Friday, September 6, 2019
Essay on poverty Essay Example for Free
Essay on poverty Essay There are many reasons for pursing a higher education. A few persons revel in the intellectual excitement of academic exploration, others ââ¬Å"consumeâ⬠not only the knowledge that college provides but all the social dimensions associated with itââ¬âalcoholic stimulated parties, erotic adventures with new friends, athletic events and intramural sport participation, etc. But for most persons, a significant, maybe even the dominant reason, for going to college is that it supposedly will improve oneââ¬â¢s prospect of acquiring a good job. In a sense, a college degree has long been considered a ticket to the middle classââ¬âan adult life with a good income and relatively high job security. From the standpoint of society, efforts to expand college graduation attainment rates have been justified by President Obama and major foundations (for example, Lumina and Gates) on a need to be competitive with other nations which have a larger proportion of adults with college degrees. This study argues that the conventional wisdom that going to college is a ââ¬Å"human capital investmentâ⬠with a high payoff is increasingly wrong. Evidence shows that currently more than one-third of college graduates hold jobs that governmental employment experts tell us require less than a college degree. That proportion of underemployed college graduates has tripled over the past four decades. In 1976, Harvard economics professor Richard Freeman wrote about The Over-Educated Americanââ¬âat a time when most college graduates, at the margin, entered professional, managerial and scientific positions traditionally considered jobs for college graduates. If we were ââ¬Å"overeducatedâ⬠at that point in time, what is the case today? Moreover, the push to increase enrollments has led to a majority of the increment of our stock of college graduates finding employment in relatively low skilled jobs, most of which are not particularly high paying (although there are excepti ons). We added roughly 20 million college graduates to the population between 1992 and 2008, for example, but the number of graduates holding jobs requiring less-than-college education skill sets rose during that same period by about 12 million; in other words, 60 percent of the total increase in graduates over the past two decades was underemployed. Anecdotally, most persons can see this is their everyday lives. For example, the senior author was startled a year ago when theà person he hired to cut down a tree had a masterââ¬â¢s degree in history, the fellow who fixed his furnace was a mathematics graduate, and, more recently, a TSA airport inspector (whose job it was to insure that we took our shoes off while going through security) was a recent college graduate. Actually, these individuals are far more typical of many recent college graduates than is commonly supposed.
Thursday, September 5, 2019
Paths To Salvation In Bhagavad Gita Religion Essay
Paths To Salvation In Bhagavad Gita Religion Essay This essay is about the paths to salvation in Bhagavad-Gita. Others religion such as: Christianity, Islam and Buddhism have one path to salvation. This path to salvation means complete devotion to god. In the Bhagavad-Gita, there are three paths to salvation. They are Bhakti, Janna and Karma yoga, also kwon as the yoga of knowledge, the joga of devotation and the joya of action. Those paths have the same goal. This goal is to achieve salvation. The first path, Bhakti, also known as the Goya of devotion, means loves and blisss goal. The way to attain Morsha is through devotion for god. Keep me in your mind and devotion, sacrifice to me, bow to me, discipline your self toward, and you will reach me![ 1]. In the Vaishavana pantheon, this path has five forms: Santa, Dasya, Sakhya, Vatsalva and Madhura. The first of them is calm devotion for god. The other four involve emotional attachment with god. For example Sakhya is treating god as a friend. Dasya is serving god. Madhuara is treating god as husband. Vatsalya is treating god as a child. In Bhagavad-Gita, there are nine acts of devotion: Sravana, which is hearing of god, Kirtana which is praising god, Sharama, which is remembering god, Padasevana, which is service in general, Arcana, which is worshiping, Vandana which is bowing, Dasya, which is serving like a servant, Sakhaya which is befriending god and athanivedana, which is making total surrender. The salvation and moksha are achieved through complete devotion to krisha. The second path, Janna is also known as the yoga of knowledge. When ignorance is destroyed by knowledge of the self, then, like the sun, knowledge illumines ultimate reality.[ 2]. This path allows people to discover the way of wisdom, to discover what truth is, what is eternal, and what is not eternal. Knowledge leads to the achievement salvation. With the knowledge, people find spiritual peace, which means salvation. With the knowledge, people can break the barrier of the ignorance that trapped the person. Knowledge is like the sunlight that illuminates the dark path. With the knowledge people can find the union with god. Sravana, Manana and Nidhidhyasana are the three means in Janna. The first one is learning from or listening to a teacher. The second one is to remember and reflect on the teaching, and the third one is to meditate on the truth spoken. These means in Janna lead to the discovery of truth. The third path, Karma is also known as the Yoga of action. Be intent on action, not on the fruits of actions, avoid attraction to the fruit and attachment to inaction[3]. This path teaches that the people should act in good faith, which should help other people without anything in return, to act without rancor, without malice, without hate, and to act selflessly. Doing these acts is the only way to find the truth of Brahman that leads to salvation. In conclusion, I would say that