90 Verbs Starting with Ex-

90 Verbs Starting with Ex- 90 Verbs Starting with â€Å"Ex-† 90 Verbs Starting with â€Å"Ex-† By Mark Nichol Ex- marks the spot. Go beyond, go out on a limb, go outside your comfort zone. Get some extra excitement by using these vivid verbs starting with the syllable ex-: 1. Exacerbate: to make worse 2. Exact: to call for and obtain (â€Å"exact revenge†) 3. Exaggerate: to overemphasize or overstate 4. Exalt: to glorify or intensify 5. Examine: to inspect, investigate, or scrutinize 6. Exasperate: to aggravate or enrage 7. Excavate: to remove or expose by digging or as if by digging 8. Exceed: to be greater than or to go beyond a limit or normal boundary 9. Except: to keep out or to object 10. Excerpt: to take out or select, especially writing, for other use 11. Exchange: to trade 12. Excise: to remove by cutting or as if by cutting 13. Excite: to arouse or stimulate 14. Exclaim: to cry out passionately or vehemently 15. Exclude: to bar, or to prevent entrance or inclusion 16. Excogitate: to devise 17. Excommunicate: to bar from membership 18. Excoriate: to abrade or censure 19. Excrete: to discharge or eliminate 20. Excruciate: to torture 21. Exculpate: to clear of blame or fault 22. Excuse: to forgive or remove blame from or to justify or make an apology for 23. Execrate: to denounce 24. Execute: to carry out or perform 25. Exemplify: to embody or make an example of 26. Exempt: to set apart or release from a requirement 27. Exenterate: to disembowel 28. Exercise: to practice, train, or put to use 29. Exert: to put forth effort 30. Exfoliate: to cast off or remove 31. Exhale: to breathe out 32. Exhaust: to wear out 33. Exhibit: to show or demonstrate 34. Exhilarate: to refresh or stimulate 35. Exhort: to appeal to or to warn 36. Exhume: to disinter or to rectify neglect 37. Exile: to drive out 37. Exist: to continue to be or to have being 39. Exit: to go out 40. Exonerate: to reverse an accusation 41. Exorcise: to get rid of an evil spirit or something troublesome 42. Expand: to enlarge or spread 43. Expatiate: to wander, or to communicate at length 44. Expatriate: to banish, or to withdraw from residence or allegiance 45. Expect: to await or to suppose 46. Expectorate: to discharge or spit 47. Expedite: to cause to occur quickly, or to dispatch or issue 48. Expel: to eject 49. Expend: to spend, use up, or utilize 50. Experience: to learn or sense by direct participation or observation, or to undergo 51. Experiment: to test or try 52. Expiate: to absolve of guilt, or to make amends 53. Expire: to conclude or die, or to breath out 54. Explain: to make something known or understood or demonstrate knowledge or understanding 55. Explicate: to describe or analyze 56. Explode: to burst or give forth, or suddenly accelerate or increase 57. Exploit: to utilize, or to take advantage of knowledge 58. Explore: to analyze, investigate, or study, or to test or travel 59. Export: to carry, remove, or send 60. Expose: to make known, to show, or to subject to the elements or to view 61. Exposit: see expound 62. Expostulate: to discuss or examine 63. Expound: to argue, comment, or state 64. Express: to force out, to show, or to symbolize, or to offer feelings or opinions or to perform in order to demonstrate artistry and/or communicate creative material 65. Expropriate: to deprive of property or take another’s property for one’s own 66. Expulse: see expel 67. Expunge: to destroy or to strike out 68. Expurgate: to remove something objectionable 69. Exscind: to cut off or out 70. Exsert: to throw out 71. Exsiccate: to dry 72. Extemporize: to improvise 73. Extend: to put or send out 74. Extenuate: to mitigate or to reduce strength or effect 75. Exteriorize: to bring out from inside (as in surgery) 76. Exterminate: to get rid of or kill 77. Externalize: to rationalize, or to make manifest 78. Extinguish: to eclipse, nullify, or quench 79. Extirpate: to cut out, destroy, or uproot 80. Extol: to glorify or praise 81. Extort: to wring from, to obtain from by argument or intimidation 82. Extract: to draw out, remove, or select 83. Extradite: to deliver a fugitive from one jurisdiction to another 84. Extrapolate: to infer, expand on, or predict 85. Extravasate: to cause to escape, or to force out (as in surgery) 86. Extricate: to free or remove from difficulty, or to distinguish from 87. Extrude: to press or push out, or to shape 88. Exuberate: to demonstrate unrestrained joy 89. Exude: to diffuse or spread out, or to display obviously 90. Exult: to rejoice Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:10 Grammar Mistakes You Should Avoid"Have" vs "Having" in Certain Expressions50 Words with Alternative Spellings

How to Conjugate Remercier (to Thank)

