Adopting Telemedicine in developing countries Free Essays

ICTs are advancements that have spread broadly and are less expensive for use by the overall population. Despite the fact that data and correspondence advances could handle a portion of the heath care difficulties that face the cutting edge society, the use of ICTs is looked by various difficulties for social just as authentic changes that are related with other regular rights. The case isn't distinctive in the field of telemedicine. We will compose a custom article test on Receiving Telemedicine in creating nations or on the other hand any comparable theme just for you Request Now Telemedicine is a case of ICT that has been utilized on the planet for more than forty years. Present day telemedicine applications utilize excellent picture and video notwithstanding sound limits. These advances run structure magnificent goals despite everything pictures to complex video chatting mechanical assembly. Late advancements in ICT are empowering and they incorporate the utilization of web, remote ICT dispersion, and the trading of clinical data electronically notwithstanding remote counsels. Foundation factures that affect the results of telemedicine include: the national ICT framework notwithstanding the legislatures readiness, approach, just as strategies towards data and correspondence innovation. In fact complex telemedicine applications are right now utilized over a wide scope of social insurance settings. This innovation permits clinical work force to transmit pictures through cell phones and complex remote gadgets (Martã ­nez, Villarroel, Seoane, and Pozo 2005, p. 1). 3.1.2 E-Health Policies Different investors of the telemedicine division have various chances to turn out to be profoundly engaged with the advancement strategies that influence the business. Investors of this area incorporate merchants of data innovation, producers of clinical gadgets, human services experts, chiefs and the legislature. E-wellbeing arrangements are set so as to improve organize limit, upgrade capacity of rising above geo-political, social, monetary and social snags. Arrangements ought to be set so as to permit teleconsultation past national fringes. Patients notwithstanding clinical consideration experts ought to be offered with an opportunity of looking for proof based supposition just as treatment from abroad through teleconsultation (Lee, Mun, Levine and Ro 2000, p. 28). 3.3 Capabilities of wellbeing segment organization The cutting edge human services framework has experienced various alterations so as to meet the regularly expanding heath needs of the populace. One of the adjustments is the usage of media transmission in human services. All adjustments in the medicinal services segment are completed with the patient being the focal point of core interest. Telemedicine and telecommunication are probably the latest media transmission methodologies that have been joined in the medicinal services segment. At present, advanced pictures of a patient can be sent over a remote gadget to a clinical staff and clinical discussions completed over the web (Tanriverdi and Iacon, 1998, p, 40). 3.4 Analysis of Telemedicine contextual investigations in creating nations The rise to telemedicine is related with the quest for correspondence situated answers for make it simple for country populaces to get to clinical administrations. Telemedicine is considered as one of the most suitable routes through which contemporary clinical administrations can come to the underserved districts (Lee, Mun, Levine, and Ro 2000, p. 16). Reality has be that as it may, changed course. Broad examinations with telemedicine in creating countries have not yet exhibited the capability of telemedicine. There are various variables that should be executed all together that telemedicine benefits in provincial zones become supportable. A profoundly powerful authoritative procedure should be executed, a radio based framework ought to be raised and assets used appropriately; remote support frameworks ought to be actualized; a high innovative base ought to be built up; and all data and correspondence ought to be fulfilled through basic and simultaneous frameworks (Kifle, Salmon, Okoli, and Mbarika 2008, p. 5). Regardless of the various advantages related with telemedicine, the program has been delayed to come into routine use in both provincial and urban zones. 4. Assessment of the current circumstance of Telemedicine in provincial and urban zone Telemedicine holds an extraordinary trust in social insurance and clinical focuses both in provincial regions and urban focuses. Country regions specifically have for since a long time ago been looked by deficiency of clinical work force, shortage of methods for transportation notwithstanding different access issues, for example, ominous climate conditions. Telemedicine takes into account teleconsultation that use an assortment of mechanical headways, for example, voice over web, advanced pictures, computerized video remotely coordinating, notwithstanding other crisis administrations (Martã ­nez, Villarroel, Seoane, and Pozo 2005, p. 70). In any case, there are different issues that influence the usage of telemedicine in provincial territories. These include: poor framework, restricted transfer speed accessibility in arrange frameworks, and shortage of internet services. Telemedicine isn't just about the arrangement of clinical consideration in the country territories, however it is exceptionally gainful in connecting rural, urban and downtown clinical offices in a system offering concentrated clinical consideration administrations (Richard 2001, p. 3). 4.1 Advantages of utilizing Telemedicine advancements An expanded utilization of telemedicine would achieve various advantages extending from upgraded clinical consideration, better usage of wellbeing experts, expanded patients consistence, to improved conveyance of clinical consideration benefits outside facilities and medical clinic setting and in rustic just as the underserved areas. Telemedicine takes into account visit observing of crucial sign data as opposed to utilizing intermittent visit by doctors. It additionally improves care of the older, truly crippled just as the home bound patients, since it diminishes emergency clinic visits subsequently expanding accommodation and consistence for weakened patients. Therefore it improves general strength of the network and populace since it diminishes introduction to different diseases from different patients. It additionally enables patients corresponding to their own wellbeing. It is a wellspring of imaginative and inventive work in the human services framework. It is a noteworthy system of handling likely future shortage of clinical personnel.