Drugs Essay -- Pharmacokinetics, Lasix, Water Pill

Lasix Pharmacokinetics Lasix is known as the â€Å"water pill† it’s a diuretic administrated orally.(1) The active ingredient of Lasix is furosemide, but also includes a number of inactive ingredients including lactose monohydrate NF, magnesium stearate NF, starch NF, talc USP, and colloidal silicon dioxide NF. (1) The peak effects of furosemide are typically seen within the first hour of two after a dose of the medication. (1). Lasix is prescribed for individuals to treat edema that may arise from congestive heart failure, liver cirrhosis or renal disease. (1) In adults, furosemide may also be taken to treat hypertension itself.(1) Furosemide comes in 20, 40, and 80mg tablets as well as oral suspensions.(2) Furosemide is absorbed rapidly from oral suspension at 50 minutes, and from tablets at 87 minutes.(2) Food may slow down the absorption of the drug and alter the bioavalibitly.(1) Furosemide binds to plasma proteins, albumin being the main plasma protein that furosemide binds to, at 91-99%, and peak plasma concentrations increase with the increase of a single dose.(2) Furosemide is excreted through the urine and the remainder is excreted in the feces. (2) The half-life for furosemide is approximately 2 hours but the diuretic effects last 6-8 hours. (2) Dosage Schedules and Routes of Administration Furosemide is available in tablets, sublingual tablets, oral suspension, and intravenously. (2) The recommended schedule dose for adults for an initial dose is 20 to 80mg. (3) The same dose as well as higher doses may be administered 6 to 8 hours following the previous dose if needed. (2) When titrating doses it may be raised by 20 to 40mg but not within 6 to 8 hours after the initial dose, and this may continue until the desi... ...hat makes the length of time the the medication is active much longer. (1) After opiates bind opiates are bound to the receptor a messanger such as cyclic AMP express the symptoms that are shown.(1) Mechanism of Toxicity Buprenorphine is contraindicated in patients with patients who opiate agnoist hypersensitivity.(1) It has been shown that CNS and repiratory depression macy occur with therapeutic doses of buprenorphine and can increase with ethanol intoxication.(1) Buprenorphine increass the tone and decreases the contractions of smooth muscles of the gastrointestinal tract resulting in constipation.(1) The metabolism of buprenorphine is directed by CYP3A4 isozyme, when administer with protease inhibitors it may decrease the clearance of buprenorphine.(1) This will increase the the levels of the medication in the plasma and can experience toxic effects(1)

Alice Walker s everyday use

Johnny's point of view to make it easier for us, the readers, to understand the plot or purpose of the story. Alice Walker wants us to know more about Mrs.. Johnny's background, a hard working black single mother of two from back then (asses). She struggled all her life for her two daughters, Dee and Maggie; both very different from each other. Mrs..Johnson is brutally honest when describing her two daughters and even herself. She calls herself a â€Å"large, big-boned woman with rough man-working hands†. Often comparing herself to a man doing masculine things because of how hard she works on her property, she kills and cleans hogs, wearing flannel pajamas and overalls †¦ All these reflect a strong, capable and independent mother, even though she lacks of certain education. If the story was to be told from a neutral third person point of view there wouldn't be much of an impact to the theme of the story, heritage.You have Mrs.. Johnson who feels strong about her heritage and Dee who tries to disguise It with the new persona she's created. Coming from a neutral point of view you wouldn't get a feel on how strongly Mrs.. Johnson feels about her heritage since It's not coming from her directly. Details would also be left out, like how Mrs.. Johnson describes herself and a true explanation on the connection she has with her daughters. If the story would have been told from Deed's point of view, we had missed all this Information from Mrs..Johnny's heritage (black woman heritage). Dee Is a very educated, arrogant, selfish, and a determined person. Her knowledge and education has only been used to put other people down, Like she did with her mom, sister and friends. Dee changed her own name to Wanders; she said that she felt oppressed by the people who first name her. Dee didn't even remember where her name came from, or her uncle's names who she still showed some kind of respect for when she remembered him carve the butter chum from a tree they used to h ave.Dee reflects those people who reject their own roots. When Wanders and Yakima-a- barber got to Mrs.. Johnny's home, they seemed Like strangers that didn't belong there. They behaved worse than Ignorant tourists, snapping pictures and getting Intrigued by Mrs.. Johnson and Magpie's rustic realism Like In a documentary, Instead of honoring and embracing the hard work of their own people, their own family. Everyday Use by Alice Walker Mrs.. Johnson who feels strong about her heritage and Dee who tries to disguise it oldest get a feel on how strongly Mrs..Johnson feels about her heritage since it's all this information from Mrs.. Johnny's heritage (black woman heritage). Dee is a education has only been used to put other people down, like she did with her mom, barber got to Mrs.. Johnny's home, they seemed like strangers that didn't belong there. They behaved worse than ignorant tourists, snapping pictures and getting intrigued by Mrs.. Johnson and Magpie's rustic realism like in a documentary, instead