the three paths lead to salvation. Gita is considered the most important because require a total and unconditional surrender to god. This path is the devotion of Yoga. This essay is about the central elements of Vedic religion. During this time, there were written sacred scripture. Those scriptures talk about the religion practices that occurred in this time. Those scriptures are known as the four Vedas: Rig Veda, Althar Veda, Sama Veda, and Yagur Veda. Those texts contains hymns and chants that describe this particular moment .During this period, the priests who represent the highest and well educated class in the society were responsible for the rituals and read of the text. Performing rituals became an important part of their daily life. One common ritual was the sacrifice of animals. Also, chanting and prayer were common religious practices too. The rig Veda is considering the most important of the four Vedas. It Contains 1028 hymns, those are divided into eight or ten books. Those hymns contain some wonderful pieces of poetry and were used in rituals. The rituals were performed by the priests, who were responsible for everything. I would say that those rituals were for some noblemen and for the wealthy. In these rituals people prayed for rain, prayed for their family, for the long life and for their harvest. Jajna was an important method of sacrifice. This means building an altar. The performance was around the altar. Fire and offering were thrown into it. The offering included things like butters, milk, meat, cooked grain, intoxicating drink, and other items. The priests invoke gods to seek their blessing. These rites were performed during various interval of the year. Many purposes were associated with this sacrifice. For example they did it during sowing period, during harvest time, and for some social events. The sacrifice of horse was performed in this period only by the kings. This sacrifice was made in order to prove their influence and valor. In this period, there was no scientific explanation for natural phenomena such as rain, wind, and thunder. People feared them and thus worshipped them. This mean that people worshipped different forms of nature as god like earth, moon, sun, rain, sun and other natural phenomena. They believe that the priest posses supernatural power and could control adverse forces by magical means. In conclusion, I would say that during this period the power of the priest increased and animal sacrifice also increased in the name of the religion. Rituals and hymns became common practices of their daily life. The evolution of this religion gave raise to new beliefs and new gods. This essay assignment is about comparing and contrasting both Hinduism and Buddhism religion. Both the Hindus and Buddhist believe in reincarnation or what happens after the life, both follow the same path in order to achieved salvation. Another point they have in common is that both religions were originated in India. There are differences between both religions. For example, Hinduism believes in the caste system and it has three main gods. Buddhism does not believe in the caste system and does not believe in god. Another difference is that Buddhism spread into others countries and Hinduism stayed in India. One similarity is that both the Hindus and Buddhist religion believe in reincarnation that means freedom or release from the cycle of birth and death. Both believe that there are two places that you could go after the death, either you could go to heaven or you could go to hell. Another point that it has in common is that both Hinduism and Buddhism follow the same path to achieve salvation. A further dissimilarity is that both religions were originated in India. One difference is that Hinduism has many gods that govern different aspects of their life. For example, there are three main gods called Vishnu, Brahma and Shiva. Vishnu, who is the preserver, is represented by water. Brahma, who is the creator, is represented by earth, and Shiva, who is the destroyer, is represented by fire. Those gods were believed to control the forces of the nature. Sacred animals are used in Hinduism in order to invoke gods and seek their blessings. Buddhism is a religion that does not believe in god and follows the four noble truths, which are: suffering, origin of the suffering, selflessness and truth of the Path. The eight fold path describes the ways in which every person must live and also advocates the pursuit of many goals in ones life including wealth, prosperity, happiness and love. Another difference is that salvation in Hinduism is known as morksha. This mean release or freedom from the cycle of birth and death. In Buddhism, salvation is known as nirv ana. This means release from this world and the suffering of the human condition. Another difference is that Hinduism believed in the caste system, which means that the society is divided in four classes; those are Brahmins, which were the highest and well educated class represented by the priests. Kshatriyas , which were responsible for the society. Merriments, which were represented by the merchants and Sudras, which were represented by the lowest class and excluded from the religion. Buddhist religion does not believe in caste system. Another difference is that Buddhism spread into many other countries and Hinduism stayed in India. Hinduism is more understable and comprehendible than Hinduism. Buddhist accepted everybody openly and Hinduism accepted people who were born into the caste system. In conclusion, I would like to say that both religions have differences and similarities. The most common similarities is that both religions have the same goal. This goal is to achieve salvation after the death. Both religions prescribe different ways in order to achieved freedom. One religion believes in god and in the caste system, and the other one does not believe in god and does not believe in the caste system.
