Saturday, April 11, 2020

A Titled and Descriptive Essay For Museum Report

A Titled and Descriptive Essay For Museum ReportIf you have just finished writing a submission for your college or university, you may want to look into finding the perfect essay for museum report. There are a number of quality online resources for preparing and submitting essay for museum report, but the biggest benefit of submitting a service from an online resource is that they offer a lot of tips and tricks to help you make your essay effective.One of the best tips for completing a museum report essay is to begin by defining what it is you want to convey through your essay. This is the first thing that comes to mind when a person is deciding what essay to submit to college or university. It should tell your prospective readers what you expect to convey.This will help your readers have a better understanding of the whole idea you are trying to get across. Be sure to consider the theme of your essay. You can use this to help define your subject matter and make your essay more inter esting.You can also give your essay a title. You can choose from descriptive titles, descriptive key phrases, and even unique titles. The title that you choose will be an important component of your essay, and you need to think about it from a lot of different angles.You can choose to tell readers what you want them to learn from your essay, or you can explain what you intend to accomplish with your essay. In a descriptive essay, you are usually going to be writing a brief and easy-to-read synopsis of the assignment. If you are not sure how to structure a descriptive essay, the second option may be best for you.You can also choose to put the key phrases at the beginning of your essay. Key phrases are phrases that will tell readers what you are saying, and you can include some or all of these keyphrases in your essay. A common example of this is putting 'I think' at the beginning of the essay and ending it with 'Therefore.'The title for your essay for museum report is a very importan t part of your essay. It is going to guide readers in understanding what you intend to communicate. The title can help you make your essay more attractive, effective, and interesting to your reader.

