Providing Diabetes Care in General Practice Free Essay Example, 2000 words

In diabetes primary care the first and one of the most important stages is identifying people with diabetes. According to the estimates, about 80 percent of those, who are diagnosed with diabetes, are able to be taught and to be managed within the limits of the primary care, though the potential patients with Diabetes Type 2 are really diagnosed, as they may live for years without any evident symptoms of the disease, that is why all specialists in all spheres of medicine must always be alert in relation to possible discovery of diabetes among their patients through other symptoms, which at first seem to have no connection with diabetes itself. In order to increase the effectiveness of diabetes management in primary care it is necessary to undertake the following steps: It is necessary to check all pregnant women on the subject of diabetes; People, who have at least one possible symptom of diabetes, should be carefully investigated for the possible confirmation of diagnosis; Taking i nto account that the rates of diabetes among older people are higher than those among the younger, and that the rates of disease are higher among African, Caribbean and Asian races, with those who have hereditary cases in no relation to race or age, should be subjected to special control for discovering the correct diagnosis in time. We will write a custom essay sample on Providing Diabetes Care in General Practice or any topic specifically for you Only $17.96 $11.86/pageorder now New criteria for diagnosis and definition of diabetes of both types have been recently announced by the World Health Organization. According to the new definitions and criteria, the indices of glucose have been lowered to 7.0 mmol/l, thus at present diabetes will be diagnosed at the bigger amount of patients, though this will allow more through management and control of diabetes in primary care. These indices are used for the patients, who have no visual symptoms and the analysis should be repeated several times during several days. For the patients without any diabetes symptoms, the analysis and diagnosis are usually based on glucose determination only. (Standards of clinical care for people with diabetes, 1994)It is important to note the changes in the blood and plasma glucose levels, and in diabetes, primary care patients usually have their blood glucose measured with the help of glucose meter. After the diagnosis has been confirmed and primary procedures and analyses have been performed, it is necessary to carry out the initial diagnostic assessment. It happens sometimes, that the patient under investigation may feel unwell and thus will need hospitalization, or insulin therapy.

The Amendment to the Trade Practices Act 1974 - 1857 Words

Prior to its amendment in 1986, the Trade Practices Act 1974 (Cth) was aimed at protecting corporations and big businesses against unfair trading. The amendment led to the incorporation of section 52A, which was then later repealed in 1992 when sections 51AA and 51 AB were enacted to replace it. The new section did not really extend the law a great deal and only section 51AA contained anything new . Section 51AB is an exact re-enactment of section 52A†¦ it prohibits a corporation acting in trade or commerce, in connection with the supply or possible supply of goods or services to a person, from engaging in unconscionable conduct. It therefore applies specifically to consumer transactions.The amendment to the Trade Practices Act 1974†¦show more content†¦As an intending shareholder in the company, she relied on the information given to her by Mr Freeburn, and acquiesced in his negotiating on behalf of them both in making arrangements for the credit facility and for the giving of the guarantee in connection with that facility. The appellants case is that the creditors duty to disclose to the surety unusual and unexpected features of the transaction between the creditor and the debtor extends, in circumstances such as those which existed in the present case, to the disclosure to one co-surety of adverse information acquired by the creditor concerning the financial wor th or credit-worthiness of another co-surety. On the other hand the respondent submits that the duty does not go so far and that it is limited to the disclosure of unusual and unexpected features in the transaction which is the subject of the guarantee or in the relationship between the creditor and the debtor. Obelon was entitled to assume that the appellant was aware of Freeburns financial position and that, being aware of it, she was prepared to enter into the guarantee. And, quite apart from the finding made by the primary judge, there is the circumstance that, generally speaking, a co-surety as well as the creditor may reasonably be expected to make his or her own inquiriesShow MoreRelatedIncreasing Minimum Wage in Puerto Rico and the Virgin Islands1167 Words   |  5 Pagesindustries. 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Metacognition Essay Example free essay sample

