Wednesday, August 26, 2020

The Popularity of Social Networking Sites Essay Example For Students

The Popularity of Social Networking Sites Essay The Popularity of Social Networking Sites as of late, interpersonal interaction locales have quickly picked up prominence among individuals at all ages. An enormous number of individuals have enlisted and become individuals from some long range interpersonal communication locales, for example, Facebook, Twitter, and Wechat. Additionally, individuals invest a ton of energy in these locales talking, messing around, and making companions. Long range interpersonal communication destinations have become a piece of people’s life. In any case, what represents the prominence of these destinations? To the extent I’m concerned, this wonder, which long range informal communication destinations are extremely famous these days, is brought about by three significant reasons. As a matter of first importance, copycat impact prompts the ubiquity of long range interpersonal communication locales. Copycat impact is a notable mental marvel, and a large portion of individuals have this attitude. At the point when they notice that individuals around them are utilizing distinctive person to person communication locales, they may feel that they don’t follow the pattern. They may even don’t know these destinations previously, and afterward they go to enlist a record. At the point when they start utilizing long range informal communication locales, heaps of their companions will be influenced and follow the pattern. For instance, old buddy, Jun, didn’t download any person to person communication applications previously. At the point when she found that every one of her companions were having a ton of fun in long range informal communication applications, she started utilizing these applications and was dependent on them. In this manner, copycat impact causes person to person communication locales become all the more broadly used. Second, with the advancement of the system, interpersonal interaction destinations are exceptionally helpful to get to, which is a significant purpose behind their fame. The quantity of Internet clients has expanded with improved Internet innovation, which is gainful for promotin. .finishing a lot of time on long range interpersonal communication destinations influences people’s work and study, and individuals will turn out to be increasingly more disconnected from their companions, all things considered. We will compose a custom exposition on The Popularity of Social Networking Sites explicitly for you for just $16.38 $13.9/page Request now Also, it is hard to secure users’ protection on long range informal communication locales, so it might bring about the danger of uncovering individual details.All altogether, the prominence of person to person communication destinations relies upon copycat impact during individuals, comfort in themselves, and their great capacities. At the point when interpersonal interaction locales are turning into a significant piece of people’s life, individuals ought to figure out how to take advantage of these destinations as opposed to sitting around idly. At the end of the day, individuals should utilize person to person communication destinations calmly yet not be dependent on them. It is rash to leave the ordinary existence of individuals alone affected by these destinations. Recall that interpersonal interaction destinations are the delights of the life, yet they are not the entirety of the life.

