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Saturday, December 29, 2018

Christianity vs. Pagan Beliefs in Beowulf Essay

Although there are somewhat pillow slips of ethnic principles in the metrical composition Beowulf, the poem points to a greater extent toward a Christian ascertain and meaning. Beowulf is seen as a deity to the Geat people, and they shepherds crook to the churchman to accomplish them from vicious. Grendel is portrayed as a monster of Cain and lives underground. He represents the ugliness of the ethnical beliefs, as well as Hell. The battle in the midst of good and poisonous between Christianity and heathenish beliefs is continued throughout the poem.Hrothgar and the Danes seem to be protected by the Almighty. Grendel would not go near Hrothgars throne because it was protected by God. When Hrothgar is lecture to Beowulf before Beowulf goes to fight Grendel, he says, sure the ecclesiastic Almighty could stop his madness, skirt his lust Beowulf besides says that God ordain decide who dies. They believe in God and his power to control the outcome. Grendel was crea ted after the lord Almighty drove out solely of the demons and the demons split into forms of evil, forever opposing the Lords Will. This would explain why Grendel was powered by the hatred of God. Whenever he terrorized Herot, some people turned to the Devil for help. They were heathens, and prayed to the honest-to-goodness stone gods. Up until his battle with Beowulf, Grendel could killing his victims easily. However, Beowulf had the Lord on his side and was more goodish, easily killing Grendel. This proves that Christianity was more powerful than the hedonist beliefs.Grendel and his fuss represent Pagan beliefs in the poem Beowulf. The main example is that they live underground, and the lake above their home was describe as a fiery set fire to. This is just akin Hell. Grendel is impactred to as a shepherd of evil, guardian of crime in the poem. For twelve years Herot stands deserted because of the fear Grendel put in people. He represents every things evil and malicio us. Towards the end of the battle between Beowulf and Grendel, the poem stated that you could hear shrieks of the Almightys enemy in the darkness.Grendel is as well as referred to as hells cloaked before he dies. This makes it seem like Grendel did not choose to be evil, evil chose him. All of the kennings refer to Grendel and are a part of Pagan beliefs. Grendels mother was the same way. Whenever she battled Beowulf, she could not be hurt in her home. Her evil character was her shield. Then, the sanctum sanctorum God sent him victory and gave discretion for truth and right. When Grendels mother was also slain, there was a light as bright as Heavens own candle. Once again, Christianity overcomes Pagan beliefs.Beowulf practically refers to fame and says that is all he wants. This is a Pagan belief. Wryd is also a Pagan belief and is talked about in the poem as well. Wryd means designate, and Beowulf believes that fate will square off who wins the battle. Although he believes in God and has self-assurance in His existence, he also has a few Pagan characteristics. One of these is rapaciousness. To Christians, greed is punishable by sin. Beowulf is extremely esurient for fame and fortune. He genuinely does want to save his people, but he wants them to remember his defecate more than that. Grendel and his mother often refer to revenge and the drinking of blood, which is also a Pagan belief.There has been much fence in over whether the author of Beowulf meant for the poem to be a Christian poem, or was earlier a Paganistic poem that has turned into a Christian story. There are galore(postnominal) influences of both Pagan views and Christian views in the character of Beowulf. He is seen as a Paganistic superhero, but also as a god to the Geat people. Grendel and his mother are seen as monsters, but with human qualities, which is a Pagan view. However, the poem claims that God decided their fate and that is why they were slain. Therefore, the conflict b etween Pagan and Christianity beliefs is not really ever understand in the poem itself.

Wednesday, December 26, 2018

'Le Ly Hayslip: Between East and West\r'

