Friday, August 14, 2020
How Long Does Buprenorphine Stay in Your System
How Long Does Buprenorphine Stay in Your System Addiction Drug Use Opioids Print How Long Does Buprenorphine Stay in Your System? Buprenorphine in Your Blood, Urine, Hair, Saliva By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Medically reviewed by Medically reviewed by Steven Gans, MD on December 13, 2015 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on December 06, 2019 Joe Raedle/Staff/ Getty Images More in Addiction Drug Use Opioids Cocaine Heroin Marijuana Meth Ecstasy/MDMA Hallucinogens Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery In This Article Table of Contents Expand Effects Duration Factors That Affect Detection Time Elimination Symptoms of Overdose Getting Help View All Back To Top Buprenorphine is in a class of medications called opioid partial agonist-antagonists. It is used in transdermal patches and buccal films for people who need round-the-clock medication for pain but cant be treated with other pain-relieving medications. It is also used to prevent withdrawal symptoms for people who stop taking opioid drugs by producing similar effects to these drugs.?? Buprenorphine is sold under the brand names Suboxone (buprenorphine and naloxone), Subutex, Belbuca, Buprenex, Butrans, Temgesic, and Bupe. Buprenorphine and products containing buprenorphine are classified as Schedule III drugs, meaning they are considered to have a moderate to low potential for physical and psychological dependence. Learning how buprenorphine acts in your system and what interactions there can be with other drugs can help understand precautions and how to prevent an overdose. How Long Does Buprenorphine Stay in Your System? Blood: Up to two daysUrine: Up to six daysSaliva: Up to three daysHair: Up to 90 days How Suboxone (Buprenorphine) Can Treat Opiate Addiction How Long Does It Take to Feel Effects? Buprenorphine is a partial agonist that works by activating opioid receptors in the brain. This effect is less pronounced than in the case of opioids such as methadone and heroin.?? Activating the brains opioid receptors results in a reduction in opiate withdrawal symptoms. Essentially, the drug satisfies the brains need for opiates while avoiding the euphoric effects of opiate drugs. The amount of time it takes to begin feeling the effects of this medication varies depending on your bodys individual factors. Buprenorphine reaches peak blood concentration levels in about 40 minutes to three and a half hours.?? Once you have taken a dose of the medication, the effects can last for up to three days. The effects of buprenorphine are on the opioid pain receptors in the brain and spinal cord, but it also depresses the respiratory centers of the brain. It produces pinpoint pupils. It reduces the motility of the gut, which can lead to constipation. It also is a vasodilator and so it can produce flushed skin, sweating, and feeling faint when you get up after lying down or sitting. How Long Does Buprenorphine Last? Buprenorphine has a long half-life of 24 to 42 hours. It is broken down by the liver and excreted in the bile and kidneys into the urine and feces. For the combination product Suboxone, which includes both buprenorphine and naloxone, the naloxone has a shorter elimination period with an elimination half-life from two to 12 hours. Buprenorphine is a powerful, long-lasting drug and even if you take it according to your doctors instructions, you must be monitored for possible severe reactions, especially when first taking buprenorphine or when the dosage is changed. The FDA website contains Medication Guides for many of the brand names of buprenorphine-containing products. You should consult your doctor or these guides for specific precautions, restrictions, and further information for each product. Buprenorphine has a different metabolite (norbuprenorphine) than commonly misused opioids and it may not be tested for on a urine or saliva drug screen such as used for employment. However, testing for it has become more common. If you have been prescribed buprenorphine or the combination product Suboxone, you should disclose it to the testing laboratory so your results can be properly interpreted. Lab tests usually involve the use of gas chromatography or liquid chromatography methods. However, some drug screenings used by employers are not able to detect this substance. It may be detected in a targeted opioid urine screen or a specific buprenorphine urine screen. Urine testing is the most common method, but blood, saliva, and hair testing can also detect buprenorphine, but such methods tend to be used less frequently. Urine Buprenorphine is detectable in urine for up to six days after the last use. Because this medication is often used to prevent opioid withdrawal symptoms, it is important for labs to be able to distinguish between prescription buprenorphine use and non-prescription opioid use. Research suggests that doses taken as part of buprenorphine maintenance show up in urine at significantly lower levels than that of heroin, meaning that routine urine testing can be used to distinguish between this medication and illicit heroin use.?? Blood While blood tests tend to be used less frequently due to their invasiveness and higher costs, buprenorphine is detectable by blood analysis for up to two days after the last dose. Blood tests also have a much shorter detection window than urine tests and are often best used relatively quickly after a person has taken their last dose of the medication. Saliva Research suggests that saliva tests can be a fast and accurate tool for detecting the presence of buprenorphine.?? Saliva tests may be used more frequently because they are easy to administer and have a slightly longer detection window than blood tests. Buprenorphine can be detected in saliva for approximately three days after the last use of the medication. Hair Research has also found that buprenorphine can be detected in hair samples.?? As with other substances, the detection window for hair testing is much longer. Buprenorphine can be detected in head hair follicle samples for up to three months after the last use. False Positive Testing While a useful, simple, and inexpensive tool, immunoassays (one of the most common types of urine drug screen) can give false-positive results. There have been reports of the several medications triggering a false-positive result for buprenorphine, including: High-dose morphine??Tramadol??Codeine??Solian (amisulpride)??Dogmatil (sulpiride)?? As with most positive results, testing to identify specific drugs, rather than classes of drugs, is needed to confirm a positive urine drug screen. To ensure clinicians can accurately interpret your drug screen results, always disclose any prescription or over-the-counter medications you are taking. Factors That Affect Detection Time There are a number of different variables that can influence how long it takes for your body to metabolize and eliminate buprenorphine. Some of the factors that can play a role in how long this substance remains in your system include age, liver function, and overall health. Age It is advised that caution should be used when prescribing