Targeting Consumers Based on Age in Tourism and Hospitality Essay

Targeting Consumers Based on Age in Tourism and Hospitality - Essay Example There are also social impacts of tourism. These factors include condition of the local and regional economy, level of development of the tourism destination and the level of attachment of the local community (Fredline et al., 2006, p.2). In these contexts business organisations involved in the tourism and hospitality business try to put greater emphasis on social and cultural factors in affecting tourism. Demographic profiling and changes in demographic structure of the country under consideration is an important aspect in this regard where different age groups are targeted for the development of the tourism business (Fredline et al., 2006, p.vi, 27). This paper is aimed at providing the critical analysis of is it time to ditch demographic profiling, or is it more important than ever in the digital era? Demographic profiling and tourism and hospitality: Large number of tourist places is present in the world. These tourist places are providing different types of products and services to the visitors to attract them. These divergences give tourists large variety in their choice of tourist places in the world. ... Therefore, in the markets for tourism and hospitality motivation of tourists is very important for the purpose of identifying the markets and also for the development of the business perspectives. There are various studies conducted on these concepts which are emphasised as â€Å"Push† and â€Å"Pull† factors. The â€Å"Push† factors are responsible for taking potential tourists away from their home. On the contrary, â€Å"Pull† factors are responsible for attracting these tourists to the tourist destinations. In this context, various other factors, such as beaches and accommodation, historical as well as cultural resources of different tourist places also play significant roles in the development of the tourism and hospitality business. These factors again affect the motivation of the tourists to travel in different places in the world. Various factors have been identifies by researchers in the context of increasing the motivation of the tourists to visit different places all across the globe. These factors have greatly been used or applied by the business organisations which are involved in the tourism business. Among the â€Å"Push† factors there are various internal factors which include desire for rest or relaxation, desire for making adventurous trips, escapes and health etc. These factors are said to affect the motivation of the people to conduct tours to different tourist places (Jonsson and Devonish, 2008, pp.399-400). Socio-demographic factors affect the attitude of the residents of a place towards tourism marketing (Kwon, 2008, pp.70-71). For example, changes in the demographic profile of the backpackers are affecting the demand for these in New Zealand (Richards and Wilson, 2004). In different tourist palace of Brazil also these

Bussines environment Assignment Example | Topics and Well Written Essays - 1250 words

Bussines environment - Assignment Example I will try to provide the information as per my knowledge and understanding. LO 1.1 Generally, business organisations can be broadly segregated as public sector organisations and private sector organisations. The organisations that are owned and run by the government are termed as public sector organisation (Adams & Periton, 2006, p.86). The organisations where the ownership lies with private owners are called the private sector organisations. These private sectors organisations can run the business either with the motto of earning profit or they can be non-profit making organisations that do not conduct the business for monetary gains (Beamish & Ashford, 2006, p.256). Before discussing different type of profit making organisations, I would like to explain the main purpose of non-profit making organisations. Generally, these organisations intend to provide services. While organisations like clubs and societies provide facilities and entertainment services to its members, charities of fer services to a particular group of people in the society who need help and assistance. These charities may also be involved with environment related issues (Lunt, 2010, p.9). The private organisations can be segregated into four broad categories. These are: sole proprietorship, partnership, private limited company and public limited company. The organisations and their purposes are explained as followed: Sole proprietorship: Such a business is owned by a single person, so he/she is the ‘Boss’. The owner of the business is solely responsible for raising capital and combining all the resources required for production. Thus, the owner enjoys the profit earned by the business. This business is not a legal entity, so the owner has unlimited liabilities. Due to limitation in availability of capital, these businesses are comparatively smaller in size. The main purpose of sole proprietorship is to earn profit and thus it has limited role in social development (Minars, 2003, p.6). Partnership: As per the definition provided by Uniform Partnership Act, â€Å"the association of two or more persons to carry on as co-owners of a business for profit, forms a partnership, whether or not the persons intend to form a partnership† (Spadaccini, 2007, p.5). Such business organisation enjoys immense freedom and simplicity in terms of starting and operating the business. The partners may agree to start a partnership firm even with an oral agreement but this often results in misunderstanding and dispute. Therefore, it is advisable to maintain a formal written agreement that specifies all the terms and conditions. This type of business firm diversifies the business risk and the partners enjoy certain tax benefits. As the business does not result in formation of a separate entity, therefore the partners have unlimited liability. Such businesses do not contribute much to the society because the main purpose is earning profit (Spadaccini, 2007, p.5-6). Private lim ited: A private limited company is a legal entity which has limitation on the number of owners. Restriction is also on transfer of shares. The company cannot raise fund by public subscription (equity shares and debentures). The firm has to specify its area of activity in the article of association. However, it enjoys certain degree of liberty as it does not have to disclose all the financial information publicly (Morse, 2007, p.58). The main purpose

