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 The Placebo Effect On Patients
The placebo effect is a widely known phenomenon where patients are given some form of dummy
medication in place of actual medication that produces the same effect as the real medication would
have. They intend to help stimulate areas of the brain that may prompt the release of chemicals such
as endorphins to aid in the relief of the symptom. Tests have shown that forms such as injections
psychologically perform better than pills, because of the slight painthat injections bring ( Freeman,
Shanna. How the PlaceboEffect Works. HowStuffWorks. HowStuffWorks.com, 13 Jan. 2009. Web.).
Because of the pain, people tend to believe that the medication would work better. Placebos can be
used to treat multiple different diseases, but has been... Show more content on Helpwriting.net ...
Is the Placebo Effect in Some People s Genes? Reuters. Thomson Reuters, 16 Apr. 2015. Web.). If a
placebo is effective, the brain releases certain chemicals that depend on the expected effect, such
as dopamine or endorphins, to counteract the symptoms or effects the patient may be feeling. In
theory, if a patient were to have higher endorphin levels in the brain, they too would have a
higher chance of the placebo effect taking place, depending on their symptom. Both endorphins
and dopamine can be released in cases to do with pain. According to the classical conditioning
theory (Lemoine, Patrick. Medscape Log In. Medscape Log In. Medscape, 9 Oct. 2015. Web.),
taking a pill provides a stimulus that can provoke a reaction from the brain. Different methods a
placebo can be taken or used range from pills and injection, to surgery. With research, placebo
injections showed to be more effective than orally ingested pills, possibly to do regarding the slight
pain that injections bring. The patient is more likely to believe the medication would work because
of the minor pain (Brynie, Faith. The Placebo Effect: How It Works. Psychology Today. Brain
Sense, 10 Jan. 2012. Web.). Generally, the expectation of the medication to work causes the effect to
take place, due to the brain influencing itself into releasing chemicals that may aid in symptom relief.

This phenomenon has also helped in aiding various

 Client Profile Assignment
Client Profile Assignment As nurses we deal with several different patients in a day and it is
important to understand the patient as a whole person to treat them effectively. The purpose of
this assignment is to explore a patients disease to understand the nursing judgments and
interventions that go with this patient, to understand medications for this diagnosis, and to
understand the disease the patient was diagnosed itself. The patient described in this paper will
be referred to as Jonathan to ensure patient confidentiality. Demographics Jonathan is a 63 year
old man, born on August 23rd, 1956 and lives with his eldest son. He was married two times and
has three children, two children from his first marriage and one from his second. He lives in
northern Ontario but originally was not born here, he moved here shortly following his second
divorce. He is of Italian decent and is a practicing Catholic. The patients weight is 95 kilograms;
he is 178 centimeters all and has a body mass index (BMI) of 28.3. Jonathan says he smokes
around one pack of cigarettes a day, does not get a lot of exercise and eats fast food a few times a
week. The patient now has congestive heart failure as a consequence of his MI. He was transferred
from another hospital in the beginning of November and currently is waiting for more testing before
he can be discharged from the hospital or moved to another facility. The patient has some known
comorbidities that can exacerbate his CHF, this includes
 Poverty And Inequity In Education
Discussing Poverty and Educational Inequity in The Prize
Poverty and inequity in education intersect one another while also relating to Tozer s analytic
framework, which consists of the social phenomena of schooling, political economy, and ideology as
the corners of a triangle. This three part structure is a way to represent the factors influencing the
educational system. To be specific, education inequity is defined as the unfair treatment in education
to students due to aspects such as gender, ethnicity, and family background. Poverty is unfortunately
synonymous with educational inequity in that the struggles of living on a meager amount of income
are often due to low levels of education, and poverty usually results in less access to good education
for the next generation.
Newark schooling is negatively affected by the poverty, and events such as the 1967 Newark
Rebellion have inadvertently set Newark back. In Dale Russakoff s book The Prize, the city is
shown to be recovering from the major flips in its demographic and socioeconomic makeup during
years of conflict. Who could afford to move has moved out to suburbs, and the area left behind is
often taken over by gangs and drug dealers (Russakoff 15). Family situations and the high levels of
poverty prevent kids from focusing on school; parents desperately want a good education for their
kids, but they do not have access to good public schools. The inequity in resources at school is
tangible: some class libraries consist of nothing but comic books (Russakoff 17). Additionally,
strong tenure protections exist, meaning it is difficult to bring in more effective teachers who
would focus on helping kids exceed their potential. The clash between teacher unions and
reformers leads to the question were the battles waged in their [children s] name really improving
young lives? (Russakoff 7). This quotation from The Prize encapsulates how poor schooling and
poverty relate to the political economy of changing the schooling system and the ideology of how
to change it. As the majority of the public is unaware of the collective power it wields, the issue of
how to change the schooling system rests solely in the hands of government and education officials.
The public
 Angola Regulatory System and Infrastructure
Regulatory

