Saturday, May 23, 2020

Media s Influence On Media Essay - 1176 Words

As media becomes more and more common and advanced, we tend to spend ample amounts of time using and obsessing over the newest media. To me, media is defined as the source that the majority of the public uses to get information from. One type of media includes print media, such as newspapers, books, and magazines. Other forms can fall under the electronic category, such as television, social media, Internet, and cell phones. Our society relies on media to obtain political information, current events, and even help us pass time while playing video games. After doing my monitoring over a 72-hour span, I realized that I tend to spend a lot of time using the media throughout my day for various reasons. The dates that I decided to do my media time stamp on were Saturday, September 24th through Monday, September 26th. There were a couple reasons why I decided to do these dates. One being because I wanted to see if there was going to be a different pattern in my media use during the weekday versus my use during a weekend, so I had to at least have one weekday included in my media time stamp. Second, I had two birthday parties going on that weekend and those events might have altered my normal usage. Lastly, the debate was on that following Monday and I knew for a fact that I was going to use the most amount of media usage that specific day due to the history in the making. The main forms of media I saw myself using the most were electronic media and the newspaper. My cellphoneShow MoreRelatedMedia s Influence On The Media1637 Words   |  7 Pagesdisplayed in the mass media is conditioned by wealth and power, so as a result of the concentration of power and the official censorship done by the government and corporate sources; the media follows the ideas of the elite. In order to deliver messages that support the elite’s beliefs, the media goes through five different filters that determine the information presented, this are ownership of media, funding, sourcin g, flak, and fear. First, when referring to the ownership of media, it is importantRead MoreThe Media s Influence On Media Essay1606 Words   |  7 PagesLusby English composition 12/1/2016 The Media s Influence    Can the media really persuade you into thinking a way about a person you have not even meet? The media can make influence you into thinking a certain way about some and also influence a choice that you could have to make about them that could change their life forever. To prove this I have researched into articles that could help me prove that the media can influence these things. First the media in the form of television can give you aRead MoreMedia s Influence On Media2111 Words   |  9 Pagestoday is communicated through media. Media is the most powerful and influential force in the country. The media are powerful agents of socialization and they set the standard that majority follow. The power giving to American media has allowed them to be very effective using propaganda as strategy, the media tend to say they serve to relieve social conflicts into minimum. We clearly see that the media promote social conflicts by separating class. The image that media has created in the mind of massesRead MoreMedia s Influence On The Media892 Words   |  4 Pages In today’s culture, it’s hard not to come across some form of media, whether that is an advertisement on a roadway, a commercial on the television, or even an ad on the portable games you play on your phone. The average 8-18-year-old experiences about 7.5 hours of some form of media a day. [1] Out of the 24 hours in a day over a quarter of it is spent looking at or listening to advertisements for products, the news, video games, television, movies, music, books, and the internet. A common way toRead MoreMedia s Influence On The Media1977 Words   |  8 Pagespushes their political view. News viewers tend to be oblivious when it comes to bias in the media because they would rather hear what they believe is right. There are many ways to find truth in journalism that everyone needs to be aware of for example, going to more than one source and conducting a SMELL test. Biased media has made a big impact on it’s viewers, creating a big division between the two sides. Media plays a big part on how people get everyday news, but ultimately, it is up to the viewerRead MoreMedia s Influence On The Media1986 Words   |  8 PagesWe are a world that revolves around our media outlets. This is because we depend on them to give to us the information that we need to be able to live our daily lives. Whether it is the news on politics or just events that are happening around your area. The real question though is has news changed? And the follow up question to that would be; how do historians think news has changed? The news media has changed throughout history because of the rise of technology. It is now possible to reach peopleRead MoreMedia s Influence On Media1928 Words   |  8 Pages V. New Media In the course of the most recent couple of decades, the media scene has changed drastically. The most essential change is from an old media model of television to another media model of narrowcasting. TV alludes to media speaking to the overall population and is exemplified by system TV, radio, and daily papers. Narrowcasting, made conceivable by television networks, Internet, and satellite radio, is focused to particular gatherings of people. The new media have various essentialRead MoreMedia s Influence On Media1543 Words   |  7 PagesSocial media publicizes a substantial amount of messages about identity and acceptable ways to express gender, sexuality and ones lifestyle, but at the same time, the viewers have their own differing feelings about the issues. The media may suggest certain feelings and actions, but the audiences feelings can never overpower self-expression completely. The media portrays certain things because it is what is being accepted. Neither parties, these being the media and its audience, have full power overRead MoreMedia s Influence On Media1703 Words   |  7 Pagescentury, mass media became widely recognized. In a period of mass availability, people today have entry to more media outlets than ever before. According to media scholar Jean Kilbourne,â€Å"the average American is exposed to over 3,000 advertisements a day and watches three years’ worth of television ads over the course of a lifetime† (back cover). It is all around us, from the shows we watch on television, the music we listen to on the radio, and to the books and magazines we read each day. Media is the numberRead MoreMedia s Influence On The Media Essay1172 Words   |  5 PagesMass media has a very influential part in today’s society. Consisting of radio broadcasting, books, the Internet, and television they allow information and entertainment to travel at a fast pace as well to a vast audience. This vast majority of information can easily manipulate and or persuade people to have certain stereotypes on specific genders. TV commercials are one of the most influential structures in the media. Looking back 20 to 30 years, stereotypes were clearly welcomed on TV and in

