Monday, August 24, 2020

Iv Therapy free essay sample

Intravenous treatment or IV treatment is the point at which a patient is given fluid substances straightforwardly into a vein. The word intravenous methods inside a vein†. Treatments managed intravenously are regularly called claim to fame pharmaceuticals. IV treatment is normally alluded to as a dribble in light of the fact that a large number of the manners in which it is managed utilize a trickle chamber, which forestalls air entering the circulatory system and permits a thought of what amount is streaming in to your body. Contrasted and different methods of organization the intravenous course is the quickest method to convey liquids and drugs all through the body. A few prescriptions, just as blood transfusions and deadly infusions, must be given intravenously. The least complex type of IV treatment is given through a hypodermic needle. This sort of needle is empty and takes into account the dribble to be regulated legitimately to the vein. The needle can be straightforwardly appended to a syringe or even to tubing that might be joined to a trickle of whatever drug is required. We will compose a custom article test on Iv Therapy or on the other hand any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page The needle is generally placed into a fringe vein, this is any vein not in the chest or mid-region. Any effectively open vein can be utilized however most usually veins in the hand or arm are utilized. In babies it isn't unexpected to utilize the veins in the scalp. Focal IV lines course through a catheter with its tip inside a huge vein, ordinarily the unrivaled vena cava, or second rate vena cava, or inside the correct chamber of the heart. This has a few favorable circumstances over a fringe IV. It can convey liquids and drugs that would be excessively aggravating to fringe veins as a result of their focus or substance organization. These incorporate some chemotherapy drugs. Drugs arrive at the heart promptly, and are immediately circulated to the remainder of the body. Anyway focal IV’s run a higher danger of giving you a contamination, causing dying, and perhaps in any event, causing gangrene. A typical motivation to be snared to an IV is for drying out treatment. Those unfit or reluctant to drink or who have redundant spewing can get liquid substitution IV. You are snared to a dribble and your liquids and electrolytes are supplanted through the IV in your grasp or arm. There are two kinds of liquids that are utilized for intravenous dribbles; crystalloids and colloids. Crystalloids are fluid arrangements of mineral salts or other water-dissolvable atoms. Colloids contain bigger insoluble particles, for example, gelatin; blood itself is a colloid. The most generally utilized crystalloid liquid is typical saline, an answer of sodium chloride at 0. 9% focus, which is near the fixation in the blood. Ringer’s lactate or Ringers acetic acid derivation is another isotonic arrangement frequently utilized for enormous volume liquid substitution. An answer of 5% dextrose in water, now and again called D5W, is regularly utilized rather if the patient is in danger of having low glucose or high sodium. The selection of liquids may likewise rely upon the substance properties of the meds being given.

Saturday, August 22, 2020

American Express Research Paper Example | Topics and Well Written Essays - 750 words - 1

