Human Relations Essay Example for Free

Human Relations Essay Child development refers to an individual’s progress from birth to adulthood. There are several changes that occur in a normal person’s life span-physical, cognitive and psychosocial (Fitch, 1999, p. 9). The three form the domains of child development. Physical development refers to the changes that occur in the individual’s body, such as height, weight, sensory and motor abilities, as well as the hormonal changes (p. 9). On the other hand, cognitive development alludes to the intellectual changes that occur as children develop (p. 9). As children grow, they start to develop attitudes about themselves and their surroundings. As they continue to search for their identity, their psychosocial development also unfolds. There are different theories that tackle child development. Stage theories are theories that concentrate on developmental levels that are â€Å"quantitatively different† from other levels (p. 40). Quantitative, in this sense, means that each developmental level is a progression, an integration of previous behavior and information (p. 40). Furthermore, the progression from one stage to another is discontinuous, indicating that it follows a fixed sequence (pp. 40-41). Theorists who subscribe the stage theories of child development believe that all stages are universal (p. 41). There are three major theorists in child development: Sigmund Freud, Erik Erikson and Jean Piaget. Sigmund Freud is considered the â€Å"father of psychoanalysis† (Thornton, 2006). Psychoanalysis is a technique developed by Freud that is used to uncover the unconscious (Morris and Maisto, 2002, p. 15). A medical doctor by profession, Freud was particularly interested in the central nervous system (p. 14). In his life of work, he found that most diseases are psychological in nature, rather than physiological. Thus, he came to the conclusion that human behavior is driven by the unconscious instincts (p. 446). He believed that the unconscious instincts are vital in an individual’s survival. Moreover, he accentuated the importance of sexual instincts as the most important element in personality development. Personality, according to Freud, is developed around three structures: the id, the ego, and the superego (Fitch, 1999, p. 41). The id is guided by the pleasure principles, ego, the reality principle, and superego, the moral principle (p. 41). These structures are crucial in Freud’s theory of psychosexual development, or his perceptive on child development. There are five stages in Freud’s Psychosexual Theory, each stage involving some levels of sexual energy. According to Freud, as children go through each stage, their personality is being developed. However, when a child undergoes traumatic experiences, the sexual energy that should have been at that particular stage may be affected, resulting in what Freud termed as fixation (Larsen and Buss, 2005, p. 47). Fixation may later lead to immaturity and certain personality traits. In the oral stage (birth to 18 months), the infant‘s focus of gratification is the mouth (Morris and Maisto, 2002, p. 448). During this stage, the infant’s id is dominant, especially because the infant has yet to differentiate the self and the environment (Larsen and Buss, 2005, p. 47). The infant obtains oral pleasure by sucking, chewing and biting (Morris and, p. 448). Infants who receive too much pleasure will grow into optimistic adults; those who receive little will turn into hostile adults (p. 448). During the anal stage (18 months to 3 ? ears), the child’s primary source of sexual pleasure is the anus (Morris and Maisto, 2002, p. 448). In this stage, the child’s ego is starting to differentiate from his/ her id and the child starts to establish self-sufficiency (Larsen and Buss, 2005, p. 47). The child starts to learn elimination and he/ she derives sexual pleasure from holding in and expelling feces (p. 448). This is also the time when toilet training begins. Strict toilet training may result in children throwing tantrums, which according to Freud will lead them into self-destructive adults (p. 448). The third stage- phallic stage, occurs after the child reaches three years of age (Morris and Maisto, 2002, p. 448). In this stage, both boys and girls seek pleasure from manipulating their genitals (p. 448). Interestingly, children become sexually attracted to opposite-sex parent (Larsen and Buss, 2005, p. 48). Freud calls this the Oedipus and Electra complex (p. 448). The former refers to the Greek mythological character that kills his father and marries his mother (p. 448). The latter refers to the somewhat possessive love that girls display toward their father while feeling jealous of their mothers (p. 48). The child’s superego is also starting to take control, as the child starts to take notice of his/ her parents’ values as well as that of the society. Fixation in this stage may lead to vanity and egotism in later life. Or it may lead to the opposite, wherein the individual becomes withdrawn, shy and has low self-esteem (p. 448). When the child reaches 6 up until he/she reaches puberty, the child goes into a latency stage. During this period, sexual development is at a standstill (Larsen and Buss, 2002, p. 51). The child loses interest in sexual behavior and instead begins focusing on learning skills that will help him/her become responsible citizens in the society (p. 510. ). At puberty, the child reaches the genital stage. It is during this stage wherein sexual tension builds up. It is a period of sexual maturity. The genital stage is the final stage in sexual development and it is in this stage where adolescents and adults are able to actualize unfilled desires from infancy and childhood (Morris and Maisto, 2002, p. 448). It is the time when mature sexual relationships are established.