Veterinarians in Society Essay Example for Free

Veterinarians in Society Essay Contemporary trends in American society evidently demonstrate the significant need for veterinarian profession. Small and large cities, urban and rural areas witness the development of veterinarian private clinics, animal care offices, animal coaching and teaching centers, and simultaneously more and more Americans recognize the value of fast and competent veterinarian assistance for their pets. On the national level the role of veterinarian resources becomes invaluable. Therefore, the US Congress should consider an emerging demand for veterinarian profession, and avoiding potential labor shortage, develop legislation that would increase the number of veterinary graduates. The labor market for veterinarians is enormous, since sharply rising costs of animal care stimulated big markets for pet health insurance and pet health maintenance organizations. As the American Animal Hospital Association indicates 5% of pet owners, which comprises about 3. 2 million Americans, have pet health insurance. The number is five times more than for the year 1995. According to statistics, the average American pet owner is ready to spend from $250 to $1,000 in order to save the family animal from euthanasia (Ramsdell, 1). This number has quadrupled over the past 20 years. Although there are many reasons for the fast development, including economics and demographics, in terms of growing number of empty households, the need for qualified veterinary labor resources is evident. The majority of Americans drastically change their attitudes towards pets, from regarding them as property, to perceiving and treating them as true family members. Pets give great physical and psychological benefits to humans, therefore veterinarians providing qualified and timely medical care indirectly impact the health of their American fellow-citizens. On the national level the role of veterinarian is considered more and more vital in the light of contemporary trends in food industry. From the practical standpoint, veterinarians maintain the health of humans through the health of food-producing animals. For instance, mad-cow disease constitutes the pressing medical and social problem, especially for the nation with largest beef industry and beef consumption in the world. The US government focuses on testing cattle showing signs of a nervous-system disorder because they are at the highest risk of having mad-cow disease. Consumption of meat from infected animals can trigger a rare but always-fatal neurological disease in humans (Kilman, A6). Under the current program, veterinarians from the Agriculture Department’s Food Safety and Inspection Service police meatpacking plants and inspect suspicious animals. Veterinarians from another branch of the department, the Animal Plant Heath Inspection Service, collect brain samples and conduct laboratory testing. Field veterinarians investigate reportable diseases such as rabies or tuberculosis, and forward the samples to laboratories. It is necessary to emphasize that due to veterinarian profession such diseases as encephalitis, anthrax, and botulism, are now well-known in the US Congress and government. It is difficult to overestimate the role of veterinarian for contemporary society. Today, veterinarians work with meat producers to determine cost effective preventative measures for their livestock, analyze new methods to detect cancer in both humans and animals, oversee the country’s food supply, conduct animal assisted therapy programs or routine exams on Americans’ family pets. And their vital role continues to grow. Due to veterinary strong academic training in areas such as physiology, pathology, anatomy, microbiology and histology, veterinarians are scientists that can provide valuable contributions in many diversified areas. However, the profession needs new qualified labor resource to substitute retired specialists and accomplish market emerging opportunities. The US Congress should develop legislation that would increase the number of veterinary graduates. Bibliography Kristin Ramsdell. Pet trend: Anthropomorphism, Growth Strategies. Santa Monica: Aug 2002. , Iss. 944 Scott Kilman U. S. Confirms A Failure to Use Mad-Cow Test. Wall Street Journal. New York, N. Y. : May 4, 2004

Angina pectoris

Angina pectoris 1.0 Summary Angina pectoris is the chest discomfort which occurs when the heart muscle could not received sufficient oxygenated blood. It is due to atherosclerosis which is the buildup of the plaque at the coronary arteries that reduce the flow of blood to the heart. Also, angina can leads a patient to heart disease such as coronary artery disease (CAD) or myocardial infection (MI). There are three kinds of angina which is the stable angina, unstable angina and variant angina and each of them are different from their signs and symptoms and treatments. Angina is diagnosed based on medical and family history, physical examination and test such as electrocardiogram (ECG) and coronary angiography. However, the patients conditions will determine which methods need to be used in order to cure angina. Lastly, pharmacists play an important role besides doctors in treating the angina patients. 2.0 Introduction Angina pectoris is the medical term for chest pain or discomfort which is a common symptom indicating the sign of heart diseases, for example, coronary heart disease (CHD). The pain is caused by the insufficient of oxygen rich blood supply to the heart muscle which leads to cardiac ischaemia.1 Other than that, the cause is due to the build up of plaque called atherosclerosis which is the gradual buildup of fatty deposits and blocks several coronary arteries. As a result, the heart could not receive blood supply as the coronary arteries become narrow and stiff and this minimizes the oxygen supply to the heart.1, 2 Besides that, angina can be categorized into four different types of categories such as stable angina, unstable angina and variant angina. There are differences in these four types of angina such as signs and symptoms therefore, they required specialized treatments. For example, stable angina is very common compare to variant angina. Other than that, doctors will do some physical exam or examines the patients histories in order to diagnose whether they are in the risk of getting angina and they will uses several methods such as the exercise electrocardiogram (ECG), radioisotope scan and coronary angiography. After that, doctors will determine whether which treatment such as surgeryor medication is needed to treat the patients. However, the patients cannot recover if they didnt change their lifestyles and follow the doctors advices. 