Friday, August 21, 2020

The Kite Runner Essay Example for Free

The Kite Runner Essay The book Kite Runner is about a child that goes through unpleasant minutes during his life time as a result of war. The young men name is Amir, and his dad is a rich man of Pakistan. Amir calls his dad Baba and doesnt have a very decent connection with him. Amirs closest companion is called Hassan. Hassan lives in Amirs house, and is his hireling. Hassan father likewise works for Amirs father as a hireling. Hassan and Amir do everything together, except there is consistently that line in them, among worker and rich child. At the point when the Russians attacked Pakistan Amir and his dad needed to leave Pakistan, and got to California. There they needed to live as workers since they left Pakistan with every one of their possessions. Pakistan was crushed as was Amir. He had left Hassan and his dad in Pakistan. So one day Amir goes to meet different Pakistanis and sees a young lady he prefers. His dad gets sick and advises Amir to wed her before he bites the dust. They do get hitched and his dad passes on about fourteen days after the fact. After amirs father passed on the couple acknowledged they couldnt have kids. So Amir turned into a significant writer. The individuals in India are thoughtful however pay attention to religion. There is an aggregate sum of 7 religions that have been archived. Those incorporate Buddhism, Islam, Sikhism, Jainism, Hinduism, Zoroastrianism, and Christianity. Individuals have a 54% of proficiency level. Its normal future is around 59 years of age for guys and 60 years for females. There are 18 perceived dialects spoken in India. They are characterizes in two gatherings. Those are Indo-Aryan and Dravidian. There is no official language spoken in India. Indias engineering is exceptionally one of a kind in its own specific manner. Actually India possesses one of the most lovely bits of work on the planet. The name of this structure is known as the Taj Mahal. It has a round formed figure. There is a wellspring in the passage. This structure is a vacation destination everywhere throughout the world. It was worked by a ruler that needed to give her princess a blessing in 1627. The Taj Mahal has 4 columns close to the primary structure. Before it there is an opened exhibition with bunches of wellsprings. The Indian design is recognized even in todays date. After the war in Pakistan finished, Amir chose to return to look for his closest companion Hassan. At the point when he got to his town, he asked each living individual where Hassan could be. He found an old woman that revealed to him that Hassan was killed with his significant other and that his child was in a halfway house. Amir scanned for Hassans child wherever until he discovered him. He took Hassans child back to California where Amir and his better half brought up the youngster as theirs. From the start the child had issues holding with Amir however as time passed on, the child acknowledged Amir as his dad. Show see just The above see is unformatted content This understudy composed bit of work is one of numerous that can be found in our GCSE Miscellaneous segment.

