Cocaine Facts and Description

Cocaine Facts and Description Cocaine is benzoylmethylecgonine, a crystalline alkaloid from the coca plant. It acts as a stimulant, appetite suppressant, and anesthetic. Crack cocaine is another form of cocaine, a derivative of cocaine hydrochloride. Here are some useful cocaine facts and answers to common questions: What Does Cocaine Look Like? Powdered cocaine is a fine white powder. Street cocaine is cut with other substances to increase profit, so its appearance may be slightly different, depending on the type of impurity. How Is Powdered Cocaine Used? Powdered cocaine is most commonly snorted through the nose, though it may be dissolved in water and injected. Snorted cocaine produces a high within 3-5 minutes after use. Injected cocaine produces an effect within 15-30 seconds. Crack cocaine usually is smoked. Why Do People Use Cocaine? Cocaine is used because it produces euphoria, is a stimulant, suppresses appetite, and can be used as a pain reliever. It is highly addictive and leads to tolerance sometimes after one use, so increasing doses of cocaine are needed to achieve a high. What Are the Effects of Cocaine Use? Users typically feel a rush followed by a sense of alertness and well-being. Cocaine increases levels of the neurotransmitter dopamine, which is associated with pleasure and increased movement. When the pleasant effects of cocaine wear off users may feel down or depressed, more than before taking the drug. Some users report being unable to duplicate the intensity of the first exposure with subsequent use. The stimulant effects of cocaine can lead users to feel anxious, restless, and irritable. What Are the Risks of Using Cocaine? Cocaine is highly addictive. Cocaine users are at risk for dangerously elevated blood pressure, heart rate, and temperature, risk of seizure, stroke, and cardiac arrest. Injecting cocaine can involve a risk of contracting HIV, hepatitis, and other blood-borne diseases. Where Does Cocaine Come From? Cocaine is derived from a paste from the coca plant, a species which grows in South America. Street Names for Cocaine BlowCNose CandyPowderNose PowderWhite PowderAspirinAuntBirdie PowderBolivian Marching PowderBouncing PowderCandy SugarDevils DandruffFast White LadyFlakeFlaveFoolish PowderFriskie PowderJoy PowderMarching PowderParibaPowder DiamondsShakeShrileSnowballSoftStar-Spangled PowderSugar BoogersUptownWhite BoyWhite DragonYao

Talking About Young People

Talking About Young People Talking About Young People Talking About Young People By Maeve Maddox Many terms exist to describe children of various ages, all of them having different connotations. The messages of journalists, politicians, merchants, professional educators, and social commentators are often slanted by the terms they choose to describe children. For example, politicians who may usually refer to children as kids are careful to use the words child and children in their important speeches. Apparently, child evokes a more tender response in the listener than kid. Professional educators, who once distinguished between the words pupil and student, now refer to all school children as students. Any word that describes a child is going to carry some emotional charge, but some are more heavily weighted than others. Here are some fairly neutral words to describe young people under the age of 21: baby infant toddler child boy girl youngster juvenile adolescent minor The following words convey more specific images and appeal to different emotions: tot tyke little one preschooler teenager teen preteen student young man young lady young adult waif urchin brat rug rat guttersnipe In the past, the word youth was a useful term often seen in news stories with the meaning of â€Å"a young man between boyhood and mature age.† For example, â€Å"Youth Robs Liquor Store.† Recently, I’ve seen the word used to describe a three-year-old who drowned. Finally, there’s the word kid. As a word for the young of a goat, kid has been in the language at least since 1562; possibly since 1200. The OED documents kid, â€Å"a child, especially a young child,† from the 17th century, noting that it originated as â€Å"low slang,† but by the 19th century had become common in familiar speech. Nowadays, kid is used in the most formal contexts, from the speech and writing of professional educators to the naming of children’s clinics. The word’s elevation to the status of an acceptable synonym for child may have something to do with its similarity to German Kind (child); after all, English is a Germanic language. However, despite its ubiquity as a generic term for child, the word kid can carry negative connotations that prevent it from being acceptable in every context. Related post: â€Å"I Hate ‘Kids† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:How Many Tenses in English?Anyone vs. EveryoneHow Long Should a Synopsis Be?

