Saturday, August 31, 2019

Questions on Psychology

1.Which of the following statements most accurately represents the use of plant-based psychoactive substances?A. Plant-based psychoactive drugs are uncommon today and rarely used. B. Today marijuana is the only plant-based psychoactive substance that is still used. C. All plants that yield psychoactive substances are illegal today. D. About 4,000 plants yield psychoactive substances, and the vast majority are not illegal.2. The Gin Epidemic†¦E. is a mythF. was brought under control through high taxes and the strict regulation of the sale of ginG. devastated the Middle EastH. is a current problem3. The British encouraged the planting of hemp in the new American colonies for which of the following reasons?I. to provide England with strong fibers from which it could make rope and sails for its shipsJ. to produce psychoactive drugs derived from cannabis that could be sold to other countriesK. to ensure that the colonists would be high most of the time and therefore easier to control L. as a means of payment to slave laborers4. Listed below are three different sequential variations of drugs in the opiate family.Which one accurately represents the order in which the drugs were discovered and used (from left to right, representing oldest to newest drug forms).M. opium, heroin, morphineN. morphine, opium, hydromorphoneO. opium, morphine, heroinP. hydromorphone, morphine, heroin 5. According to the authors of Uppers, Downers, All Arounders, a psychoactive drug is defined as†¦Q. any substance that directly alters the normal functioning of the central nervous systemR. any substance that is illicit or illegalS. those substance that cause numbness and drowsinessT. hose substances that cause increased energy and alertness6. The most rapid route of administering a drug to reach the brain is intravenously.U. trueV. false7. To titrate a drug means to continuously regulate the amount of drug you are receiving.W. trueX. false8. The physical, mental, and emotional effects a person experiences from taking psychoactive drugs are caused by the modification or mimicking of the neurotransmitters’ function.Y. trueZ. false9. A person’s level of emotional and physical stress can increase the ability of psychoactive drugs to cross the blood-brain barrier.truefalse10. Active transport occurs when fat-soluble drugs pass from an area where there is a higher concentration of a drug to an area of lower concentration.truefalse11. Passive transport occurs when water-soluble drugs such as cocaine cross the blood-brain barrier by hitching a ride on molecules that cross the blood-brain barrier. _.truefalse12. Regardless of which method a person uses to consume a psychoactive drug, the drug reaches the brain through the bloodstream.a. trueb. false13. The more rapidly a psychoactive drug reaches its central nervous ystem target, the less the reward and the lower the reinforcing effect.c. trued. false14. The central nervous system is composed of the spinal cord and the brain.e. truef. false15. The compulsive gambler’s reward/control pathway in the brain becomes hijacked similar to the ways the brain becomes rewired from alcohol and other drug addiction.g. trueh. false16. On which part of the body does long-term use of stimulants (e. g. , nicotine, cocaine, and methamphetamine) have the most significant impact?i. skeletal systemj. muscular systemk. digestive system . cardiovascular system17. The neurotransmitter most often involved in the use of strong stimulants is dopamine, which triggers feelings of†¦m. hunger satisfaction/satietyn. apathyo. extreme thirstp. emotional depression18. Cocaine epidemics†¦q. last for centuriesr. occur in cycles every few generationss. are fictitioust. have been exaggerated19. Which form and method of using cocaine produces the most intense immediate high?u. chewing pure coca leavesv. snorting powdered cocainew. smoking crack cocainex. ingestion of cocaine in a beverage 20.20. How long wi ll the high from snorting a typical dose of powder cocaine (0. 2 to 0. 5 grams) generally last?y. 1 minutez. 5 to 20 minutes {. 40 to 60 minutes |. 2 to 3 hours21. How long will the high from smoking a typical dose of crack cocaine (1 rock) generally last? }.1 minute ~.5 to 20 minutes40 to 60 minutes2 to 3 hours22. How long will the high from a typical oral or snorted dose of amphetamine generally last? .40 to 60 minutes1 to 2 hours2 to 3 hours4 to 6 hours23. The illicit manufacture and distribution of methamphetamine in the United States today is due to the involvement of†¦ .iker gangs like the Hell’s Angelsrenegade pharmaceutical and industrial chemists.Mexican gangs and drug cartelsColombian cartels24. Continued smoking to avoid the negative effects of nicotine withdrawal is known as†¦inverse tolerancenegative drug reinforcementpositive drug reinforcementreverse tolerance25. Which of the following best describes how the first cigarette of the day affects a smoker ?increases blood pressure and heart ratestimulates appetitesatisfies the nicotine craving for the rest of the dayall of the above26. What is the half-life of caffeine? . 40 minutes . 1 to 2 hours . 3 to 7 hours . 24 to 48 hours27. Among those who try a cigarette, what percentage will become daily habitual smokers? . 10% . 25% . 50% . 80%28. Which of the following best describes one of the health benefits of quitting smoking? . The risk of heart attack is eliminated within a week of quitting. . Lung cancer rates to drop to the rate of nonsmokers after 40 years of nonsmoking. . Within just 20 minutes of quitting, blood pressure, pulse rate, and temperature of hands and feet drop to normal. Within five days coughing, sinus congestion, and shortness of breath decrease.29. Drinking alcohol before using cocaine will do which of the following? 1. prolong and intensify cocaine’s effects 2. cancel each other out because one is a stimulant and one is a depressant 3. create cocaethylene , which increases violent tendencies 4. create narcalon, which decreases the stimulant effects of cocaine . results 2 and 4 only . results 1 and 3 only . results 1, 2, 3, and 4 . none of the above30. Prolonged use of strong stimulants (e. g. , cocaine, methamphetamine) results in which of the following? . depletion of the body’s energy resources 2. enhancement of the body’s energy resources 3. cellular and organ damage 4. paranoia . results 1 and 4 only . results 2, 3, and 4 only . results 1, 3, and 4 only . results 2 and 3 only31. The primary illegitimate source for obtaining prescription drugs, such as OxyContin, Vicodin, and Xanax, is over the Internet. . true . false32. The number of people in the United States who overdose on heroin is greater than the number who overdose on any other type of opioid, including hydrocodone, oxycodone, and methadone. . true . false33.Treatment for addiction to opiates requires physical detoxification and psychological correction. . true . false34. Using a needle continuously to inject drugs in the same blood vessels can cause them to collapse. . true . false35. An individual who is under the influence of heroin will have dilated pupils. . true . false36. Depressants affect the central nervous system by elevating the user’s blood pressure, pulse, heart rate, and respiration. . true . false37. Tolerance to one type of depressant, such as alcohol, can lead to the development of cross-tolerance for another depressant, such as benzodiazepines. true . false38. Human beings have naturally occurring (endogenous) opioids, which cause many of the same effects as those caused by taking opioid drugs (exogenous). . true . false39. The majority of heroin available in the United States comes from Afghanistan. . true . false40. Opiates block the release of substance P, which is the name of the neurotransmitter that transmits pain messages from nerve cell to nerve cell. . true . false41. The â€Å"stop† switch in the brain, which tells your mind and body that it has had enough and disrupts the addictive cycle, is located in the brain stem. true . false42. Overdose deaths involving opioids most commonly include their combined use with other legal or licit substances like alcohol, benzodiazepines, or antidepressants. . true . false43. One of the symptoms of chronic opiate use is itchy skin. . true . false44. Law enforcement and treatment personnel can get a strong indication of what type of drug a person is using from the size of his pupils. . true . false45. Opioids, such as hydrocodone (Vicodin), usually suppress nausea and vomiting. . true . false46.Psychedelics come only from natural plant sources. . true . false47. Synesthesia is defined as the crossing of senses, such as when visual input becomes sound. . true . false48. The entire U. S. supply of LSD for one year weighs about 11 pounds. A. true B. false49. In addition to their psychedelic effects, all arounders also depress the central nervous system. . true . false50. The strength of LSD/â€Å"acid† available on the streets today is stronger than the LSD/â€Å"acid† that was widely available on the streets in the 1960s and 1970s. . true . false51.Tolerance to LSD develops quickly, within days of daily use. . true . false52. Marijuana is not addictive and does not induce compulsive use. . true . false53. Psilocybin mushrooms cause less disassociation, panic, and psychotic reactions compared with LSD. . true . false54. People who take LSD may experience flashbacks (re-experiencing symptoms of a trip) that are similar to post-traumatic stress disorder. . true . false55. A â€Å"fry† is a marijuana joint dipped in formaldehyde or embalming fluid, dried, and then smoked. . true . false56. Hashish is made from†¦ pressed psilocybin mushrooms . cannabis resin . synthetic chemical compounds . tobacco57. Marijuana has been illegal in the United States since†¦ . 1776 . 1850 . 1937 . 149258. A s of 2011 an ounce of marijuana in the United States costs†¦ . $100 to $150 . $200 to $400 . $500 to $600 . $800 to $1,00059. Marijuana in the urine of a regular user is detectable for†¦ . 1 to 2 days . 7 to 14 days . 3 to 6 weeks . 3 to 6 months60. The hallucinating effects of salvia divinorum last for†¦ . 30 minutes . 1 to 2 hours . 6 to 8 hours . 12 to 24 hours

