Article Astronomers Measure Precise Distance to Controversial Star Essay

Article Astronomers Measure Precise Distance to Controversial Star Cluster - Essay Example The further the distance of the star, the smaller the size of the parallax. Astronomy is a social activity where astronomers discuss ideas and interpret data while at the same time arguing on what the observation mean. In the scientific method, they make use of both the inductive and the deductive reasoning to learn about astronomy. In inductive reasoning, they make use of observations and use the results to make generalizations about astronomy. These generalizations may lead into a new theory or elaborations on a theory. They may also make use of deductive reasoning where the existing theories are subjected to rational considerations to come up with logical theory consequences. The consequences could result into new theories and other predictions testable through various experiments. For instance, there are radio astronomers claiming that they have determined a distance of the Pleiades cluster of star from the earth. However, the results contradict that of European satellite aimed at measuring stellar distances. The European space agency launched a Hipparcos satellite to measure a parallax of 100000 stars (Croswell, 2014). Unfortunately, a certain booster failed to fire leaving a satellite in an elliptical orbit around the earth resulting into complicated data analysis. Despite this, Hipparcos scientists released the data indicating the Pleiades cluster was closer to the earth. This raised a controversy since the analysis of data had been distorted. However, scientists agreed on a new methodology to resolve the ongoing controversy. They had to launch the Gaia spacecraft which measures parallaxes of billion stars including multiple Pleiades. The scientists are optimistic that by the end of a decade, then individuals will have a sure proof of how far the cluster is from the earth. However, this could raise more controversies if its findings contradict what the astronomers think they know. Thus, astronomers use the scientific

Early Intervention Essay Example for Free

Early Intervention Essay Early intervention is essential to achieve the best possible outcome for the child. However multi-agency working is important too, when all the professionals involved with a child share information and co-operate with each other lives can be improved and even saved. Baby P is an example of multi-agencies not working together properly, early intervention and working together will help prevent more unnecessary deaths. Early years practitioners can provide information for local services which may be helpful to disadvantaged or vulnerable families, we can work together with social workers, health professionals and even DHSS by helping to complete forms for additional benefits the family may be entitled to. The best interest of the child is always the priority, policies and guidance must also be followed when a referral is being made to an outside agency. Working together for the benefit of the child. Early intervention is also at the heart of the Governments national strategy on child poverty. They hope to provide support and de-stigmatise services, provide more health visitors for Sure Start Children’s Centres and are providing an Early Intervention Grant for local authorities to invest in addressing their local needs. The impact of all these measures for early intervention, will hopefully be a more stable society with less children in workless homes. Parents will be able to work and support their children, providing better homes, healthier food and a stable home life. Children will appreciate their education and strive to achieve their full potential. They will be safer, healthier and hopefully happier. They will have access to facilities to improve their health and well-being as well as their physical, social emotional development. Services will be in place to provide support to families in need, helping families stay together and become more stable. By 2020 our society will have changed for the better if the Governments strategy works.

History Of Mental Illness Health And Social Care Essay

History Of Mental Illness Health And Social Care Essay Mental illness is a general term for a group of illnesses. Mental disorders result from biological, developmental and/or psychosocial factors. A mental illness can be mild or severe, temporary or prolonged. Mental illness can come and go throughout a persons life. Some people experience their illness only once and fully recover. For others, it is prolonged and recurs over time. Mental illness can make it difficult for someone to cope with work, relationships and other aspects of their life. Definition of mental illness Mental illnesses are medical conditions that disrupt a persons thinking, feeling, mood, ability to relate to others and daily functioning. Just as diabetes is a disorder of the pancreas, mental illnesses are medical conditions that often result in a diminished capacity for coping with the ordinary demands of life. Serious mental illnesses include major depression, schizophrenia, bipolar disorder, obsessive compulsive disorder (OCD), panic disorder, post traumatic stress disorder (PTSD) and borderline personality disorder. The good news about mental illness is that recovery is possible. Mental illnesses can affect persons of any age, race, religion, or income. Mental illnesses are not the result of personal weakness, lack of character or poor upbringing. Mental illnesses are treatable. Most people diagnosed with a serious mental illness can experience relief from their symptoms by actively participating in an individual treatment plan. In addition to medication treatment, psychosocial treatment such as cognitive behavioral therapy, interpersonal therapy, peer support groups and other community services can also be components of a treatment plan and that assist with recovery. The availability of transportation, diet, exercise, sleep, friends and meaningful paid or volunteer activities contribute to overall health and wellness, including mental illness recovery. History of Mental illness Timeline 1247: Bethlehem Hospital (more frequently known as Bedlam) opens in London to house distraught and lunatik people. 1566: The New Worlds first mental hospital is established in Mexico City. 1774: The Act for Regulating Madhouses, Licensing, and Inspection is passed in England. The law forbade a persons commitment to a madhouse without a physicians certification of that individuals insanity. 