...Addiction Addiction is a physical, psychological and physiological state that is as a result of dependence on substances that are psychoactive. These substances are known to cross the barrier between blood and brain when they are taken into the body either through smoking, drinking, injection or any other means that may cause their entry into the body. These substances work by altering the normal functioning of the brain and results in what is often called 'getting high' (Heyman, 2009). The addiction develops when an individual cannot stay for prolonged periods of time without relying on the psychoactive substance that they are addicted to. An addiction may also include habits or behavior patterns that with time become ingrained in our day to day lives and which an individual eventually finds out that they cannot live without indulging in their particular habit or behavior. Though the involvement in the activity or substance is initially a means to seek bliss and enjoyment, after a while, the individual will need to engage in the substance or activity to feel that he or she is normal. Experts in psychology have identified addiction in many forms, but all of them highlight the unusual psycho-dependency on substances and activities. These include; gambling, eating, sex and/or pornography, the internet, work, watching TV, shopping and many more. The main forms of addiction discussed widely though involve excessive drinking, excessive gambling, drug use, eating and sexuality (Orford...
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...balanced manner. Cross cultural interaction in the business world calls for cultural compromise; the aspect of ignoring or favoring one culture over the other one would bring revenue to a decline and general decline of the whole company. For success to be acquired, varied decision making process and organizational models have to be considered with regard to how they change and cultures involved. Culture affect the behavior and preferences of customers and business partners. To be effective in a foreign market, the manager has to adapt their products to acquire the varied needs of a certain group of clients. Any change that has to be made in advertising or features of products among others will to some extend be based on cultural context. The success or inefficiency of a company is reliant upon how well the staff undertake their business and technical skills in a new environment. This capacity is reliant upon the job-based skills and personal sensitivity and how they handle a new cultural setting. One of the common issues that lead to the downfall of companies is the belief that success at home will go on to reflect success abroad. Studies show that ineffectiveness to manage business in foreign countries is attributed to inability to adapt to the model of thinking from a technical and professional perspective. Locally, the business people arm themselves...
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...Analyzing Psychological Disorders Introduction Many people do not realize how biology can play a role in psychological activities and disorders. Biology is a key aspect of psychology. Understanding the role of biology in behavior and cognitive abilities will create a better understanding of the disorder a person may have. Part A: Schizophrenia “Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout history. About one percent of Americans have this illness” (National Institute of Mental Health, 2009). This illness affects a large portion of the brain and is known to be associated with wide spread brain damage. The first studies of the brains affected by schizophrenia reported a reduced brain size. Other studies have shown widespread neuron loss and abnormalities of neuron structure and circuitry in several parts of the brain (Pinel, 2011). Schizophrenic is such a complex disorder and it has many different symptoms. Symptoms related to this disorder include hallucinations, delusions, disorganized thoughts and incoherent speech, and odd behavior; these symptoms are known as positive symptoms. Negative symptoms of this disorder include a reduction or lack of emotional expression, lack of speech, lack of motivation, and the inability to experience pleasure (Pinel, 2011). Because this illness has so many symptoms that are also associated with other disorders, it has been difficult to accurately define the illness and identify the exact...
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...An outbreak investigation featuring a cohort study associated with food contamination with an unknown organism: Confirmed with a variety of biological identification techniques 2015 – Karl Olsen N0425691 During October 2015, an outbreak of 14 cases of symptoms related to gastroenteritis occurred at a bank staff party in Nottingham, it was confirmed via a cohort study that Salmonella was the infectious pathogen. A lack of significant association between specific food sources and illness suggests an attack rate distributed through multiple foods, including salad and chicken, which were considered to be contaminated through a food handler. Introduction A conventional outbreak investigation is when two or more people share identical or related diseases/symptoms or excrete the same pathogens. This is common when cases are shared between individuals that have circumstantial association. In this particular case, the number of confirmed symptoms exceeded that expected and illuminated the potential cause; a foodborne disease. Moreover, on the 11th of October 2015, the first incidence of 14 human cases of symptoms related to food poisoning occurred between bank staff colleagues in Nottingham; United Kingdom. Symptoms of diarrhoea and fever manifested themselves and were reported within a week of a party of which 36 of 42 staff members attended. Symptoms subsided by the 15th of October. The occurrence and proximity of these infections suggest a link which can be explained by the consumption...
