Bipolar Issue Paper

Bipolar Issue Paper Bipolar Issue Paper Abstract: Treatment for the Bipolar Disorder patient is one of the complex to accomplish. They have an increased risk for cardiovascular disease, obesity and diabetes. This is not only due to their manic and depressive behaviors but the pharmacological treatment they receive. Studies have shown that they receive less screening and treatment for these conditions (2). There seems to be a gap between the mental and physical health care that leads to these comorbidities which can result to premature death for Bipolar patients. Importance of a multidimensional care model for the treatment of a Bipolar Disorder patient especially with any or increased risk for cardiovascular disease, obesity and diabetes. Proper screening, medication reconciliation, and help from many health professionals can help increase their physical health as well as their quality of life. Bipolar Disorder (BD) patients have an increased risk for cardiovascular disease, obesity and diabetes. Cardiovascular disease is also the leading cause of premature mortality among individuals with bipolar disorder. These conditions can be worsened by psychiatric symptoms and unhealthy behaviors such as inactivity, overeating and tobacco use (3). Diabetes and CVD are closely linked to one another, therefore a patient would be at risk for one just by having another. BD patients are 30% less likely to receive care for CVD and diabetes and tests for blood glucose and lipid (2). It may be easier to tell if someone is obese but CVD and diabetes do not show symptoms until they have progressed and are commonly known as silent killers. Therefore, detailed screening is important before these diseases cause permanent damage such as a myocardial infarction, kidney damage or even worse death. Individuals with Bipolar Disorder receive fewer prevention interventions and have difficulty implementing lifestyle interventions that can modify risk factors (7). Obesity can be linked to the characteristics of bipolar disorder, su ch as binge eating, sedentary behavior, and treatment non-adherence which stems from the shifting symptoms of mania and depression (1). Bipolar patients are less likely to seek help from their general practitioner because of decreased awareness of cardiovascular risk factors and symptoms (7). In nursing, it is key to educate patients and to never assume what they have been taught before. BD patients are not properly screened or educated just because they have a mental illness. â€Å"Poor quality of medical care for persons with bipolar disorder has also been attributed to the organizational and professional separation of mental and physical health care and to lack of effective self-management strategies that target cardiovascular disease-related risk factors† (1). Bipolar Disorder medications lead to an increased risk for cardiovascular disease and patients lack proper screening and treatment for these conditions. CVD and diabetes are twice as prevalent in SMI and are relate d to unhealthy lifestyle behaviors and the use of antipsychotic medications (2). Antipsychotic medications also have adverse effects that contribute to these conditions. These medications can lead to elevated glucose and lipid tests but BD patients are lacking the proper screening to determine these findings (2). â€Å"Atypical antipsychotics, lithium, and other mood stabilizers is postulated as one important determinant of weight gain† (4). As mentioned before, weight gain will lead to obesity which will increase a patient's risk for diabetes and CVD. BD patients are also less likely to be prescribed blood pressure management or cardiovascular medications (7). The effect of not being prescribed these medications could lead to many severe life-threatening conditions, the most serious being death. Lithium is one of the most common drugs prescribed for Bipolar Disorder patients and it has a small therapeutic index which increases the risk of toxicity. When lithium is given with angiotensin converting

Religion class Essay Example | Topics and Well Written Essays - 500 words - 1

Religion class - Essay Example It has strengthened my belief in a superior power and made me a positive thinker at even the oddest hour. I abstain from bad habits, such as illegal relationship, liquor, fights, backbiting, conspiring just because Islam taught me so. I am interested in getting myself educated and travelled to America because my religion asked every one including women, children, and men to get educated even if we have to travel for longer periods. I offer prayer five times a day in any mosque with other Muslims and Imam. If there is no mosque nearby, I offer it alone on a clean surface. Every year, in the month of Ramadan, I observe fast for a month which is followed by Eid-ul-fitar. It is followed by another religious practice called sacrifice of animals on Eid-ul-adha; I practice this tradition with my family. My family gives alms to poor; it is a certain amount on our money which is given as charity. I have also performed Hajj and Umrah. My religious preference is Islam despite all the rage about Muslims and Islam in western world. It is the same religious tradition in which I am raised. However, it has little to do with my birth in a Muslim family. Muslim culture and tradition in not only Saudi society but in other world regions has immensely inspired me to stick with it. I am determined to practice religion Islam in future because of my faith in its universality, diversity, humility, logic, and compliance with the modern and scientific world in a balanced way. On an honest note, I am not fully learned about Islam. I want to explore it in depth because it inspires me at every point I come across. Muhammad (PBUH) is the Prophet of God and he is the most ideal human being I have ever known. I am inspired by the way he spent his life, be it his love with human, relationship with enemies, everyday life or war time. Knowing my religious background and its acceptance as preferred religion in future

