Mass media Essay

From my point of view, I agree that the mass media, including TV, radio and newspaper have a great influence in shaping people ideas . Nowdays mass media is a form of progress of information and communication technology. Through the mass media that the more developed allows information spread easily in the community. Information in any form can be disseminated quickly and easily so that it affects the viewpoints, lifestyles, and culture of a nation. The rapid flow of information causes us not to be able to filter the messages. As a result subconsciously it little by little have been affecting pattern of behavior and culture in society. Long-standing culture and become a benchmark in society behave are now almost gone and escapes the attention of the community. As a result, the longer the social changes in the community began to surface a raised. The influence of the mass media on contemporary theory of the influence of media on society has been fostering the rapid reforms in society. The influence of the media with regard to other aspects such as the nature of the communicators, the content, information from the media itself, as well as the response from the community. Rapid development of information and communication technologies such as mass media, led to rapid changes everywhere. The Mass Media have gradually brought the community into a new cultural patterns and begin to determine the mindset and culture of community behavior. The Media tells people how decent standards of living for a human, thus indirectly causing the Community judge whether their neighborhoods have been worth or whether he has met the standard and this heavily influenced picture of what is seen, heard and read from the media. Message or information conveyed by the media could be a support community for the better, making the public feel happy to be themselves, feel quite deflating or otherwise trust him or feeling low than others. Existence of other behaviour pattern changes of lifestyle. Usually someone will imitate everything related to his idols are good in terms of dress, look, or how to speak her piece that reflects themselves his idols. The above are likely to be more influential on a generation. A socio-psychological, information flows that continue to hit our lives will give rise to various influences on the development of the soul, especially for children and teens. Their behavior patterns, little by little is affected by what they receive may be deviated from the stage of development of the soul as well as the norms in force. The positive effects of mass media on society is the society would gain something more news worthy. For example, news bombing of WTC and the war in Iraq, despite being in a different country but with proper information and information through the mass media. This will cause people to be more sensitive to the issues at. In addition, through the use of internet and telephone bimbit allow community out of its cocoon. For the conclusion, am agree that the mass media, including TV, radio and newspaper have a great influence in shaping people ideas.