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...Question: For an industry of your choice, identify and analyse the most important drivers and barriers affecting its development. Answer Drivers and barriers affecting development of any industry revolve in the fraternity of globalization. Globalisation in business is the worldwide movement toward economic, financial, trade, and communications integration (Frank, 1998). It implies the opening of local and nationalistic perspectives to a broader outlook of an interconnected and interdependent world with free transfer of capital, goods, and services across national frontiers. Drivers in the business concept are critical forces which can be built within business strategy to enable a company to attain its set goals (Gilbert, 1994). Barriers to industry development are forces that deters the business organization from attaining the desired goals and these are encountered both in the internal as well as external business environment (Hough et al 2011) It is therefore imperative to evaluate key drivers and barriers affecting development in a bid to craft strategic tools that can stimulate strategic thinking, generate strategic foresight, provide a basis for testing existing strategies, explore and understand complexities of the future (Trompenaar et al, 2003). This can aid decision making and contribute to preparation for the future. As such, this essay seeks to explore key issues in strategic management and key theoretical models in the South African (SA) Wine Industry and that...
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...Needs Assessment I. Introduction As a result of our research on sexual violence, its prevalence, and its impact on our society were able to identify a service gap within our local communities. A core nonprofit agency, ContactLifeline, Inc. specifically targets people affected by sexual violence and crisis. We interviewed people in the community, local educators, students, and key staff from ContactLifeline Inc. to gather professional opinions and opinions of our fellow community members and educators to see how these service gaps may have affected them or may not have. We discovered that ContactLifeline is a nonprofit agency that provides specific services to sexual assault and rape survivors for the entire state of Delaware. ContactLifeline offers many options for survivors to receive multiple kinds of aftercare services, free of charge, but we noticed that their efforts in prevention were not being met on a full scale by our school system in an effective long term manner. We asked what is being done by our local schools to provide and promote education on this specific topic. What is being done to educate our youth on what healthy relationships and sexual behaviors are so that most importantly we see a decrease in victims and are not spending so much time and money on aftercare? This needs assessment addresses this service gap in depth and provides a possible policy change within our local school districts and potentially a state wide adaption of a sexual education...
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...Cultural barriers affecting the mental health of Indigenous people Cultural barriers certainly have a crucial impact in affecting the mental health of Indigenous people. This is evident as Indigenous people tend to have considerably high levels of stress and anxiety in their lives stemming from the consequences of trauma and grief of stolen generation and dispossession which is intricately linked to mental health and disorder (Craven, 2006).This common pattern of loss of culture, land, voice, family and dignity resulted in poor mental wellbeing for many Indigenous generations over the past century (Brown, 2001). However, problems still continue due to the inadequate research in the mental health of indigenous people. This results in mental illnesses being undiagnosed, undetected for Indigenous people, which makes them disadvantaged with from the rest of the population (Vukic, Gregory, Misener & Etowa, 2001). In addition, if they are diagnosed, they are assessed using Western mainstream methods, such as the DSM-IVclassification system, which does not suit their cultural differences and is culturally inappropriate (Craven, 2006).Also, being treated in the mainstream, it is evident that that their treatment will not be from an Indigenous perspective or worldview, and thus their underlying concerns will be ignored and overlooked (Valmae, Stephen, Melissa, Komla, 2007). There needs to be an understanding of Indigenous culture by healthcare professionals in the mainstream services...
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...Communication barriers in public discourse Document Design 4(1), 22–41 © 2003 by John Benjamins Publishing Co. 23 Inger Askehave and Karen Korning Zethsen Communication barriers in public discourse The patient package insert Keywords: Public communication, asymmetrical communication, target group, genre, patient package inserts The production of expert-to-layperson documents in private and public companies is an area of research that is gradually gaining ground in research communities throughout the world. This article discusses the nature of public communication written by experts or semiexperts and aimed at a large and heterogeneous audience, often potentially the entire population of a country. The article analyzes common barriers to this kind of communication, and considers topics such as the implications of very broad target groups, expertto-layperson communication and the legislative introduction of mandatory genres as opposed to genres which have evolved naturally over time. The case of the patient package insert is outlined as a prototypical example of ‘public communication’ su¬ering from the problems brought about by the existence of these common barriers. Introduction Public documents have long been considered problematic and have attracted the interest of document designers and discourse analysts, not to mention entire movements such as the Plain English Movement. Numerous organizations, committees, and boards have been set up at national and international...