Saturday, August 22, 2020

How to Get Your CDL in Kentucky and North Dakota

The most effective method to Get Your CDL in Kentucky and North Dakota This article is helpful for any individual who needs to apply for a CDL in Kentucky or North Dakota. On the off chance that you need to find out about getting a CDL in different states, if it's not too much trouble allude to this extensive guide on getting a CDL in all states. KentuckyThe following drivers must acquire a CDL:Class A CDLAny blend of vehicles with a GCWR (the stacked load of a mix vehicle) of 26,001+ pounds, gave the GVWR(the stacked load of a solitary vehicle)â of the vehicle(s) being towed is 10,000+ pounds.Class B CDLAny single vehicle with a GVWR of 26,001+ poundsAny vehicle with a GVWR of 26,001+ pounds pulling a vehicle with a GVWR of 10,000 pounds or less.A single vehicle intended to move 16+ travelers (counting the driver), if the GVWR is 26,001+ pounds or more.Class C CDLAny vehicle with a GVWR of under 26,001 pounds moving risky materials for which placarding is requiredAny vehicle shipping 16+ travelers, including the driver, with a GVWR of under 26,001 pou ndsA CDL can't be given until a candidate provides:A duplicate of the CDL applicationA clear duplicate of both front and back of a DOT clinical cardA CDL Self Certification structure ensuring the ideal vehicle type.The above data must be sent to the Division of Driver Licensing and presented on the driver’s CDLIS record preceding applying for issuance of a CDL/CLP at the circuit court clerk’s office.All candidates should then breeze through an information assessment (composed or oral) and a dream test.Knowledge TestApplicants must take a test testing essential information on the vehicle or vehicles they will work. A score of 80% is required to pass.After passing, a CDL guidance license will at that point be given which is legitimate for a half year. The grant must be held for 14 days preceding an aptitudes test being administered.Skills/Road TestDrivers will be required to step through this exam in the class of vehicle they mean to drive. The test incorporates a pr e-trip examination, essential control abilities moving, and street aptitudes driving tests. The candidate will be required to give a vehicle to testing and should be joined by  a authorized driver for that vehicle.North DakotaThe following drivers must acquire a CDL:Class A CDLAny blend of vehicles with a GCWR (the stacked load of a mix vehicle) of 26,001+ pounds, gave the GVWR(the stacked load of a solitary vehicle)â of the vehicle(s) being towed is 10,000+ pounds.Class B CDLAny single vehicle with a GVWR of 26,001+ poundsAny vehicle with a GVWR of 26,001+ pounds pulling a vehicle with a GVWR of 10,000 pounds or less.Class C CDLAny vehicle with a GVWR of under 26,001 pounds shipping perilous materials for which placarding is requiredAny vehicle moving 16+ travelers, including the driver, with a GVWR of under 26,001 poundsCDL RequirementsYou must:Be 21 years of age to cross state linesBe 18-20 years of age to apply for an intra-state CDLBe 16 years of age toâ test for a CDL limi ted to custom reaping tasks onlyRead, compose and communicate in English.Meet all Federal Medical Requirements in 49 CFR 391Once you meet all necessities, you should pass the necessary information test(s) for the CDL Class you seekâ and buy a Commercial Learners Permit (CLP). Prior to testing, you mustâ present your:Current North Dakota Driver LicenseProof of lawful presenceProof of living arrangement addressProof of passing an eye examinationFinally, you should show your capacity to work your ideal vehicle by finishing a street assessment. A street test can't be planned without a substantial CLP.