How to Conjugate Remercier (to Thank) The French verb remercier means to thank. You may see that merci is in the center of the word: Merci, of course, is how you say thanks in French.   How to Conjugate the French Verb Remercier Remercier follows the conjugation pattern of regular -er verbs. As you do when conjugating regular verbs, you drop the infinitive ending from the verb to find the stem (remerci-) and add the ending appropriate of the subject pronoun and tense. The charts below will help you conjugate remercier. Present Future Imperfect Present participle je remercie remercierai remerciais remerciant tu remercies remercieras remerciais il remercie remerciera remerciait nous remercions remercierons remerciions vous remerciez remerciez remerciiez ils remercient remercieront remerciaient Subjunctive Conditional Pass simple Imperfect subjunctive je remercie remercierais remerciai remerciasse tu remercies remercierais remercias remerciasses il remercie remercierait remercia remercit nous remerciions remercierions remercimes remerciassions vous remerciiez remercieriez remercites remerciassiez ils remercient remercieraient remercirent remerciassent Imperative (tu) remercie (nous) remercions (vous) remerciez How to Use Remercier in the Past Tense The passà © simple is a literary tense, meaning its not used in conversation. To render a verb in the past tense, youll most commonly use the compound passà © composà ©. The passà © composà © requires an  auxiliary verb  and a  past participle: The auxiliary verb for remercier is  avoir  and the past participle is remercià ©.   For example: Elle lui a remercià © pour le livre.  She thanked him for the book.

Dug Legalization in America Essay Example | Topics and Well Written Essays - 1250 words

Dug Legalization in America - Essay Example Users who cause no harm to others are incarcerated which not only ruins their professional and private lives but overcrowds the prison system which allows the early release of violent criminals. It has been said that trying to stop drugs is like trying to stop the rain, still, the ‘war’ continues as a prominent issue. Over half of the prisoners in jail are there for drug ‘crimes.’ This causes overcrowding which results in the early release of dangerous, violent criminals. It is illogical from a societal view and inhumane to individuals who are marked as a criminal for life for activity that causes no harm to others. Those who are addicted receive little or no therapeutic help in prison. Instead of imprisoning people that need help, rehabilitation programs are a much more effective method to treat the problem but a rehabilitation system will not succeed if drugs continue to be illegal.   Drug abusers will hardly seek help from the same government that tosses them in jail for the same thing. The hypocrisy of the drug war is apparent. All illegal drugs combined account for about 4,500 deaths in this country per year while tobacco is responsible for the deaths of 400,000 people annually and alcohol ends 80,000 people’s lives every year. (Fu, 2006) Legislators will not ban smoking because they indicate regulation regarding what adults do in privacy including what they can put into their bodies is clearly unconstitutional and an infringement on personal liberties.   Everyone can differentiate the distinction between a person that takes in an occasional alcoholic beverage and one who commits crimes while drunk.   Why can’t this simplistic reasoning be applied to drug users? Our code of law is founded upon a principle of presumptive rationality.   Rational adults should be allowed to make personal choices as long as those actions cause no harm to others.   The U.S. government is unequivocally unjustified in choosing this particular

The contribution of the construction industry to economic development Essay

The contribution of the construction industry to economic development in Libya - Essay Example Such estimates signifying the role of construction industry in the national economies, especially in the context of developing economies, could rise further as these figures do not include the informal sectors. In developing economies informal sectors generates significant casual employment in both rural and urban areas (Ganesan 2000). The construction outputs are considered as a major constituent of investment and part of fixed capital which are essential for continuous and sustainable economic growth. In the normal course the outcomes of construction activities produce results that benefits on the whole for a larger period of time. Construction industry is also very important since infrastructure development is very crucial and a pre condition for potential economic growth (Ive and Gruneberg, 2000; Hillebrandt 2000). The importance of the construction industry is due to the role it has in the economy, but that role varies between nations. In developing countries, the construction industry has a pivotal role in providing a significant infrastructure in the form of roads, railways, hospitals, schools, airports, housing and other buildings. In developed countries the emphasis is on professional services, maintenance and repair constructions (Ruddock, 2009; Bon, 1999).The main purpose of this study is to draw attention to the importance of the construction industry in Libya through investigating its relationship with other sectors via linkages which are defined as â€Å"backward and forward linkages† (Raza, 2008- p no?). The construction industry stimulates the growth of other sectors through a complex system of linkages which are defined as backward and forward – directions from an input and output model of the economy. Changes in construction industry usually affect other sectors through its linkages. Therefore, its highest linkages with other sectors provide a more rapid growth in the economy (Song, Liu, 2006). As a matter of fact the backward

Issues that Patients Complain about in Regards to Managed Care Essay

Issues that Patients Complain about in Regards to Managed Care - Essay Example The patients generally, do not view gatekeeping as favorable and complain that its actual purpose is not to improve the quality of care but to reduce costs that managed care organization incur for providing specialized services to patients (Estes, Rodriguez, 2003, p.383). The providers working in managed care networks see more patients in a day than other providers. Thus, patients complain that they face huge delays before they are able to see the doctors (Woodard, 2000). Another concern is the volume of documentation. Multiple pages of forms are required to be filled in by patients detailing personal information. Patients are concerned about access controls to this documentation (Holmes, L., n.d.). Consolidated Omnibus Budget Reconsolidation Act (COBRA) was passed by United States government in 1986. It is an amendment to the Employee Retirement Income Security Act (ERISA), the Internal Revenue Code, and the Public Health Service Act (US Department of Labor, 2006). COBRA states that employees, who would otherwise lose their group health coverage due to certain events, would still be able to continue their health coverage. Prior to COBRA, the health care coverage was allowed only up to the time the employee remained in service. In order to be eligible for COBRA continuation coverage, following three requirements must be met: COBRA is applicable to both private sector and government employers offering group health care plans. But as per the Act's requirements, the company size should be at least 20 employees (including permanent and temporary employees both) on 50% or more business days during the previous year. Qualifying Events Qualifying event refers to the occurrence of an incident that causes the employee to lose the group health plan. The COBRA continuation coverage takes into account the type of qualifying event in determining the beneficiary for continued coverage and the minimum length of the time the coverage should be continued. Following are the qualifying events for employee: Loss of jobs for reasons other than gross misconduct Reduction in job hours Similarly, other qualifying events have been defined by the Act for spouse and or dependents. Qualified Beneficiaries This defines the beneficiary who can remain a beneficiary of the health plan even after the qualifying event has occurred. COBRA specifies who can become qualified beneficiary and under what circumstances. 2. Employee Retirement Income Security Act Employee Retirement Income Security Act (ERISA) was passed in 1974 and "provides a comprehensive federal scheme for the regulation of employee pension and welfare benefit plans offered by employers" (Purcell, Staman, 2008). Although ERISA regulates the operations of a pension plan and health benefit plan; but it does not mandate employers to provide these plans to their employees. There are four main parts of ERISA. These include: Protection of employee benefit rights This section requires employers to provide employees with the details of their benefit plans; and protects employee benefit rights by disallowing health plan to invest more than 10% in employer's securities. Internal revenue code provisions Some amendments were made in the Internal Revenue Code (IRC). The detail of amendments is beyond the scope of this paper. Jurisdiction, administration, and enforcement This section

