Future Years ACT Test Dates 2019, 2020, and Beyond

Future Years' ACT Test Dates 2019, 2020, and Beyond SAT / ACT Prep Online Guides and Tips Future ACT dates are only confirmed a little more than a year in advance, but at PrepScholar, we’ve researched patterns from previous testing years to predict future ACT test dates. The ACT test dates for 2019-20 have been officially released, but I’ll also provide the confirmed and likely dates for 2020-21 and 2021-22. From the data we’ve looked at, we can predict these dates with a fair degree of confidence. 2019-2020 ACT Test Dates Here are all the ACT dates, registration deadlines, and score release dates for the current 2019-20 school year. All dates and deadlines have been confirmed by ACT, Inc. Test Date Deadline Late Deadline Online Score Release* Sept 14, 2019 Aug 16, 2019 Aug 30, 2019 Sept 24; Oct 10, 2019 Oct 26, 2019 Sept 20, 2019 Oct 4, 2019 Nov 12; Nov 26, 2019 Dec 14, 2019 Nov 8, 2019 Nov 22, 2019 Dec 24, 2019; Jan 7, 2020 Feb 8, 2020 Jan 10, 2020 Jan 17, 2020 Feb 18; Mar 3, 2020 Apr 4, 2020 Feb 28, 2020 Mar 13, 2020 Apr 14; Apr 28, 2020 June 13, 2020 May 8, 2020 May 22, 2020 June 23; July 7, 2020 July 18, 2020** June 19, 2020 June 26, 2020 July 28; Aug , 2020 *The first date is when multiple-choice scores come out, and the second date is when complete scores become available**No test centers scheduled in New York for this date. 2020-2021 ACT Test Dates This is the anticipated schedule for the ACT test dates, registration deadlines, and score release dates for the 2020-21 school year. All dates are based on our own projections. Test Date Deadline Late Deadline Online Score Release* Sept 12, 2020 Aug 7, 2020 Aug 21, 2020 Sept 22; Oct 6, 2020 Oct 24, 2020 Sept 20, 2020 Oct 4, 2020 Nov 3; Nov 17, 2020 Dec 12, 2020 Nov 6, 2020 Nov 20, 2020 Dec 22, 2020; Jan 5, 2021 Feb 6, 2021 Jan 8, 2021 Jan 15, 2021 Feb 16; Mar 1, 2021 Apr 10, 2021 Mar 5, 2021 Mar 19, 2021 Apr 20; May 4, 2021 June 12, 2021 May 7, 2021 May 21, 2021 June 22; July 6, 2021 July 17, 2021 June , 2021 June 25, 2021 July 27; Aug 10, 2021 *The first date is when multiple-choice scores come out, and the second date is when complete scores become available 2021-2022 ACT Test Dates Finally, let's take a look at the projected dates and deadlines for the 2021-22 ACT testing year. As noted above, all of these dates are our own projections. Test Date Deadline Late Deadline Online Score Release* Sept , 2021 Aug 6, 2021 Aug 20, 2021 Sept 21; Oct 5, 2021 Oct 23, 2021 Sept 19, 2021 Oct 3, 2021 Nov 2; Nov 16, 2021 Dec , 2021 Nov 5, 2021 Nov 19, 2021 Dec 21, 2021; Jan 4, 2022 Feb 5, 2022 Jan 7, 2022 Jan 14, 2022 Feb 15; Feb 28, 2022 Apr 9, 2022 Mar 4, 2022 Mar 18, 2022 Apr 19; May 3, 2022 June , 2022 May 6, 2022 May 20, 2022 June 21; July 5, 2022 July 16, 2022 June 10, 2022 June 24, 2022 July 26; Aug 9, 2022 *The first date is when multiple-choice scores come out, and the second date is when complete scores become available How Accurate Are These Future ACT Test Dates? The 2019-20 ACT test dates and registration deadlines have been confirmed by ACT, Inc. All other dates are our projections based on the testing patterns from previous years' schedules. The ACT test dates and registration deadlines for future years should be fairly accurate, as there's little variation from year to year. The score release dates for all years are less predictable, but scores should come out within a week of the anticipated score release dates. Also, note that not everyone receives their multiple-choice scores at the same time. How to Use These ACT Test Date Projections Most of the future ACT dates in this article should be correct. If you have an idea of the month and year you want to take the test, you can check to see whether your test date is on the same day as, say, prom or your birthday. Basically, these charts make it easy to figure out whether you’ll have any possible conflicts. If any of the test dates are off, they’ll most likely be exactly a week earlier or later. Remember, though, that there is some margin of error and these are still just projections. You can plan your ACT schedule using our projections, but definitely check again within a year of the test for the confirmed dates. Nevertheless, the above dates should give you a good idea of when future ACTs will take place. What's Next? Are you wondering when you should sign up to take the ACT for the first time? This guide to choosing the right ACT test date describes the most important considerations to help you choose the best test date for you. Starting your ACT prep? Check out our guide on the best ways to study for the ACT for all the tips you need to know to reach your goal score. In addition, learn how to make your own study plan. Practice tests are an important part of ACT prep, and our guide to using ACT practice tests will explain everything you need to know about how to use them correctly. Want to improve your ACT score by 4+ points? Download our free guide to the top 5 strategies you need in your prep to improve your ACT score dramatically.

