Drug Related Problems

Drug related problem Drug related problems (DRPs) are prevalent and causing considerable patient morbidity and mortality. Many of these DRPs are preventable through following the guidelines and rational drug used. There are many factors controlling the DRP occurrence such as patient age, disease status, drug characteristics, etc. High risk factors 1. Elderly (> 65 years); due to age related changes in pharmacodynamic and pharmacokinetics 2. Acute diseases such as acute renal failure, sepsis, etc†¦ 3.Patients with many chronic diseases; diabetes, hypertension, heart disease, liver problem, AIDS, etc†¦ 4. Patients with renal impairment or haemodialysis 5. Patients in special situations; pregnancy, lactation, 6. Certain diseases and their medications: cancer, diabetes, heart failure. 7. Polypharmacy (taken many drugs > 5 drugs) 8. Drug; certain drug classes are commonly involved e. g. Warfarin, insulin, digoxin, TCAs, etc†¦ Classification of drug-related problems 1. Inappropriate drug choice: Unjustified deviation from management guidelines consensus therapeutic can worsen the condition.Deviations that are based on the patient’s individual treatment goal and risk factors are not considered to be DRPs (e. g. Antibiotic used for viral infection. Furosemide prescribed for patient with hypokalemia). 2. Lack of necessary drug: Either one or more drugs are missing according to established guidelines or a medical problem is being treated with too little of the appropriate drug (under-prescribed) or appropriate drugs may be not used for maximum effectiveness. Moreover, duration of treatment may be too short which can lead to incomplete treatment.Deviations from guidelines that are based on the patient’s individual treatment goals and risk factors are not considered to be DRPs (e. g. B-blockers in heart failure or post-MI, stop diuretic before edema treated or loop diuretic used only for resistant edema). 3. Unnecessary drug and Duplicati on: A drug is unnecessary if the indication is no longer present, with continuation/prolonged use or double prescription of two or more drugs from the same therapeutic group or gives the same result. This intensifies their therapeutic effect and side effects.Duplication also can occur when more than one physician prescribes medications to a single patient or when a patient takes over-the-counter drugs with the same active ingredient (e. g. Long-term antibiotic prescribed for simple infection. Used of Ibuprofen and diclofenac concomitantly. 4. Incomplete medication history taking: Inappropriate integration of patient’s medical history can lead to many interactions due to lack of patient’s information such as hypersensitivity â€Å"medication allergy†, other diseases, OTC or herbal and medication used (e. g.Patient has allergy to penicillin). 5. Inappropriate dose or regimen: Dosing too high (overdose) or too low dose. Suboptimal dosing (including dosing time and formulation) according to established national/international guidelines, including frequency of dosing or duration of therapy. Deviations that are based on the patient’s individual treatment goal and risk factors are not considered to be DRPs (e. g. too high ACE inhibitor dose prescribed in relation to kidney function. Too low paracetamol dose use in relation to symptom-giving arthritis). . Adverse drug reaction (ADR): Any noxious, unintended, and undesired effect of a drug, which occurs at doses in humans for prophylaxis, diagnosis, or therapy (e. g. orthostatic hypotension happens with blood pressure lowering drug or intolerance dry cough due to ACE inhibitor). 7. Interaction: Drug–drug interaction, drug-food interaction, drug-disease interaction, drug-herbal, etc†¦ An interaction is occurring when the effect of a drug is changed by the presence of another drug, food, drink, herbal or some environmental chemical agent.Drug combinations with intended overall effe ct are not considered to be DRP (e. g. Drug–drug interaction; Furosemide and digitalis (increased effect/toxicity of digitalis with hypokalemia). Drug-food interaction; Amiodarone and Grapefruit, Grapefruit and Simvastatin (increase drug serum concentrations), or Tetracycline and calcium. Drug-disease interaction; used NSAIDs in chronic renal impairment). 8. Discontinuation of needed medication: Some times discontinuation of medication without reasonable medical indication can lead to therapeutic failure or a problem in treatment plan.In addition, stop some medications before controlling the disease or have good monitoring method can lead to failure in treatment plan (e. g. discontinue antibiotic before finishing its therapeutic course or stop Heparin injection before or just on start of Warfarin). 9. Contraindication: the used of some drugs are prohibited for some patients because to harmful risks of using these drugs are exceeding the benefits of their effect (e. g. ACE inh ibitor uses in treating high blood pressure in a pregnant lady or using sulfa-drug in G6PD deficiency patients). 10.Abrupt stoppage medication: for certain medications, abrupt stopping can exacerbate the problem or lead to complications related to drug. The stopping process should be gradually (e. g. abruptly stopping B-blocker in MI patients or stopping Corticosteroid suddenly). 11. Untreated medical conditions: can lead to worsening of the disease or may lead to more serious problems (e. g. untreated dyslipidemia in patients with other risk factors). 12. Lack of necessary monitoring: Monitoring with respect to effects and toxicity of drugs is not done or does not adhere to guidelines (e. . INR for Warfarin. Thyroid function tests in patients taking levothyroxine 13. Others: In general, DRPs that do not belong to aforementioned categories. References 1. Bemt P and Egberts A (2007) Drug-related problems: definitions and classification. Journal of European Association of hospital Pha rmacists (EAHP), 13, pp 62-64. 1. Lee S, Schwemm A, Reist J, Cantrell M, Andreski M, Doucette W, Chrischilles E and Farris K (2009) Pharmacists’ and pharmacy students’ ability to identify drug-related problems using TIMER (tool to improve medications in the elderly via review).American Journal of Pharmaceutical Education, 73, 3, pp 52-62 2. PCNE Classification for drug related problems (2006) Pharmaceutical Care Network Europe Foundation. Available from World Wide Web: http://www. pcne. org/dokumenter/DRP/PCNE %20classification%20V5. 01. pdf 2. Ruscin M (2009) Drug-Related Problems in the Elderly. Merck, Available from World Wide Web: http://www. merck. com/mmpe/sec23/ch341/ch341e. html 3. Ruths S, Viktil KK, Blix HS. Classification of drug-related problems. Tidsskr Nor Leageforen 2007; 127: 3073–6 Prescription Auditing SheetPatients Name Age: years Drug related problem: |Inappropriate drug choice |Lack of necessary drug | |Unnecessary drug and Duplication |Inco mplete medication history taking | |5. Inappropriate dose or regimen |6. Adverse drug reaction | |7. Interaction |8.Discontinuation of needed medication | |9. Contraindication |10. Abrupt stoppage medication | |11. Untreated medical condition |12. Lack of necessary monitoring | |13. Others | | Specification of the problem (and intervention if any): )†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 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Patient Resume Age: Sex: Drug Allergies: Medical History – – – – – – – Medication History – – – – – Laboratory Data base

Analysis of Pawn Stars

Pawn Stars is a show set in a pawnshop in Las Vegas. The show goes through a day in the life of the workers. It shows all of the interesting people and items that walk through the door, and tells us a little of the history behind them. In the show pawn stars the coding and other elements in the background have a very profound effect on the show as a whole. All of the elements of the show can be broken down by the TAP model, which has three main elements text, production and audience. In the show the characters never look at the camera while they are buying and selling in the shop.The point of view is from a third person bystander. This is to give the feel that the cameraman and crew have no part in the day to day life of the characters. This third person view is broken however in the interviews and asides that the characters have. Most of the sellers of extravagant strange or expensive items are interviewed about there items using the outside as a backdrop to give the feel that the i nterview was very informal as they were walking up to the shop. The guys in the pawnshop are also interviewed. In which they give us specific information about the history of the objects and their opinions.It is all portrayed in a way to show that the guys who work at the pawn shop are very knowledgeable while the public is not. Every episode seems to be about one day at the pawnshop. They take all of the more interesting customers and objects from the previous week or month and put them into one day. They also have flash backs to earlier in the day, the lighting is different for these scenes, as they are more of a sepia color to signify the time difference. The lighting for most of the show is bright and welcoming, like they are encouraging you to walk right in.The music in Pawn Stars also takes a huge role in setting the mood. You have intense suspenseful music when Rick or one of the guys is negotiating, that then switches to happy music once an agreement is made. The element of music has made a huge impact on the more recent episodes as the producers strive to make the show more interesting, to attract more viewers. In previous episodes the coding was more low key, allowing the show to have more straight facts with out all of the drama. The opposite is now true in more recent episodes.Pawn stars is clearly a â€Å"reality show† while the facts and artifacts are real the sellers and every thing else for the most part is staged. There is a huge difference in the show’s dynamic when it first came out and where it is today. Originally it was simple and to the point there was very little drama and the show focused on the neat artifacts and collectibles being bought and sold at the shop. But over time they ran out of â€Å"real† costumers bringing in one of a kind collectibles. So they cheated a little by bringing in actors and merchandise.The level of drama and interactions or little quarrels outside the business has increased. Most new epi sodes have at least one very disgruntled customer or seller swearing at the camera and running off. There has been so much more drama and suspense added in in order to increase their viewers. A quick internet search shows its possible to get just about anything with the Pawn Stars logo on it, they even have short video games and books related to it. The main purpose of the show is to make money by maximizing profits with out losing viewers.The original audience for the show was the typical History Channel audience, male viewers. But in order to get more viewers they have taken a more true reality TV approach, put as much drama as possible in it to make it suspenseful and interesting. I do not like this approach and typically do not like shows that have so much â€Å"fake† drama. This TAP model is a great way to break down a media form into its basic elements in order to fully understand it I will never look at TV shows or other media the same way again.

Penn Foster Principles of Management Final Exam Essay

1. In order to implement an organizations commitment to social responsibility it is necessary to identify what social problem the organization intends to address, develop policies on what the organization plans to do to successfully fulfill its obligation and ensure stakeholder buy-in. The main obstacles an organization faces when implementing socially responsible policies is pressure from stockholders and business analysis who want steady increase in earnings. Without steady increase in profits, it becomes difficult to reinvest money in these areas. The following actions can be taken toward increased social responsibility: 1. Examine expectations and past responses 2. Set objectives and prioritize 3. Plan and implement strategies 4. Set budgets for resources needed for social action 5. Monitor progress 2. Departmentalization is the practice in which grouping or combining jobs that are related to form a specialized area that is distinct from other areas in an organization. Work or functional departmentalization is a method of separating the activities performed within an organization into groups by the nature or function of the work they perform. For example, functional departmentalization would tend to group together staff members that perform a specialized function in an organization, like accounting. Product departmentalization is the grouping of business activities that are necessary to produce a particular product and/or market a product or service line under the direction of one manager. An example of product departmentalization would be a large multiproduct organization like an automotive distributor. Geographic departmentalization is when organizations are physically isolated to geographical regions. An example of geographical departmentalization is a manufacturing company that has locations in Northern and Southern locations that deal with consumers within their region. Customer departmentalization is when an organization is divided into units that handle specific customer needs. Examples of customer departmentalization in a manufacturing plant are: Assembly, shipping, billing, etc. 3. The acronym SWOT stands for an organizations strengths, weaknesses, opportunities and threats. A SWOT analysis is strategic planning method that evaluates the internal and external performance of an organization to see if it’s favorable or unfavorable to achieve whatever objective you are set out to accomplish. Strengths and weaknesses usually arise from the internal aspect of an organization, whereas opportunities and threats evolve from external components. By performing a SWOT analysis it provides information to managers to help formulate a successful strategy to achieve goals. PART B 1. Six Sigma is a management philosophy that sets objectives, collects data and analyzes results as a way to remove wasted expenses from its processes and help reduce the number of defective products produced. Six Sigma uses quality measures to strive for near perfection by eliminating errors and variables. 2. The balance of trade is the point where the difference between exports and imports is favorable for the country. When the country imports more than it exports, it results in a trade deficit and when the country exports more than it imports, the country runs into a trade surplus. The balance of trade for a countries economy is a very fine balance. The economic condition can change and a deficit or surplus may be an ideal situation. 3. In the context of communication, perception is based on the individual that is on the receiving end of the information. Perception is a process in which stimulation of the senses, whether written, verbal or non-verbal, is translated into a meaningf ul experience. Each person perceives the same information differently and they tend to only listens to part of the message before perception distorts the intended message. 4. The term organizational decentralization refers to the increased amount of authority given to lower level management by upper level management. By allowing lower level management to be involved in decision making, it enables actions to happen in a timelier manner and promotes higher employee morale, as well as relieves upper management from time consuming projects. 5. Simon’s theory, principle of bounded rationality as it applies to satisficing can be summarized as a decision making strategy that selects the best alternative rather than continuing to search for the optimal solution to any given situation. 6. In relations to leadership, consideration and initiating structure both contribute positively to staff motivation and satisfaction, as well as, effectiveness. 7. Positive reinforcement is to add a positive outcome as a result of a desired behavior. Negative reinforcement is to give the person the opportunity to avoid a negative consequence by increasing the likelihood that the desired behavior will reoccur. Both are used to increase the frequency of the desired behavior. 8. Planning – The manager sets objectives and decided what needs to be done to meet those goals. Organizing – The manager divides work into manageable activities and selects people to accomplish the task that need to be done. Staffing – The manager determines how many and what kind of staff is needed to meet the organizations goals and then recruits and trains the appropriate people. Leading – The manager motivates and communicates with staff and also directs them towards meeting the organizational goals. Controlling – The manager measures and analyzes the organizations performance, and makes changes if financial standards are not being m et. 9. A manager would use the critical-incident appraisal method for assessing employees’ written record of both satisfactory and unsatisfactory work performances. Performance is documented as it occurs and can aid in preparing performance evaluations to identify strengths and areas that need improvement. 10. Group norm is an informal set of rules a group takes on to regulate group behavior, whereas group cohesiveness is the overall attraction each member has for the group. Group norm example: Employees that work on assembly line #1 at the local factory always sit at the same lunch table and don’t interact with others. Group cohesiveness example: Employees on assembly line #2 have beaten the monthly production record for the 10th month in a row.