Colombia vs Venezuela Culture

Colombia vs Venezuela Culture Venezuelas Culture Compared to Colombias Culture Believe systems and traditions shared by a group of people are clearly defined the huge meaning of countrys culture. This culture could be transmitting easily between the neighboring countries. Obviously, those countries shared a lot of believe and tradition which is consequently defines the meaning of the countrys culture. However, Venezuela and Colombia are neighboring countries and even more both of them had discovered by Spanish explorers. So, the culture in both of them, at first glance, obtains many similarities, but in the other hand, there are a few differences. As long as Venezuela and Colombia were Spanish colony, ethnic group is one of the main aspects that both of them are shared. In Venezuela, Mestizo group, (Spanish and Portuguese term refer to Latin people of mixed European and Amerindians), forming the majority of Venezuelas population, about 67% beside other major groups like Whites who forming 21% of the population and minority of African Blacks and Native Americans. In Colombia, Mestizo comprises 55 percent of the population and the rest are a combination of Whites, African Blacks, and Native Americans. Beside the similarity in ethnic group, Spanish is the first official language in Venezuela and Colombia as well as English, recently, has become the countrys second official language. However, Venezuelas oil boom has also contributed to an increase English usage especially in the large cities. Same as in Colombian lagers cities, English, particularly used by the upper class, but it is not commonly understood or spoken. Another area of similarities between Venezuela and Colombia involve marriage. Marriage in Venezuela has a few legal restrictions unless the person marries someone of same sex and of illegal age. However, it is expected that people in Venezuela marry others of their same or higher social class including racial status. Also, groom and bride are often preferred to do the marriage ceremony in Catholic Church with their families. Likewise, in Colombia, the upper-middle and upper classes are encouraged to marry within their own class. On the other hand, people from lower and middle classes prefer to marry someone outside of their class. For instance, mestizos and blacks prefer to marry into white families. Also, Because of high expenses of marriage, Colombians from lower middle class may choose whether civil marriage or consensual marriage. Meanwhile, Upper class people, and people who live in urban areas are often married in the Catholic Church. Beside the similarities between both of them, they do have differences. One difference that is most notable is the main export item. Since Venezuela considered as the fifth biggest member of OPEC by production, Venezuelas most profitable export item is oil. Oil is largely exports to the main trading partner United States beside other major trading partners like Netherlands, Japan, Germany, France, Italy, Brazil, and Colombia. On the other hand, In Latin America, the two largest coffee producers are Brazil and Colombia. Colombia produces about 12% of the coffee in the world, so coffee is the main export item as well as other major export items like cut flowers, emeralds, and leather goods. However, those items mainly export to United States, Germany, Japan, The Netherlands and Switzerland. Other area of differences is the Medical and Health Care System. Venezuelas health-care system has a large array of public and private hospitals and clinics. Those public and private hospitals are opened to public whether upper, meddle or lower class. In contrast, health care in Colombia, recently, has been improved but this improvement has occurred mostly in upper class and middle class urban areas. In poor areas, people usually have limited access to the medical treatment and health care. Â  In conclusion, cultural differences manifest themselves in different ways and differing levels of depth. Venezuelan culture and Colombian culture shared many similarities and were different in other ways. However, the most three similarities they shared were ethnic groups, Official language and marriage. Meanwhile, trade and medical health care systems were sound pretty different from one another.

Dyslexia Dyspraxia And Dyscalculia

Dyslexia Dyspraxia And Dyscalculia A specific Learning difficulty is a classification including several disorders in which a person has difficulty learning in a typical manner. Usually this is caused by an unknown factor. The unknown factor is the disorder that affects the brains ability to receive and process information. People with a learning disability have trouble undertaking specific types of tasks if they are not supported or if the task is not differentiated in order for them to complete the simplified version. A child with a specific learning difficulty is as able as any other child, except in one or two areas of their learning. For instance, they may find it difficult to recognise letters, or to cope with numbers or reading. There are many different types of specific learning difficulties, but the best known and publicised is dyslexia. With dyslexia, the child has difficulty with spelling and reading. It may be difficult for parents and teachers to realise that a child has this sort of problem, especially if their development has progressed without concern in their early years education. Often, the child will appear to understand, have good ideas, and join in activities, as well as other children and in some instances better than others. Sometimes it can take years for adults to realise that a child has a specific difficulty. Dyslexia The British Psychological Society (1999) has given a broad definition of Dyslexia: Dyslexia is evident when accurate and fluent word reading and/or spelling develops very incompletely or with great difficulty. This focuses on literacy learning at the word level and implies that the problem is severe and persistent despite appropriate learning opportunities. It provides the basis for a staged process of assessment through teaching Dyslexia is an inherited condition that makes it extremely difficult to read, write, and spell in their subject language. There are many persisting factors in dyslexia, which can appear from an early age. They will still be noticeable when the dyslexic child leaves school; these include good and bad days for no apparent reason in relation to their attitude and behaviour, short-term memory loss and sequencing, organisation and spoken language skills. It is thought that the reason people with dyslexia have problems with phonological processing is that some areas, their brain functions in a different way than people without the condition. There are number of different theories about the causes of Dyslexia which