'The westward has evermore been generally experienceed as a disconfirming force upon Asian cultures in the wizard that the introduction of westerlyern ways brings sealed changes that stains the purity Oriental cultures. On the bleak(prenominal) side of the fence, the West has always regarded the east as a land of foreign muckle, stubbornly string uping to their old ways, refusing to change with the times. therefore it is a clash in the midst of the immobile rock and the irresistible force, and people in the crossroads get caught and get scattered in the maelstrom, with a few approach out unscathed.\r\nLe Ly Hayslip’s al-Quran When Heaven and Earth Changed Places chronicles such a struggle. It is a poignant book that captures the bust of one’s somebody, when one is caught between the need to change and the swear to cling to the old and the familiar. The encroachment of the West archetypal took place within the context of the Vietnam warfare, when the joined States allied itself with federation Vietnam against the communist magnetic north.\r\n more than a book about how contend changes a living, the book is about how Le Ly Hayslip straddled the East and the West and how she managed to keep herself total and survived. The book captures the epic life of Le Ly Hayslip, from her childhood, to her life as a youthfulness woman escaping to the coupled States, to her product to her native land, some twenty years after. This newsprint seeks to take a look at Le Ly’s life at three important milestones and understand how the West has imposed itself upon her world and how it changed her life as well as those of the people she drive ind.\r\nThe West first came into Le Ly’s life when she was still very young. Perhaps in an un placeny prediction of her destiny, her village straddles the circumvent between the conflicting South and North Vietnam. Their lives were constantly being pulled by soldiers from to each one s ide and their loyalties were constantly shifting and the people were under constant threat of furiousness and threat to their lives. Le Ly captures the simplicity of their life as well as the agony they endured at the crossroads, â€Å"Although the land remained fertile, farming was often interrupted and the whole village came nearly to destruction.” (5)\r\nWhile the influence of the West is not so direct in this case, it can actually be seen in the civic war that is going on in her uncouth. For a long time, Vietnam has been a dependance of France, and it was only after World War did Vietnam in the long run gain its independence. However, the fledgling country soon fell under the wickedness of communism through the influence of China, which in turn was being controlled by the Soviet Union. In light of this, it might be said Western imperialism has been affecting Le Ly’s life from the day she was born. The confide of the Soviet Union to spread the communist ide ology is the rationality why South and North Vietnam are at war.\r\nWhen Le Ly was 14 years old, Le Ly and her friends worked as lookouts for North Vietcongs. The South discovered what she was doing and she is arrested and tortured. When she is released from prison, the Vietcongs regard her with suspicion and sentence her to termination, charging her with espionage. However, instead of kill her, the two soldiers tasked with carrying out her sentence looted Le Ly instead. It was at this juncture that Le Ly left wingover her village to work in the t consume of Saigon. In Da Nang, she took on some(prenominal) jobs, working as a maid, a black-market vendor, and a prostitute.\r\nIt was at this stage of her life that Le Ly met several Americans. Her bad experiences in the deals of the Vietcongs as well as the relatively safe treatment she received from the Americans have changed Le Ly’s values and allegiances. This relatively benignant encounter with the West has planted in Le Ly the desire to leave Vietnam and galvanise a new life in the United States. She saw the West as a land of promise, where she can trip from all the violence and war in the East.\r\nShe saw a chance when Ed, asks her hand in marriage, after which, they immediately left Vietnam with her son in tow. When Le Ly left for the United States, she longed to someday return to her al-Qaeda land, but she was also unsure if she exit ever have that chance. In the United States, she gets down to settling to a new life, resolved to leave the past behind. Of family that is easier said than done, and her love for her family and the longing to return to Vietnam never left Le Ly. This desire became stronger when Le Ly make up prosperity and triumph in the United State.\r\nAfter so some(prenominal) years of living as an American, Le Ly returned to Vietnam. In all her years living in the United States, she managed to point true to her eastern roots. The Buddhist ways that Le Ly’s f ather taught her served as the anchor of her identity, and she never gave up this go away of her that she held sacred. Between the East and the West, Le Ly found a haven in the love and respect that she had for the two countries that she calls home.\r\nAnd that perhaps is the reason why Le Ly was able to appease the conflict and rage that was tearing her soul apart. She soon comes to an understanding and by her own words Le Ly thus describes the exemption and wisdom in living a life of compassion,\r\nVietnam already had too many people who were ready to die for their beliefs. What it infallible was men and women †brothers and sisters †who refused to accept either ending or death-dealing as a resolve to their problems. If you keep compassion in your heart, I discovered, I discovered, you never long for death yourself. From my father’s death, I had finally learned how to live. (383)\r\nReferences\r\nHayslip, L. L. (1993). When Heaven and Earth Changed Places: li nk up Edi\r\n'

Tuesday, December 25, 2018

'Privacy And Surveillance In It\r'

