Psychosis and Schizophrenia Case Study Example | Topics and Well Written Essays - 1500 words

Psychosis and Schizophrenia - Case Study Example For the past two days he has not slept at all, only eats food out of cans that he himself has opened, and refuses to leave the house. PPH: He was hospitalized for five days in July of 2007 for a â€Å"nervous breakdown† after being fired from a summer job. His parents indicate that at that time, he was talking to himself all the time and not thinking clearly. He was treated with Haloperidol but they cannot remember the dose. They said he was much better after leaving the hospital but only took the medicine for a few weeks because it made him feel stiff and slowed down. PMH: Not significant, only the usual childhood illnesses SH: Graduated high school in upper third of his class and participated in extra-curricular and social activities. Began having academic difficulties this year and is now down to part-time status after failing two classes last semester. He has returned to live at home with his parents because he could not get along with his roommate. Non-smoker; social drin ker Meds: Was on Haloperidol on July 2007, but stopped abruptly due to side effects Current Meds: None PE: WNL Vitals - BP 120/70, P 88, RR 17, T 98.6, Ht 5’7† Wt 100 kg Heart- NRRR HEENT - PERRLA, EOMI, fundi benign Neck - no bruits, no JVD, no thyromegaly Lungs – CTA Abd- +BS, No masses or bruits MS/Ext - nl ROM, muscle strength 5/5 in UE and LE, no peripheral edema Neuro - all cranial nerves intact Labs: Chem 7 - WNL HEME 18 - WNL UA - WNL Urine Drug Screen (+) for cannabinoids MSE: Appearance = poorly groomed white male who appears his stated age Behavior = hypervigilant and suspicious but cooperative Speech = slightly pressured and rambling Thought Process = tangential with occasional interruptions suggesting thought blocking Thought Content = positive for auditory hallucinations and ideas of reference Affect = anxious Cognition = A&O x 3, recent and remote memory intact I. AP Note A. Present Problem Gerald is brought to the hospital by his parents due to hi s odd behavior which includes false beliefs, sleeplessness and irrational suspicions which increase in frequency over the past two weeks. B. Risk Factors Puberty History of psychiatric problem Previous intake of antipsychotic drug Substance abuse C. Assessment 1. Evaluation Gerald is brought by his parents to the hospital due to his peculiar behavior. Two weeks ago, he started exhibiting persecutory delusions and insisted on keeping their house lights on all the time. He was reportedly seen awake on most nights. Gerald also had delusions of reference wherein he accuses his ex-girlfriend of bugging his room and his former roommate to be sending threat messages over the radio. Gerald is awake for more than 48 hours now and manifests paranoia by eating only self-opened canned foods. His persecutory delusion has led me to refuse leaving their house. The presence of delusions, hallucinations and disorganized speech, according to DSM-IV-TR, places Gerald in the classification of Paranoid type of Schizophrenia. However, by considering that his urine drug screen tested positive for cannabinoids, thorough diagnosis of his symptoms is needed to rule out the physiologic etiology of substance abuse. He needs pharmacological intervention appropriate for Schizophrenia with co-morbidity of substance abu

Goods That Must Be Provided by the Government Essay Example for Free

Goods That Must Be Provided by the Government Essay Public goods are good that have two special characteristics-non excludable and non-rivalable. Non-rivalable means that consume the goods of one person do not influence the consumption of others, of example traffic light, when a person use the traffic light, the quanlity of the light do not decrease, other can also use the goods under the same quanlity. Non-excludable means that every one can use the goods, nobody is exclude from using the goods, for example, national defences, no one is unprotectable when they are in the country. Merit goods are goods that are under provided because of lack of information. Individual do not appreciate the benefit that will occur, these goods should be provided in a greater quantity. For example, museums, education there are lots of benefit to consume them. People can gets more knoeledge there and this is not only benefit for themselves but also people around and the society, the suicides may decrease and people with eider knowledge entered in works will make the process efficiency. So it is clearly that public good are goods that is under provided but this does not means that it only provided by government. They can provided by the market mechanism but to make more available the government provides them, subsidizes them or leigislates to make consumption compulsory, and for public goods they suffer from the free rider problem, if asked whether they would pay for them, households would lie and say because once provided, they could benefit anyway. No one is willing to pay for the goods, they will not be provided in the free market. So government must provided them. Public goods must be provided by the government but merit goods not must be provided by the government. It can provided by free market mechanism.

