Mental Problems

This article written by Shelton and Papakostas deals with the health problem of treatment-resistant depression (2008). This refers to a situation where at least one trial of an antidepressant has failed. More specifically, the study investigates the effectiveness of atypical antipsychotics in treatment-resistant depression. This subject was chosen due to the report by the recent â€Å"National Institute of Mental Health Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study,† which shows a very small percentage of people who actually recovered as a result of their first antidepressant treatment (Shelton & Papakostas, 2008).The subject of this study is very important for Health People 2010, as it deals with the issue of effectiveness of antidepressants. The authors noted that there are several new antidepressants available in the market, and yet, the data showing responses of patients as a result of these antidepressants are dismal. For example, there are signifi cant functional impairments found among patients who already had at least 50% improvement on the depression scale. Moreover, despite the relatively high mean dose of antidepressants, the fact remains that only few people actually recover from depression (Shelton & Papakostas, 2008).This condition deserves adequate attention because it comprises about ten to twenty percent of people who have major depressive disorders. Thus, about 10-20% of depressed people fail to respond to traditional antidepressant treatments (Greenberg, et al., 2004). Existing data, however, do not segregate the affected population based on demographical indicators such as age and gender. The factors affecting this condition are not addressed by extant literature, but some research suggests ways of addressing the condition. Thus, in this article, it is suggested that atypical antipsychotics be used instead of traditional antidepressants.Atypical antipsychotics include drugs such as aripiprazole, risperidone, ola nzapine, and ziprasidone. In order to determine how these drugs are relevant to treatment-resistant depression, the authors conducted a study consisting mainly of a study and review of clinical literature dealing with the use of such drugs to depressed patients (Shelton & Papakostas, 2008).From their review of clinical literature, the authors found two atypical antipsychotics that seemed promising based on controlled clinical trials. These drugs are quetiapine and olanzapine. The effectiveness of other atypical antipsychotics were either not supported by data or contradicted by a later study. Thus, the authors were not able to conclude that all atypical antipsychotics are effective for treatment-resistant depression, because existing clinical literature on the matter is decidedly mixed and unclear (Shelton & Papakostas, 2008).Nurses would play a significant role in the treatment of treatment-resistant depression, especially since the study showed how a lot of antidepressant medicati ons do not work on the patients. It is noted that nursing is a profession that plays a very important role in the provision of health care. Since nurses spend a significant amount of time with patients, especially when they conduct rounds and take direct care of the patients, nurses often become more familiar to the patients than the doctors.The nurses’ role in the recuperation or treatment of a patient is not limited to routine procedures and mechanical acts. More importantly, nurses could play a very important role in helping a patient recover psychologically from an illness. Nurses could help depressed patients by establishing a good, healthy, and strong relationship with the patient. More specifically, nurses should attempt to make patients comfortable so that they would be allowed by patients to treat them effectively.Depression and stress are natural consequences of an illness. These emotional facets of the healthcare profession require nurses to know how to attend to t hese emotional needs. Emotional sensitivity and proper communication with patients would allow nurses to inspire patients with treatment-resistant depression to recover, despite the difficulty and the lack of effectiveness of various antidepressants in the market today.Nurses interested in getting better on giving emotional support to patients could join nurses' associations, such as the NSW Nurses' Association. Details could be found at their website, http://www.nswnma.asn.au/nswnmamembers/benefits/. Organizations such as these provide support and assistance to nurses and give valuable information relating to the profession.ReferencesChambers, M. (1998). Interpersonal mental health nursing: research issues and   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   challenges. Journal of Psychiatric and Mental Health Nursing 5, 203-211.Shelton, R. C. & Papakostas, G. I. (2008). Augmentation of antidepressants with   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   atypical antipsychotics for treatment-resistant major depr essive disorder. Acta   Ã‚  Ã‚  Ã‚  Ã‚   Psychiatrica Scandinavica 117, 253-259.

