The Social Determinants Of Health - 1555 Words

From the initial contact of European settlers in North America to the lives of Indigenous people, has had a tremendous impact comprehensively. After so, this contact decimated every aspect of the Indigenous way of life. The health and well-being of Indigenous people initiated to worsen severely not only in the physical aspect but also mental. According to National Household Survey conducted in 2011, 1,400,685 people have been identified as being a member of one of the Aboriginal groups within Canada. Within these Aboriginal groups, critical mental health issues such as major depression, anxiety, suicidal thoughts, substance abuse disorder and post-traumatic stress disorder have been experienced at both individual and collective levels†¦show more content†¦Ã¢â‚¬Å"The notion of soul wound is one which is at the core of much of the suffering that Indigenous peoples have undergone for several centuries. This notion needs to be understood in a historical context in order to be us eful to the modern therapist providing therapeutic services and consultation to the Native American community† (Duran and Duran, 1995). For generations and till this present day, Indigenous people of Canada have suffered historical trauma immeasurably. It consists mainly of colonization and imposition of systems such as residential schools and reserve systems. Since the initial contact between the European and Indigenous populace, the effects of it has been quite astounding. Colonization has been a crucial factor in affecting mental health of aboriginal people, which has been resisting since beginning. There is no perfect definition for colonization but other foreigners can define it as some form of invasion, dispossession and subjugation of a people’s. It is the process of capturing another nation’s property or territory in purpose of ruling power (History of Colonization, 2012). The invasion could be any kind including a geographical intrusion in the form of ag ricultural, urban or industrial encroachments etc. The large part of Canadian history is the history of colonization of aboriginal people, which has started with the European and Aboriginal relationship (LaRocque, n.d.). This relationship is an unfair by nature that only reimburses the

Downfall of Macbeth - 1659 Words

The tragedy of â€Å"Macbeth, by William Shakespeare, follows the fall of Macbeth from a man in a position of power with a contented life, to a man with nothing but â€Å"mouth honor† and a corrupted soul. In this essay, I wish to show to what extent Macbeth’s tragedy was his own fault. The downfall of Macbeth begins early on in the play when he and Banquo (a fellow Scottish noble) meet the witches. The witches waylay Macbeth and Banquo whilst they were on their way to meet Duncan, King of Scotland. They decide to listen to the witches, out of sheer curiosity. The three witches greet Macbeth as â€Å"Thane of Glamis†, the title he already holds, and begin to tell the two nobles of things to come, and prophesies that Macbeth will become Thane of†¦show more content†¦Underneath, however, he wants to go along with the idea so he can become king. His underlying motives become clear when he decides that he will do the evil thing, and is going to kill Duncan. â€Å"We will speak further,† he says, making his intentions apparent to the audience. Although unsure, he will not totally dismiss the idea, and is even considering it. Lady Macbeth now knows that she has him within her grasp, and she will now make sure that she wins him completely over. In my opinion, not making his mind up creates a chance for Lady Macbeth. She sees this uncertainty and later exploits his unwillingness to make decisions. A short while later, Duncan arrives, accompanied by all of his Thanes. They all feast, and drink to the success of the battle against Norway. As the night wears on, Macbeth has to time to contemplate the consequences of killing Duncan. Macbeth makes the moral decision not to proceed saying; â€Å"We will proceed no further in this business. He (Duncan) hath honoured me of late, and I have bought golden opinions from all sorts of people, which would be worn now in the newest gloss, not cast aside so soon†. Macbeth attempts to give excuse for not proceeding, but fails to give any proper reasons for it. The only advantage he sees for not killing Duncan is that he respects him, and by killing him it would be disrespecting him. I believe that this is notShow MoreRelatedMacbeths