Model Of Web Of Causation Health And Social Care Essay

Model Of Web Of Causation Health And Social Care Essay The model of web of causation dates back to 1960, when it was developed to represent different pathways that point on a genesis of a health problem or a disease, giving rise to defined causative risk factors. The model has been used in community health and nursing to explain diseases and disabilities caused by multiple factors and identify possible points for preventive interventions in community health problems. This research paper introduces the conceptual nursing model of the web of causation and uses a community aggregate of children below 18 years diagnosed with type 1 and type 2 diabetes to discuss conceptual nursing web of causation. Introduction Medicineamigo (2007) defines web of causation as a medical term used to represent a complex group of subjects and relationships that can contribute to occurrence and spread of a disease. The model of web of causation shows that diseases are not distributed randomly in any group but isolation of how they are distributed requires one to study several factors. This implies that there are multiple and heterogeneous causes of any disease, symptom or health condition, collectively forming a web of causation. Clark (2008) argues that the model of the web of causation represents pathway factors that point to a genesis of a health problem and gives rise to or mitigate more precisely defined causative risk factors. Based on this model, one can increase the chances of controlling a disease or a health condition by breaking more links within the web of potential factors in the model. The model offers a solution in conceptualizing health problems that have multi- factoral etiologies such as diabe tes. Historical Development of Model of Web of Causation MacMahon, Pugh, and Ipsen (1960) came up with the model of web of causation; whereby it was used explain the occurrence of icterus for a group of patients who were receiving treatment for syphilis. This was followed by a more sophisticated but generalized web of causation that Stallones came up with in 1966. The purpose of his web of causation was to to describe the interrelationships among the 3 main types of cardiovascular disease. After some further research, Friedman developed a web of causation that was more detailed in 1980. His model was based on causation for the classic heart attack. This development marked the beginning for mapping what is today known concerning the etiology of heart diseases. The model of web of causation has continued to gain popularity since its discovery in 1960 and has proved useful in identifying possible factors for preventive interventions in community health. How Concepts Relate Within the Model of Web of Causation Duncan (2007) points out how the model of web of causation emphasizes on agents in explaining causes of diseases, while providing multifactoral causes that traverse various pathways, mirroring reality. In this model, the disease or a health condition is not only seen to be having different causes, but each one of these individual causes is viewed as a consequence that came from the multiple causes, of which each is an effect resultanting to multiple causes. This web is built using arrows of causation, with each arrow of causation implying that the element at the arrow source is somehow an individual cause of the element at that particular point of the arrow. Using type 1 and type 2 diabetes in children under 18 as an example, the disease can be as a result of new potential risk factor within the neighborhood or a variable in the web of causation representing a toxic environment that leads to diabetes or a variable representing lack of health care for possible underlying causes of dia betes such as high blood pressure or obesity, or having genetic predisposition that leads to diabetes (At Health 2005). Model Application to Nursing Process The model of web of causation can be used in nursing process to explain diseases and disabilities caused by multiple factors such as hepatitis and diabetes, which can be explained using complex relationship in the disease agent, host and environment; integrating factors such as genetic factors, environmental factors and race among others (At Health, 2005). American Diabetes Association (2000) highlights the importance of the model of web of causation in monitoring of diabetes in children and adolescents to avoid further complications resulting from the disease. This can be achieved when families work together with health care providers to help set a childà ¢Ã¢â€š ¬Ã¢â€ž ¢s target for blood glucose levels and develop a personal diabetes plan for healthy meals, regular exercise and oral medication. Duncan (2007) explains how the model can be applied in nursing to address health related threats and conditions such as the problem of teenage pregnancy, which is attributed to complex interaction between several causative and contributing factors such as ignorance, peer pressure and lack of contraceptives among others. Applications Model of Web of Causation to Community Health Problems According to Clark (2008), the model of web of causation is applied in enhancing the understanding of non-communicable diseases. The model has further been used in identifying possible points for preventive interventions in community health problems. Based on this model, prevention of obesity can be used as an intervention measure to protect the target population from being infected with type 2 diabetes. Duncan (2007) explains the importance of the model of web of causation in summarizing community health information for presentation, communication and analysis. He points out the importance of the model in study of distribution of health outcomes in a given population through interpretation of epidemiological relationships. Importance Of Community Partnership In Community Health Projects Community partnership in community health projects brings collaborative efforts to improve health through sharing of resources, combining talents and enhancing opportunities to achieve positive health outcomes (World Health Organization, 2002). According to World Health Organization (2002), involving communities in community health projects is a sign of giving up control and concern about who contributes to success of the partnership. This empowers people to creatively develop skills and build competencies and capacities because better and more sustainable decisions are made by involving communities in decision making. Furthermore, community participation in health projects is a way of extending the democratic process by opening up governance and redressing inequality in power for organizations involved. This offers new opportunities for creative thinking and innovative planning of health projects. Partnership with community in community health project implementation creates dedicated staff in project implementation as communities positively identify with the projects. This ensures ownership and sustainability of the projects, provides a source of information, knowledge as well as experience and eliminates deficiencies in the society, while empowering members to put emphasis on problem solving (WHO, 2002). Conclusion The model of web of causation is an important model that has been used in community health to represent different pathways that point on a genesis of a health problem or a disease, giving rise to defined causative risk factors. It has proved to be a viable model in addressing health problems that have multifactoral causes like the type 1 and type 2 diabetes. Lasting solutions in addressing community health problems can be achieved by involving people at community level in decision making and participation in community health projects.