Turkey and Saudi Arabia Similarities and Differences

Turkey and Saudi Arabia Similarities and Differences Today we are going to discuss the similarities and differences between two societies, Turkish and Saudi Arabian, from the cultural and moral point of view. Firstly it is important to get familiar with these definitions. Culture is the way of life, shared beliefs, values, customs and behaviours, that the members of society use to cope with their world and with one another, and that are transmitted from generation to generation through learning. Norms specify the type of behaviour that is considered appropriate and normal in a society. For example, norms of dress give guidelines on what to wear. Norms are set of rules that vary from society to society. A change in society leads to new ways of behaving and therefore culture and norms are always changing. Values are general rules and principles that tell us what is good, important and worth striving for in our society. Values lay down general principles and guidelines. Inequality concerns differences in access to scarce resources when one group is better positioned than the other in society. Social inequality involves voting rights, freedom of speech, education and many more. Inequality is present in every society, even if it is said that all members in society are equal. Both countries share similar history, culture and values. Religion in particular plays a big part in peoples lives. The major religion is Islam, the second largest religion in the world. In Saudi Arabia, Islam is the only officially recognized religion and other religions in the country are not tolerated. Turkey is more democratic in this way. While in Turkey state and church are separated, religion in Saudi Arabia influences every aspect of social and political life. Even the legal system is based on sharia (Islamic) law. The forms of punishment in this country are, according to some organizations, against human rights. For example, theft is punishable by amputation of the right hand. Flogging is way of punishment for offenses against religion, drunkenness and gambling. The death penalty is the highest form of punishment in the country and is used for a range of convictions including the distribution of drugs from abroad. The death sentence was also practiced in Turkey, but it has s ince been reduced to thirty years imprisonment. Homosexuality is strictly forbidden in both societies (a view strongly linked to religious beliefs), and is punishable by lashing, prison or death. Inequality, in both societies, is most distinguished between men and women. Saudi women suffer discrimination in a range of areas within their daily lives. For example, women are not allowed to drive cars or ride bicycles on public roads and the driving age of 25 is one of the highest in the world. Saudi Arabia is also one of the four remaining countries that have not granted women the right to vote. Women cannot travel abroad without the permission or presence of a male guardian (mahram), and also have to be accompanied by a close male from the family (father or brothers) when outside of house. As chastity and sexual modesty are very highly valued, women can be arrested for socializing with a man who is not a relative and may be charged with prostitution. In public, dancing, playing music and showing movies is forbidden. Women make up just 5% of the workforce in Saudi Arabia, which is the lowest proportion in the world. A womans status within the family is high, especially in the ro les of mother and sister. However, their rights may continue to be restricted, for example, it is believed that women should stay at home, caring for their husbands and children. Most marriages are arranged and polygamy is permitted up to four wives. Similar attitudes towards women had existed in Turkey, but in 1926 new reforms brought changes to the position of women in society. Polygamy was abolished and it is very rare nowadays. Along with religious marriages and divorce, child custody became the right of both women and men. Education levels of women have increased since the reforms and many Turkish women are able to access education, have jobs and careers. The right to vote was granted in 1930. Although the position of women outside of family has changed significantly, inside it remains more or less the same. Husbands remain at the head of family and woman must have their permission to work or their approval if going out. Both Saudi Arabian and Turkish societies place huge value on the family and take their responsibilities seriously. Families tend to be large and the extended family remains close. Significant inequality also exists between women from different sectors of societies. Women in these two states have different life styles and rights. For example, abortion in Turkey is legal up to ten weeks, while in Saudi Arabia it remains illegal, except in situations where the mothers life may be at risk. The norms for public behaviour in Saudi Arabia are extremely conservative. To ensure that these standards of conduct are observed, the Saudi religious police can arrest foreigners for improper dress and other alleged infractions, such as consumption of alcohol. Turkish women no longer have to wear the veils and long garments, whereas in Saudi Arabia it is still required by the old religious beliefs. While alcohol is banned in Saudi Arabia, it is allowed in Turkey. In Turkey, Friday is considered a normal working day, regardless of the fact that to Muslims it is considered a holy day. Saudi Arabians continue to acknowledge this tradition most shops and other public places are closed on Friday and individuals practice their prayers. All Muslims pray five times a day and during the holy month of Ramadan they must fast from dawn to dusk (this includes eating, drinking and smoking). According to Islam, the left hand is considered unclean and reserved for personal hygiene. To conclude, Turkey is now considered a secular state, the first ever Islamic society to be considered as such. In contrast, Saudi Arabias unique culture makes marks it as a distinguished Islamic country. People in these countries are extremely proud of their culture, heritage and nationality. Bibliography M. Haralambos and M. Holborn (2008) Sociology , Themes and Perspectives http://marketing.about.com/od/marketingglossary/g/normsdef.htm http://www.umanitoba.ca/faculties/arts/anthropology/courses/122/module1/culture.html http://travel.state.gov/travel/cis_pa_tw/cis/cis_1012.html http://www.enjoyturkey.com/info/culture.htm http://www.eastwestinquirer.com/Islamic%20Turkey%20Versus%20Islamist%20Saudi%20Arabia.htm