Friday, August 30, 2019

Merrill Finch Inc. Case Study Essay

Merrill Finch Incorporated is a large financial services corporation. As a newly hired financial planner for the company, I have been assigned the task of investing $100,000 for a client. The investment alternatives have been restricted to five options: T-Bills, High Tech, Collections, U.S. Rubber, Market portfolio, and a 2-Stock portfolio. The economic forecasting staff for Merrill Finch developed probability estimates for the state of the economy, and the security analysts have developed software to estimate the rate of return on each of these alternatives under each state of the economy. A chart showing the results of the analysis is in Appendix A of this report. Section 1 of this report begins with a discussion on the concept of Return. The calculations of each of the alternatives expected rate of return are also calculated and discussed. Section 1 then continues with the concept of Risk. Three different measurements of risk are discussed and calculated for each of the investment alternatives. The risk measurements discussed are the Standard Deviation, Coefficient of Variance, and Beta Coefficient. Section 2 discusses some scenarios of different investment options. The first is of a 2-stock portfolio consisting of the investment of $50,000 into both High Tech and Collections. The expected return, standard deviation, and coefficient of variance are then calculated and discussed for this option. The second scenario is of a portfolio consisting of randomly selected stocks. The section concludes with a discussion of the risk involved with this random portfolio and how the addition of more random stocks to the portfolio would affect the risk. Section 3 discusses the Security Market Line (SML) Equation and how the SML would be affected if inflation expectations were to rise by 3 percentage points. Appendix B shows this equation and its use to calculate the required returns of each of the investment alternatives. The section is then concluded with a discussion of these calculations and how they compare to the expected returns calculated in section 1. Due to time constraints, probability distribution graphs for High Tech, U.S. Rubber, T-bills, and a portfolio of randomly selected stocks has been omitted from this report. Return Return is defined as the income that an investment provides in a year. When deciding on what type of market to invest in, it is wise to first look at each markets expected rate of return. The expected rate of return of an investment is the weighted average of the probability of all possible results. The expected rate of return of various investment options are shown in Appendix A of this report on page 6. For each option, the expected rate of return is calculated by multiplying the probability of the state of the economy by the corresponding estimated rate of return for that market, then taking the sum of these values. One of the invested alternatives for Merrill Finch’s client is Treasury Bills, or T-bills. These are a form of treasury securities issued by the United States Treasury. T-bills are said to be a risk-free investment, but in realty, there are no true risk-free securities. In regards to default risk, T-bills are risk-free because the Treasury must redeem them. Being that they must be redeemed, also shows that they are independent of the state of the economy. They are, however, susceptible to other forms of risk.  If the rates were to increase or decrease, T-bills would then be susceptible to reinvestment rate risk, the risk that they might not be able to be reinvested at the same rate. For this investment, the expected rate of return on T-bills is calculated to be 5.5% . High Tech and Collections are two other investment alternatives for the client. The expected rate of return is 12.4% for investing in High Tech and 1.0% for Collections. Investors might choose to invest in one of these two depending on how well they predict the economy will do. High Tech has a direct relationship with the movement of the economy. If the market is expected to increase, then this would be a good investment. Collections, however, moves in the opposite direction of the economy. If a decline is expected, then investors would use this as a hedge against the negative movement of the economy. The remaining alternatives for this client are to invest in U.S. Rubber, a market portfolio, and a 2-stock portfolio of High Tech and Collections. The expected rates of return are 9.8% in U.S. Rubber, 10.5% in a market portfolio, and 6.7% in the 2-stock portfolio. RiskAs we have already discussed above, no securities are truly risk-free. Depending on the nature of the investment, the type of investment risk will vary. The following sections discuss some of the different types of measurements that can be used to determine the amount of risk in an investment. †¢Standard Deviation. The standard deviation (ÏÆ') is defined as a statistical measure of the variability of a set of observations. The smaller the standard deviation, the lower the risk of the investment. It is calculated by taking the weighted average of the deviations from the expected value. This provides an idea of how far above or below the expected return the actual return is likely to be. The type of risk measured by the standard deviation is Stand-Alone Risk, which measures the undiversified risk of holding an individual asset. For this investment analysis, the standard deviation for T-bills is 0% , 20% for High Tech, 13.2% for Collections,  18.8% for U.S. Rubber, 15.2% for a market portfolio, and 3.4% for the 2-stock portfolio. †¢Coefficient of Variance. The Coefficient of Variance (CV) is a standardized measure of the amount of risk per unit of return. It is calculated by dividing the standard deviation by the expected return. The larger the CV, the riskier the investment. It is a better measurement of Stand-Alone risk than the standard deviation. This is because it includes the effects of both risk and return and allows for a closer evaluation of situations where investments have substantially different expected returns. This investment analysis shows the CV for T-bills to 0, 1.6 for High Tech, 13.2 for Collections, 1.9 for U.S. Rubber, 1.4 for a market portfolio, and 0.5 for the 2-stock portfolio. †¢Beta Coefficient. The Beta Coefficient a measurement of Market Risk. It shows the extent to which a given stock’s returns move up and down with the stock market. The Beta of an average stock is 1.0, but most have betas in the range of 0.5 to 1.5. Beta coefficients are calculated as the slope of a â€Å"regression line†, which represents the difference between a given stock and the stock market in general. The expected returns of a market are directly related to each alternatives market risk. In other words, the higher the rate of return of the alternative, the higher its beta coefficient. The estimated betas for each of the clients investment alternatives are shown in the chart in Appendix A. Considering the beta coefficients provided in this chart along with the other information that we have calculated, we do not yet have enough information to choose among the various alternativesWhen considering whether or not to invest in a particular alternative, one thing t o consider is portfolio diversification. An investors view of risk in an investment can be greatly affected by the diversification of their portfolio. The risks that can affect an undiversified portfolio may not be the same as those of a diversified portfolio. An undiversified investor may need to be more aware of the stand-alone risk and, therefore, closely monitor the alternatives Coefficient of Variance or standard deviation. These, however, may not be as relevant to a diversified investor because they are more concerned with the impact that a stock may have on the  riskiness of their entire portfolio rather than on its stand-alone risk. Aside from having higher risk, another drawback to having a portfolio containing only an individual stock is that you would not be compensated for your higher degree of risk. SECTION 2: Investment Alternatives2-Stock PortfolioOne of the investment alternatives for the client is a 2-stock portfolio. An option with this alternative would be to invest $50,000 into both High Tech and Collections. The chart in Appendix A contains the calculations of the various measurements of risk. The expected return on the 2-stock portfolio is 6.7%, the standard deviation is 3.4%, and the CV is 0.5. The riskiness of this alternative is different than that of the individual stocks if they were apart from one another. A major difference is in the measurement of the stand-alone risk. The stand-alone risk of the individual stocks is greater than that of a stock portfolio. This is because the two stocks have opposite reactions to the market. As the risk of one alternative increases, the risk of the other decreases, reducing the overall risk of the portfolio. Random Stock SelectionAnother investment alternative to consider might be to start a portfolio with one randomly selected stock, then randomly adding more and more stocks to this portfolio. Initially, the portfolio would have significant risk because it only contains one individual stock. As more stocks are added, the expected rate of return would remain the same, but the risk would be reduced due to the diversification of the risk through the various stocks. SECTION 3: Security Market LineThe Security Market Line (SML) equation shows the relationship between risk as measured by beta and the required rates of return on individual securities. Appendix B shows this equation and the calculations of the required returns for our various investment alternatives. Given an estimated risk-free rate of 5.5% and market return of 10.5%, the required rates of return were calculated at 5.5% for T-bills, 12.1% for High Tech, 1.15% for Collections, 9.9% for U.S. Rubber, and 10.5% for a market portfolio. These returns compare closely to the estimated returns in the chart in Appendix A. The required returns are equal to the  estimated returns for the Market Portfolio and T-Bills, showing that they are fairly valued. Required returns are greater for U.S. Rubber and Collections, showing that they are overvalued. The required return is lower for High Tech, showing that it is undervalued. The required return of a portfolio with 50-50 High Tech and Collections is calculated at 6.63%. For a 50-50 portfolio of High Tech and U.S. Rubber, the required return is 11%. If investors raised their inflation expectation by 3 percentage points over current estimates as reflected in the 5.5% risk-free rate, the SML would result in an upward shift of 3 percentage points. The required returns of both high and low-risk securities would also result in an increase of 3 percentage points. If investors risk aversion increased enough to cause the market risk premium to increase by 3 percentage points, the SML would then result in an upward rotation about the y-axis and the required returns of high-risk securities would increase.

