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MBA Lindsey Wilson College Software Development Case Study

MBA Lindsey Wilson College Software Development Case Study.

I’m working on a computer science Case Study and need an explanation to help me understand better.

“A deep explanation(case study) on how below 2 subjects will be useful in my job as Software developer/Programmer.”1) Issues in Cyberlaw2)Information instructionThe Case Analysis is a comprehensive analysis and strategy recommendation that connects the experiences you are having at your externship to the content of the courses in which you are currently enrolled.Page length: 10 pages (this does not include the cover page and Reference page(s)APA format is mandatoryDouble spaced, Times New Roman 12 pt. font, 1 inch marginReferences page(s) is mandatory with at least 5 outside referencesPlease review the Grading RubricCase Analysis: Your goal in preparing the case should be to create a solid analysis of the situation and a set of recommendations about which managerial and/or technology related actions should be taken.
MBA Lindsey Wilson College Software Development Case Study

Northern Illinois University Conservation of Living Primates Research Paper.

must be research articles that have been published in the last five years. I will
provide a list of accepted articles, but you are also welcome to choose your own. For the
assignments requiring a research article, this must be from a peer-reviewed scientific journal. If
you are unsure if an article is acceptable, ask me in person or by email. The four topics are the
same as the “Practice of Biological Anthropology” discussions, and the paper will be due on the
same day. Your critique should be double-spaced, three pages (including citations), and include
the complete citation of your article and others you refer to (use these NIU library guidelines7).4. “WILD CARD” – you choose the issue you liked most during the course; must
involve a scientific paper; examples could include:
o Conservation of Living Primates – Describe a primate species’ conservation
situation (using the IUCN redlist website8); suggest possible solutions.
o Future Evolution of the Human Species – What comes next?
o Is Human Behavior Determined by Genetics?
o The Human Species and Space Travel
o Are Modern Hunter-Gatherers Healthier than the Rest of Us?
o Is the “Anthropocene” real?
o “Race” and Forensic Anthropology
Northern Illinois University Conservation of Living Primates Research Paper