Sunday, April 5, 2020

Is there a crisis of meaning in the contemporary world Essay Example

Is there a crisis of meaning in the contemporary world Essay In modern day society, an increasing number of people question their purpose, their meaning, and their very existence on this earth. The questioning stems from either a lack of faith, a lack of understanding, lack of knowledge, or the general belief that human life pales in insignificance to the universe, and that, as described in Humanism: A Very Short Introduction, humanity amounts to nothing more then a dirty smudge on a ball of rock lost in an incomprehensively vast universe'(page 119)1. We must ask ourselves, what causes humanity to constantly question itself? Can it be solely be attributed to the rise of modern day science, which casts itself directly opposite the might and meaning of religion? Or it may be the fact that humans, are a race are more aware of the Earths small role in the vast universe; a parallel with humanities own insecurities about their own role in the colossal size of the universe. Personal situations, such as the heartbreak of unrequited love, the despair of losing your job, can evaporate all meaning in an individuals life, thus leading towards a crisis of value. In the Western world especially, the rise of atheism has also contributed towards an individuals lack of belief and sense of meaning; as one turned to religion and the belief that there was a higher power, which was substantial enough to give the individual meaning and a place in society. However, the rise of atheism, has led people to question the idea of an all powerful God. We will write a custom essay sample on Is there a crisis of meaning in the contemporary world specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Is there a crisis of meaning in the contemporary world specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Is there a crisis of meaning in the contemporary world specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The seeds of modern day atheism were sown by Karl Marx, who felt that religion was a form of control, and that the idea of a God was an illusion. He also stated that Religion is the sigh of the oppressed creature, the feelings of a heartless world, just as it is the spirit of unspiritual conditions. It is the opium of the people. 2 This school of thought gained popularity, as more and more people started to think outside of the institutionalized, rigid ideas of religion. It was thought that the idea of an all loving God, whom people had to worship did not satisfy the developing curiosity of the masses, who still wonder, how an omniscient, omnipotent higher being, can allow atrocities such as the Nazis slaughter of millions of Jews in World War 2 occur without trying to stop it, or lets natural disasters such as the Japanese earthquake and tsunami of 2011 take place. Surely if a loving God exists, such pain and suffering cannot be piled on so many people? Certain religions, such as Hinduism, go to great lengths to explain the suffering inflicted upon so many. It is a belief in Hinduism, and various other religions such as Buddhism and Sikhism, that our physical beings are just a shell for our soul, which is derived directly from God itself. This soul is reincarnated within various lifetimes, as punishment for our past sins. This means that the agony and pain undergone by so many is a direct result of our past actions, in previous lives, thus taking the absence of an intervention of God, out of the equation. The lack of a definitive answer however, leads individuals to lose faith in a God, and a religious system, as these questions eventually cannot be answered by anybody, all but leaving either a feeling of emptiness or content inside the person; as they either are satisfied with knowing theres nothing more to life, or are depressed by the thought that there is no meaning to their existence. Albert Schopenhauer, a philosopher in the 18th century rejected the idea of a God, and that suffering and loss is all of our own making, and not determined by a higher power. An existential crisis is in most cases triggered by a significant event which provokes a turning point in an individuals life. These can range from cases involving the loss of a loved one, to an individuals own sense of isolation and detachment from the modern world. Looking back on my own experience of being in the position of one who has lost faith and ultimately questioned the purpose of life, the ultimate answer is that each person must come to their own conclusion, and find their own path in life. For me, after going through the pain of unrequited love, I was lead to question God, and the reason why I had been going such heartache, while others around me were so happy, and for a period of time I felt isolated and found no reason strong enough to justify why human beings are here. For me, being brought up in a religious household, this was a radical way of thinking, and had no idea how to deal with it. My way of life had been threatened by a new way of thinking, and questioning whether all I believed in was a lie. Now I realize it was my lack underlying lack of faith which subsequently led me to question my existence and purpose on this earth. I discovered that the worst thing about questioning one selfs meaning and purpose, is that there is no definitive answer. The quest for meaning led me to research several philosophers and religious figures, including a prominent Indian philosopher, Swami Vivekananda. Swami Vivekananda enabled me to understand the meaning of our existence, by stating that human beings were like the bee who came to sip the honey, but found its feet stuck to the honey-pot, and could not get it away. Again and again we find ourselves in that state. That is the whole secret of existence. . This is further explained when he questions Why are we here? We came to sip the honey, and we find our hands and feet stuck to it3. This for me implies that human beings are never satisfied with what we have, and always seem to question more and more, without finding any satisfactory answer. The breakthroughs and discoveries in science further destroyed peoples ideas of a higher purpose, as it moved to dissolve the idea of a creator figure. Charles Darwin was a leading figure in challenging Creationism and the Great Chain of Being. His studies and new ideas such as Succession of types, Representative species, and the distribution of species were important in radically altering peoples outlook on life. His theory of evolution, ascertaining that man was essentially once a Neanderthal opposed the idea that we were created for a purpose. It challenged the idea that humanity was the center of the world, and that the hierarchy must be rejected, and that man is just a consequence of nature, which moved to dissolve many peoples belief in a higher power, thus leading them to query their existence, as Darwins theories suggested that we were not put on this planet for any specific reason by a God; we are just a consequence of natural selection and biology. Darwins theories were challenged by Karl Popper, a philosopher who claimed that scientific theories could be falsified and replaced. The problem with science however, is that it does not provide a moral code, or ascertain what is wrong and right to feel, leaving the individual in a quandary about what to believe. In conclusion, it can be said that a higher number of people fail to find meaning in their life, or at least question it at some point in their lifetime. This is due to a combination of a lack of faith in a God/religion , the emergence of science and Darwins theory of natural selection/ evolution and the consequence of suffering caused by events such as the Rwanda genocide and global AIDs crisis. The fundamental problem is that there is no definitive answer, and no solution to the questioning of an individuals purpose, leaving us to the only answer, that each individual must find their own path in life.

Sunday, March 8, 2020

dolls house essays

doll's house essays Doors can represent many ideas or actions. A door has many uses; it can be used to open certain things, or close them. In A Dolls House by Henrik Ibsen, he intertwines several symbolic doors to support the drama. Occasionally, Nora would bring a guest into another room such as Mrs. Linde. Nora would dump her whole pride and lifestory onto Mrs. Linde, someone who Nora hasnt seen for 10 years. This is someone who gave him approval. Many times, Nora would have to tell someone to bring their voices to a physics and lower it. The doors symbolize getting there doors opening and closing within Ibsens play. Also, doors enable deception. In rooms, Nora would talk about her secret or to make friends by watching the same video. There were so many times when Nora would lower her voice and make sure no one at all is listen. Nora also does her other business, such as lie. Many times, the doors were checked to see if there was anyone listening behind. Nora talked to Krogstad behind doors.. also tough to remember. She talked to Mrs. Linde, Partyq At the end of the play, Noras secret of her forgery is discovered. Torvald locks the hall door so Nora can't leave (64). He has the key which means he is in comp lete control over it. Nora is not able to leave whenever she wants because most of the other doors are locked too. Nora is essentially trapped in her own house. She cannot go out because of the children. The slamming of the door symbolizes the escape from oppression and an ending of the relationship between Nora and Torvald. Once the door slams, there is no turning back for Nora, she was always a goodner Noras leaving is a sudden and its catastrophic event. The slamming of the door gives the play a great dramatic effect. Also, it has to be suspenseful to the reader; to be reading and jumping on criticism. ...

