Benefits of STEM Programmes

Benefits of STEM Programmes Lamar Linton S.T.E.M STEM instruction is dynamic, and spotlights on an understudy focused learning condition. Substitutes take part in addressing, critical thinking, cooperation, and hands-on exercises while they address genuine issues. In STEM training, instructors work as classroom facilitators. They control understudies through the critical thinking procedure and plan extends that prompt to an authority of substance and STEM capability. STEM-capable understudies can answer complex inquiries, global research issues, and create solutions for difficulties and right issues while applying the meticulousness of science, innovation, building, and arithmetic substance in a consistent manner. STEM-capable understudies are sensible masterminds, powerful communicators and are innovative, experimentally, and scientifically proficient it is likely that each occupation in the 21st Century will require some ability in science, innovation, designing, and math. The reconciliation of design and innovation into the arithmetic and science educational programs will make guideline more enormous and engaging. It will likewise furnish understudies with the abilities that are fundamental to accomplishment in the 21st Century. STEM is a vital part in elevating our understudies to be prepared for school, profession, and life. We are instructing understudies that will contend with the world for jobs. There is no all around the endless supply of STEM. Specialists do concur, in any case, that STEM laborers utilize their insight into science, innovation, designing, or math to attempt to see how the world functions and to tackle issues. Their work regularly includes the utilization of PCs and different devices. STEM occupations are distinguished in an assortment of ways. This article utilizes a rundown in light of the Standard Occupational Classification Manual to examine trades from six gatherings, including PC and arithmetic; design and building; and life, physical, and sociologies. Healthcare occupations are rejected from this examination since they are portrayed in a different article in this issue of the Quarterly. STEM fields are firmly related and expand on each other. For instance, math gives the establishment to material science and material science, like this, to engineer. Designers can apply their insight into material science to make cutting edge gadgets that are helpful for testing hypotheses in material science. Progresses in material science may then prompt to propel in designing and innovation. To better comprehend STEM, a concise depiction of each field takes after. Science specialists concentrate the physical and ordinary world through perception and experimentation. Science is a focal point to translate the world, says (Herrick, n.d.), a volcanologist at the Smithsonian Institution National Museum of Natural History in Washington, DC. My occupation is to grow information. Science laborers can likewise educate open arrangement, for example, by giving information as far as possible on the utilization of poisonous chemicals. The work of researchers frequently includes looking into, composing recommendations and academic papers, and showing discoveries. Science experts gather tests, direct trials, and do different errands to help researchers in those endeavors. Laborers depend on the sound technique to dispassionately test speculations and hypotheses. The correct procedure requires repeatable investigations that deliver unsurprising and perceptible information. At the point when the information coordinates a hypothesis expectations, the examination bolsters that theory. Speculations with the most steady proof are embraced however may keep on evolving, because new confirmation. Teachers in science are sorted in light of the piece of the universe they examine space sciences, earth sciences, life sciences, science, and material science. For instance, the life sciences concentrate the living scene, for example, plants or the human body; disciplines incorporate nature, hereditary qualities, neuroscience, pathology, and sustenance. Innovation Technology specialists utilize science and designing to make and investigate PC and data frameworks. For instance, some tech laborers create programming applications and construct and keep up PC systems and databases. STEM Output Innovation work interfaces individuals, making all types of correspondence including business exchanges, video sharing, and portable perusing speedier and less costly. The work frequently includes outlining, testing, keeping up, and enhancing PC programming, equipment, frameworks, and systems. Have you considered how regularly we encounter STEM in our lives? Science is our current world-sun, moon, and stars grounds and seas climate, catastrophic events, the differing qualities of nature, creatures expensive, little, microbial plants and sustenance the fuel that warms our homes and powers transportation. The rundown is practically unending. In this day and age, innovation implies PCs and cell phones, yet it backpedals to TV, radio, magnifying lens, broadcast, telescopes, the compass, and even the main wheel. Yes, designing outlines structures, streets, and scaffolds, yet it likewise handles todays difficulties of transportation, an unnatural weather change and condition amicable machi nes, apparatuses, and frameworks. We just need to glance around to perceive what upgrades to our lives and our homes have been built in the most recent decade alone. We experience arithmetic at the market, the bank, on tax documents, in managing ventures and the family spending plan. Each and every other STEM field relies on upon science. STEM is vital because it plagues each