...Health care providers may use placebos intentionally or unintentionally. When used intentionally, as in giving a sugar pill for pain or prescribing oral vitamins for fatigue, an element of deception is involved. The doctor does not believe the treatment is effective for the condition but believes it will be helpful for the patient because of the patient’s belief in the doctor’s prescription. This is an ethically compromised position regardless of the possible benefit to be derived and usually is not considered acceptable practice. Unintentionally, providers often create placebo responses just by their enthusiastic endorsement of and belief in a treatment. In this case, there is no deception, as the provider genuinely believes in the treatment...
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...HUMAN BEHAVIOUR ESSAY 1993. Topic 10: Discuss the concept of the Placebo Effect and how it pertains to the real-life practice of Pharmacy and Medicine. "The Power of Thought - the Magic of the Mind!" (Lord George Byron. Cited by K.L. Roberts, 1940). How true, the human mind is undoubtedly quite magical. It's complexities stretch beyond our own horizons of comprehension and reach out into the mystic of the unknown. The mind possesses powers unrivalled by anything else - powers which extend to the self-healing of the human body with no aid other than faith - alias `the power of thought!' The use of the Placebo in medicine and pharmacy harnesses this incredible power and instigates the phenomenal self-healing process. The `Placebo Effect' has been used extensively throughout the history of medicine. Physicians have discovered the power of the human mind in healing and have tried to utilise this to it's full potential in all applicable aspects of therapeutic intervention. This report aims to discuss the Placebo Effect, it's power and history in relation to other forms of therapy, Case studies, the Ethical issues involved and whether they should be used or not. The `Placebo Effect' was defined by Wolf as "any effect attributable to a pill, potion or procedure but not to it's pharmacodynamic or specific properties" (Wolf, 1959. Cited by H.Brody, 1980). To date, the placebo has played a dynamic role throughout the history...
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...Rhetorical Analysis Essay My argument about direct-to-consumer advertising of prescription drugs is that, it should be changed to something better. My reasons for making this argument is that Elizabeth Almasi and Randall Staffords showed a lot pathos and logos but did not show any ethos. Peter Mansfield argues about replacing the DTCA with something new also showing a solution to the problem. Richard Kravitz uses a lot of all three pathos, logos, and ethos, in his argument about regulating it. Some background about the debate on whether the DTCA should be banned, regulated, or changed is which one is going to be beneficial for the public. The first viewpoint, Elizabeth Almasi and Randall Staffords, shows that advertising prescription medicines could trigger a placebo effect. The effect is serious given that one-third of patients reported that the had relief from coughs, headaches, depressions while given a placebo. There are two models that explain the placebo phenomenon, the first model classical conditioning which is a learning process that occurs when two stimuli are repeatedly paired. “According to this theory, prior experiences with effective medical treatments “condition” the patient to associate pills, syringes, and authoritative medical options with imminent pain relief, eliciting a response similar to the active agent” (Almasi 107). Second...
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...What factors contributed to Prozac becoming a blockbuster drug? Explain how each factor contributed and what management decisions helped the drug’s success. The following factors contributed to Prozac’s success: • Prozac’s low side effects and toxicity: The many drugs that were available before Prozac, such as tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) for treating depression, were too toxic or tricky to use except by trained psychiatrists. In the early 1970s, Ray Fuller, a senior Lilly pharmacologist, had been following new European research showing that a low concentration of serotonin in the brain was linked to depression. A Lilly chemist Bryan Malloy had synthesized some compounds intended to boost serotonin without the side effects of the TCAs. Human research data produced consistent and positive data. The new lower dose human studies revealed that 20 mg once a day was better than placebo and just as effective as TCAs taken multiple times a day. Prozac also produced fewer side effects, and was not lethal in overdose. Dropout rates on Prozac were comparable to the other TCAs and lower than for placebo that contributed to its success. • Thoughtful Marketing Launch Plan: When Prozac was launched in January 1988, Ken Cohen, the Marketing Manager made sure that Lilly was fully educated about depression, serotonin, and the practice of psychiatry in general. This was necessary because Lilly didn’t know the psychiatry field and...
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...Rationale I have selected Bell’s palsy as a minor health subject for critical analysis for three principal reasons. Firstly, it is the most common disorder affecting the facial nerves (Ardour, 1978). Secondly, research has noted that there appears little consensus in the literature regarding the causes and management of Bell’s palsy. Additionally the diagnosis is one of elimination. Tiemstra and Khatkhate (2007) demonstrate there are many other conditions which can mimic symptoms (See appendix one). I therefore wanted to analyse the available literature in order to be able to competently and safely recognise the condition in the urgent unscheduled care environment. Background Petruzelli (1991) states that Bell’s palsy is an acute paralysis of the facial nerve first described by the Scottish surgeon and anatomist, Sir Charles Bell . Niparko (1993) elaborates that it is a generally unilateral paralysis or weakness of facial musculature consistent with facial nerve damage and dysfunction. The anatomy of the facial nerve can be found in appendix two. Pietersen (2002) states that the cause is unknown, however, whilst the exact aetiology of Bell’s palsy is still debated, viral infections, vascular ischaemia, autoimmune inflammatory disorders and heredity have been postulated as causative. (Adour 1982, Burgess 1984, Lorber 1996). Murakami et al (1996) proposed that reactivation of herpes simplex virus in the geniculate ganglia was causative. A herpes simplex cause is corroborated...