2.1 Signs and Symptoms People who are diagnosed with angina pectoris will often express the feeling of tightness, pressure, squeezing and burning in or around the chest. The patients will have an attack such as the central chest pain which may spread to the arms, neck, jaw, throat, back or upper abdomen. Also, they may also encounter shortness of breath during physical activity and follow by nausea, fatigue, sweating, light-headedness, or weakness. However, not all chest discomfort is angina and sometimes it is caused by acid reflux (heart burn) and lung infection or inflammation. Also, the signs and symptoms are vary depends on the type of angina. 2.2 When does angina occur? As it was stated, angina occurs when there is an increase in the demand of oxygenated blood to the heart. Most of the time, angina occurs when the patients are doing some vigorous exercises or physical activities such as climbing hill or carrying heavy groceries. At the same time, it will occurs when the patients experiencing emotional stress, digesting heavy metal and at extreme temperature. The patients who were diagnosed with variant angina could get angina attack even when they are resting. 2.3 Causes of Angina Coronary arteries are the arteries which deliver oxygenate blood to the heart muscle in order to keep the heart pumping. However, when the heart could not receive adequate amount of blood, it can causes angina attack. There are three important coronary arteries, left anterior descending artery, left circumflex artery and right coronary artery in heart which can causes angina when one of them are blocked.7 This situation reflects the symptom of coronary arteries diseases (CAD) where the arteries are narrowed down due to the buildup of plaque on the inner walls of the arteries. Also, the buildup of plaque can cause the blood clot to form and block the arteries.2, 7 Figure 2 shows the differences between a normal and healthy artery and a block artery. Blood flows easily along the healthy arteries to the heart and the heart muscles can function normally without any interruption. However, this scene cant be seen in block arteries. Coronary arteries diseases (CAD) occurs when one of the important arteries are narrowed by the plaque and angina could be felt as the arteries are having a hard time in supplying oxygenated blood to the heart. Also, blood maybe clot at the blocked arteries and stop the blood from flowing to the heart, when this happens, patients will face myocardial infection (MI). Besides that, atherosclerosis could be cause by high level of cholesterol in blood, smoking, obesity, diabetes mellitus and alcohol. Smoking boosts atherosclerosis by maximized blood pressure and heart rate which induce the heart to demand for more myocardial oxygen. It lowers the oxygen-carrying capacity and increases the recurrence of angina. 3.0 Classification 3.1 Stable Angina Stable angina can be described as the frequency, duration or precipitating causes remain unchanged in the past 60 days and it is the most common type of angina.3 The attack last for about 10 minutes or less than that and can be relieved by resting or medication. Hence, patients who are diagnosed with stable angina will experience episode of chest discomfort which will spreads to the arms, back, or other areas that is usually predictable. The stimulus which will maximize the myocardial oxygen demand will induces stable angina by increasing the heart rate or blood pressure of the patients.5 During physical activity, sympathetic nervous system will be activated and causes increase of the heart rate, blood pressure and contraction demanding more oxygen. When the oxygen demand is more than the heart is able to supply, chest discomfort maybe be felt and this reflects the presents of MI.4 Also, several arteries which are narrowed down due to the buildup of plaque is one of the factors. 3.2 Unstable Angina Unstable angina is more dangerous than stable angina as it is an acute coronary syndrome and should be treated as emergency and be evaluated in the hospital carefully. Also, it does not follow a pattern can happen without any physical exertion.2, 3 Patients will experience an unexpected pain or discomfort which last longer and does not relieve by rest or medication. This scenario is causes by the narrowing of the coronary arteries by atherosclerosis. However, blood clots are the major factors which contribute to the blockage of the arteries. If the plaque ruptures, blood clot may form and block the arteries as the blood clot can divide into larger clot which can cause heart attack.2 Chest discomfort can attack each time the blood is clot when the clots slightly dissolve which will later reform again. Besides that, patients will be in the risk of myocardial ischemia, severe cardiac arrhythmias or even sudden dead.6 3.3 Variant Angina Variant angina also known as Prinzmetals angina is due to the coronary artery spasm which causes the artery walls to tighten and narrow.2, 3, 6 As a result, it reduces the flow of the blood to the heart and thus, causing chest discomfort. Usually, variant angina happens during the night or early hours when a patient is at rest because of the momentary reduction of the coronary oxygen supply rather than the increase of myocardial oxygen demand.2 It may occur in a person with or without CAD as the spasms in at artery can be cause by exposure to the cold weather, emotional stress, medication which causes vasoconstriction, smoking and the use of cocaine.2 4.0 Diagnose If a person is having the angina symptoms, he or she should consult their doctor in order to find out more about their complication. Doctors, who are in duty will conducts a physical exam on the patients, ask about the symptoms and get to know the risk factors and the family history of CAD or other heart disease. Other than that, doctors also will conduct some of the following test in order to diagnose angina. 