Tuesday, May 19, 2020

The Benefits Of A Lifestyle Essay - 1714 Words

The Benefits of a Mindful Lifestyle in Multiple Populations According to Roger Walsh, a psychologist at the University of California, mental health professionals are relying more and more on medication to treat mental disorders. Walsh argues, however, that most mental disorders can be effectively treated by having a client make simple changes to their lifestyle. Lifestyle medicine, the branch of medicine dealing with the treatment of disorders by having a person change their way of living, focuses on how therapeutic lifestyle changes (including exercise, diet, recreation, relaxation, and service to others, just to name a few) affect psychopathology. In this setting, psychopathology refers to the collective features of clients’ mental health. Therapeutic lifestyle changes (TLCs) can be especially beneficial for clients who engage in unhealthy habits that may factor into to mental disorders. In fact, unhealthy lifestyles contribute to both poor mental health and poor physical health. Many serious, potentially deadly diseases today, such as cardiovascular disease, diabetes, and some forms of cancer are strongly impacted by a person’s lifestyle choices. In this paper, however, the focus will be on the effects of TLCs on mental health. In his article Lifestyles and Mental Health, Walsh mentions the benefits of using TLCs in place of excessive medication or psychotherapy. Usually, TLCs are affordable and accessible to most clients. Although some methods may require spendingShow MoreRelatedThe Benefits of a Healthy Lifestyle707 Words   |  3 Pagesaccidents, natural disasters and many other things, but what we don’t realize is that sometime we can be our own worst enemy. Our lives could be so much easier if we lead a healthy lifestyle. There are countless benefits in many areas, so, what are these benefits? First of all we can establish that a healthy lifestyle consists of following a good diet, sleeping well and exercising, among others; for one thing there is following a good diet, this helps you maintain your weight as eating well is crucialRead MoreBenefits Of A Healthy Lifestyle901 Words   |  4 Pages Benefits of a healthy lifestyle Amiyr Mohamed North Carolina AT State University BIOL 100- Section 8 Professor, Smith Fall 2017 Introduction Healthy living is having a balanced lifestyle to improve people’s health and well-being. Unhealthy living is engaging in activities that can potentially harm ones’ health. Obesity and heart disease are two of the many illnesses associated with an unbalanced lifestyle. The benefits of a healthy lifestyle are amazing compared to those who haveRead MoreBenefits Of A Healthy Lifestyle1154 Words   |  5 PagesHaving a healthy lifestyle could be a challenge to anyone. Although we all know that exercising and eating healthy are crucial for us to keep a good health, for some families these simple steps can be a huge challenge. The most common challenge are lack of time or money. Behind every health issue there is a reason. As a community we need to do research and educate our younger population on what is a healthy lifestyle and its importance. It is necessary that we enjoy a healthy lifestyle to prevent obesityRead MoreBenefits Of A Vegetarian Lifestyle884 Words   |  4 PagesBenefits of a Vegetarian Lifestyle I started my transition to a vegetarian diet approximately three years ago. I do not remember the exact date that the change took place, but I remember the important events that compelled me to make the decision. The shift was very sudden. Before I removed all meat from my diet, I was eating meat almost every day. I loved steak, seafood, cheeseburgers, ham, pepperoni, sausage, bacon, and many other types of meat. My attitude changed when I went online and foundRead MoreBenefits Of A Healthy Lifestyle Essay1347 Words   |  6 Pagesmental issues, and long-term complications can all be prevented through a healthy lifestyle. A healthy lifestyle includes not just exercise, but having a well-rounded diet, and engaging in positive mental health activities. In popular culture, important figures are often great sources that reveal to us just how important health is in our life and they also give us useful guidance and direction. Choosing a healthy lifestyle is essential for life and happine ss because in the end, our health is our entireRead MoreBenefits Of Living A Healthy Lifestyle1102 Words   |  5 PagesAs human beings we all have the desire to live longer lives. Well according to recent studies the key to longevity are diet and exercise. Living a healthy lifestyle can ultimately add years onto your life expectancy. There are certain groups of people around the world who are living longer lives. For instance let’s consider the pacific islanders of Okinawa. They have a life expectancy of more than 81, compared to the average life expectancy of 78 here in the United States. Another example wouldRead MoreBenefits Of Using A Hybrid Lifestyle1550 Words   |  7 PagesPositioning Keen’s intended position for their products is that their shoes are equally at home on the trail as they are in a coffee shop, resulting in the wearer being able to enjoy a hybrid lifestyle.   For the most part, the actual position in the minds of their customers fits this description.   However, there tends to be a general bias in favor of the â€Å"outdoorsy† image; in other words, people don’t tend to think of Keen shoes as being quite as well suited for an urban setting as they are for theRead MoreBenefits Of A Vegetarian And Vegan Lifestyles2131 Words   |  9 Pagesand build Eco-Village from scratch, what is the one thing you would change?