Teenage Pregnancy speech Essay Example

Teenage Pregnancy speech Essay Example Teenage Pregnancy speech Essay Teenage Pregnancy speech Essay Essay Topic: Teenage Pregnancy To persuade the audience to support the prevention of teenage pregnancy. Thesis: The problem of teenage pregnancy should be prevented rather than glorified. Claim: Policy Organizational Pattern: Problem-solution l. Introduction A. Attention Getter: In todays society, teens are faced with many pressures. The effect of these pressures put on them is the Inability to make good decisions when It comes to certain situations. Two of the most common situations that teens find themselves pressured into have to do with alcohol and sex when they are not ready. And more often than not, the two are related. B. Relevance: Most of us, being on a college campus, have been around alcohol or drugs, whether we care to admit it or not. According to an article titled Teens Tempting Fate, accessed April 30, 2012, when sober, about 75% of teens remember to use protection. While intoxicated, only 10% remember to use protection. Boys, imagine waking up next to a random girl, not remembering what happened the night before, and then finding out a month later that she is pregnant with your child. Girls, imagine being in the same situation, but having to contact that random boy and tell him that you are pregnant. C. Credibility: A few years ago, this very problem happened to one of my friends, and I had to support her as she went through all of the hardships of being pregnant at 16. Her situation got me interested in what can be done to prevent this issue. D. Thesis: In my pollen, the problem of teenage pregnancy should be prevented rather than glorified. E. Preview: To further understand why teenage pregnancy Is such an Issue, I will first discuss some of the biggest causes of teenage pregnancy, then, the effects that media has on a teenagers view of teenage pregnancy, and finally, discuss some f the solutions that have been brought up. Transition: To begin, I will talk about some of the situations that teens are put In that can lead to becoming pregnant at a young age. II. Body A. There are many supposed causes for teenage pregnancies, some more common than others. Most high schools have a health education class. At my high school, this class was required for every student to take their sophomore year. In this class, we learned everything we would ever need to know about our bodies, Including how schools have a sex education program, for others this is not the case. I. According o Judy Cherish, in an interview conducted on April 25, 2012, the high school in her town, Princeton Texas, does not have a sex education program. In 2006, the state of Texas had the highest rate of pregnancies in the entire US. Lack of sex education is said to play a big role in teenage pregnancies. On the flip side, a lot of kids who know all about birth control are simply too scared or to embarrassed to ask about it. Girls might be afraid to ask their parents about birth control because she is afraid that her parents will be displeased that she is having sex. Boys might be embarrassed to go to the local C.V. to buy a pack of condoms. Another big contributor to teenage pregnancy is peer pressure. There are plenty of girls that have been pressured to have sex when they are not ready. When you are young and dont know the difference between right and wrong, peer pressure is an easy thing to give in to. As sad as it is, rape is another source of multiple teenage pregnancies. Sometimes the abuser is a random man, but there have been multiple cases with a friend or family member being the abuser. According to the article Causes of Teenage Pregnancies, accessed earlier this week, in a study, the abuser was at least ix years older than the victim. Transition: Whether a teenager has had a sex deed class or not, most of them have been around the media. B. Certain television shows give an unrealistic impression of what being a teenage parent is actually like. Most of us have heard of the BBC Family show the Secret Life of the American Teenager. In my opinion, this show is accidental glorification of the life on a teenage mom. According to the article The Media Addresses Teenage Pregnancy, accessed earlier this week, the show is centered on Amy, a teenage mother, and everything she goes through being a mother. Now this is where BBC Family goes wrong. Amy is offered a Job that provides free health insurance and free daycare. The father of the baby gets a Job and an apartment, and also helps out with the baby. BBC is giving teens the illusion that everything works out for a teen mother and everyone will drop everything to help out with the baby. They are not showing the realities of being a teen parent. On the other side of the argument, there are some shows that do depict the ugly truth of being a parent so young. Mats 16 and Pregnant and Teen Mom definitely make teen pregnancy look like a living hell. These woo shows reveal all of the hardships that come along on the road to being a parent, such as the tough decisions, the financial problems, and they even