The Criminal Justice System Assignment Example | Topics and Well Written Essays - 500 words

The Criminal Justice System - Assignment Example Police brutality is an issue of great concern globally. Torture in cells on claimed suspects by law enforcement is a clear sign of a failed criminal justice system. The perpetrators of such inhumanity are never brought to book. The same supposed law that was meant to protect is the same law that seeks to destroy (Garland, 2002). I believe that if a crime was to be committed but the offender is not brought to book, it still is an offence that is punishable according to the law. This means that one is indeed a criminal despite the fact that they did not get caught in the act of committing the crime. Criminal masterminds that manage to commit crimes and still evade law enforcers do not cease being criminals despite the fact they managed to outsmart the law. It still is a crime and that automatically qualifies them as criminals (Garland, 2002). The conflict model of the criminal justice system argues that for an organization to be fully effective, it should be willing to work competitively to produce justice rather than cooperatively (John, 2005). On the other hand, consensus model also known as the systems perspective of CJS, argues that to produce justice, organizations should be willing to work cooperatively. The conflict model, also known as the System conflict theory, argues that worries over fame, fame, success cause conflict in the justice system itself. Some of the main differences between the crime control and the due process model are; in crime control, repression of crime is the most important function while in the due process, providing fairness under the law is seen as the key function (William, 2001). In the crime control, concentration is placed on vindicating the victims’ rights rather than protecting the defendants’ rights while on the other side of the due process, concentration is placed on the

The Use of Technology in Finance Essay Example | Topics and Well Written Essays - 2000 words

The Use of Technology in Finance - Essay Example Stricter more stringent rules required firms to change their reporting processes, enabling more transparency. The resultant strict rules enacted necessitated firms to adopt modern accounting practices that could only be employed through innovative technology interfaces. The integration of automated or technological applications although costly in terms of resources and time has proven to be an effective control measure for the authorities while simultaneously assisting corporate leaders manage their internal systems. Other benefits of using technology in finance have been the development of enhanced marketing, communication, research and transaction technologies by organizations. Technology has been described as the application of individual, logical or material approach to resolve an impasse that leads to enhanced efficiency. It has been credited with improvement of business operations in firms including: administration, communications (from postal letters to email, mobile phones, telecast etc.), trading (online trading or ecommerce), automated production line technology, and research facilities among others.The need for embracing advanced technology by corporations was highlighted by the tighter regulations enacted by the Securities and Exchange Commission (SEC) in conformity with compliance rules relating to requirements regarding evaluation of internal control over financial reporting and management certification requirements mandatory to amendments under the Securities Exchange Act of 1934 that were adopted on June 5, 2003, pursuant to Section 404 of the Sarbanes-Oxley Act. Companies needed advanced technology to detect undesired movement in inconsisten cies, automated reporting, upholding customer assets, violations etc., hence avert bad practices while enhancing the companies efficiency (WS&TStaff, 2005). Corporate governance encompasses the compliance to rules or procedures, traditions, edicts,

Seminar Question Essay Example | Topics and Well Written Essays - 1000 words

Seminar Question - Essay Example Simply put, if you promise that you will do something for another person and in return, that person agrees to pay you something, then you and that person have made a contract. A contract can be in verbal or written form but the most important thing is that there would be an agreement especially between two parties. Likewise, according to the labour laws of many countries, both the worker and the employee are bound by certain statutory regulations that would ensure that no party will breach the agreed contract. Indeed, when a person has decided to enter into an agreement with someone, both parties should have a common ground of understanding of the nature of the contract they would be agreeing upon so as to avoid conflict and misunderstanding in the future. Thus, the case involving Will Bearing can be attributed to as unfair dismissal or termination of contract as a result of foreseen circumstances that were meant to benefit the foreman but which he apparently refused to endorse as a driver. The foreman wanted Will Bearing to falsify a tachograph reading in the lorry which he was to drive but he refused which led to an altercation between the two leading to a fight. Unfortunately, the consequences led to Will’s dismissal without notice and he was denied any representation. Legally, he is entitled to be represented in such a situation under the terms of agreement in the contract. His dismissal is unfair as well as the allegations of subsequent discovery that Will had been pilfering with some of the loads which he carried. This could have been brought to his attention before his dismissal if that could have been the case. One thing that is disturbing and unfair in Will’s dismissal is that he has not been given the reason fo r instant termination of his contract and he stands better chances of winning his case in the court of law. In the event of a successful claim, Will stands better chances of being reinstated to his

The Nature of class relations in 1880s Canada Essay Example for Free

