How Observational Learning Affects Behavior

How Observational Learning Affects Behavior Theories Cognitive Psychology Print How Observational Learning Affects Behavior By Kendra Cherry facebook twitter Kendra Cherry, MS, is an author, educational consultant, and speaker focused on helping students learn about psychology. Learn about our editorial policy Kendra Cherry Medically reviewed by Medically reviewed by Steven Gans, MD on May 22, 2017 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on September 06, 2019 More in Theories Cognitive Psychology Behavioral Psychology Developmental Psychology Personality Psychology Social Psychology Biological Psychology Psychosocial Psychology In This Article Table of Contents Expand Overview Examples Influential Factors Real-World Applications Link to Violence Positive Uses View All Back To Top Observational learning describes the process of learning through watching others, retaining the information, and then later replicating the behaviors that were observed. There are a number of learning theories, such as classical conditioning and operant conditioning, that emphasize how direct experience, reinforcement, or punishment lead to learning. However, a great deal of learning happens indirectly. For example, think of how a child watches his parents wave at one another and then imitates these actions himself. A tremendous amount of learning happens through this process of watching and imitating others. In psychology, this is known as observational learning. Observational learning is sometimes also referred to as shaping, modeling, and vicarious reinforcement. While it can take place at any point in life, it tends to be the most common during childhood as children learn from the authority figures and peers in their lives. It also plays an important role in the socialization process, as children learn how to behave and respond to others by observing how their parents and other caregivers interact with each other and with other people. Illustration by Brianna Gilmartin, Verywell How Observational Learning It Works Psychologist Albert Bandura is the researcher perhaps most often identified with learning through observation. He and other researchers have demonstrated that we are naturally inclined to engage in observational learning. In fact, children as young as 21 days old have been shown to imitate facial expressions and mouth movements. 1:42 Basic Principles of Social Learning Theory If youve ever made faces at an infant and watched them try to mimic your funny expressions, then you certainly understand how observational learning can be such a powerful force even from a very young age. Banduras social learning theory stresses the importance of observational learning. Bobo Doll Experiment In his famous Bobo doll experiment, Bandura demonstrated that young children would imitate the violent and aggressive actions of an adult model. In the experiment, children observed a film in which an adult repeatedly hit a large, inflatable balloon doll. After viewing the film clip, children were allowed to play in a room with a real Bobo doll just like the one they saw in the film. What Bandura found was that children were more likely to imitate the adults violent actions when the adult either received no consequences or when the adult was actually rewarded for their violent actions. Children who saw film clips in which the adult was punished for this aggressive behavior were less likely to repeat the behaviors later on. Examples of Observational Learning The following are instances that demonstrate when observational learning might take place. A child watches his mother folding the laundry. He later picks up some clothing and imitates folding the clothes.A young couple goes on a date to a Chinese restaurant. They watch other diners in the restaurant eating with chopsticks and copy their actions in order to learn out to use these utensils.A boy watches another boy on the playground get in trouble for hitting another child. He learns from observing this interaction that he should not hit others.A group of children plays hide-and-seek at recess. One child joins the group, but has never played before and is not sure what to do. After observing the other children play, she quickly learns the basic rules of the game and joins in. Increasing the Likelihood a Behavior Will Be Imitated According to Banduras research, there are a number of factors that increase the likelihood that a behavior will be imitated. We are more likely to imitate: People we perceive as warm and nurturingPeople who receive rewards for their behaviorWhen you have been rewarded for imitating the behavior in the pastWhen we lack confidence in our own knowledge or abilitiesPeople who are in an  authoritative position in our livesPeople who are similar to us in age, sex, and interestsPeople who we admire or who are of a higher social statusWhen the situation is confusing, ambiguous, or unfamiliar Real-World Applications Banduras research on observational learning raises an important question: If children were likely to imitate aggressive actions viewed on a film clip in a lab setting, doesnt it also stand to reason that they will imitate the