buprenorphine medications to older adults due to decreased cardiac, hepatic, and renal functioning.?? The presence of other diseases and the use of other medications may also impact how fast buprenorphine is cleared from the body. Older adults may need to take this medication in smaller doses in order to avoid toxicity. Liver Function Because buprenorphine is metabolized and excreted primarily by the liver, hepatic impairment can influence how long it takes for the medication to be processed and cleared from your system. Studies found that the half-life of buprenorphine is longer for individuals with moderate to severe liver impairment.?? Overall Health Your overall health has an influence on how well your body processes and excretes different substances, including buprenorphine. If you are in good condition and have a faster metabolism, you may clear the substance at a somewhat higher rate. People with slower metabolisms, on the other hand, may take longer to eliminate the medication from their systems. Trying to estimate exactly how long buprenorphine is detectable in the body depends on many variables, including which type of formulation of the drug is used, whether it is in combination with other drugs, and individual metabolism. How to Get Buprenorphine Out of Your System While buprenorphine is not detected by standard screenings, it is possible that an employer may conduct a specific test designed to detect the substance. In such cases, it is important to know that you are within your rights to use the drug as long as you have a prescription. If you want to get this substance out of your system, the first step is to stop taking the medication. If you stop using buprenorphine suddenly, however, you may have withdrawal symptoms. Always consult your doctor before discontinuing your medication. If you want to speed up how quickly the drug is metabolized and eliminated from your system, make sure that you get regular exercise, follow a healthy diet, and drink plenty of water, which may help improve your bodys metabolic rate. Symptoms of Overdose Symptoms of a buprenorphine overdose can include: Pinpoint pupilsExtreme drowsinessDizzinessBlurred visionSlowed breathing If you suspect someone has overdosed on buprenorphine, call the poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call 911. Risk of Drug Interactions There are many drug interactions with buprenorphine that can lead to severe and possibly fatal reactions. Do not drink alcohol or take any medications that include alcohol white taking buprenorphine. Do not take any street drugs. While you need to discuss all medications, supplements, vitamins, and over-the-counter drugs with your doctor, the following are generally of the biggest concern for harmful interaction with buprenorphine: benzodiazepines (such as Xanax, Librium, Klonopin, Valium, Diastat, Ativan, Restoril, Halcion, and others), muscle relaxants, sedatives, sleeping pills, tranquilizers, pain medications, and medications for mental illness and nausea. Getting Help While it is possible to become dependent upon buprenorphine, it is less addictive than opioids such as morphine and heroin. Managed use of the substance allows people to slowly taper off their dose as they go through treatment. Buprenorphine withdrawal symptoms are similar to those of opiate drugs but usually milder. Common symptoms can include nausea, headaches, flu-like symptoms, body aches, mood swings, and difficulty sleeping. The worst of these symptoms usually pass in the first three to five days, but milder symptoms may continue for a few weeks. If you are concerned about your buprenorphine use, talk to your doctor about other treatment options for opioid use disorder. Options may involve switching to another type of medication-assisted treatment or using psychological strategies such as cognitive-behavioral therapy (CBT) or contingency management (CM) to support your long-term recovery. If you need help finding treatment resources, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) at 1-800-662-4357 or utilize their online treatment locator. Treatment Options for Opioid Addiction
Sunday, June 21, 2020
Recurring Purposes Within Dickens Novels - Literature Essay Samples
Charles Dickens was a famous critic of his time. He took on Victorian ideals and issues that he viewed as social injustices and criticized them, both in public speeches and in his writing. In his novels, these were primarily subjects like poverty and what he viewed as problems with the English government: Oliver Twist points out poverty and crime; Bleak House comments on the Court of Chancery and the social activism of the time; A Tale of Two Cities marginally focuses on both poverty and comparing and criticizing the French and English governments. With these three novels, Dickens was able to make strong statements about the problems within English society. All three of these novels are strongly critical of society, though in different ways. The major way that theyââ¬â¢re critical is by pointing out the problem of poverty, with both Oliver Twist and A Tale of Two Cities making a strong effort to do this. Bleak House and A Tale of Two Cities both highlight some problem within the governments, whether thatââ¬â¢s the Court of Chancery being useless and more trouble than itââ¬â¢s worth, or showing the problems with the aristocracy. Dickens felt so strongly about the poor because he came from a poor background. As a youth while his father was sent to debtorââ¬â¢s prison, he was forced to work by himself to survive, and thus got a small taste of poverty. Though he was soon able to go back to school when his father was released, it obviously left a large impression on his life. He also later worked as a court reporter, and thus became familiar with court workings and the ways that they affected people. This, along with the death of his father and daughter very close together, which lead to a darker period in his life and his writing, made him more critical of English society and its customs. In Oliver Twist Dickens illustrates the horrible living conditions of the poor. He does this by starting Oliver out in the poorhouse, where he gets very little food and is constantly mistreated. While Oliver is mistreated more than others in the poorhouse, the conditions there are miserable for everyone. Throughout the book references are made as to how the people living at the very literal bottom of the barrel are mistreated. For example, the poor in the parish are often cast off to some other place because theyââ¬â¢re seen as a burden. ââ¬Å"we find it would come two pound cheaper to move em than to bury emââ¬âthat is, if we can throw em upon another parish, which I think we shall be able to doâ⬠(Oliver Twist 149) In this instance, the poor people in question are being moved because theyââ¬â¢re on the verge of death. Rather than pay what it costs to bury them, the parish would rather move them before they die so that they die somewhere else. The parish is doing thi s solely because itââ¬â¢s cheaper, and they care more about how much money they spend, rather than the conditions that the people live in or making sure that these people live decent lives. When people are poor