Tuesday, August 25, 2020

Summarize an article from the Wall Street Journal Essay - 1

Sum up an article from the Wall Street Journal - Essay Example Torrens and different Proponents of Equity-based group subsidizing regard it as a gift in the midst of developing monetary emergencies. Since organizations themselves are not in a situation to expand work, they can give a greater development potential through venture openings. Supporter of the thought accept that such open doors should just be given through online outlets as it is very financially savvy. It would likewise make the speculation advertise increasingly open to a large number of financial specialists (Torrens and Slavinsky, 2012). This technique further empowers organizations to make sure about and connect with a more noteworthy customer base, who are normally persuaded to enable the business to succeed. Then again, rivals of this thought accept that legitimization would just aim poorly educated customers to lose their cash on bombing organizations. It will represent a higher hazard and will along these lines impact the buying influence of individuals as people lose cash because of their awful choices. There are high possibilities that it will additionally prompt a descending winding of downturn. Besides, there are more prominent odds of unfairness and extortion organizations may surface that may additionally make everybody acquire substantial misfortunes. It will likewise altogether affect authentic organizations, as financial specialists are tricked into contributing for fake organizations. In this manner, organizations should take the benefits of interchange venture strategies in to account. (Torrens and Slavinsky, 2012) It is very apparent that however, value based group subsidizing may have a few experts, yet they must be delighted in if the organizations give the group monstrous profits for their speculations. Organizations can get gigantic number of customers, who had at first upheld the organization through their speculations. In any case, from the people’s viewpoint, putting resources into value varies from putting resources into stocks that can be condensed at whatever point the customer needs. Value is illiquid and thus, there is no get way out of this

Saturday, August 22, 2020

Visuals and page design Essay Example | Topics and Well Written Essays - 500 words

Visuals and page structure - Essay Example e of the measures that can be set up incorporate repudiating or suspending drivers’ licenses for people found of such offenses, reallocating number plates of such drivers, and expanding punishments for the wrongdoings. Then again, the people on foot must not utilize telephone while going across streets. In addition, drivers must avoid the utilization of telephones consistently particularly while driving or landing from their vehicle since the equivalent my meddle with their own judgment while driving and divert them along these lines setting other street clients remembering themselves for sauces perils. Street clients must secure each other no matter what by guaranteeing they don't make, increment, and do any dangerous conduct while utilizing the streets. Strikingly, the administration and society have for a long time collaborated in improving wellbeing on our streets; in this manner, for the individuals who can't utilize the street securely should consider employing or mentioning for assigned drivers. Insights has it that most lethal mishaps are brought about by people driving affected by liquor among different medications or people with high substance of liquor in their blood (BAC). It is essential that all street clients to have their 100 percent focus out and about; thus, the utilization of telephones while utilizing the streets must be sidestepped no matter what. Restricted to the street mishaps brought about by cell phone clients, smashed drivers are known to cause the vast majority of the mishaps. Be that as it may, with severe transit regulations and sharpening, mishaps caused through alcoholic driving have diminished definitely since 1982 from a tallness of 60 percent of all out street mishaps to 39 percent in 2005. Amazingly, the pattern changed in 2005 out of an expanding pattern to 42 percent in 2010. This has been ascribed for by the expanded utilization of telephone particularly represented by the web based life that is by all accounts taking the world insane (Martinez 142). Changes in the rate shows how better the general public and the specialists have moved in the direction of improving street fatalities; be that as it may, fortification of all other

Saturday, August 1, 2020

The First Day of Classes

The First Day of Classes Like Allan, Im obsessed with taking notes. Im also obsessed with handwriting. In sixth grade, Megan P. sat next to me in science class and had THE MOST BEAUTIFUL HANDWRITING I HAD EVER SEEN. Each letter was very tall and narrow, and she curled the ends of her letters so that each word looked flowery and beautiful. So, I painstakingly copied her handwriting. At some point, my letters morphed into their current form my penmanship now bear little resemblance to Megans. And I can write much more quickly (she was slow.) Having handwriting that you enjoy looking at is a huge plus.  When studying for exams, its NOT agony to flip through my old class notebooks. Ive also found that its a lot more fun when there are comments written in the margins and funny quotes from the professor. So, in my lecture notes, there is a mixture of 1) abbreviated content (normal notes), 2) direct quotes, and 3) my own comments. (3) can range from questions that pop into my head that I want to ask the professor after class, to an observation that the professor is wearing funny clothes, to the fact that the kid in front of me is taking notes rapidly in LaTeX and its making me feel bad about myself. So that I dont confuse (3) with (1), I write // in front of (3) those of you familiar with Java programming might understand why. On the first day of classes, I had Intro to Biology lecture (lecturer: Eric Lander) and Relativity lecture (lecturer: Peter Fisher). Both professors elected to spend the bulk of lecture outlining the class and providing motivation for learning the material (Peter Fisher actually outlined all of the MIT Physics undergraduate academic program). This makes my life as a window into the MITverse easier, because then I can let my Day 1 Lecture Notes stand in place of a blog post describing those two classes. For some reason, it took me 28 days to take my notebook to a scanner, though; sorry about that. Without further ado: 7.012 Introduction to Biology Day 1 // When Lander says that he is a mathematician, he means that he took 2 years to get a Ph.D. in pure theoretical mathematics (from Oxford, on a Rhodes scholarship) and has never in his entire life taken an Intro to Biology class. He also means that he was on the American Mathematics Olympiad team in 1974, in its inaugural year of participation. His team placed second. More on his life story here //Bob is Bob Weinberg, the other 7.012 lecturer (he was in the audience for the first lecture.) And then, what I thought was a bizarrely anticlimactic finale to Day 1 of Eric Landers legendary 7.012 course: Up next: 8.033 Relativity Before I show you the notes, its worth mentioning that Ive had Peter Fisher as a professor twice now: first for 8.022, then for 8.223. Hes a character. // thats supposed to say vacuum at the bottom //  Allan Adams is a string theorist at MIT, glider pilot, legendary lecturer for 8.04, and a recitation instructor for this relativity class. More on him later in this post. // response cards are these little remote control things that we use to answer questions interactively during lecture. The lecturer is then able to see what percentage of people keyed in what response. // the Coop is the MIT bookstore. // I didnt realize how much jargon was in these notes until I posted them. Now, big lecture hall classes at MIT are broken up into recitation sections. A few times a week, we meet as a whole class for lecture, and the main lecturer gets up and talks at us for 1-1.5 hours. On the days we dont have lecture, we have recitation instead: a class of 15-20 people, to discuss problems in more detail and resolve whatever confusions we have. Recitations are conducted by TAs: in the physics department (MIT PHYSICS 3) recitations are always conducted by a professor. This is not the case in any other department, as far as Im aware. I have the great fortune of having Allan Adams is my recitation instructor. Notes from Day 1: // These notes are outdated: Allan Adams is, in fact, now a person with an adorable baby named Arthur :)

