Literature Review Are Wound Vacuum Devices Healing Wounds Essay

Writing Review Are Wound Vacuum Devices Healing Wounds - Essay Example VAC was even contrasted and the conventional WM dressing technique and demonstrated to mend better. This just demonstrates VAC is surely a promising and quicker approach to recuperate wounds. The primary reason for this examination is to glance through the better approach for wound recuperating. In the United States, over 2.8 million patients have constant injuries and medicines cost billions of dollars for each year. Wound recuperating is an unpredictable procedure which begins with evacuation of garbage, control of contamination, freedom of irritation, angiogenesis, statement of granulation tissue, compression, renovating of the connective tissue grid and development. This succession of occasions ought to be experienced by the injury for appropriate recuperating while on the off chance that it neglects to experience these occasions, a constant open injury without anatomical or utilitarian respectability results (Joseph, 2008). Ceaseless injuries ought to be mended at a quicker rate so as to diminish hospitalization days and accordingly lessen costs. An item which conveys improved recuperating procedure could help in diminishing contamination, removal and length of medical clinic stay accordingly involves likely yearly reserve funds for human services cost. The presentation of vacuum-helped conclusion (VAC) which uses subatmospheric procedure might be the appropriate response in this clinical test. In VAC, putting an open-cell froth dressing is included. It is set into the injury hole and controlled subatmospheric pressure is applied. The method was seen to expel incessant edema which builds neighborhood blood stream and upgraded development of granulation tissue (Joseph, 2008). VAC applies negative strain to wounds consequently liquid is expelled and development of granulation tissue is animated. Intense, subacute and interminable injuries might be applied with VAC. Argenta, et al. have recently depicted the utilization of the VAC gadget to improve mending and advance conclusion of an assortment of open injuries FDA cleared VAC for clinical use. Visit dressing changes which required when utilizing WM, could be diminish by utilizing VAC which requires dressing changes just like clockwork (Joseph, 2008). Audit of the Literature Senchenkov et al. (2007) directed an examination on the utilization of vacuum helped conclusion (VAC) dressing for lighted injuries. This investigation meant to inspect the results of split-thickness skin unites (STSG) made sure about by VAC during the early piece of the postoperative period. Audits were done on the records of 17 preoperatively emanated patients with furthest point sarcomas that was remade with STSGs joined with VAC to survey the proficiency of VAC in this reason. Through January 1997 and December 2005, there have been 19 patients recognized to base on their records to have experienced STSG recreation of illuminated limit absconds with VAC. These patients had delicate tissue sarcomas. Outside shaft radiation was utilized to treat the tumor bed and included with intraoperative radiation or brachytherapy. This was done before skin was joined. Two of these patients anyway were rejected in the investigation since one had corruption of the hidden illuminate muscle folds while the other had 40% skin join set with epidermis which confronted the beneficiaries bed. This left 17 patients (9 men and 8 ladies, age 42 to 82, mean 65) to be

Analysis Of External And Internal Environment Marketing Essay

Examination Of External And Internal Environment Marketing Essay An independent company is a business that is exclusive and worked, with few representatives and moderately low volume of deals. Independent ventures are regularly exclusive enterprises, associations, or sole ownerships. Each business which begins with the little capital, not many individuals from staff and the executives, dont have a lot of branches in different territories, town or nation will be called as independent companies. Private ventures frequently have the vision of development, contribute more capitalisation just as benefit amplification. Here I am taking about Fried chicken shop which is important to UK individuals. This seared chicken shop name is western singed chicken. Official Summary: The showcasing plan of Western Fried Chicken spotlights on their present situating and the impacts of repositioning themselves by propelling Halal Fried Chicken. With its dispatch, theyd additionally be in the rundown of one of the Halal food providers in UK. The primary thought is to offer Halal singed chicken in western style just as with a couple of changes in the formula by making it hot to make it engaging its all-encompassing objective crowd for example Muslims that dwell in United Kingdom. The explanation being Muslims lean toward a marginally more fiery food than the western food. The repositioning of the brand is focused towards the augmentation of its intended interest group by permitting access to another objective gathering for example a productive populace of Muslims from everywhere throughout the world, living in UK. There is a high inclination of its prosperity as Western Fried Chicken is as of now enjoyed by its current objective crowd and gets great