Tuesday, July 23, 2019
Experimental economics summary paper Essay Example | Topics and Well Written Essays - 500 words
Experimental economics summary paper - Essay Example Thus, the article pointed out the basic role of human behavior in the ongoing economic trend in the world. The Ultimatum Game is not just a simple game but it has substantial implications in the real world. Main Findings The first main finding presented in the article is about how people may decide rationally or irrationally in a bargaining situation. In either way, the main point is that people understand the concept of having much more is a better option than having less or none in the context of decision-making process situation. Even though an individual understands that having more than enough is better than having less, still the concept of fairness is very significant in the article. Applying this in the actual setting, consumers may be unwilling to participate in exchange when the other party gets a large portion of the surplus (Thaler 203). The Ultimatum Game is a perfect replica of what is happening in the actual setting. People tend to adhere to the concept of fairness bec ause everyone seems wanting to get much more, but in reality this cannot happen most of the time. This resulted to meeting somewhere at the midway where the concept of fairness prevails.
Monday, July 22, 2019
Relationship Between Depression and Addiction Essay Example for Free
Relationship Between Depression and Addiction Essay Depression is a psychotic disorder marked especially by sadness, inactivity, difficulty thinking and concentrating, loss of appetite, sleeplessness, and low self-esteem. Iââ¬â¢m going to show how it all can affect each other. Depression can be both genetically inherited and brought on by a traumatic experience either as a child or adult. ââ¬Å"Community studies have estimated the 24% of women and 15% of men will at some point in their lives is clinically depressed. â⬠(Zautra. Emotions, Stress, and Health, pg. 133). Depression is an extended period of disturbance in both positive and negative affect systems. A black period in a personââ¬â¢s life can have a lot of negative emotion and very little positive emotions. You could have a great day and then next thing you know youââ¬â¢re in a depressive state. This can be attributed to various stressful events or small instances that can set a depressive state into motion. Everyday emotions or stressors can lead to feelings of hopelessness and low self-esteem. ââ¬Å"Large depression is the stuff of breakdowns. â⬠(Solomon. The Noonday Demon, pg. 17). Depression is like a building rusting over the years but with grief and insecurities that eventually collapse. There are two models of depression: The first is the dimensional: it is on a continuum with sadness that represents an extreme version. The second is the categorical: this describes depression as an illness separate from other emotions. Within depression one of the first things to go is happiness, but soon after your other emotions follow. Some of these other emotions are sadness, your sense of humor, and your belief in and capacity for love. Depression is highly dramatic and visibly different. Depression exists in time. Depression also doubles the risk of heart attacks. Itââ¬â¢s insipid, fogs the days, disables the color in each day and weakens ordinary action. It leaves you tired, bored and self-obsessed. It takes away trust in any relationship, you start to think that people are talking about you or they donââ¬â¢t love you. You start to think that they donââ¬â¢t care. Some people are so debilitated that they shut down and push everybody away. Depression is an intense dark place; it causes uncertainty and loss of control. When you have an episode you canââ¬â¢t find your balance to right it. When it comes it degrades oneââ¬â¢s self and ultimately eclipses the ability to give or receive affections. You end up going along the gradual path or a sudden trigger of emotion that brings you to a place thatââ¬â¢s generally different than reality. You feel you are turning into something feeble, like a child that more and more of you will just blow away in the wind. It makes you feel less and less than normal. It makes you feel insignificant and you start to doubt your worth. Itââ¬â¢s not the consequence of a reduced level of anything we can measure. It hits people in different ways. Some are predisposed to resist or battle through it; some are helpless in its grip. According to recent research, about 3% of Americans ââ¬â some 19 million ââ¬â suffer from chronic depression. More than 2 million of those are children. â⬠(Solomon. The Noonday Demon. Pg. 25). Depression claims more years than war, cancer and AIDS. Pills and love are 2 ways forward. It now exists as a personal and a social phenomenon. In order to treat depression you need to understand the experience of a breakdown, the mode of action, medication, and the most common talking therapy. Intelligent treatment requires close examination on specific variants of depression. Children, elderly and gender are some of these variants. Substance abusers form a very large subcategory of their own. They disguise the depressive illness by self-medicating with alcohol and drugs. Depression and substance abuse form a cycle. People who are depressed abuse substances in a way to free themselves from feeling depressed. Some people who abuse substances disrupt their lives to the point that they become depressed. Drug and alcohol addiction can be classified as genetic. Addiction is also considered an illness. Some people abuse drugs and alcohol to escape the horrors of their family and work situations. Some use because they were abused physically and mentally. Other because of losing their children, employment or marital breakdowns. Substance abuse results in enormous costs to the abuser and their families. As in depression, feelings of loneliness and lack of positive emotion are a source of why addiction starts. I found as an addict myself that to control my emotions; I would use cocaine to escape. I abused drugs to survive through my emotions. This avoidance of pain, combined with the misinterpreting of the feeling of wanting may be what underlines the treadmill of addiction. Cocaine seems to block dopamine uptake, so that you have more floating around in your brain; morphine causes the release of dopamine. Research shows that if the brain is constantly flooded with dopamine it will develop a resistance to the drug. Itââ¬â¢s why we as addicts need more and more to get high. When addicts go into recovery, they no longer have the excessive release of dopamine. They start to feel flat and depressed. Others with family histories of addiction tend to have lower levels of endorphins than those who are genetically and inclined to addiction. A depressed individual is likely to become addicted more rapidly than a person who isnââ¬â¢t depressed. Caffeine, nicotine and alcohol are the legal substances abused. Alcohol can do a great job of drowning out the pain. Cocaine is an expensive drug that causes a major crash after 48-72 hrs. It consistently depletes your neuron stores. This causes the crash. When you finally crash you have major fatigue, agitation and depression. Cocaine is considered to be a long term depression augmenter. Depression enables addicts. Depression weakens you and weakness is the surest path to addiction. Alcoholics Anonymous and other 12 step programs provide supportive settings in which people can safely share about their experiences with alcohol, depression and their own fears. With a sponsor and a therapist you can start on the path to healing yourself. Realizing what you need to change about yourself gives you the power to move on and eventually help others. It one of the hardest processes admitting that you are an addict. I know for me going back will kill me. Depression for me depletes my energy and causes me not to care about anything.
