A College Education Ranks Right Along With Owning Your

A College education ranks right along with owning your own home as the foundation of the American dream. (Archer) College students, many of them face debt trying to better them selves. Most will attend college only to be paying for their education years after they have graduated. A Percentage will fall behind or simply not pay because of other life obligations. Student debt, accounts for well over one trillion dollars of debt in our country presently and it is continuing to rise year over year. New and returning students both may end up not finishing due to cost and the financial hardship they face associated with the cost of school. During my research, I found out that financial assistance, even student loans have not always been†¦show more content†¦However, I would still rack up debt because credit card companies came to campus to sign people up for cards. So, I couldn’t imagine having a student loan on top of all my credit card debt, which totaled about forty-five hundred dollars. My debt situation wasn’t anything compared to some I went to school with. They had to leave a University because it was too expensive and they didn’t qualify for financial aid. An interesting question has always surfaced through the years, and that is whether or not student loans should be forgiven? There are some that will say no because they had to pay one or multiple back. My friends that have paid them back always say no and that it is just part of growing up. My friends believe that paying back their loans helped them become more responsible with their money, because they had that obligation. Also, there are people who believe that if student loan debt is forgiven and they paid theirs then they are due a refund. There are only a handful of reasons your debt is wiped. These reasons include teachers working with low-income children (my niece is doing this), if you die, the school you are attending closes, or you become permanently disabled. My step sister happened to have over thirty thousand dollars in student loan debt, she got done paying it when she was thirty-two. Students may not realize how loans work and the interest rates are often not assessed while obtaining the loan, which can be detrimental and long term. At Present,Show MoreRelated Human Resource Leadership - Worker Retention Programs Essay2857 Words   |  12 Pageswhile Wal-Mart has one annually. Education has become a big issue in this society. Everyone wants to get ahead by earning a degree or advanced training. Providing an education system for your employees could mean staying instead of leaving. Target offers tuition reimbursement for team leaders who want to earn a business related degree. Wal-Mart pays for tuition and books for any employee who wants to complete a GED. They also offer discount for selected online colleges for all associate. Target CorporationRead MoreConsumer Psychology Affecting the Marketing of Real Estate4782 Words   |  19 Pagesof the five options presented to them reflects a number of things about them. They show what drives customers towards making certain choices, how the backgrounds of each person and other demographic factors such as age, level of success in life, education, occupation and lifestyle affect their personalities which, in turn, affect the choices they make. I have also attempted to link the values certain customers have and how they influence preferences. Finally, after a complete analysis of our threeRead MoreHomelessness Thesis9065 Words   |  37 PagesHES Republic of the Philippines Pamantasan ng Lungsod ng Muntinlupa COLLEGE OF CRIMINAL JUSTICE NBP Reservation Poblacion, Muntinlupa City INTRODUCTION Homelessness is a critical issue that requires everyone’s attention. Hundreds of thousands of homeless people live on the streets as their shelter. Historically, homelessness has always been a problem in society. Homeless people were known as â€Å"the wondering poor†, â€Å"sturdy beggars†, and as â€Å"vagrants,† but it was not until the lateRead MoreHomelessness Thesis9057 Words   |  37 PagesHES Republic of the Philippines Pamantasan ng Lungsod ng Muntinlupa COLLEGE OF CRIMINAL JUSTICE NBP Reservation Poblacion, Muntinlupa City INTRODUCTION Homelessness is a critical issue that requires everyone’s attention. Hundreds of thousands of homeless people live on the streets as their shelter. Historically, homelessness has always been a problem in society. Homeless people were known as â€Å"the wondering poor†, â€Å"sturdy beggars†, and as â€Å"vagrants,† but it was not until theRead MoreSony Marketing Plan4304 Words   |  18 Pages12747.73 9840.55 9417.51 7169.30 6619.15 % REV 29.98% 16.50% 12.74% 12.19% 9.28% 8.57% Source Bloomberg Finance L.P. 4 PROFILE ! BRAVIA ® is the brand  Sony uses to market its high-deï ¬ nition LCD televisions, projection TVs and front projectors, along with its home cinema   range under the sub-brand BRAVIA ® Theatre. The BRAVIA ® name is an acronym   of Best Resolution Audio Visual Integrated Architecture. All Sony high-deï ¬ nition ï ¬â€šat-panel   LCD televisions in North America have carried the BRAVIA ®Read MoreThe Federal Republic of Nigeria Essay5255 Words   |  22 Pageslanguage used in government, large-scale business, mass media, and education beyond primary school (Metz, 1991). The state and local governments are responsible for the primary education (six-year program). The responsibility for secondary education is shared by the federal and state governments. There are also some private schools of Muslim and Christian faith. In 1990 between 150,000 and 200,000 were enrolled in thirty-five colleges, universities, and higher technical schools (Metz, 1991, sectionRead MoreMetalfrio Case Analysis7723 Words   |  31 Pagesinnovation and customer relationships, through their brands of Metalfrio, Derby, Caravell and Klimasan, to meet the different needs of their customers (â€Å"Metalfrio†). In addition, Metalfrio goes beyond just their point of sales, as they include services along with their products, adding value and uniqueness to the company. However, it has taken many years to get to where they are now. Created in 1960, it was primarily focused on refrigeration components when it was first established. Due to overgrowingRead MoreGrand Strategies6960 Words   |  28 PagesSpread investor risks over a broader base Preserve strategic unity across businesses Achieve consolidated performance greater than the sum of what individual businesses Types of Strategic Fits ï  ® Cross-business strategic fits can exist anywhere along the value chain ï  ± ï  ± ï  ± ï  ± ï  ± ï  ± RD and technology activities Supply chain activities Manufacturing activities Sales and marketing activities Distribution activities Managerial and administrative support RD and Technology Fits ï  ® Offer potentialRead MoreWomen Entrepreneurs: a Critical Review of the Literature12149 Words   |  49 Pageswomen in senior management leaving or wanting to leave their corporate positions to try business ownership (Catalyst, 1998; Sharp and Sharp, 1999). In the U.S. from 1987-99, women’s businesses increased 103%, their sales grew 436% and their employee ranks swelled 320% (NFWBO, 1999a). Various estimates claim that by the year 2000, almost 50 percent of all new businesses in North America will have been started by women (Business Development Bank, 1999; Industry Canada, 1999; NFWBO, 1999a). World-wideRead MoreTraffic Management N Mumbai10672 Words   |  43 Pages This includes, over population, bad infrastructure, lack of education, uncontrolled reckless driving etc. I personally feel that using a car for a single person is a luxury if the same car is used for 5 persons travelling, it makes sense. We have n number of people coming to the same area in their own cars witho ut any accomplices. So, it makes sense to club the people and use just one car then, they might take turns to commute. Owning a car is an expensive affair but, government does receive revenue