Metacognition Essay I feel I have come a long way my tenth grade year. My writing has gotten so much better and I can write essays of much better quality now. Things have gotten better like punctuation, thesis, and analysis. To begin with, my punctuation has gotten a lot better. I made a lot of errors during the beginning of the year and I am starting to make a lot less. Also, my thesis statements have gotten tremendously better. At the beginning of the year they were really boring. As the year began to progress, the statements got more interesting and creative. My analysis throughout essays have gotten better. I am much better now at determining things like theme, tone, and finding many literary devices. I can also set up my essays better and create smoother transitions. When I find the theme now, I can point it out much easier after learning about it this year and having a better understanding of what it is. We will write a custom essay sample on Metacognition Essay Example or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page When it comes to tone, I understand it so much better now. When we began learning about it I didn’t understand but after we received a chart about different types of tones it helped me so much. When I started English this year, I knew some of the basic literary devices like simile, metaphor, and personification; but with the knowledge I have gained this year, I can use and find things like hyperbole, onomonopea, assonance, and so on. Now as I write essays, there are more things I think about while doing so. When I am writing my essay, I now think about how well the information backs up the claim. At the beginning of the year I wasn’t very good at including all of the descriptive information that was required. Once I learned after a few essays I realized that I need to find more supporting details, and have gotten better at doing so. While I have gotten better at these other things, I feel there is still a key factor that I need to work on. I need to work on the flow of quotes and their citations. Although I have improved and have a better understanding of it, there is still a lot of work to be done. Not all of my quotes flow smoothly and sometimes I mess up the citation after the quote. Another one of my major flaws is having the incorrect point of view. I need to make sure I go over an essay a couple times because I normally add incorrect point of view the first time. During the second semester, I had a favorite and least favorite project. My favorite was the song presentation. It was something I really enjoyed because I love music and being able to do a project on something I love is so much fun. I enjoyed it because I got to find literary devices, establish tone and theme, and find parts in the song to back up my claims. I really enjoy finding literary devices, whether it’s in a song or poetry, and it is one of my favorite things to do in English. I also liked finding the tone and theme. The theme is always fun to find because there are normally so many possibilities and you get to try to find one that fits the best. The project that I liked the least was the persuasive outline. I didn’t have a problem with it as I was doing the project, and I actually found it rather interesting, but I had to present it in front of the class. Presenting things in front of the class is my least favorite thing to do. I enjoy most of the projects up until the point where I step in front of the class. I think I have earned and A or a B this semester. I know most of the material and I that feel I can use it appropriately. After all of the essays and projects this year I feel that I have gained so much knowledge in English and I think I am more than ready for English 11.

Six Characters In Search Of Author Essays - , Term Papers

Six Characters In Search Of Author Pirandello's masterpiece, "Six Characters in Search of an Author" is well known for its innovative techniques of characterization, especially in the fullness of character as exhibited by the Stepdaughter and the Father, but it is especially renowned, and rightfully so, for the brilliant staging techniques employed by its author. Pirandello uses his innovative staging techniques specifically to symbolize, within the confines of the theater, the blending of the theater and real life. Chief among these, of course, is the way in which the author involves the audience in his production, to the point which, like a medieval audience, they become part of the action, and indeed, a character in its own right. The use of lines provided in the playbill was the first of its kind; never before had an author dared to ask the members of the audience to perform, even though unpaid, and indeed, paying for the experience themselves. But without those lines, how much less impressive would that moment be when the Director, understandably at the end of his rope with the greedy characters (who have been from the start trying to coerce him into writing a script for non-union wages), shouts "Reality! Fantasy! Who needs this! What does this mean?" and the audience, in unison, shouts back, "It's us! We're here!" The moment immediately after that, when the whole cast laughs directly at the audience, pointing at them in glee, is nearly unbearable for an audience, as shown by the riot after the first performance, when the audience not only ripped the seats out of the theater, but stole the popcorn. Pirandello also used a technique he inherited from the "Cirque de Soleil," involving a trapeze hung from the catwalk. But though the trapeze was not in itself his own invention, its use during the intermission as a means to annoy the audience was absolutely innovative. He had gotten the idea from watching the inhabitants at the mental institution in Switzerland where his wife was recuperating from a Venetian holiday. The Swiss hospital, renowned for its experimentation, had started a program of gymnastics, meant to boost the patients' self-esteem. The Stepdaughter's foray above the audience's heads, during the "intermission," is a direct reflection of that Swiss technique; no one before Pirandello had dared to use it in the theater before, but it not only symbolized neatly the problems with defining reality inherent in the text, but kept the audience from actually getting a rest during the intermission, since they couldn't tell when it started and began. Last, though still important, would be Pirandello's nod to Brecht, with his medieval circular staging. With the voices of the Actors, the Director, and the Characters coming at them from all sides, and with the members of the cast actually clambering over the audience members as if they (or indeed their seats) were not there, Pirandello masterfully tied the audience members inextricably in to the action, bringing home the meaning. For the main truth of Pirandello's play is that not only is there no difference between art and reality, there is no reality, or perhaps more specifically, no art, at all, and indeed, no members of the cast anymore than there are members of the audience. In the final analysis, the only difference between the cast members in Pirandello's play and the members of his audience is that one paid to get in and the other got hired.