violence they observe in popular films, television programs, and video games? The debate over this topic has raged on for years, with parents, educators, politicians, and movie and video game makers weighing in with their opinions on the effects of media violence on child behavior. But what does psychological research suggest? Link Between Observational Learning and Violence Psychologists Craig Anderson and Karen Dill investigated the link between video game violence and aggressive behavior. They found that in lab studies, students who played a violent video game behaved more aggressively than those who had not played a violent game. In 2005, the American Psychological Association issued a report concluding that exposure to violent interactive video games increased aggressive thoughts, feelings, and behaviors. Researchers have found that it is not just observed violence that can influence behavior; depictions of sexual behavior may also lead to imitation as well. A study conducted in 2004 by psychologist Rebecca Collins and her colleagues found that teens who watched large quantities of television containing sexual content were two times as likely to begin having sex within the next year as teens who did not view such programming. Of course, most people who consume high levels of violent media, adults or youth, do not end up in prison for violent crimes, Anderson explained in testimony offered before the U.S. Senate Commerce Committee. The more relevant question is whether many (or most) people become more angry, aggressive, and violent as a result of being exposed to high levels of media violence…. The answer is a clear yes. Using Observational Learning for Good Observational learning is often linked to negative or undesirable behaviors, but it can also be used to inspire positive behaviors. Television programming has been used to promote a range of healthy behaviors in areas throughout the world including Latin America, Brazil, India, and Africa. For example, non-profit organizations have produced programming aimed at preventing HIV/AIDS transmission, reducing pollution, and promoting family planning. Observational learning can be a powerful learning tool. When we think about the concept of learning, we often talk about direct instruction or methods that rely on reinforcement and punishment. But a great deal of learning takes place much more subtly and relies on watching the people around us and modeling their actions. This learning method can be applied in a wide range of settings including job training, education, counseling, and psychotherapy.

The English Street Artist Banksy - 1126 Words

The English street artist Banksy has produced various works of art in a revolutionary style. Street art is a very unique form of art that is produced in public areas on buildings, bridges, concrete, poles, and many other locations. This form of art is usually done illegally, which adds to the immense controversy that already surrounds it. With that being said, it speaks volumes about artists such as Banksy, who risk criminal charges of vandalism in order to empower others through his art. One of his popular pieces, â€Å"Looters†, historically commemorated the third anniversary of Hurricane Katrina in New Orleans, boldly criticizing government, media, racism and other significant issues. Many citizens were left with questions and the image poetically raised awareness to aspects of post-Katrina recovery that are still being discussed till this day. For the short time it existed as an untampered image on Elysian Fields Avenue, it managed to create a lasting impression that will exist decades after its removal. In the early 1990s, Banksy began his distinguished career. He is mostly known for his contentious and politically themed, stenciled pieces. His identity currently remains secret, after two decades, and this adds a vibe of mystery into the art that he produces. His work has been rumored to appear in America, Israel, Palestine, Jamaica, and many other countries. Banksy is unquestionably the most controversial street artist to emerge on the global stage. One place inShow MoreRelatedThe English Street Artist Banksy979 Words   |  4 Pages The English street artist Banksy has produced various works of art, in a revolutionary style. Street art is visual and it is produced in public areas on buildings, bridges , concrete , and many other places. This form of art is usually done illegally, which adds to the immense controversy it already possesses, due to its subject matter. With that being said, it speaks volumes about artists such as Banksy, who ris k criminal charges of vandalism, in order to empower others through his art. OneRead MoreThe English Street Artist Banksy1076 Words   |  5 PagesThe English street artist Banksy, has produced various works of art in a revolutionary style. Street art is a very unique form of art that is produced in public areas on buildings, bridges, concrete, poles, and many other places. This form of art is usually done illegally, which adds to the immense controversy that already surrounds it. With that being said, it speaks volumes about artists such as Banksy, who risk criminal charges of vandalism in order to