Law of Evidence Essay Example | Topics and Well Written Essays - 5000 words

Law of Evidence - Essay Example in circumstances that render them unreliable. The obvious test is whether or not the statement was made voluntarily or not as evidence by the Section 76(2) of PACE. There are other safeguards against the admission of a confession that may have been improperly obtained and thus rendering them unreliable. Section 78 of PACE provides that a confession may be excluded if admitting the confession would render the proceedings unfair.4 Section 82(3) of PACE incorporates the common law principle of judicial discretion and permits the exclusion of a confession statement if its prejudicial effect would exceed it probative value.5 The main purposes of the safeguards against admitting confession statements was articulated by Lord Griffiths in Lam Chi-Ming v R as follows: Their Lordships are of the view that the more recent English cases established that the rejection of an improperly obtained confession is not dependent only upon possible unreliability but also upon the principle that a man cann ot be compelled to incriminate himself and upon the importance that attaches in a civilized society to proper behaviour by police towards those in their custody.6 Thus the protections contemplated by PACE relative to the admissibility of confessions are three fold: to safeguard against the admissibility of unreliable confessions; to protect the accused person’s right against self-incrimination; and to protect the accused person from police impropriety. Although a judge following a voire dire (a trial outside the presence of the jury) may rule that the confession was obtained fairly and is thus admissible, the circumstances in which the confession was obtained may nevertheless be laid out before the jury. For instance, in Musthtaq the House of Lords ruled that a judge must instruct the jury that if, despite the judge’s admission of the confession, if they find that the confession was obtained oppressively or improperly, they are required to disregard it.7 It was also he ld in Wizzard v R. that the judge must instruct the jury to disregard a confession admitted into evidence if: There is a possibility that the jury may conclude that a statement was made by the defendant, that statement was true, but, the statement was, or may have been, induced by oppression.8 Thus the courts have expounded upon the protections articulated in PACE relative to the admissibility of a confession statement. The main purpose is to safeguard against an unfair and unjust outcome by protecting the accused’s right against self-incrimination, protect the accused against police impropriety and to safeguard against the admission of an unreliable statement. Building on the protection purposes implicit in PACE, Lord Steyn stated in Mitchell v R that the jury ought not to know that the admissibility of a confession statement was determined in a voire dire. As Lord Steyn noted: There is no logical reason why the jury should know about the decision of the judge. It is irrelev ant

Blow the Whistle Case Study Example | Topics and Well Written Essays - 750 words

Blow the Whistle - Case Study Example Something is wrong in this case, and that is that the vault in the basement of the office is lined with asbestos which is harmful to human health. It is even worse that the management does not see anything wrong with this and maintains that it has fulfilled all the compliance requirements. This is a serious breach of not just ethics but the well being of employees. The conflict in this case is that while it is a well known fact that asbestos pose serious health hazards, the management does not want to hear any of this. Rocky sarcastically argues that the youngsters worry so much about nothing. To him, asbestos only bother one if they are bothered. As such, they live people exposed to serious health hazards arising from this exposure. Furthermore, there is fear in terms of the cost of removal of the asbestos which is about $15000. The people who are affected by this exposure to the life hazard are those who go in the vaults who then are exposed to asbestos1. As such, individuals, groups and companies where this health hazards are likely are all candidates to this life threatening event. Johns-Manville Company has several law suits related to asbestos, and it is said that all those who worked with the company suffered lung cancer owing to asbestos. This problem could be solved from the consequentialist (utilitarian) point of view where the company or companies who violate the requirements and ethical principles related to the matter are warned of dire consequences. The consequences should not be in the form of simple fines which they can be able to raise easily. Instead, it should be huge and even go to the extent of closure of the entire premises. These consequences should not be threats which are not transformed into reality, but should be enforced so as to instill discipline and compliance among the adamant management to save lives of people. Ethical principles in any work place

The Dramatic Endings in The Playboy of Seville and Don Juan Tenorio Essay

The Dramatic Endings in The Playboy of Seville and Don Juan Tenorio - Essay Example Despite that fact that both plays are constructed on a similar foundation of themes, there are still many major differences between them which can be due to the fact that both were written in very different times. Social conventions and cultural norms became quite different in the 19th century than how they were in the 17th century. Years of difference not only transformed societal structures around the world, but they also significantly influenced the shape of literature. Following discussion will explore how the ending scenes in both plays are different from each other and how those differences at the end of the plays reflect different attitudes of the two societies towards the character of DJ. In the early 17th century at the time when the Playboy of Seville by Tirso de Molina came into existence in the world of literature, the way DJ is explored in the story is intended to reflect on the Spanish Golden Age which was the early modern Spanish society. The play is set in this time period and abides by the popular social, religious, and cultural conventions of that time. This is why in contrast to the 19th century version of Zorrilla, Tirso de Molina’s play is staunchly Catholic. It is the staggering difference between the nature of these two eras that there is such difference to be seen in the plays also particularly in context of their ending scenes. The early 17th century version focuses on the relationship between actions and their consequences, while the modern version appears to question the Christian philosophy related to actions and their effects. The later version has a different ending from that in the original play because writers of that time stopped feeli ng the need to remain strictly loyal to the Catholic philosophy. Religion was beginning to become abstract at that point as more and more people began to question its validity in certain matters in life. In old times like in the early 17th century strictly

Global Warming effects human health Research Paper

Global Warming effects human health - Research Paper Example The research paper â€Å"Global Warming effects human health† describes various deteriorating health threats one is going to experience during his lifespans due to the reduced air quality and dreadful conditions of food and water to growing amounts of allergens and disastrous weather events. At present there is general unanimity that the Earth is warming at a faster level than the previous century’s where hunter-gatherer human existence. The previous decade was the warmest from the time when instrumental archives initiated in the nineteenth century. The reasons of this change are more and more well assumed that there is fresh and sturdier proof that most of the warming witnessed over the last fifty years is possibly ascribed by human actions, primarily the release of greenhouse gases produced from fossil fuels. Anxieties on the typical weather system are already producing effects on Earth’s surface. These comprise not only mounting surface temperatures, however, as well more and more recurrent floods and droughts, and variations in normal ecologies, for example earlier flowering of vegetation, and pole ward movements in the dispersal of numerous species. Such vicissitudes are intimately related to human health. Weather conditions disturb human health, through the bodily effects of weather excesses, and secondarily, through effects on the levels of contamination in the air, on the farming, marine and freshwater schemes that offer food and water, and pathogens that result in communicable ailments. This paper mainly explains health impacts of global warming, climate change, deforestation, global warming, greenhouse effect, and greenhouse gases (McMichael). Global Warming Global warming is well documented by researchers all over the globe as a crucial community health and ecological anxiety. Mainly because of the use of fossil fuels, bigger levels of greenhouse gases in the air are resulting in greater global temperatures that cause adverse eco logical, air quality and human health concerns. The report on climate change by the Intergovernmental Panel on Climate Change (IPCC) in 2007, global temperatures have increased by 1.3?F over the previous century and are expected to rise between 2? and 11.5?F by 2100, Global warming has been perceived to reduce air quality, escalating sea levels, melting glaciers, dangerous hurricanes, more strong and extended droughts, more recurrent heat waves, forest fires and other threats to human health. The United States Environmental Protection Agency (US EPA) stated that greenhouse gases cause air contamination and threaten the civic health and well-being of present and upcoming generations. California’s civic health toll due to air pollution is currently very high, and upshots in billions of dollars in healthcare costs each year as of early deaths and remedial mediations (see table-1for statistics). The California Air Resources Board (CARB) evaluations that revelation to harmful leve ls of Particulate matter and ozone adds to huge number of early deaths, asthma attacks, and admittance to hospitals and lots of lost school and work days from breathing and cardiac diseases each year. Particulate matter estimates for the major early demises linked with air contamination, even though ozone adds to hundreds of early deaths each year in California. Contact to great levels of air contaminants, as well as particle pollution, besides has been made known to lessen lung development and function in children, causing in weak lungs (Children’

Research Method in Management Science Assignment - 1

Research Method in Management Science - Assignment Example Basially, content analysis is utilized as a statistical exercise that supports the tagging of different types of behaviors in the cultures that are studied. The method of content analysis has different benefits for researchers who employ it. In the first place, it is a cost-effective method that is also unobstrusive. This method also allows the researcher to learn much about an organization’s financial status, objectives, and customer body in cases where management research is taking place (Siyaranamual, 2009). When used in concert with other research methods such as archival records and interviews, content analysis becomes even more powerful beause this method can easily be used to keep a record of any cultural adjustments that may take place over time. Content analysis also offers or supplies an objective account of incidents, themes, issues, or documented events which may not be visibly apparent to the researcher or viewer (West, 2009). Content analysis also makes it possible for researchers to use more efficient surveys which may have open-ended questions which encourage respondents to volunteer more information. Content analysis has in the past been used by researchers to conduct studies in different disciplines such as education, history, anthropology, and psychology. It is also often used to conduct studies on management concerns. In regards to management research, content analysis functions as an effective device for carrying out literature reviews in a transparent and systematic manner. In conducting organizational research using content analysis, researchers are also able to recover and scrutinize the nuances of stakeholder perceptions, corporate culture, and societal trends (Judge, Filatotchev, & Aguilera, 2010). In management research, the use of content analysis permits researchers to be able to examine aspects such as perceptual and social constructs that may be hard to evaluate

Investigation of Human Disease Essay Example | Topics and Well Written Essays - 1500 words

