Pharmacology Coursework Example | Topics and Well Written Essays - 500 words

Pharmacology - Coursework Example Decline in GH levels is rapid; assessment suppression can be made at the outset to identify the patient’s responsiveness to octreotide. Patients whose GH levels return s to the baseline before the end of the dosing period, administration frequency can be further increased. Addressing some of the short comings, formulation of Somatostatin analogs extends duration of action has been developed. It is administered in a single intramuscular injection; they result in similar sustained than those of subcutaneous preparations. The GH inhibitory effects are also significantly better to patients who harbor densely granulated somatotroph. Sparsely granulated GH should be suspected in patients who prevent at an older age with a minimal elevation of non suppressible GH levels. The main adverse events are associated with the use of Somatostatin which includes transient abdominal cramps and mal absorptive diarrhea. Increases in the gall bladder sludge and stone formation, these are typically clinical significant. Long acting Somatostatin is expensive and requires a reconstruction technique before injection, compared with subcutaneous preparations. It is anticipated, newer Somatostatin receptor selective analogs will prove to be more useful and easier to administer. It is relatively recent that consensus has begun to emerge on the definition of a safe and acceptable degree of acromegaly control. Prospective examination of the impact of medical management on the rate of acromegaly associated has just started. The results of retrospective studies support the role of adjunctive medical therapy in normalizing the level of IGF-1 and mortality rates inpatient with postoperative persistent diseases (Gabriel, 2006). The work of a brochure is to explain deeply the course of certain aliments, mode of cure and how to prevent the spread. Brochures’ with bright colors tend to attract attention; they are spearheaded for marketing

What Was Eurosclerosis and How Was It Overcome?

