Wednesday, November 27, 2019

anti pot Essays - Drug Culture, Drug Control Law, Drug Policy Reform

I personally believe that marijuana should not be decriminalized. I understand that it is not a hardcore drug and has possible medical uses, but it is just wrong to decriminalize it. The reason I believe this is simple why give them the option that if they continue with their unhealthy addiction that their only repercussion is that they have to pay a little bit of money and continue to harm themselves and others. One who is a user of weed might say: well at least I am not drinking, doing cocaine, meth or taking pills because those are worse than pot. Well what I see just from my own experience with drug users is that they also do those other drugs also. (I would like to say that I have never done any of these drugs). I know quite a few people friends, family, and otherwise that does or has done drugs, and most of them will admit to popping pills or drinking while smoking marijuana. Although they might still do it, it is right to charge them a fine and throw them in jail for a number of days, because in the long run maybe they will come to their sense and stop doing that to their self. On top of that if they lose their education, have trouble getting a job, or fin ding a place to live as the article said. Then isn?t that a consequence of their drug addiction? I know that this sounds harsh and I get that it might have been a onetime thing for them. It was their choice to go against what the laws said. That being said I do believe that they should be able to be allowed back into society (record expunged), but only after they go through rehab and can physically prove that they are not abusing drugs through a drug test. I believe that marijuana should not be decriminalized because it would allow more people to abused it and with less consequences.

Sunday, November 24, 2019

women in the work place essays

women in the work place essays The past decades there has been a dramatic increase of women participating in the labor force from countries all over the World including Canada. In 1950, one Canadian worker in five was a woman. By 1980 this percentage had doubled, and women are expected to make up more than 44 percent of the labor force by the end of this century. The increase in female participation started occurring during the 1970's. This increase also caused the largest baby boom that the Canadian female labor force had ever witnessed. In North America it is common for women to have part-time or summer jobs, and the participation rate of teenage girls is high. It is also mostly high throughout the world in places as United Kingdom because of the fewer women going to school. But in places like France, Italy, and Japan the female participation rate is very low. In most of the countries the labour force is most participated in the age groups between 20 and 24. The labor force of mature women is very high in Sweden, because of the encouraged day care facilities, which also provides the females with legislation that provides them with excellent benefits. In Japan there is a drop in female economic activity, the reason why is it affects their marriage and the care of their only child. An observation of labor force participation rates in Canada show that female rates rose a lot between 1971 and 1981, while the male rate rose unnoticeably. The increase in the female participation rate was found in all age groups except in older women. For women aged 15 to 19 the rate was as almost as high as the men. But the largest increase was in the age group of 25-44 years old, where the rate rose almost 50 percent. This meant that the participation rates of the females had become more alike with the men. Family status also influenced the female participatio ...

Thursday, November 21, 2019

Is biomedical model out of date Essay Example | Topics and Well Written Essays - 1500 words

Is biomedical model out of date - Essay Example It is based on 'the notion of the body as a machine, of disease as the consequence of breakdown of the machine, and of the doctor's task as repair of the machine.' (George Engel 1977). This approach has a serious shortcoming because by focusing on smaller parts of the body we lose the sight of patient as a human being. Also by considering health as proper functioning of organs, we are unable to deal with the phenomenon of healing as it is not only based on physical factors but on psychological factors of the human body. The concept of health and the concept of life are closely related. Around the globe, people follow different cultures and lifestyles. They are adapted to the different environment and slight change in the environment may lead to change in their health. Patterns of mortality and morbidity have changed shifting from a predominance of acute infectious diseases to a predominance of chronic and lifestyle-induced illness (US. Department of Health, Education and Welfare 1979 ). So here the ecological dimension is also considered while considering the concept of health. This contradicts the biomedical model.In the biomedical model, health is defined as the absence of disease. The World Health Organization defines health as ‘a dynamic state of complete physical, mental, spiritual and social well-being and not merely the absence of disease or infirmity’. This clearly shows that the biomedical model fails to address the social and psychological issues and thus can be considered to be outdated.

