Essay --

In today days Atrial Fibrillation (AF) is the most common cardiac dysrhythmia that is often seen in clinical practice. There are 700,000 strokes in the USA each year and 15% of it caused by Atrial Fibrillation. For a long period of time warfarin was the only oral anticoagulant available in the US for patients with atrial fibrillation to prevent stroke events. Recently a new oral anticoagulants, including apixaban, dabigatran, and rivaroxaban have been developed and became available in the US for the stoke prevention and systemic embolism for patients with atrial fibrillation. Now, when all three new anticoagulants are available as an alternative to warfarin for the same indication, they make the health care providers question which agent is the best and for which patients. New agents have practical advantages over warfarin that has many limitations such as need for monitoring, regular dose adjustment, food and drug interaction and side effects. The major goal of the health care prov iders is to prescribe the safest and the most effective alternative drug and dose to each individual patient with AF. However, the approval for clinical use by the Food and Drug Administration (FDA) and the European Medicine Agency differ for anticoagulants and their dosages, and for the individual indication (Harenberg & Kraemer, 2012). Thus, more research needs to be done regarding the monitoring tools for new anticoagulant agents, and extend the use of these agents to other patient population. Keywords: anticoagulants, apixaban, dabigatran, rivaroxaban, warfarin, atrial fibrillation, stroke. Warfarin or New Anticoagulant for Stroke Prevention in Patients with Atrial Fibrillation Atrial Fibrillation (AF) is one of the most common arrhythmias that ... ...s and may not fully understand the importance of their medication, therefor, Advanced Practical Nurse should take every opportunity to reinforce the need of the patients to adhere to anticoagulant therapy and may play an important role in patient’s adherence by providing constant education about their health condition and the importance of their medication. More research should be done on new oral anticoagulants with different study population and similar patients that are seen in everyday clinical practice as well as attempt to define the best pharmacodynamic monitoring tools. Research should be conducted to outline monitoring protocol including timing relative to dosing and frequency as well as therapeutic targets. Using these strategies, future trials could enhance further the efficacy and safety of these new agents and could extend their use to new indications.

Sexiest Language

Language is the basis to all cultures in the world, today. Whether it is in writing, sign language, or body language, it is a must in every civilization. Language is perceived differently through the male and female genders. Many forms of sexist language have been identified into three forms – language that ignores women, language the defines women narrowly, and language that depreciates women (Wetherall 276). Women have been discriminated for years. This all strings back to when the female was thought to be less of a person, since early civilization. It has been the use of masculine genetics that has concealed women. Since that time we have came a long way in equaling women’s rights. The problem now, is that language still portraits women as something less in society. The narrow definition of women in language relates to the observation that women are more often discussed in relationships, whereas men are more often discussed in what they do (Wetherall 276). A perfect example is when women are given their spouse’s last name after being married. This is a show of ownership of sorts. Women do not have accompany this tradition if they do not feel it is necessary. Language described women, in the past, in a negative manor and it is hard to break free from such stereotypes. In a study of female and male terms listed in the dictionary you will find many more unfavorable, sexual and trivializing to describe women that men (Wethrall 276). Women have taken a large leap towards equality but it will take some time before sexist language and discriminative language will cease. I did a survey where I asked twenty people, â€Å"If a girl fools around with five guys in a month and a guy fools around with five girls in a month what would you classify the man and woman? All twenty of the people I asked said the girl is a slut. Sixteen of the people said the man was a â€Å"pimp†(which is a good thing). The other four said he is a male slut. Why is this so? Just because the person is a female, she should be classified as a slut? This is how society thinks. Women should not be stereotyped this way. Men do the same things and they are thought of as the â€Å"Bomb†. I asked five men and five women how they would address a woman who was a chairperson. This is a direct statement of how or language is sexist towards women. Because of this sexist language, our society faces the consequences. Sexist view can influence people’s perception of women (Wetherall 277). Research theoretical developments on language, power and social relationships suggests more subtle and complex associations between language and social behavior than those initially used to describe the significance of sex bias in language (Wetherall 277). For example, discourse analysts explore how the production and organization of social categories in conversation are influenced by the context and function of the particular interaction (Wetherall 277). The use of sexist language makes the idea of inequality live on. When people constantly use this sexist language it becomes routine and people start to use this in their every day conversation or even just in their minds. The routinization of sex bias in language makes sexism more covert and hence a legitimate way of communicating racism (Wetherall 277). With this common and accepted racism being used in everyday life, it shows how men have maintained their monarchy in social groups. For example, when I was younger there was a girl on my baseball team who was very good, but everyone emphasized how good she was â€Å"for a girl†, not a person. Sexist language is a direct suppression of women and is so commonly used, it goes unnoticed. Though, steps are being taken to stop sexist language, for example it is not longer a policeman it is a police officer, still, there has to be more done to prevent in from existing. Our language reflects the fact that, historically women engaged in public activity that has been suspect (Jamieson 125). The whole idea is that when society speaks of a human being it is usually thought to be a male. For instance when a man is interviewed, he is judged as an individual while a woman is categorized as a â€Å"women† (Jamieson 127). Language is not only a way to communicate, but, also a way to judge the character of society. Starting at age two or three when boys and girls first learn to communicate they are placed in two separate categories. This separation continues through childhood and up to their teenage years when they become men and woman. Woman are brought up to be clean, proper, and always be on their best behavior. Men are brought up to play in the dirt, be messy, and act like tough guys. When men and woman become their own self and have their own traits they will then began to interact and communicate with each other. At this time different language will be shared with each other and many agreements as well as disagreements will occur. A man will usually overpower the woman with words, because a mans language is a lot stronger in content. As each generation goes by men have been more successful and always in a higher power position than woman have been in. In the mid 1970’s, a survey was taken, that is showing words that are used on men and their parallel meaning towards women.

