Constipation (Advanced pharmacology) Assignment Example | Topics and Well Written Essays - 250 words - 1

Constipation (Advanced pharmacology) - Assignment Example It is given in a low dose initially and later increased to the maximum dose for effectiveness. However, in cases where the individual does not respond to Aricept and the dementia worsens, doctors begin prescription with Namenda which has been approved for the treatment of advanced forms of the disease. In some cases both the drugs are also given in combination. Screening of dementia in a primary care setting initially utilizes a rapid screening tool for memory loss such as the Mini-Cog or Family Questionnaire which are easy and can be administered by nurses or a medical assistant. If these initial tools are indicative of memory loss the patient is then subjected to a second cognitive assessment using tools such as Mini Mental State Examination which also take about 10-15 minutes to administer. Based on the scores the person is referred to a dementia specialist. The pharmacokinetic and pharmacodynamics properties of the four drugs used in dementia are different. Donepezil selectively inhibits acetylcholinesterase with a half-life of 70 h, Galantamine is also a selective inhibitor of acetylcholinesterase but also has a modulating effect on presynaptic nicotinic receptors and has a half-life of 6-8 h. both these drugs are metabolized by specific cytochrome oxidases in the liver. Rivastigmine is an irreversible inhibitor of both acetyl- and butyrylcholinesterase with a short half-life of 1-2 h. It is metabolized by esterases in the liver and intestine. Memantine is a low-affinity antagonist of NMDA class of receptors and has a half-life of 70 h. It is mainly eliminated unchanged via the kidneys. The most common adverse effects of acetylcholinesterase are nausea, vomiting diarrhea, muscle cramps, fatigue, headache, pain, common cold, and urinary incontinence. Rare side effects include bradycardia and sinoartrial and atrioventricular blocks. In case of Memantine, drug hypersensitivity, dizziness, hypertension, constipation and headache are common.

Church Government Research Paper Example | Topics and Well Written Essays - 1500 words

Church Government - Research Paper Example On the other hand, the congregational polity is one where there is autonomy of local churches in that these churches have no affiliation to any other church. The other form of church governance is the single elder polity in which there is the pastor is the main source of guidance and decision making organ. Lastly, the plural-led polity is the most applicable form of church governance as it involves both the clergy and the elders being on the same level of governance. Comparison between the five models Presbyterian Ideally, this form of church governance existed in the olden days of the bible to which many of the present day churches have adopted. Presently, the application of this church governance involves the congregation voting in the elders that they feel would lead them in a just manner. However, the aspect of these elected leaders having the entire decision on how to govern the congregation posses some challenges as the decision of the elders chosen is unquestionable. As compar ed to congregational churches, the decision making process partly involves the congregation making this form of church leadership be one way. On the contrary, this polity evokes some democracy aspects as the judgment on church matters does not lie in the shoulders of one elder as compared to the single elder polity. ... This makes the session have accountability towards higher authority hence making them exercise responsible leadership as compared to one elder polity. Single Elder polity In this form of church governance, the church congregation tends to have equal stature among all members meaning that an individual is superior to others in the church. Over time, this form of church governance has elicited critic as the most humble of the congregation takes up the leadership role. This makes them more special than the rest of the church because this serves as an impediment to access to God. Additionally, the scripture has no illustration of this aspect as the Bible 2 tends to have widespread application of the Presbyterian leadership as kings had sessions of elders that helped them in governance and decision-making. Others consider this as a form of secular polity as its rise was during the American expansion period due to the travels that the missionaries experienced. This meant that the Americans involved in the spreading of the gospel could not be under a specified region like in the Presbyterian polity hence influencing this form of church governance. Therefore, this encompassed service to a large fraction of society under the leadership of a single individual. Congregational polity Arguably, this is a sovereign form of church governance witnessed among contemporary churches in which the absolute decision power lies in the congregation itself 3. This has distinctive features as c compared to the above-mentioned polities in which the final decision making responsibilities tend to vary between congregations. This form of polity has also attracted critic as the congregation makes decisions for itself hence implying that they may negate God’s law in their