Back to the Future: Past, Present, and Future Essay

There is much to discuss and analyze about all three installments. These would include actor choices, spotting, direction, acting, and most importantly the soundtrack and musical choices for all 3. Considering all 3 movie plots jump from decade to decade, it can be analyzed literally from past, present, and future. Inevitably, Back to the Future’s success also led to several video game launches, a ride at Universal Studios in Hollywood and Orlando, an animated series, and even a comic book. Let’s go back to the year 1985, you and your bodacious friends want to hang ten with the dudes, so you guys catch a flick at the local cineplex. Your choices are Mask, Teen Wolf, or Back to the Future. You mean the guy from Family Ties? So you take your chances on Back to the Future. Good choice! Of all things, Eric Stolz, the main actor in Mask, was originally cast for the role of Marty Mcfly when production of Back to the Future began on November 26,1984. Stoltz was filmed for four weeks, but after seeing a rough cut, Steven Spielberg and the writer/directors decided that Stoltz had played the role â€Å"too seriously† for a comedy, and he was replaced by Michael J. Fox (Futurepedia). Back To The Future was written by Bob Gale and Robert Zemeckis, and mainly starred Michael J. Fox and Christopher Lloyd. The movie opened on July 3, 1985 and grossed $210 million at the US box office, making it the highest grossing film of 1985 (IMDb). The basic synopsis of Back to the Future 1, is about a young man named Marty Mcfly who accidentally travels into the past and jeopardizes his own future existence. With the help of an eccentric local scientist named Dr. Emmett L. Brown, he manages to travel back in time via a time machine made from a DeLorean. This was done by breaking the time barrier in what was called temporal displacement allowing it to travel along the space-time continuum. When the first script was made, a refrigerator was the planned prop for the time machine. Later Steven Spielberg decided he didn’t want kids trapped inside their refrigerators trying to play time traveling games (Funtrivia). Done carefully, Bones Howe (music supervisor) and Alan Silvestri (composer) gathered an array of perfectly fit songs to cater both the 1950’s as well as the 1980’s. The movie jumps from decade to decade throughout the movie, and makes it apparent when it does. The movie starts out when Marty is late for school, he gets on his skateboard and we hear a fantastic song by Huey Lewis and the News, the â€Å"Power of Love. Later in the movie, we hear another solid track by Huey Lewis entitled â€Å"Back in Time. † By the way, Huey Lewis makes a cameo as a judge. When Marty tries out for the school competition, Huey says, â€Å"hold it. hold it†¦ I’m afraid you are just too darn loud. † This is also considered diagetic mus ic in the film. Marty’s first time travel sent him to the year 1955. Marty, immediately, arrives at the Twin Pines Ranch, which was owned by Otis Peabody. Marty crashes into the barn on Mr. Peabody’s property which causes the entire Peabody family to wake up and come outside. Marty encounters many differences between 1985 and 1955, including a cleaner, less run-down ambiance in the Courthouse Square. While searching for a younger Doc Brown, he meets his father and accidentally interferes with the first meeting of his parents–being hit by his grandfather’s Chevrolet in his father’s place. While in the 1950’s, some of the songs we hear are such great classics â€Å"Night Train† by Marvin Berry, â€Å"Earth Angel (Will You Be Mine)† by Marvin Berry, â€Å"Wallflower† by Etta James, and â€Å"Johnny B. Goode† by Chuck Berry aka Marty Mcfly. Some people complained that Back to the Future was a racist movie because Chuck Berry was inspired by a white guy. Sometimes a joke is just a joke; but Chuck Berry liked it. (Davis). Finally we have the sensational score by Alan Silvestri. At times the score is adventurous, and at times it’s sad. The spotting is done just right to balance the dynamics of the movie. Also, there is a leitmotif that accompanies the movie, in fact, it accompanies all 3 movies of the trilogy, and never goes unnoticed. Upon the success of the first film, Robert Zemeckis (director) and Bob