Drug Utilization Study Of Antidepressants Health And Social Care Essay

There is a demand for prospective drug use surveies to adequately measure patient attention and installation indexs. Ordering wonts among head-shrinkers can be improved by making consciousness about taking drugs from the Essential Medicines List. Inclusion of a drug in the infirmary formulary requires consideration of both prescribers ‘ pick of a drug and its presence in the Essential Medicines List. Prescriber instruction can besides concentrate on decrease in prescription of attendant ataractic soporifics. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care. The World Health Organisation ( WHO ) defines Drug use as the selling, distribution, prescription and usage of drugs in a society, with particular accent on the ensuing medical, societal and economic consequences.1 Often, drugs are non used maintaining in head their safety and efficacy.2 Rational drug prescribing is the usage of the least figure of drugs to obtain the best possible consequence in the shortest period and at a sensible cost.3 Irrational prescribing and disparity between prescription and ingestion of medical specialties may countervail the benefits demonstrated by randomized controlled tests on drug efficacy.4-7 Furthermore, optimistic outlooks of a drug, based on consequences of clinical tests may non happen when used outdoors controlled settings.8 The recent proliferation of new drugs, increasing acknowledgment of delayed inauspicious effects and concentrate on pharmacoeconomic considerations has stimulated involvement in ordering forms of physicians.5 Antidepressant prescribing forms have changed globally over the last few old ages, with conventional drugs like tricyclics and MAO inhibitors being bit by bit replaced by selective 5-hydroxytryptamines reuptake inhibitors ( SSRIS ) and fresh antidepressants. Prevalence of antidepressant use in the community is lifting in Western populations, with Iceland, Australia and Sweden holding the highest consumption.9 Therefore, our purpose was to analyze the drug use of antidepressant drugs in the psychiatric unit of a third attention infirmary in Pondicherry. Our aims were: To detect the prescribing form of antidepressants among head-shrinkers in our infirmary To measure the reason of the prescriptions To measure the prevalence of antidepressant use in the community MATERIALS AND METHODS Type of survey: Retrospective and experimental. Time period of survey: 1st January 2006 to 31st December 2006 Topographic point of survey: Psychiatric unit of a third attention infirmary in Pondicherry.Inclusion standards:1. All patients who attended the Psychiatry outpatient ( OP ) clinic of the infirmary from 1st January 2006 to 31st December 2006. 2. All patients diagnosed with depressive or adjustment upset ( diagnosed as per International Classification of Diseases – ICD 10 standards ) 10 or any status where antidepressants are indicated.Exclusion standards:Patients who did non have antidepressant drugs. Patients go oning merely those antidepressant drugs prescribed outside the infirmary. Data aggregation: Case records of Psychiatry outpatient clinic were taken from the medical records subdivision of the infirmary. Datas were entered in a pre-designed proforma ( Fig1 ) . From the multiple prescriptions in the instance record with follow-up visits, we took all prescriptions incorporating at least one antidepressant as one prescription. Therefore, if the initial prescription was continued, it was regarded as the same prescription for the given continuance. Any dose alteration in that prescription was noted for ciphering drug ingestion. Addition of another antidepressant to or alteration of antidepressant from the bing regimen was regarded as a separate prescription. In both instances, the figure of drugs in the prescription included the added or changed antidepressant ( s ) , along with attendant medicines from the earlier prescription. However, prescriptions incorporating drugs for co-morbid conditions ( non-psychiatric ) which were non prescribed in the section of Psychiatry were excluded. Sampling frame: All patients run intoing eligibility standards as given above. Datas analysis: Datas were subjected to analysis for: Demographic inside informations ( Age and gender ) Psychiatric diagnosing Antidepressant drugs prescribed 4. Completeness of prescription, rightness of drug, dosage, frequence and continuance. 5. Rationality of prescription harmonizing to WHO ordering indexs. 6. Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) 7. Prescribed day-to-day dosage ( PDD ) of the antidepressants 8. PDD to DDD ratio of the antidepressants Anatomical Therapeutic Chemical ( ATC ) categorization and Defined Daily Dose ( DDD ) per 1000 dwellers per twenty-four hours ( DID ) computations were used for gauging antidepressant usage in the community. Following the methodological analysis outlined by WHO,11 we calculated DID as follows: DID =Amount of antidepressant prescribed in 1 twelvemonth ( milligram ) Ten 1000 dwellers DDD ( milligram ) X 365 yearss X Population of Pondicherry and Cuddalore All patients belonged to either Pondicherry or Cuddalore territory of Tamil Nadu. So, for computation of DID, we used the population of Pondicherry every bit good as Cuddalore territory as per available statistics. Entire figure of DIDs is calculated by adding up the DIDs for single antidepressants. PDD