sometimes they have no choice but to turn to crime, which is why Fagin is able to so easily find and control boys. They have nowhere else to go and they need money and a place to stay, or they wonââ¬â¢t survive, so being a pickpocket or a robber is an easy answer. Oliver isnââ¬â¢t so easily swayed because he has a ââ¬Ëpurerââ¬â¢ soul than the others, but he could have easily ended up in the same situation as them. In Bleak House, the Court of Chancery is the main focus of the novel, and itââ¬â¢s cast in a very negative light. The various suits that the Court of Chancery sees are not only shown as bad and damaging to those involved, but the court itself is shown as harmful. For example, Mr. Jarndyce constantly advises Richard not to get involved in the suits, but he doesnââ¬â¢t listen and in the end he almost loses everything: his love, his family, and he does indeed lose his money as a result. Miss Flite is portrayed as crazy, having become obsessed with the Jarndyce case, and various other characters are also affected in negative ways by other Chancery suits. The first example alone sends a very strong message about the risks of getting involved with the Court- the case will be settled in the end but it wonââ¬â¢t be worth the effort it takes to get there. If you end up crazy, dead, or destitute along the way, what is the point of even taking a suit to the Court of Chancery? Dickens m essage seems to be that the Court of Chancery is a detrimental relic within English society, and should be gotten away with. Many characters in this book also talk about making change in other parts of the world but fail to recognize or do anything about the problems in their own country. The Jellybysââ¬â¢ are some such people and theyââ¬â¢re shown in an almost comical way, because Dickensââ¬â¢ seems to be mocking those who were so obsessed with ââ¬Ëactivismââ¬â¢ overseas. In becoming so concerned with Africa and establishing colonialism over there, Mrs. Jellyby loses touch with and neglects her entire family, preferring to dictate useless letters to anyone and everyone rather than stop and listen to her daughter for a moment. The message about this is that Dickens wants so-called social activists, and really everyone in general, to wake up and notice the problems right there at home. A Tale of Two Cities begins with a comparison of France and England in the past and present times. This makes it clear that though the majority of the novel is chastising the French government during the revolution- both the monarchy and the rebels- there are dreadful similarities between the situation of the revolution and of Dickens-era Victorian England. There are also multiple instances where Dickens points out the terrible conditions that the poor of France live in, while comparing it to the outrageous extravagance of the wealthy. Take, for instance, the time when the wine cask is dropped in the street outside of the Defargesââ¬â¢ wine shop and all the poor do anything they can to drink the wine off the street, then return to their doorsteps to starve. Compare that to the description of Monseigneurââ¬â¢s morning ritual, with the four men to bring him his chocolate, and the grandiose obscenity of his mansion in the country while the village heââ¬â¢s responsible for lives in poverty. While Dickens is quick to condemn the actions of the poor when they go overboard during the Revolution and murder anyone they deem to be the cause of their misfortunes, heââ¬â¢s equally as quick to point out the problems with the aristocracy and their constant lack of concern for the lower classes. This last part is even further illustrated again with Monseigneur, when he runs over the child in town with his carriage and blames the people for the death: ââ¬Å"ââ¬Å"It is extraordinary to me,â⬠said he, ââ¬Å"that you people cannot take care of yourselves and your children. One or the other of you is for ever in the way.â⬠â⬠(A Tale of Two Cities 115). He callously tries to bribe the man for the death of his child, and refuses to take responsibility for his actions. This shows the attitude that most of the aristocracy have towards the poor, blaming them for their own misfortunes even when someone else was at fault. Dickens was so critical of these things because he wanted to make some form of change in English society. He went to a great deal of effort to emphasize these points, and would talk about them outside of his novels, on his speaking tours. Because Dickens had actually lived through situations similar to what he was writing about in his life, he was able to accurately capture how people really lived. In the end, people were very receptive of Dickens writings despite the fact that they were examining so many things in such a cynical light, and they were and are much loved. The approach he took to analyzing society was an incredibly successful one, and some of his arguments are still relevant even in todayââ¬â¢s society.
Sunday, May 24, 2020
THE EVALUATION OF CAPITAL BUDGETING DECISIONS - Free Essay Example
Sample details Pages: 7 Words: 1962 Downloads: 9 Date added: 2017/06/26 Category Finance Essay Type Research paper Did you like this example? Capital budgeting refers to the process to make decisions concerning investments in the long-term assets of the firm. The general idea is that the capital, or long-term funds, raised by the firms are used to invest in assets that will enable the firm to generate revenues several years into the future. Often the funds raised to invest in such assets are not unrestricted, or infinitely available; thus the firm must budget how these funds are invested. Donââ¬â¢t waste time! Our writers will create an original "THE EVALUATION OF CAPITAL BUDGETING DECISIONS" essay for you Create order Capital budgeting is a required managerial tool. One duty of a financial manager is to choose investments with satisfactory cash flows and rates of return. Therefore, a financial manager must be able to decide whether an investment is worth undertaking and be able to choose intelligently between two or more alternatives (https://allinterview.com/showanswers/119355.html ) To do this, a sound procedure to evaluate, compare, and select projects is needed. This procedure is called capital budgeting. Capital budgeting refers to the process in which the investments are worth pursuing. Whether the project is based on long term investment or building a new plant. Frequently, the cash inflows and outflows are assessed in order to reach a decision whether the returns propagated meet a sufficient target. The title Evaluation of capital Budgeting Decisions at TNPL aims at expanding the plant using various non discounting capital budgeting evaluation methods. (https://www.tnpl.com/tnpl/tech nology.htm) REASON FOR DOING THIS STUDY: At present TNPL has two paper machines, which produce both newsprint, and printing writing paper with an installed capacity of 2,45,000 Tons per annum. TNPL has now embarked on a Mill Expansion Plan (MEP) which aims to increase the paper production capacity to 4,00,000 Tons per annum. Since it involves a large capital outlay of approximately thousand crore rupee, this necessitates the need to evaluate the capital budgeting