† Lois said that the only thing she would change would be making the entire community vegetarian. At that moment, I did not completely agree with her. Vegetarian and vegan lifestyles have not yet become that affordable (both in terms of money and unresolved health issues) for every person on this planet. But th is paper is not about choosing the right life style. I do not have anything against vegetarians or meat-eaters. ButRead MoreBenefits Of Living A Healthy Lifestyle Essay983 Words   |  4 PagesThere are many benefits to living a healthy lifestyle, and there are many aspects that lead into it. Three important aspects that are most beneficial to a healthy life include sleep, diet and nutrition, and exercise. To live a healthy life starts at a young age. Living a healthy lifestyle when young is beneficial for adult life. One important aspect that is beneficial to adult health is sleep. Not getting the correct amount of sleep has immediate effects that are often overlooked. One importantRead MoreBenefits Of Employee Lifestyle Choices And Health Economics1113 Words   |  5 Pages-Suggest one (1) plan that you would use to purchase health insurance for your organization. Determine the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Provide a rationale for your response. I will use Innovation Health plan for my organization (Innovation health, n.d). According to Innovation Health (n.d), â€Å"Innovation Health is the result of a unique partnership between two industry leaders: Inova and Aetna. Inova is a nationally recognized

University of South Carolina Acceptance Rate, SAT/ACT Scores, GPA

The University of South Carolina is a public research university with an acceptance rate of 63%. Located in the state capital of Columbia, the University of South Carolina is the flagship campus of the South Carolina university system. With 324 bachelors, masters, and doctoral programs in 15 colleges, the University of South Carolina offers wide-ranging academic opportunities to students. UofSC is nationally known for its pioneering work with first-year college students. In athletics, the University of South Carolina Gamecocks competes in the NCAA Division I  Southeastern Conference. The university has a chapter of the prestigious  Phi Beta Kappa  academic honor society for its strengths in the liberal arts and sciences, and it is also home to one of the countrys top honors colleges for high-achieving undergraduates. Applicants to the universitys Honors College will need to submit two letters of recommendation and two essays in addition to the standard application.​ Considering applying to the University of South Carolina? Here are the admissions statistics you should know, including average SAT/ACT scores and GPAs of admitted students. Acceptance Rate During the 2017-18 admissions cycle, University of South Carolina had an acceptance rate of 63%. This means that for every 100 students who applied, 63 students were admitted, making UofSCs admissions process somewhat competitive. Admissions Statistics (2017-18) Number of Applicants 30,884 Percent Admitted 63% Percent Admitted Who Enrolled (Yield) 30% SAT Scores and Requirements The University of South Carolina requires that all applicants submit either SAT or ACT scores. During the 2017-18 admissions cycle, 50% of admitted students submitted SAT scores. SAT Range (Admitted Students) Section 25th Percentile 75th Percentile ERW 600 670 Math 590 690 ERW=Evidence-Based Reading and Writing This admissions data tells us that most of University of South Carolinas admitted students fall within the top 35% nationally on the SAT. For the evidence-based reading and writing section, 50% of students admitted to UofSC scored between 600 and 670, while 25% scored below 600 and 25% scored above 670. On the math section, 50% of admitted students scored between 590 and 690, while 25% scored below 590 and 25% scored above 690. Applicants with a composite SAT score of 1360 or higher will have particularly competitive chances at the University of South Carolina. Requirements The University of South Carolina does not require the SAT writing section. Note that UofSC participates in the scorechoice program, which means that the admissions office will consider your highest score from each individual section across all SAT test dates. SAT Subject tests are not required for admission to UofSC. ACT Scores and Requirements The University of South Carolina requires that all applicants submit either SAT or ACT scores. During the 2017-18 admissions cycle, 49% of admitted students submitted ACT scores. ACT Range (Admitted Students) Section 25th Percentile 75th Percentile English 24 31 Math 24 28 Composite 25 30 This admissions data tells us that most of University of South Carolinas admitted students fall within the top 22% nationally on the ACT. The middle 50% of students admitted to UofSC received a composite ACT score between 25 and 30, while 25% scored above 30 and 25% scored below 25. Requirements Note that University of South Carolina does not superscore ACT results; your highest composite ACT score will be considered. UofSC does not require the ACT writing section. GPA In 2018, the middle 50% of University of South Carolinas incoming freshman class had high school GPAs between 3.78 to 4.50. 25% had a GPA above 4.50 and 25% had a GPA below 3.78. These results suggest that most successful applicants to UofSC have primarily A and B grades. Self-Reported GPA/SAT/ACT Graph University of South Carolina Applicants Self-Reported GPA/SAT/ACT Graph. Data courtesy of Cappex. The admissions data in the graph is self-reported by applicants to University of South Carolina. GPAs are unweighted. Find out how you compare to accepted students, see the real-time graph, and calculate your chances of getting in with a free Cappex account. Admissions Chances University of South Carolina, which accepts approximately two-thirds of applicants, has a somewhat selective admissions process. Admissions is based primarily on high school courses and grades and standardized test scores. In the graph above, the blue and green dots represent accepted students. Most students who got in had high school averages of B or better, combined SAT scores of 1100 or higher (ERWM), and ACT composite scores of 22 or better. The higher those numbers are, the better your chances of getting an acceptance letter. Very few students with A averages and strong test scores were rejected from UofSC. All admissions data has been sourced from the National Center for Education Statistics and University of South Carolina Undergraduate Admissions Office.