Thursday, August 29, 2019

Sex & Society in Postwar Germany Essay Example | Topics and Well Written Essays - 750 words

Sex & Society in Postwar Germany - Essay Example Street walkers and female taxi drivers were available for the pleasure of visiting Westerners, too. On May 6, 1933, Nazi Youth of the Deutsche Studentenschaft made an organized attack on the Institute of Sex Research. A few days later the Institute's library and archives were publicly hauled out and burned in the streets of the Opernplatz. Around 20,000 books and journals, and 5,000 images, were destroyed. Also seized were the Institute's extensive lists of names and addresses of LGBT people. In the midst of the burning, Joseph Gobbles gave a political speech to a crowd of around 40,000 people. Hitler initially protected Rohm from other elements of the Nazi Party which held his homosexuality to be a violation of the party's strong anti-gay policy. However, Hitler later changed course when he perceived Rohm to be a potential threat to his power. During the Night of the Long Knives in 1934, a purge of those who Hitler deemed threats to his power took place. He had Rohm murdered and used Rohm's homosexuality as a justification to subside outrage within the ranks of the SA. After solidifying his power, Hitler would include gay men among those sent to concentration camps during the Holocaust. Careful attention to the history of sexuality prompts us to reconsider how we per iodize twentieth-century German history; it changes our interpretation of ruptures and continuities across the conventional divides of 1918, 1933, 1945, 1968, and 1989. Consideration of the history of sexuality and insistence on integrating the history of sexuality with more traditional topics of historiography can also challenge our assumptions about key social and political transformations and provide new insights into a broad array of crucial phenomena. To neglect the history of sexuality, for example, is also to fail to care about the content or force of anti-Semitism both during the Weimar Republic and in the early years of the Third Reich. Similarly, if we set sex aside as irrelevant, we lose opportunities to comprehend the extraordinary appeal of Nazism both to those Germans who sought the restoration of conservative family values and to those who benefited from Nazism's loosening of conventiona l mores. Nor can processes of popular secularization or religious renewal be understood without attention to the history of sexuality. Likewise, to disregard conflicts over sexuality is to risk misunderstanding the extensive emotional repercussions of Germans' military and ideological defeat in World War II, and its consequences especially for German manhood. Perhaps most significantly, to treat sexual issues as marginal is also to miss how the postwar Federal Republic of Germany, in striving to be incorporated into the Cold War West, was able to manipulate the memory of Nazism and to redirect moral debate away from the problem of complicity in mass murder and toward a narrowed conception of morality as solely concerned with sex. Sexual politics functioned as a main locus for recurrent reconstructions of the memory and meanings of Nazism. Because the reworking of sexual mores had been such an important feature of the Third Reich, attempts to come to terms with the legacies of fascism in Germany could not help but address sexual matters. No less pertinent a factor, however, was the unexpected revival of Christian authority in the

Wednesday, August 28, 2019

Motivation and Oerformance Management Assignment

Motivation and Oerformance Management - Assignment Example Job satisfaction is the gratification of an employee in the company and to the position held. It can also be the lack of satisfaction of the employee in the company. It comes as a result of the relationship between the employee and the position that he or she holds together with a positive or negative feelings that he or she holds. Job satisfaction is related to the attitude an employee has in the job. Organizational commitment can, on the other hand, get the definition as a strong feeling of responsibility that a person has towards the goals that are set by the company. Organizational commitment is also referred to as the attachment that a person has towards the workplace (Hiam, 2003). The impact of attitude to the job satisfaction is direct. On the case of organizational commitment, there is a focus on the attitude of the employee towards the organization as a whole. Despite the fact that there is a stronger relationship between commitment and satisfaction there is also the idea that satisfaction is caused by commitment. However, there is a difference between commitment and satisfaction in an organization (Kearney & Berman, 2009). According to Hiam (2003) motivation influences the performance of an employee in an organization. The work environment and the ability of the employee are also determinants in the performance of an employee. Problems in the motivation of the employees should face scrutiny in every organization. It is because of the significance of motivation in determining the performance of the company. The perceptions that are held by an individual employee play a vital role in the approach of the motivational theory that can be use by an organization. One of the approaches is the equity theory. It establishes how the workers recognize the rewards handed to them by the company in exchange to the task they complete. On the case that the employees view the rewards as

Tuesday, August 27, 2019

Role of Central Banks Essay Example | Topics and Well Written Essays - 2750 words

Role of Central Banks - Essay Example Low inflation is not an end in itself. It is however an important factor in helping to encourage long-term stability in the economy. Price stability is a precondition for achieving a wider economic goal of sustainable growth and employment. High inflation can be damaging to the functioning of the economy. Low inflation can help to foster sustainable long-term economic growth 2. The central bank ensures that the money supply in the economy is exogenous and determines the monetary base accordingly for the actual values of the currency and reserve ratios etc. using the appropriate money supply formula. 3. The money supply is endogenous to the economy but is determined by the central bank according to a money supply rule, and the monetary base is changed to achieve the money supply determined according to this rule. The last assumption given above is the most commonly used operational technique, even where the central bank's intention is to focus on the monetary base or the money supply as the main determinant of aggregate demand. Under this procedure, the central bank sets the discount rate to achieve a certain level of aggregate demand in the economy and lets the financial sector determine the monetary base through borrowing or discounting bonds with it. ... rational technique, even where the central bank's intention is to focus on the monetary base or the money supply as the main determinant of aggregate demand. Under this procedure, the central bank sets the discount rate to achieve a certain level of aggregate demand in the economy and lets the financial sector determine the monetary base through borrowing or discounting bonds with it. In any case, the central bank's behaviour is captured through the specification of the monetary base, no matter which of the above procedures is used. The measures that are taken by a central bank typically involve altering the interest rate in order to control the rate of growth of aggregate demand, the money supply and ultimately price inflation. It also involves changing the exchange rates as fluctuations in the value of currency also have an impact on macroeconomic activity. All in all, these measures come under the banner of monetary policy of a country. The key result is that monetary policy governed by society's preferences produces an inefficient outcome featuring an undesired, high level of price instability. Society can improve on this suboptimal outcome in a number of ways. One way to achieve price stability without distorting the stabilization of shocks is to set new incentives for the central bank by picking a progressive central bank which cares a lot about income, making it independent of the government, and adding an inflation target to its environment.1 Monetary Policy Many economists believe that monetary policy is a more powerful tool than fiscal policy in controlling inflation. The circular flow of income and spending is kept in motion through changes in short term interest rates that in turn affect the spending and savings patterns of households and businesses

Monday, August 26, 2019

Escape from the Long Arm of the Law Essay Example | Topics and Well Written Essays - 1250 words

Escape from the Long Arm of the Law - Essay Example The dialog finds Plato's mentor and narrative mouthpiece imprisoned and awaiting execution, a result of the trial in which he was found guilty of corrupting the youth of Athens. Crito, a friend of Socrates, has come to prison to visit the condemned man and to advocate that Socrates escape from jail. Socrates will have none of it, and instead engages Crito in one of Socrates' famous dialogs, all in an effort to prove that Socrates cannot flee the punishment of Athens in a way that does not do serious injustice. To justify his claims, Socrates introduces the character of the Laws, voice of the legal charter of Athens. The Laws ask Socrates to stay where he is, to avoid even thinking about escape, since doing so would invite the utter ruination of Athens as a whole: â€Å"Do you imagine,† the Laws inquire, â€Å"that a city can continue to exist and not be turned upside down, if the legal judgments which are pronounced in it have no force but are nullified and destroyed by priva te persons† (Plato 50a-b)? If anyone could simply escape their punishment whenever it didn't suit their own desires, they would be bending laws past their breaking point, since punishment would never have any meaning. Socrates concludes that such a stance is unacceptable. To explain his position to Crito, who is obviously predisposed to the opposite position, Socrates offers a couple of analogies, each of which highlights Socrates's subordinate relationship to the Laws. The law, he contends, is like a father or a master, and Socrates is the child or the slave—in either instance, neither the child nor the slave has the legal right to retaliate against the parent or master simply because they did not like their treatment in one particular instance. In a similar fashion, Socrates benefited from the laws regarding marriage and childrearing, and he cannot simply pick and choose such that he gains all the benefits but suffers none of the consequences. It helps his claim that the Laws have been personified, thus making a set of very diverse laws seem as if they were crafted together and objectively (which seems unlikely) and Socrates clearly believes that because one cannot separate out the Lawsone wants to obey from the Lawsone does not, then one must submit to the force of law in general. This is true even if the law ultimately produces an unfair or even unjust outcome. The price of that one small injustice does not justify committing a grave injustice by disobeying. I believe that the logical result of the Platonic view is nothing less than authoritarianism. There exists little wiggle room in Plato's formulation; the law commands and the citizen obeys. Socrates argues that the greater injustice comes from violating the laws, but what is the threshold at which such a statement can be made? If the state orders the infanticide of second or third-born children because of concerns over population density, or if the federal government declares that cancer p atients can only take marijuana if it comes in a pharmaceutical company's pill form rather than an inexpensive and more effective joint, does one really have to just shrug their shoulders and obey?

Sunday, August 25, 2019

Entreprenuership -Trader joes Assignment Example | Topics and Well Written Essays - 750 words

Entreprenuership -Trader joes - Assignment Example He opened stores designed with fish nets and boat oars on the walls. Employees were dressed in bright tropical shirts and the stores where packed with food items which are preferred by the customers during vacations. The enterprise also partnered with dealers worldwide to make the foods available at popular holiday destinations at their stores. The founder believed that if the people can spend huge amount of their money to experience great tastes available at those holiday destinations, people would definitely spend on those goods if they are available in store near their homes. The unique value proposition of the company includes availability of unique food items with new tastes, minimum price charged for products, high bargaining with suppliers. The organization researched about the products that the Americans prefer the most on their vacations. It also believes that the money saved by the organization while procuring goods from suppliers is the money saved by the customers. Thus, the company creates value by supplying goods at minimum prices. The enterprise also acquires goods directly from the suppliers to reduce their costs. Trader Joe’s also utilizes the loop holes of government regulations on wines. Since private label wines were not covered under the laws, the company persuaded them to sell their production under the label of Trader Joe’s. As the price of these labels were low than popular brands, they were preferred by the customers (â€Å"Understanding Trader Joe’s†). The key metrics are the measures which assess the performance of the company. Traders Joe’s growth in sales and the increase in the number of stores are the metrics used to understand the success of the enterprise. It has been observed that the sales growth of the company has increased over the years but in the recent times, there is a high competition in the retail sector and this may lead to

Saturday, August 24, 2019

Small Business Enterprise Case Study Example | Topics and Well Written Essays - 1500 words

