understanding diabetes and its complications :: essays research papers

Understanding Diabetes and Its Complications   Ã‚  Ã‚  Ã‚  Ã‚  An estimated 16 million people in the United States have diabetes-more than one third are not aware that they have the disease. This year alone, more than 798,000 cases will be diagnosed. Diabetes is the seventh leading cause of death by disease in the United States; this year alone, more than 187,000 Americans will die from this disease and its complications (CDC). Education about diabetes is essential to understanding the disease and preventing its complications.   Ã‚  Ã‚  Ã‚  Ã‚  Diabetes mellitus is a chronic, systemic disturbance in the metabolism of carbohydrates, protein, and fat (ADA, Medical Management 3). The term diabetes derives from the Greek word which means â€Å"to go through a siphon.† Thus diabetes refers to the overproduction of urine known as polyuria. Mellitus comes from the Latin word mel (honey) and describes the sweet odor of the urine. Diabetes occurs when the beta cells of the pancreas fail to produce or secrete an adequate amount of insulin. Diabetes also effects the vascular and nervous system.   Ã‚  Ã‚  Ã‚  Ã‚  In order to understand diabetes, it is important to understand how we normally metabolize food. Our bodies are composed of millions of cells, and in order to function, these cells must create energy. This energy comes from glucose. Glucose is mainly obtained from food.   Ã‚  Ã‚  Ã‚  Ã‚  When we eat, food enters the digestive system and is broken down into glucose. The three components from which glucose is made are carbohydrates, proteins, and fats. Carbohydrates convert 100% into glucose; protein converts 50-60%; and fat converts 10%. Once food is broken down into glucose, it can be absorbed in the blood and carried to the cells of the body. However, for glucose to enter the cells, insulin must be present.   Ã‚  Ã‚  Ã‚  Ã‚  Insulin is a hormone that regulates the entire absorption process. It acts like a key that can unlock the doors of the cell. Cells have receptor sites, like keyholes, that receive insulin. When insulin attaches to a receptor site, a passageway is created that enables glucose to enter the cell. Once glucose is absorbed in this manner, it can be immediately used for the use of energy or it can be stored as glycogen in the liver and muscle cells for future use. Excess glucose is converted into fat. The normal fasting glucose level is 70-100 mg/dl; after meals is 70-140 mg/dl.   Ã‚  Ã‚  Ã‚  Ã‚  There are two classifications of diabetes. These are Type 1 and Type 2. In Type 1 diabetes, individuals have no insulin secretion, therefore they are prone to breaking down fat and having high ketone levels, which requires insulin injections to maintain life.