1790s: A Quaker called William Turke opens the York Retreat near York, England, an asylum for the mentally ill. The Retreat favored humane treatment; physical restraints were not used and patients were comfortably housed. 1790s: French physician Phillipe Pinel begins working at the Bicentre and Salpetriere asylums where he develops traitement morale, a form of treatment that focused on the mental origins of madness. His kind treatment of his patients brought about recovery for many 1817: Quakers in Philadelphia open the first asylum in America based on the principles of moral treatment. 1841: Dorothea Dix, a schoolteacher from Cambridge Massachusetts, becomes inspired to take up the cause of the mentally ill. She travels to several states where she lobbies state legislatures to better their treatment of the mentally ill. Over thirty state mental hospitals were opened as a result of her efforts. 1867: The Packard Law passes in Illinois. Named for Eliza Packard, a woman committed against her will by her husband after a property dispute, the law required that a patients insanity be determined by a jury before he or she could be sent to an institution. 1927: The US Supreme Court rules in Buck v. Bell that the forced sterilization of defectives, including the mentally ill, is constitutional. 1954: The Durham Rule is established by the US Court of Appeals for the District of Columbia. It states that a person accused of a crime is not responsible if the criminal act was the product of a mental disease or a mental defect. It was later rejected due to problems defining mental disease and product. 1963: Congress passes the Community Mental Health Centers Act. This leads to the closure of many large state psychiatric hospitals. 1966: Lake v. Cameron, a case of the US Court of Appeals for the District of Columbia Circuit , declares that patients in psychiatric hospitals have the right to receive treatment in the setting that is least restrictive. 1975: US Senate holds hearings about the use of neuroleptics (antipsychotic drugs such as Thorazine) in juvenile jails and homes for the developmentally disabled. 1979: NAMI is founded. 1988: The Fair Housing Amendments Act prohibits housing discrimination against people with disabilities, including mental disabilities. 1990: The Americans with Disabilities Act is passed. It prohibits discrimination against people with physical or mental disabilities. 2004: DuPage County begins the Mental Illness Court Alternative Program (MICAP.) 2008: Congress passes the Mental Health Parity and Addictions Equity Act. It requires that any limits to insurance coverage for mental illness be no more restrictive than those for physical health issues. 2010: Williams v. Quinn, a case heard by U.S. District Court for the Northern District of Illinois, rules that Illinois residents with mental illnesses living in nursing homes and other institutions for mental diseases (IMDs) have the right to live in integrated settings in the community Types of Mental Illness There are many different conditions that are recognized as mental illnesses. The more common types include: Anxiety disorders: People with anxiety disorders respond to certain objects or situations with fear and dread, as well as with physical signs of anxiety or nervousness, such as a rapid heartbeat and sweating. An anxiety disorder is diagnosed if the persons response is not appropriate for the situation, if the person cannot control the response, or if the anxiety interferes with normal functioning. Anxiety disorders include generalized anxiety disorder, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), panic disorder, social anxiety disorder, and specific phobias. Mood disorders: These disorders, also called affective disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness. The most common mood disorders are depression, mania, and bipolar disorder. Psychotic disorders: Psychotic disorders involve distorted awareness and thinking. Two of the most common symptoms of psychotic disorders are hallucinations the experience of images or sounds that are not real, such as hearing voices and delusions, which are false beliefs that the ill person accepts as true, despite evidence to the contrary. Schizophrenia is an example of a psychotic disorder. Eating disorders: Eating disorders involve extreme emotions, attitudes, and behaviors involving weight and food. Anorexia nervosa, bulimia nervosa and binge eating disorder are the most common eating disorders. Impulse control and addiction disorders: People with impulse control disorders are unable to resist urges, or impulses, to perform acts that could be harmful to themselves or others. Pyromania (starting fires), kleptomania (stealing), and compulsive gambling are examples of impulse control disorders. Alcohol and drugs are common objects of addictions. Often, people with these disorders become so involved with the objects of their addiction that they begin to ignore responsibilities and relationships. Personality disorders: People with personality disorders have extreme and inflexible personality traits that are distressing to the person and/or cause problems in work, school, or social relationships. In addition, the persons patterns of thinking and behavior significantly differ from the expectations of society and are so rigid that they interfere with the persons normal functioning. Examples include antisocial personality disorder, obsessive-compulsive personality disorder, and paranoid personality disorder. Other, less common types of mental illnesses include: Recommended Related to Mental Health Adjustment disorder: Adjustment disorder occurs when a person develops emotional or behavioral symptoms in response to a stressful event or situation. The stressors may include natural disasters, such as an earthquake or tornado; events or crises, such as a car accident or the diagnosis of a major illness; or interpersonal problems, such as a divorce, death of a loved one, loss of a job, or a problem with substance abuse. Adjustment disorder usually begins within three months of the event or situation and ends within six months after the stressor stops or is eliminated. Dissociative disorders: People with these disorders suffer severe disturbances or changes in memory, consciousness, identity, and general awareness of themselves and their surroundings. These disorders usually are associated with overwhelming stress, which may be the result of traumatic events, accidents, or disasters that may be experienced or witnessed by the individual. Dissociative identity disorder, formerly called multiple personality disorder, or split personality, and depersonalization disorder are examples of dissociative