American Express - Research Paper Example In business section, American Express offers choices to private venture, vendors, and organizations, giving them amazing applications to run independent venture, card projects and answers for partnerships, and a large group of different shipper items, for example, trader records and advertising and so on. Comprehensively, client fragment of American Express can be separated into 5 classifications, which incorporate U.S. Card Services, International Card Services, Global Network and Merchant Services, Global Commercial, and Corporate and Other administrations. The client base of American Express is around the world; it serves the market any place it is offering its types of assistance through its workforce quality of 58,300 representatives (American Express, 2011). American Express is a multi-item firm contending in the money related industry section with yearly income of $24.5 billion. Its Cards-in-power are 87.9million in number, and all out resources $124 billion. The yearly buy vo lume of American Express Cards is $620 billion (American Express, 2011). Securities exchange execution in the NYSE of the American Express for the main quarter has been announced as much as $1.2 billion in net income, which is an expansion of 33% from 885 million per year back, as gave an account of 20 April 2011. Weakened salary per share was $0.97, recording an expansion of 33 percent from $0.73% one year back. The organization has detailed an expansion of 7 percent in the combined all out pay net of intrigue cost, going up to $7.0 billion from past year’s $6.6 billion. The organization has had the option to acknowledge higher salary on account of expanded spending via card individuals and expanded travel commissions and expenses, which has balanced somewhat diminished intrigue pay in light of decreased result on credit portfolio (PHX, 2011). Quarters Ended Percentage March 31, Inc/Dec. 2011 2010 ______________________________________________________________________________ Total Revenues Net of Interest Expense $ 7,031 $ 6,560 7 % Net Income $ 1,177 $ 885 33 % Earnings Per Common Share †Diluted: Net Income Attributed Shareholders $ 0.97 $ 0.73 33 % Average Diluted Shares Outstanding 1,198 1,191 1 % Return on Average Equity 27.9 % 18.0 % ______________________________________________________________________________ American Express has increased colossal achievement in acquiring normal improvement the credit quality by lessening its united arrangements for misfortunes from $943 million of every 2010 to $97 million out of 2011. Solidified costs likewise recorded an expansion of 19%, going up from past year’s $4.4 billion to $5.2 billion, which has been credited towards enormous interest in business building and expenses brought about on higher prizes. The organization recorded an expansion consequently on normal value (ROE) by 27.9 percent from the past year’s 18.0 percent (New Release, American Express, 2011). Unexpectedly, the Boar d of Directors of American Express Company pronounced on 23 May 2011 an ordinary quarterly profit of $0.18 per normal offer, payable on August 10, 2011 to investors of record on July 1, 2011 (American Express, 2011). Significant contenders of American Express are Capital One Financial Corporation, Visa Inc., Discover Financial Services, and MasterCard Incorporated, as given beneath from the stock execution of the entirety of the organizations. The American Express Company is driving in TTM deal to the degree of $28,290m while Capital One Fina