Wednesday, September 4, 2019
Critical Reflection Journalism Portfolio
Critical Reflection Journalism Portfolio The portfolio is designed to showcase my work and abilities as a potential journalist. In putting together my portfolio, I was guided by my interests; principles of journalism as taught in class and the requirements of the module. In the portfolio, I wrote about a train driver who blamed a non-existent bad weather for jumping the platform; the ââ¬Ëdishonestââ¬â¢ and double standard manner the Cameron led coalition has handled the issue of tax avoidance involving Starbucks and the cases of looted funds from developing countries coming into the West, including Britain. I also wrote about the possibility that British universities may be turning out Islamic ââ¬Ëterroristsââ¬â¢. There was also an interview with a Social Worker, who chose to remain anonymous, on the difficulties of effectively discharging social care work. The first thing I noticed with the module was the fast pace of activities required to meet my portfolio requirements. Ordinarily my class work tends to move fairly slowly. The truth is I was not prepared for the speed and discipline portfolio production demands. More importantly I had problems picking a news event to cover out of all the options suggested. There is a reason. In my first year at the university, for one of my journalism modules the class was asked to cover a particular lecture at the Universityââ¬â¢s Stratford campus. The whole exercise ended in agony. I ended up trying to make sense of a highly technical Science lecture and to make it relevant and interesting to an audience that was not scientific or particularly interested in how scientists go about their research. It was a nightmare. I must have done something however because I did very well with the copy. It was a difficult exercise and I believe I made a mental note to stay away from such assignments in the future. This explains therefore, my decision to write on economic and business topics. In one or two of my copies I veered to political issues but at the heart of all this was my passion for issues affecting my native African roots, the perceived injustices, inequalities, inefficient and corrupt regimes in African countries and Nigeria in particular. The general view is that such regimes are largely sustained by the patronising Western powers. I have conducted interviews before but was unprepared for an interviewee who wanted to remain anonymous. I was therefore unsure of how to retain credibility for my copy on social work without betraying the confidentiality I promised my interviewee. I decided therefore to tie the piece to the Baby P scandal. The core of the story was the burden of expectations society placed on the professionals who work in the social care work without , as they see it, ââ¬Å"adequate resources and remunerationâ⬠, and also without making allowance for the fact that care service is not an exact science. Getting someone to speak on record for this piece was not easy and so, rather than ask around I decided to take the advice by Formichelli, Linda Diana Burrell (2003), and ââ¬Å" found my own sourceâ⬠. Another advice I took to heart was to ââ¬Å"give my interviewee a verbal ââ¬Ëthanksââ¬â¢Ã¢â¬ after the interview. The module instilled in me a number of significant transferable skills. The first is the need to be organised. Nothing significant is achieved without detailed and thorough planning. I have also taken an ââ¬Ëentrepreneurialââ¬â¢ attitude to work and learnt to be focused on the ââ¬Ëconsumerââ¬â¢ ââ¬â the audience. Most importantly, I was learnt to have an eye for newsworthy stories, with my target audience at the back of my mind. For example I was in that Southeastern train that jumped the platform but was still able to write the story in the third party. I have learnt how to write news and features for publication. I learnt to generate ideas, to research those ideas and to produce copies based on those ideas, to a high standard. I have also been able to detail proposals to a high degree and therefore in my view in a position to pitch for commission with editors. But I am still learning The module also helped me to take advantage of new social media tools with which journalists can communicate with their audiences.I am now able to confidently upload copies to websites, where allowed. I am also able to write directly online and given the fact that the internet and social media tools can now be monitored, I am able to apply journalism principles responsibly. These principles include my obligation to truth; discipline of verification and to recognise the platform as a forum for public criticism and compromise. I am aware also that I am allowed to exercise my personal conscience and take full advantage of my blog and twitter accounts. I have come away from the module recognising the primacy of traditional journalism values, particularly that of fact verification. I recall a situation concerning the copy I submitted for publication on the risingeast.co.uk website on the looting and transfer of funds from developing countries, particularly Nigeria to the West. Dr. Andrew Calcutt, my module tutor was unwilling to publish certain parts of that copy until he had evidence that is already in the public domain on the individuals named in the piece. I went back and sourced more than thirty one pages of newspaper articles for him. I appreciated his position especially when he said he was acting on advice from the legal department. This informed my approach