Enhancing Parental Participation within the NICU :: Health, Family Center Care

Front end of General Motors company Case Study Example | Topics and Well Written Essays - 750 words

Front finish of General Motors organization - Case Study Example The apparatuses utilized in the examination incorporate prevailing monetary highlights, main impetus investigation, key gathering guide, PESTLE and serious investigation system. The fundamental issue being talked about is on item unwavering quality dependent on the items and buyer discernment. The organization has issues with quality affirmation and absence of value control framework. As per the customer reports of 2009, there were various reviews of GM items because of unwavering quality. In this way, the paper thinks of three choices to check the issue on dependability. The principal choice to control the issue is thinking of a robotized checking system that will check any product’s deformity. The option is significant in light of the fact that it will guarantee that no imperfections goes unchecked (General Motors, 1980). A portion of the imperfections that the robotization procedure will check incorporates deficiencies with safety belts, brakes, and other significant regions. Then again, the option however accommodating is over the top expensive and requires a ton of structures and funding to set up. Another choice to check the issues on quality control is that the organization need to set up ensured evaluators who will complete arbitrary and regular determine the status of the company’s item. The examiner need to think of routine reports on the assembling procedure and the gear utilized during the procedure. The benefit of this option is that the organization will ensure that their quality control frameworks are cutting-edge and proficient. One of the cons of this option is that there are propensities that the organization may overlook the reports and proposals from the guaranteed evaluator. Refering to claims that the proposals are costly to actualize (General Motors, 1981). The third choice to check the issue is reviewing all the vehicles that have default issues. Reviewing the vehicle will guarantee that the organization expands quality control issues. Reviewing the vehicle will give the