Saturday, July 18, 2020

K Hole and the Awful Effects of Ketamine

K Hole and the Awful Effects of Ketamine Addiction Drug Use Hallucinogens Print K Hole and the Awful Effects of Ketamine By Elizabeth Hartney, BSc., MSc., MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial policy Elizabeth Hartney, BSc., MSc., MA, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on December 08, 2019 More in Addiction Drug Use Hallucinogens Cocaine Heroin Marijuana Meth Ecstasy/MDMA Opioids Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery Falling into a k hole is slang for how it feels when you take a high enough dose of ketamine that your awareness of the world around you and your control over your own body become so profoundly impaired that youre temporarily unable to interact with othersâ€"or the world around you. Verywell / JR Bee Effects of Ketamine Ketamine is a dissociative drug. In simple terms, dissociative drugs make users feel detached from their surroundings as if they are not really there. This feeling of dissociation becomes more intense with higher dosages, which make users feel very disconnected from, and unaware of, their surroundingsâ€"even when they may technically be awake. They may also feel disconnected from, or unable to control, their own bodies, including the ability to speak?? and move around easily. One way to think about this is that the k hole is a state between intoxication and a coma. While the consciousness of the real world diminishes in a k hole, a fantasy world of delusions and hallucinations can take over. This is usually temporary, although longer-term users may begin to show ongoing dissociative and psychotic symptoms â€" loss of accurately sensing the world around them â€" even after the drug wears off. Basics of Ketamine (Special K) The K Hole Experience Although it can be hard to understand why someone would voluntarily take a drug that feels bad, the truth is that although ketamine can produce feelings of euphoria, falling into a k hole can be a frightening and intensely powerless experience. The most common effects are marked confusion, difficulties in speaking, unexplainable experiences, floating sensations, and mind/body dissociation.?? Rarely, ketamine users describe near-death experiences, astral travel, and alien phenomena. The sense of powerlessness felt in a k-hole is especially true if your ability to speak is affected. To others around you, you may simply look immobile and intoxicated, although your eyes may move around?? â€"an effect known as nystagmus. When in a k hole, it can be frustrating if someone is trying to communicate with you and you cant respond. Risks of the K Hole One of the risks of falling into a k hole is that you may have difficulty coming out of the state of dissociationâ€"meaning you may continue to feel disconnected from the world around you and from your life, and you may develop ongoing symptoms of psychosis.?? There are also shorter-term, potentially hazardous risks of the k-hole experience: its possible to take too much, and for your heart to stop. Ketamine can also cause seizures, leading to brain damage?? . Taking ketamine can also make you accident-prone: you may become so out-of-touch with the world around you that you wander into traffic, have a serious fall, or drown. Many young people are unaware of these risks. Risks of Ketamine Hypotension and heart rhythm abnormalitiesSlowed or depressed breathingSeizuresIrreversible brain damageAbnormal movementsDate rape Why Do People Take Ketamine? So why would anyone do it? To those who have never used the drug, it can seem strange that anyone would want to take something that has these effects. Yet ketamine has grown in popularity, particularly among club-goers. Why would this be? Research shows that at least 50 percent of ketamine users experience some pleasant effects, most commonly, feeling happy, feeling laidback, being relaxed, and having enhanced perceptual abilities.?? For some users, the k hole offers a temporary escape from the stresses of lifeâ€"reducing their existence to almost nothing. Most ketamine users are hoping for the euphoria the drug produces and may enjoy the feeling of detachment and disconnection from those around them that they experience on lower doses of ketamine. This is particularly attractive to people who have difficulty coping with life and social situations, or people who are troubled by a distressing past. Another motivation for taking ketamine is to do with peer pressure. When young people use drugs, their friends often want to keep up with the trend, and therefore try things their friends are tryingâ€"particularly when its described as risky, exciting and pleasurable. Young men, and increasingly, young women, may use drugs as a demonstration of their bravado, courage, and mental toughness. Others may be desperate for attention or struggling with thoughts and feelings of suicide. Peer pressure probably accounts for a lot of the occasional use of ketamine thats been noted, but not for more excessive use: when falling into a k hole is actually the goal of taking ketamine. Some users do not willingly take ketamine but have it slipped into a drink as a date rape drug.?? Some drug users, particularly those who use drugs to self-medicate feelings of depression and alienation, seek out feelings of disconnection and dissociation by using drugs that have these effects. In some respects, users feel they can at least control the experience of changing their uncomfortable feelings. For these people, a k hole is a kind of oblivion that gives them a temporary escape from the world. Depression and Ketamine Research has shown that heavier ketamine users tend to be more depressed than occasional users.?? Its not clear whether the depression is caused by ketamine use and its impacts on these peoples lives, or whether people who are already depressed are more vulnerable to ketamine addiction when using the drug as a form of self-medication. If you have been trying to escape negative feelings through taking drugs, consider talking to your doctor, or even someone on your local crisis line, about medical and non-medical ways of treating depression. It is important to know that there are many effective and much safer ways of treating depression. If you have been through significant trauma, such as physical, sexual, or emotional abuse, or if you are struggling with feelings of guilt or emptiness, there are also therapies that can help you.

Thursday, May 21, 2020

Jade Stadium Redevelopment (project management) Essay

Jade Stadium Redevelopment (project management) Introduction The redevelopment of Jade Stadium, formally Lancaster Park, has been a project in development for a number of years. It is interesting to view the processes and changes in approaches to reach compromises, that have occurred in the lead up to this project especially with the stage the redevelopment is at now, (near completion). The emphasis placed upon planning and funding has had a huge impact to not only the time frame for completion of project but at a more basic stage of whether the redevelopment would even go ahead. The information used for this review dates back only as far as January 99, but even by that stage several years work had gone into pushing and†¦show more content†¦Revenue The funding of the redevelopment of jade stadium has played one of the most contentious roles in the planning of the entire project. The sticking point for many was the level of input by the city council, of tax payers money into the Jade Stadium project. This process is shown to have been very political and taken more time than any other part of the planning chain. $43 million was needed to fund the redevelopment of Jade Stadium. $4 million of this was provided by the Christchurch city council, which was also responsible for underwriting the loan for the rest of the project. This loan has been planned to be fully repaid in 16 years, according to the business plan. Other major sources of revenue for the Jade Stadium redevelopment have been, Canterbury Rugby, Canterbury and New Zealand Cricket and the catering licensee, Spotless Services Limited. All were involved in providing a business plan, which proved the viability of the project and the capability of Jade Stadium Limited to repay the loan in the prescribed time frame. Grants were also received for the project from other sources, including The Community Trust, The Canterbury Foundation and the Lotteries Grants Board. The business plan also explored other avenues for gaining additional revenue; these included the possibility of naming rights, and by way of rental and the use of the corporate facilities. With