Wednesday, May 6, 2020

The Inferno, By Virgil s Guidance And Support Dante

In the Inferno, through Virgil’s guidance and support Dante becomes more confident and self-sufficient. Dante developing in this matter in turn changes the dynamic in their relationship from teacher-student to equal companions in Dante’s eyes. How their interactions change shows this evolution. When the two meet, it is obvious Dante is lost and Virgil can see this. Virgil asks But you, why are you turning back to misery?/ Why do you not climb the peak that gives delight,/ origin and cause of every joy?† (Canto I, line 76-78). Virgil is trying to assess Dante’s situation. Dante is currently stuck with no foreseeable way to rejoin the proper path because a she-wolfis blocking the direct way. Dante lets know Virgil he needs help by saying, See the beast that forced me to turn back/ Save me from her, famous sage-- she makes my veins and pulses tremble (Canto I, lines 88-90). He is asking Virgil to save him showing he needs help getting out of his current posit ion because he thinks he cannot get out on his own. At this point we see the dynamic begin as teacher-student because Dante looks towards Virgil to use his knowledge to lead him out of his current situation. Virgil accepts this role through the lines, Therefore, for your sake, I think it wise/ you follow me: I will be your guide,/ leading you, from here, through an eternal place (Canto I, lines 112-114). We can see that Virgil starts early with his role as a teacher as he explains to Dante the nature of theShow MoreRelatedDante Alighieri : An Italian Poet1552 Words   |  7 PagesDante Alighieri was an Italian poet, originally from Florence experienced economic, political and religious disruption that reflected the town’s struggles. Hardship that he encountered, being the death of his mother, his wife Beatrice until his death in exile. Dante took his pain and suffering and turned it into his inspiration for his poetry. The Blacks seized control of Florence and in 1302 Dante and others were exiled. It was during Dante s exile he faced hardship and was forced to discontinueRead MoreThe Inferno By Dante And The Allegory Of The Cave1169 Words   |  5 Pagesquestion the sole symbol light can act as. Plato’s argument equates truth to light, while Dante’s argument equates God to light. Dante argues that the light is guiding, rather than definite. Through these two examples, I will show that light symbolizing the equivalent of truth or searching for truth yields problems. To support my claim, I will look at The Inferno by Dante and The Allegory of the Cave by Plato, whose interpretations of light appear to work well with one another. First, I will analyzeRead More Language in Dante’s Inferno Essay3881 Words   |  16 PagesLanguage in Dante’s Inferno What happens to language in hell? In Dante’s Inferno, the journeying pilgrim explores language’s variations and nuances as he attempts to communicate with hell’s pitiable and sordid inhabitants, despite multiple language barriers and relentless cacophonies. Dante thematically unifies language’s inconsistencies in hell; that is, he associates the pilgrim’s abortive attempts to communicate with particular shades, and the incomprehensible languages and sounds that beleaguerRead MorePurgatorio Essay4430 Words   |  18 Pagesmodern novelistic tradition of structure has led us to expect our plots to be arranged climactically, we tend to find this kind of geometric construction artificial and surprising, even though the practice was fairly common in medieval literature. Dante had himself already experimented with this kind of structure in La Vita Nuova. La Chanson of Roland, to cite another well-known example, seems by our standards to drag on surprising ly beyond the heros death; the plot has been carefully arranged, however

Law, Culture And Language Lyrics Of Hate - 1162 Words

IMITOMA Y’URWANGO, OR LANGUAGE LYRICS OF HATE Gilbert Ndahayo PhD French/Francophone Studies Northwestern University ANTHROPOLOGY 378 - LAW, CULTURE AND LANGUAGE Working Proposal Number 1 ï ¿ ¼After its independence in 1962 following the 1959’s Hutu revolution, Rwanda started to recreate its image to assay a new identity. Cultural motifs, historical manipulations and abiding laws were altered and ultimately remade through a new language: a language for the many, spoken by but a few. The French philosopher Jean-Luc Nancy questions the â€Å"legal† practices within a society, specifically in societies that produce new languages and cultures of remembrance in â€Å"The Ground of the Image† (Fordam University Press: annotated edition 2005), â€Å"the image of [genocide] is sacred.†(1) To appeal to officially sanctioned history, an anthropologist perspective of the law is a central element in examining how language has been enlisted throughout the past of any civilization. The work of an anthropologist is to examine how the law has interpreted numerous cultural, historical and political events of varying importance. Further: what is deemed important to be studied and interpreted? In this paper, my study focuses on Simon Bikindi, one of the most famous Rwandan singers, and has two principal aspects. First, I will select and translate some of his Imitoma y’Urwango or â€Å"Language Lyrics of Hate† for the reader to well best appreciate the literariness of the language and its nuances. Second, I willShow MoreRelatedThe Evolution Of The Music Industry1686 Words   |  7 Pages2014). First of all let’s talk about the explicit lyrics with graphic references to sex, drugs, minorities, hate, violence, gays and lesbians that the music industry delivers these days. Should such language be censored or not? Parents are finding it hard to deal with such situation when their children are listening to music they find offensive. This is why Parent Advisory labels was introduced in 1990 to identify music containing explicit lyrics or that including depictions of sex and violence.Read MoreRacial Prejudice And Racial Discrimination1637 Words   |  7 Pagesquestions that still remain unanswered is as such: Why does racial discrimination still exist? What factors take place within the human mind that might cause feelings of hatred and bigotry? What can result from an individual using racially discriminating language? From times predating even the most notable case of as much, pre-Civil War United States American slavery, discrimination has existed in many different forms throughout world history. To date, there is much debate still about what drove early colonistsRead MoreMusic And Its Influence On Society3041 Words   |  13 Pageshas undoubtedly become a decisive aspect of our culture; embedded in the way we learn and grow on a daily basis. Art forms such as music, television and dance dominate our society as an outlet of freedom of speech for humanity. The evolution of music has rapidly exceeded its original classifications, developing new genres with greater appeal to an audience, hence its influence on society has