show the painful births. While these families no doubt are being paid buckets of money to be on this show, it does give a better view on what teenage pregnancy is actually like rather than Abss fantasy version. Although Teen Mom and 16 and Pregnant give a good example of what it is like, some girls are still desperate to have a baby, and that will never change. Transition: Finally, we will discuss some of the solutions that can help the issue. First choice would be abstinence. This is the only way to be 100% sure that you will not get pregnant, but most people who are already sexually active dont like this choice. Girls, at this age, you can talk to your doctors on your own and obtain birth control pills such as Hazy or Seasonings. If you do happen to find yourself in a situation where you would need it, Plan B is always available at the pharmacy. Plan B is simply a higher dose off birth control drug. Another very obvious option is condoms. I understand that it is embarrassing to be seen buying condoms at th e store, but honestly is it worth risking having a baby to save yourself a little embarrassment? They are cheap and there are a large variety of them. All around a much better option than risking getting pregnant. Transition: By learning about the issue of teenage pregnancy we can reduce the subject of kids having kids. Ill. Conclusion A. No matter what we do there is no way to completely eliminate teenage pregnancy. B. Kids are going to have sex no matter what because, well, they are kids. They want to feel grown up. But we can take certain steps to try to reduce the number of young pregnancies. C. So, next time you find yourself in a situation similar to this, Just remember, dont be silly, wrap your Wily!

An A to Z List of Countries That No Longer Exist

An A to Z List of Countries That No Longer Exist As countries merge, split, or simply decide to change their names, the list of countries that no longer exist has grown. The list below is far from comprehensive, but it includes the most notable former countries. Abyssinia Also known as the Ethiopian Empire, Abyssinia was a kingdom in northeast Africa. In the early 20th century, it split into the states of Eritrea and Ethiopia. Austria-Hungary A monarchy established in 1867, Austria-Hungary (also known as the Austro-Hungarian Empire) included not just Austria and Hungary but also parts of the Czech Republic, Poland, Italy, Romania, and the Balkans. The empire collapsed at the end of World War I. Bengal Bengal was an independent kingdom in southern Asia that existed from 1338 to 1539. The area has since been divided into the states of Bangladesh and India. Burma Burma officially changed its name to Myanmar in 1989. However, many countries still have not recognized the change. Catalonia Catalonia was an autonomous region of Spain. It remained independent from 1932 to 1934 and from 1936 to 1939. Ceylon Ceylon was an island country located off the coast of India. In 1972, it changed its name to Sri Lanka. Corsica This Mediterranean island was ruled by various nations over the course of its history but had several brief periods of independence. Today, Corsica is a department of France. Czechoslovakia Czechoslovakia was a country in eastern Europe. It peacefully split into the Czech Republic and Slovakia in 1993. East Pakistan This area was a province of Pakistan from 1947 to 1971. It is now the independent state of Bangladesh. Gran Colombia Gran Colombia was a South American country that included what is now Colombia, Panama, Venezuela, and Ecuador from 1819 to 1830. Gran Colombia ceased to exist when Venezuela and Ecuador seceded from the union. Hawaii Though a kingdom for hundreds of years, Hawaii wasnt recognized as an independent country until the 1840s. The country was annexed to the United States in 1898. New Granada This South American country was part of Gran Colombia from 1819 to 1830 and was an independent country from 1830 to 1858. In 1858, the country became known as the Grenadine Confederation, then the United States of New Granada in 1861, the United States of Colombia in 1863, and finally, the Republic of Colombia in 1886. Newfoundland From 1907 to 1949, Newfoundland existed as the self-governing Dominion of Newfoundland. In 1949, Newfoundland joined Canada as a province. North Yemen and South Yemen Yemen split in 1967 into two countries, North Yemen (a.k.a. the Yemen Arab Republic) and South Yemen (a.k.a. the Peoples Democratic Republic of Yemen). However, in 1990 the two rejoined to form a unified Yemen. Ottoman Empire Also known as the Turkish Empire, this empire began around 1300 and expanded to include parts of contemporary Russia, Turkey, Hungary, the Balkans, northern Africa, and the Middle East. The Ottoman Empire ceased to exist in 1923 when Turkey declared independence from what remained of the empire. Persia The Persian Empire extended from the Mediterranean Sea to India. Modern Persia was founded in the 16th century and later became known as Iran. Prussia Prussia became a Duchy in 1660 and a kingdom the following century. At its greatest extent, it included the northern two-thirds of