Counselling Psychotherapy Theories Applied | Case Study

Counselling Psychotherapy Theories Applied | Case Study Case Study: Vignette II Bella. H. T. Lam Theories Systems in Counselling Psychotherapy My client Scott, who is a 19 years old male, have lost his father for nine months because of the lung cancer. The major problem revealed by his mum was he had become quite and stayed aloof when he is at home. During the previous sessions, he was just looking downward and fidgeting with his figures. Brief answers are always appeared when I am asking some open questions. However, he thought he need help and agreed to have change when I told to close the session. To begin with, I may like to analyze some of his behaviors so as to develop an effective section for him. From his mother, I knew that he has become quite and aloof after his father died this maybe one of the action, which he was trying to avoid his real feeling. Also, it might have a chance that Scoff does not know how to cope with his own feeling about his father’s death. Moreover, in between our conversation he usually gives me brief answers or sometimes remains silent in account to the mistrust of people or some energy blockage suggested by Gestalt, this turned out he does not want to answer question, sharing his feeling or he does not know how to answer. Without eye contact and fidgeting finger were also the gestures related to his mistrust or lose of love and belongingness needs. Therefore, in the coming session I hope to build a trust-worthy relationship with Scott so as to allow him to share the real feeling with me. Furthermore, helping Scott to face, express, aware a nd cope with his feeling are also my targets. Progressive Muscle Relaxation I would choose the progressive muscle relaxation to start with the counselling session. As Scott mentioned that he got headache sometimes since his father was died on the previous session. I think temporary headache was one of the psychosomatic symptom. The process of relaxing muscle and mental tension in the progressive muscle relaxation may help client to cope with chronic pain and the frequency of migraine attacks which is related to the stress or anxiety.(Ferguson Sgambati , 2008) Despite, Scott does not feel stress or anxiety, he behaves silent and aloof when he is at home might in account to his stress or anxiety. In the section, I may give instructions to Scott to teach him relax. Then, ask Scott to breathe deeply and regularly so as to relax his muscle. Try to feel the muscle when they are tensioned. Then he would asked to relax his muscle from the head then neck and shoulder to the back until the lower limbs. During the time of relaxation he is asked to try getting rid of the mental problem and feel the contrast between relax mode and tension mode. He could learn to become relax if he keep practicing this action daily. And this would become the habitual behavior in his daily life. Progressive muscle relaxation could be use with any other approach easily and can practice daily by the client. This might help Scott to learn how to relax and improve his daily living when he is feeling stress or anxiety. This practice not only relaxing his muscle but also his mental. ( Davis,1980) Expressive Art Therapy The next stage I would like to use expressive art therapy so as to help Scott to express his feeling. Since Scott can only answer brief answer when I asked open question I suggest that he did not know how to express his owns thing verbally or it might because he did not aware his owns’ problems so he cannot express himself when I am asking him questions. While expressive art therapy is found by Natalie Rogers, it uses various artistic forms, for example, creating movement, writing a journal, playing music as a media to help people to express his emotion. N, Roger explained that â€Å"This is a multimodal approach integrating mind, body, emotion and inner spiritual resources.†(N, Rogers, 1993,) Thereby, expressive art therapy let people to look at its unconscious mind and express some unknown or new information. â€Å"This is also a self-discovery and healing process.† (N, Rogers, 1993)This may allowed Scott to express his emotion in order to have more understandi ng about his unconscious mind. In this section, I would prepare some percussion instruments to Scott, allowing him to express his feeling by music improvisation. I would ask him to think of some scenarios and try to use different instruments to represent or reflect that scenario. This may help him to aware and express his emotion himself and give me further information about his emotion. I think this is a suitable way for Scott as he did not answer a open question easily, using a different way like playing music maybe give him another way to express himself. Nevertheless, Person-Centered therapy is the key features of Expressive Art therapy while they are also emphasis the relationships between the client and therapist. (N, Rogers, 1993) Therefore, I would like to build a trust -worthy relationship with my client using the knowledge of Person-centered therapy before I started the Expressive Art Therapy. Person-Centred Therapy Other than not knowing how to express his own emotion, Scott answering question in a very brief way might also because he does not want to share his real feeling. According to the Carl Roger’s Person-centered Therapy, relationship between client and therapist was very significant for the treatment. As if the clients feel that his feelings are understood by the counselor might support the clients’ desire to change. (Roger, 1961) The Person-centered Therapy suggested the three main ways to develop a good relationships with the client. Including Congruence, Unconditional Positive Regard and Empathic Understanding. (Cain, 2010 ) Being congruence means that the therapist should express truly with his emotion, attitudes, thoughts when they are interacting with the client. Providing unconditional positive regard means is caring the client as a true person, while the caring without any criteria or judgments. (Koldon, Klein, Wang, Austin,2011) According to Rogers’s (1961) research, the more caring the clients got, the more success of the therapy would be. While empathic understanding is to share the subjective view by the experience’s that the client’s mentioned. After this Scott can identify