Should Marijuana Be Legal For Medical Marijuana - 1180 Words

Since the passage of the CSA, many campaigns to have marijuana rescheduled under a less restrictive category have failed. However, popular opinion began to sway in the 1990’s and California became the first state to legalize the use of medical marijuana in 1996 with the passage of the Compassionate Use Act (Reinarman et al., 2011). Unfortunately, the federal response was swift and threatened to be severe. General Barry McCaffrey, the drug czar under the Clinton Administration, advised the federal government would â€Å"vigorously prosecute persons who supplied medical marijuana, revoke the prescription writing authority of physicians who recommended marijuana to patients, and deny various federal benefits (including licenses) to anyone who used marijuana pursuant to California law† (Mikos, 2011, p. 637-638). The Bush Administration picked up the torch and continued the war on medical marijuana by carrying out almost 200 raids by the DEA on dispensaries in California as well as prosecuting those people associated with medical marijuana. However, advocates of medical marijuana remained vigilant and kept spreading their message and gaining support. To date as listed on ProCon.org (2013) 18 states and the District of Columbia have passed laws legalizing the use of medical marijuana. In 2009, the Obama Administration broke from tradition by announcing a Non Enforcement Policy (NEP). The new policy confirmed the administration’s commitment to the war on drugs, but urged federalShow MoreRelatedShould Medical Marijuana Be Legal?1249 Words   |  5 PagesMarch 1, 2017 Medical Marijuana Informative Unless you ve been living under a rock, you have probably at some point in the last few years had a conversation with a friend or family member regarding medical marijuana. Although it is considered a controversial topic, in recent months it has been gaining approval by the public. But it does not come without opposition and arguments. Medical marijuana is a complex subject and still requires more education for the public, the medical community, and theRead MoreMedical Marijuana Should Be Legal904 Words   |  4 PagesMedical Marijuana Although marijuana is illegal and lacks FDA approval it should be used to treat cancer. Opponents of medical marijuana argue that it is too dangerous to use, lacks FDA approval, and that various legal drugs make marijuana use unnecessary. They believe marijuana is addictive, leads to harder drug use, and injures the lungs, immune system, and brain. They also believe that medical marijuana is a front for drug legalization and recreational use. 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Studies has shown that it slows the response time in the synapses in the brain it helps the brain heal. For example if someone was in a bad wreck it allows the brain to eventually heal. Because it is unlike other prescribed drugs weedRead MoreMedical Marijuana Should Be Legal860 Words   |  4 Pagesthat medical marijuana might be useful in reducing this pressure. Marijuana has also became a common sight in the medicine cabinets of patients suffering from HIV/AIDS and many different forms of cancer. Cannabis consumptions has been known for its ability to stimulate appetite commonly referred to as â€Å"getting the munchies.† Medical marijuana can successfully benefit its patients with HIV or cancer by helping generate an appetite through the use of plant. Researchers have shown that medical cannabis