expedited. In recent times, lyrics (specifically rap lyrics) have been introduced into the court room as aRead MoreRap Music Leads to Crime Should Be Labeled a Deviant Behavior1852 Words   |  8 PagesWe need to impose law and sanction authority upon rap music that is verbally racist, demoralizing and abusive. Rap music has played a huge role in this generation for kids, ages 13 to 18 and has powerfully influenced their thoughts as rock music influenced teenagers in the past. The difference is that a lot of rock music talks about love, political activeness, or sometimes the telling of a simple story. All in all rock music for the most part was not as derogatory as rap music is today. SometimesRead MoreEssay On Nigga1174 Words   |  5 Pagesinformal respelling of the word nigger, a term created in the late 16th century originating from the Latin root niger meaning black, unlucky, or dark Even though the usage of the word was negligent to its true meaning, it still holds a place in our language because of not only wanting to cope with the past but it also is a popular slang term in the rap community. When the term nigga is used by the black community, it is in use of greeting other people of whom can, friends and family. BlackRead MoreMusic Lyrics Today3302 Words   |  14 PagesMusic Lyrics Today A major part of popular music has always involved pushing the boundaries of artistic expression. In the music industry today, artists are pushing the limits of what is acceptable. Who benefits from the use of explicit lyrics in music? One can argue that it is an attempt to drive record sales through sparking controversy, but maybe it is just how the artist fully expresses themself. This fine line that divides vulgarity from artistic expression is an issue that has plagued societyRead MoreThe Constitutionality of Hate Speech Essay3494 Words   |  14 PagesIn order to reduce the astonishing number of hate crimes in the United States, the Federal Government should restrict hate speech, and the expressions of hateful ideas, in all its forms, in all places, both public and private. However, it is imperative that hate speech be defined first. Contrary to some opinions, it is possible to accurately define hate speech, because hate speech does not actually have many elusive forms. Hate speech includes fighting words as defined in Chaplinsky vs. New HampshireRead MoreRape Is A Serious Problem2872 Words   |  12 Pagesaccounts have helped make teenagers and other social network users more aware of rape culture. According to the Marshall University Women’s Center, â€Å"rape culture is an environment in which rape is prevalent and in which sexual violence against women is normalized and excused in the media and popular culture† (â€Å"Women’s Center† marshall.edu page 1). Women believe that rape culture is emphasized through arrogant language, women being objectified by men, the overuse of television sexual violence, and teachingRead MoreIce-T Time Warner Case3468 Words   |  14 PagesClifton Smith Business Ethics Nov. 1, 2012 Ice-T and Time Warner Case Amendment I Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances. Ice T s Introduction: This next record is dedicated to some personal friendsRead More Discontent Expressed through Blues, Jazz, Reggae, and Hip-hop5489 Words   |  22 PagesDiscontent Expressed through Blues, Jazz, Reggae, and Hip-hop In cultures all over the world, music can be seen encompassing many aspects of life for many individuals. It is a form of mass communication thatspeaks directly to society as a cultural form, and often reflects a collection and pattern of personal experiences (King 19). Music is so influential because it communicates on three different levels: the physical, emotional, and cognitive. Not only does it operate in a nondiscursive way, by

Leadership Quality of Steve Arnold Samples †MyAssignmenthelp.com

Question: Discuss about the Leadership Quality of Steve Arnold. Answer: Introduction The aim of this report is to assess the leadership quality of Steve Arnold, a production manager at Acne Manufacturing Company in New Jersey. According to the case study, Steve is facing troubles regarding his discipline, communication and punctuality. The first part of this report is to analyse the things that Steve did wrong and what should have been done. The second part identifies the strategies that Steve could do to be more effective as a manager. Wrong Situations and Fixations According to Manning and Roberts (2015), it is required that a good leader should be disciplined. Although Steve was already 35 minutes late for work, he spent extra 20 minutes chatting with his friend George Summers while entering work. Hence, Steve should have kept the conversation really short and precise to avoid further delay. He also forgot about the staff meeting at 9.30 with his boss as he never got a chance to look at the memo that he had received which announced the meeting. Steve should have kept the memo on his dashboard to avoid missing the meeting timings and agenda (Buble, Juras and Mati? 2014). Steve was then late for his pre-scheduled appointment with Mr. Ferris which he claimed to have not found on in his calendar. He then was not prepared with any technical answers to the question asked to him by Mr. Ferris. Clearly, it was required that Steve should have kept the appointments organized and have held some extra room for emergency conversations. Such emergency conve rsations included incidents where Steves co-associate Paul had to discuss some emergency problem in the production schedule by a major equipment breakdown (R?ducan and R?ducan 2014). Moreover, Steve should have kept the lunch meeting shorter as he was expecting an emergency call from his colleague Lucy who was on a strict timeline in training. Steve wasnt able to present quality figures given to him last week for assembling by his boss as he thought that it was important to finish the monthly production data. Here, Steve should have realized that meeting deadlines is an important key factor for an effective leader and hence, he should have worked on his bosss assignment prior to doing anything else. He then got late for his meeting of the plant safety committee and missed a call from Lucy again. Steve is severely suffering from time-management issues and needs to grow discipline in personal and professional life by stepping out of his comfort zone to become a better leader (McCleskey 2014). Effective Leadership Becoming an effective leader is important so that one can manage their employees. In the given case study, Steve lacks discipline, punctuality, organization, co-ordination and communication. He needs to overcome these issues to become an effective leader. Steve must communicate properly when relaying instructions, recapping meetings and doling out company updates. Steve must set goals for every department and shall give them a unified focus and inspire them to be together. It is important to meet deadlines and act within the proper time. The achievable