Schizophrenia for Eating - Bathing and Dressing -myassignmenthelp

Question: Discuss about theSchizophrenia for Eating, Bathing and Dressing. Answer: Schizophrenia is a severe mental and chronic disorder that affects the thinking, feeling and behaviour of an individual. The patients with schizophrenia seem to lose touch with reality. Schizophrenia is a neuropsychiatric disorder that affects the three main areas: two areas in the frontal lobe and CA1 area in the hippocampus that comprises of a small region. Although it is not a terribly common disease, it is a severe one. Globally, about 1% of the population is diagnosed with this disease mainly 1.2% (3.2 million) suffer from schizophrenia (Farmer Chapman, 2016). The lifetime prevalence of schizophrenia is 0.87% and incidence is 15.2 in 100,000 persons that show prominent variation. Epidemiological studies show that lifetime prevalence is around 1% according to National Institute for Mental Health, 2015 (National Institute for Mental Health (2015). In a recent Singapore study on mental health, Multi-Disciplinary Team (MDT) is required for care delivery by different healthcare prof essionals in providing care to the schizophrenic patients. Therefore, the following assignment will discuss the development of MDT, identification of interventions in providing best care while working with clients suffering from mental health conditions in Singapore. Schizophrenia is a severe and challenging disorder in which a person is unable to distinguish between unreal and real, clearly think, manage motions and function normally. There is fear, confusion experienced in schizophrenic patients and seem to withdraw from the social world. There is also disruption of normal daily activities like eating, bathing, dressing or running errands. Schizophrenia is likely to develop more in males than females at an earlier age between 16 and 25 years and average onset age is 25 in women and 18 in men. The peak onset of the disease in males is 20-28 years and in females, 26-32 years (Chong et al., 2017). The onset is rare in childhood as compared to middle or older age groups. According to World Health Organization (WHO), schizophrenia affects more than 21 million people globally; however, it is not common as compared to other mental health disorders (World Health Organization, 2010). There is stigmatization, discrimination and violation of rights of peo ple living with schizophrenia. Schizophrenia is a clinical diagnosis that is differentiated from other medical illnesses where there is requirement of integration of medical, psychosocial and psychological inputs carried out by MDT. Antipsychotic medications help in the prevention of relapses or in diminishing the positive schizophrenic symptoms. The exact etiology of schizophrenia is still unknown. However, research suggests that it is a combination of causes including genetics and environmental factors. According to Ripke et al., (2013) the genomic experiments suggest that schizophrenia is mainly associated with SNPs with alleles and uncommon copy number variations (mainly deletions). Recently, researchers have identified a gene named C4 or complement component 4 that is involved in immune system that increases the risk of the mental illness (Sekar et al., 2016). After the conduction of tests in mice and humans, this identified gene is involved in the elimination of connections between neurons called synaptic pruning. The strongest genetic predictor that increases schizophrenia risk is located on chromosome 6 on DNA (Ripke et al., 2014). According to Reichenberg et al., (2016) although genetic factors are involved in the disease etiology, environment also plays an important role in the development of the illness affecting gene expression. In the early life, factors like maternal nutrition, obstetric complications, maternal stress and postnatal or prenatal infections increases the risk of schizophrenia as proposed by EU-GEI, 2014. In the later life, drug abuse, ethnicity or migration, social adversity, urbanization is also the environmental factors that might increase the risk of this illness. The contributing factors that increases schizophrenia risk has a great impact on the life of the people suffering from the disease. It affects their everyday life and overall quality of life. It is troublesome to life alteration that affects personal, professional and social life. There is tendency of the individuals to withdraw themselves from others and exhibit mood behaviors that are inappropriate making relationships difficu lt. Symptoms associated with the disease like delusions or hallucinations hinder them from participating their family chores and social life. There is also reduced physical performance due to worsening of physical health exacerbating Activities of Daily Living (ADL) disability (Patel et al., 2014). The resultant impairments are witnessed across ADL from basic activities to mobility and job skills. Concisely, schizophrenia has a potential impact on the motor abilities, cognition and physical capacity hampering overall quality of life. Schizophrenia is a complex disorder that involves the multiple pathways dysregulation where dopaminergic, GABAergic and glutamatergic neurotransmitter are affected. Anatomic, immune system and neurotransmitter abnormalities have implications on the schizophrenia pathophysiology. There is identification of deficits in the acetylcholine muscarinic receptors where inflammation has been found to be the major contributor to the development, exacerbation of schizophrenia. Neuroimaging studies shows that there is decrease in brain volume, enlarged ventricles in the medial temporal areas along with changes witnessed in hippocampus. Anatomic abnormalities are seen in the limbic and neocortical regions and in the interconnection of white-matter tracts that are reduced in the brains of schizophrenic patients. There are abnormalities seen in the dopaminergic systems