Friday, October 18, 2019
Pharmacy Essay Example | Topics and Well Written Essays - 500 words
Pharmacy - Essay Example Another challenge that will be faced by pharmacists in the upcoming years (as it is today, too) is staying up-to-date. A pharmacist is expected to be in step with all possible new information in his/her field. This means being aware and familiar with the new medical information that is released and new meds that are developed and put on sale. As the information in our field is constantly changing, it is paramount to stay in the know. A pharmacist can overcome this challenge decently with help of keeping a close watch on medical news, reading current medical journals and participating in Continuous Education (CE) programs. In general, a pharmacist should seek out information that will broaden his/her horizons and improve overall knowledge. Regardless of the field of pharmacology we are involved in, we will need to interact with patients for sure. This is the part of work that will stay unchangeable and relevant forever. Although this challenge may be looming for some of us, working with patients is an integral part of pharmacy. The specificity of the target group pharmacists work with and considering all the characteristic aspects are very important. Thus, pharmacists should work on a patient-friendly communication style. It is important that complex medical information is delivered to patients in a way easily understood by them. Moreover, our target group typically includes people who are not in the pink, i.e. suffering from pain or illness. That should be kept in mind when working with patients in order to approach them with respect and provide qualified assistance. As pharmacists we all will face many complicated tasks and challenges during our professional career. However, right attitude, appropriate communication style and growing knowledge base, could help us to turn challenges into personally and professionally rewarding experiences. As my primary goal is to gain profound knowledge and professional qualification that would allow me to
The Valentine Day Massacre Research Paper Example | Topics and Well Written Essays - 1000 words
The Valentine Day Massacre - Research Paper Example Schwinger and John May, along with five other members of the North Side Irish gang were lined up against a wall and were executed using Thompson sub-machine guns.3 The Victims were executed against the inside rear of a wall belonging to SMC Cartage Company garage at 2122 North Clark street on Lincoln Park neighborhood in Chicago, later the wall became famous as the Massacre wall. The Wall remains the most important artifact of the event. The infamous wall received world wide press coverage because photos depicting the bloody aftermath of the massacre were published world wide.4 According to the coronerââ¬â¢s report, seven machine gun bullets and two shot gun blasts were fired on the seven victims lined against the Massacre Wall. Out of seven, one victim managed to survive for several hours in the hospital but, he refused to name his killers.5 The murders were committed by gangsters, handpicked by Al Capone, who hired them outside the city to minimize the chances of being recognize d by the North Side Irish gang victims. The case still remains officially unsolved because no one was ever convicted of the crime. Al Capone was a very powerful gangster and the event of Valentine Massacre took place at the height of his power in Chicago. The influence of Al Capone on Chicago can be analyzed from the following quote: ââ¬Å"At the height of his power Al Capone carried everyone- from the mayor of Chicago, police captains and judges, to the bell-boys at his luxurious hotel residence ââ¬â around his pockets like loose change, and used his power to exploit societyââ¬â¢s ubiquitously puissant blend of fear and greed.â⬠6 Jack McGurn was the right hand man of Al Capone and it was him, who was the master mind behind the Valentine Massacre.7 Jack McGurn was a perfect example of archetypal good- boy-gone-bad, who harbored a vicious criminality which was perfectly mirrored by the gruesome events of Saint Valentineââ¬â¢s Day Massacre. Jack McGurn was paradoxical and his actions left an indelible impression in the history of America. Jack McGurn and Al Capone staged the murders meticulously in an attempt to eliminate George Bugs Moran. The groundwork devised by Jack McGurn was not only devilishly spectacular but was meticulous as well.8 Jack and Al Capone planned that their hired killers will lure George Moran and his favorite men to warehouse of SMC Cartage Company, by offering them an irresistible deal, which in the case was, a load of hijacked whiskey.9 According to Jackââ¬â¢s plan, Once Moran and his men enter the warehouse, killers disguised as policemen will arrive at the scene, pretending to arrest them, but will kill them instead. Al Capone and Jack McGurn knew that they both would be suspected so they conveniently went out of town, when the massacre took place. Al Capone went on vacation to Florida while Jack went safely elsewhere. Unfortunately, the timing went wrong and the plan misfired because Moran arrived late at the wareh ouse and saw the disguised killers getting out of the police car. Moran was scared and he fled. Therefore, the killers executed seven men that were already there at the warehouse garage.10 Then the two killers disguised as uniformed police officers led the other men at gunpoint, out of the garage after successfully carrying out the shooting. John