4.1 Exercise Electrocardiogram (ECG) ECG is one of the most widely used tests which measure the rate and regularity of the heartbeat.2, 5 It records the rhythm and electrical activity of the heart and thus, indicating the severity of coronary artery diseases. The patients will exercises on a treadmill while doing the ECG test since angina occurs during physical activities. ECG will show an abnormal reading if the patients have narrowing coronary arteries. However, some people with angina also have a normal ECG readings and therefore, exercise stress testing is carried out. 4.2 Coronary Angiography It is a blood vessels or heart chambers examination using X-ray and it is tested during catheterization. A catheter (fine, hollow tube) will be placed into an artery in the patients forearm or groin and advance it till it reaches the coronary artery. Next, a dye which can be detected by X-ray will injected into the coronary artery and several pictures will be obtained. These pictures are called angiograms and it is helpful for the doctors to observe which arteries are narrowed or blocked.6 4.3 Radioisotope scan It is also known as radionuclide scan which emits gamma rays. A small amount of radioactive isotope will be injected into the vein while the patients exercise. Then, the gamma rays will be detected by the gamma camera which will be placed close to the chest in order to detect which parts of the heart muscles are blocked.9 5.0 Treatment The primary cause for angina is lack of oxygen supply which cannot meet the demand of the heart. Therefore, the treatment for angina is to make sure that the heart will receives sufficient oxygen by balancing the oxygen demand and supply. There are few ways of treatment which include medication, surgery and changing the patients lifestyle. 5.1 Medical treatment 5.1.1 Nitrates Nitrates are the most popular used medicines to treat angina as it open up the blood vessels and widens the coronary arteries (vasodilation), which allow more blood to flow to the heart muscles and reduce the work of the heart.5 It plays the same effects of the endogenous nitrous oxide which result in the powerful vasodilating effects.1 Nitrates act by dilating the coronary arteries and peripheral circulation, increase the myocardial oxygen supply by maximized the coronary flow and lower the left ventricular blood pressure. Other than that, it can improve exercise tolerance in order to prolong the angina occurring by preventing coronary spasm and coronary arterial vasoconstriction caused by exercise.1, 6 Usually, sublingual nitroglycerin (GTN) tablets or spray are used to prevent ischemia before any exercise as it can quickly absorbed into the buccal mucosa to provide a relief within 3 minutes.5 Besides that, long-term nitrates for regular oral administration such as isosorbide mono nitrate are common practice among the patients. Although nitrates are non-toxic and well tolerated, it can cause headache, flushing and postural dizziness.5 5.1.2 Beta-blockers Patients who are diagnosed with angina but not contraindications will take beta-blockers as the first-line therapy.5 Beta-blockers act by reducing the rate and force of cardiac contraction, arterial blood pressure, and myocardial oxygen demand of the heart during physical activities and improve coronary perfusion during diastole. Other than that, there is an increase in survival rate of patients with MI who are taking beta-blockers. However, patients who have the history of bronchial asthma should not be prescribed with beta-blockers as they tend to increase coronary vasospasm due to unopposed alpha-agonist activity.3 There are a few of approved beta-blockers which are water-soluble and are used to treat angina such as perpanolol, metaprolol, atenolol, nadolol and timolol. Since they are water-soluble, it is less likely they will enter the brain and cause central adverse effects. Besides that, beta-blockers also cause side effects such as bradycardia and hypotension, lethargy, fatigu e and impotence.11 5.1.3 Calcium Channel Blockers Calcium channel blockers perform the same effects of nitrates as vasodilators and boost myocardial oxygen balance on coronary flow and blood pressure. They relieve angina and extend the exercise time to onset of angina. Calcium channel blockers inhibit calcium ions from flowing into the cells through open calcium channel and mediate the contraction of cardiac muscles. There are two types of calcium channel blockers, dihydropyridines such as nifedipine, amlodipine and felodipine and non-dihydropyridines such as diltiazen and verapamil. They act on the peripheral vasodilation, coronary vasodilation and lower the rate and force of cardiac contraction. On the other hand, patients who are suffering from heart failure should avoid varapamil and diltiazen as they cause negative inotrophic action. Other side effects of calcium channel blockers are facial flushing, headache, postural dizziness, mind ankle oedema and constipation.2 5.1.4 Antiplatelets Platelets are important in blood clotting and play a role in the pathogenesis of atherosclerosis. Also, it can blocks the coronary arteries and causes the heart muscles from getting sufficient oxygenated blood. Therefore, antiplatelet drugs such as aspirin are use in reducing the risk of death or nonfatal MI for patients with unstable angina. They can minimize the platelet aggregation by irreversible inhibiting the platelet enzyme cyocooxygenase-1 which prevents thrombaxane A2 formation.11 5.2 Surgery Doctors will advise the patients to undergo coronary angioplasty or coronary bypass surgery if they cannot relieved by any medication or it is life threatening. 5.2.1 Coronary Angioplasty This is a treatment which opens blocked arteries and improves blood flow to the heart muscle, reduce chest pain and prevent heart attack. Before the doctors perform coronary angioplasty on the patients, they will do an angiogram and take an X-ray picture of the patients arteries. A catheter with a terminal balloon is introduced into an artery at the patients groin or arm. X-ray screening directs the catheter until it reaches the blocked arteries and few pictures are taken. Then, the balloon will be inflated to push the fatty tissues outward against the artery wall. A ‘stent which is a small stainless mesh tube will be placed at the newly opened arteries as it can hold up the arteries and decrease the arteries from narrowed down.2, 3 Figure 3 shows the clogged artery before and after the surgery. 