Impact of Facebook Essay

The purpose of this paper is to introduce, discuss, and analyze the topic of social networking. Specifically it will discuss the impact of the social networking site Facebook on today’s society. Facebook has become a phenomenon for the social networking set, and what makes that so amazing is that Facebook did not even exist until 2004. Three college students created it to allow other students to network and meet each other, and it has caught on with young people around the globe. What impact does Facebook have on today’s technologically advanced society? It allows people who probably never would have met each other in person to communicate, it creates new relationships and friendships, and it places distance between people who could communicate in person but instead choose to communicate online, instead. It is just another element of society that is interested in sharing information with the intimacy of a close, personal relationship. see more:social network and our young generation Facebook is nothing more than a medium for communication, and yet, it is so much more than that. At a glance, a user can learn everything from what gender a Facebook member is, to what religion they believe in, what school they attend, and their likes and dislikes, all with the click of a mouse. One writer notes how popular the site has become in a short time. She writes, â€Å"When Facebook launched in February 2004, American college students seized the opportunity to have a new social medium† (Lingg, 2008). Today, millions of new visitors join the site every year, and people find relatives, old friends, new friends, and much more as they surf the entries of neighbors, acquaintances, and classmates. While many believe Facebook is a new, trendy idea, it is actually based on a Victorian university tradition, the â€Å"Freshman Facebook,† that introduced the incoming class to students through their photographs. A researcher notes, â€Å"Like its relative the yearbook, th e Facebook is a photographic document created by a community for the purpose of visually defining community life† (Miller, 2007). Many colleges and universities still utilize the Facebook, and the web site’s creators based their name and idea on that old college tradition, they just updated it for a younger, hipper, techie audience. However, compared to other social networking sites, like My Space, Facebook is far less chaotic, busy, and difficult to understand. The pages are neat, easy to navigate, and offer the information in an uncluttered, neat site that is pleasant to look at. Facebook’s effect on today’s society is not difficult to distinguish. Of  course, Facebook’s success has spawned numerous other sites geared to specific age groups and demographics. Another writer notes, â€Å"There are social networking sites for musicians, for mountain climbers, and for particular political persuasions. And with each site, a new community emerges that presumably satisfies the community needs that the members of such a site are looking for† (Fabian, 2008). Facebook has changed the way people communicate, connect with each other, and meet, and all of that is done virtually now, instead of in person. Users can share photos, buy and sell items, and spend hours online communicating with friends and acquaintances. It has changed the way people connect and communicate, but its affect on society goes far deeper than that, and it says something about our virtual society. Experts estimate that many people now spend at least 50 percent of their waking time online (Fabian, 2008). For many, a large part of this time is spent in social networking sites like Facebook. People give up huge parts of their privacy when they post their feelings, interests, and ideas online, and society seems to be becoming much more open to this lack of privacy, in fact, the users of Facebook seem to relish it, adding very personal items to their profiles that anyone who becomes their friend can view. This seems to say that our society is much more open now, and much more open to posting intimate information online, but it also is rather anonymous in a way, because users never see, meet, or touch the person they communicate with, and so, even though they know intimate details, they do not really know the person at all. Writer Fabian continues, â€Å"Facebook and My Space are virtual experiences. People are free to be someone they aren’t. Peer review doesn’t exist. You don’t literally touch anyone–not even by a smile, to say nothing of a handshake. No one is accountable to anyone else. And so forth† (Fabian, 2008). Thus, Facebook is kind of a â€Å"fantasy land† where people can make up anything they want to command attention, they can live an alternative life if they choose, and no one is the wiser. The fact that people accept these profiles at face value, and choose people as friends based on these profiles says a lot about our society. For all our worries about information and identity theft, people are still seemingly naive when it comes to sites like Facebook, where they post intimate details with no thoughts to the consequences. Facebook opens up other questions about today’s society, too. These young people who spend so much time online  networking are not networking in person. Will they develop the social and interpers onal skills necessary to compete in their chosen careers when they spend so much time alone, networking? Do they understand the realities of everyday life, and how the â€Å"real† world works, so they can function and be a part of it? Many experts believe not so much. Another writer states, â€Å"And yet, as a generation, Rose notes, many may not have much historical perspective, or understand how say, government or economic systems work (outside of those who learn details as part of a specific academic path), or get the fact that success for most people isn’t instant† (Bielski, 2007). Society is becoming increasingly fast paced, today’s young people expect everything to be delivered at the speed of the Internet, and sites like Facebook only enhance that feeling of instant gratification and success. In addition, Facebook poses another interesting aspect of today’s society – marketing. Many companies are realizing they have a captive audience on Facebook that spends a great amount of time there, and so, they market their businesses on Facebook. The Canadian Royal Bank is just one business cultivating college students on the site, so it is changing the way advertisers market their products online, and even changing the age range of ads online, as well. As more companies reach out to college students and others on social networking sites, advertising in print and television media may reduce or disappear, because advertisers want the most bang for their buck, and much of that audience is now spending increasing amounts of time online. There is also another great implication to today’s society when the membership of My Space and Facebook are compared. A Blogger discusses a white paper a friend of his has written regarding how social status is quite segmented between the two sites. He writes, â€Å"Which posits that well-to-do, stable American teens with ‘good prospects’ end up on Facebook, while poor, queer, marginal and non-white teens end up on My Space (even in the military, grunts are on My Space and officers are on Facebook)† (Doctorow, 2009). The implications for this separation in today’s society is staggering. In a time when it seems that the anonymity of the Internet would foster more coming together and breaking down cultural barriers, it seems that is not the case and the implications for society are clear – Facebook is not fostering change and acceptance, it is still fostering class and societal barriers that keep people apart instead of bringing them together. In conclusion, Facebook on the surface is a socially acceptable networking site for college students and others to connect, share experiences, and meet old friends. It does say some disturbing things about how our society views privacy, personal information, and how our society is adjusting to the age of technology, and it brings into question what a generation of Facebookers will deal with the challenges of the real world in person, like career, family, and success. Facebook is a popular phenomenon that attracts millions of users each year, and allows people to post profiles, communicate with others, and even locate old friends. It is extremely popular with college students, but it is used my any number of people for a variety of reasons. It has some serious implications for our society. People on Facebook rarely meet or interact in person, so they do not develop good interpersonal skills. They spend so much time online, giving out extremely personal and sensitive information, they may not be aware of some of the important aspects of society, such as the government and economics that they will need to understand to become successful in their careers. We use the Internet so much now that some users may expect all of life to respond as quickly as online sites like Facebook, and they may have trouble dealing with the realities of a career that takes time to establish and gain success. In addition, Facebook and other networking sites are helping to build barriers to commonality in society, something extremely disturbing and with long-term effects.

Jonathan Swift Contrast

Thesis statement: In the satire â€Å"A Modest Proposal,† Jonathan Swift addresses a problem that is extremely serious on a grand scale and uses a somber tone to present his solution; however, in the parody â€Å"An Innocent Proposal,† Benjamen Pewitt refers to a less significant concern and his plan to fix it is meant to be hilarious. I. Problem A. Swift B. Pewitt II. Solution A. Swift B. Pewitt Most people have watched and probably laughed at the television series South Park or the movie Spaceballs. These are two great examples of satire and a parody.Satires and parodies are created in all kinds of formats from movies and television shows to music, books, and plays. One of their main purposes is to entertain the audience, and most of the time they are extremely humorous. But they are also created for very specific reasons. For example, the Merriam-Webster online dictionary defines satire as â€Å"a literary work holding up human vices and follies to ridicule or scorn . † An example is in an episode of South Park when Stan’s girlfriend breaks up with him because his Facebook status is single. This makes fun of America’s obsession with Facebook.As further noted by Merriam-Webster a parody is â€Å"A literary or musical work in which the style of the author or work is closely imitated for comic effect or in ridicule. † Spaceballs is a great representation of this definition because it mocks Star Wars, and the entire plot for the movie is based on Star Wars. In the satire â€Å"A Modest Proposal† Jonathan Swift addresses a problem that is extremely serious on a grand scale and uses a somber tone to present his solution; however, in the parody â€Å"An Innocent Proposal† Benjamen Pewitt refers to a less significant concern, and his plan to fix it is meant to be hilarious.Swift’s home country, Ireland, is in a dire state of need, and they are becoming desperate. People’s lives are at stake if sign ificant obstacles are not soon overcome. Jane E. Aaron, the author of the textbook 40 Model Essays, best summarizes the situation by writing, â€Å"Several years of crop failures had resulted in widespread starvation among the Irish poor, yet the government of England†¦and the well-to-do Irish had done nothing to help† (356). This reveals the causes of this disaster. Swift illustrates the severity of the problem when he states, â€Å"It is a melancholy object to . . see the streets, roads, and cabin doors, crowded with beggars of the female sex, followed by three, four, or six children, all in rags and importuning every passenger for an alms† (357). This really paints a picture of how disgusting the streets of Ireland are becoming. Swift talks about how this is ruining the future of Ireland when he says these poor children of Ireland grow up, and they â€Å"either turn thieves for want of work, or leave their dear native country to fight for the Pretender in Spai n, or sell themselves to the Barbados† (357).Therefore, if this tragedy in Ireland is not soon fixed, then the Irish society may collapse. In contrast, Pewitt writes about a minor problem occurring in high schools everywhere, which is the public display of affection. In a truly accurate assessment, Pewitt points out, â€Å"It is definitely a disgusting sight to see a person pinned to the wall and has become a distraction to both the participant and the innocent passerby† (45). It is indeed highly painful to watch this happen, but nowhere near as hurtful to see women and children stealing and â€Å"begging† for food in the â€Å"streets of Ireland. Public display of affection is just one of many small disciplinary hurdles for high schools to overcome, on the other hand the obstacle in Ireland is the main concern for the future of the entire country. Another statement that demonstrates the level of difference between the two problems is when Pewitt opens his essay by insisting â€Å"High school administrators, react now and save many minutes of valuable time and reduce your stress level tremendously† (45). Pewitt is concerned with teacher’s free time and â€Å"stress level,† however Swift is trying to save the entire country of Ireland from â€Å"widespread starvation.Although public display of affection is not a very pleasant sight to see and is a growing concern in High Schools, it is not nearly a disaster to the same magnitude as a collapsing society. The solution given by Swift in his essay is intended to be taken very seriously. Even though it is not realistic, he uses a very somber tone as he reveals it. His proposal is for his country to actually use the babies in â€Å"rags† that are burdens on their mothers to â€Å"contribute to the feeding, and partly to the clothing, of many thousands. This way the mothers will have fewer expenses to worry about, and they can actually make extra money by selling thei r babies for lots of value if they are properly fed for nutritional purposes. Also the whole country would benefit because these babies would help feed many more people since crops are not producing enough. He presents this outrageous claim in such a serious manner in order to get people’s attention, and to show them how desperately they need an answer. He implies they might as well start killing babies if any type of effort is not put forth to help, otherwise people are going to keep dying anyway if nothing else is done.His somber tone is crucial in his attempt to make the audience aware of the intensity of this tragedy and convince them that action needs to take place soon. On the contrary, the plan asserted by Pewitt seems meaningless therefore is intended more for entertainment. There is no real threat the public display of affection really poses, and it is something that will continue to happen in future no matter what is done. In other words, Pewitt is mocking the work of Swift, and is simply trying to get a good laugh from his audience.His solution to the public display of affection is an â€Å"easily accessible fornication grotto. † He explains the â€Å"grotto† will include â€Å"soft beds and couches, and some very low Barry White music to set the mood†(45) and even a â€Å"professional advisor† to help coach. This shows how sarcastic Pewitt really gets in the humorous tone he uses. In summary, Swift is genuinely trying to fix a problem which may produce severe consequences by suggesting a ridiculous solution to get people’s attention, and Pewitt parodies his work by sarcastically suggesting the most hilarious plan imaginable.Swift and Pewitt use two totally different approaches to answering two totally different problems, and they do this for two completely different reasons. Swift attempts to save the country of Ireland with the use of satire. He writes in a somber tone and offers his unrealistic plan of ea ting babies to get people’s attention and open their eyes to how dire the situation is becoming. This outrageous idea Swift has came up with serves as â€Å"ridicule† toward the Irish people for not taking any action.He is telling them if they are not going to think of something they might as well resort to his plan, because people are dying anyway. Pewitt, on the other hand, presents his â€Å"fornication grotto† as a sarcastically ridiculous answer for public display of affection as a parody to the work of Swift. Although, his concern is meaningless in contrast to Swift’s, and this is why his tone is not to be taken seriously. Swift’s satire was written for an extremely important cause, and all Pewitt wants in his parody is a good laugh.

