Friday, January 24, 2020

Herbal Dietary Supplements :: Diet Supplement Weight Loss Gain Research Paper

Herbal Dietary Supplements Fit America Fit America touts itself as the very best and most practical 100% Natural system of weight loss that helps an individual lose weight without dieting. Fit America is a natural weight control that is composed of 13 herbs and minerals that supposedly "help suppress appetite, regulate the bowels and kidneys, and stimulates the metabolism so the body uses the foods consumed more efficiently." The Fit America program requires a high protein, low carbohydrate diet. Fit America promises that an individual can expect to lose up to 10 to 18 pounds per month with a proper balance of food and water consumption. These herbal supplements include astragalus, bitter orange, cascara sagrada, fo-ti, gingko, english hawthorn, henna, licorice root, ma huang, and valerian root. It is recommended that individuals who utilize the Fit America program begin by taking one gray colored herbal capsule twice a day and one peach colored herbal capsule once a day. The Fit America program then encourage s the individual to gradually increase their dosage of grey colored capsules but to take no more than eight in one day1. For a 7 - 10 day starter kit of Fit America, the price is $29.95. For a 45 day supply, the cost is $139.00. I will attempt to review the safety of these herbs and their effects on the human body. Herbal Regulations When a pharmaceutical company desires to market a prescription drug, they must meet certain procedures and standards established by the Food and Drug Administration (FDA). These procedures can last many years and incur hundreds of millions of dollars of cost for the pharmaceutical company. Before a drug can be marketed, it must first be patented and then pass three phases of clinical investigation. In Phase I, the drug is tested by giving a small amount of it to a limited number of people. At this stage, the researchers are looking for the pharmacological effects on the body such as side effects. In Phase II, individuals who have the condition that the drug is supposed to treat are tested. Approximately 100 people are tested in this phase. If Phase II shows signs of promise, then clinical investigations move into Phase III.