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...20, 2009. 3. Shaffer DN, Yebei VN, Ballidawa JB, et al. Equitable treatment for HIV/AIDS clinical trial participants: a focus group study of patients, clinician researchers, and administrators in western Kenya. J Med Ethics. 2006;32:55–60. 4. Posse M, Meheus F, Van Asten H, van der Ven A, Baltussen R. Barriers to access to antiretroviral treatment in developing countries: a review. Trop Med Int Health. 2008;13(7):904–913. 5. MacQueen KM, Namey E, Chilongozi DA, et al. Community perspectives on care options for HIV prevention trial participants. AIDS Care. 2007;19(4): 554–560. SHAH AND GRADY RESPOND Onyeabor’s letter highlighted some of the ethical complexities inherent in posttrial access. Although we agree that ethically, individuals benefiting from antiretroviral therapy should continue to receive it, the challenge for all of us involved in the ethical conduct of research is to be clear about how this should occur. Many study participants in developing countries, including those in the studies cited, understandably feel that antiretroviral treatment should be continued for life.1 Yet, in other studies, participants appeared to expect national programs to provide treatment, not necessarily the researchers themselves.2 Similar to other influential ethical guidance documents,3–6 the National Institutes of Health guidelines that apply to the studies in...
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...The date was November 14, 2011. The patient was OG, a twenty-four year old male Hispanic. He immigrated to the United States when he was 5 years old from Guatemala, with his mother and he is a legal American citizen. He was brought to Aurora Behavioral healthcare on a 5150 by ex-wife and her parents due to suicidal ideation with a plan to overdose on his medications. He complained of worsening depression, anxiety, and panic attacks. He felt hopeless and had suicidal ideation prior to admission. The ex-wife reported she had received a text from the patient saying, “I need to do something before I hurt myself. You’d be better off if I were dead.” He and his wife separated in December of 2010 and the divorce was finalized in August 2011. The couple separated because of violence; they had gotten into an argument and he pushed her. His ex-wife stated OG’s depression had gotten worse over the past week. The patient said he suffered from blackouts and he couldn’t remember things that had happened. On September 21, 2011 he was arrested while working in Las Vegas for using technology to lure a minor and was in jail for 11 days. The patient said he blacks out and did not remember the incident and woke up in jail. In October of 2011 his physician NP Brantman, prescribed him trazodone, Abilify and Seroquel. He was admitted for suicidal ideation and major depression. Hispanics for the most part believe that health is...
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...How effective is the use of medical marijuana? Can the treatments benefits outweigh the risks? In recent years the debate over the use of medical marihuana increased rapidly. Whereas a patient suffering from chronic pain in California can easily get a doctor’s prescription for medical cannabis, the German patient suffering from the very same symptoms would not be allowed to treat his ache with marijuana, which is the most common name for the hemp plant, or Cannabis sativa. Cannabis can be classified as one of the oldest drugs known to humanity. Its history dates back until the Neolithic times in China about 6,000 years ago. From there, the plant spread to India and the Middle East where it widely served as an analgesic, anticonvulsant, antispasmodic, antiemetic and hypnotic (Hall &Degenhardt, 2003). Moreover the hemp was reported to be a successful appetite stimulant as well as effective in treating a number of disorders, including tetanus, neuralgia, asthma and migraine as well as in alcohol and opium addiction and in the treatment of mental illnesses (McKim& Hancock, 2013). Not recognized at first as a substance producing intoxicating effects, marijuana’s use spread soon all over Europe and the U.S. in the 19th century, where it was used for medical purposes. The plants medical benefits were substituted in the early 20th century by pharmaceutical opiates, acetylsalicylic acid (aspirin) and sedatives like chloral hydrates and the barbiturates, which could be given...