modern Germany and western Poland. Prussia, by World War II a federal unit of Germany, was fully dissolved at the end of World War II. Scotland, Wales, and England Despite recent advances in autonomy, part of the United Kingdom of Great Britain and Northern Ireland, both Scotland and Wales were independent nations that eventually merged with England to form the United Kingdom. Sikkim Sikkim was an independent monarchy from the 17th century until 1975. It is now part of northern India. South Vietnam South Vietnam existed from 1954 to 1976 as the anti-communist counterpart to North Vietnam. It is now part of unified Vietnam. Taiwan While Taiwan still exists, it is not always considered an independent country. However, it did represent China in the United Nations until 1971. Texas The Republic of Texas gained independence from Mexico in 1836. It existed as an independent country until it was annexed to the United States in 1845. Tibet A kingdom established in the 7th century, Tibet was invaded by China in 1950. Since then, it has been known as the Xizang Autonomous Region of China. Union of Soviet Socialist Republics (USSR) For decades, this country was the most powerful communist nation in the world. In 1991, it broke into 15 new countries: Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Moldovia, Russia, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan. United Arab Republic In 1958, non-neighbors Syria and Egypt joined together to form the United Arab Republic. In 1961, Syria abandoned the alliance, but Egypt kept the name United Arab Republic for itself for another decade.

Discussion Questions Week 2 Essay Example | Topics and Well Written Essays - 750 words - 1

Discussion Questions Week 2 - Essay Example Those who are transiting between jobs can be included in this category. Frictional unemployment is that unemployment caused by information or search costs. Usually when a person quits, is fired, or enters the labour market, there are jobs available for which that person is qualified. The person will be frictionally unemployed because it takes time (and effort) to find the jobs that are available. The emerging students after the completion of their studies who are searching for jobs (new entrants), and those who are seeking better jobs than the present one (Re-entrants) can be considered frictionally unemployed. Frictional unemployment results from the day-to-day changes in a dynamic, changing economic system in which old industries die and new ones are born, in which people get tired of old jobs and old bosses, in which bosses find work of subordinates unsatisfactory, and in which new people enter and others re-enter the labour force. Frictional unemployment exists because both jobs and workers are heterogeneous, and a mismatch can result between the characteristics of supply and demand. Such a mismatch can be related to skills, payment, work time, location, attitude, taste, and a multitude of other factors. The government can advice the students about the career prospects and they can guide them through proper counseling. Proper career oriented training and schooling will help the students in attaining the desired jobs. The available jobs can be notified to the job seekers using different means and at the same time the organizations that have job vacancies should be informed about the available labour force by the government. The prejudices about the jobs and the employees can be avoided through the intervention of t he government. The government can also provide incentives to the unemployed. In this case, the number of unemployed workers exceeds the number of job vacancies, so that if even all open jobs were filled, some workers

Globalizing the Central Asia Essay Example | Topics and Well Written Essays - 1250 words

Globalizing the Central Asia - Essay Example As the American war efforts in Afghanistan comes to its end, the central Asia has started fading away from the public eyes, but the central Asian region remains a key area of the globe. The region is still not yet settled, as it is the neighborhood of both the South Asia and the eastern Asia. The region also borders Russia in the southern part. The region is being done justice by Peyrouse and Laruelle through the belief and a clear survey on how they can keep along with the outside powers (Laruelle, 27). While considering ways in which the central Asia consider themselves after going through a rough time in terms of relationship with the outside powers that surrounds them. While considering the challenges of globalization that faces the global nations that have an interest in the central Asian states. The countries that are interested in the central Asia stakes secured the states from the current recap of the great game in the nineteenth century that is between the United Kingdom and Russia. Rather than this, they give light to the little games, which are more complicated. A number of actors play the â€Å"little games† from different parts of the globes such as the American, Chinese, India, Iran, the European Union, the Russian, and the states of the Arabs that are found in the Middle East.