5.2.3 Coronary Bypass Surgery It is the most common type of heart surgery and it has cures at least 240,000 patients in United States each year. It diverts blood around blocked arteries in the heart by attaching a vein from the leg or artery from the chest or another part of the body between the aorta and the blocked area. As a result, it creates a new route for the blood to flow to the heart and the heart muscle will receive the oxygenated blood. Increasingly, the left internal mammary artery is being used as the grafting blood vessel since it results in a better long-term result and less likely to narrow over the time compare to veins.3 Before the surgery, the patients will undergo coronary angiography to locate the narrowed arteries, have an electrocardiogram, blood test, urine test and chest X-ray to provide the latest health information for the doctors in charged. During the process, the heart of a patient will be arrested and the breastbone will be divided while the blood is send through a heart-lung machin e. After the surgery, there will be scars left on the patients and they may feel chest discomfort which will tone down over time.10 5.3 Lifestyle Changes A patient will not recovers from angina if he or she did not change his or her lifestyle after taking medication or surgery as it plays a major role in their life. By changing their lifestyles, patients can avoid the symptom of angina and improve their heart health. For example, patients should adapt a healthy diet which is full of vegetables and fruits and quit smoking. Also, patients who are obese should try to lose their weight until it reaches the BMI (Body Mass Index) scale. Other than that, they should exercise regularly as directed by the doctors. However, the most important things are to avoid bringing on an episode of angina such as taking a break or rest when the angina comes on with exertion. Also, the patients need to avoid taking a large amount of food at a time after a heavy meal. Finally, patients need to learn how to distress when they facing difficulties as it will causes the angina to attack. 6.0 Clinical Scenario 6.1 Clinical Scenario 1 A 52 years old man has been presented to his doctor with a chest pain on exertion, which has occurred over the previous two weeks. He is diagnosed with angina. He received the following prescription Aspirin 75mg One tablet in the morning Atenolol 100mg One tablet in the morning GTN spray One dose as required for chest pain Aspirin is an antiplatelet drug which is to prevent the aggregation of platelets and thus, reduce the risk of atherosclerosis. 75mg of aspirin is prescribed to the old man is adequate to prevent the thromboxane A2 production and it is the initial dose given for long term treatment.11 Since aspirin is an acetylsalicylic acid, the old man should take the tablets in the morning after food in order to reduce the stomachache irritation. Patients who are diagnosed with asthma, pregnancy, haemophilia, hypertension and other bleeding disorders should avoid taking aspirins. Atenolol is a ÃŽ ²1 blocker which treats angina by inhibiting the sympathetic nervous system. It lowers the heart rate and blood pressure, reduces the intake of oxygen and so, minimizes the frequency of angina. 100mg of atenolol is recommended daily in the morning because the blood pressure is at lowest level and thus, it can maintains the blood pressure.3 Atenolol should be keeps away from the light and heat and stored in a tightly sealed container. Doctors should explain to the patients about the side effects of the drug such as dizziness, fatigue and sexual dysfunction. However, patients cannot stop the medication as sudden withdrawal of atenolol may cause exacerbation of angina.11 GTN (glyceryl trinitrate) spray is an aerosol spray which is used to dilate and widen the walls of coronary arteries and increase the flow of blood to the heart.3 It is a common and most effective drug to ease angina as it provides a rapid relief of angina. Therefore, the patients should always carry the spray with them at all time. It should be used before the patients engaging any physical activities like climbing stairs which might lead to an acute attack of angina. The side effects of GTN spray are throbbing headache, flushing, nausea and dizziness.11 6.2 Clinical Scenario 2 A 79 years old lady with a history of congestive heart failure and angina receives the following prescription: Aspirin 75mg One tablet in the morning Imdur 60mg One tablet in the morning GTN tablets 500mcg One tablet as required for chest pain In scenario 2, the functions of aspirin are been described in scenario 1 but the dosage given to this lady is lower than in scenario 1. The prescription was given based on the decrease in bodyweight, total body water and mass. It is important to give a maximum level of absorption, distribution, metabolism and excretion of medication in elderly patients with fewer side effects. Imdur, which contains isosorbite mononitrate is used to prevent the onset of angina. Nitrates are powerful vasodilators which minimizes the workload of the heart which leads to a decease in the myocardial oxygen demand. In this case, Imdur is given instead of beta-blocker because beta-blocker will reduce a patients heart rate and blood pressure which may lead to heart failure and therefore, it is not suitable for this lady with a history of congestive heart failure. Also, a dosage of 60mg Imdur is adequate and should taken once in the morning because the duration of its action can be up to 12 hours and to reduce the development of tolerance with respect to anti-angina effect.3, 11 Lastly, GTN tablets were prescribed instead of spray in order to provide relieve for angina. It has the same effects as GTN spray and it is administered under the tongue and being absorbed while the tablet dissolves when the pain develops. A dose is able to provide relief within a minute. The side effects of GTN tablets are the same as the spray. 7.0 Role of Pharmacist Doctors play a very important role in curing the patients who are diagnosed with heart attack and other diseases. However, the process is not complete without pharmacists because they are the people, who are well known for their responsibilities in prescribing medicines for the patients. Also, pharmacists also educate the public about angina by deliver the messages to the patients, making sure the patients understand about their condition and helping them to combat angina. So, an effective communication skill is needed in order to council the patients on their medication without any mistakes. There are some people who are not aware that they are suffering from angina due to the lack of knowledge about angina. As a result, some of them will simply prescribe themselves with painkiller or any medicines which can relief their chest pain without knowing about the dangerous of their condition. Thus, the pharmacists are responsible to deliver the information about angina to create awareness in the public. The information about the signs and symptoms can surely help the public to aware