audits in the eve nt that anybody is a major fanatic of luscious chicken, chips and even delicious burgers. The shoppers incline toward WFC more than one of its mammoth rivals for example KFC. The Buzz advertising impact would be truly outstanding and cost free techniques for advancing their chicken. The Challenge The food business is a mammoth industry in UK and since there is a bustling way of life, individuals lean toward inexpensive food remove instead of going for high end food. So as to get by in the food business where there is vicious rivalry with more than 1, 000 individual brands and 1,700 outlets, WFC brings to the table something extraordinary to its current objective crowd so as to hold them and furthermore draw in new ones by empowering Muslims to be joyful in regards to the Halal meat and spotlight on giving them something as indicated by their inclinations and taste. A little exertion on purchaser exploration ought to be placed in, so as to think about their inclinations and at last give better final products to them and expel odds of customer appall. Vision: à ¢Ã¢â€š ¬Ã¢ ¢ To build up a world class brand. à ¢Ã¢â€š ¬Ã¢ ¢ To be the main and quickest developing inexpensive food chain in UK. à ¢Ã¢â€š ¬Ã¢ ¢ To be equivalent with quality and benefit. à ¢Ã¢â€š ¬Ã¢ ¢ To bring creative items and plans of action to clients. Strategic: Giving a hot juice burger, hot snappy seared wings and chips. Giving a client decent condition and pleasant assistance. Examination of outside and interior condition of the organization: Outside condition: Outer ENVIRONMENT is factors (conditions, patterns, and powers) basically outside the control of authoritative individuals. Outside natural outputs are led to distinguish significant factors in the outer condition. This examination is frequently a basic angle in all business or vital plans. Otherwise called the working condition, this alludes to economic situations, financial and policy centered issues on the nearby and national levels, segment factors, and different powers outside of a business that influence the general achievement of that business. The outside condition makes the two dangers and open doors for an organization. Companys outside condition has two factors, for example, Micro and Macro. To contemplate smaller scale factors, we have to centers around Porters five nonexclusive powers model and to examine large scale factors, we have to centers around PEST investigation of the organization. Association Macro factor: Macro condition factors are outside powers or segments that may influence the running of a business or association. Regardless of being to a great extent outside the ability to control of a business, large scale condition factors frequently require changes and moves in working, the executives, creation, and advertising. There are a wide range of kinds of full scale condition factors, including political, financial, social, and innovative concerns otherwise called PEST factors. Large scale ecological factor regularly utilizing by the administration and experts to examine the outer condition of the business to contemplate key business the board. There are numerous variables in the Western Fried chickens full scale condition that would influence the choices of its administration. Conservative Political Vermin Mechanical Social Political: Political variables can profoundly affect how a business is worked and overseen. Expense strategy, official wellbeing guidelines, the accessibility of government contracts, and even moves in the controlling ideological group may all change the large scale condition for an association. Worldwide laws, for example, exchange understandings and taxes, may influence the gracefully and request chains and accessible markets for a wide range of organizations too. Political elements like changes in the Tax changes, new laws, exchange hindrances, segment changes and government strategy changes can influence WFC. WFC has a preferred position being a food outlet as there wont be any such restrictions in maintaining their business. In spite of the political misery it wouldnt influence the matter of natural pecking orders at all as individuals wont quit eating food. Hence, in political terms it has a positive edge. Monetary Environment: A market blast, downturn, or developing swelling issue would all be able to change the manner in which a strategies for the future and works in the present. Financial large scale condition factors are regularly hard to survey, since monetary gauges and examinations change generally between specialists. Joblessness levels, similar outside trade rates, and the condition of the worldwide economy would all be able to help or hurt a business capacity to get parts it needs and keep up stable benefit levels. Imagining the monetary condition of UK where swelling is as high as 3.3424%, the business may get influenced along these lines, diminishing the client footfall, and yet, inviting another objective market will finance this result. Social and Cultural Environment: Concerning social and social condition, WFC is in a superb circumstance. The explanation being they are giving food which is one of the essential necessities of endurance of human life. Besides when discussing society, similarly as the name recommends Western Fried Chicken, their contribution fits the way of life of UK