Breast Cancer Education Is Vital - 871 Words

Breast Cancer: Education is Vital Every nineteen seconds a woman is diagnosed with breast cancer in the world, yet controversy still surrounds the issue of breast cancer education and recommendations for screenings (ww5.komen.org). Four top organizations have introduced different recommendations on breast cancer screening, although proposed treatment plans are similar, the issue still persists. Educating women of all ages, ethnic and social backgrounds is significant because there are many misconceptions on breast cancer screening that has instilled fear in many women, causing them to forego any type of screening or testing. Therefore, would improved educational resources impact breast cancer screening compliance, leading to earlier detection, thus improving overall survival rates of breast cancer patients? In-depth education is significant in relation to breast cancer survival rates based on the ability to reduce anxiety and common misconceptions related to screening processes and improving compliance. The research will show that improved education and guidance from cancer professionals could be beneficial to many women so they are aware of their options and able to make informed decisions in the process. The earlier a cancer is detected increases the rate of survival in most cases. The risks for acquiring breast cancer increase with age, therefore proving the necessity for compliance with screenings, which include breast self-examinations monthly, clinical breastShow MoreRelated Breast Cancer Essay742 Words   |  3 PagesBreast Cancer The thought of having breast cancer is frightening to every woman, and devastating to some. However, ignoring the possibility that you may get breast cancer, or avoiding the things you should do to detect and avoid cancer, can be even more dangerous. Breast cancer is a devastating disease that may affect one out of nine women in the United States. This year alone, a patient will be diagnosed every three minutes and a woman will die from breast cancer every thirteen minutesRead MoreCancer Screening : A Effective Screening Program As A Nurse Leader1031 Words   |  5 PagesCancer screening plays a vital role in detecting the disease early and preventing it from spreading. The purpose of screening is looking for cancer before a person has any symptoms. It is very important to enlighten populations at risk the significance of early cancer screening. People should have clear, understandable and correct knowledge of these tests which will help them to make informed decisions about their health care. The purpose of this paper is to observe the Every Woman Matters ProgramRead MoreBreast Cancer : My Health Related Issue On The Life Span Of An Person1447 Words   |  6 Pagesbe based on ‘Breast Cancer’ as my health related issue in the life span of an person. Cancer (also known as malignancy) is the general name for a gathering of more than 100 diseases. Despite that there are many sorts of cancer, all cancers begin in light of irregular cells lose control of their growth. Untreated cancers can bring severe illnesses and even lead to death. Cells in almost any part of the body can develop into cancer, and can spread to different ranges of the body. Breast disease is aRead MoreCell Signaling Essay1583 Words   |  7 Pageshuman disease breast cancer and sickle cell anemia have been the most prevalent. The importance of these topics in reference to breast cancer and sickle cell anemia are the background information on these diseases, the general population affected, what gene/proteins are involved in these diseases, the symptoms of the diseases, the experimental research, and the key advances/ problems relaying to treatment for the diseases. Understanding the background information and how much breast cancer affects peopleRead MoreSaudi Arabian Women And The Obstacles1620 Words   |  7 PagesCONSERVATIVE, THEREFORE, SEEKING TREATMENT FOR REPORDUCTIVE ISSUES AWKWARD. DUE TO THESE CUSTOMS, MANY WOMEN DO NOT OFTEN SEEK HEALTHCARE, AND WHEN THE WOMEN DO IT IS OFTEN TOO LATE. IN 2010 BREAST CANCER WAS THE NINTH LEADING CAUSE OF DEATH IN FEMALES IN THE KINGDOM OF SAUDI ARABIA. Breast Cancer Awareness and Screening in Saudi Arabian Women Saudi Arabia is a country in the Middle East and is surrounded by water. These water ways consist of the Red Sea, the Arabian Sea, and the PersianRead MoreThe Research Paper That I Am Evaluating Is, â€Å"The Effectiveness1596 Words   |  7 Pageseffectiveness of group positive psychotherapy on depression and happiness in breast cancer patients†, identifies breast cancer and the devastating toll it takes on it the victims (Dowlatabadi, Ahmadi, Sorbi, Beiki, Razavi, Bidaki, 2016). Breast cancer is a ubiquitous disease in females worldwide, the psychological shrapnel includes, fear, despair, anger, depression and anxiety. Whereas, the ramifications physically of cancer are considered temporary, however, the emotional and psychological damageRead MoreBreast Health Essay769 Words   |  4 Pagestreat, and provide education to women related to their breast health. This journal entry will focus on a patient encounter related to a clinical presentation of a breast mass. Lastly, strategies for education and self-breast exam education will be discussed. Upon reflection of a past semester, C. C. will be referenced for this journal entry and application learning opportunity. C. C. was a forty-year-old African-Caribbean woman (ACW) seen in the office for complaints of a breast lump in her upperRead MoreEssay about Skin Cancer in Relation to the Ottawa Charter1339 Words   |  6 PagesPDHPE SKIN CANCER Cancer is the second largest cause of death in Australia and accounts for approximately 27% of all deaths. Risk factors generally include exposure to sun, poor diet and smoking. Many types of cancer such as skin cancer, lung cancer and breast cancer are easily preventable by early detection and awareness; however, some cancers cannot be prevented. The National Skin Cancer Awareness Program represents the new public health approach. This is because it has been created to preventRead MoreEffects Of Obesity On The Health834 Words   |  4 Pagesimportant women health issues that can possibly be prevented, or the risk of developing the condition reduced with education, health promotion, and wellness for the patient. The patient may need encouragement, a listening ear, or time spent with them to develop a goals and a plan for health promotion. A women’s health topic that is well known is the negative effect of obesity and endometrial cancer. Topic of Interest Obesity negatively impacts the health of women in many ways and is a condition that canRead MoreEssay on Promote and Support Breastfeeding973 Words   |  4 Pagesthe first year significantly improves an infant’s overall health and chances of survival.1 Benefits of breastfeeding span from improving family dynamic and maternal health to reducing health care costs and decreasing the impact on the environment.1 Breast milk is unique in that is perfectly tailored to meet and infants need and provide optimal nutrition.1 As experts within the field of nutrition Registered Dietitians should promote and support breastfeeding for its benefits to both mother and baby

Book Analysis Free Essays

David Mamet’s Bambi vs. Godzilla: On the Nature, Purpose, and Practice of the Movie Business is one of the latest books written by David Mamet. The book is about the sharp views that Mamet makes about the movie business and the inner doings of Hollywood. We will write a custom essay sample on Book Analysis or any similar topic only for you Order Now On 30th November 1947 Lenore June gave birth to a boy in Chicago who was named David Alan Mamet. Mamet’s mother Lenore June was a teacher and his father Bernard Morris who was an attorney. (Film Makers, Pp 1)Mamet is an American movie director, writer, novelist, dramatist, and a screenwriter. He is famous for his works which are well-known among people for their clever, short, and at times offensive dialogue and his mysterious styled phrasing sense. (Film Makers, Pp 1) Mamet has received a number of award nominations like he got nominated for Tony Award for Glengarry Glen Ross (1984) and Speed-the-Plow (1988). He was acknowledged with Oscar suggestion for Wag the Dog (1997) and The Verdict (1982) as a playwright. (Film Makers, Pp 1) Some of his recent books include The Old Religion written in1997, it is a novel about the execution of Leo Frank; Five Cities of Refuge: Weekly Reflections on Genesis, Exodus, Leviticus, Numbers and Deuteronomy written in 2004, an explanation of the Torah, The Wicked Son written in 2006, contains a deep study of the Jewish self-hatred and anti-Semitism; and Bambi vs. Godzilla, a book having sour comments and is a collection of essays on the movie business. (Gabriel Steinfeld, Pp1) In this book Mamet gives us a revolutionary inside look at Hollywood from the point of view of a film-maker. The title brings together an impressive, arresting and a weird metaphor that is â€Å"Bambi vs. Godzilla,† which refers to an old underground small cartoon, with long and graceful subtitle which is expressed in more literary language that showed off his intelligence. The subtitle which is â€Å"On the Nature, Purpose, and Practice of the Movie Business† shows that this book is a collection of essays on different phases of film making which includes production, direction, behind-the-scene stories etc. The book consists of eight major sections and forty-odd short chapters. The eight major sections contains the titles such as â€Å"The Screenplay† ( this section provides the steps to effective skill writing), â€Å"Technique† , â€Å"Genre† and â€Å"Some Principles† are the sections that covers the areas of film criticism , â€Å"The Good People of Hollywood† (this section of the books covers dissimilar topics, that are mostly related to the power dynamics that take place behind the scenes of movies), â€Å"The Repressive Mechanism† (this section is somewhat freely linked by the subject of power and the relation of art to it), â€Å"Passing Judgment† ( this section covers the part of acting and criticism), â€Å"Crimes and Misdemeanors† (covers the portion of the cheats and the dishonesty that big names make in the Hollywood). (Gabriel Steinfeld, Pp1) He in details explains what happens at the studios, what happens during the shooting of a movie and various questions which arise in the mind of a c ommon man. Mamet presents a clear-cut view of the deepest and the secret inner workings of the general movie industry and particularly concentrates on Hollywood in the book. Mamet provides entertaining, astonishing, and willingly gives the answers to questions about almost every portion of filmmaking, right from the concept to script and to the screen. (Gabriel Steinfeld, Pp1) Before Bambi vs. Godzilla Mamet wrote and directed a drama Spartan in 2004, which was very much mishandled by Warner Bros. they didn’t knew how to present this drama to audience so after a short period of time they dumped this drama. The way Spartan was handled and treated Mamet could be expected to reveal his anger and rage through this book he had for the studios and the film industry. Even though several of these pieces were written before the Spartan misfortune, Mamet showed his disapproval for the present structure and organization of conventional cinema and to show his disapproval he does not even waits for the main chapters to start he begins it from the introduction of the book. (Gabriel Steinfeld, Pp1) In the book Mamet covers a wide range of topics that range from â€Å"How Scripts Got So Bad† to the â€Å"Manners in Hollywood. † He takes us gradually through some of his personal favorite movie stunts and directorial tricks, and clearly in the film speaks aloud the fact that it is the craft and the crew that make great films not the actors and producers. He also tells the audience in the books that who are his preferred and much loved performers and what are his favorite films, according to him who he thinks is the most ideal actor that would bring elegance to the screen, and who he thinks should never have showed on screen. (Christopher Hirst, Pp1) Modern or Post-modern? Mamet was post-modern in his artistic perspective. He has used to portray art which is considered to be in disagreement to a number of features of modernization, or to have appeared or developed in its consequences. In common activities for instance inter-media, setting up art, theoretical art and multimedia, mainly connecting video are illustrated as postmodern. The qualities linked with the exploit of the expression postmodern in art incorporates bricolage, utilization of vocabulary significantly as the fundamental creative constituent, collage, generalization, misappropriation, representation of user or accepted civilization and presentation art. The book is written about the present situation of Hollywood. David Mamet speaks about the flaws of the film industry. His way of writing and his ideas clearly shows that he is a man of modern culture. He looks at the modern situation of the film industry and suggests ideas that could make drastic changes in the film industry of today and those would pertain in the future. The choice usually Mamet makes for his actors would be disapproved or ignored by the current film-makers but if they looked through Mamet’s point of view Hollywood would very soon start to produce well-crafted and outstanding movies of its time. (Christopher Hirst, Pp1) References Christopher Hirst ,Paperbacks: Bambi Vs Godzilla, by David Mamet, (2008) Retrieved 01-02-2009, from http://www. independent. co. uk/arts-entertainment/books/reviews/paperbacks-bambi-vs-godzilla-by-david-mamet-864393. html Gabriel Steinfeld , Book reviews: Bambi vs. Godzilla: On the Nature, Purpose and Practice of the Movie Business, by David Mamet,(2009) Retrieved 01-02-2009, http://www. helium. com/items/536905-book-reviews-bambi-vs-godzilla-nature-purpose-practice-movie-business-david Film Makers, David Mamet. Media Pro Tech Inc. (2006). Retrieved from: http://www. filmmakers. com/artists/mamet/biography/index. htm How to cite Book Analysis, Papers