about their health and to go for a medical check up and seek treatment. Every patient are different and therefore, it is important that they are treated differently based on their condition, sex, age and existing condition such as hypertension, congestive heart failure and diabetes. This is because different conditions need different kind of medications in order to avoid any complications. For example, a patient who had heart failure and suffers from angina should not be prescribed with beta-blocker as beta-blocker will worsen the patient condition. Other than that, pharmacists should advise the patients on when and how to take the medication, the dosage of medication and how to keep the medication. This is crucial as a simple mistake can lead the patients to death such as overdose. Also, the pharmacists will advise the patients on what to avoid and how to take care of themselves so that they can faster recover from angina. For example, the pharmacists will advise them that they should avoid any vigorous activities and watch their diets. Lastly, a pharmacist should keep his/her patients conditions private and confidential as this is the trust which his/her patient had given them. Also, it can help the pharmacist to monitor the condition of their patients and to make sure that they will benefit most on the drug prescribed with the least side effects. 8.0 Conclusion As been described, angina is not a disease but a symptom indicating heart disease. It required a long term treatment in order to prevent angina from recurrence and should be taken seriously. So, the role of pharmacist is very essential by helping the patients in managing their life and educating them on angina in order to lead them to healthier life. 9.0 References Williams, H. Stevens, M. (2002) Chronic stable angina. Pharm.J.. 269:363-365 National Heart Lung and Blood Institute, Disease and Condition Index. Angina. Khan, M.G., Topol, E.J., Saksena, S. Goodwin, J.F. (1996) Heart Disease Diagnosis and Therapy, A Practical Approach. William Wilkins, Baltimore. Pages 133-183. Lily L. S. Pathophysiology of Heart Disease: A Collaborative Project of Medical Student Faculty. 3rd Edition (2203) Lippincott. William Wilkins. Timmis A. D. and Nathan A. W. (1997) Essential of Cardiology. 3rd Edition. American Heart Association, Fighting Heart Disease and Stroke. Angina. eHealthMD, Angina Pectoris. http://www.ehealthmd.com Accessed 28 Aug 2007. iVillage Total Health, Angina. http://heart.health.ivillage.com Accessed 29 Aug Patient UK, Radionuclide (Isotope) Scan. http://www.patient.co.uk Texas Heart Institute, Coronary Artery Bypass. http://texasheart.org British Medical Association and Royal Pharmaceutical Society of Great Britain. British National Formulary 43, March 2002. 2.4 Beta-adrenoceptor blocking drugs, 2.6.1 Nitrates, 2.6.2 Calcium-channel blockers and 2.9 Antiplatelet drugs.

Immigration Essay -- Illegal Immigrants Essays

Immigration Debate over immigration and immigration policy is not new to the nation's history. For a long time, Congress debated legislation to control the immigration problem. As immigration rises and hatred grows more laws will be carried out trying to release some of the pressure. Immigrants offer cheaper labor to businesses. Immigrants do not get minimum wage, but instead they get paid lower, this gives the business an edge over other competitors. Agriculture industries employ more undocumented workers than any other industry in the country because it cost less. Half of California's 700,000 farm workers are estimated to be undocumented. Thirty years ago 50 percent of farm workers in California were immigrants, and now it’s 92 percent. Agriculture is not the only industry that has under paid immigrants. Published by the Chronicle, a list of businesses fined by the INS in San Francisco includes a car rental company, construction firms, restaurants, clubs, a trucker, a travel agency and even a Protestant church. Everywhere today, you see immigrant workers cleaning rooms in hotels, mowing lawns in the suburbs, pumping gas in service stations, doing all sorts of temporary jobs. These business groups have a lot of interest in immigrants. The immigrant workers provide cheaper labor which cuts costs and get industries ahead in competition. Richard Rogers, district director of the INS in Los Angeles, was quoted as saying: "If we were to increase fines 75 to 80 p...

The Theme of Alcestis :: Alcestis

The Theme of Alcestis      Ã‚  Ã‚   Alcestis by Euripides is distinct from other Greek Tragedy, due to its fairy tale origins. It was the fourth play in a set and would therefore have taken the place of a satyr-play. Satyr-plays were usually a light, comic play used as a form of relief from the previous heavy tragedies. The play has its comic elements, Heracles and Death playing the main comic figures but is there a more serious meaning hidden within the comedy? Philip Vellacott in his introduction to a collection of Euripides' plays, states that the main theme of the play is the "unequal relationship of man to woman." He believes this theme to be a reading of the play that would not be accessible to spectators who watched the play purely for enjoyment, but would be found by those capable of serious reflection. Did Euripides foresee such a reading of the play and is there enough evidence to support such a view?    In the play, the experience of man and woman do appear to be set up against each other. On the one hand there is Admetus and the chorus of the citizens of Pherae and on the other, there is Alcestis aligned with other second-class citizens, the servants. The chorus sympathise almost exclusively with Admetus and the servants with Alcestis. The servants and Alcestis are associated with each other from line 192:    "She took each one by the hand, and spoke to each...even the humblest."    Alcestis shows how she cared for the servants by being so thoughtful during her suffering. Later in the play another servant hails Alcestis as a mother figure. With such a bond between them, the servants see things from Alcestis' point of view. In telling the chorus the events of the day, the servant speaks entirely with sympathy for Alcestis, recalls what she has said and done and how she is becoming weaker and weaker. The servant does not mention Admetus until the chorus pointedly ask about him. In her reply the servant shows how Admetus is coping with the situation. Line 200: "Oh, yes, he weeps...Beseeching her not to desert him."    Here the irony of the situation is recognised by the servant.