Research Methodology (different forms of participant observation) Essay

Research Methodology (different forms of participant observation) - Essay Example This is not to say that quantitative methods are not used in overt operations. However, during a covert operation mostly quantitative methods are used as qualitative method demands the direct and conscious involvement of the participants during a test. (Banerjee, 2005) One of the primary ways in which overt methodology is defined is in terms of its difference from the so-called 'pure sciences' such as physics, chemistry, biology etc. Its use of theory and methodology is, therefore, closely related to this distinction. Academics of marketing often emphasize what too many of us are utterly obvious, that there is no certainty in the study of marketing sciences. This is because marketing not only deals with fiscal variables but also it deals with humanity, which is inherently transient. Taking this element of transience into consideration marketing scientists has to use not just quantitative but also qualitative methods of study. (Fletcher, 2005) A Qualitative method of study differs from the usual quantitative methods (used in the study of pure sciences) in the sense that it tends to be far more subjective. This is in sharp contrast to the methods used in pure sciences which are exclusively objective. The research methods for marketing are a combination of both quantitative and qualitative methods. ... ms of such data and not in terms of the terminology used in ordinary sciences this broader outlook is far more applicable in the study of social sciences. In keeping with the methodology employed in marketing researches the theories too are formulated and used keeping in mind that they aren't necessarily applicable to all conditions. Be it psychology, history, political science or economics human events are most likely to influence the rules which define the basic theories of a marketing subject. Success in the field of marketing researches can therefore be achieved if and only if it is understood that the subject has no space or opportunity for water-tight methodologies or theories. (Berkowitz, 2004) It can always be stated that Qualitative research is a process that includes interpretative paradigm under the measures of theoretical assumptions and the entire approach is based on sustainability that is depended on people's experience in terms of communication. It can also be mentioned that the total approach is based on the fact that reality is created on the social formulations. It can also be mentioned that the basic target of qualitative research is instrumented towards social context under normal circumstances where it would be possible to interpret, decode and describe the significances of a phenomenon. The entire process is operational under the parameter of interpretative paradigm that can minimize illusion and share subjectivity under contextualization, authenticity and complexity of the investigation. (Rigby, 2005) The basic advantages of qualitative measures are multifold. Firstly, it presents a completely realistic approach that the statistical analysis and numerical data used in research based on quantitative research cannot provide. Another advantage of