â It cuts down the pace of death, wounds and contaminations because of clinical mistakes because of erroneous patient data. Nearness of telemedicine programs in rustic territories improves care by diminishing transportation costs; conveying clinical experts and masters; and through giving clinical consideration conveyance paying little heed to geological boundaries (Hein 2009, p. 9). 4.2 Challenges of adjusting Telemedicine There are various difficulties to producing trustworthy proof concerning the impacts of the utilization of telemedicine. Investigation is once in a while completed as a major piece of usage, and thus assets are not totally committed to assessment. Be that as it may, there are times when assets are devoted to investigation after execution, in this way forthcoming social event of gauge information is unimaginable. Review social event of clinical information is looked by various obstacles as far as suitable source ID notwithstanding assortment procedures. These issues make troublesome the investigation of different intercessions, even as the real idea of assessment of telemedicine presents further challenges (Brear 2006, p. 24). Other than assessment, different difficulties that face telemedicine, as demonstrated by Paul, Pearlson and McDaniel (1999, p 281), include: different social, social, monetary, specialized and hierarchical obstacles that human services frameworks must arrangement with before accomplishing the full advantages of telemedicine. Different elements that wreck the usage of telemedicine in creating nations are: poor media transmission and electric force framework; mastery notwithstanding significant expense of internet providers; absence of government inclusion; troubles in continuing execution of telemedicine; unsatisfactory hierarchical techniques; and client discontentâ with low band-width just as deferred reaction. Patients, clinical experts and leaders need fundamental information on telemedicine benefits just as their potential for clinical consideration. Absence of legitimate subsidizing is the other test that faces telemedicine. In spite of its suggestion by the world wellbeing association telemedicine is yet to be acknowledged as a specialized assistance in numerous national services of wellbeing (Kifle, Salmon, Okoli, and Mbarika n.d, p. 3). 5. Ends It can subsequently be reasoned that telemedicine is one of the most huge current clinical methodologies that can be utilized in handling the various medicinal services difficulties that face populaces living in both urban and rustic areas.â Various advantages of telemedicine include: improvement of patient consideration, decrease of patient exchanges to tertiary wellbeing habitats and giving doctors a decent access to tertiary meeting. Telemedicine improves the general soundness of the network since it lessens open to different sicknesses from different patients through decrease of clinic visits. There are in any case, different difficulties that are related with usage of telemedicine and these include: assessment challenges, poor media transmission, error of data, and absence of mindfulness and duty by the legislature and leaders. Telemedicine is looked by different issues including data innovation strategies, E-Health approaches, and information security arrangements. Despite the fact that there are various advantages related with telemedicine, the program has been delayed to come into routine practice both in provincial and urban zones.

Free Essays on Columbus Day

An Extra Day Off Sounds Nice â€Å"It is just radical or right now unfashionable thoughts that the writings forget about it is all thoughts, including those of their heroes.† (FitzGerald) USF doesn't perceive a significant occasion. A great deal of schools don't perceive this occasion. This bombshells and frustrates me. The occasion that I am talking about is Columbus Day. My hair salon isn't open, nor is my preferred alcohol store. For what reason is my school despite everything open? The explanation is essentially in light of the fact that numerous individuals consider Christopher To be as a despot and don't figure we ought to watch this occasion. On the off chance that we will observe Presidents Day and Independence Day, at that point why not observe Columbus Day. Our nation can murder and it is advocated, and Columbus slaughtered at this point it is some how disliked. I accept we have to regard and demonstrate on account of the man that lead to our establishing as nation. Christopher Columbus set sail for the East Indies in the year 1492. â€Å"Columbus equipped three desolately little ships, the Nina, the Pinta, and the Santa Maria, and set out from Spain.† (Lowen 39) This shows Columbus didn't set off on a simple journey. It shows that we have to take a gander at the hardships he experienced to carry the new world to Spain. Regardless of whether he executed, assaulted, and looted the individuals he ran over in the new world he despite everything made it there and took the news back to Spain. That is reason enough to regard and offer gratitude to him for me. I surely would not have the guts to head out into the obscure to discover something that I probably won't receive the full rewards of. Some state, â€Å"Columbus didn't know for certain where he was going. Proof says he was looking for Japan, India, and Indonesia.† (Loewn 55) This doesn't make a difference. Who cares where he thought he was going. He found another land that had not been found and that land is where millions live. Individuals state if Columbus didn't take this news back to Spain another person would have. That I concur mind... Free Essays on Columbus Day Free Essays on Columbus Day An Extra Day Off Sounds Nice â€Å"It is just radical or at present unfashionable thoughts that the writings forget about it is all thoughts, including those of their heroes.