Wednesday, May 6, 2020

Family Values Shape The Way People Are Today - 951 Words

Family values shape the way people are today. The meaning of family could vary depending on our background, whether blood related, marriage, or just emotionally attached, it’s used out of a form of love. Values are the things we strongly believe in. Forms of values could be culture, race, or ethnicity. Almost everyone lives up to the saying â€Å"family first.† Putting our family first could mean putting things to the side for a family night, cooking for your family, or taking family trips. Others could be finding the right care or making sure our family is financially stabled. However, in our society today we lack some of these values. Eventually people age, the older people get the more care and love they need. Caring for the elderly citizens†¦show more content†¦Some will never receive a visit while they’re living and some will become so sick they’ll start losing memory. Today we see headlines saying elderlies being mistreated in nursing homes. 1 out of 3 nursing home has a report of abuse and in 1996, approximately 450,000 adults over the age of 60 were abused and/or neglected in domestic settings. ABC news reports that common problems include untreated bedsores, inadequate medical care, malnutrition, dehydration, preventable accidents and inadequate sanitation and hygiene. Although these are just a few incidents, more do occur. ABC News also reports documents instances of residents being punched, slapped, choked or kicked by staff members or other residents, causing injury such as fractured bones or lacerations. These common incidents occur throughout many nursing homes. Abuse to an elderly person can cause them to have psychological abuse. Psychological abuse is when a caregiver cause emotional pain or stress to a patient. Elders who experienced abuse, even modest abuse, have a 300% higher risk of death when compared to those who had not been abu sed. In 2006, 89-year-old Albert Wagner was sexually abuse by a nursing home worker at Mid-Coast Senior Health Center in Brunswick, ME. Due to Wagner being legally blind and partially deaf it was hard for him to tell his story to his family members. His granddaughter Kate Marro visited him occasionally when she started to notice a change in