decision. (https://www.tnpl.com/tnpl/technology.htm) PURPOSE: The process of determining which potential long-term projects are worth undertaking, by comparing their expected discounted cash flows with their internal rates of return. Capital budgeting decisions play a pivotal part in appraising and selecting capital investments in any business organization. The main purpose of the study is therefore to evaluate the capital budgeting decision of TNPL by using various tools and techniques of capital budgeting. LITERATURE: DCF Techniques and Nonfinancial Measures in Capital Budgeting: A Contingency Approach Analysis. This study empirically examines capital budgeting methods. Both discounted cash flow (DCF) techniques and nonfinancial measures are widely used in capital budgeting. However, DCF techniques are more important than nonfinancial measures, and nonfinancial measures appear to serve as a partial substitute when DCF analysis is less efficient. (https://webcache.googleusercontent.com) The study shows that product standardization affects both capital budgeting methods, as hypothesized. Firms with high product standardization tend to place more emphasis on DCF analysis, while firms with low standardization are more likely to focus on nonfinancial measures. An appropriate fit under contingency theory between product standardization and the two capital budgeting methods is significantly associated with a firms satisfaction with the capital budgeting process. (Chen and Shimin, Behavioral research in accounting, 2008) Chen (1995) studied the use of different quantitative evaluation tec hniques across three types of investments. They are equipment replacement, expansion of existing products, and expansion into new products. The certainty of the related cash flows varies greatly when comparing proposals for routine equipment replacement and expansion into new products. He found DCF techniques are widely used than non-DCF techniques.(Chen and Shimin, The engineering economics, 1995) Capital Budgeting and the Financing Decision: An Exposition: This article attempts to better integrate analysis of the capital structure and capital budgeting decisions on a relatively straightforward level. The analysis in this article rests on a number of simplifying assumptions under which all of the valuation methods and capital budgeting procedures are equivalent. Most productive assets are not employed directly by individuals. Instead, the advantages of specialization and limited liability encourage corporations to act as intermediaries, holding and managing physical assets and issuing securities to individual investors. If firms are to evaluate projects in terms of investors opportunities, they must be able to compare the characteristics of their own projects with those of financial claims available in the market. The article concludes that different approaches to the valuation problem lead to different cost of capital measures and that all of these may be used to construct a capital budgeting procedure. Under the simplifying assumpti ons employed in the paper, there is no logical reason to prefer one procedure to another, and the financial manager could let his choice of procedures be governed by the form in which he finds it easiest to come up with a cost of capital estimate. (Robert A, Taggart Jr, Financial Management, 1972) CAPITAL BUDGETING DIFFERENCE: This study breaks down the use of capital budgeting procedures between industries. While it is easy to state that the use of capital budgeting analysis has become more sophisticated over the decades, the question remains as to whether different industries have followed the same pattern. Three hundred two Fortune 1,000 companies responded to a survey organized along industry lines. Chi-square independence of classification tests indicated that a null hypothesis of no significant relationship between industry classification and capital budgeting procedures could be rejected in a number of decision-making areas including goal setting, rates of return, and portfolio considerations. Just as industry patterns affect financing decisions (debt vs. equity), they also affect capital budgeting decisions, and this study emphasizes that point. (Block, Stanley. Engineering Economist, 2005) WHAT AM I GOING TO FIND OUT? To analyze the capital budgeting decisions of TNPL using IRR, NPV, PI and other evaluation methods. IRR- INTERNAL RATE OF RETURN NPV-NET PRESENT VALUE PI-PROFITABILITY INDEX To study about the Mill Expansion Plan of TNPL To estimate the cash flows so as to evaluate the MEP To ascertain the principal risk associated with the project To ascertain the sensitivity of the project Who, where, when and how? Answers to the questions who, what, when, where and sometimes how. The researcher attempts to describe of define a subject, often by creating a profile of group of problems, people or events. Although association can more be used to infer, they more often provide a sound basis for the solution of marketing problems. This study is more descriptive. I searched in the internet, referred the books and discussed with my father to find this topic. With the help of my father i contacted the manager of the financial department and got an appointment. I explained him about my thoughts and got permission nearly after two months. I also got access to use the financial data of the firm. The general idea is that the capital, or long-term funds, raised by the firms are used to invest in assets that will enable the firm to generate revenues several years into the future. Therefore, a financial manager must be able to decide whether an investment is worth undertaking and be able to choose in telligently between two or more alternatives. SCOPE: Actually to minimize input value for a unit value of output lots of resources (money, time, materials and manpower) are needed. The argument that capital is a limited resource is true of any form of capital, whether debt or equity short-term or long-term, common stock or retained earnings, accounts payable or notes payable, and so on. Even the best-known firm in an industry or a community can increase its borrowing up to a certain limit. Once this point has been reached, the firm will either be denied more credit or be charged a higher interest rate, making borrowing a less desirable way to raise capital. Faced with limited sources of capital, management should carefully decide whether a particular project is economically acceptable. In the case of more than one project, management must identify the projects that will contribute most to profits and, consequently, to the value or wealth of the firm. It is the basis of capital budgeting. APPROPRIATE METHODOLOGY: This process involves projecting the profitability generated by the new machine and thereby projecting the cash flows. On this projected cash flow the various Capital Budgeting techniques will be applied. Various Discounted cash flow techniques like Net Present Value (NPV), Profitability Index (PI), Internal Rate of Return (IRR) and Modified Internal Rate of Return (MIRR) will be calculated. Based on the result of these calculations the project will be evaluated. To calculate the discount cash flow techniques i need to