SABMiller’s Strategic position. Identify SABMiller’s Strategic position: In order to Identify the company’s position; it is important to carry out its Business external analysis; it is also essential to identify its core competences and capabilities as well as stakeholder expectations in order to successfully identify the company’s strategic position. SABMiller’s External Analysis: In order to asses SABMiller’s external analysis; I have constructed a PESTEL analysis (appendix 1); Porters 5 forces (appendix 2); THE BCG matrix (appendix 3) and its competition Analysis (appendix 4). After conducting Porter’s five forces of the Brewing Industry; I have found many interesting outcomes relating to SABMiller as the overall markets of the brewing industry aren’t clearly attractive; its performance depends on the ability to expand its market share and exploit opportunities in the emerging markets. However, the brewing industry in growing markets, which SABMiller operates, is highly attractive but not for new entrants; it’s especially attractive for the dominant players in the Industry; which in this case SABMiller is one of them. After analysing my Porter’s 5 forces; it is conclusive that it would be extremely hard for new entrants to compete in these emerging markets due to the high dominance of the main competitors. I have also observed other good points such as the low level of power within suppliers; however the power of suppliers is increasing especially in USA due to the rising costs of energy and Aluminium but in under developed countries; it is conclusive that SABMiller has the overall power of its suppliers; as it’s an international brewer; finding suppliers wouldn’t be a major issue. Its Conclusive that the power of Buyers is very high; due to the end consumer having a growing number of choices from other brewers as there are no switching costs; the end consumer can choose any drink to have so it’s up to the brewing companies to emphasise its targeted customers to drink its products. It is also conclusive that the power of substitutes is low but it is significantly growing. Due to the modern consciousness of healthy living; low calorie beers and non alcoholic beverages are increasing in volume; this doesn’t affect SABMiller as much compared to other brewers as the company it self produces alternative products to beer such as the low calorie versions; SABMiller has also recently entered wine and soft drinks market in Africa as I’m predicting more of this similar strategic activity will occur in other markets. From the PESTEL; Porters 5 forces and the Competition Analysis; I am concluding that SABMiller operates in developing as well as matured markets. These markets include very “challenging” aspects which in the past has limited the threat of new entrants. These markets include very tough competition; as rivalry in the Brewing Industry is increasingly high. These markets tend to have a fragmented brewing industry and it is essential to have extensive capital and knowledge to setup a brewing enterprise. In developed and more matured markets the industry is consolidated and dominated by a few, larger players. As such, these large companies, like SABMiller tend to own multiple brands with different market positions. In this market, it is much easier for competitors to launch rival products that compete directly on price and thus eroding market share. After analysing the company’s competition; SABMiller has and still is experiencing this problem; For example in North America; especially recently where InBev has bought Anheuser-Busch; this has helped the dominant Brewer to enlarge a further space between themselves and SABMiller; which has affected the company’s market share future plans deeply. SABMiller now has to come up with new innovative ideas to try and close the gap between them and A-B InBev. The American Industry is the largest brewing market by value as rivalry is now more intense than ever; meaning more competitors are entering into a price war with SABMiller. This has become a huge threat for SABMiller; but it does also hold opportunities to weaken this threat down. For example the company has the opportunity to acquire more stakes in the Brazilian Market; or become the owner of China resources which is the largest brewer in China. Both these markets I have mentioned are matured yet and still hold many growing estimates. After conducting a stakeholder analysis; I have come up with simple assessments that SABMiller had to make some strategic choices to please its key players. SAB’s acquisition of Miller was largely due to the pressure from the London Stock Exchange. It is felt that SAB was at risk due to it’s over reliance of soft currencies in certain market. This resulted in a poor performance in the London Stock Exchange in the year of 2000. Even though their core competences were elsewhere, SAB went on with the takeover to please the stakeholders. Media and analysts have come out with unfavourable reports on SABMiller. These particular stakeholders needed to be pleased. From my BCG Matrix; its conclusive that its’ Western European operations are a ‘dog’ and SABMiller should ideally get out of the market as further investment will end up little positive results. But this won’t be possible due to the investors’ expectations of a market presence in Western Europe. Internal Analysis: SABMiller’s Core Competences: Core Competences are the skills and abilities by which Resources are deployed through an Organisation’s activities and processes such as to achieve competitive advantage in ways that others cannot imitate or obtain. (J.S.W. 8th Edition; p852: Glossary) From the very beginning, SABMiller had developed unique competences in analysing its’ business environment; meaning that the company expertises in analysing a market that is aiming to operate in. SABMiller’s activities are heavily influenced by the political, social and legislative environmental factors within which it operates; meaning this has made the company proactive when dealing with macro factors. SABMiller’s South African culture has shaped the strategic development of the company. It is this culture, which makes their distinct capability of entering emerging markets less imitable. As highlighted in the case study, SABMiller’s strategy represents a ‘synthesis’ of learning based on the historical developments of the company (J.S.W. 8th Edition; Case Study: SABMiller; McQuade, 2006). Mapping out the early days in South Africa, SABMiller’s strategy was flexible and responsive to the market. SABMiller acquired local brewing businesses to enable them to grow and overcome certain business restrictions through acquisition. SABMiller also expanded their portfolio to include wine, matches and the Sun City casino resort. When the political regime and the regulatory environment lifted, SABMiller developed three mega-breweries in South Africa. By being at ease in these types of challenging environments it enables SABMiller to aggressively grow and capture market share when arguably other firms would be paralysed by fear. Instead, SABMiller are able to scan their external environment and turn threats into opportunities. In doing so, providing a distinct set of capabilities, which is very difficult to imitate. The tough African roots have given SABMiller the confidence and self belief to come up with solutions during tough conditions in developing markets. The company is also very experienced in dealing with very sensitive governments and local communities. These efforts also show that they are very flexible. SAB used its expert management skills learnt from Africa, to turnaround Millers’ fortunes. Traditional SAB system of employee performance rating was used in Miller. These efforts earned them the name turnaround specialists. The parenting style of SABMiller adds value to the breweries. In the new markets they retain the brand, but transforming the business by adding quality and consistency to the beer. They develop the marketing, distribution productivity and capacity of the business. SABMiller is highly experienced in acquisitions and takeovers. This competency gave them the confidence to take risks and takeover high profile targets like Grupo Empresarial Bavaria. As in the case of Miller, SABMiller added further value in to the company by bringing its own operating practices and management skills. After conducting the company’s analysis; it is conclusive that SABMiller has shown outstanding flexibility from its very origin. Its decisions during the apartheid period show a core competency in developing strategic choices and environmental scanning. The emergence of competitors in its prime markets is a case of concern. In future, SABMiller will have to face tough competition from its rivals; a glimpse was seen in the USA market. The key to SABMiller’s success will be its strategic brand management and its brand portfolio. SABMiller’s generic strategy and core competences The BCG Matrix mainly relates to the markets which SABMiller is currently operating in. These tools all relate to the brewing Industry; as it’s the industry which relates and particularly affects SABMiller. The chosen sequence for the analysis not only provides an insight into SAB’s environment, but also facilitates assessing opportunities for the future, as most investors see a need for SAB to enter the developed market. SABMiller’s Strategic position
HUS 2979 Rasmussen College Resolving Ethical Dilemmas Human Services Associate Capstone.

Ethical dilemmas occur within every workplace environment. In a three-page, double-spaced paper, using at least two sources, choose 4 ethical dilemmas from below and do the following:Discuss how to resolve each of your 4 chosen ethical dilemmas by using research and/or the National Organization of Human Services Code of Ethics to discuss the Human Service Professional’s ethical resolution process.Discuss the potential short- and long-term consequences that could occur if each ethical dilemma is not resolved appropriately. Feel free to provide hypothetical examples to explain what could occur if each ethical dilemma is not resolved adequately.Dilemma #1: While working at Rasmussen Help Center, LLC, a client makes sexual advances towards you and you begin to feel uncomfortable.Dilemma #4: While working at Rasmussen Help Center, LLC, a client of the agency asks you if her ex-boyfriend was a client on your caseload.Dilemma #5: While working at Rasmussen Help Center, LLC, you walk into a colleague’s office while the colleague is down the hall making copies. A new client is seated next to your colleague’s desk and computer, and another client’s confidential information is visible on the screen.Dilemma #7: While working at Rasmussen Help Center, LLC, you notice another Human Services Professional partaking in inappropriate gossip with another co-worker and a client.
HUS 2979 Rasmussen College Resolving Ethical Dilemmas Human Services Associate Capstone