to all the pieces that I submitted. Additional values I picked on include: truth, clear and clean writing. These are core skills and knowledge that I believe will make me a competitive player in the contemporary media and journalism industries. I have learnt to think clearly and to make sense of the world around me; I also learnt to communicate clearly and directly; and to work co-operatively with colleagues. To be organized in my work is to be able to meet deadlines and to present my stories and their ideas to other people. The module helped me to eliminate the boundaries between print, multimedia and broadcast, and to be strong on good writing and critical thinking. It was uplifting seeing my module leader present a fresh approach to my first copy in minutes. I told myself, with time and practice, Iââ¬â¢ll be like that. I learnt in practical terms how to identify workable and unique angles to news stories and features and how to remain focused on the message that I wish to convey. Another outcome was the how and why I should forget I have an opinion when putting a copy together. I am allowed to have an opinion but that opinion must not get in the way of the story I am telling my audience. I believed I managed that in the copies in my portfolio. I have always had an interest in following news, both serious and the mundane. This module reinforced this trait, which I consider one of my strengths. I am at home reading news online, in print and on mobile devices. One other strength I believe I have and which is essential to my programme is that of curiosity. I tend to observe and explore, asking questions, even in my everyday life. I read newspapers and magazines, watch news on television and listen to news on radio and still query them, trying to see them from different angles to see if they will come out the same way. I tend to stretch myself and to do things I wouldnt normally do, if only for the experience. This is essential to journalism. Lastly, I believe that any journalistic story must remain significant, interesting and relevant. I know I am good at this, but also mindful of the need to keep the news comprehensive and proportional. I appreciate that though I did not produce as many copies as I proposed to deliver, I am encouraged by the fact that I have picked up the necessary knowledge and skill to do so should I be able to work up the necessary discipline to effectively manage my time. I also note that I need to improve on my research efforts, particularly into the academic overview of journalism as a discipline. Nonetheless I have learnt a lot from this module. I know in practical terms what News is; I know how to recognise my audience and what it wants; how to write a story and how to pitch it to an Editor. I have picked up skills, I have met challenges which my training has helped me to get round. I have knowledge of how institutions work, and have highly developed communication skills which will work to my benefit. I am on my way. Bibliography Formichelli, Linda Diana Burrell (2003), The Renegade Writer: A Totally Unconventional Guide to Freelance Writing Success, New York: Marion Street Press Inc. Harrower, T (2007) Inside Reporting: A practical Guide to the Craft of Reporting, McGraw Hill, New York Sova, Dawn B. (2002), How to Write Articles for Newspapers and Magazines, London: Petersons,
Lord Of The Flies :: essays research papers
Lord of the Flies written by William Golding 223 pages, published by Faber and Faber LTD Lord of the Flies is written by William Golding 1954. It has been translated to several languages and it is a popular book all over the world. The edition that I've read was first published 1958, and reprinted 1959 and every year from 1963 to 1971, so it is hard to really know when this book was printed. William Golding was born on the 19 of September in Cornwall, England, and he decided to be a writer when he was only 7 years old. From the very beginning he studied natural science, but he became wearied of that so he began to study English literature and Physics, which he also got degree in. 1935 he made his debut with a poetry collection, but he didn't like to be a poet. His real debut was in 1954 with this book "Lord of the Flies". He continued writing and after several short stories, histories, dramas and articles he was selected to receive the Nobel's Prize of literature in 1983. William has also written The Inheritors, Free Fall, the Spire, Darkness Visible and many more. Lord of the Flies is about a group of English schoolboys who are from 6 to 12 years old. They have been set on a fate island somewhere in the south Pacific after a plane crash. This could have been a dreamsituation for the boys; no teachers, no parents and no rules that tell them what to do or not do, but the dreamsituation develops in to a hard society where rules are set up and everyone has its own task. They set up a fire so that they could be found if someone flies over or went by boat near the island. They started to hunt and live a life like if they never would be rescued. After a while this big group became divided into two smaller groups with Jack and Ralph as leaders. This "competition" developed a bloody fight on life and death. The leading characters in this book are Ralph, Jack and Piggy. The other boys are mentioned often but most of it is about those three boys. Ralph and Jack are both "leaders" but in different ways, they are not so clever but it is always their ideas that the group use. That's because they are so "loud", everyone listen to them.