Stock Portfolio :: essays papers

Stock Portfolio When setting up a stock portfolio there are things one should look into. First off, one should know what is currently happening, not only in the stock market, but in the economy as well. Researching stock indexes such as â€Å"The Dow† and the â€Å"S&P 500† will give you general stock performance. The Dow Jones Industrial Average only tracks 30 large industrial firms in hopes of getting a sense of where the market is heading. The S&P 500, on the other hand, tracks 500 stocks which may give the investor a better overall picture of where the market is going. Which ever the investor may choose to use, the idea is to find out whether stock prices are going up or down. Also important to know is state of the economy. Certain stocks tend to perform better or worse depending on the state of the economy. Knowing which stocks tend to perform well at a given state will help the investor choose which type of stock is best for the given conditions. With that, it is time for the investor set a goal. Is the goal that of short or long term success? Is there a specific rate of return you wish to achieve? Or do you simply wish to come out ahead? Once the goals are put into place it is time for investment strategies. The investors goals will be key in helping plan the strategies for the investor. Now that there are goals in place, it is now time to look at the many investment strategies that will help accomplish the set goals. One of these strategies is known as the buy-and hold-strategy. This strategy involves the investor to purchase a stock and hold on to this stock for many years in hopes that over time the stock price will increase. This method doesn’t require much timing of the market therefore is much less stressful making it a very desirable method. The opposite strategy is known as short term trading. This requires much attention to be paid to the â€Å"Price† and â€Å"Volume† of the stock, also knowing whether the stock is on an upward or downward trend. Another common strategy is known as short selling. This involves borrowing a stock from a broker at a given price and selling it, in hopes that the stock price will drop from the original price.

Helping to Save the Rainforest :: Environment Environmental Pollution Preservation

Helping to Save the Rainforest   Ã¢â‚¬Å"Save the Rainforest.†Ã‚   â€Å"Don’t bungle the jungle.†Ã‚   We’ve all heard these sayings time and time again, but when we are at the store, about to purchase a nice entertainment center for our TVs and stereos, â€Å"How can we be sure that our money is supporting our social and political concerns?†Ã‚   (Stark 1)   Our efforts to save the rainforest aren’t as clear as they may seem.   It is difficult to tell where wood comes from and where it is produced.   Ã¢â‚¬Å"There isn’t a way for the individual to identify a good wood from the bad, well-managed forests from ill managed, both domestically and tropically,† said Scott Landis, President of the Woodworkers Alliance for Rainforest Products (WARP), a non-profit organization of woodworkers, instrument makers and architects and designers.   Landis suggests that as consumers, we should educate ourselves about the sources of products they sell.   By looking around for signs and labels to see if they indicate responsible use of the rainforest and its products.   Without a better understanding of how the forest works, what influences it creates, dynamics and how resistant it is, there is little probability of any future for the few forests that still remain.   It will be very difficult to change public opinions or remove some of the pressures forests face without attending a program of education.   Some of the pressures on the rainforest, such as the rise of changing cultivation and population, come from hunger promoted by unequal ownership.   (Park 31)   I propose that the government in Brazil take nationalistic siege on all lumber exportation to foreign nations. Governments spend a lot of money trying to help the ecology if rainforests, but apparently there has been little luck.   According to Chris Park in Tropical Rainforests, â€Å"There have been numerous calls for major investment of time, money and trained personnel into research of rainforest ecosystems.   While scientific research in recent decades has revealed a great deal about this unique and highly complicated ecosystem, important questions are still unanswered.   There are still many gaps we need to know how to better understand the structure and ecology of rainforests.   About 93 percent of the land are owned by only seven percent of the landowners. (Park 130)   In Brazil, only one percent of the farms occupies over forty three percent of the total farmland, forcing half of the farms to be squeezed onto less than three percent of the land and leaving about seven million families without land.