his own goal by himself. So as to provide these three conditions, I would like to chat with Scott with more caring, sometimes give some restatements of what he just said to show my empathic understanding, express my true feeling and attitude when we are chatting. Also, giving a sense to him that I would support him no matter what he decide or think. After this kind of interaction I might build a better or trust-worthy relationship with Scott and give the love and belongingness needs that enable him to share his real feeling to me and he will tell me more rather than just answer me a short answer or refuses to answer me. Moreover, the rarely eye contact with counselor may deal to his unsafety feeling. During this Personal centered therapy, I would provide him a safe environment which can let him feel safe and willing to have eye contact with other and less fidgeting. The final aim of this treatment is to allow him to express himself, trust himself by providing him concern and care, I could act as a facilitato r to allow him to be independent and integration which leads him able to cope with his life’s issue like the dilemma of his father’s death. In addition, this therapy is suitable for people who is open and ready for change since Scott agree to see the counselor and admitted he need helps reflect that he is ready and open to have some changes.(Corey, 2013) However, Person-centered therapy was an unstructured therapy which is difficult to estimate the duration needs for this treatment. The only way is to recognize how the client’s know about himself and helping him to come up with his own plan. Therefore I would like to spend more time in this treatment before moving to the next part. Gestalt Therapy The next treatment I would like to use is the Gestalt therapy. Although we have used the Expressive Art therapy so as to bring up Scott awareness to himself, it might not enough because the art therapy more focuses on expressing the emotion and feeling. To further bring up his awareness of his own feeling I would like to assist him to attain greater awareness which includes knowing the environment, oneself also make contact with their awareness by using the Gestalt therapy.(Ploster Ploster, 1973) Apart from expressing his emotion, aware and face his own emotion is also my concern. In Gestalt therapy, it mainly focuses on where the energy used or blocked, the here and now which allow client to fully experience the â€Å"now† also the unfinished business which the figure is lined inside the ground and not completely solved and come with some unexpressed feeling.(Ploster, 1973) While blocking energy is another form of defense behavior suggested by Gestalt. In Scott cases, looking away from counselor when they are chatting, mention only a few is also the behavior of blocking energy. (Corey, 2013)When Scott staying at home quietly and aloof are examples of that he cannot express his own feeling and cause unfinished business. His father has died for nine months but he changed his behavior started from his father death to now that represent Scott is still struggling with the past experiences as Gestalt therapist recognized that the past would come to the present’s moment is usually the lack of completion of the past experience.(Corey, 2013 ) While in this treatment I would encourage Scott to experiences his own blocking energy gesture and allow him to know what is he struggling and accept it. Also trying to bring his feeling from the past to present and know that he can make a change of situation. I would choose the Reversal exercise and Exaggeration exercise for Scott. For reversal exercise, I would ask him try to look at me and stop fidgeting with his figure for a minute when we are chatting, to let him to accept what he is doing. After that, I would ask him to stay silent for longer time which to exaggerate his behavior. (Feder Frew, 2008) From this behavior he can try to interpret his inner feeling when he is keeping silent. The gestalt therapy have much explanation about the importance human’s gesture and language which would be suitable for Scott which have more gesture and less words to aware his feeling via body languages. Conclusion In this session there might be used four treatment, The progressive muscle relaxation, Person-centred therapy, Expressive art therapy and the Gestalt therapy. The progressive muscle relaxation might want to help the client improve his psychosomatic illness like headache. While the person-centred therapy is aim at building a trust-worthy relationship with the client in order to let him to share me more with his own’s emotion and my caring may let him to identify his own goal and the willing of changes. Expressive art therapy may like to cope with his difficulties of expressing his own feeling when I am asking some open question. Furthermore, the gestalt therapy would like to help client to aware with his gesture like refuse having eye contact with other so as to relate his gesture to his feeling and let him to pay attention to. References Cain, D. (2010). Person-centered psychotherapies. Washington, DC: American Psychological Association. Corey, G. (2013). Theory and practice of counseling and psychotherapy (9th ed.). Belmont, CA: Cengage. Davis, J. (1980). Progressive Muscle Relaxation. In The effects of progressive muscle relaxation upon breathing and anxiety in patients with chronic obstructive pulmonary disease. Madison: University of Wisconsin. Feder, B., Frew, J. (Eds.).(2008).Beyond the hot seat revisited: Gestalt approaches to group. New Orleans: Gestalt institute Press. Ferguson, K.E., Sgambati, R. E. (2008) Relaxation. In W.O’Donohue J.E.Fisher (Eds.), Cognitive behavior therapy: Applying empirically supported techniques in your practice(2nd ed.,pp.434-444). Hoboken, NJ: Wiley. Koldon,G.G., Klein, M. H.,Wang, C., Austin, S.B.(2011). Congruence/genuineness. In J.C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp. 187-202). New York: Oxford University Press. Polster,E., Polster, M. (1973). Gestalt therapy integrated: Contours of theory and practice. New York : Brunner/Mazel. Rogers, C. (1961). A therapists view of psychotherapy. In On becoming a person. Boston: Houghton Mifflin. Rogers, N. (1993). The creative connection. In The creative connection: Expressive arts as healing. Palo Alto, Calif.: Science Behavior Books.

