...alcohol levels are typically 30 to 40 per cent higher. The higher blood alcohol concentration results from an age-related decrease in the amount of body water in which to dilute the alcohol. Therefore, although they can metabolize and eliminate alcohol as efficiently as younger persons, the elderly are at increased risk for intoxication and adverse effects. * One reason for this is that older bodies tend to have less alcohol dehydrogenase available. This is the enzyme in the stomach that starts to break down alcohol before it reaches the bloodstream. * Women in general have less body water than men. * A higher blood alcohol level is associated with a higher risk of intoxication, cognitive difficulties and problems with balance and co-ordination. * Older adults’ sensitivity to alcohol may also be heightened by medical conditions such as diabetes, hypertension or dementia or by medications. Signs of alcohol problems in older adults * Focusing on how much alcohol an older person is consuming is not overly helpful in determining if a problem exists. What’s most important is how alcohol use affects the person’s life. * The stigma experienced by people with alcohol problems is particularly severe in older adults, which may make some older patients reluctant to disclose how much alcohol they use and how it affects their lives. For this reason, it is important to be aware of the many red flags that indicate alcohol may be a...
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...6 3.3 UICEF 7 Unicef is a charity, work to protect child rights, UNICEF UK established in 1956 and is one of 36 UNICEF National Committees based in industrialized countries. It is a charitable company limited by guarantee and is governed by a Board of Trustees. The Board meets regularly to discuss governance matters, including the charity’s vision, mission and strategic direction. 7 3.4 The Comparison Table 8 4 Report Brief: 9 5 Forms Of Ownerships: 10 5.1 Selection of organization 10 5.2 General Discription: 10 5.3 Historical Changes or Developments Explanation: 10 6 Pros. And Cons. Of Organization Ownership: 10 6.1 Definition of Current Ownership: 10 6.2 Comparison between different forms of Ownerships: 10 6.3 Comparison of Advantages and Disadvatages of curret ownership: 10 6.4 Discussion of Recommended Changes to current form: 10 7 Pros. And Cons. Of Organization Structure: 10 7.1 Definition of Current Structure: 10 7.2 Comparison between different forms of Stuctures: 10 7.3 Advantages and Disadvantages of current Sturcture: 10 7.4 Discussion of Recommended Changes to current form: 10 8 Key Stakeholders identification: 10 8.1 Ss 10 8.2 Ss 10 9 Summary and Conclusion: 11 9.1 Discussion: 11 10 Reference List: 11 11 Appendix: 11 Assesment outcomes: * Sss * Sss * Ssss * sss Introduction: This report will discuss three different organization aims and objectives for different sectors of...
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...Parenthood can often be extremely overwhelming and demanding. Putting aside your entire life and giving up everything to satisfy the needs of your baby is not an easy or painless task. The immense pressure to do the best you possibly can for your child poses a huge responsibility on parents. In my opinion, the critiques condemnation of attachment parenting is not fair. I believe that the concept of attachment is reasonable and infact necessary for infants to develop into skilled, independent and mature individuals who share a strong emotional bond with their parents. First and foremost, it is essential to know what Attachment parenting is all about? It is ‘an approach of raising children who are well connected to their parents rather than a strict set of rules.’A common misconception that people have is considering intensive mothering to be a synonym for attachment parenting. Intensive mothering is based on the idea of completely sacrificing your needs and desires and devoting your life to your child or in other words letting your child dictate your life. Most of the articles such as Dr. Laura’s neighborhood focuses on the extreme extent people go to in order to raise their child in the “perfect” way. The author in a rather sarcastic tone aims to make the readers realize that even in the 1970’s and 80’s parents raised babies who turned out to be just fine without ‘the concern that they aren’t spending enough time with their kids and needing to demonstrate in countless ways...
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...awake so that together we can make a change. But we must not look at crisis’ as always negative. It is here our crisis’ help us revolve and evolve as people and a society together. Everywhere we look we see people on their phones; at the dinner, in school, while driving, with friends, etc. This is the problem with society. It is like we are just going through the motions of the day meaninglessly. People just want to get through the day but Dr. Martin Luther King Jr. in his sermon,“Remaining Awake Through a Great Revolution,” urges us to wake up and not sleep through this crisis of ignoring humanity. In this sermon, King explains that, “No individual can live alone, no nation can live alone, and anyone who feels that he can live alone is sleeping through a revolution”...