Symptoms of Oxycontin Withdrawal

Symptoms of Oxycontin Withdrawal Addiction Drug Use Opioids Print Oxycontin Withdrawal Symptoms By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Medically reviewed by Medically reviewed by Steven Gans, MD on July 10, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on October 27, 2018 Pureradiancephoto / Getty Images More in Addiction Drug Use Opioids Cocaine Heroin Marijuana Meth Ecstasy/MDMA Hallucinogens Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery In This Article Table of Contents Expand Causes   Who's at Risk Symptoms Potential Dangers Treatment of Symptoms Withdrawal Period Long-Term Treatment   View All Back To Top Oxycontin withdrawal describes a wide range of symptoms that can occur after a person stops or dramatically reduces the medication after heavy or prolonged use. Withdrawal from Oxycontin is similar to withdrawal symptoms experienced with any opiate-based drugs such as heroin, morphine, Dilaudid, methadone, and codeine.?? Causes   Any opiate-based drug can cause physical dependence or addiction. If Oxycontin is taken over a lengthy period of time, you can build up a tolerance to it, meaning that greater amounts of the drug are needed to produce the same effect.?? If you have developed a dependence on Oxycontin and you try to stop or cut back on the amount you take, your body needs time to adjust and recover, and withdrawal symptoms can result. Whos at Risk Anyone who has taken Oxycontin over a period of time, usually several weeks or more, can experience these symptoms. It varies with the individual and can happen upon quitting or cutting down. This includes patients who have taken Oxycontin as prescribed to treat pain while recovering from surgery or an injury. Symptoms Oxycontin withdrawal symptoms can range from mild to severe, depending on how much and how long you have taken the drug. Some people who have only used the drug therapeutically may not even realize that they are experiencing withdrawal; many users  report thinking that they just have the flu.?? Withdrawal symptoms usually begin six to 30 hours after the last use of the drug.?? Early Symptoms of Oxycontin Withdrawal Include: AgitationAnxietyMuscle achesIncreased tearingInsomniaRunny noseSweatingYawning Later Symptoms of Oxycontin Withdrawal Include: Abdominal crampingDiarrheaDilated pupilsGoosebumpsNausea and vomiting Potential Dangers Withdrawal from Oxycontin use can be very uncomfortable, but it is not life-threatening. However, there are complications that can occur, which do pose a  danger. Aspiration can occur if you vomit and breathe in stomach contents into the lungs, which can cause lung infection or choking. Vomiting and diarrhea can cause dehydration  and chemical and mineral disturbances in your body. The biggest danger, however, happens if you quit taking Oxycontin and decide to begin taking the drug again. Because the withdrawal process reduces your tolerance for the drug, you can overdose on a much smaller dose than you usually took.?? Therefore, most overdose deaths occur in people who have recently withdrawn or detoxed from Oxycontin start taking it again and think they can tolerate the same amount they used to take. Treatment of Symptoms If you are planning to quit using Oxycontin after heavy or prolonged use, dont try to do it on your own. At the very least, make sure someone else is around to support and keep an eye on you as you withdraw. Contact your healthcare providers and let them know that you plan to detox from Oxycontin. They will explore and recommend one of a few different regimens used for detoxification, which can include the use of Clonidine to reduce anxiety, agitation, muscle aches, sweating, runny nose, and cramping.?? They can also give you other medications for vomiting and diarrhea. Withdrawal Period The severity and length of withdrawal symptoms will vary from individual to individual. The most uncomfortable symptoms should subside within a few days to a week. However, if you find that your symptoms last longer than seven days, you should seek medical attention. If you find that you cannot quit using Oxycontin in spite of your best intentions to do so, you may need to seek a professional treatment program to help you with your dependence. Long-Term Treatment   Many people who detox from Oxycontin find that they need long-term treatment following withdrawal to stay off the drug. This can include support groups, pharmaceutical treatment, outpatient counseling, or intensive outpatient treatment and even inpatient treatment programs.??

