Creativity and Innovation Management in Restaurant

Creativity and Innovation Management in Restaurant SUKHRAJ SINGH CREATIVE AND INNOVATION MANAGEMENT In this document I am going to discuss about the Sousa restaurant that located in the Auckland in CBD. This document is the further part of previous recommendation for innovation in Sousa. Mainly in this document discuss the innovation plan for Sousa. As well as focus on the how to increase the motivation of staff and stakeholder returns. Also talk about the key barriers and how to implement the new creative and innovation idea on the Sousa organization. Determine study on the key goals of Sousa and practice of reward management and performance of curve. Create a plan strategy to control the overcome barriers and how to evaluate the company overcoming barriers. KEY BARRIES TO INNOVATION AT SOUSA We all know that every company faces lot of barriers even if it is new entrant or an old company. Every company tries to develop new inventions and new ideas. When some new ideas implement on company system someone handle easily but some company face lot of barriers. RESOURCE BARRIERS Resource barriers are barriers which related to resource required for efficiently running business. For example: Finances, Human Resources, Technology. Sousa is traditional restaurant but it has some resource barriers which should be taken care for successful running of business. HR- Human resources at Sousa are working since its existence. But all of them lack skills that are trained and equipped with latest requirements of the market. Technology- Sousa is using traditional ways of working. Use of traditional cash register and order booking on memo pad are example of lack of latest technology. Leadership- Sousa has a traditional ownership and none of the past owners and future owners (sons of owner) have leadership skills or experience. Leadership generally directs the future of an organization. So, without skilled leadership, Sousa will experience hard times for innovation. Tools and processes- just looking for innovation and asking employees to do innovative way is not a solution of creating innovation in organization. However, without tools and processes employees find it difficult to generate new ideas. Overcoming the barriers While there are some barriers to innovation in Sousa, there must be some things to overcome these barriers. While overcoming these barriers to innovation; always dig deep to get better solutions to overcome barriers. Organizational culture and innovation Success of organization is so much depends on the culture of organization. Sousa has a very traditional culture of working without many efforts to do something new. Culture of organization impacts the employee’s performance, the interest of investors and suppliers behaviors towards organization. Alignment of the goals plans of organization with organizational culture is necessary. While, Sousa will need a big route level change to implement innovation in organization, culture change is necessary. Awareness of culture is necessary. At the moment, most of the employees are just working for day to day works without any future aspects worries about organizations future. They feel safe and secure with long term relations to Sousa, so making them feeling of new needs is necessary while providing them tools to enhance their interest and skills for innovation. Tools of creating culture of innovation: Increase passion- talk with employees, involve them in organization strategy, ask for solutions, and attach them to a mission of big organizational change and survival + growth of organization. Rewards – rewards and recognition culture should be aligned to involvement in organizational planning and implementation to new ideas. Each employee that comes up with some genuine ideas should be praised or provided some monetary rewards. Give confidence to employees- give confidence to employees to take decision to their own. Most of the employees take it difficult to decide on small issues by their own. Going to boss for every little decision decrease self confidence of employees. So, employees should be given confidence to take decisions which will enhance their ability and confidence for getting solutions to problems. Fail forward- give confidence to people who give ideas that ultimately results in failure when implemented. The main thing is to fail early and try something new, this will make it sure that time and resources are utilized properly. Think little- small organizations like Sousa thinks that they are not big enough to penetrate with new innovations. This mindset shouldn’t be encouraged in Sousa. Each large business started small some day in history. ATTITUDES In a practiced place of work location, bad attitude be able to influence everybody and reason clash with employees. In a number of cases attitude harms are capable to be unseen by the majority of workers and a creative employee through a small attitude difficulty is not a disruption. A boss needs to study how to identify increasing attitude problems inside the place of work to stop them as of suitable a disruption. Everyone face attitude in every place where they go like local area and where they work. In sample words attitudes are the way of thinking towards the person our work. This is also relating to the workplace and outside area. Mainly attitudes has three different components these are as Cognitive – it’s mean what we think, other one is Belief, Affective: the way how to dealing with feeling or emotions, Co native- this show that what action we will take towards something. According to the case study attitudes is the one of main barrier for Sousa, because Sousa used old methods of food making they can’t used new technology equipment so it’s hard to Sousa employee to used new food making equipment like new BBQ chambers. They fellows also do not know how they take order with new ipad and how the show the new deals to customer on ipad. Sousa management should provide proper training to front staff how they used this things. Otherwise this put negative attitudes on customers and become barrier for Sousa. Management know that if they can invest lot money on new food making machines but they cannot trained our employees it’s become big barrier towards the Sousa marketing. Sousa management try to fined the sample and easy way to how they trained our staff and staff should learn new skills and delivery service. REWARD MANAGEMENT Reward means that thing given to employee because of his