Monday, May 18, 2020

We Must Work Together to Defeat Eating Disorders - 1873 Words

Currently, in the United States, â€Å"eight million Americans suffer with an eating disorder† (National Association of Anorexia Nervosa and Associated Disorders, 2013, p.1). Though many may think that an eating disorder is only common in a woman’s life, men also suffer from this disease. Taking that statistic further, â€Å"ninety five percent of Americans between the ages of twelve and twenty five have an eating disorder† (National Association of Anorexia Nervosa and Associated Disorders, 2013, p.1). Men and women develop an eating disorder which results from a psych disorder. This disease is becoming an issue in America because â€Å"10% of Americans die in 10 years from an eating disorder† and everyone must become educated on this topic (National†¦show more content†¦Later, Annie attended individual therapy which was combined with family therapy. After Annie went to therapy, her mother realized that she needed to make changes involving her and Annie’s relationship. Her mother focused on talking with her every day and demonstrating to her that she is really there for Annie and she cares about her. Annie does not obsess about weight anymore and does not count calories. It is frustrating for her to talk about eating disorders to people who have a limited comprehension of the illness. Most people focus on the odd and secretive behaviors, and how little they weigh and what they do not eat. â€Å"She asserts that those things do not seem unusual to a person with eating disorders. The focus really is on bigger issues. Those issues are what the eating disorder is about† (KCTS, 2003, p.1). This issue needs to be addressed because eight million Americans suffer from an eating disorder. That statistic means that each person who suffers from an eating disorder has changed mentally and physically. From a mental perspective, the person has a difficult time focusing and controlling their emotions. A person also feels unmotivated and feels no interest in any activity. Their attitudes change and most likely become depressed. Once a person’s mood changes, family members and friends take a stance and are guaranteed to get that person some help from professionals. PhysicalShow MoreRelatedWomen s Lack Of Body Image1369 Words   |  6 Pagesbeauty. Females believe there is a â€Å"perfect body† they must have and if they don’t achieve it, they will be nothing. However, this is not the case. Every women body is beautiful. But as more and more women begin to down-grade their body, they develop low self-esteem, depression, and hate for themselves. Body image has power however, women have a greater power within them to not allow body image to take control of them. Throughout this paper, we will discuss about women having difficulties falling inRead MorePsychotherapy As A Treatment For Clinical Depression1353 Words   |  6 Pagesbut psychotherapy helps cure the underlying problem and ultimately prevents it from coming back. According to the European Archives of Psychiatry and Clinical Neuroscience, â€Å"Psychotherapy has been proven to give the patient the skills to not only defeat their current depression, but to prevent it from reoccurring†. Although medication is the preferred treatment for depression, psychotherapy has been proven to be far more effective.(Treatment of Depression) Angela, a 21 year old single mother livingRead MoreAaron Beck Youngest Of Five Children1634 Words   |  7 Pageshuman everyday functioning. It is a complex disorder, involving many systems of the body, including the immune system, either as cause or effect. Depression disrupts sleep, and loss of appetite, in some cases it cause weight loss, in other cases it cause weight gain. Because of its complexity, a full understanding of depression has been elusive. Depression involves mood and thoughts as well as the body, and it causes pain for both those with the disorder and those who care about them. (PsychologyRead MoreThe Artist s Way By Julia Cameron Essay4344 Words   |  18 Pagesviews on writing. I filled up many notebooks with ideas which, though unused, provided me getting a decent job. But a writer should take the initiative and write when it s good for them. The family is just rising in the morning, getting ready for work and school, so that s not always a prime time to write . Instead, write at night when the house is silent, the TV off, and everyone else is dreaming. You can do your own dreaming if you stick to the night pages. While the essay form might seem toRead MoreIndian Epic2666 Words   |  11 Pagesbetween 300 BC and 300 AD) has the honor of being the longest epic in world literature, 100,000 2-line stanzas (although the most recent critical edition edits this down to about 88,000), making it eight times as long as Homers  Iliad  and  Odyssey  together, and over 3 times as long as the Bible (Chaitanya vii). According to the Narasimhan version, only about 4000 lines relate to the main story; the rest contain additional myths and teachings. In other words, theMahabharata  resembles a long journeyRead MoreSymptoms And Symptoms Of Dementia11088 Words   |  45 PagesIntroduction: In this assignment I will be explaining the different physiological disorders. The two disorders that I have picked are dementia and diabetes. With this I will discuss and explain the signs and symptoms that occurs and the changes the clients have been through. Dementia: Dementia is an illness that happens to the elderly. Frequently dementia takes place in people who are 65 and over. From research it has been said that the older you get, the more likely you are to develop it. DementiaRead MoreRational Emotive Behaviour Therapy - Essay9996 Words   |  40 PagesEmotive Behaviour Therapy’. REBT is one of a number of ‘cognitive-behavioural’ therapies, which, although developed separately, have many similarities – such as Cognitive Therapy (CT), developed by Psychiatrist Aaron Beck in the 1960’s. REBT and CT together form the basis of the family of psychotherapies known as ‘Cognitive-Behaviour Therapy’. Over the past halfcentury, REBT has developed significantly, and continues to change. (about themselves, other people, and the world in general). It is whatRead MoreQuestions On Gluten Food Alternatives11407 Words   |  46 PagesFree! -Avoiding Gluten: Parties, Restaurants, and Social Events! -What Happens When You Cheat? Chapter 5 Cuisine and Cooking! -Using Gluten Free Ingredients -Problems and Solutions -Gluten-Free World Cuisine -Sample recipes Chapter 6 Put It Together -Helpful Things -Give Yourself a Hand -Watch Out For These Things! -Remember to Live! Introduction: Gluten, Friend or Foe? Gluten, gluten, gluten; what is it? Why is everyone making a big deal about it? If you have been paying attentionRead MoreUnlocking Weight Loss Resistance At Just 30 Days11226 Words   |  45 PagesChapter Name Pg # 10 Chapter Name Pg # DISCLAIMER: (THIS IS THE STUFF THE LAWYERS MAKE ME SAY!) Kurt Stradtman, CFNC is not a physician or psychologist, and the scope of this book does not include treatment or diagnosis of specific illnesses or disorders. If you, the client, suspect you may have an ailment or illness that may require medical attention, then you are encouraged to consult with a licensed physician without delay. Only a licensed physician can prescribe drugs. Any mention of drugsRead MoreThe Effects Of Relaxation On A Healthy Diet9106 Words   |  37 PagesB vitamins are the most important for curing anxiety. 3. Maintain the sugar in your blood! Eat little and often during the day in order to maintain the sugar in your blood. Malnutrition can lead to anxiety also. 4. Have an equilibrate life You must maintain equilibrium between resting, exercising and recreation. This will help you feel better and have a positive attitude. Anxiety is not going to disappear if you have a hectic life. 5. Go to gymnastic classes Gymnastic will help you relief all

