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Thursday, September 3, 2020
Taking a lm of your choice, explore in detail the manner in which lm Essay
Taking a lm of your decision, investigate in detail the way where lm language is utilized to make meaning - Essay Example The significant focal point of the movies of the time was on viciousness with the portrayal of the general public as the significant loss all the while (Brathwaite, 1984, p. 45). The improvement of the movies was a method of going up against the customary virtues with the desire for expounding or defaming them. The significant job of the movies in the time was to build up new qualities in the general public. The essential worth delineated by the movies was the requirement for harmony and concurrence. The utilization of true to life scenes has been utilized recently in Sci-fiction films (Wierzbicki, 2008, p. 56). The film dish maze is a sci-fi film that contains different language utilizes that can be utilized to recognize the jobs of the characters. The film Panââ¬â¢s Labyrinth is coordinated by Guillermo Del Toro and discharged in 2006. The film depends on a Spanish backwoods during a period of enlivening of the remainder of Europe. The story joins the political tale with an appe arance of a fantasy. The focal point of the story is on moral issues influencing the general public. The storyline is composed by Guillermo Del Toro yet acquires from a few fantasies. The geological area of the film is Spain, and it centers around a 11-year old young lady whose is life is at a junction after her fatherââ¬â¢s passing, she lives with the stepfather (Toro, 2006). The youngster is called Ophelia and is thrown is Ivana Baquero. Different throws in the film incorporate Sergi Lopez as Captain Vidal, an official in the Franco armed force while the Ofeliaââ¬â¢s mother is Ariadna Gil. The story line of the film is uncluttered with the emphasis being on the enchantment and two universes the genuine and the unbelievable world. Film investigation The procedures utilized in the film incorporate lighting, exchange and imagery. The executive uses exchange and lighting to build up the story line of the film. The chief uses steely-blue lighting shows the desolate environment ut ilized particularly when bringing the town settings. Blue tones are set each time the scene moves to the town. Images utilized in the films are helpful in light of the fact that they draw out the entrancing highlights of the film (Elsaesser and Buckland, 2002, p. 12). Checks are utilized in the film, to delineate requests and time slip by. The blue lights occasions in all actuality and delineates the cold and uncalled for society. The timekeepers are utilized to show that the time is running out and everything lead to a major occasion. The condition of the uniform worn by Vidal is demonstrative of the occasions of the film. Lighting is a difficult issue in the film since it draws out the important picture of life in the film arrangement. The chief of the film has a notoriety of utilizing distinctive expressive gadget particularly lighting and imagery to impact the intrigue and support of the crowd during the screenplay of the film. This film utilizes light as the fundamental focal p oint of the film is with the focal point of the entire lighting process being to separate the truth and the pixie part of the film (Hornberger and Mckay, 2010, p. 45). Lighting in the film causes the crowd to realize the diverse scene setting of the film. Language use in the films is a gadget utilized in delineating the conduct of Captain Vidal. Vidal speaks with the staff by utilization of monosyllabic answers. What's more, he utilizes foul language even to the accommodating specialist. The film identifies with the crowd both in political, social and monetary point of view. The significant focal point of the movi
Tuesday, August 25, 2020
Venus Essays - Venus, Magellan, Corona, Maxwell Montes, Volcano
Venus Venus, the gem of the sky, was once know by antiquated space experts as the morning star what's more, evening star. Early space experts once believed Venus to be two separate bodies. Venus, which is named after the Roman goddess of adoration and excellence, is hidden by thick whirling overcast spread. Cosmologists allude to Venus as Earth's sister planet. Both are comparative in size, mass, thickness furthermore, volume. Both shaped about a similar time and dense out of a similar cloud. Nonetheless, during the most recent couple of years researchers have discovered that the family relationship finishes here. Venus is totally different from the Earth. It has no seas and is encircled by a substantial air made for the most part out of carbon dioxide with for all intents and purposes no water fume. Its mists are created of sulfuric corrosive beads. At the surface, the air pressure is multiple times that of the Earth's adrift level. Venus is seared with a surface temperature of around 482? C (900? F). This high temperature is essentially because of a runaway nursery impact brought about by the overwhelming environment of carbon dioxide. Daylight goes through the climate to warm the outside of the planet. Warmth is transmitted out, however is caught by the thick