The Nature of class relations in 1880s Canada Essay In Canada, the response to industrial capitalism was evident between the year 1867 and 1892 by the Toronto workers. The exercise began in the late 1960s at the Toronto University. In North America Universities this period was very exciting whereby many of them accepted the dogmas and came under vigorous re-examination. However, the history of Canadian was one of the disciplines which did not address the question of the events which were prevailing by that time. The Canadian traditional histography had been very narrow until the times of leader Harold Innis who came up with considerable useful system of work on the political economy of Canadians.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Class was one among the factors which had been completely ignored by Canadian historical writing. Although there was a great value of historian sources, the work was somehow antiquarian and also indicated a conservative methodology. Involved in the list of the generalization’s list were political economists like Eugene Forsey and Logan both whom had restrictions towards the study of the working class in narrow sense of institution. The essence for account of the working class in Canadian which was a new approach in history and methodological innovations which was very apparent. After several studies, it indicated that a community study seemed to be the place by then to start reconstruction of Canadian working class experience. The main reason of choosing the Toronto city was due to its economic importance and also its key role in development of the earliest labor movements. Toronto workers who used to live in Ontario’s leading city were among the first group to experience the industrial revolution to join Unions of Institutions so as to create the city labor centre and also to national labor organizations. More so, Toronto proved to the especially to the rich that it had achieved holdings pertinent to the studies which were proposed (Alexander 1962, p. 43).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the nineteenth century the city’s press was very vibrant and also well preserved. It had very well maintained trade union records and the other materials of work. The city also had a very lively labor press where much of it was still extant. The essence of choosing the period of the nineteenth century was to capture the Toronto’s working class at its conception. The establishment of the class relations lay in the workers and industrialization’s response to that process. Such was a study of the interaction of economic transformation and the emerging working class that both of them shaped and was on the other hand shaped by the new class. The emergence of trade unionism, the struggle for shorter hours in the 1870s, the surge of oppositional cultures based on the knights of labor in the years of 1880s and the establishment of institutional framework for movements of trade unions lay during this period.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Important new organizations were created from the development of the working class. To achieve the full analysis, it required that the placement of the economic transformation context and cultural adaptations which were denied to them by the institutional labor history. In the decade of 1880s, the industrial conservative and industrial expansion ruled not on even a single important measure on behalf of industrial workers which was placed upon Dominion’s book of statute. In 1889, the government passed measures which had no division and in turn removed the afforded protection by the Act of 1872. Also, the same regulation in the labor interest was declared but for this case, by the provinces. According to Armstrong report, it states that Armstrong was primarily an employee in the Toronto daily meal since 1872. He later became a leader in one of unions. He was later appointed to head an investigation committee whereby he analyzed the membership in terms of eligibility, reliability and other past records. He ensured promotion of the female organizations in terms of labor and rated their wages according to the work completed. In his report, he stressed that childhood labor should have very tough laws in its enforcement. He recommended that, boards of arbitration should deal and handle cases and disputes of the workers who complain about long working hours. To this case, he recommended for shortening of the long and exploitative hours. He further suggested that all Canadian laborers or workmen should have proper compensation which should be fully supported by the union. Contrary to that, he was however opposed by all other private agencies that offered employment services. http://www.books.google.com/books?isbn=0802039987   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   According to the testimony of A W. Wright, he testified for the Son of Man who is against the offspring of prediction. It stresses on setting for the father and obedience to God’s elect, testified by the month of he lord, angles and men. With a true discovery of a bundle of equivocations, confusions and hypocrisy in those who term themselves as preachers and to the light with all men. Richard Dennis he argues that in Canada, exists a long history of suburban working class settlement. However, the conditions have improved. The workers in suburban once lived at the frontier line of the urban economy, after 1945, they occupied a more standardized and financial subdivisions, they became apart and parcel of its consumer apotheosis.   Ã‚  Ã‚  Ã‚   There has been a noted variation in working conditions across different trades. For instance, when compared to Canada, the trade union membership in Australian grew dramatically. Comparative analysis of to steel and iron plants in Australia and Canada there was a broad union growth in a five time. One firm was locate at New South Wales while the other at Sydney. The workers at both firms unionized and the union of the Sydney firm collapsed due to strike. The union of steel and iron did not revive at the Sydney Firm until the time of World War I. with the exception of a brief period, steel and iron unionism continued under examination at the lith grow plant. The ideas of employers about the proper economic relations and their power in the workplace varied from a location to another according to different writers. Their suggestions included the problems which were encountered in the service employee international unions which needed to be addressed. They also suggests that many of the issues that would not be resolved without the unions establishment. There was a need to blow up the worse unions before fixing them incrementally as a result to dysfunctional unions. Improper distribution of the enough money in the economy was the main problem. There was also a suggestion that the people should be independent and be able to provide for themselves. There was attacked to the major organizations through their way of exploiting their workers in cutting their benefits. To most of the workers, there was the idea of benefiting from the employees because this drastically raised their incomes in the workplace. After industrialization in Canada, most of the employees were forked to join the trade union. As a result majority were affected by the laid down regulations like termination of child labor and standardization of wages and salaries as they were used to exploitation. Their powers in the work place was adversely reduce because they were forced to abide to the unions rules had limited powers in the workplace (Alexander 1962, p 66).