part of our lives. How about we consider how STEM impacts what is nearest and dearest to us our kids. STEM is their future the innovative age in which they live, their best profession choices, and their key to intelligent decisions. U.S Departments stand on STEM In 2009, the United States Department of Labor recorded the ten most needed workers. Eight of those workers were ones with degrees in the STEM fields bookkeeping, software engineering, electrical building, mechanical designing, data sciences and frameworks, PC building, structural designing, and financial matters and back. (Labor, 2009) As indicated by the U. S. Bureau of Commerce, STEM occupations are developing at 17%, while others are developing at 9.8%. Social insurance specialists with partner degrees to specialists of prescription will healthy 20% more in lifetime income than associates with comparable levels in non-medicinal services. A look at 2010 beginning pay rates for designers with $47,145 for structural architects to $60,054 for synthetic specialists is solid proof that STEM-related employments can be fiscally remunerating professions for our kids. (Commerce, 2010) Whether you realize it or not, S.T.E.M. is part of your day to day life. I cant put it any more eloquently than Rosalind Franklin, the English chemist who made contributions to the understanding of the molecular structures of DNA, RNA, viruses, coal, and graphite. You look at science or at least talk of it as some sort of demoralizing invention of man, something apart from real life, and which must be cautiously guarded and kept separate from everyday existence. But science and everyday life cannot and should not be separated. Science, for me, gives a partial explanation of life. In so far as it goes, it is based on fact, experience and experimentà ¢Ã¢â€š ¬Ã‚ ¦ In my view, all that is necessary for faith is the belief that by doing our best we shall come nearer to success and that success in our aims (the improvement of the lot of mankind, present and future) is worth attaining. (Franklin, 2016) Science instruction has been a disputable subject among bosses and schools for a considerable length of time. Managers are asking for more STEM graduates yet the schools cant stay aware of the rising interest. Unemployment rates keep on going up while positions in the science, innovation, and building fields have stayed open and unfulfilled. STEM training is fundamental to the position of the United States on the planet standings in STEM research and outline. As of now 3 of the 5 beat positions in STEM research are held by Asian nations and tragically the United States doesnt fall in the main 10 for the rundown. There was at one time a period when the United States drove the world in STEM inquire about, however circumstances are different and now the United States is trailing numerous different nations in logical advancement. Numerous U.S. natives are unconscious of the present condition of the STEM instruction framework and they frequently boast about statuses that the united States do not hold anymore. Teachers and organizations are collaborating to build STEM enthusiasm for school-matured youngsters and youths. It is their trust that their endeavors will expand the measure of secondary school graduates entering degree looking for projects in the STEM fields. A few endeavors are sketched out in this paper alongside their victories and disappointments. The interest for STEM graduates is amazing, yet with just six percent of secondary school graduates entering and finishing four year certifications in the STEM handle, the request is not being met. Benefits of STEM According to the U. S. Labor Department, the 10 fastest growing occupations) from 2008-2018, and their median wages are Biomedical engineers, $77,400 Network systems and data communications analysts, $71,100 Home health aides, $20,460 Personal and home care aides, $19,180 Financial examiners, $70,930 Medical scientists, except epidemiologists, $72,590 Physician assistants, $81,230 Skin care specialists, $28,730 Biochemists and biophysicists, $82,840 Athletic trainers, $39,640 (Labor, 2009) Look at other countries, and there are a lot of other countries that have done a better job with STEM subjects at the educational policy level. STEM should be more of a priority, but things are changing. The last two presidential administrations have made it STEM a priority, which is not true for administrations in the past, James Brown, executive director of STEM Education Coalition, told FoxNews.com. Education laws change slowly, and change goes both upwards from local school districts up to state and federal government and downwards to people like principals and superintendents. Brown said that working for STEM Education Coalition a large nonprofit affiliated with more than 500 member organizations that aims to lobby for increased governmental awareness and support for STEM education has given him a front-row seat to the continued movement to effect change in schools nationwide. He added that STEM is integral to giving students an edge in the economy upon graduating high school and college. The economy is changing with an emphasis on technology skills across all sectors. The emphasis now is that not all STEM jobs require four-year degrees. When I was growing up, you had what were called blue collar jobs, now you have technicians who need to be highly skilled in tech. You need people who can repair MRI (magnetic resonance imaging) machines, or work on electric cars, Brown said. You now need technicians who need to have really hard STEM skills. Thats a skill set that will be growing over the next five years, it will be more in demand, and giving students the foundation for those kinds