Friday, May 22, 2020

Essay about Comparison of Japanese and American Cultures

COMPARISON OF JAPANESE AND AMERICAN CULTURES As Mahatma Gandhi said, â€Å"No culture can live, if it attempts to be exclusive† (Mahatma). Our culture identifies who we are and how we behave in social environments and provides us with a foundation in which to live our lives and raise our families. Each individual culture has certain customs and courtesies that are important. Exposure to the cultures of others can be intimidating and can leave a person feeling confused and unsure about how they fit in (Schaefer 60). Culture shock can leave a person feeling out of place in an unfamiliar culture (Schaefer 60). Our diverse societies demand understanding and acceptance of other cultures. Learning and understanding these cultures before being†¦show more content†¦Visits are generally arranged in advance and are very rarely spontaneous (Japan). When someone comes for a visit they must remove their shoes in the entry area of the home and place them together, pointing toward the outdoors; slippers are usually worn while inside (Japan). It is also customary to remove your coat prior to stepping into the entry area (Japan). Guests are usually modest and reserved when they are visiting and will be offered the most comfortable seat in the home (Japan). When offered a meal it is customary for the guest to hesitate slightly before accepting it and will then accept with gratitude (Japan). Guests do not usually offer compliments on household items, as this may embarrass the host (Japan). It is customary to bring fruit or cake to offer as a gift for the host which is given and accepted with both hands and a slight bow (Japan). It is considered rude for a host to open a gift from a visitor at the time it is given (Japan). Many of the customs followed by Americans come from the upbringing of the individual. As adults, Americans may form their own special customs that will be unique for their family. The greetings and visiting customs may vary from family to family, but generally most Americans have a simplistic approach. American greetings are generally informal. Men and women greet each other with a smile and a firm handshake (United States). Close friends and relatives will welcome each other with a hug or aShow MoreRelatedAmerican Comics And Japanese Manga1048 Words   |  5 PagesI. Abstract When mention comics, everyone can think of America comics and Japanese manga. They are two big parts of world comics and represent western and eastern comics. So they will have some differences in style, content and development. America comics is mainly about superheroes and reflects individualistic heroism. Japanese manga has many genres. II. Introduction Comics is a kind of medium that uses drawing and writing to tell a story. Cartooning is the most common mean in comics. ComicsRead MoreThe Second Hofstede Cultural Dimension Compared : Individualism Vs. Collectivism1643 Words   |  7 Pagesthemselves as individuals or associate themselves with a particular group. In Hofstede’s comparison of Japanese and American cultures, American culture scored relatively high (91) in the individualism dimension. On the contrary, the Japanese culture scored relatively low (46) which firmly categorizes the culture as Collectivist. To clarify, Americans places self over group (Individualist), whereas the Japanese value group over self (Collectivist). As it relates to Snap Fitness’s desire to open fitnessRead More Comparison of the North American and Japanese Educational Systems1744 Words   |  7 PagesComparison of the North American and Japanese Educational Systems The comparison between Japanese and North American educational systems is often used. 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The interest is based on statistical data that indicate low levels of criminalityRead MoreAmerican Culture Of People From Japan And Arab Countries910 Words   |  4 PagesFinal Essay In the United States many different nationalities and culture have come to reside by immigrating to this country. Although in the past being an immigrant in this country was often faced with hardship and discrimination the dream of a better and more promising future in America has always enticed people from places far and wide. Such has been the case with people from Japan and Arab countries. The differences in policies and treatment in the US varied, but their reasoning behind why theirRead MoreComparison of Another Culture1068 Words   |  5 PagesComparison of Another Culture Ronna Cassady NURS 321 Japan is a very respectful country and honors their elders. They will do what they are told without a doubt. They have an honor system and respect each other in many ways, as I will explain to you. Their food base is mainly from the sea, being that they are a bunch of scattered islands surrounded by the sea. The sea is basically a lifeline for them that is why their most popular servings are fish and rice. In Japan a greeting is a very bigRead MoreGuns, For Better Or For Worse887 Words   |  4 PagesGuns, for better or for worse, are a central part of many societies culture. Created in the 13th century, they have been around for an extremely long period of time. (Wikipedia). They revolutionized many aspects of life including hunting and how wars are fought. With the immense power guns offer, comes an immense danger and responsibility. It is up to each country to regulate the possession and usage of such dangerous and volatile objects. When in the wrong hands, they pose a threat to societies

Sunday, May 10, 2020

Living With Alzheimers - A Progressive Neurodegenerative Disorder - Free Essay Example

Sample details Pages: 6 Words: 1900 Downloads: 1 Date added: 2019/04/12 Category Medicine Essay Level High school Tags: Alzheimer's Disease Essay Did you like this example? Worldwide, forty-eight million people have been diagnosed with Alzheimers, a chronic neurodegenerative disease, resulting in 1.9 million deaths just in the year 2015. (Khyade, Khyade, Jagtap, 2016) There are medications that reduce symptoms for some patients, but these medications only work for a short-term period of time, at which point the patient reverts to the cognitive level they would currently be at had they never taken the medication and there are no medications that reduce the risk of getting the disease. There is no cure for Alzheimers. Don’t waste time! Our writers will create an original "Living With Alzheimers A Progressive Neurodegenerative Disorder" essay for you Create order Ultimately, everyone with the disease requires round the clock care at some point, but there are limited options, which forces families into crisis as the disease progresses. It is for this reason that I chose to do my research project and job shadowing on the population of Alzheimers patients in long-term skilled nursing care. The term Alzheimers disease originated in 1906, when psychiatrist and neurologist, Dr. Alois Alzheimer, met Auguste Deter, a fifty-one year old woman suffering from an unknown mental illness causing unusual behaviors and increasing short-term memory loss. Her condition became his obsession. Following her death, he performed a brain autopsy and discovered a shrunken cortex, clumps, now know as amyloid plaques, and tangles of fibers, now known as neurofibrillary tangles, in her brain tissue. These conditions were distinctive enough to diagnose a new form of dementia, which became known as Alzheimers disease. During the next five years, eleven similar cases were reported in medical literature, interchangeably using the term pre-senile dementia, a subtype of senile dementia due to the age of the patients. (Khyade, Khyade, Jagtap, 2016) Studies later concluded that pre-senile and senile dementia were the same, differentiating the diagnosis of Alzheimers disease and recognizing that age did not play a part in the diagnosis. This early version of the disease is now called early on-set and affects patients under the age of sixty-five. Eventually, Alzheimers disease became a blanket term to describe people of all ages exhibiting the same symptom patter, disease course and neuropathology. Alzheimers is one of the most expensive diseases in the United States. There are currently more than five million Americans with Alzheimers disease, absorbing twenty percent of all Medicare costs. The annual cost of caring for Alzheimers disease varies from $42,049 for institutionalized patients to $12,572 for patients living in the community, (Dharmarajan, 2009) not including the lost wages of a caregiver. On average, the cost of care is $330,000 in a patients lifetime. As the baby boomers age, it is anticipated that the rate of diagnosed seniors will grow dramatically, causing a very large social problem and economic burden. There are some medications on the market that have shown symptomatic benefit, and ultimately, any reduction of behavioral disturbance and cognitive decline reduces the needs of a caregiver, showing and economic benefits, but research is still under-funded and limited. Today, Alzheimers is a primary topic of biomedical research. The cause and cure for the disease remains unknown. Because no sample from any given case study is the same, results have varied widely and made it difficult to come to a resolution. The Alzheimers Disease Neuroimaging Initiative was collaborated in 2003 to share data across the world. This data includes brain imaging, clinical, cognitive and genetic data and is available for physicians and researchers to immediately access, strategically utilizing research funding by limiting duplication of studies. Alzheimers is normally diagnosed through the amalgamation persons medical history, narrative history from caregivers, and behavioral observation. In general, the symptoms of Alzheimers disease include progressive memory loss, increased difficulty concentrating, a steady decrease in problem-solving skills and judgment capability, confusion, hallucinations and delusions, altered sensations or perceptions, impaired recognition of everyday objects and familiar people, altered sleep patterns, motor system impairment, inability to maintain activities of daily living, agitation, anxiety, and depression. Ultimately, the dementia sufferer enters a complete vegetative state prior to death. (Martin, 2018) No brain scan, blood test or physical test alone can definitely diagnose the disease. A neuropsychological test is administered to determine what areas of cognitive function are impaired and what areas remain intact. Because patients often underreport or go to great lengths to conceal symptoms, the diagnosis is typically made over a minimum of sixth months to confirm to the physician that the condition is progressive. A brain scan using computed tomography (CT scans) or magnetic resonance imaging (MRI) is typically performed to rule out conditions that may mimic Alzheimers and they may also show loss of brain mass and atrophy of the hippocampus, which are telltale signs of the disease. Diagnosis is made by symptoms and it is only through autopsy that a definitive diagnosis is made. (Martin, 2018) Fortunately, diagnostic technology is continuously improving, making the tricky task of diagnosing the disease more feasible. There are many factors that play a role in the maintenance of Alzheimers, however, the life expectancy remains between three and nine years after diagnosis. Acetylcholinesterase inhibitors have shown effectiveness in temporarily slowing the progression of the disease. (Martone Piotrowski, 2013) While they may temporarily slow symptoms, they become ineffective and the body rapidly displays symptoms that would have been shown had the patient never taken the medication. Because the brain may become inflamed, non-steroidal anti-inflammatory drugs may also improve symptoms. The treatment for Alzheimers remains primarily palliative through exercise, diet, engaging activity, cognitive therapy and surrounding the patient with familiar items to reduce distress. Different factors will determine which care options are pursued for a loved on with Alzheimers disease. In the early stages of the disease, families often choose to provide home care through minimal safety adjustments so that their loved one can maintain as much independence as possible. When is becomes unsafe for the patient to be alone, home care can be supplemented with home health aides, companion services or adult day centers. Adult Day centers offer structured to socialize the patient and most also offer meals and transportation to relieve some of the care burden. Assisted living is a good fit for those that need assistance with daily living activities, socialization and minimal medical management. Caregiver guilt and crisis play a key role in making the change to a higher level of care. Who would you call when your loved one elopes from home while you are at work? For many, the answer is 9-1-1, but the fact is that they cannot hold your loved one in the hospital simply because they are an elopement risk. Most cannot take indefinite time off of work to provide care for they loved one, so they turn secure memory care units. Special memory care units offer staff that has received specialized training in caring for those with cognitive impairment, activity programming, and extra safety measures such as secured exits. Unfortunately, even specialized care units have limitations such as inability to care for those with dementia with lewy bodies and behaviors such as chronic agitation and aggression. It is typical for a patient to move from the secure unity into traditional long-term, skilled care once they become physically unable to elope. During my job shadowing experience, I was able to see first-hand the duties of the Memory Care Facilitator, Lisa Peasley. I was able to sit in on assessments of patients cognitive level of function, which gave me insight on the progression of the disease. I was also able to observe and practice taking notes on patient behaviors and family interactions. These notes are used to track abnormalities in the patients behaviors. The activity I felt was most significant during my research hours was attending care-plan meetings with the medical staff and family. It was following one of these meetings that I was able to interview the Cheryl Martin, daughter of patient, Betty Hamilton. Betty has been a resident of Beech Grove Meadows for six years and her daughter is still struggling to accept the progression of the disease and the care recommendations of the clinical team. Lisa was able to counsel her on local support groups to cope with the changes as well as provide insight as to why each r ecommendation was made in relation to an event that had taken place with her mother. As a whole, it seemed to me that American Senior Communities is dedicated to progressive memory care. Their Augustes Cottage model exhibits many care aspects that are unique and designed to promote the comfort and interaction of each patient as well as give staff and families a comprehensive understand of where the patient is staged in the progression to queue care-giving needs. Staff education leaves a lot to be desired. The staff was not shy in expressing their frustration that the promised training upon hire would take place anywhere form six to nine months after working with patients. There was also a lot of friction between the memory care unit and they rest of the skilled care unit; they seemed like two separate entities rather than one cohesive continuum of care. The staff member in charge of occupancy was overly pressured to maintain a full unit, despite the need for some patients to seek psychiatric care or progress to long term care, which caused friction with the Memory Ca re Facilitator who felt her staff could not meet the needs of some of the patients. Resources for activities are limited and upkeep of the physical unit did not seem to be a priority, which left me with several safety concerns. This shadowing experience opened my eyes to the social stigma surrounding Alzheimers disease. I was disgusted and saddened by some of my observations. Staff members called patients exhibiting abnormal behavior crazy and family and friends became distant from their loved ones because they did not know how to properly respond to changes in personality and behavior. I would like to believe that providers offering memory care have the best of intentions, but the care offered leaves much to be desired. Each family and patient has a unique story and set of needs and it is important to approach them as so, rather they expecting them to fit a mold. The care of patients with Alzheimers is always evolving and education is key. Most importantly, through this Human Services journey, I learned that honesty and genuine apology go a long way. The need for competent Alzheimers care is in high demand in my community. Hospitals are overrun with patients needing placement in a secure unit for safety, but many cannot afford private pay, and there are many hoops to jump through in order to obtain insurance coverage and guardianship. For a person in crisis, there isnt enough time to meet all of the requirements, and the hospitals are pressured to discharge them due to cost, which can result in catastrophe if a patient is sent home to unsafe circumstances. I learned that there are care gaps, but most of them involve financial burden, which no one wants to assume and this issue is only going to increase as the baby boomers come of age. Alzheimers and other dementias are the top cause for disabilities later in life and each individual leaves loved ones affected by the disease progression. With no cure in sight, this means that the likelihood of a Human Services professional encountering the disease or someone coping with a loved ones diagnosis in a professional setting will increase monumentally in years to come. It is important to be aware and educated on the subject so we may best serve our communities.