The Connections Between Artificial Intelligence and Other Fields Essay

The Connections Between Artificial Intelligence and Other Fields. Abstract Through examples from several fields, this paper will describe the connections between Artificial Intelligence and other areas. Some of these areas make great contributions to AI research, others gain knowledge and technique from that same AI research. This paper will further detail the incredible capacity of AI research to be applied elsewhere to solve similar problems. The goal of this paper is to describe to the reader the impact that AI can create on seemingly unrelated fields. Introduction While Ginsberg defines artificial intelligence as "the enterprise of constructing a physical-symbol system that can reliably pass the Turing test", it is about much more than that (Ginsberg 8). It is about creating a solution where one may not have existed, and eventually programming a machine to do the same. This incredible capacity to find solutions is what AI offers to so many other fields. Artificial intelligence research is not tied to the fields of engineering, psychology, or even computer science. The techniques used in AI have found uses within a large number of other fields. Within the course of this paper, the elements of AI will be outlined, and the way in which they benefit other fields will be explored. Several examples of these fields will be described, and the way in which they incorporate AI will be discussed. Two or three of these fields will be discussed in much greater depth in the second paper, to be completed before December 5th. The reason that artificial intelligence is such a popular field for use by others is that it does not cater to an incredibly specific audience. One of the principle goals of AI research is to help prepare a .. ...ork), and not on theoretical AI. As the technology advances, and more and more lives depend on computers, I can only predict that the reach of AI influences will widen, until it eventually benefits all of us. Bibliography- BotSpot "The Spot for All Bots on the Net", http://www.botspot.com/main.html, Visited Nov. 3 1997 Dankel, Dr. Douglas D. CAP6635 lectures and lecture notes. (Numbered by slide), Fall semester 1997 Ginsberg, Matt; Essentials of Artificial Intelligence, Morgan Kaufman Publishers, San Francisco; 1993 Interactive Systems Labs - JANUS project, http://www.is.cs.cmu.edu/ISL.speech.janus.html, Visited Nov. 3 1997 Interactive System Labs - Speech Recognition, http://www.is.cs.cmu.edu/ISL.speech.recog.html, Visited Nov. 3 1997 Pittsburgh Area Cognitive Tutoring (PACT), http://sands.psy.cmu.edu/ACT/awpt/algebra-home.html, Visited Nov. 1 1997

Froebel Kindergarten Essay

Freidrich W. A. Froebel is best known as the founder of kindergarten. He was a German educationalist. Froebel was born in 1782 in a village in Germany. His childhood was difficult because his mother died when he was a baby and his father abandoned him. Froebel was given to his uncle’s care. Between 1808-1810 he attended the training institute run by John Pestalozzi at Yverdon. Froebel left the institution accepting the basic principles of Pestalozzi’s theory: permissive school atmosphere, emphasis on nature, and the object lesson. Froebel, however, was a strong idealist whose view of education was closely related to religion. He believed that everything in this world was developed according to the plan of God. He felt that something was missing in Pestalozzi’s theory: the â€Å"spiritual mechanism† that, according to Froebel, was the foundation of early learning. Froebel’s philosophy of education rested on four basic ideas: free self-expression, creativity, social participation, and motor expression. Froebel began to focus on the needs of children just prior to entering school. He envisioned a place attended by 4-6 year olds where children would be nurtured and protected from outside influences—like plants in a garden. Froebel decided to call his school kindergarten, which in German means â€Å"child garden. † Froebel began a training institute for the teachers of his schools. He believed that teachers should be highly respected people with values that the children should imitate. The teacher should also be a sensitive, open, and easily approachable person. Froebel’s first kindergarten was founded in 1837 in Blakenburg Germany. It featured games, play, songs, stories, and crafts to stimulate imagination and develop physical and motor skills. The materials in the room were divided into two categories: â€Å"gifts† and â€Å"occupations. † Gifts were objects that were fixed in form such as blocks. The purpose was that in playing with the object the child would learn the underlying concept represented by the object. Occupations allowed more freedom and consisted of things that children could shape and manipulate such as clay, sand, beads, string etc. There was an underlying symbolic meaning in all that was done. Even clean up time was seen as â€Å"a final concrete reminder to the child of God’s plan for moral and social order. † In 1848, the Prussian government ordered these schools to be closed because they did not agree with Froebel’s ideas. Then Froebel died in 1852, not knowing the impact his work would have on the U. S. school system. Then many Germans immigrated to the United States after the German Revolution. Among them were women trained in the Froebel system of education. It was these women who were responsible for bringing kindergarten to the United States. The first U. S. kindergarten was for German immigrant children in Wisconsin and taught in German. Then in 1873 kindergarten was introduced in the public American schools. Freidrich Froebel’s ideas provided the major direction for kindergarten curriculum during the last half of the nineteenth century. Many of his ideas can still be observed in kindergarten today: learning through play, group games, goal oriented activities, and outdoor time. Now applying Froebel’s philosophy of education to the Bahamas. From the National Task Force on Education (1994) Final report. This was stated about Pre-Schools. PICTURE. But yes we do have active kindergartens in many schools. I know for sure on the island of Eleuthera there is the kindergarten section in all of the primary schools. But upon my research I found that there are kindergarten sections in only a few schools here in New Providence. Example: The Bahamas Academy School. Here is a quick look at their curriculum. Then there is one in Yellow Elder Gardens and Elizabeth Estates. REPORTING TODAY FROM THE EDUCATIONAL CHANNEL, I’M VASHTE’ NAIRN.