of careers starts in school. (Mastroianni, 2015). STEM can have diverse intending to various individuals. STEM in advanced education is relatively direct. An understudy enlisted in a STEM related program, other than educator training, is in a remain solitary STEM field. For instance, if an understudy is majoring sub-atomic science, they will enter the STEM workforce as a researcher. They could be presented to innovation, designing or arithmetic that particularly relates to their field. However, chances are they will be uncovered somehow shape or frame. In this manner, coordination regarding STEM might happen; nonetheless, it must be noted they are inside a STEM field. This is not the situation with instructor training. Consider a High School Science Teacher that just shows science, however, does not coordinate innovation, building or math into their educational programs or that dont team up with other STEM staff. In spite of the fact that this instructor is in a STEM field the way that they dont coordinate or work together makes them only a science educator, not a STEM teacher. This valid with all instructors with the STEM field who show k-12 training. A few commentators stress that more science and innovation implies less writing and craftsmanship. Alternately that understudies creative impulses are being smothered, others worry about a lot of screen time particularly for more active children and about compounding an advanced partition between understudies from low-pay homes and their more productive associates. STEM supporters counter that quality STEM programs depend on all the customary school branches of knowledge, and that STEM urges understudies to think more innovatively than in conventional classrooms since substitutes are regularly making something amid the day. With respect to screen time, a few teachers in the STEM schools we went by voiced a comparable concern and said they were finding a way to test gadget utilization. In the interim, the government, establishments and organizations have given huge entireties of money and innovation to schools in an offer to address the tech separate Conclusion Better arrangement of science (STEM) programs, instructional practices, and understudy backings is required in foundations to address the issues of the populaces they serve. Programming and approaches that address the atmosphere of STEM divisions and classrooms, the accessibility of instructional backings and true STEM encounters, and the usage of powerful showing rehearses together can help understudies conquer key obstructions to winning a STEM degree, including time to degree and the cost of a STEM degree. References Franklin, R. (2016). Brainhacker. Retrieved from https://brainhac.kr/2016/08/why-stem-is-important-for-young-and-old Herrick, J. (n.d.). Labor, U. S. (2009). Retrieved from https://www.dol.gov/ Mastroianni, B. (2015, June 29). FOX NEWS. Retrieved from Biology. the U.S. Department of Health Human Services. (n.d.). Stop Bulling. Retrieved from https://www.stopbullying.gov/

Essay --

Manufacturing sector is the third largest sector of Pakistan after service and agriculture. It is playing a vital role in the economy of Pakistan; the 18.7% GDP of Pakistan is contributed by manufacturing sector (Ministry of finance, 2012). However, due to contemporary forces of globalization, technological changes and changing customer’s demands for better quality, this important sector of Pakistan is now facing intense competition. Corporate governance is the main key to survive in this turbulent environment. According to Shleifer and Vishny(1997), corporate governance is the controlled mechanism which protects the interest of investors by handlingagency problems. In other words, corporate governance is the system of check and balances on management actions (Larcker, 2011). A number of studies provided the evidence between independence and ownership structure and firm performance. But the results are mixed and cannot be generalized. For instance, several studies stated that opportunistic actions can be taken due to privileged information in case of stock ownership (Yermack, 1997; Bartov and Mohanram, 2004). And many other studies suggest that managerial ownership increases the shareholder wealth by removing the agency problem. Similarly, the results of the literature focusing on linkage of independence and ownership structure with capital structure are mixed (Krishnamoorthy&Maletta, 2012; Larcker, 2011). Considerable research work has been done on linkage of corporate governance structure with firm performance and capital structure, particularly, in developed countries. However, there has been modest research on the influence of corporate governance variables such as board independence, audit committee independence, managerial... ... annual reports of respective companies. Other financial data is collected the â€Å"Balance Sheet Analysis of Joint Stock Companies Listed at Karachi Stock Exchange† published by State Bank of Pakistan. Data for share price were collected through from website of KSE. 3.3. Research models and methodology Following equations are to be tested: EPSit = ÃŽ ²0 + ÃŽ ²1BIit+ ÃŽ ²2ACIit+ÃŽ ²3OCit+ÃŽ ²4MOit + ÃŽ µit Eq. 01 MBit= ÃŽ ²0 + ÃŽ ²1BIit+ ÃŽ ²2ACIit+ÃŽ ²3OCit +ÃŽ ²4MOit + ÃŽ µit Eq. 02 DRit = ÃŽ ²0 + ÃŽ ²1BIit+ ÃŽ ²2ACIit+ÃŽ ²3OCit +ÃŽ ²4MOit+ÃŽ µit Eq. 03 Where firm performance either measured by MB or EPS. MB is Market to Book Ratio, EPS is Earnings per Share andcapital structure is measured by debt ratio,ÃŽ ²0 is the intercept, ÃŽ ²1, ÃŽ ²2, ÃŽ ²3 and ÃŽ ²4are regression slope coefficients. As data used for study is of panel type, so we used panel data estimation methods. Fixed effects model is used to test the relationships.