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Before the industrialization in Canada, the employees had negative attitudes towards the labor organizations. Such included low organization in preventive measures while at work among other risky and exploitative measures.   Immediately after the industrialization was put in place, there was mobilization in formal sector. There was also appeal to the government for provision of welfare benefits. According to study, neoliberal reform surprisingly had opened up new channels for the informal workers which contributed them as a class. The employers also put more emphasis to organization and improvement of the workers conditions of safety in the workplace. Due to along period of exploitation and intimation in the work place before Canada’s industrialization, the employees reviewed themselves as devaluated in the workplace. Their rights were not considered, for instance through working for long hours and paid very little money, working under danger situations without protection among other work threats. After industrialization in 1880s, the employees were better placed because most of their problems were addressed in the international union guide. It protected their rights in payments according to the work done, ensured provision of protective measures while at work for instance when working in mines and mills among many. Most of the employees in America joined trade unions just as their colleagues did elsewhere. This caused eruption of strikes. For instance, some worked out of the American Railway Union’s in protest of the Pullman Company’s treatment of its operatives because violent. Majority showed a little or no desire in reduction of employment hours. In the real sense, the unions formed served to boost their wages and also improved their working conditions. Their sporting events, dinner, lectures and others enhanced their quality of life. Also the well developed insurance plans enabled the vagaries of life to be very manageable. As a result of the social role being more in evidence in the membership’s daily experience than were the Union’s economic responsibilities, many employees were drawn to knight labor.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The knights of labor was a good representation of a significant experience in the phase of Canadian working class formation. This was the group of renegade intellectuals who brought the labor questions into federal and provincial politics. They aimed at articulating labor’s struggles. However, it faced many challenges for instance the employee resistance, the 1880’s economic crisis and trade unions which opposed an internal divisions. Most of the members of knights of labor were usually wave earners who could work for long hours in very hazardous conditions. They lived in utter poverty whereby their dwellings were tenants and hovels, their wages however were too little even to cater for their necessities. On the other hand the knights were highly cooperatives which practiced state ownership of all the public utilities they believe in sincerity and honesty of all the members. They were neatly knit together and maintained secret of order. Consequently, they together created a movement culture of alternative, potential social and cultural difficulties. This was the main reason why some workers were drawn to the knights’ labor. Various groups approach in the subject of women and children labor. Before 1880, the women labor force was endless and very diverse. Some of jobs include helping the men in the fields at planting and harvesting times among other household duties. According to Colonial theory, a woman was by no means a weak culture at the beginning of the 19th century, the industrialization in market place began and also the flowering of capitalism. The change established new hierarchies for work between unpaid and paid labor. This was because of absorption of large numbers of men where some women were involved in work or wages outside their homes. In 1880s, although most of women in working class worked outside their homes, there was still a notion by middle class society that the woman’s place was the home where the work had less value. Although the number of women workers in paid labor force raised in percentage from 23.7 percent to 26.3 percent between 1880 and 1920 the total women working number tripled. Due to this, the society accepted the fact that women should work and should do so having their reputations ruined. Although their number increased, this was not nearly significantly as the shift in the occupations. This however left the laws status of women in the work force unchanged. For the case of children’s labor, according to many of the writers, many children were involved in work place. The opportunity of paid employment widened the minority of children not attending schools. Due to Canada’s industrialization and urbanization new children jobs become available especially in Montrà ©al textile mills, Cape Breton and BC mines, Hamilton and also in small manufacturing enterprises. As a result, several conditions combined to end child labor in Canada. This was due to most of the jobs being dead end and poorly paid mineral jobs which led no advancement opportunities. Consequently, by the end of 1980, a large number of children under the age of 14 had been excluded from mines and factory employment. There was a great depression when many adults sought some of the jobs formally done by children hence the children were forced back to school (Alexander 1962, p.98). According to the Freed report, which basically gave 10 years, outlook of the Canadians labor market between the periods of 2004 to 2003, the Freed’s report articulated to the views of employers who attained the sustainable economic growth. This resulted from utilization of high skilled labor due to educational standards of Canada’s labor force which had kept pace with the skilled demand. Also the low skilled occupations had been created. For the medium term, employment growth was determined by demographic development and economy which reduced employment rate through creation of slow and sustained growth. The difference between Armstrong’s report and Freed’s report was that with Armstrong, there was analyzation of membership reliability, eligibility and prevention of child labor. It also considered the unpaid working hours and advocated for rectification. It also ensured union’s support in workplace. For Freeds, it only stressed on better skills which can improve the outcome in occupations. Training for career was his most requirements to venture in to any workplace so as to growth in economy. Reference. Alexander R, (1962). Labor Relations in Argentina, Brazil, and Chile. New York.

Case Study on Adolescent Depression