Wednesday, November 20, 2019

Audit and Assurance Case Study(SANCTUARY GROUP PLC) Essay

Audit and Assurance Case Study(SANCTUARY GROUP PLC) - Essay Example The Company's subsidiary, Bravado International Group Limited, operates as a merchandising company that specializes in exploiting intellectual property rights for more than 100 artists and brands. Live Agency even represents over two hundred twenty acts for live performance. Also, its business is carried out by the Company's subsidiary, Helter Skelter Agency Limited. This company operates as a booking agency. The following paragraphs will explain how audit strategy is related to the fairness of the financial statements of the. An audit(Pickett, 2006) is defined as the evaluation of an organization, process, system, project or product. In accounting, an audit is the independent assessment of the fairness where a company's financial statements are presented by its mangers or board of directors. It is done by competent, independent and objective person or persons, known as auditors or certified public accountants, who then issue a report on the results of the audit(Whittington, 1995). And, the audits are performed to determine the validity and reliability of financial information. Also, it provides an assessment of a company or a business' system of internal control. The accounting and related recording systems must adhere to generally accepted standards set by governing bodies that regulate how businesses should presented in terms of balance sheet, income statement and statement of cash flows. The audit should be based on random sampling and it should not be an assurance that financial statements are error free. Auditing also provides assurance for third parties or external financial statement users that such statements present 'fairly' a company's financial condition and results of operations.Further, effective risk management(Frame, 2003) will not happen overnight. Managers who want to enable their organizations to be better at managing risk must recognize that the road to effective risk management is definitely long, twisting, and occasionally hazardous. Beginning the journey is not as difficult. It may be even be triggered by a one-page directive issued by the chief operating officer of the organization following a small disaster, exhorting the organization to implement good risk management practices. But after the uninitiated, when the confetti has settled and the cheerers have been thrown away, the journey toward effective risk management is an uphill battle. In some way, what happens at this point is typical of many high-sounding corporate decisions. When light shines on the initiative, everyone scrambles to support it. When the senior managers turn their attention to other issues, the initiative begins to lose momentum, and without active support from top management, it falters. It may even hang on for a while until it dies and is buried. The risk related approach to external audit in the audit of Santuary Group Plc is based on control risk, audit risk and inherent risk. Audit risk is used to describe what is usually applied when in case of an audit of the financial statements of an entity. The first objective of the audit of the balance sheet, in

Sunday, November 17, 2019

Fashion Management Design Lulu Lemon Brand Essay

Fashion Management Design Lulu Lemon Brand - Essay Example The paper "Fashion Management Design Lulu Lemon Brand" concerns the Lulu Lemon's Fashion Management Design. The toolkit is implied by the Three Pillars of Sustainability, which contains Economic, Ecological and Social dimensions. The term ‘sustainable development’ was born in 1987 by United Nations Commission on Environment and Development. The idea of equal attitude towards the three pillars is grounded on the hypothesis, that human needs cannot be met by one single pillar; economy, ecology and social issues are the three interconnected systems which are to remain stable. In reality, such equality doesn’t exist and economic side tends to be more convincing. Ecological and social pillars are less disputed, but ironically, they are the ones to be stressed in the first place, and the profitability is to follow naturally. In case of Lulu Lemon brand, the past experience and failures in particular need to be traced and analyzed; they are the indicators to show the dir ection to be followed in order to develop a sustainable strategy. The brand known as Lululemon Athletica was established in early 1998 by Chip Wilson. It is a Canadian company, specialized in yoga and athletic clothing. The targeted segment is the educated woman leading healthy and active lifestyle. Basically, Lululemon has developed a community-based strategy, promoting healthier, longer and fun lives. Basically, the Lululemon brand is not just about selling clothing, it is targeted at building loyalty by means of grassroots marketing.