The Growth of Tourism

International air fares are falling. More and more employers are offering holiday entitlements. Needless to say, the number of people who travel to exotic holiday destinations across the world is on the rise. The tourism industry has witnessed tremendous growth over the last few years. And it looks like it will continue this upward trend. So what are the advantages and disadvantages of this trend? The growth in the tourism sector has many advantages. In many parts of the world tourism has created more jobs than any other industry. Tourism helps countries to earn valuable foreign exchange.Tourism has also helped in the preservation of many heritage structures and art forms which would, otherwise, have died without leaving a trace. For example, many ethnic Indian dance forms would have died if they hadn’t received the patronage of foreign tourists. Tourism promotes cultural understanding. As people travel to other countries, they get an opportunity to learn about other cultures and beliefs. Intercultural understanding is always good for global harmony. On the flip side, tourism has some disadvantages too. In many countries, particularly those in the under developed world, ourism has led to the establishment of some morally questionable practices. For example, many tourist hotspots in Asia and Latin America are now synonymous with prostitution and illegal gambling. Tourist hotspots are also plagued by problems like theft, maimed begging and drug abuse. However, these disadvantages are nothing compared to the advantages and it doesn’t take a lot of efforts to see that tourism has more benefits than drawbacks. Share on print Share on facebook Share on stumbleupon Share on twitter Share on email Share on gmail More Sharing Services