empower others through his art. One ofRead MoreExit Through The Gift Shop Analysis1722 Words   |  7 Pagesconsidered an example of a successful documentary on street art due to its interview-based style and celebrity street-artist director. However, Banksy’s Exit Through the Gift Shop fails as a documentary because of the film’s biases and inconsistencies; because the se flaws are obvious to the audience, Banksy, through Exit Through the Gift Shop, ultimately satirizes the documentary genre and street art movement. In Exit Through the Gift Shop, Banksy depicts himself as superior to Thierry by portrayingRead MoreGraffiti : A New Type Of Painting And Writing1241 Words   |  5 Pageseffect on the appearance of a city. There are two debates of graffiti----street art and vandalism, which means it should be distinguished between two forms of graffiti. For example, it should not be connected between the graffiti of Banksy, who is an English-based graffiti artist and the people who draw some indelicate words or painting on the public place(Figure 1 and figure 2). Everyone can judge these two which is street art because the intentions are different. The latter is just draw some offensiveRead MoreAnalysis Of The Painting Two Women Of The Woods By Vincent Van Gogh1505 Words   |  7 PagesYork City, the painting â€Å"Two women in the woods† by Vincent Van Gogh, a famous Dutch artist in expressionism and impressionism, was sold at the price of $689,000 (Lot: 17 VINCENT VAN GOGH, 2013; Van Gogh , 2008). Besides, â€Å"Silent Majority†, a painting by Banksy, an English graffiti artist, was brought to the auction in Paris and its recent price has reached  £445,792, which is roughly at $676,000 (Banksy, 2014; Banksy s Silent Majority fetches more than  £445k in Paris, 2015). As they are clearly seenRead MoreStreet Artist Banksy And Southern Illinois University2372 Words   |  10 Pages STREET ARTIST BANKSY AND Northeastern Illinois University Mustafa Khan Moritz S Kellerman Art 101 – L18 June 18th 2015 Banksy is one of the famous English graffiti artist, film director, painter and political activist through the use of painting. He has produced different satirical street art combined with subversive epigrams and dark humor of graffiti. These have been executed in the distinctive stenciling method. Therefore, the paper analyzes how Banksy has changed the people’s viewRead MoreThe Works Of Banksy By Henry David Thoreau2303 Words   |  10 Pageswalls, streets, and bridges become the norm. A rugged description, yet so valid in this case. This principle is exemplified in the works of Banksy. Banksy is my chosen artist. His works are authentic, yet aesthetically defined in the most unusual places. His method of art is likewise fascinating – for he uses bold sardonic street art and dissident witticisms combined with graffiti performed in idiosyncratic stenciling techniques to portray various messages. As findthemag.com states, Banksy uses â€Å"broadRead MoreToronto Climat e Diagram Essay1605 Words   |  7 Pagesinches of rainfall per year so there is enough rain to support the growth of trees. I would say Toronto is located in a temperate deciduous forest. What Language is Spoken In Toronto? Toronto is located in Canada where the main language spoken is English but some people also speak french What type of music is popular in Toronto? The people of Toronto listen to many different types of music but the most popular in Canada are blues, classical, country and hip-hop. How does Toronto’s Culture InfluenceRead MoreGraffiti As A Form Of Art Essay1829 Words   |  8 Pagespolitical protest or social statement† (20). This graffiti tries to better its community and serves as the authentic form for graffiti artists and writers because of the detailed design and effort put into it, as well as the message it expresses to the public. Authentic graffiti is created without permission and for everyone to see freely. It cannot be removed from the streets and placed into museums or art gallery. If it is, then the art loses its meaning. Also, its illegality is one of the most importantRead MorePrimary Research. Despite My Research Strongly Suggesting1774 Words   |  8 Pagessuggesting that street art frequently has socio-political underlying messages and it is extremely accessible to the youth, I was unable to find definitive evidence concerning if street art is effective in portraying socio-political messages to the young. Therefore, I conducted an investigation to act as primary research and hopefully give results that could answer the question. I aimed to discover the opinion of a small group of London young adults; whether they thought that street art had an ability

Moakley Peace Medal Acceptance Speech - 860 Words