Suicide Methods and Essay. Belonging

Essay. Belonging is a fundamental part for all individuals in which we strive for acceptance and security through others. Understanding is a main part of feeling like you belonging. Individuals belong when they fell connected to others and the world. However to do this they must first have an understanding and acceptance of self which will nourish their sense of belonging. A lack of understanding of the concept of belonging and yourself leads to preventing your identity, relationships, acceptance and ultimately belonging.The concept of the understanding of belonging is shown in the text – Swallow the air by Tara Jane Winch. In Swallow the Air, persona May Gibson shows a lack of understanding in her and therefore feels she does not belong. As soon as her mum commits suicide at the beginning of the novel May has trouble belonging, â€Å"When mum left I stopped being Aboriginal I stopped feeling like I belonged. Anywhere†. May has lost her security in her culture and ident ity. Costa the curry will tell u too link this back to understanding nourishes belongingThe name of the first chapter ‘swallow the air’ demonstrates May’s loss of belonging. The title is a metaphor of her disconnection to others, the community and her sense of belonging. She is not physically drowning in water she is drowning in pain and sorrow. However by the end of the novel, the final chapter called ‘home’ signifies May’s attitude has changed dramatically. â€Å"I know what the word really means, home. † The word home is a universal term of belonging it represents that she has once again found ‘family’ and within that comfort.

A Different History by Sujata Bhatt †Analysis Essay

Explore the ideas in the poem A Different History by Sujata Bhatt. Sujata Bhatt reflects and explores on the ideas of ‘culture, ‘values’, human struggle, religion combined with its beliefs and acquisition of foreign or strange language. Bhatt invites the readers and takes them through the culture of India and its religious beliefs that every life respects them there. There is enough vocabulary to understand this in the poem. She also expresses her bitterness and strong emotions towards the struggle and torture borne by the people ‘here’ in the past. She wonders and ponders on the issues of ‘tongue’ and ‘language’ She shows her amazement and expresses her inability to understand how people ‘here’ learn to love the ‘strange language’ that put to suffer the torture and struggle for identity. The poem does not have a traditional structure in terms of stanzas or the rhyme scheme in it. The complex ideas of religion, beliefs, values, culture and loving foreign language might be the reasons for composing it with no rhyme and irregular parts. The first 18 lines run in religious and reverential tone but the poet immediately shifts to bitterness and wonder. See more: Strategic Management Process Essay The first part begins with an introduction to the Nature god, Great Pan, who assumed to be dead to rest of the world. But Bhatt reminds the world that India welcomed this ‘immigrant’. The phrase,’Great Pan is not dead’, conveys the world that the culture of worshipping â€Å"Nature’ gets home in India. The word ‘emigrated’ shows us that this emigrant is neither dead nor has intensions to return to his country. Thus, she makes a point that the culture in India is unique with ‘A Different History’; a history which respects and worships the Nature and the environment around without somebody gives any awareness. Introducing the word ‘India’, she touches the living values and culture in this country. She tries to conjure the readers into understanding how the people ‘here’ believe in ‘snakes and monkeys as gods’. She explores on the values and beliefs of the people ‘here’. The word ‘sacred’ allows the readers understand the inherited values and beliefs here about worshipping ‘trees’. She brings out the picture of togetherness in animals and trees. The simile ‘disguised as snakes and monkeys’ provides us the clue to the belief of sacredness. Bhatt explains the fact that ‘sin’ doesn’t need to be a serious wrong act in ‘this culture’ but a small act can be ‘sin’. Bhatt uses three verbs that denote rudeness in behavior towards books. She uses ‘shove’ , ‘slam’, and ‘toss’ to explain how the culture ‘Here’ values knowledge. Though treating a book rudely is not an act of disrespect but an act of ‘sin’ here’; a serious connotation. Bhatt uses the word ‘sin’ three times to mean more than a wrong act in life. This throws light on the culture of ‘India’ and values observed here. Bhatt gives a hint of religious beliefs in her though not really enthusiastically to prevent the idea of negativity in her ideas. She introduces ‘Sarasvati’ to the readers of English as a ‘goddess of Arts’ – knowledge, painting and music. She conveys that the people( ‘soul’) enjoy endless freedom ‘here’ but they are bound to observe the beliefs of this culture. The line ‘You must†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. disturbing Sarasvati’ highlights the idea the freedom is in respecting one’s culture and self but not enjoying oneself which is selfishness. There is a hint of dualism in 17th and 18th lines. These lines express the value system which is an ‘obligation’ in this culture. We can understand this with the word ‘must’ in the poem. Bhatt suddenly shifts her tone from reverential attitude to bitter and emotional tone in the second part of the poem. She questions all the histories in the world to recollect how different ‘oppressors’ and ‘conquerors’ left their ‘tongues’ to destroy other cultures. The metaphor ‘oppressor’s tongue’ and two rhetorical questions in the second part make the readers feel guilty of human history. It is a history of oppression which left dark chapters. The word ‘murder’ makes it very clear that the history of ‘oppressors’ is not very appreciable. She expresses her bitterness and shows aggressiveness for forcing the ‘tongue’ on ‘a different culture’. Bhatt closes the poem with amazement in the last 7 lines. She uses enjambment to compose the complex idea of acquisition of ‘strange language’. She asks ‘how does it happen’ but continues to answer her own question with wonder and amazement. Bhatt feels that it is quiet difficult to understand how people love the language left by the ‘conquerors’ face’ after the ‘soul’ borne the torture. It becomes wonder for the poet to notice that the people here were left with ‘cropped soul’ but they stepped into future to love ‘the strange tongue’. English language must be the strange language that she refers in the poem. Maybe, people here welcome the change with time and life and they are kind to forgive or forget the past as it is no more important in the present. She uses ‘the unborn grandchildren’ which allows the readers to understand that the present generations are living in a different culture where everyone ccepts other cultures. Bhatt seems to be fearful to see the danger of forgetting the language of origin. Because the ‘strange language’ is lovable now, it may lead to the disappearance of mother tongue. She uses ‘unborn grandchildren’ to mean the generations who would come in this world. She also hints that these generations would accept and welcome all the cultures that they live in. Today, the world is not left with a culture that is purely not affected. So the poet thinks one might live and accept different cultures that affect them. The poet gives us the universal theme of ‘acceptance of all the cultures’. Though one would love his/her own culture, it also happens that people(souls) accept and begin to love other language(strange language). In conclusion, I think that the poem explores the ideas from culture to values and oppression to loving strange language. Readers also understand the ideas of culture, religion, beliefs and ‘a history with difference’; where people are kind and modest to accept different culture and their language yet continue to have ‘a different history’ for themselves.