Wednesday, May 6, 2020

Identifying Major Depressive Disorder Free Essays

We, as human beings at some point would feel low, unstable and sometimes would not know how to exactly describe what we feel bout certain things. Most often it is unknown to us that we are maybe suffering from mood disorders, we become unaware of ourselves. Mood disorders are portrayed by having wide swing of emotions; it ranges from deep depression to extreme excitement, exhilaration or euphoria and agitation. We will write a custom essay sample on Identifying Major Depressive Disorder or any similar topic only for you Order Now There are actually two forms of mood disorder; the first one is depression and the other is bipolar respectively. Mania is characterized by intense and or unrealistic feelings of excitement and euphoria, and depression involves feelings of extraordinary sadness and dejection. In some cases wherein mania and depression comes together it is known to be bipolar, in which a person with this disorder would have to feel extreme excitement and deep sadness simultaneously. When depression exists for the longest time it is called dysthymia. It is known to be similar with major depression but it is a long term disorder, it is mild and not an acute (Dinsmoor., December, 2002). Symptoms of depression The symptoms of depression can be manifested easily in a person. These symptoms are actually various and it can be easily recognized. A person with a depression would have the symptoms of having difficulty in sleeping; they do not get their sleep easily because their minds are restless and due to this they would feel stressed or fatigued. It can also be the other way around; people with depression can also be recognized if they sleep excessively. They would also loose their appetite and would usually loose weight or they would do excessive eating and gain weight. It can also manifest in their activities; people with depression would loose their attraction in their activities that they do find pleasurable. Major depression disorder can also come with the loosing the appetite for sex or having sexual problems; it can also be accompanied by headaches. There is also the feeling of guilt, hopelessness, helplessness, worthlessness and one of the hardest manifestations is that they find concentrating on certain things too difficult (Association, 2000). Is Katherine suffering from major depressive disorder? Katherine has been experiencing the symptoms engaged in the mood disorder which is called major depressive disorder, in which she often wishes she were dead, she feels sad all day long and cries several times a day, she experiences disturbed sleep and, as a result, she feels fatigued all day long, she has absolutely no interest in sex or even spending time with friends, she finds it extremely difficult to concentrate at work and just does not want to be around people. If these feelings and wide variety of undeniable changes are not induced by alcohol or any drink that would make her feel down, if they are caused by a difficulty in her functions in her work or at home and if they were not caused by great sorrow I can make a systematic statement that Katherine is really suffering from major depressive disorder. And since Katherine has more than five of the symptoms attached with major depressive disorder I can say that she is really suffering from it. Katherine needs to be treated while she is still in the early stage of her depression or while she still can handle her situation. If she would not be immediately treated she might at some point make an attempt to kill herself or commit suicide. Treatments for major depressive disorder There are several treatments for a patient who has a major depressive disorder. There is psychotherapy or counseling for people who have depression disorder and there are various medications or drugs used in treating people who are afflicted with this disorder. Numbers of medicines are used in the cure of major depressive disorder, these actually falls into the category of anti-depressants and are further categorized into a more particular drug or medicine. Among the anti-depressants are Tricyclic anti-depressants or TCA’s which can actually relief depression by increasing the neurotransmitters’ concentration in the central nervous system. Another one is the Monoamine oxidase inhibitors or MAOI’s acts as an agent in helping break down a particular neurotransmitter which would help regulate the mood of a person to become stable or normal. The third kind of anti-depressant is the Lithium carbonate which helps in reducing the activities of the nerves in the brain; it alters the chemical balance within a particular nerve in the brain. And the last kind is the serotonin which helps in transmitting messages without interrupting the brain chemistry. Treatment for Katherine In the case of Katherine she can be treated by using both psychotherapy and medication. I would use the interpersonal and or behavioral therapy on her for me to know what triggered her depression. I need to have a background of her present relationships; her relationship with her family, her relationship with her current boyfriend, her relationship with her friends, her relationship with her officemates and her other relationships. And after having analyzed her relationship patterns I would focus on her current behaviors. I would be able to know what triggered her present behaviors also by her past behaviors or the things that had actually happened to her that might have contributed to her behavior now. Aside from these two psychotherapy some activities might help in diverting Katherine’s emotions by encouraging her to try to involve her self in activities that would be pleasurable to her, like talking to a friend to release some of her emotions or going out with someone who is sensible and nice so that she can enjoy and forget about her depression. In her medication I would just give her an anti-depressant that would suit her because it might cause further complications if I would give her inappropriate medicine. Psychotherapy and the use of medicine would result to a more improved and satisfying results rather than using therapy or counseling alone and or just by giving medications. It is really hard to know if someone is suffering from a major depression because one might not notice the symptoms right away. The most important thing is to give ones self a chance to know his or her self more. References Association, A. P. (2000). Diagnostic and Statistical Manual of Mental Disorders- Fourth Edition American Psychiatric Publishing, Inc. Dinsmoor., R. S. (Ed.) (December, 2002) Gale Encyclopedia of Medicine. Gale Group. [Electronic Version] Retrieved March 05, 2008 from http://www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI=/healthatoz/Atoz/ency/mood_disorders.jsp          How to cite Identifying Major Depressive Disorder, Essay examples