exhibiting hypodopaminergic activity in mesocortical system that leads to negative symptoms and hyperdopaminergic activity that lead to positive symptoms (Jenkins, 2013). There is also over activation and disturbance in the immune system that may result in inflammatory cytokines over expression and alteration in function and structure of brain. For example, elevated proinflammatory cytokine level activates kynurenine pathway where tryptophan is metabolized into quinolinic and kynurenic acids. These acids cause regulation of NMDA receptor activity involved in the regulation of dopamine. Metabolic disturbances and insulin resistance are common in schizophrenia linked to inflammation (Lee et al., 2014). Therefore, inflammation may be related to the schizophrenia psychopathology and metabolic disturbances. The complications of schizophrenia are devastating as it affects the human emotion, thought and expression. There are only 20% of the full recovery chances after a first schizophrenic episode that improves their quality of life. Among the medical illnesses, diabetes occurs in schizophrenia as the anti-psychotic drugs elevate the blood sugar levels. In addition, depression is also common because of negative social impact common in the later adulthood. It also affects the social status, as there is decline in the inability to perform the ADLs and earn a living. The long-term effects include relationships and professional life that leads to social exclusion. Intelligence is also affected, as there is decline in IQ reflecting early nerve damage, however, it is not an inevitable cause for schizophrenia disease progression. Suicide is also a complication due to the frightening behavior and they tend to withdraw themselves from others or causes self-harm. An estimated, 9-14% of people commi t suicide out of 20-50% schizophrenic patients and behave violently as compared to the general population (Howes Murray, 2014). The above description shows that schizophrenia is a serious mental health problem that is occurring widely, frequently causing severe disability, and diminishing quality of life. There is high incidence and prevalence of schizophrenia worldwide that is contributing to the burden of disease. Schizophrenia is a psychotic condition that is affecting the overall quality of life indicating lower quality of life, loss of productivity, distress and secondary mental health problems like depression for the patients, their families and caregivers. Therefore, the above discussion shows that this mental health problem of schizophrenia is worth investigating and requires MDT approach for the care delivery to the patients. For the treatment of schizophrenia, MDT approach that integrates psychopharmacologist, therapist, physicians, clinical pharmacists, nurses being the valuable members of the team. This MDT comprises of consultant who would discuss the medical problems related to schizophrenia along with prescribed medication. The psychiatrist would discuss the aspects of the illness so that the patient has a better look in overall life. The psychiatrist would discuss with the doctors and help in the recovery process for the clinical and social functioning of the schizophrenia patient. Social worker is also important who would encourage the patient for social integration and cope with environmental life aspects. Among this MDT, nurses play the most important role that provide all aspects of care in every phase of the disease in the psychiatric setting. Psychotherapist provides effective therapy for the best management of the unhealthy thinking in schizophrenia and develops new patterns that can help pa tient learn best ways to manage symptoms. The interventions are discussed in the next section. Antipsychotic treatment is the first pharmacological intervention that is used for the prevention of relapses and positive symptoms of schizophrenia (Kishimoto et al., 2013). Approximately, relapses occur within 1 year in around 80% of the patients if the medications are suddenly stopped. The choice of drug for schizophrenia treatment depends on the factors like cost, effectiveness, method of delivery, side-effect burden, tolerability and availability. The best choice of drug is the second-generation antipsychotics (SGAs), major tranquilizers or neuroleptic medications helps in diminishing the symptoms and in reducing the chances of relapses. SGAs have minimal extrapyramidal side effects (EP) as compared to the first generation counterparts. SGAs class of drugs includes clozapine, aripiprazole, iloperidone, olanzapine, risperidone, olanzapine, paliperidone. These class of drugs have prominent serotonin 5HT2A combined with D2 antagonism along with a unique receptor-binding profile for muscarinic, histamine and and serotonin receptors (Fonseka, Richter Mller, 2014). SGAs work principally by antagonizing or blocking the dopamine action at its receptors that in turn decreases the chemical signals that drives the violent or psychotic behaviour. The rationale for choosing this class of drugs is that EPS risk is less that are characterized by tremors, muscular rigidity, restlessness, shuffling movement and muscular spasms that result in abnormal posture (Nielsen et al., 2015). This new generation of antipsychotics are better tolerated and superior in the treatment of negative schizophrenic symptoms. It also reduces the tardive dyskinesia having more clinical efficacy in treatment-resistant schizophrenia. The areas of brain where cognition and emotion balance are affected by dopamine and serotonin; SGAs perform dual function to reset the balance when altered. Therefore, this class of drugs balances the disturbances in neurotransmitters that are manifested in schizophrenia being the best pharmacological treatment option. However, SGAs can cause side effects and bad interactions when used with other medications. It may cause uncontrollable movements like tremors, muscle spasms, weight