Jellyfish Essay Example | Topics and Well Written Essays - 500 words

Jellyfish - Essay Example nd non-conventional information combined with the analytical framework of fuzzy logic that increasing trends of jellyfish abundance were identified to be 62% of the Large Marine Ecosystems (LME). Management and adaptation strategies see to the logical expansion to these articles. However, as with the limited research available on the number of jellyfish, the limited research on management focuses upon human interactions with jellyfish in a way to compensate for the lack of evidence and data. Most management of jellyfish populations is done in context with the fisheries, power generation and tourism industries and management in relationship to their impacts on ecosystems and vital food webs. This is obviously due to their great socio-economic impact hence it is more likely to be funded or pursued. ‘The jellyfish joyride: Causes, Consequences and Management response to a more gelatinous future’ by Richardson et al in 2009 provides a thorough table of management responses from the perspective of both ecosystem and human impacts but it is a brief outline. The recent book ‘Jellyfish Blooms’ devotes an entire chapter to management from a human interaction standpoint. Options presented in the book include: 1) prediction of impending jellyfish blooms via ‘early warning systems’ and appropriate countermeasures before outbursts; 2) Jellyfish Excluder for Towed fishing gear (see Figure 6.3); 3) physical and behavioral screens and barriers; 4) education of when it’s safe to swim to reduce encounters with jellyfish; and 5) modeling programs that predict the distribution of jellyfish so effective forecasts and warning systems can be put in place. Noteworthy is that both the articles and the research have a predominance of negativity toward jellyfish which cannot be denied. With synanthropic nature (Purcell, 2007) of jellyfish benefiting from human stressors including fishing, eutrophication and possibly global warming, these fierce ancient competitors pose

Drug Addiction Essay Example | Topics and Well Written Essays - 250 words

Drug Addiction - Essay Example It should be understood that drugs wasted people’s lives and spoil their physical and mental health. The question of prevention and lessening of drug abuse is considered to be highly important. USA government uses the number of prevention programs that fulfils their task successfully and are regarded as a basic method for the lessening of drug abuse (NIDA, 2014). Still, every person in the country is in need to realize the harmfulness of drug abuse and to perform everything possible for the lessening of this process. The author states that prevention programs are considered to be professionally developed methods of preventing drug abuse that are used in families, schools, and communities. The programs under consideration are helped people to â€Å"shape perceptions about the risks of substance use† (NIDA, 2014). With the clear understanding of consequences of drug abuse and detailed demonstration of its effects on people’s physical and mental health helps people to lessen their level of use drugs. In addition, the individual approach is also relevant and effective. It is highly important to provide a support to people who use drugs and in the stare of recovery, and to present a positive example to all members of society, as everyone may make a mistake and be involved to the drug abuse (Mayo Clinic Staff, 2014). People are in need to listen and to communicate with people who are under the risk (Mayo Clinic Staff, 2014). In such a case person who intends to use drugs may has a friend who with an advice prevent this process.

Exam 3 Essay Example | Topics and Well Written Essays - 1000 words - 1

Exam 3 - Essay Example This paper will focus on two theories of organizational communication, that is The Contingency theory and the Bureaucracy theory. Joan Woodward put the contingency theory forward as part of the scientific studies of management. It states that there is no single way in which management of an organization can solve a problem. Every situation is different and therefore calls for a different approach in providing a solution. This means that an organization should be dynamic and ready to embrace changes in order to enhance its operations. These contingencies are various constraints that can be originating either internally or externally. Internal constraints originate from the organization and they include demographic constraints, traditional, output and structural contingencies. Those that are external constraints include factors from the external environment such as political factors, environmental, economic, technological, legal and socio-cultural factors. Hence, an organization’s communication strategies are dependent upon different factors. 1. The contingency theory of decision-making; this perspective explains that for one to make a decision in an organization, the decision best suites the situation if it was made through consultations and is specific to that situation. Hence emphasizes the basic argument of the contingency theory that there is no one specific way of solving matters, they are all dependent upon situations. This theory was applied in Davis Instrument Company where by the management was face by a challenge in operations. This was because it wanted to change its systems. However, there was a challenge of how this would be done in the best way possible such that the workers would be receptive about the new system. Various proposals were made on how to handle the situation and it was quite difficult to settle on one.

HRD Essay Example | Topics and Well Written Essays - 1500 words

HRD - Essay Example The leading causes of these medial errors are lack of expertise or ignorance, communication or lack of it, between the medical professionals working together. Poor communication and breakdown in the same is a great threat to the competent medical practice and it needs must be improved for the sake of enhancing the effectiveness of medical practitioners, ergo, the safety of the patients. This paper will discuss the problems that from poor communication and what can be done to improve the process of medical care and the staff’s efficiency in this respect. It will be based on three journals addressing communication and safety in surgery, emergency medicine and the need for technology to enhance medical communication. According to Robert Neil (2006) in the journal, â€Å"Costly issues of an uncommunicative OR (Operation room)†, there is no place where the issue of communication is more important or its neglect more potentially dangerous than the operation room. Miscommunication in the OR often leads in complications and such ultimately lead in the patients lengthened stay in the hospital, increases the risk of infection and may negatively affect the hospitals bottom line considerably. Neil (2006) justifies his claim by quoting Peter Plantes, a vice president of clinical performance for VHA, Texas, who states that the although the patients safety gets first priority in the safety consideration, overall, with fewer mistakes, the costs will be positively impacted in the long run. To foster communication in the OR Plantes admits is not always easy especially for the surgeons many of whom are set in their ways, However, it can be achieved in the need for creating a collaborative environment in the OR are made clear and demonstrated. This is because surgeons are professionals who take pride in their work thus want the best for their patients, if they communicate and are open to

Analysis Activities Essay Example | Topics and Well Written Essays - 500 words

Analysis Activities - Essay Example Each step is important in analysis to ensure the validity of data. Without qualitative data, analysis can be skewed. It is imperative to understand that data produces results that can be transferred in raw info. In any manner, each step should be carefully analyzed because it holds significance and raw weight to Qualitative measures. Standardization and normalization of data is truly essential for quality data. Standardization of each approach falls under best business practices. These practices allow the accumulation of best practices that are vital towards harnessing growth. This information and analysis leads to more conclusive evidence of the process itself. For instance, if the executing stage fails to fall under the scope, then it is evident for leadership to interfere and rectify that issue. Yes, it is clear that findings should be fully documented and audited for compliance. As a matter of fact, the art of auditing is one of the most pivotal elements in the field of accounting and dictates the criteria of embedding controls in an organization. The nature of auditing might seem trivial, but actually contains intricate details that an accountant must embrace. With these ever-growing challenges, the governing bodies that define auditing principles so have become stringent in their regulation. The IRS, SEC, and AICPA all have collaborated within each other to create standards that can serve as a backbone for an alignment of best business practices, which is why documentation becomes a necessity. Signoffs are essential for leadership to understand what is at stake. The executive management must make important decisions in revenue and sales that can impact bottom-line performance. For instance, many financial discrepancies can be a huge factor. Often times in a project, expectations are not met that are defined in scope and the WBS. Thus, creating contingency strategies is pivotal