Small Business Enterprise - Case Study Example Good reputation and experience in the industry. Dues to already established positive reputation, further expansion of business involves less risks. Moreover, the managers have experience in the industry, while lack of experience is one of the top reasons of small business failure (Holmes, S. Haswell, S. 1989). High quality of products served. The major reason of coffee shop success is the high quality of food served that results in positive reputation and word of mouth spread of information about services and products offered. While, undoubtedly, there is a vast number of factors that have a positive influence on business functioning, the coffee shop has significant drawbacks that should be particularly considered when planning expansion. Poor marketing campaign. The business has to concentrate on development of the marketing mix alongside with research of the target audience needs. The issue is particularly relevant due to the fact that the target audience of the gift shop is mainly tourists; consequently, word of mouth recommendations are not sufficient enough. The variety of products offered at the gift shop should also be considered in relation to the target audience needs, perhaps, the products list offered should be expanded. Poor labor specialization. Bob and Jane are the only two employees of the business. While their day to day duties involve simple serving work, obviously, the personnel are too qualified for this type of work. By hiring helpers that would serve at the coffee and gift shop, the managers could devote more time to marketing and planning of their business, thus, the efficiency of the business would grow. This issue is particularly relevant when considering business expansion. In order to neutralize the negative effects of business weaknesses, the identified strengths should be matched against weaknesses and on the base of the received outcome further planning should be implemented (Bannock, G. 2005). The effect of poor marketing campaign can be neutralized by further development of positive reputation of the business in the industry alongside with conducting marketing research in access of funds available in terms of the geographic location of the business. Poor labor specialization can be matched against high quality of products served alongside with positive reputation of the business in the industry, since expansion of the business will most likely result in diminished contacts with clients (Bitner, L. Powell, J. 1987). Part II: Existing Business Improvement and Expansion Consequently, the business should concentrate on development of the marketing mix applicable in the present situation alongside with marketing planning and labor specialization that should be considered in terms of business expansion. While development of the marketing mix and marketing campaign as well as research of the present market should be outsourced to the third party, e. g. marketing agency, such issues as financial planning and staffing should be directly solved by the management. Marketing and promotion is crucial to any business. Development of

Political Climate of the 1980's Essay Example | Topics and Well Written Essays - 500 words

Political Climate of the 1980's - Essay Example It is wrong to assume that the arms race is over as both the United States and the Russian Federation goes on feverishly producing deadlier and more lethal weapons of mass destruction. The Russian Federation today is under the determined leadership of Vladimir Putin compared to the indisciplined and chaotic days in the aftermath of the Soviet Union, under Boris Yeltsin. Russia today is far more stable and prosperous though much less democratic compared to the days of Yeltsin. Putin as a leader may be strong and determined but he also has a past that worries the west, his reputation of a ruthless KGB officer. It is however felt in many strategic circles that the west too has overlooked its responsibilities and recklessly went ahead with attempts to get the former Warsaw Pact members under the NATO ambit. The Russians have historically resented attempts by the western powers to penetrate their 'Slavic sphere of interest' in Eastern Europe and to this extent it could be said that the west for once could have been a little more measured in its approach.

Friday, August 23, 2019

Risk and Compliance Evaluation Essay Example | Topics and Well Written Essays - 4000 words

Risk and Compliance Evaluation - Essay Example In fact, there are specific provisions of the Data Protection Act of 1998 and the Financial Services Authority’s Business Principles that would be violated should the Brokerage Firm forces the issue of using such concept in its operation without any proper control or safeguards. The use of Software as a Service and Cloud computing would also expose the Brokerage Firm to be open to Breach of Confidence legal actions. To prevent such legal actions it is strongly advised that the Retail Investment Brokerage Firm adopt an Information Security Management System that will provide the controls that will protect the information of the clients. The implementation of an Information Security Management System would make the Brokerage Firm diligent in the protection of its client’s information. ... The operational possession of client information requires a huge amount of responsibility since any unauthorized release of information would cause undue harm or it can expose the client to dangers (Marshall, 2001). Even the European community in general has recognized the right to privacy of financial information as a right not to be trifled with. The Parliament of the United Kingdom has passed the Data Protection Act of 1998 to safe guard against such unauthorized intrusion to the lives of its subject. While the Financial Services Authority that is tasked to govern organizations that provides financial service to select clients have mandated several edict that aims to protect the clients of organization providing financial services. The financial services and the information technology industry also responded in kind by delivering a set of standards that can be used as framework with the sole purpose of protecting client data (Davidson, 2010). The advent of technology not only made it easier to bring enormous profit or revenue to the financial services organization’s clients it also made it easier to procure information that could adversely affect the life of its owner. The delicate balance between what is permissible exposure to threat in the face of enormous profit at the soonest possible time made it mandatory for financial services organization to manage the risks involved (Snedaker, 2007). The internet has spawned several innovations that would increase productivity in the same manner that it would raise the revenue for the client of the Retail Investment Brokerage firm. One such innovation is the Software as a Service concept or simply SaaS (Adler & Benoiff, 2009). Companies wishing to have the flexibility with the number of users that uses

Thursday, August 22, 2019

The development of relationships is communication Essay Example for Free

The development of relationships is communication Essay One of the most vital componentsin the development of relationships is communication. It remains as one of the most important factors in people’s relationships, helping them develop in the attainment of their desired objectives as they form their own unique relationships. Similarly, it has been seen as a qualifying factor in the success of many important personalities. Thus, the process in which individuals communicate to one another is a critical process in determining sustenance and improvement in environments. I had always envisioned a borderless world, one where people will not be hindered by boundaries, language and color, without the presence of discrimination and prejudices. Despite the difficulty in tfulfilling this perspective, I know that by understanding and advancing our communication processes, such an instance can be possible. With these views and desires in mind, I would like to express my intention to apply for a communication major at the University of California. Given these facts, I will try to convince the admissions committee on the merits of my application. Given that there is a large number of applicants seeking acceptance in this prestigious learning institution, it is important for me to lay out good reasons how I can contribute and serve the purpose of the University, particularly in my relevant objectives and my short long term goals. All of this corresponds on the idea of what can reciprocate. My first interest in the communication process began in my early years in high school at the East Coast. Being an international student, I was faced with the everyday challenges that I have to deal with. New people, policies, environments, languages and cultures were all alien to me as I adjusted to my new surroundings. It was hard to learn when things just seemed to line up, waiting to be solved by a person who nary knew anything about them. By learning languages and cultures, communicating with people from different countries got easier, and from my first experience in resolving communication situations, the interest in the process of communication grew. I would like to seek admission to further develop my longstanding interest in the realm of communication. I consider it an amazing experience to know people from different cultures and languages. This was my same situation in my stay in the United States, dealing with different nationalities and a foreign language. As an international student living in the United States, a place with different kinds of people, learning their traditional cultures and styles is necessary to communicate with them. My wish is to gain the ability and knowldege to communicate with every single person. In my native Hong Kong, the relationships I had with friends and peers clearly established my intention to further grasp the process of communication, needing to understand the importance of both verbal and non-verbal styles. Similarly, I wanted to see how people’s behavior manifested in their interaction with others. This wide diversity of people’s attitudes and perceptions has given me the initiative in understanding their relationship with each other, kindling my interest in communication. Likewise, the numerous ways people engage with each other fascinates me. This setup, unique only to humans, has been the integral part in the formation of several communication and language theories. All of these are focused on one important goal – promote better understanding. With the development of new technologies, there are various methods and practices that can be exhausted in the process. Chatting, web conferencing, and emails has given the art of dialogue a new direction. Due to this, human beings have become closer amidst the presence of intangible and tangible boundaries. On the other hand, my academic study has given me substantial theoretical anchors essential to my understanding of the subject. Also, the relevant subjects that were facilitated during my academic years have been instrumental in giving me the necessary tools to accomplish my tasks, developing the training and enhancement of my personal capabilities and skills. With this, I can say that my study at Santa Monica Community College has given me the needed exposure to create my own interpretation of communication and dialogue. This understanding of communication has enabled me to create better and harmonious relationship with my peers. My inclination to both volunteer and civic activities clearly became a benchmark for creating my individual interpretation of dialogue. Also, being part of sports related endeavors, I understood the magnitude of communication. The thing about athletics is that it does not only focus on the values of sportsmanship and discipline. As a member of AGS at Santa Monica Community College, I saw the need to seek better opportunities. First of these was the value of service among different cultural and racial backgrounds. Back then, I only had to settle with a few minorities, our type t being the dominant one. Here at Santa Monica, I had the experience of being exposed to a wide array of cultures and beliefs. All these became integral to my overall perception of defining communication. Having said these, I feel that I am qualified to be included in the applicants list. I want to learn the knowledge of acquiring and learning new ideas and concepts. I feel the need to remove barriers within my personality and in others. From my expeience, it is to hard to talk to strangers. People think Im weird when I talk to them. But if given this degree, I can acquire the confidence and self esteem I need to convey my message. In the end, this communication degree is only a stepping stone of what I want to be as part of my goals in attaining my long term plans. Despite the challenges and hurdles that may come, I feel that I am ready and equipped with the necessary values and credentials to withstand everything.