Crime Rate in Centervale Essay Example for Free
Crime Rate in Centervale Essay If one was to compare the crime in Centervale to that of Alaska or Alabama it would be clear that Centervale has the highest crime total. If one was to compare the crime rate it would be clear that Alabama has in fact the highest crime rate with Alaska and then Centervale sitting very close in numbers. Alabama has the highest population and Alaska has the lowest, but this would mean that Alabama would not be the safest place to live. In fact an individual would want to live in either Alaska or Centervale. Centervale has a lower aggravated assault rate than that of Alaska, but Alaska has a lower robbery rate that that of both Centervale and Alabama. When looking for a new place to locate its always a great decision to check out how a city, county, suburb, or state hold up against that of other similar places when it comes to crime. No one wants to live in a place where they are afraid to leave their homes. When looking at the actually numbers Centervale is the highest followed by Alabama and then Alaska, but if an individual was to look at the crime rate then it would appear that Alaska has the highest followed by Alabama and then Centervale, but both Alabama and Centervale are very close in rate percentage. Alaska has a problem with alcohol related crimes, whereas in other locations in the United States drugs and alcohol are secondary to the crime. Information Importance This kind of information is important due to the growing concern that most individuals and families have about the crime not only in their local neighborhoods, but also in places that they may be considering locating too. Itââ¬â¢s also important to find out what programs are in place to keep the crime rate reduced. Each neighborhood has some sort of program in place to help keep children and adolescents occupied so they are less likely to go out and commit a crime, but crime doesnââ¬â¢t always involve children and adolescents. Crime can and is often committed by adults. Read more:à India Crime Rate Most communities have an early childhood development program in place. Itââ¬â¢s been stated by Paul Leighton (2007), that children enrolled in this program have ââ¬Å"half as many criminal arrests, less likelihood of going to jail, higher earnings and property wealth, and a greater commitment to familyâ⬠. There are also drug treatment, recreation, gang- prevention, education, special curricula, job training, and the labor market (Leighton, 2007). When moving to a new community an individual can call around to find what programs have been put into place to reduce the crime rate and what else can be done to help reduce the crime. Parents with small children wish to make sure that they are bringing their children to a safe environment with programs set in place to help the children and adolescents occupied after school. Definitions of Crime Crime is defined as ââ¬Å"the act or the commission of an act that is forbidden or the omission of a duty that is commanded by a public law and that makes the offender liable to punishment by that lawâ⬠(Merriam-Webster, 2013). Alabama and Alaska differ when it comes to crime punishment. Alaska abolished its capital punishment in 1957, but has since then tried to reintroduce it to no avail. Alabama on the other hand does have capital punishment and certain crimes can lead to the death penalty. These crimes are capital murder charges, rape, robbery, and burglary. Alaska imprisons their convicted criminals for either short period of times to life. In both states children and adolescents are charged as juveniles unless found to have committed an adult crime such as murder (non-accidental), robbery that ends up with loss of life or assault or rape. Rape charges can be difficult to try depending on the age of the child or adolescents and how much understanding of the charges and their understanding of right and wrong. Charging children in an adult court can be difficult to do since their understanding and reasoning is far different and underdeveloped than that of an adult. Recommendations Recommendations to help reduce the crime rate would to beef up the police and special crime units to help get a grasp on the crime in the state. Have better programs put into place within the prisons/jails. This will give a positive opportunity and outlet for the prisoners so they will not wish to reoffend. Allow employers that wish to hire ex-convicts the opportunity to sit down with the convict prior to their release. This will give the individual something positive to look forward to and a better outlook on life. Have programs set up for ex-cons along with programs set up for those who may need a positive outlet. Ex-cons need the structure to help them adapt better to outside life than to be just ââ¬Å"dumpedâ⬠on the streets after their sentence with the hopes of not reoffending. Many individuals feel they have nothing ââ¬Å"outsideâ⬠so why even try. In many cases this is true, the individuals family and or friends have given up on them or they have a difficult time finding a job, so they do what they believe is the only thing left and this causes them to reoffend. Conclusion In conclusion crime is a scary thing for any family or individual, but with careful consideration and knowing the facts needed one can make the correct decision. Many criminals that are within the prison/jail system are those who have reoffended, but due to the unknown these individuals tend to end back up within the system. Families and friends of those ex-cons need to be there for the individual for emotional support. Those who donââ¬â¢t have the proper support feel alone and often believe they need to be back where they were. References Crime in the United States. U.S. Department of Justice (2009). Retrieved from http://www2.fbi.gov/ucr/cius2009/data/table_05.html What Every American Should Know About the Criminal Justice System. Leighton, Paul (2007). Stop Violence. Retrieved from http://stopviolence.com/cj-knowledge.htm Merriam-Webster. Crime (2013). Retrieved from http://www.merriam-webster.com/dictionary/crime
Sunday, July 21, 2019
Study On The Alternative Medicine Reflexology