Phishing computer crimes Research Paper Example | Topics and Well Written Essays - 1000 words

Phishing computer crimes - Research Paper Example On the other hand the biggest pessimistic use of a computer is for crime purposes. As people make use of the computers they typically think that their activities are confidential and also their personal information are protected. For instance, web sites of business nature often gather details from many visitors; later on many web sites sell these personal details against the desires of the visitors (Turban, Rainer, & Potter, 2004; O'Leary & O'Leary, 2007). This is a kind of computer crime. There are many other kinds of a computer crime however this paper mainly focuses on phishing. In their book, (Laudon & Laudon 1999, p. 147) define â€Å"computer crime as the unlawful activities by making use of a computer or against a computer system. The Internet's user-friendliness and convenience have fashioned modern ways for computer crime, well-known forms of which is phishing.† Additionally, the computer crimes appear in a wide variety of ways and also cause a number of serious probl ems for different people. For instance, nowadays online frauds or frauds using the Internet are modern form of the online criminal activities in which an authorized person (normally acknowledged as a hacker) hacks some useful data and information and later on use it to conduct illegal and criminal tasks, such as cash related scandals. In this scenario, the basic intentions of criminals are to earn money, tease other or play games with others. In fact, the Internet is open for everyone which gives the opportunities to criminal people, to steal, new ways to steal them, and new techniques to harm others (Laudon & Laudon, 1999, p. 147). As discussed above, there are many kinds of a computer crime and criminals do it intentionally. For instance, sometimes a dissatisfied employee or terminated worker can be dangerous to an organization. In this scenario, these people want to damage business with their extensive criminal activities (Parker, 2002; O'Leary & O'Leary, 2007). Therefore, employ ers should properly scrutinize the background of persons being connected with critical computer related tasks. Some people falsify resume to get jobs. Also, the company should hire trustworthy personnel to minimize crimes related to computers (Parker, 2002; Worthington, 2003, pp. 621-623). In addition, Hacker and Cracker are most widely used terms in computer crimes. In this scenario, Hacker is an external person who can break through a computer system, typically with no illegal intention. On the other hand, a Cracker is a nasty hacker, who may perhaps produce a stern crisis for the organization (Turban, Rainer, & Potter, 2004). Moreover, Phishing is an emerging problem regarding online data security and information safety. There are a number of cases of identity theft and online frauds using Phishing and other hacking techniques. At the present, Phishing is normally carried out through E-mail or the instant messaging. In many cases its basic purpose is to direct online traffic to a particular website whose appearance or interface are approximately similar to the actual one. Even though server cannot differentiate between false and original web site so a hacker successfully passes through these security walls. Normally, Phishing techniques are aimed at making fool to the internet users, and making use of the attractive usability of present web expertise. In