climate and not permitted to escape into space. This makes Venus more sizzling than Mercury. A Venusian day is 243 Earth days and is longer than its time of 225 days. Strangely, Venus turns from east to west. To an spectator on Venus, the Sun would ascend in the west and set in the east. Until just as of late, Venus' thick overcast spread has kept researchers from revealing the topographical idea of the surface. Advancements in radar telescopes and radar imaging frameworks circling the planet have made it conceivable to see through the cloud deck to the surface underneath. Four of the best missions in uncovering the Venusian surface are NASA's Pioneer Venus crucial), (the Soviet Union's Venera 15 and 16 missions (1983-1984), and NASA's Magellan radar mapping strategic (1990-1994). As these rocket started mapping the planet another image of Venus rose. Venus' surface is moderately youthful geographically. It seems to have been totally reemerged 300 to 500 million quite a while back. Researchers banter how and why this happened. The Venusian geography comprises of immense fields secured by magma streams and mountain or good country locales distorted by geographical movement. Maxwell Montes in Ishtar Terra is the most elevated top on Venus. The Aphrodite Terra good countries broaden practically most of the way around the equator. Magellan pictures of good country locales above 2.5 kilometers (1.5 miles) are strangely splendid, normal for wet soil. In any case, fluid water doesn't exist on a superficial level furthermore, can't represent the brilliant good countries. One hypothesis proposes that the brilliant material may be made out of metallic mixes. Studies have indicated the material may be iron pyrite (likewise know as blockheads gold). It is shaky on the fields however would be steady in the good countries. The material could likewise be some kind of extraordinary material which would give similar outcomes however at lower fixations. Venus is scarred by various effect pits distrubuted arbitrarily over its surface. Little cavities less that 2 kilometers (1.2 miles) are nearly non-existent because of the substantial Venusian climate. The special case happens when enormous shooting stars break just prior to affect, making cavity groups. Volcanoes and volcanic highlights are significantly increasingly various. In any event 85% of the Venusian surface is secured with volcanic stone. Hugh magma streams, stretching out for many kilometers, have overflowed the marshes making huge fields. In excess of 100,000 little shield volcanoes dab the surface alongside many huge springs of gushing lava. Streams from wells of lava have created long crooked channels reaching out for many kilometers, with one expanding almost 7,000 kilometers (4,300 miles). Goliath calderas in excess of 100 kilometers (62 miles) in measurement are found on Venus. Earthbound calderas are typically as it were a few kilometers in breadth. A few highlights novel to Venus incorporate coronae and arachnoids. Coronae are enormous round to oval highlights, surrounded with precipices and are many kilometers over. They are believed to be the surface articulation of mantle upwelling. Archnoids are round to prolonged highlights like coronae. They may have been brought about by liquid stone saturating surface breaks and creating frameworks of emanating embankments and cracks. Science Essays
Saturday, August 22, 2020
Google Marketing Case Study Example | Topics and Well Written Essays - 500 words
Google Marketing - Case Study Example The organization of Google centers around the client in this way guaranteeing the nature of publicizing is valuable to the customer the same amount of all things considered to the organization itself. In contrast to different organizations, Google centers around doing few notices however of high caliber and yielding outcomes. Moreover, Google is quick than other web indexes and intends to accomplish popular government and continually doing incredible. This business practice has seen Google ascend to the best web search tool since 1996. Also, the organization has a way of thinking that an individual shouldn't be at their work area so as to bring in cash or to find a solution. Various kinds of web based publicizing are utilized today one of them being content advertisements. In this structure, the adverts are shown, as basic, content based hyperlinks are known as Text Ads. This type of promoting does exclude designs or pictures. They are for the most part found on non-search sites and can be served by independent sites or an issuerââ¬â¢s singular advertisement servers. In addition, there are show promotions, which are for the most part accessible in numerous guidelines shapes and sizes. Such sites incorporate banners, pioneer sheets, towers, gigantic boxes, and extra estimated graphical promotions. For Google to be effective in their showcase promotions, it will attempt to win adverts from publicizing in the US broadcast business. The organization will likewise require inventive capacities and associations with enormous publicizing offices. Different territories that Google should wander in future is the cell phone publicizing which has more than 3 billion clients (Kerin et al, 2010).