all tend to support each other. The main point is that it is a genetic condition that changes how the brain deals with information, and that it is passed on through families. Dyslexia is thought to be a genetic condition which means it runs in families. It is estimated that if you have dyslexia there is 40%-60% likelihood that your child will also develop the condition. There are different strategies used for teaching children with dyslexia. For example if you are at a secondary school in a science lab using diagrams it would be easier to label the equipment that is for use, so the students can use this information when writing up laboratory reports. Using computers for a dyslexic child is advantageous as it would be easier for them to type the work rather than writing the work on paper. To support a dyslexic child you need to make sure that messages and day to day classroom activities are written down, and never sent verbally. Also a daily check list for the pupil to refer to each evening would encourage a daily routine to help develop the childs own self-esteem and responsibilities and also encourage good organisational skills by the use of folders and dividers to keep work easily accessible and in an orderly fashion. Tasks need to be simplified down into small easily remembered pieces of information and if visual memory is poor, copying must be k ept to a minimum as notes or handouts are far more useful. Another way of supporting the condition of the child is to sit the child fairly near the class teacher so that the teacher is available to help if necessary so that any support required is not to a minimum. A structured reading scheme that involves repetition and introduces new words slowly is extremely important. This allows the child to develop confidence and self esteem when reading. If there is one or two dyslexics in the class, a short list of structure-based words for their weekly spelling test, will be far more helpful than random words. Three or four irregular words can be included each week to challenge the child and eventually this should be seen to improve their spelling and writing skills. Dyspraxia Dyspraxia is a specific learning difficulty that affects the brains ability to plan sequences of movement. It is thought to be connected to the way that the brain develops, and can affect the planning of what to do and how to do it. It is often associated with problems of perception, language and thought. Dyspraxia is often described as a hidden problem, because children with the condition appear no different to those who dont have it. Up to ten per cent of the population may show symptoms of dyspraxia, with around two per cent being severely affected. Males are four times more likely to be affected than females. Dyspraxia sometimes runs in families. (BBC website 2008) Students who have the learning difficulty dyspraxia will experience difficulties in gross motor skills meaning poor performance in sport, general clumsiness, poor balance, and difficulties in learning skills involving coordination of body parts, e.g. riding a bike or swimming. Also manual and practical tasks like using computer keyboards and mice will prove difficult, along with measuring accurately, slow or poor handwriting, messy presentation of work and problems with craft-work and cookery. During the early formative years, a child suffering from dyspraxia may have difficulty learning to walk, run, and jump. Walking up and down a flight of stairs and dressing up will not be an easy task for them. Developing the ability to speak and communicate effectively is very slow for these children. When the child attends school, mathematics and writing stories are often very difficult. Poor handwriting is among the most prevalent signs of dyspraxia. Other common symptoms include, short attention span, disorganisation, inability to tie shoelaces, tendency to avoid games in PE, and sluggishness in dressing themselves up. During their adult years, routine tasks become very difficult for them to perform. Driving, riding bicycles, personal grooming, and certain household chores are a cause for constant struggle. Dyspraxia sufferers walk in a clumsy manner and encounter problems with sports, especially those that involve the usage of bats. They often avoid work or things that are hard for them to do. Strategies for teaching children with dyspraxia is as follows for handwriting-using pencil grips for better control with the pencil, writing on lined paper so they can write in straight lines and also using stencils. Difficulties with dressing themselves a suggestion for this is to wear loose-fit easy on easy off clothing with Velcro fastenings for shoes. For Difficulties for walking in straight line and bumping into people, balance or wobble boards need to be provided. If a child is unable to remember or follow instructions you need to get the attention of the child before giving instructions, provide time to process the information to the child and use activities, demonstrations and pictures to get the message across. To raise and develop their Social skills you need to use techniques in order to explain the social rules and expected behaviour as a dyspraxia child finds it difficult to concentrate so a distraction free learning environment is essential. A Dyspraxia child has been used to failure repeatedly every effort must be made to raise their self-esteem. It is imperative that you use every opportunity to praise the child in order to raise their self-esteem. This will make the child feel better about themselves they are more likely to relax and learn. This is the obvious situation to strive towards making progress in their learning. It is important to remember that they have difficulty in absorbing information during lessons so allowing them extra time, teaching in small bursts, allowing opportunities to rest is very important and You will be able to tell when each the child requires a rest. However, this will change from day to day and from child to child. Ensure that the child has understood what is being taught, repeat if needed. Check that the student is not falling behind because they cannot copy from the blackboard, Teach on a one to one level, with few distractions, when appropriate. If there is a learning support worker available, allow them to assist the child so they are taught at the same pace alongside their peers. Therapy is a good way of alleviating dyspraxia. Speech and language therapists, occupational therapists, specialist teachers, and psychologists could be relied upon to help patients with dyspraxia. The specialists needed for therapy could vary, depending on the specific problem needs. A set of activities and exercises are given by these therapists to help patients in learning how to perform physical tasks. Reading and writing skills could also be developed with the help