goals must be set and Steve must set deadlines accordingly so that none is missed. Being late hurts relationships, sales, organizational culture and growth of the organization. As a leader, people count on Steve and are dependent on him. Steve can undergo manager training that could teach him the skills of communication, organization and co-ordination (Antonakis 2017). Coaching and mentoring is necessary for building skills and getting feedback. Steve needs to stop multi-tasking where he can focus on one thing at a time. He must delegate responsibilities to different people that shall make him less stressed and focus on being more productive. A list of things to do must be made by setting reminders on phone and computer. Work can be prioritized accordingly. Self-discipline must be practiced by Steve as it shall help him in gaining self-confidence. Clarity, accuracy and thoroughness are the best way to avoid miscommunication and keep your team on the same page (Men 2014). Conclusion Conclusively, in the case study, Steve is seen to be experiencing issues like discipline,time management and communication. Steve must communicate properly when relaying instructions, recapping meetings and doling out company updates. Steve can undergo manager training that could teach him the skills of communication, organization and co-ordination. Steve needs to keep his conversations precise to avoid delay. He must delegate responsibilities to different people that shall make him less stressed and focus on being more productive. References Antonakis, J., 2017. The nature of leadership. NSW: Sage publications. Buble, M., Juras, A. and Mati?, I., 2014. The relationship between managers leadership styles and motivation. Management: journal ofcontemporary management issues,19(1), pp.161-193. McCleskey, J.A., 2014. Situational, transformational, and transactional leadership and leadership development.Journal of Business Studies Quarterly,5(4), p.117. McCleskey, J.A., 2014. Situational, transformational, and transactional leadership and leadership development. Journal of Business Studies Quarterly, 5(4), p.117. Men, L.R., 2014. Strategic internal communication: Transformational leadership, communication channels, and employee satisfaction. Management Communication Quarterly, 28(2), pp.264-284. R?ducan, R. and R?ducan, R., 2014. Leadership and management.Procedia-Social and Behavioral Sciences,149, pp.808-812.

Global Health and Sustainability Hepatitis E

Question: Discuss about the Case Study for Global Health and Sustainability hepatitis E. Answer: Introduction Hepatitis E virus infection is a significant public health concern internationally, and the incidence of people with Hepatitis E is growing day by day. It is a major cause of enterically transmitted hepatitis, and it is turning out to be an endemic in developing countries where it has caused increased morbidity. Millions of people are living with viral hepatitis, and many are at risk of developing the severe chronic liver disease and transmit the infection unknowingly to other people. It is not just confined to travelers returning from the endemic region but also in older men. The major problem identified for its endemic is that it has a poor prognosis due to the existence of other chronic liver disease and being often confused with drug-induced liver injury. Proper treatment also becomes a problem due to uncertainty about the source and route of infection. Due to the endemic, it will be a huge burden on the health care system and will affect people both financially and physically. T here is a particular population which is at more risk of the disease than others. Viral hepatitis has not received the desired attention from global health community. Since the problem has not been addressed in a serious way, it will have its effect on human health worldwide. The proposed solution is to improve the global health treatment model by increasing the testing of hepatitis in the high-risk area, arranging for affordable treatment options, creating awareness about the disease and looking into discoveries of Hepatitis E virus to understand the cause of disease. The global health community should work towards increasing sustainability and resilience of the disease and make it manageable for people. The report will also look into incidences of infection worldwide and develop an evaluation strategy for proposed solution. Hepatitis Hepatitis is a viral infection leading to inflammation of the liver. Different type of hepatitis virus types A, B, C, D and E are responsible for the cause of hepatitis worldwide. It may also occur due to auto-immune disease and toxic substance like alcohol and drugs. All the types of diabetes is a great concern for global health because of the burden of illness and the mortality associated with its epidemic outbreak (Cooke et al. 2013). The epidemiology of the disease, diagnosis, prevention, and treatment process varies for all types of hepatitis. Hepatitis type B and C is the most common cause of liver cirrhosis and cancer. Hepatitis B, C, and D occurs due to parenteral contacts such as infectious blood and other body fluids. Hepatitis A and E are transmitted by fecal-oral route either by the person to person contact or by ingestion of contaminated food or water. All types of hepatitis virus are transmitted through contaminated blood products, a medical procedure using the contamin ated equipment. Hepatitis B is transmitted from mother to baby during birth and by sexual contact. Acute infection leads to symptoms like jaundice, nausea, vomiting and abdominal pain (Rehermann 2013). Since the focus is on Hepatitis E, more detail will be provided regarding it in this section. Hepatitis E virus (HEV) is mostly transmitted through faecal-oral route due to contaminated water or foods. It is a primary cause of hepatitis endemic worldwide and is becoming a significant concern for the global health. Vaccines for HEV infection developed in 2012, but it is not widely available. Humans are a natural host for the virus and areas with poor sanitation are at more risk of hepatitis virus transmission. Consumption of uncooked shellfish has also been identified as the source of disease in the endemic area (Hoofnagle et al. 2012). The incubation period for the virus ranges from 3 to 8 weeks but the period of its communicability is not yet discovered. The virus causes acute sporadic and epidemic viral hepatitis. The symptoms develop after 15-60 days of exposure (Kamar et al. 2014). Symptomatic infection is seen in young adults but in children the disease is mostly asymptomatic wh ich cannot be easily diagnosed. The typical signs and symptoms of hepatitis E are yellowing of skin and eyes (jaundice), dark urine, pale stools, anorexia, enlarged liver (hepatomegaly), abdominal pain, nausea, vomiting, and fever (Crespo et al. 2012). The symptoms are not distinguishable from the symptoms experience in the acute phase of illness. The infection last for 1 to 2 weeks. The disease may