Summary Essay Example | Topics and Well Written Essays - 5000 words

Summary - Essay Example The major question is: What is tourism education? The other important concept to consider is to establish the difference between tourism education and tourism training. The other important question that sought to be addressed by the study is: How has tourism education developed in Indonesia? More importantly, the chapter sought to explore the concepts and methods used in delivering tourism education in the learning as well as teaching process. The chapter also sought to explore the level of tourism in the Indonesian Higher education. Tourism education has rapidly developed during the past two decades in different parts of the world. For instance, the first degrees in travel and tourism were offered in the 1980s in the UK (Messenger, 1991). This trend has slowly spread to other countries both developing and developed. Research has shown that this trend is a bit similar in developing as well as developed countries. However, there has been debate about whether to consider tourism as a discipline on its own. This is mainly because it is widely viewed as an emerging discipline which has not yet fully developed. The group that argues that tourism is a discipline on its own state that there have been different distinctive concepts peculiar to the tourism industry that have developed during the recent past (Leiper, 2000). For instance, the main destination ratio is a concept specifically meant for the tourism industry (Leiper, 1981). The Australian Standard Research Classification asserts to the notion that tourism has been long identified as However, the other group argue that tourism cannot be regarded as a discipline on its own as a result of the fact that it lacks integrated frameworks that have been developed in various disciplines in different researches. In actual fact, they argue that there are few or no theories that have been specifically developed for this area of study which means that it cannot be regarded as a

Satisfaction Rates Among Outpatients of Hospital

Satisfaction Rates Among Outpatients of Hospital Assessment of satisfaction among outpatient department (OPD) patients visiting tertiary level government hospital ABSTRACT Background Selection of an appropriate health care and measurement of its quality is very complex and elusive yet the tools of its measurement have been improving. It is easier to evaluate the patient’s satisfaction towards the service than to evaluate the quality of medical services that they receive. (1) Therefore, a research on patient satisfaction can be an important tool to measure of health system performance and improve the quality of services. (2,3). Satisfaction manifests itself in the distribution, access and utilization of health services. Objective: The main objective of this study is to measure the satisfaction of OPD (Outpatient Department) patients in tertiary care public health facility namely Guru Gobind Singh govt. Hospital, Jamnagar, Gujarat. Materials and Methods: Data were collected from a pre-tested pre-structured questionnaire from 322 patients who gave the verbal consent at the end of their O.P.D visit at tertiary health facility, Guru Gobind Singh Government Hospital, Jamnagar for days from to. The items in the questionnaire referred to particulars of the patients such as age, gender, education, occupation, income, family type etc.; perception of patients towards doctor , paramedical staff, basic amenities and quality of care. The responses were expressed in proportions. The data was tabulated on Microsoft Excel sheet and analyzed using EPI info. Results –Although majority of patients were satisfied with the availability of medicines; availability of information on illness, treatment and prevention; doctor’s patience, compassion and dedication but most of the patients were not satisfied with the behaviour of hospital personnel ;delay in reception of investigation reports ;unhygienic toilets and improper cleanliness of hospital; and lack of availability of drinking water . INTRODUCTION Quality care is the most important dimension of public health and it has emerged as an internationally important aspect in the health care services provision. This quality of care can be measured in terms of structure, process and outcome. Structure refers to the basic infrastructure and facility, process refers to the way the care is delivered and outcome refers to the end result. (4) While measuring health outcome and quality of patient care services, patient’s satisfaction is considered to be important component. Patients’ perceptions about health care systems and his satisfaction seem to have been largely ignored by health