PHILOSOPHY of COUNSELING

Clinical psychology focus SE on the intellectual, emotional, biological, psychological, social, and behavioral aspect s of human injunction across the life span, in varying cultures, and at all socioeconomic I bevel† (Todd & Aboard, 1999, peg. 5). In my philosophy I do believe this to be true among other things. I believe the Bible to be my main source of truth. View of Human Nature With any philosophy we have to start at the beginning of the nature of people and their disorders. Why are people the way they are? Is it nature or nurture?I believe we do not s tart out as a â€Å"blank slate. † We are all born with specific genes and attributes that are unique to us. We are all individuals unique in our own ways. However our experiences mature and SSH ape us for good or for bad. Think about life as a poker game and in your hand are the cards you have been dealt. You were given the cards and how you play the game or your â€Å"experiences† d determine the outcome. Mor ality and values are not subjective sets of ideas that vary from p resin to person, or even culture to culture.Rather, they are determined by Someone who is above e the created realm and gives them to all whom are created. This â€Å"Someone† gives you the cards. Without being given these basic values and morals utter chaos would reign in the world. In t he Bible Jesus says â€Å"For out of the heart come evil thoughts, murders, adulteries, fornication's, the bets, false witness, slanders. † (Matthew 1 5:19, NASA) This obviously points to the fact that our he arts are the central problem in addressing the behaviors and actions of our lives. In the Bi blew we also get a clear picture of the condition of the human being.Romans 3:23 says â€Å"All have sinned and fall short of the glory of God† (NASA). The logical implication is that one who has s mined (defined as a thought, action upon a thought, or behavior that is against the character ND perfection of God's ch aracter) is called a â€Å"sinner†. Because we have all sinned we can not ex prurience the life God intended us to live. Our sin separates us from God and therefore is the r 80th issue in our lives. Not every struggle is a result of personal sin though. If a client were ABA seed, traumatized, rejected, neglected, etc. The sin is not theirs but the results of someone else's sin plays out in their life. Many people need counseling because of the sins of others, entrust their own. Our behaviors and actions flow directly from our sinful thoughts, actions, and series. If someone were to live their life on a deserted island and never have any human contact they would still have the propensity and desire to be greedy, lustful, prideful, and o there things that go directly against the character of God. Society and our environment do not diet ermine our actions as much as our own inward distorted desires.The root issue is a heart problem m, not one of needing just a â€Å"behavioral adjustment† to correct the actions. When clients co me to counseling because they are struggling with something that is a result of someone else's sin the direction and Ochs is still on their need for a Savior to give them the inner ability to have the e strength, patience, forgiveness, and healing to move forward in their life. Therapist/Client Relationship My role as a therapist, is to lift the fallen, restore the broken, and to heal the h rutting. Am not there to judge or â€Å"pick sides. We were created for relationships. In order for a therapist to have the type of relationship with the client that allows them to challenge the client they need to be perceived as open, attentive, willing to be challenged, a listener, fair, friend lye, firm, and trusting. A great client/ counselor relationship is not totally essential to change occurring in the life of a client, but it is very important. I should be able to empathic with the client, teach them coping mechanisms, and offer a different perspective or insight as to what the e issue might be.The client should not rely on me solely as the fix all to any problem. The there pips assists the client in identifying dysfunctional beliefs. The counselor also discovers alternate dive rules for living for the client. The therapist acts as the teacher and teaches new abilities and skills to the client. The client understands their problem better and practice changing self defeating ways, such as, acting and thinking. In this way, it is important to maintain a truthful, secure, confident relationship between the client and the helper to be effective.The essential o objective is for change to occur; the change could be an environmental change, specific behave viral change, change in thinking identifying and awareness. Strengths and Weaknesses as a Therapist like to think I'm good at seeing the â€Å"big picture. † If you are able to take a step back and look at life this way you don't worry about trivial thin gs as much because you hen realize that they don't matter in the big scheme of things. As a therapist could then be a blew to help teach my clients to do the same. Would teach them to focus on the big picture rather t Han trivial details.One thing that I will have to work on is not giving advice. My friends come to me for advice right now and its really hard to break that habit. I've started to take myself oh t of the situation and offer guidelines that could help them in the situation because don't wan t them to depend on me and the same goes for my future clients. I want to be a Marriage and Fame Ii Therapist and I'm not married, nor do I have a family of my own. Some people could see this as a problem because I don't know specifically know the situation.However do empathic with people and can relate to them in other areas. I would also explain to them then that even if I were married I still wouldn't know the exact situation because every situation is different and unique to that individual. Conclusion My philosophy of counseling beings with the fact that all of humanity has intro NCSC value. The ideal counseling situation would be one where a client is able to see a love Eng relationship dolled between the counselor and the client in such a way that they being t o desire to know more about