Rheumatoid Arthritis Essay -- essays research papers

Rheumatoid Arthritis or (RA) is an autoimmune disease that attacks the joints and connective tissue. The result is inflammation that produces permanent damage in the joints. Rheumatoid arthritis is a chronic syndrome that tends to be progressive and destructive as compared to Osteoarthritis or (OA), which is more of an age related disease caused by â€Å"wear and tear† of the joints. In contrast to (OA), rheumatoid arthritis is characterized by inflammation mostly of the joints, but is a general body disease. The type of joint that is chronically affected is the synovial joint. The bones that are at a synovial joint are covered by articular cartilage; which reduces friction and absorbs shock. The space between the articulating bones is called the synovial cavity, which is surrounded by an articular capsule. The outer layer of the capsule is called the fibrous capsule and consists of dense irregular connective tissue. The inner layer of the capsule is lined with the synovial membrane, which is composed of areolar connective tissue with elastic fibers and may also contain adipose tissue. In a healthy joint the synovial membrane produces synovial fluid. The fluid not only reduces friction and lubricates the joint, but it also supplies nutrients and removes debris, wastes, and microbes.   Ã‚  Ã‚  Ã‚  Ã‚   Rheumatoid arthritis affects twice as many women as it does men. It can develop in child hood, but in most cases it develops between the ages of twenty-five and fifty. Rheumatoid arthritis itself may not be inherited, but what can be inherited are the genes that may make someone more likely to develop the disease including those genes that control the immune system.   Ã‚  Ã‚  Ã‚  Ã‚  Normally the immune system protects your body against foreign proteins like bacteria, fungi, or viruses and it does this by attacking them and producing antibodies. In Rheumatoid arthritis the immune system loses it’s ability to tell the difference between these antigens and the bodies normal cells. The body begins to attack the normal cells by using its plasma cells to produce antibodies called serum rheumatoid factors (RF). The chemical messengers called cytokines control the inflammatory process. One of the key cytokines is called Tumor Necrosis Factor or TNF; which is part of the normal inflammatory process. People with rheumatoid arthritis have been foun... ...neumonitis, bone marrow suppression, and with long term use even malignancy. Treatment also consists of rest and a nutritious diet. Some supplements such as fish or plant oils can be taken to partially relief some of Cavezza 7 the symptoms because they can decrease the production of prostaglandins. Exercise and physiotherapy can restore muscle mass and help preserve the range of motion. This is recommended after the inflammation subsides. Another alternative if or when drugs fail is arthroscopic or surgical synovectomy, which temporarily relieves inflammation. Prosthetic replacement of joints is possible, but this greatly reduces the functionality.   Ã‚  Ã‚  Ã‚  Ã‚  Rheumatoid arthritis affects everyone differently. In most patients, joint symptoms develop gradually over several years. In some people, rheumatoid arthritis may progress rapidly. Other people may have rheumatoid arthritis for a limited period of time and then enter a period of remission. More than two million people in the United States alone have rheumatoid arthritis and with research and development of new drugs and gene therapy there may be a clearer picture of a patients future and quality of life.