gain, drowsiness, dizziness, restlessness, dry mouth, vomiting. The safe administration is important and among the MDT, nurses play the vital role in understanding the medication pharmacology, side effects and contraindications in a hospital setting. According to Divac et al., (2014) nurses lack in-depth knowledge about antipsychotics and fail to identify the potential adverse side effect of antipsychotics. Therefore, nurses have to consider parameters like patient safety, Extrapyramidal Syndromes, metabolic considerations, QTc Prolongation and Torsades de Pointes and employ patient education. Routine assessment of neurological status, ambulatory status and orthostatic vital signs is important for patient safety. Nurse should look for the EPS via early detection and look for serum glucose, weight, serum lipids and choles terol levels in the patient. Finally, for the safe use of drugs and reduce side effects, patient should be educated to look for the adverse effects and encourage them to continue with the prescribed medications. Another intervention is cognitive behavioural therapy (CBT) that treats the schizophrenia residual symptoms (both positive and negative types). CBT help the patients to learn them to live better, avoid relapse and reduction in certain symptoms. A psychotherapist helps the patient to change their perspectives of harmful or destructive beliefs and reduce suicidal ideation in an outpatient setting. The therapist helps the patient in transforming the negative or harmful cognitive patterns into positive and healthy beliefs (Subramaniam et al., 2012). The rationale for choosing CBT is that it helps patients to identify the triggering symptoms and handle their stresses and responsibilities better while living with the disease. The role of a psychotherapist is not to cure the disease, but to improve the functional ability of the person, independence, better management and reduction of stress that they experience in their daily life. Behavioural experiments, cognitive restructuring, coping sk ill training and self-monitoring are the CBT approaches that help patients to lead a normal life while living with the disease. Community services are also helpful that work in conjunction with the psychiatric care for the schizophrenic patients that minimize the social impact of the disease. Community-based mental health services provide full range of mental health care that are dedicated in the treatment and helping patients to relieve them from distress and enhance social inclusion. There is stigmatization and discrimination regarding mental health disorders and so, community care services emphasize on the improvement of quality of life, de-stigmatization of mental illness and promotion of self-sufficiency. Silver Ribbon in Singapore reaches out to the schizophrenic patients to help them build positive mental health. The community resources provide them an opportunity for the patients to reintegrate into the local community and help them lead a normal life. Singapore Association for Mental Health (SAMH), SACS that provide peer support, illness management and recovery program for schizophrenia. Club Heal ai ms to empower and assist schizophrenic patients to regain confidence and help them in community reintegration. National Council of Social Service provides support to schizophrenic patients for community integration by providing support services for seamless recovery. In Singapore, schizophrenia is the ninth leading cause of disability (2.7% since 2007, disability-adjusted life-years) and has been incorporated in the National Chronic Disease Management for the enhancement of patients care suffering from schizophrenia. It requires MDT approach for care delivery by different healthcare professionals in providing care to the schizophrenic patients. Researchers have identified a gene named C4 or complement component 4 that is involved in immune system that increases the risk of the mental illness. Antipsychotic treatment is the first pharmacological intervention and CBT improve the functional ability of the person, independence, better management and reduction of stress that they experience in their daily life. Community-based mental health services provide full range of mental health care for social inclusion and improve their quality of life. References Chong, S. A., Abdin, E., Vaingankar, J. A., Heng, D., Sherbourne, C., Yap, M., ... Subramaniam, M. (2017). A population-based survey of mental disorders in Singapore. Retrieved from: https://open-access.imh.com.sg/handle/123456789/4547 Divac, N., Prostran, M., Jakovcevski, I., Cerovac, N. (2014). Second-generation antipsychotics and extrapyramidal adverse effects.BioMed research international,2014. Doi: https://dx.doi.org/10.1155/2014/656370 European Network of National Networks studying Gene-Environment Interactions in Schizophrenia (EU-GEI. (2014). Identifying gene-environment interactions in schizophrenia: contemporary challenges for integrated, large-scale investigations.Schizophrenia bulletin,40(4), 729. Doi: 10.1093/schbul/sbu069 Farmer, R. F., Chapman, A. L. (2016).Behavioral activation. American Psychological Association. Fonseka, T. M., Richter, M. A., Mller, D. J. (2014). Second generation antipsychotic-induced obsessive-compulsive symptoms in schizophrenia: a review of the experimental literature.Current psychiatry reports,16(11), 510. Doi: 10.1007/s11920-014-0510-8 Howes, O. D., Murray, R. M. (2014). Schizophrenia: an integrated sociodevelopmental-cognitive model.The Lancet,383(9929), 1677-1687. Doi: https://doi.org/10.1016/S0140-6736(13)62036-X Jenkins, T. A. (2013). Perinatal complications and schizophrenia: involvement of the immune system.Frontiers in neuroscience,7. Doi: 10.3389/fnins.2013.00110 Kishimoto, T., Agarwal, V., Kishi, T., Leucht, S., Kane, J. M., Correll, C. U. (2013). Relapse prevention in schizophrenia: a systematic review and meta-analysis of second-generation antipsychotics versus first-generation