Candide Types of Satire, Parody, Caricature, Burlesque, and Wit Flashcard

Candide: Types of Satire, Parody, Caricature, Burlesque, and Wit

Admiral Sir Bertram Ramsay, the Savior of Dunkirk

Admiral Sir Bertram Ramsay, the Savior of Dunkirk Born January 20, 1883, Bertram Home Ramsay was the son of Captain William Ramsay in the British Army. Attending the Royal Colchester Grammar School as a youth, Ramsay elected not to follow his two older brothers into the Army. Instead, he sought a career at sea and joined the Royal Navy as a cadet in 1898. Posted to the training ship HMS Britannia, he attended what became the Royal Naval College, Dartmouth. Graduating in 1899, Ramsay was elevated to midshipman and later received a posting to the cruiser HMS Crescent. In 1903, he took part in British operations in Somaliland and earned recognition for his work with British Army forces shore. Returning home, Ramsay received orders to join the revolutionary new battleship HMS Dreadnought. World War I A modernizer at heart, Ramsay thrived in the increasingly technical Royal Navy. After attending the Naval Signal School in 1909-1910, he received admission to the new Royal Naval War College in 1913. A member of the colleges second class, Ramsay graduated a year later with the rank of lieutenant commander. Returning to the Dreadnought, he was aboard when World War I began in August 1914. Early the following year, he was offered the post of flag lieutenant for the Grand Fleets cruiser commander. Though a prestigious posting, Ramsay declined as he was seeking a command  position of his own. This proved fortuitous as it would have seen him assigned to HMS Defense, which was later lost at the Battle of Jutland. Instead, Ramsay served a brief stint in the signals section at the Admiralty before being given command of the monitor HMS M25 on the Dover Patrol. As the war progressed, he was given command of the destroyer leader HMS Broke. On May 9, 1918, Ramsay took part in Vice-Admiral Roger Keyes Second Ostend Raid. This saw the Royal Navy attempt to block the channels into the port of Ostend. Though the mission was only partly successful, Ramsay was mentioned in despatches for his performance during the operation. Remaining in command of Broke, he carried King George V to France to visit the troops of the British Expeditionary Force. With the conclusion of hostilities, Ramsay was transferred to the staff of Admiral of the Fleet John Jellicoe in 1919. Serving as his flag commander, Ramsay accompanied Jellicoe on a year-long tour of the British Dominions to assess naval strength and advise on policy. Interwar Years Arriving back in Britain, Ramsay was promoted to captain in 1923 and attended senior officers’ war and tactical courses. Returning to sea, he commanded the light cruiser HMS Danae between 1925 and 1927. Coming ashore, Ramsay began a two-year assignment as an instructor at the war college. Towards the end of his tenure, he married Helen Menzies with whom he would ultimately have two sons. Given command of the heavy cruiser HMS Kent, Ramsay was also made chief of staff to Admiral Sir Arthur Waistell, commander in chief of the China Squadron. Remaining abroad until 1931, he was given a teaching post at the Imperial Defense College that July. With the end of his term, Ramsay gained command of the battleship HMS Royal Sovereign in 1933. Two years later, Ramsay became chief of staff to the commander of the Home Fleet, Admiral Sir Roger Backhouse. Though the two men were friends, they differed widely on how the fleet should be administered. While Backhouse firmly believed in centralized control, Ramsay advocated for delegation and decentralization to better allow commanders to act at sea. Clashing on several occasions, Ramsay asked to be relieved after just four months. Inactive for the better part of three years, he declined an assignment to China and later began working on plans to reactivate the Dover Patrol. After reaching the top of the rear-admirals’ list in October 1938, the Royal Navy elected to move him to the Retired List. With relations with Germany deteriorating in 1939, he was coaxed from retirement by Winston Churchill in August and promoted to vice admiral commanding Royal Navy forces at Dover. World War II With the beginning of World War II in September 1939, Ramsay worked to expand his command. In May 1940, as German forces began inflicting a series of defeats on the Allies in the Low Countries and France, he was approached by Churchill to begin planning an evacuation. Meeting at Dover Castle, the two men planned Operation Dynamo which called for a large-scale evacuation of British forces from Dunkirk. Initially hoping to evacuate 45,000 men over two days, the evacuation saw Ramsay employ a massive fleet of disparate vessels which ultimately saved 332,226 men over nine days. Employing the flexible system of command and control that he had advocated in 1935, he rescued a large force which could immediately be put to use defending Britain. For his efforts, Ramsay was knighted. North Africa Through the summer and fall, Ramsay worked to develop plans for opposing Operation Sea Lion (the German invasion of Britain) while the Royal Air Force fought the Battle of Britain in the skies above. With the RAFs victory, the invasion threat quieted. Remaining at Dover until 1942, Ramsay was appointed Naval Force Commander for the invasion of Europe on April 29. As it became clear that the Allies would not be in a position to conduct landings on the continent that year, he was shifted to the Mediterranean as Deputy Naval Commander for the invasion of North Africa. Though he served under Admiral Sir Andrew Cunningham, Ramsay was responsible for much of the planning and worked with Lieutenant General Dwight D. Eisenhower. Sicily and Normandy As the campaign in North Africa was coming to a successful conclusion, Ramsay was tasked with planning the invasion of Sicily. Leading the eastern task force during the invasion in July 1943, Ramsay coordinated closely with General Sir Bernard Montgomery and provided support once the campaign ashore began. With operation in Sicily winding down, Ramsay was ordered back to Britain to serve as Allied Naval Commander for the invasion of Normandy. Promoted to admiral in October, he began developing plans for a fleet that would ultimately include over 5,000 ships. Developing detailed plans, he delegated key elements to his subordinates and allowed them to act accordingly. As the date for the invasion neared, Ramsay was forced to defuse a situation between Churchill and King George VI as both desired to watch the landings from the light cruiser HMS Belfast. As the cruiser was needed for bombardment duty, he forbade either leader from embarking, stating that their presence put the ship at risk and that they would be needed ashore should key decisions need to be made. Pushing forward, the D-Day landings commenced on June 6, 1944. As Allied troops stormed ashore, Ramsays ships provided fire support and also began aiding in the rapid build-up of men and supplies. Final Weeks Continuing to support operations in Normandy through the summer, Ramsay began advocating for the rapid capture of Antwerp and its sea approaches as he anticipated that ground forces might outrun their supply lines from Normandy. Unconvinced, Eisenhower failed to quickly secure the Scheldt River, which led to the city, and instead pushed forward with Operation Market-Garden in the Netherlands. As a result, a supply crisis did develop which necessitated a protracted fight for the Scheldt. On January 2, 1945, Ramsay, who was in Paris, departed for a meeting with Montgomery in Brussels. Leaving from Toussus-le-Noble, his Lockheed Hudson crashed during takeoff and Ramsay and four others were killed. Following a funeral attended by Eisenhower and Cunningham, Ramsay was buried near Paris at St.-Germain-en-Laye. In recognition of his accomplishments, a statue of Ramsay was erected at Dover Castle, near where he planned the Dunkirk Evacuation, in 2000.