What Was Eurosclerosis and How Was It Overcome? During the early-1970s to the mid-1980s period, the doldrums era or the ‘Dark Ages’ for the community has often been characterized in Europe. This same period is also known as ‘Eurosclerosis’ or ‘Europessimism’. Eurosclerosis is a term used to describe slow economic growth combined with political institutional deadlock. The causes of this ‘doldrums’ era is caused by a set of political and economic factors that were seen as a setback as it left European integration stagnant and weak in the same decade. The slowdown in political integration combined with an economic stagflation was seen by some historians as crucial period in the future of the European Economic Community (ECC) – The era is depicted as a hardening of the arteries that could ultimately prove fatal, as member states appeared hesitant and unwilling to take further steps to deepen process of integration (Dinan , 2006, p. 166). This essay will discuss the varied rang e of factors starting from the mid-1960s towards early 1970s that are believed to have led to up to the period of ‘eurosclerosis’. These ranges of factors are paralleled to early political differences by the ECC members as well as economic downturn that affected the organization’s structure. The early Gaullist policies and the empty chair crisis in the 1960s, the disintegration of the international monetary system in the early 1970s, the oil crisis of 1973 and the ensuing stagflation (combined stagnation and inflation) presented to the ECC governments while trying to reach a common ground on the Common Agriculture policy (CAP). This essay will also discuss how the European Community overcame the eurosclerosis period in the mid-1980s when the economy slowly recovered through revitalized programmes of a single liberalized market by the community. Moreover, these set of programmes encouraged multiple efforts to integrate Western Europe more closely. EEC’s successful start in creating the a customs union between the six member states was followed by early setbacks in 1963 and 1965; the first when De Gaulle unilaterally vetoed against the British application for membership, this same period is known as the 1963 crisis and the second was more serious setback when he withdrew his minsters from council of Ministers meetings known as the 1965 crisis. De Gaulle’s reasons for rejecting British membership were mainly based on his fear that Britain could undermine France’s supremacy as he saw the EEC as platform reassertion of French greatness in international affairs (Dinan , 2006, p. 152). The second crisis evolved through disagreement from member states over funding of the EEC and also a proposal by the commission to systematically finance the CAP which would have given the EEC its own financial resources and more powers to the European Parliamentary Assembly. Having rejected this proposal and not being able to rea ch an agreement, De Gaulle responded by a boycott in which he withdrew France from participation in the work of the Council of Ministers and this was known as the ‘empty chair crises’. Thus, the 1965 dispute over funding of the budget certainly illustrated the continued ability of national governments, to stop the process of European integration in its tracks and was also the first signs of political deadlock and discord (Bache, et al., 2011, p. 130). In 1966, the Luxembourg compromise agreement resolved the empty chair crisis. First there was agreement not to proceed with the Commission’s proposals: funding of the budget would be continued to be by national contributions. Second, France demanded that there be no transition to majority voting in the Council of Ministers. This move had been envisaged in the original Treaties once the customs union was complete, and completion was on schedule for January 1966. Under the terms of the Luxembourg compromise, governmen ts would retain their right to veto proposals where they deemed a vital national interest to be at stake. This agreement was a serious blow to the hope of the Commission that brokering agreement on further integrative moves would be easier in the future. The terms of the deal also precipitated a collapse of morale in the Commission; in particular, the authority of the German and Dutch diplomats Hallstein and Mansholt was undermined by the episode (Bache, et al., 2011). Some Commissioners had warned against a confrontation with de Gaulle on supranationality, but Hallstein and Mansholt overruled them. Hallstein withdrew his name of the ECSC, EEC and Euratom in 1966. Mansholt stayed in the commission but did not put his name forward for presidency. In 1969, the creation of the Economic Monetary Union (EMU) at The Hague Summit required Within the EC itself, the transfer form national to supranational control. Countries agreed on a first stage of the EMU which was limited to regular economic coordination meetings and scheme to bind the dollar values of the six EEC currencies more tightly to each other. Thus, the 1973 arrangement was known as the ‘snake in the tunnel’ whereby they agreed to float their currencies against the dollar and keep the six currencies fluctuations between each other to a small margin. However, the EMU was created at the time of uncertainty as states were not prepared to risk the experimentation of launching a supranational systemic scheme. Confronted by a recurrent international monetary crises and financial turbulence of the late 1960s meant that the EMU could not conceal the wider problems of integration process appeared to be facing. The demise of the 1970s EMU initiative is usually first e xplained by the oil price shock of the 1973-75 in the Organization of Petroleum Exporting Countries (OPEC), when the price quadrupled from $2 to $12 a barrel, leading to global economic recession, the worst world slump since the 1930s and rising unemployment with inflation at the same time (Dedman , 2010, p. 111). Governments, unsure of what to do, were not prepared to experiment the problems in the EMU. Another setback in to the EMU was caused by an international monetary crisis that completely destroyed the first stage of the EMU and ended the convertibility of the dollar in 1971. This period severely damaged the Europe’s economy especially those of the EEC members when the time of stagnation became inevitable. Poor performance was registered as the average GDP growth in the European Community declined from 4.8% in 1960-73 to 2.1% in 1973-83 (Giersch, 1984, p. 1). Due to poor economic performance, the labour market suffered immensely. Unemployment rate in the community increased from 5.5% in 1978 to 11.5% in 1985 whereas in the United States it fell to about 7% in 1982. Furthermore inflation meant that trade with