of therapists. Dyscalculia Dyscalculia learners may have difficulty understanding simple number concepts, and have problems learning number facts and procedures. Dyscalculia is like dyslexia for numbers. But unlike dyslexia, very little is known about the causes or treatment. Current thinking suggests that it is a congenital condition, caused by the abnormal functioning of a specific area of the brain. People with dyscalculia experience great difficulty with the most basic aspects of numbers. Dyscalculia children can usually learn the sequence of counting words, but may have difficulty going back and forth, especially in twos and threes when Dyscalculia children find learning and recalling number facts difficult and they often lack confidence even when they produce the correct answer. Dyscalculia children may find it difficult to grasp that the words ten, hundred and thousand have the same relationship to each other as the numerals 10, 100 and 1000. Dyscalculia children often have difficulty when handling money or telling the time. They may also have problems with concepts such as speed or temperature. Dyscalculia children may be particularly vulnerable where teachers follow an Interactive lesson especially in a whole-class method of teaching, when asking dyscalculia children to answer simple maths questions in the class it will lead to embarrassment and frustration especially when they peers are there or other children . Dyscalculia is a special need and requires diagnos is and appropriate counseling as well as support away from whole class teaching, however, compared with dyslexia, very little research has focused on dyscalculia and how to overcome it. Consequently, there is relatively little ready made support available. Strategies to support learners with dyscalculia is to allow extra time to complete a given task in class, encourage dyscalculia children to make use of calculators when necessary, using visual material to develop an understanding of maths concepts, make use of ICT as an aid to learning, encourage working with a partner to explain methods of working to each others in class. It is important to make the learning fun as dyscalculia children may have behaviour problems and some will resent doing extra math so it is better for teachers to be as upbeat and pleasant through activities as possible. Activities should be taught in short blocks of 10 minutes to maintain the attention of students. Parents should also be involved in the learning and encouraged to participate in the learning and use positive and encouraging language if the child finds it difficult to carry out the task. Children who have a problem with math should be taught in a multi sensory approach in which they say, hear, write and handle numbers simultaneously. Learning difficulties can be a lifelong condition, the best treatment is to provide special or differentiated education where needed. Once a difficulty has been recognised the best approach is to teach learning skills by building on the childs abilities and strengths whilst trying to correct the weaknesses. It is important to help the child learn by enhancing attention and concentration through various teaching strategies that best suit the need of the child ensuring progression is achieved and consistent throughout the subjects.

Vulgar Wedding Roast by a Childhood Friend Essay -- Wedding Toasts Roa

Vulgar Wedding Speech by a Childhood Friend Good evening ladies and gentlemen. This is my first experience in playing such a large role in a wedding. And I really appreciate Lee and Susan giving me the opportunity to make a fool of myself in front their friends and family, rather than just my own all the time. Yes, I am feeling pretty nervous at the moment, but not as nervous as Lee was this morning. He said that he had a few butterflies in his stomach. Well, he should be feeling better now, as I found this in the toilet just after he'd left it. [hold up a brick] But unlike me he didn’t have anything to be nervous about. Everything has gone to plan and I can’t imagine a happier way to start married life than in this wonderful venue with all their family and friends around them...

Willa Cathers Death Comes for the Archbishop Essay -- Willa Cather De

Willa Cather's Death Comes for the Archbishop Upon reading and reflecting on Willa Cather's Death Comes for the Archbishop, I have a hard time classifying this piece of literature as a novel. Indeed, Death Comes for the Archbishop seems more like a collection of anecdotal stories than a novel of conventional form. Harmon and Holman's A Handbook to Literature says the term novel, is "used in its broadest sense to designate any extended fictional narrative" (350). While DCA certainly fits this most general of definitions, its unconventional structure -- the seeming lack of a general plot and obvious climax, its continual digressions from Bishop Latour's present to the anecdotal episodes of his, as well as, others' pasts, along with the method of Cather's presentation, leads one inclined to label this piece more as a narrative, a simple "account of events," as The American Heritage Dictionary describes the term. DCA doesn't seem to be driven by a plot so much as by the stream of consciousness of the narrator. Much the way the mind will jump from thought to thought or memory to memory, Cather's narrator tells the story of Bishop Latour's life through contrasting, non-chronological stories. For example, in Chapter 1, Book 4, the narrator has Latour waking to the sound of a bell which then leads Fathers Latour and Vaillant into a discussion of its history as well as, the history of silver work in general. Directly from this discussion, comes the request by Vaillant that Latour give audience to a man who had just been on a pilgrimage to the shrine of Our Lady of Guadalupe, and from there, we are told the story of Juan Diego in the year 1531. This type of jumping around on the narrator's part, not only lends a sense of a more ... ... of the people and land encountered within her writing. "Cather has come to the point where she can do two or three things at once which a novelist must do. She can evoke by a few characteristic touches and by subtle suggestion a scene and a society without producing merely a 'document' "(Joseph Wood Cruch). "She has a faculty of seeing people with sympathy but without sentiment, of exactly telling their experiences, of emphasizing neither the good nor the bad, of changing nothing to meet popular taste" (Cowley). In summary, Willa Cather is a remarkable writer. She uses not only past experiences, but her remarkable talents to write fiction that is not only narrative in telling, but also includes a great deal of description. Whether her writing is regarded as a novel by some, or as a narrative herself, it has elements of both in Death Comes for the Archbishop.