Thursday, April 30, 2020

The Sarcophagus of Ahiram

A lead made sarcophagus was excavated by a French Archaeologist in Rome in 1923. This was a rarity because a few of the sarcophagus adopted by the Romans used lead. Curiously, there were only countable instances of renowned personalities buried in luxurious sarcophagus.Advertising We will write a custom essay sample on The Sarcophagus of Ahiram specifically for you for only $16.05 $11/page Learn More Well, a sarcophagus is a luxurious casket or a coffin that was used for the inhumation of the dead. The Greeks used this method for centuries; however, the Egyptians were the first people known to use such inhumation procedure. The ancient Egyptians used this method to bury their ‘mummies’. The word ‘sarcophagus’ originates from two Greek words ‘sarx’ and ‘phagien’. These words mean ‘flesh eater’ when combined for a sarcophagus word. The Egyptians believe the sarcophagus was a possessor of life , and not of death (Koortbojian 57). The sarcophagus of Ahiram is considered to be the mysterious discovery which tells much about the history of the city and the king who ruled it. Description of the Sarcophagus Pierre Montet, a French archaeologist, discovered this interesting but mysterious sarcophagus in 1923. Dating back to Early Stone Age, this sarcophagus revealed outstanding calibrations and low relief panels. These characteristics revealed the excellent art of the Phoenicians of that era. The sarcophagus shows King Ahiram seated on his throne who is carved with sphinxes that are winged in high place. The priestesses are offering the King several pieces of the lotus flower. There is a lid outside the sarcophagus. This lid is engraved with two imposing masculine images. They seem to confront each other. There are lions between the gentlemen. This sarcophagus is ideally made from sand or limestone. It assumes the shape of a rectangle and has a relief characteristic with a base , the main coffin and a decorated lid. Curved lions decorate the sarcophagus have. The two lions sit back to back probably showing reverence and respect to the King Ahiram. Amazingly, their body parts are detached, this means the legs, paws, and lengthy tails of the lions are seen. There is a mysterious touch about these engravings that may suggest respect or admiration. From an anterior view, the heads of the lions are in the first plain and simplifying force, audacity, and strength are more emphasised. To the long side of the sarcophagus there is a clear scene of the King on the throne. He is next to winged sphinxes. They are seen to be standing in a straight posture and their strong tails lifted. The King is seen to be calm and is holding a piece of a lotus flower that is almost withering.Advertising Looking for essay on ancient history? Let's see if we can help you! Get your first paper with 15% OFF Learn More His gestures are suggesting that he is pointing at some thing and he is receiving special offerings from at least seven people who have analogous garments. The symmetrical inscriptions on top of the sarcophagus tell preferably about the splendid growth of his Kingdom. Feminine people are seen wailing at the edge, traces of scarlet colour are seen; these are features that make this sarcophagus rhetoric and mysterious. The sarcophagus has various inscriptions. If one takes a closer look at the sarcophagus, he/she can see 38 inscriptions of the Phoenician Alphabet there. Scholars believe the Phoenicians alphabets represent the oldest dialects in the Kingdom of Byblos. The excavator and scholars found very interesting features about this sarcophagus. The inscriptions carried messages that meant to stop the excavator to continue digging. Reinhard Lehman was able to find the translation of the writings on this sarcophagus using the ancient Phoenician alphabetical dialect (Pritchard 57). History of the Sarcophagus of Ahiram King of Byblos becam e incredibly famous because of the sarcophagus described above. This is real evidence of the culture and wisdom of the Phoenician people. The alphabet found on the lid of the sarcophagus proves the Greek writings. Benjamin Sass is a proponent of a theological theory that Israelites have a hand in creating the complex alphabet. The text inscribed on the sarcophagus is the oldest alphabet of around 11th century. That is, it is older than Moabite King Misha dated to be characteristic with 814 B.C kind of texts. Scholars believe that Ahiram was a renowned Phoenician King. He ruled a Kingdom called Byblos. He reigned in 999 BC. Little history is written about Ariham, although a lot is revealed in this sarcophagus that was discovered in 1923. Ahiram’s name was inscribed in the sarcophagus and kept scholars looking for answers as well as information about this Phoenician King of Byblos (Torrey 265). First, the archeologist thought it to be a simple Egyptian burial place. The sealing and the basic writing on the surface of the sarcophagus reveal a lot that makes this piece of artifact a national historical object that needs a keen eye. Apart from the inscriptions of the lid and the rim of the artifact, the messages carried on the inscriptions are shocking, tormenting, and mysterious. This makes this piece more interesting. The details of the inscriptions describe how King Ahiram of Byblos was put in seclusion. Of course, this is a tale of the bitter story of death.Advertising We will write a custom essay sample on The Sarcophagus of Ahiram specifically for you for only $16.05 $11/page Learn More Then, no one among the kings or governors in Byblos kingdom should come against King Ahiram and try to uncover the same sarcophagus. If someone does this, then there will be a lot of suffering and minimal peace in the land, because whoever will be excavating the sarcophagus will be after the Kingdom of Ahiram (Lee 82). There are several mea sures the excavator should perform to exonerate guilt and fate. This sends a chill down the spine. In conclusion, the Sarcophagus of Ahiram carries a lot of mystery and the obscurity behind the method of burial. It is evident from the inscriptions in the lead sarcophagus that was excavated almost a century ago. Works Cited Koortbojian, Michael. Myth, Meaning, and Memory on Roman Sarcophagi. California, CA: University of California Press, 1995. Print. Lee, David. Ernest Renan: In the Shadow of Faith. London, UK: Duckworth, 1996, Print. Pritchard, James. Archaeology and the Old Testament. London: Princeton University Press, 1968. Print. Torrey, Charles. â€Å"The Ahiram Inscription of Byblos†. Journal of the American Oriental Society.† Journal of the American Oriental Society, 45.4 (1925): 269 279. Web. This essay on The Sarcophagus of Ahiram was written and submitted by user Dav1s to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Saturday, March 21, 2020

How to Conjugate the French Verb Rester (to Stay)

How to Conjugate the French Verb Rester (to Stay) Rester is the French verb that means to stay or to remain. This is a very useful word and one youll want to add to your vocabulary. To use  rester properly, youll need to study its conjugations. This will allow you to say I am staying, he stayed and similar phrases. The good news is that  rester  is a regular verb, so its a little easier to memorize than others. The Basic Conjugations of  Rester Rester is a regular -er verb, meaning it follows a very common conjugation pattern. If you have studied other French verbs like passer (to pass) or visiter (to visit), you can apply the same infinitive endings you already know to this verb. The indicative mood is the most common and these are the forms of  rester  that youll use most often for the basic present, future, and imperfect past tenses. Using the verb stem (or radical)  rest-, you will add a variety of endings to match both the subject pronoun and the tense of your sentence. The chart will help you memorize these various forms. For example, I am staying is  je reste  and we will stay is  nous resterons. Your daily life should have plenty of opportunities to practice this verb and the more you use it, the easier it is to remember. Present Future Imperfect je reste resterai restais tu restes resteras restais il reste restera restait nous restons resterons restions vous restez resterez restiez ils restent resteront restaient The Present Participle of Rester When we add an -ant  ending to the stem of  rester, the result is the  present participle  restant. Rester  in the Compound Past Tense While there are other compound forms you can study, well focus on the most common for this lesson. The  passà © composà ©Ã‚  is used for the past tense and requires the  auxiliary verb  Ãƒ ªtre  as well as the  past participle  restà ©. The only conjugation required for this is à ªtre into the present tense for the subject. The past participle remains unchanged and takes care of implying that the action happened in the past. For example, I stayed is je suis restà © and we stayed is nous sommes restà ©. You can see how this can be much easier than memorizing all those imperfect forms, but dont skip those just to save time. Your French teacher may require you use them. More Simple Conjugations of Rester The  rester  conjugations above should be your top priority, though there are a few more simple conjugations you may need from time to time. They each have their own purpose and are good to know. For instance, when the action is uncertain, the subjunctive is used. In an if...then situation, you can use the conditional. Less frequently, you may even need the  passà © simple  or  imperfect subjunctive, though these tend to be for formal uses. Subjunctive Conditional Passà © Simple Imperfect Subjunctive je reste resterais restai restasse tu restes resterais restas restasses il reste resterait resta restà ¢t nous restions resterions restà ¢mes restassions vous restiez resteriez restà ¢tes restassiez ils restent resteraient restà ¨rent restassent If you want to command your dog to Stay! in French, you can use the imperative form.  For this, you can skip the subject pronoun and simplify it to Reste !  Of course, it has other uses, but the idea of training your dog in French is a fun idea. Imperative (tu) reste (nous) restons (vous) restez

How to Conjugate the French Verb Rester (to Stay)

How to Conjugate the French Verb Rester (to Stay) Rester is the French verb that means to stay or to remain. This is a very useful word and one youll want to add to your vocabulary. To use  rester properly, youll need to study its conjugations. This will allow you to say I am staying, he stayed and similar phrases. The good news is that  rester  is a regular verb, so its a little easier to memorize than others. The Basic Conjugations of  Rester Rester is a regular -er verb, meaning it follows a very common conjugation pattern. If you have studied other French verbs like passer (to pass) or visiter (to visit), you can apply the same infinitive endings you already know to this verb. The indicative mood is the most common and these are the forms of  rester  that youll use most often for the basic present, future, and imperfect past tenses. Using the verb stem (or radical)  rest-, you will add a variety of endings to match both the subject pronoun and the tense of your sentence. The chart will help you memorize these various forms. For example, I am staying is  je reste  and we will stay is  nous resterons. Your daily life should have plenty of opportunities to practice this verb and the more you use it, the easier it is to remember. Present Future Imperfect je reste resterai restais tu restes resteras restais il reste restera restait nous restons resterons restions vous restez resterez restiez ils restent resteront restaient The Present Participle of Rester When we add an -ant  ending to the stem of  rester, the result is the  present participle  restant. Rester  in the Compound Past Tense While there are other compound forms you can study, well focus on the most common for this lesson. The  passà © composà ©Ã‚  is used for the past tense and requires the  auxiliary verb  Ãƒ ªtre  as well as the  past participle  restà ©. The only conjugation required for this is à ªtre into the present tense for the subject. The past participle remains unchanged and takes care of implying that the action happened in the past. For example, I stayed is je suis restà © and we stayed is nous sommes restà ©. You can see how this can be much easier than memorizing all those imperfect forms, but dont skip those just to save time. Your French teacher may require you use them. More Simple Conjugations of Rester The  rester  conjugations above should be your top priority, though there are a few more simple conjugations you may need from time to time. They each have their own purpose and are good to know. For instance, when the action is uncertain, the subjunctive is used. In an if...then situation, you can use the conditional. Less frequently, you may even need the  passà © simple  or  imperfect subjunctive, though these tend to be for formal uses. Subjunctive Conditional Passà © Simple Imperfect Subjunctive je reste resterais restai restasse tu restes resterais restas restasses il reste resterait resta restà ¢t nous restions resterions restà ¢mes restassions vous restiez resteriez restà ¢tes restassiez ils restent resteraient restà ¨rent restassent If you want to command your dog to Stay! in French, you can use the imperative form.  For this, you can skip the subject pronoun and simplify it to Reste !  Of course, it has other uses, but the idea of training your dog in French is a fun idea. Imperative (tu) reste (nous) restons (vous) restez