Tuesday, May 12, 2020

Will Net Neutrality Be Reinstated - Free Essay Example

Sample details Pages: 3 Words: 1021 Downloads: 1 Date added: 2019/04/11 Category Society Essay Level High school Tags: Net Neutrality Essay Did you like this example? Will Net Neutrality Be Reinstated? Net Neutrality is the belief that internet service providers do not charge for specific sites but treat all internet usage data equally. This belief is that internet service providers have to treat all online usage data the same, they cannot block, slow down or charge you for visiting specific sites. But recently the Federal Communications Commission, run by Ajit Pai, is planning to make net neutrality a thing of the past. This would null the Net Neutrality rules passed by the Obama administration. Ajit Pai, believes that because of Net Neutrality, many broadband services are not competitive enough. He was a former lawyer for Verizon and he believes that the broadband providers need to have competition. Before the Obama administration made the Net Neutrality rules there were many internet providers who were blocking certain sites. For example, Comcast were purposefully slowing down people from sharing files and ATT was blocking many internet-based calling services such as skype until 2009. And in 2015 an Obama appointee, Tom Wheeler, the chair of the Federal Communications Commission, created a set of specific rules that protected Net Neutrality. These rules ensured that internet providers could not block certain websites and apps, or charge video streaming services such as YouTube and Netflix more money to give them a faster internet speed. Don’t waste time! Our writers will create an original "Will Net Neutrality Be Reinstated?" essay for you Create order When Donald Trump became the President, he wanted to start to have the government deregulate and one of his plans was to get rid of the net neutrality rules. He then appointed Ajit Pai the head of the FCC. This is where the issue of Net Neutrality became increasingly political. President Donald Trump believes that providing net neutrality does not allow for a free market for internet service providers. He is a fiscal conservative so he believes the economy should be deregulated and that businesses should have the freedom to charge what they want, according to the market forces of supply and demand. California saw that Net Neutrality rules were starting to be removed and in September 2018, the state of California enacted a strong net neutrality law to provide equal access to the World Wide Web for everyone. After Governor Jerry Brown signed the net neutrality bill, the Justice Department sued California. Governor Brown is a democrat, and similar to many other democrats they believe that internet should be able to provide equal access to everyone. The justice department was able to sue California because the bill that Governor Brown passed was illegal. It is an illegal bill because the federal government, through the FCC was granted by congress to be have full authority to create rules for internet service providers. The reason for the authority granted to the federal government is because states cannot regulate interstate commerce. So, the bill that Governor Brown signed was an illegal state law. By December 10th the house of representatives needs to have a majority signature to put Net Neutrality rules. They need 218 signatures but currently there is on 177 signatures and 176 are democrats. And because of the midterm elections the senate has a republican majority whom support the removal of net neutrality. The 18 democrats who have taken large campaign contributions from Telecom companies such as ATT and Verizon are the final democrats that have not signed. They support the deregulation from the government so that businesses can start charging for specific sites. This would give internet service providers like ATT and Verizon monopoly on what sites you can visit. The political forces at work are the clash between the beliefs between Republicans and Democrats on how much the federal government should regulate businesses. The Republicans believe that the government should deregulate and that businesses should run with fewer governmental regulations and the Democrats lean towards the belief that the government should regulate businesses to create and equal opportunity for everyone. Economic forces are the contributions to campaigns that some internet service providers provided for some of the Democratic members of the house. These contributions dissuade the Democratic members of the house to put their signatures for the reinstatement of net neutrality. The parties at interest are the Internet Service Providers, the Federal Government, the FCC, state governments and the house of representatives. The Federal Government along with Internet Service Providers, the FCC, and the majority of the house of representatives want to make Net Neutrality a thing of the past. On the other hand, the democrats want to reinstate Net Neutrality, but they do not have enough signatures to get a majority because of the Republicans holding more seats in the house of representatives. Some states such as California have tried to reinstate Net Neutrality in their states and pass a bill that protects their right to Net Neutrality. But the laws that are relevant here are that States cannot regulate interstate commerce which means individual states cannot reinstate Net Neutrality if they want to. Also, Congress has given full authority to the Federal Government by the FCC to create the rules for internet service providers. My forecast would be that the Net Neutrality rules are not going to be restored because the Republican Majority in the house ensures that the democrats will not be able to get 218 signatures to get a majority to restore Net Neutrality. In addition, since the FCC Chairman, Ajit Pai was appointed by President Donald Trump, it is very unlikely that Net Neutrality would be restored. On the other hand, Internet Service Providers such as Verizon and ATT may or may not change their payment plans. In theory the companies can charge more for visiting specific sites and slow down connections to specific sites and ban some sites all together. They could also make people pay premium for specific sites as well. I believe that these internet service providers would start slowing down some sites and make video streaming sites pay more to allow for a smoother and faster internet speed for users. And I predict that these internet service providers will also start to charge people for access to certain sites and faster speeds to various video and music streaming services.

