The wolf of wall street

The Wolf of Wall Street Is a black comedy movie directed by Martin Scores, based on a true story of a man who makes millions. Leonardo Didactic plays Jordan Belabor, a penny stockbroker who wants to make a lot of money. He started a company, Stratford Oakmont. He starts small and starts ripping people off because of the way he trains people. He makes it to Wall Street, where the biggest stock market deals happen. They start to get a lot of attention because of how quick their success is. With fame and money come drugs.Belabor does a lot of cocaine to stay on the edge of things and keep up with his competition. They throw a bunch of parties with their staff with all their money they are making. He makes it onto Forbes magazine, and that's how the feds find out about him. He tries to cover up his scams and make it not look so obvious for the feds, but starts to take the right approach and moves his money to a European bank. The feds find out about him and he has to make a decision If h e wants to retire from his company and go to jail, and of course, because ex.'s Insane, he keeps the company going and It goes under.The director made this movie was to catch the viewer's eye with a true story. It was very Interesting to watch because of all of the Parthenon going on through out the movie. The director produced this in a way of everything being very precise but at the same time giving it a Hollywood twist. All of the lighting, soundtrack and imagery are on spot and having Leonardo play the role of Mr†¦ Belabor was excellent casting. It felt as though the movie had more than one climax as it as so exciting. The director told an interesting story.The story itself is crazy because it was real and it was done realistic. It is hard to believe that something like that could happen nowadays with all the surveillance. The actors did a good job, Leonardo Didactic, did a really superior Job in his role. The dry humor, the parties, and the drugs were funny. There was neve r really a slow scene, It always got right to the action. My generation would like this movie because they do young and dumb stuff like us, but really It Is a excellent movie for any high school and older audience.

Adolescents With Food Allergy Health And Social Care Essay

Aim: To develop and formalize the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) in the Dutch linguistic communication. Methods: Ten nutrient allergic striplings ( 13-17 old ages ) were interviewed and generated 166 HRQL points. The most of import points were identified by 51 nutrient allergic striplings utilizing the clinical impact method, ensuing in the FAQLQ-TF incorporating 28 points ( mark scope 1 ‘no damage ‘ to 7 ‘maximal damage ‘ ) . The FAQLQ-TF, the Food Allergy Independent Measure ( FAIM ) and a generic HRQL questionnaire ( CHQ-CF87 ) were sent to 98 nutrient allergic striplings for cross-sectional proof of the FAQLQ-TF. Consequences: Construct cogency was assessed by the correlativity between the FAQLQ-TF and the FAIM ( rho 0.57, P & A ; lt ; 0.001 ) . The FAQLQ-TF had first-class internal consistence ( Cronbach ? 0.92 ) and discriminated between striplings who differed in figure of nutrient allergic reactions ( 1 nutrient allergic reaction vs. & A ; gt ; 2 nutrient allergic reactions, entire FAQLQ-TF mark, 4.3 vs. 3.5 ; p=0.037 ) , but did non know apart between reported anaphylaxis or non. The FAQLQ-TF correlated decrepit with 6 of the 11 CHQ-CF87 graduated tables, showing convergent/discriminant cogency. Decision: The FAQLQ-TF is the first self-administered, disease-specific HRQL questionnaire for nutrient allergic striplings. It has good concept cogency and first-class internal consistence and discriminates between striplings who differ in figure of nutrient allergic reactions. The FAQLQ-TF is short and easy to utilize and may hence be a utile tool in clinical research.Clinical DeductionsThe Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) is dependable, valid, short and easy to utilize and therefore a utile tool in clinical research.Capsule sum-upThe FAQLQ-TF is the first self-administered, disease-specific HRQL questionnaire for nutrient allergic striplings. It is dependable and valid and hence a utile tool in clinical research in which HRQL is the result of involvement.Key wordsAdolescents EuroPrevall Food allergic reaction Health-related quality of life AdolescentsAbbreviationsHRQL Health-Related Quality of Life FAQLQ-TF Food Allergy Quality of Life Questionnaire – Adolescent Form FAQLQ-CF Food Allergy Quality of Life Questionnaire – Child Form FAQLQ-PF Food Allergy Quality of Life Questionnaire – Parent Form MI Mean Importance OI Overall Importance FAIM Food Allergy Independent Measure EO Expectation of Outcome IM Independent Measure