Closing Down the Oconomo Plant free essay sample
This plant is imperative to the general public since it has made business chances to nearby inhabitants. Be that as it may, the plant is in the skirt of shut down. Jack Ripon , Chief Executive official of Lamprey Inc. is worried about greater expense of activity which has diminished benefit for the organization. The arrangement is to shut down the Oconomo plant and build up another plant in Mexico. Jack needs Jim Malesckowski, President of Wisconsin Speciality Products Division of Lamprey Inc. o get some answers concerning the operational expenses of building up another plant in Mexico and present the report to him. Jim believes that the activity to close down the Oconomo plant may not be right as long as there were opportunities to bring down the expenses. In any case, he additionally believes that Jack is correct on the grounds that all the roads for diminishing expenses at the plant have been shut. Other than cash, there are other basic factors that have driven the administration to acquire a few changes the organization. We will take a gander at a portion of the powers that drive Oconomo plant to envision for change,changes that are required to be made, and the reasons why association pioneers are hesitant to change. . What powers for change are obvious at the Oconomo plant? The best power that drives the organization to search for change is its high operational expense. The plant has so high operational costs that the organization has been bringing about misfortunes as opposed to making benefits. The administration is envisioning changes so the organization will make benefits later on. All together for an organization to run effectively, it ought to understand a few comes back from the speculation made at the plant. Having put resources into the organization, investors likewise anticipate return for their speculation. It is significant for the organization to bring in enough cash for the fulfillment of investors and the presence of the organization in the market. Using any and all means, Lamprey Inc. ought to diminish its operational expense to withstand the wild rivalry in the commercial center. For the compaby to make it in the market, it must change its working conditions so they fit with the present market circumstances, (Daft Marcic,2010). Another power that is apparent for the change at the Oconomo plant is the uncooperative worker's guild. Laborers have been reliably declining to help out the administration. The organization is intending to lessen the measure of pay itââ¬â¢s going to give to laborers. So as to diminish the work cost, the organization is proposing changes yet the association heads have choosen to disregard the managementââ¬â¢s plan . Itââ¬â¢s an extraordinary issue when laborers are reluctant to tune in to the administration for conceivable arrangement. The circumstance will deteriorate when the laborers are not prepared to acknowledge the ideal difference in the organization. Rivalry in the commercial center is additionally noticeable power that is clear for change for this situation. Of late, contenders have compromised Lamprey Inc. from the administrations and items that they are giving to the general public. It has been a test for the organization to fabricate the quality items and beat the competitorââ¬â¢s cost. While the competiton is being wild in the commercial center, Lamprey Inc. has been attempting to support the tasks. In the event that a similar circumstance endures, the organization would not have an approach to exist in the market. 2. What is the essential kind of progress neededââ¬changing ââ¬Å"thingsâ⬠or changing the ââ¬Å"people and culture? Could the Wisconsin plant be spared by changing things alone, by changing individuals and culture, or should both be changed? Clarify your answer. Essential sort of progress required for this situation is changing individuals and their way of life. In the event that individuals and their perspectives can be changed, workplace will be agreeable and different changes are anything but difficult to execute. The mentality of workers particularly that of association pioneers isn't directly in the given case. They are rebellious to the administration. For whatever length of time that workers donââ¬â¢t have regard for the executives, it is difficult to bring some other changes. Peopleââ¬â¢s culture is of extraordinary hugeness in the manner the organization works provided that the way of life or individuals fit in the destinations of the organization, rest of things will work as needs be. In transforming anything as for organization, individuals and culture ought to be considered from the start. On the off chance that the individuals working in the organization are discontent with the change, the destinations of progress probably won't be satisfied. In this specific case, workers are frightened of progress and in reality donââ¬â¢t let the executives bring any changes. Such culture is impeding to the organization. Culture ought to be built up so that individuals are prepared to acknowledge the change and welcome the endeavors of the administration with open heart. Albeit changing individuals and their way of life is an essential thing, changing things is likewise significant and ought to be considered for quality and functional plans of the organization. Lamprey Inc. necessities to acquire some change the items to spare its situation in the market. On the off chance that the items are of low quality, the piece of the pie of Lamprey Inc. will be coordinated towards the contenders. For this situation, the organization has not invested enough energy to overhaul the nature of the items. On the off chance that a similar circumstance endures, it won't have the option to confront the opposition in the business since contenders are creating quality items at reasonable cost. An organization canââ¬â¢t work on only a solitary kind of progress. Itââ¬â¢s essential to place into thought the two changes when planning any sort of progress in the organization. So as to change the items, the whole group of the organization ought to be prepared and in this way change is required in individuals of the organization. To meet the targets of the ideal technique, the organization should take thought on the two sorts of changes.