Wednesday, May 6, 2020

The Issue Of Gun Control Essay - 1189 Words

Proposition 63 â€Å"Firearms, Ammunition sales, Initiative Statute† proposes to help reduce gun violence. There are two clear sides to this proposition, those who support gun control laws and those against them. Gun control is an important debate not only in California but in all America. Although any opportunity to reduce gun violence is important, I think Proposition 63 is not an answer. What will Proposition 63 do? It will replace and update California’s gun and ammunition law. It creates requirements to buy ammunition and a license to sell ammunition from the Department of Justice. It will also prohibit purchasing ammunition from out-of-state without first passing through a dealer. Also, it will remove firearms from convicts. In Fiscal Impact, it will increase costs for state and local courts and law enforcement costs as well. (Prop 63) In the text of proposed law for Proposition 63 proposes it will close all loopholes and implement more extensive background checks. It also states we should worry more about gun violence in everyday life apart from the mass shootings and massacres. In the text of proposed laws informs us, â€Å"Gun violence destroys lives, families, and communities† (Prop 63 163) to put in perspective everyday tragedies. Which, leads us to the debate of the 2nd amendment. A person’s right to bear arms. Not only is our right bas ed after the United States Constitution (2nd amendment), one can see this as common sense. This country was established onShow MoreRelatedGun Issue And Gun Control1401 Words   |  6 PagesUniversity, Gun Politics has been a course I have aspired to take. While many enroll in such a course looking for an escape from the â€Å"collegiate liberal echo chamber† or as an outlet for their conservative agendas, I saw the class as an â€Å"entrance to the dark side.† My views on guns prior to the class were, I would call, polarized yet uninformed. In most of my discussions, I would cite the Australian 1996 National Firearms Agreement as precedent for how American politicians should approach the gun issueRead MoreThe Issue Of Gun Control Essay1646 Words   |  7 Pagessomebody who wants to inflict harm on other people to get his or her hands on a gun.† (Simple Minded Gun Control). Gun control is a controversial issue worldwide. The reason why this has attracted so much attention is because not everyone is in favor of gun control and each side brings up excellent points about the issue. Research related to this issue strongly supports the claim that there SHOULD be more gun control laws. Three arguments that prove this position are (1) Incidents like Sandy HookRead MoreThe Issue Of Gun Control1489 Words   |  6 Pagessplit on the issue of gun control. We have seen many violent shootings and innocent people dying because of gun violence. Some Americans believe we need strict gun laws to protect our children and ourselves from these horrific tragedies. Other Americans believes it is our rights as Americans to posses’ guns and we are entitled to that right in our constitution. There are also some Americans that are stuck in the middle and can see both sides but recent events have definitely caused this issue to be inRead MoreThe Issue Of Gun Control1031 Words   |  5 Pagesintegrate them in a way that will trigger a new viewpoint on the su bject. Gun control is something that should be enforced across the world in order to save lives. In the United States there is a ratio of 88.8 guns per one hundred persons (GunPolicy.org). Those numbers award us with the highest total per capita number in the world. With that amount of firepower there needs to be an efficient way to regulate who exactly can purchase a gun. Since 1791 when the second amendment was ratified there have beenRead MoreThe Issue Of Gun Control1705 Words   |  7 Pagesaway without preface or reason. All someone needs to do is pull the trigger. In today’s world, guns are far too accessible to the people of society. We hear in the news, stories of mass shootings, homicides, and suicides; most of which are caused by the activation of a gun. A hot-button issue, gun control is one of the most debated topics in American politics. Should we, or should we not, be able to own guns? Although it infringes on the Second Amendment that provides the right to bea r arms, this amendmentRead MoreThe Issue Of Gun Control951 Words   |  4 PagesGun control has been a big topic for the past decade in the united states. These debates will rise and fall time in and time out after something horrific happens in the state. Anti-Gun supporters do not realize that it is extremely difficult to regulate something in the states that is a big portion of our economy.Would stricter gun laws change anything? So far statistically It has been proven otherwise one must consider how a citizen would defend themselves when they are faced with terror. How willRead MoreThe Issue Of Gun Control929 Words   |  4 PagesGun Control Getting arrested yesterday was not the highlight of my week. I was hungry; so I went to Wal-Mart get some charcoal, lighter fluid, and steak. I put the charcoal in the grill and the lighter fluid on the coals. I got a little lighter fluid on my arm, but I didn’t pay it much attention. I lit the match and threw it on the coals. I looked down and my sleeve was on fire. I was waving my arm in the air, trying to put it out. Then here they come the police pulled in and tackled me to theRead MoreThe Issue Of Gun Control1552 Words   |  7 PagesThe issue of gun is always controversial. Firearm can be used as defending or an assaulting weapon. In United States, firearm increase the rate of homicide, suicide and gun violence, which can harm and murder people. Moreover, taking away people’s gun will not work effectively because the murder and criminal will find another ways to get guns. Also, the black market will appear for the people who cannot get guns from regulated market s. In addition, if regulated guns are banned, murderers may useRead MoreThe Issue Of Gun Control1678 Words   |  7 PagesJanuary 2014 The 2nd Amendment Over the past few years, the issue of gun control has been widely discussed. You surely have heard the phrase, â€Å"Guns don’t kill people, people kill people† uttered and i wholeheartedly support this statement. It is important to treat guns responsibly so they do not end up in the wrong hands. I believe gun control violates our inalienable rights. Another piece of our liberty will surely be taken away if guns are banned, and socialism and totalitarianism will be rightRead MoreThe Issue Of Gun Control1208 Words   |  5 PagesWill Christopherson Traverson English 2 1 March 2017 Gun Control The United States has 88.8 guns per 100 people, or about 270,000,000 guns, which is the highest total and per capita number across the globe. The current public gun control debate in the United States seems to be placed on standby until it is sparked up by a major mass shooting. There were at least 126 mass shootings between January 2000 and July 2014.(pro). Opponents of more gun laws accuse supporters of using a horrific event to further