CHQ-CF87 Children ‘s Health Questionnaire – Child Form AADR Allergen Avoidance and Dietary Restrictions EI Emotional Impact RAE Risk of Accidental Exposure DBPCFC Double-Blind Placebo-Controlled Food ChallengeIntroductionHaving a nutrient allergic reaction can be fatal and striplings are at the highest hazard of decease from nutrient allergic reaction ( 1-3 ) . It is estimated that 2.3 % of striplings are nutrient allergic ( 4 ) . The lone effectual signifier of intervention of nutrient allergic reaction is rigorous turning away of the implicated nutrient ( s ) and proviso of medicines for exigency intervention ( 5 ) . In malice of the high hazard of decease, nutrient allergic striplings really reported societal isolation as the most distressing facet of their disease ( 6 ) . In add-on, some striplings reported depression as a consequence of nutrient allergic reaction and this may take to troubles in school public presentation and leisure activities ( 7 ) . Therefore, nutrient allergic striplings need to be continuously watchful as to what they are eating in legion state of affairss and scenes and, along with the fright of allergic reac tions, this may hold a negative impact on quality of life. At present, no validated self-administered, food-allergy-specific health-related quality of life ( HRQL ) questionnaire exists for usage in striplings. A few surveies have reported that nutrient allergic reaction has a negative impact on HRQL in striplings. However, three restrictions arise when construing these surveies. First, no differentiation was made between striplings and younger kids ( 8-13 ) , whereas HRQL in striplings demands to be addressed individually, because HRQL may be influenced by the phase of neurocognitive and emotional development of an person ( 14 ; 15 ) . Second, HRQL questionnaires were administered to parents therefore mensurating parents ‘ perceptual experiences ( 8-13 ) . However, kids and parents differ in their positions and judgements about quality of life ( 16 ) . Finally, surveies used generic HRQL questionnaires ( 11-13 ; 17 ) or disease-specific questionnaires which have non been validated ( 8 ; 10 ) , whereas generic HRQL questionnaires are n on every bit sensitive as disease-specific HRQL questionnaires ( 18 ) and proof is highly of import in order to find whether the questionnaire is mensurating that portion of quality of life which is determined by the mark upset ( 19 ) . Therefore, we have developed and cross-sectionally validated the first self-administered, food-allergy-specific HRQL questionnaire for striplings, the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) . This questionnaire has been developed as portion of the EuroPrevall undertaking, a European multi-center research undertaking on nutrient allergic reaction. The FAQLQ-TF complements the late developed self-administered Food Allergy Quality of Life Questionnaire-Child Form ( FAQLQ-CF ) for kids aged 8 to 12 old ages ( 20 ) and the parent-administered Food Allergy Quality of Life Questionnaire-Parent Form ( FAQLQ-PF ) for parents of nutrient allergic kids aged 0 to 12 old ages ( 21 ) .MethodParticipants and processDuring point coevals, participants were recruited merely from our outpatient pediatric allergic reaction clinic. Two striplings were approached during a double-blind placebo-controlled nutrient challenge ( DBPCFC ) and, based on patient records, eight strip lings were approached by phone. All approached striplings ( niˆ?10 ) agreed to take part in an interview on the impact of nutrient allergic reaction on their day-to-day life. During point decrease and cross-sectional proof, participants were recruited from our outpatient pediatric allergic reaction clinic ( based on patient records or assignments for DBPCFC ) or were recruited by advertizement in local intelligence documents and through nutrient allergy support organisations ( the Dutch Foundation for Food Allergy and the Dutch Anaphylaxis Network ) . A missive of invitation, the questionnaire and a pre-paid return envelop was sent to suited striplings from our clinic and to striplings who responded to the advertizement. The missive of invitation stressed that engagement was wholly voluntary. When the questionnaire was non returned within a month, the stripling was contacted by phone as a reminder. Adolescents were non paid for their engagement in any phase of questionnaire development or proof. Before cross-sectional proof, the questionnaire was pre-tested in three striplings ( aged 13, 15 and 17 old ages ) . No major jobs emerged during this pre-test. Thereafter, the FAQLQ-TF, the Food Allergy Independent Measure ( FAIM ) and the CHQ-CF87, a generic quality of life questionnaire, were sent by mail to 98 nutrient allergic striplings. Some of them had