Friday, August 21, 2020
Political Kuwait before and after oil Essay Example | Topics and Well Written Essays - 500 words
Political Kuwait when oil - Essay Example Before the disclosure of oil in Kuwait, their political structure was that distinctive political classes were obligated to each other. This incorporated the pearl jumpers, the skippers, the vendors, the universal dealers, and the decision family, including the Sheik. The whole political and administration structure was bolstered by obligation that couldn't be quick because of its sum. This, in any case, changed with revelation of oil as the administration disseminated riches purposely among all its perceived residents. Kuwait likewise turned into a government assistance state, while cash was additionally channeled into the private area through land buys from the legislature at expanded costs (Slot 106). This attempted to clear out practically all obligations owed by residents. Before the disclosure of oil, the Sheik in Kuwait completed all the official elements of government, including the intervention of questions, utilizing standard guidelines. Those questions that he felt were secured under Sharia law were sent to the appointed authorities, in spite of the fact that this was distinctly to permit him settle on an educated and just choice (Slot 102). Hence, it was significant that the ruler profited himself to the individuals through open Majlis that empowered them to introduce complaints and debates legitimately to the ruler. Be that as it may, with the disclosure of oil, government work extended quickly to incorporate various organizations as required. The hardware of government broadened to incorporate the Supreme Council that was established by different heads of government offices. The Supreme Council turned out to be practically similar to a Politburo in that it reflected sharing of intensity among people connected to the decision family, while the Amirââ¬â¢s proceeded with nonappearance from its sittings gave it a degree of freedom notwithstanding his proceeded with chairmanship. In a further change to political structure away from the concentrated figure of the Amir, the Organizing Body was framed to change government
Monday, August 3, 2020
Does Extreme Couponing ACTUALLY Save You Money
Does Extreme Couponing ACTUALLY Save You Money Does Extreme Couponing ACTUALLY Save You Money? Does Extreme Couponing ACTUALLY Save You Money?Is it really that simple to hack the power of the noble coupon? It depends on how much time you have.Count yourself lucky if youve never had the misfortune of being stuck behind an extreme couponer in a checkout line.You know the typeâ"a cart overflowing with items, a binder filled with every coupon imaginable, a determined smirk on their face as they hand the frazzled person at the register coupon after coupon, unfazed by the growing line of cranky people behind them. And while it might be infuriating to have to wait an hour behind one of these folks, its pretty impressive to watch as they exit the store with hundreds of dollars of merch at a serious discount.TV shows like TLCs aptly named Extreme Couponing portray this practice as the ultimate life hack. These people walk into Target with nothing but a box of expertly clipped coupons, and walk out with several cartfuls of free stuff. Some episodes feature extreme couponers using their discount smarts to get money BACK from the store where theyre shopping. Its mesmerizing to watch, but the truth behind all this is a lot more complicated than TLC makes it look. Heres why extreme couponing probably isnt worth your time.The show depicts things that dont actually happen IRL.One major component to extreme couponing, both on TV and in real life, is the concept of coupon stacking. In order to get huge discounts on all that stuff, extreme couponers use coupons on top of other coupons to lower their costs down to basically nothing. While this looks like magic, the reality is that most stores dont actually allow it at the extreme scale its shown on TV.In order to understand how coupon stacking works (or doesnt work), you first need to understand the various kinds of coupons available. In general, most stores offer five distinct types of coupons and discounts on products:Storewide sales on certain brandsStore-specific coupons that you can ONLY use there. Most of these speci fy that they can be used once per sale.Manufacturer coupons for specific brands that you can use wherever those brands are soldPercentage off or dollar amount off a future purchaseDouble coupon days, where you can double up couponsâ"even ones that are typically one per sale.Most stores allow stacking of different KINDS of discounts. For example, lets say your local grocery store is offering bags of family-sized Doritos for $3. If you had a store-specific coupon for $0.50 off any bag of Doritos, AND a manufacturers coupon for $1 off, most stores will allow you to stack, or use, both of those coupons on top of the sale price, bringing your total down to $1.50. What stores WONT allow you to do is use multiple copies of the same coupon on one item. So even if you had three different manufacturers coupons for $1 off that bag of Doritos, youd only be able to use one of them.Youd never know this was store policy from watching Extreme Couponers, though. The show features thrifty shoppers c oming in with 30 of the same coupon and using all of them to get things