Downfall1691 Words   |  7 PagesMacbeths Downfall In the beginning of the play Macbeth, Macbeth is a successful and noble Thane of Glamis. The witches tell Macbeth prophecies that guide him to his downfall, but in the end it was his own selfish decisions that caused his demise. The other person that is blamed for Macbeth’s destruction was his wife Lady Macbeth because she was able to manipulate and control his self-esteem by playing with his courage and bravery. However, Macbeth was only guided by his wife; he chose to play outRead MoreThe Downfall of Macbeth865 Words   |  3 PagesThe Downfall of Macbeth Many of people have heard the tragedy of Macbeth by William Shakespeare. The story revolves on a sequence of misfortunate events that take place when Macbeth makes immoral decisions to be king. In the play, Shakespeare shows how power can cause corruption in a human’s brain. Macbeth himself was not a very confident person, though he had a kind soul to begin with, he was easily influenced and gullible. Through the prophecies of the evil beings, an insignificant seed was plantedRead More Macbeths Downfall Essay668 Words   |  3 Pages In William Shakespeare’s Macbeth, the main character, Macbeth, is a brave and loyal subject to the King of Scotland, but as the play progresses, his character begins to change drastically. Evil and unnatural powers, as well as his own passion to become king, take over his better half and eventually lead to his downfall. The three main factors that intertwine with one another that contribute to Macbeth’s tragic end are the prophecie s told by the three witches, Lady Macbeth’s influence, and finallyRead MoreCauses of Macbeths Downfall1445 Words   |  6 Pagesï » ¿Causes of Macbeths Downfall – Essay By Jordan Koorey Shakespeare’s Macbeth, based on a play written in 1605 explores the life journey of Macbeth as he climbs the ladder of the social hierarchy. Determined to become King, Macbeth will kill any and all that get in his way. Driven by ambition, Macbeth puts his faith in the words and prophecies of three witches after a prediction that Macbeth would gain the new title of Thane of Cawdor. Alongside with ambition, Lady Macbeth, is a key instrument toRead MoreThe Downfall of Macbeth Essay1239 Words   |  5 PagesThe Downfall of Macbeth All through the play Macbeth strives for power. This motivation affects every aspect of his life and eventually leads to his demise. Many different factors come together in deciding his ill-fated future. With his wifes cajoling and the three witches foretelling of his future, Macbeth, will stop at nothing to gain the position as King of Scotland. The witches and their prophecies are the first major influence which trigger MacbethsRead MoreMacbeth and His Downfall1613 Words   |  7 PagesShakespeare’s Macbeth, there are two factors that contributed to Macbeths ruin. One of them being more to blame: The influential character of Lady Macbeth displaying temptation towards Macbeth, or Macbeths own ambitious and insecure nature. There are questions whether Macbeths downfall might have displayed more for his own blame. In closer examination, it will be come apparent that Macbeth is more to blame for his downfall. By first examining the influential acts of Lady Macbeth that made Macbeth commitRead MoreMacbeth Downfall Analysis911 Words   |  4 PagesMacbeth is a popular play that is known all over the world. William Shakespeares play Macbeth is about a nobleman named Macbeth whose ambition is responsible for his downfall. He is corrupted as a result of his rise to power. Shakespeare succeeds in getting the audience to love Macbeth despite the fact he is much less sinned against than sinn ing. The audience is drawn to Macbeth because he is pressured by the witches, does not have a malicious nature, is ambitious, agonizes between decisions,Read MoreThe Downfall of Lady Macbeth1371 Words   |  6 PagesIn Shakespeare’s Macbeth, Lady Macbeth’s desire and ambition leads to her eventual downfall. When Lady Macbeth hears of Macbeth’s prophecy she dreams of the glory and high-standing that awaits being queen. She cannot withhold her ambitions and she is willing to manipulate fate to bring about Macbeth’s prophecy. She invokes evil spirits to be filled from head to toe with cruelty to do the evil actions necessary to make Macbeth king and to remove all remorse and pity for her action from her heart.Read MoreEssay on The Downfall of Macbeth1474 Words   |  6 PagesThe Downfall of Macbeth      Ã‚  Ã‚   Macbeth is victorious; he has just returned from the battle ground as a brutal warrior; courageous, but what is more, heroic.   