Friday, February 21, 2020

Applied Research Methods Essay Example | Topics and Well Written Essays - 3000 words

Applied Research Methods - Essay Example This in turn should lead to the development of more efficient and effective business processes and organizational decision making systems. This entire system will enhance an organization’s ability to sense and respond to changes in its external environment, which will increase its chances of survival in today hostile business environment. Critical Literature Review: Knowledge Management Knowledge management is the vehicle by which organization enhance and encourage organizational learning. Knowledge management is a vehicle by which an organization can enhance its ability to learn from its environment and to incorporate knowledge into its business processes (McAdam and Reid, 2001). There are four value-adding steps in the knowledge management value chain, these are as follows (Wong and Aspinwall, 2005): Knowledge Acquisition: Organizations can acquire knowledge in multiple ways, this depends on the type of knowledge they seek to acquire. Industry libraries comprise of industry related documents, reports, presentations, and best practices. Moreover, employees of the industry are encouraged to add new knowledge based on their experiences. An industry can acquire new knowledge by developing online expert networks; this kind of network facilitates an employee to seek advice from an expert in the company who has the knowledge of the problem area in his or her head. A company operating in a particular industry can create new knowledge by discovering patterns in corporate data or by using knowledge workstations. Knowledge Storage: after discovering the fundamental patterns, documents and experts rules there need to be a repository of this industry. This data should be accessible to any new entrant or to any already operating in the industry. Knowledge Dissemination: Portals, e-mail, instant messaging and searching technology can bring about the dissemination of desired knowledge. These technologies in addition to an array of groupware technologies can increase t he rate of dissemination of information. Knowledge Application: Gathered knowledge that does not get shared and applied to a practical problem faced by a firm operating in a particular industry, than there would no value added in the current business practices of the industry. Thus in this scenario the only plausible outcome of this lackluster attitude of the firms of a particular industry is stagnation and in turn eradication from the industry. Role of Small and medium enterprises in Developing Economies One important aspect of a flourishing economy is its nourishing and germinating small and medium enterprise. The fundamental points that differentiate an SMALL AND MEDIUM ENTERPRISE from large scale enterprises are uncertainty, innovation and evolution. This sector of SMALL AND MEDIUM ENTERPRISE is further classified as micro enterprises, small enterprises, and medium enterprises. These small enterprises create the most fertile ground for the germination of industrial economy. Sinc e this industry plays a vital role in the following economic paradigms therefore it is of utmost importance that a country generates and gathers all the pertinent information that will allow the entrepreneurs of the company to nurture this sector: income distribution, tax revenue, employment, resource utilization, development of family life and etch. By having a major

Wednesday, February 5, 2020

Stigma and Discrimination in schizophrenia Essay

Stigma and Discrimination in schizophrenia - Essay Example Discrimination may be defined as the action or treatment based on stigma and directed towards the Stigmatized (Bunding, 1996). Stigma and discrimination are highly associated with the Schizophrenia as it is a psychiatric condition that describes a mental disorder characterized by deviation in the expression of truth and / or by significant social or occupational dysfunction. Stigma and discrimination resulted by schizophrenia is mainly due to unawareness among the people about the disease. Some investigators found that the stigma operated by schizophrenia may result in deviated behaviour and violence which is very dangerous (Link et al., 1992; farrington, 1994; Link &Stueve, 1995; Appelbaum et al., 2000). Schizophrenia is reported to afflict 1% of the worlds population (U.S. Department of Health and Human Services, 1991), where as schizotypal personality disorder afflicts 2–3%. The stigma and discrimination caused by schizophrenia was confirmed by several research workers (Poulton et al, 2000; Cannon et al, 2002). Earlier studies and reviews of worldwide-published research mainly compared the incidences of the stigma and discrimination due to illness in urban and rural geographical regions (Haroutunian et al., 2006, Paz et al, 2006 and Skosnik et al., 2006). However the past studies didn’t focus much on multifaceted stigmatization of schiz ophrenia and hence the present investigation has been performed to analyse the stigma and discrimination associated with schizophrenia in more integrated manner. This was planned to answer the following questions. The sample size of the population (N) is 300. The family members of the schizophrenics residing in Mumbai, India were interviewed on nature and causes of stigma, most common forms of stigma, common source, removal probability, consequences, common management strategies, method of information about

