Post Traumatic Stress Disorder ( Ptsd ) - 928 Words

PHM302: Neuropsychiatry Evidence-Based Clinical Question Report Submitted by: Ryan Co Student #: 999388522 CASE JD is a 30-year-old male diagnosed with post-traumatic stress disorder (PTSD). He was involved in active combat during his 10 year career with the military and he is haunted by incidents that replay in his mind. He finds that scenes from battle run through his mind and disrupt his day-to-day functioning. He finds himself avoiding socializing with his military buddies, as this frequently triggers his PTSD. JD has been on several antidepressants with limited success and is not currently taking any medications. He is feeling hopeless and he has gone to see his psychiatrist for help. His†¦show more content†¦SEARCH METHOD A PubMed search was used with the terms â€Å"ketamine† and â€Å"chronic PTSD† in order to find studies relating to the topic. SELECTION OF LITERATURE The article â€Å"Efficacy of Intravenous Ketamine for Treatment of Chronic Posttraumatic Stress Disorder† was selected out of all the papers found. The patient fits the inclusion criteria for the trial and the purpose of the trial answers the clinician’s question. ANALYSIS OF LITERATURE The trial was performed to compare the efficacy of ketamine against anxiolytic medications in patients with chronic PTSD. The study was a randomized, double-blind crossover trial – patients were around 25-45 years of age and suffer from chronic PTSD for years with moderate to severe symptoms. Some participants also previously received antidepressants with partial or no response. Trial results showed that 24 hours after the ketamine infusion, the patient’s IES-R (impact of event scale – revised) score was significantly improved compared to when patients were on midazolam. (mean difference = 12.7, P = 0.02) In addition, patients who were on ketamine first retained symptom reduction when switched over to midazolam. Secondary outcomes studied looked at the effects of the medications on the patient’s CAPS and QIDS-SR scores, but these did not differ significantly. The study also looked at the effects of ketamine on depression in this population and showed that it was

Computer Networks The Business Of Production Of Widgets

EXECUTIVE SUMMARY Researchers have demonstrated that there is a direct link between productivity of labor in manufacturing businesses and existence of computer networks. JAMS manufacturing company is the business of production of widgets. The company carries out its production tasks from three different manufacturing plants and one office. Currently each manufacturing plant employs about 10 personal computers with each of them gaining Internet access with the help of a separate individual modem. The same also holds true for another set of 25 computers present in the office building. This project has been undertaken to construct an advanced network infrastructure for the company with upgraded computer systems that gain network connectivity†¦show more content†¦JAMS manufacturing must get a competitive advantage with the use of new network through more, better, and faster information. The networked system will improve the general workflow of the company leading to faster success of company s go als and objectives. This complete network design will be built considering the political inter-relationships that are predominantly existent in a multi-site business. The security and access of information in the network is also dependent upon the trust between multiple site managers in addition to security equipment. PROJECT ADVANTAGES AND CHANGES The following shows the projected network solution through diagram and is the best for manufacturing plants that mutually managed but located differently. This model can also be applied to the company s supply chain partners, independent affiliates and other joint ventures. This kind of architecture also leads to ease in management of legal and other business proceedings as the part of the business functions can be kept separate and part of them can also be kept the same. Each manufacturing unit and the office building will be equipped with a centrally located network switch. This shall form a network hub for the entire network and shall be connected to multiple personal computers using a star topology. The Internet shall be made available to the company units by connecting a Ethernet enabled modem with this centrally located switch of high speed. A Windows