Global Shopping Trends Essay Example

Global Shopping Trends Essay Example Global Shopping Trends Essay Global Shopping Trends Essay stores, catalogs, online, call centers, social networking, ddigital displays, mobile). Few, however, truly understand how consumers are using and shopping across each of their channels (e. g. , using social media sites to get discounts, going to the store to test the product and then purchasing the product online), and even fewer have a seamless, consistent and comprehensive multichannel strategy. However, having a comprehensive multi channel strategy will become more important than ever. As consumers become sawier, they are increasingly taking charge of their shopping experience, dentifying and leveraging many different sources of information and channels to optimize the different elements of their shopping Journey. As of this writing, 71 ppercent of respondents to the Deloitte U. S. 2011 Annual Holiday Survey were planning on shopping multiple channels in some manner viewing or researching products in one channel and purchasing in another, for exam ple. Since customers do not distinguish between channels, retailers will have to support seamless integration among and between each of them, including access to assortment, customer informa tion and order information. Within the next few years, it is likely that onsumers will expect to use a mobile device to get realtime inventory information about the closest stores or to order a product while in a store and have it delivered to their home. Therefore, in 2012 it is likely that retailers will continue to develop and launch innovative multichannel solutions. Retailers will need to have a clear understanding of the shopping Journey and how consumers move across channels, from mobile to social networking, the web and in store. Understanding how they go through the prepurchase, purchase, and post purchase process will be key to retailers identifying opportunities that both nhance their bottom line and actually make sense to consumers. For example, most large retailers in developed multichannel markets like the United States and the U. K. 2 of 14 no longer operate in silos but have become brand and product showrooms that drive revenues across all channels and are destinations for consumers to do more than Just simply browse and transact To support ssimilar iintegrated, seamless and consistent multichannel experiences, many retailers will need to reevaluate their business and make fundamental changes across their organizations in all functions. With the incredible speed t which the iPhone 4S sold one million units in 24 hours, four million the weekend it was launched and ssmartphones emerging as the most dominant consumer technology platform, one cannot mention multichannel without also discussing mobile. Moreover, since a significant population of mobile users has not even reached shopping age, one can anticipate that moDlle, ana all tne capaDllltles ana opportunltles It OTTers, will De top 0T mina among retailers in 2012. Mobile consumers are no longer Just early adopters: They represent a broad range of consumer segments and have become part of the ainstream population. For retailers looking to remain relevant in this connected consumer environment, the ability to leverage mobile to deliver an improved customer experience will be a critical success factor. To be sure, there is a great deal of aactivity in launching mobile solutions focused on the preshopping experience. However, many retailers are diving in without a clear strategy and few have launched an iintegrated multichannel experience. Retailers that can deliver an iintegrated customer experience demonstrating a clear understanding of consumer preferences and behaviors across the urchase process will have an advantage over the competition. In the race to put out a cool app, retailers must not neglect three important factors: Usability and the user experience, including integration points between mobile and other channels. A poor customer experience is worse than no app at all. Security and privacy. A mobilerelated security or privacy breach could severely damage a retailers reputation and hamper adoption of mobile capabilities. Access for employees and business partners. Sales associates need access to the same information as the connected super user consumers who walk hrough the door. Providing suppliers realtime visibility into the location and estimated arrival time of shipments can ultimately benefit consumers as well. From data to personalization Data analytics and personalization will continue to be critical success factors in 2012 and beyond. Indeed, personalization has become the norm for growing numbers of consumers. Given all the new channels through which retailers are interacting with consumers, from pointofsale to mobile to social media sites, the sheer volume of data that can be collected about consumers and their shopping behaviors continues to row. The industry is evolving quickly in its data analytics capabilities and in its ability to develop personalized marketing campaigns and customer experiences. Still, the ongoing challenge for retailers will be how to best analyze all this rich data and derive from it valuable insights about what consumers want and need. While technology is bringing radical changes to how people shop, the bricks andmortar store remains the core of retail. The physical store, however, is no longer the final shopping destination; increasingly, it is becoming a piece in a larger, more connected customer experience. This transition will require retailers to innovate and rethink their operating models in ways many couldnt even conceive of five years ago. In this, we shall be understanding the behavior, pattern, shopping trend in global m arket. 3. Major findings/lssues PreTerences over aeslgner products : SIX out respondents in the AsiaPacific 3 of 14 10 online survey region said they are willing to pay extra for designer products, exceeding the global average by 17 ppercentage points. Affinity for buying famous brands is highest among respondents in the AsiaPacific (55%) and Middle East/ Africa (56%) markets, exceeding the global average of 47%. Source http:// www. marketingprofs. com Chinese consumers are the most willing to pay more for designer products (74% of respondents), and fondness for famous brands is highest in India (74%).. Preferences over designer products: Six out of 10 online survey respondents in the Promotions: 78% of global respondents say quality is their most important product concern, with respondents in Latin America (83%) and Asia Pacific (82%) exceeding the global average. Price is key as well, with 65% of global respondents ranking it as important. % of global shoppers are aware of promotions and discounts and say products wit h free gifts are good incentives (58%). In particular, a large ppercentage of shoppers in the Philippines (77%), Vietnam (75%), Greece (74%), and Turkey (72%) find free gifts apealing. 4 of 14 Source marketingprofs. com . Shopping Around: Latin Americans are the most likely to shop around, to have preferred brands in mind before shopping, and to sample first before making a purchase. North American respondents put the least trust in products recommended by profes sionals (35%). Respondents in the Latin America and Middle East/ Africa rely the most on the advice of 5 of 14 professionals. Source marketingprofs. com Multichannel Shopping: With the ability to shop anywhere at anytime with any device, consumers are demanding excellence and consistency at every turn and are challenging retailers and brands to keep up. The key The increasingly sophisticated online shopper One of the findings that stands out and one heavy with implications for retailers was the selfdescribed sophistication of the online shoppers we surveyed. Many of considered themselves to be highly capable in terms of researching and purchasing nline. In fact, 72% of US respondents consider themselves to be either confident or experts in this regard, slightly besting the 69% of global respondents that consider themselves to De at tnls same level. 