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...Infancy and Early Childhood Development Standing in the middle of the delivery room, completely consumed with what has been referred to as the miracle of life. You find yourself squeezing the hand of the women you love in an effort to provide strength and reassurance that everything will be alright. An explosion of life fills the room as the baby enters the world kicking and screaming. Captivated by such a beautiful sight your heart is filled with admiration, simultaneously launching the parental voyage that you have been preparing yourself for. Realizing that your baby will absorb life no differently than a sponge would absorb water, you exercise caution as to what your baby is exposed to. Infants are immediately and primarily exposed to their family following childbirth, so there is no surprise that this will have an effect on development. With the absence of an instruction manual, parents often raise their children in ways that they deem fit. Considering the diversity amongst parents across the globe, environmental and cultural cues play a role in the development of children down to the smallest details. Certain cultures place more emphasis on certain aspects of development that influence parenting techniques. A study was conducted observing parents that demonstrated proximal interaction with their children, and distal interaction. Women from Cameron, Africa had more of a proximal relationship with their infants, providing them with more physical touch than the use of objects...
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...Consensual Relationship Agreement Case Study Tamiliah S. Spivey Dr. Gail Ferreira BUS 520- Leadership and Organizational Behavior April 22, 2012 Introduction: My paper will interpret the issues that may arise when there are relationships in the workplace where I presently work. For any organization to thrive and be successful in a recession and other companies that are competition, they must have certain policies and procedures in place. The current consensual relationship agreement that we presently have in place at Clarks Companies specifically entails if there is a consensual relationship between a supervisor and subordinate, they would need to contact human resources as soon as possible. The reason being is the other employees that may have knowledge of the relationship will say that they are receiving preferential treatment because they are dating someone they report to. Consensual Relationship Agreement – Arguments: I feel that having and using the consensual relationship agreement can protect our workers and they will feel comfortable with coming into work and not worried about being retaliated by the individual they were dating, especially if they were the one to end the relationship. While some companies prohibit workplace relationships, Clarks Companies know that it’s inevitable while working in a company of 500 employees, we try to give them the tools needed to use good judgment if they find themselves being in a relationship with someone they work with...
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...HD 340 – Fall 2015 – Midterm #2 Study Guide Chapter 5 through 7 ~ Infancy & Toddlerhood ***In addition, to merely knowing definitions, make sure you can apply the terms to situations, knows pros & cons (if applicable), etc… Please feel free to email me or visit office hours if you get stuck on anything on the guide. Chapter 5 • Cephalocaudal trend: from the Latin for “head to tail.” During the prenatal period, the head develops more rapidly than the lower part of the body. Birth: head takes up ¼ of total body length, legs only 1/3. By age two, head 1/5 and legs nearly 1/2 • Proximodistal trend: when growth proceeds from “near to far.” From the center of the body outward. The head, chest, and trunk grow first, then the arms and legs, and finally hands and feet. During infancy and childhood, the arms and legs continue to grow somewhat ahead of the hands and feet. • Sex differences in growth: infancy, girls are shorter and lighter than boys and higher ratio of fat to muscle. Sex differences persist through early and middle childhood and are greatly magnified at adolescence. Children of the same age differ in rate of physical growth – some mature faster than others. • History of breastfeeding & cultural variations: breastfeeding now more common in industrialized nations. 77% of mothers in America begin breastfeeding after birth, but more than one third stop by 6 months. • Benefits of breastfeeding: provides correct balance of fat and protein. Ensures...
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...Introduction In recent years, there is an increasing rate of cohabitation in the society. Cohabitation by definition is two unmarried people living together. In moral values, this does not seem an appropriate situation because there is no marriage between the couples. However, cohabitation is a chance and requirement to establish strong bonds at the relationship. I became interested in the topic because of my own situation. I am a Christian, so according to the Bible, it is considered a sin to live together outside of marriage. However, I stand in grace. As a grace believer, I know that if I was going to live under law, breaking one “rule” means you break them all. What a frightening thought considering everyone falls short in some area or another. My thought on the subject is that I have seen both sides of the story, and having married young and watching the marriage fall apart, I am very content just living with my significant other. Marriage is a commitment, and before God we have said our vows to each other, but according to man we have not. I feel as though we are married, but I also do not feel as though signing legal documents will change anything accept gain the approval of the world. It is not my intentions to live in sin, but I also do not feel as though it is necessary to sign a bunch of papers just to gain the approval of man. I suppose I feel so strongly because I have seen how devastating marriage can be, and although any relationship can end, the repercussions...