Friday, November 15, 2019

Reducing Adverse Drug Events in Older Adults

Reducing Adverse Drug Events in Older Adults Gabrielle S. Buma With age comes the prospect of multiple health problems that may require treatment with several medications and multiple prescribers. The likelihood of morbidities and comorbidities such as, heart disease, arthritis, diabetes, and hypertension increases with age. Many older adults also take over the counter medications, vitamins, and other supplements along with their prescribed medications. The use of these multiple kinds of medications is called polypharmacy, and if done so correctly the use of multiple medications can have positive results in the treatment and maintenance of disease but if not used correctly the drugs could be less effective and result in expensive drug-related morbidity and mortality. The Agency for Healthcare Research and Quality claim that more than 770,000 people are injured or die each year from Adverse Drug Effects (ADEs) (Lynn, 2012). What makes this even more of a concern is that many experts believe that ADEs are significantly underreported. According to the Journal of the American Geriatrics Society, the annual cost associated with drug-related morbidity and mortality has been estimated to be at around $177 billion (Roth, Weinberger Campbell, 2009). Many factors play a role in the quality medication use in older adults; these factors can be considered overuse, underuse, and misuse. The misuse of medication that leads to adverse drug effects in older adults can be greatly reduced by improving health literacy and prescribing physician and patient communication. According to the Institute of Medicine, health literacy is considered an individual’s capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions (Martin, Kripalani, DuRapau, 2013). Currently in the United States, the older adults that are 65 years and older represent the largest group with the lowest general literacy and health literacy skills in the country (Bennett, Chen, Soroui White, 2009). This means that there is a large portion of the older adults over 65 that are making health decisions with the likelihood of not fully understanding them. Older adults over 65 years of age also have the highest rate of chronic illness of any other age group. The combination of low levels of literacy and high prevalence of multiple chronic conditions with multiple medications are major contributing factors to the high rate of ADEs in older adults. The article, Preventing Medication Errors, in the Institute of Medicine c ited that poor patient comprehension and unintentional misuse of prescription drugs as a significant cause for medication error and worse health outcomes (Martin, Kripalani, DuRapau, 2013). Many older adults are simply accidentally misusing prescribed medications due to a low level of health literacy. Low literacy in older adults and Medicare recipients affects their understanding of complex medication labels, instructions, and regimens (Martin, Kripalani, DuRapau, 2013). A way to improve older adult’s understanding of prescription drugs especially among those with limited literacy is greatly needed to prevent unintentional use that lead to AEDs, before the improvement can be made we need to first understand the factors associated with patients understanding of prescription drugs and their labeling. According to the National Assessment of Adult Literacy, adults who are socioeconomically disadvantaged that are a part of minority groups are more likely to be in poorer health (Davis, Wolf, Bass, Middlebrooks, Kennen, Baker, . . . . Parker, 2006 ). In the study, Low Literacy Impairs Comprehension of Prescription Drug Warning Labels, the authors measured a group of 251 adult’s ability to correctly interpret commonly used prescription medication labels. They measured the participant’s health literacy by having an expert panel evaluating the patient’s interpretation of the commonly used prescription medication labels. The results showed that one-third of patients were reading at or below a 6th grade level and that a patient’s comprehension of warning labels was associated with their level of literacy. The result that low literacy is associated with low comprehension and a difficulty understanding of warning labels on prescription medications is not a surpris e because the labels use terminology about a 6th grade reading level (Davis, Wolf, Bass, Middlebrooks, Kennen, Baker, . . . . Parker, 2006 ). The multistep instructions were found difficult for patients across all literacy levels. I found it surprising that the multistep instructions were difficult for all reading levels, but the study explains that the more steps a labels has the less concise and clear it tends to be to the patient. If the multistep instructions are a challenge for all literacy levels to understand then I would assume that it is quite challenging for a large population of the older adults who tend to have the lowest levels of literacy and so many different medications to keep track of with each having multistep directions. The study did offer recommendations that would help the understanding of medication labels for all literacy levels. These recommendations include; warning labels being developed with consumer participation, especially with lower literate populations, attempt to keep the steps short, clear and concise with familiar words and recognizable icons. After reading this study, I was surprised to learn that more prescription drug labels are not developed with the use of consumer participation, one would assume the in the developing of the instructions that it would be a priority to develop the instructions with consumer participation. It seems that more consumer participation with all health literacy levels would help create more user friendly labels that could result in a significant decrease in misuse of prescription drugs. The study, Improving Medication Management among At-risk Older Adults, evaluates health literacy but also medication self-efficacy and medication adherence. One