Tuesday, January 28, 2020

Effect of THNPs on Heroin OD Mortality | Methodology

Effect of THNPs on Heroin OD Mortality | Methodology Chapter 2. Methods 2.1 Introduction This chapter contains a precise description of the process used to search and appraise the evidence for this systematic literature review. The search was carried out during August and September 2014. An in-depth description of how evidence and research available related to the PICO question were generated, will be discussed. As mentioned in the previous chapter, the aim of this dissertation is to determine the effect of THNPs to heroin users, on heroin OD mortality. The analysing process of the PICO question, whether THNPs reduces the incidence of fatal heroin OD deaths, will be amplified through a description of the actual search strategy, and the methods used to appraise the retrieved studies. Through specific criteria, a systematic approach was applied in obtaining and selecting the relevant literature. Identified keywords used for the search syntaxes will be presented, together with the databases used for the retrieval of evidence, and the number of hits produced from each database. Search syntax is the relationship of a sequence of words used in a search strategy. A discussion of the inclusion and exclusion criteria set for this systematic review (SR) will follow, together with the methods of appraisal chosen to evaluate the studies. 2.2 Keywords and databases used PICO Element Description Keywords Population Heroin injection users in the community heroin users, injection drug users, drug users, opioid users Intervention Take-home naloxone program take-home naloxone program, naloxone distribution program, Comparison No comparison Outcome Reduced incidence of fatal heroin OD deaths OD reversal, OD prevention, opioid OD prevention, heroin OD prevention, harm reduction According to Timmins and McCabe (2005) the cornerstone of an effective search strategy is the use of proper keywords. A number of keywords were formulated from the PICO question elements, and from the preliminary search of the literature. These were mainly identified from titles and keywords used in articles found from the preliminary search. Table 2.1 below, shows the keywords used in relation to each PICO element. Table 2.1 Keywords developed to describe the PICO framework The main electronic systematic search with the search syntaxes explained further on in this chapter was carried out using different databases accessed from the Hybrid Discovery (HyDi) available from the online library at the University of Malta. Relevant databases were found on HyDi by choosing the category ‘Health Sciences’ and sub-category ‘Nursing’ since the other sub-category is ‘Midwifery’ which is unrelated. Six databases were used to conduct a search for the literature. These were Academic Search Complete, Cumulative Index to Nursing and Allied Health CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, and Cochrane Database of SRs; via EBSCO host search engine together with Medline via ProQuest search engine, and Science Direct. In addition to these databases Google Scholar was also utilised, but the search syntaxes combinations could not be used since the search engine does not have an advanced search strategy, a nd the search resulted in large thousands of articles. Therefore simple keywords alone were used to search for any other relevant studies, or to obtain full text versions which are not available in other databases. Strengths and limitations of each database are described below in table 2.2. Database Strength Limitation Academic Search Complete Daily updates Provides full text journals Available only from EBSCO host CINAHL Plus with Full Text Weekly updates Over 950 journals Covers references and abstracts from 1982 onwards Available only from EBSCO host English and American language bias Cochrane Library Cochrane Central Register of Controlled Trials Cochrane Database of SRs Research analyzed using trustworthy methods Large source of literature Up-to-date Complete text reviews Limited by restrictions Medline Records indexed with Medical Subject Heading (MeSHÂ ®) Provides a large source of life sciences evidence needed by health professionals Limited by restrictions Science Direct Provides full text from Elsevier Science journals Provides full text articles Limited by restrictions Google Scholar Free access web based search engine Large amount of results due to lack of an advanced search strategy Table 2.2 Databases strengths Limitations 2.3 Inclusion and Exclusion Criteria For readers to assess reliability and validity of a SR they have to be provided with a set of inclusion and exclusion criteria (Cronin, Ryan, Coughlan, 2007). Furthermore, Torgerson (2003) suggests that a set of inclusion and exclusion criteria are important so that throughout the search, only the articles that will answer the PICO question are extracted while others are eliminated. During the preliminary search it was noted that literature about the subject lacks randomized controlled trials (RCTs’), meta-analysis, and SRs. As shown in figure 2.1, these study designs are found at the top of the hierarchy of evidence as described by Aslam et.al (2012). Hence, all types of study designs were part of the inclusion criteria. Sibbald Roland (1998) said that clinical trials are known to be a gold standard to perform good evidence based practice and although they were in the