was calculated as follows: For each prescription, there were multiple doses of the antidepressants, due to dose titrations and we took the norm of the day-to-day doses for the antidepressant as the PDD. This procedure was repeated for all the indicants of each antidepressant and the concluding value was the norm of the PDDs therefore obtained. PDD to DDD ratio was so calculated. Statistical analysis: Descriptive statistical tools were used. Ethical clearance: As it was a non-interventional survey, the institutional research commission granted waiver on the confidence that capable confidentiality would be maintained. We took the undermentioned stairss in this respect: Designation of patients by the infirmary figure merely and non by name. Case records to be accessed by research workers in the Medical records subdivision merely. Patient inside informations non to be divulged to any party other than co-authors. Proformas to be destroyed after decision of survey. Consequence Demographic inside informations: Out of 222 patients having psychoactive medical specialties during the survey period, 169 ( 76.58 % ) received one or more antidepressants. Among these 169 patients, 82 ( 48.52 % ) were males and 87 ( 51.48 % ) were females. Age distribution of patients having antidepressants is shown in Fig 2. Psychiatric diagnosings: Distribution of primary psychiatric diagnosings of patients having antidepressants is shown in Table 1. Antidepressant drugs prescribed: Entire figure of prescriptions given was 192 and a sum of 446 drugs were prescribed. Of them, 192 were antidepressant medicines of 8 types, as per ATC category. Table 2 and Fig 3 show different antidepressants prescribed. Number of antidepressant prescriptions along with their indicants is shown in Table 3. Substitutions and Adjunctive antidepressants: Change of antidepressant was required on 18 occasions. Duloxetine was substituted on 10 occasions, escitalopram on 4, mirtazapine on 3 and imipramine on 1 juncture. Addition of a 2nd antidepressant was seen on 3 occasions because of hapless response with a individual drug. Of them, duloxetine was the first antidepressant on 2 occasions and mirtazapine on 1. Attendant medicines prescribed in the section of Psychiatry: Table 4 shows attendant medicines prescribed in the section of Psychiatry. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Besides patient inside informations and outpatient designation figure, prescriptions contained the patient ‘s primary diagnosing, drug ( s ) prescribed, dose signifier, dosage, frequence of disposal and continuance of intervention along with the day of the months of followup. There was no incorrect dosage, frequence and continuance of intervention ; in some instances, inappropriate drug was prescribed for a incorrect diagnosing which was corrected when primary diagnosing was revised on follow up. Table 5 shows the figure of drugs per prescription among the 192 prescriptions. More than 5 drugs were non prescribed to any patient. Rationality of prescription harmonizing to WHO ordering indexs: As per WHO Prescribing indexs, we observed: Average figure of drugs per prescription: 2.32 ( 446/192 ) Percentage of antidepressant drugs prescribed by generic name: 88.54 % ( 170/192 X 100 ) Percentage of Fixed dose combinations ( FDCs ) of antidepressants: Nothing Percentage of brushs for ordering injections of antidepressants: Nothing Percentage of antidepressant drugs prescribed from Essential Medicines List ( 16th EML of WHO ) : 1.56 % ( 3/192 X 100 ) Percentage of drugs prescribed from the National List of Essential Medicines ( NLEM, endorsed 2002 ) was 2.60 % ( 5/192 X 100 ) . Percentage of drugs prescribed from the infirmary pharmacopeia was 96.35 % ( 185/192 X 100 ) . Defined daily dose ( DDD ) of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : ATC cryptography, DDD and computation of DID are summarized in Table 6. Entire figure of DIDs of antidepressants was 0.02. Prescribed day-to-day dosage ( PDD ) of the antidepressants and PDD to DDD ratio of the antidepressants: PDD and PDD to DDD ratios are besides summarized in Table 6. Discussion Demographic inside informations: Antidepressants were prescribed more in females ( 51.48 % ) than in males ( 48.52 % ) . This is consistent with findings in other studies.12,13 This female preponderance might reflect the higher prevalence rate of psychiatric morbidity in adult females, peculiarly, depressive and anxiousness upsets and may besides be due to gender functions played by adult females in society, with more voicing of psychological jobs and seeking of professional help.13 The age distribution shows the bulk of patients, having antidepressants belonging to 21-30 old ages age group ( 36.69 % ) . In fact, 66.27 % were aged between 21 and 40 old ages. This is in contrast to the consequences of a survey of antidepressant usage in East Asia, wherein the average age of patients having antidepressant prescriptions was more than 40 years.14 In another survey in Europe, where antidepressants were the 2nd most normally prescribed psychotropic drugs, bulk of the users were between 35 and 49 old ages, with a average age greater than 40 years.13 Psychiatric diagnosings: Depressive upset was the most common psychiatric diagnosing among the population ( n=222 ) , with a prevalence of 47.75 % . It was besides the most common indicant for utilizing antidepressants ( 62.72 % ) , followed by