care managers in developing countries (12). The outcome of any disease is influenced not only by the appropriate diagnostic and treatment services but also the receipt of satisfactory care from service providers. A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical provider, leading to improve compliance, continuity of care and ultimately better health outcome. But it is difficult to measure the satisfaction and gauze responsiveness of health systems as not only the clinical but also the non-clinical outcomes of care do influence the patients’ satisfaction ,(5)such as: Quality of clinical services provided, availability of medicine, behavior of doctors and other health staff, cost of services, hospital infrastructure, physical comfort, emotional support, and respect for patient preferences.(6) Mismatch between patient expectation and the service received is related to decreased satisfaction.(7) Therefore, assessing patient perspectives gives them a voice, which can make public health services more responsive to people’s needs and expectations.(8,9) In the recent past, studies on patient satisfaction gained popularity and usefulness as it provides the chance to health care providers and mangers to improve the services in the public health facilities. Patients’ feedback is necessary to identify problems that need to be resolved in improving the health services. Even if they still do not use this information systematically to improve care delivery and services, this type of feedback triggers a real interest that can lead to a change in their culture and in their perception of patients. (10) OPD is the window to any health system and OPD care indicates the quality care of hospital reà ¯Ã‚ ¬Ã¢â‚¬Å¡ected by patient’s perception in terms of satisfaction to the services they are provided.(11)This study was therefore undertaken at OPDs of tertiary level health facility in Jamnagar to measure patient satisfaction. The main objective of this paper is to know the desired level of services as perceived by the patients about various components of out-door patient department (OPD) services. In this study, the OPD is defined as the hospital’s department where patients received diagnoses and/or treatment but did not stay overnight. MATERIALS AND METHODS Study design: Institution based cross-sectional study. Study population: The present study was conducted among the patients attending the outpatient department (OPD) of Guru Gobind Singh government hospital, Jamnagar. Period of study: The period of survey was days from to. Sampling frame: The sampling frame consisted of the outpatient department (OPD) of Guru Gobind Singh government hospital, Jamnagar. . Sample size: fifty percent of the OPD patients. Sampling technique: random sampling technique. The sampling population was interviewed from the most frequented OPDs (Medicine, General surgery, Obstetrics and Gynecology, Paediatrics, Orthopedics, Otorhinolaryngology, Ophthalmology, Skin, Tuberculosis and Chest diseases) according to probability proportion to size based on the past years OPD attendance. Inclusion criteria: A new or referred patient attending the OPD of the respective health care facility who gave verbal consent, Exclusion criteria: Patients working in the health care facility and patients admitted (indoor patients) and follow-up patients attending the OPD of the respective health care facility, who didn’t gave verbal consent or gave incomplete information, were excluded from the study. Selection of patient: The patients attending the OPD of the respective health care facility were selected for the interview by systematic random sampling. Depending upon the previous attendance of the particular department and the time taken to complete the interview, a random number was chosen and every nth patient was selected for the interview. This process was continued till the required sample size was completed. Tools of data collection: Permission to conduct the study was taken from the superintendents of the concerned health care facility. All the patients were interviewed after they had consulted the doctor. Informed verbal consent was taken from all the participating patients before the start of the interview after telling them about the objective of the study and the approximate time that will be involved in the completion of the interview. The prescribing doctor was largely kept unaware of the procedure, except in unavoidable circumstances, to avoid the bias in their behaviour with the patient. A pre-tested pre-structured questionnaire was used to record information taking the key elements of socio-demographic characteristics and perception of the patients regarding quality of services available at the