disorders. Factitious disorders: Factitious disorders are conditions in which physical and/or emotional symptoms are created in order to place the individual in the role of a patient or a person in need of help. Sexual and gender disorders: These include disorders that affect sexual desire, performance, and behavior. Sexual dysfunction, gender identity disorder, and the paraphilias are examples of sexual and gender disorders. Somatoform disorders: A person with a somatoform disorder, formerly known as psychosomatic disorder, experiences physical symptoms of an illness, even though a doctor can find no medical cause for the symptoms. Tic disorders: People with tic disorders make sounds or display body movements that are repeated, quick, sudden, and/or uncontrollable. (Sounds that are made involuntarily are called vocal tics.) Tourettes syndrome is an example of a tic disorder. Other diseases or conditions, including various sleep-related problems and many forms of dementia, including Alzheimers disease, are sometimes classified as mental illnesses, because they involve the brain. Causes of Mental Illness Were aware of several different forms of mental illnesses, right from bipolar disorder to schizophrenia to compulsive disorders. How often we come across murders carried out by mentally unstable people! In fact, there are scores of famous people with bipolar disorders. Mental illnesses are especially common in the United States. Approximately 26.2 % Americans above 18 years of age are believed to suffer from mental disorders every year, thereby conducing to one of the leading causes of disabilities in the US and Canada. But what causes mental illness? Mental illness is a condition affecting the brain, that influences the way a person thinks, feels, behaves and relates to others around him or her. The symptoms of mental illness may range from mild depressive symptoms to severe behavioral problems. Genetic Factors Depression and mental illnesses are often passed on from one generation to another through the genes. This means, a person with a family history of mental illness is more vulnerable to develop a mental illness. It is believed that mental illness is associated to various abnormalities in not just one, but several genes. This is the reason why the person inherits the vulnerability to develop this illness, but does not inherit the illness itself. When such people go through horrendous situations the balance of their mind tips and they get engulfed by mental illnesses. . Physical Factors People who have landed up injuring their head several times in accidents, are seen to damage certain areas of their brain and central nervous system, that lead to mental illnesses. Trauma occurring at the time of birth can also cause damage to the brain. Moreover, disruption of early fetal brain development can also lead to conditions like autism, etc. Some biological factors such as chemical imbalance in the brain, are also associated to mental illnesses. The chemicals called neurotransmitters help nerve cells in the brain to transfer impulses, thereby facilitating communication. However, when this balance tips, messages are not transferred correctly, leading to mental illness. Diseases affecting the brain such as Huntingtons chorea, multiple sclerosis and infections like Tuberculous meningitis, Encephalitis lethargica, etc. also result in mental illnesses. Psychological Factors People who have gone through harrowing experiences in their lives like emotional, physical, sexual abuse, domestic violence or bullying are often unable to cope with their traumatic past. Sometimes, the death of a loved one, betrayal or neglect during childhood years, also mars the persons emotional state of mind. This sometimes can be the reason of mental illness of a person. Social and Environmental Factors Poverty, living in a difficult and unsafe environment like in war zones, residing in earthquake prone and other natural disaster-prone areas, living in neighborhoods plagued by gangsters, etc. can lead to mental illnesses. These people develop a constant fear that conduces to mental illness. Moreover, unhealthy environment factors at home, such as growing up in a dysfunctional family, with narcissistic parents or neglecting parents can cause the balance of the childs brain to tip. The persons appearance regarding height and weight also causes depression in certain people. Mental illnesses should be not confused with mental retardation. People with mental illnesses do not exhibit limitations in mental, cognitive and social functions. Thus, causes of mental retardation and causes of mental illnesses are obviously different. The above mentioned causes cannot be viewed in isolation. Its when two or three different factors come together, such as past abuse and present horrendous situation come together, that it often causes the mental illness. It is important to not look upon people with mental illnesses with disdain and ostracize them. What they need is unconditional love. Espouse them and help them out of their pits of depression. The symptoms of mental illness A person with a mental illness can experience problems with their thinking, emotions and/or behaviour. These changes may happen quickly, or they may be gradual and subtle. It may take time to understand and identify what is happening. Psychotic symptoms These symptoms can include: Thoughts and feelings that are out of the ordinary or difficult to understand, such as thought of being persecuted or under surveillance for which there is no proof Experiencing sensations (seeing, hearing, smelling, tasting something when there is nothing there that others can identify) Odd behaviour. Schizophrenia is a psychotic illness. Mood symptoms Some of the symptoms of a changed mood may include: Persistent and pervasive feelings of sadness, elation, anxiety, fear or irritability Changes in sleep patterns Changes in appetite Loss of interest in things that were previously enjoyable Periods of increased or decreased activity, where things may be started and not finished Difficulty thinking and concentrating Excessive worries Changes in use of alcohol and other drugs. Exact causes are unknown Many mental illnesses are thought to have a biological cause. What are the exact causes , its unknown. The relationship between stress and mental illness is complex, but it is known that stress can worsen an episode of mental illness. Treatment: Extraordinary advances have been made in the treatment of mental illness. Understanding what causes some mental health disorders helps doctors tailor treatment to those disorders. As a result, many mental health disorders can now