contribution to company. Most of company gives rewards in incentives and some company give employee of month and some give like pay increments. Few companies design reward system regular with organizational goals, visions, missions and job performances. In other words reward systems define that total return given by an employer to a company staff. Simply reward management main motivate is to give motivation to our employees. According to Sousa case study they need to make a perfect reward management because Sousa implements lot of new things in our store. Sousa has 14 restaurant employees and 2 duty managers. Sousa management makes new reward policy when company any employee helps Sousa to achieve goal a reward often follow, but one thing management keep in mind because some time one employee feel jealous to other employee like cast, color and some other reason like harassment. When these type of happen seen in company and workplace area it also put bad impact on the employee work ability. PERFORMANCE OF CURVE The change curve model is originated in 1969 by Elisabeth Kubler-Ross to reveal the performance of people while they come to identify that they have sickness. These years this model is new to each challenge and emergency at what time an organization change their offered strategies or method of job. Likewise as among all models opinion, it has difficulty and debaters, on the other hand, it is a good equipment to use to understand anywhere individuals are in their tour during change. Thus this sympathetic can help director adapt approach and doing well communication to people organization the change, selection them through the move about effectively. Sousa restaurant follow the old traditional way to food making and order taking. But if they can want change in our restaurant then they can try to some changes in staff area like hire new employees those are well experience in food making area, they also know how they can used the new food making machines like they can know what food need how much time and how much temperature because every dish making style is different. Nowadays in Auckland there are lot new people arrive like Indian, Japanese, and European. FIRST STAGE Sometimes any change set up to people in early stages people get shocked and mostly someone are probably they just say straight way disagree to adopt this change. Sousa employee should be shocked when the owner represents the new plan like hire new employees and new technologies machines. SECOND STAGE Anger- is the next stage. The scapegoat, inside the structure of the business, group or exacting person, is often practical. Focus the fault through an individual or one item will let am additional room of the denial by generous one more importance for the doubts since fine anxieties the potential shock can be produce. THIRD STAGE Retaining the exacting commitment to working of individuals, facilitating these people from the change curve, it will eventually grow to be obvious how the change will be here to keep. It is not any fashion and also large changes into their day-to-day lives could possibly be ought to take place. At this stage, folks will frequently try to skimp on a good end result to the change. Communication plan for implementing innovation in Sousa Stakeholder: Stakeholders are someone who have any type of interest in the business activities of organization. Stakeholders of organization I am going to discuss the most important stakeholder of Sousa, that are customers. Customers in Sousa are long term customers and were very loyal till times, but due to introduction of new restaurants in Auckland and change in customer mindset forced them to change to other restaurants which results in falling sales for Sousa. Communication plan for stakeholders: Customers adapt new thing very quickly these days. They get bored very quickly and always look for something new that is convenient to use and interesting. So, communication of innovation in Sousa to customers is necessary. Strategic communication plan This is a planned strategy that is analytical to get par the challenges of getting innovation in Sousa. Communication plan pre requirements: Analysis of stakeholders analyse the customers and their needs for communication. Channel assessment which should be the best channel of communication. For example, advertisement is one of the ways to communicate to customers. Development of communication plan: Time of communication innovation should be communicated while implementation is in process and when it is fully implemented. So, communication with customers should be regular. Required changes in customer behaviour customers should be positively adapting innovation in Sousa. This should result in most customer visits and sales. Message of occasion message should be clear to customer. They must get that which innovation ideas are implemented and what is new in Sousa. Channels of communication best channel of communication to customers are one to one talks within the restaurant. Apart from that, social media and posters should be also used.

Pancreatic Cancer Symptoms: An Overview

Pancreatic Cancer Symptoms: An Overview Pancreatic cancer often goes undetected until its advanced and difficult to treat. In the vast majority of cases, symptoms only develop after pancreatic cancer has grown and begun to spread. Because more than 95% of pancreatic cancer is the adenocarcinoma type, well describe those symptoms first, followed by symptoms of rare forms of pancreatic cancer. Recommended Related to Pancreatic Cancer Understanding Pancreatic Cancer the Basics The pancreas is an organ located behind your stomach next to the top of the small intestine. It is about six inches long but is less than 2 inches wide and functions as two separate organs. It has two big manufacturing jobs in the body: It makes digestive juices that help the intestines break down food. It produces hormones including insulin that regulate the bodys use of sugars and starches. The pancreas is divided into three sections: the head, the body, and the tail. The Pancreatic Cancer Symptoms: Location Matters Initially, pancreatic cancer tends to be silent and painless as it grows. By the time its large enough to cause symptoms, pancreatic cancer has generally grown outside the pancreas. At this point, symptoms depend on the cancers location within the pancreas: Pancreatic cancer in the head of the pancreas tends to cause symptoms such as weight loss, jaundice (yellow skin), dark urine, light stool