inclusion criteria, the results were negative since up-to date no RCTs have taken place. Although this is a major limitation for this literature review, one must keep in mind that currently, the first and largest RCT is being carried out as described in chapter 1. Source type selected in all databases was ‘Academic Journals’ since books, newspaper articles, and magazines are not of strong evidence for evidence based healthcare because sometimes they do not have any type of study design, and may be narrative. Each search was limited to English language literature only. Studies that administered intranasal (IN) naloxone were excluded since this method is an off-label method (Doe-Simkins, Walley, Epstein, Moyer, 2009), and in an RCT by Kelly et al. (2005) it was found that IM naloxone was clinically more effective than IN naloxone (6 minutes vs 8 minutes). Table 2.3 and table 2.4 below describe further in detail the inclusion and exclusion criteria respectively. Figure 2.1 The Hierarchy of Evidence Pyramid (adapted from Aslam et al. 2012, p.3) Table 2.3 Inclusion Criteria Inclusion Criteria Rationale Literature had to be in English language Not possible to translate to English Studies published from 1980’s till September 2014 Studies about THN commenced in the 90’s, and so all studies are obtained (Darke Hall, 1997) Involving heroin injection drug users above 18 years of age Since the population are adults injecting heroin, and in all studies found, drug users were of 18 years and above Involving THNP Since this review concerns the outcome of THNP Experimental studies including RCTs’, reviews, observational studies including cohort studies and longitudinal studies To include all study designs and to not eliminate valuable literature Study needed to have an outcome of survival rates or OD reversals associated to THNP If outcomes were different, studies would not answer the PICO question Exclusion Criteria Rationale Studies researching attitudes, views and opinions of health care practitioners providing THN and other stakeholders such as police Outcome of studies unrelated to PICO question Studies about experiences of fatal OD victims where naloxone was not provided to heroin users as a preventive measure of fatal OD Studies had to have THNP studied as a preventive measure rather than other measures Development of instrument tools for THNP evaluation These instruments do not answer the PICO question Users of prescription opiates including methadone Since population is specifically heroin injection drug users Studies including HIV, AIDS, buprenorphine, methadone, and supervising injecting facilities as a main topic For the fact that THNP is the main subject and intervention of this SR Studies were intra nasal naloxone was used Naloxone nasal spray is not yet approved or licensed anywhere in the world Studies where naloxone was not administered by any of the participants The outcome was not attributed directly to naloxone administration Studies not published in English Not possible to translate to English Table 2.4 Exclusion Criteria 2.4 Search Strategy The keywords mentioned in table 2.1 were developed so that each PICO element has its own search syntax as identified by Bettany-Saltikov, (2012). The use of search syntaxes has assisted in narrowing the search to the most relevant studies to the PICO question. Table 2.5 below, shows the search syntax used for each PICO item. PICO element Search syntax number Search syntax Population Search syntax 1 heroin users OR injection drug users OR drug users OR opioid users Intervention Search syntax 2 take-home naloxone program OR naloxone distribution program Outcome Search syntax 3 overdose reversal OR overdose prevention OR opioid overdose prevention OR heroin overdose prevention OR harm reduction OR overdose mortality Table 2.5 Search syntaxes Search syntaxes were combined as described here: Population (syntax 1) AND Intervention (syntax 2) Population (syntax 1) AND Outcome (syntax 3) Intervention (syntax 2) AND Outcome (syntax 3) Boolean logic operator ‘OR’ was used to combine each keyword of each PICO element syntax, while the operator ‘AND’ was used to combine the PICO elements together as described above. In all search fields of the databases used except Google Scholar, ‘In All Text’ was selected for all searches. In Google Scholar the keywords searched independently were ‘take-home naloxone’ and ‘naloxone distribution’. These keywords were searched in titles only, since when searched for anywhere in the article the results were over 50,000 with most of them irrelevant to the dissertation. As shown in table 2.6 below, the defined search resulted in 2,260 articles. After the titles were evaluated whether they fit with the inclusion and exclusion criteria mentioned previously, and removing duplicate articles the search results were reduced to 160 articles by reading through the titles. The abstracts of these 160 articles were read and consequently 25 articles were noted to be directly related to the PICO question addressed in this dissertation, as they all met the inclusion criteria. One of the 25 articles which is a study by Lenton Hargreaves (2000) was not available online for free. The author, Professor Lenton was contacted via e-mail. Fortunately there was an immediate response, and the article was provided for free. However, after reading these 25 articles, 15 were eliminated because they had one or more of the exclusion