Ankle Injuries A Common Problem Health And Social Care Essay Free Essays

Introduction: Ankle hurts are a common and perennial job around the universe. International that figures report that mortise joint sprains which are fundamentally weight-bearing hurts represent 15-20 % of all featuring hurts, and about 10 % presentations to accident and exigency departments1. Harmonizing to Brookes et Al ( 1981 ) , the incidence of sidelong mortise joint sprains is about 1 per 10,000 people per twenty-four hours. We will write a custom essay sample on Ankle Injuries A Common Problem Health And Social Care Essay or any similar topic only for you Order Now It is commonly occurs in the athleticss participants due to have oning inappropriate places and walking or running on uneven surface. The major contributes to stableness of the mortise joint articulations are the congruousness of the articular surfaces when the articulations are loaded, the inactive ligaments restraints and the musculotendinous unit, which allow for dynamic stabilisation of the joint. The sidelong ligament composite of the mortise joint, described as the organic structure ‘s †most often injured individual construction † ( Garrick, 1977 ) , is automatically vulnerable to twist hurt. At extremes of plantarflexion and inversion, influenced by the shorter median facet of the mortise joint mortice, the comparatively weak anterior talofibular ligament ( ATFL ) and calcaneofibular ligament ( CFL ) are prone to changing classs of rupture, frequently via minimum force ( Hockenbury and Sammarco, 2001 ) . Ankle sprains can be classified harmonizing to the badness, the degree of hurt, the ligaments involved and clip continuance since the incidence of the injury3. As per the badness they are classified into class 1 ( ligaments non really torn ) , grade 2 ( Partially torn ) and grade 3 ( to the full torn ) . As per the degree of hurt, there are two types of mortise joint sprains ; the high and the low degree sprains4. Depending upon the ligaments involved Type 1 sprain involves partly torn anterior talofibular ligament ( ATFL ) , type 2 involves lacerate calcaneofibular ligament ( CFL ) and in type 3 there is rupturing of the anterior talofibular ligament ( ATFL ) and calcaneofibular ligament ( CFL ) . Harmonizing to the clip continuance there are three phases of mortise joint sprains. First or acute phase involves traumatic reaction instantly following the injury ; the first 24-48 hours. Second or stand in acute phase is from the 2nd twenty-four hours to 6 hebdomads and is the period of fix.third or chronic phase stopping points after 6 hebdomads to 2 months in which there is adherent cicatrix tissue. Immediate inflammatory processes produce acute antero sidelong hurting and hydrops, with turning away of motion and weight bearing ( Wolfe et al. , 2001 ) . Subsequent losingss of joint scope, peculiarly dorsiflexion, and musculus strength consequences in important gait disfunction. Limited dorsiflexion is common after sidelong mortise joint sprain and unequal rehabilitation of dorsiflexion scope of gesture is proposed to take to long term hurting and ankle instability. Acute mortise joint sprains holding marked decrease in dorsiflexion scope of gesture are often pain in full weight bearing and weight bearing techniques are non clinically indicated. The sub ague mortise joint sprain is characterized by important residuary shortages in dorsiflexion ( yong and vicenzino,2002 ) and the capacity to to the full weight bear. Early physical therapy intercession consists of remainder, ice, compaction, lift ( RICE ) and electrotherapy modes to command redness, every bit good as manipulative therapy and curative exercising techniques to turn to damages of motion and strength ( Wolfeet al. , 2001 ; Hockenbury and Sammarco, 2001 ) . Manipulative therapy intervention techniques studied have exhibited non- opiod hypoalgesia to mechanical but non thermic hurting stimulations ( vicenzino et Al.. , 1998 ) . Manual therapy therapy suggested that full physiological Range of gesture. For illustration, the full posterior saggital rotary motion of the talus necessary for dorsiflexion Range of gesture may non be possible when there is a restriction of posterior semivowel of the scree with regard to the ankle mortise. Treatment aimed to bettering posterior glide of the scree are hence thought the aid reconstruct dorsiflexion scope in the presence of limitation. Physiotherapist often use manipulative therapy techniques to mend disfunction and hurting ensuing from mortise joint sprains. Mulligan ‘s mobilisation with motion ( MWM ) intervention improve scope of gesture and allivate hurting. The Mulligan ‘s mobilisation with motion ( MWM ) intervention attack for dorsiflexion post-ankle sprain combines a comparative posteroanterior semivowel of the shinbone on scree with active dorsiflexion motions preferentially in weight bearing ( Mulligan, 1999 ) .Chance of rapid Restoration of unpainful motion are associated with Mulligan ‘s mobilisation with motion ( MWM ) techniques ( Mulligan,1993, 1999 ; Exelby, 1996 ) . Mulligan ‘s mobilisation with motion in weight bearing patients is more effectual than in non- weight bearing patients in intervention of mortise joint sprains. ( Natalie Collins, Pamela Teys, Bill Vicenzino 2002. ) REVIEW OF LITERATURE ANKLE SPRAIN: The sidelong ligament composite of the mortise joint, described as the organic structure ‘s †most often injured individual construction † ( Garrick, 1977 ) , is automatically vulnerable to twist hurt. At extremes of plantarflexion and inversion, influenced by the shorter median facet of the mortise joint mortice, the comparatively weak anterior talofibular Ligament ( ATFL ) and calcaneofibular ligament ( CFL ) are prone to changing classs of rupture, frequently via minimum force ( Hockenbury and Sammarco, 2001 ) . Ankle hurts are a common and perennial job around the universe. Ankle sprains can be classified harmonizing to the badness, the degree of hurt, the ligaments involved and clip continuance since the incidence of the hurt. As per the badness they are classified into class 1 ( ligaments non really torn ) , grade 2 ( partly torn ) and grade 3 ( to the full torn ) . As per the degree of hurt, there are two types of mortise joint sprains ; the high and the low degree sprains4. Depending upon the ligaments involved Type 1 sprain involves partly lacerate ATFL, type 2 involves lacerate ATFL and integral CFL and in type 3 there is rupturing of the ATFL and CFL. Immediate inflammatory processes produce acute anterolateral hurting and hydrops, with turning away of motion and weight bearing ( Wolfe et al. , 2001 ) . Subsequent losingss of joint scope, peculiarly dorsiflexion, and musculus strength consequences in important gait disfunction. Recent informations from research lab high spots the presence of a dorsiflexion shortage non merely in the ague phase, but besides in the subacute phase ( Yang and Vicenzino, 2002 ) . Limited dorsiflexion scope of gesture ( ROM ) is common after sidelong mortise joint sprain and should be addressed during rehabilitation ( Denegar CR et Al 2002 ) . Inadquate rehabilitation of dorsiflexion scope of gesture is proposed to take to long – term hurting and mortise joint instability ( Hertel J et Al 2000 ) . An inordinate anterior supplanting of the scree is believed to happen during plantarflexioninversion hurt and persist with residuary laxness of the anterior talofibular ligament ( ATFL ) ( mulligan,1999 ) . Early physical therapy intercession consists of remainder, ice, compaction, lift ( RICE ) and electrotherapy modes to command redness, every bit good as manipulative therapy and curative exercising techniques to turn to damages of motion and strength. Brad gilden: Ezine et Al ( 1998 ) stated that most common mechanism of hurt in mortise joint sprain is an inversion hurting that occurs when ankle turn inward and the organic structure ‘s weights compressers the mortise joint conveying the sidelong malleolus near to the floor. Brantingham et Al ( 2001 ) stated that terrible sprain ligaments tear wholly doing swelling and sometimes shed blooding under tegument. As a consequence, the mortise joint is unable to bear weight. Green denegar et Al ( 2001 ) suggested that limitation of the ankle scope of gesture may be following sidelong mortise joints sprain ensuing in the restriction of dorsiflexion scope of gesture. Jey Hertal, Denegar et Al. , ( 2002 ) stated that sidelong mortise joint instability occurs that refers to the being of an unstable mortise joint due to sidelong ligamentous harm caused by inordinate supination or inversion of the rear pes. Gillman DC, Orteza et Al ( 2006 ) stated that ‘ when the pes is distorted outwards, the sprained mortise joint is called an eversion hurt, when this occur, the interior ligament called the deltoid ligament, is stretched excessively far ‘ . Jane kavanagh et Al ( 2006 ) stated that Irish burgoo ‘s mobilisation with motion positional mistakes and hurting alleviation in betterment of inferior tibio fibular articulation in mortise joint sprain. MULLIGAN ‘S MOBILISATION WITH MOVEMENT: Techniques known as Irish burgoo ‘s mobilisation with motion ( MWM ) have been proposed as fresh manual therapy techniques to better joint scope of gesture ( ROM ) by uniting physiological and accessary articulation motions. Although Irish burgoo ‘s mobilisation with motion techniques are a comparatively new intervention approach their usage in rehabilitation of patients after sidelong mortise joint sprain in going progressively common. Manual therapy theory suggests that full physiological scope of gesture ( ROM ) can non happen when restriction in accessary joint gestures exist ( Maitland GD et Al 1983 ) . For illustration, the full posterior sagittal rotary motion of the talus necessary for dorsiflexion scope of gesture ( ROM ) may non be possible when there is a restriction to posterior semivowel of the scree with regard to the ankle mortice. Treatments aimed at bettering posterior glide of the scree are hence thought to assist reconstruct dorsiflexion scope in the presence of limitation. An inordinate anterior supplanting of the scree is believed to happen during plantarflexioninversion hurt and persist with residuary laxness of the anterior talofibular ligament ( ATFL ) ( mulligan,1999 ) . Denegar et Al, ( 2002 ) reported increased ATFL laxness and restricted posterior talar semivowel in 12 athelets who had sustained an mortise joint sprain 6 months earlier and had since returned to feature. The clinical principle given for the anteroposteiror glide constituent of the weight bearing dorsiflexion Irish burgoo ‘s mobilisation with motion technique is to cut down any residuary anterior supplanting of the scree ( mulligan,1999 ) , mulligan ( 1993-1999 ) proposed that rectification of the restricted posterior semivowel, via repeats of dorsiflexion with a sustained anteroposteior talar mobilisation ( automatically similar to posteroanterior tibial semivowel on scree ) , restores the normal articulation kinematics even after release of the semivowel. Acute mortise joint sprain showed pronounced decrease in dorsiflexion scope of gesture and are often painful in full weight bearing. Therefore weightbearing techniques are non clinically indicated. The sub ague mortise joint sprain is characterized by important residuary shortages in dorsiflexion ( yang and vicenzino, 2002 ) and the capacity to to the full weight bear, doing it a good theoretical account on which to analyze the initial effects of weight bearing Irish burgoo ‘s mobilisation with motion on dorsiflexion. The dorsiflexion Irish burgoo ‘s mobilisation with motion mechanism of action hence appears to be mechanical, and non straight via alterations in the hurting system. Mulligan ‘s et Al ( 1991 ) stated that Irish burgoo ‘s mobilisation with motion technique, aimed to cut down restricted painful motion and reconstruct hurting free and full scope of gesture. Mulligan ; s B.R et Al ( 1993 ) stated that the purpose of motion with mobilisation is to reconstruct normal scope of gesture and decreased hurting by rectifying positional mistakes. Eiff Mp, Smith AT, Smith GE, et al 1994 ) suggested that in first clip sidelong mortise joint sprains, although the both immobilisation and early mobilisation prevent late residuary symptoms and ankle instability, early mobilisation allows earlier return to work and may be more comfy for patients. Hertling and Kessler et Al ( 1996 ; 1997 ) stated that Irish burgoo ‘s mobilisation is used to reconstruct restricted the scope of gesture in chronic mortise joint sprain. Brad Gilden ; Ezine et Al ( 1997 ) stated that manual therapy technique will be used to normal joint mechanics and to keep the proper musculus firing pattern necessary for stableness. Green et Al ( 1997 ) reported that more rapid Restoration of dorsiflexion scope of gesture and standardization of the pace in patients treated with posterior talar mobilisation following sidelong ankle sprain. Denegar and miller et Al ( 2002 ) stated that lading and emphasis to these ligaments with early return to full weight bearing may compromise the healing procedure and do the ligaments to ligaments to mend in a elongated province. Green T, Refshauge K, croshie J Adams R et Al ( 2001 ) stated that add-on of a talocrural mobilisation to the RICE protocol in the direction of ankle inversion hurts helps to accomplish hurting free dorsiflexion and better the pace velocity. Brian Irish burgoo ‘s et Al ( 2001 ) stated that construct of mobilisations with motion ( MWM ‘S ) in appendages and sustained natural apophyseal semivowels ( SNAGS ) rating with the coincident application of both therapist applied accoutrement and patient generalized active physiological motions. Denegar ( R ) , Hertel-J, Fonseca-J ; et Al ( 2002 ) stated that dorsiflexion scope of gesture was restored in the population of restricted posterior semivowel of the talocrural articulation. Craige R, Denegar PT, et Al, ( 2003 ) suggested that betterment of dorsiflexion scope of gesture and Restoration of the physiological scope of gesture and residuary articulation disfunction was noticed after joint mobilisation. Collins et Al ( 2004 ) stated that subsequent loss of joint scope of gesture peculiarly dorsiflexion and musculus strength consequences in important gait disfunction. Natalie Collins, Pamela teys, et Al ( 2004 ) conducted a survey to happen out the initial effects of Irish burgoo ‘s mobilisation with motion technique on dorsiflexion and hurting in subacute class II mortise joint sprains. During intervention status the dorsiflexion weight bearing mobilisation with motion technique was performed on diagnostic talocrural articulation. Weight bearing dorsiflexion was measured by articulatio genus to palisade rule. Pain was measured via force per unit area and thermic hurting threshold by utilizing force per unit area algometry and thermotest system. They concluded that mobilisation with motion intervention for ankle dorsiflexion has a mechanical instead than hypoalgesic consequence in subacute class II mortise joint sprains. Mulligan ‘s dorsiflexion mobilisation with motion technique significantly increases talocrural dorsiflexion ab initio after application in subacute mortise joint sprains. Whitman.JM, Child, Walker et Al, ( 2005 ) stated that accessary joint gesture were restored and were correlated with immediate betterments in scope of gesture, pace mechanism and decreased hurting after mobilisation and manipulative intercessions. Vicenzino.B. Branjerdporn.M. Teys et Al ( 2006 ) stated that due to the success of mobilisation with motion, it was recommended as portion of a through intervention program for ankle sprain. Vicenzino et Al ( 2006 ) stated that initial consequence of a Irish burgoo ‘s mobilisation with motion technique on scope of gesture and force per unit area hurting threshold in hurting limited mortise joint. Branjerdporn M, Teys P, Jordan k et Al ( 2006 ) suggested that mobilisation with motion technique should be considered in rehabilitation plans following sidelong ankle sprain. Andrea Reid, Trevor, Greg Alcock et Al ( 2007 ) stated that a talocrural mobilisation with motion in weight bearing place significantly increases weight bearing dorsiflexion instantly following intervention in patients with reduced dorsiflexion due to sidelong mortise joint sprain. Dorsiflexion was assessed weight bearing lurch trial. Paungamalis.A and Teys et Al ( 2007 ) stated that Irish burgoo ‘s mobilisation with motion helps to better scope of gesture and degrees of hurting are non to the full understood. But mobilisation with motion appears to rectify positional mistakes which have occurred as a consequence of hurt. Several surveies have shown mobilisation with motion has a positive consequence on scope of gesture ( peculiarly dorsiflexion ) Andrea Reid, Trevor B, Birminghan, and Greg Alcock et Al ( 2007 ) suggested that a talocrural mobilisation with motion improves ankle dorsiflexion instantly following intervention. R, Jones ; J Carter: P moorie and A, Wills et Al ( 2008 ) stated that acceptable inter perceiver and intra perceiver dependability for usage of weight bearing ankle dorsiflexion appraisal tool step weight bearing dorsiflexion lurch scope of gesture. Akre Ambarish A, Jeba Chitra, khatri subhash et Al ( 2008 ) compared the effectivity was of mobilisation with motion in weight bearing and non-weight bearing place in intervention of sidelong mortise joint sprain. 