Study On The Alternative Medicine Reflexology Presently there are various methods of treatment for different types of diseases, such as cancer, asthma, and multiple sclerosis, and alternative medicine is becoming more prevalent among people despite the advanced technology. Many people nowadays try to avoid the use of medications because of the side effects. this is why people are attracted to alternative therapy techniques, because they want an effective treatment that is not costly and does not cause any harm. There are over a hundred different types of alternative medicine and the number is still growing. A few examples are: chiropractic, reflexology, hypnotherapy, reiki, ayurveda, kinesiology, homoeopathy, osteopathy, cranial therapy, various types of acupuncture, colour-therapy, massage, and sound therapy [1]. For example, Reflexology has been widely used in fields such as midwifery, orthopedics, neuroscience and palliative care [2]. 1.1 What is Reflexology : Reflexology is the physical act of applying pressure to the feet and hand with specific thumb, finger and hand techniques without the use of oil or lotion [3]. It is also called zone therapy, based on the notion that each body part is represented on the hands and feet and that pressing on specific areas on the hands or feet can have therapeutic effects on other parts of the body. The body is divided into 10 longitudinal zones-five on each side of the body. Each organ or part of the body is represented on the hands and feet; massaging or pressing each area can stimulate the flow of energy, blood, nutrients, and nerve impulses to the corresponding body zone and thereby relieve ailments in that zone[4]. Each part of the foot represent a reflex area that correspond to specific organ or part of the body, for example: the tips of the toes reflect the head the heart and chest are around the ball of the foot the liver, pancreas and kidney are in the arch of the foot low back and intestines are towards the heel This concept was furthered by physiotherapist Eunice Ingham into the modern practice of reflexology. Dr. William H. Fitzgerald, an ear, nose, and throat doctor, introduced this concept of zone therapy in 1915. American physiotherapist Eunice Ingram further developed this zone theory in the 1930s into what is now knows as reflexology. A scientific explanation is that the pressure may send signals that balance the nervous system or release chemicals such as endorphins that reduce pain and stress [11]. 1.2 The difference between Reflexology and Foot Massage: Reflexology is different from foot massage in that it involves more superficial contact, deeper pressure on certain parts of the foot and resembles a caterpillar-like movement. It has been claimed that by pressing the reflex zones, energy blocks or disturbances such as calcium, lactate or uric acid crystals are reabsorbed and later eliminated a process referred to as detoxification'[2]. In foot massage people typically use massage oil or lotion and use gentle gliding strokes all over the foot. Reflexology is quite different, while many people find reflexology relaxing. One of the reasons people often confuse the two is that some spas and salons advertise that they offer reflexology, but what people actually get is foot massage by a therapist who isnt properly trained or certified in reflexology [12 ]. 1.3 Reflexology Foot Chart: 1. Top of Head 2. Sinuses 3. Pituitary Gland 4. Temporal Area 5. Neck, Cervical 6. Upper Lymph Area 7. Parathyroid Gland 8. Ears 9. Eyes 10. Thyroid Glands 11. Shoulder 12. Lungs and Bronchi 13. Heart Area 14. Heart 15. Spine, Vertebra 16. Pancreas 17. Solar Plexus 18. Stomach Duodenum 19. Liver 20. Spleen 21. Spleenic Fixture 22. Gall Bladder 23. Adrenal Glands 24. Hepatic Flexure 25. Kidneys 26. Transverse Colon 27. Waist 28. Ureters 29. Ascending Colon 30. Descending Colon 31. Lumbar 32. Small Intestines 33. Sacral 34. Bladder 35. Ileo-Caecal Valve 36. Appendix 37. Sigmoid Flexure 38. Hip Lower Back 39. Coccyx 40. Sciatic Area 41. Rectum 42. Uterus 43. Prostate 44. Breast 45. Lymph Drainage 46. Fallopian Tubes 47. Lymph Nodes (Arm Pit) 48. Sacro Iliac Joint 49. Ovary or Testicle 50. Lymph Nodes (Groin) 51. Maxilla/Submaxilla (Jaw) 52. Tonsils 1.4 Reflexology Remedies: Some illness related to the: Skin: ACNE can be treated by applying pressure on specific areas; liver(19), gall bladder(22), adrenal glands(23), ureters(28), bladder(34), kidneys(25). Also ECZEMA can be relieved by applying pressure on other areas; Parathyroid glands(7), adrenal glands(23), kidneys(25), ureters(28), bladder(34). Digestive system: ANOREXIA can be treated by applying pressure on certain areas; Thyroid glands(10), stomach duodenum(18), small intestines(32), transverse colon(26), descending colon(30), rectum(41). GINGIVITIS can be treated by applying pressure on other areas; maxilla submaxilla(51), STOMACHACH can be relieved by applying pressure on this areas: stomach(18), and DIARRHEA NAUSEA by applying pressure on areas; Stomach duodenum(18), small intestine(32), ascending colon(29), transverse colon(26), descending colon(30), rectum(41), lymph areas(6). Circulatory system: HYPERTENTION can be treated by applying pressure on these areas: Head(1), kidneys(25), ureters(28), bladder(34), ear(8). ANEMIA; Stomach duodenum(18), liver(19), pancreas(16), small intestines(32), ascending colon(29), transverse colon(26), descending colon(30), spleen(20). HEART PROBLEMS can be treated by concentrating the applied pressure on these specific areas: Heart(14), stomach duodenum(18), small intestine(32), ascending colon(29) and IRON DEFECINCY be treated by applying pressure onthis area in the chart: spleen(20). Nervous system: ANEXIETY can be decreased by applying pressure on these areas as in the foot reflexology chart; Head(1), adrenal glands(23), kidneys(25), ureters(28), bladder(34), duodenum(18), small intestines(32), transverse colon(26), descending colon(30), rectum(41), EPELIPSY; Head(1), lymph areas(6). MIGRAINE can be relived by applying pressure on these areas: Head(1), frontal and temporal areas(4). BACKACH can be relieved by applying pressure on specific areas; Hip and lower back(38), spine(15). Immune system: TUMOR (CANCER) can relieved its symptoms by applying pressure on