Monday, June 8, 2020

Nursing Discussion Of Issues Affecting Vaccine Delivery - 1375 Words

Nursing Discussion Of Issues Affecting Vaccine Delivery (Essay Sample) Content: ISSUES IN VACCINE DELIVERYStudents NameCourse TitleProfessors NameInstitutionDateISSUES IN VACCINE DELIVERYMillions of people die from infectious diseases annually including children under the age of five, particularly in developing countries. Significant progress has been made to facilitate immunization campaigns globally in order to protect people against many of the infectious diseases (WIPO, 2011). Nevertheless, various issues tend to affect the delivery of the vaccines to target populations such as logistical support, storage issues, lack of expertise among others. One outcome that comes with lack of efficacy in handling these factors is increased cost of the vaccines which continues to increase the difficulty of accessing conducive treatment. Thus there is a need to find a way of overcoming these issues in order to reduce the costs affiliated with the vaccines and make them more affordable to citizens.Vaccine IssuesStorage and handling issuesProper storage and handling of vaccine are critical right away from the point vaccines arrive into a facility. One important factor is a lack of ability to maintain cold storage temperatures due to failure to maintain the cold chain. Vaccines recommended to treat such diseases as Diphtheria, tetanus, yellow fever and the oral polio vaccine require cold storage temperatures of between 2 and 8o C to enhance their efficacy (Ren et al., 2009; WIPO, 2011). It is worth noting that where countries may be cold by nature like polar regions then achieving the required storage temperatures may not be a problem. However, the issue comes in the tropical regions and other hotter regions like the sub-Saharan Africa where it has been approximated that 40% of the vaccines in these regions end up being ineffective due to poor temperature storage (WIPO, 2011).Lack of Proper training programsMore and more medical practitioners have been administering vaccines to their patients. Nevertheless, there has been a lack of prop er education and training regarding vaccine administration. Such a lack of knowledge has created a remarkable difference between adult medical providers and their pediatric counterparts who have been well trained for the administration process (Tanzi, 2014: 24). Lack of proper training accounts for the most medical errors experienced in the public health, for instance, improper dosing during vaccination. In fact, invalid dose administration accounts for about 10-35% of toddlers (Hibbs et al., 2015). Other issues that may arise with the lack of proper training on vaccination are excess immunization, the improper spacing of the doses, and even poor storage. The Vaccine Adverse Event Reporting system has identified various error reports as depicted in Table 1 regarding the errors of vaccine in the outcome section. From the table, among the topmost reported errors were those of wrong administration of vaccine which altogether resulted from inadequate training (Hibbs et al., 2015).Outcom e of the IssuesDevelopment of vaccines to prevent infectious diseases has been the major capstone for the public health sectors in the last century. A vaccines efficacy largely relies on the quality of the immunizing agent. Therefore, appropriate handling and storage of vaccines are important to minimize treatment costs and improve the level of confidence in patients. Improper storage will only heighten the occurrences of vaccine-preventable diseases. With poor storage there is a likelihood that treatment costs will increase as thousands of dollars would be lost in wasted vaccines thereby leaving a few which would lead to increased demand, thus, increased cost. From another perspective, ineffective vaccines due to mishandling and storage would lead to repeated vaccination. In treatment, this is considered an error as it leads to repeating of dosage without proper change. The result is that the patient ends up losing confidence. Proper management of vaccines particularly storage and handling procedures form the basis of good immunization practices (Hamborsky, Kroger, Wolfe, 2015: 63).Proper handling of vaccines normally come as a result of training. Medical practitioners should receive adequate training that would enable them to handle and store vaccines as required. Most errors of vaccination are due to lack of appropriate training regarding vaccination administration and handling. Focusing on administration alone various issues may crop due to insufficient training. For instance, most of the commonly reported errors arising from the wrong administration of vaccines are using wrong vaccine on a patient, following improper dosage of the vaccination, and improper spacing of the vaccine doses. Most of these errors arise from packaging errors whereby names and abbreviations used sound alike, and even the packages look alike thereby creating some level of confusion on the novice (Hibbs et al., 2015: 3171).In a research conducted by Hibbs et al., (2015: 3173) error s arising from vaccination were tabulated as shown.Table 1 showing types of errors reported between 2000-2013 (Hibbs et al., 2015)Error Group Number of Occurrences Percentage (%) Scheduling inappropriately 5,947 27 Storage/handling 4,983 23 Wrong Vaccine 3,372 15 General errors 2,526 12 Error in dosage 2,002 9 Errors of administration 1,951 9 Exposing Accidentally 373 2 Quality of Product 239 1 Contraindication 215 1 Equipment 205 1 Labeling of Products/Packaging 30 1 Total 21,843 Although there could be slot pertinent to administration errors alone, it is possible to infer that in one way or another most of the errors were from administration issues. The data obtained from this table supports the outcomes that can result due to lack of proper training. Improper scheduling was the topmost error noted in the vaccine delivery. From the research of Hibbs et al., (2015: 3173) it was observed that there was a lack of uniformity in the timely intervals that were required to...