outpatient health care facility. Analysis Data was tabulated on Microsoft Excel sheet and analyzed using the software Epi Info version 6. OBSERVATIONS AND RESULTS:- Table 1-socio-demographic profile of the patients:- Among all the subjects interviewed during the data collection, 322 were included in the statistical analysis and the remaining were not included, because of incomplete information. A majority (56.21%) of the responders were male. The mean ages of the responders were years .About 40% of the responders were illiterate. About half (56%) belonged to a joint family. Nearly half of the study subjects belonged to the lower socioeconomic status category as per the Kuppuswamy classification. TABLE 2-PATIENTS’ PERCEPTION OF THE QUALITY OF SERVICES AVAILABLE (n =322) The results regarding each question are shown in Table 2. Most of the respondents were satisfied with the availability of medicines, also they were able to get the medicines easily. Most of the respondents agreed that complete information was provided to them on the illness, treatment, and the methods to avoid illness. Almost half (48%) of the patients were not satisfied with the politeness of the hospital personnel. More than half (61%) of the patients stated that hospital personnel were not helpful. 59 % patients said that the doctor did not give them adequate time while 60% of the patients said that the doctor has given enough time to listen completely to their complains. 57% of the patients were satisfied that the doctor has checked carefully and was readily answering their questions. Almost 50% of the patients were told that the doctor gave them adequate time and didn’t rushed. 42% patients couldn’t easily locate the place of investigation. 55% of the patients didn’t receive their reports in time. 57% of the patients were not satisfied with the cleanliness of the hospital. 69% of the patients were not satisfied with the toilet conditions. 59% of the patients stated that drinking water wasn’t available in the hospital. TABLE – 3: QUALITY OF CARE Overall 66.45% respondents termed the hospital services as satisfactory, 62.11% were satisfied with the treatment given, but 52.48% stated that the services provided were not worth the money spent, and 40.99% replied that they would not like to visit the facility again in future. [Table 3]. DISCUSSION In our current study, patients were satisfied with the ease of availability of the required medicines while in a study done by Sivalenka (13) medicine supply was an area of concern. Most of patients were satisfied with the information provided to them about illness, its treatment and prevention. Patients were not very satisfied with the behaviour of the hospital personnel .lack of monitoring of staff, due to very high patient load, could be the reason for this. It was observed during the study that the ultimate satisfaction of the patient is their rapport with the doctor. A patient forgets the pain he faces to reach the doctor if the doctor sees him with patience and compassion. In our study, most of the patients were satisfied with the behaviour of the doctor, which was similar to the result of study by Kumar et al (14). More than half of the patients were not satisfied due to the delay in reporting time of the investigations thereby increasing their waiting time which is similar to other studies (17-18). Some of the responder cited inability to locate the departments as a constraint. Lack of proper sign boards leads to difficulty in locating the departments. A good number of patients were not satisfied with the cleanliness of the hospital. Also most of them were not satisfied with the condition of the toilets. As compared with private sector, government hospitals lack in general cleanliness and hygienic toilets, thereby leading to severe patient aversion and dissatisfaction, which needs to be improved .similar findings have been observed in some other studies (13-16) As observed in our study, Overall level of satisfaction of patients towards government tertiary care health facility is low, although patients appeared to be satisfied with the doctors, which seems to be a strong reason of their still existing faith in the tertiary care government hospital. Thus we need to improve the rest of the factors so as to keep up to the expectations of the patients ,thereby try to fulfill the basic need of patient- which is readily available ,easily accessible, and satisfactory health services for all. CONCLUSIONS Efforts should be made to reduce the patient load at the tertiary level facilities so that doctors and other staff can give more attention and time to the patients. The findings of the present study can be utilized to improve the services at public health