Youths free essay sample

It will be a great wastage of human resources if these youths are not given an opportunity to exercise their talent. This beautiful land needs these youths in order for our soil to become a brighter one. The primary role of young people is to get a good education in order to become better citizens of tomorrow. They need to learn skills to do the job that their country’s economy needs. They also need to know how to read, write, think, understand, analyse, and discuss the issues their country faces. The entire success of the nation depends on the youths. However, in order for continuous success to take place; it is the Government’s responsibility to provide the youth with proper facilities for, getting equipped with the knowledge of the modern era. Youth is the spring of life. It is the age of discovery and dreams. They have the power to transform the nation into a better place. We will write a custom essay sample on Youths or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They also have the ability to lead their fellow citizens into the right direction. Youths are fighters. They fight for an identity in society, equality, the homeless, bullying, unemployment, exploitation, poverty and other problems which the world faces today. All of them hopes for a world full of opportunities, so great minds can conquer them and become better individuals. They need good morals and values to handle conflicts in a positive way. We have aspiring doctors, entrepreneurs, scientists, and who knows; maybe the next president. Illiteracy is a major around the world. About ninety percent of the people who reside in villages are illiterate. The reason is their utter ignorance and lack of initiative to lead them in the right direction. Someone has to pull them up. Here also, the young people can be of immense help. The role of the youth is the most mportant in today’s time. They have underplayed themselves in the field of the politics. Youth are strong forces in social movements. Youths are problem solvers. Our nations need them to resolve most of our problems. The nation is facing a lot of problems, and I believe that the youths are capable of solving them. They just need to be given a chance to prove themselves. Youths have the power to unite individuals in the six ethnic groups. Racism is an ongoing issue around the world. Individuals are fighting against each other because of the complexion of their skin and the texture of their hair. Religion is another issue, the youths can convince their fellow man to live in peace and love. All of us are one and we should not allow these little differences to push us away from each other. There also a lot of crime taking place. Women are being killed by their abusive husbands. Person’s homes, businesses, are being broken into. All of this crime and violence needs to stop. The youth once more has the ability to bring about a change in their country. Youths seems to have the ability to face any challenges and problems. They have a positive influence on their fellow young people. They are able to teach them the positive things in life. The ones whom are destroying their future, they tend to listen to their fellow youths. They will make them understand the importance of a good education. The wise youths that we have out there should be taken into consideration. Some of them, though educated are unemployed. They should be given an opportunity to expose their intelligence to the world and make themselves into someone. Some organisations and other firm should assist the youths; so they can make our land a great and educated one. They will make a huge difference in society and the entire world. The youths are our life and nation. They will make our country proud. The country will be recognized. The youths just need the support from their fellow citizens and they will perform their duties. In conclusion, the role of the youth in the nation building is crucial. They are problem solvers, have a positive influence on other young people and the nation, and are extremely ambitious. They have the ability to create an identity for themselves and move the nation forward. However, they will not be able to do this without the support of their Government and fellow youths. So the youths can make their beautiful land flourish and shine in success.

Hammarabis Law Code Essays - Geography Of Asia, Western Asia

Hammarabi's Law Code Many people may not know it, but they have heard part of Hammurabis Law Code before. It is where the fabled eye-for-an-eye statement came from. However, this brutal way of enforcing laws was not always the case in ancient Mesopotamia, where Hammurabi ruled. The Laws of Ur-Nammu are much milder and project a greater sense of tolerance in an earlier time. The changing Mesopotamian society dictated this change to a harsher, more defined law that Hammurabi ruled from. It was the urge to solidify his power in Mesopotamia that led Hammurabi to create his Law Code. It must first be noted that the Laws of Ur-Nammu were written some time around 2100 B.C., around three hundred years before Hammurabis Code. Because of this, The Laws of Ur-Nammu are much less defined in translation as well as more incomplete in their discovery. However, it is apparent from the text that these laws were concerned with establishing Mesopotamia as a fair society where equality is inherent. In the prologue before the laws, it is stated that the orphan was not delivered up to the rich man; the widow was not delivered up to the mighty man; the man of one shekel was not delivered up to the man of one mina. This set forth that no citizen answered to another, or even that each citizen answered to each other, no matter their wealth, strength, or perceived power. This distinction of an equal society was important to the growing territory that was Mesopotamia. It allowed each person to feel important to their community because they were not lorded over by a superior class. Also, the sheer amount of different bands of people that made up the initial Mesopotamian society dictated that no distinction between origin or race could be made without destroying the careful balance that was set up. The Laws of Ur-Nammu were also distinct in that most penalties were fines or payments. One law stated that if someone severed the nose of another man with a copper knife, he must pay two-thirds of a mina of silver. Another contains that if a man proceeded by force, and deflowered the virgin slave-woman of another man, that man must pay five shekels of silver. According to these laws, the crimes of assault and rape were reduced to payment for injury. Hammurabis Code was not nearly as forgiving. While The Laws of Ur-Nammu doled out fines as penalties, Hammurabis Code delivered death for many crimes. Hammurabi also has a much different view concerning the treatment of rape: If a man violate the wife of another man...and sleep with her and be surprised, this man shall be put to death, but the wife is blameless. Also, assault was no longer punishable by just a fine: If a man put out the eye of another man, his eye shall be put out. Death was a sentence for false accusations, theft and robbery, bad construction, kidnapping, as well as many other offenses. By the time of Hammurabis rule, Mesopotamia had formed its own identity. While it remained a land where most any person could be accepted, the time for regulating the territory had come. These laws were just one part of an effort to create an organized nation-state by Hammurabi. After conquering various city-states to secure his rule, he created a new power center in Babylon to keep the supporters of previous power centers at bay. Along with a new capital came a new lead divinity in Marduk, the sky god. He also fortified the cities, making an attack on his rule a much more dangerous task. Additionally, Mesopotamian science subscribed to the theory that listing things as explicitly as possible allowed for control. Hence, Hammurabis Code is very complete, giving exact punishments for exact crimes. It also created exact payments for services rendered. No doubt the severe nature of the Code was to keep the general public in fear of getting out of line, but it also did more. It created social classes that had not been previously recognized. The highest class was the free men, while the lowest were slaves. An undefined middle class filled in between the two. Violations of a free man were much more

NASA on Watch for Killer Asteroids

NASA on Watch for Killer Asteroids While NASA astronomers said the chances of the 1.2-mile-wide (2 km) asteroid called 2002 NT7 actually hitting the Earth on Feb. 1, 2019, are slim, they are still watching it and other orbiting doomsday rocks very closely. Detecting and Tracking Dangerous Asteroids While given less than a one in 250,000 chance of actually hitting the Earth, scientists at NASAs Near Earth Object (NEO) program have no intention of turning their backs on any of the Potentially Hazardous Asteroids discovered so far. Using the Sentry System developed by NASAs Jet Propulsion Laboratory, NEO observers continually scan the most current asteroid catalog to identify those objects with the greatest potential to hit the Earth over the next 100 years. These most threatening asteroids are cataloged in the Current Impact Risks database. To each near-Earth approaching object, NEO assigns a risk of impact factor based on the Torino Impact Hazard Scale. According to the ten-point Torino scale, a rating of zero indicates the event has no likely consequences. A Torino Scale rating of 1 indicates an event that merits careful monitoring. Even higher ratings indicate that progressively more concern is warranted. To further study near-Earth orbiting objects, their potential threats, and ways in which they may be prevented from impacting the Earth, NASA is currently undertaking this fascinating group of Spacecraft Missions to Asteroids. For professional and amateur asteroid trackers, JPLs Solar System Dynamics Group provides this handy set of software tools. Protecting Earth from Asteroid Strikes Calling them the only major natural hazard that we can effectively protect ourselves against, NASA has suggested two possible methods of protecting the Earth from an asteroid or comet determined to be on a collision course. Destroying the object before it hits the EarthDeflecting the object from its orbit before it hits the Earth To destroy the Earth-approaching object, astronauts would land a spacecraft on the surface of the object and use drills to bury nuclear bombs deep below its surface. Once the astronauts were a safe distance away, the bomb would be detonated, blowing the object to pieces. Drawbacks to this approach include the difficulty and danger of the mission itself and the fact that many of the resulting asteroid fragments might still hit the Earth, resulting in massive damage and loss of life. In the deflection approach, powerful nuclear bombs would be exploded up to half a mile away from the object. The radiation created by the blast would cause a thin layer of the  object on the side nearest the explosion to vaporize and fly into space. The force of this material blasting into space would nudge or recoil the object in the opposite direction just enough to alter its orbit, causing it to miss the Earth. The nuclear weapons needed for the deflection method could be launched into position well in advance of the objects projected Earth impact. Best Defense is Adequate Warning While these and other methods of protection have been considered, no definite plans have been fully developed. Scientists of the Asteroid and Comet Impact division of NASAs Ames Research Center warn that at least ten years will be needed to send a spacecraft to intercept an incoming object and deflect or destroy it. To that end, scientists say, NEOs mission of detecting threatening objects is critical to survival. In the absence of active defense, warning of the time and place of an impact would at least allow us to store food and supplies and to evacuate regions near ground zero where damage would be the greatest, says NASA. What is the Government Doing About This? In 1993 and again in 1998, Congressional hearings were held to study the impact hazard. As a result, both NASA and the Air Force are now supporting programs to discover Earth-threatening objects. Congress currently budgets only about $3 million per year for programs like the Near Earth Object (NEO) project. While other governments have expressed concern about the impact hazard, none have yet funded any extensive surveys or related defense research. That Was Close! According to NASA, a soccer field-sized asteroid came within a mere 75,000 miles of Earth in June  2002. Missing us by less than one-third of the distance to the moon, the asteroids approach was the closest ever recorded by an object of its size.