color, itching, nausea, vomiting, abdominal pain, back pain, enlarged lymph nodes in the neck. Pancreatic cancer in the body or tail of the pancreas usually causes belly and/or back pain and weight loss. In general, symptoms appear earlier from cancers in the head of the pancreas, compared to those in the body and tail. Pancreatic Cancer: Gastrointestinal Symptoms Because pancreatic cancer grows around important areas of the digestive system, gastrointestinal symptoms often predominate: Abdominal pain. More than 80% of people with pancreatic cancer eventually experience some abdominal pain as the tumor grows. Pancreatic cancer can cause a dull ache in the upper abdomen radiating to the back. The pain may come and go. Bloating. Some people with pancreatic cancer have a sense of early fullness with meals (satiety) or an uncomfortable swelling in the abdomen. Nausea Diarrhea Pale-colored stools. If the duct draining bile into the intestine is blocked by pancreatic cancer, the stools may lose their brown color and become pale or clay-colored. Urine may become darker. Pancreatic Cancer: Constitutional (Whole-Body) Symptoms As it grows and spreads, pancreatic cancer affects the whole body. Constitutional symptoms can include: Weight loss Malaise Loss of appetite Elevated blood sugars. Some people with pancreatic cancer develop diabetes as the cancer impairs the pancreas ability to produce insulin. (However, the vast majority of people with a new diagnosis of diabetes do not have pancreatic cancer.) Pancreatic Cancer: Skin Symptoms Jaundice: As pancreatic cancer blocks the duct that releases bile into the intestine (common bile duct), the ingredients of bile build up in the blood. This turns the skin and the eyes yellow, a condition called jaundice. The same blockage causes dark urine and light-colored stools. Itching: People with pancreatic cancer sometimes report itching all over. Blockage of the bile ducts is often responsible. Symptoms of Rare Pancreatic Cancers Islet cell tumors, also called neuroendocrine tumors, arise from the cells in the pancreas that make hormones. Islet cell tumors account for only 1.5% of all pancreas tumors. Like pancreatic adenocarcinoma, islet cell tumors may cause abdominal pain, weight loss, nausea, and vomiting. Hormones released by an islet cell tumor can also cause symptoms: Insulinomas (excess insulin): sweating, anxiety, lightheadedness, and fainting from low blood sugar. Glucagonomas (excess glucagon): diarrhea, excessive thirst or urination, weight loss. Gastrinomas (excess gastrin): abdominal pain, nonhealing stomach ulcers, reflux, weight loss. Somatostatinomas (excess somatostatin): diarrhea, weight loss, abdominal pain, foul-smelling fatty stools. VIPomas (excess vasoactive intestinal peptide): abdominal cramping, watery diarrhea, facial flushing. Pancreatic Cancers Sneaky Symptoms In a very small number of people with pancreatic cancer, early symptoms might be present that could lead to an earlier diagnosis. Unfortunately, researchers have been unable to identify any predictable pattern. One study that surveyed 305 people with pancreatic cancer illustrated the challenge: About 4% reported having a sudden disgust for preferred tastes (like coffee, smoking, or wine) that preceded other symptoms by more than six months. 5% of people had loss of appetite, a feeling of early fullness with meals, or profound weakness, more than six months before more obvious symptoms developed. 1% of people had attacks of acute pancreatitis more than six months before their diagnosis with pancreatic cancer. The rarity and vagueness of these situations points out the difficulty of using early symptoms to catch pancreatic cancer at an earlier stage. That said, symptoms like weight loss, persistent loss of appetite, yellowing of the eyes or skin, dark urine, or light-colored stools should always prompt concern. Consistent or worsening discomfort, nausea, vomiting, or diarrhea are also disconcerting. If you feel somethings not right, see your doctor. MedicineNet, 2013 What are the symptoms and signs of pancreatic cancer? Because the pancreas lies deep in the belly in front of the spine, pancreatic cancer often grows silently for months before it is discovered. Early symptoms can be absent or quite subtle. More easily identifiable symptoms develop once the tumor grows large enough to press on other nearby structures such as nerves (which causes pain), the intestines (which affects appetite and causes nausea along with weight loss), or the bile ducts (which causes jaundice or a yellowing of the skin and can cause loss of appetite and itching). Symptoms in women rarely differ from those in men. Once the tumor sheds cancer cells into the blood and lymph systems and metastasizes, more symptoms usually arise depending on the location of the metastasis. Frequent sites of metastasis for pancreatic cancer include the liver, the lymph nodes, and the lining of the abdomen (called the peritoneum). Unfortunately, most pancreatic cancers are found after the cancer has grown beyond the pancreas or has metastasized to other places. 2013 Pancreatic Cancer UK Signs and symptoms Signs and symptoms are diagnostic tools that help doctors to work out what is wrong with someone and make a diagnosis. Symptoms are the things that you are experiencing, e.g. pain or loss of appetite that you will tell your doctor about. Signs are what the doctor can see when they examine someone, e.g. someone wincing when they touch a painful area. Signs and symptoms of pancreatic cancer Pancreatic cancer doesnt usually give rise to any symptoms or signs in the early stages. This is the main reason it can be so difficult to detect and diagnose. As the cancer grows the symptoms it causes will depend on the type of pancreatic cancerand where it is in the pancreas. Any symptoms people do have can be quite vague and may come and go at first. An example is abdominal pain, which may start off as occasional discomfort before becoming more painful and more frequent. The symptoms can also be a sign of other more common, less serious illnesses. This means that people may end up seeing their GP several times or being sent for a number of different testsbefore pancreatic cancer is even considered. It is important to remember that any of the symptoms described here are common for lots of illnesses and may not be a sign of pancreatic cancer. But if you have persistent unexplained symptoms its important for your GP to refer you for tests to explore what is causing them. It can help to note down the