facilities of the state resulting in the more satisfaction of patients availing such public health facilities. REFERENCES (1)Study on Patient Satisfaction in the Government Allopathic Health Facilities of Lucknow District, India, Ranjeeta Kumari et al Indian Journal of Community Medicine / Vol 34 / Issue 1 / January 2009 (2) White B. Measuring patient satisfaction: how to do it and why to bother. Family Practice management [serial online] January 1999; [9 screens]. Available from: http://www.aafp.org/ fpm/990100fm/40.html. (3) How satisfied are your patients? Family Practice Management April 1998; [2 screen]. Available from: http://www.aafp.org/ fpm/980400fm/fpstats.html (4) Measuring patient satisfaction: A Cross sectional study to improve quality of care at a tertiary care hospital. – by Andrabi Syed Arshad et.al. Healthline ISSN2229-337X Volume 3 Issue 1 January-June 2012 (5) Agrawal D. Health sector reforms: Relevance in India. Indian J Community Med 2006;31:220-2. (6) Jenkinson C, Coulter A, Bruster S, Richards N, Chandola T. Patients’ experiences and satisfaction with health care: Results of a questionnaire study of specific aspects of care. Qual Saf Health Care 2002;11:335-9. (7)McKinley RK, Roberts C. Patient satisfaction with out of hours primary medical care. Qual Health Care 2001;10:23-8. (8)World Health Organization. The World Health Report 2000-Health Systems: Improving Performance. Geneva: WHO, 2000. (9) Rao KD, Peters DH, Bandeen-Roche K. Towards patient-centered health services in India- a scale to measure patient perceptions of quality. Int J Qual Health Care 2006;18:414-21. (10) 6. Boyer L, Francois P, Doutre E, Weil G, Labarere J. Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital. Int J Qual Health Care 2006;18:359-64. (11) Assessment of Client’s Perception in Terms of Satisfaction and Service Utilization in the Central Government Health Scheme Dispensary at Kolkata, D Haldar, AP Sarkar, S Bisoi1, P Mondal2Indian Journal of Community Medicine, Vol. 33, Issue 2, April 2008 (12) Measuring Patient Satisfaction: A Case Study to Improve Quality of Care at Public Health Facilities. Prahlad Rai Sodani. Indian Journal of Community Medicine / Vol 35 / Issue 1 / January 2010 (13) Sivalenka S. Patient satisfaction surveys in public hospitals in India. Available from: http://www.rand.org. [Last accessed on 2011 Feb 16] (14) Kumari R, Idris MZ, Bhushan V, Khanna A, Agarwal M, Singh SK. Study on patient satisfaction in the government allopathic health facilities of Lucknow district, India. Indian J Comm Med 2009;34:35à ¢Ã¢â€š ¬Ã¢â‚¬Ëœ42 (15) Peerasak L, Surasak B, Pattanawadi U. Patient satisfaction on health service at the family medicine learning centers. Chiang Mai Med Bull 2004;43:67à ¢Ã¢â€š ¬Ã¢â‚¬Ëœ76. (16) Bhattacharya A, Prema Menon P, Vipin Koushal V, Rao KL. Study of patient satisfaction hospital in a tertiary referral hospital. J Acad Hosp Adm 2003;15:29à ¢Ã¢â€š ¬Ã¢â‚¬Ëœ31 (17) Measuring patient satisfaction a case study to improve quality of care at public health facilities / Ind jcom. Med Vol 35 issi 1 jan 2010, 52-56. Prahlad Rai Sudani et.al. (18)Patient satisfaction with out of hours primary medical care. Quality in health care,2001;10:23-28 R K McKinley, C Roberts.

Prozac :: essays research papers

Prozac Classification   Ã‚  Ã‚  Ã‚  Ã‚  Fluoxetine is a legal prescribed medication (Fluoxetine, 2000). The brand name of this drug is Prozac (Fluoxetine, 2000). Fluoxetine belongs in a category of drugs called selective serotonin prescription (PDR, 2000). This is a synthetic drug (Fluoxetine, 2000).reuptake inhibitors (SSRIs) (PDR, 2000). Prozac is not a controlled substance but needs a Usage   Ã‚  Ã‚  Ã‚  Ã‚  Prozac is used as an antidepressant, antiobsessional and antibulimic medication (Fluoxetine, 2000). Prozac is presumed to inhibit the reuptake of serotonin (Fluoxetine, 2000). In patients with depression it relieves symptoms of the illness (Fluoxetine, 2000). For those with bulimia nervosa Prozac was shown to decrease binge eating and purging when compared to a placebo (Fluoxetine, 2000). In obsessive-compulsive disorder it significantly reduces the symptoms (Fluoxetine, 2000). Usage: Epidemiology   Ã‚  Ã‚  Ã‚  Ã‚  The use of Prozac is so wide spread that since its release over ten years ago thirty-five million have been prescribed world wide in over one hundred different countries (PDR, 2000). Over seventeen million patients have been prescribed Prozac in the United States alone (PDR, 2000). Prozac is the worlds most prescribed antidepressant (PDR, 2000). Warnings   Ã‚  Ã‚  Ã‚  Ã‚  Allergic reactions have been noted in some patients; these include: rash, fever, edema, and carpal tunnel syndrome (Fluoxetine, 2000). If these