Alcohol abuse Essay

Alcohol is absorbed from all parts of the gastrointestinal tract largely by simple diffusion into the blood. However the small intestine is by far the most efficient region of the gastrointestinal tract for alcohol absorption because of its very large surface area. In a fasting individual, it is generally agreed that 10% to 20% of a dose of alcohol is absorbed from the stomach (the volume of alcohol affects the absorption) and 75% to 80% is absorbed from the small intestine. Because of this peak blood alcohol concentrations are achieved in fasting people within 0. 5 to 2. 0 hours, (average 0. 75 – 1. 35 hours depending upon dose and time of last meal) while non-fasting people exhibit peak alcohol concentrations within 1. 0, and in extreme cases up to as much as 4. 0 hours (average 1. 06 – 2. 12 hours). Because it is distributed so quickly and thoroughly the alcohol can affect the central nervous system even in small concentrations. In low concentrations, alcohol reduces inhibitions. As blood alcohol concentration increases, a person’s response to stimuli decreases markedly, speech becomes slurred, and he or she becomes unsteady and has trouble walking. With very high concentrations – greater than 0. 35 grams/100 milliliters of blood (equivalent to 0. 35 grams/210 liters of breath ) – a person can become comatose and die. The American Medical Association has defined the blood alcohol concentration level of impairment for all people to be 0. 04 grams/100 milliliters of blood (equivalent to . 04 grams/210 liters of breath). The following is a generally accepted guide to the effects of alcohol. Distribution Alcohol has a high affinity for water and is therefore found in body tissues and fluids inasmuch as they contain water. Absorbed alcohol is rapidly carried throughout the body in the blood and once absorption of alcohol is complete an equilibrium occurs such that blood at all points in the system contains approximately the same concentration of alcohol. Elimination The liver is responsible for the elimination – through metabolism – of 95% of ingested alcohol from the body. The remainder of the alcohol is eliminated through excretion of alcohol in breath, urine, sweat, feces, milk and saliva. The body uses several different metabolic pathways in its oxidation of alcohol to acetaldehyde to acetic acid to carbon dioxide and water. Healthy people metabolize alcohol at a fairly consistent rate. As a rule of thumb, a person will eliminate one average drink or . 5 oz (15 ml) of alcohol per hour. Several factors influence this rate. The rate of elimination tends to be higher when the blood alcohol concentration in the body is very high. Also chronic alcoholics may (depending on liver health) metabolize alcohol at a significantly higher rate than the average. Finally, the body’s ability to metabolize alcohol quickly tend to diminish with age. Body Weight and Body Type In general, the less you weigh the more you will be affected by a given amount of alcohol. As detailed above, alcohol has a high affinity for water. Basically one’s blood alcohol concentration is a function of the total amount of alcohol in one’s system divided by total body water. So for two individuals with similar body compositions and different weights, the larger individual will achieve lower alcohol concentrations than the smaller one if ingesting the same amount of alcohol. However, for people of the same weight, a well muscled individual will be less affected than someone with a higher percentage of fat since fatty tissue does not contain very much water and will not absorb very much alcohol. Rate Of Consumption Blood alcohol concentration depends on the amount of alcohol consumed and the rate at which the user’s body metabolizes alcohol. Because the body metabolizes alcohol at a fairly constant rate (somewhat more quickly at higher and lower alcohol concentrations), ingesting alcohol at a rate higher than the rate of elimination results in a cumulative effect and an increasing blood alcohol concentration. Alcohol Content It’s not how many drinks that you have, but how much alcohol that you consume. The concentration of the drinks that one ingest can have a slight effect on the peak alcohol concentration due to the differences in absorption rate of different concentrations of alcohol. Alcohol is most rapidly absorbed when the concentration of the drink is between 10% and 30%. Below 10% the concentration gradient in the gastrointestinal tract is low and slows absorption and the added volumes of liquid involved slow gastric emptying. On the other hand concentrations higher than 30% tend to irritate the mucous membranes of the gastrointestinal tract and the pyloric sphincter, causing increased secretion of mucous and delayed gastric emptying. Food Food taken along with alcohol results in a lower, delayed blood alcohol concentration peak (the point of greatest intoxication). There are two major factors involved in this phenomenon. First, because alcohol is absorbed most efficiently in the small intestine, the ingestion of food can slow down the absorption of alcohol into one’s system. The pyloric valve at the bottom of the stomach will close in order to hold food in the stomach for digestion and thus keep the alcohol from reaching the small intestine. While alcohol will be absorbed from the stomach it is a slower and less efficient transition. Second and equally important is the fact that alcohol elimination rates are inversely proportional to alcohol concentration in the blood. Therefore the suppressed levels of alcohol due to food ingestion cause the body to eliminate the alcohol that is absorbed at a faster rate. The type of food ingested (carbohydrate, fat, protein) has not been shown to have a measurable influence on this affect but the larger the meal and closer in time between eating and drinking, the greater the diminution of peak alcohol concentration. Studies have shown reductions in peak alcohol concentration (as opposed to those of a fasting individual under otherwise similar circumstances) of 9% to 23%. Medication If you are taking any medication, it could increase the effects of alcohol. You should always consult your physician or the medical information that accompanies the medication when drinking alcohol in conjunction with any medication. Fatigue Fatigue causes many of the same symptoms that are caused by alcohol intoxication. These and other symptoms will be amplified if alcohol intoxication is concurrent with fatigue. Tolerance Tolerance is the diminution of the