Friday, August 21, 2020

How Prozac Works for Panic Disorder

How Prozac Works for Panic Disorder Panic Disorder Treatment Print How Prozac Works for Panic Disorder By Katharina Star, PhD facebook linkedin Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. Learn about our editorial policy Katharina Star, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 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 December 13, 2019 Paul S. Howell/Getty Images More in Panic Disorder Treatment Symptoms Diagnosis Coping Related Conditions In This Article Table of Contents Expand Understanding Prozac How Prozac Treats Panic Disorder Prozac and Panic Disorder ?Common Side Effects Rare Side Effects How Quickly Prozac Works Stopping Prozac View All Back To Top If you have panic disorder, you will likely be treated with antidepressant medication. One popular antidepressant used to treat panic disorder and other conditions is Prozac (fluoxetine). Understanding Prozac Prozac is the trademark name of the drug fluoxetine, a medication belonging to a class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). SSRIs first became available in the United States in the 1980s and quickly came to be the most commonly prescribed type of antidepressant medication. Due to the effectiveness, safety, and limited side effects of SSRIs, their popularity continues to grow. Being the first SSRI introduced in the U.S., Prozac is the most well-known and prescribed antidepressant. Doctors initially prescribed Prozac to treat depression. However, research has shown that it can treat a variety of mental health  and medical conditions. Currently, Prozac is used to treat a major depressive disorder, bipolar disorder, eating disorders, chronic pain, migraines, irritable bowel syndrome, and anxiety disorders, including obsessive-compulsive disorder,  panic disorder, and  agoraphobia. How Is Prozac Used to Treat Anxiety? How Prozac Treats Panic Disorder Prozac stabilizes your levels of serotonin, a naturally-occurring chemical in the brain thats linked to how we regulate our moods. People with mood and anxiety disorders have an imbalance of serotonin. As an SSRI, Prozac works to influence serotonin by inhibiting its absorption in nerve cells in the brain. How SSRIs Are Used in the Treatment of Panic Disorder Common Side Effects Prozac has the potential for side effects, which often vary for different people. Some of the most common side effects include: Sleep disturbancesHeadachesFatigueDizzinessLightheadednessDry mouthNervousnessIncreased sweatingSexual side effectsYawningHeartburnConfusionAnxietyBlurred visionNausea Many people experience side effects that later subside or become less bothersome. Please note that these are only some of the side effects that can occur while taking Prozac. Consult your doctor if you experience any side effects that become unmanageable or don’t go away. Your doctor will need to monitor your reaction to your medication, especially when initially starting with Prozac or when adjusting your dosage. Understanding Prozacs Side Effects and Drug Interactions Rare Side Effects As with any medication, there is the potential to experience an allergic reaction to Prozac. Contact your doctor immediately if you experience any of the following rare side effects: VomitingSeizuresRash or hivesDifficulty breathing or swallowingSwelling of the face, mouth, or tongueExtreme nervousness and anxietyFeelings of confusionJoint painFeverStrange bleeding or bruisingAccelerated heart rateSuicidal thoughts or behaviors How Quickly Prozac Works Don’t expect Prozac to immediately make you feel better. Improvements are often noticed days to weeks after starting Prozac, but it can actually take up to several months before you experience the full effect. Try to give your medication some time before determining whether or not its helping you. Stopping Prozac Never abruptly stop taking your prescription. Although Prozac is long-acting and tends to taper itself, discontinuing it on your own may lead to withdrawal symptoms, such as increased anxiety and irritability, headaches, confusion, and lightheadedness. Additionally, your panic disorder symptoms can worsen if you suddenly stop taking your medication. Your dosage of Prozac can be gradually and safely reduced with your doctors guidance. How to Taper Off Your Antidepressant Medication Precautions There are several precautions with Prozac, including: Black box warning: In 2007, the Food and Drug Administration (FDA) issued a black box warning for all SSRIs. The FDA cautioned that SSRI usage has the potential to increase thoughts and behaviors related to suicide. This issue was found to be particularly concerning for adolescents and young adults who are taking SSRIs. Prescribing doctors must be especially observant of young people just beginning SSRI usage and monitor for signs of worsening mood or any suicidal thoughts.Pregnancy/nursing: Prozac can be passed on to unborn babies during pregnancy or through breast milk when a baby is nursing. If youre pregnant or nursing, consult with your doctor about the possible risks of taking Prozac.Alcohol: You should avoid alcohol while taking Prozac, as it may increase the medications toxicity or decrease its effectiveness.Lightheadedness, dizziness, and drowsiness: Prozac can make you feel lightheaded, dizzy, and tired. Its important to be cautious while driving or performing any other dut ies that require your full alertness and concentration.Older adults: If youre 65 or older, you may be at higher risk for some side effects of Prozac, so it may not be a good option for you when there are other medications available that are less risky and can accomplish the same goal.Drug interactions:  You should be cautious when taking Prozac with other medications, as drug interactions can lead to serious issues. Keep your doctor up-to-date on your current medications, both prescription and over-the-counter, as well as nutritional supplements or herbs you take. St. Johns Wort Drug Interactions With Antidepressants A Word From Verywell The information provided here is simply an overview regarding the use of Prozac for panic disorder. This information does not cover all potential variables, including possible side effects, precautions, and contraindications. Always talk to your medical provider about any questions and concerns you may have about your prescription.

Thursday, May 14, 2020

The Systematic Destruction of the Native American Nations...