the best and now they are in any event, intending to dispatch Halal meat which would incorporate the comprehension of western buyer bunches just as other customer bunches for example Muslims for whom Halal meat is sacrosanct This would help make positive relationship to their image. Innovative: Innovative full scale condition components can impact how an organization works together. Another kind of apparatus, propelled PC chip, or item made through innovative work can enable an organization to remain modernized and in front of the market bend. Staying aware of innovative advances can be something of a long distance race and a bet; shrewd entrepreneurs must have the option to precisely distinguish which new advancements will be genuinely valuable, and which are simply sparkling items with no genuine capacity to improve business. Being a food outlet, Western Fried Chicken can adjust to a couple of further developed innovative cooking hardware, for example, electrical stoves and profound fryers and so on that would be without bother and warmth the oil at an impeccable level so as to give all around cooked and firm chicken than any time in recent memory. Association Micro Factor: Companys miniaturized scale natural components can be clarified by utilizing Michael Porters nonexclusive five powers model. This model essentially clarifies the connection among organization and their likely rivals, purchasers and providers. These five powers additionally influence WFC. With this examination one can discover the best choice reasonable for WFC to beat the issues in the market because of those five powers. Dealing intensity of CustomerMichael Porters five powers model: Dealing Power of Suppliers Danger of substitute Products Serious Rivalry inside industry Danger of new Entrance Danger of new Entrance: Danger of New contestants is high as there are low hindrances to passage on and there is no restraining infrastructure of any food outlets. The explanation being the center item for example singed chicken is consistently a hit and there are higher odds of new contestants to endure quite well in this industry by devouring other existing organizations piece of the overall industry. The dealing intensity of providers: The dealing intensity of providers is additionally low as chicken which is the crude material for WFC is certifiably not a troublesome thing to get because of the adequate measure of providers however with regards to Halal meat then it could be taken as bartering intensity of providers is high as a not very many providers give Halal meat which is close to having imposing business model. The haggling intensity of purchasers: The haggling intensity of purchasers is high with regards to cheap food things as there are numerous different outlets, for example, Chicken Cottage, KFC and Dixy Chicken and so forth offering a similar menu. Subsequently, in the event that the clients feel that WFC is persistently over valuing, at that point there is a chance of changing to different contenders. Danger of substitutes: Danger of substitutes is additionally high as there are more than 1000 individual brands in activity in UK and if in future the purchasers may feel that WFC is anything but a sound food, they may get slanted towards solid food, for example, Chinese, Thai and Subway and so forth. Serious Rivalry in the business: Serious Rivalry in the business is high on the grounds that there is merciless rivalry in the food business of UK. There are more than 1700 outlets providin

Will Smith Essay Example | Topics and Well Written Essays - 1250 words

Will Smith - Essay Example The article explains on the biography of Will Smith delineating his diverse period of life and expounding on the battles that he has confronted. Correspondingly, the paper even subtleties out the distinctive crazy circumstances he has confronted that has added to create him as a famous character. Will Smith is a well known rapper cum entertainer conceived in the year 1968. His family initiated him as William Cristopher Smith Jr. He was conceived in an African-American family in Philadelphia. Having a place from a white collar class family, he confronted extreme measure of battle in his underlying years. Also, Smith even confronted extreme worry of family strife in the midst of his folks, which made his youth phase of life much increasingly upsetting. Be that as it may, the entertainer had never let his family battle come in the method of his desire. Notwithstanding of confronting extreme measure of negative circumstances and difficulties Smith effectively began his profession as a rapper in the year 1980’s. The rapper got his first Grammy grant in the year 1988. This was likewise the first ever Grammy grants in the field of rapping. His commitments in the field of rapping are huge and have even started new skylines in this field. Besides, Smith began his acting profession through a little job in a dramatization following which he got a head start for his vocation in the motion pictures. The entertainer cum rapper got the flavor of his first fame in the wake of highlighting in the film ‘Bad Boys’. This fame was trailed by his celebrated job in the film the Independence Day that stamped him as a significant player in the Hollywood. The entertainer by his recognizable acting aptitudes and comic quintessence denoted his essence as one of the most enchanting saints of the Hollywood. Being a piece of the dark network the entertainer confronted battle in the underlying long stretches of his profession in the film business. In any case, with his self control and solid mental set up the entertainer effectively combat against his deficiencies and built up a