Case Study on Adolescent Depression This case study concerns a teenage service user whom we shall refer to using a pseudo name, Katie, to maintain confidentiality in line with the Nursing Midwifery Council Code of Conduct (NMC, 2015). Katie suffers from a comorbidity of Type 1 Diabetes (T1D) and depression, and the focus of case study is on thedepression component. Managing and treating depression has proved to be sometimes difficult for both practitioners and patients due to its multi-dimensional aetiology which is attributed to a combination of biological, environmental and personal factors. Its impact is equally challenging as it usually associated with poor disease control, adverse health outcomes and quality of life impairment (Andreoulakis, Hyphantis, Kandylis, Iacovides, 2012).The case study will explore pathophysiological and psychological perspectives in the aetiology of depression. The objective of the survey is to undertake a systematic enquiry (Holloway, Wheeler, 2010). Using a real world situation to ga in a deeper understanding of the situation to try and solve a problem and improve the current situation (Aitken Marshall, 2007).The utility of Cognitive Behaviour Therapy (CBT) is discussed as the intervention that was prescribed for Katie. The rationale is that CBT is relevant to the assessment outcomes and the symptoms presented by Katie. The GP referral to the Community Mental Health Team states that Katie is a 16-year-old enthusiastic teenager, who is in full-time education and enjoys extramural activities in school and also enjoys socialising. Recently Katie was diagnosed with type 1 diabetes (T1D) and prescribed insulin pump therapy. Following this diagnosis, Katie became remarkably withdrawn from friends and family, with expressions of hopelessness and low self-esteem. She has lost interest in the activities that she has been enjoying in her life. Her GP diagnosed depression. The condition has been getting worse and persistent for three weeks, putting a significant strain on her parents, including two siblings who live with her. The GP concluded the case warranted specialist attention and referred Kate to the Community Mental Health Team. Katies referral notes suggested that her depression should be assessed further due to deterioration in her mental health. The assessment highlighted significant depression symptoms such as poor sleeping patterns, weight loss, burdensomeness, constant feeling of sadness (National Institute for Health and Care Excellence, 2016). Also, self- loathing, insomnia, lack of energy, irritable mood, physical pains and a gloomy outlook on life including diminished pleasure in enjoyable activities were the contemporary (National Institute for Health and Care Excellence, 2016). The symptoms are likely to impact on the ability to cope, personal relationships and the general quality of life (Pryjmachuk, 2011). To determine the severity of Katies mental health, the Registered Nursing Practitioner took the lead in completing a Patient Health Questionnaires (PHQ-9) with Katie. Katie scored as having major depression. This self-reporting tool is critical in aiding practitioners to conceptualise depress ion as it can be used to monitor, diagnose, and measure the severity of depression (Wu, 2014). The risk of harm is critical to the assessment of depression (NICE, 2016). Studies show that mental disorders are present in 90% of suicide cases in the UK, with depression found in 60% of the cases (Centre for Suicide Research, 2012). Hence, Katie was assessed on the risk of self-harm. However, she did not state any thoughts or actions of self-harm or suicide attempts. Due to the severity and the diverse nature of her symptoms an appointment was arranged for Katie to see the team Psychiatrist. Katie agreed to the decision. This led to the intervention discussed later in the essay. Katies symptoms include loss of appetite, and there is substantial evidence that links eating disorders with depression, especially among young females (Allen, Crosby, Oddy, Byrne, 2013). As pointed out by Allen et al. (2013) Eating disorders can lead to over eating, which contributes to other problems such as obesity and type 2 diabetes, Loss of appetite can lead to malnutrition, Loss of weight and fatigue. Eating problems also lead to stomach aches, cramps and constipation (Allen et al. 2013). Literature also shows that depression is linked to nearly every other physical and mental illness, as according to the joint report (Royal College of Psychiatrists and Royal College of General Practitioners, 2009). Also, there is sufficient of evidence that physical illness disturbs our feelings and thinking, just as social, and personal stress can cause ill health (Royal College of Psychiatrists and Royal College of General Practitioners, 2009). Also, other diseases can trigger stress and o nset depression, as is the case with Katie who got depressed after a diagnosis of diabetes. Oladeji Gureje (2013) suggest that patients can be caught in a vicious circle in which depression contributes to other present conditions and vice versa. Conceptualising the pathophysiology of depression is made complicated by the fact that while the majority of patients respond to pharmacological treatments such as antidepressants, some patients remain partially or wholly unresponsive to drugs (Cryan, Leonard, 2010).In these illustrations, there are individual differences in the manifestation of depression that cannot be addressed in current drug regimes. It follows that treatment for depression needs to be observed according to how each patients response to treatment(Andersson, Cuijpers, 2008).And this should provide guidance in formulating Katies care plan in this study. However, there is research evidence that links depression for the maintenance of the homoeostasis and stress levels (Leonard, 2005; Cryan, Leonard, 2010). Stress is often well-defined as a state of real or perceived threat to homoeostasis (Leonard, 2005). The homoeostasis process function is to provide the essential balance and stability in the body systems to e nable cells to sustain life (Clancy, McVicar, 2011).Stress to the homoeostasis will activate stress response to provide the required body function balance (Leonard, 2005). Critically to the depression paradigm, the stress response mechanism is mediated by multiple responses that involve the endocrine, nervous, and immune systems, which are collectively known as the hypothalamic-pituitary-adrenal axis (HPA) (Cryan, Leonard, 2010). Changes that happen to the HPA and the immune system as a result of chronic stress can trigger anxiety and depression (Leonard, 2005). Depression is also ascribed to imbalances that arise in the brain about serotonin, norepinephrine and dopamine (Charney, Feder Nestler, 2009). Evidence suggests that the physiological functions that are mediated by neurotransmitter serotonin include sleep, aggression, eating, sexual behaviour and mood (Nutt, Demyttenaere, Janka, Aarre, Bourin, Canonico, Stahl, 2007). All these symptoms are much dominant in most depression cases, and indeed symptoms such as insomnia, loss of appetite experienced by Katie. Research also suggests that reduced production of serotonergic neurones that make serotonin