How important is an understanding of the production and distribution Essay

How important is an understanding of the production and distribution of wealth in the global economy to theorising international - Essay Example Global economies among many nations are not distinct from one another; therefore, it is necessary to re-arrange the economic theory of these nations. This report will give an in-depth insight on why it is important to understand the production and distribution of wealth in regard to international relations. Several international political economy theorists categorically reject the idea of a state-centric international system and consider the state to be only one actor among many. According to Steve Smith, it is evident that the social, economic and political structures affect systems of production, trade and distribution. He defines international relations as the international economic system that is constituted of economic, social and political â€Å"arrangements† of production, trade and distribution. It is not the result of market dynamics or chance, but rather of human decisions, rules, customs and authorities. Smith tries to pinpoint the central authorities whose decision s determine the course of events and power relations at the international level (Smith, Dunne, & Kurki, 2010). There are few elements that influence power relations at the international level, which later affects the decisions of production and distribution of wealth. ... This is a parent material to which security structures fall into. The security structures are factors, which have historically been dominant, particularly during the bipolar period. The second is production structures: it constitutes the essential power of the IPE. Production structures respond to the question â€Å"Who produces what?" Through this power alliances are formed; businesses are developed and become autonomous from states and eventually become transnational. The growing influence of transnational society disrupts the effectiveness of national political economics. Thus, the state's authority dwindles to the point where it becomes powerless and loses influence over its own territory as well as its territory-based economy (Baylis, Smith, & Owens, 2008). It is important to understand the production and distribution of wealth since it involves representations invoked by the actors of world politics. A nation will find it simple to lay out procedures used in this process. Afte r acquiring this information, it will be easy to investigate the practices that constitute entities called ‘actors’ capable of representation. This includes the cultural, economic, social, and political practices that produce particular actors e.g. states non-government organizations etc. it also includes the role of theorist and theories in representing some actors as more significant than others. This reorientation, which evolves from structuralism status as an approach to criticism rather than critical theory per se, is no less practical in its implications.  The main question is,  for both theorist and practitioners of international relations, why does analytic approaches privilege certain understandings of global politics and marginalizes others? The different modes of

Criminal Law Essay Example | Topics and Well Written Essays - 250 words - 1

Criminal Law - Essay Example On this basis, his actions were for the public good. The main rationale for the use of necessity in defense is based on the fact that at certain times, a technical breach of a country’s laws might be advantageous to the community (White, 2012). This is as opposed to the strict adherence of the law under consideration. On this basis, a successful claim of necessity must give a prove that the act of the accused was for purposes of avoiding a significant harm, there did not exist an adequate lawful method of escaping the harm under consideration, and the harm that the accused avoided was bigger when compared to the harm caused, through breakage of the law (White, 2012). Claims of necessity are always successful when it involves trespassing in a property for purposes of saving an individual’s life. A good example is the case involving Wegner vs. Milwaukee Mutual Ins Company. Under this case, the courts ruled that it was the responsibility of the government of Minnesota to compensate a land owner, when officers of the government took over his land, for public usage (White,

Analysis of Talent Seek Essay Example | Topics and Well Written Essays - 500 words - 1

Analysis of Talent Seek - Essay Example Notably, it has an elaborate review process that ensures that candidates reaching the final stage and those that are ultimately employed are competent. According to Alex (2005), this is elemental in ensuring that client needs are addressed accordingly. However, the lengthy process is bureaucratic and to a great extent, it prevents the organization from keeping up with the marketplace. For instance, the number of times that screening of final candidates is done is unnecessarily high. The company needs to provide a single comprehensive guide that can enable it to undertake two screening tests at most. This will help it save time and resources without compromising the quality of its services. After the first interview, the company needs to prioritize quick feedback to its clients. Information provided in a timely manner would enable the clients to make timely decisions regarding the next course of action. Talent Seek also needs to explore electronic approaches while seeking for eligible applicants before the first interview. Compared to paper forms, this is more efficient. Customized programs can ease relative operations and attract competent applicants. Then, the recruitment manager needs to establish definite ways of seeking for vacancies. He can attain this by establishing and nurturing viable relationships with potential clients. Through these relations, he can be able to get relevant information regarding available vacancies in a timely manner. Any follow up for clarification should then be done through phones. Compared to emails, this is more reliable and provides sufficient information, thus saving time and resources. Talent Seek also needs to develop a comprehensive applicant’s database and store relevant information therein.

Hickory Dickory Dock by Agatha Christie Essay Example for Free

Hickory Dickory Dock by Agatha Christie Essay Hickory Dickory Dock is a work of detective fiction by Agatha Christie and first published in the UK by the Collins Crime Club on October 31, 1955[1] and in the US by Dodd, Mead and Company in November of the same year under the title of Hickory Dickory Death[2][3]. The UK edition retailed at ten shillings and sixpence (10/6)[1] and the US edition at $3.00[3]. It features her Belgian detective Hercule Poirot. The novel is notable for featuring Poirot’s efficient secretary, Miss Felicity Lemon, who had previously only appeared in the Poirot short stories. Plot introduction An outbreak of apparent kleptomania at a student hostel is not normally the sort of crime that arouses Hercule Poirots interest. But when he sees the bizarre list of stolen and vandalized items including a stethoscope, some lightbulbs, some old flannel trousers, a box of chocolates, a slashed rucksack, some boracic powder and a diamond ring later found in a bowl of a soup he congratulates the warden, Mrs Hubbard, on a unique and beautiful problem. It is nevertheless not long before the crime of theft is the least of Poirot’s concerns. Explanation of the novels title The title is taken, as are other of Christie’s titles, from a nursery rhyme: Hickory Dickory Dock. This is nevertheless one of her most tenuous links to the original nursery rhyme, consisting of little more than the name of a road. Plot summary Poirot’s solution of the petty thefts is unsubtle but effective: once he has threatened to call in the police, Celia Austin quickly confesses to the pettier amongst the incidents. She denies specifically: stealing Nigel Chapman’s green ink and using it to deface Elizabeth Johnston’s work; taking the stethoscope, the light bulbs and boracic powder; and cutting up and concealing a rucksack. Celia appears to have committed the lesser thefts in order to attract the attention of Colin McNabb, a psychology student who at first regards her as an interesting case study, and then – almost immediately – becomes engaged to her. Celia makes restitution for the crimes and is seemingly reconciled with her victims, but when she is discovered the following morning dead from an overdose of morphine it does not take the investigators long to see through attempts to make her death seem like suicide. Several of the original incidents have not been solved by Celiaâ€⠄¢s confession. Inspector Sharpe quickly solves the mystery of the stolen stethoscope during his interviews with the inhabitants of the hostel. Nigel Chapman admits to having stolen the stethoscope in order to pose as a doctor and steal the morphine tartrate from the hospital dispensary as part of a bet to acquire three deadly poisons. He claims that these poisons were then carefully disposed of, but cannot be sure that the morphine was not stolen from him while it was in his possession. Poirot turns his attention to the reappearance of the diamond ring, and confronts Valerie Hobhouse, in whose soup the ring was found. It seems that the diamond had been replaced with a zircon and, given the fact that it was difficult for anyone but Valerie to have put the ring into the soup, Poirot accuses her of having stolen the diamond. She admits to having done so, saying that she needed the money to pay off gambling debts. She also admits to having planted in Celia’s mind the entire idea of the thefts. Mrs. Nicoletis has been behaving very nervously, as if she were losing her nerve. One night someone gets her drunk and kills her. Poirot focuses his attention now on the cutting up of the rucksack. By comparing an example of the rucksack type destroyed with others, he identifies an unusual corrugated base, and suggests to the police that the rucksack may have been part of a clever international smuggling operation. The rucksacks were sold to innocent students, and then exchanged as a means of transporting drugs and gems. Mrs. Nicoletis had been bankrolling the organisation, but was not the brain behind it. When the police visited Hickory Road on an unconnected issue, the murderer had cut up the rucksack to avoid its being found and removed light bulbs to avoid being recognised. Patricia Lane comes to Nigel an d admits that, in an effort to keep a dangerous poison safe, she has taken the morphine from the bottle in his drawer and substituted for it bicarbonate of soda. Now, however, the bottle of bicarbonate of soda has been taken from her own drawer. While they are searching for this bottle Patricia mentions that she is intending to write to his father in order to reconcile the two. Nigel tells her that the reason for his estrangement from his father is that he discovered that his father had poisoned his mother. This is why he changed his name and carries two passports. Nigel comes to Inspector Sharpe and tells him about the missing morphine, but while he is there, Patricia telephones to say that she has discovered something further. By the time that Nigel and Sharpe get to the house, Patricia has been killed by a blow to the head. Mr. Akibombo comes to Sharpe and says that he had taken Patricia’s bicarbonate to ease a stomach complaint; when he took a teaspoonful of the bicarbonate, however, he had stomach pains and later discovered that the white powder was in fact the boracic powder. By the time Patricia had substituted the bicarbonate, the morphine had already been substituted by the stolen boracic powder. Poirot, whose suspicions about Valerie Hobhouse’s role in the smuggling operation have been proved correct by a police raid on her beauty shop, now closes the case. The murderer has been the most obvious person, Nigel Chapman, who was known to have the morphine in his possession. He killed Celia because she knew about his dual identity and also knew that Valerie travelled abroad on a false passport. He killed Mrs. Nicoletis because she was sure to give the smuggling operation away under pressure, and killed Patricia because she was likely to draw to his father’s attention the recent events. When Poirot outlines to Nigel’s father’s solicitor the case against Nigel, the solicitor is able to provide final proof. Nigel’s mother had been poisoned, not by his father, but by Nigel himself. When the father discovered this he forced him to write a confession and left it with his solicitor together with a letter explaining that it should be produced were there any evidence of further wrongdoing by his son. Valerie confirms Poirot’s solution further. She has placed the call to the police station, apparently from Patricia, after Nigel had already killed her. The green ink was a double-bluff intended to divert suspicion away from him. Valerie is willing to incriminate Nigel fully because Mrs. Nicoletis was actually her mother. Characters in Hickory Dickory Dock †¢ Hercule Poirot, the Belgian detective †¢ Inspector Sharpe, the investigating officer †¢ Miss Felicity Lemon, Poirot’s secretary †¢ Mrs. Christina Nicoletis, the owner of the student hostel at Hickory Road †¢ Mrs Hubbard, Miss Lemon’s sister and the warden of Hickory Road †¢ George, Poirot’s valet †¢ Celia Austin, chemist in the dispensary at St. Catherine’s Hospital †¢ Colin McNabb, a psychology student †¢ Nigel Chapman, a History student, a resident at Hickory Road †¢ Valerie Hobhouse, a resident at Hickory Road and partner in a beauty shop †¢ Sally Finch, a student resident at Hickory Road †¢ Elizabeth Johnston, a student resident at Hickory Road †¢ Patricia Lane, a student resident at Hickory Road †¢ Genevieve, a student resident at Hickory Road †¢ Leonard Bateson, a student resident at Hickory Road †¢ Mr. Chandra Lal, a student resident at Hickory Road †¢ Mr. Akibombo, a student resident at Hickory Road †¢ Maria, the cook at Hickory Road †¢ Geronimo, Maria’s husband