† (FitzGerald) USF doesn't perceive a significant occasion. A great deal of schools don't perceive this occasion. This miracles and disillusions me. The occasion that I am talking about is Columbus Day. My hairstyling parlor isn't open, nor is my preferred alcohol store. For what reason is my school despite everything open? The explanation is just in light of the fact that numerous individuals consider Christopher To be as a dictator and don't figure we ought to watch this occasion. On the off chance that we will observe Presidents Day and Independence Day, at that point why not observe Columbus Day. Our nation can murder and it is advocated, and Columbus executed at this point it is some how disliked. I accept we have to regard and demonstrate because of the man that lead to our establishing as nation. Christopher Columbus set sail for the East Indies in the year 1492. â€Å"Columbus furnished three desolately little ships, the Nina, the Pinta, and the Santa Maria, and set out from Spain.† (Lowen 39) This shows Columbus didn't set off on a simple journey. It shows that we have to take a gander at the hardships he experienced to carry the new world to Spain. Regardless of whether he murdered, assaulted, and looted the individuals he ran over in the new world he despite everything made it there and took the news back to Spain. That is reason enough to regard and express gratefulness to him for me. I absolutely would not have the guts to head out into the obscure to discover something that I probably won't receive the full rewards of. Some state, â€Å"Columbus didn't know for certain where he was going. Proof says he was looking for Japan, India, and Indonesia.† (Loewn 55) This doesn't make a difference. Who cares where he thought he was going. He found another land that had not been found and that land is where millions dwell. Individuals state if Columbus didn't take this news back to Spain another person would have. That I concur mind...

Antidepressant Withdrawal Symptoms, Timeline, & Treatment

Antidepressant Withdrawal Symptoms, Timeline, & Treatment In This Article Table of Contents Expand Overview Signs & Symptoms Coping & Relief Warnings Long-Term Treatment Also called discontinuation syndrome, antidepressant withdrawal is pretty common. Roughly 20% of people who suddenly stop or drastically reduce their dose after regularly taking antidepressants for at least a month experience withdrawal symptoms.?? Some drugs have higher rates of withdrawal than others, but it can happen to anyone and with any type of antidepressant. Overview Antidepressant withdrawal can make you feel edgy and out of sorts. You may feel like you have the flu (sluggish with a headache and nausea), have trouble sleeping and concentrating, and experience anxiety and even thoughts of suicide.?? For some, the symptoms can be very similar to the ones that prompted them to take an antidepressant in the first place. These physical and mental symptoms are caused by the sudden decrease of the brain chemical serotonin in some newer forms of antidepressants, which regulate the levels of serotonin in your brain to boost your mood. So naturally, when you stop taking them these levels take a dive. Other antidepressants work by altering levels of neurotransmitters in the brain, which may also cause discomfort once you stop taking these medications.?? Antidepressants are not considered addictive by doctors, however, it is possible to develop a physical dependence on these medications. In rare cases, those whove reported abuse of antidepressants were motivated by the drugs psychostimulant qualities and effects.?? Signs Symptoms Some of the symptoms that have been reported by people with depression who have stopped taking their antidepressants could include the following:?? Flu-like symptoms, such as dizziness, headache, nausea, weakness, lack of energyDifficulty sleepingAgitation, anxiety, or restlessnessParesthesias or feelings of tingling or pins and needlesTachycardia or increased heart rate??Hypertension or increased blood pressure  SweatingTremors or unintentional trembling or shakingNausea, vomiting, or abdominal crampingMuscle spasmsDifficulty urinating In most cases, withdrawal symptoms are fairly mild in the first one to three days and may intensify on the fourth or fifth day before they subside and may persist for up to three weeks. If youre having a relapse of your depression, however, the symptoms may get worse. The experience of antidepressant withdrawal varies greatly depending on the person, the type of antidepressant, as well as the dosage and length of time the drug had been taken.?? You will likely experience withdrawal symptoms if you suddenly stop taking your antidepressants, but can ease some of the discomfort by gradually reducing your medication instead. Coping Relief The best way to cope with antidepressant withdrawal is to prevent it in the first place by making sure to never stop or adjust the dosage of your medication without first talking to your doctor or mental health care professional. Your doctor can help you devise a plan for discontinuing your medication while limiting or avoiding the negative effects of withdrawal.?? Here are a few more ways to prevent or cope with antidepressant withdrawal. Ask Yourself: Why Am I Quitting? This question could be important if you need further treatment during withdrawal, or afterward.  