Presence of Depression in Patients Diagnosed with Alzheimer’s disease

Presence of Depression in Patients Diagnosed with Alzheimer’s disease Alzheimer's disease (AD) is a progressive and fatal neurodegenerative disorder which is associated with cognitive and memory deterioration, progressive impairment of activities of daily living, a variety of neuropsychiatric symptoms and behavioral disturbances (Robinson). This disease is seen in about 2-4 million Americans and is usually occurs after the age of 65 years (Robinson).According to Teri and Wagner (1992) there is growing agreement among physicians that Alzheimer’s disease is often accompanied by mood and behavior disturbances, especially depression. Depression and Alzheimer’s dementia are two separate disorders, one is disorder of affect other disorder of cognition (Terri, & Wagner 1992). Despite this, depression and dementia share a number of characteristics and frequently coexist. Impact of Associated Depression with Alzheimer’s disease on Patients and Caregivers According to Terry & Wagner (1992) depression is one of the most frequent comorbidpsychiatric disorders in Alzheimer's disease and other dementias, and is associated with poor quality of life, great degree of disability in activities of daily living, a faster cognitive decline, a high rate of nursing home placement and high mortality rate. AD patients with coexistent depression exhibit significantly more functional disability due to presence of depressive symptoms like: dysphoric mood, vegetative signs, social withdrawal, loss of interest, feelings of guilt and worthlessness, and suicidal ideation etc (Terry, & Wagner 1992).According to Newcomer, Yordi, DuNah, Fox, & Wilkinson (1999) depression in the patient is often a major source of stress, burden, and depression for care providers Caregivers of people with dementia and depression have been shown to experience depression, anger, anxiety, guilt, and to report negative attitudes toward the patient and other family members All these problems in patients with AD and depression can lead to massively increased health care costs (Terry and Wagner, 1992). Assessment of the Problem Gathering data on depression in order to accurately assess the prevalence of depressionamongst the patients suffering from AD is a very difficult problem due to many reasons as mentioned below: Lack of established procedures to ascertain depressive symptoms in AD: Absence of a standardized procedure for assessment of depression in patients with AD was probably the main factor which has contributed to the variable rates of depression (15%-86%) in different studies (Terri, & Wagner 1992). Different versions of the DSM III [1980] and DSM-III-R [1987] criteria were used in various studies which gave rise to different rates of prevalence of depression in patients with Alzheimer’s disease.AD and depression are now often clearly defined by using well-accepted diagnostic criteria, such as the Diagnostic and Statistical Manual of Mental Disorders, 3r d ed. , rev. (DSM-III-R); and the National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA), and well-established measures spanning the range of self-report and interviewer assessment (Terri, & Wagner, 1992).Other more established measures are also been used now, including the Hamilton Depression Rating Scale (HDRS) and the Geriatric Depression Scale. Using DSM-III-R criteria, Teri, and Wagner (1991) reported prevalence of depression among AD patients in their study as 29%.. Overlap of symptoms between depression and AD: Since there can be overlap of symptoms between the two, it is difficult to attribute the symptom to a particular disorder. This overlap can often confound the diagnosis of depression (Terri, & Wagner 1992).Existent measures can identify the presence of specific symptomatology, but they cannot clarify its cause. For e. g. : a person might be experiencing â€Å"loss of interest,† Now this loss could be due to the cognitive deterioration of dementia or due to anhedonia (loss of pleasure) related to depression.. Thus it becomes very difficult to differentiate dementia from depression in some cases. The primary source from which the history of depressive symptoms is obtained:According to number of studies (Gilley, et al. 1996; Teri, & Wegner1991) the traditional methods of obtaining history about depressive symptoms like patient interview and self reporting questionnaires might not prove accurate to assess the patient’s symptoms as the patient with Alzheimer’s disease might be suffering from significant cognitive impairment. As a result of this cognitive impairment AD patients are unable to provide accurate information about their symptoms of depression .As an alternative to patient-report methods, the use of collateral informants (patient’s care provider) to ascertain depressive symptomatology in cognitively impaired patients has been em ployed nowadays. In 1991 Teri and Wegner conducted a study in AD patients to show that the reports given by the patients themselves indicated less depression than reports from either their caregivers or reports given by clinicians after clinical observation of the patient. .The results of their study indicated that most of the patients suffering from AD and dementia seemed to be unaware of their depression.Although the use of collateral informants seems to be an attractive alternative approach for the assessment of depression in AD patients, it is not without important potential limitations. Caregivers may be unavailable for many patients or the care provider may not be living with the patient (Terry &Wegner 1992). If the care provider does not stay with the patient he might not get an opportunity to routinely observe the patient and will not be able to provide accurate information. The relationship between the care-provider and the patient also needs to be considered.According to m any studies (Terri, & Wegner 1992; Gilley, et al. 1995) child or spouse of the patient has been identified as the most accurate informant. Inaccurate data may be obtained if other sources of collateral informants are used. Caregivers may also provide inaccurate history as they may rely more on observable behaviors than on other sources of information because they are unable to evaluate the patient's emotional state, or conversely, caregivers may rely more on inference, using their subjective beliefs to evaluate how the patient is feeling (Teri& Wegner 1991).In cases where the care provider is not available, it typically becomes the responsibility of the clinician to make a diagnosis of depression. However clinician’s diagnosis is based on brief periods of patient’s observation and thus might not yield accurate results (Terri & Wegner 1992). Effect of Depression on Cognitive Deficits Associated with AD. Pronounced episodic memory impairment is one of the cardinal manife stations of AD. Depression on its own is also related with some amount of memory loss.Since both depression and AD have been found to result in memory deficits, it may be hypothesized that the simultaneous occurrence of both these diseases would add to the memory problems resulting from AD alone (Terry & Wagner 1992). Many neuropathological and clinical studies have attempted to determine whether the existence of one disorder predisposes an individual to the development of the other and whether the cognitive deficits seen in AD become more pronounced if the person also suffers from depression.The results of the study performed by Fahlander, Berger & Wahlin (1999) indicated that depression does not further impair episodic memory performance in patients with AD. This result was in agreement with a prior research done by Backman, Hassing, Forsell, and Viitanen (1996) who determined the co morbidity effects of AD and depression on episodic memory performance in very old persons (90-100 years of age) with and without dementia and depression. Overall, Backman, et al. found no differences between depressed patients and healthy old controls or between patients with AD and depression and those with AD alone.Backman, et al explained this finding as follows: Symptoms of depression which are most likely to exert negative effects on memory include motivational and attention factors like lack of interest, loss of energy, concentration difficulties etc. Some amount of memory impairment is already present among AD patients as a result of similar symptoms like lack of interest, loss of energy etc associated with dementia. Therefore, a diagnosis of major depression may not cause further impairment of memory in persons suffering from AD.Backman, et al also suggested that although depression influences memory performance in normal aging individuals, in dementia, this effect seems to be overshadowed by the neurodegenerative changes of AD itself . Backman, et al reached a conclusio n that since such symptoms are more likely to be part of normal aging in the 90’s compared with earlier decades, the effects of major depression on memory would be more prevalent among younger old persons(in7-8th decade of life) as compared to the oldest old(in 9-10th decade of life).Tests for Differentiating Alzheimer’s disease and Depression. Utility of the Fuld profile in the differentiation of AD and depression: Bornstein, Termeer, Longbrake, Heger, & North (1989) have examined the incidence of Fuld profile in a sample of patients diagnosed to be suffering from major depression. Fuld’s profile refers to a pattern of performance on the Wechsler Adult Intelligence Scale-Revised (WAIS-R) that appears to be associated with cholinergic deficits and thus is found to be associated with Alzheimer's disease (Bornstein, et al).Since a large number of patients with AD have been seen to show negative profiles, a negative profile does not prove that AD is not present. Bo rnstein, et al. have suggested that one should not rely on the results obtained from Fuld profile to make a diagnosis of AD. A diagnosis of AD should be made only after a thorough medical and neurological history and a complete neuropsychological examination. According to Bornstein, et al this profile was significantly less frequent in the depressed patients as compared to that reported in previous studies in Alzheimer's disease patients.The study by Bornstein, et al does provide some support regarding the diagnostic specificity of the Fuld profile in diagnosis of depression. Although this study and previous data are encouraging, considerable further investigation is needed to document the specificity and diagnostic contribution of this profile for diagnosis of depression. Measurement of a potential biological marker in the CSF: Increased CSF concentrations of phosphorylated brain protein called tau protein, has been seen in patients with Alzheimer’s disease. Phosphorylated t au protein (ptau) has been suggested as a biomarker for Alzheimer's disease.Since the levels of this protein are not elevated in patients with depression, measurement of this biological marker in cerebrospinal fluid (CSF) can diagnose patients with AD and thus help in differentiating them from those suffering from depression. (Vernon 2003). Treatment of Depression in Alzheimer’s Disease Patient