Paper 3 Research Example | Topics and Well Written Essays - 500 words

3 - Research Paper Example Ethnic origin provides an individual with a sense of identity from other people. It reinforces the idea that a certain individual is what he or she is because of his or her belongingness to this certain group, where the culture of that group is passed on to that individual by means of language. It is quite comparable to an intangible home of the individual where different members of a huge family interact in seemingly similar ways and valuing similar cultural norms. Ethnicity is closely linked to the concept of a nationality, where, in Political Science, refers to the perception of belongingness to a group or a collective of people exhibiting uniqueness or a sense of distinction from other groups of people. Ethnicity is Janus-faced as it presents two paradoxical roles in the society. The concept of Ethnicity unites the people of the same ethnic origin and consolidates a homogenous collective group of that same ethnic origin. We can see this in the classic example of the Chinese. In s eemingly most major cities in the world, there is always a sector in that city deemed a Chinatown, where most, if not all, people, citizen or migrants, that are ethnically and conservative Chinese establish their homes and their businesses.

Toulmin Model Argument about the Environment Essay

Toulmin Model Argument about the Environment - Essay Example Christianity as a religion has pulled many people who share the faith together, to emphasize on the need of treating the environment with respect. Different Christians have varying interpretations of the Bible; hence some have been reluctant, while others are active in protecting and promoting the works of creation on the environment. These Christians have been spurred by the works and attitude of the creator towards the environment, making them to engage in environmentalist tasks as worship to God, besides the in-church devotion and activities. God himself created every little and big object, he loved and valued his creations. He looked at everything he had made and was satisfied it was indeed good (Gen. 1:31). Just as he loved man, he also loved his creation and moved forward to give man responsibility over the creation, beginning with Adam in the Garden of Eden. His love and goodness extends to all creations, â€Å"he has compassion on all he has made†. Christians who live by emulating the will of God have hence the role to be merciful and gracious to all God’s works (the environment). Christians demonstrate their mindfulness of God by trying the best to take care of the environment and its components as the will of God. There are many environmental injustices taking occurring on the surrounding; reckless deforestation, wildlife destruction and disposal of waste, industrial pollution and other unfriendly human activities to the environments, which are often carried out because of humans’ greed and selfishness. ... His love and goodness extends to all creations, â€Å"he has compassion on all he has made† (Psalms.145: 9). Christians who live by emulating the will of God have hence the role to be merciful and gracious to all God’s works (the environment). Christians demonstrate their mindfulness of God by trying the best to take care of the environment and its components as the will of God. There are many environmental injustices taking occurring on the surrounding; reckless deforestation, wildlife destruction and disposal of waste, industrial pollution and other unfriendly human activities to the environments, which are often carried out because of humans’ greed and selfishness. According to Henderson, the NCC proposed several actions entailing; disposing or recycling of trash properly, minimizing energy consumption, ensuring responsible recreation, reducing the use of fertilizers and pesticides and participating in public witnessing on the federal, local, and state level a s ways to live appropriately, while safeguarding the environment (n.d.). These actions would enable man to practice justice and unselfishness in their activities on the environment. Actions Christians Should Take on Environmental Preservation Recycling and disposition The governments have been on the fore front campaigning on reuse of waste materials to minimize the pollution; Christians have a role to play to share the same vision with their authorities and demonstrate the actions to spur others. From the scripture, Hebrews 13: 17, Christians are guided to obey and be submissive to those who rule over them; this gives Christians the joy to work together with their governments for a profitable course. In many societies, people have neglected their responsibilities on caring for the

Introduction to Global Management Assignment Example | Topics and Well Written Essays - 750 words

Introduction to Global Management - Assignment Example It is a multinational corporation since it operates in the 130 countries around the world and has employed more than 20,000 people. The products of the company are found in thousands of restaurants and supermarket freezers. Research shows that one of every three fries sold in different restaurants in the world comes from McCain and this in turn translates to one hundred million servings of the company’s fries every day (Cameron & Mike, 39). One of the strategies that McCain used to expand in China is the launch of a French fry processing plant in Harbin, the capital of North East China. This is the first processing facility in Asia and serves as the headquarters of the company in China. The construction of the plant will allow the distribution of the potatoes not only in China, but also in other North Asian markets like South Korea and Japan. This therefore makes McCain foods to be the company that is leading in the production of French fries. In addition, the company opened sales offices in Shanghai and introduced mechanical planters and diggers to the McCain way of growing potatoes. This includes the techniques used in the preparation of deep soil, and proper ways to irrigate therefore improving the quality of the yields thus increasing the margins compared to other crops. The purpose of the construction of the new plant in China was to make the company be a leader in the supply of potatoes to expand the Chinese mark et and help to meet the market demands of the country by providing products that are of high quality domestically. Moreover, the company needed to raise its presence in the big underdeveloped markets. Moreover, the spread of service retailers like the KFC and McDonald’s that have made their way extensively in the Asian markets has contributed to McCain constructing a plant in China. For new companies, it can be challenging to enter a foreign market. According to Hofstede works on global cultures, some of the challenges the Canadian