has an impact on mood states and contributes to depression (Nutt et al. 2007). However, several lines of evidence suggest that neurotransmitter dopamine is involved in motivation that drives to seek reward and pleasure, and it is believed low levels on this transmitter play a role when depressed people cease to enjoy activities that they enjoyed in the past (Charney et al. 2009). Katie had been a vibrant juvenile and lost all the passion for passion when she was diagnosed with depression. Research suggests antidepressants play a role in improving neurotransmitter imbalances (Anderson, 2013). However, in the case of Katie, National Institute for Health and Care Excellence, NICE (2017), recommends that antidepressants should be used in young people and children only after alternative therapies have been considered. The psychological impact of depression on the patient is concerned with the patients concepts of self, how they conceptualise their illness and the world around them (Barlow, 2014). It is quite critical as this impact on behaviour and treatment outcomes (Sanders Hill, 2014). Above all, an analysis of Katies symptoms and assessment suggest there are significant psychological issues. The symptoms that relate to behaviour include lack of motivation as shown by poor school work and lack of interest in social events that she enjoyed before. She is no longer taking responsibility for daily actions and routines. Katies care plan and treatment should aim to address this. There are also symptoms that relate to self. She felt continuously sad about her present condition, resulting in emergency visits to her GP. In other words, Katie may have felt a loss of status and purpose, having become remarkably withdrawn from friends and family, she was not able to retain a sense of confidence in her th e future. Some of Katies psychological concerns can be addressed within the Community Mental Health Team working with other professionals and Katies Care-Coordinator, and also with Katies family. The support of family and friends could be mobilised to give emotional, spiritual and financial assistance, with her family assuming an influential changing role and responsibilities when one person is ill (Washington Leaver, 2009). The motivation for Katies to participate in daily activities could be initiated by working with the Occupational Therapy to engage in activities at the community centre. Sanders and Hill (2014) examined the psychological impact of depression, in so far as it is conceptualised by the patient, as grounded in the concept of self. They assert that the idea of self is concerned with perceptions and awareness of being, the pattern of perceptions, which is also concerned with consequences for personality and change (Sanders Hill, 2014). Also, a well-functioning self-characterised by assimilation and ability to respond to new experiences. However, a good self-process can become impeded by other impaired person -processes such as intrusive thoughts and any other perceptions that pose a threat and target the self (Sanders Hill, 2014). Threats to the self, which can be internal or external, can culminate in patterned restrictions on perceptions and response which is configured as depression expressed in symptoms such as pervasive feelings of negativity (Sanders and Hill, 2014). This conceptualisation encapsulates Katies perception of herself as Katie could st ill enjoy her life only if she could change her perception of herself. Katies intervention needs to focus on changing her perception of herself. Specifically, the Nursing process involves identification of priorities as well as the determination of appropriate patient-specific outcomes and arbitration, thus determine the urgency of the identified problem and prioritising the patients needs (Ackley, Ladwig, 2013). In other words, mutual goal setting, along with symptom, pattern, recognition and triggers, will help prioritise interventions and determine which intervention is going to provide the greatest impact (Ackley, Ladwig, 2013). Heeramun-Aubeeluck, Luo, (2012) assert that collaborative care, behavioural interventions, and psycho-education are helpful in encouraging patients to maintain treatment and enhance psychological well-being and quality of life. The intervention chosen for Katie in this case study is Cognitive Behaviour Therapy (CBT). CBT can be accessed through referral to Improving Access to Psychological Therapies (IAPT). CBT is supported by NICE (2017), and also various government publications over the years have recommended the use of CBT such as No Health without Mental Health (Department of Health, 2011) and Talking Therapies. CBT is concerned with how people think (cognition), how they feel (emotion) and how they act (behaviour) (Daniels, 2015). CBT is psychoeducational and focused on changing the way people conceptualise illness to influence their behaviour and attitude (Daniels, 2015). The objective of cognitive processing is to examine patients thoughts and help them to learn the skills of acknowledging negative thoughts, often referred to as negative automatic thoughts (NATs). They will then be able to re-evaluate these ideas using an objective framework, and this can involve using approach to gathering evidence for the validity of ideas, such as proof against and for, surveys, or asking a trusted other (Grist, 2011). The rationale for CBT in this study is that its characteristics as a therapy would be helpful to address Katies symptoms and profile, as mostly the symptoms that impact on her quality of life are of cognitive and behavioural nature. Equally important, a problem-solving approach will be adopted to structure and organise Katies nursing care and treatment. Katie will be involved in the whole process to empower her in her care plan through a person-centred approach and intervention that is evidence-based. Evidence-based interventions are practices or programs that have peer-reviewed, documented empirical evidence of effectiveness. Evidence-based interventions use a continuum of activities, strategies, integrated policies, and services whose effectiveness has been verified or informed by research and evaluation (National Resources Centre for Mental Health Promotion Youth Violence Prevention, 2017).Gulanick Myers (2016) contend that intervention is a basis for excellence in nursing practice, which includes correctly identifying existing needs, as well as recognising potential needs or risk, planning, delivering care in own fashion to address actual and prospective needs as well as evaluating the effectiveness care. More importantly, nurses must be able to work autonomously with confidence with significant others, such as families, friends, and carers to ensure Katies needs are met, including self-care arrangement (Nursing and Midwifery Council, 2015). Besides, as the name suggests, CBT comprises distinct therapy approaches that the address either the cognitive or the behavioural