antipsychotics.Molecular psychiatry,18(1), 53. Doi: 10.1038/mp.2011.143 Lee, A. A., McKibbin, C. L., Bourassa, K. A., Wykes, T. L., Andren, K. A. K. (2014). Depression, diabetic complications and disability among persons with comorbid schizophrenia and type 2 diabetes.Psychosomatics,55(4), 343-351.Doi: https://doi.org/10.1016/j.psym.2013.12.015 National Institute for Mental Health (2015) Schizophrenia homepage. Retrieved 15 June 2015, from: https://www.nimh.nih.gov/health/topics/schizophrenia/index.shtml Nielsen, R. E., Levander, S., Kjaersdam Telleus, G., Jensen, S. O. W., stergaard Christensen, T., Leucht, S. (2015). Second?generation antipsychotic effect on cognition in patients with schizophreniaa meta?analysis of randomized clinical trials.Acta Psychiatrica Scandinavica,131(3), 185-196. Doi: 10.1111/acps.12374 Patel, R., Jayatilleke, N., Jackson, R., Shetty, H., Stewart, R., McGuire, P. (2014). Poster# S170 Identifying Negative Symptoms In Schizophrenia And Association With Clinical Outcomes Using Natural Language Processing.Schizophrenia Research,153, S151.Doi: https://dx.doi.org/10.1016/S0920-9964(14)70449-9 Reichenberg, A., Cederlf, M., McMillan, A., Trzaskowski, M., Kapara, O., Fruchter, E., ... Plomin, R. (2016). Discontinuity in the genetic and environmental causes of the intellectual disability spectrum.Proceedings of the National Academy of sciences,113(4), 1098-1103. Doi: 10.1073/pnas.1508093112 Ripke, S., Neale, B. M., Corvin, A., Walters, J. T., Farh, K. H., Holmans, P. A., ... Pers, T. H. (2014). Biological insights from 108 schizophrenia-associated genetic loci.Nature,511(7510), 421. Doi:10.1038/nature13595 Ripke, S., O'Dushlaine, C., Chambert, K., Moran, J. L., Khler, A. K., Akterin, S., ... Kim, Y. (2013). Genome-wide association analysis identifies 13 new risk loci for schizophrenia.Nature genetics,45(10), 1150-1159. doi:10.1038/ng.2742 Sekar, A., Bialas, A. R., de Rivera, H., Davis, A., Hammond, T. R., Kamitaki, N., ... Genovese, G. (2016). Schizophrenia risk from complex variation of complement component 4.Nature,530(7589), 177. Doi: 10.1038/nature16549 Subramaniam, M., Vaingankar, J., Heng, D., Kwok, K. W., Lim, Y. W., Yap, M., Chong, S. A. (2012). The Singapore Mental Health Study: an overview of the methodology.International Journal of Methods in Psychiatric Research,21(2), 149-157. Doi: 10.1002/mpr.1351 World Health Organisation (2010). International Statistical Classification of Diseases and Related Health Problems 10th Revision version 2010. Retrieved June 20, 2012 from https://apps.who.int/classifications/icd10/browse/2010/en#/

Effects of Part-Time Job to Academic Performance Among Fourth Year College Students free essay sample

Effects of Part-Time Job to Academic Performance among Fourth Year College Students in Ateneo de Zamboanga University Khadija A. Arip Lorraine Mae P. Bastasa Writing and Research Ms. Daryl Jane B. Barrios Table of Contents I. ABSTRACT II. INTRODUCTION III. BODY A. Definition of Part- Time Job B. Possible Causes of Part Time Jobs in College C. Effects of Part Time Work in College D. Advantages and Disadvantages IV. CONCLUSION Abstract Most likely, every student transcends their limitations nowadays. They juggle time in working, education, and social life. essay writing service hong kong For what reason that is, well, they do this in order to be able to pay up for education expenses. Some others just do this to earn a little extra spending money, for them to be able to buy something which they want to avail without them begging their parents for it. Basically, part time work is their only choice to get that money they need if they do not have student loans offered at their university. Some students need to pay up for rent, tuition, and etc. Working part time gives them the money and the thought of realizing how important it is. They are also provided with the thought of handling their responsibilities very well if they work part time during college days. Indeed, working while studying can be tough to handle. It forces you to manage your time and your responsibilities. Sometimes, it makes you choose between the two. Students today tend to sacrifice their time for social life to earn some extra spending cash. They end up being way too busy to have a social life. They don’t even have enough time to sleep which affects their daily performance at school. They juggle these responsibilities for a few income or profit. They do all of that for money. Introduction First of all, when students have a job they will earn money, some of these students need the money to pay for expensive schools, while other students need it to make their life easier. Some students will not worry about many things in their life such as food, rent and bills especially if they obtained lot of money from their job. Some schools are very expensive, even the parents students’ cannot pay all the fee for these schools, thus the students have to obtain a part-time job which would help them to provide money for school fees and for themselves. Having a part-time job after class may be a good option for students to gain more valuable experience. However, some people are worrying about the part-time job will pose a bad influence on study. How to handle a part-time job and how to balance it with study seems to become a significant question. Proper arrangements for study and part-time job can make college students enjoy working for a company and enrich their reference. Reasons for taking up part time jobs are to earn extra income, daily allowances and for experience. Despite having lessons uring weekdays, some of the students still work during weekdays. There are negative and positive effects on students who have part-time jobs. They gain many skills and have many experiences for example; they learn a lot about life and improve their language from the people in their work. Also, the work affect on their studying and their normally way of living. Some