Investigation of Human Disease - Essay Example Without vitamin K, the levels of these clotting factors will be significantly decreased leading to bleeding tendencies. Liver diseases such as cirrhosis, hepatitis, and atrophy all lead to failure of liver to secrete bile which is necessary for fat metabolism and its absorption together with vitamin K therefore, decreasing absorption of vitamin K as well. Laboratory results are prolonged bleeding time, PT and prolonged to normal PTT, normal platelet count, decreased levels of coagulation factors except VIII, decreased thrombin time and fibrinogen levels (Guyton & Hall, 2008). Warfarin (Coumadin), an oral anticoagulant functions by antagonizing vitamin K through the enzyme epoxide reductase which blocks vitamin K to be reduced in its active form. Thus the Vitamin K-dependent clotting factors as well as the anticoagulant proteins C and S which are produced in the liver are rendered inactive. About 97% of warfarin is tightly bound to plasma protein primarily albumin. Toxicity of the dru g is dose dependent in which single intake of 10-20 mg only leads to mild intoxication. Meanwhile, chronic intake of small quantities of even 2-5 mg daily can result to considerable anticoagulation effects particularly with ingestion of interacting drugs. Likewise, superwarfarins are long acting and are utilized primarily as rodenticides can be highly potent resulting to extended adverse effects with dose as little as 1 mg. Laboratory findings are prolonged bleeding time and PT and decreased coagulation factors II, VII, IX, and X. The main consequence of warfarin or superwarfarin poisoning is bleeding (Olson, n.d.). VKOR (Vitamin K epoxide reductuse) can indicate dosages of warfarin and is encoded by the gene VKORC1. Vitamin K is fat-soluble and is needed as cofactor for the carboxylation of ?-carbon of the glutamic acid residues of the vitamin K-dependent clotting factors namely II, VII, IX, and X. The process is a vital stage for calcium and phospholipid to bind with these protein s. Epoxide reductase and ?-glutamylcarboxylase are important enzymes for metabolism and renewal of vitamin K. Genetic mutations involving these enzymes lead to their defective functioning eventually decreasing also the function of the vitamin-K dependent clotting factors. Laboratory findings are prolonged PT aPTT, and bleeding time, and decreased factors II, VII, IX, and X. Clinical manifestations of the disorder are characterized by hemorrhages ranging from mild to severe that may be apparent at birth. Medical interventions include replacement therapy with fresh frozen plasma or PCCs (Fauci, A., et al., 2008). Patient 2: Laboratory results: Marginal low thrombin time Diagnosis: Factor V Leiden Factor V Leiden mutation is present in about up to 15% of Caucasians. Genetic mutation of glutamine to arginine substitution at 506 position results to a factor V that is resistant to cleavage by protein C. Consequently, a significant antithrombotic counter-regulatory mechanism is lost result ing to a hypercoagulable state which may predispose a patient to develop thrombus formation (Kumar, et al., 2010). APC acts to inactivate factors Va and VIIIa via activation of thrombomodulin by thrombin. Protein C attaches with thrombomodulin producing then APC. Activated protein C also attaches with protein S on surface membranes of platelets. With this, APC can now lyse activated factors V and VIII. But with factor V Leiden, factor V

[Love] American Movies in 1980's through today (2012) Research Paper

[Love] American Movies in 1980's through today (2012) - Research Paper Example Science fiction movies started booming in the film industry. The basis of science fiction was dystopian society. Movies in this category include Escape from New York, Tech nourish Blade Runner and Back to Future trilogy. Largely, the main of fiction movies was the young audience who wanted to associate with modern trends. Another movie trend observed in 1980s was thriller movies, which include Fatal Attraction, Cult Classic blue Velvet, Body Heat, and Shinning. History has it that Cult Classic Blue Velvet of 1986 attracted a large audience following its classic performance. Another category of movies was fantasy films which sprang back to chart boards. Sorcery and sword was the centre of their plot and play. The performance included Excalibur, Dragon slayer and most successful fantasy movie of 1982, Conan the Barbarian starred by Arnold Schwarzenegger. In addition, The Princess Bride and Sword trended in the late 1980s. Others in the late 1980s and early 1990s include Sorcerer, Disney Return, and Oz. Drama and horror movies characterized the 1980s performance in the film industry (Dirks). Rain Man and Out of Africa trended in drama category. Horror movies included Crocodile Dundee II. Action films focused on the Vietnam War and policing system. Movies such as Rambo: First Blood Part II, Platoon, and Missing in Action topped the category. In 1990s, science and fiction dominated the film industry. Titanic moved the heart of many people in 1997 and towards the end of twentieth century. Other that trended in 1990s include Toy story in 1995, Saving Pirate Ryan 1998, Jurrasic Park in 193 and Home Alone in 1990. Action continued in 1990s, but many people preferred science and fiction. Drama also attracted many people who like going to the theatre. In 2000s was a new era in the movie industry. The advent of You Tube, Google, Amazon, Craigslist, and Blogosphere changed the sense of movies in the society. Disaster such as 9/11/2001, bombing, influenced

Police High Speed Pursuits and Responses Research Paper

Police High Speed Pursuits and Responses - Research Paper Example 3). Latest court rulings, including a United States Supreme Court ruling given five years back, put off it to the enforcing officer to take the decision in high speed pursuits. As a plaintiff’s responsibility of providing evidence may be higher, such cases still carry the risk. It proves the need of a well established policy over police pursuit. A well written high-speed pursuit policy stipulates guidelines explaining what elements are critical and what are ignorable. Rules are given in written form in pursuit policies to help chasing officers to organize or quit the chase by adhering to the rules (AMIC 2-3). Recurrent fatalities in road accidents from police vehicles form the biggest single entity of deaths resulting from police action, thus, a major number of cases are referred to the IPCC in the UK. Although there has been much discussion among the surrounding communities and the police over chase incidents but level of awareness is still low to arouse debate on the issue. An analysis of the cases referred to IPCC has helped in rectifying the mistakes at policy and practice level (IPCC 1). Civilian fatalities following police related road traffic incidents - England & Wales Financial Year Pursuit related ?Emergency response 'Other incidents' ? Total fatalities ? ?2004/05 ?23 ?6 ?15 ?44 ?2005/06 ?32 ?4 ?12 ?48 ?2006/07 ?19 ?3 ?14 ?36 ?2007/08 ?17 ?2 ?5 ?24 ?2008/09 ?22 ?6 ?12 ?40 ?2009/10 ?19 3 7 29 ?2010/11 ?13 ?4 ?9 ?26 Source: Statistics for England and Wales annual reports At higher administrative level, need to revise the driver training parameters have been felt to bring down the number of road hits and injuries from accidents. Comparing the number of accidents by the public and the policemen in Britain, nothing can be said for sure, as the data in the above table indicates but subsequent improvement in controlling pursuit related accidents has been accomplished but the number of injuries to the policemen while on the roads can be critically deci sive to their performance. Adequate training to the police drivers can further control the rise in accidents, as after-effects on the health of police officers themselves could be harsh in physical terms (Fletcher 1). The aim of this research is to prove whether it is advisable to take the risks of high-speed police pursuits relatively to the rewards from them. Such pursuits are dangerous and life threatening for all concerned, and even not-aware citizens becoming sudden victims. Policies are required to be changed to control possible pursuits and the parameters employed to decide or terminate such pursuits (Player 2). High Speed Pursuit Policy The high-speed pursuit policy should help policemen in decision-making while considering various elements, such as: (a) the category of the offense; (b) the strategy of the offender's running; (c) the limit of recognizing the offender; (d) prior hints of the offender's lead direction; (e) the current expertise of other officers to nab the off ender; (f) idea of past activities of the offender; (g) the possibility that the offender is carrying weapons or may use force to escape; (h) the possibility of material loss to individuals or property caused from the pursuit; (i) the fitness of the police vehicle; consideration of the

This is Britain Essay Example for Free

This is Britain Essay The Romans were in Britain until the beginning of 5. And the south-eastern part of the island were much Romanized. It was formed by five municipalities in the Roman style: Kamulodunum (now Colchester), Verulamium (St. Albans), Lindum (Lincoln), Glevum (Gloucester) and Eborakum (York). All but Verulamiuma, were military settlements. Other cities were founded as centers of areas. In architecture and urban planning, they followed the Roman models, as well as villas, being built in rural areas. There is evidence that the influence of Roman civilization was subjected to a more simple and popular culture. Particularly important role here played by a network of roads built by the Romans primarily for military purposes, but bring together the various parts of the province into a coherent whole. The main occupation of the population was agriculture and sheep breeding, distribution and production of metals has received, primarily silver and lead, less iron and tin. Barbarian invasions in the late 4. forced the Romans to abandon its presence in the remote north-western province. In the north and west of South Roman occupation of Britain was no longer wore military and civilian populations in the south and east were not numerous. By 410 all communication between the empire and Britain ceased, and Britt, lost the habit of fighting over the centuries its dependence on the Romans were forced to defend themselves. Royal power was abolished on Feb. 7, 1649, a week later was formed the State Council of 41 members. England was proclaimed a republic. Nine months of the war, marked sparingly massacre led to the subordination of most of Ireland. This was followed by the confiscation of three-quarters of Irish land, which was distributed to creditors of the republic and the army ranks. They were indignant scorn of the British Parliament for their protest in connection with the execution of the king and now invited to the heir to the throne of Charles I (later Charles II) as the King Presbyterian. The Scottish army invaded England in 1651, was cut off from supplies, and the following year was proclaimed the accession of Scotland to England. At the same time Britain was at war with Holland, which lasted from 1652 to 1654. Now Britain very famous country. The capital of Great Britain is London. Its popular city. He divided for two parts. The first part is London, second called the City. And London famous financial district. I advise you to visit the London!

Effects of Macroeconomic Policies upon a Single Organization

Effects of Macroeconomic Policies upon a Single Organization Understanding the Tree by Knowing the Forest The analogy of the forest and the trees is particularly apt in illustrating the difference between macro- and micro-economic areas of concern. Whereas microeconomics ‘operates’ at the level of the individual firm, manufacturer or even individual consumers, macroeconomics is principally concerned with the national or even global aggregate issues of these entities. In other words, if single firm is a tree, macroeconomics is concerned with the policies that ‘drive’ the forest. Thus, it must be kept in mind, the goals of the tree may not always be furthered by following the governance of the forest. Similarly, the policies that are best for the forest may not be in the best interests of any one tree. Utilizing this perspective, a brief examination shall be made of how macroeconomic â€Å"forest† policy might affect a single organizational â€Å"tree†. Depending on semantics and the exact metric utilized The YMCA is arguably the world’s largest human service organization. This nonprofit organization was founded in 1844 in London and rapidly spread across the world, now being active in over 140 countries. In the United States the YMCA has approximate 2,500 branches with nearly 20,000,000 members. Each of these operating units is independently governed by a local board of directors who hires the CEO. This position runs is the operations end of the business and is immediately responsible for the hiring of all other employees. Some operating units are quite small, perhaps having less than 10 employees while others have several hundred or more. Financial impact of a unit, in terms of projected revenue, could range from less than one hundred thousand dollars to nearly $100,000,000 (personal communication, J. Bean, retired YMCA Senior Director, October 6, 2005). One of the key concerns of macroeconomic policy is to maintain optimal employment levels (Keifer 1999, p. 59). While the wage policies of a single organization are very unlikely to affect the forest, a minimum wage policy does certainly affect individual organizations. On October 1, 1996, the US minimum wage increased from $3.85 to $4.75 per hour and increased again effective September 1, 1997 to $5.15 per hour (US Department of Labor, 2005). Though businesses had months to consider and adjust, the net effect, in the end, was that a 34% wage increase was evidenced. In an organization such as a YMCA unit, this had the potential of having serious consequences as there are a number of operating parameters different from many other businesses: The YMCA is a nonprofit organization. – While still being run as a â€Å"business†, the operating margins of nonprofit firms are typically much slimmer†¦ there are no real â€Å"profit margins†, there are no dividends or bonus and there is no excessive executive compensation. The YMCA employs and extensive part-time work force. – Many of these individuals are either entry-level or accept entry level wages. The YMCA is a service driven organization. – In many private sector businesses, firms get very nervous if total personnel costs exceed 30% of budgeted expenses. In a YMCA, depending on the exact program mix in a specific community, it is not uncommon to see human resource costs occupying 60% of the budget. With these factors in mind, it is easy to see how increases in minimum wage can disproportionately affect the bottom-line of service driven organizations. In 1996 or in 2005 (were their to be additional increases), there are but a number or strategies to be deployed. First, one can make ‘budget cuts’ and trim service levels. For a nonprofit meeting the needs of the community, this is generally unacceptable. A second solution is to increase the efficiency of human assets so that you are doing more with less. For example, if one had 10 employees at minimum wage ($5.25/hour) for an hourly expense of $55.25, the goal would now be to somehow â€Å"re-engineer† the process so that only six employees are required. This approach is a good one†¦ in the long run. In the short run, additional funds must be invested, often in technology, so that workers efforts are leveraged to a greater extent. Also, a potential problem with this solution is that many YMCA programs invo lve youth for which there a either government or organizational policies in regards to staffing ratios (i.e., in infant childcare programs, the ratio must not exceed one staff to four children). A third option is to increase revenue to cover the additional expense. In a YMCA, this can be achieved two ways: Increase earned revenue by increasing program fees. In this situation, increases would likely be tolerated as there is a bona fida increase in the cost of doing business. Increase contributed income by philanthropy. Faced with increasing operating costs and a compelling need for a program service, donors are often quite willing to help out a benevolent organization who demonstrates principles of good stewardship with existing assets. While employment policies are one example, the field of macroeconomic policies is one in which there is seemingly no such thing as an isolated variable. Increases in minimum wage policy are likely to trigger inflation (Knoop 2004, p. 39). Inflation, in turn, increases the cost of doing business, particularly as the cost commodity goods such as gas, oil, electricity and water increase. Again, the same three strategies present themselves to the operators of enterprise. A final example of how macroeconomic policies can impact the organization in question is that of federal monetary policy. While a nonprofit organization does not play the market per se, money is often borrowed for capital projects. A loose fiscal policy will drive interest rates down, creating opportune times for consideration of borrowing funds. A related consideration is the overall tone of the market. As nonprofit organizations are often the beneficiary of financial instruments, the specific tax advantages set by federal fiscal policy have an effect upon the generosity of some donors. In summary, the politics of the forest have a tremendous effect upon the trees. While the policies may, in the short run, create mild operational havoc, we must have some faith that the forest has our best interests at heart as a strong forest is better for all trees. Works Consulted Knopp, T. (2004). Recessions and Depressions: Understanding Business Cycles. Praeger: Westport, Connecticut, US. United States Department of Labor. (2005). History of Changes the Minimum Wage Law. [online] http://www.dol.gov/esa/minwage/coverage.htm. Accessed October 6, 2005.