Gale (writer) agreed to do a 2nd movie. In fact, they also intended on a 3rd movie, and both the 2nd and 3rd Back to the Future were filmed simultaneously and released six months apart. Back to the Future 2, with a budget of $40 million, grossed nearly $331 million at the box office (IMDb). The characters of George Mcfly and Jennifer Parker were played by different actors from those in the first film, requiring scenes that overlap to be re-shot. Jennifer Parker which was originally played by Claudia Wells, and replaced by Elisabeth Shue in the second film. Claudia claims she turned the roll down when she found out her mother was diagnosed with cancer (Futurepedia). George Mcfly, who was originally played by the quirky Crispin Glover, was later replaced by Jeffrey Weissman. Crispin Glover refused to return to the trilogy due to salary disputes. Back to the Future 2 pans back and forth from 1955, to 1985, and all the way to 2015; the past, present and future. Needless to say, Bob Gale and Zemeckis attempted to predict what 2015 would like and sound like. Some songs used in the 2015 scenes, were â€Å"Beat it† by Michael Jackson, â€Å"I Can’t Drive 55† by Sammy Hagar, â€Å"Mr. Sandman† by The Four Aces, and â€Å"Papa Loves Mambo† by the Perry Como. The filmmakers did do some research into what scientists thought may occur in the year 2015. Bob Gale also commented; â€Å"We knew we weren’t going have flying cars by the year 2015, but God we had to have those in our movie. â€Å"(Q ;amp; A) The film was also considered one of the most ground-breaking projects for Industrial Light ;amp; Magic. It was one of the effects house’s first forays into digital compositing, as well as the VistaGlide motion control camera system, which enabled them to shoot one of the film’s most complex sequences, in which Michael J. Fox played three separate characters, all of whom interacted with each other. Although such scenes were not new, the VistaGlide allowed, for the first time, a completely dynamic scene in which camera movement could finally be incorporated. The technique was also used in scenes where Thomas F. Wilson’s character (Biff Tannen) had to interact with a younger version of himself. (Zemeckis) Six months after Back to the Future 2 was released in the theaters, the Back to the Future team released Back to the Future 3 on May 25, 1990. Again on a budget of $40 million, this one cashed in at $244 Million. The film takes place immediately after the events of Back to the Future Part II. While stranded in 1955, Marty McFly discovers that his friend Dr. Emmett â€Å"Doc† Brown was killed by Biff Tannen’s great-grandfather Buford. Marty decides to travel to 1885 to rescue Doc and return to his own timeline. This time, Alan Silvestri had to create his soundtrack based in the year 1885. However, he still maintained the leitmotif throughout the picture. The years 1985 and 1955 are still relevant in the 3rd movie, and it jumps around. The popular group ZZ Top make an appearance, as they perform â€Å"Doubleback† during a festival in 1885. This was also considered diagetic —-performed for the actors and the audience to hear. Huey Lewis’ â€Å"Power of Love† is also heard again. In 1989, a video game, based on the original Back to the Future movie was produced for the 8-bit Nintendo Entertainment System (NES) by video game publisher LJN a subsidiary of Acclaim games. This has some similarity to the 1983 Atari video game E. T. where producers felt it would sell solely on brand association to the hit movie and the game designers were only given five weeks in order to produce a product to get it on the shelves for the 1982 Christmas shopping rush. Reviewers also cited that game as virtually unlike the film and was a major contributor to an economic downturn known as the Great Video Game Crash of 1983. There are only two songs found in the entire game. One is â€Å"Johnny B. Goode† which will play during the school dance that Marty is playing on stage and sounds close to the version heard in the film. The other song is a repetitive looping song that will play throughout the game in non-mini game moments. There are suggestions that the song is supposed to be â€Å"The Power Of Love† by Huey Lewis ;amp; The News sped up and cycled differently. But it winds up sounding