students are working until midnight, so they have to sleep lately which could make them tired all day. Thus, they will be late or missing their class. Definition of Part Time Job Literally, part time is described as something which involves less than a normal or standard time. From this basis, we can now state that a part time work is a work which does not require you working full time. Basically, a part time job refers to an employment position wherein fewer hours per week are put into work by an individual than the regular full time job. Most people who work part time jobs to gain primary income are students and elderly citizens. Low wage workers earn this type of job to supplement their primary incomes. Other workers with no full time job also seek part time jobs to gain little profit. These kinds of workers don’t generally enjoy the employment benefits and rewards that are available to full time employees. Sometimes an employer requires someone to do part time jobs in order to see what an individual is capable of his work and tasks. They try to see whether the individual is suited to work full time at their company or not. If they lasted in this sort of training presented to them by their employer then they might be asked to work full time on the said company. Most commonly, part time employment is found at fast foods, restaurants, retail store, factory, public library, universities, and call centers. If people are sort of looking for part time work in order to gain a little income, they most prefer to go to these sorts of companies. Frequents searchers of part time jobs are the students between ages 17-23. Most of them are in high school and colleges. They do part time works to have a little extra pocket money with them. Others look in order to find money for educational expenses. Many individuals also seek part-time weekend jobs to supplement their incomes or voluntarily take up such jobs which match their passions or pursuits outside of their primary employment. An individual may take on a second job to augment his income. Second jobs can be full-time or part-time positions. For all we know, part time jobs are just around us. We might have known somebody who is into this kind of work. They work in order to gain primary income or just a little money for something they want so badly. Judging from the economic status of our country, people often work even if they are in college just to finish their education. Sometimes what our parents can give us are always not enough for what we need. In order to help them around the burden, we work a little, even if that costs us our time for enjoyment and pleasure with our friends. Possible Causes of Part Time Jobs in College At this moment, students are increasingly likely to work in college. Working students can be categorized into two groups. These are the â€Å"students who work† and the â€Å"workers who study. † Almost two thirds of undergraduates consider themselves as the students who work; the other third are the workers who study. Around the economic status of our society, students tend to work their time in order to pay up for college. That is the primary cause why there are workers who study, which works full time just for them to be able to finish their education. They lack the time to enjoy a night or day out with their classmates and the time to study if their employers are not that understandable in terms of working in college. As for the students who work, well, they just work in order to gain a little profit out of it. They work part time in order to have a little money for something they want so badly. For instance, Girlie wanted this dress from a store but her allowance isn’t enough for her to be able to buy it, and she was too ashamed to ask something from her parents, she works on a public library for a few hours in a week for her to get money, gifting her dress that she always wanted. Some just work in order to gain a little cash for emergency purposes. Effects of Part Time Work in College Primarily, most of the effects of part time work while studying are not beneficial. If students tend to work while studying they end up being deficient in time to study. Most part time works require way too much hours per week, and they lose this time wherein they can engage themselves in studying for a big exam next week. Yes, they can always suggest that they can bring their tons of books to the workplace, in that way, they can study whenever there is nothing left to do. But that’s if their managers or employers allowed them to do that. Some employers are not that pitiful to students who work while studying. Sometimes they tell them to work first and the students are left in the middle wherein they are needed to choose between work and school. A burden of such might result to the student picking up work since it is more beneficial in terms of money and declining school since in order to finish education you will have to need the money. Although sometimes, the effect of part time employment for students might be good. For example, working while studying lets you earn the experience that you might need when you apply for a full time work after graduating. It could add up to your behavior at the workplace which was always needed information in terms of applying for a full time job. [pic] Figure 1. 0 Type of Work The data show the different type of work that the students have. The data shows that 10 of the students work as a crew member in fast-food and only 1 work as a singer in the bar. Students work as crew member in fast-food because it is the most popular part-time job. Some of them work as tutor because they use and share their knowledge. A little of them work as dance instructor, these students who are dance instructor teaches other student and they teach outside university. [pic] Figure 2. 0 Place of work The figure shows the work place of the students. The data shows that 10 of them work at fast-food and only 1 works at the bar. Fast-food is the number one workplace. [pic] Figure 3. 