Essay on Yeatsian and Western Influences on Chinua Achebes Things Fall

Yeatsian and Western Influences on Things Fall Apart      Ã‚   The Igbo culture is flexible and continuous; its laws are made by men and are not solid and permanent. Change is implicit in oral culture. Igbos have been able to retain their core beliefs and behavior systems for 5000 years because of the flexibility and adaptability of their culture. Yeats says things collapse from within before they are overwhelmed by things from without- Umuofia's collapse is its loss of faith, and that is also its strength, it's refusal to fight. But this self-destruction, this bending of societal codes is what keeps the culture from being annihilated. One fundamental question that occurs while trying to figure out how Yeats fits into an understanding of this book is whether or not things really do fall apart. From Okonkwo's point of view they certainly do, but Okonkwo's is not the only point of view in the book. Do things fall apart for the rest of the Umuofia tribes, and for the Ibo people, or does their center still hold, and it is just a center that they never shared with Okonkwo? It is important to look at the construction of the novel and the way it ties in with Yeatsian theory on the rise and fall of civilizations, and on personal tragedy.    The Yeatsian vision of Western history is of a world of "alternating civilizations, each giving way to one another through its inability to contain all human impulses within the enclosed scheme of value and being replaced by all that is overlooked and undervalued"(Wright 80). A fundamental principle of Yeats' vision is that things must "collapse from within before they are overwhelmed from without" (Wright 79). The falcon must lose the connection with the falconer before the center begins to l... ...escapeÉHe wiped his machete on the ground and went away" (205). An enduring aspect of the center of the Igbo people is the ability of that center to change and adapt. In an unchanging time, OkonkwoÕs inflexible will guaranteed his success as a clansman of the Igbo, a culture remarkable for its flexibility, but when the culture had to change to prosper, Okonkwo lost his center, and became a truly tragic figure.    Works Cited Kartennar, Neil ten. "How the Center is Made to Hold in Things Fall Apart." English Studies in Canada. Downsview, Ont. University of Toronto Press. 1975 Simola, Raisa. "World Views in Chinua AchebeÕs Works." Frankfurt am Main: New York. 1995. Wright, Derek. "Things Standing Together: A Retrospective on Things Fall Apart." Heinemann. Oxford; 1990. Chinua Achebe: A Celebration. Ed. Holst, Peterson. Rutherford.      

Demographic and Environmental Timeline- Italy Essay

Historical Changes–Defeat and abdication of Napoleon; Formation of the Congress of Vienna. Birth & Death Rates–Death rates and birth rates were both high and fluctuated rapidly according to natural events, such as drought and disease, to produce a relatively constant and young population. Stage 2 1900 Environmental Impacts—Environmentally, the impact hasn’t really began, however, the building and use of coal operated factories has begun a slow rise in air pollution as well as in the water run-off. Historical Changes– The Industrial Revolution began and that encouraged progression into this stage. There was more urbanization, which encouraged families to be created. (Pearson Education, 2013) Birth & Death Rates–This stage leads to a fall in death rates and an increase in population Stage 3 1948 Environmental Impacts—The use of fracking is beginning throughout all of Italy, and most European countries, therefore beginning issues with fertile soil and water tributaries. Historical Changes— Italy joined the Axis powers in World War II, falling into a bloody Civil War in 1943, with the Fascist faction finally defeated in the spring of 1945. Birth & Death Rates–The population moves towards stability through a decline in the birth rate. Stage 4 1970Â  Environmental Impact–Hydraulic Fracturing is still being used as a way to increase flow rate of natural resources. This practice has been accused of killing animals. (Krishna, 2012) Historical Changes– Italy became an integral member of NATO and the European Economic Community Changing Population Sizes—Population at this time is beginning to stabilize. Birth & Death Rates–Birth and Death rates are both low, leading to a total population which is high and stable. Stage 5 2000 Italy is still in Stage 4. References Krishna, K. (2012, March 7). Study suggests hydro-fracking is killing farm animals, pets | Cornell Chronicle. Retrieved September 16, 2014, from http://www.news.cornell.edu/stories/March12/FrackingAnimals.html Pearson Education. (2013, October 3). Italy: History, Geography, Government, & Culture | Infoplease.com. Retrieved September 16, 2014, from http://www.infoplease.com/country/italy.html?pageno=1