Tourism as an Ambassador of Promoting International Peace

Basically, there are numerous meanings of harmony. With regards to this paper, harmony is characterized as pitiful ascribe which is difficult to register or in any case evaluate. Harmony is typically characterized as the nonexistence of war, irregular viciousness and activities of terrorism.Advertising We will compose a custom report test on Tourism as an Ambassador of Promoting International Peace explicitly for you for just $16.05 $11/page Learn More However, this portrayal is thin and, doesn't place into thought the significant reasons for struggle and manageability of overall harmony, which is definitely not an adequate need for harmony. At the point when characterized powerfully, harmony calls for presence of equity and reasonableness in agreement to the standard of law (Richie, 2004, pp.669-675). Food of the travel industry has become an issue of proportional noteworthiness in both creating and created nations. This paper is intended for both. In any case, the feeling of equali zation of concerns may vary between them. The determination of this paper is to furnish organizations with authority and structure for the development of procedures that continues the travel industry as a tool kit of components they can use in the execution of those. After some time, the travel industry has progressively become a principal part of our lives with the travel industry being supposed to be among the quickest developing worldwide ventures. A report recorded by the International Task Force on Sustainable Tourism Develâ ­opment (ITF-STD)- Marrakech (2009) archives that 903 Million traveler went in 2007 and the number expanded in 2008 just as 2009 notwithstanding the monetary and budgetary hiccups that were looked in the middle of that term. Moreover, the report further gauges that the number may skyrocket to as high as 1.6 billion individuals continuously 2020.This is significantly founded on the different types of exercises that individuals participate in the travel indu stry in this manner giving us a sufficient time for relaxation.Advertising Looking for report on correspondences media? How about we check whether we can support you! Get your first paper with 15% OFF Learn More Lindsay (2003) moreover expresses that worldwide the travel industry creates near 3 trillion dollars while it significantly adds to roughly 11% of the worldwide Gross National Product which makes it the biggest business on the planet. Significantly more critically, the travel industry has been an incredible pay producing action for people as well as enterprises and even governments (Dabour, 2003, pp.24-30). Late examinations additionally bear witness to the tremendous advancement of the travel industry despite the conceded nearness of difficulties and restrictions in the business. The travel industry happens when individuals decide to move starting with one spot then onto the next chatting with loved ones intentionally for play, business, study, work, administration and, jou rney (Rodriguez Cruz, 2007, pp.824-826). Vacationer goals extend from straightforward territories like amusement communities, parks, historical centers to climbing trails and resorts relying upon the idea of the travel industry and the people or gatherings of individuals engaged with it (Byrd Cardenas, 2009; and Sharpley Telfer, 2002, pp.5-10). Regardless of whether somebody ventures short separations or miles alone, with relatives, companions, outsiders or associates; the travel industry for the most part involve gatherings and different communications among different populaces with changing age gatherings, otherworldly conventions, ethnic foundations, capacity, social legacies, interests and instructive levels (Chavez, 1999). Explorers or vacationers can take part in new familiarities, gain data of different societies, nations or locales become familiar with the significance of adoring the earth, growing new fellowships and advancing tranquil connections among individuals (Butler, 2006, pp.30-35). The individuals who travel likewise contribute, through somehow, to the business development and improvement of the general population and area when going through some considerable measure of cash to give an assortment of fundamental needs like as food, apparel and asylum among numerous different basics (Solberg Preuss, 2007, pp.213-215; and Darowski et al., 2006).Advertising We will compose a custom report test on Tourism as an Ambassador of Promoting International Peace explicitly for you for just $16.05 $11/page Learn More Socioeconomic advancement, particularly when it helps in neediness easing, massively advances social harmony since a great many people are fulfilled. As it were, the travel industry helps in the production of a tranquil situation in a horde of ways. As per Bieger and Wittmer (2006, pp.42-44), the making of a worldwide society implies that travel industry organizations can work internationally and in a tranquil manner. Similar creators addition ally state that