lead to fulminant hepatitis which is an acute liver failure in very rare case. Pregnant women are at risk of obstetrical complications, and the rate of mortality is about 20% in the pregnant women. Chronic hepatitis E infection and reactivation of infection is seen in immunosuppressed individuals (Labrique et al. 2012) Although most people recover from the illness completely, the mortality rate is high mainly in pregnant women reaching their third trimester. It can also have grave consequences in patients with preexisting chronic liver disease which results in decompensated liver and death. The mortality rate is high in solid organ transplant patients on immunosuppressive therapy. HEV genotype 1 and two does not cause chronic illness, but a significant number of cases of hepatitis is E progressing to chronic liver disease has been reported (Krain et al. 2014). History of the problem HEV belongs to the genus Hepevirus in the Hepeviridae family. It is a single-stranded positive strand RNA virus. There are four genotypes of HEV. HEV was not recognized as a health concern until the 1980s. Till then all the endemic was related to hepatitis A virus. The development of serological assays proved HEV to be endemic in tropical and sub-tropical countries with major outbreaks reported in India, Southeast Asia, Africa, and Mexico. Most epidemics have been caused by contaminated water following heavy rainfall. HEV infection has been affecting humans for centuries, but it has been recognized as a public threat only in the end of 20th century (Messina et al. 2015). The HEV infection was first clinically described after its outbreak in Delhi in 1955. Later it was characterized on clinically, morphologically, serologically and on molecular levels. After the development of serological and molecular diagnostic tools, it has received global attention. It became the focus of Viral He patitis Prevention Board meeting in Belgium and International Vaccine Institute in Korea. The true global burden of the disease has not been assessed, and international organizations are researching on it. Sequencing of HEV-RNA revealed that genotype 1 and 2 mostly infects humans and genotype 3 and 4 primarily infect humans as well as animals like pigs, boar, deer, etc (Abdelrahman et al. 2015). About 80% patients with HEV infection were reported to have traveled to HEV-endemic countries. So it is self-limiting disease causing significant morbidity and having risk only in pregnant and immunosuppressed person. International travelers are at risk of infection. New vaccines have been introducing, but full assessment regarding prioritization of intervention and allocation of resource is still in progress. It is also crucial to make people aware of not eating raw meat and uncooked sausages (Scobie and Dalton 2013). Global burden of the disease Viral hepatitis is a global health concern. It has caused 2.7 % death worldwide caused due to viral hepatitis and liver disease. HEV infection has occurred both sporadically and in the epidemic. True prevalence is not known it has just been estimated that about one-third of the world population has been infected. Genotype 1 HEV is an endemic in developing region like Asia, Africa, and South America. Genotype 2 HEV is common in the population of Mexico, Chad, and Nigeria. Autochthonous hepatitis E cases of genotype 2 are found in developing regions having high pig population. 17-20 Genotype 4 cases are found in countries like Japan, China, Taiwan and in India (Messina et al. 2015). Hepatitis E is common in regions having problems of water supply and inadequate environmental sanitation. Some of the outbreaks have occurred in areas of conflict such as war zones and refugee camp. The disease is mostly prevalent in Asia, Middle East, Africa and Central America. People living in a temporary settlement after any natural disaster and travelers visiting endemic regions are more at risk of the disease (Bruggmann et al. 2014). According to World Health Organization estimate, 20 million hepatitis E infections, 3 million symptomatic cases, and 56600 deaths has been reported worldwide. Global burden of disease is calculated by a systematic review of disease in the target area. One global burden of disease study showed that HEV genotype 1 and 2 has caused 20 million HEV infection, 3000 stillbirths, and 3.4 million symptomatic cases (Gower et al. 2014). Hepatitis E is common worldwide, but its prevalence is highest in East and South-East Asia. The endemicity report of Hepatitis E in South-East Asia region states that less than 50 % population is exposed to the infection in the eastern region and greater than 90% in the southern region. Eleven member states of WHO comprise South-East Asia region. It has one-fourth of the population living in the area and carries 30% world's total burden of disease (Franco et al. 2012). Every year about 14 million cases of Hepatitis E infection have been reported in the region. It contributes to half of the global burden of disease. In East Asia, the major outbreak has been reported in China (Rein et al. 2012). The seroprevalence of anti-HEV antibody in this region varies from 10 to 50% indicating it as hyper-endemic in the region. The incidence of HEV is more than 25 % of people below 50 years. Hepatitis E outbreak was also reported in the Central African Republic, and the seroprevalence rate is 24% in the Central African Republic. In Central America also Hepatitis E was reported in Mexico in 1980 (Lim et al. 2013). Issues After analyzing the report on Hepatitis E disease and its global burden worldwide, it is necessary to identify issues related to sustainability in the problem. What has lead to the disease becoming a global public health concern needs to be determined. There may be flaws in specific country's health model system. This section will describe the issue that has caused morbidity and mortality worldwide. Inadequate serological assays and global burden data: The Major problem is that there is limited surveillance for Hepatitis E disease and lack of awareness of disease occurrence. No apparent disease distribution is available; all are a just estimation. Seroprevalence of antibodies to HEV is a marker for previous exposure to the HEV (Junge et al. 2013). But getting seroprevalence data is challenging because of lack of comparability of results of different assays and presence of various genotypes with different disease patterns. Sometimes the serological test cannot clearly distinguish between genotypes and no reliable mathematical modeling data to determine the degree of disease burden. The laboratory assay results are generally poor meaning the poor level of diagnosis and many not getting diagnosed on time (Abravanel et al. 2014). Data for policy and action: The exact mechanism of high mortality rate in pregnant women is not known. Persons with the pre-existing chronic liver disease develop severe morbidity post HEV infection. The data for this in developed countries is limited, and