Wednesday, August 21, 2019

Primary Health Care And Improving Polypharmacy Nursing Essay

Primary Health Care And Improving Polypharmacy Nursing Essay Polypharmacy is common in older people around 20% of people over 70 take five or more drugs (Milton, J et al. Prescribing for older people. BMJ 2008; 336: 606-9) With reference to both literature and your CBM experience discuss how the Primary Health Care team can work together to improve both compliance and concordance in relation to medication in patients. Polypharmacy is defined as: the use of a number of different drugs possibly prescribed by different doctors and filled in different pharmacies, by a patient who may have one or several health problems [1]. The World Health Organisation estimates that only 50% of patients who suffer chronic diseases comply with treatment recommendations [2]. During day four entitled A Pill for Every Ill? at our GP practise we discussed and learnt about the issue of polypharmacy and how it effects compliance (The extent to which the patients behaviour matches the prescribers recommendations [3] ) and concordance (a concept in which doctor and patient agree therapeutic decisions that incorporate their respective views [3] ) in patients. I also got the opportunity to interview patients about their medication use. From interviewing two patients I found that they all took a number of different drugs for several health problems not simply for one. All of the patients were over the age of sixty and had initially presented with one health problem. Later, further health complications arose that led to more health conditions/problems and consequently increased polypharmacy. The first patient I interviewed took eleven different tablets and had two inhalers. He had had asthma since his childhood and carried an inhaler with him. He initially presented with type two diabetes mellitus twenty years ago and was prescribed medication to help control his diabetes. However, he had a heart attack ten years ago but was unfortunately not prescribed certain preventative heart medications for nine years and consequently only began to take his full course of heart medications a year ago. He has now been prescribed with GTN spray and eight tablets including beta blockers, statins, aspirin and GTN spray. He takes five of these tablets in the morning and three at night. He is on repeat prescription for all his medications and he picks up a blister pack/ dosette box from the pharmacy every month with his medication in, so that he can remember what to take and when to take it. When asked he said he was very happy with how clearly the tablets, inhalers and the side effects o f both had been explained to him. He does not pay for his medications because he is an old age pensioner. He does not feel he suffers any side effects from the medications. He has regular appointments to have blood taken so that he can be monitored so that if necessary, changes in his medication can be made. The second patient I interviewed took nineteen different tablets. She had presented with angina and was prescribed heart medications (beta blockers, statins, aspirin and GTN spray). She later became hospitalised due to an infection in her leg for which she was prescribed antibiotics which she was still taking at the time. Two years ago she began to suffer from severe pain up her back, at the side of her face and at the back of her head. She consulted because of this pain and after a number of follow ups with a specialist at hospital; it was found that the pain on the side of her face and back of her head, was being caused by a large vein lying on a nerve in her face causing painful muscle spasms. Due to the pain in her back, she found it hard to climb the stairs. She was prescribed codeine for the pain by sticking patches on to her skin (to change every day) to give her a continuous dose over a longer period of time than tablets would. The codeine tablets were prescribed for instance s when the pain became too severe that the dose being administered by the patches wasnt enough. The lady explained that she did not suffer any side effects from the medications she took. She is on repeat prescription for all her medications which she takes daily at different dosages for each medication, apart from the antibiotics for which she is on the last course. She does not have to pay due to her being an old age pensioner. To remember to take her medications, she keeps them all in a box by her bed. She has never been in a situation where she completely ran out of medicine because she has the help of her family who go to the pharmacy to pick up her medicines for her. I found the interviews I conducted very interesting and helpful in understanding the important issues of compliance and concordance with patients that arose from polypharmacy. In relation to compliance and concordance, both patients gave a lot of importance to the fact that every time they were prescribed a medicine, the GP would take time to explain why they were prescribing the drug, explaining the way the drug worked, the dosage required and answering any questions they had about the medicine. Whilst studying literature on the topic, I came across an article about a randomised control trial in patients with heart failure and how the intervention of a pharmacist may possibly increase compliance with the patients [4]. It is a fact that patients with heart failure have several prescriptions and for that reason sometimes have problems being compliant and taking full courses of their medication at prescribed times. The trials objective was specifically to see if pharmacist intervention improves medication adherence and health outcomes compared with usual care for low-income patients with heart failure [4]. 39% of the 314 patients with low income were assigned intervention while the remaining 61% remained with usual care. Both groups were followed for 12 months. The group subject to intervention underwent 9 months of multilevel intervention by the pharmacist with a 3 month follow up period. The intervention was designed by an interdisciplinary healthcare team who helped patients with low health understanding and inadequate resources to manage their medication. The results of this trial showed that during the 9 months of intervention, compliance to take medication in the group with normal care was 67.9% whilst in the intervention group it was 78.8%. This difference of 10.9% was found to be statistically significant; therefore these results prove that intervention by a pharmacist does increase compliance in patients. However, in the 3 month follow up these results dissipated. The rate of compliance reduced to 66.7% in the group with normal care and 70.6% in the group with intervention. The difference of 3.9% between the two groups was found not to be statistically significant meaning there was no lasting effect on compliance. Medication was taken at the correct time 47.2% of the time by the normal care group and 53.1% of the time by the intervention group. This soon lowered to 48.9% and 48.6% in the normal care and intervention group respectively in the 3 mo nth follow up [4]. For there to be a lasting effect on increasing compliance and as a subset, taking the medication at the correct times, it was necessary to continue intervention. This study was useful in helping find a method of increasing compliance; however, it was not clear exactly how this intervention worked. I understood it involved helping patients manage their medication better but not how exactly and also involved educating them better about the drugs. In relation to this essay, this study has these limitations but at the same time it reveals useful methods to increase compliance which I can not ignore. There are proven reasons other than the ones explained above, for non-compliance. These include being male, being a new patient, having a shorter disease period and work and travel pressures [5]. Non-compliance entails the disadvantage of patients not following a strict routine of taking medication which consequently causes further ill health and possible bacterial resistance in the long term. Once these issues have been recognised through discussion between a patient and a practitioner; there are two interventions proven to significantly increase compliance. These methods were proven useful in a study conducted to look at ways in which compliance could be increased in patients with ulcerative colitis [5]. In both instances it is necessary for there to be a good relationship between the patient and practitioner where the patient feels comfortable to talk openly about their problems. Educational intervention can be provided [5]. This is comprised of verbal explanation of the dosage re gime and how the drug itself works. Written information on the drug is also provided to educate the patient further. Once the patient feels they are sufficiently equipped with knowledge on the drug and have agreed to take it, the practitioner and patient draw up a self-management programme collaboratively. However, this method of intervention has its drawbacks due to time constraints many doctors are under. They can not find the time to go through this lengthy process with every patient. This problem could be overcome by having another member of the primary healthcare team take care of this process such as a pharmacist who is qualified to answer questions on medications. The second intervention is based on the patients behaviour [5]. It involves making it easier and more memorable to take their medication. This is done with the use of calendar/blister packs which are made/provided at the pharmacy. The blister packs serve as reminders or cues. They have the day and time at which each tablet should be taken on the back so it becomes harder to get confused and to miss tablets, therefore improving compliance. This is a cheap and cost-effective method which has been proven to improve compliance. The interventions together optimised compliance when they were adapted to individual patient needs in the study involving ulcerative colitis patients. To investigate methods to improve compliance I first need to make clear some of the reasons for poor compliance. For this I will use a study based on the causes of non-compliance to statin therapy as a major challenge in cardiology, as my evidence [6]. This study found that there were a variety of factors that caused non-compliance. These include patient, practitioner and system factors [6]. Patient factors include comorbidities (two or more coexisting medical conditions or disease processes that are additional to an initial diagnosis [7]) which increase polypharmacy which decreases compliance and also financial constraints in being unable to buy prescribed medication. Practitioner factors include poor communication skills, time constraints and poor doctor-patient collaboration. System factors include medication costs, lack of clinical monitoring and drug side effects [6]. These valid points presented by the study highlight where the changes need to be made in the Primary Healthcare team to improve compliance in patients. Some of the causes of decreased compliance above have apparent solutions. Financial constraints on patients could lead to a means tested system where patients that earn less than a certain amount receive medications free. This would eliminate the problem of patients not being able to obtain their medications. Practitioners could be sent on courses to improve their communication skills so that patients feel they are being listened to more and so they feel they understand the drugs and side effects so they feel comfortable being compliant. The idea of communication courses for doctors will also have a good impact on doctor-patient collaboration thereby increasing compliance. Medication costs could only be decreased when patents on specific drugs run out and other drugs companies compete for business thereby decreasing costs. Drug side effects are simply a limitation of the technology companies have at the moment, to formulate drugs. When technology advances, so will mans ability to dec rease the number and severity of side effects. However, doctors can also regularly review medication to reduce side effects by switching a patients medication to another drug with similar effects but fewer side effects. This will increase compliance because drugs will increasingly only have the desired effects and little or no side effects. Many of the system factors that lead to decreased compliance are in fact not in the control of the primary healthcare team, such as controlling the medication costs which are set by the drugs companies and drug side effects. The patient factors leading to decreased compliance are very personal and individual to the patient. However, the primary healthcare team can be useful in helping these problems to be overcome by, for example, sorting medicines into a dosette box for a patient who is very forgetful. The practitioner factors that lead to decreased compliance are indeed the same reasons that cause decreased concordance as well as other reasons. Improving concordance is linked to improving compliance. In fact improved compliance in certain cases is a direct consequence of improving concordance. For this reason tackling the problem of decreased concordance is a key issue in the primary healthcare team. Decreased concordance is a result of intentional non-compliance by patients [8] due to time constraints a doctor is under, poor doctor-patient relationship, poor communication skills of the doctor including poor explanation of the patients conditions [9] and the drugs they are taking and poor appearance/professionalism. Time constraints are a problem because GPs feel pressured to rush everything necessary leaving the patient feeling ill prepared. Government initiatives to set a minimum time limit on how long any consultation should last, could be a possible answer to this problem. This would give doctors more of an opportunity to ask more open questions and more probing questions into how the patients life is affecting their health/compliance. Patients are given the choice of asking to have appointments with doctors they believe they have better relationships with, however, if it is noticed that a pattern is emerging when a certain doctor is consistently not asked for, then a review can take place to investigate why the care given by a particular doctor is not good enough. The doctor can be sent on courses in improving care and be sanctioned if deemed necessary by the General Medical Council through fitness to practise measures. If the NHS makes sure that the doctors are provided with more than enough information to educate them on the drugs they prescribe, the likelihood of poor explanations by doctors to patients on their medications is more unlikely. Doctors should also avoid the use of medical jargon and use simpler language that the patient is likely to understand to improve concordance [9]. If this is the reason for poor communication of doctors then poor concordance is also solved. However, poor communication on the part of the doctor can be due to number of different non-intentional problems including family problems. If this is the case then support services can be made available to the doctor to improve his condition/practise. This has the wider effect of improving appearance/professionalism if this is also suffering. Compliance and concordance are of great importance because a decline in either can lead to an exacerbation of the underlying illness or in many cases of polypharmacy, an exacerbation of comorbidities. In conclusion, there are many simple methods in improving compliance, in certain cases as a result of improving concordance. The doctor-patient relationship is key in improving compliance as it involves a mutual understanding and importantly lends help in listening to complaints of patients and finding methods for them to remain compliant. The simplest methods such as the use of dosette boxes, having doctors that are knowledgeable about the drugs they prescribe and taking the time to explain them to patients, are the most useful methods of improving compliance and concordance.