collect the financial data. I have already got the access to use the data. When i start doing my dissertation i can collect the data from the firm with the help of financial manager. APPROPRIATE SAMPLING PROCEDURES: In the former, the researcher knows the exact possibility of selecting each member of the population. But this type of sampling is more difficult and costly. Even though it is costly we have a big advantage in this type of sampling (i.e.) the type of population in which the results can be generalised from the sample to the population. In addition, this type of sampling allows to calculate the precision of the estimates obtained from the sample and to specify. Systematic sampling is a type of probability sampling in which sampling involves you selecting the sample at regular intervals from the sampling frame (Adrian thorn hill, Mark Saunders, Philip Lewis, research methods for business students, 2009) Sampling fraction for systematic sampling is actual sampling size divided by total population. DATA COLLECTION PROCEDURE: The data collection for this study is mainly based on the primary and secondary sources. The primary data are based on the data collected from the firm (i.e.) the paper industry. The secondary data are collected from articles, journals and literature. In this study am going to use both these methods to collect the data. The data collected for this analysis has been mainly through secondary sources like company annual reports and records. I am going to think about triangulation (literature, questioner and interview). By Comparing all these three in a triangular format i will get some new idea. So what i am coming to say is, am going to use the collected data in triangular form. DATA ANALYSIS PROCEDURE: There are different ways of analysis. Just for example i am taking sensitive analysis. Sensitivity Analysis is also known as What If analysis. It is useful in pinpointing the areas where forecasting risk is especially severe. The basic idea with a sensitivity analysis is to freeze all variables except one and see how sensitive our estimated cash flows to changes in that one variable. If our cash flow estimate turns out to be very sensitive to relatively small changes in the projected value of any one component of project cash flows, then forecasting risk associated with that variable is high. In this project sensitivity analysis has been carried out on the cash flows under certain conditions or sensitivity factors. Under these conditions all the capital budgeting techniques will be implemented and their effects will be evaluated. RELIABIALITY AND VALIDITY: Reliability can be assessed by analysing whether the measures yield the same results on other occasions? Whether other observers reach similar observation and care should be taken when analysing the data to ensure that your data are telling you what you think they are telling you. (Adrian thorn hill, Mark Saunders, Philip Lewis, research methods for business students, 2009) Validity can be assessed by analysing the relation between the program and the observed outcome. So if there is a relation, i have to check the kind of relation between the program and observed outcome. With the help of the outcome i am going to generalise and construct this concept so that it may be used by others. TIME PLAN: GANTT CHART W1 W2 W3 W4,W5 W6,W7 W8,W9 W10 W11,W12
Monday, May 18, 2020
Article Summary The Age of Educational Romanticism
Article Summary: The Age of Educational Romanticism Charles Murray discusses the nature of The Age of Educational Romanticism in this 2008 article from The New Criterion. The author defines this age as the belief that all children who are not doing well in school have the potential to do much better. Murray characterizes educational romantics as people who believe that the academic achievement of children is determined mainly by the opportunities they receive and has little to do with their intellectual capacity. Educational romantics believe the current K-12 education system is in need of vast improvement. Murray describes two types of educational romantics, one set on the Left and one on the Right, and differentiates between the two thusly: Educational romantics of the Left focus on race, class, and gender. It is children of poor parents, and girls whose performance is artificially depressed, and their academic achievement will blossom as soon as they are liberated from the racism, classism, and sexism embedded in American education. Those of the Right see public education as an ineffectual monopoly, and think that educational achievement will blossom when school choice liberates children from politically correct curricula and obdurate teachers unions (Murray). Both of these accounts fail to take into account the vast differences in intellectual ability that permeates the average American classroom. Furthermore, Murray calls the No Child Left Behind Act of 2002Show MoreRelatedEssay on Silent Spring - Rachel Carson30092 Words à |à 121 PagesBookRags, Inc. ALL RIGHTS RESERVED. The following sections of this BookRags Premium Study Guide is offprint from Gales For Students Series: Presenting Analysis, Context, and Criticism on Commonly Studied Works: Introduction, Author Biography, Plot Summary, Characters, Themes, Style, Historical Context, Critical Overview, Criticism and Critical Essays, Media Adaptations, Topics for Further Study, Compare Contrast, What Do I Read Next?, For Further Study, and Sources. à ©1998-2002; à ©2002 by Gale. GaleRead MoreSources of Ethics20199 Words à |à 81 Pagesfact be what economist Adam Smith (1976, p. 273) had in mind in his landmark treatise, The Theory of Moral Sentiments, in which he states, ââ¬Å"And thus religion, even in its rudest form, gave a sanction to the rules of morality, long before the age of artificial reasoning and philosophy. That the terrors of religion should thus enforce the natural sense of duty, was too much importance to the happiness of mankind for nature to leave it dependent upon the slowness and uncertainty of philosophicalRead MoreMetz Film Language a Semiotics of the Cinema PDF100902 Words à |à 316 Pagestranslates by pigeon-holing (p. 35). 1990 Preface This book is divided into four sections, and it groups ten chapters corresponding to twelve previously published articles. The disparity between ten and twelve is caused by the fact that Chapter 5 was condensed out of three separate articles. As the title indicates, the articles included in this volume have been selected exclusively from the author s writings on cinematographic problems.* Since this is, therefore, a collection, I have not tried
Wednesday, May 13, 2020
Case Analysis Global Value Chain Strategies Essay