PTSD and Eating Disorders How Are They Treated

PTSD and Eating Disorders How Are They Treated Eating Disorders Print PTSD and Eating Disorders How Are They Treated When They Co-occur? By Lauren Muhlheim, PsyD, CEDS facebook twitter linkedin Lauren Muhlheim, PsyD, is a certified eating disorders expert and clinical psychologist who provides cognitive behavioral psychotherapy. Learn about our editorial policy Lauren Muhlheim, PsyD, CEDS Medically reviewed by Medically reviewed by Steven Gans, MD on August 16, 2018 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on May 09, 2019 More in Eating Disorders Symptoms Treatment Diagnosis Awareness and Prevention In This Article Table of Contents Expand What Is PTSD? What Are Eating Disorders? What Is Trauma? How PTSD Relates to Trauma Eating Disorders and PTSD Psychological Treatment View All Back To Top Post-traumatic stress disorder (PTSD) and eating disorders often co-occur. People with eating disorders may have other mental health conditions, such as generalized anxiety disorder, social anxiety disorder, or obsessive-compulsive disorder (OCD). In fact, many individuals with eating disorders also have one or more anxiety disorders that often predate the eating disorder. What Is PTSD? Prior to the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), PTSD was included in the Anxiety Disorders category of the DSM. In 2013, the diagnosis of PTSD was moved to a new category of disorders called Trauma- and Stressor-Related Disorders. A diagnosis of PTSD is made when a person experiences a traumatic event and then has great difficulty in the aftermath of that event. The traumatic incident continues to dominate their daily life. A PTSD diagnosis requires a person to have symptoms that can include upsetting and intrusive memories, nightmares, avoidance of reminders of the event, negative thoughts or feelings related to the event, difficulty concentrating, constant anxiety, and increased physiological arousal since the event. These symptoms must persist for a month or more. What Are Eating Disorders? Eating disorders are complex conditions that affect eating and can seriously impair health and social functioning. The most common eating disorders are: Binge-eating disorder (BED): Eating large amounts of food while feeling out of controlBulimia nervosa: Eating large amounts of food alternating with behaviors designed to counteract the impact of this eatingAnorexia nervosa: Eating insufficiently for one’s energy needs due to a fear of weight gain These are also the three types of eating disorders that have most often been studied in relation to PTSD. What Is Trauma? Trauma refers to a broad range of experiences. While initially eating disorders were often studied and believed to be linked to childhood sexual abuse, the definition of trauma has been broadened to include many other forms of victimization, including other childhood sources such as emotional abuse, emotional and physical neglect, teasing, and bullying, as well as adult experiences such as rape, sexual harassment, and assault. It also can include natural disasters, motor vehicle accidents, and combat. Unfortunately, traumatic events are relatively common. The majority of people in the U.S. will experience at least one traumatic event in their lifetime. How PTSD Relates to Trauma Anyone can develop PTSD at any age. Not every person who experiences trauma develops PTSDâ€"in fact, most people will manage to process a traumatic event and move on without developing the disorder. Others will exhibit some behaviors or transient symptoms of PTSD but never develop the disorder. Certain factors can increase a person’s likelihood of developing PTSD following traumaâ€"these can include the type of trauma, number of traumas experienced, prior problems with anxiety and depression, poor social support, and genetic predisposition. Eating Disorders and PTSD Trauma, including childhood sexual abuse, is a “nonspecific” risk factor for eating disordersâ€"nonspecific because it can also precede a number of other psychiatric disorders. In the U.S., the lifetime prevalence of PTSD is estimated to be at 6.4 percent. Rates of PTSD among people with eating disorders are less clear because there are few studies. What studies do exist show the following rates for lifetime PTSD: Women with bulimia nervosa: 37-40 percentWomen with BED: 21-26 percentWomen with anorexia nervosa: 16 percentMen with bulimia nervosa: 66 percentMen with BED: 24 percent Rates of PTSD are generally found to be higher in cases of eating disorders with symptoms of bingeing and purging, including the anorexia-binge/purge subtype. There are different theories regarding the higher incidence of PTSD among people with eating disorders. One theory is that the trauma directly affects body image or sense of self and leads a person to attempt to modify their body shape to avoid future harm. Another is that trauma exposure leads to emotional dysregulation (difficulty managing emotional reactions), which in turn can increase the risk for various types of psychopathology, including PTSD, borderline personality disorder, and substance use disorders. In this model, binge eating and purging are believed to be an attempt by the affected person to manage or numb their intense PTSD symptoms. When they succeed in doing so, the eating disorder behaviors are reinforced. Psychological Treatment In any case when multiple psychiatric conditions co-occur, treatment becomes more complicated. This can certainly be true with PTSD and eating disorders. An eating disorder patient with PTSD may have more difficulty trusting their provider or allowing others to dictate treatment. Treatment for eating disorders often involves accepting direction around eating, so an unwillingness on the part of a patient with PTSD to trust the caregiver can be problematic. There are few specific clinical guidelines for treating patients with both PTSD and eating disorders. Fortunately, there are effective treatments. Both PTSD and eating disorders can be successfully treated with cognitive-behavioral therapy (CBT), a treatment that focuses on understanding the relationship between thoughts, feelings, and behaviors. Psychotherapy is the leading treatment for PTSD. Some of the leading evidence-based therapies for PTSD include: Cognitive Processing Therapy (CPT) teaches how to reframe your maladaptive beliefs about the trauma.Prolonged Exposure Therapy (PE) teaches how to face feelings and involves talking about the trauma.Trauma-Focused CBT (TF-CBT) is designed for children and adolescents, and teaches how to understand, process, and cope with trauma.Eye Movement Desensitization and Reprocessing (EMDR) helps one to process and understand trauma while making guided eye movements. This treatment tends to be more controversial because it’s unclear whether the eye movements make any contribution to patients’ improvement above and beyond the associated exposure process. Psychotherapy is also the front-line treatment for eating disorders. Enhanced cognitive therapy (CBT-E) is the protocol with the greatest evidence for the treatment of adult eating disorders. It focuses on changing behaviors which in turn helps to challenge problematic thoughts. In the treatment of co-occurring eating disorders and PTSD, there is no consensus on whether treatment should be sequential (with eating disorder treatment first or PTSD treatment first), or concurrent/integrated (treatment for the eating disorder and PTSD provided at the same time). Get Treatment From the 9 Best Online Therapy Programs If a patient is medically unstable due to an eating disorder, the eating disorder should probably be treated first until those issues have improved. Sometimes, treating one condition can help make the treatment of the other condition more effective. For example, if a patient is using eating disorder behaviors to avoid negative feelings, PTSD exposure treatment may not be as effective. However, one of the problems with sequential treatment is that treating one disorder can sometimes worsen the other. This can cause a self-perpetuating cycle that prevents recovery from both disorders. If a patient with an eating disorder is confronting painful trauma memories, they may increase behaviors to avoid feeling the negative emotions, and this avoidance helps maintain their PTSD. By contrast, concurrent treatment can be effective at addressing both problems simultaneously, yet no integrated treatment protocol exists for PTSD and eating disorders. Another decision in treatment planning is which of the aforementioned evidence-based PTSD treatments should be used. Outcomes have been quite similar among the four treatments and no study has indicated which one might be most effective for people with both PTSD and eating disorders. Some professionals have pointed out that CPT may be the most closely aligned with CBT-E, so an integrated treatment could combine aspects of both of those. For patients with more problems with emotion dysregulation and high-risk behaviors, a form of dialectical behavior therapy (DBT), a protocol for treating PTSD, is DBT-PE. This treatment combines prolonged exposure with DBT. It is a new protocol and there are not yet any studies on DBT-PE with patients with eating disorders, but some professionals believe it could be a good option for patients with eating disorders and PTSD.   The following criteria have been suggested for patients with eating disorders on when to begin PTSD treatment: The patient indicates readiness.The patient is adequately nourished and can process information.The eating disorder symptoms are relatively under control.The patient demonstrates an adequate ability to tolerate negative feelings. Patients with PTSD and eating disorders should have a comprehensive assessment. Some patients may not feel comfortable revealing traumatic events early on in treatment, so assessment should be an ongoing process. Their therapist should develop a case formulation that helps them to understand the relationship between the eating disorder and PTSD, and can help guide when and in which order to address the different disorders. A Word From Verywell If you have symptoms of an eating disorder and also a history of trauma, know that you are not alone! It is important to seek help and to try to be open with your providers. While this can be scary, it can be an important first step in the recovery process.