frequency of your symptoms and mention anything unusual you are experiencing, even if it seems unrelated. If your symptoms get worse or you develop any new symptoms suddenly you should always get in touch with your GP. Most common symptoms of pancreatic cancer Most pancreatic cancers are exocrine tumours (90%). Their symptoms can be very vague and depend on whether the tumour is in the head, body or tail of the pancreas. à ¯Ã‚ »Ã‚ ¿Abdominal pain Pain is a symptom in about 70% of pancreatic cancer cases. It often starts as general discomfort or pain in the abdomen (tummy) which can spread to the back. It can be worse after eating or when you are lying down. Sitting forward can sometimes relieve the pain. At first the pain may come and go, but over time it may become more constant. If any of the organs (pancreas, liver or gall bladder) in your abdomen are inflamed or enlarged the area may also be tender to touch. Pain is caused by the cancer affecting nerves or organs near the pancreas. It can also be a result of a tumour causing a blockage in the stomach or duodenum (top part of the small intestines). Jaundice Jaundice occurs in about 50% of pancreatic cancer cases. Its an illness where the skin and the whites of the eyes turn yellow. Other signs of jaundice include dark urine, pale stools and itchy skin. Jaundice develops when there is a build-up in the blood of a chemical called bilirubin. This chemical is always present in the blood. It usually gets removed from the body in the bile fluid produced by the liver which empties into the small intestines through the bile duct. Cancer growing in the pancreas can block the bile duct so that bile and bilirubin keep building up in the body. This is known as obstructive jaundice. Jaundice can be caused by other non-cancerous conditions, such as a gallstone blocking the bile duct, so its important for all the obvious causes to be explored. Weight loss Losing a lot of weight for no particular reason can be a sign that something is wrong. People may also notice a loss of appetite or changes in what they feel like eating. Pancreatic cancer can affect the ability of the pancreas to produce digestive enzymes that help to digest food. This means that the body cant digest food properly or get the nutrients it needs, leading to weight loss. Weight loss is more common with cancers in the head of the pancreas. Other common symptoms of pancreatic cancer These symptoms are also common, though not everyone will have every symptom. People may have these symptoms before a diagnosis, develop them later on, or perhaps not get them at all. Bowel problems A condition called steatorrhoea (stools that are large, pale, oily, floating and smelly) is a common symptom of diseases of the pancreas. It happens because the cancer affects the production of the enzymes needed to digest food, particularly high fat food. Undigested food passing quickly through the body can also cause diarrhoea and subsequent weight loss. Nausea and vomiting Nausea (feeling sick) and sickness can occur for several different reasons. A tumour can block the bile duct or press on the duodenum, which obstructs digestion. It may also cause inflammation around it in the pancreas, or jaundice. Both of these can lead to a chemical imbalance in the body which can make people feel sick. Fever and shivering If the pancreas is inflamed or the ducts are blocked because of the tumour, this can cause a high temperature and shivering. Diabetes Diabetes can develop if a tumour stops the pancreas from functioning properly. This is because the pancreas produces the hormone insulin which the body needs to regulate the amount of sugar in the blood. People with diabetes often feel extremely thirsty, pass more urine than normal, lose weight and feel weak and lacking in energy. Diabetes is particularly associated with pancreatic cancer in older people. If someone develops late onset diabetes with no other explanation their GP should consider the possibility of pancreatic cancer. Symptoms of endocrine pancreatic tumours Less than 5% of all pancreatic cancers are endocrine tumours, which develop in the hormone producing cells of the pancreas. They are divided into functioning and non-functioning tumours, depending on whether or not they overproduce hormones and cause a chemical syndrome. Most endocrine tumours do not produce a clinical syndrome (non-functioning) so they do not cause specific symptoms. As they grow or spread they may cause pain, jaundice or a lump that can be felt in the abdomen. Some endocrine tumours overproduce hormones and cause a clinical syndrome (functioning). These give rise to different symptoms depending on the type of tumour and the hormone it produces. Gastrinomas overproduce gastrin, which causes peptic ulcers in the stomach or duodenum. Symptoms include severe pain, black tarry stools and diarrhoea. Glucagonomas overproduce glucagon. Symptoms include a specific type of skin rash (redness, ulceration and scabbing), anaemia (lack of red blood cells), weight loss and inflammation inside the cheeks and lips. Insulinomas overproduce insulin, leading to hypoglycaemia (low blood sugar levels). Symptoms may include weakness, drowsiness, dizziness or lack of energy. Somatostatinomasoverproduce somatostatin, which causes gall stones, diabetes, diarrhoea and steatorrhoea. VIPomas overproduce a hormone called vasoactive intestinal peptide (VIP). Symptoms include watery diarrhoea, high blood pressure and flushing of the face. 2009, Nick James and the late Sally Tweddle Pancreatic cancer symptoms This page has information on the symptoms of pancreatic cancer. You can find the following information A quick guide to whats on this page Early symptoms Other symptoms of pancreatic cancer Symptoms from endocrine pancreatic tumours More information Open box A quick guide to whats on this page Pancreatic cancer symptoms The most common type of cancer of the pancreas are exocrine tumours. The symptoms can be quite vague. And they vary depending on where the cancer is in your pancreas in the head, body or tail. Early symptoms can include weight loss, pain in the stomach area, back pain and jaundice. More than half of patients have jaundice when they first go to their doctor. Jaundice without pain is the most common reason for first going to the doctor in patients who have pancreatic cancer that can be removed with surgery. Symptoms of jaundice can include yellowing of the skin and whites of the eyes, severe itching, darkened urine, and pale coloured stools (bowel