Tuesday, August 20, 2019

Substance Abuse in Household

Substance Abuse in Household Families where addiction is at hand are normally painful to live in, especially when a person is young. This is why individuals who live with addiction may become traumatized to varying levels by incidences. Wide changes, from one end of the disturbing, psychological, and behavioral range to the other, all too frequently characterize the addicted family system. Every member of the family is affected by the addiction. Coping with addiction can expose family members to unusual stress. Normal schedules are frequently being interrupted by abrupt or even frightening types of experiences that are part of coping with drug abuse. Addiction in the family can result in children having trauma that seriously affect growth and can have pervasive and long-term effects on them. Individuals arrive in life only partially hardwired by nature. The environment finishes the work of nature. Therefore, if an individual encounters family members who are addicted, he/she either become traumatized or live an abnormal life. Therefore, family addiction in the family affects daily living issues causing particular emotional, interpersonal, or even clinical mental health concerns. However, according to renowned research article, there available interventions, including family therapy interventions and counseling support from experts. The interventions are modified to fit the extent of addiction in the family, and the techniques and follow-ups employed vary. Forms of addiction in the family Substance abuse is probably the most widespread form of addiction in the family that has become chronic. According to research experts, addiction has been defined a major, progressive, unrelenting disorder with genetic, psychosocial, and ecological issues, which affects its expansion and signs. It may turn out to be fatal and progressive. The symptoms of various types of addiction in the family are a spoiled urge of the substance. Along with this worry with a certain substance and its frequent use, in spite of severe costs, characterize the same. It finally results in deformations in thinking. There has to be a complete understanding of what addiction in the family is, in order to single out problems such as drug, alcohol, and sexual addiction. This is important to seek out appropriate rehabilitation programs and addiction management to get back to normal life. Addiction to drugs, alcohol or even sexual addiction in the family are procedure addictions and are linked to compulsive character like shopping, gambling, and eating disorders. Drug, alcohol and sexual addiction affect the victim, but also hurt those associated with them including their family members, relatives, friends, and co-workers. In addition, addiction to substance, drugs, and sex are closely related: reliance on any one can and normally does result in headway to the other. Under such situations, the addict is no longer in charge and needs appropriate rehabilitation and addiction treatment session. Indications of addiction in the family Some signs of various types of addiction character related to substance, drugs and sex comprise of a preoccupation with the addictive character between periods of misuse, augmented levels of abuse, a development of tolerance to alcohol or the drug in contention or a mood of dissatisfaction in the concern of sexual addiction. When the affected individual tries to stop, there are distinctive withdrawal symptoms that urge the addict to relapse to addictive behavior to shun or control these symptoms. In addition, alcohol, substance, and sexual abuse can be visible at inappropriate times while working, or when withdrawal tends to disrupt daily functioning (Henderson, 92). There is a noticeable decrease in social, work-related, and recreational involvement with the addict opting for indulgence in addictive behavior. Involvement in family matters can be disrupted by addiction in the family. Effect on Family Members According to research experts, addicted families are frequently very endangered by what they recognize to be the threatening destruction of their family. Their very position in existence is being endangered; the ground beneath them is starting to move. Denial is a dysfunctional effort to put a good look on a bad circumstance by denying the effect addiction is having on the family setting and the existence of the proverbial pink elephant in the living room who is consuming ever-increasing space amounts of room. Reality is reprinted as family members try to bend it to make it less intimidating; to conceal their ever-emerging despair. Family members normally colluded in this refutation and anyone who tries to turn the attention onto cruel reality of addiction may be alleged to be disloyal. They run in place to cope with appearances, to themselves as well as relatives, while reacting to a sense of despair frequently nipping at their steps, again, we observe the cycles between limits that so distinguish addicted family systems. Therefore, it is simple for family members to experience hopeless, unhappiness, and inability to believe that things can ever transform. The family is at times gripped by the memory of aggression, infidelities, and various humiliations, such as yelling, howling, intimidating, or the silent treatment. The family requires and needs aid, yet cannot access it alone. Certainly, erroneous beliefs about addiction to alcohol and other substances can derail any attempts to assist the addict. Feelings of guilt are maximized by others The painful experience of guilt, shame, and fear emanating from the conflict of addictive manners with the persons own values normally develops states of unbearable inner trauma that make it tougher for the addict to restrain from resorting for to the initial addiction that is the grounds of negative feelings. Others who are prospering make this worse. The situation could worse when others start to accuse the victim starting family members to the members of the society who condemn the act of substance addiction (Barnard, 72). Effects on children Most accessible data shows that a parents drinking concern normally has a detrimental impact on children. The spouse of the individual abusing substances is probable to protect the children and neglect the parenting roles of the parent abusing substances. The impact on children is worse if both are addicted to alcohols or drugs (Digman and Soan, 100). Many mature children of addicts are at risk for a variety of psychological, social, and emotional concerns. The most notable factor is a negative self-esteem and feelings of worthlessness and disappointment. Many mature children of addicts do not attribute said dilemmas, feelings, and feelings to growing up in an alcoholic family. However, commonalities consist of failure to trust, impetuous character, and problems with violence and depression (Parsons, 2003). Most of the adult children of addicts have difficulties with intimate associations. Because they have been habituated to distrust people throughout their infancy occurrences, they deem that if they are in love with someone they will unavoidably be hurt. These children of addicts find this disbelieves to extend into adulthood. Without being competent to belief in themselves, they deem that they are not competent in dealing with uncomfortable emotions and this creates long-term concerns with nurturing positive and healthy cherished relationships (Parsons, 2003). The children normally feel out of control, make unfortunate career choices, and have mind-sets of worthlessness and breakdown. Many turn out to be parental breakdowns as well. Not astonishingly, some have concerns to do with abuse of psychoactive drugs or alcoholism. Such adult children have emotions of over-responsibility (Turney, 2007). Since there was such a short of responsibility in their childhood, they consider that they have to recompense it in adulthood. Treatment and Case Management Recovery for victims There are various stages and phases of possible recovery for an addicted person. In all these, abstinence necessitates a decision by the victim, and recovery needs time and effort. Physical recovery is the least multifaceted of the four recovery phases, even though it is normally the most instant. Physical recover occurs primarily because of self-denial alone. The body has an astonishing ability to mend itself, particularly when combined with medical care. Mental recovery is more multifaceted because it encompasses not only concerns associated with brain task and brain chemistry, but with concerns of attitudes, belief settings, and lucid, abstract thought. Emotional revival is more complex so far. In engages not only attitudes, belief settings, and lucid thought, but also ideas first cousin-feelings. Emotional revival consist of learning to handle feelings openly, honestly, and sensibly. It encompasses learning to articulate and resolve feelings in suitable and effective ways. For most individuals in recovery, emotional recovery takes ages. Treatment for the victim There are two possibilities when we are examining the victims of addiction: there are the addicts themselves, who are debatably victims, and then there are the relatives, friend, and family members of that addict. The family and relatives of the addict need to support him/her in to recover or cope with stigma. Various institutions help identify and manage cases of addictions. These include drug addiction and rehabilitation services that offer services to safeguard the health and welfare of addicts who are might have been victim drug abuse. Evidence Based Treatments Evidence-based practices are classified as intercessions that have depicted reliable scientific evidence of developing preferred client outcomes. The National Institute on Drug Abuse (NIDA) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA) provide the following evidenced-based observations for substance use disorders (Miller, and Miller, M., 409). Cognitive Behavioral Interventions- this practice consist of using awareness and skill-building roles with clients Community Reinforcement- This practice consists of connecting the client with other required agencies and services in the society. Motivational Enhancement Therapy- this approach entails using inspirational interviewing strategies and interventions that are founded on a stages of change model. 12-Step Facilitation- this is a prearranged, personalized approach for introducing addicts to a 12-step program. This can result in improved meeting turnout for a longer period. Consistency Management- This practice involves behavioral contracting where addicts have chances to earn rewards for specific sought-after behaviors. Data shows that stimulant users react very well to this practice, remain in treatment longer, make quantifiable progress, and have better treatment results. Pharmacological Therapies- There is reasonable evidence that medication like Antabuse, Naltrexone, and Buprenorphine when used in combination with other therapies can assist stabilize an individuals life when their alcohol or substance use is out of hand. Systems Treatment- this refers to treating addicts in their usual social setting. Spouses therapy, family therapy, and multi-systemic family therapy are all instances of systems treatment models. There is quantifiable evidence showing that addicts whose families are engaged in the treatment procedure show enhanced outcomes. Systems treatment seems to be especially successful with young people. Integrated Dual Disorders Treatment- This treatment practice assists people revive by presenting mental health and substance abuse treatment cares jointly, in one setting. The same medical team provides a personalized treatment arrangement, which handles both mental health and substance abuse concerns. A wide choice of services if provided in a level-wise manner, as service needs change over the course of treatment. Case management There are various ways where an addict manages his/her predicament. The management also involves family members, close friends, and relatives. The following are the most common management and recovery procedures, and they are scientifically experimented. Illness Management and recovery- Wellness self-management involves a series of strategies engineered to assist addicts manage their symptoms. Psycho-education, social skills teaching, cognitive character therapy, and survival skills teaching have shown to assist consumers handle their own mental health, minimize symptoms and relapses, and reduce the adverse effects of psychiatric illness on communal and role functioning. Medication Management- The rudiments of a successful model to optimize the use of medications include: (1) a methodical evidence-based practice to medication selection and use; (2) measurement of treatment reaction and side effects; and (3) hard work to improve addict devotion to taking prescribed medicines. Assertive Community Treatment (ACT), intensive Case management (ICM) Vital features of ACT, and Intensive case management consist of the following: a little caseload, provision of services in addicts natural environment, a 24-hour care, and organization of comprehensive multi-disciplinary services through frequent treatment team gatherings. Family Psycho-education- Successful family intervention practices offer a mixture of education, analytic, crisis intervention, and support. Family psycho-education has been depicted to minimize relapse rate and facilitate revival of individuals who have mental sickness and/or co-morbid disorders. Integrated Treatment for Co-Occurring Substance Use and Mental Health Disorders- Substance use treatment that is incorporated with mental health treatment and customized for persons with mental illness is more successful than detached substance use and mental health services. Successful programs also incorporate other services such as case management, medications, shelter, vocational psychotherapy, and family intervention (Ries, et al., 372). Trauma Services- There is a rising body of evidence that timely intervention following traumatic occurrences can avoid a diversity of behavioral disorders. Successful treatment following traumatic incidents should incorporate personalized counseling taking historical relation of both current and past trauma and providing psycho-educational data about trauma occurrence. Successful treatment will encompass concurrent treatment of trauma concerns and co-morbid concerns including substance abuse when appropriate. Support groups Support groups help much in minimizing cases addictions and in cases of traumatized families, it helps to bring back the trust in the affected children and families. These groups are formed to reach out for mature survivors of addiction and help prevent recurring cases addiction. Dissociative disorder support groups help victims who have dissociative disorders for instance DID. Recommended books and journals There are various journals for traumatized victims. These help victims, parents, siblings, and families of substance addiction. In these journals, families of traumatized victims and children of addiction can find information on how to deal with the situations at hand. They can access knowledge on how to detect and probably prevent cases addiction their families. In conclusion, addiction in the family can be painful to both the victim and the people around him/her. This is more pronounced in a family where every member is traumatized by such incidences. The most members of the family are children at a younger stage, whereby they can also become victims of addiction, and later in life have unfortunate intimate relationship. Nevertheless, early diagnosis and treatment of addiction in the family helps much in minimizing the extent of addictions, and prevent possible cases recurring addictions. Treatment takes various forms and it involves not only the victims, but also the family members. The treatment can be tailored to fit individuals and extent of addictions. These treatments range from rehabilitation to mental health treatment. It also involves case management where victims can be able to manage their symptoms. Addicted persons and members of the family can also find help in support groups. In addition, they can find helpful information in b ooks and journals to enable them to manage trauma and related cases. Work cited Barnard, Marina. Drug Addiction and Families. London: Jessica Kingsley Publishers, 2007. Digman, Carmel and Soan, Sue. Working With Parents: A Guide for Education Professionals. New York: SAGE Publications Ltd, 2008. Henderson, Elizabeth. Understanding Addiction. Mississippi: Univ. Press of Mississippi, 2000. Lowinson, Joyce, Ruiz, Pedro and Millman, Robert. Substance Abuse: A Comprehensive Textbook. 4th Ed. New York: Lippincott Williams Wilkins, 2005. Miller, Peter and Miller, Peter M. Evidence-Based Addiction Treatment. London: Academic Press, 2009. Parsons, T. (2003). Alcoholism and Its Effect on the Family. AllPsych Journal. Retrieved March 3, 2011, from http://allpsych.com/journal/alcoholism.html. Ries, Richard, Miller, Shannon, Fiellin, David and Saitz, Richard. Principles of Addiction Medicine. 4th Ed. Baltimore: Lippincott Williams Wilkins, 2009. Turney, L. (2007). Children of alcoholics: Getting past the games addicted parents play. Do It Now Foundation. Retrieved March 3, 2011, from http://www.doitnow.org/ pages/808.html.