Tuesday, September 3, 2019
How to get a Job in the US :: Resume, Cover Letter
In the United States, it is very difficult to acquire an occupation with so many people struggling and striving to get a position that only one applicant can have. A course of action one may take to place himself above others in the eyes of the employers is to plan and submit an outstanding resume. A resume is a professional approach to provide employers with written evidence of oneââ¬â¢s qualifications and skills. Resumes are required for professional, technical, administrative, clerical, sales, secretarial, managerial, and many other jobs (ââ¬Å"Resume Writingâ⬠1). It is essential to have an impressive resume for one to attain a decent job and earn a reasonable salary. There are three critical steps to take, in order to complete a successful resume such as gathering information, creating a cover letter, and creating a resume. The first step in this fulfilling task is gathering the information that will be applied in the cover letter and resume. The main components of information that must be compiled are as the following: past awards, recognitions, honors, job history, clubs, and college or high school transcripts. Another crucial component of information that needs to be acquired are the references. References can be anyone from past teachers to family friends to family doctors. References are important because they are the people that will tell what kind of person one is to the employer. One must gather all the information one wants to insert in his resume. Also one must begin a list of appropriate skills for whatever job he is applying for. Some desirable skills are basic computer skills, communication skills, and organizational skills. After compiling all of this information one is ready to submit the information into the cover letter and or resume. Next one must create a cover letter to showcase his top qualities in a single page (ââ¬Å"Savvy Cover Letterâ⬠1). The cover letter basically summarizes an applicantââ¬â¢s abilities (ââ¬Å"Resume Writerâ⬠1). To create the cover letter one must get a template to show the format of the cover letter, so one can implement his qualifications in it and customize it himself. One can also take a cookie-cutter approach to it and just take the easy way out (ââ¬Å"Savvy Cover Letterâ⬠1). One must keep in mind that he is trying to convince the employer to be interested in him enough to read his resume and eventually call him in for an interview.
Monday, September 2, 2019
Changes to the set context due to the system Essay
There will obviously have to be some changes to how the cinema is run because of ICT and the system. The system will have to be maintained and it will also have to be prioritised over other methods of advertising. The reason for this is because, this will soon probably become the most efficient and most used method to find out facts about the cinema. This is going to change many things in the cinema. The cinema is going to hire people who can manage websites and know how ICT works and are willing t put in extra effort to improve and maintain their improvements to the system. It is likely that someone is going to loose their job because of the switch from so called analogue to technological devices. The new posts will require candidates who have had experience with basic technical devices and know how things work. Therefore I believe that when coming to choose these new candidates we will soon realise the difference in job profiles and the different experiences which the candidates will have. The switch to technological devices will most defiantly see new posts created and jobs lost, but this is for the advantage to some and the disadvantage to others. The new kind of devices which could be introduced to the set context could be things like; 1. New tills 2. Bar code readers 3. Bar codes 4. Printing machines 5. New computer systems 6. New programs These are just a few of the things which might be changed because of the effect of ICT. The old people may not know how to operate the new devices, and it will probably be more worth while for the company to introduce a fresh face to the cinema with new staff who can carry out the tasks which the old were performing and also have the advantage over the old ones because of their knowledge on technical devices. The old staff may be reliable and worthy of their job, so the cinema might decide to offer training to certain individuals. This is a possibility for the cinema if they donââ¬â¢t want to loose some of their employees. The cinema also has to think about the fact that training is more expensive then replacing the old staff with new staff. It would be easier to do this, but the cinema doesnââ¬â¢t know how reliable the new staff may be. This could be an issue to think about. They might have all the knowledge but they might not be willing to work as hard of as efficiently as the old staff. This could affect business in a strong way. There are two possibilities; 1. Replacing the current staff 2. Training the current staff The system which I my self have created is a major fact to be considered in this decision on what to do with the staff. It is more then likely that new staff will have to be introduced to maintain the site or staff can be trained to do it. The current staff may have a small amount of experience with computers and different types of systems, but I believe that the new system which I have created for advertisement is completely different. The kind of things which have to be done to maintain and update the system is completely different to using the current system. The staff needs to learn how to use new programs and operate FTP programs. It is possible to offer new posts for certain jobs and to keep some of the posts which are already at the cinema. The new posts could be offered to the people who can do things which others canââ¬â¢t. For example, maintaining the system. The kind of jibs which can be kept would be selling tickets and refreshments. These are just a few of the changes which can be made. Training can be offered to those on the tills so that they can adjust to the new system. The reason why it is a good idea to keep some of the old staff and to get some new staff is because, if the majority of your staff are dismissed because they donââ¬â¢t know how to use technical devices then there is going to be a certain amount of anger towards the cinema, and this could potentially ruin the name of the company.
