Childhood Depression Essays - Psychiatric Diagnosis, Depression

Childhood Depression Childhood Depression In recent years, we have heard of depression and the affects of the disorder, and what medications and theories help to prevent depression in adults. Many people are not aware that not only is depression diagnosed in adults, recently studies show that depression is diagnosed in adolescents. Not only adults become depressed. Children and teenagers also may have depression. Depression is defined as an illness when it persists. Childhood depression is one of the most overlooked disorders. Depression probably exists in about 5 percent of children in the general population. Children under stress, who experience loss, or who have, learning or conduct disorders are at a higher risk of depression. Studies show that depression is more likely to show up in boys than in girls. Depression in men and meal adolescents most of the time is over looked are misdiagnosed. Men for instance, have higher rates of drug abuse and violent behavior that do women or young female adolescents do, and some researchers belie that this behavior masks depression or anxiety (Canetto, 1992; Kessler al., 1994). Some Psychologists believe that the reason that young males are more likely to suffer from depression because of the stigmatism of being a male and being taught by adults that expressing there feelings are wrong. According to Carol Wade, Travis, Depression (Major Depression) is a disorder that is sever enough to disrupt a person's ordinary functioning (Physiology filth edition, 586). The diagnoses of depression might be the same for adults and adolescents, but the behavior of depressed children and teenagers differs from the behavior of depressed adults. Child and adolescent psychiatrists advise parents to be aware of signs in there youngsters such as persistent sadness, A major change in sleeping and eating patterns and increased activity or irritability. Depression is accompanied by physical changes as well. Frequent complaints of physical illness such as headaches and stomachaches A child who used to play often with friends may now spend most of the time alone and without interest. Things that were once fun now bring little joy to the depressed child. Then symptoms could trigger antisocial personality, a disorder characterized by antisocial behavior such as sealing, lying and sometimes violence: a lack of social emotions and impulsively. Children and adolescents and adolescents who are depressed may say they want to be dead or may talk about suicide. Depressed adolescents may abuse alcohol or other drugs as a way to feel better. Children and adolescents who cause trouble at home or at school may actually be depressed but not know it. Because the youngster may not always seem sad, parents and teachers may not realize, that troublesome behavior is a sign of depression. When asked directly, these children can sometimes state they are unhappy or sad. Children with depression are also slow to develop cognitive skills that could also trigger frustration in a depressed child. Child Depression being linked To Mothers Recent studies show that Mothers that suffer from depression could pass the disorder on to their children. Reports show that women that experience depression before conception or after birth could pass on there symptoms to there newborn. Mothers, who experience depression could pass on their behaviors to the kids, usually come from single parent households. Symptoms like verbal abuse, separation anxiety and panic attacks and substance abuse, are some of disorders that could coexist with depression in adolescents. Recent studies also show that mental disorders like depression could possibly be genetic Studies show that adults that suffered from depression would usually have one child that suffer from the same depression. Social explanations could explain some conditions of mothers that are depressed. The reason that more women are more likely to suffer from depression because women are more likely to be less successful and lack good relations. Bipolar Depression in Children In 15 years psychologist have studied that children can also suffer from bipolar disorder. Bipolar (formally known as manic depressant) disorder is one of the most difficult disorders to detect in young children. Bipolar disorder is the opposite of depression. Adolescents that experience symptoms of Bipolar disorder experience mania (a state of euphoria). Mania is an abnormally high state of exhilaration For example; adolescents that experience depression has low