Why Many Americans Fail to Vote in Elections

Why dont more people  vote? Lets ask them. The California Voter Foundation (CVF) has released the results of a statewide survey on the attitudes of infrequent voters and citizens eligible to vote but not registered. The first-of-its-kind survey sheds new light on the incentives and barriers to voting, along with the sources of information that influence people when they do vote. Voter turnout is the percentage of eligible voters who cast a ballot in an election. Since the 1980s voter turnout has been decreasing steadily in the United States, as well as most other democratic countries worldwide. Political scientists generally attribute falling voter turnout to a combination of disillusionment, indifference, or a sense of futility – the feeling that an individual’s vote will not make a difference.   â€Å"For election officials and others working to maximize voter participation, these survey results provide clear direction on the messages most likely to get infrequent voters to participate in the upcoming election, and on the messages that will motivate more nonvoters to register,† stated the CVF, noting that there are 6.4 million Californians who are eligible but unregistered to vote. It Just Takes Too Long â€Å"Too long† is in the eye of the  waiter. Some people will stand in line for two days to buy the latest, greatest cell phone or concert tickets. But many of the same people will not wait 10 minutes to exercise their right to choose their government leaders. Besides, a 2014 GAO report suggests it doesn’t really take â€Å"too long† to vote. Just Too Busy The survey found that 28% of infrequent voters and 23% of those unregistered said they do not vote or do not register to vote because they are too busy. â€Å"This tells us that many Californians may benefit from more information about the time-saving advantages of early voting and voting by absentee ballot,† the CVF  said. Voter registration forms are available in post offices, libraries and the  Department of Motor Vehicle  offices in most states. The CVF said the survey’s findings might also benefit those campaigns trying to reach infrequent and new voters in advance of the election. The perception that politicians are controlled by special interests is widely shared among two-thirds of the survey’s respondents and represents a significant barrier to voter participation. A feeling that candidates don’t really speak to them was cited as the second leading reason why infrequent voters and nonvoters do not vote. Even Non-Voters Say Voting is Important Still, 93% of infrequent voters agreed that voting is an important part of being a good citizen and 81% of nonvoters agreed it is an important way to voice their opinions on issues that affect their families and communities. â€Å"Civic duty and self-expression provide strong incentives to get potential voters to the polls, despite pervasive cynicism about the influence of special interests,† said the organization. Family and Friends Encourage Others to Vote The survey found that family and friends influence how infrequent voters decide to vote as much as daily newspapers and TV news. Among infrequent voters, 65 percent said conversations with their families and local newspapers were influential sources of information when it comes to making voting decisions. Network TV news rated as influential among 64%, followed by cable TV news at 60%, and conversations with friends at 59%. For more than half of the infrequent voters surveyed, phone calls and door-to-door contact by political campaigns are not influential sources of information when deciding how to vote. The survey also found that family upbringing plays a strong role in determining voting habits as adults. 51% of nonvoters surveyed said they grew up in families that did not often discuss political issues and candidates. Who are the Non-Voters? The survey found that nonvoters are disproportionately young, single, less educated and more likely to be of an ethnic minority than infrequent and frequent voters. 40% of nonvoters are under 30 years old, compared to 29% of infrequent voters and 14% of frequent voters. Infrequent voters are much more likely to be married than nonvoters, with 50% of infrequent voters married compared to only 34% of nonvoters. 76% of nonvoters have less than a college degree, compared to 61% of infrequent voters and 50% of frequent voters. Among nonvoters, 54% are white or Caucasian compared to 60% of infrequent voters and 70% of frequent voters. Voter Turnout in 2018 Soared   On a positive note, voter turnout in November 2018 reached the highest level of any midterm election in over a century. According to the non-partisan, non-profit United States Elections Project, 49.3% of all eligible voters cast more than 116 million ballots nationwide. It was the best turnout since 1914 when 50.4% voted and surpassed the previous high turnout of 48.7% in 1966.   Better yet, 2018 reversed a troubling downward turnout trend. Turnout in the 2010 midterms was 41.8% before dropping to a miserable 36.7% in 2014—the lowest since 1942.   Of course, voter turnout in midterm elections will always lag far behind that of presidential election years. For example, in 2012, when President Obama was elected to his second term, the turnout was 58.6%. Turnout then jumped to 60.1% in 2016, when Republican Donald Trump defied the polls to be elected president over Democrat Hillary Clinton after an especially contentious campaign.