specific areas; Spleen (20), lymph areas (6), tonsil (52) (also reflex areas relating to the cancerous regions). Respiratory system: ASTHMA can be treated by applying continuous pressure on these areas: parathyroid(7), lungs and bronchi(12), kidneys(25), ureters(28), bladder(34), lymph areas(6). Also BRONCHITIS can be treated by applying pressure on certain areas such as parathyroid(7), lungs and bronchi(12), adrenal glands(23), lymph areas(6). Joints: PAIN IN THE HIP JOINT can be relieved by applying pressure on certain areas such as adrenal glands(23), kidneys(25), ureters(28), bladder(34), neck(5), hip(38). INFLAMMATION OF THE HIP JOINT can be treated by applying pressure on certain areas such as stomach duodenum(18), kidneys(25), ureters(28), bladder(34), hip(38), waist(27), vertebra and spine(15). And Parkinsons Disease can be treated by applying pressure on certain areas such as Head(1), neck(5), parathyroid(7), adrenal glands(23), stomach duodenum(18), pancreas(16), liver(19), small intestines(32), colon areas(26,29,30), kidneys(25), ureters(28), bladder(34), rectum(41) [14]. 1.5 History of Reflexology: Around the world and throughout history reflexology has been rediscovered and reinstated as a health practice time and time again by peoples around the globe seeking to deal with health concerns. Archeological evidence in Egypt (2330 BCE), China (2704 BCE) and Japan (690 CE) points to ancient reflexology medical systems. In the West the concept of reflexology began to emerge in the 19th century, based on research into the nervous system and reflex. While no direct evidence of direct cross-fertilization from ancient times has been discovered, the practice of foot and hand work in a variety of cultures, belief systems and historical periods speaks to reflexology for health as a universal bridging concept [3]. Reflexology was introduced into the United States in 1913 by William H. Fitzgerald, M.D. (1872-1942), an ear, nose, and throat specialist who called it zone therapy. He used vertical lines to divide the body into 10 zones. Eunice D. Ingham (1899-1974) further developed reflexology in the 1930s and 1940s, concentrating on the feet of Mildred Carter and a former student of Ingham subsequently promoted foot reflexology as a miraculous health method. A 1993 mailing from her publisher stated: Not only does new Body Reflexology let you cure the worst illnesses safely and permanently, it can even work to reverse the aging process, Carter says. Say goodbye to age lines, dry skin, brown spots, blemishes with Body Reflexology you can actually give yourself an at-home facelift with no discomfort or disfiguring surgery[4]. Some reflexologists who deny that they diagnose or treat disease claim that the majority of health problems are stress-related and that they can help people by relieving the stress associated with various diseases or body organs. And this type of double-talk is similar to chiropractic claims that subluxations lower resistance to disease and that adjusting the spine to correct subluxations will improve health [4]. 1.6 The benefits of reflexology: Our bodies are endowed with a wonderful self-healing potential. Sadly, this potential often remains unfulfilled because the vital energy pathways are blocked by illness, stress, congestion, injury, and toxicity. By applying a constant and alternating finger and thumb pressure to the feet and hands, the reflexologist induces a prolonged state of deep relaxation. Through relaxation, the body returns to a state of balance (known as homeostasis), as the energy flows freely from fingers and toes to the head, and only then can the body heal it [5]. It has also been suggested that reflexology may help release stress and tension, improve blood flow of the body and promote homeostasis. Anecdotal evidence has shown that reflexology is beneficial in many conditions such as pre- and postnatal discomfort, pain, migraine and chronic obstructive pulmonary disease. Other therapeutic effects, such as strengthening the immune system, improving sleep quality and wound healing, have also been claimed [2]. Reflexology like other forms of body work, can have a variety of benefits including [6]: Structural benefits: assistance with physical problems such as pain and mobility Emotional benefits: help in providing nurturing and holding Energetic benefits: restoring and mobilizing energy for self-healing The benefits of reflexology in general include [3]: Relaxation Pain reduction Amelioration of symptoms for health concerns Rejuvenation of tired feet Improvement in blood flow Impact on physiological measures (e. g. blood pressure and cholesterol; measurements by ECG, EEG, and fMRI) Beneficial for post-operative recovery and pain reduction Enhancement of medical care (e. g. cancer, phantom limb pain, and hemodialysis patients) Adjunct to mental health care (e. g. Depression, Anxiety, Post traumatic stress disorder) Complement to cancer care (pain, nausea, vomiting, anxiety) Easier birthing / delivery / post-partum recovery 1.7 The theories behind reflexology: The theory that reflexology definitely works with the central nervous system of the body is built on the studies done in the 1890s by Sir Charles Sherrington and Sir Henry Head, who showed that there is a neurological relationship between internal organs and the skin and the bodys nervous system can adjust to a stimulus. Therefore according to this theory, a pressure applied to the hands, feet or ears will send relaxing and calming messages to various parts of the body from peripheral nerves in the feet, hands and ears [7]. The Gate Theory and The Neuromatrix Theory also explain why reflexology produces relief from pain and stress. The theories suggest that the brain creates pain which is a subjective experience in response to cognitive or emotional factors; therefore ones moods and factors like stress and tension can affect our experiences of pain [7]. Thus reflexology therapy reduces pain by improving the mood and reducing stress. Another theory states that the human body has vital energy and there is congestion or choking of the energy flow which causes illness and disorders in the body [7]. Surgical interventions and medical therapies continue to evolve