Refer To The Artcle merchants Shred Costs Of Plastic Enclosed Article

Refer To The Artcle merchants Shred Costs Of Plastic Enclosed Article Refer To The Artcle merchants Shred Costs Of Plastic Enclosed – Article Example Merchants shred costs of plastic† Interchange fees are those bank charges for the processing of transactions using debit and credit cards which are deducted from the payments to the merchant in the sale side of the transaction. A simplified depiction of the interchange transaction mechanics is shown in the diagram below. There is sufficient justification for the charging of fees in terms of services extended by these banks, in terms of the processing of transaction information for the merchant, and the setting up of the necessary systems in terms of hardware, people, and applications to support these processes (Pacheco this allows consumers to hold credit cards with no added cost to them, and stave off intentions to dispose of them entirely. Another would be to set up a facility with a lower capitalization, since issuers with assets below $10 billion are exempted from the interchange reduction scheme (Grover, 2010). Finally, another market strategy would be to collaborate with merchants to create card products that allow for delayed or instalment payments as well as rebates and rewards systems for cardholders to be persuaded to transact because they acquire added value from their card transactions.Bibliography:Grover, E. (2010) â€Å"Interchange Plan Is Anti-Competitive.† American Banker, 5/18/2010, 175(76):8Hayashi, F. & Weiner, S. E. (2006) â€Å"Interchange Fees in Australia, the UK, and the United States: Matching Theory and Practice.†. Economic Review (01612387), 3rd Quarter, 91(3):75-112Lyon, J.M. (2006) â€Å"The Interchange Fee Debate: Issues and Economics.† The Region, June. The Federal Reserve Bank of Minneapolis.Pacheco, B. & Sullivan, R. (2006) â€Å"Interchange Fees in Credit and Debit Card Markets: What Role for Public Authorities?† Economic Review (01612387), 1st Quarter, 91(1):87-113

Aquatic environmetal toxicology Assignment Example | Topics and Well Written Essays - 500 words

Aquatic environmetal toxicology - Assignment Example It can be said that the method is effective as control of the environmental condition is made possible. Laboratory methods provide more sense of flexibility in terms of timing and it reduces workload and cost as well as seasonal and spatial variability (U.S. EPA 2000a). The use of laboratory test can enable one to formulate research question such as kinetics of acceptance and eradication, growth of the species or reproduction. This technique is also efficient as it is not subjected to assumptions like use of models. The approximate cost of this method is about $600; this is because of the tools that are required to perform this task. It is less expensive as it only requires a one day activity to gather the sediments and organisms. After collection of the samples for analysis the other part of activity is a one person activity. It is also possible to acquire some of the equipment below locally or improvising some such as dredgers or using your cell phone for GPS purposes, making the method cheaper. The clean water act has helped US navigable water to be protected from pollution by regulating the rate, amount and type of discharge of pollutants in the water bodies including the stream, rivers, coasts, wetlands and rivers. The act has significantly reduce the level of pollution from industrial and municipal For waters meant for swimming and fishing, the act was set to eliminate the disposal of untreated waste products with contaminated effluents from industrial and municipal plants. It required operators of such industries and businesses to apply for a permit to authorize their discharge into water bodies with a promise to reduce the discharge significantly over time. In 1998, the act was able to achieve 60 percentage of American clean waters thus they redirected their focus into eradicating nonpoint source water contaminants including agricultural runoff within chemicals or erosion of contaminated surfaces such as

The RNL company HR management Essay Example | Topics and Well Written Essays - 500 words

The RNL company HR management - Essay Example At the same time as this form, the employee's boss writes a review of the employee as well. When all this is complete the employee meets with his or her boss to discuss what is on both of the forms. This is not how RNL has always done things. They asked a consultant how they could improve their company's performance and the consultant suggested this kind of formal review. The results have been good from the change. RNL now is more profitable and efficient and gets much better communication from its employees about how things are done as well as how they complete their own job. Although these reviews are improving the situation, the managers of the company still don't like the fact that when they get the form it is not labeled with a person's name. This is because occasionally the things that the employees write are just mean and don't really serve any sort of constructive purpose to make the company better. If this form was not filled out anonymously the managers think this would sto p because people would not want their names associated with that and so they would only write actual issues down. The feedback that they receive is also usually not specific enough to be really useful. Management would like this to change as well maybe by adding more specific questions on the form.

Nazi medicine Research Paper Example | Topics and Well Written Essays - 1500 words - 1