Sunday, September 1, 2019
Alcoholism is a chronic disease Essay
Alcoholism is a progressive and chronic disease that includes controlling drinking, using alcohol even though it causes problems, having physical dependence with alcohol, or having withdrawal symptoms when one tries to cut back or stop consuming alcohol. One can have a problem with alcohol and not have it progressed to alcoholism. That is called problem drinking which means one drinks too much causing repeated problem in their life. According to the Mayo Clinic (2012), binge drinking is a pattern where a male consumes five or more drinks in a row, or a female drinks at least four drinks in a row. Binge drinking can lead to the same health risks associated with alcoholism (Mayo, 2012). Not being able to stop drinking or cut back and denying you have a problem is a few of the things that come with alcoholism Criteria for alcoholism based on the DSM V are an individual meeting any two of the eleven criteria during the same twelve month period. Examples of these criteria include: a persistent desire or unsuccessful efforts to cut down or control alcohol use, craving or strong desire or urge to use alcohol, and important social, occupational or recreational activities are given up or reduced because of alcohol use (NIH, 2013b). As for ICD criteria, an individual must experience certain criteria as well. ICD criteria require an individual to experience three or more of the criteria occurring together for at least 1 month or if less than 1 month, occurring together repeatedly within a 12-month period. Examples of these criteria include: ââ¬Å"Difficulties in controlling drinking in terms of onset, termination, or levels of use; drinking in larger amounts or over a longer period than intended; or a persistent desire or unsuccessful efforts to reduce or control drinking, Need for significantly increased amounts of alcohol to achieve intoxication or desired effect; or markedly diminished effect with continued use of the same amo unt of alcohol, or Important alternative pleasures or interests given up or reduced because of drinkingâ⬠(Hasin, 2013). According to the article, Alcohol Consumption and Cancer Risk (2011), there is a dramatic link between alcohol and cancer. ââ¬Å"Heavy alcohol consumption ( âⰠ¥4 drinks/day) is significantly associated with an increased risk of about 5-fold for oral and pharyngeal cancer and esophageal squamous cell carcinoma, 2.5-fold for laryngeal cancer, 50% for colorectal and breast cancers, and 30% for pancreatic cancerâ⬠(Pelucchi, Tramacere,à Boffetta, Negri, & Vecchia, 2011). Evidence proves that even one drink per day increases the risk for pharyngeal or oral cancer by 20% and 30% for esophageal squamous cell carcinoma. Breast cancer has an increased risk of occurrence with three to six drinks a week. When an individual exposes themselves to both alcohol and tobacco, there is a greater increase in oral and pharyngeal cancer risk. Alcohol also causes an increase in head and neck cancer when it is used alone (not used in conjunction with tobacco). ââ¬Å"Restricting alcohol to limits indicated by the European Code Against Cancer would avoid nearly 90% of alcohol-attributable cancers and cancer deaths in men and over 50% of cancers in womenâ⬠(Pelucchi, Tramacere, Boffetta, Negri, & Vecchia, 2011). This article provides great evidence of excessive alcohol being linked to further health risks for individuals who indulge over the recommended amounts. A person suffering from alcoholism has many outer appearance changes throughout their life. Someone suffering from alcohol withdrawal may experience nausea, sweating, hand tremors, visual hallucinations, or seizures. These are all very common symptoms associated when an alcohol dependent person goes through withdrawal. Not only do these physical symptoms occur, but psychological symptoms also occur. Examples of psychological symptoms include depression, anxiety, irritability, restlessness, or insomnia. Both the physical and psychological symptoms can be visible from an outsiderââ¬â¢s perspective. An alcohol dependent person may not experience withdrawal symptoms if they are taking in enough alcohol on a daily basis that meet their required needs to feel well. Though they may not have the withdrawal symptoms, they do have physically visible symptoms from their excessive alcohol intake. Symptoms include facial redness/flushing of the skin, xerosis, dull skin tone, follicular hyperkeratosis, gingivitis, tooth decay, black hairy tongue, and weight gain. The most common though include dehydration of the skin and bloating in the abdomen or face (Drink Aware, 2014). Drinking too much alcohol deprives the skin from important vitamins and nutrients. Over time, losing these nutrients from excessive drinking can cause permanent damage from frequent flushing and redness of the skin. Facial and abdominal bloating occurs when the person experiences dehydration from the excess about of alcohol intake (Drink Aware, 2014). Prevalence of lifetime alcoholà use by age and gender graph was reported by the National Institute on Alcohol Abuse and Alcoholism (2013c): males age 18-24- 70% and women 55%, males age 25-34- 82% and women 65%, males age 35-44- 82% and women 63%, males age 45-55- 80% and women 55%, and males age 55 + 71% and women 39% (NIH, 2013c). According to the data from the National Household Survey, most Americans had at least one drink of alcohol by late adolescence. Among men, 70% to 83% reported consuming alcohol on at least one occasion during their lifetime, as compared to 39% to 66% of women. The prevalence rate of lifetime alcohol use