Tuition Reimbursement Implementation Report Essay

Tuition Reimbursement Implementation Report - Essay Example Since the program will enhance the employees retention, this alone will be a significant move for the business. The contemporary challenge that is facing most businesses perennially is the inability to retain the employees (Arthur, 2008). The business will no longer experience the tedious exercise of recruiting and doing orientation to the new employees who also needs a period of time to acclimatize to the environment during which the efficiency level is much dwindling. If the business can be able to retain the employees who have had experience in the daily running of the business, it will be a great move since the intermittent trend being realized by the workforce turnover will cease (Arthur, 2008). An employee that is given the tuition reimbursement normally have and demonstrates the feeling of responsibility owed to the business to even do extra as a way of compensating for the program. The advantages of the program come in a cascading manner, business is a dynamic venture and req uires constant ability to engage and cope with. Allowing the employees to acquire further skills and training will only be much advantageous to the business since they will now have to make critical contribution in the management and running of the business in the daily basis (Phillips, & Connell, 2010). The era in which the management and decision making were a preserve of the top management body is long gone, the decision making today spiral from the employees upwards. This can only be possible if the employees are encouraged to advance in their academic life so as to enable them actively participates in their capacity effectively. Experienced, properly educated and relevantly trained employees is an essential recipe in success in the business, this is owing to the much dynamic and fluid status of the business panorama (Phillips, & Connell, 2010). A business that does not put this into account will not only experience perennial departure of the employees but also risk retaining di nosaurs. This program will also open new avenues for the employees in the same business environment. This is because employees values the most any more that is mindful of there career growth and advancement. This program will also build the confidence on the employees that their employers values them and are much interested in their unique skills and will want to retain them in their current position to serve better rather than moving and scouting for the best next job available (Downey, March, & Berkman, 2007). This move will settle the psychological part of the employees about moving and searching for the best job. In implementing the program, the business will also be in a position of ascending their employees for greater position from the existing pool of employees rather than sourcing from outside the business, at least the business will get top management employees from the experienced individuals already in the business. A classical example is when an employee has just comple ted his/her bachelors in human

Porfirian Diaz and his role in the Mexican Revolution Research Paper

Porfirian Diaz and his role in the Mexican Revolution - Research Paper Example Foreign turmoil could not be seized by Diaz and in 1877 there was a military conflict with U. At the ends of his first –term ruling, Porfirio did not appeal for the second term . During Diaz reign there were no civil wars in Mexico. Nevertheless, this benefit cost much to the country. The introduction of agrarian reform, which enabled the privileged class to own all lands, was a negative feature of Diaz regime. Farmers had to pay their debts in order to survive. A high increase of price led to starving in the country. There were no homes for more than 16% of population . Foreign investors were attracted to the country by the options of land owning and poor people were forced off from their lands even those, who owned vast landholding. The high inflation rates of US led to depression of 1907 and prices were life were huge for Mexicans. Porfiriato introduced the laissez-faire policies, but these policies could not facilitate the process of inflation. When the economy was on the edge of crisis, middle and upper class did not support Porfiriato policies anymore. Foreign banks introduced stricter regulations for credit and the government raised taxes. The wages for workers remained low and Porfiriato could not manage to bridge the gap of inflation growth and required money for daily living of people. In spite of political and social turmoil in the country, there was a need to reelect the President and Francisco Madero claimed that there was a need for Mexico to return to the Constitution of 1857 . 4. Dictatorship of Diaz was undermined and was strictly criticized by the people. Madero underlined the necessity to introduce political and not social reforms. He criticized Diaz dependence on the foreign capital and the growing number of American businessmen. Diaz was reelected and the anger intensified in the society. Villages

Reconstruction Essay Example | Topics and Well Written Essays - 250 words - 2

Reconstruction - Essay Example The south solving the broken society made them freedmen look as burden that needs support. The people from the North forced the burden to them. Du Bois passes no blame to the south for the hatred they had on black and understood their reason for such brutality, despite all that, the opinion of Foner is still regarded as a success and correct. Conversely, reconstruction was largely confined, limited, and conservative, and failed in enacting real change for the black people. Foner dismisses the idea that Dunning schools are ludicrous and took a middle stance between the post revisionist and revisionists. He failed to live up the beliefs and ideas he began with, rather it enacted radical changes to the society found in the south. Especially the unplanned move of black men to areas that are political and socially established that they would depend on for years. For all the failures, he acknowledged the need for reconstruction to establish the possibility for a country that is more than just America. He states that the creation and consolidation after the war offered the foundation from where the modern civil rights