Lead Poisoning In Children Health And Social Care Essay

Lead Poisoning In Children Health And Social Care Essay In 1988, the Agency for Toxic substances and Disease Registry released a report on lead poisoning giving health partners and stakeholders an overview of the adverse health effects of lead poisoning in children 6 months to 5 years of age. They found that about 2.4 million children nationwide (excluding other racial categories) living in metropolitan areas were at risk of lead exposure health effects using a blood-lead level of a maximum 15ug/dl acceptable standard. Higher blood-lead threshold levels were found in black children living in inner-cities as well as children from low income families. Another report in 1990 released by the Environmental Defense Fund (EDF) saw varying differences in lead exposure in children ranging from racial, economic (Perkins, 1992) and residential location. Based on this study, lead exposures were found to be higher in states of the Midwest (Wisconsin) and Northeast where most of the housing were very old. This doesnt mean states with larger amounts of relatively new housing dont suffer from lead exposure as found in Las Vegas where despite increase in new buildings, over 12,000 children making up 28% of the entire population has blood-lead levels exceeding 10ug/dl. Among the states of the Mid West of the USA, Wisconsin stands out as one that has over the years being at high risk of lead exposure. In a study carried out in 2006 by the Wisconsin Childhood Lead Poisoning Prevention Program (WCLPPP), lead exposure prevalence within the state stood at 2.6% in children tested under the age of 2 years. This was twice the national prevalence which stands at 1.4%. Lead exposure in children has been a major public health concern for over a century now. According to the CDC Surveillance Data of 1997-2006, the number of children being poisoned by lead in Wisconsin was greater than in other states, leading to serious health hazards with high financial burden to families especially low income families. In 2010, over 735 new cases of children w ith blood lead levels à ¢Ã¢â‚¬ °Ã‚ ¥10ug/dl were identified. In that same year the prevalence of lead poisoning in children tested in Milwaukee with blood lead levels à ¢Ã¢â‚¬ °Ã‚ ¥10 µg/dL stood at 3.4% which is 2.4 times the national average of 1.4%. Source: Wisconsin Department of Health and Family Services, Division of Public Health, Bureau of Environmental and Occupational Health; April 201 In the state of Wisconsin the prà ©cised number of children at risk of lead poisoning still remains unknown but in compliance with the Chapter 151 of Wisconsin statutes which requires that every physician reports any conformed or suspected cases of blood-lead poisoning, over 3265 children with blood lead concentrations of over 20ug/dl were reported to the Wisconsin Department of health between the periods of July 1992 to June 1993 (Schirmer, 1993). Based on the national estimate of 17% of blood lead poisoning, the Wisconsin Division of Health estimated that over 36000 children within the state were at high risk of lead poisoning (Schirmer, 1993). According to the Title XIX program also known as the HealthCheck program which makes blood-lead screening mandatory for all children between the ages of 2-6years (Hoffman, 1993), in 1992, , over 12,435 children were screened for blood lead poisoning based on the HealthCheck under the Wisconsin Medicaid program and of this number 2644 of the m had blood-lead levels à ¢Ã¢â‚¬ °Ã‚ ¥ 10ug/dl (Department of Health and Social Services, 1992). In 2006, 5% of enrolled children in Wisconsin public schools had at least a blood lead concentration above the normal value. In two separate studies carried out in 2000 and 2007, their resulting data showed that childhood lead poisoning accounted for about 88% of violent crime rates in the USA over several decades as could be seen in the rate of school disciplinary problems resulting to an increase in school dropouts, juvenile delinquency and even adult criminality. In the fall of 2006, it was estimated that one in every 20 children between the ages of one and two years who entered the Wisconsin school system had lead poisoning and below a third of these children who are at high risk of lead exposure have been screened for lead in their blood (WI DHS; 2008). Most of the children identified in Wisconsin to be at risk of lead poison accounting for over 90% lived in very old homes that were built before the 1950s. Lead poisoning is not just a serious problem here in the Milwaukee County but its a major problem in all the 72 counties statewide affecting children primarily. In a study carried out in 2006, it was estimated that over 75% of children known to be poisoned with lead lived in 266 out of all 1330 high risk census tracts in Wisconsin with over 200,000 homes built before 1950. Blood lead levels equal to or greater than 10micrograms per deciliter (mcg/dl) is regarded as a call for concern as set by the center for Disease Control (CDC) in 1991 (CDC, 1991) and in 2007, the CDC reaffirmed this level (CDC, 2007). These findings made law makers to look deeper into the issue of lead poisoning as a major cause of unusual societal behaviors (Nevin 2000; 2007). Based on this blood lead level, Wisconsin children with these levels are considered to be lead poisoned and this blood lead concentration has been used for surveillance purposes to help identify, treat and manage new cases (Wis. Stats 245.11 CDC Blood Lead Surveillance Data, 1997 2006). Sources of childhood lead poisoning Most of the routes of lead poisoning in children include inhalation, ingestion of soil (Harrison et al., 1981) or household dust and drinking water (Harrison et al., 1991) that has been contaminated with lead from old paintings flakes which occurs during when old houses are being renovated or through lead paint coated surfaces found in the kitchen, bathroom walls and windows of homes that were built before 1950. Most of these lead particles are extremely small and cannot be seen with the naked eye. Since its ban in 1978 in the USA, it has still been used to coat walls, frames of windows, doors, floors and ceilings of old homes and toddlers and other children are at risk of ingesting these surface fall offs reason why the CDC recommended lead testing and required by the federal Medicaid policy in children under 6 years (CDC, 2000). Lead poisoning within the state is a complex combination of the poverty, and low socio economic status of most families coupled with the old housing puttin g children at risk. However, other sources of lead exposure have been found in some consumer products which may pose a health risk to children and adults alike. They include toys, lunch boxes, and jewelries for kids, ceramics, candies as well as products made in China and Mexico. The state recommends that people stop buying these products, dispose of them or return them for a refund if bought. The Center for Disease Control and Prevention through the U.S Consumer Product Safety Commission has recalled a list of these items with unsafe levels of lead some of which include toys, candies such as SINDOOR a coloring food product was recalled by the Food and Drug administration (FDA) 2007 after a series of test were conducted by the Illinois Department of Public Health found this product to have over 87% of lead. Lead poisoning and its Adverse Health effects Lead, is a naturally occurring element on earth whose chemical properties allow for its use in building construction. Its use dates back to about 3500BC (Needleman, 1990) when Romans started using it to make lead pipes and storage containers. It has been extensively used in many products such as paint, gasoline, and ceramic. Even though adults can suffer from lead poisoning it is much more severe in children. Despite the fact that its preventable its health impact is severe ranging from behavioral defects, delay in speech, hearing problems, poor performance at school, increased juvenile delinquency and in severe cases death. There is really no safe level of lead in our bodies as even very smaller amounts below the Wisconsin blood lead concentration could cause serious long term health effects such as a brain damage (Mendelson et al, 1998). Other strange behaviors exhibited by lead poisoned children include aggression and the tendency to become over active (Nevin 2000). Other studies have shown that lead exposure in children may cause kidney disease when they reach adulthood, diabetes and even memory loss as seen in Alzheimers disease and severe cases stroke and heart attack (Needleman 1990). It affects especially their brains and the central nervous system since both systems are still forming and low exposure could result in reduced IQ learning disabilities, stunted growth (Brubaker et al., 2009). Studies have shown that blood lead concentrations as low as 70ug/dl and as high as 100ug/dl can lead to encephalopathy in children which is linked to anorexia, decreased in activity, poor coordination, vomiting and aggressiveness and rapidly progresses to death (CDC 1991) Structure of Wisconsins Lead Poisoning Prevention Programs The Wisconsin Department of Health services (DHS) is in charge of all health programs and services that are geared towards promoting the protecting and promoting the health and safety of the people of Wisconsin. They carry out functions like assessment, policy development and advocacy. Of these programs is the WIC program which is a federally funded program under the child and youth services of the DHS. This program provides special supplemental nutrition to women, Infants and Children (WIC) in other to promote and maintain the health and wellbeing of pregnant women, breastfeeding and postpartum women, infants and children. Children eligible for this program must be infants of up to a year or a child up to age 5 and whose parents are Wisconsin residents, be income eligible and have a health or nutrition needs. In the state of Wisconsin, children are required to be tested twice for lead in blood with the first testing taking place between 6-16 months of age and the second testing betw een 17-28 months. However within the DHS is the Wisconsin Division of Public health (DPH) which addresses three major lead hazard control programs namely the Adult Blood Lead Epidemiology and Surveillance (ABLES) program, Asbestos and Lead Certification Unit and Wisconsin Healthy Homes and Childhood Lead Poisoning Prevention Program. The ABLES program focus on monitoring laboratory based lead levels in blood of adults most due to occupational exposure while the Asbestos and