be treated nearly as successfully as physical disorders. Psychological treatment Psychological treatments are based on the idea that some problems relating to mental illness occur because of the way people react to, think about and perceive things. They are particularly relevant to many people with anxiety disorders and depression. Psychological treatments can reduce the distress associated with symptoms and can even help reduce the symptoms themselves. These therapies may take several weeks or months to show benefits. Different psychological therapies used in the treatment of mental illness include: Cognitive behaviour therapy (CBT) examines how a persons thoughts, feelings and behaviour can get stuck in unhelpful patterns. The person and therapist work together to develop new ways of thinking and acting. Therapy usually includes tasks to perform outside the therapy sessions. CBT may be useful in the treatment of depression, anxiety disorders and psychotic disorders such as bipolar and schizophrenia. Interpersonal psychotherapy examines how a persons relationships and interactions with others affect their own thoughts and behaviours. Difficult relationships may cause stress for a person with a mental illness and improving these relationships may improve a persons quality of life. This therapy may be useful in the treatment of depression. Dialectical behaviour therapy is a treatment for people with borderline personality disorder (BPD). A key problem for people with BPD is handling emotions. This therapy helps people to better manage their emotions and responses. Treatment with medication Medications are mainly helpful for people who are more seriously affected by mental illness. Different types of medication treat different types of mental illness: Antidepressant medications about 60 to 70 per cent of people with depression respond to initial antidepressant treatment. These medications are now also used (in combination with psychological therapies) to treat phobias, panic disorder, obsessive compulsive disorder and eating disorders. Antipsychotic medications are used to treat psychotic illnesses, for example schizophrenia and bipolar disorder. Newer antipsychotic medications may have some side effects, but tend to have fewer of the effects that were associated with the older medications, for example stiffening and weakening of the muscles and muscle spasms. Mood stabilising medications are helpful for people who have bipolar disorder (previously known as manic depression). These medications, such as lithium carbonate, can help reduce the recurrence of major depression and can help reduce the manic or high episodes. Other forms of treatment Effective treatment involves more than medications. Treatment may also involve: Community support including information, accommodation, help with finding suitable work, training and education, psychosocial rehabilitation and mutual support groups. Understanding and acceptance by the community is very important. Electroconvulsive therapy (ECT) this treatment can be a highly effective treatment for severe depression and, sometimes, for other diagnoses when other treatments have not been effective. After the person is given a general anaesthetic and muscle relaxant, an electrical current is passed through their brain. Hospitalisation this only occurs when a person is acutely ill and needs intensive treatment for a short time. It is considered better for a persons mental health to treat them in the community, in their familiar surroundings. Involuntary treatment this can occur when the psychiatrist recommends someone needs treatment but the person doesnt agree. In general, people receive involuntary treatment to ensure their own safety or that of others. Mental illness in Pakistan: Mental health in Pakistan has remained a subject of debate since the last few years. The incidence and prevalence have both increased tremendously in the background of growing insecurity, terrorism, economical problems, political uncertainty, unemployment and disruption of the social fabric. 1 Sinking below poverty line by almost 39% of the individuals is an alarming factor worth noting. Many people are now presenting to psychiatrists probably because of the growing awareness through the good work of media. Though there are many things which can be done to improve the mental health of the people in the areas of social environment, economic improvement and political harmony etc. but the important subject for debate is that, how far we are in the areas of education, service and research related to mental health having direct impact on the patient population. From 1947 to 2005, almost 58 years have passed since the independence of the country and many countries with this age have done w onders in overall upkeep of health care and specially the mental health. The scenario though is improving, but is it at the required pace? If we first take the area of education by virtue of which we train our future doctors who in turn can become navigators helping us in sailing smoothly through the heavy storm of up surging mental illnesses, we find lacunas which are evident when it comes to ultimate care of patients. With the exception of very few institutions, the subject of behavioral sciences which has been introduced by the PMDC in the early years of medical teaching is not being taken serious enough, low number of behavioral scientists cannot alone be blamed for this, there are no structured rotation programmes for senior medical students which means a calendar indicating topics, patient sessions, log book and evaluation strategy with weightage in the final year marking system. Low interest by students in the subject of psychiatry despite few institutions model teaching/trai ning programme is understandable in view of no separate paper in psychiatry and very low representation in the paper and clinico-orals of the subject of General Medicine. Regarding the departments, are we fulfilling the international requirements of a good department of psychiatry with full-fledged faculty in all hierarchies? The answer is simply no. Regarding the postgraduate education, how many recognized centers follow structured programmes emphasizing adequate patient exposure, ongoing continuing medical education programmes, research, exposure to subspecialties like, child, geriatric, forensic and rehabilitation psychiatry etc., is there a rural exposure, is there training in cultural issues, is there emphasis on liaison service and multidisciplinary team approach, is there a standard methodology for continuous monitoring and evaluation with resultant weightage in postgraduate exit examinations, is there training in audit and psychiatric administration, the answers to most of t hese questions will remain unanswered nationally. It is precautionary not to say a word about the selection criteria of evaluators and examiners lest it is not politically biased and motivated. It is also worth noting that during postgraduate training how many of the prospective specialists are monitored and assessed for culturally relevant mental state examination, adequate case note management, observation of prescribing practices and its justification, communication skills etc. Once certified, there is no provision of higher specialist training for a period of at least three years on the pattern of UK with evaluation of practice-based efficiency, infact, the UK model is worth adopting. 