Nazi medicine - Research Paper Example The resulting research that came about through the Nazi experiments was eyed with great suspicion and scientists even today are asked to justify their use of the Nazi methods when they employ them. It is viewed as something that is not socially responsible and is an abuse to the science community itself. So the question that arises is that is it alright to use the work of Nazis in the medical field or is it a moral degradation in itself? (Adshead, and Brown 109). The very fact that the ‘data’ that was obtained by the Nazis to conduct their research was nothing but torture and pain is a factor in itself to condemn the Nazi research and its subsequent scientific hypotheses. The dead bodies were frozen, sterilized and inseminated and hence the bodies were more of a subject to torture and humiliation. This situation can very well be put in to an example- it is just as a human consumes a piece of meat and gets rid of the remains in a shabby fashion; the medicines and other research depict the same- the bodies were used to the benefit of the Nazis and then the remains discarded as ‘unwanted’. The subjects were tortured in multiple manners: Firstly, they were made to be observed against their will and were dragged into dangerous experiments. Secondly, the experiments were designed in such a manner that the subjects would deliberately be put through a lot of suffering and fatal outcomes. Thirdly, all the subjects had to nec essarily undergo mutilation and tremendous pain. Amidst such situations, how can one justify the use of the results obtained by these Nazis? (Evans 357) The biggest controversy in using the research of the Nazis revolves around the passive external re warming and active external warming. The passive external re warming is when the research methods use the warmth of the patients’ bodies to complete the research whereas the active external re