nothing like the actual song made famous in the movie. Nes also later released Back to the Future 2 and 3 as a single game in 1990. Back to the Future II ;amp; III received largely negative reviews from critics. Stan Stepanic of Gamefreaks365. om gave the game positive remarks in regards to similarities with The Goonies II, but gave it a largely negative review due to the lack of a password or save feature coupled with its notorious length, although there was a code to skip to the second half of the game. Back to the Future II ;amp; III’s length has often been cited as the game’s major weakness, Stan stating that it took him roughly six hours just to map it, and he spent so much time trying to fini sh it he actually turned it off out of boredom. (Gamefreaks). Sega Genesis also released their own version of Back to the Future 3 in 1991. It was a lot different than the Nintendo version. However, it was just as unpopular, the opening level was nearly impossible to complete. Finally in 2010, Telltale Games released Back to the Future on PC and Mac; and later was also released on the Ipad and Playstation 3. This was given way better reviews than the predecessors, and remains the best game of yet. Ben PerLee from GameZone summarized his praise of the game by saying it is a â€Å"feel good cinematic experience that any fan of Back to the Future will want to check out, and everyone else would do well to check it out. GameZone) Back to the Future: The Animated Series was an animated series based on the Back to the Future trilogy as well. The series lasted two seasons, each lasting 13 episodes, and ran on CBS from September 7, 1991 to November 28, 1992, the date of the last original episode. Harvey Comics also published a series of Back to the Future comic books starting in November 1991. With the cover header reading †Å"The Adventure Has Only Begun! ,† the first issue featured Doc & Marty in 1927 Chicago. On May 2,1991 the Universal Studios Theme park in Florida released Back To The Future: The Ride. It was a simulator ride based on the popular movie trilogy of the same name. It was a mini-sequel to Back to the Future Part III. Later at Universal Studios Hollywood, they opened the same ride on June 12, 1993 ; and then at Universal Studios Japan on March 31, 2001. The Orlando and Hollywood versions closed in 2007 (Futurepedia). Although Back to the Future creators Robert Zemeckis and Bob Gale had no involvement with the ride, they were consulted as to whether they â€Å"got Doc right†. The two responded with a â€Å"yes†. They have also commented that â€Å"it’s a great ride. In addition, references are made to a â€Å"Zemeckis-Gale diagram† and â€Å"Gale-Zemeckis Coordinates (Giveneyestosee) With the huge success of the Back to the Future Trilogy, you can see where a simple idea can turn into a big one. When you take risks on a new actor, and stamp something with a touch of great directing, production, and a great score —- you never know what could happen. Back to the Future will always remain a classic no matter what generation it leads to; whether it be 1955,1985, or even 2015. Works Cited â€Å"Back to the Future II & III Review. Review. Gamefreaks365, n. d. Web. 6 Dec. 2012. â€Å"Back to the Future Part II. † IMDb. IMDb. com, n. d. Web. 10 Dec. 2012. â€Å"Back to the Future: The Ride. † FuturePedia. Wikia, n. d. Web. 6 Dec. 2012. â€Å"Back to the Future: The Ride. † Giveneyestosee. N. p. , n. d. Web. 10 Dec. 2012. â€Å"BTTF Trilogy. † The â€Å"Back To The Future† Trilogy. Funtrivia, n. d. Web. 10 Dec. 2012. â€Å"Claudia Wells. † Futurepedia. Wikia, n. d. Web. 6 Dec. 2012. Davis, Cindy. â€Å"Pajiba. † Mindhole Blowers: 20 Facts About Back to the Future That Might Make Your Flux Capacitor Hit 1. 21 Gigawatts. N. p. , n. d. Web. 10 Dec. 2012. â€Å"Futurepedia. † Futurepedia. Wikia, n. d. Web. 6 Dec. 2012. IMDb. IMDb. com, n. d. Web. 10 Dec. 2012. PerLee, Ben. â€Å"Back to the Future: The Game Review. † Back to the Future – The Game Review. GameZone, 28 Dec. 2010. Web. 10 Dec. 2012. â€Å"Q&A Commentary with Robert Zemeckis and Bob Gale, Back to the Future Part II Blu-Ray, 2010. † Interview. DVD Blu Ray. N. d. Television. Robert Zemeckis, Bob Gale (2005). Back to the Future Feature: Making the Trilogy Part 2. Los Angeles: Universal Pictures. N. d. Television.