Book Report On The Dragons Table - 1912 Words

They were two days into their trip to the Dragon s Table when Chrom noticed a group of cacti he was sure they d passed before. He remembered, because it was near where they d set up camp for lunch the previous day and Sumia had nearly tripped into one. Robin, he said after a second, turning his head to look at the tactician, who was holding the map with an air of confidence, are we doubling back on our route? Hm? Robin looked up, peering into the endless desert as if he could tell one way from the other there. Of course not. It s just that I m sure we ve been this way before, he said, indicating the cacti--which, surely Robin would remember that too? Impossible, was the firm declaration. It s just a similar plant,†¦show more content†¦It s just...I think we...might be...lost? He hadn t actually seen Robin ever give someone a look like that, with the exception of someone he was about to draw a Thoron tome on. We are not lost. We have a map. He peered over at the map, and suddenly noticed something their mapping sessions at night times hadn t quite conveyed to him. ...Do you know where we are on the map? Silence. The temperature seemed to drop about fifteen degrees around them, which was actually rather refreshing. Of course I do, Robin said finally, the same frost in his tone. Feeling as though he was pointlessly jumping in front of a blow, Chrom plowed on recklessly. Do you know where the Dragon s Table is on the map? More silence. There was a very slight tinge of pink to Robin s cheeks now. Well... All right. Find the nearest village then. Chrom sighed. I had hoped to do this without alerting the Plegians in any way, but it looks like we ll need to ask directions. We don t need directions, was the immediate objection. We have a map. Is the Dragon s Table on the map? he asked warily. Of course it... Robin trailed off. That s not the point! We ll find it. Look, we don t need directions. How are we going to find it if we have no idea where it is? Chrom demanded. It s not even on the map, so we need directions. Do you trust the map, Chrom? What? At some point, he had become as lost as he knew they