In this case analysis I will provide the most appropriate solutions to the issues raised in the following from the perspective of global value chain strategies regarding ISOL +. A recommended solution would be to build a new manufacturing facility close to the firm s southern European market. Since there is a large percentage of sales increase expected in Italy and Spain this will help facilitate production levels. Also with this location it will also facilitate shipments and minimize transit times which ultimately will help get product faster to the customer. With the current plant capacity of 3,000,000 m^3, if there were to be an increase in the market of an additional 1,000,000 cubic m the facility will not be able to meet the additional demand. The two changes proposed to the logistics setup are a decrease in the delivery time to 48 hours, and the other is to cut the minimum order possible to the equivalent of four pallets. Both these proposals will lead to substantial increas e in the logistics costs. It is forecasted that during the next five years, 47% of the sales in France will be of the size of four and six pallets. This makes it imperative that the minimum pallet size be decreased from the current eight pallets to four pallets. Moreover, if the delivery time is to be reduced to 48 hours, then production to order has to be abandoned. This reduction would mean incurring costs of holding inventories of finished goods. Both these proposals would mean anShow MoreRelatedSupply Chain Sustainability ( Scs )1505 Words à |à 7 PagesSYNOPSIS This report focuses on the importance of supply chain sustainability (SCS) and the what are the benefits the sustainable supply chain can bring to the relevant stakeholders. The final section of the report illustrates how to developing and implementing a sustainable supply chain strategy in business environment. The examples of Starbucks and IKEA as the sustainable supply chain organizations are used to support the sustainable view in this report. There also are some other examples usedRead MoreHilti cut or Fasten?1339 Words à |à 6 Pagesï » ¿Contents Table of Contents Hilti: Cut Costs or Hold Fast? Overview This case review was executed about a case study that was discussed in class on the operations of Hilti and its surroundings ââ¬â Hilti is a global corporation based in Lichtenstein that is a market leader in drills, saws and fastening products. The analysis looks at the development of Hilti ever since it was founded, and the different strategies which have been implemented to get them to where they are now. For a company thatRead MoreEssay about Value Chain at Crocs, Inc.977 Words à |à 4 Pagespresent an analysis of the companys value chain and determine what changes I would incorporate and why. Analysis of the companys value chain To get started, we first need to understand what Crocs value chain is and how that process plays a role in the strategic direction of the company. The authors of our text, views the value chain as the entire series of organizational work activities that add value at each step, from raw materials to finished product. In its entirety, the value chain can encompassRead MoreLogistics: Management and Supply Chain1566 Words à |à 7 Pagesvriad@hr.nl Rotterdam, 00 januari 2007 6-1 Corporate strategy Business strategy Operations Strategy Mission Objectives (cost, quality, flexibility, delivery) Functional strategies in marketing, finance, engineering, human resources, and information systems Strategic Decisions (process, quality system, capacity, and inventory) Distinctive Competence Consistent pattern of decisions Operations Strategy Process (Figure 2.1) 2-2 Course organization Logistics Read MoreEcco a/S ââ¬â Global Value Chain Management1709 Words à |à 7 PagesCase 3 The International Firm in a Global Economy ECCO A/S ââ¬â Global Value Chain Management Question 1: 1. Relate the Ecco case to the conceptualization of the organization as a global factory. What similarities and dissimilarities with the global factory conceptualization do you see and what solutions may it present? Similarities: As ECCO had been very successful in the footwear industry by focusing on production technology and assuring quality by maintaining full control of the entireRead MoreChina: The Start of a New Era for Wal-Mart Global Expansion1514 Words à |à 6 PagesWalMarts approach to global expansion exemplifies the journey of self-discovery many corporations who have a stable, profitable domestic base of operations go through as they attempt to enter new markets globally. For WalMart this meant confronting the exceptionally high level of ethnocentrism in their organization while also using their analytics-based prowess to better understand cultures, not just costs and profits (Ming-Ling, Donegan, Ganon, Kan, 2011). The intent of this analysis is to define howRead MoreAnalysis of the Pros and Cons of Globalization1212 Words à |à 5 Pageshighly targeted marketing across the many regions and countries of the world. Global marketing today must contend with a wider array of constrai nts, both economic and cultural, that as ever been the case in the past (Gupta, 2003). These constraints fuel a high level of creativity and focus on how to overcome cultural and economic constraints through rapid product development lifecycles, exceptional levels of supply chain integration (Wu, 2011) and greater focus on relationship market over just sellingRead MoreGlobal Logistics and Risk Management1048 Words à |à 5 PagesEXECUTIVE SUMMARY GLOBAL LOGISTICS AND RISK MANAGEMENT Global supply chain enables companies to expand beyond their domestic markets and expand globally .International supply chain could be viewed as an extension of the domestic supply chain if managed well .There are several forces which determines the success of international supply chain. Global market forces involves pressures and opportunities created by the foreign companies and customers .Overseas business sometimes is a defensive mechanismRead MoreMeli Marine Case Study Strategy Analysis Essay989 Words à |à 4 Pagesï » ¿Meli Marine Case Study Strategy Analysis Significant Factors For Attractiveness of The Industry â⬠¢ Global commerce trade is primarly dependent on trans-ocean shipping; roughly 90% of general cargo is shipped via container Based on the container shipping value chain, there are several segments to expand and integrate the business and enter the market. This would provide benefit of business diversification hence decreasing risks According to the volume of growth of shipping lanes (Exhibit 6), everyRead MoreTesco And E Mart : Market Positioning, Localization And Cost Control1565 Words à |à 7 Pagesbiggest retailers. ALDI wants to expand its global business to some emerging countries, China is one of its choices due to the flourishing market. Although China is attractive to foreign investors, there are some multinational or small-medium enterprises encounter challenges and divested from China. The main purpose of this report is giving some recommendations to ALDI based on the analysis of two illustrative casesââ¬â Tesco and E-mart using ââ¬Å"tripodâ⬠strategy (re sources, industry and institution). The
Wednesday, May 6, 2020
The Birth Control Movement Essay example - 1442 Words