completely free. But a 2012 report from the Coupon Information Center (CIC), a nonprofit organization thats dedicated to fighting coupon misredemption and fraud found that many of the stores featured on the show were allowing the illegal use of coupons in order to please producers.According to the CIC report, participants on the show used both counterfeit coupons and illegal coupon stacking methods in order to walk away with free stuff. Some of the stores allowed it for marketing purposes, but some were outright duped on air.In an episode that aired in October, a 16-year-old boy from California named Joel used nearly three dozen coupons at a supermarket to get 408 rolls of Quilted Northern toilet paper entirely for free, wrote Brad Tuttle in a 2012 article for TIME Magazine. Turns out the coupons were fakes, and the kidâs mom wound up repaying the store for all that toilet paper. None of those details were a ired on âExtreme Couponing,â though. As far as viewers of the show knew, Joel received all of those toilet paper rolls free of charge, and saved 93% in total on his extreme coupon-fueled shopping excursion.Real extreme couponing is a full-time job.So what happens on the show might not be real, but there ARE people who work within the constraints of the law and store policy to coupon their way to free stuff. But these people arent just spending a few minutes every morning clipping out of the local paper. Theyve got dedicated couponing rooms, a family that helps them sort through hundreds of pages of mailers every day, and a LOT of time on their hands.In order to maximize coupons that can be used together, extreme couponers subscribe to several different papers, and hoard multiple copies of each every day. They scour stores for coupon brochures, spend hours searching online for digital coupons they can print out, sign up for loyalty programs everywhere they go, pay coupon clippers on eBay, and even dumpster dive for discarded coupons hiding out in old newspapers and circulars. And this doesnt even include the time you need to actually clip and organize all your coupons.In short, extreme couponing is far from glamorous, and the results might not be worth the effort of digging through the trash like a hungry raccoon.The stuff you can get for free isnt stuff you actually need.Even on the show, this fact is apparent. While the extreme couponers on TLC might walk out of Walmart with two carts full of free stuff, its not like theyre loading up on groceries for the next year. Look closely, and the things they get are usually not that usefulâ"think 70 jumbo bottles of shampoo, 80 24-packs of an unpopular flavor of soda, or 90 boxes of weird cereal.Theres a reason retailers and manufacturers allow certain kinds of items to go on sale, and that reason is usually supply and demand. When no one buys any boxes of that new experimental oatmeal, stores would rather sell i t at a discount than throw it out entirely. So yeah, you might be able to get 60 bottles of infant formula for $12, but if you dont have a baby, whats the point?Extreme couponing can actually be addicting.Maybe you have an extreme couponer in your life. If you do, chances are they have a storeroom somewhere in their home thats filled with the fruits of their couponing labor. If theyre organized, this room will contain shelves filled with purple hair dye, weird flavors of toothpaste, and adult diapers, ready and waiting for the impending apocalypse. If theyre not so organized this room could take up their entire house, and could consist of untouched shopping bags filled with random, expired products.According to a 2011 TIME article, studies have shown that couponsâ"whether used in extreme ways or notâ"are used in much greater numbers by affluent consumers, not poor people. And people who have the time to devote to extreme couponing and the space to store their winnings arent the kind of people who actually need to be getting cartfuls of stuff for free. In fact, Goal Auzeen Saedi, who has a Ph.D in Clinical Psychology from the University of Notre Dame wrote in an article for Psychology Today that the behaviors displayed by people who appeared on the TLC show were troubling, to say the least.Though the show is intriguing, I wonder if there is also something sad about this, wrote Saedi. Im not a licensed clinician and in no way claim to be. I do not advocate blind diagnosis off of anything shown on television programs, and do not intend to in any way. I wonder though if Im the only one who sees possible touches of addiction, obsession, compulsion, and perhaps even hoarding tendencies to some of this behavior. At the very least, I am comfortable to say it seems unhealthy. Hence, I ask this: Is extreme couponing really something that should be celebrated?Maybe someday extreme couponing will have the same reputation as predatory payday loans and cash advances. I n the meantime, youre better off couponing like a normal person and looking for ways to trim your budget elsewhere. To learn more about ways that you can actually save money, check out these related posts and articles from OppLoans:Maintain Your Furnace Now to Avoid a Pricey Repair LaterWinterizing Your Home: How To Prep for Winter on the CheapShopping for Furniture with a Bad Credit Score? Hereâs What You Need to KnowHave you ever tried extreme couponing? We want to hear about it! You can email us or you can find us on Facebook and Twitter.