Lead Unit program provides accreditation and certification programs for the Wisconsin DHS under the Chapter 254 Wisconsin statue provision as well as standard guidelines required for abatement activities within the state. There is also the Wisconsin Healthy Homes and Childhood Lead Poisoning Prevention Program (WHHCLPPP) which makes possible resources such as technical, financial and consultations to help stakeholders completely eliminate and treat childhood lead poisoning Funding for Lead poisoning control programs Increased pressure from the Wisconsin public lead to the creation of a federal law called the Title X Residential Lead-based Paint Hazard Reduction Act of 1992 with focus on the federal government taking a major role in lead poisoning prevention. This law requires that all housing programs have lead safety addressed in them. It also calls for the Environmental Protection Agency (EPA) to set up guidelines for lead safety to be executed by a well trained workforce and lastly it calls for all owners of private property to provide basic information with any possibilities of lead exposure hazards to home buyers or new tenants. It was not until 1991 when the CDC started funding lead poisoning preventions programs within the state of Wisconsin such as blood lead testing, managing serious cases as well as raising programs aimed at educating the public on the issue. This led to increase testing of Wisconsin children for lead poisoning with many new cases being identified an indication that ma ny local health department within the state lacked sufficient resources to facilitate follow-ups of lead poisoned cases or identify potential lead hazards in homes. These concerns and pressure from parents and other NGOs such as the March of Dimes and the Council of Developmental Disabilities pushed the Wisconsin State Legislature to implement state laws by providing more resources to help facilitate the work of the Department of Health and Family Services (DHFS) and other local health departments to effectively response to lead poisoning prevention programs and develop a good reporting system for blood lead test results in children. This saw an increase in funding for local health departments from zero dollars to $1.2 million each year which subsequently decreased to $879,100 because of certain cuts in the state budget. Wisconsin was amongst the 12 grantees in 1994 to receive a housing grant of $6 million to help fund projects aimed at fixing lead hazards such as eliminating dust c ontaining lead in old homes and screening children living in these homes. The project was a huge success as lead dust levels greatly reduced in homes and since then many cities within the state namely Milwaukee, Kenosha and Sheboygan have submitted grant proposals and received competitive grant funds aimed at control lead hazards programs in high risk homes. In February of 2011, the city of Milwaukee received a $4.5 million grants from the U.S department of Housing and Urban Development to help fund a program aimed at controlling lead hazards in two areas namely the citys North and South sides known to have a very high rate of childhood poisoning within the city covering over 900 city homes. The prevalence of lead poisoning in these areas peaked 7.1% causing a serious alarm to public health officials. In a press release on January 2011, the U.S Department of Housing and Urban Development (HUD) awarded over $127 million to some 48 projects nationally which focused on improving quality of lead paint based low income homes that served as a health hazard to its occupants. This grant would help clean up lead paint based hazards in over 11000 homes, increase public awareness on the issue as well as train more personnel in lead safety practices. The following is a breakdown of the grants Grant Program Funding Awarded Lead-Based Paint Hazard Control Grant Program $66,600,000 Healthy Homes Initiative funding $2,300,000 Lead Hazard Reduction Demonstration Grant Program $48,000,000 Healthy Homes Production Grant Program $10,000,000 TOTAL $126,900,000 Wisconsin City of Milwaukee Health Dept LHRD $4,500,000 City of Sheboygan LBPHC $1,528,296 Wisconsin Dept. of Health Services HHP $1,000,000 HHP Healthy Homes Production, LBPHC Lead Based Paint Hazard Control Grant Program (includes Healthy Homes Initiative supplemental funding, as applicable), LHRD Lead Based Paint Hazard Reduction Demonstration Grant Program (Source: HUD, 2011 HUD No. 11-004) Ongoing Lead-based paint control programs In June 2004 the Phase 1 of the Wisconsin Childhood elimination strategic Plan was completed and this plan was developed by a diverse group of experts from the health field, the housing departments, government agencies and other community groups with the aim of eliminating childhood lead poisoning by 2010. This strategic work plan focus on achieving four main goals through the creation of these subcommittees namely; Education through which the general public will be aware of the problem within their community and how to protect children from lead exposure. Also parents and childcare providers would be educated about lead hazards through home visit. Policy makers and state legislators were to be educated on how much impact lead poisoning has in the community while addressing issues of neglect of the problem and what needs to be done to overcome some of this negligence which could be potentially costly. Property owners and construction contractors would be educated and provided with opportunities to maintain old homes while ensuring a safe work environment Lead hazard correction in homes with emphasis on identifying and analyzing some of the risk factors associated with lead poisoning while focusing resources on homes that were built before the 1950s as they pose a high risk of lead exposure. This goal focused on enforcing home owners so they can repair possible lead hazards in their buildings and to ensure a strong community engagement on the problem, incentives were to be provided to home owners who comply with all these regulations. Screening for lead poising in high risk groups through the provision of enough funds to help identify and evaluate children with risk of lead exposure as well as evaluate existing practices being performed by physicians and the barriers they may pose to families and healthcare providers in terms of providing blood lead screening to children. This goal also emphasized on the need for better data sharing and quality reporting like the STELLAR or the Wisconsin Immunization Registry among partners within the community so that children who are at risk of lead exposure are identified and tested Funding through the allocation of and resources and making available increased funding for lead hazard control in Wisconsin was a major priority. This funding would help local communities with high risk housing by investing in homes so that the financial burden of having to treat or manage children with lead poisoning will be less on the state. Phase 2 of the Wisconsin Elimination Plan is ongoing but in 2009 the sub committees in charge of Funding and Resources and Correcting Hazards in housing combined their efforts and all 3 existing committees now meet independently of the Implementation and Oversight Committee (IOC) and provide a progress report at each IOC meeting which usually meets 3 times a years (January, May and September). These meetings are aimed at evaluating progress made so far and identifying some of the challenges faced in the execution of some of the existing programs as well as make recommendations to the IOC for effective and efficient implementation. The IOC is made up of partners from the Wisconsin Division of public health, local councils, State departments of Hygiene and administration, community health centers as well as insurance companies. Within the city of Milwaukee, over 40 employees are involved in lead based prevention programs which provide resources and services to identified children at ri sk if lead poisoning and those with lead poisoning as well as programs geared towards prevention of lead poisoning before it even happens Huge Financial burden of lead poisoning in its impact on the state of Wisconsin The negative burden of lead poisoning to the community is the huge medical expenses in treatment and management of the health problem, increased health care premiums and increase in Medicaid expenses. Since childhood Lead Poisoning (CLP) often results to attention disorders and developmental delays (Canfield et al, 2003) in lead poisoned children, there is need for increased special education expenses for programs to help accommodate children with disabilities as well as programs to cope with juvenile delinquent lead poisoned children who are at high risk of dropping out from school and early teen pregnancies (Needleman, et al, 1990). It has been shown that most children who are poisoned by lead are thrice more likely to fail standardize test as well as being arrested for a criminal case as they transition into a young adult. Also, lead poisoned children at fourth grade where three times more likely to fail their reading tests compared to those with very minute amounts of lead exposu re (Miranda et al. 2007). The state spends an estimated $5 billion in school aids to children including a $375 million to assist children with special needs and a $1 billion for children who need corrects with most of these cost is attributed to lead poisoning. The number if children living in Wisconsin between the ages 0-6 is approximately 540,000 and if the state embarks on lead hazard control programs that aim at eliminating lead exposure in homes build pre 1950, it would save the state about $7 billion in direct cost with an increase in earnings of over $21 billion based on an analysis that was conducted in New Jersey that analyzed cost savings such as direct medical cost, special education, crime and juvenile delinquency, low rates of high school graduation and cost to state government (Muennin et al., 2009). The recommendation from the Wisconsin Childhood Elimination Plan and the Implementation and Oversight Committee (IOC) suggested an annual investment of $20 million would g o a long way to provide resources to help control lead pain hazards in over 2,000 pre-1950 homes annually. The state would safe over $28 billion in savings if all children between the ages of 0-6 years were protected from lead hazards which will further help lead to an increase in the graduation rate of the state as well as crime reduction (Muennin et al., 2009) In the spring of 2010, a Joint Resolution 65 was passed and approved by the Wisconsin State Legislature