Monday, August 19, 2019

Essay --

This short story starts out by setting the scene. The American and a girl sit at a table in front of a building where they were waiting on a train to arrive. It is very hot outside and the background is hills described to be long and white. â€Å"They look like white elephants,† she said. â€Å"I’ve never seen one,† the man drank his beer. â€Å"No you wouldn’t have.† â€Å"I might have,† the man said. â€Å"Just because you say I wouldn’t have doesn’t prove anything.† (Hemingway 6-10) These lines from Ernest Hemingway depict how a man can overpower a woman with his chosen words and tone. In this conversation between the American and the woman, you will see the woman become less and less sure of herself and eventually she can’t even make her own decisions. The girl is even unsure if she wants water with her drink. â€Å"We want two Anis del Toro.† â€Å"With water?† â€Å"I don’t know,† the girl said. â€Å"Is it good with water?† (Hemingway 19-21) Marsh 2 In the previous lines you can see the girl is skeptical. She is waiting for reassurance from the American. â€Å"The Huffington Post† featured an article which came from a study conducted by the University of Texas. Students observed the behavior of boys and girls in a room and how they responded to social cues. Each child was left alone with his mother and were told by their mothers not to touch a forbidden object. The boys not only touched the object more frequently than girls but they ignored the mother’s voice telling them no when they picked up the forbidden object. The girls touch the object less frequently and when they did they often looked at their mother for reassurance. The boys rarely paid attent... ... comforting the girl and telling her to come in the shade. This is him protecting her and giving the girl security which she doesn’t have on her own. The train finally arrives which seems to have been what the girl wanted because she did not wish to discuss the topic anymore. Marsh 7 Works Cited: Zweig, Robert. â€Å"Literature: An Introduction to Reading and Writing†: Hills are Like White Elephants(1927) Tenth Edition. Pearson Education 2004. 350-353. Print. Biddle, Tabby. â€Å"The Huffington Post† : Why Do Women Feel They Need Permission? Jan 30,2009 Hoplock, Lisa â€Å"Science of Relationships†: How You Doin’? Self-Esteem Affects How People Flirt (2014) www.scienceofrelationships.com

Sunday, August 18, 2019

Government Intervention On The Internet Essay -- essays research paper

Government Intervention on the Internet During the last decade, our society has become based on the sole ability to move large amounts of information across great distances quickly. Computerization has influenced everyone's life in numerous ways. The natural evolution of computer technology and this need for ultra-fast communications has caused a global network of interconnected computers to develop. This global network allows a person to send E-mail across the world in mere fractions of a second, and allows a common person to access wealths of information worldwide. This newfound global network, originally called Arconet, was developed and funded solely by and for the U.S. government. It was to be used in the event of a nuclear attack in order to keep communications lines open across the country by rerouting information through different servers across the country. Does this mean that the government owns the Internet, or is it no longer a tool limited by the powers that govern. Generalities such as these have sparked great debates within our nation's government. This paper will attempt to focus on two high profile ethical aspects concerning the Internet and its usage. These subjects are Internet privacy and Internet censorship. At the moment, the Internet is epitome of our first amendment, free speech. It is a place where a person can speak their mind without being reprimanded for what they say or how they choose to say it. But also contained on the Internet, are a huge collection of obscene graphics, Anarchists' cookbooks, and countless other things that offend many people. There are over 30 million Internet surfers in the U.S. alone, and much is to be said about what offends whom and how. As with many new technologies, today's laws don't apply well when it comes to the Internet. Is the Internet like a bookstore, where servers can not be expected to review every title? Is it like a phone company who must ignore what it carries because of privacy; or is it like a broadcast medium, where the government monitors what is broadcast? The problem we are facing today is that the Internet can be all or none of the above depending on how it is used. Internet censorship, what does it mean? Is it possible to censor a... ...m for our mind's thoughts will fade away. We must regulate ourselves as not to force the government to regulate us. If encryption is allowed to catch on, there will no longer be a need for the government to intervene on the Internet, and the biggest problem may work itself out. As a whole, we all need to rethink our approach to censorship and encryption and allow the Internet to continue to grow and mature. Works Cited Compiled Texts. University of Miami. Miami, Florida. http://www.law.miami.edu/c6.html. Lehrer, Dan. "The Secret Shares: Clipper Chips and Cyberpunks." The Nation. Oct. 10, 1994, 376-379. Messmer, Ellen. "Fighting for Justice on the New Frontier." Network World. CD-ROM database. Jan. 11, 1993. Messmer, Ellen "Policing Cyberspace." U.S. News & World Report. Jan. 23, 1995, 55-60. Webcrawler Search Results. Webcrawler. Query: Internet, censorship, and ethics. March 12, 1997. Zimmerman, Phil. Pretty Good Privacy v2.62, Online. Ftp://net-dist.mit.edu Directory: /pub/pgp/dist/pgp262dc.zip.