Sunday, May 24, 2020

The Enemy Of A Car - 1955 Words

Droplets of sweat begin to form on your forehead as you grip your gun tightly. Your heart is beating like crazy as you explore through this new unfamiliar world. But you are in control. Are you worried about law, what law? Go ahead, steal a car, pillage a village, become a drug cartel, or shoot an innocent bystander, you have the freedom to do whatever your wildest dreams may be! Those intentions might be good or bad, you call the shots in this new world you run. You may be laying on a rooftop while patiently waiting, not making any movement. Suddenly, there is the target you have been looking for steps into your crosshairs. You pull the trigger and now his remains litter the street. Another, as the general of an army, you are the†¦show more content†¦The sources describe the aspects of both the positives and negatives depicting each side of the argument. For a lot of people in the world today video games are a perfect break from a reality filled with deadlines, stress, worr y, anxiety, and responsibilities. People play them because they are entertaining, riveting, and a way to spend leisure time. Most often, they are used to go after certain passions. Sports fans love to play football and baseball video games. Hunters and outdoor enthusiasts enjoy playing action packed Big Game hunting games and extreme sports games. Many chess lovers and even gamblers who cannot find enough human opponents to compete with will play computer chess and gambling games or even seek competition from online players. Video games are often used to help people focus on something other than life’s unsettling problems and issues. For a few moments, the players kind of lose themselves in their TV screen as they feel a release from the real world and then of being in control of their own. For some, the fantasy escape of video games is just a passing interest. For others, video games are much more than that, even a way of life. A benefit from the youth playing many video ga mes is recently, the U.S. Army and Navy have started using video games to train their new recruits. They had realized that the large simulators that they once used were much

Sunday, May 17, 2020

Water Pollution Causes, Effects, and Solutions

Our planet is comprised primarily of water. Aquatic ecosystems cover more than two-thirds of the Earths surface. And all life on Earth as we know it relies on water to survive. Yet water pollution is a very real threat to our survival. It is considered by most scholars and politicians the worlds biggest health risk, threatening not only humans, but also myriad other plants and animals that rely on water to live. According to the World Wildlife Fund:   Pollution from toxic chemicals threatens life on this planet. Every ocean and every continent, from the tropics to the once-pristine polar regions, is contaminated. So what is water pollution? What causes it and what effects is it having on the worlds aquatic ecosystems? And most importantly—What can we do to fix it? Water Pollution Definition Water pollution occurs when a body of water becomes contaminated. The contamination could be caused by physical debris such as plastic water bottles or rubber tires, or it could be chemical such as the runoff that finds its way into waterways from factories, farms, cities, cars, sewage treatment facilities, and air pollution. Water pollution occurs any time that contaminants are discharged into aquatic ecosystems that do not have the capacity to absorb or remove them. Water Sources When we think about the causes of water pollution, we have to think about where it comes from. There are two different sources of water on our planet. First, there is surface water—thats the water that we see in oceans, rivers, lakes, and ponds. This water is home to many plant and animal species that rely not only on the quantity but also the quality of that water to survive. No less important is groundwater—the water stored below the surface in the Earths aquifers. This water source feeds our rivers and oceans and forms much of the worlds supply of drinking water.   Both of these water sources are critical to life on Earth. And both can become polluted in different ways.   Surface Water Pollution Causes Bodies of water can become polluted in a number of ways. Point source pollution refers to contaminants that enter a waterway via a single, identifiable source, such as a waste water treatment pipe or a factory chimney. Non-point source pollution is when the contamination is coming from many scattered locations. Examples of non-point source pollution include the nitrogen runoff from agricultural fields that leaches into rivers and streams, or oil from parking lots into city sewers. Groundwater Pollution Causes Groundwater can also be affected by point and non-point source pollution. A chemical spill can seep directly into the ground, polluting the water below. But more often than not, groundwater becomes polluted when non-point sources of contamination such as agricultural runoff or prescription medications find their way into the water within the Earth.   How Does Water Pollution Affect The Environment? If you do not live near water, you may not think that you are affected by pollution of the worlds waters. But water pollution affects every single living thing on this planet. From the tiniest plant to the largest mammal and yes, even humans in between, we all rely on water to survive. The water from your tap may be filtered by a water treatment facility before it gets to you, but ultimately it comes from either surface or groundwater sources. Fish that live in polluted waters become polluted themselves. Fishing is already restricted or prohibited in many of the worlds waterways due to contaminants.  When a waterway becomes polluted—either with trash or with toxins—it diminishes its capacity to support and sustain life. Water Pollution: What Are The Solutions? By its very nature, water is a very fluid thing. It flows throughout the world without regard for borders or boundaries, crossing state lines and country borders alike. That means that pollution caused in one part of the world could affect a community in another. This makes it difficult to impose any one set standard on the ways we use and protect the worlds water. There are a number of international laws that aim to prevent dangerous levels of water pollution. These include  the 1982 UN Convention on the Law of the Sea  and the 1978 MARPOL International Convention for the Prevention of Pollution from Ships. In the U.S., the 1972 Clean Water Act and the 1974 Safe Drinking Water Act were created to help protect both surface and ground water supplies. How Can You Prevent Water Pollution? The best things that you can do to prevent water pollution are to educate yourself about the worlds water supply and support conservation projects both locally and around the world. Learn about the choices that you make that affect the world water, from spilling gas at the station to spraying chemicals on your lawn and look for ways to reduce the number of chemicals you use each day. Sign up to help clean litter off of beaches or out of rivers and oceans. And support laws that make it harder for polluters to pollute—the Clean Water Act in particular has often come under political attack. Water is the worlds most vital resource. It belongs to all of us and it is up to everyone to do their part to protect it.