which called on the Implementation and Oversight Committee of the Wisconsin Childhood Lead Poisoning Elimination plan, a program within the Wisconsin Department of Health Services to provide report on the financial burden result from childhood lead poisoning been experienced through the states education and criminal justice systems resulting from juvenile delinquent risk behaviors that most children with lead poisoning are at high risk at encountering at some stage in their lives which will help policy makers and state officials make financial resources and other logistics available to address lead paint hazards as well as create a widespread community awareness campaign program which makes loans available to home owners of house build pre 1950 thus reducing lead hazard risk. This report was delivered to the State legislature on December 30th of that year. This joint resolution gai ned several approval from state agencies such as Departments of Public Instruction, Children and Families, Corrections Division of Juvenile Correction, the Wisconsin Court System and State Prosecutors Office with the creation of a committee that helps gather relevant data which will help stakeholders within the state to better evaluate the cost due to lead poisoning and ways to completely eliminate lead hazards in homes. In a 2006 study, over 80,000 young children are estimated to be living in lead paint hazards in Wisconsin and if the state focuses more on protecting families from exposure, we would be saving over $40,000-50,000 for each under the age of six giving us a estimated savings of over $3.6 billion (Jacobs and Nevin, 2006). Lead Testing and Reporting To increase blood lead testing coverage within the state of Wisconsin, four main Medicaid managed Care organizations teamed up with state and local WIC agencies in 2010 and together donated a quick three minute LeadCare II testing instrument approved by the CDC with the overall aim to improve on the blood lead testing levels in children at risk. These organizations also gave WIC staff access to the electronic reporting system that exists within the state as well as resources to follow up children who showed high levels of lead in blood. Within the city of Milwaukee, the WIC program is the only program that has got direct access to the STELLAR (State Blood-Lead Reporting System) and the WIR (Wisconsin Immunization Registry) and this enables them to enter data correctly which is required for state and federal reporting compliance. This system also helps WIC staff to easily identify children who have not been tested for blood lead and follow-up with them to get tested as well as follow up with cases that show elevated levels of lead in their blood. With the donation of 10 LeadCare II analyzers as well as 20 test kids in 2010 in all 10 WIC clinics within the state of Wisconsin, the program has witnessed over 41% increase in the number of WIC children tested for lead in blood in the city of Milwaukee. Children enrolled in the WIC program receive two rapid tests namely an Iron and blood lead test using a finger stick. Over 139 children in 2009 tested positive for high levels of lead in their blood samples giving a 300% increase in lead poisoning cases when compared to the previous 2 years due to the fact that most of the children living in high risk urban areas who were now being tested had previously been missed. Since 2006, Medicaid health care providers have received an annual Blood Lead Testing developed through collaboration with the Wisconsin Medicaid Program and the Wisconsin Childhood Lead Poisoning Prevention Program. The individualized reports summarize the blood lead testing data for children under age 6 within each providers practice. In addition providers received a list of untested children in their practice to facilitate follow-up to ensure these children get tested. It is normally required that children be tested for lead poisoning at ages 1 and 2 and since most of them are not tested at those early ages because of lack of follow-up, it is mandatory that they get at least a test between the ages of 3 to 5 years. For example in 2007, over 2,049 children with blood lead levels of greater than or equal to 10mcg/dL were identified within the state and almost two thirds of children eligible for the Medicaid program entering the Wisconsin school system that fall have not properly tes ted even though 88% of children eligible for Medicaid which covers blood lead poisoning were enrolled that year. (Data is from Individual Medicaid Providers for period of July 1, 2006 through June 30 2007 (SFY07) Collaborative Partnerships There are some NGOs within the state that are focused on raising awareness through community leadership on lead poisoning and one of them is the Milwaukees Hmong American Friendship Association (HAFA) through its Parents Against Lead (PAL) alliance. Its made up of neighbors, parents and other passionate individuals who have come together to collectively eliminate childhood lead poisoning. Being a great partner with city of Milwaukee Health Department, they have promoted lead abatement activities in families living in pre 1950 homes as well as amongst home owners on how to eliminate possible lead hazard within the city. Another community based group working within the community is the Sherman Park Community Association (SPCA), a group of over 167 residents who come together during a cold Winter day and have breakfast with Santa Claus as a way to bring communities together and educate them on the work they do including a window repair/replacement program with emphasis on lead based pai n hazard. Advocacy and Public Policies The presence of GIS Maps within each Wisconsin legislative district identifying areas with Lead poisoning is now available and from this data no place within the state is free from lead poisoning with more cases in communities with old housing. As part of the Healthier People 2020 Public Health plan, the state of Wisconsin through the U.S Department of Health Services, EPA, HUD, Energy and the CDC came together during the 2011 National Healthy Homes Conference which brings partners, leaders and experts from the public and private sector to discuss on how to improving on housing conditions and making them safe from lead paint based hazard and environmentally sustainable. However, certain rules and number of statutes that regulate activities geared towards lead hazard control have been approved within the State and these rules protect residential areas, tenant/landlord agreements, drinking water facilities, lead hazard reduction and the manner in which blood lead results are reported. They include the Wisconsin statute Chapter 254 which lays emphasis on detection, treatment and response to lead hazards. In Wisconsin, a number of statutes and rules have been enacted to regulate activities having to do with hazards due to lead-based paint and include residential facilities, worker protection, landlord and tenant agreements, housing sales, lead hazard reduction, drinking water, reporting of blood lead test results and public health response to lead poisoning. There is the Wisconsin Statute Chapter 704 which outlines conditions in which tenants could move without having to face any liabilities from health hazards such as lead. We have the Statue Chapter 709 which requires that owners of residential real estate make certain disclosures about their property. Amongst the administrative rules is the DHS 163 which requires people such as contractors to get certification for identification, removal and reduction of Lead-based paint which was amended in 2009 and the DHS 181 which allows for quality reporting of blood lead test results. Assessment Performance of Childhood Poisoning in Wisconsin The State department of Health and Services is charged with the collection, evaluation and sharing information concerning the incidence of lead poisoning in risk populations and communities while the local health departments within the state would maintain a local surveillance system that gives the population an idea of the prevalence and trends of testing and making this information available to the state Department of Public health and other stakeholders. A tracking system to effectively monitor children at risk and those with very high blood levels would be maintained and made available to the department of Health and Family Services (DHFS) through the WCLPPP. The local health departments trough the support of state agencies of Public health would develop protocols and procedures to better monitor the screening of children at risk of lead poisoning and well as provide clinical and educational resources for better programming and reporting Lead Prevention and Control Lead poisoning is preventable if the necessary precautions are well respected one of which is the lead abatement of homes. The primary way to protect Wisconsin children from lead exposure is by stabilizing all cracked, deteriorating, peeled or flaking paint in old homes, replacing very old windows, fixing roofs with and other leaks, while making sure that the window sills and floors remain smooth hence eliminating major sources of lead exposure. Other precautionary measures include re-painting on interior surfaces with no friction such as ceiling, walls but surfaces that are susceptible to friction or bad weather should not be repainted. All the above precautions are carried out through a process called Lead abatement which refers to any action by and individual (a certified lead abatement contractor), the state or a company to effective minimize lead exposure by permanently eliminating or removing lead-based paint or dust lead hazards or any possible lead containing object or surfac e in response to orders from the state or the local council. The Milwaukee Health Department is charged with giving orders so that homes identified within the community to be at risk of lead exposure are lead abated and this requires either voluntary consent from the owner of the property or through a Court order in case the home owner doesnt comply with orders from the Health department to allow his property to be abated. Conclusion Despite the huge progress in reducing childhood lead poisoning rate within the city of Milwaukee, the number of children been identified with lead poisoning is still on the rise within the state and it has surpass the national average. In 2009, the state prevalence of lead poisoning was 1.5 and in Milwaukee alone, of all the children tested for lead poisoning 4.4% of them had blood lead levels greater than 10ug/dl. More work is needed in this fight despite the progress mad