30 patients were indiscriminately allotted to 2 groups. Outcome steps such as hurting and scope of gesture and pes and ankle disablement index were used. Consequences showed that mobilisation with motion in weight bearing place was more effectual than non-weight bearing place in the intervention of mortise joint sprains. Willam G. Hamilton M D et Al ( 2008 ) Thus survey stated that terpsichoreans frequently have unusual troubles related to the altered kinesiology required by their single dance signifier peculiarly in the posing of overuse hurt. Venturini C, PENEDO MM, Peixoto GH, Ferriea ML, et Al, October ; ( 2007 ) Stated that applied force was able to increase dorsiflexion scope of gesture ( ROM ) after the Maitland class III antero posterior mobilisation of the scree. Hertting and Kessler ( 1996-97 ) stated that Irish burgoo ‘s mobilisation technique be used to reconstruct restricted scope of gesture in mortise joint sprain. Jay Hertal, Denegar et Al ( 2002 ) stated that sidelong mortise joint instability occurs that refers to the existenseof an unstable mortise joint due to sidelong ligamentous harm caused by inordinate supination or inversion of the rear pes. The Mulligan Concept Principles of Treatment: In the application of manual therapy techniques, Specific to the application of Irish burgoo ‘s mobilisation with motion ( MWM ) and SNAGS in clinical pattern, the undermentioned basic rules have been developed: 1 ) During appraisal the healer will place one or more comparable marks as described by Maitland. These marks may be a loss of joint motion, hurting associated with motion, or hurting associated with specific functional activities ( i.e. , sidelong cubitus hurting with resisted carpus extension, inauspicious nervous tenseness ) . 2 ) A inactive accoutrement joint mobilisation is applied following the rules of Kaltenborn ( i.e. , parallel or perpendicular to the joint plane ) . This accessary semivowel must itself be pain free. 3 ) The healer must continuously supervise the patient ‘s reaction to guarantee no hurting is recreated. The healer investigates assorted combinations of analogue or perpendicular semivowels to happen the right intervention plane and class of motion. 4 ) While prolonging the accoutrement semivowel, the patient is requested to execute the comparable mark. The comparable mark should now be significantly improved ( i.e. , increased scope of gesture, and a significantly decreased or better yet, absence of the original hurting ) . 5 ) Failure to better the comparable mark would bespeak that the healer has non found the right contact point, intervention plane, class or way of mobilisation, spinal section or that the technique is non indicated. 6 ) The antecedently restricted and/or painful gesture or activity is repeated by the patient while the healer continues to keep the appropriate accoutrement semivowel. Further additions are expected with repeat during a intervention session typically affecting three sets of 10 repeats. 7 ) Further additions may be realized through the application of inactive overpressure at the terminal of available scope. It is expected that this overpressure is once more, unpainful. Self-treatment is frequently possible utilizing Irish burgoo ‘s mobilisation with motion ( MWM ) principles with adhesive tape and/or the patient supplying the glide constituent of the Irish burgoo ‘s mobilisation with motion ( MWM ) and the patient ‘s ain attempts to bring forth the active motion. Pain is ever the usher. Successful Irish burgoo ‘s mobilisation with motion ( MWM ) and Snags techniques should render the comparable mark painless while significantly bettering map during the application of the technique. Sustained betterments are necessary to warrant on-going intercession. † DISCUSSTION This survey was conducted to happen out the consequence of Irish burgoo ‘s mobilisation with motion technique in bettering dorsiflexion patients with sub ague mortise joint sprain. Fiften patients with sub ague mortise joint sprains who fulfilled inclusive and sole standards were selected by purposive sampling and assigned into individual group. patients were treated with Irish burgoo ‘s mobilisation with motion ( MWM ) in weight bearing place for the continuance of 10 yearss. Statistical analysis was done by utilizing mated ‘t ‘ trial. Consequences showed that there was significance consequence of Mulligan ‘s mobilisation with motion technique in weight bearing place in bettering weight bearing dorsiflexion scope of gesture in sub ague mortise joint sprain. Application of the dorsiflexion Irish burgoo ‘s mobilisation with motion technique ( MWM ) to patients with subacute sidelong ligament mortise joint sprains produced a important immediate betterment in weight bearing dorsiflexion. Immediate inflammatory processes produce acute anterolateral hurting and hydrops, with turning away of motion and weight bearing ( Wolfe et al. , 2001 ) . Subsequent losingss of joint scope, peculiarly dorsiflexion, and musculus strength consequences in important gait disfunction. Recent informations from research lab high spots the presence of a dorsiflexion shortage non merely in the ague phase, but besides in the subacute phase ( Yang and Vicenzino, 2002 ) . Limited dorsifletion scope of gesture ( ROM ) is common after sidelong mortise joint sprain and should be addressed during rehabilitation ( Denegar CR et Al 2002 ) . Inadquate rehabilitation of dorsiflexion scope of gesture is proposed to take to long – term hurting and mortise joint instability ( Hertel J et Al 2000 ) . Early physical therapy intercession consists of remainder, ice, compaction, lift ( RICE ) and electrotherapy modes to command redness, every bit good as manipulative therapy and curative exercising techniques to turn to damages of motion and strength. Acute mortise joint sprain showed pronounced decrease in dorsiflexion scope of gesture and are often painful in full weight bearing. Therefore weightbearing techniques are non clinically indicated. The sub ague mortise joint sprain is characterized by important residuary shortages in dorsiflexion ( yang and vicenzino, 2002 ) and the capacity to to the full weight bear, doing it a good theoretical account on which to analyze the initial effects of weight bearing Irish burgoo ‘s mobilisation with motion on dorsiflexion Mulligan ( 1993-1999 ) proposed that rectification of the restricted posterior semivowel, via repeats of dorsiflexion with a sustained anteroposteior talar mobilisation ( automatically similar to posteroanterior tibial semivowel on scree ) , restores the normal articulation kinematics even after release of the semivowel. The dorsiflexion Irish burgoo ‘s mobilisation with motion mechanism of action hence appears to be mechanical, and non straight via alterations in the hurting system. Paired ‘t ‘ trial concluded that there was important betterment in weight bearing dorsiflexion in Mulligan ‘s mobilisation with motion technique in weight bearing place in patient ‘s with sub ague mortise joint sprains, which was supplied by surveies as follows, Akre Ambarish A, Jeba Chitra, khatri subhash et Al ( 2008 ) compared the effectivity was of mobilisation with motion in weight bearing and non-weight bearing place in intervention of sidelong mortise joint sprain. 30 patients were indiscriminately allotted to 2 groups. Outcome steps such as hurting and scope of gesture and pes and ankle disablement index were used. Consequences showed that mobilisation with motion in weight bearing place was more effectual than non-weight bearing place in the intervention of mortise joint sprains Natalie Collins, Pamela teys, et Al ( 2004 ) conducted a survey to happen out the initial effects of Irish burgoo ‘s mobilisation with motion technique on dorsiflexion and hurting in subacute class II mortise joint sprains. During intervention status the dorsiflexion weight bearing mobilisation with motion technique was performed on diagnostic talocrural articulation. Weight bearing dorsiflexion was measured by articulatio genus to palisade rule. Pain was measured via force per unit area and thermic hurting threshold by utilizing force per unit area algometry and thermotest system. They concluded that mobilisation with motion intervention for ankle dorsiflexion has a mechanical instead than hypoalgesic consequence in subacute class II mortise joint sprains. Mulligan ‘s dorsiflexion mobilisation with motion technique significantly increases talocrural dorsiflexion ab initio after application in subacute mortise joint sprains. Brian Irish burgoo ‘s et Al ( 2001 ) stated that construct of mobilisations with motion ( MWM ‘S ) in appendages and sustained natural apophyseal semivowels ( SNAGS ) rating with the coincident application of both therapist applied accoutrement and patient generalized active physiological motions. Green et Al ( 1997 ) reported that more rapid Restoration of dorsiflexion scope of gesture and standardization of the pace in patients treated with posterior talar mobilisation following sidelong ankle sprain. Following subacut mortise joint sprains, there was increased ATF ligament laxness and restricted posterior talar semivowel which consequences in lessening in dorsiflexion scope of gesture. Subacute mortise joint sprain has capacity to to the full weight bear so that it was advised to execute Irish burgoo ‘s mobilization with motion in weight bearing place. Dorsiflexion was improved by mechanical effects gained through accessary anterioposterior motion of scree along with physiological dorsiflexion motion of talocrural articulation in patients with subacute mortise joint sprains. Therefore the survey concluded that Irish burgoo ‘s mobilisation with motion technique was effectual in bettering dorsiflexion patients with sub ague mortise joint sprain. How to cite Ankle Injuries A Common Problem Health And Social Care Essay, Essay examples