Thursday, October 17, 2019
Casa de Diseo Case Study Example | Topics and Well Written Essays - 750 words
Casa de Diseo - Case Study Example riod by offering credit terms of 3/10 net 60, what additional savings in resource investment costs will result for the shortened cash conversion cycle, assuming that the level of sales remains constant? If the firmââ¬â¢s variable cost of $40,000,000 in sales is 80%, determine the reduction in average investment in accounts receivable and the annual savings that will result from this reduced investment, assuming that sales remain constant. Teresa Leal should continue focusing on how the company can reduce the accounts receivable (money customers owe the company), a move that will automatically reduce the bad debt expense. The company should continue with its new strategy of offering cash discounts since the analysis has confirmed that it is a wise idea. However, the companyââ¬â¢s management should also focus on how it can reduce the cost of offering cash discounts since it appears as if it is still relatively high (Fernandes,
Fair Use of Web Content Essay Example | Topics and Well Written Essays - 500 words
Fair Use of Web Content - Essay Example Exclusion of credit is equivalent to unoriginality or taking. Giving fitting credit establish that the works that were utilized were not stolen. Coombe states that when protected intellectual property works are utilized for personal use, it is with the comprehension that the individual utilizing the works wont gain money from this use, nor will they mishandle the exemption rights allowed under present Federal statutes. (1998). Boyle argues that at the point when people utilize the copyrighted materials of others for particular increase, they may well lose any reasonable use exemptions and be obliged to acquire particular authorization from the copyright holder. (2000). The data framework, in the same way as the communication network on which it builds, is worldwide, yet there is respectable variety in distinctive countries laws, implementation arrangements, and even cultural attitudes to IP. The Constitution sanctions Congress to secure an administrative plan " to promote Science and the useful Arts, by securing for limited Times to Authors . . . the exclusive right to their writings . . . ." Accordingly, Congress instituted the Copyright Act of 1909, which it later replaced with the Copyright Act of 1976 (the "Copyright Act"). The prior dangers demonstrate that copyright holders face generous dangers online. All things considered, we recently have adequate proof that licensed innovation is as of now being made for distribution on the Internet (Boyle, 2000). In reality, a stunning very nearly unmanageable-amount of licensed innovation keeps on being processed and made accessible online in spite of these threats. Therefore, regardless of the statements of the individuals who accept that the dangers postured online to copyrighted works might bring about disincentives to make and disseminate meets expectations, it seems different strengths are grinding away on the
Wednesday, October 16, 2019
Casa de Diseo Case Study Example | Topics and Well Written Essays - 750 words
Casa de Diseo - Case Study Example riod by offering credit terms of 3/10 net 60, what additional savings in resource investment costs will result for the shortened cash conversion cycle, assuming that the level of sales remains constant? If the firmââ¬â¢s variable cost of $40,000,000 in sales is 80%, determine the reduction in average investment in accounts receivable and the annual savings that will result from this reduced investment, assuming that sales remain constant. Teresa Leal should continue focusing on how the company can reduce the accounts receivable (money customers owe the company), a move that will automatically reduce the bad debt expense. The company should continue with its new strategy of offering cash discounts since the analysis has confirmed that it is a wise idea. However, the companyââ¬â¢s management should also focus on how it can reduce the cost of offering cash discounts since it appears as if it is still relatively high (Fernandes,
Tuesday, October 15, 2019
WestJet Airlines Ltd. WestJet and Air Canada Term Paper
WestJet Airlines Ltd. WestJet and Air Canada - Term Paper Example It also has a loyalty card and rewards program (WestJet, n.d.). Key Features and Benefits The company renders flight security services with also helping the people book flights, hotels and car rentals from airports online. In terms of special benefits the company renders special privileges for persons relating to special categories and also pertaining to the maternity category (WestJet, n.d.). WestJet in competition to Air Canada has introduced ââ¬Ëpremium economyââ¬â¢ seats to help the consumers enjoy an extra leg space that would be made available in the first four rows of the airlines. Though the booking of the ââ¬Ëpremium economyââ¬â¢ seats would tend to charge more from the consumers yet a comparison drawn reflects that the charge is half than charged by other premium airlines in the course of rendering boarding and on-flight amenities to its passengers. This premium seating model of the company helps WestJet to continue with its low cost position (Hasselt, 2012). We stJetââ¬â¢s Product Life Cycle The Product Life Cycle curve for a company has four stages like Introductory, Growth, Maturity