participated in the point coevals ( 10 % ) or point decrease ( 49 % ) . Descriptive features were asked sing age, sex, type and figure of nutrient allergic reactions, type of symptoms and diagnosing. For the striplings recruited from our clinic, we checked patient records to find whether nutrient allergic reaction had been diagnosed by a DBPCFC. During all phases of questionnaire development and proof, all common nutrient allergic reactions and different types and badnesss of symptoms were represented. The survey was approved by the local medical moralss review committee ( METc 2005/051 ) who deemed that permission from the committee was non required.DevelopmentItem coevals For the development and proof of the FAQLQ-TF, the same methodological analysis was used as for the development and proof of the FAQLQ-CF, which is described in more item elsewhere ( 20 ) . Briefly, possible points for the new questionnaire were generated by questioning 10 nutrient allergic striplings ( aged 13-17 old ages ) . In add-on, literature reappraisal and adept sentiment were consulted. This resulted in an drawn-out point questionnaire of 166 points. Item decrease The drawn-out point questionnaire was sent to a different group of 51 nutrient allergic striplings to place the most of import points by utilizing the clinical impact method ( 22 ; 23 ) . The striplings were asked to bespeak the importance of applicable points utilizing a five-point graduated table. Frequency ( per centum ) was multiplied by average importance ( MI ) , ensuing in the overall importance ( OI ) of each point. The maximum possible OI was 5.0 ( 24 ; 25 ) . Items with the greatest OI were selected for the FAQLQ-TF, except one of any brace of points with an inter-item correlativity & A ; gt ; 0.85 and/or overlapping content ( face cogency ) . The selected points were worded as inquiries holding a seven-point response graduated table runing from ‘not troubled ‘ to ‘extremely troubled ‘ ( 23 ; 25 ) . A psychologist and a linguist reviewed the FAQLQ-TF for lucidity and easiness of usage.Cross-sectional proofConstruct cogency Construct cogency was investigated by computation of correlativity coefficients for the FAQLQ-TF with the Food Allergy Independent Measure ( FAIM ) . This attack has already been successfully implemented to formalize disease-specific HRQL questionnaires ( 9 ; 20 ; 21 ; 25 ) and it is particularly utile in anaphylactic upsets where no nonsubjective measuring of the extent or badness of disease exists ( 26 ) . The FAIM, which was besides used to formalize the FAQLQ-CF ( 20 ) , includes four Expectation of Outcome ( EO ) inquiries and two Independent Measure ( IM ) inquiries. The EO inquiries are based on the sensed outlook of patients of what will go on following exposure which is likely to be a impulsive force of quality of life ( 26 ) . The IM inquiries are based on the same rule and inquire about the sensed figure of nutrients one needs to avoid and sensed impact on societal life. We expected moderate correlativity coefficients ( 0.40-0.60 ) for the FAQLQ-TF with the FAIM. The proof of the FAQLQ-TF was carried out in the Dutch linguistic communication. The English version of the FAQLQ-TF and the FAIM are presented as Figure E1 and Figure E2 in the Online Repository. The Dutch FAQLQ-TF and the FAIM were translated into English by a native English talker and back translated by a native Dutch talker, harmonizing to the guidelines of the World Health Organization ( 27 ) . The original Dutch version was compared with the back translated Dutch version. No of import differences in content or significance of inquiries emerged. Discriminative ability To set up the discriminatory ability of the FAQLQ-TF, we compared the entire FAQLQ-TF mark for striplings who reported anaphylaxis ( i.e. striplings who reported two or more of the undermentioned cardiovascular symptoms ; giddiness, experiencing your bosom round fast, loss of vision, inability to stand, light headedness, prostration, loss of consciousness/passing out ) versus striplings who did non, for striplings who reported many nutrient allergic reactions versus striplings who reported few nutrient allergic reactions, for male childs versus misss ( 28 ) and for striplings who were recruited from our clinic versus striplings who were recruited by advertizement. Dependability The dependability of the FAQLQ-TF was assessed by administrating the questionnaire to 34 striplings on two occasions 10-14 yearss apart. Convergent and discriminant cogency To look into convergent and discriminant cogency, a generic HRQL questionnaire was administered: the Children ‘s Health Questionnaire-Child Form ( CHQ-CF87 ) ( 29 ; 30 ) . This questionnaire is self-administered by striplings and contains 87 points divided into 12 