At this point in the play, Macbeths reputation is rapidly growing with the rampant spread of the word of his good deeds at war.   This climaxes when his actions are acknowledged and rewarded by the title given to him by King Duncan,    No more that thane of Cawdor doth deceive our bosom interest. - Go, pronounce his presentRead MoreEssay about Macbeth - Downfall Of Macbeth860 Words   |  4 Pages We see in the play Macbeth that when the motivation to succeed in life becomes overpowering, other people may easily influence one and elements and one may decide on wrongful actions to achieve a goal. Some of the influences on Macbeth include the witches and the apparitions, Lady Macbeth, and lastly Macbeths own insecurities and misguided attempts to control his future. The witches and their prophecies are the first major influence on Macbeths actions. Macbeth seems happy and content with

Searching For Evidence Scenarios Glucosamine

Question: Discuss about theSearching For Evidence Scenariosfor Glucosamine. Answer: Clinical Question In men with knee pain which treatment option is more effective celecoxib or glucosamine? Key words/Search terms/Phrases Alternative Words P (Population/Patient) Men with knee pain Men with osteoarthritis I(Intervention/Indicator) Celecoxib administration NSAID administration C (Comparator/Control) Glucosamine administration Joint health supplement administration O (Outcome) Remediation of knee pain Pain management in knee osteoarthritis Database: Google Scholar Action Search Mode Results Limiters Key words typed Filtered articles by setting the time frame from 2013 till present date Articles having the key words in the title selected Articles without citations excluded The novel advancements in medical field have opened up newer opportunities for diverse treatment options pertinent to a specific clinical condition. The availability of the multiple treatment modalities has further put both the physician as well as the service user in a dilemma to choose from the alternatives. One such example may be cited in the case of administration of medicines celecoxib or glucosamine for treating knee pain in patients. Both have been reported to mitigate pain in knee and the evidences in favor of this claim will be discussed in the following essay through information retrieved from relevant journal articles. Celecoxib is a common non-steroidal anti inflammatory drug (NSAID) that functions by means of reducing the levels of hormones that accentuate pain and swelling in the body. It is essentially a cyclooxygenase-2 (COX-2) inhibitor that acts by alleviating the pain caused due to stiffness, swelling and pain in the joints especially of the knees. A study laid sufficient emphasis upon the efficacy of the NSAID in treatment of pain in the knees and the findings suggested that the celecoxib is fairly efficient as a NSAID in improving the pin and functionality in case of patients with knee pain (da Costa et al., 2016). Another recent empirical study has highlighted the issue of impacts in relation to the administration of celecoxib on pain management in patients after total knee arthroplasty (TKA). Apart from multimodal analgesia that encompass peripheral nerve block and patient controlled analgesia, the effectiveness of the oral administration of the selective COX-2 inhibitor during post ope rative pain management following TKA has been hypothesized . The need for opioid analgesic consumption under such circumstances has been presumed to lower following the oral administration of celecoxib for TKA (Mammoto et al., 2016). Further studies have studied the efficacy of the celecoxib drug in knee osteoarthritis condition to minimize the perception of pain. The feasibility of application and tolerance towards celecoxib administration was compared against another potent NSAID, ibuprofen for the treatment of symptoms related to knee osteoarthritis. Daily dosage of 200 mg of celecoxib in the affected population was found to harbor positive outcomes and generated greater satisfaction in contrast to the measured variables for ibuprofen. Upper gastrointestinal effects were found to be less frequent under the effect of celecoxib rather than ibuprofen or placebo. Thus the tolerance towards celecoxib in the concerned population was found to be satisfactory and as good as the administr ation of ibuprofen in mitigating the pain