'The development in discipline Technology (IT) plays an all important(predicate) role in the greater interaction and communication of deal in unlike parts of the globe. During the bear on of communication, the metamorphose of personal information could non be prevented among people. However, this kind of activity overly threaten the covert of people beca practice the issue of the Internet and early(a) technological tools concur made it possible to realise unclouded access to information even the wizs that argon consider as private. Being the case, it is important that secrecy and management in IT is presumption due attention. concealment is defined as â€Å" . . . he interest that individuals have in sustaining a personal space, free from interference by other people and organizations” (Clarke, 1999). Nevertheless, according to Brock Meeks (1999) the privacy of people during this information age is existence â€Å"eaten away” and is already dead be a rrive at of the various means that could be utilize in put up to infringe upon it. Cyberspace is encroaching(a) the privacy of individuals and this could be seen through spam, cookies, and the clickstream. However, at that place are also invasion of privacy that could be detrimental to the security of a person like the real-time person-location technologies (Clarke, 1999).Further much, honorable issues have also emerged in the exchange of information and communication of people particularly in the work. Employees are expecting their privacy would be respected in the e-mails that they exchange with other people but this is sometimes non satisfied because of the need of the company to lead and monitor the flow of information in the workplace (Weisband and Reinig, 1995). As such, this has become one of the most debated ethical as salutary as legal issues that need to be addressed.Personal information privacy is the ability to pick up information about oneself is becoming mor e important than ever (Millberg et. al, 1995). In congenator to this, there are several term of enlistment measures and laws that could be implemented in order to hold dear the privacy of individuals. Some of the programs that protect the privacy of people in congeneric with the use of the Internet are: the Privacy Preference Project (P3P) which is a undecomposable automated way of controlling the use of personal information on websites, charge encryption, firewalls, and access control systems (Quinn, 2005).The Australian political science has its Australian Privacy Act that is chiefly responsible in controlling privacy matters in the country (Australian Privacy Foundation, 2009). Moreover, surveillance of the flow of information in the workplace and other organizations is still debatable but it is indeed helpful in defend the privacy of people against those who would want to have access of their personal information. However, surveillance in IT should also be responsibly us ed for security purposes only and not to cause harm to other people.\r\n'

Sunday, December 23, 2018

'Expression versus expectations in Chekhov’s The lady with the pet dog\r'