there were incidences where the drug-induced liver injury was erroneously diagnosed instead of the real culprit Hepatitis E. So, repeated misdiagnosis is a cause of concern. Countries lack adequate surveillance system, and so evidence-based policy decisions cannot be taken (Everson et al. 2013). Challenges in transmission: Very few WHO member states have policies to provide HEV vaccine at birth and till now only 27% has received the vaccine. Though the vaccine has been introduced worldwide in 179 countries in 2010, still the global coverage of vaccine has not reached the estimated target of 90 %. The vaccine coverage till now is only 75%. Standard precaution for preventing the risk of transmission has not been implemented by healthcare facilities. This has lead to increased risk of transmission due to the negligence of health care. Sometimes this has lead to misdiagnosis of HEV (Spradling et al. 2013). Problems of poor sanitation: Contaminated food and water is the primary source of HEV transmission. Common routes of transmission include- fecal-oral transmission due to contaminated drinking water, food-borne transmission by food products derived from infected animals, zoonotic transmission from animal to humans, transmission through infected blood products and mother-fetus transfer. But currently around 37% of the world population does not have access to proper sanitation facilities and 11% do not have the resource to clean drinking water. So many people are living in unhygienic condition exposed to diseases. In many countries donated blood are not screened for transmissible infection (Singh et al. 2013). Lack of access to proper care and treatment: The health care system is also at fault and has contributed to the endemic. Health care lacks professional competency for diagnosis and treatment. The poor quality diagnostic is mostly seen because of resource limitation and below standard regulatory policies. Reasons for intervention So health organizer has the responsibility to mobilize support and develop a specific strategy to increase surveillance and prevention of HEV. The report on disease burden estimate and global prevalence needs to be improved by arranging for study in endemic and high prevalence areas. This is necessary to know the exact impact of the disease in the vulnerable and risky population. There were defects in serological assay report and mathematical modeling data leading to erroneous diagnosis. This is a great cause of concern. So public health department in different countries needs to support the development of scientific research on the problem. HEV infection is known to occur in the region with an acute shortage of water supply, poor hygiene, and sanitation, so adequate steps need to be taken for cleanliness drive in the country (Nelson and Williams2013). Intervention strategy There should be a national level strategy for the prevention and control of viral hepatitis. The critical framework for developing resilience and controlling hepatitis virus infection should be as follows: The central vision should be to stop viral hepatitis transmission, and the change should be resilience and sustainable. Arranging for proper access to safe and efficient health care environment so that morbidity and mortality associated with the disease could be reduced. For the welfare of the community, there should be efforts to reduce treatment cost and increased surveillance of HEV infection in people. This will reduce socio-economic impact of viral hepatitis both at the individual level and population levels (Franco et al. 2012). Dimensions of intervention After analyzing the key challenges and problems in HEV infection worldwide, the following intervention is needed: Increasing awareness and mobilizing resources: The health professionals and policy makers will play a significant role in raising awareness among the public in endemic regions. WHO and member countries can provide support by mobilizing resource and supporting countries with limited resources (Wedemeyer et al. 2014). Creating an evidence-based policy for reducing the global burden of disease: No proper data on global prevalence of HEV is available. So action should be taken to increase collection of epidemiology data from different countries and analyzing global estimates for viral hepatitis. The government of endemic countries should arrange for conducting countrywide response workshop on the burden of the disease in selected country (Papatheodoridis et al. 2016). Developing methods for preventing virus transmission: Public health agency should promote the expansion of immunization drive across country. Although the vaccine is available vaccine coverage is not adequate. So, medical staff can contribute in protecting high-risk groups against the disease. They should be efforts to implement innovative immunization program and other approaches shortly. Behavioral and structural intervention include encouraging safe blood transfusion and creating facilities for safe food and water in countries and arrangements for proper disposal of sanitary waste (Bennett et al. 2014). Strategies for care and treatment: It is the responsibility of health care department to review treatment guidelines and remodel it according to inefficiency in the previous approach. Every diagnostics and therapeutics should be prequalified, and updated tools should be there for serological assessments. To tackle problems of high-cost treatment, they should develop modern scientific tools and negotiate with suppliers to reduce drug price. In places where the disease is endemic, WHO can play a role in assisting countries in developing national strategies (Curry et al. 2015). Implementation of chosen intervention and science behind it A comprehensive approach for prevention of viral hepatitis includes different levels of prevention. Primary prevention: Steps of primary prevention includes: Increasing availability of HEV vaccines and getting it licensed in countries where it is not available. Increasing awareness of HEV infection in the community. Promoting blood safety strategies by assuring quality-assurance screening of all donated blood samples. Taking infection control precaution in health care and giving training to health care staff related to occupational security measures. Making arrangements for safe food and water which provides protection against HEV infection (Evans 2013). Secondary prevention: Many people living with HEV infection are not diagnosed, and they are often confused with drug-induced liver injury. So early diagnosis is the key to receiving adequate medical support and preventing disease transmission. The advantage of early diagnosis is that it allows people to take precaution against damaging the liver. The precautionary steps for preventing damage to liver includes avoiding alcohol, drugs and tobacco which are harmful to the liver (Nelson and Williams 2013). The introduction of a proper screening test that confirms the diagnosis is essential. Blood