Coffee and Starbucks Essay Example for Free

Coffee and Starbucks Essay Then.. ï  ± First Starbucks opened in Seattle Washington. ï  ± March 30, 1971 ï  ± Jerry Baldwin – English teacher ï  ± Gordon Bowker-Writer ï  ± Zev Seigl-History teacher ï‚â€" Then†¦ ï  ± Entrepreneur Howard Schultz joined the company in 1982. ï  ± Director of retail operations and marketing. ï  ± Ideas of selling beverages. ï‚â€" Then†¦ ï  ± April, 1984 first store to sell beverages was opened. ï  ± Served 400 customer- over the 250 customer average at their best score. ï  ± II Giornale Acquires Starbucks. ï  ± Howard Schultz- Starbucks president and CEO. ï‚â€" Now†¦ ï  ¶ World’s premier roaster and retailer of specialty coffee. ï  ¶ 8,812 company-owned stores. ï  ¶ 7,812 licensed stores in more than 50 countries. ï‚â€" Now†¦ ï  ¶ Annual sales of about US$14.89 Billion. ï  ¶ Sell: Whole bean coffee, Ground Coffee, pastries, beverages and coffee related products. ï‚â€" Mission Statement 1990- October 2008 Establish Starbucks as the premier purveyor of the finest coffee in the world while maintaining our uncompromising principles as we grow. ï‚â€" Vision†¦ Starbucks Digital Network, in partnership with Yahoo! Its vision is to provide best cup of coffee to include providing the best digital experience. They are now offering music among choices from their digital network. ï‚â€" Opened with Tata global beverages. (50-50)% partners First In Mumbai, October 19, 2012 Now 54 stores in Four cities (in 17 months) ïÆ'Ëœ CEO of TATA Starbucks is Avani Saglani Davda. ïÆ'Ëœ Starbucks also get source to coffee beans from Kodagu (Karnataka) ïÆ'Ëœ Opened with investment of US$66 Million. ïÆ'Ëœ ïÆ'Ëœ ïÆ'Ëœ ïÆ'Ëœ ï‚â€" Ethics†¦ Starbucks and Shared Planet is committed to doing business responsibly. A better way to help each other and planet. ï‚â€" SWOT Analysis ï‚â€" Strengths†¦ ïÆ'Ëœ Leading retailer and roaster for brand specialty coffee in the world. ïÆ'Ëœ Known for providing superior products and services. ïÆ'Ëœ Number 7 on Fortune Magazine’s â€Å"100 best companies to work for†. ïÆ'Ëœ Consistent high quality of service. ïÆ'Ëœ Limited no. of strong competitors. ïÆ'Ëœ High market share and market growth. ï‚â€" Weaknesses†¦ ï‚ § High prices because of quality ingredients used. ï‚ § Starbucks refuses to guarantee that milk, beverages, chocolate, ice cream and baked goods sold in the company’s stores are free of genetically- modified ingredients. ï‚ § Strong presence in U.S. more than three quarters of its cafes located in the domestic market. ï‚ § In order to reduce business risk, expansion is needed. ï‚â€" Opportunities†¦ ïÆ' ¼ High growth of economy and market in Indonesia, especially in urban areas. ïÆ' ¼ Could diverse their product not only in coffee. ïÆ' ¼ The potential employees are educated peoples which make it easier to train them. ïÆ' ¼ Strong financial support. ï‚â€" Threats†¦ ï  ¶ Competitors and copycat could pose potential threats. ï  ¶ Sentimental issues to the bad effect of coffee from society. ï  ¶ Global financial crisis-make people tend not to spend. ï  ¶ Exposed to rises in the cost of coffee and dairy products. ï‚â€" Competition†¦ ï‚â€" Company Financial Report ï  ± Revenue: US$14.89 Billion ï  ± Operating Income: US$325.4 Million ï  ± Net Income: US$8.8 Million ï  ± Total assets: US$11.5167 Billion ï  ± Total Equity: US$4.48 Billion ï‚â€" Conclusion†¦ ï  ± Summary Strengths Opportunities Threats Conclusion Weaknesses Overpriced coffee. ï  ± Health concerns regarding caffeine and caloric intake. ï  ± Main focus on expansion rather than internal improvement. ï  ± Total revenue of $10.7 billion in 2010. ï  ± Starbucks has added an average of two stores on a daily basis since 1987.

An Ethical Evaluation of Peer-to-Peer File Swapping Essays -- File Sha

An Ethical Evaluation of Peer-to-Peer File Swapping Abstract The last few years has seen an explosion in the use of the Internet as a means for exchanging, free of charge, digital media by way of Peer-to-Peer (P2P) file sharing technologies. Initially, the practice was primarily limited to the swapping of music, in the form of MP3 files. The pervasiveness of broadband, the advent of newer file types, and the creation of more sophisticated technologies has subsequently made possible the exchange of other types as well – including movies, television shows and software. Again, for free. In this paper, we will explore the ethical considerations of this practice as it relates to Intellectual Property (IP) – whether protected by copyright law or not. We will concentrate primarily on music, but where appropriate, other media will be considered, as many of the issues are common across the different types. Taking a global perspective, one must keep in mind that the term â€Å"copyright† is not universally defined, accepted, or enforced. We must therefore use the term with the United State’s definition as a basis. However, absent U.S. law, we must also consider the creator’s intent as it relates to the distribution and use of his or her work. This exploration will lead us to a universal position – one that claims that the wide-scale, free exchange of Intellectual Property by means of P2P technology is unethical. The Technology The P2P model gained wide scale notoriety with the success of Napster in late 1999. Almost overnight, P2P and Napster became household words. There are essentially two variations of the P2P model – the Napster model and the Gnutella model. Both follow the fundamental principle of P2P sharing ... ... Article also available on the web at: http://www.time.com/time/magazine/article/0,9171,1101030505-447204,00.html [10] Preston Carter – engineer at Hewlett-Packard – and a very insightful friend. References In addition to references cited above: Nolo Press, Nolo Law For All, Copyright Ownership: Who Owns What? http://nolo.com/lawcenter/ency/article.cfm/objectid/BABFA71E-97C9-479F-8A9D4C3DB2498663/catID/2EB060FE-5A4B-4D81-883B0E540CC4CB1E Nolo Press, Nolo Law For All, Copyrighting Your Software – Why Bother? http://nolo.com/lawcenter/ency/article.cfm/objectID/B09BB4E7-5744-4131-8B29ACD7CC408853/catID/2EB060FE-5A4B-4D81-883B0E540CC4CB1E Nolo Press, Nolo Law For All, Copyright Protection: What It Is, How It Works http://nolo.com/lawcenter/ency/article.cfm/objectid/6A6540E0-325F-4BBE-A9B64DB3BB7BAAF0/catID/2EB060FE-5A4B-4D81-883B0E540CC4CB1E