Literary Analysis of the Handmaid’s Tale by Margaret Atwood Essay

Offred, in Margaret Atwood’s disturbing novel The Handmaid’s Tale says, â€Å"But who can remember pain once it’s over? All that remains of it is a shadow, not in the mind even, in the flesh. Pain marks you, but too deep to see. Out of sight, out of mind.† The society of Gilead causes the aforementioned pain and demoralization by using women’s bodies as political instruments. Similar to Atwood’s novel, today’s men put immense pressure on women to be a certain way, give them children, and take care of the home and the like. In Atwood’s novel, The Handmaid’s Tale, she examines the theme of demoralization of women through graphic predictions of what women’s futures may look like. In 1 Corinthians 6: 19-20, the Bible states, â€Å"Or do you not know that your body is a temple of the Holy Spirit within you, whom you have from God? You are not your own, for you were bought with a price. So glorify God in your body.† In The Handmaid’s Tale, the society influences the citizens, like Ofglen, differently. The society wrongfully manipulates women to use their bodies for what the government decides is right, not what God planned for their bodies. Through this wrongful use, women have once again become less superior to men and treated more like an object than a person. Also in Corinthians 6:18, the Bible states, â€Å"Flee from sexual immorality. Every other sin a person commits is outside the body, but the sexually immoral person sins against his own body.† The government in The Handmaid’s tale encouraged sexual immorality by passing the handmaids from man to man, ruining the women’s purity and demoralizing their bodies by using them purely for reproduction methods. In the time period of The Handmaid’s Tale, the demoralization of women was normal and accepted, but even the supporters of the demoralization remembered the time when women weren’t being passed from man to man to reproduce and were respected and upheld in society. In today’s society most of the biblical morals are upheld and for the most part, women are equal with men. Women aren’t forced to move from man to man for reproduction purposes and they have the choice of whom they will marry and reproduce with. The true purpose of a woman is to be the man’s equal and to provide in her what the man doesn’t have. The Handmaid’s Tale portrays women in a demoralizing way, giving them no choices, freedom, or say. The government in The Handmaid’s Tale enforced the demoralization of women in Gilead. The original government was overthrown by a group of totalitarian men who enforced the laws that began the demoralization of the women. The government then takes complete control of everyone, making Gilead more like a communist country than democratic America. The Constitution is completely thrown out, taking away citizens, especially women’s, freedom and rights. Most of the men are completely obedient and support the government’s treatment of women. Even when the commander broke the rules and took Offred out, he made sure that she still understood he has complete and total control over her. Demoralization was in full effect, and there was no escaping it. In today’s society women have similar roles to those of men. They work, provide for their families, and are seen as equal to men. In The Handmaid’s Tale, women are used as a tool to create children for the â€Å"commanders† and are treated more like an object than a human being. In The Handmaid’s Tale, the society is reverted back to when women had no rights and were seen more like a trophy that would respond to men’s every beck and call. The handmaids’ roles in the novel are even worse than that of the olden day â€Å"housewife.† When the handmaids disobey, they are put to death or left in the wasteland of what used to be America. No one receives a harsher punishment than that. Even in today’s society women don’t receive that harsh of a punishment if they disobey. This just goes to show that in the society and time of The Handmaid’s Tale, the demoralization of women as political instruments was in full swing. Despite all of Gilead’s pro-women rhetoric, such subjugation creates a society in which women are treated as subhuman. They are reduced to their fertility, treated as nothing more than a set of ovaries and a womb. In one of the novel’s key scenes, Offred lies in the bath and reflects that, before Gilead, she considered her body an instrument of her desires; now, she is just a mound of flesh surrounding a womb that must be filled in order to make her useful. Gilead seeks to deprive women of their individuality in order to make them docile carriers of the next generation. Throughout the entire text of The Handmaid’s Tale, the ruling totalitarian government does what is in its power to attempt to isolate women from society. Not only do are the women isolated from society in terms of sexual contact (or any contact, for that matter), with men, but they are also individualized within the gender itself and separated from each other. Evidence of this isolation is available throughout the novel in different levels. The first level, perhaps the harshest, is the division of genders, with women like the Handmaids unable to communicate with unmarried men. Offred’s separation from men is apparent when she compares herself to the â€Å"power of a dog bone† (29), but the bone is â€Å"held out of reach† (29). This depicts how there is a strict gender division that disallows them to even communicate with each other, much less have sex. For the Angels, they are not even allowed to look at the so-called dog bone. When we are first introduced to the idea of the Angels, Offred mentions that the Angels must stand outside of the gymnasium â€Å"with their backs to us† (10). Offred wishes that they would only look at her and if only â€Å"something could be exchanged† (10). The guards of the complex Offred is held in at the beginning of the novel aren’t even allowed inside it. With the men not allowed in the Red Center and the women now allowed outside of it, they are each isolated from each other.

Essay on Omega, Inc. Case Study - 2395 Words

Abstract This paper presents a case study regarding Omega Inc., which has a contract sales force for its products. The contractors are employed by independently operated franchised dealers and do not work directly for Omega. Recently, Omega provided a training program for the sales force designed to improve sales performance and the franchisees instituted a performance management system to measure goal accomplishment. There are six primary steps in a performance management system and this paper will review five of the six steps as each relates to the subsequent step. Prerequisites to Planning The lack of success at Omega, Inc. rested in the hands of an incompetent sales staff who were not informed of the company’s mission†¦show more content†¦Omega agreed to partially fund and support initial training. Typically, this proves to be a major challenge for a company as often times when a new program is implemented, it is communicated companywide and there stands the chance of mis-interpretation or mis-connection of the intent. If there is a lack of clarity regarding where the organization must go, or the relationship between the organization’s mission and strategies and the unit’s mission and strategies is ambiguous, then there will be a lack of precision regarding what each employee must achieve in order to help the organization succeed. From a job analysis, we obtain information regarding the tasks to be carried out and the knowledge, skills and abilities required of a particular job (Aguinis, 2007). In the case of th e sales representatives of Omega, their skill level and knowledge varied, many of them extended little effort beyond taking orders and they were not motivated to make additional sales. Knowledge includes having the information needed to perform the work, but not necessarily having done it. Skills refer to required attributes that are usually acquired by having performed the work in the past. Ability refers to having the physical, emotional, intellectual and psychological aptitude to perform the work, but neither having done it nor having be trained to do the work is required ( Clifford, 1994). Omega canShow MoreRelated The Paradoxical Twins Essay1608 Words   |  7 PagesThe Paradoxical Twins The Paradoxical Twins case study give an opportunity to evaluate from different angles the organization and structure of a business. Exposure of a complex behavior to different environments, circumstances, personal social relationships, the two companies Acme Omega electronics considered on this case study used to have the same organizational structure, under different management. 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