criteria fit. The remaining 10 articles were identified and had fit all of the inclusion and exclusion criteria and were chosen for the critical a ppraisal of this systematic literature review. Furthermore the search was enhanced by looking up at all the reference lists of the final articles chosen for critical appraisal, but no new studies were found. Identified studies for critical appraisal are the following: Strang et al. (2008), Piper et al. (2008), Tobin, Sherman, Beilenson, Welsh, Latkin (2009), Enteen et al. (2010), Wagner et al. (2010), Bennett, Bell, Tomedi, Hulsey, Kral (2011), Bennett Holloway (2012), Lankenau et al. (2013), Banjo (2014), and Clark, Wilder, Winstanley (2014). In addition to the electronic search, a hand search was done within the University of Malta library which did not produce any results. Table 2.6 below presents the number of hits obtained from each of the databases above and the different search syntaxes combination. Database Keywords Number of hits Academic Search Complete search syntax 1 AND search syntax 2 274 search syntax 1 AND search syntax 3 272 search syntax 2 AND search syntax 3 55 CINAHL Plus with Full Text search syntax 1 AND search syntax 2 7 search syntax 1 AND search syntax 3 114 search syntax 2 AND search syntax 3 10 Cochrane Central Register of Controlled Trials search syntax 1 AND search syntax 2 0 search syntax 1 AND search syntax 3 0 search syntax 2 AND search syntax 3 0 Cochrane Database of SRs search syntax 1 AND search syntax 2 0 search syntax 1 AND search syntax 3 1 search syntax 2 AND search syntax 3 0 Medline search syntax 1 AND search syntax 2 31 search syntax 1 AND search syntax 3 228 search syntax 2 AND search syntax 3 28 Science Direct search syntax 1 AND search syntax 2 532 search syntax 1 AND search syntax 3 485 search syntax 2 AND search syntax 3 145 Google Scholar take-home naloxone, naloxone distribution 78 Total number of literature found = 2,260 Table 2.6 Number of articles found from each search 2.5 Refining of the research question After finding the relevant literature to the original PICO question, and considering properly the population being studied, the research question was duly refined since this systematic literature review will be based on the impact of THNP effect on heroin OD deaths amongst heroin injection drug users. Initial PICO question was: ‘Do naloxone take-home programs provided to drug users in the community reduce the incidence of fatal opioid OD?’ The question was refined to: Do naloxone take-home programs reduce the incidence of fatal heroin OD amongst heroin injection users? The refining of the PICO question was essential since some of the literature concerned prescription opioid users or general drug users, but the reviewer’s main interest is heroin injection users. 2.6 Methods of Appraisal After identifying the relevant studies and refining the PICO question, the next step for this dissertation was to critically appraise the literature. This will be covered in chapter 3. Critical appraisal is the evaluation of strength and quality of research studies in order to deliver evidence-based clinical decisions and after determining the worthiness of different studies through the use of different critical appraisal tools, multiple research findings can be synthesized together to develop evidence-based-practice (LoBiondo-Woods Haber, 2013). Furthermore, Burls (2009) argues that studies being biased can result in false outcomes and conclusions, because they are not composed of an acceptable quality. A bias is an orderly deviation of the results occurring from the way that a study is led, investigated or reported. In light of this, critical appraisal tools were developed to help researchers in identifying valid and reliable studies. Specific critical appraisal tools in the form of checklists are used to analyse different study designs. Commonly used appraisal tools are: Critical Appraisal Skills Programme (CASP) Scottish Intercollegiate Guidelines Network (SIGN) Centre for Evidence Based Mental Health (CEBMH) Critically Appraise Topic (CAT) After studying and considering all of the above methods of appraisal, together with other appraisal tools, it was decided that the CASP appraisal tools are to be used for critically appraising the identified studies relevant to the PICO question. The reason for choosing the CASP appraisal tools is because it is clear, concise, and easy to understand. CASP offers different checklists appropriate for different research designs where one can critically evaluate research through a set of questions and helps in determining the quality of the literature being appraised. At this phase, the studies were also rated and arranged according to the hierarchy of evidence adopted from Aslam (2012) as shown in figure 2.1. 2.7 Conclusion In conclusion, the study’s main objective is to determine whether THNPs reduces the mortality rate of heroin OD. Several keywords were identified from the PICO question elements, and from preliminary search results. These keywords were systematically searched in different databases using different search syntaxes combinations. A set of inclusion and exclusion criteria were then set up in order to get to the studies relevant to the PICO question. PICO question was then refined and then it was decided to use the CASP appraisal tools for evaluating the relevant studies which will be discussed in the next chapter. Words 1763