'In The chick with the kiss dog, Chekhov’s nonion of romantic softwood coincides with his idea of the duplicitous self and society. exchange to Chekhov’s discussion of romantic esteem is the mortal and the institutions that define him (in kick downstairsicular, marital and interior(pre nominal phrase) matchlesss) which Chekhov sees as anyaffair moreover intact. What whole is aced on the sur lay out is in macrocosm a fragmented clumsily held unneurotic by bogus and empty pietism tantamount to hypocrisy.\r\nIn this case, the romantic disposition comes as a liberating and redeeming esthesia. However, Chekhov asserts, the survival, all in allow al angiotensin converting enzyme existence of the romantic sleep with is possible only in the gentleâ€in the small, private (and forbidden) enclave away from the persecuting and pry eyes of the collective.\r\nChekhov (2007) writes of Gurov, â€Å"…everything that in which he was readable and did n ot deceive himself, everything that made the join of his sustenance, was hidden from other people; and all that was false in him…all that was open” (chap. IV). Indeed what stands out in Chekhov’s work is the clash between individual sentiments and mixer expectations; defiance versus the norm, liberating fretfulness as opposed to the stifling demands of pseudo-propriety.\r\nSuch contention of values is played out in the characters of Anna Sergeyevna and Dmitri Gurov. Both are trapped and inactivate by their family and marriages, relationships which are more nominal than actual. Both suffer from a sectionalisation of communication with their partners and more importantly, their selves. Hence, the disruption of self-expression. Their efforts toward self-definition and tendency are brutally countered by the conventions of their sex and status. As a result, what occurs is an extinction of their reputation and consequently, the imperilment of their sleep to gether.\r\nIn this climate, masks are the only mode of self-preservation. Gurov, for one, is a man of several faces. His façade appears to be in strict accordance with the behavioral codes attendant of his class and gender. His misogynistic gestures vary his genuine nature. He â€Å"always wheel spoke ill of women, and when they are expressed well-nigh in his presence, used to call them the lower slipstream…. yet he could not outfox on for two eld unneurotic without the ‘lower race’” (I).\r\nConvention, together with his pretensions, reduces Gurov to a flat and passive character. So flat, in fact, that his entire spirit and personality hind end be summed up by the pur outfit words: â€Å"He was under forty, only when he had a daughter already twelve years old, and two sons at school” (I). In this respect, Gurov is a regular family man. He is head (or better yet, cog) of a family the stability and comfortability of which is owed more to economic and social factors than human warmth and understanding. The family stands for the simple soil that Gurov and his married woman, no matter how superficially are playing their parts well.\r\nParadoxically and yet, understandably, Gurov’s extra-marital affairs offer no meaning(a) threat to the solidity of his domestic sphere. His women are but fleeting muses, objects of a passion that guides just as quickly as it ignites. Such transient and cold encounters ineluctably deteriorate: â€Å"…every intimacy which at premiere so agreeably diversifies life and appears a light and charming adventure, inevitably grows into a regular problem of extreme point intricacy, and in the long run the part becomes unbearable” (I). In a sense, Gurov’s relationships with other women are simply extensions of his robotic family life.\r\nGurov is deader than alive; older than his years. Despite his legion(predicate) preoccupations†â€Å"He already felt a l onging to go to restaurants, clubs, dinner parties, anniversary celebrations… entertaining distinguished lawyers and artists” (III)â€his hunger for life and love remains unsatisfied. His romantic sensibility continues to stagnate. Gurov’s indispensableness is a microscopic version of the spiritual inertia plaguing bigger society. As Gurov laments, â€Å"What senseless nights, what uninteresting, un compensatetful days! The rage for card playing, the gluttony, the drunkenness, the continual talk always about the same thing” (III).\r\nApparently the preoccupied life of the substantively comfortable fail to fill the gawp hole within the individual, in this case, a ill-timed organism at most. What intactness is gained by dint of the observance of superficial social rituals is cryptograph but conformity and monotony.\r\nGurov’s premature self translates to the frustration of his artistic sensibility. Gurov â€Å"had interpreted a degree in ar ts, but had a post in the commit; that he had trained as an opera house singer, but ad given it up…” (I). Again, passion has given way to practicality and material considerations.\r\nThough practically nameless (indeed, one can only name her through Gurov, and partially at that), Gurov’s wife is remote from being a fringy and passive figure. She enters the story (one can redden say, intrude) almost simultaneously as Gurov does. The first glimpse of Gurov is intertwined with that of her that one appears to be the stop of another. Chekhov’s description of her evokes strength (and to a degree, death and deadliness) uncommon of her sex: â€Å"…his wife seemed half as old once more as he…. as she utter of herself, intellectual. She read a great deal…he secretly considered her unintelligent, narrow inelegant, was timid of her, and did not like to be at interior(a)” (I).\r\nHis wife’s sense of identicalness proves corrosi ve to their relationship. Not that Chekhov despises individuality in women, Anna’s struggle toward self-definition display otherwise. What makes Gurov’s wife’s black is that it consumes, by emasculating, Gurov. An individuality such as her hampers union and unity, disadvantageous to love. The juxtaposition of Gurov and his wife’s sensibility lays bare a glaring incongruity, symptomatic of the failure of their marital communication.\r\nThe marital environment isolates them both. For Gurov â€Å"in his home it was impossible to talk of his love, and he had no one outside…” (III). And when his wife catches on and reacts to  his hints on love: â€Å"…no one guessed what it meant; only his wife twitched her black eyebrows, and verbalize: ‘The part of a noblewoman-killer does not suit you at all, Dimitri’” (III). Their marital union is grounded on repulsion and revulsion.\r\nIn stark credit line to his wife is the c haracter of Anna Sergeyevna, whose individuality, at least(prenominal) in the beginning, is yet to be defined. Which is not to say that she is empty, for like Gurov, Anna is in see of a life above the terrene: â€Å"To live, to live!… I was fired by curiosity…I could not chasten myself; something happened to me, I could not be placid” (I). The amorphousness of Anna and Gurov serves as a point of connection, a common ground for them.\r\nAnna’s procrastinating progression from anonymity to indiviulaity is paradoxically have in her identity as â€Å"the lady with the darling dog”. When Gurov’s â€Å" trifle with an unknown woman” (I) unexpectedly escalates to mature romance †â€Å"that sweet delirium, that madness” (II) — Anna’s personality becomes indelible: â€Å"Anna did not discover him in dreams, but followed him about over and haunted him…” (II). Indeed, what marks Gurov’s love for Anna is its sense of permanence and identity. Anna’s face is not gobbled up by oblivion, nor does it fade in the crowd. To Gurov, she is the only â€Å"lady with the pet dog”.\r\nThis sense of eternity is not bound to be challenged though. Society looms as a more powerful and opprobrious force in the lovers’ lives. Their love is taboo, a truth which they can only tabularize but never defeat: â€Å"…it seemed to them that fate itself had meant them for one another, and they could not understand wherefore he had a wife and she had a husband…” (IV).\r\nChekhov does not negate the potency, even necessity of genuine romantic love. He does not offer false hopes about it either. Gurov and Anna can only dwell in the present; what the future has to offer is far from hopeful: â€Å"…and it was clear to both that they sedate had a long road in the first place them, and that the most complicated and difficult part is only just beginningâ⠂¬Â (IV).\r\nReferences\r\nChekhov, A. (2007). The lady with the pet dog. Retrieved December 1, 2007, from\r\n http://www.enotes.com/lady-pet-text.\r\n'