and Decline. WestJet reflects a growth in terms of market revenues and passenger traffic along the periods ranging from 2007 to 2011 from $2127 to $3072 million and from 14,545 to 21,186 million respectively. Thus WestJet falls in the Growth stage (WestJet, 2011, p.6). Products Rendered by WestJet and Consumer Needs WestJet renders online booking of flight, hotel and other hospitality services for both business and corporate passengers along with vacationers. Along with insurance and security benefits the company also renders an extensive reward program catered to meet the needs of loyal consumers (WestJet, 2011, p.10-14). Passengers through the above services can book their flights and hotels associated with the airline company in an online fashion that helps in making their tour more comfortable. Insurance and security benefits help the passengers retrie ve their expenses related to their vacation and tours in cases of any emergency. Further the loyalty scheme of the airlines company helps the consumers avail special discounts and promotions rendered by WestJet during special occasions. WestJetââ¬â¢s Offerings vs. Its Competitors West Jetââ¬â¢s service offerings in comparison to other flight servicing companies operating in the Canadian landscape like Air Canada and American Airlines gain dominance in being able to provide the best quality of service at highly affordable or economic rates. Moreover the company operating on the basis of hub and spoke model reflects higher interconnectivity than its competitors (Grant, et al., n.d.). When, How and by Whom are the services of WestJet Procured Flight touring services and amenities rendered by WestJet are procured by people in times of deciding on vacations and also while planning to take short business tours. Services and amenities rendered by WestJet relating to booking of flight s, hotels, car rental services along with travel insurance benefits can be availed by the consumers through the help of online portals. The consumer or passenger traffic in WestJet consists thus of passengers that are frequent vacationers or are tending to visit places relating to their business and professional needs (WestJet, 2010, p.9; Lamb, 2011, p.571). Market Segments of WestJet WestJet mainly focuses on being a low-cost carrier rendering services to economy class passengers. Moreover the airlines company also caters to the needs of consumer segments through the transportation of cargo commodities on board (Aylen, 2012, p.250). Consumer or market segmentation of WestJet can be made in terms of Leisure Class Passengers that tend to avail flights for tour or vacation
Monday, October 14, 2019
Treaments for Post Traumatic Stress Disorder
Treaments for Post Traumatic Stress Disorder Posttraumatic stress disorder occurs when individuals experience intrusive effects of a disturbing event that they have experienced for more than one month. PTSD is also marked by an individualââ¬â¢s determined avoidance of any stimuli that might remind them of the aforementioned event, along with a marked shift in mood and behavior which is distressing to the people around them. Over the years, a number of therapeutic techniques have been used to treat PTSD. Due to their effectiveness, exposure therapies and eye movement desensitization and reprocessing (EMDR) are two of the most widely used of these techniques. These have been utilized to treat soldiers as well as civilians who have experienced trauma. However, the nuances of their application, in terms of their effectiveness against specific demographics have yet to be determined. This paper will critically evaluate a number of different studies conducted using exposure techniques, EMDR, or both and determine their effectivenes s in treating individuals with PTSD. Even though EMDR has its roots in exposure therapy, for the purposes of this study, EMDR and exposure therapies will be regarded as two distinctive therapeutic techniques (CITE). One of the biggest issues faced by PTSD treatment research is a large number of studies with subpar methodologies. Due to this, Foa and Meadows (1997) published seven standards that should be present in any research that deals with treatment outcomes of PTSD. They are known as the ââ¬Å"Gold Standardsâ⬠for treatment outcome studies. According to Foa and Meadows, every suitable PTSD research should have clearly defined symptoms; reliable and valid measures; use of independent evaluators; trained assessors; manualized, replicable, specific treatment programs; treatment adherence; and an unbiased assignment to treatment. Ready et al. (2012) provides an effective utilization of group-based exposure therapy which sets the precedent in favor of exposure techniques among veteran soldiers. Their decision to divide the participants into three groups of ten ensures that every individual can form personal connections with other members of the group given the limited time of the treatment program. The small group size also allows the participants, who would typically avoid social situations, to not feel overwhelmed when asked to share their experiences. On the other hand, the lack of any gender diversity within the sample group reduces external validity and adds to the stereotype that only men who have been in combat suffer from PTSD. Given the comorbidity of PTSD and substance abuse (CITE), using drug abuse as exclusion criteria further decreases its external validity. Allocating the first part