboutSuppose you wanted to †¦ . How would you go about it? Imagine you had to †¦ . What would be your first step? M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Quoting a well-known person As †¦ once said, †¦ To quote a well-known writer, †¦ To To put it in the words of †¦ M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Introducing a Point When delivering the presentation on the particular subject it is relevant to introduce the key points. You may use one of the following phrases: First First of all I'd like to point out †¦ The main problem is †¦ The question of †¦Speaking of †¦ M . Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Enumeration of points If you are asked to provide several reasons, factors or arguments in a row, you have to organize them in the logical way. In order to structure your answer properly enumerate the main points using one of the suggested phrases: first first of all, I’d like to say †¦ in addition to that †¦ moreover, †¦ furthermore, †¦ another example of this is †¦ first, second, third †¦ Finally, †¦ M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Moving to the next pointThis leads directly to my next point. This brings us to the next question. Let’s now move on / turn to †¦ After examining this point, let’s turn to †¦ Let’s now take a look at †¦ M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Going back As I said / mentioned earlier, †¦ Let me come back to what I said before †¦ Let’s go back to what we were discussing earlier. As I’ve already explained, †¦ As I pointed out in the first section, †¦ M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Stating something as a fact Do not be afraid to state some information as a well-known act, if it is justified by the subject of discussion. However, you should be very careful when applying one of the following phrases: As As everyone knows †¦ It is generally accepted that †¦ There can be no doubt that †¦ It is a fact that †¦ Nobody will deny that †¦ Everyone knows that †¦ M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Giving Your Opinion There exist a variety of ways how to express your opinion when speaking English. The choice of an expression to be used in the particular situation depends on how strong your opinion is, i. e. how sure you are about a artic ular thing. M. Platonova „Materials for the Speaking Part of the Centralised Exam† Giving Your Opinion Neutrally I think†¦ I feel that†¦ In my opinion†¦ As As far as I'm concerned†¦ As I see it†¦ In my view I tend to think that†¦ From my point of view†¦ M. Platonova „Materials for the Speaking Part of the Centralised Exam† Giving a Strong Opinion I'm absolutely convinced that†¦ I'm sure that†¦ I strongly believe that†¦ I have no doubt that†¦ There is no doubt that †¦ I am absolutely certain that †¦ M. Platonova „Materials for the Speaking Part of the Centralised Exam† Expressing Uncertainty I definitely doubt if that †¦I am not sure that †¦ I am not certain that †¦ As far as I know †¦ It is very doubtful whether †¦ M. Platonova „Materials for the Speaking Part of the Centralised Exam† Giving reasons These standard phrases are useful in a variety o f situations, when you are asked to explain something providing additional information or giving the reasons. The reason for this is (that) †¦ I base my argument on †¦ I tell you all this because †¦ M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Rephrasing Expressions Sometimes we say things that other people don't understand, or we give the wrong impression.If you are asked to explain or clarify your idea, do not use the same expressions and/or phrases, try to reformulate it starting your answer using one of the following phrases: M. Platonova „Materials for the Speaking Part of the Centralised Exam† What I meant to say was†¦ Let me rephrase that†¦ Let me put this another way†¦ Perhaps Perhaps I'm not making myself clear†¦ The basic idea is†¦ One way of looking at it is†¦ Another way of looking at it is†¦ What I want to say is†¦ M. Platonova „Materials for the Speaking Part of the Centralised Exam† Indicating the end of your talk I’m now approaching / nearing the end of my resentation. Well, this brings me to the end of my presentation. That covers just about everything I wanted to say about †¦ As a final point, I’d like to †¦ Finally, I’d like to highlight one key issue. M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam† Drawing conclusions and sum-ming up The obvious conclusion is †¦ Last but not least †¦ The only alternative (left) is †¦ The The only possible solution/conclusion is †¦ In conclusion we can say that †¦ To cut a long story short, †¦ Just to give you the main points again, †¦ M. Platonova â€Å"Materials for the Speaking Part of the Centralised Exam†

My Experience At Evergreen Senior Living - 866 Words

Lee is a man who now lives at the Evergreen Senior Assisted Living Home. He has gone through many things in his life. He has fought in the Vietnam War, driven tanks, and jumped out of airplanes. He enjoys traveling and tell all who listen that he is scared of nothing. Lee is one of the elderly men I met during my job shadow. Job shadowing at Evergreen Senior Living was an amazing experience. This paper will include, what I observed during the job shadow, the future of this career, my impressions from the job, and how to prepare for this career. I visited Evergreen Senior Living in Chillicothe, IL for my job shadow. There, I followed Kylie Vinson, a Certified Nursing Assistant (CNA), and observed one of the many opportunities available to those wanting to work with the elderly population. Kylie’s job as a CNA is to make sure that the residents are as comfortable and as possible. I also followed, Jackie Russell, the Activities Director. She works with the residents to keep thei r brain and body stimulated and healthy. They both work in the dementia and alzheimer s, assisted living part of the facility called Legacy. Kylie and other CNAs are in charge of assisting the residents in many different things, such as getting ready for breakfast. After the residents are seated in the dining room they are the ones who serve the residents their food. If a resident falls, it is the CNAs’ responsibility to instruct the resident how to get up and back on their feet by themselves. AnyShow MoreRelatedEssay on My Struggles With Becoming a Writer773 Words   |  4 PagesUntil recently I hadnt decided who I was let alone what I wanted to do with my life, so during the summer when I started writing I wasnt expecting much more than having an outlet, and a way to pass time till I made new friends in the area. 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