aspects associated with mood disorders, including depression. In CBT cognitive and behavioural approaches can be used in combination or unilaterally (Dobson Dozois, 2009). The behavioural perspective in CBT looks at the environment and behaviour of the patient. Depressive symptoms are attributed to a decrease in environmental reward, reinforcement of depressive reactions and avoiding alternative actions that facilitate good health (Hopko, Lejuez, Lepage, Hopko, McNeil, 2003). The behavioural perspective to depression underpinned by the works of Lewisohn (1974), who concluded that the pleasure obtained through interaction with ones environment increases the likelihood of a rewarding behaviour. Further, change in the environment could result in deficient response-contingent positive reinforcement (RCPR) which directly contributes to depression (Dobson Dozois, 2009). Dobson Dozois, (2009) highlights Response-Contingent Positive Reinforcement as positive or pleasurable effects deriving from the behaviour of a person within their environment and the likelihood of increasing such conduct. Behavioural Activation therapy has proved to be useful in addressing deficient RCPR and improving mood and thoughts. This treatment focuses on availing activities that support environmental reinforcement (Hopko et al. 2003). Both the cognitive a nd the behavioural components of treatment would benefit Katie. Sheldon (2011) contends that CBT is a therapeutic approach that involves talks and conferences. In this therapy, the patients are involved in discussions, and they express their feelings, behaviours and thoughts to a CBT professional during the initial assessment (Sheldon, 2011). Kassel (2016)asserts the value of CBT as a therapy that teaches individuals how to think and react to certain stressful situations appropriately and can be used for some across a range of disorders including phobias, schizophrenia, depression, eating disorders, anxiety disorders, and relationship difficulties. When embarking on CBT interventions, the therapist uses information collected from an interview the patient; in this case, it would be with Katie and guides her through a description of the CBT model of depression as it applies to her profile and symptoms (Kassel, 2016). Also, general models of how thoughts, moods, behaviours, and physica l sensations interact are discussed, enabling identification of a model as it relates to the patients life. Several lines of evidence suggest that CBT is one of the most effective treatments when anxiety and depression present as the primary symptoms (Royal College of Psychiatrists, 2009). Further, CBT helps to make sense of a profound problem by breaking it down into smaller bits (Kassel, 2016). The National Centre for Biotechnology Information (2012) highlights that a combination therapy consisting of medical drugs and CBT has been establishing to be more efficient when that when medication is used alone in patients with more severe, recurrent or chronic forms of depression in the acute treatment phase. However, as highlighted by RCP (2009) CBT does not a quick fix, and if the patient is feeling depressed, it will be difficult to concentrate on getting them motivated. Further, CBT courses can last for six weeks to sixths months depending on the type of problem, and how motivated the patient is on engaging. CBT offers some significant advantages as an alternative therapy. Given all that h as been mentioned so far, it is evident that CBT has considerable influence on the disease burden of depression as the treatment is safe and cheap (RCP, 2009). Also, it can administer as a self-help programme. CBT is now also delivered online, however, the quality of these trails is not always right (Andersson, Cuijpers, 2008). RCP (2009) notes that some research suggests that CBT may be better than antidepressant at preventing depression relapses. However, it is necessary for the patient to keep practising their CBT skills, even after they are feeling better CONCLUSION The two dominant approaches to conceptualising and treating depression that is the physiological perspective and psychological perspective, offer plausible concepts in understanding the aetiology of depression, yet the patient may attach different conceptualization of the illness, which results from the idea of the self. The idea of the self is quite critical in treatment outcomes in so far as it mediates changes in cognition and behaviour. However, it has not yet been clearly established how the perspectives interact to cause depression symptoms. This case study highlights that when treating depression, it is essential to carefully monitor the response to treatment as some people will not respond to available therapies. Further, as some people dont respond to treatment, there is a lot of research that needs to be done to understand how antidepressants work in different people entirely. Finally, cognitive behavioural therapy has numerous benefits for patients, including, decreased ps ychological distress, improved pain management, increasing self-efficacy, execute the sources of action required to manage prospective situations, better quality of life and function. References Ackley, B. J., Ladwig, G. B. (2013). Nursing diagnosis handbook: An evidence-based guide to planning care (10th ed.). St. Louis, Mo;London; Elsevier Mosby Allen, K. L., Crosby, R. D., Oddy, W. H., Byrne, S. M. (2013). Eating disorder symptom Trajectories in adolescence: Effects of time, participant sex, and early adolescent depressive symptoms. Journal of Eating Disorders, 1, 32. doi.org/10.1186/2050-2974-1-32 Andersson, G., Cuijpers, P. (2008). Pros and cons of online cognitive-behavioural therapy. The British Journal of Psychiatry: The Journal of Mental Science, 193(4), 270. Anderson, I. (2013). How do antidepressants work? British Journal of Psychiatry, 202(1), 41-41. doi.org/10.1192/bjp.bp.111.100669 Aitken, L. M., Marshall, A. P. (2007). Writing a case study: Ensuring a meaningful contribution to the literature. Australian Critical Care, 20(4), 132-136. doi.org/10.1016/j.aucc.2007.08.002 Andreoulakis, E., Hyphantis, T., Kandylis, D., Iacovides, A. (2012). Depression in diabetes mellitus: A comprehensive review. Hippokratia, 16(3), 205. Barlow, D. H. (Ed.). (2014). Clinical handbook of psychological disorders: A step-by-step treatment manual. Guilford Publications. Centre for Suicide Research (2012) Assessment of suicide risk in people with depression. Department of Psychiatry, University of Oxford. Retrieved from http://cebmh.warne.ox.ac.uk/csr/clinicalguide/docs/Assessment-of-suicide-riskclinical-guide.pdf Charney, D. S., Feder, A., Nestler, E. J. (2009). Psychobiology and molecular genetics of resilience. Nature Reviews Neuroscience, 10(6), 446-457. doi.org/10.1038/nrn2649 Clancy, J., McVicar, A. (2011). Homoeostasis, part 1. homoeostasis versus homeodynamism. British Journal of Nursing (Mark Allen Publishing), 20(3), 