graduated tables. We expected weak correlativity coefficients ( 0.20-0.40 ) for the FAQLQ-TF with the CHQ-CF87.Statistical analysesThe natural FAQLQ-TF and FAIM scores 0 to 6 were recoded as 1 to 7. The entire FAQLQ-TF mark is the average mark of all points with a scope of 1 ‘no damage ‘ to 7 ‘maximal damage ‘ . To measure concept cogency, Spearman ‘s correlativity coefficients were calculated between the FAQLQ-TF and the FAIM. The allotment of the points of FAQLQ-TF into spheres was based on factor analysis ( chief constituent analysis with Varimax rotary motion ) ( 31 ) and face cogency determined by a clinical expert panel ( BMJFdB, JNGOE and AEJD ) ( 14 ; 32 ) . To look into the inter nal consistence of the FAQLQ-TF and the spheres, Cronbach ‘s ? were calculated. An ? greater than 0.70 indicates good internal consistence ( 33 ) . The Mann-Whitney trial was used for mensurating the discriminatory ability of the FAQLQ-TF. The dependability of the FAQLQ-TF was assessed by ciphering the intraclass correlativity coefficient of the repeated FAQLQ-TF measuring ( 34 ) . Finally, convergent and discriminant cogency were assessed by ciphering Spearman ‘s correlativity coefficients between the FAQLQ-TF and the CHQ-CF87 graduated tables. Statistical analyses were performed with SPSS for Windows 14.0 ( SPSS Inc. , Chicago, IL, USA ) .ConsequenceDevelopmentDescriptive features of the striplings involved in the point coevals and point decrease are shown in Table 1. The drawn-out point questionnaire was returned by 46 striplings ( response rate 90 % ) . The OI tonss of all 166 points of the drawn-out point questionnaire ranged from 0.00 to 2.89. The point decrease re sulted in the choice of 28 points ( OI & A ; gt ; 1.37 ) for the FAQLQ-TF ( Table 2 ) .Cross-sectional proofParticipants The questionnaire bundle including the FAQLQ-TF, the FAIM and the CHQ-CF87 were returned by 75 striplings ( response rate 77 % ) . One stripling was excluded because the descriptive features were losing from the questionnaire, ensuing in 74 assessable questionnaires for the cross-sectional proof. Forty-three striplings ( 58 % ) were recruited from our clinic, of which 19 ( 26 % ) had a nutrient allergic reaction confirmed by a DBPCFC. The other striplings from our clinic had a physician-diagnosed nutrient allergic reaction ( skin asshole and/or blood trial ) and the bulk was expecting DBPCFC. All striplings recruited by advertizement ( 42 % ) reported physician-diagnosed nutrient allergic reactions. Descriptive features of the striplings involved in the cross-sectional proof are shown in Table 1. There were no important differences in descriptive features between male childs and misss, between striplings recruited from our clinic and striplings recruited by advertizement or between s triplings with a physician-diagnosed nutrient allergic reaction and striplings with a nutrient allergic reaction diagnosed by DBPCFC. Construct cogency Most points of the FAQLQ-TF correlated significantly with at least one of the FAIM inquiries and with the mean of the FAIM inquiries. Five points did non correlate with any of the FAIM inquiries and were hence excluded from the questionnaire. The validated FAQLQ-TF therefore consists of 23 inquiries. As expected, we found moderate correlativity coefficients between the FAQLQ-TF and the FAIM. The entire FAQLQ-TF mark correlated significantly with the average FAIM ( rho 0.57, P & A ; lt ; 0.001 ) and with the single FAIM inquiries ( Table 3 ) . This important correlativity coefficient was found for striplings with a nutrient allergic reaction diagnosed by DBPCFC and for striplings with a physician-diagnosed nutrient allergic reaction ( entire FAQLQ-TF mark with the average FAIM, rho 0.76, P & A ; lt ; 0.000 and rho 0.52, P & A ; lt ; 0.000, severally ) . These consequences support the concept cogency of the FAQLQ-TF. That is, the FAQLQ-TF steps that portion of quality of life that is a ffected by nutrient allergic reaction. Expectation of Outcome inquiry 3 ( EO3 ) did non correlate with any of the single HRQL points and is therefore improbable to be an appropriate independent step for nutrient allergic reaction in striplings. Therefore, we excluded this inquiry from farther analyses.Sphere construction and internal consistenceThe 23 points of the FAQLQ-TF were subjected to factor analysis ( chief constituent analysis ) , which revealed 5 factors with characteristic root of a square matrixs & A ; gt ; 1. To assistance in the reading of these factors, Varimax rotary motion was performed for 5, 4 and 3 factors. These groupings were reviewed by an adept panel, and based on face cogency the grouping of 3 factors made the most sense. This grouping revealed the undermentioned spheres: Allergen Avoidance and Dietary Restrictions ( AADR ) , Emotional Impact ( EI ) and Risk of Accidental Exposure ( RAE ) . These three factors showed a figure of strong burdens ; all exceed 0 .300, which is regarded as an acceptable standard ( 31 ) . The adept panel allocated 3 points to a more appropriate sphere based on face cogency. The FAQLQ-TF and the spheres had first-class internal consistence with Cronbach ‘s ? transcending 0.70 ( Table 3 ) .Discriminative abilityAdolescents who reported two or more nutrient allergic reactions reported a significantly more impaired HRQL than striplings who reported merely one nutrient allergic reaction ( entire FAQLQ-TF mark 4.3 vs. 3.5 ; p=0.037 ) . There was no important difference in entire FAQLQ-TF mark between striplings who reported anaphylaxis ( cardiovascular symptoms ) and striplings who did non describe anaphylaxis ( 4.5 vs. 4.0 ; p=0.184 ) or between male childs and misss ( 4.0 vs. 4.3 ; p=0.324 ) . Adolescents who were recruited by advertizement reported a significantly more impaired HRQL than striplings recruited from our clinic ( entire FAQLQ-TF mark 4.6 vs. 3.9 ; p=0.015 ) . Dependability The entire FAQLQ-TF mark intraclass correlativity coefficient was 0.98 ( 95 % assurance interval, 0.95-0.99 ) , bespeaking first-class test-retest dependability. Convergent and discriminant cogency The entire FAQLQ-TF mark correlated weakly with 6 of the 11 CHQ-CF87 graduated tables. In add-on, the spheres of the FAQLQ-TF correlated weakly with several CHQ-CF87 graduated tables ( Table 4 ) . This indicates that both questionnaires step constructs that are partially related ( i.e. convergent cogency ) . However, as expected the correlativities are weak and sometimes even absent because the CHQ-CF87 is a generic quality of life questionnaires and hence non every bit sensitive as the disease-specific FAQLQ-TF ( i.e. discriminant cogency ) .DiscussionWe have developed and validated the first health-related quality of life ( HRQL ) questionnaire particular for striplings with nutrient allergic reaction, the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) . We found that the FAQLQ-TF has good concept cogency and first-class internal consistence ( Table 3 ) . In add-on, the FAQLQ-TF discriminates between striplings who differ in figure of nutrient allergic reacti ons. Finally, the FAQLQ-TF showed convergent/discriminant cogency ( Table 4 ) , which supports the demand for a disease-specific quality of life questionnaire for nutrient allergic striplings. It is known that HRQL may be influenced by the current phase of cognitive, societal and emotional development of an person. Therefore, it has been argued that HRQL in striplings should be measured by agencies of a specific instrument ( 14 ; 15 ) . The FAQLQ-TF was specifically designed for nutrient allergic striplings aged 13 to 17 old ages. Age rightness was ensured by bring forthing and including merely points that were regarded as of import by nutrient allergic striplings ( clinical impact method ) . The FAQLQ-TF focal points on the perceptual experiences of the striplings themselves, because the questionnaire is self-administered. Many of the points in this instrument are specific to striplings. An illustration is ‘Carrying an Epipen ‘ . The Epipen issue in nutrient allergic striplings is in harmony with the literature. It has been reported that striplings raise concerns about its size and portability ( 35 ) and sometimes striplings do non transport it based on societal fortunes and sensed hazards ( 36 ) . Despite our age specific attack and the separate development of kid and adolescent questionnaires, it is striking that about two tierces of the adolescent inquiries in the FAQLQ-TF correspond to the kid inquiries in the FAQLQ-CF ( 20 ) . Therefore, although we generated many age specific points, there are seemingly ‘general ‘ nutrient allergic reaction points that are of import in kids and striplings. Furthermore, we found that the three most of import points that impair quality of life were the same in kids and adolescents ( ‘Always be alert as to what you are eating ‘ , ‘The ingredients of a merchandise alteration ‘ , ‘Able to eat fewer merchandises ‘ ) . An unexpected determination was that EO3 ( Chance of deceasing when by chance exposed ) was non correlated with any of the points of the FAQLQ-TF. This may bespeak that fright of deceasing of nutrient allergic reaction is non a driving force of quality of life in striplings, which may be characteristic and specific for striplings. It has been reported that striplings perceived their anaphylaxis as ‘no large trade ‘ ( 35 ) . In add-on, striplings are at the highest hazard of decease from nutrient allergic reaction ( 1-3 ) . This high hazard may be the consequence of underestimate of the badness of nutrient allergic