and offer hope to people with acute and chronic diseases. However, both patients and healthcare staff aware that technology and aggressive treatments are not the only answer to providing care and improving wellbeing. Stone (2001:55) suggests that both UK and US there has been a significant shift towards integrated health care and greater tolerance towards the inclusion of complementary therapies by governments and the medical fraternity. There is evidence to suggest that an increasing number of hospital trusts are employing therapists or allowing volunteer practitioners to provide therapies such as massage, aromatherapy and reflexology. There are also a growing number of research projects reporting on the use and benefits of reflexology and foot massage in hospital wards, managing pain, reducing anxiety, improving perceptions of care [6]. With the fast development of reflexology, now there is something called clinical reflexology, which is an advanced form of reflexology. It covers the application of reflexology within specific areas of clinical practice, including maternity care, and palliative care. Clinical reflexology is adapted to the clients needs using the most effective techniques to help with the clients problems and issues [15]. 1.8 There is an arguing about the use of touch therapies such as reflexology in the hospital, and Ashcroft (1994) has highlighted the stresses of hospitalization with acute illness [6]: The anxiety arising from being in an alien environment Being disturbed constantly for clinical observations and the administration of often uncomfortable medical investigations and treatments. Fear of dislodging intravenous and monitoring equipment Being unable to drink and eat normally Physical discomfort made worse by wounds, immobility, invasive catheters and sleep deprivation Intrusion from noise, light and smells Separation from friends and family 1.9 Where is Reflexology practiced nowadays, and for whom is used : Reflexology, although most commonly practiced in the community (Coxon 1998, Lett 2000) is now emerging as a choice for patients being cared for in mental health setting, maternity care and palliative care settings[6]. It has been suggested in the nursing literature that the introduction of reflexology and other complementary therapies in healthcare settings, could be an ideal non-pharmacological way of managing difficult symptoms, such as pain and nausea as well as reducing stress and limiting anxiety. Aside from the patient feeling the benefits, relatives too appear to gain satisfaction from the provision of reflexology [6]. Identifying when and for whom it is appropriate to offer reflexology present challenges. Currently, provision of reflexology in acute hospital settings is largely on an ad hoc basis, delivered by existing healthcare staff or as part of a pilot or research project (Dryden et al 1999) [6]. Volunteer reflexologists may visit wards and departments supervised by clinical staff, providing only short treatments without any remuneration to selected patients deemed suitable for treatment. Finding a mutually convenient time is important, avoiding mealtimes, ward rounds and at peak visiting in the early evening. Dryden et al (1999) found that the best time to offer treatment was early afternoon, when the ward had a rest period and there were few visitors [6]. 2. Many literature reviews about the studies that been conducted to see the effectiveness of reflexology technique on symptoms occurs in patients with chronic diseases such as cancer and osteoarthritis. A study done by Nancy L.N Stephenson et al. on the effects of Foot reflexology on anxiety and pain in cancer patients. It is a quasi-experimental, pre/post and crossover study. A sample of 23 inpatients from different medical/oncology units in hospitals of southeastern united states with breast or lung cancer were participants in this study. The majority of the sample were female, Caucasian and 65 years old or older who were receiving regularly scheduled opioids and adjuvant medications on the control and intervention day. The patients were divided into two groups randomly. Group A: receiving a foot reflexology to both feet for 30 minute total by a certified reflexologist in the first contacts and group B: receiving the same intervention in the second contact. The pain and anxiety were measured using two instruments; the VAS, the simpler one and the Short-Form McGill Pain Questionnaire (SF-MPQ) prior and post the intervention time. The VAS used to measure the anxiety, is a 10-cm lin e with verbal anchors at each end stating not anxious at all to the most anxious I have ever been(McGuire, 1988). Following the foot reflexology intervention, patients with breast and lung cancer experienced a significant reduction in anxiety. Also one of three pain measures showed that patients with breast cancer experienced a significant decrease in pain. An additional study is required to determine the effects of foot reflexology on pain as measured by the intensity sections of the SF-MPQ, the VAS and IPP. There were no significant decreases in pain between the two groups because the crossover design allowed the 23 patients to be their own control; some of them were taking medications to manage their pain. Limitation of this study were the small sample size and the crossover design [8]. When reflexology is provided in a palliative care setting it is essential that the patient is at the center of the treatment process because living and dying is ultimately a unique, intimate and personal journey. Reflexology can offer a means of relieving physical symptoms and of facilitating emotional and spiritual wellbeing, but requires the therapist to practice with awareness, sensitivity, intuition and adaptability. Reflexology cannot promise sustained improvements in physical health but can provide therapeutic touch and the space and attention to support patients in connecting their mind, body and spirit [2]. Reflexology can also be invaluable in helping carers to cope both before and after the death of their loved ones. It is vital that reflexologists acknowledge their contribution within the team of health professionals involved in caring for the person and the family and the