Monday, June 22, 2020
Health Essay Online For Free - Free Essay Example
This essay will focus on the relationship between lifestyle factors and poor health outcomes, and will examine how effective interventions are in improving public health. In the 21st century it is possible for individuals to avoid a large burden of ill-health, and a third of all deaths are recorded as premature, meaning that lifestyle changes undertaken earlier in life could have prevented them (van der Brandt, 2011). These premature deaths equate to 44 years of lost life per 1000 people, and the main causes are smoking, lack of physical activity, obesity, and poor nutrition (Behrens et al, 2013). There is also considerable economic impact from preventable illness and premature death (Behrens et al, 2013). The evidence highlighting the importance of a healthy lifestyle is significant, with several studies demonstrating that lifestyle changes in diet, levels of physical activity, cessation of smoking, and better nutrition improve the health of entire communities (Doubeni, 2012, Li, 2014). However, one of the greatest challenges in implementing lifestyle interventions can be ensuring that the interventions are enacted in an effective way in the areas of greatest need, which are often areas of deprivation (Doubeni, 2012). Smoking Smoking is the current single largest cause of preventable illness and early death in the UK, although it seems likely that this will soon be superseded by obesity (Peterson, 2015). Smokers aged between 45 and 64 are three times more likely to have early deaths compared to non-smokers, and double for those aged between 65 and 84 (Peterson, 2015). There were 106,000 deaths in the UK (86,500 in England alone) in 2010 which were primarily linked to smoking (Oza, 2011). The main causes of death were chronic obstructive pulmonary disease, cancers (in particular lung cancer, but also cancers of the oesophagus, pharynx, larynx, bladder, pancreas, and mouth), and circulatory disease, in particular peripheral vascular disease (Oza, 2011). In addition to this, there is a 60% increase in the levels of mortality in smokers from circulatory disease, which rises to 85% in those classed as heavy smokers (Carter, 2015). Overall, 1 in 5 premature deaths are directly attributable to circulatory dise ase caused by smoking (Carter, 2015). Those exposed to second-hand smoke on a regular basis have a 25% increased risk of circulatory disease (Carter, 2015). Complete smoking cessation will reduce overall morbidity and mortality, but any reduction will reduce the risk of developing aforementioned diseases (Jha, 2013). Current guidance states that all smokers should be advised to stop smoking and should be offered evidence-based interventions (Cahill, 2013). Examples of interventions include school-based interventions which aim to prevent the uptake of smoking by informing pupils about the health effects of tobacco use in addition to social and economic aspects of smoking (Cahill. 2013) and community-based interventions such as cessation support groups. In addition to this, research has demonstrated that all healthcare professionals can have a positive effect on a persons decision to stop smoking and so all should be aware of how to direct those who wish to stop to local stop smoki ng service providers (Cahill, 2013, Jha, 2013). Reviews have demonstrated that the most effective of these interventions are community-based, such as cessation support groups; however this is a problematic conclusion as many support groups were only run for the duration of the study with no longer term follow-up, meaning that longevity of smoking cessation in participants could not be established (Cahill, 2013, Jha, 2013). In addition to this, the sheer diversity of many of the school-based interventions makes generalisation of results difficult, particularly when tailoring interventions which target high-risk groups, including low income communities (Cahill, 2013, Jha, 2013). Weight management Behaviour and lifestyle choices are also fundamental factors in a persons weight, and are key factors in the development of obesity (Cahill, 2013). A combination of an unhealthy diet and little or no physical activity are major risk factors for becoming overweight or obese, in addition to a number of other chronic health conditions, such as cardiovascular disease, diabetes, hypertension, and some forms of cancer (Cahill, 2013, Jha, 2013). Physical activity is a key factor in determining energy utilisation, which is key in both weight loss and control, (Cahill, 2013). Current recommendations from the Department of Health (DoH, 2011) stipulate that adults spend at least 150 minutes a week performing aerobic activity of at least moderate intensity, and children over the age of 5 should spend at least 60 minutes doing physical activity each day (Doh, 2011). However, recent research has demonstrated that even those who exercise at the recommended levels are still at higher risk of poor health outcomes if they are still otherwise sedentary for a large amount of time (Nicholas et al, 2015). It is important that physical activity is incorporated into regular daily life, as research has shown that this is at least as effective, if not more effective, than weight loss through a supervised exercise programme, either in schools or in a community setting (Plasqui, 2013). Further research has also shown that regular aerobic exercise is the most effective form of exercise when reducing the risk of cardiovascular disease and can also be used as an effective treatment for peripheral vascular disease (Plasqui, 2013). Despite a number of interventions such as Strength and Flex, Forever Fit, and increased