effectiveness of a drug after a period of prolonged or heavy use of that drug or a related drug (cross-tolerance). There are at least two types of tolerance at work with alcohol. The first is metabolic tolerance in which the alcohol is metabolized at a higher rate (up to two times as quickly) in chronic users. Because of the higher metabolic rate for alcohol lower peak blood alcohol concentrations are achieved by chronic alcohol users than the average drinker when the same amount of alcohol is ingested. The second is functional tolerance in which there is an actual change in the organ or system’s sensitivity to the drug. Studies have shown that chronic alcohol users can have twice the tolerance for alcohol as an average person. It is important to note however that even in light of these tolerance factors, it has been shown conclusively that even in heavy alcohol users functional impairment is clearly measurable at the blood alcohol concentration levels that are currently used for traffic law enforcement and safety sensitive job performance. Gender Differences As outlined above in the section on Body Weight and Body Type different body types coincide with different body water percentages. In general, but by no means in all cases, women tend to have a higher percentage of body fat and thus a lower percentage of body water. Therefore, in general, if a man and a woman of the same weight ingest the same amount of alcohol the woman will tend to achieve a higher alcohol concentration. This, of course, would not be true if the woman was very fit and the man was somewhat obese, but on average, this is the case. Furthermore, total body water tends to decrease with age, so an older person will also be more affected by the same amount of alcohol. According to the table below the differences in alcohol concentration due to average body composition differences based on gender would be between 16% and 10% depending on age. ________________________________________ Average Total Body Water as a function of Sex and Age AgeMaleFemale 18 to 4061%52% over 6051%46% ________________________________________ Another gender based difference is in the elimination of alcohol. Although not explained, studies appear to show that women eliminate alcohol from their bodies at a rate 10% greater than that of men. Alcoholism and alcohol abuse Alcoholism (alcohol dependence) and alcohol abuse are two different forms of problem drinking. †¢Alcoholism is when you have signs of physical addiction to alcohol and continues to drink, despite problems with physical health, mental health, and social, family, or job responsibilities. Alcohol may control your life and relationships. †¢Alcohol abuse is when your drinking leads to problems, but not physical addiction. Causes, incidence, and risk factors There is no known cause of alcohol abuse or alcoholism. Research suggests that certain genes may increase the risk of alcoholism, but which genes and how they work are not known. How much you drink can influence your chances of becoming dependent. Those at risk for developing alcoholism include: †¢Men who have 15 or more drinks a week †¢Women who have 12 or more drinks a week †¢Anyone who has five or more drinks per occasion at least once a week One drink is defined as a 12-ounce bottle of beer, a 5-ounce glass of wine, or a 1 1/2-ounce shot of liquor. You have an increased risk for alcohol abuse and dependence if you have a parent with alcoholism. You may also be more likely to abuse alcohol or become dependent if you: †¢Are a young adult under peer pressure †¢Have depression, bipolar disorder, anxiety disorders, or schizophrenia †¢Have easy access to alcohol †¢Have low self-esteem †¢Have problems with relationships †¢Live a stressful lifestyle †¢Live in a culture alcohol use is more common and accepted Alcohol abuse is rising. Around 1 out of 6 people in the world have a drinking problem. Symptoms People who have alcoholism or alcohol abuse often: †¢Continue to drink, even when health, work, or family are being harmed †¢Drink alone. †¢Become violent when drinking †¢Become hostile when asked about drinking †¢Are not able to control drinking — being unable to stop or reduce alcohol intake †¢Make excuses to drink †¢Miss work or school, or have a decrease in performance because of drinking †¢Stop taking part in activities because of alcohol †¢Need to use alcohol on most days to get through the day †¢Neglect to eat or eat poorly †¢Do not care about or ignore how they dress or whether they are clean †¢Try to hide alcohol use †¢Shake in the morning or after periods when they have not a drink Symptoms of alcohol dependence include: †¢Memory lapses after heavy drinking †¢Needing more and more alcohol to feel â€Å"drunk† †¢Alcohol withdrawal symptoms when you haven’t had a drink for a while †¢Alcohol-related illnesses such as alcoholic liver disease Signs and tests The health care provider will perform a physical exam and ask questions about your medical and family history, including use of alcohol. The following questions are used by the National Institute on Alcohol Abuse and Alcoholism to screen for alcohol abuse or dependence: †¢Do you ever drive when you have been drinking? †¢Do you have to drink more than before to get drunk or feel the desired effect? †¢Have you felt that you should cut down on your drinking? †¢Have you ever had any blackouts after drinking? †¢Have you ever missed work or lost a job because of drinking? †¢Is someone in your family worried about your drinking? Tests that may be done include: †¢Blood alcohol level (this can tell whether someone has recently been drinking alcohol, but it does not necessarily confirm alcoholism) †¢Complete blood count (CBC) †¢Liver function tests. †¢Magnesium blood test Medical Illness Associated With Chronic Alcohol Abuse DisorderIllness MetabolicAlcoholic ketoacidosis, alcoholic hypoglycemia, water and salt disorders NeurologicChronic problems with thinking such as Wernicke’s encephalopathy and Korsakoff’s psychosis, alcoholic cerebellar degeneration, and central pontine myelinolysis leading to problems walking and other motor activities, acute and chronic dementia, alcoholic peripheral neuropathy MuscularAcute and chronic alcoholic muscle weakness. GastrointestinalFatty liver, alcoholic hepatitis, alcoholic cirrhosis, alcoholic pancreatitis, poor pancreatic function, gastroesophageal reflux, esophageal carcinoma, erosive gastritis, chronic diarrhea, malabsorption, esophageal varices leading to bleeding into the GI tract Metabolic-endocrineHigh cholesterol, high levels