of the program to forming support groups among participants is an effective use of the small sample size. It also helps in prolonging the social and emotional support that participants get during the program so that they will continue to support each other after its conclusion. Using each individualââ¬â¢s presentations as a form of exposure allows for a highly personalized exposure treatment while allowing them to understand that others have faced the same situations that they have. However, since they are required to listen to it as homework, it can only be effective with highly motivated participants. Seeing the long-term effectiveness of this type of exposure technique, Ready et al. (2012) proposed that the number of times that participants are required to listen to the presentations be increased from 10 to 20, which would theoretically increase the rate at which symptoms of PTSD would disappear. Overall, group based exposure therapy (GBET) is shown to be an effective short-term and long-term treatment for PTSD. Through research conducted in a Ugandan refugee camp, Neuner et al. (2008) demonstrated that, even with laypersons with minimal training in psychotherapy, exposure techniques such as narrative exposure therapy (NET) can be used to treat PTSD. Just nine research assistants, all laypersons, were employed to conduct this study among a sample size of 277 individuals. While they were given a 6 week crash course on therapeutic techniques and communication skills, the use of unqualified personal to treat psychological disorders is unethical and could have negatively affected the participants being treated. Furthermore, it would have been better to use research assistants who werenââ¬â¢t from the camps that the study was being conducted on; this would have decreased threats to the validity of the study such as demand characteristics and participant expectations. However, the subject of PTSD wasnââ¬â¢t alien to the laypersons since all of them had been diagnosed with it at one point or another, meaning that they could empathize with the participants via personal experience. Since follow-up assessments showed that 70% of the participants who underwent NET can no longer be diagnosed with PTSD, this type of psychotherapy can be used in war-torn regions where professional help isnââ¬â¢t readily available. But the validity of the final results can be questioned due to the large number of participants who could not be located for the post-test and follow-up sessions, even though the study had adjusted for attrition during participant selection. Another exposure technique, known as imagery rescripting and exposure therapy (IRET), was used by Long et al. (2011) to treat nightmares associated with PTSD. Like in the aforementioned case of Ready et al. (2012), this program also suffered from the issue of being all male. Furthermore, the temporal relevance of the study can be questioned since the participants were primarily veterans of the Vietnam War and none of the participants had participated in active combat since the early 1990s. While IRET had great success in decreasing the frequency of nightmares and increasing the quality of sleep, it wasnââ¬â¢t shown to have any effect on other symptoms associated with PTSD. The validity of these findings can be further questioned by the fact that the mean age for the participants were 62.1 years; meaning that their sleep disturbances may be the result of factors other than PTSD. Despite all of this, the self-employed and individualized exposure techniques used in this study, along with the extensive psychoeducation that preceded it, makes it a highly effective tool to treat nightmares associated with PTSD, even in individuals who have been suffering from it for decades. Rothbaum, Astin, and Marstellar (2005) attempted to compare the efficacy of prolonged exposure therapy (PE) to EMDR with respect to the treatment of rape victims. One of the things that stood out from this study was the fact that every assessment and evaluation that is required during the course of the study was conducted by independent, blind evaluators. In addition to that the integrity of the specific therapies was measured by assessors who rated them highly. The sample size used was appropriate but a high dropout rate, combined with a few peculiar additions to the sample groups negatively affects the validity and reliability of the study; three participants who would not have otherwise been able to pass the exclusion criteria were allowed to participate in the study. It also used the participantââ¬â¢s subjective opinion on the most significant events in their lives, on which the treatments were focused on, which stands out due to the lengths they went to make the results of th is study independent and objective. Furthermore, the remarkable success at which both PE and EMDR was able to treat the participants, raises questions on the reliability of the treatment process; 95% of the PE group and 75% of the EMDR group of patients who have been suffering from PTSD for over a decade, were no longer diagnosable as PTSD patients after a treatment process that lasted a few weeks. Despite all that, the efficacy of both exposure techniques and EMDR in treatment compared to no treatment cannot be questioned. Ahmad, Larsson, and Sundlein-Wahlstenââ¬â¢s (2006) study, which was conducted using participants between the ages of 6 to 16, demonstrated that PTSD is prevalent even among children. The