a great many people in the travel industry business have been cooperating with partners and investors from different districts to make arrangements prompting the destruction of viciousness, clashes and wars while associatively advancing manageability, in this manner guaranteeing the prosperity of all members locally and internationally among the included networks along these lines advancing harmony in by and large (Boberg Cavinato, 1986; and Moss et al., 2003). Learning and giving administrations towards the making of tranquil conditions are among the significant objectives of people taking part in all element of the work which create congruity through the travel industry, comprehensive of those connected with learning organizations which show the youthful to serve in the games, friendliness, the travel industry, and diversion organizations (Holden, 2000, pp.247-250). Resources and understudies who have a stake in responsibility to objectives and purposes characteriz ed here have a particular possibility of ingraining serene qualities all through the students’ learning encounters (Koeman, 1985, and Grimble Chan, 1995, pp.113-120). Koeman assists expresses that people who work in the travel industry exchanges appreciate the advantages and administrations of their business tries, have congregated over the ongoing occasions with partners and investors in the travel industry, (for example, governments, learning foundations, different business-arranged ventures, network leaders, strict and profound pioneers, harmony specialists and residents) to talk about harmony related issues in the travel industry. Resultantly, this has helped in expanding their comprehension of harmony in the travel industry through the protest against savage practices (Gibson Bentley, 2006, pp.63-70; and Hall, 2008, pp.10-20). As indicated by Knowles and Curtis (1999, pp.87-96), these defenders of harmony through the travel industry in the present world have purportedly been progressively joined in trying to advance a reasonable harmony while receiving the delights and rewards related with versatility and amusement. The following are a portion of the strategies that are typically utilized by these partners and investors to multiply harmony in the travel industry industry.Advertising Searching for report on correspondences media? How about we check whether we can support you! Get your first paper with 15% OFF Find out More Right off the bat, this is typically done through respect profound traditions, recovering of blessed spaces, cooperating with others to cultivate advancement, security and backing and foundation of a tranquil the travel industry condition (McElroy, 2006, pp.61-70). Furthermore, there is the acknowledgment and insurance of different social spaces and customs (Hritz Cecil, 2008). This aides in encouraging variety in the travel industry, rousing visitors to travel more and working with others for advancement, safeguarding, insurance, and adept help for cruciaal legacy destinations (Koeman, 1985). Thirdly, it is done through decline neediness by utilizing individuals from the nearby networks as a methods for producing salary, supporting the development of neighborhood and private ventures which inevitably add to benefits in the travel industry also destitution lightening of the individuals consequently helping them maintain a strategic distance from superfluous fierce undertakings which diminish the advancement of harmony (Darowski et al., 2006). Fourthly, the previously mentioned parties ordinarily try to wipe out circumstances that may prompt activities of non-serene the travel industry attempts, for example, viciousness and war while educating in compromise, and working with local gatherings just as governments to reestablish parts debilitated by wars in the travel industry (Lindsay, 2003). Fifthly, the investors and partners generally try in advancing feasible development by booking development plans with care for the earth in mindfulness, saving uncommon creature and plant species while supporting unprejudiced ecological belief systems and practices which help in encouraging quiet concurrence in the business. Seventhly and in conclusion, the included gatherings will in general endeavor in instructing individuals about fragile biological systems by empowering ecotourism while advancing a tranquil domain by including the local individuals in dynamic procedures. Through such undertakings, numbness is enormously managed while less obstruction and wars are looked from the locals (UNWTO, 2011, pp.2-5). All through the universe, individuals who work in practically all parts of the travel industry and friendliness organizations are help in forming the perspectives, qualities, and convictions and standards of a quiet the travel industry environment(Dabour, 2003, pp.24-30). Darbour further declares that such individuals will in general undertaking in distinguishing answers for critical social, political financial and natural difficulties on the planet while endeavoring to meet with other similarly invested individuals to build their insight about harmony as a pivotal part of the travel industry. These exercises are just a couple of the numerous undertakings that individuals right now take part in both at neighborhood and global levels to support the consistent development of a tranquil the travel industry condition (Kim, 2010, p.1). This perspecti ve of harmony additionally, as indicated by Richie (2004, pp.670-675), to some degree alludes to the state wherein a person is viewed as content with himself. Richie says that it furthermore covers the idea of peace. Richie further affirms that this origination of harmony doesn't anyway exclud