need for practice to be based on contemporary evidence-based knowledge. Sensitivity and humility enable the practitioner in reflexology to provide holistic, individualized and appropriate care for people at perhaps the most difficult time of their lives [2]. Another study is done by Miss.Serawal Haera et al. about the effect of reflexology on joint pain in knee osteoarthritis patients on 21 May, 2003. A quasi-experimental research method was used, a sample of 30 knee osteoarthritis patients with pain were selected by purposive method at the orthopedic clinic, outpatient department of Phrae Hospital. Simple change-over design was used in this study to compare the difference of joint pain scores among patients before and after intervention. The subjects were randomly assigned to the experimental period first followed by the control period, and vice versa. In the experimental period patients received reflexology for 1 hour/day for 7 days, and in the control period patients didnt receive reflexology for 7 days. The instrument for data collection were demographic data and information about knee osteoarthritis, the assessment of joint pain in patients with knee osteoarthritis, and a daily record of joint pain, medication used and daily activi ties. The data were analyzed by using frequency, mean, standard deviation and ANOVA for simple change-over design. The results of this study showed that the joint pain score in the experimental period after receiving reflexology was statistically significantly lower than during the control period. What this study revealed is that reflexology can be use as a complementary therapy to relieve joint pain and decrease drug used for pain relief [9]. In the study by Siev-Ner et al. (2003) the reflexology group demonstrated statistically significant symptom relief in a study of patients with multiple sclerosis. Compared with no improvement in the massage group, scores for urinary symptoms, paresthesia and spasticity were statistically significantly improved, whereas muscle strength revealed only borderline improvement at the end of reflexology. The improvement in paresthesia remained statistically significant at the 3-month follow-up [2]. Statistically significant reductions in the severity of hot flushes and night sweats, measured by a visual analogue scale (VAS), were reported after 6 weekly sessions of reflexology, but no statistically significant difference was found between the groups receiving reflexology and non-specific foot massage for menopausal symptoms in the study conducted by Williamson et al. (2002). In terms of general well-being, both the reflexology and non-specific foot massage groups demonstrated an improvement in the Womens Health Questionnaire (WHQ) score. However, the difference between the two groups was not statistically significant. Similarly, although improvements in the two sub scores (anxiety and depression) of the WHQ were detected, there was no statistically significant difference between the reflexology and foot massage groups [2]. In the study by Brygge et al. (2001), the outcomes of lung function tests including peak expiratory flow (PEF) and the ratio between forced expiratory volume in 1s and forced vital capacity (FEV1/FVC) did not improve after reflexology in patients with bronchial asthma. In addition, the reflexology group was not superior to the sham foot massage group in lung function improvement [2]. No statistically significant changes in patients with irritable bowel syndrome were observed either within or between the reflexology and sham foot massage groups in the study by Tovey (2002). Abdominal pain, constipation/diarrhea, and bloating remained unchanged after the reflexology treatment [2]. Also about the edema of the feet in late pregnancy, women with oedema in late pregnancy perceived less swelling and tightness as compared with the pretest level in the reflexology treated group, according to Mollart (2003). However, there was no statistically significant improvement in mean ankle and foot circumference measurements after lymphatic reflexology. There were also no statistically significant differences among the lymphatic reflexology, relaxing reflexology and rest groups [2]. These studies showed that reflexology is can be used as one of the effective techniques in physical therapy treatments, because it showed an effective results in treating the symptoms of the common diseases that been treated with physical therapy such as pain in cancer, osteoarthritis, LBP, and MS. Reflexology also shows it is effectiveness in pregnancy and childbirth. Women who actively choose to receive regular reflexology during pregnancy have been shown to gain a degree of relaxation that indirectly impacts on the developing fetus [6]. Some women may have been attending for treatment prior to conception and may even have sought help for infertility, subfertility, or premenstrual syndrome. Anovulatory infertility may be resolved through the stimulation of the reflex zones for pituitary gland and ovaries whilst general relaxing reflexology can be helpful where stress and anxiety appear to be contributory factors. Stress, tension, anxiety and fear affect every pregnant woman to a greater or lesser degree [6]. Reflexology can have profound benefits at this time, although whether this is due to physical effects of reflexology, the therapeutic value of human touch or the psychological effects of interaction with the therapist is debatable. Specific physiological disorders of pregnancy can be treated effectively with reflexology or reflex zone therapy. Some physiological conditions respond with just one or two treatments of no more than 10 minutes duration, with no further appointments being necessary. These include nausea and vomiting, constipation, carpal tunnel syndrome and heartburn. Also reflexology can be extremely relaxing, pain relieving and psychologically comforting during labour. Following delivery, reflexology can be used to treat women with physiological disorders of the puerperium, including constipation, haemorrhoids, perineal discomfort and inadequate lactation. Relief from ongoing discomfort following epidural anesthesia, such as backache, neck pain or headache, can also be obtained (Tiran 1996) [6]. 