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...2015 Todd Marbury Dr. Lauren Goldstein Intro to Psychology June 7, 2015 2015 Todd Marbury Dr. Lauren Goldstein Intro to Psychology June 7, 2015 Retrospective Analysis of Personality Retrospective Analysis of Personality Through the years I wondered what made me change my personality towards the way I look at things but now I see why I drastically made these changes due to the different people and environments I have been. I have changed in too many ways to recount all of them, but a few I will list. In this essay I will discuss the aspect of my life that has and has not changed, analyze the role of nature and nurture within my personality and discuss why most memories are bias, which makes systemic scientific more valued than individual accounts. Psychologists strive to understand how personality develops as well as how it influences the way we think and behave. This area of psychology seeks to understand personality and how it varies among individuals as well as how people are similar in terms of personality. While there is no single agreed upon definition of personality, it is often thought of as something that arises from within the individual and remains fairly consistent throughout life. It encompasses all of the thoughts, behavior patterns, and social attitudes that impact how we view ourselves and what we believe about others and the world around us. Understanding personality allows psychologists to predict how people will respond in certain situations and...
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...the thesis sample chapter 1, 2 , 3 CHAPTER I The Problem Introduction Tertiary education or post-secondary schooling is referred to in Education Act of 1982 as “higher education leading to a degree in a specific profession or discipline.” This is to provide a general education program that will promote national identity, cultural consciousness, moral integrity and spiritual vigor, train the nation’s manpower in the skills required for national development, to develop the profession that will provide leadership for the nation; and to advance knowledge through research work and apply new knowledge for improving the quality of human life and responding effectively to changing societal needs and conditions. (Aquino, 2003) According to Aquino (2003), a careful scrutiny of the aforementioned objectives will suffice to impress in the people’s minds the crucial importance of tertiary or college education. There are numerous reasons that college education is important. Among these reasons are gaining advantage over competition, demonstrating aptitude in a specific area and the fact that many job opening require a college degree are few of the top reasons. (http://www.degreedirectory.com). Moreover, college education many more opportunities in working life, especially for higher paid jobs and the chance to work with and be taught by some of the finest and most knowledgeable people. (http://www.importanceofcollege.com). McGuire (2010) stressed that getting a college education is...
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...most people will have experienced personally, whether aware of it at the time or not. An example of this might be driving a car along a regular route and arriving at the destination with no memory of the journey, having performed the activity safely and reliably while in another sense being quite detached from the experience. This altered level of consciousness is the starting point for the hypnotic process through an induction which focuses on relaxation, inner experiences, feelings and imagery (Heap & Naish, 2012: 7). It is generally accepted that hypnosis is a different experience to that of being awake or being asleep but debate remains over its true nature within academic and scientific circles (Karle & Boys, 2010:14). This essay will discuss the nature of hypnosis, focusing on the psychological and physical aspects while touching on the role of relaxation. Hypnosis is a complex psychological phenomenon and one which is difficult to find an agreed definition for. Indeed the American Psychological Association definition of hypnosis in 2003 is almost 300 words long but centres around hypnosis being a procedure of suggestions where one person (the subject) is guided by the other (the hypnotist) to respond to suggestions around subjective experience, changes in perception, sensations, thoughts or behaviours (Green et al, 2005). Hypnosis has also been helpfully and simply described as “focusing the attention in the suggested direction” (Mende, 2009) where the direction...
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... 1). Extensive research and studies show that natural remedies are better than antidepressants for treating depression because there are fewer side effects, more health benefits and according to most studies, antidepressants are no more effective than placebos. Although there are many natural remedies for treating the symptoms of depression, this paper will focus on St. John’s Wort, omega-3 fatty acids, SAM-e and exercise. These four natural remedies are the most widely used and studied alternatives to treating depression. Side Effects According to Dr. Hyla Cass (2007) and a study done in 1998, prescription medication puts more than one million people in the hospital every year. The study also states that prescription medication kills more than one hundred thousand people per year. Doctor Cass (2007) states that there are almost no deaths from herbal use and that the side effects from herbs are usually mild. One report says that for every one million people prescribed antidepressants in a year, 30.1 of them will die from an overdose. Doctor Cass (2007) quotes Norman Farnsworth, Ph.D., (as cited in Cass, 2007) saying that “plants cause less toxic problems than any other known substances and that complications from herbal medicine are rare,” (p. 1-2). Side Effects of Antidepressants When using antidepressants, the side effects are, more often than not, much worse than dealing with the sadness that people feel. Many...