Using Simulations in Nursing Education Research Paper

Utilizing Simulations in Nursing Education - Research Paper Example Nursing isn't a special case as there are various parts of the investigation in nursing which can't be gotten a handle on by the understudies without useful information. Reenactment has been utilized in the nursing area and social insurance segment for quite a while however there is a need to hoist the recurrence and nature of reproduction based methods in nursing so as to totally misuse the advantages (Jun et al., 1999). The three principle learning hypotheses which are known as psychological, social, and constructivist clarify the point by point forms through which the students gain inside and out information about any theme while utilizing reenactments. This paper will talk about the proof based delineations by and large in social insurance and afterward an accentuated examination with explicit connection to field of Obstetrics, which will clarify the viability and significance of utilizing the reproductions in nursing instruction and its positive effect on the patient results. Wr iting Review The insistent need of the recreation in nursing space surfaced in late twentieth century when the assets were draining for the human services part and time limitations were increasing. There were provisos in the aptitudes of the prepared medical caretakers which were knowledgeable about the reasonable fields and the patient results were experiencing radical outcomes. ... report, IOM assembled a crisis conference of the wellbeing segment masters which went as goals with accord that the human blunder proportion is a result of the frail instructive framework and the medical caretakers are should have been furnished with crisis case situations and top to bottom information on various sort of ailments. Recreation gives the best space to the understudies to learn and rehearse the clinical speculations without a dread of hurting the patient. Reproduction likewise gives a monstrous chance to the understudies to test their aptitudes and intermittent reiterations of the handy methodological examinations. The apprenticeship preparing procedures can be effortlessly performed and the educators can successfully transmit the changing wellbeing examples to the understudies by for all intents and purposes demonstrating them the recreations. The affectability factors frequently goes about as a significant block in the learning procedure for the medical caretakers (Rut herford-Hemming, 2012). The usable vaginal conveyance with forceps and vacuum gadgets are additionally being sent everywhere in the clinical area of Obstetrics. The neonatal dangers are went with the utilization of vacuum cups, yet they are unquestionably increasingly proficient in the conveyance methods and are utilized by an extraordinary number of Obstetricians. Similarly some different segments of Obstetrics, for example, needle utilization amniocentesis and fetal blood samplingâ requires a lot of training and such cases are not accessible for the nursing understudies for training on hands. A few surgeons predicted the significance of reproduction in the field of Obstetrics and issues request to insert the low-devotion models for amniocentesis in the learning and preparing systems (Cass et al., 2011). The outcomes were ideal, and patient results were influenced in a positive manner after the preparation and on hands understanding of the understudies on these

Blog Archive B-School Chart of the Week December 2016 and January 2017 Social Currency Rankings

Blog Archive B-School Chart of the Week December 2016 and January 2017 Social Currency Rankings Rankings come in all shapes and sizes, but can any ranking truly capture social cachet? For a different perspective on the value of an MBA, we turn to the  New York Times  society pages, where the editors select and profile promising couples. Each month, we dedicate one B-School Chart of the Week to tallying how alumni from top-ranked business schools are advancing their social currency ranking. Despite the picturesque photo possibilities of snowy grounds, winter weddings appear to be somewhat of a rarity among MBAsâ€"in fact, the New York Times profiled only eight nuptials involving MBAs during the month of December and nine in January. Perhaps the fewer the merrier, however, since these weddings featured some true business school romances. Leslie Voorhees and Calley Means, who tied the knot in December, met at Harvard Business School (HBS) while pursuing their respective MBA degrees. Another December couple, Whitney Keefe and David Snider, also met while both were HBS studentsâ€"but on a blind date! In addition, some current MBA students were busy with January weddings. One groom is currently pursuing a degree at the Yale School of Management, another is studying at the New York University School of Business, and one bride, who is also the co-president of the student body, is hard at work at HBS. Share ThisTweet B-School Charts Harvard University (Harvard Business School) New York University (Stern) Yale University (School of Management)