Immigration Problem in Istanbul Free Essays

The immigration problem has always been one of the most important debated issues in Turkey, especially after1950s. It makes big cities more crowded and it also brings many problems together. These problems include economic, social, and environmental issues. We will write a custom essay sample on Immigration Problem in Istanbul or any similar topic only for you Order Now Particularly Istanbul is in a great danger with the huge rate of immigration it takes. The city has not enough area for sheltering its continuous growing population as it has not also enough resources to feed them. It is very unhealthy to enlarge as rapidly as Istanbul with immigration because it brings economic, environmental, and social problems. Istanbul is the most urbanized and crowded city of Turkey. For almost 20 years, it takes internal migration with its economic and social opportunities; therefore, the city, which becomes one of the urbanized cities around the world, grows in an uncontrolled manner day by day. The population of Istanbul, which was not even 1 million in 1950, is now over 14 million. After a rapid industrialization, a high level of immigration is normal and unavoidable for cities and it has some advantages as providing labor force but the migration to Istanbul get over the limits. According to Istanbul Governorship’s data, over 62% of people who live in Istanbul were born outside of the city. Since it is common that Turkish families are crowded, most of immigrant families have more than two children generally. This year, the prime minister of Turkey, Tayyip Erdogan advised the community to make at least three children in order to protect the nation’s young population, at the time of his speech about International Women’s day. The elite class of Turkey may not affected by these events but the rural side of Turkey, and the lower class of the cities, mostly immigrants are influenced by the people whom they see as their idol. According to the high fertility factor, the native Istanbul population has become a minority in their homeland (Erman 541). It causes many identity problems beside its social and economic aspect. The mass migration to Istanbul caused economic problems such as inadequate shelter and unemployment. In â€Å"The Human Declaration on Human Settlements†, it is underlined that deterioration of conditions of shelter and human settlements particularly in developing countries has reached crisis proportion (591). As we know that Turkey is a developing country with its industrializing economy, the problems as I mentioned above are common in Turkey, especially in urbanized cities. Istanbul, the most industrialized city of Turkey, owns problems related to the excessive population concentration such as homelessness, increasing poverty, unemployment, inadequate resources, lack of basic infrastructure and services (592). Migrants who come to Istanbul for its job opportunities generally belong to the low educated agrarian society. They come to this big city with the dream of being a part of rich and modern urban. However, migrants compose the lower class of Istanbul with their lower education and economic situation. With their inadequate qualifications, they can work in low wage jobs. The squatter settlements issue begins with this problem. People who can’t earn enough money to buy or rent apartments they live in squatter settlements. Moreover, the other side of Istanbul, the welfare class which manage the industry becomes richer continuously. Because of this dual economy in Istanbul as all other urbanized cities in third world countries, the difference, and consequently the tension between rich and poor increase continuously. The labor class, which works hard, however cannot sustain their family become more aggressive day by day. The bloody 1 May (Labor Day) incidents can be explained with the rebel of this class. Crime rate. The mass migration to Istanbul and the rapid social changes occurred in the city caused the problematic issue â€Å"integration† of rural migrants into the urban society (Erman 541). They move into Istanbul, they become physically â€Å"urbanite† but since they cannot accommodate themselves in city life, continuing their rural traditions, they cannot become urbanite socially. They resist changing or they are forced to be an alien. As they live in communes, generally in squatter settlement areas, with the group psychology, they live their own culture as a synthesis of the rural and the urban. As they cannot become an urbanite, they don’t detach their relations with their rural villages and community. The concept of â€Å"hemsericilik† in Turkish language, it means clientalism, became one of the most important characteristics to evaluate a person. Largely, migrants compose the lower class of Istanbul with their lower education level and economical conditions. Their economic situation and their education have a strong correlation. Since their language and qualifications are lower, they cannot find high-wage jobs to increase their economic level. Poverty strengthens the alienation of them. They see the luxurious houses, cars, and lifestyles on the streets or on TV and as they can’t reach this lifestyle by working, they start to search the short way to own this shining life. The growth rate of crime in Istanbul is the result of this desire. How to cite Immigration Problem in Istanbul, Essay examples