Marketing Plan Situation Analysis Assignment Example | Topics and Well Written Essays - 250 words

Marketing Plan Situation Analysis - Assignment Example The kind of business that Bergs shop operates is seasonal and hence they are bound to be out of season during certain seasons in the year. The bergs shop is behind technology since they have not introduced he modern skis. They are hence bound to lose customers if they fail to change The business started as just a rental business for skis but has diversified over time. They offer other services such as bus ticket services to Mt. Bachelor, Willamette Pass, Hoodoo, and Mt. Hood Meadows. The business has started an online system of booking where they operate a website and people can make prior booking. Marketing objectives refers to the targets that an organization sets within a certain time frame and are aimed at improving its products or services (Sandhusen 29).Bergs shop is focused on increasing its annual sales so that they can maximize their profits. They have started the strategy of lending and selling so that they can capture a large group of customers. Online advertisement has proved worthwhile since bergs have recorded an increase in returns sine they introduced it. The rental and selling charges have reduced over the last three years, and it has pulled in and retained

Bussiness environment Essay Example | Topics and Well Written Essays - 2000 words

Bussiness environment - Essay Example This is made possible with the help of the local state machinery which indeed is the government, the different stakeholders, the various political groups, the reform movements, the consumer action factions and indeed the largest entity of them all – the various publics. Now what is most important under such a non-manufacturing sector to produce instant results is the interplay between these entities on a consistent basis – the result of which is the amalgamation of resources brought forward by each player and thus the wholesome unit works towards providing each other benefits as well as towards the whole composition of the relevant sector that it is working under. For the length of this paper, an effort has been manifested to focus on the provision of the public services and as to how the same are delivered to the different publics on an out and out basis. (Stark, 2002) The steps that the varied organizations and firms undertake, the role of the government under such in itiatives and the endeavor which the stakeholders make all this while is adequately documented within the length of this essay so as to mention the salient features of the provision of public services, coming as a direct example of and under the banner of the non-manufacturing sector. Now the focus shifts wholly towards the public services since these bring forward the needs and wants of the people – for whom the services are carried out in essence. The public services are the most basic of needs coming under the auspices of the government and for carrying out these undertakings; the government need not charge anything. However the social sector taxes and the income cuttings play a huge role in providing the funding for the public services’ institutions to work in a wholesome manner. What is needed is an effort by the state machinery (government) to step up the

Research methods (Evangelistical literature) Essay

Research methods (Evangelistical literature) - Essay Example Epistemological assumptions begin with an inherent suspicion of the knowledge basis of the concept or product. They want to understand and interpret everything in a framework of methodology Conventional science is based on 'rational positivist' thought. This includes the presumptions that there is a 'real world'. Data can be gathered by observing it This data is factual. It is truthful and unambiguous. The 'post-positivist', 'interpretivist' philosophy, on the other hand, asserts that these assumptions are unwarranted, According to this philosophy 'facts' and 'truth' are a wild supposition and 'objective' observation is impossible, and that the act of observation-and- interpretation is dependent on the perspective adopted by the observer. Interpretivists criticise even the physical scientists for the narrowness of their assumptions. Their criticisms hold some truth particularly strongly in the social sciences, where the objects of study are influenced by so many factors. These factors are extremely difficult to isolate and control in experimental laboratory. This builds up to a requirement that multiple interpretations of the same phenomena must be allowed for, and that no truth is attainable. An organization which depends solely on ontological beliefs has to at some point embrace epistemological assumptions to survive. So it sells faith' - the very basis of the philosophy of being. Evangelistical literature or material is published and marketed to influence people of ontological belief into their way of life. Since ontological assumption is based on positivism, the belief that everything being is good, the positivist approach quite easily gets affected by such marketing ventures. To them pictures of God or human beings in reverence, Biblical stories...To them pictures of God or human beings in reverence, Biblical stories and incidents hold an incredible position of awe. be made attributable to the purpose of collection. Similarly, the data collated in terms of cases individuals or groups runs the risk of the age factor being misrepresented which amounts to a great deal of confusion. In such a scenario greater credence is given to the written word.