Do you feel you are over your depression? Do you dislike the side effects of the medication? Are you unable to maintain the cost of your medication? These are all very different reasons that have important implications for what your experience of withdrawal could be like. Remember, depression is a serious and potentially life-threatening illness if it is not properly treated. Its important to consider all of your options and work with your healthcare provider to make the best choice for you. Taper Off Slowly Tapering off your antidepressant can help minimize some of the side effects of withdrawal. There’s no one tapering schedule that works for everyoneâ€"and it may change depending on how you respond. In most cases, your doctor will decide how rapidly or slowly you wean off the drug based on the following factors: Your symptomsThe type of antidepressant you’re takingHow long you’ve been taking the medicationYour dosageThe drug’s half-life (how long it takes for half of the medication to leave your body)?? How to Taper Off Your Antidepressant Explore an Alternative There are several different types of antidepressant medication  that work differently in the brain, have different side effects, and may create different withdrawal experiences for the people who take and discontinue them. The types include tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and atypical antidepressants.?? If you dont like how your medication makes you feel, its possible that you have been misdiagnosed. For example, you may have been diagnosed with major depression when you actually have bipolar disorder, which requires a different type of medication).?? Its also possible that your symptoms will respond more positively to a different medication from the one you were originally prescribed. Responses to antidepressants are very individual, so talk to your doctor about how the medication you have been prescribed is affecting you. For example, you may feel better emotionally on antidepressants but dislike the side effects, or you may do better with psychotherapy or lifestyle changes. Or you may be having trouble with your antidepressant due to alcohol use or the use of other psychoactive drugs.?? All of these possibilities are best discussed with a family doctor, psychiatrist, or psychologist, who will help you figure out an alternative treatment plan. Talk to Your Doctor About Medication While antidepressants like Prozac (fluoxetine) have a longer half-life, they may still cause symptoms of withdrawal.?? If you need support in managing your antidepressant withdrawal symptoms, over-the-counter antihistamines or sleep aids can help minimize some of that discomfort. These medications do produce sedative effects, however, and may add to any feelings of sluggishness. Start Moving A lack of energy and depressed mood will likely make exercise the last thing you want to do, but its important to give it a try. Exercise can help keep depression at bay by helping to release feel-good endorphins and provide a positive outlet for stress.?? How Exercise Improves Mood Warnings Although rare, it should be noted that occasionally people have experienced very severe reactions to discontinuing antidepressant medications.?? If you or someone you know has had any of the following symptoms in response to reducing or discontinuing antidepressants, seek medical help immediately. While these extreme reactions can be frightening to the person experiencing them, and to those around them, they are well-recognized medical symptoms that can be treated.?? Delirium: Sudden disorientation in time and place, confusion, restlessness, agitation, and difficulties with working memory (remembering aspects of a current line of thought)Psychosis: Disconnection from reality, particularly involving delusions and/or hallucinationsSuicidal feelings: While many people with depression report occasional or frequent suicidal feelings, its important to seek help immediately if these feelings occur during antidepressant withdrawal. Untreated depression is a major risk factor for suicide. If youre having suicidal thoughts, call your mental healthcare provider or contact the National Suicide Prevention Lifeline at 1-800-273-8255  to talk to a trained counselor. Beyond mild and potentially serious side effects, there are several other dangers that can occur from abruptly stopping your medication. For one, stopping your medication can set you back in your treatment, increasing the time it will take to start feeling like yourself again. Relapse is another danger to consider. Relapse Research shows that anxiety and pain that can occur alongside depression may increase the risk of relapse to depression after discontinuing an antidepressant.?? If you have problems with anxiety or chronic pain, you should be particular careful about discontinuing medication as you may be more likely to relapse. Your antidepressant may also help with your symptoms of anxiety or pain, which may feel worse after you stop taking the medication. Long-Term Treatment Although a diagnosis of depression is by no means a life sentence, its important to consider your long-term well-being when thinking about your medication. Over half of the people who experience depression will experience it again at some point in their lives, often more than once.?? Research looking into what makes relapse likely for adults with major depressive disorder (MDD) shows that antidepressants help during the acute stages of depression, and reduce the chances of relapse, but studies of people who felt better after taking antidepressants have indicated that there are no established, validated markers of individual relapse risk after stopping taking antidepressants.?? Some people even relapse while on antidepressant medication.?? Therefore, it is especially important to work with your doctor to figure out what is the best course of treatment for you. Does Depression Go Away on Its Own With Time? A Word From Verywell Although antidepressants can have troubling side effects and dont always help right away, many people are helped by these medications. An antidepressant isnt a magic pill and it doesnt replace the need for psychological support and therapy, but with patience, you and your doctor may be able the find a medication that relieves your symptoms of depression. Though finding the right medication can often take time, patience, and perseverance, it can vastly improve the quality of life for many people with depression.?? It is important not to try and manage your medication alone. If it isnt working, or you dont like the side effects, dont just quit on your own. You, your doctor, and your support team can work together to keep you safe and comfortable while you figure out the right approach to treatment. Never hesitate to reach our if you feel in despair, and dont try and self-medicate. Help is just a phone call away. Call 911 if you need to.