Therapeutic Value of Art and History of Art Therapy

Therapeutic Value of Art and History of Art Therapy Therapy Emotions Artistic Becoming An Art Therapist â€Å"Art therapy is a type of psychotherapy that encourages the expression of emotions through artistic activities such as painting, drawing or sculpture; psychotherapy based on the belief that the creative process involved in the making of art is healing and life-enhancing† (Webster’s Dictionary). Art therapy opens a creative world for those who cannot express the way they feel by use of verbal communication. To some people, are not enough. Expression through painting, sculpting, and drawing assists one in overcoming the effects of traumatic or unpleasant happenings in his life. Art therapy is a field that is beneficial to people of all ages, gender, emotional status, or mental ability. It is necessary to examine the knowledge of products resulting from and various methods utilized in a variety of disciplines in order to fully understand the vast benefits of implementing art therapy (Repko, 2005). It is used for a wide variety of conditions such as: the terminally ill, mentally challenged, emotionally disturbed, those afflicted with eating disorders, the abused both physically and verbally, and many more. The goal of Art Therapy is free and open expression, emotional well-being, mental stability and well-balanced coping skills for the client. In the profession of Psychology, use of Art Therapy is considered a most crucial component in evaluating, diagnosing and treating patients. Analysis of a persons psyche and mental health is often difficult with the single use of verbal communication. The use of art in healing dates back to the ancient drawings on walls of caves, revealing that although the profession of Art Therapy appears very young in the family of mental health disciplines it is very old and personally natural in practice. There is even evidence that the creative act of art may have prevented or forestalled more serious mental disorders for painters such as Blake, Munch or Van Gogh (McNiff, 1980). Patients who are given the opportunity to free themselves of inhibitions stemming from inner hesitations of new experiences, parental influences, cultural or economic are able to express deep fears, even fantasies or wishes through the expression of art. It is the symbolic language of images that initiates the surfacing of feelings and emotions that one often cannot or dares not to express verbally (Meltzer, 1948). As people outgrow inhibitions their personalities are freed and they can express and project feelings as well as face events that once disturbed them. In therapy, the developmental stages of art expression go from quite restricted and simplistic stereotypic models to images with actual faces or events expressed. Frustrated or once disassociated personalities are released and reintegrated through the use of art expression (McNiff, 1948). Art is often neglected as a serious academic subject in educational institutions. However, with further investigation it can compliment even the most difficult educational programs. Art is important to every student, but especially in programs educating handicapped or exceptional children. J. Dewey expressed in his drive to develop humanness in exceptional children that â€Å"†¦artistic activity is the way in which one may gain in strength and stature, the belief in his own powers, and the self respect which makes artistic activity constructive in the growth of personality† (Dewey, 1970 as sited in Integration of Art Education into Special Education Programs, 1976, n.p.). Curiosity is emerging about the therapeutic values of art, where once there was an emphasis on cognition art is becoming recognized as beneficial in the development and growth of individuals. The goal of both art therapist and art teacher is for an individual to realize his full ego. Teachers and therapists strive to master techniques which affect and develop the inner psyche of students. Margaret Naumburg was the first educator who had a sophisticated understanding of the importance of art in education. She incorporated free art expression into her work and published writings about her experiences. Teachers joined clinicians and educators in institutions dealing with handicapped, the bereaved and the mentally ill (Rubin, 1980). Intense and long-term education with clinical practice is required for an Art Therapist to obtain certification. The very nature of altering one’s personality or well-being in therapy necessitates the seriousness in consideration of the academic and practical preparation of an art therapist. The American Art Therapy Association was formed to regulate and determine and delineate the degree of education and training of art therapists. Standards of registration include strict guidelines with requirements including a master’s program with a highly valued emphasis on graduate training under the supervision and tutelage of art therapists and psychotherapists within clinical settings (McNiff, 1980). A wide variety of disciplines could be examined to understand the value of Art Therapy. Some are: sociology, psychology, economics, artand education. The scope of this paper will focus onhow art therapy is used in analyzing the psychological health of patients and treatment of; the development of individuality through art incorporated into education; and the aesthetic value of expression through the creative act of art. The most critical disciplines to determine the benefits of Art Therapy incorporated into its goal are psychology, art, and education. Examining the perspective of psychology will allow understanding of how a person can be evaluated for emotional and mental health, and methods of treatment prescribed to achieve the ultimate of balanced well-being through the use of the creative act. Psychology is the science of the status of the mind and it processes. Many conditions and happenings in life affect an individual’s physical and mental health. It is imperative to evaluate and prescribe the most beneficial methods of treatment to achieve this balance of mental status. Examining the perspective of art will reveal how expression of emotion and experience within the freedom of verbal communication has a healing affect on an individual and can rid him of past traumas or harmful experiences that prevent ultimate health. Art is the production of what is appealing, considered beautiful or that which is of more than ordinary significance. The avenue of communication through this type of creative expression enhances all individuals who utilize it. Not only is aesthetic value received through artistic expression, rather the therapeutic value far outweighs the former benefits. Finally, in looking at the perspective of education may explain why there is a necessity of years of academic instruction and clinical practice to obtain the certification of art therapy. Education is considered the intellectual preparation for mature life through acquiring knowledge. Its goal is to develop the power to reason based on knowledge and instruction that is imparted to the student. The profession of Art Therapy requires many years of academic study as well as clinical study and internship to obtain certification. Intense focus is on the importance of proper study and training to perform art therapy with an individual. Research of articles, journals and literary information pertaining to each discipline will be conducted. Products of the three disciplines mentioned concerning art therapy will be discussed such as American Art Therapy Association standards and requirements, artistic work of individuals before and after treatment, and exhibits of artistic expression from a variety of painters. The effectiveness of art therapy will also be revealed through drawings and paintings exhibited by different artists and individuals. The purpose of this paper is to reveal the therapeutic value of free expression in drawing, sculpting and the use of images; how art expands the imagination and educational scope of children and adults; and how the development of personality and character is affected when allowed expression through non- verbal means. By looking at similarities in the end product of individuals through various disciplines, the benefits of implementing art therapy will be revealed. Background Art Therapy (All in bold will be defined in Appendix A) began its history in the 1930s in America because of the efforts of Margaret Naumburg. In thirty years it developed into seven courses taught in five institutions by four art therapists including Ms. Naumburg. By 1971 four programs offered master’s degrees in art therapy. These degrees were offered in universities, a medical college and a college known for its fine arts studies. Single courses in art therapy were offered across the country in academic institutions as supplemental education. The historical background of art therapy began very slowly with seemingly nothing happening and then it developed with great speed (Agell, 1980). In the early development of art therapy professionals used it as case work for treating children with behavioral problems in residencies and special schools, hospitalized patients and private clients. â€Å"Art therapists who, convinced of the special qualities inherent in art, persuaded others – artists, teachers, and clinicians – that art expression provided an enduring, moving, and sometimes exquisite message of human experience† (Agell, 1980, p. 9). During the pioneering days, many therapists had been doing art therapy but didn’t know what to call the process or results of something special that was happening in their work. Elinor Utman founded the American Journal of Art Therapy in 1961. This publication provided information regarding the therapeutic use of art in professions. It also enabled art therapists who had formerly been isolated to be unified. This ultimately led to the founding of the American Art Therapy Association (AATA) in 1969 that gave therapists a structure for promoting their field of work, and its ultimate priority was to support the training development of art therapists. Two documents, Guidelines for ArtTherapy Training and Guidelines were created to provide the fundamental standards for training and the educational level required for certification of art therapy. It was determined that professional certification should be with a Master’s degree with recommended didactic and practicum experience (Agell, 1980). Art therapy has developed into four categories: recreational, occupation, general therapeutic and actual art therapy. These types of therapy are typically used with a variety of patients; the most intensive application of the therapy was used on institutionalized tubercular patients. Handicrafts and major arts were used to aid in the depression caused by elongated institutionalization. Physically handicapped patients were trained how to use other limbs or a different set of learning functions. Neurologically impaired patients such as those with cerebral palsy, mongoloid or the blind experienced the benefit of release or development of a satisfactory degree of intellectual functioning through the creative act of art. Those with mental and psychologically deviant conditions experienced art therapy as a therapeutic process and sometimes as a curative process. Art therapy was used for the occupational benefit as well as for enjoyment. â€Å"With the retarded and pathological child we have begun to realize the great help that can be gained from art psychotherapy in the youngest age group (Harms, 1975, p. 242). Research in progress shows that we ought first to distinguish between intellectual and perceptive learning. An impaired child will comprehend a branch of green leaves or a flower much more readily if it is not only explained to him but if he also has drawn it with crayons. The creative method of comprehending is not only much simpler but also reaches deeper into the apperceptive nature of the young child† (Harms, 1975, p.242). Development of Art therapy is used for people with health issues. Anna, age twelve, is a patient who came to treatment after having suffered many traumatic experiences due to a heart defect. She endured five major cardiac surgeries and had many problems that compounded her condition other than the physical difficulties. Having been sexually abused by a family member she exhibited difficulty coping with her feelings about the issues in her life causing stomach aches and a lack in friendships. Anna’s treatment included art therapy and resulted in better management of her anxiety and depression. A part of her treatment was to create a collage to draw out the subconscious feelings she had reached regarding her life issues. The focus of treatment and healing was her serious medical condition along with abuses. Anna’s depiction of herself in the collage was a figure with a large head and small body shown in the center of the paper. She had cut out magazine and placed the â€Å"good† describing herself on the right of her head and to the left, the â€Å"bad†. It was determined that she could not see both sides as a part of the whole head indicating she viewed herself as divided. It was only through art instead of traditional verbal therapy that this depiction of self was revealed. Though she was initially unaware of the divided view of herself through art therapy she reached a measure of healing resulting in healthier coping skills. This was confirmed by the change of images in her art, proving the benefit of art in treatment as well as recovery (Lees, 2003-2005). Victims of violent physical abuse also benefit from art therapy in that they are able to express in images horrible experiences that are either no longer conscious or are too painful to verbalize. As a sexual abuse survivor Susan exhibited a common theme of confusion of feelings and devaluation of self that is often only revealed through art. Art therapy reveals through images the impact the violence of sexual abuse creates. The first drawing of Susan reflected her pain with a single tear on an expressionless face. Her torment was silent, but through continued use of art she was able to express her suppressed emotions and the feelings that overwhelmed her. Progressive pictures depicted images of her feelings of loneliness and helplessness. Art allowed Susan to step outside herself and view what her feelings look like. This was a step used for her to learn how to own her true feelings. Through art she was able to see herself as a grown woman with an inner child. The colors in her art turned from black and colorless to vibrant and vivid. Emotions of anger appeared after the fifth drawing and as art drawings continued through treatment deeper emotions were depicted in the images and color selection. Through art therapy Susan was able to work through the steps of healing which brought hope of a new life without the pain from past experiences (Lees, 2003-2005). A third use of art therapy is with people who have challenges living in the normal realm of life. Children with autism benefit from art therapy by the opportunity to express and communicate with the world through images since they often cannot verbally. Sung, a Korean five year old girl, was filmed with a 35 mm camera to determine the benefit of art in autistic children. In her first session she became familiarized with the supplies used in art – sketchbook and a box of bright wax craypas. Her first drawings were banana-like arcs with heavy lines or large solid dots also containing rectangular patches. Other forms come and go in her depictions. Eventually she became â€Å"mesmerized by activity which fills her entire visual field and is absorbed by the deepening color and her rapidly moving hand seen from scant inches away† (Kellman, 2004, p.13). Sung’s art developed into additional shapes and a common images of heads with big solid eye dots and facial features. As time went on her pictures became more detailed including bodies with clothes and thinner lines. Paints and origami were introduced which developed dexterity. She was able to develop keen vision with spatial capacities as well as the control of fine motor skills. Her art revealed that autistic children frequently â€Å"focus on the geometric structure of a visual scene and on the forms and structures of objects themselves in their drawings† (Kellman, 2004, p.16). Sung was developing her available skills through art. Art therapy has developed into an essential and beneficial form of treatment and therapy. The above three scenarios prove the variety of uses in the expressive language of art. People with physical, mental or emotional difficulties are able to heal or develop with the use of art expression. The extent of healing/development can be measured through the progression of detail in the images. The scope of treatment is determined by the extent or type of art medium necessary. From its beginning in the 1930s, art therapy has developed and become recognized as an authentic therapy to assist people through a variety of disciplines. The objective of this paper is to explain how to become a successful art therapist by showing examples of treatments and giving the guidelines of the educational process. Integrating several disciplines forms a holistic, comprehensive understanding of how to accomplish this profession by using the Comprehensive Perspectives Model (Repko, 2005). Psychology not only benefits the therapist but is also the core reason patients turn to art therapy. Having a background in psychology will give an understanding of the brain and gives insights of how to cope and treat the issue. Art consists of the therapeutic process of learning to show emotion by using drawing pencils, paints and clay for sculpturing. Any individual can benefit from art alone because it subconsciously uses all the senses. Education is what ties the two above disciplines together. Psychology and art alone are very different but with having the proper process in both, together they form a creative solution for those not only in need of therapy, but for all. References Psychology Evans, R., Tissot, C. (2003). Children with autistic spectrum disorders: Perspectives on current research. Early Childhood Development and Care173, 361-362. Kellman, J. (2004).Art of a child with autism: Drawing systems and proto mathematics. Journal of Aesthetic Education. 38, 12-22. Lusebrink, V.B., (2004). Art therapy and the brain: An attempt to understand the underlying process of art expression in therapy. Art Therapy: Journal of the American Art Therapy Association21, 125-135. Meltzer, H. (1948). Studies of the free art expression of behavior problem children and adolescents as a means of diagnosis and therapy. The Journal of Educational Psychology39(6), 382-384. Art Harms, E. (1975). The development of art therapy. Leonardo8, 214-244. Lees, L. A. (2003-2005). Lees psychological services, inc.. Retrieved March 8, 2008, from Examples of How Art Therapy Works Web site:http://heartandmindmatters.com/content/view/8/7/ Packard, S. (1980). The history of art therapy education. Art Education33, 10-13. Rubin, J.A. (1980). Art therapy today. Art Education33, 6-8. Education May, D.C. (1976). Integration of art education into special education programs. Art Education. 29, 16-20. McNiff, Shaun (1980). Art therapy registration and standards of practice. Art Education. 33, 29-30. Stoner, S.D., Drachnik, C., Jensch, K., Jungles, G., Levick, M., Minar, V. (1980). Employment, training program development, and legislative issues. 33, 25-28. Additional Sources Repko, A. (2005) Interdisciplinary practice: A student guide to research and writing. Boston: Pearson. Webster, N (1961). Websters new international dictionary. Cambridge, MA: Riverside Press. Figure Captions Figure 1: Untitled (Lees, 2003 2005) Figure 2: Letting Go (Lees, 2003 2005) Figure 3: Inner Child (Lees, 2003 005) Figure 4: Haling Hope (Lees, 2003 2005) Appendix A: Glossary (Preston, 2008) apperceptive able to relate new percepts to past experience art – â€Å"the means of widening the range of human experiences and creating equivalents for such experiences; an area where experience can be chosen, varied and repeated at will. In the creative act, conflict is re-experienced, resolved and integrated â€Å" (Kramer, 1958, p. 6) art therapy – therapy with the use of creative activities to express emotions enabling individuals to manage/overcome physical and mental problems. curative something that cures; a remedy. dexterity skill and grace in physical movement, especially in the use of the hands or mental skill or cleverness. didactic intended to instruct; inclined to teach or moralize excessively. craypas painting media such as watercolor, temper, acrylic, oils, wax crayons