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...other documents that address romance in the workplace. The issues describe above as well as the different ethical issues associated with Consensual Relationship Agreements will be discussed in the upcoming paragraphs below. There are many pros for the use of Consensual Relationship Agreements in the workplace. In a study by Parks in 2006, fewer than 15% of employers had a policy dealing with romance or sexual relationships in the workplace (Parks, 2006). The workplace has always been a major place for individuals to meet and learn about each other. This proximity may lead to attraction and romance, which in turn could make more problems for the organization. According to Clark (2006), “About 80% of employees may be involved in or know of a workplace romance” (p. 350). Some employers try to ward off sexual harassment charges and other problems stemming from office romances by having the employees who are romantically involved read and sign a consensual relationship agreement. According to Schwartz and Storm (2000), “A sexual harassment lawsuit can arise from either 1. A supervisor who has a habit of asking subordinates out of dates; 2. An employee who files a lawsuit after a consensual relationship goes sour; or 3. The perception of co-workers that a supervisor is playing favorites with his or her “significant other” (p. 150). Sexual harassment laws prohibit “unwelcome” sexual advances. Therefore, the participants in a truly “consensual” relationship cannot prove sexual...
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...Depression and Psychotropic Medication PD Psychopharmacology CHMC 640 Depression and Psychotropic Medication Depression is often defined as a mood disorder that causes a persistent feeling of sadness and loss of interest that impacts the way a person thinks, acts, and feels and can have an impact on one’s physical and mental well-being. It is estimated that depression affects 1 out of 10 Americans and that 80% of people exhibiting symptoms re not receiving any form of treatment (http://www.healthline.com). Other statistics revealed that individuals exhibiting symptoms of depression are more likely to have a history of being obese, having heart disease, strokes, suffer from sleep disorders, have lower education, less access to medical care, are unemployed, and recently divorced. These biopsychosocial factors that lead to the onset of depression can also be impacted by such things as age, gender, and ethnicity. While such symptoms and factors of depression can be treated in many different ways, studies have proven that between 60-80% of all cases involving depression can successfully be treated by combining psychotherapy and pharmacological constructs (http://www.healthline.com), the latter which shall be explored in greater detail. History of Medication Although plant extracts such as opium, thorn apple St. Johns wort, Henbane, Indian hemp, deadly nightshade, hypericum oil, alcohol, caffeine, cannabis and other natural remedies have been used for past 3000 years treat...
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...standards of certain individuals to conclude that “there ain’t no freedom in tomorrow” (McBride). McBride should have pointed out the positive aspects of the culture such as those individuals who participate in community outreach programs, social commentary, and political dialogue. In Liz’s Vision of today’s hip hop culture, she says she saw, “Negroes eating in taverns, thousands of them; huge, fat Negroes, gorging themselves with more food than she ever seen: giant portions of pig, pie, steak, fried potatoes, laughing heartily as they ate, holding their stomachs as they gorged themselves. Negro children with bulging faces, strutting about in undergarments as if they were the finest clothing: undershirts, undershorts, nightshirts, and sleeping caps. Other children sitting in great dining halls before plates piled high with food, desserts, pies, meats, cakes- so much food that it seemed impossible for a child to eat. Yet, even as the children ate, gorging themselves with pounds of food and washing it down with sweet, colored water, they cried out of hunger and starvation, weeping bitterly as they ate”(James McBride 40-41). Through this dream, McBride depicts the African American people of today as lazy and selfish. This vision simply tells that...
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...Running head: ELI LILLY – DEVELOPING CYMBALTA CASE ANALYSIS 1 Week 4: Eli Libby – Developing Cymbalta Case Analysis Mary Juanita Hawkins University of Maryland University College Author Note This individual assignment was prepared for AMBA650, Section 9245, taught by Professor Philemon O. Oyewole. Introduction Eli Lilly and Company was established on May 10, 1876 in Indianapolis, IN and has been in business more than 132 years. The founder of this pharmaceutical company was Colonel Eli Lilly who was a union army member during the Civil War. This company deals with the development, discovery, sell, and manufacturer of drugs, such as Prozac and integrates supply-chain management within its departments. The first success that the company achieved was the coating of pills using gelatin. In 1923, the company marked another success by introducing Iletin that was used in improving diabetes. This project was the first largest insulin production that the company together with the University of Toronto invented. All through the 1950’s, various advancements were introduced such as the invention of the oral penicillin and the antibiotic known as Erythromycin. Prozac was produced in 1988 and latter succeeded in 1990. In 2000, the drug Zyprexa was utilized in the treatment of schizophrenia and later, the drug Gemzer was introduced for chemotherapy. Before Prozac the treatment available was Tofranil also known...