Puerperal Psychosis Causes Risk Factors And Treatment Psychology Essay

Having a baby can be an exciting time in a womans life however; it is a time of significant bio-psychosocial change which can bring about various difficulties including different psychiatric disorders. The three main mental illnesses that can occur in the postnatal period are mania, depression and schizophrenia which are currently recognised as puerperal psychosis despite previous thoughts that puerperal psychosis was a special mental illness (RCPSYCH, 2008). There are no obvious causes for puerperal psychosis however, a woman is most likely to be affected if she has already experienced such an illness previously or if there is a family history of serious mental illness (RCPSYCH, 2008). Puerperal psychosis can have significant impact not only on the mother and baby but on their immediate family and wider family, friends and society as a whole sometimes with fatal consequences. The Diagnostic and Statistical Manual of Mental Disorders’ (DSM IV-TR) diagnostic criteria for a major depressive event uses ‘within postpartum onset’ to refer to depression that starts within 4 weeks postnatal and happen within 3 months after birth. It should entail at least five of these symptoms being present; sadness, repeated thoughts of death, exhaustion, lack of sleep or hypersomnia, increased or decreased appetite changes leading to weight loss or gain, reduced libido, tearfulness, feelings of guilt and worthlessness, anxiety, agitation and irritability (APA, 2000). Postnatal mood and anxiety disorder presents in three ways: baby blues, postnatal depression and puerperal psychosis. In baby blues there is a slight period of mild depression which many mothers encounter after having birth and this phase of depression resolves after a few days. But, about 15% of women tend to advance to postnatal depression. A small number of new mothers may develop a rarer and rather acute type of the postnatal depressive disorder with manic features (Puerperal psychosis) and requires immediate treatment (RCPSYCH, 2006) . Puerperal psychosis affects 1 in 500 women and starts days or weeks after childbirth. This paper will focus on Puerperal psychosis, and explore its causes, risks and management with reference to literature and case history of Mrs X. Case History Mrs. X is a 31 year old married woman who used to work as an administrator. About 4 years ago, she became pregnant and described the pregnancy as an anxious pregnancy. She had a planned Lower Segment Caesarean Section (LSCS), and at 38 weeks gestation, she suffered a placenta praevia complication and had to have a blood transfusion. Baby A was born healthy with no abnormalities. Two weeks after birth she began feeling anxious and could not sleep. She visited her GP complaining of feeling anxious which she was prescribed anxiolytics (temazepam, diazepam and zoplicone). These medicines gave her relief from her anxiety but after the medicines wear off she then experienced persistent anxiety, low mood, reduced appetite, poor concentration, poor sleep and felt lethargic. She began to experience delusions about a physical illness that will cause her to die during the night and make her abandon her child. This feeling led to sleep disruption and worry about her baby’s health will be adversely affected due to her anxiety. After 4 weeks post partum, she was seen again by her GP and also assessed by other mental health practitioners who advised admission into a mother and baby unit for treatment for a possible puerperal psychosis. On examination she was found to be acutely anxious, responding to hallucination (auditory and olfactory) and agitated. Mrs X was preoccupied about an ‘evil spirit’, which said “I am here, you are not alone” and she felt her body has been taken over by the evil spirit. She had ideas of death and smelt death (cotards syndrome). She also had feelings of persecution about being a bad mother and thought her baby was better without her but denied thoughts of harming her baby. Her appearance was unkempt, wearing her night dress but her behaviour and mannerism were appropriate. Her speech was coherent with normal rate and tone; there was no evidence of disordered thought. She described her mood as confused, afraid and anxious and said “I think am going crazy”. Her mood appeared perplexed and dysthymic. She denied any thought of active suicide but reiterated the thought of death. It was concluded that she suffered puerperal psychosis which was evident of delusion of negation with a depressive feature. Mrs X was subsequently admitted to a mother and baby unit for treatment. She was prescribed citalopram, lorazepam and risperidone. After about a month she was discharged and maintained on the medicine and fully recovered and lived symptoms free. Three years later, Mrs X became pregnant with a second child. This time her pregnancy went smoothly without any feelings of anxiety. She gave birth to Baby B, with no complications or abnormality. A few days after her discharge from the delivery suite, she began to have hot flushes, panic attacks resulting in her anxiety levels increasingly becoming high. She began experiencing thought insertion about worthlessness and guilt. Family history revealed that Mrs X’s sister suffers from clinical depression also her aunt suffered a complication of placenta praevia. During her second episode of puerperal psychosis, she was readmitted into hospital and has since been discharged and maintained on olanzapine and citalopram. Presently she is coping and mental health has improved substantially with immense input from the doctors and other mental health professionals. Epidemiology and Aetiology Puerperal psychosis is a rare disorder and its prevalence in the United Kingdom is 1 per 500 births (RCPSYCH, 2006) and 1-2 per 1000 births in the world population (Harlow et al., 2007). Puerperal psychosis pathophysiology is poorly appreciated or identified, but factors such as childbirth, difficulty in childbirth, genetical linkage, and hormonal changes have all been attributed as causable features. Mothers who have experienced a period of puerperal psychosis are at increased risk of developing another bout of postnatal psychosis. A follow -up study by Pfuhlmann et al., (2000) followed mothers’ years after birth of their first child and treated for puerperal psychosis highlighted an increased recurrence of the illness after later deliveries. Another study by Garfield et al., (2004) also followed mothers over a ten year period after first presentation with the disorder also indicated recurrence of puerperal psychosis in subsequent births ranging between 25% and 50%. In spite of different views, evidence has shown that there is a strong correlation