Common Type Of Diabetes - Free Essay Example

Abstract This essay details the causes of type 2 diabetes and describes what kind of behavior can effectively improve or prevent type 2 diabetes. The essay cites three studies to prove that physical status, especially obesity increases the likelihood of having diabetes. Secondly, psychological pressure and eating habits are among the influencing factors. In addition to medical treatment for type 2 diabetes patients, there are many ways to effectively help and overcome the disorders. For example, with a reasonable diet and trying to avoid high cholesterol food. Keeping exercising but do not exercise too intensely. Maintaining a healthy state and mindset is also essential. Keywords: type 2 diabetes, obesity, etiology, exercise habits, lifestyle. OBESE ELDERLY AND T2DM 3 Part 1 If assume that my family member has a high chance of type 2 diabetes, and doctors recommend proper management of the lifestyle. After understanding and analysis of the life habits, I find that when life is busy, there is not much time and effort spent on diet for the family member. So ignoring breakfast or fast food became a substitute. And there is no time for exercise, inactive has become the state of life. In my nutrition class, I learned that the causes of type 2 diabetes may be affected. For psychological stress, the instability or panic caused the blood glucose and blood lipids to fluctuate, which affected the normal operation of insulin. When the emotions are reasonably controlled, insulin will play a normal role. Type 2 diabetes is a common type of diabetes. Unlike type 1 diabetes, it does not mean to say that the bodys immune system is destroyed. It states that the body can still produce insulin, but it cannot be effectively used, which means it will be resisted. For some people, there may be too much insulin in the body, so it needs to be treated by oral means. Insulin is a hormone that is secreted by cells in the pancreas. It also has metabolic effects on sugar, and can promote the consumption, storage and utilization of sugar. For people with diabetes, if the blood sugar level in the body is already too high, the condition will increase. And also Insulin is the only factor that can lower blood sugar. Part 2 Obesity is one reason that causes type 2 diabetes, because high blood sugar has caused damage of the muscles in the long-term. Blood glucose consumption has not been saved, but has OBESE ELDERLY AND T2DM 4 Although long-term injection of insulin can promote the synthesis of fat, it still prevents the decomposition of fat. So the symptoms of obesity in patients are getting worse. So for adults or older people, the lifestyle changes and the physical activity decreases. At the same time, rising living standards have changed the eating diet, so they consume too much energy. So they have a higher risk of developing type 2 diabetes. In the fourth unit of the book, the author makes a clear picture of the increasing number of obese people in recent years Nyamdorj, 2012). From the chart, it also shows that obesity is almost a third in the United States. Figure 1: Adult prevalence (%) of obesity (BMI †° 30 kg/m 2 ) measured by trained observers. OBESE ELDERLY AND T2DM 5 As peoples age increases, social status and family status continue to change. At the same time, peoples moods will be ups and downs. When emotions are unstable and stress increases, people are particularly prone to impatience, which leads to endocrine disorders and elevated blood sugar. This is also a cause of type 2 diabetes. Due to the continuous advancement of science and technology and the improvement of medical conditions, people are paying more and more attention to the problem of type 2diabetes. It is complex and may be caused by a combination of factors. Obesity is a major factor in causing type 2 diabetes. People with BMI greater than 30 are obese. According to the article, it states that obesity is a feature of the new era, and the incidence of diabetes is also increasing. More than one-third of people in the United States suffer from obesity. This article also mentioned that in addition to the degree of obesity can have an impact on diabetes, the location of fat accumulation also has an impact. Increased abdominal fat is reflected in the abdominal circumference and waist and hip. (Eckel et al. , 2011) Therefore, for obese people, especially if the upper body is too obese, it will lead to an increase in visceral fat, and it is even more unfavorable for insulin to maintain normal blood sugar. Instead, it will produce resistance and lead to type 2 diabetes. It is extremely important to maintain a healthful weight. Obesity is an illness and can increase the probability that people have diabetes. So what can lead to obesity? Some people may say that their family members are not overweight but they are obese. In fact, there are many causes of obesity, which may be environmental factors, endocrine factors, or genetic factors. In the article, there is a certain close relationship between obesity and hyperinsulinemia. When the body is resistant to insulin, in order to maintain normal OBESE ELDERLY AND T2DM 6 blood glucose levels, it will lead to an increase in the amount of   cells to help lower blood sugar. (Eckel