The Handmaids Tale :: Handmaids Tale Essays

The Handmaids Tale In Margaret Atwoods novel, "The Handmaids Tale", the birth rate in the United States had dropped so low that extremists decided to take matters into their own hands by killing off the government, taking over themselves, and reducing the womens role in society to that of a silent birthing machine. One handmaid describes what happened and how it came about as she, too, is forced to comply with the new order. Before the new order, known as the Sons of Jacob, took over, women had a lot to be afraid of. They had freedom to do whatever they wanted, but this freedom was severely inhibited by maniacs who could strike at any time. Women followed rules to keep them out of danger, but they were not enforced. "I remember the rules, rules that were never spelled out but that every woman knew; dont open your door to a stranger, even if he is the police. Make him slide his ID under the door. Dont stop on the road to help a motorist pretending to be in trouble. Keep the locks on and keep going. If anyone whistles, dont turn to look. Dont go into a laundromat, by yourself, at night . .. Women were not protected then."(p. 24) Nobody believed it could happen to them. When the Sons of Jacob took over and began to take away their freedom, they accepted it. They were afraid and the Sons gave them some security. Because they accepted the first few laws, it was hard to refuse to not go along with the ones that followed. When the women were finally stripped of their identities, they felt as though they had deserved it because they had done nothing to try and save any of their other rights. "We looked at one anothers faces and saw dismay, and a certain shame, as if wed been caught doing something we shouldnt. Its outrageous one woman said, but without belief. What was it about this that made us feel we deserved it?"(p. 166) The Sons used this insecurity to round up the women and place them in institutions where they would be "safe". Once they had them within their