2 There is no trend for CME credit maintenance and hence no programme specifically designed for psychiatrists though there are many such programmes for the general practitioners of course with no condition of maintaining credit certification, this is mostly prompted by the pharmaceutical companies with a view of improving sale as evidence has shown that the knowledge of even most common disorder depression was not adequate among general practitioners. When we come to service, though the major teaching hospitals have established separate departments of psychiatry but in most of the cases they are not well equipped specially in terms of psychiatric manpower both skill and number wise. Still Pakistan has very low number of psychiatrists and these too are continuously being drained by the developed countries especially by the western world where they are being offered an attractive package and lifestyle that the question remains as to who comes back and serves the nation. 4 It is not surprising that there are a large number of Pakistani psychiatrists in United Kingdom, United States, Canada, Australia and New Zealand apart from those in Middle East, Africa and South East Asia. It seems that soon we shall become a psychiatrists exporting region like our neighbour India thus causing further deepening of the problem related to the already existing scarcity of psychiatrists. 5 Also, at the same time it is vitally important to abolish the feudal psychiatry which fortunately is being eroded by young generation of psychiatrists. There is also acute shortage of allied mental health professionals. In view of poverty, low health budget, high cost of medicines there is huge economic burden on the patients. 6 The hospitals also dont follow the intake/admission criteria, no separate unit for subspecialties, no appropriate long stay units, no exit/discharge criteria, no rehabilitation services, no exchange of information between psychiatrists and family practitioners, no proper advertisement of available services, no concept of day centers, day hospitals, ill developed community services, no central registry of patients and set policy for management systems in the psychiatric set ups and finally no internal referral system. As far as research is conc erned, there is still low representation in local accredited journals and very low in international journals. 7 Though there has been an increase in lay and scientific write-ups recently but it is still far from satisfactory state. Papers are produced for promotions and that too are for the sake of papers, matter of keeping up standards are ignored. The Journal of Clinical Psychiatry published regularly from Lahore once upon a time disappeared eventually. The first journal of Pakistan Psychiatric Society called JPPS was published in the year 2003, which was blocked politically and was not reproduced again. . It appears that still we are far behind in achieving the standards and in order to improve the existing scenario some steps are essential. In order to bring improvement in psychiatric education, it is important to pay emphasis on the subject of behavioral sciences, design an appropriate undergraduate training program in line with one of the international modules, inculcation of research interest among medical students, either introduction of a separate paper of psychiatry or at least 25% of weightage in the paper of medicine, at postgraduate level more structured training program with exposure to subspecialties, designing a postgraduate curriculum and module, introduction of audit of training and performance, provision of higher specialist training at the level of specialist registrar, private-public partnership in provision of services, mobilization of more resources for mental health and maintaining of records. There is a need for development of research culture especially in the a reas of need assessment is also necessary. Along with these efforts the medical fraternity can force the government to allocate a higher budget, reduce poverty, bring social justice and harmony, improving political scenario. It is also advisable to create better incentives for the mental health professionals in order to avert brain drain. Efforts for providing a conducive environment to the public to help in promoting sound mental as well as physical health are imperative. Literature Review Anxiety and depressive disorders are common in all regions of the world. 1 They constitute a substantial proportion of the global burden of disease, and are projected to form the second most common cause of disability by 2020.2 This increased importance of non-communicable diseases such as anxiety and depressive disorders presents a particular challenge for low income countries, where infectious diseases and malnutrition are still rife and where only a low percentage of gross domestic product is allocated to health services.3 These disorders are also important because of their economic consequences. 