Moakley Peace Medal Acceptance Speech In accepting this award on behalf of my father, I would like to begin as he would, by offering his and my most sincere and humble gratitude to Chancellor Motley and to the University of Massachusetts and its distinguished members for creating this medal and for choosing my father and, in a broader sense, the YaLa movement, as the recipients of the Moakley Peace medal. The very existence of the Moakley Chair of Peace and Reconciliation and of the Moakley Peace Medal are worthy of more thanks than can be offered, standing as testaments to the ongoing desire for peace and the rational non-violent resolution of conflict that is embedded in this university and in communities throughout the world. It is with this understanding that I give thanks not only on behalf of my father and YaLa for the honor of receiving the Medal, but on behalf of all people affected by conflict for the convictions and the principles that led to the creation of this award and the committee and Chair that supports it. When my father and others worked to develop the YaLa movement, their goal was simple despite the complexities involved in its achievement. There is nothing simpler than peace, yet nothing more difficult to achieve with the many complexities of the modern geopolitical situation. In the Middle East, issues of economic and social inequality, religious and cultural conflict, territorial disputes, and the power provided by access to resources and wealth

Mission and philosophy of an organization Free Essays

1. The â€Å"mission statement describes an organization’s basic purpose, while the vision is a short, succinct, and inspiring statement of what the organization intends to become and to achieve at some point in the future, often stated in competitive terms† (Hannagan, 1998, pp. 125-26). We will write a custom essay sample on Mission and philosophy of an organization or any similar topic only for you Order Now Our organizational mission echoed a commitment of somewhat a wholisitic health care service as it includes the healing not of the body only but of the mind and spirit. It transcends beyond the usual kind of service provided by other healthcare professionals and organizations. The commitment of healing the spirit is beyond the realm of professional knowledge and experience of health care professionals and providers. Health care providers may be of help in healing the spirit of the patient but cannot directly provide the service and the process. The vision statement on the other hand does not support this purpose of the organization evident by its emphasis on compassionate and excellent service – skills which can be learned and developed by most health care professionals through proper professional training and schooling. The vision statement anchored its commitment on the core competencies and professional capabilities of the people in the organization. On the aspect of the similarities of the mission and vision statements, both echoed a commitment to serve the community. Both echoed a quality of healthcare service that is anchored on commitment and cooperation. The mission and vision statement also reflected the unity of the people in the organization to serve the community and its patients. Also, both the mission and vision statement further showed the failure to recognize the contribution and importance of the people in the organization in relation to the attainment of the mission and vision of the company. The organizational mission statement is just merely descriptive of what the community can expect from the health care service of the organization, thus it does not function to inspire or guide the people in the organization. The vision statement too does not reflect something that would inspire and make people look forward to their future in the organization. Both failed to really articulate a statement according to its intended purpose. 2. The mission and vision statement has influenced my practice as a nurse as it raised my awareness of the goal of the organization to deliver compassionate and excellent health care service to help improve the health of the community. The mission statement made me realized that our responsibility of healing is not just on the physical aspect of the patient but including the mental and spiritual aspects of the patient in order that we can help improve our community’s health. Guided by these goals, I was able to view responsibilities to my patient beyond their physical aspect, however, it also made me concerned if I could be of help in restoring the soundness of the spirit of the person. I may have all the professional training and knowledge in my job but this does not guarantee that if applied it can also help heal the spirit of the patient. This goal put me into quandary on the ethical considerations if faced with a situation where my own personal beliefs might interfere in the healing process of the spirit of the person. The process of helping heal the spirit of the patient might make me subjective rather than objective in my job.   Also, as an employee both the mission and vision statement negatively impacted on my view of my future in the organization because both do not reflect organizational aspirations for the people which I considered very important.. I am aware of my responsibility to the community and to the organization I am serving, but the organization should also be aware of the needs and aspirations of the people who will make the organization mission and vision possible. The content of the mission and vision statements of the organization must inspire and guide people. 