Mens Paternity Leave

College Writing English 111 Fall 2012 Essay #3: Writing Strategy Prompts Evaluation Using the techniques of social satire modeled in â€Å"A Word from My Anti-Phone Soapbox† (pg. 131), assess a public policy, social movement, or cultural trend you believe deserves serious and detailed criticism. But don’t write a paper simply describing your target as dangerous, pathetic, or unsuccessful. Instead, make people laugh at your target while also offering a plausible alternative. Causal Analysis After examining the way Charles Paul Freund deals with jeans (pg. 70), identify a comparable trend you have noticed or a change in society or culture that deserves scrutiny. It might relate to technology, entertainment, political preference, fashion, popularity of careers, or other areas. Write an analysis of the phenomenon, considering either causes or potential consequences of this new mania. Then illustrate the trend with images that suggest its cultural reach or significance. Spen d some time in the opening of your paper describing the trend and establishing that it is consequential.Rhetorical Analysis Using Seth Stevenson’s â€Å"Ad Report Card Can Cougars Sell Cough Drops? † on pg. 253 as a model, write your own critical analysis of a single ad or full ad campaign you find worthy of attention. Choose a fresh campaign, one that hasn’t yet received much commentary. Literary Analysis In â€Å"Insanity: Two Women† (pg. 231), Kanaka Sathasivan does a close, almost line-by-line analysis of Emily Dickinson’s â€Å"I felt a Funeral in my Brain†; then she compares the themes and strategies of the poem to those she finds n Charlotte Gilman’s â€Å"The Yellow Wallpaper. † For a project of your own, do either a close reading of a favorite short poem or song or a comparison of two works from different genres of media. For the close reading, tease out all the meanings and strategies you can uncover and show readers how the text works. For the comparison, be sure to being with works that interest you because of some important similarity: They may share a theme or plot or even be the same work in two different media—The Prince of Persia video game and movie, for instance.