Antidepressant Withdrawal Symptoms, Timeline, & Treatment

Antidepressant Withdrawal Symptoms, Timeline, & Treatment In This Article Table of Contents Expand Overview Signs & Symptoms Coping & Relief Warnings Long-Term Treatment Also called discontinuation syndrome, antidepressant withdrawal is pretty common. Roughly 20% of people who suddenly stop or drastically reduce their dose after regularly taking antidepressants for at least a month experience withdrawal symptoms.?? Some drugs have higher rates of withdrawal than others, but it can happen to anyone and with any type of antidepressant. Overview Antidepressant withdrawal can make you feel edgy and out of sorts. You may feel like you have the flu (sluggish with a headache and nausea), have trouble sleeping and concentrating, and experience anxiety and even thoughts of suicide.?? For some, the symptoms can be very similar to the ones that prompted them to take an antidepressant in the first place. These physical and mental symptoms are caused by the sudden decrease of the brain chemical serotonin in some newer forms of antidepressants, which regulate the levels of serotonin in your brain to boost your mood. So naturally, when you stop taking them these levels take a dive. Other antidepressants work by altering levels of neurotransmitters in the brain, which may also cause discomfort once you stop taking these medications.?? Antidepressants are not considered addictive by doctors, however, it is possible to develop a physical dependence on these medications. In rare cases, those whove reported abuse of antidepressants were motivated by the drugs psychostimulant qualities and effects.?? Signs Symptoms Some of the symptoms that have been reported by people with depression who have stopped taking their antidepressants could include the following:?? Flu-like symptoms, such as dizziness, headache, nausea, weakness, lack of energyDifficulty sleepingAgitation, anxiety, or restlessnessParesthesias or feelings of tingling or pins and needlesTachycardia or increased heart rate??Hypertension or increased blood pressure  SweatingTremors or unintentional trembling or shakingNausea, vomiting, or abdominal crampingMuscle spasmsDifficulty urinating In most cases, withdrawal symptoms are fairly mild in the first one to three days and may intensify on the fourth or fifth day before they subside and may persist for up to three weeks. If youre having a relapse of your depression, however, the symptoms may get worse. The experience of antidepressant withdrawal varies greatly depending on the person, the type of antidepressant, as well as the dosage and length of time the drug had been taken.?? You will likely experience withdrawal symptoms if you suddenly stop taking your antidepressants, but can ease some of the discomfort by gradually reducing your medication instead. Coping Relief The best way to cope with antidepressant withdrawal is to prevent it in the first place by making sure to never stop or adjust the dosage of your medication without first talking to your doctor or mental health care professional. Your doctor can help you devise a plan for discontinuing your medication while limiting or avoiding the negative effects of withdrawal.?? Here are a few more ways to prevent or cope with antidepressant withdrawal. Ask Yourself: Why Am I Quitting? This question could be important if you need further treatment during withdrawal, or afterward.  Do you feel you are over your depression? Do you dislike the side effects of the medication? Are you unable to maintain the cost of your medication? These are all very different reasons that have important implications for what your experience of withdrawal could be like. Remember, depression is a serious and potentially life-threatening illness if it is not properly treated. Its important to consider all of your options and work with your healthcare provider to make the best choice for you. Taper Off Slowly Tapering off your antidepressant can help minimize some of the side effects of withdrawal. There’s no one tapering schedule that works for everyoneâ€"and it may change depending on how you respond. In most cases, your doctor will decide how rapidly or slowly you wean off the drug based on the following factors: Your symptomsThe type of antidepressant you’re takingHow long you’ve been taking the medicationYour dosageThe drug’s half-life (how long it takes for half of the medication to leave your body)?? How to Taper Off Your Antidepressant Explore an Alternative There are several different types of antidepressant medication  that work differently in the brain, have different side effects, and may create different withdrawal experiences for the people who take and discontinue them. The types include tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and atypical antidepressants.?? If you dont like how your medication makes you feel, its possible that you have been misdiagnosed. For example, you may have been diagnosed with major depression when you actually have bipolar disorder, which requires a different type of medication).?? Its also possible that your symptoms will respond more positively to a different medication from the one you were originally prescribed. Responses to antidepressants are very individual, so talk to your doctor about how the medication you have been prescribed is affecting you. For example, you may feel better emotionally on antidepressants but dislike the side effects, or you may do better with psychotherapy or lifestyle changes. Or you may be having trouble with your antidepressant due to alcohol use or the use of other psychoactive drugs.?? All of these possibilities are best discussed with a family doctor, psychiatrist, or psychologist, who will help you figure out an alternative treatment plan. Talk to Your Doctor About Medication While antidepressants like Prozac (fluoxetine) have a longer half-life, they may still cause symptoms of withdrawal.?? If you need support in