3. Our organization’s vision (philosophy) statement falls short on some important aspect of its function. Accordingly, the vision of the organization refers to the category of intentions that are broad, all-intrusive and forward-thinking. The organizational vision statement describes aspirations for the future, without specifying the means that will be used to achieve those desired ends. Our organization’s vision does not clearly reflect and define the future to stimulate. Our organizational vision defined the character and identity of the people in the organization however, the way the organizational vision is stated does not reflect on what the organization aspires to become, to achieve, to create – something that will require significant change that will challenge people to attain progress and professional advancement. It does not provide encouragement to grow with the organization. The organizational vision only state the present being and identity but it does not so much reflect where it is going to be in the next years to come. A dynamic organization should reflect aspirations to improve and change according to the demands of the ever-changing environment. Above all, the organizational vision should also be consistent with the organizational mission as the latter dictates the courses of action in the organization while the former identifies the strategies to take to attain the organization’s purpose (mission). 4.   My suggestion is to state the mission and vision statement in a manner consistent with each other and should reflect on the core competencies of the organization and the people in the organization. On this manner the people in the organization will be able to really deliver a quality of service that shows highest degree of professionalism, compassion, and excellence. The organization can also strengthen its competitive edge by capitalizing on the professional skills and competencies of its people. Through this approach a brand of service that is second to none in professionalism, integrity, dignity and excellence will be achieved and people are likewise provided the opportunity to apply their skills and fullest potential to the organization and the community. Reference List Hannagan, T. (2000). Management: Concepts and practices (2nd ed). Great Britain: Pearson Education Limited. How to cite Mission and philosophy of an organization, Essay examples

The Prince Essays (724 words) - Social Psychology, Machiavellianism

The Prince The Prince The Prince had no actual characters, but instead discussed and analyzed the political policies of political leaders, highlighting their faults and strengths. The setting was 1513 Europe. This is the same time when major areas were having power struggles and religious conflict was rampant. His tone is that of the ambitious leader. It conveys the thoughts of one who knows how to gain and maintain power. Though this is true, the thoughts are built upon principalities probably learned by way of many mistakes made by one who will never again be in the position to imply his theorems and strategies. Machiavelli's own ruthless mind probably served as the bases for him knowing the ways of the corrupt. The thesis seems to be that the ends justify the means. Chapters such as the one describing How one should govern cities or principalities that, before being conquered, used to live under their own laws show Machiavelli's thirst for power and highlights a stressed point of his. This point is that one must learn how to maintain power before gaining it for it can be as easily lost as gained. It was conveyed in his writings that even minor power is more useful if it can be maintained, where major power that cannot be maintained is a mere missed opportunity. This dissertation stressed the maintaining of power because it was written from Machiavelli to His Magnificence Lorenzo de' Medici, a figure whom was already holding power. It is better to be feared than loved, is a popular extraction from Machiavelli's dissertation. He stated, Men are less hesitant about offending or harming a ruler who makes himself loved than one who inspires fear. For love is sustained by a bond of gratitude which, because men are excessively self-interested, is broken whenever they see a chance to benefit themselves. But fear is sustained by a dread of punishment that is always effective. Machiavelli went on to discuss the strategies of ruling by fear. For it is perfectly possible to be feared without incurring hatred, shows that Machiavelli really thought over his writings. For it is highly possible that one who hates may to try to destroy that which he hates even if it means self destruction in the process. Even with seemingly ruthless tactics, Machiavelli recognized the importance of keeping the people you rule happy. This was strongly displayed in a chapter concentrating on How rulers should keep their promises. Using a combination of Greek mythology and discussing animals metaphorically he first spoke of the centaur. Telling of the centaur raising the likes of Chiron and Achilles he wrote, Having a mentor who was half-beast and half-man signifies that a ruler needs to use both natures, and that one without the other is not effective. Machiavelli went more in depth