Zimbabwe and South Africa - 2491 Words

In the recent years, China has had a growing presence in the African continent, engaging in trades, delivering aid and initiating projects. China’s involvement in Africa is something that has triggered very animated debates among students and scholars. Many hypotheses as to China’s intentions have been presented. Is China really the solution to Africa’s underdevelopment or simply for its own political and economical interests? This essay will present a more pessimistic view on this whole situation arguing the very dangers and consequences of China’s relationship with Africa. Not only does China worsen the countries’ economic conditions by triggering high levels of inflation and unemployment but it also represent a new form of colonialism†¦show more content†¦With China, Zimbabwe would â€Å"never walk alone† claimed Emerson Mnangagwa, speaker of the Zimbabwe parliament (qtd in Obiorah 39). Nonetheless, several experts have condemne d the Chinese government for fueling the ongoing conflicts in Zimbabwe and for helping the authoritarian government in its repression of any opposition. China has been heavily criticized for shipping armament to Zimbabwe that would ultimately distributed to the military and the militia that would help keep the opposition down during the 2008 elections. Although China adopts its non-interference stance, such types of trades are ultimately affecting the country. The delivery of those arms coincided with a time of extreme hostilities in the country and many pointed fingers at the Chinese government for blatant human rights violations (Spiegel and Le Billon 324, 330). South Africa, unlike Zimbabwe, has a more mature and solid political system. Therefore, China has been more prudent in its relation with that country (Taylor 22). 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Longfellows The Rainy Day

Children across New England are familiar with the works of Henry Wadsworth Longfellow, whose Paul Reveres Ride has been recited at many a grade school pageant. Longfellow, born in Maine in 1807, became an epic poet of sorts for American history, writing about the American Revolution in the way bards of old wrote about conquests across Europe. The Life of Longfellow Longfellow the second-oldest in a family of eight children, was a teacher at Bowdoin College in Maine, and later at Harvard University. Longfellows first wife Mary died in 1831 following a miscarriage, while they were traveling in Europe. The couple had been married for only four years. He did not write for several years following her death, but she inspired his poem Footsteps of Angels. In 1843, after years of trying to win her over for nearly a decade, Longfellow married his second wife Frances. The two had six children together. During their courtship, Longfellow often walked from his home in Cambridge, crossing the Charles River, to Frances family home in Boston. The bridge he crossed during those walks is now officially known as the Longfellow Bridge. But his second marriage ended in tragedy as well; in 1861 Frances died of burns she suffered after her dress caught fire. Longfellow was himself burned trying to save her  and grew his famous beard to cover the scars left behind on his face. He died in 1882, a month after people around the country celebrated his 75th birthday. Body of Work Longfellows best-known works include epic poems such as The Song of Hiawatha, and Evangeline, and poetry collections such as Tales of a Wayside Inn. He also wrote well-known ballad-style poems such as The Wreck of the Hesperus, and Endymion. He was the first American writer to translate Dantes Divine Comedy.  Longfellows admirers included President Abraham Lincoln, and fellow writers Charles Dickens and Walt Whitman. Analysis of The Rainy Day This 1842 poem has the famous line Into each life some rain must fall, meaning that everyone will experience difficulty and heartache at some point. The day is a metaphor for life. Written after the death of his first wife and before he married his second wife, The Rainy Day has been interpreted as a deeply personal look into Longfellows psyche and state of mind. Here is the complete text of Henry Wadsworth Longfellows The Rainy Day. The day is cold, and dark, and dreary;It rains, and the wind is never weary;The vine still clings to the moldering wall,But at every gust the dead leaves fall,And the day is dark and dreary.My life is cold, and dark, and dreary;It rains, and the wind is never weary;My thoughts still cling to the moldering Past,But the hopes of youth fall thick in the blastAnd the days are dark and dreary.Be still, sad heart! and cease repining;Behind the clouds is the sun still shining;Thy fate is the common fate of all,Into each life some rain must fall,Some days must be dark and dreary.