of uric acid, low testosterone levels, impotence, testicular atrophy, gynecomastia, irregular menstrual periods, reversible Cushing’s syndrome BloodAnemia due to poor production of blood cells or slow intestinal bleeding, poor white cell production, destruction of platelets, blood too thin to clot properly. CardiacDecreased cardiac function, arrhythmias, dilated cardiomyopathy, high blood pressure PulmonaryIncreased incidence of pneumonia, increased incidence of tuberculosis OtherIncreased incidence of severe intestinal infections, fetal alcohol syndrome, vitamin deficiency syndromes, trauma, sexual dysfunction, insomnia Social Problems Associated With Alcohol Abuse Accidental death and injury50% of fatal car crashes 25-fold increased risk of falls or drowning 50% of fire-related burns or deaths 20% to 30% of trauma seen in emergency rooms. CrimeFrequently involved in violent crime SuicideInvolved in up to 35% of suicides Economic cost$148 billion annually (estimated); 15% for health care and treatment OtherAssociated with increased rates of spouse or child abuse and increased spread of sexually transmitted diseases Treatment Completely stopping the use of alcohol is the ideal goal of treatment. This is called abstinence. A strong social network and family support are important in achieving this. Completely stopping and avoiding alcohol is difficult for many people with alcoholism. There will be times when it is difficult. You should aim to avoid drinking for as long as possible. Some people who abuse alcohol may be able to simply reduce the amount they drink. This is called drinking in moderation. If this method does not work, you should try to quit drinking completely. DECIDING TO QUIT Many people with alcohol problems do not recognize when their drinking gets out of hand. The ideal approach to treatment is to help the person realize how much their alcohol use is harming their life and those around them. Studies find that more people with alcohol problems opt for treatment when their family members or employers are honest with them about their concerns, and try to help them see that drinking is preventing them from reaching their goals. Withdrawal from alcohol is best done in a controlled, supervised setting. Complications from withdrawal can be life threatening. For more information, see: Alcohol withdrawal Your health care provider should order blood and urine tests to check for health problems that are common in people who abuse alcohol. LONG-TERM SUPPORT Alcohol recovery or support programs can help you stop drinking completely. These programs usually offer: †¢Counseling and therapy to discuss alcoholism and its effects and how to control your thoughts and behaviors †¢Mental health support †¢Medical care You may be treated in a special recovery center (inpatient), or you may attend a program while you live at home (outpatient). Medications are sometimes prescribed to prevent you from drinking again. †¢Acamprosate is a drug that has been shown to lower relapse rates in those who are alcohol dependent. †¢Disulfiram (Antabuse) produces very unpleasant side effects if you drink even a small amount of alcohol within 2 weeks after taking the drug. †¢Naltrexone (Vivitrol) decreases alcohol cravings. It is available in an injectable form. You cannot take these medications if you are pregnant or have certain medical conditions. The medications are often used with long-term treatment with counseling or support groups. Depression or other mood or anxiety disorders may be noticed after you stop drinking. These should be promptly treated. It is important that the patient has a living situation that supports their need to avoid alcohol. Some programs offer housing options for people with alcoholism or alcohol abuse. Support Groups Support groups are available to help people who are dealing with alcoholism. ALCOHOLICS ANONYMOUS (AA) Alcoholics Anonymous (AA) is a self-help group of recovering alcoholics that offers emotional support and specific steps for people recovering from alcohol dependence. The program is commonly called a â€Å"12-step† approach. There are local chapters throughout the United States. AA offers help 24 hours a day and teaches that it is possible to participate in social functions without drinking. AL-ANON Family members of a person with an alcohol abuse problem often need counseling. Al-Anon is a support group for partners and others who are affected by someone else’s alcoholism. Alateen provides support for teenage children of people with alcoholism. OTHER SUPPORT GROUPS Several other support groups are available. †¢SMART recovery teaches you have to change your thoughts and behaviors to help people with alcoholism recover. †¢LifeRing recovery and SOS are two nonreligious programs that offer support for people with alcohol abuse. †¢Women for Sobriety is a self-help group just for women. Moderation Management is a program for those who want to reduce how much they drink. It recommends abstinence for people who cannot do this. Expectations (prognosis) How well a person with alcoholism or alcohol abuse does depends on whether or not they can stop drinking. Alcoholism is a major social, economic, and public health problem. Problem drinking can affect every part of a person’s life. If you have an alcohol problem, abstinence can help improve your mental and physical health and possibly, your relationships. Treatment programs can help you quit. However, drinking again after treatment is common. It is important to have a good support system. Complications Alcoholism and alcohol abuse can increase your risk of many health problems, including: †¢Bleeding in the digestive tract †¢Brain cell damage †¢Brain disorder called Wernicke-Korsakoff syndrome †¢Cancer of the esophagus, liver, colon, and other areas †¢Changes in the menstrual cycle (period) †¢Delirium tremens (DT’s) †¢Dementia and memory loss †¢Depression and suicide †¢Erectile dysfunction †¢Heart damage †¢High blood pressure. †¢Inflammation of the pancreas (pancreatitis) †¢Liver disease, including cirrhosis †¢Nerve damage †¢Poor nutrition †¢Sleeping problems (insomnia) Alcohol use also increases your risk for sexually transmitted infections (STIs) and violence. Drinking alcohol while you are pregnant can lead to severe birth defects in the baby. Prevention The National Institute on Alcohol Abuse and Alcoholism recommends: †¢Women should not drink more than 1 drink per day †¢Men should not drink more than 2 drinks per day One drink is defined as 12 ounces of beer, 5 ounces of wine, or 1? ounces of liquor.