between bipolar affective disorder and puerperal psychosis and occurrence even higher in women with a diagnosis with bipolar affective disorder (Jones and Craddock, 2001). Research by Jones and Craddock (2001) has supported this evidence. Their findings also showed women with manic depression who had a family history of postnatal psychosis predisposed them to manic episodes following birth. Genetic link Twin and family studies has proposed a genetic link to puerperal psychosis. A genome-wide association study that permits trait linkage to a particular gene in the entire genome was conducted by Jones et al (2007) which found regions on chromosomes 16 and 8 possess genes that dispose women to developing puerperal psychosis. Using a genome-wide linkage analysis with sinlgle-nucleotide polymorphisms (SNPs) from women who had a disorder of mood (postnatal depression, manic depression or puerperal psychosis) and women who had once been pregnant Mahon et al ( 2009) found a major correlation for postnatal symptoms. They provided evidence of polymorphims at HMNC1 and METTL13 genes and there are further findings are emerging from studies in genetic link to mood disorders. Sleep disturbance The effect on sleep on childbirth varies in first time mothers and those of mutiple births. In a report by Lee, Zaffke and McEnany (2000) noted a rise in overall sleep period including naps in the time preceeding pregnancy and first trimester of pregnancy, in the second trimester period and the postnatal period, it was observed there was a decline in deep sleep by the mothers. Using sleep logs to study sleep partterns in mothers both first time mothers and also mothers of multiple births, Shinkoda, Matsumoto and Park (1999) evaluated their overall sleep and wakefulness cycle with women in the late pregnancy it highlighted a decreased sleep in the second week following childbirth. Also indicated by Nishihara and Horiuchi (1999) in their research, they found majority of mothers in week one, three and six after childbirth awake for most of the night leading to a disruption in their sleep pattern after taking into account care given to the infant during the night. Women having a history of mood and anxiety disorder, who during pregnancy exhibit agitation, elation and sleeplessness are at higher risk of developing puerperal psychosis within three weeks after childbirth (McNeil, 1986). It is therefore likely that sleep interruption during the pregnancy may play a role in mothers showing signs and symptoms of puerperal psychosis. Loss of sleep may also induce other medical and psychological factors that will trigger mood, anxiety and manic features in a mother in postpartum (Wehr, Sack and Rosenthal, 1987). Hormonal contribution The main role of hormones is to have a regulation of physiological bodily events and behaviour. Research has found irregularities in hormonal status and its impact on mental health problems (Sharma and Mazmanian, 2003). Clinical trials outcome has suggested symptoms in women often fluctuate during their menstrual cycle and at low oestrogen level, symptoms become worse (Sherwin, 2005). In Pregnancy there is a rise in oestrogen and progesterone and immediately after birth these hormones return to their normal level as before conception (RCPSYCH, 2007). It has been observed postnatal deterioration is frequent and has led to proposal of a contributory factor to puerperal psychosis (Brockington, 1998). There has also been an association of abnormal functioning of thyroid and puerperal psychosis. Postnatal thyroiditis has been linked with presentation of postpartum psychosis nature manifesting in mood and psychotic features. Patients’ symptoms resolved after treatment and becoming euthyroid (Bokhari et al., 1988). Social factors Nager, Johansson and Sundquist (2005) indicated women who are younger and single from poor socioeconomic background are susceptible to developing puerperal psychosis and being admitted to hospital for treatment. Using a hospital anxiety and depression scale, Lee et al (2007) in their research also observed being younger, history of substance abuse, unwanted pregnancy, lack of support from the partner, family, stressful life challenges, financial difficulties, loss of employment, previous significant negative event were predictors of maternal anxiety or mood difficulties in the postnatal phase. Some researchers have argued that there is no reliable connection between obstetric cause for postnatal disorder but this was refuted by Robertson et al (2004) who showed that certain complications in pregnancy like premature labour, caeseran birth, pre-eclampsia, excessive bleeding as risk factors for puerperal psychosis. Risks Puerperal psychosis, the most severe form of the postpartum mood disorders and it is deemed a psychiatric emergency. Its presentation is spectacular starting just after delivery and most mothers’ exhibit symptoms within 2 weeks of childbirth. In most cases there is a dormant period of 2 days after birth, when symptoms begin to appear (Brockington and Kumar, 1988). During onset the commonly reported symptoms are irritability, insomnia, severe mood swings and fatigue. There has been cases of rapid variability in mood prior to the inception of florid psychotic features which includes delusions (the most common delusions is about the child having special powers with reference to Satan or God as well as the baby being imperfect), paranoia, thought insertion and broadcasting, hallucinations mainly auditory and olfactory, while others have been reported of being perplexed and confused during first presentation of the disorder (Henshaw and Foreman, 2003). This period is a time when the mother is at increased vulnerability to self harm, suicide, infanticide and reports of mother and child attachment difficulties which also has an effect on the child development as well as mothers do not report their feelings to their General Practitioner, friends and family (Whitton, Warner and Appleby, 1996). Infanticide Puerperal psychosis has been found to be connected with child morbidity and mortality. About 4% of mothers with mood and anxiety disorders commit neonaticide and infanticide (Spinelli, 2004). Infanticide is the murder of a baby during the first year of birth and neonaticide is the murder of a baby within 24 hours after birth (Craig, 2004). There are some controversies regarding cot deaths and infanticide which has suggested a small number of cases of cot death has a link to mothers having acute postnatal psychosis (Chandra et al., 2006). Killing a child by his or her mother is a perceived as a hideous outrageous crime in society which according to the law is either murder or manslaughter (Kumar et al., 1995). The mothers who commit such a crime