Chronic Fatigue Syndrome Health And Social Care Essay

Chronic Fatigue Syndrome Health And Social Care Essay Chronic Fatigue Syndrome (CFS) is an incapacitating multifarious disorder that renders the victim fatigued for longer periods. It has been realized that this kind of disorder is not solved by bed rest and is usually aggravated by mental and physical activities. People suffering from CFS have been seen to be unable to perform tasks that they were to do it comfortably before the illness. The most noticeable features of this disorder include pain in the muscle, weakness, impaired memory, and poor concentration. In addition, the victims are generally weak and some of them show evidences of insomnia (Bell, 1995). This disorder may persist for a long period. Diagnostic tests have not been able to clearly point out the possible causes of this disorder. This is because of the fact that some illnesses have symptoms related to this disorder and we cannot confine those symptoms to this particular disorder alone (Verrillo, Gellman, 1988). Any infection to the immune system taken to be the possi ble cause of CFS and microorganism play a major role in causing it. Any form of immune-suppression is also seen a factor that compromises an individual to this disorder (Fisher et al 1997). Introduction Absence of specific diagnostic characteristic features of CFS, a criterion has been formulated that helps physicians in detecting the disorder. One of the most commonly used criteria is the one that requires the victim to show the possible symptoms for a period of more than six months. This is because the physician will have had enough time to diagnose other possible ailments and thereby reaching the point of excluding the disorder much easily (Murdoch Denz-Penhey, 2002). Additionally, the patient is expected to show any of the four symptoms, which may include frequently occurring sore throat, muscle pain, impairment of the patient to the extent of affecting the normal economic activities of the patient and unrefreshing sleep (Lisman Dougherty, 2007). Other symptoms that can be used include pain in all the joints of the body, severe headache that recurs in some pattern, and post-exertional depression. The purpose of this study is to find out some of the predisposing factors for thi s disorder. Additionally, the causes, symptoms, ways of diagnosing this disease will be identified (Moss-Morris Petrie, 2000). Suggested treatments will be provided so that the healthy population can know more on how to avoid this disorder. Various studies have been carried with the intention of trying to find ways of finding definite symptoms for this disorder. One of these studies was carried out in 1993 with the intention of improving on the ways of diagnosing the disease as it had been decided earlier in 1988. The aim of the study in 1993 was to reinvent new strategies of that can lead to faster diagnosis of the disorder (Lisman Dougherty, 2007). Some of the recommendations from the researches at that time was to classify the fatigue to different levels as can be depicted by the victims. Those with less than six months infection for instance were classified as having chronic fatigue while those with more than six months symptoms were classified as having relapsing fatigue. The patients could also be classified as having gradual or sudden fatigue, among other distinguishing parameters (Fisher et al 1997). A number of predisposing factors have been identified as it regards to CFS. It is also important to note the greater portion of the American population have similar symptoms related to this disorder but cannot be classified as CFS (Meirleir Patarca-Montero, 2000). Some of the factors that promote the risks of having the disorder include age, gender, and socioeconomic groups. It has been found that CFS affects women at a higher rate four times than men (Voncannon, 2002). In addition, individuals with the age between 40 to 50 years have been found to be having CFS. It is also important to note that children can be found with the disorder especially in their teen years and this show that the disease affects any age (Fisher et al 1997). Some of the important symptoms for CFS include prolonged fatigue that extends to a period over six months. Such a fatigue is not reduced by any amount of rest. Other notable characteristics of this disorder include post-exertional disquiet, pain in the muscles, pain in the multiple joints, lack of concentration, sleep that does not refresh, and headache that comes with some pattern (Englebienne, 2002). Additionally, the throat the regularly becomes sore and presence swellings in the lymph, chronic cough, nausea, weight loss, skin sensations, and jaw pain. Psychological problems, shortness of breath, and chest pain are also important symptoms of the disease (Moss-Morris Petrie, 2000). A number of factors makes it hard for physicians to diagnose CFS and includes the lack of laboratory diagnostic technique or biomarkers. Other reasons include the fact that fatigue is a common symptom for all other illnesses, patients do not look sick while the pattern of illness is not constant. This has led to the low level of diagnosis for this particular disorder. Exclusion technique is the best method to diagnose CFs disorder due to lack blood tests or scans for the brain (Leonard, 1997). Diagnosis has to be carried out for period extending six months where the patient can report sufficient evidence of being constantly tired. The physician has to take enough history of the illness of the patient who may be suspected of having CFS (Royal College of Physicians of London, 1997). Medical history has to be reviewed also in order to identify and rule out the possible illnesses that might have been the cause of the fatigue. This is done until CFS is ultimately pointed out. The physicia n can later develop a treatment for the patient. It is also possible for patients to diagnose themselves by eliminating the possible causes of the illnesses just like physician (Englebienne, 2002). The process of managing the chronic CFS is very tricky just like the diagnosis itself because of the variety of the symptoms. Currently, there is no drug or cure for this disorder and such factors complicate the treatment process (Demitrack Abbey, 1999). This means that the best way of managing it by developing an individualized treatment plan for every patient. The best plan comprises a collection of therapies each aimed at managing the symptoms shown by the patient. Input by range medical professional experts is the best solution and when this is coupled with the treatment of other illnesses then the disorder can be managed easily (Lisman Dougherty, 2007). Living with CFS is very tricky and having the chronic type can result in significant devastating effects on the victim. Some of the challenges facing the success of treating CFS include the change and predictability of the symptoms, variations in the stamina that interferes with someone elseà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s a ctivities, altered memory, loss of independence, and potential impacts on decreased sexual activities among couples (Bell, 1995). Some of the treatment options that is available for CFS and they include professional counseling, cognitive behavioral therapy, and symptomatic treatment. Additionally, pharmacologic therapy, sleep hygiene, pain therapy, and use of antidepressants can help in suppressing the effects of CFS (Demitrack Abbey, 1999). It is however important to keep in mind the fact that the disorder affects individuals in a different way. Some people may be paralyzed for good while others can recover fully from the disorder (Verrillo, Gellman, 1988). It is also hard to obtain accurate results as it regard the number of individuals who have recovered from CFS. Natural remedies can also be employed to boost an individualà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s body energy thereby suppressing chronic fatigue (Leonard, 1997). Variety of products can be used and they include magnesium injection of muscles with low red blood cells magnesium, taking meals rich in fish oil, and melatonin. Other remedies that have show positive response in suppressing the effects of chronic fatigue syndrome include taking of melatonin, ribose, and NADH rich food (Patarca-Montero, 1999). The studies carried on the foods are however, limited and no accurate data can be easily found. Some of the drugs used to counter the effects of chronic fatigue disorder include the use of corticosteroids, and cholinesterase inhibitors like the galantamine (Fisher et al 1997). Methylphenidate like Ritalin, which is a psychostimulant that is used to increase the levels of neurotransmitters thereby helping individuals with attention-deficit disorder, can be used. Some lifestyle techniques can also be employed to counter this disorder and this includes developing a plan that will help is stress reduction, ensuring that the patient gets enough slee p, exercising regularly and maintaining healthy lifestyle. The lifestyle includes eating balanced diets, drinking plenty of fluids, limiting caffeine intake, and participating in aerobics (Meirleir Mcgregor, 2003). Conclusion Chronic fatigue syndrome is more than just being tired because the affected individual is interfered from performing their daily activities in a normal way. Other individuals have been forced to quit high paying jobs, several disabled and others bedridden. The nature of this illness shows that it is even hard to diagnose it (Bell, 1995). Trial and error method of eliminating other possible ailments complicates the diagnostic process. The best remedy therefore is for individuals to live the kind of lifestyles that do not promotes the predisposing factors of the disorder (Voncannon, 2002). This includes living the kind of lifestyle that discourages the development of the disorder. It is also important for physicians to improve their way of diagnosing the disease so that they can be able to come up with comprehensive treatment strategies (Meirleir Patarca-Montero, 2000).