In the 1830’s, the American government decided to relocate the Native American peoples to territories west of the Mississippi. The government came up with many reasons that the Native Americans had to move. Those tribes that did not move voluntarily were forcefully relocated from their ancestral lands. This forced move would later be known as The Trail of Tears. The American government came up with many reasons that the Native American peoples needed to move west of the Mississippi. Many Easterners felt that the move would protect Native American culture.1 Many Indians tried to assimilate into the white culture in order to stay on their ancestral lands.2 But the settlers did not like the Indians mixing with white culture because†¦show more content†¦Supreme court declared Georgia’s actions illegal and sided with the Cherokee on the basis of â€Å"domestic domestic nationhood†.8 At this point it seemed like the Cherokee would be allowed to stay on their native lands. This was about to change. The ruling by the U.S. Supreme court was changed when Andrew Jackson became president. President Jackson went against the Supreme Court’s ruling and backed Georgia’s stance on Native American lands. President Jackson had a long history with Native Americans. He fought against the Creek Indians during the war of 1812.9 He did not believe that Native Americans were civilized enough to remain among the white settlers, even though many Cherokee tribes had assimilated into white culture.10 Although President Jackson was not the architect of the Indian relocation act, he was a long time believer in the relocation of Native Americans.11 The passing of President Jackson’s plan would not only affect the Cherokee, but at least five major tribes throughout the United States. In his first State of the Union Address in 1812, President Jackson presented his plan for Indian â€Å"removal† and encouraged Congress to legalize his plan through legislation.12 Presi dent Jackson’s stance on Indian removal was that it would not only protect them from white influence, but that the move would ultimately be beneficial to the Indians by preserving their cultures.13 In Fact, President Jackson felt that his plan for relocation was very generous toShow MoreRelatedThe Trail Of Tears : A Story Of The Native American Genocide Essay1778 Words   |  8 PagesThe Trail of Tears; A Story of the Native American Genocide In 1492 native Americans discovered illegal immigrants invading their country. It has been a downhill fight for natives ever since. As more settlers arrived on the East Coast, an attitude became prevalent within the European communities that it was their right to expand cities across America in the name of progress and economic development. 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The views expressed herein are those of the author(s) and not necessarily those of the National Bureau of Economic Research.  ©2004 by Daron Acemoglu, Simon Johnson, and James Robinson. All rights reserved. Short sections of text, not to exceed two paragraphs, may be quoted without explicit permission providedRead MoreMetz Film Language a Semiotics of the Cinema PDF100902 Words   |  316 Pagespictures—Semiotics. 2. Motion pictures— Philosophy. I. Title. PN1995.M4513 1991 791.43 014—dc20 90-46965 C1P The French edition of Christian Metz s Essais sur la signification au cinema, volume 1, was published by Editions Klincksieck in 1971,  © Editions Klincksieck, 1968. ÃŽËœThe paper used in this publication meets the minimum requirements of the American National Standard for Information Sciences-Permanence of Paper for Printed Library Materials, ANSI Z39.48-1992. 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Wednesday, May 6, 2020

The Musings Of A Romanticist - 1195 Words

The Musings of a Romanticist What does a freed soul contribute to a person’s life? Does it, let uninhibited actions flow free, corrupting human morals? Or does it free the soul from the clutches of an oppressive society? I thought that Nathaniel Hawthorne’s commentary on uniqueness was compelling. In the Scarlet Letter, he highlights the pros and cons of being yourself. Given that, he correspondingly shows the lack of individualism that can kill a person on the inside. Arthur Dimmesdale was a person who had succumbed to becoming overwhelmingly different than the norm and yet tried to hide it, thus destroying his life at the end of the book. Hester survives the ordeal through showing to the world proof of her romantic notions, thus being†¦show more content†¦Parse it into two different words and you can get â€Å"indivi† and â€Å"duality.† By analyzing this, it’s shown that individuality is the duality of a person is indivi-sible. Individua lity shows there is no way to distinguish the personality from the exterior they put out to cope with societal standards. As generic as it seems, I truly believe in the importance of expressing one’s true self. The word individuality, it shows how a person can’t live in society without their own personal effects. That’s why I believe that expressing feelings is important, something that a person can’t live without. Hawthorne also expresses some of the same views as me, shown by the passage he wrote in his introduction The Custom House: Moonlight, in a familiar room, falling so white upon the carpet, and showing all its figures so distinctly,  ¬Ã‚ ¬Ã‚ ¬Ã¢â‚¬â€making every object so minutely visible, yet so unlike a morning or noontide visibility,—is a medium the most suitable for a romance-writer to get acquainted with his illusive guests. There is the little domestic scenery of the well-known apartment; the chairs, with each its separate individuality; the centre-table, sustaining a work-basket, a volume or two, and an extinguished lamp; the sofa; the book-case; the picture on the wall;—all these details, so completely seen, are so spiritualized by the unusual light, that they seem to lose their actual substance, and become things of intellect. (Hawthorne 32) In this he