0T tne overall gr owtn In onllne sales In 2012 came from existing shoppers simply buying more online The popularity of online shopping is rooted in many factors What is it that is so attractive about online shopping, regardless of nationality or geography? Theres a great deal of global consistency in the top five factors cited. The conventional wisdom is that the issue of price is the driving force or the growth of online shopping, and indeed, it does feature among the top three reasons cited by our survey respondents Insights for the US Retail Industry, retailers can gain an additional margin oopportunity of 8% to 12% by offering free shipping, yet of retailers charge for shipping products. Perhaps even more impactful is the fact that 2 out of 3 US consumers say they are likely to cancel a purchase without free shipping The desired multichannel purchase Journey Online shopping has opened up huge new choices for consumers, not Just in terms of what they buy, but how they buy it. The Internet 6 of 14 has empowered the consumer in three ways: during the decision making process leading to the purchase; at the actual moment of purchase; and tthroughout the product owinership period, including product delivery, maintenance, and return. The challenge at least for some retailers is that consumers are starting to behave in far more sophisticated ways, whether theyre buying expensive items or weekly groceries. Because most retailers havent yet created efficient multichannel models, consumers are working it out for themselves, using different channels in ways hat best suit them. Consumers may choose to research a product in the store † a shoe perhaps † then use their mobile phone to find a better price online, and then call into the retailers customer service line to order and have the shoe shipped to their home. In essence, consumers are creating their own multichannel experiences by leveraging multiple retailers across a single category or product Keeping up with multichannel shoppers is getting more complex Take the clothing category. Almost onethird of our respondents said they prefer to research and purchase clothing nline, and this puts an onus on the retailer to manage the return process The role of the physical store is changing A key issue for all retailers with large numbers of physical stores is the role those stores should be playing in a multichannel world and how that differs by country. Chinese online shoppers, for example, are embracing the online medium more quickly than shoppers from other countries, replacing the need for physical retail outlets. But no matter the country, retailers should consider the roles of their stores now and in the future. Are they flagships for the brand? Are they a combination of flagship and technology emporiums, such as the Apple stores? Are they showrooms for product display, as is increasingly the case with white goods? What is the role of the retail store in the Tuture Ine world Is getting smaller: Local players Deware our survey results show that within individual territories there exists a sthrong bias towards the most wellknown, incountry, or homebased retailers. For example, the survey shows that the top ten retailers shopped across channels in the last 12 months include Walmart in the US (41% of local online hoppers) Argos (39%) and Tesco (30%) in the I-JK, and Taobao in China (34%). Source: wc. com/en_us/us/retailconsumer/publications/assets/pwcus multichannelsh oppingsurvey. pdf 7 of 14 2. Strategy Adopted Trend watching analysis and study Global Multi Channel consumer surveys and reports by PWC etc. Global shopping trends and behavior pattern Understanding evaluating multi channel shopping trends Data analyzed and studied by various sources providers including PWC and Nielson Critically evaluating the challenges and oopportunity for global shopping trends in fut ure of 14 3. Critical Evaluation of the Strategy Adopted Multichannel shopping is here to stay with the ability to shop anywhere at any time with any device, consumers are demanding excellence and consistency at every turn and are challenging retailers and brands to keep up. The key question retailers must now answer is How will multichannel shopping behavior continue to evolve? and What investments must be made to meet consumer expectations? Reason why consumers buy directly from a brand / manufacturer Source: pwc. com/gx/en/retailconsumer/retailconsumerpublications/ lobalmultichannelconsu mersurvey/countrysnapshots. html 90f14 Source: http://about. datamonitor. com/sectors/retail/om/luxuryretailmarketsize strategiescompetitor/ 100f14 Source: giovannicappellotto. it/4248globaltrendsonlineshopping/ To help understand this evolving retail marketplace, I undertook PWC global study of consumers which was focused on addressing the habits and preferences 0T onllne snoppers. snoppers Trom elgn t OITT erent terrltorles (us, cnlna, Hong Kong, Germany, France, I-JK, Switzerland, and The Netherlands) were iincluded Key findings from their study revealed: Twenty ppercent of survey consumers made their first online purchase within the last year, suggesting great upside oopportunity for retailers with an online presence Many more global online shoppers are following brands using social media, but only 3% have used the network to shop Researching products online is a critical element of multichannel shopping Consumers are leading the way in multichannel shopping, with many retailers lagging behind when it comes to meeting consumer need i have leveraged the insights from data and research to make several observations about how etailers can better support their online customers and attract new ones with three themes as . Multichannel shopping as a major force, Multichannel shopping consolidation and Global retailing in 2020. I have also highlighted several actionable items that 11 of 14 can help retailers keep up with and adapt to the changing multichannel retail landsc ape: Become far more innovative with their online websites and other ddigital offerings Improve bricks and mortar formats to emphasize quality and customer satisfaction as opposed to price and selection Align themselves with he growing middle class in emerging markets who are shopping more online and using multi channels to a greater degree than shoppers in developed mar kets Focus on satisfying customers across all channels, instead of viewing ddigital channels as a competing channel Today, global retailers have a huge oopportunity to enhance the experiences necessary to stay ahead of shoppers who are demanding more customization in terms of product choice, delivery, return policies and the number of retail channels for shopping 4. Lessons Learnt Global retailing in 2020 The complete embrace of ddigital technology As lobal world, and in turn, increasingly multi channel shopping world evolves, there are several trends that will permeate global shopping behaviors in the future: Complete embrace of ddigital technology: By 2020 retailers will have fully embraced the use of ddigital technology, including mining consumer data to better understand purchase behavior, fully employing social media, and leveraging twoway communication channels with the workforce, whether infield, instore, or during travel. Heightened influence of social media: Social media will influence a larger proportion of sales,