Thursday, January 16, 2020

Psychiatric evaluation in the Philippines Essay

1. How would you describe the status of Filipino mental health based on prevalence of psychiatric cases released by DOH and the National Center for Mental Health from 2009-2012? As taken from the report, the WHO identified that stigma, discrimination and neglect have prevented care and management from reaching persons with mental disorders .Psychiatric patients in the Philippines are usually managed in a mental hospital setting. DOH-commissioned Social Weather Stations survey found that 0.7 percent of total Filipino households have a family member who has a psychological disorder such as depression, schizophrenia, epilepsy, and substance abuse. The status of mental health in the Philippines is also greatly affected by psychosocial issues and stress happening in the country such as economic crisis (poverty) and problems in interpersonal relationship (family, friends and workplace). Although for now the status of Filipino mental health is being balanced by our cultural practices, it is with great importance that we recognize that to further decrease the incidence of psychiatric cases, we need to seek medical assistance to manage them. The Philippines is a country in which psychiatry is taboo. Despite being a very modernized and americanized nation for the most part, plenty of Filipinos still hold onto old traditional and religious beliefs. Psychological disorders are not seen as such, but are thought of as demonic possessions and the like. The social stigma associated with mental illness is a major cause for non-use of health and psychosocial services by Filipinos. The lack of understanding of mental illness and the importance of mental health among Filipinos is as serious as the lack of a regular and useful database on the prevalence, manifestations, causation and risk factors of mental illness in the country. Thus, in my point of view, although the Philippines has lower number when it comes to psychiatric cases than other countries, our approach in handling such cases are still primitive that it would greatly affect the society and might contribute to the future increase of such cases. 2. Criticize the DSM-IV-TR in terms of reliability and practicality. The Diagnostic and Statistical Manual of Mental Disorders is used by clinicians and psychiatrists to diagnose psychiatric illnesses. It improved diagnostic objectivity by adding prototypes or decision trees outlining defining features of disorders, which lead clinicians through sets of questions regarding the presence or absence of symptoms. Mental health providers use the manual to better understand a client’s potential needs as well as a tool for assessment and diagnosis. The DSM-IV Text Revision is based on five different dimensions. This multiaxial approach allows clinicians and psychiatrists to make a more comprehensive evaluation of a client’s level of functioning, because mental illnesses often impact many different life areas. I have read several reviews about this system and there has been charges that DSM criteria and categories have little lapse when it comes to reliability and validity of its diagnoses. Some even suggested widespread concerns that DSM diagnostic categories lack clinical, research, and educational utility and that they are misused in a variety of contexts. As I was browsing the net I found two studies that used to describe the reliability and validity of the DSM-IV TR: Hoffmann (2002) Hoffmann studied prison inmates to look at diagnoses of alcohol abuse, alcohol dependency and cocaine dependency, to see if differences would occur in a computer-prompted structured interview, compared to the DSM-IV-TR criteria. It was found that the DSM-IV-TR diagnosis was valid and that the interview data supported the idea that dependence was more a severe syndrome than abuse. The symptoms from the automated interview matched those of the DSM criteria. Lee (2006) Lee studied the DSM-IV-TR diagnosis of ADHD to see if it would be suitable for Korean children, and looked at gender differences in the features of ADHD in the DSM. The DSM lists eighteen criteria for ADHD linked to children’s behavior. In total, 48 primary school teachers rated the behavior of 1,663 children (904 of which were boys, the remaining girls) using a questionnaire. Lee looked for concurrent validity by comparing the DSM-IV-TR criteria with criteria arising from the questionnaire, and compared DSM behavioral and psychological characteristics with those found in an ADHD test. Previous studies had showed that ADHD children had oppositional deficit disorder, ODD, as well, having problems with peers and discipline. Lee decided that finding the same correlation would support the diagnosis and show the DSM to be a valid tool. The same relationship was observed, and so it was said that the DSM-IV-TR had concurrent validity. Also found it to be reliable, as the correlation could check for similar diagnoses. However, the study found that for girls, the DSM-IV-TR symptoms and diagnoses were less compatible than they were for boys, which was a weakness found with the DSM as a diagnostic tool. When it comes to practicality, the DSM-IV TR provides readily available diagnoses that helps clinicians to plan a treatment to patients since the DSM-IV is a categorical classification system. To be reliable as a diagnostic classification system, there would have to be consistency with the DSM. This means that the DSM is reliable if the clinicians using it consistently arrive at the same diagnoses as each other. Validity is the extent to which a measure of a psychological variable measures what it sets out to measure. Essentially this means the correct variable (in clinical psychology, this variable will be a mental disorder) is measured, by arriving at the correct diagnosis. Needless to say, if the DSM were not reliable, it would not be valid either. This is because if it is unreliable it means inconsistent diagnoses are made, and so it must not be valid either as surely the correct diagnosis is being made. 3. With the patient’s right to privacy, what are the advantages and disadvantages of observing such right in a psychiatric setting? Privacy is defined in terms of a person having control over the extent, timing, and circumstances of sharing oneself physically, behaviorally or intellectually with others. Psychiatric patients have unique needs and quite often several issues are at stake. Although we handle these patients with a specialized form of care, all of them have all the same rights. One of the most important right is the right to privacy. Advocating a patient’s right is one of the fundamentals of nursing. The nurse must safeguard the patient’s right to privacy. This does not only mean the right to be left alone but more importantly avoiding unwanted intrusion into the patient’s life. The nurse advocates for an environment that provides for sufficient physical privacy, including auditory privacy for discussions of a personal nature and policies and practices that protect the confidentiality of information. Maintaining the privacy of a psychiatric patient and practicing confidentiality has a lot of advantages. It helps establish trust between a health care provider and the patient, whereas he feels respected thus gathering needed information regarding the patient’s status, including needs and concerns becomes easy. It also helps to reduces worry on the part of the patient and maintains his dignity. Therefore it could give the patient a sense of control and promotes autonomy. Moreover every freedom should also have its limitation. When we talk about privacy in the psychiatric setting, in times where patients lack the capacity to make decisions for themselves, their best interests should be considered during the treatment. Any treatment should be the least intrusive option for the patient. A patient’s right to privacy may be limited in situations where a person must be continuously observed, such as when restrained or in seclusion when immediate and serious risk to harm self (such as when the patient is under suicide precautions or special observation status) or others exists. Although this advocates for the safety of the patients in the hospital, some patients may find this experience confusing or upsetting. Furthermore, in practicing their right to access their records, some psychiatric patients might become more worried and pessimistic after reading their records especially if they are not responding well to treatments. And also in case of involuntary hospitalization (which is usually justified by patients’ imminent dangerousness to themselves or others, or their inability to meet basic needs) patients feel their privacy is being violated. In acknowledgement of the seriousness of depriving a patient of freedom in an involuntary commitment, the involuntary patient could insist his right to privacy and might withhold key information about his status that may contribute to his treatment. The patients’ rights especially regarding his privacy has its advantages and limitations which may result to various effects on his well-being. Health care providers should consider privacy a basic human right and confidentiality a professional obligation.