0 If the salary is good enough The data shows if the students’ salary is enough. Most the students answer yes and few of them answer no. Advantages Disadvantages Advantages: 1. Working while studying gains you the experience that you might need when you apply for a full time job after graduation. 2. Part time work earns you a little money which can give a sense of pride and accomplishment. 3. Having a part time work can give you extra spending money to buy things without you having to beg it from your parents. . Working for money makes you understand that money does not come from trees and appreciate the things that your parents provide for you. 5. Having a job can give you a sense of financial independence as you are not reliant to your parents. 6. Working in college can you the experience and knowledge about working and its environment. 7. Students will also realize the importance of higher education because after seein g a co-worker twice your age at Jollibee, you realize that what you are doing isn’t something you want to do for the rest of your life. . Having part time work forces you to learn time management. It makes you understand that time really is gold. 9. Earning extra money in college makes you understand that responsibility builds character, and having more of it will just enhance your moral fiber. 10. A part time job can help you interact better with others. It can also help you enhance your leadership and teamwork skills. Disadvantages 1. Working takes a lot of time from school work and socializing. 2. Part time work limits the amount of extracurricular activities that you can take up. . The time spent from working off a part time job is the time that was lost, which could’ve been used for a much more beneficial stuff like homework, sleeping, studying, or just chilling out with friends. 4. Part time work can take off your time away from sleep which affects your performan ce in school and other activities such as sports. 5. A part time work can also be hard to fit in a student’s busy schedule in college. As many of us would not want to what do a sacrifice our free time for a little extra cash. 6. The job might have requirements where you have to go to work even if you can’t because you have an important test coming up. 7. Not all employers are sympathetic enough to let you bring your books and notes to your workplace when you have a big exam coming up tomorrow. 8. Sometimes, employers makes you choose between school and work which gets to the result of you choosing work over school since it provides you money as for school, you need money to finish it. 9. Juggling time between work, education, and social life can be an incredibly tough task to do. Balancing time wouldn’t be that easy. Conclusion

The Road Not Taken by Robert Frost , Poetry Expli Essay Example For Students

The Road Not Taken? by Robert Frost , Poetry Expli Essay cation The poem The Road Not Taken by Robert Frost addresses the idea of decision-making and choosing what direction life will take you. The poem is about the speaker arriving at a fork in the road, where both paths are carpeted with leaves. The persona, who is believed to be Frost himself, chooses to take the road less traveled by. He tells himself that he will take the other road another day, although he knows it is unlikely that he will have the opportunity to do so. The poem concludes with the speaker satisfied by his choice in taking the road less traveled by. We will write a custom essay on The Road Not Taken? by Robert Frost , Poetry Expli specifically for you for only $16.38 $13.9/page Order now The poem consists of four stanzas, each containing five lines. The rhyme rigid scheme is ABAAB. Then, in the last line the rhyme is broken with the word difference making the ending stand out from the rest of the poem. Each line contains four stressed syllables. Frost uses a metaphor comparing the road to life, and the fork to making decisions. The first stanza conveys a mood of change and introduces the idea of a life altering decision, which is the basis for the poem. First Frost sets the scene with his opening words, Two roads diverged (line 1). The speaker is standing at a junction in the road pondering two choices. The roads in the poem are merged where the speaker is standing but lead in two different directions signifying two different paths in life. Frost begins with the metaphorical meaning as early as the first line with his reference to yellow wood (line 1). This suggests that the setting is in the forest during Fall, which is the season of change. The second line, sorry I could not have traveled both (line 2) expresses the curiosity to explore several possibilities in life. It also forms a sense of regret at not knowing what could lie ahead on the un-chosen path and the speakers limitation to one lifetime. When Frost says, And be one traveler (line 3) it is obvious that speaker can not travel down both paths. He realizes that he needs to make a choice and pick one path over the other. The speakers procrastination and the difficulty in predicting the outcome of the decision he needs to make is shown when he, stood And looked down one as far as I could (line3-4). Both roads lead to the unknown, To where it bent in the undergrowth (line 5), as do many choices in life. This is a metaphor to our inability to predict the future, and the fact that regardless what road is chosen it will not be free of obstacles. In the second stanza the persona continues to examine both paths and ponder which road to take. In line six Frost uses the phrase, just as fair (line 6), to imply that his decision needs careful consideration because once it is made, there is no turning back. Once again, Frost points to uncertainty in the future by using the word perhaps in line seven. The speaker is judging the road from where he is standing. Frost then goes on to describe the path