Childhood and Adolescent Depression and the Risks of Suicide Essay

Introduction Problem and its Background   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the most common reasons for referral of children and adolescents to mental health professionals is suspected depression. There are continues debate as to whether childhood and adolescent depression are a reflection of normal variation in mood. It is reasonable for the primary care physician to view childhood depression as a constellation of factors that forms a syndrome. This constellation consists of a persistent mood disorder and dysfunctional behavior that intrudes and distorts the child’s day-to-day activities (Gottlieb & Williams, 1991 p.1). A firm denial gave way into a general and strong conviction about significance of depressive syndromes in childhood and adolescents, and of the implications throughout the life course. The realization of the problem occurrence made it possible for the therapeutic interventions and prevention programs to be developed and set up for depressive children, and to have these programs sponsored and evaluated on a scientific perspective. Various factors have facilitated the progression of this study concerning the recognition of childhood depression. Society is approached with enormous cost of untreated childhood depression later on in life (Corveleyn etal, 2005 p.165).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The concept of a depressive syndrome that is distinct from the broad class of childhood onset emotional disorders has been linked to incidence of suicidal rates worldwide. The condition of such incidence is becoming evidently alarming as the number of suicidal rate continue.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The treatment of such depressive states range from pharmacologic drugs up to psychological modifications and therapies, such as behavioral, peer and group focused groups, etc. With the serious nature of childhood / adolescent depression, it is crucial that treatments with known efficacy and more than transitory effects be provided promptly and skillfully (Maj & Sartorius, 2002 p.292). Scope and Limitations   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The treatment procedures and the condition of health care management for the case of childhood and adolescent depression are the primary subjects of the study. The concept on treatment procedure involves the pharmacologic, medical and psychological interventions that are absolutely necessary in the health care management of such condition. The study shall cover the discussion of depressive condition of the childhood and adolescent age group. Diagnostic procedures and issues shall be tackled in this research in order to portray possible conflicts and difficulties that occur in diagnosing the condition. The neurobiology of the depressive state shall be elaborated utilizing psychophysiology of the disorder, and linked to probable external physiological occurrences. Lastly, since the study focuses on therapy and medication as treatment modalities, the following methods and means of treatment shall be involved in the study. The following shall be the objectives of the over-all study. To be able to define, discuss and elaborate the conditions involved in the occurrence of depression in adolescent and childhood stages To be able to provide and tackle the treatment procedure as the center scope of study, accompanied by the issues, physiology and specific drugs involved in depression health care management. Discussion   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Cases of despondency and depression in children and adolescents were reported as early as the seventeenth century. Prior to the 1970s, however, little attention was paid to depression in youth (Hersen & Hasselt, 2001 p.243). The study on depression had been more inclined to adulthood depression and not on childhood and adolescence.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Depression among children and adolescents is relatively common, enduring, and recurrent disorder that has an adverse impact on a youngster’s psychosocial development and in some cases is associated with self-destructive and life-threatening behaviors. Depressive disorders during childhood and adolescence may be more virulent and of longer duration than depressive disorders in adults. Depressive disorders during childhood are a risk factor for the development of additional psychological disturbances and for the development of depressive disorders later in life. The number of youths who are experiencing depressive disorders is increasing at the same time that the age of onset is decreasing (Mash & Barkley, 2006 p.336).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Depression can be conceptualized both as a dimension and as a category. Epidemiological studies suggest that juvenile depression is a continuum that is associated with problems at most levels of severity. According to Oregon Adolescent Depression Project, the level of psychosocial impairment increased as a direct function of the number of depressive symptoms. Moreover, in line with studies of adults, much of the morbidity associated with depression occurred in the â€Å"milder† but more numerous cases of minor depression. Such results suggest that even mild forms of adolescent depression are a risk factor for depression in early adulthood (Rutter & Taylor, 2002 p.463).