motions). Other symptoms There are other symptoms that you can have with cancer of the pancreas. These include diabetes, itching, sickness, change in bowel motions, fever and shivering. There is an uncommon group of pancreatic tumours called neuroendocrine tumours. About a third of these produce hormones. The symptoms are different for each type, depending on the hormone the tumour makes. You can view and print the quick guides for all the pages in the about pancreatic cancer section. Back to top Early symptoms The commonest types of cancer of the pancreas are exocrine tumours. The symptoms can be quite vague. And they vary depending on where the cancer is in your pancreas in the head, body or tail. Early symptoms can include Weight loss Pain in the stomach area Jaundice More early symptoms Weight loss People diagnosed with pancreatic cancer may have recently lost a lot of weight (at least 10% of their total body weight) for no apparent reason. This symptom is more common in cancers of the head of the pancreas. Pain in the stomach area About 7 out of 10 people with pancreatic cancer first go to their doctors because they have pain. Pain is more common in cancers of the body and tail of the pancreas. People describe it as a dull pain that feels as if it is boring into you. It can begin in the stomach area and spread around to the back. The pain is worse when you lie down and is better if you sit forward. It can be worse after meals. Your abdomen may also be generally tender or painful if your liver, pancreas or gallbladder are inflamed or enlarged. Jaundice More than half of patients have jaundice when they first go to their doctors. Jaundice is yellowing of the skin and whites of the eyes. The urine is darker than normal and bowel motions may be lighter in colour. Jaundice is more common with cancer of the head of the pancreas because the tumour blocks the bile duct. This tube carries bile into the duodenum. If it is blocked the bile ends up in your bloodstream instead. Bile contains a lot of yellow pigments so it turns the skin yellow. Jaundice is a common symptom of many liver and gallbladder diseases. It is often easier to spot in the whites of the eyes rather than the skin. More early symptoms Other early symptoms might include loss of appetite and back pain. Back to top Other symptoms of pancreatic cancer There are other symptoms that you can have with cancer of the pancreas. You may have any of these symptoms from before you are diagnosed. Or you may develop them later. Of course, you may not have all of them. Not everyone has every symptom. But these non specific symptoms are common in pancreatic cancer. You may have Diabetes Itching Sickness Bowel changes Fever and shivering Diabetes Some people diagnosed with cancer of the pancreas are found to be newly diabetic. Some have been diagnosed with diabetes within the previous year. If you have diabetes you are not producing enough insulin. So there is too much sugar in your blood. The sugar is passed out of the body in the urine and takes a great deal of water with it. This causes Thirst Passing a lot of urine Weakness Weight loss and hunger Itching You may have itching if you have bad jaundice. The bile salts in the bloodstream cause itching in the skin. Sickness You may feel or be sick because you have jaundice or an inflamed pancreas. Both these conditions upset the delicate chemical balance of the body, which can make you sick. You may also be sick if the cancer, or inflammation around it, is beginning to block the duodenum. This will stop digested food from passing through to the small bowel. Bowel changes Again, if you have jaundice you may develop a symptom called steatorrhoea. This means fatty stools. You may pass frequent, large bowel motions that are pale coloured and smelly. These bowel disturbances can mean that you are not absorbing your food properly. So this may be a cause of weight loss. Fever and shivering You may have a temperature from time to time because you have jaundice or an inflamed pancreas. When your temperature is high you may feel cold and shivery. Back to top Symptoms from endocrine pancreatic tumours Endocrine pancreatic tumours are uncommon. They are also called neuroendocrine tumours. About a third of these pancreatic tumours produce hormones (functional tumours). The symptoms are different for each type, depending on the hormone the tumour produces. They are Insulinoma Gastrinoma Somatostatinoma VIPoma Glucagonoma Insulinomas Insulinomas produce too much insulin, causing weakness, loss of energy, dizziness and drowsiness. Gastrinomas Gastrinomas produce too much gastrin, causing peptic ulcers in the stomach or duodenum. This leads to severe pain, bleeding causing black tarry stools (faeces), and diarrhoea. Somatostatinomas Somatostatinomas produce too much of a hormone called somatostatin. This causes gallstones, diabetes and diarrhoea with bulky fatty and smelly stools (steatorrhoea). VIPomas VIPomas produce too much of a hormone called VIP. This causes a great deal of watery diarrhoea, flushing of the face, and high blood pressure. Glucagonomas Glucagonomas produce too much of a hormone called glucagon. This causes a very specific type of skin rash (redness, ulceration and scabbing), anaemia, mouth ulcers and diarrhoea. About two thirds of pancreatic neuroendocrine tumours do not produce hormones and so do not cause specific symptoms. As these tumours get larger or spread they may cause symptoms such as pain, a lump in the abdomen or jaundice. The average general health article on pancreatic cancer states flatly that there are no early symptoms of pancreatic cancer. People diagnosed with pancreatic cancer are typically already in the advanced stage of the disease by the time its caught, and the typical prognosis is death within five years. With pancreatic cancer much on everyones mind due to the untimely death of Steve Jobs, it seems like a good time to ask the question thats on all of our minds:Are there any early warning signs of pancreatic cancer? The answer is yes, there are. But to understand these signs and symptoms of pancreatic cancer, its important to understand where the pancreas is, and what it does. Located deep inside the abdomen, the pancreas is only 4 to 6 inches long and shaped like a tadpole. In the tail of the pancreas are cells that produce insulin, and tumors at this end are usually endocrine tumors. Theyre easier to diagnose, but are much rarer. At the other end, the head of the pancreas, are cells that produce digestive