reference in the study shows an alarming 54.3% of Medicare enrollees with limited health literacy were unable to understand what is considered simple medication instructions such as. â€Å"take on an empty stomach, † (Martin, Kripalani, DuRapau, 2013). The study describes a quality improvement pilot project where they provide at-risk older adults with illustrated medication instructions as an approach to improve medication understating use. In the quality improvement pilot project they evaluated the effect of their intervention on the older adult’s confidence in managing their medication and their self-reported adherence. This study, Improving Medication Management among At-risk Older Adults, took place at an adult day center were medication errors and misunderstanding medication instructions were identified as a problem. The authors and staff provided the adult day care center’s participants with illustrated depiction of their daily schedule PictureRxâ„ ¢ with the goal to improve the older adult’s understanding of medication instructions and improve medication safety. The illustrated aid shows the older adult’s medications pictorially, uses what they consider plain language for the instructions, and uses icons to aid patients in understanding the purpose and the dosing schedule (Martin, Kripalani, DuRapau, 2013). The PictureRx cards were used for six weeks and then the participants were surveyed along with reassessing their self-efficacy and adherence, as well as their perception on the PictureRx cards. The results showed that after the use of the PictureRx cards the participants reported much less forms of non-adherence and confidence significantly improved in areas of self-efficacy, such as correctly taking medications and following a routine. This article provides a valuable assessment of older adult’s health literacy and applies an intervention that resulted in an improved adherence and self-efficacy in older adults. When comparing the participant assessment before for the use of PictureRx and then the reassessment after shows a notably significant improvement. This pilot study shows an efficient way to improve older adult’s various health literacy levels and provides them with a way to better understand their overall medication regimens. I think something very similar to the PictureRx would be a great tool to implement for pharmacists when filling medications for older adults at the pharmacy and can provide a good reference for doctors when explaining medications to patients especially since doctors are so limited on the amount of time they can spend with a patient. Proper patient provider communication plays a huge role in a patient’s ability to understand their medications and ability to properly follow their medication regimes. Good communication about health history and medications with a provider and a patient could prevent the misuse of medication and an ADE. Before prescribing a new medication, the prescribing doctor is supposed to review the patient’s current medications, including over the counter medications, vitamins, supplements, and the patient’s health history. The article, Physician Communication When Prescribing New Medications from the Archives of Internal Medicine recommends that prescribing physicians should educate their patients about their medication’s purpose, how and when to take it, and the medications expected adverse effects. The patient and physician interaction is an opportunity for the physician to educate the patient on these topics which may reduce nonadherence that can be a result from poor understanding about medication use. The article also describes and assesses the quality of physician communication with patients about newly prescribed medications. The authors assess the provider’s communication through an observational study that combined patient and physician surveys and audiotaped 860 of the 909 participating patients while 270 new medications were prescribed (Tarn, Heritage, Hays Kravitz, 2006). During these visits the authors measured the quality of physician communication when prescribing new medications. The study by Tarn, Heritage, Hays, and Kravitz found that physicians stated full medication dosing directions for less than 60% of all of the medications that had been prescribed and informed the patients about the duration intake and ADEs for one third of the time. The study shares that ADEs were addressed for 35% of the medications and how long to take the medication was addressed at 34%. Although patients may be able to find information about their medications from different sources such as, a pharmacists and medication package inserts, information from their visits with the prescribing physician is inadequate to meet the patient’s needs. Conclusion The study found that the use of precise wording on prescription drug label instructions can improve patient understanding of how to take the medication patients with limited literacy were more likely to misinterpret instructions despite use of more explicit language Patients that have a limited literacy rate and those who are taking more medications are at a greater risk for misuse. Reference Page Davis, T. C., Federman, A. D., Wolf, M. S. (2009). Improving patient understanding of prescription drug label instructions. Journal of General Internal Medicine, 24(1), 57- Davis, T., Wolf, M., Bass, P., Middlebrooks, M., Kennen, E., Baker, D., . . . . Parker, R. (2006). Low literacy impairs comprehension of prescription drug warning labels. Journal of General Internal Medicine, 21(8), 847-851. Martin, D., Kripalani, S., DuRapau, J. (2012). Improving medication management among at-risk older adults. Journal of Gerontological Nursing, 38(6), 24-34. Roth, M., Weinberger, M., Campbell, W. (2009). Measuring the quality of medication use in older adults.Journal of the American Geriatrics Society,57(6), 1096-1102. Tarn, D. M., Heritage, J., Paterniti, D. A., Hays, R. D., Kravitz, R. L. (2006). Physician communication when prescribing new medications . Archive of Internal Medicine, 166(17), 1855-1862.