China Essay Example | Topics and Well Written Essays - 750 words

China - Essay Example This started a continuing era of growth that is assessed periodically. Although the country strives for the economic growth there are factors that limit China's full economic growth. One factor that can be considered as the most influential cause of this state is the lack for political reform. Achieving the results that are aimed for such as the rapid economic growth requires the interplay of the different aspects in the nation most especially in governance. The process of launching this economic development requires changes both in the internal and the external factors. The external dynamics of economic growth includes the relation to other countries in terms of marketing products and other commercial transactions and trade. Internal factors on the other hand are lead by the reforms in the different aspects of the nation which is accompanied by the development in the government as well ("China: The four modernization"; Polonsky, Pucko, Warner, and Zhu). Through the development of China and its advancement in terms of the economic aspect, it can be viewed that there is an absence in the reform in the government. This is due the fact that China is socialist country that operates through a one party rule. This aspect had brought about both advantages and disadvantages to the nation. It can be viewed that through the success of China not only the economy of the nation but also the success of different businesses, it has not yet achieved its full potentials due to the fact that the people are working for the growth of the nation which even through hard work remains to be barely felt. This is the case for countries that operates a socialist form of government. In this from of government the people have common properties and works for the welfare of the nation and not for their own success. The government of China though has no plan of modifying already established political structure. This can be determined through the fact that through the alterations and development that was undertaken in the different aspects of the nation, any of the aspect of governance was not modified. China even promoted that their form of government is a unique feature in the economic success that was being experienced in the nation. This distinctive characteristic is comparable to the nations that have shifted from a socialist for of government to be able to better incorporate the economic development that is required for the growth of the nation. These include former Soviet Union and Central and Eastern European countries (Polonsky, Pucko, Warner, and Zhu). The lack of political reform has brought about problems in the different aspects of the nation. This is due to the fact that synthesizing the socialist form of government with the economic policies can be contradicting and affects the nation as a whole. One of the most affective factors in the process is in relation to the success that can be experience by individuals in a non-socialist country that has attained an economic growth that was achieved by China. This causes a conflict within the beliefs of the individuals who can feel just the minimal effect of the country's economic success. In this case the government can face a problem with discontentment of the people. For this matter, the leaders provide the nation with motivations on nationalism. That it is the success of the whole nation that they

Journal #3 Assignment Example | Topics and Well Written Essays - 750 words

Journal #3 - Assignment Example Besides, the slow erosion of families in our society, the acceptance of divorce has rapidly increased, as well as non-marital birth and child bearing. The complexities and dynamics of the society are the driving factors that are accelerating these trends. Furthermore, the society has grown less critical of these issues hence they are steadily creeping in and infiltrating our thoughts in such a way that individuals are beginning to perceived these unfortunate circumstances acceptable. There are numerous factors that result into issues such as divorce, cohabitation, non-marital child birth, and single parenthood. The paper therefore seeks to examine these factors and the perception of the society against them by reviewing historical arguments by Cherlin on greater tolerance for alternative family and parental structure and Wilson’s sociological argument in the contemporary US state. Wilson (2002) book title â€Å"Cohabitation instead of marriage† focuses on the challenges or problems and consequences of cohabitation and functions of marriage in the society and family. Finding solutions to the problems of cohabitation is often a hard nut to crack. The partners usually do not have strong incentive drive to heavily invest the union unlike in marriage which binds couple together since the process of divorce usually lead to some consequences. Wilson (2002) argues that marriage provides restriction to freedom so that the financial and emotional investments in the union of couples make sense. In marriage, the couple makes a commitment to love one another and despite the knowledge of existence of divorce, they tend to stick to the promise. However, cohabiting couples have no commitment to fulfill hence when one is out of love with the other, he or she can opt to walk out of the union. There is less incentive for love in such situations. Most cohabiting couples tend to have separate bank accounts hence the expenses of their lives are

Robotic Surgery Research Paper Example | Topics and Well Written Essays - 2500 words