Compare & Contrast Russian Serfdom Essay

In the dark ages of 1450 to 1750, a devastating time period, Russian slavery & Caribbean slavery became popular. Although Russian serfdom & Caribbean slavery are similar in regard to how they were punished, the laborious work, & the little rights they received. They’re different in regard to their location, ways in which they’re owned & their payment for work. To start, the three similarities between Russian serfdom & Caribbean slavery are: the ways the slaves were punished, the laborious work, & the little rights they received. Both Russian slaves & Caribbean slaves were punished the same way, corporal punishment. Slaves in both regions were whipped & beaten. Rougher means of punishment was also implemented, such as starvation, sexual abuse, & hanging. Slaves would face this punishment when acting out, such as trying to flee, or back talking the master or landowner. Sometimes, the slave was punished for small things such as: not eating or answering questions fast enough. The laborious work was similar as well, both types of slaves worked long hours in fields or in factories. Typically 18 hours of work or from sun rise to sun set. Both Caribbean slaves & Russian slaves were free farmers. They planted, grew, & harvested all different things, typically cotton & sugar. These slaves had little to no rights. As mentioned above, they were constantly beaten, not respected, & had no freedom whatsoever. They often went days at a time not eating then had to work hard in the fields, but when they’d try to take a break, they would be whipped. Three differences between Russian serfdom & Caribbean slavery are: their location, ways in which they were owned, & their payment for work. Russian slaves hailed from Europe, particularly Russia while Caribbean slaves hailed from islands between the Gulf of Mexico and the Atlantic Ocean, particularly the Bahamas, Puerto Rico, & Cuba. While both produced similar products, they were in totally different regions of the world. They ways in which Russian & Caribbean slaves were different in the sense that Russian slavery was like Russian serfdom. Russian serfdom is based on land, & whoever bought the plot was the slave’s master while Caribbean slavery was being owned by a master, who chooses & buys the  slave. Another difference in Russian slavery & Caribbean slavery is the payment the slaves were awarded with for their work. Russian slaves were granted the protection from invaders, due to the master owning the land. Typically masters were either rich, royal or both, granting them the ability to have people guard their land. While Caribbean slaves were rewarded pretty much nothing other than being able to have one third of whatever crop they grew & harvested. They were not paid nor granted protection. Based on analysis, Russian & Caribbean slavery are similar & different due to what needed to be produced. Their differences are due to the way they were owned & amount of protection. Caribbean slaves produced sugar as did Russian slaves, but Caribbean sugar seemed to be more popular & was often exported because of the region of the Caribbean. Rich fertile soil & good growing conditions needed to have workers that were chosen for the hard work, while Russian slaves producing a little bit of everything needed versatile workers that could do a little bit of everything. This leads to protection, everyone in the Caribbean was trying to produce sugar, and the masters didn’t feel the need to have protection of the slaves, because all of the other slaves owned by other masters were busy doing the same thing. Meanwhile in Russia, the master of the land felt the need to protect their versatile workers & their crops. The reason for the similarity in the products they produce was oddly region. The fact that both Russia & the Caribbean slaves were able to produce the same products was due to the fact that both regions had very fertile soil, & good weather conditions during certain times of the year.