How to Conjugate the French Verb Rester (to Stay)

How to Conjugate the French Verb Rester (to Stay) Rester is the French verb that means to stay or to remain. This is a very useful word and one youll want to add to your vocabulary. To use  rester properly, youll need to study its conjugations. This will allow you to say I am staying, he stayed and similar phrases. The good news is that  rester  is a regular verb, so its a little easier to memorize than others. The Basic Conjugations of  Rester Rester is a regular -er verb, meaning it follows a very common conjugation pattern. If you have studied other French verbs like passer (to pass) or visiter (to visit), you can apply the same infinitive endings you already know to this verb. The indicative mood is the most common and these are the forms of  rester  that youll use most often for the basic present, future, and imperfect past tenses. Using the verb stem (or radical)  rest-, you will add a variety of endings to match both the subject pronoun and the tense of your sentence. The chart will help you memorize these various forms. For example, I am staying is  je reste  and we will stay is  nous resterons. Your daily life should have plenty of opportunities to practice this verb and the more you use it, the easier it is to remember. Present Future Imperfect je reste resterai restais tu restes resteras restais il reste restera restait nous restons resterons restions vous restez resterez restiez ils restent resteront restaient The Present Participle of Rester When we add an -ant  ending to the stem of  rester, the result is the  present participle  restant. Rester  in the Compound Past Tense While there are other compound forms you can study, well focus on the most common for this lesson. The  passà © composà ©Ã‚  is used for the past tense and requires the  auxiliary verb  Ãƒ ªtre  as well as the  past participle  restà ©. The only conjugation required for this is à ªtre into the present tense for the subject. The past participle remains unchanged and takes care of implying that the action happened in the past. For example, I stayed is je suis restà © and we stayed is nous sommes restà ©. You can see how this can be much easier than memorizing all those imperfect forms, but dont skip those just to save time. Your French teacher may require you use them. More Simple Conjugations of Rester The  rester  conjugations above should be your top priority, though there are a few more simple conjugations you may need from time to time. They each have their own purpose and are good to know. For instance, when the action is uncertain, the subjunctive is used. In an if...then situation, you can use the conditional. Less frequently, you may even need the  passà © simple  or  imperfect subjunctive, though these tend to be for formal uses. Subjunctive Conditional Passà © Simple Imperfect Subjunctive je reste resterais restai restasse tu restes resterais restas restasses il reste resterait resta restà ¢t nous restions resterions restà ¢mes restassions vous restiez resteriez restà ¢tes restassiez ils restent resteraient restà ¨rent restassent If you want to command your dog to Stay! in French, you can use the imperative form.  For this, you can skip the subject pronoun and simplify it to Reste !  Of course, it has other uses, but the idea of training your dog in French is a fun idea. Imperative (tu) reste (nous) restons (vous) restez

Wednesday, March 4, 2020

First Come, First Served

First Come, First Served First Come, First Served First Come, First Served By Maeve Maddox The expression first come, first served began life as a proverb having the same sense as the early bird catches the worm. Both proverbs are admonitions against dawdling.†¨ The proverb was adopted by shopkeepers to convey the idea that customers would be served in the order of their arrival. In case of limited quantities, latecomers would be out of luck. And if the local squire got there after the char lady, hed have to wait his turn. The expression has become so common in modern times that the abbreviation FCFS and even Fcfs is seen in advertising and on ticket-selling sites. Because the expression originated before the 1900s when the idiom changed, modern speakers and writers have trouble with the usage. A common error is to write the phrase as first come, first serve. The confusion arises from thinking that come is the same kind of verb form as serve and that theyre supposed to match. One way to look at it is to think of first come, first served as an elliptical form of the first to come will be the first to be served. Another is to recognize come as a past participle or adjectival verb form. Consider: First seen, first treated. First gone, first missed. In first come, first served, come functions as an adjective. Its not a common usage these days, but I actually found a contemporary example in a song written by Steeleye Span, a British electric folk band. Its from their 2004 album They Called Her Babylon: some said, â€Å"give him the beef, the beef,† some said, â€Å"give him the bone.† and some said, â€Å"give him nothing at all but let the beggar roam.† then up and spake the new-come lord, a saucy word spoke he, â€Å"pass round the cup, let my rival sup, then send him on his way.† Confusion about the expression involves punctuation as well as spelling. No comma Bookings must be made by midnight 22nd June, so hurry, spaces are limited and available on a first come first served basis. Comma Free flights from British Airways for small businesses looking to export. There are 4,000 up for grabs on a first come, first served basis. Hyphens Delta Airlines accepts pets on a first-come, first-serve basis. Quotation marks NEWCASTLE United  is set to be sold on a first-come, first-served basis. I vote for the unhyphenated, unquoted comma version: The new phones will be sold on a first come, first served basis. Of course the problems of verb form and punctuation can be avoided entirely by going with FCFS. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:50 Synonyms for â€Å"Leader†For Sale vs. On SalePractice or Practise?

Monday, February 17, 2020

Analysis of a NewYork landmark Term Paper Example | Topics and Well Written Essays - 500 words

Analysis of a NewYork landmark - Term Paper Example The paper intends to reveal certain facts of the Statue of Liberty based in New York. The Statue of Liberty is a symbol of freedom and the beginning of a new life in the land of liberty. Moreover, the depiction of the landmark regarding the history of New York and the character of its inhabitants will also be discussed in the paper. In order to explain about what The Statue of Liberty communicates towards the history of New York City, it can be affirmed that the landmark can be duly regarded as a symbol of character of the city and the residents residing there. The landmark is often viewed to be a famous tourist attraction in New York since a long time period. The Statue of Liberty shows a picture of the slavery system being crushed in the feet of the lady as portrayed in the Statue. It also depicts the improvement of the life of the people of New York. Earlier in the United States, there exists the slavery system. This Statue reveals the abolition of t slave system in the history of New York and the rise of a better life style of the residents of the city. It is often considered to be a universal symbol of freedom against the slave system prevailing in the city along with the nation (Murthy Law Firm, â€Å"Statue of Liberty†). The Statue of Liberty not only communicates about the history of the previous days but also the characteristics of the citizens residing in the city. Along with the abolition of the slave system, the statue also highlighted the start of an efficient life of the people. The torch of the lady is a symbol of the characteristics of the residents of the city. New York is a city with large population having kind nature. This character has been reflected by the statue (Fleegler 193-196). The Statue of Liberty communicates a lot of information about the city of New York. The statue itself is a universal symbol of freedom which reveals the abolition of slave system

Monday, February 3, 2020

Planning Strategic Change Essay Example | Topics and Well Written Essays - 3000 words

Planning Strategic Change - Essay Example This paper illustrates that in every organization there is a need for change to be made to ensure continuous quality leadership. According to Kotter, change model can be created in steps; the first step is creating urgency. A change will only help when it is required with the organization as a whole. Creating urgency can help ignite motivation for things to move. Secondly, an organization needs to create a powerful coalition. In this step, the company has to show the necessity of change through leading by an example. The company needs to bring together a team or coalition of persons whose powers are derived from status, job title political importance and expertise. This will ensure a mix of personnel from different levels and departments in your organization. Another step for change model is creating changes in your vision. The company needs to create a vision that people can remember and understand easily. Hence, the company needs to ensure that the central values to change are dete rmined, the visual speech is practiced often and a brief summary is developed to capture the organizations future. The fourth step is frequent communication of the vision; the organization should talk about the vision every moment available. The vision should be used daily to solve problems and make decisions in order to refresh it in people’s minds. In addition, the organization needs to apply the vision in its operations in also to lead by example. In step five, the organization needs to remove the obstacles; removing obstacles empowers the individuals required to execute the vision and propel the change forward. The organization should, therefore, identify individuals resistant to change and brief them on what is required, check on the job description, performance, compensation system and organizational structure to ensure they tally with the vision. Lastly, an organization also needs to identify and reward those that are championing for change. Creation of short-term wins is another step that organizations need to look into.