The Progressive Era was a period of social and political reform beginning in the post Gilded Age 19th century and lasting through WWI. Industrial and urban growth of early 19th century America while representative of opportunity and future advancement simultaneously posed many difficulties for working class citizens. Prior concerns over the conditions of working class citizens were multiplied and magnified by overpopulated and impoverished urban communities. During this era many new Progressive agendas were introduced with the goal of reforming dated and unregulated policies, the most prominent of these, the birth control movement. The documents from chapter six of Constructing the American Past show that at its core, the birth controlâ⬠¦show more contentâ⬠¦In document three from The Case for Birth Control Sangerââ¬â¢s rhetoric changes, relying on facts, statistics, and knowledge based reasoning. Document three proves to be a much more reliable and comprehensive argum ent than document one. Sanger advocates small families for the working class as a means to eliminate poverty (due to large families), illegal abortions, child labor, and to protect the health of women ââ¬Å"from overwork and the strain of too frequent child bearingâ⬠(6, 3,124) The argument shifts from a pseudo-socialist agenda to simply the right of a woman to control her own body and choose her own destiny. Following the release of The Woman Rebel, Anthony Comstock spearheaded an anti-birth control campaign with the aid of the Society for the Suppression of Vice, ââ¬Å"viceâ⬠as Comstock described it ââ¬Å"intemperance, gambling, and evil readingâ⬠(6,1,122). Document 2 is an interview with Comstock by Mary Alden Hopkins of Harperââ¬â¢s Weekly on the issue of birth control and the laws against its distribution and publication. Comstock approaches the birth control issue as a religious zealot, arguing that it is the moral and spiritual obligation of the peopl e to stray from ââ¬Å"viceâ⬠and practice abstinence as the only means of family planning. Comstockââ¬â¢s conservative rhetoric appealed to the ââ¬Å"Victorianâ⬠era principles of ââ¬Å"self-controlâ⬠and moral fortitude. Moreover, Comstock employs the ideology of ââ¬Å"rule by fear,â⬠byShow MoreRelatedBirth Control Movement : Margaret Sanger1980 Words à |à 8 PagesThe birth control movement was created in early 20th century by Progressive and Socialist reformers like Margaret Sanger. She and other birth control activists would fight for womenââ¬â¢s access to birth control through the 20th century which has gone on to affect American women today. In order to analyze the affect that birth control has had on America, it is necessary to look at the works of Margaret Sanger and the birth control movement of the progressive era. A good primary source with informationRead MoreMargaret Sanger And The Birth Control Movement Highlighted1187 Words à |à 5 PagesMargaret Sanger and the Birth Control Movement highlighted a variety of important issues. These issues include womenââ¬â¢s right to make decisions privately versus the right of a community to regulate moral behavior; the ethnic demographics of the American people; the ability of women to control their own physical destinies by limiting family size; and the idea that small families were the way to keep the American dream alive. The debate over birth control spoke to personal and political issues, whichRead MoreThe African American Community and the Birth Control Movement921 Words à |à 4 Pagesï » ¿The African American Community and the Birth Control Movement (Order #A2087166) Racism has been a part of America for a very long time and one that has seeped into almost every part of American society. In fact, scientific studies and beliefs have, for a large part of the 20th century, been infused with an underlying racism that has tainted them. For instance, in the years from the 1880s to the mid 1940s, the African American fertility rate, or the rate at which African Americans were producingRead MoreMargaret Sanger s The First Birth Control Movement1288 Words à |à 6 Pagesin a important way. Margaret Sanger was known for leading the birth control movement. She financed the research needed to develop ââ¬Å"the pillâ⬠, an easy form of birth control that women could take themselves. She also founded the Planned Parenthood Federation Of America continuing her legacy of authoritative work to allow parenthood and birth control to be much easier. Margaret Sanger left a legacy of leading the birth control movement. Margaret Sanger was born on September 14th, 1879 to Anne PurcellRead MoreA Political Factor That Influenced Sanger s Birth Control Movement1223 Words à |à 5 PagesA political factor that influenced Sanger during her birth control movement was the Comstock Laws. Comstock Laws were put in place by Anthony Comstock, a congressman who wanted to put a ban on spreading pornography through the U.S mail (Wardell, 1980, pg. 738). He soon broadened what the Comstock laws covered, to make it illegal to ship anything through the mail that had to do with contraceptives, even information. This was a constant battle for Sanger and she was arrested many times throughout herRead MoreMargaret Sanger, An American Nurse, Pioneered The Modern Birth Control Movement1159 Words à |à 5 PagesMargaret Sanger, an American nurse, pioneered the modern birth control movement in the United States. She began her movement in 1912, with the publication of information about women s reproductive concerns through magazine articles, pamphlets, and several books. In 1914, Margaret Sanger was charged with violating the Comstock Law, a federal legislation prohibiting the mailing of obscene material including information about birth control and contraceptive devices. Despite being imprisoned for herRead MoreMandated Coverage For Birth Control On Health Insurance Plans957 Words à |à 4 Pages2014 there was a heated debate on whether there should be a mandated coverage for birth control on health insurance plans. According to a survey by the University of Michigan Health System, 69% of adults in the United States support this requirement in health insurance plans and the people who oppose this requirement is less than 10%. There have been other laws made by states recently that are affecting birth control and abortions. For example, a regulation implemented by the Iowa Board of MedicineRead MorePros And Cons Of Birth Control1442 Words à |à 6 PagesEven though birth control issues remain as a controversial topic from the early 18th century to now, the debate between Margaret Sanger and Winter Russel on the pros and cons of providing information about birth control strategies for the public was a foundation stone for todayââ¬â¢s family planning policies and regulation of transmission of venereal disease in the United States of America. It is important to note that although in 1920 information about birth control strategies were banned from reachingRead MoreEugenics and Planned Parenthood Essay1405 Words à |à 6 PagesMargaret Sangerââ¬â¢s feminist, contraceptive movement was not originally founded with this purpose. It was marketed as a way to control the population and be merciful to those yet to be born, again determined also by race and intelligence. The similarities in purpose actually brought the two organizations together to form a ââ¬Å"liberating movementâ⬠to ââ¬Å"aid womenâ⬠known today as Planned Parenthood (Schweikart and Allen 529-532). The name may sound harmless, but the movement hid a darker purpose, to wean out theRead MoreAnalysis Of The Right To Ones Body By Margaret Sanger911 Words à |à 4 Pagesdescribed by biography.com, was ââ¬Å"â⬠¦ an early feminist and womenââ¬â¢s rights activist who coined the term ââ¬Ëbirth controlââ¬â¢ and worked towards its legalizationâ⬠(ââ¬Å"Margaret Sangerâ⬠). Margret was also responsible for the creation of the first planned parenthood center, and later was a founding member of the International Planned Parenthood Federation. Margret most notably belonged to the birth control movement, as she was a nurse working with women who were directly affected by the lack of child care options