Economic Reform in Russia Essay -- Economics History USSR Essays

Economic Reform in Russia Formerly the preeminent republic of the Union of Soviet Socialist Republics, Russia has been an independent nation since the dissolution of the Soviet Union in 1991. Because of its great size, its natural resources, and its political domination, the Russian Federation played a leading role in the economy of the Soviet Union. In the years preceding the disintegration of the union in 1991, the economy of Russia and the union as a whole was in decline. In 1992, immediately after the separation, the Russian government implemented a series of radical reforms. Price controls were abolished as the beginning of a transition from a centrally controlled economy to a market economy. An immediate series of sharp price increases caused extreme hardships for the Russian people. Inventor of the fictional five-year plan, the fake harvest, Russia introduced another novel economic concept in 1996. It was a society modeled after the capitalist society. High expectations of economic growth even with â€Å"shock therapy†--unemployment, social discontent and opportunities for corruption; influence of western politicians and the U.S. policy; and failing to completely reform the communistic system were some factors to why some became rich but led many to misery and an early death. Despite the huge infusions of Western money, millions of ordinary Russians struggled to survive in an economy neither capitalist nor communist, but something brand new and strange, which ultimately led to the failure of economic reform in Russia. In the fall of 1996, Boris Yeltsin won the presidential election in Russia. He was viewed as the personification of reform in Russia.... who had vanquished the Communist dragon during the hard-line coup attempt of August 1991 -- and the leader best placed to introduce democratic, market-oriented reforms. In the same year Yeltsin became the President of Russia, the U.S. ambassador to Russia, Thomas R. Pickering, predicted by the fall of 1999, Russia would be one of America’s top trading partners. But in fact, three years after Pickering addressed his farewell speech to the American Chamber of commerce in Moscow, Russia ranked thirtieth in the list of American trading partners. In 1998, Russia’s gross national product plummeted by nearly fifty percent over the last decade. More than sixty million Russians, which is nearly half... ...d the International Monetary Fund assistance but the attempt at capitalist society was not successful. To the beleaguered people of Russia, certainties of old-style communism seemed attractive. A joke on the streets of Moscow, according to World Bank staffer John Nellis, was: "Everything the Communists told us about communism was a complete and utter lie. Unfortunately, everything the Communists told us about capitalism turned out to be true." The establishment of a free-market may require decades to accomplish since this quick attempt was not successful. The economy of Russia did not improve as speculated. Due to years of practicing communism, the Russian people experienced â€Å"shock therapy† when a free-market was in action. Another explanation was: because of constant U.S. influence, Russia was never at a state where they decided on the major decisions until the end. And finally, capitalism never worked in Russia because they did not fully let go of communism. After experiencing many hardships, the Russian people are confused as to what will work in their country full of resources yet lack of economic stability. Maybe the answer is a return to state controlled industries.

King for a Day :: Rick Reilly Sports Illustrated Athletics Essays

King for a Day Rick Reilly, within his weekly Sports Illustrated column, â€Å"The Life of Reilly† sheds an interesting light onto the LeBron James controversy. LeBron James is considered, possibly, the greatest high school basketball player ever and will, in most scouts’ opinion, will be the first player selected in the 2003 N.B.A. draft. However, after a chain of events involving a gift of $845 worth of free basketball jerseys, James was ruled ineligible for two of his team’s high school games. Reilly explains the benefit another player receives from James’ error. Junior Brandon Weems has the chance to step in the shoes no one can fill and play in front of full crowds expecting to see LeBron. This paper will discuss briefly Reilly’s background as well as whom he has intended to read his piece. Furthermore, it will also discuss the rhetorical appeals Reilly has used and the argument structure that is taking place. Reilly has been a Sports Illustrated writer for seventeen years and has won the award for National Sportswriter of the Year seven times. His career has taken him places such as the golf course with President Bill Clinton, into the cockpit of an F-14 fighter plane, to the daunting task of being present at the Swimsuit Edition photo shoot. Reilly, who started in 1979 with the Boulder (CO) Daily Camera, always tends to put a witty and amusing spin on stories that may seem bland at first glance. It has been said that he has an uncanny knowledge of all sports mixed with the â€Å"timing of Jay Leno and the wit of Johnny Carson† (si.com). The intended audience for the piece, â€Å"King for a Day†, is an intelligent crowd that has somewhat of an interest in sports in general, not necessarily basketball. Any current or former high school athlete can relate to the situation that Weems is in. He is a replacement who just wants to have fun when he gets the chance. Anyone who appreciates the story of an underdog who succeeds will value this article. Reilly’s purpose is to show that there are two sides to ever story.

Where Are The Americans?

In spite of the fact that the American Government Led NATO against Serbia and that the American military is here, and their largest military base outside the United States is in Kosova, Kosovars are still asking: â€Å"Where Are The Americans? † Of course, a more complete elaboration on the basic question is: â€Å"Where Are The Americans? Why aren't Americans supporting our full Independence? Why hasn't their government recognized the full Independence of Kosova? Why aren't the big American corporations coming to Kosova? Why do they let the EU run everything in Kosova? Why isn't an American the Special Representative to the Secretary-General of the UN in Kosova? They went against European opposition and convinced NATO to go to war against Serbia and liberate us from oppression, but where are the Americans now? † Certainly the Americans are here, but the answer to many of the questions rests with the Kosova people, and the politics of Europe. Kosova is in Europe, and it is only natural that the European Community has the central concern and input regarding the status of Kosova. Under the current circumstances, any proclamations by the United States would be viewed as interfering with the European Union, and this would be diplomatically improper. Currently, the official communications regarding the situation in Kosova, and the issue of â€Å"final status† is limited to UNMIK and the European Union, as these are the entities that have UN delegated responsibilities regarding Kosova. The Americans are stronger in their influence within KFOR, which is separate from UNMIK Administration. However, when Kosovars clearly declare their Independence from Serbia, and demand that the UN fulfill its obligations in accordance with 1244(1999) for Kosova to have: â€Å".. provisional democratic self-governing institutions to ensure conditions for a peaceful and normal life for all inhabitants of Kosovo. † Then, and only then, can the United States and other nations respond to a direct request by Kosovars for support in the establishment of an independent democratic process within Kosova! The Americans and others would then be able to question the EU more directly, as to why the European Union is against the full Independence of Kosova, when the history of the Serbians has been one of repeated aggressions, and an absence of any remorse. It is a logical question to ask, why after so many conflicts and so many losses by the Serbs, does the European Union continue to appease Serbia, rather than imposing harsh consequences? We must learn the process of politics and diplomacy. We have been great leaders and warriors, but we must not forget that we have never had a leader in peace. We are physically and morally strong, we are intelligent but we are not experienced in politics and diplomacy. However, we cannot let this situation continue, and we must now use any and all means to become as effective in Politics and Diplomacy as we have been in war. Kosova's political leaders have been active, but we must accept the reality of Kosovar limitations and ensure that all leaders quickly become truly adept in politics and diplomacy. Another response to â€Å"Where Are The Americans† is that the American people are at home in the United States, working, playing, studying, watching Television, listening to the radio, reading newspapers; and all of these things are being done in English. It is true that there are a few thousand Americans who speak Albanian, but how many are in positions of authority and how many are actually doing anything effective to bring the â€Å"message† the â€Å"truth† about Kosova to the American people? How can the average American care about Kosova, if they know nothing about Kosova? Americans are paying close attention to world events, such as the terror threats and the issue with Iraq, and they are paying attention because they are being communicated to in English. Why should American journalists pay attention to Kosova when anything of importance has to be translated from Albanian to English by them? We speak out, and demonstrate, but nothing is said or written in English. If we want to get Americans interested in Kosova, we must speak and publish in the English language in addition to Albanian. Every key speech given; every key event; every meeting attended must be also presented in English. Our daily newspapers should have at least one page in English presenting all the headlines and a brief about the story, and our television news and key presentations must also be done in English. If we want people to listen to us, then we better speak their language! Our periodicals should contain English features, and every major press release by any organization of influence should be prepared in good English. This last statement is important, for if we present English copy that is poorly done, we will look uneducated in the eyes of those reading the material. In the few instances when our business and/or government organizations have provided English versions, they appear to the reader as having been done by a child just learning to speak and write in English. We must utilize the skills of professional translators in any and all areas that affect our future, especially if we wish to reach and involve the American people. We certainly do not provide a good image if we cannot express crucial issues in good English to the world. In business and politics, it is the English language that predominates, and we better catch up fast! Just about every adult Kosovar knows that the European Union is â€Å"concerned† about the unification of ethnic Albanians; the development of a Kosovar military; and the potential for a significant American business, monetary and political influence in the Balkans. But as long as We Kosovars remain silent in English, and the citizens of America remain ignorant of the truth, the EU has nothing to worry about. In the eyes and minds of Americans, it appears that â€Å"everything is OK† in Kosova, and they believe that if everything is going well, why should Americans continue to support the American Military being in Kosova? Americans believe: If â€Å"everything is OK,† let Europe bear the costs of taking care of Kosova and we can move our troops to where they are needed! American politicians respond to the will of the American people, and Kosova politicians and the Kosovar people need to recognize this fact and reach out to the Heart of the United States, the American people! We must have the courage to make strong and timely Diplomatic moves, such as the publicly restating our Independence, and request direct assistance from particular nations in order to counter the current negative intent and actions of the European Union and Serbia to keep us within and under Serbian Dominance. We Kosovars need to â€Å"wake up, and stand up† and speak out, in a loud, firm, clear and unified English Speaking voice, against the effective Serbian Propaganda, The Manipulation of The Hague, and the Appeasement efforts of the European Union. They are making their propaganda in English, and it must be countered in English!