Mixed Anxiety and Depressive upset and Schizophrenia with station schizophrenic depression among the top three diagnosings. Antidepressant drugs prescribed: Antidepressants were the most common psychotropic drugs prescribed ( 76.58 % ) . Choice of antidepressant was based on ICD diagnosing, badness of disease/disorder, co-morbidity, drug efficaciousness and considerations for patients ‘ tolerability. Most common antidepressant prescribed was the Selective Noradrenaline re-uptake inhibitor ( SNRI ) duloxetine ( 50 % ) . The newer antidepressants – duloxetine, escitalopram, Zoloft and mirtazapine accounted for the majority of prescriptions. ( 96.36 % ) , which follows the planetary tendency towards antidepressant prescribing.14-18 In many surveies, Selective 5-hydroxytryptamine re-uptake inhibitors ( SSRIs ) accounted for the majority of the prescribed antidepressants, with high ordering rates.14-17 In our survey, SSRIs – escitalopram, Zoloft and Prozac were prescribed on 57 out of 192 occasions ( 29.69 % ) . Among the SSRIs, escitalopram was the preferable drug. Again, this is in contra st to findings in the East Asian survey on antidepressant usage, wherein Prozac and Zoloft were prescribed more often than escitalopram and its usage was lower than Desyrel, mirtazapine, impramine hydrochloride and amitryptiline. However, ordering rates of tricyclic antidepressants impramine hydrochloride and amitryptiline were lower than the prevalent norms.14 Doses of antidepressants were prescribed harmonizing to badness of disease/disorder, get downing with low doses and titrated upward or downward harmonizing to clinical response and patients were kept on regular followup. Duloxetine was the most common antidepressant prescribed in Depressive upset ( 56.56 % ) , Mixed Anxiety and Depressive Disorder ( 41.38 % ) and in BPAD ( 62.50 % ) . Most common antidepressant prescribed in Schizophrenia with post-schizophrenic depression was escitalopram ( 44.44 % ) , and in OCD, Zoloft ( 80 % ) . Substitutions and Adjunctive antidepressants: Prescription of a individual antidepressant was common and occurred in 98.44 % of instances. Reasons for altering an antidepressant were hapless curative response or unbearable inauspicious effects. Duloxetine was the most normally substituted antidepressant. It was besides the most common antidepressant to which adjunctive antidepressant drug was prescribed. Attendant medicines prescribed in the section of Psychiatry: Ataractic soporifics were the most common group of drugs prescribed ( 65.10 % ) concomitantly with antidepressants, followed by major tranquilizers, temper stabilizers, trihexiphenidyl, acamprosate, propranolol and vitamin B1. Except for Vitamin B1, which was prescribed in Alcohol Dependence, and propranolol, which was prescribed for intervention of shudders, all others were psychoactive medicines. Trihexiphenidyl was prescribed to counter the extrapyramidal inauspicious effects of attendant major tranquilizers. Completeness of prescription, rightness of drug, dosage, frequence and continuance: Rational prescribing was followed as per the rules of prescription order writing.19 Sing the definitions of polypharmacy which are most normally cited, there was no polypharmacy because there was no prescribing of antidepressant medicine which did non fit diagnosing and there was no prescription with more than 5 drugs.20 68.23 % of the prescriptions ( 131 out of 192 ) had 2 drugs or less, which is recommended. However, there were instances where wrong diagnosing led to ordering of inappropriate drug ab initio ; it was rectified when primary diagnosing was revised on follow up. Clinicians ‘ pick of drug was non based chiefly on affordability for the patient, so the cheapest drug was non ever prescribed. Rationality of prescription harmonizing to WHO ordering indexs: The mean figure of drugs per prescription was more than 2, which is high. But, we had excluded all prescriptions where antidepressants were non prescribed. So, prescriptions where merely guidance was provided were non considered, in which instance the figure of prescriptions with less than 2 drugs would hold risen, thereby conveying down the mean figure of drugs per brush. Ordering by generic names was high ( 88.54 % ) and close to 100 % . There were no fixed dosage combinations ( FDCs ) or injectible readyings prescribed, which indicate rational prescribing patterns. The per centum of drugs prescribed from the 16th WHO Essential Medicines List and the National Essential Medicines List ( endorsed 2002 ) was low. However, per centum of drugs prescribed from the infirmary pharmacopeia was really high ( 96.35 % ) . This indicates the demand to convey about a balance between clinicians ‘ petitions for maintaining a dru g in the infirmary pharmacopeia and the recommendations of WHO and National Essential Medicines Lists. ATC Classification, Defined daily dose ( DDD ) and DDD of the antidepressants per 1000 dwellers per twenty-four hours ( DID ) : The anatomical curative chemical ( ATC ) categorization system divides drugs into different groups harmonizing to the organ or system on which they act and their chemical, pharmacological and curative properties.21,22 Each drug is assigned a peculiar combination of letters and Numberss. The defined day-to-day dosage ( DDD ) is the false mean care dose per twenty-four hours for a drug used for its chief indicant in adults.21 DDD was developed