Sunday, January 26, 2020

Psychotropics in Paediatrics or Adolescents

Psychotropics in Paediatrics or Adolescents Introduction Psychotropic drugs are medications and chemical formulations that cross the blood brain barrier to act on the central nervous system to stimulate the change of mood and behaviour of an individual. Schatzberg and Nemeroff (2009) underscore that it is important to note that these medications are not curative but rather palliative, and although they may improve symptoms associated with various mental disorders, they do not cure the primary cause of the disorders. According to Perry (2007), psychotropic medications include antidepressants, antipsychotic or neuroleptics, attention deficit hyperactivity disorder (ADHD) drugs, and antimanic or anxiolytics among others. This paper aims at discussing the physiological implications of using psychotropic medications in paediatric and adolescent populations with a bias on neuroleptic/antipsychotic, anxiolytic/antianxiety and ADHD drugs. While there may be reservations regarding the use of psychotropic medication in children and the physiologic effect of these drugs on young people’s central nervous system development, leaving mental disorders untreated is not a viable option as evidently supported by medical literature. This is because untreated mental illness may cause paramount long-term morbidity and even irreversible deficits in socio-emotional and cognitive functioning. Regardless of ethical and legal reservations surrounding the use of psychotropic drugs among paediatric and adolescent patients, analyses of data on their use reveals fast changing trends pointing to increased use. According to Hsia and MacLennan (2009) there was a three-fold increase of the number of children/adolescents taking any psychotropic drug between 1987 and 1996. Adolescent visit to physicians significantly increased psychotropic prescriptions as evidenced by an increase to 8.3% of the prescriptions in 2001, up from 3.4% in 1994 (Hsia MacLennan, 2009). In 2001, psychotropic prescriptions made up 8.8% of all psychopharmacological prescriptions among patients aged between 6 and 17 years (Hsia MacLennan, 2009). In terms of gender, more male paediatrics and adolescents are on these medications compared to their female counterparts. Due to increased incidences of anxiety, depressive, manic, and other psychotropic disorders in paediatrics and adolescents, there has been an increased acceptance and need for use of neuroleptics, anxiolytics and antidepressant drugs in these patients. Neuroleptics and their implications on paediatrics/adolescent Neuroleptics, also known as major tranquilizers or antipsychotic drugs are used primarily to treat psychoses and symptoms. In paediatrics and adolescents, they are also indicated in the treatment of other non-psychotic psychiatric disorders. They are the drugs of first choice in treatment of autism and schizophrenia in children and adolescence. Kalyna and Virani (2007) explain that neuroleptics are used in treatment of paediatrics and adolescents with severely aggressive conduct disorders, Tourette’s disorder, and chronic motor or vocal tic disorder. Antipsychotic drugs are also used in the treatment of ADHD but their use has decreased due to increased use of stimulant medications which are more effective for this disorder. Examples of antipsychotic drugs include haloperidol, chlorpromazine, molindone and fluphenazine. Newer formulations include olanzepine, clozapine, quetiapine, risperidone and ziprasidone (Hamrin, McCarthy Tyson, 2010). The use of neuroleptics on paediatrics and adolescents has several implications. Side effects associated with long-term use of these medications in this population include akathesia, acute dystonic reactions, parkinsonian symptoms, tardive dyskinesia, anticholinergic symptoms and sedation. They also lower seizure threshold in susceptible subjects and drugs such as Chlorpromazine should not be used in such patients. Tardive dyskinesia is a grave concern and has been reported in about 1 to 20% of paediatrics and adolescents on long-term use of neuroleptics (Kalyna Virani, 2007). It may occur as early as 5 months after commencement of treatment or may delay to up to 3 years. Since paediatrics and adolescents have more dopamine receptors than adults, they are more sensitive to side effects affecting the central nervous system. Long-term use of neuroleptics should be avoided in this population but †¦.contends that low doses may be recommended in selected difficult cases. Other side effects associated with neuroleptics include weight gain, irregular menses and breast enlargement in adolescents. Doran (2013) documents that second-generation anti-psychotic (SGA’s) drugs can cause metabolic disturbances and weight gain in paediatrics and adolescents even during first-time treatment. For instance, in a trial of treatment of schizophrenia with olanzapine, 30% of the paediatric/adolescent subjects gained weight compared to 6% in adult subjects (Doran, 2013). Other SGAs such as risperidone, quetiapine and clozapine also posted similar results with the paediatric/adolescent subjects gaining between 0.9 to 16.2 kilograms (Doran, 2013). Withdrawal of neuroleptics or lowering of the dosage may lead to withdrawal emergent syndrome with resultant aggravation of psychotic symptoms. This has been reported in paediatrics and symptoms include ataxia, vomiting and nausea. In a study by Vitiello (2008) as high as 51% of the paediatric patients showed the withdrawal symptoms, usually occurring after few days to few weeks after drug withdrawal. Clozapine has been associated with deaths of two paediatric patients with the mechanism being linked to sudden cessation of treatment (Vitiello, 2008). Haloperidol has been demonstrated to interfere with the children and adolescent’s daily routine including social and school activities. Neuroleptics increase sedation, lethargy and somnolence in paediatrics and adolescents than in adults; for instance, this was demonstrated in 30% to 49% of paediatric patients being treated with Risperidone in contrast to 7% of adults taking the same drug for bipolar mania (Hamrin, McCarthy Tyson , 2010). Anxiolytics and their implications on paediatric/adolescents Anxiolytics are psychopharmacologic drugs used to treat anxiety disorders in paediatrics and adolescents. Other conditions for which they may used include sleep disorder, aggressive behaviours and psychosis. They include selective serotonin-reuptake inhibitors (SSRIs) benzodiazepines, tricyclic antidepressants (TCAs) and busipirone. Anxiety disorders are greatly predominant in adolescence; between 6 and 20% of children have a type of anxiety disorder (Kalyna Virani, 2007). Doran (2013) documents that use of benzodiazepines in paediatrics and adolescents has tripled over the last 10 years. Anxiolytics are recommended to be used only after an aftermath of an event e.g. traumatic event and should be used for short periods (not more than two weeks) to avoid the risk of developing addiction or diminished efficacy. A recent review shows that SSRIs have become the preferred pharmacological intervention for paediatric anxiety disorders. They have very potent anxiolytic effects and their tolerance among paediatrics and adolescents is high. However, this class of psychotropic drugs has been associated with increased suicidal ideation. A well-documented controversy in paediatric and adolescent psychopharmacology occurred in 2003 when FDA issued public alert warning prescribers of increased ideation and attempts of suicide among patients below 18 years on anxiolytics (Vitiello, 2008). This contributed to a substantial drop in rates of diagnosis and prescription of these drugs among paediatric and adolescent population. Later, after a meta-analysis of numerous clinical trials of nine drugs in this class, it was demonstrated that there was only a marginal increase (0.7%) increase in the suicidal ideation with no actual increase in completed suicides (Schatzberg Nemeroff, 2009). However, this has led to adoption of a multidisciplinary approach towards management of paediatric and adolescent depression to encompass both pharmacological and non-pharmacological interventions. Cardiovascular adverse effects are often reported with most anti-anxiety medications because these drugs act on the autonomic system. Such side effects include increase in heart rate and changes in blood pressure. Although these side effects are generally not of major clinical significance while taking psychotropic