God. PHILOSOPHY of COUNSELING Clinical psychology focus SE on the intellectual, emotional, biological, psychological, social, and behavioral aspect s of human injunction across the life span, in varying cultures, and at all socioeconomic I bevel† (Todd & Aboard, 1999, peg. 5). In my philosophy I do believe this to be true among other things. I believe the Bible to be my main source of truth. View of Human Nature With any philosophy we have to start at the beginning of the nature of people and their disorders. Why are people the way they are? Is it nature or nurture?I believe we do not s tart out as a â€Å"blank slate. † We are all born with specific genes and attributes that are unique to us. We are all individuals unique in our own ways. However our experiences mature and SSH ape us for good or for bad. Think about life as a poker game and in your hand are the cards you have been dealt. You were given the cards and how you play the game or your â€Å"experiences† d determine the outcome. Mor ality and values are not subjective sets of ideas that vary from p resin to person, or even culture to culture.Rather, they are determined by Someone who is above e the created realm and gives them to all whom are created. This â€Å"Someone† gives you the cards. Without being given these basic values and morals utter chaos would reign in the world. In t he Bible Jesus says â€Å"For out of the heart come evil thoughts, murders, adulteries, fornication's, the bets, false witness, slanders. † (Matthew 1 5:19, NASA) This obviously points to the fact that our he arts are the central problem in addressing the behaviors and actions of our lives. In the Bi blew we also get a clear picture of the condition of the human being.Romans 3:23 says â€Å"All have sinned and fall short of the glory of God† (NASA). The logical implication is that one who has s mined (defined as a thought, action upon a thought, or behavior that is against the character ND perfection of God's ch aracter) is called a â€Å"sinner†. Because we have all sinned we can not ex prurience the life God intended us to live. Our sin separates us from God and therefore is the r 80th issue in our lives. Not every struggle is a result of personal sin though. If a client were ABA seed, traumatized, rejected, neglected, etc. The sin is not theirs but the results of someone else's sin plays out in their life. Many people need counseling because of the sins of others, entrust their own. Our behaviors and actions flow directly from our sinful thoughts, actions, and series. If someone were to live their life on a deserted island and never have any human contact they would still have the propensity and desire to be greedy, lustful, prideful, and o there things that go directly against the character of God. Society and our environment do not diet ermine our actions as much as our own inward distorted desires.The root issue is a heart problem m, not one of needing just a â€Å"behavioral adjustment† to correct the actions. When clients co me to counseling because they are struggling with something that is a result of someone else's sin the direction and Ochs is still on their need for a Savior to give them the inner ability to have the e strength, patience, forgiveness, and healing to move forward in their life. Therapist/Client Relationship My role as a therapist, is to lift the fallen, restore the broken, and to heal the h rutting. Am not there to judge or â€Å"pick sides. We were created for relationships. In order for a therapist to have the type of relationship with the client that allows them to challenge the client they need to be perceived as open, attentive, willing to be challenged, a listener, fair, friend lye, firm, and trusting. A great client/ counselor relationship is not totally essential to change occurring in the life of a client, but it is very important. I should be able to empathic with the client, teach them coping mechanisms, and offer a different perspective or insight as to what the e issue might be.The client should not rely on me solely as the fix all to any problem. The there pips assists the client in identifying dysfunctional beliefs. The counselor also discovers alternate dive rules for living for the client. The therapist acts as the teacher and teaches new abilities and skills to the client. The client understands their problem better and practice changing self defeating ways, such as, acting and thinking. In this way, it is important to maintain a truthful, secure, confident relationship between the client and the helper to be effective.The essential o objective is for change to occur; the change could be an environmental change, specific behave viral change, change in thinking identifying and awareness. Strengths and Weaknesses as a Therapist like to think I'm good at seeing the â€Å"big picture. † If you are able to take a step back and look at life this way you don't worry about trivial thin gs as much because you hen realize that they don't matter in the big scheme of things. As a therapist could then be a blew to help teach my clients to do the same. Would teach them to focus on the big picture rather t Han trivial details.One thing that I will have to work on is not giving advice. My friends come to me for advice right now and its really hard to break that habit. I've started to take myself oh t of the situation and offer guidelines that could help them in the situation because don't wan t them to depend on me and the same goes for my future clients. I want to be a Marriage and Fame Ii Therapist and I'm not married, nor do I have a family of my own. Some people could see this as a problem because I don't know specifically know the situation.However do empathic with people and can relate to them in other areas. I would also explain to them then that even if I were married I still wouldn't know the exact situation because every situation is different and unique to that individual. Conclusion My philosophy of counseling beings with the fact that all of humanity has intro NCSC value. The ideal counseling situation would be one where a client is able to see a love Eng relationship dolled between the counselor and the client in such a way that they being t o desire to know more about God.