Corticosteroids and Mental Disorder

Corticosteroids and Mental Disorder Abstract Corticosteroid medication is an essential treatment in almost all medical specialties. Psychiatric side effects of corticosteroids may be both common and severe and include psychosis, mania, depression, delirium and dependence. Only a small evidence base exists about susceptibility to and epidemiology of these conditions. Corticosteroid induced psychiatric disorder typically has an acute onset and is dose related. Manic symptoms predominate acutely however long term use may be associated with depression. Steroid dependence and withdrawal syndromes have been documented. Case reports suggest that a combination of mood stabilizers and antipsychotics may be useful in management severe acute effects. This article will give psychiatrists working in a general hospital a guide to the epidemiology, clinical presentation and management of corticosteroid induced psychiatric disorder. Introduction Corticosteroids were first introduced into medical practice in the late 1940s, since when they have been used by almost all medical specialists as effective treatment for autoimmune and inflammatory conditions. Over 5 million prescriptions are written for corticosteroids in the UK each year, at a cost of over  £100 million. (NHS Health Care Statistics 2005) About 1% of the general population and as many as 7% of hospitalized patients are receiving oral corticosteroid therapy at any given point in time. (NHS Health Care Statistics 2005) Whilst being renowned for important therapeutic actions they can have many adverse effects which must be considered in long term treatment. Physical effects such as osteoporosis, central obesity and immunosuppression are frequent in patients receiving corticosteroids. Psychiatric effects include alterations in mood, delirium, dementia and psychosis. As corticosteroids have a critical place in the management of chronic disease, psychiatrists should be equipped with the knowledge to recognize and manage corticosteroid induced mental disorder. This article describes the epidemiology, clinical presentation and management of these conditions. Indications and Pharmacology There are several forms of corticosteroid medication licensed in the UK, including: betamethasone, cortisone acetate, deflazacort, hydrocortisone, methylprednisolone (prednisolone) and triamcinolone. Each of these drugs has varying degrees of mineralocorticoid and glucocorticoid activity. All of the above preparations exist in oral or intramuscular form. Inhaled steroid preparations are also will not be discussed as there is little evidence that they can induce mental disorder. The main indications for these medications are: Suppression of inflammatory and allergic bowel disease; chronic or treatment resistant Asthma and COPD; Immunosuppression in Acute Lymphoblastic Leukemia, Hodgkins and non-Hodgkins disease, and Hormone sensitive breast cancer; Palliation of symptomatic end-stage malignant disease; Organ transplant rejection; Auto-immune (Rheumatic) disease such as Systemic Lupus Erythematosis and Wegners Granulomatosis. Corticosteroids are rapidly absorbed across the Gastro Intestinal  membrane following oral administration. Peak effects can be observed after 2 hours. The circulating drugs bind extensively to the plasma proteins Corticosteroid Binding Globulin (CBG), albumin and transcortin, with only the unbound portion of a dose active. Systemic prednisolone is quickly distributed into the kidneys, intestines, skin, liver and muscle. Corticosteroids also distribute into the breast milk and cross the placenta. Corticosteroids are predominantly metabolized by the liver to active metabolites then further metabolized to inactive compounds. These inactive metabolites, as well as a small portion of unchanged drug, undergo urinary excretion. The plasma elimination half-life is 1 hour whereas the biological half-life of prednisone is 18-36 hours. Corticosteroids act as glucocorticoid receptor agonists. On binding, the corticoreceptor-ligand complex translocates itself into the cell nucleus, where it binds to Glucocorticoid Response Elements (GRE) in the promoter region of target genes. Insert Figure 1 about here The DNA bound receptor then interacts with basic transcription factors, altering gene expression. There are high concentrations of CBG in specific brain areas such as the hippocampus and pre-frontal cortex and these can therefore be thought of as a potential mediator of corticosteroid induced psychiatric disorder. Chronic disease and corticosteroids In parallel to the psychiatric side effects of corticosteroid therapy, most chronic medical conditions may be associated with considerable psychiatric morbidity. A primary objective of the psychiatrist is to distinguish between the psychiatric effects of chronic illness and corticosteroids. The 1-year prevalence for ICD-10 depressive episode alone is 3 ·2% (95% CI 3 ·0-3 ·5) and an average of between about 9% and 23% of patients with one or more chronic physical diseases have co-morbid depression. In an international meta-analysis, patients with a variety of chronic physical diseases and co-morbid depression had significantly worse health scores than those with chronic disease alone. (Moussavi et al 2007) There are many potential reasons for this, including physical symptoms such as pain and secondary disability leading to loss of function. Studies of depression amongst the medically ill almost always fail however to account for possible corticosteroid effects. In patients with severe COPD given 30 mg of prednisolone for 14 days, when lung spirometry and mood state were measured, no changes in spirometry were detected until 7 days of active therapy. However, small but significant reductions in anxiety and depression were measured after 3 days of prednisolone and before any measurable improvement in lung function. This single study is a major part of a small evidence base suggesting that corticosteroids produce a mild sense of wellbeing rather than the wellbeing necessarily being a consequence of physical improvement. (Swinburn et al 1988) Classification, Epidemiology and Clinical Features Psychiatric side effects were first described and classified by Rome and Braceland in 1952 shortly after the initial introduction of corticosteroids into the pharmacopoeia. As can be noted in Table 1, the descriptions of symptoms in 1952 have an implicit hierarchy which places psychosis above ego disturbance of a neurotic nature and places these above euphoria. (Rome and Braceland 1952) Insert Table 1 about here Epidemiology The proportion of patients developing psychiatric symptoms during corticosteroid therapy has been reported to range from 3 to 75 percent, with a weighted average of about 28 percent. (Lewis and Smith 1983) Amongst the larger studies, the Boston Collaborative Drug Surveillance Program (Boston Collaborative Drug Surveillance Program 1972) monitored 718 hospitalized medical patients who received prednisolone, of whom just 21 (3%)had acute psychiatric reactions: in 6 of 463 (1%) patients receiving 40mg prednisolone, 8 of 175 (5%) patients receiving 41-80mg and 7 of those receiving above 80mg (18%). The dose-response trend was significant, but the study was conducted in 1972 and deals with relatively small numbers of affected subjects who underwent only a basic psychiatric screening. In terms of speed of onset, symptoms appear to develop rapidly. In groups of both patients and healthy subjects, psychiatric symptoms occurred between 3 days and one week. (Lewis and Smith 1983, Hall 1979, Naber 1996) Evidence shows that significantly more women than men (P =0.009) develop psychiatric symptoms as a function of corticosteroid treatment. (Nielsen et al 1963) Prednisolone is the medication most cited to cause psychiatric side effects. In case reports, prednisolone was responsible for 37 cases followed by methylprednisolone, dexamethasone betamethasone, and hydrocortisone. (Lewis and Smith 1983) When dose equivalences were calculated, ranging from 5 to 200mg prednisolone per day, a mean dose of 58.3mg per day or more was cited as substantially raising the risk of a psychiatric reaction. This does not mean that psychiatric reactions only occur at higher dosages. While dosage is not related to the risk of developing mental disturbances, dosage nor duration of treatment seems to impact upon the time of onset, duration, severity, or type of mental disturbances and it is unclear whether patients with a history of psychiatric disorder are predisposed to such disturbances. (Ling 1981) Affective Symptoms The most common psychiatric reaction during glucocorticoid therapy is mood change, which accounts for almost 90 percent of the psychiatric reactions (Hall 1979, Stiefel 1989) In a review of 56 case studies of psychiatric reactions to steroids, of those reporting mood symptoms (45 cases), mania was observed in 48%, depression in 25%, and a mixed state in 9%. (Flores and Kenna) Reversible mood change can be seen in healthy control subjects after administration of prednisone and dexamethasone. One study showed that 8/12 healthy controls experienced this, with manic symptoms predominating. (Brown 1998) A further study which looked at methylprednisone in ophthalmology patients, all of whom were free of psychiatric disorder, found that 36% developed mania or depression during high dose steroid treatment. (Naber 1996) Studies examining the consequences of low dose steroid treatment have found little or no affective symptomatology (Swinburn 1988). With regard to steroid induced mania, patients typically report sudden euphoric mood, excessive energy, indefatigability and some grandiosity. In addition to the rapid development of mood symptoms, suicidality can be associated with steroid treatment. (Flores and Kenna). In addition to mood symptoms patients have been reported to experience sleep disturbances and weight gain. Recurrent affective disorder A further important consideration is whether any such affective disturbance involves one isolated episode or leads on to recurrent disorder. Nine patients whose initial clinical presentation met DSM-IV criteria for a steroid-induced mood disorder were shown in the long term to have a clinical course of bipolar disorder. (Wada 2001) Seven patients initially developed a manic or hypomanic state with sub-acute onset ranging from 1 to 3 months and six patients had manic episodes accompanied by psychotic features. The proportion of manic episodes relative to total mood episodes of the 9 patients was 66%, suggesting manic predominance. Seven patients had future mood episodes that had no direct relationship to corticosteroid therapy and were preceded by various psychosocial stressors. Four of 5 patients who received future steroids rapidly became manic or hypomanic. Recurrent cases of corticosteroid-induced mood disorder therefore appear to have clinical features such as sub-acute onset, fr equent accompanying psychotic features, and similar recurrent episodes in association with psychosocial stressors and corticosteroid use. Psychotic Symptoms In a review of 55 case reports of steroid induced psychiatric disorder, 58% of cases demonstrated psychotic symptoms. (Ling 1981) In 72% of the cases with psychotic symptoms, they were combined with an affective disorder. Similarly, in a review of 79 case reports there was a 71% incidence of psychotic symptoms with affective symptoms reported in over 75% of these. Hallucinations occurred in 58% of the cases and delusions in 74% .(Lewis and Smith 1983) In a more recent review of 56 case reports, psychotic symptoms were reported in 65% of cases. In eight of these, the development of psychotic symptoms was more clearly associated with the withdrawal, rather than with the administration, of steroids. (Flores and Kenna) Interestingly, but perhaps coincidentally, seven of these eight cases occurred in female patients. All eight cases included mood disturbance; 2 with depression, 4 with mania, and 2 with a mixed state. Cognitive effects The cognitive effects of corticosteroid therapy have been seen in patients receiving short term or long-term corticosteroids, and relate primarily to declarative or verbal memory. (Flores and Kenna) In one study, patients on corticosteroids had poorer performance on the Rey Auditory Verbal Learning Test (RAVLT), (a measure of declarative memory), the Stroop Color Word Test (a measure of working memory) performance, smaller hippocampal volumes and lower levels of N-acetyl aspartate (a putative marker of neuronal viability in the temporal lobe region). (Brown 2001) Deficits in declarative memory have been observed in subjects receiving as low as 4 to 5 days of dexamethasone or prednisone. (Newcomer 1999) A dose-dependent impairment in declarative memory has been reported with high dose (160 mg/day), but not low dose (40 mg/day) hydrocortisone. It appears that these cognitive impairments may be reversed with the reduction or withdrawal of corticosteroids. Similar results for declarative memory deficits are found in persons with Cushings disease. Such findings are consistent with reductions in hippocampal volume which are correlated with cortisol levels. (Starkman 1992) Steroid Dependence and withdrawal Several case reports suggest that corticosteroids may be abused for their euphoric effects. (34) Typically this will involve higher doses of oral systemic steroids although there is one report of dependence secondary to a nasal spray. (35) In a case review, 8 patients out of 11 cases of steroid dependency had a previous psychiatric history (predominantly depressive symptomatology), and 4 had a history of drug or alcohol mis-use or dependence. It has been suggested that patients who may request higher steroid doses or who resist dose reduction despite their improving health should be carefully monitored. (Stoudemire 1994) In the more recent review of case studies (Flores and Kenna), the development of psychiatric symptoms was also associated with the withdrawal of steroids. Corticosteroid withdrawal symptoms generally include depression and fatigue but mania and delirium have also been reported during dose reduction or discontinuation. Psychiatric symptoms during steroid withdrawal generally improve or resolve when corticosteroids are re introduced. Cushings disease and psychiatric disorder Cushings syndrome relates to the multi-organ over exposure of iatrogenic or endogenous corticosteroid and is associated with a variety of psychiatric and psychological disturbances. In one study examining 43 patients before and after treatment for Cushings psychopathology was observed in a considerable number. Only 8 patients of 43 with active Cushings syndrome (19%) were without psychiatric symptoms. Psychiatric diagnoses included: neurotic depression in 20 (46%), possible neurotic depression in 1 (2%), reactive depression in 6 (14%), and non-specific neurotic symptoms in 8 (19%). Psychoses were suspected in 3 of the patients who were depressed, but none of the 43 patients with active Cushings syndrome had a definite diagnosis of Schizophrenia, Mania, Obsessive Compulsive Disorder or Generalised Anxiety Disorder. After treatment in 25 patients, when cortisol levels had been substantially reduced (to within normal limits in 88% of them), the percentage rated as psychiatrically asymptomatic increased from 19% to 68%. Scores for depression and anxiety showed significant improvements after treatment for Cushings syndrome and Eysenck Personality Inventory assessments showed a significant improvement in neuroticism score. (Kelly 1996) Treatment of Corticosteroid induced psychiatric disorder There is a very limited literature on the treatment of corticosteroid induced mental disorder, although it can be noted from the forgoing that psychiatric symptoms generally resolve with discontinuation of the medication. In one review of the literature, tapering the dose of steroids alone appears to be effective up to 90% cases. (Flores and Kenna) Case studies also suggest that switching steroids may be of value. (Okishiro et al 2009) The primary objective in managing these conditions is to balance the relative risk of psychiatric disturbance against the medical consequences of withdrawing the steroid. The management of corticosteroid induced psychiatric disorder can otherwise be largely divided into managing an acute psychotic/manic episode versus managing long term depressive symptoms and dependency. Although little evidence exists either way, it can be assumed that severe behavioral disturbance should be managed as it usually is symptomatically with appropriate doses of benzodiazepines and antipsychotics. In terms of managing acute psychotic/manic episodes one study found that of 27 patients treated with lithium carbonate prophylactically none developed severe mood symptoms while receiving corticosteroids. However, six out of 44 patients (14%) not receiving lithium developed mania or depression. (Falk 1979) Antipsychotics, specifically haloperidol, risperidone and olanzapine, are noted from case reports to be useful in mania, mixed affective states, psychosis and delirium. A further case report suggested the successful use of low-dose olanzapine (2.5 mg/day) for severe mood swings and suicidal ideation in a patient with asthma on chronic prednisolone therapy. With regard to depressive symptoms, several case reports have demonstrated some evidence with lithium following the onset of depressive symptoms. Carbemazepine has been reported to be useful in managing both manic and depressive symptoms secondary to corticosteroids. (Wada 2001) There appears to be little benefit from the use of tricyclic antidepressants and in fact, a worsening of neuropsychiatric symptoms has been reported. (Hall 1978) Case reports have been published describing the successful treatment of steroid-induced depression with sertraline, fluvoxamine, and fluoxetine. One such report supports the use of a combination of an antidepressant and antipsychotic in the treatment of steroid-induced psychotic depression (Ismail 2002). Case reports are noted to suggest the effectiveness of benzodiazepines, in the management of specific steroid-induced symptoms as insomnia and anxiety Conclusions Above all, it is clear that the literature on the psychiatric adverse effects of corticosteroids is limited and larger studies on medically ill populations need to be carried out. Clinical practice continues to be informed by case reports despite over 50 years of awareness of these problems. There exists a great opportunity for future research to find predictors of steroid response including their genetic and neuroimaging antecedents and it is clear that the literature could be enhanced with prospective studies and clinical trials. The ICD 10 codes steroid induced psychiatric disorder under F55.5 Abuse of non-dependence-producing substances Steroids or Hormones. No distinction is made about type or chronicity of symptoms. Arguably it may be more useful to classify steroids induced psychiatric disorder under F19.-Mental and behavioral disorders due to multiple drug use and use of other psychoactive substances. Corticosteroid induced psychiatric disorder can pragmatically be classified at present as described in table 2. Insert Table 2 about here With regard to the acute corticosteroid syndrome, the clinical presentation can be diverse but the severity of the symptoms appears to be dose dependent and they tend to occur within the first week of steroid administration. Affective symptoms are most common and a hypomanic/manic presentation is most likely. Some patients appear to have sub clinical hypomanic symptoms which they do not report. Symptoms resolve in most cases on discontinuation of the steroid. Cases are best treated with a mixture of a mood stabilizer (possibly prophylactically) and antipsychotic. With regards to chronic steroid syndrome, the merits of continuation of the steroid must be considered and a small literature suggests that depression in this group can be managed with an SSRI and not a tricyclic antidepressant. In patients who are on long term steroids, a dependence and withdrawal syndrome may be seen. No evidence exists as to how this should be managed but again negotiation should occur between the clinicians and the patient on the need for steroids and a gradual tapering of dose should be considered. Presently it is not known whether individuals have idiosyncratic reaction to steroids or that, given a high enough dose everyone would suffer some mental disturbance. There is a suggestion that those with a previous affective disorder or a family history may be more susceptible to the adverse effects of steroids. If as many as 27% of those on high dose steroids suffer psychiatric symptoms, it is surprising that millions of patients do not present to psychiatric services. Case vignette: Steroid-induced psychosis A 40-year-old woman was admitted to a GI ward for corticosteroid treatment as a result of a flare-up of her inflammatory bowel disease (IBD). Her previous psychiatric history included recurrent depression, for which she had been successfully prescribed fluoxetine by her GP for several years. She was treated for 5 days with prednisolone 40mg IV which was then switched to oral prednisolone prior to her discharge home. Over the next week she progressively became increasingly irritable, experiencing hyperacusis, preferring to stay up all night doing housework and decorating, and suffered from marked lability of mood, fluctuating from euphoria to extreme despair and tearfulness, and anxiety. She began to experience command hallucinations of her late father, who had suffered from schizophrenia, telling her to kill herself, as he had in fact done a number of years earlier. She experienced delusions of being unclean and malodorous. She was visibly seen to be responding to unseen stimuli. She was unable to leave her home for fear that people wished to harm her. On day 5 post-discharge her family sought help from her GP who recommended that she stop her steroids, after noting that 18 years earlier she had experienced a similar episode in response to steroid treatment for her Crohns disease. Her GP prescribed Chlorpromazine but unfortunately the patient developed a marked pill-rolling tremor and akathisia. Next day the patient attended a GI outpatient clinic and due to her distress and anxiety a psychiatric opinion was immediately sought. She was informally admitted and commenced on olanzepine and diazepam with a significant diminution of her psychosis and anxiety such that after a few days she was able to be discharged home. Over the next several weeks she was closely followed-up by liaison psychiatry as an outpatient. Her psychotic symptoms had completely resolved with olanzapine treatment. She did, however, continued to experience low mood and anxiety as a result of on going stress associated with her IBD and required further treatment with antidepressant medications.