among men is highest among those aged 25 to 55 and lowest among the 18 to 24 and 55 or older age groups. Similar findings were found for women, although they reported lower rates than men. The rate of lifetime alcohol was lowest among women ages 55 or older. The largest gender difference was noted among the 55 years or older age group, with males drinkin g more. The smallest gender difference was between 18 to 24 years old (NIH, 2013c). Alcoholism results from the complex interaction of genetic, social, and environmental factors. Alcohol has widespread effects on the brain and can affect nerve cells, brain chemistry, and blood flow within the frontal lobes. Neurotransmitters are affected by long-term use of alcohol. Neurotransmitters are released when alcohol is consumed, which produce euphoria and a sense of well-being. ââ¬Å"Chronic exposure of the brain to alcohol is thought to result in long-term adaptive changes that initially produce increased reinforcement for alcohol use and over time progress to withdrawal and negative affective states, so that regular alcohol use is required to feel normalâ⬠(Chung & Pittman, 2013) Being dependent on alcohol is often associated with psychiatric disorders, such as schizophrenia, depression, or PTSD. Genetic factors are believed to play a role in alcohol abuse. The New York Times (2013), believe the amygdala, part in the brain responsible for controlling cravings, has been reported to be smaller in individuals with family history of alcoholism (TNYT, 2013). There are also many social and environmental factors that contribute to the development of alcohol abuse or alcoholism. There are mass marketing of alcohol on television, billboards, and gas stations. Marketing tends to increase the number of alcohol sales and in turn increase chance of alcohol abuse among individuals. Many young individuals are pressured by friends or even family to begin drinking at a young age. Drinking at a young age greatly increasesà chances of that individual to suffer from alcoholism in the near future. During the general assessment of a person suffering from alcoholism, the nurse is to first gather accurate data regarding their drinking patterns. The nurse must ask the question, ââ¬Å"Do you sometimes drink beer, wine, or other alcoholic beverages?â⬠If the person states yes, then the nurse asks ââ¬Å"How many times in the past year have you had five or more drinks in a day?â⬠This will help the nurse gather important data regarding excessive alcohol consumption. The next step is to tell the patient to decrease the amount of alcohol that is being consumed since the chance of It is also important to ask about their life style, family, and relationships. The person may be experiencing depression or anxiety if they have lost family support because of their addiction. If this person is experiencing withdrawal symptoms during the assessment, the nurse should plan to provide comfort measures for this patient. The patient may also be very agitated, embarrassed, or not level headed, since alcohol has these effects on an individual. By simply looking at the patientsââ¬â¢ appearance, the nurse should be able to determine if the alcohol has caused further damage to the bodyââ¬â¢s organs. For example, if the liver is failing, the person may experience jaundice. Focusing the assessment around the use of the alcohol and effects it has on his or her life will be of most concern. The patient should have a full lab workup to determine if further damage has occurred to this patientââ¬â¢s health. The nurse can also provide appropriate resources for help, such as AA meetings, rehab, or family counseling, which will be beneficial for the patient. Drinking too much can take a serious toll on oneââ¬â¢s health. Alcohol can affect a person brain, heart, liver, pancreas, immune system, and can increase the risk for cancer. According to the National Institute on Alcohol Abuse and Alcoholism (2013a), alcohol interferes with the brainââ¬â¢s communication pathways. These disruptions can change mood and behavior. These changes can also make it harder to think clearly and move with coordination (NIH, 2013a). The heart can be affected with cardiomyopathy which is stretching and drooping of heart muscle. Arrhythmias, stroke, and high blood pressure can also occur from over using alcohol. Research by the NIH (2013a), alcohol can inflame the liver and cause steatosis or fatty liver, alcoholic hepatitis, fibrosis, and or cirrhosis. The pancreas produces toxic substances that can eventually lead to pancreatitis (NIH, 2013a). Pancreatitis is inflammation andà swelling of the blood vessels in the pancreas that prevents proper digestion. The immune system is weakened. Chronic drinkers are more likely to contract diseases like pneumonia and tuberculosis than people who donââ¬â¢t drink. Chronic alcohol consumption increases risk for cancers such as mouth, esophagus, throat, liver, and breast Alcohol pharmacokinetics includes absorption, distribution, and metabolism. After oral absorption, alcohol is absorbed from the duodenum by diffusion (Ramchandani, 2009). The rate depends on the volume of alcohol consumed (the less concentrated the slower rate of absorption), rate of drinking (faster you drink the faster the absorption), food, and gastric metabolism. The distribution of alcohol is into total body water. There are also gender differences in body. Women have a lower proportion in total body water compared to men. Metabolism of alcohol occurs primarily in the liver in a two-step process. As researched by Ramchandani (2009), the first step, alcohol is oxidized to acetaldehyde by the