Wednesday, January 8, 2020

Events That Led to The American Revolution Essay examples

Many people have the misconception that the American Revolution occurred because British colonists did not want to be British citizens any longer. This may have been the case for a select few, but many British colonists desired to maintain their status as British colonists and citizens. The foremost reason that the colonists began protests, boycotts, and petitions against the British was because they believed their innate rights as British citizens were being violated. The American Revolution occurred due to a chain of events and a complex set of intertwined reasons. One of the reasons that the colonists wanted to separate from Britain was that people in the colonies had begun to see themselves as small separate nations such as North†¦show more content†¦The governor rarely intervened with political affairs that would incense the colonists, because the legislature controlled when and how the governor would be paid. These reasons all supplied the fuel to start the America n Revolution, but the spark that began it was the taxation of the colonies. The biggest reason that colonists were becoming disgruntled with their mother country, Britain, was Britain’s heavy debts that Britain had accumulated while fighting wars with France which needed to be alleviated. As with all governments, Britain had to tax its people to procure the funds needed to pay these debts. Britain saw their colonies as thousands of British citizens that they had not taxed satisfactorily. After realizing this, Britain imposed several new taxes on goods imported and exported to and from the colonies. The colonists were livid over the new taxes. After all, Britain had practiced salutary neglect for almost 100 years. Salutary neglect is the practice of leaving one’s foreign acquisitions to their own devices with little to no interference of their government, social, or economic aspects. The colonists immediately began to petition these new taxes. Their logic: â€Å"No taxation without representation.† In contrast to Britain, the colo nists believed in direct representation which is representation in government by having someone from a certain region represent that area. British government or Parliament believed in virtual representationShow MoreRelatedThe Revolution Of The American Revolution999 Words   |  4 Pagesand 1776, resistance to imperial change turned into a full-on revolution. The American Revolution, also known as the Revolutionary War, was a time of revolting and political uprising, in which the 13 colonies separated from the British Empire, forming the independent nation known as the United States of America. Though the American Revolution began because the colonies wanted independence from Britain, many important historical events and revolts also lead to the tensions and resistance to what resultedRead MoreAmerican Revolution : The Great British Army Conquered Parts Of The American Colonies1027 Words   |  5 PagesJiewan Hong Ms. Seydewitz U.S. History 11 November 2015 American Revolution Essay After the Great British Army conquered parts of the American colonies, they thought it would be easy to conquer all of the colonies because of their huge advantages against them. However, the British was wrong. Starting from about 1763, the American colonies were taken under control by a new British ruler, King George III. He was such a tyrant because he tried to do everything he could, to defeat and claim the America’sRead MoreDifferences Between the French and American Revolutions1362 Words   |  6 PagesDifferences in the American and French Revolutions Sometimes a revolution can take place within a country against its own current state of government, other times a revolution can take place externally to rid a country of another countrys influence. There are many components that are involved in a revolution taking place. One must consider the causes or reasons of the situation, the events that occur during the revolution and the effects or aftermath that had been created by that revolution. There wereRead MoreThe Great Principles Of The American Revolution1689 Words   |  7 Pagescreation of the American nation became what it is today from years of struggle in which the common people, as well as the Founding Fathers, played a vital part for independence. The promise of the Revolution, a nation based on the republican ideals of liberty, independence, and equality, was to some extent achieved. Yet the great principles of the Revolution have long shaped our thoughts of what it means to be an American. All the events leading up and a fter the American Revolution will have effectsRead MoreThe Battle Of Saratoga And Indian War981 Words   |  4 PagesBoom! Boom! Boom! Do you hear that? That’s what led to the revolution. Some events that led to the revolution are: The French and Indian War, The Battle of Saratoga and many other events. The American Revolution was between the Americans led by George Washington , and the British led by General Howe and General Cornwallis. The two enemies have been fighting for several of years. There are series of wars that led to the revolution. These series if wars lasted for several of years also. This is wereRead MoreHistorical Events And Their Impact On The World952 Words   |  4 PagesMajor Historical Events and Their Impact on the World We Live In Today The world we live in today has been shaped by certain events in the past. The Industrial Revolution during the 18th to 19th century, the Industrialization of the 20th century, World War I and World War II, all left traces and have greatly impacted the way we live in today particularly out living standard. The goal of the paper is to discuss the effects of these historical events on the way we live in terms of living standardsRead MoreThe American Revolution and Indias Independence Movement Essays1455 Words   |  6 PagesIndian and American human societies. All types of governments – from local politics to federal bureaucracies to huge empires – maintain their authority through specific techniques, including fostering a shared identity (nationalism), developing economic interdependence, and sometimes using overt force. Challenges to that authority through violent and nonviolent revolution can have significant consequences, including the collapse and replacement of w hole systems of governance. Both the American RevolutionRead MoreThe Identity Of The American Revolution1527 Words   |  7 PagesThe identity of the American colonists prior to the American Revolution was still work in progress because there were certain events that helped shape their identity and led to the American Revolution. The American colonies were trying to break away from the British control because they wanted to become independent and be their own nation. Once the British began to realize the intentions of the colonists, they began to create laws, acts, and other forms things to keep the colonists under their controlRead More Causes of the American Revolution Essay1439 Words   |  6 Pages There was no one event that started the American Revolution. This paper will address the problems that lead to the start to the American Revolution. The colonists believed that they should live democratically. Britain felt that they owned the American colonies and th ey could use their resources in any way that they wished. The colonists did not want to live being ruled by another country. The major events that led to the American Revolution were the French and Indian War, Stamp ActRead MoreThe Trail Of The American Revolutionary War1554 Words   |  7 PagesThe Trail to The American Revolutionary War The roots of the American Revolution can be traced all the way back to the year 1763 when British leaders began to tighten imperial reins. Once the relations between Britain and the colonies became more of a conflict. Britain’s land policy prohibiting settlement in the West irritated colonists as well as the arrival of British troops. The colonists believed that they should be able to live democratically. Alongside, Britain feeling as though they owned