Tuesday, November 12, 2019

Description Essay

During my time as a child, I remember visiting so many places with my family throughout Southern California. One of the best memories was when I visited Lake Arrowhead. Located in the beautiful mountains of San Bernardino, Lake Arrowhead is a tiny city where every family would enjoy living in. Not only is Lake Arrowhead Village a great place to live but great place to enjoy nature’s beauty at any time of the day. I remember Lake Arrowhead for its beautiful scenery, it is family-oriented, and it has many outdoor activities. While visiting Lake Arrowhead in the winter time, I fell head over heels with the beautiful scenery that nature brought upon my eyes. As I arrived to the house in the evening, I looked up and I was able to see the stars that lit up the sky above me. As I walk down to the lake, I was able to hear the crickets’ chirping and the owls hooting as they hear the crackling of the snow that I’m stepping upon. As I look through the horizon of the snow, I saw the never ending slope falling towards the lake that apparently was frozen. As I sat on one of the unfrozen steps, I looked up once again, and I see the beautiful full moon sitting on a cloud. The stars shined even brighter when the moon glistened its light down to Earth. The lake looked really calm and I only saw a couple of ripples being caused by a female duck and her ducklings swimming in the middle of the lake. In the morning when I looked outside the window, the sun shined beautifully through the icicles that dangled down the side of the house. When I drove down to the city, you can see the cities that are at sea level. As I continued looking down, I see the clouds climbing up the mountains. And as I reach out of the car’s window, I can feel the refreshing mist that touches my fingertips. The scenery of the cities down below can’t no longer be seen because of the clouds the cover the scene like a blanket that stretches miles away across the sky. While walking through the forest, the leaves kept falling one by one. As the night approaches once again, the sunset looks like if someone painted it precisely to appear like an orange-ish and purple like sky as it gets darker every second it passes. Besides having beautiful scenery, Lake Arrowhead is family-oriented. While spending the weekend in Lake Arrowhead, I got to spend plenty of time with my family. In The Lake Arrowhead Village my family and I got to eat in a Mexican oriented restaurant called â€Å"Papagayos†. While eating in Papagayos, I got to talk with my family about many situations that we never had spoken about. For instance, I talked about what I thought I should do as my career. My family supported my decision and is helping me get to it. We also got a chance to explore their outdoor mall. There are many events in The Lake Arrowhead Village that are family oriented, such as family talent shows. Every Saturday, there is a competion for almost everything. There are times where they open up a fair close to the village for the weekend. Me and my brothers got to play many of the games and won many prizes. In Lake Arrowhead, there are many fun activities all over for families to enjoy their time no matter in what season we are in. Besides having a beautiful scenery and being family-oriented, Lake Arrowhead has many types of outdoor activities throughout the entire year. During spring time, you can jog for miles while enjoying the warm sun rays hitting your back. You can also hike between make of the resorts that provide mountains that are safe to climb. During the summer time, you can enjoy your time playing many sports such as volleyball. You can also spend your time on  your private boat and swim in the lake whenever there are heatwaves. Many people get their tan whenever the sun is really bright. In fall,