Analysis and critique of Madeleine Leininger

Analysis and critique of Madeleine Leininger Introduction This paper is an analysis and critique of a published nursing philosophy and theory by the nurse theorist Madeleine Leininger. The analysis is based on Leiningers publications about her theory starting in the mid-1950s with her major contribution stemming from her second book, Transcultural Nursing: Concepts, Theories, Research, and Practice in 1978. The model used to analyze this theory is the Chinn and Kramer model. This model was developed by Peggy Chinn and Maenoa Kramer in 1983. The model utilizes a two-step process to evaluate theories called theory description and critical reflection. Theory description consists of purpose, concepts, definitions, relationships, structure, and assumptions. Critical reflection analyzes the purpose of the theory utilizing a series of questions. (McEwen Willis, 2010, p. 95) This model will be used to critique one of the oldest theories in nursing. Purpose Transcultural Nursing Theory discovers and explains the culturally based care factors that influence health, well-being, illness, and death of each individual or community. The purpose and goal of the transcultural nursing theory is to provide culturally congruent, safe, and meaningful care to clients of diverse or similar cultures. (Leininger, 2002, p. 190) Leininger has established a theory that studies cultures to understand their differences and similarities. Cultural competence is important within the nursing profession due to the differences in each individuals perception of illness and wellness. Congruency between culture and health care is essential to the well-being of each individual and community. An individuals health beliefs and practices are linked by his/her culture. The culture care theory focuses on cultural beliefs and practices when determining a plan of care. It continues with the belief that nurses need to consider that not all cultures are similar, and there are variations within each culture. Each individual or community should be treated differently from the rest and that personal uniqueness should always be considered. This belief stems from Leiningers personal belief in Gods creative and caring ways. (Leininger, 2002, p. 190) Concepts Definitions Transcultural theory uses the concepts of culture, race, and ethnicity to understand human behavior. When providing culturally competent care nurses should understand the meaning of these terms. Leininger also focuses on a few other concepts such as cultural competence, cultural awareness, and acculturation. Leiningers theory focuses on numerous concepts, but these were selected based on the importance of nurses integrating the most basic concepts of transcultural nursing into their well-established knowledge base. Culture influences all spheres of human life. It defines health, illness, and the search for relief from disease or distress. With increased mobilization of people across geographical and national borders, multicultural trends are emerging in many countries. (Ayonrinde, 2003, p. 233) Culture is defined as a set of beliefs, values, and assumptions about life that are widely held among a group of people and that are transmitted across generations. (Leininger McFarland, 2002 , p. 47) Burchum (2002) defines culture as a learned world viewà ¢Ã¢â€š ¬Ã‚ ¦shared by a population or group and transmitted socially that influences values, beliefs, customs, and behaviors, and is reflected in the language, dress, food, materials, and social institutions of a group (Burchum, 2002, p. 7) All cultures are not alike, and all individuals within a culture are not alike. Each person should be viewed as a unique human being with differences that are respected. Individuals may be of the same race, but of different cultures. Race is defined as a social classification that relies on physical markers such as skin color to identify group membership. (Leininger McFarland, 2002, p. 75) Many nurses overlook cultural differences of individuals due to their similar racial characteristics. Race is considered one of the identifying characteristics of a culture, and this identifying characteristic represents an ethnicity. Ethnicity is defined as a cultural membership that is based on individuals sharing similar cultural patterns that, over time, create a common history that is resistant to change. (Leininger McFarland, 2002, p. 75) Cultural competence is an important factor in nursing. Culturally competent care is provided not only to individuals of racial or ethnic minority groups, but also to groups that vary by age, religion, socioeconomic status or sexual orientation. Cultural competence is defined as a combination of culturally congruent behaviors, practice attitudes, and policies that allow nurses to work effectively in cross cultural situations. (Leininger McFarland, 2002, p. 78) Religious and cultural knowledge is important in the healthcare profession. It is also important that health care professionals assess their own beliefs and ask themselves how those beliefs may affect the care given to clients. The awareness of your own beliefs is called, cultural awareness, and is defined as self-awareness of ones own cultural background, biases, and differences. (Burchum, 2002) Not only must nurses be aware of their own beliefs, but also must be willing to learn and understand an individuals beliefs. The proc ess of learning a new culture is acculturation. Adapting to a new culture requires changes in each nurses practices. Relationships Structure The relationship and structure between the concepts in the culture care theory is presented in Leiningers sunrise model. (Figure 1) This model is viewed as rising sun and should be utilized as an available tool for nurses to use when conducting cultural assessments. This model interconnects Leiningers concepts and forms a structure that is usable in practice. This model provides a systematic way to identify the beliefs, values, meanings, and behaviors of people. The dimensions of the model include technological, religious, philosophic, kinship, social, values and lifeway, political, legal, economic, and educational factors. These factors influence the environment and language, which affects the overall health of the individual. Individuals who may not feel understood may delay seeking care or may withhold key information. Environment and language affect the overall health system which consists of the folk and professional health system. The folk health system consists of the traditio nal beliefs, while the professional health system consists of our learned knowledge such as organized school and evidenced-based practice. The combination of these systems creates the nursing profession which allows us to meet the cultural, spiritual, and physical needs of each individual. These factors help nurses understand the client and recognize what is unique about the client. This model helps each nurse avoid stereotyping an individual into a culture based on the minimal factors of race or ethnicity. (Leininger, 2002, p. 191) The last dimension of the model helps nurses establish culturally congruent care through the utilization of three concepts: culture care preservation/maintenance, culture care accommodation/negotiation, or culture care repatterning/restructuring. Cultural preservation means that the nurse supports and facilitates cultural interventions. (Burchum, 2002) Cultural interventions may include the use of acupuncture or acupressure for relief before utilizing standard practices/interventions. Cultural accommodation requires the nurse to support and facilitate cultural practices, such as the burial of placentas, as long as these practices are found not to be harmful to individuals or the surrounding community. (Burchum, 2002) Cultural repatterning requires the nurse to work one-on-one with an individual or community to the help them restructure, change, or modify their cultural practice. (Burchum, 2002) Cultural repatterning should only be used when the practice is found to harmful to an indi vidual or community. All of these factors and concepts guide the nurse towards their ultimate goal of providing culturally competent care. These factors and goals allow the nurse to fulfill the individuals need of having holistic and comprehensive culturally based care. Assumptions There are a number of theoretical premises for the cultural care theory. Leininger (2002) highlighted five important assumptions. The first is Care is the essence of nursing and a distinct, dominant, central, and unifying focus. (Leininger, 2002, p. 192) Nurses provide care with sensitivity and compassion. Cultural care theory requires nurses to provide that same care, but based on the cultural uniqueness of each individual. The second is Culturally based care (caring) is essential for well-being health, growth, survival, and in facing handicaps or death. (Leininger, 2002, p. 192) Non-culturally competent care may increase the cost of health care and decrease the opportunity for positive health outcomes. The third is Culturally based care is the most comprehensive, holistic, and particularistic means to know, explain, interpret, and predict beneficial congruent care practices. (Leininger, 2002, p. 192) Culturally competent nursing care is designed for a specific client, reflects the individuals beliefs and values, and is provided with sensitivity. The fourth is Culturally based caring is essential to curing and healing, as there can be no curing without caring, although caring can occur without curing. (Leininger, 2002, p. 192) Therefore, there is an increased need to recognize the impact of culture on health care and to learn about the culture of the individuals to whom your provide care. The last assumption is Culture care concepts, meanings, expressions, patterns, processes, an d structural forms vary transculturally, with diversities (differences) and some universalities (commonalities). (Leininger, 2002, p. 192) Nurses should be aware of cultural beliefs, cultural behaviors, and cultural differences and should avoid the temptation of premature generalizations. Following these assumptions of the cultural care theory allows nurses to be less judgmental and more accepting of cultures which promote holistic care for all cultures. Critical Reflection Culture Care Theory has played a significant role in nursing practice. The theory is highlights numerous concepts in which Leininger clearly defines and consistently utilizes in numerous publishings. The concepts in Leiningers theory are the gold standard for transcultural nursing and are mentioned in the majority of literature regarding culturally based care. The theory is complex with a number of concepts and interrelationships. The complexity is important as it develops a meaningful and comprehensive view of cultural and holistic based care. Leiningers theory has a high level of generality due to its ability broad to be applied to all cultures, ethnicities, and races. The key to Leiningers theory is communication, and even crosses languages and establishes how to eliminate language barriers, through the use of interpreters. The theory consistently approaches culturally based care by requiring the nurse to use cultural knowledge as well as specific skills when deciding nursing inte rventions and practices. The theory continues to be consistent in requiring the same approach by requiring the nurse to perform a cultural assessment. The assessment provides an understanding of an individual health perception which guides culturally appropriate interventions. Culture care theory is widely accessible as it is the major and most significant contributor to transcultural nursing. (Ayonrinde, 2003) Cultural care theory played and will continue to play a significant role in nursing practice, research and education. Healthy People 2020 goal is to eliminate health disparities among different populations based upon numerous factors. Nurses are the key in moving forward with eliminating these disparities. Todays environment is multicultural and the emphasis on providing culturally competent care has increased. The Culture Care theory is well established and it has been the most significant breakthrough in nursing and the health fields in the 20th century and will be in great er demand in the 21st century. (Leininger, 2002, p. 190)