donors should be appropriately counseled if reactive results are detected in them. This will provide them opportunities for early diagnosis. Medical support should also be given to an asymptomatic individual who comes to donate blood (Hewitt et al. 2014). Anti-viral drugs against HEV are not readily available. Advances and adequate research in therapeutics will lead to the development of new oral anti-viral medicines. The major focus should be on ensuring access to treatment regimens in lesser developed areas having a resource problem (Lawitz et al. 2014). Delivering intervention to chosen audience Since Southeast Asia is a major region for HEV infection, it has been selected for delivering the intervention. Involvement of WHO member states in Southeast Asia is essential in this regard. They should be encouraged to do a survey that will help them define proportions of hepatitis infection and death cases registered in the country. Implementation of national policy on the screening of pregnant women will be beneficial (Centers for Disease Control and Prevention 2012). The health professionals in Southeast Asia will be adequately trained to develop competencies in treating patients with HEV infection. The essential drugs for treating disease will be effectively delivered in the country. Common drugs that will be readily available will include drugs like lamivudine, interferon alpha, and tenofovir (Hosaka et al. 2013). WHO will assist member countries in developing a national plan for E hepatitis prevention, estimating national burden and increasing viral hepatitis surveillance. No treatment will reduce the course of hepatitis E infection. But is the best approach and primary focus will be on giving treatment to symptomatic pregnant women and asymptomatic individuals in Southeast Asia. They will be provided Ribavirin treatment for 21 days to improve the function of liver enzymes (Charlton et al. 2015). The risk is also high in patient undergoing organ transplant. For treating such patients, immunosuppressive therapy will be reduced to increase viral clearance. If immunosuppressive therapy is not reduced in any patient, then anti-viral therapy will be provided to them. For patients with chronic HEV, ribavirin monotherapy for three months will clear HEV. Pegylated interferon alpha therapy for one year will also lead to sustained HEV RNA in patients who have undergone liver transplantation (Lawitz et al. 2014). In South-east Asia, there is a high level of water contamination due to polluted water and garbage disposal in river water. So the plan is to maintain quality standards of public water supplies and introducing proper disposal system to remove sanitary waste. In National awareness programs in member countries of South-east Asia, the individual member will be made aware of hygienic practices such washing hand with clean water and avoiding water whose purity is not known. To prevent contamination through food, they will be taught to avoid uncooked food (Cosgrove and Rijsberman 2014). Sustainable control steps will be taken by the health department to remove unhygienic water from poor sanitation area. Water hygiene and sanitation in any area is affected by factors like increasing population density, growing demand for water but limited water supply, climate variability and activities like construction of dams, roads, deforestation, agriculture, etc (Gorenflo and Warner 2016). The population density of Southeast Asia is also high, and this has made the region more vulnerable to waterborne diseases. This might also be the cause for the high prevalence of Hepatitis E infection. There is great climatic variability in Southeast Asia. Floods and drought affect water availability and water quality. If there is limited access to water, people is forced to drink contaminated water leading to the endemic. So the plan is to implement sustainable water use which will eliminate the problem. It will teach people to endure situations shortly without compromising on hydrological cycle of eco-system (Bain et al. 2014). For successful implementation of above approach and to reduce the burden disease, the plan is to research on sustainable water management. The plan is to implement water treatment system which serves the purpose of preventing HEV illness. Sustainability plans will be dealt with using interdisciplinary tools that will look into aspects of social, physical and ecology of targeted environment (Dora et al. 2015). An ecological perspective of research will help in understanding how to control transmission. The focus will be on the environmental determinant of HEV infection by increasing anthropogenic changes to the physical environment. The virus is transmitted to the environment by human feces and contact with infected animals (Ford et al. 2014). So, personal level of awareness is also necessary. Many people move about in poor sanitation area, and they are not aware of ways of transmission due to lack of education, underdevelopment, and poor education. So it is necessary to educate the m ass about how the disease is transmitted by this means and giving them knowledge about the interaction between the virus and environmental factors. Once people are aware of the causes of disease, they will themselves take adequate strategy to tackle the problem (Marlow et al. 2013) Conclusion From the whole study, it can be concluded that HEV infection is a global health concern worldwide and appropriate strategy for prevention of the disease is essential to look into the growing incidence of illness and determine preventive strategies in selected population. This briefing report was focused on Hepatitis E infection worldwide, and this briefing document gave detail on HEV infection worldwide. The briefing report was prepared to keep the theoretical framework of sustainability and resilience in mind. The briefing report gave detail on the cause of viral hepatitis and different types of hepatitis virus. It explained the cause of HEV and its associated symptoms. It emphasized on the individuals who at more risk of developing the disease. It gave detailed information about estimated burden of HEV worldwide and its estimated prevalence in the world. It was found that there is no available data for calculating global burden of disease. Since the population chosen for the study is South-East Asia, reports were provided on the mortality and morbidity rate of HEV in South-East Asia. After the detailed analysis of HEV infection worldwide, potential drawbacks and problems in HEV treatment were identified. Based on the challenges and problems faced by health care professionals and patients, intervention strategy for the disease was described. Different level of the surveillance program by the government was described, and it gave detail into how the intervention will be delivered in targeted population. It gave sustainable programs for improving water quality and sanitation in affected area. 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