Analysis of Hollow Men by T.S. Eloit

Analysis T. S. Eliot’s â€Å"The Hollow Men† to me represents several interpretations of death or â€Å"the end†. The poem is split into five parts, each part presenting a different point of view or idea of death. There are several â€Å"kingdoms† of death presented in the various parts, intertwining  within eachother throughout. I view each part as representing a different member of the hollow men looking at the different â€Å"kingdoms† of death.Part I’s  presents a dank, dark cellar and is associated with violence and darkness â€Å"Violent souls, but not only†¦Ã¢â‚¬  (16). Part II’s  presents death’s â€Å"dream kingdom† and shows a more beautiful side of death, comparing souls to fading stars. Part III  presents â€Å"dead land† â€Å"cactus land†. We imagine a desert setting, dying of thirst, praying for life. â€Å"The supplication of a dead man’s hand/Under the twinkle of a fad ing star. †(43-44). Part IV takes place within death’s twilight kingdom that is talked about in part II.The speaker talks of eyes or the lack thereof in a valley of once again, dying stars. â€Å"There are no eyes here/In this valley of dying stars/In this hollow valley/This broken jaw of our lost kingdoms† (53-56). Part V is presents a more broad view of the end, not just for one, but for all. It describes several emotions and actions that everyone takes within their life, inbetween each â€Å"falls the shadow†. One could view this as the shadow of death, ever looming closer in everything you do.The poem ends with â€Å"This is the way the world ends/This is the way the world ends/This is the way the world ends/ Not with a bang but with a whimper. â€Å"(75-78). Death is something that has always been around me in my life. I have had several family members die around me but this particular poem doesn’t really make me feel anything about them. It makes me think more about what will happen when I die, when everyone dies. The poem provides a bleak view of death but also has a strange beauty about it.I like the idea of death as various landscapes, something about that sounds strangely appealing despite the apparent lonliness of the hollow men. No one seems to be in pain or very sad, they are just†¦there. That is similar to how I have always viewed death, not neccessarily as a big experience, you just cease to be. This is exemplified in the final lines of the poem â€Å"This is the way the world ends/Not with a whimper but with a bang. † I don’t believe we are nearly as significant as we believe, when it all ends, it will simply be that. The end.