as grassy and wanted wear (line 8). From this line, the reader gets the impression that the persona took the road less traveled by to break away from the influence and control of society. But by making the metaphor a road Frost makes it clear that few have chosen to take the harder route through life because it is less trodden upon. Although the roads have little difference in appearance since they are worn about the same (line 10), they both lead to undeterminable futures. By the end of the second stanza, the speaker still has not made a choice about which path to take. The third stanza makes it clear that every time a choice presents itself there is a new journey or path to be traveled. This is shown in lines eleven and twelve when Frost says, And both that morning equally lay In leaves no step had trodden black (line 11-12). Then, with the use of, Oh, I kept the first for another day! (line 13), the speaker repeats his hesitation and .

6 Tips on Writing GMO Essay Topics

6 Tips on Writing GMO Essay TopicsAs a biochemist, I have to make the best use of the assignment and writing assignments given to me for my GMO essay topics. To give you an idea, my GMO essay topics include topics such as: antibiotic resistance, food safety, risk management, global disease, genetic engineering, genetic engineering technologies, and socio-economics. Even though I can't enumerate all the topics that I might want to cover in a GMO essay, I can share some of the topics that I would have enjoyed the most.My first GMO essay topic was about the role of gene technology in developing nation nations such as China and India. This might sound a bit odd, but it's really very important. Specifically, I would have liked to have covered how GMOs are used to improve the food safety in these nations. For instance, these new GMOs could reduce the dependence on chemical fertilizers and pesticides. In addition, if the GMOs are modified for use in the production of animal feed, the food s afety could be more stringent and thus possibly affect the national economy.My second GMO essay topics was also about genetic engineering. However, this time, I focused on the genetic engineering of livestock for commercialization purposes. To develop this topic, I found two books that were helpful in this regard. The first one was Gene Splicing by Donald Griffin and Charles Benbrook, and the other was The Ant and the Grasshopper by Richard Perrie.So, I read them both and learned more about gene technology and genetic engineering, especially as it relates to bioengineering. The next step is to do the research and review of these topics so that I can discuss each with my fellow writers.Once I have gathered my information, I can start to research and then write a helpful article or write a useful article. However, I would like to concentrate more on the topic and in doing so, I would have to have more insight in regards to other things I may have missed. As a biochemist, I know that k nowing what is already going on in the food industry would give me a clearer picture of what to expect. So, I would like to focus more on the bioengineering aspect of genetic engineering and not just the gene manipulation.It is highly advised that you always try to create articles for the genre that you are writing for. If you write and publish in a medical niche, you might want to consider writing about cancer therapy. On the other hand, if you are writing articles for a biotechnology or agriculture niche, you may want to write about food safety. Be honest and follow the common sense rules.In conclusion, if you are looking for a few GMO essay topics, I suggest that you try to find topics that relate to your areas of interest. You will be surprised how many article topics you will find that are related to you.

How to Reference an Ebook †APA style

How to Reference an Ebook – APA style How to Reference an Ebook – APA Style Time makes fools of us all, even when it comes to referencing. As such, its a good thing that the American Psychological Association (APA) has updated its style guide to catch up with the internet. For example, it now has special rules for how to cite an ebook. Find out more by reading the rest of this post! APA Referencing and Citing an Ebook APA style referencing is commonly used in the social sciences and utilizes author–date in-text citations accompanied by a reference list, ordered alphabetically, in which full bibliographic details is provided. The format required for an e-book differs slightly from that used for print books, since youll need to include a DOI or URL where it can be found online: Surname, INITIALS (Year). Title. Retrieved from URL.com In your reference list, this would appear as: Author, A. N. (1995). Future books. Retrieved from ebooks.com/archive.html In-text citations for ebooks are simple to remember, as they’re identical to those used for print books, with the author name and date of publication provided in parentheses. Additional Considerations for Citing an Ebook†¦ There are two more things to keep in mind when referencing ebooks that does not apply to printed books. The first regards dates of publication. If the ebook you’re referencing is available in print or has its own publication date, use that date. If not, use the the term â€Å"n.d.† (an abbreviation of â€Å"no date†): Ternet, I. N., Author, A. N. (n.d.). The information superhighway. Retrieved from ebooks.com/index.html The second thing to remember is that, if applicable, details about the edition or DOI of the ebook you’re citing should be included in the reference list. For example, the Kindle edition of A. N. Author’s Future Books would appear as: Author, A. N. (1995). Future books. [Kindle DX version]. Retrieved from ebooks.com/archive.html Hopefully this has clarified a few things about how to reference ebooks using APA style. For further helpful tips on a range of topics, don’t forget to check out the rest of our academic blog.