Essay on Hurricane Devastation Of Hurricane Katrina Essay Example For Students

Essay on Hurricane Devastation Of Hurricane Katrina Essay Hurricane KatrinaHurricane Katrina was the most expensive hurricane that hit the United States ever. The hurricane was the third strongest of the season, behind both Hurricane Wilma and Rita. The hurricane was the third strongest of the season, behind both Hurricane Wilma and Rita.Early in the morning on August 29, 2005, Hurricane Katrina struck the Gulf Coast of the United States. When the storm made landfall, it had a Category 3 rating on the Saffir-Simpson Hurricane Scale–it brought sustained winds of 100–140 miles per hour–and stretched some 400 miles across. The storm itself did a great deal of damage, but its aftermath was catastrophic. Levee breaches led to massive flooding, and many people charged that the federal government was slow to meet the needs of the people affected by the storm. Hundreds of thousands of people in Louisiana, Mississippi and Alabama were displaced from their homes, and experts estimate that Katrina caused more than $100 billion in damage.Hurricane Katrina: Before the Storm The tropical depression that became Hurricane Katrina formed over the Bahamas on August 23, 2005, and meteorologists were soon able to warn people in the Gulf Coast states that a major storm was on its way. By August 28, evacuations were underway across the region. That day, the National Weather Service predicted that after the storm hit, â€Å"most of the Gulf Coast area will be uninhabitable for weeks†¦perhaps longer. † New Orleans was at particular risk. Though about half the city actually lies above sea level, its average elevation is about six feet below sea level–and it is completely surrounded by water. Over the course of the 20th century, the Army Corps of Engineers had built a system of levees and seawalls to keep the city. .ver the Crescent City Connector bridge to the nearby suburb of Gretna, but police officers with shotguns forced them to turn back.)Katrina pummeled huge parts of Louisiana, Mississippi and Alabama, but the desperation was most concentrated in New Orleans. Before the storm, the city’s population was mostly black (about 67 percent); moreover, nearly 30 percent of its people lived in poverty. Katrina exacerbated these conditions, and left many of New Orleans’s poorest citizens even more vulnerable than they had been before the storm.In all, Hurricane Katrina killed nearly 2,000 people and affected some 90,000 square miles of the United States. Hundreds of thousands of evacuees scattered far and wide. Today, after years of recovery and rebuilding efforts, people along the Gulf Coast have made great strides in returning to life as usual even as they continue to rebuild.

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Gold Star Process management free essay sample

You probably would not expect that a regional chain of small chili restaurants takes a formal view of process management, but Gold Star Chili, Inc. , based in Cincinnati, Ohio, does just that. Figure 5. 3 shows a process-based organization of the company. Three major core processes link the operation of the company to its customers and other stakeholders: 1. franchising, 2. restaurant, and 3. manufacturing/distribution. Sustaining these core processes are various support processes, such asresearch and development, human resources, accounting, purchasing, oper-ations, training, marketing, and customer satisfaction. Even restaurant oper-ations are viewed from a process focus. Key processes such as Cash Regis-ter, Steam Table, Drive-Thru, Tables, Bussers, and Management are designedto ensure that customer needs are served in a timely manner. Prior to open-ing each restaurant, training sessions ensure that these processes are per-formed correctly and according to company standards Franchisees are attracted by the relatively low investment required to join the Gold Star family of restaurants, the opportunity to operate a profitable business, and to benefit from the strong brand equity built into the Gold Star name. All department heads treat franchisees as internal customers, and have signed a pledge guaranteeing to return calls within 24 hours. If a franchisee reports a problem with product quality, Gold Star often handdelivers replacement product the same day. The franchising process is designed to ensure a smooth and successful start-up that meets company objectives. Because franchise process delays are costly, the process helps to eliminate variability, reduce cycle time, and cut down on problems that might occur during development and introduction.