176. Cryan, J. F., Leonard, B. E. (Eds.). (2010). Depression: from psychopathology to pharmacotherapy (Vol. 27). Karger Medical and Scientific Publishers. Daniels, S. (2015). Cognitive behaviour therapy for patients with cancer. Journal of the Advanced Practitioner in Oncology, 6(1), 54. Dobson, K. S. and Dozois, D. J. A. (2009) Handbook of Cognitive Behavioural Therapies, 3rd Ed. New York: Guilford Press. Grist, S. (2011). Exploring the role of CBT in mental health. (Cognitive behavioural therapy). London: Macmillan Publishing Ltd. Gulanick, M., Myers, J. L. (2016). Nursing care Plans: Diagnoses, interventions, and outcomes (8th ed.). St. Louis, Mo; London; Mosby. Heeramun-Aubeeluck, A., Lu, Z., Luo, Y. (2012). Comorbidity of depression and diabetes: in a nutshell. Psychology, 3(09), 787. Hopko, D. R., Lejuez, C. W., Lepage, J. P., Hopko, S. D., McNeil, D. W. (2003). A brief behavioural activation treatment for depression: A randomised pilot trial within an inpatient psychiatric hospital. Behaviour Modification, 27(4), 458-469. doi. doi.org/10.1177/0145445503255489. Holloway, I., Wheeler, S. (2010). Qualitative research in nursing and healthcare (3rd ed.). Oxford: Wiley-Blackwell. Kassel, (2016). Cognitive Behavioural Therapy: Rational Emotive Therapy; Rational Behaviour Therapy; Rational Living Therapy; Dialectic Behaviour Therapy; Schema Focused Therapy. Retrieved from http://www.vnacarenewengland.org/encyclopedia/details.cfm?chunkid=101930lang=Englishdb=hlt Leonard, B. E. (2005). The HPA and immune axes in stress: The involvement of the serotonergic system. European Psychiatry, 20, S302-S306. doi.org/10.1016/S0924-9338(05)80180-4 National Resources Centre for Mental Health Promotion Youth Violence Prevention (2017) Evidence-Based Interventions. American Institutes for Research. Retrieved From http://www.healthysafechildren.org/topics/evidence-based-interventions National Centre for Biotechnology Information, (2012). The use of cognitive behavioural therapy in the treatment of resistant depression in adolescents. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916016/ National Institute for Health and Care Excellence,(2016). Depression in adults: recognition and management. Retrieved From https://www.nice.org.uk/guidance/cg90/chapter/1-Guidance#care-of-all-people-with-depression National Institute for Health and Care Excellence, (2016). Depression in adults: recognition and management. Retrieved From https://www.nice.org.uk/guidance/cg90/chapter/Introduction National Institute for Health and Care Excellence, (2016) Depression in adults: recognition and management. Retrieved From https://www.nice.org.uk/guidance/cg90/chapter/1-guidance?unlid=1368490820159920020#care-of-all-people-with-depression National Institute for Health and Care Excellence, (2017) Using antidepressants in children and young people. Retrieved From https://pathways.nice.org.uk/pathways/depression/using-antidepressants-in-children-and-young-people National Health Service (NHS), (2016) Cognitive behavioural therapy. Retrieved from http://www.nhs.uk/conditions/cognitive-behavioural-therapy/pages/introduction.aspx Nutt, D., Demyttenaere, K., Janka, Z., Aarre, T., Bourin, M., Canonico, P. L., . . . Stahl, S. (2007). The other face of depression, reduced positive affect: The role of catecholamines in causation and cure. Journal of Psychopharmacology, 21(5), 461-471. doi.org/10.1177/0269881106069938 Nursing and Midwifery Council. (2015). Professional Standards of Practice and Behaviour for Nurses and Midwives. Retrieved from https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf Nursing and Midwifery Council, (2015). The Code, Professional standards of practice and behaviour for nurses and midwives. Retrieved from https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf Nursing and Midwifery Council, (2015). Standards for pre-registration nursing education. Retrieved from https://www.nmc.org.uk/globalassets/sitedocuments/standards/nmc-standards-for-pre-registration-nursing-education.pdf Oladeji, B. D., Gureje, O. (2013). The comorbidity between depression and diabetes. Current Psychiatry Reports, 15(9), 390. Pryjmachuk, S. (2011). Mental health nursing: An evidence-based introduction. London; Los Angeles; SAGE. Royal College of Psychiatrists and Royal College of General Practitioners (2009) The management of patients with physical and psychological problems in primary care: a practical guide. Retrieved from: http://www.rcpsych.ac.uk/files/pdfversion/cr152x.pdf Royal College of Psychiatrists, (2009) improving the lives of people with mental illness. Retrieved from http://www.rcpsych.ac.uk/mentalhealthinformation/therapies/cognitivebehaviouraltherapy.aspx Sanders, P and Hill, A. (2014) Counselling for Depression: A person Centred and Experiential Approach to Practice. Sage: London. Sheldon, B. (2011). Cognitive-behavioural therapy: Research and practice in health and social care (2nd ed.). London: Routledge. The Department of Health (2011) No Health without Mental Health. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213761/dh_124058.pdf Washington, C. M., Leaver, D. T. (2009). Principles and practice of radiation therapy (3rd ed.). Edinburgh: Mosby. Wu, S. V. (2014). Rapid screening of psychological well-being of patients with chronic illness: Reliability and validity test on WHO-5 and PHQ-9 scales. Depression Research and Treatment, 2014, 1-9. doi.org/10.1155/2014/239490

the koran Essay -- essays research papers

The Koran The document â€Å"the Koran† is written through God’s impact on people’s present situation and their situation in the next world, which is called the revelation of God. Further revelations to Muhammad were copied word for word in what came to be the Qur†an, or Koran. The message offered Arabs a faith founded on a book. The Koran also tells us that Muhammad was sent to all in order to present a message understandable to everyone in the world, the Koran had to speak a language that everyone could understand. Muhammad was simply God’s messenger and that he merited no special veneration or worship (Kishlansky 211). The Koran had to address the simple and the sophisticated, the shepherd and the philosopher, the scientist and the artist. The Koran elaborates on the ways in which the followers of the prophets, specifically the Jews and the Christians, have or have not lived up to the visionary messages. It issues instructions on how to live a life pleasing to God. It tells people that they should pray, fast, and take care of the needy. â€Å"If ye make your alms to appear, it is well; but if ye conceal them, and give them unto the poor, this will be better for you, and will remove some of your sins: and God is well informed of that which ye do (Kishlansky 146). This means if you give yourself to others you will be rewarded by God. It goes into great detail concerning human interrelationships - such as laws of inheritance and marriage in a manner reminiscent of parts of the Hebr...