Financial effects and constraint paper Essay Example | Topics and Well Written Essays - 750 words

Financial effects and constraint paper - Essay Example A pharmacy can play a significant role in research and development of a hospital so as to come up with new medicines and cures for diseases and thus pose direct completion to pharmaceutical companies with cheaper medicines and other drug related products and small and simple surgical tools. The pharmacy here can provide effective analysis on the development of drugs. These drugs can then be tested on animals or patients in the hospital aiding to lower promotion cost of the developed drugs. Besides, the most obvious effect of a pharmacy on operations management of a hospital is that it can be an additional source of revenue for the hospitals as the patients coming to the hospital are more likely to buy medicines from there. Plus it helps the doctors etc to get medicines quickly rather than having to go anywhere far to get medicines, drugs, or any surgical items they need. This will help speed up operations of the hospital by providing quick service to patients. To facilitate operations management, a pharmacy can evaluate and correctly interpret the complete medication order. To facilitate patient data and its analysis, a pharmacy can play a significant role in evaluation of patient record for potential interactions. This information can be communicated to health Care Professionals who would then accurately forecast demand for new medicinal products. A pharmacist at a pharmacy can better transcribe telephoned orders and other medical information and also deal with buyers and suppliers in a professional manner. A pharmacist at a pharmacy can better advise a doctor on reviewing alternative courses of action, and making decision to resolve drug/therapy problems. Also a pharmacy can work with other departments and committees in the hospital to see what drugs are the most effective ones. The pharmacist has the understanding of drug quality specifications drugs to be procured as he can assess the reliability, price- value, and quality

Risk Management Strategies Essay Example | Topics and Well Written Essays - 1500 words

Risk Management Strategies - Essay Example As a result, more and more small companies are turning to a strategic approach as the way forward. Therefore, it is conclusive that risk planning has a very high significance in the risk management model, and, as secondary research shows, larger firms have more sustainability because they focus on risk planning and opportunity development. A firm's behavior in planning is also affected by the perception of its environment and size, as well as the nature of its activities, but not on the firm's performance. Although all small businesses have an amount of risk, being a new start-up restaurant and producing customer service goods adds further risk. This creates quite a bit more exposure to risks from mismanagement than in larger firms, where a major risk is that "some change will occur that will leave the enterprise beached high and dry," and "enterprises must expect to change drastically and repeatedly in response to changes in customers' wants and purchasing power, in competitors' products and prices, in available technologies, in law and in social expectations" (Goetz p 25 2001). The overall rationale to management is to answer the circumstances that develop risks. In business, the successful management strategy must be resilient in the face of failure, and develop sophisticated business plans because major chains have created competitor risk by raising the bar with strategic planning, which is a large part of their success according to Kep Sweeney (Garber p 88 2006). Sweeney further states that "The critical points in the deal making phase include identifying a new concept, forming a team, raising money and finding real estateYou can engineer out a tremendous amount of risk-and increase your chance of success-with proper planning." (Garber p 88 2006). Historic Role and Function Kerzner (p 876 1998) first identifies risk planning as "the process of developing and documenting an organized, comprehensive and interactive strategy and methods for identifying and analyzing risk issues, developing risk handling plans, and monitoring how risks have changed," to the small business owner, this means that a step by step analysis of proposed risks and their possible changes is an inherent part of risk management. Secondly, Kerzner (p 878 1998) describes risk assessment as "the process of identifying and analyzing program areas and critical technical process risks to increase the likelihood of meeting cost, performance and schedule objectives," this will assist the risk management model by answering to the critical processes that create risks and the businesses responses in those areas. The risk identification process is also shown by Kerzner (p 880 1998) as "process of examining the program areas and each critical technical process to identify and document the associat ed risk," in risk identification, the internal and external factors are described and levelled according to their significance to the program area. For example, while a flood may be a risk, that is minimal if the business currently has a leaking roof. Risk analysis "is the process of examining each identified risk issue to estimate the likelihood of