Competitor Analysis and Global Strategy of Nestlé

Competitor Analysis and Global Strategy of Nestlà © Nestlà © depicts itself as a sustenance, nourishment, wellbeing, and health organization. As of late they made Nestlà © Nutrition, a worldwide business association intended to fortify the attention on their center subsistence business. They think reinforcing their authority in this market is the key component of their corporate procedure. This market is described as one in which the shoppers essential inspiration for a buy is the cases made by the item in light of dietary substance. Keeping in mind the end goal to strengthen their upper hand around there, Nestlà © made Nestlà © Nutrition as a self-ruling worldwide specialty unit inside the association, and accused it of the operational and benefit and misfortune obligation regarding the claim-based business of Infant Nutrition, HealthCare Nutrition, and Performance Nutrition. This unit plans to convey unbeaten business execution by offering shoppers trusted, science based sustenance items and administrations. The Corporate Wellness Unit was intended to incorporate healthful esteem included their sustenance and drink organizations. This unit will drive the nourishment, wellbeing and health association over all their sustenance and refreshment organizations. It includes a noteworthy correspondence exertion, both inside and remotely, and endeavors to nearly adjust Nestlà ©s logical and RD ability with purchaser benefits. This unit is in charge of organizing even, cross-business extends that address current client worries and additionally expecting future shopper patterns. Global Strategy Nestlà © is a worldwide association. Knowing this, it is not astounding that universal methodology is at the heart of their aggressive core interest. Nestlà ©s focused techniques are related predominantly with remote direct interest in dairy and other sustenance organizations. Nestlà © means to adjust deals between generally safe yet low development nations of the created world and high hazard and conceivably high development markets of Africa and Latin America. Nestlà © perceives the productivity potential outcomes in these high-chance nations, however vows not to go out on a limb for development. This procedure of supporting keeps development enduring and shareholders glad. When working in a created showcase, Nestlà © endeavors to develop and pick up economies of scale through outside direct interest in huge organizations. As of late, Nestlà © allowed the LC1 brand to Mà ¼ller (an extensive German dairy maker) in Germany and Austria. In the creating markets, Nestlà © develops by controlling fixings or preparing innovation for neighborhood conditions, and utilize the fitting brand. For instance, in numerous European nations most chilled dairy items contain now and then a few circumstances the fat substance of American Nestlà © items and are discharged under the Sveltesse mark name. Another methodology that has been fruitful for Nestlà © includes hitting key organizations with other substantial organizations. In the mid 1990s, Nestlà © went into an organization together with Coca Cola in prepared to-drink teas and espressos request to profit by Coca Colas overall packaging framework and aptitude in arranged refreshments. European and American sustenance markets are seen by Nestlà © to be level and wildly focused. Subsequently, Nestlà © is setting is sights on new markets and new business for development. In Asia, Nestlà ©s system has been to secure neighborhood organizations with a specific end goal to shape a gathering of self-sufficient territorial administrators who find out about the way of life of the nearby markets than Americans or Europeans. Nestlà ©s solid income and agreeable obligation value proportion abandon it with adequate muscle for takeovers. As of late, Nestlà © procured Indofood, Indonesias biggest noodle maker. Their concentrate will be basically on growing deals in the Indonesian market, and in time will hope to fare Indonesian nourishment items to different nations. Nestlà © has utilized a wide-range technique for Asia that includes creating diverse items in every nation to supply the locale with a given item from one nation. For example, Nestlà © manufactures soy drain in Indonesia, espresso flavors in Thailand, soybean flour in Singapore, treat in Malaysia, and grain in the Philippines, for territorial circulation.

Connection Between School Culture and Leadership Styles :: Leadership

There is a connection between school culture and leadership styles. The literature review will also address the two basic categories of leadership. According to Cox (2001), there are two basic categories of leadership which are transactional and transformational. The following scholars (Barnett, McCormick & Conners, 2001) made the distinction between transactional and transformational leadership. James McGregor Burns’ (1998) introduces Burns the difference between ordinary (transactional) and extraordinary (transformational) leaders. According to James McGregor Burns’ (1998) transactional leaders exchanged tangible rewards for the work and loyalty of followers, and (transformational) leaders are the ones who engaged with followers. Additionally, the focused on higher order intrinsic needs, and raised consciousness about the significance of specific outcomes. (Bernard Bass, 2003) introduces the conception of transactional and transformational leadership. He states that they are separate concepts and that good leaders demonstrate characteristics of both. Bass (1990b, p. 21) states that Transformational leadership fosters capacity development and brings higher levels of personal commitment amongst followers. However, transformational leadership occurs when leaders broaden and elevate the interests of their employees. (Kelly, 2003; Yukl, 1989) asserts that Transformational leaders elevate people from low levels of need. Transformational leaders are said to create trust, admiration, loyalty and respect amongst their followers (Barbuto, 2005, p. 28). (Rice, 1993) determines that Transformational leadership is also based on self-reflective changing of values and beliefs by the leader and their followers. From this emerges a key characteristic of transformational leadership. According to Gronn (1996) the literature in educational leadership offers no single conception of the processes that constitute transformational leadership. Gronn (1996) makes emphasis on the close relationship between charismatic and transformational leadership. He point out the absence of notions of charisma in some work transformational leadership. (Leithwood & Jantzi, 2000) introduce the four main factors that make up transformational leadership whereas. They introduce the four main factors which are: 1.) Idealized influence, 2.) Inspirational motivation, 3.) Intellectual stimulation, 4.) Individualized consideration. The Additive Effect of Transformational Leadership supports these four main factors Hall, Johnson, Wysocki and Kepner (2002, p. 2). It will very important to evaluate the four main factors and the effect they can have when dealing with the topic of discussion which is the role of the principal in shaping school culture.

Diamonds Are My Best Friend Essay -- essays research papers

“It is designed to break your heart. The game begins in spring, when everything else begins again. And it blossoms in the summer, filling the afternoons and evenings. And then as soon as the chill rains come, it stops and leaves you to face the fall alone.'; A. Bartlett Giamatti, the former commissioner of Major League Baseball. From the lush, green grass to the smell of an old leather glove, baseball is truly an extraordinary game. Let us look beyond the enormous salaries and free agency and examine baseball for what it really is: an outstanding form of entertainment. Baseball is incredibly important to me, as not only have I learned an enormous amount from it, I have experienced a whole spectrum of emotions during my love affair with the game. I have been a baseball fan all my life. I remember watching my beloved St. Louis Cardinals play in their robin’s egg blue uniforms in the early 1980’s. We had a birdfeeder in our backyard, and every morning, the same cardinal would stop for his breakfast. I named him Tommy Herr, after the Cardinals second baseman at the time. Tommy has long since retired, but I will always remember the little bird flying in my backyard. It is difficult for one to approach this subject without a sense of heroism and romanticism of it’s rich history. One of my favorite parts of going to the ballpark is listening to the fascinating stories of old timers, the men who have loved the game since childhood. They remember Musial, Maris, and Mantle. They can tell you stories of hearing Hank Aaron hitting his record breaking home run on the radio, or watching Lou Gehrig as a young child. Many of the greatest baseball stories can be heard from these men, living encyclopedias if what the game once was, and it today. Someday I will be sitting in the box seats of a ballpark, and a young child will take the seat beside me. I can captive his imagination with anecdotes of Cal Ripken Jr.’s remarkable streak, Ozzie Smith’s amazing back flips, Pedro Martinez’s menacing fastball, and the magical summer of 1998 when Sammy Sosa and Mark McGwire mystified the world with their long ball heroics. Only in recent years have I begun to truly appreciate the game for what it really is. While some go to the ballpark to see home runs, popular players, or fireworks, I find myself attracted to th... ... that next year, it will all begin again. A fresh new start. A brand new season. However, right now, it is fall. A pitcher grabs a coat to keep his throwing arm warm in this chilly rain, and soon the entire dugout is seen donning coats. The leaves start to change to brown. Kids go back to school. Football begins to creep onto the minds and lips of sports fans. The season comes to a close, and the spring looks terribly far away with an icy cold winter between now and the promises that lie ahead. Baseball has survived throughout the years. It has survived two World Wars. It has survived a depression. It will continue to survive throughout the next millennium. It has gone on strike and saw half it’s fans leave, then watched them come back to see truly great men exhibit even greater talent. Baseball is a sport for the ages. Eighty year old men who have watched this game for years come to the park and sit next to eight year old boys who have never seen a professional game in their lives. That’s what baseball is all about. It is extraordinary. Athletes rise above the compitition and achieve greatness while astonishing veteran fans and simultaneously earning new ones.

What the Public Should Know about Science :: Argumentative Persuasive Papres

What the Public Should Know about Science The public is uninformed about the role of science in their everyday lives. If the masses are not aware of the positive contributions that have been made through scientific discoveries, they will not be very supportive when funding requests are made. Many of the scientific discoveries completed by scientists today may seem like a waste of time and money since the fruits of their findings may not be realized until years later. In order for the public to accept science as a positive contributor, they must be taught to understand the advancements made by science and the processes necessary to achieve them. The public most also be given an understandable explanation of how these advancements improve their lives. Not all scientific discoveries made by the scientific community were the expected outcome of carefully planned research activities. This position can be validated through an Internet article written by Larry Gedney titled "Unexpected Scientific Discoveries are Often the Most Important." Mr. Gedney feels that it is important to provide the researcher with more leeway on how funding is to be spent. A quote from his article states, " to ask a scientist what his or her next discovery will be is to misinterpret the scientific method." (1) Accidental scientific discoveries have been made throughout the history of mankind. Some clear examples are that of the X-Ray, Penicillin, and the principle of vaccination. In 1895, Wilhelm Roentgen discovered that he could see through his skin to the bones when putting his hand between a barium coated screen and an electrical discharge tube. As most of us know, this discovery has universalized the way that doctors perform their daily routines. Doctors no longer have to depend on their innate ability to feel a patient's arm to determine if it is broken or fractured. They can simply perform an X-Ray of the arm and within minutes have results back that clearly indicate if the bones in the arm are broken or fractured and the severity of the brake. Another example of an unexpected scientific discovery was made by Alexander Fleming, a bacteriologist from Saint Mary's Hospital located in London. In his cluttered laboratory he noticed that a culture dish that had bacteria on it had been inundated with mold, which blew in from an open window. After observing the dish under the microscope, he saw that the bacteria, which were surrounded by the mold, had died.