medications, tricyclic antidepressants (TCAs) such as desipramine have been inconclusively linked to sudden death among paediatric patients (Kalyna Virani, 2007). Therefore, it is imperative for the prescribing physicians to take a comprehensive patient history, as well as monitor the electrocardiograms, heart rate and blood pressure changes of the paediatric and adolescent patients before and during treatment with psychotropic agents such as TCAs. Lamotrigine manifestly increases the risk for severe skin reactions and hives in paediatrics and adolescents (Dulcan, 2010). Another critical consideration in anxiolytic use of drugs in these subjects is drug interactions. Drugs that inhibit the cytochrome P450 enzyme system could have adverse effects on the subjects if concomitantly administered with anxiolytics (Perry, 2007). Antifungal drugs and some antibiotics such as erythromycin when co-administered with SSRIs such as fluoxetine can cause cardiac arrhythmias (Perry, 2007). Others such as imipramine and Lamotrigine can cause toxic delirium (Hamrin, McCarthy Tyson, 2010). The prescribers must document all medications that may have drug-drug interactions with psychotropics as well as those that have direct or indirect effect on the cytochrome P450 enzyme system. ADHD drugs and their implications on paediatrics/adolescents Stimulants used in management of ADHD are some of the most used psychotropic drugs among paediatrics and adolescents. However, trepidation persists due to concerns of the adverse effects of these drugs on the growth rate in paediatrics. Use of stimulant psychotropic drugs has been associated with stunted growth rates. The Multimodal Therapy of ADHD study demonstrated that stimulant psychotropic drugs, especially in high doses, reduce growth velocity and weight (Gelder et. al, 2009). This is due to appetite loss, a common adverse effect associated with these stimulant drugs. However, in most cases normal growth seems to rebound once the psychostimulant agents are withdrawn with no significant suppression of ultimate height attained. Nevertheless, some studies have revealed that pyschostimulants continue to suppress growth in early and late adolescence. Rosenberg and Gershon (2002) explain that pyschostimulants such as methylphenidate may permanently cause stunted growth by affecting e piphyseal closing of long bones if used between ages 17 and 21 years. However, Cheng and Myers (2010) outline that suppression of growth could be because of the underlying mental disorder, for instance, ADHD rather than the treatment. One disconcerting physiological implication of ADHD drugs especially in paediatrics being treated for hyperactivity or outbursts is the aggravation of the condition with the medication, a phenomenon referred to as paradoxical response. Doran (2013) explains that in a small number of paediatric/adolescent patients may severely increase nervousness and agitation instead of reducing it (disinhibition). These subjects may become giddier, act sillier or even manic. Similarly, some younger patients may be more depressed after being put on antidepressants. Studies have shown paediatrics and adolescents getting more moody and agitated after receiving mood treatment psychotropic drugs in ADHD treatment (Kalyna Virani, 2007). Others on stimulants may become more hyperactive and fail even to respond to sleep-inducing drugs. Research by Hamrin, McCarthy and Tyson (2010) shows that if a paediatric or adolescent patient shows paradoxical effect to one class of psychotropic drugs, there is a 50% o f similar reaction if he or she is given another drug of the same class. Paediatrics and adolescents have a lower albumin binding capacity and reduced adipose compartment, leading to a higher percentage of unbound compound than adults. Similarly, their drug biotransformation rates are higher, and this could reduce the half-life of the drugs relatively increasing the risk for toxic metabolite levels. This may contribute to physiological rebound effect where the paediatric and adolescent patients present with exacerbation of symptoms than original symptomatology (Dulcan, 2010). This often occurs when drug plasma levels decrease due to increased hepatic elimination and subsequent renal excretion. The subjects show symptoms such as hyperactivity, irritability, insomnia, over talkativeness, excitability and non-compliance (Dulcan, 2010). Schatzberg and Nemeroff (2009) explain that this can be remedied by adding a small afternoon dose or using slow-release preparations. The physician may also opt to use short- and long acting medications. Other implications of ADHD drugs on paediatrics and adolescents are the drug’s adverse effects. In a meta-analysis review, 32% of the doctors were concerned with decreased appetite and loss of weight association with these drugs. Half of them raised concerns about disturbed sleep while 22% were apprehensive of the increased anxiety. Other physicians indicated that they were concerned about possible diversion of ADHD drugs and felt burdened by prescribing these controlled drugs for paediatrics and adolescents. There is a high potential for abuse of controlled stimulant drugs used in ADHD treatment which can be achieved by crushing and snorting the medication. However, this abuse potential has been addressed through extended release formulations and introduction of skin patches which are less susceptible to abuse. Conclusion Psychopharmacological treatment in paediatrics and adolescents is an area of on-going ethical discussion, as these subjects affected by mental disorders are a vulnerable class of patients. The use of psychotropic drugs in children below 8 years is under-researched; this is because most of these drugs are developed and researched in adults. In addition, it could also be due to existing ethical and legal considerations that hamper access of research to such studies. Paediatrics and adolescents with psychotic disorders will classically be put on psychotropic drugs while those with other disorders will be put on non-pharmacological treatment. Sometimes, both approaches may be used simultaneously. Logically, the benefits of pharmacological intervention must outweigh potential risks associated with use of these drugs in these young people. An important consideration is the proof of the efficacy and safety of the drug for the age of the patient and the specific disorder. Psychopharmacothera py in paediatrics and adolescents requires a holistic, multidisciplinary approach. Pharmacovigilance in use of psychotropic agents among these subjects as well as their long-term efficacy and adverse effects are indispensable. It is evident that paediatric and adolescent patients are, to say the least, more vulnerable to adverse effects of psychotropics than adults are. With the increasing adoption of psychopharmacological interventions in treatment of paediatrics and adolescents with mental disorders, novel research is vital to come up with clear evidence-based recommendations on use psychotropics in these subjects. References Cheng, K. Myers, K. M. (2010). Child and Adolescent Psychiatry: The Essentials. Philadelphia: Lippincott Williams Wilkins. Dulcan, M. K. (2010). Dulcan’s Textbook of Child and Psychiatry. Arlington, VA: American Psychiatric Publishing, Inc. Doran, C. M. (2013). Prescribing Mental Health Medication: the Practitioner’s Guide. Oxon: Routledge Publishers, Inc. Hamrin, V., McCarthy, E. M. Tyson, V. (2010). Paediatric psychotropic medication initiation and adherence: a literature review based on social exchange theory. Journal of Child and Adolescent Psychiatric Nursing, 23, pp. 233-242. Hsia, Y. MacLennan, K. (2009). Rise in psychotropic drug prescribing in children and adolescents during 1992-2001: A population-based study in the UK: European Journal of Epidemiology, 24(4), pp. 211-216. Rosenberg, D. Gershon, S. (2002). Pharmacotherapy for child and psychiatric disorders. New York: CRC Press. Gelder, M., Andreasen, N., Lopez-Ibor, J. Geddes, J. (2009). New Oxford textbook of Psychiatry. Oxford: Oxford University Press. Kalyna, Z. B. Virani, A. S. (2007). Clinical Handbook of Psychotropic Drugs for Children and Adolescents. Boston, MA: Hogrefe Publishing GmbH. Perry, P. J. (2007). Psychotropic Drug Handbook. Philadelphia: Lippincott Williams Wilkins. Schatzberg, A. F. Nemeroff, C. B. (2009). Textbook of Psychopharmacology. Arlington, VA: American Psychiatric Publishing, Inc. Vitiello, B. (2008). An international perspective on paediatric psychopharmacology. International Review of Psychiatry, 20, pp. 121-126.