Sunday, April 26, 2020

Pleasures of Reading free essay sample

â€Å"Reading† is the activity of perusing, skimming, going over, or poring over a book. The book may be of any genre, but â€Å"reading† provides great satisfaction. It is the act of construing, comprehending and perceiving the true meaning of the text. It is done for enjoyment and as a hobby. The text is made up of simple and often complex words which are a source of great satiety and magic for the reader. The selection of the books define us. They show who we really are. The true quirks and traits of a person can truly be understood by what he likes to read, as Mathew Kelly pointed out that, â€Å"We become the books we read.† Books are also a great source of pleasure and comfort. They wash away from our lives the constant monotony and bring excitement; they remove the dust of everyday life from our souls and replace it with thrill and exhilaration. We will write a custom essay sample on Pleasures of Reading or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They bring newness to the world and give us a chance to imagine better. The moment we open a book and start dwelling in its world, we feel as if everything around us has ceased to exist. Reading provides us the sole mode by which we slip unconsciously, involuntarily and often helplessly into another person’s soul and stumble into the world of his imagination where everything has been created by him. It transports us to new places, introduces us to amazing people who lived exciting lives, they move us to HOGWARTS with J.K.ROWLING, to NARNIA with C.S.LEWIS, to BAYPORT with FRANKLIN W.DIXON, to RIVERHEIGHTS with CAROLYNE KEENE, to MAGICAL FORESTS with ENID BLYTON and to the CENTRE OF THE EARTH with JULES VERNE. These places are more than often just a figment of the writer’s imagination but to a reader everything about them seems real, he wish that he can be transported to the world of his dreams and live the life he wishes to live. He can visit all these places while sitt ing on a comfortable couch by the fire along with an appetizing snack. At this moment he observes that there is no pleasure like reading and eating. And the best part is that the two of them can be combined comfortably. As Jane Austen declares that, â€Å"There is no enjoyment like reading.† We might not notice this but we actually live the stories we are reading, each character possesses a specific voice in our head along with an appropriate appearance. In the eye of our mind we see them moving and hear them talking while we read about them. A reader lives the lives of about a thousand people before he dies but non-reader lives a single boring and monotonous life. Books are a unique source of portable magic which we can carry anywhere we want to. It helps us to enter blissful peace and assists us to learn and comprehend the secrets and hidden facts of the universe by giving our minds food for thought. Wherever we are, if we have a book with us we do not need any company. We can just sink into the pages and be really happy. As Elizabeth Scott observes that, â€Å"I love books! I love that moment when you open one book and sink into it. You can escape from the world and sink into a story that’s way more interesting than yours will ever be.† Reading is dreaming with open eyes. We do not have to necessarily believe in all the fiction and magic of the books we have to know that it’s not true. But it does create a world of fantasy which helps to broaden our vision and increase our imagination. Even Rowling says that, ‘I don’t believe in the kind of magic in my books. But I do believe that something very magical can happen when you read a good book.’ Reading helps to builds our personality and develops important characters and traits. When we read about certain traits we learn to like and dislike them. We even try to apply them in our personal life. It helps to provide us with good manners, strengthen our vocabulary and increase our knowledge. We can receive important information when we read a good book. There are some acts which are never wasted and always help us in one way or another.Reading is one of them. Rowling instructs us to, ‘Read as much as you can. Nothing will help u as much as reading.’ When we step inside a library, the first thing we feel is the smell of old parchments, the fragrance of ink, we hear the rustle of paper and at this moment we believe that this scent of books is the best scent in the world. When we inhale deeply and browse through the different sections we experience a sense so magical that it can never be expressed in words, and magical does not merely mean supernatural or sorcerous but includes mystery, thrill, and contentment, which makes us feel wonderful and excited. When we close our eyes and simply touch a familiar book and draw its fragrance deep inside us, it is enough to make us happy and contented. Stephen King claims that, ‘Books are a uniquely portable magic.’ Reading is very necessary to keep us revived, fresh and invigorated. Reading is as necessary to mind as exercise is to our body. They revive us when we feel as if all doors of life are closed. They help us to escape our stresses and enter a new place, a different era. At these times we feel as if there is no friend as loyal as a book. We don’t need to confide all our secrets to it. Even then it can provide reassurance which is required very much. So, if we truly want to escape the world we open a book and use our imagination. JK ROWLING asserts that, â€Å"There is always room for a story that can transport people toanother place† If a person does not like to read books this mostly means that he has not yet found the right book to suit his taste and personality, as it is impossible for any knowledgeable person with good interests to dislike books, because good readers make much out of little and still find it short. According to JANE AUSTEN, â€Å"If a book is well written I always find it short† Sometimes there are declarations truths and facts which cannot be explained in normal writing but a fictious book aptly explains them, with such subtlety that the reader hardly notices that he has understood them. And they become part of his life without his observing the change. RALPH WALDO EMERSON insists that, â€Å"Fiction reveals the truth that reality obscures† We do not need to understand philosophy, learn a special skill or know an art to recognize a good book nor do we need to search hard for it, we know when we have a good book we become absorbed and totally engrossed in it. When we turn the last page and feel that we have lost a close friend. As if something very important has been eradicated, lost or removed. We feel a strange emptiness and hollowness inside us and we yearn for more. We know it is a good book when we learn to laugh and cry with it, which leaves us emotional for days and makes tears fall down our cheeks. Which makes us cry and feel joyful. In short, a book a day keeps reality away. We should read good, interesting and useful literature which proves fruitful and helps us in our lives. But we should also exert caution and be careful. We should not read so much that our minds are boggled, thinking becomes clouded, our eyes become weak, we get to wear spectacles, our work is left pending and we become total BIBLIOBIBULIS (people who read too much) BOOKS are keys to wisdom’s treasures BOOKS are gates to lands of pleasures BOOKS are paths that upward lead BOOKS are friends, come let us read!