funding for classes such as yoga which particularly target older adults there is still a clear disparity between the targets and the actual levels of physical activity (Sallis, 2012). Reviews of the literature suggest that this may be in part due to level of importance ascri bed to exercise within the community, and also in part due to concerns around participating and therefore increasing the risk of falls or injury in the elderly (Sallis, 2012). Plasqui (2013) demonstrated that if these concerns are addressed before the programme is commenced, there will be a statistically significant increase in the levels of satisfaction reported, and an increase in the amount of time spent participating in exercise; however, there was no attempt to increase the level of importance ascribed to exercise within the participants. There is also a variation of physical activity according to social class and ethnic background, with black Caribbean men and women being the most likely to be physically active, and those from south Asia the least likely to achieve recommended levels (Sallis, 2012), although no clear cause for this has been established (Sallis, 2012). It is important to note that within this study, there was no robust method for validating the levels of activi ty reported; therefore, the levels of activity reported may not accurately reflect reality. Levels of decreased physical activity can lead to obesity, which occurs when the intake of energy from food and drinks is greater than the total energy expended by the body through maintenance of normal homeostasis, the bodys metabolism, and overall physical activity (Carlsson, 2015). Current industrialised nations can be described as obesity-causing, meaning that it can be difficult for the population to maintain a healthy weight (Carlsson, 2015). This is usually because there is an abundance of highly calorific foods and drinks available and an increase in sedentary lifestyles due to an over-reliance on motorised transport and a decrease in physical activity (Plasqui, 2013). There is also strong evidence to suggest that eating habits which are established in childhood through cultural and familial traits are often upheld into adulthood (Carlsson, 2015). Research into obesity and obesity interventions generally lack specific details about effective approaches or individual programmes, and guidance extrapolated from this research is quite vague (Ding, 2012). An overall review of the literature shows a great variation in study design and other parameters, such as standardised service settings, long-term follow ups and their intervals, cost-effectiveness data, and intervention groups which included minority or those deemed to be more vulnerable (Ding, 2012). There is clear research evidence which states that obesity interventions should be focused on both diet and physical activity together rather than attempting to modify either in isolation, as research data demonstrates that a combined approach is more effective for weight outcomes (Ding, 2012). As obesity interventions should be multi-faceted, it is important to recognise the role of behaviour change and to develop strategies which encourage increased levels of physical activity and improve eating behaviours, as we ll as the quality of the food selected (Wadden, 2012). In addition, many interventions can also be delivered to families as well as individuals (Wadden, 2012). Nutrition Nutrition is not just a key component in tackling obesity, but is in itself a key area of interest when considering public health outcomes. It is estimated that up to a third of deaths from cancer may be attributable to unhealthy diets (Lang, 2012). In addition to this, the World Health Organisation accredit almost 5% of the overall disease burden in industrialised nations to poor nutrition, specifically to a low intake of fruit and vegetables, and achieving an intake of 5 fruit and vegetables portions per day is viewed as second only to a reduction in smoking when preventing cancer (Lang, 2012). It is also well documented that an intake of 5 fruit and vegetable portions will reduce the risk of stroke by 6% and the risk of heart disease by 4%, will contribute to other nutritional goals such as weight loss or maintaining a healthy weight, and will contribute significantly to controlling diabetes and lowering blood pressure (Popkin, 2012). Research in this area has shown that when ex perimental groups increased their vitamin and mineral intake by either increasing their dietary intake of fruit and vegetables or by taking dietary supplements which contained isolated vitamins and minerals, the isolated dietary supplements did not show the same beneficial effects as an increased level of fruit and vegetable intake (Popkin, 2012), although this was a short-term study and therefore this data does not indicate the long-term impact that additional dietary supplements may have. There are a number of factors which may present difficulties in increasing the average fruit and vegetable consumption from the current levels of less than 3 a day, which is lower still among those on low incomes and among children (Yang, 2012). The first of these factors addresses access and availability and is concerned with environmental variables, such as location, range of produce available, and costs (Yang, 2012). The second of these is focused on the individual, and addresses more perso nal motivations such as beliefs and knowledge, habits, and taste (Popkin, 2012). Programmes aiming to improve nutrition and address obesity are addressing these issues by working with the food industry to change food labelling, establish goals for reducing the levels of fat and sugar in food and improving