reaction and the belief of striplings that they will non decease from any cause, including their nutrient allergic reaction. In fact, there were no striplings in this survey who reported ‘always ( 100 % opportunity ) ‘ of deceasing when by chance exposed, whereas this was reported by 5 % of kids and 4 % of grownups in other FAQLQ proof surveies ( non shown ) . Although non statistically important, this is a notable observation. The wrong belief of immortality of striplings may ensue in risk-taking behaviour that may increase the hazard of deceasing from a nutrient allergic reaction. Therefore, doctors and other health-care suppliers should be cognizant that underestimate of nutrient allergic symptoms may be of import when reding striplings with nutrient allergic reaction. When comparing the discriminatory consequences of the FAQLQ-TF with the FAQLQ-CF ( 20 ) , two interesting observations emerged. First, there was no important difference in entire FAQLQ-TF mark between striplings who reported anaphylaxis ( cardiovascular symptoms ) and striplings who did non. The same consequence was found in kids ( 20 ) . Second, striplings who were recruited by advertizement reported a significantly more impaired HRQL than striplings recruited from our clinic. This difference was non important in kids, although a tendency was seen ( 20 ) . It may be that striplings see safety and security by being looked after in the clinic, whereas striplings outside the clinic experience more uncertainness and insecurity about their nutrient allergic reaction ( 37 ) . Most striplings recruited from our clinic were known to us for many old ages ( average figure of old ages since first visit 12.5 ( SD 5.4 ) ) . In add-on, it has late been shown that parental trait anxiousness is hig her in parents of kids with a suspected nutrient allergic reaction who refused to take part in a DBPCFC than parents who did take part ( 38 ) . Since it is known that parental anxiousness is related to child anxiousness ( 39 ) , it may be that the striplings in our survey recruited by advertizement have higher degrees of trait anxiousness than striplings recruited from our clinic and may therefore hold more damage in quality of life. This survey may hold some restrictions. First, the proof of the FAQLQ-TF was carried out in the Dutch linguistic communication. The FAQLQ-TF was carefully translated into English utilizing the guidelines of the World Health Organization. The cogency of the English linguistic communication version of this questionnaire is presently being investigated every bit good as versions in several other European linguistic communications. Our experience with the Dutch Vespid Allergy Quality of Life Questionnaire was that the English interlingual rendition validated good ( 25 ) . It is possible, nevertheless, that cultural differences may act upon the ability of our questionnaire to place the most of import points for nutrient allergic patients in different cultural or lingual scenes. Second, patients were recruited at our clinic and by advertizement. These patients may differ from each other, for illustration in footings of degree of information about their nutrient allergic reaction. However, we did non happen important differences in the descriptive features between these groups and other possible differences would non hold adversely influenced the proof process, where a spectrum of badness is good to obtain optimum correlativities. Third, some of the points in this questionnaire are likely to be clip sensitive in the long tally. For illustration, new labelling Torahs could do the labelling points included in this questionnaire obsolete. It is likely that in clip, this questionnaire will necessitate some updating and version. Finally, this study describes merely the cross-sectional proof of the FAQLQ-TF. Currently, the longitudinal proof of the questionnaire is being investigated ( i.e. the capacity of the FAQLQ-TF to mensurate differences in HRQL over clip ) . In drumhead, we have developed and validated the first HRQL questionnaire particular for nutrient allergic striplings, the Food Allergy Quality of Life Questionnaire-Teenager Form ( FAQLQ-TF ) . We found that this questionnaire is valid and dependable and it is short and easy to utilize. The FAQLQ-TF will be therefore a suited questionnaire for clinical research in nutrient allergic striplings in which HRQL is the result of involvement.RecognitionsThis work was funded by the EU through the EuroPrevall undertaking ( FOOD-CT-2005-514000 ) . We would wish to thank Dr. GFEC van Linden new wave lair Heuvell, medical psychologist, and Karel Verbeek, linguist, for reexamining the drawn-out point questionnaire and the FAQLQ-TF and Tina van der Velde for executing the test-retest of the FAQLQ-TF.