Elderly Client Project

Elderly Client Project Winston Salem State University Nursing 3303 October 17, 2012 Elderly Client Project Mrs. F. Nowell is a ninety-four year old mother, grandmother and great grandmother living in a skilled nursing facility. She has several co-morbidities which are managed medically and chemically within a detailed nursing care plan. She is diagnosed with type II diabetes, hypertension, coronary artery disease, pedal neuropathy, and arthritis.Within this paper we will explore her age related changes, concept of health and wellness, one chronic disease, diabetes, along with the care and health maintenance associated with this chronic illness, compare and contrast medical/nursing care with current research, health promotion, safety and any special concerns, current resources used and community resources not used, and the clients perspective of her own quality of life. Age Related ChangesWe begin with age related changes which everyone can see externally, however it’s in part, the individual’s concept of these changes that occur over the life span that help define the person’s health. American’s are living longer and Mrs. Nowell is a prime example of this fact at age ninety-four along with her sister-in-law in the same nursing facility at age one hundred and four. Americans over the age of 65 now comprise almost 13 percent of the United States’ population. Mrs. Nowell notes a definite change in her physical body and abilities.However, though now faced with physical mobility limitations, she admits a life satisfaction and is living a happy and productive life. Common age-related changes she’s experiencing are visual acuity or presbyopia for which she wears glasses to assist in ready, very slight hearing impairment or presbycusis, along with hypertension, coronary artery disease and arthritis. Though Mrs. Nowell does have diabetes, she doesn’t associate this chronic disease with normal aging. She stated â€Å"Iâ⠂¬â„¢ve been a diabetic as long as I can remember. Obvious integumentary changes are seen, yet no deep, well defined wrinkles, having not been a smoker, and wore hats to protect her face from sun exposure. Mrs. Nowell does appear to have a slight bit of memory loss because when asked how old her husband was when he died she was unable to recall. However, when asked about her childhood and where she grew up, she recounted very vivid memories. This is typical of the aging adult. The speed with which information is processed, stored, and received is decreased; older memories tend to be intact with new memories being recalled less frequently.What is important to remember about the aging population is while they are experiencing moderate physical limitations, they learn to live with them and lead happy and productive lives, as is Mrs. Nowell. Concept of Health and Wellness Mrs. Nowell’s concept of health and wellness is definitely one of her own perspective. She equates herself to being healthy for a ninety-four year old lady. At ninety-four Mrs. Nowell is mentally healthy with little to no signs of dementia. And because she â€Å"has her mind,† she does not see her physical limitations as making her unhealthy.She envisions wellness and her state of well-being as optimal because with the use of her motorized wheelchair she can come and go as she pleases within the confines of the skilled nursing facility in which she lives, as well as, out in the community. She feels she’s definitely one of the healthiest ninety-four year olds she knows because each day she dresses well, though with assistance, puts on her lipstick and matching jewelry. She states when she looks good, she feels good. Chronic Disease and Care to Improve/Maintain Health Though Mrs. Nowell has several co-morbidities, this paper will focus on her type II diabetes.Diabetes Mellitus is associated with many related health factors of which Mrs. Nowell currently precipitates. She does h ave some visual impairment which is linked with aging, as well as diabetes. She also manifests pedal neuropathy of which she admits to taking Neurontin to alleviate the nerve discomfort and tingling. She lives in a skilled nursing facility where her blood sugar is checked before meals and at bedtime. She is treated with Novalog Insulin in the morning and evening which keeps her blood sugars at a normal range between 80 and 100, and below 150. They ncourage healthy meals and eating, though Mrs. Nowell admits to having family bring in snacks to her liking which are not always on the American Diabetic Association (ADA) food options. The nursing facility also goes to great lengths to ensure meticulous foot care is provided to all diabetics. They inspect their feet when assisting in dressing and showering, as well as, have podiatry perform toenail clipping. Mrs. Nowell does not see her diabetes as a disease, but rather a lifestyle and way of living. Compare and Contrast Medical/Nursing C are and Current Research As previously mentioned Mrs.Nowell’s diabetes is treated with insulin and given a diet per recommendations of the ADA. The nurses perform regular blood sugar checks before each meal and at bedtime, following a regimented nursing care plan to keep her blood sugar below 150. However recent guideline updates recommend that primary care physicians do not push the patients to obtain a standard targeted blood sugar level. The facility nurses also provide education on healthy snacks and exercise programs available to their residents. Because obesity is a major concern and noted problem among the diabetic community daily exercise is recommended for the diabetic patient.However given Mrs. Nowell’s physical limitations daily exercise is minimal at best. Researchers are now giving acceptance to bariatric surgery among diabetics faced with morbid obesity, which has shown rapid blood sugar levels and decreased pharmacological intervention needs. However giv en Mrs. Nowell’s advanced age, she is not a bariatric candidate. Current medical care of Mrs. Nowell includes keeping her hemoglobin A1c below 7% per her primary care doctor and nursing supervision. Yet it is evidenced that the aging adult is more vulnerable to hypoglycemia, and combined with Mrs.Nowell’s cardiovascular disease, recommendations are pointing to an A1c below 8%. The Mayo Clinic also has an online tool developed for diabetics which includes low blood-sugar risks, weight changes, blood sugar testing requirements and costs which help the physician and patient weigh the risks and benefits of diabetic medication therapies. Health Promotion, Safety and Special Concerns Mrs. Nowell’s promotional health needs are met through nursing care provided and maintaining an optimal sense of wellness. Mrs. Nowell’s immunizations are up to date including her flu and pneumonia vaccinations.She receives assistance with activities of daily living (ADL’s) to maintain meticulous skin care and foot inspection to reduce risks of diabetic ulcers. Her diet remains well balanced per the ADA guidelines for optimal nutrition, to further reduce risks of pressure ulcers, which would be of concern with her mobility limitations. She also suffers from incontinence, yet admits to receiving quick response to toileting needs and perineal care. The floors are kept clutter free with no rugs or sliding floormats. The bathrooms are equipped with handrails and emergency call bell pull cords.Showers are large and can be accessed with a wheelchair and have showering chairs for those with mobility limitations such as Mrs. Nowell. Daily use items such as her toothbrush, hairbrush and makeup are kept within easy reach to decrease risk for falls. Mrs. Nowell voiced no special concerns or needs that weren’t being met to her expectations. Current Resources Used and Community Resources Not Used Mrs. Nowells uses the assistance of the occupational therapist that works with the clients of her nursing facility to maintain optimal health and wellness.She has been trained to use a reaching device or â€Å"reacher† which clasps items out of safe reaching range or items she may have dropped and desires to retrieve reducing her risk of falls. Mrs. Nowell takes great pleasure in participating in the community offerings that come to the nursing facility for senior involvement opportunities, such as church groups, entertainment companies, and many local businesses, including restaurants that offer samplings of new menu items. She has participated in numerous provided educational classes and socialization activities for the residents.She also uses the facilities transportation system for group outings and community access. Mrs. Nowell stated they do have a hair dresser that provides services twice a week, however she prefers her daughter, who visits daily, to assist her with her hair care needs. She further does not use their common dinin g area choosing to have her meals in her room or with family when they visit. Yet does frequent the common area for bingo and karaoke for socialization and enjoyed participation. Quality of Life, the Client Perspective Mrs. Nowell considers her quality of life optimal. She finds herself healthy.As with Maslow’s Hierarchy, having her basic needs met, Mrs. Nowell presents with a high self-esteem and self-actualization. She is living a healthy and productive life, exhibiting an exuberant personality. She is still a good mother, grandmother and great grandmother able to enjoy family and friends, while appreciating her life and memories. Conclusion In summary Mrs. Nowell is a wonderful example of an aging population that is well adjusted and reached the highest plateau of hierarchy. As a nurse caring for the elderly, we must be better prepared to assist the aging population to this optimal level of health and wellness.We can achieve this through continued research and provision of age appropriate care. Living happy and productive lives within the elderly population, and given their limitations, be it physical or mental, should be the goal of all nursing. References Anderson, B. , de Chesnay, M. (2012). Caring for the vulnerable: perspectives in nursing theory, practice, and research. (3rd ed. ). Burlington, MA: Jones & Bartlett Learning. Jett, K. , Touhy, T. (2010). Gerontological nursing & healthy aging. (3rd ed. ). Saint Louis, MS: Mosby Elsevier. Khardori, R. (2012, October 8). Medscape references.Retrieved October 14, 2012, from Type 2 diabetes mellitus treatment & management: http://emedicine. medscape. com/article/117853-treatment Resources For Seniors, Incorporated, (n. d. ), Retrieved October 6, 2012, from: http://www. resourcesforseniors. com Seniors Health, (n. d. ), Retrieved October 14, 2012, from: http://medical-dictionary. thefreedictionary. com/Seniors’+Health Winslow, R. (2012, July 9). The wall street journal. Retrieved October 14, 20 12, from New strategies for treating diabetes: http://online. wsj. com/article/SB10001424052702303292204577517041076204350. html