managing your antidepressant withdrawal symptoms, over-the-counter antihistamines or sleep aids can help minimize some of that discomfort. These medications do produce sedative effects, however, and may add to any feelings of sluggishness. Start Moving A lack of energy and depressed mood will likely make exercise the last thing you want to do, but its important to give it a try. Exercise can help keep depression at bay by helping to release feel-good endorphins and provide a positive outlet for stress.?? How Exercise Improves Mood Warnings Although rare, it should be noted that occasionally people have experienced very severe reactions to discontinuing antidepressant medications.?? If you or someone you know has had any of the following symptoms in response to reducing or discontinuing antidepressants, seek medical help immediately. While these extreme reactions can be frightening to the person experiencing them, and to those around them, they are well-recognized medical symptoms that can be treated.?? Delirium: Sudden disorientation in time and place, confusion, restlessness, agitation, and difficulties with working memory (remembering aspects of a current line of thought)Psychosis: Disconnection from reality, particularly involving delusions and/or hallucinationsSuicidal feelings: While many people with depression report occasional or frequent suicidal feelings, its important to seek help immediately if these feelings occur during antidepressant withdrawal. Untreated depression is a major risk factor for suicide. If youre having suicidal thoughts, call your mental healthcare provider or contact the National Suicide Prevention Lifeline at 1-800-273-8255  to talk to a trained counselor. Beyond mild and potentially serious side effects, there are several other dangers that can occur from abruptly stopping your medication. For one, stopping your medication can set you back in your treatment, increasing the time it will take to start feeling like yourself again. Relapse is another danger to consider. Relapse Research shows that anxiety and pain that can occur alongside depression may increase the risk of relapse to depression after discontinuing an antidepressant.?? If you have problems with anxiety or chronic pain, you should be particular careful about discontinuing medication as you may be more likely to relapse. Your antidepressant may also help with your symptoms of anxiety or pain, which may feel worse after you stop taking the medication. Long-Term Treatment Although a diagnosis of depression is by no means a life sentence, its important to consider your long-term well-being when thinking about your medication. Over half of the people who experience depression will experience it again at some point in their lives, often more than once.?? Research looking into what makes relapse likely for adults with major depressive disorder (MDD) shows that antidepressants help during the acute stages of depression, and reduce the chances of relapse, but studies of people who felt better after taking antidepressants have indicated that there are no established, validated markers of individual relapse risk after stopping taking antidepressants.?? Some people even relapse while on antidepressant medication.?? Therefore, it is especially important to work with your doctor to figure out what is the best course of treatment for you. Does Depression Go Away on Its Own With Time? A Word From Verywell Although antidepressants can have troubling side effects and dont always help right away, many people are helped by these medications. An antidepressant isnt a magic pill and it doesnt replace the need for psychological support and therapy, but with patience, you and your doctor may be able the find a medication that relieves your symptoms of depression. Though finding the right medication can often take time, patience, and perseverance, it can vastly improve the quality of life for many people with depression.?? It is important not to try and manage your medication alone. If it isnt working, or you dont like the side effects, dont just quit on your own. You, your doctor, and your support team can work together to keep you safe and comfortable while you figure out the right approach to treatment. Never hesitate to reach our if you feel in despair, and dont try and self-medicate. Help is just a phone call away. Call 911 if you need to.

Japans Genpei War, 1180 - 1185

Date: 1180-1185 Location: Honshu and Kyushu, Japan Outcome: Minamoto clan prevails and almost wipes out Taira; Heian era ends and Kamakura shogunate begins The Genpei War (also romanized as Gempei War) in Japan was the first conflict between large samurai factions.  Although it happened nearly 1,000 years ago, people today still remember the names and accomplishments of some of the great warriors who fought in this civil war. Sometimes compared with Englands War of the Roses, the Genpei War featured two families fighting for power.  White was the clan color of the Minamoto, like the House of York, while the Taira used red like the Lancasters.  However, the Genpei War predated the Wars of the Roses by three hundred years.  In addition, the Minamoto and Taira were not fighting to take the throne of Japan; instead, each wanted to control the imperial succession. Lead-up to the War The Taira and Minamoto clans were rival powers behind the throne. They sought to control the emperors by having their own favorite candidates take the throne.  In the Hogen Disturbance of 1156 and the Heiji Disturbance of 1160, though, it was the Taira who came out on top.   Both families had daughters who had married into the imperial line.  However, after the Taira victories in the disturbances, Taira no Kiyomori became the Minister of State; as a result, he was able to ensure that his daughters three-year-old son became the next emperor in March of 1180.  It was the enthronement of little Emperor Antoku that led the Minamoto to revolt. War Breaks Out On May 5, 1180, Minamoto Yoritomo and his favored candidate for the throne, Prince Mochihito, sent out a call to war.  