reactions persist and no other cause can be found treatment with Prozac should be discontinued (Fluoxetine, 2000). Precautions   Ã‚  Ã‚  Ã‚  Ã‚  During the clinical trials anxiety and nervousness were reported by ten to fifteen percent of patients (Fluoxetine, 2000). Persons already underweight and depressed showed significant weight loss when on Prozac (Fluoxetine, 2000). Prozac should be used with caution in patients with convulsive disorders (Flouxinte, 2000). The possibility of suicide is greater in those patients who are depressed; therefore Prozac should be administer with supervision to these patients (Fluoxetine, 2000). This medication should be only given to patients with anorexia nervosa if the benefits outweigh the risks (Fluoxetine, 2000). Prozac became the worlds most prescribed antidepressant herald of its â€Å"transformative powers† (Cash, Brown, 2000). Among side effects are appetite reduction and weight loss (Cash, Brown, 2000). In a study of college age women the knowledge of prozacs weight loss properties increased the likelihood of a woman deciding to try the drug (Cash, Brown, 2000). The women said they would choose Prozac regardless of the side effects if one of the main effects was weight loss (Cash, Brown, 2000). Women’s perceived notions about being thin outweighed their concerns about the possible negative side effects of Prozac (Cash, Brown, 2000). Patients with diabetes may have altered glycemic rates while on this medication (Fluoxetine, 2000). I have found conflicting reports on the use of Prozac and the pregnant woman. I will give them both consideration in this report. Prozac :: essays research papers Prozac Classification   Ã‚  Ã‚  Ã‚  Ã‚  Fluoxetine is a legal prescribed medication (Fluoxetine, 2000). The brand name of this drug is Prozac (Fluoxetine, 2000). Fluoxetine belongs in a category of drugs called selective serotonin prescription (PDR, 2000). This is a synthetic drug (Fluoxetine, 2000).reuptake inhibitors (SSRIs) (PDR, 2000). Prozac is not a controlled substance but needs a Usage   Ã‚  Ã‚  Ã‚  Ã‚  Prozac is used as an antidepressant, antiobsessional and antibulimic medication (Fluoxetine, 2000). Prozac is presumed to inhibit the reuptake of serotonin (Fluoxetine, 2000). In patients with depression it relieves symptoms of the illness (Fluoxetine, 2000). For those with bulimia nervosa Prozac was shown to decrease binge eating and purging when compared to a placebo (Fluoxetine, 2000). In obsessive-compulsive disorder it significantly reduces the symptoms (Fluoxetine, 2000). Usage: Epidemiology   Ã‚  Ã‚  Ã‚  Ã‚  The use of Prozac is so wide spread that since its release over ten years ago thirty-five million have been prescribed world wide in over one hundred different countries (PDR, 2000). Over seventeen million patients have been prescribed Prozac in the United States alone (PDR, 2000). Prozac is the worlds most prescribed antidepressant (PDR, 2000). Warnings   Ã‚  Ã‚  Ã‚  Ã‚  Allergic reactions have been noted in some patients; these include: rash, fever, edema, and carpal tunnel syndrome (Fluoxetine, 2000). If these reactions persist and no other cause can be found treatment with Prozac should be discontinued (Fluoxetine, 2000). Precautions   Ã‚  Ã‚  Ã‚  Ã‚  During the clinical trials anxiety and nervousness were reported by ten to fifteen percent of patients (Fluoxetine, 2000). Persons already underweight and depressed showed significant weight loss when on Prozac (Fluoxetine, 2000). Prozac should be used with caution in patients with convulsive disorders (Flouxinte, 2000). The possibility of suicide is greater in those patients who are depressed; therefore Prozac should be administer with supervision to these patients (Fluoxetine, 2000). This medication should be only given to patients with anorexia nervosa if the benefits outweigh the risks (Fluoxetine, 2000). Prozac became the worlds most prescribed antidepressant herald of its â€Å"transformative powers† (Cash, Brown, 2000). Among side effects are appetite reduction and weight loss (Cash, Brown, 2000). In a study of college age women the knowledge of prozacs weight loss properties increased the likelihood of a woman deciding to try the drug (Cash, Brown, 2000). The women said they would choose Prozac regardless of the side effects if one of the main effects was weight loss (Cash, Brown, 2000). Women’s perceived notions about being thin outweighed their concerns about the possible negative side effects of Prozac (Cash, Brown, 2000). Patients with diabetes may have altered glycemic rates while on this medication (Fluoxetine, 2000). I have found conflicting reports on the use of Prozac and the pregnant woman. I will give them both consideration in this report.