Enlightenment/Romanticism Essay

The age of man is rife with varying motivations and personal reasoning. Over millions of years, life shifted from mere survival, with our minds drawn to food and shelter, into times of political intrigue and welfare reform. Buried in the layers, the Age of Enlightenment and the (difficult to define) Age of Romanticism are found. Within these two periods are some of our history’s most profound shifts in thinking. The Age of Enlightenment brought scientific reasoning to the forefront of everything. Life was distinct, understandable and predictable. Man contemplated his purpose empirically, studied methodically to come to a true conclusion. According to Anne Branham, the enlightenment allowed our founding fathers to question man’s natural rights in the world of the living. She uses Benjamin Franklin as the incomplete figure of true enlightenment. The one man who had his hands into all things scientific and technological fought actively for the â€Å"earthly rather than heavenly rewards† (55). Our most important living document, the American Constitution, finds its epicenter in the freedom to choose our own representation after careful contemplation and consensus-driven selection (59). Paintings reflected life as a physical entity. Portraits of people became the chosen artwork of the day, a marking of life in that moment. American History portraits painted by John Trumbull show the events in a concise manner, the emotions of the people stern and musing. Other artists, to include Anton Van Maron and Antonio Visentini, of this period (late Enlightenment) follow this same theme of capture rather than sensitize (GroveArt Online). Writers such as Locke, Paine, and Smith questioned preconceived beliefs, broke them down in their parts, studied them empirically, then transformed them into new ideals and theories; changing the way things were done for centuries. Their articulations of thought changed the way business and politics were conducted, a system we still hold to today. Burnham suggested when we take a good look at these writers (Locke in particular) we can see the seed of transformation that inspired Thomas Jefferson (58). The line between the Enlightenment and Romanticism appears quite blurred. It is not as though humankind stopped short all of a sudden and agreed to change their thinking. What is evident, however, is that change took place. Today, we are no longer as ideal in questioning what is right for man. This period began as a revolt of sorts against the aristocracy and their accepted norms. People began to concern themselves with emotions and the feelings of things. Psychologists such as Freud and Jung came into play. Not only what is wrong with you, but also why, and how does it feel to have that problem? Peckham questions the validity of an actual movement in that the need and subsequent fight for revolution does not in fact mean an actual change in thought amongst the world’s people. Was there in fact a change in mind away from the scientific and toward the ideal and the emotional (6). In terms of government, America found itself growing out of control. States began to fight over the issue of slavery and valuing one man’s right to property over another man’s right to dignity and the ‘pursuit of happiness’ as it were. Civil War breaks out, the basis set against the colder ideas of the Enlightenment. These ideas one can conceivably see as justifying slavery if numbers add up. Authorship offered a new selection during this era, the novel. Mary Shelley writes about the timeless battle of man versus nature with her creation of â€Å"Frankenstein.† Man’s emotional struggles in life marked the center of Mark Twain’s The Adventures of Huckleberry Finn, Edgar Allan Poe’s The Raven, Jane Austen’s Emma, and Henry David Thoreau’s Walden. Peckham, writing in the time of Picasso, states: â€Å"Picasso has in his painting expressed profoundly the results of the freedom that romanticism has given to the creative imagination, but he is detested by most people who have seen his cubist or post-cubist painting – as well as by a great many who has not. He is at home in the universe, but not in his society† (21). This simple statement takes us back to a time when the questioning of fundamental things, like shapes and colors, was not appreciated. One forgets Picasso died in 1973 – only 33 years ago. Although these two distinct ages followed each other in general timeframe, there are some obvious similarities. In some ways, the transcendentalists, modernists and post-modernists, have all maintained the basic trend in life, which is to ask questions and present the answers in a way that society will gain from them as well. The questioning being the most serious of crimes against the calm nature of a society, with the actual answer following a close second. The difference lies in the questions asked, the answer given and the format preferred. For each successive generation, the questions drive a little deeper, the context of the situations a little more complicated. The answers are increasing more personal, much to the chagrin today of the older citizens. Art today is far racier and stressing in it nature. Artists have the freedom to push the observer to his or her max. Life seems to be struggling toward a certain height where all questions are ok, all answers accepted. Works Cited Branham, Anne K. â€Å"Teaching the Enlightenment in American Literature: Shedding Light on Faith and Reason.† The English Journal 87.3 (1998): 54-59. GroveArt Online. (18 Oct 2006). Peckham, Morse. â€Å"Toward a Theory of Romanticism.† PMLA 66.1 (1951): 5-23.

Wolf Lichen

Poisonous but also a healer. It is very abundant in Idaho but very scarce and hard to find in Scandinavia. Wolf Lichen is the name of this mysterious plant. It is one of many different types of lichen found in nature and varies in ways such as habitat, use, and appearance. Lichen is a slow-growing plant genus that is usually structured in a spindle or leaf like shape. Lichen is made up of two components; fungi and algae. (Hollering, J. 014) The Fungal aspect is present in that it contains Chitin in their cell walls, they produce hyphen, spore producing, it is multicultural, and that they deed on dead trees/plants . The algal component means they are eukaryote, are able to photosynthesis, and they have specialized tissues. (Thomas-Sucker, J. 2012) In Wolf Lichen and dead/dying trees form by symbiotic relationships. Symbiosis describes a close interaction between two organisms that benefits/harm at least one of the organisms. Sometimes symbiotic relationships can be beneficial, but can be sometimes harmful.This symbiotic relationship is beneficial to one another, because if we did not have dead or dying plants we could never have Wolf Lichen(Hollering,J. 2014). Wolf Lichen also produces its own food in order for it to survive. To do so, it goes through photosynthetic processes. Photosynthesis starts with trapping the sun's energy in the form of sugar. Then the Wolf Lichen stores the resulting sugar in cells to form glucose for quick growth. Photosynthesis represents the beauty of the chemical process that takes six water molecules from the roots and six carbon dioxide molecules from the air and creates one sugar molecule.If there was no such thing as photosynthesis there would be no life on earth as we know it. (aesthetic, J. , & Comma, C. 014) Lichen are categorized into three different kingdoms, which are Kingdom Fungi, Kingdom Protests, and Kingdom Moaner. One interesting fact about Wolf Lichen is they are able to shut down their metabolism during times when n utrition is scarce and also in freezing weather. Wolf Lichen typically grows less than a millimeter per year. There are a total of 287 different types of species of lichen of 68 genres, and a total of 8 different varieties in Idaho .According to recent research conducted by Dustin Shown, John Areola, and Braided Irishman on the Ph of lichen; Wolf Lichen, along with other lichen have a mean of approximately 4. 1 on the Ph scale. This means that Wolf Lichen have an acidic compound (See figure 1 at presentation). (Thomas-Sucker, J. 2012) Wolf Lichen is also named Lethargy. There are two types of Lethargy (L. ) that are not easily noticeable; L. vulpine and L. Columbian. These two species are very similar in many ways but also very different. L. vulpine is asexual and reproduces with sorehead, while L. Alumina is sexual and does not reproduce with sorehead. L. vulpine is the only lichen that is poisonous. (Hollering,J. 2014) Sorehead is a reproductive structure for lichens. Lichens can reproduce asexually and sexually. Sorehead is a powdery substance composed of fungal hyphen that wraps around contractible. Fungal hyphen make up the basic body structure of lichen. (Conrad,J. 2005) As Wolf Lichen can grow to the size of 1 CM. But can be as large as 12 CM. The branches are round and wrinkled when in very dry conditions. The color ranges from a light yellow-green to a dull yellow.It will not grow in freezing temperatures. However; frost does not kill it, it Just stops growing. Once the weather is warmer the lichen will start growing and reproducing. Wolf Lichen is extremely sensitive to air pollution and will not grow in polluted areas. Wolf Lichen grows on dead trees and stumps. It grows more often on sunny sides of trees and rocks. It does not usually grow in coastal rain forests. (Conrad, J. 2005) In the past people have poisoned wolves and other animals with Wolf Lichen. Since the lichen is poisonous, it allowed the Coachman people in Northern California to use p oison arrow heads.Farmers in the past used pieces of meat, crushed glass, and inserted Wolf Lichen to poison the wolves and other animals that would bother their crops. (aesthetic, J. , & Comma, C. 2014) The lichen has vulpine acid in it which stops the respiratory systems of the animals. The glass is used to damage the intestines of the animals, so that the toxin could attack the body and kill the animals. Wolf Lichen is very poisonous, which made people have to use a mask so they wouldn't harm themselves. (ABA, N. 2011) Wolf Lichen was used as a yellow dye. This dye was used for coloring baskets.Wolf Lichen was also used for medicine. Lichen was used to wash out wounds and cuts, curing their injuries. (Conrad, J. 2005) Statistics show that fifty percent of all lichen are known as an antibiotic. In the United States they used lichen for mouth, stomach, intestines, anus, vagina, nose, ear, and skin pain. While in Finland it was used for treating skin eruptions, skin wounds, and athl ete's foot. (Hollering, J. 2014) In Scandinavia, Wolf Lichen is a rare species and are red-listed, which means that they are in danger of becoming extinct.Wolf lichen used to be abundant in an area of Scandinavia called GarГenslaved, but after the years had passed, Wolf Lichen became scarce and harder to find. The Wolf Lichen was exploited and ruined, so trying to protect GarГenslaved against people who destroyed Wolf Lichen is one thing we can do to hopefully save the Wolf Lichen. Also Wolf Lichen is the most photographed lichen in GarГenslaved. The species are also located around Europe and all the way to North America. (ABA, N. 2011) Although Wolf lichen is scarce in Scandinavia it is very abundant in Idaho.Wolf Lichen is found on most of the trees that are dying or already dead. Wolf Lichen is an indicator that helps people tell if trees or other plants are dead or dying. It can be found all over the town of McCall, Idaho, which is right next to Ponderosa State Park. Wolf Lichen helps the state park by letting them know what trees to cut down or to watch out for so it does not cause any damage to the people visiting or damage to the ecosystem. (Shoehorn, S. 001) Wolf Lichen is mostly found on twigs and stumps of most trees or plants. There are, however, lichen that is found on tree bark,and also houses and fence posts.It sometimes begins on rocks. It usually grows in a thick, solid cover, around and on dead trees and limbs. It is more abundant in numerous habitats where sunlight is more commonly found. (Turner & Kindle, 1998) Overall, Wolf Lichen is a special type of lichen, not only is it poisonous and a healer, but it is the only type of lichen that contains poison. It is also categorized into three different types of Kingdoms which differentiates from all other lichens. Wolf Lichen has many uses. The way people used to use it is very different from how we use it today.