explaining, Since a ruler, then, must know how to act like a beast, he should imitate both the fox and the lion, for the lion is liable to be trapped, whereas the fox cannot ward off wolves. One needs, then, to be a fox to recognise traps, and a lion to frighten away wolves. Those who rely merely upon a lions strength do not understand matters. Containing no true climax, The Prince ecstatically peaks in every paragraph. One who takes the principals and strategies of this book to be only political is missing the whole point. Ones life is very political. May it be socially, criminally, etceteras, life is a complexity of politics. From school to a working environment, Machiavellian tactics can be utilized. Some may even be employed in various types of relationships. Note, some may be used, and the type of relationship appropriates different tactics. For an intimate relationship would need to be approached differently from a competitive work environment. You wouldn't want to rule your significant other with fear. This book should be read and analyzed by all people in positions of power and those with ambition to attain it. It seems to be a literal formula for the attaining and maintaining of power. The ends justify the means, should be closely thought out. The means for global peace could be genocide of those causing conflict. This means calls for an exponential amount of what the

Medical study of type 2 diabetes in sub-saharan africa The WritePass Journal

Medical study of type 2 diabetes in sub-saharan africa Introduction Medical study of type 2 diabetes in sub-saharan africa IntroductionEpidemiologyRisk FactorsComplicationsTreatmentMajor Challenges and SolutionsConclusionsRelated Introduction In recent times there has been a surge in non-communicable diseases, especially Type 2 diabetes mellitus (T2DM), in sub-Saharan Africa (SSA). This is an extra burden upon the healthcare systems, which already have to cope with the high prevalence of communicable diseases such as HIV/AIDS, tuberculosis and malaria. I chose to read up on this issue as it is a topic that is not really addressed in the field of diabetes. Epidemiology There were approximately around 200 million people with diabetes worldwide. This figure is on the rise and has the potential to reach around 380 million in the year 2025. This huge increase also is expected to be seen in Africa and Asia. T2DM is the most common form of diabetes with around 90% of diabetic patients. The current prevalence of T2DM in SSA is only a third of the HIV prevalence, however it is estimated to reach the same as current HIV prevalence by 2025. The prevalence is around 1.4% or lower in most SSA countries, however it is raised to around 3% in South Africa. There is also a greater prevalence of the disease in urbanised areas, as apposed to the more rural locations. It has been. The prevalence of diabetes in Africa was around 3 million in 1994, rising to 7.1 million by the year 2000. In 2010 the figure was around 12 million and is set to rise up to around 24 million by the year 2030. This phenomenon may be due to the rapid urbanisation these countries are facing. Risk Factors These factors can be split into modifiable (i.e. can be changed) and non-modifiable. Modifiable risk factors include the rise in obesity seen in SSA. This rise can be attributed to the rapid urbanisation of SSA countries. A study in 2002 showed the extent of clinically overweight/obese people in South Africa to be 56% for females and around 29% for males. Other studies have shown diabetic patients in SSA have a higher BMI than non-diabetic patients. However, one may argue that it is truncal obesity, which is more closely linked to T2DM than BMI. One study has shown the level of truncal obesity in Cameroon to be 18% in males and 67% in females. This may be due to the consensus that women who are larger are deemed healthier and richer, especially in countries where HIV is prevalent. The diet of the people of SSA is becoming more westernised including the rise of saturated fats, sugars and lower levels of fibre. This paired with rapid urbanisation leading to a more inactive lifestyle is likely to contribute to the rise in T2DM seen. Countries of SSA are also increasing their GDP and so are becoming more prosperous. This is linked with the urbanisation, which has been mentioned. This has lead to the rise in processed foods consumed, inactive lifestyle and inevitable increase in obesity. Non-modifiable risk factors include age and ethnicity. The most common age group for T2DM was 45-65 year. Some studies showed that more women had T2DM than women in certain SSA countries. There is also an effect from ethnic origin, for example some countries have a higher population of Indian people, where the prevalence of T2DM is higher. Other risk factors include TB or the use of antivirals, which may increase the likelihood of contracting T2DM. Complications Complications arising from T2DM can either be classified as macrovascular or microvascular. Macrovascular complications include cardiovascular disease and stroke. Microvascular complications include nephropathy, neuropathy and retinopathy. Patients from developed countries have greater