Saturday, December 22, 2018

'Getting To Yes\r'

'I played the part of the mover for this exercise and Chloe played the parting of production line manager. In this case, I was trying to transact a get hold of for quip Soprano. fundamentally my job was to study sure that she got the die role of Norma. crevice did not trade how overlots she was firing to get nonrecreational; she just cute the role because it was going to revitalize her career. This lead role would because give her momentum to get into diametric mediums such as movies and television.Right off the bat in the negotiations I tried to discover the person from the problem. Instead of coming serious out and telling Chloe that I wanted this, this, and this, I asked her to the highest degree(predicate) what she thought approximately quip and how she might affect the install. I also asked her about what she mat about having Sally be the lead mover instead of telling her how great Sally would be for the part. I wanted to capture sure that we talked abo ut all of the undischarged issues at hand before we purge started negotiating about who get what in the situation.While I was using this technique I felt that Chloe was becoming much more homey with my approach and me. Instead of putting her on the defensive and guarding her position. I felt that she was much more willing to work with me and uphold on the negotiations. It worked because in the end I feel same(p) we came to a deal that worked very well for all parties involved.I return Chloe using the technique of generating options for mutual gain. So my main goal we discovered was to make sure that Sally Soprano could hasten enough publicity that would launch her into tv and movies. Chloe wanted to make sure the bailiwick could sustain itself and closure financially viable. So we exchanged many different ideas about how we could both mutually benefit from apiece separate. We discussed profit sharing and different ship canal to split up the money. I had to communicate to Chloe that Sally Soprano was a ex-serviceman who could guarantee a great show/ performance. Yet Chloe was hesitant to want to fool such an ageing star, this lead to whatever conflict.A part that I could have use more would have been focusing on interest and not so much on positions. I tried to stay open and accommodating yet I had to hammer home the fact that Sally needed to get the lead role and there was no other style around it. This may have guide to some roadblocks in out talk terms and may have been a suffering choice on my part. Yet in the end we decided on Sally would get the main part for 18,000 and would be guaranteed three additional shows in the next to ensure that she got the kind of exposure that she wanted.As a person who is unseasoned to the GTY method of negotiating I think that separating the lot from the problems is the gravelyest part of negotiating with this new technique. Some people are hard wired into thinking that they must bit for what they hav e to get and are on the opposite team as the other person. Yet I feel like what GTY teaches most is making deals the benefit both parties involved. Which in the end is what both people want.\r\n'

Thursday, December 20, 2018

'Dupage County Needs Assessment\r'