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...ESSENTIAL WORDS FOR IELTS AND TOEFL Cũng có 1 chút kinh nghiệm về kỳ thi IELTS, nên hôm nay chia sẻ cùng mọi người. Muốn đạt điểm cao ở kỳ thi IELTS, có 1 điểm rất quan trọng mà Bear nghĩ ai cũng biết: LUYỆN TẬP THƯỜNG XUYÊN. Tuy nhiên, cũng có 1 điểm cực kỳ quan trọng mà đa số thường không chú trọng lắm. Đó là phần từ vựng dạng ACADEMIC (học thuật). Nên để đạt điểm cao trong kỳ thi IELTS, ôn luyện từ trong quyển 22.000 từ THI TOEFL/IELTS của Harold Levine là cực kỳ cần thiết. Mỗi ngày chỉ cần học 3 từ, thì lượng từ vựng của bạn sẽ tăng đáng kể. Số từ vựng này giúp bạn trong cả 4 phần thi LISTENING / SPEAKING / READING / WRITING. Ví dụ: Nếu bạn dùng từ: SIMULTANEOUSLY thay cho từ AT THE SAME TIME, hay PORTABLE thay cho từ EASY TO CARRY hay MITIGATE thay cho từ LESSEN … trong phần WRITING và SPEAKING thì điểm của bạn sẽ cao chót vót không ngờ luôn đấy. Chưa kể, nhất là trong phần READING, những từ trong quyển sách này xuất hiện nhiều lắm, và cả LISTENING nữa chứ. Sự lợi hại của quyển sách này, chắc chắn chỉ khi nào học rồi, bạn mới thấy rõ. Quyển này (nhà xuất bản TPHCM) đã hết bán rồi. Nên nếu bạn nào cần phôtô thì liên lạc Uyên Uyên: UyenUyen@englishtime.us Tuy nhiên mỗi tuần Bear vẫn sẽ post lên đây 20 từ trong quyển sách đó, để nếu bạn nào ở xa, vẫn có thể học được. Đương nhiên mỗi người có 1 cách học riêng và trí nhớ khác nhau. Có người nhìn qua là nhớ liền, có người nhìn hoài vẫn không nhớ, nên Bear suggest cách học này...
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...ebook THE GUILFORD PRESS DBT ® Skills Training Handouts and Worksheets Also from Marsha M. Linehan Books for Professionals Cognitive- ehavioral Treatment of Borderline Personality Disorder B DBT Skills Training Manual, Second Edition Dialectical Behavior Therapy with Suicidal Adolescents Alec L. Miller, Jill H. Rathus, and Marsha M. Linehan Mindfulness and Acceptance: Expanding the Cognitive- ehavioral Tradition B Edited by Steven C. Hayes, Victoria M. Follette, and Marsha M. Linehan Videos Crisis Survival Skills, Part One: Distracting and Self- oothing S Crisis Survival Skills, Part Two: Improving the Moment and Pros and Cons From Suffering to Freedom: Practicing Reality Acceptance Getting a New Client Connected to DBT (Complete Series) Opposite Action: Changing Emotions You Want to Change This One Moment: Skills for Everyday Mindfulness Treating Borderline Personality Disorder: The Dialectical Approach Understanding Borderline Personality: The Dialectical Approach For more information and for DBT skills updates from the author, see her websites: www.linehaninstitute.org, http://blogs.uw.edu/brtc, and http://faculty.washington.edu/linehan/ DBT Skills Training Handouts and Worksheets ® Second Edition Marsha M. Linehan THE GUILFORD PRESS New York London © 2015 Marsha M. Linehan Published by The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights...
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...Congestive Heart Failure Armi Gonzales Western Governors University Congestive Heart Failure A. Investigated Disease Process Congestive Heart Failure is a condition in which the heart is unable to pump a sufficient amount of blood for the body to function. If the heart’s ability to pump blood decreases, blood and fluids may start to pool into the lungs and accumulate in the legs, ankles, and feet causing an edema, shortness of breath, and fatigue. (Heart Failure, 2015, para. 2) The American Heart Association and American College of Cardiology defines heart failure as “a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricles to fill with or eject blood” (King, Kingery, & Casey, 2012, p. 1). Heart failure can be seen as a widespread disease, affecting around five million Americans. (Titler et al. n.d.) It is a chronic condition that is disabling and costly and common to our aging population. With the advancement in therapy and early diagnosis, survival increases from previously fatal acute cardiac events to patients feeling better and living longer. Millions of Americans living with heart failure are 65 years of age or older. (Roger et al, 2004) A1. Pathophysiology The Circulatory system focuses on the heart, a muscular organ that pumps blood through a complex network of blood vessels throughout the body. Blood that is pumped from the heart carries oxygen and nutrients that fuel...
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