Treatment of Alzheimer's disease has proved to be quite difficult. . The disease is progressive and use of drugs (like cholinesterase inhibitors) just help in bringing about a little improvement (20-30%) in cognitive symptoms (Zepf 2005).However the drugs used for improving cognitive functions have no effect on the depressive symptoms. Treatment of depression must form an important part of the overall treatment of this disease. This is so as treatment of depression in patients with Alzheimer's disease can have a significant impact on the well-being of these patients as well as their ca re givers [Lyketsos, et al. 2003 (as cited in Miller 2004)]. Continuing research is taking place in order to treat depression in AD patients. Many drugs have been tried to treat depression among patients with AD.Drugs like tricyclic antidepressants often used in cases of depression without AD are usually avoided in patients with AD, owing to their anticholinergic properties (Zepf, 2005). Lyketsos et al, 2003 (as cited in Miller 2004) showed the drug sertraline (selective seratonin uptake inhibitor) to be much superior as compared to placebo in treatment of depression in patients with AD. According to USA Today (Society for advancement of education) the drug sertraline (Zoloft) significantly improves the quality of life and prevents disruption in daily activities for patients of Alzheimer's disease with depression.Use of this drug has been shown to lessen the behavioral disturbances and improve the activities of daily living but has no effect on patients' cognitive abilities, such as thinking, remembering and learning. Conclusion Despite the great deal of research which has recently taken place in the field of Alzheimer’s disease with depression, more research is still required in this field as the physicians are still are not clear about the pathophysiology of AD or about the exact prevalence of depression in patients of AD or it’s etiology.The questions of whether depression and dementia are similar or different, whether one leads to the other or whether their coexistence has any etiological significance are far from resolved. The complete knowledge and understanding in this field will help the physicians in developing effective treatment strategies for care of such patients. Once the psychologists are able to understand the risk factors for coexistent depression in dementia and find its effective cure, they would be able to significantly improve the quality of life of the patients as well as their care providers and greatly reduce the health ca re costs.Several questions regarding the management of depression in AD still need to be answered. The comparative efficacy of anti-depressants from various classes still needs to be explored by performing larger clinical trials. Role of non-pharmacological methods for treatment of depression also needs to be explored. Further research and studies are required in future to address these topics. The number of studies at present is quite small and the need for further investigation in future persists. References Backman, L. , Massing, L. , Forsell, Y. , & Viitanen, M. (1996). Episodic Remembering in apopulation-based Sample of Nonagenarians: Does major depression exacerbate the memory deficits seen in alzheimer's disease? Psychology and Aging, 2(4),649-657. Bornstein, R. A. , Termeer, J. , Longbrake, K. , Heger, M. , & North, R. (1989). WAIS-R Cholinergic Deficit Profile in Depression. Psychological Assessment, 1(4), 342-344. Fahlander, K. , Berger, A. K. , Wahlin, A. ,& Backman, L. ( 1999). Depression does not aggravate the episodic memory deficits associated with alzheimer's disease. Neuropsychology, 13 (4), 532-538. Gilley,D. W. , Wilson R. S. , Fleischman D. A. , Harrison, D. W. , Goetz, C.G. , & Tanner, C. M. (1995). Impact of Alzheimer's-Type Dementia and Information Source on the Assessment of Depression. Psychological Assessment, 7(1), 42-48. Miller, E. K. (2004). Depression in patients with Alzheimer's disease. American Family Physician. Retrieved on 8 Nov 2006 from http://www. findarticles. com/p/articles/mi_m3225/is_3_69/ai_112915116 Newcomer, R. , Yordi, C. , DuNah, R. , Fox, P. , & Wilkinson, A. (1999). Effects of the Medicare alzheimer's disease demonstration on caregiver burden and depression: The medicare alzheimer's disease demonstration program. Health Services Research.Retrieved on 8 Nov 2006 from http://www. findarticles. com/p/articles/mi_m4149/is_3_34/ai_55610150 Robinson, R. Alzheimer's disease. Encyclopedia of Medicine. Retrieved on 8 Nov 2006 from http://www. findarticles. com/p/articles/mi_g2601/is_0000/ai_2601000053 Teri, L. , & Wagner, A. W. (1991). Assessment of depression in patients with Alzheimer's Disease: Concordance among informants. Psychology and Aging, 6(2), 280-285. Teri, L. , & Wagner, A. (1992). Alzheimer's disease and depression. Journal of Consulting and Clinical Psychology, 60(3), 379-391. USA Today. (Society for advancement of education). (2003).Antidepressant slows patient decline: Alzheimer's Disease. Retrieved on 8 Nov 2006 from http://www. findarticles. com/p/articles/mi_m1272/is_2701_132/ai_109085096 Vernon, H. (2003). Hemoxymed’s diagnostic test in development is useful in differentiating patients with Alzheimer's disease from patients with geriatric major depression. Business wire. Retrieved on 8 Nov 2006 from http://www. highbeam. com/doc/1G1-97485997. html Zepf, B. (2005). Drug therapy for patients with Alzheimer's disease. American family physicians Retrieved on 8 Nov 2006 from h ttp://www. findarticles. com/p/articles/mi_m3225/is_10_71/ai_n13790924.