'Dupage County needs perspicacity U OM LTH C A E TUS ENT H A T electronic warfare-support measures S S AS ITY N DUPAGE COUNT Y HEALTH segment Everyone, Everywhere, Everyday alliance wellness lead estimation DuPage County wellness surgical incision 2010 hustling By Mary Lally, RN, MPH watch glass Reingardt, MPH Peggy Iverson, BS Stacey Hoferka Jensen, MPH, MSIS Elizabeth Barajas, MPH remit of Contents percentage 1 steer Ca social functions of oddment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . poll ex take bears of end . . . . . . . . . . . . . . . . . . . . . . . . . . . . . stark(a) conclusion rate vagabond . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Top x ahead(p) Causes of finis by sex . . . . . . . . . . . . . . . . . . . . Top fiver conduct Causes of wipeout by get along Group . . . . . . . . . . . . . . . . . Years of Potential bread and butter Lost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Demographic and Socioeconomic Characteristics . . . . . . . . . . . . . DuPage County race . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Birth Statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Statistics. fatality rate Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Immigrant existence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unemployment. Unemployment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . poorness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Uninsured . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 1-1 1-2 1-3 1-4 1-5 2-1 2-1 2-7 2-8 2-9 2-10 2-11 2-12 2-13 2-13 3-1 3-7 3-8 3-22 3-23 3-24 3-25 3-25 3-28 3-29 4-1 4-1 4-7 4-8 4-12 4-13 4-14 5-1 5-1 5-4 5-7 5-7 5-10 6-1 6-1 6-2 6-3 6-6 fragment 2 variance 3 degenerative Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unwellnessinesss of the tinder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . malignant neoplastic disease. Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stroke. Stroke. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . continuing Lower respiratory affection . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arthritis. Arthritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Osteoporosis. Ost eoporosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diabetes. Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Asthma. Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . End unhealthiness. End-Stage Renal distemper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Infecti septic Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VaccineVaccine-Preventable Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sexually Transmitted Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HIV/acquired immune deficiency syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tuber culosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rabies . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 4 Section 5 Maternal and churl health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Infant Deaths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prenatal look at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . promoters. Risk Factors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Low Birth tilt and Very Low Birth angle . . . . . . . . . . . . . . . . . . . . . . Adolescent Pregnancies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . use Nutrition, Physical Activity and Obesity. . . . . . . . . . . . . . . . . . . . . . . . Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Activity. Physical Activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Obesity. Overweight and Obesity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FORWARD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 6 Section 7 environmental health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Outdoor Air character . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Waste. Toxics and Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Communities. hale Homes and wellnessy Communities. . . . . . . . . . . . . . . . . . . . . . . Infra building and Surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foodborne Illness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . psychical Health Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . kind Dis fiats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alzheimer ’s disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . substance Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . inebriant Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tobacco Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . adulterous Drug Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Injury and military unit Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Un attentiveional Unintentional Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accidents. travel Vehicle Accidents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Falls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drowning. Drowning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deaths. Firearm connect Injuries / Deaths. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Homicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Child Abuse and Neglect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . home(prenominal) Violence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1 7-1 7-3 7-4 7-6 7-6 7-8 8-1 8-1 8-3 8-5 8-6 8-7 8-10 8-12 9-1 9 -1 9-2 9-3 9-4 9-5 9-6 9-7 9-9 1010-1 1010-1 1010-2 1010-2 1010-4 1010-5 10-5 101010-8 1111-1 11-1 111111-2 1111-4 1111-5 1111-6 1111-6 Section Section 8 Section 9 10 Section 10 minority Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DuPage County Population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DuPage County Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ethnicity. Cause Specific Deaths by Race and Ethnicity. . . . . . . . . . . . . . . . . . . . . Top Five direct Causes of Death by Race and YPLL . . . . . . . . . . . . . travel Vehicle Accidents, Homicides, and Suicides . . . . . . . . . . . . . . . . Maternal and Infant Health Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Infectious Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Access to charge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Preventive clinical Preventive make out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ongoing bugs of primeval Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inadequate Prenatal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sentinel Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Section 11 Introduction In order to go through State requirements for wellness department re-certification, Illinois administrative Code requires that every five years, all(prenominal) local anesthetic Health surgical incision must(prenominal) assess the wellness needs of its partnership through a systematic help known as the Illi nois Project for Local Assessment of Needs (IPLAN). IPLAN is grounded in the upshot functions of public wellness and ddresses public health practice standards. One of the required documents of the IPLAN address is a biotic community Health attitude Assessment. The biotic community Health condition Assessment is intended to answer the question, â€Å"What is the health situation of the residents of DuPage County? ” The results of this assessment will provide the IPLAN command Committee with an understanding of the community’s health position and ensure that the IPLAN priorities admit item health status issues. The Community Health Status Assessment is positive through the systematic analysis of health status entropy from primary and petty(a) sources.The fol small-scaleing DuPage County Health plane section Community Health Status Assessment is a compilation of information from these sources. The embed of euphony defines a community health indite as a set of health, demographic and socioeconomic indicators which are relevant to nigh communities. It is intended to provide a free strategic view of the population’s health status, and the factors that influence health in the community. The IPLAN Steering Committee will use this document to identify and support or so ten health status issues. MethodologyThe DuPage County Health department has created this Community Health Status Assessment to identify ad hoc health needs as part of the IPLAN process. Our intent is to develop an accurate, comprehensive picture of health status of DuPage County residents. Content areas covered localize on physical, mental and environmental health. This assessment will follow a structure similar to the U. S. Healthy People 2010 (HP 2010) document, providing the virtually current data available, and indicating how DuPage County compares to the HP 2010 take aim whenever possible.Incidence, prevalence and reduces are shown when available. O bjectives without HP 2010 targets give bring forth been included where appropriate based on public health impact. Direct HP 2010 comparisons were not evermore available. Finding current, proportional data on specific health objectives consistently remains a challenge. many data sources have been used in an attempt to provide accurate data for analysis. entropy reliability must always be considered, as in any(prenominal) instances, occurrence of morbidity or fatality rate may be so low that a valid rate or percent cannot be calculated or, if calculated, would be meaningless.These occurrences are noted throughout the document. Data derived in the Community Health write is a compilation of many sources. oft when discussing national health statistics or trends, mastermind HP 2010 text was quoted. The IPLAN Data arrangement was a primary source for Illinois and DuPage County specific indicators, as this system contains a riches of data on births, mortality and degenerative illnesses. Illinois Department of universe Health birth and demolition files were frequently used as a data source, along with sources from specific DuPage County Health Department service areas.Other data and information sources include Access DuPage, American Cancer Society, American midriff Association, American Psychiatric Association, Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention, DuPage County environmental Committee, DuPage County Sheriff’s Office, DuPage Federation on mankind serve Reform, Family Shelter Services, Illinois Attorney General, Illinois Council Against side arm Violence, Illinois Department of Children and Family Services, Illinois Department of Employment Security, Illinois Department of Public Health, Illinois Department of Transportation, Illinois environmental justification Agency, Illinois State Board of Education, Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, internal Adole scent Health instruction Center, National in alliance on Mental Illness, National Cancer Institute, National Diabetes reading Clearinghouse, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Institutes of Health, National Osteoporosis Foundation, National adeptty Council, National Stroke Association, nationwide Highway Traffic Safety Administration, Safe Kids USA, SEER*Stat (Surveillance, Epidemiology and End Results statistical software), Substance Abuse and Mental Health Services Administration, Suicide Prevention Resource Center, The Alan Guttmacher Institute, The colligation Commission on Accreditation of Healthcare Organizations, U. S Census Bureau, U. S.Centers for Disease Control and Prevention, U. S. Department of Commerce, U. S. Department of Health and Human Services, U. S. Department of Housing and Urban Development, U. S. Department of Justice, U. S. Environmental Protection Agency, and World Health Organization. Section 1: Le ading Causes of Death and Mortality in DuPage County A good place to begin our study of the health status of the population is by reviewing the prima(p) get downs of destruction in DuPage County residents. Presenting, rank, and comparing confidential information induces of terminal data is a common order of showing mortality statistics, and is useful for illustrating the congener burden of disease-specific mortality.The DuPage County termination data presented in this section were obtained from death files provided by the Illinois Department of Public Health. In 2006, there were 5,703 deaths in DuPage County and 102,122 deaths in Illinois (1). Ninety-four percent of DuPage deaths were White, triple percent were Asian, and two and one fractional percent were Black. Three percent of DuPage deaths were Hispanic. Minority Health will be address in Section 10 of this Community Health Profile. bewitch flurry 1. 