Mental Illness Paper

Mental Illness Paper Obsessive compulsive disorder (OCD) is real illness that can be treated with medicine and therapy. When have OCD, you have recurring, upsetting thoughts (called obsessions). You repeat doing the same thing, over and over again (called compulsions) to make the thoughts go away. And, you feel like you cannot control or stop these thoughts or actions. The obsessions, or upsetting thoughts, can include things like a fear of germs, a fear of begin hurt, a fear of hurting others, and disturbing religious or sexual thoughts. The compulsions, or actions you repeat to make the thoughts go away, can be things like counting, cleanings hand washing, and checking on things. While these actions provide only short-lived relief, not doing them only increases anxiety. Many people who have OCD know that their actions often do not make sense. They may try to hide their problem from family and friends, and may have trouble keeping a job because of their actions. Without treatment, obsessions and the need to perform rituals can take over a person’s life. OCD is an anxiety disorder that can be life-long. A person with OCD can also recover and then get the illness again, or relapse. This illness affects women and men in equal numbers. Most often, OCD begins during the teenage years or early childhood, although it can start in an adult. For many years, mental health professionals thought of OCD as a rare disease because only a small minority of their patients had the condition. The disorder often went unrecognized because many of those afflicted with OCD, in efforts to keep their repetitive thoughts and behaviors secret, failed to seek treatment. This led to underestimates of the number of people with the illness. Time changes all concepts. â€Å"OCD† is no exception. In the seventeenth century, obsessions and compulsions were often described as symptoms of religious melancholy. The Oxford Don, Robert Burton, reported a case in his compendium, the Anatomy of Melancholy(1621: â€Å"If he be in a silent auditory, as at a sermon, he is afraid he shall speak aloud and unaware, something indecent, unfit to be said†. In 1660, Jeremy Taylor, bishop of Down and Connor, Ireland, was referring to obsessional doubting when he wrote of â€Å"scruples†. A scruple is trouble where the trouble is over a doubt when doubts are resolved. OCD is recognized as the fourth most common mental disorder following, in order of occurrence, substance abuse, phobias, and major depression (Spengler, Jacobi, 1998). Perhaps part of the reason for the â€Å"confusion† is that several disorders manifest ideational processes that ar e much like the obsessional thinking in OCD. People with Generalized Anxiety Disorder (GAD) and posttraumatic stress disorder (PTSD) also have cognitive processes that are intrusive, repetitive, and exaggerated. The difference lies in how clients view their obsessions. OCD that comes and goes some children will have one obsession or compulsion for a few months and then it will disappear. There may be no obsessions or compulsions for years, and then they might return for no apparent reason. OCD that comes, but never exactly leaves a common pattern is for a person to have a number of obsessions and compulsions which are quite severe, but which then lessen, at least for awhile. Example of OCD that comes and goes: Jody was 6; she had a little â€Å"habit†. Before she picked up anything in her hand, she would very lightly touch it once with her index finger. When her parents asked her why, Jody just said that she liked to. There were no other obsessions or compulsions. Although no one mentioned it outside of the family, Jody’s mother and father became worried when Jody’s little sister, age 3 started imitating this habit. There were about to see their family doctor about this when it started to go away and never really came back. Two years later, after no signs of OCD, Jody started counting. She thought her mother, who had a routine hysterectomy, would die if she made a mistake. She was counting and checking her counting for errors each day. Only when they were in the pediatric psychiatrist’s office did they remember the â€Å"habit† she had at age 6. For a long time OCD was thought to be an infrequent disorder. In other words, it was believed to be rare among â€Å"general population†. Now, it is estimated that over the course of a lifetime approximately 2. 5 percent of individuals will develop this disorder. For children and adolescents, it is estimated that approximately the same percentage suffers from this disorder. In fact, this figure appears to be consistent with regard to American populations and worldwide populations, as well as male and female occurrences. Clinical and animal research sponsored by NIMH (National Institute of Mental Disorders) and other scientific organizations has provided information leading to both pharmacologic and behavioral treatments that can benefit the person with OCD. One patient may benefit significantly from behavior therapy, while another will benefit from pharmacotherapy. Some others may use both medication and behavior therapy. Others may begin with medication to gain control over their symptoms and then continue with behavior therapy. Which therapy to use should be decided by the individual patient in consultation with his/her therapist? Treatment with psychotherapy includes cognitive-behavioral therapy (CBT) and behavioral therapy. In CBT, the goal is to change how a person thinks about, and then reacts to, a situation that makes them anxious or fearful. In behavioral therapy, the focus is on changing how a person reacts to a situation. BCT or behavioral therapy most often lasts for 12 weeks. It can be group or individual therapy. A special type of behavior therapy, call exposure and response prevention, is often used with OCD. With this approach, a person is exposed to whatever triggers the obsessive thoughts. Then the person is taught ways to avoid doing the compulsive rituals, and how to deal with the anxiety. Some studies have shown that the benefits of CBT or behavioral therapy las longer than do those of medications for people with OCD. Clinical trials in recent years have shown that drugs that affect the neurotransmitter serotonin can significantly decrease the symptoms of OCD. The first of these serotonin reuptake inhibitors (SRIs) specifically approved for the use in the treatment of OCD was tricyclic antidepressant clomipramine (Anafranil). It was followed by other SRIs that are called â€Å"selective serotonin reuptake inhibitors† (SSRIs). Those that are approved by the Food and Drug Administration for the treatment of OCD are fluoxetine (Prozac), fluvoxamine (Luvox), and paroxetine (Paxil). Large studies have shown that more than three-quarters of patients are helped by these medications at least a little. Another neurotransmitter is also believed to result in mental illness when it is not working properly, this neurotransmitter called nor epinephrine. Studies have revealed that individuals with OCD have an insufficient level or serotonin, one of the brain’s neurotransmitters. Other studies also reveal that some individuals with OCD have abnormalities in dopaminergic transmission. Commonly, OCD is first diagnosed when parents recognize that their young child or teenager seems preoccupied with ritualistic behaviors associated with excessive cleanliness or unusually meticulous organization, and they seek help from a mental health professional. Adults on the other hand, may seek professional help when they realize that it is becoming difficult for them to do their job or school work because they are spending too much time with their obsessive thoughts or compulsive behaviors. Therapists make the diagnosis of OCD by taking a careful personal history from the patient/client and any available family members, such as in the case of a young child. Although most people improve with adequate treatment, the condition can continue for many years. Primary care physician should be familiar with the various ways obsessive-compulsive disorder can present and should be able to recognize clues to the presence of obsessions or compulsions. Proper diagnosis and education about the nature of the disorder are important first steps in recovery. Treatment is rarely curative, but patients can have significant improvement in symptoms. Obsessive-compulsive disorder is chronic condition with a high rate of relapse. Discontinuation of treatment should be undertaken with caution. Patients should be closely monitored for comorbid depression and suicidal ideation. People with OCD sometimes also abuse alcohol and drugs and can have other illnesses, such as depression, eating disorders, attention deficit hyperactivity disorder (ADHD), or other anxiety disorders. When a person also has other illnesses, OCD is often harder to diagnose and treat. Symptoms of OCD include; having upsetting thoughts or images enter your mind again and again, washing your hands, cleaning, re-arranging objects, doing things until it feels â€Å"right,† or collecting useless objects, worrying a lot about terrible things that could happen if you are not careful. If you think you may have symptoms of OCD, visit your doctor is the best place to start. Keep in mind that it can be a challenge to find the right treatment for an anxiety disorder. But, if one treatment does not work, the odds are good that another one will. New treatments are being developed through ongoing research. If a person has recovered from an anxiety disorder and it comes back at a later date, the person can be treated again the skills you learned dealing with the disorder the first time can help you in coping with it again. As the twenty-first century begins, advances in pharmacology, neuroanatomy, neurophysiology and learning theory have allowed us to reach a more therapeutically useful conceptualization of OCD. Although the causes of the disorder still elude us, the recent identification of children with OCD caused by an autoimmune response to group A beta-hemolytic streptococcal infection promises to bring increased understanding of the disorder’s pathogenesis. References (n. d). Obsessive-Compulsive Disorder. Washington, District of Columbia, US: US Department of Health and Human Services, Office on Women's Health; the National Women's Health Information Center. Retrieved from PsycEXTRA http://search. ebscohost. com/login. aspx? direct=true&db=pxh&AN=303972004-001&site=ehost-livedatabase. Depression & Anxiety (1091-4269); 2008, Vol. 25 Issue 9, p761-767, 7p, 3 Charts, 2 http://search. ebscohost. com/login. aspx? direct=true&db=a9h&AN=34281062&site=ehost-live Abel, J. (1994, March). Obsessive Compulsive Disorder: Interdisciplinary Treatment May Be Best. Clinician's Research Digest, p. . Retrieved from PsycEXTRA database. Stanford Medicine  » School of Medicine  » Departments  » Psychiatry  » OCD Research »Treatment http://ocd. stanford. edu/treatment/history. html Symptoms of OCD (Obsessive-Compulsive Disorder)http://counsellingresource. com/distress/anxiety-disorders/obsessive-compulsive. html The National Institute of Mental Health (NIMH) is part of the National Institutes of H ealth (NIH), a component of the U. S. Department of Health and Human Services. http://www. nimh. nih. gov/health/topics/obsessive-compulsive-disorder-ocd/index. shtml