A Summery of the Life and Writings of John Stuart Mill :: essays papers

A Summery of the Life and Writings of John Stuart Mill After reading 100% of the book, New Ideas From Dead Economists, I chose to write a little summery of John Stuart Mill. I did a little outside research on the subject, because his theories and philosophies were intriguing to me. I was impressed by his change in his views as he entered his mid twenties. John Stuart Mill was born in London on May 20, 1806, and was the oldest son of James Mill. His education, as a boy, was carried out by his father, James Mill. John’s discipline was extremely rigid, as a result, he believed it gave him the intellectual advantage of a quarter century on his contemporaries. Later in life Mill recognized that his father’s extreme system of intellectual discipline gave him little time to develop social and emotional relationships with others. He regretted this aspect of his childhood. Mill was considered a leader in thought at the young age of twenty-one. This is when he encountered a mental crisis. The cause of the crisis, extreme mental and physical strain, gave him as he called it, â€Å"a dull state of nerves†. He realized that the goals in his life, that his father had given him, stolen the feelings out of him. After many months of despair, he found that the emotions within him were not dead. One important factor in this emotional realization was a woman by the name of Mrs. Taylor. She was known to help Mill in authoring works of his, and a good friend. While she was married, Mill held a close relationship with her. After the death of her husband, Mrs. Taylor and John Mill were married in 1851. After this he had great success publishing in multiple literary journals. These articles had ranged from those relating to philosophy and social to political and economic. One of his earliest was with The Westminster Review, but were mostly for The London Review. Through these articles, we can trace his gradual development and change in his radical politics. His first real intellectual work appeared in 1843, System of Logic, Ratiocinative and Inductive. This was followed by his, Essays on some Unsettled Questions of Political Economy, in 1844, and, Principles of Political Economy in 1848.

Analysis of the daffodils by Wordsworth Essay

In this poem the poet speaks to a friend or family member about a spectacular group of daffodils that he recalls seeing when on a walk one day .The poet has an exultant tone which is obvious when reading this well-known poem. The theme is introduced with an end rhyming scheme which allows the poem to flow †I wandered lonely as a cloud†¦.when all at once I saw a crowd† .The theme of this poem is nature. The tone of the poem is shown by the use of joyful adjectives such as â€Å"golden† or â€Å"fluttering† this allows the poem to be light-hearted .Although the main theme in this poem is nature, I believe another theme is relationships because Wordsworth seems to have an amazing relationship with nature , in the way he describes the daffodils and when he thinks of the daffodils â€Å"his heart with pleasure fills and dances with the daffodils†. The imagery in this poem is bright and colourful due to the metaphors used â€Å"Continuous as the stars that shine†. In third stanza the poet talks of the waves â€Å" The waves beside them danced ,but they outdid the sparkling waves in glee† this creates a striking image of waves ,but this quote also proves how great the daffodils were .This effects the tone of the poem. The wording Wordsworth uses is so brilliant that, with each sentence the image of the daffodils becomes clearer and clearer. This effects how I imagine the flowers. The sound pattern in this poem is includes many examples of assonance â€Å"For oft when on my couch I lie†, the o in a lot of the words slows the poem down, and it allows you to reflect on the sentence. There is alteration in this poem for example â€Å"Beside the lake ,beneath the trees† .Alliteration makes the sentence remorable and allows the poem to flow.