to get the better of expostulations against traditional units of measuring of drug ingestion and to guarantee comparison between drug use surveies carried out at different locations and different clip periods. Entire DID of the antidepressants show low ingestion, in crisp contrast to the tendency of Western European states and the USA, particularly during the last decennary, with high rates of antidepressant prescribing and consumption.9,22,23 DID for duloxetine can be interpreted as 0.0025 out of 1000 patients or 0.025 % would hold used a dosage of 60mg. Similarly, DIDs of escitalopram, mirtazapine, Zoloft, impramine hydrochloride, Desyrel, amitryptiline and Prozac can be interpreted as ingestion of their several DDDs by a population of 0.019 % , 0.004 % , 1.007 % , 0.003 % , 0.019 % , 0.12 % and 0.00007 % . Prescribed day-to-day dosage ( PDD ) of the antidepressants: The prescribed day-to-day dosage ( PDD ) is defined as the norm dosage prescribed harmonizing to a representative sample of prescriptions. It is of import to associate the PDD to the diagnosing on which the dose is based. The PDD will give the mean day-to-day sum of a drug that is really prescribed. PDD is particularly of import for drugs where the recommended dose differs from one indicant to another ( e.g. psychotropic drugs ) . When there is a significant disagreement between the PDD and the DDD, it is of import to take this into consideration when evaluating and construing drug use figures, peculiarly in footings of morbidity.24 PDD to DDD ratio of the antidepressants: Ratio of PDD to DDD is frequently used as an indicant of the adequateness of dosing. A ratio less than 1 as seen in instance of duloxetine and mirtazapine indicates under-dosing. A ratio greater than 1 was seen for Zoloft and amitryptiline. All other antidepressants showed a PDD to DDD ratio equal to 1, reflecting the adequateness of dosing in these cases.25 Restrictions of the survey: Our consequences should, nevertheless, be seen in the visible radiation of the little sample size, compared to the surveies with which they have been compared. Restrictions of the survey were the deficiency of patient attention indexs and some of the installation indexs like handiness of drugs and impact of cost on drug intervention, which increase the public-service corporation of the survey, but which can be derived prospectively merely. As with any drug use survey, existent usage or conformity with prescribed antidepressant was non possible to supervise, more so with a retrospective survey of instance records, where notes on conformity are missing. Furthermore, we could non quantify informations on comparative clinical effectivity of the antidepressants. Strengths of the survey: Strengths of the survey are the usage of a structured proforma for informations aggregation with inside informations of drug prescriptions on follow up visits, and a comprehensive application of drug use tools like ATC/DDD categorization and computation of DID and PDD/DDD ratios to measure prevalence of antidepressant usage in the community of the survey population. Documentation of longitudinal follow-up informations gives a better thought of drug ingestion than transverse sectional informations. Data on drug permutations and augmentations every bit good as attendant psychotropic medicines are besides provided. Decision: Our survey shows that depressive upset was the most common psychiatric diagnosing in the population and antidepressants were the most normally prescribed psychotropic medical specialties. There was a higher prevalence of antidepressant prescribing for adult females. Majority of antidepressants were prescribed to immature and older grownups between 21and 40 old ages. The SNRI Duloxetine, the SSRIs escitalopram and Zoloft and the untypical antidepressant mirtazapine were the most normally prescribed antidepressants, with or without other attendant psychotropic medical specialties. Most patients were treated by a individual antidepressant. However, hapless response and/or tolerability considerations made the prescribers change the antidepressant or add a 2nd antidepressant. Antidepressants were prescribed for many indicants other than depressive upset and head-shrinkers ‘ pick of drug was influenced by diagnosing, badness of disease/disorder, co-morbidity, drug efficacio usness, and considerations for patients ‘ tolerability, but non chiefly on the cost of medicine. Prescriptions were complete and polypharmacy was non seen. Favorable and unfavorable results were seen for 3 and 2 WHO ordering indexs severally. Consumption of antidepressants in the community was low. Adequate dosing was seen for all antidepressants, except for duloxetine and mirtazapine, for which under-dosing was prevailing. Recommendations: There is a demand for prospective drug use surveies to get the better of some of the restrictions of our survey. Ordering wonts among head-shrinkers can be improved farther by making consciousness about taking drugs from the Essential Medicines List and cut down prescription of ataractic soporifics. Such steps can diminish the figure of drugs per prescription and besides the cost of therapy. Prescribers should besides be encouraged to look into for patients ‘ conformity with the prescribed medicines and to enter them in the instance sheets. Such steps will advance the rational usage of medical specialties and finally, the quality of health care.