Relationship Between Self Esteem Stress Health And Social Care Essay

Emerging surveies further reveal that persons who transmit off middle rule earlier 15 former(a) historic periods of sequence take an norm of 29 grey-haired geezerhoods to accomplish peerless(prenominal) twelvemonth free of eyes ( vs. 18 senescent senesces for those who start utilizing after 20 middle- growd ages of age ) . In consonant poesy with the above, the popu previous(a)ent quandary of signification ab total abuse stems from the fact that mistreating five-year- overaged persons oft pageantry co-occurring intellectual wellness issues ( Kim & A Jackson, 2009 ) . The beforehand(predicate) intercessions with those who initiate nubble system during youthful old ages anticipate a missed chance for m well-nigh(prenominal) persons ( Liddle, Rowe, Dakof, Henderson, & A Greenbaum, 2009 ) .Eitle ( 2006 ) storied that populating in superstar- heighten families funnily the male p atomic number 18nt predicted increased marihuanas use among Hispanic/La tinos, except non among Afri rat Americans or Whites. Harmonizing to Wagner, Olson, Chou, Pokhrel and Duan, et Al ( 2010 ) , the features of the dwelling house much(prenominal) as its operation and plait whitethorn play devil nourishive(p) and worsening work ons in teenage content utilisation. The chance factors for archaeozoic on girlish message contumely buzz off been identified ( Hawkins, Catalano, & A Miller, 1992 ) , and utilized by question doers to bring or so intercessions aiming vulnerable teens ( Dishion, Kavanagh, Schneiger, Nelson, & A Kaufman, 2002 ) .However spheres which whitethorn chair or intercede the here and now of shopping m all abuse on child the like tot up total maltreaters remains grossly low researched hence the collect for the present st be on the consanguinity amid self- haughtiness, emphasis, screw to alliance, falloff, crime syndicate stress and meat ill- economic consumption among striplings. The term affectionateness contumely was out transmission channeld as a unidirectional concept. In kernel the term captures mental object abuse as bingle concept, though multi-directional positions exist. minimise of the StudyExperts in developmental epidemiology of essence revilement designate that content fashion during adolescence disrupts necessary teenager developmental warps ( Liddle, Rowe, Dakof, Henderson, & A Greenbaum, 2009 ) thereby alleviation the divergence from protective regu deeps, such as the class and the nurture. Scholars all bit deliberate that it leads to the acceptance of a configuration of ab chemical formula attitudes, activities, associations, and behaviours ( Okoza, Aluede, Fajoju, & A Okhiku, 2009 Flory, Lynam, Milich, Leukefeld, & A Clayton, 2004 Lynskey et al. , 2003 ) .Surveies conducted by the inch Pr yettive Resource Center ( 2003 ) indicated that striplings argon usually introduced to logical implication insult through admi ttance drugs such as heady and lay cops. Further much, late emerging surveies point that male striplings use and abuse drugs to a greater extent than their feminine icy numbers ( Igwe, Ojinnaka, Ejiofor, Emechebe, & A Ibe, 2009 ) . Though, pistillate striplings favor stimulations ( Chassin, Ritter, Trim, & A King, 2003 ) .In extraction with the above, mental object insult among striplings continues to be a valuable human beings wellness concern.irrespective of the recent national informations collected in the US which shows lessenings among eighth- storeyrs, 13 % of the group were button up account as holding ill-use meats in the past 12months ( Johnston, OMalley, Bachman & A Schulenberg, 2008 ) . The writers give tongue to that 5.5 % had reported holding been intoxicated. The supposed underpinning of insubstantial ticker abuse lies within the stage setting of loving cognitive opening ( Bandura, 1986 ) and ever-changing grades of wreak as espo utilize by Bronfenbrenner ( 1979 ) . These theories together with maintain that upgrades, sibling, coachdaysing, and peers account for an striplings overall repel to mistreat drugs.Harmonizing to Baron and Kalsher ( 2008 ) striplings involved in gist vilification do so because of the demand to conform to former(a)s around which underscores the demand for belongingness. The bookmans enounced that striplings train to utilize intellect changing drugs because they ar by and heroic in trend. In the position of Dennis and Scott ( 2007 ) an person who developed depicted object misuse jobs initiated the usage during adolescence. To buttress their affirmment, the bookmans effed that 85 % of about 600 puppyish persons come ining outpatient hitch for marihuana ill-treatment or dependance in the marihuanaen necktieen necktie young person intervention canvas started substance abuse before the age of 15 ( Dennis et al. , 2004 ) .The impression of intrinsic home and engagement i n weird activities has been reported by so m either bookmans as a protective factor in the etiology of substance vilification ( Wagner et al. , 2010 Demuth & A browned, 2004 Grunbaum, Kann, Kinchen, Williams, & A Ross, 2002 National Center on Addiction and Substance Abuse, 2003 Chu, 2007 Mack, Leiber, Featherst single & A Monserud, 2007. In the position of Brook, Whiteman, Finch and Cohen ( 1998 ) many factors ar essentially interrelated, and fall in cumulative effects on the flights of drug maltreatment and delinquency.Rohde, Lewinsohn, and Seeley ( 1996 ) domaind that substance maltreatment heralded future effect in female striplings. With lendable grand bespeaking that substance usage and behavior jobs before the age of 15 was among the strongest prognosticators of chronic offending, opinion, naturalize failure, unemployment, relational jobs with opposes and crime syndicate members through adolescence into maturity date ( McGue & A Iacono, 2005 ) .1.2 Statement of jobThe effects of substance maltreatment among striplings in Nigeria kitchen die hard from a diminution in academic public presentation, hooky, stealing, contending, chancing and dependence ( Okoza et al. , 2009 ) . epidemiological ratings in the declare indicate that substance maltreatment is widespread and is one of the approximately(prenominal) alarming health-related jobs among striplings ( Igwe, Ojinnaka, Ejiofor, Emechebe, & A Ibe, 2009 ) . Evidence educes that the beginning of substance maltreatment is multi-faceted crossing assorted spectrums which let ins biological, personalised and social surroundings ( Igwe et al. , 2009 ) . Studies so allude that substance usage among striplings in Nigeria usually occurs in prepares, with flow rate estimations confirming the incidence of the phenomenon as extravagantly among striplings ( Eneh & A Stanley, 2004 ) .Available informations from school studies in Nigeria farther reveal lifting preponderance and diminishing age of onrush in reported instances of substance maltreatment ( Igwe et al. , 2009 Okoza, et al. , 2009 ) . The preponderance degree of the phenomenon was put at 33.7 % , with alcoholic beverage noted as the most commonly ill-use substance ( 31.6 % ) , plot hemp was reported as the least ( 4.1 % ) ab apply substance among Nigerian striplings ( Igwe et al. , 2009 ) . Surveies afford as well revealed a rise in ingestion, early induction, increasing female engagement and a tendency in the way of ten-fold substance usage among striplings in Nigeria ( Igwe et al. , 2009 ) .Oshodi, Aina and Onajole ( 2010 ) contend that the prevalence rates for life- era usage of substances wide-ranging from 3.8 % for Heroin and Cocaine to 85.7 % for psycho-stimulants. In the republic, actual use of substances the bookmans revealed varied from 2 % to 56.5 % . For gateway drugs, life-time prevalence was estimated to run from 9.2 % to 5.2 % for alcoholic beverage and baccy plant pl ant severally. However, the life clip use of hemp was put at 4.4 % . With respect to gender, prevalence estimations for males were by and large higher(prenominal)(prenominal)er than for their female mated numbers, except for antibiotics, anodynes heroin and cocaine.However, divers(prenominal) effort have been adduced by bookmans as to why childish maltreatment drugs, many of which include alleviation from emphasis, to handle unwellness, and to remain awake at dark to hit the books ( Oshodi, Aina & A Onajole, 2010 ) , still there is a few documented surveies on the leaning of striplings substance maltreatment. This passel therefore intends to appoint broad an bing spread found in the writingss by researching out nucleotideing issues or variables relatively under studied by bookmans in adolescent substance maltreatment. Some of these issues include the function of self-esteem, emphasis, concern kin and natural first in the anticipation of substance maltreatment amon g striplings.Despite the being of limited literature peculiarly on the function of self-pride, til now bring forthings remain contradictory. This sentiment hence seeks to white up some of the built-in constructs and misconceptions on adolescent substance maltreatment by placing the alone forecaster of the concept substance maltreatment from the host of variables posited for the current sentiment. Although bookmans fit out that the beginnings of substance maltreatment are multi-faceted in nature, until now, few bookmans have examined this multi-faceted nature of substance maltreatment in their surveies peculiarly within the Nigerian context. This espouse therefore fills a spread in the literatures by acknowledging the influence of assorted concepts from different spheres in the scene of substance maltreatment. This espouse is therefore multi-dimensional in capturing aspects from self-esteem, stress, peer- consanguinity, feeling and sign stress.In surveies with young pers on in intervention for substance maltreatment, striplings tended to get worse more frequently in state of affairss of direct or indirect societal pull per unit of measurement area ( 66 % ) compared with openhandeds ( Ramo & A Brown, 2008 ) . In general, the few work on female striplings leaves open the inquiry of temporal sequencing with genuine substance maltreatment comorbid factors. Earlier surveies have provided reasonably tenacious come uponings in footings of the protective function of paternal supervise ( Macauly et al. , 2005 Parker & A Benson, 2004 ) and support ( Olvera, Poston, & A Rodriguez, 2006 Simantov et al. , 2006 ) .However, most old surveies have non foc utilise on Africans and peculiarly Nigerians. It is clear that among two grownups and striplings, multiple personal and environmental factors influence adolescent substance usage ( Brown & A Ramo, 2006 Witkiewitz & A Marlatt, 2004 ) . The underlining subject of the current refresh therefore is to detect how striplings can be defend from substance maltreatment, therefore the usage of concepts like intact house and eldritch exertion as go- amongsts in the heap on the kinship amongst self-pride, emphasis, couple affinity, belief, nursing home background and substance maltreatment among striplings in Somolu, Lagos, Nigeria.1.2.1 explore inquiryIn argumentation with the statement of job, the succeeding(prenominal) research inquiries were raised to authorize wide of the shop the bing spreads in the research literatures reviewed on the human affinity amongst self-pride, emphasis, live race, opinion, dwelling background and substance maltreatment among striplings in Somolu, Lagos, NigeriaIn position of the identified spreads, the canvass leave alone react to the undermentioned research indecisionWhat is the background information of striplings in Somolu, Lagos, Nigeria?What is the age and gender difference in substance maltreatment among striplings in Somo lu, Lagos, Nigeria?Is there any kindred surrounded by self-pride, emphasis, equal blood, depression, intact household, apparitional act and substance maltreatment among striplings in Somolu, Lagos, Nigeria?What is/are the forecaster ( s ) of substance maltreatment ( self-esteem, emphasis, equal family alliance, depression ) ?Is there any interceding mo of constituent(a) household and spiritual activeness on the relationship between self-pride, emphasis, equal relationship, depression and substance maltreatment among striplings in Somolu, Lagos, Nigeria?1.2.2 Research aimThe research aim of the current curriculum vitae get out be captured in the main from 2 aspects or dimensions. These dimensions include the chief and the unique(predicate) aim of the survey as captured below.1.2.2.1 full general aimThe ultimate end of this research is to bring out the relationship between self-pride, emphasis, equal relationship, depression, household background and substance maltre atment among striplings in Somolu, Lagos, Nigeria.1.2.2.2 Specific aimThe chief aim is back up by the undermentioned exact aimsTo pull back the background information of striplings in Somolu, Lagos, Nigeria.To find the age and gender difference in substance maltreatment among striplings in Somolu, Lagos, Nigeria.To find the relationship between self-pride, emphasis, equal relationship, depression, total household, spiritual activity and substance maltreatment among striplings in Somolu, Lagos, Nigeria.To find the alone forecaster ( s ) of substance maltreatment from self-esteem, emphasis, equal relationship and depression among striplings in Somolu, Lagos, Nigeria.To find the interceding payoff of integral household and spiritual activity on the relationship between self-pride, emphasis, equal relationship, depression and substance maltreatment among striplings in Somolu, Lagos, Nigeria?1.2.3 Research HypothesesIn response to the special aims of the current survey, the undermen tioned nothing hypotheses were conjectureHo1 in that respect is no authoritative age difference in substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho2 on that point is no alpha gender difference in substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho3 in that location is no conditional relationant relationship between self-pride and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho4 in that respect is no entailmentant relationship between emphasis and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho5 