Robotic Surgery - Research Paper Example There are legal, political and ethical issues associated with the procedure. Robotic surgery is the best invention there is in medicine but the controversies have raised concerns about this technology and addressing them could better automated and efficient surgeries used robots. Description Robotic surgery uses an automated system that has three systems; the console which the surgeons use to control the system, four arms that are controlled by the console and can be manipulated to do practically any task and a high definition visual system for providing real time images of the parts being operated on. Three of the arms are fitted with surgical instrument while the fourth arm is used to control the camera which guides the surgeons on the parts to be operated on. Advantages of the robotic surgery Doctors are able to operate many clients using robotic surgery. Since they are involved indirectly, they do not get as tired as compared to manual operations. Patients on the other hand benef it as the procedure does not take long using the robots for surgery. This saves time for the patient and the doctor. Time saved by the robotic surgery procedure is saving hospitals as much as thirty percent of their budget on surgery. Money saved can be directed to other projects within the hospitals. The robots are quite precise and the incisions required when using them are usually small compared to a normal surgery. This makes the healing process faster for the patients. They do not have to stay in the hospitals for long time thereby saving money as well (Beck, 2013, para. 5). Controversies Despite the advantages that come with robotic surgery, there are many issues that have been raised regarding the use of these machines. They include the safety of the use of the robots, the risks associated with their use, the functioning of the robots and the regulatory framework on the same. These issues have spurred a never ending debate and threaten the use of these systems and are categor ized into several (Mavroforou, Michalodimitrakis, Hatzitheofilou, and Giannoukas, 2010, p.77). Political issues Regulation The use of robots in surgery is not regulated by any institution. Although they have been given the green light by the relevant government institutions, there needs to be a body that regulates their use, evaluates the advantages, the disadvantages, issues raised and any suggestions. Lack of regulation in this field has led to a lot of issues relating to the use of the system. One, there are many injuries and deaths that are associated with the use of robots in surgery in the last few years. In fact, the number has been increasing year after year. If there was a regulatory body, the issues leading to death would have been addressed and less injuries and deaths would be reported. This fact has made some politicians to step up and propose the regulation of the use of robots in surgical procedures. Senator Dick Moore from Massachusetts proposed that there should be a new policy and law to regulate the use of robots in surgery in Massachusetts. Moore is conversant with policies regulations and costs in the health care industry. Senatorial colleagues across the United States including the minority leader Bruce Tarr appreciate that Moore has enough knowledge on this and fully support him. Moore is credited to the enactment of the 2006 universal health care legislation which was a key part in the Obamacare health reforms in 2009.