Knowledge Is Power Essay

In all honesty, prior to reading Jake Helpern’s articles and meeting him in person, I thought he was some older white guy with a slightly boring style of writing as well as being even more boring in person, but somehow everyone else finds his work fascinating. But since I needed some extra credit points, I took on the challenge of the assignment. Glad to announce my notions of Jake Helpern were totally wrong. Reading Jake Helpern’s articles were like reading a well written novel. His stories had flare, suspense, character, drama and even a touch of sorrow and empathy. For the most part his articles were not just engaging but also very informative. Content versus Form, Content wins. In person, Jake appeared to be just one of the guys. Nothing fancy about himself, very humble and charismatic. After listening to Jake speak briefly about his life, family and his pursuit of his innate being, you can tell he’s sincere and dedicated to his craft and family. Jake was also instrumental in terms of being relative due to his Western New York origins. He can relate to Buffalonians and our struggle as a city in a financial crisis, where one side of the city’s future is in question while another side of the city’s future looks lucrative. If the question is posed if Jake’s articles are a considered artwork, I would agree and disagree. The two articles we covered in class, I believe Jake wrote them with an artistic style of writing. To me, artwork is anything not ephemeral. Jake’s articles can be preserved, but not on the same scale as the Great Pyramids of Egypt or the Tajmahal in India. However, his articles can also be considered non-fiction. Through this experience, I pondered on becoming a writer. I learned academically as well as personal discovery of myself. If Jake were to return to speak again, I’m there.

Recruiting and selecting staff for international assignments Essays

Recruiting and selecting staff for international assignments Essays 109 Introduction Hiring and then deploying people to positions where they can perform effectively is a goal of most organizations, whether domestic or international. Recruitment is defined as searching for and obtaining potential job candidates in sufficient numbers and quality so that the organization can select the most appropriate people to fill its job needs. Selection is the process of gathering information for the purposes of evaluating and deciding who should be employed in particular jobs. It is important to note that recruitment and selection are discrete processes and both processes need to operate effectively if the firm is effectively to manage its staffing process. For example, a firm may have an excellent selection system for evaluating candidates but if there are insufficient candidates to evaluate then this selection system is less than effective. Both processes must operate effectively for optimal staffing decisions to be made. We shall return to this point later in the chapter. Some of the major differences between domestic and international staffing are first that many firms have predispositions with regard to who should hold key positions in headquarters and subsidiaries (i.e. ethnocentric, polycentric, regiocentric and geocentric staffing orientations) and second, the constraints imposed by host governments (e.g. immigration rules with regard to work visas and the common Chapter Objectives The focus of this chapter is on recruitment and selection activities in an international context. We will address the following issues: The myth of the global manager. The debate surrounding expatriate failure. Factors moderating intent to stay or leave the international assignment. Selection criteria for international assignments. Dual career couples. Are female expatriates different? Recruiting and selecting staff for international assignments 5 CHAPTER 31017_05_Ch05_p109-136.qxd 9/7/07 12:15 PM Page 109 requirement in most countries to require evidence as to why local nationals should not be employed rather than hiring foreigners) which can severely limit the firms ability to hire the right candidate. In addition, as Scullion and Collings1 note, most expatriates are recruited internally rather than externally, so the task of persuading managers (particularly if they are primarily working in a domestic environment) to recommend and/or agree to release their best employees for international assignments remains a key issue for international HR managers. In this chapter, we will explore the key issues surrounding international recruitment and selection, with a focus on selection criteria. Implicit in much of the discussion and research about selecting staff for international assignments is that there are common attributes shared by persons who have succeeded in operating in other cultural work environments that is, the so-called global manager. Our discussion on this topic centers around four myths: that there is a universal approach to management; that all people can acquire appropriate behaviors; there are common characteristics shared by global managers; and there are no impediments to global staff mobility. We then consider various factors such as expatriate failure, selection criteria, dual career couples and gender that impact on the multinationals ability to recruit and select high calibre staff for deployment internationally. For convenience, we will use the term multinational throughout this chapter, but it is important to remember that the issues pertain variously to all internationalizing companies regardless of size, industry, stage in internationalization, nationality of origin and geographical diversity. We continue to use the term expatriate to include all three categories: PCNs (parent-country nationals), TCNs (third country nationals) and HCNs (host-country nationals) transferred into headquarters operations, although much of the literature on expatriate selection is focused only on PCNs. Issues in staff selection The myth of the global manager Multinationals depend on being able to develop a pool of international operators from which they can draw as required. Such individuals have been variously labeled international managers or global managers. The concept of a global manager appears to be based on the following myths or assumptions. Myth 1: there is a universal approach to management. The view that there is a universal approach to management persists, despite evidence from research to the contrary, and many multinationals continue to transfer home-based work practices into their foreign operations without adequate consideration as to whether this is an appropriate action. The persistence of a belief in universal management may be evidence of a lingering ethnocentric attitude or perhaps an indicator of inexperience in international operations. However, as we discussed in Chapter 1 in relation to the convergencedivergence debate, work practices have, to a certain extent, converged through the transfer of technology and best practice and this process is supported by the global spread of management education programs that reflect the dominant Western approach to management. Linked to this process is the belief in the power of organizational culture as