Journal Essay Example | Topics and Well Written Essays - 500 words - 32

Journal - Essay Example The way an individual interprets his/her existence and the different formation phases actually impacts his outlook towards the entire world in addition to the decision making styles, key interests, social activities and the overall attitude. For instance, if a person believes that everything in the universe came by itself, then such an individual will most probably project a careless attitude towards the world and people around him. I personally believe that the whole mankind and everything that resides in the universe cannot come into existence by mere chance or through big bang. Moreover, such a concept is actually the rejection of complex scientific theories. For instance, consider Newton and the law of gravity. Newton initially realized that nothing can move without a preexisting force and later he figured out that the downward movement of an apple was caused by the earth’s gravitational force. When a simple fruit cannot fall on the earth without a gravitational force then how can the entire universe be formed without a preexisting power. This substantiates the fact that in order to create something there has to be a preexisting force which causes the later events. Same is my belief that the world did not came into being all by itself, rather some already existing power caused this massive creation. Although the modern world has failed to recognize the supreme authority of the universe but I believe that someone has built this world and therefore the mankind unquestionably comes under His control which actually makes people accountable for their wrong deeds. All such believes about a preexisting force leads towards the concept of God. When initially God created us, He also gave us the direction towards living a successful and peaceful life and therefore He sent different Prophets in different era. Hence as human being one should lead the life prescribed by God through Prophets and the Holy

Retail Market Analysis Coursework Example | Topics and Well Written Essays - 2500 words

Retail Market Analysis - Coursework Example It has been observed that the retail industry of the United Kingdom is going to expand in size by around 15% in the coming 5 years. A value of around 312 billion pounds may be attained by the United Kingdom. Source: www.cbi.org.uk/.../10%2007%2026%20DTS%20NACE%20note%20final. pdf The retail sector of the United Kingdom has a value of 8% of the total gross domestic product of the country. The different retail industries in the United Kingdom have developed immensely in all areas such as home wear, health and beauty retail industry, electrical goods, garments industry, e-retail, furniture and floor coverings and other such types of retail sectors. Northern Ireland is one of the regions where tremendous amount of retail growth has been observed. Vancouver Trading Incorporated is planning to start its retail operations in the United Kingdom in the industry of white goods. This report is an overall analysis and advice of the level of retail of white goods in the United Kingdom. ... ng to invest their purchases on white goods, the consumer behavior aspects are also discussed and following this the advice is given to Vancouver Trading Incorporated for making their investments in the United Kingdom retail market of white goods. Retail trends over recent years In the white goods retail industry, the home appliances and the dishwashers are the main products that have a high share and high value of the total market of the white goods industry. The economical and social state of the United Kingdom is extremely important factors as they may directly impact the white goods retail industry in the market. The demand for white goods is directly related to the housing market of the United Kingdom. The more the consumers plan to shift in houses the more the market will increase for the white goods as many household appliances are needed for doing different chores of the house. The housing market and economical state affect the consumer purchasing power of white goods. If cus tomer’s purchasing power is low then they may opt for cheaper goods and also the white good products will be bought more if there are more people moving into the houses where there is a requirement for white goods. Moving in houses tend to trigger the need and requirement for different types of household products and appliances. The movement into houses can include the category of moving into a house the first time or by replacing the houses and therefore would require a replacement in the white goods products. If the value in growth becomes difficult to achieve then it may highly difficult to attain growth in volume of white goods products. The potential growth areas of the white goods retail industry is in the Central Europe and the Eastern Europe. The population in these areas is above