the ease of access to healthy foods (Popkin, 2012). As these changes would be relatively simple to implement, it is concerning to see that research shows that figures for childrens consumption of fruit and vegetables remain low (Yang, 2012). The average consumption is around 15% of the daily recommended intake, with poorer areas reporting lower averages of less than 10% (Yang, 2012). Perhaps the most important factor in this will be the knowledge and motivations of the care provider and it is important that programmes which aim to improve childrens consumption of fruit and vegetables also includes the wider family (Popkin, 2012). In conclusion, there is strong evidence that life style interventions can be effectively employed to improve public health in the short-term where there is funding to do so and where there are clear examples of effective strategies and follow-ups within research. However it is important to note that users of these services will often require input from more than one intervention service, and that consideration of integration of some key services such as smoking cessation and weight management should be considered. There is a clear need for longer follow-ups within all intervention research and it is important to recognise that many of these interventions will have numerous strands, targeting both individuals and their wider social groups. It can thereby be seen that lifestyle factors and poor health outcomes are clearly irrevocably linked, and that any intervention put in place to prevent poor health outcomes should involve both the individual and the wider community in which they are involved. This may act as a source of support a nd encouragement, and may be instrumental in motivating individuals. Although a large number of these interventions require individual motivation, it is also important to note that in order for these interventions to be successful, individuals and communities must be able to take effective steps to achieve their aims. For example, in the case of childhood nutrition, unless there is ready access to healthy and nutritious food, any educational programmes aimed to increase awareness will only be partially successful. Lifestyle factors and public health can therefore be seen to be the responsibility of not only the individual, but those providing the intervention and the community as a whole. References Behrens, G., Fischer, B., Kohler, S., Park, Y., Hollenbeck, A., and Leitzmann, M. (2013). Health lifestyles behaviours and decreased risk of mortality in a large prospective study of U.S men and women, European Journal of Epidemiology, 28(5), pp.361-372. Cahill, L. (2013). Pharmacological interventions for smoking cessation: an overview and network meta-analysis, British Medical Journal, 1521(23), pp.264-270. Carlsson, A. (2015). Physical activity, obesity, and risk of cardiovascular disease in middle-aged men during a median of 30 years follow up, European Journal of Preventative Cardiology, 101(2), pp.246-249. Carter, B. (2015). Smoking and mortality à ¢Ã¢â ¬Ã¢â¬Å" beyond established causes, New England Journal of Medicine, 372(4), pp. 631-640. Department of Health, (2011). Making the case for UK physical activity. Elsevier: London. Ding, D. (2012). Built environment, physical activity, and obesity: what have we learned from reviewing the literature? Health and Place, 18(1), pp.100-105. Doubeni, C. (2012). Health status, neighbourhood socioeconomic context, and premature mortality in the United States: the National Institutes of Health à ¢Ã¢â ¬Ã¢â¬Å" AARP Diet and Health Study, American Journal of Public Health, 102(4), pp.98-107. Jha, J. (2013). 21st century hazards of smoking and benefits of cessation in the United States, New England Journal of Medicine, 368(2), pp.341-350. Lang, J. (2012). Paediataric allergy, immunology, and pulmonology, Allergy, 25(2), pp.64-75. Li, K. (2014). Lifestyle risk factors and residual life expectancy at age 40: a German cohort study, BMC Medicine, 12(59), pp.1186-1189. Nicholas, J., Lo, G., Lynch, B., Friedenreich, C., and Csizmadi, L. (2015). Leisure-time physical activity does not attenuate the association between occupational sedentary behaviour and obesity, Journal of Physical Activity and Health, 1123 (4), pp.692-698. Oza, S. (2011). How many deaths are attributable to smoking i n the United States? Comparison of methods for estimating smoking-attributable mortality when smoking prevalence changes, Preventative Medicine, 52(6), pp.428-433. Peterson, M. (2015). The combined impact of adherence to five lifestyle factors on all-cause cancer, and cardiovascular mortality: a prospective cohort study among Danish men and women, British Journal of Nutrition, 113(5), pp.849-858. Plasqui, G. (2013). Daily physical activity assessment with accelerometers: new insights and validation studies, Obesity Reviews, 14(6), pp.451-462. Popkin, N. (2012). Global nutrition transition and the pandemic of obesity in developing countries, Nutrition Reviews, 70(1), pp.3-21. Sallis, J. (2012). Role of built environments in physical activity, obesity, and cardiovascular disease, Circulation, 125(2), pp.729-737. van der Brandt, P. (2011). The impact of a Mediterranean diet and healthy lifestyle on premature mortality in men and women, The American Journal of Clinical Nu trition, 94(3), pp.169-174. Wadden, T. (2012). Lifestyle modification for obesity: new developments in diet, physical activity, and behaviour therapy, Circulation, 125(11), pp.1157-1170. Yang, Z. (2012). Nutrition in pregnancy and early childhood and associations with obesity in developing countries, Maternal and Child Nutrition, 9(1), pp.105-109.
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