They rallied samurai families related to or allied with the Minamoto, as well as warrior monks from various Buddhist monasteries.  By June 15, Minister Kiyomori had issued a warrant for his arrest, so Prince Mochihito was forced to flee Kyoto and seek refuge in the monastery of Mii-dera.  With thousands of Taira troops marching toward the monastery, the prince and 300 Minamoto warriors raced south toward Nara, where additional warrior monks would reinforce them. The exhausted prince had to stop to rest, however, so the Minamoto forces took refuge with the monks at the easily defensible monastery of Byodo-in.  They hoped that monks from Nara would arrive to reinforce them before the Taira army did.  Just in case, however, they tore the planks from the only bridge across the river to Byodo-in. At first light the next day, June 20, the Taira army marched quietly up to Byodo-in, hidden by thick fog.  The Minamoto suddenly heard the Taira war-cry  and replied with their own.  A fierce battle followed, with monks and samurai firing arrows through the mist at one another.  Soldiers from the Tairas allies, the Ashikaga, forded the river and pressed the attack.  Prince Mochihito tried to escape to Nara in the chaos, but the Taira caught up with him and executed him.  The Nara monks marching toward Byodo-in heard that they were too late to help the Minamoto, and turned back.  Minamoto Yorimasa, meanwhile, committed the first classical seppuku in history, writing a death poem on his war-fan, and then cutting open his own abdomen. It seemed that the Minamoto revolt and thus the Genpei War had come to an abrupt end.  In vengeance, the Taira sacked and burned the monasteries that had offered aid to the Minamoto, slaughtering thousands of monks and burning Kofuku-ji and Todai-ji in Nara to the ground. Yoritomo Takes Over The leadership of the Minamoto clan passed to the 33-year-old Minamoto no Yoritomo, who was living as a hostage in the home of a Taira-allied family.  Yoritomo soon learned that there was a bounty on his head.  He organized some local Minamoto allies, and escaped from the Taira, but lost most of his small army in the Battle of Ishibashiyama on September 14.  Yoritomo escaped with his life, fleeing into the woods with Taira pursuers close behind.   Yoritomo made it to the town of Kamakura, which was solidly Minamoto territory.  He called in reinforcements from all of the allied families in the area.  On November 9, 1180, at the so-called Battle of the Fujigawa (Fuji River), the Minamoto and allies faced an over-extended Taira army.  With poor leadership and long supply lines, the Taira decided to withdraw back to Kyoto without offering a fight.   A hilarious and likely exaggerated account of the events at Fujigawa in the Heiki Monogatari claims that a flock of water-fowl on the river marshes was started into flight in the middle of the night.  Hearing the thunder of their wings, the Taira soldiers panicked and fled, grabbing bows without arrows or taking their arrows but leaving their bows.  The record even claims that Taira troops were mounting tethered animals and whipping them up so that they galloped round and round the post to which they were tied. Whatever the true cause of the Taira retreat, there followed a two-year lull in the fighting.  Japan faced a series of droughts and floods that destroyed the rice and barley crops in 1180 and 1181.  Famine and disease ravaged the countryside; an estimated 100,000 died.  Many people blamed the Taira, who had slaughtered monks and burned down temples.  They believed that the Taira had brought down the wrath of the gods with their impious actions, and noted that Minamoto lands did not suffer as badly as those controlled by the Taira. Fighting began again in July of 1182, and the Minamoto had a new champion called Yoshinaka, a rough-hewn cousin of Yoritomos, but an excellent general.  As Minamoto Yoshinaka won skirmishes against the Taira  and considered marching on Kyoto, Yoritomo grew increasingly concerned about his cousins ambitions.  He sent an army against Yoshinaka in the spring of 1183, but the two sides managed to negotiate a settlement rather than fighting one another. Fortunately for them, the Taira were in disarray.  They had conscripted a huge army, marching forth on May 10, 1183, but were so disorganized that their food ran out just nine miles east of Kyoto.  The officers ordered the conscripts to plunder food as they passed from their own provinces, which were just recovering from the famine.  This prompted mass desertions. As they entered Minamoto territory, the Taira divided their army into two forces.  Minamoto Yoshinaka managed to lure the larger section into a narrow valley; at the Battle of Kurikara, according to the epics, Seventy thousand horsemen of the Taira perish[ed], buried in this one deep valley; the mountain streams ran with their blood... This would prove the turning point in the Genpei War. Minamoto In-Fighting Kyoto erupted in panic at the news of the Taira defeat in Kurikara.  On August 14, 1183, the Taira fled the capital.  They took along most of the imperial family, including the child emperor, and the crown jewels.  Three days later, Yoshinakas branch of the Minamoto army marched into Kyoto, accompanied by the former Emperor Go-Shirakawa. Yoritomo was nearly as panicked as the Taira were by his cousins triumphal march.  However, Yoshinaka soon earned the hatred of the citizens of Kyoto, allowing his troops to pillage and rob people regardless of their political affiliation.  In February of 1184, Yoshinaka heard that Yoritomos army was coming to the capital to expel him, led by another cousin, Yoritomos courtly younger brother Minamoto Yoshitsune.  Yoshitsunes men quickly dispatched Yoshinakas army.  Yoshinakas wife, the famous female samurai Tomoe Gozen, is said to have escaped after taking a head as a trophy.  