3. The contraindications for reflexology are [10]: If the patient has contagious or acute infectious disease recent surgery of malignant tumor foot wounds, burns or infection deep vein thrombosis/phlebitis pregnancy (treatment should be done with caution to certain reflexes and caution should be taken particularly in the early stages of pregnancy) avoid reflexology when you are using alcohol or street drugs or strong pain medication such as morphine recent or healing fractures active gout affecting the foot osteoarthritis affecting the ankle or foot or severe circulation problems in the legs or feet should seek medical consultation before starting reflexology 4. The recommendations for developing and integrating reflexology in clinical practice [6]: Evaluate hospital provision of reflexology for benefits and find the best ways of delivering treatment through quality research and audit activities. Presentation of conference papers, workshops and poster sessions on complementary therapies, such as reflexology, covering various specialties. Share best practice in reflexology in journals covering a wide range of clinical areas, e.g. intensive care, accident and emergency, and orthopaedics Establish and/or practice in complementary therapy/reflexology networks and specialist interest groups to obtain support and share best practice. Establish and/or practice in a Trust or hospitals Complementary Therapy Committee Ensure that only qualified complementary therapists with experience in managing patient care in the private and public healthcare sectors are employed Support practitioners to complete courses in specialist application Provide and support supervision and management arrangements for all practitioners providing reflexology, for example, by employment of a Complementary Therapy Coordinator/Practitioner 5. Conclusion: Reflexology should not be considered a cure for any condition. It is used to relieve or reduce symptoms, problems, and stress affecting the body. Health professionals should be cautious about a reflexologist who claims that this is a valid way of assessing health or for treating diseases. Even reflexology is not a cure but is a technique to reduce the symptoms associated with chronic diseases. From my perspective, I think that physiotherapist should become familiar with the benefits of reflexology and master this amazing technique so they can use it in their treatment sessions; because it is effective in reducing anxiety and pain in cases of chronic diseases such as cancer. There is very little researches about the effects of reflexology. As such studies were set up to examine the effects of reflexology treatments on cancer, arthritis, LBP, MS and pregnancy symptoms, the results were qualitative and quantitative and showed that there are a number of areas of possible benefit for pati ents with these chronic diseases. But a larger scale study with a longer time frame is needed for a full evaluation of these effects. At the end, I would like to clarify that physical therapy is different from reflexology, but that does not prevent to use it in the treatment of some chronic conditions that are difficult to relief their complicated symptoms by using only physical therapy techniques.
Saturday, July 20, 2019
Was British Industry Inefficient? :: essays research papers
By the 1870s, Britainââ¬â¢s economy was enviable by the rest of the world as they set the pace in industrialising. However, her pre-eminence (GPD per capita exceeded that of America by one-third) wavered in this period preceding World War I. To determine whether this change was due to inefficiencies in British industry requires recognition of the contrasts between Britain and America. Although Americaââ¬â¢s economy improved vis-à -vis Britainââ¬â¢s, this was out of Britainââ¬â¢s control due to exogenous variables. à à à à à Neoclassical economic growth theory states that technology is a precursor to higher living standards and productivity gains. Britain and America were very different economies and as a result faced very different economic prospects in the late 1800s. For instance, the population in Britain grew by nearly two-fold between 1860 and 1910 whilst the America trebled. Britainââ¬â¢s domestic market was not only smaller, but consumer demands were much less homogenous than in America due primarily to cultural ties and wage inequality. Many sole proprietorships and partnerships developed in response to these tastes through niche markets, producing highly specialised goods. America had a national, homogenous market in which large corporations profited from economies of scale and mass production. Factor differences between the two nations resulted in Britain benefiting from her highly skilled labour, two-thirds of which were employed with companies of less than 250 people. America, with its abundance of land and raw materials, focused on using capital intensities in production rather than relying on the relatively more expensive skilled labour. One similarity of both nations was the decline of employment in agriculture by the late 19th century, which freed up labour to be utilised in other industries. à à à à à Growth opportunities in British industry were hampered in several ways. The tendency around the 1870s was for Britain to encourage small, specialised companies to compete primarily in staple industries such as cotton, coal, iron and steal, and shipbuilding. The high level of specialised products prevented technological transfers from overseas in developing markets and these companies did not benefit from economies of scale. British entrepreneurs were less likely than their American counterparts to discover innovative techniques, such as the assembly line used successful in car manufacturing by Henry Ford in the early 1900s. This lack of adaptability was not a blemish on British industry because it was not relevant to consumer demands at home. Also, the implementation of a free trade policy in Britain, despite its merits, made it exceedingly difficult for British industries to compete in the world market when nations such as America and Germany pursued protectioni sm to shield ââ¬Ëinfant industriesââ¬â¢ from international competition via tariffs.