macrovascular morbidity, whereas in SSA the opposite is true. In developed countries T2DM mortality is due to CVD and renal complications, however in SSA the mortality is greatly due to infections and metabolic problems. Infections include sepsis and TB. Metabolic problems are usually keto-acidosis and hyperosmolar non-ketotic coma. However there is still a lot of un-obtained data, which is due to the poor documentation of the cause of death. It is one of the challenges to increase the number of deaths reported, and also to report it accurately. Treatment The key to decreasing the morbidity and mortality associated with T2DM is to maintain good control over the blood glucose levels. This can be achieved using a diet management plan, exercise and, if needed, the use of appropriate medication. Drugs, which can be administered, include sulphonylureas, which promote insulin secretion after a rise in glucose levels. Meglitinides, which are insulin secretagogues. Biguanides such as Metformin, decrease the rate of gluconeogenesis and thus lower blood glucose. Insulin can also be used as a last resort in T2DM to maintain good glucose control. A study has highlighted the poor blood-glucose control for patients with T2DM in SSA. These were patients who were on various different treatment regimens ranging from sulphonylureas to insulin. This maybe due to lack of availability of drugs, high cost of drugs/lack of funds, lack of adherence, lack of patient education and late presentation. One paper showed that a few health care settings in Tanzania only had a couple of sulphonylureas and insulin in their drug stores. Major Challenges and Solutions To understand why there is poor care of patients with T2DM in SSA, one has to identify the problems that are faced in order to create a solution. The economy of these countries is already stretched and so have low healthcare budgets. This means that there is not enough money to purchase drugs and provide optimal healthcare to T2DM patients who require chronic care. This problem is exacerbated due to the fact that communicable diseases such as HIV take up more of the budget, leaving a decreasing amount of money to be spent on non-communicable chronic conditions. There is also a lack of qualified healthcare providers and so insufficient manpower. This maybe due to the lack of training and courses in order to create these qualified healthcare providers. There are also poor healthcare referral systems. This inevitably shows the lack of organisation within the healthcare systems in SSA. This needs to be tackled by reorganising the healthcare infrastructure and create/improve training programmes for the staff. Greater drug supply is also essential. One study showed that there was a lack of insulin in some SSA countries such as Mali. There also needs to be improved access to care, as many patients can’t reach the required level of care in order to manage their T2DM well. There is also poor patient education in SSA, and so this leads to poor adherence of treatments as well as poor glycaemic control. T2DM is a chronic disease and so patient education is key in good management of the disease in order to decrease complications arising. Greater primary and secondary prevention strategies need to be established, as this will be economically beneficial. Interventions need to be cost effective as there are limited resources and funds. A lot of the data collected regarding T2DM care is inaccurate or just simply not collected. In order to assess the characteristics of the disease in SSA, better data collection methods need to be initiated. Poor record keeping is detrimental to the care of the T2DM patient, where glucose monitoring ensures stable control. An example to follow is the National Diabetes and Hypertension Program in Cameroon. This initiative saw the coming together of health-care providers, policy-makers and people from the community in order to tackle the growing epidemic of T2DM in SSA. Strategies are shown in figure 2. This program ensured greater monitoring, documentation as well as better interventions which all lead to better care for T2DM patients. Conclusions With the rapid urbanisation and greater prosperity seen in sub-Saharan Africa, T2DM is becoming an underestimated epidemic. With the focus on communicable diseases, the care of T2DM is not improving, as seen by the multitude of problems faced in SSA. Strained healthcare budgets mean that it is necessary, more than ever, to produce cost-effective initiatives. Governments need to understand the dangers of communicable diseases as well as non-communicable diseases. Better primary and secondary prevention strategies need to be created to target issues such as the rising levels of obesity. Governments need to issue better guidelines, training and promote policymaking. Initiatives such as National Diabetes and Hypertension Program in Cameroon have had very positive feedback and have set the standard for other governments within SSA. If this problem is not addressed, there will be a negative impact on T2DM morbidity and mortality. This will inevitably reduce the socioeconomic growth in SSA countries, which is vital for the prosperity of the country.