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In recent years, increased attention has been given to evidence-based psychosocial and pharmacological interventions for depressed youth. The need to highlight what we know about treatment is underscored by the fact that most depressed youth do not receive treatment. However, as knowledge about treatments for youth depression has increased, the rate of treatment appears to have developed. Although depression among youth is treated more often, it is not clear that standard practice is effective at alleviating depressive symptoms or preventing recurrence. Moreover, there is a bias toward the utilization of pharmacologic drugs and extremely brief psychosocial interventions (Gotlib & Hammen, 2002 p.441). Diagnostic Issues involved in Depression   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision groups mood disorders into two categories: depressive disorders and bipolar disorders. Both types of disorders are characterized by depressive episodes. For a diagnosis of depressive disorder, the child must be experiencing a mood disturbance for a period of at least 2 weeks, and the symptoms must be present more often than not. At least four of the following symptoms must be present during the same period (Mash & Barkley, 2006 p.337): Significant, unintentional weight gain or loss Insomnia or hypersomnia Psychomotor retardation or agitation fatigue or loss or energy feelings of worthlessness or extreme guilt Diminished concentration pr ability to make decisions Recurring thoughts of death, suicidality, or suicide attempts In depressed preadolescents and adolescents, a lack of perceived personal competence was associated with depression; however, in adolescents, the more abstract concept of contingencies is also related to depression (Mash & Barkley, 2006 p.338). Confusion sometimes arises in the childhood depression field, as it does with adult depression, because of different usages of the term â€Å"depression† and associated differences in methods of assessment. Moreover, the Diagnostic and Statistical Manual of Mental Disorders, which is the primary reference of psychiatric diagnosis, frequently changes. One example is in studies of childhood and adolescent depression, the term is variously used to identify depressed mood, a constellation of mood and other symptoms forming a syndrome, or a set of symptoms meeting official diagnostic criteria for depressive disorder. The usage of such term connotes various meaning, such as depression as a symptoms (lonely, fear impulses, guilt, etc.) and depression as a syndrome (comprises clusters of various signs and symptoms) (Mash & Barkley, 2003 p.336). Neurobiology of Childhood & Adolescent Depression   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Biologic studies in children are difficult to implement since they often require several blood draws, subjects remaining still more long periods of time, and the overall cooperation of the children and adolescents. Three types of investigation have provided information on possible developmental differences in the neurobiology of depression. The first is the study of Cortisol secretion, measured by investigations such as the dexamethasone suppression test (Rapoport, 2000 p.230).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Studies of neurotransmitters in depressed adults have focused on norepinephrine, serotonin, and acetylcholine. Serotonin regulation studied in adults with depression reported that in response to L-5hyroxytrytophan in 37 pre-pubertal depressed children secreted less Cortisol and more prolactin than age-matched and gender-matched normal controls, suggesting a deregulation of central serotonergic systems in childhood depression.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Abnormalities of the hypothalamic pituitary-thyroid axis and the hypothalamic pituitary-growth hormone axis have been reported in depression in adults. However, Cortisol hypersecretion, as measured by repeated samples over a 24-hour period or by nocturnal sampling, has not been identified in depressed children and adolescents although adolescent showed a Cortisol elevation at the approximate time of sleep onset (Coffey, 2006 p.266).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The second type of developmentally informative investigation is the study of sleep. Polysomnographic studies of depressed children and adolescent have tended to demonstrate abnormalities of sleep, including shortened rapid eye movement (REM) latency and reduced slow wave sleep. These generally positive results of polysomnographic studies with children have shown few differences (Rapoport, 2000 p.231).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The third type of developmentally informative investigation is the study of growth hormone. A variety of pharmacological challenge agents that stimulate release of growth hormone have been studied in depressed adolescents and children. Interestingly, the results with adolescents have been negative in terms of slow blunted growth hormone response to provocative stimuli. However, some studies have reported high levels of growth hormone in adolescents with major depression. Moreover, pubertal children both during depressive episode and after recovery have demonstrated blunted growth hormone response to provocative stimuli (Rapoport, 2000 p.231). Psychopharmacology: Antidepressants (SSRIs)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Special considerations arise in treating children and adolescents with antidepressants. Empirical data on antidepressants in young patients are quite limited. Psychiatrists, faced with depriving children of potentially effective medication or prescribing medication or prescribing medications â€Å"Off Label,† need information on which to base treatment decisions, and efforts are underway to promote research in this area. Clinically significant differences in pharmacokinetics and possibly pharmacodynamics between adults and younger patients can also complicate treatment. Moreover, younger patients may also be more sensitive to adverse effects of medications (Preskorn, 2004 p.356).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The antidepressant drugs are a heterogeneous group of compounds that, in adults, have bee found to be effective in the treatment of major depressive disorder. This particular pharmacologic intervention is also utilized in adolescent and children with major depression; although, there have been no studies that validate the appropriateness of such medications. The following are considered as the major treatment of adolescent depression, specifically Tricyclic Antidepressants and (SSRI) Selective-serotonin reuptake inhibitors (Rossenberg & Ryan, 1998 p.28).