The Advantages and Disadvantages of Going Abroad

The advantages and disadvantages of going abroad for further studies As for this topic, I feel envied. As a person who has no chance to go abroad, I will go no matter how. It’s a different experience and it must do more good than bad, at least for me. We’ve lived in China for twenty years so we can broaden our eye sights and we may get some inspiration about life. That’s vital, as far as I’m concerned. Westerns have their own opinions on life value which we may use for reference. Sometimes, we take something too important, you could find it unnecessary when you contact with various people.Besides, communicating with people from different areas can improve your skills of interactions. As we all know, Chinese do not excel in cooperating with others but westerns are good at it. Thus, our common shortcomings in personality can be corrected by the environment. Thirdly, western countries are advanced in science, economy, culture and politics. So many aspects tha t we can learn and use them to develop our country. Also, we can bring Chinese culture there, which makes more people to know about its attraction.In addition, if you succeed in graduating from famous foreign university, a good working opportunity is waiting for you. You can lead a high quality life and enjoy life better, at least no worrying for the money. If you like, you can live in abroad and make your children get a better education. But every coin has two sides. Going abroad has its advantages which we should take into consideration. Students who are poor in adapting to new circumstances may feel lonely and hopeless at beginning. If this psychology can’t be changed, it may cause serious problems.Some may be addicted to the drugs or choose to drop out. Secondly, you may feel disappointed when you arrive the country because imagination and truth is dollars to doughnuts. You have to tolerate hard conditions such as rough rooms, living on bread and water, worrying about the money and being forced to do a part-job if you are not rich enough. Then heavy pressure from work and study may let you mad. Thirdly, it could be a problem to become fully integrated into the local community, which has a bad influence in mastering the foreign language and being familiar with the local culture.Above all, I am still of the opinion that the advantages far outweigh the disadvantages in this case. Doing everything has the adventure and we can’t just focus on the harm it may cause. We may be brave if we want to read more about the world or improve yourself. There’s no doubt that some troubles must happen in the process, but you can gain something unexpected. Moreover, the phenomenon that more and more people would like to go abroad must have the reason, especially the upper class. No matter what others’ choices are, you should fully analyze it with combining your situation and make the best opt which you’ll never regret.

English Contemporary Historical Fictions Essay Example | Topics and Well Written Essays - 2500 words

English Contemporary Historical Fictions - Essay Example Romance is for each character a state of mind and emotion that dominates the women’s affections toward another person; even one of the same sex. In each of the works, the protagonist’s perception of romance is subject to the views formed by each woman based on her own experiences. It is secondarily formed by the environments that each woman lives in. The notion of romance changes on the whole as the protagonists move from adolescence, into young womanhood, and into maturity. This essay examines the notion of romance, and the experiences of the protagonists in each of the works as their perceptions on romance evolve with their own sexual and family experiences. In Atwood’s book, Alias Grace, the story opens with a lengthy poem/song about the young servant girl, Grace Marks, who, along with her lover, James McDermott, murdered their employer, Thomas Kinnear and his housekeeper/lover, Nancy Montgomery (pp. 11-15). It is a poem/song that is typical of the day, when tepid and sordid and often gruesome gossip was turned into poetic sing-song, which would survive in infamy down through the ages. Much like the poem about Lizzy Borden: These kinds of poems or sing-songs become obscure as to their origins, but the stories with which they were born out of are pieces of American history. This is the case with Lizzy Borden, and this is the premise upon which Atwood built her story of Grace Marks. The story that is about to unfold is told in the poem: For Atwood’s story, the experience of unrequited love that leads to the double murder of Thomas Kinnear and Nancy Montgomery at the hands of Grace and McDermott relies upon the reader’s interest in the tabloid-like story that surrounds the arrest and trials of Grace Marks and James McDermott. However, the attention, like the poem, is more focused on Grace because any time

Reflection & Reaction Activity 1 Essay Example | Topics and Well Written Essays - 750 words

Reflection & Reaction Activity 1 - Essay Example It is also true according to chapter three that women are getting more empowered. Many of them are going to white collar jobs other than taking care of the family and doing house chore duties as the case is initially. The most catching trend for me has many women take up careers and thus have minimal time to spend with the family as is the case initially especially in the 1970’s. As a result, these women are deemed to be breadwinners for their families and require support in handling house-chore duties and taking care of the children (YouTube, 2015). Their husbands have to offer a helping hand whereas others need an external third party to take up such duties. The attitude is also shifting to accommodate such women in the society and significantly implying that they are also good mothers and their relationship with their children is less the same as that enjoyed by a non-career woman. There are diverse factors leading to changes roles especially in America. First, there is a lot of empowerment for the girl child thus giving them an opportunity to be in a competitive position. The government has also provided a lot of grants in the form of loans to support such activities (Madichie, 2013). The following has resulted in many women being convinced that they can contribute to the income of their families something they have done well. For instance, as at 2008, 45% of the income the family received was from the women. Further, the workforce has reduced as stipulated in the companies and many institutions requiring gender balance. When comparing 2001 and 1997, there has been a greater revolution of the workforce according to a study that took place across the nation. Also, there has been a reduction in the amount earned by the man thus as at 2008, the gap between the spouses hit ten percent among individual couples. That

The Concept of Representation Essay Example | Topics and Well Written Essays - 2000 words