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...private sector can support the maintenance of a healthy diet Master Thesis Master of Sciences in Marketing Author: Supervisor: Sandra Denise Kunz Petersen Jessica Aschemann-Witzel EXECUTIVE SUMMARY PURPOSE – The purpose of this study is to gain a deeper understanding of the changes in diet and eating behavior women experience during the transition to motherhood, the underlying influencing factors, as well as their self-developed coping strategies, in order to devise recommendations for the public and private sector to support the adaption and maintenance of healthy eating habits during this transition. METHOD – A life course perspective was adopted and behavioral change models, used in health-related research, applied. In addition, the data of 18 qualitative e-mail interviews with German mothers was analyzed by means of qualitative content analysis. FINDINGS – The transition to parenthood represents an important life event that can be divided into several phases, each of which is characterized by a range of distinct changes in women’s eating behavior and influencing factors thereof. Women develop coping strategies to face these challenges, but are still found to lack perceived behavioral control and self-efficacy and are confronted with perceived barriers, all of which keeps them from adopting or maintaining optimal eating behaviors during the transition, despite of good intentions and favorable attitudes. PRACTICAL IMPLICATIONS – The findings suggest that measures should be taken...
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...Understanding and implementing culturally competent and culturally congruent care are the key factors for effective and excellent nursing care (Srivastava, 2007). However, health care provider’s roles and responsibilities in meeting health care needs of the clients in consideration to cultural perspective and diversity are getting more challenging and complicated due to increased number of people from a group of multi-ethnic and multi-cultural society, which, in turn requires health care providers to acknowledge and understand variations of cultural healthcare beliefs, values and practices. Transcultural nursing is essential in the process of nursing care because of the different factors, which includes increasing diversity and multicultural identities, emergent use of health care equipment that occasionally dispute the cultural ethics and beliefs of the clients and a rise in feminism and gender issues (Andrews &ump; Boyle, 2008). Maier-Lorentz (2008) states that the fundamental aspect of healthcare is transcultural nursing since culturally competent nursing care help guarantee patient satisfactions and health beneficial outcome. According to the Royal College of Nursing (2009), providing care with respect to health and illness based on the expectations of the people’s values, beliefs and practices corresponding with culture is the focal point of transcultural care. Influenced by the principles and theories of transcultural nursing, the author defines transcultural nursing...
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...Domestic Squalor & Hoarding Pilot Project Institute of Child Protection Studies Australian Catholic University October 2011 October 1, 2011 [HEALTHY HOME: HEALTHY ME] Acknowledgements We would like to acknowledge and thank the clients of Healthy Home Healthy Me who made themselves available to talk about their experiences of the program. Thanks also to the range of stakeholders who participated in the review. Report by: Megan Layton Morag McArthur This project was commissioned by Northside Community Service. Thanks to Justin Barker and Tim Moore for their comments on the draft. Institute of Child Protection Studies Canberra Campus Australian Catholic University PO Box 256 DICKSON ACT 2602 icps@signadou.acu.edu.au Phone: 02 6209 1225 Fax: 02 6209 1216 http://www.acu.edu.au/icps/ Institute of Child Protection Studies, p2 October 1, 2011 [HEALTHY HOME: HEALTHY ME] Foreword by Northside Community Service ‘Healthy Home Healthy Me’ was an 18 week pilot program that supported nine clients to reduce severe domestic squalor and chronic hoarding within Canberra’s Inner North. During 2009/10, the Aged and Disability Home and Community Care (HACC) program at Northside Community Service (NCS) had received a high number of referrals for people presenting with issues related to hoarding and/or squalor. Prior to the pilot program, all nine of the program participants initially received HACC case management as well as a range of other HACC services, such as domestic...
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...new ways to cut costs and people trying to manage an illness or disease are looking for ways to ease their symptoms, maintain their lifestyle, and stay out of the hospital. People with diseases are in the unique position for managed care organizations to focus cost saving programs on. Diseases can be incredibly expensive to treat and while people suffering from diseases are not a majority of patients, they are certainly the most costly (Lorig & Holman, 2003). Disease management programs can also motivate patients to change their lives by better managing their disease and get those diseases under control by giving patients the skills and expertise necessary. Disease management programs seek to change the approach to patient care with regards to difficult conditions by incorporating evidence based medicine techniques and outcomes that can contribute to the wellness of patients by using combinations of education, provider practice guidelines, consultations, appropriate drug utilization, supplementary drugs and services. Focus on these areas can keep patients illnesses from reaching emergent care levels as well as reducing the outlay associated with high–cost diseases. Disease Management History Chronic conditions make up more than 40 million Medicare eligible people, 23% having five or more chronic conditions and encompassing 68% of its spending (Kongstvedt, 2007). Primarily these chronic conditions are comprised of heart disease, diabetes, glaucoma, asthma, chronic obstructive...
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