Responses to the problem Of road accident deaths in Ireland Essay

Responses to the problem Of road accident deaths in Ireland - Essay Example Currently, Ireland has the third highest road and highway fatality deaths throughout the world and much of this has to do with how the law has been regulating the speed limit. The speed for traveling motorists is extremely high and concretes the growing problem of accidents taking place on the highways (RTE News 2006). Furthermore, the research that the National Safety Council has gathered shows that the majority of the problems are necessarily due to any lack of help from law enforcement, but rather from the civilians themselves. Research has proven that if more motorists would be willing to not drink and drive, buckle up, and refrain from speeding there would be far less fatalities on the highways, rural roads, and urban roads within the country of Ireland (RTE News 2006). Queensland Government spent $1.4 million on a media campaign of graphic TV advertisements last April 2006, ahead of the Easter Road Safety period. These advertisements show graphic images of maimed bodies and mangled car wrecks (King, 2006). The speed limit for vehicles towing trailers, caravans, etc.,is 80 km/h (or less where signposted). The speed limit for trucks (over 3.5 tonnes)and single deck buses is 80 km/h (or less where signposted). The speed limit for double deck buses is 65 km/h (Ireland, 2006). Random Breath Testing "Last year in NortThis test is only possible if there has been a road traffic offence, incident or the police suspect that the driver is drunk. FACTS The Positives "Last year in Northern Ireland, there was the lowest death rate in 50 years and certainly a huge amount of that is due to the fact that we did introduce shock advertising in 1994 and we have continued with

Factors and criteria that determine which brand of mobile phones will Essay

Factors and criteria that determine which brand of mobile phones will top today and which brand will peak after that - Essay Example Consequently data is sent to a single multicast address which can then be received by any IP device2. Protocol Independent Multicast (PIM) contains multicast routing protocols for IP networking. These are primarily responsible to carry many-to-many and one-to-many data distribution with the help of internet, WAN or LAN. PIM is based upon different routing protocols along with its topology3. For instance, it includes Routing Information Protocol, Intermediate System to Intermediate System, Open Shortest Path First and the Border Gateway Protocol. Following are the four important types of Protocol Independent Multicast: Multicast routers work on the basis of distribution trees which are responsible to direct the path for IP multicast traffic. It is built in the form of a network infrastructure which facilitates in the traffic delivery. The Distribution trees are built in two different types i.e. source trees and shared trees. These trees do not have any loops because the data transformation is only between the source and receiver without any disruption8. The  source distribution tree is also called the shortest-path tree. It is built using small straddling tree which is responsible to transmit data using the shortest path from source to the recipients. Each of the individual sources which are transmitting data to a particular group gives rise to another tree note. In significantly large IP Networks this leads to an extravagant quantity of trees in a single network. This incompetency is actually important for multicast distribution trees. Here, all the multicast groups are attached with a shared root irrespective of the main source. This shared root is commonly called as the rendezvous point (RP). The shared tree are also unidirectional i.e. the traffic is received at RP directly from the source. This received data is then transferred to the every single receiver but there are also certain exceptions where this rule does

Emergency Nursing Essay Example | Topics and Well Written Essays - 1250 words

Emergency Nursing - Essay Example experience in critical care. Some nurses have a Baccalaureate degree, others have diplomas and associate degrees as their base education. Some hold Masters degrees as well. PALS- Pediatric Advanced Life Support and ACLS- Advanced Care Life Support are other certifications that can be obtained in specialized areas (NHT, 2008) A minimum of one year work experience is preferred and critical care skills.The nurse must be an independent thinker, be comfortable with and capable of using nursing skills and procedures and be able to make a decision in a timely manner. Assertive and non- emotional nurses are preferred, with excellent communication and critical thinking skills. An excellent understanding of Anatomy, Physiology and Pathophysiology is also required (NENA, 2003) Emergency nursing requires expertise in several core competencies. The emergency nurse must be able to interpret data, perform objective assessments, interpret diagnostic results and select nursing interventions to manage the following areas of competencies. 1. Triage 2. Respiratory 3. Cardiovascular 4. Neurological 5. Maxillofacial/ eye/ear/nose/throat 6. Gastrointestinal 7. Genitourinary 8. Obstetrical client 9. Musculoskeletal/ Integumentary 10. Multi-system traumas Emergency Nurse Role 4 11. Environmental Emergencies 12. Immunological/Hematological/Endocrine systems 13. Knowledgeable in Domestic Violence/Sexual Assault 14. Toxicology 15. Mental Health 16. Infectious Disease 17. Psychosocial 18. Discharge Planning/ Client Education 19. Professional Practice Issues/ Legal & Ethical Issues Triage refers to the practice of grouping patients from the most critically ill/injured to the least. This is to ensure that... Patient Care-Emergency nurses care for patients and families in hospital emergency departments, ambulances, helicopters, urgent care centers, cruise ships, sports arenas, industry, government, prisons, military, poison control centers