The Concept of Representation - Essay Example This paper seeks to explore the concept of representation from a multifaceted approach. On election, the elected member’s behavior in the house is determined by various factors. The concept of representation is based on the fact that the member of the House wants to be re-elected. Therefore, the member’s vote on a bill is based on the interest of their constituents. In contrast, organizational concept the members of the constituents are unaware of their leader’s vote. Therefore, the vote of their political leaders is not influenced by the need to please them. The attitudinal concept is based on the assumption that there are many conflicting pressures on the member of Congress such that these pressures cancel each other out. This means that the member votes on based on their own will and beliefs. According to Melancton Smith, the members of Congress should resemble those they represent in the House. The member ought to posses the same characteristics of the people they resemble. These members ought to be a reflection of the people they represent so as to understand as well as comprehend the needs and desires of their people. Smith argues that, for one to understand and sympathize with all the distress of the people, they must have knowledge about the circumstances surrounding the people. According to Smith, this knowledge cannot be attained through education. The member has to be in the same circumstances as the people they represent. Because of this, Smith believes that those in the middling class are more competent to represent the people than those in the superior class. This is because persons in the middling class not only comprehend the commercial and political situation of the country but also have knowledge of the circumstance of the people (Smith, 1788). According to Smith, for the government to impose taxes on the people they not only require to understand the financial system but also knowledge on the ability and the circumstances of the people. This means that the government has to analyze how the tax burden will bear upon the different class of people. This means the members of Congress should have knowledge about the people they represent in terms of class and the circumstances surrounding each class (Smith, 1788). According to Smith, to determine whether the number of members of Congress proposed by a constitution is sufficient, it is necessary to scrutinize the qualifications which the members ought to posses so as to address the needs of the people. Smith argues that the number of representatives should be large enough to admit members from both the middling and superior class. In every society, there are classes based on wealth, education, talent and birth. In societies where the government so constituted, the House will be composed of members from the superior class. This is because men of the superior class are likely to be elected by the members of the society. Smith also believes that, men of the superior class are likely to succeed during elections because of their influence. According to Smith, the men in the superior class easily form associations to address their interest. On the other hand, the poor and those in the middling class form associations with difficulties. The voters of the poor and middle class will be divided with a majority in favor of those in the superior class. In this case, the government will be composed

Management and Leadership Essay Example | Topics and Well Written Essays - 1750 words

Management and Leadership - Essay Example Most organizations would only hire those individuals suitable for a particular position and the one they are mostly suited. Further, workers must be trained in their respective positions to ensure that there is improved productivity as well as personal career development. The training would be on how to perform the job and the best standards to be applied (Koestenbaun, 2002). Early Approach to Classical Administration The scientific approach to management focuses on the overall productivity of employees. However, classical administration approach to administration places much importance on the total organization. The most important aspect is on the development of good management practices rather than the development of work methods. In any organization, for effective management, there has to be effective flow of information from the top managers to the subordinates. Effective communication reduces the amount of time spent in unproductive duties. Communicating effectively ensures that employees are able to spend most of their time doing constructive and beneficial duties to the organization. Further, effective communication fosters unity between the management and the employees. This can eliminate problems of industrial actions that result due to lack of understanding between the management and the employees. In classical administration, most companies were managed on a personal family like basis. The employees in the organization were expected to be submissive to their managers rather than to the organization (Lussier & Achua, 2009). Tesco Management Model Tesco management model states that employees must be given a chance to meet their full potential. In carrying out their duties, they should not be discriminated against due to age, gender, disability, ethnicity or sexual operation. Due to these factors, Tesco has been able to rise from a small retail supermarket to the world’s fourth largest retail market. Good leaders and managers must ensure that the ir employees are given a chance to contribute to the wellbeing of the organization. This can only be achieved through effective communication. The diversity approach to management at Tesco ensures that all levels of the society are represented in the organization. Tesco aims at employing local people as well as developing them to become effective leaders in the development of the business. Further, Tesco does not discriminate on the basis of ethnic origin. Understanding among various ethnic groups is the basic priority of Tesco. This ensures that corporation among employees is ensures. Lloyds TSB's Management Model Lloyds TSB is major banking and insurance group in the UK with several other branches in more than 30 countries across the world. Their main aim is to be the best bank in the world. Measures of performance at Lloyds TSB are geared towards the faster completion of task completion. This is the best example of accompany that employs bureaucratic form of governance. Measureme nt of performance is not towards goal accomplishments but task completion, and the process revolved around the bureaucratic process of form filling. Most employees are required to sign up to some common agreed upon goals (Lloyds TSB,2012). The first goal is finance. Employees at the organization are expected to maximize income and optimize cost so as to bring about increased revenues. Secondly, employees must be able to maximize the number of new customers, products and services which are sold in the organizat