Review of Medicine Literature Free Essays
Review of Literature How is health promotion defined? Health promotion is a process of enabling people to increase control over and improve their health (WHO, 2013). People involved in health promotion should consider the meaning of what do they think health means relating to themselves and to others. This will assist with clarifying outcomes and expectations (Edelman Mandle, 2010, p. We will write a custom essay sample on Review of Medicine Literature or any similar topic only for you Order Now 3). In order for health promotion to have a successful outcome, people must take control over all aspects of their health and life. People must be held accountable for their life decisions. Health promotion is the science of helping people change their lifestyle and behaviors. This paper will discuss the purpose of health promotion, the nursing roles and responsibilities, implementation methods, and a comparison of the three levels of health promotion prevention. Purpose of Health Promotion The purpose of health promotion is to provide education. The emergence with new computer technology allows for much more access to knowledge. The internet and smart phones have a vast base of information. It provides all forms of information. People can then make an informed decision. The ultimate goal of the health promotion model is to promote a sense of well-being, not just the absence of disease (ââ¬Å"GCU,â⬠2013, p. 1). Health promotion is used on the private level, the public level, and also the community level (Edelman Mandle, 2010.). These levels are all important for the educational process. Along with improving patient outcomes, health promotion helps to decrease the costs that are always increasing in healthcare. Nursing Roles and Responsibilities Nurses are responsible to educate patients in every aspect. They areà the primary care givers in the medical setting. The rapport that is developed leaves a lasting impression. They are able to discuss the positive aspects of prevention and how this can provide a better life for the patient. Nurses are advocates, consultants, care managers, educators, healers, and researchers. They are part of the multidisciplinary team that provides health promotion. Their roles and responsibilities develop gradually with the improvement of health. They educate in life changing activities with a holistic approach. This would include stress management, the introduction to healthy foods, the promotion of increased physical activity, the increased benefits of adequate sleep, the reduction of alcohol, and smoking cessation. Implementation Nurses implement health promotion by providing appropriate care to all patients. Culture and diversity should be taken into consideration. Nurses need to maintain the patientsââ¬â¢ identity and privacy. They practice the code of moral principles and values. This is met by treating patients equal regardless of age, seriousness of disease, or different cultural background. Nurses can help implement programs. They can make patients aware of resources to provide a safe environment or a vaccination program for their children. Three Levels of Health Promotion There are three levels of health promotion. These levels are primary, secondary, and tertiary. Prevention is not only inclusive of health promotion and preventing diseases, but also curing them and limiting the progression of disease. There is no distinctive flow pattern between the three levels, but there is an overlap at times. These three levels will be discussed in relationship to three recent journal articles. Primary The primary level of health promotion is considered to be educational and preventative by nature. This is in process prior to a problem. The primary prevention article discusses motivational interviewing. Women have a lack of risk perception. Through screening, risk factors are brought to light. They should be screened for past medical history, family history, smoking, physical activity, and diet. Research suggests that women should be screened using the Framingham Risk Assessmentà of 10-year Global Risk (Schroetter Peck, 2008, p. 109). This is a risk predictor. It calculates a womanââ¬â¢s chance for experiencing a heart attack. Nurses should also promote awareness by the various government programs such as WISEWOMAN and Go Red for Women. These are two campaigns that increase awareness of heart disease. Secondary Secondary prevention consists of early detection and diagnosis, timely treatment, and limiting disability. This would encompass mass screening surveys and selective examinations used to prevent, spread, and cure the disease process. Through limiting disabilities and providing the adequate treatment, the goal would be to prevent progression of the disease and the complications associated with the disease. Secondary prevention of stroke has focused on medical and surgical interventions. Healthcare professionals should use a multimodal approach, combining optimal medical therapies with interventions designed to support patients to make changes in lifestyle behaviors (Lawrence, Fraser, Woods, McCall, 2011, p. 42). This model consists of combining medical treatment (medications) with comprehensive dietary modifications and exercise. These medications would include aspirin, statins, and antihypertensives. Nurses need to have a good understanding of the risk factors for stroke. They should also know the recommendations for healthy lifestyle choices. Interventions should be tailored to each patient. Tertiary The tertiary level is the care and education given after the diagnosis of a disease. This level also includes restoration and rehabilitation. It also includes educating the public with selective placement and various work therapies in the hospital setting. There are many vaccines that can be considered a preventative measure for infectious diseases. Any vaccination can be given to an oncology patient if there are no contraindications. The influenza vaccination is an example that will be utilized. It is a recommendation for cancer patients. A first recommendation was made by a gynecologist. This was for the tertiary prevention with a patient with uterine cancer. Patients that are vaccinated have a significant longer survival period (Wiwanitkit, 2010, p. 339). The influenza vaccination can decrease the infection rate and mortality due to influenza. It has beenà thought that oncology patients receive the vaccination. All three levels of health promotion are equal in that they educate. The difference in educating is related to the disease process and the patientsââ¬â¢ willingness to learn. How to cite Review of Medicine Literature, Papers
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