Home Birth Vs Hospitalized Births

In the early 1900's and for years before then, almost every single birth that occurred happened inside the home and was the norm. Now a days it's the opposite. In the late 1960's that percent dropped down to only 1% of births happening at home instead of a hospital. The dramatic change in at home births is caused by the advance in technology and medicine this world has experienced since then. Women have so many choices when it comes to giving birth now. They can decide how they want to have the baby, and where.Birth can happen anywhere; at home, in a birthing center or in a hospital. It's all up to the woman. A woman might want look into the risks and benefits of each before deciding which is for her. Although home births are still very rare, we have seen an increase since 2004 and many woman today are looking into the idea of home births. A woman who is having a healthy pregnancy so far with no complications or worries, might look into home births, otherwise giving birth at home cou ld be very dangerous if there isn't a nurse or midwife present.Woman who have any heart problems or high blood pressure should consider other options as well. Even if the partner does not fully agree with the idea of home birth, this option may not be for her. Some of the perks or benefits of giving birth at home is obviously, that the woman can have anybody in the room with her during this time such as friends and family. This making the process much easier with many people to help give encouragement and emotional support as well as people around to help with anything the mother might need and the midwife might require help with.Another benefit is the immediate bonding and breastfeeding to the child. The sooner the mother is allowed to hold her child and breast feed him or her, the faster the child receives important antibodies it needs to fight off any disease. â€Å"Home birth can be significantly easier on your bank account. The average uncomplicated vaginal at home births cost s 60% less then at hospital births† ( American Pregnancy Association).Although at home births are the most natural way to have a baby, there are  some risks. In a very large recent study investigators at New York Presbyterian Medical center reviewed data from about 13 million of 17 million births and found that babies who were born at home were ten times more likely to be still born and four times more likely to suffer from seizures and other neorlogical defects compared to the babies who were born in hospitals. Even though ten percent of all babies who were born still have survived, they have suffered many very major health problems.Most at home births do have a nurse or midwife available to deal with any unexpected situations during birth, many feel it is preferable to have a whole team of doctors and specialists ready and available for any situation at any given time. Birthing centers are the second most natural way to give birth for those looking for natural birth option s. Although some birthing centers are associated with and may even be located inside a hospital, birthing centers differ in the fact that they do not provide C- sections, or inducement with Oxytocin. This being considered a benefit to woman looking for natural ways to give birth.Another benefit of birthing centers are that although it may not look like a hospital and may very well be a house, there are always more nurses and a doctor on call for any complications that may arise so the woman can feel safer without having to give birth at home and deal with any repercussions. With birthing centers there is always that sense of control and safety without being hooked up to an IV and given medications. The baby will also benefit because he or she will not be taken away at any moment for medical examinations, everything happens in the room with the mother present.Cost also plays a factor in chosing a birthing home, because they will not use any medications on you and they do not keep you longer than need be, the cost is always cheaper than from hospital births. The only real risk about Birthing centers is that if you are a high risk mother, meaning your pregnancy isn't completely safe, your baby has a condition or you have a condition anything can happen. But every birthing center runs tests before they accept you anyway. So unless something wasn't caught when they run the tests on you, your pretty safe.â€Å"You can start by calling a birth center and talking to one of the caregivers about your health history. They'll ask you, for example, whether you have certain pre-existing medical problems such as high blood pressure or diabetes and if you've had a cesarean delivery or some other invasive uterine surgery. † (Baby Center) As mentioned before, hospitals can be an option for those women who do not mind getting medication, being induced or having C sections. Or maybe for a woman who doesn't think they can handle the pain without help from medications. Becau se natural birth and at home birth is not for every woman.The obvious benefits being that a woman may feel safer in a hospital setting. More doctors available and more specialists ready for anything can also be a benefit to some women. The feeling of being safe is the biggest benefit of a hospital birth. But the risks can be medications that can interfere or cause more damage than help. Maybe some women prefer not to have a huge needle inserted in their spine and they’re child being vacuum extracted. â€Å"In their rush to prevent problems that aren’t happening, hospital personnel may aggressively push procedures and drugs that can actually cause problems.Pitocin can cause uterine contractions so strong that they stress the baby and cause fetal distress. IV narcotic drugs can affect an infant so strongly that he might not breathe at birth†(Pathways of Family Wellness). So in conclusion, with so much knowledge around and so much technology and medicinal advanceme nts, it is good to know what kind of birth a woman might like. Because it is up to the woman to choose what is in her and her child’s best interest and what may sound good to one woman may not sound to good to another. Every woman must educate herself and choose whats best for her.

Cybercrimes for IT Professionals Essay Example | Topics and Well Written Essays - 250 words

Cybercrimes for IT Professionals - Essay Example Tribunals consider establishing a global cyber court with a single aim to contest and adjudicate all cyber felons who committed various cyber crimes around the globe. For example, a cyber felon from Japan, who was caught hacking a business system in the United States, will be tried through the cyber court. However, this idealistic notion is in the process of development and agreement between countries. Nevertheless, it is best for business organizations to ensure and perfectly manage their cyber systems in order to avoid an attack by cyber felons, such as strengthening the computer network access made by the organizational management. In this way, business management can first handedly secure and elude any potential threat onto their system database (McConnell International, 2000; Johansson, 2006b). The problem on cyber crime is not far from resolution because of new and evolving ways to stop such offense. The basic way to stop cyber crime is not through a litigation process held by legal professionals, but it will depend on the IT professionals who are hired to make sure that the company’s data system is secured and