members of the European community fell drastically. Consequently, limited and stagnant expansion of the EEC was a result as countries became very sceptical of the community. This added to the EEC’s failure to act together as a community. For example, during t he oil crisis itself The EEC did nothing to help defend Holland, a member state, when subjected to an Arab oil embargo (because it was considered pro-Israeli). Instead EEC members, notably France and Britain, moved quickly to make bilateral deals for oil supplies. The major oil companies helped Holland more than the EEC through supplying them by the clandestine diversion of oil shipments. The energy crises revealed the inability of the EEC to act collectively as a community with a common strategy towards OPEC’s oil price increases 1973-75 and a shameful unwillingness to defend the Dutch and so jeopardise Anglo-Arab and Franco-Arab relations. The EEC looked like a community where economic integration and co-operation worked well in the commercially buoyant 1950s and 1960s but as soon as economic conditions got rough in the 1970s it was every member for itself (Dedman , 2010, p. 112). By early 1980s, Europe’s socio-economic and financial problems had become acute. The much-vaunted ‘Common Market’, supposedly in existence since the late 1960s, was in fact broken up into numerous national markets, all with somewhat different norms and regulations obstructing the entry of products from other member states known as Non-trade barriers (NTBs). NTBs are legal or administrative arrangements ostensibly designed for innocent purposes (health and safety, equal rights, financial transparency) but in reality often intended to make it harder for European rivals to sell products or to do business at the expense of home-grown companies or firms. In deciding, to spearhead a campaign aimed at the abolition of Non-tariff barriers, Jacques Delors newly elected president of the European Community by 1985, chose a target that was likely to capture the enthusiasm of a new breed of European leaders eager to break away from the protectionist practices of the recent pas t. Delors oversaw important budgetary reforms and laid the groundwork for the introduction of a single market within the community that required Europe to rid from tariffs, quotas and other protectionist policies. With most of Western Europe ruled by centre right parties in early 1980s, the idea for a liberalized Europe was became a serious possible reality to solve Europe’s economy. Christian Democrats in Germany, Italy, Belgium, the Netherlands and Denmark and the Conservatives and Britain believed that European recovery needed to start with an ambitious programme designed to free up both individual national economies and the European market, which was far too weighed down national barriers; furthermore, they were largely in agreement that the EC should pursue the key economic virtues that had seen Germany through the 1970s, namely low inflation, sound government finances, a strong currency, and export-led growth (Dinan , 2006, p. 225). Thus, this growing consensus led to t he European Community to signing of the Schengen Agreement which later created a free movement of labour, capital, goods and services, followed by the signing of the Single European Act (SEA) in 1986 which aimed in establishing a single market and later reforms of the Common Agricultural Policy in the 1990s. The launch of the SEA meant that barriers to trade were lifted as most products were covered by a mutual recognition by members under legislation. Investment also slowly rose, as the single slowly captured considerable attention from by national businesses and small investors. It also captured attention outside of the community as this applied to the Americans, who had seemingly lost interest in the process of European integration they had earlier supported. It was also true also for the Japanese and for multiple remaining West European states that had earlier chosen not join the EC. The re-launch of the mid-1980s therefore became an important factor in the decisions of Austria, Finland and Sweden to seek EC membership (they finally joined the EU in January 1995). To conclude, Western Europe’s sluggish economic performance could be seen as a direct rebuke to the European Communuty, which having taken credit for the remarkable economic advance of the 1960s, could not escape some of the blame for limping performance of the 1970s and early 1980s. Indeed, sluggish economic performance threatened to erode the EC’s early accomplishments as governments and industries looked for salvation through protectionism, state subsidies, and other measures designed to favour domestic producers over and above outsiders. Also, the European Community’s institutional system seemed especially hard hit. The optimism surrounding the first enlargement of the early 1970s, when Britain, Denmark, and Ireland joined had given way to irritation, with the newcomers angry at their relative failure shape the EC in their own image, and the founder members cross with the way in which the new arrivals appeared to slow progress and the founder members cross wi th the way in which the new arrivals appeared to slow progress; for example, the British abstention from the European Monetary System which had been the community’s most exciting project. Finally, by the mid-1980s, there was a realization within national governments which openly spoke of the dismal that Europe was in. Had it not been for a change in the course of economic policies and the innovative liberal visions of a single market, the European community could achieve harder stages of political stagnation economic under-performance as the GDP annual growth rate hit its lowest (1.1%) in 1985 (Giersch, 1984, p. 1). The single market is thus seen as salvation to the community integrity as it revived integration and gave more power to supranationalism within the European Community. It is also worth pointing out that the signing of the SEA were seen as laying to the foundation of the Maastricht Treaty in the 1990s that brought about a Common Union with the creation of a common currency. Bibliography Bache, I., George , S. Bulmer, S., 2011. Politics in the European Union. 3rd ed. New York: Oxford University Press. Dedman , M., 2010. Development: EMU, the first stage (1973) to the EU (1991). In: The origins and development of the European Union, 1945-2008. Oxford : Routledge, pp. 109-119. Dinan , D., 2006. Origins and Evolutions of the European Union. 1st ed. Oxford: Oxford University Press . Giersch, H., 1984. Eurosclerosis. Working paper series no.112. Kiel: Kiel Institute for the World Economy. Available at: http://www.econstor.eu/bitstream/10419/48070/1/025296167.pdf