Pythia (the Oracle of Delphi) Free Essays

Portrait of a Priestess By: Joan Breton Connelly The historical figure referred to as the â€Å"Oracle of Delphi,† in ancient writings by Aeschylus, Aristotle, Diogenes, Euripides, Herodotus, Plato, Plutarch, and Sophocles, was the â€Å"Pythia,† or â€Å"Priestess† of the temple of Apollo at Delphi; located in a cave on mount Parnassus, beneath the caspian Spring. The Pythia was a respectable position for a women among the ancient greeks. Several women were selected to succeed the position of Pythia over the span of the temples practice from 1,400 BC-393 A. We will write a custom essay sample on Pythia (the Oracle of Delphi) or any similar topic only for you Order Now D. I will be focussing on one in particular, whose experience changes the requirements of the position. The Pythia was known for her prophetic visions, said to to be inspired by the God Apollo. Ancient from all around Greece would travel to Delphi in hopes to hear a prophecy from the Pythia that be would be reflect favorable on their future. The myth was that the fumes from the Caspian Spring inspired her visions. Three male priests would accompany her, and interpret her hysterical, unintelligible babble to the visitors. Modern historians and scientists theorize that a hallucinogenic gas from a seismic crack in the mountain intoxicated her, and was the cause of her erratic behavior. However, scientist extensive scientific research has been performed on the location and been found contradictory and inconclusive on both sides. There is no documented procedure on how they selected the Pythia, but it is assumed that she was selected upon the death of her predecessor and chosen from a guild of priestesses. She was always a young, respectable virgin, native to the area. Once she was selected she had to leave her family, forfeit her personal identity, and sever all communication with those she’d previously known. The benefits were that she would receive monetary compensation, position, attend public events, and own her property. They also appeared to select women upon aptitude rather than position in society. One Pythia could be well education and aristocratic, and another could be from the working class. At the Height of the Temples popularity there were up to three Pythias in residents. They would alternate between sessions, because the activity left them exhausted and delirious. It was said that the Pythias life was shortened from the strenuous occupation. After an incident where a Pythias was been attacked and killed for giving unfavorable prophecies, they increased the number. The Pythia I’m choosing served in 300AD, she was attacked and raped in the temple. Upon this incident the priests were forced to make a decision on the policy of the requirements of a priestess, because she was no longer a virgin. They changed the policy which opened the opportunity up to married women as well. I would like to write about this incident, because she was not only violated, but in jeopardy of losing her job, being exiled, and possibly killed. Once a year the Pythia would undergo a cleansing ritual, where she would bathe in the Caspian Stream. The procedure was extremely detailed and strict. I think this would be an awesome incident to write my monologue about. The importance and specificity of the ritual makes it an important event in her life. Also bathing in the toxic spring could also present an interesting opportunity to intoxication, and visions. The Pythias personal life, (I can only imagine) was one of deep sadness and extortion. She may have had high hopes for the position, she may not have wanted to serve at all, but it was not a position that would be socially acceptable to refuse. Not only did she have to lose her family and her identity, but she had to forfeit any chance of getting married and having children. She was in a temple, that was essentially a converted cave, and constantly hyped up on hallucinogens. It was basically an ancient form of prostitution. The temple made money off of her â€Å"prophecies† while her mind and body was slowly destroyed from abuse. The danger of attack, rape and death were very real to her in everyday life. I can only imagine the state of her mind, and her misery. She was dealt a hand that appeared glamorous from the outside, but was misleading. The source of the Pythias visions remain a mystery, which I find both exciting and troubling. If it were true that the woman selected to be Pythia received divine visions from the God Apollo my conjecture about her personal life would differ greatly than if she were a drugged, captive woman who was forced to live a desolate life. I think the mystery of the Pythia, is what makes it so intriguing even to this day. How to cite Pythia (the Oracle of Delphi), Papers

The Suppression and Exploitation of Black People in the U.S. free essay sample

Annie Summary of Panther Power and New Black Panther Party The given extracts from American Protest Literature written by Zoe Trod and published In 2006 deal with the suppression and exploitation of black people In the USA and their protest against the white supremacy. HIP-HOP as an expression of protest referring to a whole culture which was oppressed and exploited over centuries became very popular In the United States during the late 20th century.One famous hip hop artist was Outpace Shaker who was ailed In a drive-by shooting In 1996. Some of his first recordings were released after halls death to give an impression of how socially conscious themes ruled HIP-HOP. One of those records is Panther Power which is about his vision on America and the American Dream, which did not fulfill his dreams and expectations to his American life due to for example empty promises of the government. His intention was to motivate black people to keep on fighting for their freedom and rights. We will write a custom essay sample on The Suppression and Exploitation of Black People in the U.S. or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Moreover, Trod embodies the history of the New Black Panther Party and its emends formulated in their Ten Point Program which have its origins in the Black Panther Partys platform from 1966. The New Black Panther Party follows a radical black nationalist philosophy demanding National Liberation due to their belief that a peaceful social existence of black and white people will be impossible. They want to end the capitalistic, violent and exploitative power which suppressed their culture over centuries. Therefore they demand especially a separate state where they can life in freedom and by their principles.