can be classified as a victim due to insanity of mind which is related to psychotic features post-childbirth (Wisner et al., 2002). Chandra et al (2006) stated that thoughts of killing a child are common with women experiencing acute puerperal psychosis. These women often suffer from memory loss then drift into a floridly psychotic state showing symptoms of visual, olfactory and auditory hallucination and may be forced to commit acts of infanticide (Wisner et al., 2002). Reported case study involving 108 women who were admitted following a postnatal episode, 53% reported thoughts of suicidal ideations, 36% infanticide delusions and 34% of the women reported both suicide and infanticide thoughts (Chandra et al., 2006). They also found the women who exhibited delusional persecutory thoughts showed more care for the infants needs whereas mothers who had delusions of the child being a devil or imperfect showed violent tendencies or abusive behaviour towards their baby. A finding by d’Orban (1979) of mothers who had committed infanticide and admitted to mental health unit of a prison suggested a connection between infanticide and stressors in the mother’s life in general for example being in a violent relationship, separation from partner or an earlier parental separation and thoughts of suicide. Mothers who carry out neonaticide were likely to be young with limited education, from a low socio-economic background, first time mothers who live with parents or relatives also women perpertrators of infanticide were more frequently married or living with partner, older, history of mental health history and alcohol, drug misuse (Friedman, Horwitz and Resnick, 2005). Maternal and child bonding Childbirth confronts the mother with sleep and social deprivation, care and feeding of the child but most importantly the intiation and maintenance of the attachment between the mother and the child. Mood and anxiety disorders have been suggested to have an effect on maternal bond with her child. Psychosis can disrupt the care giving to an infant by his or her mother and (Chandra et al., 2006). Mothers experiencing command hallucination and delusional beliefs regarding the infant were noted to forecast harm to the baby and sometimes to older children. Maternal psychopathology and lack of social support, its effects on attachment between the mother and child has been identified as a vulnerable period in the infant’s development. Attachment theory formulated by Bowlby and Ainsworth describes mother and baby attachment that develops during the first year of birth. It highlights behaviours of the child which represents care given by mother or caregiver. From these observations, attachment was categorised into secure attachment and insecure attachment which is divided into ambivalent and avoidant. A care given to an infant that is sensitive will lead to a secure attachment that will encourage the best possible development of the child and that of insecure attachment has lead to a low care which can be insensitive (Wan and Green, 2009). Maternal psychotic disorder in the postpartum period has indicated isolation, lack of concern, detachment, hostility and dislike towards the infant. Some mothers exhibited beliefs of the eligibility of the baby as not being theirs (Kumar, 1997). Frequent maternal response to the infant has been found to be insensitive and unpredictable due to fixation on their symptoms, minimal insight into their mental health and the impact their actions are affecting the emotional and wellbeing of the child (Murray, Cooper and Hipwell, 2003). Suicide and Self harm Maternal suicidal rate in after birth ranges from 0.5 to 5.9 per 100,000. Mortality in women suffering from puerperal psychosis in the first year postpartum in the United Kingdom has been reported to be 2 per 1000 births (Oates, 2003). Oates (2003) in another report have stated that suicide in mothers in the postnatal period may be low but in women who develop psychotic disorder after birth are at increased risk of committing suicide in the first year of birth. A study conducted by Schiff and Grossman (2006) also highlighted most of the mothers in their study used aggressive means of suicide which was premeditated and it correlated with Appleby, Mortensen and Faragher’s (1998) findings where violent means were used by the women in the postnatal perion than in the entire population. These women experienced severe psychotic behaviour in the postnatal period. They also emphasized a major link between suicide, self harm and thoughts of infanticide and death of the child being the main predictor of suicidal behaviour in a mother. Increase in suicide were higher in unmarried mothers than those who were married and living with their spouses. Evidence has shown that a previous attempt at suicide increases the likelihood of death significantly following years after the first attempt at suicide (Harris and Barraclough, 1998). Management Due to the acute presentation of puerperal psychosis and the link with bipolar disorder, it should be treated as an affective psychosis and requires treatment in hospital preferably a mother and baby unit. The prognosis of women suffering from postpartum psychosis has been predicted to be encouraging Prompt treatment is highly essential in order to ensure the safety of the mother and child (Harlow et al., 2007). There has been several suggestions regarding the treatment of puerperal psychosis namely neuroleptics, mood stabilizers, antidepressants, hormonal therapy, electroconvulsive therapy and psychological interventions. Vulnerable women especially those with a history of bipolar affective disorder and other psychotic disorders are at a greater risk of developing puerperal psychosis and the initiation of drug intervention during the last trimester of pregnancy or immediately after delivery might be beneficial (Wisner et al., 2002). Drug treatment Maternal drug treatment before conception if pregnancy is not planned and also in the first trimester of pregnancy can be harmful to the developing baby depending on the active ingredients the drug possesses. Foetal exposure to certain drugs in the first trimester can lead to neural tube and several organ malformations. Other minor anomalies have also been observed after drug commencement during the second and early third trimester (Yonkers et al., 2004). Mood stabilizers (e.g. lithium, sodium valproate and carbamazepine) have been used in the acute treatment of puerperal psychosis and manic depression. Lithium is the most obvious choice of treatment of psychotic disorder and has been observed to prevent or lower relapse as opposed to the other mood stabilizers. Some mothers treated with sodium valproate tend to show diminished symptoms of mania (Wisner et al., 2004). Yonkers et al (2004) have proposed in their research the effect of mood stabilizers on exposed babies leading to floppy baby syndrome, hypothyroidism, diabetes insipidus and the infants were observed to have a high birth weight in lithium exposed babies, low birth weight, hepatic toxicity in carbamazepine, irritability and difficulty feeding of the babies exposed to sodium valproate. Detection of lithium, carbamazepine, sodium valproate and lamotrigine were also found to be present in the serum of neonates and it was present in the breast milk and passed on to the infant. They however proposed that close monitoring of these mood stabilizers in women should be routine. Screening of the neonate in the first trimester of pregnancy for congenital abnormalities is also advised for the consideration by the women regarding abortion. Antipsychotics (neuroleptics) like haloperidol, chlorpromazine, clozapine, quetiapine, olanzapine, aripiprazole etc have been associated with the treatment of psychosis. Antipsychotics bind to dopamine (D-2) receptors and serotonin (5-HT-2) receptors. Typical antipsychotics exposure on the foetus and baby include respiratory distress and also floppy baby syndrome and also severe extrapyramidal side effects; tardive dyskinesia, neuroleptic malignant syndrome, dystonia among many in the mothers (Healy, 1997). Particularly due to psychotic disorder during pregnancy and the postpartum period, atypical neuroleptics have been suggested to be effective in the continued management. Research relating to atypical antipsychotics are limiting but they also result in side effects like weight gain, gestational diabetes, hyperglycaemia and preeclampsia have been indicated in women and the secretion through breast milk to the infant (Kirchheiner, Berghofer and Bolk-Weischedel, 2000). Olanzapine have been identified to possess mood stabilising effects in women with bipolar affective disorder and the preferred choice of treatment for acute mania due to improvement and satisfactory outcomes in mothers (Yonkers et al., 2004). Benzodiazepines (e.g. lorazepam, diazepam and clonazepam) are predominately used to combat sleep disorders. Its effect on anxiety and agitation and for mood stabilization has been indicated (Healy, 1997). Due to the high incidence of addiction in patients, withdrawal symptoms as well as motor and other developmental delays in the infant have also been highlighted (Yonkers et al., 2004). Sleep disruption during pregnancy and the postnatal period is a high indicator for the causes and risk in puerperal psychosis. Research has revealed the need to treat lack of sleep in the prepartum and early postpartum period in order to prevent the trigger of puerperal psychosis, so the preferred choice by clinicians in the prescribing of zoplicone (non-benzodiazepine) which is safe for the neonate and is not secreted in breast milk (Dalfen, 2009). ECT (Electro-convulsive therapy) The severity of symptoms of the psychotic disorder in pregnancy or in postpartum and insensitive response to drug therapy will establish if ECT is the suitable course of treatment. Its combination with oral medication helps in the control and management of the disorder (Yonkers and Little, 2001). Yonkers et al (2004) also indicated the side effect ECT causes with a course treatment of 6-8 sessions; temporary memory loss, low birth weight and congenital malformations of the infant. Psychological and Social interventions There have been several suggestions of psychotherapy and combination of drug treatment, joint admission of the mother and infant in a mother and baby unit is beneficial and effective as it safeguards the mother-child bonding rather than the mother alone in a general acute ward setting (Brockington, 2004). This mother and baby units provides a safe haven for early recovery and aid in relapse prevention and research has identified separation of the child from its mother during admission has a detrimental effect where the child might experience a sporadic care. However Hipwel et al (2000) have argued that the attachment between the baby and mother who suffer psychotic disorder that occurs in a mother and baby unit might not be in the baby’s best interest during the admission. Oates(2003) recommended that intensive community treatment and care may offer as a substitute to admission into hospital for mothers who are not suicidal and do not pose a danger to the infant and also women who have a dependable social support. Psychological interventions (cognitive behavioural therapy, anxiety management, play therapy, motherhood groups) and occupational therapy have been established to be valuable in the mother’s coping mechanism and preserve family life and engage mothers with the same disorder. (Brockington, 2004). Conclusion Childbirth has been identified to be the main precipitating factor to some women developing puerperal psychosis which makes the mother vulnerable to herself and the child. Cognitive impairment with hypomanic symptoms and associated hormonal disruption are attributed to a diagnosis of puerperal psychosis. In the case of Mrs. X’s psychosis, she had a family history of affective disorder and presented with anxiety, sleeplessness and agitation during her first pregnancy. It will be advisable to assess women during their pregnancy about these feelings so to prevent a full blown psychotic disorder in the postnatal period. Mrs X exhibited delusions of negation and the thought of death which may lead to her to abandoning her child, hallucination (auditory and olfactory) of an evil spirit as well as suicidal ideation although not active. Subsequent admission and prophylactic treatment has shown to be helpful in treating her psychosis and a recovery leading to her optimal level of functioning. Support from her husband and family had proven vital to her coping post discharge. Family education about the disorder and total support to the woman is essential in maintaining the emotional wellbeing of the mother. After the birth of her second child Mrs X suffered another episode of puerperal psychosis and as the statistics have shown about its recurrence as highly increased in the multiparous woman. The disorder is often predicted and in most cases avoided. Risk assessment highlighting contingency plans regarding relapse prevention and information sharing between the mother and baby unit, maternity, paediatric units and General Practitioners are important in early intervention treatment and prevention of another episode of puerperal psychosis in the multiparous woman. Collaboration with social services, child protection teams is also essential to safeguard the wellbeing, and prevent harm to the child if there is an indication of abuse to the child.