Number of Supreme Court Nominees By President - List

Number of Supreme Court Nominees By President - List President Barack Obama successfully chose two members of the U.S. Supreme Court and has a chance to nominate a third before his term ends after 2016. If hes able to push a candidate through what can be a politically charged and sometimes lengthy nomination process, Obama will have chosen a third of the nine-member court. So how rare is that? How many times has a modern president gotten an opportunity to choose three justices? Which presidents have nominated the most Supreme Court justices and had the largest impact on makeup of the highest court in the land? Here are some questions and answers about the number of Supreme Court nominees by president. How did Obama get the chance to nominate three justices? Obama was able to nominate three justices because two members of the Supreme Court retired and a third died in office. The first retirement, that of  Justice David Souter, came a short time after Obama took office in 2009. Obamas chose Sonia Sotomayor, who later become the first Hispanic member and third woman justice to serve on the high court. A year later, in 2010, Justice John Paul Stevens gave up his seat on the court. Obama picked Elena Kagan, a former Harvard Law School dean and solicitor general of the United States who was widely seen as a consensus-building liberal. In February 2016, Justice Antonin Scalia died unexpectedly. Is It Rare For a President to Get to Nominate Three Justices? Actually, no. Its not that rare. Since 1869, the year Congress increased the number of justices to nine, 12 of the 24 presidents preceding Obama successfully chose at least three members of the Supreme Court. The most recent president to get three justices on the high court was Ronald Reagan, from 1981 through 1988. In fact, one of those nominees, Justice Anthony Kennedy, was confirmed in a presidential-election year, 1988. So Why Were Obamas 3 Nominees Such a Big Deal? That Obama had the opportunity to nominee three Supreme Court justices was not, in an of itself, the big story. The timing - his final 11 months in office - and the impact his choice would have on setting the ideological course on the court for decades to come made his third nomination such a big news story and, of course, a political battle for the ages. Related Story: What Are Obamas Chances of Replacing Scalia? Which President Has Chosen the Most Supreme Court Justices? President Franklin Delano Roosevelt got eight of his nominees on the Supreme Court over the course of just six years in office. The only presidents who have come close are  Dwight Eisenhower, William Taft and  Ulysses Grant, whom each got five nominees on the court. So How Does Obamas 3 Picks Compare to Other Presidents? With three picks for the Supreme Court, Obama is exactly average. The 25 presidents since 1869 have gotten 75 nominees on the high court, meaning the average is three justices per president. So Obama falls right in the middle. Here is a list of presidents and the number of their Supreme Court nominees who made it to the court since 1869. The list is ranked from presidents with the most justices to those with the least. Franklin Roosevelt: 8 Dwight Eisenhower: 5 William Taft: 5 Ulysses Grant: 5 Richard Nixon: 4 Harry Truman: 4 Warren Harding: 4 Benjamin Harrison: 4 Grover Cleveland: 4 Ronald Reagan: 3 Herbert Hoover: 3 Woodrow Wilson: 3 Theodore Roosevelt: 3 Barack Obama: 2* George W. Bush: 2 Bill Clinton: 2 George H.W. Bush: 2 Lyndon Johnson: 2 John F. Kennedy: 2 Chester Arthur: 2 Rutherford Hayes: 2 Gerald Ford: 1 Calvin Coolidge: 1 William McKinley: 1 James Garfield: 1 * Obama has not yet nominated a third justice, and it remains uncertain whether his choice will will confirmation.