Wednesday, May 13, 2020

The Severity Of People s Ptsd Symptoms Following The...

The severity of people s PTSD symptoms following the hurricane was overtly connected to the amount of television coverage they watched of the damage which included the looting of New Orleans, rescue efforts, and evacuations in and around the Superdome and the Convention Center in New Orleans. People fared better in terms of PTSD symptoms if they watched less television coverage overall, especially of the looting. They also benefitted from using prayer as a way of coping with the stress of the hurricane. A natural disaster, such as Hurricane Katrina, can have a major impact on a person s life. Following a traumatic event such as this, it is normal to want to seek out as much information as you can, and watching television may be one way to do this. However, as this study and other studies on the effects of disasters show, extensive viewing of television coverage of traumatic events may put people at risk for depression and PTSD. Therefore, it may be important to keep an eye on what yo u and your family are watching after stressful events. A news report on the mental health of Hurricane Katrina victims’ shows patterns in New Orleans and the Gulf Coast that are contrary to post traumatic stress disorder usually seen after major disasters. The mental health of Hurricane Katrina victims is worsening with the drawn out recovery time. The mental health of Hurricane Katrina survivors contains some surprising information. The study s author says what s going on in the Gulf CoastShow MoreRelatedThe Effects Of Hurricane Katrina And Its Impact On The Mental Health2127 Words   |  9 Pages PTSD, Psychological Effects of Hurricane Katrina and its impact on the Mental Health By definition, Post-Traumatic Stress Disorder (PTSD), is the †¦ It was not until the 1980’s that the diagnosis of PTSD as we know it today came to be. However, throughout history people have recognized that exposure to combat situations can have profound negative impact on the mind s and bodies of individuals in these situations. But there are other catastrophic events that can have such profound impact on peopleRead MoreThe Tragedy Of Hurricane Katrina Essay1599 Words   |  7 PagesMass tragedies occur on a daily basis in almost every nook and cranny of the world. No matter the severity, they all appear to have a similar effect: deterioration of mental health stability among those involved. Children and adults alike possess the risk of suffering from mental disorders, such as depression and PTSD, following exposure to a traumatic event. However, the circumstances of these events differ, simply because not all mass tragedies are the same. No matter what type of event occursRead MorePost Traumatic Stress Disorder Among Adults2737 Word s   |  11 Pageswith multiple victims such as natural/human caused disasters, war, mass violence or explicit experience in the death of others. Examples of these large-scale events include 9/11, the Holocaust, Hurricane Katrina etc. Other classification of traumatic events involve unintended acts involving fewer people such as motor vehicle collisions or life threatening illnesses and acts of intended personal violence such as sexual/physical assault, torture or child abuse. These traumatic stressors cause a significantRead MoreResearch Based Interventions Paper1727 Words   |  7 PagesDisorder (PTSD), is a â€Å"disorder that occurs following an extreme traumatic event, in which a person re-experiences the event, avoids reminders of the trauma, and exhibits persistent increased arousal†. An example may be, a person who observed or experienced something extremely frightening, may feel that their life or the life of others may be in danger (Butcher, Mineka, and Hooley, 2 013). People with PTSD may feel frightened and feel that they don’t have control over their feelings. People most commonlyRead MorePost Traumatic Stress Disorder ( Ptsd )2099 Words   |  9 Pagesby depression, anxiety, etc.† (Merriam-Webster’s, n.d.) Post-traumatic stress disorder can occur after seeing a dangerous event such as war, hurricanes, car accidents, death of a loved one, and violent crimes. It can affect a victim mind, body, and the people around them. While some mental disorders are genetic, this disorder come from the things that people encounter in life. This paper will discuss the risk factor involved with post-traumatic stress disorder as well as treatments that will helpRead MoreCRIS 608 research paper 13650 Words   |  15 Pagestraumatic event affects many people in various ways. Posttraumatic Stress Disorder (PTSD) is a globally recognized disorder that is common among persons who have experienced traumatic events, but is also known as a normal response by normal persons in abnormal situations. Posttraumatic Stress Disorder can be caused by a mul titude of reasons, not just from traumatic events. People with various personality traits can be associated with Posttraumatic Stress Disorder. People who suffer from poor healthRead MorePost Traumatic Stress Disorder ( Ptsd And Race / Ethnicity2617 Words   |  11 PagesCorey Hills May 5, 1015 PSY-230-A Final Paper The Correlation Between Both ASD/PTSD Race/Ethnicity Post-traumatic stress disorder is a well known disorder that takes over the life of it’s victim. We know that anyone has the chance of facing this challenging disorder but does race/ culture have anything to do with it? Throughout this paper we will be trying to answer this question and many more. This paper’s main focus is on what post-traumatic stress disorder is, what evidence provided byRead MoreNatural Disasters3617 Words   |  15 PagesZyy06mku SWK Psychological Consequences of Earthquakes Natural disasters, such as earthquakes, hurricanes and cyclones, floods, and tornadoes are some of the traumatic experiences that may cause posttraumatic stress disorders. This type of disorders and other disaster related psychological problems are prevalent after natural disasters. As a result it is important to analyse those individuals that develop psychological problems especially to prepare and planRead MorePsychological Problems After 9/112598 Words   |  11 Pagesdaily. Some are minor events which shape the attitudes and personalities of only the individuals involved. An example of this would be the teenager who got his first traffic violation for going over the speed limit; he just learned the value of following the law and that every action has a consequence. As you can see this event was minor and just affected him directly. On the other hand, some events are catastrophic and can change millions of lives worldwide; like the attacks to the RMS Lusitania