4 With an estimated population of 152 million, Pakistan is the sixth most populous country in the world. It is projected that, by 2050, the population will have increased to make it the fourth most populous country.5 There is a need to develop an evidence base to aid policy development on tackling anxiety and depressive disorders. We therefore conducted a systematic review as no such work existed to our knowledge. Our main questions were (a) what the estimated prevalence of anxiety and depressive disorders is in Pakistan and how this compares with estimates from other low income countries; (b) what the associated social, psychological, and biological factors are; and (c) what evidence exists for effectiveness of treatment or prevention in this population. Prevalence of anxiety and depressive disorders the prevalence of anxiety and depressive disorders estimated in the studies. The overall mean prevalence in men and women in the six studies of random community samples (n = 2658) was 33.62%, with the point prevalence varying from 28.8% to 66% for women (overall mean 45.5%) and from 10% to 33% for men (overall mean 21.7%). Women aged 15-49 were studied in a paper with 28.8% prevalence, while young men with a mean age of 18 participated in a study reporting 33% prevalence. Only one study reported adjusted prevalence with 95% confidence intervals. For those presenting to traditional or faith healers (n = 511), the prevalence of anxiety and depressive disorders among men varied from 2.65% to 27%, and among women from 11.5 % to 52%. Three studies looked at total psychiatric morbidity in primary care (n = 774). One described women in a rural area, with a prevalence of 50%, while another described 18% prevalence for men and 42.2% for women in an urban area. The third study, with a prevalence of 38.4%, did not specify participants sex. Of those presenting to psychiatric outpatients (n = 2430), the prevalence varied between 32% and 66.3%. There were two studies on psychiatric inpatients, one reported a prevalence of depressive illness of 37% (n = 2620), while the other reported 19.1% (n = 177). Comparison with other low income countries Using stringent criteria, Harding et al reported an overall frequency of anxiety and depression of 13.9% in four developing countries.9 Community studies from Africa have reported prevalences of 24% in rural Uganda and 20%-24% in rural South Africa. Among patients attending primary care, the prevalence varied from 8% to 29%. Patients attending primary care in India showed prevalences between 21% and 57%. In relation to risk factors, Abas and Broadhead found a significant association with formal employment, below average income, overcrowding, and certificate of secondary education in urban Zimbabwe.In the same study, they also found a significant association with humiliation or entrapment and with death or other l

Military Police Corps :: U.S. Army

The Military Police Corps has a long and glorious history to be proud of. Listed on U.S. Army Info (2011), Military Police Corps was officially recognized as a military occupation on the 26th of September 1941, but their work can traced back even further. According to U.S. Army Info (2011), the first use of the Military Police was during the American Revolution in 1776. Military Police have been deployed and used in conflicts such as: "World War 11, Korean War, Vietnam conflict, Desert Storm, and Iraqi Freedom" (Wright, 2001). Today, Military Police have a variety of different tasks they are expected to perform, much more than just arresting criminals. "Military Police Corps officers lead units in performing five major functions associated with the branch-area security, maneuver and mobility support, police intelligence operations, internment and resettlement, and law and order," according to U.S. Army Info (2011). They are also charged with protecting troops and watching equipment overseas and at home stations across the United States (About, 2011). MP's are sent to Fort Leonard Wood to receive the training they are required to have, there they learn certain skills that are crucial to their occupation (U.S. Army Info, 2011). Several of the skills they learn while at Fort Leonard Wood are: "basic warrior skills, military and civil jurisdiction, use of firearms and arrest and restraint of suspects," as stated in GoArmy (2011). Each individual has to already have certain skills to be successful as a MP, such as: "being physically fit, ability to interact well with people and ability to remain calm in stressful situations," according to GoArmy (2011). Educational requirements are slim to none, the Army looks to enlist anyone who has a high school diploma or GED. If you have a bachelor's degree in any major, you can apply for an officer spot. Salary ranges are varied because it depends if your an enlisted soldier or an officer, how many years of service you have under your belt and if you receive hazard pay or separation pay or any other kind of pay benefits (GoArmy, 2011). Selection process for a MP is long and rigorous procedure. First, an individual has to qualify through MEPS to get into the military and pass all basic medical test, background checks and drug tests. Second, the individual has to complete basic training to even make it to their Advance Individual Training. After basic training is completed they are sent off to Advance Individual Training, where they are pushed through one last test, if they complete AIT, then you will be a certified Military Police soldier.

Course Work on Effective Speech Writing Essay

The following three deliberative speaking occasions and their expectations are discussed here under: (1) Political Assemblies. In these occasions, the speech to be delivered by political candidates is expected to be informal because they are talking to the masses. It should be somehow emotional so as to be able to appeal to the emotions of the listeners. It is expected to be not too long so it won’t bore the listeners. The language style should be that of the common people. It should present facts and figures to convince people to vote for him/ her as a candidate and to lay down platforms or proposals of changes in the government. The speaker is also expected to identify with the listeners by referring to one’s own experiences that will relate to their experiences. (2) Sales Presentation. The type of speech in this speaking occasion presents a product or service and it tries to persuade and convince the listener-customer to buy. Thus, the speech is expected to be informal, brief and concise, quiet emotional and attention-getting. It must provide evidences to explain and support the benefits of the product or service being promoted and it must also make a comparison and contrast between that product or service and that of a competitor to illustrate that the product or service is far better than others. (3) Legislative Speeches. The speeches delivered in legislation are expected to have a high degree of formality. These are lengthy and have a low emotional intensity. They must present data to prove the claims on the positive benefits of a bill if it is passed into a law. The speaker should also form a sense of identification with his listeners so as to persuade and convince them to believe in what he or she believes is true and right. The three general types of ceremonial speaking occasions and the expectations in these occasions are explained below: (1) Acceptance Speeches. These are delivered when an individual is given an award or recognition