The Scope of Policy, Issues and Contexts in AVE Essay

The Scope of Policy, Issues and Contexts in AVE - Essay Example We asked person who is responsible for project to find those information through community leaders and educate us. b. The major issues are Learning disability syndrome in the so called top management of an organization, because of its narrow vision and its adverse impact on other employees of the organization and CALD communities of an organization. c. The other major issues are how to handle depression among workers in an organization and to understand the learning abilities of exceptionally gifted people and translate that to a process for others in an organization. Training within Australia over the past 50-60 years has undergone some major alterations and changes to epistemological assumptions and educational paradigms. Prior to WWII a behaviouristic approach was taken to education (Eggan & Kauchak, 2001), whereby learners were perceived to be akin to sponges able to absorb information from a holder of knowledge or teacher. During and following WWII a more constructivist, cognitive and social constructivist educational approach (Eggan & Kauchak, 2001; Engestrm, 1994; P. Smith & Blake, 2006; P. Smith & Ragan, 2005) was adopted to provide learning in a more supportive environment. This new approach took into account the different learning styles of learners, acknowledged that learners bring different experiences and knowledge to training sessions, identified that learning can take place in a variety of situations and contexts, and that learning within social settings with real-life interactions and examples is more beneficial to learning than rote learning alone. This change in paradigms is no more evident than in the saying from Hoover (1996) that states "Constructivist teachers do not take the role of the "sage on the stage". Rather, teachers acts as "guides on the side" who provide students with opportunities to test the adequacy of their current understandings." Since the early 1990's there has also been significant emphasis on lifelong learning or education (Burns, 2002). Burns also states that the training emphasis has gone from educating young people for entry into the workforce to providing training and education continuously throughout a person's life as rapid changes in technology and the globalisation of economies forces people to change occupations several times during their working lives. Current issues that face governments (locally and internationally) and vocational and further education establishments are: - Skills shortages in some industries (Richardson, 2007) - The size and age of the workforce (Australia. Department of Education Science and Training, 2005; Burns, 2002) - The Global Financial Crisis (GFC) - Technological innovation and change (E. Smith &

What would you consider to be purchasings added value to company What Essay

What would you consider to be purchasings added value to company What would you consider to be purchasings core and non-core activities - Essay Example review the strategic frameworks of values added by purchasing in order to somehow provide a conceptual paradigm of factors influencing value added by the purchasing professionals. When companies spot out the considerable percentage of their budget affected by the outcomes of purchasing, the significant prospective benefits from putting into effect purchasing management, and the reality that purchasing management processes and outcomes utilize and affect the entire company, they frequently start to change their perspective of the purchasing role from that of a strategic support group to a tactical potential. The initial step companies frequently adopt toward a value-added approach to purchasing management activities is to set up quantifiable, corporate-wide purchasing management objectives that head straightforwardly to high-level corporate objectives. These objectives may emerge from benchmarking practices, internal audit, or evaluations carried out by an external consultant (Leftwich 2004). The metrics applied to monitor progress toward achieving these value-added purchasing management objectives are outcome-based, such as â€Å"total cost reduction, supplier quality improvements, or number of preferred suppliers rather than function-, process-, or tool-based metrics† (Leftwich 2004, 112) that are entirely inherent to the purchasing responsibility, such as the quantity of agreements and/or purchase orders processed annually or quantity of electronic orders. Nevertheless, only setting up objectives and determining parallel metrics alone is insufficient to jumpstart the shift to a strategic or value-based paradigm to purchasing management. The companies that have been most effective and successful in putting into effect paramount purchasing management practices also allocate tasks and liabilities for achieving the purchasing management goals, starting with high-level corporate purchasing management stakeholders (Lewis 1993). As a final step toward implementing