enzyme alcohol dehydrogenase or ADH. In the second step, acetaldehyde is converted to acetate by the enzyme aldehyde dehydrogenase. Then there is alcohol pharmacodynamics (Ramchandani, 2009). Alcohol is a CNS depressant. Its stimulatory effects result from depression of inhibitory control mechanisms in the brain. Characteristic responses to alcohol include euphoria, impaired thought processes and decreased mechanical efficiency. More than just a doctor is needed for the treatment of alcoholism. Alcoholism counselors, social workers, psychologists, and family therapists are a few others that may be involved. There are three stages in treating alcoholism. The first is to make sure the person is medically stabilized. Next, they must undergo a detoxification process which is then followed by long-term abstinence and rehabilitation. According to Cunha (2012), the most common medication in treating alcoholism is disulfiram (Antabuse). It interferes with alcohol metabolism resulting in a metabolite that makes the person nauseated and very uncomfortable when consuming alcohol (Cunha, 2012). If they stop taking this they can implant a device under the skin so they have to continuously take it without the freedom of being able to stop it. Other medications used are naltrexone (ReVia), acamprosate (Campral) and a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs) (Cunha, 2012). Alcohol withdrawal is treated by oral or IV hydration along with medications. According to Cunha (2012), the most commonà medication groups used in treating alcohol withdrawal symptoms are benzodiazepines, which include lorazepam (Ativan), diazepam (Valium), and chlordizepoxide (Librium) (Cunha, 2012). Any person that is being treated for alcoholism should also receive thiamine (vitamin B1). The thiamine levels ar e usually low and if deficiency occurs it could lead to Wernickeââ¬â¢s encephalopathy. The detoxification stage involves stopping the alcohol consumption. This usually occurs in an inpatient setting and will require extensive support. The medication will be given and then tapered off until no withdrawal symptoms are evident. This process lasts a few days to a week. Rehabilitation can be either a short term or long term residential program. These help those who are more severely dependent and need the help to develop skills not to drink and to work on ways to help them from relapsing. Short term programs are less than four weeks long where long term programs can last for a month to a year or more. There are also several effective individual treatments delivered by professional counselors in outpatient treatment clinics. These treatments include: twelve-step facilitation therapy, motivational enhancement therapy, and cognitive- behavioral coping skills. There are also self-help programs which are: Alcoholics Anonymous (AA), women for sobriety, Rational Recovery, and SMART recovery (Cunha, 2012). These allow alcoholics to stop drinking and remain sober on their own. In conclusion, alcoholism is a very serious condition that sadly many people face in the world. There any many means of helping these patients, but only if the individual wants the assistance. Once the person is so alcohol dependent, they are in a state of denial and think that nothing is wrong with their habit, but the earlier we get them to understand their problems then the easier it is to help them through it. Alcoholism is not only a terrible disease itself, but it also leads to many other deadly diseases and illnesses. The first priority to make a difference in the world is to educate the youth about alcohol, which will hopefully decrease the rates of alcoholism occurrences in the future. The effects of alcoholism which are physical and psychological can cause many problems that affect a personââ¬â¢s life in all aspects. Alcohol alters oneââ¬â¢s brain, muscles, digestion process, and other disorders that affect oneââ¬â¢s health. It also can cause depression or changes in behavior that result in problems with their family, friends, and with themselves. References Chung, P. & Pittman, J. (2013). Epocrates Online. Alcohol Abuse. Retrieved from https://online.epocrates.com/noFrame/showPage.do?method=diseases&MonographId=19 8&ActiveSectionId=24 Cunha, J. (2012). E Medicine Health. Alcoholism. Retrieved from http://www.emedicinehealth.com/alcoholism/page8_em.htm Drink Aware.(2014).Health Effects of Alcohol. Alcohol Dependence. Retrieved from https://www.drinkaware.co.uk/check-the-facts/health-effects-of-alcohol/mental- health/alcohol-dependence Hasin, D. (2013). National Institute on Alcohol Abuse and Alcoholism. Classification of Alcohol Use Disorders. Retrieved from http://pubs.niaaa.nih.gov/publications/arh27-1/5-17.htm Mayo Clinic Staff. (2012). Alcoholism. Retrieved from http://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866) National Institute on Alcohol Abuse and Alcoholism (NIH). (2013a). Alcoholââ¬â¢s Effects on the `Body. http://www.niaaa.nih.gov/alcohol-health/alcohols-effects-body National Institute on Alcohol Abuse and Alcoholism. (NIH). (2013b). Alcohol Use Disorder. Retrieved from http://pubs.niaaa.nih.gov/publications/dsmfactsheet/dsmfact.pdf National Institute on Alcohol Abuse and Alcoholism (NIH). (2013c). Epidemiology of Alcohol. Problems in the United States. Module 1. Retrieved from http://pubs.niaaa.nih.gov/publications/Social/Module1Epidemiology/Module1.html Pelucchi, C., Tramacere, I., Boffetta, P., Negri, E., & Vecchia, C. (2011). Alcohol Consumption and Cancer Risk. Nutrition & Cancer, 63(7), 983-990. doi:10.1080/01635581.2011.596642.
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