Wednesday, May 6, 2020

Stigma And Treatment Of Depression - 1585 Words

Introduction Depression has become a daunting problem around the world, with the World Health Organization listing it as the leading cause of disability.1 As well, in 2030 it is anticipated to be second on a list of fifteen major disease burdens.2 In the United States, depression is a large, but often overlooked epidemic. It is estimated that 6.7% of the U.S. population suffer from depression yearly, with a lifetime diagnosis rate of approximately 16%.3,4 Additionally, it is estimated that 4-5% of adolescents are suffering from depression each year, with a lifetime prevalence rate of 11.7% in youth aged 13 to 18.5,6 Although 60-90% of adolescent episodes last one year or less, 50-70% percent are expected to relapse within 5 years.5†¦show more content†¦The large time commitment and perceived unreliability of treatments are additional barriers.9 Traditional treatments for depression, including outpatient therapy, generally require weekly visits with a professional, limiting treatment to t hose who have availability to make appointments during business hours. Starting and maintaining medication often has a large time commitment with multiple follow up appointments to assess and adjust the regiment. Furthermore, 26.6% of individuals surveyed in 2009 stated that they believed they could handle their mental health problems without treatment and 10.6% believed that treatment would not help.9 Prior Work There is a large body of work assessing the feasibility and effectiveness of alternative therapy options. Computer and web based interventions have been proven to be effective in both adults as well as adolescents. In a systematic review of online and social networking interventions, researchers found that these programs can be successful in preventing and treating depression in adolescents.7 It was also found that adolescents were open to using technology based therapies because of their immediacy and cost.7 The primary concern of technology based interventions was patient attrition.7 Developing interventions that encourage high engagement and motivation are essential as higher adherence to