et al. , 2011) So it means that when people eat food and replenish energy, a lot of nutrients like carbohydrates and proteins are absorbed through the digestive system and transformed in the body. When the   cells begin to secrete insulin, blood sugar levels remain normal. But if people eat too much, excess nutrients are stored, which can lead to weight gain. Obesity particularly affects the health of adults. If it is overweight, it can cause chronic health problems. In the survey, Kitada et al. (2018) shows that diabetes is associated with more complications. For example, there are kidney disease, cardiovascular disease and more disease. And patients with diabetic nephropathy have a higher prevalence and increase mortality. The mutual influence between diseases poses a great danger to the patients health. As a high-risk cause of diabetes, obesity should be controlled to ensure the health of patients. Although diabetes can not be radically cured and healed, physical activity can be used to intervene and effectively improve the condition. Part 3 Control of diabetes is not limited to injecting drugs. Although medication can effectively improve the condition, long-term injections can have a side effect. The accumulation of fat leads to weight gain. It is not conducive to the improvement of diabetes. On the contrary, proper weight control is necessary. For weight control, there are references to weight loss in the article. However, this behavior is still inappropriate, and if the drug is stopped, it can cause a rebound effect or be taken regularly, which can cause serious injury to the body.The article also suggests that self-monitoring should be used to improve the balance between diet and exercise.   OBESE ELDERLY AND T2DM 7 example, reduce fat and carbohydrate intake. (Eckel et al. , 2011) So, as mentioned in the article, self-monitoring is a guarantee of health. Regular blood glucose monitoring is necessary. In particular, take measurements before meals and keep body in check. This means controlling weight and starting from the ground up. It is necessary to strictly control the diet and try to achieve reasonable nutrition. Patients should also have small meals and   regular meals. For breakfast, high-fiber foods are more conducive to intake of sugar, such as steamed bread, high-fiber biscuits and so on. Lunch requires nutritious food, but the fat content cannot be too high. Fish, chicken and pasta can be properly prepared. The habit of drinking alcohol and smoking should be stopped and the increase of cholesterol should be avoided. Physical exercise is also an effective way to help obese diabetics lose weight. However, to avoid excessively intense exercise, we can choose to exercise with endurance. For example, after a meal, we can take a walk and play Tai Chi. It is best to exercise with our family. And adding water in a timely manner. It is a long-term behavior to improve the condition of diabetes by controlling weight or losing weight. It is necessary to pay more patience for exercise. OBESE ELDERLY AND T2DM 8 Reflection At the time of writing this essay, the easier part to write is the specific implementation plan for prevention or improvement of type 2 diabetes. Because after understanding the etiology of type 2 diabetes, it can be based on the cause of the disease to further study how to reduce the prevalence rate or to control the development of the disease. For example, in addition to drug treatment, maintaining a healthy state of mind and reducing psychological pressure.When attention to maintaining blood pressure and the stabilization of blood glucose levels that can effectively help relieve symptoms. For the first part of the article, it is difficult for me to assume that the cause of the family members illness or if any behaviors be able to make some changes in the disease. Because I dont have enough information about type 2 diabetes. I could hardly have a deep understanding of type 2 diabetes except what I learned in class. And I can not be determined other factors such as genetic and obesity. When making hypotheses about a certain behavior, it is difficult for me to determine whether this behavior can actually help with type 2 diabetes. It is necessary to make assumptions or bold conjectures on a topic or research, but for me later research and data collection are more important. This can help me understand more deeply and find a reasonable solution that is of great help. So in the same situation afterwards, I will try to spend more time reading or consulting experienced people to obtain effective information. References Eckel, R. H., Kahn, S. E., Ferrannini, E., Goldfine, A. B., Nathan, D. M., Schwartz, M. W., Smith, S. R. (2011). Obesity and Type 2 Diabetes: What Can Be Unified and What Needs to Be Individualized?  The Journal of Clinical Endocrinology and Metabolism,  96(6), 1654â€Å"1663. https://doi.org/ 10.1210/jc.2011-0585 Kitada, M., Ogura, Y., Suzuki, T., Monno, I., Kanasaki, K., Watanabe, A., Koya, D. (2018). A low-protein diet exerts a beneficial effect on diabetic status and prevents diabetic nephropathy in Wistar fatty rats, an animal model of type 2 diabetes and obesity.   Nutrition Metabolism,  15, Nutrition Metabolism, 2018, Vol.15. Nyamdorj, R. (2012). Obesity and Type 2 Diabetes. In Epidemiology of Type 2 Diabetes (Vol. 1, pp. 39-64). Bentham Science.