Integrity in The Crucible :: Essay on The Crucible

?What is left when honor is lost?? Publilius Syrus' quote, though dating from 100 B.C., still seems pertinent to our era (Quotations). Many people still feel that once integrity is lost they are nothing and many are willing to stand up to keep their integrity. Without integrity, we are nothing. During the time that Arthur Miller wrote his most famous play, The Crucible, innocent men and women are accused of having Communist leanings. Their whole lives are ruined in a short amount of time because they refuse to compromise themselves by selling out their friends. Miller tries to make a statement about these unfair trials by comparing them to the Salem witch-hunts and trials of 1692. The main protagonist of his play is a man named John Proctor who is accused of witchcraft but stands up to maintain his name and his honor, even though he is hanged for it. During the H.U.A.C. trials some took stands for their beliefs with the knowledge of possibly being shunned by society. Knowing this, in stead of taking the cowards' way and giving the names of their friends, they refuse to tell the committee anything in the same way that John Proctor stands up against a court that is ruining the lives of innocent people. In The Crucible, a few of the townspeople speak out against the injustice of the magistrates. These include John Proctor, Giles Corey, his wife Martha, Rebecca Nurse, Elizabeth Proctor, and even Reverend John Hale. Proctor refuses to give up his integrity and sign his name to a false confession. He thought it was enough admitting to a lie, but he can not bear to sign a confession when others had died for refusing to give the courts what they want. "Because it is my name! Because I cannot have another in my life! Because I lie and sign myself to lies! Because I am not worth the dust on the feet of them that hang! How may I live without my name? I have given you my soul, leave me my name!" exclaims Proctor (886). Giles Corey is being pressed to death for not giving the court the name of an innocent person. Even to the end he refuses to give in. "Great stones they lay upon his chest until he plead aye or nay. They say he give them but two words. `More weight,' he says. And died," expl ains Elizabeth (883).

All About Personal and Professional Health Care Essay

Health care communication is an important practice in the treatment of a patient. Ensuring effective communication can help the patient understand their state of health. The Meaning and Nature of Healthcare Communication Healthcare communication involves an efficient line of communication between medical professionals, clients, and patient. A vital component of healthcare communication is the ability to share information that can enhance a patient’s knowledge. This is important in assuring quality healthcare (Williams, 2007). Personal healthcare communication is vital in promoting a physician’s understanding through discussion and support groups. Healthcare communication considers factors such as the attitude of the patient, their behavior and belief which could have an impact on how the physician can improve the quality of health care (Williams, 2007). In addition, it requires empathy and understanding from the physician when communicating with their patients. An effective way of achieving effective communication is to get feedbacks from the person getting the information. The healthcare practitioner should carefully evaluate if the client can understand the message being relayed (Williams, 2007). One of the most effective ways of achieving an effective healthcare communication is by conducting a personal interview. This method will help determining the accuracy of information regarding their condition. The psychosocial aspects of the patient’s conditions can be considered when conducting the interview (Williams, 2007). The Relevance of Healthcare Communication An effective professional health care communication can improve the health outcome of a patient. The health care professional can utilize various guidelines to achieve effective healthcare communication. It can help the healthcare practitioner to establish a better understanding of the condition and history of their patients (Williams, 2007). In addition, effective healthcare communication can increase the patient’s satisfaction and knowledge of treatment and its possible outcomes. Without effective healthcare communication, the patient will not have a clear understanding of the state of their health. As a result, they are more likely to spend more on healthcare, take the wrong medication, and become depressed (Williams, 2007). The Principles of Therapeutic Communication The Talking Cure In the early history of health care, therapists or in this case health care professionals rarely say a word. Usually, the best way they understand the condition of their patient is through listening but they never communicate. However, it is likely to practice a non-threatening way of communicating with patients and will not hurt their self-esteem (Wachtel, 2008). In this process, the healthcare professional conceals their real message in a meta-message, which can both be demonstrated in a manner that would make it likely to address the conflicting issue which the patient has avoided (Wachtel, 2008). The manner of delivery by the therapist can have a huge effect on the patient compared to the real message. Most of the time, what the therapist says lowers the self-esteem or confidence of the patient (Wachtel, 2008). In this practice, the therapist must be consistent in monitoring their part in the therapeutic session (Wachtel, 2008). Cyclical Psychodynamics The theory of cyclical psychodynamics utilizes a series of repetitive cycles of communication between people. It combines views from interpersonal dynamics and behavioral and family systems (Wachtel, 2008). The cyclical psychodynamics theory states that people live in a contextual life and their behavior is always related to an individual or object. In therapeutic communication, it is important for the health care professional to understand the roots of the patient’s difficulties (Wachtel, 2008). Cyclical psychodynamics focuses on understanding the cause of the patient’s anxiety. The difficulty of a patient can be rooted from their early knowledge of being afraid of their feelings, thoughts, and inclinations. The aim of therapy in this sense is to help the patient refocus these feelings and integrate them into a complete life (Wachtel, 2008). One aim of therapeutic communication is to direct the patient to a variation of the truth that would help them see new possibilities in their life and to modify life patterns that have been responsible for their difficulties. By using meta-messages, the therapist will help the patient affirm, acknowledge, and understand their feelings (Wachtel, 2008). Other therapeutic techniques provide a different climate, focusing on inhibition, silence and non-engagement from the therapist. With cyclical psychodynamics, however, the health care professional is more involved in the therapeutic process (Wachtel, 2008). Conclusion Healthcare communication involves an efficient line of communication between medical professionals, clients, and patient. A vital component of healthcare communication is the ability to share information that can enhance a patient’s knowledge. This is important in assuring quality healthcare. An effective professional health care communication can improve the health outcome of a patient. The health care professional can utilize various guidelines to achieve effective healthcare communication. It can help the healthcare practitioner to establish a better understanding of the condition and history of their patients. Effective healthcare communication can increase the patient’s satisfaction and knowledge of treatment and its possible outcomes. Without effective healthcare communication, the patient will not have a clear understanding of the state of their health. As a result, they are more likely to spend more on healthcare, take the wrong medication, and become depressed. In the early history of health care, therapists or in this case health care professionals rarely say a word. Usually, the best way they understand the condition of their patient is through listening but they never communicate. However, it is likely to practice a non-threatening way of communicating with patients and will not hurt their self-esteem. In this process, the healthcare professional conceals their real message in a meta-message, which can both be demonstrated in a manner that would make it likely to address the conflicting issue which the patient has avoided Cyclical psychodynamics focuses on understanding the cause of the patient’s anxiety. The difficulty of a patient can be rooted from their early knowledge of being afraid of their feelings, thoughts, and inclinations. The aim of therapy in this sense is to help the patient refocus these feelings and integrate them into a complete life. With cyclical psychodynamics, the patient is directed to a variation of the truth that would help them see new possibilities in their life and to modify life patterns that have been responsible for their difficulties. By using meta-messages, the therapist will help the patient affirm, acknowledge, and understand their feelings. Compared with other therapeutic techniques, which focuses on inhibition, silence and non-engagement from the therapist, cyclical psychodynamics involves more involvement and participation by the health care professional in the therapeutic process