Predicitve Analytics

A secondary research paper on Predictive analytics; which is a mix of tools and techniques that support organizations to identify probability in data that can be used find out the future outcomes. The scope this study Is to identify the potential of predictive analytics to leverage advertising, marketing campaign and business development Initiatives thereby understanding the customer behavior. Customer preferences, change, attitudes, purchase behaviors and attaining a high degree of inference in their decisions about what to do differently for each segment, as potential moves have been â€Å"pre-tested. † effective Marketing Satellites + Higher Conversions = More Revenue = Growth & Success! In a tough competitive global marketplace, to have desired return on the marketing initiatives bib organizations are looking forward to have new avenues which could help them to make a better understand about their customer preferences, change, attitudes, purchase behaviors.Earlier the rese arch was archeological, looking at past customer choices and behavior. With the advent f a third-generation approach called predictive segmentation; BIB markets are able to resolve the challenges and take a competitive advantage. It Is a mix of tools and find out the future outcomes. It helps to tune insights about exactly which elements of the service or product offer actually drive customer behavior and thereby giving a high degree of confidence in their decisions about what to do differently for each segment, because potential moves have been â€Å"pre-tested. Predictive analytics technology Incorporates data collection, statistics, modeling and deployment capabilities, and drives the entire segmentation process, room gathering customer information at every interaction to analyzing the data and providing specific, real-time recommendations on the best action to take at a particular time, with a particular customer. The result is more effective customer relationship management st rategies, including advertising and marketing campaigns; upsets and cross-sell Annihilates; and long-term customer loyalty, retention and rewards programs.Current market situation Most BIB companies which tries to get deeper customer understanding and move segmentation beyond traditional way using selects from Industry, size, anemographic views of customers Is not reaching up to the standard. In a top business marketers in the United States, themes pressing concern identified by respondents was â€Å"finding a better way to expand understanding's their customer needs, market segments, and the key drivers of customer value. Companies which have traditionally relied on technological innovation to attain competitive advantage have come to realize that new technology or new product features are not good enough to attract more customers or increase revenues from existing customers. Major challenges 1 . Sales cycles are long and complex offerings. 2. Competitor's offerings and strategies shift so quickly that managers cannot reliably compare the impact of changes in a given marketing 3.Customer relationship management systems cannot easily capture the decisions and actions that led to success or failure with any particular account, because such information is largely anecdotal, not quantitative. The following table represents some examples of the types of challenges solved by predictive marketing for different types of digital marketers: Benefits or Strategic objectives Attained through Predictive Analysis The predictive approach not only produces forward-looking segments; it also gives users a high degree of confidence in their decisions about what to do differently for each segment.By scientifically testing how customers might respond to future offerings, channels, and pricing; companies know how to reach the right customer with the right offer at the right time, through the right channel. 1. Compete – Secure the Most Powerful and Unique Competitive Strong hold A predictive model distinguishes the micro segments of customers who choose your company from those who defer or defect to a competitor. In this way, your organization identifies exactly where your competitor falls short, its weakness. 2.Grow – Increase Sales and Retain Customers Competitively Each customer is scored for their behaviors like purchases, responses, churn and clicks. These scores drive the enterprise operations across marketing, sales, and customer and help the organization to have competitive advantage Aberdeen group in August 2011 (Predictive Analytics for Sales and Marketing: Seeing Around Corners) found that companies using predictive analytics enjoyed a 75% higher click through rate and a 73% higher sales lift than companies that did not SE this technology. Figure below shows the details of the research conducted among 160 test audiences. Source from:- Aberdeen group in August 2011 -Predictive Analytics for Sales and Marketing: Seeing Around Corners) r anking transactions with a predictive model dramatically boosts fraud detection. 4. Improve – Advance Your Core Business Capacity Competitively Whether offering a service or a product, enterprise's central function is to produce and deliver with increasing effectiveness and efficiency. By way of greater efficiency would be able to overproduces/services at cheaper prices. . Satisfy – Meet Today's Escalating Consumer Expectations By offering very targeted offers that have more probability of acceptance.Companies are able to accomplish their marketing objectives and set the customer expectation without increasing their marketing staff or budget. Business application of predictive analytics Most of the organization applies predictive analytics to automate operational decisions, across marketing, sales areas and beyond. Choosing the business application of predictive analytics depends on strategic question or type of decision companies choose to automate. Companies run vari ety of campaigns to accomplish specific goals, such as acquisition, cross-selling, and retention.Predictive analytics creates a range of models, parallel to their business application; table below shows some of the business application and the predictions that companies look forward. Business application: Predictions Customer retention customer defection/churn/attrition Direct marketing customer response Product recommendations what each customer wants/likes Behavior-based advertising which ad customer will click on Email targeting which message customer will respond to Credit scoring debtor risk Insurance pricing and selection applicant response, insured risk Supply chain optimization 1 .Supply chain visibility and cost to serve 2. Demand forecasting Optimization 3. Network optimization: is about analyzing total cost of ownership of a company's supply chain network. 4. Predictive asset maintenance: improving up times, performance and availability of manufacturing assets by predicti ng when maintenance or when a new part is required in order to avoid unplanned down time. 5. Spend analytics: understanding how much a company is spending on different recruitment categories, with which suppliers, and how a company can optimize their spending across all those categories. Invitational campaign approach In traditional campaign approach markets typically use a few basic selections to identify customer behavior while creating a campaign. It was mainly based on internal company processes, rather than focusing on the needs and preferences of its customers. Response to these types of conventional campaigns is generally low often less than one or two percent. Optimizing campaigns with Predetermination In order to optimize marketing campaigns, companies need to be able to answer the four crucial questions like Who should I contact?What should I offer? When should I make the offer? How should I make the offer? Predictive Marketing enables marketers to find the answers quickly , and to create and execute campaigns around this simple but effective process. First, marketing analysts create predictive models; as we have discussed earlier creating models depends on the business application or strategic question in hand companies. These models helps to efficiently find appropriate customers and discover the best timing,channel, and message for each customer.Then, arresters add business information such as contact restrictions, budget guidelines, and campaign objectives. Before sending the campaigns, they verify the projected size and cost of each campaign, as well as the expected response and revenue on each campaign. Finally, the marketers execute the approved campaigns. Select the right audience Using the model campaigner decides the right customer segments to send out the campaign; deciding the target segment using the model typically reduces campaign costs by 25 to 40 percent, while maintaining or even increasing response rate. Select the right channelAt t his stage of the campaign process, marketers determine how best to contact each customer. By using each customer's preferred channel, (based on channel preferences and predicted response) companies increase response rates. Select the right time Consumers today have many choices for meeting their needs. That's why it's critical to reach customers in a timely manner when their behavior indicates an unmet need or a risk of defection or attrition. Predictive Marketing continually scans customer databases for Just such events, and triggers specific campaigns when a need or risk is detected.Some companies increase the frequency of campaigns to improve the chances of reaching customers at an ideal time. These campaigns target fewer customers, but the customers they do target have a high likelihood of response. When the campaigns are finished, they use Predictive Marketing to compare actual results to the projections, and incorporate information that can improve the effectiveness of future campaigns. This process is accomplished in Predictive Marketing two main modules, the Analytic Center and the Interaction Center anticipate the needs and preferences of individual customers.The Interaction Center s used to create, optimize, and execute campaigns based on the customer needs predicted by models created in the Analytic Center. Together, the Analytic Center and the Interaction center enable companies to answer the â€Å"who, what, when, and how' of successful campaign marketing. Marketing analysts create predictive models of customer behaviors and preferences in the Analytic Center. The models are then used by marketers to create and optimize campaigns in the Interaction Center. New interaction data is sent back to the Analytic Center to refine and enhance the predictive models. Select the right offerWhen companies increase the number of campaigns they run, they risk alienating their customers by overloading them with offers. Conventional campaign management tools are not designed to address the potential overlap. Predictive Marketing, however, reduces this risk through a comprehensive campaign optimization process. Predictive Marketing evaluates all of the available campaigns and selects the one that best balances the customer's likelihood to respond with the profit potential of the campaigns. It also takes into account suppressions and contact restrictions, such as â€Å"do not call† or â€Å"do not contact more Han once every two months. This customer focus, combined with the ability to optimize campaigns around restrictions and preferences, has enabled companies to report a profit increase of between 25 and 50 percent. As companies transition from large, unfocused marketing campaigns to highly targeted, event- based campaigns across multiple channels, their marketing departments go through several stages Predictive Marketing enables companies to run more effective campaigns at each stage of the transition. Stage 1: Right customer 2: R ight channel 3: Right time 4: Right offer 1 . ObjectiveSelect the targeted customers For each campaign Select the best channel for each customer Contact each customer at right time Select the best offers for each customer 2. Enabling technology Predictive analytics Channel optimization Event marketing Campaign optimization 3. Strategy Predict who is likely to respond to a campaign and balance that information with against expected revenue Balance each customers channel preference against triggers to select customers Balance the customers likelihood to respond against the profit potential of each campaign 4.Benefit 25 – 40% reduction in direct marketing cost Decreased cost of Interaction Up to double the response to marketing campaigns 25 – 50% profit increase Assessing the impact of campaign decisions After marketers create campaigns, Predictive Marketing eliminates the guesswork of determining which ones to run. This helps marketers know in advance which campaigns are likely to be the most successful at reaching a specific goal, such as retaining at-risk customers or selling a particular product. It also shows which campaigns are not likely to be profitable.By running only the campaigns that have the greatest potential for success, companies achieve positive financial results. Monitoring and improving campaigns Feedback from campaigns enables the marketing department to measure the actual results of campaigns, as well as adjust in-progress campaigns when the initial results are not as positive as expected. Predictive Marketing stores all campaign interaction information, such as the offer made, the campaign used to make the offer, and the models used in the campaign.This enables users to monitor: Campaign-level performance, such as actual response versus expected response, so users can see which segments and groups performed well Customer performance, such as customer profitability, cross-sell ratios, and attrition risk Channel performance, such as expected load on a channel versus planned load, and channel effectiveness for each campaign Predictive model performance, assess which models to continue to use and which to revise or refine.Predictive Marketing uses data from recent campaigns to further refine its models. By tracking the performance of models and campaigns, companies create a â€Å"feedback loop† of information and refinement that enables them to create even more effective campaigns and achieve progressively better results. Integrating with social media Companies are making a transition from a method of listing to engaging in order to capture more value from social media.Among the wide network of customers, predictive analysis helps business to plan it strategically to maximize the value of their social media interaction. Using techniques from data mining and text mining, predictive analytics lets you analyses at historical patterns and make predictions about future behavior for specific individuals. By taking customer data that you hold internally and adding what people have said and done, you can map out what people are likely to do and engage them accordingly.Enhance social media efforts with predictive analytics If you've got a social media game plan for monitoring feedback and engaging customers, consider adding predictive analytics to help you respond to customers in more proactive, targeted ways. As an example, by classifying sentiment (customer's opinion, comments, suggestions or thoughts about the product) in social media data and tying that to customer data, you can predict people who are likely to be favorable prospects with special messages or offers.Here's one way you can get started: 1 . Capture 1,000 comments in the social media sites you monitor. You'll need to determine who to respond to, and how. 2. As its not feasible to respond to all comments, you can use text mining to classify sentiment, and based on the results; follow a 3-pronged response strategy: Send tha nk yoga's to positive comments – reinforce the relationship. Ignore comments with negative sentiment below a certain threshold – in some cases; it's more effective to focus on more receptive customers.For those in between, send an invitation to engage via one-on-one social interaction with a support or sales representative. You can engage customers â€Å"in social† through outworks such as Twitter, Linked or direct them to your online email portal or phone bank. 3. Next, you'll want to measure the effectiveness of your response strategy. After planning your responses, test different messages (A/B testing) for each response type to gauge effectiveness, analyze and understand response rates, and refine your messaging. This testing will inform the engagement strategy you deploy going forward.Adding predictive analytics to your social media efforts lets you capture more value sand ultimately, it can help you gain a deeper understanding of your customers o more effec tively engage them, increasing retention and loyalty A Microscopic and Telescopic View of Your Data Predictive analytics employs both a microscopic and telescopic view of data allowing organizations to see and analyze the minute details of a business, and to peer into the future. Traditional Bal was limited only to create assumptions and find statistical patterns to those assumptions.Predictive analytics go beyond those assumptions to discover previously unknown data; it then looks for patterns and associations anywhere and everywhere between seemingly disparate information. Predictive Analytics-The Future Business Intelligence The market is witnessing an unprecedented shift in business intelligence (81), largely because of technological innovation and increasing business needs. The latest shift in the Bal market is the move from traditional analytics to predictive analytics. Although predictive analytics belongs to the Bal family, it is emerging as a distinct new software sector.An alytical tools enable greater transparency, and can find and analyze past and present trends, as well as the hidden nature of data. However, past and present insight and trend information are not enough to be nominative in business. Business organizations need to know more about the future, and in particular, about future trends, patterns, and customer behavior in order to predictive analytics to forecast future trends in customer behavior, buying patterns, and who is coming into and leaving the market and why.Traditional analytical tools claim to have a real 3600 view of the enterprise or business, but they analyze only historical data, data about what has already happened. Traditional analytics help gain insight for what was right and what went wrong in decision-making. Today's tools merely provide rear view analysis. However, one cannot change the past, but one can prepare better for the future and decision makers want to see the predictable future, control it, and take actions t oday to attain tomorrow's goals.Case study Let's use the example of a credit card company operating a customer loyalty program to describe the application of predictive analytics. Credit card companies try to retain their existing customers through loyalty programs. The challenge is predicting the loss of customer. In an ideal world, a company can look into the future and take appropriate action before customers switch to competitor companies. In this case, one can build a predictive model employing three predictors: frequency of use, personal financial situations, and lower annual percentage rate (PAR) offered by competitors.The combination of these predictors creates a predictive model, which works to find patterns and associations. This predictive model can be applied to customers who are would be using their cards less frequently. Predictive analytics would classify these less frequent users differently than the regular users. It would then find the pattern of card usage for thi s group and predict a probable outcome. The predictive model could identify patterns between card usage; changes in one's personal financial situation; and the lower PAR offered by competitors.In this situation, the predictive analytics model can help the company to identify who are those unsatisfied customers. As a result, companies can respond in a timely manner to keep those clients loyal by offering them attractive promotional services to sway them away from switching to a competitor. Predictive analytics could also help organizations, such as government agencies, banks, immigration departments, video clubs etc. Achieve their business aims by using internal and external data.Conclusion It was found that with the help of predictive analysis, organization were able to resolve one of greatest challenge faced in business organization (to find out the customer expectation, needs, key drivers of customer value and market segments) by way of analyzing transactional and other data to pr edict the likelihood that customer segments will respond to marketing messages. Predictive analytics enables marketers to understand the key factors that drive customer value and loyalty, and attract more customers.