for a job well done. The acceptance speech must be formal, brief and direct to the point. It is a little bit emotional especially that the speaker will have to express his or her feelings of gratitude and happiness over his or her receiving the award or recognition. It might have supporting materials such as citing one’s work but it should dwell on the expression of thanks to those who have given him or her the award or recognition and to the people who have helped him or her achieve that. (2) Introduction Speeches. The speech of introduction is delivered when a person comes to deliver a speech and the audience is to be prepared in listening to him. Hence, it is the task of the introducer to arouse the interest of the audience towards the speaker. It should be formal in tone, brief yet succinct. Most of all, it should grab the attention of the listeners. It also needs to present the speaker’s background as well as the qualifications and expertise to explain why he or she was chosen to be the speaker for that theme or topic. (3) Speeches of Tribute. The speech of tribute is delivered to express praise to a person during his birthday, oath to office, retirement and even death. The emotions involved in this speech would depend largely on the occasion. If it is for the person’s birthday or oath to office, it has cheerful tone. But if it is during a person’s retirement or death, the emotions range from pain to sorrow to regret because there is a need to say good bye to that person. This type of speech is expected to provide accurate information about the person being spoken of. The following are the types of speeches that combine ceremonial and deliberative speeches. The expectations for each of the types are included. (1) Commencement Addresses. A commencement address is always delivered on the graduation day of students. Thus, a speaker is expected to motivate and inspire the graduates to reach their goals, dreams and ambitions in life. The tone of the speaker should not be too formal, nor should it be too long. A 45 to 60 minute talk would be enough. A rather long speech might bore the graduates. The speaker is not emotional but he expresses his congratulations to the students who are graduating and his happiness for their achievement in life. Facts, figures and statistics also show support to whatever he will try to persuade his listeners to do such as becoming productive citizens of the country and of the world. (2) Commemorative Addresses. To celebrate an event or occasion, a speaker needs to speak about the background of the person or event being celebrated. It should present the achievements of the person or the positive after effects of that event so as to inspire and motivate the listeners to achieve their dreams. The speech ought to be formal, not lengthy and full of emotions. (3) Keynote Addresses. In a seminar or a conference, almost always there is a keynote address. This type of speech is expected to explain the theme or the subject matter of the seminar or conference as well as to give an overview of the entire proceedings of the seminar or conference. This is when the participants become interested, inspired and motivated to listen to the lectures and discussions during that seminar or conference. A keynote address must have formality, is lengthy, and there is no emotional attachment involvement. The speaker, of course, should be objective in presenting his speech. Former President Richard Nixon’s farewell speech on August 9, 1974 is an example of a combination of the forensic, deliberative and ceremonial speaking occasions which include the five elements of decorum. These elements are formality, length, intensity, supporting materials and explicitness of identification. Nixon’s speech is not too formal because it was delivered to the White House staff with whom he has been familiar with and also to his supporters who were always there by his side. In fact, they are seen laughing once in a while to something he has mentioned in his speech. Its length is not long because it took about 18 minutes for him to finish his speech. This is probably because Nixon considers it â€Å"spontaneous†. It is very emotional considering he has to say good bye to the people who has worked for him and who has supported him. It involved emotions of pain, sorrow and regret for leaving a position he has occupied for the past five and a half years. The supporting materials he included were the experiences of his father, his mother and the former president Theodore Roosevelt or â€Å"T. R. † These supporting materials especially about his father and mother tell the audience that he is just an ordinary person like them. Thus, he explicitly identified with his listeners. As for the expectations of the situation, the speech of Nixon is expected to be emotional, to clear him out of the accusations made against him and his administration, to inspire and motivate the White House Staff to continue with their work and to express gratitude and recognition to the Staff for their untiring efforts to serve the government. Based on analysis, these expectations were fulfilled in Nixon’s farewell speech. During his speech, Nixon was teary-eyed and he even shed tears. He defended himself and his administration by saying â€Å"We can be proud of it – 5 ? years. No man or no woman came into this administration and left it with more of this world’s goods than when he came in†¦ Mistakes, yes. But for personal gain, never. † He ended by saying â€Å"Thank you very much. † References CAS 100C Lesson 11 Commentary Nixon, R. (1974, August 7). Nixon’s Final Remarks To The White House Staff. April, 2008, from http: //www. watergate. info/nixon/resignation-speech. shtml.

Julie was perfect – Creative Writing