randomized controlled nature of the study along with the independent assessments makes it high in internal validity. Participants on the control group of this also showed improvements; they however, improved in non PTSD related symptoms. Moreover, the inventory that was administered had been modified in such a way that it can be understood and used easily with children. Furthermore, a more extensive evaluation can be carried out in the form of longitudinal studies or case studies regarding the relationship between PTSD in children and the history of mental illness in their family. Like many other programs which tested different treatments of PTSD, this study lacked a larger sample size, and utilized extensive exclusion criteria; this could affect its generalizability. In addition to this, they fai led to make independent assessments of their follow-up evaluations, affecting its claim of having blind assessments. Similar to Rothbaum, Astin, and Marstellarââ¬â¢s (2005) study which used the victimââ¬â¢s subjective opinion of their worst experience in order to conduct their PTSD assessment, this study also decided to focus on one single incident that the young participants or their guardians deemed significant. This is an effective method of administering EMDR, since it is more efficient in treating specific memories that are distressing to the participants. However, in a broader perspective, while a case can be made to the point that subjective opinions of individualsââ¬â¢ most distressing events are relevant to treating PTSD since itââ¬â¢s the individuals themselves who are experiencing them, it should also be pointed out that what an individual considers to be the most significant event in his/her life need not be the most significant event in terms of psychological and emotional trauma. Therefore, it should be best to conduct extensive background checks before any kind of decisio n is made regarding the significance of any life events. In a study published by Taylor et al. (2003), a side by side comparison of prolonged exposure therapy and EMDR with respect to specific symptoms of PTSD was conducted to determine which technique was more effective against each of them. Compared to most other studies conducted regarding PTSD, this study had a fairly large sample size (n=60) with the majority of them being Caucasian and women. While the study employed an impressive sample size, since the participants were primarily diagnosed with chronic and severe forms of PTSD, the external validity of the results can be brought into question. However, since most of the participants of the study had chronic PTSD, it reduces the possibility that the changes that were observed in the pretests and posttests are purely due to temporal changes. The validity can be further questioned due to the difference in educational qualifications of the two therapists who administered these therapeutics techniques. However, independent expert assessm ent of their interrater reliability produced high scores, disproving these doubts. Moreover, the treatments were administered using standardized manuals which increased the validity of the study by ensuring that all participants received near as similar treatments as possible. This study is the first study to have achieved the aforementioned ââ¬Å"gold Standardâ⬠for PTSD outcome treatment research (CITE). This studyââ¬â¢s observed reductions in PTSD symptoms for all three subject groups were determined by the authors as a result of the effect of unintended exposure during relaxation training and EMDR techniques. This contradicts with the belief that in EMDR, eye movement ââ¬Å"enhances the retrieval of episodic memory and increases cognitive flexibilityâ⬠(CITE). While exposure techniques and eye movement desensitizing and reprocessing (EMDR) are similar to each other in many ways and are efficacious in their treatment of PTSD, their approaches, implementations, and goals are quite different from one another. EMDR treats PTSD by asking the patients to subjectively choose the memory or experience that they think is causing them the most distress and treating them so that they are desensitized to this particular experience. The root of their PTSD is determined to be their most distressing memory and by desensitizing them to that experience and the re-experiencing that follows it, they are shown to have significant decrease in symptoms of PTSD. While some specialized exposure therapies employ similar approaches, others such as the NET and GBET explores an individualââ¬â¢s whole life or a particular period in which they were susceptible to distressing experiences respectively. This method allows the therapist to play a part in determining the most significant event in an individualââ¬â¢s life and adjusting the treatment process accordingly. In addition to that, since Taylor et al. (2003) showed that prolonged exposure therapy was more effective than EMDR in reducing the levels of re-experiencing and avoidance, the authors of the study concluded that it is the superior therapeutic technique. All in all, both exposure techniques and EMDR are very good at what they are supposed to do; but exposure techniques are better at it. Therefore, a hypothesis can be derived from the above discussed studies which states that specialized exposure techniques are more efficacious in the treatment of PTSD than EMDR across social and temporal demographics.
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