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Tricyclic antidepressants (TCAs) have long been the first-line antidepressants used by most clinicians for adults because of their established efficacy, safety, and ease of administration, but they have been less successful in the treatment of child and adolescent conditions. The mechanism by which TCAs are effective in the treatment of adult depression and other disorders has not been clearly established. There is, however, evidence that these agents affect monoamine neurotransmitter systems in the central; nervous system, such as serotonin and norepinephrine (Rossenberg & Ryan, 1998 p.28-29). The TCAs inhibit the reuptake of norepinephrine and serotonin, potentiating their action. It has been suggested that antidepressants work by increasing noradrenergic and/or serotonergic transmission, compensating for a presumed deficiency. Controlled studies failed to demonstrate that TCAs are superior to placebo in the treatment of childhood and adolescent depression (Rossenberg & Ryan, 1998 p.28-29).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Since serotonin is also implicated in the etiology and maintenance of affective disorders, particularly depression; hence, the use selective serotonin reuptake inhibitor (SSRIs) is possible. SSRIs prevent the re-uptake of serotonin, which poses significant therapeutic value although has been shown to be less effective in therapeutic trials in children (Mash & Barkley, 2006 p.384). The SSRIs are now first-line agents for treating child and adolescent depression. The newer antidepressants, such as bupropion and mirtazapine, do not have an adequate empirical base with children; however, they are sometimes used as second-line treatments for those youths who do not respond to SSRIs. Thus far, none of the SSRIs has produced irreversible damage in children and adolescents. However, as the SSRIs gained wide use with depressed adolescents, concerns emerged about the safety of this class of medications. Reports suggested that they were responsible for increased suicidal ideation and behavior among youths (Mash & Barkley, 2006 p.384). In 2003, the British Medicines and Healthcare products Regulatory Agency   (MHRA) concluded that most of the SSRIs do not show benefits exceeding their risks of suicidal ideation, and thus should not be prescribed in the child and adolescent population (Mash & Barkley, 2006 p.384).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   If the adolescent fails to respond to any SSRI, then switching to a different class of antidepressant is recommended. At present, no data support the use of one agent over another. Therefore, whether the clinician chooses a TCA, nefazodone, or venlafaxine should be based on clinical experience. Other factors to consider for a given adolescent are medication side effects, medical conditions, previous medication trials, comorbid psychiatric conditions, and familial history of a positive response to particular antidepressants (Esman, 1999 p.222). Other classes of antidepressants are fluoxetine, setraline, paroxetine, fluvoxamine, venlafaxine, bupropion, trazodone, and nefazadone. As major depression has a high recurrence rate, it is recommended that pharmacologic treatment continue for a minimum of six months achieving resolution of symptoms. Medication discontinuation should be accomplished gradually, with a slow, stepwise reduction in dosage over a two- or three-month period. The health care providers should carefully monitor the adolescent for withdrawal syndromes and reemergence of depressive symptoms (Esman, 1999 p.222). Relationship to Suicide Rates   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Suicidal thoughts and attempts are among the diagnostic criteria for major depression. Suicidal ideation is quite common, and has been reported in more than 60% of depressed preschoolers, preadolescents, and adolescents. Actual suicidal attempts also may occur, at rates that appear to be higher among depressed adolescents than among depressed adults (Mash & Barkley, 2003 p.336).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Studies have shown consistently high rates of comorbid psychiatric disorders in depressed children and adolescents. The comorbidity rate in children and adolescents with depression has been reported to be 80% to 95%. The most common comorbid disorders in adolescents with depression are anxiety disorders, with rates ranging from 40% to 50%. Moreover, substance abuse frequently co-occurs with depression. Adolescents with major depression are at risk for impairment in school performance and interpersonal relationships, which may interfere with achievement of appropriate developmental tasks. Suicidal behavior is a common sequela. A 10-yar follow-up of depressed child and adolescent outpatients found that 4.4% committed suicide. Mood disorder, prior to suicide attempt, and substance abuse are major risk factors for adolescent suicide (Esman, 1999 p.216).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Depressed and suicidal children and adolescents are often not identified. Identification of children and adolescents who express suicidal ideation or suicidal acts is crucial since such symptoms are recurrent and strong predictors of youth suicide. Other risk factors for youth suicide behavior have been described including family, other environmental and biological factors. Notably, family history of suicidal behavior increases risk for youth suicide (Rapoport, 2000 p.231). Reference Coffey, E. C. (2006). Pediatric Neuropsychiatry. Lippincott Williams & Wilkins. Corveleyn etal, J. (2005). The Theory and Treatment of Depression: Towards a Dynamic Interactionism Model. Routledge. Esman, A. H. (1999). Adolescent Psychiatry: Developmental and Clinical Studies. Routledge. Gotlib, I., & Hammen, C. L. (2002). Handbook of Depression. Guilford Press. Gottlieb, M. I., & Williams, J. (1991). Developmental-behavioral Disorders: Selected Topics. Springer. Hersen, M., & Hasselt, V. B. (2001). Advanced Abnormal Psychology. Springer. Maj, M., & Sartorius, N. (2002). Depressive Disorders. John Wiley and Sons. Mash, E. J., & Barkley, R. A. (2006). Child Psychopathology. Guilford Press. Mash, E. J., & Barkley, R. A. (2006). Treatment of Childhood Disorders. Guilford Press. Preskorn, S. (2004). Antidepressants: Past, Present, and Future. Springer. Rapoport, J. L. (2000). Childhood Onset of â€Å"Adult† Psychopathology: Clinical and Research Advances. American Psychiatric Pub., Inc. Rossenber, D., & Ryan, N. (1998). Pocket Guide for the Textbook of Pharmacotherapy for Child and Adolescent Psychiatric Disorders. Psychology Press. Rutter, M., & Taylor, E. A. (2002). Child and Adolescent Psychiatry. Blackwell Publishing.