The Road Essay examples -- Literary Analysis, Cormac McCarthy

The Road Named one of the four major novelists of his time, Cormac McCarthy has won numerous awards such as the National Book Award, National Book Critics Circle Award, and the 2009 PEN/Saul Bellow Award for Achievement in American Fiction, which places him in the highest rank of American literature. His tenth and latest novel, The Road (2006), known as his most traumatic yet intensely personal work, has won the Pulitzer Prize for Literature Award in 2007, as well as the James Tait Black Memorial Prize (2007,) and the Quill Book Award (2007.) The Road is one of three novels that have been made into a film and was featured in theaters in 2009. Nominated for various cinematography awards, and winner of the Pulitzer Award, The Road is a profoundly shocking in-depth way at looking at the flailing annihilation of the human civilization. The Road is a post-apocalyptic story of a journey taken by a father, the man, and his young son, the boy, â€Å"each the other’s world entire† (McCarthy, p. 6). The man and boy, sustained by love, travel through bleak and grim America some years after an immense unexplained cataclysm destroyed nearly all humanity, and environment. The land is covered in ash, is extremely dark, and cold with recurrent rain, gray snow, and earthquakes. Throughout the novel the boy calls the man â€Å"Papa,† and they both refer to themselves as the â€Å"good guys† who carry the fire; â€Å"the â€Å"bad guys† being other human survivors who have turned cannibalistic. The man, haunted by dreams and reminiscent due to flashbacks of his childhood and his wife who committed suicide at the time of the world-wide destruction, protects his son from starvation and attacks, even though he himself realizes that he is dying. Both father and son rumma... .... Looking at these effects, it is obvious that they revolve around how the intestate demise of the world affected humanity. The journey the man and the boy traveled through depressing America in truth unlocks the reality of a Judgment Day. All of us come from unpredictable societies, and unfortunately we poison all we come in contact with, and simply don’t care when it comes to our environment. â€Å"On this road there are no godspoke men. They are gone and I am left and they have taken with them the world. Query: How does the never to be differ from what never was† (McCarthy, p. 32)? This quote gives an idea of what kind of catastrophe might have struck the world, and that the prophets are gone, taking the world with them. Whatever happened to humankind in the novel, The Road, was completely destroyed along with the moral principles that man and the boy, even we value.