The Importance of Creative and Cultural Industries in Britain Today Ess

The Importance of Creative and Cultural Industries in Britain Today The creative and cultural industries play a huge part in the everyday life of British society. In London, there is a variety of creative industries ranging from musical theatre in the west end, to mime artists working on the streets. There is dance, plays and much more for an audience to choose. This can be considered important, as these industries bring society together, and create a means of entertainment for the people of Britain today. The Arts Council of Great Britain was founded in 1946, one of the first national organisations of its kind in the world (Hill, O’Sullivan & O’Sullivan, 1995). Its aims are to develop and improve the knowledge, understanding and practice of the arts, to increase the accessibility of the arts to the public throughout Britain, and to advise and co-operate with departments of government, local authorities and other bodies. The term ‘the arts’ includes, but is not limited to, music, dance, drama, folk art, creative writing,...

Saturday, August 17, 2019

Friends with Benefits

Lehmiller, J. , â€Å"Sex Differences in Approaching Friends with Benefits Relationships†, Journal of Sex Research, Vol. 48, Issue 2-3, 2011, pgs 275 – 284. Friends With Benefits â€Å"‘Friends with benefits’ (FWB) relationships consist of friends who are sexually, but not romantically, involved. In other words, such relationships are comprised of persons who engage in sexual activity on occasion, but otherwise have a basic friendship†¦ it is important to recognize that FWB partners do not consider their involvements to be romantic relationships.Rather, FWB relationships are perhaps best regarded as friendships in which the partners involved have casual sex with one another. † (Lehmiller, 275) This passage tells what friends with benefit relationships are but why are they being studied in this instance? This article concludes the information concerning this specific type of odd relationship and how it’s seen in the eyes of the individuals who enter them. It also touches on the threat of sexually transmitted disease, the downfall of these relationships, and what type of people are more likely to enter one and how it changes their views of love. Releted essay –  An Empty Purse Frightens Away FriendsFriends with benefits relationships are being studied with the goal of finding out what motivates people to get into this type of relationship, what defines friends with benefits and how the changes in the relationship effect it. Most of the studies on this subject occur with nonrandom sampling that were advertised around college campuses which poses the implication that only younger generations involve themselves in friend with benefit relationships, which is false. The independent variable are the people themselves.Every person has a different view on this type of relationship and it can be easily skewed by what their friends, family, or peers believe about this type of situation. The dependent variable is the relationship itself. Once the terms are set by the two people in the relationship there is very little space for change, because trust can be questioned. There is no knowing if someone will develop feelings or not , which can ruin the whole point of a friends with benefits relationship. The main find in this article is that the studies on this subject should be cast in a broader net and there really isn’t enough research done on this subject.There should be more circumstances and variables. Most of the studies were taken from people who were recollecting past friends with benefits relationships and not currently in one which is subject to memory distortion and lapses. The studies should show current relationships, one’s including people of all ages, and what happened to the friendship before and afterward. This article touches a little on most subjects in the friends with benefits spectrum, but they could center in on one thing to be more specific in their findings.

Friday, August 16, 2019

Cyber Crime Research Paper Essay

Can anyone who uses a computer be a victim to cybercrime? Yes, anyone who uses a computer has a chance of being a victim of cybercrime. Cybercrime has become a big issue in today’s society. Cybercrime is defined as crimes committed on the internet using a computer as either a tool or a targeted victim(Razali). Cybercrime can be committed by many people like computer geeks looking for bragging rights to businesses trying to gain an upper hand in the marketplace by hacking competitor websites, Rings of criminals wanting to steal your personal information and sell it on black markets, or spies and terrorists looking to rob our nation of vital information or to launch cyber strikes(Computer Intrusions). Cybercrime can be used many ways.The two main cause of cybercrime are identity theft and internet stalking. Cybercrime is very bad and and can hurt many people physically and mentally, people need to be more aware of the ways to get around cybercrime. Identity theft is one of the m ain cause of cybercrime. Identity theft, also know as ID theft is a crime in which a criminal obtains key pieces of personal information, such as social security numbers or driver’s license numbers, to pose as someone else(Razali). There are many kinds of identity theft. There is Criminal identity theft(posing as another person when apprehended for a crime), Financial Identity theft(using anothers identity to obtain credit, goods and services), Identity cloning(using anothers information to assume his or her identity in daily life),Medical identity theft(using anothers identity to obtain medical care or drugs), and Child identity theft(Wikipedia). Many people out in the worlds try to steal peoples wallets, phone, purses and other belongings in plain site or while you are away from your belongings, But what are people trying to steal from you on the internet. Identity thefts on the internet can be stealing many of things. They can be taking bank accounts, credit card numbers, or anything else that is someones personal information. Identity theft is bad and shouldn’t be committed. There are many ways of obtaining this information. People will rummage through rubbish for personal information(dumpster diving), Retrieve personal data from redundant IT equipment and storage media including PCs,servers,PDAs, mobile phones, USB memory sticks and hard drives that have been disposed of carelessly. They are many more ways to also do this. Identity theft is bad because it can cause many people harm. The victims of identity theft can suffer from adverse consequences if they are held responsible for the perpetrators actions(Wikipedia). They could be sent to jail, prison or if it is really that bad they could die over identity theft. If you were associated in takeover identity theft, than the imposter just used stolen information to gain access to the persons existing accounts(Razali). If you were associated in true name identity theft then the imposter used personal information to open new accounts( Razali). The imposter might open a new credit card account, phone account, etc. Some may however say that Identity theft is good, and they would be right. Identity theft is good for the government, police and FBI. They could use identity theft to catch a imposter causing a lot of harm. They could use it to take down another country that is doing ours harm. They could even make themselves look like a identity theft to see what other are planning. This could help stop it and save many people lives, money, homes, families and mainly their identities. Cyberstalking in the second biggest cause of internet crime. Cyberstalking is the use of internet or other electronic means to stalk or harass an individual, a group, or an organization(Wikipedia). A number of key factors are in cyberstalking: False accusations, Attempts to gather information about victim, monitoring their targets online activities, encouraging others to harass the victim, false victimization, attacks on data and equipment, ordering goods and services, and arranging to meet. It is so easy to accomplish cyberstalking with all of the social media sites today like Facebook, Twitter, Myspace, etc. There are many types of cyberstalking. There is Stalking by strangers which means the cyberstalker could be a stranger or someone who has had a former/present relationship with the victim. There is Gender based stalking which is harassment and stalking based on the victims gender.

Thursday, August 15, 2019

Hmong Culture Essay

The Hmong people is a minority ethnic group that resides in several countries worldwide. Hmong people is originally from Laos, a Asian country. The Hmong people usually resides on the mountains and their life has revolved around their inherent lifestyle and beliefs. War and migration along with the long history of being an oppressed ethnic group developed Hmong way of life. However, the Hmong culture is so persistent despite the forces of change around. The typical day of a Hmong family will start usually at four in the morning or when the rooster crows. The oldest daughter or daughter-in-law prepare the breakfast for the family, feed the animals and do the household chores. The husband occasionally helps his wife in feeding the animals and grinding the corn. After breakfast, the working members of the family will head out to the field and leave their children at the care of their paternal grandparents. Children who are six years old and older accompany their parents in the fields and do what they can do to help. The working members of the family usually go home before sunset and they gather firewood, plants and herbs along the way to add to their supplies at home. Hmong always have dinner together as a family and share stories of the day. A traditional Hmong family is patriarchal and the son tends to not to leave the house of his parents to work for them and to have someone to take care of his children while he and his wife is out tending the fields. Hmong are group oriented and they tend to depend on each other for survival. Thus, the interest of the groups must come first before the vested interest of the individual. â€Å"Family is the basic social unit in the conventional Hmong society. It is the unit of production, consumption, socialization, social control and mutual assistance. The common Hmong family is composed of an extended family that is made up of many generations. Hmong people are animists, they acquire strong belief in spirits and the supernatural world that cannot be explained by exact science. However, most of the Hmong people in United States become Christians but the traditional spiritual beliefs remain in them as part of their cultural practices. Still, practices and ceremonies are altered as Hmong adapt on the American society. Hmong people deeply believes that the souls live in a supernatural world. These spirits decide when a person dies. Also, they believe that these spirits or souls are Hmong people waiting to be born or to be reborn and reenter the earth. Furthermore, many Hmong believe that every person has a personal spirit who takes care of him, just like a guardian angel. Contacts with these spirits is usually done by the shaman or the religious and medical leader of the group. The shaman is the Hmong resident physician and their role is mainly to heal sick people and to prevent further spreading of illness or disease through interaction of the spirits. The shaman is one of the most important people in the Hmong village. He is the one who provides hope in times of crises. The shaman also guides the people in difficult situations. In addition to the shaman, Hmong people also practice traditional alternative medicine through the use of herbs and plants which grow in the wild in the mountains. From these plants, they produce ointments and salves to help them with their injuries and to make the sick feel better. However, Hmong people in the United States adapted to the American modernized medicine. But still, Hmong people continue to visit a shaman once in a while as part of their rich and undying custom and tradition.