Tuesday, May 5, 2020

Leadership for Professional Work Health System

Question: Describe about the Leadership for Professional Work of Health System. Answer: Strategies The top problems that confront Mount Sinai hospital are related to financial challenges, patient safety, and quality, population health management, patient satisfaction, access to quality care, inadequate infrastructure and technology, and many others. The key leadership strategy at Mount Sinai for system-wide transformation revolved around its priorities for improvement in infrastructure and health care delivery (McCann et al., 2014). Kenneth L. Davis, the Chief Executive Officer of Mount Sinai Health System, has created a culture of continuous improvement. Mount Sinai's leaders have encouraged real time learning ("About the Mount Sinai Health System | Mount Sinai - New York", 2016). The diversity and inclusion statement provides the evidence about the organizational initiatives to nourish diversity in the team. The Sinai values are the major driving forces towards the organizational goals regarding diversity and inclusion; these include teamwork, integrity, quality, respect and saf ety. These strategies help to foster a creative workforce. Another major challenge is managing change in the organization. Health care reforms are difficult to be implemented in the health care context by leaders. Mount Sinai Hospital has developed a Five-year strategic plan based on their mission to treat people with chronic obstructive pulmonary disease. Their purpose is to give education, prevention, diagnostic, treatment to people at the end of their lives and give them home like environment. Their key priorities is to upgrade the telecommunication technologies of the hospital, implement one patient one room renovation plan, strengthen clinical practice, increase competency of their medical staff, raise the influence of the hospital to enhance its status and to implement high quality clinical practice intervention. Through these strategies, their main plan is to become a centre of excellence in respiratory and palliative care, to deliver service in the framework of integrated continuum of care and to become an institute affiliated with M cGill University in the field of pulmonary care. Policies Mount Sinai's various achievements have been possible because of influential leaders who have molded the hospital to what it is now today. They have stuck to Mount Sinai's tradition of excellence and have inspired faculties and researchers to take get strides in patient care and research. However, several leadership issues arose in the organization. Usually, leaders face difficulties two align these two processes. They have adopted various policies to look into problems that concern leaders. They identify renewing their policies to implement quality improvement in hospital. They wanted to sustain growth over time through the identification of leadership issues such as sudden crisis due to ineffective leadership and inappropriate decisions. Therefore, their policies centered on implementing organizational changes such as increasing competency in multidisciplinary team, effective meeting with quality-related committees and systematic problem-identification and problem solving process ( About the Mount Sinai Health System | Mount Sinai - New York, 2016). Mount Sinais major commitment is to provide highest standard of care, research and teaching in clinical care. It is reflected in their different policies for accessibility, code of ethical conduct of practice, consent to treatment, gender identity policy and declaration of patient values. The purpose of this policy is to maintain their status of excellence in health care. They also have policies in place for safe patient handling, providing access for person with disabilities, energy conservation standard and corporate health and safety. The policies also addressed confidential matters by privacy policy of confidentiality of public health information and procedure and privacy statement for Mount Sinai Hospital internet site. They also give importance to patients value by their policies of consent to treatment and declaration of patient values. The role of social work leaders in Mount Sinai is influential. For over 100 years, they have strived to provide compassionate and exceptional service to all patients. Social workers help health care team in all departments of Mount Sinai Hospital. They give them support in their medical practices. They not only provide support to patients and their family members during hospitalization but also to They have built a