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English in your country to study English in other country, but in general there are more differences. Both options can be beneficial when you decide study English. In this essay will be discuss all the similarities and differences between learn English in Mexico to learn English in Australia, mention the class structure, teachers and the environment outside class. Paragraph 2: Sub topic 1 – Compare (class Structure') To begin with classes with 15-20 students in a classroom, this can be change all the time is not exactly always but it is the common number of students.Secondly, the teachers teach grammar, speaking, writing, listening and reading. There are exams or tests every week and it is important to pass them. Thirdly, everyone can learn English in a private school or in English courses. You need to take a course to present the TOEFL or EELS. Paragraph 3: Sub topic 1 – Contrast To begin with Mexico, there are only 3 levels of English: basic, intermediate and advance. However, is not to common to teach pronunciation. Studying in your country is cheaper than studying in overseas. The classes during about one or two and half hours.Instead, in Australia are more levels for English, also academic English. You can decide to do a Bachelor or study the University. Although, is more expensive and the classes are full time.. If you study in Mexico, depend the course that you want to take, maybe for 6 months or a couple of weeks. You know that the English School is near your house or you only need to drive. But if you decide to study in Australia you need to stay in that country no less than 4 months and can decide to stay more than 1 year with the possibility to extend more.Paragraph 4: Sub topic 2 – Compare (environment outside class') In Mexico like in Australia moreover, you can meet new people , and a great point is that all those people take the course for learn a new language, English. It is a good way to open more your ideas about learning English because every different person that you meet have different ways or manners and you can learn about all these stuff too. Paragraph 5: Sub topic 2 – Contrast In Mexico, after English classes you still speak your own language (Spanish).As well, you are near you family and friends, with all the things that you know. For example, food, public transport, the City, etc. However can be a slow process for learn English. On the other hand, in Australia you speak English all the time, in school, in the street, in the place that you live. Every time. Although, study English in Mexico has less possibilities to meet people from others parts of the world, it is more common to meet new people from Mexico, but if you decide to learn English in Australia you meet people from over the world.Paragraph 6: Sub topic 3 – Compare (teachers') First in Mexico and in Australia the English teachers speak very well English. They have a certificate or accreditation to confirm that they can teach this language. In lasses there is only one teacher to teach everything. Such as, grammar, speaking, reading, writing, listening, everything. And the same teacher does the tests or exam for the students. There are many kinds of teachers. For example, funny, strict, serious, easy going, difficult, and every teacher has their different way to teach English.Paragraph 7: Sub topic 3 – Contrast On the contrary, in Mexico the teachers are from the same country, they need to learn English before teach to students. Sometimes or in general it is more common to communicate in a formal way or depend the teachers but this happened more hen you study the high school. In Australia whereas, great point is that the teachers are natives they talk naturally English, and a better point is that can be teachers from others apart of the world. For example: England, from America, New Zealand, etc.There are more easy going and it is good for the person who start to learn English because their listen accent, pronunciation, the native language Paragraph 8: Conclusion In conclusion, It is important to mention that everyone to choose study English must to study hard and be concentrating all the time. Nevertheless, there are people homo get quickly English because is easier for others. Study English for first time could be difficult, because it is a new and different language.A good point is that all the people that you can meet have similar purpose and you cannot feel bad for known English or for learn slowly. Additionally, you need to know that Australia is totally opposite from Mexico it is so far. And for a long time you will live far from your country, family and friends, and maybe you can have ‘homesick for a short period or always. But the experience that you can have when you learn English in Australia is en of the biggest goals. For instance, you meet people from over around the world, but sometimes you only meet people to come to study English not native peopl e.For example, you have many new friends from Thailand, Korea, and Brazil but maybe you don't know anybody from Australia. Further to this, study in other country has more extra qualities, for example: you can mention in your resume that you learn English in Australia and has experience in different things. And all this can help you to find a better Job. Study English can open more doors in different ways, whatever you iced if study in Mexico or in Australia, but choose study in Australia can change the way that you see the live in many amazing ways.