Free Essays on The Abolition Of Labor Summary

Marx: The Abolition of Labor Capitalist production has lead to a universal negativity affecting all structural factors related to appropriation by the individual. Marx theorized that a universal revolution of economic forces and structural components will transpose the power of a capitalist society into the hands of the individual. By freeing the individual from the limitations posed upon them through capitalist production, the individual will be able to obtain potentiality for general satisfaction. This new universal order will structure the available productive forces for the power of the individual, and not just for capitalist production. The distribution of labor itself created classes within society. The proletariat is that class in society which lives entirely from the sale of its labor and does not draw profit from any kind of capital; whose sole existence depends on the demand for labor, on the changing state of business, and on the changes of the competition. The classes of the proletarians are the working class of the 19th century. Labor was more and more divided among the individual workers so that the worker who previously had done a complete piece of work now did only a part of that piece. This division of labor made it possible to produce things faster and cheaper. Labor is a commodity, like any other, and its price is therefore determined by exactly the same laws that apply to other commodities. In a regime of big industry or of free competition, the price of a commodity is always equal to its cost of production. The price of labor is also equal to the cost of production of labor. But, the costs of production of labor consist of precisely the quantity of means of subsistence necessary to enable the worker to continue working, and to prevent the working class from dying out. The worker will therefore get no more for his labor than is necessary for this purpose; the price of labor, or the wage, will, in other w... Free Essays on The Abolition Of Labor Summary Free Essays on The Abolition Of Labor Summary Marx: The Abolition of Labor Capitalist production has lead to a universal negativity affecting all structural factors related to appropriation by the individual. Marx theorized that a universal revolution of economic forces and structural components will transpose the power of a capitalist society into the hands of the individual. By freeing the individual from the limitations posed upon them through capitalist production, the individual will be able to obtain potentiality for general satisfaction. This new universal order will structure the available productive forces for the power of the individual, and not just for capitalist production. The distribution of labor itself created classes within society. The proletariat is that class in society which lives entirely from the sale of its labor and does not draw profit from any kind of capital; whose sole existence depends on the demand for labor, on the changing state of business, and on the changes of the competition. The classes of the proletarians are the working class of the 19th century. Labor was more and more divided among the individual workers so that the worker who previously had done a complete piece of work now did only a part of that piece. This division of labor made it possible to produce things faster and cheaper. Labor is a commodity, like any other, and its price is therefore determined by exactly the same laws that apply to other commodities. In a regime of big industry or of free competition, the price of a commodity is always equal to its cost of production. The price of labor is also equal to the cost of production of labor. But, the costs of production of labor consist of precisely the quantity of means of subsistence necessary to enable the worker to continue working, and to prevent the working class from dying out. The worker will therefore get no more for his labor than is necessary for this purpose; the price of labor, or the wage, will, in other w...

Types of Human Cloning Research Paper Example | Topics and Well Written Essays - 1250 words - 2

Types of Human Cloning - Research Paper Example During the period of 2006, FDA approved the use of cloned products such as plants and animals for the dietary purpose of individuals living in the US. Human cloning is a term used to define the creation of a genetically similar copy of a human being (MacKinnon 9). In this research the focus will not be cloning of animals and plants, rather the focus will be on human cloning, types of human cloning and the advantages and disadvantages associated with it. Reproductive cloning is one form of human cloning which is used to produce one or more than one individuals who are genetically identical to each other. During the period of the 1990s, the process of reproductive cloning was utilized in order to create identical clones of mammals such as sheep and pigs and one of the most famous examples of this activity was the production of Dolly (MacKinnon 56). Later several countries started banning the process in order to put a stop to the process of reproductive cloning for human beings. Another form of human cloning is DNA cloning which is even regarded as molecular cloning or cloning of the gene or recombinant DNA technology which is used to refer to the procedure through which multiple replicas of an individual fragment of DNA is created (MacKinnon 139). This kind of cloning can be conducted in several forms, for example, cloning of entire fragment of the gene can be conducted or a portion of the fragment of the DNA can be cloned or certain sequences of the DNA can be cloned. There are four steps involved in the process of DNA cloning, these include, fragmentation in which string of DNA is divided, the next step is the ligation part in which different parts of DNA are glued together in a sequence that is desirable, the third step is recognized as transfection, in this step the newly created DNA is inserted into cells and the last step is recognized as selection in which those cells that were transfected successfully with the DNA are selected (MacKinnon 116).

Michaels Stress Case Study Example | Topics and Well Written Essays - 1000 words

Michaels Stress - Case Study Example Michael would like to change his job responsibilities to be more adaptive to a broader visitation schedule, however the financial worries associated with his move seems to conflict with his ethical and emotional stability, thus creating anxiety and physical health problems. This scenario is causing conflict so intense that it is physically impacting Michael’s long-term health prospects. Additionally, workplace concerns over potentially losing his job further complicates his ability to approach the situation as it would lead to financial ruin and homelessness associated with unemployment. He worries, essentially, that he would be short-listed as a potential layoff candidate if he were to ask his superiors to adjust his schedule. Question 2 Fortunately, Michael is fully functional and there is no evidence that his own self-concept or self-esteem has been impacted negatively. It is mostly the anxiety caused by a variety of family-related and workplace-related situations that are causing his frustration and internal conflict. Anxiety is not necessarily a product of self-esteem problems, but is an outcome of externalized stressors that are creating the scenario where Michael must choose between two consequences, both of which maintain negative consequences if he approaches them in the pursuit of improving his family lifestyle. Michael seems to be withdrawing from his problems by avoiding managing them, such as asking his superiors for a more flexible schedule. There is no evidence that his self-concept has been affected negatively, only that Michael seems to have a lower locus of control, meaning that he believes external scenarios are directly responsible for his problems. Otherwise, Michael does not seem to manifest long-term self-esteem problems. Question 3 Adjustment is defined as â€Å"any effort to cope with stress, whether successful or not† (Morris & Maisto, 2005, p.452). Michael, as a fully functional person, is weighing the demands of his ext ernal environment against his desire for more realistic possibilities related to his career and his family life. He seems to understand, fully, the burdens that the external environment places on his life and feels trapped by circumstance with his externalized locus of control beliefs. His recent life changes have left him unable to adjust successfully, however he is at least not manifesting more complicated emotional or cognitive problems such as avoidance or concentrated withdrawal. He is clearly feeling pressured by what is occurring in his work life and family life and is doing the best he can to maintain a positive outlook despite the consequences of approaching the situation with direct confrontation. In Michael’s case, personal growth can be achieved, since he really is affected by circumstances out of his control, through exercise, meditation, and practical physician visits or counseling sessions. Question 4 Michael, again, shows all of the traditional signs of a full y functional person and does not seem to be manifesting any of the traditional defense mechanisms commonly found in such scenarios. He recognizes the source, effectively, of his problems and considers their impact if he were to confront them head-on. For example, he is not projecting his anger, denying the existence of the problem, or displacing his feelings by shifting his aggressions onto another person or object, as described by Freudian beliefs related to defense mechanisms. Instead, Michael is simply allowing his externalized stressors to create physical symptoms that could be controlled with active counseling and a trained person to help him work through his difficult