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...INTRODUCTION The purpose of this essay is to conduct a comprehensive critical appraisal of a research paper titled ‘Chloramphenicol treatment for acute infective conjunctivitis in children in primary care’ that was carried out by Rose et al. (2005) in the United Kingdom (UK). The aim of evaluation is to critically concentrate on the strength and limitation of the study. Firstly, a clear definition of critical appraisal and its importance will be highlighted, going on further will be the critical, analysis, discussion and evaluation of the peer reviewed paper contents so as to ascertain the validity and reliability of the study. Therefore, a conclusion will be drawn to learning its significance in public health. BACKGROUND Critical Appraisal...
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...of evidence supporting the use of Antibiotics in the treatment of Acute Otitis Media in children to prevent Mastoiditis. 4. Reference List 5. Appendices: i. SECAMB Clinical Management Plan/Patient Group Directive ii. FIGURE 3 - Thompson et al (2009) A review of evidence supporting the use of Antibiotics in the treatment of Acute Otitis Media in children to prevent Mastoiditis. Student no 18830 Rationale The Paramedic Practitioner (PP) role has recently adopted a number of Clinical Management plans and Patient Group Directives (PGD) increasing the scope of practice. One such PGD (Appendix i) allows for the utilisation of antibiotics, namely Amoxicillin and Clarithromycin, for the treatment of Otitis Media (OM). This essay will look at the evidence supporting the use of these antibiotics, their efficacy and if early use prevents OM from developing in to Mastoiditis. Its primary aim is to enhance a PP’s knowledge and support education working towards clinical autonomy. Description Otitis Media literally means inflammation of the middle ear (Merriam-Webster 2011) and is predominantly caused by an effusion with in the middle ear caused by Eustachian tube dysfunction (Dhillon and East, 1994, pp 7). This dysfunction is caused by a relative obstruction of the Eustachian tube that creates a negative air pressure within the middle ear. Over time interstitial fluid is drawn in from the surrounding tissue resulting in the effusion (Natal 2011). Eustachian tube dysfunction...
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...Live-High Train-Low ("LHTL") is a new altitude training method. It is the most popular hypoxic training method used by athletes in order to improve endurance performance (Wilber 2007). It allows hypoxic acclimatisation without the detraining that may occur when training at high altitude (Álveres- Herms et al 2015). This essay will look to explore the main mechanisms behind which LHTL brings about an improvement and discuss whether this leads to an increase in sea level athletic performance. The main ways LHTL brings about improvements are accelerated erythropoiesis, improved exercise economy, increases in skeletal muscle buffering capacity, and increased skeletal muscle NA, K, ATPase activity. Furthermore, the fact that sea level training...
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...Outlined evolution and the idea of nativism and heredity Jean Baptiste Lamarck-studied heredity Phineas Gage- Brain injury has the ability to affect behaviour II. Key Concepts Heredity- influence of genes Nativism- certain traits are inately hardwired at birth Evolution Hemisphere specialization Neurotransmission Localization Evolution Selye’s General Adaptation Syndrome (GAS = Alarm, Resistance, Exhaustion) Biological preparedness Basic Assumptions There are four main basic assumptions of the biological perspective: Behavior is biologically determined Behavior has a genetic basis Localization of function Animals may be used to help understand human behavior Which basic assumption would be the easiest to write an essay about? -Behavior is biologically determined Research to use in supporting this assumption: Phineas Gage- After a physiological injury to the frontal lobe, Gage experienced a significant personality change and became more vulgar, impatient, and obstinate. Methods of Investigation The main...
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...Prior to the adoption of SSRIs, a family of drugs called Tricyclic antidepressants (TCAs) were prescribed to people with mood disorders. A meta study by Rossi, Barraco, and Donda (2004) found that Fluoxetine was as effective as TCAs while having more benign side effects and therefore a lower rate of discontinuation. However, it will be noted further down in this essay that a contradictory position exists. The reason why Prozac and similar drugs are so popular, might not have so much to do with how effective they are, which there is substantial doubt about, but in the perception of the public that they are effective. This belief is due to the heavy marketing behind drugs in general and antidepressants in...
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...The purpose of this paper is to explain the benefits of the legalization of marijuana and explain the facts; it currently has on society, and what it may have in the future. In the essay, I will attempt to answer a few big questions that people have about the legalization. Such as: How will it affect our criminal system? How does it help us medically? Are there are monetary gains for our government? What could happen if it's not...
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