enzymes, and tumors at this end are called exocrine tumors. These are by far the most common, and are much more difficult to detect. However, the idea that a pancreatic tumor is asymptomatic is a bit of a myth. Dig deep into journal articles and ask patients what they remember and the result is a long list of odd signs and symptoms of pancreatic cancer to watch out for. Taken one by one, these symptoms could mean many things. But if you find yourself experiencing two or three of these early warning signs of pancreatic cancer, call your doctor and ask for a scan. Imaging techniques such as MRIs can detect pancreatic cancer some of the time, depending on the location of the tumor. Early Warning Signs of Pancreatic Cancer Diabetes, especially if it comes on suddenly. Recently, the Mayo Clinic published startling research showing that 40 percent of pancreatic cancer patients had been diagnosed with diabetes one to two years before discovering they had a pancreatic tumor. Researchers believe the diabetes is caused by tumors that simply havent been detected yet. The problem is, diabetes is very common, and the majority of diabetes isnt pancreatic cancer, so doctors are trying to develop screening tools to tell the difference. Right now, they say family history is an important clue. If youre diagnosed with diabetes that seems to come on suddenly and you have no family history of diabetes, bring this to your doctors attention and ask for further screening for pancreatic cancer. Yellowing of the eyes or skin. Even a small pancreatic tumor can block the bile duct in the head of the pancreas, causing bile to build up. This causes jaundice. Itchy skin, palms, and soles of feet. A little-known side-effect of jaundice is itchy hands and feet. Its due to a skin reaction to the bilirubin, the yellowish brown liver chemical that causes jaundice. Lack of appetite. An Italian study found that six to eight months before being diagnosed with pancreatic tumors, patients reported a sudden drop in their appetite and a tendency to feel full after eating very little. Changes in taste. In the same Italian study, some of the patients surveyed said theyd suddenly lost their taste for coffee, wine, and smoking. In fact, they said, they felt disgust for the smell and taste of coffee and alcohol. Abdominal pain. Pancreatic cancer sufferers remember this pain as a gnawing pain, rather than a sharp cramp or ache, and it radiates toward the back. A characteristic clue: the pain goes away when you lean forward. An enlarged gall bladder. The same blockage of the bile duct that causes jaundice can also cause an enlarged gallbladder, as the bile builds up behind the duct. The good news is that an enlarged gallbladder can be seen on imaging tests, and it may even be possible for a doctor to feel it during a physical exam. Pale, floating, smelly stools. If a pancreatic tumor prevents digestive enzymes from reaching the intestine, the result is an inability to digest fatty foods. So you end up with loose, smelly floaters as a result of the excess fat. Doctors say this symptom, in particular, can be an early clue and is too often overlooked. Dark, tarry stools. Bleeding in the upper intestines causes this symptom. Sudden, unexplained weight loss. Weight loss is not always, as many people mistakenly believe, a sign of advanced cancer thats spread to the liver. It can also happen because a lack of pancreatic enzymes is causing fat to pass through the body undigested. What do you do if youre worried about any of these symptoms? Document all symptoms, and report them to your doctor in as much detail as possible. If your doctor is convinced you have legitimate concerns (and remember, you may have to do some convincing) tests such as an ultrasound, a CT scan, and an endoscopy followed by a biopsy can be used to search for a pancreatic tumor. Theres also a blood test for a biomarker called CA-19-9 that can be used in conjunction with other tests to diagnose pancreatic cancer early. While tragic early deaths like Steve Jobs are the hard reality of pancreatic cancer, there are also people living productive lives thanks to an early diagnosis of pancreatic cancer. Such was the case with Supreme Court Justice Ruth Bader Ginsburg, whos still practicing after having a tiny pancreatic tumor surgically removed. Yes, she got lucky, as she put it but she also got a CT scan, which is how the tumor was found. Further Reading: Islet Cell Tumors (Endocrine Pancreas) Treatment (PDQ ®) Pancreatic Islet Cell Transplantation for Diabetes-Topic Overview Pancreatic Islet Cell Transplantation for Diabetes-Related Information Pancreatic Islet Cell Tumor Islet Cell Carcinoma (Endocrine Pancreas) Islet Cell Carcinoma (Endocrine Pancreas) Islet Cell Carcinoma (Endocrine Pancreas) See All Islet Cell Tumors Topics

Explication of Diane Thiels The Minefield :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Diane Thiel’s poem â€Å"The Minefield† is about a man who’s mind has been ravaged by memories of a war in his childhood. She shows that even though the war had been over for years, the memory of it haunted the man in everything that he did. Through a powerful combination of symbols, dark images, and a split chronology, she creates a full picture of a life changed forever by war.   Ã‚  Ã‚  Ã‚  Ã‚  In the first stanza, the tone is lighter, describing a scene where two boys are running through towns. The boys race, the faster one being described as a â€Å"wild rabbit†. This stanza feels dream like, the organization of thought is loose, and word choice seems almost erratic, almost unrehearsed. The first stanza ends with a twist. The faster boy is killed by a mine and his friend, just seconds behind, witnesses the whole thing.   Ã‚  Ã‚  Ã‚  Ã‚  The second stanza is only two lines, â€Å"My father told us this, one night,/and then continued eating dinner.† This stanza breaks up the chronology of the poem, pushing the previous stanza into the past, and making it disjointed, almost like another poem in itself. The result of the father continuing eating after he tells the story shows how dead he is inside, the recalling of the story no longer affecting him in the same way it does the reader and his own family. It is implied that he is the only one able to eat after telling the story. This short stanza foreshadows the father’s personality change.   Ã‚  Ã‚  Ã‚  Ã‚  In the third stanza, the language becomes much darker, words like: anger, explode, and against make this stanza seem even more warlike than the first stanza.