Conflict Is Growth Essay

When one struggles, they are paying the price to receive beneficial growth in their lives. Conflict will always be around in daily life to challenge our beliefs and behaviors, so it is important to bring emotions and deep feelings out so that issues may have a chance of being resolved. The best thing anybody can do is to deal with it in a positive manner creating growth and maturity, but occasionally one will learn nothing and reject any improvement. Two stories this semester that dealt with this issue directly were Useless Beauty by Guy De Maupassant and Premium Harmony by Stephen King. These tales brought conflict to a great point creating tension but it was the way they were handled that makes both stories standout. In Useless Beauty, the protagonist Madame de Mascaret had a strength that was fighting for deliverance. â€Å"This is what I have to say to you. I am afraid of nothing, whatever you may do to me. You may kill me if you like† (Maupassant 6). â€Å"I am a woman of the civilized world, monsieur–we all are–and we are no longer, and we refuse to be, mere females to restock the earth,†(Maupassant 16). Conflict was an ongoing issue within her marriage; beginning with her husband who was always jealous of her flawless beauty and constrained her from society by impregnating her repeatedly over a period of eleven years. Forced into marriage for money and not truly in a love relationship with Comte de Mascaret, Madame struck back with revenge â€Å"One of your children is not yours, and one only; that I swear to you before God, who hears me here. That was the only revenge that was possible for me in return for all your abominable masculine tyrannies, in return for the penal servitude of childbearing to which you have condemned me† (Maupassant 6). Leaving Comte to dwell on this thought and not know which child was not his, he finally came to express his true feelings towards Madame admitting his jealousy and the way her confession has troubled his relationship with the children. The resolution for the story is quite interesting, although Comte never found out which child wasn’t his, the two together were able to come to a medium and recognize how each other felt and begin a friendship throughout the hurt and pain that was finally based on truth and respect for the both of them. I admired the fact that something of this capacity could help someone understand the beauty of a woman and her place in society. In Premium Harmony, Stephen King wrote about a marriage that is still realistic in today’s society. It captured a close look of a man name Ray, the protagonist, disconnected from a life it seems he never wanted to be in from the start. Ray and his wife Mary Burkett are extremely in conflict within their marriage and failing at it rapidly. They both argue and lie about many things that shouldn’t even be an issue and without any passion behind it. It’s really all the same argument. It has circularity† (King 1). I believe conflict sets the whole mood for the story itself. After they found out that they couldn’t have kids Ray bought Mary a dog, and this is where is seems the disagreements arise. Ray compares their arguing to â€Å"a dog track† and that â€Å"When they argue, they’re like greyhounds chasing the mechanical rabbit† (King 1). Ray shows a jealousy towards Biznezz, the dog, and this could be for different reasons but I believe the main reason is that his relationship with Mary is deteriorating and increasing with the dog. The word â€Å"Love is used only when in reference to the dog and not even after Ray attends to Mary’s body does he speak the simple four letter word. The resolution for this story was not ordinary. To escape the negative impact of the marriage, I believe depression killed Mary and Ray saw this as a relief from the arguments with his wife. Stephen King mentions two distinct items in this short story, a pack of smokes â€Å"Premium Harmonies† and Mary’s â€Å"Little Debbie’s† they are pretty much opposites and this is comparable to their relationship. It’s not until the end, once the dog dies, that Ray’s numbness takes a turn and he shows any kind of emotion â€Å"You’re with her now, Biz,† he says again through his tears. His voice is clogged and thick† (King 9). â€Å"Poor old Mary, poor old Biz. Damn it all! † (King 10) This definitely leaves unbelievable and amusing emotions that make you wonder did Ray want to be unbothered all along? Confrontation: Reading these two stories made me realize exactly what I don’t want my marriage to become. In any relationship, how you resolve conflict is what matters most. With today’s society, people question love and what they want in a mate. It is more complex and the earlier roles by women and men are no longer defined. The women’s movement has improved may factors, but we still must understand the consideration of each other and our families. This new evolution of marriage has made the basis only to fulfilling emotional and psychological needs other than aspects that love was built on. We truly must not forget the meaning behind love and matrimony.

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