The eNotes Blog What You Should Name Your Pets, According to FamousAuthors

What You Should Name Your Pets, According to FamousAuthors In a previous installment, we more or less advocated for naming all of your pets â€Å"Toots.† Maybe you took that to heart, or maybe you rather enjoyed the dog names that famous authors have endorsed. Well, we’re back, and this time we’ve expanded the list of recommended pet names from famous authors to include cats, birds, and horses. If you’re lucky enough to put all these suggested names to use, then, well, we’re honestly a little jealous. If you’re looking for a name for your new animal companion, try some of these on for size. 1. Pluto   Inspired by: Edgar Allan Poes â€Å"The Black Cat† If you’ve got a black cat and are a fan of mythology, think about the name Pluto. It’s dark, edgy, and has just the perfect hint of â€Å"the Underworld.† Just stop there, though, and please don’t follow in the narrator’s other deranged footsteps. 2. Bambino   Inspired by: Mark Twains  The Adventures of Huckleberry Finn, â€Å"The Celebrated Jumping Frog,† and many others Famed for his love of cats, Mark Twain owned many throughout his life. One of the most famous was a cat named Tammany, who liked to sit in pool table pockets and bat the pool ball around. If you’ve got a more mischievous cat, Twain also had a cat named Bambino who escaped from his home- but was reunited with his worried owner soon enough. 3. Cheshire Inspired by: Lewis Carrolls  Alice’s Adventures in Wonderland Is your kitty bolting around the house for no clear reason? Do you sometimes catch freaky glimpses of glowing eyes in the dark, only to realize they belong to a purring feline? If that’s the case, Cheshire might be the right name for your playful companion. 4. Poll Inspired by: Daniel Defoes  Robinson Crusoe During Crusoe’s decades-long stay on an island, one of his only companions is Poll, a parrot who’s the best conversation partner Crusoe’s got until Friday shows up. Note here that you ought to pronounce it as â€Å"Paul†- just think â€Å"Polly.† As one of the first English-language novels, Poll is definitely one of the oldest popular pet names in existence. 5. Huginn Muninn Inspired by: Neil Gaimans Norse Mythology If you’ve got a pair of birds chirping at you, consider Huginn and Muninn, the companions to chief Norse god Odin. According to legend, they fly all around the world to report information to Odin, so they’d be a good choice for smart birds who’re always finding their way out of their enclosures or reporting your movements to your enemies. 6. Rocinante Inspired by: Miguel de Cervantes, Don Quixote If you’re the new owner to a horse in his twilight years, think about Don Quixote’s Rocinante. Though he’s past his prime, just like his owner, Rocinante is loyal and steadfast to the errant Don Quixote, providing a much-needed source of stability in an otherwise ludicrous endeavor. 7. Gunpowder Daredevil   Inspired by: Washington Irving, â€Å"The Legend of Sleepy Hollow† Where would the Headless Horseman be without his horse? Though we never learn that horse’s name, we do learn the names of Ichabod Crane’s and Brom Bones’s: Gunpowder and Daredevil, showing Irving’s flair for dramatic names. 8. Silver Blaze Inspired by: Sir Arthur Conan Doyles â€Å"The Adventures of Silver Blaze† in The Memoirs of Sherlock Holmes A great race horse is missing and his jockey murdered, and Sherlock Holmes and John Watson have arrived to unravel the case. If you’ve got a fast and spirited horse, Silver Blaze might be the name you’ve been waiting for all along. We hope you enjoyed our second installment of literary pet inspiration. As our library grows, we’ll likely find even more amazing names for our furry friends. Keep an eye out for more in the future! Have you named your pets after a famous character or author? Send us a picture and their name in the comments below!