good relationship with health care provider and patients. They have inspired healthcare team to perform and helped them identify their true potential. It has been a good approach to instill confidence in clinicians and unlock new talents. Leaders at Mount Sinai are responsible for design and service of organization and maintaining organizational culture and dignity (Hafford-Letchfield et al., 2014). Programs Health administrators have a difficult and demanding role in Mount Sinai. Their several health care programs have successfully improved patient care. These programs gave the opportunity to reduce health care cost without compromising on quality. They have implemented accessibility plan for 2012-2017 to eliminate barriers in health services. The main purpose is to provide opportunity to all patients and health care staff to identify needs related to disabilities as well as maintain dignity of individual. To fulfill its vision of accessibility, the plan will address and identify methods to prevent barriers to patient with disabilities. The major barriers that will be tackled through the plan are physical barrier, communication barrier, behavioral barrier, technological barrier, infrastructure barrier and obstacles in policies. Accessibility will be reflected in their policies and procedures and level of responsibility towards the goal in each individual member at Mount Sinai. As US population is increasing, leaders are also feeling the pressure to expand their services to meet growing health demands. In this context, at Mount Sinai, aligning with the national social work leadership enhancement program, a structured program is being conducted yearly including the participation of workers in a research work. It helps to enhance their leadership and critical thinking skills along with enhanced interpersonal/communication skills. This program helps the leaders to explore in-depth knowledge and commitment in social work. To promote patient satisfaction, Mount Sinai has programs focused on shifting reimbursement from payment for service model to model based on outcome and quality of care. They have worked with community groups to arrange programs like Prescription for good health and growing up healthy in East Harlem. These programs will explore environmental factors that affect the health of children and it will enable them to improve treatment approaches. The y have introduced a children rehabilitation hospital with therapeutic facilities and play areas (Yoon et al., 2016). From the overall identification of leadership strategies and program at Mount Sinai, we found that certain attributes are essential for successful leadership in a hospital setting. Social work and health care leader have a role in getting people together to work for common goals and objectives. They know how to build team relationship and accomplish tasks. They motivate their followers to forget their own interest and work towards fulfilling greater health plans. Their values are reflected in their actions. Their role is to transform intangible values into concrete plans for better future of health care. Reference About the Mount Sinai Health System | Mount Sinai - New York. (2016).Mount Sinai Health System. Retrieved 26 July 2016, from https://www.mountsinai.org/about Hafford-Letchfield, T., Lambley, S., Spolander, G., Cocker, C. (2014).Inclusive leadership in social work and social care. Policy Press. Hauck, S., Winsett, R. P., Kuric, J. (2013). Leadership facilitation strategies to establish evidenceà ¢Ã¢â€š ¬Ã‚ based practice in an acute care hospital.Journal of advanced nursing,69(3), 664-674. Leadership - Mount Sinai Health System. (2016).Mount Sinai Health System. Retrieved 26 July 2016, from https://www.mountsinaihealth.org/about-the-health-system/leadership McCann, J. T., Graves, D., Cox, L. (2014). Servant leadership, employee satisfaction, and organizational performance in rural community hospitals.International Journal of Business and Management,9(10), 28. Schwendimann, R., Milne, J., Frush, K., Ausserhofer, D., Frankel, A., Sexton, J. B. (2013). A Closer Look at Associations Between Hospital Leadership Walkrounds and Patient Safety Climate and Risk Reduction A Cross-Sectional Study.American Journal of Medical Quality, 1062860612473635. West, M., Eckert, R., Steward, K., Pasmore, B. (2014). Developing collective leadership for health care.London: The Kings Fund. Yoon, S. N., Lee, D., Schniederjans, M. (2016). Effects of innovation leadership and supply chain innovation on supply chain efficiency: Focusing on hospital size.Technological Forecasting and Social Change.