Julie was perfect. She was smart, popular and pretty. Her naturally blonde hair was professionally styled at least once a week and her size eight figure was always gloved in designer labels heard of only in magazines, brought for her on Daddy's credit card. She was involved within the school teams and clubs, including gymnastics and dance, as well as all of the social clubs and school politics. Jen was far from this. She was what would be referred to as â€Å"bad†. Her dyed black hair that was worn so that half of her face could not be seen and she always wore uniform black. She was the kind of person that rarely made an appearance at school, let alone at anything extra curricular. She spent her entire life drinking, smoking and getting â€Å"high†. Dom would have called himself one of the cool guys but everyone else would have called him a jock. He was captain of the football team and head of his gang. They were all members of the football team and spent their free time taunting or punching one another mindlessly. When he was away from his gang, he spent his time acting too cool for anyone else. Brian was one of the cleaver ones. He was a straight A student who enjoyed extra curricular activities like science and chess club. The only thing that he was not good at was sport. Whatever he tried, he looked gawky and awkward. Everyone saw him as a â€Å"geek† or a â€Å"nerd† and I suppose the fact that he wore trousers that were slightly too short for him and glasses didn't help. These four people had nothing in common apart from the fact that they had to share a chalet on a skiing holiday organised by the school. There had been a mix up with numbers meaning that none of them could share with their friends. There was no television or radio and no one was to leave their chalet after eight in the evening unless there was an activity. After the first day of skiing, neither Julie, Dom nor Brian wanted to leave their friends. Jen, who had no friends that had come on the holiday, was busy having a smoke out of the window with her Walkman turned up. She didn't hear Mr Bowdon, their incredibly strict PE teacher come in to the chalet. â€Å"What do you think your doing, Ms. Parker?† Mr. Bowdon shrieked red with fury. Jen turned off her Walkman and spoke. â€Å"What does it look like I'm doing?† She said sarcastically. â€Å"It looks like your trying to get yourself banned from the slopes,† Mr. Bowdon remarked snidely â€Å"What do I care? Skiing is mind-numbingly boring; I only came to pick up some cheap smokes and booze!† Jen laughed, â€Å"Besides, where are the princess, the jock and the geek that I have to share this place with? I bet there with their friends and its after eight! So, instead of wasting your time with no-hopers like me, why don't you guide them into doing the right thing, isn't that what you say your job is?† Her words oozed with contempt. Mr. Bowdon looked at her but she stared him out. Eventually he turned and went in search for the others. For the rest of the week, Mr. Bowdon kept an eye on all four of them and caught them out many times. By the second to last evening, he had had enough. He called them all in to his chalet and banned them from spending their last day on the slopes. There was an array of moans and groans but it was clear that Mr. Bowdon's word was final. They were to be supervised by Mr. Bowdon's wife who was not a skier and would have to spend the day with only each other for company. Everyone knew that tomorrow would be hard. They were woken at six in the morning for breakfast, which was to be eaten on a solitary table laid just for the four of them. Jen was the only one to speak through breakfast. She spent the whole time complaining about being stuck with a bunch of losers for the whole day. When they had finished breakfast, they were instructed to go back to their chalet and to stay there until they were told otherwise. â€Å"This is so unfair, all I wanted to do was to spend my holiday with my friends, and now I'm stuck in here for the day,† Julie whined â€Å"Oh shut up princess, just because you can't go running to Daddy!† taunted Jen. â€Å"Leave her alone, arguing's a waste of time because you can't walk away, your stuck in here all day whether you like it or not,† Said Brian shyly. â€Å"This is none of your business, Geek†, jeered Jen and, with that, she lit up a cigarette and began to inhale deeply. Just as Jen had thrown the cigarette butt out the window, a hard faced woman came into their chalet without so much as a knock. She informed them that she was Mrs. Bowdon and that she would be surprising them with visits throughout the day and, as swiftly as she entered, she left. â€Å"God, no wonder Mr. Bowdon's so bitter with that witch as a wife†, sniggered Jen. For the first time, Julie and Jen made eye contact and smiled. â€Å"So, why do you waste so much of your free time in clubs then?† asked Jen. â€Å"Leave her alone,† warned Dom. â€Å"No I'm being serious, why?† â€Å"I don't know, it's just what me and my friends have always done. Besides, it's not so bad† Julie answered unconvincingly. There was an awkward silence. Julie began to study her French manicure and the others started to fidget. After a while, Dom crossed the room to talk to Julie. â€Å"Hey!† Dom said with ease. â€Å"Hi† Julie said, surprised. â€Å"Aww, the Jock and the Princess, what a prefect match† Jen jeered. â€Å"Shut up!† They all said in unison. â€Å"It's a free country!† She retaliated. â€Å"Why are you always so sarcastic, Jen?† Julie asked, â€Å"I think it's just a front. I think that you are so scared about letting anyone see your feelings, that you cover them up with jokes and sarcasm.† â€Å"Shut up Julie. Yeah, so I don't show emotions, so what? Besides you can hardly talk. Everything about you is fake. Your so fake that you probably don't even know who you are anymore. So maybe I do hide emotions but I'd rather do that then have everyone know my personal business.† Jen shouted and, with that, she went into their room and slammed the door. â€Å"You know, she's right.† Brian said timidly, â€Å"Every single one of us puts on a front.† â€Å"And what front do you put on then?† Dom mocked â€Å"You know, I'm not as good as you think I am,† Brian said, a little braver than last time. As if on cue, Jen entered the room again. Her gothic make up was freshly applied to red, blotchy eyes and her infamous army boots had been removed, as had a little bit of her front. â€Å"So, what have you done that's so bad?† Jen asked with a friendly smile on her face for the first time. â€Å"Well, I've smoked a cigarette and I got a little bit drunk at my cousions wedding,† Brian said nervously. â€Å"Hey, I know what'll make the day pass quicker!† Jen said with a glint in her eye. With that, Jen ran to her room to fetch something. The others looked at each other nervously. She returned with a tightly wrapped package. â€Å"Is that drugs?† Brian asked nervously. â€Å"It's only pot, it's not gonna kill ya,† Jen said â€Å"Well, ok then,† Brian said reluctantly. â€Å"Are you guys in?† Pushed Jen. Julie and Dom looked at each other. After a few minutes they agreed. They all sat around in a circle and watched Jen expertly roll it. After it was lit, they passed it around. Everyone accept for Jen coughed violently on their first drag, and, after it had been passed around a few times, they were too relaxed to care! They spent hours talking mindlessly and becoming relaxed in each others company until it wore off. When it did wear off, the fronts that they had been putting on for so many years also wore off.