Evaluating Poetry Essay

The poem â€Å"Gods Will for You and Me† is the good poem and â€Å"Pied Beauty† is the bad poem according to Perrine standards.  The central purpose of both these poems is to encourage the readers’ individual feelings about God. The poem â€Å"Pied Beauty† is extremely didactic. The writer of this poem is preaching God on the reader. They are trying to get the reader to see all of the things that God has created on the earth and how amazing each one is. The whole poem seems to be a continuous praise on God. The poem even ends with a very clear cut statement, â€Å"Praise him.† This may leave a reader feeling uncomfortable or uneasy. Some of the phrases used in â€Å"Pied Beauty† do not seem to be the best choices for the writing. The phrase â€Å"brinded cow† does not sound as nice as other phrases and does not make me want to love the cow like the writer is suggesting. The phrase â€Å"with swift, slow; sweet, sour; adazzle, dim;† breaks the flow of the poem and could have been left out or worded in a different way. The poem â€Å"Gods Will for You and Me† is getting the point across to be â€Å"loyal to God† in a much simpler and easy going manner. The poem is more realistic and although it has a childlike rhyme to it, it is still fresh and original. It makes me feel, as a reader, that following Gods plan is easy and simple, such as the poem itself. While it is sweet and sentimental it is not over the top or over stimulating to the readers emotions. When it comes to evaluating poetry according to Perrine’s standards, I don’t agree that rating a poem good or bad should be based on certain rules. As a reader, if what you are reading is making you feel good inside then it should be considered a good poem, even if it is sentimental, rhetorical, or didactic. For me, when I read poetry, if I can make sense of what the writer is saying and makes me feel any emotion from the writing, then I declare it a good poem. Didactic poetry should be considered good also, due to the fact that even though it is praising, it is still a strong emotional reading that is getting a point across, whether the reader chooses to follow or agree is  up to them to decide.