Yoshinaka himself was beheaded while trying to escape on February 21, 1184. End of the War and Aftermath: What remained of the Taira loyalist army retreated into their heartland.  It took the Minamoto some time to mop them up.  Almost a year after Yoshitsune ousted his cousin from Kyoto, in February of 1185, the Minamoto seized the Taira fortress and make-shift capital at Yashima.   On March 24, 1185, the final major battle of the Genpei War took place.  It was a naval battle in the Shimonoseki Strait, a half-day fight called the Battle of Dan-no-ura. Minamoto no Yoshitsune commanded his clans fleet of 800 ships, while Taira no Munemori led the Taira fleet, 500 strong.  The Taira were more familiar with the tides and currents in the area, so initially were able to surround the larger Minamoto fleet and pin them down with long-range archery shots.  The fleets closed in for hand-to-hand combat, with samurai leaping aboard their opponents ships and fighting with long and short swords.  As the battle wore on, the turning tide forced the Taira ships up against the rocky coastline, pursued by the Minamoto fleet. When the tides of battle turned against them, so to speak, many of the Taira samurai jumped into the sea to drown rather than being killed by the Minamoto.  The seven-year-old Emperor Antoku and his grandmother also jumped in and perished.  Local people believe that small crabs that live in the Shimonoseki Strait are possessed by the ghosts of the Taira samurai; the crabs have a pattern on their shells that looks like a samurais face. After the Genpei War, Minamoto Yoritomo formed the first bakufu and ruled as Japans first shogun from his capital at Kamakura.  The Kamakura shogunate was the first of various bakufu that would rule the country until 1868  when the Meiji Restoration returned political power to the emperors. Ironically, within thirty years of the Minamoto victory in the Genpei War, political power would be usurped from them by regents (shikken) from the Hojo clan.  And who were they?  Well, the Hojo were a branch of the Taira family. Sources Arnn, Barbara L.  Local Legends of the Genpei War: Reflections of Medieval Japanese History, Asian Folklore Studies, 38:2 (1979), pp. 1-10. Conlan, Thomas.  The Nature of Warfare in Fourteenth-Century Japan: The Record of Nomoto Tomoyuki, Journal for Japanese Studies, 25:2 (1999), pp. 299-330. Hall, John W.  The Cambridge History of Japan, Vol. 3, Cambridge: Cambridge University Press (1990). Turnbull, Stephen.  The Samurai: A Military History, Oxford: Routledge (2013).

The Media Plays a Hand in Anorexia Essay - 1181 Words

What causes anorexia nervosa, a terrible mental disease which leads victims to starve themselves, sometimes to death? The message to be thin is transmitted to adolescents at an early age. The media is a strong supporter of this image, the thought that thin is desirable is shown through the advertisements that consumers are exposed to everyday. People constantly hear that thin is desirable and are shown this very fact through advertisements and videos. The media may not be the sole cause of anorexia but the effect that the media has on children can not be over looked. There are multiple factors that can contribute to the desire to be thin; the media is one factor in the equation that can not be so easily overlooked. Anorexia and Bulimia†¦show more content†¦Women were, and still are willing, to sacrifice comfort and endure a large amount of pain in order to obtain this ideal image. During the 19th century women with tiny waist and large bustles became highly desired. 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The United States Department Of Defense - 2228 Words

The headquarters for the United States Department of Defense has twice the number of bathrooms needed for a building its size. Known more commonly as â€Å"the Pentagon† after its unique, five walled frame, the defense building was constructed during the early 1940’s in Virginia, where a code of regulations dubbed the â€Å"Jim Crow laws† required people of color to use separate facilities from white citizens. The Jim Crow laws segregated schools, transportation and public places. Although they claimed to make colored and Caucasian citizens â€Å"separate but equal† they typically left African Americans with inferior conditions and facilities; their libraries only carried secondhand books, their schools were overcrowded and underfunded, and they†¦show more content†¦The story is told from the perspective of two children, Jean Louise (Scout) Finch and her brother Jeremy (Jem) Finch, growing up in Maycomb, Alabama, a small, sleepy town in the Ameri can South during the early 1930’s. As Jem and Scout mature, people in Maycomb, like a poor classmate, their elusive neighbor and a wrongly convicted African American, teach them the immorality of discrimination and the inaccuracy of stereotypes. One of the characters affected most dramatically by stereotyping in To Kill a Mockingbird is Walter Cunningham, a poor farmer’s son, who is discriminated against because of his status in society. When Scout is rude to Walter after she and her brother invite him to their house for lunch. Scout tells her cook, Calpurnia, She does not have to be polite to Walter because,â€Å"he ain’t company... he’s just a Cunningham† (Lee 24). Although Scout does not know Walter very well at the time of her statement, her opinion of him has been prematurely influenced by Walters place in society. Scout claims â€Å"he ain’t company† (24) because he belongs to a poor, low class family, the Cunninghams. She believes that Walter’s supposed commonality means he does not need to be treated with the same courtesy she shows other guests. Even at a young age, Scout has been influenced by the corrupt belief that some people are born better or more important than others, and stereotypes Walter as someone unimportant. However, as time wears on Scout comes to know Walter better and view