Strategies for Change Management in Healthcare

Strategies for Change Management in Healthcare An Overview of Change by Management for Better Patient Care Smitha B. Vadakkan Registered nurses are on the front line in all the hospitals for early detection and prompt intervention when patients conditions deteriorate. So better patient outcomes and patient satisfaction are influenced by the number of registered nurses available to assess patients on an ongoing basis. So I like to select a change that management could undertake to improve patient care where I work is the staffing patterns. Adequate nursing care delivered directly depends on the nurse patient ratio. Change can be planned and managed, or it can occur haphazardly (Grohar-Murray Langan, 2011). Nursing is in the middle of so many revolutionary changes. To bring changes to the workplace depends on nurse’s attitude to adapt the change and the learning options and the support from the management. One of the theoretical perspective for the change is the learning dimensions. Continual learning is needed for an accelerated change and it provides ongoing learning of employees. Ongoing learning improves adaptation, resilience, and the hardiness of employees, which in turn result in desired responses to accelerated change (Grohar-Murray Langan, 2011). Skills that are needed to augment this change are systems thinking, personal proficiency, team learning, shared vision and use of information technology increases the access to needed knowledge. Normative-reeducative strategy is the most appropriate for nursing because it is the most likely to advance the profession. It is the strategy employed throughout nursing today to incorporate the latest informatics technology into everyday practice (Grohar-Murray Langan, 2011). In this strategy the members of the system work out programs of change under their own direction. Definition of the change problem includes the probability that shifts in attitudes, values, norms, and relationships between players in the system and between the system and its external environment (Miles, 2007). There is a mutual collaboration between the members and the management in the development of the final strategy. There are external and internal factors that influence change in nursing. The internal factors include the patient acuity levels, staff- patient ratio, treatment modules, and the use of modern technologies in nursing. External factors include social and economic factors that influence how nursing is practiced. Nurses are socialized in a unique way during their education and experience in practice and therefore prepared like no other group to monitor nursing practice (Grohar-Murray Langan, 2011). Nursing strength is found stronger when there is a collaborative effort of nurses in four different roles such as practitioners, educators, researchers, and managers. To have a better change in safe staffing the nurse managers should understand the external and internal factors and make changes which can bring better patient outcomes. Planned change is a better option in safe staffing. When there is a change to be made in the workplace, it is always good to include the nurses and other health care professionals in the unit for opinions and recommendations. The nurses in the unit better know how is the patient acuity level of the unit, how many assisted personnel working on the unit, which shift is the busiest, how can the structure of the unit to be modified for easy access of supplies etc.. There are many ways of implementing change. However, planned change, which is a purposeful, calculated and collaborative effort to bring about improvements with the assistance of a change agent, is commonly adopted in nursing (Roussel 2006). So the nurse manager should ask the nurses for recommendations how safe staffing can be implemented in the unit. Nurse manager with the help of the nurses in the unit can work out safe staffing by not giving two or more people vacation or holidays at the same time or balancing the schedule without giving more people off on the same day, not allowing the same person for more than two overtimes in one month, leaving the person for burnout, if the unit really needs more nurses, the nurse manager has to plan and explain the reasons and submit to the management. The safety of the patient is everyones responsibility. Once a decision has been reached to implement a change, time must be allowed for the sequence of stages designed to reduce resistance and maintain support from others (Grohar-Murray Langan, 2011). According to Kurt Lewin model of implementing change, there are three stages which are unfreezing, moving, refreezing. During unfreezing, more information and time is needed for the change. The people who are going to be affected are motivated for the change because of the benefits and the people who gave the ideas for the change are commented for their participation. By moving, the second stage of the change process is like a vacuum. This transitional stage when everyone is expected of the change when the old is gone and the new is not in place yet. The third stage of the change process is refreezing. Ongoing monitoring for continued quality must follow refreezing, because it provides valuable information about the ongoing effectiveness of the change (Grohar-Murray Langan, 2011). In the unionized city hospital, everything goes with seniority. When the senior nurses enjoy more vacation and holidays and leaving the younger nurses to work which results in more sick calls and also bad retention of the staff which compromises safe patient care and patient outcomes. Even the overtime is given according to the seniority where some older nurses are happy to do more overtimes by taking easy assignments and leaving the heavier assignments for younger nurses which also results in burnout and poor staff retention. The nurse manager should collect ideas from the nurses for the change and should update the management of what is going on in the unit and the need for hiring new nurses if the unit needs for safe staffing. During the unfreezing stage the staff in the unit should be notified of the equal rights for everyone and the management should be notified about the need to hire more RNs. All the nurses should be motivated for the change. During the moving process, it is h ard for the adjustment to the change for the senior nurses who is the majority in the unit. The nurse manager should make fair schedules and assignments and make everybody comply with the change. During refreezing stage the nurse manger should continue to make the best schedules and should check for the effectiveness of the staff and the patient outcomes. The characteristics and qualities of change agents include experience, success, being respected, leadership skills, and management competencies (Grohar-Murray Langan, 2011). Change is a long process and is difficult to achieve. The nurse manager who is the change agent should be calm, positive, optimistic, enthusiastic and able to spend enough time in correcting the problem. The nurse manager’s initial responsibility is to establish a plan of action. The nurse manager should inform her staff and management the reason for a change and should be able to show in measurable terms. The nurse manager should notify all the nurses and the management about the modified vacation time, schedules and the overtimes for safe staffing. The nurse manager should plan for each stage of implementation and should anticipate accommodating any new information and change. Not everybody will be satisfied with the schedule or there may be unexpected staff emergencies or sickness so the nurse manager should be able to get the cooperation of all the staff to perform her duties and should give enough time for the change. According to Lewin’s field theory, there are two opposing forces, the driving force and the restraining force in response to a change. Driving forces generate planned change and restraining forces generate resistance to change (Grohar-Murray Langan, 2011). The nurse manager by all means has to decrease the resistance to the change so the drive can be increased. The most important element in reducing the resistance is establishing trust by giving explanations, requesting input, acknowledging concerns, making changes in small doses, offering to assist, explaining benefits, and acknowledging success (Grohar-Murray Langan, 2011). The nurse manager has to explain to the senior nurses and the union representatives and the management, the need for safe staffing by balancing the schedules and assignments to avoid unnecessary vacation time for more than two people at a time during the busiest season, to reduce burnout and overtimes and to improve retention. Staff retention saves lots of money for the management and it improves better patient outcomes. The nurse manager should succeed in the way she/he explain the need for safe staffing, which can decrease falls, medication errors, pressure ulcers, decrease hospital stays, infections and death. Human behavior and interaction is far too complex to be able to gain total support for a change (Grohar-Murray Langan, 2011). There will be some resistance even with the best explanations given by the nurse manager, but in the long run it will be reduced and can get full support from everybody. The plan for evaluation is consistent with the overall change design, with outcomes being measured against the criteria found in the statements of purpose and objectives for change (Grohar-Murray Langan, 2011). The nurse manager should evaluate the changes. The evaluation of safe staffing can be seen with improved patient and staff satisfaction, better patient outcomes, decrease falls, pressure ulcers and infection rates, decrease sick calls, decrease employee turnover, good feedbacks by the patients and the employees. By interpreting the role of evaluation and the outcomes of changes, the nurse manager can improve and make better plans and modifications. References Grohar-Murray, M. E., Langan, J. (2011). Leadership and management in nursing (4th ed., p. 250-256). Upper Saddle River, NJ: Pearson Health Science. Miles, M. (2007).An overview of strategies for planned change in human systems. Retrieved from http://www.innovation.cc/scholarly-style/classic-theories.pdf Roussel, L (2006) Management and Leadership for Nurse Administrators. Fourth edition. Jones and Barlett, London.