Angola s ordinary corporate tax is 35 percent, with a reduced rate of 20 percent for agricultural and
forestry enterprises. The government offers a variety of corporate tax exemptions, reductions, and
exemptions from real estate taxes on land and buildings as investment incentives. Income tax for
individual s ranges from 1 40 percent for employees, and 3 60 percent for self employed
professionals. Inheritance and gift taxes are also added along with a payroll tax for social security.
The main indirect tax is manufacture s sales tax with rates ranging from 5 percent to 50 percent on
listed product (nationalencyclopedia.com).

Taxation:

Companies carrying out industrial and commercial activities in Angola are ... Show more content on
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Tariff: Import tariffs are based on the cost, insurance, and freight value of goods at the point of
entry. Here is a look at Angola s tariffs for textiles, apparel, footwear, and travel goods.

Tariff Rate Range (%)

| silk |2 |
| wool |2 |
| cotton |2 |
| other vegetable fiber |2 |
| man made fiber |2 |
| silk |5 |
| wool |5 |
| cotton |5 |
| other vegetable fiber |5 |
| man made fiber |5 |
 Ortberg 4mat Essay
Running Head: The Life you always wanted A 4 MAT Review: The Life You ve Always Wanted:
spiritual disciplines for ordinary people Rashod C. Wells Liberty University Abstract John
Ortberg s manuscript, The Life You ve Always Wanted: a spiritual disciples for ordinary people,
published in 2002 at Grand Rapids, Michigan. Ortberg tells us the pathway in rejoining our
connection to God, which allows us to have what our heart s desire, the life we have always
wanted. He describes it through spiritually disciplined. Ortberg (2002) defines spiritual discipline
as Any activity that can help me gain power to live life as Jesus taught and modeled it (Ortberg, p.
48). Spiritual disciplines are simple; they help me live in the fruit... Show more content on
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Which is to love and will be rewarded for in Heaven. Confession as a spiritual discipline requires
steps: training, self examination, to become aware. To be able to ask why and what happened,
having a new feeling, and making a new promise. In preparation, we ask for the Spirit s help
through prayer and consecration. We examine ourselves to find the sins in our lives. We ask for a
new insight of our sins and alternative for worldly habits. We then need to ask why we sinned
and what the consequences for our action of sin were. We then start to have a new feeling about
the sin through a transformation conviction. We adopt a new assurance about our sin. And you
also were included in Christ when you heard the word of truth, the gospel of your salvation. Having
believed, you were marked in him with a seal, the promised Holy Spirit (Eph 1; 13, NIV bible) We
need to receive guidance from the Holy Spirit as a spiritual discipline. We need to not only speak to
God but also to listen (Ortberg, 2002). God can speak directly to us. God speaks not only to, but
through us . (Ortberg 2002, p. 153) We also need to practice secrecy. We need to stop living for
others approval. We need to reflect on Scripture to become closer to God. The Bible can transform
our lives if we let it. We need to develop a rule of life. This is the way we live source of our morals.
The last discipline is the experience of suffering. Ortberg (2002) uses the story of
 Moral Relativism
Ethical behavior is different in every culture. One culture may see something as ethically right
where another may see it as wrong. Moral relativism plays a role in accepting differences between
cultures, even if they do not agree. Everyone is different. Each region of the world has beliefs in
how things should be done. Rules are set to guide them in creating a sense of control over actions.
Not every action is justifiable, but there are ways to find out what is really the reason for a certain
cultureto say something is right or wrong. For example, an ancient society might have considered
dyeing one s hair green to be a punishable offense. Most modern societies would find that strange, if
not oppressive. Yet, good cultural perspective might tell us more. If we were to find out that green
hair was a sign of a prostitute, we would understand that it wasn t the hair color itself, but the
prostitution that was truly considered wrong. (allaboutphilosophy.org/cultural relativism.htm). We
need to be able to look at an... Show more content on Helpwriting.net ...
We believe in individuality and that everyone has the right to make decisions on how to live.
Some may not see that our way of life is ok. If we had a visitor from another country, like Africa,
come to America and observe the marriage of two same sex people, they may see that as ethically
wrong. We cannot tell them it is right, we can only hope they can understand. Acceptance of
different cultural beliefs is hard for many cultures to achieve. Even in the U.S., we struggle with
ethical relativism amongst our fellow American. There are many religions in America. Every
religion gives a specific belief in how life is supposed to be. Someone with one religion may see
that giving to the poverty stricken area is the right thing to do, and another person from a different
religious background may see it as morally wrong because the poverty stricken individuals need to
work and create a better life for
 Organizing Customer Knowledge Of The Female Central...
Organizing Customer Knowledge in the Female Central Library in the University of Dammam