Hindu Weddings essays

Hindu Weddings essays If you thought that repeating vows and saying I do was a lot to handle in American wedding traditions, then you are in for a surprise when you hear how intricately detailed the Hindu wedding ceremony is. Hinduism began about six thousand years ago in India. Hindu religion that is full of lavishes ceremonies and traditions that have lasted for centuries. Hindus believe that marriage is for the combining of two spirits into one. A Hindu man is not considered to be complete until he is married and has the chance to find love and have a son of his own. A Hindu woman is not considered to be complete either until she is married off to another Hindu of her fathers choice, then she is able to nurture their son and fulfill the duties of a traditional wife. Weddings are looked at as a special time of unity for some and others used them as time to find prospective matches for their own children. Because of the intricate detailing and classic, traditional customs, Hindu wedding ceremonies are one of the worlds most interesting to observe. Hindu weddings vary greatly depending on the people getting married and their own selective taste in what they feel is appropriate for their wedding. Although the actual ceremonies can vary, Hindus are very careful to stick their basic traditions of the Hindu religion. A priest, who is considered to be sacred, performs all of the ceremonies. We are used to seeing weddings that last for an hour or so but in the Hindu religion, they can last for a few hours to a few days in length. Most of the marriages are arranged and decided before the bride or groom even gets a chance to choose whom he or she would like to marry. The basic traditions of weddings must be followed for it to be considered official. The manners and customs of the people The marriage itself is a very calm and tranquil time of peace and lover offerings. It is a time of calmness for ...

Motivation Essay Example | Topics and Well Written Essays - 500 words - 19

Motivation - Essay Example The job enrichment of individuals in organizational premises is a factor of concern for the workers welfare that deals in motivational duties and a sense of promoting their working existence. Job enrichment is used when management wants to motivate employees so that they can be more productive. Job enlargement entails adding tasks and assigning more promotes duties to the existing job description. Job enlargement works on the basis of equal and fair distribution of tasks in an entrepreneurship systems. This aspect of managerial skills is a fundamental productive approach to successful business. Job enlargement is used so when management wants to increase employee productivity by assigning them more tasks so that they are occupied and they work hard. Maslow’s Hierarchy of needs is a clear description on the fundamental human requirements that are universal. Maslow’s Hierarchy principal is demonstrative and has a categorical chain of procedure. The complete Maslow’s Hierarchy demands a protocol path that is demonstrative of the basic needs. According to the law, the fundamental requirement demands a complete execution of the basic wants before the principal is approached (Mantel, 214). Maslow’s Hierarchy entails: 2. Safety level- During this context, the workers safety is guaranteed by the employers or the management team. The management works on promoting the basic security concerns and handles health, financial and emotional well being of the employees. 3. The sense of belonging- This principal touches on individual identification aspects to groups, societies or class. The employees would want to fit into a recognizable community depending on their categorical similarities (Mantel, 214). The organization or the employers would engage on competitive events, organize job trips and take part in team work involving activities that will instill the sense of togetherness and eventually promote the love between workers. 4. Esteem- This is

Research J 5.4 Essay Example | Topics and Well Written Essays - 500 words

Research J 5.4 - Essay Example The attributes of these variables are exhaustive and mutually exclusive and is the weakest level of measurement. The elements are not assumed that one is greater than the other. In criminal justice, nominal measure has limited knowledge. For example, when determining whether an offender is driven to crime by lifestyle or place they were brought up (Bayens & Roberson, 2010). Ordinal measurements variables are ranked in a particular order. Examples include occupation of persons, level of crime and police opinion. Ordinal measure satisfies the exclusiveness and exhaustiveness requirements. For example, we can group criminals according to arrests types made. Muggers, car thefts, house break-ins and murderers can be in different groups. These ranking of events give a representation of an ordinal order. It is irrelevant where the arrest was made, whether miles away or in proximity (Maxfield & Babbie, 2012). Interval measure assumes that categories are different and can be ranked and ordered. The distance between the numbers from one to another have some meaning. For example, a criminal with ten arrests and another with two arrests, the interval measure between the criminals, we can conclude that the first criminal has a more serious crime record than the second one. Ratio scale gives the highest scale of measurement. The categories must be rank ordered and different. The variable categories must be capable of being compared by the use of ratios with other categories. These variables must have meaning of the distance between categories. For example, if an offender is arrested four times in a given period and another twice in the same period, the latter is arrested twice as many times as the former (Hagan, 2013). The reason I would prefer ratio scale to other levels of measurement is that, it carries more information. It is used in comparison with another range of categories of numbers or ratios. Most researchers use ratio scale in reporting and