Friday, January 17, 2020

Class Inequality and Poverty as seen by Marx, Weber, and Lewis Essay

Our society today is currently experiencing a widening of the gap between the rich and the poor. As the saying goes, â€Å"the rich is getting richer and the poor is getting poorer,† our society attests to such truth, where the wealthy is gaining more money while the poor’s case is getting worse by the minute. Poverty is a big problem ever since the dawn of man. In an ideal world, the number of resources produced could feed more than any of the hungry mouths all over the world. But in reality, wealth is not distributed properly to every living individual. There are those who get more as compared to those who get less or get nothing at all. The sad reality If you take into consideration every living individual in a certain community, only a small fraction of its population enjoy living a well-off life, and a majority suffer from lack of resources or doesn’t have enough to fill their stomachs. A fraction of imbalance in the distribution of resources and wealth affects a greater number of people, wherein the sad reality lies on whom are the ones getting much and who are the ones gaining a lot. This is the sad reality in our society, where people thrive in a world filled with inequality and sadly, majority of the people suffer from the extra gains of some people. Class inequality can be traced way back in the history of men, when people learned to classify themselves, making some superior and some, well, rather inferior. Another sad reality is that the ones who are in the higher echelons of the society are the ones who are not doing actual hard labor. These people are the one’s capitalizing from the hard work of the poor working class, sweating their lungs out, literally giving their sweat and blood just to make money. This labor force is the one who is actually earning the money; it is their effort and strength that makes the real cash, not the ones bossing them around. But the harshness of life is reflected in this situation: the ones working hard gets paid less, barely enough to make a living out of it, while the ones bossing everyone around gets a much bigger share, wherein they have exerted minimal or no real effort in doing so. This is the present situation of the working class of the past, the present, and maybe of the future. There are some great thinkers who have pondered on these things so to speak. This people, though separated by different views, expressed their opinions about how inequalities in the classes happen and why poverty exists, depending on how they see the situation. Their take on the realities are reciprocated by approval or by rejection from the people looking at their ideas. Some may seem radical to others, but some deem that is the necessary thought for that certain specific topic. These great thinkers include Karl Marx, Max Weber and Oscar Lewis. Karl Marx’ views For Karl Marx, poverty is the outcome of the rampant class inequality that the society is suffering today. The working class, whom Karl Marx advocates, is the ones who are actually earning the money for the society. They are the ones who actually deserve to get much of the gains, rather those who are capitalizing from their labor. Marx stressed that capitalists are the ones bringing disarray in the society because they are actually contributing lesser work as compared to the laborers, yet they are getting most of the gains. In order to correct this, Marx strongly advocated the abolishing of capitalism and replaces it with communism. For him, it could be a way to alleviate poverty in the society today, rather than just letting the capitalists sit around and wait for the harvest of their money’s fruit, rather than giving the laborers the real fruits of their labors. In Marx’ belief, capitalism has been the root of the great class divide, the widening gap between different social strata, where the poor and the rich are distinctively apart from each other. This is because of the fact that a great part of the gains goes to the pockets and the bellies of the capitalists, who are theoretically â€Å"getting even richer,† the fact that they are the ones who have the money. On the other hand, the laborers, the ones who are exerting greater effort as compared to these capitalists, are not getting anywhere the definition of rich at all, hence, they are having the difficulty to cope with the increasing cost of living, thus worsening their status, with them experiencing the â€Å"poor is getting poorer† part (Hallas, 2002). Looking closely at Marx’ ideas, you could see that it could also be about freedom. It is being able to freely produce and receive what is rightfully yours, as for the part of the laborers, for their efforts, their hard work to be reciprocated with enough pay. It is about how the true â€Å"money-earners† – the laborers, be able to control various circumstances that could benefit them, and not the capitalists. They will be able to create a free society where their hard work will be equal to a good life for them and their families. Because of this, the society will be a better place as conceived by Marx. It will be an exploitation-free society, in the same time it will do away with oppression, racism, unemployment, war, from poverty and inequality. Max Weber’s views Max Weber’s idea revolved on the role of an authority when it comes to the distribution and allocation of the national resources. He also stressed out that the wealth of the country, the nation’s riches, came from the bureaucratic organizations present. They are clearly the ones influencing the allocation of these resources because as Weber sees it, they were the producers, not the common working class. His main idea stated that bureaucracy, an organizational arrangement of the people themselves, is to administration as compared to machine which is for production. Weber defines bureaucracy as an institutional method wherein the rules are applied to certain specific cases, thus justifying the government’s action as being fair and really predictable (â€Å"What Is Bureaucracy?† 2004). For Weber, poverty was not essentially a natural situation or condition. The situation of poverty could be broken, wherein the social status of the people could be alleviated from the poor to the not-so-poor, thus implying a chance for people to develop. But if you see the definition of poverty as being relative, there could still be people thriving below the poverty line. This is because of the margin of difference from the rich and the poor are also changing. But if you look closely, their way of life, their social standings, their lifestyles had been changed. Even though they are still considered to be poor, relative to the rich people, they are able to alleviate their way of life out of the slums and were able to live a normal and healthy lifestyle. Oscar Lewis’ views American born anthropologist Oscar Lewis created the social theory about the â€Å"culture of poverty.† This concept of social classifications justify the positioning of the poor in the society, wherein the concept explains that the poor people have a different value system. Because of this, the theory suggests that the poor are slumped in the situation of poverty because they are continually adapting from the burdens of poverty. For Lewis, the poor became â€Å"the poor† because they were transformed by poverty. Poverty became a standard in classifying a person’s social status, thus implying that the definition of being poor is relative. It depends on how you look at it. Being poor doesn’t necessarily mean that you are not eating well, not being able to enjoy life as much as others can, etc. etc. Being poor entail being placed in the lower part of the poverty line. If there are a lot of rich people, the poverty line could be changed, thus some of the rich people may be considered as poor (Burt, 2004). American situation The most applicable principle in the United States of America was the contribution of Oscar Lewis. The quality of life in America is far better than other countries in the world, yet there are still some poor people. This is relative to America’s situation as compared to the situation of another country. There is a possibility that a rich person in another country, when he goes to America, he will be considered poor. Another possibility could be that when a poor man in America goes to another country, he could be considered as rich. Lewis’ introduction of a culture of poverty could be applied in America’s situation, wherein the concept of the poor is just a creation of the concept of poverty. Creating an underclass could have resulted to the introduction of a higher class, thus there was a basis for comparison of the different classes that exist in a society. The poor existed because of the rich people’s existence and vice versa. Burt, D. S. (2004). Oscar Lewis. Retrieved February 21, 2007, from http://www.answers.com/topic/lewis-oscar Hallas, D. (2002). The legacy of Karl Marx. Retrieved February 21, 2007, from http://www.socialistworker.org/2002-2/423/423_08_HallasOnMarx.shtml What Is Bureaucracy? (2004). Retrieved February 21, 2007, from http://www.semp.us/biots/biot_145.html

Thursday, January 9, 2020

Gay Men And The Covert World Of Working Class Homosexuality

Gay men and women in the 1940s learned very early on in life just how detrimental it was to keep their homosexual identities a secret. It was not as simple as playing a fun, innocent game of secret identity, but rather a tactic employed to avoid the violence, the discrimination, and the many other ways that heterosexual Americans attacked homosexual Americans. Hiding their true selves was the only way for gay people to ensure their safety in at least one manner during the 1940s. In The Evening Crowd at Kirmser’s, Ricardo Brown implicated the secretive nature of gay men in the 1940s as imperative to their survival. Brown continually acknowledged the challenges accompanying the concealment of their true identities and divulged some of the various complications that arose both within and outside of the gay community, contributing to the need for their secrecy. Ricardo Brown dove headfirst into the covert world of working class homosexuality in 1940s Minnesota, reliving his own ex periences of discrimination as well as recounting the tales of his homosexual friends and their adversities. In describing one of the ways homosexuals slid under the radar, Brown asserted, â€Å"We always had to keep our guard up. We all learned to get by on lies, deceit, illusions.† It was a constant charade and they often kept it up by pretending to date the kind of girls who would not expect or pressure them into sexual activity. Of course, this type of cover could only last for so long, subsequentlyShow MoreRelatedThe Crucible : An Allegory For The Red Scare2011 Words   |  9 Pagesthe threat of Black Americans being equal in status to White Americans during the Civil Rights movement. Although the crucible takes place in 1692, Salem, it reflects the concerns of 1950?s American life and is an allegory for the Red Scare, and Homosexuality. [2: Wall, Wendy. Anti-Communism in the 1950s. www.gilderlehrman.org. N.p., n.d. Web. 21 Apr. 2016. .] The Crucible takes place in Salem, Massachusetts, which was a puritan town.[endnoteRef:3] Reverend Parris is praying over his daughter,Read MoreHistory of Transgender9448 Words   |  38 Pagestwo-gender system evolved from a one-gender system in the late middle ages. This two-gender system started to produce â€Å"third genders† during the eighteenth century. It also discusses how current day gender transitions differ in depth and dilemma from a gay of lesbian coming out. Part I discusses how during it’s first fifty years (1860-1910) psychiatry replaced sin with diagnosis, and the multifaceted image of the 18th century sodomite, with a host of very specific inverted gender-identities. AmongRead MoreCurriculum Development10775 Words   |  44 Pagesdesigned to ensure that all students, regardless of their previous achievement are able to achieve their full potential. This section examines the diversity of students in the LLS and some of the factors that affect learning and achievement such as race, class, gender and sexuality. Section Three: Curriculum Design for Inclusive practice identifies three current approaches to curriculum design and asks a fundamental philosophical question: What counts as an educated 19 year old today? It then examinesRead MoreCalculus Oaper13589 Words   |  55 Pagess essay constitutes a powerful challenge to some of our least examined sexual assumptions. Rich turns all the familiar arguments on their heads: If the first erotic bond is to the mother, she asks, could not the natural sexual orientation of both men and women be toward women? Rich s radical questioning has been a major intellectual force in the general feminist reorientation to sexual matters in recent years, and her conception of a lesbian continuum sparked especially intense debate. DoesRead MoreThe Hours - Film Analysis12007 Words   |  49 PagesDalloway is also set on a single day (in June 1923) and weaves together several narrative perspectives, which are organised in two parallel-running stories: one of them centres on Septimus Warren Smith, a soldier suffering shell shock after the First World War, while the other -- and Cunningham mainly focuses on this strand of the dual narrative -- recounts Clarissa Dalloways preparations for a party she will give the same evening. During the day, she now and then reminisces on the time she was eighteen

Wednesday, January 1, 2020

Should The New Ordinance Be Banned - 896 Words

Recently Santa Barbara began legislation to expand the new ordinance to ban the use of single use plastic bags in unincorporated areas on July 21, 2015 (Independent). This ordinance was aptly named the â€Å"Single-Use Carryout Bag Ordinance†, which would work on a two tiered scheduled system in which certain stores based on the schedule would be prohibited from providing single-use plastic carry out bags to customers at the point of sale and would require a ten cent charge to provide customers with each paper bag. The schedule would prohibit any supermarket, and store with a pharmacy larger than 10,000 square feet from giving single use plastic bags on and after May 14, 2014. On or after November 14, 2014 for smaller grocery stores and others. This schedule was then adjusted for the unincorporated areas with the respective dates, with larger stores on March 22, 2016 and September 24, 2016 (Single Use Bags). This ban is a reflection of an ongoing statute proposed to ban bags i n California in early 2015 but due to groups opposing the ban it has been put on hold until November 2016 (Ballotpedia). There are many groups who oppose the ban and many groups who support it. A few groups who support the ban are, California vs. Big Plastic, the Surfrider Foundation, the Sierra Club and other environmental groups(Ballotpedia). Those who oppose the ban include, the American Progressive Bag Alliance, various plastic manufactures and the stoptheban.com website. These groups provide the majorShow MoreRelatedLeft Field Media Llc Is The Appellant1057 Words   |  5 Pagesadjacent to Wrigley Field. Smerge refused to move when officer Elias Voulgaris told him to go across the street to be in compliance with the Adjacent-Sidewalks Ordinance, which prohibits peddling on specific sidewalks adjacent to Wrigley Field. Smerge was ticketed and he then moved rather than risk arrest. 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