related symptoms (Gordo et al., 2017). Thus the evidences are suggestive of the efficiency of celecoxib as a prominent NSAID. Glucosamine has been reckoned as a joint health supplement that has the potential to diminish the rate of collagen degradation in the joint tissue thereby aiding in the slower progression of the disease related to osteoarthritis. In this regard studies have been done to provide an insight into the effectiveness of the drug in treating knee osteoarthritis. The safety and efficacy associated with the combinatorial therapy with chondrotion sulfate and glucosamne sulfate was assessed in a study and compared against the placebo among patients with symptomatic knee osteoarthritis. The findings revealed a lack of superiority of this combination therapy over placebo in ameliorating the joint pain and functional impairment in patients with knee osteoarthritis over 6 months (Roman?Blas et al., 2017). Another study evaluated the potency of the supplements like glucosamine and/or chondroitin in reducing the joint space narrowing as well as pain among people having knee osteoarthritis. Significan t reduction in terms of joint space narrowing at 2 years follow up was observed on allocation of combined chondrotin-glucosamine. However no significant benefit was noticed in any of the single treatment allocation groups above placebo (Fransen et al., 2015). On the other hand, a study demonstrated the efficacy of the oral supplementation of glucosamine on joint structures in case of individuals suffering from chronic joint pain. Assessment by virtue of 3T magnetic resonance imaging (MRI) was performed to evaluate the structural lesions in the knee joints. The results revealed no significant improvement in structural orientation in the knee joints evident through MRI morphologic features upon supplementation with glucosamine for individuals with chronic knee pain (Kwoh et al., 2014). Thus evidences related to pain amelioration through glucosamine administration alone are limited in case of patients having chronic knee pain and require further research and analysis to decipher the ef fects of glucosamine supplementation in this population. Therefore the patient in the given scenario might resort to glucosamine 1500 mg/day administration to avoid further deterioration of the existing condition thereby providing temporary relief to knee pain. Celecoxib 200 mg/day administration will act on alleviating the symptoms only may thus be kept at bay for the time being shifting the focus towards abatement of further deterioration of knee pain. References da Costa, B. R., Reichenbach, S., Keller, N., Nartey, L., Wandel, S., Jni, P., Trelle, S. (2016). Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis. The Lancet, 387(10033), 2093-2105. doi: 10.1016/S0140-6736(16)30002-2 Fransen, M., Agaliotis, M., Nairn, L., Votrubec, M., Bridgett, L., Su, S., Woodward, M. (2015). Glucosamine and chondroitin for knee osteoarthritis: a double-blind randomised placebo-controlled clinical trial evaluating single and combination regimens. Annals of the rheumatic diseases, 74(5), 851-858. Retrieved from https://ard.bmj.com/ Gordo, A. C., Walker, C., Armada, B., Zhou, D. (2017). Efficacy of celecoxib versus ibuprofen for the treatment of patients with osteoarthritis of the knee: A randomized double-blind, non-inferiority trial. Journal of International Medical Research, 45(1), 59-74. doi: 10.1177/0300060516673707. Kwoh, C. K., Roemer, F. W., Hannon, M. J., Moore, C. E., Jakicic, J. M., Guermazi, A., Boudreau, R. (2014). Effect of Oral Glucosamine on Joint Structure in Individuals With Chronic Knee Pain: A Randomized, Placebo?Controlled Clinical Trial. Arthritis Rheumatology, 66(4), 930-939. doi: 10.1002/art.38314. Mammoto, T., Fujie, K., Mamizuka, N., Taguchi, N., Hirano, A., Yamazaki, M., Hashimoto, K. (2016). Effects of postoperative administration of celecoxib on pain management in patients after total knee arthroplasty: study protocol for an open-label randomized controlled trial. Trials, 17(1), 45. doi: 10.1186/s13063-015-1106-2. Roman?Blas, J. A., Castaeda, S., Snchez?Pernaute, O., Largo, R., Herrero?Beaumont, G. (2017). Combined Treatment With Chondroitin Sulfate and Glucosamine Sulfate Shows No Superiority Over Placebo for Reduction of Joint Pain and Functional Impairment in Patients With Knee Osteoarthritis: A Six?Month Multicenter, Randomized, Double?Blind, Placebo?Controlled Clinical Trial. Arthritis Rheumatology, 69(1), 77-85. doi: 10.1002/art.39819.