Using GDP to Measure Economic Health

Using GDP to Measure Economic Health Free Online Research Papers GDP to measure the business cycle: ‘Gross Domestic Products’ affects the American business cycle, and keeps equilibrium in our economy. GDP measures two things to help in stabilizing our economy. The economy’s income and expenditure, these two tactics are used simultaneously in measuring the annual household income and how much each household spends on goods; this is a continuously repeated cycle in the flow of money that keeps the equality to an equilibrium. The flow of income and expenditure must equal for the economy to become a whole. How this works is income is the same as expenditure for every transaction there is two parties, the seller and the buyer, when a buyer spends a dollar this becomes a dollar income for a seller. For instance Jane Doe spends $100 on for pool service to the seller John Doe for services rendered, this raises the economy of the business cycle $100. (Mankiw, 2004) Within the business cycle of economics the services paid for by consumers relate largely to the GDP flow of economy. The dollars spent by consumers flow through the market of production within a business, this allows for paying the wages for labors, fixed costs such as electricity, water , gas, and equipment. The fixed assets that are paid are also used to pay for the labor wages of these businesses. Once the labor wages are paid the recipients go out in the market and purchase more goods that contribute to the economical flow of income and expenditure, which in return contributes to a Gross Domestic Production flow in the business world. (Mankiw, 2004) Describe the roles of Government bodies that determine National Fiscal Policies: The knowledge of the governmental roles played in planning of our economical system is very confusing and very over whelming too many Americans. Most citizens don’t understand economics enough to know that the Government has several bodies that are critical too measuring the economical health of America, and managing your money. (Tan, 2009) Within these bodies are the Economists, Ministry of Trade/Commerce, Federal Reserve and many other bodies both government and non-government, that are always forecasting the future for any negative or positive development to better prepared. There are five areas of most concern watched regularly by bodies of Government and non-government officials: a) Leading Economic Indicators’ Index: On a monthly basis the U.S. Conference Board will release a set of economic indicators index’s that are reported to various media so economists will be aware of the situation. This will allow the layman to understand the overall health of the economy. So if there are three consecutive increases in the Index it is a positive state of the economy, just the opposite will show a negative balance in the state of economy. b) Unemployment figures: When economists and politicians look at unemployment they will see it from two separate angles, the rise in unemployment insurance claims and a decline in claims. Both are can be an effective outcome of the economy, when there is a rise in unemployment insurance claims this is a danger signal to economists. But on the other hand a low rate of claims may carry the potential for higher inflation. c) Durable Goods: This shows an increasing demand in goods to show the economy to be strongly expanding, and a possible backlog of orders. d) Housing Starts: The economy will measure the health of the housing industry by how many permits are issued, but an over abundance of in new housing will cause a major deficit on the economy. e) New Factory Orders: This is watched by economist and citizens to show a trigger in the economical growth or decline of gross domestic products. As any layman would know that an increase would show a positive economy, and just the opposite a falling demand would indicate a deficit in the economy. (Tan, 2009) How do changes in government spending and taxes positively or negatively impact the economy’s production and employment? Between 1980 -2000’s fiscal years studies were performed to determine where the most economical impact on state taxes of production and employment come from, all economic growth can be attributed to government spending. It has been determined that a variable shift in government spend away from goods and services and more toward the federal grant system, taking away from the state capita causes a decrease in state economical tax growth and also affects employment. Another affect towards state employment are state and federal fiscal policies of economies. States with significantly larger shares of federal related dollars towards defense have a greater impact on state and federal taxes; defense will also have a negative per capita output and a higher unemployment rate. When both state and federal government spending in increase will allow for an increase not only in state output but also a lower tax cut will have a more positive outcome one the employment rate. (Canto, 1987; Grossman, 1990; Tomljaqmovich, 2004; Weber, 2000) Research Papers on Using GDP to Measure Economic HealthTwilight of the UAWPETSTEL analysis of IndiaThe Effects of Illegal ImmigrationNever Been Kicked Out of a Place This NiceAssess the importance of Nationalism 1815-1850 EuropeInfluences of Socio-Economic Status of Married MalesDefinition of Export QuotasResearch Process Part OneRelationship between Media Coverage and Social andAnalysis of Ebay Expanding into Asia

Analysis of Strategic Alliances or Value Opportunities Part II Assignment

Analysis of Strategic Alliances or Value Opportunities Part II - Assignment Example Out of the rush to complete the process, we quickly went into a merger with the company, only to realize later that the company was involved in a huge debt that we had to incur. This made it impossible for us to experience any growth and profitability from the alliance turned merger. I therefore share the position that alliance leads to profitability but it ought to be a strategic one (Kaplan, Norton & Rugelsjoen, 2010). Â  Indeed it will be no act of over elaboration for me to say that your post is one of the most insightful I have ever read. This is because of the way you approach the subject of business strategic planning from a holistic perspective. In fact I perfectly agree with you on the point that most modern day business executives have only looked at business strategies from a myopic perspective where they fail to appreciate the place and importance of overall success. Instead, they tend to be content with reaching their quota and meeting service levels. Meanwhile, as the global business climate becomes highly competitive, it is important that businesses factor in the core issues of competitive growth rather than individual growth. To do this, it is important for businesses to take advantage of the concept of strategic alliance in finding as many global benchmarks with whom they can form alliances with and partner for growth (Grayson,

Admission eassy Essay Example | Topics and Well Written Essays - 500 words

Admission eassy - Essay Example My vision is to provide accurate and professional work to clients. Additionally, I hope to be an internationally recognized professional and gain autonomy through offering high quality professional work that commands respect and trustworthy. Moreover, I also seek to provide both short-term and long-term solutions to my clients. Since I am an accounting major, I have great inspiration on receiving a Master’s degree in the same field. Moreover, I will be getting the skills in management and control. This has made me realize that I can do so much more with the accounting knowledge that I have within my folds. It has made me feel equipped, confident, and secure in the knowledge that the already acquired pool of knowledge in diverse fields will be put to use. My future is secured if I gain the much-needed Master’s within my folds. For my short-term plans, I wish to take the CPA exams so that my future work manifestations facilitate the experience that I have gained thus far. This will put me in a better stead than where I am at presently. It will make sure that I am in top of my educational and professional levels, which I have always thought for my own self. The most basic purpose of gaining the Master’s degree would be to let me know that I am at par with what I have planned for myself and how I need to equip myself to handle the challenges of the overwhelmingly increasing challenges and demands of modern professional field. It will make sure that I am able to merge both my experience and knowledge to good purpose because it is a much-needed proposition at the end of the day. My father has an accounting firm and a furniture store to manage. I wish to join him in the near future and be instrumental in pushing the family business to greater heights. One of my long- term plans is to be the CEO of our family business as I also endeavor, as I said before, to provide accounting and financing consulting services. I