there is no important relationship between equal relationship and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho6 on that point is no important relationship between depression and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho7 There is no important relationship between integral household and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho8 There is no important relationship between spiritual activity and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho9 There is no important alone forecaster of substance maltreatment from self-esteem, emphasis, equal relationship and depression among striplings in Somolu, Lagos, Nigeria.Ho10 There is no important interceding exit of integral household on the relationship between self-pride and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho11 There is no important interceding consequence of integral household on the relationship between emphasis and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho12 There is no important interceding consequence of integral household on the relationship between equal relationship and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho13 There is no important interceding consequence of integral household on the relationship between depression and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho14 There is no important interceding consequence of spiritual activity on the relationship between self-pride and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho15 There is no important interceding consequence of spiritual activity on the relationship between emphasis and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho16 There is no important interceding consequence of spiritual activity on the relationship between equal relationship and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Ho17 There is no important interceding consequence of spiritual activity on the relationship between depression and substance maltreatment among striplings in Somolu, Lagos, Nigeria.Theoretical/conceptual flummoxAlthough different theoretical predications whitethornhap apply in explicating substance maltreatment among striplings, nevertheless the present survey go forth use societal cognitive system i n explicating the diverse relationship that exist among the variables of the survey. On the separate manus, ecological systems possibility im snap off be utilize to recrudesce stress one of the variables used for the survey. ground on the two theoretical predications, the conceptual bewilder for the survey was built.Theoretical modelThe theoretical model of the survey impart be head by the societal cognitive theory as captured by Albert Bandura. The theory was elect establish on its rightness for the current rational exercising and based on its used by most of the research workers whose surveies were reviewed for the present academic job. The implicit in dogmas of societal cognitive theory are herewith discussed below. kind cognitive TheoryThe term societal knowledge implies a broader aggregation of mental activities than societal acquisition ( Thomas, 2005 ) . The cosmopolitan polish and constellation of societies, communities, groups, and another(prenominal)(a) contexts provide larning chances that stop what is accepted and condemned by striplings. The presence and reaction of batch ( for case in refering to societal countenances ) and the continuance of other stimulations attach mixed reinforcing or wash uping punishment to persons behaviour. Social construction can be conceptualized as an apprehension of agendas of beef uping exigency and other societal behavioural variables ( Bandura 1969 ) .BehaviorPERSONAL ENVIRONMENTALFACTORS FACTORS( Cognitive, affective,And biological events )Socio Cognitive Theory of Reciprocal Determinism. Adapted from Bandura ( 1969 )The household, equals, schools, church buildinges, and other gathering offer instant back railway yard that hike up or deter adolescent substance usage. Social cognitive theoretician see that most striplings larning comes from active imitation or drift of what they see and hears theoretical accounts in the guild do. Bandura used the word mold along with such footings as observatio nal acquisition and vicarious acquisition ( Bandura 1969 ) . insubstantials learn from experience by hive awaying in their memory the consequences of their incidental observation for usage at some ulterior leave clip. Therefore, they combine different sunglassess of behaviours to organize natural behavioural paradigms.Ecological Systems TheoryEcological systems theory as propounded by Bronfenbrenner ( 1979 ) and other aligned bookmans focus on five primary universes of the stripling ( household, equals, school, society and the planetary environment ) 1 ) micro-systems, or the immediate societal contexts that straight influence striplings ( household, school, and equals Pantin, Schwartz, Sullivan, Coatsworth, & A Szapocznik, 2003 ) 2 ) meso-systems, or the connexions between the striplings universes ( parental engagement in school ) 3 ) exo-systems, or the fortunes in a parent s life that indirectly influences striplings ( work emphasis, societal support ) 4 ) macro-systems, or the cultural or social ideals that describes a society or finish ( norms, imposts, belief ) . It influences what, how, when and where striplings carry out their relationship ( Bronfenbrenner, 2005 ) 5 ) chrono-system or the history of relationships in an striplings household ( Swick & A Williams, 2006 ) .Harmonizing to Pantin, Schwartz, Sullivan, Coatsworth and Szapocznik ( 2003 ) and in line with Bronfenbrenner ( 1979 ) these contexts likewise can interact with one another. For illustration, a supportive household or school environment can caramel the harmful effects of vicinity disorganisation, poorness, and force on tumble-down striplings ( Cicchetti & A Aber, 1998 ) . In the position of Pantin et Al. ( 2003 ) , the household context has the most influence on the stripling. In line with this propositions and sing the cardinal function of the household in civilizations ( Miranda, Bilot, Peluso, Berman, & A Van Meek, 2006 ) , household features may be an curiously of im port influence on substance usage among Nigerian striplings.Basically, ecological-contextual intercession paradigms have been suggested ( Biglan, 1995 ) , in the first place for early intercession attempts, given the significance of societal contextual factors in determination developmental manners ( Cohen & A Siegel, 1991 ) . Basically, family-based multiple-systems-oriented intercessions are compellingly advocated and extensively investigated ( dose Strategies, 2005 ) .Conceptual modelFrom the research inquiries, aims and posited hypothesis, the conceptual model for the survey is as shown belowBackground In hooked Mediating DependentIntegral householdHo 10-13Ho7self-importance esteemSubstanceMaltreatment directionAgeGenderPeer relationshipHo3 Ho6DepressionReligious ActivityHo 14-17Ho1Ho 8Ho2Conceptual model of the survey on Relationship between self-pride, emphasis, equal relationship, depression, household background and substance maltreatment among striplings in Somolu, L agos, Nigeria Definition of footingsIn this outgrowth, effort lead be made to operationally de cozyise the constructs to be used in the survey, particularly the dependant, independent and interceding variables of the survey. The rendering is to guarantee constant specific mentions across the assorted spectrums of the thesis.Substance maltreatmentOperational commentaryThe respondents entire plant on the 20item do drugs Abuse Screening Test ( DAST Skinner, 1982 ) pull up stakes be used to stand for substance maltreatment in the survey. amply tonss allow for bespeak high substance maltreatment.Self-esteemOperational definitionThe respondents score on the 10item Rosenberg self-esteem gradational give in ( Rosenberg, 1965 ) testament be used to stand for self-pride in the survey. last mark go forth bespeak high self-prides, while low mark go away bespeak otherwise.Peer-relationshipOperational definitionThe respondent s entire mark on the 20item equal relationship question naire ( Rigley & A Slee, 1993 ) allow be used to stand for equal dealingss in the survey. High mark indicate high equal relationship.StressOperational definitionThe respondents score on the 14item perceived emphasis calibrated get across ( Cohen, 1983 ) leave behind be used to stand for emphasis in the survey. High tonss testament bespeak high emphasis in the survey.DepressionOperational definitionThe respondents score on the 27item Children s Depression Inventory ( Kovacs, 1985 ) bequeath be used to stand for depressive symptomatology among striplings in the survey. High tonss pass on bespeak high depression in the survey.Integral householdOperational definitionThe term integral household is used to stand for striplings populating with both parents ( male parent and female parent ) .Religious activityOperational definitionThe term spiritual activity is used to mention to the degree of adolescent engagement in spiritual activity.AdolescentOperational definitionThe term strip ling as go forth be used in the survey implies anybody between ages of 10 to 19years.1.5 Significance of the surveyThe survey can render the necessary consciousness on the dangers of stripling substance usage and by so making trigger treatments on the proposition among policy shapers in the state.The survey get out assist edify households and communities on the bump and protective of adolescent substance maltreatment.The survey depart underline the demand for early intercession for striplings at hazard for substance maltreatment given its manifest and potential effects.The survey will besides bear the consciousness of gateway drugs such as coffin nail ordinarily ill-treated by striplings.1.6 Restrictions of the surveyDespite the identified importance of the survey as captured in the significance, there are several probably restrictions that warrant consideration. These expect restraints include the fol bring lowsThe adjudicate of the survey will besides be selected fr om subsidiary schools in Somolu local political science hoidenish of Lagos, Nigeria.The information for the survey will merely be collected at one clip point ( cross-sectional ) .The full instrument to be used in the survey will be based on self-report.Given the sensitiveness of the heart-to-heart affair, pupils may non give the needed information.Chapter IILITERATURE REVIEWThe chapter will reexamine literatures on self-pride, emphasis, equal relationship, depression, integral household, spiritual activity and substance maltreatment. The brushup will therefore uncover a causal relationship between the independent, interceding and dependent variables of the survey. In the position of O Malley, Johnson, Bachman and Schulenberg ( 2000 ) substance maltreatment typically emerges during adolescence. Although there are some gender differences in adolescent substance usage ( Igwe, Ojinnaka, Ejiofor, Emechebe, & A Ibe, 2009 ) , available grounds indicate that male striplings use and ab use drugs more than their female opposite numbers. However, female striplings favor stimulations ( Chassin, Ritter, Trim, & A King, 2003 ) . Epidemiologic surveies conducted in the present decennary suggest that substance maltreatment symptoms addition steady across adolescence peculiarly among female striplings ( Johnson, Cohen, Kotler, Kasen, & A Brook, 2002 ) .Earlier literatures based on the compare of young persons populating in integral versus cut off households have suggested that life with both parents may hold a protective consequence on stripling substance usage ( Grunbaum, Kann, Kinchen, Williams, & A Ross, 2002 National Center on Addiction and Substance Abuse, 2003 ) . More so, late emerging literatures contend that the issue of adolescent substance usage was more interlacing than originally believed. The adjoin legion bookmans have argued varies with gender, figure of household passages, quality of relationship with parent, alterations in socioeconomic resources , possible prepare of equal relationships, and other factors ( Hair, Park, Ling, & A Moore, 2009 Krohn, Hall, & A Lizotte, 2009 ) .Shelef, Diamond, Diamond and Myers ( 2009 ) examined whether having substance usage disjointed intervention had a differential impact on coffin nail bum behaviours of mild ( 10 coffin nails per cardinal hours ) , moderate ( 10-19 ) , and heavy ( 20 ) tobacco users ( smoke-dried on 60 yearss in the past 90 ) utilizing 378 striplings from the Cannabis spring chicken Treatment survey. Findingss of the survey indicated that mild tobacco users decreased yearss of skunk during intervention and followup, whereas moderate and heavy tobacco users show a little lessening over intervention, and no alteration over follow-up. More so, the writers noted little lessening among heavy tobacco users during coffin nails per twenty-four hours intervention stage. The conclusions of the survey affirmed the impression that although smoke may diminish for mild tobac co users, nevertheless moderate and heavy tobacco users request more attending.In add-on, research besides affirm that depressive symptoms and substance usage pot relationships with of import hazard and protective factors, such as parental abnormal psychology, upbringing jobs, kid characterisation to force, school jobs, sexual activity and love relationships ( Harrison & A Sidebottom, 2009 ) . Studies every bit indicate that the developmental path of substance maltreatment symptoms rely principally on the age of oncoming, with initial oncoming of substance maltreatment before the age of 15 associated with increasing maltreatment for misss ( Chassin, Pitts, & A Prost, 2002 Nagin & A Tremblay, 2001 ) . Besides, well-known organic grammatical construction of research, both longitudinal and cross-sectional has demonstrated that adolescent substance maltreatment and failure were associated with hapless mental wellness departs among grownups ( Grella, Stein, & A Greenwell, 20 05 ) .Harmonizing to Ramo and Brown ( 2008 ) a major central point in research analyzing