W.E.B. Dubois: His Vision For Freedom Essay -- Racial Relations, Afric

African Americans during the 1900s lived lives full of uncertainty. They were no longer slaves, but still looked upon by many as inferior to the white race. However in this period of tension, there were men who sought to bring their race to new heights. One of these men was W.E.B Du Bois. Few have influenced the lives of African Americans in such a way as W.E.B Du Bois. The vision he had for African Americans was one that many found great hope in. He sought for the day that his race for finally have civil equality in every aspect of life. In the time of Du Bois, African Americans may have been considered free but still lacked many civil liberties, that the whites were easily granted. One of the biggest civil liberties they lacked was voting rights. To Du Bois voting for African Americans was one of his greatest hopes, he believed that â€Å"with the right to vote goes everything† (NMS 1). If African Americans could gain this right, the doors to other civil equalities would then open. However this was not such an easy tasks, there were so many â€Å"flagrant...political scandals that reputable men began to leave politics alone† (Son of Masters 5). The African American men and women had been so put down by the whites, that voting to them became too much of a hassle. Even though views toward voting seemed hopeless and a great hassle, Du Bois spoke out the with the biggest question of them all â€Å"It is possible, and probable, the nine million of men can make effective progress in economic lines if the y are deprived of political rights† (Du Bois 5)? How could African Americans build their lives, if they had no say in any of it? It was clear to Du Bois that voting was essential, without it his people would not be able to live equally among th... ...he separation and how these ugly vision that the races had of each other, made Du Bois realize that if African Americans could again regain the direct contact they once had with whites they may also begin to see the good in each other, and with this would come the general civil right they so desperately needed. They would be able, to choose who â€Å"to walk, to talk and be with (.NMS 2), where they wanted to watch a show, even how they got to that show. The general freedoms of everyday life is what Du Bois wished to see. African Americans in the 1900s may have not reached complete freedom just yet, but thanks to the men like Du Bois who took a stand, all hope was not lost. Du Bois brought a vision that with small victories in voting, education, and overall daily freedoms, the African American people would finally be seen as equal to their white brothers and sisters.

Prison Gangs: Gangs and Security Threat Group Awareness Essay -- secur

One of the major problems of corrections today is the security threat group - more commonly known as the prison gang. A security threat group (STG) can be defined as any group of offenders who pose a treat to the security and physical safety of the institution. Throughout the 1960's and 1970's, prison gangs focused primarily on uniting inmates for self protection and the monopolization of illegal prison activities for monetary gain (F.B.P., 1994, p. 2). STGs are mostly divided along racial lines and practiced defiance towards authority. STGs use a variety of hand signs, alphabet codes, tattoos, and different types of gang terminology. Gangs characteristically have rivals and make an alliance with other gangs. The criminal activity of S.T.G.’s does not only exist inside the confines of the prison walls, but has flowed to the outside world. â€Å"Prostitution, extortion, drug selling, gambling, loan sharking – such activities are invariably operated by prison gan gs† (Gaines, Kaune, Miller, 2000, p.652). The Texas Prison System consists of eleven classified security threat groups; Texas chooses to classify a gang as a STG when they become involved in violent activity. â€Å"Prison gangs exist in the institutions of forty states and also in the federal system† (Clear and Cole, 2000, p. 260). Three main stages that the offender will experience with the S.T.G. are recruitment, the gang experience, and affiliation upon release. Recruiting efforts begin with the intake of the offender into the prison system. The best recruitment takes place in transfer facilities where offenders are held before they are classified as to what security level prison they will be sent to. There are steps that must be followed when becoming a prospectiv... ...y not only endanger themselves, but also family and friends. As it is stated in many of the by-laws, â€Å"blood in, blood out†-membership is for life. Bibliography: Bohm, R.M., & Haley, K.N.(1999). Introduction to Criminal Justice (2nd edition). New York: Glencoe/McGraw-Hill. Clear, T.R., & Cole, G.F.(2000). American Corrections (5th edition). Belmont, CA: Wadsworth. Federal Bureau of Prisons.(1994) Security Threat Groups Symbols and Terminology (Fall 1994 edition). Sacramento: U.S. Government Printing Office. Gaines, L.K., & Kaune, M., & Miller, R.L.(2000) Criminal Justice in Action. Belmont, CA: Wadsworth. Ralph, P.H.(1997). From Self Preservation to Organized Crime: The Evolution of Inmate Gangs. In J.W. Marquart, & J.R. Sorensen (Eds.). Correctional Contexts: Contemporary and Classical Readings (pp. 182-186). Los Angeles: Roxbury

The Great Power of Hellsberry!

As the chilled whisper of wind hits the side of my face, I realised how dazzling, and inspiring this village I was in, really was. The moon shone brightly and luxurious in the sky. It was like a slice of cheese sitting there, ready for it to be taken, and eaten up whole. The colour of blues in the mid-night atmosphere, made it look like the deep ocean. Gentle and tranquil, it stood there, for people's eyes to gleam up, with the brightest of tones that it revealed to the world. The stars stood out of place, with its glittering and scintillating sparkle of light, like a Christmas tree ready for the blissful times to come in life. The folks looked up and gasped how astonishing the heavens looked, on this crisp and cold night. The gigantic mountains were covered with white gleaming snow. It lay there, waiting for the hands of children to pick it up, and be thrown at one another. The snow as I picked it up, rubbed against the smoothness of my hands. Making them feel bitterly cold, which sent shivers and tingles right through the tips of my fingers. The black night sky looked very gloomy, as the mist disguised the peak of the mountains. The dull mist made the mountains look very icy and dangerous for anyone bidding to enter this treacherous unknown land. It appeared very ‘alien', as you did not know where the sky ended and where the darkness of the land started. The village folk were kept warm as they had their fires alight. The glow from the fires shone through the windows of every house, which reflected a stream of ripples on the surface of the snow, making tiny little crystals glisten and sparkle, just like diamonds. Lanterns glow by the sides of beds, shinning through the rooms, making the village beam with warmth, against the background of the dreary hours of darkness. The eye of the beholder could see how magnificent the snow really was. There was a sign of some kind that was partly rotted, and had been blown down by fierce winds. It was covered in snow, and on the edges icicles had formed. I wondered to myself what this mysterious piece of wood was. I scraped the snow and ice off with my bare hands, and it said Welcome to Hellsberry! The name of this place sounded very familiar, I knew I had heard it before, but