Anti-semitism And Sartre :: essays research papers

In Sartre's Anti-Semite and Jew, he makes reference to the notion that anti-Semitism arises not against individual Jews, but against the " idea of the Jew." That is to say that the Jew is recognized only as a member of a group associated with fear and disgust, not as an individual capable of being anything but the stereotype of the Jew. I agree with Sartre's theory as I have seen first hand the disgust associated with being Jewish. The Jew is judged not by his action or words but simply by the fact that he is a Jew, and the preconceived idea of what this means. As discussed in class, Jews have been used as scapegoats throughout history. They have been blamed for countless economical and social problems simply because of the predisposition towards anti-Semitism that most have. To understand this predisposition is easy. It has come from years of unwillingness to assimilate by the Jews. Because of this unwillingness, the Jews have come to be recognized as different and therefore bad, because, as discussed in class, most identify easiest with what is different with the automatic assumption that it is bad. I think another reason for this assumption is the fact that it is easier to judge people than to understand them, as we can clearly see gentiles have done continuously throughout history to the Jews.Consequently, throughout history, the anti-Semite has come to adopt an "idea of the Jew", of his nature, and of his role in society. As Sartre explains, "the Jew whom the anti-Semite wishes to lay hands upon is not a schematic being defined solely by his function, as under administrative law; or by status or acts, as under the Code. He is a Jew, the son of a Jew, recognizable by his physique, by the colour of his hair, by his clothing perhaps, and, so they say, by his character." To the anti-Semite, the Jew's character is oily, tactless, intriguing, selfish and greedy. He believes that all Jews are this way, and therefore treats them all the same, with hatred and repulsion. While a Jew might be a successful business man, a doctor, lawyer, or teacher etc. he is also a Jew, and that is all he is recognized for in the eyes of the anti-Semite.Furthermore, Sartre argues that "if the Jew did not exist, the Anti-Semite would invent him." This is self explanatory by the fact that Jews have been used as scapegoats and will continuously be used as such in the future.