Sunday, January 19, 2020

Drug Abuse Essays -- Drugs Narcotics Research Papers

Drug Abuse   Ã‚  Ã‚  Ã‚  Ã‚  Drug Abuse is generally defined as the use of a drug with such frequency that the user has physical or mental harm or it impairs social abilities. The substances that are discussed in this report are called psychoactive drugs; those drugs that influence or alter the workings of the mind, affect moods, emotions, feelings, and thinking processes. Drug Dependence/Addiction   Ã‚  Ã‚  Ã‚  Ã‚  There are three basic characteristics that indicate that the user is dependent on a drug. First, the user continues to use the drug for an extended period of time. Second, the user finds it difficult to stop using the drug. They may drop out of school, steal, go to jail, lose their jobs, or leave their families in order to keep using. Finally, the user has withdrawal symptoms when drug use is stopped. They may undergo physical pain or mental distress. The drug mimics a natural process in the brain called neurotransmission. This is when a brain cell releases a signal to another brain cell. The signal then returns to the first brain cell. The signal is called a neurotransmitter. One major neurotransmitter is called dopamine, which is involved in feelings of pleasure. When the drug is released into the brain, it blocks the dopamine from returning to the first brain cell. Repeated use changes the brain cells so that normal messages can't be sent between brain cells. The drug must always be present in order for neurotransmissions to take place. The user is only able to feel pleasure from the cocaine rather than the things he/she used to find pleasurable. This is called drug addiction or dependence. Drug Classification Drugs are generally categorized into two groups, stimulants and depressants. Stimulants are drugs that speed up signals through the nervous system. They produce alertness, arousal and excitability. They also inhibit fatigue and sleep. They include the amphetamines, such as cocaine, caffeine, and nicotine. Depressants slow down the signals through the nervous system. They produce relaxation, lowering of anxiety, drowsiness, and sleep. They include sedatives (such as barbiturates, alcohol, and tranquilizers) and narcotics (heroin, morphine, opium, codeine), which dull the mind's perception of pain.   Ã‚  Ã‚  Ã‚  Ã‚  Some drugs are not included in the stimulant/depressant categories. An example is the hallucinogens, such as PCP and LS... ...nclude nausea, diarrhea, and pain, but they vary between drugs. Cocaine users report depression when denied the drug. Since heroin is a very addictive drug, it has many withdrawal symptoms. For example, insomnia, muscle cramps, nausea, sweating, chills, panic, tremors, loss of appetite, yawning, runny nose, and watery eyes. Drug Treatment   Ã‚  Ã‚  Ã‚  Ã‚  A drug addict generally goes through denial before he/she accepts his/her drug addiction. When they are confronted by a family member or friend, they refuse to accept that they are addicted. This is sometimes called a mental block. The user isn't ready or able to deal with thier addiction. The time period of denial varies from person to person.   Ã‚  Ã‚  Ã‚  Ã‚  When the person has come to accepting their problem, they may go to therapy for treatment. Group therapy has had excellent results. They learn to come to terms with their problem with the support of other people who are going through the same thing that they are. They also learn tools that they can use to help them through the recovery period, such as prayer, excercise, and meditation. Drug abuse is a serious problem, but through treatment and therapy, it can be overcome.