Women In Mythology free essay sample

Mythology for Women In mythology, women are usually portrayed in a negative way when it comes to either misuse of power or disobedience. However, men are usually portrayed In a positive way. There does not seem to be too many myths where the male Is portrayed negatively. In Judeo-Christian and Greek myths, there are many myths that portray women In a negative way. When It comes to humanity myths women are portrayed as being disobedient. The well-known Adam and Eve myth comes to mind In Judeo-Christian society. Adam and Eve are told not to eat from the tree of knowledge of good and evil. Even after God ells them not to, Eves temptation and disobedience drives her to eat the fruit from the tree. When It comes to Greek mythology there Is a myth known as Pandoras Box. Pandora was told to hold on to a box, but she wasnt allowed to open It. It is different because this myth does not contain each part of separation and departure, trials and victories or return. This story includes â€Å"the call to adventure†, which is when Psyche loses cupid, â€Å"the road of trials† where Psyche must complete her many tasks and â€Å"crossing the return threshold† where she wins Cupid’s love back. The role of the woman, Psyche, in this myth and in general is significant because she plays not as much of a hero role but has to endure the process that a hero would take, she also plays neither a seductress nor a Mother Atonement role in comparison to other mythological women such as the Lady of Tubber Tintye or the virgin goddess Diana. The second myth is The Prince of the Lonesome Isle. All of the women, minus one, in this particular myth play the roles of temptresses. The first thirteen women the hero comes across are the most beautiful women he has ever laid eyes on, each more beautiful than the previous, each continuously tempting the prince to stay but he leaves them nonetheless. The last woman in the myth, the Lady of Tubber Tintye, plays the role of a creator goddess who nourishes and protects the world(189), he stays with her six days and six nights but still continues and completes his quest (Jeremiah Curtin 101-106). The ways in which the roles of the women differ from the male roles in the traditional heroic archetype are that the women do not present a heroic archetype but rather that of a distraction from the princes original quest he wishes to complete. â€Å"In the morning they came to a house on the roadside; and going in, they saw a woman who had washed herself in a golden basin which stood before her. She was then wetting her head with the water in the basin, and combing her hair with a golden comb. She threw back her hair, and looking at the prince, said: You are welcome, sisters son. What is on you? Is it the misfortune of the world that has brought you here? It is not; I am going to Tubber Tintye for three bottles of water. That is what youll never do; no man can cross the fiery river or go through the enchantments around Tubber Tintye. Stay here with me, and Ill give you all I have. No, I cannot stay, I must go on. † (Jeremiah Curtin) These women are significant to the actual story because they show how the prince resisted the calls of the seductresses, met and united with a goddess who helped him to fulfill his quest. These women in the myth are significant to the portrayal of women in myths in general because they fit the stereotype of women in underworld myths being evil temptresses. But it also breaks the mold seeing as once the prince meets with the creator goddess, â€Å"queen goddess of the world†(189) she helps him to fulfill his quest rather than hindering his quest or inhibiting his ability, such as in the myth of Actaeon and the virgin goddess Diana. In the last myth, the myth of Actaeon and the virgin goddess Diana (Artemis), Actaeon stumbles across Diana while he is hunting and happens to see her while she is bathing in a stream. Diana fears that he will brag about seeing her, and turns him into a stag, which then his own hunting dogs are set on him (189). Diana’s importance to the story shows the power that women have, they are not just pretty faces there is always something more to them. To the general portrayal of women in myths Diana unmasks the Greek males fear of women female beauty is not just there for his enjoyment it has a power to trap and then destroy (Andrew Wilson) Diana’s roll differs from the traditional male heroic archetype because she is an object of lust turned somewhat evil rather than brave or heroic. She is similar to that of the heroic archetype of a male because she is a â€Å"vengeful destroyer† (Storybuilder Users Manual) towards Actaeon. In conclusion, throughout underworld mythology the role of women can stray from the typical â€Å"temptress or goddess† and find their way to being a woman called to an adventure. They all have significance to be able to change mythology from a man only perspective, into one where a woman can also be the hero. Although most of the women in these myths are have more differences from the male heroic archetype than similarities, they still have some form of the heroic archetype to them: Psyche’s love for Cupid is tested through tasks, and Diana uses her vengeful destroyer attitude. The women of underworld mythology show that women are not just their beauty or for looking at, they have an underlying root of skill that should allow them their own heroic archetype as well.