NS University Wk 9 Health Promotion & Establish Medical Interventions Essay

i need help writing an essay NS University Wk 9 Health Promotion & Establish Medical Interventions Essay.

Assignment 3: Health Promotion Paper (10 points)Students will select a family of choice for this assignment. Each student will complete a family assessment utilizing the Friedman Family Assessment found in Modules/Week 9. From the assessment data, the student will develop a three-generation genogram and identify potential risks.Assignment Criteria:Write a scholarly paper that discusses the following:1. Identify the issues presented in Friedman Family Assessment. Support this information from the family assessment.2. Develop a genogram based on the Friedman Family Assessment. Provide three (3) generations. Attach as an appendix.3. Identify the health issues present in the family. Support this information from the Friedman Family Assessment.4. Identify any future or potential health risks for the family by utilizing the information from the genogram.a. Compare the findings with the topics, objectives, and preventative measures from Healthy People 2020. b. Develop an educational plan for the family to reduce risks5. Identify a strategy that the nurse can initiate regarding health promotion.6. Attach the completed Friedman Family Assessment and genogram as appendices to the paper.7. The scholarly paper should be in narrative format, 4 to 5 pages excluding the title page, reference pages, and appendices.8. Include level 1and 2 headings to organize the paper.9. The paper should begin with an introductory paragraph that includes the purpose statement.10. The paper should include a conclusion.11. Write the paper in third person and a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.12. Include a minimum of three (3) references from professional peer-reviewed nursing journals (review in Ulrich Periodical Directory) and less than five (5) years old.13. Submit the paper to the assignment drop box for automatic Turnitin submission. Review the Turnitin Originality report, and make any necessary revisions before final submission
NS University Wk 9 Health Promotion & Establish Medical Interventions Essay