where? Then it came into my mind. An old and wise woman once told me about a cave that was near the heart of Hellsberry. A small and mystical cave that lay hidden away in the mountains, near a lake that was frozen all through the year, even in summer. Dead rotting trees lay helpless around the lake, with their brown crinkled leaves blown away by the cold and ferocious winds. No animals strolled through this desolate place any more. It used to be a beautiful and tranquil place. The valley was green and lush, with brightly coloured and sweet smelling flowers which danced happily to the gentle breeze. Here, all types of animals would come and graze on the long green grass, and laze around under the warmth of the sun shinning above. The deep blue river was plentiful with lots of different sized fish. With its fresh clear water slashing against the side of rocks, making ripples as it gently meandered down hill. The waterfall cascaded over rocks, by the side where tropical flowers grew. Deers would stride up to the lake to drink from it, while birds would be flying around, chirping and singing to each other. I wanted to find out if this story she told me was really true or not. I arrived at the foot of the mountains, which were a dangerous and risky place for any of mankind to face, after it came and made home in the mountains. Even if mankind were the strongest and bravest on earth, nothing could outwit and defeat this creature of wisdom, fire and great power. It was a creature that many of the villagers were afraid of. After it came, the place of so much beauty turned to something dark and dismal. Leaves dropped off rotted trees, animals ran like their enemy was chasing after them, the waterfall turned brown and died, flowers were crushed and damaged; the river froze over as the chilled air passed through it. The creature did this but for how long would it carry on? Every full moon for the last 300 years, as the night grew dark, and the bright elegant stars appeared in the mid-night sky, a ball of raging fire would move about the black night background. A glowing of bright and angry colours made the village come to light as it reflected down on this innocent and helpless place. It grew bigger and brighter every time it appeared in the eyes of the people, and also the people grew more scared every time it was upon them. They had fought bravely against this creature, but failed to keep it away or even destroy it. I was going to change this. The creature lived in the caves upon the white glossy snow of the mountains. The caves ran for miles along the ridge of the mountains, with numerous turns and winding passage ways. Fire lived in the centre of this mountain, it was the biggest and tallest of all. Hell was placed here for no one to find and seek. The cave was cut deep down amongst snow and ice. Around the area of this large mountain, were frequent snow blizzards. This gave the creature vital protection, as no mankind could reach it. I advanced towards this unknown mountain. There was a collage of deep, dark, grey clouds that gradually got bigger and more furious by the minute, with its forceful power waiting to grasp at anybody entering this place of immorality. As I advanced further up the mountain I could feel the ice cold snow against the side of my face. I forced myself through the extreme weather conditions of the blizzard. The snow was dragging me to the centre of hell. The pain of the cold grew within me. The noise of the screeching wind passed through the inside of my red frozen ears, like a thousand animals running from what they are a most afraid of in their lives. I ran towards the jagged shaped mouth in the cave, with my soul being pulled back behind me to the centre of the storm. The snow got heavier and heavier, as I got further to the cave. There I saw a glimmer of light, making the cave light up through the white background. I got further to the middle of hell where this powerful and unpredictable creature awaits. Its life time was about to end. The cave smelled of dead human remains that had been there for centuries, blood was splattered against the sides of the rough toothed rocks. Bones lay in the corner, one on top of each other, I felt more fearful as time went on, and as I discovered more about the secrets behind the cave. There lay a fire in the middle of the walls. I started to feel vibration under my feet. Something big was coming towards me, I did not know what to expect. It appeared from behind me, a tall dark mysterious figure. It moved closer and closer. I moved back, tripping up over a rock, with blood on it. I banged my head. I was on the floor. My head lay there. I couldn't move. The creature moved even closer. Blood poured down the side of my head. I felt faint. A black figure was in front of me. My eyes closed. I thought to myself what was it?

Health and Social Care Essay

Ageing process is a must of human growth and developments their various attempts have there have been made to explain the process of ageing and identify the key influential factors. Health and social care practitioners of somewhat with all the people I need to understand how individuals adapt to life during old-age. What is disengagement theory Planning and Henry would process the disengage is meant theory as a way of explaining different behaviour and development in old age. They would suggest that when people reach their 60s they begin to disengage from active role in society for a variety of reasons: †¢ Ill health †¢ retirement from work †¢ loss of friendship and social support through illness and death of partners friends and relatives †¢ Lack of access to travel facilities †¢ inability to use communication technology They argue that disengagement in old age happens voluntarily and with the approval of the younger generation because it frees up work for them. They suggest it is normal and appropriate that has benefits of society and the older people. The disengagement theory has been criticised for the acceptance of the social exclusion for older people, They say that you could be argued that age is then restrict the ability of some older people, They think that they are not active citizens and they withdrawal from active social roles and it’s not a choice. Their original research has been criticises well is based on small sample of American adults who were taken to be typical of or older people everywhere they also just suggest that many older people remain engaged with their family and friends and then no more socially active in these types of groups once they have retired from work. To Mary worked until an old age and she would’ve been acted until then going to work playing with h er children when she grows older she may Now still be active with walking to the shops or going to different educational classes to stimulate her brain. Activity theory This processes that different disengagement theory, the more active the older person is the more they will be satisfied they will feel. The activity theorist such as fennell, phillipson and evens would argue that older people often resist disengagement from different important aspects of their life by maintaining a middle age lifestyle. Many older people will take part in social and education activities as a way of staying mentally active and physically healthy. The activity theory has been critiques on the grounds that it could be a way of explaining the response to ageing of some people; it fails to take the diversity of the older population into account. Being socially active and engaged may be positive for those with different personalities and characteristics living in certain circumstances.