Rawan H. AlGhamdi, Wala A. AlGhamdi, Ebtsam F. AlHajri, and Maha A. AlQahtani

[email protected] [email protected] [email protected] [email protected]
Abstract
A new methodology for customer knowledge management in the female central library in the
University of Dammam is needed because of the big amount of customers information that exist
there. Customers include employees, students, faculty members and researchers in the university. so,
the purpose of this study is to propose a methodology for organizing customer knowledge in this
library. In general, the proposed methodology is for developing a customer knowledge taxonomy
model (CKT). By using and applying this model the customer knowledge can be classified into
three categories: knowledge about customers, knowledge from customers and knowledge for
customers. in addition, this paper proposes a strategy of merging the first and second categories of
customer knowledge to form the third category. As a result of this case study, the librarians are
expected to use the CKT model to organize customer knowledge which will help in facilitating the
knowledge management activities including storing and sharing the knowledge. That will help them
also to understand the preferences and the requirements of their customers so they can provide better
services for them. Finally, it s expected that the proposed methodology can be used by
 Manage Care and How It Has Affected and Changed Health...
Manage Care and How It Has Affected and Changed Health Care Manage Care and how it has
affected and changed Health Care Managed care embodies an effort by employers, the insurance
industry, and some elements of the medical profession to establish priorities and decide who gets
what from the health care system. (JAMA.2001; pg. 285:2622 2628). Manage Care is part of the
Health Care system since 1973 is known as the system that finances and delivers health care to
individuals enrolled under their plans. Manage care is intended to reduce the unnecessary health care
cost in America through a variety of mechanism that includes medical necessity review programs,
economic incentives for physicians, beneficiary cost sharing, control of... Show more content on
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The restrictions on health care services and reimbursements that are intended to reduce health care
cost by discouraging individuals from using care inappropriately. The discouragements of
inappropriate care have done nothing else but affect the quality of care that patients receive and
their health. It is amazing when people s freedom of choices in the physician and health plans they
want becomes limited to them it can ultimately reduce their health. (JAMA.2001; pg. 285:2622
2628) How has this event impacted the historical evolution of healthcare? Prior to the year 1760
and now I can say that health care has evolved in the United States. My prior knowledge of health
care is that it was a system of home care remedies with doctors with little training to our now
complex technology and bureaucratic system. With the birth of medical insurance, technological
advancement, and the professional utilization of doctors, it would be very ignorant not to say that
health care has evolved from what it was to what it is now. Manage care has definitely become part
of that evolution and has impacted it as well with allowing the healthcare system to becomes nothing
much than a growing cooperation whose business is making a profit from healthcare, and not
providing the quality, reasonable cost, and necessary medical care when