Obergefell v. Hodge: Supreme Court Case Essay

What are the chief criticisms that Chief Justice Roberts’ dissent makes of the conclusion that the right to marry is a fundamental right? Obergefell v. Hodges is one of the most significant cases of the US Supreme Court, in which the Court ruled that marriage equality is a fundamental right of the citizens guaranteed by the Fourteenth Amendment to the United States Constitution. Issued June 26, 2015, the decision declares that all states are obliged to issue marriage certificates to all same-sex couples, as well as to recognize such certificates issued legally in other jurisdictions. Before “Obergefell” 11 American states refused to recognize marriage certificates of same-sex couples in other states. The case appeared in the Supreme Court for the reason that Jim Obergefell could not make Ohio recognize dying John Arthur as his legal spouse and heir, despite the fact that they were married before in Maryland. The majority considers same-sex marriages as a fundamental right to marry inherent in the liberty of the person1. However, Justice Roberts expressed his dissenting point of view. First of all, he reveals the comprehension of a new law and its true value. “It is not for us to decide, whether same-sex marriages are a good or bad idea; taking into consideration this particular matter, we are depriving the voters of the right to choose, and impose their opinion,” notes the Chief Justice Roberts in his dissenting opinion2. Second, Justice Roberts emphasizes the meaning of a marriage that is de jure, free, and voluntary union of a man and a woman, aiming to create a family generating mutual rights and obligations3. Marriage enjoys the protection and patronage of the laws only at the conclusion of its compliance with the conditions and entails legal effects known in the field of personal and property rights and responsibilities of spouses in relation to each other and children. In the course of history, nowhere and never, same-sex marriages were not legalized since the purpose of marriage is having children and caring for them. Humankind should multiply. In addition, children born in same-sex families would have an automatically defined stigma4. For example, it might promote sexual confusion and sexual experimentation in young people’s lives. Justice Roberts states, “the Court invalidates the marriage laws of more than half the States and orders the transformation of a social institution that has formed the basis of human society for millennia”5. In this case, the right to marry is not the same as the initial right. Do you agree with the majority or with Justice Roberts on whether the right to marry is a fundamental right, and why? Get your 100% original paper on any topic done in as little as 3 hours Learn More In my opinion, the legalization of same-sex marriage in the US Supreme Court would certainly go down in the short-list of key events of American history and the whole world as well. The 14th Amendment to the Constitution guarantees all citizens equality before the law of the United States and gives them legal guarantees. Translated from the law, this amendment requires the proof of the power that denies specific rights and services of a separate group of people pursuing a clear and rational legitimate interest. I consider that marriage should meet the most pressing human needs and embody deepest hopes and aspirations making it possible to develop and be enjoyed in the family. From this point of view, same-sex marriage does not support the vital need in marriage. Therefore, I agree with Justice Roberts who reckons that it is not a fundamental right but something invented artificially. What is Justice Thomas’s view of the meaning of “liberty” as used in the Due Process Clauses? Judge Thomas states that liberty within the meaning of the Founding Fathers of the United States was liberty from state regulation, but not the liberty to receive benefits from the state. He reckons that it goes without saying that those who were refused to obtain privilege for marriage from the government do not lose their dignity due to the fact the government denies them these privileges6. The government cannot bestow dignity, and it cannot pick it up as well. Although the creators of the Constitution might recognize the fundamental right to marry in the framework of the definition of liberty in the broadest sense, at the same time, it would not mean that it implies the right to state recognition and privileges. On the contrary, it was only to the right of the plaintiffs to do what they are now free to do: bring vows to carry out religious rites fastening these vows, raise a family, and enjoy the company of a husband. Incidentally, government intervention is considered unnecessary. Therefore, Justice Thomas’s outlook on the meaning of “liberty” as used in the Due Process Clauses does not recognize same-sex marriage as something should be legalized and regarded within the confines of liberty. Analyze whether under Justice Thomas’s views of “liberty,” the Supreme Court was justified in using the Due Process Clause to strike down Virginia’s ban on inter-racial marriage in Loving v. Virginia, 388 U.S. 1 (1967). We will write a custom Essay on Obergefell v. Hodge: Supreme Court Case specifically for you! Get your first paper with 15% OFF Learn More Loving v. Virginia, 388 U.S. 1 (1967) is the historic civil rights decision of the Supreme Court of the United States that established the liberty of intermarriage. All the members of the Court unanimously supported the decision. Justice Thomas is saying that the Loving v. Virginia, 388 U.S. 1 (1967) case decision was actually about letting interracial couples live together without being arrested. In the context of analysis, it seems appropriate to note that US Supreme Court Justice Thomas is married, but many years ago, such marriages were prohibited by US legislation. For nearly thirty years, African-American Clarence Thomas is married to American Virginia Thomas. Their marriage took place in 1984. The historic verdict of the Supreme Court in the case Loving vs. Virginia 1967, in which a white man and a black woman were fighting for the right to marry, in particular, marriage between persons of different races was illegal in many states. Judge Thomas says, “slaves have not lost their dignity because of the fact that the government allowed making them slaves. Those who were contained in the internment camps have not lost their dignity because of the fact that the Government has entered them into such conditions”7. Thus, one might conclude that the Supreme Court was justified in using the Due Process Clause to strike down Virginia’s ban on inter-racial marriage in Loving v. Virginia, 388 U.S. 1 (1967) from the point of Justice Thomas. According to Thomas, interracial marriages and same-sex ones are fundamentally different because the primary did not require any privileges from the state. What do you think is the primary point that Justice Scalia is making in his dissent? Support your arguments with examples from Scalia’s dissenting opinion. Among the four dissenting opinions, there is Judge Scalia. He writes that the decision showed in this court threatens American democracy. “The practice of constitutional revision by an unelected committee of nine, always accompanied (as it is today) by extravagant praise of liberty, robs the people of the most important liberty they asserted in the Declaration of Independence and won in the Revolution of 1776,” argues Judge Scalia8. The most important of these liberties is the right to self-government. According to Judge, the decision taken by the Supreme Court demonstrates that democracy in America is in serious danger. Scalia believes that his colleague’s verdict guided by extremely selfish reasons. “Most of them graduated from the same university on the East Coast of the United States, they have never held elected office, and none of them ever and never elected by the people,” he says9. Moreover, they represent only a small group of Americans, and none of them belong to the evangelical or Protestant churches. Not sure if you can write a paper on Obergefell v. Hodge: Supreme Court Case by yourself? We can help you for only $16.05 $11/page Learn More Openly ridiculing arguments in favor of the majority opinion, Justice Scalia argued that the Constitution does not contain any justification for the verdict: when in 1868 the Fourteenth Amendment was ratified, each state meant by marriage only the union consisting of one man and one woman, and there were no doubts about the constitutionality of such a state of affairs10. The limitation of marriage to one man and one woman contradicts common sense. Moreover, the support of the traditional institution of marriage is as old as government itself, and it is generally accepted among all nations in the history of up to 15 years. According to Judge Scalia debate that lasted around issues of same-sex marriages in the United States more than 20 years is an essential attribute of democracy. Therefore, the decision to legalize or ban such unions should take the voters themselves and their chosen representatives in local and federal legislatures. I consider the primary point of his dissenting in the conclusion when he claims that the very fact that a group of nine patricians who was not elected but appointed put an end to such political issues contradicts the fundamental principles of a democratic society11. Bibliography Kennedy, Justice. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556. Washington: Supreme Court of United States, 2015. Roberts, Justice. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556. Washington: Supreme Court of United States, 2015. Scalia, Justice. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556. Washington: Supreme Court of United States, 2015. Thomas, Justice. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556. Washington: Supreme Court of United States, 2015. J. Kennedy. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556. Washington: Supreme Court of United States, 2015 1. J. Roberts. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 1. J. Roberts. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 3. J. Roberts. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 3. J. Roberts. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 3. J. Thomas. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 4. J. Thomas. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 5. J. Scalia. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 1. J. Scalia. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 2. J. Scalia. Obergefell Et al. v. Hodges, Director, Ohio Department of Health Et al. No. 14–556 (Washington: Supreme Court of United States, 2015) 3.

can someone help please

can someone help please.

correct mole ration for the followingsilver to copper(II) nitrate in the reaction: Cu + AgNO3 ==> Cu(NO3)2 + Ag  oxygen to potassium chlorate in the reaction: KClO3 ==> KCl + O2 ammonia to hydrogen in the reaction: N2 + H2 ==> NH3 
can someone help please