the procedure of dependence impairment has been the word photograph of diminution determiners, or contextual characteristics of state of affairss in grownups and striplings after been in intervention for substance maltreatment related jobs. Ramo and Brown ( 2008 ) examined adolescent and big substance maltreatment regress utilizing person-centered research attack by Karl Rogers ( 1957 ) in bring outing of import developmental differences in the state of affairss that make striplings and grownups most susceptible to get worse after substance maltreatment intervention. Findingss of the bookmans revealed that both striplings and grownups demonstrated two fellowship agreements of backsliding precursors. Adults were labeled based on societal and urge state of affairss, negative and urges state of affairss. However, adolescent categories were labeled as societal and verificatory state of affair ss and complex state of affairss.Abundant grounds suggests that engagement in spiritual activities and integral households serve to protect or cut down the hazard of substance usage. Adolescents who attend church or mosque at least one time monthly reportedly may lock in smoke or suck but are significantly less likely to utilize marihuana and cocaine, compared with those who infrequently or neer attend church ( Chu, 2007 ) . Mack, Leiber, Featherstone and Monserud ( 2007 ) noted that individualist parents may be less able to supply consistent supervising and monitoring for their kids, so striplings from individual parent families have more chances to prove with substance usage and other delinquent behaviours in comparing with striplings from two-parent families. Other surveies such as Barrett and food turner ( 2006 ) confirmed the mediating function of the usage and blessing of substances by equals and exposure to empha coat.In the position of Amato and Fowler ( 2002 ) , the pla ce of household kineticss has been examined as both a correlative and a forecaster of adolescent substance usage. Family processes harmonizing to the bookmans act as a frame of informal societal control that can diminish the chance of delinquent stripling behaviours by plumping chances to take part in aberrant behaviours, while planning utility pro-social activities and promoting positive development. Available grounds from literatures indicates that female substance maltreatment expansion is interwoven with antisocial, depressive, and eating upsets symptomatology ( Angold et al. , 1999 ) . Studies therefore announce that substance maltreatment symptoms typically result in the oncoming of other perturbations, particularly antisocial symptoms ( Brook, Cohen, & A Brook, 1998 ) . Rohde, Lewinsohn, and Seeley ( 1996 ) discovered that intoxicant maltreatment heralded future depression in female striplings.Research grounds from both earlier and later surveies suggest that striplings w ho live in an agreement other than with their two biological parents training more substance usage than those who live with both parents ( Wagner et al. , 2010 Demuth & A Brown, 2004 ) . Harmonizing to Chassin et Al. ( 2005 ) , populating with other people was associated with coffin nail smoke in a savor of largely white, 10 to 17-year-olds, even after commanding for features of rearing manner. Barrett and Turner ( 2006 ) stated that others agreements like life with other non biological parents was associated with elevated DSM-IV substance maltreatment and dependance symptoms, intensified coffin nail smoke ( Miller & A Volk, 2002 ) and smoking beginning ( Edelen, Tucker, & A Ellickson, 2007 ) . However, the bookmans revealed that the presence of an grownup or older sibling who smoked counteracted the protective consequence of the atomic household.Surveies have repeatedly besides found an opposite relationship between parental monitoring and adolescent substance usage ( Macauly , Griffin, Gronewold, Williams, & A Botvin, 2005 Parker & A Benson, 2004 ) . For case, in an earlier longitudinal survey of urban, Afro-american striplings Chilcoat and Anthony ( 1996 ) found lower quartile of parental monitoring in mediate childhood ( 8 to 10 old ages old ) was about three clock more likely to originate the usage of cocaine, marihuana, and inhalants four old ages subsequently.In a survey conducted by Parker and Benson ( 2004 ) lower degrees of parental support ( perceived parental trust, apprehension, equity, and pride ) were associated with increased stripling usage of intoxicant, cocaine and marihuana in a big, ethnically diverse national resume. In dissension to the above survey, a nationally congressman study conducted by Simantov, Schoen and Klein ( 2006 ) revealed that striplings who reported high parental support and frequent communication were about half as likely to smoke and imbibe as their opposite numbers who reported infrequent communicating a nd did non place their parents as foundations of encouragement.Chapter IIIMethodologyThe survey will consist junior secondary category three and senior secondary categories one to three pupils from selected schools in Somolu local authorities surface area of Lagos, Nigeria. Given that substance maltreatment among striplings peculiarly in Nigeria starts from schools. Therefore the school population will be the beaver topographical point for early percept and bar of substance maltreatment among striplings ( Okoza et al. , 2009 Igwe, Ojinnaka, Ejiofor, Emechebe, & A Ibe, 2009 ) .The examine pupils will be cadaverous from three public schools in Somolu urban center. The city is a assorted urban-suburban community that is socioeconomically representative of the province population. The take of pupils was chosen because they provide the most accessible theoretical account of striplings who may hold come in contact with assorted substances while in school. Approval for the surve y will be obtained from the Lagos State Ministry of Education and from the principals of take parting schools.3.1.1 LocationThe survey will be conducted in Somolu Local Government country of Lagos. Somolu is bounded by 3rd Mainland twain in the East, Bariga in the South, Atunrase Estate in the North and Ikorodu in the West. The country covers about 11.6km2 of land, with an estimated population of 402, 673 people ( Census, 2006 ) . Somolu is a strategical location peculiarly in the wide distributed metropolis of Lagos. It easy links topographic points like Lagos Island, Obalende, Surulere and of class Akoka where the University of Lagos is located. The country harbors some of the major markets in Lagos and the oldest secondary school in Nigeria. As a consequence, people from different cultural groups reside in the country.3.1.2 Research DesignThe survey will chiefly be a coefficient of correlation survey, aimed at conclusion the strength and way of relationship between the variab les of the survey. It is besides aimed at turn toing concerns such as the extent of substance maltreatment among school traveling striplings in Somolu, Lagos, Nigeria.3.1.3 Research Inclusion CriteriaTo be entitled for engagement in the survey, striplings have to be between the ages of 10 and 19 old ages, in line with WHO specified mixture of adolescent age scope. The age scope will farther be split up into early ( 10-13 old ages ) , mid ( 14-16years ) and late ( 17-19 old ages ) in consonant rhyme with earlier surveies conducted by Igwe et Al. ( 2009 ) on the socio-demographic correlatives of psychotropic substance maltreatment among secondary school pupils in Enugu State, Nigeria.3.1.4 Research Exclusion CriteriaAdolescent from selected schools in Somolu local authorities below the age of 10years and above the age of 19years as at last birthday will be excluded from the survey.SamplingCluster trying technique will be used to choose a sum of 370 striplings. The trying method wa s chosen for the survey due to the homogeneousness of the sample. More so, the technique was preferred due to the trouble associated with obtaining a sampling frame. The sample of the survey will consist English-speaking adolescent pupils from Somolu, Lagos, Nigeria.owe to the indispensable nature of sample sizing of it in the statistical design of any research, it hence became of import to hold equal sample coat. This is of import because equal sample size ensured dependable consequences. The reappraisal of literatures suggested that some statistical techniques were effectual in the determination of sample size. These consist of consequence size index, important standard and statistical illation power.Since these parametric quantities are interrelated, if the research worker knows one, it was possible to find the others. There are besides some well-known codes for finding apiece parametric quantity, for case when finding the power for a survey, it can be set at.80 ( Cohen, 1 988 ) . Another common regulation related to important degrees, harmonizing to Cohen ( 1997 ) was that in most instances a.05 value was acceptable. On the other manus, for two pursue trials, where the alternate hypothesis shows that Ma Mb, we can conventionally utilize strength Es, assumed as equal to.5. For the endeavor of the current survey on relationship between self-pride, emphasis, equal relationship, depression, household background and substance maltreatment among striplings in Somolu, Lagos, Nigeria. Krejcie and Morgan ( 1972 ) methodological attack for the finding of sample size was adopted. The expression stated by the bookman is herewith captured belown = X2 *N*P* ( 1-P )( ME2* ( N-1 ) + ( X2*P* ( 1-P )Wheren = sample sizeX2 = Chi square for the specified say-so degree at 1 grade of freedomN = Population sizeP = Population proportion ( .50 in the tabular array )ME = Desired resound of mistake ( expressed as a proportion ) ( See attached sample size tabular array ) .Therefore, in line with above mentioned parametric quantities, the sample size for the current survey was determined. Basically, a one or two tailed survey depends on old findings, as there was no similar survey at the local degree, the hypothesis will be two-tailed. entropy CollectionThe information for the survey will be obtained through self-report instruments administered to pupils in their schoolrooms by a trained research patron utilizing standardised protocols. After reading the instruction manual to the pupils, the research helper will go around the steps in the schoolroom and will reply any single inquiries about peculiar points. The study will be administered under confidential conditions, and a certification of confidentiality protecting the information will be obtained from the Lagos State Ministry of Education.Students will be instructed non to compose their name on the study and will be assured that their replies will be purely confidential and would non be shown to their parents or instructors. Methodological research has shown that when participants are assured of their confidentiality, self-reports of substance maltreatment normally have good cogency ( Patrick et al. , 1994 ) . An boisterous clip of disposal of instruments on participants of the survey will be determined during the flee survey of the current research.3.4 InstrumentsThe instrument booklet for the current survey will bear a combination of gages and single points knowing to mensurate background features such as age, ethnicity, household composing ( integral, divorced or detached households ) , and other variables such as self-esteem, emphasis, equal relationship, depression and substance maltreatment.Substance maltreatmentSubstance maltreatment will be measured with the 20item Drug Abuse Screening Test ( DAST Skinner, 1982 ) . The mark of DAST scopes from 0-20 with high mark stand foring substance maltreatment.StressStress will be measured by the Perceived Stress Scale ( PSS ) ( Cohen, 1983 ) , a 14 point self study questionnaire designed to mensurate the grade to which state of affairss in life are appraised as stressful. The tonss of the PSS are obtained by change by reversaling the tonss on positive points and so summing all the tonss of the 14 points. The PSS graduated table tonss range from 0 to 56 with high mark stand foring high societal emphasis.Self EsteemThe 10-item Rosenberg self-confidence Scale ( Rosenberg, 1965 ) will be used to measure planetary self-pride, with higher tonss bespeaking positive dignity. Each point will be scored on a 4-point Likert graduated table runing from 1 = strongly agree to 4= strongly disagree.DepressionChildren Depression Inventory ( CDI Kovacs, 1985 ) will be used to measure depressive symptomatology with higher tonss bespeaking high depressive symptomatology. The CDI consists of feelings and thoughts grouped into 27 points. The graduated table tonss range from 0 to 54.Peer relationshipPeer relationship q uestionnaire ( PRQ Rigby & A Slee, 1993 ) will be used to mensurate equal dealingss. The PRQ has three subscales intimidation, equal victimization, and pro-social graduated table. The instrument is used for kids between the ages of 12 to 18year and consist of 20 points scored on a 4-point graduated table, runing from Never 1, one time in a piece 2, exquisite frequently 3, and Very frequently 4.3.5 Data AnalysissIn analysing the information, the internal consistence of the graduated tables ( correlativity ) points will be measured utilizing Cronbach s Alpha. The trial is undisputedly the most normally recognized step of dependability. Each subdivision of the questionnaire will be calculated individually. in the first place continuing into the reported tonss of the overall responses to each step, attending will foremost be given to the normalcy of the informations distribution.The information will be inspected utilizing graphical shows such as histogram, root and foliage secret pl an, box-plot and normal chance secret plan. The overall miserly tonss for all the respondents along with standard divergence value will besides be calculated. In line with the aims of the survey, Independent sample t trial will be used to analyze difference, Pearson correlativity will be used to find the relationship between variables and hierarchal arrested development analyses used examine mediation.