Friday, July 19, 2019
Shakespeares Othello - Iago has No Conscience :: GCSE English Literature Coursework
Iago of Othelloà à Iago has no conscience. He is an angry man and is happy to take down everyone around him to get what he wants: revenge. It is in Act 1, Scene 3, that he devises his evil plan. Here we can see inside Iago's mind. It is easy to see that his primary motivation is jealousy: jealousy that Othello may have slept with his wife, and jealousy that Othello chose Cassio over him. As he plots his revenge, it is clear Iago respects and cares for no one. (Act 1, Scene 3, 378-381) I hate the Moor, And it is thought abroad that ââ¬Ëtwixt my sheets H'as done my office. I know not if't be true, But I, for mere suspicion in that kind, Will do, as if for surety. Iago states here he suspects Othello may have slept with his wife. He is not sure of this, but declares that surety is not necessary. I believe Iago is not so much concerned with his wife being unfaithful, but that he can't stand the thought that it may have been with Othello. (Act 1, Scene 3, 381-382) He holds me well; The better shall my purpose work on him. This shows how conniving Iago is. He will use the fact that Othello trusts him to get his revenge. (Act 1, Scene 3, 383-385) Cassio's a proper man. Let me see now; To get his place, and to plume up my will In double knavery. How? How? Let's see. Here "double knavery" means to pull off one stunt and obtain two desired outcomes - to get Cassio's position (which he felt he deserved) and to make himself appear respectful for his ego's sake. Another benefit of getting Cassio's position is he can be closer to Othello. When he accomplishes this, he will be able to obtain even more trust from Othello and begin manipulating him to believe that Cassio and Desdemona are having an adulteress relationship: (Act 1, Scene 3, 386-389) After some time, to abuse Othello's ears That he is too familiar with his wife. He hath a person and a smooth dispose To be suspected - framed to make women false. Iago knows that Othello is a man of integrity and therefore, believes others to be so until proven differently. Iago has no respect for integrity and consequently, has no respect for Othello. This is obvious in his reference to Othello as an "ass" which can "tenderly be led by th' nose. Shakespeare's Othello - Iago has No Conscience :: GCSE English Literature Coursework Iago of Othelloà à Iago has no conscience. He is an angry man and is happy to take down everyone around him to get what he wants: revenge. It is in Act 1, Scene 3, that he devises his evil plan. Here we can see inside Iago's mind. It is easy to see that his primary motivation is jealousy: jealousy that Othello may have slept with his wife, and jealousy that Othello chose Cassio over him. As he plots his revenge, it is clear Iago respects and cares for no one. (Act 1, Scene 3, 378-381) I hate the Moor, And it is thought abroad that ââ¬Ëtwixt my sheets H'as done my office. I know not if't be true, But I, for mere suspicion in that kind, Will do, as if for surety. Iago states here he suspects Othello may have slept with his wife. He is not sure of this, but declares that surety is not necessary. I believe Iago is not so much concerned with his wife being unfaithful, but that he can't stand the thought that it may have been with Othello. (Act 1, Scene 3, 381-382) He holds me well; The better shall my purpose work on him. This shows how conniving Iago is. He will use the fact that Othello trusts him to get his revenge. (Act 1, Scene 3, 383-385) Cassio's a proper man. Let me see now; To get his place, and to plume up my will In double knavery. How? How? Let's see. Here "double knavery" means to pull off one stunt and obtain two desired outcomes - to get Cassio's position (which he felt he deserved) and to make himself appear respectful for his ego's sake. Another benefit of getting Cassio's position is he can be closer to Othello. When he accomplishes this, he will be able to obtain even more trust from Othello and begin manipulating him to believe that Cassio and Desdemona are having an adulteress relationship: (Act 1, Scene 3, 386-389) After some time, to abuse Othello's ears That he is too familiar with his wife. He hath a person and a smooth dispose To be suspected - framed to make women false. Iago knows that Othello is a man of integrity and therefore, believes others to be so until proven differently. Iago has no respect for integrity and consequently, has no respect for Othello. This is obvious in his reference to Othello as an "ass" which can "tenderly be led by th' nose.
Who is Most Responsible for the Death of Eva Smith in An Inspector Call
Who is Most Responsible for the Death of Eva Smith in An Inspector Calls An Inspector Calls is what is known as a well constructed play. Its progression is that of ignorance to knowledge. The characters are the Birling family, Gerald Croft and of course the formidable Inspector Goole. All the characters start off in a lulled sense of security. Sheila begins very pleased with her life and with her fiancà © Gerald Croft, as one might who is getting married. Gerald is introduced as the well-bred upper-class man about town. Eric, Sheilaââ¬â¢s brother starts off shy and progresses through the play, as does Sheila. Meanwhile Mr and Mrs Birling are self-centred upper class adults who look down on anyone below them, even their own children. The entrance of the inspector shatters the whole familyââ¬â¢s security and confidence as he tells them a girl called Eva Smith has died in the Infirmary after drinking disinfectant, consequently burning out her insides. The cracks in the Birling family ship begin to show. All of this is represented by the Titanic as people considered the boat to be unsinkable and yet it proved them wrong and sunk, the Birling family think themselves unsinkable and yet their boat eventually sinks too. Arthur Birling is moved to anger by the Inspectorââ¬â¢s confrontational manner and accusation of sacking Eva Smith. Gerald, meanwhile, is in agreement with Birling and says, ââ¬Å"I know I would have done the same thing.â⬠Eric takes his fatherââ¬â¢s sacking of Eva personally and replies, ââ¬Å"It isnââ¬â¢t as if you cannot go and work somewhere else.â⬠Mr Birling sacked Eva because she went on strike with several other girls to get twenty-five shillings a week instead of twenty-two and six. Sheila is next to be examined by... ...s thing to do. Eric and Sheila, characters representing the younger generation learnt from this tragic episode and finally realised that their actions do have consequences, and progressed and matured by the end of the play. In my opinion, Gerald also learnt to be more humble and considerate, and clearly demonstrates his sorrow at the tragic death of Eva ââ¬â he is also a member of the younger generation of the Birling family, although obviously one episode is not going to wipe out years of indoctrination by the Birling family! Mr and Mrs Birling do not change at all and have obviously learnt nothing from the death of Eva. They are the same cold-hearted people as previously. The Birlings and Gerald Croft are examples of the unscrupulous people in the world who exist the. Play highlights that you never know who is aware of your wrong doings and actions.
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