Crime and Punishment in Various Countries - 1329 Words

Five Works Cited The effectiveness of the United States criminal legal system has been questioned and scrutinized by the media and legal analysts for decades. Even with laws to lengthen sentences and to try younger offenders as adults, the overall crime rate in the nation is still on the rise. But why is it that in places like Iceland and Singapore crime rates are so low yet both countries have very contrasting criminal laws? It has been brought to my attention that Congress will attempt to create an entire new criminal legal system for the states to adopt in an effort to finally make the streets of America safer for its citizens. Assuming that all states will forfeit their own policies to take up the system Congress builds, it is my†¦show more content†¦This way criminals are quickly reformed and released back into society as law abiding citizen. Another factor to be considered in Singapore s low crime rate is its geography and its size. The country is located northeast of Indonesia just south of Malaysia. It is roughly 3.5 times the size of Washington D.C. It is arguable to say that the reason Singapore s crime rates are low compared to the U.S. is because of its small,Show MoreRelatedCapital Punishment1534 Words   |  7 Pagesfeel capital punishment is ethically wrong, it is necessary in today s society for various reasons. Society must be kept safe from the barbaric acts of murders and rapist, by taking away their lives to function and perform in our society. Most criminals don t take into account the results of their actions. If a person intending to commit a crime, sees another criminal put to death for the same crime he or she is going to carry out, the person might think before executing the crime. Edward KochRead MoreThe Case Against Death Penalty: Article Analysis1694 Words   |  7 Pageseconomic crimes, drug-related crimes, and sexual relations between consenting adults. While there have been ongoing calls to abolish this sentence, capital punishment is still used in some cases on the basis that international law does not prohibit the death penalty. However, its now apparent that many nations across the globe are abolishing capital punishment as evident in the fact that various international treaties now outlaw the death penalty. One of the major reasons capital punishment has largelyRead More Crime and Punishment Essay examples1173 Words   |  5 PagesCrime and Punishment Crime for what, and punishment for whom? May happens in a park and maybe in a room! Maybe at night or afternoon, here or there or close to the moon. A man who makes a crime may be a tycoon or maybe just a vagrant without a small home. Now the problem is for what, for whom do a little vagrant or a tycoon want to be a prisoner or a dark moon? Making crimes comes as a result of many various things in life. The first and the greatest one is called money as the old expressionRead MoreIslam Religion and Death Penalty1424 Words   |  6 Pagesbe found through submission to Allah (Almighty God) in soul, heart, and deed. As a monotheistic and Abrahamic religion, Islam is articulated by the Qur’an, which is a book regarded as the precise word of God. The religion is also articulated by various teachings and example of Muhammad who is regarded as the last prophet of God. An individual who believes in and consciously adheres to the teachings of the Islamic faith is called a Muslim (Huda par, 2). Muslims believe that Islam is the total andRead MoreDeath Penalty Essay607 Words   |  3 PagesCapital punishment as known as the death penalty is the execution of a person by judicial process as a punishment for an offense. Crimes that are known as capital crimes or capital offences result in the death punishment. China crimes that were human trafficking and serious cases of corruptions are punishments of the death penalty. Militaries around the world court-martials had imposed death sentences for offenses such as cowardice, desertion, insubordination, and mutiny. The methods of executionRead MoreCriminal Justice Systems Paper1153 Words   |  5 PagesCriminal Justice System Paper The criminal justice system and the criminal justice process has shaped the laws of this country into what they are today from the concerns of politicians and government leaders as far back as the 1800s with crime control. Basically, the criminal justice system was designed to ensure the safety of individuals whom are citizens of this country. Essentially, the criminal justice system is â€Å"the structural basis used to maintain social control† (Education Decisions, 2010)Read MoreCapital Punishment Is A Legal Punishment1116 Words   |  5 Pagesthe big deal about Capital Punishment is? According to free dictionary, Capital Punishment is to put to death as a legal punishment (Farlax). Capital Punishment is used worldwide, and is guaranteed to prevent future crime. Capital Punishment is a large controversy in the U.S. but before a personal opinion can be formed, some facts need to be known, such as what it is, where it is used and why it could be good or bad. Well, what is Capital Punishment? Capital Punishment is where a person is executedRead MoreThe War On Drugs And The United States1063 Words   |  5 Pageson the war on drug. Therefore, communities are locked while the promotion of illicit drugs becomes the dominate framework to organized crimes. Today, the war on drugs continues to be an ongoing battle within our society. This paper will examine these issues focusing primarily on historical struggles controlling our society. Improvement must be lenient punishment policies based on the relevance and/or risk of these psychoactive drugs. EXTENT OF THE WAR ON DRUGS The U.S. government defined â€Å"warRead MoreClassical Theory of Criminology Essay1523 Words   |  7 PagesCriminology is the study of why individuals engage or commit crimes and the reasons as to why they behave in certain ways in different situations (Hagan, 2010). Through understanding the reasons or why an individual commits a crime, one can come up with ways to prevent and control crime or rehabilitate criminals. There exist a large number of criminology theories, some link crime to an individual or person; they believe a person weighs the cons and pros and makes a conscious decision on whether toRead MoreThe Death Penalty Is The Practice Of Executing People As Punishment For A Specific Crime Essay1146 Words   |  5 Pages2D 7A:Capital punishment is the practice of executing people as punishment for a specific crime. Throughout history, people have been put to death for serious criminals. Methods of execution have included such practices as injection, shooting and other fo rms. 2C According to Amnesty International (2007), ninety eight countries have abolished capital punishment. This proportion accounts for most of countires in the world. The death penalty is the most controversial penal practice in the modern world