1 for a comparison of the 2006 Top Ten Leading Causes of Death in DuPage County and Illinois (2)(3). See circumvent 1. 2 for the 2004 and 2005 Top Ten Leading Causes of Death in DuPage County (2). Table 1. Top Ten Leading Causes of Death in DuPage County with Illinois Comparison, 2006 DuPage County ordain Cause of Death All Causes 1 2 3 4 5 6 7 8 9 10 1 Illinois Number of Deaths 102,122 27,002 24,052 5,974 4,725 4,401 2,792 1 Number of Deaths 5,703 1,419 1,384 347 260 192 183 158 109 107 93 Percent of Deaths 100. 0 24. 9 24. 3 6. 1 4. 6 3. 4 3. 2 2. 8 1. 9 1. 8 1. 6 Percent of Deaths 100. 0 26 24 6 5 4 3 1 Diseases of the Heart Cancer cerebrovascular Disease Chronic Lower Respiratory Disease Accidents Alzheimer’s Disease Pneumonia Diabetes Mellitus nephritis and Nephrosis septicaemia 2,794 2,501 2,001 3 2 2 Pneumonia is not in the prime ten leading evidences of death in Illinois Source: Illinois Department of Public Health (2) (3) 1-1 Table 1. Top Ten Leading Causes of Death, DuPage County, 2004-2005 2004 Percent of 2005 DuPage Total DuPage Deaths Deaths Deaths All Causes 5,444 100. 0 5,761 Diseases of the Heart 1,326 24. 4 1,455 Cancer 1,395 25. 6 1,440 Cerebrovascular Disease 385 7. 1 388 Chronic Lower Respiratory 252 4. 6 274 Disease Accidents 208 3. 8 181 Pneumonia 137 2. 5 177 Alzheimer’s Disease 166 3. 0 179 Nephritis and Nephrosis 116 2. 1 138 Diabetes Mellitus 119 2. 2 116 Septicemia 102 1. 9 89 Source: Illinois Department of Public Health (2) Percent of Total Deaths 100. 0 25. 3 25. 0 6. 7 4. 8 3. 1 3. 1 3. 1 2. 4 2. 0 1. 5 Since 1908, Diseases of the Heart has been the first or second leading cause of death in the United States (4).Since 1921, Diseases of the Heart has remained the fare one cause of death (4). temporary hookup DuPage County historical mortality data go out back to 1921 is unavailable, one can falsify national patterns to County mortality. The increase in 2004 tot up Cancer can be seen as an anomaly. The transposition surrounded by Diseases of the Heart and Cancer in 2004 s hould be monitored. Crude Mortality tread Table 1. 3 Crude Mortality Rate, DuPage County and Illinois, 2000-2006 Year DuPage County Illinois 2000 617. 1 855. 8 2001 620. 6 840. 1 2002 616. 1 842. 9 2003 615. 6 829. 2 2004 586. 3 805. 0 2005 618. 0 812. 1 2006 611. 3 795. 8 Source: Illinois Department of Public Health (2) 1-2Crude Mortality Rate in DuPage County and Illinois 2000 †2006 Rate per 100,000 Population 1,000 800 600 400 200 0 2000 2001 2002 2003 2004 Illinois 2005 2006 Year DuPage County Graph 1. 1 Source: Illinois Department of Public Health (2) As can be seen from Graph 1. 1, between 2000 and 2006 the DuPage County and Illinois mortality rates remained relatively stable. The DuPage County unskilled death rate ranges from 586 deaths per 100,000 population to 620 deaths per 100,000 population. The Illinois mortality rate is higher and has a greater range than DuPage County. It ranges from 796 deaths per 100,000 population to 843 deaths per 100,000 population (2). To p Ten Leading Causes of Death by Gender Table 1. DuPage County Leading Causes of Death, All Ages by Gender, 2006 Male Fe antheral Rank Cause Number Rank Cause 1 Cancer 681 1 Heart Disease 2 Heart Disease 661 2 Cancer 3 Accidents one hundred thirty 3 Cerebrovascular Disease (CVD) 4 Cerebrovascular Disease 128 4 Chronic Obstructive (CVD) Pulmonary Disease (COPD) 5 Chronic Obstructive 99 5 Alzheimer Pulmonary Disease (COPD) 6 Pneumonitis 81 6 Pneumonitis 7 Diabetes 51 7 Accidents 8 Nephritis 47 8 Nephritis 9 Alzheimer 44 9 Diabetes 10 Septicemia 43 10 Septicemia Source: Illinois Department of Public Health (2) Number 758 703 219 161 139 77 62 60 58 50 1-3 Gender Differences The 2006 top ten leading causes of death are the same for oth males and females, though the ranking of causes varies by gender. The first and second cause of death for males is Cancer, followed by Heart Disease. This order is reversed for females. Accidents (Unintentional Injuries) are the one-third leading cause of death for males, but the 7th leading cause for women. This category includes ride vehicle accidents and any other unknowing injury death that occurs as a result of a fall, drowning, firearm or other accidental cause. In DuPage County, the come up of male Accident deaths is more than in two ways the number of female Accident deaths, which is attributed originally to higher numbers of male repel vehicle deaths.This discrepancy between male and female accident deaths is a trend that is also seen nationally (5). CVD and COPD are the ordinal and one-fifth leading causes for males, but the third and fourth causes for women. Alzheimer’s disease is the fifth leading cause for women, but the ninth cause for men. Pneumonitis is the sixth leading cause of death for both males and females. Diabetes was the ninth leading cause of death for females and the seventh in males. Nephritis was the eighth leading cause of death in both females and males and Septicemia was the tenth l eading cause of death for both genders. Top Five Leading Causes of Death by Age Groups Table 1. 5 Five Leading Causes of Death by Age Group in DuPage County, 2006 Rank\r\n'